Coverage Details

  Department of Workers' Claims Homepage

  Insurance Coverage Lookup & Notifications

  CPAS - Insurance Carrier to receive Notifications/Citations by E-mail

  Litigation Management System (LMS)

  PEO Registration System

Selected

Policy Details

Policy #

WC53700001020SZ

Effective Date

10/1/2020

Cancel Date

DC Date

Carrier Name

UNITED WISCONSIN INS CO

Carrier #

0556

Insured Details

Insured ID

790543402

Name

GROUP MANAGEMENT SERVICES INC

Street Address

PO BOX 21933
EAGAN, MN 55121

Locations
POC History

Location ID	Name	Industry	Address
L790965433	GROUP MANAGEMENT SERVICES INC	561330 - Professional Employer Organizations	745 BEAR CT STE A INDEPENDENCE , KY 41051
L791309680	INDIANA LION EYE BANK INC	541380 - Testing Laboratories and Services	1803 CHERRY GLEN DR LA GRANGE , KY 40031
L791470506	ELECTRONIC IMAGING LLC DBA	323111 - Commercial Printing (except Screen and Books)	223 S DORSEY LN LOUISVILLE , KY 40223
L791281687	GEE PLUS 3 INC	492110 - Couriers and Express Delivery Services	2024 BUCK LN LEXINGTON , KY 40511
L790782727	PK GROUP KENTUCKY LLC	611110 - Elementary and Secondary Schools	102 VIEUX CARRE DR LOUISVILLE , KY 40223
L790758397	PAIN MANAGEMENT GROUP	561499 - All Other Business Support Services	9103 CROWNE SPRINGS CIR UNIT 1 02 LOUISVILLE , KY 40241
L791364928	BRIGHTER SOLUTIONS LLC	238210 - Electrical Contractors and Other Wiring Installation Contractors	131 W REYNOLDS RD LEXINGTON , KY 40503
L791338743	SMOCKED FLAMINGO LLC	424330 - Women’s, Children’s, and Infants’ Clothing and Accessories Whsle	1120 SCENIC GDN LAWRENCEBURG , KY 40342
L791246281	CINCINNATI STAIR & HANDRAIL	238130 - Framing Contractors	2527 DIXIE HWY FORT MITCHELL , KY 41017
L790989401	CONWAY COMMUNICATIONS INC	561330 - Professional Employer Organizations	9219 US HIGHWAY 42 STE F PROSPECT , KY 40059

