Phone: 212-320-7447, LG Insurance Company, Ltd USB G.P.O. Box 356 P.O. 3250 Grey Hawk Ct., Unit Z Phone: 507-455-5200, Ferdinand Farmers Mutual Ins Co, Inc Madison, WI53705-0900 BACKGROUND: A loss run statement is a report from an insurer that shows how many claims an insured has filed under their policy during a particular period of time. Baltimore, MD21202 Columbus, OH43215-3976 Attention: Loss Runs Department, Environmental Insurance Services Box 1747 7233 E Butherus Dr. Phone: 404-231-2366, Le Mars Insurance Company Phone: 212-312-2500 Phone: 717-733-8648, Wisc Health Care Liab Ins Plan Phone: 208-934-5729, Gemini Insurance Breda, IA51436 Loss Run. Box 820 Des Moines, IA50306-0712 Phone: 801-216-8253, Verex Assurance Inc Phone: 847-320-2000 443 Crown Point Circle, Suite A Walnut Creek, CA94597-2098 Dept., 5th Floor Phone: 831-459-0980, Nonprofits Mut RRG , Inc P.O. Phone: (727) 578-2800 Mutual of Omaha Plaza 1001 Bishop Street, Suite 1503 P.O. Rockford, IL61125-0626 Phone: 845-735-0700, The Medical Protective Houston, TX77042 Phone: 707-226-0100, Underwriters Lloyds London(IL) Box 548801 Box 306 P.O. Wilkes-Barre, PA18703-0020 4601 Touchton Road East, Suite 3400 Phone: 908-903-2525, Quadriga Builders Insurance, A RRG Burlington, VT05401 Crossville, TN38557-7001 FAX: 410-420-3002. Attention: Loss Runs Department, Aztec Insurance Company Charleston, SC29402-0937 Phone: 215-864-3600, Excess Share Insurance Corp Schedule payments ahead of time or make a one-time payment with. Secure. Box 250 4600 Fuller Drive Atlanta, GA30302 385 Washington Street Box 489 Sebewaing, MI48759-0701 FL P.O. Comp Group Phone: 513-603-2400, Oklahoma Attorneys Mutual Insurance Co Box 9020 Warren, NJ07061-1615 Attention: Loss Runs Department, Scottsdale Insurance Company Insured Loss means a loss (including all related expenses) of an Insured that is covered under the Bond (including any endorsement thereof) or that would be so covered but for the exhaustion of the applicable limit of liability and any applicable deductible). Burlington, VT05401-4477 Aliquippa, PA15001-1302 Franklin, TN37068 Phone: 717-506-2485, Schuylkill Crossing Recip Risk Ret Grp Phone: 877-737-6269, _________________________________________________________________________________, Public Service Mutual Ins Co Phone: 801-226-2662, Facility Insurance Corp Box 85563 Morgan Hill, CA95037 | The Hartford Loss assessment coverage is a condo or home insurance endorsement that adds protection for damage assessed by a homeowners association (HOA). 444 W. Ocean Blvd., 18th Floor At Utica National, we take the risk of Climate Change seriously. Fax: (480) 951-9730. Phone: 800-842-9484, Circle Star Insurance Company RRG Phone: 802-223-2341, GSA Insurance Company Phone: 661-224-9343, FAX: 661-265-6450 (Commercial- Loss Runs), FAX: 770-438-7228 (First Insurance Network), FAX: 770-645-0665 (Triton Claims Service), FAX: 770-645-2910 (Triton Claim Management), FAX: 858-513-4505 (Lloyds (Rancho Pacific), Lloyds of London Brit Global Specialty USA (out of Chicago, IL) Box 152010 P.O. Phone: 800-288-1970, PMSLIC Insurance Company Box 2005 Phone: 601-981-4440, Miami Mutual Insurance Company Sun Prairie, WI53596 Phone: 800-814-4458, Mutual Fire Ins Co of South Bend Twsp Email request to niclossruns@nautilus-ins.com; Chicago, IL60601 Armonk, NY10504 Equine to Fine Art. 1735 Market Street, 30th Floor PA One Tower Square Bala Cynwyd, PA 19004, All United National/United National Specialty/Diamond State/Penn The Hartford shall not be liable for any damages in connection with the use of any information provided on this page. Attention: Loss Runs Department, American Family Insurance the Loss Run Fax # is 866-431-6381, American European Insurance Group updated 06/06/2016, Rutgers Insurance is actually American European Insurance Group and Phone: 949-222-8000 Phone: 212-412-4700, Everest National Insurance Co Paul, MN 55102-1309, One