Received 1/7/2020 8:33:59 AM Commonwealth Court of Pennsylvania

Filed 1/7/2020 8:33:00 AM Commonwealth Court of Pennsylvania 1 LIN 2015

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

IN RE: Lincoln General Insurance Company :

In Liquidation No. 1 LIN 2015

APPLICATION FOR APPROVAL OF REPORT AND RECOMMENDATIONS ON LINCOLN GENERAL INSURANCE COMPANY CLAIMS

UNDISPUTED AND RESOLVED FROM JANUARY 1, 2019 TO DECEMBER 31, 2019

Applicant, Jessica K. Altman, Insurance Commissioner of the Commonwealth of

Pennsylvania, in her official capacity as the Statutory Liquidator ("Liquidator") of Lincoln General

Insurance Company ("Lincoln"), pursuant to Pa.R.A.P. 3784(a) and 40 P.S. § 221.45, respectfully

applies to this Court for an Order approving her Report and Recommendations on Lincoln General

Insurance Company Claims Undisputed and Resolved from January 1, 2019 to December 31,

2019. In support of her Application, the Liquidator avers the following:

BACKGROUND

1. Then -Insurance Commissioner Teresa D. Miller, and her successor -in -office, was

appointed Statutory Liquidator of Lincoln pursuant to this Court's Order dated November 5, 2015

("Liquidation Order"). Jessica K. Altman succeeded Ms. Miller in August 2017 and is now the

Insurance Commissioner and Statutory Liquidator of Lincoln.

2. The Liquidation Order provided that "in addition to the notice requirements of

Section 524 of Article VI, 40 P.S. § 221.24, the Liquidator shall publish notice in newspapers of

See The Insurance Depai tment Act of 1921, Act of May 17, 1921, P.L. 789, as amended, 40 P.S. §§ 221.1 -221.63. (This footnote is added here and is not contained in the text of the Liquidation Order that is being quoted in paragraph

2).

1

general circulation, where Lincoln has its principal places of business that: (a) specifies the last

day for the filing of claims; (b) explains the procedure by which claims may be submitted to the

Liquidator; (c) provides the address of the Liquidator's office for the submission of claims; and

(d) notifies the public of the right to present a claim, or claims, to the Liquidator." See Liquidation

Order, ¶15. By November 23, 2015, the Liquidator provided Notice of the Liquidation Order and

a Q&A document that, inter alia, informed all interested parties to download a Proof of Claim

("POC") form from the Insurance Department's website, or call for a copy of the POC form.

3. 40 P.S. § 221.45 requires the Liquidator to present to the Court a report of the claims

against the insurer with recommendations, including the name and address of each claimant, the

particulars of the claim, and the amount of the claim finally recommended, if any. Pa.R.A.P.

3784(a) further refines 40 P.S. § 221.45, and requires the Liquidator to present to the Court a report

of the claims against the insurer's estate that have been resolved, with recommendations, including

the information required by 40 P.S. § 221.45, as well as the priority class, and whether the claim

determination was finalized because no objection was filed, no exceptions were taken to a referee's

recommended decision, a recommended decision was sustained by the Court or the parties agreed

to a settlement.

REPORT AND RECOMMENDATIONS ON CLAIMS UNDISPUTED AND RESOLVED AS OF DECEMBER 31, 2019

4. The Liquidator's Report and Recommendations on Lincoln General Insurance

Company Claims Undisputed and Resolved from January 1, 2019 to December 31, 2019, is

comprised of two parts and attached hereto as Exhibits A and B (collectively referred to as

"Report"). The claims are sorted alphabetically, within each class, by the claimant's last name or

company name. The amount claimed by the claimant, inter alia, is also included in the Report.2

2 If the claimant did not indicate a specific claim amount on the Proof of Claim, the claimed amount is noted as $0.

2

5. The first part of the Report, which addresses claims that were determined and

finalized without objection, and are referred to as "Undisputed Claims", reflects Notices of

Determinations ("NODs") issued by the Liquidator for which the objection period expired on or

before December 31, 2019. In this Report, the Liquidator respectfully submits her

recommendations for a total of 112 Undisputed Claims with an allowed amount of $1,356,431.31,

in accordance with Pa.R.A.P. 3784(a) and 40 P.S. § 221.45, for this Court's approval. The list of

Undisputed Claims is attached hereto as Exhibit A.

6. The second part of the Report, which addresses claims that were determined and

finalized because no exceptions were taken to a referee's recommended decision, a recommended

decision was sustained by the Court or the parties agreed to a settlement, and are referred to as

"Resolved Claims", is a list of the disputed claims to which objections were filed and resolved on

or before December 31, 2019. There were 4 Resolved Claims with an allowed amount of

$1,335,000.00 during calendar year 2019, as reflected in Exhibit B attached hereto.

7. As set forth in Exhibits A and B, the Liquidator respectfully submits her

recommendations for a total of 116 claims with a total allowed amount of $2,691,431.31 in

accordance with Pa.R.A.P. 3784(a) and 40 P.S. § 221.45 for this Court's approval.

8. In fulfilling her statutory requirements, the Liquidator carefully reviewed all

documentation submitted by the claimants in support of the claims and independently determined

the merit, classification and value of each claim, as required by Article V. See 40 P.S. §§ 221.37,

221.38, 221.44, 221.45.

9. Given the discretion afforded the Liquidator pursuant to 40 P.S. § 221.45(a) to

"comport, compromise, or in any other manner negotiate the amount for which claims will be

recommended to the court," the Liquidator believes that the classification and amounts she has

3

determined for the reported claims are appropriate, fair and equitable and consistent with the

relevant provisions of Article V. The Liquidator further believes that the approval of the claims

listed in the attached Report is in the best interests of the Lincoln estate claimants and other

creditors.

10. Pursuant to Pa.R.A.P. 3784(a) and 40 P.S. § 221.45(b), the Liquidator respectfully

requests that this Court approve the classification and allowed amount of the claims listed in the

Report and allow the claimants listed in the Report or their lawful assignees to receive a

distribution in accordance with 40 P.S. § 221.44 at the time and in the manner as approved by this

Court.

WHEREFORE, the Liquidator respectfully requests that this Court grant her Application

and approve and allow the claims as listed in the Report attached as Exhibits A and B, enter an

Order in the form attached hereto, and grant such other relief as the Court shall determine

appropriate and just.

Dated: \ 1

By:

Respectfully submitted:

)11 )z Preston M. Buckman (I.D. No. 57570) PA Office of General Counsel Pennsylvania Insurance Department Office of Liquidations, Rehabilitations and Special Funds 901 North 7th Street Harrisburg, PA 17102 (717) 886-2080

Attorney for Jessica K. Altman, Insurance Commissioner of the Commonwealth of Pennsylvania, in her Official Capacity as Statutory Liquidator of Lincoln General Insurance Company (In Liquidation)

4

EXHIBIT A

Undisputed and R

esolved Claim

s

Undisputed C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Num

ber of Undisputed C

laims:

112 Am

ount Claim

ed: 10,543,362.87 A

mount A

pproved: 1,356,431.31

Undisputed and R

esolved Claim

s U

ndisputed Claim

s

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019 thru

12/31/2019 N

ame

i A

ddress l

POC

# ..,

.W

:.,

- PO

C R

eceived :'

-y..D.4.te

..,

Claim

Num

tnrs 1

Class

Total M

imed

a

AM

QPIllt.....,

Total A

llowed

..._....AM

.Q4lat.,........

Claim

Particulars .

.. .

