NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

ACCUSTAFF INCORPORATED 261 Inactive 2/1/1996 6/30/1998

AETNA LIFE & CASUALTY 26 Inactive 4/1/1981 4/1/2001

AFFINITY GAMING 122977 397 Inactive 1/1/2011 1/31/2017

AFFINITY GAMING (ACTIVE) 142274 Active 1/31/2017

ALADDIN GAMING HOLDINGS LLC 360 Inactive 8/17/2000 9/1/2004

ALLIANCE GAMING CORPORATION 145 Inactive 8/1/1992 5/31/1998

ALUSUISSE-LONZA AMERICA INC 276 Inactive 5/1/1996 3/11/1998

AMERICA WEST HOLDINGS CORP 277 Inactive 6/1/1996 1/1/2001

AMERICAN ASPHALT & GRADING COMPANY 146 Inactive 8/1/1992 9/1/2003

AMERICAN BUILDINGS COMPANY 337 Inactive 3/1/1998 8/1/2004

AMERICAN CASINO & ENTERTAINMENT PROPERTIES LLC 279 Inactive 6/1/1996 2/20/2008

AMERICAN CASINO AND ENTERTAINMENT PROPERTIES LLC 125420 Inactive 2/20/2014 10/20/2017

AMERICAN STORES COMPANY 54 Inactive 8/1/1982 6/23/1999

AMERISTAR CASINOS INC 123142 106 Inactive 10/1/1990 8/13/2013

AMOCO MINERALS COMPANY 50 Inactive 6/1/1982 7/1/1985

ANDERSON DAIRY INC 269 Inactive 4/1/1996 6/1/2010

ANGLOGOLD USA INC & ITS NV SUB 151 Inactive 12/1/1992 12/18/2003

APL HEALTHCARE GROUP INC 231 Inactive 1/1/1995 3/1/2001

AQUATIC CO 225 Inactive 10/1/1994 6/1/2005

ARC AMERICA CORPORATION 31 Inactive 5/24/1981 5/23/1990

ARC MATERIALS CORPORATION 102 Inactive 5/24/1990 11/1/1991

ARCBEST CORPORATION 122997 45 Active 12/15/1981

ARCHON CORPORATION & ITS SUB PIONEER HOT 55 Inactive 8/15/1982 9/30/2014

ARIZONA CHARLIE'S INC 367 Inactive 2/1/2002 7/1/2004

ARMSTRONG BROTHERS HOLDING CO 297 Inactive 11/1/1996 10/1/2003

ASPLUNDH TREE EXPERT CO 329 Inactive 1/1/1998 8/1/1999

AT&T CORPORATION 71 Inactive 10/1/1984 7/1/2005

AT&T TECHNOLOGIES 64 Inactive 12/1/1983 1/1/1990

ATLANTIC RICHFIELD COMPANY 61 Inactive 1/15/1983 7/1/2000

AUTONATION INC 353 Inactive 8/27/1997 1/1/2000

B F GOODRICH COMPANY THE 32 Inactive 6/1/1981 7/1/1986

BABY GRAND CORPORATION 66 Inactive 5/1/1984 4/30/1998

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 1

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

BAKER HUGHES INCORPORATED 100 Inactive 5/1/1990 8/20/1990

BALLY'S GRAND INC 14 Inactive 10/1/1980 12/19/1996

BANK OF AMERICA CORPORATION 234 Inactive 2/1/1995 8/1/1999

BARBARY COAST HOTEL & CASINO 156 Inactive 1/1/1993 1/1/1996

BARRICK GOLD CORP/BARRICK GOLDSTRIKE MIN 149 Inactive 10/1/1992 6/1/2004

BARRICK GOLDSTRIKE MINES INC 175 Inactive 7/1/1993 7/31/1999

BATTLE MOUNTAIN GOLD CO 21 Inactive 1/1/1981 1/10/2001

BBB OPERATING COMPANY 20 Inactive 12/16/1980 8/1/2004

BEATRICE COMPANIES INC 1 Inactive 7/1/1980 7/3/1986

BECHTEL NEVADA CORP 259 Inactive 1/1/1996 7/1/2006

BENTLY PRESSURIZED BEARING COMPANY 48 Inactive 3/1/1982 1/24/2002

BERRY-HINCKLEY COMPANIES INC 254 Inactive 11/1/1995 4/1/2003

BEST BUY CO INC 123211 326 Active 12/1/1997

BLACK GAMING LLC 237 Inactive 4/1/1995 8/1/2011

BOARDWALK CASINO INC 315 Inactive 6/1/1997 6/30/1998

BOEING COMPANY (THE) 328 Inactive 1/1/1998 12/31/1999

BOOMTOWN INC 257 Inactive 1/1/1996 6/30/1997

BOYD GAMING CORPORATION 123005 52 Active 7/1/1981

BRINKER INTERANTIONAL INC 322 Inactive 10/1/1997 7/1/1999

