EX-10.41 AIG RISK MANAGEMENT INC. WORKERS COMPENSATION FINAL BOUND PROPOSAL

EXHIBIT 10.41

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

January 1, 2007 — 2008

for

by

AIG Global Risk Management

WE KNOW RISK

PREPARED BY:		JOYCE TAYLOR
DATED:		12/21/2006
PROPOSED EFFECTIVE DATE:		01/01/2007
VALID UNTIL:		01/01/2007

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 1 — Policy Numbers, Policy Companies

Policy Number		States Covered		Company Written In		Type of Coverage
WC Various		Various		VARIOUS		Statutory Workers’ Compensation and Employers’ Liability
GL 583-59-06		ALL States		AMERICAN HOME ASSURANCE COMPANY		General Liability (Liability other than Automobile)
CA 583-66-66		FL, TX		AMERICAN HOME ASSURANCE COMPANY		Automobile Liability
DBP 292-05-93		FL		National Union Fire Insurance Company		Deductible Buy Back

acknowledged on behalf of:

This Binder is intended to be a statement of the mutual interest of the parties with respect to the Workers Compensation Risk Management program described above and is subject to execution and delivery of a mutually satisfactory Payment Agreement, RCAMP Agreement, and Collateral Trust Agreement. The parties will become legally obligated with respect to the Workers Compensation Risk Management program described above only in accordance with the terms contained in the Payment Agreement, RCAMP Agreement and Collateral Trust Agreement relating thereto if, as and when such document has been executed and delivered by the parties.

SIGNATURES

Signed by						Signed by
		Thomas Agnello						Peter Grabowski
		Regional Manager, National Accounts						SVP & Chief Financial Officer

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 1 — THE CONTACTS

AIG Risk Management is committed to providing superior service on your Insurance Program. The People listed below are the primary team representatives for your account.

Contact Name:		CHRISTOPHER P. DAVIS
Company Name:		Gevity HR LP.
Street:		9000 Town Center Parkway
City:		Bradenton
State:		FL
Zip:		34202
Telephone #:		941 ###-###-####

Your Representative Contact Name:		Michael Weiss
Company Name:		Marsh USA, Inc.
Street:		1166 Avenue of the Americas
City:		New York
State:		NY
Zip:		10036
Telephone #:		212 ###-###-####

Our Account Representative Contact Name:		Thomas Agnello
Company Name:		AIG
Street:		80 Pine Street
City:		New York
State:		NY
Zip:		10005
Telephone #:		212 ###-###-####

Other Important Contacts
Name:		Florette Williams
Title:		Account Manager
Telephone #		212 ###-###-####
Name:
Title:
Telephone #
Name:
Title:
Telephone #

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION — 1 — Information About AIG National Accounts Division

AIG Risk Management — National Accounts Division

For more than 20 years, AIG Risk Management (AIGRM) has been known in the marketplace as the leading provider of sophisticated risk management programs for large, national accounts. Our National Accounts Division focuses on corporations with annual revenue in excess of $750 million. AIGRM professionals can devise integrated risk management programs for most hazards and exposures in your operations. In designing a customized program for our clients, we explore a variety of financing and coverage options: guaranteed cost; self-insured retention; large deductibles; incurred-loss and paid-loss retention plans; and captive arrangements. Buy-outs and loss portfolio transfers are handled by a separate profit center within AIG Risk Management (Division 86). We can also combine and/or coordinate our program with a spectrum of products and services available within the diverse member companies of American International Group, Inc. (AIG), allowing us to create a comprehensive program that meets most, if not all, of your risk management needs. Our creative approach to solving our clients’ simplest to most difficult problems has propelled us to be a market leader in risk management solutions for national corporations.

Quality Service

In 2002, The Risk and Insurance Management Society awarded AIG the Arthur Quern Quality Award in recognition of AIG’s Performance Management Program. Our excellence is rooted in the belief that a quality insurance program entails more than just sound underwriting; it also requires customer-driven service. Each AIGRM client is assigned an Account Manager who focuses on your business strategies, understands your needs, and works with you to find solutions to your risk concerns. We will work with AIG Claim Services, Inc. or your chosen third party administrator to provide an effective cost-containment program. Our AIG Risk Consultants team is unmatched in its loss control and loss prevention expertise. Additionally, we offer a variety of specialized services to enhance your risk management programs, including IntelliRiskã, our on-line claims management system. AIGRM professionals provide a full range of services to help you manage and control your overall cost of risk.

Financial Strength

The AIG Companies’ ratings are among the highest of any insurance and financial services organization in the world. The AIG Companies provide the most extensive range of commercial and industrial coverages available for corporate and commercial customers, from large multinationals to small businesses. The AIG Companies are longtime market leaders in most lines, including the most complex insurance lines. We typically provide the highest insurance limits available and are first to address new or emerging risks. Policies underwritten by the AIG Companies provide highly-rated financial strength, and specialized claims and loss control services. AIG Companies refers to the domestic property and casualty insurance subsidiaries of American International Group, Inc.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 2 — Program Rates and Premiums

Rates and Estimated Premiums for:

Retention/

Claims

Deductible/

Estimated

Line of Business

Rating Segment

Coverage Plan Type

Administrator

SIR

Losses

Workers’ Compensation

The Entire Contract

Deductible/Full Coverage Retention

AIGCS

$

500,000

$

20,415,500

Workers’ Compensation

FL or OR Loss Re

Deductible Non-LRRP

AGICS

$

500,000

$

46,084,500

General Liability

The Entire Contract

Deductible

AIGCS

$

500,000

$

519,046

Automobile Liability

The Entire Contract

Deductible

AIGCS

$

500,000

$

$271,966

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 2 — Program Rates and Premiums

Estimated Subject Premium

Minimum

Estimated

Line Items

Rates

Per

Basis Types

Estimated Basis

Premium

Premium

Forecast of Subject Losses in Final Premium

N/A

1

Ultimate Losses

$

N/A

[*]

Profit and Administration

[*]

1

Unmodified Premium

[*]

[*]

[*]

GL and AL Profit and Administration

Flat

Flat

Flat

[*]

Claims Service Fee

Flat

Flat

Flat

[*]

Taxes, RMLs, B&B and Assessment

[*]

1

Unmodified Premium

[*]

[*]

AL Taxes, RMLs, B&B and Assessment

Flat

[*]

GL Taxes, RMLs, B&B and Assessment

Flat

[*]

New York Second Injury Fund

[*]

1

NY Standard Premium

[*]

[*]

Subtotal

$5,481,780

Estimated Subject Premium

$5,481,780

Estimated Non-subject Premium

Coverage Description

Rates

Per

Basis Types

Estimated Basis

Minimum Premium

Estimated Premium

WC Excess Premium

[*]

1

Unmodified Premium

[*]

[*]

[*]

GL Excess Premium

[*]

1,000

Sales

[*]

[*]

[*]

AL Excess Premium

Flat

1

Flat

[*]

[*]

Deductible Buyback Loss Provision

Flat

N/A

Flat

Flat

[*]

Deductible Buy-Back Taxes

Flat

Flat

Flat

flat

[*]

Insurance Charge

Flat

N/A

Flat

Flat

[*]

Florida WC Standard Premium/ Loss Reimbursement Premium

1

1

Standard Premium*

[*]

NA

[*]

Oregon WC Standard Premium/ Loss Reimbursement Premium

1

1

Standard Premium*

[*]

NA

[*]

Estimated Non-Subject Premium

$33,080,274

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Summary of Expected Cost

Estimated Premium (Subject and Non-subject)			$38,562,054
Expected Reimbursable Losses/ Deductible Loss/Self-Insured Losses and ALAE, if applicable, excluding Deductible Buyback Loss Provision			[*]
Estimated Surcharges: Includes NY Security Fund Surcharge			[*]
Estimated Cost			[*]
Deposit Premium		See Section 4
Installments #12
Total Pay-In Premium During the Policy Period			$38,562,054

Surcharge (breakdown by state, excluding NYSSIF):
CA = $129,699
CT = $10,782
DC = $1,725
IL = $1,472
IN = $117
KY = $10,077
MA = $3,882
ME = $350
MN = $53,910
MO = $3,592
MT = $580
NJ = $261,433
NY = $22,163
OR = $1,716
PA = $13,004
VT = $34
AL Surcharges = $3 (flat)
GL Surcharges = $386 (flat)

		Estimated
Terrorism Charges Included in Premium By Line of Business:		Charge
Workers’ Compensation (TRIA)			[*]
General Liability (TRIA)			[*]
Automobile Liability (Terrorism)			[*]

If UM/UIM/PIP forms (as referenced in Section 3) are not signed and returned by effective date, an additional premium of $          will be charged and the Automobile Liability rate will be increased by $          by power unit.

     The Binder contemplates the following terms:

	1.		Based on unmodified manual premium of $109,941,904 with corresponding estimated modified premium of $108,161,953, including FL and OR. Rates outlined within this binder will be applied to unmodified manual premium.
	2.		Receipt of first installment due prior to inception.
	3.		Annual manual premium growth of no more than [*] in the states of CA, GA, TX,

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

			or FL (*) individually and no more than [*] in the aggregate. If calculated at monthly audit [*] or greater premiums are found for states other than FL [*], we would retain the right to immediately increase and bill excess premium and collateral by 1.25 times the relative exposure in the applicable states above the trigger.
	4.		If actual surcharges including NY second injury exceed the deposit indicated below, Gevity will be responsible for the additional cost.
	5.		Continued compliance with monthly voluntary audits.
	6.		This Binder contemplates that there are no material changes between the date of this Binder and expiration. If a material change should occur, we reserve the right to re-price account immediately and change our collateral requirements. Material change is defined as inclusive but not limited to: changes in management team, changes in manual rate profile of Gevity, deterioration in either Gevity’s financials or projected losses under the current program, acquisitions or transfer in whole or in part of another similar organization or book of business, any breach of our current contract.
	7.		This Binder is net of brokerage commission.
	8.		Issuance of Deductible Buy-Back Policy, by a member Company of AIG, covering deductible losses up to an aggregate of $14,000,000. In addition to providing coverage up to the $14,000,000 aggregate, the deductible Buy-Back policy will provide $20,000,000 of aggregate stop coverage above a $136,700,000 attachment point. The $136,700,000 attachment point is a minimum and adjustable upwards only based on audited unmodified premium.

Data Reporting Requirements

Gevity must report the renewal client base and, on a weekly basis, all client additions, terminations and endorsements using the PEO standard template and the FTP server. See PEO standard template attached.

Aggregate Stop Amount and Aggregate Stop Limit Schedule

The “Aggregate Stop Amount ”and the “Aggregate Stop Limit ”(if one is applicable)
apply to the o first year of, or þ entire Rating Period.

Line(s) and Insurance Included:

“Aggregate Stop Amount” adjustable on the Basis and rate shown below. $136,700,000

Basis of Adjustment:						Estimated Basis Amount:
Audited Unmodified Premium						$109,941,904
Adjustment Rate:			1.2434			Per: 1
“Aggregate Stop Limit”			20,000,000

“Aggregate Stop Amount” means the maximum amount of:

Benefits, damages and ALAE (per the ALAE option selected herein) payable by you for losses under policies issued that are subject to your retention/deductible/loss reimbursement program, and if applicable, self-insured retention program.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Adjustment: The final “Aggregate Stop Amount” will be determined by our audit of your books and records. In no event will the “Aggregate Stop Amount” be less than the Estimated Amount shown.

“Aggregate Stop Limit” means the maximum amount of:

Benefits, damages and ALAE (per the ALAE option selected herein) above the Aggregate Stop Amount that we will not require you to reimburse us for under your retention/deductible/loss reimbursement program, and if applicable, self-insured retention program.

