SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)
Political Action Committee
Campaign Contribution Details
2016 Election Cycle

Committee Information
Download all of the 2016 Individual Contribution Records for this Committee to a Spreadsheet or Other File Type
Name	SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)
Connected Organization Name	SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)
Address	20 F STREET NW SUITE 700 WASHINGTON, DC 20001
Interest Group Category	Trade/Memership/Health
Affiliated Party	--
Affiliated Candidate	--
Download all of the 2016 Individual Contribution Records for this Committee to a Spreadsheet or Other File Type

Financial Details in the 2016 Election Cycle
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Through 12/31/2016

Category	$ Dollar Amount
Total Receipts	$173,215
Transfers From Affiliates	$0
Contributions From Individuals	$157,714
Contributions From Other Political Committees	$15,500
Total Loans Received	$0
Total Disbursements	$107,658
Transfers To Affiliates	$0
Refunds To Individuals	$2,125
Refunds to Committees	$0
Loan Repayments	$0
Beginning Cash	$94,747
Ending Cash	$160,304
Debts Owed By	$0
Nonfederal Transfers Received	$0
Contributions Made To Other Committees	$43,000
Independent Expenditures Made	$0
Party Coordinated Expenditures Made	$0
Nonfederal Share of Expenditures	$0

Top 100 Donations/Contributions in the 2016 Election Cycle
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Name/ Location	Employer/ Occupation	Contribution $ Amount	Primary/ General	Date
CAVENAGH, ANDREW PHILADELPHIA, PA 19104	Pareto Captive Services/Managing Director	$5,000	P	05/04/2015
WILLIAMS, CHRISTOPHER HOUSTON, TX 77040	Tokio Marine Hcc/Ceo	$5,000	P	03/22/2016
MELOCH, MICHAEL MR. SHOREVIEW, MN 55126	Tpac Underwriters, Inc./President	$5,000	P	06/23/2016
MCPETERS, JERRY L DALLAS, TX 75254	Group & Pension Administrators/President	$4,000	P	06/23/2016
TURNER, FREDERICK IRVINE, CA 92618	Active Captive Management Llc/President	$2,500	P	04/29/2015
HEALY, PHILIP PETERSBOROUGH, NH 03458	Awane/Owner/Executive Director	$2,500	P	06/15/2015
HANSEN, JASON SAN DIEGO, CA 92651	Precision Diagnostics/Ceo	$2,500	P	05/25/2016
DUGAN, DANIEL NASHVILLE, TN 37210	North America Administrators/President/Ceo	$2,500	P	06/23/2016
MENGARELLI, JOHN ALLEN PETALUMA, CA 94952	Alternative Risk Solutions/President	$2,000	P	03/18/2016
ROBINSON, PETER SAN FRANCISCO, CA 94111	Integro Re/Managing Principal	$2,000	P	06/01/2016
BELDING, THOMAS EDMOND, OK 73013	Pro. Reinsurance Marketing Srv/President	$1,500	P	06/23/2015
SWAYZE, JAMES J GREENWOOD VILLAGE, CO 80111	Cnic Health Solutions/Ceo & President	$1,500	P	10/13/2015
KIRK, MATTHEW LANCASTER, PA 17601	Benecon/President	$1,000	P	03/04/2015
RUSSO, ADAM V. HULL, MA 02045	The Phia Group, Llc/Ceo	$1,000	P	04/28/2015
SHORES, WILLAM L. MR. ORLANDO, FL 32801	Shores, Tagman, Butler & Co./Attorney	$1,000	P	04/29/2015
DRELICH, DONALD STAMFORD, CT 06902	D.W. Van Dyke & Co., Inc/Chairman And Ceo	$1,000	P	07/28/2015
