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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 1
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1462 S ACADIA INSURANCE CO 1457 S ACCIDENT FUND GENERAL INSURANCE CO
ATTN: TODD ESTES C/O BROADSPIRE
PO BOX 26350 ATTN: TINA LITWILLER
OKLAHOMA CITY, OK 73126- 2200 NW 50 ST STE 200E
OKLAHOMA CITY, OK 73112-
Phone (1): (405)235-1611
Phone (1): (866)206-5851
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1291 S ACCIDENT FUND INSURANCE CO OF AMERICA 1467 S ACCIDENT FUND NATIONAL INSURANCE CO
C/O BROADSPIRE C/O BROADSPIRE
ATTN: TINA LITWILLER ATTN: TINA LITWILLER
2200 NW 50 ST STE 200E 2200 NW 50 ST STE 200E
OKLAHOMA CITY, OK 73112- OKLAHOMA CITY, OK 73112-
Phone (1): (866)206-5851 Phone (1): (866)206-5851
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1588 S ACCIDENT INSURANCE CO INC 0251 C ACE AMERICAN INSURANCE CO
PO BOX 2005 C/O ESIS
OAK RIDGE, TN 37831- ATTN: CAROL GALLIMORE
225 E JOHN CARPENTER FWY STE 1300
Phone (1): (800)896-6884 IRVING, TX 75062-
Phone (2): (866)984-3316
Phone (1): (302)476-7446
CarrRep: Phone (2): (972)465-7704
DSA: [email protected]
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 2
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0360 C ACE FIRE UNDERWRITERS INSURANCE CO 0526 C ACE PROPERTY & CASUALTY INSURANCE CO
C/O ESIS C/O ESIS
ATTN: CAROL GALLIMORE ATTN: CAROL GALLIMORE
225 E JOHN CARPENTER FWY STE 1300 225 E JOHN CARPENTER FWY STE 1300
IRVING, TX 75062- IRVING, TX 75062-
Phone (1): (302)476-7446 Phone (1): (302)476-7446
Phone (2): (972)465-7704 Phone (2): (972)465-7704
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0505 S ACIG INSURANCE CO 1427 C ADVANTAGE WORKERS COMPENSATION INSURANCE CO
ATTN: LINDSEY MICHAELS PO BOX 571918
12222 MERIT DR STE 1660 SALT LAKE CITY, UT 84157-
DALLAS, TX 75251-
Phone (1): (972)702-9004 CarrRep:
DSA: [email protected]
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
0474 S AIU INSURANCE CO 0498 S ALASKA NATIONAL INSURANCE CO
C/O WILLIAM PERRINE 7001 JEWEL LAKE RD
PO BOX 8301 ANCHORAGE, AK 99502-2825
TULSA, OK 74101-8301
Phone (1): (972)448-1711 CarrRep:
Phone (2): (918)382-1400 DSA: [email protected]
InsComm: [email protected]
CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 3
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1268 S ALEA NORTH AMERICA INSURANCE CO 0304 S ALL AMERICA INSURANCE CO
55 CAPITAL BLVD C/O C SCOTT BEUCH
ROCKY HILL, CT 06067- 2201 N CLASSEN
OKLAHOMA CITY, OK 73106-
Phone (1): (860)258-6512
Phone (1): (419)238-1010
CarrRep: Phone (2): (405)524-4333
DSA:
InsComm: [email protected] CarrRep:
DSA: [email protected]
InsComm: [email protected]
1582 C ALLIANCE INDEMNITY CO 1583 C ALLIANZ GLOBAL RISKS US INSURANCE CO
PO BOX 1401 225 W WASHINGTON ST STE 2000
MCPHERSON, KS 67460- CHICAGO, IL 60606-
Phone (1): (316)241-2200 Phone (1): (312)224-3300
CarrRep: CarrRep:
DSA: DSA:
InsComm: [email protected] InsComm: [email protected]
1584 C ALLIED WORLD REINSURANCE CO 1578 C ALLMERICA FINANCIAL BENEFIT INSURANCE CO
2 LIBERTY SQ STE 11 440 LINCOLN ST
BOSTON, MA 02109- WORCHESTER, MA 01653-
Phone (1): (857)288-6000 Phone (1): (508)855-2963
CarrRep: CarrRep:
DSA: DSA:
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 4
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1258 S AMERICA FIRST INSURANCE CO 0256 S AMERICAN ALTERNATIVE INSURANCE CO
C/O AIMEE TREECE YORK RISK SERVICES GROUP
101 N ROBINSON AVE STE 1105 ATTN: BRENDA MORENO
OKLAHOMA CITY, OK 73102- PO BOX 619079
ROSEVILLE, CA 95661-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (609)275-2079
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
0243 S AMERICAN AUTOMOBILE INSURANCE CO 0275 S AMERICAN CASUALTY CO OF READING PA
ATTN: DENNIS MASON ATTN: ROBERT BILTZ
PO BOX 740174 PO BOX 8317
ATLANTA, GA 30374- CHICAGO, IL 60680-
Phone (1): (866)386-3932 Phone (1): (800)262-1113
Phone (2): (678)393-4006 Phone (2): (214)220-1557
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
1441 S AMERICAN COMPENSATION INSURANCE CO 1532 C AMERICAN COUNTRY INSURANCE CO
ATTN: SUSAN PILON ATTN: GINGER BALKE
PO BOX 390327 150 NW POINT BLVD STE 300
MINNEAPOLIS, MN 55439- ELK GROVE, IL 60007-1040
Phone (1): (800)789-2242 Phone (1): (847)700-8405
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 5
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0444 S AMERICAN ECONOMY INSURANCE CO 1662 AMERICAN FAMILY HOME INSURANCE CO
C/O AIMEE TREECE YORK RISK SERVICES GROUP
101 N ROBINSON AVE STE 1105 ATTN: BRENDA MORENO
OKLAHOMA CITY, OK 73102- PO BOX 619079
ROSEVILLE, CA 95661-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (609)275-2079
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0346 S AMERICAN FIRE & CASUALTY CO 0503 S AMERICAN GUARANTEE & LIABILITY INSURANCE CO
C/O AIMEE TREECE C/O ZURICH CLAIMS
101 N ROBINSON AVE STE 1105 ATTN: JUDITH MANDELKY
OKLAHOMA CITY, OK 73102- PO BOX 968023
SCHAUMBURG, IL 60196-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (410)559-8519
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
1425 C AMERICAN HARDWARE MUTUAL INSURANCE CO 0473 S AMERICAN HOME ASSURANCE CO
C/O MOTORISTS INSURANCE GROUP C/O WILLIAM PERRINE
ATTN: JUDY PALAMARA PO BOX 8301
471 E BROAD ST TULSA, OK 74101-8301
COLUMBUS, OH 43215-
Phone (1): (972)448-1711
Phone (1): (614)225-8211 Phone (2): (918)382-1400
Phone (2): (412)858-1110
CarrRep: [email protected]
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 6
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0271 S AMERICAN INSURANCE CO 1167 S AMERICAN INTERNATIONAL PACIFIC INSURANCE CO
PO BOX 740174 C/O WILLIAM PERRINE
ATLANTA, GA 30374- PO BOX 8301
TULSA, OK 74101-8301
Phone (1): (866)386-3932
Phone (2): (678)393-4006 Phone (1): (972)448-1711
Phone (2): (918)382-1400
CarrRep:
DSA: CarrRep: [email protected]
InsComm: DSA: [email protected]
InsComm:
0312 S AMERICAN INTERSTATE INSURANCE CO 0321 S AMERICAN MANUFACTURERS MUTUAL INSURANCE CO
ATTN: APRIL BURNS C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A.
2301 HIGHWAY 190W 2601 NW EXPY STE 330E
DERIDDER, LA 70634- OKLAHOMA CITY, OK 73112-
Phone (1): (337)460-3606 Phone (1): (847)320-7137
Phone (2): (337)460-3364 Phone (2): (405)843-5454
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA:
InsComm: [email protected] InsComm: [email protected]
1626 C AMERICAN MINING INSURANCE CO 1660 AMERICAN MODERN HOME INSURANCE CO
ATTN: DIANA YERA YORK RISK SERVICES GROUP
5512 S FOT APACHE RD STE 130 ATTN: BRENDA MORENO
LAS VEGAS, NV 89148- PO BOX 619079
ROSEVILLE, CA 95661-
Phone (1): (205)874-8229
Phone (2): (702)754-5802 Phone (1): (609)275-2079
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 7
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0504 S AMERICAN MOTORISTS INSURANCE CO 1533 C AMERICAN NATIONAL PROPERTY & CASUALTY CO
C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A. ATTN: JAMES CYBULSKI
2601 NW EXPY STE 330E 1949 E SUNSHINE
OKLAHOMA CITY, OK 73112- SPRINGFIELD, MO 65899-
Phone (1): (847)320-7137 Phone (1): (417)887-4990
Phone (2): (405)843-5454
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: InsComm: [email protected]
InsComm: [email protected]
1197 S AMERICAN SAFETY CASUALTY INSURANCE CO 1534 C AMERICAN SENTINEL INSURANCE
ATTN: TOM RUDD ATTN: RONALD THOMAS
100 GALLERIA PKWY SE STE 700 PO BOX 61140
ATLANTA, GA 30339- HARRISBURG, PA 17106-
Phone (1): (770)485-4423 Phone (1): (717)657-9671
Phone (2): (800)388-3647
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
0468 S AMERICAN STATES INSURANCE CO 0506 S AMERICAN ZURICH INSURANCE CO
C/O AIMEE TREECE C/O ZURICH CLAIMS
101 N ROBINSON AVE STE 1105 ATTN: JUDITH MANDELKY
OKLAHOMA CITY, OK 73102- PO BOX 968023
SCHAUMBURG, IL 60196-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (410)559-8547
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 8
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1579 C AMERISURE INSURANCE CO 1200 C AMERISURE MUTUAL INSURANCE CO
C/O TODD ESTES C/O TODD ESTES
PO BOX 26350 PO BOX 26350
OKLAHOMA CITY, OK 73106- OKLAHOMA CITY, OK 73106-
Phone (1): (405)235-1611 Phone (1): (800)325-1721
Phone (2): (405)235-1611
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: DSA: [email protected]
InsComm: [email protected]
1630 C AMERISURE PARTNERS INSURANCE CO 1535 C AMEX ASSURANCE CO
C/O TODD ESTES PO BOX 19020
PO BOX 26350 GREEN BAY, WI 54307-
OKLAHOMA CITY, OK 73106-
Phone (1): (920)431-4067
Phone (1): (405)235-1611
CarrRep:
CarrRep: [email protected] DSA:
DSA: [email protected] InsComm:
InsComm:
1476 S AMTRUST INSURANCE CO OF KS INC 1142 S ARCH INSURANCE CO
PO BOX 650767 ATTN: KAY RAGER
DALLAS, TX 75265- PO BOX 542033
OMAHA, NE 68154-
Phone (1): (214)360-8560
Phone (1): (877)688-2724
