Date: Time:
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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
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1462
S
ACADIA INSURANCE CO ATTN: TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73126-
1457
S
ACCIDENT FUND GENERAL INSURANCE CO C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BO X40790 LANSING, MI 48901-7990
1291
S
ACCIDENT FUND INSURANCE CO OF AMERICA C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BOX 40790 LANSING, MI 48901-7990
1467
S
ACCIDENT FUND NATIONAL INSURANCE CO C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BOX 40790 LANSING, MI 48901-7990
1588
S
ACCIDENT INSURANCE CO INC C/O US ADMINISTRATOR CLAIMS PO BOX 2005 OAK RIDGE, TN 37831-
0251
C
ACE AMERICAN INSURANCE CO C/O ESIS - BRITTANY HARPER 2001 BRYAN STREET STE 3600 DALLAS, TX 75201-
0360
C
ACE FIRE UNDERWRITERS INSURANCE CO C/O ESIS - BRITTANY HARPER 2001 BRYAN STREET STE 3600 DALLAS, TX 75201-
0526
C
ACE PROPERTY & CASUALTY INSURANCE CO C/O ESIS - BRITTANY HARPER 2001 BRYAN STREET STE 3600 DALLAS, TX 75201-
0505
S
ACIG INSURANCE CO ATTN: LINDSEY MICHAELS 12222 MERIT DR STE 1660 DALLAS, TX 75251-
1427
C
ADVANTAGE WORKERS COMPENSATION INSURANCE CO ATTN: DAN STEPHENS PO BOX 571918 SALT LAKE CITY, UT 84157-1918
0276
S
AIG ASSURANCE COMPANY FKA CHARTIS CASUALTY CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0475
S
AIG PROP & CASUALTY CO FKA BIRMINGHAM FIRE INS CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 2
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1694
C
AIG PROPERTY CASUALTY COMPANY C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74141-
0474
S
AIU INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0498
S
ALASKA NATIONAL INSURANCE CO 7001 JEWEL LAKE RD ANCHORAGE, AK 99502-2825
1268
S
ALEA NORTH AMERICA INSURANCE CO 55 CAPITAL BLVD ROCKY HILL, CT 06067-
0304
S
ALL AMERICA INSURANCE CO C/O C SCOTT BEUCH 2201 N CLASSEN OKLAHOMA CITY, OK 73106-
1582
C
ALLIANCE INDEMNITY CO PO BOX 1401 MCPHERSON, KS 67460-
1583
C
ALLIANZ GLOBAL RISKS US INSURANCE CO 225 W WASHINGTON ST STE 2000 CHICAGO, IL 60606-
1584
C
ALLIED WORLD REINSURANCE CO 2 LIBERTY SQ STE 11 BOSTON, MA 02109-
1578
C
ALLMERICA FINANCIAL BENEFIT INSURANCE CO 440 LINCOLN ST WORCHESTER, MA 01653-
1258
S
AMERICA FIRST INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0256
S
AMERICAN ALTERNATIVE INSURANCE CO YORK RISK SERVICES GROUP ATTN: BRENDA MORENO PO BOX 619079 ROSEVILLE, CA 95661-
0243
S
AMERICAN AUTOMOBILE INSURANCE CO ATTN: WILLIAM PAN PO BOX 740174 ATLANTA, GA 30374-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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0275
S
AMERICAN CASUALTY CO OF READING PA ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
1761
C
AMERICAN CASUALTY INSURANCE COMPANY PO BOX 8010 GOLDSBORO, NC 27533-
1441
S
AMERICAN COMPENSATION INSURANCE CO ATTN: SCOTT SMITH PO BOX 390327 MINNEAPOLIS, MN 55439-
1532
C
AMERICAN COUNTRY INSURANCE CO ATTN: PAUL ROMANO 150 NW POINT BLVD STE 300 ELK GROVE, IL 60007-1040
0444
S
AMERICAN ECONOMY INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1662
0346
S
AMERICAN FIRE & CASUALTY CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0503
S
AMERICAN GUARANTEE & LIABILITY INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1425
C
AMERICAN HARDWARE MUTUAL INSURANCE CO C/O MOTORISTS INSURANCE GROUP ATTN: JUDY PALAMARA 471 E BROAD ST COLUMBUS, OH 43215-
0473
S
AMERICAN HOME ASSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0271
S
AMERICAN INSURANCE CO ATTN: WILLIAM PAN PO BOX 740174 ATLANTA, GA 30374-
1167
S
AMERICAN INTERNATIONAL PACIFIC INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
AMERICAN FAMILY HOME INSURANCE CO YORK RISK SERVICES GROUP ATTN: BRENDA MORENO PO BOX 619079 ROSEVILLE, CA 95661-
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 4
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0312
S
AMERICAN INTERSTATE INSURANCE CO ATTN: APRIL BURNS 2301 HIGHWAY 190W DERIDDER, LA 70634-
0321
1626
C
AMERICAN MINING INSURANCE CO C/O YORK RISK SERVICES GROUP 5501 LBJ FREEWAY STE 300 DALLAS, TX 75240-
1660
0504
S
AMERICAN MOTORISTS INSURANCE CO C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A. 2601 NW EXPY STE 330E OKLAHOMA CITY, OK 73112-
1533
C
AMERICAN NATIONAL PROPERTY & CASUALTY CO ATTN: RONALD KOCH 1949 E SUNSHINE SPRINGFIELD, MO 65899-
1197
S
AMERICAN SAFETY CASUALTY INSURANCE CO ATTN: TOM RUDD 100 GALLERIA PKWY SE STE 700 ATLANTA, GA 30339-
1796
C
AMERICAN SELECT INSURANCE CO ONE PARK CIR WESTFIELD CENTER, OH 44251-
1534
C
AMERICAN SENTINEL INSURANCE ATTN: RONALD THOMAS PO BOX 61140 HARRISBURG, PA 17106-
0468
S
AMERICAN STATES INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0506
S
AMERICAN ZURICH INSURANCE CO C/O ZURICH CLAIMS - JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1579
C
AMERISURE INSURANCE CO C/O TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73106-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
S
AMERICAN MANUFACTURERS MUTUAL INSURANCE CO C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A. 2601 NW EXPY STE 330E OKLAHOMA CITY, OK 73112-
AMERICAN MODERN HOME INSURANCE CO YORK RISK SERVICES GROUP ATTN: BRENDA MORENO PO BOX 619079 ROSEVILLE, CA 95661-
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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1200
C
AMERISURE MUTUAL INSURANCE CO C/O TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73106-
1630
C
AMERISURE PARTNERS INSURANCE CO C/O TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73106-