Process Date	Triplicate Code	Description	Policy #	Effective Date	Audit #	Line #
10/1/2025	05-32-85	Change Location Demographics (New Data)	WC04100001025	10/1/2025	20251223-N0	695
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260115-N0	648
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20251006-N0	2095
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260101-N0	657
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20251104-N0	569
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260402-N0	488
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260101-N0	655
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260112-N0	875
10/1/2025	00-33-56	Delete Employer Location	WC04100001025	10/1/2025	20260105-N0	511
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260402-N0	490
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20251006-N0	2097
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260305-N0	432
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260202-N0	1155
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20251106-N0	1710
10/1/2025	00-31-54	Add New Employer	WC53700001025SZ	10/1/2025	20251218-N0	898
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260305-N0	430
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260112-N0	878
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260302-N0	673
10/1/2025	00-31-54	Add New Employer	WC04100001025	10/1/2025	20260312-N0	506
10/1/2025	00-20-01	Renewal	WC53700001025SZ	10/1/2025	20250925-N0	1478
10/1/2025	00-20-01	Renewal	WC04100001025	10/1/2025	20250925-N0	1525
10/1/2025	00-32-84	Change Insured Demographics	WC04100001025	10/1/2025	20260326-N0	415
10/1/2025	00-32-84	Change Insured Demographics	WC04100001025	10/1/2025	20260330-N0	842
10/1/2025	04-32-85	Change Location Demographics (Old Data)	WC04100001025	10/1/2025	20251223-N0	693
10/1/2024	05-32-85	Change Location Demographics (New Data)	WC04100001024	10/1/2024	20250825-N0	340
10/1/2024	05-32-85	Change Location Demographics (New Data)	WC04100001024	10/1/2024	20241001-N0	659
10/1/2024	05-32-85	Change Location Demographics (New Data)	WC04100001024	10/1/2024	20250306-N0	545
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250528-N0	226
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250623-N0	461
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20251006-N0	658
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20260129-N0	108
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20241024-N0	799
10/1/2024	00-33-56	Delete Employer Location	WC53700001024SZ	10/1/2024	20250710-N0	495
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250708-N0	157
10/1/2024	00-33-56	Delete Employer Location	WC53700001024SZ	10/1/2024	20251024-N0	277
10/1/2024	00-33-56	Delete Employer Location	WC53700001024SZ	10/1/2024	20250923-N0	267
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20241209-N0	927
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20241024-N0	801
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250821-N0	376
10/1/2024	00-33-56	Delete Employer Location	WC53700001024SZ	10/1/2024	20250904-N0	367
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20241118-N0	891
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250918-N0	284
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20250210-N0	821
10/1/2024	00-33-56	Delete Employer Location	WC04100001024	10/1/2024	20241017-N0	937
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20250821-N0	373
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241001-N0	661
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250317-N0	727
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250908-N0	361
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20250804-N0	412
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250220-N0	711
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250609-N0	540
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250306-N0	547
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20241209-N0	925
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241209-N0	929
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20251024-N0	279
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250120-N0	1160
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20250331-N0	935
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250522-N0	313
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20250623-N0	459
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241024-N0	803
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20241205-N0	531
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20260129-N0	111
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250310-N0	842
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241223-N0	924
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250826-N0	263
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20251006-N0	660
10/1/2024	00-31-54	Add New Employer	WC53700001024SZ	10/1/2024	20250408-N0	347
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241017-N0	940
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250417-N0	433
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241028-N0	1231
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241007-N0	1200
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250812-N0	160
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250714-N0	396
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20241202-N0	236
10/1/2024	00-31-54	Add New Employer	WC04100001024	10/1/2024	20250331-N0	937
10/1/2024	00-20-01	Renewal	WC53700001024SZ	10/1/2024	20240930-N0	1471
10/1/2024	04-32-77	Change Location FEIN (Old Data)	WC53700001024SZ	10/1/2024	20250114-N0	696
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20250818-N0	320