BRT INC 86 Inactive 8/17/1987 7/6/1992

BRUCE INDUSTRIES INC 155 Inactive 1/1/1993 1/1/2000

BUILDERS SQUARE INC 250 Inactive 11/1/1995 9/25/1997

BUILDING MATERIALS HOLDING CORP 242 Inactive 7/1/1995 11/11/2003

CAESARS ENTERTAINMENT CORPORATION 123146 11 Active 8/15/1980

CAESARS ENTERTAINMENT INC 7 Inactive 7/12/1980 4/21/2008

CAESARS GROWTH PROPERTIES HOLDINGS LLC 125980 Inactive 5/5/2014 10/6/2017

CAESARS WORLD INC (PARENT) 2 Inactive 7/1/1980 12/30/1999

CAMCO INTERNATIONAL INC 252 Inactive 11/1/1995 7/1/1999

CAMDEN PROPERTY TRUST 296 Inactive 11/1/1996 4/15/2000

CANTEX INC 176 Inactive 7/1/1993 7/1/1999

CARSON CITY 122973 393 Active 7/1/2010

CARSON CITY 131 131 Inactive 7/1/1992 7/1/2003

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 2

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

CARSON CITY SCHOOL DISTRICT 122974 394 Active 7/1/2010

CARSON NUGGET INC 316 Inactive 6/1/1997 7/1/2009

CARTER HAWLEY HALE STORES INC 24 Inactive 2/1/1981 12/31/1987

CASHMAN CADILLAC INC 198 Inactive 1/1/1994 8/8/2000

CASHMAN EQUIPMENT COMPANY 135 Inactive 7/1/1992 6/1/2010

CATHOLIC CHARITIES OF SOUTHERN NEVADA 122963 383 Active 1/1/2006

CDS US INTERMEDIATE HOLDINGS INC 132789 Active 7/8/2015

CEDAR ENTERPRISES INC 123157 199 Inactive 1/1/1994 3/13/2017

CEMEX 121 Inactive 5/24/1981 10/15/2007

CENTURY STEEL INC 258 Inactive 1/1/1996 4/1/2008

CHURCHILL COUNTY SCHOOL DISTRICT 130131 Active 7/1/2015

CITICORP 158 Inactive 1/1/1993 7/1/1999

CITY OF HENDERSON 123103 169 Active 4/1/1993

CITY OF LAS VEGAS 123239 78 Active 12/29/1985

CITY OF NORTH LAS VEGAS 123155 197 Active 1/1/1994

CITY OF RENO 123079 147 Active 9/1/1992

CITY OF SPARKS 123097 163 Active 2/1/1993

CITYCENTER HOLDINGS LLC 122979 399 Active 3/23/2015

CLARK COUNTY 123236 75 Active 7/15/1985

CLARK COUNTY SCHOOL DISTRICT 123140 104 Active 7/1/1990

CLARK COUNTY WATER RECLAMATION DISTRICT 123152 115 Active 4/1/1992

CLEARWATER PAPER CORP 213 Inactive 5/1/1994 12/16/2008

CMS INTERNATIONAL 187 Inactive 9/1/1993 1/1/2004

COAST CASINOS INC 95 Inactive 2/1/1989 1/1/2010

COCA-COLA COMPANY AND/OR COCA-COLA REFRESHMENTS USA INC 330 Inactive 1/1/1998 5/1/2014

COEUR D'ALENE MINES CORP 235 Inactive 3/1/1995 7/1/2011

COMSTOCK HOTEL CASINO 132 Inactive 7/1/1992 8/4/1999

CONSOLIDATED FREIGHTWAYS CORP 354 Inactive 8/1/1999 12/2/2002

COOPER INDUSTRIES INC 137 Inactive 7/1/1992 7/1/1999

CORRECTIONS CORPORATION OF AMERICA 308 Inactive 4/1/1997 5/1/2000

COSTCO WHOLESALE CORP 123087 154 Active 1/1/1993

CPS SECURITY (USA), INC 122988 381 Inactive 6/1/2004 5/26/2013

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 3

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

CREATION MEANDRES INC 347 Inactive 2/1/1999 7/8/2015

CROWN ZELLERBACK CORPORATION 3 Inactive 7/1/1980 7/1/1986

CUMMINS ENGINE COMPANY INC 306 Inactive 3/1/1997 7/1/1999

CVIM, INC. 278 Inactive 6/1/1996 1/14/2010

D I SUB II INC 128 Inactive 6/1/1992 3/21/1994

DEAN FOODS COMPANY 101 Inactive 5/1/1990 9/30/2006

DEAN FOODS COMPANY 358 Inactive 5/1/2000 12/21/2001

