Application To Self-Insure Workers' Compensation Liabilities - South Dakota Department Of Labor And Regulation Page 11

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(7.6) TOTAL OPEN CLAIM COUNT: (7.6) = (7.4) + (7.5)
Valuation Date
Accident
Year
12/31/2004
12/31/2005
12/31/2006
12/31/2007
12/31/2008
12/31/2009
12/31/2010
12/31/2011
12/31/2012
12/31/2013
12/31/2014
12/31/2015
2004
2005
XXXXXX
2006
XXXXXX
XXXXXX
2007
XXXXXX
XXXXXX
XXXXXX
2008
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2009
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2010
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2011
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2012
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2013
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2014
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2015
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
(7.7) TOTAL REPORTED CLAIM COUNT: (7.7) = (7.3) + (7.6)
Valuation Date
Accident
Year
12/31/2004
12/31/2005
12/31/2006
12/31/2007
12/31/2008
12/31/2009
12/31/2010
12/31/2011
12/31/2012
12/31/2013
12/31/2014
12/31/2015
2004
2005
XXXXXX
2006
XXXXXX
XXXXXX
2007
XXXXXX
XXXXXX
XXXXXX
2008
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2009
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2010
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2011
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2012
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2013
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2014
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
2015
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
XXXXXX
Page 11 of 18

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