1535
C
AMEX ASSURANCE CO PO BOX 19020 GREEN BAY, WI 54307-
1758
C
AMGUARD INSURANCE COMPANY PO BOX A H WILKES BARRE, PA 74136-3849
1476
S
AMTRUST INSURANCE CO OF KS INC ATTN: LISA JOHNSON PO BOX 94405 CLEVELAND, OH 44101-
1142
S
ARCH INSURANCE CO ATTN: ED SCHENK 300 PLAZA THREE 3RD FL JERSEY CITY, NJ 07311-
1794
C
ARCH INSURANCE COMPANY 2345 GRAND BOULEVARD SUITE 900 KANSAS CITY, MO 63105-1643
0248
C
ARGONAUT GREAT CENTRAL INSURANCE CO C/O MARY KATHRYN KUNC PC DBA MKK LAW 909 CEDAR LAKE BLVD OKLAHOMA CITY, OK 73114-
0361
C
ARGONAUT INSURANCE CO C/O MARY KATHRYN KUNC PC DBA MKK LAW 909 CEDAR LAKE BLVD OKLAHOMA CITY, OK 73114-
0362
C
ARGONAUT MIDWEST INSURANCE CO C/O MARY KATHRYN KUNC PC DBA MKK LAW 909 CEDAR LAKE BLVD OKLAHOMA CITY, OK 73114-
0363
C
ARGONAUT SOUTHWEST INSURANCE CO C/O MARY KATHRYN KUNC PC DBA MKK LAW 909 CEDAR LAKE BLVD OKLAHOMA CITY, OK 73114-
1537
S
ARROWOOD INDEMNITY CO C/O STEPHANIE MILNES CORPORATION SERVICE COMPANY 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 6
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0244
S
ASSOCIATED INDEMNITY CORP ATTN:WILLIAM PAN PO BOX 740174 ATLANTA, GA 30374-
0337
C
ASSOCIATION CASUALTY INSURANCE CO ATTN: PAUL BONHAM 10820 HARNEY STREET OMAHA, NE 68154-
1655
C
ASSOCIATON INSURANCE COMPANY PO BOX 723099 ATLANTA, GA 31139-0099
0508
S
ASSURANCE CO OF AMERICA C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1538
C
ATHENA ASSURANCE CO ATTN: MICHAEL DOODY 385 WASHINGTON ST ST PAUL, MN 55102-
1762
C
ATLANTIC CASUALTY INSURANCE COMPANY PO BOX 8010 GOLDSBORO, NC 27533-
1344
S
ATLANTIC SPECIALTY INSURANCE CO ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0286
C
AUTOMOBILE INSURANCE CO OF HARTFORD C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1539
C
AXIS INSURANCE CO ATTN: BERTMAN BRAUD 11680 GREAT OAKS WAY STE 500 ALPHARETTA, GA 30022-
0512
S
BANCINSURE INC OKLAHOMA PROPERTY & CASUALTY INSURANCE GUARANTY AS ATTN: STEVE BERNER 2601 NW EXPRESSWAY, SUITE 330E OKLAHOMA CITY, OK 73112-
0250
C
BANKERS STANDARD INSURANCE CO C/O ESIS ATTN: CAROL GALLIMORE 225 E JOHN CARPENTER FWY STE 1300 IRVING, TX 75062-
1653
C
BEARING MIDWEST CASUALTY CO ATTN: MINDY YANCEY 1100 WALNUT ST STE 3010 KANSAS CITY, MO 64106-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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0514
S
BENCHMARK INSURANCE CO C/O CORPORATION SERVICE COMPANY 115 SE 89TH STREET OKLAHOMA CITY, OK 73139-8511
1596
S
BERKLEY NATIONAL INSURANCE CO ATTN: ASHLEY KALKANIAN 1250 E DIEHL ROAD STE 200 NAPIERVILLE, IL 60563-
1540
C
BERKLEY REGIONAL INSURANCE CO ATTN: STEVE RIEWER 11201 DOUGLAS AVE URBANDALE, IA 50322-
1795
C
BERKSHIRE HATHAWAY DIRECT INSURANCE CO ATTN: ALLEN HENDRIX 1314 DOUGLAS ST STE 1400 OMAHA, NE 68102-1944
1489
C
BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO (BHHIC) ATTN: NICOLE ALBRECHT PO BOX 881716 SAN FRANCISCO, CA 94188-
0516
S
BITCO GENERAL INSURANCE COMPANY (FKA BITUMINOUS CA ATTN: KELLY GRAMMER PO BOX 12936 OKLAHOMA CITY, OK 73157-2936
1157
S
BITCO NATIONAL INSURANCE COMPANY (FKA BITUMINOUS F ATTN: KELLY GRAMMER PO BOX 12936 OKLAHOMA CITY, OK 73157-2936
0449
S
BROTHERHOOD MUTUAL INSURANCE CO ATTN: GARY ALDRIDGE PO BOX 2228 FT WAYNE, IN 46801-2228
1664
C
BUILDERS MUTUAL INSURANCE CO PO BOX 150006 RALEIGH, NC 27624-
0274
S
CAMDEN FIRE INSURANCE ASSOCIATION ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0400
S
CAPITAL CITY INSURANCE CO INC C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1460
S
CAROLINA CASUALTY INSURANCE CO C/O BERKLEYNET UNDERWRITERS LLC ATTN: JOHN BURKE 12701 MARBLESTONE DR STE 250 WOODBRIDGE, VA 22192-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1446
C
CASTLEPOINT NATIONAL INSURANCE CO (FKA SUA INSURAN ATTN: ROY DYKES 72790 MERIT DRIVE STE 200 DALLAS, TX 75251-
0305
S
CENTRAL MUTUAL INSURANCE CO C/O C SCOTT BEUCH 2201 N CLASSEN OKLAHOMA CITY, OK 73106-
0524
S
CENTRE INSURANCE CO C/O JAY MCATEE PO BOX 50611 TULSA, OK 74150-0611
0261
C
CHARTER OAK FIRE INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1493
S
CHARTIS PROPERTY & CASUALTY CO FKA AIG CASUALTY C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-
1363
S
CHEROKEE INSURANCE CO ATTN: LAURA BOOTH 34200 MOUND RD STERLING HEIGHTS, MI 48310-
0525
C
CHUBB INDEMNITY INSURANCE CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74135-
1541
C
CHUBB NATIONAL INSURANCE ATTN: RONALD CALAVANO 15 MOUNTAIN VIEW RD WARREN, NJ 70059-
0338
S
CHURCH MUTUAL INSURANCE CO C/O TINA NOVOTNY PO BOX 342 MERRILL, WI 54452-0342
0325
S
CINCINNATI CASUALTY CO C/O ADVANCED CLAIM SERVICES LLC ATTN: STACIA SMITH PO BOX 721078 OKLAHOMA CITY, OK 73132-
1595
C
CINCINNATI INDEMNITY CO C/O ADVANCED CLAIM SERVICES LLC ATTN: STACIA SMITH PO BOX 721078 OKLAHOMA CITY, OK 73172-
0326
S
CINCINNATI INSURANCE CO C/O ADVANCED CLAIM SERVICES LLC ATTN: STACIA SMITH PO BOX 721078 OKLAHOMA CITY, OK 73172-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address 1659
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Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
CITIZENS INSURANCE CO OF AMERICA ATTN: DOLORES NARDELLA 440 LINCOLN ST WORCESTER, MA 01653-0002
0530
S
CLARENDON NATIONAL INSURANCE CO ATTN: DAVID J CALANDRO 150 2ND AVENUE NORTH 3RD FLOOR ST PETERSBURG, FL 33701-
1542
C
COLONIAL AMERICAN CASUALTY & SURETY CO ATTN: COLLEEN ZITT 1400 AMERICAN LN TOWER SCHAUMBURG, IL 60196-
1543
C
COLUMBIA MUTUAL INSURANCE CO ATTN: PAUL BONHAM 10820 HARNEY STREET OMAHA, NE 68154-
1319
S
COLUMBIA NATIONAL INSURANCE CO ATTN: PAUL BONHAM 10820 HARNEY STREET OMAHA, NE 68154-