CarrRep: Phone (2): (877)688-2724
DSA:
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 9
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0248 C ARGONAUT GREAT CENTRAL INSURANCE CO 0361 C ARGONAUT INSURANCE CO
C/O BRAD HOLLAR C/O BRADLEY HOLLAR
909 CEDAR LAKE BLVD 909 CEDAR LAKE BLVD
OKLAHOMA CITY, OK 73114- OKLAHOMA CITY, OK 73114-
Phone (1): (972)506-2406 Phone (1): (972)506-2411
Phone (2): (405)755-8100 Phone (2): (405)755-8100
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0362 C ARGONAUT MIDWEST INSURANCE CO 0363 C ARGONAUT SOUTHWEST INSURANCE CO
C/O BRADLEY HOLLAR C/O BRADLEY HOLLAR
909 CEDAR LAKE BLVD 909 CEDAR LAKE BLVD
OKLAHOMA CITY, OK 73114- OKLAHOMA CITY, OK 73114-
Phone (1): (972)506-2406 Phone (1): (972)506-2406
Phone (2): (405)755-8100 Phone (2): (405)755-8100
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1537 S ARROWOOD INDEMNITY CO 0244 S ASSOCIATED INDEMNITY CORP
C/O STEPHANIE MILNES ATTN: DENNIS MASON
CORPORATION SERVICE COMPANY PO BOX 740174
115 SW 89 ST ATLANTA, GA 30374-
OKLAHOMA CITY, OK 73139-8511
Phone (1): (866)386-3932
Phone (1): (704)522-2744 Phone (2): (678)393-4006
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 10
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0337 C ASSOCIATION CASUALTY INSURANCE CO 1655 C ASSOCIATON INSURANCE COMPANY
ATTN: PAUL BONHAM PO BOX 723099
PO BOX 9728 ATLANTA, GA 31139-0099
AUSTIN, TX 78766-9728
Phone (1): (678)309-4147
Phone (1): (512)345-7500
Phone (2): (800)877-4245 CarrRep: [email protected]
DSA:
CarrRep: InsComm:
DSA: [email protected]
InsComm: [email protected]
0508 S ASSURANCE CO OF AMERICA 1538 C ATHENA ASSURANCE CO
C/O ZURICH CLAIMS ATTN: MICHAEL DOODY
ATTN: JUDITH MANDELKY 385 WASHINGTON ST
PO BOX 968023 ST PAUL, MN 55102-
SCHAUMBURG, IL 60196-
Phone (1): (410)559-8547 CarrRep:
DSA:
CarrRep: [email protected] InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
1344 S ATLANTIC SPECIALTY INSURANCE CO 0286 C AUTOMOBILE INSURANCE CO OF HARTFORD
ATTN: VIRGINIA MCCARTHY C/O CORPORATION SERVICE CO
150 ROYALL ST 115 SW 89 ST
CANTON, MA 02021- OKLAHOMA CITY, OK 73139-8511
Phone (1): (781)332-7000 Phone (1): (214)570-6764
Phone (2): (781)332-7191 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 11
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1539 C AXIS INSURANCE CO 0512 S BANCINSURE INC
ATTN: BERTMAN BRAUD ATTN: NANCY ALLISON
11680 GREAT OAKS WAY STE 500 PO BOX 26104
ALPHARETTA, GA 30022- OKLAHOMA CITY, OK 73126-
Phone (2): (800)227-1700 Phone (1): (405)416-5190
Phone (2): (405)416-5190
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0250 C BANKERS STANDARD INSURANCE CO 1653 C BEARING MIDWEST CASUALTY CO
C/O ESIS ATTN: MINDY YANCEY
ATTN: CAROL GALLIMORE 1100 WALNUT ST STE 3010
225 E JOHN CARPENTER FWY STE 1300 KANSAS CITY, MO 64106-
IRVING, TX 75062-
Phone (1): (816)474-7799
Phone (1): (302)476-7446
Phone (2): (972)465-7704 CarrRep: [email protected]
DSA: [email protected]
CarrRep: [email protected] InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
0514 S BENCHMARK INSURANCE CO 1596 S BERKLEY NATIONAL INSURANCE CO
ATTN: SHEILA WEHRKAMP ATTN: STEVE RIEWER
775 PRAIRIE CENTER DR STE 420 11201 DOUGLASS AVE
EDEN PRAIRIE, MN 55344- URBANDALE, IA 50322-
Phone (1): (952)974-2200 Phone (1): (630)210-0406
Phone (2): (952)974-2200 Phone (2): (515)473-3137
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 12
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1540 C BERKLEY REGIONAL INSURANCE CO 1489 C BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO (FKA COR
ATTN: STEVE RIEWER ATTN: NICOLE ALBRECHT
11201 DOUGLAS AVE PO BOX 881716
URBANDALE, IA 50322- SAN FRANCISCO, CA 94188-
Phone (1): (515)473-3137 Phone (1): (402)393-7255
Phone (2): (402)952-5121
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0475 S BIRMINGHAM FIRE INSURANCE CO OF PENNSYLVANIA 0516 S BITUMINOUS CASUALTY CORP
C/O WILLIAM PERRINE ATTN: KELLY GRAMMER
PO BOX 8301 PO BOX 12936
TULSA, OK 74101-8301 OKLAHOMA CITY, OK 73157-2936
Phone (1): (972)448-1711 Phone (2): (405)767-2064
Phone (2): (918)382-1400
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
1157 S BITUMINOUS FIRE & MARINE INSURANCE CO 0449 S BROTHERHOOD MUTUAL INSURANCE CO
ATTN: KELLY GRAMMER ATTN: GARY ALDRIDGE
PO BOX 12936 PO BOX 2228
OKLAHOMA CITY, OK 73157-2936 FT WAYNE, IN 46801-2228
Phone (2): (405)767-2064 Phone (1): (260)482-8668
Phone (2): (260)482-8668
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 13
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1664 C BUILDERS MUTUAL INSURANCE CO 0274 S CAMDEN FIRE INSURANCE ASSOCIATION
PO BOX 150006 ATTN: VIRGINIA MCCARTHY
RALEIGH, NC 27624- 150 ROYALL ST
CANTON, MA 02021-
Phone (1): (919)845-9382
Phone (1): (781)332-7000
CarrRep: [email protected] Phone (2): (781)332-7191
DSA:
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
0400 S CAPITAL CITY INSURANCE CO INC 1460 S CAROLINA CASUALTY INSURANCE CO
C/O QBE AMERICAS INC C/O BERKLEYNET UNDERWRITERS LLC
ATTN: JOSEPH MONTELEONE ATTN: JOHN BURKE
PO BOX 975 12701 MARBLESTONE DR STE 250
SUN PRAIRIE, WI 53590- WOODBRIDGE, VA 22192-
Phone (1): (608)825-5160 Phone (1): (866)915-4458
Phone (2): (803)612-7775 Phone (2): (866)915-4458
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
1446 C CASTLEPOINT NATIONAL INSURANCE CO (FKA SUA INSURAN 0305 S CENTRAL MUTUAL INSURANCE CO
ATTN: DEE KAPADIA C/O C SCOTT BEUCH
HARBORSIDE FINANCIAL CENTER 2201 N CLASSEN
800 PLAZA TWO OKLAHOMA CITY, OK 73106-
JERSEY CITY, NJ 07311-
Phone (1): (419)238-1010
Phone (1): (201)881-8329 Phone (2): (405)524-4333
Phone (2): (201)881-8329
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 14
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0524 S CENTRE INSURANCE CO 0261 C CHARTER OAK FIRE INSURANCE CO
C/O JAY MCATEE C/O CORPORATION SERVICE CO
PO BOX 50611 115 SW 89 ST
TULSA, OK 74150-0611 OKLAHOMA CITY, OK 73139-8511
Phone (1): (212)859-2640 Phone (1): (214)570-6764
Phone (2): (918)633-8051 Phone (2): (405)636-4070
CarrRep: CarrRep: [email protected]
DSA: DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0276 S CHARTIS CASUALTY CO FKA AMERICAN INTERNATIONAL SOU 1493 S CHARTIS PROPERTY & CASUALTY CO FKA AIG CASUALTY
C/O WILLIAM PERRINE C/O WILLIAM PERRINE
PO BOX 8301 PO BOX 8301
TULSA, OK 74101-8301 TULSA, OK 74101-
Phone (1): (972)448-1711 Phone (1): (972)448-1711
Phone (2): (918)382-1400 Phone (2): (918)382-1400
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1363 S CHEROKEE INSURANCE CO 0525 C CHUBB INDEMNITY INSURANCE CO
ATTN: LAURA BOOTH C/O MALCOLM SMITH
34200 MOUND RD 5416 S YALE AVE STE 225
STERLING HEIGHTS, MI 48310- TULSA, OK 74135-
Phone (1): (800)201-0450 Phone (1): (214)754-0777
Phone (2): (800)201-0450 Phone (2): (918)392-2910
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 15
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1541 C CHUBB NATIONAL INSURANCE 0338 S CHURCH MUTUAL INSURANCE CO
ATTN: RONALD CALAVANO C/O DAVID A SEISER
15 MOUNTAIN VIEW RD PO BOX 342
WARREN, NJ 70059- MERRILL, WI 54452-0342
Phone (1): (908)903-2525 Phone (1): (715)539-4626
Phone (2): (715)539-4626
CarrRep:
DSA: CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0325 S CINCINNATI CASUALTY CO 1595 C CINCINNATI INDEMNITY CO
C/O ADVANCED CLAIM SERVICES LLC C/O ADVANCED CLAIM SERVICES LLC
ATTN: STACIA SMITH ATTN: STACIA SMITH
PO BOX 721078 PO BOX 721078
OKLAHOMA CITY, OK 73132- OKLAHOMA CITY, OK 73172-
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
0326 S CINCINNATI INSURANCE CO 1659 CITIZENS INSURANCE CO OF AMERICA
C/O ADVANCED CLAIM SERVICES LLC ATTN: DOLORES NARDELLA
ATTN: STACIA SMITH 440 LINCOLN ST
PO BOX 721078 WORCESTER, MA 01653-0002
OKLAHOMA CITY, OK 73172-
Phone (1): (580)855-2996
Phone (2): (508)856-9297
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA:
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 16
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0530 S CLARENDON NATIONAL INSURANCE CO 1542 C COLONIAL AMERICAN CASUALTY & SURETY CO
C/O MIDLANDS CLAIM ADMINISTRATORS ATTN: COLLEEN ZITT
ATTN: CHARLES CALDWELL 1400 AMERICAN LN TOWER
PO BOX 22778 SCHAUMBURG, IL 60196-
OKLAHOMA CITY, OK 73123-
Phone (1): (847)413-5048
Phone (1): (212)790-9715
Phone (2): (405)840-0074 CarrRep:
DSA: [email protected]
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
1543 C COLUMBIA MUTUAL INSURANCE CO 1319 S COLUMBIA NATIONAL INSURANCE CO
ATTN: ROGER BALLARD ATTN: PAUL BONHAM
PO BOX 618 PO BOX 618
COLUMBIA, MO 66205- COLUMBIA, MO 65205-0618
Phone (1): (573)474-6193 Phone (1): (800)877-3579
Phone (2): (800)877-4245
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1602 C COLUMBUS INSURANCE CO 0476 S COMMERCE & INDUSTRY INSURANCE CO
C/O CONNIE WOLFE C/O WILLIAM PERRINE