DEL WEBB CORPORATION 28 Inactive 4/1/1981 10/1/1988

DELTA AIR LINES INC 284 Inactive 7/1/1996 2/1/2004

DELTA CALIFORNIA INDUSTRIES 51 Inactive 7/1/1982 8/30/1985

DENNY'S INC 4 Inactive 7/1/1980 4/20/1990

DI GIORGIO CORPORATION INC 27 Inactive 3/9/1981 3/9/1981

DIAMOND RESORTS SERVICES LLC 224 Inactive 9/1/1994 12/1/2007

DIGNITY HEALTH 123026 361 Active 10/1/2000

DILLARD'S INC 142 Inactive 8/1/1992 2/1/2000

DOUGLAS COUNTY 143601 Active 7/1/2017

DOUGLAS COUNTY SCHOOL DISTRICT 123176 216 Active 7/1/1994

DR HORTON INC 247 Inactive 10/1/1995 7/1/1999

E G & H INC 67 Inactive 7/1/1984 7/1/2001

EAGLE-PICHER HOLDINGS INC 74 Inactive 7/1/1985 2/15/2003

EBSCO INDUSTRIES INC 123208 323 Inactive 10/1/1997 12/29/2017

ECHO BAY MINERALS COMPANY 363 Inactive 12/1/1991 3/31/2004

ECKER ENTERPRISES INC 287 Inactive 9/1/1996 8/1/2000

EG&G INC 183 Inactive 8/1/1993 1/1/1996

ELDORADO RESORTS LLC 123011 58 Active 11/1/1982

ELKO COUNTY SCHOOL DISTRICT 123129 192 Active 11/1/1993

ENCOMPASS HEALTH CORPORATION 123143 107 Active 10/1/1990

ENTERPRISE RENT-A-CAR CO. 346 Inactive 11/1/1998 9/1/2008

ESQUIRE LTD INC 189 Inactive 10/1/1993 9/23/2006

ETHEL M CHOCOLATES INC 196 Inactive 12/1/1993 7/1/1999

F & D ENTERPRISES & WESTWARD HO CASINO 113 Inactive 6/1/1991 11/17/2005

FEDERAL SIGNAL CORPORATION 282 Inactive 7/1/1996 11/1/2000

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 4

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

FEDEX CORP FOR FEDEX GROUND PACKAGE SYSTEM INC 122931 285 Active 8/1/1996

FEDEX CORPORATION FOR FEDERAL EXPRESS CORPORATION 122936 29 Active 4/1/1981

FEDEX CORPORATION FOR FEDEX FREIGHT INC 123050 120 Active 11/1/1991

FIESTA PALMS LLC PALMS CASINO RESORT 241 Inactive 6/1/1995 12/23/2011

FITZGERALDS RENO INC 89 Inactive 7/1/1988 11/1/2007

FLETCHER GENERAL INC 173 Inactive 6/1/1993 9/15/1993

FLYING J INC 255 Inactive 12/1/1995 3/15/2010

FOCUS PLUMBING 122964 384 Active 8/18/2003

FOUR QUEENS LLC 123109 174 Active 6/1/1993

FP HOLDINGS LLP 122980 400 Inactive 11/30/2011 10/1/2016

FR INC 245 Inactive 9/1/1995 9/1/2003

FREEMAN DECORATING CO 206 Inactive 1/1/1994 1/1/2000

FREEPORT MINERALS CORPORATION 98 Inactive 8/1/1989 7/1/2001

FRESCA LLC 368 Inactive 2/1/2002 7/1/2004

FRIAS HOLDING COMPANY LLC 123073 141 Active 7/1/1992

GARRETT FREIGHTLINES INC 68 Inactive 7/1/1984 4/19/1986

GAUGHAN SOUTH LLC 122965 386 Active 10/25/2006

GEMINI INC 150 Inactive 10/1/1992 9/12/2000

GENERAL BINDING CORPORATION 127 Inactive 3/1/1992 5/1/1998

GENERAL DYNAMICS CORPORATION 123 Inactive 12/1/1991 6/30/1993

GEORGIA PACIFIC CORPORATION 49 Inactive 3/1/1982 12/19/2005

GETCHELL GOLD 240 Inactive 6/1/1995 10/1/2003

GOLDEN ENTERTAINMENT INC 145691 Active 10/20/2017

GOLDEN NUGGET INC 122987 380 Active 1/23/2004

GORDON GAMING CORP 249 Inactive 11/1/1995 8/1/2007

GREYHOUND LINES INC 60 Inactive 11/22/1982 3/19/1987

H & O FOODS INC 148 Inactive 10/1/1992 11/1/1995

HAMILTON HOLDING MANAGEMENT CORP 123118 182 Active 7/1/1993

HANCOCK TEXTILE CO INC 53 Inactive 8/1/1982 5/4/1987

HANSEN MECHANICAL CONTRACTORS, INC. 335 Inactive 2/1/1998 2/1/2005