1602
C
COLUMBUS INSURANCE CO C/O GALLAGHER BASSETT SERV - ANN TERRY 14000 QUAIL SPRINGS PKWY STE 3000 OKLAHOMA CITY, OK 73134-
0476
S
COMMERCE & INDUSTRY INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0627
S
COMPSOURCE MUTUAL INS CO (FKA COMPSOURCE OKLAHOMA) ATTN: TAMMY LOTT PO BOX 53505 OKLAHOMA CITY, OK 73152-3505
0246
S
CONTINENTAL CASUALTY CO ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
1544
S
CONTINENTAL INDEMNITY CO ATTN: ROBERT STAFFORD PO BOX 3804 OMAHA, NE 68103-
0247
S
CONTINENTAL INSURANCE CO ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
1438
C
CONTINENTAL NATIONAL INDEMNITY CO ATTN: SHANNON CASEY PO BOX 3804 OMAHA, NE 68103-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1256
S
CONTINENTAL WESTERN INSURANCE CO ATTN: TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73126-
1141
S
CRUM & FORSTER INDEMNITY CO C/O MIKE HICKS 6404 INTERNATIONAL PKWY STE 1000 PLANO, TX 75093-
0537
C
CUMIS INSURANCE SOCIETY INC ATTN: DOAK SOMMERS PO BOX 1221 MADISON, WI 53701-1221
0489
C
DAIMLERCHRYSLER INSURANCE CO 27777 INSTER RD CIMS 405-17-00 FARMINGTON HILLS, MI 48333-
1349
S
DAKOTA TRUCK UNDERWRITERS ATTN: ROBERT HOLLAN PO BOX 89310 SIOUX FALLS, SD 57109-9310
1545
C
DEERFIELD INSURANCE CO C/O SHAND MORAHAN & CO ATTN: J WILLIAMS 10 PKWY N DEERFIELD, IL 60015-2526
1235
S
DIAMOND INSURANCE CO C/O GALLAGHER BASSETT SERVICES ATTN: CARLA TATE 6303 WATERFORD BLVD STE 120 OKLAHOMA CITY, OK 73118-
1546
C
DIAMOND STATE INSURANCE CO ATTN: BRIAN RILEY 3 BALA PLZ STE 300E BALA CYNWYD, PA 19004-
1175
C
DISCOVER PROPERTY & CASUALTY INSURANCE CO C/O DISCOVERY MANAGERS LTD ATTN: AGNES MORALES 5 BATTERSON PARK FARMINGTON, CT 06032-
1767
C
EASTGUARD INS CO PO BOX A H WILKES BARRE, PA 18703-0020
0450
C
ELECTRIC INSURANCE CO C/O SEDGWICK CMS 1 CORPORATE PLAZA 5104 260 WASHINGTON ST ALBANY, NY 12212-
0487
S
EMCASCO INSURANCE CO ATTN: CHARLENE BENNETT PO BOX 1739 WICHITA, KS 67201-1739
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
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Rpt ID: CARLST Page: 11
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1285
C
EMPLOYERS ASSURANCE CO (FKA AMCOMP ASSURANCE) C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-
1159
S
EMPLOYERS FIRE INSURANCE ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0429
S
EMPLOYERS INSURANCE CO OF WAUSAU C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0488
S
EMPLOYERS MUTUAL CASUALTY CO ATTN: CHARLENE BENNETT PO BOX 1739 WICHITA, KS 67201-1739
1786
C
EMPLOYERS PREFERRED INS CO 7110 NORTH FRESNO ST STE 250 FRESNO, CA 93720-2999
1281
S
ESSENTIA INSURANCE CO FKA AMERICAN CENTRAL ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
1334
C
EVEREST NATIONAL INSURANCE CO C/O TOM CAREY PO BOX 830 LIBERTY CORNER, NJ 07938-0830
1249
C
EXECUTIVE RISK INDEMNITY INC C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74105-
1609
C
EXPLORER INSURANCE CO PO BOX 85563 SAN DIEGO, CA 92186-
1215
S
FAIRFIELD INSURANCE CO 120 LONG RIDGE RD STAMFORD, CT 06902-
1548
C
FAIRMONT PREMIER INSURANCE CO C/O RIVERSTONE CLAIMS MGMT - CURTIS BROYLES 250 COMMERCIAL ST STE 5000 MANCHESTER, NH 31001-
1549
C
FAIRMONT SPECIALTY INSURANCE CO ATTN: CURTIS BROYLES 250 COMMERCIAL ST STE 5000 MANCHESTER, NH 31001-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 12
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0241
S
FARMERS ALLIANCE MUTUAL INSURANCE CO PO BOX 1401 MCPHERSON, KS 67460-1401
0544
S
FARMERS INSURANCE EXCHANGE C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-8843
0287
C
FARMINGTON CASUALTY CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0452
S
FARMLAND MUTUAL INSURANCE CO ATTN: BRIAN NELSON 1100 LOCUST ST STE 3010 DES MOINES, IA 50391-3010
0545
C
FEDERAL INSURANCE CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74135-
0397
S
FEDERATED MUTUAL INSURANCE CO ATTN: ADRIAN JOHNSON PO BOX 486 OWATONNA, MN 55060-
0546
S
FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE C/O CHRISTINA SPOTSER PO BOX 15147 LENEXA, KS 66285-5147
0547
S
FEDERATED SERVICE INSURANCE CO ATTN: ADRIAN JOHNSON PO BOX 486 OWATONNA, MN 55060-
0390
S
FIDELITY & DEPOSIT CO OF MD C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1204
C
FIDELITY & GUARANTY INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-
0548
C
FIDELITY & GUARANTY INSURANCE UNDERWRITERS C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1550
C
FIDELITY NATIONAL PROPERTY & CASUALTY INSURANCE CO ATTN: MARK DAVEY 601 RIVERSIDE AVE BLDG 5 STE 200 JACKSONVILLE, FL 32204-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 13
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0272
S
FIREMANS FUND INSURANCE CO ATTN: GREG RUSH 1 PROGRESS POINTE PKWY OFALLON, MO 63368-
1551
C
FIREMENS INSURANCE CO OF WASHINGTON DC ATTN: WILLIAM AMBROSE PO BOX 61038 RICHMOND, VA 22361-
1740
S
FIRST INSURANCE COMPANY OF OKLAHOMA (FICO) C/O EMERALD CLAIMS MANAGEMENT (ECM) ATTN: MAGGIE SMITH (ADJUSTER) PO BOX 70 SPRING, TX 77383-
0550
S
FIRST LIBERTY INSURANCE CORP C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0434
S
FIRST NATIONAL INSURANCE CO OF AMERICA C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1372
C
FIRSTCOMP INSURANCE CO ADELSON, TESTAN, BRUNDO, NOVELL & JIMENEZ ATTN: LINDA FOREMAN 3601 N CLASSEN BLVD SUITE 102 OKLAHOMA CITY, OK 73118-
0402
S
FLORISTS MUTUAL INSURANCE CO C/O JOHN OLDFIELD JR 4808 N CLASSEN BLVD OKLAHOMA CITY, OK 73118-
1637
S
FOREMOST INSURANCE CO GRAND RAPIDS MICHIGAN C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-
1636
S