3030 NW EXPY STE 500 PO BOX 8301
OKLAHOMA CITY, OK 73112-5399 TULSA, OK 74101-8301
Phone (1): (972)448-1711
CarrRep: Phone (2): (918)382-1400
DSA:
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 17
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1567 C COMPANION COMMERCIAL INSURANCE CO 1571 S COMPANION PROPERTY & CASUALTY INSURANCE CO
ATTN: DUNCAN MCINTOSH ATTN: THERESA A SPATHAROS
51 CLEMSON RD I 20 AT ALPINE RD AA 270
COLUMBIA, SC 29229- COLUMBIA, SC 29219-
Phone (2): (803)264-3552 Phone (1): (803)735-0672
Phone (2): (803)264-3504
CarrRep:
DSA: [email protected] CarrRep:
InsComm: DSA: [email protected]
InsComm:
0627 S COMPSOURCE OKLAHOMA 0246 S CONTINENTAL CASUALTY CO
ATTN: TAMMY LOTT ATTN: ROBERT BILTZ
PO BOX 53505 PO BOX 8317
OKLAHOMA CITY, OK 73152-3505 CHICAGO, IL 60680-
Phone (1): (405)232-7663 Phone (1): (800)262-1113
Phone (2): (214)220-1557
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: CNAOKLAHOMASTATEFILING'[email protected]
InsComm:
1544 S CONTINENTAL INDEMNITY CO 0247 S CONTINENTAL INSURANCE CO
ATTN: SHANNON CASEY ATTN: ROBERT BILTZ
PO BOX 3804 PO BOX 8317
OMAHA, NE 68103- CHICAGO, IL 60680-
Phone (2): (877)234-4420 Phone (1): (800)262-1113
Phone (2): (214)220-1557
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: CNAOKLAHOMASTATEFILING'[email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 18
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1438 C CONTINENTAL NATIONAL INDEMNITY CO 1256 S CONTINENTAL WESTERN INSURANCE CO
ATTN: SHANNON CASEY ATTN: TODD ESTES
PO BOX 3804 PO BOX 26350
OMAHA, NE 68103- OKLAHOMA CITY, OK 73126-
Phone (1): (877)234-4420 Phone (1): (405)235-1611
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
1141 S CRUM & FORSTER INDEMNITY CO 0537 C CUMIS INSURANCE SOCIETY INC
C/O MIKE HICKS ATTN: DOAK SOMMERS
6404 INTERNATIONAL PKWY STE 1000 PO BOX 1221
PLANO, TX 75093- MADISON, WI 53701-1221
Phone (2): (972)380-3167 Phone (1): (608)231-8474
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA:
InsComm: [email protected] InsComm: [email protected]
0489 C DAIMLERCHRYSLER INSURANCE CO 1349 S DAKOTA TRUCK UNDERWRITERS
27777 INSTER RD CIMS 405-17-00 ATTN: ROBERT HOLLAN
FARMINGTON HILLS, MI 48333- PO BOX 89310
SIOUX FALLS, SD 57109-9310
Phone (1): (405)235-1425
Phone (1): (605)362-5672
CarrRep:
DSA: CarrRep:
InsComm: DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 19
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1545 C DEERFIELD INSURANCE CO 1235 S DIAMOND INSURANCE CO
C/O SHAND MORAHAN & CO C/O GALLAGHER BASSETT SERVICES
ATTN: J WILLIAMS ATTN: CARLA TATE
10 PKWY N 6303 WATERFORD BLVD STE 120
DEERFIELD, IL 60015-2526 OKLAHOMA CITY, OK 73118-
Phone (1): (847)572-6000 Phone (1): (847)230-1331
Phone (2): (405)843-8658
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: DSA: [email protected]
InsComm: [email protected]
1546 C DIAMOND STATE INSURANCE CO 1175 C DISCOVER PROPERTY & CASUALTY INSURANCE CO
ATTN: BRIAN RILEY C/O DISCOVERY MANAGERS LTD
3 BALA PLZ STE 300E ATTN: AGNES MORALES
BALA CYNWYD, PA 19004- 5 BATTERSON PARK
FARMINGTON, CT 06032-
Phone (1): (610)664-1500
Phone (1): (860)284-2653
CarrRep: Phone (2): (860)284-2808
DSA: [email protected]
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm:
0450 C ELECTRIC INSURANCE CO 0487 S EMCASCO INSURANCE CO
C/O SEDGWICK CMS ATTN: CHARLENE BENNETT
1 CORPORATE PLAZA 5104 260 WASHINGTON ST PO BOX 1739
ALBANY, NY 12212- WICHITA, KS 67201-1739
Phone (1): (800)836-5426 Phone (2): (316)352-5716
Phone (2): (800)434-8331
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 20
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1285 C EMPLOYERS ASSURANCE CO (FKA AMCOMP ASSURANCE) 1159 S EMPLOYERS FIRE INSURANCE
C/O CORPORATION SERVICE CO ATTN: VIRGINIA MCCARTHY
115 SW 89 ST 150 ROYALL ST
OKLAHOMA CITY, OK 73139- CANTON, MA 02021-
Phone (1): (775)327-2700 Phone (1): (781)332-7000
Phone (2): (781)332-7191
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0429 S EMPLOYERS INSURANCE CO OF WAUSAU 0488 S EMPLOYERS MUTUAL CASUALTY CO
C/O AIMEE TREECE ATTN: CHARLENE BENNETT
101 N ROBINSON AVE STE 1105 PO BOX 1739
OKLAHOMA CITY, OK 73102- WICHITA, KS 67201-1739
Phone (1): (617)654-4073 Phone (2): (316)352-5716
Phone (2): (405)879-0363
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm:
InsComm:
1281 S ESSENTIA INSURANCE CO FKA AMERICAN CENTRAL 1334 C EVEREST NATIONAL INSURANCE CO
ATTN: VIRGINIA MCCARTHY C/O TOM CAREY
150 ROYALL ST PO BOX 830
CANTON, MA 02021- LIBERTY CORNER, NJ 07938-0830
Phone (1): (781)332-7000 Phone (2): (908)604-3344
Phone (2): (781)332-7191
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 21
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1249 C EXECUTIVE RISK INDEMNITY INC 1609 C EXPLORER INSURANCE CO
C/O MALCOLM SMITH PO BOX 85563
5416 S YALE AVE STE 225 SAN DIEGO, CA 92186-
TULSA, OK 74105-
Phone (1): (858)350-2400
Phone (1): (214)754-0777
Phone (2): (918)392-2910 CarrRep:
DSA:
CarrRep: [email protected] InsComm:
DSA: [email protected]
InsComm: [email protected]
1215 S FAIRFIELD INSURANCE CO 1548 C FAIRMONT PREMIER INSURANCE CO
120 LONG RIDGE RD ATTN: LUCI PALAZZOLO
STAMFORD, CT 06902- 250 COMMERCIAL ST STE 5000
MANCHESTER, NH 31001-
Phone (1): (203)328-6466
Phone (1): (603)656-2233
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1549 C FAIRMONT SPECIALTY INSURANCE CO 0241 S FARMERS ALLIANCE MUTUAL INSURANCE CO
ATTN: LUCI PALAZZOLO PO BOX 1401
250 COMMERCIAL ST STE 5000 MCPHERSON, KS 67460-1401
MANCHESTER, NH 31001-
Phone (1): (603)656-2233 CarrRep:
DSA:
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 22
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0544 S FARMERS INSURANCE EXCHANGE 0287 C FARMINGTON CASUALTY CO
C/O TAMMY LEE C/O CORPORATION SERVICE CO
PO BOX 108843 115 SW 89 ST
OKLAHOMA CITY, OK 73101-8843 OKLAHOMA CITY, OK 73139-8511
Phone (1): (512)533-8361 Phone (1): (214)570-6764
Phone (2): (512)533-8388 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0452 S FARMLAND MUTUAL INSURANCE CO 0545 C FEDERAL INSURANCE CO
ATTN: SHARON BELL C/O MALCOLM SMITH
1100 LOCUST ST STE 3010 5416 S YALE AVE STE 225
DES MOINES, IA 50391-3010 TULSA, OK 74135-
Phone (1): (515)508-3472 Phone (1): (214)754-0777
Phone (2): (800)228-6700 Phone (2): (918)392-2910
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0397 S FEDERATED MUTUAL INSURANCE CO 0546 S FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE
ATTN: ADRIAN JOHNSON C/O CHRISTINA SPOTSER
PO BOX 1548 PO BOX 15147
HURST, TX 76053- LENEXA, KS 66285-5147
Phone (1): (817)545-1500 Phone (1): (800)356-8360
Phone (2): (817)545-1500 Phone (2): (ext) -122
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 23
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0547 S FEDERATED SERVICE INSURANCE CO 0390 S FIDELITY & DEPOSIT CO OF MD
ATTN: ADRIAN JOHNSON C/O ZURICH CLAIMS
PO BOX 1548 ATTN: JUDITH MANDELKY
HURST, TX 76053- PO BOX 968023
SCHAUMBURG, IL 60196-
Phone (1): (817)545-1500
Phone (2): (817)545-1500 Phone (1): (410)559-8519
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1204 C FIDELITY & GUARANTY INSURANCE CO 0548 C FIDELITY & GUARANTY INSURANCE UNDERWRITERS
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139- OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1550 C FIDELITY NATIONAL PROPERTY & CASUALTY INSURANCE CO 0272 S FIREMANS FUND INSURANCE CO
ATTN: JOHN GIORGIANNI ATTN: GREG RUSH
601 RIVERSIDE AVE BLDG 5 STE 200 1 PROGRESS POINTE PKWY
JACKSONVILLE, FL 32204- OFALLON, MO 63368-
Phone (1): (904)997-7312 Phone (1): (866)386-3932
Phone (2): (678)393-4006
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 24
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1551 C FIREMENS INSURANCE CO OF WASHINGTON DC 0550 S FIRST LIBERTY INSURANCE CORP
ATTN: WILLIAM AMBROSE C/O AIMEE TREECE
PO BOX 61038 101 N ROBINSON AVE STE 1105
RICHMOND, VA 22361- OKLAHOMA CITY, OK 73102-
Phone (1): (804)285-2700 Phone (1): (617)654-4073
Phone (2): (405)879-0363
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
0434 S FIRST NATIONAL INSURANCE CO OF AMERICA 1372 C FIRSTCOMP INSURANCE CO
C/O AIMEE TREECE ATTN: KATHLEEN STURGEON
101 N ROBINSON AVE STE 1105 10 PARKWAY N
OKLAHOMA CITY, OK 73102- DEERFIELD, IL 60015-
Phone (1): (617)654-4073 Phone (1): (402)926-0099
Phone (2): (405)879-0363 Phone (2): (847)572-6387
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
0402 S FLORISTS MUTUAL INSURANCE CO 1637 S FOREMOST INSURANCE CO GRAND RAPIDS MICHIGAN
C/O JOHN OLDFIELD JR C/O TAMMY LEE
4808 N CLASSEN BLVD PO BOX 108843
OKLAHOMA CITY, OK 73118- OKLAHOMA CITY, OK 73101-
Phone (1): (618)655-1802 Phone (1): (888)327-6335
Phone (2): (512)533-8388
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 25