Tower SquareMail Code GS07Hartford, CT 06183-3004Phone number: 800-842-9914, Northland InsuranceOne Tower SquareMail Code GS07Hartford, CT 06183-3004. Phone: 513-870-2000 Ridgeland, MS39157 175 Metro Center Boulevard, Suite 10 Phone: 800-228-8559, Toyota Motor Insurance Corporation of VT P.O. De Smet, SD57231-0009 Agency 46204 Phone: 702-369-0375, New Jersey Manufacturers Ins Attention: Loss Runs Department, IMACO Insurance Services Two N. Riverside Plaza, Suite 2200 Box 505 Holmdel, NJ07733-2936 Attention: Loss Runs Department, FAX: 877-234-4422 (Direct fax for loss runs), California Medical Group Ins Co RRG lossrunrequests@trg.com, RLI Insurance Company Loomis, CA95650-8858 Grand Rapids, MI49503 AXA XL Insurance has expertise in a spectrum of industries. Customer Care Center. 100 South Missouri Avenue Oak Brook, IL60523-4439 San Juan, PR00936 Phone: 305-858-9038. 505 N. Brand Blvd. Townson, MD21286 Box 1520 76 St. Paul Street, Suite 500 Box 1738 Phone: 847-572-6000, Eveready Insurance Company Attention: Loss Runs Department, FCCI Insurance Company 4305 Hacineda Drive Cincinnatti, OH45250 Phone: 802-658-0092, Cincinnati Equitable Ins Co Omaha, NE68114-3363 Box 232 Phone: 515-313-4500, NCRIC, Inc. Dayton, PA16222-5125 Phone: 843-577-1030 Columbia, If you have any questions, please call _____. Phone: 804-289-2700, Jamestown Insurance Company, RRG Deer Park, IL60010 McAlisterville, PA17049-0268 Box 937 Compare and verify findings with underwriting file information (COPE, sales, payroll, number of employees, etc.). Phone: 203-485-4200 PA MAILING ADDRESS: Harford Mutual Insurance Group. 200 E. Sandpointe Ave Ste310 Phone: 800-235-3891 Phone: 607-547-2007, __________________________________________________________________________, Lebanon Mutual Insurance Co 62 Maple Avenue 950 Ridgebrook Road, Suite 1500 P.O. Attention: Loss Runs Department, Washington International Ins P.O. Box 311806 P.O. P.O. Phone: 414-281-1100, SUA Insurance 8000 Warren Parkway, Suite 300 28.0%. Phone: 212-551-0600, FAX: 855-200-1158 (ProSight Specialty Ins), Email: nyoffice@prosightspecialty.com (Loss Run email), GEICO Government Employees Ins Co Phone: 916-487-2200, Transcontinental Ins Co Columbus, OH43216-2708 P.O. Montpelier, VT05601-0158 Phone: 916-443-4565, Teachers Insurance Company 7676 Hazard Center Drive, Suite 1550 45 Nob Hill Road Sheboygan Falls, WI53085-0159 Phone: 785-762-4324, UPMC Health Benefits Inc American Alternative Insurance Corporation (AAIC), HSB | The Hartford Steam Boiler Inspection and Insurance Company, HSB - Service Operations - Valley Forge, PA, US, HSB - Boston Office - New England - Virtual - MA, US, HSB - Los Angeles Office - Virtual - CA, US, HSB - New York Office - Bedminster - Virtual - NY, US, Munich Re Life US - Munich American Reassurance Company, Inc. Munich Re Underwriting Agents (DIFC) Ltd. Munich Re US - Munich Reinsurance America, Inc, The Princeton Excess and Surplus Lines Insurance Company (PESLIC), InstantQuote for monoline equipment breakdown coverage (agents only). Phone: 415-875-4500, Ethio American Insurance Company Phone: 402-963-5000, Empire Indemnity Insurance Company Underwood, MN56586 We understand the unique insurance needs of businesses in the retail industry. 1800 Second Street, Suite 909E Phone: 215-244-7880, Quaker Special Risk-Und Lloyds Phone: 724-838-5487, Omaha Indemnity Company Phone: 419-849-2521 Box 175 Huntington, WV25721 P.O. West Chester, PA19380 Phone: 800-356-4098, Standard Casualty Company Phone: 340-776-9063, Dorchester Mutual Insurance Co 6610 Sierra College Boulevard Phone: 210-498-2211, USAgencies Casualty Insurance Co, Inc Phone: 877-551-6717, Nonprofits Insurance Alliance of CA Pleasanton, CA94588 Phone: 202-628-4435, Food Service Insurance Managers Glen Allen, Birmingham, AL35259-0009 P.O. Phone: 727-546-8911, Liberty First RRG Insurance Co Lewiston, ID83501-0359 St. Paul, MN55102 Consortium, 6 Kacey Court, Suite 204 Miami, FL33133-3323 Attention: Loss Runs Department, Imperium Insurance Company Phone: 315-625-7203, Otsego Cty Patrons Co-Op Fire Relief Asn 3440 Toringdon Way, Suite 300 Attention: Loss Runs Department, Hanover Fire & Casualty Ins Co Drawer 41490 Attention: Loss Runs Department, Holmes City Farmers Mutual Insurance Co Attention: Loss Runs Department. 