Security Plan

Collateral
Collateral on Hand (by Type)		Amount of Collateral
RCAMP Cash		$	152,464,786
Escrow		$	25,000
Trust Funds		$	8,057,588
Estimated Gross Amounts of Collateral on Hand		$	160,547,374			At 8/31/06

Additional Collateral Required (by Type)		Amount of Collateral				Due Date
RCAMP (paid by captive)		$	52,439,010
Deductible Buyback Loss Provision Included in Prem.		$	14,000,000
Collateral included in Subject Premium		$	60,990
Total Additional Collateral Required		$	66,500,000			12 equal due on 1st of
						each month starting
						with 01/01/2007.
Estimated Gross Amount of Collateral Required		$	227,047,374			Plus remaining 2006
						installments

Collateral Reviews

We will review our collateral requirement annually. In addition, we may review our collateral requirement at any time that we may deem reasonably necessary. If as a result of any review we find that we require additional collateral, you will provide us such additional collateral within 30 days of our written request, which shall be accompanied by a worksheet showing our calculation of the amount thereof. If a return of collateral to you is indicated, we will return annually the indicated amount to you within 30 days of our written acknowledgement thereof.

The Additional/Return Collateral will be:

The difference between (Ultimate Losses) and (Loss Provision amount collected during the policy period)

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Specific Loss Development Factors

We have agreed to use specific Loss Development Factors in determining Ultimate Losses in our collateral calculation, the following applies:

GRID of Loss Development Factors

		Kind of Insurance
		Workers Comp		General Liability		Auto Liability
Valuation Date		LDF’s		LDF’s		LDF’s		LDF’s
6/30/08		[*]
6/30/09		[*]
6/30/10		[*]
6/30/11		[*]
6/30/12		[*]
6/30/13		[*]

NOTE THAT:

We may apply a different table of LDF’s that will enable us more accurately to determine the Ultimate Losses in the security calculation, if during the term of the policies, a change occurs in the hazards insured against because of Your acquisition or disposition of a subsidiary, division or operation with assets at least equal to 20% of your assets on the effective date hereof, or the organization that provides claims service under the Policies is changed, or Your retention/deductible/loss reimbursement limit under any of the Policies, or any other change occurs which is likely to render the LDF’s shown in the Grid ineffective as a tool for estimating with reasonable accuracy the amount of Loss and ALAE that we will pay because of accidents, occurrences, or offenses covered by the Policies.

Security will be on a depleting basis. Using the Deductible Buyback and the Hybrid RCAMP as collateral, retained losses will first be paid out of the Deductible Buyback until $14,000,000 is exhausted. Then Hybrid RCAMP will be responsible for the rest of the retained losses. No monthly loss billings will go to the insured.

The collateral pay-in during the 1/1/07 — 1/1/08 period will be adjusted on a quarterly basis during the policy period based on the following formula:

Annual countrywide unmodified manual premium x.6049 = Total Collateral Requirement

Excluding the $14,000,000 Deductible Buyback Loss Provision, the Total Collateral requirement is subject to a minimum of $44,625,000 [85% of collateral amount above excluding the Deductible Buyback Loss Provison] until the first loss provision annual adjustment at 18 months after inception for 2007-08 program year. The minimum is not the minimum collateral amount AIG must hold at any given time over the first eighteen months, but instead the amount that must be paid in over the first year. In other words, if the unmodified manual premium after the twelfth monthly adjustment is so low that it triggers the minimum of $44,625,000, AIG will compare the minimum to what was submitted in collateral over the year, in lieu of to what was on hand after depletion for paid losses.

If the program does not renew, then the collateral will be adjusted annually in accordance with the terms outlined in the Payment Agreement and there will be no return of collateral until 30 months from inception.

The Hybrid RCAMP portion of this deal will be structured as follows:

We will issue You Deductible Policies. Your captive, in turn, will issue You a Deductible Reimbursement Policy providing coverage for the same liabilities referenced in the policies we issue to you for the first $500,000 per occurrence, excess of a $14,000,000 aggregate.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Under the Hybrid RCAMP collateral option, You assign your rights under the captive issued Deductible Reimbursement to Us. Furthermore, We will reinsure Your captive for liabilities it assumes under the Deductible Reimbursement Policy.

This deal will be documented via an Assignment Agreement, Reinsurance Quota Share Agreement and the Payment Agreement/Schedule of Policies & Payments. The Assignment Agreement and the cash premium received via this reinsurance transaction will service to collateralize Your Deductible Obligations to Us.

The Captive has two Investment Selection options at its disposal which are referenced below:

Investment Selection Options

1.

One-Year rate

Under this option, We would guarantee a fixed rate of return on the Reinsurance Premium set at an enhanced spread of [^*] basis points over the 6-month U.S. Constant Maturity Treasury yield as it reads the day we are in receipt of the first installment of the Reinsurance Premium. The interest rate will reset annually based on then current market conditions. Should the Captive cancel the Reinsurance Quota Share Agreement at any time prior to January 1, 2008, it is understood and agreed that interest will be deemed to have accrued from the date the premium is delivered to us, to the date of cancellation, at the 1-month U.S. Constant Maturity Treasury yield as it read the day we were in receipt of the first installment of Reinsurance Premium.

2.

Interest rate payable until all claims are closed

Under this option, We would guarantee a fixed rate of return on the Reinsurance Premium set an enhanced spread of TBD basis points over the 3-year U.S. Constant Maturity Treasury yield as it reads the day we are in receipt of the first installment of the Reinsurance Premium. Said rate would be in effect until all claims were closed. Should the Captive cancel the Reinsurance Quota Share Agreement at any time, it is understood and agreed that interest will be deemed to have accrued from the date the premium is delivered to us, to the date of cancellation, at the applicable interest rate as per the following Interest Rate Penalty Schedule.

The aforementioned TBD basis point spread over the 3-year U.S. Constant Maturity Treasury yield may increase to a maximum spread of TBD basis points over the 3-year U.S. Constant Maturity Treasury yield. We will make the final determination of the guaranteed spread at such time as the first installment of the Reinsurance Premium is received.

Interest Rate Penalty Schedule

Cancellation Date		Interest Rate *
Prior to January 1, 2008		TBD
January 1, 2008 — January 1, 2009		TBD
January 1, 2009 — January 1, 2010		TBD
January 1, 2010 — January 1, 2011		TBD
January 1, 2011 — January 1, 2012		TBD
January 1, 2012 — January 1, 2013		TBD
January 1, 2013 — January 1, 2014		TBD

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Cancellation Date		Interest Rate *
January 1, 2014 — January 1, 2015		TBD
January 1, 2015 — January 1, 2016		TBD
January 1, 2016 — January 1, 2017		TBD
January 1, 2017 until All Claims Closed		TBD.

For either Investment Selection Option referenced above, we will credit you additional interest accrued monthly on the $52,500,000 in Reinsurance Premium on the daily cash balances of the $14,000,000 referenced above, calculated at a rate dependent upon which option you select.

Under either Investment Selection Option, the Captive will receive a monthly accrued interest statement, detailing the opening fund balance, less losses paid in each particular month, along with interest earned on the average investable balance. This Binder contemplates that we will not collect Escrow. Therefore, the monthly accrued interest statement will evidence losses being paid at the mid-point of each month.

Should the Federal Reserve lower the targeted Federal Funds rate at any time prior to the receipt of the first installment of the reinsurance premium, both investment selection options will become null and void.

Letter of Credit

Any letter of credit must be clean, unconditional, irrevocable and evergreen. It must be from a bank that we and the Securities Valuation Office of the National Association of Insurance Commissioners have approved and in a form acceptable to us. It must be in the amount shown in the Schedule. If any letter of credit is canceled, no later than 30 days before that letter of credit expires, You must deliver to us a substitute letter of credit that complies with the requirements set forth above. Upon Your written request, we will not unreasonably withhold our consent to a reasonable extension of the time within which You must deliver such a substitute letter of credit to us. The substitute letter of credit must take effect no later than the date of termination of the expiring letter of credit. Your duty to deliver such a letter of credit will continue until You have satisfied all Your obligations under this Agreement and the Policies. If You fail to provide us with a qualifying substitute letter of credit as indicated above, we may draw upon the existing letter of credit in full.

Collateral Trust

Cash will be invested in various securities, selected by you, in accordance with the applicable trust agreement, executed between you (Grantor), us (Beneficiary) and the bank (Escrow Agent). Our oversight fee charge for this arrangement will be between 7 and 10 basis points of the market value of the trust. The Escrow Agent may also ask you for a separate fee for their services. At our discretion, we will determine if this cash will, or will not, be utilized to pay for losses and expenses you incur.

Financial Covenants, Tests, or Minimum Credit Ratings

We may require additional collateral from You in the event of the following:

a.)

Credit Trigger:

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

	i.		If the credit rating of the entity named below and for the type of debt described below, promulgated by Standard & Poor’s Corporation (“S&P”) or by Moody’s Investors Services, Inc. (“Moody’s”), drops below the grade shown respectively under S&P or Moody’s;
	ii.		or If S&P or Moody’s withdraws any such rating.

We may require and You must deliver such additional collateral according to the Payment Agreement up to an amount such that our unsecured exposure will not exceed the amount shown as the Maximum Unsecured Exposure next to such rating in the grid below.

“Unsecured exposure” is the difference between the total unpaid amount of Your Payment Obligation (including any similar obligation incurred before the inception of the Payment Agreement and including any portion of Your Payment Obligation that has been deferred and is not yet due) and the total amount of Your collateral that we hold.

Name of Entity: Type of Debt Rated:

Ratings at Effective Date
S&P		Moody’s		Unsecured Exposure at Effective Date
				$TBA

Potential Future Ratings
S&P		Moody’s		Maximum Unsecured Exposure
					$	TBA
					$
					$
					$

b.

Other Financial Tests or Covenants:

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 3 — Limits, Program & Coverage

General Notes About Coverages

Coverage outlined in this document is for explanatory and reference purposes only. The coverage provisions do not necessarily conform to any specifications furnished in the submission received from your representative.

The policy (or policies) that we issue to you shall contain the full and complete terms, conditions, exclusions and coverages provided under your insurance program. In the case of any conflict between the insurance policy (or policies), and the provisions contained in this proposal or binder, the provisions in the policy (or policies) shall govern. Upon receipt, please review the policy (policies) thoroughly with your broker, and notify us promptly in writing if you have any questions or concerns.

The calculation of premiums, and other program features, included in this document have been established based upon the information provided by you and your representative. Additional locations, changes in exposure, or other variations may make it necessary to re-evaluate the Proposal/Binder, premium calculations and plan factors. Any modification we make shall be based on our evaluation of these changes and whether they represent a measurable difference from the insurance program originally contemplated at inception.

While it is our intention to honor the terms and conditions of our contract with you, we are required to follow all regulatory and filing requirements in effect for various states where you have an exposure. We shall adhere to all state regulatory requirements. We shall not issue any form, or apply any program, that is in contravention to a governing regulation, rule, statute or law.

Prior to the inception date of coverage, you must provide us with the following information: All applicable FEIN numbers, DMV reporting information (other than New York), and UAIN.

Entities included as Named Insureds are those shown as such on the policy (policies) Declaration page, as well as in the appropriate Named Insured Endorsements attached to each individual policy, whether such are issued at inception, or included by an additional endorsement thereafter.

