Allstate Insurance Company v. Medaid Radiology, LLC

USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DOC # wane ee ee nee nee ennenneee XP DATE FILED: 3/6/2020 ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Civil Action No.: ALLSTATE INDEMNITY COMPANY, 20-cv-01108-VEC ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND NOTICE OF MOTION TO CASUALTY INSURANCE COMPANY, and REMAND ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. penne nee ee □□□ K NOTICE OF MOTION TO REMAND TO STATE COURT PLEASE TAKE NOTICE, that upon the Memorandum of Law in Support of Plaintiffs, ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY’s, Motion to Remand to State Court and the Declaration of Vincent F. Gerbino, Esq., and the exhibits thereto, Plaintiffs, ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, through their undersigned counsel, moves this Court for an Order pursuant to 28 U.S.C. §1447 (c) remanding this action to the Supreme Court of the State of New York, County of New York on the ground that Defendants, MEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC and REUVEN ALON-ALYOFF a/k/a ROB ALON, failed to comply with 28 U.S.C. § 1446 and submitted an untimely and defective Notice of Removal, and for an extension of Plaintiffs’ time to respond to Defendants’ counterclaim to thirty (30) days after a decision is rendered on Plaintiffs’ motion to remand to state court. Dated: Melville, New York . March 4, 2020 BRUNO, GERBI \ SORIANO & AITKEN, LLP By: MeV — VINCENT PRQERBINO (VG 0555) Attorneys for Plaintiffs 445 Broad Hollow Road, Suite 420 Melville, New York 11747 (631) 390-0010 (631) 393-5497 - facsimile VGerbinoécbyslaw-ny.com BGS&A File No.: MRAD24-3000 TO: THE RUSSELL FRIEDMAN LAW GROUP LLP Attorneys for Defendants Medaid Radiology, LLC, Columbus Imaging Center, LLC, and Defendants must respond by March 20, eae Alon-Alyoff av/k/ a Rob Alon 2020 indicating why the Court should 3000 Marcus Avenue, Suite 2E03 not remand this case to state court. Lake Success, New York 11042 (516) 355-9696 (516) 726-8428 — facsimile 3/6/202 HON. VALERIE CAPRONI UNITED STATES DISTRICT JUDGE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK veneer eee □□□□□□□□□□□□□□□□□□□□□□□□ XK ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Civil Action No.: ALLSTATE INDEMNITY COMPANY, 20-cv-01108-VEC ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. eee eee KX MEMORANDUM OF LAW IN SUPPORT OF PLAINTIFFS’ MOTION TO REMAND TO STATE COURT BRUNO, GERBINO, SORIANO & AITKEN, LLP Attorneys for Plaintiffs 445 Broad Hollow Road, Suite 420 Melville, New York 11747 TABLE OF CONTENTS TABLE OF □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ INTRODUCTION. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ FACTS □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ARGUMENT. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ |. THIS ACTION MUST BE REMANDED TO STATE COURT PURSUANT TO 28 U.S.C. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ A. STANDARD OF □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ B. DEFENDANTS’ NOTICE OF REMOVAL IS UNTIMELY PURSUANT TO 28 U.S.C. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ CONCLUSION. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ TABLE OF AUTHORITIES FEDERAL CASES Bellido-Sullivan v. AIG, Inc., 123 F. Supp. 2d 161, 163 (S.D.N.Y. 2000)... eee □□□ Berrios v. Our Lady of Mercy Med. Ctr., 99 Civ. 21, 1999 U.S. Dist. LEXIS 1733 at *5 (S.D.N.Y. Feb 19, 1999)............4 Botelho v. The Presbyterian Hospital in the City of New York, 961 F. Supp. 75 (S.D.N.Y. 1997)... 00. ccc cece cece cence eee eset reese eneeeeneeed Burns v. Standard Life Ins. Co., 135 F. Supp. 904, 906 (Dist. Ct. for the Dist. Of Del. 1955).............. ee Evans v. Sroka., 20001 U.S. Dist. LEXIS 15466 (S.D.N.Y. 2001)..... cece cent ene □□□□ Hodges v. Demchuck, 866 F. Supp. 730, 732 (S.D.N-Y. 1994)... cece nett nent eee □□□□ Hua Xao Yang. v. ELRAC, Inc., 03 Civ. 9224, 2004 U.S. Dist. LEXIS 1668 (S.D.N.Y. February 3, 2004)...........5 LaFarge Coppee v. Venexolana De Cemento, $.A.C.A.. C.A., 31 F.3d 70, 72 (2d Cir. 1994)... ccc ccc cece tenet ence cerns eereeetesesent □□□□ Mastec Latin Am. V. Inepar S/A Industries E. Construcoes, 03 Civ. 9892, 2004 U.S. Dist. LEXIS 13132 (S.D.N.Y. July 13, 2004).............5 Mermelstein v. Maki, 830 F. Supp. 180 (S.D.N.Y. 1993)..00 cece cece eens eeeeneenesd Pan Atlantic Group, Inc. v. Republic Ins. Co., 878 F. Supp. 630 (S.D.N.Y. 1995)..................3 Payne v. Overhead Door Corp., 172 F. Supp. 2d 475, 477 (S.D.N.Y. 2001)............c eeeeee 4 R.G. Barry Corp. v. Mushroom Makers, Inc., 612 F.2d 651 , 655 Cir. □□□□□□□□□□□□□□□□□□□□□□ Sbarro, Inc. v. Karykous, 05 Civ. 2311, 2005 WL 154148 at *2 (E.D.N.Y. June 29, 2005)........5 Somlyo v. Lu-Rob Enter., 932 F.2d 1043, 1045 (2d Cir. 1991)... cece cence eee □□□ Transport Indemnity Co. v. Financial Trust Co., 339 F. Supp 405, 407 (dist. Ct. for the Central Dist. of Cal. 1972)..................4 Whitaker v. American Telecasting, Inc., 261 F.3d 196, 201 (2" Cir. □□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□ iil FEDERAL STATUTES 28 U.S.C. S144 7(C). cece cece cece cence ette tsetse □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□ iv INTRODUCTION Pursuant to 28 U.S.C. §1447 (c), Plaintiffs, ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, submit this memorandum of law in support of their motion to remand this action to the Supreme Court of the State of New York, County of New York. Plaintiffs’ motion should be granted because the removal notice filed by Defendants, MEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC and REUVEN ALON-ALYOFF a/k/a ROB ALON, is untimely and defective. Plaintiffs petition the Court for a remand of the action to Supreme Court of the State of New York, County of New York, for an extension of Plaintiffs’ time to respond to Defendants’ counterclaim to thirty (30) days after a decision is rendered on Plaintiffs’ motion to remand to state court, together with such other and further relief as this Court may deem just and proper. FACTS The above-captioned suit was commenced on or about September 11, 2019, by the filing of a Summons and Verified Complaint in the Supreme Court of the State of New York, County of New York, under index number 655225/2019. A true copy of the Summons and Verified Complaint is attached hereto as Exhibit “A”. There are no federal questions arising from Plaintiffs’ claims. The nature of this action is for restitution in the amount of approximately ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) for No-Fault reimbursements that the Defendants have obtained from Plaintiffs by submitting, and causing to be submitted, numerous charges for Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) and X-Ray services (hereinafter the “No-Fault services”) for which the Defendants are not legally entitled to receive and for declaratory relief against the Defendants as follows: i. That Plaintiffs are not obligated to provide any coverage, reimbursements, or pay any monies, sums, or funds to any of the Defendants named herein for any and all No-Fault services for which claims/bills have been submitted by Columbus Imaging Center, LLC and Medaid Radiology, LLC, to Plaintiffs; il. That Columbus Imaging Center, LLC and Medaid Radiology, LLC lack standing to seek or receive No-Fault reimbursements as the services billed are rendered by independent contractors; and ill. That Medaid Radiology, LLC lacks standing to seek or receive NoFault reimbursements as the entity is in violation of N.J.S.A. 26:2H1, et seq., N.J.A.C. 8:43E and 11 NYCRR 65-3.16(a)(12). Defendant, Columbus Imaging Center, LLC (hereinafter “Columbus”), was served with a copy of the Summons and Verified Complaint and Notice of Commencement of Action Subject to Mandatory Electronic Filing on September 27, 2019. Defendant Columbus failed to timely Answer or otherwise appear in the matter prior to removal to Federal Court. A copy of the Affidavit of Service upon Defendant Columbus is attached hereto as Exhibit “B”. Defendant, Medaid Radiology, LLC (hereinafter “Medaid”’), was served with a copy of the Summons and Verified Complaint and Notice of Commencement of Action Subject to Mandatory Electronic Filing on September 27, 2019. Defendant Medaid failed to timely Answer or otherwise appear in the matter prior to removal to Federal Court. A copy of the Affidavit of Service upon Defendant Medaid is attached hereto as Exhibit “C”. Defendant, Reuven Alon-Alyoff a/k/a Rob Alon (hereinafter “Alon’’), was served with a copy of the Summons and Verified Complaint and Notice of Commencement of Action Subject to Mandatory Electronic Filing on September 30, 2019. Defendant Alon failed to timely Answer or otherwise appear in the matter prior to removal to Federal Court. A copy of the Affidavit of Service upon Defendant Alon is attached hereto as Exhibit “D”. On or about February 7, 2020, or one hundred and thirty (130) days (Defendant Alon) and one hundred and thirty-three (133) days (Defendants Columbus and Medaid) following the date of service of the Summons and Complaint, Defendants served their purported Notice of Removal upon the Plaintiffs. A copy of Defendants’ Notice of Removal is annexed hereto as Exhibit □□□□□ ARGUMENT I. THIS ACTION MUST BE REMANDED TO STATE COURT PURSUANT TO 28 U.S.C. §1447 (C) A. STANDARD OF REVIEW It is well-settled that, on motion to remand, the burden does not lie with the party seeking remand. Instead, the party who is in favor of removal bears the burden of demonstrating that the removal was proper. The Courts have held that it is the burden of the removing party “to establish its right to a federal forum by ‘competent proof.’” R.G. Barry Corp. v. Mushroom Makers, Inc.., 612 F.2d 651, 655 (2"¢ Cir. 1979), “As a preliminary matter, on a motion to remand, the party seeking to sustain the removal, not the party seeking remand, bears the burden of demonstrating that removal was proper.” Bellido-Sullivan v. AIG, Inc., 123 F. Supp. 2d 161, 163 (S.D.N.Y. 2000). See also, Pan Atlantic Group, Inc. v. Republic Ins. Co., 878 F. Supp. 630 (S.D.N.Y. 1995); Botelho v. The Presbyterian Hospital in the City of New York, 961 F. Supp. 75 (S.D.N.Y. 1997); Hodges v. Demchuck, 866 F. Supp. 730, 732 (S.D.N.Y. 1994). “Unless that burden is met, the case must be remanded back to state court. At this stage, therefore, the party seeking remand is presumed to be entitled to it unless the removing party can demonstrate otherwise.” BellidoSullivan v. AIG, Inc., 123 F. Supp. 2d 161, 163 (S.D.N.Y. 2000). See also, Mermelstein v. Maki, 830 F. Supp. 180 (S.D.N.Y. 1993). It is well settled that “the removal statute, like other jurisdictional statutes, is to be strictly construed.” Whitaker v. American Telecasting, Inc., 261 F.3d 196 , 201(2"! Cir. 2000). The courts have also held that “[E]ven though a defect in removal procedure is not jurisdictional, the removal statute, especially with reference to diversity jurisdiction cases, must be strictly construed. Any doubts as to removability should be resolved in favor of remand.” Payne v. Overhead Door Corp., 172 F. Supp. 2d 475, 477 (S.D.N.Y. 2001). Further, “Subsection 1447(c) authorizes a remand on the basis of any defect in removal procedure.” LaFarge Coppee v. Venexolana De Cemento, S.A.C.A.. C.A., 31 F.3d 70, 72 (2d Cir. 1994). See also, Berrios v. Our Lady of Mercy Med. Ctr., 99 Civ. 21. 1999 US. Dist. LEXIS 1733 at *5 (S.D.N.Y. Feb 19, 1999). B. DEFENDANTS’ NOTICE OF REMOVAL IS UNTIMELY PURSUANT TO 28 U.S.C. $1446 Here, the Notice of Removal was not filed in accordance with the thirty (30) day requirement as enunciated in 28 U.S.C. 1446(b), which mandates that the “notice of removal of a civil action or proceeding shall be filed within thirty days after the receipt by defendant...of the initial pleading setting forth the claim for relief upon which such action or proceeding is based...” Here, the Notice of Removal was filed well after the thirty (30) day limitation had expired. Accordingly, remand to the State Court is necessary. Even where the parties stipulate to extend the time for removal, such a stipulation will not expand the statutory time allowed for removal. In Burns v. Standard Life Ins. Co., 135 F. Supp. 904, 906 (Dist. Ct. for the Dist. Of Del. 1955), the Court stated that the Federal Statute “provides a definite period for removal which is statutory duration and not subject to waiver by stipulation of the parties.” Moreover, the courts have also held that “the thirty-day period may not be enlarged by act of the Federal Court, by act of the State Court or by mere consent of the Plaintiff to extend 4 □ the time for removal.” Transport Indemnity Co. v. Financial Trust Co., 339 F. Supp 405, 407 (dist. Ct. for the Central Dist. of Cal. 1972). In Evans v. Sroka., 20001 U.S. Dist. LEXIS 15466 (S.D.N.Y. 2001), the Southern District held that stipulations extending the time for a defendant to answer will not be construed as extending removal. The Evans Court stated: In view of the stringency of the deadlines established for removal, and the repeated admonition of the courts that doubts as to removability are to be construed against removal, the federal courts have consistently held that stipulations of this type will not be construed as extending the time for removal. The requirement that the Notice of Removal must be filed within thrity (30) days “is strictly construed and mandatorily enforced.” Sbarro, Inc. v. Karykous, 05 Civ. 2311, 2005 WL 154148 at *2 (E.D.N.Y. June 29, 2005), quoting, Evans v. Sroka, 01 Civ. 5806, 2001 WL 1160586 at *3 (S.D.N.Y. October 2, 2001) Gnternal quotation marks omitted). “[A]bsent a finding of waiver or estoppel, courts rigorously enforce the statute’s thirty-day filing.’ Id., guoting, Somlyo v. Lu-Rob Enter., 932 F.2d 1043, 1045 (2d Cir. 1991) (Ganternal quotation marks omitted). This is true even when the Notice of Removal has been filed on the thirty-first day, or one (1) day late. See, Mastec Latin Am. V. Inepar S/A Industries E. Construcoes, 03 Civ. 9892, 2004 U.S. Dist. LEXIS 13132 (S.D.N.Y. July 13, 2004), Hua Xao Yang. v. ELRAC, Inc., 03 Civ. 9224, 2004 U.S. Dist. LEXIS 1668 (S.D.N.Y. February 3, 2004). In this matter, Defendants Columbus and Medaid were served with Plaintiffs’ Summons and Complaint on September 27, 2019, and Defendant Alon was served with same on September 30, 2019. There can be no dispute that the Notice of Removal, filed with the Court on February 7, 2020, over one hundred and thirty (130) days (Defendant Alon) and one hundred and thirty- three (133) days (Defendants Columbus and Medaid) following the date of service of the Summons and Complaint, is untimely. The thirty (30) day limitation within which a Defendant may file a Notice of Removal is measured from the time the first defendant is served with the Summons and Complaint. Here, Defendants request that this Court ignore the fact that the Defendants have failed to remove this case within thirty (30) days of Defendants’ receipt of the Summons and Complaint. Instead, Defendants cannot claim that the time within which to remove this action was extended pursuant to the parties’ stipulation of January 20, 2020. It is noteworthy that, at the time Stipulation was executed. the statutory time within which the Defendants were required to serve their responsive pleadings in the state action and the time within which the Defendants were required to remove this action had already expired. In fact, the Defendants were required to remove the case on or before October 27, 2019. Measured from September 27, 2019, when Defendants Columbus and Medaid were first served with Plaintiffs’ Summons and Complaint, one hundred and thirty-three (133) days elapsed before Defendants’ filing of their Notice of Removal. Defendants’ Notice of Removal is defective on its face insofar as it was filed over thirty (30) days after the Defendants were served with a copy of Plaintiffs’ Summons and Complaint. Accordingly, the Notice of Removal is untimely and a remand to State Court is mandated. CONCLUSION Here, it is respectfully submitted that the Notice of Removal is untimely as it was removed well beyond the thirty (30) day period allowed by statute. Instead, the instant action was removed one hundred and thirty-three (133) days after service of the Summons and Complaint upon Defendants, Columbus and Medaid, and one hundred thirty (130) days after service of the Summons and Complaint upon Defendant, Alon. Despite the suggestion of Defendants’ counsel that the parties’ stipulation for the acceptance of a late answer restarts the timeframe for which the Defendants may seek a removal, the time within which to remove a state action is strictly construed despite any agreement to extend the statutory time limit. Plaintiffs respectfully request that this action be remanded to the Supreme Court of the State of New York, County of New York, and the Plaintiffs be granted an extension of time to respond to Defendants’ counterclaim to thirty (30) days after a decision is rendered on Plaintiffs’ motion to remand to state court. Dated: Melville, New York March 4, 2020 WTA ANCENT ¥. GEBBINO (VG 0555) Attorneys for Ph 445 Broad Hollow Road, Suite 420 Melville, New York 11747 (631) 390-0010 (631) 393-5497 - facsimile VGerbinobgslaw-ny.com BGS&A File No.: MRAD24-3000 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK en een ee eee eee eee K ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Civil Action No.: ALLSTATE INDEMNITY COMPANY, 20-cv-01108-VEC ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND DECLARATION OF CASUALTY INSURANCE COMPANY, and VINCENT F. GERBINO ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. ee cece nen ee ee eee eee nee KX DECLARATION OF VINCENT F. GERBINO VINCENT F. GERBINO, pursuant to 28 U.S.C. § 1746 , hereby declares, under penalty of perjury as follows: 1. I am a partner with the law firm of Bruno, Gerbino, Soriano & Aitken, LLP, attorneys for Plaintiffs, ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (collectively “Plaintiffs” or “Allstate’”). I have personal knowledge of the facts set forth herein and would testify to them in a court of law if required to do so. 2. I respectfully submit this declaration in support of Plaintiffs’ motion which seeks an Order pursuant to 28 U.S.C. § 1447 (c) remanding this action to the Supreme Court of the State of New York, County of New York on the ground that Defendants, MEDAID RADIOLOGY, LLC. COLUMBUS IMAGING CENTER, LLC and REUVEN ALON-ALYOFF a/k/a ROB ALON. failed to comply with 28 U.S.C. § 1446 and submitted an untimely and defective Notice of Removal, and for an extension of Plaintiffs’ time to respond to Defendants’ counterclaim to thirty (30) days after a decision is rendered on Plaintiffs’ motion to remand to state court. 3. Annexed hereto as Exhibit “A” is a true copy of Allstate’s Civil Complaint in this action. 4. Annexed hereto as Exhibit “B” is a true copy of the Affidavit of Service upon Defendant Columbus. 5. Annexed hereto as Exhibit “C” is a true copy of the Affidavit of Service upon Defendant Medaid. 6. Annexed hereto as Exhibit “D” is a true copy of the Affidavit of Service upon Defendant Alon. 7. Annexed hereto as Exhibit “E” is a true copy of the Defendants’ Notice of Removal. 8. Annexed hereto as Exhibit “F” is a true copy of the Defendants’ Answer with Counterclaims. 9. I declare under penalty of perjury that the foregoing is true and correct. Excuted at Melville, New York on the 4" day of March, 2020. VINC : O (VG 0555) EXHIBIT“A” FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, 655225/201 NYSCEF Doc. NO. 1 RECEIVED N¥SCEF: 09/11/201 SUPREME COURT OF THE STATE OF NEW YORK. COUNTY OF NEW YORK eect epee eee emma □□ ecnerceen nicer eeee cena ennercneeenen ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Index No.: ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY Date Purchased: COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and SUMMONS ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs designate New York County as the place of trial. Plaintiffs, The basis of venue designated -against- is: Plaintiffs’ place of business - CPLR 503(c) MEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. cane tenn □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ SUMMONS TO THE ABOVE-NAMED DEFENDANTS: YOU ARE HEREBY SUMMONED to answer the Complaint in this action and to serve a copy of your Answer, or, if the Complaint is not served with this Summons, to serve a Notice of Appearance, on Plaintiffs’ attorney(s) within 20 days after the service of this Summons, exclusive of the day of service; or within 30 days after the service is complete if this Summons is not personally delivered to you within the State of New York; and in case of your failure to appear or answer, judgment will be taken against you by default for the relief demanded in the complaint. Dated: Melville, New York September 10, 2019 Yours, et¢., \ BRUNO, G Ok (0 & SORIANO, LLP By: A VENCG Pf. GERBINO Attorneys for bors 445 Broad Hollow Road, Suite 420 Melville, New York 11747 (631) 390-0010 (631) 393-5497 - facsimile BG&S File No.: MRAD24-3000, BGS-CIC24-3000 1 nf 9 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM ENDEA NG. □□□□ els NYSCEF DOC, NO. 1 RECEIVED NYSCEF: 09/11/201 TO: COLUMBUS IMAGING CENTER 481 North 13th Street Newark, New Jersey 07107 MEDAID RADIOLOGY, LLC 481 North 13th Street Newark, New Jersey 07107 REUVEN ALON-ALYOFF a/k/a ROB ALON 78 Oak Trail Road Hillsdale, New Jersey 07642 > AF 9 FILED: NEW YORK COUNTY CLERK 09/711/2019 08:35 AM INDEX NO, 655225/201 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: □□□□□□□□□ SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK penne een nen nee en nnene □□ nuenee ener conmee none nencnnnnn ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Index No.: ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND VERIFIED COMPLAINT CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstCOLUMBUS IMAGING CENTER, LLC, MEDAID RADIOLOGY, LLC, and REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants, penne en nneenneenecennenu cnenennnnanenccnennX TO THE ABOVE-NAMED DEFENDANTS: COMPLAINT Plaintiffs, ALLSTATE INSURANCE COMPANY, and any and all of its subsidiaries and affiliates, including, but not limited to, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (hereinafter collectively referred to as “ALLSTATE” or “Plaintiffs”), by their attorneys, BRUNO, GERBINO & SORIANO, LLP, as and for their Complaint against the Defendants, hereby allege as follow upon information and belief: 1 nf 14 INDEX NO, 695225/201 NYSCEF DOC, NO. 2 RECEIVED NYSCEF: 09/11/201 INTRODUCTION 1. This action seeks to recover restitution in the amount of approximately ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) for No-Fault reimbursements that the Defendants have obtained from Plaintiffs by submitting, and causing to be submitted, numerous charges for Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) and X-Ray services (hereinafter the “No-Fault services”) for which the Defendants are not legally entitled to receive. In addition, Plaintiffs seek a declaratory judgment that Columbus Imaging Center, LLC (hereinafter referred to as “Columbus’”) and Medaid Radiology, LLC (hereinafter referred to as “Medaid”) have no legal right to keep or receive payments from the Plaintiffs for No-Fault services which are performed by independent contractors who perform reads of radiological tests performed onsite. Plaintiffs also seek a declaration that Medaid is an unlicensed limited liability company, and due to their noncompliance with New Jersey state’s licensing statutes and regulations and New York’s No-Fault regulation, are not entitled to collect payment for services allegedly performed under Medaid. 2. The Defendants engaged in a systematic scheme to defraud Plaintiffs by submitting bills for reimbursement of No-Fault related services allegedly rendered to individuals who were reportedly involved in automobile incidents. 3. The Defendants are not entitled to seek, keep or receive No-Fault reimbursements from Plaintiffs and Plaintiffs are not obligated to pay reimbursements for any No-Fault related matters pertaining to Columbus or Medaid as the No-Fault services were rendered by independent contractors. In addition, Medaid is not eligible to receive No-Fault reimbursements due to its failure to comply with New Jersey state licensure requirements. 4. Plaintiffs seek a declaratory judgment as to the following: NEW YORK COUNTY CLERK 0971172019 08:35 AM INDEX NO, 655225/201 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 a) That Plaintiffs are not obligated to provide any coverage, reimbursements, or pay any monies, sums, or funds to any of the Defendants named herein for any and all No-Fault services for which claims/bills have been submitted by Columbus and Medaid to Plaintiffs; b) That Columbus and Medaid lack standing to seek or receive NoFault reimbursements as the services billed are rendered by independent contractors; and c) That Medaid lacks standing to seek or receive No-Fault reimbursements as the entity is in violation of N.J.S.A. 26:2H-1, et seq., N.LA.C. 8:43E and 11 NYCRR 65-3.16(a)(12). 5. Plaintiffs seek a judgment over and against the Defendants for the recovery of monies, sums, and funds paid by Plaintiffs to the Defendants by virtue of the Defendants’ use of independent contractors and Defendant Medaid’s failure to maintain licensure. There are still thousands of dollars in claims which were submitted to Plaintiffs by Columbus and Medaid that have nat yet been brought to suit or arbitrated. In total, Columbus and Medaid have submitted in excess of three hundred sixty-one thousand five hundred twenty-nine dollars and forty-two cents ($361,529.42) in claims to the Plaintiffs. The charts annexed hereto as Exhibits “A” and “B” represent the contested claims submitted to date from Columbus and Medaid respectively. 6. The Defendants’ business dealings are in violation of New York Law and public policy as the Defendants have retained the services of independent contractors to perform professional services for which Columbus and Medaid have submitted billing to the Plaintiffs, 7, Moreover, Defendant Medaid is operating without a license which is a violation of both New Jersey and New York state law. 8. In total, Plaintiffs seek judgment over and against the Defendants for the recovery of monies, sums and funds paid by the Plaintiffs to the Defendants in an approximate amount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) by virtue of the Defendants’ -3- 2 nf 10 INDEX NO. 655225/201 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 improper use of independent contractors and the submission of claims for healthcare services performed by independent contractors to the Plaintiffs for reimbursement, and Defendant Medaid’s lack of licensure. In addition, the Plaintiffs seek a judicial determination that they do not have to honor, pay or reimburse the Defendants for any pending claims. L THE PARTIES A. The Plaintiffs 9, ALLSTATE INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York. 10. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and duly authorized to engage in, and conduct the business of, insurance companies in New York. 11. ALLSTATE INDEMNITY COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York. 12. ALLSTATE NORTHBROOK INDEMNITY COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York, 13. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance -d- A nf 170 TNDEX NOs □□□□□□□□□□ DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 companies in New York, 14. ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York. B. The Corporate Healthcare Provider Defendants 15, Upon information and belief, Columbus Imaging Center, LLC is a New Jersey limited liability company with its principal place of business located at 481 North 13" Street, Newark, New Jersey 07107, 16. | Upon information and belief, Medaid Radiology, LLC is an unlicensed New Jersey limited liability company with its principal place of business located at 481 North 13" Street, Newark, New Jersey 07107. cC. The Layperson Defendant 17. Upon information and belief, Reuven Alon-Alyoff a/k/a Rob Alon (hereinafter referred to as “Alon”) is a layperson and not a licensed medical professional. Alon retains complete ownership and control of Columbus and Medaid. IL JURISDICTION AND VENUE 18. Venue is appropriate in New York County pursuant to Section 503(c) of the New York Civil Practice Law and Rules as the Plaintiffs maintain a place of business in said county. Ii. ALLEGATIONS COMMON TO ALL CAUSES OF ACTION A. An Overview of the No-Fault Laws 19. Plaintiffs underwrite automobile insurance in the State of New York. 20. | New York’s No-Fault laws are designed to ensure that injured victims of motor -5- 5 ae 13 TNDEX NO, 695225/201 DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 vehicle accidents have an efficient mechanism to pay for and receive the healthcare services that they need. Under New York’s Comprehensive Motor Vehicle Reparations Act (N.Y. Ins. Law Section 5101, ef seq.) and the No-Fault Regulation (11 NYCRR 65, ef seq.) automobile insurers are required to provide personal injury protection benefits (“No-Fault benefits”) to their insureds. 21. No-Fault benefits include up to $50,000.00 per insured for necessary expenses that are incurred for healthcare goods and services. An insured can assign his/her rights to the provider(s) of healthcare services in exchange for those services. Pursuant to a duly executed assignment, a healthcare provider may submit claims directly to an insurance company and receive payment for necessary medical services rendered by submitting a claim form. 22. Pursuant to the No-Fault Regulation, a professional corporation is not eligible to bill for or collect No-Fault benefits for services rendered by independent contractors and healthcare providers in possession of a direct assignment of benefits are entitled to bill and collect No-Fault benefits. There is both a statutory and regulatory prohibition against payment(s) of No-Fault benefits to anyone other than the patient or his or her healthcare provider. . 23. Fora healthcare provider to be eligible to bill and to collect charges from an insurer for healthcare services pursuant to Insurance Law Section 5102(a), it must be the actual provider of the service. Under the Insurance Law and No-Fault Regulation, a professional service corporation is not eligible to bill for services, or to collect for those services from an insurer, where the services were rendered by persons who are not employees of the professional corporation. B. No-Fault Providers are not Entitled te No-Fault Reimbursements For Services Performed by independent Contractors 24. 11 NYCRR §65-3.11{a) states: An insurer shall pay benefits for any element of loss, other than death benefits, directly to the applicant or, when appropriate, to the applicant's parent or legal guardian or to any person legally -6- cont 41g FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM TNDEX NO, 655225/201 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 responsible for necessities, or, upon assignment by the applicant or any of the aforementioned persons, shall pay benefits directly to providers of health care services as covered under section five thousand one hundred two (a)(1) of this article, or to the applicant's employer for loss of earnings from work as authorized under section five thousand one hundred two (a)(2) of this article, Death benefits shall be paid to the estate of the eligible injured person. 25. The courts have interpreted 11 NYCRR §65-3.11(a) to prohibit a billing provider from recovering assigned first-party No-Fault benefits where the medical services were performed by an independent contractor. See: A.M Medical Services, P. C. v. Progressive Casualty Ins. Co., 953 N.Y.S.2d 219 (App. Div. 2d Dep’t 2012); Health & Endurance Medical, P. C. v. Liberty Mutual Ins. Co., 19 Misc. 3d 137(A) , N.Y. Slip Op. 50864(D) (App. Term 2d & 11th Dists, Apr. 14, 2008); East Coast Acupuncture, P.C. v. New York Cent, Mutual Ins, 18 Misc.3d 139(A) , N.Y. Slip Op. 50344(U) (App. Term 2d & 11" Dists. Feb. 21, 2008); V.S. Medical Services P. C. v. Allstate Ins, Co., 14 Misc.3d 130(A) , N.Y. Slip Op. 50016(U), (App. Term 2d & 11th Dists. Jan. 2, 2007); Health and Endurance Medical P. C. v, State Farm Mutual Auto Ins. Co, 12 Mise.3d 134(A), N.Y. Slip Op, 5119 100) (App. Term 2d & 11th Dists. June 22, 2006); A.B. Medical Services PLLC v. Liberty Mutual Ins. Co., 9 Mise.3d 36, (App. Term 2d & 11th Dists. 2005); Rockaway Boulevard Medical P.C. v. Progressive Ins, 9 Misc,3d 52 (App. Term 2d & 11th Dists, 2005). 26. The Corporate Healthcare Provider Defendants have repeatedly submitted claim forms (No-Fault bills) for reimbursement of healthcare services that were rendered by independent contractors or non-employees of the professional corporation or PLLC. Since the individuals who are providing healthcare services are independent contractors the Corporate Healthcare Provider Defendants are/were not entitled to receive No-Fault reimbursements. C. Licensure -7- 5 we 1A FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, 655225/20: NYSCEF DOC. NO. 2 RECEIVED NYSCEF; 09/11/20: 27. Pursuant ta New York’s No-Fault Regulation and the cases interpreting same, a healthcare service corporation is not eligible to bill for or collect No-Fault benefits if it is not properly licensed. 28. The applicable portion of the Regulation, found at 11 NYCRR 65-3,16(a)(12), states, in relevant part, as follows: A provider of health care services is not eligible for reimbursement under section 5102(a)(1) of the Insurance Law if the provider fails to meet any applicable New York State or local licensing requirement necessary to perform such service in New York or meet any applicable licensing requirement necessary to perform such service in any other state in which such service is performed (emphasis added). 29. ‘In addition, under New Jersey law a medical provider is eligible for reimbursement under Personal Injury Protection (PIP) coverage only if the provider complies with all significant qualifying requirements including New Jersey law and the Administrative Code. Allstate v. Orthopedic Evaluations, Inc., 300 NJ. Super. 510, 516 (App. Div. 1997), 30. New Jersey statutes and administrative code provisions applicable to the license of an MRI facility are N.J.S.A. 26:2H-1 through 26:2H-12 (Health Care Facilities Planning Act), N.JA.C. Ch. 43A 8:43A-1,1 through 8:43A-33,.4 (Standards for Licensure of Ambulatory Care Facilities) and N.J.A.C.Ch. 43E 8:43E-1.1 to 10.11 (General Licensure Procedures and Enforcement of Licensure Regulations). 31. Under N.J.S.A. 26:2H-2, a healthcare facility is defined as a: ...facility or institution, whether public or private, that is engaged principally in providing services for health maintenance organizations, diagnosis, or treatment of human disease, pain, injury, deformity, or physical condition, including, but not limited to, a general hospital, special hospital, mental hospital, public health center, diagnostic center, treatment center, rehabilitation center, FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, □□□□□□□□□□ NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 extended care facility, skilled nursing home, nursing home, intermediate care facility, tuberculosis hospital, chronic disease hospital, maternity hospital, outpatient clinic, dispensary, home health care agency, residential health care facility, dementia care home, and bioanalytical laboratory (except as specifically excluded hereunder), or central services facility serving one or more such institutions but excluding institutions that provide healing solely by prayer and excluding such bioanalytical laboratories as are independently owned and operated, and are not owned, operated, managed, or controlled, in whole or in part, directly or indirectly by any one or more health care facilities, and the predominant source of business of which is not by contract with health care facilities within the State of New Jersey and which solicit or accept specimens and operate predominantly in interstate commerce (emphasis added). 32. N.J.A.C, Ch. 43A 8:43A-1.1 further defines a health care facility to be one that provides ambulatory care services which include magnetic resonance imaging and computerized tomography, services which are provided by Medaid. 33. Magnetic resonance imaging and computerized tomography are services which require a license issued from New Jersey’s Department of Health, See, N.JLA.C. Ch. 434 8:43A2.2(b) and 8:43A-2.3(a). 34. New Jersey’s Department of Health issues licenses and regulates healthcare facilities. New Jersey’s administrative code sets forth mandatory requirements pertaining to a facility’s licensing, inspections, surveys, document and/or data submissions, personnel licensure, certification or authorization, training, service plans, retention of a medical administrator, as well as other general requirements. See, N.J.A.C. Ch. 43A 8:43A-1.1 through 8:43A4-33.4. It also imposes additional requirements upon a facility that provides computer tomography, magnetic resonance imaging and radiological services. See, Ch. 434 N.J.A.C. 8:43A-25.1, 35, The legislative intent of these administrative codes is to “...protect the health and -9- oO vnf 10 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. 655225/20: NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/20. safety of patients who receive ambulatory care services by establishing minimum miles and standards of care with which an ambulatory care facility must comply in order to be licensed to operate in New Jersey.” See, Ch. 43A N.J.A.C. 8:43A-1.2, 36. Under N.J.S.A, 26:2H-12(a): No health care service or health care facility shail be operated unless it shall: (1) possess a valid license issued pursuant to this act, which license shall specify the kind of kinds of health care services the facility is authorized to provide; (2) establish and maintain a uniform system of cost accounting approved by the commissioner; (3) establish and maintain a uniform system of reports and audits meeting the requirements of the commissioner; (4) prepare and review annually a long range plan for the provision of health care services; (5) establish and maintain a centralized, coordinated system of discharge planning which assures every patient a planned program of continuing care and which meets the requirements of the commissioner which requirements shall, where feasible, equal or exceed those standards and regulations established by the federal government for all federally-funded health care facilities but shall not require any person who is not in receipt of State or federal assistance to be discharged against his will (emphasis added). 37. Failure to adhere to the foregoing may be deemed a violation punishable by either a“... 1. Civil monetary penalty; 2. Curtailment of admissions; 3. Appointment of a receiver or temporary manager; 4. Provisional license; 5. Suspension of a license; 6. Revocation of a license; 7. Order to Cease and Desist operation of an unlicensed health care facility; and 8. Other remedies for violations of statutes as provided by State or Federal law, or as authorized by Federal survey, certification, and enforcement regulations and agreements, See N.J.C.A. Ch, 43E 8:43E-3.1. A health care facility that operates without a license is specifically subject to a fine of $1,000 per day from the date of initiation of services. See, N.J.C.A. Ch. 43E 8:43E-3.4(a)(1). However, “{tJhe Department may increase the penalties in (a) above up to the statutory maximum per violation per day in consideration of the economic benefit realized by the facility for noncompliance.” See, -10- In «at 31a FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. □□□□□□ □□□□ NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/20: N.L.C.A. Ch. 43E 8:43E-3.4(c). 38. In the interest of protecting patients, both New York and New Jersey limit reimbursement of No-Fault services to healthcare providers that are properly licensed. An out-ofstate healthcare provider, such as Medaid, must maintain its New Jersey license in order to receive reimbursement under New York and New Jersey No-Fault law. However, as discussed below, Defendant Medaid has permitted its !icense to expire and is currently not in compliance with New Jersey law. D. The Results of Alistate’s Investigation 39. Allstate investigated the claims of various individuals who allegedly received diagnostic services at Columbus at the facility’s premises located at 481 North 13 Street, Newark, New Jersey. 40, _ As part of its investigation into the operations of Columbus, Allstate conducted the Examination Under Oath (EUO) of Columbus on May 16, 2014. For its Examination Under Oath, Columbus produced Alon, who is the president and owner of Columbus. 41. Alon’s testimony provided insight into the daily operations of Columbus, particularly its use of independent contractors. A summary of Alon’s testimony is as follows: a) Alon testified that Dr. Allen Rothpearl is Columbus’ “medical director” who also does reads and that he replaced the first medical director, Dr. Gary Kronfeld, who stepped down after a few months due to a conflict of interest with the company with whom Dr. Kronfeld was employed;! b) Alon has an employment contract with Dr. Rothpearl through Dr. Rothpearl’s company, Complete Radiology Reading (CRR) Services, to have diagnostic scans read as an independent contractor and payment is made per read; * ' See EUO Transcript of Reuven Alon-Alyoff, page 23, line 3 to page 24, line 6. ? See EUO Transcript of Reuven Alon-Alyoff, page 59, line 18 to page 60, line 15. -t1- 17 wnt 349 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. 655225/20. NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/20: c) Dr. Rothpearl does not have a presence in the facility but works remotely from his office in Long Island where he electronically receives films/scans, dictates and then directs all further communication by phone or through email; ? d) Dr. Rothpearl is solely responsible for reads except for when he is on vacation, and in those few instances, he retains radiologists to cover during his absence;* e) Alon testified that he retained a company owned by Dr. Lapas, a New Jersey radiologist, to be present for scans with contrast; ° f) Dr. Boyle, an employee of Dr. Rothpearl, also performs reads; ° g} Dr. Damien, an employee of Dr. Lapas, also occasionally reads for Columbus; ? and h) There are no other companies or doctors retained by Alon to read MRIs, CT scans or X-Rays. ° 42, —_ Billing submitted by Columbus which was received by Allstate subsequently after the Plaintiffs began an investigation into Columbus’ use of independent contractors were denied on this basis, as well as other reasons, 43, Allstate continued to receive bills from Columbus until October of 2018 for services rendered in August of 2018. 44, Thereafter, billing by Columbus ceased and Medaid began to submit billing for the same purported services, The services billed by Medaid began in November of 2018, and many of the bills submitted indicated that the treating provider was an independent contractor. An example of such billing is annexed hereto as Exhibit “C”. 45. Thus, it appears that the business operations of Columbus merely shifted to a newly 3 See EUO Transcript of Reuven Alon-Alyoff, page 61, line 8 to page 62, line 13, * See EUO Transcript of Reuven Alon-Alyoff, page 63, lines 6 through 22. 5 See EUO Transcript of Reuven Alon-Alyoff, page 64, line 9 to page 65, line 24. * See EUO Transcript of Reuven Alon-Alyoff, page 65, lines 12 through 18. 7 See EUO Transcript of Reuven Alon-Alyoff, page 66, line 25 to page 67, line 6. ® See EUO Transcript of Reuven Alon-Alyoff, page 67, lines 7 through 14, -12- 19° wt 180 TNDEX NO. □□□□□□□□□□ NYSCEF DOC. NO, 2 . RECEIVED NYSCEF: 09/11/20: named entity, Medaid. However, despite the change in name, all of the same characteristics once possessed by Columbus have been adopted by Medaid. Namely, Medaid operates from the same location, retains the same staff, equipment and manner of operation. 46. Furthermore, Medaid does not disguise their use of independent contractors as the Defendant indicates on their billing that the services provided are rendered by independent contractors. 47, Neither Columbus nor Medaid are eligible to receive reimbursement for No-Fault services rendered by independent contractors. 48. Additionally, Medaid lack standing to receive No-Fault reimbursements as the company is operating in violation of New Jersey state law. 49. part ofits investigation, the Plaintiffs discovered that Medaid allowed its license to expire. According to New Jersey’s Department of Health, Defendant Alon initially obtained a license for Medaid on December 1, 2010 to operate as an ambulatory care facility; however, as of November 30, 2018, that license has since expired. IV. JUSTIFIABLE RELIANCE 50. Plaintiffs reasonably believed that Columbus was submitting bills for No-Fault services to which they were legally entitled to reimbursement, Evidence to the contrary was not discoverable until after patterns developed over the course of years. 51, During the course of Plaintiffs’ investigation, Columbus ceased to operate and shifted operations under a new corporate entity, Medaid. 22. Plaintiffs were required, under statutory obligations, to promptly and fairly process bills for No-Fault services within 30 days of receipt of same. 33. The facially valid documents and bills submitted to Plaintiffs in support of the claim -13- INDEX NO» 655225/20. NYSCEF DOC. NO. 2 RECHIVED NYSCEF; □□□□□□□□□ for No-Fault services were justifiably relied upon by Plaintiffs in issuing payment to Columbus, 54, Once it was discovered that Columbus and Medaid were utilizing independent contractors, the Plaintiffs began to deny claims based on their use of independent contractors to perform the No-Fault services. 55. □ However, before denying claims based on the foregoing, the Plaintiffs paid Columbus and Medaid reimbursements that they were not legally entitled to receive and/or retain. 56. Plaintiffs reasonably believed that the money they were reimbursing Columbus and Medaid for medical services rendered by Columbus and Medaid. □□□ Evidence that the Columbus and Medaid operated in violation of the law was not discoverable until after patterns developed over the course of years of activity. 58. — In addition, the Plaintiffs only recently learned that Medaid is operating without a license. Vv. CLAIMS FOR RELIEF AS AND FOR PLAINTIFFS’ FIRST CAUSE OF ACTION AS AGAINST ALL DEFENDANTS (Unjust Enrichment/Restitution) 59. Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered 1 to 58 of this Complaint with the same force and effect as if set forth fully herein, and the Defendants are jointly and severaliy liable for the acts and omissions set forth in the aforementioned paragraphs. . 60. By reason of their wrongdoing, Defendants have been unjustly enriched at the expense of Plaintiffs, in that Defendants received monies, funds and sums from Plaintiffs that are the result of Defendants’ unlawful and illegal conduct. 61. That as a result of Defendants’ actions, Defendants received payments from ~14- aa nf 40 ENDEX NO. □□□□□□□□□□ NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 09/11/20: Plaintiffs that they were not entitled to receive and which they are not entitled to keep. 62. That by reason of the above, the Defendants have unjustly realized payments from Plaintiffs in an approximate amount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63). AS AND FOR PLAINTIFFS’ SECOND CAUSE OF ACTION AS AGAINST ALL DEFENDANTS (Declaratory Judgment — Independent Contractors) 63. Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered | to 62 of this Complaint with the same force and effect as if set forth fully herein, and the Defendants are jointly and severally liable for the acts and omissions set forth in the aforementioned paragraphs. 64. The Defendants do not have standing to submit or recover No-Fault benefits under New York State law due to their use of independent contractors who have performed the services for which they seek No-Fault reimbursement. . 65. In view of the unlawful use of independent contractors in violation of 11 NYCRR §65-3.11(a), Columbus and Medaid do not have standing to submit or recover No-Fault benefits for services performed by independent contractors. 66. Plaintiffs seek a judicial determination that Columbus and Medaid are not entitled to reimbursement of pending charges or retention of any monies, sums or funds issued by the Plaintiffs for bills for No-Fault services which were submitted by the Defendants rather than the independent contractors who performed the services. AS AND For PLAINTIFFS’ THIRD CAUSE OF ACTION AS AGAINST DEFENDANT MEDAID (Declaratory Judgment ~— Lack of Licensure) 67. Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered 1 to 66 of this Complaint with the same force and effect as if set forth fully herein, and -15- 15 ->f£ 1G FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. □□□□□□□□□□ NYSCEF DOC. NO. 2 RECEIVED NYSCEF: □□□□□□□□□ the Defendant Medaid is jointly and severally liable for the acts and omissions set forth in the aforementioned paragraphs. 68. The Defendant does not have standing to submit or recover No-Fault benefits under 11 NYCRR 65-3,16(a)(12} due to its failure to maintain its corporate license with New Jersey’s Department of Health. 69, In view of the Defendant’s expired license which is unlawful under 11 NYCRR 653.16(a)(12), as well as N.J.S.A. 26:2H-1 through 26:2H-12 and N.J.A.C. Ch. 43A 8:43A-1,1 through 8:43A-33.4, Medaid does not have standing to submit or recover No-Fault benefits for services performed subsequently after the expiration of its license. 70. —_‘ Plaintiffs seek a judicial determination that Medaid is not entitled to reimbursement or retention of any monies, sums or funds issued by the Plaintiffs for dates of service beginning November 30, 2018, and for any charges that which Medaid may submit in the future. WHEREFORE, Plaintiffs demand judgment against the Defendants, jointly and severally, as follows: (1) On the First Cause of Action, a declaratory judgment that the Defendants were unjustly enriched and an award of damages and judgment in favor of Plaintiffs over and against the Defendants representing restitution in an approximate amount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63); (2) Onthe Second Cause of Action, a declaratory judgment that the Defendants utilized independent contractors and are not entitled to seek, receive or retain No-Fault reimbursements, and that Plaintiffs are entitled to a judgment over and against the Defendants for such conduct involving the use of independent contractors; (3) On the Third Cause of Action, a declaratory judgment that Defendant Medaid’s corporate license is inactive and it is not entitled to seek, receive or retain No-Fault reimbursements for services rendered on November 30, 2018 and thereafter, and that Plaintiffs are entitled to a judgment over and against the Defendant; -16- 16 of 19 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. □□□□□□□□□□ NYSCEF DOC, NO, 2 RECEIVED NYSCEF: 09/11/20: (4) Such other and further relief that this Court deems just, proper and equitable. Dated: Melville, New York September 10, 2019 Yours, etc., BRUNO, GERBI RIANO, LLP By: VINCENT F. G INO Aitorneys for Plaintiff; 445 Broad Hollow Rdad Suite 420 Melville, New York 11747 (631) 390-0010 (631) 393-5497 - facsimile BG&S File No.: MRAD24-3000 -17- 17 of 19 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. 