222 E. Huntington Drive, Suite 200 07890 You don't need to be an expert; HSB InstantQuote automatically recommends a broad coverage program, has advanced features to tailor coverage and price, and offers the convenience to easily manage your quotes. Owatonna, MN55060 Warwick, RI02887-0350 27 Hunt Club Drive Burlington, VT05401-4477 314 West Main Street West Trenton, P.O. Phone: 787-777-4965, Optimum Prop & Cas Ins Co Kemper Main phone: 866.860.9348, email zurich.riskintelligence@zurichna.com, Upland Mutual Insurance Inc Phone: 203-485-4200, Shelter Insurance Branchville, NJ07826-0400 Box 365 Phone: (412) 454-2978, Upper Hudson National Insurance Co 2889 Elmwood Drive 114 East Fifth Street Phone: 315-687-3211, MAG Mutual Insurance Company One Beacon Lane Phone: 847-605-6000, Empire Insurance Company Loss Run Contacts - Googley Insurance Services - A place to find better insurance with more coverage and better rates! One State Farm Plaza Phone: 281-293-6680, South Carolina Farm Bureau Mut Attention: Loss Runs Department, IMT Insurance Company (Mutual) Phone: 860-547-5000, NY Healthcare Ins Co, Inc. A RRG Albion, IA50005 20 Custom House Street Phone: 602-952-9532, Charity First MO Phone: 405-258-0804, National American Ins Co of CA P.O. 222 S. Riverside Plaza, Suite 1600 Phone: 816-412-1800, Rockingham Casualty Company Yoakum, TX77995-1399 Request a certificate of insurance online in about 5 minutes. P.O. 880 S. Pickett Street Box 189 1800 North Point Drive Phone: 502-992-4329, KZ Insurance Brokerage Phone: 802-229-5042, Clarendon Phone: 802-863-0096 76 Saint Paul Street, Suite 500 Phone: 630-472-7700 150 Federal Street 303 Corporate Center Drive, Suite 300 Phone: 614-249-1545 Burlington, VT05401-4477 1255 Caldwell Road 1400 American Lane Hours: 8:00 a.m. to 8:00 p.m. EST, Monday through Friday Phone 1-800-HSB-1866 (1-800-472-1866) Email Customer_Solution_Center@HSB.com vCard Download Report a claim HSB Claim Hotline Phone 888-HSB-LOSS (888-472-5677) vCard Download Schedule an inspection HSB Assistance and Claim Phone 1-800-333-4677 (1-800-333-INSP) Email NSCInsp_Hotline@HSB.com I need help with p: 800.877.1111 f: 858.436.8920 Phone: 212-770-7000, Illinois State Bar Assoc Mut Arlington, VA22209-2403 Phone: 570-824-1400, Laclede Mutual Insurance Phone: 512-306-0025, Factory Mutual Insurance Co Construction is an industry with unique needs and the list of related risks is long and varied. Atlanta, GA30339-2111 Phone: 320-269-6272, ______________________________________________________________________________, Legal Mut Liab Ins Soc of MD P.O. Nashville, TN37243 Tel. 12399 Gravois Road Box 40600 Box 811 Johnston, RI02919 Atlanta, GA30301-1738 Box 8010 Phone: 212-683-9700, Gold Medal Insurance Company 695 Atlantic Avenue Cincinnati, OH45201-3428 East Lansing, MI48826-4067 Bala Cynwyd, PA19004 P.O. 3411 Silverside Road, Suite 101 Insurance loss runs are reports of your business insurance claims history. 3825 South Florida Avenue #5 Boca Raton, FL33431-7303 Phone: 323-937-1060, ______________________________________________, California Hlthcare RRG(CHI) Phone: 404-767-7501, OOIDA Phone: 800-648-8624 Toll Free: (800) 842-8972 Las Vegas, NV89146 800 NW 6th Ave Ste 335 Box 9 Phone: 516-576-3400, Eagle West Insurance Company Phone: 407-226-8460, St Lukes Health Network Ins Co RRG Phone: 800.392.1604 919 Third Avenue, 10th Floor Phone: 508-836-4204, Eastern Farmers Mutual Insurance Company Phone: 800-324-6020, United 725 Cool Springs Boulevard, Suite 160 Scottsdale, AZ 85260 Attention: Loss Runs Department, Swett & Crawford Bigfork, MT59111-3614 Box 68700 P.O. Phone: 814-944-0417, Clearwater Insurance Co To submit a request with a Broker of Record Letter, please submit your request via email to ARWC@travelers.com, fax to 877.634.3710, or mail to Travelers at PO Box 5600, Hartford, CT 06102-5600. Phone: 802-264-4711, Lakeland Insurance Company One Forestwood Drive Suite 203 260 Interstate North Circle SE Attention: Loss Runs Department, Illinois Union Insurance Co Phone: 502-875-5940, Unifax Insurance Systems Inc Report a claim. Phone: 312-822-5000, Garden State Indemnity Co Our Structured Risk Solutions team provides clients globally with structured (re)insurance and customized risk transfer solutions across all lines of business. To customize your experience click below: From mid-size companies to the worlds largest multinationals, our innovative spirit and flexibility can help make your aspirations a reality. Anoka, MN55303 San Francisco, CA94111-1904 Phone: 800-558-9900, MHA Insurance Company Attention: Loss Runs Department, Mercury Insurance fax number : loss run is 714-255-5383, MetLife Insurance Company CT Chicago, IL60602-4811 999 Stewart Avenue Phone: 252-523-1200, Distinguished Programs Group P.O. Fax: 1-800-326-2864, NGM Insurance Company My Policies is a secure policy service tool especially suited for producers with high volume equipment breakdown portfolios and high service customers. Dallas, TX75254 P.O. Hingham, MA02043-1554 1311 Mamaroneck Avenue, Suite 135 12121 Wilshire Blvd. Phone: 717-733-8648, CMG Mortgage Insurance Company page. Phone: 813-885-2112, Cumberland Insurance Co Inc 3341 Benning Road NE Phone: 814-652-6111, Evergreen National Indem Co Attention: Loss Runs Department, Direct Auto Insurance Company Burlington Flats, NY13315-0040 Box 1520 P.O. Daytona Beach, FL32118 P.O. Phone: 671-475-8671, Topa Insurance Company 1038 Farmington Avenue 1 Kemper Drive Le Mars, IA51031-1608 East Windsor, NJ08520-1415 Burlington, VT05402-0530 Phone: 415-274-7800, CT Health Care Partners Reciprocal RRG 3990 West Yosemite Ave. Phone: 800-232-5830, US Specialty Insurance Co. Mike Phone: 817-380-1144, Twin City Fire Insurance Co Lansing, MI48917-4852 Phone: 651-293-0999, Workmens Auto Insurance Co Attention: Loss Runs Department, is a subsidiary of ProSight Specialty, and those loss runs can be P.O. Phone: 608-837-4440, General Fire & Casualty Co Phone: 502-245-2007, Kentucky Employers Mutual Ins P.O. Phone: 310-201-0451, Tower Bonding & Surety Co Inc P.O. Box 1084 Phone: 770-763-1000, Vulcan Excess & Surplus Branchville, Atlanta, GA30318-4220 P.O. 325 Eastlake Avenue East Texas Customers: Insurance provided by GEICO Southern County Mutual Insurance Company, administered by Northland Insurance Company. New York, NY10169-0005 Phone: 800-328-5433, Hillcrest Insurance Company Phone: 616-391-7988, MICO Insurance Company Phone: 248-427-4155, Dairyland Insurance Company St. Louis, MO63166-6937 Baton Rouge, LA70898-9082 590 Naamans Road P.O. Phone: 407-382-1400, FMI Insurance Company Box 712 Phone: 920-922-1220, Socius Insurance Services, Inc. 4820 Business Center Drive #200 Fond du Lac, WI54936-1513 2710 Sunrise Rim Road, Suite 100 Phone: 214-561-1991, Old Dominion Insurance Co c/o Cambridge Integrated Services Group, Inc., 1735 Market Street, 30th San Diego, CA92186-5563 Quick Links for RLI Personal Umbrella Policyholders ; Personal Umbrella Applications and Rates ; Why you need a personal umbrella policy Conshohocken, PA19428 Attention: Loss Runs Department, 01 Touchton Road East, Des Moines, IA50306-1336 P.O. 107777 Westheimer, Suite 500 Phone: 614-464-5000 Philadelphia, PA19103-2772 Piqua, OH45356-4888 Box 332 Atlanta, GA30346 Lexington, KY40588-1580 Phone: 501-847-1518, Toyota Motor Insurance Co Attention: Loss Runs Department, Valley Forge Insurance Co Burlington, VT05401-8427 Monday - Friday 8 a.m. - 8 p.m. CT 1-800-835-0385 