HANSON PLC 167 Inactive 4/1/1993 9/14/2001

HARD ROCK HOTEL & CASINO INC 324 Inactive 11/1/1997 3/1/2011

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 5

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

HARVEY'S CASINO RESORTS 34 Inactive 7/1/1981 7/31/2001

HAT LTD DBA MANPOWER TEMPORARY SERVICES 123151 114 Active 3/1/1992

HBR COMPANIES 274 Inactive 5/1/1996 12/31/2000

HCA HEALTHCARE INC 123099 165 Active 1/1/1986

HCR MANORCARE INC 123067 136 Active 7/1/1992

HECLA MINING COMPANY 293 Inactive 11/1/1996 2/15/2002

HERBST GAMING LLC 387 Inactive 8/1/2007 1/1/2011

HOLIDAY INNS INC 22 Inactive 1/1/1981 3/15/1990

HOME DEPOT USA INC 123059 129 Active 8/1/1992

HOME SHOPPING NETWORK INC 112 Inactive 6/1/1991 7/1/1995

HOUSEHOLD INTERNATIONAL, INC. 332 Inactive 1/1/1998 1/1/2003

HOWARD HUGHES CORPORATION 40 Inactive 8/1/1981 10/1/1988

HRHH GAMING SENIOR MEZZ LLC 122982 402 Inactive 3/1/2011 3/30/2018

HUMANA INC 12 Inactive 9/1/1980 2/28/1993

HUMBOLDT COUNTY SCHOOL DISTRICT 122983 403 Active 7/1/2012

HYATT HOTELS CORPORATION 122842 338 Active 2/1/1998

HYDRO CONDUIT CORPORATION 103 Inactive 5/24/1990 11/1/1991

IKE GAMING INC 123017 63 Active 10/9/1983

IMPERIAL PALACE CASINO INC 25 Inactive 2/8/1981 4/21/2008

INCLINE VILLAGE GEN IMPROVEMENT DISTRICT 138 Inactive 7/1/1992 7/1/2013

INTEGRATED HEALTH SERVICES INC 350 Inactive 4/1/1999 9/1/2003

INTERNATIONAL GAME TECHNOLOGY 99 Inactive 9/15/1989 6/30/2014

INTERNATIONAL PAPER COMPANY 152 Inactive 1/1/1993 7/1/2014

JACK B KELLEY INC 233 Inactive 1/1/1995 2/9/1998

JACKPOT ENTERPRISES INC 201 Inactive 1/1/1994 1/2/2001

JC PENNEY COMPANY INC 162 Inactive 2/1/1993 2/1/2001

JERRY'S NUGGET INC 270 Inactive 4/1/1996 4/1/2009

JIM'S ENTERPRISES INC 289 Inactive 10/1/1996 8/1/2004

JOHN H BURROWS INC 143 Inactive 8/1/1992 4/1/2000

JOHNSON GROUP INC 157 Inactive 1/1/1993 11/30/2001

JOURNAL COMMUNICATIONS INC 356 Inactive 10/1/1999 4/1/2015

K & D CONSTRUCTION LLC 385 Inactive 5/1/2007 9/17/2009

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 6

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

KAL KAN FOODS INC 265 Inactive 3/1/1996 7/1/1999

KENNAMETAL INC (PARENT) 123048 119 Active 10/1/1991

KENNECOTT HOLDINGS CORP 171 Inactive 4/1/1993 2/1/2006

KIEWIT CORPORATION 123021 357 Active 11/1/1999

KINROSS GOLD CORPORATION 123052 122 Active 12/1/1991

KNIGHT TRANSPORTATION INC 122989 382 Inactive 10/1/2004 9/8/2017

KNIGHT TRANSPORTATION, INC (ACTIVE) 146761 Active 9/8/2017

KROGER COMPANY 122996 44 Active 11/1/1981

L BRANDS INC 193 Inactive 11/1/1993 2/1/2007

LAIDLAW INC 211 Inactive 4/1/1994 9/1/2001

LAKEVIEW COMPANY 134 Inactive 7/1/1992 4/1/2001

LANDSTAR SYSTEM INC 286 Inactive 9/1/1996 7/1/1999

LAS VEGAS CONVENTION & VISITORS AUTHORITY 123034 369 Active 7/1/2002

LAS VEGAS CONVENTION HOTEL LLC 362 Inactive 11/1/2000 7/1/2001

LAS VEGAS METRO POLICE DEPARTMENT 123092 159 Active 1/1/1993

LAS VEGAS PAVING CORP 272 Inactive 5/1/1996 6/1/2013

LAS VEGAS SANDS 122959 96 Active 4/28/1989

LAS VEGAS VALLEY WATER DISTRICT 123037 371 Active 1/1/2003