FOREMOST PROPERTY & CASUALTY INSURANCE C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-
1638
S
FOREMOST SIGNATURE INSURANCE COMPANY C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-
1618
C
FRANK WINSTON CRUM INSURANCE INC C/O KRISTINE KINSEY 100 S MISSOURI CLEARWATER, FL 33756-
1439
S
FRANKENMUTH MUTUAL INSURANCE CO ATTN: MIKE PORTER 2200 NW 50 ST STE 200E OKLAHOMA CITY, OK 73112-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
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Rpt ID: CARLST Page: 14
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1270
C
FREESTONE INSURANCE CO (FKA DALLAS FIRE & DALLAS N PIERCE COUCH HENDRICKSON BAYSINGER & GREEN LLP ATTN: TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73126-0350
1479
C
GATEWAY INSURANCE CO ATTN: PAUL ROMANO 150 NORTHWEST POINT BLVD 3RD FL ELK GROVE VILLAGE, IL 60007-
0555
S
GENERAL CASUALTY CO OF WISCONSIN C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
0435
S
GENERAL INSURANCE CO OF AMERICA C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1552
C
GENESIS INSURANCE CO 120 LONG RIDGE RD STAMFORD, CT 06902-
0281
S
GEORGIA CASUALTY & SURETY CO ATTN: PAUL BONHAM 10820 HARNEY STREET OMAHA, NE 68154-
1553
C
GERLING AMERICA INSURANCE CO 161 N CLARK ST CHICAGO, IL 60601-
0557
C
GRAIN DEALERS MUTUAL INSURANCE CO C/O BRUCE R FOX 4601 TOUCHTON ROAD EAST, SUITE 34000 JACKSONVILLE, FL 32246-
0477
S
GRANITE STATE INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
1661
1554
C
GRAY CASUALTY & SURETY CO ATTN: ROBERT HUGHES PO BOX 6202 METAIRE, LA 70009-
0339
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
GRAPHIC ARTS MUTUAL INSURANCE CO ATTN: MARTHA DUMONT 180 GENESEE ST NEW HARTFORD, NY 13413-2200
S
GRAY INSURANCE CO C/O DAVID MANGUNO 5601 NW 72 OKLAHOMA CITY, OK 73132-5903
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1364
S
GREAT AMERICAN ALLIANCE INSURANCE CO PO BOX 5425 CINCINNATI, OH 45201-
1356
S
GREAT AMERICAN ASSURANCE CO PO BOX 5789 CINCINNATI, OH 45201-
1353
S
GREAT AMERICAN INSURANCE CO OF NEW YORK PO BOX 5789 CINCINNATI, OH 45201-
1431
C
GREAT DIVIDE INSURANCE CO ATTN: CLAIMS DEPT 7233 E BUTHERUS DR SCOTTSDALE, AZ 85260-
1597
C
GREAT MIDWEST INSURANCE CO CBCS INC - AMY DRISCOLL 800 MAIN STREET DUBUQUE, IA 52001-
0558
C
GREAT NORTHERN INSURANCE CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74135-
0345
S
GREAT WEST CASUALTY CO ATTN: DALE SEGUIN 1100 W 29 ST S SIOUX CITY, NE 68776-3130
1556
1168
S
GREENWICH INSURANCE CO ATTN: SARAH MIMS 505 EAGLEVIEW BLVD STE 100 EXTON, PA 19341-
0942
S
GUARANTEE INSURANCE CO C/O LISA BALMER PO BOX 6550 CHESTERFIELD, MO 63006-
1429
S
GUIDEONE ELITE INSURANCE CO ATTN: TRINA OLAONE PO BOX 14543 DES MOINES, IA 50306-
0391
S
GUIDEONE MUTUAL INSURANCE CO ATTN: TRINA OLOANE PO BOX 14543 DES MOINES, IA 50306-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Rpt ID: CARLST Page: 15
GREATER NEW YORK MUTUAL INSURANCE CO ATTN: LILLIAN LENT 200 MADISON AVE NEW YORK, NY 10016-
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 16
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0418
C
HANOVER AMERICAN INSURANCE CO C/O MICHAEL MANCILLAS 5801 N BROADWAY EXT STE 303 OKLAHOMA CITY, OK 73118-
0419
C
HANOVER INSURANCE CO C/O MICHAEL MANCILLAS 5801 N BROADWAY EXT STE 303 OKLAHOMA CITY, OK 73118-
1196
S
HARBOR SPECIALTY INSURANCE CO C/O MIDLANDS CLAIM ADMINISTRATORS ATTN: D NEWMAN PO BOX 238808 OKLAHOMA CITY, OK 73123-8808
0307
S
HARCO NATIONAL INSURANCE C/O REBECCA CULLINS 1300 S MERIDIAN STE 323 OKLAHOMA CITY, OK 73108-
0562
S
HARLEYSVILLE INSURANCE CO 355 MAPLE AVE HARLEYSVILLE, PA 19438-
0398
S
HARLEYSVILLE MUTUAL INSURANCE CO 355 MAPLE AVE HARLEYSVILLE, PA 19438-
0262
S
HARTFORD ACCIDENT & INDEMNITY CO ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
0263
S
HARTFORD CASUALTY INSURANCE CO CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
0264
S
HARTFORD FIRE INSURANCE CO ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
1591
S
HARTFORD INSURANCE CO OF ILLINOIS ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
0265
S
HARTFORD INSURANCE CO OF THE MIDWEST ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
1650
S
HARTFORD SACRAMENTO INSURANCE CO ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address 0266
S
1558
Rpt ID: CARLST Page: 17
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
HARTFORD UNDERWRITERS INSURANCE CO ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
1603
C
HDI GERLING AMERICA INSURANCE CO 161 N CLARK ST FLOOR 48 CHICAGO, IL 60601-
HOUSING AUTHORITY PROPERTY INSURANCE A MUTUAL CO ATTN: SARAH RODRIGUEZ PO BOX 189 CHESHIRE, CT 06410-
0284
S
HOUSTON GENERAL INSURANCE CO ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
1313
C
HUDSON INSURANCE CO (TRIBES ONLY) 100 WILLIAM ST FL 5 NEW YORK, NY 10038-5044
0478
S
ILLINOIS NATIONAL INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
1617
C
IMPERIUM INSURANCE CO CBCS INC - AMY DRISCOLL 800 MAIN ST DUBUQUE, IA 52001-
0412
C
INDEMNITY INSURANCE CO OF NORTH AMERICA C/O ESIS - BRITTANY HARPER 2001 BRYAN STREET SUITE 3600 DALLAS, TX 75201-
INDEMNITY NATIONAL INSURANCE CO ATTN: MATTHEW TUCKER 4800 OLD KINGSTON PIKE KNOXVILLE, TN 37919-
0278
C
INDIANA LUMBERMENS MUTUAL 2005 MARKET ST STE 1200 PHILADELPHIA, PA 19103-7008
INDUSTRIAL UNDERWRITERS C/O ESIS ATTN: CAROL GALLIMORE 225 E JOHN CARPENTER FWY STE 1300 IRVING, TX 75062-
0252
C
INSURANCE CO OF NORTH AMERICA C/O ESIS ATTN: CAROL GALLIMORE 225 E JOHN CARPENTER FWY STE 1300 IRVING, TX 75062-
1559
0421
C
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
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Rpt ID: CARLST Page: 18