WOLAK, DANIEL SILVER SPRING, MD 20910	Union Labor Life Insurance Co./President	$1,000	P	08/24/2015
KEMP, MICHAEL A. ENFIELD, CT 06082	Ihc Risk Solutions/President	$1,000	P	09/08/2015
TIERNEY, ROBERT E. FALMOUTH, MA 02536	Star Line Group/President	$1,000	P	10/14/2015
RITCHIE, ANDREW J WOODSTOCK, GA 30189	Hcc Life Insurance Company/Senior Vice President	$1,000	P	11/11/2015
GRANSBURY, STEVEN MARBLEHEAD, MA 01945	Qbe Accident & Health/President	$1,000	P	02/23/2016
ARCHER, TODD EDWARD OKLAHOMA CITY, OK 73134	Healthsmart/Evp	$1,000	P	02/26/2016
DOYLE, DENISE CHARLESTOWN, MA 02129	Stop Loss Insurance Brokers/President	$1,000	P	02/26/2016
DUGAN, DANIEL NASHVILLE, TN 37210	North America Administrators/President/Ceo	$1,000	P	02/26/2016
PECK, RON EVAN BRAINTREE, MA 02184	The Phia Group/Svp	$1,000	P	02/26/2016
JONES, JOHN BILLINGS, MT 59103	Moulton Bellingham Pc/Partner	$1,000	P	03/04/2016
BORANS, PETER LYNNFIELD, MA 01940	Advanced Medical Strategies/President	$1,000	P	03/07/2016
BAISDEN, BOB FRANKLIN, TN 37064	International Assurance Of Ten/President	$1,000	P	03/08/2016
BORANS, PETER LYNNFIELD, MA 01940	Advanced Medical Strategies/President	$1,000	P	03/08/2016
MOORE, DEREK NEW YORK, NY 10119	Magnacare/Vp, Business Development	$1,000	P	03/08/2016
STRUSZ, DAN APPLE VALLEY, MN 55124	Hcc Life Insurance Company/Executive Vice President	$1,000	P	03/09/2016
RITCHIE, ANDREW J WOODSTOCK, GA 30189	Hcc Life Insurance Company/Senior Vice President	$1,000	P	03/14/2016
EDDY, PARK EWART LAGUNA HILLS, CA 92653	Active Captive Management/President	$1,000	P	03/15/2016
WILNEFF, MITCHELL GLENCOE, IL 60022	Allied Benefit Systems, Inc./President	$1,000	P	03/15/2016
WILLIAMS, CRYSTAL M LONG BEACH, CA 90802	Rxreins/President	$1,000	P	03/16/2016
RUSSO, ADAM V. HULL, MA 02045	The Phia Group, Llc/Ceo	$1,000	P	03/22/2016
WELCH, BARNEY OKLAHOMA CITY, OK 73132	Associated Underwriters, Inc./President	$1,000	P	03/25/2016
BRANCO, MICHAEL BRAINTREE, MA 02184	The Phia Group/Principal	$1,000	P	03/29/2016
WEBB, WILLAM ABERDEEN, NC 28315	Webb & Coyle, Pllc/Manager	$1,000	P	04/01/2016
PARKER, STEVEN GREENWOOD VILLAGE, CO 80111	Excess Risk/Ironshore/President	$1,000	P	04/07/2016
PURVLANCE, SCOTT M CHARLOTTE, NC 28210	Amwins Group, Inc./Coo	$1,000	P	04/07/2016
SHOWALTER, KATHRYN WINSTON-SALEM, NC 27103	Medcost/President	$1,000	P	04/07/2016
FORD, ELIZABETH MARINER WELLINGTON, FL 33414	Re-Solutions/Sr. Vp	$1,000	P	04/08/2016
JOHNSON, DAVID HENDERSON, NV 89014	Self Insured Solutions/Owner	$1,000	P	04/08/2016
RAINS, MELINDA WINSTON-SALEM, NC 27103	Medcost/Evp Bus. Dev.	$1,000	P	04/11/2016
BELDING, THOMAS EDMOND, OK 73013	Pro. Reinsurance Marketing Srv/President	$1,000	P	04/13/2016
CALDWELL, CHARLES OKLAHOMA CITY, OK 73116	Midlands Management Corporatio/President & Ceo	$1,000	P	04/13/2016
HAGGARD, BRENT OKLAHOMA CITY, OK 73134	Universal Fidelity Life/Ceo	$1,000	P	04/13/2016
MESSICK, JERRY D. OKLAHOMA CITY, OK 73179	Elevate Captives/Ceo	$1,000	P	04/13/2016
SIMPSON, JEFFREY K WILMINGTON, DE 19806	Gordon, Fournaris & Mammarella/Director	$1,000	P	04/13/2016
TETACHAK, SHERRI PHOENIX, AZ 85018	Renalogic/National Sales Exec.	$1,000	P	04/13/2016
ANTONELL, JOSEPH M MIAMI, FL 33156	A&M Intl. Health Plan/President	$1,000	P	04/14/2016
GARDHAM, J. PHILIP COLUMBIA, SC 29223	Companion Life/Coo	$1,000	P	04/14/2016
KIRK, MATTHEW LANCASTER, PA 17601	Benecon/President	$1,000	P	04/14/2016
KOEHLER, CHRISTOPHER WILTON, CT 06897	Dw Van Dyke/President	$1,000	P	04/14/2016
KRUEGER, RUSSELL AUGUST, GA 30907	Ocozzio/Owner	$1,000	P	04/14/2016
STOUDT, DAVID LITITZ, PA 17543	Stoudtadvisors/Ceo	$1,000	P	04/14/2016
TIERNEY, ROBERT E. FALMOUTH, MA 02536	Star Line Group/President	$1,000	P	04/14/2016
VAUGHAN, R. DALE ROCK HILL, SC 29732	Self/Insurance Executive	$1,000	P	04/14/2016
BROWN, CHRISTOPHER HOLDEN, MA 01520	Berkley Accident & Health/President	$1,000	P	04/21/2016
LEWIS, ANDREW MEDIA, PA 19063	Keystone Risk Partners/President	$1,000	P	04/29/2016
AUGUSTINE, JOHN SOUTHAMPTN, PA 18966	Wellnet/Svp, Bus. Dev.	$1,000	P	05/03/2016
LANZA, MICHAEL KENNESAW, GA 30144	Tokio Marine Hcc/Vp Of Claims	$1,000	P	05/03/2016
PERSON, MARY CATHERINE LITTLE ROCK, AR 72223	Healthscope Benefits/President	$1,000	P	05/03/2016
COWAN, AUGUSTINE ALEXANDRIA, VA 22314	Pyf Telehealth Access & Saving/Svp Of Group Sales	$1,000	P	05/05/2016
FLEDER, RICHARD NEW YORK, NY 10016	Elmc Holdings/Ceo	$1,000	P	05/05/2016
LEMER, KEITH SOUTHAMPTON, PA 19866	Wellnet/Employee	$1,000	P	05/05/2016
OWEN, TODD PRINCETON JUNCTION, NJ 08550	Windsor Strategy Solutions/Ceo	$1,000	P	05/05/2016
JOHNSON, BILL MARIETTA, GA 30060	Mijs Captive Mgmt/Employee	$1,000	P	05/06/2016
SCHINDELMAN, SIMEON NEW YORK, NY 10119	Magnacare/Ceo	$1,000	P	05/11/2016
NEWTON, CHUCK MIDLOTHIAN, VA 23113	Re-Solutions/Svp	$1,000	P	05/12/2016
O'MALLEY, MICHAEL CONCORD, MA 01742	Strategic Risk Solutions/Managing Director	$1,000	P	05/13/2016
DRELICH, DONALD STAMFORD, CT 06902	D.W. Van Dyke & Co., Inc/Chairman And Ceo	$1,000	P	05/16/2016
NIELAND, BRAD WINDSOR, CT 06095	Sun Life Financial/Vp Stop Loss	$1,000	P	05/16/2016
PURDY, J.J. PHILADELPHIA, PA 19104	Pareto Captive Services/Shareholder	$1,000	P	05/16/2016
TIERNEY, ROBERT E. FALMOUTH, MA 02536	Star Line Group/President	$1,000	P	05/16/2016
WILSON, DAVID PRINCETON JUNCTION, NJ 08550	Windsor Strategy Partners/President	$1,000	P	05/16/2016
MCKENNA, KRISTEN PHILADELPHIA, PA 19104	Pareto Captive Services/Asst. Vp	$1,000	P	05/17/2016
KELLY, STEPHEN WAYNE, PA 19087	Elap Services/President/Ceo	$1,000	P	05/26/2016
YOUNGS, JASON ELK GROVE, CA 95757	One Source Stop Loss/Sales	$1,000	P	05/26/2016
BECK, JARID LONG BEACH, CA 90802	Risk Management Advisors/Vp	$1,000	P	05/27/2016
MCNEIL, KEITH PETALUMA, CA 94954	Arrow Benefits Group/Partner	$1,000	P	05/27/2016
SHERIDAN, DANA LOS ANGELES, CA 90066	Active Captive Mgmt./Gen. Counsel & Ceo	$1,000	P	05/27/2016
PINA, JOEL MEDIA, PA 10963	Keystone Risk Partners/Cfo & Managing Member	$1,000	P	06/01/2016
KEMP, MICHAEL A. ENFIELD, CT 06082	Ihc Risk Solutions/President	$1,000	P	06/03/2016
CHANDLER, NORMAN MONTGOMERY, AL 36116	Arsenal Insurance Mgt./President	$1,000	P	06/06/2016
DECARLO, MICHAEL CHARLOTTE, NC 28210	Amwins Group/Ceo	$1,000	P	06/06/2016
CAVENAGH, ANDREW PHILADELPHIA, PA 19104	Pareto Captive Services/Managing Director	$1,000	P	06/08/2016
CLAYTON, ANDREW PHILADELPHIA, PA 19104	Pareto Captive Svcs./President	$1,000	P	06/08/2016
DOVE, ERIC MOUNTAIN TOP, PA 18707	Eld Consulting Group/Principal	$1,000	P	06/08/2016
GAGLIOTTI, DEBRA MARLTON, NJ 08053	Captive Planning Assoc./Sr. Vp/Coo	$1,000	P	06/08/2016
NAUGHTON, JOHN MEDIA, PA 19063	Keystone Risk Partners/Principal	$1,000	P	06/08/2016
CAPASSO, JOHN MARLTON, NJ 08053	Captive Planning Assoc./President/Ceo	$1,000	P	06/10/2016
KARLINSKI, FRED WESTON, FL 33332	Greenberg Traurig/Shareholder	$1,000	P	06/15/2016
SHUPE, BOB NASHVILLE, TN 37211	Esp Inc/President	$1,000	P	06/15/2016
BURGESS, VICKI RICHARDSON, TX 75082	Crum & Forster/Director Of Sales	$1,000	P	06/22/2016
FOX, CHARLIE ARRINGTON, TN 37014	Golden Triangle Specialty/President/Ceo	$1,000	P	06/22/2016
FOX, ROMA ARRINGTON, TN 37014	Golden Triangle/Senior Vp And Coo	$1,000	P	06/22/2016
BEELER, WILLIAM HENDERSONVILLE, TN 37075	Health Cost Solutions/Ceo	$1,000	P	06/23/2016
BOLGAR, DANIEL MAPLE GROVE, MN 55311	Partner Re/Head Of Health	$1,000	P	06/23/2016

Political Candidates Receiving Contributions in the 2016 Election Cycle from
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Candidate Name	Office	Party	State	District	Primary/ General	$ Dollar Amount	Date
AYOTTE, KELLY A	Senate	Republican	NH	--	G	$2,500	09/30/2016
BENNET, MICHAEL F	Senate	Democrat	CO	--	G	$2,500	09/12/2016
BURR, RICHARD M	Senate	Republican	NC	--	P	$5,000	09/29/2015
BYRNE, BRADLEY ROBERTS	House of Reps	Republican	AL	01	G	$1,000	06/23/2016
COURTNEY, JOSEPH D	House of Reps	Democrat	CT	02	G	$1,000	04/21/2016
GOWDY, TREY	House of Reps	Republican	SC	04	P	$1,000	01/12/2015
GOWDY, TREY	House of Reps	Republican	SC	04	G	$1,000	09/09/2016
GUTHRIE, S. BRETT HON.	House of Reps	Republican	KY	02	G	$1,000	06/23/2016
ISAKSON, JOHN HARDY	Senate	Republican	GA	--	G	$1,000	08/30/2016
KELLY, GEORGE J JR	House of Reps	Republican	PA	03	G	$1,000	07/07/2016
MCCARTHY, KEVIN	House of Reps	Republican	CA	23	G	$2,500	04/01/2016
MURPHY, DENNIS B	House of Reps	Democrat	MI	02	G	$1,000	04/19/2016
ROE, DAVID PHILLIP DR.	House of Reps	Republican	TN	01	P	$2,500	09/29/2015
RUBIO, MARCO	Senate	Republican	FL	--	G	$2,500	09/22/2016
SASSE, BENJAMIN E	Senate	Republican	NE	--	G	$1,000	06/24/2016
SCHRADER, KURT	House of Reps	Democrat	OR	05	G	$1,000	09/15/2016
SCOTT, TIMOTHY E	Senate	Republican	SC	--	G	$2,000	06/23/2016
SHIMKUS, JOHN M	House of Reps	Republican	IL	15	G	$1,000	06/23/2016
TIBERI, PATRICK J.	House of Reps	Republican	OH	12	G	$1,500	06/14/2016
TOOMEY, PATRICK JOSEPH	Senate	Republican	PA	--	G	$2,500	04/01/2016
WALBERG, TIMOTHY L HON.	House of Reps	Republican	MI	07	G	$1,000	09/22/2016