Any questions regarding this Proposal or Binder should be directed to Our AIG Risk Management Representative shown in this document. No Alterations to this Proposal or Binder May Be Made Without the Prior Written Approval of AIG Risk Management.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Workers’ Compensation

Policy Term: Effective at 12:01 AM 01/01/2007 to 01/012008

Workers’ Compensation Coverage		Statutory
Employers Liability:
Bodily Injury by Accident — Each Accident		$2,000,000
Each Employee Bodily Injury by Disease		$2,000,000
Policy Limit Bodily Injury by Disease		$2,000,000
States Covered: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MA, MI, MN, MO, MS, MT, NE, NH, NJ, NM, NV, NY, NC, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI(i.e. Item 3A):
Stop Gap Liability:
Bodily Injury by Accident — Each Accident		$2,000,000
Each Employee Bodily Injury by Disease		$2,000,000
Policy Limit Bodily Injury by Disease		$2,000,000
States Covered: OH, ND, WA, WV, WY, (i.e. other states covered 3C):

		Retained/Loss
		Reimbursement/Amount				Applicable To:
Workers’ Compensation and Employers Liability under State Law — Insured States		$	500,000			Each Accident or each Person for Disease
Workers’ Compensation and Employers Liability under Federal Law — Insured States		$	500,000			Each Accident or each Person for Disease
Workers’ Compensation and Employers Liability — Self Insured States		$	N/A			Each Accident or each Person for Disease
Employers Liability — Monopolistic States		$	500,000			Each Accident or each Person for Disease

Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the Retention/Loss Reimbursement Limit layer amount(s) retained by the Insured . 2) For Self-Insured States, the limits of liability shown are in excess of the Self Insured Retention amount. 3) Aggregate Limits apply where applicable.

Coverage Extensions and Exclusions

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
WC 000000A				OTHER STATE INSURANCE
WC 000104		04/84		FEDERAL EMPLOYERS LIABILITY ACT COVERAGE
				•   This endorsement continues to be used in New Jersey and Texas.
				The remaining states approved the newer version WC 000104A (10-04).
WC 000104A		10/04		FEDERAL EMPLOYERS LIABILITY ACT COVERAGE
				This endorsement is approved in Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, DC, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan (exempt from filing), Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
				New Jersey and Texas will continue to use the prior version WC 000104 (4-84) until the AIG adoption filing is approved.
WC 000106A		04/92		LONGSHORE AND HARBOR WORKERS COMPENSATION ACT COVERAGE ENDORSEMENT (California approved a state-specific version)
WC 000109A		04/92		OUTER CONTINENTAL SHELF LANDS ACT COVERAGE ENDORSEMENT
				“No such work at this time. It is agreed that if any work is subject to the Outer Continental Shelf Lands Act, the Insurer will endorse the policy within sixty (60) days of the notification.”
WC 000111				MIGRANT AND SEASONAL AGRICULTURAL WORKERS PROTECTION ACT COVERAGE ENDORSEMENT
WC 000201A		04/92		MARITIME COVERAGE
				Description of work: “No such work at this time. It is agreed that if any work is subject to the Maritime Coverage Endorsement, the Insurer will endorse the policy within sixty (60) days of the notification”.
WC 000203		04/84		VOLUNTARY COMPENSATION MARITIME COVERAGE ENDORSEMENT (ATTACHED TO FLORIDA MASTER POLICY ONLY)
				EMPLOYEES: “All employees who are masters or members of the crew of any vessel.”
				Workers Compensation Law: “State of Hire”
				DESCRIPTION OF WORK: “No such work at this time. It is agreed that if any work is subject to the Maritime Coverage Endorsement, the Insurer will endorse the policy within sixty (60) days of the notification.”
WC 000301		04/84		ALTERNATE EMPLOYER ENDORSEMENT (STATE APPROVED — HI, OK, MI AND TX)
				Requires specifics name of Alternate Employer

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
WC 000301A		02/89		ALTERNATE EMPLOYER ENDORSEMENT (ALL OTHER STATES WHERE WE ARE USING A MASTER POLICY, EXCEPT CA, DE, PA, WI)
				•   Requires specifics name of Alternate Employer
				•   This endorsement is not approved in Alaska.
				•   Hawaii, Oklahoma and Texas continue to use the prior version WC 000301 (4-84).
				•   The remaining states approved this endorsement.
WC 000302		04/84		DESIGNATED WORKPLACES EXCLUSION ENDORSEMENT
				•   California disapproved this endorsement, but uses Endorsement Agreement Limiting & Restricting This Insurance Form# 7606H for this purpose.
				•   Pennsylvania disapproved this endorsement, but uses Exclusion of Employees Endorsement WC 370303 for wrap-ups. The sponsor is named as statutory employer.
				•   Connecticut approved a state-specific version of this endorsement.
				•   The remaining states approved this endorsement.
WC 000310		04/84		SOLE PROPRIETOR, PARTNER, OFFICER AND OTHERS
				•   California and Texas approved a state-specific version.
				This endorsement is not approved in Pennsylvania
				Partners: All partners
				Officers: All executive officers
				Others: Each person named in Item 4 of the Information Page
WC 000311		04/84		VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITY
				Employees: All Officers and Employees, including any volunteers not subject to the Workers Compensation law except masters and members of the crew of any vessel.
				State of Employment: Any state designated in Item 3.A. of the Information Page of this policy
				Compensation Law: State of Hire
WC 000311A		08/91		VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITY
				Employees: All Officers and Employees, including any volunteers not subject to the Workers Compensation law except masters and members of the crew of any vessel
				State of Employment: Any state designated in Item 3.A. of the Information Page of this policy
				Compensation Law: State of Hire
WC 000313		04/84		WAIVER OF SUBROGATION
				•   A waiver of subrogation is not permitted in Kentucky, New Hampshire and New Jersey.
				•   California, Tennessee, Texas and Utah approved a state-specific version.
				Schedule:
				“Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.”
WC 60904		08/94		FOREIGN VOLUNTARY COVERAGE ENDORSEMENT

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				•   Minnesota, New Jersey, North Carolina and Pennsylvania do not permit usage of this endorsement. Foreign coverage is dictated by state law.
				•   Alaska, California, Florida and Massachusetts approved a state-specific version.
				•   New York and Wisconsin require usage of a state-prescribed Bureau form.
				•   This endorsement is approved in Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, DC, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia and Wyoming.
				Schedule:
				Name(s) of Employee: “All officers and Employees while stationed or traveling outside of the United States of America, its territories or possessions, except masters and members of the crew of any vessel”
				State or Country of Operations: “Anywhere in the world, including international waters or airspace, but excluding the United States of America (including its territories and possessions) and Puerto Rico and those countries against which the Office of Foreign Assets Control of the U.S. Department of the Treasury administers and enforces economic and trade sanctions”
				Designated Workers Compensation Law: State of hire
				Limits of Liability for Excess Repatriation Expense:
				$25,000 — Each employee
				$25,000 — Each accident
				Limits of Liability for Part Two-Employers Liability:
				$2,000,000 — Bodily Injury by Accident
				$2,000,000 — Bodily Injury by Disease. [policy limit and each employee]
WC 990008A		10/03		AMENDMENT OF YOUR DUTIES IF INJURY OCCURS ENDORSEMENT
				•   This endorsement is approved in Alabama, Arizona, Connecticut, Delaware, DC, Hawaii, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, New Hampshire, New Mexico, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont and Virginia.
WC 990011A		10/03		UNINTENTIONAL ERRORS AND OMISSIONS ENDORSEMENT
				•   California continues to use the prior version WC 990011. This endorsement is approved in Approved in Alabama, Arizona, Connecticut, Delaware, DC, Hawaii, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, New Hampshire, New Mexico, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont and Virginia.
WC 990039		08/02		ADVANCE NOTICE OF CANCELLATION/NON-RENEWAL BY US
				(10 DAYS NON-PAYMENT AND 120 DAYS FOR NON-RENEWAL)

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				•   Alaska, California, Florida, Georgia, Illinois, Massachusetts, Nevada and Texas approved a state-specific version.
				•   This endorsement is not approved in Arizona, Minnesota, New Jersey, Ohio, Pennsylvania and Wisconsin.
				•   The remaining states approved this endorsement.
WC000420		12-02		Terrorism Risk Insurance Extension Act Endorsement
WC000320A		2-92		Labor Contractor Endorsement
				This endorsement is used in certain states where a Multiple Coordinated Policy approach is required.
				New York uses a state specific endorsement.
				Florida continues to use the prior version WC000320 (4-91).
WC000323		4-84		Multiple Coordinated Policy Endorsement
And				This endorsement is used in certain states where a Multiple Coordinated Policy
WC000323A (1-06)				approach is required.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 3 — Limits, Program & Coverage

Coverage Extensions and Exclusions

Form #		Edition Date		All Mandatory State Endorsements
WC 000104A		10/04		FEDERAL EMPLOYERS LIABILITY ACT COVERAGE
WC 040101A		04/92		LONGSHORE AND HARBOR WORKERS COMPENSATION ACT COVERAGE ENDORSEMENT
WC 000109A		04/92		OUTER CONTINENTAL SHELF LANDS ACT COVERAGE ENDORSEMENT
				Description of work
				“No such work at this time. It is agreed that if any work is subject to the Outer Continental Shelf Lands Act, the Insurer will endorse the policy within sixty (60) days of the notification.”
WC 000201A		04/92		MARITIME COVERAGE ENDORSEMENT
				Description of work:
				“No such work at this time. It is agreed that if any work is subject to the Maritime Coverage Endorsement, the Insurer will endorse the policy within sixty (60) days of the notification”.
WC 040315		09/05		CA LABOR CONTRACTOR AS NAMED INSURED WITH LCF DESIGNATION — RESTRICTION OF COVERAGE TO CLIENT WORKERS — (Replaces Alternate Employer Liability Endorsement)
7606H				DESIGNATED WORKPLACES EXCLUSION ENDORSEMENT
				•   CA Designated Workplace Endorsement 7606H is designed to exclude locations/worksites that are part of a construction wrap up.
				•   This endorsement will be issued and attached when specifically requested. There is no one CA policy.
WC 040304		04/84		CA SOLE PROPRIETOR COVERAGE ENDORSEMENT
				Partners: All partners
				Officers: All executive officers
				Others: Each person named in Item 4 of the Information Page
WC 040305		01/85		CA VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITY
				Employees: “It is agreed that if any such person is subject to the Voluntary Compensation and Employers Liability Coverage Endorsement, the Insurer will endorse the policy within sixty (60) days of notification”.
WC 990422		10/05		FOREIGN VOLUNTARY COVERAGE ENDORSEMENT
				Schedule
				Name(s) of Employee: “All officers and Employees while stationed or traveling outside of the United States of America, its territories or possessions, except masters and members of the crew of any vessel”.
				State or Country of Operations: “Anywhere in the world, including international waters or airspace, but excluding the United States of America (including its territories and possessions) and Puerto Rico

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				and Those countries against which the Office of Foreign Assets Control of the U.S. Department of the Treasury administers and enforces economic and trade sanctions”.
				Designated Workers Compensation Law: “California”
				Limits of Liability for Excess Repatriation Expense:
				$25,000 — Each employee
				$25,000 — Each accident
				Limits of Liability for Part Two-Employers Liability:
				$2,000,000 — Bodily Injury by Accident
				$2,000,000 - Bodily Injury by Disease. [policy limit and each employee]
				Rates: “Included in the State of regular employment”.
WC 040361		11/90		CA BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS Schedule:
				“Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.”
WC 040306		04/84		CA BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
WC 990011A		10/03		UNINTENTIONAL ERRORS AND OMISSIONS ENDORSEMENT
WC 990017		01/01		CA CANCELLATION ENDORSEMENT
WC 990411		08/03		CA ADVANCE NOTICE OF CANCELLATION/NON-RENEWAL BY US EXTENDED ENDORSEMENT
				(10 days Non-payment and 120 days for Non-renewal)

Defense Base Act Coverage is not provided. Premium will be quoted separately by Worldsource and, unlike expiring, will be billable outside of this program.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Commercial General Liability

Policy Term: Effective at 12:01 AM 01/01/2007 to 01/01/2008

Your Coverage Trigger þ Occurrence o Claims Made

Each Occurrence Combined Single Limit		$	2,000,000
Personal & Advertising Injury Limit		$	2,000,000
Damage to Premises Rented to You		$	1,000,000
Medical Expense Limit (any one person)		$	10,000
Employee Benefits Liability*		$	2,000,000
Subject to a Deductible of: $500,000
þ *A Claims Made Form — Retrospective Date 06/16/1995
o *An Occurrence Form
General Aggregate Limit — Per Policy		$	4,000,000
General Aggregate Limit — Per Location/Per Project		$
Products-Completed Operations Aggregate Limit		$	4,000,000
Liquor Liability — Aggregate Limit (A separate policy will be issued for this coverage.)		$	0

		Retained/Deductible/				Applicable To
Premises, Operations, Personal and Advertising Injury, Medical Payments, or Damage to Property Liability		$	500,000			Each Occurrence
Products-Completed Operations Liability		$	500,000			Each Occurrence

Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the Deductible/Retention Limit layer amount(s) retained by the Insured . 2) For Self-Insured States, the limits of liability shown are in excess of the Self Insured Retention amount. 3) Aggregate Limits apply where applicable.