10/1/2024	00-32-84	Change Insured Demographics	WC04100001024	10/1/2024	20250812-N0	159
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20250714-N0	395
10/1/2024	00-32-84	Change Insured Demographics	WC04100001024	10/1/2024	20250710-N0	497
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20241205-N0	530
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20250408-N0	346
10/1/2024	00-32-84	Change Insured Demographics	WC04100001024	10/1/2024	20250310-N0	841
10/1/2024	00-32-84	Change Insured Demographics	WC04100001024	10/1/2024	20250818-N0	321
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20250812-N0	158
10/1/2024	00-32-84	Change Insured Demographics	WC04100001024	10/1/2024	20250401-N0	538
10/1/2024	00-32-84	Change Insured Demographics	WC53700001024SZ	10/1/2024	20250821-N0	372
10/1/2024	04-32-85	Change Location Demographics (Old Data)	WC04100001024	10/1/2024	20250825-N0	338
10/1/2024	04-32-85	Change Location Demographics (Old Data)	WC04100001024	10/1/2024	20241001-N0	657
10/1/2024	04-32-85	Change Location Demographics (Old Data)	WC04100001024	10/1/2024	20250306-N0	543
10/1/2024	00-20-01	Renewal	WC04100001024	10/1/2024	20240930-N0	1483
10/1/2024	05-32-77	Change Location FEIN (New Data)	WC53700001024SZ	10/1/2024	20250114-N0	698
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC53700001023SZ	10/1/2023	20240520-N0	751
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC04100001023	10/1/2023	20231221-N0	772
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC04100001023	10/1/2023	20241001-N0	199
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC04100001023	10/1/2023	20240318-N0	797
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC04100001023	10/1/2023	20240627-N0	411
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240220-N0	391
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20231113-N0	825
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20231018-N0	1096
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240711-N0	336
10/1/2023	00-33-56	Delete Employer Location	WC53700001023SZ	10/1/2023	20240115-N0	1464
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240909-N0	321
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240711-N0	332
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20241017-N0	167
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20231213-N0	632
10/1/2023	00-33-56	Delete Employer Location	WC53700001023SZ	10/1/2023	20240718-N0	297
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240226-N0	722
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240110-N0	748
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240104-N0	667
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240711-N0	330
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240328-N0	502
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20240902-N0	319
10/1/2023	00-33-56	Delete Employer Location	WC04100001023	10/1/2023	20231120-N0	1064
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240318-N0	799
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240624-N0	332
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231211-N0	728
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20241017-N0	170
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231204-N0	744
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240909-N0	323
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240208-N0	694
10/1/2023	00-31-54	Add New Employer	WC53700001023SZ	10/1/2023	20240819-N0	356
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240715-N0	418
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231218-N0	762
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231206-N0	565
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240805-N0	468
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240229-N0	626
10/1/2023	00-31-54	Add New Employer	WC53700001023SZ	10/1/2023	20240826-N0	586
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240105-N0	710
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240115-N0	1466
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231106-N0	680
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20241007-N0	293
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240215-N0	392
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240318-N0	801
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240430-N0	370
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20241001-N0	201
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20231012-N0	794
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20240422-N0	603
10/1/2023	00-31-54	Add New Employer	WC04100001023	10/1/2023	20250401-N0	63
10/1/2023	00-20-01	Renewal	WC04100001023	10/1/2023	20230922-N0	1094
10/1/2023	00-20-01	Renewal	WC53700001023SZ	10/1/2023	20230922-N0	1087
10/1/2023	00-32-84	Change Insured Demographics	WC04100001023	10/1/2023	20240129-N0	1004
10/1/2023	00-32-84	Change Insured Demographics	WC53700001023SZ	10/1/2023	20240129-N0	1003
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC04100001023	10/1/2023	20241001-N0	197
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC04100001023	10/1/2023	20231221-N0	770
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC04100001023	10/1/2023	20240429-N0	507
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC04100001023	10/1/2023	20240627-N0	409
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC53700001023SZ	10/1/2023	20240520-N0	749
10/1/2023	05-32-85	Change Location Demographics (New Data)	WC04100001023	10/1/2023	20240429-N0	509
10/1/2023	04-32-85	Change Location Demographics (Old Data)	WC04100001023	10/1/2023	20240318-N0	795
10/1/2022	05-32-85	Change Location Demographics (New Data)	WC04100001022	10/1/2022	20230529-N0	685
10/1/2022	05-32-85	Change Location Demographics (New Data)	WC53700001022SZ	10/1/2022	20240701-N0	40
10/1/2022	05-32-85	Change Location Demographics (New Data)	WC04100001022	10/1/2022	20230710-N0	850
10/1/2022	05-32-85	Change Location Demographics (New Data)	WC04100001022	10/1/2022	20230529-N0	681
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20230804-N0	346
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20231016-N0	195
10/1/2022	00-33-56	Delete Employer Location	WC53700001022SZ	10/1/2022	20230120-N0	669
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20240220-N0	119
10/1/2022	00-33-56	Delete Employer Location	WC53700001022SZ	10/1/2022	20230308-N0	465
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20230217-N0	1278
10/1/2022	00-33-56	Delete Employer Location	WC53700001022SZ	10/1/2022	20230227-N0	601
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20221221-N0	824
10/1/2022	00-33-56	Delete Employer Location	WC53700001022SZ	10/1/2022	20230511-N0	433
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20230821-N0	415
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20230516-N0	365
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20230412-N0	411
10/1/2022	00-33-56	Delete Employer Location	WC04100001022	10/1/2022	20231225-N0	164
10/1/2022	00-33-56	Delete Employer Location	WC53700001022SZ	10/1/2022	20230920-N0	200
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230710-N0	852
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20250616-N0	7
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20250616-N0	9
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230626-N0	338
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230724-N0	456
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230106-N0	571
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230515-N0	1864
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230630-N0	445
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230616-N0	469
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230727-N0	358
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230915-N0	410
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230821-N0	413
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230809-N0	207
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20221221-N0	826
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230517-N0	483
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230503-N0	614
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230412-N0	396
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230619-N0	482
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230109-N0	714
10/1/2022	00-31-54	Add New Employer	WC53700001022SZ	10/1/2022	20230308-N0	467
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20221215-N0	666
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230712-N0	502
10/1/2022	00-20-01	Renewal	WC04100001022	10/1/2022	20221020-N0	1870
10/1/2022	00-20-01	Renewal	WC53700001022SZ	10/1/2022	20221003-N0	2737
10/1/2022	05-32-77	Change Location FEIN (New Data)	WC53700001022SZ	10/1/2022	20230705-N0	95
10/1/2022	04-32-77	Change Location FEIN (Old Data)	WC53700001022SZ	10/1/2022	20230705-N0	93
10/1/2022	00-32-84	Change Insured Demographics	WC04100001022	10/1/2022	20240220-N0	118
10/1/2022	00-32-84	Change Insured Demographics	WC04100001022	10/1/2022	20230823-N0	273
10/1/2022	00-32-84	Change Insured Demographics	WC53700001022SZ	10/1/2022	20230118-N0	476
10/1/2022	00-32-84	Change Insured Demographics	WC53700001022SZ	10/1/2022	20230626-N0	337
10/1/2022	00-32-84	Change Insured Demographics	WC04100001022	10/1/2022	20230915-N0	409
10/1/2022	00-32-84	Change Insured Demographics	WC04100001022	10/1/2022	20250616-N0	2
10/1/2022	04-32-85	Change Location Demographics (Old Data)	WC53700001022SZ	10/1/2022	20240701-N0	38
10/1/2022	04-32-85	Change Location Demographics (Old Data)	WC04100001022	10/1/2022	20230529-N0	683
10/1/2022	04-32-85	Change Location Demographics (Old Data)	WC04100001022	10/1/2022	20230710-N0	848
10/1/2022	04-32-85	Change Location Demographics (Old Data)	WC04100001022	10/1/2022	20230529-N0	679
10/1/2022	00-31-54	Add New Employer	WC04100001022	10/1/2022	20230814-N0	369
10/1/2021	00-33-56	Delete Employer Location	WC04100001021	10/1/2021	20220927-N0	98
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20221003-N0	224
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20220817-N0	178
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20220415-N0	274
10/1/2021	00-33-56	Delete Employer Location	WC04100001021	10/1/2021	20220921-N0	182
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20221003-N0	216
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20221003-N0	222
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20220214-N0	679
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20211111-N0	979
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20220512-N0	253
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20221003-N0	227
10/1/2021	00-33-56	Delete Employer Location	WC04100001021	10/1/2021	20211015-N0	697
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20211115-N0	843
10/1/2021	00-33-56	Delete Employer Location	WC04100001021	10/1/2021	20230119-N0	93
10/1/2021	00-33-56	Delete Employer Location	WC53700001021SZ	10/1/2021	20211215-N0	681
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20211111-N0	982
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220217-N0	643
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20220330-N0	429
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220921-N0	184
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220225-N0	379
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20211118-N0	712
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20220822-N0	229
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220815-N0	221