ALA

BA

MA

INS

UR

AN

CE

GA

(A

LC)

ALA

BA

MA

INS

UR

AN

CE

GA

(A

LC)

600 UN

IVE

RS

ITY

PA

RK

PLA

CE

S

UIT

E 260

BIR

MIN

GH

AM

, AL 35209

3 12/31/2015

A

9,466.20 9,466.20

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

DIS

TR

ICT

OF

CO

LUM

BIA

INS

UR

AN

CE

GA

(DC

IGA

) D

IST

RIC

T O

F C

OLU

MB

IA IN

SU

RA

NC

E G

A (D

CIG

A)

ON

E B

OW

DO

IN S

QU

AR

E

BO

ST

ON

, M

A 021142916

27 06/04/2018

A

0.00 0,00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

FLO

RID

A IN

SU

RA

NC

E G

A

(FLC

) F

LOR

IDA

INS

UR

AN

CE

G

A

(FLC

) 1400 V

ILLAG

E S

QU

AR

E B

LVD

. S

UIT

E 3-008

PO

BO

X

14249 T

ALLA

HA

SS

EE

, FL 32317

30 12/31/2015

A

27,244.27 27,244.27

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

ILLINO

IS IN

SU

RA

NC

E G

F (ILIG

A)

ILLINO

IS IN

SU

RA

NC

E G

F (ILIG

A)

SU

ITE

1910 120 S

OU

TH

LAS

ALLE

ST

RE

ET

C

HIC

AG

O,

IL 60603

45 12/31/2015

A

57,216.97 57,216,97

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E

CLA

IM

IND

IAN

A IN

SU

RA

NC

E G

A (IN

C)

IND

IAN

A

INS

UR

AN

CE

GA

(INC

) S

UIT

E 100

3502 W

OO

DV

IEW

TR

AC

E

IND

IAN

AP

OLIS

, IN 46268

48 12/31/2015

A

7,854.02 7,854.02

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E E

XP

EN

SE

CLA

IM

KE

NT

UC

KY

INS

UR

AN

CE

GA

(K

YC

) K

EN

TU

CK

Y IN

SU

RA

NC

E G

A (K

YC

) 10605 S

HE

LBY

VILLE

R

OA

D

SU

ITE

101

LOU

ISV

ILLE, K

Y 40222

57 12/17/2015

A

2,594.66 2,594.66

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

MIN

NE

SO

TA

INS

UR

AN

CE

G

A (M

NC

) M

INN

ES

OT

A IN

SU

RA

NC

E G

A

(MN

C)

SU

ITE

R 460

7600 PA

RK

LAW

N A

VE

NU

E

ED

INA

, MN

55435

75 12/31/2015

A

6,943.98 6,943.98

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

MIS

SO

UR

I P

RO

PE

RT

Y &

CA

SU

ALT

Y IN

SU

RA

NC

E G

A (M

OC

) M

ISS

OU

RI

PR

OP

ER

TY

& C

AS

UA

LTY

INS

UR

AN

CE

G

A (M

OC

) 2210 M

ISS

OU

RI B

LVD

. K

rr-crssoN C

ITY

, 040 15101

81 03/16/2016

A

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

OK

LAH

OM

A

PR

OP

ER

TY

& C

AS

UA

LTY

INS

UR

AN

CE

GA

(O

KC

) O

KLA

HO

MA

PR

OP

ER

TY

& C

AS

UA

LTY

INS

UR

AN

CE

GA

(OK

C)

SU

ITE

800E

2601 NO

RT

HW

ES

T E

XP

RE

SS

WA

Y

OK

LAH

OM

A C

ITY

, O

K 73112

120 03/31/2016

A

18,771.35 18,771.35

GU

AR

AN

TY

AS

SO

CIA

TIO

N

AD

MIN

IST

RA

TIV

E

EX

PE

NS

E C

LAIM

485 EA

T O

WN

ER

LLC

485 EA

T O

WN

ER

LLC

SL G

RE

EN

R

EA

LTY

CO

RP

420

LEX

ING

TO

N A

VE

N

EW

YO

RK

, NY

10170

1652 06/27/2016

B

0.00 0.00

P&

C IN

SU

RE

D

AC

TIV

E C

AR

E M

ED

ICA

L SU

PP

LY

AC

TIV

E C

AR

E M

ED

ICA

L SU

PP

LY

2426 EA

ST

CH

ES

TE

R R

OA

D

BR

ON

X,

NY

10469

1788 04/15/2016 1600075,

1600082, 1600098

1600080, 1600097,

B

7,482.84 0.00 P

&C

TH

IRD

PA

RT

Y

AC

UP

UN

CT

UR

E A

PP

RO

AC

H

1

AC

UP

UN

CT

UR

E A

PP

RO

AC

H

129 LIV

ING

ST

ON

ST

2N

D

AN

D 3R

D F

LRS

' BR

OO

KLY

N,

NY

11201

2003

i i

07/14/2016

i i

1600140,

I i

1600144 B

4,949.27

0.00

I

P&

C T

HIR

D P

AR

TY

i _

AC

UP

UN

CT

UR

E A

PP

RO

A CH

l'A

'"P, ,N

'T, ,R

. AP

PR

',A,H

129 LIV

ING

ST

ON

ST

2N

D A

ND

3RD

FLR

S

BR

OO

KLY

N,

NY

11201

I 2n5,

07/11/2016.1600111 IB

3r'17 39r

0.1201P&

C T

HIR

D P

AR

TY

ALA

BA

MA

INS

UR

AN

CE

GA

(A

LC)

ALA

BA

MA

INS

UR

AN

CE

G

A (A

LC)

600 UN

IVE

RS

ITY

P

AR

K P

LAC

E

SU

ITE

260

BIR

MIN

GH

AM

, A

L 35209

1 02/02/2016

B

0,00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N LO

SS

P

AY

ME

NT

CLA

IM

Undisputed and R

esolved Claim

s

Undisputed C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Nam

e .,

,... "

....... - _

........ ..

.........

Address

'

....,...... ...

. .

._._ ..._

. ,.

..... ..

......

POC

#,. P4:3C

Received I ,

_Pate_ C

lean Num

bers i

,.........,. C

iass j..........401.9_40t

Total C

laimed

fi

,

..... ,...... Total A

llowed

I

.ArrIPPIlt.,_i.

0.00

Claim

Particularo ..

... .

. .