Coverage Extensions and Exclusions

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
CG 0001		12/04		COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG 2011		01/96		ADDITIONAL INSURED — MANAGERS OR LESSORS OF PREMISES
				•   NAME OF PERSON OR ORGANIZATION: ALL LESSORS WHERE REQUIRED BY CONTRACT
CG 2015		07/04		ADDITIONAL INSURED — VENDOR
				•   VENDORS: ANY VENDOR FOR WHOM THE INSURED HAS AGREED TO PROVIDE SUCH INSURANCE UNDER CONTRACT.
				•   PRODUCTS: ALL PRODUCTS OF THE NAMED INSURED
CG 00 62		12/02		WAR LIABILITY EXCLUSION
CG 0224		10/93		EARLIER NOTICE OF CANCELLATION PROVIDED BY US (90/10 DAYS)
CG 2116		07/98		EXCLUSION — DESIGNATED PROFESSIONAL SERVICES
CG 2147		07/98		EMPLOYMENT-RELATED PRACTICES EXCLUSION
CG 21 49		09/99		TOTAL POLLUTION EXCLUSION ENDORSEMENT
CG 24 04		10/93		WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
61714		09/01		ADDITIONAL INSURED — WHERE REQUIRED UNDER CONTRACT OR AGREEMENT WITH PROFESSIONAL SERVICES EXCLUSION
58332				TOTAL LEAD EXCLUSION
51767		04/02		EMPLOYEE BENEFITS LIABILITY COVERAGE (CLAIMS-MADE)
				•   Alaska, Connecticut, Illinois, Maine, Missouri, New Hampshire and Pennsylvania approved a state-specific endorsement.
				The endorsement is not approved in Arkansas, Louisiana, Massachusetts, Nebraska, New Mexico, New York, North Carolina, Texas, Vermont, Virginia, Washington and Wyoming.
				The endorsement is approved in the remaining states.
				RETROACTIVE DATE: 06/15/1995 DEDUCTIBLE: $500,000
61944		02/95		BROAD FORM NAMED INSURED ENDORSEMENT
62132		03/95		UNINTENTIONAL ERRORS AND OMISSIONS
62898		09/01		RADIOACTIVE MATTER EXCLUSION
65324		11/96		MARITIME LIABILITY ENDORSEMENT IN REM COVERAGE
67265		03/97		AMENDMENT OF OTHER INSURANCE
64009		11/95		NON-OWNED WATERCRAFT ENDORSEMENT
74435		09/01		AMENDMENT OF WHO IS AN INSURED
74439		10/99		CLUBS
IL 0021		07/02		NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD FORM)
				•   New York approved IL 0023.
				The 11-85 edition is approved in Virginia.
				•   The 5-02 edition is approved in Nebraska.
				•   The 6-02 edition is approved in Vermont.
				•   The 5-04 edition is approved in Texas.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				The remaining states approved the 7-02 edition
64004		09/01		ERISA EXCLUSION
64011		11/05		AMENDMENT OF COVERAGE TERRITORY
62251		09/01		AIRCRAFT PRODUCTS EXCLUSION AND GROUNDING ENDORSEMENT
65329		09/01		DELETION OF CONTRACTUAL LIABILITY EXCLUSION (COVERAGE B)
67260		03/97		BODILY INJURY DEFINITION EXTENSION
73187		09/03		DEDUCTIBLE COVERAGE ENDORSEMENT — A
82540		04/05		ASBESTOS & SILICOSIS EXCLUSION
53820		07/92		LRRP SHORT FORM ENDORSEMENT POLICY NUMBER: TBD
81127		12/02		TERRORISM EXCLUSION

NOTES ON SPECIAL COVERAGE(S)

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Commercial Automobile Liability

Policy Term: Effective at 12:01 AM 01/01/2007 to 01/01/2008

Coverage		Coverage Symbols				Limits
Combined Single Limit —			1			$2,000,000
Personal Injury Protection — (Per Insured’s Selection)			5			$Statutory
Medical Payments — Each Person Insured —			2			$5,000
Uninsured Motorists/Underinsured Motorists — (Per Insured’s Selection)*			8 & 9			Options: (check applicable option):
*Not Available in Indiana, Ohio or Michigan						þ 1.) Rejection where possible/minimum limits elsewhere
						o 2.) Policy limits where possible/maximum limits elsewhere
						o 3.) Other limits (identify limit(s))
						$

		Retained/Deductible/
		Self Insured Retention		Applicable To
Automobile Liability, Including UM/UIM/PIP, If Any		$500,000		Each Accident

Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the Deductible/Retention Limit layer amount(s) retained by the Insured . 2) For Self-Insured States, the limits of liability shown are in excess ofthe Self Insured Retention amount. 3) Aggregate Limits apply where applicable.

Commercial Automobile Physical Damage

Physical Damage — Coverage symbol(s)		N/A
Limit — Except for Hired Cars is Actual Cash Value or Cost To Repair, whichever is less,
Minus a Comprehensive Deductible of:		$ Each Covered Vehicle
Minus a Collision Deductible of:		$ Each Covered Vehicle
Limit for Hired Cars is Actual Cash Value or Cost To Repair, whichever is less. Subject to a Maximum Limit of: $
Minus a Comprehensive Deductible of:		$ Each Covered Vehicle
Minus a Collision Deductible of:		$ Each Covered Vehicle

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Coverage Extensions and Exclusions

Form #		Edition Date		All Mandatory State Endorsements
CA 0001		03/06		BUSINESS AUTO COVERAGE FORM
				•   STATE APPROVALS:
				Texas continues to use the TAISO version of this policy.
				•   Alaska, California, Connecticut, Hawaii, Louisiana, Massachusetts, New Hampshire, New York and Virginia continue to use the 10-01 edition.
				The remaining states use the 3-06 edition.
CA 2001		03/06		LESSOR — ADDITIONAL INSURED AND LOSS PAYEE
				•   STATE APPROVALS:
				This endorsement is not approved in Kansas and Texas.
				•   Hawaii, Massachusetts and Virginia use a state-specific endorsement.
				•   The 10-01 edition is approved AK, CT, GA, LA, NH, NY and OR.
				•   The 3-06 edition is approved in the remaining states.
				DESCRIPTION: ALL LEASED AUTOS
61944		02/95		BROAD FORM NAMED INSURED
				STATE APPROVALS:
				Texas approved a state-specific version of this endorsement.
				This endorsement is not approved in Arkansas, Delaware, Idaho, Massachusetts, Nebraska, North Carolina, Ohio, Vermont and Virginia.
				The endorsement is approved in the remaining states.
CA 2313		12/93		TRAILER INTERCHANGE FIRE AND FIRE AND THEFT COVERAGES
				•    STATE APPROVALS:
				This endorsement is not approved in Texas.
				•   The endorsement is approved in the remaining states.
				Limit of Insurance: $2,000,000
				Rate: Flat
				Minimum Premium: Included
9910		09/02		Drive Other Car Coverage — Broadened Coverage For Named Individuals
				•   STATE APPROVALS:
				California, Massachusetts, Texas and Virginia approved a state-specific version of this endorsement.
				•   The endorsement is approved in the remaining states.
				Name of Individual: “All executives of the named insured who are furnished autos by the Named Insured and who do not have

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				personal auto insurance”
CA 9916		12/93		HIRED AUTOS SPECIFIED AS COVERED AUTOS YOU OWN
				•   STATE APPROVALS:
				Hawaii and Texas approved a state-specific version of this endorsement.
				•   This endorsement is not approved in Kansas.
				•   The endorsement is approved in the remaining states.
				Description of Auto:
				“Any auto hired, loaned, leased or furnished to the Named Insured for a period of six (6) months or more”.
CA 9933		02/99		EMPLOYEES AS INSUREDS
				•   STATE APPROVALS:
				Texas approved a state-specific version of this endorsement.
				•   The endorsement is approved in the remaining states.
CA 9948		03/06		POLLUTION LIABILITY — BROADENED COVERAGE FOR COVERED AUTOS — BUSINESS AUTO, MOTOR CARRIER AND TRUCKERS COVERAGE FORMS
				STATE APPROVALS:
				•   Massachusetts and Texas approved a state-specific version of this endorsement.
				•   This endorsement is not approved in New York, Vermont and Virginia.
				•   The 9-02 edition is approved in AK, CT, GA, HI, LA, NH and OR.
				•   The 3-06 edition is approved in the remaining states.
53820		07/92		LRRP SHORT FORM ENDORSEMENT
				POLICY NUMBER: WC FL TBA
61709		12/94		AMENDMENT OF DUTIES IN THE EVENT OF ACCIDENT, CLAIMS, SUIT OR LOSS
				•   STATE APPROVALS:
				This endorsement is not approved in Arkansas, North Carolina, Ohio and Virginia.
				•   The endorsement is approved in the remaining states.
61710		12/94		ADDITIONAL INSURED — WHERE REQUIRED UNDER CONTRACT OR AGREEMENT [EXCLUDES CONTRACTS OR AGREEMENTS FOR PROFESSIONAL SERVICES]
				•   STATE APPROVALS:
				This endorsement is not approved in Arkansas, Nebraska, North Carolina, Ohio, Texas, and Virginia.
				•   The endorsement is approved in the remaining states.
62135		03/95		WHEN WE DO NOT RENEW
				•   STATE APPROVALS:
				This endorsement is not approved in Arkansas, Delaware, Idaho, Massachusetts, Michigan, Nebraska, New Hampshire, North Carolina, South Carolina, Vermont, Virginia and Washington.
				•   The endorsement is approved in the remaining states.
62138		03/95		EARLY NOTICE OF CANCELLATION PROVIDED BY US
				•   (90 Days for Non-Renewal and 10 days for Non-Payment
				•   STATE APPROVALS:
				This endorsement is not approved in Arkansas, Delaware,