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1636 S FOREMOST PROPERTY & CASUALTY INSURANCE 1638 S FOREMOST SIGNATURE INSURANCE COMPANY
C/O TAMMY LEE C/O TAMMY LEE
PO BOX 108843 PO BOX 108843
OKLAHOMA CITY, OK 73101- OKLAHOMA CITY, OK 73101-
Phone (1): (888)327-6335 Phone (1): (888)327-6335
Phone (2): (512)533-8388 Phone (2): (512)533-8388
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
1618 C FRANK WINSTON CRUM INSURANCE INC 1439 S FRANKENMUTH MUTUAL INSURANCE CO
158 LOOKOUT PL STE 201 ATTN: MIKE PORTER
MAITLAND, FL 32751- 2200 NW 50 ST STE 200E
OKLAHOMA CITY, OK 73112-
CarrRep: Phone (1): (800)234-4433
DSA: Phone (2): (800)321-1866
InsComm:
CarrRep:
DSA:
InsComm: [email protected]
1270 C FREESTONE INSURANCE CO (FKA DALLAS FIRE & DALLAS N 1479 C GATEWAY INSURANCE CO
PIERCE COUCH HENDRICKSON BAYSINGER & GREEN LLP ATTN: SERENA LINTKER
ATTN: TODD ESTES PO BOX 20038
PO BOX 26350 ST LOUIS, MO 63144-
OKLAHOMA CITY, OK 73126-0350
Phone (1): (314)373-3333
Phone (1): (972)233-0178
Phone (2): (405)235-1611 CarrRep: [email protected]
DSA: [email protected]
CarrRep: [email protected] InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 26
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0555 S GENERAL CASUALTY CO OF WISCONSIN 0435 S GENERAL INSURANCE CO OF AMERICA
C/O QBE AMERICAS INC C/O AIMEE TREECE
ATTN: JOSEPH MONTELEONE 101 N ROBINSON AVE STE 1105
PO BOX 975 OKLAHOMA CITY, OK 73102-
SUN PRAIRIE, WI 53590-
Phone (1): (617)654-4073
Phone (1): (800)362-5448 Phone (2): (405)879-0363
Phone (2): (803)612-7775
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm:
InsComm:
1552 C GENESIS INSURANCE CO 0281 S GEORGIA CASUALTY & SURETY CO
120 LONG RIDGE RD ATTN: PAUL BONHAM
STAMFORD, CT 06902- 11138 STATE BRIDGE RD
ALPHARETTA, GA 30022-
Phone (1): (203)328-6466
Phone (2): (800)877-4245
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1553 C GERLING AMERICA INSURANCE CO 0557 C GRAIN DEALERS MUTUAL INSURANCE CO
161 N CLARK ST C/O SCOTT CANNON
CHICAGO, IL 60601- 9175 S YALE AVE STE 300
TULSA, OK 74137-
Phone (1): (312)456-6798
Phone (1): (800)436-2005
CarrRep: Phone (2): (918)935-3999
DSA:
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 27
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0477 S GRANITE STATE INSURANCE CO 1661 GRAPHIC ARTS MUTUAL INSURANCE CO
C/O WILLIAM PERRINE ATTN: MARTHA DUMONT
PO BOX 8301 180 GENESEE ST
TULSA, OK 74101-8301 NEW HARTFORD, NY 13413-2200
Phone (1): (972)448-1711 Phone (1): (315)734-2868
Phone (2): (918)382-1400
CarrRep: [email protected]
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm: [email protected]
1554 C GRAY CASUALTY & SURETY CO 0339 S GRAY INSURANCE CO
ATTN: ROBERT HUGHES C/O DAVID MANGUNO
PO BOX 6202 5601 NW 72
METAIRE, LA 70009- OKLAHOMA CITY, OK 73132-5903
Phone (1): (504)888-7790 Phone (1): (504)888-7790
Phone (2): (405)773-8551
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1364 S GREAT AMERICAN ALLIANCE INSURANCE CO 1356 S GREAT AMERICAN ASSURANCE CO
ATTN: PATRICIA HAIDLE ATTN: PATRICIA HAIGLE
PO BOX 1445 PO BOX 1445
ALPHARETTA, GA 30009- ALPHARETTA, GA 30009-
Phone (1): (770)225-4597 Phone (1): (770)225-4597
Phone (2): (770)225-4597 Phone (2): (770)225-4597
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 28
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1353 S GREAT AMERICAN INSURANCE CO OF NEW YORK 1431 C GREAT DIVIDE INSURANCE CO
ATTN: PATRICIA HAIGLE ATTN: CLAIMS DEPT
PO BOX 1445 7233 E BUTHERUS DR
ALPHARETTA, GA 30009-1445 SCOTTSDALE, AZ 85260-
Phone (1): (770)225-4597 Phone (1): (480)951-0905
Phone (2): (770)225-4597
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm:
1597 C GREAT MIDWEST INSURANCE CO 0558 C GREAT NORTHERN INSURANCE CO
800 GESSNER RD STE 600 C/O MALCOLM SMITH
HOUSTON, TX 77024- 5416 S YALE AVE STE 225
TULSA, OK 74135-
Phone (1): (713)935-4800
Phone (1): (214)754-0777
CarrRep: [email protected] Phone (2): (918)392-2910
DSA:
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
0345 S GREAT WEST CASUALTY CO 1556 GREATER NEW YORK MUTUAL INSURANCE CO
ATTN: DALE SEGUIN ATTN: LILLIAN LENT
1100 W 29 ST 200 MADISON AVE
S SIOUX CITY, NE 68776-3130 NEW YORK, NY 10016-
Phone (1): (800)228-8602 Phone (1): (212)683-9700
Phone (2): (800)228-8602
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 29
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1168 S GREENWICH INSURANCE CO 0942 S GUARANTEE INSURANCE CO
ATTN: SARAH MIMS C/O LISA BALMER
505 EAGLEVIEW BLVD STE 100 PO BOX 6550
EXTON, PA 19341- CHESTERFIELD, MO 63006-
Phone (1): (203)964-5200 Phone (2): (888)237-2027
Phone (2): (610)968-2970
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm:
1429 S GUIDEONE ELITE INSURANCE CO 0391 S GUIDEONE MUTUAL INSURANCE CO
ATTN: TRINA OLAONE ATTN: TRINA OLOANE
PO BOX 14543 PO BOX 14543
DES MOINES, IA 50306- DES MOINES, IA 50306-
Phone (1): (888)748-4326 Phone (1): (888)748-4326
Phone (2): (888)748-4326 Phone (2): (888)748-4326
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0418 C HANOVER AMERICAN INSURANCE CO 0419 C HANOVER INSURANCE CO
C/O MICHAEL MANCILLAS C/O MICHAEL MANCILLAS
5801 N BROADWAY EXT STE 303 5801 N BROADWAY EXT STE 303
OKLAHOMA CITY, OK 73118- OKLAHOMA CITY, OK 73118-
Phone (1): (800)628-0250 Phone (1): (800)628-0250
Phone (2): (405)840-1404 Phone (2): (405)840-1404
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 30
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1196 S HARBOR SPECIALTY INSURANCE CO 0307 S HARCO NATIONAL INSURANCE
C/O MIDLANDS CLAIM ADMINISTRATORS C/O REBECCA CULLINS
ATTN: D NEWMAN 1300 S MERIDIAN STE 323
PO BOX 238808 OKLAHOMA CITY, OK 73108-
OKLAHOMA CITY, OK 73123-8808
Phone (1): (800)890-8975
Phone (1): (212)790-9715 Phone (2): (ext)222-
CarrRep: CarrRep:
DSA: [email protected] DSA:
InsComm: [email protected] InsComm: [email protected]
0562 S HARLEYSVILLE INSURANCE CO 0398 S HARLEYSVILLE MUTUAL INSURANCE CO
355 MAPLE AVE 355 MAPLE AVE
HARLEYSVILLE, PA 19438- HARLEYSVILLE, PA 19438-
Phone (1): (215)256-5830 Phone (1): (888)549-9876
Phone (2): (215)256-5830
CarrRep:
CarrRep: DSA:
DSA: InsComm: [email protected]
InsComm:
0262 S HARTFORD ACCIDENT & INDEMNITY CO 0263 S HARTFORD CASUALTY INSURANCE CO
ATTN: KATE LECHTENBERG ATTN: KATE LECHTENBERG
PO BOX 14474 PO BOX 14474
LEXINGTON, KY 40512- LEXINGTON, KY 40512-
Phone (1): (860)519-1479 Phone (1): (860)519-1479
Phone (2): (281)877-3413 Phone (2): (281)877-3413
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 31
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0264 S HARTFORD FIRE INSURANCE CO 1591 S HARTFORD INSURANCE CO OF ILLINOIS
ATTN: KATE LECHTENBERG ATTN: KATE LECHTENBERG
PO BOX 14474 PO BOX 14474
LEXINGTON, KY 40512- LEXINGTON, KY 40512-
Phone (1): (860)519-1479 Phone (1): (860)519-1479
Phone (2): (281)877-3413 Phone (2): (281)877-3413
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0265 S HARTFORD INSURANCE CO OF THE MIDWEST 1650 S HARTFORD SACRAMENTO INSURANCE CO
ATTN: KATE LECHTENBERG ATTN: KATE LECHTENBERG
PO BOX 14474 PO BOX 14474
LEXINGTON, KY 40512- LEXINGTON, KY 40512-
Phone (1): (860)519-1479 Phone (1): (860)519-1479
Phone (2): (281)877-3413
CarrRep: [email protected]
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm:
0266 S HARTFORD UNDERWRITERS INSURANCE CO 1603 C HDI GERLING AMERICA INSURANCE CO
ATTN: KATE LECHTENBERG 161 N CLARK ST
PO BOX 14474 CHICAGO, IL 60601-
LEXINGTON, KY 40512-
Phone (1): (860)519-1479 CarrRep:
Phone (2): (281)877-3413 DSA:
InsComm:
CarrRep: [email protected]
DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 32
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1558 HOUSING AUTHORITY PROPERTY INSURANCE A MUTUAL CO 0284 S HOUSTON GENERAL INSURANCE CO
ATTN: SARAH RODRIGUEZ ATTN: VIRGINIA MCCARTHY
PO BOX 189 150 ROYALL ST
CHESHIRE, CT 06410- CANTON, MA 02021-
Phone (1): (203)272-8220 Phone (1): (781)332-7000
Phone (2): (781)332-7191
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1313 C HUDSON INSURANCE CO (TRIBES ONLY) 0478 S ILLINOIS NATIONAL INSURANCE CO
100 WILLIAM ST FL 5 C/O WILLIAM PERRINE
NEW YORK, NY 10038-5044 PO BOX 8301
TULSA, OK 74101-8301
Phone (1): (212)978-2800
Phone (1): (972)448-1711
CarrRep: [email protected] Phone (2): (918)382-1400
DSA:
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
1617 C IMPERIUM INSURANCE CO 0412 C INDEMNITY INSURANCE CO OF NORTH AMERICA
800 GESSNER RD STE 600 C/O ESIS
HOUSTON, TX 77024- ATTN: CAROL GALLIMORE
225 E JOHN CARPENTER FWY STE 1300
IRVING, TX 75062-
CarrRep:
DSA: Phone (1): (302)476-7446
InsComm: Phone (2): (972)465-7704
CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 33
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1559 INDEMNITY NATIONAL INSURANCE CO 0278 C INDIANA LUMBERMENS MUTUAL
ATTN: MATTHEW TUCKER 8888 KEYSTONE CROSSING STE 250