659220/201 NYSCEF DOC. NO, 2 RECEIVED NYSCEF: 09/11/201 VERIFICATION STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK _ ) VINCENT F. GERBINO, being duly sworn, deposes and says: ! am an attorney duly admitted to practice law in the Courts of the State of New York and I am a partner of the Law Offices of Bruno, Gerbino & Soriano, LLP, attorneys for the Plaintiff herein, an insurance corporation duly licensed by the State of New York. T have read the foregoing complaint and know the contents thereof, and the same is true to my own knowledge except as to the matters therein stated to be alleged upon information and belief, and that as to those matters, I believe it to be true. [ further state that the reason this verification is made by me and not by the Plaintiff is because said Plaintiff is a corporation and | am an attorney designated by said corporation for the purpose of initiating this proceeding. VINCENT ACKNOWLEDGMENT STATE OF NEW YORK _) ) ss: COUNTY OF SUFFOLK =) On this 10" day of September, 2019, before me personally appeared VINCENT F. GERBINO, to me known and known to me to be the individual described in and who executed the foregoing complaint, and he duly acknowledged that he executed the same. NOTARY PUBLIC 1 ET □□ a contagion Expires Dac 22, 2020 TIF at 719 NEW YORK COUNTY CLERK U9/11/2019 08:35 AMI PN □□□□ EN DOC. NO. 3 RECEIVED NYSCEF: 09/11/201 EXHIBIT “A” INDEX NO. 655225/20 NYSCEF DOC. NOgictare Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit "A" MER Mee □□ 09/11/20 COLUMBUS IMAGING CENTER LLC evebt GUMIeNONbee Maede Sate degeiiel <5" Oherged/emieh® -OeAlW 1 | 508741501 Bill, «= |S yag/2oie $4419 = $0.00 2 | "Soa74iso1.——BiN Ss; = 0/te/2018 =—~CS*~<CS*«~S iSO 3. 813097229; sill” =~, 10/42/2018 = $828.96 =| 80.00 “sizos7aag sit | aovaayaoie "| ssonas $000 5 | sotgz7eaa | Bil =| to/ay/2o1g = |S $1,837.68 =| $0.00 513097229 Bill, n0/8/2o18 $936.23 80.00 7: 508799664 | Bill 20/1/2018 $936.23 $0.00 _8 | 508799664 | Bill, fia Bfaf2008 | $587 80.00 □□ io | 506399509 : Bit 3S 9/25/2018 =| $2,837.68 = $0.00 11508795126 Bil, S| 9/22/2018 $1,897.68 80.00 12, 507801306 Bill 9/13/2018 $844.02 $0.00 | S085s9028 | Bill «=| = 9/40/2018 $1,837.68 80.00 ___14 | 506399509; Bill, S| 94/2018 | 882831 30.00 _ 15; 506399509 Bill =| 9/4/2018 $936.23 S00 16 507137628 | Bill, = 9/afnoie $Ra4o2 $0.00 47 | 507137628 | Bi sfapois” | $1,837.68 $0.00 18 | sozisoses | Bil, «S| 9/3/2018 $1,275.54 $0.00 _. 29508063476 | Bill, = 8/27/2018 $850.17 $0.00 "20" s08i7945a [gil | 2701s $850.17 $0.00 21 508559028 Bill, =| 8/27/2018 $1,837.68 | $0.00 22. 507396223 ai 8/27/2018 | $1,837.68 | $0.00 23. 507396223 Bik 8/27/2018 | SBA? $0.00 __ 24 | 482028768 Bill, =; = 8/6/2018 8844.02 80.00 25; §05230236 Bil, = 8/46/2018 =~ 84,243.73; $0.00 26507801306 Bil B/ta/2018 4.70342, $0.00 27503729832, Bill, «= | 8/24/2018 = | $1,656.62 $0.00 28 | 507488996 | Bil | 8/24/2018 84,837.68 80,00 __29 505329656 | Bil, =. 8/18/2018 = SEAT 80.00 30505239236; Bil’, «S| 8/14/2018 =| 2S SB0197 □ S000 —__31__ 1 $05239236 | Bill =, 8/14/2018 = $1,275.54 $0.00 32 | 505239236 sill, =| 8/4/2018 «82,837.68 S000 33 505329656 8/14/2018 =, $1,282.57 80.00 34, 505329656 sill, «Ss 8/24/2018 $850.17 | $0.00 __35 510712920 will =| /ta/2oig. Ss, S837.68 | $1,837.68 36 «505245621 Bill, «=| 8/13/2018 | $1,837.68 80.00 _37_ 805245621 Bill, «= 8/43/2028 =; $1,738.20 80.00 38505245621 ill, «= 8/13/2018 = 8828.31 «S000 _ 505245621: Bi, apse | _ $828.31 | $0.00 40 (505245621 Bil 8/13/2018 | 880197 «$0.00 41803729832; Bill, «= 8/7/2018 | $1,837.68 SSS. 42 503729832 | Bil «= 8/7/2018; 8,656.62 =, $0.00 43508720832 Bill, i 8/7/2018 $2,837.68 $0.00 | Soayzga01 "pil 7/30/2018 | $828.32 $0.00 45 _| 503726101 | Bill 7/30/2018 $1,837.68 ‘$0.00 TNDEX NO. 655225/20 N¥SCEF POC. NO aligtate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit va Cains Cubhitted by®?/ □□□□□ COLUMBUS IMAGING CENTER LLC _ 46. 501721914, | 7/80/2028 □□ S,837.68 =~ $0.00 47 | 453866923 [Bill 7/a7/2ois $548.61 $0.00 48 | 453866923 | Bill, «7/27/2018 $269.22 $0.00 _ 49 453866923 | Bill, 7/27/2018 |. 958336 $0.00 50 500953203 ° il, =; 7/24/2018 =| $878.12 $0.00 SL. 501847750 7aajzog $8087 $0.00 52, 500953203 | ith | 7/2a/zois $25.37 $0.00 53} 500983203 | Bill 7/24/2018 $936.23 $0.00 54, 501847750 | Bil, «7/28/2018 =| $1,887.68 | $0.00 55, 501315352 pil .~-7/aaj20i8 «| —=S«C«S,837.68 —=S««S0.00 | 501847750 | il | 7/eaf2018 $2,837.68 $0.00 501847750 | Bill, = 7/2/2018, $801.97 $0.00 58497651224 "Bil 2/7/2018 $801.97” $0.00 59 i 497651224 Bil = a/af2oag $828.31 $0.00 60 | so4osgnie ; Bill =, =SS2/17/2028 =| = 8,656.62 | $0.00 _ 61; 504039116 Bill, = 7/17/2018 |S $2,837.68 = $0.00 □□ 497652224 | Bill, = 7/47/2018 =| 91,837.68 $0.00 497789727 Bill = 7/40/2018 | $828.32 $538.40 149789727 | Bill 7/s0/2018 $1,837.68 $2,194.49 65 | 498766954 |_—_Bil_" zone $986.23 $0.00 66 | 498766954 | Bil 6/18/2018 =) $828.32 80.00 sr spbveeast | st sfiafaieeas7 68 5000 ___ 68 | 498766954 | Bil 6/28/2018 =| 8,837.68 = $0.00 69 + 500896815 | Bill ==; 6/8/2018 =| $1,837.68 $1,294.49 70, $00896815 | ill = 6/15/2008 $801.97 $521.28 7} 497659268 | Bil 5/80/2018 =| 91,837.68 = 80.00 ag7esoz68 | ~S*S« 30/2018 ~—=;| □□□ S**C*~*«O □□□ 494949522 Bill, = 5/15/2018 | $1,837.6B | $0.00 74”) 496677741 | ill, ~—S'SS/5/2018 S$ B44.02 «$844.02 “7s 494949522 | Bil, ==Si8/45/2018 = □□□□□□□□□□□□□□□□□□□□□□□□□ 76 ——«ag2aoegz3 | Bil |’ 5/14/2018, $2,837.68 $0.00 77 | 492808423 Bill,S 5/14/2018 =| 8425.37 «$276.49 78490493302 [Bill —siipois seni $000 79 | 490493301 | Bill, =| 5/4/2018 =| $1,837.68 $0.00 __80 492732714 | Bill aft7/2018 8,688.04 80.00 Bt 492732714 Bil 4/17/2018 $1,837.68 $0.00 82 | 4gaagseoa [Bill = 4/11/2018 =| $1,887.68 ~~, $0.00 3 oT Joes {at sr $828.31 $0.00 __84 489814896 | Bil” «Ss 4/9/2018 =~} $837.68 | $1,837.68 BS} 489814896 | Bill 4/9/2018 | $4,672.33 $1,672.33 —86__|_aggenaa96 [ail a9 2018 ___$801.97 $521.28 87 | 472866011 | Bil, S| 4/208, $828.31! S000 _ 88 481403830: Bill = 4/2018 $850.17 : $850.17 ___ 89 472866011 | Bill, «= 4/4/2018 $1,837.68 80,00 | 90 472866011 | Bill | 4/4/2008 «$801.97 $0.00 ___9t_, 490063104 | ill, = 3/28/2018 $850.17, 850.17 92. | 487261471 | Bill 3/21/2018 $801.97. $801.97 INDEX NO. 655225/20 DOC. NO aigtate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit APEC Submitted by? ? □□□□□□ COLUMBUS IMAGING CENTER LLC 93} 487261471 + Bi 8/20/2018 = $1,837.68 $1,837.68 94 | agesage6s Bill =| 3/2/2018 =| $1,837.68 $4,194.49 95 ASR548868 | Bill 3/21/2018 $1,672.33 $1,087.01 _ _96 | ag726ia7a "| ei 3/21/2018 __$801,97 $801.97 97; 487261471 | Bill, =| 3/2a/2oag, | $1,837.68 $4,837.68 [98 489642307 Fill =| 8/18/2018 | $4,672.33 $1,087.01 99; 489641307 | Bill, «= 3/15/2018; Ss $,837.68 «$1,194.49 482028768 | Bill, =| «SS 3/13/2018 =, Ss $4,656.62 | $1,656.62 □ 101 482028768 | Bill, =} 8/13/2028 $861.62 «SBE □□ 102 | 496433246 | Bill, = 3/22/2018 $1,837.68 81,837.68 103, 486433246 ; Bil =| 3/a2/2o18 $8097, = 104 | 486433246 | Bil, 8/42/2018 $1,672.33 $1,672.33 _105 487564718 | Bill, 3/9/2018 890145 $0.00 [106 | 487564718 | Bill 3/9/2018 9828.32 $0.00 107. 487188682 | Bil = 8/5/2018; $828.32 (80.00 108 | 482858776 | Bil 2/27/2018 $1,708.42 | $0.00 109) 482858776 | Bil, «=| 2/27/2018 = $936.23 □□□□□ tio; 4g4g5aqa3 7 Bill = 2/20/2038 = $1,688.04 SAB M1 434854443 Bil 2/49/2018 $4275.54 $0.00 _ 122 | 482708096 | Bil =| 2/9/2018 =: $936.23 $936.23 113. 482708096 | Bill =~ 2/9/2018 824.21 $42 aga7ogoss | afag/zog $0005 | S901 115 484200894 Bil 2/42/2018, $1,837.68 ‘$1,781.18 116 | 482338274 | Bill =, 2/5/2008 | $901.45 80.00 17482028768 Bil = 2/5/2018, $1,837.68 80.00 __118__ | 482028768 | Bil, 2/8/2018 $802.97 $0.00 __119 | 482028768 Bill, =| 2/5/2018 8,656.62 80.00 120; 482338274 Bil, 25/2018 = $844.02, 80.00 “tar 479284374 "Bil Si) =sia/s/20aaSSSCi«S 84D ~S=«SOO 122, 476944780 - Bill, = f2/2018 «S,837.68 S000 (123 | 476944780 | 2/2/2018 =! ~=SS«81,837.68 | $0.00 124 a7eoqa780 | Bill, | 2/2/2018 = $828.31} S000 _.125 480712462 | Bil = 2/2018 |S $1,837.68 | «$0.00 126 |_476944780 | Bill =, 2/2/2018 $828,310} S000 _—127___,_-480564103 | Bik =, a/29/201g. | $850.17 | $638.07 | 128 493442398 Bin 2/29/2018 S«8828.31 SS □□□□ | 483442398 | Bill, «= /29/2018 | ~——=«*S1,837.68 ~—_-$0.00 130; 480564103 Bill, «29/2018 $414.19 $42.19 431} 474962388 Bil, 4/23/2018 = S870 □□□□ __132__ | 474962388, Bill, =| 1/23/2018 | $1,688.04 $0.00 _—233__| 474386232; Bil | 4/8/2018 $425.96 80.00 474386232 Bi) 8/2038 Saag $0.00 tSS | 482338274 2 BIN 2/16/2018 $9672.33 $4,672.33 136, 482338274 Bil | 15/2018 | $901.45 $0.00 : : TOTAL: : $168,105.45 : $36,127.27 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO. 655225/20 NYSCEF DOC, NO. 4 RECEIVED NYSCEF: 09/11/26 EXHIBIT “B” ENPEE NO. □□□□□□□□□ DOC. NRustate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit "6 " REF AY Mited by 09/21/20: MEDAID RADIOLOGY LLC POD) Sao ee ar a OO GHMNRNE, 2 206 05 8 ee ne aaa lil et “elena aa cic Shue wo 537014746 Bin | 9/6/2019 $801.97 $80.97 “a [ssaao8o72 "pi eyafzoe | Sa7aea $171.64 3: (552408972; Bill, «=; = 9/8/2019 $2,639.65 $2,145.77 546883646 1 Bill 8/19/2019 $1,656.62 $1,487.31 5! 7 saeaeaeas 8) g/i9/2019 | $4,738.20, $1241.84 6 | 546552381, iBill =~ 8/5/2019 $1,656.62 | 84,487.32 __.? 546252107. Bill, «=. = 8/5/2029 | $8402 80.00 8; 846252107 | Bill, =| 8/8/2019 $4837.68 $0.00 _ 3 (_seroages1 [ait a/s/a0ig” $303.08 10332 10 | 546552381, Bil, | 8/5/2019 |S $936.23 | $879.73 | 5a7o3gesa Bill = 8/5/2019 | $1,275.54 $1,275.54 “iz 46252107) Bill, «8/5/2019 $828.31 $0.00 23 S46252107 | Bl ——|_--B/s/2o1g $4,887.68 $0.00. a4 [547594969 | ill | 8/2/2019 (cals 190.00 15 | sa7soage9 | Bil 8/2/2019 $1,837.68 | $0.00 __M6 545756819 | Bill = 7/28/2019 $4,837.68 | $1,561.25 545756819 | Bll | 7/28/2019 | $2,639.65 | $2,245.77 _28_. | 845756819 [ill | 7/25/2019. seat sen 19 | 538835711 | Bill | 9/22/2019 $828.31 $0.00 20° | 543540900 ~—BikS tsps | $1,73820 Sate OR ep □□□ "21545949034 Bill, =~, 7/18/2019 $828.31 | $828.31 22 845949034 Bil, «SS; 7/19/2019 {_____$25037_ sa80.7 23 i; 543540990 | Bill ! 7/19/2019 $1,656.62 , $1,487.31 247545949034 | Bill 7/49/2019 $1,887.68 $1,561.25 25 | 545949034 | Bill, = 7/19/2019} = $844.02 $8402 "26542982940 pill 7/as/20i9 $3,656.62 $1,487.31 27 | 544223852 7 Bil, =| 7/8/2019, $2,108.50 | $0.00 | Saazzaes2 | ait | /ayaoig $1,368.07 | $0.00 _295aggo2as9 | Bill 7/5/2019 | $1,837.68 «$0.00 54247928 Bil, = 2/5/2019 | $1,672.33 $1,503.02 $aag02499— ill, = 7/8/2019 || $1,656,62 | $0.00 ___32___| 540497939 Bil | 7/0/2019 | $1,656.62 $1,487.31 33, 540497939 | Bil 7/8/2019 | $878.11 $834.20 34 542952940 | Bi gatas} Saree sess 35, 542965942 | Bil 6/27/2019 |= «S1,837.68 | $1,561.25 _ 36; 542965942 Bill, «Ss 6/27/2019 | 8,672.33, $1,487.31 P37. | 540497939; Bil SS «6/24/2019 «|S «$2,639.65 | $2,145.77 BL s1ea6a728 | Bi 6/19/2019 $828.31, $828.31 Satgeeaz1 | Bil = 6/49/2019 8828.31 $0.00 40: 514464221. sill 6/19/2019 $801.97 $801.97 AL "537266512 | Bill 6fag/20a9, $414.19 §000 42537266512 | Bill, = 6/18/2039 □□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□ □□ 542417928 Bill, = 8/81/2019 8414.77— 8000 □□ Sazaazona | pili $/23/2019 "064.30 $0.00 45 __!| 542417928 | Bil i" 5/23/2019 | $1,837.68) $0.00 INDEX NO, 655225/20 NYSCEF DOC. NWlist4te insurance Company, et al. v Medaid Radiology, LLC, et al, Exhibit "B" PEGHAY AHEGe By □□□□□□□□ MEDAID RADIOLOGY LLC 46 542417928 Bil == 5/23/2029 | $850.17, $0.00 “a7 7"5a2a7928 7 Bil SS”~S*~*~«S 23/2019 ~=|S«*S 837068 «S000 48 «842417928 | BIN” 5/23/2019: «$828.31 $0.00 49. 542417928 | BM 8/23/2019. S$,837.68 =, $0.00 □□□ 538835711 | Bil, =; 5 /2t/2oa9, $2,889.65 $0.00 sa" 539482851 | pill | ~—«5/20/2019 «|S .,837.68 | «$0.00 □□ | s3gagzest Bill =| 5/20/2019, $844.02 80.00 539482851 | Bill, =, 5/20/2019 $1,837.68 $0.00 54 539482851 | Bil =| 5/20/2019, $2,639.65 | $0.00 55, 5355i6140 | al |_—s8/1a/2019 | $1,837.68 «$0.00 __.56___|_ 538112806 _ a nets 57 531080620; —sBil~Ss| 85/13/2019 |S $849.58 «80.00 58536275829. Bill, =Ss| 5/43/2019) $1,703.42 | $0.00 _ 59, 537114746 | Bill, =| 5/10/2019} $1,837,68 = $0.00 60,1 s3a635677_ [pl | 6/9/2019 $936.23 | $0.00 6a. 535613624 | Bh —Sipaane | "$1837.68 | «$0.00 _ 2 | 533795778 | Bill, =~, 4/30/2019 $1,837.68 | $1,837.68 93... 535518906 Bill 4/29/2019; $1,837.68 | $0.00 ‘G4 | 535519006 | il w/t6/2019 | $1,688.04 | $0.00 65 | 526577812 Bill | 4/16/2019 $1,837.68 $1,561.25 5; 526577812 ll “a/ue/2019 $4,837.68 $1,561.25 86 | 534635677; Bill “4/35/2019 $414.19 $0.00 67 34635677 ill, aas/2o19, | $4,275.54 | $0.00 68 | 535120307 Bill, =| 4/5/2019 $879.74 80.00 69 _|_535120307 | pill, =| aas/2o19 $2,639.65! $0.00 70 | 532628856 | Bill | 4/9/2019 $828.31 $0.00 71 | s35a70go2 | Bil | 4/9/2019. | $1,837.68 == $0.00 ‘72. | s3zezeese Bin ss; SS af9f2019s ss | $0837.68 80.00 73 834635677; ill 4/8/2019 $902.85 $0.00 74534635677 1 ill 4/8/2019 $2,582.06 | $0.00 “75. 533772919 "Bill, = 3/29/2019 «8,837.68 «80.00 _ 76; 333772919 ill, «=; 8/29/2019 $1,688.04 80.00 77, 533773065 Bi 3/28/2019) $828.31 $0.00 | 533773065 | pill, □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ | ~—«$0.00 79: 533773065, Bill ~—Ss|~—=«/28/2019 «$837.68 $0.00 _ 80 | 533643128 Bill =~: 3/21/2019. 828.31 ~~) 8000 gi___| 533643128 3/21/2019 —__. $4,738.20 $0.00 ———82__1_532669249 | Bil 3/2f20ig $908.48 $0.00 83 + 534884005 Bil, | 3/sf2o9 $850.17 | $0.00 “84 | 531884005 ——=sBill /4/209 = ~~S$,243.73 ~~ $0.00 _ 85 + 532080620. Bill, =| 2/28/2019! 81,275.54 $0.00 86 | 528674658. Bill, «=| ~SSs2/26/2019 =SCss«S83 CCC. "e7. 527972004 | Bil □□□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ | 88 | 7 508626283 SC Bil, /tafaoig SS Sada S828 | 527972004 | Bill □□ □□□□□□□□□□□□□□□□□□□□□□□ 833.95 =S«S0.OD 90} 519337372 1 BN] 2/02/2019 |S $1,837.68 =| 80.00 91; 528993553 Bil, «S| 2/8/2019 | =~ $2,63965 = $0.00 92 ! §28993553_— Bill ' 2/3/2019 $1,703.42 J $0.00 ENDER NO. 655225/20 NYSCEF DOC. N&istate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit "B" Elgin Submitted by □□□□□□□□ MEDAID RADIOLOGY LLC 93 □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ .28/2O19.——s|—~S; «$828.32 $0.00 | 94 {| 528993553 - _ Bill | 2/8/2019 | $1,723.76 $0.00 95 +: 527263123 | Bill 1/29/2019 $1,837.68 $0.00 _—..96_.| 527263423 | pil | aa9/20i9, $844.02 $0.00 __-97_.._.|, 527736052_| Bil y2e/2019, $850.17 $850.17 98 | 525222436 | Bill 1/28/2019 | «$1,672.33 ~——-———«S$.0.00 Ts Bi f2019 $1,275.54 $1,275.54 100 ___| 525884631 | __—iBill 1/24/2019 8414.7 9414.77 sox | “seasaseia [all | □□□□□□□□□□□□□□□□□□□□□□□□□□□□ Bil | a/aa/zo19——«*S802.B $901.45 _ 103, (524213626 | Bil, S| afa/2019_ $829.54 i __9779.78 104 | 524213626 | Bill =| 1/95/2019 8426.08 8426.03 105 | s2aaiz626 | Bil | 4/5/29 $850.17 $880.17 106 | 525884631 | _—saBill”«=Ss—is| 4/44/2019; $2,639.65 . _—_— $0.00 107 | 526834882 | _ pi aajzoig” Satat9 $414.19 soa Bi a/aaf2oig $880.17 $850.17 109, 525222436 | Bi a/14/2019 94,688.04 | _ $0.00 110 520734369 : Bill 1/7/2019 $828.31 $828.31 “das "522620103 iB =SSs|~—~=«i2 31/2048 $850.17 $850.17 112: 525222436 | Bill ~—_—:42/26/2018 $0.00 143; 525222436 Bil | 12/26/2018 | —_—_— $1,837.68 $0.00 114; _520734369 | Bil «| —_—-12/26/2018 $90145 | $901.45 | 415; 518279641 Bill ___. 12/17/2018 $850.17. || ~—«$0.00 Pane” 7S207aaa69_- Bil (| 2/27/2078 $1,738.20 117 —.«S15684868 | Bill 12/10/2018 | «$1,837.68 □ | ~—=—$0.00 | 118—=;s«515684868 | _ Bil 12/10/2018 | «$1,837.68 $0.00 119 518329727 Bilt 12/3/2018 | $901.45 | $901.45 120519802507. Bill ___ 12/3/2038 $1,837.68 30.00 121, Si9sc2507 Bill 12/3/2018 | $828.34 | __ $0.00 122; 518329727 | Bill 12/3/2018 $1,688.04 123. | «522696748 ; _—iBill 11/26/2018 | ‘$1,837.68 $0.00 124 | _-§16142908 Bil = |= 14/26/2018 | $851.33 $851.33 125 | 516142908 Bill 11/26/2018 | $56.34 | $56.34 126} 518435789 | Bil 11/5/2018 | □ s«$2,639.65 —| $2,145.77 127518435789 | Bill, 11/5/2018 $1,275.54 $0.00 128 516395737 | Bill 11/5/2018 173820 160.00 129, 515862068 | Bill 11/5/2018 =| «$1,672.33 | ~~ —~$0.00 _ 180508741501) Bil 11/1/2018 | $4,275.54 | $4,275.54 __131 "510548365 | Bill 10/29/2018 $801.45 | $0.00 132. ; 509968086 | BIN =| = 10/29/2018 =| $828.34 2S S828.31 133; 509968086 [Bill 10/29/2018 | $850.17 | $850.17 134 | 510548365 Bil =| = 0/29/2018 «8,672.33 | ~——«$0.00 ABS 509968086 | _Bil! ____ 10/29/2018 $850.17 | _$850.17 136 | —«511833295 | _ Bill 10/25/2018 | ‘$1,275.54 $1,275.54 __137__ 511833295 | __il 19/25/2018 | $414.19 $414.19 138 | 515862068 | Bill | —_—:10/22/2018 $1,837.68 | $0.00 TOTAL: $193,423.97 $62,933.36 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, 655225/20 NYSCEF DOC. NO. 5 RECEIVED NYSCEFP: 09/11/20 EXHIBIT “C” FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, □□□□□□□□□ NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/11/20 . NEW YORK MOTOR VEHICLE NO-FAULT INSURANCE LAW VERIFICATION OF TREATMENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE (This farm not for verification of hospital treatment ) INSURED: _ INSURANCE CARRIER: eae ALLSTATE INS (NY) P.0,BOX 2874 aon CLINTON, 1A, 52733 DATE POLICYHOLDER POLICY NUMBER Gate OF ACGIDENT) CLAIM NUMBER 11/21/2018 | 08/21/2018 0522696748 PROVIDER: . ~ Madaid Radiology LLC (201}548-9998 PO BOX 829571 .- Philadeiphia PA 19182 KINDLY COMPLETE AND SUBMIT THIS FORM AS SOON AS POSSIBLE. PLEASE NOTE, THIS COMPLETED FORM MUST BE SUBMITTED TO THE INSURER AS SOON AS REASONABLY POSSIBLE SUT NO LATER THAN 45 DAYS OR 180 DAYS AFTER THE TREATMENT DATE, DEPENDING UPON THE POLicyY ENDORSEMENT IN EFFECT AT THE TINE OF THE ACCIDENT. IF YOU ARE UNSURE OF THE APPLICABLE TIME REQUIREMENT, KINDLY CONTACT THE CLAIMS REPRESENTATIVE TO DETERMINE WHICH DEAOUNE IS APPLICABLE TO THIS CLAIM IF YOU HAVE PREVIOUSLY SUBMITTED AN EARLIER REPORT ON THIS ACCIDENT, YOU NEED ONLY NOTE ANY CHANGES FROM THE INFORMATION PREVIOUSLY FURNISHED AND ADDITIONAL CHARGES. BATIENTS NAME AND ADDRESS Zz, DATE OF BIRTH ex 4, OGGUPATION UF KNOWN) ae □ Mala {+ |Famale >, DIAGNOSIS AND CONSURRENT CONDITIONS " . M54.2,M54.5 6. WHEN DID SYMPTOMS FIRS) APPEART 7. WHEN DID PATIENT FIRST CONSULT YOU FOR THIS DATE: 09/21/2016 CONDITION? DATE: 8, HAS PATIENT EVER HAG SAME OR SIMILAR CONDITION? i ves [_] no IF YES, state when and describe: 5, IS CONDINON SOLELY A RESULT OF THISAUTOMOSILEACGIDENT? OSS YES no IF "NO", axpiain: ‘ti. IS CONDITION DUB TO INJURY ARISING GUT OF PATIENTS EMPLOYMENT? ~~ SSS ves [J no 7t. WILL INJURY RESULT IN SIGNIFICANT DISFIGUREMENT OR PERMANENT DISABILITY? ves | □□□ no [I NOT DETERMINABLE AT THIS TIME IF *YES" dasonba: 12, PATIENT WAS DISABLED (LI TG WORK) 13. IF STILL DISABLED THe PATIENT SHOULD BE ABLE TO RETURN TO WORK ON: FROM: THROUGH: (DATE) CONTINUE ON PAGE 2 NYS FORM NFS (Rev 1/2004) Page 1 of 5 201811260012075 MM 11262018 201611268057630004 Received Date 11262018 NEW YORK COUNTY CLERK 09/11/2019 08:35 AM INDEX NO, 655225/20: NYSCEF DOC, NO. 5 RECEIVED NYSCEF: 09/11/201 pe VERIFICATION OF TREATHIENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE PAGE 2 44. WILL THE PATIENT REQUIRE REHABILITATION AND/OR OCCUPATIONAL THERAPY AS A RESULT OF THE INJURIES SUSTAINED IN THIS ACCIDENT? YES No [7] lf YES, describe your recommentiation below: 15. REPORT OF SERVICES RENDERED — ATTACH ADDITIONAL SHEETS IF NECESSARY concn toa ar oon SERVICE INCLUDING ZIP CODE OR HEALTH SERVICE RENDERED TREATMENT CODE 10/11/18 | 484.N 13th St Newark NJ 07407 | MRI CERVICAL SPINE W/O DYE) 72141 936.23 TOM11/18 | 461 N 18th St Newark NU 071071 MRI LUMBAR SPINE W/O DYE! 72148 904.45 TOTAL CHARGES TO DATES |S LBs7.69 TG. IF TREATING PROVIDER 15 DIFFERENT THAN BILLING PROVIDER COMPLETE THE FOLLOWING: TREATING PROVIDER'S . BUSINESS RELATIONSHIP NAME CERTIFICATION NO. CHECK APPLICABLE BOX REDDY, VANGALA EMPLOYEE INDEPENDENT OTHER (SPECIFY) 25MA09865600 [ 17. IF THE PROVIDER OF SERVICE IS A PROFESSIONAL SERVICE CORPORATION OR DOING BUSINESS UNDER AN ASSUMES NAME {BBA}, LIST THE OWNER AND PROFESSIONAL LICENSING CREDENTIALS OF ALL OWNERS (Provide an additional attachment if neceasary). Medaid Radiciogy LLC , LIC# 24404 18. IS PATIENT STILL UNDER YOUR CARE FOR THIS CONDITION? YES no 78. ESTIMATED DURATION OF FUTURE REA MENT UNDETERMINED □□ □ A □□ hl PATIENT: Your health provider may agree to accept payment for health servicas performad directly from your insurer (Authorization te Pay Bonotite) sa that you sre not required to make payment to the health provider at tha ime of service. Such agreement is optional on the part of the health provider and must be signed by both patient and health provider. You may Use the optional authorization language provided below, by checking off the designated spot in item 20 of this form. 20, QF YOU HAVE CHOSEN TO ALITHORIZE THE DIRECT PAYMENT OF BENEFITS BY CHECKING THIS OPTION, YOU MAY NOT AUTHORIZATION TO PAY BENEFITS: , | AUTHORIZE PAYMENT OF HEALTH BENEFITS TO THE UNDERSIGNED HEALTH CARE PROVIDER OR SUPPLIER OF SERVICES DESCRIBED BELOW. I RETAIN ALL RIGHTS, PRIVILEGES AND REMEDIES TO WHICH LAM ENTITLED UNDER ARTICLE $1 (THE NO-FAULT PROVISION) OF THE INSURANCE LAW. PRINT NAME SIGNED PATIENT PATIENT DATE CONTINUE ON PAGE 3 NYS FORM NF-3 (Rav 2004) . Page 2 of 3 201811260012075 MM 11262018 201811268057630004 Received Date 11262018 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35 AM. ENDER NO. □□□□□□□□□□ NYSCEF DOC, NO. 5 RECEIVED NYSCEF: 09/11/20 + VERIFICATION OF TREATMENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE PAGES PATIENT: Your health provider may agree to have you assign your fight to No-Fault benefits from your Insurer diractly to your health provider (Assignment of Benefits}. If you and your health provider agree to an aasignment of benefits, you must both sign the agreement contained in # 21 of tha praseribed NF-AOB form or Its equivalent, The language contalnec in the assignment of benefits is mandatory and may not be altered or avoided by any other language added to this agreement or other writlan agreement 21, X___(F YOU HAVE CHOSEN To ASSIGN YOUR BENEFITS TO THE HEALTH PROVIDER BY CHECKING THIS OPTION,YOUMAY NOT ASSIGNMENT OF NO-FAULT BENEFITS: |] HERESY ASSIGN TO THE HEALTH CARE PROVIDER INDICATED BELOW ALL RIGHTS, PRIVILEGES AND REMEDIES TO PAYMENT FOR HEALTH CARE SERVICES PROVIDED BY THE ASSIGNEE TO WHICH 1 AM ENTITLED UNDER ARTICLE 34 (THE NO-FAULT STATUTE) OF THE INSURANCE LAW. THE ASSIGNEE HERESY CERTIFIES THAT THEY HAVE NOT RECEIVED ANY PAYMENT FROM OR ON BEHALF OF THE ASSIGNOR AND SHALL NOT PURSUE PAYMENT DIRECTLY FROM THE ASSIGNOR FOR SERVICES PROVIDED BY SAID ASSIGNEE FOR INJURIES SUSTAINED DUE TO THE MOTOR VEHICLE ACCIDENT, NOTWITHSTANDING ANY OTHER AGREEMENT TO THE CONTRARY. THIS AGREEMENT MAY BE REVOKED BY THE ASSIGNEE WHEN BENEFITS ARE NOT PAYAGLE BASED UPON THE ASSIGNOR'S LACK OF COVERAGE AND/OR VIOLATION OF A POLICY CONDITION DUE TO THE ACTIONS OR CONDUCT OF THE ASSIGNOR Print wave: daa sicnep _ SIGNATURE ON FILE PATIENT (Assignor} PATIENT pruntname MEDAID RADIOLOGY LLG SIGNED SIGNATURE ON FILE PROVIDER OF HEALTH GARE SERVICE (Assignan) PROVIDER OF HEALTH CARE SERVICE HAS AN ORIGINAL AUTHORIZATION OR ASSIGNMENT PREVIOUSLY BEEN EXECUTED? ves ([__] no IS THE ORIGINAL SIGNATURE OF THE PARTIES ON FILE? ves [_] NO er ey er a PT eR ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR COMMERCIAL INSURANCE OR A STATEMENT OF CLAIM FOR ANY COMMERCIAL OR PERSONAL INSURANCE BENEFITS CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, AND ANY PERSON WHO, IN CONNECTION WITH SUCH APPLICATION OR CLAIM, KNOWINGLY MAKES OR KNOWINGLY ASSISTS, ABETS, SOLICITS OR CONSPIRES WITH ANOTHER TO MAKE A FALSE REPORT OF THE THEFT, DESTRUCTION, DAMAGE OR CONVERSION OF ANY MOTOR VEHICLE TO A LAW ENFORCEMENT AGENCY, THE DEPARTMENT OF MOTOR VEHICLES OR AN INSURANCE COMPANY, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME, AND SHALL ALSO BE SUBJECT TO A CIVIL PENALTY NOT TO EXCEED FIVE THOUSAND DOLLARS AND THE VALUE OF THE SUBJECT MOTOR VEHICLE OR STATED GLAM FOR EACH VIOLATION. DATE PROVIDER'S SIGNATURE RS/TIN IDENTIFICATION NO. WGB RATING CODE kouven Alon, Owner IF NONE, SPECIALTY 11/21/2018 83-1738297 R-DRA “LANGUAGE TO BE FILLED IN AY INSURER OR SELFINSURER., NYS FORM NF-3 (Rav 1/2004) Page 3 of 3 201811260012075 MM 11262018 201811268057630004 Received Date 11262018 FILED: NEW YORK COUNTY CLERK 09/11/2019 08:35. NM □□□□ □□□□□ NYSCEF BOC. NO. 2 RECEIVED NYSCEF: 09/11/20 Index No.: SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK. ALLSTATE INSURANCE COMPANY, et al., Plaintiff (5), -againstMEDAID RADIOLOGY, LLC, et al., Defendant(s) SUMMONS AND VERIFIED COMPLAINT BRUNO, GERBINO & SORIANO, LLP Attomey(s) for Plaintiffs 445 Broad Hollow Road — Suite 420 Melville, New York 11747 (631) 390-0010 70 Hilltop Road Ramsey, New Jersey 07446 (201) 995-1394 BGS@BGSLAW-NY.COM File No... MRAD24-3000 . Pursuant to 22 NYCRR 130-1.1-a, the undersigned, an attorney admitted to practice in the court of New York State, to the best of my knowledge, information and belief, formed after an inquiry reasonable undeh the dirgxinstances, the presentation of this document, or the contentions contained therein, are not frivolous, \\4 4 Dated:___ September 10. 2019 Signature VA of) Print Signer’s Name _ Vaiitent F, @eeBiho ee Service of a copy of the within [ / s hereby admitted. Dated, Attorney(s) for Sir: Please take notice LINOTICE OF ENTRY that the within is a (certified) true copy of a duly entered in the office of the Clerk of the within named Court on NOTICE OF SETTLEMENT that an order of which the within is a true copy will be presented for settlement to the HON. one of the Judges of the within named Court, at on the day of at im. 19 of 19 ss EXHIBIT “B” DOC, NO. & RECEIVED NY¥YSCEF: 10/10/2 e000 08 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK index / case #: 655225/2019 ANY, ET AL ALLSTATE INSURANCE COMPANY, ETA AFFIDAVIT OF SERVICE COLUMBUS IMAGING CENTER, LLC, ET AL Defendant County, State ot AIC) LSBs 0€ z eing sworn, says: Deponsnt is not a party herein, is over the age of 18 years and resides in the Sta ; atlO:20 GroYpm at: 481 NORTH 15TH STREET NEWARK NJO7#O7 Deponent served the within: Notice oF execTRone FILING SUMMONS & VERIFIEID COMPLAINT On which were set forth the Index No., herein, and date of filing On: COLUMBUS IMAGING CENTER, LLC (herein after called the recipient) therain named. Individual By dollvering a true copy of each to sald recipiont personally; Deponent knew the person so served to be the person described In as said recipient therein Suitable Ags By delivering thereat a true copy of each to; person 4 person of sultabie age and discretion.Said pramises ls reciplants ) Actua! Place of Residence [ ] Actual Place of Bualnass within the State, Affixing to By affixing a true copy of gach to the door of said premises which Is reciplonts [ ] Actual Place of Residence Door | ] Actual Place of Business, within the State Deponent was unable with dua diligence to find recipient or person of sultable age and discretion thereat having called there A AAR tego errereerenr □□ Corporation By daiverng thereat a true copy of each a. YA KLIN - 973-48)-7T7G or Personally. Deponent know sald corporation / partnership #0 served to be the corporation / partnership described in sald Partnership aforementioned documont as sald recipient and knew said individual ta be Madi ing” gent thereof. i} Mailing Within 20 days of such delivery, or affixing, daponent enclosed a copy of same In a postpaid envelope property addressed to recipient at recipients last known [ ] Actual Place of Residence [ ] Actual Place of Business . at and depouited said envelopes In an official depository undor the exciuslve care and custody of the U.S. Postal Service within Now York State. The envelope bore the legend "personal and confidential" and did not indicateon the outside, thereof by retum eddress or otherwise that the communication was from an attormey or concerned an action against the defendant Description [ ] Mate White skin { } Black hair { ] 14-20 Yra { ] Undors { ] Under 166 Lbs Femaie [ ] Black skin □□ Brown halr ee Yrs (1 S*0"-5r3" { ] 100-130 Lbs { } Yellow akin [ }Grayhaie =f 136-50 Yrs} 5'4"-5'8" M 131-160 Lbs { } Brown akin [ }Blondehalr [ 151-65 ¥ra f }8s".6'0" [ □ 181-200 Lbs { } Red skin [ } Red hair [ }Over8é Yrs [ J] Overs' { ] Over 200 Lbs Other identifying Features Military (asked the person spoken to whether raciplant was In active military service of the United States or the State of Service New York In any capacity whatever and received a negative reply. The source of my Information and the grounds of my bollof are the conversations and observations above narrated. Subpoena Fee Tendered In the amount ef Sworn to 8 OF “1 i" IS (Print name below signature) 10, L We ie eel SANCWEZ. NOI GHEZ Work Order N 470081 NEW JERSEY ork Order No, FileNo, P903419 My Commivalon Byploes 4/28/2020 EXHIBIT ieee Yi AN Ede □□ LSP □□ 4 7 0 90 8 | SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK Index / case #: 655225/2079 ALLSTATE INSURANCE COMPANY, ET AL AFFIDAVIT OF SERVICE Plaindft COLUMBUS IMAGING CENTER, LLC, ET AL ' Defendant Moms County, State of: _sJ6e) Sanchez. being sworn, says: Deponent is not a party herein, is over the age of 18 years and resides in the Stateot fil) SEPSCit Q@hipm at: 481 NORTH 197H STREET NEWARK NJOTIO7 Deponent served the within: xonce oF eLectrontc FLING SUMMONS & VERWIEID COMPLAINT On which were set forth the Index No., herein, and date of filing On: MEDAID RADIOLOGY, LLC {herein after called the recipient} therein named. By delivering a true copy of each to sald recipient personally; Deponent knew tha parson so served to be the person described in as said recipient therein Suttable Age By delivering thereat a trus copy of sach to;. ee person @ person of suitable age end discretion.Sald premises is recipients [ ] Actual Place of Residence [ ] Actual Place of Business within the State. Affixing to By affixing a true copy of each to the door of sald premises which Is recipients £ J Actual Piace of Residence Door [ ] Actual Piace of Business, within the State Deponant was unable with due diligence to find recipient or person of aultabla age and discretion thereat having called there q ~ | - 3 Corporation By dollvering thereat a true copy of each to: * or personally. Deponent knew sald corporation / partnership so served to be the c tation / partharship described In sald Partnership aforementioned document as said recipient and knew said Individual to meng ere □□□□□□□□ Mailing Within 20 days of such delivery, or affixing, deponent enclosed a copy of same ina postpaid anvelope properly addressed to recipient at recipients last Known [ ] Actuz! Place of Residence [ } Actual Place of Business Peep ren epee nent anne es and deposited said envelope in an official depository under tha exclusive care and custody of the U.S. Postal Service within New York State. The anvelope bore the legend "parsonal and confkiential” and did not indicateon the outside, thereof by raturn atidress ar otherwise that the communication was from an attorney or conceamed an action against the defendant, TK Description [ }Male White skin { }Blackhale [ ] 14-20 Yrs { } Under 5 [ ] Under 100 Los (Alremaie = (J Black skin DABrownhalr [>Q21-35¥rs [| 8'0".8'3" [ 1100-130 Lbs [ □□ Yellow skin [ ]Grayhalr [ ] 36-80 Yrs hd 8'4"-5'8" i 431-160 Lbs [ □ Brown skin [ ]Blondehair [ 351-65 Yra [ J) s'8*-6'0" [ ] 181-200 Lis [ ] Red skin [ 1Red halr [ )Over66Y¥rs [ ] Overs’ { ] Over 200 Los Other tdentifying Featutes Milltary | aaked the person spoken to whether racipiont was jn active military service of the United States or the State of Service New York In any capacity whatever and recalved a negative reply. Tho source of my Information and tha grounds of my bolief are the convarsations and observationa above narrated. [_] Subpoena Fee Tendered In the amount af PTH <—L Swom to befo 0 rn CO bons ay 4 4) Co ton f 1) Pr (Esint name below signature) AX! Joel Sanchez PAOLA G, ‘SANG! NOTARY FURL OF NEW JERS Conniaslon lindas 4726/2020 Work Order No. 4 3 FieNo. P903419 7008 ss EXHIBIT ALT 470600 8 4 COURT OF THE STATE OF NEW YORK, OF NEW YORK Index / case #: 655225/2019 AFFIDAVIT OF SERVICE IMAGING CENTER, LLC, ET AL Defendant County, State on Aled Jers ing sworn, Deponent is not a party heraln, Is over the age of 18 years and resides in the Sta ’ at tl 3 Gnyem at: ZLOAKTRAILLROADHILLSDALE NJoveg2 served the within: hoTice oF guectnotc FUNG &. COMPLAINT which were set forth the Index No., herein, and date of filing REUVEN ALON-ALYOFF A/K/A ROB ALON (herein after called the recipient) tharein named. individual By delivering a true copy of each to said recipient personally; Deponent knew the peraon 80 served to be the person described in as saki recipient therein Suitable Age By delivering thereat a true copy tone, _fina Am person @ person of auitable age and discretion.Said premises Is recipients [ Ml Actual Place of Residence {J 4 Place of Business within the State, Affixing to By affixing a true copy of each to the door of sald premises which Is recipients [ ] Actual Place of Residence Door [ } Actual Piace of dusinese, within the State Deponent was unable with dive diligence to find recipient or person of sultable age and discretion thereat having called tree ere teense tere eer □□ flnenee □□ Corporation By delivering thereat a true copy ofeach to: or personally, Deponent knew ¢aid corporation / partnership bo served to be the corporation / parinership described in said aforementioned document as aakd recipient and knew sald individual to he thereof, Malling Within 20 days of such delivery, or affixing, deponent enclosed a copy cf same in a postpaid envelope property addresesd to at rec ki Mal Place of Residence ] Actual Place of Business at TEE Tirol oad Hinsclale hor Ome ee anions ee and deposited said envelope In an official depository under the exchisive care and custody of the U.S. Postal Service within New York State. The envelope bore the legend “personal and confidential” and did not indicateon the outslde, thereof by return address or otherwise that the communication was from an attomay of concemed an action against the defendant, i ] Male Chwnite akin { }Blackhailr = [ ] 44-20 Yrs { ]Unders { ] Under 100 Lbs gFemate [ ]Blackskin = =. = [ }Brownhalr [ ]21-38Yre □ ] SOI" [|] 100-1390 Lbe [ ] Yellow skin ( )Grayhair 38-60 ¥re hy B'a"'8" 4 134-180 Lbs { ]} Brown skin FpQBlondehalr [ }S1468Yre = [ ] 6°9".8'0" { ]161-200 Loe { ] Redskin ( ) Red hair { JOveréSYre [ Overs } Over 200 Lon Military asked the person spoken to whether recipient was in active military service of the Unked States or the State of Service New York In any capacity whatever and received a negative repty. The source of my information and the grounds of my beliof are the conversations and observations above narrated. Fee Tendered In the amount af —— fof nmr 5 ote " = to before ma on lOG\iG _ □□ □□□ hemes Bort wan ase “Themes Bari NOTARY Tin, □ S0083905, P80341 sty Covoerisslon Exgires OF Work Order No. 470084 EXHIBIT “E” UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK wane ee ee ee eee anemeememee ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Index No.: 655225/2019 ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY NOTICE INSURANCE COMPANY, Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. mn nnn on et en ne nn me NOTICE OF FILING OF NOTICE OF REMOVAL TO: CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK: Pursuant to 28 U.S.C. §§ 1441 and 1446, Defendants file herewith a true copy of the Notice of Removal previously filed in the United States District Court for the Southern District of New York under Docket No.: 20-CV-01108, Dated: Lake Success, New York February 7, 2020 Respecttully submitted, THE RUSSELL FRIEDMAN LAW GRrour LLP Attorneys for Defendants Medaid Radiology, LLC, Columbus Imaging Center, LLC, and Reuven Alon-Alvoff a/k/a Rob Alon By: /s/ Christopher M. Arzberger Christopher M. Arzberger 3000 Marcus Avenue, Suite 2E03 Lake Success, New York 11042 Tel: (516)355-9696 Fax: (516)726-8428 Email: carzberger(@rtriedmanlaw.com To: Vincent F. Gerbino, Esq. BRUNO, GERBINO & SORIANO, LLP Attorneys for Allstate 445 Broad Hollow Road, Suite 420 Melville, New York 11747 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ei ee ne ne XY ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Docket No.: ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY NOTICE OF INSURANCE COMPANY, REMOVAL Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. nnn ne em Pursuant to 28 U.S.C. §§ 1441 and 1446, Defendants MEDAID RADIOLOGY, LLC (“Medaid”), COLUMBUS IMAGING CENTER, LLC (“Columbus”), and REUVEN ALONALYOFF a/k/a ROB ALON (“Alon”) (collectively, referred to as “Defendants”, by and through their attorneys, The Russell Friedman Law Group LLP, jointly and collectively file this Notice of Removal for the above-captioned case, removing this case from the Supreme Court of the State of New York, County of New York (Index Number 655225/2019) to the United States District Court, Southern District of New York. Defendants respectfully represent and state as follows: I. On September 11, 2019, Plaintiffs ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (collectively, referred to as “Allstate” or “Plaintiffs”) 1 CAID227277/FL2917 commenced this action by filing a Verified Complaint in the Supreme Court of the State of New York, County of New York, Index Number 655225/2019, captioned ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY v. MEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, and REUVEN ALON-ALYOFF a/k/a ROB ALON (“Verified Complaint”). A copy of the Verified Complaint is annexed hereto as Exhibit A. 2, On January 20, 2020, Alistate’s attorneys, Bruno, Gerbino & Soriano, LLP, entered into a Stipulation with your affirmant’s law firm, wherein the attorneys for the respective parties agreed that “Defendants” time to answer, move, and/or otherwise respond with respect to the Complaint in the above-entitled action is hereby extended up to and including February 10, 2020” Exhibit B). A copy of the Stipulation is annexed hereto as Exhibit B. STANDARD FOR REMOVAL 3. Defendants file this Notice of Removal pursuant to 28 U.S.C. § 1441 (a), which provides that “any civil action brough in a State court of which the district courts of the United States have original jurisdiction, may be removed,” and pursuant to 28 U.S.C. § 1446 (b), which provides that notice of removal “shall be filed within thirty days after the receipt by the defendant, through service or otherwise, of a copy of the initial pleading” (Id. Emphasis Added). 4, Defendants are filing this Notice of Removal in compliance with 28 U.S.C. § 1441 (a) and 28 U.S.C, § 1446, and in accordance with the stipulation entered into between Allstate and Defendants. See Exhibit B. 2 CA/D227277/FL2917 DIVERSITY OF CITIZENSHIP 5. There exists complete diversity of citizenship between Allstate and Defendant within the meaning of 28 U.S.C. § 1332 (a), which provides, in pertinent part, that “district courts shall have original jurisdiction of all civil actions where the matter in controversy exceeds the sum or value of $75,000, exclusive of interest and costs, and is between citizens of different states.” 6. Plaintiff ALLSTATE INSURANCE COMPANY is an IIlinois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, Northbrook, Illinois 600626127. Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE INSURANCE COMPANY is a citizen of the state of Illinois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit C. 7. Plaintiff ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY is an [inois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, Northbrook, Illinois 60062-6127. Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY is a citizen of the state of Illinois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit ¢€. 8. Plaintiff ALLSTATE INDEMNITY COMPANY is an Illinois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, Northbrook, Ulinois 600626127. Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE INDEMNITY COMPANY is a citizen of the state of Illinois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit C. 9, Plaintiff ALLSTATE NORTHBROOK INDEMNITY COMPANY is an Illinois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, : 3 CA/D227277/FL29 17 Northbrook, Illinois 60062-6127. Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE NORTHBROOK INDEMNITY COMPANY is a citizen of the state of Illinois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit 10. Plaintiff ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY is an Illinois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, Northbrook, Illinois 60062-6127, Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY is a citizen of the state of hnois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit C. 11. Plaintiff ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY is an Illinois corporation with its principal place of business in Illinois, located at 2775 Sanders Road, Northbrook, Mlinois 60062-6127, Thus, for purposes of 28 U.S.C. § 1332 , Plaintiff ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY is a citizen of the state of Illinois. A copy of Allstate’s Combined Annual Statement listing its state of domicile is annexed hereto as Exhibit C. 12, Defendant Medaid is a New Jersey corporation with its principal place of business in New Jersey, located at 481 North 13" Street, Newark, New Jersey 07107. Thus, for purposes of 28 U.S.C. § 1332 , Medaid is a citizen of the state of New Jersey. 13. Defendant Columbus is a New Jersey corporation with its principal place of business in New Jersey, located at 481 North 13" Street, Newark, New Jersey 07107. Thus, for purposes of 28 U.S.C. § 1332 , Columbus is a citizen of the state of New Jersey. 4 CA/9227277/FL29 17 14. Defendant Alon is a citizen of the State of New Jersey with a domicile located at 78 Oak Trail Road, Hillsdale, New Jersey 07642, and therefore meets the requirements pursuant to 28 ULS.C. § 1332. 15. The Verified Complaint alleged that Allstate “seeks to recover restitution in the amount of approximately ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) for No-Fault reimbursements that the Defendants have obtained from [Allstate]...” (1, Exhibit A). Thus, the amount in controversy in this action exceeds $75,000.00, exclusive of interest and costs, as per the requirements of 28 U.S.C, § 1332(a). 16. Venue is proper in this Court pursuant to 28 U.S.C. § 1441 (b)(2), because there is diversity of citizenship between the parties. 17. Contemporaneous with the filing of this Notice of Removal, Defendants have given written notice to Allstate and have filed a copy of this Notice of Removal with the Clerk of the Supreme Court of the State of New York, County of New York, as well as a Notice of Filing the Notice for Removal. 18. By filing this Notice of Removal, Defendants do not waive any rights or defenses, including defenses related to subject matter jurisdiction, and expressly reserve all tights and defenses that they may have with respect to Allstate’s Action. Defendants jointly file this Notice of Removal. CONCLUSION 19. There exists complete diversity of citizenship between Allstate and Defendants. Plaintiffs, collectively, are comprised of corporations incorporated and domiciled in the state of □ Hlinois. Defendants, collectively, are domiciled in the State of New Jersey. As explained in detail above, the allegation in the Verified Complaint demonstrate that Allstate seeks damages in excess 3 CA/D227277/01,29 17 of $75,000.00 and, therefore, the amount in controversy exceeds $75,000.00, exclusive of interest and costs.; 20. This court has statutory and subject matter jurisdiction over this action pursuant to 28 U.S.C, § 1332, and this action is one which may be removed to federal district court by Defendants pursuant to 28 U.S.C. §§ 1441 and 1446, because the amount in controversy, on information and belief, in accordance with the Verified Complaint (See Exhibit A), and as set forth above, exceeds $75,000.00, exclusive of interest and costs, and because complete diversity of citizenship exists among Plaintiffs and Defendants. 21. Attached hereto as Exhibit D is the proposed Order for Removal to the United States District Court, Southern District of New York. PRAYER FOR RELIEF WHEREFORE, Defendants hereby give notice that this action is removed to the United State District Court, Southern District of New York. Dated: Lake Success, New York February 7, 2020 Respectfully submitted, THE RUSSELL FRIEDMAN LAW Group LLP Attorneys for Defendants Medaid Radiology, LLC, Columbus Imaging Center, LLC, and □ Reuven Alon-Alvoff a/k/a Rob Alon □ By: /s/ Christopher M. Arzberger Christopher M. Arzberger 3000 Marcus Avenue, Suite 2E03 Lake Success, New York 11042 Tel: (516)355-9696 Fax: (516)726-8428 Email: carzberger@rfriedmanlaw.com 6 CA/D227277/FL29 17 To: Vincent F. Gerbino, Esq. BRUNO, GERBINO & SORIANO, LLP Attorneys for Alistate 445 Broad Hollow Road, Suite 420 Melville, New York 11747 7 CA/D227277/FL29 17 Exhibit A BOC. NO. 2 RECBIVED NYSCEF: 09/11/201 SUPREME COURT OF THE STATE OF NEW YORE COUNTY OF NEW YORK wee neem ennaane nneneanene □□□□□□□□□□□□□□□□□□□□□□□ ain ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Index No.: ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND VERIFIED COMPLAINT CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstCOLUMBUS IMAGING CENTER, LLC, MEDAID RADIOLOGY, LLC, and REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. wana neem an anette naan nnanen tenement TO THE ABOVE-NAMED DEFENDANTS: COMPLAINT Plaintiffs, ALLSTATE INSURANCE COMPANY, and any and all of its subsidiaries and affiliates, including, but not limited to, ALLSFATE FIRE AND CASUALTY [INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (hereinafter collectively referred to as “ALLSTATE” or “Plaintiffs"), by their attorneys, BRUNO, GERBINO & SoriANO, LLP, as and for their Complaint against the Defendants, hereby allege as follow upon information and belief: 1 of 19 Doc. NO, 2 RECEIVED NYSCEF: □□□□□□□□□ INTRODUCTION 1, This action seeks to recover restitution in the amount of approximately ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) for No-Fault reimbursements that the Defendants have obtained from Plaintiffs by submitting, and causing to be submitted, numerous charges for Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) and X-Ray services (hereinafter the “No-Fault services”) for which the Defendants are not legally entitled to receive, In addition, Plaintiffs seek a declaratory judgment that Columbus Imaging Center, LLC (hereinafter referred to as “Columbus”) and Medaid Radiology, LLC (hereinafter referred to as “Medaid”) have no legal right to keep or receive payments from the Plaintiffs for No-Fault services which are performed by independent contractors who perform reads of radiological tests performed onsite. Plaintiffs also seek a declaration that Medaid is an unlicensed limited liability company, and due to their noncompliance with New Jersey state’s licensing statutes and regulations and New York’s No-Fault regulation, are not entitled to collect payment for services allegedly performed under Medaid. 2. The Defendants engaged in a systematic scheme to defraud Plaintiffs by submitting bills for reimbursement of No-Fault related services allegedly rendered to individuals who were reportedly involved in automobile incidents. 3, The Defendants are not entitled to seek, keep or receive No-Fault reimbursements from Plaintiffs and Plaintiffs are not obligated to pay reimbursements for any No-Fault related matters pertaining to Columbus or Medaid as the No-Fault services were rendered. by independent contractors. In addition, Medaid is not eligible to receive No-Fault reimbursements due to its failure to comply with New Jersey state licensure requirements, 4, Plaintiffs seek a declaratory judgment as to the following: 5 □ 2 of 19 DOC. NO. 2 RECEIVED NYSCEF: 09/11/20] a) That Plaintiffs are not obligated to provide any coverage, reimbursements, or pay any monies, sums, or funds to any of the Defendants named herein for any and all No-Fault services for which claims/bills have been submitted by Columbus and Medaid to Plaintiffs: b) That Columbus and Medaid lack standing to seek or receive NoFault reimbursements as the services billed are rendered by independent contractors; and c) That Medaid lacks standing to seek or receive No-Fault reimbursements as the entity is in violation of N.J.S.A. 26:2H-1, et seq., N.LA.C, 8:43E and 11 NYCRR 65-3.16(a)(12). 5, Plaintiffs seek a judgment over and against the Defendants for the recovery of monies, sums, and funds paid by Plaintiffs to the Defendants by virtue of the Defendants’ use of independent contractors and Defendant Medaid’s failure to maintain licensure. There are still thousands of dollars in claims which were submitted to Plaintiffs by Columbus and Medaid that have not yet been brought to suit or arbitrated. In total, Columbus and Medaid have submitted in excess of three hundred sixty-one thousand five hundred twenty-nine dollars and forty-two cents ($361,529.42) in claims to the Plaintiffs. The charts annexed hereto as Exhibits “A” and “B” represent the contested claims submitted to date from Columbus and Medaid respectively. 6. The Defendants’ business dealings are in violation of New York Law and public policy as the Defendants have retained the services of independent contractors to perform professional services for which Columbus and Medaid have submitted billing to the Plaintiffs. 7. Moreover, Defendant Medaid is operating without a license which is a violation of both New Jersey and New York state law. 8. In total, Plaintiffs seek judgment over and against the Defendants for the recovery of monies, sums and funds paid by the Plaintiffs to the Defendants in an approximate amount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63) by virtue of the Defendants’ ~3.- 3 of 18 DOC. NO. 2 RECEIVED WYSCEF: 09/11/201 improper use of independent contractors and the submission of claims for healthcare services performed by independent contractors to the Plaintiffs for reimbursetnent, and Defendant Medaid’s lack of licensure. In addition, the Plaintiffs seek a judicial determination that they do not have to honor, pay or reimburse the Defendants for any pending claims, I, THE PARTIES A The Plaintiffs 9, ALLSTATE INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York. 10. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Llinois, is a citizen of the State of Illinois, and duly authorized to engage in, and conduct the business of, insurance companies in New York. 11. ALLSTATE INDEMNITY COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York. 12. ALLSTATE NORTHBROOK INDEMNITY COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York, 13. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance -4- 4 of 19 DOC. NO. 2 RECEIVED NYSCEF: 09/11/20] companies in New York. ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY is a foreign corporation organized and existing under the laws of the State of Illinois, is a citizen of the State of Illinois, and is duly authorized to engage in, and conduct the business of, insurance companies in New York, B. The Corporate Healthcare Provider Defendants 15. Upon information and belief, Columbus Imaging Center, LLC 1s a New Jersey limited lability company with its principal place of business located at 481 North 13" Street, Newark, New Jersey 07107, 16. Upon information and belief, Medaid Radiology, LLC is an unlicensed New Jersey limited liability company with its principal place of business located at 481 North 13" Street, Newark, New Jersey 07107. C, The Layperson Defendant 17, | Upon information and belief, Reuven Alon-Alyoff a/k/a Rob Alon (hereinafter referred to as “Alon”) is a layperson and not a licensed medical professional. Alon retains complete ownership and control of Columbus and Medaid. JURISDICTION AND VENUE 18. Venue is appropriate in New York County pursuant to Section 503(c) of the New York Civil Practice Law and Rules as the Plaintiffs maintain a place of business in said county. WW. ALLEGATIONS COMMON TO ALL CAUSES OF ACTION A. An Overview of the No-Fault Laws 19. Plaintiffs underwrite automobile insurance in the State of New York. 20, New York’s No-Fault laws are designed to ensure that injured victims of motor ~5- § of 19 DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 vehicle accidents have an efficient mechanism to pay for and receive the healthcare services that they need. Under New York’s Comprehensive Motor Vehicle Reparations Act (N.Y. Ins. Law Section 5101, ef seg.) and the No-Fault Regulation (11 NYCRR 65, et seq.) automobile insurers are required to provide personal injury protection benefits (“No-Fault benefits”) to their insureds. □ 21. No-Fault benefits include up to $50,000.00 per insured for necessary expenses that are incurred for healthcare goods and services. An insured can assign his/her rights to the provider(s) of healthcare services in exchange for those services. Pursuant to a duly executed assignment, a healthcare provider may submit claims directly to an insurance company and receive payment for necessary medical services rendered by submitting a claim form. 22. Pursuant to the No-Fault Regulation, a professional corporation is not eligible to bill for or collect No-Fault benefits for services rendered by independent contractors and healthcare providers in possession of a direct assignment of benefits are entitled to bill and collect No-Fault benefits. There is both a statutory and regulatory prohibition against payment(s) of No-Fault benefits to anyone other than the patient or his or her healthcare provider. 