Thomasville, GA31799-1541 Ixonia, WI53036-0326 Thanks! Phone: 212-702-3700, SIS Insurance Services Everett, PA15537 Attention: Loss Runs Department, Tennessee Restaurant Association 216 South Cooper St. 1311 Mamaroneck Avenue, Suite 135 Burlington, VT05401-4477 Attention: Loss Runs Department, James River Insurance Co 8401 N. Central Expwy Fax: 402-536-3030 999 Stewart Avenue Alpharetta , GA 30004 P.O. Box 140249 Phone: 608-246-2552, Ponce de Leon LTC Risk Retention Grp Attention: Loss Runs Department Loss Runs: lossruns@tumi-ins.com, Tudor Insurance Company P.O. Updated by Jessica Loomis on 11/30/2018 (thank you), I got an email response from Liberty Mutual that my loss run request has been forwarded to RCGEND1@LibertyMutual.com, If requesting Loss Runs from Liberty Mutual for Assigned Risk WC, requests should be e-mailed to:IMS@libertymutual.com, Re; Liberty Mutual 443 Crown Point Circle, Suite A P.O. FAX: 877-634-3710 Presque Isle, ME04769 Fort Lee, NJ 07024 Get the Southern States Insurance Loss Run Request you want. Phone: 440-461-5000 Phone: 800-621-2324, CAT Specialty Insurance Company Owatonna, MN55060-0245 ________________________________________________, Franklin Ins Company 4601 Touchton Road East, Suite 3400 Co. gave me this e-mail for loss runs:unionexpressmail@umfic.com. 1400 American Lane FAX: 800-253-8987 Hortica Insurance & Employee Benefits P.O. 1501 Wilson Boulevard, Suite 1110 Phone 877-342-6045 UPDATED BY BARTON PROUD ON 03/19/19, 9667 South 20th Street P.O. Box 1541 P.O. Attention: Loss Runs Department _________________________________________________, Commerce Insurance Company itsupport@emcins.com Arlington, VA22209-2403 P.O. Box 370 1201 N.E. Phone: 212-425-8050 Charlotte, NC28201-1000 Attention: Loss Runs Department, Idaho Counties Risk Mgt Program, Undrwtr Phone: 615-791-1400, Terra Insurance Company, A RRG Phone: 323-932-3200, NES One Greenwich Plaza Arlington, VA22209-2403 Phone: 303-469-8450, Wesco Insurance Company Phone: 802-264-4711, Lakeland Insurance Company Attention: Loss Runs Department, 01 Touchton Road East, Suite 3400 Loss Run request Email request to niclossruns@nautilus-ins.com; please include the policy number(s). Bala Cynwyd, PA 19004, All United National/United National Specialty/Diamond State/Penn America/Penn Star Loss Run requests go to lossrun@global-indemnity.comAgency Administration Department, Phone: 610.664.1500 lossruns@peiwc.com, Preferred Mutual Insurance Company (thank you Amy Gillette updated 06/27/2018), P# 800-333-7642 Loss Run Fax # 607-847-9891. we were given an update on this site from an anomymous user on 09/23/19: Preferred Professionals Insurance Company or PPIC (A Converys Company), updated by Ashley M on 01/28/20 ( thank you Ashley) Edison, NJ08837 Scottsdale, AZ85258-3244 Troy, MI48098 Thomasville, GA31799-1541 Fax:610-668-3774 Attention Operations Department 708 Florsheim Drive, Suite 10 10591 Lincoln Highway Phone: 671-477-8801, Pacific Insurance Company, Ltd 1465 Northside Drive NW, Suite 110 FAX: 860-277-2876 (Loss Runs) Long Grove, IL60049-0001 San Ramon, CA94583 Markel & Evanston lossruns@markel.com __________________________________________________, FUBA Casselberry, FL32707 Atlanta, GA30339 213 East Tugalo Street Bonsall, CA92003, Traders & General Ins Co P.O. P.O. Phone: 309-692-1000 Box 30660 Richmond, VA23261-7552 888-263-2924 (Claims Dept) Roseville, CA95661-3830 Email: crumpnashville@crumpins.com (TN Loss Runs) Phone: 800-277-1620 Box 121 FAX: 978-454-8740 Rosenberg, TX77471 Phone: 800-598-8422, CL@uticafirst.comCL@uticafirst.comCL@uticafirst.com, Utica National Insurance Group Phone: 812-424-8031, Young America Insurance Co P.O. Box 518 Lexington Insurance Company send loss run request on signed letterhead to IntelliRisk@aig.com. Phone: 904-350-9660, MacAfee & Edwards P.O. 800 NW 6th Ave Ste 335 P.O. Phone: 203-977-8000, OHA Insurance Solutions, Inc. 175 Berkeley Street Phone: 404-898-0554 Martinsburg, WV25402 Box 1615 Williamsville, NY14231-9062 Concord, CA94520 Attention: Loss Runs Department, Contributed by Loren McConnell ( thank you Loren ) on 03/05/19, wcumail@njm.com is the email to request Workers Comp Loss runs, NLC Mutual Insurance Company Oklahoma City, OK73156-0900 Our financial stability is based on a niche diversity with a focus on low hazard risk. _________________________________________________, Dupont Mutual Insurance Company Attention: Loss Runs Department, Pennsylvania Manufacturers Association Insurance Company, loss run emaillossrun_request@pmagroup.com, contributed byJeff Wilson Triumph Insurance Group 06/18/2018 ( thank you ), contact updated by anonymous on 11/12/2019, PHLIP Professional Liability atCredentialing@antumrisk.com(especially for coverage prior to 12/01/2018 Palmetto Health in SC, now part of Prisma), PGIT P.O. 800 Red Brook Boulevard 1401 S. Brentwood Boulevard, Suite 1000, 10th Floor P.O. FAX: 973-731-2288 Lowell, MA01854 Lansing, MI48917-4852 Phone: 916-443-4565, Teachers Insurance Company Phone: 516-576-3400, GSFS Risk Retention Group, Inc San Diego, CA92108 (Someone will follow up with you in the next few business days. Box 22778 Attention: Loss Runs Department _______________________________________________________, Berkshire Hathaway/Homestate Phone: 847-605-6000 Phone: 800-789-3899, _____________________________________________________________________________________, Rockford Mutual Insurance Co Phone: 603-352-3221 Phone: 513-603-2400 Phone: 954-236-8100, Ontario Insurance Company Atlanta, GA30309-2447 Phone: 517-886-3900, Michigan Insurance Company P.O. Phone: 888-636-1575, Policyholders Mutual Insurance Company PA office 215-640-100 825 Third Avenue Phone: 503-248-6400 Phone: 315-687-3211, MAG Mutual Insurance Company Metairie, LA70002-5949 P.O. Hartford, CT6183 Attention: Loss Runs Department 26255 American Drive 100 Scurfield Blvd FT GRY P.O. Box 2100 Phone: 802-863-5774, York Insurance Co of Maine Address: 1605 Main Street, Suite 800 Sarasota, FL 34236 Phone: 630-907-0030, Illinois National Insurance Co Phone: 217-403-4900, Niagara Fire Insurance Co Columbus, OH43215-2220 P.O. Glen Allen, VA23060-6148 claims@equityins.net, Didnt see a contact for Compwest policymanagement@compwestinsurance.com. _________________________________________________, EZ Auto Insurance Company ______________________________________________, Dakota Truck Underwriters _______________________________________________, Country Casualty Ins Co A loss run is a report generated by your insurance company showing the claim activity on each of your insurance policies. AmTrust Financial Services - Dick Law Firm Fax. 700 W. 47th, Suite 350 Loss Run Contacts - Googley Insurance Services - A place to find better Phone: 540-459-3421, Loss Runs email for Sigma Programs is lossruns@sigmaprograms.com, Silver Oak Casualty, Inc Des Moines, IA50306-1336 1201 Market Street, Suite 1100 Clearwater, FL33756-3648 Get Form How to create an eSignature for the loss runs request letter samples Oak Brook, IL60523-4439 Phone: 972-629-4301, General American Insurance Company Attention: Loss Runs Department, updated by Trish Doles on 06/19/18 (Thanks Trish), piclossrunrequests@protectiveinsurance.com, Protective Insurance Company- for workers comp= sbwcunderwriting@protectiveinsurance.com, Public Employer Risk Management Association, Inc. 11845 West Olympic FAX: 805-693-0859 (CA Loss Runs) UPDATED ON 05/07/18 PER DALLAS ARNAUDO THIS FAX NUMBER IS NOT WORKING IF YOU HAVE UPDATED INFO WE COULD REALLY USE IT AND THANK YOU IN ADVANCE! Phone: 312-379-2000 Phone: 732-946-5000, LM Property & Casualty Ins Co Box 1699 Resources | Wholesale Brokers | Navigators | The Hartford Concord, NH03301-2624 Phone: 570-748-3234 Attention: Loss Runs Department, UPDATED ON 03/20/18 BY JON BARRON NEW FAX # FOR USAA LOSS RUN REQUESTS 800-531-8877, US International Reinsurance Company P.O. Phone: 214-561-1991, Old Dominion Insurance Co Phone: 615-242-1961 Box 321455 cbosupport@enhinsurance dotcom Farmington, CT06032 __________________________________________________________, Crusader Insurance Co. Contact Claims. ______________________________________, 436 Walnut Street The physician has the ability to retrieve and forward proof of his/her med mal insurance, including claim history, through an online portal set up by the med mal provider (CRICO/RMF). Philadelphia, PA 19106 Phone: 800-822-3747, MD RRG Inc Phone: 205-877-4400, Woodville Mutual Insurance Company ___________________________________________________, Frankenmuth Mutual Ins Co _________________________________________________, Boston Old Colony Ins Co Box 820 Phone: 800-226-0793, Utah Medical Insurance Assn Hartford, CT06183 314 West Main Street FAX: 860-277-2876 Box 152870 2500 Hillsboro Rd Phone: 203-563-6000, QBE Updated email Lossruns@us.qbe.com 2016-04-20 21:49:38, Prairie Pine Mutual Insurance Company Phone: 800-924-6141 FAX: 431-459-0853 CHANGE TO FAX: 831-459-0853, Markel Loss Run Reports Box 223687 Phone: 4078316599, __________________________________________________, Global Intl Insurance Co Inc Phone: 630-472-7700, Plateau Casualty Insurance Co Fax Property 415-836-3116 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: 410-385-6990 6509 Windcrest Drive #200 Phone: 478-471-9850, ____________________________________________________, CNP Insurance Company Fairmont, MN56031-4461 5 Batterson Park Fields with an asterisk are required.). No, you need to log in to your online account, call us, or call your agent to remove this vehicle from your policy. Fairview Park, OH44126 Office:800-862-6070 Phone: 702-588-5300, Taxisure Exchange One Penn Plaza, 32nd Floor 9800 Fredericksburg Road Box 851 I just called Hanover and they provided this information for CA policies: Fax 800-475-8315 Email clprocessca@hanover.com Thanks! ________________________________________________, Esurance Insurance Company of New Jersey P.O. lossruns@vela-ins.com P.O. FAX: 816-727-2118 1038 Farmington Avenue Clark, NJ07066 One GEICO Plaza FAX: 509-462-0608 Oakbrook Terrace, IL60181 Seattle, WA 98109 Expressway, Suite 151 Box 487 Phone: 404-231-2366, Le Mars Insurance Company 601 Riverside Avenue, Bldg 5, Suite 200 Schaumburg, IL60196-1056 ______________________________________________, Drive New Jersey Ins Co view my claim. Phone: 800-428-7554 San Francisco, CA94111-1966 Attention: Loss Runs Department Phone: 724-484-0839, Old Glory Insurance Company __________________________________________________, Fairmont Specialty Lloyds Phone: 615-844-2800 Columbia, TN38402-0998 P.O. Phone: 319-254-2288, Sverdrup Mutual Insurance Company 518 East Broad Street Box 5900 ________________________________________________, California Earthquake Authority 9450 Seward Road P.O. Phone: 603-225-2773, Philadelphia Contrib Ins Co Atlanta, GA30301-1738 Box 489 8550 United Plaza Boulevard, Suite 805 Ormond Beach, FL32176-1705 Phone: 516-594-1627, HDI-Gerling America Ins. With two separate toll-free phone lines for worker's compensation services and other claims, claims can be filed 24 hours, seven days a week. I Received the following from Liberty Mutual for a General Liability policy loss runs request. ________________________________________________________, Florida Doctors Insurance Company P.O. Phone: 916-325-3800 North Charleston, SC29406-4616 Phone: 954-581-9993, Federated Rural Elect Ins Exch Columbus, OH 43216 100 West Towne Ridge Parkway Phone: 888-344-3794, Email: fortiz@worklifefinancial.com (Loss Runs), Netherlands Insurance Co Torrance, CA90509 CommercialBranchRequests@chubb.com Madison, WI53719-2092 333 South Wabash Ave., Route 22 ________________________________________________________, Crump Insurance-TN 2029 Village Ln., Ste. Phone: 212-320-7447, InsuranceServices@lvhn.org per Credentialing Specialist Jennifer L Core, email: learl@gorisc.com or mai.la@aig.com or marc.richardson@aig.com, LG Insurance Company, Ltd USB Make check payable to ASP. Box 793747 Box 250010 Phone: 309-821-3000, Mt Hawley Insurance Company 2260 Douglas Blvd., Suite 110 Phone: 858-244-0550
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