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				Idaho, Massachusetts, Michigan, Nebraska, New Hampshire, North Carolina, South Dakota and Vermont.
				•   The endorsement is approved in the remaining states.
62897		06/95		WAIVER OR TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS
				•   STATE APPROVALS:
				This endorsement is not approved in Arkansas, North Carolina and Ohio.
				•   The endorsement is approved in the remaining states.
65330		11/96		MEXICAN COVERAGE BROAD FORM
				•   STATE APPROVALS:
				This endorsement is not approved in Texas and Virginia.
				•   The endorsement is approved in the remaining states.
67264		03/97		EXPECTED OR INTENDED INJURY EXCLUSION AMENDMENT (REASONABLE FORCE EXCEPTION)
				•   STATE APPROVALS:
				This endorsement is not approved in Minnesota and Texas.
				•   The endorsement is approved in the remaining states.
73187		09/03		DEDUCTIBLE COVERAGE ENDORSEMENT — A
74438		10/99		BODILY INJURY DEFINITION EXTENSION
				•   STATE APPROVALS:
				This endorsement is not approved in Idaho, Maine, Michigan, Mississippi, South Dakota, Virginia, West Virginia and Wisconsin.
				•   The endorsement is approved in the remaining states.
86203		07/04		TERRORISM EXCLUSION
				•   STATE APPROVALS:
				Alaska, Hawaii, Illinois and Oregon approved a state-specific version of this AIG endorsement.
				•   This AIG endorsement is not approved in Ohio and South Carolina. However, you may use ISO Exclusion of Terrorism CA2384.
				•   This AIG endorsement is not approved in New Jersey and Oklahoma. However, you may use ISO Exclusion of Terrorism Above Minimum Statutory Limits CA2386. These states only permit the exclusion of terrorism above MFR.
				•   There are no approved exclusions for Florida, Georgia, New York and Virginia. Coverage must be approved and priced for.
				•   This AIG endorsement is approved in the remaining states.
86679		08/04		FELLOW EMPLOYEE EXCLUSION DELETED
				Note: This endorsement previously had form number 64007 (11-95). Since there is a GL form with the same number, we had to assign a new form number to this endorsement. It is now 86679.
				•   STATE APPROVALS:
				This endorsement is not approved Maryland, New Jersey, Virginia and Wisconsin.
				•   The endorsement is approved in the remaining states.
MCS — 90		04/00		MOTOR CARRIER PUBLIC LIABILITY ENDORSEMENT (MCS-90)
IL 0021		07/02		NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM)

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Form #		Edition Date		All Mandatory State Endorsements
				STATE APPROVALS:
				•   This endorsement is not approved in New York.
				•   Washington uses IL 01 98 7-02.
				•   The 3-92 edition is approved on Texas.
				•   The 4-98 edition is approved in Massachusetts.
				•   The 5-02 edition is approved in Nebraska.
				•   The 6-02 edition is approved in Vermont.
				•   The remaining states approved the 7-02 edition.
MANUSCRIPT		MANUSCRIPT		KNOWLEDGE OF OCCURRENCE
				It is understood and agreed that knowledge of an occurrence, claim or suit by any agent, servant or employee of the insured shall not constitute knowledge by the insured unless the Vice President of Risk Management & Insurance of the GEVITY HR, Inc. has received such notice.
MANUSCRIPT		MANUSCRIPT		NOTICE OF ACCIDENT
				The Company shall not deny coverage as the result of an unintentional failure by the insured to give notice as respects to any accident, provided notice is given as soon as practicable after the Vice President of Finance of Gevity HR, Inc. becomes aware that this policy may apply to such accident.

NOTES ON SPECIAL COVERAGE(S)

UM/UIM Automobile Coverage

For Uninsured Motorists coverage (UM), Underinsured Motorist coverage (UIM) and Personal Injury Protection coverage (PIP), there are specific rejection/election of coverage forms that must be completed, signed, and returned to us prior to the inception of automobile coverage. You must complete, sign and return such forms to us by the Policy(ies) inception date of coverage. Your failure to return all required selection forms shall be deemed your acceptance that the automobile policy(ies) will be issued and rated to include the limits of UM/UIM coverage equal to the policy limits of liability, or equal to the maximum limits required by law if lower than policy limits, and the limit for PIP coverage that we are required to offer for each state. In the event you fail to return the signed forms and we apply UM/UIM and PIP limits as described herein an additional charge for this change in coverage will be added to your Automobile Liability premium, as referenced in Section 2., Program Rates and Premiums. Your acceptance of the casualty insurance program supersedes anything to the contrary in specification(s), proposal(s), quotation(s), this binder(s) or any other “agreement” or “understanding”, and you will be responsible for the payment of UM/UIM/PIP damages within your “retention or deductible” whichever is applicable.

Please be advised that we do not offer UM/UIM coverage in Indiana, Michigan and Ohio. This program does not include in its pricing UM/UIM for vehicles garaged in Indiana, Michigan or Ohio.

In any State permitting election of UM limit “stacking”, any UM coverage contemplated herein is predicated upon rejection of the “stacking” provision by each Named Insured.

State DMV Proof of Coverage Reporting Requirements

The department of Motor Vehicles (DMV) in various states has implemented anti-fraud systems that require that proof of coverage be on file in their data bases. These various state DMV’s presently mandate the

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

filing of specific data elements as State law(s) require. These data elements must be supplied to us upon binding Automobile Liability Coverage. Without the information, we are unable to make our mandatory reports to the DMV. It is critical that you provide information in a timely manner to your broker. If we are unable to comply with the reporting requirements, it may result in loss of your tags, fines, impoundment of your vehicle(s), including cargo, and your inability to register your vehicle(s). In addition, you may be subject to State fines and penalties.

We have advised your broker as to the Automobile Liability Insurance Reporting Procedures information available on our web site. Additionally, we have advised your broker on how to retrieve “templates” on our web site for capture and transmission of vehicle information for such reporting.

For more about the DMV reporting requirements visit the Virtual Office web site under https://.accessaig.com/accessaig/public/login/frameset.

It is your responsibility to supply us, through your broker, with all of the required data on changes to your list of vehicles that are covered by the policy (vehicle list) after the inception date of the policy. Failure to do so may result in the previously mentioned consequences.

Please contact your broker to ensure that all of the necessary information has been, and continues to be, provided to us.

Automobile Coverage where a Composite Rate Applies

For automobile coverage, the earned premium will be computed based on the number of units at inception of the casualty insurance program plus the number of units at expiration, divided by two (2).

COMMERCIAL AUTOMOBILE TERRORISM RISK EXTENSION ACT OF 2005 NOTIFICATION

You are hereby notified that under the Terrorism Risk Insurance Extension Act of 2005 (which amends the Terrorism Risk Insurance Act of 2002), Commercial Automobile is excluded from the covered lines of the Act. While no federal backstop currently exists for Commercial Automobile, we are willing to provide you with Terrorism coverage subject to the limitations and exclusions of each automobile insurance contract for the additional premium indicated below.

For your convenience, our standard terrorism definition follows, however, the definition may vary based on modifications required by individual state regulatory offices.

DEFINITIONS — The following definitions shall apply:

“Terrorism” means the use or threatened use of force or violence against person or property, or commission of an act dangerous to human life or property, or commission of an act that interferes with or disrupts an electronic or communication system, undertaken by any person or group, whether or not acting on behalf of or in any connection with any organization, government, power, authority or military force, when the effect is to intimidate, coerce or harm:

	a.		A government;
	b.		The civilian population of a country, state or community; or
	c.		To disrupt the economy of a country, state or community.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

This quotation for Commercial Automobile includes a charge for Terrorism coverage, which is referenced in Section 2. Program Rates and Premiums.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Underwriting Guidelines

At a minimum we will not provide coverage for the following

•

[*]

The following clients must be referred to AIG for approval

	•		[*]
	•		[*]
	•		[*]

Referral Items

	•		Policy Issuance and Weekly reporting Information
	•		4 years including current policy period currently valued hard copy loss information
	•		Historical Payroll Information
	•		Application

Special Conditions

You must execute and return an original executed copy of both the Payment Agreement and the Schedule, and any other documents we deem necessary to adequately document the terms of the program, to us at our address shown above within 30 days after the Effective Date above.

If not so returned and delivered, we may void the Finance Plan summarized herein and set forth in detail in the Payment Agreement. Upon our notice of our voiding of the Finance Plan to you at your address shown above, the entire amount of the “Estimated Total Cost” specified under FINANCE PLAN herein will become immediately due and payable to us in cash at our address shown above. Failure to pay such amount within 10 days thereafter shall entitle us to cancel the insurance and any reinsurance and to terminate all services under this Program by notice to you when not less than 10 days thereafter the cancellation and termination shall become effective.

Claims Administration

Claims will be handled by AIG Claims Services, Inc. The claims administration pricing is included in the insurance company expenses. Rehabilitation and managed care services are billed separately at prevailing rates. Claim Investigations conducted by the Investigative Services Division to assist the claims adjusters are an allocated expense and charged to the file at Prevailing Time & Expense. Fraud investigations conducted for the purpose of criminal prosecution are not billed to the file and considered part of the overall claim fee.

The claims administration charges include four intellirisk setups and 12 monthly tape to tape triangles to Marsh STARS system. If the program does not renew, AIG agrees to continue to provide access to Intellirisk setups and monthly tapes as long as Gevity requires, at prevailing rates. Also if the program does not renew, AIG will continue to grant access to data and tape to tape triangles to Marsh at prevailing rates.

Allocated loss adjustment expenses, as defined above, are not included in the Insurance Company expenses.

Loss Control Services

We understand that Gevity HR’s loss control professionals are providing ongoing loss control services to your clients and that additional loss control services have not been requested as part of the AIG program. Only

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

those loss control surveys needed for underwriting purposes and those services mandated by state regulatory requirements will be included in the AIG program. Of course, additional loss control services can be provided on an unbundled basis at any point during the policy year.

AIG Consultants will provide a Technical Services Manager — [^*] — to manage the delivery of all services. We maintain a nationwide network of loss control consultants to provide service at your key clients’ facilities, which can serve as a cost effective complement to the work done by Gevity’s field risk consultants. AIG Consultants, Inc. can provide personnel with experience and expertise commensurate with the services needed. Ergonomic and/or industrial hygiene specialists can be provided as appropriate. Consultant training and/or specialty training in industrial hygiene/ergonomics can be provided to your field risk consultants. To ensure readily available competent consultants near our clients various locations, we maintain a complement of approved subcontractor consultants to supplement our internal loss control professionals. These subcontractors are subject to our Quality Management System approval process as a requirement of AIG Consultant’s Inc. ISO 9000 certification.

Coverages

A specimen policy will be prepared for the MCP states with all appropriate forms attached and this will serve as the master sample for each of those states where multiple policies are required.
All endorsements may not be approved for use in all states and we can only include those endorsements where they are approved.

Named insured will include all Gevity HR, Inc. affiliated or subsidiary entities for which payroll are reported to AIG Risk Management shown as follows:

Gevity HR, Inc. and it’s wholly-owned subsidiaries:

     Gevity HR, L.P.

     Gevity HR II, LP.

     Gevity HR, III, LP.

     Gevity HR IV, L.P.

     Gevity HR V, L.P.

     Gevity HR VI, L.P.

     Gevity HR VII, L.P.

     Gevity HR VIII, L.P.

     Gevity HR IX, L.P.

     Gevity HR X, L.P.

     Gevity HR XI, LLC

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

     Gevity HR XII Corp.

     Gevity HR XIV, LLC

     Gevity Insurance Agency, Inc.

     Staff Leasing, LLC.

     Concorda Insurance Company Limited

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Workers’ Compensation Premiums

Except for guaranteed cost policies, the Workers’ Compensation premium does not include the non-ratable elements mandated by the various states.

WC/EL premiums and non-ratable elements are subject to rates approved by the various states and the actual experience modifications promulgated. Premium adjustments resulting from WC/EL rate/premium changes applicable at inception, which were not recognized at the time the workers’ compensation policy was initially rated, will result in revised installments reflecting the amount of any such adjustments. The revised amounts will be an obligation of yours under the insurance program.

Workers’ Compensation Loss Reimbursement (Deductible) Policy/Plan Premiums

A discount in the premium for the loss reimbursement (deductible) policies shown in the schedule is calculated in accordance with our deductible rating plan. The premium includes a provision for certain taxes and assessments (including residual market plan assessments), which we expect to become obligated to pay based on the premium.

Furthermore, in the event that any state regulatory authority determines that deductible reimbursements are taxable as premium or subject to assessments you will be obligated to pay the premium taxes and/or assessments applicable to the Policies.

Any additional premium amounts calculated under this insurance program do not accrue toward maximum or aggregates which may be included in your Casualty Insurance Program.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

DEDUCTIBLE BUYBACK ADJUSTABLE PREMIUM OPTION

Deductible Liability Protection policy also known as the Deductible Buyback policy buys back losses that are incurred within your filed loss reimbursement/deductible policies. The Deductible Buyback form provides for a feature that allows for the adjustability of the Deductible Buyback premium based on developed losses from the policies being bought back.

Lines of Business Bought Back — Workers Compensation/Employers Liability

Deductible Buyback Premium —

Premium includes:
Losses being bought back by policy		$	14,000,000
Taxes on Deductible Buyback Losses		$	71,377
Other Expenses (Including FET)		$	70,000			(if applicable)
Total Premium Pay in for Deductible Buyback		$	14,141,377
Aggregate Limit of Losses being bought back		$	14,000,000

This Deductible Buy Back Program for Workers Compensation will not be adjustable.

Other Terms and Conditions: Mandatory endorsements required on policies

AIG Global Risk Management will pay all losses incurred within the Loss Reimbursement/Deductible layer of $500,000 each accident/occurrence up to the aggregate of $14,000,000.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Your responsibility for the payment of “Allocated Loss Adjustment Expenses” For Loss Sensitive
Programs/Plan is:

		ALAE Option
		(enter ALAE Option
		A, B, C or D as		If ALAE Option C,
Coverage		applicable)		enter Excess %
Worker’s Compensation		C		100%
General Liability		C		100%
Automobile Liability		C		100%
				%

A:		100% of the total “Allocated Loss Adjustment Expenses” up to the “Retained Limit”. However, the most you are responsible for with respect to damages and/or indemnity and “Allocated Loss Adjustment Expenses” combined shall not exceed the “Retained Limit”.
B:		100% of the total “Allocated Loss Adjustment Expenses”.
C:		All or part of the “Allocated Loss Adjustment Expenses” determined according to the following:
		If we incur NO obligation under the policy(ies) to pay damages resulting from a claim, you are responsible for all “Allocated Loss Adjustment Expenses” up to the applicable “Retained Limit” plus a percentage of all remaining “Allocated Loss Adjustment Expenses” in excess thereof. That percentage is shown above under “Option C Excess %”; or.
		If we DO incur an obligation under the policy(ies) to pay damages resulting from a claim, you will be responsible for a percentage of “Allocated Expense Adjustment Expenses”. That percentage shall be determined by dividing the “Retained Limit” paid by the total damages paid subject to the Limits of Insurance.
D:		No “Allocated Loss Adjustment Expenses”.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 4 — Premium Payments and Program Terms

Incurred Loss Payment Plan:

Cash Deposit, Installments and Estimated Deferred Amounts

						Provision												Provision for
						for Expenses				Special				Deductible				Limited				Estimated
						and Excess				Taxes and				Buyback Loss				Losses				Payment
Payment No.		Due Date				Losses (1)				Surcharges				Provision				(RCAMP) (2)				Obligation
1			01/01/2007			$	2,041,756			$	520,976			$	5,541,667			$	0			$	8,104,399
2			02/01/2007			$	2,041,756			$				$	5,541,667			$	0			$	7,583,423
3			03/01/2007			$	2,041,756			$				$	2,916,666			$	2,625,001			$	7,583,422
4			04/01/2007			$	2,041,756			$				$				$	5,541,666			$	7,583,422
5			05/01/2007			$	2,041,755			$				$				$	5,541,667			$	7,583,422
6			06/01/2007			$	2,041,755			$				$				$	5,541,667			$	7,583,422
7			07/01/2007			$	2,041,755			$				$				$	5,541,667			$	7,583,422
8			08/01/2007			$	2,041,755			$				$				$	5,541,667			$	7,583,422
9			09/01/2007			$	2,041,755			$				$				$	5,541,667			$	7,583,422
10			10/01/2007			$	2,041,755			$				$				$	5,541,666			$	7,583,421
11			11/01/2007			$	2,041,755			$				$				$	5,541,666			$	7,583,421
12			12/01/2007			$	2,041,755			$				$				$	5,541,666			$	7,583,421
13						$				$				$								$
Subtotals						$	24,501,064			$	520,976			$	14,000,000			$	52,500,000			$	91,552,040
DLP*							N/A				N/A				N/A			$				$
DEP*						$				$				$					N/A			$
Totals						$	24,501,064			$	520,976			$	14,000,000			$	52,500,000			$

DLP means “Deferred Loss Provision”. This is the estimated amount You must pay us as “Additional Payments” described below.

DEP means “Deferred Expense Provision”. This is an estimated amount that You must pay us as such shown in the Schedule of Policies and Premiums to the Payment Agreement.

Notes: (1) “Provision for Expenses and Excess Losses” is a part of the Premium. The remainder of the Premium is included under “Provision for Limited Losses”. 2) “Provision for Limited Losses” includes provision for Loss within your Retention (both Deductible and Loss Reimbursement Limit) and Your share of ALAE. Any “Deposit” in this column is the Claims Payment Deposit. Refer to definitions in the Payment Agreement.

Additional Payments

You must pay us the installment amounts by the due dates as specified in this document. We have calculated the part of those installments designated as “Provision for Limited Losses” to equal the Losses within Your retention/deductible/loss reimbursement limit and Your share of ALAE that we expect to incur during the period for which Provision for Limited Losses amounts are shown. The amount we incur will be the sum of the amounts we pay and the amounts we reserve for payment on claims that have been reported to us, but shall not include our reserves for losses that have been incurred but have not been reported to us.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Billing Method

Billing to:

þ		You at Your address shown in the Schedule, or
o		Your Representative at its address shown in the Schedule; or
o		Automatic Withdrawal from the account described below.

		If Automatic Withdrawal Account applies:    Minimum Amount: $
		Name of Depository Institution:
		Address:
		Account Number:

Incurred Loss Accounting Adjustments

The first Premium Plan Adjustment will take place as soon as practicable after the expiration date of the policies. The adjustment will be based on the rates shown in this document, audited exposures and loss information valued as of 06/30/2008 to the minimums indicated within the terms of your insurance program. Thereafter, annual Ultimate Incurred Loss Plan adjustments will take place and continue until you and we agree in writing to perform no further recalculation.

Additional premium due us, or return premium due you, resulting from the adjustment, will be payable in its entirety within the time permitted by notice to you and subject to the terms of the Payment Agreement.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 5— Important Notes

Documentation

By accepting this Casualty Insurance Program, the Insured agrees to provide AIG Risk Management with the correctly completed and signed documents as requested by AIG Risk Management:

•

For Loss Sensitive Programs/Plans, the Payment Agreement, including any Addendum(s), and Security required under any Premium Deferral Plan (when required), within 30 days of the inception date of the program.

Please Note: The Payment Agreement, together with all schedules, addenda, policies and any related agreements between you and us, constitutes the basis for a program of insurance coverage. We would not have entered into any of them without your agreement on all of them. For that reason, you should review all such documents together when making any accounting, tax or legal determinations relating to the insurance program.

•

Completed UM/UIM/PIP Automobile Election/Rejection forms prior to inception of automobile coverage.

•

A signed copy of the Acknowledgement form included in this document, which confirms acceptance of all aspects of the Casualty Insurance Program by the Insured and Agent, returned within 30 days of the inception date of the program.

•

PEO Addendum to Payment Agreement

All documents requiring signature must be signed by a authorized representative of the Insured and in some instances, on behalf of Your Insurance Representative. All documents must be dated as of the inception date of the program.

Failure to execute any of the requisite documents within the time periods required will render the Financial Plan of your Casualty Insurance Program voidable at the discretion of AIG Risk Management. The entire amount of the “Estimated Cost” specified under the program will thereafter become immediately due and payable to us in cash. Failure to pay premium within 5 Days of the billing date may result in the exercise of various default remedies including, but not limited to, cancellation.

Acquisitions and Divestitures

With respect to any acquisitions or divestitures that represent a greater than 10% increase in exposure, AIG Risk Management may, at its discretion, require a program review. That review MAY result in a premium adjustment.

Estimated Premium Quoted in This Proposal or Binder

The estimated premium(s) shown in this Proposal or Binder is based on rates, and experience modifications (if applicable) in use at the time this proposal is submitted to you. Any reference to Total or Final Premium is for explanatory purposes only. None of the numbers herein are intended to represent final calculation. Neither AIG Global Risk Management, nor any member company of American International, Inc. shall be bound by the calculations arrived at in the tables shown. The tables serve merely to demonstrate the calculation process. All amounts are subject to modification through the binding process and to program adjustments after binding. The terms of the Casualty Insurance Program, our manuals of rules, classifications, rates and rating plan will determine the adjusted premium and surcharges (if any). All information required to conduct our adjustments are subject to verification and change.

Estimated Taxes and Assessments Quoted in this Proposal or Binder For Loss Sensitive
Programs/Plans

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Any references made in this proposal or binder to taxes or tax rates or assessments are subject to change if such taxes or tax rates or assessments are changed or modified by the respective taxing authority(ies) prior to inception or following inception. You shall be obligated for any resulting increase that occurs.

Premium Tax on Deductibles For Loss Sensitive Programs/Plans

If any state regulatory authority that mandates amounts which you have paid as deductible reimbursements are considered premium, and thus are subject to premium taxes and/or assessments makes any claim, we will notify you of the existence of such a claim. We will give you the opportunity of joining with us in any proceeding to contest such claim at your own expense, or to contest such claim independently at your own expense. In the event a determination is made that said reimbursed amounts are taxable as premium or subject to assessments, you will be responsible to pay the premium taxes and/or assessments and any related fines, penalties or interest that may be imposed as a result of the non-payment of premium taxes and/or assessments applicable to the Policies.

Notice about the Office of Foreign Assets Control (OFAC)

This proposal or resulting binder, the continuation of any bound insurance, and any payments to you, to a claimant or to another third party, may be affected by the administration and enforcement of U. S. economic embargoes and trade sanctions by the Office of Foreign Assets Control (OFAC), if we determine that any such party is on the “Specially Designated Nationals or Blocked Persons” list maintained by OFAC.

Notice Applicable to Policies Issued Using the New York Trade Zone

For policies issued using the New York Trade Zone rule, the policy forms and the applicable rates are exempt from the filing requirements of the New York State Insurance Department. However, such forms and rates must meet the minimum standards of the New York Insurance Department.

Vermont Statute, Title 18: Health, Chapter 38: Lead Poisoning

Affidavit Attesting To Compliance With
§1759. Essential Maintenance Practices

In 1996, the State of Vermont passed legislation (Act 165) pertaining to lead poisoning. The Act requires owners of pre-1978 rental dwellings or apartments, and operators of child care facilities housed in buildings constructed prior to 1978, to perform ESSENTIAL MAINTENANCE PRACTICES (EMP’s) unless the property is certified pursuant to Act 165 to be lead-free.