23, Fora healthcare provider to be eligible to bill and to collect charges from an insurer for healthcare services pursuant to Insurance Law Section 5102(a), it must be the actual provider of the service. Under the Insurance Law and No-Fault Regulation, a professional service corporation is not eligible to bill for services, or to collect for those services from an insurer, where the services were rendered by persons who are not employees of the professional corporation. B. No-Fault Providers are not Entitled to No-Fault Reimbursements For Services Performed by Independent Contractors 24, 11 NYCRR §65-3,1 1 (a) states: An insurer shall pay benefits for any element of loss, other than death benefits, directly to the applicant or, when appropriate, to the applicant's parent or legal guardian or to any person legally -6- 6 of 13 DOC. NO. 2 RECEIVED NYSCEF: □□□□□□□□□ responsible for necessities, or, upon assignment by the applicant or any of the aforementioned persons, shail pay benefits directly to providers of health care services as covered under section five thousand one hundred two (a)(1) of this article, or to the applicant's employer for loss of earnings from work as authorized under section five thousand one hundred two (a)(2) of this article. Death benefits shall be paid to the estate of the eligible injured person. 25. The courts have interpreted 11 NYCRR §65-3.11(a) to prohibit a billing provider from recovering assigned first-party No-Fault benefits where the medical services were performed by an independent contractor. See: A.M Medical Services, P. C. v. Progressive Casualty Ins. Co, 953 N.Y.8.2d 219 (App. Div. 2d Dep’t 2012); Health & Endurance Medical, P. C. v. Liberty Mutual Ins, Co, 19 Misc. 3d 137(A) , N.Y. Slip Op. 50864(U) (App. Term 2d & 11th Dists, Apr. 14, 2008); East Coast Acupuncture, P.C. v, New York Cent, Mutual Ins., 18 Misc.3d 139(A) , N.Y. Slip Op. 50344(U) (App. Term 2d & 11" Dists. Feb. 21, 2008); V.8, Medical Services P. C, v. Allstate Ins. Co., 14 Misc.3d 130(A) , N.Y. Slip Op, 50016(U), (App. Term 2d & 11th Dists. Jan. 2, 2007); Health and Endurance Medical P. C. v, State Farm Mutual Auto Ins. Co., 12 Misc.3d 134(A) , N.Y. Slip Op. 5119 1(U) (App. Term 2d & 11th Dists. June 22, 2006); A.B. Medical Services PLLC v. Liberty Mutual Ins. Co., 9 Mise.3d 36, (App. Term 2d & 11th Dists, 2005); Rockaway Boulevard Medical P.C. v, Progressive Ins., 9 Misce.3d 52 (App. Term 2d & 11th Dists. 2005). 26. The Corporate Healthcare Provider Defendants have repeatedly submitted claim forms (No-Fault bills) for reimbursement of healthcare services that were rendered by independent contractors or non-employees of the professional corporation or PLLC. Since the individuals who are providing healthcare services ate independent contractors the Corporate Healthcare Provider Defendants are/were not entitled to receive No-Fault reimbursements. C. Licensure -~F- 7 of 19 DOC. NO. 2 RECEIVED NYSCEF: □□□□□□□□□ 27, Pursuant to New York’s No-Fault Regulation and the cases interpreting same, a healthcare service corporation is not eligible to bill for or collect No-Fault benefits if it is not properly licensed. 28. The applicable portion of the Regulation, found at 11 NYCRR 65-3.16(a)(12), states, in relevant part, as follows: A provider of health care services is not eligible for reimbursement under section 5102(a){1) of the Insurance Law if the provider fails to meet any applicable New York State or local licensing requirement necessary to perform such service in New York or meet any applicable licensing requirement necessary to perform such service in any other state in which such service is performed (emphasis added), 29. In addition, under New Jersey law a medical provider is eligible for reimbursement under Personal Injury Protection (PIP) coverage only if the provider complies with all significant qualifying requirements including New Jersey law and the Administrative Code. Allstate v. Orthopedic Evaluations, Inc., 300 N.J, Super, 510, 516 (App. Div. 1997). 30. New Jersey statutes and administrative code provisions applicable to the license of an MRI facility are N.J.S.A. 26:2H-1 through 26:2H-12 (Health Care Facilities Planning Act), N.J.A.C. Ch. 43A 8:43A-1.1 through 8:43A-33.4 (Standards for Licensure of Ambulatory Care Facilities) and N.J.A.C. Ch, 43E 8:43E-1.1 to 10.11 (General Licensure Procedures and Enforcement of Licensure Regulations). 31. Under N.J.S.A, 26:2H-2, a healthcare facility is defined as a: ...facility or institution, whether public or private, that is engaged principally in providing services for health maintenance organizations, diagnosis, or treatment of human disease, pain, injury, deformity, or physical condition, including, but not limited to, a general hospital, special hospital, mental hospital, public health center, diagnostic center, treatment center, rehabilitation center, 8 of 19 DOC. NO. 2 RECEIVED NYSCEF: □□□□□□□□□ extended care facility, skilled nursing home, nursing “home, intermediate care facility, tuberculosis hospital, chronic disease hospital, maternity hospital, outpatient clinic, dispensary, home health care agency, residential health care facility, dementia care home, and bioanalytical laboratory (except as specifically excluded hereunder), or central services facility serving one or more such institutions but excluding institutions that provide healing solely by prayer and excluding such bioanalytical laboratories as are independently owned and operated, and are not owned, operated, managed, or controlled, in whole or in part, directly or indirectly by any one or more health care facilities, and the predominant source of business of which is not by contract with health care facilities within the State of New Jersey and which solicit or accept specimens and operate predominantly in interstate commerce (emphasis □ added). 32, NJA.C. Ch. 43A 8:43A-1.1 further defines a health care facility to be one that provides ambulatory care services which include magnetic resonance imaging and computerized tomography, services which are provided by Medaid. 33. Magnetic resonance imaging and computerized tomography are services which require a license issued from New Jersey’s Department of Health. See, N.J.A.C. Ch. 434 8:43A2.2(b) and 8:43 A-2.3(a). 34, New Jersey’s Department of Health issues licenses and regulates healthcare facilities. New Jersey’s administrative code sets forth mandatory requirements pertaining to a facility’s licensing, inspections, surveys, document and/or data submissions, personnel licensure, certification or authorization, training, service plans, retention of a medical administrator, as well as other general requirements. See, N.J.A.C. Ch. 43A 8:43A-1,1 through 8:43A-33.4. It also imposes additional requirements upon a facility that provides computer tomography, magnetic resonance imaging and radiological services. See, Ch. 43A NJAC. 8:43A-25.1. 35. The legislative intent of these administrative codes is to “...protect the health and -g- 9 of 193 DOC. NO. 2 RECEIVED NYSCEF: 09/11/201 safety of patients who receive ambulatory care services by establishing minimum rules and standards of care with which an ambulatory care facility must comply in order to be licensed to operate in New Jersey.” See, Ch. 43A N.LA.C. 8:43A-1.2. 36. Under N.J.S.A. 26:2H-12(a): No health care service or health care facility shall he operated unless it shall: (1) possess a valid license issued pursuant to this act, which license shall specify the kind of kinds of health care services the facility is authorized to provide; (2) establish and maintain a uniform system of cost accounting approved by the commissioner, (3) establish and maintain a uniform system of reports and audits meeting the requirements of the commissioner; (4) prepare and review annually a long range plan for the provision of health care services; (5) establish and maintain a centralized, coordinated system of discharge planning which assures every patient a planned program of continuing care and which meets the requirements of the commissioner which requirements shall, where feasible, equal or exceed those standards and regulations established by the federal government for all federally-funded health care facilities but shall not require any person who is not in receipt of State or federal assistance to be discharged against his will {emphasis added). 37. Failure to adhere to the foregoing may be deemed a violation punishable by either a“... 1, Civil monetary penalty; 2. Curtailment of admissions; 3. Appointment of a receiver or temporary manager; 4. Provisional license; 5. Suspension of a license; 6. Revocation of a license; 7, Order to Cease and Desist operation of an unlicensed health care facility; and 8. Other remedies for violations of statutes as provided by State or Federa! law, or as authorized by Federal survey, certification, and enforcement regulations and agreements, See N.J.C.A. Ch. 43E 8:43E-3.1. A health care facility that operates without a license is specifically subject to a fine of $1,000 per day from the date of initiation of services. See, N.ILC.A, Ch, 43E 8:43E-3.4(a)(1). However, “[t]he Department may increase the penalties in (a) above up to the statutory maximum per violation per day in consideration of the economic benefit realized by the facility for noncompliance.” See, -10- 10 of 193 DOC. NO, 2 RECEIVED NYSCEF: 09/11/201 N.JIC.A. Ch. 43E 8:43E-3.4(c). 38. In the interest of protecting patients, both New York and New Jersey limit reimbursement of No-Fault services to healthcare providers that are properly licensed. An out-ofstate healthcare provider, such as Medaid, must maintain its New Jersey license in order to receive reimbursement under New York and New Jersey No-Fault law. However, as discussed below, Defendant Medaid has permitted its license to expire and is currently not in compliance with New Jersey law, DD The Results of Allstate’s Investigation 39, Allstate investigated the claims of various individuals who allegedly received diagnostic services at Columbus at the facility’s premises located at 481 North 13 Street, Newark, New Jersey, 40, _As part of its investigation into the operations of Columbus, Allstate conducted the Examination Under Oath (EUO) of Columbus on May 16, 2014, For its Examination Under Oath, Columbus produced Alon, who is the president and owner of Columbus. 4], Alon’s testimony provided insight into the daily operations of Columbus, particularly its use of independent contractors. A summary of Alon’s testimony is as follows: a) Alon testified that Dr. Allen Rothpearl is Columbus’ “medical director” who also does reads and that he replaced the first medical director, Dr. Gary Kronfeld, who stepped down after a few months due to a conflict of interest with the company with whom Dr. Kronfeld was employed;? b) Alon has an employment contract with Dr. Rothpearl through Dr. Rothpearl’s company, Complete Radiology Reading (CRR) Services, to have diagnostic scans read as an independent contractor and payment is made per read; ? ' See EUO Transcript of Reuven Alon-Alyoff, page 23, line 3 to page 24, line 6. ? See EUO Transcript of Reuven Alon-Alyoff, page 59, line 18 to page 60, line 15. -11- ll of 19 DOC, NO. 2 RECEIVED NYSCEF: 09/11/201 ¢) Dr. Rothpearl does not have a presence in the facility but works remotely from his office in Long Island where he electronically receives films/scans, dictates and then directs all further communication by phone or through email; 3 d} Dr. Rothpearl is solely responsible for reads except for when he is on vacation, and in those few instances, he retains radiologists to cover during his absence;' e) Alon testified that he retained a company owned by Dr. Lapas, a New Jersey radiologist, to be present for scans with contrast; > f) Dr. Boyle, an employee of Dr. Rothpearl, also performs reads; ° g) Dr. Damien, an employee of Dr, Lapas, also occasionally reads for Columbus; 7 and h) There are no other companies or doctors retained by Alon to read MRIs, CT scans or X-Rays. ° 42, Billing submitted by Columbus which was received by Allstate subsequently after the Plaintiffs began an investigation into Columbus’ use of independent contractors were denied on this basis, as well as other reasons. 43, Allstate continued to receive bills from Columbus until October of 2018 for services rendered in August of 2018, 44, Thereafter, billing by Columbus ceased and Medaid began to submit billing for the same purported services, The services billed by Medaid began in November of 2018, and many of the bills submitted indicated that the treating provider was an independent contractor. An example of such billing is annexed hereto as Exhibit “(C”. 45. Thus, it appears that the business operations of Columbus merely shifted to a newly + See EUO Transcript of Reuven Alon-Alvoff, page 61, line 8 to page 62, line 13, , * See EUO Transcript of Reuven Alon-Alyoff, page 63, lines 6 through 22. See EUIO Transcript of Reuven Alon-Alyoff, page 64, line 9 to page 65, line 24, * See EUO Transcript of Reuven Alon-Alyoff, page 65, lines 12 through 18, ” See EUO Transcript of Reuven Alon-Alyoff, page 66, line 25 to page 67, line 6, * See EUO Transcript of Reuven Alon-Alyoff, page 67, lines 7 through 14. -42- 12 of 19 DOC. NO. 2 NYSCEF: 09/11/201 named entity, Medaid. However, despite the change in name, all of the same characteristics once possessed by Columbus have been adopted by Medaid. Namely, Medaid operates from the same location, retains the same staff, equipment and manner of operation. 46. Furthermore, Medaid does not disguise their use of independent contractors as the Defendant indicates on their billing that the services provided are rendered by independent contractors. 47, Neither Columbus nor Medaid are eligible to receive reimbursement for No-Fault services rendered by independent contractors. 48. — Additionally, Medaid lack standing to receive No-Fault reimbursements as the company is operating in violation of New Jersey state law. 49, _ As part of its investigation, the Plaintiffs discovered that Medaid allowed its license to expire. According to New Jersey’s Department of Health, Defendant Alon initially obtained a license for Medaid on December 1, 2010 to operate as an ambulatory care facility; however, as of November 30, 2018, that license has since expired. IV. JUSTIFIABLE RELIANCE 50. Plaintiffs reasonably believed that Columbus was submitting bills for No-Fault services to which they were legally entitled to reimbursement. Evidence to the contrary was not discoverable until after patterns developed over the course of years. 51. During the course of Plaintiffs’ investigation, Columbus ceased to operate and shifted operations under a new corporate entity, Medaid. 32. Plaintiffs were required, under statutory obligations, to promptly and fairly process bills for No-Fault services within 30 days of receipt of same. 33. The facially valid documents and bills submitted to Plaintiffs in support of the claim ~13- 132 of 19 DOC. NO. 2 RECEIVED NYSCEF: 09/11/20: for No-Fault services were justifiably relied upon by Plaintiffs in issuing payment to Columbus. 54, Once it was discovered that Columbus and Medaid were utilizing independent contractors, the Plaintiffs began to deny claims based on their use of independent contractors to perform the No-Fault services. 55. However, before denying claims based on the foregoing, the Plaintiffs paid Columbus and Medaid reimbursements that they were not legally entitled to receive and/or retain, 56, Plaintiffs reasonably believed that the money they were reimbursing Columbus and Medaid for medical services rendered by Columbus and Medaid. 57, Evidence that the Columbus and Medaid operated in violation of the Jaw was not discoverable until after patterns developed over the course of years of activity. 58. In addition, the Plaintiffs only recently learned that Medaid is operating without a license, CLAIMS FOR RELIEF AS AND FOR PLAINTIFFS’ FIRST CAUSE OF ACTION AS AGAINST ALL DEFENDANTS (Unjust Enrichment/Restitution) 59. Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered 1 to 58 of this Complaint with the same force and effect as if set forth fully herein, and the Defendants are jointly and severally liable for the acts and omissions set forth in the aforementioned paragraphs. . 60. By reason of their wrongdoing, Defendants have been unjustly enriched at the expense of Plaintiffs, in that Defendants received monies, funds and sums from Plaintiffs that are the result of Defendants’ unlawful and illegal conduct. 61. That as a result of Defendants’ actions, Defendants received payments from -14- 14 of 19 DOC, NO. 2 OR eRIVED NYSCEF: 09/11/201 Plaintiffs that they were not entitled to receive and which they are not entitled to keep. 62. That by reason of the above, the Defendants have unjustly realized payments from Plaintiffs in an approximate amount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63). AS AND FOR PLAINTIFFS’ SECOND CAUSE OF ACTION AS AGAINST ALL DEFENDANTS (Declaratory Judgment ~ Independent Contractors) 63. Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered | to 62 of this Complaint with the same force and effect as if set forth fully herein, and the Defendants are jointly and severally liable for the acts and omissions set forth in the aforementioned paragraphs. 64. The Defendants do not have standing to submit or recover No-Fault benefits under New York State law due to their use of independent contractors who have performed the services for which they seek No-Fault reimbursement, 65. In view of the unlawful use of independent contractors in violation of 11 NYCRR §65-3.11(a), Columbus and Medaid do not have standing to submit or recover No-Fault benefits for services performed by independent contractors. 66. Plaintiffs seek a judicial determination that Columbus and Medaid are not entitled to reimbursement of pending charges or retention of any monies, sums or funds issued by the Plaintiffs for bills for No-Fault services which were submitted by the Defendants rather than the independent contractors who performed the services. AS AND FOR PLAINTIFFS’ THIRD CAUSE OF ACTION AS AGAINST DEFENDANT MEDAID (Declaratory Judgment — Lack of Licensure) 67, Plaintiffs repeat, reiterate and reallege the allegations set forth in paragraphs numbered | to 66 of this Complaint with the same force and effect as if set forth fully herein, and -15- 15 of 19 DOC. NG, 2 RECEIVED NYSCEF: 09/11/201 the Defendant Medaid is jointly and severally liable for the acts and omissions set forth in the aforementioned paragraphs. 68. The Defendant does not have standing to submit or recover No-Fault benefits under i] NYCRR 65-3.16(a)(12) due to its failure to maintain its corporate license with New Jersey's Department of Health, 69. In view of the Defendant’s expired license which is unlawful under 11 NYCRR 653.16(a)(12), as well as N.J.S.A. 26:2H-1 through 26:2H-12 and N.J.A.C. Ch, 43A 8:43A-1.1 through 8:43A-33.4, Medaid does not have standing to submit or recover No-Fault benefits for services performed subsequently after the expiration of its license. 70. ‘Plaintiffs seek a judicial determination that Medaid is not entitled to reimbursement or retention of any monies, sums or funds issued by the Plaintiffs for dates of service beginning November 30, 2018, and for any charges that which Medaid may submit in the future. WHEREFORE, Plaintiffs demand judgment against the Defendants, jointly and severally, as follows: (1) On the First Cause of Action, a declaratory judgment that the Defendants were unjustly enriched and an award of damages and judgment in favor of Plaintiffs over and against the Defendants representing restitution in an approximate ammount of ninety-nine thousand sixty dollars and sixty-three cents ($99,060.63); (2) On the Second Cause of Action, a declaratory judgment that the Defendants utilized independent contractors and are not entitled to seek, receive or retain No-Fault reimbursements, and that Plaintiffs are entitled to a judgment over and against the Defendants for such conduct involving the use of independent contractors; (3) On the Third Cause of Action, a declaratory judgment that Defendant Medaid’s corporate license is inactive and it is not entitled to seek, receive or retain No-Fault reimbursements for services rendered on November 30, 2018 and thereafter, and that Plaintiffs are entitled to a judgment over and against the Defendant; - 16 - 16 of 19 DOC. NO. 2 RECEIVED NYSCEF: 09/11/20] (4) ‘Such other and further relief that this Court deems just, proper and equitable. Dated: Melville, New York September 10, 2019 . Yours, etc., BRUNO, GERBI RIANO, LLP By: VINCENT F. G INO Attorneys for Pidintiffs 445 Broad Hollow Rdéad, Suite 420 Melville, New York 11747 (631) 390-0010 (631) 393-5497 - facsimile BG&S File No,; MRAD24-3600 ~417- 1? of 19 DOC, NG. 2 RECEIVED NYSCEF: 09/11/20: VERIFICATION STATE OF NEW YORK i) ) ss: COUNTY OF SUFFOLK _ ) VINCENT F, GERBINO, being duly sworn, deposes and says: [ am an attorney duly admitted to practice law in the Courts of the State of New York and J am a partner of the Law Offices of Bruno, Gerbino & Soriano, LLP, attorneys for the Plaintiff herein, an insurance corporation duly licensed by the State of New York. [ have read the foregoing complaint and know the contents thereof, and the same is true to my own knowledge except as to the matters therein stated to be alleged upon information and belief, and that as to those matters, I believe it to be true. I further state that the reason this verification is made by me and not by the Plaintiff is because said Plaintiff is a corporation and I am an attorney designated by said corporation for the purpose of initiating this proceeding. . VINCENT ACKNOWLEDGMENT STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK ) _ On this 10" day of September, 2019, before me personally appeared VINCENT fF. GERBINO, to me known and known to me to be the individual described in and who executed the foregoing complaint, and he duly acknowledged that he executed the same. Kee NOTARY PUBLIC . SCHEER Noten Publ, Stele oF New York Hite ara Gounty conteeion Expires Dec 22, 2020 18 of 19 DOC. NO, 2 RECRIVED NYSCEF: 09/11/20 index No.: SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK ALLSTATE INSURANCE COMPANY, et al., Plaintiff (s), -againstMEDAID RADIOLOGY, LLC, et al., Defendant(s) anette pen = an naten reer □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□ eR TN a SS AE Sl el BRUNO, GERBINO & SORIANO, LLP Attorney(s) for Plaintiffs 445 Broad Hollow Road — Suite 420 Melville, New York 11747 (631) 396-6010 70 Hilltop Road Ramsey, New Jersey 07446 (201) 995.1394 BOS@BGSLAW-NY.COM File No; MRAD24-3000 Pursuant 22 NYCRR i 30-1 _f-a, the undersigned an attorney admitted to practice in the court | of Newt York State, certifies that, ta the best of my knowledge, information and belief, formed after an inquiry reasonable uyded Mhe dircutnstances, the presentation of this document, or the contentions contained therein, are not frivolous. September 10, 2019 Signature __ VI Print Signer’s Name Ah 0 rare ie ea ot pcre 2 sg \_.._ / □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ve a nit. ppp □□□□□ □□□□ Service of a copy of the within [ ? hereby admitted. Dated, Attorney(s) for Sir: Please take notice OF ENTRY that the within is a (certified) true copy of a duly entered in the office of the Clerk of the within named Court on () NOTICE OF SETTLEMENT that an order of which the within is a true copy will be presented for settlement to the HON, one of the Judges of the within named Court, at on the day of at mn. 19 of 19 DOC. NO, 3 RECEIVED NYSCEF: 09/11/20: EXHIBIT “A” DOC. NOgiigtate Insurance Company, et al, v Medaid Radiology, LLC, et al. Exhibit "A" SRG WER eeeby □□□□□□□□□ COLUMBUS IMAGING CENTER LLC Event: San ning << oaieoea OR □□ 70 Upuicd mages Ula 1 508741501 Bill, «S| 0/16/2018 = $414.19 $0.00 3513097229 Bill =| 40/12/2018 =, $828.96 =| $0.00 | 4 813097229 Bill |. dgizeoig $901.45 $0.00 24 508559028 | Bill | 8/27/2018 81,837.68 | 80.00 39: 505245621 = 8/08/2018 | $828.31 | «80,00 Al §03729832 | Bill | 8/7/2018 $1,837.68 S000 45 §03726101 | Bill ' 7/30/2018 $1,837.68 50,00 DOC. NO aigtate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit "A" "Cains Submitted □□□ □□□□□□□□ COLUMBUS IMAGING CENTER LLC 46 | 801721914 Bill | 7/30/2018 | $1,837.68 □□ —«$0.00 483866923 | Bil 7/27/2018 $48.61 | $0.00 52 §00953203 | Bill 7/24/2018 $425.37 | 80.00 53, $00953203 Bill, =; 7/24/2018 = 8936.23 SS 80.00 553, 501325352 0 Bill | 7/24/2018 $1,837.68 $0.00 ase7es9sa [ait eyas/a0ig $1,837.68 | $0.00 5490493301 | ill S/4fao1g | $2,887.68 | $0.00 80 492732714 | SERS 80000 _ 83 49a3g5sog □□□ a/tj2oag $828.81 $0.00 _. 84, 499814896 | Bill, =| 4/9/2018 | 81,837.68: $1,837.68 85, __).489814896 | Bil | 4/9/2o1e | $1,672.33 | $1,672.38 [ail [ayefaoa $0.97 $521.28 87 a72ge6o11 | Bill, = 4/4/2018 | $828.32 «80,00 p91 490063104 ill 3/28/2018 gas0a Besa 92 . 487261471 Biil i 3/21/2018 i $801.97 | $801.97 NO alrgtate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit PERS submitted by? 2/11/29: COLUMBUS IMAGING CENTER LLC 95 4ggsaaaeg | Bill | /2a/20ig | $672.33 $4,087.01 97‘ ag726i471 | ill. =| aafaoie | Sa gavee | S1a37.68 98489641307 Bill 8/08/2018 $1,672.33 $1,087.01 99; 489641307 BN 3/15/2018 | $1,837.68 $1,194.49 _.101 482028768 Bill, = 8/13/2018 $861.62 «$861.62 _.. 102 | 486433246 | Bill = 8/12/2018 | $1,887.68 $1,837.68 104) 486433246 Bill 3/12/2018 | $1,672.33 | $1,672.33 106 | 487564718 | Bill = | 8/9/2018; $828.31 | 80,00 2, 479940780 | 2/2/2018 | Ee $1,837.68 {000 _ 24476944780 TB games sa00 26 | 476944760" ayafons sana 0.00 $30) 480564103 ill 29/2018 | Saddnag | $444.19 433 | 474386232) Bil | a/t8/aoig $425.96 | $0.00 134 474386232 | Bill 1/18/2018 $414.19 $0,00 43S | 482338274 Bill 1/6/2018 $672.33 8,672.83 i TOTAL: $168,105.45 ! $36,127.27 DOC, NO. 4 RECBKIVED NYSCEF: □□□□□□□□□ EXHIBIT “B” DOC. Nalistate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit "B " REfainny submitted by 09/11/20! MEDAID RADIOLOGY LLC sting Event “Caomuraber Malled! <7 2 Watnceaheg/ <8 “EnnAiO MEH Ulenea □ wo | 537014746 | Bill, «| 9/6/2on9 | 880197 | $801.97 ef ssaaoge72 ait gafaoig_ sae Sar □□ 3) 552408072 Bill 9/3/2019 ($2,639.68 Saas 7 4) 546883646 Bill | 8/49/2019} $1,656.62 | $1,487.34 sazoagesa "pil" 8/5/20ig | s1,243.08 "| $,193.32 eee ween 828.31 $0.00 | sa2ai7ez8 | bil 7/5/2019) $1,672.33) 81,503.02 $40497938. | il 7/2019 $878.1 | $834.20 36 542965942 Bil 6/27/2019 | $1,672.33 «SAB 7.31 38, san966321 [Bin /ta/aoas $aas1 $0.00 AO 514464271 Bill 6/19/2019 $801.97 : $801.97 ow Ad) $37266512 Bill | 6/8/2019 Saag $0.00 | «42417928 Bil | /23/2019 $1,837.68 $0.00 DOC. Naiistdte Insurance Company, et al, v Medaid Radiology, LLC, et al, Exhibit "8 ” PEGHAY ERAGE by 09/12/20: MEDAID RADIOLOGY LLC (47, sazai7eag Till 5/23/2019 | «$1,837.68 | «$0.00 48 sazai7o2g | Bill | 5/23/2019 $828.31 ~~ | ~SCS0.00 $2 539482851 Bi | 5/20/2039 | $1,837.68 $0.00 52 539482851 | Bill =) 8/20/2019 | $844.02, «S000 54 $39482851 | Bill | 8/20/2019 | $2,639.65 | $0.00 55 535516140 | Bil =| □□□□□□□□□□□□□□□□□□□□□□ 1,837.68 $0.00 56, 538112806 ail 5/n3/2019 |) S,26436 S000 59 Sere SL/R | __“8 887.68 $0.00 63, 535518906 | Bill □□ «4/29/2019 ==! SSSC«S 1,837.68 $0.00 532628856 Bill, =| 4/9/2019 $828.31 «80.00 76 333772919 | Bill, = 8/29/2019 |S 4,688.04 ~~ «S0.00 _ $33773065 | Bill 3/28/2019 $2831 $0.00 80. §a3643i28 bil /a0ig | $828.3 | $0.00 532884005 | Bill = 8/18/2019 $850.17, | 80.00 85 $31080620 Bill =| 2/28/2019 “pr saaas sa” $0.00 □ 86 528674658 | Bill +=] 2/26/2019 | $1,837.68 ~~ $0.00 SNE BL afae/ 2018S 887.68 $0.00 | 88 | S05626283 | ill 2/tz/20i9 | $828.31 | Sanat 92 | 528993553 | Bill | 2/8/2019 $1,703.42 §0.00 Nalistate Insurance Company, et al. v Medaid Radiclogy, LLC, et al. Exhibit "B " FOGims submitted by 09/11/20) MEDAID RADIOLOGY LLC □ 93 528993553. Bill 2/8/2019 | ~—s-: $828.31 $0.00, 94 | 528993553 sill 2/8/2019 | ~—S=—«#8$1,723.76 $0.00 95 527263123 | Bik =| «1/29/2019 SC«S 1,837.68 $0.00 98... |, 27263123 ill 1/29/2019 $844.02 $0.00 97 | 527736052 | Bill 1/28/2019, | $850.17 | $850.17 sa | 525222036 | Bill. □□□□□□□□□□□□□□□□□□□□□□ = ~S«S 4,672.33 $0.00 99) sa5aadesn | ei” | ayzaraongs.275.54 | 525884631 | Bill 1/24/2019 $414.77 | $414.77 101_—| 524535812 _ Bil | 4f2a/2o9, | $936.23 $670.35 ea “upiaois_«s901a5 | sa0n.as 103 | 524213626 | . Bill ft7/2019 §829,54 | $779.78 | | s24a13626 | Bill | a/t5/201_ | $426.08 $426.03 p105 | 524213626 | Bn | a/5/2019 ~~; ~=~SC«S BSA? «SC«SBBOLAT | 106525884631 | Bill, /ta/2019 $2,639.65 | _—$0.00 “107 sasseaen [ait | aysapnosa gana Sa 108 526834882 | ail 4/14/2019 $850.17 __ $850.17 | 109525222436 | Bil, =} 1/14/2019 | $1,688.04 0.00 10 | 520734369, Bill, =| 1/7/2019 | $828.31 | «$828.31 oe ee ae $850.17 ik 525222436 | Bill | 12/26/2018 $828.31 _ $0.00 ANB: 525222436 Bill, =| 12/26/2018 || $1,837.68 ~~ | $0.00 114: 520734369 | Bill | 12/26/2018 $901.45 |_|: $901.45 415 §18279641 7 Bill, 12/17/2018 || 85037 —«(|~S$0.00 _ 416 520734369 Bill | 2/t7/zo1g | $1,738.20 | $1,241.84 117 siseaages | Bil =| 12/10/2018 | $1,837.68 | ‘$0.00 4g Sases4a6s ill, ~— 12/10/2018 | ——«S,837.68 —~«| $0.00 119 : 518329727 — Bill 12/3/2018 i $901.45 | $901.45 120, $19802507 ill | 2/3/2018. | $4837.68 «$0.00 421, §19802507 | Bill, =| 12/3/2018 $828.31 | $0.00 122 518329727 | Bil | 12/3/2018 gi,686.04 | $4,688.04 423; 522696748 | Bill 11/26/2018 | $1,837.68 _ $0.00 124 | 516142908 | Bin [1/26/2018 $851.33 /_125__| 51614208 Bil | ay2e/ao18_ 85634 856.34 518435789 | Bi 11/5/2018 | $2,639.65 LC $2,145.77 127518435789 | Bil -—tusfaoe__[ saya [$0.00 128 §16395737 | Bill 11/5/2018 $1,738.20 $0.00 a 515862068 | will, =| 11/5/2018 | $1,672.33 | $0.00 □□□ 508741501 | ill, =| 1/a/2018 | 84,275.54 | $1,275.54 | 131 510548365 | Bil □□ 0/ag/2018. | $0145 SS S000 _ 132; 509968086 | Bil =| 10/29/2018 $828.31 S828 31 _. 133 | 509968086 Bill, | 10/29/2018 $850.47 $850.17 134, (510548365 | ‘Bill | 0/29/2018 i $1,672.33 | $0.00 135 s09ss80g6 | ill, =| 10/29/2018 $850.17 | $850.17 136511833295 | Bill 10/25/2018 $4,275.54 | $1,275.54 137i 511833295 | Bill, 0/25/2018 | Stat $414.19 138 | 515862068 | Bill =~ t0/22/2018 | $1,837.68 | $0.00 I : TOTAL: $193,423.97 $62,933.36 DOC. NO. 5 RECEIVED NYSCEF: □□□□□□□□□ EXHIBIT “C” DOC. NO, 5 RECEIVED NYSCEF: □□□□□□□□□ NEW YORK MOTOR VEHICLE NO-FAULT INSURANCE LAW VERIFICATION OF TREATMENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE (Thia form is not for verification of hespita! treatment } INSURED: _ URANCE CARRIER: 7 pamaial ALLSTATE INS (NY) ene P.O.BOX 2874 CLINTON, IA, $2738 DATE BOLICYHOLDER POLICY NUMBER DATE GF ACCIDENT) CLAIM NUMBER | ‘1212013 ie 08/21/2018 0522696748 PROVIDER: ome Medaid Radiology LEC (201)549-9998 PO BOX 826971 - Philadelphia PA 19182 . KINOLY COMPLETE AND SUBMIT THIS FORM AS SOON AS POSSIBLE, PLEASE NOTE, THIS COMPLETED FORM MUST BE SUBMITTED TO THE INSURER AS SOON AS REASONABLY POSSIBLE BUT NO LATER THAN 45 DAYS OF 180 DAYS AFTER THE TREATMENT DATE, SEPENDING LIFON THE POLICY ENDORSEMENT IN EFFECT AT THE TIME OF THE ACCIDENT. [F YOU ARE UNSURE OF THE APPLICABLE TIME REQUIREMENT, KINDLY CONTACT THE CLAIMS REPRESENTATIVE TO DETERMINE WHICH DEADLINE |S APPLICABLE TO THIS CLAIM iF YOU HAVE PREVIOUSLY SUBMITTED AN EARLIER REPORT ON THIS ACCIDENT, YOU NEED ONLY NOTE ANY GHANGES FROM THE INFORMATION PREVIOUSLY FURNISHED AND ADDITIONAL CHARGES, 7 BAMENTS NAME AND ABORESS □ ™ eens ———— one 2. GATE OF BIRTH GGCUPATION GF RNGWAS =~ ens |EdMate eamale 5 & GAGNOSIS CONCURRENT CONDITIONS ™ ~— ee " M54.2,M54.5 & WHEN TID SYMPTOMS FIRS) APPEAR? 7. WHEN DID PATIENT FinsT CONSULT YOU FOR THig DATE: 09/24/2048 CONDITION? DATE: 6. HAS PATIENT EVER HAD SAME ON SIMILAR CONDITION. □ — " — : yes | ] no Loe IF YES, state whan and describe: 8. 18 OONDITIGN SOLELY A RESULT OF THIS AUTOMOBILE AGG DENT? — ~~ — YES no TTT IF "NCP", explain; 10. iS CONDITION DUE TO INJURY ARISING OUT DF PATENTS EMOLOYMENT? ———e—— — □ ves [TT] no 11. FALE INJURY RESULT IN SIGNIFICANT DISEIGUREMENT ON PERMANENT DISAB YES [ no [7] NOT DETERMINABLE AT THIS TIME IF “YES describe: 12, PATIENT WAS DISABLED (UNABLE TO W STILT CIBABLED THE PATIENT SHOULD BE ABLE TO RETURN TO WORK ON: FROM: THROUGH: DATE ~ □ — CONTINUE ON PAGE ee N¥S FORM NFud (Rev 1/2004) Page + of 3 tenn eae enfin nee tenn nite □□□□□ □□ 201811260012075 MM 11262018 20L811268057630004 Received Date 11262018 DOC, NO. 5 RECEIVED NYSCEF: 09/11/201 : ! . : VERIFICATION OF TREATMENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE PAGE 2 14. WILL THE PATIENT REQUIRE REHABILITATION AND/OR OCCUPATIONAL THERAPY AS A RESULT OF THE INJURIES SUSTAINED IN THIS ACCIDENT? YES no [] (F YES, describe your recommendation below: 15. REPORT OF SERVICES RENDERED — ATTACH ADDITIONAL SHEETS IF NECESSARY OATE OF PLACE OF SERVICE DESCRIPTION OF TREATMENT CHARGES SERVICE INCLUDING ZIP CODE OR HEALTH SERVICE RENDERED TREATMENT CODE 10/1118 | 481 N 13ih St Newark NJ 07107 |} MRI CERVICAL SPINE W/O DYE} 72141 936.23 10/41/18 481 N 13th St Newark NJ 07107) MRI LUMBAR SPINE W/O DYE] 72148 $04.45 TOTAL CHARGES TO DATES($ 1,837.68 16. fF TREATING PROVIDER IS DIFFERENT THAN BILLING PROVIDER COMPLETE THE FOLLOWING: TREATING PROVIDER'S TITLE LICENSE OR BUSINESS RELATIONSHIP NAME ° CERTIFICATION NO. CHECK APPLICABLE BOX REDDY, VANGALA EMPLOYEE INDEPENDENT OTHER (SPECIFY) CONTRACTOR Z5MA09866600 [_ 17, IF THE PROVIDER OF SERVICE 16 A PROFESSIONAL SERVICE CORPORATION OR DOING BUSINESS UNDER AN ASSUMED NAME (DBA), LIST THE OWNER AND PROFESSIONAL LICENSING GREDENTIALS OF ALL. OWNERS (Provide an additional attachment If necessary). Medaid Radiclagy LLC , LICH 24404 rere nt errr ey ype, 14, IS PATIENT STILL UNDER YOUR CARE FOR THIS CONDITION? YES no [| 19, ESTIMATED DURATION OF FUTURE TREATMENT UNDETERMINED a iy PATIENT: Your health provider may agree to accept payment for health services performad directly from your Insurer (Authorization to Pay Benefits) so that you are not required to make payment to the health provider at the time of service. Such agreement Is optlonal on tha part of the health provider and must be signed by both patlent and health provider. You May use the optional authorization language provided below, by checking off the dasignated spot in item 20 of this form. 2a. (IF YOU HAVE CHOSEN TO AUTHORIZE THE DIRECT PAYMENT OF BENEFITS BY CHECKING THIS OPTION, YOU MAY NOT ALSO ENTER INTO AN ASSIGNMENT OF BENEFITS CONTAINED IN 621) AUTHORIZATION TO PAY BENEFITS: | AUTHORIZE PAYMENT OF HEALTH BENEFITS TO THE UNDERSIGNED HEALTH CARE PROVIDER OR SUPPLIER OF SERVICES DESCRIBED BELOW. ERETAIN ALL RIGHTS, PRIVILEGES AND REMEDIES TO WHICH 7 AM ENTITLED UNDER ARTICLE 51 (THE NO-FAULT PROVISION) OF THE INSURANCE LAW. PRINT NAME SIGNED PATIENT PATIENT DATE CONTINUE CN PAGE 3 NYS FORM NF-3 {Rav 1/200¢) . Page 2 of 3 201811260012075 MM 11262018 201811268057630004 Received Date 11262018 poc. NO. 5 RECEIVED NYSCEF: □□□□□□□□□ VERIFICATION GF TREATMENT BY ATTENDING PHYSICIAN OR OTHER PROVIDER OF HEALTH SERVICE PAGE 3 PATIENT: Your health provider may agree ta have you assign your right to No-Fault benefits from your Insurer directly to your naalth provider (Assignment of Benefits). Jf yau and your health provider agrae to an assignment of benefits, you must both sign the agreement contained in # 21 or the prescrlbed NF-AQE form or Its equivalent, Tha language contained In the assignment of benefits is mandatory and may not be altered or avoided by any other language added to this agreement or other written agreement. 21. x QF YOU HAVE CHOSEN TO ASSIGN YOUR BENEFITS TO THE HEALTH PROVIDER BY CHECKING THIS OPTION, YOU WAY NOT ALSO ENTER INTG AN AUTHORIZATION TO PAY BENERITS CONTAINED IN ITEM #29 ABOVE} ASSIGNMENT GF NO-FAULT BENEFITS: | HEREBY ASSIGN TO THE HEALTH CARE PROVIDER INDICATED BELOW ALL RIGHTS, PRIVILEGES AND REMEDIES TO PAYMENT FOR HEALTH CARE SERVICES PROVIDED BY THE ASSIGNEE TO WHICH } AM ENTITLED UNDER ARTICLE 54 (THE NO-FAULT STATUTE) OF THE INSURANCE LAW, THE ASSIGNEE HEREBY GERTIFIES THAT THEY HAVE NOT RECEIVED ANY PAYMENT FROM OR ON BEHALF OF THE ASSIGNOR AND SHALL NOT PURSUE PAYMENT DIRECTLY FROM THE ASSIGNOR FOR SERVICES PROVIDED BY SAID ASSIGNEE FOR INJURIES SUSTAINED BYE TO THE MOTOR VEHICLE ACCIDENT, NOTWITHSTANDING ANY OTHER AGREEMENT TO THE CONTRARY. THIS AGREEMENT MAY BE REVOKED BY THE ASSIGNEE WHEN BENEFITS ARE NOT PAYABLE BASED UPON THE ASSIGNOR'S LACK OF COVERAGE AND/OR VIOLATION OF A POLICY CONDITION DUE TO THE ACTIONS OR CONDUCT OF THE ASSIGNOR PRINT NAME Ay SIGNED SIGNATURE ON FILE PATIENT (Assignor} PATIENT PRINT NAME MEDAID RADIOLOGY LLC sianep !SGNATURE ON FILE PROVIDER OF HEALTH CARE SERVICE (Assignan) PROVIDER OF HEALTH CARE SERVICE HAS AN ORIGINAL AUTHORIZATION OR ASSIGNMENT PREVIOUSLY BEEN EXECUTED? ves [[___| no 1S THE ORIGINAL SIGNATURE OF THE PARTIES ON FILE? ves [J] sone ANY PERSON WHO KNOWINGLY AND WITH INTENT TO CEPRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR CONMERCIAL INSURANCE OR A STATEMENT OF CLAIM FOR ANY COMMERCIAL OR PERSONAL INSURANCE BENEFITS GONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, AND ANY PERSON WHO, IN CONNECTION WITH SUCH APPLICATION OR CLAIM, KNOWINGLY MAKES OR KNOWINGLY ASSISTS, ABETS, SOLICITS OR CONSPIRES WITH ANOTHER TO MAKE A FALSE REPORT OF THE THEFT, PESTRUCTION, DAMAGE OR CONVERSION OF ANY MOTOR VEHICLE TO A LAW ENFORCEMENT : AGENCY, THE DEPARTMENT OF MOTOR VEHICLES OR AN INSURANCE COMPANY, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME, AND SHALL ALSO BE SUBJECT TOA CIVIL PENALTY NOT TO EXCEED FIVE THOUSAND DOLLARS AND THE VALUE OF THE SUBJECT MOTOR VEHICLE OR STATED CLAIM FOR EACH VIOLATION. DATE PROVIDER'S SIGNATURE IRS/TIN IDENTIFICATION NO. WCB RATING CODE Reuven Ath, Owner’ . IF NONE, SPECIALTY uyen Ath, 2 11/21/2018 ‘ 83-1738297 R-DRA “LANGUAGE TO BE FILLED IN BY INSURER OR SELF-INSURER, NYS FORM NE-3 (Rev 1/2004) Paga 3 of 3 201611260012075 MM 11262018. 201811268057630004 Received Date 11262018 Exhibit B SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORE cneeaeaecnennemnntn cruaan Rene nEMMoENe □□ menareeeee nme ALLSTATE INSURANCE COMPANY, ALLSTATE Index No.: 6552252019 FIRE AND CASUALTY INSURANCE COMPARY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATEPROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, STIPULATION Plaintiffs, ~againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, and REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. nennn nenaenRd nnaenmennneana neaueenaamittenacn mame nat, IT IS HEREBY STIPULATED AND AGREED, by and between the undersigned atiomeys for all parties, as follows: L. Defendants’ time to answer, move, and/or otherwise respond with respect to the Complaint in the above-entitled action is hereby extended up to and including February 10, 2020. 2, Defendants waive all affirmative defenses based on personal jurisdiction and venue. 3, Facsimile signatures shall be deemed originals for the purposes of this Stipalation and this Stipulation may be executed in separate counterparts, Dated: January 20, 2020 BRUNO, GERBING & Sonsana, LLP THE RUSSELL FRIEDMAN Law Group, LLP Attorneys Jor Plaiptiiis \ Attorney far Defendants | □ OAT A / By: NR sme ele re canner By. Vince ye Gerbis i / Charles Harn 445 Broad Hojtow oad, Suite 420 3000 Marcus Avenue, Suite 2E03 Melville, New-York 11747 Lake Success, New York | 1042 Tel: 631.390.0010 Tel: 316.355 ,9696 264504712017 Exhibit C ATTA ATE PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED CECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE ALLSTATE INSURANCE GROUP and its affiliated property and sasuaily Insurers NAIC Group Code 0008 NAIC Company Code 00086 Mail Address 3075 SANDERS ROAD, SUITE H1E ' NORTHBROOK , IL 60062 (Street and Number or P.O, Box) (City or Town, State and Zip Gode) Combined Statement Contact ALMA LOPE? : 847-402-6704 ' alop5@allstate.com (Name) {Area Code) (Telephone Number} {E-mail Address) NAMES OF COMPANIES INCLUDED IN THIS STATEMENT Name of Gompany NAIC Company Gode Slate of Domicile Allstate Insurance Company: 19232 ILLINOIS. Allstate County Mutual Insurance Company 29335 TEXAS Allstate Fire and Casualty Insurance Company 28688 ILLINOIS Caatle Key Indemnity Company 10835 ILLINOIS Castle Kay Insurance Company 30511 ILLINOIS □ Allstata Indemnity Company 19240 ILLINOIS Allstate New Jersey Insurance Campany 10852 ILLINOIS Allstate New Jersey Property and Casually Insurance Company 12344 . ILLINGIS Allstale Northbrook Indemnity Company 36455 ILLINGIS Allstate North American Insurance Company 11110 ILLING|S Allstate Property and Gasualty Insurance Company 17230 ILLINGIS Allstate Taxas Lipyd's 26530 TEXAS Allstate Vehicle and Praperty Insurance Campany 37907 ILLINGIS Encompass Floridian Indermnity 11996 ILLINGIS Encompass Floridian Insurance Company 11993 iLLINGIS _ .___Encompass Home and Auto Insurance Company —_ 11252 ILLINCIS _.___ Encompass Indemnity Company . 15130 ILLINGIS nan ___ Encompass Independent Insurance Company ae 11251 ILLINGIS Encompass Insurance Company of New Jersey 11599 __. ILLINCIS . Encompass Insurance Company of Massachusetis 12154 MASSACHUSETTS _ _. Encompass Insurance Company . us 10358 ILLINOIS . . Encompass Insurance Campany of America _ 10071 ILLINOIS _ Encompass Property and Casually Insurance Company of New Jorsay 12496 ILLINOIS Encompass Property and Casually Company : 10072 ILLINOIS . ___North Light Specially Insurance Gompany 18167 __ ILLINOIS. Esurance Insurance Gompany 25712 WISCONSIN Esurance Insurance Company of New Jersey 21741 WISCONSIN Esurance Properly and Gasually Insurance Company 30210 WISCONSIN a. Is this an original fling? oo... Yes[ X |] No[ ] b. If na, 1. State the amendment number . 2. Dale filed... bo seeieenteseaee 3. Number of pages atlached, ....... NOTE: This annual statement contains combined data tor the property and casualty insurance companies listed above, compited in accordance with the NAIC instructions for the completion of annual statements, COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS ASSETS □ 1 2 3 4 Fe Yorn Assets Nonadmitted Assets ‘Cols, 1 - 2) Assets 1. Bonds {Schedule D) - □□□ coef 91,805,898, 182 Poe Pe 81,908, 995, 192 |. 28.882, 695,699 2, Stocks (Schedule D): 2.1 Preferred stocks - ve . Le Le 105,780,639 Posse OS, 760,639 | 83,885,604 2.2 Sommoan stocks cess deeeaneeeee ce ef eee F985, 520,282 Joo. 6,284,950 | 7,978,285, 912 |. 7,101,986 804 3. Mortgage loans on real astata (Schedule 8): 3.1 First [lens . - betes eetes seep eee 394,213,591 |. eeseeeeeeeeiitie tee oo 94,218,587 Po. 280,368 275 3.2 Other than first liens coe sete] cercceessseeeeee sees settee [esc fo ceeeeeees tise seceetne 4, Realestate (Schedule A): 4,1 Properties occupied by the company [less $ fon : encumbrances) Lee 235, 161,950 |. vce Pec 235,161,950 7.0... 252,633,337 . 4.2 Properties held fer the production of income {less $ - encumbrances} co earns eee D8, 794, 774 cece tates beeen) 98,704,774 [oo 93,569,519 4.3 Properties held far sale (less $ fee encumbrances) fete - sean ence ee cece tetera Peeeeee cee Pe ce ee eee tee 5, Cash ($ (730,947,061), Schedule & - Part 1), cash equivalents 991,454,638 , Schedule E - Part 2) and short-term Investments ($ 422,778,287 , Schedule DA)... cece fe eee eee BB Po Dee, 285,884 [1,254,704 557 6. Contract loans {including $ sees . pramium notes)... op... cece fo eteeeeteticoeee ee tontccecee [ese cases cseeneenens we coe ce tee 7. Derivatives (Schedule DB) |... veces trees fetter VF, 549 05d Poo, veceeeseeeesecies cee TF B49, 084 [19,438,270 8 Other invested assets (Schedule BA} |. . Jj... 4,905,747 086 wo 048,952 |. 4,290,808, 135 |... 3.648.701 568 9. Heceivable for securities cece .. 48,674,398 eects Peeeeeueeeeeeeee 874, 898 fo 10,128, 125 16. Securities lending reinvested collateral assets (Schedule DL} . 24,822,317 feces sees 4 822, 317 1,431,993 11. Aggregate write-ins for invested assets . cee □□□ cee fence cee seeteeeeeeeeses wesc veceeesice [occas sees 12. Sublotals, cash and Invested assets (Lines t to 11) _._. ceed 44,604,925 086 | 18,393,302 44 588,591,785 |... 41,599,473 621 13. Title plants less $ charged off {for Tile insurers only} : botnets cece econ eeeees ceee fester coceeseesteeeeee ceceeeees costs te caret Posen cece 14, Investment Income due and accrued cee ve ceeecaes 256,089,841 18T _ 255 039,680 B42, BS, 899 15, Premiums and considerations: 15,1 Uncollected premiums and agents’ balances in the course of collection ceed 350,228,203 [oo | 48,993,046 | 1,303,995, 157 | .............1, 392, 852,925 15.2 Doferred premiums and agents' balances and installments booked but defarrod and not yet due {including $ fo eetesesseee « earned but unbilled premiums) . □□□ settee _. 565, 178, 762 |. occas ceceeeeeee BBS, 178, 752. | 468,381,493 - 15.3 Accrued retrospective premlums ¢$ fee }and cantracts subject to redetermination (§ ._.. . view Fon cesceesee cece de cece te Peceeeeeee = nese beccseseee . 16, Reinsurance: 16.1 Amounts recoverable {rom reinsurers coe voces feces 87,866,918 seseseesoee sents a fee 87,866,316 coccceeeeeee BB, 731,323 16.2 Funds held by ar deposited with reinsured companies ... cee □□□ DE, MF cae SD YL. ce DT FEB Pe. 78 446 16.3 Cther amounts receivable under reinsurance contracts ce ee Pee 15,661,835 ve cceeeseeee vee Pee 15,869,885 fo 370, 260 17. Amounts recsivable relaling to uninsured plans seesnieee ee cee ee cece wee ee ceeeceeeeee sence sesseeeee beet Pee neeee ee 18.1 Current federal and foreign income tax recaverablo and interest thereon — [uw eteteetee settttetts ce ceeeeeeee seteeteeeeettitte cee Preece seetescceee 18.2 Net deferred tax asset . wie ceetteesee os [esssessseeee M2 888,208 Pe, Pa 052 |. 68059151 | 1 2d 987, 863 19, Guaranly funds receivable or on deposit |... . . . vee seccsneeeteee a tetteraeeeeeees feces ceneettee Pec cece 20. Electronic data processing equipment and sotiware ...... coe cee on B42, 387 965 70,083,461 fo 72,804,604 Po. 70,080,978 23. Furniture and equipment, including health care delivery assets ~ go. ) cece tee ce nantes eeepc seen ee B81 297, 188,891 he cc ce 22, Net adjustinent in assets and liabilities due to foreign exchange Tales. foe cess fe coeteteeeeetttcts tetceceeeeeee Peete teceeeetesecse ounce | ceceeeeeeeecee weiss 23, Receivables from parent, subsidiaries and affillales veces . cee ee BPP O98, 116 21,287,540 | 276,710,576 |. 186 244,023 24, Health care ($ _. ee } and other amounts receivable |... donee fo cece mneneeeee Peceeeee ua ccceesneeeeeee ceetsneeemeeetns + 25, Agdregate write-ins for other than Invested assels wceeeeeese 611,218 |. 214,207,487 | 108,403,758 | 89,023,276 26. Total assets excluding Separata Accaunts, Segregated Accounts and Pratectec! Cell Accounts {Lines 12 to 25). □□□ a -31,750,965,511 |. - B41, 136,228 | ..50 909,829,283 48244037 392 27. Froim Separate Accounts, Segregated Accounts and Protected Cell Accounts . Lue . cose |. seen epee ee cesses fo cicee teeeeneee 28. _Fotal {Lines 26 and 27) . _ 51,750,965,514 841, 136, 228 50,909,829, 283 48 244 057,332 DETAILS OF WRITE-INS □□ 1199, Totals {Lines 1101 thru (103 plus 1198}Line 11 above’ 2598. Totals {Lines 2501 thru 2803 plus 2598)(l ine 25 aliove 317,611,215 214.207 457 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS LIABILITIES, SURPLUS AND OTHER FUNDS i. Losses (Part 2A, Line 35, Column 8) . bocce vice tetesnatsvitensetiae ee cee 4,493,090, 184 ]0.18, 949 816,002 2. Reinsurance payable an paid losses and loss agjusiment expenses (Schedule F, Part 1, Gelumn 6) ceeenper eee 1 P87, B75 J 1,216,552 3, Loss adjustment expenses (Part 2A, Lina 35, Column 9) vaste eeseeete see fee 828, 682, 886 P8802, 179,886 4. Commissions payable. contingent commissions and other similar chargas bee ceeeeiinuttinite ce cavemen 192,386,303 |. =. 183,889,952 ° 5. Olher expenses {excluding taxes, licenses and fees) cess cece naeeeeeeiineeeeeneee ce consateeeseeeenmee ct cca feces eeseeed 2S, 295,974 [oo 1,095, 168, 422 6. Taxes, licenses and feas (excluding federal and foreign income taxes)... coe vests vessentaetestese seceveeew 16,198,424 | 107, 884, 145 □ 7.1 Current fedaral and foreign income laxes (including $ .. . 114,228 on realized capital gains (losses)... |... 237,404,814 | 351, 193,274 7.2 Net deferred tax liability . coe fetes eae cece : seceeseeteessvaee [ore oe . 8. Borrowed money $ . and interest thereon $ 32,427 bo cceseeeseesciee voces we Pecceeeseeeeseee 9. Unearned premiums {Parl 1A, Line 38, Column §) (aller degueting unearned premlums for ceded reinsurance of $ 208,094,897 and including warranty raservas of $$... -A1.803 and accrued accident and health experience rating retunds including $ wee for medical loss ratio rebate par tha Public Health Service Act) beste anes . foe coseeesanennns tes cece teenporn » HO, 608, 683,729 [2 10,441, 190,438 10, Advance premium .... . ceccerceeseneee cece ticeaeeeeneeeson pte cuecceeesceteeey fesceeeeer eee OFF ONT [ou .810, 567, 582 11, Dividends declared and unpaid: 17.1 Stockholders . cesses eseeeseeseeesses tescssneenaeenticsee cece ceeteseeeeeene cto tv teeeed| conten □□□ aeeeeecaseseveees eivneeeeess tessa teeseeter 14.2 Policyhakders weet cece decuetssuetenenetten 4 coe □□□□□□□□□□□□□□□□□□□□□ ceeeeeescneeetens Gi ctccceceees Poca ae vie veeeeeseverevees 12. Ceded reinsurance premiuins payable {net of ceding commissions) .... . □□□□□□□□□□□□□□□□□□□□□ coe vo teeceeeceeeceeteed en vee cee OSB OST Po 25,987 417 13. Funds held by company under reinsurance treaties (Schedule F, Part 3, Column 19)... cece □□ teepecee ee 4,270,080 |. 2,973, 133 34. Amounts withheld or retained by company far account of others ........ vee detec cena □□□□□□□□□□□□□□□□□□□□□□ 8B, 594,008 Joo. 82,866,753 15. Remittances and items not allocated dete tae cc ee ce cess beeper 24,195,021 21,410,413 16. Provision for reinsurance (including $ . certified) (Schedule F, Part 8). seceeeeseeess coves 80,085,085 [0 39,285,477 17. Net adjustments in assets anc liabilities due to Ioreign exchange rates. cic cisente ee □□ ceeeearsaesenne vette cece 10,608 18, Dratts ovistanding . . wae cee cece ee enesaee freee veeeeeeeee fore a . 19. Payable to parent, subsidlaries and aftiliales Sees . □□□ eseeee beet teteettene oe vecceceeetunceene 203,083,372 Yo. 168,140, 184 20. Derivatives . □□ Loe . wee decisis ete ccceeeteeceef ere 19,082,861 |... 5,476,013 21, Payable for securities Lo Loe bese testes wc eects betes tafe es AOS, 123,237 Po. 805,026,559 22. Payable for securilies lending - bette ce sevisteeseee + . □□□□□□□□□□□□□□□□□□□□□ ABZ, 689,487 | 578, 135,741 23. Liability for amounts held under uninsured plans. . cece □□□□□□□□□□□□□□□□□□□□□□□ sees fe seetcustteseeeteens | eeeeeteeerene ee cee Pe settee ee 24. Capital notes § . and interest thereon $ coe wees decseeesieeed cettituuetteeeees = epee ee 25. Aggregate write-ins for liabilities. wc vate veces vies vecceueesttss eee 426,751,153 425,073, 127 26. Total labilitles excluding protected call {fabilities (Linas 1 through 25)... bees veencteeeceeeeeree afc cee 02, 725, 178,968 | 91 901,720,838 27, Protected cell liabililies . □□□ beeceeeeeee coe ceenseeenenieeatees . 