For all general policy questions Monday - Friday 8 a.m. - 8 p.m. CT 1-866-467-8730 To report a claim 24 hours/day, 7 days/week 1-800-327-3636 Glass-only auto claims call 1-877-687-1279 For all USAA Members Monday - Friday 8 a.m. - 8 p.m. CT 1-888-242-1430 For all AARP Members Privacy Policy Phone: 800-486-5616 Phone: 303-806-8688, Goldstreet Insurance Company Franklin, TN37064 Phone: 202-626-3110, Nodak Mutual Insurance Co P.O. P.O. Dublin, OH43017 Phone: 808-538-8940, Workers Compensation Exchange Marietta, PA17547-0302 Phone: 800.572.2412, Somerset Casualty Insurance P.O. San Antonio, TX78229 Chicago, IL60610-4445 P.O. Phone: 518-692-2881 Chicago, IL60601 Phoenix, AZ85012-3009 Hortonville, WI54944-0356 Phone: 732-978-6000, High Tech Services Risk Retention Group Attention: Loss Runs Department, Electric Lloyds of Texas Masterpiece Real-Time Create Masterpiece quotes for new lines and endorsements. Madison, WI53719-2092 Phone: 405-767-1151, Victoria Insurance Phone: 802-860-1958 800 east Phone: 225-769-9923, Loudon Cty Farmers Aid Assn A Cty Mut Wilmington, DE19810-4812 you can call 1-877-528-7878. Philadelphia, PA19103 Montpelier, VT05602 CNA Center 333 South Wabash If you need help managing your businesses specialty risks, speak to AXA XL about our wide range of solutions. Los Angeles, CA90025 2708 6th Avenue SE Bldg 2 Ste C P.O. One Bala Plaza, Suite 100 Houston, TX77024 P.O. * Customer reviews are collected and tabulated by The Hartford and not representative of all customers. Phone: 401-921-5337, Distributors Insurance Company Richmond, VA23226 Attention: Loss Runs Department, NLC Mutual Insurance Company 27200 Tourney Rd Ste 360 Phone: 609-243-4200, Municipal Mutual Ins Co of WV Phone: 605-854-3732, De Smet Insurance Co of SD Washington, DC20004-1747 Phone: 802-264-4716, SCOR Reinsurance Company Kansas City, MO64112 Phone: 808-942-5353, Dorchester Insurance Co Ltd Phone: 205-877-4400, Medical Liability Alliance Attention: Loss Runs Department, BancInsure Inc Phone: 678-309-4000 Frankenmuth, MI48787-0001 Mayfield Heights, OH44124 Phone: 607-844-8106, DTRIC Insurance Company Limited Bethpage, NY11714-9020 Midvale, UT84047 3883 East Broad Street Phone: 609-469-0469, ________________________________________________________________, Colemont Insurance Brokers Availability of coverage referenced in this document can depend on underwriting qualifications and state regulations. 14202-4188 Phone: 817-336-1336, Tapco Underwriters, Inc. Irvine, CA92614 Phone: 602-956-5276, Mutual Protection Trust Long Grove, IL60049-0001 Phone: 405-290-5678 Southfield, MI48034 1905 N. W. Corporate Blvd. Scottsdale, AZ85254-8113 Phone: 732-308-3467, Garrison Prop & Cas Ins Co San Francisco, CA94111 P.O. Phone: 800-944-0403, Wellspan Risk Retention Group PO Box 13456 Worcester, MA01653 Oriskany, NY13424 P.O. Los Angeles, CA90067-4213 Chicago, IL60606 Phone: 800-226-0793, GMAC Insurance Company Online Attention: Loss Runs Department, Tokio Marine Pacific Insurance Limited 1515 E. Woodfield Road, Suite 820 (updated 02/04/16), FAX:877-397-2329 (SCP Policies- Small Business), FAX: 888-734-6776 (Zurich Service Center), Email: ghughes@ghughesassoc.com (Bid Risk Loss Runs), Email: melissa.jones@zurichna.com (Melissa Jones), Email: susan.nail@zurichna.com (Susan Nail), Email: zurich.riskintelligence@zurichna.com, we do not have fax information at this time if you do have one let Attention: Loss Runs Department, is owned by The Hartford so they can go to Box 112 Southfield, MI48034 Schulenburg, TX78956-5100 Phone: 256-878-6481, Vela Insurance Services Box 400 601 Riverside Avenue, Bldg 5, Suite 200 Phone: 303-388-5688 P.O. Indianapolis, IN46206-1250 The Hartford Financial Services Group, Inc., (NYSE: HIG) operates through its subsidiaries under the brand name, The Hartford, and is headquartered in Hartford, CT. For additional details, please read The Hartfords Legal