LEISURE HOMES CORPORATIONS 191 Inactive 11/1/1993 7/25/2003

LES SCHWAB WAREHOUSE CENTER INC 123210 325 Active 12/1/1997

LETICA CORPORATION 336 Inactive 2/1/1998 9/1/1999

LEVI STRAUSS & COMPANY 56 Inactive 10/1/1982 12/1/2008

LIFE CARE CENTERS OF AMERICA INC 341 Inactive 7/1/1998 10/1/2006

LOUISIANA PACIFIC CORPORATION 161 Inactive 2/1/1993 10/1/2001

LVI ENVIRONMENTAL SVCS GROUP INC 283 Inactive 7/1/1996 6/30/1998

LYNCH COMMUNICATIONS SYSTEMS 65 Inactive 3/1/1984 7/2/1987

LYON COUNTY SCHOOL DISTRICT 123040 374 Active 7/1/2003

M & R INVESTMENTS CO 38 Inactive 7/9/1981 9/15/1983

M A HANNA COMPANY 205 Inactive 1/1/1994 6/27/1996

M S CONCRETE CO INC 223 Inactive 9/1/1994 12/1/2009

MACYS INC 122854 349 Active 4/1/1999

MANDALAY RESORT GROUP 19 Inactive 11/15/1980 6/30/2006

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 7

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

MANPOWER HOLDING COMPANY 109 Inactive 1/1/1991 3/1/2013

MARNELL CORRAO ASSOCIATES INC 219 Inactive 8/1/1994 2/1/2001

MARNELL GAMING LLC 135181 Active 4/15/2016

MARRIOTT INTERNATIONAL, INC. 122999 47 Active 2/1/1982

MASCO CORPORATION 309 Inactive 3/27/1997 6/30/2016

MAX GAMING LLC 339 Inactive 5/1/1998 6/5/2000

MAX RIGGS CONSTRUCTION COMPANY INC 275 Inactive 5/1/1996 11/2/1999

MAY DEPARTMENT STORES COMPANY 238 Inactive 5/1/1995 8/30/2005

MCCLASKEY HOLDINGS LLC 170 Inactive 4/1/1993 10/1/2006

MCDONALD'S CORPORATION 123131 194 Active 12/1/1993

MCKESSON CORPORATION 123082 15 Active 10/1/1980

MESQUITE GAMING LLC 122978 398 Active 8/1/2011

MEXICO PLASTIC COMPANY 364 Inactive 9/1/2001 2/1/2003

MGM DESERT INN INC 118 Inactive 2/1/1988 3/1/1992

MGM GRAND INC (SANDS) 88 Inactive 2/1/1988 4/28/1989

MGM MIRAGE FOR NEW YORK-NEW YORK HOTEL 298 Inactive 12/1/1996 5/1/2004

MGM MIRAGE FOR THE MGM GRAND HOTEL INC 195 Inactive 12/1/1993 1/1/2004

MGM MIRAGE FOR THE PRIMADONNA COMPANY LL 144 Inactive 8/1/1992 8/1/2007

MGM RESORTS INTERNATIONAL 122995 43 Active 10/26/1981

MICHELIN NORTH AMERICA INC 310 Inactive 4/1/1997 8/1/2000

MIKOHN GAMING CORPORATION 228 Inactive 12/1/1994 7/15/2003

MISSION OF NEVADA INC 301 Inactive 1/1/1997 9/30/2011

MONARCH CASINO & RESORT INC 123160 200 Active 1/1/1994

MONTGOMERY WARD LLC 57 Inactive 10/15/1982 6/23/2000

MORRISON KNUDSEN CORP 248 Inactive 10/1/1995 7/1/1999

MOTOR CARGO 267 Inactive 3/1/1996 3/1/2002

MYR GROUP 273 Inactive 5/1/1996 9/30/1999

NEIMAN MARCUS GROUP INC 251 Inactive 11/1/1995 8/1/1999

NEVADA BELL 23 Inactive 1/1/1981 7/1/1999

NEVADA READY MIX CORPORATION 123170 210 Active 3/1/1994

NEVADA SYSTEM OF HIGHER EDUCATION 123045 379 Active 1/1/2004

NEW ALBERTSON'S INC 6 Inactive 7/4/1980 3/21/2013

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 8

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

NEW-COM INC AND ITS LISTED SUBSIDIARIES 123039 373 Active 7/29/2003

NEWMONT MINING CORPORATION (ACTIVE) 122968 388 Active 4/29/2008

NEWMONT MINING CORPORATION 139 Inactive 7/1/1992 4/29/2003

NORTHERN PIPELINE CONSTRUCTION COMPANY 313 Inactive 5/1/1997 4/1/2002

NV ENERGY INC 123064 133 Active 7/1/1992