28. Total llabilities (Lines 26 and 27). secs be cerneeeees cece fetes testes ae 32,725, 178,966 |... 91,901,720,838 29. Aggregate write-ins for special surplus funds ce wees . Lobe veneeee veccteesecseee ee 92,979,088 fo... BF. 72d 6S? 30. Common capital stock . . ee cass eeevee - lute ie pee 22,805,300 ..22,903,900 41. Preferred capllal stock bee testcase coe cetecseeneneetenes cess eeseeee Loteeee|ec eee 500,000 |. . 500,00 32. Aggregate wrile-ins for other than special surplus funds. .......... ceeeee □□ ate cece annnnaef oe aneeeeee M00, 000 Joo. 2,000, 000 43, Surplis notes : cee cee ce sees bo eeeeeeeeeeeeeeeee cceteeete eects cece caeeteeeeeenmiee feesee a cee 34. Gross paid in and contributed surplus... co cecesnseueees ce ceceeneeicvnee ad. 4,082,829,419 |...........4,082,829,419 35. Unassigned funds (surplus) besueestiie coe □□ ccunaeseneueeeee vocceeeeseeee □□□□□□□□□□□□□□□□□□□□□□ [oeeesvene 044,098,535 [212,198 959, 116 36. Less treasury slock, al cost: 36.1 shares common (value Included in Line 30 $ cee } eeccsestesneennieees ceeetetteie tent ccseee [oseeeeenoeee betes 36.2 - ... Shares profarred (value included in Line 31 $ weet settee □□□ ccaeeeernteeeeenes aap ecseeeeenes ce cccceeeeeeeieee Pevse seuetmeseesveute se 37. Surplus as regards poiicyholders {Lines 29 to 35, loss 36} (Page 4, Line 39) cece cece eee eee 18, 184,650,317 16,342 318,492 88, TOTALS (Page 2, Lina 28, Gol, 3 DETAILS OF WRITE-NS Leon 2599, Tolals (Lines 2601 thru 2508 plus 2598)(Line 25 above 426,751, 153 425 073, 127 2999. Totals (Linos 2901 thru 2903 plus 2998)(Line 29 abave 92,979 063 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS STATEMENT OF INCOME Current Year Prior Year UNDERWRITING INCOME 4. Premiums eamed (Part 1, Line 35, Golumn 4) wees ve bcecceeeeees reson bee ceeessscsunnessnes: woof. 00,594,961,718 [29,680,948 244 DEDUCTIONS: 2. Lossas incurred (Part 2, Ling 35, Column 7} ce fceeeescenesetetss ue ce teresa fc TT 478, 184,949 858.814, 784 3. Loss adjustment expenses incurred (Part 3, Line 25, Column 1) cee - - Lotter 3,457, 169,300 |... ..9,892,824,914 4. Other underwriting expanses incurred {Part 3, Line 25, Colum 24 Fcesneeteenee criti □□□□□□□□□□□□□□□□□□□□□□□ BOE, 680,887 [7 480,842, 899 5. Aggregate wrile-Ins lar underwriting deductions . . : eee . ce ef ee cesses le teeseeseeeess cnet coed 6. Tolal underwriting deductions (Lines 2 through) dees sunvaeesteeeesee bo cece □□□ □□□□□□□□□□□□□□□□□□□□□□□□□ 28,708,015, 115 28 732 282 548 7. Netincome of protected cells . . a fteeecuneeete sees OP cece teens beeen eee & Netunderwriting gain or (loss) (Lina 1 minus Line 6 plus Lina 7)... ......... ..... _. seeeseeeees we Poe 1598, 946 600 [oo 48,635,686 INVESTMENT INCOME 9, Netinvesiment income eamed (Exhibit of Net investment Income, Line 17) □□□□□□□□□□□□□□□□□□□□□ cece wescefeee 1,969,431 474 [04,122,856 559 10. Net realized capital gains or (losses) less capital gains tax ........ ... 190,474,682 (Exhibit of Capital Gains (Losses}) 2 | □□□ cesses costeeeetenicsie cesteeecseesites ceceeneeessoeenniet sa cuneseseeeceassine 110,290,973 (199, 100,327) 11, Net invesimant gain (loss) (Lines 94 10) 0... .. costeeseeteiessssite sevieeeseneeesiess saan cece teaeeeeeoefe: cat □□ 722,447 923,756,232 OTHER INCOME 12. Net gain (loss) from agants' of premium balances charged off {ammount recovered $ . amount charged off $ ceccereee HOB, 174,998 J. cen □□□□□□□□□□□□□□□□□□□□□□ Poe ceeeel 103, 174, 895) 00105, 955, 807) 13. Finance and service charges nol included in premlums cecetieeeienie nee veces □□□□□□□□□□□□□□□□□□□□□ acccsssseee as caneereneeee O99, BFF, 482 | 229,664, 686 14. Aggregate write-in for miscellaneous income ce ecseees eosteeeceeeeen □□□ cueteeeeeeeiit te cece eee (3,623,925) (4,682,822) 15, Total other income (Lines 12 through 14) . □□ fc □□□□□□□□□□□□□□□□□□□□□ te tee cueeeeeeseeee scveteeneaeeenees 8 16. Nai income before dividends to policyholders, aftar capital gains tax and before all other federal and foreign income laxes (Limes 8417+ 15} . nutes bee cee eee cesceceee fy cee 28 49, 847,620 [oo 1,901, 417,895 17, Dividends to policyholders - bee cess woe celeelasineenneensee [ase anaes 18. Net incoms, after dividends to palicyholders, attar capital gaing tax and before all other laderal and foreign income taxes (Line 16 minus Line 17} . Loe vee aeeeeee ces seein feces 9G, PAB 547, 620 [7,991 417, 985 19. Federal and foreign income jaxes incurred... ee te teteesneee nee es : - angen ee] sara 20. Mel income {Line 18 minus Line 19X10 Line 22). ee cent oy tuatmnnne ace] 2,982,900, 178 | 1,434, 676,464 CAPITAL AND SURPLUS ACCOUNT 21. Surplus as regards policyholders, December 34 prior year (Page 4, Line 39, Column 2) .. cecceeeee cess eeceeeeceenee) ooccoee 1G, 42, 316,494 |. 16,052 498 482 22, Net lhcome (from Line 20} . veces be vescuesavesaees voce nef. 2 2,892,900, 178 | 1,494, 676.464 23. Net transfers (to) irom Protected Cell accounts sees cece dee cietteseeeee weeecceeeetetes Peeters ee cecceeceeseies [eee weeseetess sete eeesutee 24, Change in net unrealized capital galns or {losses} less capital gains taxot$ 6... 36,517 987 sentence [eee 1,000,426, □□□ 0.0... 557,944,495 25, Change In net unroalized foreign oxchange capital gain (loss) ce cueunteeeeen cee cee ce cee, 109,872 | 9,007,121 26, Change in net deferred income tax Le bece tees vee coeseee veces Cees bey (872,595, 747}) 000. 18,009,492 27, Change in nonadmilted assets (Exhibit of Nonadmitted Assets, Lina 28, Cal. 3) sessseene ne bee seneeenee ctf» 90,580,844 177,914,981 28, Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column i}. fcetetceen ee cee de 9,250,382 Joo... 3,623,792 29, Change in surplus notes tee . wee : seseeetesneee| 2 ee eeeteee Posen cee 30. Surplus (contributed to) withdrawn fram protected ceils - dete □□ ee seeeeteeeet cc feck cents eesnene ee ue cece 31, Curnulative effect of changes in accounting principles . cee eesceeeeee ceceeeetee cee ieee □□□□□□□□□□□□□□□□□□□□□ ecceseeseeeee bene |e cote cuneaeeees 42. Gapital changes: 32.1 Paid in . sees □ soeeneeeneeoee cect seeceeeneeee ee Pees woe cteteseeeeetes Pen cece = □ 92,2 Translerred from surplus (Stock Dividend) . - □□ cieeeeentten init ten cence neeeeeee neces cee Pee ce ae ce ceseeeeneesee 32.3 Transferred to surplus wee woes settee □□ ceeeeeetieeeeees veeelccsneeeeeeeens □□□□□□□□□□□□□□□□□□□□□ ooceeeeee cece on [eceseeeeneneees 43. Surplus adjusiments: 33.1 Paidin 2. . : sess : cece peseeteneeeeeeens oe cece oe sien see cee fee $B,B76 808 . 34.2 Transferred to capital (Stack Dividend) ween Stemming ceeesceeeeeeeeet □□□□□□□□□□□□□□□□□□□□□□ cccccceciee |eeseeeenriees Geneescceeeeeeetees eo □□□□□□□□□□□□□□□□□□□□□□ teen ne 33.3 Transferred from capital ae sees ceceeeseeee seein ee sects tee ceeccseneeed cece ene sesnaeseneenes feces a cecssteeeeeee . 34, Net remittances trom or (i0} Home Olfica wees cueeeeeeneeneee es costes Ve sseeesaeeneneeeeeees Ponce fe eens estes cececes cess tees we 36. Dividends to stockholders . . bees aecieseee . eeteeeeene etic cece eeesseerseel 1,812, 597, OOO} 0 01,915,297 900) 36, Change in lreasury slack {Page 3, Lines 36.1 and 36.2, Column 2 minus Column We ee cee tte Peeete eee cece ta Teneeeseseneene 37, Aggregate write-ins for gains and losses surplus... |. cee bccteee . ccecctee ere vs stesteeneee (2,841,000) 24,302 000 36. Change in surplus as regards policyholders for lhe year (Lines 22 through 37}... . seceeeeeteeet ocseeeceees 39. Surplus as ragards policyholders, Decembar 31 current year {Line 21 plus Line 38} (Page 3, Line 37} DETAILS OF WRITE-INS G599. Tolals {Linas 0501 thru 0509 plus 0598)(Line & above} : . 1499. Tolals {Lines 1407 thru 1403 plus 1496)[Line 14 above) . (3, 623,925)| (4,682, 822} 3799, Totals {Lines 3701 thru 3703 plus 3798}{Line 37 above) . (2,841,000) 24,302 000 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND IT'S AFFILIATED PROPERTY/CASUALTY INSURERS CASH FLOW | . . Cash fram Operations 1. Premiums collesied net of reinsurance... ce □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ eesesveeeee 415, 149, 225 | 20,794, 755,821 2. Netinvestment income cn we cesses □□□□□□□□□□□□□□□□□□□□□□□□□□ cesses [eeeessoeeeee 2, 12Q, 561, 526 [1,819,177 448 3. Miscellaneous income dette even eee cece eeeeseeeenee □□□□□□□□□□□□□□□□□□□□□□□□ 128,878,574 419,026 037 □ 4, Total {Lines 1 through 3) cease beeen □□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ace 32,673,683, 325 5, Benefil and loss telaled payments... _. sunsevessse aeeeieseeee ue coco ceeeeeeentvveeenae leteeseeneeeeneteeed cesses AG, 956,984,811 |_.17,089,679, 072 6, Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts oo... . □□□□□□□□□□□□□□□□□□□□□□□□□□ fl eseecseeseeseree tee ween nent 7. Commissions, expenses paid and aggregate write-ins for deductions ............ cette cceceeeeee cee cuneutteeetteersa eosssseeee 819, 398, 092] 10,617, 725, 500 8% Dividends paid to policyholders wee ceseeeteeticote deteeescuite ceeteesese koccceeete ceecteeeennete gets eetiaevesseenea □□□□□□□□□□□□□□□□□□□□□□□□□□ a tesseeceettees teste - 9. Federal and foreign income taxes paid (recovered) net of $ ........ 6,608,573 tax on capital galns {losses}... ..... 1,055,760, 565 452,972,207 10. Talal {Lines 5 through 3) . fe detnateee eee ne ceeeeeeneee lineeeeeee 29,998,145.908 | __28. 0,378,779 | Ti. Net cash fram operations (Line 4 minus Line 10}. ... . cesccesieteee se cece coctee eeeeeneesrin tp ty ceveceeeenees Cash trom Investments 12. Proceeds from Invesiments sold, matured or repaid: 12.1 Bonds... . □□□□□□□□□□□□□□□□□□□□□□□ cose cieeecneeeees □□□□□□□□□□□□□□□□□□□□□□□□□ Poo oa 184,480,883 1.21, 778, 199,951 12.2 Stacks sete a eeccesseeesiee costes □□ ceeseenseeneeseeeee Jeo s+ 4,320,242,448 1 4,205,938, 947 12.3 Morigage loans □ . bee eeeeee bee eee coe cecvnisneseeeee . 532,607 ce a FPO, 262, 582 12.4 Realestate . . ceseeenttetsteiiie foots oe cence fee 36,989 |... 1,958, 389 12.5 Glher Invested assets cesses eve eee woe Lune ne BSF, 296,619 |... 487,865,818 12.6 Net gains or {losses} on cash, cash equivalents and short-term investments cee □□□□□□□□□□□□□□□□□□□□□□□ sponse 10,504 |. (955, 433) 12.7 Miscellaneous procaads . bceeeteeseeeeenee be centeseteeetnesesnie 2,676,281 33,037, 787 12.8 Total investment proceeds {Lines 12.) to 12.7)... 00... cones cece ee □□□ feee. 26,002,286 282 |. 26, 676,685,991 13, Gost of investments acquired (long-tarm oily}: 13.1 Bonds Levees + cceceicceeeeneete ene ante sesvenneenesevaee coc ceeeeeeeceecceees feces 24, 048,676,743 |... 21,793, 744,511 13,2 Stocks - feet oe fete tte cee cece 4,269, 609,480 |. 4558644, 660 14.9 Mortgage loans . seventeen cece seettecenee| cece» 122,890,000 fo. 154,863,921 13.4 Real estate bce cesccettseees eats □□□□□□□□□□□□□□□□□□□□□□□□□ cee te sts eeeeeeentein eeceeersceeeeeees 18,980,570 [0000 | $2,878,600 13.5 Other invested assets ceo seeseeieseeeesaies sie 4 cases coueeetteveecricte vse seaesanennsea cossesseveeens AOD, 127,087 [oo 927,999, 044 14.6 Miscellaneous applications cette oe . coe □□□□□□□□□□□□□□□□□□□□□□□ 6 a □□□□□□□□□□□□□□□□□□□□□□□ + vressaseeen 58, 159,028 4492 250 13.7 Total investments acquired (Lines 14.1 to 13.8)... fe ve ccensueessaeeesoe ote coats ccueeeenaeessveee ceeveeeeeseneeeneeee 20,424 542 808 44. increase {decrease} in contract loans and premiumnoates . . cece sete eeeeeneeeee te ccceeeeeeeee| fC 78 Net cash fram investments (Line 12,8 minus Line 13.7 minus Lino 14) □□□ □□□□□□□□□□□□□□□□□□□□□□□□ vn (3,292,088.527}| 784.287, 004) Cash from Financlng and Miscellaneous Sources 18. Cash provide (applied): 16.1 Surplus notes, capital notes wee fete weseee eee foceeeeeeceeees cece wet ee wane □□□□□□□□□□□□□□□□□□□□□ 16,2 Capital and pald In surplus, lass treasury stock be cieeeeetetenie ek ceeecseneteeeee coe □□ □□□□□□□□□□□□□□□□□□□□□ ot gacce pecccce eens ca a [cesses essed 8678, BOS 16.3 Borrowad funds .. ceeceeeeees ce eeseeetceteie tees eeceeseeeneeieeece woe icsneetesteeseeetee □□ epee ceeceeeeeeeeeeees wo Pee cnet ce 16.4 Nat deposils on depasil-lype contracts and other insurance llabilties .... beeen tee seeceemeneetee ees wf ceccesteuseecse Voces oe 16.5 Dividends to stackhol¢ers weeseee ceccescecniee |b □□□□□□□□□□□□□□□□□□□□□□□□ 8c scsnenasenseeaneeeer ca Prone 1V612,5 97,000 100000. 1,676,068, 254 16.6 Other cash provided (applied} ee ee . cone veccetss setuestaeiieeee « ee § 946 878 200,746,979 17. Net cash fram financing and miscellaneous sources {Lines 16.1 to 16,4 minus Line 16.5 plus Line VOB) ee (1,606 570, 122} (1,306 644 467) RECONCILIATION OF CASH, GASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 18. Not change in cash, cash equivalents and short-term invesimants (Line 11, plus Linos 15 ANd 17) ooo. cee cee (1,151,418 692) 921,661, 157 19, Cash, cash equivalents and short-term investments: 19.1 Beginning of year bec cic wesstestee eee . veces tenets □□□□□□□□□□□□□□□□□□□□□ an) □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ W204, 704,555 | 918,023,998 □□□ End of period (Line 18 plus Lino 19.1} . 83,285, 864 1,294,704 555 Nole: Supplemental disclosures of cash flew information for non-cash transactions; 20,0001, Parttolio investaents exchanged costes oeeeeeeeeneeee □□□□□□□□□□□□□□□□□□□□□□□□□□ 0b □□□□□□□□□□□□□□□□□□□□□ ve ceeeees 1 198,965,238 | 1,094,534, 270 Ss in payable tor secur it ies acquired | coe coneeeeeeeeeetnt ne tment van tinmmmmeseeneeeeeen ani Poca Ml?, 825,199 fo. 994, 626, 493 20,0003. Decrease in commitment on low income housing investmants oo coecceeceeneee cece teens Pence: 94,667,901 J 9,982 884 29.0004, Portfalio honds exchanged Sec anecineeeeeteeny tte □□ fc ceecuenecneeeee eeieteeiiateenite eons foo a AOVOTB98T fou. 44, 119, 169 20,0008, Reinvestment of non-cash distributions from other invested assets ooo ccc enemranen . 66,566,651]. 20,0006, Donatlons . Lote eee □□□□□□□□□□□□□□□□□□□□□□□ co □□□□□□□□□□□□□□□□□□□□□□□□□□ sccceeeeeeeenee [occceenee oeee lO, 687.871 L029, 120,602 20.0007, Change in receivable for securities sold pe eee eee ete 00000 | eee ee | COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS Nole: Supplemental disclosures of cash flow information for non-cash transactions; 20.0008, Stock dividends received sense □□□ events bec tees etiaes seeneeeereee setecceeeeeee feceeee 14,514,200 |. 26,865,020 20,0009, Change in receivable from sacurities sold . be we eee Geieeeeee |e ve 989,082 Fo 60,645,718 20,0010. Portfolio Investments Exchanged lees cee □□□ ve vets aeseeea viveie aeeeee pe ccteeeeseeeee [eee we D198 946 Joo vee 20.0011. Steck dividends received - a return of capital Lee ee □□□□□□□□□□□□□□□□□□□□□□□□□□□□ free ce cee DAE. eesesetcsneeeennes 20.0012. Change in recievable for securities sold ce cee eee serene bn coccinea |eeeee ereeeeeeeeee es B42, BBB Po 464,636 20.0013, Dividends to pareni in the form of non-cash invested assets wee scenes be eetiessenenittstee cote et ae anton wee ose ceeees [eceeeesesenss 299, 228, 746 20,0014, Exchange traded funds portiolio exchanged ce cee sessevenees . coe □□□□□□□□□□□□□□□□□□□□□□□ | woes eeeeee 187019 074 20.0015. Giher invested assets sold. . . ce cecteeee ties eeeee betes testes [ccs □□□□□□□□□□□□□□□□□□□□□ we BS, 585 788 20,0016. Transfer of asseta/liabilities related 10 commutation... . eevee eects ce ceeteseeneeeeeene cet [octets cece atte [esceeessaeeree ee bl 147, 174 20.0017, Dividends received on limited partnership... □□□□□□□□□□□□□□□□□□□□□□ os deceit feet ee Pee. 8, 780,759 20.0018, Capital contribution to subsidiaries in the form of non-cash invasled assets bee teens □□□□□□□□□□□□□□□□□□□□□ fer cee so. 1,954, 828 20,0619, Aeal estale capital expenditure . ae . □□□□□□□□□□□□□□□□□□□□□□ [ae □□□□□□□□□□□□□□□□□□□□□□□□ etccceeeee cee PIB 20,0020. Contribution 10 Limited partnership . feces evstuneeteceeteeees cette ceeeeceeeceneeeeets ceccteeseste ceetetecerniee Pocussctssee 13,479 20.0021. Accounts Receivable for Long-Term Bonds weet settee □□ cccteeeceeneee bois □□□□□□□□□□□□□□□□□□□□□ vent cr ate Pesce wee [cores eneeeeeee dQ, P30, 000) COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AWD ITS AFFILIATED PROPERTY/CASUALTY INSURERS A ESTMENT E IT UNDERWRITING AND INVESTM XHIB ee ——_| re, REESE eee Net Premiums Deo. 31 Prior Year - Dec. 31 Current Premiums Earned Written per par Gol. 3, Year - per Col, § During Year Line of Business Column 6, Part 1B Last Year's Part 4 Parl iA Gols. 1+2-¢ 1. Fira ttt cafe 38,195,908 Po J7,017,506 |... 22,234,524 |. 82,984,380 2. Allied lines... . bie tennis see epee □ 2,096,431 |. cece oD Jo, 1,062,898 |. 2, 181,752 a. Farmowners mulliple peril cee we . cceeeeteeeeee . □□□□□□□□□□□□□□□□□□□□□□□□□ [oe . cesses sees ceneeeee 4, Homeowners muttiple peril Lees snes ee . F676, 354, 195 | 4 198, 156,075 | A T7819, 40d 7,636,070, 860 5. Commercial mulliple peril lee cae _...... 629, 832 667 see B40, 820, 87 . 331,299,789 |. ..639,353, 615 6 Mortgaga guaranty bee teccseeeee . cence we ceeeae vee . ceceeneees foe cice ciesesenstseetsese [eceeee csies ceecstseseeeeeeee 8. Ocean marine Lose vent eee wceeeese 5 490,829 eee ABE, 848 Po 2,828,888 fo Bd g. Inland marine . . □□ cenit fee ASF SAT Pd fo 99,998, 782 Po OF 888 OFT |. 199, 388 485 10. Financial guaranty : cccenee sceeeetiese pena sees fe ceteeeesneeeeeees | : cece Pee cee eesti ee ts 11.1 Madical professional liability oommrence □ □□□ to □□□□□□□□□□□□□□□□□□□□□□□□ [eoccceeeceene sectiete Peeseesereeeeeeeees - 11.2 Madical professional liability - claims-made oo. □□□ sees □□□□□□□□□□□□□□□□□□□□□ te tateeees [oseeseee cece eeeeieseee [eee nc ceeeeneennveee 12, Earlhquake beeen ee wf cee 8 49989 P1578 072 21,391, 507 veces 2 891, 596 13. Group accidant and heakh wees cesccssseaeee . cee bee we eeceeeeeeceeee |e ceceeeesseeeeeseeeee wet oe we i4, Gredit accident and heatth (group andindividual).. | . fee tee . cect sees . see ces dee teeta 15, Other accident andhealth. 2 |... □ etna oe centre ee cee secetesteses bese cece tenes ceases . 16. Workers' compensation... coe wees tesserae} seeesneeseeeee 125,350 |. vee DEO 430 |. 126, 980 17.1. Other liability - ascurrence - cena cee. 384, 129,587 □ AO, 805,848 0000 170,476,635 [328,958 599 17.2 Other liability - clalms-made sein tees testeenetcin ee sete cess focette ceeeeeecoeeeee tee cere enemas fener coco 17.3 Excess workers’ compensation - ee ae cep ee wo feceeee cee cette fe cee ee Le 18.1 Products liabliity - occurrence . eeeeeesie voc ceeee coven cee = 662475 | SPAS Pl 28808d | 47 BS 12.2 Praducts lability - claims-made . cece ues oe pe pee ee teteeteeteeei ee a cesses eecee [eee cect Pe cee ccsneereeee 49.1,19,2 Privale passengor auto Wability ce . 12,462,399, |. 3,217,226,015 |. 3,200, 582,874 |.12, 989,291 892 19.3,19.4 Cammerciat auto fiabllity - we veces oo ABT OPO 784 fo. 144, 185,838 D42, 780,414 |. 285,436, 188 21, Auto physical dainage bie cutee ee on B69, 824,284 | 2,282,907, □□□ 2,88 1.500,728 |... 8,790, 721,086 22. Aircratt (all perils) tee eebee eee secs fon cece eae Picceeeeeeee cece Pete eee 24, Fidetity be eof oe 8.542 eee 6,988 Pl. 8,946 wees lO, 561 24 Surety ne cocsnsne feos ae eve BOF □□□ foc a ce 289? 26. Burglary and theft ceettee □□ eeeeeteeeee este ceeeeeeee cece bvteeeteeneeees Jo cecceeceet cress aeanee [seeeeneeeee 27. Boiler and machinery senteeeeeee eee seoeseaf ccsseaeesseeeeeees we fe steemeeseeeeeees on [eesecsecceeeeeeee testteesee fetes cece 28, Credit we west cecccneeees cee Fete cece Poe cee sneneneeee cece 23, Intemational we tee eseueenteeee Jones ce seceeeeeneeeeniss cme fee te eevenseeateeee sue ceseeeee bee 30. Warranty veess wean ceeeef we cere AD B60, B67 Po seventh, OBS, 577585 31. Reinsurance - nonproportional assumed property 0... ceeeeee| oe ceeeceeee tee pee co cece cae [eseecssenecenee wots eee ate cesueneene 32. Reinsurance - nonpreportional assumed liability ... sess neee ee cesses □□ Peeeceeees see Poe detest eee B. Reinsurance - nonproportional assumed financial lines |... cette ee cee cence pees cece cece 4 34. Aggregale write-ins far other lines af business ve 27 711,906 § 659,208 5,967,701 28,003,514 4499, Totals (Lines 3401 thru 3403 plus 349BiLine 94 above’ 27 711,906 5,609,308 § 367,701 28,003,614 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANGE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS UNDERWRITING AND INVESTMENT EXHIBIT PART 1A - RECAPITULATION OF ALL PREMIUMS 1 2 3 4 5 Reserve for Rate Amount Unearned Amount Unearned Credits and (Running Gne Year 7 (Running More Than Relrospactive Tota] Reserve for . or Less from Dale One Year from Earned But Unbilled | Adjustments Based | Unearned Premiums 1, Fire. . cece 2 O31,524 Jo beets ee bit settee ce ag Poo eee 22,231,524 2, Allied linas . ce wo 1,062,808 weet ccteeeseteeeees Pe ee ueenieseeeececeee foo teenie fee 1,062,888 a Farnowners multipla peril... ee ee foo eee eee □□□□□□□□□□□□□□□□□□□□□ nen cane Feceee ener oe □□ cetete Pecreceeeeeeereen cee eee 4, Homeowners multiple peril cesses SII Pe ec □□□□□□□□□□□□□□□□□□□□□ fe bcc cneeeeetesesereees feos v4, 178,519,451 5 Commercial multiple peril cesses cossee es = 931,299,789 [oe . ce eceeeeseee feseeeesete cee cerweeevee Pocweeeeeseee a4, 208, 789 6 Morigage guaranty fc ee setcessnesseenenes cease seccececccictetee ce te [eceeeseereriee erect ene □□□□□□□□□□□□□□□□□□□□□□□□□□ cone 8. Ocean marine ... ... vecccetesssutseeee 2,526,963 [oe be eeescaeeseteeneeteee dees □□□□□□□□□□□□□□□□□□□□□ [ooo ae 2,026, 363 9. Inland marine Loe weet feces BP, BBB OST Poo. ae [eee betes Pesceeeeeeis ceceeeniee [eee OF 865, 081 14. Financial guaranty settee cette wee □□□□□□□□□□□□□□□□□□□□□□ . eeeenneenee be □□□□□□□□□□□□□□□□□□□□□□□ tt Pectccccee cceseneecene ene eeseeenecenees sineessvse cones 11.1. Medical professional liability - o¢currance ._......]-- sec cetie Peete ee ccseee fcc tenuuesseseneeneenes Peceees cece ueeeeeee beets cosets 11.2 Medical professional liabilily - claims-made - cee becca ceeeeeee : odo ceceeeeeeenies [oes cecctrcseeeeeeees [occsecene ceeeeseccsneees 12, Earthquake Scenes cece TOBE BOF Jo feet ete annie |eceeee eee ctceeeeesnee J ceeceeeeeeeee 1,501,997 13. Group accident and health... we feeeee os cece [eee sects fe fot ccceeeeeeeeeeeeeiete bie □□□□□□□□□□□□□□□□□□□□□□ [oa oe sees 14. Credil accident and health (group and individual) Le cteeeeef eee cee ft teeeestenennenenes voce wees [eects cee Pee □□□ □ 15. Olher accident and health... ve ape cee Pees csieanee vtec ates [eee □□□□□□□□□□□□□□□□□□□□□□□□□ ce boas cece = 16, Workers’ compensation eee ADP ceveesnesseeseneee eee Pees aeseeates fetessseee . 420 17.1 Other liability - occurrance 170,476,635 |... . cee We □□ teateeteseneceee: Pee cece cee a | cates weve eed 70,476 638 17.2 Other liability - clalms-made cece cee [eects : coe teeetternmenetee Peeieeieeee ae . - vee 17.8 Excess workers’ compensation cee . ce leet aetcieeeeeee cece cteneeeeeeene wee □□□ eeeeeeeeee beste [eee . 18.1 Products liability - occurrence oo... Cope 289,093 foo. cccattesee feet uceeeeseieseetesee [oor □□□□□□□□□□□□□□□□□□□□□□□□ bocce 289, 093 18.2 = Products llabllty-ciaims-made ..... .......] eevee coco ceeeeeeeeee tote feseeeeseeseee tree ce ove testes Pee ee . 18.1, 19,2 Private passenger aute llability - | 3,290,392.874 |. cess eeeiceeneee ete □□□□□□□□□□□□□□□□□□□□□□□□ [toccesceceecce ces a ter ee Peceeesseesees, 290,392, B74 19.3,19.4 Commercial auto liability. veces cece WFAA Po, wo fees seceesstessecseeceee [i pe eccemeeteeceeteaee Penne scree 42, 730, 4146 21. Auto physical damage | .. ce .. 2,361 500,728 eect cetieeeeee coe tees Pee ee fo 2,861,500, 728 22, Aircraft (all parils} cece vee ween ceueseeees □□□□□□□□□□□□□□□□□□□□□ . . cee fee cote eeeeeees 23. Fidelity a. B86 eee fee Peeeaseinete ee 48 24. Surety □□ eae eee 2 ABA we feces feces fee be sen eneneseiene eects cose ceeeee A, 484 26, Burglary and thell we : . bette boneteeee sects aes [eteeeeeec . cece : 27. Boiler and machinery . eee cose te tteee eveeee bees cccenneeneneenees bee cecsseteenneestens oe cee 29, international . seed □□□ tee | cates ceeeeeeeeee fee tceseeeeteetitns te cteeceies feceeeceeet gen eteseeeatenee Prue eee cece eee 30. Warranty . ce cose 3,003,072 [oo costes ceeeeeeeeeeeeeeeeee Vee tees [estes JOBS, 072 aw. Reinsurance - nonproportional assumed property . secede fet eee foe ea □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Pees teeeeecereeeeeeeeees Po cee sees 32, Rainsurance - nonproportional assumed liability . . te teetetceaeee Peeeesseeeeees cece Pome sees foe veecceeeeeeeee □□□□□□□□□□□□□□□□□□□□□□ □□ tuttccccee Proce eee Ln 33. Relnsurance - nonpraportional assumed financlal lines . ee co cee □□□□□□□□□□□□□□□□□□□□□□ cece ee neeeneeneee Peeeeee cette | one □□□□□□□□□□□□□□□□□□□□□□□ 34, Aggregate wrile-ins for other |Ines of business 3,967,701 6,367,701 36, TOTALS | o.on8,068 720 | i 728 3B. Accrued retrospective pramiums based on oxperience ........ estes eee □□□□□□□□□□□□□□□□□□□□□□ 0g □□□□□□□□□□□□□□□□□□□□□□□ y cased) suteeessene co cee a7, Earned but unbilled premiums. cece ee ceeetssteseeseee coeeceeeeee = ceceseesesscseaense vee ceeeceicete ce tevsve snnsteseesund) □□□□□□□□□□□□□□□□□□□□□□□ □ 38, Balance (Sur of Line 35 thraugh 37 10,608 683,729 3499. Totals {Lines 3461 thn 3409 plus 3496)(Line . 34 above} 5,967,704 5,367,701 {a} Stale here basis of computation used in gach case Monthly pro rata eecesceeeteeese eeveelaseveeesse □□□□□□□□□□□□□□□□□□□□□□□ gosy suatenninecneeesiee 0 □□□□□□□□□□□□□□□□□□□□□□ COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND IT'S AFFILIATED PROPERTY/CASUALTY INSURERS UNDERWRITING AND INVESTMENT EXHIBIT [1] 2 3 4 5 Net Premiums Written Line of Business Direct Business (a From Affiliates To Alfiliaies 1. Fire veces 90,149,498 Po cece cee DOIG MB Po sessssenneensee MO? 214 |, 38,195,398 2. Allied lines ae eeef ee eoeeee 263,384, eocceeeeeeeeeee veces ee OF BQO) oe fo ee 281 256, 087 |. 2,096,431 - 3. Farmowners multiple peri. 20.02 po eee Pee □□□ «fete ves essssseeessssse anes Pescacesesseceeeeee □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Pees aueecceenieseeeeee 4, Homeowners muttiple perl... 7,957 402, 620 ce fe PROP ABT Pc fw. 308,944,676 | 7,676,394, 195 5. Commercial multipla peril Le BAS, B07, 404 cece nee DAT FI Pe Pe wi 14,996,449 [oo 829,892, 687 6. Morlgage guaranty che ee ceceeeeeeeesoeee ects) Pas ececceeeteeneetes a tee □□□□□□□□□□□□□□□□□□□□□ ee [ese □□□□□□□□□□□□□□□□□□□□□□□□□ 8. Ocean marine Loe . 5,491,914 ceeee cee wee eee oo, coceteeeeeeeneed POG Pi 6,400,329 9. Intand marine bie 929,988 ees ee cee ATO BIB Jo cvceeeeeeee 128,782 [187,811,744 10, Financial guaranty . feta . cesses beeen eeeeeeee be coeeceeeeeeeeeesie seceeeeeeeeeee oe [eeceeeee cece 11.1 Madical professional liability - 11.2 Medleal professional tiabllity - claims-made - bocce foe settee Pe ee [oe neers ee beeen os 12. Earthquake .. □□□ 2 BBP 909 [fo fsaeeeeaeiee [eseee pecs fe ceseeeer □□□ A OBB | 2, 74G, 922 13. Group accident and health 0} te [eee cee cee Pee sec ceeeseenee [eects teecaeceeeeeseeetees fae ceteeeeeteeteenies Pancteccccce ieee 14, Credit accident and health (group and Individuad) eee poe octets tee ceeeeeeeeeeees cceeeeeeeeeeetceee anatees feceeeeeees tects [eee cette cece 18. Other accident and health ce wees Poe cece foe settee Dee on feneseeesteseeete tactcsmeeee Poceeene soctaneeeee 16. Workers’ compensation cece 76,897 [ou cents [eee ABS | ce Pees 126, 380 17.1 Other liability - occurrence cee 398, 2G Pe. «feet seceeeeee eee cee 1,462,293 | 2,881,280 | 304, 129,387 17.20 Other liability - claims-made . ce tee cette □□ tee Pere ee [ee eee Peo □□□ 17.48 Excess workers’ compensation coe : cieeeeeee ce cecsnes [eeeeeeee ccceeeeeee ve seeteenete ee □□ cceeeeee 18.1 Products liability - occurrence . B27, OF tec AE BBB Pe fe cece Pence B62, 175) 18.2 = Products liability - claims-made we . ceteeeewceeeee fe cee cose i Peeecteceee □□ ne ee □□ fee fee 18.1.19.2 Private passenger auto liability 42,619, 783,837 Jo. ce BBB 982 J 020,372 |... 12,462, 399,391 19.3.19.4 Commercial auto liability |. 283,235, 475 ptt Po BETO OBE Fo pw B85 795 | 281, 978, 734 a1. Auto physical damage .... .. 9,896,998,931 settee ot Pesce tO OTE B44 Po dh _37,486,382 | 8,869,824, 283 22, Airerall {all perils) - we tees veces teeeeticee cect ieee □□□ □□□ fo cents caeneeeeeesee oe 2a. Fidelity . pene . 8542 |. coccceeeeeee seceese sotessee « ceeceeeeteees wtuteseesee [ose coceeteeeeees fess B 542 24, Surety Lo. . 2,865 |. voce teen veretecnteneeee TM Pe a eee fee ee cece eth cesses 2 OO? 26. Burglary and theft wa coe fee ween fot etie teeeeeee cceeeseesseets teeters feseeee cee ceeteeie ee 27, Boiler and machinery □ cee 989,620 |. cece □□ Pra nee fee 9,989,620 bee ceseeeesarsneeeee 2a. Cradil . cee fee eee 1989 B82 Po. cece cece Po cee D889, 062 |. cece | bessie vine eeeee 29. Inlernational Le . secs eo [eee cece Peo ee fs canaeeee cece decent + sete Pec sete 30. Warranty . cece BBB Ye BOBO O87 PBA 3,660, 657 31. Reinsurance - nonproportional assumed properly wef KK Pe wee beeeeeee : cece | oa ceecceeeseeeeeeteeee ceceeee scenes ee cece 32, Rainsurange - nonpropartional assumad [lability 2 KKK . eesseeeceetees □□ ette cssceeeeeeee tee [eesti cates [oo ceeeseeeneens anes eee ceeececeeeeee tee 33. Reinsurance - nonproportional assumed financial Ilnes |. wccesee cee HK eee cep ceeeeeeeeesseees we fee seers | eecceccecececee net Peete nee foe seecteeneseenees 34. Aggregate write-ins for olher lines of business . wee 27,711,906 27,711,906 6. TOWNS | sizesmow| | ot.nen DETAILS OF WRITE-INS | 3499, Totals (Lines 3401 thru 3403 plus , 3498)}(Line 34 above) FFT, O08 . . 277 tt 906 Does tha company's direct premiums written include pramiums recordod on an installmont basis? Yes [ | & } Iyes: 1. The amount of such installment premiums $ □□□ uae 2. Amount at which such installment pramiums woukl have been reported had they beon reported on an annualized basis $ cece ane □□□ S886 ees eh: € owe os ig@f8 sj ele 53 BAN Rea x (8 (SF Se BB: : ob Seas : 2 Qe BR Soed s . ° oo ' i coin | : : offfut . fol fo Boe. 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Dt ge 2 Bae : S a : . | ue □ Z Se ‘258 Pa b : Da gene St aa 2 : to: “ ge A os a : Li : : i Poa Pes = □□ ga SB: = : is Pu! aa — po if a og poral RB Ee oO : Po □□ : Og icle & <= pid 7 bbs □□□ SS a Le Do pb oe : : a nm a : : i : a a oot : bo 7 Dd pe uw 3 : : □□ : pot - pa 2 x : : pi : : es a 8 : □□ gs SG 3 □□ □ en Di i : Db EG : o : : big fd : Po oO = 5 : : : : i a : gk fa: fd Ds : sot og : he : : Pod : i i i . : (BE gt : : pot bod : {£4 Dia bo bi id E ese ge oS Do: □□□ po i 3 a 2% 788 Ba: fi : Poa ig > : toa i : po Lo Por g = wo2s : Ss: poi po ob 3 : i □□□ Be pe: : : po : =o als S52 a4 : BG : : fae 2|2 a2e8 22 Bas 8 i po : gee ale = a : 2 □□ : 2 a o eees pet aeadlll Poi e328 a= Pos ae i Bee G Mo eg Highs it 3REa a] 58 2 Begid tals a2 : EE a £3 oo SEE ReEES : ea a tytn : 8a BS =) 3 aed lian i 8 Zz? a] 2 coReaes e2eEs 3 : Bee 8 giz EReEiaaS sSabaa2 : -lgag® x = ae ee SE : aut Beh? 4g ois Uist : £82 2) 6 eu feboaeas 22% 5 tet Bae ae i 56568 a 34 Baus Pole 8885 9) tod BEEEBES □□ □ : Ls igs □□ aug aid 5 £38 ag a: = gan = □□□ oe a -ig?é ee 2 z° anf □□ uae! 1555 = ol Sroae lta | BEES we ddeuek pepebdees 2 Es wah Held = eegage gigi a mel . nm oO ras e2g5es 6 8 oo og seriagge a) geen ie ~yada fgg ao dgad age ~ eyss Bola 3 sad ar gang cag ad $14 oi) 2 = COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS UNDERWRITING AND INVESTMENT EXHIBIT PART 3 - EXPENSES 1 2 3 4 ng [cee] ee | Expenses Expenses Expanses Tatal 1, Glaim adjustment services: 1.1 Direct cect 095,004, 607 ceseeeee 1 836,004 , 607 1.2 Reinsurance assumed |. . won cee cee AG, 498, 080 vesteeeeees ae dd, 498080 1.4 Reinsurance ceded . seus ee cece wee veces § 253,884 6,253,884 1.4 Net claim adjustment service (1.1 + 1.2 - 1.3) vee ceseeeeeetes vie cece BAB, VOB Lo fo ce ctuteestesensee [eoeesseeeeee O43, 188, 763 2, Commission and brokerace: ‘ 2,1 Direct excluding contingent 20.0000. ocecceeses ao feces = . 2,684,306 086 |. eiceeeeeee we sae 2, 094 306 068 2.2 Reinsurance assumed, excluding contingent .... . cecctefenen cee fee... 7,782,978 Yo. veceeeesess [estes oa AF 788,979 2.3 Reinsurance ceded, excluding contingent veeeeeesesveweees □□□□□□□□□□□□□□□□□□□□□ « cece AZ 4B? PPT Pe veces | oceeeeeeseeee- 42,487,421 2.4 Conlingent - direct. . cttewe vee teteeaeee efectee 6 ceveeesseesseveneeee .. 901,469,842 |. fetitimeee fe 801,489, 842 2.5 Contingent - reinsurance assumed . cette = we cette Pee eee cecseetesie eceeenesneeneenes eae 2.6 Contingent - reinsurance ceded sete ceeeeeees wesc seseeeeeee cones cfc cette te Pee secteeesee [eseeeeteeee cee bee 2.7 Policy and membership fees seceeeeiieeeeeeeee = cone 2.8 Net commission and brokerage (2.1 + 2.2- 2.94 24425-26427) □ oo foo 9,561,021, 480 fe. fo 561,021,480 3. Allowancas to managers and agents... □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ oe wD cece BD 088,742 PO pl 80,025, 621 4. Advertising . . □□□□□□□□□□□□□□□□□□□□□□□□□ ee cece ee ee cee ee BARB TBR | ee PNG, 80,268 Po Peed 17, 186,094 §. Boards, buraaus and associations □□ □□□□□□□□□□□□□□□□□□□□□□ cece ed DFO, B57 | 2 NF 986218 fo cee Plesssecseeneeeeeelt 926, 870 6, Surveys and underwiling reporis cee ceeeee vesevand □□□□□□□□□□□□□□□□□□□□□□□ 2 foe AMO, 156,923 Po AB Po. 170, 187 ddd 7. Audit of assureds' records Le cece □□ enna en cectecteueeeees tee cece Peeeeesneentetitete Poss ceeeeeceeee Le §, Salary and related Items: 8.1 Salaries. : cco aeeeeesnesae cee D910, 492,229 1,109,295, 685 BE 092,618 [2.476 880,514 8.2 Payroll taxes ceo be □□□□□□□□□□□□□□□□□□□□□□ 95, 955,892 71,872 294 2,696,882 |... 170,535, 108 9. Employee relations and welfare . cece La 242,942,183 |. 232,979,836 JF, 200,288 [oo 488, 122,302 10. Insurance becca . cece $048,290 [oo 2,218,084 |. oven SB OFB [8,520,462 11, Directors’ tees ceneesticsnee . eon sessccueeteeeee seceeeeessieeterees fees veneettee [oeeeeeeseees □□ 12. Travel and travel items dees vestees save coeeesceceeees. BB, 723, 134 50,945,795 [oo 869,918 |... 139,998, 167 13. Renl and rant itams - see te seeueenees A] eeseteeeceeeeeee FO, 478, 390 | 94,342,850 |... AQT? B20)].. 172, 898 920 14. Equipinent . cece sesveuanesterseea ce cece tO, 437,508 86,461,795 |... 850,708 | 46,450,009 15. Cost or depreciation of EDP equipment and software... cetseeeef ences 62,916,119 |. 999,098,199 fo 2,828, 18 |. 256, 863,435 16, Printing and stationery . eeecsuncesee sescseveneanseeeel 264 902 [oo 20,218,592 |. 2,849,249 |. BT, 930, 682 17. Postage, telephone and telegraph, exchange and express veeseneesnsvnaeese ceceee 243, 723 27,528,121 Jo 882,201 10 189,952,078 18, Legal and auditing . cesses ce a 1,499,465 37,523,777 4,808,454 43,925 693 | 49. Totals (Lines 3 to 18) Lee cece ceceef eecceesenseeed 993, 395,210 |. .. 2,954, 797,519 eevee BO, 720,704 |... 4,986,913 493 20. Taxes, licenses and lees; 20.1 State and local insurance taxes deducting guaranty association credits of $ - Bee wees eeeesceeeieseeee cee Poe oe P18, 999,958 fete ae Perec el 15, 399, 356 20.2 Insurance departmont licenses and foes cee unrest ae af. □□□ cee 900,564 [oo secon fe wu... 900,564 20.3 Gross guaranly association assessments .. . secteesscaiestte feeeeseer cess Le we ceeeeeeeee BG, 794 veces cee Peeseseeeee 780, 784 20.4 All olher (excluding federal and foreign income and real astale)... ....... 38,147,793 33, 147,783 20,5 Total taxes, licenses and fees (20,1 + 20.2 4 20.34 204)... ceedeee ceccccceseeeene veces 1, 168,506 | weesenteeteenteeee [occ cose. □ 168, 508 21. Real estate expenses cae cece □□ ae tanateeeteere ce Pence oe coe |e □□□□□□□□□□□□□□□□□□□□□ coe S221, |. 82,211,780 22, Realestatetanes ..... be aeseute tee ve veces sane sesessnseeseese ce cectesseitvee vy ary svanenaenane cee APB, 500 Po... 898,500 23. Reimbursements by uninsured plans cesses neaaef ceeseaneneeenteeee fe cceeeeseeeeeseeeee cates Poseeeesees cecccececee [ete nee eeeeeeeeseesieeees 24, Aggregate write-Ins for miscellaneous expenses ooo 880885988 fo 80,699, 3B ese veeeen® 243,510 | 1,253,522, 229 25, Tota! expenses incurred woccses vecevatesecsvteeeee toed 3,457, 189,501 | 0. .7,861,680,867 | 114, 174,444 fa) 11,438 024,612 26. Less unpaid expenses - current year cove tee eeeveeeseeee cof eee, 928, 682 866 1,546, 157, 571 wae BF 603, 129 1... 8,663,308, 566 27, Ackil unpaid expenses - prior year .... . cones vceeeenfes oe 8,802, 179,886 | 1,215,094, fou 91,898,308 |. 5,109, 112,385 28. Amounts receivabie relating to uninsured plans, prior year. wee . cece te Pee ee cess seine ees vests sees 29, Amounts receivable relating to uninsured plans, current year . . □ |_30,_ TOTAL EXPENSES PAID (Lines 25 - 26 + 27 - 28 + 29) . 3,929,716.301 | _7,580, 847,510 118,409,620 10,978, 743,431 DETAILS OF WRITE-INS 2495. Tolals (Lines 2401 thru 2403 plus 2498)(Line 24 above’ (G60 585 338 570,893,381 2,243,519 1,233,522, 229 {a} Includes management fees of $ see (0 affiliates and § seeteesseeeeees {a non-alfiliates, COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS EXHIBIT OF NET INVESTMENT INCOME tered Bun von cae Ba Yo 1, U.S. Government bonds . eosin teeiente nes □□□□□□□□□□□□□□□□□□□□□ bcos □□□□□□□□□□□□□□□□□□□□□□□□□□ f(A) coco 2Q, 710,682 [85,2 15, 487 1.1 Bonds exempl trom U.S, tax. □□□□□□□□□□□□□□□□□□□□□□□□□ cette fa) 85, 196,918 [83,028,849 1.2 Other bonds (unaffilated) .. ce eee □□□ sesnessvsneeestaneee oe cite cece) (Ao B84, 486,708 [893,161,087 1.3 Bonde of affiliates foci ce eeeeneetinee ane cece □□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ ge tie cnccmseneeseeeeeeee] {BD ccc ceeeee eneeeeeee □□ deeeee □□□□□□□□□□□□□□□□□□□□□□ 2.1 Preferred stocks (unaffiliated) . becca we ceceeseeseetetees ove ceccetteteseeneeecc | (DJ PBF 9M [8,629,698 2.11 Preferred stocks of affiliatas tee □□□□□□□□□□□□□□□□□□□□□ □□ eeeeueesnsseeeeeeees sce cree owns] (DD ee ceeseneeeetee freee 2,2 Common stocks (unaliiliated) seceetee tee ceeetetieeeeee oe □□□□□□□□□□□□□□□□□□□□□□□ ew ny aeesceesee« _.. 80,790,847 |. 84,675,792 2.21 Cammon stocks of afllilates tan eee bocce oe ceeeciuteetseresene coe coeseeeee OD, 800,987 P7098, 902, 456 3. Mortgage loans cesses □□ bessceeeestsneeniece wee □□□□□□□□□□□□□□□□□□□□□□□□□□ veef (Ghee. 14,779,287 Po. 42, 10d, 184 4. Realestate, ce ceunmmuneiiie hope concen vif 74,490,008 1 34.4905038 § Contract loans . . □□□□□□□□□□□□□□□□□□□□□ □ ween) cece ccseeeee cena : cecceceeeeete cseeeeeee . Cash, cash equivalents and short-term Investments .... ... coccunesteetnetet #4 tawteuies wetveie wee eects | (BP oo. T8579, BOB [16,907,880 ? Derivative instruments .. cesses sasease boca eeeeeeeenesn fetes coteeee □ EOD FI0,410)). 4, 056, 192) 4. Other invested assets □□□ teens ceseseeenneeseece eee □□□□□□□□□□□□□□□□□□□□□□□□ © cocccuececneeenetine seccssees feeseoeeesseeeene @O7, 769,681 | 257, 244, 959 2. Aggregate wrila-ins forinvestmentincome oo. ccna cee □□□□□□□□□□□□□□□□□□□□□ tons ceeeesseeesaeeeeeed| AS, 768, 228) | fd, 788, 228} 10. Total gross inveslment income. 2, 141,044,050 2, 112,439.331 11. Investment expenses... . ceeccceeceeentes cae sitet □□□ i tice fr neti pace cna ae | EDP ce 18, 975, 944 12, Invesiment taxes, licenses and fees, excluding federal income taxes o.oo... eccccscccecesse ce as siccsevevceesssscy ara ene susueuuasensen votes by vsessessessesees {g} ............. .58B, 500 13. Interest expense cone cesneesseneeeseeee □□□□□□□□□□□□□□□□□□□□□□□□ © gc quanta sieeeesanatt □□□□□□□□□□□□□□□□□□□□□□□□ tr □□□□□□□□□□□□□□□□□□□□□□□ 0] (AY cece 206,712 14. Depreciation on real estate and other invasied assets... cevseesineeteeeeeee ce □□□□□□□□□□□□□□□□□□□□□□□□ canes (oo. 28,886,704 15, Aggfegate write-ins far deductions trom investment income oo... eee ceoseeatesneestise ents □□□□□□□□□□□□□□□□□□□□□□□ sss □□□□□□□□□□□□□□□□□□□□□□ teceeceesctee | □□□□□□□□□□□□□□□□□□□□□□□ 18. Talal deductions {LInes 11 through 15) ........... cescsssesvseennee □□□□□□□□□□□□□□□□□□□□□□□ sa eevesesa eeesintnets a □□□□□□□□□□□□□□□□□□□□□□□□□□ Vn e sensameseersese) corseses eases OOF, B58 17. Netinvasiment income (Line 10 minus Line 16 1,969,431 ,474 DETAILS OF WRITE-INS | as.788-209 0999. Totals (Lines 0901 thru 0963 plus 0998) (Line 9, above {3,768 223) {3,768,223} | 1599, Totals (Lines 1501 thru 1508 plus 1598) (line 1S,above) □□□□□□□□□□□□□□□□□□□□□□□□□□□□□ CSCS” (al Includes § 32,478,089 accrual of discount loss $ ..... 149,624,405 amortization of premium and less $ ....... ..37,597,487 paid lor accrued inlerest on purchases, (b} includes $ accrual of discount lass § .. 31,036 amortization of premium and less $ ......... 0... paid lor accrued dividends on purchases, Includes $ 2,235 accrual of discount less $ |... amortization of premium and less $ 0... .. .. paid for accrued interest on purchases, (d} Includes § 67,975,801 for company's occupancy of its own puildings; and excludes $ cess . inleresi on anevmbrances. (a) Includes § 3,282,402 accrual of discount lass $ ........1,820,805 amortization of premium and less $ ...............123,270 paid for accrued interest on purchases. (i) Inckides $ 1,267,464 accrual of discount fess § ........:.1,195,980 amortization of premium, (g) Includes $ investment expenses and $ . vesoe. Investnent taxes, licenses and tees, excluding faderal income taxes, attributable to segregaled and Soparate Accounts. Inchdes $ (14.720) interest on surplus notes and $ ... .... interes! on capilal notes. (i) Includes $ 28,826,701 depreciation on real estate and$ _...... Sepreciation on olher invested assets, EXHIBIT OF CAPITAL GAINS (LOSSES) 1 2 3 4 5 Total Realized Capital Change in Raalized Gain (Loss) Other Realized Gain (Loss) Unrealized Capital Foreign Exchange On Sales or Maturit Adjusiments ‘Columns 14 2) Gain (Loss Capital Galn (Loss 1. U.S. Government bonds . ves □□□□□□□□□□□□□□□□□□□□□□□□□□□□□ A BBQ SAT cee Pee 2 BOO cesseee sieseesseee 1.1 Bonds exempt from U,5. tax _. afin. 1,994 400 cece BRA eee 7B8, ASB OF 1.2 Olher bonds (unaffiliated) bees . □□□ PB SOF, BF7yY 96,545,888 [20,720,314 | 780,402 1.4 Bonds of affiliales . eeesvuee sees oseeeeeeee ceeeeeeeee seeseteee Poe sect Pee cee cee pee foc ceeeneenissieeee 2.1 Preferred stocks (unaililiated) ce PPG OEP Po. (633,599}) 0 Ade eB oO, 183,125 fo 788, 128 2.11 Preterred stocks of affiliates sees sees eee cee |e sects cette □□ tee enreeeee Pose cece fee aeeseeeeteneteeee © - 2.2 Common stocks (unaffillated) . cee 227 656 892 486,135,219) 161,520, 673 «85,889,815 | 81,624,407 2.21 Common stocks ol affiliates bec cfoce veceeeeeeee ee seeseeeeeemeettie ee secu votes fee ce 24, B78, FBT coveeeseeee 3. Mortgage loans . we eee [eee ee sees cect eeeeeeeeee cetetieeteeneeee □□ tects fence sete ceeneene 4. Real estate weed ee 2 86 □□□ cece ceceere BB BBE Po cece fee cee cecevsenenee 3. Contract loans : sectetiiesstna| ee ee cece eee ceseeeeeeeereee sececeeetete teceteeee Pesseccieene ne cs ceceeceeeee fee celietseeee cite ee : 6. Cash, cash equivalents and short-term investments | __ . (283,008). cece oo BRL. we 098, 15 voces cesses . 7. Gerivative instruments . eo AB BOR OBI fl {6,207,063} cowee Pl £19, 126,023) 8. Other invested assels . □□□ ve veneers 6, 122,308 J (17,559.d9g)].00 (10,837, 193}) 00. 245,902, 959 . 20,064 758 9. Aggregate write-ins for capital gains (losses) . ce SF BO? |. cee fsecseeeeeeadl 292 coe bce foes cose 10. Total capital gains (losses’ _ a 932,717,078 (82,951,441) ___ 230,756, 638 1,036, 944 682 94.109, 673 DETAILS OF WRITE-INS 0999, Totals (Lines 0901 thru 4902 plus 0998) (Line 9, above 7,292 of 202 pBbeS w Sa2¢ sa8c gets gee 2.3 o2o92s ERER SSG 5a 503 —E a ft a ow WW & ua 3 2 3y é ~ 5 Sc >= x Buss a os Beea| st yassé ca co ow fr □□ ts ms = Ww BE = 2 a _ ee if e Fa x E ” cc Se o oo oO uu gee 3 =i lp BBS Oo tr a “eo a & Ee £ 6 af Boa 2 2 eas ye SES > Ree Z pw 8 8 at > a om > oc = = 3 elBats bt 3 =| Be ~ | | 6 & é 2 2 wey 2 Un 5 ° oO ao Ws WwW xx Balf a5 B) BiB) [ele 25a | 8 a) PR) YN ae = ale zw eB 8 □ gle 4 Fes wy © SE Es ts 3 = a ala aig 2 RR) PR [988] wo elie Bee rc B FE E aS Le a O < □□ Bs 4 a 25 a] si a 23 a é Ol a2 oc <a ul ~ Cc 25 & a £¢ 4 = 6 + oy 2 2 a 8 cc EL e||® | □□ a 5 &5 5 2 2 2 Oo 3 || la wo [4m Ty} [= Go =< 1/38 ‘o| I = = fle eB} JE 5 * | las |e! 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Le Of > ow SEES a3 ow a alas 2888 i Hoo = i 7 g we EE ~ Boz) lale 6 wv 2 faye be oles re B/S) | Alco a ee “Sal fez) □ a Gus es s “ Seu gas og aw 2 g g 2 2 zol |= = ec - o = 73 or □ □ z° 86 ec gual uw ‘Sree a ong 5 S| - ® ee ee 2 g2ge goes oot ke .Og85 [25] co “$2.0 egad ES, 5 soy & =x gee [soe pbs at ‘SEE Oo “ Bees a SPE # geek ~5 2 BE» gs ¢2 _ pes? ui |SC«tCO ES BBEES . oo ‘Peers □ oO < peel c oeeee o 1Rasat gene qo 3 eeye? we gy aseet x 2 Be 2 ER Es = £ = C8 geagf it 2 ue = REESE = foo 55 . ~8ddaa 2 a “Sggss E > ge@teete oO 2 Oyegas > a Ss ~SRae a as Beaa fs > oo8 38 On : 3 eubSS55 = ms 8 Neceeces a O § 3 apeeeees = <Ce Bees Rs oO D q FoUgG@eaaan ols eee ee ee ul ol 3 YF inom Oo ‘6 zhs 5 wy ce Lu 3 7 = al & 3 x 8 222 a8e] Is u Of] $353 Eu sfteas << =| $a22 ETP ceal 408 58" =n? z= uu 5 a LT 3 Beo| |B ke > soe 5 st 2 £ B al Bes o ‘oad oe Qo ku > ud f= 5B uo wi = £ fo □□ o Oo = Ww co = oO oO Odcgawe Sere Mw $888 a 3S a, 5 ea” le - ae g oa z 2] iB oO COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS on CRUE AUAL INSURERS Schedule H - Part 1 - Analysis of Underwriting Operations schedule H - Part 2 - Reserves and Liabilities Schedule H - Part 3 - Test of Prior Year's Claim Reserves and Liabilities Schedule H - Part 4 - Reinsurance □ COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANGE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS ‘$000 OMITTED [12] Years in 1 2 3 Defense and Cost Agjusting and Other 10 W Which Loss Payments Containment Payments Payments Number of Pramiums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage and] Paid Cols | Reported Losses Were | Direct and Direct and Direc! and Direct and Subrogation |{4 -5 46-7) Direct and Incurred Assumed Ceded (1-2) | Assumed CGeded Assumed Caded Assumed Caded Received +8-9) Assumed 1. Prior XXX XXX XXX... 298, 163 127,590 80,362 18718 |. 26,746 -. 9,889 ]..258,982 |. Xxx. 2 2008 28,062,645 | 1,924,198 | 26, 138,448 7 16,593,507 |... 955.658 878,302 19,027 |...2,505.805 | 67,792 | 1,035,707 |. 18,734,277 XXX. 3. 2009 27,075,915 | 1,740,202 |. 25,365,713 | 15,462,451 |. 583,957 | 658,842 1. 47,289 | 2,495,105 |...... 62,291 | 1,029,990 | 17,900,472] sox 4, 2010 26,725,507 | 1,532,573 | 25,192,934 | 15,442 .996 |.. ..469,5861. 663,281 18,968 | 2,915,854 |....... 83,784 |.1,198,080 | 17,902,443]. xxx | 5. BH 26,983,725 | 1,316,808 | 25,067,417 |. 16,529,966 ]....466,079 | . 669,073 |... 11,168] 2,394,908 |........18,720 |.1,297,509 19,097,381]. 6 ante 28,367,642 |. 1,047,034 | 25,340,608 {16,091,113 |...4,910.954 |... 613,681 | 449) 2,597,998 ........77,895 7.1,290,416 117,873,813 |. oXXK % 2013 27,099,010 |. 1,010,968 | 26,088,042 | 43,939,009 | 126,709 |... 866,551]. 51] 2,286,560 |.......11,800 | 1,278,171 16,693,561). oXXK. 8 2014 28,273,757 |. . 958.581 | 27,315,176 | 14,926,491 | 190,987 |... $23,058 | 87) 2.127.220 F.....8, 178 |.1, 568, 443 |. 17,459,168 9 2015 28,641,769 |. 907,321 | 28,734.449 | 15,203 a8 160,800 | ..20.470,472 [oo BB | 2,261,749 101,758 484,242 | 97,888,478 1 XXK 10, 2016 80,531,398 |. 850,480 | 29,680,918 | 15,260 672 572,991 |. 289,035 |. 78 |. 2,952,862 |. 96,525 |1,476, 787 |.17,293,277 |. Xxx 11. 2017 41,146, 334 811,372 | 30,334,962 | 12,555,199 | 1,142,962 123,092 1,638 | 2,143,417 73,390 977,014 | 13,604,257 XXX 12, Totals XXX | wo | vox __fise,a91,925 6,025,200 | 5,335,690 85,593 | 23,407,313 380, 112 | 12,287,759 174,634,083 XXX 23 24 25 Losses Unpaid Detense and Gost Containment Unpai¢ Adjusting and Other Unpaic 13 14 15 16 17 18 19 20 21 22 Number Salvage | TotalNet | of Claims and Lossas | OutslandDirect Direct Diract Direct Direct Subrog- and ing and and and and and alion Expenses | Direct and Assumed | Ceded | Assumed | Caded_| Assumed | Cetied | Assumed | Geded | Assumed | Ceded Anticipated! Unpaid Assumed 1. Priar 3,942,774 |.3, 170,771] 967,398 62,966 |...614,645 |... 86,657 142,288 |... 27,047 | ....280,216 |. □□□ |. we (2,248, 186 | XK, 2, 2008 123, 100 112,663 83,223 |. 51,768 4,374 fe 14 48 2B ae A fee. 14 .99, 188 PKK. 3, 2008 157,273 113,078 40,091 20,424 16,680 Jd 11,830 |_. (2)).28,774 |. 16S )...119,088 | xx 4, 2010 . 183.163 127,291 112,216 $6,512 18,916 vee free 28,108 WO], ...30,988 |... 4 _, 933 |. 167,428 5. 2011 260,812 185,846 79,839 |. 32,170 27,662 |. 5 | 33,708 6]... 93,962 Jo. 853 297,146 | 2 XxX. 6. 2012 362,229) 220,403 151,003 78 085 38,208 P78]. 49,798 |. 8) PB. Bat ].....983,000 XXX .....| 7. 2013 4186 530 187 359 187 002 60,867 |....51,288 [000088 |. 72,971 7. (G7})......4?7,828 |. wt 6,074 |...892,975 | XxK A. 2014 859,528 185,538 290,352 99,979 |.94,864]. 271 66,242 (150)).....53,928 | 10 | 11,964 ].1.098.665 | xox. 9. 2015 715,491 262,629 386 973 91,526 195,780]... 789 |. 78,228 |. (144)... 76, 187 28 27,055 |.2,097 849 XXX... 10. 2016 2,895,704 |. . 366,701 188 68,460 |...307,604 |.) 1,465 1. 161,283 |. 108 |... | 42 87,204 |.3,698 353 XXX 1. 2017 | 5.275,839 263,647 | 1,643,680 192,650 462,674 2 B88 313, 808 860 | 546, 134 3,947 | 548,785 | 7,718,495 XXX 12, Totals [16,112,428 | 5,175,925 | 4,631,643 | 1,125,016 | 1,996,562 92,213 970,677 27,479 | 1,246,674 4606 688,046 [18,372,763 Tatal Loss and Loss Expense Percenlage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Eamod' Nentabular Discount Reserves Aflar Discount 26 a 23 29 30 32 33 Inter- 35 36 Company Direct Direct Pocling Loss ang and Loss Partlelpation Losses Expenses Assumed Ceded Net Assumed Geded Net loss Expense Percentage Unpald Unpald 1. Prior XXX 7. KKK. KX KKM. KK. RRM. wpe ce fe MRK] 1,565,076 | 881,780 2. 2008 20 041,258 1,207,798 | 18,833,489 WW4}. 62.8 |. 72,7 J... eee ee teceeee [eseteeee eevee AD, B92 | F201 3 2009 18,800 887 786,427 | 18,014,560 . 89,4]. LOL. eee cece [eseeeeee cere GOOF | 286 4. 2010 18,773,468 713,506 | 18,059,872 70,2 ABB] TAPP, vee fe BTS78 || 76,85d 6 2014 20,028,519 713,992 | . 19,314,527 we S89 ve DAP wets foe sees cee fe 922,458 fo 94,711 6 2012 49,893 B36 1,686,934 | 18,206, 902 ABA WAG |. HB eee fee eee vceeeeces Poe oe 204,727 [128,368 7% 2013 47,632, 880 386,294 | 17,245,935 86.1 2 BBS] 66.1 bees eee sees fone ccs Pe 426,306 | 187, 089 B 2014 18,940, 675 381,842 | 18,598,433 87.0 39.8 Yo. 67.9 . ae posses ce Pec eee eee 84, 788 | 214, 2 2015 20,478, 728 527,473 | 19,951,315 |... B91. BB fo. 68.4 wee Jeececseeenee coe ce [eecceccceecesees veel, P48, 309 | 549,533 12, 2016 22,087,398 |. 1,045,788 |. 20,991,630 0000. 72.2 [000 aga] 7a cece [erecta fee cee oe fd 110,791 . 587,622 11. 2017 23,003, 742 1,681,081 | 21,322,692 79.9 207.2 70.3 6,403,215 1,315,220 ta, towts | xxx | oo | xx | eq |e toe |x inate). 0 Note: Paris 2 and 4 are gross ol all discounting, including tabular discounting. Parl 1 is gross of only nomlabular discounting, which is Seported in Columns 32 and 33 of Part +. Tho tabular discount, if any, is reported in the Notes to Financial Slatements which will reconcile Part 1 with Paris 2 and 4, COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2 - SUMMARY Years in sms ate [ae dt | ate [ate ate | ad tle aos | Were Incurred | _ 2008 2009 2010 2011 2012 2013 2014 2045 2017 | Ons Year | Two Year 1. Prior 8,482,106 | 6,667,604 |). 8,713,500 | 8,945,861 | 9,057,061 |...9, 124,568 |..9, 171,640 |..9,278,904 | 9,987,001 □□ .9,584.015 | 177,014 |. 285,892 2, 2008 = | 16,654,892 | 16442155 |. 16,457,669 | 18,443,392 |. 16,419.92 |.16,400,730 | 16,300,486 | 16,275,765 |.16,355,489 | 16,986,997 |. 74,454 | (8.828) 3, 2009 xOOC | 15,940,592 | 881.814 |. 15,714, 482 | 16,670,440 | 15,610,884 | 15,657,054 | 16,602,293 |.45,602, 144 | 45,602,971]... 828 | pag 4, 2010 XXX KKK. |. 16,922,449 | 16,039,613 | 15,877,304 |. 15,845,971 | 15,781,199 | 16,758,924 | 16,760,978 |.15, 746,822 |... .(19,5511 (41,503) 5. 2011 □□□ WAR. | 17.487, 210 | 17, 199, 283 17,047,449 | 17,011,116 |.18,951,022 |.16,920,898 [16,904,987 | (25,a51)1.. (48,095) 6. 2012 XKK KK | KK) KS, B48, 772 | 18,804,222 |. 15,785, 119 □□ 45,771,643 |15,740, 724 |. 15,687,010 | 455,744] (84,523) 7. 2013 XXX. □□□ PK X0OK | 14,987,972 | 45,035,482 | 15,078, 132 |.15,097 677 [14,928,490 | (B9,238)) 149,898) 8. 