Notice. P.O. Phone: 212-220-7120 Box 154 Phone: 404-443-4910, Wells Fargo Insurance Agency of Michigan Phoenix, AZ85016-8202 Box 1580 Phone: 770-952-4500, OMS National Ins Co Phone: 732-906-8100, ___________________________________________________________________________________________________, Pymatuning Mutual Fire Insurance Company WI Phone: 609-883-1300 Encino, CA91436 Phone: 800-789-3899, _____________________________________________________________________________________, Rockford Mutual Insurance Co Phone: 212-655-2100, Tower Hill Insurance Ferndale, NY12734-0248 Santa Barbara, CA93105 2301 Highway 190 West Attention: Loss Runs Department, Fax 317-931-6445 Burlington, VT05401-4477 Utica, NY13503-0530 Phone: 301-371-6100 Box 400 2801 Via Fortuna, Suite 400 Phone: 302-736-5159, Delaware Professional Insurance Company Lexington, KY40507 Phone: 262-723-3244, Sumitomo Marine & Fire Suite 360 Our customers can also track and monitor claims online. Phone: 314-656-2702, Essex Insurance Company 19001 South Western Avenue, A300 Attention: Loss Runs Department Fax: Phone: 518-762-3171, Galen Insurance Company Box 58 P.O. Phone: 850-386-1115, Ocean Marine Indemnity Insurance Company East Hartford, the No. Phone: 610-397-5000, PMI Mortgage Insurance Co. Manage my personal policy, bills and claims. 8310 S Valley Hwy #205 Lake Mary, FL32795 Box 468 P.O. Boca Raton, FL33487 P.O. Arlington, VA22209-2403 Phone: 847-277-5300, GEICO General Insurance Co Box 510 Sac City, IA50583-0219 Monrovia, CA91016 Claims Phone: 206-214-0140, UFB Casualty Insurance Company Canton, MA02021-1030 Phone: 715-754-2525, Eagle Insurance Company Concord, NH03301 181 W Madison Street, Suite 3870 Newark, NJ07101-1427 Box 186 Long Island City, NY11101-4347 Phone: 800-227-8533, Yates & Associates 59 Maiden Lane 214 Centerview Drive, Suite 259 To request a loss run report, you'll need to contact your insurance carrier or agent directly. St. Louis, MO63026 8877 North Gainey Center Drive Phone: 800-463-3776, Tift Area Captive Insurance Co P.O. Milwaukee, WI53201-2070 Box 1029 Claims electronic reporting: CommercialNewClaims@argogroupus.com. 26 Century Blvd Attention: Loss Runs Department, Kemper Lloyds Insurance Co Floor, Wall St. Plaza We've seen it all. A workers comp loss affidavit should be completed by prospects seeking coverage when they are unable to obtain official loss runs from their insurance company or current agent of record. Fort Lee, NJ 07024 P.O. We strive for . Architects & Engineers. Most requests are processed within one business day. 5656 Frantz Road The Hanover National Insurance Company. Des Moines, IA50306-0712 Carriers want up-to-date information to assess the risk appropriately, after all. St. Paul, MN55102 Charleston, SC29401-2238 Westfield Center, Your valuable commercial property, plants and machinery need protection against an array of existing and emerging risks. 2260 Douglas Blvd., Suite 110 Box 830 Phone: 562-279-1300, Darwin National Assurance Co 1990 Vaughn Rd Ste 350 Walnut Creek, CA94597-2098 Manalapan, NJ07726-1752 Grand Rapids, MI49501 One Liberty Plaza, 19th Floor 100 Commons Way, Suite 210 Attention: Loss Runs Department, Evergreen USA RRG, Inc Box 3580 Box 820 Phone: 888-636-1575, Policyholders Mutual Insurance Company is now owned by Amtrust North America. Phone: 323-932-3200, Excelsior Insurance Company 53082-0058 Attention: Loss Runs Department, Fax: 212-422-2424 email agri.mailbox@us.qbe.com, Quadrant Indemnity Company Phone: 561-893-1000, NCMIC Insurance Company Farmington, CT06032 Concord, NH03301-2624 19102-1376 P.O. Attention: Loss Runs Department, Philadelphia-United Fire Ins Canton, MA02021-1030 Phone: 800-282-6848, Fax # 925-817-6489 ( this is the latest number fingers crossed). Box 1615 Phone: 203-964-5200, Infinity Insurance Company 300 1st Ave S Suite 400 CBIA Comp. Franklin Lakes, New Jersey 07417 Phone: 614-488-7924, Ohio Casualty Insurance Co P.O. 5210 Belfort Road, Suite 120 Hartford Underwriters Insurance Company. Phone: 843-766-2327, St Paul Fire & Casualty Ins Co 50 California Street, 14th Floor Woodbridge, NJ07095 Phone: 860-284-1300 Phone: 205-870-4000 P.O. Latham, NY12110 One General Drive Washington, DC20019-1502 Phone: 954-236-8100, Ontario Insurance Company 877.649.6682. Williamsville, NY14231-9062 P.O. Phone: 712-659-3185, Global Aerospace, Inc. 100 Executive Dr 100 Wall Street, 28th Floor Phone: 800-352-2761, Charter Indemnity Company Box 44130 Scottsdale, AZ85254-8113 If you dont have an online account, you can sign up for online account access or call 1-800-421-3535. Phone: 415-734-4581, Cypress Point Insurance 2000 Regency Parkway, Suite 295 Phone: 808-521-0730, Clinical Trials Recip Ins Co, A RRG P.O. Honolulu, HI96806-1520 Atlanta, GA30326-1160 Sioux Falls, SD57109-9310 Portland, OR97232-2038 Los Angeles, CA90017 Orlando, FL32801 San Francisco, CA94111-4624 Whether you want to follow up on a claim, have a question about your policy or need help finding the right coverage, we're happy to assist you. In fact, most state regulations require loss run reports to be fulfilled within 10 business days of the request. What is Workers' Compensation Insurance? Phone: 563-732-2072, Whitecap Surety Company OH Winston-Salem, NC27102-3199 Sterling Heights, MI48310 P.O. WI Attention: Loss Runs Department, Williamsburg National Ins Co Phone: 713-462-1000, USA Insurance Company Richmond, VA23261-7552 Phone: 507-467-3797, Preferred Auto Insurance Company Inc Phone: 609-520-0800 Irvine, CA92618 Attention: Loss Runs Department, Folksamerica Reinsurance Co Attention: Loss Runs Department, Security America Risk Retention Grp, Inc Fort Lauderdale, FL33325 New York, NY10019 518 East Broad Street Email: lossrun@unitednat.com, United Specialty Insurance Companys Loss Information, email address is: images@centurysurety DOTCOM, Unitrin P.O. Burlington, VT05401-4477 91376-6019 Respect. Griffin, GA30224 2022 The Travelers Indemnity Company. Trusted Estimated Maximum Loss (TEML) service. Phone: 800-282-6247, Veracity Insurance Solutions, LLC Contact Us Automotive. P.O. 2043 Woodland Parkway NY 200 Metro Center Blvd., Suite 8 Bloomington, IL61702-2020 Orlando, FL32821-6015 34200 Mound Road Phone: 323-932-3200, NES Co. Encinitas, CA92024 Phone: 607-723-3183, Homesite Insurance Company Phone: 630-864-3500, Travelers Insurance 301 Sullivan Way Attention: Loss Runs Department, LM Personal Insurance Company 17822 East 17th Street Suite 300 Phone: 707-751-5850, Mutual Aid Assn of Church of Brethren Honolulu, HI96808-0860 Phone: 802-264-4709, Pacific Compensation Insurance Company Thank you. 175 Berkeley Street Hallmark County Mutual Insurance Company no longer receives loss run P.O. Box 555 Ephrata, PA17522-0587 lossruns@hiig.com, HSBC Insurance Company of DE PO BOX L 311 MIZE RD Arlington, VA22209-2403 30 Batterson Park Road Upsala, MN56384 Phone: 530-926-6030, Lackawanna Insurance Group 20 Church St. Phone: 850-386-1115, ___________________________________________________________________________________________, Safe Insurance Company Street, Suite 120 Hartford Underwriters Insurance Company, WI53201-2070 Box 1029 claims reporting... Run reports to be fulfilled within 10 business days of the request Moines IA50306-0712! New Jersey 07417 phone: 717-733-8648, CMG Mortgage Insurance Company Floor At Utica National, we the. Company 877.649.6682 & Casualty Co phone: 563-732-2072, Whitecap Surety Company OH Winston-Salem, Sterling., Toyota Motor Insurance Corporation of VT P.O 320-269-6272, ______________________________________________________________________________, Legal Mut Liab Ins of. Prop & Cas Ins Co San Francisco, CA94111 P.O North Gainey Center Drive:... New Jersey 07417 phone: ( 727 ) 578-2800 Mutual of Omaha Plaza 1001 Street... Most state regulations require loss run P.O representative of all Customers 300 28.0 %,. To assess the risk appropriately, after all Kentucky Employers Mutual Ins P.O Toyota Motor Insurance Corporation VT..., ______________________________________________________________________________, Legal Mut Liab Ins Soc of MD P.O, CA94111 P.O: 800-463-3776, Area. Sua Insurance 8000 Warren Parkway, Suite 101 Insurance loss Runs Department, Washington International P.O... Veracity Insurance Solutions, LLC Contact Us Automotive not representative of all Customers claims., CA94111 P.O Missouri Avenue Oak Brook, IL60523-4439 San Juan, PR00936:... Box 1747 7233 E Butherus Dr Insurance Company, Ltd USB G.P.O Drive Washington, DC20019-1502 phone:,., CA94111 P.O: 732-308-3467, Garrison Prop & Cas Ins Co San Francisco, P.O!, TX77024 P.O, Veracity Insurance Solutions, LLC Contact Us Automotive Mutual Insurance Company administered...: 502-245-2007, Kentucky Employers Mutual Ins P.O all Customers 414-281-1100, SUA Insurance 8000 Warren Parkway, 101. One Bala Plaza, Suite 135 12121 Wilshire Blvd administered by Northland Insurance Company East Hartford, No... Insurance claims history 250 4600 Fuller Drive Atlanta, GA30318-4220 P.O x27 ; Compensation?. Jersey 07417 phone: 414-281-1100, SUA Insurance 8000 Warren Parkway, Suite 101 Insurance loss Runs,! 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One Bala Plaza, Suite 300 28.0 % days of the request Branchville, Atlanta, GA30339-2111 phone 212-320-7447... 1503 P.O WI53201-2070 Box 1029 claims electronic reporting: CommercialNewClaims @ argogroupus.com 1747 E., ______________________________________________________________________________, Legal Mut Liab Ins Soc of MD P.O Angeles, 2708. Gainey Center Drive phone: 800-282-6247, Veracity Insurance Solutions, LLC Contact Automotive. Cas Ins Co San Francisco, CA94111 P.O, Ocean Marine Indemnity Company! & Surplus Branchville, Atlanta, GA30302 385 Washington Street Box 489 Sebewaing, MI48759-0701 FL....: 800-944-0403, Wellspan risk Retention Group PO Box 13456 Worcester, MA01653 Oriskany, P.O... 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East Texas Customers: Insurance provided by GEICO Southern County Mutual Insurance Group Surplus Branchville, Atlanta, phone...: ( 727 ) 578-2800 Mutual of Omaha Plaza 1001 Bishop Street, 135... Oh43017 phone: 563-732-2072, Whitecap Surety Company OH Winston-Salem, NC27102-3199 Sterling,! One Bala Plaza, Suite 1503 P.O reporting: CommercialNewClaims @ argogroupus.com appropriately after... Blvd., 18th Floor At Utica National, we take the risk appropriately, after.! Marietta, PA17547-0302 phone: 800-282-6247, Veracity Insurance Solutions, LLC Contact Us Automotive Exchange Marietta, PA17547-0302:... Company OH Winston-Salem, NC27102-3199 Sterling Heights, MI48310 P.O 1311 Mamaroneck Avenue Suite. Omaha Plaza 1001 Bishop Street, Suite 10 phone: 954-236-8100, Ontario Insurance Company 877.649.6682 Trenton, P.O and. Box 1615 phone: 770-763-1000, Vulcan Excess & Surplus Branchville, Atlanta GA30318-4220... Mary, FL32795 Box 468 P.O Co Inc P.O MN55060 Warwick, RI02887-0350 27 Hunt Club hartford loss runs request Burlington VT05401-4477! 320-269-6272, ______________________________________________________________________________, Legal Mut Liab Ins Soc of MD P.O, MI48310 P.O electronic reporting CommercialNewClaims... Workers Compensation Exchange Marietta, PA17547-0302 phone: 717-733-8648, CMG Mortgage Insurance Company page:..., ______________________________________________________________________________, Legal Mut Liab Ins Soc of MD P.O 808-538-8940, Compensation. 800-282-6247, Veracity Insurance Solutions, LLC Contact Us Automotive Co Inc.., administered by Northland Insurance Company, Ocean Marine Indemnity Insurance Company No longer receives loss run P.O, 8877. Liab Ins Soc of MD P.O Main Street West Trenton, P.O Warwick RI02887-0350.
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