NV YELLOW NV CHECKER & NV STAR CAB CO 122873 232 Active 1/1/1995

NYE COUNTY SCHOOL DISTRICT 122969 389 Active 7/1/2008

OCEAN SPRAY CRANBERRIES INC 123688 221 Active 9/1/1994

OFFICEMAX INCORPORATED 319 Inactive 8/1/1997 1/1/2014

OFFICEMAX INCORPORATED 320 Inactive 8/1/1997 4/20/2000

OGDEN CORPORATION 304 Inactive 2/1/1997 8/31/1999

OLSTEN CORPORATION 227 Inactive 12/1/1994 3/15/2000

PACCAR INC 122871 230 Active 1/1/1995

PARKER HANNIFIN CORP 355 Inactive 8/1/1999 4/1/2009

PAY 'N SAVE CORPORATION 18 Inactive 11/1/1980 5/21/1986

PAYLESS CASHWAYS INC 69 Inactive 7/1/1984 12/10/2001

PEGASUS GOLD CORPORATION 215 Inactive 6/1/1994 7/1/1999

PEP BOYS: MANNY MOE & JACK OF CALIFORNIA 264 Inactive 3/1/1996 3/1/2009

PEPPERMILL CASINOS INC 122953 90 Active 7/1/1988

PEPSI BOTTLING GROUP INC (THE) 321 Inactive 9/1/1997 1/1/2007

PERINI CORPORATION (PARENT) 108 Inactive 10/1/1990 10/1/2005

PETE KING CORP 268 Inactive 3/1/1996 3/1/2002

PETE KING NEVADA CORPORATION 366 Inactive 1/1/2002 12/1/2010

PETE WHITE CONCRETE INC 281 Inactive 7/1/1996 11/22/2002

PIE NATIONWIDE INC 72 Inactive 2/1/1985 12/1/1986

PILOT TRAVEL CENTERS LLC 122981 401 Active 3/1/2012

PINKERTONS INC 220 Inactive 8/1/1994 8/1/2000

PINNACLE ENTERTAINMENT INC 318 Inactive 6/30/1997 7/4/2003

PITTWAY CORPORATION 343 Inactive 7/1/1998 4/1/2000

PLACER DOME INC 303 Inactive 1/1/1997 4/1/2006

PLANET HOLLYWOOD INTERNATIONAL INC 344 Inactive 9/1/1998 7/1/2002

PLAYERS INTERNATIONAL INC 243 Inactive 7/1/1995 9/1/1997

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 9

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

POLY-AMERICA FOR POLY-WEST INC 122971 391 Active 2/1/2009

PRATTE BUILDING SYSTEMS LLC 253 Inactive 11/1/1995 1/1/2006

PRECISION CONCRETE 256 Inactive 1/1/1996 6/13/2009

PRIMEX PLASTICS CORPORATION 181 Inactive 7/1/1993 7/1/1999

PURCELL TIRE & RUBBER COMPANY 123219 333 Active 1/1/1998

QUALITY MECHANICAL CONTRACTORS, LLC 179 Inactive 7/1/1993 3/31/2013

QUEBECOR PRINTING (USA) HOLDINGS 342 Inactive 7/1/1998 7/1/2000

QUEENSTAKE RESOURCES LTD 372 Inactive 7/1/2003 8/12/2008

QUORUM HEALTH GROUP 203 Inactive 1/1/1994 2/1/1998

RAINFOREST CAFE INC 348 Inactive 4/1/1999 1/4/2001

RALCORP HOLDINGS INC 212 Inactive 4/1/1994 10/1/2004

RALEY'S INC 123242 80 Active 7/1/1986

RALSTON PURINA COMPANY 13 Inactive 9/30/1980 10/1/1995

RBT HELMS CONSTRUCTION & DEVEL CO 84 Inactive 2/15/1987 2/11/1991

RENO-SPARKS CONVENTION & VISITORS AUTHORITY 123141 105 Inactive 7/1/1990 7/1/2018

RENOWN HEALTH 123237 76 Active 8/1/1985

REPUBLIC SERVICES INC 97 Inactive 7/1/1989 6/29/2001

RIO HOTEL & CASINO INC AND IT'S NV SUB 130 Inactive 6/1/1992 4/21/2008

RIVERBOAT HOTEL & CASINO (THE) CARNIVAL 204 Inactive 1/1/1994 11/30/1998

RIVERSIDE RESORT HOTEL CASINO 123238 77 Active 9/28/1985

RIVIERA OPERATING CORPORATION 218 Inactive 7/1/1994 5/16/2015

ROBROY INDUSTRIES INC 226 Inactive 11/1/1994 7/1/1999

ROCKY MOUNTAIN FABRICATION INC 260 Inactive 2/1/1996 10/28/2003

ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVIC 345 Inactive 9/1/1998 1/1/2006

