Hartford, CT06183 #601 Bethpage, NY11714 213 5th Avenue North Stamford, CT06902-6040 South Portland, ME04106-3279 Midvale, UT84047 Honolulu, HI96813 Phone: 856-451-4050 1028 South Grand Avenue West P.O. ______________________________________________, Delaware Valley Underwriting Agency You can call (904) 001-0301 and reference the policy # for loss runs. FAX: 847-419-7606 One Logan Square, Suite 1400 1500 East Lancaster Avenue, Suite 104 Email: NSharma@coastalbrokersins.com (Neera Sharma) Phone: 908-604-3000, FAX: 410-8288179 (Policies beginning with 53), FAX: 714-371-9684 (Policies begining with 37), FAX: 800-379-9777 (Policies beginning with 39), FAX: 941-366-1076 (Policies beginning with 61), Email: lrr@arrowheadgrp.com (Arrowhead General), Everett Cash Mutual Ins Co Box 86 Phone: 919-836-2000, Lockton Affinity Phone: 312-654-6183 Phone: 4078316599, __________________________________________________, Global Intl Insurance Co Inc Email: jayveeV@ccroybrokers.com Irvine, CA92614 Phone: 908-903-2525 13403 Northwest Freeway Phone: 812-424-8031, Young America Insurance Co Phone: 973-948-3120 Phone: 989-652-6121, Franklin Casualty Ins Co RRG Bismarck, ND58501-3371 01/21/19 (Anonymous contributor) Update company info: I just spoke with someone at Zurich who informed me that the correct email address to request loss runs from Zurich is: programspolicies@zurichna.com is the proper email address for Zurich UPDATED 07/28/2020, Upland Mutual Insurance Inc San Francisco, CA94188-0610 Indianapolis, IN46206-1250 Phone: 858-350-2400 . FAX: 515-345-2895 (Loss Runs) Phone: 815-284-6816, commercialcustomercare@plymouthrock.com Lloyds of London Brit Global Specialty USA (out of Chicago, IL) Phone: 517-342-4200 P.O. P.O. Indianapolis, IN46206 303 Corporate Center Drive, Suite 300 Farmingdale, NJ07727 24 hour turn around time, IMT Insurance Company (Mutual) Aurora, IL60506 9800 Fredericksburg Road LossRunRequest@amerisure.com 1042 Lindbergh Drive NE 6602 Owens Dr., Suite 300 Miami, FL33126-1228 lossruns@treatyoakga.com UPDATED ON 07/12/2021 by anonymous contributor: email: claimverifications@trinity-health.org; fax: 312-957-3373, PO BOX 537 Cooperstown, NY13326-0630 Box 248 Phone: 800-226-0793, Home Insurance Company FAX: 979-561-8173 Phone: 973-948-3120, reported by Amy Noles on 01/10/19 (thank you Amy), FSA Insurance Company DisclosureDiscount varies and is not available in all states or situations. One GEICO Plaza Owatonna, MN55060 Fax: 651-310-4949, this update was provided by Maria C. on 07/17/19, Northfield Ins Co email: niclossr@travelers.com. Phone: 800-226-0793, Utah Medical Insurance Assn Phone: 972-629-4301 Phone: 866-588-3247, Tennessee Farmers Assurance Company Underwriter Email: A-One@riskservcos.com culossrunrequest@erieinsurance.com Torrance, CA90501 ________________________________________________________________, FMI Insurance Company P.O. Thank you! Upsala, MN56384 Sacramento, CA95814 Phone: 404-443-4910, ________________________________________________________________________, Wells Fargo Insurance Agency of Michigan Fax 304-263-918 Jacksonville, FL32224 Phone: 888-654-7100 Woodland Hills, CA91364 Staten Island, NY10314 Chicago, IL60685 P.O. P.O. _______________________________________________________, General Fire & Casualty Co Attention: Loss Runs Department, PER PHIL CHRISTIE ON 11/06/18 (THANK YOU ), Selective Insurance Group has separate fax line for NEW YORK STATE policies: 855-789-2801, per Carrie Buelt on 03/05/19 (thank you Carrie), Selective loss run requests by email to hamfile@selective.com, Selective Insurance Heartland Region HeartlandProcessingSupport@selective.com, UPDATED ON 07/12/2021 Selective Insurance MidAtlantic Region cover us in PA email to: MALossRuns@Selective.com, Selective loss run email is clientservicecenter@selective.com per LiveChat (updated 01/28/22), UPDATED 06/13/22 SelectiveSOlossruns@selective.com, is owned by The Hartford so they can go to agency.services@thehartford dotcom, Sentry Insurance Portland, OR97232 __________________________________________________________, Crusader Insurance Co. 8722 S. Harrison St. Chicago, IL60606 Boston, MA02111 Phone: 310-201-0451, email address below verified by Ben Howard on 09/13/2018, Email: lossruns@mcnab-ins.com this is bad information 10/24/19, Tower Bonding & Surety Co Inc Phone: 781-749-0841, Hochheim Prairie Cas Ins Co analossrun@amtrustgroup.com, Selective Insurance Group, Inc. Box 158 19001 South Western Ave NF22 _______________________________________________, DuBois Medical RRG Grand Rapids, MI49501-3333 P.O. Stamford, CT06901-2141 Phone: 254-776-4521 Phone: 401-827-2400 Richmond, VA23226 Phone: 800-227-8533, Yates & Associates 3411 Silverside Road, Suite 101 Dallas, TX75379-3747 One Liberty Centre 379 Thornall Street, 2nd Floor Loomis, CA95650-8858 100 Pringle Ave. Ste. Sandy, UT84070 Phone: 407-226-8460, St Lukes Health Network Ins Co RRG 1600 Kapiolani, Suite 1520 Change the template with smart fillable fields. ______________________________________________________________, Coastal Casualty Insurance Company Box 2070 FAX: 866-650-2747 (Main Fax) Phone: 619-681-0560 Phone: 715-754-2525 Phone: 860-547-5000, Twin Lights Insurance Company Phone: 781-326-4010, NorGUARD Insurance Company __________________________________________________, Fairmont Specialty Lloyds _________________________________________________________, P.O. FAX:800-396-0411 (Auto Commercial) Bloomington, IL61702-2100 502 Washington Ave, Suite 650 ______________________________________________, 3518 Riverside Drive Phone: 603-352-3221 Phone: 904-296-2887, Florida Family Insurance Co FAX: 205-991-7767 FAX: 858-350-2616 (Workers Comp) Phone: 614-488-7924, Ohio Casualty Insurance Co Bldg 900, Suite 1 Phone: 800-446-7647, updated on 07/12/2021-NIP Loss Runs are now:LossRuns@nipgroup.com, NIPPONKOA Ins Co Ltd USB Marsh Management Services, Inc., 151 Meeting Street, Suite 301 Box 214129 Box 2100 1200 G. Street, N.W., Suite 800 ___________________________________________, 230 Beal Street San Antonio, TX 78288 lossruns@capspecialty.com Attention: Loss Runs Department 1800 2nd Street, Suite 909E Attention: Loss Runs Department. Dallas, TX75266-0420 Phone: 248-281-0281, Guarantee Insurance Company Phone: 330-345-2005, Pilgrim Insurance Company FAX: 605-854-3704 He/she should already be aware of the site and have login credentials it is only available to their insureds. Phone: 412-278-1180, GE Reinsurance Corporation Box 851 Phone: 516-277-4486 Phone: 919-846-4125, Verlan Fire Insurance Company Algona, IA50511 Atlanta, GA30339 Phone: 818-638-8525 Chandler, OK74834 ______________________________________________________, Elite Transportation RRG #1 Horticultural Lane, PO Box 428 Phone: 904-285-1747, Pekin Insurance Company Attention: Loss Runs Department BHServices@bhhc.com Phone: 727-579-9850 Los Angeles, CA90051 insuranceoperations@sompo-intl.com Box 154 One Hartford Plaza Phone: 785-598-2212, Mutual Assurance Society of VA P.O. phyllis@ckspecialty.com (loss runs) Hello Gretchen I think that it is AIG if you send the request directly to them I think they should be able to get you squared away. Hilton Head Island , SC29926 Mayfield Village, OH 44143-2182 Box 1615 Carlsbad, CA92010 3504 Lake Lynda Drive, Suite 325 Fax Workers Comp west coast fax 602-512-2398 Phone: 478-471-9850, ____________________________________________________, CNP Insurance Company Gmail, Hotmail, MSN, Yahoo.etc.). Madison, WI53719-2092 The phone number they can call to request is 1-888-508-8622 Thank you Jeff, new information from Jessica Loomis on 03/20/2019, Nationwide new Loss run request email clamendment@nationwide.com, I was given this fax # by Jerry Albano on 05/01/19 877-772-9579 (he said he was given the number by the carrier directly, Just spoke to the carrier directly (10/02/2020) and they only accept loss run requests via fax, no emails. claims@equityins.net, Didnt see a contact for Compwest policymanagement@compwestinsurance.com. Phone: 630-276-5400, Medical Assur Co of MS Inc Within one week of reporting your claim, you may find your Claims Examiner information online by reviewing your Loss Run Reports and Claim Summary Reports in myResource. Attention: Loss Runs Department, Ulico Casualty Company Peoria, IL61615 Phone: 802-864-5515, Wescap Insurance Company Jacksonville, FL 32246 Phone (800) 523-5545 Phone: 808-564-8200, ISMIE Mutual Insurance Co Phone: 