An important part of §1759 addressing EMP’s requires an owner/landlord to sign an affidavit indicating essential maintenance practices have been performed, the dates they were completed, and who performed them. This affidavit attesting to compliance must be filed annually with us (as your liability insurance carrier) as well as the Vermont Department of Health.

The member companies of American International Group, Inc., in accordance with instructions by the Vermont Department of Banking, Insurance, Securities and Health Care Administration, is reaffirming with owners/landlords of affected properties their obligations for compliance with Act 165. If §1759 is applicable to you, your affidavit is an important component of our underwriting file. Compliance with the Essential Maintenance Practices, and receipt of certification from a licensed inspector, provides the owner/landlord with certain liability protections.

Please ensure you follow through with certification and provide us with the required affidavit so that you enjoy the full protection the statute provides.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

NOTE: This notice is not intended to detail the provisions of Act 165. Please see full text of the section of Act 165 (§1759) addressing EMP’s on the internet at URL: http://www.leg.state.vt.us/statutes/fullsection.cfm?Title=18&Chapter=038&Section=01759

Terrorism Risk Insurance Act Of 2002
And
Terrorism Risk Insurance Extension Act Of 2005

You are hereby notified that under the federal Terrorism Risk Insurance Act of 2002 (the “Act”) effective November 26, 2002, and its amendment, the Terrorism Risk Insurance Extension Act of 2005 (jointly referred to as the “Act”), you now have a right to purchase insurance coverage for General Liability losses arising out of an Act of Terrorism, which is defined in the Act as an act certified by the Secretary of the Treasury (i) to be an act of terrorism, (ii) to be a violent act or an act that is dangerous to (A) human life; (B) property or (C) infrastructure, (iii) to have resulted in damage within the United States, or outside of the United States in case of an air carrier or vessel or the premises of a U.S. mission and (iv) to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.

On workers’ compensation policies, coverage for acts of terrorism is mandatory and your quotation will automatically include a charge for terrorism coverage.

You should read the Act for a complete description of its coverage. The Secretary’s decision to certify or not to certify an event as an Act of Terrorism and thus covered by this law is final and not subject to review. There is a $100 billion dollar annual cap on all losses resulting from Acts of Terrorism above which no coverage will be provided under this policy and under the Act unless Congress makes some other determination.

For your information, coverage provided under this proposal or binder for losses caused by an Act of Terrorism may be partially reimbursed by the United States under a formula established by the Act. Under this formula the United States pays 90% of terrorism losses covered by this law exceeding a statutorily established deductible that must be met by the insurer, and which deductible is based on a percentage of the insurer’s direct earned premiums for the year preceding the Act of Terrorism.

Payment of Premium

Wire Transfers

The Broker will be sent a premium invoice for the insured and the insured will then forward the money to the broker who will then wire transfer the money, indicating what the payment is for, to our account:

     CHASE MANHATTAN BANK, NEW YORK, N. Y.
     ABA NO. 021-000-021
     ACCOUNT NAME: NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA.
     ACCOUNT NO. 323-160-387 Phone #: 1 ###-###-####

The broker is to notify AIG Risk Management the day the wire transfer is made so that we may notify our New York accounting department.

Express Mail: Premium Payments can be express mailed to the following address:
AMERICAN INTERNATIONAL COMPANIES
4 CHASE METROTECH CENTER, 7^TH FLOOR EAST

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

LOCKBOX 10472
BROOKLYN, N. Y. 11245

Premium Audit

Premium audits are required in all states covered under your Casualty Insurance Program. AIG Risk Management has a staff devoted to the professional auditing of our accounts. An auditor will be available to meet with you to set the parameters and timetable for the audit process. Records for audit purposes should be available at each location within 30 Days after the policy(ies) anniversary or expiration.

Any premium adjustment developed in the course of an audit of programs/plans that are subject to the terms of the Payment Agreement will be deferred until Plan Adjustment. Changes in the premium amount, based on the completed audits, of all other types of program/plans, including Guaranteed cost programs, will be due within 30 Days of the billing date.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 6 — attachments

Overview

AIG Claim Services (AIGCS) is dedicated to enhancing our customers’ competitive position by delivering effective risk control and claim management services which measurably reduce the ultimate cost of risk. We are committed to excellence, responsible stewardship and superior performance. Some 2,400 claim professionals manage workers’ compensation and property and casualty claims in our service centers strategically located throughout the country.

Special Account Instructions

Where applicable, during AIGCS’ initial set up meeting we develop Special Account Instructions, with your input, to provide information to claim specialists regarding the custom claim management, reporting and threshold requirements you need. Change requests may be submitted by the broker or customer to the AIGCS Team Representative. All service centers managing claims will be trained on these Special Account Instructions.

The Special Account Instructions that are developed and tailored for you are communicated electronically with all updates immediately available through the system to our service centers. Our claim specialists view the Special Account Instructions prior to the handling of any claim.

Claims Reporting

1-800 Reporting — AIG Early Notice^® (AIG EN) is a toll-free claims reporting service which allows customers to report workers’ compensation, general liability, automobile, and property claims by telephone 24 hours a day, 7 days a week. There is no cost for this service.

Internet Claim Reporting — AIGCS offers its customers IntelliRisk^® First Notice of Loss (FNL) reporting through the Internet. This service is available to all of AIGCS’ active customers who have registered for Internet claim reporting through their service representative. For further details visit our Website at www.aigcs.net.

Risk Management Information Systems (RMIS)

Our Risk Management Information Services (RMIS) Division provides a valuable source of claim information solutions for today’s demanding risk management concerns. Through our suite of IntelliRisk^® e-Services and the support of our designated business and technology professionals, we help the policyholders of AIG member companies manage their claim program and reduce costs.

The suite of IntelliRisk e-Services was designed to help facilitate every step of the claim process, and includes:

IntelliRisk NetSource^® — An Internet-based online claim analysis and reporting system that provides real-time claim, payment and adjuster activity information for companies of all types and sizes. Available features include:

•

A powerful query function to pinpoint and analyze claim information

•

Profiling to identify potential high severity claims

•

A communication feature to facilitate e-mail correspondence

•

An online reporting tool that draws on current and historical claim data

IntelliRisk NetData^® — Offers various methods of receiving electronic reports and data. Features include an Internet e-mail service that “pushes” an electronic version of our loss report as a file attachment in an e-mail, reports on CD-ROM, and the ability to send data via FTP (File Transfer Protocol) and on tape, cartridge or diskette.

IntelliRisk^® First Notice of Loss (FNL) — Allows customers to report workers’ compensation and Property and Casualty claims online, sending the information directly into the AIGCS claim system and to the appropriate AIGCS service center.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

IntelliRisk^® Medical Provider Listing (MPL) — Provides easy, fully searchable web-access to information on nearby network doctors, hospitals or specialists.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 6 — attachments

Executive Summary

AIG Consultants, Inc.^®, (AIGC), a member company of American International Group, Inc., provides comprehensive safety, healthcare, environmental, property, and crisis management services. AIGC has been providing clients with quality service for over two decades. Quality and measurable results: these factors make the difference for AIGC’s customers. AIGC is ISO 9001-2000 certified, a distinction which guarantees our organization adheres to a recognized global framework for delivering excellence in customer service, best practices and business leadership. At the core of our operating philosophy is a commitment to delivering the highest level of professional service. Drawing on our expertise, we provide customized assistance focused on our customers’ needs. Through our international network of operations, we offer our services worldwide, and have built a record of success in effectively servicing the needs of our customers. Our international team of over 400 consultants, supplemented by our network of qualified and approved subcontractors/vendors provide technical expertise in a wide array of specialties to ensure your specific needs are met and sound business solutions are delivered.

AIGC constantly strives to add value to our consulting services by offering specialty programs designed to meet our customers’ needs above and beyond the traditional offerings. Innovative programs include:

PATROL™ (Planning And Tracking Response On-Line)
Threat and Vulnerability Risk Assessment (TVRA)
AIG Caring Advantage
PIER ( Pollution Incident and Environmental Response) Program
Best Practices Assessments (BPA)
AIG RISK TOOL

Our services are consultative in nature and focus on loss drivers and your specific needs. The following key planning elements are offered for your review and consideration:

	•		A single Account Manager assigned to your account providing you a single point of contact for all services provided by AIGC.
	•		Safety training and safety materials (programs, videos, etc.) in Spanish and English can be provided.
	•		Additional key services can also be utilized as required to provide business solutions to issues of most concern to our customers in today’s challenging society. Such areas as; Industrial Hygiene/Occupational Health, Safety Accountability and Incentive Programs, Behavioral Based Safety, Ergonomics, Fleet Training (on-line and personalized), and Early Return to Work Programs.
	•		Web based and on-site fleet safety programs, evaluations and specialized training programs.
	•		Development of customized video and web based training and informational programs.

NOTE: Basic risk control services for underwriting purposes have been included in your program. Additional risk control services are available by contacting your AIGC representative.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 6 — attachments

LETTER OF CREDIT SAMPLE WORDING

BANK NAME

Page 1 of 2

FOR INTERNAL IDENTIFICATION
PURPOSES ONLY

OUR NO.:                                  OTHER                     

APPLICANT:                                                              

ISSUE DATE:                                                             

IRREVOCABLE LETTER OF CREDIT NO.                     

TO:
National Union Fire Insurance Co. of Pittsburgh, PA, and
American Home Assurance Company, and
American International Specialty Lines Insurance Company, and
The Insurance Company of the State of Pennsylvania, and
Commerce and Industry Insurance Company, and
AIU Insurance Company, and
Birmingham Fire Insurance Company of Pennsylvania, and
Illinois National Insurance Company, and
American International South Insurance Company, and
National Union Fire Insurance Company of Louisiana, and
American International Pacific Insurance Company, and
Granite State Insurance Company, and
New Hampshire Insurance Company, and
Lexington Insurance Company, and
Landmark Insurance Company, and
Starr Excess Liability Insurance Company Limited,

P.O. Box 923
Wall Street Station
New York, N.Y. 10268
Attn: Mr. Donato DiLuzio

We hereby establish this Irrevocable Letter of Credit in Favor of the aforesaid addressees (each, the “Beneficiary”) for drawings up to United States Dollars (Amount in Words) effective immediately. This Letter of Credit is issued, presentable and payable at our office at (Issuing Bank’s Address) and expires with our close of business on (Date). The term “Beneficiary” includes any successor by operation of law of each Named Beneficiary, including, without limitation, any Liquidator, Rehabilitator, Receiver or Conservator.

We here undertake to promptly honor your sight draft(s) drawn on us, indicating our Credit No.
(                    ), for all or part of this credit if presented at our office specified in paragraph one on or before the expiry date or any automatically extended expiry date. Any one Beneficiary or combination of Beneficiaries, acting individually or collectively, may draw on this Letter of Credit in full or in part, and any action taken by any or all Beneficiaries hereunder shall bind each of them.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Expect as expressly states herein, this undertaking is not subject to any agreement, condition or qualification. The obligation of (Issuing Bank) under this Letter of Credit is the individual obligation of (Issuing Bank), and is in no way contingent upon reimbursement with respect thereto.

It is a condition of this Letter of Credit that it shall be deemed automatically extended without amendment for one year from the expiry date hereof, or any future expiration date, unless at least thirty days prior to any expiration date we notify you by registered mail that we elect not to consider this Letter of Credit renewed for any such additional period.

This Letter of Credit is subject to the and governed by the laws of the State of New York, and the 1993 Revision of the Uniform Customs and Practice for Documentary Credits of the International Chamber of Commerce (Publication 500) and, in the event of any conflict, the laws of the State of New York will control. If this credit expires during an interruption of business as described in Article 17 of said Publication 500, the Bank hereby specifically agrees to effect payment if this credit is drawn against within Thirty (30) days after the resumption of business.