RR DONNELLEY & SONS CO 85 Inactive 3/1/1987 5/1/2001

RYKOFF-SEXTON INC 266 Inactive 3/1/1996 4/1/1998

SAFEWAY INC 311 Inactive 4/8/1997 1/30/2015

SAFEWAY STORES, INCORPORATED 5 Inactive 7/1/1980 3/6/1987

SAINT MARY'S HEALTH CARE CORPORATION 17 Inactive 10/24/1980 1/1/2007

SAND REGENT THE (PARENT) 83 Inactive 10/5/1986 1/1/2008

SANTA FE PACIFIC GOLD CORPORATION 209 Inactive 3/1/1994 5/5/1997

SAXTON INCORPORATED 340 Inactive 6/1/1998 9/25/2000

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 10

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

SCHNEIDER NATIONAL INC 123217 331 Active 1/1/1998

SCOLARI'S WAREHOUSE MARKETS INC 91 Inactive 7/1/1988 4/16/2012

SEARS HOLDINGS CORPORATION 30 Inactive 5/1/1981 4/1/2007

SEARS ROEBUCK AND CO 16 Inactive 10/15/1980 10/1/1999

SEASHORE HOLDINGS INC 359 Inactive 8/1/2000 8/1/2006

SEQUA CORPORATION 202 Inactive 1/1/1994 9/14/2009

SERVICEMASTER COMPANY THE 302 Inactive 1/1/1997 7/1/1999

SHELTIE OPCO LLC 124440 Inactive 12/16/2013 5/6/2016

SHERWIN-WILLIAMS COMPANY 123154 117 Active 7/1/1991

SHOWBOAT OPERATING COMPANY 10 Inactive 8/2/1980 3/30/2000

SIERRA DEVELOPMENT COMPANY 62 Inactive 10/3/1983 12/31/2012

SIERRA HEALTH SERVICES INC 153 Inactive 1/1/1993 1/1/2009

SIGMA-ALDRICH CORPORATION 186 Inactive 9/1/1993 5/1/2000

SILVER LEGACY RESORT CASINO 122886 244 Inactive 7/1/1995 12/1/2015

SILVERTON CASINO LLC & MAJESTIC NEVADA PROPERTY HO 123201 317 Active 7/1/1997

SIZZLER INTERNATIONAL INC 172 Inactive 4/1/1993 7/1/1999

SKYLINE RESTAURANT & CASINO 217 Inactive 7/1/1994 7/1/2003

SMITH-CHRISTENSEN ENTERPRISES INC 314 Inactive 6/1/1997 4/1/2012

SOUTHERN CALIFORNIA EDISON 39 Inactive 8/1/1981 5/1/1983

SOUTHERN NEVADA HARLEY DAVIDSON SALES INC & RED RO 123041 375 Active 8/1/1996

SOUTHERN NEVADA HEALTH DISTRICT 376 Inactive 7/1/2005 8/1/2015

SOUTHERN NEVADA TBA SUPPLY CO 263 Inactive 3/1/1996 7/15/2016

SOUTHWEST AIRLINES CO 123167 208 Active 3/1/1994

SOUTHWEST GAS CORPORATION 122955 92 Active 7/1/1988

SPARKS NUGGET INC 42 Inactive 10/1/1981 12/16/2013

SPRINT CORPORATION (PARENT) 9 Inactive 8/1/1980 7/1/1999

STANLEY WORKS (THE) 305 Inactive 4/1/1997 7/1/2008

STATE LINE HOTEL INC 290 Inactive 10/1/1996 8/1/2004

STATION CASINOS INC & ITS AFFL GV RANCH GAMING LLC 87 Inactive 11/2/1987 6/14/2011

STATION CASINOS LLC 122976 396 Active 6/14/2011

STEEL ENGINEERS INC 185 Inactive 9/1/1993 11/1/2007

STOCKMAN'S BAR RESTAURANT & CASINO 292 Inactive 11/1/1996 1/31/2007

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 11

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

SUPER SHOPS INC & ITS NEVADA SUBSIDIARY 166 Inactive 3/1/1993 4/23/1998

T&R CONSTRUCTION GROUP 327 Inactive 12/1/1997 12/9/2011

T&R CONSTRUCTION GROUP 135224 Active 4/15/2016

TARGET CORPORATION (MERVYNS) 126 Inactive 2/1/1992 8/28/2004

TARGET CORPORATION (TARGET STORES) 123055 125 Active 2/1/1992

TEGNA INC 288 Inactive 10/1/1996 6/29/2015

THI OF BALTIMORE INC & THI OF NEVADA II 377 Inactive 9/1/2003 1/1/2007

THRIFTY CORPORATION 8 Inactive 7/21/1980 7/1/1992

TITANIUM METALS CORPORATION OF AMERICA 124 Inactive 1/1/1992 12/21/2012