4800 OLD KINGSTON PIKE INDIANAPOLIS, IN 46240-
KNOXVILLE, TN 37919-
Phone (1): (317)875-3710
Phone (1): (865)934-4360
CarrRep:
CarrRep: DSA:
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
0421 C INDUSTRIAL UNDERWRITERS 0252 C INSURANCE CO OF NORTH AMERICA
C/O ESIS C/O ESIS
ATTN: CAROL GALLIMORE ATTN: CAROL GALLIMORE
225 E JOHN CARPENTER FWY STE 1300 225 E JOHN CARPENTER FWY STE 1300
IRVING, TX 75062- IRVING, TX 75062-
Phone (1): (302)476-7446 Phone (1): (302)476-7446
Phone (2): (972)465-7704 Phone (2): (972)465-7704
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0479 S INSURANCE CO OF THE STATE OF PENN 1165 S INSURANCE CO OF THE WEST
C/O WILLIAM PERRINE ATTN: GINA SKOLASKI
PO BOX 8301 PO BOX 85563
TULSA, OK 74101-8301 SAN DIEGO, CA 92186-
Phone (1): (972)448-1711 Phone (1): (800)877-1111
Phone (2): (918)382-1400 Phone (2): (800)877-1111
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 34
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1408 S LEXINGTON INSURANCE CO 0570 S LIBERTY INSURANCE CORP
C/O WILLIAM PERRINE C/O AIMEE TREECE
PO BOX 8301 101 N ROBINSON AVE STE 1105
TULSA, OK 74101-8301 OKLAHOMA CITY, OK 73102-
Phone (1): (972)448-1711 Phone (1): (617)654-4073
Phone (2): (918)382-1400 Phone (2): (405)879-0363
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
1629 C LIBERTY LIFE ASSURANCE CO OF BOSTON 0571 S LIBERTY MUTUAL FIRE INSURANCE
C/O AIMEE TREECE C/O AIMEE TREECE
101 N ROBINSON AVE STE 1105 101 N ROBINSON AVE STE 1105
OKLAHOMA CITY, OK 73102- OKLAHOMA CITY, OK 73102-
Phone (1): (617)654-4073 Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (2): (405)879-0363
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0572 S LIBERTY MUTUAL INSURANCE CO 1414 C LINCOLN GENERAL INSURANCE CO
C/O AIMEE TREECE ATTN: KAREN GROFF
101 N ROBINSON AVE STE 1105 PO BOX 3709
OKLAHOMA CITY, OK 73102- YORK, PA 17402-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 CarrRep:
DSA: [email protected]
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 35
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1627 C LION INSURANCE CO 1397 S LM INSURANCE CORP
ATTN: DUSTIN CLARK C/O AIMEE TREECE
2739 US HWY 19 101 N ROBINSON AVE STE 1105
HOLIDAY, FL 34691- OKLAHOMA CITY, OK 73102-
Phone (1): (727)938-5562 Phone (1): (617)654-4073
Phone (2): (405)879-0363
CarrRep:
DSA: CarrRep:
InsComm: DSA: [email protected]
InsComm:
0573 S LUMBERMENS UNDERWRITING ALLIANCE 1589 S MADISON INSURANCE CO
ATTN: SUE LITCHY PO BOX 2005
PO BOX 3061 OAK RIDGE, TN 37831-
BOCA RATON, FL 33431-3061
Phone (1): (800)896-6884
Phone (1): (800)327-0630 Phone (2): (866)984-3316
Phone (2): (877)214-1173
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm: [email protected]
1365 S MANUFACTURERS ALLIANCE INSURANCE CO 0407 S MARKEL INSURANCE CO
C/O GALLAGHER BASSETT SERVICES INC C/O SHAND MORAHAN & CO
ATTN: EDWARD WIEWEL ATTN: J WILLIAMS
6303 WATERFORD BLVD STE 120 10 PARKWAY N
OKLAHOMA CITY, OK 73118- DEERFIELD, IL 60015-
Phone (1): (800)222-2749 Phone (1): (847)572-6000
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 36
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0254 S MARYLAND CASUALTY CO 0255 S MARYLAND INSURANCE CO
C/O ZURICH CLAIMS C/O ZURICH CLAIMS
ATTN: JUDITH MANDELKY ATTN: JUDITH MANDELKY
PO BOX 968023 PO BOX 968023
SCHAUMBURG, IL 60196- SCHAUMBURG, IL 60196-
Phone (1): (410)559-8519 Phone (1): (410)338-9155
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0420 C MASSACHUSETTS BAY INSURANCE CO 1501 C MEDICAL ASSURANCE CO
C/O MICHAEL MANCILLAS ATTN: JEFFREY MANGET
5801 N BROADWAY STE 303 PO BOX 590009
OKLAHOMA CITY, OK 73118- BIRMINGHAM, AL 35259-0009
Phone (1): (800)628-0250 Phone (1): (205)877-4442
Phone (2): (405)840-1404
CarrRep:
CarrRep: DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
0575 S MEDMARC CASUALTY INSURANCE CO 1450 C MEMIC INDEMNITY CO
C/O GALLAGHER BASSETT ATTN: KAREN SCHWARTZ
6303 WATERFORD BLVD STE 120 PO BOX 11409
OKLAHOMA CITY, OK 73118- PORTLAND, ME 04104-
Phone (1): (318)473-2572 Phone (1): (207)791-3350
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 37
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1502 C MENDOTA INSURANCE CO 1464 S MERIDIAN SECURITY INSURANCE CO
ATTN: NEIL STEFFL ATTN: SUSAN PILON
PO BOX 64586 PO BOX 390327
ST PAUL, MN 55164-0586 MINNEAPOLIS, MN 55439-0327
Phone (1): (651)468-2991 Phone (2): (317)931-7742
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0453 C MICHIGAN MILLERS MUTUAL INSURANCE CO 0578 S MID CENTURY INSURANCE CO
C/O STEPHEN STRATTON C/O TAMMY LEE
4101 PERIMETER CENTER DR STE 110 PO BOX 108843
OKLAHOMA CITY, OK 73112- OKLAHOMA CITY, OK 73101-8843
Phone (1): (517)482-6211 Phone (1): (512)533-8361
Phone (2): (405)943-8319 Phone (2): (512)533-8388
CarrRep: [email protected] CarrRep: [email protected]
DSA: DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0579 S MIDDLESEX INSURANCE CO 1481 C MIDWEST BUILDERS CASUALTY MUTUAL CO
ATTN: MARY SWENSON ATTN: MINDY YANCEY
PO BOX 8032 1100 WALNUT ST STE 3010
STEVENS POINT, WI 54481- KANSAS CITY, MO 64106-
Phone (1): (715)346-9052 Phone (1): (816)474-7799
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 38
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0581 S MIDWEST EMPLOYERS CASUALTY CO 1448 C MIDWEST INSURANCE CO
C/O MIKAL SOLTYS ATTN: JOE DONOVAN
14755 N OUTER FORTY DR STE 300 PO BOX 13369
CHESTERFIELD, MO 63017- SPRINGFIELD, IL 62791-
Phone (1): (636)449-7000 Phone (1): (217)862-1417
Phone (2): (217)862-1417
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1600 C MILWAUKEE CASUALTY INSURANCE CO (AMTRUST) 1417 C MITSUI SUMITOMO INSURANCE CO OF AMERICA
PO BOX 650767 560 LEXINGTON AVE
DALLAS, TX 75265- NEW YORK, NY 10022-
Phone (1): (214)360-8560
CarrRep:
CarrRep: DSA:
DSA: InsComm: [email protected]
InsComm:
1418 C MITSUI SUMITOMO INSURANCE USA INC 1632 C MONTGOMERY INSURANCE CO
560 LEXINGTON AVE C/O AIMEE TREECE
NEW YORK, NY 10022- 101 N ROBINSON AVE STE 1105
OKLAHOMA CITY, OK 73102-
CarrRep: Phone (2): (405)879-0363
DSA:
InsComm: [email protected] CarrRep:
DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 39
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0427 C NATIONAL AMERICAN INSURANCE CO 1592 C NATIONAL CASUALTY CO
ATTN: RICHARD EVANS ATTN: SHARON BELL
PO DRAWER 38 1100 LOCUST ST DEPT 3010
CHANDLER, OK 74834- DES MOINES, IA 50391-
Phone (1): (800)332-2210 Phone (1): (800)228-6700
Phone (2): (515)508-3429
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
0583 S NATIONAL FARMERS UNION PROPERTY & CASUALTY CO 0459 S NATIONAL FIRE INSURANCE CO OF HARTFORD
C/O ONE BEACON NATIONAL WORK COMP CENTER ATTN: ROBERT BILTZ
5 TECHNOLOGY DR PO BOX 8317
MILFORD, MA 01757- CHICAGO, IL 60680-
Phone (1): (816)391-2384 Phone (1): (800)262-1113
Phone (2): (800)224-4416 Phone (2): (214)220-1557
CarrRep: CarrRep:
DSA: DSA: [email protected]
InsComm: [email protected] InsComm:
0282 S NATIONAL INDEMNITY CO 1245 S NATIONAL INTERSTATE INSURANCE CO
C/O BRIAN SNOVER ATTN: JULIE MCGRAW
100 FIRST STAMFORD PL 3250 INTERSTATE DR
STAMFORD, CT 06902-6745 RICHFIELD, OH 44286-0549
Phone (1): (402)536-3000 Phone (1): (800)929-1500
Phone (2): (203)363-5200
CarrRep:
CarrRep: DSA: [email protected]
DSA: InsComm: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 40
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0283 S NATIONAL LIABILITY FIRE & CASUALTY 0585 S NATIONAL STANDARD INSURANCE CO
C/O BRIAN SNOVER C/O ZURICH CLAIMS
100 FIRST STAMFORD PL ATTN: JUDITH MANDELKY
STAMFORD, CT 06902-6745 PO BOX 968023
SCHAUMBURG, IL 60196-
Phone (1): (402)536-3000
Phone (1): (410)559-8519
CarrRep:
DSA: CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0392 S NATIONAL SURETY CORP 0480 S NATIONAL UNION FIRE INSURANCE CO
C/O FIREMENS FUND INSURANCE C/O WILLIAM PERRINE
PO BOX 74014 PO BOX 8301
ATLANTA, GA 30374-0174 TULSA, OK 74101-8301
Phone (1): (410)560-4697 Phone (1): (972)448-1710
Phone (2): (800)282-6351 Phone (2): (918)382-1400
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0257 C NATIONWIDE AGRIBUSINESS INSURANCE CO 0586 C NATIONWIDE INSURANCE CO OF AMERICA
ATTN: SHARON BELL C/O THE CORPORATION COMPANY
1100 LOCUST ST STE 3010 1833 S MORGAN RD
DES MOINES, IA 50391-3010 OKLAHOMA CITY, OK 73128-
Phone (1): (515)508-3108 Phone (1): (614)249-7111
Phone (2): (515)508-3429
CarrRep: [email protected]
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm:
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 41
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0367 C NATIONWIDE MUTUAL INSURANCE CO 1359 S NETHERLANDS INSURANCE CO
C/O THE CORPORATION COMPANY ATTN: AIMEE TREECE
1833 S MORGAN RD 101 N ROBINSON AVE STE 1105
OKLAHOMA CITY, OK 73128- OKLAHOMA CITY, OK 73102-