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0479
S
INSURANCE CO OF THE STATE OF PENN C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
1165
S
INSURANCE CO OF THE WEST ATTN: GINA SKOLASKI PO BOX 85563 SAN DIEGO, CA 92186-
1768
C
KYLE EDWARDS AUTO GROUP INC PO BOX 386 CHECOTAH, OK 74426-0386
1408
S
LEXINGTON INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0570
S
LIBERTY INSURANCE CORP C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1629
C
LIBERTY LIFE ASSURANCE CO OF BOSTON C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0571
S
LIBERTY MUTUAL FIRE INSURANCE C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0572
S
LIBERTY MUTUAL INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1414
C
LINCOLN GENERAL INSURANCE CO ATTN: KAREN GROFF PO BOX 3709 YORK, PA 17402-
1627
C
LION INSURANCE CO ATTN: DUSTIN CLARK 2739 US HWY 19 HOLIDAY, FL 34691-
1397
S
LM INSURANCE CORP C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0573
S
LUMBERMENS UNDERWRITING ALLIANCE ATTN: JAMES POIRIER PO BOX 3061 BOCA RATON, FL 33431-3061
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 19
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1589
S
MADISON INSURANCE CO US ADMINISTRATOR CLAIMS - CORD FARRIS PO BOX 2005 OAK RIDGE, TN 37831-
1365
S
MANUFACTURERS ALLIANCE INSURANCE CO C/O GALLAGHER BASSETT SERVICES INC ATTN: STACY GOBLE 14000 QUAIL SPRINGS PARKWAY SUITE 3000 OKLAHOMA CITY, OK 73134-
0407
S
MARKEL INSURANCE CO ADELSON, TESTAN, BRUNDO, NOVELL & JIMENEZ C/O LINDA FOREMAN 3601 N CLASSEN BLVD., SUITE 102 OKLAHOMA CITY, OK 73118-
0254
S
MARYLAND CASUALTY CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
0255
S
MARYLAND INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
0420
C
MASSACHUSETTS BAY INSURANCE CO C/O MICHAEL MANCILLAS 5801 N BROADWAY STE 303 OKLAHOMA CITY, OK 73118-
1501
C
MEDICAL ASSURANCE CO ATTN: JEFFREY MANGET PO BOX 590009 BIRMINGHAM, AL 35259-0009
0575
S
MEDMARC CASUALTY INSURANCE CO ATTN: KAREN M MURPHY 14280 PARK MEADOW DR STE 300 CHANTILLY, VA 20151-2219
1450
C
MEMIC INDEMNITY CO ATTN: KAREN SCHWARTZ PO BOX 11409 PORTLAND, ME 04104-
1502
C
MENDOTA INSURANCE CO ATTN: ANTOINETTE CALLOWAY PO BOX 64586 ST PAUL, MN 55164-0586
1464
S
MERIDIAN SECURITY INSURANCE CO ATTN: SUSAN PILON PO BOX 390327 MINNEAPOLIS, MN 55439-0327
0453
C
MICHIGAN MILLERS MUTUAL INSURANCE CO C/O STEPHEN STRATTON 4101 PERIMETER CENTER DR STE 110 OKLAHOMA CITY, OK 73112-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 20
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0578
S
MID CENTURY INSURANCE CO C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-8843
0579
S
MIDDLESEX INSURANCE CO ATTN: MARY SWENSON PO BOX 8032 STEVENS POINT, WI 54481-
1481
C
MIDWEST BUILDERS CASUALTY MUTUAL CO ATTN: MINDY YANCEY 1100 WALNUT ST STE 3010 KANSAS CITY, MO 64106-
0581
S
MIDWEST EMPLOYERS CASUALTY CO C/O MIKAL SOLTYS 14755 N OUTER FORTY DR STE 300 CHESTERFIELD, MO 63017-
1448
C
MIDWEST INSURANCE CO JOANNA CADLE 300 S BRADFORDTON RD SPRINGFIELD, IL 62711-
1600
C
MILWAUKEE CASUALTY INSURANCE CO (UNITRIN ) ROY DYKES PO BOX 650771 DALLAS, TX 75265-
1417
C
MITSUI SUMITOMO INSURANCE CO OF AMERICA 560 LEXINGTON AVE NEW YORK, NY 10022-
1418
C
MITSUI SUMITOMO INSURANCE USA INC 560 LEXINGTON AVE NEW YORK, NY 10022-
1632
C
MONTGOMERY INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0427
C
NATIONAL AMERICAN INSURANCE CO ATTN: RICHARD EVANS PO DRAWER 38 CHANDLER, OK 74834-
1592
C
NATIONAL CASUALTY CO ATTN: BRIAN NELSON 1100 LOCUST ST DEPT 3010 DES MOINES, IA 50391-
0583
S
NATIONAL FARMERS UNION PROPERTY & CASUALTY CO C/O ONE BEACON NATIONAL WORK COMP CENTER 5 TECHNOLOGY DR MILFORD, MA 01757-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 21
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0459
S
NATIONAL FIRE INSURANCE CO OF HARTFORD ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
0282
S
NATIONAL INDEMNITY CO J MICHAEL GOTTSCHALK P O BOX 31361 OMAHA, NE 68131-0361
1245
S
NATIONAL INTERSTATE INSURANCE CO ATTN: ALVIN B. TURNER JR. 3250 INTERSTATE DR RICHFIELD, OH 44286-0549
0283
S
NATIONAL LIABILITY FIRE & CASUALTY J MICHAEL GOTTSCHALK P O BOX 31361 OMAHA, NE 68131-0361
0585
S
NATIONAL STANDARD INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
0392
S
NATIONAL SURETY CORP C/O FIREMENS FUND INSURANCE PO BOX 74014 ATLANTA, GA 30374-0174
0480
S
NATIONAL UNION FIRE INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
1670
C
NATIONS INSURANCE AGENCY 20725 NE 16 AVE IVES ESTATES, FL 33179-
0257
C
NATIONWIDE AGRIBUSINESS INSURANCE CO ATTN: BRIAN NELSON 1100 LOCUST ST STE 3010 DES MOINES, IA 50391-3010
0586
C
NATIONWIDE INSURANCE CO OF AMERICA ATTN: BRIAN NELSON 1100 LOCUST ST DEPT 3010 DES MOINES, IA 50391-3010
0367
C
NATIONWIDE MUTUAL INSURANCE CO C/O CORPORATION SERVICE COMPANY 115 SW 89TH ST OKLAHOMA CITY, OK 73139-8511
1359
S
NETHERLANDS INSURANCE CO ATTN: AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 22
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0481
S
NEW HAMPSHIRE INDEMNITY CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
0482
S
NEW HAMPSHIRE INSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301
1505
C
NEW YORK MARINE & GENERAL INSURANCE CO C/O CCMSI ATTN: LASHAWNA SEARS 1501 NORTH UNIVERSITY AVE SUITE 767 LITTLE ROCK, AR 72207-
1403
C
NIPPONKOA INSURANCE CO LTD 14 WALL ST 8TH FL NEW YORK, NY 10005-
1757
C
NORGUARD INSURANCE CO PO BOX A H WILKES BARRE, PA 18703-0020
1508
C
NORTH AMERICAN ELITE INSURANCE CO ATTN: EDWARD STYS 650 ELM ST MANCHESTER, NH 03103-
0590