P&

C T

HIR

D P

AR

TY

A

M C

HIR

OP

RA

CT

IC,

PC

A

M C

HIR

OP

RA

CT

IC, P

C

GA

RY

TS

IRE

LMA

N, E

SQ

. 129 LIV

ING

ST

ON

ST

RE

ET

2N

D F

LOO

R

BR

OO

KLY

N,

NY

11201

1954 07/11/2016

1600132 B

80.88

AM

CH

IRO

PR

AC

TIC

, P

C

AM

CH

IRO

PR

AC

TIC

, PC

GA

RY

TS

IRE

LMA

N, E

SQ

. 129 LIV

ING

ST

ON

ST

RE

ET

2N

D

FLO

OR

BR

OO

KLY

N,

NY

11201

1953 07/11/2016

1600131 B

132.84

0.00 P

&C

TH

IRD

PA

RT

Y

BA

Y P

LAZ

A C

HIR

OP

RA

CT

IC P

C

BA

Y P

LAZ

A C

HIR

OP

RA

CT

IC P

C

2100 BA

RT

OW

AV

E

BR

ON

X,

NY

10475

1785 05/02/2016

1600093, C0000118

B

215.69 0.00

P&

C T

HIR

D

PA

RT

Y

BO

T

HA

RLE

M M

ED

ICA

L PC

B

OT

HA

RLE

M

ME

DIC

AL P

C

2738 FR

ED

ER

ICK

DO

UG

LAS

BLV

D

NE

W Y

OR

K,

NY

10039

1865 07/01/2016

1600110 B

3,303.79

0.00 P

&C

TH

IRD

PA

RT

Y

BR

ON

X A

CU

PU

NC

TU

RE

TH

ER

AP

Y

PC

B

RO

NX

AC

UP

UN

CT

UR

E T

HE

RA

PY

PC

GA

RY

TS

IRE

LMA

N

129 LIVIN

GS

TO

N S

T

2ND

AN

D 3R

D

FLS

BR

OO

KLY

N, N

Y 11201

2001 07/11/2016

1600142 B

8,217.93

0.00 P

&C

TH

IRD

PA

RT

Y

CA

DILLA

C P

LAS

TE

RIN

G

CA

DILLA

C P

LAS

TE

RIN

G

145 MID

WA

Y

AV

E

AU

BU

RN

, CA

956035436

441 04/24/2017

1600128 B

28,948.00

28,948.00 P

&C

INS

UR

ED

CA

LCO

TR

AV

EL IN

C

CA

LCO

TR

AV

EL

INC

37180 H

IGH

WA

Y 30

GE

ISM

AR

, LA 70734

179 07/06/2016

B

0.00 0.00

P&

C IN

SU

RE

D

CA

PLA

N

, SID

NE

Y

CA

PLA

N

, SID

NE

Y

CA

TH

ER

INE

A. P

OT

TH

AS

T,

P.A

. 2324 W

ES

T JO

PP

A R

OA

D

SU

ITE

425 LU

TH

ER

VILLE

, MD

21093

2487 10/18/2018 1200313

B

803.45 250.00 P

&C

INS

UR

ED

CA

PLA

N

, SID

NE

Y

CA

PLA

N

, SID

NE

Y

CA

TH

ER

INE

A. P

OT

TH

AS

T, P

.A.

2324 WE

ST

JOP

PA

RO

AD

S

UIT

E 425

LUT

HE

RV

ILLE, M

D 21093

2322 02/08/2018

1600240 B

0.00

62.50 P

&C

INS

UR

ED

CA

PLA

N

, SID

NE

Y

CA

PLA

N

, S

IDN

EY

C

AT

HE

RIN

E A

. P

OT

TH

AS

T,

P.A

. 2324

WE

ST

JOP

PA

RO

AD

S

UIT

E 425

LUT

HE

RV

ILLE,

MD

21093

1629 06/22/2016

1500101 B

0.00

100.00 P

&C

INS

UR

ED

!CA

PLA

N

, S

IDN

FY

C

AP

LAN

,

SID

NE

Y

!CA

TH

ER

INE

A

. P

OT

TH

AS

T,

P.A

. 2324 W

ES

T 3O

PP

A ROAD

SU

ITE

425

LUT

HE

RV

ILLE,

MD

21093

1

21191 02/09/201811600239

i i

16 I

0.00

1

0.00 P

&C

INS

UR

ED

CA

PLA

N

, S

IDN

EY

C

AP

LAN

, S

IDN

EY

C

AT

HE

RIN

E A

. P

OT

TH

AS

T,

P.A

. 2324 W

ES

T JO

PP

A R

OA

D

SU

ITE

425 LU

TH

ER

VILLE

, M

D 21093

2320 02/09/2018

1600239 B

0.00

0.00 P

&C

INS

UR

ED

Undisputed and R

esolved Claim

s U

ndisputed Claim

s

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Nam

e ... -.... _....... _.

..

Address

1

_ , PD

C # '

....... .

PCC

Received

_ C

tittV

.... C

laim N

umbers

Class

Total C

laimed

Am

94rit T

otal Allow

ed i

Art104.1rIt

Claim

Particu a $ C

AP

LAN

, S

IDN

EY

C

AP

LAN

, S

IDN

EY

C

AT

HE

RIN

E A

. P

OT

TH

AS

T,

P.A

. 2324

WE

ST

lOP

PA

RO

AD

S

UIT

E 425

LUT

HE

RV

ILLE, M

D 21093

2323 02/08/2018

1600240 B

0.00

62.50 P

&C

INS

UR

ED

CA

RD

ILLO, D

AV

ID

CA

RD

ILLO, D

AV

ID

LAW

OF

FIC

E O

F P

ET

ER

SK

IVIN

GT

ON

31 M

AIN

ST

RE

ET

GE

NE

SC

O,

NY

14454

1676 06/30/2016

509535 B

1,000,000.00

0.00 P

&C

TH

IRD

PA

RT

Y

CA

RD

ILLO, LO

UIS

E E

. C

AR

DILLO

, LOU

ISE

E.

LAW

OF

FIC

E O

F P

ET

ER

SK

IVIN

GT

ON

31 M

AIN

ST

RE

ET

GE

NE

SC

O, N

Y 14454

853 06/30/2016

509535 B

1,000,000.00

0.00 P

&C

TH

IRD

PA

RT

Y

CLA

SS

IC LA

TH

&

PLA

ST

ER

ING

INC

C

LAS

SIC

LAT

H

& P

LAS

TE

RIN

G IN

C

1327 VIN

TA

GE

WA

Y

AU

BU

RN

, CA

95603

445 06/27/2016 1500116

B

0.00 0.00

P&

C IN

SU

RE

D

CU

ST

OM

OR

TH

OT

ICS

C

US

TO

M O

RT

HO

TIC

S

P 0

BO

X 20433

HU

NT

ING

TO

N S

TA

TIO

N, N

Y

11746

1885 07/01/2016

1600113 B

51.80

0.00 P&

C T

HIR

D P

AR

TY

DIS

TR

ICT

OF

CO

LUM

BIA

INS

UR

AN

CE

GA

(DC

IGA

) D

IST

RIC

T O

F C

OLU

MB

IA IN

SU

RA

NC

E G

A

(DC

IGA

) O

NE

BO

WD

OIN

SQ

UA

RE

B

OS

TO

N,

MA

021142916

25 06/04/2018

B

0.00 0.00 G

UA

RA

NT

Y A

SS

OC

IAT

ION

LOS

S

PA

YM

EN

T C

LAIM

EA

SY

CA

RE

AC

UP

UN

CT

UR

E

EA

SY

CA

RE

AC

UP

UN

CT

UR

E

129 LIVIN

GS

TO

N S

T

2ND

AN

D 3R

D F

LRS

BR

OO

KLY

N, N

Y

11201

2002 07/11/2016

1600141 B

2,678.62

0.00 P

&C

TH

IRD

PA

RT

Y

ELM

ON

T R

EH

AB

PT

, P

C

ELM

ON

T R

EH

AB

PT

, P

C

762 ELM

ON

T R

D

ELM

ON

T, N

Y 11003

1760 04/15/2016

1600075 B

0.00

0.00 P

&C

TH

IRD

P

AR

TY

FLO

RID

A IN

SU

RA

NC

E

GA

(FLC

) F

LOR

IDA

INS

UR

AN

CE

GA

(F

LC)

1400 V

ILLAG

E S

QU

AR

E B

LVD

. S

UIT

E 3-008

PO

BO

X 14249

TA

LLAH

AS

SE

E, F

L 32317

28 04/06/2016

B

1,095.00 1,095.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N LO

SS

P

AY

ME

NT

CLA

IM

FO

ST

ER

, ST

EV

EN

AN

TH

ON

Y

FO

ST

ER

, ST

EV

EN

AN

TH

ON

Y

441 W A

ND

RIX

S

TR

EE

T

MO

NT

ER

EY

PA

RK

, C

A 91754

258 11/19/2015

B

0.00 0.00

P&

C IN

SU

RE

D

GE

OR

GIA

INS

UR

ER

S IN

SO

LVE

NC

Y P

OO

L (GA

C)

GE

OR

GIA

INS

UR

ER

S IN

SO

LVE

NC

Y

PO

OL (G

AC

) S

UIT

E 400

3700 CR

ES

TW

OO

D P

AR

KW

AY

NW

DU

LUT

H,

GA

30096

34 04/09/2018

B

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N LO

SS

P

AY

ME

NT

C

LAIM

GL A

CU

PU

NC

TU

RE

P

C

I

GL A

CU

PU

NC

TU

RE

P

C

4100 F

IRS

T A

VE

2N

D

FLO

OR

B

RO

OK

LYN

, N

Y 11232

1708 04/15/2016

1600078 B

5,200.36

I

0.00

I

P&

C T

HIR

D P

AR

TY

I

/GR

EE

N 481 LE

SS

EE

LLC

GR

EE

N

485 LES

SE

E LLC

S

L G

RE

EN

RE

ALT

Y C

OR

P

420 LE

XIN

GT

ON

AV

E

NE

W Y

OR

K, N

Y 10170

1655 01/27/2016

0 1

0.001 0.00

PA

C IN

SU

RE

D

GR

EE

N 485 O

WN

ER

LLC

GR

EE

N

485 OW

NE

R LLC

S

L GR

EE

N

RE

ALT

Y C

OR

P

420 LE

XIN

GT

ON

AV

E

NE

W Y

OR

K,

NY

10170

1653 06/27/2016

B

0.00 0.00

P&

C IN

SU

RE

D

GR

EE

N 485 T

IC LLC

G

RE

EN

485 TIC

LLC

SL G

RE

EN

R

EA

LTY

CO

RP

420 LE

XIN

GT

ON

AV

E

NE

W Y

OR

K,

NY

10170

1654 06/27/2016

B

0.00 0.00

I

P&

C IN

SU

RE

D

Undisputed and R

esolved Claim

s U

ndisputed Claim

s

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Nam

e ,

. '

Aidress

POC

# i I PO

C R

eceived i

PAM

&

ClairraturnO

ers 1

..

Class

k T

otal Claim

ed A

raquot. ,

Total A

llowed

I

.AM

9unt., C

laim Particulars

.... ....

. G

RE

EN

HE

IGH

TS

PH

YS

ICA

L TH

ER

AP

Y

GR

EE

N H

EIG

HT

S

PH

YS

ICA

L TH

ER

AP

Y

P 0

BO

X 222

BR

ON

X, N

Y 10471

1703 05/02/2016

1600068 B

599.24

0.00 P&

C T

HIR

D P

AR

TY

GR

EE

NW

AY

ME

DIC

AL

SU

PP

LY

GR

EE

NW

AY

M

ED

ICA

L SU

PP

LY

2570 86TH

ST

RE

ET

BR

OO

KLY

N,

NY

11214

1814 04/15/2016 1600092, 1600100

B

0.00 0.00

P&

C T

HIR

D P

AR

TY

HE

ALIN

G A

RT

AC

UP

UN

CT

UR

E P

C

HE

ALIN

G A

RT

AC

UP

UN

CT

UR

E P

C

961 E

AS

T 174T

H

ST

RE

ET

S

UIT

E 18

BR

ON

X,

NY

10460

1817 04/15/2016

1600069, 1600072, 1600084, 1600085, 1600088, 1600096

B

0.00 0.00

P&

C T

HIR

D P

AR

TY

HE

ALT

H N

EE

DLE

S A

CU

PU

NC

TU

RE

PC

H

EA

LTH

NE

ED

LES

AC

UP

UN

CT

UR

E

PC

441

OC

EA

N P

AR

KW

AY

S

UIT

E 4E

BR

OO

KLY

N,

NY

11218

1783 04/15/2016

1600068, 1600091 B

0.00

0.00 P

&C

TH

IRD

PA

RT

Y

HE

ALT

HY

LIF

E

CH

IRO

PR

AC

TIC

H

EA

LTH

Y LIF

E C

HIR

OP

RA

CT

IC

P 0 B

OX

350141 B

RO

OK

LYN

, N

Y 11235

1729 04/15/2016

1600079 B

0.00

0.00 P

&C

TH

IRD

PA

RT

Y

HO

LDE

RS

AIR

CO

ND

ITIO

NIN

G

HO

LDE

RS

AIR

CO

ND

ITIO

NIN

G

2808 EIS

SLE

R S

TR

EE

T

BA

KE

RS

FIE

LD, C

A 93306

2026 11/14/2016 1600147

B

0.00 0.00

P&

C IN

SU

RE

D

ILLINO

IS IN

SU

RA

NC

E G

F (R

IGA

) ILLIN

OIS

INS

UR

AN

CE

GF

(ILIGA

) S

UIT

E 1910

120 SO

UT

H LA

SA

LLE S

TR

EE

T

CH

ICA

GO

, IL 60603

43 06/06/2016

B

22,294.01 22,294.01

GU

AR

AN

TY

AS

SO

CIA

TIO

N LO

SS

P

AY

ME

NT

CLA

IM

KE

NT

UC

KY

INS

UR

AN

CE

GA

(K

YC

) K

EN

TU

CK

Y IN

SU

RA

NC

E G

A (K

YC

) 10605 S

HE

LBY

VILLE

RO

AD

S

UIT

E 101

LOU

ISV

ILLE, K

Y 40222

55 12/17/2015

B

4,579.37 4,579.37 G

UA

RA

NT

Y A

SS

OC

IAT

ION

LOS

S

PA

YM

EN

T C

LAIM

KO

LIAT

SIS

, IOA

NN

A

KO

LIAT

SIS

, IO

AN

NA

S

AC

CO

AN

D

FT

, I A

S

31-19 NE

WT

OW

N A

VE

S

EV

EN

TH

F

LOO

R

AS

TO

RIA

, N

Y 11102

1749 02/29/2016 C

0002043 B

25,000.00

0.00 P

&C

TH

IRD

PA

RT

Y

LEH

R

CO

NS

TR

UC

TIO

N C

OR

P.

LEH

R C

ON

ST

RU

CT

ION

CO

RP

. F

LAX

ER

, E

SQ

UIR

E, JO

NA

TH

AN

437 M

AD

ISO

N A

VE

. 35T

H F

LOO

R

NE

W

YO

RK

, NY

10022

1623 06/23/2016

B

0.00 0.00

P&

C IN

SU

RE

D

LEX

ING

TO

N IN

SU

RA

NC

E C

OM

PA

NY

LE

XIN

GT

ON

IN

SU

RA

NC

E C

OM

PA

NY

P

0 BO

X 305904

NA

SH

VILLE

, T

N 37230

1824 07/06/2016

B

0.00 0.00

P&

C IN

SU

RE

D

LON

DO

N, LA

WR

EN

CE

S

1

!LON

DO

N, LA

WR

EN

CE

S

c2404 D

IAN

A R

D

BA

LTIM

OR

E,

MD

21209

1671 06/28/2016

I I

B

c

0.00 0.00

P&

C IN

SU

RE

D

MIS

SO

UR

I morE

RT

Y

& C

AS

UA

LTY

INS

UR

AN

CE

C

A (M

CC

)

;

MIS

SO

UR

I PR

OP

ER

TY

& C

AS

UA

LTY

IN

SU

RA

NC

E G

A (110C

) 2 210

MIS

SO

UR

I BLV

D.

JEF

FE

RS

ON

CIT

Y, M

O 65109

79 03/16/211.5, i

B

0.001 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N LO

SS

'P

AY

ME

NT

C

LAIM

MJM

P

LUM

BIN

G

MJM

PLU

MB

ING

11329 V

ALLE

Y V

IST

A

RD

LAK

ES

IDE

, CA

92040

2214 07/20/2017

B

0.00 0.00

P&

C IN

SU

RE

D

NE

AL G

OLD

SM

ITH

, DC

N

EA

L GO

LDS

MIT

H, D

C

ON

E B

RID

GE

PLA

ZA

, S

UIT

E

27S

FO

RT

LEE

, NJ 07024

1548 03/07/2016

1600052 B

12,500.00

0.00 P

&C

TH

IRD

PA

RT

Y

NIC

OS

IA C

ON

ST

RU

CT

ION

N

ICO

SIA

CO

NS

TR

UC

TIO

N

ELG

UIN

DY

ME

YE

R A

ND

K

OE

GE

L 2990 LA

VA

R

IDG

E C

OU

RT

S

UIT

E 205

RO

SE

VILLE

, CA

95661

2291 12/15/2017

B

0.00 0.00

P&

C IN

SU

RE

D

Undisputed and R

esolved Claim

s

Undisputed C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Nam

e .

_ .

. ..

.

Address

PO

C #1 i

PO

C R

eceived ,p41.,_

1

Claim

Num

bers C

lass T

otal Clatm

ed ,A

rnomnt,

, T

otal Allow

ed .......A

m

.0

' C

laim P

articulars .

. N

Y/N

J PA

IN M

AN

AG

EM

EN

T

NY

/NJ P

AIN

MA

NA

GE

ME

NT

335A

M

AIN

ST

RE

ET

HA

CK

EN

SA

CK

, N

J 07601

1549 03/07/2016 1600052

B

13,750.00 0.00

P&

C T

HIR

D P

AR

TY

NY

S A

CU

PU

NC

TU

RE

PC

N

YS

AC

UP

UN

CT

UR

E

PC

762

ELM

ON

T R

D

ELM

ON

T,

NY

11003

1759 04/15/2016

1600075 B

0.00

0.00 P&

C T

HIR

D P

AR

TY

OK

LAH

OM

A P

RO

PE

RT

Y &

CA

SU

ALT

Y IN

SU

RA

NC

E

GA

(OK

C)

OK

LAH

OM

A P

RO

PE

RT

Y &

CA

SU

ALT

Y IN

SU

RA

NC

E G

A

(OK

C)

SU

ITE

800E

2601 NO

RT

HW

ES

T E

XP

RE

SS

WA

Y

OK

LAH

OM

A C

ITY

, O

K 73112

118 03/23/2016

B

52,283.50 52,283.50 G

UA

RA

NT

Y A

SS

OC

IAT

ION

LOS

S

PA

YM

EN

T

CLA

IM

OR

TIZ

, M

AR

IAN

A

OR

TIZ

, MA

RIA

NA

C

HA

RLE

S

M. H

AM

ME

R,

ES

Q.

TW

O E

XE

CU

TIV

E D

RIV

E, S

UIT

E 725

FO

RT

LEE

, N] 07024

281 04/25/2016 733732

B

0.00 0.00

P&

C T

HIR

D P

AR

TY

OR

TIZ

, TE

LMO

O

RT

IZ, T

ELM

O

CH

AR

LES

M. H

AM

ME

R,

ES

Q.

TW

O E

XE

CU

TIV

E D

RIV

E, S

UIT

E 725

FO

RT

LEE

, NI 07024

280 04/25/2016 733732

B

0.00 250,000.00

P&

C T

HIR

D P

AR

TY

PA

CE

LLI, BR

YA

N

PA

CE

LLI, BR

YA

N

238 DE

ER

FO

RT

RO

AD

LAK

E A

RIE

L, P

A 18436

332 06/27/2016

614466 B

5,000,000.00

0.00 P

&C

TH

IRD

PA

RT

Y

PA

LISA

DE

S

UR

GE

RY

C

EN

TE

R LLC

P

ALIS

AD

E S

UR

GE

RY

CE

NT

ER

LLC

1567 PA

LISA

DE

AV

E

FO

RT

LEE

, NJ 07024

1550 03/07/2016

1600052 8

25,695.00 0.00

P&

C T

HIR

D P

AR

TY

PA

LISA

DE

SU

RG

ER

Y C

EN

TE

R LLC

P

ALIS

AD

E S

UR

GE

RY

CE

NT

ER

LLC

1567 PA

LISA

DE

AV

E

FO

RT

LEE

, N

J 07024

1546 03/07/2016

1600050 B

8,525.00

0.00 P

&C

TH

IRD

PA

RT

Y

PA

LISA

DE

SU

RG

ER

Y C

EN

TE

R LLC

P

ALIS

AD

E S

UR

GE

RY

CE

NT

ER

LLC

1567 PA

LISA

DE

AV

E

FO

RT

LEE

, N

J 07024

1551 03/07/2016

1600051 B

12,045.00

0.00 P

&C

TH

IRD

P

AR

TY

PR

AIR

IE LA

ND

MILLW

RIG

HT

P

RA

IRIE

LAN

D M

ILLWR

IGH

T

617 E

U

S R

OU

TE

34 M

EN

DO

TA

, IL 61342

1323 03/01/2016 1600017

B

200,000.00 0.00

P&

C IN

SU

RE

D

RO

Y M

EC

HA

NIC

AL S

ER

VIC

ES

INC

R

OY

M

EC

HA

NIC

AL S

ER

VIC

ES

INC

P

O B

OX

2352

SE

BA

ST

OP

OL,

CA

95473

492 06/13/2016

8 0.00

0.00 P

&C

INS

UR

ED

RO

Y M

EC

HA

NIC

AL S

ER

VIC

ES

INC

R

OY

M

EC

HA

NIC

AL S

ER

VIC

ES

INC

P

O B

OX

2352

SE

BA

ST

OP

OL,

CA

95473

1696 06/27/2016 1600064

B

0.00 0.00 P

&C

INS

UR

ED

SA

MA

PH

YS

ICA

L TH

ER

AP

Y

PC

S

AM

A P

HY

SIC

AL T

HE

RA

PY

P

C

632 FLA

TB

US

H A

VE

BR

OO

KLY

N,

NY

11225

1707 04/15/2016

1500078

11B

862.00 0.00

P&

C T

HIR

D P

AR

TY

SC

HO

OLM

AN

TR

AN

SP

OR

TA

TIO

N

SC

HO

OLM

AN

TR

AN

SP

OR

TA

TIO

N

CA

MP

OLO

, MID

DLE

TO

N

AN

D M

CC

OR

MIC

K LLP

4175 V

ET

ER

AN

S M

EM

OR

IAL

HW

Y

SU

ITE

400

RO

NK

ON

KO

MA

, NY

11779

333 '

06/28/2016 614466 113

320,538.22 0.00

P&

C T

HIR

D P

AR

TY

SH

AH

ID

MIA

N M

D

PC

S

HA

HID

MIA

N M

D

PC

4280 K

ISS

EN

A B

LVD

FLU

SH

ING

, N

Y 11335

1867 07/01/2016

1600106 B

11,918.73

0.00 P

&C

TH

IRD

PA

RT

Y

SH

IRO

M A

CU

PU

NC

TU

RE

, PC

S

HIR

OM

AC

UP

UN

CT

UR

E, P

C

GA

RY

TS

IRE

LMA

N, E

SQ

. 129 LIV

ING

ST

ON

S

TR

EE

T

2ND

FLO

OR

BR

OO

KLY

N,

NY

11201

1999 07/14/2016

1600137 B

1,081.54

0.00 P

&C

TH

IRD

PA

RT

Y

Undisputed and R

esolved Claim

s U

ndisputed Claim

s

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

_,... .....

..

Nam

e '

Address

3 F

OC

# P

{O,R

eceived 4 '

PA

U)

, C

lasm N

umbers

'Cka,ss

Total O

a irnt;d7 t A

n10411t .

Iota I Allow

ed s

AM

PU

Rt,

Claim

Particirlars

SIE

RR

A C

AS

CA

DE

IND

US

TR

IES

IN

C

SIE

RR

A C

AS

CA

DE

IND

US

TR

IES

INC

610 D

EE

P F

OR

ES

T T

RA

IL LA

KE

ALM

AN

OR

, C

A 96137

1713 07/05/2016

B

0.00 0.00 P

AC

INS

UR

ED

SIE

RR

A E

LEC

TR

IC C

OM

PA

NY

INC

S

IER

RA

ELE

CT

RIC

CO

MP

AN

Y IN

C

5642 UP

PE

R R

IDG

E W

AY

A

UB

UR

N, C

A 95602

2101 04/07/2017

1600165 B

14,500.00

13,284.26 P

AC

INS

UR

ED

SIK

HO

T W

ON

G C

ON

ST

RU

CT

ION

S

IK H

OI W

ON

G C

ON

ST

RU

CT

ION

526 S

OU

TH

HILL

BLV

D

DA

LY C

ITY

, CA

94014

1849 08/05/2016

1600103 B

0.00

92,434.02 P

AC

INS

UR

ED

ST

AR

LIGH

T A

CU

PU

NC

TU

RE

S

TA

RLIG

HT

AC

UP

UN

CT

UR

E

105 K

ING

S H

IGH

WA

Y

SU

ITE

4A

BR

OO

KLY

N,

NY

11214

1782 04/15/2016

1600074, 1600089 B

0.00

0.00 P

AC

TH

IRD

PA

RT

Y

ST

EV

E G

RA

SS

PLU

MB

ING

S

TE

VE

GR

AS

S P

LUM

BIN

G

2800 W

ISS

EM

AN

N D

R

SA

CR

AM

EN

TO

, CA

95826

1913 08/25/2016

1600121 '

B

0.00 13,319.62

P&

C IN

SU

RE

D

SW

AN

SO

N, JA

NE

T

SW

AN

SO

N, JA

NE

T

CA

LDE

RB

AN

K LA

W

112 J ST

RE

ET

, S

UIT

E 301

SA

CR

AM

EN

TO

, CA

95814

1151 12/21/2015

1500116 B

0.00

0.00 P

AC

TH

IRD

PA

RT

Y

SW

AN

SO

N, P

AU

L S

WA

NS

ON

, PA

UL

C/O

CO

LDE

RB

AN

K LA

W

112 J ST

RE

ET

ST

E 301

SA

CR

AM

EN

TO

, CA

95814

517 12/21/2015

1500116 B

0.00

0.00 P

AC

TH

IRD

P

AR

TY

TR

EK

A M

ED

ICA

L P

C

TR

EK

A

ME

DIC

AL

PC

762 ELM

ON

T R

D

ELM

ON

T, N

Y

11003

1787 04/15/2016

1600075 B

0,00

0.00 P

AC

TH

IRD

P

AR

TY

TU

TT

O A

NE

ST

HE

SIA

T

UT

TO

A

NE

ST

HE

SIA

1567

PA

LISA

DE

AV

E

3RD

FLO

OR

F

OR

T LE

E, N

J 07024

1547 03/07/2016 1600052

' B

6,300,00 0.00

P&

C T

HIR

D P

AR

TY

UT

ICA

N

AT

ION

AL A

SS

UR

AN

CE

CO

MP

AN

Y

UT

ICA

NA

TIO

NA

L AS

SU

RA

NC

E C

OM

PA

NY

180 G

EN

ES

EE

ST

RE

ET

H

AR

TF

OR

D,

CT

13413

1825 07/06/2016

B

0.00 0.00 P

AC

INS

UR

ED

ZG

CH

IRO

PR

AC

TIC

CA

RE

P

C

ZG

CH

IRO

PR

AC

TIC

CA

RE

PC

961 EA

ST

174TH

ST

RE

ET

S

UIT

E

18

BR

ON

X,

NY

10460

1813 04/15/2016 1600096

B

0.00 0.00 P

&C

TH

IRD

PA

RT

Y

AS

PE

N IN

SU

RA

NC

E U

K LIM

ITE

D

AS

PE

N IN

SU

RA

NC

E U

K LIM

ITE

D

PLA

NT

AT

ION

P

LAC

E

30 F

EN

CH

UR

CH

S

TR

EE

T

LON

DO

N,

EC

3M 3B

D

UN

ITE

D K

ING

DO

M

1829 07/06/2016

E

0.00 0.00

RE

INS

UR

AN

CE

CLA

IM

1CA

LIFO

RN

IA IN

SU

RA

NC

E

GA

(CIG

A)

-

CA

LIFO

RN

IA

BC

ALIF

OR

NIA

IN

SU

RA

NC

E9066 G

A (C

IGA

) O

X

2

GLE

ND

ALE

, CA

912099066

14 02/23/20161

I

E

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

UN

EA

RN

ED

PR

EM

IUM

C

LAIM

I C

OU

NT

Y

OF

SH

AS

TA

e C

OU

NT

Y

OF

SH

AS

TA

M

AT

TH

EW

MC

OM

BE

R, E

SQ

. 1450 C

OU

RT

ST

RE

ET

, R

M 332

RE

DD

ING

, CA

96001

V15/1

05/12/21116 1500115

t 55,1100.00

55,000.00 S

UR

ET

Y C

LAIM

DIN

GM

AN

TO

WN

SH

IP

DIN

GM

AN

TO

WN

SH

IP

KA

SE

EM

LU

CA

S

3000 TW

O LO

GA

N S

QU

AR

E

PH

ILAD

ELP

HIA

, PA

19103

2435 05/22/2018

1200455 E

608,307.90

0.00 S

UR

ET

Y C

LAIM

DIS

TR

ICT

OF

CO

LUM

BIA

INS

UR

AN

CE

GA

(DC

IGA

) D

IST

RIC

T O

F C

OLU

MB

IA IN

SU

RA

NC

E G

A (D

CIG

A)

ON

E B

OW

DO

IN

SQ

UA

RE

B

OS

TO

N,

MA

021142916

26 06/04/2018

E

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

UN

EA

RN

ED

PR

EM

IUM

CLA

IM

Undisputed

Resolved C

laims

Undisputed C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

........__

.. _ -

.

Address

. .

. - .-

.-...... PA

C #

--... - --"i

POC

Received

4 , -...-- P

AP

- .

.....1

---- C

laim N

umbers

I I ' Class v. i1

..,...

, -

Total.-laim

ed i 4M

:00 .i

Total A

JITO

'wed

.,

ArT

lOtint

-,

Claim

Particulars E

NE

RG

Y R

ES

OU

RC

ES

, IN

C

EN

ER

GY

R

ES

OU

RC

ES

, INC

46226 N

AT

ION

AL R

OA

D

ST

CLA

IRS

VILLE

, OH

43950

1710 07/01/2016

E

405,222.19 0.00

SU

RE

TY

CLA

IM

GE

OR

GIA

IN

SU

RE

RS

IN

SO

LVE

NC

Y

PO

OL (G

AC

) G

EO

RG

IA IN

SU

RE

RS

INS

OLV

EN

CY

PO

OL (G

AC

) S

UIT

E 400

3700 CR

ES

TW

OO

D P

AR

KW

AY

NW

DU

LUT

H, G

A 30096

35 04/09/2018

E

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

UN

EA

RN

ED

P

RE

MIU

M C

LAIM

KE

NT

UC

KY

INS

UR

AN

CE

G

A (K

YC

) K

EN

TU

CK

Y IN

SU

RA

NC

E G

A (K

YC

) 10605

SH

ELB

YV

ILLE R

OA

D

SU

ITE

101

LOU

ISV

ILLE, K

Y 40222

56 12/17/2015

E

0.00 0.00 G

UA

RA

NT

Y A

SS

OC

IAT

ION

U

NE

AR

NE

D P

RE

MIU

M C

LAIM

MA

RY

LAN

D P

RO

PE

RT

Y &

CA

SU

ALT

Y IN

S. G

UA

RA

NT

Y C

OR

P (M

DC

) M

AR

YLA

ND

PR

OP

ER

TY

& C

AS

UA

LTY

INS

. GU

AR

AN

TY

CO

RP

(MD

C)

SU

ITE

600 305 W

AS

HIN

GT

ON

AV

EN

UE

T

OW

SO

N, M

D 212044715

65 05/27/2016

E

0.00 0.00 G

UA

RA

NT

Y A

SS

OC

IAT

ION

U

NE

AR

NE

D P

RE

MIU

M C

LAIM

MIS

SO

UR

I PR

OP

ER

TY

& C

AS

UA

LTY

INS

UR

AN

CE

GA

(MO

C)

MIS

SO

UR

I P

RO

PE

RT

Y &

CA

SU

ALT

Y IN

SU

RA

NC

E G

A (M

OC

) 2210

MIS

SO

UR

I BLV

D.

JEF

FE

RS

ON

CIT

Y,

MO

65109

80 03/16/2016

E

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

UN

EA

RN

ED

PR

EM

IUM

CLA

IM

NE

UM

AN

N,

KE

RR

I N

EU

MA

NN

, K

ER

RI

CH

EO

NG

, D

EN

OV

E,

RO

WE

LL & B

EN

NE

TT

1925 C

EN

TU

RY

PA

RK

EA

ST

LO

S A

NG

ELE

S,

CA

90067

1818 07/05/2016

0725639 E

0.00

0.00 TH

IRD

P

AR

TY

SU

RE

TY

CLA

IM

NE

VA

DA

INS

UR

AN

CE

GA

(N

VC

) N

EV

AD

A IN

SU

RA

NC

E G

A (N

VC

) S

UIT

E 100

3821 WE

ST

CH

AR

LES

TO

N B

OU

LEV

AR

D

LAS

VE

GA

S, N

V 891021859

92 03/10/2016

E

0.00 0.00

GU

AR

AN

TY

AS

SO

CIA

TIO

N

UN

EA

RN

ED

PR

EM

IUM

C

LAIM

NO

LAN

, PLU

MH

OF

F &

WILLIA

MS

N

OLA

N, P

LUM

HO

FF

& W

ILUA

MS

C

AT

HE

RIN

E A

. P

OT

TH

AS

T,

P.A

. 2324 W

ES

T JO

PP

A R

OA

D

SU

ITE

425 LU

TH

ER

VILLE

, M

D 21093

2490 10/18/2018

E

1,096.40 0.00

GE

NE

RA

L CR

ED

ITO

R

NO

LAN

, PLU

MH

OF

F &

WILLIA

MS

N

OLA

N,

PLU

MH

OF

F &

WILLIA

MS

C

AT

HE

RIN

E A

. PO

TT

HA

ST

, P

.A.

2324 WE

ST

JOP

PA

RO

AD

S

UIT

E 425

LUT

HE

RV

ILLE, M

D 21093

2492 10/18/2018 1500101

E

1,894.00 1,894.00

GE

NE

RA

L CR

ED

ITO

R

TE

NN

ES

SE

E IN

SU

RA

NC

E G

A

(TN

C)

TE

NN

ES

SE

E IN

SU

RA

NC

E G

A (T

NC

) S

UIT

E 680

1600 D

IVIS

ION

S

TR

EE

T

NA

SH

VILLE

, TN

37203

149 01/11/2016

E

0.00 0.00 G

UA

RA

NT

Y A

SS

OC

IAT

ION

U

NE

AR

NE

D P

RE

MIU

M C

LAIM

TH

E T

RA

VE

LER

S IN

DE

MN

ITY

CO

MP

AN

Y

!ALLIE

D

TH

E T

RA

VE

LER

S IN

DE

MN

ITY

CO

MP

AN

Y

1 TO

WE

R

SQ

UA

RE

D

000 -SA

MB

A

FO

H

AR

T, C

T

83

1700 07/01/2016

E

0.00

I

0.00 SU

RE

TY

CLA

IM

RE

CO

VE

RY

SO

LUT

ION

S

1

Al LIE

D

RE

CR

DO

VE

061RY

SOLU

TIO

NS

P

O

BO

X 1011

PO

RT

JEF

FE

RS

ON

S

TA

TIO

N, N

Y 11776

2125 03/29/2017123Y

-00000-8647 ,G

265.34

265.34 S

UB

RO

GA

TIO

N C

LAIM

AM

ER

ICA

N T

RA

NS

IT IN

S C

O

AS

O M

AR

IAN

A O

RT

IZ

AM

ER

ICA

N T

RA

NS

IT IN

S

CO

AS

O M

AR

IAN

A O

RT

IZ

AM

AN

DA

BR

OW

N

ON

E M

ET

RO

TE

CH

CE

NT

ER

F

LOO

R 7

BR

OO

KLY

N, N

Y 11201

1694 07/01/2016 733732

G

20,800.00 0.00

SU

BR

OG

AT

ION

CLA

IM

AM

ER

ICA

N T

RA

NS

IT IN

S C

O A

SO

T

ELM

O O

RT

IZ

AM

ER

ICA

N T

RA

NS

IT IN

S C

O

AS

O T

ELM

O O

RT

IZ

AM

AN

DA

BR

OW

N

1 ME

TR

OT

EC

H C

EN

TE

R F

LOO

R 7

BR

OO

KLY

N, N

Y 11201

1693 07/01/2016 733732

G

37,745.80 0.00

SU

BR

OG

AT

ION

CLA

IM

Undisputed and R

esolved Claim

s

Undisputed C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Nam

e A

.ddress P

OC

# P

OC

Recelued

I C

laim N

umbers

;Cuss

Total C

laimed

1

AlT

19;19t:

Total A

llowed

'.1

Claim

Particula a

CO

MP

TR

OLLE

R O

FF

ICE

CIT

Y

OF

NE

W Y

OR

K

CO

MP

TR

OLLE

R

OF

FIC

E C

ITY

O

F N

EW

YO

RK

O

NE

CE

NT

ER

ST

RE

ET

N

EW

YO

RK

, N

Y 10007

2410 02/15/2018

20080015282 G

611,980.11

308,314.60 LA

TE

FILE

D

SU

RE

TY

CLA

IM

CO

MP

TR

OLLE

R O

FF

ICE

CIT

Y O

F N

EW

YO

RK

C

OM

PT

RO

LLER

OF

FIC

E C

ITY

O

F N

EW

YO

RK

O

NE

CE

NT

ER

S

TR

EE

T

NE

W Y

OR

K,

NY

10007

2408 02/05/2018

20070033167 G

688,887.45

380,783.41 LA

TE

FILE

D S

UR

ET

Y C

LAIM

CO

RT

INA

, M

ICH

AE

L C

OR

TIN

A,

MIC

HA

EL

1511 39ST

N

OR

TH

BE

RG

EN

, N

J 07047

2473 10/17/2018 734805-001

G

986.30 0.00

LAT

E F

ILED

P&

C T

HIR

D P

AR

TY

CT

CO

RP

OR

AT

ION

C

T C

OR

PO

RA

TIO

N

111 E

IGT

H A

VE

. 13T

H F

LOO

R

NE

W

YO

RK

, NY

10011

1899 08/18/2016

G

7,466.86 622.23

LAT

E F

ILED

GE

N

CR

ED

HA

RT

FO

RD

INS

UR

AN

CE

O

F ILLIN

OIS

H

AR

TF

OR

D IN

SU

RA

NC

E O

F ILLIN

OIS

P

O

BO

X 14272

LEX

ING

TO

N, K

Y 40512-4272

2498 10/19/2018

307934 G

24,339.34

450,00 S

UB

RO

GA

TIO

N C

LAIM

RE

NE

WA

L BY

AN

DE

RS

ON

R

EN

EW

AL B

Y A

ND

ER

SO

N

HE

LMS

MA

N M

GM

T S

ER

VIC

ES

P

0 B

OX

7214 LO

ND

ON

, K

Y 407447214

1834 06/20/2016

G

0.00 0.00

SU

BR

OG

AT

ION

CLA

IM

TIM

BE

RLIN

E C

US

TO

M H

OM

ES

, INC

. T

IMB

ER

LINE

CU

ST

OM

HO

ME

S,

INC

. S

PILLE

R M

CP

RO

UD

, ST

EV

EN

SP

ILLER

505

CO

YO

TE

ST

RE

ET

, SU

ITE

A

NE

VA

DA

CIT

Y,

CA

95959

1869 07/29/2016

G

0.00 0.00

LAT

E F

ILED

P&

C IN

SU

RE

D

TO

WN

OF

WA

RW

ICK

T

OW

N O

F W

AR

WIC

K

132 KIN

GS

HW

Y

WA

RW

ICK

, NY

10990

2477 10/23/2018

G

139,000.00 0.00

LAT

E F

ILED

SU

RE

TY

CLA

IM

VA

N D

E P

OE

L, LE

VY

, A

LLEN

&

AR

NE

AL

VA

N D

E

PO

EL,

LEV

Y, A

LLEN

& A

RN

EA

L 1600

SO

UT

H M

AIN

P

LAZ

A

SU

ITE

325

WA

LNU

T C

RE

EK

, C

A 94596

2472 10/17/2018 7000262

G

10,230.25 297.50 LA

TE

FILE

D G

EN

ER

AL C

RE

DIT

OR

EXHIBIT B

Undisputed and R

esolved Claim

s R

esolved Claim

s

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019

thru 12/31/2019

Num

ber of Resolved C

laims:

4 Am

ount Claim

ed: 849,969.73 A

mount A

pproved: 1,335,000.00

Undisputed and R

esolved Claim

s Report

Resolved C

laims

LINC

OLN

GE

NE

RA

L INS

UR

AN

CE

CO

MP

AN

Y

Report P

eriod: 01/01/2019 thru

12/31/2019 N

S .C

, .4,

.,

Nam

e ,....,X

4, )

N.,,,44 ',M

y,. A

ddress ...

POC

# 0

POC

Received In

Claim

N

umbers

Class

", T

otal Claim

ed !

Am

ount T

otal Alloutted

!

Am

ount:. C

laim Particulars

KE

NA

ME

RIC

AN

RE

SO

UR

CE

S IN

C

KE

NA

ME

RIC

AN

RE

SO

UR

CE

S IN

C

46226 NA

TIO

NA

L RO

AD

S

T C

LAIR

SV

ILLE, O

H 43950

1712 07/01/2016

E

239,606.39 0.00 G

EN

ER

AL C

RE

DIT

OR

-

SE

TT

LEM

EN

T

LAN

D R

ES

TO

RA

TIO

N IN

C

LAN

D R

ES

TO

RA

TIO

N IN

C

46226 NA

TIO

NA

L RO

AD

S

T C

LAIR

SV

ILLE, O

H 43950

1711 07/01/2016

E

105,956.04 0.00

GE

NE

RA

L CR

ED

ITO

R -

SE

TT

LEM

EN

T

MA

PLE

C

RE

EK

MIN

ING

INC

M

AP

LE C

RE

EK

MIN

ING

INC

46226 N

AT

ION

AL R

OA

D

ST

CLA

IRS

VILLE

, O

H 43950

1709 07/01/2016

E

504,407.30 0.00

GE

NE

RA

L CR

ED

ITO

R -

SE

TT

LEM

EN

T

NE

UM

AN

N, C

HA

RLE

S

NE

UM

AN

N,

CH

AR

LES

C

HE

ON

G,

DE

NO

VE

, R

OW

ELL &

BE

NN

ET

T

1925 CE

NT

UR

Y P

AR

K E

AS

T

SU

ITE

800 LO

S A

NG

ELE

S, C

A 90067

416 07/05/2016

0725639 E

0.00

1,335,000.00 P

&C

TH

IRD

PA

RT

Y -

RE

CO

MM

EN

DE

D D

EC

ISIO

N

SU

ST

AIN

ED

B

Y T

HE

CO

UR

T

CERTIFICATION OF COMPLIANCE WITH PUBLIC ACCESS POLICY

I certify that this filing complies with the provisions of the Public Access Policy of the

Unified Judicial System of Pennsylvania: Case Records of the Appellate and Trial Courts that

require filing confidential information and documents differently than non -confidential

information and documents.

Dated: 1

Preston M. Buckman (I.D. No. 57570) PA Office of General Counsel Pennsylvania Insurance Department Office of Liquidations, Rehabilitations and Special Funds 901 North 7th Street Harrisburg, PA 17102 (717) 886-2080

Attorney for Jessica K. Altman, Insurance Commissioner of the Commonwealth of Pennsylvania, in her Official Capacity as Statutory Liquidator of Lincoln General Insurance Company (In Liquidation)

CERTIFICATE OF SERVICE

I hereby certify that I am this day serving the foregoing document upon all parties of record

in this proceeding in accordance with the requirements of 1 Pa. Code Chapter 33 in the following

manner:

Service via regular U.S. Mail addressed as follows:

Jordan L. Miller, Esquire jordanm@jdsalaw. corn Jeffers, Danielson, Sonn & Aylward, P.S. 2600 Chester Kimm Road Wenatchee, WA 98801 (509) 662-3685 (509) 662-2452 (Fax)

Arleigh P. Helfer III, Esquire ahelfer@schnader. corn Schnader Harrison Segal & Lewis LLP 1600 Market Street, Suite 3600 Philadelphia, PA 19103 (215) 751-2430 (215) 751-2205 (Fax)

DATED:

Anthony J. Urban, Esquire Anthony Urban Law Offices, P.C. 474 North Center Street, 3rd Floor P.O. Box 890 Pottsville, PA 17901-0890 (570) 622-1247

Matthew Binstock, CFA mattb@argopartners.net Argo Partners 12 West 37th Street, 9th Floor New York, NY 10018 (212) 643-5444 (212) 643-6401 (Fax)

PRESTON M. BUCKMAN (I.D. #57570) Insurance Department Counsel Office of Liquidations, Rehabilitations

& Special Funds Governor's Office of General Counsel Capital Associates Building 901 North 7th Street Harrisburg, PA 17102 (717) 886-2080

Counsel for the Statutory Liquidator of Lincoln General Insurance Company

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

IN RE: Lincoln General Insurance Company :

In Liquidation No. 1 LIN 2015

RE: Liquidator's Report and Recommendations on Lincoln General Insurance Company Claims Undisputed and Resolved from January 1, 2019 to December 31, 2019

ORDER

AND NOW, this day of , 2020, upon consideration of the

Liquidator's Application for Approval of Report and Recommendations on Lincoln General

Insurance Company Claims Undisputed and Resolved from January 1, 2019 to December 31, 2019

("Application"), it is hereby ORDERED and DECREED:

1. The Application is GRANTED, and the claims listed in the Report and

Recommendations on Lincoln General Insurance Company Claims Undisputed and Resolved from

January 1, 2019 to December 31, 2019 ("Report"), are APPROVED and ALLOWED both as to

classification and amount as listed;

2. The Report is incorporated herein by reference; and

3. The Claimants listed in the Report or their lawful assignees shall receive a

distribution in accordance with 40 P.S. § 221.44 at the time and in the manner as approved by this

Court.

RENEE COHN JUBELIRER, JUDGE

COMMONWEALTH OF PENNSYLVANIA GOVERNOR'S OFFICE OF GENERAL COUNSEL

January 7, 2020

Michael F. Krimmel, Chief Clerk Commonwealth Court of Pennsylvania 601 Commonwealth Avenue, Suite 2100 P.O. Box 69185 Harrisburg, PA 17120-9185

Re: Lincoln General Insurance Company (In Liquidation) No. 1 LIN 2015

Dear Mr. Krimmel:

Attached please find the Liquidator's Report and Recommendations on Lincoln Insurance Company Claims Undisputed and Resolved from January 1, 2019 to December 31, 2019, with regard to the above -referenced liquidation.

Thank you for your assistance in this matter.

PMB:drh

Enclosure

Very truly yours,

Preston M. Buckman Insurance Department Counsel

CAPITOL ASSOCIATES BUILDING I 901 NORTH 7TH STREET I HARRISBURG, PA 17102

Ph: 717-787-6009 I Fx: 717-772-4543 I www.insurance.pa.gov