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220422-N0	285
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220627-N0	495
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220415-N0	277
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20211112-N0	708
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220414-N0	339
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220209-N0	656
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20220310-N0	373
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20220912-N0	177
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20211015-N0	715
10/1/2021	00-31-54	Add New Employer	WC04100001021	10/1/2021	20230119-N0	95
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220131-N0	753
10/1/2021	00-31-54	Add New Employer	WC53700001021SZ	10/1/2021	20220818-N0	162
10/1/2021	00-20-01	Renewal	WC53700001021SZ	10/1/2021	20210929-N0	1614
10/1/2021	00-10-01	New Policy	WC04100001021	10/1/2021	20210927-N0	1701
10/1/2021	00-32-84	Change Insured Demographics	WC04100001021	10/1/2021	20220923-N0	176
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20220923-N0	181
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20221003-N0	215
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20220815-N0	220
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20220414-N0	338
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20211015-N0	714
10/1/2021	00-32-84	Change Insured Demographics	WC53700001021SZ	10/1/2021	20211014-N0	1222
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210830-N0	239
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20211004-N0	184
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210830-N0	241
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210813-N0	203
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210624-N0	282
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210607-N0	378
10/1/2020	00-33-56	Delete Employer Location	WC53700001020SZ	10/1/2020	20210624-N0	284
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210625-N0	208
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210805-N0	217
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210702-N0	314
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210901-N0	159
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210118-N0	793
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210630-N0	208
10/1/2020	00-31-54	Add New Employer	WC53700001020SZ	10/1/2020	20210623-N0	205
10/1/2020	00-20-01	Renewal	WC53700001020SZ	10/1/2020	20200925-N0	778
10/1/2020	00-32-84	Change Insured Demographics	WC53700001020SZ	10/1/2020	20210830-N0	238
10/1/2020	00-32-84	Change Insured Demographics	WC53700001020SZ	10/1/2020	20210805-N0	216
10/1/2020	00-32-84	Change Insured Demographics	WC53700001020SZ	10/1/2020	20211004-N0	195
10/1/2020	00-32-84	Change Insured Demographics	WC53700001020SZ	10/1/2020	20210624-N0	281
10/1/2020	00-32-84	Change Insured Demographics	WC53700001020SZ	10/1/2020	20210901-N0	158
10/1/2019	05-32-85	Change Location Demographics (New Data)	WC53700001019SZ	10/1/2019	20190925-N0	994
10/1/2019	05-32-85	Change Location Demographics (New Data)	WC53700001019SZ	10/1/2019	20190925-N0	990
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20190925-N0	996
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200720-N0	291
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20210607-N0	32
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200716-N0	262
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200722-N0	174
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200717-N0	151
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200720-N0	288
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20200625-N0	128
10/1/2019	00-31-54	Add New Employer	WC53700001019SZ	10/1/2019	20200417-N0	186
10/1/2019	00-31-54	Add New Employer	WC53700001019SZ	10/1/2019	20191028-N0	822
10/1/2019	00-31-54	Add New Employer	WC53700001019SZ	10/1/2019	20190925-N0	999
10/1/2019	00-31-54	Add New Employer	WC53700001019SZ	10/1/2019	20191106-N0	682
10/1/2019	00-20-01	Renewal	WC53700001019SZ	10/1/2019	20190913-N0	963
10/1/2019	00-32-84	Change Insured Demographics	WC53700001019SZ	10/1/2019	20191028-N0	821
10/1/2019	00-32-84	Change Insured Demographics	WC53700001019SZ	10/1/2019	20200430-N0	342
10/1/2019	00-32-84	Change Insured Demographics	WC53700001019SZ	10/1/2019	20220425-N0	2
10/1/2019	04-32-85	Change Location Demographics (Old Data)	WC53700001019SZ	10/1/2019	20190925-N0	992
10/1/2019	04-32-85	Change Location Demographics (Old Data)	WC53700001019SZ	10/1/2019	20190925-N0	988
10/1/2019	00-33-56	Delete Employer Location	WC53700001019SZ	10/1/2019	20210827-N0	81
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20190218-N0	466
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20190411-N0	342
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20210827-N0	11
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20210827-N0	17
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20210827-N0	15
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20190222-N0	329
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20181107-N0	591
10/1/2018	00-33-56	Delete Employer Location	WC53700001018SZ	10/1/2018	20210827-N0	13
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190722-N0	193
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20181107-N0	593
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190729-N0	259
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20181022-N0	986
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190617-N0	243
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20210827-N0	19
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190819-N0	177
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20210827-N0	24
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190321-N0	409
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20210827-N0	21
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190124-N0	558
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20181221-N0	378
10/1/2018	00-31-54	Add New Employer	WC53700001018SZ	10/1/2018	20190617-N0	241
10/1/2018	00-10-01	New Policy	WC53700001018SZ	10/1/2018	20181008-N0	1278
10/1/2018	05-32-77	Change Location FEIN (New Data)	WC53700001018SZ	10/1/2018	20190524-N0	247
10/1/2018	00-32-84	Change Insured Demographics	WC53700001018SZ	10/1/2018	20210827-N0	2
10/1/2018	00-32-84	Change Insured Demographics	WC53700001018SZ	10/1/2018	20190701-N0	298
10/1/2018	00-32-84	Change Insured Demographics	WC53700001018SZ	10/1/2018	20181022-N0	985
10/1/2018	04-32-77	Change Location FEIN (Old Data)	WC53700001018SZ	10/1/2018	20190524-N0	245
10/1/2017	00-33-56	Delete Employer Location	WCPEOBN109601	10/1/2017	20171218-N0	653
10/1/2017	00-33-56	Delete Employer Location	WCPEOBN109601	10/1/2017	20180829-N0	199
10/1/2017	00-33-56	Delete Employer Location	WCPEOBN109601	10/1/2017	20180108-N0	634
10/1/2017	00-33-56	Delete Employer Location	WCPEOBN109601	10/1/2017	20181114-N0	132
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180516-N0	207
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180307-N0	445
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180813-N0	199
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180222-N0	422
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180801-N0	215
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180307-N0	443
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180820-N0	258
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180319-N0	574
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20171122-N0	1495
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20171218-N0	655
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20180702-N0	267
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20171218-N0	657
10/1/2017	00-31-54	Add New Employer	WCPEOBN109601	10/1/2017	20181003-N0	140
10/1/2017	00-10-01	New Policy	WCPEOBN109601	10/1/2017	20171106-N0	1202
10/1/2017	00-32-84	Change Insured Demographics	WCPEOBN109601	10/1/2017	20180620-N0	244
10/1/2017	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WCPEOBN109601	10/1/2017	20181010-N0	124
1/1/2017	00-31-54	Add New Employer	WCP500104101GIC	1/1/2017	20170627-N0	464
1/1/2017	00-10-01	New Policy	WCP500102801GIC	1/1/2017	20170110-N0	1353
1/1/2017	05-32-79	Change Policy Number (New Data)	WCP500104101GIC	1/1/2017	20170118-N0	1956
1/1/2017	00-42-01	Cancellation by Insured / Reason Unknown	WCP500104101GIC	1/1/2017	20171006-N0	178
1/1/2017	04-32-79	Change Policy Number (Old Data)	WCP500102801GIC	1/1/2017	20170118-N0	1955
9/1/2016	00-10-01	New Policy	WCP500098701GIC	9/1/2016	20161006-N0	1062
1/26/2016	00-20-01	Renewal	402684	1/26/2016	20160126-U0	313
1/26/2016	00-41-64	Cancellation by Carrier / Underwriting Reason	402684	1/26/2016	20160531-U0	766
1/1/2016	00-33-56	Delete Employer Location	WCP500003604GIC	1/1/2016	20160107-N0	503
1/1/2016	00-31-54	Add New Employer	WCP500003604GIC	1/1/2016	20160226-N0	601
1/1/2016	00-31-54	Add New Employer	WCP500003604GIC	1/1/2016	20160811-N0	194
1/1/2016	00-31-54	Add New Employer	WCP500003604GIC	1/1/2016	20160225-N0	285
1/1/2016	00-31-54	Add New Employer	WCP500003604GIC	1/1/2016	20160108-N0	780
1/1/2016	00-20-01	Renewal	WCP500003604GIC	1/1/2016	20151231-N0	1355
1/1/2016	00-42-61	Cancellation by Insured / Duplicate Coverage	WCP500003604GIC	1/1/2016	20161007-N0	122
1/26/2015	00-32-84	Change Insured Demographics	402684	1/26/2015	20151117-U0	245
1/26/2015	00-32-84	Change Insured Demographics	402684	1/26/2015	20151029-U0	294
1/26/2015	00-10-01	New Policy	402684	1/26/2015	20150127-U0	469
1/1/2015	05-32-85	Change Location Demographics (New Data)	WCP500003603GIC	1/1/2015	20150330-N0	553
1/1/2015	00-33-56	Delete Employer Location	WCP500003603GIC	1/1/2015	20150330-N0	555
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150415-N0	353
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150225-N0	422
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150317-N0	603
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150615-N0	430
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150629-N0	304
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150608-N0	296
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20151211-N0	176
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150225-N0	424
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150331-N0	403
1/1/2015	00-31-54	Add New Employer	WCP500003603GIC	1/1/2015	20150506-N0	391
1/1/2015	00-20-01	Renewal	WCP500003603GIC	1/1/2015	20150119-N0	1244
1/1/2015	00-32-84	Change Insured Demographics	WCP500003603GIC	1/1/2015	20150415-N0	352
1/1/2015	00-32-84	Change Insured Demographics	WCP500003603GIC	1/1/2015	20150317-N0	602
1/1/2015	04-32-85	Change Location Demographics (Old Data)	WCP500003603GIC	1/1/2015	20150330-N0	551
1/1/2015	00-60-01	Non-Renewal by Insured / Reason Unknown	WCP500003603GIC	1/1/2015	20150921-N0	175
1/1/2015	00-70-01	Reinstatement	WCP500003603GIC	1/1/2015	20151231-N0	162
1/1/2014	00-31-54	Add New Employer	WCP500003602GIC	1/1/2014	20141117-N0	285
1/1/2014	00-32-84	Change Insured Demographics	WCP500003602GIC	1/1/2014	20141117-N0	284
1/1/2014	00-31-72	Add Jurisdiction	WCP500003602GIC	1/1/2014	20141029-N0	294
11/24/2010	00-10-80	New Policy	WSLTHPE00028601	11/24/2010	20110721-N0	664
	00-32-84	Change Insured Demographics	318574	7/24/2003	20040629-K0
	00-41-64	Cancellation by Carrier / Underwriting Reason	318574	7/24/2003	20040726-K0
	00-32-84	Change Insured Demographics	318574	7/24/2003	20040629-K0

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