Northwestern Arizona Regionalinsurance Company

NORTHWESTERN ARIZONA REGIONAL INSURANCE COMPANY PROVIDES PROFESSIONAL LIABILITY, GENERAL LIABILITY, EMPLOYMENT PRACTICES LIABILITY, AND DIRECTORS AND OFFICERS' INSURANCE COVERAGE PURSUANT TO THE PROVISIONS OF ARIZONA REVISED STATUTES 20-1098. THE COMPANY CURRENTLY PROVIDES INSURANCE COVERAGE TO THE KINGMAN HOSPITAL, INC D/B/A KINGMAN REGIONAL MEDICAL CENTER. KINGMAN HOSPITAL, INC IS AN ARIZONA CORPORATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS A WHOLLY-OWNED SUBSIDIARY OF THE KINGMAN HOSPITAL, INC. ITS ACTIVITIES WERE FUNDED THROUGH A CONTRIBUTION FROM KINGMAN HOSPITAL, INC. THE COMPANY IS LOCATED IN PHOENIX, AZ AND IS GOVERNED BY A BOARD OF DIRECTORS, WHILE DAILY OPERATIONS ARE CONDUCTED BY AN ADMINISTRATOR,(CONT. ON SCH O)ASHTON TIFFANY, LLC, IN EXCHANGE FOR AN ANNUAL FEE. SERVICES PROVIDED BY THE ADMINISTRATOR INCLUDE UNDERWRITING, POLICY ISSUANCE, ACCOUNTING, RECORD-KEEPING, REGULATORY LIAISON, AND NEW PROGRAM DEVELOPMENT.