919-759-3276 Schaumburg, IL 60196-1056 Phone: 614-221-7777, Ohio Bar Liability Ins Co 518 East Broad Street Cincinnati, OH45250-5496 555 N. Point East, Suite 400 Phone: 724-704-7060, Synergy Insurance Company policysupport@accidentfund.com Phone: (941) 953-5390 Phone: 319-337-3324, Joliet Area RRG Captive Ins Co Dallas, TX75231 88 Pine Street, 16th Floor, Wall St. Plaza Phone: 800-228-8559, Toyota Motor Insurance Corporation of VT Atlanta, GA30309-2447 Attention: Loss Runs Department Ford City, PA16226-8824 Phone: 312-822-5000, Valley Insurance Associates ______________________________________________________________, Equity Insurance Company Plano, TX75024 Concord, NH03301 Oklahoma City, OK73154-8801 45 Nob Hill Road Philadelphia, PA19103-2772 New York, NY10038 Phone: 517-886-3900, Michigan Insurance Company Phone: 212-425-8050 ______________________________________________, Daily Underwriters of America One Nationwide Plaza Win More. Iowa City, IA52240-4456 _____________________________________________, Cedar Hill Insurance Sent my original request to US.Claims@LibertyIU.Com and was redirected tolossruns@libertymutual.com, UPDATED EMAIL FOR American States Insurance Company ON 09/04/2019, now owned by Liberty Mutual Agent Loss Runs Request: swregionendorsements@libertymutual.com, Liberty mutual workers comp loss runs for small business non assigned risks, email to businessservice@libertymutual.com. Webster, MA01570-0758 P.O. ________________________________________________, lossruns@carolinacas.com Please allow 3-5 business days for processing. Franklin Lakes, New Jersey 07417 Phone: 440-461-5000 P.O. Fill out the empty fields; engaged parties names, addresses and numbers etc. ______________________________________________________________, Equity Mutual Insurance Company Phone: 650-574-4000 Raleigh, NC27605 P.O. Phone: 402-393-7255, Occidental Fire & Cas of NC United States Aviation Underwriters, Inc. 540 West Northwest Highway Lloyd Blvd. Phone: 770-977-3529, Email: prhodes@gaic.com (Patricia Rhodes), General Casualty Co of IL Phone: 800-962-6170 Great website. Phone: 972-629-4301, General American Insurance Company Phone: 401-827-2400 Phone: 540-882-3232, LR Insurance Inc P.O. Starting July 30, 2018, please forward your requests to Armour Risk at:Armourlossrunrequest@armourrisk.comTheprocessing@deep-south.commailbox will be decommissioned on August 31, 2018. 904-363-8098 Suite 5000 lossruns_transportation@atminsurance.com Cinncinnati, OH45202 Phone: 206-763-1135, RAM Mutual Insurance Company Westchester policies beginning with D or H lossruns@westchester.com Burlington, VT05401-8440 pcclientservices@bhhc.com 30 Park Avenue Atlanta, GA31139-0099 100 Erie Insurance Place Phone: 713-690-0500 judy@boswell.com FCCI Email Adress: lossruns@fcci-group.com Springfield, IL62715-0001 Phone: 217-546-2894, lossruns@ameritrustgroup.comPhone: 248-358-1100 Fax: 248-358-1614, updated by an anonymous user on 09/23/19 ( thank you ! Phone: 530-889-2800 Long Grove, IL60049-0001 Policy or account no. P.O. Phone: 831-459-0980, Email Address for Loss Run Requests: NewBiz@InsuranceForNonProfits.org (same email used for new submissions) confirmed w/ their receptionist 09.30.20, And their website shows their physical address as: 385 North Washington Street, Saint Paul, MN 55102 ___________________________________________, Clinic Mutual Insurance Co RRG Branchville, NJ07826 NORCAL Group policyholders can access policy, billing and other information via the MyACCOUNT customer portal at any time, which can be found on the NORCAL Group homepage (http://www.norcal-group.com/). Los Angeles, CA90076-0924 Phone: 920-779-4515 3740 Davinci Court, Suite 130 Columbus, OH43215-2220 __________________________________________, Danielson Insurance Company Attention: Loss Runs Department, Illinois Union Insurance Co Peoria, IL 61615 Phone: 619-574-0150, Golden Insurance Company, RRG Whether youre looking for a new career or simply want to learn more about Progressive, you can find all the information you need to get started here. Phone: 334-897-2273, Omega U.S. Insurance Inc. County Hall Insurance Company , a RR Group Inc. lossruns@coast-ins.com Phone: 800-242-0393 Phone: 256-878-6481, Vela Insurance Services Keene, NH03431 Help is available 24/7. Phone: 501-847-1518, Toyota Motor Insurance Co 10161 Park Run Dr, #150 Phone: 614-464-5000 Columbia, MO65203-4123 credentialing@markelcorp.com Attention: Loss Runs Department P.O. P.O. ___________________________________, axislossrunsrequest@axiscapitaldotcom 4315 Lake Shore Drive, Suite J Philadelphia, PA19103-2772 Box 530 ______________________________________________, Delos Insurance Company Phone: 614-445-2900, Email: meffordm@Grangeinsurance.com (Melissa), Grange Mutual Fire Ins Co Wilmington, DE19703 2250 Chapel Avenue West, Suite 200 Phone: 918-587-7221, Oklahoma Transit Insurance Co ______________________________________________________, Fiduciary Insurance Company of America 518 East Broad Street __________________________________________, Clermont Insurance Company Box 860 P.O. Westmont, IL 60559 125 Broad Street, 6th Floor, New York, NY 10004 as of 8/13/18, UPDATED ON 07/12/2021 by anonymous contributor: smiles@tmhcc.com, HDR (WARD Na-Inscorp) Phone: 919-755-5790, Fort Wayne Health & Cas Ins Co Box 793747 Napa, CA94558 Report insurance fraud or identity theft using the form below or by phone or email. Rockwood, PA15557 Phone: 617-234-3801, Sac Farmers Mutual Insurance Association or for non workers comp loss runs the address for National Casualty Company islossruns@nationwide.comThe information currently listed is inaccurate. Phone: 516-240-8100 __________________________________________, P.O. info@verusins.com P.O. PO Box 188 Utica, NY13503-0851 ________________________________________________, CPA Insurance Company Livermore, CA94551 FAX: 410-494-2121 Phone: 203-964-5200, FAX: 631-963-3### REMOVED 11/01/17 PER DOUG PINELLI THIS IS WKFC CLAIMS FAX # IF YOU HAVE GOOD INFO ON THIS IT WOULD BE GREATLY APPRECIATED, Updated by XL Catlin on 11/30/17 Box 350 Phone: 908-604-3000, Mt Washington Assurance Corp FAX: 405-302-1405 Box 2807 FAX: 407-444-5234 (Someone will follow up with you in the next few business days. Ormond Beach, FL32176-1705 San Francisco, CA94111-1966 Phone, 504.568.4810 and all requests MUST be mailed. Phone: 814-652-6111 Attention: Loss Runs Department Burlington, VT05402-0530 Phone: (916) 660-0267, Foremost Insurance Company 1 Kemper Drive 14001 University Avenue ______________________________________________, Eveready Insurance Company FAX: 858-456-1856 1800 2nd Street, Suite 909E Underwriting@RAScompanies.com Phone: 732-706-7888, ______________________________________________________, Good Shepherd Reciprocal RRG Inc Franklin, TN37068 Box 268 Phone: 517-482-6211, Michigan Professional Ins Exch Phone: 713-954-8100, Fairway Physician Insurance Co RRG Fax: 804-273-1435, Utica National Loss Run Requests We have the fax number to request loss run/claims history with Medical Mutual Insurance Society of MD, which is listed as Medical Mut Liab Ins Soc of MD, and is 410.771.0177. Box 587 San Francisco, CA94111-1904 South Burlington, VT05403-6805 20 North Michigan Avenue P.O. Grand Rapids,, MI49503-1453 260 Interstate North Circle SE Phone: 800-201-0450 Clearwater, FL33756 Columbia, TN38401-2266 4601 Touchton Road East, Suite 3400 Statesville, NC28687 500 James Robertson Pkwy. Hortica confirmed can request loss runs at claimsmail@sentry.com or fax 800-999-4642, Houston Specialty Insurance Company FAX: 225-272-8712 Birmingham, AL35243-3216 Mayfield Heights, OH44124 Phone: 312-822-5000, NIF Group Save on auto when you add property, Save an average of 4%on auto when you add to property, Monday - Friday: 8:00am to 8:00pm Eastern Time, Bundle and savean average of 4% on auto!, Report a new claim or view the status of an existing claim, Continue as a guest to 600 Grant Street 1311 Mamaroneck Avenue, Suite 135 Phone: (800) 669-9800, Crusader Insurance Co. 462 South 4th Street, Suite 1250 300 1st Ave S Suite 400 FAX: 800-253-8987 _______________________________________________, Diamond State Insurance Box 2005 Email address to send the loss runs to Analossrun@amtrustgroup.com, Wesco-Financial Insurance Co FAX: 925-817-6489 Rock Island, IL61204-5018 Attention: Loss Runs Department, Idaho Counties Risk Mgt Program, Undrwtr

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