Service Agent Name & Address

Date: Time: 01/03/2017 09:05 OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO Carrier ID Inv F...
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Date: Time:

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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO

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ACADIA INSURANCE CO ATTN: TODD ESTES PO BOX 26350 OKLAHOMA CITY, OK 73126-

1457

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ACCIDENT FUND GENERAL INSURANCE CO C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BO X40790 LANSING, MI 48901-7990

1291

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ACCIDENT FUND INSURANCE CO OF AMERICA C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BOX 40790 LANSING, MI 48901-7990

1467

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ACCIDENT FUND NATIONAL INSURANCE CO C/O ACCIDENT FUND HOLDINGS INC ATTN: NELLIE OSOWSKI PO BOX 40790 LANSING, MI 48901-7990

1588

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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

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ACIG INSURANCE CO ATTN: LINDSEY MICHAELS 12222 MERIT DR STE 1660 DALLAS, TX 75251-

1427

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ADVANTAGE WORKERS COMPENSATION INSURANCE CO ATTN: DAN STEPHENS PO BOX 571918 SALT LAKE CITY, UT 84157-1918

0276

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AIG ASSURANCE COMPANY FKA CHARTIS CASUALTY CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301

0475

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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

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AIG PROPERTY CASUALTY COMPANY C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74141-

0474

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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

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AMERICAN ALTERNATIVE INSURANCE CO YORK RISK SERVICES GROUP ATTN: BRENDA MORENO PO BOX 619079 ROSEVILLE, CA 95661-

0243

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AMERICAN AUTOMOBILE INSURANCE CO ATTN: WILLIAM PAN PO BOX 740174 ATLANTA, GA 30374-

* Inv Flag 'S' indicates Service Company, 'C' indicates Corporate

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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

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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

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AMERICAN ECONOMY INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-

1662

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AMERICAN FIRE & CASUALTY CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-

0503

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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

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AMERICAN HOME ASSURANCE CO C/O WILLIAM PERRINE PO BOX 8301 TULSA, OK 74101-8301

0271

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AMERICAN INSURANCE CO ATTN: WILLIAM PAN PO BOX 740174 ATLANTA, GA 30374-

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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-

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AMERICAN INTERSTATE INSURANCE CO ATTN: APRIL BURNS 2301 HIGHWAY 190W DERIDDER, LA 70634-

0321

1626

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AMERICAN MINING INSURANCE CO C/O YORK RISK SERVICES GROUP 5501 LBJ FREEWAY STE 300 DALLAS, TX 75240-

1660

0504

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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

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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

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AMERICAN STATES INSURANCE CO C/O AIMEE TREECE 101 N ROBINSON AVE STE 1105 OKLAHOMA CITY, OK 73102-

0506

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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-

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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

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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

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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

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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

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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

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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

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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO

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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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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

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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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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

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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

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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

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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:

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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-

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GREATER NEW YORK MUTUAL INSURANCE CO ATTN: LILLIAN LENT 200 MADISON AVE NEW YORK, NY 10016-

Date: Time:

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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:

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S

1558

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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

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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:

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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:

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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:

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OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS CARRIER LISTING TYPE: INSUR CO

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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:

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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:

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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:

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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

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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:

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Carrier ID Inv Flag Carrier Name/Service Agent Name & Address 1771

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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:

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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

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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

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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

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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

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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

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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

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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

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