S
NORTH AMERICAN SPECIALTY INSURANCE CO C/O GALLAGHER BASSETT ATTN: CARLA TATE 14000 QUAIL SPRINGS PKWY #3000 OKLAHOMA CITY, OK 73134-
1605
C
NORTH DAKOTA WORKFORCE SAFETY & INSURANCE (NLC) PO BOX 5585 BISMARCK, ND 58506-5585
1509
S
NORTH POINTE INSURANCE CO C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53950-
0591
S
NORTH RIVER INSURANCE CO C/O MIKE HICKS 6404 INTERNATIONAL PKWY STE 1000 PLANO, TX 75093-
0442
S
NORTHERN ASSURANCE CO ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0592
S
NORTHERN INSURANCE CO OF NEW YORK C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 23
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1510
C
NORTHLAND CASUALTY CO ATTN: MICHAEL DOODY PO BOX 64816 ST PAUL, MN 55164-
1511
C
NORTHLAND INSURANCE CO ATTN: MICHAEL DOODY PO BOX 64816 ST PAUL, MN 55164-
0593
C
NORTHWESTERN PACIFIC INDEMNITY CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74105-
1488
C
NOVA CASUALTY CO ATTN: KATHLEEN CAREY 5 WATERSIDE XING STE 204A WINDSOR, CT 06095-
1658
C
OAK RIVER INSURANCE COMPANY (ORIC) BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC) ATTN: NICOLE ALBRECHT P O BOX 881716 SAN FRANCISCO, CA 94188-
1791
C
OBI AMERICA INSURNCE COMPANY ATTN: PATRICIA VIGEANT 605 HWY 169 N STE 800 PLYMOUTH, MN 55441-
1641
S
OBI NATIONAL INSURANCE CO ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
1512
C
OCCIDENTAL FIRE & CASUALTY OF NORTH CAROLINA ATTN: KEVIN HAMM PO BOX 10800 RALEIGH, NC 27605-
0347
S
OHIO CASUALTY INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1585
S
OHIO FARMERS INSURANCE CO C/O BROADSPIRE SERVICES INC ATTN: DEBRA GLOVER 5901 COLLEGE BLVD STE 275 OVERLAND PARK, KS 66211-
1426
C
OHIO SECURITY INSURANCE CO ATTN: AIMEE J TREECE 101 N ROBINSON STE 1105 OKC, OK 02116-
1465
C
OLD GLORY INSURANCE CO ATTN: BOB HENDERSON PO BOX 6456 TYLER, TX 75711-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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1382
C
OLD REPUBLIC GENERAL INSURANCE CORP C/O PRENTICE HALL CORP 115 SW 89 OKLAHOMA CITY, OK 73139-8511
0425
C
OLD REPUBLIC INSURANCE CO C/O PRENTICE HALL CORP 115 SW 89 OKLAHOMA CITY, OK 73139-
1423
S
ONE BEACON AMERICA INSURANCE CO ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0441
S
ONE BEACON INSURANCE CO (FKA CGU INSURANCE) ATTN: VIRGINIA MCCARTHY 150 ROYALL ST CANTON, MA 02021-
0253
C
PACIFIC EMPLOYERS INSURANCE CO C/O ESIS ATTN: CAROL GALLIMORE 225 E JOHN CARPENTER FWY STE 1300 IRVING, TX 75062-
0596
C
PACIFIC INDEMNITY CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74135-
1419
S
PEERLESS INDEMNITY INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1346
S
PEERLESS INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0446
S
PENNSYLVANIA INS CO FKA PENNSYLVANIA GENERAL INS C ATTN: PETER GUNN PO BOX 3646 OMAHA, NE 68103-0646
1156
S
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE C C/O GALLAGHER BASSETT SERVICES INC ATTN: STACY GOBLE 14000 QUAIL SPRINGS PKWAY STE 3000 OKLAHOMA CITY, OK 73134-
1389
S
PENNSYLVANIA MANUFACTURERS INDEMNITY CO C/O GALLAGHER BASSETT SERVICES INC ATTN: EDWARD WIEWEL 6303 WATERFORD BLVD STE 120 OKLAHOMA CITY, OK 73118-
0438
C
PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE CO C/O CYNTHIA REINHART PO BOX 2361 HARRISBURG, PA 17105-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
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Rpt ID: CARLST Page: 25
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0490
S
PETROLEUM CASUALTY CO C/O EXXON MOBIL RISK MANAGEMENT INC C/O ANDREW KIYFES 3225 GALLOWS RD FAIRFAX, VA 22037-
0599
S
PHARMACISTS MUTUAL CO C/O JAY MCATEE 1115 S CINCINNATI TULSA, OK 74119-
0288
C
PHOENIX INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1513
C
PLATTE RIVER INSURANCE CO ATTN: JOSH DENO PO BOX 5900 MADISON, WI 53705-
1432
S
PRAETORIAN INSURANCE CO C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1447
C
PREFERRED PROFESSIONAL INSURANCE CO 11605 MIRACLE HILLS DR STE 200 OMAHA, NE 68154-
1669
C
PROFESSIONAL INSURANCE 1122 N WALTON BLVD BENTONVILLE, AR 72712-
1654
C
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD C/O THE HARTFORD FINANCIAL SERVICES CENTRAL WORKERS COMPENSATION CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
0465
S
PROTECTIVE INSURANCE CO ATTN: DAVID GHESQUIERE PO BOX 7099 INDIANAPOLIS, IN 46207-
1514
C
PROVIDENCE WASHINGTON INSURANCE CO ATTN: DONALD WOELLNER 475 KILVERT ST STE 330 WARWICK, RI 02886-
1594
S
QBE INSURANCE CORP C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1515
C
QUANTA INDEMNITY CO ATTN: JEFFREY J MISZNER 40 FULTON STREET 12TH FLOOR NEW YORK, NY 10038-5085
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address 1771
Rpt ID: CARLST Page: 26
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
RED ROCK INSURANCE COMPANY 13431 N BROADWAY STE 101A OKLAHOMA CITY, OK 73114-
0605
S
REDLANDS INSURANCE CO C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1744
C
REDWOOD FIRE AND CASUALTY INSURANCE COMPANY 1314 DOUGLAS ST OMAHA, NE 68102-
0606
S
REGENT INSURANCE CO C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1162
C
REPUBLIC FIRE & CASUALTY INSURANCE CO ATTN: EBONY UPSHAW PO BOX 809076 DALLAS, TX 75380-
1163
C
REPUBLIC UNDERWRITERS INSURANCE CO ATTN: EBONY UPSHAW PO BOX 809076 DALLAS, TX 75380-
0330
S
REPUBLIC WESTERN INSURANCE CO C/O BARBARA DECOSTA 2721 N CENTRAL AVE PHOENIX, AZ 85004-
1517
C
RIVERPORT INSURANCE CO ATTN: MARK GOOD JR PO BOX 948 MINNEAPOLIS, MN 55440-
1635
C
RLI INSURANCE COMPANY PO BOX 3736 PEORIA, IL 61612-3736
1518
C
ROCKWOOD CASUALTY INSURANCE CO 654 MAIN ST ROCKWOOD, PA 15557-
1519
C
RURAL COMMUNITY INSURANCE CO ATTN: MICHELLE LAYDEN 3501 THURSTON AVE ANOKA, MN 55303-
1789
S
RURAL TRUST INSURANCE CO 6301 IVY LN STE 506 GREENBELT, MD 20770-6338
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 27
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0436
S
SAFECO INSURANCE CO OF AMERICA C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1325
C
SAFETY FIRST INSURANCE CO 1832 SCHUETZ RD ST LOUIS, MO 63146-
1155
C
SAFETY NATIONAL CASUALTY CORP ATTN: JIM GODFREY 1832 SCHUETZ RD ST LOUIS, MO 63146-
1257
C
SAGAMORE INSURANCE CO C/O DAVID GHESQUIERE PO BOX 7099 INDIANAPOLIS, IN 46207-7099
1631
C
SAMSUNG FIRE & MARINE INSURANCE CO LTD USB 85 CHALLENGER RD FL 6 RIDGEFIELD PARK, NJ 07660-2112
1381
S
SEABRIGHT INSURANCE CO ATTN: DAVID CALANDRO 150 2ND AVE N 3RD FLOOR ST PETERSBURG, FL 33701-
1613
C
SECURA INSURANCE CO PO BOX 819 APPLETON, WI 54912-
1598
C
SECURITY NATIONAL INSURANCE CO (AMTRUST) CO/ LISA JOHNSON PO BOX 94405 CLEVELAND, OH 44101-
1737
C
SEDGWICK INSURANCE CO SEDGWICK INSURANCE CO PO BOX 14567 LEXINGTON, KY 40512-
0372
C
SELECT INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1520
C
SENECA INSURANCE CO ATTN: VINCENT MAIDA 160 WATER ST NEW YORK, NY 10038-
1434
S
SENTINEL INSURANCE CO LTD CENTRAL WORKERS COMP CLAIMS CENTER PO BOX 14471 LEXINGTON, KY 40512-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1494
C
SENTRY CASUALTY CO ATTN: AMY KRYST PO BOX 8032 STEVENS POINT, WI 54481-
0355
C
SENTRY INSURANCE A MUTUAL CO ATTN: AMY KRYST PO BOX 8032 STEVENS POINT, WI 54481--
1166
C
SENTRY SELECT INSURANCE CO ATTN: AMY KRYST PO BOX 8032 STEVENS POINT, WI 54481-
1521
C
SERVICE INSURANCE CO ATTN: MYRA CRONIN PO BOX 9729 BRADENTON, FL 34206-
1483
C
SFM MUTUAL INSURANCE CO ATTN: MARGE LANTZ 3500 AMERICAN BLVD STE 700 BLOOMINGTON, MN 55431-
1742
C
SILVER OAK CASUALTY INC
0469
S
SOMPO JAPAN INSURANCE CO OF AMERICA ATTN: CAREY ARMISTREAD 11405 COMMUNITY HOUSE RD STE 600 CHARLOTTE, NC 28277-
1164
C
SOUTHERN INSURANCE CO PO BOX 809076 DALLAS, TX 75380-9076
1161
C
SOUTHERN UNDERWRITERS INSURANCE CO ATTN: EBONY UPSHAW PO BOX 809076 DALLAS, TX 75380-9076
1475
C
SPARTA INSURANCE CO ATTN: JOHN MINDEK 185 ASYLUM ST CITYPLACE II HARTFORD, CT 06103-
0623
C
ST PAUL FIRE & MARINE INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0414
C
ST PAUL GUARDIAN INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Rpt ID: CARLST Page: 28
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 29
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1522
C
ST PAUL MEDICAL LIABILITY INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0415
C
ST PAUL MERCURY INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1523
C
ST PAUL PROTECTIVE INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0410
C
STANDARD FIRE INSURANCE C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0416
S
STAR INSURANCE CO C/O JAMES AUSTIN PO BOX 219559 KANSAS CITY, MO 64141-9559
1461
C
STARNET INSURANCE CO C/O BERKLEY NET UNDERWRITERS LLC ATTN: JOHN BURKE 12701 MARBLESTONE DR STE 250 WOODBRIDGE, VA 22192-
1524
C
STARR INDEMNITY & LIABILITY CO 399 PARK AVE 8TH FL NEW YORK, NY 10022-
0625
S
STATE AUTO PROPERTY & CASUALTY INSURANCE CO ATTN: SUSAN PILON PO BOX 390327 MINNEAPOLIS, MN 55439-0327
0626
S
STATE AUTOMOBILE MUTUAL INSURANCE CO ATTN: SUSAN PILON PO BOX 390327 MINNEAPOLIS, MN 55439-0327
0315
S
STATE FARM FIRE AND CASUALTY CO C/O CORPORATION SERVICE COMPANY 115 S W 89TH ST OKLAHOMA CITY, OK 73139-8511
1753
C
STILLWATER PROPERTY AND CASUALTY INSURANCE CO ATTN: MARK DAVEY 4905 BELFORT RD #110 JACKSONVILLE, FL 32256-
1471
S
STONETRUST COMMERCIAL INSURANCE CO ATTN: ANGELA SANDERS 5615 CORPORATE BLVD STE 700 BATON ROUGE, LA 70808-2557
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 30
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1525
C
STONINGTON INSURANCE CO C/O SEDGWICK CMS ATTN: LISA ZIMMERMAN PO BOX 975 SUN PRAIRIE, WI 53590-
1619
S
SUNZ INSURANCE CO C/O NEXT LEVEL ADMIN LLC - LISA WAGNER 1301 6TH AVE W BRADENTON, FL 34205-
1770
C
SUSSEX INSURANCE COMPANY ATTN: GAYLE P LEVY 221 DAWSON ROAD COLUMBIA, SC 29223-
1242
C
TECHNOLOGY INSURANCE CO (AMTRUST) ATTN: LISA JOHNSON PO BOX 94405 CLEVELAND, OH 44101-
1260
C
THE INSURANCE CO ATTN: PAULETTE DAVIS 10451 GULF BLVD TREASURE ISLAND, FL 33706-4814
0631
C
TIG INSURANCE CO C/O LARRY TAYLOR 406 S BOULDER STE 410 TULSA, OK 74103-
0331
S
TOKIO MARINE AMERICA INS CO ATTN: KATHY STEPHENS 1 RAVINIA DR STE 1130 ATLANTA, GA 30346-
1682
C
TORUS NATIONAL INSURANCE COMPANY C/O ENSTAR US - DAVID J CALANDRO 150 2ND AVENUE NORTH 3RD FL ST PETERSBURG, FL 33701-
1459
C
TOWER INSURANCE CO OF NEW YORK ATTN: ROY DYKES PO BOX 650767 DALLAS, TX 75265-
1573
C
TOWER NATIONAL INSURANCE CO ATTN: ROY DYKES 12790 MERIT DRIVE STE 200 DALLAS, TX 75251-
1586
C
TOYOTA MOTOR INSURANCE CO 19001 S WESTERN AVE NF 23 TORRANCE, CA 90509-
1498
S
TRANS PACIFIC INSURANCE CO (NEW ID) ATTN: SAL ETERNO 230 PARK AVE NEW YORK, NY 10169-0001
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 31
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1240
C
TRANSGUARD INSURANCE CO OF AMERICA INC C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0463
S
TRANSPORTATION INSURANCE CO ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
0289
C
TRAVCO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0290
C
TRAVELERS CASUALTY & SURETY CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0291
C
TRAVELERS CASUALTY & SURETY OF AMERICA C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0293
C