Very truly yours,

(ISSUING BANK)

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 6 - attachments

«Date»
«Policyholder»		SAMPLE
«StreetAddress»
«City», «State» «Zip»

RE:		«Insured Name» «Account Number» «Policy Number(s) and Effective/Expiration Date»

POLICYHOLDER DISCLOSURE STATEMENT UNDER

TERRORISM RISK INSURANCE ACT OF 2002
AND
TERRORISM RISK INSURANCE EXTENSION ACT OF 2005

You are hereby notified that under the federal Terrorism Risk Insurance Act of 2002 (the “Act”) effective November 26, 2002, and its amendment, the Terrorism Risk Insurance Extension Act of 2005 (jointly referred to as the “Act”), you now have a right to purchase insurance coverage for General Liability losses arising out of an Act of Terrorism, which is defined in the Act as an act certified by the Secretary of the Treasury (i) to be an act of terrorism, (ii) to be a violent act or an act that is dangerous to (A) human life; (B) property or (C) infrastructure, (iii) to have resulted in damage within the United States, or outside of the United States in case of an air carrier or vessel or the premises of a U.S. mission and (iv) to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. You should read the Act for a complete description of its coverage. The Secretary’s decision to certify or not to certify an event as an Act of Terrorism and thus covered by this law is final and not subject to review. There is a $100 billion dollar annual cap on all losses resulting from Acts of Terrorism above which no coverage will be provided under this policy and under the Act unless Congress makes some other determination.

For your information, coverage provided by this policy(ies) for losses caused by an Act of Terrorism may be partially reimbursed by the United States under a formula established by the Act. Under this formula the United States pays 90% of terrorism losses covered by this law exceeding a statutorily established deductible that must be met by the insurer, and which deductible is based on a percentage of the insurer’s direct earned premiums for the year preceding the Act of Terrorism.

Please indicate your selection below.

o Coverage for acts of Terrorism under your General Liability policy(ies) may be purchased for an annual premium amount of $«underwriter enters premium». I hereby reject coverage and accept the Terrorism Exclusion on my policy(ies) in accordance with the Act. Please contact your broker with any questions.

Signature of Insured
Print Name/Title
Date
«Underwriter/Account Manager»

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

cc:		Broker

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

SECTION 8 — Glossary

Aggregate Stop Amount

The maximum amount of benefits, damages and, if stipulated, Allocated Loss Adjustment Expense payable by you for losses under policies that are subject to your retention/deductible/loss reimbursement, and (if applicable) self-insured retention insurance plan.

Aggregate Stop Limit

If shown in conjunction with the Aggregate Stop Amount, the Aggregate Stop Limit is the maximum amount of benefits, damages and, if stipulated, Allocated Loss Adjustment Expense that we will not require you to reimburse to us under your retention/deductible/loss reimbursement, and (if applicable) self-insured retention insurance plan.

ALAE (Allocated Loss Adjustment Expense)

Loss adjustment expenses that are assignable or allocated to specific claims. “Allocated Loss Expenses” or “ALAE” will include, but are not limited to, all fees for service of process and court costs and court expenses; pre- and post-judgment interest; attorney’s fees; cost of undercover operative and detective services; costs of employing experts; costs for legal transcripts, copies of any public records and costs of depositions and court-reported or recorded statements; costs and expenses of subrogation; and any similar fee, cost or expense reasonably chargeable to the investigation, negotiation, settlement or defense of a loss or a claim or suit against you, or to the protection and perfection of either your or our subrogation rights.

ALAE will not include loss adjustment expenses explicitly included in the premium calculation formula or otherwise explicitly included in the rating values, nor the salary, employee benefits, or overhead of any of our employees, nor the fees of any attorney who is our employee or under our permanent retainer; nor the fees of any attorney we retain to provide counsel to us about our obligations, if any, under any policy issued by us or our affiliated companies, with respect to a claim or suit against you.

ALIR System

Automobile Liability Insurance Reporting software system used for the reporting of required vehicle data to the various state DMV offices.

Automatic Withdrawal

An insured funded account established to facilitate the carrier’s payment of the insured’s losses and ALAE within the insureds deductible layer. The Insured authorizes the insurer to make withdrawals as necessary and upon the insurer’s demand from the account. The insured is obligated to fund the account to cover expected losses and ALAE within the Insured’s retained/deductible layer. The Insured is responsible to replenish the account as necessary.

Basis of Adjustment

Exposure (such as payroll) and factor (such as a rate) used to determine a specific number or amount.

Claims Payment Deposit

The amount deposited into the Claims Payment Fund.

Claims Payment Fund

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

“Claims Payment Fund” is a non-interest bearing escrow fund established in the amount of two and one half (2 ¹/2) months’ estimated Reimbursable Loss Plus Allocated Loss Expenses. The Claims Payment Fund is deposited with the Claims Administrator for the payment of claims. The Claims Payment Fund is an estimated amount, and it will be adjusted depending upon the actual claims paid. The prior four months’ paid losses will be reviewed by the Company to determine a two and one-half (2 ¹/2) month average.

Claims Service Charges

Fees associated with the Third Party Administrator’s handling of claims adjustment for a given account.

Deductible

The amount of any damages or benefits arising out of any single accident, occurrence, claim or suit, paid or payable by you and which is not included in the computation of the Subject Premium.

Deferred Expense Provision

Is an estimated amount of expenses that you must pay as shown in the Schedule of Policies and Premiums to the Payment Agreement.

Deferred Loss Provision

Is the estimated amount you must pay us as regular (usually billed monthly) loss payments and sizable loss payments as described in the Schedule of Policies and Premiums to the Payment Agreement.

DMV

Department of Motor Vehicles.

Estimated Deferred Amounts

Estimate of the Deferred Loss Provision and Deferred Expense Provision shown in the Schedule of Policies and Premiums to the Payment Agreement.

Estimated Cost

All costs and amounts set out in the binder are considered estimated amounts subject to change prior to program binding and in the case of adjustable programs post program inception. Tax amounts quoted through out the binder are estimated and subject to change based on revised tax rates and additional assessments that come due during the policy period

Experience Modifications

A factor to adjust the premium in anticipation of loss experience that is expected to vary from the provision for losses in the rates. It is based upon the past variance of experience from expected experience.

FEIN numbers

Federal Employer Identification number.

Guaranteed Cost Policies

Policies of insurance under which premium is charged on a prospective basis without adjustment for loss experience during the policy period.

Incurred Loss Conversion

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Amendment of a program from one in which you are reimbursing us for loss and expense actually paid out, to a program in which you are paying loss and expense actually paid out, but also for reserve amounts established on pending claim activity.

Insured States

States that are covered by insurance

Loss Conversion Factor

Are factors used in the retention rating formula that provide a charge to cover the cost of the insurer’s claims service fee.

Loss Development Factors

Loss Development Factors shall mean those factors promulgated by the Company from time to time which are applied to Incurred Loss(es) to project Outstanding Loss Reserves and Allocated Loss Expense Reserves to ultimate and contain a reserve for IBNR.

Loss Reimbursement Limit

The portion of any loss and ALAE we pay that you must reimburse us for under any “Loss Reimbursement” provisions of a Policy.

LRRP endorsement

LRRP (Large Risk Rating Plan) is RMG’s version of the NCCI/ISO Large Risk Alternative Rating Option. The LRRP endorsement moves the adjustment process from the individual policies to the overall program adjustment and moves expenses among different lines of insurance.

Maximum Cost

The maximum amount that you must pay for the Subject Premium, and if applicable, non-subject premium, Self-Insured losses and ALAE.

Maximum Insurance Cost

Subject, non-subject and deductible reimbursements and surcharges and special taxes.

Maximum Premium

Largest amount that the subject premium can attain.

Minimum Cost

The minimum amount that you must pay for the Subject Premium, and if applicable, non-subject premium, Self-Insured losses and ALAE.

Monopolistic States

Those states where employers must obtain workers compensation insurance from compulsory state funds or qualify as a self-insurer. North Dakota, Ohio, Washington, West Virginia and Wyoming (for certain codes only) are monopolistic states.

Non-Ratable

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A type of charge, especially in workers compensation rating, that is based on a catastrophic type exposure and is thus excluded from ordinary rate-making and is also not subject to experience rating and retrospective rating.

Non-Subject Premium

All other premium under a policy that is not subject to adjustment on the basis of loss adjustment.

Plan Adjustment

Recalculation of the estimated premium from policy inception based on audited exposures and factors shown in the binder, plus losses and expenses, where applicable.

Paid Loss adjustments

Recalculation of the estimated premium based on audited exposures and factors shown in the binder, plus the difference between losses and expenses you have paid to date and the losses and expenses paid by us as of the loss and expense evaluation date used in the Paid Loss Adjustment.

Paid Losses

Losses paid under the insurance program as they become due.

Premium Deferral Plan

Plan under which the Insured and insurer agree to defer the insurance program premium over the course of the policy period. The Plan is set out in the schedule to the payment agreement and the insured is obligated to provide collateral to secure for the deferred payment plan.

Premium Discount

A discount granted to reflect expense savings relative to the size of the standard premium.

Retention

The amount of any damages or benefits arising out of any single accident, occurrence, claim or suit, paid or payable by you and which is included in the computation of the Subject Premium.

Self-Insured Retention

A specific amount the Insured retains as its obligation for a covered loss. It is the Insured providing primary insurance over which the carrier provides excess coverage. Unlike a Deductible, the Insurer is not obligated to pay the Insured’s SIR and then seek reimbursement form the Insured. The insured is directly responsible to the claimant for the amount of the SIR.

Self Insured States

Those states in which you, the insured, are providing the primary layer of insurance.

Sizable Loss Payments

A set amount shown in the Payment Agreement schedule for which the Insured will be obligated to reimburse us following our payment of any Loss and ALAE within the Insured’s retention.

CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.

Stacking

Refers to a condition allowed in some states that permits you to add the policy limits of other vehicles covered by you, either on the same policy (interpolicy) or from other policies (intrapolicy), and recover the sum of these limits.

Standard Premium

Premium based upon the exposure rates and increase limit factors, but without application of premium discount or deductible discounts.

Stop Gap Liability

Provides Employers Liability coverage for those states where employers must obtain statutory workers compensation insurance from a compulsory state fund.

Subject Premium

“Subject Premium” is the portion of the Gross Program Premium subject to adjustments in accordance with the adjustment formula shown in this Binder. At the commencement of the program, it is the amount stated on the Pricing Page.

Texas Premium Discount

Premium discounts on automobile policies with premiums in excess of $5,000. These discounts are set when the policy is issued and cannot be changed until an audit of the policy is completed.

UAIN

Unemployment Account Identification Number

Ultimate Incurred Loss Plan

Loss Sensitive program in which you are paying, in advance of actual loss dollar payment, for the ultimate cost of expected losses and expenses that will occur during the policy period.

Ultimate Losses

Paid losses and expense dollars, and reserve loss and expense dollars developed using Loss Development Factor(s) to establish the maximum expected total loss and expense amount.

UM/UIM/PIP

Uninsured Motorist Coverage, Underinsured Motorist Coverage and Personal Injury Protection. All three are specific coverage available under a Business Auto, Truckers’ or Garage Liability Policy. UM and UIM coverage provides an insured with bodily injury (and in some states, property damage) coverage from its own carrier as if collecting from the tortfessor’s carrier. PIP is a statutorily provided coverage that has insurers provide first party benefits for medical expenses, loss of income, funeral expenses and such without regard to fault.

Valuation Date

The cut off date for adjustments made to paid claims and reserve estimates in a loss report.