Phone (1): (614)249-7111 Phone (1): (617)654-4073
Phone (2): (405)879-0363
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: DSA: [email protected]
InsComm:
0481 S NEW HAMPSHIRE INDEMNITY CO 0482 S NEW HAMPSHIRE INSURANCE CO
C/O WILLIAM PERRINE C/O WILLIAM PERRINE
PO BOX 8301 PO BOX 8301
TULSA, OK 74101-8301 TULSA, OK 74101-8301
Phone (1): (972)448-1711 Phone (1): (972)448-1711
Phone (2): (918)382-1400 Phone (2): (918)382-1400
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1505 C NEW YORK MARINE & GENERAL INSURANCE CO 1403 C NIPPONKOA INSURANCE CO LTD
ATTN: THOMAS IACOPELLI 14 WALL ST 8TH FL
59 MAIDEN LN NEW YORK, NY 10005-
NEW YORK, NY 10038-
Phone (1): (212)551-0645 CarrRep:
DSA:
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 42
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1508 C NORTH AMERICAN ELITE INSURANCE CO 0590 S NORTH AMERICAN SPECIALTY INSURANCE CO
ATTN: EDWARD STYS C/O GALLAGHER BASSETT
650 ELM ST ATTN: SHIRLEY BIZAL
MANCHESTER, NH 03103- 6303 WATERFORD BLVD STE 120
OKLAHOMA CITY, OK 73118-
Phone (1): (603)644-6600
Phone (1): (603)644-6600
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1605 C NORTH DAKOTA WORKFORCE SAFETY & INSURANCE (NLC) 1509 S NORTH POINTE INSURANCE CO
PO BOX 5585 C/O QBE AMERICAS INC
BISMARCK, ND 58506-5585 ATTN: JOSEPH MONTELEONE
PO BOX 975
SUN PRAIRIE, WI 53950-
CarrRep:
DSA: Phone (1): (800)362-5448
InsComm: Phone (2): (803)612-7775
CarrRep:
DSA: [email protected]
InsComm:
0591 S NORTH RIVER INSURANCE CO 0442 S NORTHERN ASSURANCE CO
C/O MIKE HICKS ATTN: VIRGINIA MCCARTHY
6404 INTERNATIONAL PKWY STE 1000 150 ROYALL ST
PLANO, TX 75093- CANTON, MA 02021-
Phone (2): (972)380-3167 Phone (1): (781)332-7000
Phone (2): (781)332-7191
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 43
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0592 S NORTHERN INSURANCE CO OF NEW YORK 1510 C NORTHLAND CASUALTY CO
C/O ZURICH CLAIMS ATTN: MICHAEL DOODY
ATTN: JUDITH MANDELKY PO BOX 64816
PO BOX 968023 ST PAUL, MN 55164-
SCHAUMBURG, IL 60196-
Phone (1): (860)277-3966
Phone (1): (410)559-8519
CarrRep:
CarrRep: [email protected] DSA:
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
1511 C NORTHLAND INSURANCE CO 0593 C NORTHWESTERN PACIFIC INDEMNITY CO
ATTN: MICHAEL DOODY C/O MALCOLM SMITH
PO BOX 64816 5416 S YALE AVE STE 225
ST PAUL, MN 55164- TULSA, OK 74105-
Phone (1): (860)277-3966 Phone (1): (214)754-0777
Phone (2): (918)392-2910
CarrRep:
DSA: CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
1488 C NOVA CASUALTY CO 1658 C OAK RIVER INSURANCE COMPANY (ORIC)
ATTN: KATHLEEN CAREY ATTN: NICOLE ALBRECHT
5 WATERSIDE XING STE 204A PO BOX 881716
WINDSOR, CT 06095- OMAHA, NE 68131-
Phone (1): (860)683-9892 Phone (1): (402)393-7255
Phone (2): (402)952-5121
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 44
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1641 S OBI NATIONAL INSURANCE CO 1512 C OCCIDENTAL FIRE & CASUALTY OF NORTH CAROLINA
ATTN: VIRGINIA MCCARTHY ATTN: KEVIN HAMM
150 ROYALL ST PO BOX 10800
CANTON, MA 02021- RALEIGH, NC 27605-
Phone (1): (919)833-1600
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: DSA: [email protected]
InsComm: [email protected]
0347 S OHIO CASUALTY INSURANCE CO 1585 S OHIO FARMERS INSURANCE CO
C/O AIMEE TREECE C/O BROADSPIRE SERVICES INC
101 N ROBINSON AVE STE 1105 ATTN: DEBRA GLOVER
OKLAHOMA CITY, OK 73102- 5901 COLLEGE BLVD STE 275
OVERLAND PARK, KS 66211-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (330)887-0101
Phone (2): (913)663-7521
CarrRep:
DSA: [email protected] CarrRep:
InsComm: DSA: [email protected]
InsComm: [email protected]
1426 C OHIO SECURITY INSURANCE CO 1465 C OLD GLORY INSURANCE CO
ATTN: JOANNE CONNOLLY ATTN: BOB HENDERSON
9450 SEWARD RD PO BOX 6456
FAIRFIELD, OH 45014- TYLER, TX 75711-
Phone (2): (903)509-4929
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 45
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1382 C OLD REPUBLIC GENERAL INSURANCE CORP 0425 C OLD REPUBLIC INSURANCE CO
C/O PRENTICE HALL CORP C/O PRENTICE HALL CORP
115 SW 89 115 SW 89
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-
Phone (1): (262)796-4858 Phone (1): (262)796-4858
CarrRep: [email protected] CarrRep: [email protected]
DSA: DSA:
InsComm: [email protected] InsComm: [email protected]
1423 S ONE BEACON AMERICA INSURANCE CO 0441 S ONE BEACON INSURANCE CO (FKA CGU INSURANCE)
ATTN: VIRGINIA MCCARTHY ATTN: VIRGINIA MCCARTHY
150 ROYALL ST 150 ROYALL ST
CANTON, MA 02021- CANTON, MA 02021-
Phone (1): (781)332-7000 Phone (1): (781)332-7000
Phone (2): (781)332-7191 Phone (2): (781)332-7191
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0253 C PACIFIC EMPLOYERS INSURANCE CO 0596 C PACIFIC INDEMNITY CO
C/O ESIS C/O MALCOLM SMITH
ATTN: CAROL GALLIMORE 5416 S YALE AVE STE 225
225 E JOHN CARPENTER FWY STE 1300 TULSA, OK 74135-
IRVING, TX 75062-
Phone (1): (214)754-0777
Phone (1): (302)476-7446 Phone (2): (918)392-2910
Phone (2): (972)465-7704
CarrRep: [email protected]
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 46
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1419 S PEERLESS INDEMNITY INSURANCE CO 1346 S PEERLESS INSURANCE CO
C/O AIMEE TREECE C/O AIMEE TREECE
101 N ROBINSON AVE STE 1105 101 N ROBINSON AVE STE 1105
OKLAHOMA CITY, OK 73102- OKLAHOMA CITY, OK 73102-
Phone (1): (617)654-4073 Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (2): (405)879-0363
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0446 S PENNSYLVANIA GENERAL INSURANCE CO (FKA GENERAL ACC 1156 S PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE C
ATTN: VIRGINIA MCCARTHY C/O GALLAGHER BASSETT SERVICES INC
150 ROYALL ST ATTN: EDWARD WIEWEL
CANTON, MA 02021- 6303 WATERFORD BLVD STE 120
OKLAHOMA CITY, OK 73118-
Phone (1): (781)332-7000
Phone (2): (781)332-7191 Phone (1): (800)222-2749
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1389 S PENNSYLVANIA MANUFACTURERS INDEMNITY CO 0438 C PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE CO
C/O GALLAGHER BASSETT SERVICES INC C/O RANDOLPH STROUP
ATTN: EDWARD WIEWEL PO BOX 2361
6303 WATERFORD BLVD STE 120 HARRISBURG, PA 17105-
OKLAHOMA CITY, OK 73118-
Phone (1): (800)222-2749 CarrRep: [email protected]
DSA: [email protected]
CarrRep: InsComm: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 47
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0490 S PETROLEUM CASUALTY CO 0599 S PHARMACISTS MUTUAL CO
C/O EXXON MOBIL RISK MANAGEMENT INC C/O JAY MCATEE
C/O ANDREW KIYFES 1115 S CINCINNATI
3225 GALLOWS RD TULSA, OK 74119-
FAIRFAX, VA 22037-
Phone (1): (800)247-5930
Phone (1): (713)680-7148 Phone (2): (515)295-2461
Phone (2): (703)846-2347
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
0288 C PHOENIX INSURANCE CO 1513 C PLATTE RIVER INSURANCE CO
C/O CORPORATION SERVICE CO ATTN: JOSH DENO
115 SW 89 ST PO BOX 5900
OKLAHOMA CITY, OK 73139-8511 MADISON, WI 53705-
Phone (1): (214)570-6764 Phone (1): (608)829-6904
Phone (2): (405)636-4070
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
1432 S PRAETORIAN INSURANCE CO 1447 C PREFERRED PROFESSIONAL INSURANCE CO
C/O QBE AMERICAS INC 11605 MIRACLE HILLS DR STE 200
ATTN: JOSEPH MONTELEONE OMAHA, NE 68154-
PO BOX 975
SUN PRAIRIE, WI 53590-
CarrRep:
Phone (1): (800)362-5448 DSA:
Phone (2): (803)612-7775 InsComm: [email protected]
CarrRep:
DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 48
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1654 C PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD 0465 S PROTECTIVE INSURANCE CO
HARTFORD PLAZA ATTN: DAVID GHESQUIERE
HARTFORD, CT 06115- 111 CONGRESSIONAL BLVD
CARMEL, IN 46032-
CarrRep: Phone (1): (317)636-9800
DSA: Phone (2): (317)429-2638
InsComm:
CarrRep:
DSA: [email protected]
InsComm: [email protected]
1514 C PROVIDENCE WASHINGTON INSURANCE CO 1594 S QBE INSURANCE CORP
ATTN: DONALD WOELLNER C/O QBE AMERICAS INC
475 KILVERT ST STE 330 ATTN: JOSEPH MONTELEONE
WARWICK, RI 02886- PO BOX 975
SUN PRAIRIE, WI 53590-
Phone (1): (401)453-7132
Phone (1): (800)362-5448
CarrRep: Phone (2): (803)612-7775
DSA: [email protected]
InsComm: [email protected] CarrRep:
DSA: [email protected]
InsComm:
1515 C QUANTA INDEMNITY CO 0605 S REDLANDS INSURANCE CO
ATTN: ROSE CHIERCHIO C/O SHERESA POTTORF
48 WALL ST 14 FLOOR PO BOX 975
NEW YORK, NY 10005- SUN PRAIRIE, WI 53590-
Phone (1): (212)373-1838 Phone (1): (800)362-5448
Phone (2): (972)664-7088
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 49
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0606 S REGENT INSURANCE CO 1162 C REPUBLIC FIRE & CASUALTY INSURANCE CO
C/O QBE AMERICAS INC PO BOX 809076
ATTN: JOSEPH MONTELEONE DALLAS, TX 75380-
PO BOX 975
SUN PRAIRIE, WI 53590- Phone (1): (972)788-6719
Phone (1): (800)362-5448 CarrRep: [email protected]