2014 XKX 3K OL OL OLX... 16,897, 266 | 16,521,357 | 18,482,004 | 16,983,874 t98, 4803]. (197,484) 9, 2015 KKK | KKK | KK, OO POO KM | 17,697,928 | 17,797,981 |.a7,625, 180 |... (102, 801}] (12,769) 10, 2018 | XXX | xKK XXX OOK OL KKK 118,743,871 18,948, 185 1184, 1083 ex. 11. 2017 XXX XXX XXX XXX XXX XXX XXX HX xxx | 18,710,478 | xxx XXX 12. Tolais CUMULATIVE PAID SCHED ULE P PART 3 - SUMMARY YEAR END Ti 12 Mune ot | Numero Years in 1 2 3 4 5 & 7 g 9 10 Claims Claims Which Closed Closed Sole lelelellolllE Were Loss Loss Incurred 2008 2009 2010 2011 2012 2013 2014 2016 2016 2017 Payment | Payment 1. Prior O00 .| 2,686,593 ) 4,345,664 | 5,938,560 | 5,955,578 |..6,384,791 |. 6,723,772 | 7,020,192 |. 7,802,190]. 7,864.41] oon) oMK. 2 2008 | 10,419,450 |. 13,798,464 | 14,858 009 |. 16,528,260 |. 16,926,477 | 46,110,697 16,212,083 | 4,257,688 |. 18,283,555 | 16,296,033]... oo. | 3. 2009 | 9,876,978 |. 13,017, 163 |. 14,024,675 | 44,729,820 |. 15,123,873 |. 15,951, 153 |.15,484,250 | 15,480,205 | 15,520,688) eK 4. 2010 RAK 2). KKM [10,021,565 |.19, 076,044 | 14, 173,371 | 14,838,271 |.15, 259,532 | 16,473,795 |_15,570,674 | 15,820,993} xxx | KK 5. 2011 XXX | MX. | 11,310,844 #44, 247,289 |15,240,086 |.18,041,212 | 16,445,209 | 16,699,701 |_46, 721,183 | . xx. | OK 6 2012 HK XXX XXX. | XMM. .| 10,198,382 |. 12,986 286 | 121,091 |_14,848,276 | 15,205,488 | 15,.9m,290! xxx | 7% 2013 xX | XK YOK 1 KXK, XXX__1. 9,275,058 | 12, 180,605 |. 19,948,622 | 44,019,297 | 14,978,890 | xxx) XXX. a 2014 XXK XXX XKX SOG. GC uf 2006) 10,488,498 119,488,742 | 14,644,963 115,998,128 | oot xxx _| 3, 2015 XXX FOO] □□ OC PMP XK KX. 111,000,527 | 14,959,403 | 16,609,482 | 0x KK 10. 2016 XXX XXX YOOX | KX OOD OO 657 468 114,977,247 | OK) ee 11. 2017 XXX XXX HX XX OK XOX XXX XXX XXX | 11,934,230 | ocx XXX SCHED - - tS BULK AND IBNR SOULE P PART SUMMARY OMITTED Which Lossas Wera Incurred 2008 2009 2010 2011 2012 2018 2014 2015 2016 2017 i. Prlar 2,822,415 2,998,545 |. 1,944,608 | 1,760,018 | 1,486,451 |. 1,275,504 | 1,025,994 | 90g. 199 |. 768,925 |... 709,619 2 2008 1,702,671 552,851 282,147 207,258 | AST ABB) P48 | ed | 86,667 | 99,547 | 45,898 3. 2009 XXX .. 1,464,046 69,846 386,455) ..216 604. 156.884 110.858] | a8 62 | at ago 4. 2010 XK... XOX _ 1,659,418 478,304 |). 378,868 | 262,871] 142,708 J | rt zat 5. 2011 XXX. XXX «XK, 1,769,631 _ 803,312 |. 404,380). ..270.084 181,644 100,859 | at 6. 2012 XXX, . HX OK | 77880]. 408,976 |. 272,888 | art ega |. 482 Bad 7 2013) | XXX, OK OK. OO BRK fe AS08144 | 778,585 | 482,680). 277.g20 |. tg9,173 8. 2014 XXX .XXK =O. | XX. XK] KK. 1,570,608 |... 780,893 | 803,184 |. 257,471 9, 2015 XXX XXX OR OOK oe MAK) OXKK fe 1887590 Po 708,886 |. 378 818 18, 2016. XXX XK 2 OK LL OK 2 Kp XK KK. XXX A697, 124 |. 802,882 ii, 2017 XXX XXX XXX XXX HX XXX XXX XXX OK 1,764,271 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND [TS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1A - HOMEOWNERS/FARMOWNERS $000 OMITTED [12] Years in 1 2 3 Defense and Cosi Adjusiing and Other 10 vi Which Loss Payments Containment Payments Payments Number of Premiums Were 4 5 6 7 8 8 Total Net Glalms Earned and Salvage and| Paid Cals | Reported Losses Ware | Direct and Oirect and Direct and Direct and Subrogation |(4 -5+6-7] Direct and Incurred Assumed Caded Net (1-2) | Assurned Geded Assumed Ceded Assumed Caded Recelved 44-9 Assumed i. Prior XXX XKK XXX W107 fo 211]. 4,024 |... Lee a BO | we reteeeseeeeses BB 14,487 |. 2 2008 7,121,870 702,947 | 6.418.923). .4.909,906 |. 68,346 |. 118,981 |. 1.908]. 749,963 18487 | 68,484 55, 701,192 | 1,360, 624 3% 2009 G.876.714 | 588,293 | 6,288,501] 4.277891 | 1 t2Ef 108,182} 88]. 68448 P|) 68,889 |..5,018,574 |. 1,092,076 4. 2010 6,045 998 561,603 |. 6,284,985 |. 4,266,431 |... B15 |__..102, 106 |. OB 929 |B 78,845 982,371 | 1,070,691 5 2011 6,930,299 522,791 |. 6,407,508 |..5, 174,014 BOR P2122 | ABA OSM Po. 88,148 |..8,018,977 | 1,328, 130 6. 2012. 7,075 896 509,666 |. 6,566,230 | 4.978.505 |. ....80,899) 112,008 |. AN |... 678,873 |. 16,179 73,830 |...4.669,204 | ..1,195,657 7. 2013 | 7,909,250 451,912 |..6,057,368 | 3,077,446 Jou. 461 | 100,379 BE ABO Yo 788d 6570 | 769, 581 B. 2014 | 7,601,487 |....414, | 7,186,694 |3,582 619 | 4aB 96,768 |. agp. SP 278 fd 88770 195, 197 | _....862, 207 9 2015 7,840,993 405 047 | 7,445,946 |..9,480,623 Joo A278 |. S41, Jo. 27. B18,421 |. 78,988 | 4 089,481 |. 821,40 10. 2016 7,939,651 $00,371 | 7,579,240 |..3,782,699 [Aveo PAB | da (i)]...61,342 |...4, 952,592 |.......906, 298 Wi. 2017 7,044, 180 907.944 | 7,636,236 | 3,984, 746 46,245 54,758 1,429 493.078 8 938 16.211) 3,826,969 936 OF? 99,825, 889 198,942 982 436 3.622 | 5,944,111 33,599 669,824 | 46,516,272 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Other Unpaid 13 14 15 16 17 18 19 20 ai 22 Number Salvage | Total Net | of Claims and Losses | OutstandDirect Direc! Dlrect Direct Direcl Subrog- and ing ang and and and and ation Expenses | Diract and Assumed | Ceded | Assumed | Geded | Assumed | Ceded | Assumod Geded | Assumed | Ceded |Anticipated} Unpald | Assumed 1. Prior 24,860 591 60,196 ]........ 2,767 |. eevee FA PBB Pe 6882 po 1 □□ 782 2. 2008 4,986 9,084 Jo. 458 |. ae Peete PPS cette AAT? Jo cee BBY TT 008 |. Ata 3. 2009 4,285 301 2,648 Jo. BRA Yo veel O17 cee fo BA cee EYAL, 878 J... 212 4. 2010 7,025 246]. PA _ 198 vee [eveeees fo 3, 896 |, ce Pee ee WS BSB 288 5B 2011 O57? |. 640 9, 364 J. 76 |. we fee S48 wee BBW Po od 227 24 fa 6 2012 1,067 | . 792 12,885 |. cee fee VGH Po. . 7922 wee A884 Fo. wee BET 414281 fo 219 7 2013 28, 676 145 15,507 |. SBI] lb ate fo. esses, 882 | cee bo TPO | 88,864 bo Ba 8. 5? 262 281 28,198 |... CB □□□ feces 784 fo. eB B63 Pl A788 105,048 9 2015 92.699 58,197 Jo. 10,411 f eee free 406 Fo | dd fe ot]. 8,783 1.480.692 |. 2,698 10. 2016 156, 143 |. 579 |... 157,828 | ow... 17,373 [ieee D8, 82? eed 2507, 22,095 |.....363.942 |. 4,987 ii. 2017 544 630 5,387 | 648,976 13,508 75,574 48.850 a9 142,206 3,417 56,463 | 1,437,537 28, 198 944.210 16,066 | 994,585 | 43,300 | 120,420 | 130,482 | 199,866 3,448 94,990 | 2,362,087 40,720 Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned Nontabylar Discount Reserves Alter Discount 26 27 28 2g 36 31 32 33 inter- 35 3 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses __|_ Assumed Coded Not | Assumad Geded Not ____Loss Expenso__|_ Percentage Unpaid Unpate 1. Prior XXX MRK 2 RK 2 I, XXX... cose Pee wee BRK] eccceeeee PA MBE | 23,882 2, 2008 5,768,644 |... 76,646 BASF BRS PI Pa sctetececeetee Poe cee feceeeceeee O02 J AAS 3. 2009 5,026,810 |. 1,684 5,028,146 Jo 0,3 wee AGG Po bee coeeetieseeene veces eveeeeevebt B92 P84 4. 2010 5,005,542 | .. 1,396 6,004, 146 ce MY BP. eectceeseeceiee ce cones we vee 558 |. 7,284 6. 2011 6,042,815 | . 1,402 6,041,412 |. oD 94.9 we seeeeeeee fo cee fe 18,301 |... 8,134 6 2012 4,308,600 97 975 4,710,625 58.0 49.2 cod? □□ cee fee Pee ee Pee OR flu. 14,261 7 2013 3,721, 847 4,721,202 BOY. OT fo BAB we J. 44,089]. 19,848 8 2014 4.301, 988 1,743 4,300,245 |. 56.6 |... 0.4 BOB ce fee teens [eee cee fe BB, 186 Jo 19 91 B 2015 . 4,272, 116 1,944 4,270,972 |. BAS Yo. OB Yo BAB cece Pee Po 150,282 | 80,489 1G 2016 f.. 4,716,884 |. 1,011 APIS BT | BBA be opp 2 he 393,984 [49951 i. 2017 5,342 816 78,310 5,264 507 87,4 2.4 68.9 1,174,445 263, 122 12. Totals | _xxx 190K HX 1X Pf | tego | sar. COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL $000 OMITTED! [12] Years in 1 2 a Defense and Gost Adjusiing and Other 10 i Which Loss Payments Containment Payments. Payments Number of Premiums Were 4 5 6 7 8 8 Tota! Net Claims Earned and Salvage and] Paid Cols | Reported Losses Were | Direct and Direct and Direct and Direct and Subrogation |(4-5+6-7] Dlrecl and Incurred Assumed Ceded Nalt1-2) | Assumed Geded Assumed Ceded Assumed Caded Recelvad 44-9 Assumed +. Prior XXX OURK. OMKX Of.) 18692 | 84055 | 10,208 |. SPO [922 PD □□□ fo 5881 PKK | 2 2008 = |. 10,593, 122 575,379 | 10,017,743 | ...6.949,753 | 34d,289 480,192 |. ...15,768 |) 1,043,220 |... 34,865 | 125.206 478,459 134.406 2. 2009 10,400,590 556,784 | 9,843,796 |...6,563,545 | 998, 191 485,808 |. 14.492 | 1,045,813 | 32,560 | 182.622 | 7,708,722 |.2, 170,733 4, 2010 10.448, 210 475,006 | 9,973,204 | 6,728,444 |...209,521 |... 498,078 |... 14,223] 997,580 |. 20,492 |... 146,997 |. 7,884,865 2,211,893 5. 2011 10,347,040 364,202 | 9,982,838 |..6 495,838 217,702 484,858 |... 10,067 981,021 9,458 |... 158,979 ).7,704,489 | 2,171,608 6. 2o12 10.385.881 177,573 | 10,178,108 | _.6 342, 190 92,547 |....442,655 |... □□□ |. 1,006,985 |. 6,985 |... 184,178 7,692,199 | 2,068,743 7. 2013 | 10,652, 798 173,403 |. 10,479,296 |_..6.387, 164 79,912 |...408,527 [oA] 088.08 fo 88 | 184,264 17, 778,075 |_..2,079, 097 B. 2014 10,990,270 158,244 | 10,032,026 |. 6,425,607 |....... 67,588 |. 974,817 BT]... 877, 108 J. 821 7... 154,027 |...7,608, 161 |..2, 153,360 9. 2015 11,482,542 |... 445,881 | 11,336,630 |..6,518. 165 | 74,992 | 272 |, BOP OBO TIF 158254 [7,759,549 |2, 934 017 10. 2018 42,059,000 |... 135,212 | 11,928,788 |..5,536,.297 |...67,182 1. 179,432 |. |. 886, B65 7486 |... 124,828 | ..6 627,818 2,396, 128 2017 12,558,322 164,030 | 12,404,292 | 3,043,060 41,999 51,371 18 807,589 95? 60,045 | 3,859,657 | 2,065,713 60,504,553 | 1,707,804 | 3,746 516 55,141 | 9,790,022 115,351 | 1,364,628 | 72, 162,708 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Olher Unpaid ig 14 15 16 17 18 19 20 21 22 Number Salvage ; Total Nel | of Claims and Losses | QuistandDirect Diract Direct Direct Direct Subrag- and ing and and and and and ation Expenses | Direct and Assumed | Coded | Assumed | Geded { Assumed | Geded | Assumed | Ceced | Assumed | Ceced | Anilcipated Unpaic | Assumed 1, Prior 3, 169.960 |.2,931,651 |. 45,108 235,784 (. 413,532 |. 40 |... 4,861 |. BO] 8B ASB BP] 6 82 fo ser 2. 2008 114,545 |. 112,188 |. 75,965 51,768 13,893 |, ses, 107 of 21,848 Ph 8 74,295 |... 564 3. 2009 148 364 W270 | 23,426 | 20.42d SBE 1 40, 199 ce des OT BOT Po 62 BBA 4. 2040 150,292 127,045 |. 95,420 |... 66,512 WBF P22 SO 8689 Pa 188 118.481 |, 5689 6 2071 | 238,941 185,215 62,288 |. ..92,168 |. 25,521 DP PG] 28 BO dw. 1]... 272 |.....183,522 |, | 5,72 6 20l2 316,482 | 219,966 114, 156 73,547 |. 34,890 | 62 |... 671] AB) 30,280 Poo. a] Pade gad | 8 304 % atts 426,789 187,227 |. 144,627 40,895 44,848 39,064 8320 |. 480,987 1. 7,298 8B 2014 738, 860 164,057 206 587 99,495 |... 84,183 |... 250 52,362 AO] AO, 728 Po Tf 4880 | ..895,087 115,061 5, 2015 1.494.187 254,839 | 230,662 91, 168 470,651 BOD 57 AGB 167 |.....59,292 |. 28 |. ..14,536 |.1,665,859 | 35,311 10, 2016 2,526, 162 365, 464 391,796 |... 64,899 |. 266,063 A382 127, 167 | WOO F878 fo dO |. 42,861 |.2,978,682 | 70,819 il, any 4,004,101 238,778 | 907,864 116,786 | 362,991 2.766} 235,956 406 | 308,668 140 101,085 | 5,450,684 | 248,028 | 42. Totals [19.928 902 4,899,507 | 2,297,519 | 912,746 | 1,436,969 650 352 4,027 822,437 170,684 [12,716,788 | 400,440 Talal Loss and Loss Expense Percentage ad Net Balance Sheet Losses and Lass Expenses Incurred Uncurred /Promiums Eamed Nontabular Dlscount Reserves Alter Discount 26 ar 28 eg 30 31 32 33 Inter~ 35 36 Company Direct Direct Pooling Loss and and Loss Parlicipation Lossos. Expenses . Assumed Ceded Net | Assumed Ceded Nel Loss Expense | Percentage | Unpaid Unpaid 1. Prior ARK AX ve BKK, 2 RK RK - see [oe cee |. | 578,519 2. 2008 8,111,418 SO8,864) 7,852,784 oo RB BR ed fo seen Poe wise Peeceeennen ll 954 [AB B42 3. 2009 8,914 631 518,438 7,796,193] 289 BID | 782 a eeseeeeeee cece oe Pesce 996 AT 8 4. 2010 $,528, 198 , 902 8,000,206). 111 vevee AO,2 Le sevice Poe cece Pee 2, 103 . 63,328 5. 2011 8,322 640 454, 629 7,888,011 BO.4 124.8 FEB Y... coe feet | sete fee $3,856 |... 78,686 6. 2012 8,327, 189 392,596 7,934 593 |. 2 BA fo 78.0 J... wee Poe we |e TS, 725 | 104 869 7. 2013 §,566 619 308,252 |. 8,238,961 |. 80,4 ABI]. PBB Pw. costes epee dD, 398 | 136,952 8 2014 8,797,042 302,844 |... 8,464,198 |. BOG QW pA. ct bee ee fo 6B1,078 178,962 9 2015 | 9,849,479 423,905 | 0,425,408 | BS.) 290.6 ad cee ue cece [ete cee os fe BPO, | PAB OTF 10, 2016 10,192,511 506,044 9,606,468 |. B39 A Po BOB Pl. betes eee bessioseestteeee 2,988, 158 |... 490,497 11. 2017 9,742,099 401,859 9,310,244 77.3 280.9 75.1 4,566,404 804 283 12._Totats | 300% XXX 0 ox | aet4.14] 2.902.610 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P ~ PART 1¢ - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL $000 OMITTED! [12] Years in 1 2 3 Defense and Cost Adjusting and Other 10 11 Which Loss Paymanis Containment Payments Payments Number of Premiums Were 4 4 6 7 a 9 Total Net Clalms Earned and Salvage and] Paid Cols | Reported Losses Were | Direct and Direct and Birect and Direct and Subrogation |(4 -5+6-7/ Direct and Incurred Assumed Caded Net {1-2} | Assumed Caded Assumed Ceded Assumed Ceded Received +8 -9) Assumed 1. Prior XXX KXK KKK. [ae a BRP 289 sesesreennd 226 Yo. epee Af 8880 LURK 2. 2008 454,239 3,792 350,447 | 158,685 1,528 44, 518 J. 25 ,004 |, cece BOG |. 197,078 | 28,717 3. 2008 403, 163 3,774 - 209,389 |... 162,920 7. | 8,008 PP 28 BBB fo pe | 198.904 | 25857 4. 2010 277,895 3,642 |. 274,253) . 176,588]... 2,945]. 15,678 25 NB PAS 218,453 | 27 618 5. 2011 261,246 |. 3,584 207 662 |. 188,209 fw... 2, BPE |. 12,634 cece bee 24,208 Po. veces 686]. 202, 182 [25,744 6. 2012 244,410 |. 3,581 240,829 193,724 |. ...2,798 9 832 |. woe fee 2D BOB Po, veel 458]. 162,180 | 23,689 7. 2018 251,928). 3672 247,897 |... 161,882 |... 2,358 12,408 |. eevee fever lO Po veces] B70 |. .182,358 | _25,929 8. 2014 265,578 4.740 |... . 260,887 |...139, 978 2,300]... 17,305 fw. BIB Po) □□ 1185, 809 1. 27,306 9. 2015 204, 172 4,468 |... 270,709 |...182,484 A2tt).. 8,025 |. LB OOF Po. ve A 408 L....... 985, 202 | 80,482 10. 2016 290, 369 8.784 |......281,695 |..93,182 | A807 | 3,804 0ebe Po 1,136 |.......195, 835 |...29, 260 1. 288, 032 4,587 283.495 37 ,0B2 995 503 14,394 590 50,884 20,476 186,579 | as,ow0| war] aot | [a7 8 23 24 25 Lasses Unaaie Defense and Cost Containmant Unpaid Adjusting and Casa Basis Other Unpaid 13 14 18 16 7 18 18 20 21 22 Number Salvage | TotatNet | of Clalms and Losses | OutstandDirect Direct Direct Diraal Direct Subrog- and ing and and and and and allon Expenses | Direct and Assumed | Ceded | Assumed | Cedad | Assumed | Geded | Assumed | Geded | Assumed Ceded_ |Anticlpatad| Unpaid | Assumed 1. Prior 10,029 $327 STF |. 82] 22d PA AO 49 Jo. cues □□□ J. 58 2, 2008 | 4,251 6 304 voce foe ABE Pl. veseeeee AB 4. 569 Jo. cee 2 fo 2d P26 3. 2009 1,016 cee ol 1,200 we fe cee AQP Pe ved |, _ |. 608 J. cee O91 S882 4. 2010 2373) 0. 4 2,703 fee fee 2B YP cece OO Pe Pe 637 |. ce Bee 1B YB 86 fed 6. 2011 BH4].. 1,719 v2]. S01 cece) BB □□ 155 Y.. 178 6. 2012 12,510 238]... 2571]. TB]. 802 18 213 |. Bp 1]., 16,586]... 134 7 2013 14,214 . 2,145 veo 82 1,152 bese $0 |. 12 yo. BIB 18,326 |. 219 8. 2014 4,095 |... 320 6,924 |. _.190 □□□ 2p 44 Po OF ead Wd AB 8054 J □□ 9 2015 68.637 |. 7,122 8,116 ce 621 |. BE OA AB 2 vee AT |. 79,894 J 1,002 10. 2016 B6,671].. .. 588 18,076 48]. 11,508 |. BBY BAO Bf 8 6 | © B04 |... 420,129 [1,566 i. 2017 87,437 1,260 50,064 06 9,195 6,115 3 7,194 6 1,338 159,026 9,320 ws.ts0| rasa] 97.4 wo] soa | to.e0 sare] wane] arson] 7.208 Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Lass Expenses Incurred Incurred /Premlums Earned Nontabular Discount Reserves Aller Discount 26 ar 28 ag 30 a 32 33 Inter- 36 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Nal loss Expense | Percentago Unpaid Unpaid 1, Prior □□□ □□□ wi KK 2 RK, RK RK feceeceeeeee . we ARKX Lp STP 2 Bt 2, 2008 200,858 |. W385 | 199,824 SBP 8h □□□ ce Pe eee fee ee Pee eT Be □□□ 3. 2009 207 4,524 |... 202,856 |. □□□ Yo AS 87.8 |. a [a we Pees cee we SOTO 98 4. 2010 222 fat .. 2,948]. 219,779 AMT) BOP BOT po. cece ate Peveeeeee we BG? A 183 5. 2611 214,214 2,874 211,338 52,0 cee 2 2 82,0 Le ee fee cee A BOT |, 828 6. 2012 181,920 3,175 178.745 74.4 eB? tee cece te ee eee A POM 1, B61 7 2018 203, 135 2,452 200 684 80.8 eo GELB .... 81.0 . . cece fe eee fe MORE 2058 8 2014 213.813 2,950 210.883 80.5 2 B22 BOE] . cece Pee cesses wow AO, 018 2 O49 5 28015. 246,878 |. 11,741 234,597 |. 86.7 262.8 |. 83.9 tee fe Pe eee Pe 89,992 P10 002 12 206 239, 169 |. 2,204 296,965 |. 82.4 OB! YL BA Petes ec Pes are fo 404, 147 [78,988 ii. 2017 242,725 2,716 210,010 | 73.9 59.0 | AA 136, 744 22,282 12. Totals XxX KX XKX KX XXX XXX 406,385 64,982 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1D - WORKERS’ COMPENSATION (EXCLUDING EXCESS WORKERS’ COMPENSATION) $000 OMITTED Loss and Loss Expense Payments 12 Years In 1 2 a Deiense and Cosi Adjusting and Other 10 Vi Which Loss Payments Containment Payments Paymenis Number of Premiums Were 4 5 6 7 8 9 Total Net Claims Earned and : Salvage and) Pald Gols | Reported Losses Ware | Direct and Diract and Direct and Direct and Subrogation |(4-5+46-7/ Direct and Incurred Assumed Ceded Net (1 - 2} | Assumed Ceded Assumed Ceded Assumed Ceded Reselved +8-9) Assumed 1. Prior FORK KK 878 - 1,569 1 BOB Pee 82 P22 Ps eevee el FOO | S88 | 2, 2008 (18) 2 (21) ects Pees □□ [eevee weed Po vec teceeeeete Pesce cece fle a, 2009 4189) ee eve 190), wpe Pee ue Peete cess fe wee |e to tents Peete fee kas 5. 2011 19 1 eB ee eden we fe □□□ wee Pe □□ eretee [eeecessetseceneete feet 10. 2016 (B77)... ABFA. - te Pecieee wee eo cee ve eeeessittee [eee wef eecceececeeesce vec sense [esessstteettees □□□ 2017 127 127 12, Tous sa] seo] seo) we) two | |i toon 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Bulk + Bulk + IBNR Othar Unpaid 13 14 15 16 7 18 19 20 24 22 Number Salvage | Total Net | of Claims and Losses | OutstandDirect Direct Direct Direct Direct Subrog- and Ing and and and and and aflon Expenses | Direct anc Assumed | Ceded | Assumed | Caded Assumed | Ceded | Assumed | Gedec_ | Assumed | Geced |Antisipated| Unpaid Assumed 1. Prior 53,439 13,247 28,464 ee ABT TOUT fa 713 WF] 4,288 fo □□□ 78888 Jogos Vi, 2017 i2. Totals 53,439 13.247 28,464 1,18 4.104 1,011 1,713 4.300 [wi | 76,523 | se | Tolal Loss and Loss Exgense Percentage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned Nontabuiar Discount Reserves Afler Discount 26 er 28 25 30 3a 32 33 Inter- a5 36 Company Direct Direct Pooling Loss and and Loss Parlicipation Lossas Expenses . Assumed Ceded Net Assumed Geded Net Loss Expense Percentage Unpaid =| Unpatd 1. Prior |. XXX a AX LL oo MK. POOR, □□ po feeseesseeeeeeeees wee MRK 7,980 a 2008 | 44 a. vceeee vee 225.7). vce Peer MAORI ceseevseeeeseeeee cece [ee teeseteseenee fe cece 8. Zo09 | bee vente 0.0 |. deters O08 ce ests cesssaseeeneees feo cece vette fovea 4. 2010 . 4 - BGP □□ |. cee fe cee teste Pree ee □□□ Pe ee sees 5. 2011 . a ses cesses LD. ca [eee ae sess 2 feces ceies tenes 7. 2013 cee LTB. . cee sess : cote - tee 8. 2014 wees ce nese WO). fn OO J. cocueeeeeeeeeee eseenessoeeeenane sevcseeeeeeee ce cee 9, 2015 es . cess 0.0}. wpe GO) cecccccnseeentes [oc cee cescceeeeeeste feae ccccaeseceesee Posse eee 2017 AL __ 90 . 9.0 . 12. Totals XXX, XXK XXX XM XXX XXX XXX 67 843 7,980 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 1E - COMMERCIAL MULTIPLE PERIL $000 OMITTED Loss and Loss Expense Payments 12 Years in 1 2 a Bafansa and Gost Adjusting and Oihar 10 il Which Loss Payments Coniainment Payments Paymerils Numbar of Premlums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage and] Pald Cols | Reported Losses Were | Direct and Olrect and Direct and Diract and Subrogation |{4 -5 46-7] Diract and Ineurted Assumed Ceded Net {i -2) | Assumed Caded Assumed Geded Assumed Gaded Received +8-9 Assumed 1, Prior XXX ZMK). KK 28, 184]. cee fee TT Ob Pe pee OT fp 0888 | ac 2. 2008 . 633,686 27,612 606,074 |. 58,438 |. 2,908 |....14,807 ee BT BO 88 Po 5,695 |.......420,645 |....... 64,092 3. 2009 652.501 21,629 |. 630,962 | ....344,427 |. 43). 14,420 eee BNE PP 8,770 638}. 67,240 4. 2010 659 927 20,748 |. 699,179 f 369,011 |. 14,661 |. von BID Poca bene 809 [485,208 1 89,728 5. 2011 670.405 |. 18,385 |. _ 652,020 ANG B26 Pow 1 15,976 oe oO, FBO 9,788 |... 478,261 1........88, 131 2012 678,060 |. 19,117 658,933 292,682 |... 1567]. 14,213 |. - 5 SSF eevee 284 380,865 | ........68,593 7% 2013. 680,694)... 17,881 662,893 |... 266,289 | AP. 14284 fo 49,618 ]........ cece VG |... 928, 189 | 84 806 B. 2014 688 499 16,084 |. 672,440). 18 | 4d ft 400 |. of AF □□ Poe fee 10,2846 [964,815 [61,455 9 2045 |. 690,829 15,630 |. . ..684,199 ].315,844 |. 1,727 □□ 1,68 BBY AB ee 1882 97888 10. 2016 875 287 15,934 |... .659,303 |..317,638 |. BP Ye □□ ce [AB TG Pe fee 7888] 978 4 b4 243 11. 2017 654,141 14,788 639.354 238 890 4 4,256 38,217 2,817 281,355 97,089 aztous| oro] 5.750 awe] | an.700]_a.a,ar1 23 24 25 Losses Unpaid Delanse and Gost Containmant Unpaid Adjusting and Case Basis Bulk + IBNR Other Unpaid 13 14 15 16 7 18 ig 20 a1 22 Number Salvage | Total Net | of Claims and Losses | OutstandDirect Direct Direct Direat Direct Subrog- and ing and and and and and ation Expenses | Direct and Assumed | Ceded | Assumed | Ceded | Assumed | Ceded | Assumed | Gedec | Assumed | Caded |Anticipated| Unoald | Assumed 4. Prior . a 18028 AA. 4148 eee iB MAF BB □ BOO Po pl fi 58058 PL 297 2 2008 . 963 28 |. 2H Yi 2868 oo B48 tee fee oD fob 628 |. 12 3. 2009 886 Vee]. |. WF cee fe TP cefPD ee fee 22 [02,985 Po 24 4. 2010 . 690 3,6 J. MAY | oe BED LL cece DED eects fee [582d |. 20 5. 2014 1,596 |. we BRB fee fo AAP Le cee BAG Eee fee TB Pad 6 2012 2,986)... 5,501 |. . ATG |, we [ened 202 cee : 908 |. vec BT [ARON PB 7. 2013 4,206 5,028 J. BBS Yo. concoeeeeeeed ID cee Pee BB Lo. ced | BET po BB B 201d 12, 127 16,288 Joo. 2,162 Jo. 2.781... RTT fo fe MO] 85,520 [edd 9 2015 22.098 |. v WWF fe Abs Po TBE? J. ce fee fA BT 573 10. 2016 Bd), 2 4g 23,598 . 2,635 cee Poe 8898 Po fe BBO | BOOMS fo 708 ii. 2017 31,166 62 58,463 5,283 8126 11,521 6.495 114,495 2,382 12. Totals 121,764 150,179 14 20,908 |g | 23.029 26,244 || $460 | 341, 143 4.378 Total Lass and Loss Expense Percentage ad Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Eamed Nontabuiar Discount Reserves Afler Discount 26 27 28 29 30 1 32 33 Inter- 36 36 Company Direct Direct Pooling Loss and and Loss Participation Losses. Expenses _.| Assumod | Ceded Net Assumed Seded | Net __ Loss Expense | Percentage Unpaid | Unpaid 1. Prior XOOK MRK FOOC ff OK □□ PK ceeeeceeteeeetie [eeee eee RM oo AB OBS Po. 10, 105 2, 2008 428,257 ve BBD 425,268 |. BIB fe WB 2 fe ce foe cern Peneseee oS 484 4199 3. 2009 419,666 AB A19,623 B49] 2 M2 lp wpe 2, Yo 4, 2010 440,835 . 3 440,827 |. 6h9]0 □□ OO) 808 Loe Pek we fe te fees ASOT [1,278 5. 2011 478, 770 . 1 478,768 |... FAI, OT. Td |. see fe fe cece fees, 122 1,385 6. 22 564,445 456? $62,878 | BF |. 55.1 Ce fee ee pee feeeee DBE 2 528 7. 2013 334,720 i 394,703 |. 49.2) 0d 80.5 |. tee fee oo pe feeee 2,318 8 2014 400, 188 44] AO 44 | BBY |. 59.5 |. tea pec □□ Pee vee 2G ATE 7,114 9 2015 |. 415,573 1,782 |... FBO] BALD |. 80.5 |. tee [este a ve fice BO, 174 fo 8,687 □ 10. 2016 424 499 186 □□ ..... 424,363 | 82.9 veel |. 64.4 |. wees Peeceeeeceee vets Pocccecee ce ee ae feceeeesee 4 16B2 fo 8,268 it, 2017 395 924 70 906 851 60.5 | 0.5 61.9 89,566 24,929 12 Tos | wx | oor} woo [poe ee arr cot | aa st COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE $000 OMITTED Loss and Loss Expanse Payments 12 Years In 1 2 3 . Defense and Gost Adjusting and Other 10 1 Which Loss Payments Gontainment Payments Payments Number of Premiums Were 4 5 6 7 & g Total Net Claims Eamed and Salvage and] Paid Gols | Reported Losses Were | Direct and . Direct and Direct and Diract and Subregation |{4 -5 + 6-7] Direct and Incurred Assumed Ceded Net (1-2) | Assumed Ceaded Assumed Ceded Assumed Ceded Recelved +8-9 Assumed 1, Prior KXX... XXX RXR Ya wb) eee T ce fe eee Pee fee fee BOL KJ 11, 2017 se_towe | yoo [vex [oe [| hae | 23 24 25 Losses Unpaid Delense and Cost Containment Unpaid Adjusting and Bulk + 1BNR Olher Unpaid 14 14 15 16 7 1B 19 20 21 22 Number Salvage | Tolal Net | of Claims and Losses | OutstandDirect Diract Direct Direct Dlrect Subrog- and Ing and and and and and ation Expenses | Direct and Assumed | Ceded | Assumed | Ceded | Assumed | Geded | Assumed | Geded | Assumed | Gaded Anticipated| Unpaid | Assumed 1. Prior BB sed Flo. cove 4A seed cece Pte cece Pee te Poca #2 Pal VW. B17 vtous | ef J wt rt et | | reef Total Loss and Loss Expense Percentage a4 Net Balance Sheet Losses and Loss Exponses Incurred Incurred Premiums Earned Nontabular Discount Reservas Afler Discount 26 2? 2B 23 30 31 32 a3 Inter- 35 36 Company Direct Direct Posling Loss and and Loss Participation Losses Expenses Assumad | Ceded Net Assumed Ceded Net Loss. Expense | Percentage Unpaid Unpaid 1. Priae XXX XXX | ARK XK... MX. XXX... sees fee ie cence Po MR Pe ITD 8 it, 2017 . 12 tos | wx | soo | wo [wo fT fe Pt COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE $000 OMITTED Loss and Loss Expense Payments 12 Years in 1 2 3 Osfense and Cost Adjusting and Other 10 W Which Loss Payments Containment Payments Payments. Nuribat of Premiums Were 4 5 6 7 a 9 Total Net Claims Earned and Salvage and) Paid Cols | Reported Losses Wete | Direct and . Direct and Direct and Glrect and Subrogation |(4-546-7] Diract and dneurred Assumed Ceded Nat (1-2) | Assumed Ceded Assumed Caded Assumed Geded Received +8-9) Assumed 1, Prior KK XXX XXX. fee ite cette festa + cette cee] ec er tunnteeesfeueesnesee eee weep fee ORK. 4. 2010 ad. . es - oe Bt... eee[ eccceceeeee sees hee it, 2017 [va toute | woo [soe [wx | ne 23 24 25 Losses Unpaid Defense and Gost Conlainment Unpaid Adjusting and Bulk + Other Unpaid 13 44 16° 16 i? 18 18 20 21 22 Number Salvage 7 TotalNet | of Claims and Losses | OutstandDirect Direct Direct Direct Direct Subrog- and ing and and and and and ation Expenses | Direct anc Assumed | Ceded | Assumed | Ceded | Assumed | Ceaced | Assumed | Ceded | Assumed Geded_ [Anticipated Unpaid | Assumed 1. Prior eo seeeeenesesed ce □□ cseeneesee sevens oes ected ep tele Poe ee 4 2010 cece fon | _ . | cence af oc esestneeaf wd VW. 2017 12. Tota Pt Total Loss and Lass Expense Percentage 34 Net Balance Sheel Losses and Lass Expenses Incurred . Incurred /Premlums Earned Nontabular Discount Reserves After Discount 26 a? 24 25 30 31 32 33 lnter- 35 36 Company Direct Direct Pooling Loss and and Logs Parlicipation Losses Expenses Assumed | Geded Net Assumed Ceded Net Loss Expense | Percentage Unpatd Unpaid 1. Prior FORK OR POP a, coe ARK teeeeeeeeeeedf cece EK eeeeececteeee fee ee wee 4. 2010 Jf. . _ fn. |. ese esenstsnneeee cee i. 2017 | _ _. rao | wx | soo | soo | noo □□□ | wee | we LO COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANGE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY) ~ $000 OMITTED [12] Years in 1 2 3 Defense and Gost Agjusting and Other 10 1 Which Loss Payments Containment Paymanis. Payments Number of Premiums Were 4 4 6 7 8 8 Total Net Claims Earned and Salvage and| Paid Cols | Reported Losses Were | Direcl and Diract and Direst and Direct and Subrogation |(4 -5 + 6-7) Diract and __Incurred Assumed CGeded (1-2) | Assumed Ceded Assumed Caded Assumed Caded Recelved 48-9 Assumed 1. Prior. MRK XK XK | 2B)... whee lb ct eee ce atte Lecce | tees Poe PO 2 2008. . F856 1,501 |. 6.455 |] 13,507 |. V2 aT ged pec DM [oo 18, B88 KK 3% 2009 7,169 1,254 |. B98 | ee $2 fo SOT. a 89 Yo. coe BD Pee 2 B98 [RK 4. 2010 6,625 1129). 8496]. .2,8d2 |... . ce BBR Po ee fee BBL 2 |. 5 2011 6,383 1,076}. ...5,309).. 0 1,757] 152 238... Pe fee TB P2088 pK, 6 20i2 6,310 A, 14? |. 5,163)... 2.164 |) woth |. ce BBA Pe Pee ee Bd [2 ddd [KKK 7. 2013 . A 760 2,642 SUB]... 2.748 1 4,008 eel fn. oa BEB Pee Joe wD fect BO XK, B 2014 9,280} . 4,074 5.206 |........ 4,718 1,927 Bp. we BAD ee fe Pe a 2015 $829 4,543 5,288 [..........4,893 - 1,734 20h. we AGE Pe Pee BP □□ OL 10, 206 9,926 A554 S872 1 ABB BBB AL. cee Pee FOB Po, ced Po O04 |XX ii. 2017 9,396 3,978 5,419 6.408 1,154 25 1,430 8 6,709 XXX 200% ox | eso} wool esi[ al asl | aes | acces 23 24 25 Lossas Unpaid Defense and Gost Containment Unpaid Adjusting and Buik + IBNA Bulk + IBNR Other Unpald . 13 td 15 16 17 18 18 20 2l 22 Number Salvage | Total Nat | of Claims and Losses | OutstandDirect Direct Direct Direct Direct Subreg- and ing and and and and and ation Expenses | Direct and Assumed | Ceded | Assumed | Ceded | Assumed | Ceded | Assumed | Ceded | Assumed | Geded |Anticipated| Un paid | Assumed 1, Prior. 1786 A184 BT 82 YJ By Pe Pe ce Pee 2a890 Pod 2, 2008 eens ee beset Peed | ce fe teen [eee A 4, 2610 PP oe eee foe 21. wemeee □□ fe ee fone 88 fll. 6 2012 . 96 fo... wrest cone AGT ee wesc WY ccc eo W 7 2018 J |e. 86 Jo. eevee woe [ee By eee crcceeee EP cece cA OR J. 2014 10 |. a OBE wo veeneed 2 [ee 25 Yoo. ce AD ce | 80) BBY % 2015 55 1 se lF . |-- 1B ee cece Pe eee PY WBA 2 10, 2016 we cee BA. wove a fn BY] cee LBP, eee foe BT fe WB Po. 14, 2017 | BA 285 1,560 S| _ 56 25d | 74 2,512 113 : 12. ‘Totals 2,644 329 3,436 a 795 160 7 421 266 6,444 |e | Total Loss and Loss Expanse Percentage “34 Net Balance Sheet Losses and Loss Expenses Incurrad Incurred /Premiums Earned: Nontabular Discount Reserves After Discount 26 27 2a 29 30 a 32 33 Inter. a6 36 Company Direct Direct Pooling Loss and and Loss Partlcipation Losses Expenses Assumed Ceded Net Assumed Seded Nel Loss Expense Percentage Unpald Unpald 1. Priop MRK DORK. OE OD eee a Poem | □□□ BIB Ye eee 12 2. 2008 | . 15,604 A765 | FBR ABB 2 | fi fe. ve ceeeeeeeteeeeeies tee 3. 2009 2,783 82 2.70 38.8 vee BB |. 45.7 tee bee □□□ cee Pe ee fe ceerereetd 4. 2010 3,086 194 2,875 MBS] ABO. 523 bee beets eee be PL eB 6. 2011 2,236 1... 152 2,084 po. AB | We yo □□□ pete te ee ee fee oe BOP 10 6. 2012 2,690 |... 155 we OG88 Po Ae 15 see □□□ cette ce [cee ee peste BE eee DG 7 2013 3,458 1,001 2,458 wo M46 AB. Lo seseesseeeee woe fess BB |. 22 8 2014 4,705 1,927 50,7 47.4 4d]. cf cutee Je secs [ee wee pe BIB Ja 60 9 2015 4,970 1,772 4498 50.6 S80]. 60.5]... ce wteeee [eves co pe Wat | 62 10, 2016 4,985 1866] BG) BO OP fo Pe. vo cceeeeeeee id veel i. Ont? 10,660 1,439 9,221 113.4 6.2 170.2 2, 108 404 bia tae [oe | a0 [90 [0c [00 ve ce COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE GOMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 1H - SECTION 1 - OTHER LIABILITY - OCCURRENCE ‘$000 OMITTED [12] Years in 1 2 a Dalense and Cast Adjusting and Other 40 11 Which Loss Payments Containment Paymants Payments Number of Premiums Were 4 5 6 7 8 9 Total Net Glaims Earned and Salvage and] Pald Cols | Reported Losses Wera | Direct and Direct and Direct and Direct and Subrogation (4-5 46-7] Direct and Incurred Assumed Geded Net (1-2) | Assumed Ceded Assumed Ceded Assumed Caded Receivad 48-9 Assumed 1. Prior AMX Kf KK PTT 82d 6.989 2,008 |) N88 fee Peed O20 f.KK 2. 2008 262,537 15,385 247.152 |... 385,865 vewece fee. 8147 seen □□□ etceeeeeseee BS ).......205, □□□ |. 2,645 3 200g 340, 364 AS]. 340.279). 150,581 teen foe 4,202 J wee VT Pc Poo cee? 1 165,000 | 2,240 4. 2010 329, 745 13 |. 320,782 445,742 fo 3708 Po WAM Pp. weed |. 160, 720 [2.178 5 2011 926,509 }.... 2,634 ]......922,876 |... 474,919 cee foe 4,062 1, 006 cece © OF]. 189,988 J 6& 2012 319,450 |. 11,638 307,812 183 925 wee Pesce By B88 Po W647 Jf 88 fo 200,308 □□ □□□ 7 e019 320,078 14,504 305, 569 155, 298 | eee Pee □□□ wD FO DO4T [168,969 | 1,724 8B, 2014 326 472 17,116 909,996 |... 144,371. see 144 BO ee Pe ee P17 218 Po 7g 9 2015 | 329,769 17,094 912,075 |... 106,488 | Wy... 2,648 See NB 385 fo JOG)... 124, 507 | 1804 18. 20168 399,927 18,65 319,962 |... 51184 P84 P1049 □ 72,609 |...... woe fesse AY... 84,608 | 1,762 = 1i. 2017 355.410 19,893 336,417 13,986 1,026 219 11,497 267 24 408 1,950 aaa] are] coo | aces | 108,400 2.143 1,487,856 23 24 25 Losses Unpaid Defense and Cost Containment Uapaid Adjusting and Other Unpaid 13 14 15 16 i? 18 19 20 21 22 Number Salvage | Total Net | of Claims and Losses | OutstandDirect Blrect Direct Direct Direct Subrog- and ing and and and and and atlon Expenses | Direct and Assumed | Geded | Assumed | Ceded_ | Assumed | Ceded | Assumed | Geded | Assumed | Ceded Antlcipated| Unpald | Assumed 1. Prior 83.934 W044) 269,121 20 819 2,780 |... 2,667 |. 34,098 | 3979 □ fo aad cee fee BBE, □□□ 7. 1,887 2. 2008 187 1,928 eeceee WY T37 ce BOB. ce ects Pee BOF Po 1 3. 2009 . 867 1,163 BEY... a 20 |... B80]. . wee 2 OPO fe 4. 2010 1.704 2 SFI]. veered BBY MAY pe BBB ed abe fo 88 5. 2011 | . . 3,890 a BI SAP |. 285 |. cf BRB cone Pee □□□ 28 6. 2012, 4a § 462 co fee ABA Pe Bd Pl Pr po op td sas % 2013 11,398 17,594 |. wee feces 1088 foo. seven 228 [oo eeveeeees) O29 Poo cece ee fio □□ □□□ Pe 8 2014 15,071 O69 fl. 1,569 J. we dene 2 204 ce Peveeeeee OKO Fo eeveeneecees V2 | 51,893 fo 128 8, 2015 38,562 | 70.987 cece Pewee YP co Pe BOBO Po I fo. 80] 198.081 Po 185 1d, 2016 . 90,565 . 98,769 |. ef BB □□□ weve OBB | ce denen AB PTET 24d i, 2017 41,204 0 150,850 6 2,468 11,387 $3,796 1 od 198 844 204 12. Totafs 225,494 17,085 | 654,678 20,926 24,860 2,667 | 62,638 | 3,979 28,479 Li | aaa | 951,078 Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned Nontabular Discount - Reserves Afler Discount 26 27 28 29 30 32 33 Inter 35 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Nat Assumed Ceded Net | _ Loss Expense | Percentage Unpaid Unpaid 1. Prior XXK Lf. □ XXK. AX OO POO Rp ccceceeeees fee OR | 18 009 | $2,942 2. 2008 207, 859 . oo MOP PPB dal ce Peeeeeeeteee cee fee canenteeeete Poses cee T1228 3 ©2009 168, 774 168,774 |. 49,6). cose ee ABBY se tee Pee eee fe OBO 8d 4. 2010 165 461 |. 162 165,298 Jo BO P2810 fo Bd cece fee teeseeeeee ee wee fe 3,682)... .....B96 5 2011 198,697 |. - 198.697 BIO a 61.5 |. ce |e eee □□□ cee RAPD | 1,28 F 6. 2012 214,853 . 214,853 7.3 cel Po BRB PL. ef cette cece fee A2PFI L172 7. 2013 201,251 . 201,251 62.9 fee a BBD . |e ween . BB O82 |. 5,286 a, 2014 198 B06 198,808 |. 60.9 bcos BA] Ju see |e co 2770 | 5 B28 a, 2015 238.454 co VEY 288,498 Po 728 | On]. 76.3 |. cece aes bee eee be AOS, 8207 10,014 10. 2016 216,937 cee | 216,759 | BBL D9] ho ce | BABS] 13,810 Wi. 2017 225,304 1,351 223,953 63.4 6,8 66.8 181,995 17,550 12. Totals | xxx Xxx 90 XXX xxx |_| XXK aiz. 4a | 108,930 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE $000 OMITTED: [12] Years in i 2 8 Defense and Cost Adjusting and Othar 10 11 Which Loss Payments Containment Payments Payments Number of Premlums Were 4 5 6 ? 8 g Total Net Clalms Earned and Salvage and] Paid Cols | Reported Losses Were | Direct and Direct and Direct and Direct and Subrogation /{4 - 646-7] Direct and Incurred Assuined Ceded Net(i- 2} | Assumed Geded Assumed Ceded Assumed Ceded Recelvad +8-9 Assumed 1, Prior AK XXK XXX. cesecttueesee eeefie □□ eevee neces wf ceccccenweeeetee] econ es cc cee cece □ cosas KKK ti. 2017 pix tows | woo | woe [oe Pe 23 24 a6 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Bulk + IBNR Other Unpaid 13 14 15 16 7 18 19 20 24 22 Number Salvage | Total Net | of Claims and Lossas | OutstandDireot Direct Diract Direct Direct Subrag- and Ing and and and and and atlon Expenses | Direct and Assumed | Ceded_| Assumed | Geded | Assumed | Ceded | Assumed | Ceced | Assumed | Ceded | Anticipated Unpald_[ Assumed 1. Prior ce ceeceeeeen seeds cceeee cece ee cee we cefec Pee Pe ceeceecee| fee 4, 2010 i... 4 . JY ee fe pl 10, 2016 cn eisai cee no cece | eseaeeceees ee ccseeeeefeeee of [2017] Lz tows | [J po Total Lass and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned Nontabular Discount Reserves After Discount 26 27 28 29 0 3 32 33 Inter- as 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Cadad Net | Assumed | Geded | Met |__Loss _..Expenso | Percentage Unpaid Unpaid I, Prior XKXK KX HEX... KKK XXX. cf eeepee seen nn 4. 2010 | □□□ . seone| a A fe fe fe ef . ii, 2017 tows | 0 | ox oo | wx | oe] COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 11 - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY AND THEFT) $000 OMITTED i2 Years in 1 2 3 Defense and Cost Adjusting and Other 10 i Which Loss Payments Containment Payments Payments Number of Premiums Were 4 4 6 7 8 9 Total Net Claims Eamad and Salvage and} Paid Gols | Raported Losses Were + Direct and Direct and Direct and Direct and Subrogation |(4 - 5 +6 - 7] Direct and incurred Assumad Ceded Nat (1-2) | Assumed Ceded Assured Caded Assumed Caded Received +8-9 Assumed 1, Prior XXX. POOR LO PB OY APSA 108 PP BE ld po eB Lo gsr hee 2 2016 518.646 | 275,669 242,947 |... 584,859 | 405,272 [00002858] 55,124 |. 29,082 | 1,828 18,508 | KK . 3. 2017 501,480 264,077 237,403 | 1,128,376 | 1,047,505 2,448 191 71,042 63,228 630 85,993 XXX AXX 1,727,170 | 1,560,954 6,334 127,626 92,299 2,981 208 208 23 24 25 Lossas Unpaid Delense and Cost Containment Unpald Adjusting and Bulk + IBNR Olher Unpaid 13 14 15 16 7 18 18 20 Pl 22 Numbar Salvage | Total Net | of Clalns and Losses | CutstandDirect Direct Direct Olrect Direct Subrog- and ing and and and and and ation Expenses | Direct and Assumed | Geded 7 Assumed | Ceded | Assumed | CGeded | Assumed { Ceded | Assumed | Geded Anticipated| Unpaid__| Assumed 1. Prior - 2,970 65... 7476 | 24,567 A PB A Ae see [oe 464 |... 8,864 |. 268 2 2016 . 1,944 - 20), 8,186]. 4, 102 1)... we BBD | fe NOS fo fe 488 7 8.583 Po 3, 2017 27.825 17,430 73799 62,186 3g4 994 12 1? 552 383 614 40,589 2,634 imo] ssi] soos] ros] sof i] cas] te] aie 1.662] se.ese | 2,07 Total Loss and Lass Expense Percentage 3 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiuins Earned Nontabular Discount Reserves Afler Discount 26 27 248 2g 30 31 a2 33 Inter- 35 a6 Company Direct Direct Pocling Loss and and Loss Participation Losses Expenses Assumed Gedad Net Assumed CGaded Net Loss Expense Percentage Unpald Unpaid 1. Prior XXX «XK, KKK 2 RK 2 RAK see BRK - eee ce Pee KKK . 5,014 | 4,689 2. 2016... 656,405 |. 528,455 |. 127 041 MBA WT 528 be eeeseseee ce cover BO E2174 □ 3. 2017 1347, 416 1,190,914 126 602 2627 451.0 53,3 | 22,023 18 546 4. Tolae_| 10% x4 wor | woe Tx | as GOMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1J - AUTO PHYSICAL DAMAGE $000 OMITTED Years in 1 2 3 -Detense and Cost Adjusilng and Other 49 1 Which Loss Payments Containment Payments Payments Number of Premiums Were 4 5 & 7 8 3 Total Nel Glalins Earned and Salvage and) Pald Cols | Reported Losses Were | Direct and Olrect and Oirest and Diract and Subrogalion|(4-546-7| Direct and Incurred Assumed Ceded Net {i -2) | Assumed Caded Assumed Ceded Assumed Ceded Aaceived 4+8-9 Assumed 1. Prior XXX KK 025, 44) BABE BBB Pl 8 80S Fe eC. 2. 2016 8,691,794)... 23,035 | 8,608,760 | 4 994,896 ce AB BOO Pf BBOET fo | 280,719 5 697425 |. 4404 452 3, 2017 §,828 207 46,266 | 8,791,941 | 4,753, 176 § 961 706, 165 j 896,822 | 5,466,301 | 4,045,205 9,664 516 | as | a1 576 | al 1,593, 989 2,225,685 | 11,089, 854 23 24 25 Losses Unpald Delensa and Cost Gontalament Unpaid Adjusting and Bulk + IBNR Other Unpaid 14 14 15 16 7 18 19 20 21 22 Number Salvage | Tolal Net | of Claims and Losses | OulstandDirect Direct Dlrect Direct Direct Subrog- and ing and and and and and ation Expenses | Direct and Assumed | Ceded | Assumed | Gaded | Assumed | Ceded | Assumed | Ceded Assumed | Ceded_ |[Antigipated| Unpaid | Assiwned 1. Prior 4,624 (129}) .. 19,698 . £33} 590 864 |. (745). 74,952 | BY 8,089 | 2 2016 7,485 seen 1, 890 veceeeeeee 526 1,508 |. cet hod 4 21,022 |.....22,952 |... .. 1,358 3 2017 488, 164 (248 525) {1} 16,832 2,270 $4,900 382,693 | 313,642 106, 056 510,273 {120}) (227,137) (34) 17,948 | | 4,642 (745) 72,506 (12}| 409,748 379 293 108 867 Totat Loss and Loss Expense Parcentage 34 Nat Balance Sheet Losses and Loss Expenses Incurrad Incurred /Premlums Earned’ Nontabular Discount Reserves Alter Discount 26 a7 28 2g 30 31 32 33 Inter- 35 36 Company Direct Direct Pooling Loss □ and and Loss Participation Losses Expanses Assumed Cedad Net Assumed Ceded Net Loss Expense Percentage Unpaid Unpald i. Pror RXX XXX... RAK. ORK Pe KX woe XK ee 2 S76 | 17 164 2, 2016 }. 5,666,379 2)... 660,377 B10. 0.0 65.3 wats feeeeeeeee TB TPS | A TPP 3, 2017 5,781,942 5,781 O42 65.5 O06 65.8 230,639 74,002 [a tome [woe [90 Fe | oe [vo we ee anf COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1K - FIDELITY/SURETY $000 OMITTED Loss and Loss Expense Payments 12 Years In 1 2 a Detense and Cost Adjusting and Olher 10 11 Which Loss Payments Containment Payments Paymants. Number of Premiums Were 4 5 6 7 a g Total Nal Claims Earnad and Salvage and] Paid Cols | Reported Losses Were | Direct and Glrect and Direst and Birect and Subrogation |{4 -§ + 6-7] Direct and Incurred Assumed Cedad {1-2} [| Assumed Ceded Assumed Ceded Assumed Ceded Received +6-9 Assumed 1. Prior XXX XXX we RRM Pee A CBB feces we RK 2, 2016 APY. wo fee cece UF .. 18 cee fe ceeeee esate tected 2 RK, 3, 2017 13 18 10 i XXX [a soma [exe [oe [ox fe wal el ee ee 23 24 25 Losses Unpaid Defense and Cost Containment Unpald Adjusting and Bulk + IBNR Bulk + IBNA Other Unpaid 14 14 15 16 ? 18 19 20 ai 22 Number Salvage | Total Net | of Claims and Losses | OutstandDirect Diract Direct Direot Direct Subrag- and ing and and and and and ation Expenses | Direct and Assumed | Ceded | Assumad | Ceded | Assumed | Ceded | Assumed | Ceded Assumed | Caded_{Antloipated| Unpaid | Assumed 1. Prlor 68 wud sessed . . cee § seme PAP LF 2 2016 wees sitet ae cesses A ceed fo. . 3 2017 58 2 1 oy 1 4. Tos fo ef ao Total Loss and Lass Expense Parcentage a4 Nat Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned’ Nontabular Discount Reservas After Discount 26 27 28 25 30 31 32 ag Inter- a5 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Geded Net Loss Expense __| Percentage Unpaid Unpaid 1. Prior XXX XXK XXX KK □□ □□ XK, we RRR lle ee BP 8 2 2018 7 bee iF |, WA eves 82,0 we fe A 3. 2017 n 2 537.0 587.1 58 3 [toms | soo [oe | sox [p00 | oe COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH) $000 OMITTED Loss and Loss Expense Payments 12 Years in 1 2 3 Defense and Cost Adjusting and Othar 10 1 Which Loss Payments Containment Payinents Paymants. Number ci Premiums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage and| Paid Cals | Reported Losses Were | Direct and Direct and Direct and Direct and Subrogallon |({4 -5+6- 7] Direct and Incurred Assumed Ceded Net {1-2} | Assumed Ceded Assumed Ceded Assumed Caded Raceived +6-9) Assumed 1, Prior wR 2d fet RAK 2, 2016 Git ep. 5,760 |__...5, 760 oe KK 3. 2017 5,819 5,618 4,401 4.401 XXX vows] voswef TE cue 23 a4 25 Losses Unpaid Delense and Cost Containinenl Unpaid Adjusting and Bulk + Bulk + IBNR Other Unpaid 19 14 15 16 7? 18 19 20 21 22 Number □ Salvaga | Tolal Net | of Claims and Losses | OutstandDirect Direct Diract Direct Direct Subrog- and Ing and and and and and ation Expansas | Direct and Assumed | Ceded | Assumed | Caded_| Assumed | Ceded | Assumed | Geded | Assumed | Ceded |Antlcipated| Unpaid | Assumed 1. Prior we Pe 1,084 P1084 J 2. 2016 wee 1 A 3. 2017 403 (419) (410) ws] of of yt Total Loss and Loss Expanse Percenlage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Earned Nontabular Discount Reserves Aftar Discount 26 27 28 29 30 31 32 a Inter- 35 36 Company Direct Direct . □ Pooling Loss and and Loss Participation Lasses Expenses Assumed Gaded Net Assumed Geded Net Loss Expanse Percanlage ‘Unpaid Unpaid 1. Prior XXX UXXK. XXX KA. RR KKK. se MRK 2. 2016 5,764 5 767 |. BE J. - a. 2017 4,304 4,494 78,2 78.2 wor | ox fee | oe [wx | wx | | COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1M - INTERNATIONAL ‘$000 OMITTED Years in 1 2 a Defense and Cosl Adjusting and Oiher 10 i Which Loss Payments. Containment Payments Payments Number of Pramiums Were 4 5 6 7 8 9 Total Nat Claims Earned and Salvage andj Pald Cols | Reported Losses Were | Direct and Direct and Ditect and Olrect and Subrogailon {4 -5 46-7) Direct and Incurred Assumed Caded Nel(1-2) | Assumed Cedad Assumed Gaded Assumed Geded Recelved +8-9 Assumed i. Prior XXX XK RK bec cece eee □□□□□□□□□□□□□□□□□□□□□□□ Pee ceeeeecceeeeD cece 2 2008 J. Steen) ce alee se code KKK... 4. 2010 i]. coe : seve cee fee ee seine 2 ce | ee RK 5. 2011 cee : sed wef viper coe | cee RK 6 2012 : cee wee apes cfeeeccee cece eee 9. 2015 : noe epee cee cece . sec eee RR a ui. 2017 XXX fiz. rots [vox [ove [oe □□□ 23 a4 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Bulk + IBNA Other Unpaid |. 14 14 15 16 1? 18 14 20 21 22 Number Salvaga | Tolal Net | of Claims and Losses | OulslandDirect Diract Olrect Direct Direct Subrog- and Ing and and and and and ation Expenses | Direct and Assumed | Geded | Assumed | Gaded | Assumed | Geded | Assumed | Ceded | Assumed | Geded Anticipated| Unpaid | Assumed 1. Prior oe scence cece fees beeen: □□ ceca 10. 2016 cee wepeene wife UU. 2047 rons | | ff | | _ Total Lass and Loss Expense Percentage 34 Net Balance Sheel Losses and Loss Expenses Incurred Incurred /Premiuins Earned Nontabular Discount Reserves After Discount 26 27 26 29 w WY 32 3g Inter- 35 36 Company Direct Direct Paagling Loss and and Loss Pariicipation Losses Expenses . Assumed Gaded Net Assumod Ceded Net Loss Expense | Percentage Unpaid Unpaid 1, Prior MK XXX FOO. POOL | KKK tet Pe ORK cee 4. 2010 . . sel Jef . fee cf cose i 2017 eats | wx | soe | sox x00 xx | | COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 1N - REINSURANCE - NONPROPORTIONAL ASSUMED PROPERTY $000 OMITTED Loss and Loss Expense Payments 12 Years in 1 2 3 Delanse and Cost Adjusting and Othar 10 W Which Loss Payments Containment Payments Payments Number of Premlums Were 4 5 6 7 8 3 Total Net Clafims Earned and Salvage and| Paid Cols | Reported Losses Were | Direct and Direct and Oirect and Direct and Subrogation {{4 546-7] Diract and Incurred Assuined Ceded Net {1-2} | Assumed Caded Assumed Ceded Assumed Seded Raceived 48-9 Assumed 1. Prior, KKK XXK ORK. Pc ceetecees fee ee pee eee □ cecsneee Preeseeeees wf cee Peed J 3. 2009 Lae eee Pee tee Peete bv se feseeesesenecssteees fete Pee Pee KY VW. 2017 XXX Liz owe | wo [roo foe fat ee 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Case Basis Bulk + /BNR Other Unpaid 13 14 16 16 ? 18 ig 20 21 22 Number Salvage [| TotalNet | of Claims and Losses | OutstandDirect Direct Direct Direct Diract Subrog- and Ing and and and and and allon Expenses | Direct and Assumed | Geded | Assumed | Geded | Assumed | Ceded | Assumed | Ceded | Assumed | Geded | Anticipated Unpaid | Assumed 1. Prior . 16 woe dd. cee cee weve weit fee 6 BB] OC 4, 2010 beens ofan tee Pee Pee Pe XXX. §& 2012 sone □ we fee ee - see cates be wef. KK. 7. 2013 sen - - fees cece a eer eee Poe XXX. 4. 2014 - see cee cece teneeee ce Pee ce ee fe RR iW. 2017 XXX fiz rows | wf | wf tte oe | Total Loss and Loss Expense Percenlage 34 Net Balance Sheet Losses and Loss Expenses Incurred Incurred ‘Premiums Eamed Nonlabular Discount Reserves After Discount 26 27 20 23 40 3 a2 33 Inter- 35 36 . Campany Direct Direct Pooling Loss and and Loss Participalion Losses Expenses Assumed Caded Net Assumed Geded Net Loss |__Expensa / Percentage Unpaid Unpaid 4, Prior XXX we AK XXX. we MRR ee RL KKK. cece cee ee fe MRRP BP Po 2 1. 2017 . 12,_otals | 30x wo | wx | soe [oe fee COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CGASUALTY INSURERS SCHEDULE P - PART 10 - REINSURANCE - NONPROPORTIONAL ASSUMED LIABILITY $000 OMITTED! Logs and Loss Expanse Payments 12 Years in 1 2 3 Defense and Gost Adjusting and Cthar 10 11 Which Loss Payments Conlainmen Payments Paymanis Number of Premiums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage andj Paid Cols | Reported Losses Wera | Direct and Direct and Direct and Direct and Subrogation |{4 -5 46-7) Direct and Incurred Assumed Ceded Net {i -2} | Assumed Cedad Assumed Geded Assumed Ceded Aecelved +8-9 Assumed 1, Prior. BRK RR te [eee Bf pe fe te fcc peed 8D [300800 3. 2009 beset cesses . wet fe we fesse sete [eee ee vet [oe fo KKK. 6 2014 fen A we on De cece pees |e cecseeteee [eee olBAL XX. i. 2017 XXX iz tors | soo [oe | Pe is 0 23 24 25 Losses Unpaid Defanse and Gost Conlainment Unpaid Adjusiing and Bulk + IBNR Other Unpaid 13 14 45 16 7 18 19 20 a 22 Number Salvage | Tolal Net | of Claims and Losses | OulslandDirect Direct Direct Direct Direct Subrag- and Ing and and and and and ation Expenses | Direcl and Assumed | Ceded | Assumed | Ceded | Assumed | Geded | Assumed Seded | Assumed | Geded [Anticipated] Unpaid | Assumed 1. Prior 4, 964 J. 779 we [oe fete wee fee Pe Pee 2 ZOE P00. & 2015 . . eeeeeeeee coe qe tee fone = eevteeeemeceee fe cess cece seem Pe ae ee [RX 10. 2016 cies bee eee Pee lees feces feo fe see Pe ee cee P.O. Wi. 2017 XXX 12 tools | taf [wf af | zat Total Loss and Loss Expense Percentage 34 Net Balance Sheel Losses and Loss Expenses Incurred Incurred /Premlums Earned Nontabular Giscount Reserves Alter Discount 26 a? 2a 29 30 31 32 33 Inter- 35 36 Company Direct Direct Pooling Lass and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss Expense Percentage Unpaid Unpaid 1. Prior RK pe KKK. FORK] OR OCP op weeeesteetee KK eee ee Py FAG J 18 5. 2041 (84)... lef. {84)].. wes cee fe ce fee - eee cece fe secanenecenaees 2017 _ oe | veo | vox | | woe Powe 2.18 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1P - REINSURANCE - NONPROPORTIONAL ASSUMED FINANCIAL LINES ‘$000 OMITTED [12] Years In 1 2 a Defense and Cost Adjusting and Other 10 11 Which Loss Payments Contalament Payments Payments Number of Premiums Were 4 5 6 7 8 8 Toial Net Claims Earned and Salvage and] Pald Cols | Reported Losses Were | Direot anc Direst and Direct and Direct and Subrogation |(4-§ 6-7) Direcl and Incurred Assumed Caded Net {1-2} | Assumed Caded Assumed Ceded Assumed Ceded Racaived +8-9) Assumed i, Prhor RXK AK PNK □□□□□□□□□□□□□□□□□□□□□□□□ Peer cae seep enecesceceee □□□ be cece cece Pete) cere mi fa PK □ ii 2017 XXX [12 tots | yoo [woo Joe Tae 23 24 25 Losses Unpald Defense and Cost Containment Unpaid Adjusting and Bulk + IBNR Olher Unpald 13 14 16 16 7 18 19 20 21 22 Number Salvage | Total Nel | of Claims and Losses | OutstandDiract Dlreet Direct Direct Dirsct Subrog- and ing and and and and and ation Expenses | Diract and Assumed | Geded | Assumed | Ceded | Assumed | Ceded | Assumed | Caded [| Assumed | Geded Aaticigatad Unpald__| Assumed 1, Prior , fe cece see ceeeseed cece ttf apes scatterers ue KK 4, 2010 we | lt |: sec cece eee ce feck a Peceecece tenet co OK. @& 2014 se vested □ top totes ee OOK 11, 2017 XXX tos | | [Et pe] Total Loss and Loss Expense Percentage a4 Net Balance Sheet Losses and Loss Expenses Incurred Incurred ‘Premiums Earned Nontabular Discount Reserves After Discount 26 a? 28 25 30 a 32 aa Inter- 38 36 Company Direct Direct Pooling Loss and and Loss Parlicipation Losses Expenses |_Assumad Gadad Nat Assumed Caded Nol Loss Expense | Parcentage Unpaid Unpaid 1. Prior XXX... AXXO PARK RK pK. XXX. fst eeeane □□□ ctcceeeceneeeeee cePeeeee OOM Dc enscsseseeeessne veces 3, 2009 □□□ a ce vcceeefimmmeees fe sel meee a Pesttttetee te ef feee gee fe cee 4, 2010 wd veeefe ce le . ef pu 11, 2017 | ] ta_Tows | ex | soe fx | oo [wx | woe po COMGEINED oTATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 1R - SECTION 1 - PRODUCTS LIABILITY - OCCURRENCE ‘$000 OMITTED [12] Years in + 2 3 Delense and Cost Adjusting and Other 10 HW Which Loss Payments. Containment Payments Paymenis Number of Premiums Were 4 5 6 7 a a Total Net Claims Earned and Salvage and) Paid Cols | Reported Losses Were | Direct and Direct aad Glrect and Diract and Subrogation |(4-5+6-7| Dlrect and Incuirad Assumed Ceded - 2) | Assumed Ceded Assumed Ceded Assuined Gedad Recelved +8-9) Assumed 1. Prior _ KKK KKK. eevee HOO, 443 36,108 |......46,700 |. 16, 193 WOOF Ya Pecans cee fe cone, 920 |XX 2, 2008 1798 | 82 1,666 odd? |. BY 96 fo we ABD | Leese fo APB Pl 78 3, 2009 A, 628 962 |... 1 woes Pee BAL eee we ADP Jo. wccseeeccecenes Poe cece SSBB Poo 62 4, 2010 2 A980 we EL 1,349 Jo. 468 vcecite fone TB Pe. we BB ae Peete oe vee BE Poa 5. 2011 1,038 20 |. 1008 | Ae]. te BY, a . we Poe eee el wd fe 6. 2012 oe DA a OA en 56 eV fe TE foe we BB Yo tee pce i Pec Md Po ed 7. 2013 4,171]. 22 Pe we few BY WO YL Po Bd □□ 4 a 2014 1,336 |... A WO Pe ee □ [eee AW. tecteeeenee Pee OPP Po 88 9. 2015 1,266 |... 1,266 ABB Yo . 19 tee Pees 38 fo. see Poe 819 cee Od 10. 2016 594]. soe 2. BOTY BO Ye . 48 we Be . see Pee 106 cee 1B ii. 2017 748 T48 26 2 28 10 ws,ee7 | 36,4] e710 | seta] sosis] | a | 109,68 23 24 26 Lasses Unpaid Gefense and Cost Gontainment Unpaid Adjusting and Case Basis Bulk + IBNR Case Basis Other Unpaid 14 14 15 16 t7 1B 19 20 21 22 Number Salvage | Total Net | of Claims and Losses | OvtstandDirect Direct Direct Direct Direct Subrog- and ing and and ang and and alion Expenses | Direct and Assumed | Ceded | Assumed | Geded | Assumed | Ceced | Assumed | Ceded | Assumed | Ceded Anticipaled| Unpaid | Assumed 1. Prior 566,022 |.. 204,894 |. $38,706 | ....103,964 176,719 |...... 82,993 |....88, 120 22,687 BAOAB fo 22 fl □□□ 002,082 634 2. 2008 WW settee 2 fo. seve wef fe cee dF |. aA 4, 2010 wee □ soe fo ce fee ene AB we lO cee veel Po 5. 2011 159 vests foe . cece -[-. 0.22]... cee cece TB Pl □ 2012 & . 211 ep cee DY. cece fe AB. cece ld Pee ee cee fe 208 J 7. 2013 158 235 |... vv ve fee Sy ].. eo AF - wee fe BBP @ 2014 . 19 Oy, 28 ve fee. FB - ween Po cee doce BAD PA 9. 2015 . 46] - AT yo. eee Pee WD Yo. pee AB Pou vee Pence ME Pe 10. 2016 789}... ANG □□ wc cece [oe AP). seve eee AB YP weccetee Pee 4B PA ii. 20i7 3 67 2 56 42 368 6 566.561 204,894 | 540,521 103,364 176 844 | 92,933 | 83,614 22,687 91,925 Ls) 1,005 263 4,851 Tatal Lass and Loss Expense Percentage a4 Net Balance Sheet Losses and Loss Expenses Incurred Incurred ‘Premiums Eatned Nontabular Discount Reserves After Discount 26 er 2a 29 30 Y 32 33 Inter- 36 36 Company Direct Direct Pooling Loss and and Loss Parlicipation Losses Expenses nee | Assumed | Cedad | Not Assumed Gedod Net Loss Expense | Percentage Unpaid Unpaid 1, Prior KKK MXX RAK... HK XM... 2 RRL |. wee pee eee Le POO D205 612 2. 2008 530 ao MY 496 | SEA MB BOF cece Petes cee Po er Pee cee dO cence 3. 2009 . 1,573 vee cee ASP 8 cee Pee BI cece Pe cceccceeeeeee Pee ee Pesce! cee 4. 2010 a ABD bese eoeeeeeeeee oe BD peed BY sce LB | □□ teeeeeeeee fees OP Pd §. 2014 759 fete FOG se ddD |. ce fe FY cece beseeeees vee cesses DD 56 §. 2012 389 BBB ADT 08,965 ,000.09]00 2309 |. cee seeeemeeseeeeeete foes cece Poe cece ee IB L768 7, 2013 |. 876 soe fe. a76 cee Pee FAB YL. ce Pee ee Pee ce fe BOE 185 2014 tL cee beeee TOT po FB Lo. ce 76.1 |... fee eee [ese we fee PB. 163 9. 2015 1,013 ee pee TOR Poo 40 vee coe BOOT. vee ee wee [eee cee MBB. $28 10. 2016 664 epee BBE Po 1106 □□ eevee AIOE YL. cece tees Peeeeee ce fee Pl 140 HL 2017 999 393 52.6 _ §2.6 265 100 12. Talals XXX XXX, XXX XXX 798 825 206,438 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED . PROPERTY/CASUALTY INSURERS EET AAR TYUINSURERS Schedule P - Part 1R - Section 2 - Products Liability - Glaims-Made Schedule P - Part 1S - Financial Guaranty/Mortgage Guaranty COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART iT - WARRANTY $000 OMITTED [12] Years in 1 2 3 Defensa and Gast Acjusling and Other 10 W Which Loss Payments Containment Payments Payments Number of Premlums Were 4 5 8 7 8 g Total Nat Glalms Earned and Salvage anc] Paid Cols | Reported Losses Were | Direct and Direct and Dlrect and Direct and Subrogation |{4 -5 46-7] Direct and jncurred Assumed Ceded Net(1-2) | Assumed Ceded Assumed Caded Assumed Ceded Raceived 48-9) Assumed 1, Prior. XXX we ORK we RK Pe eee Poe we 1 MAR ee 2 26 | 215 |. 215 fo. ceveeeeeeee AOE | 105 cece 18 3. 2017 658 8 578 a8 38 fe. tome | woo [woe [yo [ew ee 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Bulk + IBNR Other Unpaid i3 14 15 16 17 18 18 20 21 22 Number Salvage | Total Nal | of Claims and Lossas | OutstandDirect Direct Diract Direct Direct Subrog- and ing and and and and and ation Expenses ; Direct and Assumed | Geded | Assumed | Geded_| Assumed | CGeded | Assumed | Ceded | Assumed Ceded [Anticipated] Unpaid | Assumed 1, Prior - beeen wanes 2. 2018 epee cece . wee 3. 2017 2 2 [a som | af at Total Loss arid Loss Expense Percentage 34 Nel Balance Sheet Losses and Loss Expenses Incurred Incurred /Premiums Eamed’ Nontabular Discount Reserves Alter Discount 26 af 28 2g 340 31 2 33 Intar- 35 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss Expense Percentage Unpaid Unpaid 1. Prior XXX ARK | KKK cee MAK vee RAK, XXX - wee BRK, □ 2 2016 . 106 . 106 sessiceeeneee 49.1 Po □□ eeeteeeee a. 2017 4g 40 50,3 Ls reas [exe | woo [ox | soe [00 |e oe fT COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2A - HOMEOWNERS/FARMOWNERS Which Losses 1 2 3 4 5 6 ? 8 9 10 Vi 42 1, Prior 1,010, 772 924,654 949.818 |...1,022,749 ] 1,003,959 971,269 940,798 |... 919,505 7... 912,846 | 907.663 283}}. .. (11,843) 2, 2008 5,123,443 |5,015,695 | 5,004,200 |..4.99¢,007 | 4,993,896 | 4,972,306 | 4.971 198]. 4 970,609 | 4 970,014] . 4,968,304 cevveeeeel 1,690})... (2,505) 3. 2009 XXK 4,485,357 | 4,409,276 | 4,429,474 |. 4.440.022 | 4,308,808 | 4,994,878]. 4,900,411 | 4,980,648] 4,307,908] 62, 162) ceeeeeel 018) 4, 2010 | XXX XXX 4,510,807 | 4,489,905 [ 4,416,605 |4.400,742 | 4,398,778 | 4,400,927 |..4,990,055 | 4,987,375 AB, S81)... 112,952) 5. 2011 XXK XXX XXX) 6,546, B78 |. 5,809,445 | 5561817 [ 6,983,291 | 5,330,131 | 6 32e7,687 15,918,088 | asa) (21 ,04ay 6& 2012 | XXX OK fn KK PKR. 4,026,652 | 4,103,688 |. 4,109 686 |. 4,000, 182 | 4,064,680 | 4,046,996 |...(18.d24)} (43,928) 7. 2013 RAK... XK | KK. AK RK 3,215,898 | 3,280,189 | ..8,280, 175 | 3,260,270 |..9,236,280 |.(23,990)].... (43,894) a. 20l4. | | XXK □□□ RX RK] OMKK | 758.984 | 9,890, 162 [5,810,828 |9,777,908 |... (88,620) (92, 654) 8. 2015 ARK... XXX XXX OOK □□ MAX DKK XXX 3,747,443 | 3.810.642 | 3,744,107 (86,505)) (3,336) 10. 2016 XXX KKK, KRX | MR de MRK 2 MK. XK LA TB, 70S 4, 158, 788 | 40,082 11. 2017 XXX XXX XXX XXX XXX XXX XXX XXX XXX 4.641577 □□ XXX 12. Totals SCHEDULE P - PART 2B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL 1. Prior 5,020,116 | 5,127,250 |..5,049,125 | 5,124,400 | 5,134,003 | 5,074,699 | 6,042,047] 6,117,628 |...5,199,997 |_5,204,600 1 . . 64,892]. a7,062 2, 2008. 6,458,006 | 8,506,233 | 6.575.999 | 6,555,022 | 6,555,783 |. 6,589,617 |...6,595,350| 6,531,011 6,512 208 |.. 8,522,347 | 10,949 | 48,864) 3. 2009 XK. | 6,818,002 | 6,807,000 |...6.811,962 | 6,792,906 |. 6,745,495 | 6,705,976) 6,756,050 | 6,780,765 8, 764,249 | 8190 4. 2010 ARK XX. 7,326,634 | 7,131,964 |.7,077, 122 ) 7,075,889 | 7,021,911 |...7,003, 769 | 7,013,868 8,999,675 |.......94, 190}|. (4,098) 6. 2011 fe KKK OK. 7,008,981 | 6,996,585 986,262 | 6,942,257 |..6.922 067 |. 6,909,495 | 6,890,370 weveeeed 16,754}... 31,397) 6 2012 2 LL KKK XOX OP | 7016867 [7.012.727 |. 6,964,905 | 6,956,892 |..6.943,408 1 8,904,317 84,091)... (52, 575) 7% 2013 2 OK KK we OR ef OK OM) 7188981 | 17? S84 | 7,228,200 198,507 |. 7,143,888 | 5d 6205 wen (84,929) 8 2014 RK, XXX FOR ff KM KKK 528,214 | 7,689,870 | 7,608,219 |..7, 546,805 | (58,424)! (88, G75) 2015 XXX KX 2 RK 1 ORR DR PK XxX... 18,448, 858 | 8.493,996 |.8,379,088 |... (94,9083) (69, 769) 10. 2016 | XXX, OK Po KO OK O80 Xe, oo) 8,686,415 | 8,528,919 1 0458,096)] oo. Vi, 2017 XX XXX XXX XXX XXX XXX, XXX XXX XXX 8, 195,081 XXX XXX 12. Totals SCHEDULE P - PART 2C - COMMERGIAL AUTO/TRUCK LIABILITY/MEDICAL 1. Prior . 943,684 319,690 317,575 314,079 |... 308,676 |... 305,968 301, 123 298,962 |... 299,281 804,010 | A719 8048 2, 2008 | 189,917 179,837 479,501 172,334 |. 171,483 174,302 |. 171,256 |. 174,986 |.......173,430 173,852 «B22 Yo 1,966 3. 2009 XXX. 145,887 180,722 179,785 |... 170,528 170,818 |... 172,571 173,769 |. 174,858 176, 359 | SOT]... 580 4, 2010 2 KK XXX... 495,655 |... 207,089 |......191,0B2 |..187,373 |... 185,417 189,318 |... 190,711 J....194,007 | 3,206 |. 4 689 5. 2011 2 ARK XXK KK | 187,445 | 188,433 184,005 |. . 180,208 |.......181,952 |. 184,884 | .186,463 |... 1,579 5.111 6 2012 XXX RK KKK] KK 165,366 f...... 161,227 |....148,224 7. 150,455 |. 153,503]. 158,578 [2.986 |, 8, 123 7. 2019 we KKK XXX... XOX 160,086 |. 171,561 171,792 |. 180,084 | 179,308) 88). F604 8. 2014 XXK XXX. we RAK. | 165,312 |. 180,403 |. 197,257 | 192,787) 540}] fe Bid 9, 2015, KAK KAM. od RMX 2 RN KK 18,48 eB 0dr L218 286 Pte 20,348 18. 2016 | XXX. KKK, 2 OK FOO KL XK REX 218,904 |... 958 | XXX, 1. 2017 XXX XXX 20K XXX XXX XXX XXX KXX XXX 188,427 XXX XXX 12, Totals | _13,051| _ 68,060 | SCHEDULE P - PART 2D - WORKERS’ COMPENSATION . EXCLUDING EXCESS WORKERS’ COMPENSATION 1. Prior 131,040 130,403 .183,240 |..141,041 144,230 |... 552 141,088 142,548 }.......185, □□□ |. 195,939 | 70]. (6,609) 2. 2008 woe . sess fee ees cesseseee cece De cseeeee cuseeaesee [eves 3. 2009 □□ □□ fe cones ones bee soe | we fee a fee coccinea « 4, 200 XXX XK. |. 2p. tow. 2 . Leven cee |e we □□□ ae cesses 5, 2001. YOK OK PK cee fe ee wee fo ween ce peste ee Pc □□□ ve asesnuees 6 2052 KKK 2 XK WOK DOK oe □□ fese csesee ee wes disses eens fe Le oe woe foeeee « veces 7 RK XK WOK de MAK we RR fe fee cee cesses ceseeeeeie cee vesceeeeesiieees ese el . & 2014 OOK PK | HOOK co OK, YOK KK Lee cece fe este fesse ccceceeee [eceecceee ne Pessssevaneeseue eee 9. 2015 KK 1 ARK, □□□ OC YK UK LUXE po pl a siete tueeeeeees 10. 2016. RK) KK, wo Rf EK) Kp foe ce cccaeeseneee fest nee eee KK 11, 2017 XXX XXX XXX XXX OOK XXX XXK XXX XxX XXX XXX 42. Telals SCHEDULE P - PART 2E - COMMERCIAL MULTIPLE PERIL 1. Prior. 241,509 |... 258,080 279,692 |... 277,691 296,991 792,254 1. 312,805 331,785 |... 372,778 | 989,862 |. 16,786] 87,777 2, 2008 398, 109 397,860 383,951 962,794 |... 986,201] 985,346 |... 989,057 375 462 378,292 |. 374,938] 1044 Yo 3, 2008. XXX 378,692 | .......989,256 380,860 |. 380.884 378 907 375,838 |... 863,905 |..961,059 |... 361,818] as | □ 1,987) 4, PHO J. XK 995,451 1. 424,042 412,728 |... 402,543 405,073 490,284 390,408 388, 758 of F648). (1,526) 5 201i KXX XXX! A279 450 536 443,807 |... 448,737 |. .493,080 |.....427,879 | AGT 368 YA 15,692) 6. 2012 | KKK -KKX XK weed? 991 336, 459 928 308 325,007 320, 530 316,434 |) 4,086) (8,678) 7. 2019 BKK FORK KKK AK RAMP 290.202 |. 205,777 |. 306,698 |. 299,757 |. 290. 204 (8,553)! (16,494), “a 2014 |. XXX XXX HK oe ORK fo ORK | KKK $29,049 349,965 0.349.018 |. 350,849 88] Bad 9 2015. XXK KKK POOR HOEK, wo RRM | XXL XXX. 347,147 |......359, 000 364,753 | 6.783 |... 17,606 10. 2016 . XXX XXX 2OGK POOL LOX LP UK RK Bd? fe 984 aaa 11. 2017 Xxx XXX XXX XK XXX XXX XXX XXX XXX 346,112 XXX XXX, 12. Totats 14,800 40,836 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE Years in ses sia Lala [ae | ats aie | en [ae | tat [ower ne Were Incurrect 2008 2009 2010 2011 2012 2014 2015 2016 2017 One Year | Two Year 1. Prior 1,168 |... 408 a gsat fay]. 10) 908) (ray ery) □□□ Lee [7 ars 6. 2012 XXX | KK KX OK fe. cote fsneetes voccsnntes |osnnee stent 7. 2013 OK OK roof OP eK | □□ cee | ener fo vie [oceeeeee foe ae 8. 2014 |... xxx OK dK RX POOP KIO Poo cone cece Pewee ts fesse fe cea fee ee 9, 2015 |. XK]. XK | eK fo fe eK ccc fe bec 10. 2016 Of OO OOP OM feo Pee pee Po eee 11,2017 yon XXX XXX XXX XXX XXX xox XXX XXX XXX 12, Totals SCHEDULE P - PART 2F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE 7. 2013 XXX || KKK wee RK . we ane we weit cee ee cecceeeeeeeeeeee [octeee cette [eres ee ee ne 8, 2014 OXKK | □□□ KL. & oe we BB ec Pe ccc 8. 2016 XK) KKK XX JY Px |. ae fete caf cee cece 10, 2016) □ □□□ | ox XXX. we ORR KK fe RR Rf swdee ccf OOK 2017 XXX XXX XXX XXX OK 0X XO XXX XXX 12, Telals [TT SCHEDULE P - PART 2G - SPECIAL LIABILITY {OCEAN MARINE, AIRCRAFT (ALL PERILS}, BOILER AND MACHINERY 1. Prior |... 4,375 3.761)... 8.257]. |. Be89 fs cor] 5.298]. 4.761]. . 4.522]. 5.008]... goa]. 2, 2008 10,830) 13,806). 818] teen | tao} otto at996 | Litera] nee] 3, 2009 |oouxxx. |. 1790 1788) AFI] ae]. as ama] teeta ay 4. 2010 wood. MO | gaat 2198}. 2497] 298] eed] a |e] ope] BL | 8 5 aot |. | □□ KK 1813]. 464g]. 4,663] 4,700] 4,686 1,687 |.... 4682] td | ta) a. XXX xxx. 00] 200K at}... 2.057] gop} girl ee] tgaf wah at 7 203 mxx.. |e | xox, ||. a 882 1,786 OW | ga ody) toa) B, 2014 XOX 900 PKK fom faa] eed | ese ee] | wh be 9 2015 |... XXX rox fee | maf 200, | acer 2.884 | 2287] aro, ayes) 10, 2016 MK. | RK OC PK fed of goo) ope] agen | iseey) aoe ti. 2017 200K xe | HX XH HK xxx | xxx XxX 7,536 | 300 XXX 12, Totals (6)! 205 | SCHEDULE P ~ PART 2H - SECTION 1 - OTHER LIABILITY - OCCURRENCE i. Pelor 412, 306 |.....5B9, 119 |. 684,525 |... 750,452 831,162 |... 9n4.630 [968,257 | 956,000 ]....952,695 | 988,288 |.......18,850 | 18,288 >. 2008 229,606 |. 208,611). 196,572 ).....105.549 |. tgdaat | 108,472 |...196.200) 194,413}. i94t51 |. 194.281 |. azo | tee 3, 2008). XXX 188,403]. 187,984).. 952,725 [155,626 |_158,se |. 157,004 | 198.443 | 156,204]. 156,977 |... 7a3 |. sae 42010] KK | | 178,260]. 06,078 |. 484,895 |B ote | 165,496) 480,918]. tgo.ser] 183,900 | 2 ont 5, 2011 XXX XEX. 20K... 188,449 | 190,890 | 176,783 |. tor,ea |... 190,719 |.1a5.914 | ta7.cer] tte |. 8.381 8.2012 J KK! fx, ff... 199,088 | 198,088 | t7e,ta7| 199,088]. 200,076]. 203.542) . aden |. tore 72018. OOK OK □□□ Pee Poof t2,baB | ee,7na |... 192.014 | tg0,a08 | 190.472 | tea | c.san3 a 2014 |. XK XXX KKK, XXX OOK KKK 208,243 |. 204.189 |. 208,678 196,059 |... (7,614)... (8,080) a 2015 XXX | XK 9K LOK fee [ec | x00 217,678 |....220,597 |... 220,791 | 433 | 3,158 10. 2016 DOK OK Lm | Of 0K, ee] som | 2oa.sae |. gorse er teay) ex. 14. 2017 XK XKK |XX HX XXX KX XXX vox | xxx 208,929 | 360% XXX 42. Totals SCHEDULE P - PART 2H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE 1. Prior ae fe wees secs : wee sete vee [eee oe . sete ne 6. 2011 OL Ef 208 doe cee Pec □□□ eden fe cee 6 2012 1X | ORK SOP 006 Po cece |e eames fe cca Pocrnenwas fee cep we fee « 7. 2013 2 RX. YOOX □□ EK 2 2 Op. wee siete □□□ weeeceeeeeeeee wees eesenee wecccccseeeeseeees foe ceveeeeaee B. 2014 XK. | Kf 006 fax. of wpe es Pee cee fences fo 8 2018 nx. |. 00K 10K | 3006 XxX Kf KKK coef care fnnnee wes iD, 2016 XX HK OL fe Pee Pe Puke foe fo □□ ea, 11. 2017 XK XxX HX XXX 200K XKX 1X OX XXX XXX HX 12. Totals Td VVIVIGINEL OPATENMIENT POR THE TEAR 201/ OF Tre ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2l - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY, AND THEFT Were Incurred 2008 2009 2019 2014 2012 2013 2014 2015 2016 2017 One Year Two Year 1. Prios XXX ARK PO OL XX XKK 2 Op 28,888 27,498) 288y) 4 80ay 2 2016 KAM. KKK □ OOK Pi MRK RRR HAR fo MMP 102,887 98,678 |, 188) 3. 2017 XXX KXX XXX XXX XXX XXX KAX XXX 401,519 XXX 4. Totals SCHEDULE P - PART 2J - AUTO PHYSICAL DAMAGE 1. Prior XXX WK LO XKK fo XXX KKK pe KKK | KX 165,024 |.......168,040 | 160,403}, 547)).....45, 882) 2. 2016 XXX... XK oe KK 2 KR PRK PKK] KKK 042,424 | 4,971,044 | COATT xX. 3 2017 XXX XXX, XXX XXK XXX XXK XXX □□□ XXX 5,020,878 XXX XXX 4. Totals SCHEDULE P - PART 2K - FIDELITY/SURETY i. Prior XXX 2 KKK KK KKK) XXX Bp BO de BSF 2 20168 | | XXX | XXK KKK HX 2 KK a KKK ARK bee WY WB Pe □□□ 3. 2017 XXK XXX XXX XXX XXK XXX XXX XKX XXX 70 AXK XXX 4. Toials | se] a SCHEDULE P - PART 2L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH 1, Prior KK 2 KKK 2 RK 2 KK KKK KK cee seeieesseeeeeees pects Peete fee ce 2, 2016 XXX RMR XXX. XXX. XXX. FOOC PO LP cece Poe ceeeeseeeeeeeee XXX. 3 2017 | XXX XXX XXX KXX XXX XXX XXX XXX XXX 4. Totats | Gd SCHEDULE P - PART 2M - INTERNATIONAL 1. Prior - vee we ef ee wee - ce eee cece cee feeeeeneeeeeiees cece 4. 2010 ARK. XKK cee wedeee coed senfeee - fesse eeeee wee | tees ween §, 2011 RK XK 2 ARK - seg an oof esceeee wed cesses chee [eeeeeeescee cesses : a 2012 XXX KKK KKK in... pone an feces weteeeeseeee ween tea coceeceeeeeee ceeeeeeeeee 7, 2019 XXX RAK. KKK... .. . ae : reveeeeeeeess | ssseieseeeeee seen eect ueeeeeeeee be eeeeeeeeee 8. 2014 XXX. KXK XXX. | xX wo x ade A eeeeeee eeceeseceenee □□ cccceeeessn ene 9. 2015 RAR XXX... ROK KKK) FKL KKK ce eee ef cet ee WO. 2016.) XKK OK OK Kf XK oo RAK) KKK |e] ch ce ceeseenmeee i. 2017 XXX XXX XXX OK XXX, HO XXX XXX, XKX XXK XOX 12. Tolals COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANGE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2N - REINSURANCE NONPROPORTIONAL ASSUMED PROPERTY Years in wists ee [we bade | ak ae | ee de | ee i. Prior 409 B99} AO BBB AB BO geo ABB |, 185 vecseeeee □□□ bocce cee Lo TF 7, 2OWa RK XXX KAM. MRK veces |e eee eceeeenseeee . . cece ne [eeseseeesteesereses [esseceseare . □□ 2Oid □□ oo. XXX MRM Lp XX . ieee . wee vee cetterectsese [este wees 9. 2015 AKX.. ..). XXX, MM XK wee MKK . XKK od. feveteee Poe □ eee dee cecceiseeee [eseeeeecse gee 10. 2018 XXX... XXK MXK. OR KKK PRK do wc Joes veeteseueteeeeeeee | MRK 11. 2017 XXX XKK XXX KKK MEX XK XKX XKX KKK XKX XXX 12. Tolals | ws] ot SCHEDULE P - PART 20 - REINSURANCE NONPROPORTIONAL ASSUMED LIABILITY 1. Prior 8,194 Badd}. 6,742 8,569 7,201 |... 7 o4Ft |. 7,447 . 5972 |. 6,498 | 6.018 | CAPO a? 4. 2070 XKX bee Le bees . wa fe . ae cane feceeeeeeee . wee cee 5. 2011 KK we KK . . {84}. □□□ . (34) ee Ba A84Y pa. 6. 2012. XK... XXX wee RX. . we [eee = . veeeeeee Qe . ev ateesee [essere ee cceeeeeeeeee 7 2HS RX]. XXX wee OR, 2 OR MRM oa cece cence veceseeee [eve ce anes we pie events [oseeeneie eoee csneeeeseeee 5. BOIS . ARK OX vee KK. oo EX ORK PX seueteeeete eect cee feces necetsenenee [esesnsseesee vance | ccccscseveseeceeeeee 10. 2016 MXM 1. MEK. KX | KKK we MRK eee fee eee Peteeeeee on □□□ i. 2017 XXX | 00K __&XX HX KOK, xxx [xxx | xx XXX . XXX XXX 42. Totals SCHEDULE P - PART ?P - REINSURANCE NONPROPORTIONAL ASSUMED FINANCIAL LINES . 1. Prior vecteeee [oe weer Dc eB ced Joo. YL. wh [cee BF] □□ lcccceeeneee [oes ce g 2012 LAKK KK. RK. MK | vetetseeeee |e . . woeeene wee cone [oe eo neaee |eceeseeeseeees ceeteeeeeeee 7. 2013 XXK. | | XXX... RX XXX... eee fe . . we [cece a cesteneeseseeeese ceceeeeeescee 8, 2014. XK. XXX XXX... MAX fl KRM . Ld... ceceeseese: wens veceeeseceeeee cones 9. 2015 XK. XXX. XXX. wae MAK wo RK KX RK we wees bocce deeeeveseeesese bee ceeeeseee 10. 2016 KKK XXX |. KKK ROK, eX XK RRR | cc oe veceeeeteee seteteeeeeeeeeeee Po MRK, . 11. 2O17 XXX XXX XXK KX □□ XXX MRK XKX XK KXX XKX 1zZ. Tolals COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 2R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCE Were Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 One Year_|_ Twe Year 1. Prior 1,289,288 | 1,285,894 | 1,267,775 |...1,283,966 | 1,905,956 | 1,404, 161 |1,447,152] 1,488,636 |. 1,848,389 4,628 864 |. 79,876 |.....139, 829 2, 2008 vee eee 1,084 | 1,124 909 [on AGE |, 122 BGS eee AB Po BBB | BAO P19) seen eel BOY 3, 2009) | XXX. 561 |. 2,043 |_..2,282 |. 2,267} 1,988) ASAE P60 fo 1482 Fea eto 4, 2010 AXK | KKK - PF | 1,096 Bar|. Gat □□ meB ye fea. cece T2228} 5. 2011 KKK, BAK Loe d |. 964 |. BBG OOF YA a I 6 6. 2012 XXK XXX XKM BAB Po 812 ee IT MSY dy 7 2013 | XXK KK OOK RRP OD - B98 |... 722 cone TF eee NOE J TY 88 8. 2014 | | XXX XXX. RR) KRM Pe 460 ce DOB BBE OIG A 9. 2015 XXX XXX. ARK Lo KR OX 2 DR KKK ce FBO BB 882 fo PP i A688 10. 2016 XXX XXK wn MORK DKK... XKX RRR | ee 60 2 B88 |, ABB OK U, 2017 AXK XXX XXX XXX XXX, KKK XXX XXX 349 KAX XKK 12, Totals SCHEDULE P - PART 2K - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE 4. Prior cc ee eee sees ceeteeee cece Pee Pieces ce cceeeneeeeeees | vceeeeeeee 4, 2010 XXX, POL | teseeeeeeenie a tee ceeeefe ee cee epee weep oe epee 5. 2011 |. XK XXX. oem we wees] eeeeeeee ce eect pe ce cee 6. 2012 | □□ □□ XxX KEK a BB wee ee acPceneeneseecee af cs cee a. 2014 POO Of KO BX PAK we [een coed wpe. cece eee beeeseeeeeeeete Pe cece 9. 2015 wo BK, RAK Lf MK se RK XXX . saeeenedfeeeeeeees ue cecceef oeeeee settee feeteeeeeeet ea en reee 10. 2016 KAM KKK 2 2 KK, KEK. KX KK Pee Pe tfeeeee ccd 1. 2017 | XXX XXX XXX XOX XXX | XXX KX 100K XXX XXX 12, Totals _ SCHEDULE P - PART 2S - FINANCIAL GUARANTY/MORTGAGE GUARANTY t. Prlor of. XXX. WOOK fo XK XX cesses a wen weve veel ee 2. 2016 2 MXK XXX 2. RXX p xy ao . wate eens fete eeeneeeee oe RR a. 2017 XxX XK XXX y □□ 7 XXX XXX XXX 4. Tolals | SCHEDULE P - PART 2T - WARRANTY 1. Prior XXX KKM. . OOK XX, . Jeeeesseeeee wees Pecos 2. 2016 XO | OXKK XX mH x □ sce Le 3. 2017 XXX XXX | a in XXX xO0g KX 4. Totals Pf COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 3A - HOMEOWNERS/FARMOWNERS CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END 1 12 Years In 1 2 3 4 5 6 7 8 8 10 Claims Claims Which Closed Closed ver TEL LE es Were Loss Lass Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Payment Paymant 1. Prior 000... ! 281,470 446,910 |... 602,411] ..681,991 |. 734,601 |... 765,127 | 7a¢.809 |. 801,723 |..815,649 | ea |, 10 2 2008 | 3,618,214) 4,668,944 |. 4,811,977 | 4,892,501 4 928,462 | 4,944,977] 4,950,484 |.4,955 262 | 4,957,670 4 960,496 |......921,576 | 447,035 3. 2009 we RK 3,260,986 [4,139,884 |. 4,248,977 |..4.305,025 | 4,987,117 |. 4,381,675 |..4.971,804 | 4,377,016 | 4,379, 164 eevee 41,413 1... 351,251 4, 2010 XXX | KKK 9.278.448 | 4,141,157 | 4,248,223 | 4,901,613 |..4,333, 121 |. 4,955,686 |.4,965,627 |.4,990,295 | 716,469]... 353,994 5. 2011 KKK POOR XM) 4,821,249 | 5,001,995 | 5,192,718 | 5,243,085 |6,270,778 |.5,286 988 |. 6,294,463 |... 897,551]. 490,994 6 2012. |. XXX. XXX KK... XXX | 3,000,741 |. 3,789,428 ).3,906. 168 | 3,969,219 | 3,006, 2311.4,000 500] 753.418 | 922 7. 2018 XXX KKK RRP RY MOOK) 2, 2, ORF P2982 878 □ .3,100,4d2 | 3,162,999] 3.177.918 |... a7g.ga2 | 289 ond 8 2014 ARK... XXX oe KKK, KK 2,856 643 |.3,502,910 | 3,625, 184 |..3,677,929 |_..549,247 |. 317,738 a 2015 _ XXX KKK XXX... FORK | RR |X XXX.) 2,727,689 |.3,462,923 | 3,577,059 |.500,002 1.318, 10. 2016 KK RMR PRX XXX. XX XKX KKK... .|...5,058,847 |. 3,800,676 | 573,232 |... 328.099 11, 2017 XXX, RXX XXX XxX XXX, XXX XXX XXX, XXX 3,342,829 530,294 377 O87 SCHEDULE P - PART 3B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL 1. Prior. 000...) 2,061,948 |...3,267,029 |. 3.920,495 | 4,252,201 |.. 4,426,948 1.4594, 123 |. 4,637,689 | 4,693,600 | 4,738,902 |... 34 eeveeeee ll 499 2 2008 2,621,951 | 4,598,706 | 5,368,903 | 5,878,046 | _.6.188,524 |. 6,328,733 |..6,407,002 | 6,449,648 | 6 482,594 6,469,893 |_1, 197,440 | 936,405 3. 2009 XXX 2,748,671 |. 4,684,264) 5,504,366 |.6,077,810 | 6,992,126 |. 6,572,320 |_.6,680, 483 | 6,663, 175 6,698 669 |. 1,207,518 | 968, 777 4, 2010 XXX OOK... 1.2 940,045 | 4,826,744 | 5,746,205 | 6,290,301 | 6,645,739 |. 8,800,957 | 6,870,754 | 8,907, 78 4,215,820 | 990,384 5. 2011 2 KKK YOK oe MXK..|...2,808, 188 |. 4,788,770 |..5,646,000 | 6,220,866 | 6,546,095 |..6,686,955 | 6,752,028 □□ T8116 |. 989,657 6 2012 1 RK KK, OOK. KX | 287,998 | 4,751,494 | 5,675,645 | 8,265,713 |...6,588,399 | ...6,692, 199 |1, 137,182 |. 927,257 7 MAX. AK we ff 2,900,689 | 4,032,889 | .5,891,272 | 6,427,622 | 6,746,765 |...1, 148,576 | 925,298 B 2014 XK OOK) OOO OPK. RRK 3,101,305 |...6 282.636 |, 6,171,607 |..6,732,574 |..1, 181,235 |... 957,064 & 2015 |. XXX XXX we RRL XK □□ KK MXM [5480978 718,682 |6,772,494 |...1,257,414 5. 1,044 202 10. 2016. HXK.......J MX | Kp XK KKK. RR fe Rf OK ed 081 | 5648.18 | 1,172,799 |...1,092 508 UW. 2017 XXX XXX XXX XXK XXX XXX KKK XXX 3,052,924 833,049 984 636 SCHEDULE P - PART 3C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL 1. Prior 900 124,189 |... 196,947 241,472 | 264,177 276,099 |. 281,421 |......285,046 |_.289,657 |. .202 912]. te 2, 2008 | 43,481 83,673 407,416 134,227 160,472 |... 160, 162 186, 348 169,479 |. .171,568 172,078 |... 17,652 |... 41,088 3. 2009 |. □□□ 44,398). 81,499)... 106,004] 192,854 | 149,002 159,247 | 164,990 7... 170,294 473,096 J. |. 10,086 4, 2010 RKX KKK 90,836 94 019 124,891 |...160,497 | ....167,400 |... 179,250 7... 184,751 188,318 |... 17,260 |_10, 236 5 2a. KKK. XXX XXX 50,074 |... 89,588 | 146,208 |, 141,504], 160,147 170,346 |. 177,974 15,942 |. 8624 6. 2012 2 XK we KKK XXX KK. WG495 | 78,041 |... 97,902 122,480 | 134,480 7.140, 763 15,826 7,629 7, 2013 AXK.... XAX KX | XK Yo M6, 157 «86,538 117,005 .144,745 |. 161,932 16,889 |... 8,821 a. XXX XKM . XXX, FOOL MX) 46,346). 83,243 |. 118,983 | □□□ | 15,996 |. 10,827 9 2015 XXX XXX... KKK | XK ee ARK, KK | OK Bd 2b fo 84922 | 186,296 | 16620 | 12,824 18. 2016 | XXX XXX RK OO) OK OK KKM 4648 96,279 [44 909 | 18, 875 W201? KKK XXX KXX XX XXX, XXK XAK RAK XXX 36,590 $692 8,464 SCHEDULE P - PART 3D - WORKERS' COMPENSATION EXCLUDING EXCESS WORKERS’ COMPENSATION) 1. Priov. 000... 6,874)... 16,494]. 23.664 32,493 W784) AP BH 84,786 | 50.844] ea yy 8 4, 2010 KAM ARK Pe - tees feos □□ pee cece sesceeeeee wos woh 3 &. 2011 XXX wee AK cee wee see ae - deeeiuies . oe sects [ete ne ctteeea dl 6 2012 ARK. XXK 2 OK... ORK. coe seven fe - |. ote fees cee ee feeeeeeeeeeeee ceceeeeeeesestee 7, 2013 2 KK 2 ARN RX we MOR | epee. ce cceeeeneeee tee te Pct Pe cnet pee bene 8 20i4. XXX. KK, XXX. DORK OP fa. cece a seen cece Pee ee ie Peete ae 9. 2015. |. XMM Uf | XMX wee RK ROOK PO KK RK Pee wees we Peete Pec fee eeeeee 10, 2016 2 RMR. FORK ORL OL □□□ Pee pe fee. po cece [eee cecseeee Jeecseeee = cece ee V1. 2017 XXX XXX XXX RAK □□ XXX KKK XXX XXX ____ SCHEDULE P - PART 3E - COMMERCIAL MULTIPLE PERIL 1. Prior 000. 73,637 |. 119,044 |. 141,204 | 164,012 | 180,894 204 3 244,858 |. 296,546 |... 938,104 f. 108 Jo. 278 2 2008 241,806 324,384 342 682 355,086 |. 361,648 |. ....364,503 866,967 |... 368,212 |. 388,045 |... 340,265 |. 87,812 |. 29,268 3. 2005 we MRK [244,493 | 919,231 1989440 344,047 | 353, 168 906,362 |... 367.686 |... 368,447 |... 968,804 |..42.627 | 24 502 4. 2010 XK uf KK 254 B16 M6223 f.. 36177 |. 871,388 |_976,417 | 380,199 | 382,996 383,064 ) 2. ..43,493 |... 26,218 5. 2011 XXX. OOK OOK ded 988 | 888,516 F401, 196 7. 409,503 |. 417,620 |. 420,907 |... S00 3,712). 29,385 6 2012 OK Px | eee 220,195 | ...277,018 |. 289,577 |... 208,261 908,076]. .306,aea |, 98,557] 24,875 7 2018 □ □□□ XXK XK PL TOP 8 247,696 |. 262,781 272,971]... 279,587 |.....30,948 | 23 a 2014. | XK) OK XXX 2 KK WOK. XXX. |... 299,856 | .280, 253 |. 306,782 1 317.480]. 34,557 |. 26,658 9. 2016 KKK RAK □□ POR 2 RK fed 228 | 808 406 | 825687] 82 Bd | 28 aod 10. 2016 XAKK ARK LL KK 2 KK ol XK KKK DKK uf. 256,856 325,269 |... 57,984 |. 25,556 1. 2017 XKX XKX XXX XXX ARK KKK RXR XXX XXX 243,138 30,848 23,909 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 3F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST GONTAINMENT EXPENSES REPORTED AT YEAR END Wi 12 Years In 1 2 3 4 5 6 7 & g 10 Claims Claims Which q Closed Closed Losses With Witheul : Were Loss Loss 2009 2017 Payment_| Payment 1. Prior. 000. ...., . ASE) (402) ATO SOY BO 2 rey emp 2. 2008 - see tee pee Poe es sete cee con |e . eevee ee cceeececceneese [ences cese access festeeceearseneeeeee 4. 2010 XXX... □□□ : wee fee : : cece pee ee Pee cece fo te & 2011 KXK XXX XXK J dee cece epee ee cece vc nesses : secs [eee ete ee 6. 2012 XXX XXX. . HOOK. | OK wee des - |. be teeeeeeseee wee cece Pecan ee dete ceeecseeeeeee 7. 2013 KKK XXK. ud. KKK 2 AK. LRRD eee eee fe we estes cette on leceseeseetee [ese cc eee 8. 2014 XXX -AKK ARK KKK. PRK DKK. fe. coe cee foe wee Joe cieteeeensee 9. 2015 AMR... XXX. XXX we RRR ARK... ARK | KKK cee fee see fete better fo eee 10. 2016 □□ OK XK PKK XK. XX... cece setts fee ees Pence ae i. 2017 XXX KK XxX XXX, XXX XXX XXX, XXX KKK SCHEDULE P - PART 3F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE 1. Prior 000... - □□ eee ceseeeeeneee wees [eect cee ee pets ccceneeecseneeiedfe a eeeecoeeeee va teccsenaeee | ecceeeeee teeta) ccecececes tease 2011 XXX |. KK. slay 4... cfr Peete Pi cc | oe emer cseeeneeeee 6 2012 . KK KAR... wee . fees eseeeap ee seeee we tt eeeceeeee nett | 7, 2019 ARK... XXX. KAR. nn sesef sesceeeesesese ce nee 8. 2014 □□□ XAX RRR, . | eae cece ef ceeeeeeseeee ante a ceeeeeicee| eens . a 2015 XRK HRM KKK ceed PX : . foe cannons tes) ceceeeteceeeeees 10. 2016 2 RK, XXX RK. | XK woe OR, feces cette epee cece 11. 2017 KAM XXX XXX KKK XXX XXK XXX ARK SCHEDULE P - PART 3G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY 1. Prior 000. - V2 IBY BO O88 | 1,369 . 1,681 voce y@B2 2,085 XK 2, 2008 11,799 18,167 |... 42,683] 12,185 | | 11874 11,972 1,872 11872 11,872 |. XXX we RK 3. 2009 ARK 1,508 1.7685. 1,777 WTAE ATS |. VFS, APPS □□ 4. 2010 . XXK XXX ce □ OGRE 21RD ee ae wR PY 2, 1S PK RK & 2014 XXX MRK RX, . 1,658 1,638 . 1,640 1,640 B40) 1,640] 1,640] mex ee RK, 6. 2012 XXX . XXK MK XXX . 1,856)... 2,028 |. 2,029]... 2,082 |. 2,082 fo. 2,082) eK 7. 2013 XKX we MRK) OK, XXX KX weed 10 1,720 wo ee POP A OOK PK, B. 2014 XXX XXX KA, RAK. | XXX... vee 1,852 1,784 | A, 784 fo 1, 798 XXX. HX 9. 2015 . XXX) ARK oP KX ORK OXKK 1,823 = 8 BG |, 2x49 dK 10, 2016 XXX XXX 2 cones BRK XK BRK, XK eee BUSBY 2,808 KD ii. 2017 XXX KKK XKK XXX OK XXX KX XXX 5,279 XXX XXX _ SCHEDULE P - PART 3H - SECTION 1 - OTHER LIABILITY - OCCURRENCE 1. Prior 2]... 000... 92,02? 179,230 235, 672 314,083 397,009 466 , 064 499, 379 583,272 | 692,989 Jo BP | dee 2, 2008 |... 14,588 56,830 |... 104,814 1.142.421 | □□ |. 183,544 | 188946 | 189,629 |.......191,288 192,012 |... 4,224 |. 1414 3. 2000 XXX A905 Fd, 04 74,099 | 112,848 | 495,099 |. 149,789 |. .151, 185 | _..153, 008 154 PE P1108 4. 2010 OOK [OK .. 12,399 41,756 |... 71,983]. 94,863 118,634 0677 |144690 | 140,286 Pd | 120g □ 6. 2011 2] KKK KKK. AG 802 | 85, 187 |. 08,730 | 184,123]. 187 547 □ are.gte |. W6,987 |. | ar? 6. 2012 AMR 1 KKK wee RK oe WO7ST |. SBI | 95,612 |. .196,597 | 166,550 |. 199,76t | BIO | gee 7 2013 KKK ARK | OXKKL | XK. XXX. 9 394 2 AB,284 |. 93,671 487,684 | 159,213 fet] Bod & 2gl4 2 RK □□ ce MRK pK 18,722 56.740 70000107, 078 | 148,596 [i822 tt 9 2015 RK wd KX, XXX. XRX 2 OR RAK KKK. fo 26,582 770,548 fo 109,112 | MB | 1064 10, 2016. XK OK |. KKM 2 KX 2 RK XXK ADB YP BP | □□□ ii. 2017 XXX XXX XXX XXX XXX XXX XXX XK 14,179 2a4 1,422 SCHEDULE P - PART 3H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE 1. Prior . 900 . wo feiss woes wen wee coe seen cee teem ef ee 3. 2008 XXX - eens . . □□□ wef. eeeeefee oe 8. 2044 XMM | KKK we WRX ee x -- cee ee eecseee eevee anaecccecee tfeeete Pee Piece ue 9S 2015 2 fl we MEX. eal KX ee|e ee a eed eee cf cece Pee ccc fee ee creeseeend 10, 2016 ORK. | KK 2 MAK wee ARK cone MK | KR wT LP ceeeeeeeeene cee eee ef cceeceeeesiceeee it. 2017 XXX XXX XXX XXX XK XXX XXX □□□ COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 31 - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY, AND THEFT CUMULATIVE PAID NET LOSSES AND OEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END 12 Years in 1 2 3 4 5 6 7 8 9 1D Claims Claims Which Closed Closed Si Ce Were Loss Loss Incurred 2006 2009 2010 2011 2nl2 2013 B0i4 2015 2016 2017 Payment Payment 1. Prior □□ LOOK ORK OOK KK. □□□ KKK a coef esseeee TB BAF Yo 20,9446 PERK DKK 2, 2016 ARK 1 IO, XXX KK Kp ROC XXX OK) BAB? 2 4B OOK Or. 3. 207 XXX XKX XX KX ~ XXX Xe XXX KXX 78.119 XXX XXK SCHEDULE P - PART 3J - AUTO PHYSICAL DAMAGE 1, Prior XXX. XOX] KKM) KKK] OL XX 00...) 180,829 [...192,818 717,002 164 2, 2016 RX MEX | KKK 2 ARK. AR pK wo BRK cece fe 4,818,986 951,785 | 3,979,648 | 1,023,548 3. AH XXX XXX XXX XXX AX, XXX XXK XXX 4,762, 136 | 3,031,979 907,170 SCHEDULE P - PART 3K - FIDELITY/SURETY 1. Prior KAR KKK XXX AMR. . XK... RRR fee MBM 008 J. WD fA KR MRM 2. 2016 XXX KK XXX. 1 RR, 2 ORK RX PK ARK. ce TD Pee dD RK 3. 2017 XXX KXX XOX RAK DORK KXX, XXX XXX KKK {0 XXX SCHEDULE P - PART 3L- OTHER (| UDING CREDIT ACCIDENT AND HEALTH 1, Prlor XXX... .. YOK. XXX DODD le eee wee RP JOO. 2 2016 AK PKK, Ef x _ pevseee [oor cesses 2 RK OOK 3. 2017 XXX, XXX XXX XX I XXX XXX XXKK ___SCHEDULE P - PART 3M - INTERNATIONAL 1. Prior . . 000 of ce - sees - -|- cf OOP OC. 2, 2008 fe - : - oe whe wee fe MAK. XA... a. 2009 KAX we . ce ee oe de te seve eeee □□□ - woes RAR... AX... 4. 2010 XKX. RAK woe bees ce ee sees af we saef caeeeeeee coe ceed RK 5. 2011 AKX... XXX. KKK... . weg . caceceees cee ee RR XK. 6 2012 HK XXX JOCK... MX eevee oe oP eb fle cence ee RRM] KKK a. 2014 oo RK | RM woe ARK es POC... □□□ Jan] teeeseeteeeeeteet Pe cece cence | ccoee ROM pe KK @ 2015... |) Xxx. KKK... XXX... pM OR KK fe di epee cceeef eee Ree KK 10. 2016 KKK KAR | KK oe RR ween RK see RK, Po cee fe OO 1, 2017 ARK XXX MAX XXX XXX XXX XxX XXX XXX xX VMNIDINEL OPATCMENT FORM me YEAR 2z01/ OF THE ALLSTATE [INSURANCE COMPANY AND ITS AFFILIATED □ PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 3N - REINSURANCE NONPROPORTIONAL ASSUMED PROPERTY CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END 1 12 Years In 1 2 3° 5 6 7 8 1G Clalms Claims ECUCC ELL CLL Losses With Without Ware Loss Loss incurred 2008 2009 2010 2012 2013 2014 2015 2017 Payment Payment 1. Prior ...000 ce BOP cB] BPP TP Mf BP dB lo 8 Lo Poe ee | 4, 2010... XXX. XXX testes Pence □□ cceeeeeeeee cece fe cee vate Pees cece Pe PO, 5 2014 XXX MKX wee KKK cote coceeeee cee : cess Doe - tee Peete | ee fee PE 6 2012 XXX RK OK we fe - seen fa cece fee RO pL, 7. «2043 KK RAK. . XX RKK ce we fee cee seceeeeeee cece fee Of. 8. 2014 ARK. YOK. PRM of KKM, 22 RX. RK sees cette seen Poe cece RM. 9. 2015 RXR oe XXK.. AK eb ROEM, . OK wee RRR OXKK cee Veeeeeeeeeeen Pe ne cece ROL, OL 10, 2016 HK. XXX, POOR POOP O00 PKK XXX. RK ee [oeeeeeeee © cece fe RK PKK i 2017 KKK XXX XXX XXX MAX XXX XXX XXK XXX KKK XXX SCHEDULE P - PART 30 - REINSURANCE NONPROPORTIONAL ASSUMED LIABILITY 1. Prior 000. 32 624 1,443 | . 1,993 |. 2,313 |. 24PO □ 25 P8069 | 8B To KK, 3. 2009 XXX we fe . . woes ope ae cece cee cee RK PRK 4. 2010 RK... □□□ oe - . sete coe ceneeteeee - KKK pL XX. 5. 2011 MKX of KKK 2 KKK pl. cece ABA ABA (BSI □ AB BA. BP Ox. DOL 6, 2042 POOL. XK) □□□ do. wo fee tere fece - weer [even ween fe OK Pp KK 7, 2019 FORK fa KOC MP wee feeeeee on wee Dec cite ee eee fee MOR PKK 8 2014 2 ROO) KEK KK | KR we RK Kf cette atte Peete wpe ee Li RK DKK 9 2018 REX POO | MR PK DK POX PKK fl. cece eee feceeeeete ace acer ee MK] OL 10. 2016 KKK 1 RR AK AOR OGL UR ee Pt ene ORK. wf RK Wi, 2017 XXX KXX XXX KKK, XXK XXX, XXX XXX XKX SCHEDULE P - PART 3P - REINSURANCE ___NONPROPORTIONAL ASSUMED FINANCIAL LINES 4. Prior 006. cena cee 8 wee AYP. 5 wee Be By LLXKK.. 2 2008 . . cee seseee ee whee. ce tees Peneeeee epee OGL. KER 3. 2009 XXX - cee eeseeeese cesses eevee cece tee [eee a fen sesso XK MRK 4. 2010 4 MAX ORK - cee tee cece cece a fee ce nee Pose ee Pee eee Po MK RK 6 2012 |. XXX... XXX... XXX KX | cece ce on Peete ee cee Jeceeseeee teen Pee coe Po KO 7. 2019 ARK. RA... wo XK, XXX cee see - seseeenes we 2 KD MK a. 2014 RKX KKK ARK ARK... KKK, sees cee seeeeeeee □□□ wee an MRK KK 9. 2015 2 KX XX... XKK XXX KKK HRK - ceeeeenee, wef RRR | RK 10. 2016 XXX □□ KKK HK KKK. XK... XXX KAM | eee foe RR | KKK, i. 2017 XXX KXX RXX AXX XXX XK XXX, XXX XXX XXX ap COMBINED STATEMENT FOR THe YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 3R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCE CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END 4 12 Nurner of | nun Years in 1 2 3 4 5 6 7 9 10 Clalms Clalms Which Closed Closed Losses With Without CELE LE Incurred 2008 2009 2016. 2011 2012 2013 2014 2016 2017 Payment Payment 4. Prior * O00, 43,758 |_....118,854 |__....165,839 234,021 346, 794 492,997 |......502, 108 }.......982, |....877 675 | 2 2008 fo... 201]. 207 | BP B08 bo 40 | 846 MB LBP dp 3. 2009 □□□ □□ 12 321 2 AAS4 1,456 | 1,487], 4,481] 461 pa 1461] 00 BB Ed 4. 2010 XXX | KK 36 50 BO J 86 |. BY BP BE fe BRP IBY 18 2011 XXK MRR | Kd. 163 BRS? 517 TP Pe DF fe OTF Pi TO]. A 6. 2012 XXX KX | KKK XXX . 27 2? 56 PBB PT ad 7 POI □□□ XXX RKP KK XXX 280 fw 18 149 ABB Po BB IBD. 8. 2014 RKK RMA... | ORK. MAX. □□□ □□ dd 170 | OBB BB ed 13 3. 2045 MRK... |. XKX XK | KKK. XXX KKK. |. MAK... cece AQF we ROD abd Pd Po. 8 410. 2046 MAK. |. KKK KXX wee RK... XXX... ., 2 PR XXX, vere oD □□□ DG Peed fee 11 V1. 2047 □□□ XXX XXX KAK XXX. XKX, ARK XXX XK 26 5 SCHEDULE P - PART 3R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE 1, Prior ooo. sce esate eee ee ceeeseee eeeeef ceaeaee vee ci ee 3. 2009 XXX : we eed alee wee | meee cette Pee □ 4. 2010 XXX XXX te . Lee feenee ee Pe eee seeeeeeeceeeetee Pees eee 5. 2011 XXX 2 RR cesses , tete| eeeseeseccee eee cece) eee fe 8 2014...) XXX. KKK ee eons POCO. Jeee|escccetiees ee P ceceeecceeeeeeee feeceneeecetecerccne faces nee ae ents 9, PRIS... XXX. AK we POR ae | KK te teeeee fe cece eeeeetee □□□□□□□□□□□□□□□□□□□□□□□ cee ae canes WO, BOW fb ARK PKK wR RK ee RK ecceeesceeteeee □□□□□□□□□□□□□□□□□□□□□□□ we □□ 2017 AXK RMX XXX XXX XXX XXX SCHEDULE P - PART 35 - FINANCIAL GUARANTY/MORTGAGE GUARANTY 1, Por. XK KAR cee we eesti wee RK ef RO 2. 2016 XXX. OR eo □□□ ceeceeseeene ceseee wee MR ceed ee MRK ee 3, 2017 XXX KK XXX y XXX XXX XXX ba all _ _ _SCHEDULE P - PART 3T - WARRANTY _ 1. Prior XXX □□ XXX - RAK XRA.. MKK XXX - 000 |)... : wee | cee □ 2. 2016 KKK ARM, XXX a KK PKK XXX XXX |... secceeee foe eee ne Be 2017 XXX □□□ XXX XXX XXX XXX XxX [XXX XXX . VOMEINED STATEMENT FOR The YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 4A - HOMEOWNERS/FARMOWNERS Which Losses Were incurred 2008 2009 2019 2011 2012 2014 2015 2016 2017 4. Prior 485 658 316,194 |... 276,578 296,487 |. ....194.599 149,313 113,963 |. 89,724 | FP |. 64,979 2, 2ODB 859,714 150,384 57.542 |. 33,915 |. 98,522 0 10,493 F862 8,016 cece, 158 «8827 3% 2009) f. XXK . 678,209 |. 167,529 . 85792 84,705 28,479 15,258 |. 7562 |. SAW? B64 4. 2010 XXX XK . 7% 857 167,869 |... 61,467 98,510 Yo. 28269 P24, 189 18,220 10,402 5. 2011 XXX XXX 2 KK cos ABB,4T7 7. 186,210 63,613 oA, 199], D2 OBO 2 180 Le 6 2012 |. | XXX. KXX eee KKK XO - 484,763 |. VW9,701 |... 98,262 Jo. 68,940 fo 20,807 7. 2018 XXX. XXX KK XXX we KL. A814 NSB ,545 J 88,925). 52,975 | 26,921 8. 2014 KKK | Ao... a qos. KX 2 BKKX. eee cece 293 F149 218 PO 4B fo. 86870 9 2018 XXX we TORK 2 RK. CO fp OGL Op. ef BNO Bid 70,808 10, 2018. . |. XXK KKK FOG) OK Kp BO2, 198 |. 178, 155 11. 2017 XXX XXX □□ XXX XXX XXX XXX XXX XXX 683.934 SCHEDULE P - PART 4B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL 1. Prior 1,025,089 |... 725,084 ]..449,608 |. 341,091 | 186,359 | Bd, 172 □□□ WGOY) 148, 999}) 201, 18d] 188, 104) 2, 2008 666, 163 -249 894 . 185,594 |... 112,263 a AOU, 685 fo... 72,287 nnn 4 B49 Yd, 186 | 81,768 coool, 704 3, 2009 XXX B47 070 |... = 387,642 | 208,477 {194,687 |. 97,698). 69,8211. 40,795 |. 25,086 | . 13, 196 4. 2010 2 XXX] POTS 450,574 |. ....216.336 W626 fo D4 ABP 7d 286 [86.842 | Bi dd 8. 2011 KKK. XXX. Pe □□□ □□□ 483,480 fo 248,207 7 168,650 | 103,820 | 75,880 |........ 66,501 6. 2012 XXX we ROR OK □ 731,252 423,977 BABY 162, □□□ | 107 088 |. ...80, □□□ 7 2013 XXK XKK = Jo. RK fone BALSBT 464170]. 268,999]. ATTN f142,813 8 2014 . XXX - RAM RXK □□ pi FOR | BPP 278 | APT 078 7 220,859 | 150,484 9 2015 XXX | XXX KKK... HXXK, we RK XXX see ARK 895,238 |.......381, 016 196,994 10. 2016 KKK, KER OK pO po ee MRK P1088, 004 |. abd Sed Vi. 2017 XXX, XXX XXX KXX □□□ ARK KKK XXX XXK 1,026,608 SCHEDULE P - PART 4C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL 1. Prior |. 76,756 AL BFF 2 BE BS | J. 11,888 88 8988 2,908 2088 fi. 8,178 2. 2008 .J...... 45,552 16,393 |. 9,691 |. 7,060 |... 4,396 2,340 BI Po 780 Pl. 3. 2009) XXX 39,310 |. 16,987 |. W981 | FA |. 6,678 |... 3,370 voce SGP 686 P1898 4. 2010 0 |. KX XX wt... BOL 156 FOF eee TE 120 Foo 8808 fo Bde |. S086 Yo 10248 P3091 5. 2011 XXX XXX RKK a 43,571 |. 22,42 19,057 |. 8 483 5688 Yo 8882 fo 1,878 6 2012 XXK 0 |. XXX J XK MRK fo dO | 288d 6,723 6,958 P4520 | 2 B58 7. 2013 XXX XXX . XXX 22,925 1768110, 182 Po 5,186 |... 2,097 4. 2014 XXK RAK MRK Lp. OOK. XXX 28 546 BAN 562 _ 8,859 a. 2015 . XXX KX SOK cee RK we OK DK 36, 13,504 8 367 10. 2016 Rh ARK, MORK 2K XK, 2 we □□ ajo 48,403 |. 20,520 11. 2017 XXX KXK XK XXX MAK XXX XXX XKX ARK 56.63? SCHEDULE P - PART 4D - WORKERS' COMPENSATION {EXCLUDING EXCESS WORKERS’ COMPENSATION} 1. Prior . 56,599 |. 47,109 AT,200 | 98,887 43,704 |. 45,300 | 40,380. St | 27.988 [28 BBB §. 2012 XXX... XRK eee ORR oP OOO Pe ce cece ceceeseeee fee veces ve feteesteeseeee tec 7, 2019 XXX. cee RX qe XXX 2 BK, . : ceeseeeee we Jee wee cece fone cane eaeee □□ 2014 : KKK MK KKK fee MRK pf KKK LT. sete fe oe seseeeeee cee Le 9. 2015 KK we KKK wpe Rp ORK PX. wee BRK wn ROK piece coe fees wef. cece 10. 2016 KKK... XXX 2 RK. ce ORR pe MORK XR... XK fo MK ct te Peete seeee 2017 XKXK RAK, XXX, XXX XXX XXX KKK XXX XXK 7 SCHEDULE P - PART 4E - COMMERCIAL MULTIPLE PERIL 1. Prior. . 196,025 109,099 |... $5, 790 POOR Pa 207 Po 8815S P4892 |. a6 [ad | 22,216 2, 2008 95, 104 —BTTAB |, 22,078 4,619 |. 15,367 166 | 1,478 |. B68 P2240 P8887 3. 2009. . 82,967 | 42,821 35,695 |... 20,936 |. 16.922 oe RSMO Po a BG 4d 4. 2010 XXK..... FOOL J. 91.720 |. SV Po fl OBL 7816] $608 oA 5. 2011 XXX... wee MP pee BOISE P88, 107 2A TIS] 26 PB Po dd 8908 fo 8200 6 Jf. XXX... fee ERR p62, 640 BB □□□ 23,537 oT? 868 Yo 1, 889 7,708 7. 2018 MAK KKK JXXK. 2 KKK we RR | cece 0488 Po 26797 J 28877 | 16.628 | 5,786 & 2014 XXX. XX cee □□□ 2 vee P92 BBP 165d J 19,070 5 2015 MAX KKK AXK, XXX free RK) KR OK BOOM La vie eed 10. 2016 XXK KAX ce OK DER -. ARK. XKK | HK eeeeeee en 6, 988 woe 28, 988 Wu, 2017 RXK XXX, XXX XXX KAK XXX XXX KKK 66, 588 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/GASUALTY INSURERS SCHEDULE P - PART 4F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE #/[_].f.[.[.l.t ft.) Which Losses Were Incurred 2008 2009 a01G 2012 2013 2044 2016 2016 2017 1. Prior 58]. 52 ay. A Poe ABP. NBD. ceeeeeeced | 2 3. 2009 XXX we ce tees eueeese coe settee fesse oe cece seieeeneee coieeee 4 2012 XXX... 2 RAK Ld. MOK pe KK eeccecceeee foe vette [eee weceee beceeeee seseeeeneieeeanesaee ceeese seneeee □ 7. 2043 XXX □□□ KR BRK, RK □□□ cece Pi cease cteeneeeee foo cence teseessaee ecutesaeeeeeres & 2014 RK KX dX KK Po ee eeteceeeeee tiie [ecccetessceesenes ese wesesanessveneeneee 9. 2015 | | XXX □□□ KK. XXX, of RXK op AX. cece cee fe ect cececeeeeeeee foe nee cannes jo. 2016 2 MAX, KKM FOO pn OR pK, we RK De RAK. plc nc cate Pees ve ti. 2017 XXX XXM KKK XX XXK XXX XXX XXX SCHEDULE P - PART 4F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE 1, Prlor J. see feeeee coe tees . cece □□□□□□□□□□□□□□□□□□□□□ ea cacceeeceee 4. 2010 □□□ MRK fe eoceeseeteseee bee ceteeeees cece Pie ceteeneee □□□□□□□□□□□□□□□□□□□□□ [ow cessceececneces ceed 5. 2011 XXK we MRK LX eesecees tfc ce te Peete epee cccceae sau 6 2012. XXX. REX. x .. XXy seve . @... Hon cree . cece | esestessessteeseeeef ccc eee 8. 2014 XXX. MRK OR Xe. K.. | ceccceeeie ties Pesci arte cafeceeeee veces eset coal 9, 2015 KAMP KK] we AX | □□□ . Mop eee eeceeseeeseeee □□ □□□□□□□□□□□□□□□□□□□□□ 10, 2016. XXX XXX XXX... KK KOK... RAK... BRK a. cece fee ck ciseateseeeeee Wi. 2017 XXK XXX XXX XXX XXX XXX XXX AXM SCHEDULE P - PART 4G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY) 1. Prior 1,362 1,276 a TOBE . 7594 oP M62 | 1,666 |... 1,270 [. veer B80 Y. 1,134 2 2008 4,584 336 110 week AG cod |. we BB ee 4 . weenie 3, 2009 XXX 200 - 16 PB |, 4 A 36 cee Al □□ sesaeeie cane . 4. 2016 XXX XXX . 162 - | 2B LL. 21]. APY... Lene eed? sesessene OD 6 2011 XXX XXM 2 KKH . 220 seed 22 vee BLT MB eB PL. Ae 6 2012 WOK wo KKK XXX XXX cee 237 40 we MP8 cee BBY cece 108 % 2013 XXX □ _. XXX seco KK Lee 128 | o..... G1 f.. wd fe TOF cesses D4 8 2014 0 f. 0 KKK. XXX XXK XXX XXX RR 186 |. ABB BA 208 8, XXM we vee IR KOC KKK. 1 RK... eeeeeeeee AAT fl TB fo 118 10 2018 RAN. ARK. OO fe OO oop POD ge ii, 2017 XXX XXX XXX KM XXX XXX XXX XXK KXK 1,605 SCHEDULE P - PART 4H - SECTION 1 - OTHER LIABILITY - OCCURRENCE 1. Prior - 227 367)... 821,569 | 41,825 955,308 |... . 357, 018 J. 202 ,158 |. .........314,930 |. 302,492 |... 273,423 |. .... 278,321 2, 2008 178,095 . 109,085 BF B08 Yo fo TF 11,273 |. 5 300 2,853 fo ABB P2082 a. 2009 . XXX . 132,449 . 81,174 48,499 |. 25,982 . 19,468 fo OBE BAST [12d 4. 2010 XXX. 2 ORK |... 441,422 90,488 fo. $6,721 | 32,879 |. W748 8 PB P2128 5. 2011 XXX XXX 2 DORK 149,205 |... ......100,694 |. 56,386 |... 38,900 12,850 |... 5,794 eevee □□□ 6. 2012 HMM | XXX XXX. XXX ewe 427,981 7. 104,712 .. 54,836 |. BF 008 Po 80 | 9,007 7 2043 XXX XK OK Lt ARK op XK | . 139,939 G5 219 | 29671 18,828 8 2044 2 KK KKK. XXX... 2 ROO □□ fee 2 A208 YOR 207 P88 B18 P82 908 9, 2015 2 MRK MRK AKK FAK KK. XKXK. 2 ARK - 151, 289 J. 112 ,244 | 75,408 10, 2016 | MRK od. KKK SOC PKC. 2 OK ce ARK KK fee | 106,246 11, 2017 XXX XXX KKK XXX KXX XXX XXX XXX XXX 162,230 SCHEDULE P - PART 4H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE 1, Prior : - cece cee ceseeeee - teeter cee cee won| 4. 2010 XXX. XXX. sete cose oe tf esses --|- seseeeeeee cece cafe cae ceeee a 5, 2011 KXX LL KKK. x woe ee |... Pesce fee wD esses ee cece sees 6 2012. XXX. XXX . ., 3 a a. | cece tees ee Pe ceeeeeeeeeee ce cceeeeseeeed 7. 2013 . KXK . MXX Yi 4 - ose sees eects we sees cee 8. 2014 XXX. XXX a x x. | seve 4. center cette of ceeeesseruteceeeeeee 9. 2015 2 BAK week Le. x, | x, cee we □□□ cfeccee settee: 10. 2016 . XXK XX RX ee MP KKK MRK Po cee eects coe Ui. 2017 XXX XXX XXX XXX XRX XXX XXX COMBINE STATEMENT FOR THe YEAR 2017 OF THE ALLSTATE INSURANCE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 41 - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY, AND THEFT Years in 1 2 3 4 5 6 7 g 93 10 Losses Were Incurred 2008 2009 2010 203i 2012 2018 2014 2018 2016 2017 1. Prior of. OOK XXX. 2000 fn KX OO eo ek tree far | 4,249 2. 2016 LHKK., xx |. 20K OOK, BOO 0 eK. 1000) 14808 |. 5,896 3. 2017 XXX XXX XXX 200K XXX OX XXX XXX 12,810 SCHEDULE P - PART 4J - AUTO PHYSICAL DAMAGE 1. Prior KKK. RK KK KK Poe OK) eK 2 A987, 083)) £14,602 42,340 2 201 | □□ we KR fe OP KK pga cegaggay) a2, 3. 2017 390 XxX HX XXX HX XX XXX XXX XXX (246,254) _ _ SCHEDULE P - PART 4K - FIDELITY/SURETY 1. Prion J xk Two | ox _HXX oaXKK. HK XXX oe Bf Ap 2 2018 |. XXX OX KKK OO. EK ccf OK PKK OR ce becca 3. 2017 XXX OK XXX KOK XXX XXX XXX YOOX 0K SCHEDULE P - PART 4L - OTHER {INCLUDING CREDIT, ACCIDENT AND HEALTH 1. Prior XxX XXX ik lett cirefenmen 2, 2016 XXX... YOO 1 | x. x. SOK J 3. 2017 XXX ome | x IN x al XXX XXX SCHEDULE P - PART 4M - INTERNATIONAL 2, 2008, ced. oe coe Cnnwewfe cenee a. 2009 | XXX safe vs cies wd cee ce cctefcces ear 4. 2010 |. WOE oral cone ie wes a. ss oe a 5. 2011 XXK HX x . wees _| wee p eee cee . ae 6. 2012 XXX OO fo | ct Jerre fee ce ctf crf ee ce 7 201s | ox | ox | xi be eel a. 2014 XXX... wa oxi. | bocce □□□ cceneeennte te of ccccceecee casa a 206 | KK | RO. HK aoe Koa Dice ccc fennel ccc ces 10, 2016 OL OG OK. eK OOP KO cence) cca 44, 2017 XX OOK 300C HH XXX xX VVVIDINGD OLATENMICNT FUR PRE YEAR cOl/ OF Pre ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPEATY/CASUALTY INSURERS SCHEDULE P - PART 4N - REINSURANCE NONPROPORTIONAL ASSUMED PROPERTY Years in 1 2 3 4 5 6 7 8 9 10 Losses Were Ineuryed 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 1. Prior m1 260 wo ABB 152 16]... 188 |. □□□ AP oP wT 2, 2008, . wee □□ ccs eee wesc fone efor wees □□□□□□□□□□□□□□□□□□□□□□ [eveeees . 3. 2009 XXX . cece fe fate Poveeees sessneenee . cee [eee □□□□□□□□□□□□□□□□□□□□□□□□ 7, 2019 0]. XXK 4. XXX wee ARK PUK KKK oo settee [eet cree □□□ Peete ete ce nee □□□□□□□□□□□□□□□□□□□□□□□ [oe scse cesseeeeeeveces 8. 2014 XXX... XX RR eee KKK wee MRK DL sects ce Pec Pere eeteseenseetestes [eseeterctenees ne cree 9 2015. . OAK La KK] KK, 2 RRR KKK pe RK pe woe Pee | ees seeeeeeeees erties 10. 2016 XXX AR IK KK Pee MRM op KKK. the RAL. we BRR bee ciecieeeeieescsenies 14, 2017 KKK XXX XXX. XXX KAX XKX XXX. XXK XXX, SCHEDULE P - PART 40 - REINSURANCE NONPROPORTIONAL ASSUMED LIABILITY 1, Prior . 1,451 . 1,935 AMF fo. 544]. B80 FA Be za? 3. 2009, XXK dete cesses eee coe ee bse seseecomeesenee [+ cece seteeetaneee cecseeee Poses secneeeceseescssse [esses cettette teseeeee 4, 2010 1 wo KEK seni de cette [eseeenee cee Pee coe tous |eeseeeee ce Pee ete feseeenteeee eae 5. 20! XXX XXX we RM Pe cee we cece settee a Pesce ope setts sees 6. 2012 XR. XXX. KKM eed XX see cece devote ueeeeeeees tectceeeeseeeeetees Lo seeneenemeresee 7 2013 XXX . XXX 2 RR fp KX cee ena foe □□□ - : a & 2014 XXX XXX XXX. BRK ORXK. KKK. . sess a eee 8 Peete 9, 2018 XXX RAK XXX FOO XXX. XXX. wee setteetieeiieeee veecceceeseseene 10, 2016 XXX XXX FOOD ARK XXX, KKK cccetereerteee foe □□□ 1. 2017 XXK XX XXX XXX XXX XXX □□□ XXX XXX SCHEDULE P - PART 4P - REINSURANCE NONPROPORTIONAL ASSUMED FINANCIAL LINES 1. Prior . crepe a ee fo cetteeeeeeeen Pees ceeceeeee | eo ce caneenmenee| ees cece □□□□□□□□□□□□□□□□□□□□□□ Pin cee eveeeseeeeeeeeee es □□□ ceeeceeeeeetes 2. 2008 wee ee We cecPeeccces ce oP eseesneereees a ceee|eceeecueceeee cae vassal eeeesee epost □□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□ sane seosseueatefeteetien ees ccessssee 3. 2009 XXX seseee en cess seseesssseeeeeesenel sone cesses ceseievsenteeee feet tte pects ol 4, 2010... «KK, eeseenee wf ce tees Pecceecee eevee coe eese| ones ee □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ccce es cnsassaseeanae 6. 2012 XXX KK pn ae se 2. | teweetenses os fe cceeeen en teeter | ce 7. 2013 XXX |. ERX ak .. . x . tees eee cece Pees crescents cena coe feed 8, 2014 XXX coe RK sce Mx. | ci | x. I. □□ fe □□□ fences Pec ccueeteeenevee g. 2015, KX. FOE ORR. OK a OX PK ere nT cece sesensene[eeeeeeenes □□ □□□□□□□□□□□□□□□□□□□□□ bv evened 10, 2016 2 RK wn ARK | XK we RKP BRR pe MRK OK pe Pe cece eeeeee 11. 2017 XXX KXK KKK XxX XxX XXX BRK KXK XXX nae COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 4R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCE Whieh Losses Were Incurred 2008 2009 2010 2011 2012 2019 2014 2015 2016 2017 1. Prier 624,317 781 O48 700,478 663,950 |... 620, 104 635 348 608,295 |... S86, 736 | 548 823 . 496775 2. 2008 792 B89 61). B64] PBL |. 518 |. □□ TOP dd fl. wee 3. 2069 XXX ... 883]. _ FF B28 □□□ eee BBY. 478 BNF oc | 98 fl A 4. 2010 MXX XXX den. 656 - 934 wf. 559]. 698 vee MT IDB □□ , 65 5. 2011 XXX . XXX _ ARK 631 wee Ad? fo 422 fo. 580 cioeeeeeeen BOF cee AW Jo 198 6 2012. | XXX XXX, XK. wees B19 | AB BIB PIB fo 287 7. 2013 HX 2 KOK. Rp KP BF AB ee PP 286 a 204 | XXX POR ccc DOO OX Op OG, BIB vee TB Pee ce □□ % 2015 OK HK fn KR oe RO J I OO Kp RB Po 6 fed 1. 2016 2 | | KKK MR OC pe pK KK pi | 288 VW. 2017 XXX XXX XXX HK XXX XXX XK XXX XXX 313 SCHEDULE P - PART 4R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE 1. Prior . fe pe . coe bce ee cette pecceteeiess i) □□□□□□□□□□□□□□□□□□□□□ cb te eecuaeeeed 2. 2008 see edn . jetties cece [ccc fee cece cenesseeeceee 3. 2008 XR fe a. . cece □□ tees ae tees ceccnssssseeees □□□ coset 4. 2010 RRM OG cee . beeen cone cecccittate ee sects cece 5 2011 XXX YK nee... eee cme wes cette cee ete cect ef ocean 6. 2012 KKK pK x | | ABB cnn Pe cece sess 7. 2D13 XXX KK OR od | | - . cess qo wa] ceccessseesecenvense 8 Bbt4 XXX XM oR... xR... . bee cose cosets 9. 2015 XXX XXX WRX OO pe pl. cafe ee pee iO. 2016 XXX XXX OO ce RK MOR Kp. □□□ □ He B17 XXX HOC WX 2K, YOK 1x XXX Xxx SCHEDULE P - PART 4S - FINANCIAL GUARANTY/MORTGAGE GUARANTY 1. Prior TORK ARK. x bi - eeeseee fence cscs cescetee cess 2 2016 XX Xx Pf | pec MAK pe eee 3. 2017 a XRK x N □□□ XXX XXX SCHEDULE P - PART 4T - WARRANTY 1. Prior |. 2 HK ax co □□□ fecceemeeecsniee 2. abi6 XXX... XXX, □ i □□ x | we KOK plc ce 3. 2017 XXX □□ ot x IN x | KX xx basil VONIBINED STATEMENT FOR TRE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 54 - HOMEOWNERS/FARMOWNERS SECTION 1 CUMULATIVE NUMBER OF GLAINS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 5 6 7 a 10 Pretniums Were Earned and Losses Were Incurred 2008 2009 2010 2012 2013 2014 2015 2017 1, Prior APY? . (359,631) 12,695 pn 8959 9,770 2 □ BABY O76 9,882 . 9,980 2 2008. 810,598 |. | .911,940 . 918,050 920,026 |.........920,887 |. 921,249 921,428 [824,611 | 824,580 fo. . 921,578 3 2009). A431 . 795,087 798,919 |... 740.264 FAO BE? | 740, 190 44, 288 870 |. aid 4. 2010 2 KK OX. 630,606 FIOA96 | 714,109 715,441 □□□ □□□ 18,279 F716, 408 |, 716,469 5 2011 . XXX. XXX ARK 825.733 |...... ... 891,834 895,211 896.547 |... 897,195 | 807,481 897,551 & 2012 XXX ARK fo... P8988 746,881 |... 761, 108 |... 782,624 | ..753,204 758,416 7. 2018 KKK. XXX XXX RAM XKK 431.783 0... 475118 |... APG, 515 |. 479, 942 B. 2014 XXK 2 ARM pee KKK 2 KKK oo f92,085 0.598854 | 542, 184 | 843, 247 @ 2015 XXX □□ XK. HM |e XKKX ee fees 459,961 | 496,029 | 500,002 10. 2018 XXX XXX, ARK) KL XXX RXK of 2142 [578 292 ii. 2017 XXK XXX XXX XXX XXX XXX XXK XXX □□ 590, 264 SECTION 2 NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 g 10 Premiums Were Eamed and Losses Were Incurred 2008 2009 2010 2014 2012 2013 2014 2015 2017 1. Prior 17,923 | . 10,628 7,526 . 8,073 4,678 |. 1,507 |... 4,179 |... B44 po TBF p82 2. 2008 62,295 |. . 6,477 4,460 2,115 [.. . 826 |... ABR oP PVE Poe MMS fo nd 3. 2009 XXX. AT B25 6,105 «2,824 |... 4,538 Jo. 872 |... BOB AEE ee PBL J 28 4. 2010 MAM KKK UL. 88, 087 ASG2 □ 1,499 |... . B26 |. B88 Yo BRO 288 6 2011 XXX AK BOF] 4,869 |. BAAD YABB BBR P24 6. 2012 MAK XXX KKK Lp. 39,169 |. . 6,855 8808 RBS BOP Po. 819 % 2013 XXX. XXX FOO pe KM ce MAK 28,385 |. 2,304 |... 1,265 J... 8 2014 XXX XK 2 | XXX HAM | KKM XXK | - 24,528 |... 4,649 |. 2,864 Joo... 1,814 9 2015 .|.. XXX XXX tevin RR Aw KKK fe XXX RAK Lp 82 28d oo 4B J. 2,898 10, 2016 2 RMX see RRR, KKK wie AK KKK . we KAR, XXX cee OF OBG Yo 4 BOP 11. 2017 AK KKK KXX XXX ARK XKX AXK XXX 29,198 SECTION 3 CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 6 6 7 8 9 10 Premiums Were Earned and Losses Wera Incurred | 2008 2003 2010 2014 2012 2013 2014 2015 2016 2017 i. Prior 58,708 |... (831,183) oA □□ PIB 8 Pe fo eget 3,448 [8 899 2, 2008 1,274, 788 1,360, 152 4,966,900 |. 4,368,426 1,369,042 |. 1,369,379 |. ..1,369,514 /......1,889,576 }...1,369,819 |... 1,969, 624 3, 2009. XX... 995,490 1,086,628 |... 1,090,989 J... 1,092,049 |... 1,092,528 |. ....1,082,721 |. . 1,092,809 vee) 092,844 | ..1,092, 876 4. 2010 XK OO fi. 88514 |. 1,064,079 |. 1.068,520 7. 1,069,823 |... 1,070,317 |. 1,070,548 | 1,070,657 |... 1,070,691 §. 2017 : XK. HK D2AB TE 1822 088 A928, 178 1,827,361 1 1.927.854 |. 4,928,079 |. 1,328, 130 6. 2012 2 XKK MRK up KKK. MK Peed O84 067 1,128,408 P1188, 894 | 1,184,944 195,419 | 1,135, 667 7. 2013 1 KRM Pf KK Lf KR KK F20,978 | POA 218 | OB 129 | 788, 188 789,584 8 2014 2 MRK XxX fee. XK seen RO BO 8 87897 | 881,282 | 882, 207 9. 2015 XXX. XXX 2K XXX woe RR, □ RK eae BRK FE 098 PBT OPT | 824.404 10, 2016 MXX XX KKM... ARK □□ KL we RK, MRK fees EOF |. 906, 298 li. 2017 XXX XXX XXX XXX XXX XXX XXX. □ RK XKK 936 S77 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL . SECTION 1 CUMULATIVE NUMBER OF GLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years In Which 1 2 3 5 6 7 8 9 ia Premiums Ware Earned and Losses Were Incurred 2008 2009 2010 2012 2013 2014 2015 2016 2017 1. Prior 591,781 |.........4501,910)).. 1,017,788 1,089,870 | _...1,013,688 /.... 1,040,040 |. ...1,094,390 |... 1,090,023 | 1,010,011 |.1,010,019 2. 2008. 953,811 A123,000 $1,180,295 1,172,862 |, 180,078 |... 1.195, 200 wf 196,827 [1,197,192 |, 197,348 | 1,197,440 3. 2008 XXX 885.814 | 1,198,455] 1,168,059 |, 189.268 f. 1,202,587 |1,205.611 |.....4,206, 764] 1,207,402 |, 1,207,518 4. 2010 KKK pK coe O18, 200 F142, 988] 978.016 |. 4.2048, 149 |. 4,211,422 | eid | 1,218,858 |. 1,275,820 5. 2011 XXX KKM. XXK... [2 897,036 1,108,182 |... 1,151,553 1, 765,898 ].......1.972,784 [1,175,050 1,176, 116 6 2012 XXX 2 RK, BRK XXX = BO7.665 |... 9,083,400], 195, 161 |. 1,128,840]... 1,194,851 137, 182 □ 2018 XXX... MRK 2 RRR Lp XK Dee BRK Po BBD, 7a 4,095, 695 J. 1 ,128,148 □□ 140,834 | 1, 146,576 B 2014 RXK. HX Pa KKK 2 OO PORK af RXK. |. 915,479 [2 .1,186, 680 fo 168.316 )...1, 181,235 B® 205 |. KKK. XK spe RRR OK. KKK. KR we ARK fe OPE BRO | 286 276 125144 10. 2016 J... XKX Lop. XXX fe Op UOC Oe OK KKK pi 482 4,172,799 i, 2017 XXX XXX XXX XK XXX XXX XXX XKX XXX 833,049 SECTION 2 NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 a 3 4 S 6 7 B g 10 Premiums Were Earmed and Losses Were Incurred 2008 2009 201G 2011 2012 2013 2014 2015 2016 2017 1. Prior 198,365 |... 72,004 Yo | 10,979 8,691 4,806 28976 La 2rd 2. 2008 □ | 306, 107 . 62,266 Hi 928 .. . 16,258 oP 482 23,678 | 1,889 seed 127 eee ABO foo. 581 3. 2009 HMM... 290 573 62,684 |... 31,730 . . 16,885 wD TT Po. 8,028 ween BIB? P6624 | 3,458 4. 2010 XXX od. XXK 262,434 |. 60,644 81, 407 AD, 45 |. 12,402 (024098 | 8,821 |, 5,689 5. 2014 KEK |. KKK. MEK AMO 208 DBT Bead le | oem | eae POD 6 2012 4.00 KKK! OC KL RK 22 B88 PBB 226 fo 28028 fo 18680 | gas 804 7 2019 XXX XXK spon FOO Po RO OB TB YN | eed PBT 7223 8 2014 2 MAK OO pe OD OC PK PKK PBB BOF 88.218 | eB AB 06 2015 RK 2 □□□ cee ORM ROC eee RK PRK KK. pe 280,888 | Be AD 85811 10. 26 XXX XXX, OO. OM KX, KK ee ORK KKK) Od Po. 70,89 VW. 2017 PKK XXX KAX KRM KAX XXX ARK RXX XX 248 028 SECTION 3 CUMULATIVE NUMBER OF GLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums. Were Earned and Losses Were Incurred | 2008 | 2009 aoio | ant 2012 2013 2014 2016 2016 2017 1.) Prior ot. 112,987 |... .. (2,766,481) {86,085} vv B4, 580 J. 28 , 188 eo AB SBT YG BOR | 2d Po 8102 P8272 2 2008. 1.1, 997,279 | 2,101,208 |... 2,410,140 |. 2,112,887 |. 2,915,785 | | 2,494, 126 2,194,255 2, 194,820 [2,134,961 |, 184,408 3. 2009 |. XXX 2,083,028 |. ....2, 47,086 | 2,756,747 |... 2, 188,498 2,978,187 |. 2,179,543 |... 179,685 |. 2,179,685 |, 179,733 4. 2DI0 0 |. XXX SKK 099, 401 2,175,916 |_....2,184,211]. 2,210,515 2,201,378 [22,211,607] 2,284,827 | 2,241,899 5. 204i wi RR REX. MEK. 2,028,445 |. 2,129,964 2,167,200 2,170,414 2,971,166 | 2,171,498 | 171,805 6. 2012 2 RXR, RAK do ARK 1997 54 2,058,551 2,066,478 |. ... 2,068,784 |... 2,060,523 |. .2.069,749 7. 2013 we MRK ce ROO XX POO, Xf 1,980,708 |. 2,067,792 |. 2,075,830 | 2,078,951 |. ....2.079, 097 8. 2014 KKK XXK je ARK OC OL MRM... |... 2,058,368 2,142, 134 -2, 950,903 |. | ..2, 154,360 3. 2015. ROOD PO POP 2280, 081 2,321,564 |... 2,234,017 10, 2016 RX... XXX cee PK, oe OO Ip bec Lp eK we 2,248, 908 2,436 126 14. AN? XXK XXX XXM HOOK AXK XXX XXX XXX XXK 2,085 713 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL SECTION 1 CUMULATIVE NUMBER GF GLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 5 7 8 g 10 Pramiums Were Earned and Losses Were Incurred 2008 2009 2010 2012 2014 2016 2016 2017 1. Prlor 15,895 eevee 447} 9,681 |. 8172 YB, 083 |. BBR YP. 8816 fo 8820 8880 2 2008 oo 5,818 we 18,056 |. 16,881 |. T7285 TABS R8ED | HP GIP dr,6a8 | Fea? ese eee TP G2 2009. |.) 10,252 oo 4868 1b 828 16,534 15,634 [GBA PB 20d] ABS 4. 2010. pe WG,9TT | AS SPF 6.3OS |. 18,838 V7,090 208 PA 248 17260 5 2011 PK ps RK coe KIO. cee Yo 14,588 18,2214 |... 78.595 fo 15818 Po 18, 896 J. 15 ,942 6& 2012 | | XXX . 2 RK, 2 OK KKK Pc ee 1,968]. 14,743 |. 15 808 | 18,604 | 5 788]. 15,826 7. 2019 KXK 2 MRK Po RK. KAM pe KKK 12,311 |. 5815 fo 16400 | 16,724 fo 16 88d 8. 2014 XXK we MORK 2 ORK... ARK pe KKK - Po 14969 P16 603 15996 9 2015 XXX 2 BAX, ROO Pe RM RX, wee RHR. Pee W28OF PB TP fo 16, 629 10, 2016 XXX. □□□ , XXX]. FOO poe MK oo MRK. RRR PKK bo DOT? Po 14 809 ii. 2017 XXX XKK XXX XXX RAK XXX XXX XXX XXX 8,682 SECTION 2 NUMBER OF CLAIMS OUTSTANDING CIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 16 Premiums Were Earned and Losses Were Incurred 2608 2009 2010 2011 2012 2013 2014 2015 2017 1. Prior 4478 oo 2M6F WMO rb ae Po Bat db Le 108 PoE fo Bd 2 2008 4,682 V,o7F BBB 260 □ 78 fo. AB Yo ccc BOP 2B 3 2009 |. RAK wee A OT 1,508 eens eB BOA 2. 26 wee DIB □□ cece NE IB ceed 4. 2010 KKK KKK | 575 ALPE]... 1,013 |. B13]... 338 wee eee? Pd veer OO & 2011 XXX. | XMM J XK... cee 56 1 490 vee ABE ce BEB Po ee A PB PB & 2012 2 RAN wo see AR a 3,209 . 1807. a BBD MOS eRe cesses 4 7. 203 XXX 2 RR RN seen RK ce KK, 3,753 |. A208 FAB 28 8. 2014 XXX XXX senses MK MRM] KKK RK BT 868 pi. 2 Bad 9 2015 RAK... eevee BRK 1 RRM pee Re fe KK PD dee Ped Po 1,002 10, 2016 RK RK 2 MK, 2 Pesce ROK KL KX pd M2 Po 1,568 11,2017 AXK XXX XXX OK XXX XXX XXX XRX XXX 3,220 SECTION 3 CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 § 7 8 9 10 Premiums Were Earned and Losses. Were Incurred | 2008 2009 2010 201i 2012 2013 2014 | 2048 2016 2017 1, Prior. 2,938 489,617} OTP. Bp see 4 2 EB | cece [ATA 2. 2008 cee 26,248 . 28,465 OBST |. □□□ ero | etd | 2B [28717 3. 20B9 |. . 23,699 25,568 |... 28 a OB 8268 | Bede | [25,866 | 25 886 . 26,857 4 2010 |]. MEK |KO. 25,028 oe BP Yo A ABT 27,867 |. 27,603 | 27.812 | 27 816 |... 27,818 5 2041 fo. MK. XMM... RK Pe oe, ,698 | 2B | 26.724 |. 25,738 con AS POO [BSE 6B 2012 fw KKK XOX... KKK... IO Pe 22,082] 288d | 28,61 2985 28 so |, _ 23,588 7% 2043 1 RN 2 OO KK. KK 24,216 a 88 Yo 28 88S [28 fo 25 928 B. 2014 XXX, 2 OX cee MRR OOK pe ROLL KL. BB BF 2 Lo abd ae : 9 2015. XXX... KX. cee RO PRK OK ORL AMX... cee eB 284 Yo 90, 287 080, 452 10. 2016 XXX ce I OPO op ox. op. we BE BEB L289, 250 □□□ 2017 XXX XXX XXX XXX XXX XXX XXX XKX 20,476 VMNIGINED OYATEMENT PUR TOG YEAR 20Tf OF THE ALLOTALE INSURANCE COMPANY AND ITS AFFILIATEBD PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5D - WORKERS' COMPENSATION (EXCLUDING EXCESS WORKERS’ COMPENSATION) SECTION 1 CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 4 5 6 ¢ 8 9 10 Premiums Were Earned and Losses Were Incurred 2008 2009 2014 2012 2018 2014 2015 2016 2017 1. Prior - 8.058 |. 8,078 fo BT YB 290 |. 8,286 |. BMS Po BaP |B 995 fi 840 6. 2012 RAK RAK | we KK ceceeeeetiee □□□□□□□□□□□□□□□□□□□□□□□ [a orcs ccceeeeee oe eeeteesseeteiae Poses ce % 2013 MAK fi RK KK we ARR p sesstessanessessens ceccceceeity fe □□□□□□□□□□□□□□□□□□□□□ Peseeenteee uneceee 8 2014. RX fi KRM oo KKK, cee RPP pleco cece □□□ | servvsvsssssenaense forge evecare 9 2015 MX pi KM oO RO PKK RAK MRK Pe ccccscccccssan | sssnecescccameesenee fesseve ner coscarceeee 10. 2016 XXX. FO POR Pa |. KOK BK cee □□□□□□□□□□□□□□□□□□□□□□ ssnseeeseeceee li. 2017 XXX XXX XXX XK XXX XKK XXX □□□ XXX SECTION 2 NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Earned and Losses Were Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 1. Prior . vee A723 4,602 | 4d 1,387 cee 1,883 1,207 vd 146 □□ W072 Ye TOO P8908 42010) KKK Lp 2 eB etree Df ce veeeseneenenee oe fo oe Peete fe ee 6. 2012 2 RK. XXX occ MRK. XXX. sevens foe veces we cceteeeceetee Pee cc cccccceeeee | caeceucaeceeatentite [ects ee foosseeeeeeseeee 7. 2013 RK. XK ee OOK XK. ORK pee wee eae pee web fees + cece fate eeeeeeeeee 8. 2014. XXX. RK ORK □□□ PORK KKK ete fect a eesente [cesses cates ansaee 9. 2015 AK wo FOO ORO ROC □□ OP Rp nc Pcs cen vase |ccccceeee cee 10. 2B 2 ROK Kp KK PKK Do x ce MRK). KOK fleece te ce Pence eee iil. 2017 XXX XXX XXX XXX XXX XXX XXX XXX XXX _ SECTION 3 CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 ? 8 a 10 Premiums Were Earned and Losses Ware Incurred 2008 2009 2010 2014 26012 2013 2014 2015 2015 2017 1, Prior cee 2285 J. 9 ,682) OPP BF 98]. □□□ | gare |. $,901 O29 Po 9,942 2, 2008 nose see we fe we [lees oe cece vie [eee cece ates feseeeeee ce Pete cette Peet □□ □□□ 3. 2009 RXR Lt. : eoeeeee □□ a eects weet cece 2 | eae ce eet eceseetee Peete ee cece 4, 2010 2 oe MRK ee BP ee BP Bh Bp. Spo LL ub poo 5, 2011 XXX XXX. 2 ERX. . fees coe Pee testes cece wee Df Pd 6 2012... HX. XXX. . MRK. we RK | cee weve eee sect Peete tt ce [ecceeeecces naeaeees [ocmeceeereseee cone 7. 2013 of. XK. XXX MRK. XXX... 2K costes cee feet ne Pe eae Peete a 2014 ||. XX. HK DOK. RAK. XX. RR oo cece sien eaneeee wpe tans fee ceeeteenee ie ence 9 2015 XX HK MOK Pp XK Po 1 MRK. ooo OK cP tecceteeeetei occas [esaeeestessteaneees 10, 2OTB KL Kp KK RKB OK BRK Pe Pe fa ccceeeeseucseveseeee 11. 2017 KKK MAX XX XXX XXX XXX XXX XXX XXX ar COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS ‘ SCHEDULE P - PART 5E - COMMERCIAL MULTIPLE PERIL SECTION 1 CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 4 6 7 8 9 16 Premiums. Were Eamed and Losses Were Incurred 2008 2011 2013 2ovi4d 2015 2016 2017 1. Prior 7.206 2728 Pe □□ 2 BBB 2B NP PO 8886 fe Bd | 2 689 2. 2008 □ SISA | 37,088 |? 48 SF BT? | SPAS | OB Peto ar 82 3. 2009 XXX... 35,067 |. . 41,849 © AR OA □□□ AG] AB BS | dO | OG | ae seg} 48 627 4, 2010 XXX __ □□□ 85,005 |... AQ SEF Pl AR dB Yd fo aga | a8 gs 5, 2014 KKK DX, 48,028 [82,981 Jo 58.879 50662 | BS BFE]. 58,705 | 88712 6 2OIR p800 □□□ [88280] 9B4de dae 38,557 PONS KK. | XK we ARK. RAK pe AK oe BROWS 90,804 [80,888 80,889 [80,848 8. 2014. MX KKK, we RK RK KK Kp 04 P8472 foo, 857 9. 2015 eR, PRK FOP Oe RRP er ede fo 82d05 fo 38 10. 2016 RAK □ FORK KK PR OO PKK pene 4005 00037, 984 11, 2047 XXX XXX XXX XXX XXX XXK XXX XXK XXX 40,848 SECTION 2 NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 . 6 7 | 8 9 10 Premiums. Were Earned and Losses Were Incurred 2008 2009 2010 201+ 2012 2013 2014 2015 2016 2017 1, Prior... ve ok, 449 - 4,447 | 962 coe iF | 868 woe Sed ABB fo ad wee B25 concen AQF 2 2008 . #490 a - 694 ve BAO TR ee TB Bd Po Ib lo 3. 2009 1) KKK 8924 Po POD ABB] 2d? ce NP ee BB Pp a 4. 2010 2 KL KAK ce DOF BOP AB dP OB fo BO Le 8B 8 5. 2014 2 RRR. KKK. FOB 2 DBF Po Pee po ABT □□ fl ed 6. 2012 KRM. ARK) 2 BL B72 Po AMO 2B Pe OB i Bt ¥. 2013 |. XXX □□□ ARK... KEK. ARK po BAP Pl BPA wo Ae? Tn, 200}. tones BS 8. 2014 wee MRR Ld. XXM KKK OO XXX... coc ORF PO fb 2d 9 2015 MRK Lf KKK. KKK je we RRR Pee BOB PPB 528 10, 2046 ARK MK we MOK pe KM Je AX KK 1 KKK... ve RK ce OBB YL. 403 14, BOY XXX XXK XXX XXX XXX XXX XXX XXX 2,332 SECTION 3 CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 8 7 8 9 10 Premiums Were Eamed and Losses Were lacured | 2008 | 2009 2010 2011 2012 2013 | 2014 2015 2016 2017 1. Prior, |. 4,899 |. 2D OBB Yt 084d fi Aes fl 1e8B P1818 eevee OOTP 1888 fo, 986: 2 2008 |. 5647]. . 60, 464 2 | 6d 082 | 61,068]. eto7a |... 61,084 |... 64,088 eeseoeee L092 3. 2009 ce Kp 99,209 |... 66,569)... 67,018] 166 ee BRAM |. GP, 222 | BF 228 187,285 |. .87, 240 4. 2010 2 MRK. XXX 4,636 |... 68,856 eee BD, 448 2 AD 21 68678 Po BOAR 60,725 | 88,729 5, 2011 XXX ce UP KKK Fede po 82 442 $2,946 | BES B18 fo 88 Fe Ba 6. 2012 —MKK ces ce OR ep □□ BA fo 62,998 | o.68, 904 83,542 | BS S77 |, 88,899 7. 2013 XXX XK ep OO pl ef 49 be? 2 BB B84 109 4, 289 fo Bd 806 & 2014. XXX... RK, _XXK ce RKP KKK KX, eee 56,693} 80,872 761,824 | 614s 2015.7. XXK. 2 RRX.. ce OR POLO we OO af POTS | 8, 288 10, 2016 2)... OK. BRK OX. Pee RR PK RK RK de KK Pee. | 64,248 i. 2017 XXK XXX ARK XXX XXX XXX KXK XXX XXX 57,089 COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5F - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE SECTION 1A Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years In Which 1 2 3 4 6 7 9 10 Premiums Were Earned and Losses Weare Incurred 2008 2009 2018 2013 20id 2016 1. Prior . 448 466 | wR BB J 468 Y... eo AGB EL 486 | 466 |. 468 2018 Po KK XXX wee KK. ARK fo KKK pe wee cette Peete cca Peete eee cee Be 20140 J... XXX cece MRK XR od KK pl KK cece tees [ese eeeeesteey □□□□□□□□□□□□□□□□□□□□□□ [eteeee cd cece & 2015. . AXK XXX RR Rp KK OK PK Ps Peer ee 10 2018 |... XXX XXX 2 RK pe XR □□ Kp eo eee MAK. we RK pieces ccc eeeeeee HW. 2017 XXX KAX KKK XXX XXX KKK XKX XXX SECTION 2A Years in NUMBER OF CLAIMS CUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Wore Earned and Losses Were Incurred 2008 2009 2010 2014 2012 2073 2014 2015 2016 2017 1. Prior f.. i wees Peete wee | eee 1 weet ol ce | teed [od weal eed 5, 2011 XXX. XAX 2 ORR cen fetes canes ceo tect cesses cee eee bev seeeeemeentiiss pes ee cece G. abi2, AKM A XXX. XXX. ween □□□ we eee estes □□ tee Pe ceeeeenterice beeteesees eer ance 7. 2043 ARK MK wf ORR ORK. ve - wees Pesce . ceette a feteseeeeeencenee □ a 2014 AXK AX . XXX. ef cee AK eae OK □□ Pees a □□□□□□□□□□□□□□□□□□□□□ | ce cece cesses 9. 2016 wi RK 2 MRK Poo. RK. oe PORK FAK fe RK Lc | ccceecsseeeie [eccneae sects 10, 2016 RK AK RK. . □ KL OK KKK... ee BRK HK ee ceeeceeseescieeetee Peete ceeeeeee 11. 2017 XXX XXX XX XK XAK XXK AXK KKK XXX SECTION 3A Years in CUMULATIVE NUMBER OF CLAIMS REPORTED DIREGT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Earned and Losses Wore Incurred 2003 2009 2010 2011 2012 2012 2014 2015 2015 2017 1. Prior cee BY Bf BBP OB BBP Bh Of ae pl ge po ge 7 2019 4. KK cceee ARM... cecseee] cee epee weet Peete lee Dees cc B 2016 1.0 KKK RK Cp OK Lp wc Peeeeeteereren □ cece ute Decent eee nee & 2015 RRR]. KX epee RR pK OK po cece on ntee Peceeseeeseeeteses 1G. 2016 KXK, wees RK fae Oe OO OO pK OP Pee pi see 11, 2017 XXX RAK XXX XXX XXX. XK XKX NINE a SINE IO Peeve WP OP LOTATE UNSURANCE CONMIPANY AND [lo AFFILIATED PROPERTY/CASUALTY INSURERS ITER IG ASVALTY INSURERS Schedule P - Part 5F - Medical Professional Liability - Claims-Made - Section 1B Schedule P - Part 5F - Medical Professional Liability - Claims-Made - Section 2B Schedule P - Part 5F - Medicai Professional Liability - Claims-Made - Section 3B [70] COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5H - OTHER LIABILITY - OCCURRENCE SECTION 1A Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Yaars in Which 1 2 a 4 5 § 7 9 10 Premiums Were Earned and Losses Were Incurred 2008 2009 2016 2041 2012 2013 2014 2018 2017 1, Prior. sess one 229 5820 fo SBOP 8886 W070 fo 10,244 vaneeeeeeeee 10, 269 [10,304 2, 2008 2 Be B15 |. 989 J. 1 ,081 wee |, 158 WAM | er Pt etd pete pl. 1,224 3. 2005 we RK ABB OP BI 087 A068 08d tee fo. . 82 4. 2010 1 KK XXX oe 586 892 ANE LL B02 eee ME POI] 8d pi dd 5 2011 XXM KK. 2 AMS |... 580 J. BPP ce TPAD BIB a BBO Po 6. 2012 ARK. XXX 4. MXR. RX cette □□□ |. BIO | Po FB □□□ Pl 810 7. 2019 1 MAX, XXX MRK pe KK. eae ARK. coe MB AO Po BIO 02 PT & 2014 RAK. KRM. cerereef eee MK, PK PKK Pe 2B Poo dt □□ fi. 822 2015 RX... KXX 4 FORK pe KKK, Fo PO OK pe po fo 848 10. 2016. MAXX... RRR Op pL. we RR RRL KR Peeciecceee fc ii. 2017 XXX XXX HXX XXX XXX XXX XXX XXX KXX 244 SECTION 2A Years in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 3 a 6 7 8 g 19 Premiums Were Eamed and Losses Were Incurred 2008 2010 2012 2013 2014 2015 2016 2017 1, Prior . eed 029 2,682 wee 2 AB 2 8, Od?F a 2,128 2,181 1,995 |. wd ORF 1,881 2, 2008 . we eid 398 cD |, coe I AME ad □□□ RD fcc eee Pc ce A 3. 2009}... XKK 434 fee Oe 204 |. vee el dB. FB |. coed |. wee 2A weccsneeeeel® eee tO 4. 2010 ce RK KKK wood BG |. foe. 166 |. AQT BB a BB Po 228 5. 2011 . XXX KXX. | ARK AOD YP ede .. 202 eee BY PT Po ed bho Be & 2012 ce RK 2 RXR | we KD BB |. Pe BY Bb fa? 7. 2013 RAK XXX of eee OX, a RP Xo. 280 ABO Po TW Pe 8 S214 XXX 2 XXX. 2 RK oo OK we KR senses □□□ GL 231 fe... oe ABB fl 188 9, 2015. XXX RAK, AX, 2 RK. PRK. 2 RRX 2 BRK. cee AUB BE | 196 io. 2016. XXX KAM. RXX.. | DORK de OK XXX. MOK PK pee OM Po dT MH. 2017 XXX XXX XXX XXX XXX XKK XXX KXX XXK 204 SECTION 3A Years in CUMULATIVE NUMBER OF GLAIMS REPORTED DIRECT AND ASSUMED AT YEAR ENO Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Earned and Losses Were incurred | 2008 | 2009 2019 2011 2012 2013 2014 2015 2016 2017 1. Prior . 6,026 □□□ 774y 8 BG 8,622 |... 8986 a SB SR 82 Ye 8B | 8 age 2 2000 7. 1712]. 2,208 22 Ao], 2,549 seceeeeel BOY G23 | 2684 eevee BAO Yo 2 Bde 2688 3. 2009 : BRK 14a fo | 1,806 □□ 1,983 ATT L215 we DBF YB 2 208 P8218 4. 2010 RK lf KKK. soe 1,389 2 A965 fo 2,088 2 BP ee] 8,178 5. 2011 KKK. Lf. | KKK ARK fee VAST 4,886 fo 1 GBF - 7B? Lt BAT . 1,878 6. 2012 XXX oe cf RR ap pT Po 14d po 1,600 fo A706 Po P60 fo 7. 2013 XXK eo RAK PKK OXKK ef RK Pee LOBF Po 1 fl 1882 Lo BOB 1 Fed 8, 2014 XXK 2 RK, ce RKP coe MK MX ce DOO a 1658 Po, 788 8. 2015. XXK 1 REX, ARK MK ofan KKK seve MRK ce MK Pee OOF fo 1888 Po BOT 10. 2016 XXX XXX, XXX. eee RX, ee KKK, KKK, MAK DK P1828 Po, 62 1. 2017 XXX XXX XXX XXX XXX XXX, XK XXX, XXX 1,850 NMEMEIISIUDO ITE ENTRIES TIE TEAR cul □ UIP GE ALLOA INSGURANGE GOMPANY AND IS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5H - OTHER LIABILITY - CLAIMS-MADE SECTION 1B Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 a 9 10 Premiums Ware Earned and Losses Weare Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 1. Prior f. a8]. BP LP Decne ee □□ Poe 2 hee fo 5. 2011 XXX XXX ajo cee Pe wees : wee Pee seeseeese [eeeeeeee ce eect cette [enter a nee 6. 2012. RAK ef ieee RL 2 OO pn ce fee tee Pee tie Peete te cee Peete cat ee Pesceceseeseeeeeee 7. 2013 KKK. XXX 2 RX, OO | RR fe tec te Pete eee ce Peeters □ □□□□□□□□□□□□□□□□□□□□□□ 8. 2014 OOK. RXXK RK XXX. ARK | pe Peete oe cece □□□□□□□□□□□□□□□□□□□□□□□□ a. 2015 OOK... XX. . LARK XXX... 2 KK XKX ERR cece Pesce cee ais fececcccccnsis sate [eves scesteceecerersunnes 10. 2016. KKM... RXK.... XXK. RK ef RAK... KOK pence □□□ cette ot Wi. 2017 XRK XXK XXX XXX XXX XXX XXX XXX XXX SECTION 2B Years in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years In Which i 2 3 4 § 6 7 a 9 10 Pretniums Were Earned and Losses Were Incurred 2008 2009 2010 2011 2012 2013 2014 2016 2016 2017 4, Prior woe - vf ce te sicsieeeee oe : sees cece ens serene ccc [eerie ere ceereeeefenesenttee reece 4. 2010 |. XXX. XX. be ia, 4 MBP pe pp 6. 2012). PKR OL. KX. r..| nae ovate eeeeeeeee cececeefece es eeesneestee|eeeete □□ ccceeeeeeeeeeee 4. 2014 a MMR ARK XKK... |. MORAL PNK. woe MOK le eee fi ce eeeeeeeees sceebeeeceee caeceseeeeed 9, 2005 oe IR RR OO Kp oon. RRR Pees MK fc eneecanaf ccsseccsseeseensee caf ce oe aeed 10, 2016 RK -KRX fan FORK OK UL PUKE. PK wie ceaP cece cece eee i, A017 KXX KAX XXX XXX KXK HAK XXX, XXX SECTION 3B Years in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 & 9 10 Premiums Were Earned and Losses Were Incurred | 2008 2009 2016 2011 | ante 2013 2014 2015 2016 2017 1. Prior fees sefeseeees cen fon seveseeeee cesta sent eee cette fetes ee cece | sseeeseesemeeneene ceseeeeee crased 4, 2p10 SOO. Fo ie ep 5. 2041. MRK... FAX) OO ee eee erveeeeeeceeess cg aap eeeescevee weep i ace 7. 2013 HER XXX cee PRK □ ARK pe AX. cen cece cceeeeeeeeee sects teeestefeneeee es cen & 2014 KKK |. XXX ARK... PRK RK) KKK cee settee caf eceecececae sae ve eeeeseee seen 9. 2015 oe MK , KRM KKK... KAM. coven RR fo RK. RKP cep i Pence nee 10. 2016 RX 2 KM wf. □□□ XXX 2 RK, RK KK EX Dc pce ed i. 2017 XXX XXX XXX. XXX XXX XXX XXX on VVNIBINEE STATEMENT TOR THE YEAR e014 Or THE ALLSTATE INSURANCE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5R - PRODUCTS LIABILITY - OCCURRENCE SECTION 1A Yaars in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 5 6 ? 8 q 10 Premiums Were Earned and Losses Were [ncurred 2008 2009 2010 2012 2013 2014 2015 2016 2017 1. Prior . 2,808 4,612 A 4,564 598 □□ ABO L619 fo ba po 6d? fd 656 2. 2008 a? □□ dP Je ee Wy. Ag BD AD PP Pe ed Po dd 3. 2009 KXX.... 26 edb Poe ed? voce |. BBY ee □□ ved Pee SB], cee 4, 2010 XXX XXX joo. Ja secre EY wd Po. TB eect Pe IB Po We ween DB 5. 2011. | XXX XXX we cee □□□ Peres 18 ee AG wees IG Poe AD WP PD & 2012 | KKK. 2 ARK RR ed KK, seven OA TPB fe BBY TB Pk ed 7. 2013.) XXX 2 KK PAK. pee KM KK . 2 vod PN Pe IB Po 8 8 2014 |... XXX XXX .. HK cee] eee MM. we Kp KKK po we Pe TE fe BE 2d 9 2015). KKK. BKK... FORK ef RP Op Op. ceccenmvennneees © faces Poca cane cuel 1. 2016 2 ARK... BKK cK RP RK ORK pod he vie el 1. 2017 XXX KXK XXX XXX XXX XXX XXX XXX XXX 5 SECTION 24 Yaars In NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Yaars in Which 2 3 5 6 7 8 a 16 Premiuins Ware Earned and Losses Ware Incurred 2009 2010 2012 2013 2014 20i5 2015 2017 1. Prier □ 1,814 □□ □□□ | 1 B87 7,641 |... 4,628 |... 4,050 7 BO Pa B18 pic fl 1634 2. 2008 a ? Bon ee 2 eo csseetee foes cee TD foc pe fe eel 3. 2009 we BKK . 8p A cece fe woudl os. oP festeeeceseeneres ceccteeeteeeeeeees [ote etetie eeeneeee 4. 2010 HX... RRM po cee Ape. ved Pesce. feet te | ccccccceceeeeeeenene bec eeneeeensee 5. 2011 XK RKP KK Pd bee ce ccd fue. Aq. Dyess WD 6, 2012, ARK Kf AXK fo TD ceceeeeceee of itae [essteesseeesrit cee a □□□□□□□□□□□□□□□□□□□□□□□ [ov a veueseuesssee ¥, 2013. .). . XXX ce MK KK J OR DK pe 3 ce BL ested Pls cee Po ene 8 2014p KK dX 2 KK we POO KK uf. eee ee Pe ee fence 9 2015 |. XX 2 AK fe OO FO DR Up KK settee wd Pcie A [lcd 10. 2018 KKK 2 FOR... ARK OK Pee MOR pK UP OO poo po Plead 11, 2017 XXK XXX XXX XXX XXX XXX XXX XXX XXX 5 SECTION 3A Years in CUMULATIVE NUMBER OF CLAIMS REPORTED DIREGT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Wera Earned and Losses Were Incurred 200 | aang | oto 2011 2012 2013 2014 2015 2016 2017 1. Prior 233 4,742 ce B28 | 4806) B07 fl 5198 p68 262 fo 8808 8 | 4B? 2 2008 et &7 |. 68 fo... FO Ye FR PRP fo Rb PIB foc 8 □ 3, 2009 2 KKK. 54]. By. G2 BR BRP be pe 4, 2010 XXX. XXX ce 2B Yee By Bf. ae cee BBP Pad 5. 2011 XK WX KK BP NB ee BBP 2 2 Pc Bey a2 6 2012 KKK. XXX POR efi RMX ce OL DP ee PB Bef 2 % 2018 RO OR OC wo MRK . vee BB 2B vee Po BOP 6. 2014 ce RR RX LK fee □□ ses RK fe we db Po BF J. ve ol 9 2015 we KK MK foo OK 2 OK, ee KK, MRK... 2 RK - □□□ Le ep. 23 10, 2018 MAX PRR oo MK we OK cece ROK BRR ccccceefe MK Pe KK □□□ cal fo 4. 2017 XXK XXX XXX XXK XXX XXX XXX XXX xox 10 ma VVNIDINELY OTAPEVIEN) Toe YOAR cO1f OF Toi ALLOTATC INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS oI TIAL INSURERS Schedule P - Part 5R - Products Liability - Claims-Made - Section 1B Schedule P - Part 5R - Products Liability - Claims-Made - Section 2B Schedule P - Part 5R - Products Liability - Ciaims-Made - Secticn 3B COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 5T - WARRANTY SECTION 1 Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 3 4 5 6 7 8 9 10 Premiums Were Earned . and Losses. Were Incurred 2008 2010 2071 2012 2013 2014 2015 2015 2017 Prior |. XXX |. XX RK op ARK |. XK, MRR pe MAK. pee ee Pere B 2, 2016 ..). AXK 2 ARK ORR fe RK KR □□□ BA) pe 3. 2017 XXM XXX XXX. AXK XXX XXX XAX XXX XAX SECTION 2 Years in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Yaars in Which i 2 & a 10 Premiums Were Earned and Losses Were tncurred 2008 2009 y p i 2018 2016 2017 1. Prior XXX RRA. 7 \ L | \ | erie tL = 2. 2016 KKK. KKK WARK Pe 3. 2017 XXX XXX XXX XXX SECTION 3 Yaars in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Eamed and Losses Were Incurred | 2008 | 2009 2010 2015 2012 2013 2014 2015 2016 2017 1, Prior XXX XXX . X.. FORK os eeefee OK pe pe eel po 2 2016 |. XXX BRK. FOO pe OOK XK ce pe Rp I Po 3. 2017 XXX XXX XXX XXX XXX XXX XXX XXX XXX § EAE SAAN Te FA er er OPI ALLSOP ATE INOURANUE OUIVIPAN YT ANU Tio AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 6C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL SECTION 1 Years in Which 14 Premiums 1 3 4 5 6 7 a 9 10 Current i sr ee lw lw bela l le ce lo i and Losses Premiums Were Incurted 2008 2610: 2011 2012 2013 2014 2015 2016 2017 Earned 1, Prior woe fee 42d. 28 SGP Pw 2 PBT □□□ seen Pete fee OT Pde Po. 48 2. 2008 356,663 | ......953,740 569,759] 350,741 |......383,708 |. 953,795 | 983,796 | 868,795 |. 969,779 | 389,781 □□ nese 2 3. 2009 XXX. 304, B47 | ........303, 049 308,080) BOG,021 FOOT | 808,013 | 808,098 f808,080 | 0s,odd | 0 4 2040 Le KXX XMM 279129 276,987 |_ 276,972 276,973 |.. 276,973 | 276,078 1.276988 ow 8 5. 2041 2 IO, HK of KKK]. 283,140 | 281,908 | 267,292 261,284 | .......281,288 |... 261,289 |. 269,204 J 6 2012 KKK we OK. XXX 245,942 244,725 |. 244,604 | 2dd 622 |... 244,648 |. edd sas [20 % «©2013 XXX 2 OOD XK we MRK |. 282,568 260,923 |. .280, 775 250,742 |. 280,767 Po Tb 8 2014 KR... □□□ RK oe ORK 267,302 |... .265,947 |.......265,868 |. 265,833 |. £95) PHS... XXX PKK. FOKp KKK. XXX... 285, 898 |. 284,495 |... 284482 Jo t13) 10. 2016 oe RR. XXX ARE KP ORK KK MMR Poe oe 281,908 7. 290,150 fo, 1889) WW, BO17. oo KH we MORK ep OK KK we Re OL KKK DKK dR 289 17 288,117 12. Totals we MK HX ARK pe KKK wo KKK. KKK OO pK | 288,032 13. Earmed Pramiums Sch P-PL 1 354, 238 303, 163 277 89S 261,246 244,410 251,329 265,578 264,172 280,369 288,032 XXX SECTION 2 Premiums 1 2 3 4 5 8 7 8 10 Currant i ee oe |e | me oo bee ee □□ i and Losses Premiums Were Incurrad 2008 2009 2010 201i 2012 2013 2014 2015 2017 Eamed 1. Prior co vets feces cece cocvvesaeeseete we fee sett | Pentcie ceeeeeee feet eae 2 2008 eves feeeeeeeee BPG? | 8,792 we 792 Yo | 82 P8792 |. B82 fo BO! B82 3. 2008 2. XX 3774 3,774 |. S774 | Berd 3,774 RTL PM. STFA BE 4, 2014 we BKK LL XK ween B42 9642 | 8,642 | 8 | 3,842 |b 642 Bde Pde □□ 2011 see XXX. BRK eae SBF 3 BB |. 3,884 |. 9,084) SOBEL 4. 2012 ceed ARK KK MXX. RRR Poe SBT 8 OBA BSE BRT SBP 7. 2013 : XX ARK OK PK PO Lae 8 G72 8 672 |... a |. BBP? | & 2014 RK XXX 1 XK. MAK) KR KL AO a ado 9. 2018 XKK Lo XXX XXX 2 MK a. HK KK XXX : A488 | 4,488) Po 10. 2016 sees □□ RMD. KX enn KKK we RK] RK MRK Bod Po BBA 11, 2017 ve ARK XXX KKK. MRK | KKK | KKK... RMR 587 Po 4587 12, Totals KXK XXX 2 AX 2 WOK. XXX fo RAK LD KKK ce BR 07 13. Earned Premiums Sch P-PL 1 4,792 a7 3,642 3,584 3,081 3,672 4,740 4 468 8,754 4 597 XXX SCHEDULE P - PART 6D - WORKERS’ COMPENSATION (EXCLUDING EXCESS WORKERS’ COMPENSATION) SECTION 1 Years in Which 11 nin Wore Earned Year and Lasses . Premiums Were Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Earned 1. Prior . a - (135). (204) MBP We {12} se Je BV BYP Po 2 2008 . A16 |. 116 J... 125 J... WEF J 122 Po Wt! □□ fo bd 3 2008 . RAK TE aA |. 1 I... 10 J... Dl By Pf wD cD Pe cece 4. 2010 : XXX OK cee YT, 13 fi. 10 |... WL Bp. (19) IH, 2011 - XXX. XX - XXX. we wee lB bee □□□ FO 2d]. seed fous (AV) AD 6 2012 | □□□ MK eee RK ARK. KR ei [eee 1B □□□ 1B vee TE we DP LOA. (104)1.... . 7. 2019 XXX YORK □□ oo KN KKK Pee TE Po TP ay BBP 8, 2014. XXX. XK) KKK |XX woe KKK eve ORK ce AGE FB 2B Po 688 Pe 9 2018 we RK RK | RKP OK KP OXKK pe Bp ama Le 10. 2016 wd KX FORK | KKK we RK] KKK, ARR fp RRR Ye 11. 2017 2 OLD XXX OK KKK we OK XK POX 2 OOK. RAK fe TBF 127 12. Totals ef REX | ORK) OOK XKX 1 KKK... ARK KKK 12? 13. Gamed Premiums Sch P-PL 4 (49} (188) 131 18 80 {4} 796 216 (677) 12? XXX, SECTION 2 Years in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED 11 Wore Earned Year and Losses. Premiums Were Incurred 2008 2009 2b10 2011 2012 2013 2014 2015 2016 2017 Earned 1. Prior coe : cee tees eeeeee wee cece ceeeete dese ce ee ee 2. 2008 0... |. 2 iB fo. at. ay. 2 . 2 |. we cee BP 2 ee Poe 4, 2010 XXX... XXX weed □□□ eed cece |e wd |. vend [eae wD oc WP 5. 201 ve RK XXX, XXX Tyo Tp 1 weed cece eecneeel Peres Pe eee cee 6 2012 eee KKK KKK cee ARR KKK ccc Pe cee ee coe vecewe fe ce cee eee [eee 7 2013 ce ROOD AMR DKK we ARM, 2 RR □□ seceteiesie ce Pc Pe cee fee ce eens & 2014 ARK 2 ORC XK KKK fx . - setieeeeee sestisteesteeeenese [eo cceeeeeeeeee 3% 2015 ce DD eee oe we REM. XXX. cece wee cee i Peete fa ce creseenneeeenee 10. 2016 se RX POOR |. we FOR OO KK | eee eee [eeceecceete ce ce fests ce 1. 2017 XXX. XXX. RO XK PKK Lox we MRK ae Pec en 12. Totals... XXX 2 MK ARK]. KKK. XXX. FOR KX PKK po 14. Eared Promiums Sch P-PL 1 2 1 1 XXX pa COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANGE GOMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 6E - COMMERCIAL MULTIPLE PERIL SECTION 1 Years in Which 11 Premiums 2 4 § 6 7 a 19 Current and Losses Premiums Were Incurred 2009 2011 2012 2013 2014 2015 2017 Earned 1. Prior - -{938)].. (32) BY. C15} A. [eceeeteeeeetetts Pec tcceccccteee Pecceeccctene tttte [rceccsseescemnaae [oostccsseees 2, 2008 . 634,626}... 639,815 |. 633,001 |. 633,890 |....693,887 |... 693,086 | 693,886 |. 633,886 |... 693,886 | 693,888] 3. 2008 ee ARK]. 853,394 | 652,474 652,455 [652,461 7... 652,448 652,448 |... 652,448 | 652,448 |...692,448 J 4. POO... XXX OOK 660,204 |..... 650.671]. 659,664) 650,658 ]...... 650,658 650,658 1.659658 | 659,658 Jo. 5. 2011 KKK ARK. POX. 60,982 7.70509 | | 670,482 | |. 870.478]. erode | eae] 6 2012 cee ARK. KKK ARK XXX | ......678,547 678,144 |... 678, 101 878, 088 678,008 j....678,098 Jo. 7, 2013 XXX XK) KK □□ KKK XK D881, 128 680,140 |.......680,000 | 680,084 |... 680,082 fo (2} B 2014 XXX MAXX) XKK wD KKK. AXXL | KKK, 889,527 886,981 |.......688,951 | 688,942 | (8) 9. 2015 HX LARXf. XX KXK LARK KX RKX .. 700,429 690,776 |.......699, 780}. (48) 10. 2016 . XXX KKK XXX . KX RRM] KM PKK 678,926 | G78 087 1899) WW. 2017 KK. fe MK. 2 RK HRM PRK PKK ARK) RK OOK) 655,037 |. .655, 087 12. Tolals XK BRK... XXX - KKK KR Pee ARK XXX PORK Lp RK OL 664, 144 13. Earmed Premiums Sch P-PL 1 633,686 652.591 659,327 670,405 67 050 080, 694 688,483 609,929 675 237 854,141 XxX. SECTION 2 Years in Which ii we baw | a |e | oe | ae | Were Earned Yaar and Losses Premiums Were Incurred 2008 2009 2010 2012 2013 2014 2015 2016 2017 Earmed 1, Prior. ae fone . we 2 [eee woe Pnceee cette fee ce be nite □□□□□□□□□□□□□□□□□□□□□□ eee cece cece 2, 2008 27 612 27,012 |... 27,612 |. 27,612 || 27,612 | 27,612 | 27,642 |. 87,812 27,012 | 2F 612 |. 3. 2009 . XXX. 21,629) 21,628 | 221629]. 20,629 | 21,629 |. 2te2g | at eee 21,699 721,629 Jo 4. 2010 - KK XXX. 2 OME] 20,148) 20,148] 20a | □□ 20a | 0 de || 208 §. 2011 wef RK, XXX... YOK fee FB 808 | 18,885] 18988 P| 18,985 118,985 F186 986 | 98.885 | & 2012 MRK, KKK. PORK fe RK fe IST P19, THF ARTA AG ATF fo BP PF fe. 7. 2013 XXX we KM. MRR) OK 1 APBOT BBE po, §. 2014 wef. OK we ARK LK. KKK pK cee 16,084 Yo 16,084 |]... 16.084 oe Po, 2015 ce 1 MR, RRP OK KKK. OO □□ KEK of KL, veered, 630 | 18,630 ],..215,680 |. □ 10. 2016 wf OK. KAX. HK] XK XK... KRM Op ARK | XK eevee 1B, 934 15,984 Po 11. 2017 epee MRK XXX 2 MAK XXX PM) KK RK KK pees 14, PBB P14, 788 12. Totals - MRK fe KKK we MRE RK FOG XK. wee MRK) KEK KK Op 14, 788 13. Earned Premiums Sch P-Pt. i 27 612 21,629 20, 148 18,385 19,117 17,881 16,084 15,690 15.034 14,788 XXX SCHEDULE P - PART 6H - OTHER LIABILITY - OCCURRENCE SECTION 1A Years in Which CUMULATIVE PREMIUMS EARNED DIRECT ANG ASSUMED AT YEAR END (000 GMITTED Ti Premiums 1 2 3 4 § 8 7 B 10 Gurrent Were Earned Year var Inoue Fw | me bmw | a ele lac | | "tamed Wore Incurred 2008 2009 2010 2011 2012 2019 2014 2015 2017 Earned 1. Prior (252)} - 16 Jo. MO APB Lo (13}]. ceeeeeeeeee (18) ce ABBY eee feeeeeee . 2, 2008 . 262 790 262,77? |. .... 262,778 |......262.775 |. ..262,772 262,771 |... 262,771 |_.....282,769 262,72 | 262 742 | tees 3. 2009 □ AKK 340.364 340,048 |... 340.947 | gd0.345 | 340,342 $40,842 | 40,381 | 340,904 | 3d0, □□□ fo. 4. 2010 bese XXX XXX | de 687 929,679 | ......929,678 |... 829,676 |_.929,676 |... 329,662 328,02 | 929,842 fo 6. 200i we KK XXX XXX... |. 2h 528 420,527 | 906,595 |......925,525 | 325.489] 328.923 |. 325 929 | . 6. 2042. wo KKK, XXX wean KK. BRK | 19,429 319,430 319,430 [.......319,403 348,937 □□□ | 7 2043 XXK XK | ARK | XXX we BRK B2O088 F820, 107 (820007 | □□ □□□ | BP fo. 8. 2014 KKK XX MRK]. □□ eK PK | 526,458 828,467 |] 928 350 [26,381 9. 2045 XX LAX, KKK. ERX fe RKP KK MK fo 820,888] 828,86 7999 B88 10. 2016 cenefee XK. REX PK we KD KX XK | KK 941,265 [341,264 Jot) i. «2017 - KX □□□ FOO fn OP KK KKK DOK pe SoD L965 did t2, Tolals XX AMM, KAMP KKK PKK pK see HK. REX OL RX XK. 365,410 13. Earned Premiums ‘Sch P-Pt. 1 262 537 340, 364 329,745 325,500 319,450 320,073 326,472 329, 76 339,927 355,410 BMX SECTION 2A Years in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END (§000 CMITTED WW ce Were Earned Year and Losses. Premiums Ware Incurred 2008 2009 2010 2011 2012 29 2014 2015 2016 2017 Earned t+. Priar ce feces sone sees [eee □□ cee fees veces ceeeeee feeteeeee ves eeseeeeseiee 2% POOR ow. |. 15,487 |. 49,387 |. ..... 15,387 15,887 |. 15,887 J 18,387 | 15,887 oo 18,887 718,867 | 3. 2009 wee KKM BS |. 85 J. 88 ce BB BE . 85 BB BB BR 4. 2010 . MOOK. PK AB. Wy WP A td B LBP 6. 2014 ween □ OH □□□ RK pe 2B] BB PG] 288k ee | ee | □□□ beseeeeessieeeee 6 2012 we OPK MM | EBS] 10698 | TB) ties}. 7, 2013 . RAK □□ ORK XK PKK. ARK fee TA BOE 14504 Yd 504 14504 4 Bd fo a 2014 eevee {eeeee RH, we RK | KK HOCK | KK KK we TETN TING PAZ TG PAF 116 | eevee $. 2015 cee FOOL UL OX UO LP MK OO OK pe IP O04 fH 004 Pde 10 2016 XM... PORK fee POR | KK wi TOOK Pe SOC OL pl RK oe 19,965 | 19,965 foo VW BOVF KKK. □□ 5 OR KR, 2 KM we TOK ARK KP RX pb 18 983 | 19,988 12. Totals ..... 2 KKM ce BRR, EX) OOK OR KK OK XXX PKK fu. 19,998 13, Earned Premiums (Seh P-Pt 4 18,385 86 13 2,634 11.638 14,504 T?,116 T? 094 18,965 19,993 XXX COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS CROPPER TIGA SUIALT INSURERS Schedule P - Part GH - Other Liability - Claims-Made - Section 18 NONE Schedule P - Part 6H - Other Liability - Claims-Made - Section 2B NONE Schedule P - Part 6M - International - Section 1 NONE Schedule P - Part 6M - International - Section 2 NONE Schedule P - Part 6N- Reinsurance A - Nonproportional Assumed Property - Section 1 NONE Schedule P - Part 6N- Reinsurance A - Nonproportional Assumed Property - Section 2 Schedule P - Part 6O - Reinsurance B - Nonproportional Liability - Section 1 NONE Schedule P - Part 60 - Reinsurance B - Nonproportional Assumed Liability - Section 2 NONE VVINIDINED SLATENMENE POR IRE YEAR cUul# Vr THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 6R - PRODUCTS LIABILITY - OCCURRENCE SECTION 1A Years in Which 11 Se fT feito. ae Ware Earned Yaar and Losses Premiums Were Incurred 2009 2010 2011 2012 2013 20t4 2015 2017 Earned 1. Prior vend 0 MW □□ tet feet □□□ Pee vttssssnemeseeeees [or casateececeees [esses ever 2, 2008 AST]. 1,788 |. A754 1,750 [1,780 □ 41,750 A760 1760 fo □□□ PAO . a. 2008 wf XXX eee VBI P1899 4,598 |. 1,598). 4,898 □□ P8098 E1898 Po. 4, 2010 2 ARK KX ce BOF MB AM 1A i a fo 1.847 we DAF fo 5. 2011 . XXX, 2. co WOMB Od 1,040 W040 AOA Fd Od 6. 2012 XXX FOO ceccceeene DEP . O70. O70 P.O 7. 2013 KKK XXX AMX. KAM | KKK cee ATR 1B P21, 185 1,465 | ABS a. 2014 wee KKK XXX. ARM DARK pK. 1,850 eed B89 BD BPP 9. 2015 : ARK | KKK XX. XXX. KAM. fe AXK XXX we WOFP LL 1289 seeeeeeseeeee 10. 2016 MXX.. XX. OK wR RAK. ARK). AK KK oD Pe SOT Po BY 11. BOI? fees XX | XXX XxX wo KKK ve we RAK ARK. KX REX BB 88 12, Tatals fo MEK XXX TOK | OO PO IK LO UL peep xe 24a 13, Earned Premiums Sch P-P1.1 1,758 1,628 1.350 1,093 of 1,174 1.3% 1,268 891 MB HK SECTION 2A Wi ae Were Earnad Year and Losses Premiums Were Incurred 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Earned 1. Priar : | □ - we | eee cen seen cite settee □ foe cca Pe cereeeeneeneeeereee 2, 2008 . wee eed 92 we 92. 92). 32 |. 92 |. By G2 fo 82 a 3. 2009 XXX... 666 |. 666 B66] BBE [688 f.... 666 |. BAB YL, 666 | BBB □□□ 4. 2010 □□ XXX wo BRK, wed [oF scnned fo a seca eect vocal Poe cel Pc cneee 5. 2011 2 ARK eo RAK | KX cee MD PaO Po ce BD] OP ad Psd fo 6 2012 of RK 2 KX cee RMR] XK, seen we fone sees ceeceseee pee we Pee | csseeeeeeeee ee 7. 2013 2p RX HK XXX XX, wee RK . 22 fie. 28 eo) fe 22 4. 2014 oe KK. XXX SK ap OOP KM RK cfc cette ce enters foae tee cee 9. 2015 tee MEX ERK AXX. ARK. 2 MK | cseeeseeeee we Pe sensei ante 10. 2016 wee MRK RRR | XX Kd RK XXX we RRR PKK LL. settee Pee cee Pee ue cence 11, 2017 ORK. XXK RAK Kp KKK PL KKK 2 OK KL) ROO pe pe ee 12. Tatals te REX. KKK «WORX. MRK OK. = MRK, KAKO) XKK | XK, Lee RRR eee eee eter = 13. Earned Premivnis Sch P-Pi. 1 92 666 7? aC 22 XXX SCHEDULE P - PART 6R - PRODUCTS LIABILITY - CLAIMS-MADE . SECTION 1B Years in Which CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END $000 OMITTED 11 Premiums 1 2 3 4 5 6 7 a a 10 Current Were Earned Year yore hours ellelele nt... Ware Incurred 2008 2009 2010 20l4 2ote 2013 2014 2045 2016 2017 Earned 1, Prior wee we eee tees a ween ae feces wee fees cece [eee □□□ cece fone coe 5. 2011 KKK FRX. |e, rose ae 4. wees ce seteeteee beets cece eees fee seseeeveeee 6 2012 teas XXX... RAK . | Oy .-4- teteeeeeees cocccsettie □□□□□□□□□□□□□□□□□□□□□ [a ceeceeeesccstte 7. 2013 RK, PRK fo. moO a : -f- we eee cceeteeteeette decccccecnes meee [oy seaeseneerseeeee 9. 2015 af. ARK RAK. ae } ’ RA... 1 oh cece □ cee cee Pees sete heeee cee 10, 2016 - KK, POOKY ORK. RR ee ARM KR cae cccccccsurnse | ssesseteessersvaeee 11. 217 XK |. XXX we MOR SO POOL KK XXX... XXX... KOK pee pe nee 12. Totals vee KK] OD OK ep eK KKK BRK | UXKK we MRP RR fe 13, Earned Premiums Sch P-Pi. 1 XXX SECTION 2B Years in Which “_GUMULATIVE PREMIUMS EARNED GEDED AT YEAR END (fo00 OMITTED i ee | we | Were Earned Year and Losses Premtums Ware Incurred 2008 2009 2011 2012 2013 2014 2015 2018 2017 Earned 1. Prior feel . weeds be eae ceaeeeees cone ceeteeeeee ne coset nae 6. 2012 on XXX... XAX ie | BCS cece of eevee fees saccccetececeeee eee aes ceeseneeee id. 2016 sone RK we OC RAR OC RK, RAK POR eee tee b ee tee ce 41, 2017 ce I ORO OO OOO □□ Kx. 1 KK eee KR fee cfc cee cee 12. Totals 2. ARK. XXX KKK. KXAN. XXX mK, wee MAK, we Oe RM fe 13, Earned Premiums. □ Sch P-Pt. 1 XXX on COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS ($000 OMITTED) SECTION 1 1 2 3 4 5 6 Net Losses and Net Premiums Total Net Losses | Expenses Unpaic Loss Sensilive Total Nel Written on Loss Sensllive and Expenses on Loss Sensitive as Percentage Premiums Loss Sensitive as Percentage Schedule P - Part i Unpaid Contracts of Total Written Contracts of Total 1. Homeowners/Farmowners 22802 CBF eect cesses cect [eee 7,876 334 seeittesteee [lesen ee tie 2. Private Passenger Auto Liabillty? Medical . cee eevee FBR Po eeneeeee 42,462,389 Petes bee cece ee nse 3. Gommercial Auta/Truck Liability Medical .. see te cee 473,367 □ we dees coven OT OBO Po ccesereeeee eiccte coccessnetececees eee 4. Workers’ Compensation oe £9,528 eects oe bees cece ee LOB iccseccenseeveeesits Poses ane cree gssusssseeeeeee 5, Commercial Muttipla Peril . . 941,143 □□□ fo tte fee . 629,883 cevcsesseies [csseecessneeeesee as 6. Medical Professional Liabillty - Occurrence . WR Yn eeeeeeeceees cesses □□□□□□□□□□□□□□□□□□□□□□ ee we bee es te □□□□□□□□□□□□□□□□□□□□□ ?, Medical Professional Liability - Claims - Made . cone Pe - □ sects □□□ eens cee fee setseeeeneiee Peseeseceseee eee tee 8. Special Liabilly ..... . wfc □□ 6.444 wee cee BAO Pe Pc ceeseseeessesneee = 9. Olher Liability - Occurrence ... 951,079 fcce tesntessoiee a foe ce BOF BAY be eeeeeeteeeneipee eceeeeseveseesseeene 10. Other Liability - Claims-Made 0 pi ee ceeesee tects tess sees ioe Peccceeeecrecenccee eae 11. Special Property . □ ... 8B, 656 cece aes a 2 240,353] sectsseseeiccviae oe . vosueeseeeee 12. Auto Physical Damage □□□ 379.2938 Po. wee foe cee fee 8,869,824 Fo pe. scceeessaeeees 13. FidelltySuraty ce M0 . cesttee [tsceeeeeeee Mi fteeeeeetecseenneeee Pes ae reeeeeeeeeeee 14. Other cee fee □□ , ce cece teaeenee cee sete Pete tees Peete cee 15. International 2... testes cies aes - sesseeee foe cee Pee Pe cececeeceeesesuennn Poss □□□□□□□□□□□□□□□□□□□□□ a 16, Reinsurance - Nonpraportional Assumed Properly. bee ete PORK Pee ee ROM. ee KR □□ RK KK ep KK 17, Reinsurance - Nonpraportional Assumed Llablity bev seni fe... KKK pe BRR cece wan MRK ce MRK pO 18. Reinsurance - Nonproportional Assumed Financial Lines 0... ceeds MEX pe KK RK we BR Pe RO pe I eee 19. Producis Liabllity-Occurrance of 1005 288 oe | cece eee wesw ABBE [cee cee □□□□□□□□□□□□□□□□□□□□□□□ cneeeee 20, Products Liability - Claims-Made cesses □□ Peete ane a Pests ce [eee soceteetrccreeee [oe □□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ 21. Financial Guaranty/Morlgage Guaranty seen | cece cscs eee setts Pett tet feecceentny cn neneenesseeaes 22. Warranty . be trices Lae a |e csetteee ce foc cece cn es anew 23. Tolals 18,369,839 30,532,455 SECTION 2 INCURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPOATED AT YEAR END (9000 OMITTED Years in 1 2 3 4 5 6 7 8 9 10 Which Policies Wera Issued 2003. 2009 2010 2011 2012 2013 2014 2015 2016 2017 1. Prior)... 1,122,688 1,019,331 967,944 | 822,860 |. 984 Yo Pee er Lo sess 4. 2010 KK. HK Joe . sess . veeeeeeeemeee foc cc cseee ee Veceneeentntnnses fo sopsuauseneee □ 6. 2012 RAK KRM fe. : wee cee wee Pee bee Pee tote [eee ee 7. 2019 KKK we RK ce ee OE 2 KKK apo RMX vee cece cece □□ □□□□□□□□□□□□□□□□□□□□□ B. 2014, XXX MRK. RMR... AMM... XXX... KKK fee eeceee Pe cece Pee ae 9. 2015 J... XX OK HO) KK XXX PORK le Kb sesteeeeeeeeetin es ce ccveeeeeneeees 10, 2016 AKA MAX 1 A, KKK 1 RX, XX. RM we RAK ee eee woes | eeseee ce 1i. 2017 XXX XKX XXX XXX XXX XXX XXX XXX XAX SECTION 3 BULK AND INCURRED BUT NOT REPORTED RESERVES FOR LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AT YEAR END $000 OMITTED Yeats In 1 2 3 4 5 6 7 a 9 10 Which Policies Were Issued 2008 2009 201d 2011 2012 2013 2014 2015 2016 e0i7 1. Prior 413,950 |... 264,322 246,000 |... 110,236 |. 216,445 |. 52,666 seeeeesecceeieete Pee cece nite | ceeeeeeneeseeeeees fo cosceesweeeeeeee 3. 2009 XXX . soe vere be . oe cP cect tte fee We cae cesueniseenes « 6. 2012 XXX XXX, BRK. BKK pe . ve a testes Pesce cece ee eeseeeriee feveeee cee 7. 2013 XX... -KRXX □□ KKK. oe we Peete - cite fee cece ettie [ence censeeeeneeneene 8 2014 KKK ARK FOOL KKK KKK fee eee wee eceeteccnente coe [ccc ee canine 9. 2015 2 RK RP KKM AR we RK KK, cee ce Pee cette Pee ee 10. 2016 XK KAN XK... AMM]. ARK ad. XXX OK RK pe Pe cee Vi, 27 RK XXX KXX XXX XXX XKX XXX XXX XXX COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS (Continued) SECTION 4 NET EARNED PREMIUMS REPORTEO AT YEAR END ($000 OMITTED Years in i 2 3 4 5 7 8 3 10 Which Pollsles Were Issued 2008 2009 2010 2011 2012 2014 2015 2016 2017 1, Prior 210 u SO] . 308 AON FFB veceeeseese . seviesteeesees [ocseeeccsencseees 3. 2009 |. XXX . a Le seceeesaiiiesae [oe . cee te [ieee a fe cece cee fe cetseessneeses □□□□□□□□□□□□□□□□□□□□□ 4. 2010 J. XK XXX - veeeessecie eae [ose - te | eeeesesstesseeeee cece fe ceetteeseee Peseteeecsseeeeees eerie 6. 2012 RK... XXX aj. ARK. cae KRM, cesta - csneeneeceeneeee weet Pe ce ace [essen seeeeeeeeeeeinene 7. 2013, RAK be MRK wf Rp ARM Pe □□□□□□□□□□□□□□□□□□□□□□ foe tects Pee cecteaae tesesstee □□□□□□□□□□□□□□□□□□□□□□ 8. 2014 ARK of MAX | KX we I ef ERK RRR ef seeeeeeeeree Pere cece Peete te ce cette □□□□□□□□□□□□□□□□□□□□□□ 2015 XXX we RAK 2 ARK. Kl RP OK pK seventeen ce cece Peete 8 tenses □□□□□□□□□□□□□□□□□□□□□□□□ 10. 2016 XXX 2 RAK XXX... ARK nd ARK KXX eee RRR KOK tafe ae Petes reeeeeeeeeeeerenees 11. 2017 XXX XXX XXX KX XXX, XXK XXX SECTION 5 NET RESERVE FOR PREMIUM ADJUSTMENTS AND ACCRUED RETROSPECTIVE PREMIUMS AT YEAR END $000 OMITTED Years in 1 3 4 5 6 7 8 9 10 Which Policies Were Issued 2008 2010 201i 2012 2013 2014 PIS 2016 2017 1. Prior sees - a] een - eeceseesiee eretenee « cece ceeeeeseeeees feet) lteter) eee on nee 6. 2012 XXK KK J x ; x Powe Lf... □ Je cece eens sete [eer □□ wo sened 7. 2013 XXX RM KKK XXX... 2 KKK. on wee Doce a wees wf 8. 2014 XK XXX XXX KAM... RAK RAK eee cee epee ue ceeceeeeees 9. 2016 XXX POOP XO KKK. RRR Pe ee fee ciesteseesieeneneeey 10. 2016 | PK XXX KKK ad FOO OK KKK AKL. XXX. cece : stern eccsneenieneey li. 2017 RAK XXX AXX KXX AXX XXX KXK XXX KKK COMBINED STATEMENT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS ($000 OMITTED) SECTION 1 1 2 a 4 5 6 Neat Losses and Net Premiums Total Net Losses | Expanses Unpal¢ Loss Sansitiva Total Net Writtan on Loss Sansitiva and Expansas on Loss Saneilive as Percentage Pramiums Loss Sansitive as Percentaga 4. Homeowners/Farmowners sete esses BO, OBF Po ve | eecseesseeeeeeee tee [eee □□ BP6, S84 Po ce Pe nee 2, Privale Passengar Auto Llabillty/Madical wd? 716,789 bo tities tees v2 M82 89 Yee vee veeeeeeeeeeeese 3. Commercial Auto/Truck Liability’Medica! a S7O387 fo ed cette fee oe BT SBD he 4. Workers’ Compensation ... .... Loe 75,628 feet Pe cece eecceeeaeeeeeee 25 Pe be cevsseateceeeevsese 5. Gommarcial Multiple Peril a eevee BAT 143 Po bie fees □□ we Pe AOD GRE Pe Poe nee venue 6. Medical Professional Liabllily - Occurrence! sess ene es 182 bese secseeeeneeeene □□□ nee Pact ccceeeeeeeees cites seeeeeeeer cise we ceceeeeteeecceeee cones 7. Medical Professtonal Liability - Claims - Mada . woe fee eee cece ceeeeeeeeee be eaten ne ce seseeeneee a fee wee 8. Special Liability .|- 444 . - beets cee foes cece Po ceecccccccccnnnnaee eccesceteteeeeetes conten 9, Other Liability - Occurrence ... cece DOT OF8 Po co we [eee SBDBAL flee. bocce 10. Olher Liability - Claims-Made |... be voce tee teste cece sceteeteeeeeee cocci cae ae ae cee □□□□□□□□□□□□□□□□□□□□□□□□□□□ aes 11. Special Property =. cede cena wees OO BBB PO ee fee cece cece 240953 | ve eeeeeeseseeeenee 12. Auto Physical Damage 283 we bees con BB BRE | cee ce fees cence fee 13. FidelitySurely . -... 40 beeen Lee wpe cee |. secteeeetesetiss [eceeaee voces 14. Other Le | □ - saccseesaeeese . - scieeeeseens pec teeeeseeemeeee feeesees cece 15. International... □□ sees Loe seveee foe cece Pee tests tees cece tte Pees arescateeeenen ee ace 16, Reinsurance - Nonpraportional Assumed Property . af WB ee | ve eecoeeeeeeer tite cee cee ceeeeeateee [eee cece cee tone ceeeeee 17. Reinsurance - Nonpraportional Assumed Liability cee 2,781]. ce tice [lees cone [on seeeeesaeesieeneee wees eeeeeter oe 18. Reinsurance - Nonproportional Assumed Financial Lines - - . a cee Steet Pees ce bee ee cee Poe seeseenieeee 19. Products Liability - Occurrence 4,005,268 fo. wee cet fe ABBR ee ceeeteeeeesciae 20. Products Liability - Glaims-Made .. cevcseteeeee Loe tes consents = be tenneneeeeeeees we ve ceteeseeee [eeteeesnecen seeeeenceeee 21. Financlal Guaranty/Morlgage Guaranty ..... sents cee te sees fe seeteeeenesteniees costes cote ceeeeeec en ree 22, Warranty Lee vec bocce cee BED Pe Pe □□ ceeeeeennne ce 23. Tolals 18,972, 769 30,532,455 oe SECTION 2 ____ INSURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AEPORTED AT YEAR END (000 OMITTED Which Policies Were Issued 2008 2009 2010 2011 2012 2018 2014 2015 2017 1. Prior AB W270. 45 180] dad | 45,467 | 6.903 | 45762 fo. 46,544 | vote Pees cece cess 3. 2009 KKK we wo fee ce eee tee be ce tsetse feo tee ccveeeesieeenee Poste gccceeeeeeee 5. 2011 XKX RHR. SO. cee sess cece we Peete eee Pee sete [eee fete pe teseeeeee 6. 2012 ef ecee RR 2 FO cceeeeesee foe cee tescseeeneeeeees □ seseuesenseeee wesc eeeeseeeeee 7, 2018 |. KXK. LJ.) XXX KKK ARK BMX Pe see fee eee Pe ceeeeeatmeene Possess vee §, 2014. XXX BRK XOX 1 RR, KX... we ee RK be ceeeeeeeeee detest wees ceseeeee □□□□□□□□□□□□□□□□□□□□□□ a. 2015 XXX. FON OK. HX pe ARK. KKK XK. - eteete Pec ee cette foc ctae nae eesneneeane 10, 2016 XXX... XK □ RK, 2 MR, RK fe KKK RRM pee va 2017 XXX XXX XXX XXX XXX XKK XAX XXX XXX SECTION 3 "BULK AND INCURRED BUT NOT REPORTED RESEAVES FOR LOSSES ANO DEFENSE AND COST CONTAINMENT EXPENSES AT VEAR END $000 OMITTED: Years in 1 2 3 4 5 6 7 & 9 16 x [ef Policies Were Issued 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 1. Priar coe A. cee seee| ce cee weep □□ . seeps cece feces teseeneeeeee 5. 2011 XK XAX x - ne sees cece Piece eereee] ese canneateneeneresen 6. 2012 XXX XXX J... a Ps rs □□ ... een . ce teats fie ee cep □□ tees 7. 2013 - KXX XXX 4 jes aX | wee bn ones cnt Piste ee aap ccceeeee coe aad 8. 2014 KKK. oe RK cf OR Op EMR bee. cette eeepe eee 9, 2015 . XXX RK XXX MRR | OK eee RKP KKK pe cee[eee te ceeeeaPeeee cee 10. 2016 2 RRL RK 2 Op XK OX. fo KKK J ep seed 11. 2017 XXX XXX XXX XXX XXX RAK XXX XXX AK NSE SU ACMEINT PV Ie TeAn elif Or Pri ALLSTATE INSURANGE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS (Continued) SECTION 4 Years ln 1 2 3 4 5 6 7 8 9 10 Which Policies 1, Prior cece (16) eee WB 1 Bt cee □□□□□□□□□□□□□□□□□□□□□ | □□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□ [ovsaee sos ceceanceeee 4. 2010 2 OK, cee RK a coe fee tect te fee ee cee fe verte Peveee ete Pec testes cou ce Poco ire 7. 2013 2 RK XK PL KL LL we fe sects fie cece feet canteens pec eee □ 2014 KEK fo MRK DOK LL eX fe RK ee) MX vce ae [etceesseeeeeeee ee [eee ete ee ae [eseeeeeeseeeee a % 2015 XXX. KKK RXXK.. on PORK, 2 RK we RK RK | eeeeeeceeeeee cesseceeseseeseese vosteces saneeese 1D. 2016 oe RK KOM LE XXX. BKK pe OL KKK fee KL BRK cccccnfeccceis fesse ec senna il, 2017 XXX XXX XXX XXX XXX XXX XXK XXX SECTION 5 yolo elle) |ele le Which Policies. Were Issued 2008 2010 2011 2012 2013 20i4 2017 1, Prior Jo... fe ce weep ee seeps ceeeueeseeeeeber ab cece eeceeeseeeee tee onttetnnns Pe cceccencne eneeeeeneetetne eae P cece aaseeeeepencueesee a consis 6. 2012 RR KK, Onn. 3 □□ ae L.... fe cece Dee □□□□□□□□□□□□□□□□□□□□□□□ cocceeeernee aannes sifesseeeumsetsnns 6 ate & 2014 XXX coe RMD KK KKK, eeeesecceeenes Poi nents eeeeeesnteen ceteccccccee feceeee see B, 2015 XXX XX, RXK | XXX fee PORK ORK. ARK fie ceece el ssseaeeessnesseees cee nae 10. 2015 2 MRK XK PK. RK | KX. IO □□ pe KP ccaceenef □□ cece i. 2017 XXX XXX XXX XXX XXX XXK XAX XXX XXX SECTION 6 Years in 1 2 3 4 5 6 7 § 5 10 Policies Were Issued 2008 2009 2010 2014 2012 2013 2014 2015 2016 2017 1. Prior. coe ween cee beets wee ceeeee □□□ cesses ce bee eee sett [eccceccte cite| cemeteries ane 7, 2013 XXX . XXX ae. | x. 23 esos cect cesesente fee ee cceceteceeese] ce caneesteeeseseseey 8, 2014 XX... XXX OO up KK ARK... HK cttneon |e Peete ee cee fee wae 3. 2015 2 KX COC Lp XK. POR LR PKK pl XK. seeccccets|on csaeceseeneecstees anf co cccsceeecesass eneed 10. 2018 MRK XK ce MP KK LY □□ oe Rp Kb eee eee cceeeesene i, 2017 XXX KAM XXX XXX XXX XXX XXX XXX XXX SECTION 7 Years in 1 ‘2 3 4 5 6 a a 10 See ale Palicies Were Issued 2008 2009 2010 201i 2012 2013 2014 2015 2017 1. Prior. cece sceebe cece cee feee cece cee sere ce sete esters coc ceeseeesemeeeteeee ete) cccecccecceeeeneene cava 2. 2008 .. ce sees coed ee see sees we | cesses . seeds cece | ceeeeenetees eeepc Geet ee cee 4. 2010 2 RK MAK. - 4 |. a - testes coe we feeeeiete secs oo ue cesteeeenenteseeeey S. 2047 RXK. □□ i. 4 seeeeee fe cee ap eeeeeteeeeeee apo bseeeeed 6. 2012 XXX. XXX vee 4 q of | ce ef ccc cee eee eefoce ee a scevessene % 3013 XXX. cee TK | ORE... AX |... a weed seseesseete e{tctsceccceeesetee tea cscesceeese □□□ 8 2014 RAK... XXK fo Rp XK 2 RR we RK eee cevsente| eeseetes cteccccceee ce cane serve seneeeeeee ® 2015 XXX. FOC pO. XK. ee MRD XXX RAK. se cee) a eater ef eens 10. 2016 KX, wi ROO pe KKK. RK OK Dc MEK Pee cecccceecseseeenedf es cae censuses tH. 2017 XXX ARK XXX XXX XXX XXX XXX XXX RXX ne EEE SEE IIE IE NEESER he ee yes TNO AI ee ALIN TT OFAINGE? TE Oo APPILIAT CU PROPERTY/CASUALTY INSURERS SCHEDULE T - EXHIBIT OF PREMIUMS WRITTEN Allocated by States and Territories 1 Gross Premlums, Including 4 5 6 7 8 9 = Less Return Premiums and Premiums Premiums on Policies Not Dividends Written for Taken Paid or Direct Finanee and Federal 2<|./.e= Direct Direct Policyholders Paid Direct Olract Gharges Not Groups Active Premiums Premlums ‘on Direct (Deducting Losses Losses Included in (included in Slates, Eta. Status Business Salvage: Incurred Unpaid Premiums Column 2) i, Alabama. 2. AL OL. |. 575,088,212 |. 568,967,998 | 288,779,680 |. 272,293,643 |_186,055,926 |.6,696,4d | 2% Alaska... AK Lo...) 102,084,514 |. 103,588,678 foo. oP AG, 217,030 ]....45,913,085 |. ...82,051,747 100. 8287778 bo 3. Arizona. cA A 556 800.471 | 655,584,672 |. ose | 286,721,410 |. 282,168,779 |...200,942,291 1. 4,605,654] 4, Arkansas AR et P20 204,124 | 227,079,880} |. 104,892,279 |.08,815,404 | 68,759,980 | 2,121,898 | 5. California... GA L135, 137,566,646 [3,080,693,689 Joo... 11,971,825,566 12,331, 366,991 □□□ 722,559,659 . 00,662,896 J... bese 6. Colorado .. CO □□□ 639,878,189 |..631,994, 967 Joo... va. |--489, 747,260 |402, 856,524 |_.267,004,280 | 4.935682 | ?. Connecticut 2 oT AL 413,557,831 | 421,362,362 Jo |...206, 640,267 |. 204,070,745 |.361,024 402 cevseeeh TPB G8 fo eee 8. Delaware DE fu. d79,962,211 |..72 504, 308 cence fe 85,984,007 [073,488,120 |. ..85.622,097 | BO2,6TF fo. 9. District of Columbia.....oG |. Lo... 89,865,275 ]...99, 718,705 |. . eee dB, 515 683 )....15,894,709 |... 12,980,544 | 319,173 | 10. Florida sone Fu _ Lo... J, 177,104,898 ]2, 173,898,300 |... □ cmcceone [1,9217, 742, 829 |1,293,582,859 (1, 183,245,299 | 14,208 167 Joo. 11. Gaorgla .... GA L 1,291,691, 204 |1,288,097,957 | uuu. |. 697,482,886 |. 696,571,778 | 467,761,400 |. 42,880,898 | 12. Hawaii □□ HI OL .).....97, 583, 600 96,186,786 Joo. 52,899,985 |.....61,002,628 32,399,162 200,487 fo. 13. Idaho ID Lo. 115,430,678 f114,496,990 Jo . | 85,985,293 761,816,608 |.38,182,098 1,318,904 Jo 14, Minois - alk weal 1,366, 487,003 |1,965 529,832 Jo. 763,650,448 | 778,967,568 | 815,368,502 |...11,735,7384 |. 15. indiana IN weal 456,257,495 | .448,809,243 || |. 218,684,528 | 215,819,251 | 148,795,287 eevee B20 BFE [oc ccc 16, lowa WA 7... ob. BA,349, 169 |.....80 924,768 |. oo fe AF 369,467 |..48,635, 798 [28,638,204 7 17, Kansas cee KS L 178,290, 288 ).....174,960,684 |. coven [one M2 909,046 |....98,628, 146]... 41,097,491 |. 1,450,780 |. bosses 18. Kentucky ve KY AL 280,458,996 | 285,189,500 |... |. 196,076,929 | 127,485,408 | 97,702,143 |... 1,934,571 cheeses utes 19. Louisiana. LA L 788,278,050 | 782,911,743 Joo. 367,479,748 |. 388,207 953 | 261,569,689 6.406,.282] 20, Maine .. _- ME Loo)... 88,746,994 | 88,734,084 oo [80,204,784 40075, 186 | 35,899,927 | ete oor |. 21. Maryland MDB Loo...) 837,852,957 | 834,173,829 J... 469,558,395 |..474,811,266 |..402,779,782 [000.5991 11} 22, Massachusetts MA Lu...) 114,914,987 |. 124,562,563 [.... cee 71,505 810 87 277, 188 58,884,204 ].0.2,902, 905 Joo 23, Michigan . □□ Ml 2 ok 1,096,301,785 /1,082,577,923 |. |. $75,231,068 |... 948,974,522 15,286 412, 879 oa 288 B19 [oe 24. Minnesota cee MN Pook 329, 182,284 |. 326,988,204 |... |..220,001,749 238,997,767 |...149,549,780 |. 2 602,862 □□ 25. Mississippi... ..... Ms Lo...) 257,782,728 | 256,810,250 Joo. 2. |..119,485,989 |. 114,764,952 |. 79,144,794 |.2, 588,197 J 26. Missourl. ..... MO cL 256,967,181 | 254, 198, 187 veces Ge TEP, 715, 870 | .140,085,112 (81,978,888 $02 4t6,62d fo 27, Montana -MT L 49, 276, 088 43,000,253 |. 19,771,708 |.....19, 070,578 17,496,343 Jo. 802,851 fo. 28. Nebraska - NE L 103,776 683 | ...102,246.283 |... |. 87,228,860 |. 91,869,962 |... 34,366, 368 cone PET TBE [occ ae 29. Nevada - NV 293,428,745 | 287,643,492 | . 163,050,559 |..160,524,514 |...134,968,371 |2,786,280 Joo 30. New Hampshira NH wl 125,749,734 ]....123,971,949 |. veeoe Jo BB, 46,854 |_.60,819, 727 |... 51,727,852 | ......1,571,679 eoceeee ieee a1. New Jersey seoN fi. ON 1, 161,588,700 11, 172,469,606 |. veces SOF, 695,827 | 599.497, 103 $1,641,140, 708 | 90M eM} 32. Maxico | .....NM Lo. 154,878,416 |. 156,229,379 Jo. 97,267,625 |... 84,697,351 |. .77,940,704 304,851 a9. New York... ..NY¥ L. 42,740,997, 133 |2,770,996,401 |. 14,431,784, 277 11,989,343, 286 2,021, 124,514 | 25,305,282 Joo... 1 44. North Carolina -NG Lob PIG 968 715,111,884 po. 976 087.214 | .968,426, 789 |_.224,138,178 |10,848,459 | 35. Norlh Dakota. ND obo.) 18,183,540 F18,985.3d0 J oe oveeee 395,832 9,249,250 |. 5,659,405 | 286 6] 36. Ohio OH wb 1,050, 865,938 |7,042,280,434 |... vo | A184 423,382 |. 519,992,678 | 378,024,728 |.12,501,866} 37, Oklahoma _ eK Jo. Ld 315,594, B06 |_918, 489 802 . cee 129,157,071 |. 180,796,799 |. 77,142,704 |..2,789,964 | 38. Oregon... ---OR Lo wd. 917,833,605 |. 316,718,099 |. 172,508,131 |...177, 252,902 |..124,024,855 |. 3,279,287 | □ 39. Ponnsylvania oe PA eb... |1,538,475,453 ]1,536,576,546 | vee | --P8S,571,410 |_..767,726,308 |. 809,331,964 |15,284,764 | 40. Ahede Island - Rl ek 188,504, 203 |...168,972,805 |. eecoveeeee Poo 80,456,473 |, 87,879,214 | 91,603,168 | 1,968,148 | 41, South Carolina we BO Po OL |...682, 955, 763 |... 682,976,052 J... 2... |...958, 655,400 | 386,444,892 249,039,427 ....8,856,908 | 42. SouthDakota gp □□ 9,888,900 1... 9,485,434 sone fo 6 880 116,088,108 {4 78 S16 oo 188 dae | 43. ‘Tennessee. TW [... L......|..428,540,693 | 498,082,748] 204,957,120 |...188,322,361 |. 123,588,962 |. .3,914,527 } oo. Ad, Texas sree TX L.... )$,687,009, 708 )3,805, 138,796 |... 18,285,265, 977 [3,978,549 971 1,077,036,285 |.45,672,204 Po 48 Utah LUT L. }.. 284,973,119 280,381,495 Jou |. 188,968,289 | 160,191,290 |.107,338,992 wn BBE Poe 46. Vermont . . WT Joe bf. 86,478,926 |. 96744169 4270,536 | 19,417,394 oo 10,307 063 7... 441,828 bocce seeee 47. Virginia... . cee VAP Lo PL BEF, 198 | F141 942 P| 1878, 269,088 | 399,806, 242 260,628,853 |. .....8,798,862 (0 4B. Washingion 0... WA L.. -PA1,814,874 | 709,407,318 Fo... |.388,980,887 |... 957, 075 353,096,460 | ....6 684,789 Po . 48. West Virginia __ Wy cL. 130,005 976 |....190.757,314 |... cee |e 54,753,681 50,088,974 |....39,775,597 |.0001,198.248 | 50. Wisconsin □□ WE PL 220,260,206 |...219,421,528 |. 120,210,985 |..122,040,031 |..127,635,635 |.....2,650,235 | 51. Wyorning ce AY L 30,278,813 |. .20,577,304 |... 19,688,493 |. 21,844,390 876,659 [251277 □□□ cose 52, American Samoa... as N oe . oe Lon oe cee ce ements fee cece 5a. Guam a GU N |. . leas aoe teeee ae we eee ce Pe cece coe . 54, Puerto Rica... PR Lo. see veces □□□ - cove - ee aeeeeeeesiee cee vs 45. U.S. Virgin Islands yy N Loe cee dene cesses ee veces veces 56. Norlhern Mariana 5?, Canada _ eee CAN L. . tee fee fe (885,762)) 0. OBE pe 58. Aggregate other alien. OT XXX eee wees ec cate Pesce tetcteeeuteeeeees 89698 fo BB ABA] 108 887 Joe fee 39. Totais Ka 51_B1, 272, 840,015 ft 095,982 690 18,280, 987,459 19, 113,887 946 PO, 192,535, 200| 279,034, 109 DETAILS GF WRITE-INS 50999. Tatals {Lines 58001 through 58003 plus 58998}Line 58 above) XXX 89 633 35, 134 199, 867 {L} Licensod or Chartered - Licensed insurance Gatzler or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Quailfied - Qualified or Accrodllad Reinsurer; (E) Eligible ~ Reporting Entilies eligible or approved to write Surplus Lines in the state (other than their state of domicile - see SLI}; (D} DSLI- Domestic Surplus Lines Insurer (OSL!) - Reporting enlitles authorized to waile Surplus Lines in the slate of domicile; (N} None of the above - Not allawed ta write business in lhe State, Explanation of basis of allocation of pramiums by states, etc. PERSONAL LINES - PREMIUMS ALLOCATED TO VARIOUS STATES, ETC., ACCORDING TO LOCATION OF PROPERTY INSURED. (a) inser the numbar of O and L responses oxcept for Ganada and Othar Alien, VUMOCINED STALTCMENT POR TRE YCAR 201/ OF THE ALLSTATE INSURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS SCHEDULE D - SUMMARY BY COUNTRY Long-Term Bonds and Stocks OWNED December 31 of Current Year | ne | acy [mac Description Carrying Value Falr Value Acluat Cost Par Value of Bonds Governments 2. Canada be ctetetssueeee vee fe fete ee cates [oe . cece Pree see eiseeeeesaee {Including all obligalions guarantaed 3. Other Counties 3,966,639 4,174,252 3,895,000 4,000,000 by governments} U.S, States, Territorias and Possessions {Direct and guaranteed) 5. Totals 676,993,072 875.495, 757 744,927,419 623,810,000 U.S, Political Subdivisions of States, Tarvilorias and Possessions (Oirect and guaranteed) 6. Totals : 4,559,776,314 1,857,297,10 1,615 556,093 1,374,870, 600 Assassment Obligations and atl NonGuaranteed Cbligations of Agencles and Authorilias of Governmants and lheir Political Subdivisions 7. Totals 3,991 000,402 3,990,623, 878 3,841,252, 212 3,085,843 022 : 4. United States □□ eel, 194,568, 326] ..20,994,607,059 |... 20,278,686,963 |... .. 20,986 498,306 Identified Funds and Rybrid . Securities (unaffiliated) 10. Other Countries 3,041,330, 655 3,048,608 874 3,044,501, 330 3,046 398,038 14, Totals 23,713,488, 197 ai Site Aes □□□ Pfr PREFERRED STOCKS 14. Uniled States foe 87,970,288 | 98,774,978 Industria} and Miscellaneous 15, Canada : cee [eee teen fen cee sees sees (unattiliated) 10,829,820 13,636,504 11.721, 120 17. Totals 91,496 096 18, Tolals P| | 19, Total Preferred Stocks | ——*05, 760.030 | 18,006,750 97,456,008 | COMMON STOCKS 20. United States. ope 2,704 ,444,892 |_____ 2,25, 845,082 Industrial and Miscellanacus 21, Canada........ cect se efecen BP, 196.324 BF, 166 824 | 72 a7F, 138 (unattiliatad) 1,072, 462,524 1,072,432 679 882 311,947 | 28 tows | 888,063,460 |, 884,099,505 9,214,894, 187 Parent, Subsidiaries and Affiliates #5. TesaGonmen tos 7, 986, 520,263 [| ar ToialBionds and Stocks _—(Y—_49, 86,676,055 | _30,607.711.028 | __ 97.008, 168.709 | Pith a = a5 owt ro wy oO a4 Bo . 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Elx : □□ ae ‘ 12 sé ows cbs Pe - BES) Sila GE ABS Bes Bo DfEE: Wels ppb) Ble pe pb Oy or HVAC AMA AAT COMBINED INSURANCE EXPENSE EXHIBIT FOR THE YEAR ENDED DEGEMBER 37, 2017 {To Be Filed by May 1} Of The (Name) ALLSTATE INSURANCE COMPANY AND ITS APFILIATED PROPERTY/CASUALTY INSURERS... ....... . cesses □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ tea ADDRESS [Cily, State and Zip Code) NORTHBHOOK , IL 60062-6127 cette ceseceeenses sneeeensererscsepess fe ccc ceeeeee cence cgcenenttes genie cee aeevanerieeeeneeeee NAIC Group Code 0008 . NAIC Company Code 00086 2. Employer's |dentificatton Number (FEIN). oe bess Contact Person ALMA LOPEZ vs... Title SENIOR MANAGER . . ve Telephone 847-402-6704 INSURANGE EXPENSE EXHIBIT FOR THE YEAR 2017 OF THE ALLSTATE INSURANCE COMPANY AND jT'S AFFILIATED PROPERTY/CASUALTY INSURERS INTERROGATORIES 1. Change in reserve for deferred maternity and other similar banefits are ¢eflected in: 1.1 Premiums Earned. coe ve ee cette teseenetee coe □□□□□□□□□□□□□□□□□□□□□□□ © bocce □□□□□□□□□□□□□□□□□□□□□□□ t J 1.2 Losses Incurred conn we ceseesueseeeees doe □□□□□□□□□□□□□□□□□□□□□□ 4 we cece eeeeeeeseeeees [ ] 1,3 Nol Applicable cee . cecciccestetetitit □□□□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□ ae a □□□□□□□□□□□□□□□□□□□□□ sete □□□□□□□□□□□□□□□□□□□□□□ [Xx] 2. Indicate amounts received from securltles subject to proration for fedoral tax purposes. Report amounts In whole dollars only: 2.1 Amount included on Exhibil of Net Investment Income, Line 1,1, Column 2... ... veces cccuttteeee 4 cece oo. 99,028, 849 2.2 Amount Included on Exhibit af Net Investmant Income, Line 2.1, Column2... coe sesceeteeseenieeee + cee 5,628, 698 2.3 Amount included on Exhibit of Net Investment Income, Line 2.11, Golumn2....... ..... oe □□□ eeeeeseestinn tees cece lB a □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ 2.4 Amount included an Exhibit of Net Investment Income, Line 2.2, Column? | □□□ . tenet nel a aa 84, B75, 702 2.5 Amount inclided on Exhibit of Net Investment Incoma, Line 2.21, Golumn2 cote fecnieeeceeeseet ec ceeelh ceeeeete a suceecesceeesseeeee 3. Indicate amounts shown in the Annual Statement for the following Items. Report amounts In whole dollars aniy: 3.1 Nal Investment income, Page 4, Line 9, Column 1... . cece ceeeeveneeneee coat voce eee □□□□□□□□□□□□□□□□□□□□□□□□□ veel 1, 989,481,474 3.2 Nal Reallzed Capital Gain or (Loss), Page 4, Line 10, Column 1 fa ceeesnenensessees . ceceeeeeee siete eel 10, 290,973 4.1 The information provided in the Insurance Expense Exhibit will be used by many persons Io estimate the allocation of expenses and profit to the various lines of business, Are thera any items requiring special comment or explanation? =... cece settee = YOR [ ) MPR] 4.2 Are items allocated to lings of business in Parts || and Ill using mathods not defined in the instructions? ee cece Yes [X] Nol J Slaiament may be attached, 4.3 yes, explain: ° ‘The Miscellaneous taxes unassigned reflected on Part II and Ill are tax expanses thal were inourred In slates and provinces where Alistate insurance Company is licensed but does not write any business, AINE ATEN CACIGI POINTE TEAR cul? OF THE ALLSTATE INGURANCE COMPANY AND ITS AFFILIATED PROPERTY/CASUALTY INSURERS $000 OMITTED 1 5 8 2 a 4 Acqulsition, Field Supervision and Lass Adjustment Callection Ganeral Taxes, Licenses investment Operating Expense Ciassilications Expense Expenses Expenses and Fees Expenses Total Expenses 1. Claim adjustment services: 1.1 Direct fee . cee 835,005 Jo... cic foe bee sees tes sane cece |e □□□□□□□□□□□□□□□□□□□□□□ tite [esses eee OBS 008 1.2 Reinsurance assumed .. .. __|- .. 13,438 secrete ce fences ae settee cece fete oe ceeneateseseenmanee feretetee ts coset, 488 +.3 Reinsurance ceded . tfesee cece 5,254 Le cones sete cece tees faeetcee OOF 1,4 Net claim acjusiment services {Linas 4.141.213} □□ BBN Lees Le ce tetas fesse ace O43, 189 2. Commission and brokerage: 2.1 Direc! excluding contingent ve oo 2 B94, 908 Po. _ |. wececeaee foe cece fee sree, O94, 0B 2.2 Reinsurance assumed excluding contingent sence eeceeetie ce 7783 Jo. cee tecctiee settee ceeccteseteseits aeeste Peccceeceeeceeees aD PD 2.3 Reinsurance ceded excluding contingent Leeeetesnnee oe ereeeeeeeee we fone we 487 |. pee cose □□□□□□□□□□□□□□□□□□□□□□ cecccceeeeenee cetesecameeseas [oseeemeces cee 42, 4B? 2.4 Conlingent - direct cece ene MOV Pe. we fot a □□□□□□□□□□□□□□□□□□□□□□ [lcs trates Pcsmeeseerees BOT, APO 2.5 Contingent - relnsurance assumed |... cee ce tereeeee [oe cece cecteeeiece eee ne 2 [eee cece Pee etc cecectecete [eee ceerecsceteneeeercn eee 2.6 Conlingent - reinsurance ceded we foes see fe ceccceeeeeeeeeeeeeen cece ceeeeeeesees tee Peceeeeee seats ceteetieee eee ee aeccceccecececcrrise □□□□□□□□□□□□□□□□□□□□□□□ a eevee 2,7 Policy and membership fees... wees [eee ee we feo teen |e cesses to feseeteeteee ce teeceeesnse feces □□ cceeseeenearsoeeanes 2.8 Net commission and brokerage (Linas 2AZ2 28424 B22 coe fee □□ a Decca events foot cena later 581,001 3. Allowances to managers and agents . cece tere rete veeeeeO, 198 [ AT) cece ate fesnmeeeeicins teeeneneeees foo wneereeee dO, 026 4. Advertising ..... fice cee S428 POAT LAB BBO ccc feccee eannemnecmeentte | cccceeee FAP, 186 5. Boards, bureaus and associations . ve BD - . 98 Jo. 17,859 Leeenneiin es ce teense Peo ce 21,827 6, Surveys and underwriting teports eens cece cee eee WO, ASF J. bese ceccceesectenas taenesee Ponceeeececee □□ DPQ, 157 7, Audit of assureds' records . cece fetes - eecnete Pecceceeteeeee see cote [eo ceeteneenieteeiee ene &. Salary related items: 8.1 Salarias . : wef cee eee 910, 492 Foo AF BI. FSD fo. co ev eeeecceeee A OBE Po 2,478,881 8.2 Payroll taxas ee 5, 966 a □□□ 46 877 vente be ve cree 2 BOY voce APO, BBB 9, Employee relations and welfare eos 242,948 Po 141,783 J oe BT, 246 ce tee ee f we F200 |. ABS, 1227 10. Insurance . seen 4,046 seceeeee ADE 22,020 fo. we Peet cee BB Pe weve 20 11. Directors' fees eects] cccseteeeseee toe Pee te teeeseeeeneeee - peeeeeeets eeeeeeeeieeee seeeeeeeeseenite auntacccice [esceesee eos sae seeenecceeeeese i2. Travel and travel items ee BB |. 28 825 see 26,020 Jo woe teeceeeneeeeee AD Poo. 188, 13, Rentandrentitems. .... wf 794 cee BOBO Po. 64,749}, ce Plcectee ateceeeeeed TPP 172, 899 14. Equipment . . cee W048 |. 42,588 ce EBS ee fe J 48,450 15. Cost or depreciation of EDP equipment and software . . . cee 62,996 |, BB BBS Po TBI fcc | _.256 , 883 16. Printing and stationery a BABB a. 3,927 |. 16,295 levees veces te cence SMA Po 1ST 17. Pastaga, telephone and telegraph, exchange and express. Le. coe eee 41,244 [00a ae Jo. ce Pe cece BE P1869, 852 18, Legal and auditing Le 1,493 cee AOA J. 37,220 cecettsatites □ cece BOB Yo. 43,926 19. Totals (Lines 3 lo 18) A,B59,995 Jo... $491,695 eee 1, 468, 102 | see tee FBTAT 4,986,913 20. Taxes, licenses and fees: 20.1 State and locaf insurance taxes deducting guaranty association credits Lone wees . we ccc a cee ceeeeee . ee TB IID ee fee ae el 15,989 . 20,2 Insurance department licenses and iees _ feces pore Pee teetct □□□ □□□ □□ a Peeteeeeett cen Poe ieee BOGUT | cee ee Jere 26, O01 20,3 Gross guaranty association assessments be seseee sect sce cece Pe ceceseeeseeenee oe tteee Pesnee en eccccce ABD cccccsseese ee enccceeecees Goce eve cesessunsvevense BT 20.4 All other (excluding Federal and foreign income and real eslate} soccoeeeee ce fee eeceeeesseneeeee cee ceeseneee cece AB TMB Pc ceeteeeeeseens « 88, 1B 20.5 Total taxes, licenses and fees {Lines □□□□□□□□□□□□□□□□□□□□□ : we sees cose eevee cone FIG WBS | cette fee TB, 189 21. Real estate expenses we fe ceeii ane coe fete eee coe vette Peete ce ee Pesce oe ene 2212 Po 82 212 22, Realestate taxes... .. on tees ceecceeeeeene eee fee ee ce Pees ee ce OID Po cee 98 23. Reimbursements by uninsured plans... 1 MRM FAM ef KK sete RK De RD RE 24, Agaregale write-ins for miscellaneous auerating expenses 860,585 | 193,344 437 353 2,243 1,233,522 | 23 TOTAL EXPENSES INCURRED | 3,457, 169 5,186,058 1,900,455 | 775, 163 114, 174 11,433,024 DETAILS OF WRITE-INS 2499. Tolals (Lines 2401 through 2403 plus oe 2498}(Line 24 above 660, 585 133,341 497,353 224g 1,233 522 AIS al gfaee a : go S| te —— eG alge” 8 22 7 Bi S| - = o Pe 8s : PERS e @ 8 Bae oo 2 fle les : om 8 (SSS ee. | pi @: 8g i Wotlk 8 = a8 poate g BGS gs 8, 8 2 2 ste 88 da 23 a7 By & ; o Zz 5 er ¢eo8: Came ge : ei 2 Se 8 > a) a. 2 a = : 38 : mo . 2 : 5 wn : (bE 37 a ian : i i 5 igre cae 2 “gha Oo ERS i gee" . 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SO ORDERED: . Dated: - 2 CAID227284/FL2917 EXHIBIT “F” UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ee ene ne cena nnn KK ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Docket No.: 20-CV-01108 ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY ANSWER TO INSURANCE COMPANY, COMPLAINT WITH COUNTERCLAIMS Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. □□□ eee emene nena eK Defendants MEDAID RADIOLOGY, LLC (“Medaid”), COLUMBUS IMAGING CENTER, LLC (“Columbus”), and REUVEN ALON-ALYOFF a/k/a ROB ALON (“Alon”} (collectively, referred to as “Defendants”), by and through their attorneys The Russell Friedman Law Group, LLP, for their Answer to Plaintiffs’ Complaint (the “Complaint”), alleges as follows. I. Denies the allegations contained in Paragraph | of the Complaint. 2, Denies the allegations contained in Paragraph 2 of the Complaint. 3, Denies the allegations contained in Paragraph 3 of the Complaint. 4, Denies the allegations contained in Paragraph 4 of the Complaint. 5, Denies the allegations contained in Paragraph 5 of the Complaint. 6. Denies the allegations contained in Paragraph 6 of the Complaint and refers all questions of law to the Court. . 1 CA/D227462/FL2917 7. Denies the allegations contained in Paragraph 7 of the Complaint and refers all questions of law to the Court. 8. Denies the allegations contained in Paragraph 8 of the Complaint. 9, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 9 of the Complaint, 10. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 10 of the Complaint. It. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 11 of the Complaint. 12, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 12 of the Complaint. 13. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 13 of the Complaint. I4. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 14 of the Complaint. 15, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 15 of the Complaint, 16. Denies the allegations contained in Paragraph 16 of the Complaint. 17, Denies the allegations contained in Paragraph 17 of the Complaint. 18. Denies the allegations contained in Paragraph 18 of the Complaint and refers all questions of law to the Court. 19, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 19 of the Complaint. 2 CA/D227462/FL2917 20, Denies the allegations contained in Paragraph 20 of the Complaint and refers all questions of law to the Court. 21, Denies the allegations contained in Paragraph 21 of the Complaint and refers all questions of law to the Court. 22, Denies the allegations contained in Paragraph 22 of the Complaint and refers all questions of law to the Court. 23. Denies the allegations contained in Paragraph 23 of the Complaint and refers all questions of law to the Court. 24, Denies the allegations contained in Paragraph 24 of the Complaint and refers all questions of law to the Court. 25. Denies the allegations contained in Paragraph 25 of the Complaint and refers all questions of law to the Court. 26. Denies the allegations contained in Paragraph 26 of the Complaint and refers all questions of law to the Court. 27. Denies the allegations contained in Paragraph 27 of the Complaint and refers all questions of law to the Court. 28. Denies the allegations contained in Paragraph 28 of the Complaint and refers all questions of law to the Court. 29. Denies the allegations contained in Paragraph 29 of the Complaint and refers all questions of law to the Court. 30. Denies the allegations contained in Paragraph 30 of the Complaint and refers all questions of law to the Court. 3 CA/D227462/F1.2917 31. Denies the allegations contained in Paragraph 31 of the Complaint and refers all questions of law to the Court. 32, Denies the allegations contained in Paragraph 32 of the Complaint and refers all questions of law to the Court. 33. Denies the allegations contained in Paragraph 33 of the Complaint and refers all questions of law to the Court. 34, Denies the allegations contained in Paragraph 34 of the Complaint and refers all questions of law to the Court. 35. Denies the allegations contained in Paragraph 35 of the Complaint and refers all questions of law to the Court. 36, Denies the allegations contained in Paragraph 36 of the Complaint and refers all questions of law to the Court. 37. Denies the allegations contained in Paragraph 37 of the Complaint and refers all questions of law to the Court. 38. Denies the allegations contained in Paragraph 38 of the Complaint and refers all questions of law to the Court. 39, Denies knowledge and information sufficient to form a belief as to the truth. or falsity of the allegations contained in Paragraph 39 of the Complaint. 40. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 40 of the Complaint. 41. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 41 of the Complaint. . 4 CA/D227462/FL2917 42. Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 42 of the Complaint. 43, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 43 of the Complaint. 44, Denies knowledge and information sufficient to form a belief as to the truth or falsity of the allegations contained in Paragraph 44 of the Complaint. 45. Denies the allegations contained in Paragraph 45 of the Complaint. 46, Denies the allegations contained in Paragraph 46 of the Complaint. 47. Denies the allegations contained in Paragraph 47 of the Complaint. Ag, Denies the allegations contained in Paragraph 48 of the Complaint. 49, Denies the allegations contained in Paragraph 49 of the Complaint. 50. Denies the allegations contained in Paragraph 50 of the Complaint. 51. Denies the allegations contained in Paragraph 51 of the Complaint. 52. Denies the allegations contained in Paragraph 52 of the Complaint and refers all questions of law to the Court. 53. Denies the allegations contained in Paragraph 53 of the Complaint. 54. Denies the allegations contained in Paragraph 54 of the Complaint. 55. Denies the allegations contained in Paragraph 55 of the Complaint. 56. Denies the allegations contained in Paragraph 56 of the Complaint. 37. Denies the allegations contained in Paragraph 57 of the Complaint. 58. Denies the allegations contained in Paragraph 58 of the Complaint. 5 CA/D227462/F1.2917 AS AND FOR A RESPONSE TO THE FIRST CAUSE OF ACTION 59. As to the allegations contained in Paragraph 59 of the Complaint, Defendants repeats, reiterates, and re-alleges each and every admission and denial previously made, 60. Denies the allegations contained in Paragraph 60 of the Complaint. 61. Denies the allegations contained in Paragraph 61 of the Complaint. 62. Denies the allegations contained in Paragraph 62 of the Complaint. AS AND FOR A RESPONSE TO THE SECOND CAUSE OF ACTION 63. As to the allegations contained in Paragraph 63 of the Complaint, Defendants repeats, reiterates, and re-alleges each and every admission and denial previously made. 64. Denies the alicgations contained in Paragraph 64 of the Complaint. 65. Denies the allegations contained in Paragraph 65 of the Complaint. 66. Denies the allegations contained in Paragraph 66 of the Complaint. AS AND FOR A RESPONSE TO THE THIRD CAUSE OF ACTION 67. As to the allegations contained in Paragraph 67 of the Complaint, Defendants repeats, reiterates, and re-alleges each and every admission and denial previously made, 68. Denies the allegations contained in Paragraph 68 of the Complaint. 69, Denies the allegations contained in Paragraph 69 of the Complaint. 70, Denies the allegations contained in Paragraph 70 of the Complaint. 6 CAID227462/FL2917 AS AND FOR A FIRST AFFIRMATIVE DEFENSE 71, The Complaint fails to state a cause of action upon which relief may be granted, cognizable in equity or law and must therefore be dismissed. AS AND FOR A SECOND AFFIRMATIVE DEFENSE 72. The Complaint is barred because Plaintiffs failed to comply with relevant insurance laws, rules, and regulations. AS AND FOR A THIRD AFFIRMATIVE DEFENSE 73, The Complaint is barred because Plaintiffs lack standing, AS AND FOR A FOURTH AFFIRMATIVE DEFENSE 74, ‘The Complaint is barred, in whole or in part, by documentary evidence. AS AND FOR A FIFTH AFFIRMATIVE DEFENSE 75. The Complaint is barred, in whole or in part, by the doctrines of waiver, estoppel, and/or ratification. AS AND FOR A SIXTH AFFIRMATIVE DEFENSE 76, At the time that Plaintiffs allege that Defendant failed to perform on the contract, Plaintiffs were already in breach or engaged in anticipatory repudiation of the contract. AS AND FOR A SEVENTH AFFIRMATIVE DEFENSE 77, Plaintiffs’ requests for post-EUO documentation were not made in good faith under ll N.Y.C.R.R. § 65-3.2 as Plaintiffs consistently treated the injured parties and provider as adversaries in violation of the above regulation. AS AND FOR AN EIGHTH AFFIRMATIVE DEFENSE 78, The Complaint is barred because Plaintiffs failed to properly schedule or apprise Medaid of the time(s), place(s), and date(s) of the Examination Under Oath. 7 CA/D227462/FL2917 AS AND FOR A NINTH AFFIRMATIVE DEFENSE 79. Any relief sought by Plaintiffs by way of the within declaratory judgment is barred by the doctrine of unclean hands. AS AND FOR A TENTH AFFIRMATIVE DEFENSE 80. The Complaint is barred because Plaintiffs cannot demonstrate that their request(s) for an Examination Under Oath were based on objective standards pursuant to 11 NYCRR § 653.5(e). AS AND FOR AN ELEVENTH AFFIRMATIVE DEFENSE 81. Plaintiffs’ claims for relief are barred, in whole or in part, by the doctrines of collateral estoppel and/or res judicata. AS AND FOR A TWELFTH AFFIRMATIVE DEFENSE 82. The Complaint is barred because Plaintiffs cannot demonstrate that their request(s) for post-EUO documentation were timely made pursuant to 11 NYCRR § 65-3.5(b). AS AND FOR A THIRTEENTH AFFIRMATIVE DEFENSE 83. The Complaint is barred because Plaintiffs’ post-EUO document requests do not constitute requests for additional verification subject to the “120-Day” Rule set forth in 11 N.Y.C.R.R. § 65-3,5(0). AS AND FOR A FOURTEENTH AFFIRMATIVE DEFENSE 84. The Complaint is facially deficient as the relief requested is belied by Plaintiffs’ own Complaint. 8 CA/D227462/FL2917 AS AND FOR A FIRST COUNTERCLAIM 85. Defendants incorporate, as though fully set forth herein, each and every allegation in Paragraphs | through 84. 86. Plaintiffs ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (hereinafter collectively referred to as “Allstate”) are insurance companies authorized to do business in the State of New York. 87. Allstate transacts business in the State of New York. 88. The 136 individuals identified in Exhibit “A” to the Complaint were injured in automobile accidents on various dates (hereinafter, “the Eligible Insureds”), See, Exhibit “A” annexed to the Complaint and Exhibit “A” attached hereto. 89. At the time of each accident, there existed an automobile insurance policy containing benefits under the New York State No-Fault Law issued by Allstate. 90. One of the benefits afforded under each policy was payment of health service expenses (“No-Fault Benefits”). 91. As a result of having been in an automobile accident, each of the 136 Eligible Insureds was entitled to receive No-Fault Benefits from Allstate. 92. Defendant Columbus is a healthcare provider licensed to do business in the State of New Jersey. 93. Columbus is an assignee of each of the 136 Eligible Insureds. 9 CA/D227462/FL2917 94. Following their respective accidents, each of the 136 Eligible Insureds sought necessary medical services from Columbus. 95. Columbus provided health care services to each of the 136 Eligible Insureds on the dates of service set forth in Exhibit “A”. 96. For the treatment it rendered to each Eligible Insured, Columbus submitted claims for payment to Allstate in various amounts, as set forth in Exhibit “A”. 97. In total, for all 136 Eligible Insureds, there remains an open and unpaid balance of $131,978.18. 98. Defendant Columbus, as Assignee of the Eligible Insureds, is entitled to payment of the outstanding claims, plus statutory interest at the rate of two percent (2%) per month, pursuant to 11 N.Y.C.R.R. § 65-3.9, until the amount due is paid in full. AS AND FOR A SECOND COUNTERCLAIM 99. Defendants incorporate, as though fully set forth herein, each and every allegation in Paragraphs | through 98. 100. Plaintiffs ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY (hereinafter collectively referred to as “Allstate”) are insurance companies authorized to do business in the State of New York. 101. Allstate transacts business in the State of New York. 10 CA/D227462/EL2917 102. The 138 individuals identified in Exhibit “B” to the Complaint were injured in automobile accidents on various dates (hereinafter, “the Eligible Insureds”). See, Exhibit “B” annexed to the Complaint and Exhibit “B” attached hereto. 103, At the time of each accident, there existed an automobile insurance policy containing benefits under the New York State No-Fault Law issued by Allstate. 104, One of the benefits afforded under each policy was payment of health service expenses (“No-Fault Benefits”). 105. As a result of having been in an automobile accident, each of the 138 Eligible Insureds was entitled to receive No-Fault Benefits from Allstate, 106. Defendant Medaid is a healthcare provider licensed to do business in the State of New Jersey. 107, Medaid is an assignee of each of the 138 Eligible Insureds. 108. Following their respective accidents, each of the 138 Eligible Insureds sought necessary medical services from Medaid. 109, Medaid provided health care services to each of the 138 Eligible insureds on the dates of service set forth in Exhibit “B”. 110, For the treatment it rendered to each Eligible Insured, Medaid submitted claims for payment to Allstate in various amounts, as set forth in Exhibit “B”, 111. In total, for all 138 Eligible Insureds, there remains an open and unpaid balance of $130,490.61, 112, Defendant Medaid, as Assignee of the Eligible Insureds, is entitled to payment of the outstanding claims, plus statutory interest at the rate of two percent (2%) per month, pursuant fo N.Y.C.R.R. § 65-3.9, until the amount due is paid in full. 11 CA/227462/FL2917 AS AND FOR A THIRD COUNTERCLAIM 113. Defendants incorporate, as though fully set forth herein, each and every allegation in Paragraphs | through 112, 114, Defendants Columbus and Medaid hired attorneys, The Russell Friedman Law Group LLP, to collect the above overdue No-Fault Benefits and is entitled to recover attorney’s fees pursuant to 1] N.Y.C.R.R. § 65-4.6(d) 115. N.Y.C.R.R. § 65-4.6(d) provides the following: For all other disputes subject to arbitration or court proceedings, subject to the provisions of subdivision (a) of this section, the attorney's fee shall be limited as follows: 20 percent of the total amount of first-party benefits and any additional first-party benefits, plus interest thereon for cach applicant per arbitration or court proceeding, subject toa maximum fee of $1,360. If the nature of the dispute results in an attorney's fee that could be computed in accordance with the limitations prescribed in both subdivision (d) and this subdivision, the higher attorney's fee shall be payable. 116. In ZMK, the Court of Appeals discussed the issue of statutory attorneys’ fees in NoFault and made clear that the cap on legal fees is per each eligible insured, rather than per lawsuit. Specifically, the Court stated the following: [That provision] makes it clear that the amount of attorney's fees awarded will be based upon 20% of the total amount of first party benefits awarded. That total amount is derived from the total amount of individual bills disputed in either a court action or arbitration, regardless of whether one bill or multiple bills are presented as part of a total claim for benefits, based upon the health services rendered by a provider to the same cligible insured." (emphasis added} See, LMK Psychological Servs., P.C. v. Allstate Mut. Auto. Ins. Co., 12 N.Y.3d 217, 222 (2009) citing the October 8, 2003 Opinion Letter of the Superintendent of Insurance (now part of the Department of Financial Services). 117, Pursuant to 11 N.Y.C.R.R. § 65-4.6(c) and LA¢K, Defendants Columbus and Medaid are entitled to recover 20% attorneys’ fees of the total amount of first-party benefits awarded for each one of the 274 Eligible Insureds whose claims are the subject of the instant action. 12 CA/D227462/FL2917 WHEREFORE, Defendants, MEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, and REUVEN ALON-ALYOFF a/k/a ROB ALON, respectfully requests that this Honorable Court enter an Order (1) dismissing Plaintiffs’ entire action and Complaint with prejudice and (2) granting Defendant’s Counterclaims in their entirety, together with interest, attorney’s fees, costs and disbursements, along with such other and further relief as this Court may □ deem just, proper, and equitable. Dated: Lake Success, New York February 18, 2020 THE RUSSELL FRIEDMAN LAW GROUP, LLP Attorneys for Defendants By: = AS/Christopher M. Arzberger Christopher M. Arzberger 3000 Marcus Avenue, Suite 2E3 Lake Success, New York | 1042 Ph: (516) 355-9696 To: Vincent F. Gerbino, Esq. BRUNO, GERBINO & SORIANO, LLP Attorneys for Allstate 445 Broad Hollow Road, Suite 420 Melville, New York 11747 13 CA/D227462/FL2917 DOC, NO, 3 RECEIVED NYSCEF: 09/11/201 EXHIBIT “A” DOC. NOsigtate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit wn RT TS eubititted by □□□□□□□□□ COLUMBUS IMAGING CENTER LLC ape ee ota Documents Sean, Tea eager oon □□□□ event lam Number Mane Opie Reseed oe chareeg/Bedt 1 Peron Bi to/ae/zo1g_ | $449 $0.00 2 | -sos7a1s01 | pill | 10/46/2018 —~—=«S1,2785a $0.00 3 513097229 | Bill 10/12/2018 | ———«$828,96 $0.00. | 4 513097229 Bill, =| t0/a2/zgag $5015 «S000 5 | 501827844 Bill | toyo/2g1g | 8,837.68 | $0.00 8 | 513097229 Bil 10/8/2018! $936.23 $000 7 508799664 □□ Bill 10/2/2018 j $936.23 | __ $0.00 8 | 5087ss664 Bill, «SS /20i8 $55.78 ~SCi«S0 _ 505626288 | all _._ 1 9/28/2018 | $1,837.68 «$0.00 | 40 | 506399509 | Bi (9/25/2018 $1,837.68 | $0,00 | ta 508795126 | Bill 9/21/2018 ae ae 12, 507801306 ail sfnay018 $844.02 $0.00 □□ soasss02e [ail syaovaois 31.3768 $000. 14 | 506399509 | ill =| 9/4fzo18. | $828.31 =| $0.00 15 506399509 | Bill ~ |e 1 $936.23 _ | $0.00 16 | 507137628 | Bill 9/4/2018 | $844.02 $0.00 i? | 07137628 | Bi. =| 9/4/2018 «1,887.68 $0.00 □□ | 502150568 | __Bil 9/3/2018 | $4,275.54 | «$0.00 508063476 | Bill, =| 8/27/2018 | 8850.17. ~——«$0.00 200 s08178454 | Bill} 8/a7/2oig_ | $850.17 $000 21 508559028 | Bill 8/27/2018 $1,837.68 $0.00 __, 22, 507396223 □□ szrpaois 5837.58") $0.00 — 23; 507396223 | Bill 8/27/2018 = $844.02; ~——«$0.00 25 | 505239236 bo Bill __ | ___ 8/16/2018 _. $1,243.73 | $0.00 26 507801306 ill 8/14/2018 _—is| “$1,703.42 | "$0.00 . | 27 503729832 | Bin | 8/14/2018 □□□□□□□□□□□□□□□□□□□□□□□ 28 | so7agssos lS, =Saytajao1s sa37.68 $0.00 29, 505329656 ill, =| 8/44/2018. |S 85471 SCS. 30; 505239236 | Bill 8/a/zois | $801.97 $0.00 31 | 505239236 | Bill, ~SB/ta/zo1s | $4,2755a $0.00 “32 505230236 si | ara siis37.68 $000 33, 505320656 | Bill =| 8/4/2018. | 8124257 «$0.00 aa | "505329656 | Bil, a/tafaoie 4 $850.17 $0.00 35 + 510712920" Bil, =| 8/2/2018 | $1,837.68 | «$1,837.68 | 36 505245621 Bil, = | 8/13/2018 = | 8,837.68 == $0.00 | 37 | soszaseza_ ill, 8/13/2018 | $1,738.20, $0.00 38 | 505245621 | il =| 8/13/2018. =| ~—S$828.31 ~~») ~~ $0.00 39 205245621 Bilt 8/13/2018 $828.31 : $0.00 “ag □□□□□□□□□□□□□□□□□□□□□ —| ~ Spans —_{___ Seana $000 44908729832 [pil a/7/zoia_ $1,837.68 $0.00 42 —_s0s729832 | Bil a/7paois $1,656.62 «$0.00 43503729832 | Bill 8/7/2018 | $1,837.68 | $0.00. | 503726101 | Bill 7/30/2018 ____ $828.31 | $0.00 “a5 ~«503726101 Bill 7/30/2018 $1,837.68 | $0,00 DOC. NO aistate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit Gigins submitted □□□□□□□□□□□ COLUMBUS IMAGING CENTER LLC [46 sormisia | sili 7/0/ao1s—~T~=« 7.6 _—~«Y~~*SOOO 47 | 453866923 | Bill | 7/27/2018 $548.61 $0.00 48453866923 | ail) 2/27/2018 $269.22 | $0.00 49 453a66923 | ail) —2/27/2018_~— SS S~«S 85.36, ~S*SOO S1____ 501847750 Bill [7/24/2018 "$801.97 | $000 82" s00958203°[ pit 7raapaoie | Sansay $000 53 §00953203 Bill i 7/24/2018 | $936.23) $0.00 ___ 84 | 501847750 Bill | 7/24f2018 | $1,837.68 | «0.00 oss soxsisasa alt“) —yfaaross” “J snr60 | p56) 501847750 arwrcns | sussrse [sno | ~h501887750° ir |___ 7/24/2018 | $801.97 |S «$0.00 | 58. 497651224 | Bill tiaipois | $800.57 |___$0.00 aavesizze | ow) yapaeas □□□ at | so 60 | 504039116 | Bill) 7/47/2018 $1,65662 «$0.00 61 04039116 Bi S| 7/17/2018 $1,837.68 | $0.00 a as768i224 sli a/ajaoie |, gais3768 $0.00 ~ 63 asr7es727 | Bil | /to/2oig_ | $28.31 $538.40 | | 497789727 | ill 7/40/2018 $1,837.68 | $1,194.49 65 | 498766954 | _saill 6/18/2018 of $936.23 | $0.00 66 _|_498766954 | Bil | G/ta/2oig. | $828.31 $0.00 er anarecose sin sie |__$1837.68 | $0.00 | 498766954 | Bil 6/18/2018 $1,837.68 | $0.00 69 □ 200896815 □ Bill 6/15/2018 ___ $1,837.68 $1,194.49 70 | 500896815 | = e/isjois | seoio7 | $521.28 a wren [aston sa "50.00 72. 497659268 | Bill =; 5/30/2018 «| $844.02 «$0.00 73, 494949522 | itl sists fs.66 "$0.00 |. 74} 496677741 | wil 5/5/2018 $844.02 | gaan 7s agasaasaa |i 5/15/2018 $801.97 $0.00 76 | ag2goga23 | Bill, =| 5/14/2018] $1,837.68 «|| «= $0.00 77492808423 ill, | 5/14/2018 | $425.37 $276.49 □ eee a aa ae □ $0.00 9 490493301 | 5/4/2018 $1,837.68 | $0.00 80, 492732714 Bill = a/t7/2018 | $1,688.04 $0.00 gt, 492732714 | Bill, = /17/2018 | __ $1,887.68 __|___ $0.00 BR □□□ □ —j._ a/iayeo1s $1,887.68 $0.00 83 | 4943g9sgo8 | Bill, =| 4/11/2018, $828.31 SSS «S000 84489814896 Bil 4/9/2018 | $1,837.68 | $1,837.68 85, 489814896 | Bill | 4/9/2018 8,672.33, $1,672.33 86 Passes | an | pos — SOLS? _| $521.28 87! a7asseo | ail □□□□□□□□□□□□□□□□□□□□□□□□ «S000 | 88481403830 | Bi sfa/aose sasor7 sa807 □□ _,_agssott | il a/a/zoig__ | $1,837.68 $0.00 | 90 a72g66011 | Bill =| a/afzoags $8097 □□□□□ | St, agoo63104 | Bil [3/28/2018 [850.17 $850.17 _ 92 i 487261471 Bill j 3/21/2018 : $801.97 | $801.97 DOC. NO Allstate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit APEC Ets gubmitted □□□□ COLUMBUS IMAGING CENTER LLC 93} 487261471 Bi 8/2/2018 $1,837.68 $1,837.68 24 | asesase6e | pil 3/2/2018 {$0837.68 _| $1,194.49 95; aeasases | Bil | 3/aafaoig, | $4,672.33 | $1,087.01 96 | 487261471 | Bill 3/2/201g_ $801.97 | $801.97 97 | aaraeia71 | gill | 3/21/2018 83768 $1,837.68 987 aa964i307_ [Bil | 3/tsa0ig 4,672.33 8,087.02 99, 489641307 [Bil Tt 3 Asp018 $1,837.68 $4,194.49 100 _ss2028768 ail | □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ _as2ore768 | Bill 3/23/2018 $861.62 | $861,62 | 486433246 Bil [3201s 1,837.68 $1,837.68 | 103; 486433246 | Bil, «=| 3/12/2018 «= $801.97 80.97 toa "| asssazea5 [atl □ 3/zaoie sera So 105, 487564718 | si 3/9/2018 | 8901.45 | $0.00 106 “as7scaria | Bit | —3sfaois $928.31 $0.00 _107__: 487188682 | Bill =~ | 3/5/2018 i $82831 | $000 108 aszesev7e [ein apmois _$1,703.42 | $0.00 [109 > 482858776 —sogil ~—«|—=«i227/20i8 , $936.23 $0.00 10 | 434g54aa3 ill, «=; 2/20/2008 | $1,688.04 =| «$548.61 a aeaesaeas el 2/se/2o18 $1,278.54 | $0.00 112 | 482708096 | Bill =| 2/19/2018. $936.23) «8936.23 se “4827080561 _ Bill ~—2hso/2os 842d2a _ $424.21 44 | 482708096. | Bill | 2/19/2018. 901.45 | s9014s eoopek Bi | 2/32/2038 $1,887.68 | 91,781.18 116 [482338274 | Bil 2/5/2018 $901.45 | $0.00 _ 117) 482028768 Bill [2s/2oue | $1,837.68 | $0.00 118 | 482028768 | Bill, =| 2/5/2018 i 801.97} «= $000 ~— □□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ | $1,656.62 __,___ $0.00 120 467330278 | Bil | 2/5/2018 “__ $aaaon $0.00 | 421 | 479284374 in| /5/2018 SS«SBa.02 S000 122 a7e9aa7g0 BN, | 2/2/2028 □ $ta37.68 $0.00 ateaaa70 Tatas | _ 31,837.68 | $0.00 124 a769aa7go | il, =| 2/2/2018 | 8828.31 $0.00 □ 125 + 480712462 Bill, = 2/2/2018 $1,837.68 | __$0.00 126 | t7souare0 | ail | areas $828.31, $0.00 __127__", ab0564203 | pil | /ag/2ois | $850.17 «| $638.07 128, 483442308 | Bill sane — eae 129 | 483442398 | Bil | 1/29/2018 | $1,837.68, «$0.00 130° 7 ag0s64103 il “| afagpaois satas Sa1ai9 131 | a7age2aea | ill 8/23/2018 | SC~|~SC«CSL □□□ ayagezaes en | afasjaos Sa,688.08 $0.00 474386232 |) sil | 1/a8/aoie | 5428.96 | $0.00 -..134 ___ 474386232 sill a/ag/2oig | Saag $0.00 _ 1385 | 482338274 [Bh Lo 1/16/2018 $1,672.33 | $1,672.33 136, 482338274 Bil | a/i5/201a | $0.00 TOTAL: | $168,105.45 | $36,127.27 DOC. NO. 4 RECEIVED N¥SCEF: 09/11/201 EXHIBIT “B” Oc. “Rilstate Insurance Company, et al. v Medaid Radiology, LLC, et al. Exhibit '"B " Rélaims submitted by 09/11/201 MEDAID RADIOLOGY LLC sling evens Chiti amber’ Naled 0 OiMencelied co seoatgU Manas owt, 4537114786 Bil | 8/6/2019 80197 | $801.97 2 552408972 Bill =| 9/8/2019.) S174.64 |S 171.64 3.) 582408972; Bill, = 9/8/2019 $2,639.65 $2,145.77, 4} 546883646 | Bill =| 8/49/2019 | $1,656.62 | $4,487.31 _._$__},_546883646 [Bil rere? ._|__._$1.73820_| "$1.241.84 6 | 546552381; Bill =| 8/5/2019 ___ $1,656.62 | $1,487.31 □□ 846252107 Bil 8/5/2019 | $844.02 0.00 | 8 | 546252107 Bill, «S| 8/5/2019 ~=—SSS=«*S1,8387.68 | $0.00 9 | 547039651 ill gris | $1,243.08 | $1,193.32 10 i 546552381 | Bill 8/5/2015 $936.23 | $879.73 12 | 546252107, ee sa, sa62sai07 | il 8/5/2019 | $1,837.68 $0.00 a4 [547594969 Bill | 8/2/2019 $1,672.33 | «$0.00 | 547594969 | ___ Bill, 8/2/2019 $1,837.68 $0.00 16 545756819 | ill, =, 7/25/2019 | $1,837.68 | $1,561.25 i 545756819 | Bill 7/25/2019 | «$2,639.65. «| $2,145.77 AB 545756819 | Bi = 7/25/2019 [ $828.31 | $828.31 19538835711 - Bill i 7/22/2019 $828.31 $0.00 |. 22) 545949034 | Bill =| 7/tg/2019, | $828.31 | «$828.31 22545949034 Bill, =~ 7/19/2019) «$850.17 g850.97 |} 23 sa3saga90 | Bill = 7/19/2019 | $1,656.62, $1,487.31 24 | 545949034 | Bill, | 7/tg/2o19. | $4,837.68 | $1,561,25 35, 545949034 | Bill, =~ | 7/49/2019, | $8402 | $844.02 26, 542952940 | fsa) sas | $1,487.32 A | 544223852) Bill | 7/8/2019. | $2,104.50 | $0.00 3s sora — 1/2/2019 $4,365.07) $0.00 29 544802499 | Bill =| 7/5/2019 |_~—«$,837.68 | ——«S.0.00 “30 sazaizens | Bill | 7/5/2019 __ $1,672.33 $1,503.02 31544802499 | Bill, =| 7/5/2019 $1,656.62 $0.00 _32__| saoa97939 | sil =| 7/4/2019 | $1,656.62 | $1,487.31 33 | s40497939 | Bil =| 7/4209 $878.11 ~—S| $834.20 34 | S429sz940 | Bil | 7/2019 $2,639.65 | $2,145.77 35 | 542965942 | Bill, | 6/27/2019 | $1,837.08 | $1,561.25 | 36s 842965942 Bill «6/27/2019 | $1,672.33 «8487.31 | 387 s40497939 | Bill 6/24/2019 | 82,639.65 «$2,145.77 Bd. soadegz | __il__ | 6/9/2019 $828.32 9828.31 | saisees2r | ail wyna/a0i9 _sa2ai” $0.00 | Siaagaza1 will Ss! s/ig/2019.-—=«| —=—sSaon.g7 =) S80n.97 ai | "537266512 □□□□□□□□□□□□□□□□□□□□□ ganas $0.00 | 537266512 | ail | o/ag/z019 | S275584 | $0.00 □ 542417928 | Bill 8/31/2019 $414.77 $0.00 page 542417928. | Bill | 5/23/2019 $1,064.30 80,00 45 | 542417928 | Bill 5/23/2019 $1,837.63 $0.00 DOC. Nkiistate Insurance Company, et al. v Medaid Radiology, LLC, et al, Exhibit "B " REGiny Mited by 09/21/201 MEDAID RADIOLOGY LLC 46 5424i7g28 Bil 5/23/2019 | $850.17 $0.00 474542417928 Bill, 5/23/2019 | $1,837.68 | $0.00 __|_ 542417928 Bill, | 5/23/2019, $828.31 $0.00 49 , 542417928 . Bill 5/23/2019 : 51,837.68 50.00 |. $0 | 538835711 | il =| 5/24/2019 | $2,639.65 | $0.00 | St 539482851 Bill =| 5/20/2019 $1,837.68 $0.00 52 | 539482851 | Bil =| = 5/20/2019 $844.02 i $0,00 53 539482851 8/20/2019 | «$1,837.68 $0.00 54 | Saoqaze52 Bill] 5/20/2019] $2,639.65 | $0.00 55 | 535516140 | _saill | 5/14/2019 | __ $1,837.68 $0.00 | | 56 538112806 | Bill 5/13/2019 | «$1,264.36 ~=SS«S0.00 | 531080620 Bil ___5/13/2019 ___$849.58 $0.00 58536275829 Bill 5/13/2019. _$1,703.42 $0.00 59 | 537114746 | Bil 5/10/2019 $1,837.68 =| $0.00 | 534635677 [nl 5/9/2019 —$986.23 □□ $0.00 61 | 538613624 _ Bill 5/2/2019 $1,837.68 $0.00 _ 62 1 533795778 | Bil, = 4/30/2019 $1,837.68 $1,837.68 □ 63 _, 535518906 | Bill = 4/29/2019 $1,837.68 $0.00 64 535518906 | Bill, «= j_4/16/2019 «| $1,688.04. ———$0.00 65 | 526577812 | Bill _A/16/2019 $1,837.68 | $1,561.25 66 | 534635677, Bill, | 4/8/2019 Satatg $0.00 67 ____ 534635677; Bill, = 4/18/2019, $4,275.54 | $0.00 68: 535120307 | Bill, =| 15/2019. | $879.74 | $0.00 69 | 535220307 | Bill, | 4/15/2019 =} $2,639.65 $0.00 ~=—s«|_:«532628856 | Bill —4/9/2019.——«‘LS □□□□□□□□□□□□□□□□□□□□□□□□□□ "71535870802 | wil «| 4/9/2019 «,837.68 ——~$0.00 72 832628856 | ill, =, 4/9/2019 | $1,837.68 | $0.00 |_73.____$34635677 | ill =~ 4/8/2019 $900.45 | $0.00 74. $34635677 Bi a/8/2019 | $2,532.06 | $0.00 78 $33772919 | Bill =~ 3/29/2019 | $3,837.68 | $0.00 | $33772019 | bill 3/29/2019 | $1,688.04 $0.00 77 s3av7306s ill "3/28/2010 SS Se2e.at $0.00 78 533773065 | ill 3/28/2019 $1,738.20 $0.00 79533773065 | ill, 8/28/2019 81,837.68 | $0.00 80 833643128 | Bill, =| 3/21/2019 ___$82831 | $0.00 81533603128 | ail 32/aoia | §1,73820_ | $0.00 82__ 532669249 | Bill, "3 /2/20i9 | $901.45 $0.00 _._83___ 531884005 | ill "| 3/4g/2019 $850.17 $0.00 _84__ | 531884005 Bill, =| 3/18/2029 | $4,243.73 | $0.00 85. __ 531080620 | Bill =~ 2/28/2019 | $4,275.54 | $0.00 86 | 528674658 | Bill —|-.2Repes __;_ $3,887.68 $0.00 87 $27972004 | Bill | 2/12/2019 [Sgr | seen 88 505626283 | Bill 2/12/2019, | 5828.31 | $828.31 89 527972004 | Bill, 2/2/2019 $2,533.95 | $0.00 80 519837972 2faajzoig $2,837.68 [$0.00 952903553 ill | 2/8/2019 | $2,639.65 | $0.00 ~—|:s«528993553 | Bill 2/8/2019 $1,703.42 §0,00 DOC. “kllstate Insurance Company, et al. v Medaid Radiology, LLC, et al, Exhibit "B” Feigims submitted by 09/11/20! MEDAID RADIOLOGY LLC 93 528993553 a Bill __ 2/8/2019. «$828.31 50.00 | 94 528993553 □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ 723.76 60.00 95 | 527263123 | Bill, =| =SSs/29/2019~SSS=«S 837.68 $0.00 96. .| $27263123 | pil | a/29/aoag_Sada.o2 $0.00 527736052 | Bill, =| 4/28/2019 $850.17 | $850.17 981 saszzase Bill 1/28/2019 i __—:$1,672,33 50.00 99__...j 525884634) Bill, | 242019 | $1,275.54 100 | 525884631 | Bill 1/24/2019 | $414.77 101 | 524535812 | Bil, =| a/a/2019 | $936.23, |= $670.35 wage a ~arymois $902.45 | s90.45 103” | s2azi3626 | ail] SSt/t7/2019. □□ $829.54 «| ~_«$779.78 204} 524213626 | Bill, | 1/15/2019, $426.03 8426.03 _t05 “| s2aziz626 | Bil | /ts/2019 $850.17 «$850.17 or Sse | Bill | /aa/2o19 $2,639.65 $0.00 107 | 526834882 | pill | 4/2019, | Stag S449 |, 408 | 526834882 | BI 1/14/2019 $850.17 $850.17 109525222436 | Bil Ss //2019~—=«|=S=*S*«S B.OASSSS*«SOL 10 | 520734369 ill, =~} 1/7/2019 $828.31 828.31 111: 522620103 Bill, (iain sa 42+ 525222436 Bill 12/26/2018 $828.31 _ $0.00 A138. 25222436 Bil, | 12/26/2018 =| $1837.68 | «$0.00 114 320734369 © Bill | 12/26/2018 $901.45 | $901.45 415. 548279641 | aearreote $50.17 «$0.00 _ 116. $20734369 | Bill, | a2/t7/201g | $1,738.20 $1,201.84 117°. 51se84ge8 | BH | 12/10/2018 81,837.68 $0.00 118s 515684868 | __ Bil 12/10/2018 | $1,837.68 | □□□□□ 41g 518329727 12/3/2018 | __$801.45_ $901.45 120. 519802507, Bill, «=~ |_ 12/3/2018 | 8083768 = 80.00 | 519802507, Bill, «=| 12/3/2018 | $828.31 ~~, ~SC«#S0.00 122; 518329727; Bhs $1,688.04 $1,688.04 123 522696748 | Bill, =~ | 1/26/2018. =| $1,837.68 «$0.00 □□ 516142908 [Bin] 1/26/2018 | $850.33 «851,38 125 | 516142908 | Bill 126/218 $56.34 $56.34 126 | 518435789 | Bi [11/5/2018 $2,639.65 | $2,145.77 127 | 518435789 | Bil S| sais | $1,275.54 | $0.00 _ 128516395737 | Bil, =~ | ats/zo18_ | 1,738.20 | $0.00 129 515862068 | Bill =| 1/5/2018 =~ 81,672.33 | $0.00 508741501 | Bill, | 11/1/2018 8,275.54 | «$1,275.54 131 510548365 | Bil, =| 10/29/2018 «$901.45 SS«S0.00 509968086 | Bill =| 10/29/2018 | $828.31 $828.31 134; §10548365 | Bill ~—| 10/29/2018 | $1,672.33. S000 | 509968086 | _—Bill __ 10/29/2018 $850.17 $850.17 136511833295 | Bill, =f 10/25/2018 «| «$1,275.54 «81,275.54 __137__ 541833295 ; ih, =| 0/25/2018. Saag =| S444.19 | 515862068 | will | 10/22/2018 $1,837.68 $0.00 | : TOTAL: $193,423.97 | §62,933.36 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK nn nnn ne ee ee eee een ne eee eee een ne K ALLSTATE INSURANCE COMPANY, ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Civil Action No.: ALLSTATE INDEMNITY COMPANY, 20-cv-01108-VEC ALLSTATE NORTHBROOK INDEMNITY COMPANY, ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, and ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Plaintiffs, -againstMEDAID RADIOLOGY, LLC, COLUMBUS IMAGING CENTER, LLC, REUVEN ALON-ALYOFF a/k/a ROB ALON, Defendants. □□□ □□□ nen eee eee eee nee □□□ KX CERTIFICATE OF SERVICE STATE OF NEW YORK _ ) )ss.: COUNTY OF SUFFOLK _ ) MELISSA MENDOZA, being duly sworn, deposes and says: I am not a party to the action, am over 18 years of age and reside in Suffolk County, New York. That on March 5, 2020, I served a true copy of the Notice of Motion to Remand, Memorandum of Law in Support of Plaintiffs’ Motion to Remand to State Court and Declaration of Vincent F. Gerbino to the addresses shown, by depositing a true copy of same, enclosed in a postpaid properly addressed wrapper, in a post office or official depository of the United States Postal Service within the State of New York via First Class Mail addressed to the last known address of the addressees as indicated below: The Russell Friedman Law Group LLP 3000 Marcus Avenue, Suite 2E03 Lake Success, New York 11042 Nina (Wo LISSA MENDOZA Personally subscribed and sworn to before me on this 5" day of March 2020, wo | elissa Mendoza personally known to me or proved to me on the basis of satisfactory evidende_tg be the individual described in and who executed the foregoing affidavit, and acknowledged that (s)he executed the same. Vv O Ca. NOTARY PUBLIC KIMBERLY A. SCHEER Notary Public, State of New York No, 01506718627 Qualified in Suffolk County Commission Expires Dec 22, 2020