TJX COMPANIES INC (THE) 180 Inactive 7/1/1993 7/1/1999

TRANSDEV NORTH AMERICA INC 351 Inactive 4/1/1999 1/1/2006

TRANS-STERLING INC 35 Inactive 7/1/1981 3/1/1985

TREASURE ISLAND LLC 122972 392 Active 8/1/2009

TRONOX LLC 178 Inactive 7/1/1993 1/1/2005

TROPICANA LAS VEGAS HOTEL & CASINO DBA T 395 Inactive 12/2/2010 8/25/2015

TRUE BLUE INC 123180 299 Active 12/1/1996

TYCO INTERNATIONAL LTD 262 Inactive 2/1/1996 7/1/1999

UNBELIEVABLE INC 164 Inactive 3/1/1993 2/1/1998

UNILEVER UNITED STATES INC 184 Inactive 9/1/1993 5/1/2003

UNION PACIFIC CORPORATION 110 Inactive 1/1/1991 1/1/2000

UNION PLAZA HOTEL & CASINO INC 41 Inactive 8/10/1981 3/25/2004

UNITED AIR LINES INC 123234 73 Inactive 3/1/1985 8/1/2018

UNITED FACTORY FURNITURE CORP. 291 Inactive 10/1/1996 11/1/2001

UNITED PARCEL SERVICE INC (OHIO) 140 Inactive 7/1/1992 1/1/2002

UNITEDHEALTH GROUP INC 390 Inactive 1/1/2009 7/1/2009

UNITOG RENTAL SERVICES INC 271 Inactive 5/1/1996 3/25/1999

UNIVERSAL HEALTH SERVICES INC 160 Inactive 1/1/1993 9/29/2000

UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA 82 Inactive 8/1/1986 7/1/1990

US FOODS INC 123102 168 Active 4/1/1993

US HOME CORPORATION 295 Inactive 11/1/1996 11/1/1999

USG CORPORATION 81 Inactive 7/1/1986 7/1/2001

VEGAS GENERAL CONSTRUCTION CO 229 Inactive 12/1/1994 7/1/2005

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 12

NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018

SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #

(Company ID)WC Status Certified Decertified

VENCOR INC 239 Inactive 6/1/1995 11/1/1999

VIAD CORP 123153 116 Active 7/1/1991

VICTORIA PARTNERS 280 Inactive 7/1/1996 6/30/2006

VIKING METALLURGICAL CORP 214 Inactive 6/1/1994 5/30/2002

VONS COMPANIES INC THE 111 Inactive 1/1/1991 4/8/1997

VONS GROCERY COMPANY 59 Inactive 11/15/1982 7/1/1986

WACKENHUT CORPORATION 236 Inactive 4/1/1995 7/1/1999

WASHOE COUNTY 123024 36 Active 7/1/1981

WASHOE COUNTY SCHOOL DISTRICT 123035 37 Active 7/1/1986

WASTE MANAGEMENT INC 93 Inactive 11/2/1988 7/1/2002

WELLS FARGO AND COMPANY 46 Inactive 2/1/1982 7/1/1999

WENDOVER CASINOS INC 123036 370 Active 12/19/2002

WEST EDNA ASSOCIATES LTD 294 Inactive 11/1/1996 3/31/2000

WESTERN CAB COMPANY INC 123030 365 Active 9/1/2001

WESTERN PIPELINE CONSTRUCTION CORPORATION 352 Inactive 4/1/1999 4/1/2002

WESTERN STATES CONTRACTING INC 122888 246 Active 9/1/1995

WESTERN VILLAGE ASSOCIATES 177 Inactive 7/1/1993 3/1/1994

WEYERHAUSER COMPANY 94 Inactive 1/1/1989 11/1/2015

WILLIAMS COMPANIES (THE) 188 Inactive 9/1/1993 9/30/2002

WILLIS ROOF CONSULTING INC 222 Inactive 9/1/1994 10/1/2000

WIMAR OPCO LLC/COLUMBIA SUSSEX 33 Inactive 7/1/1981 1/3/2007

WINCO FOODS INC 378 Inactive 1/1/2004 5/1/2006

WORTHINGTON INDUSTRIES INC 334 Inactive 1/1/1998 12/1/1999

WSR, INC. 312 Inactive 5/1/1997 8/1/2001

WYNN RESORTS LIMITED 190 Inactive 11/1/1993 9/1/2004

YOUNG ELECTRIC SIGN COMPANY (YESCO) 123231 70 Active 7/1/1984

YOUR BEST MANAGEMENT GROUP LLC 307 Inactive 3/1/1997 3/1/2012

YRC INC 123240 79 Active 5/1/1986

YRC WORLDWIDE INC FOR NV SUBSIDIARY YELL 300 Inactive 1/1/1997 10/1/2008

ACTIVE SELF-INSURED EMPLOYERS IN GREEN 13