Phone (2): (803)612-7775 DSA: [email protected]
InsComm: [email protected]
CarrRep:
DSA: [email protected]
InsComm:
1163 C REPUBLIC UNDERWRITERS INSURANCE CO 0330 S REPUBLIC WESTERN INSURANCE CO
PO BOX 809076 C/O BARBARA DECOSTA
DALLAS, TX 75380- 2721 N CENTRAL AVE
PHOENIX, AZ 85004-
Phone (1): (972)788-6719
Phone (1): (602)263-6757
CarrRep: [email protected]
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA:
InsComm: [email protected]
1517 C RIVERPORT INSURANCE CO 1635 C RLI INSURANCE COMPANY
ATTN: MELISSA JAQUES RLI INSURANCE COMPANY
PO BOX 948 PO BOX 3736
MINNEAPOLIS, MN 55440- PEORIA, IL 61612-3736
Phone (1): (612)766-3244 Phone (1): (309)692-1000
Phone (2): (309)689-2047
CarrRep:
DSA: [email protected] CarrRep: PHILIP RAIMER
InsComm: [email protected] DSA:
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 50
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1518 C ROCKWOOD CASUALTY INSURANCE CO 1519 C RURAL COMMUNITY INSURANCE CO
654 MAIN ST 3501 THURSTON AVE
ROCKWOOD, PA 15557- ANOKA, MN 55303-
Phone (1): (814)926-4661 Phone (1): (763)323-2155
CarrRep: CarrRep: [email protected]
DSA: DSA:
InsComm: InsComm:
0436 S SAFECO INSURANCE CO OF AMERICA 1325 C SAFETY FIRST INSURANCE CO
C/O AIMEE TREECE 1832 SCHUETZ RD
101 N ROBINSON AVE STE 1105 ST LOUIS, MO 63146-
OKLAHOMA CITY, OK 73102-
Phone (1): (888)372-7512
Phone (1): (617)654-4073 Phone (2): (314)995-5300
Phone (2): (405)879-0363
CarrRep:
CarrRep: DSA:
DSA: [email protected] InsComm: [email protected]
InsComm:
1155 C SAFETY NATIONAL CASUALTY CORP 1257 C SAGAMORE INSURANCE CO
ATTN: JIM GODFREY C/O D WADE CHRISTENSEN
1832 SCHUETZ RD 210 PARK AVE STE 2900
ST LOUIS, MO 63146- OKLAHOMA CITY, OK 73102-
Phone (2): (314)995-6300 Phone (1): (317)429-2634
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 51
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1631 C SAMSUNG FIRE & MARINE INSURANCE CO LTD USB 1381 S SEABRIGHT INSURANCE CO
85 CHALLENGER RD FL 6 ATTN: DAVID CALANDRO
RIDGEFIELD PARK, NJ 07660-2112 7901 4 ST N STE 203
ST PETERSBURG, FL 33702-
Phone (1): (201)229-6013
Phone (1): (206)269-8961
CarrRep: DANIEL LEE Phone (2): (727)217-2964
DSA:
InsComm: CarrRep:
DSA: [email protected]
InsComm:
1613 C SECURA INSURANCE CO 1598 C SECURITY NATIONAL INSURANCE CO (AMTRUST)
PO BOX 819 ATTN: ROY DYKES
APPLETON, WI 54912- PO BOX 650767
DALLAS, TX 75265-
Phone (1): (920)830-4246
Phone (2): (877)207-3119
CarrRep:
DSA: CarrRep:
InsComm: DSA: [email protected]
InsComm:
0372 C SELECT INSURANCE CO 1520 C SENECA INSURANCE CO
C/O CORPORATION SERVICE CO ATTN: VINCENT MAIDA
115 SW 89 ST 160 WATER ST
OKLAHOMA CITY, OK 73139-8511 NEW YORK, NY 10038-
Phone (1): (214)570-6764 Phone (1): (212)344-3000
Phone (2): (405)636-4070
CarrRep:
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 52
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1434 S SENTINEL INSURANCE CO LTD 1494 C SENTRY CASUALTY CO
ATTN: KATE LECHTENBERG ATTN: MARY SWENSON
PO BOX 14474 PO BOX 8032
LEXINGTON, KY 40512- STEVENS POINT, WI 54481-
Phone (1): (860)519-1479 Phone (2): (715)346-9052
Phone (2): (281)877-3413
CarrRep: [email protected]
CarrRep: [email protected] DSA: [email protected]
DSA: [email protected] InsComm: [email protected]
InsComm:
0355 C SENTRY INSURANCE A MUTUAL CO 1166 C SENTRY SELECT INSURANCE CO
ATTN: MARY SWENSON ATTN: MARY SWENSON
PO BOX 8032 PO BOX 8032
STEVENS POINT, WI 54481-- STEVENS POINT, WI 54481-
Phone (1): (800)739-3344 Phone (1): (800)739-3344
Phone (2): (715)346-9052 Phone (2): (ext)905-2
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1521 C SERVICE INSURANCE CO 1483 C SFM MUTUAL INSURANCE CO
ATTN: MYRA CRONIN ATTN: MARGE LANTZ
PO BOX 9729 3500 AMERICAN BLVD STE 700
BRADENTON, FL 34206- BLOOMINGTON, MN 55431-
Phone (1): (800)780-8423 Phone (1): (952)838-4222
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 53
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0469 S SOMPO JAPAN INSURANCE CO OF AMERICA 1164 C SOUTHERN INSURANCE CO
ATTN: CAREY ARMISTREAD PO BOX 809076
11405 COMMUNITY HOUSE RD STE 600 DALLAS, TX 75380-9076
CHARLOTTE, NC 28277-
Phone (1): (972)788-6719
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1161 C SOUTHERN UNDERWRITERS INSURANCE CO 1475 C SPARTA INSURANCE CO
PO BOX 809076 ATTN: JOHN MINDEK
DALLAS, TX 75380- 185 ASYLUM ST CITYPLACE II
HARTFORD, CT 06103-
Phone (1): (972)788-6719
Phone (1): (860)275-6506
CarrRep: [email protected] Phone (2): (860)275-6506
DSA: [email protected]
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
0623 C ST PAUL FIRE & MARINE INSURANCE CO 0414 C ST PAUL GUARDIAN INSURANCE CO
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 54
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1522 C ST PAUL MEDICAL LIABILITY INSURANCE CO 0415 C ST PAUL MERCURY INSURANCE CO
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1523 C ST PAUL PROTECTIVE INSURANCE CO 0410 C STANDARD FIRE INSURANCE
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0416 S STAR INSURANCE CO 1461 C STARNET INSURANCE CO
C/O JAMES AUSTIN C/O BERKLEY NET UNDERWRITERS LLC
PO BOX 219559 ATTN: JOHN BURKE
KANSAS CITY, MO 64141-9559 12701 MARBLESTONE DR STE 250
WOODBRIDGE, VA 22192-
Phone (1): (248)358-1100
Phone (2): (913)266-5287 Phone (1): (703)586-6304
Phone (2): (866)915-4458
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 55
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1524 C STARR INDEMNITY & LIABILITY CO 0625 S STATE AUTO PROPERTY & CASUALTY INSURANCE CO
399 PARK AVE 8TH FL ATTN: SUSAN PILON
NEW YORK, NY 10022- PO BOX 390327
MINNEAPOLIS, MN 55439-0327
CarrRep: Phone (2): (317)931-7742
DSA: [email protected]
InsComm: [email protected] CarrRep:
DSA: [email protected]
InsComm: [email protected]
0626 S STATE AUTOMOBILE MUTUAL INSURANCE CO 0315 S STATE FARM FIRE & CASUALTY CO
ATTN: SUSAN PILON ATTN: PAUL SLATER
PO BOX 390327 12222 STATE FARM BLVD
MINNEAPOLIS, MN 55439-0327 TULSA, OK 74146-
Phone (2): (800)789-2242 Phone (2): (918)641-2919
CarrRep: CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1471 S STONETRUST COMMERCIAL INSURANCE CO 1525 C STONINGTON INSURANCE CO
ATTN: DAVE LORINO ATTN: PETE HERNANDEZ
5615 CORPORATE BLVD STE 700 7701 LAS COLINAS RDG
BATON ROUGE, LA 70808-2557 IRVING, TX 75063-
Phone (1): (225)923-1050 Phone (1): (214)493-4280
Phone (2): (225)201-8011
CarrRep:
CarrRep: DSA:
DSA: [email protected] InsComm: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 56
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1619 S SUNZ INSURANCE CO 1242 C TECHNOLOGY INSURANCE CO (AMTRUST)
ATTN: DOUGLAS ALSOP PO BOX 650767
7405 N TAMIAMI TRL DALLAS, TX 75265-
SARASOTA, FL 34243-
Phone (1): (212)220-7120
CarrRep: CarrRep:
DSA: [email protected] DSA:
InsComm: InsComm: [email protected]
1260 C THE INSURANCE CO 0631 C TIG INSURANCE CO
ATTN: PAULETTE DAVIS C/O LARRY TAYLOR
10451 GULF BLVD 406 S BOULDER STE 410
TREASURE ISLAND, FL 33706-4814 TULSA, OK 74103-
Phone (1): (800)237-3355 Phone (1): (972)952-8000
Phone (2): (918)582-4446
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA:
InsComm: [email protected]
0331 S TOKIO MARINE AMERICA INS CO 1459 C TOWER INSURANCE CO OF NEW YORK
ATTN: KATHY STEPHENS ATTN: DEE KAPADIA
1 RAVINIA DR STE 1130 HARBORSIDE FINANCIAL CENTER
ATLANTA, GA 30346- 800 PLAZA TWO
NEW JERSEY, NJ 07311-
Phone (1): (212)297-6902
Phone (2): (800)359-5728 Phone (1): (201)881-8329
Phone (2): (201)881-8329
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 57
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1573 C TOWER NATIONAL INSURANCE CO 1586 C TOYOTA MOTOR INSURANCE CO
ATTN: DEE KAPADIA 19001 S WESTERN AVE NF 23
HARBORSIDE FINANCIAL CENTER TORRANCE, CA 90509-
800 PLAZA TWO
NEW JERSEY, NJ 07311-1104 Phone (1): (310)468-8044
Phone (1): (201)881-8329 CarrRep:
Phone (2): (201)881-8329 DSA:
InsComm: [email protected]
CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
1498 S TRANS PACIFIC INSURANCE CO (NEW ID) 1240 C TRANSGUARD INSURANCE CO OF AMERICA INC
ATTN: SAL ETERNO C/O CORPORATION SERVICE CO
230 PARK AVE 115 SW 89 ST
NEW YORK, NY 10169-0001 OKLAHOMA CITY, OK 73139-8511
Phone (1): (212)297-6902 Phone (1): (800)796-2480
Phone (2): (630)570-3505
CarrRep: [email protected]
DSA: [email protected] CarrRep: [email protected]
InsComm: [email protected] DSA: [email protected]
InsComm: [email protected]
0463 S TRANSPORTATION INSURANCE CO 0289 C TRAVCO
ATTN: ROBERT BILTZ C/O CORPORATION SERVICE CO
PO BOX 8317 115 SW 89 ST
CHICAGO, IL 60680- OKLAHOMA CITY, OK 73139-8511
Phone (1): (800)262-1113 Phone (1): (214)570-6764
Phone (2): (214)220-1557 Phone (2): (405)636-4070
CarrRep: CarrRep: [email protected]
DSA: CNAOKLAHOMASTATEFILING'[email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 58