TRAVELERS CASUALTY CO OF CONNECTICUT C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0292
C
TRAVELERS CASUALTY INSURANCE CO OF AMERICA C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0294
C
TRAVELERS COMMERCIAL INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0295
C
TRAVELERS HOME & MARINE INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0296
C
TRAVELERS INDEMNITY CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0297
C
TRAVELERS INDEMNITY CO OF AMERICA C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0298
C
TRAVELERS INDEMNITY CO OF CONNECTICUT C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 32
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0300
C
TRAVELERS INDEMNITY CO OF MISSOURI C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0301
C
TRAVELERS INSURANCE CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0299
C
TRAVELERS PROPERTY & CASUALTY CO OF AMERICA C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
1643
C
TRI STATE INSURANCE COMPANY OF MINNESOTA PO BOX 1594 DES MOINES, IA 50306-
1324
S
TRIANGLE INSURANCE CO ATTN: MELANIE PRENTICE PO BOX 1719 LITTLE ROCK, AR 72203-
1729
S
TRIUMPHE CASUALTY COMPANY C/O COMMERCIAL INSURANCE SERVICES PO BOX 25928 OKLAHOMA CITY, OK 73125-0928
0635
S
TRUCK INSURANCE EXCHANGE C/O TAMMY LEE PO BOX 108843 OKLAHOMA CITY, OK 73101-8843
1621
S
TRUMBULL INSURANCE CO ATTN: CENTRAL WORKERS COMP CLAIM CNTR PO BOX 14471 LEXINGTON, KY 40512-
0268
S
TWIN CITY FIRE INSURANCE ATTN: CENTRAL WORKERS COMP CLAIM CENTER PO BOX 14471 LEXINGTON, KY 40512-
0309
S
UNION INSURANCE CO ATTN: SUZANNE RICHARDSON PO BOX 152180 IRVING, TX 75015-
1797
C
UNION INSURANCE COMPANY OF PROVIDENCE C/O EMC INSURANCE, BARNES G KELLEY PO BOX 712 DES MOINES, IA 50306-0712
1587
C
UNITED NATIONAL SPECIALTY INSURANCE CO 3 BALA PLAZA E STE 300 BALA CYNWYD, PA 19004-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 33
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0483
C
UNITED STATES FIDELITY & GUARANTY CO C/O CORPORATION SERVICE CO 115 SW 89 ST OKLAHOMA CITY, OK 73139-8511
0640
S
UNITED STATES FIRE INSURANCE CO ATTN: MIKE HICKS 6404 INTERNATIONAL PKWY STE 1000 PLANO, TX 75093-
1428
C
UNITED WISCONSIN INSURANCE CO ACCIDENT FUND HOLDINGS INC - NELLIE OSOWSKI PO BOX 40790 LANSING, MI 48901-7990
1527
C
UNIVERSAL CASUALTY CO 150 NW POINT BLVD ELK GROVE VILLAGE, IL 60007-
0323
S
UNIVERSAL UNDERWRITERS INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1413
C
US SPECIALTY INSURANCE CO 13403 NW FRWY HOUSTON, TX 77040-
0426
C
UTICA MUTUAL INSURANCE CO ATTN: LARRY HOCUTT PO BOX 5310 BINGHAMTON, NY 13902-
1606
C
UTICA NATIONAL ASSURANCE CO 180 GENESEE ST NEW HARTFORD, NY 13413-
0641
S
VALIANT INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
0464
S
VALLEY FORGE INSURANCE CO ATTN: ROBERT BILTZ PO BOX 8317 CHICAGO, IL 60680-
0396
S
VANLINER INSURANCE CO ATTN: ALVIN B TURNER JR 3250 INTERSTATE INSURANCE COMPANY RICHFIELD, OH 44286-
1743
C
VANTAPRO SPECIALTY INSURANCE COMPANY
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 34
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
0642
C
VIGILANT INSURANCE CO C/O MALCOLM SMITH 5416 S YALE AVE STE 225 TULSA, OK 74135-
0644
C
VIRGINIA SURETY CO C/O JEFF DASOVICH 11914 N PENN AVE STE B4 OKLAHOMA CITY, OK 73120-
1528
C
WASHINGTON INTERNATIONAL INSURANCE CO ATTN: EDWARD STYS 475 N MARTINGDALE RD SCHAUMBURG, IL 60173-
0645
S
WAUSAU BUSINESS INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0431
S
WAUSAU UNDERWRITERS INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1529
C
WESCO INSURANCE CO (AMTRUST) ATTN: LISA JOHNSON PO BOX 94405 CLEVELAND, OH 44101-
0348
S
WEST AMERICAN INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
0428
C
WESTCHESTER FIRE INSURANCE C/O ESIS ATTN: CAROL GALLIMORE 225 E JOHN CARPENTER FWY STE 1300 IRVING, TX 75062-
1759
C
WESTCO INSURANCE WESTCO INSURANCE 420 MAPLE YUKON, OK 73099-
1530
C
WESTERN AGRICULTURAL INSURANCE CO ATTN: CONNIE T DRESEN 5400 UNIVERSITY AVE WEST DES MOINES, IA 50266-
1566
C
WESTERN NATIONAL ASSURANCE CO PO BOX 1463 MINNEAPOLIS, MN 55440-
1422
S
WESTFIELD INSURANCE CO C/O BROADSPIRE SERVICES INC ATTN: DEBRA GLOVER 5901 COLLEGE BLVD STE 275 OVERLAND PARK, KS 66211-
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate
Date: Time:
01/03/2017 09:05
OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
Rpt ID: CARLST Page: 35
Carrier ID Inv Flag Carrier Name/Service Agent Name & Address
1217
S
WESTPORT INSURANCE CORP (NEW) (FKA ERC) ATTN: EARL CARTWRIGHT 5200 METCALF AVE OVERLAND PARK, KS 66201-
1451
S
WORK FIRST CASUALTY CO C/O BROADSPIRE SERVICES INC ATTN: ANGELA STEIN PO BOX 14342 LEXINGTON, KY 40512-4342
1792
C
WORKERS FIRST COMPENSATION FUND 4314 EAGLE POINT PARKWAY BIRMINGHAM, AL 35242-
1640
C
WORLDWIDE UNDERWRITERS INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-
1531
S
XL INSURANCE AMERICA INC ATTN: BARBARA BROWN 505 EAGLEVIEW BLVD STE 100 EXTON, PA 19341-
1169
S
XL SPECIALTY INSURANCE CO ATTN: BARBARA BROWN 505 EAGLEVIEW BLVD STE 100 EXTON, PA 19341-
0313
S
ZENITH INSURANCE CO C/O BURNS ANDERSON JURY & BRENNER LP PO BOX 26300 AUSTIN, TX 78755-
1645
C
ZNAT INSURANCE CO C/O BURNS ANDERSON JURY AND BRENNER LLP PO BOX 26300 AUSTIN, TX 78755-
0649
S
ZURICH AMERICAN INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1420
S
ZURICH AMERICAN INSURANCE CO OF IL C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
1574
S
ZURICH NORTH AMERICAN INSURANCE CO C/O ZURICH CLAIMS ATTN: JUDITH MANDELKY PO BOX 968023 SCHAUMBURG, IL 60196-
Records printed: 419
* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate