date: 12/01/2017 oklahoma workers ...carrier id inv flag carrier name/service agent name &...

Date: 12/01/2017 OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Rpt ID: CARLSTTime: 09:55 CARRIER LISTING Page: 1

TYPE: INSUR CO

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

1462 S ACADIA INSURANCE CO 1457 S ACCIDENT FUND GENERAL INSURANCE COATTN: TODD ESTES C/O ACCIDENT FUND HOLDINGS INCPO BOX 26350 ATTN: NELLIE OSOWSKIOKLAHOMA CITY, OK 73126- PO BO X40790

LANSING, MI 48901-7990

1291 S ACCIDENT FUND INSURANCE CO OF AMERICA 1467 S ACCIDENT FUND NATIONAL INSURANCE COC/O ACCIDENT FUND HOLDINGS INC C/O ACCIDENT FUND HOLDINGS INCATTN: NELLIE OSOWSKI ATTN: NELLIE OSOWSKIPO BOX 40790 PO BOX 40790LANSING, MI 48901-7990 LANSING, MI 48901-7990

1588 S ACCIDENT INSURANCE CO INC 1813 C ACCREDITED SURETY AND CASUALTY CO INCC/O US ADMINISTRATOR CLAIMS ATTN: MICHELLE SMITHPO BOX 2005 4798 NEW BROAD ST STE 200OAK RIDGE, TN 37831- ORLAND, FL 32814-

0251 C ACE AMERICAN INSURANCE CO 0360 C ACE FIRE UNDERWRITERS INSURANCE COC/O ESIS - BRITTANY HARPER C/O ESIS - BRITTANY HARPER2001 BRYAN STREET STE 3600 2001 BRYAN STREET STE 3600DALLAS, TX 75201- DALLAS, TX 75201-

0526 C ACE PROPERTY & CASUALTY INSURANCE CO 0505 S ACIG INSURANCE COC/O ESIS - BRITTANY HARPER ATTN: LINDSEY MICHAELS2001 BRYAN STREET STE 3600 12222 MERIT DR STE 1660DALLAS, TX 75201- DALLAS, TX 75251-

1427 C ADVANTAGE WORKERS COMPENSATION INSURANCE CO 0276 S AIG ASSURANCE COMPANY FKA CHARTIS CASUALTY COATTN: DAN STEPHENS C/O WILLIAM PERRINEPO BOX 571918 PO BOX 8301SALT LAKE CITY, UT 84157-1918 TULSA, OK 74101-8301

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


TYPE: INSUR CO


0475 S AIG PROP & CASUALTY CO FKA BIRMINGHAM FIRE INS CO 1694 C AIG PROPERTY CASUALTY COMPANYC/O WILLIAM PERRINE C/O WILLIAM PERRINEPO BOX 8301 PO BOX 8301TULSA, OK 74101-8301 TULSA, OK 74141-

0474 S AIU INSURANCE CO 0498 S ALASKA NATIONAL INSURANCE COC/O WILLIAM PERRINE 7001 JEWEL LAKE RDPO BOX 8301 ANCHORAGE, AK 99502-2825TULSA, OK 74101-8301

1268 S ALEA NORTH AMERICA INSURANCE CO 0304 S ALL AMERICA INSURANCE COCORPORATION SERVICE COMPANY C/O JAMES C FERGUSONATTN: CHELSEY MARTINE 941 E BRITTON RD10300 GREENBRIAR PL OKLAHOMA CITY, OK 73114-OKLAHOMA CITY, OK 73159-

1582 C ALLIANCE INDEMNITY CO 1583 C ALLIANZ GLOBAL RISKS US INSURANCE COPO BOX 1401 225 W WASHINGTON ST STE 2000MCPHERSON, KS 67460- CHICAGO, IL 60606-

1584 C ALLIED WORLD REINSURANCE CO 1804 S ALLMERICA FINANCIAL ALLIANCE INS CO2 LIBERTY SQ STE 11 ATTN: SUSAN YOUNGBOSTON, MA 02109- 440 LINCOLN ST

WORCESTER, MA 01653-0002

1578 C ALLMERICA FINANCIAL BENEFIT INSURANCE CO 1258 S AMERICA FIRST INSURANCE CO440 LINCOLN ST C/O AIMEE TREECEWORCHESTER, MA 01653- 101 N ROBINSON AVE STE 1105

OKLAHOMA CITY, OK 73102-



TYPE: INSUR CO


0256 S AMERICAN ALTERNATIVE INSURANCE CO 0243 S AMERICAN AUTOMOBILE INSURANCE COYORK RISK SERVICES GROUP ATTN: WILLIAM PANATTN: BRENDA MORENO PO BOX 740174PO BOX 619079 ATLANTA, GA 30374-ROSEVILLE, CA 95661-

0275 S AMERICAN CASUALTY CO OF READING PA 1761 C AMERICAN CASUALTY INSURANCE COMPANYATTN: ROBERT BILTZ PO BOX 8010PO BOX 8317 GOLDSBORO, NC 27533-CHICAGO, IL 60680-

1441 S AMERICAN COMPENSATION INSURANCE CO 1532 C AMERICAN COUNTRY INSURANCE COATTN: SCOTT SMITH ATTN: PAUL ROMANOPO BOX 390327 150 NW POINT BLVD STE 300MINNEAPOLIS, MN 55439- ELK GROVE, IL 60007-1040

0444 S AMERICAN ECONOMY INSURANCE CO 1662 AMERICAN FAMILY HOME INSURANCE COC/O AIMEE TREECE YORK RISK SERVICES GROUP101 N ROBINSON AVE STE 1105 ATTN: BRENDA MORENOOKLAHOMA CITY, OK 73102- PO BOX 619079

ROSEVILLE, CA 95661-

0346 S AMERICAN FIRE & CASUALTY CO 0503 S AMERICAN GUARANTEE & LIABILITY INSURANCE COC/O AIMEE TREECE C/O ZURICH CLAIMS101 N ROBINSON AVE STE 1105 ATTN: TANYA GROOVEROKLAHOMA CITY, OK 73102- PO BOX 968023

SCHAUMBURG, IL 60196-

1425 C AMERICAN HARDWARE MUTUAL INSURANCE CO 0473 S AMERICAN HOME ASSURANCE COC/O MOTORISTS INSURANCE GROUP C/O WILLIAM PERRINEATTN: JUDY PALAMARA PO BOX 8301471 E BROAD ST TULSA, OK 74101-8301COLUMBUS, OH 43215-



TYPE: INSUR CO


0271 S AMERICAN INSURANCE CO 1167 S AMERICAN INTERNATIONAL PACIFIC INSURANCE COATTN: WILLIAM PAN C/O WILLIAM PERRINEPO BOX 740174 PO BOX 8301ATLANTA, GA 30374- TULSA, OK 74101-8301

0312 S AMERICAN INTERSTATE INSURANCE CO 0321 S AMERICAN MANUFACTURERS MUTUAL INSURANCE COATTN: APRIL BURNS C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A.2301 HIGHWAY 190W 2601 NW EXPY STE 330EDERIDDER, LA 70634- OKLAHOMA CITY, OK 73112-

1626 C AMERICAN MINING INSURANCE CO 1660 AMERICAN MODERN HOME INSURANCE COC/O YORK RISK SERVICES GROUP YORK RISK SERVICES GROUP5501 LBJ FREEWAY STE 300 ATTN: BRENDA MORENODALLAS, TX 75240- PO BOX 619079

ROSEVILLE, CA 95661-

1810 C AMERICAN MODERN PROPERTY & CASUALTY INS CO 0504 S AMERICAN MOTORISTS INSURANCE COPO BOX 5323 C/O OKLAHOMA PROPERTY & CASUALTY INSURANCE G.A.CINCINNATI, OH 45201-5323 2601 NW EXPY STE 330E


1533 C AMERICAN NATIONAL PROPERTY & CASUALTY CO 1197 S AMERICAN SAFETY CASUALTY INSURANCE COATTN: RONALD KOCH 1845 THE EXCHANGE STE 2001949 E SUNSHINE ATLANTA, GA 30339-SPRINGFIELD, MO 65899-

1796 C AMERICAN SELECT INSURANCE CO 1534 C AMERICAN SENTINEL INSURANCEONE PARK CIR ATTN: RONALD THOMASWESTFIELD CENTER, OH 44251- PO BOX 61140

HARRISBURG, PA 17106-



TYPE: INSUR CO


0468 S AMERICAN STATES INSURANCE CO 0506 S AMERICAN ZURICH INSURANCE COC/O AIMEE TREECE C/O ZURICH CLAIMS - JUDITH MANDELKY101 N ROBINSON AVE STE 1105 TANYA GROOVEROKLAHOMA CITY, OK 73102- PO BOX 968023


1579 C AMERISURE INSURANCE CO 1200 C AMERISURE MUTUAL INSURANCE COC/O TODD ESTES C/O TODD ESTESPO BOX 26350 PO BOX 26350OKLAHOMA CITY, OK 73106- OKLAHOMA CITY, OK 73106-

1630 C AMERISURE PARTNERS INSURANCE CO 1535 C AMEX ASSURANCE COC/O TODD ESTES PO BOX 19020PO BOX 26350 GREEN BAY, WI 54307-OKLAHOMA CITY, OK 73106-

1758 C AMGUARD INSURANCE COMPANY 1476 S AMTRUST INSURANCE CO OF KS INCPO BOX A H ATTN: LISA JOHNSONWILKES BARRE, PA 74136-3849 PO BOX 94405

CLEVELAND, OH 44101-

1142 S ARCH INSURANCE CO 1794 C ARCH INSURANCE COMPANYATTN: ED SCHENK 2345 GRAND BOULEVARD SUITE 900300 PLAZA THREE 3RD FL KANSAS CITY, MO 63105-1643JERSEY CITY, NJ 07311-

0248 C ARGONAUT GREAT CENTRAL INSURANCE CO 0361 C ARGONAUT INSURANCE COC/O MARY KATHRYN KUNC PC DBA MKK LAW C/O MARY KATHRYN KUNC PC DBA MKK LAW909 CEDAR LAKE BLVD 909 CEDAR LAKE BLVDOKLAHOMA CITY, OK 73114- OKLAHOMA CITY, OK 73114-



TYPE: INSUR CO


0362 C ARGONAUT MIDWEST INSURANCE CO 0363 C ARGONAUT SOUTHWEST INSURANCE COC/O MARY KATHRYN KUNC PC DBA MKK LAW C/O MARY KATHRYN KUNC PC DBA MKK LAW909 CEDAR LAKE BLVD 909 CEDAR LAKE BLVDOKLAHOMA CITY, OK 73114- OKLAHOMA CITY, OK 73114-

1537 S ARROWOOD INDEMNITY CO 1801 C ASHMERE INSURANCE COMPANYC/O STEPHANIE MILNES PATRIOT RISK SERVICES INC - LINDA MUNGERCORPORATION SERVICE COMPANY PO BO X655010300 GREENBRIAR PLACE CHESTERFIELD, MO 63006-OKLAHOMA CITY, OK 73159-

0244 S ASSOCIATED INDEMNITY CORP 0337 C ASSOCIATION CASUALTY INSURANCE COATTN:WILLIAM PAN ATTN: PAUL BONHAMPO BOX 740174 10820 HARNEY STREETATLANTA, GA 30374- OMAHA, NE 68154-

1655 C ASSOCIATON INSURANCE COMPANY 1538 C ATHENA ASSURANCE COPO BOX 723099 ATTN: MICHAEL DOODYATLANTA, GA 31139-0099 385 WASHINGTON ST

ST PAUL, MN 55102-

1762 C ATLANTIC CASUALTY INSURANCE COMPANY 1344 S ATLANTIC SPECIALTY INSURANCE COPO BOX 8010 ATTN: CYNTHIA J VAN EYLLGOLDSBORO, NC 27533- 605 HWY 169 N STE 800

PLYMOUTH, MN 55441-

0286 C AUTOMOBILE INSURANCE CO OF HARTFORD 1539 C AXIS INSURANCE COC/O CORPORATION SERVICE CO ATTN: BERTMAN BRAUD10300 GREENBRIAR PLACE 11680 GREAT OAKS WAY STE 500OKLAHOMA CITY, OK 73159- ALPHARETTA, GA 30022-



TYPE: INSUR CO


0512 S BANCINSURE INC 0250 C BANKERS STANDARD INSURANCE COOKLAHOMA PROPERTY & CASUALTY INSURANCE GUARANTY AS C/O ESISATTN: STEVE BERNER ATTN: CAROL GALLIMORE2601 NW EXPRESSWAY, SUITE 330E 225 E JOHN CARPENTER FWY STE 1300OKLAHOMA CITY, OK 73112- IRVING, TX 75062-

1653 C BEARING MIDWEST CASUALTY CO 0514 S BENCHMARK INSURANCE COATTN: MINDY YANCEY C/O CORPORATION SERVICE COMPANY1100 WALNUT ST STE 3010 10300 GREENBRIAR PLACEKANSAS CITY, MO 64106- OKLAHOMA CITY, OK 73159-

1596 S BERKLEY NATIONAL INSURANCE CO 1540 C BERKLEY REGIONAL INSURANCE COATTN: ASHLEY KALKANIAN ATTN: STEVE RIEWER1250 E DIEHL ROAD STE 200 11201 DOUGLAS AVENAPIERVILLE, IL 60563- URBANDALE, IA 50322-

1795 C BERKSHIRE HATHAWAY DIRECT INSURANCE CO 1489 C BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO (BHHIC)ATTN: DAVID DARO ATTN: KAYLEIGH QUINTERO1314 DOUGLAS ST STE 1400 PO BOX 881716OMAHA, NE 68102-1944 SAN FRANCISCO, CA 94188-

0516 S BITCO GENERAL INSURANCE COMPANY (FKA BITUMINOUS CA 1157 S BITCO NATIONAL INSURANCE COMPANY (FKA BITUMINOUS FATTN: KELLY GRAMMER ATTN: KELLY GRAMMERPO BOX 12936 PO BOX 12936OKLAHOMA CITY, OK 73157-2936 OKLAHOMA CITY, OK 73157-2936

0449 S BROTHERHOOD MUTUAL INSURANCE CO 1664 C BUILDERS MUTUAL INSURANCE COATTN: GARY ALDRIDGE PO BOX 150006PO BOX 2228 RALEIGH, NC 27624-FT WAYNE, IN 46801-2228



TYPE: INSUR CO


0274 S CAMDEN FIRE INSURANCE ASSOCIATION 0400 S CAPITAL CITY INSURANCE CO INCATTN: JIM JORDAN C/O SEDGWICK CMS150 ROYALL ST ATTN: KAMMI CORONADOCANTON, MA 02021- PO BOX 975

SUN PRAIRIE, WI 53590-

1460 S CAROLINA CASUALTY INSURANCE CO 1446 C CASTLEPOINT NATIONAL INSURANCE CO (FKA SUA INSURANC/O BERKLEYNET UNDERWRITERS LLC ATTN: BILL HIPSELBERGERATTN: JOHN BURKE 200 HUDSON ST STE 80012701 MARBLESTONE DR STE 250 JERSEY CITY, NJ 07311-1104WOODBRIDGE, VA 22192-

0305 S CENTRAL MUTUAL INSURANCE CO 0524 S CENTRE INSURANCE COC/O JAMES C FERGUSON C/O JAY MCATEE941 E BRITTON RD PO BOX 50611OKLAHOMA CITY, OK 73114- TULSA, OK 74150-0611

0261 C CHARTER OAK FIRE INSURANCE CO 1493 S CHARTIS PROPERTY & CASUALTY CO FKA AIG CASUALTYC/O CORPORATION SERVICE CO C/O WILLIAM PERRINE10300 GREENBRIAR PLACE PO BOX 8301OKLAHOMA CITY, OK 73159- TULSA, OK 74101-

1363 S CHEROKEE INSURANCE CO 0525 C CHUBB INDEMNITY INSURANCE COATTN: LAURA BOOTH C/O MALCOLM SMITH34200 MOUND RD 5416 S YALE AVE STE 225STERLING HEIGHTS, MI 48310- TULSA, OK 74135-

1541 C CHUBB NATIONAL INSURANCE 0338 S CHURCH MUTUAL INSURANCE COATTN: RONALD CALAVANO C/O TINA NOVOTNY15 MOUNTAIN VIEW RD PO BOX 342WARREN, NJ 70059- MERRILL, WI 54452-0342



TYPE: INSUR CO


0325 S CINCINNATI CASUALTY CO 1595 C CINCINNATI INDEMNITY COC/O ADVANCED CLAIM SERVICES LLC C/O ADVANCED CLAIM SERVICES LLCATTN: STACIA SMITH ATTN: STACIA SMITHPO BOX 721078 PO BOX 721078OKLAHOMA CITY, OK 73132- OKLAHOMA CITY, OK 73172-

0326 S CINCINNATI INSURANCE CO 1659 CITIZENS INSURANCE CO OF AMERICAC/O ADVANCED CLAIM SERVICES LLC ATTN: DOLORES NARDELLAATTN: STACIA SMITH 440 LINCOLN STPO BOX 721078 WORCESTER, MA 01653-0002OKLAHOMA CITY, OK 73172-

1802 C CITY NATIONAL INSURANCE COMPANY 0530 S CLARENDON NATIONAL INSURANCE CO1900 L DON DODSON DR ATTN: DAVID J CALANDROBEDFORD, TX 76021- 150 2ND AVENUE NORTH 3RD FLOOR

ST PETERSBURG, FL 33701-

1542 C COLONIAL AMERICAN CASUALTY & SURETY CO 1543 C COLUMBIA MUTUAL INSURANCE COC/O ZURICH CLAIMS ATTN: PAUL BONHAMATTN: TANYA GROOVER 10820 HARNEY STREETPO BOX 968023 OMAHA, NE 68154-SCHAUMBURG, IL 60196-

1319 S COLUMBIA NATIONAL INSURANCE CO 1602 C COLUMBUS INSURANCE COATTN: PAUL BONHAM C/O GALLAGHER BASSETT SERV - ANN TERRY10820 HARNEY STREET 14000 QUAIL SPRINGS PKWY STE 3000OMAHA, NE 68154- OKLAHOMA CITY, OK 73134-

0476 S COMMERCE & INDUSTRY INSURANCE CO 0627 S COMPSOURCE MUTUAL INS CO (FKA COMPSOURCE OKLAHOMA)C/O WILLIAM PERRINE ATTN: TAMMY LOTTPO BOX 8301 PO BOX 53505TULSA, OK 74101-8301 OKLAHOMA CITY, OK 73152-3505



TYPE: INSUR CO


0246 S CONTINENTAL CASUALTY CO 1544 S CONTINENTAL INDEMNITY COATTN: ROBERT BILTZ ATTN: ROBERT STAFFORDPO BOX 8317 PO BOX 3804CHICAGO, IL 60680- OMAHA, NE 68103-

0247 S CONTINENTAL INSURANCE CO 1438 C CONTINENTAL NATIONAL INDEMNITY COATTN: ROBERT BILTZ ATTN: SHANNON CASEYPO BOX 8317 PO BOX 3804CHICAGO, IL 60680- OMAHA, NE 68103-

1256 S CONTINENTAL WESTERN INSURANCE CO 1800 C COUNTRY MUTUAL INSURANCE COMPANYATTN: TODD ESTES PO BOX 2100PO BOX 26350 BLOOMINGTON, IL 61701-2100OKLAHOMA CITY, OK 73126-

1141 S CRUM & FORSTER INDEMNITY CO 0537 C CUMIS INSURANCE SOCIETY INCC/O MIKE HICKS ATTN: DOAK SOMMERS2400 LAKESIDE BLVD STE 200 PO BOX 1221RICHARDSON, TX 75082- MADISON, WI 53701-1221

0489 C DAIMLERCHRYSLER INSURANCE CO 1349 S DAKOTA TRUCK UNDERWRITERS27777 INSTER RD CIMS 405-17-00 ATTN: ROBERT HOLLANFARMINGTON HILLS, MI 48333- PO BOX 89310

SIOUX FALLS, SD 57109-9310

1235 S DIAMOND INSURANCE CO 1546 C DIAMOND STATE INSURANCE COC/O GALLAGHER BASSETT SERVICES ATTN: BRIAN RILEYATTN: CARLA TATE 3 BALA PLZ STE 300E6303 WATERFORD BLVD STE 120 BALA CYNWYD, PA 19004-OKLAHOMA CITY, OK 73118-



TYPE: INSUR CO


1175 C DISCOVER PROPERTY & CASUALTY INSURANCE CO 1767 C EASTGUARD INS COC/O CORPORATION SERVICE CO PO BOX A H10300 GREENBRIAR PL WILKES BARRE, PA 18703-0020OKLAHOMA CITY, OK 73159-

0450 C ELECTRIC INSURANCE CO 1819 S EMC PROPERTY AND CASUALTY COMPANYC/O SEDGWICK CMS ATTN: TODD A STROTHER1 CORPORATE PLAZA 5104 260 WASHINGTON ST PO BOX 712ALBANY, NY 12212- DES MOINES, IA 50306-

0487 S EMCASCO INSURANCE CO 1285 C EMPLOYERS ASSURANCE CO (FKA AMCOMP ASSURANCE)ATTN: CHARLENE BENNETT C/O CORPORATION SERVICE COPO BOX 1739 10300 GREENBRIAR PLWICHITA, KS 67201-1739 OKLAHOMA CITY, OK 73159-

1159 S EMPLOYERS FIRE INSURANCE 0429 S EMPLOYERS INSURANCE CO OF WAUSAUATTN: VIRGINIA MCCARTHY C/O AIMEE TREECE150 ROYALL ST 101 N ROBINSON AVE STE 1105CANTON, MA 02021- OKLAHOMA CITY, OK 73102-

0488 S EMPLOYERS MUTUAL CASUALTY CO 1820 S EMPLOYERS NATIONAL INSURANCE COMPANYATTN: CHARLENE BENNETT EMERALD CLAIMS MANAGEMENTPO BOX 1739 13927 QUAIL POINTE DRWICHITA, KS 67201-1739 OKLAHOMA CITY, OK 73134-

1786 C EMPLOYERS PREFERRED INS CO 1281 S ESSENTIA INSURANCE CO FKA AMERICAN CENTRAL7110 NORTH FRESNO ST STE 250 ATTN: VIRGINIA MCCARTHYFRESNO, CA 93720-2999 150 ROYALL ST

CANTON, MA 02021-



TYPE: INSUR CO


1805 C EVEREST DENALI INSURANCE CO 1334 C EVEREST NATIONAL INSURANCE COATTN: JONATHAN ZAFFINO C/O TOM CAREYPO BOX 830 PO BOX 830LIBERTY CORNER, NJ 07938-0830 LIBERTY CORNER, NJ 07938-0830

1809 C EVEREST PREMIER INSURANCE COMPANY 1249 C EXECUTIVE RISK INDEMNITY INCATTN: TOM CAREY C/O MALCOLM SMITHPO BOX 830 5416 S YALE AVE STE 225LIBERTY CORNER, NJ 07938-0830 TULSA, OK 74105-

1609 C EXPLORER INSURANCE CO 1803 C EXPLORER INSURANCE COMPANYPO BOX 85563 ATTN: KEVIN M PRIORSAN DIEGO, CA 92186- 15025 INNOVATION DR

SAN DIEGO, CA 92128-3409

1215 S FAIRFIELD INSURANCE CO 1548 C FAIRMONT PREMIER INSURANCE CO120 LONG RIDGE RD C/O RIVERSTONE CLAIMS MGMT - CURTIS BROYLESSTAMFORD, CT 06902- 250 COMMERCIAL ST STE 5000

MANCHESTER, NH 31001-

1549 C FAIRMONT SPECIALTY INSURANCE CO 0241 S FARMERS ALLIANCE MUTUAL INSURANCE COATTN: CURTIS BROYLES PO BOX 1401250 COMMERCIAL ST STE 5000 MCPHERSON, KS 67460-1401MANCHESTER, NH 31001-

0544 S FARMERS INSURANCE EXCHANGE 0287 C FARMINGTON CASUALTY COC/O TAMMY LEE C/O CORPORATION SERVICE COPO BOX 108843 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73101-8843 OKLAHOMA CITY, OK 73159-



TYPE: INSUR CO


0452 S FARMLAND MUTUAL INSURANCE CO 1812 S FCCI INSURANCE COMPANYATTN: BRIAN NELSON ATTN: KELLY JENSEN1100 LOCUST ST STE 3010 6300 UNIVERSITY PARKWAYDES MOINES, IA 50391-3010 SARASOTA, FL 34240-

0545 C FEDERAL INSURANCE CO 0397 S FEDERATED MUTUAL INSURANCE COC/O MALCOLM SMITH ATTN: ADRIAN JOHNSON5416 S YALE AVE STE 225 PO BOX 486TULSA, OK 74135- OWATONNA, MN 55060-

0546 S FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE 0547 S FEDERATED SERVICE INSURANCE COC/O CHRISTINA SPOTSER ATTN: ADRIAN JOHNSONPO BOX 15147 PO BOX 486LENEXA, KS 66285-5147 OWATONNA, MN 55060-

0390 S FIDELITY & DEPOSIT CO OF MD 1204 C FIDELITY & GUARANTY INSURANCE COC/O ZURICH CLAIMS C/O CORPORATION SERVICE COATTN: TANYA GROOVER 10300 GREENBRIAR PLACEPO BOX 968023 OKLAHOMA CITY, OK 73159-SCHAUMBURG, IL 60196-

0548 C FIDELITY & GUARANTY INSURANCE UNDERWRITERS 1550 C FIDELITY NATIONAL PROPERTY & CASUALTY INSURANCE COC/O CORPORATION SERVICE CO ATTN: MARK DAVEY10300 GREENBRIAR PLACE 601 RIVERSIDE AVE BLDG 5 STE 200OKLAHOMA CITY, OK 73159- JACKSONVILLE, FL 32204-

0272 S FIREMANS FUND INSURANCE CO 1551 C FIREMENS INSURANCE CO OF WASHINGTON DCATTN: GREG RUSH ATTN: WILLIAM AMBROSE1 PROGRESS POINTE PKWY PO BOX 61038OFALLON, MO 63368- RICHMOND, VA 22361-



TYPE: INSUR CO


1740 S FIRST INSURANCE COMPANY OF OKLAHOMA (FICO) 0550 S FIRST LIBERTY INSURANCE CORPC/O EMERALD CLAIMS MANAGEMENT (ECM) C/O AIMEE TREECEATTN: MAGGIE SMITH (ADJUSTER) 101 N ROBINSON AVE STE 1105PO BOX 70 OKLAHOMA CITY, OK 73102-SPRING, TX 77383-

0434 S FIRST NATIONAL INSURANCE CO OF AMERICA 1372 C FIRSTCOMP INSURANCE COC/O AIMEE TREECE ADELSON, TESTAN, BRUNDO, NOVELL & JIMENEZ101 N ROBINSON AVE STE 1105 ATTN: LINDA FOREMANOKLAHOMA CITY, OK 73102- 3601 N CLASSEN BLVD SUITE 102


0402 S FLORISTS MUTUAL INSURANCE CO 1637 S FOREMOST INSURANCE CO GRAND RAPIDS MICHIGANC/O JOHN OLDFIELD JR C/O TAMMY LEE4808 N CLASSEN BLVD PO BOX 108843OKLAHOMA CITY, OK 73118- OKLAHOMA CITY, OK 73101-

1636 S FOREMOST PROPERTY & CASUALTY INSURANCE 1638 S FOREMOST SIGNATURE INSURANCE COMPANYC/O TAMMY LEE C/O TAMMY LEEPO BOX 108843 PO BOX 108843OKLAHOMA CITY, OK 73101- OKLAHOMA CITY, OK 73101-

1618 C FRANK WINSTON CRUM INSURANCE INC 1439 S FRANKENMUTH MUTUAL INSURANCE COC/O KRISTINE KINSEY ATTN: MIKE PORTER100 S MISSOURI 2200 NW 50 ST STE 200ECLEARWATER, FL 33756- OKLAHOMA CITY, OK 73112-

1270 C FREESTONE INSURANCE CO (FKA DALLAS FIRE & DALLAS N 1479 C GATEWAY INSURANCE COPIERCE COUCH HENDRICKSON BAYSINGER & GREEN LLP ATTN: PAUL ROMANOATTN: TODD ESTES 150 NORTHWEST POINT BLVD 3RD FLPO BOX 26350 ELK GROVE VILLAGE, IL 60007-OKLAHOMA CITY, OK 73126-0350



TYPE: INSUR CO


0555 S GENERAL CASUALTY CO OF WISCONSIN 0435 S GENERAL INSURANCE CO OF AMERICAC/O SEDGWICK CMS C/O AIMEE TREECEATTN: KAMMI CORONADO 101 N ROBINSON AVE STE 1105PO BOX 975 OKLAHOMA CITY, OK 73102-SUN PRAIRIE, WI 53590-

1552 C GENESIS INSURANCE CO 0281 S GEORGIA CASUALTY & SURETY CO120 LONG RIDGE RD ATTN: PAUL BONHAMSTAMFORD, CT 06902- 10820 HARNEY STREET

OMAHA, NE 68154-

1553 C GERLING AMERICA INSURANCE CO 0557 C GRAIN DEALERS MUTUAL INSURANCE CO161 N CLARK ST C/O BRUCE R FOXCHICAGO, IL 60601- 4601 TOUCHTON ROAD EAST, SUITE 3400

JACKSONVILLE, FL 32246-

0477 S GRANITE STATE INSURANCE CO 1661 GRAPHIC ARTS MUTUAL INSURANCE COC/O WILLIAM PERRINE ATTN: MARTHA DUMONTPO BOX 8301 180 GENESEE STTULSA, OK 74101-8301 NEW HARTFORD, NY 13413-2200

1554 C GRAY CASUALTY & SURETY CO 0339 S GRAY INSURANCE COATTN: ROBERT HUGHES C/O DAVID MANGUNOPO BOX 6202 5601 NW 72METAIRE, LA 70009- OKLAHOMA CITY, OK 73132-5903

1364 S GREAT AMERICAN ALLIANCE INSURANCE CO 1356 S GREAT AMERICAN ASSURANCE COPO BOX 5425 PO BOX 5789CINCINNATI, OH 45201- CINCINNATI, OH 45201-



TYPE: INSUR CO


1353 S GREAT AMERICAN INSURANCE CO OF NEW YORK 1811 S GREAT AMERICAN SECURITY INSURANCE COMPANYPO BOX 5789 KEN C MEYERCINCINNATI, OH 45201- PO BOX 5425

CINCINNATI, OH 45201-5432

1431 C GREAT DIVIDE INSURANCE CO 1597 C GREAT MIDWEST INSURANCE COATTN: CLAIMS DEPT CBCS INC - AMY DRISCOLL7233 E BUTHERUS DR 800 MAIN STREETSCOTTSDALE, AZ 85260- DUBUQUE, IA 52001-

0558 C GREAT NORTHERN INSURANCE CO 0345 S GREAT WEST CASUALTY COC/O MALCOLM SMITH ATTN: DALE SEGUIN5416 S YALE AVE STE 225 1100 W 29 STTULSA, OK 74135- S SIOUX CITY, NE 68776-3130

1556 GREATER NEW YORK MUTUAL INSURANCE CO 1168 S GREENWICH INSURANCE COATTN: LILLIAN LENT ATTN: SARAH MIMS200 MADISON AVE 505 EAGLEVIEW BLVD STE 100NEW YORK, NY 10016- EXTON, PA 19341-

0942 S GUARANTEE INSURANCE CO 1429 S GUIDEONE ELITE INSURANCE COPATRIOT RISK SERVICDS INC - LINDA MUNGER ATTN: TRINA OLAONEPO BOX 6550 PO BOX 14543CHESTERFIELD, MO 63006- DES MOINES, IA 50306-

0391 S GUIDEONE MUTUAL INSURANCE CO 1822 C GUIDEONE SPECIALTY MUTUAL INS COATTN: TRINA OLOANE 1111 ASHWORTH ROADPO BOX 14543 WEST DES MOINES, IA 50265-3538DES MOINES, IA 50306-



TYPE: INSUR CO


0418 C HANOVER AMERICAN INSURANCE CO 0419 C HANOVER INSURANCE COC/O MICHAEL MANCILLAS C/O MICHAEL MANCILLAS5801 N BROADWAY EXT STE 303 5801 N BROADWAY EXT STE 303OKLAHOMA CITY, OK 73118- OKLAHOMA CITY, OK 73118-

1196 S HARBOR SPECIALTY INSURANCE CO 0307 S HARCO NATIONAL INSURANCEC/O MIDLANDS CLAIM ADMINISTRATORS C/O REBECCA CULLINSATTN: D NEWMAN 1300 S MERIDIAN STE 323PO BOX 238808 OKLAHOMA CITY, OK 73108-OKLAHOMA CITY, OK 73123-8808

0562 S HARLEYSVILLE INSURANCE CO 0398 S HARLEYSVILLE MUTUAL INSURANCE CO355 MAPLE AVE 355 MAPLE AVEHARLEYSVILLE, PA 19438- HARLEYSVILLE, PA 19438-

0262 S HARTFORD ACCIDENT & INDEMNITY CO 0263 S HARTFORD CASUALTY INSURANCE COATTN: CENTRAL WORKERS COMP CLAIM CENTER CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

0264 S HARTFORD FIRE INSURANCE CO 1807 S HARTFORD INS CO OF THE SOUTHEASTATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

1591 S HARTFORD INSURANCE CO OF ILLINOIS 0265 S HARTFORD INSURANCE CO OF THE MIDWESTATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-



TYPE: INSUR CO


1650 S HARTFORD SACRAMENTO INSURANCE CO 0266 S HARTFORD UNDERWRITERS INSURANCE COATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

1603 C HDI GERLING AMERICA INSURANCE CO 1558 HOUSING AUTHORITY PROPERTY INSURANCE A MUTUAL CO161 N CLARK ST FLOOR 48 ATTN: SARAH RODRIGUEZCHICAGO, IL 60601- PO BOX 189

CHESHIRE, CT 06410-

1823 C HOUSING SPECIALTY INSURANCE COMPANY INC 0284 S HOUSTON GENERAL INSURANCE COC/O EDMUND JOSEPH MALASPINA ATTN: VIRGINIA MCCARTHY189 COMMERCE COURT 150 ROYALL STCHESHIRE, CT 06410- CANTON, MA 02021-

1313 C HUDSON INSURANCE CO (TRIBES ONLY) 0478 S ILLINOIS NATIONAL INSURANCE CO100 WILLIAM ST FL 5 C/O WILLIAM PERRINENEW YORK, NY 10038-5044 PO BOX 8301

TULSA, OK 74101-8301

1617 C IMPERIUM INSURANCE CO 0412 C INDEMNITY INSURANCE CO OF NORTH AMERICACBCS INC - AMY DRISCOLL C/O ESIS - BRITTANY HARPER800 MAIN ST 2001 BRYAN STREET SUITE 3600DUBUQUE, IA 52001- DALLAS, TX 75201-

1559 INDEMNITY NATIONAL INSURANCE CO 0278 C INDIANA LUMBERMENS MUTUALATTN: MATTHEW TUCKER 2005 MARKET ST STE 12004800 OLD KINGSTON PIKE PHILADELPHIA, PA 19103-7008KNOXVILLE, TN 37919-



TYPE: INSUR CO


0421 C INDUSTRIAL UNDERWRITERS 0252 C INSURANCE CO OF NORTH AMERICAC/O ESIS C/O ESISATTN: CAROL GALLIMORE ATTN: CAROL GALLIMORE225 E JOHN CARPENTER FWY STE 1300 225 E JOHN CARPENTER FWY STE 1300IRVING, TX 75062- IRVING, TX 75062-

0479 S INSURANCE CO OF THE STATE OF PENN 1165 S INSURANCE CO OF THE WESTC/O WILLIAM PERRINE ATTN: GINA SKOLASKIPO BOX 8301 PO BOX 85563TULSA, OK 74101-8301 SAN DIEGO, CA 92186-

1768 C KYLE EDWARDS AUTO GROUP INC 1408 S LEXINGTON INSURANCE COPO BOX 386 C/O WILLIAM PERRINECHECOTAH, OK 74426-0386 PO BOX 8301

TULSA, OK 74101-8301

0570 S LIBERTY INSURANCE CORP 1629 C LIBERTY LIFE ASSURANCE CO OF BOSTONC/O AIMEE TREECE C/O AIMEE TREECE101 N ROBINSON AVE STE 1105 101 N ROBINSON AVE STE 1105OKLAHOMA CITY, OK 73102- OKLAHOMA CITY, OK 73102-

0571 S LIBERTY MUTUAL FIRE INSURANCE 0572 S LIBERTY MUTUAL INSURANCE COC/O AIMEE TREECE C/O AIMEE TREECE101 N ROBINSON AVE STE 1105 101 N ROBINSON AVE STE 1105OKLAHOMA CITY, OK 73102- OKLAHOMA CITY, OK 73102-

1414 C LINCOLN GENERAL INSURANCE CO 1627 C LION INSURANCE COATTN: KAREN GROFF ATTN: DUSTIN CLARKPO BOX 3709 2739 US HWY 19YORK, PA 17402- HOLIDAY, FL 34691-



TYPE: INSUR CO


1397 S LM INSURANCE CORP 0573 S LUMBERMENS UNDERWRITING ALLIANCEC/O AIMEE TREECE ATTN: JAMES POIRIER101 N ROBINSON AVE STE 1105 PO BOX 3061OKLAHOMA CITY, OK 73102- BOCA RATON, FL 33431-3061

1589 S MADISON INSURANCE CO 1815 C MAG MUTUAL INSURANCE COMPANYUS ADMINISTRATOR CLAIMS - CORD FARRIS ATTN: JOSEPH L CREGANPO BOX 2005 PO BOX 52979OAK RIDGE, TN 37831- ATLANTA, GA 30355-0979

1365 S MANUFACTURERS ALLIANCE INSURANCE CO 1814 C MARKEL AMERICAN INSURANCE COMPANYC/O GALLAGHER BASSETT SERVICES INC ATTN: CHRISTY C TOWNESATTN: STACY GOBLE 4521 HIGHWOODS PARKWAY14000 QUAIL SPRINGS PARKWAY SUITE 3000 GLEN ALLEN, VA 23060-OKLAHOMA CITY, OK 73134-

0407 S MARKEL INSURANCE CO 0420 C MASSACHUSETTS BAY INSURANCE COATTN: CHRISTY C TOWNES C/O MICHAEL MANCILLAS4521 HIGHWOODS PARKWYA 5801 N BROADWAY STE 303GLEN ALLEN, VA 23060- OKLAHOMA CITY, OK 73118-

1501 C MEDICAL ASSURANCE CO 0575 S MEDMARC CASUALTY INSURANCE COATTN: JEFFREY MANGET ATTN: KAREN M MURPHYPO BOX 590009 14280 PARK MEADOW DR STE 300BIRMINGHAM, AL 35259-0009 CHANTILLY, VA 20151-2219

1450 C MEMIC INDEMNITY CO 1502 C MENDOTA INSURANCE COATTN: KAREN SCHWARTZ ATTN: ANTOINETTE CALLOWAYPO BOX 11409 PO BOX 64586PORTLAND, ME 04104- ST PAUL, MN 55164-0586



TYPE: INSUR CO


1464 S MERIDIAN SECURITY INSURANCE CO 0453 C MICHIGAN MILLERS MUTUAL INSURANCE COATTN: SUSAN PILON C/O STEPHEN STRATTONPO BOX 390327 4101 PERIMETER CENTER DR STE 110MINNEAPOLIS, MN 55439-0327 OKLAHOMA CITY, OK 73112-

0578 S MID CENTURY INSURANCE CO 0579 S MIDDLESEX INSURANCE COC/O TAMMY LEE ATTN: MARY SWENSONPO BOX 108843 PO BOX 8032OKLAHOMA CITY, OK 73101-8843 STEVENS POINT, WI 54481-

1818 C MIDSOUTH MUTUAL INSURANCE COMPANY 1481 C MIDWEST BUILDERS CASUALTY MUTUAL COATTN: BONNIE MOSER ATTN: MINDY YANCEYPO BOX 1125 1100 WALNUT ST STE 3010BRENTWOOD, TN 37027- KANSAS CITY, MO 64106-

0581 S MIDWEST EMPLOYERS CASUALTY CO 1448 C MIDWEST INSURANCE COC/O MIKAL SOLTYS JOANNA CADLE14755 N OUTER FORTY DR STE 300 300 S BRADFORDTON RDCHESTERFIELD, MO 63017- SPRINGFIELD, IL 62711-

1504 S MILFORD INSURANCE CO FKA MILWAUKEE CASUALTY INSURA 1600 C MILWAUKEE CASUALTY INSURANCE CO (UNITRIN )C/O LISA JOHNSON ROY DYKESPO BOX 94405 PO BOX 650771CLEVELAND, OH 44101- DALLAS, TX 75265-

1417 C MITSUI SUMITOMO INSURANCE CO OF AMERICA 1418 C MITSUI SUMITOMO INSURANCE USA INC560 LEXINGTON AVE 560 LEXINGTON AVENEW YORK, NY 10022- NEW YORK, NY 10022-



TYPE: INSUR CO


1817 C MONROE GUARANTY INSURANCE COMPANY 1632 C MONTGOMERY INSURANCE COATTN: KELLY JENSEN C/O AIMEE TREECE6300 UNIVERSITY PARKWAY 101 N ROBINSON AVE STE 1105SARASOTA, FL 34240- OKLAHOMA CITY, OK 73102-

0427 C NATIONAL AMERICAN INSURANCE CO 1592 C NATIONAL CASUALTY COATTN: RICHARD EVANS ATTN: BRIAN NELSONPO DRAWER 38 1100 LOCUST ST DEPT 3010CHANDLER, OK 74834- DES MOINES, IA 50391-

0583 S NATIONAL FARMERS UNION PROPERTY & CASUALTY CO 0459 S NATIONAL FIRE INSURANCE CO OF HARTFORDC/O ONE BEACON NATIONAL WORK COMP CENTER ATTN: ROBERT BILTZ5 TECHNOLOGY DR PO BOX 8317MILFORD, MA 01757- CHICAGO, IL 60680-

0282 S NATIONAL INDEMNITY CO 1245 S NATIONAL INTERSTATE INSURANCE COJ MICHAEL GOTTSCHALK ATTN: ALVIN B. TURNER JR.P O BOX 31361 3250 INTERSTATE DROMAHA, NE 68131-0361 RICHFIELD, OH 44286-0549

0283 S NATIONAL LIABILITY FIRE & CASUALTY 0392 S NATIONAL SURETY CORPJ MICHAEL GOTTSCHALK C/O FIREMENS FUND INSURANCEP O BOX 31361 PO BOX 74014OMAHA, NE 68131-0361 ATLANTA, GA 30374-0174

0480 S NATIONAL UNION FIRE INSURANCE CO 1670 C NATIONS INSURANCE AGENCYC/O WILLIAM PERRINE 20725 NE 16 AVEPO BOX 8301 IVES ESTATES, FL 33179-TULSA, OK 74101-8301



TYPE: INSUR CO


0257 C NATIONWIDE AGRIBUSINESS INSURANCE CO 0586 C NATIONWIDE INSURANCE CO OF AMERICAATTN: BRIAN NELSON ATTN: BRIAN NELSON1100 LOCUST ST STE 3010 1100 LOCUST ST DEPT 3010DES MOINES, IA 50391-3010 DES MOINES, IA 50391-3010

0367 C NATIONWIDE MUTUAL INSURANCE CO 1359 S NETHERLANDS INSURANCE COC/O CORPORATION SERVICE COMPANY ATTN: AIMEE TREECE115 SW 89TH ST 101 N ROBINSON AVE STE 1105OKLAHOMA CITY, OK 73139-8511 OKLAHOMA CITY, OK 73102-

0481 S NEW HAMPSHIRE INDEMNITY CO 0482 S NEW HAMPSHIRE INSURANCE COC/O WILLIAM PERRINE C/O WILLIAM PERRINEPO BOX 8301 PO BOX 8301TULSA, OK 74101-8301 TULSA, OK 74101-8301

1505 C NEW YORK MARINE & GENERAL INSURANCE CO 1403 C NIPPONKOA INSURANCE CO LTDC/O CCMSI 14 WALL ST 8TH FLATTN: LASHAWNA SEARS NEW YORK, NY 10005-1501 NORTH UNIVERSITY AVE SUITE 767LITTLE ROCK, AR 72207-

1757 C NORGUARD INSURANCE CO 1508 C NORTH AMERICAN ELITE INSURANCE COPO BOX A H ATTN: EDWARD STYSWILKES BARRE, PA 18703-0020 650 ELM ST

MANCHESTER, NH 03103-

0590 S NORTH AMERICAN SPECIALTY INSURANCE CO 1605 C NORTH DAKOTA WORKFORCE SAFETY & INSURANCE (NLC)C/O GALLAGHER BASSETT PO BOX 5585ATTN: CARLA TATE BISMARCK, ND 58506-558514000 QUAIL SPRINGS PKWY #3000OKLAHOMA CITY, OK 73134-



TYPE: INSUR CO


1509 S NORTH POINTE INSURANCE CO 0591 S NORTH RIVER INSURANCE COC/O SEDGWICK CMS C/O MIKE HICKSATTN: KAMMI CORONADO 2400 LAKESIDE BLVD STE 200PO BOX 975 RICHARDSON, TX 75082-4341SUN PRAIRIE, WI 53950-

0442 S NORTHERN ASSURANCE CO 1510 C NORTHLAND CASUALTY COATTN: VIRGINIA MCCARTHY ATTN: MICHAEL DOODY150 ROYALL ST PO BOX 64816CANTON, MA 02021- ST PAUL, MN 55164-

1511 C NORTHLAND INSURANCE CO 0593 C NORTHWESTERN PACIFIC INDEMNITY COATTN: MICHAEL DOODY C/O MALCOLM SMITHPO BOX 64816 5416 S YALE AVE STE 225ST PAUL, MN 55164- TULSA, OK 74105-

1488 C NOVA CASUALTY CO 1658 C OAK RIVER INSURANCE COMPANY (ORIC)ATTN: KATHLEEN CAREY BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC)5 WATERSIDE XING STE 204A ATTN: NICOLE ALBRECHTWINDSOR, CT 06095- P O BOX 881716

SAN FRANCISCO, CA 94188-

1791 C OBI AMERICA INSURNCE COMPANY 1641 S OBI NATIONAL INSURANCE CO605 HWY 169 N STE 800 605 HWY 169 N STE 800PLYMOUTH, MN 55441- PLYMOUTH, MN 55441-

1512 C OCCIDENTAL FIRE & CASUALTY OF NORTH CAROLINA 0347 S OHIO CASUALTY INSURANCE COATTN: KEVIN HAMM C/O AIMEE TREECEPO BOX 10800 101 N ROBINSON AVE STE 1105RALEIGH, NC 27605- OKLAHOMA CITY, OK 73102-



TYPE: INSUR CO


1585 S OHIO FARMERS INSURANCE CO 1426 C OHIO SECURITY INSURANCE COC/O BROADSPIRE SERVICES INC ATTN: AIMEE J TREECEATTN: DEBRA GLOVER 101 N ROBINSON STE 11055901 COLLEGE BLVD STE 275 OKC, OK 02116-OVERLAND PARK, KS 66211-

1465 C OLD GLORY INSURANCE CO 1382 C OLD REPUBLIC GENERAL INSURANCE CORPATTN: BOB HENDERSON C/O PRENTICE HALL CORPPO BOX 6456 10300 GREENBRIAR PLACETYLER, TX 75711- OKLAHOMA CITY, OK 73159-7653

0425 C OLD REPUBLIC INSURANCE CO 1423 S ONE BEACON AMERICA INSURANCE COC/O PRENTICE HALL CORP ATTN: VIRGINIA MCCARTHY10300 GREENBRIAR PLACE 150 ROYALL STOKLAHOMA CITY, OK 73159-7653 CANTON, MA 02021-

0441 S ONE BEACON INSURANCE CO (FKA CGU INSURANCE) 0253 C PACIFIC EMPLOYERS INSURANCE COATTN: VIRGINIA MCCARTHY C/O ESIS150 ROYALL ST ATTN: CAROL GALLIMORECANTON, MA 02021- 225 E JOHN CARPENTER FWY STE 1300

IRVING, TX 75062-

0596 C PACIFIC INDEMNITY CO 1419 S PEERLESS INDEMNITY INSURANCE COC/O MALCOLM SMITH C/O AIMEE TREECE5416 S YALE AVE STE 225 101 N ROBINSON AVE STE 1105TULSA, OK 74135- OKLAHOMA CITY, OK 73102-

1346 S PEERLESS INSURANCE CO 0446 S PENNSYLVANIA INS CO FKA PENNSYLVANIA GENERAL INS CC/O AIMEE TREECE ATTN: PETER GUNN101 N ROBINSON AVE STE 1105 PO BOX 3646OKLAHOMA CITY, OK 73102- OMAHA, NE 68103-0646



TYPE: INSUR CO


1156 S PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE C 1389 S PENNSYLVANIA MANUFACTURERS INDEMNITY COC/O GALLAGHER BASSETT SERVICES INC C/O GALLAGHER BASSETT SERVICES INCATTN: STACY GOBLE ATTN: EDWARD WIEWEL14000 QUAIL SPRINGS PKWAY STE 3000 6303 WATERFORD BLVD STE 120OKLAHOMA CITY, OK 73134- OKLAHOMA CITY, OK 73118-

0438 C PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE CO 0490 S PETROLEUM CASUALTY COC/O CYNTHIA REINHART C/O EXXON MOBIL RISK MANAGEMENT INCPO BOX 2361 C/O ANDREW KIYFESHARRISBURG, PA 17105- 3225 GALLOWS RD

FAIRFAX, VA 22037-

0599 S PHARMACISTS MUTUAL CO 0288 C PHOENIX INSURANCE COC/O JAY MCATEE C/O CORPORATION SERVICE CO1115 S CINCINNATI 10300 GREENBRIAR PLACETULSA, OK 74119- OKLAHOMA CITY, OK 73159-

1513 C PLATTE RIVER INSURANCE CO 1432 S PRAETORIAN INSURANCE COATTN: JOSH DENO C/O SEDGWICK CMSPO BOX 5900 ATTN: KAMMI CORONADOMADISON, WI 53705- PO BOX 975


1447 C PREFERRED PROFESSIONAL INSURANCE CO 1669 C PROFESSIONAL INSURANCE11605 MIRACLE HILLS DR STE 200 1122 N WALTON BLVDOMAHA, NE 68154- BENTONVILLE, AR 72712-

1654 C PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD 0465 S PROTECTIVE INSURANCE COC/O THE HARTFORD FINANCIAL SERVICES ATTN: DAVID GHESQUIERECENTRAL WORKERS COMPENSATION CLAIM CENTER PO BOX 7099PO BOX 14471 INDIANAPOLIS, IN 46207-LEXINGTON, KY 40512-



TYPE: INSUR CO


1514 C PROVIDENCE WASHINGTON INSURANCE CO 1594 S QBE INSURANCE CORPATTN: SUSAN RICHARDS C/O SEDGWICK CMS475 KILVERT ST STE 330 ATTN: KAMMI CORONADOWARWICK, RI 02886- PO BOX 975


1515 C QUANTA INDEMNITY CO 1771 RED ROCK INSURANCE COMPANYATTN: JEFFREY J MISZNER 13431 N BROADWAY STE 101A40 FULTON STREET 12TH FLOOR OKLAHOMA CITY, OK 73114-NEW YORK, NY 10038-5085

0605 S REDLANDS INSURANCE CO 1744 C REDWOOD FIRE AND CASUALTY INSURANCE COMPANYC/O SEDGWICK CMS 1314 DOUGLAS STATTN: KAMMI CORONADO OMAHA, NE 68102-PO BOX 975SUN PRAIRIE, WI 53590-

0606 S REGENT INSURANCE CO 1162 C REPUBLIC FIRE & CASUALTY INSURANCE COC/O SEDGWICK CMS ATTN: EBONY UPSHAWATTN: KAMMI CORONADO PO BOX 809076PO BOX 975 DALLAS, TX 75380-SUN PRAIRIE, WI 53590-

1163 C REPUBLIC UNDERWRITERS INSURANCE CO 0330 S REPUBLIC WESTERN INSURANCE COATTN: EBONY UPSHAW C/O BARBARA DECOSTAPO BOX 809076 2721 N CENTRAL AVEDALLAS, TX 75380- PHOENIX, AZ 85004-

1517 C RIVERPORT INSURANCE CO 1635 C RLI INSURANCE COMPANYATTN: L WENZLE PO BOX 3736PO BOX 948 PEORIA, IL 61612-3736MINNEAPOLIS, MN 55440-



TYPE: INSUR CO


1518 C ROCKWOOD CASUALTY INSURANCE CO 1519 C RURAL COMMUNITY INSURANCE CO654 MAIN ST ATTN:DANIEL FUHRMANNROCKWOOD, PA 15557- 3501 THURSTON AVE

ANOKA, MN 55303-

1789 S RURAL TRUST INSURANCE CO 0436 S SAFECO INSURANCE CO OF AMERICA6301 IVY LN STE 506 C/O AIMEE TREECEGREENBELT, MD 20770-6338 101 N ROBINSON AVE STE 1105


1325 C SAFETY FIRST INSURANCE CO 1155 C SAFETY NATIONAL CASUALTY CORP1832 SCHUETZ RD ATTN: JIM GODFREYST LOUIS, MO 63146- 1832 SCHUETZ RD

ST LOUIS, MO 63146-

1257 C SAGAMORE INSURANCE CO 1631 C SAMSUNG FIRE & MARINE INSURANCE CO LTD USBC/O DAVID GHESQUIERE 85 CHALLENGER RD FL 6PO BOX 7099 RIDGEFIELD PARK, NJ 07660-2112INDIANAPOLIS, IN 46207-7099

1381 S SEABRIGHT INSURANCE CO 1613 C SECURA INSURANCE COATTN: DAVID CALANDRO PO BOX 819150 2ND AVE N 3RD FLOOR APPLETON, WI 54912-ST PETERSBURG, FL 33701-

1598 C SECURITY NATIONAL INSURANCE CO (AMTRUST) 1737 C SEDGWICK INSURANCE COCO/ LISA JOHNSON SEDGWICK INSURANCE COPO BOX 94405 PO BOX 14567CLEVELAND, OH 44101- LEXINGTON, KY 40512-



TYPE: INSUR CO


0372 C SELECT INSURANCE CO 1520 C SENECA INSURANCE COC/O CORPORATION SERVICE CO ATTN: VINCENT MAIDA10300 GREENBRIAR PLACE 160 WATER STOKLAHOMA CITY, OK 73159- NEW YORK, NY 10038-

1434 S SENTINEL INSURANCE CO LTD 1494 C SENTRY CASUALTY COCENTRAL WORKERS COMP CLAIMS CENTER ATTN: AMY KRYSTPO BOX 14471 PO BOX 8032LEXINGTON, KY 40512- STEVENS POINT, WI 54481-

0355 C SENTRY INSURANCE A MUTUAL CO 1166 C SENTRY SELECT INSURANCE COATTN: AMY KRYST ATTN: AMY KRYSTPO BOX 8032 PO BOX 8032STEVENS POINT, WI 54481-- STEVENS POINT, WI 54481-

1521 C SERVICE INSURANCE CO 1483 C SFM MUTUAL INSURANCE COATTN: JOHN MRUK ATTN: MARGE LANTZ702 OBERLIN RD 3500 AMERICAN BLVD STE 700RALEIGH, NC 27605-0800 BLOOMINGTON, MN 55431-

1742 C SILVER OAK CASUALTY INC 0469 S SOMPO JAPAN INSURANCE CO OF AMERICAATTN: CAREY ARMISTREAD11405 COMMUNITY HOUSE RD STE 600CHARLOTTE, NC 28277-

1164 C SOUTHERN INSURANCE CO 1161 C SOUTHERN UNDERWRITERS INSURANCE COPO BOX 809076 ATTN: EBONY UPSHAWDALLAS, TX 75380-9076 PO BOX 809076

DALLAS, TX 75380-9076



TYPE: INSUR CO


1475 C SPARTA INSURANCE CO 0623 C ST PAUL FIRE & MARINE INSURANCE COATTN: JOHN MINDEK C/O CORPORATION SERVICE CO185 ASYLUM ST CITYPLACE II 10300 GREENBRIAR PLACEHARTFORD, CT 06103- OKLAHOMA CITY, OK 73159-

0414 C ST PAUL GUARDIAN INSURANCE CO 1522 C ST PAUL MEDICAL LIABILITY INSURANCE COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0415 C ST PAUL MERCURY INSURANCE CO 1523 C ST PAUL PROTECTIVE INSURANCE COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0410 C STANDARD FIRE INSURANCE 0416 S STAR INSURANCE COC/O CORPORATION SERVICE CO C/O JAMES AUSTIN10300 GREENBRIAR PLACE PO BOX 219559OKLAHOMA CITY, OK 73159- KANSAS CITY, MO 64141-9559

1461 C STARNET INSURANCE CO 1524 C STARR INDEMNITY & LIABILITY COC/O BERKLEY NET UNDERWRITERS LLC 399 PARK AVE 8TH FLATTN: JOHN BURKE NEW YORK, NY 10022-12701 MARBLESTONE DR STE 250WOODBRIDGE, VA 22192-

0625 S STATE AUTO PROPERTY & CASUALTY INSURANCE CO 0626 S STATE AUTOMOBILE MUTUAL INSURANCE COATTN: SUSAN PILON ATTN: SUSAN PILONPO BOX 390327 PO BOX 390327MINNEAPOLIS, MN 55439-0327 MINNEAPOLIS, MN 55439-0327



TYPE: INSUR CO


0315 S STATE FARM FIRE AND CASUALTY CO 1753 C STILLWATER PROPERTY AND CASUALTY INSURANCE COC/O CORPORATION SERVICE COMPANY ATTN: MARK DAVEY10300 GREENBRIAR PLACE 4905 BELFORT RD #110OKLAHOMA CITY, OK 73159- JACKSONVILLE, FL 32256-

1471 S STONETRUST COMMERCIAL INSURANCE CO 1525 C STONINGTON INSURANCE COATTN: ANGELA SANDERS C/O SEDGWICK CMS5615 CORPORATE BLVD STE 700 ATTN: LISA ZIMMERMANBATON ROUGE, LA 70808-2557 PO BOX 975


1619 S SUNZ INSURANCE CO 1770 C SUSSEX INSURANCE COMPANYC/O NEXT LEVEL ADMIN LLC - LISA WAGNER ATTN: GAYLE P LEVY1301 6TH AVE W 2ND FLOOR 221 DAWSON ROADBRADENTON, FL 34205- COLUMBIA, SC 29223-

1242 C TECHNOLOGY INSURANCE CO (AMTRUST) 1260 C THE INSURANCE COATTN: LISA JOHNSON ATTN: PAULETTE DAVISPO BOX 94405 10451 GULF BLVDCLEVELAND, OH 44101- TREASURE ISLAND, FL 33706-4814

1808 C THIRD COAST INSURANCE COMPANY 0631 C TIG INSURANCE COATTN: MARGUERITE DIXON C/O LARRY TAYLORPO BOX 40790 406 S BOULDER STE 410LANSING, MI 48901-7990 TULSA, OK 74103-

0331 S TOKIO MARINE AMERICA INS CO 1682 C TORUS NATIONAL INSURANCE COMPANYATTN: KATHY STEPHENS C/O ENSTAR US - DAVID J CALANDRO900 ASHWOOD PKWY STE 425 150 2ND AVENUE NORTH 3RD FLATLANTA, GA 30338- ST PETERSBURG, FL 33701-



TYPE: INSUR CO


1459 C TOWER INSURANCE CO OF NEW YORK 1573 C TOWER NATIONAL INSURANCE COATTN: BILL HIPSELBERGER ATTN: BILL HIPSELBERGER200 HUDSON ST STE 800 200 HUDSON ST STE 800JERSEY CITY, NJ 07311-1104 JERSEY CITY, NJ 07311-1104

1586 C TOYOTA MOTOR INSURANCE CO 1498 S TRANS PACIFIC INSURANCE CO (NEW ID)19001 S WESTERN AVE NF 23 ATTN: SAL ETERNOTORRANCE, CA 90509- 230 PARK AVE

NEW YORK, NY 10169-0001

1240 C TRANSGUARD INSURANCE CO OF AMERICA INC 0463 S TRANSPORTATION INSURANCE COC/O CORPORATION SERVICE CO ATTN: ROBERT BILTZ10300 GREENBRIAR PLACE PO BOX 8317OKLAHOMA CITY, OK 73159- CHICAGO, IL 60680-

0289 C TRAVCO 0290 C TRAVELERS CASUALTY & SURETY COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0291 C TRAVELERS CASUALTY & SURETY OF AMERICA 0293 C TRAVELERS CASUALTY CO OF CONNECTICUTC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0292 C TRAVELERS CASUALTY INSURANCE CO OF AMERICA 0294 C TRAVELERS COMMERCIAL INSURANCE COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-



TYPE: INSUR CO


0295 C TRAVELERS HOME & MARINE INSURANCE CO 0296 C TRAVELERS INDEMNITY COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0297 C TRAVELERS INDEMNITY CO OF AMERICA 0298 C TRAVELERS INDEMNITY CO OF CONNECTICUTC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0300 C TRAVELERS INDEMNITY CO OF MISSOURI 0301 C TRAVELERS INSURANCE COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159- OKLAHOMA CITY, OK 73159-

0299 C TRAVELERS PROPERTY & CASUALTY CO OF AMERICA 1643 C TRI STATE INSURANCE COMPANY OF MINNESOTAC/O CORPORATION SERVICE CO PO BOX 159410300 GREENBRIAR PLACE DES MOINES, IA 50306-OKLAHOMA CITY, OK 73159-

1324 S TRIANGLE INSURANCE CO 1729 S TRIUMPHE CASUALTY COMPANYATTN: MELANIE PRENTICE C/O COMMERCIAL INSURANCE SERVICESPO BOX 1719 PO BOX 25928LITTLE ROCK, AR 72203- OKLAHOMA CITY, OK 73125-0928

0635 S TRUCK INSURANCE EXCHANGE 1621 S TRUMBULL INSURANCE COC/O TAMMY LEE ATTN: CENTRAL WORKERS COMP CLAIM CNTRPO BOX 108843 PO BOX 14471OKLAHOMA CITY, OK 73101-8843 LEXINGTON, KY 40512-



TYPE: INSUR CO


0268 S TWIN CITY FIRE INSURANCE 0309 S UNION INSURANCE COATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: SUZANNE RICHARDSONPO BOX 14471 PO BOX 152180LEXINGTON, KY 40512- IRVING, TX 75015-

1797 C UNION INSURANCE COMPANY OF PROVIDENCE 0483 C UNITED STATES FIDELITY & GUARANTY COC/O EMC INSURANCE, BARNES G KELLEY C/O CORPORATION SERVICE COPO BOX 712 115 SW 89 STDES MOINES, IA 50306-0712 OKLAHOMA CITY, OK 73139-8511

0640 S UNITED STATES FIRE INSURANCE CO 1428 C UNITED WISCONSIN INSURANCE COATTN: MIKE HICKS ACCIDENT FUND HOLDINGS INC - NELLIE OSOWSKI2400 LAKESIDE BLVD STE 200 PO BOX 40790RICHARDSON, TX 75082- LANSING, MI 48901-7990

1527 C UNIVERSAL CASUALTY CO 0323 S UNIVERSAL UNDERWRITERS INSURANCE CO150 NW POINT BLVD C/O ZURICH CLAIMSELK GROVE VILLAGE, IL 60007- ATTN: TANYA GROOVER

PO BOX 968023SCHAUMBURG, IL 60196-

1799 C US FIRE INS CO 1413 C US SPECIALTY INSURANCE CO305 MADISON AVENUE 13403 NW FRWYMORRISWTOWN, NJ 07960- HOUSTON, TX 77040-

0426 C UTICA MUTUAL INSURANCE CO 1606 C UTICA NATIONAL ASSURANCE COATTN: SANDY GIEHL 180 GENESEE STPO BOX 5310 NEW HARTFORD, NY 13413-BINGHAMTON, NY 13902-



TYPE: INSUR CO


0464 S VALLEY FORGE INSURANCE CO 0396 S VANLINER INSURANCE COATTN: ROBERT BILTZ ATTN: ALVIN B TURNER JRPO BOX 8317 3250 INTERSTATE INSURANCE COMPANYCHICAGO, IL 60680- RICHFIELD, OH 44286-

1743 C VANTAPRO SPECIALTY INSURANCE COMPANY 0642 C VIGILANT INSURANCE COC/O MALCOLM SMITH5416 S YALE AVE STE 225TULSA, OK 74135-

0644 C VIRGINIA SURETY CO 1528 C WASHINGTON INTERNATIONAL INSURANCE COC/O JEFF DASOVICH ATTN: EDWARD STYS11914 N PENN AVE STE B4 475 N MARTINGDALE RDOKLAHOMA CITY, OK 73120- SCHAUMBURG, IL 60173-

0645 S WAUSAU BUSINESS INSURANCE CO 0431 S WAUSAU UNDERWRITERS INSURANCE COC/O AIMEE TREECE C/O AIMEE TREECE101 N ROBINSON AVE STE 1105 101 N ROBINSON AVE STE 1105OKLAHOMA CITY, OK 73102- OKLAHOMA CITY, OK 73102-

1529 C WESCO INSURANCE CO (AMTRUST) 0348 S WEST AMERICAN INSURANCE COATTN: LISA JOHNSON C/O AIMEE TREECEPO BOX 94405 101 N ROBINSON AVE STE 1105CLEVELAND, OH 44101- OKLAHOMA CITY, OK 73102-

0428 C WESTCHESTER FIRE INSURANCE 1759 C WESTCO INSURANCEC/O ESIS WESTCO INSURANCEATTN: CAROL GALLIMORE 420 MAPLE225 E JOHN CARPENTER FWY STE 1300 YUKON, OK 73099-IRVING, TX 75062-



TYPE: INSUR CO


1530 C WESTERN AGRICULTURAL INSURANCE CO 1566 C WESTERN NATIONAL ASSURANCE COATTN: CONNIE T DRESEN PO BOX 14635400 UNIVERSITY AVE MINNEAPOLIS, MN 55440-WEST DES MOINES, IA 50266-

1422 S WESTFIELD INSURANCE CO 1217 S WESTPORT INSURANCE CORP (NEW) (FKA ERC)C/O BROADSPIRE SERVICES INC ATTN: EARL CARTWRIGHTATTN: DEBRA GLOVER 5200 METCALF AVE5901 COLLEGE BLVD STE 275 OVERLAND PARK, KS 66201-OVERLAND PARK, KS 66211-

1451 S WORK FIRST CASUALTY CO 1792 C WORKERS FIRST COMPENSATION FUNDC/O BROADSPIRE SERVICES INC 4314 EAGLE POINT PARKWAYATTN: ANGELA STEIN BIRMINGHAM, AL 35242-PO BOX 14342LEXINGTON, KY 40512-4342

1640 C WORLDWIDE UNDERWRITERS INSURANCE CO 1531 S XL INSURANCE AMERICA INCC/O AIMEE TREECE ATTN: BEKKI COLLINS101 N ROBINSON AVE STE 1105 725 S FIGUEROA STOKLAHOMA CITY, OK 73102- LOS ANGLES, CA 90017-

1169 S XL SPECIALTY INSURANCE CO 0313 S ZENITH INSURANCE COATTN: BEKKI COLLINS C/O BURNS ANDERSON JURY & BRENNER LP725 S FIGUEROA ST PO BOX 26300LOS ANGELES, CA 90017- AUSTIN, TX 78755-

1645 C ZNAT INSURANCE CO 0649 S ZURICH AMERICAN INSURANCE COC/O BURNS ANDERSON JURY AND BRENNER LLP C/O ZURICH CLAIMSPO BOX 26300 ATTN: TANYA GROOVERAUSTIN, TX 78755- PO BOX 968023




TYPE: INSUR CO


1420 S ZURICH AMERICAN INSURANCE CO OF ILC/O ZURICH CLAIMSATTN: TONYA GROOVERPO BOX 968023SCHAUMBURG, IL 60196-

Records printed: 433


date: 12/01/2017 oklahoma workers ...carrier id inv flag carrier name/service agent name &...

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