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0290 C TRAVELERS CASUALTY & SURETY CO 0291 C TRAVELERS CASUALTY & SURETY OF AMERICA
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0293 C TRAVELERS CASUALTY CO OF CONNECTICUT 0292 C TRAVELERS CASUALTY INSURANCE CO OF AMERICA
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0294 C TRAVELERS COMMERCIAL INSURANCE CO 0295 C TRAVELERS HOME & MARINE INSURANCE CO
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 59
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0296 C TRAVELERS INDEMNITY CO 0297 C TRAVELERS INDEMNITY CO OF AMERICA
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0298 C TRAVELERS INDEMNITY CO OF CONNECTICUT 0300 C TRAVELERS INDEMNITY CO OF MISSOURI
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
0301 C TRAVELERS INSURANCE CO 0299 C TRAVELERS PROPERTY & CASUALTY CO OF AMERICA
C/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO
115 SW 89 ST 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73139-8511
Phone (1): (214)570-6764 Phone (1): (214)570-6764
Phone (2): (405)636-4070 Phone (2): (405)636-4070
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 60
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1643 C TRI STATE INSURANCE COMPANY OF MINNESOTA 1324 S TRIANGLE INSURANCE CO
PO BOX 1594 ATTN: MELANIE PRENTICE
DES MOINES, IA 50306- PO BOX 1719
LITTLE ROCK, AR 72203-
CarrRep: CAROLYN CHAMBERS Phone (2): (800)648-4642
DSA:
InsComm: CarrRep:
DSA: [email protected]
InsComm: [email protected]
0635 S TRUCK INSURANCE EXCHANGE 1621 S TRUMBULL INSURANCE CO
C/O TAMMY LEE ATTN: KATE LECHTENBERG
PO BOX 108843 PO BOX 14474
OKLAHOMA CITY, OK 73101-8843 LEXINGTON, KY 40512-
Phone (1): (512)533-8361 Phone (1): (860)519-1479
Phone (2): (512)533-8388 Phone (2): (281)877-3413
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0268 S TWIN CITY FIRE INSURANCE 0309 S UNION INSURANCE CO
ATTN: KATE LECHTENBERG ATTN: SUZANNE RICHARDSON
PO BOX 14474 PO BOX 152180
LEXINGTON, KY 40512- IRVING, TX 75015-
Phone (1): (860)519-1479 Phone (1): (800)444-0049
Phone (2): (281)877-3413 Phone (2): (972)719-2866
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 61
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1587 C UNITED NATIONAL SPECIALTY INSURANCE CO 0483 C UNITED STATES FIDELITY & GUARANTY CO
3 BALA PLAZA E STE 300 C/O CORPORATION SERVICE CO
BALA CYNWYD, PA 19004- 115 SW 89 ST
OKLAHOMA CITY, OK 73139-8511
Phone (1): (610)664-1500
Phone (1): (214)570-6764
CarrRep: Phone (2): (405)636-4070
DSA:
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm:
0640 S UNITED STATES FIRE INSURANCE CO 1428 C UNITED WISCONSIN INSURANCE CO
ATTN: MIKE HICKS 15200 W SMALL RD
6404 INTERNATIONAL PKWY STE 1000 NEW BERLIN, WI 53151-
PLANO, TX 75093-
Phone (1): (262)787-7700
Phone (2): (972)380-3167
CarrRep: [email protected]
CarrRep: DSA:
DSA: [email protected] InsComm: [email protected]
InsComm: [email protected]
1527 C UNIVERSAL CASUALTY CO 0323 S UNIVERSAL UNDERWRITERS INSURANCE CO
150 NW POINT BLVD C/O ZURICH CLAIMS
ELK GROVE VILLAGE, IL 60007- ATTN: JUDITH MANDELKY
PO BOX 968023
Phone (1): (847)700-8774 SCHAUMBURG, IL 60196-
CarrRep: Phone (1): (410)559-8519
DSA:
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 62
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1413 C US SPECIALTY INSURANCE CO 0426 C UTICA MUTUAL INSURANCE CO
13403 NW FRWY ATTN: LARRY HOCUTT
HOUSTON, TX 77040- PO BOX 5310
BINGHAMTON, NY 13902-
Phone (1): (713)462-3700
Phone (1): (315)734-2302
CarrRep: Phone (2): (972)677-6719
DSA:
InsComm: [email protected] CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
1606 C UTICA NATIONAL ASSURANCE CO 0641 S VALIANT INSURANCE CO
180 GENESEE ST C/O ZURICH CLAIMS
NEW HARTFORD, NY 13413- ATTN: JUDITH MANDELKY
PO BOX 968023
Phone (1): (315)734-2868 SCHAUMBURG, IL 60196-
CarrRep: Phone (1): (410)559-8519
DSA:
InsComm: CarrRep: [email protected]
DSA: [email protected]
InsComm: [email protected]
0464 S VALLEY FORGE INSURANCE CO 0396 S VANLINER INSURANCE CO
ATTN: ROBERT BILTZ C/O TODD ESTES
PO BOX 8317 PO BOX 26350
CHICAGO, IL 60680- OKLAHOMA CITY, OK 73126-
Phone (1): (800)262-1113 Phone (1): (636)349-3900
Phone (2): (214)220-1557
CarrRep:
CarrRep: DSA: [email protected]
DSA: CNAOKLAHOMASTATEFILING'[email protected] InsComm: [email protected]
InsComm:
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 63
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0642 C VIGILANT INSURANCE CO 0644 C VIRGINIA SURETY CO
C/O MALCOLM SMITH C/O JEFF DASOVICH
5416 S YALE AVE STE 225 11914 N PENN AVE STE B4
TULSA, OK 74135- OKLAHOMA CITY, OK 73120-
Phone (1): (214)754-0777 Phone (1): (312)381-9523
Phone (2): (918)392-2910 Phone (2): (405)755-1661
CarrRep: [email protected] CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1528 C WASHINGTON INTERNATIONAL INSURANCE CO 0645 S WAUSAU BUSINESS INSURANCE CO
ATTN: EDWARD STYS C/O AIMEE TREECE
475 N MARTINGDALE RD 101 N ROBINSON AVE STE 1105
SCHAUMBURG, IL 60173- OKLAHOMA CITY, OK 73102-
Phone (1): (603)644-6600 Phone (1): (617)654-4073
Phone (2): (405)879-0363
CarrRep:
DSA: [email protected] CarrRep:
InsComm: [email protected] DSA: [email protected]
InsComm:
0431 S WAUSAU UNDERWRITERS INSURANCE CO 1529 C WESCO INSURANCE CO (AMTRUST)
C/O AIMEE TREECE ATTN: ROY DYKES
101 N ROBINSON AVE STE 1105 PO BOX 650767
OKLAHOMA CITY, OK 73102- DALLAS, TX 75265-
Phone (1): (617)654-4073 Phone (1): (214)360-8560
Phone (2): (405)879-0363 Phone (2): (214)360-8560
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 64
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0348 S WEST AMERICAN INSURANCE CO 0428 C WESTCHESTER FIRE INSURANCE
C/O AIMEE TREECE C/O ESIS
101 N ROBINSON AVE STE 1105 ATTN: CAROL GALLIMORE
OKLAHOMA CITY, OK 73102- 225 E JOHN CARPENTER FWY STE 1300
IRVING, TX 75062-
Phone (1): (617)654-4073
Phone (2): (405)879-0363 Phone (1): (302)476-7446
Phone (2): (972)465-7704
CarrRep:
DSA: [email protected] CarrRep: [email protected]
InsComm: DSA: [email protected]
InsComm: [email protected]
1530 C WESTERN AGRICULTURAL INSURANCE CO 1566 C WESTERN NATIONAL ASSURANCE CO
ATTN: JANICE SEWRIGHT PO BOX 1463
5400 UNIVERSITY AVE MINNEAPOLIS, MN 55440-
W DES MOINES, IA 50266-
Phone (2): (952)921-5602
Phone (1): (515)225-5400
CarrRep:
CarrRep: DSA:
DSA: [email protected] InsComm:
InsComm: [email protected]
1422 S WESTFIELD INSURANCE CO 1217 S WESTPORT INSURANCE CORP (NEW) (FKA ERC)
C/O BROADSPIRE SERVICES INC ATTN: EARL CARTWRIGHT
ATTN: DEBRA GLOVER 5200 METCALF AVE
5901 COLLEGE BLVD STE 275 OVERLAND PARK, KS 66201-
OVERLAND PARK, KS 66211-
Phone (1): (913)676-5200
Phone (2): (913)663-7521 Phone (2): (913)676-5200
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 65
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1451 S WORK FIRST CASUALTY CO 1640 C WORLDWIDE UNDERWRITERS INSURANCE CO
C/O BROADSPIRE SERVICES INC C/O AIMEE TREECE
ATTN: ANGELA STEIN 101 N ROBINSON AVE STE 1105
PO BOX 14342 OKLAHOMA CITY, OK 73102-
LEXINGTON, KY 40512-4342
Phone (2): (913)663-7515 CarrRep:
DSA: [email protected]
CarrRep: InsComm:
DSA: [email protected]
InsComm: [email protected]
1531 S XL INSURANCE AMERICA INC 1169 S XL SPECIALTY INSURANCE CO
ATTN: SARAH MIMS ATTN: SARAH MIMS
505 EAGLEVIEW BLVD STE 100 505 EAGLEVIEW BLVD STE 100
EXTON, PA 19341- EXTON, PA 19341-
Phone (1): (203)964-5200 Phone (1): (203)964-5200
Phone (2): (610)968-2970 Phone (2): (610)968-2970
CarrRep: CarrRep:
DSA: [email protected] DSA: [email protected]
InsComm: InsComm:
0313 S ZENITH INSURANCE CO 1645 C ZNAT INSURANCE CO
C/O STEVE BUNTING C/O STEVE BUNTING
15 W 6 ST STE 1212 15 W 6 ST STE 1212
TULSA, OK 74119-5406 TULSA, OK 74119-
Phone (1): (800)841-3987
Phone (2): (918)592-7030 CarrRep:
DSA:
CarrRep: InsComm:
DSA: [email protected]
InsComm: [email protected]
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS
Date: 08/04/2014 CARRIER LISTING WITH EMAIL ADDRESSES Page: 66
Time: 12:35 TYPE: INSUR CO Rpt ID: CARLST-EMAIL
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0649 S ZURICH AMERICAN INSURANCE CO 1420 S ZURICH AMERICAN INSURANCE CO OF IL
C/O ZURICH CLAIMS C/O ZURICH CLAIMS
ATTN: JUDITH MANDELKY ATTN: JUDITH MANDELKY
PO BOX 968023 PO BOX 968023
SCHAUMBURG, IL 60196- SCHAUMBURG, IL 60196-
Phone (1): (410)559-8519 Phone (1): (410)559-8519
CarrRep: [email protected] CarrRep: [email protected]
DSA: [email protected] DSA: [email protected]
InsComm: [email protected] InsComm: [email protected]
1574 S ZURICH NORTH AMERICAN INSURANCE CO
C/O ZURICH CLAIMS
ATTN: JUDITH MANDELKY
PO BOX 968023
SCHAUMBURG, IL 60196-
Phone (1): (410)559-8519
CarrRep: [email protected]
DSA: [email protected]
InsComm:
Records printed: 393
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate