Date: 01/02/2018 OKLAHOMA WORKERS' … c argonaut great central insurance co 0361 c argonaut insurance co ... 01/02/2018 oklahoma workers' compensation commission and court of existing

Date: 05/01/2018 OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Rpt ID: CARLSTTime: 09:35 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 ATTN: ASHLEY PYLEPO BOX 26350 PO BOX 40790OKLAHOMA CITY, OK 73126- LANSING, MI 48901-7990

1291 S ACCIDENT FUND INSURANCE CO OF AMERICA 1467 S ACCIDENT FUND NATIONAL INSURANCE COATTN: ASHLEY PYLE ATTN: ASHLEY PYLEPO 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 BOX 655010300 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 73159-7653

1596 S BERKLEY NATIONAL INSURANCE CO 1540 C BERKLEY REGIONAL INSURANCE COATTN: JOANNA NG ATTN: JOANNA NG1250 E DIEHL ROAD STE 200 1250 E DIEHL RD STE 200NAPIERVILLE, IL 60563- NAPERVILLE, IL 60563-

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: JAMES JARVIEATTN: 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-

1828 S FIRE INS EXCHANGE 0272 S FIREMANS FUND INSURANCE COC/O TAMMY LEE ATTN: GREG RUSHPO BOX 108843 1 PROGRESS POINTE PKWYOKLAHOMA CITY, OK 73101-8843 OFALLON, MO 63368-



TYPE: INSUR CO


1551 C FIREMENS INSURANCE CO OF WASHINGTON DC 1740 S FIRST INSURANCE COMPANY OF OKLAHOMA (FICO)ATTN: WILLIAM AMBROSE C/O EMERALD CLAIMS MANAGEMENT (ECM)PO BOX 61038 ATTN: MAGGIE SMITH (ADJUSTER)RICHMOND, VA 22361- PO BOX 70

SPRING, TX 77383-

0550 S FIRST LIBERTY INSURANCE CORP 0434 S FIRST NATIONAL INSURANCE CO OF AMERICAC/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-

1372 C FIRSTCOMP INSURANCE CO 0402 S FLORISTS MUTUAL INSURANCE COADELSON, TESTAN, BRUNDO, NOVELL & JIMENEZ C/O JOHN OLDFIELD JRATTN: LINDA FOREMAN 4808 N CLASSEN BLVD3601 N CLASSEN BLVD SUITE 102 OKLAHOMA CITY, OK 73118-OKLAHOMA CITY, OK 73118-

1637 S FOREMOST INSURANCE CO GRAND RAPIDS MICHIGAN 1636 S FOREMOST PROPERTY & CASUALTY INSURANCEC/O TAMMY LEE C/O TAMMY LEEPO BOX 108843 PO BOX 108843OKLAHOMA CITY, OK 73101- OKLAHOMA CITY, OK 73101-

1638 S FOREMOST SIGNATURE INSURANCE COMPANY 1618 C FRANK WINSTON CRUM INSURANCE INCC/O TAMMY LEE C/O KRISTINE KINSEYPO BOX 108843 100 S MISSOURIOKLAHOMA CITY, OK 73101- CLEARWATER, FL 33756-

1439 S FRANKENMUTH MUTUAL INSURANCE CO 1270 C FREESTONE INSURANCE CO (FKA DALLAS FIRE & DALLAS NATTN: MIKE PORTER PIERCE COUCH HENDRICKSON BAYSINGER & GREEN LLP2200 NW 50 ST STE 200E ATTN: TODD ESTESOKLAHOMA CITY, OK 73112- PO BOX 26350

OKLAHOMA CITY, OK 73126-0350



TYPE: INSUR CO


1479 C GATEWAY INSURANCE CO 0555 S GENERAL CASUALTY CO OF WISCONSINATTN: PAUL ROMANO C/O SEDGWICK CMS150 NORTHWEST POINT BLVD 3RD FL ATTN: KAMMI CORONADOELK GROVE VILLAGE, IL 60007- PO BOX 975


0435 S GENERAL INSURANCE CO OF AMERICA 1552 C GENESIS INSURANCE COC/O AIMEE TREECE 120 LONG RIDGE RD101 N ROBINSON AVE STE 1105 STAMFORD, CT 06902-OKLAHOMA CITY, OK 73102-

0281 S GEORGIA CASUALTY & SURETY CO 1553 C GERLING AMERICA INSURANCE COATTN: PAUL BONHAM 161 N CLARK ST10820 HARNEY STREET CHICAGO, IL 60601-OMAHA, NE 68154-

0557 C GRAIN DEALERS MUTUAL INSURANCE CO 0477 S GRANITE STATE INSURANCE COC/O BRUCE R FOX C/O WILLIAM PERRINE4601 TOUCHTON ROAD EAST, SUITE 3400 PO BOX 8301JACKSONVILLE, FL 32246- TULSA, OK 74101-8301

1661 GRAPHIC ARTS MUTUAL INSURANCE CO 1554 C GRAY CASUALTY & SURETY COATTN: MARTHA DUMONT ATTN: ROBERT HUGHES180 GENESEE ST PO BOX 6202NEW HARTFORD, NY 13413-2200 METAIRE, LA 70009-

0339 S GRAY INSURANCE CO 1364 S GREAT AMERICAN ALLIANCE INSURANCE COC/O DAVID MANGUNO PO BOX 54255601 NW 72 CINCINNATI, OH 45201-OKLAHOMA CITY, OK 73132-5903



TYPE: INSUR CO


1356 S GREAT AMERICAN ASSURANCE CO 1353 S GREAT AMERICAN INSURANCE CO OF NEW YORKPO BOX 5789 PO BOX 5789CINCINNATI, OH 45201- CINCINNATI, OH 45201-

1811 S GREAT AMERICAN SECURITY INSURANCE COMPANY 1431 C GREAT DIVIDE INSURANCE COKEN C MEYER ATTN: CLAIMS DEPTPO BOX 5425 7233 E BUTHERUS DRCINCINNATI, OH 45201-5432 SCOTTSDALE, AZ 85260-

1597 C GREAT MIDWEST INSURANCE CO 0558 C GREAT NORTHERN INSURANCE COCBCS INC - AMY DRISCOLL C/O MALCOLM SMITH800 MAIN STREET 5416 S YALE AVE STE 225DUBUQUE, IA 52001- TULSA, OK 74135-

0345 S GREAT WEST CASUALTY CO 1556 GREATER NEW YORK MUTUAL INSURANCE COATTN: DALE SEGUIN ATTN: LILLIAN LENT1100 W 29 ST 200 MADISON AVES SIOUX CITY, NE 68776-3130 NEW YORK, NY 10016-

1168 S GREENWICH INSURANCE CO 0942 S GUARANTEE INSURANCE COATTN: SARAH MIMS OPCIGPA - CARLA JACOBS505 EAGLEVIEW BLVD STE 100 2601 NW EXPWY STE 330EEXTON, PA 19341- OKLAHOMA CITY, OK 73112-

1429 S GUIDEONE ELITE INSURANCE CO 0391 S GUIDEONE MUTUAL INSURANCE COATTN: TRINA OLAONE ATTN: TRINA OLOANEPO BOX 14543 PO BOX 14543DES MOINES, IA 50306- DES MOINES, IA 50306-



TYPE: INSUR CO


1822 C GUIDEONE SPECIALTY MUTUAL INS CO 0418 C HANOVER AMERICAN INSURANCE CO1111 ASHWORTH ROAD C/O MICHAEL MANCILLASWEST DES MOINES, IA 50265-3538 5801 N BROADWAY EXT STE 303


0419 C HANOVER INSURANCE CO 1196 S HARBOR SPECIALTY INSURANCE COC/O MICHAEL MANCILLAS C/O MIDLANDS CLAIM ADMINISTRATORS5801 N BROADWAY EXT STE 303 ATTN: D NEWMANOKLAHOMA CITY, OK 73118- PO BOX 238808

OKLAHOMA CITY, OK 73123-8808

0307 S HARCO NATIONAL INSURANCE 0562 S HARLEYSVILLE INSURANCE COC/O REBECCA CULLINS 355 MAPLE AVE1300 S MERIDIAN STE 323 HARLEYSVILLE, PA 19438-OKLAHOMA CITY, OK 73108-

0398 S HARLEYSVILLE MUTUAL INSURANCE CO 0262 S HARTFORD ACCIDENT & INDEMNITY CO355 MAPLE AVE ATTN: CENTRAL WORKERS COMP CLAIM CENTERHARLEYSVILLE, PA 19438- PO BOX 14471

LEXINGTON, KY 40512-

0263 S HARTFORD CASUALTY INSURANCE CO 0264 S HARTFORD FIRE INSURANCE COCENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

1807 S HARTFORD INS CO OF THE SOUTHEAST 1591 S HARTFORD INSURANCE CO OF ILLINOISATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-



TYPE: INSUR CO


0265 S HARTFORD INSURANCE CO OF THE MIDWEST 1650 S HARTFORD SACRAMENTO INSURANCE COATTN: CENTRAL WORKERS COMP CLAIM CENTER ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

0266 S HARTFORD UNDERWRITERS INSURANCE CO 1603 C HDI GERLING AMERICA INSURANCE COATTN: CENTRAL WORKERS COMP CLAIM CENTER 161 N CLARK ST FLOOR 48PO BOX 14471 CHICAGO, IL 60601-LEXINGTON, KY 40512-

1558 HOUSING AUTHORITY PROPERTY INSURANCE A MUTUAL CO 1823 C HOUSING SPECIALTY INSURANCE COMPANY INCATTN: SARAH RODRIGUEZ C/O EDMUND JOSEPH MALASPINAPO BOX 189 189 COMMERCE COURTCHESHIRE, CT 06410- CHESHIRE, CT 06410-

0284 S HOUSTON GENERAL INSURANCE CO 1313 C HUDSON INSURANCE CO (TRIBES ONLY)ATTN: VIRGINIA MCCARTHY 100 WILLIAM ST FL 5150 ROYALL ST NEW YORK, NY 10038-5044CANTON, MA 02021-

0478 S ILLINOIS NATIONAL INSURANCE CO 1617 C IMPERIUM INSURANCE COC/O WILLIAM PERRINE CBCS INC - AMY DRISCOLLPO BOX 8301 800 MAIN STTULSA, OK 74101-8301 DUBUQUE, IA 52001-

0412 C INDEMNITY INSURANCE CO OF NORTH AMERICA 1559 INDEMNITY NATIONAL INSURANCE COC/O ESIS - BRITTANY HARPER ATTN: MATTHEW TUCKER2001 BRYAN STREET SUITE 3600 4800 OLD KINGSTON PIKEDALLAS, TX 75201- KNOXVILLE, TN 37919-



TYPE: INSUR CO


0278 C INDIANA LUMBERMENS MUTUAL 0421 C INDUSTRIAL UNDERWRITERS2005 MARKET ST STE 1200 C/O ESISPHILADELPHIA, PA 19103-7008 ATTN: CAROL GALLIMORE

225 E JOHN CARPENTER FWY STE 1300IRVING, TX 75062-

0252 C INSURANCE CO OF NORTH AMERICA 0479 S INSURANCE CO OF THE STATE OF PENNC/O ESIS C/O WILLIAM PERRINEATTN: CAROL GALLIMORE PO BOX 8301225 E JOHN CARPENTER FWY STE 1300 TULSA, OK 74101-8301IRVING, TX 75062-

1165 S INSURANCE CO OF THE WEST 1768 C KYLE EDWARDS AUTO GROUP INCATTN: GINA SKOLASKI PO BOX 386PO BOX 85563 CHECOTAH, OK 74426-0386SAN DIEGO, CA 92186-

1408 S LEXINGTON INSURANCE CO 0570 S LIBERTY INSURANCE CORPC/O WILLIAM PERRINE C/O AIMEE TREECEPO BOX 8301 101 N ROBINSON AVE STE 1105TULSA, OK 74101-8301 OKLAHOMA CITY, OK 73102-

1629 C LIBERTY LIFE ASSURANCE CO OF BOSTON 0571 S LIBERTY MUTUAL FIRE INSURANCEC/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-

0572 S LIBERTY MUTUAL INSURANCE CO 1414 C LINCOLN GENERAL INSURANCE COC/O AIMEE TREECE ATTN: KAREN GROFF101 N ROBINSON AVE STE 1105 PO BOX 3709OKLAHOMA CITY, OK 73102- YORK, PA 17402-



TYPE: INSUR CO


1627 C LION INSURANCE CO 1397 S LM INSURANCE CORPATTN: DUSTIN CLARK C/O AIMEE TREECE2739 US HWY 19 101 N ROBINSON AVE STE 1105HOLIDAY, FL 34691- OKLAHOMA CITY, OK 73102-

0573 S LUMBERMENS UNDERWRITING ALLIANCE 1589 S MADISON INSURANCE COATTN: JAMES POIRIER US ADMINISTRATOR CLAIMS - CORD FARRISPO BOX 3061 PO BOX 2005BOCA RATON, FL 33431-3061 OAK RIDGE, TN 37831-

1815 C MAG MUTUAL INSURANCE COMPANY 1365 S MANUFACTURERS ALLIANCE INSURANCE COATTN: JOSEPH L CREGAN C/O GALLAGHER BASSETT SERVICES INCPO BOX 52979 ATTN: STACY GOBLEATLANTA, GA 30355-0979 14000 QUAIL SPRINGS PARKWAY SUITE 3000


1814 C MARKEL AMERICAN INSURANCE COMPANY 0407 S MARKEL INSURANCE COATTN: CHRISTY C TOWNES ATTN: CHRISTY C TOWNES4521 HIGHWOODS PARKWAY 4521 HIGHWOODS PARKWYAGLEN ALLEN, VA 23060- GLEN ALLEN, VA 23060-

0420 C MASSACHUSETTS BAY INSURANCE CO 1501 C MEDICAL ASSURANCE COC/O MICHAEL MANCILLAS ATTN: JEFFREY MANGET5801 N BROADWAY STE 303 PO BOX 590009OKLAHOMA CITY, OK 73118- BIRMINGHAM, AL 35259-0009

0575 S MEDMARC CASUALTY INSURANCE CO 1450 C MEMIC INDEMNITY COATTN: KAREN M MURPHY ATTN: KAREN SCHWARTZ14280 PARK MEADOW DR STE 300 PO BOX 11409CHANTILLY, VA 20151-2219 PORTLAND, ME 04104-



TYPE: INSUR CO


1502 C MENDOTA INSURANCE CO 1464 S MERIDIAN SECURITY INSURANCE COATTN: ANTOINETTE CALLOWAY ATTN: SUSAN PILONPO BOX 64586 PO BOX 390327ST PAUL, MN 55164-0586 MINNEAPOLIS, MN 55439-0327

0453 C MICHIGAN MILLERS MUTUAL INSURANCE CO 0578 S MID CENTURY INSURANCE COC/O STEPHEN STRATTON C/O TAMMY LEE4101 PERIMETER CENTER DR STE 110 PO BOX 108843OKLAHOMA CITY, OK 73112- OKLAHOMA CITY, OK 73101-8843

0579 S MIDDLESEX INSURANCE CO 1818 C MIDSOUTH MUTUAL INSURANCE COMPANYATTN: MARY SWENSON ATTN: BONNIE MOSERPO BOX 8032 PO BOX 1125STEVENS POINT, WI 54481- BRENTWOOD, TN 37027-

1481 C MIDWEST BUILDERS CASUALTY MUTUAL CO 0581 S MIDWEST EMPLOYERS CASUALTY COATTN: MINDY YANCEY C/O MIKAL SOLTYS1100 WALNUT ST STE 3010 14755 N OUTER FORTY DR STE 300KANSAS CITY, MO 64106- CHESTERFIELD, MO 63017-

1448 C MIDWEST INSURANCE CO 1504 S MILFORD INSURANCE CO FKA MILWAUKEE CASUALTY INSURAJOANNA CADLE C/O LISA JOHNSON300 S BRADFORDTON RD PO BOX 94405SPRINGFIELD, IL 62711- CLEVELAND, OH 44101-

1600 C MILWAUKEE CASUALTY INSURANCE CO (UNITRIN ) 1417 C MITSUI SUMITOMO INSURANCE CO OF AMERICAROY DYKES 560 LEXINGTON AVEPO BOX 650771 NEW YORK, NY 10022-DALLAS, TX 75265-



TYPE: INSUR CO


1418 C MITSUI SUMITOMO INSURANCE USA INC 1817 C MONROE GUARANTY INSURANCE COMPANY560 LEXINGTON AVE ATTN: KELLY JENSENNEW YORK, NY 10022- 6300 UNIVERSITY PARKWAY

SARASOTA, FL 34240-

1632 C MONTGOMERY INSURANCE CO 0427 C NATIONAL AMERICAN INSURANCE COC/O AIMEE TREECE ATTN: RICHARD EVANS101 N ROBINSON AVE STE 1105 PO DRAWER 38OKLAHOMA CITY, OK 73102- CHANDLER, OK 74834-

1592 C NATIONAL CASUALTY CO 0583 S NATIONAL FARMERS UNION PROPERTY & CASUALTY COATTN: BRIAN NELSON C/O ONE BEACON NATIONAL WORK COMP CENTER1100 LOCUST ST DEPT 3010 5 TECHNOLOGY DRDES MOINES, IA 50391- MILFORD, MA 01757-

0459 S NATIONAL FIRE INSURANCE CO OF HARTFORD 0282 S NATIONAL INDEMNITY COATTN: ROBERT BILTZ J MICHAEL GOTTSCHALKPO BOX 8317 P O BOX 31361CHICAGO, IL 60680- OMAHA, NE 68131-0361

1245 S NATIONAL INTERSTATE INSURANCE CO 0283 S NATIONAL LIABILITY FIRE & CASUALTYATTN: ALVIN B. TURNER JR. J MICHAEL GOTTSCHALK3250 INTERSTATE DR P O BOX 31361RICHFIELD, OH 44286-0549 OMAHA, NE 68131-0361

0392 S NATIONAL SURETY CORP 0480 S NATIONAL UNION FIRE INSURANCE COC/O FIREMENS FUND INSURANCE C/O WILLIAM PERRINEPO BOX 74014 PO BOX 8301ATLANTA, GA 30374-0174 TULSA, OK 74101-8301



TYPE: INSUR CO


1670 C NATIONS INSURANCE AGENCY 0257 C NATIONWIDE AGRIBUSINESS INSURANCE CO20725 NE 16 AVE ATTN: BRIAN NELSONIVES ESTATES, FL 33179- 1100 LOCUST ST STE 3010

DES MOINES, IA 50391-3010

0586 C NATIONWIDE INSURANCE CO OF AMERICA 0367 C NATIONWIDE MUTUAL INSURANCE COATTN: BRIAN NELSON C/O CORPORATION SERVICE COMPANY1100 LOCUST ST DEPT 3010 10300 GREENBRIAR PLACEDES MOINES, IA 50391-3010 OKLAHOMA CITY, OK 73159-7653

1359 S NETHERLANDS INSURANCE CO 0481 S NEW HAMPSHIRE INDEMNITY COATTN: AIMEE TREECE C/O WILLIAM PERRINE101 N ROBINSON AVE STE 1105 PO BOX 8301OKLAHOMA CITY, OK 73102- TULSA, OK 74101-8301

0482 S NEW HAMPSHIRE INSURANCE CO 1505 C NEW YORK MARINE & GENERAL INSURANCE COC/O WILLIAM PERRINE C/O CCMSIPO BOX 8301 ATTN: LASHAWNA SEARSTULSA, OK 74101-8301 1501 NORTH UNIVERSITY AVE SUITE 767

LITTLE ROCK, AR 72207-

1403 C NIPPONKOA INSURANCE CO LTD 1757 C NORGUARD INSURANCE CO14 WALL ST 8TH FL PO BOX A HNEW YORK, NY 10005- WILKES BARRE, PA 18703-0020

1508 C NORTH AMERICAN ELITE INSURANCE CO 0590 S NORTH AMERICAN SPECIALTY INSURANCE COATTN: EDWARD STYS C/O GALLAGHER BASSETT650 ELM ST ATTN: CARLA TATEMANCHESTER, NH 03103- 14000 QUAIL SPRINGS PKWY #3000




TYPE: INSUR CO


1605 C NORTH DAKOTA WORKFORCE SAFETY & INSURANCE (NLC) 1509 S NORTH POINTE INSURANCE COPO BOX 5585 C/O SEDGWICK CMSBISMARCK, ND 58506-5585 ATTN: KAMMI CORONADO

PO BOX 975SUN PRAIRIE, WI 53950-

0591 S NORTH RIVER INSURANCE CO 0442 S NORTHERN ASSURANCE COC/O MIKE HICKS ATTN: VIRGINIA MCCARTHY2400 LAKESIDE BLVD STE 200 150 ROYALL STRICHARDSON, TX 75082-4341 CANTON, MA 02021-

1510 C NORTHLAND CASUALTY CO 1511 C NORTHLAND INSURANCE COATTN: MICHAEL DOODY ATTN: MICHAEL DOODYPO BOX 64816 PO BOX 64816ST PAUL, MN 55164- ST PAUL, MN 55164-

0593 C NORTHWESTERN PACIFIC INDEMNITY CO 1488 C NOVA CASUALTY COC/O MALCOLM SMITH ATTN: KATHLEEN CAREY5416 S YALE AVE STE 225 5 WATERSIDE XING STE 204ATULSA, OK 74105- WINDSOR, CT 06095-

1827 C O & M TB LLC 1658 C OAK RIVER INSURANCE COMPANY (ORIC)O & M TB LLC BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC)6533 N CLASSEN BLVD ATTN: NICOLE ALBRECHTOKLAHOMA CITY, OK 73116-7309 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-



TYPE: INSUR CO


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-

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-



TYPE: INSUR CO


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

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-



TYPE: INSUR CO


1654 C PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD 1831 C PROSELECT INSURANCE COMPANYC/O THE HARTFORD FINANCIAL SERVICES ANNE SEGGERMANCENTRAL WORKERS COMPENSATION CLAIM CENTER ONE FINANCIAL CENTER 13TH FLPO BOX 14471 BOSTON, MA 02111-LEXINGTON, KY 40512-

0465 S PROTECTIVE INSURANCE CO 1514 C PROVIDENCE WASHINGTON INSURANCE COATTN: DAVID GHESQUIERE ATTN: SUSAN RICHARDSPO BOX 7099 475 KILVERT ST STE 330INDIANAPOLIS, IN 46207- WARWICK, RI 02886-

1594 S QBE INSURANCE CORP 1515 C QUANTA INDEMNITY COC/O SEDGWICK CMS ATTN: JEFFREY J MISZNERATTN: KAMMI CORONADO 40 FULTON STREET 12TH FLOORPO BOX 975 NEW YORK, NY 10038-5085SUN PRAIRIE, WI 53590-

1771 RED ROCK INSURANCE COMPANY 0605 S REDLANDS INSURANCE CO13431 N BROADWAY STE 101A C/O SEDGWICK CMSOKLAHOMA CITY, OK 73114- ATTN: KAMMI CORONADO


1744 C REDWOOD FIRE AND CASUALTY INSURANCE COMPANY 0606 S REGENT INSURANCE CO1314 DOUGLAS ST C/O SEDGWICK CMSOMAHA, NE 68102- ATTN: KAMMI CORONADO




TYPE: INSUR CO


1162 C REPUBLIC FIRE & CASUALTY INSURANCE CO 1163 C REPUBLIC UNDERWRITERS INSURANCE COATTN: EBONY UPSHAW ATTN: EBONY UPSHAWPO BOX 809076 PO BOX 809076DALLAS, TX 75380- DALLAS, TX 75380-

0330 S REPUBLIC WESTERN INSURANCE CO 1517 C RIVERPORT INSURANCE COC/O BARBARA DECOSTA ATTN: JOANNA NG2721 N CENTRAL AVE 1250 E DIEHL ROAD SUITE 200PHOENIX, AZ 85004- NAPERVILLE, IL 60563-

1635 C RLI INSURANCE COMPANY 1518 C ROCKWOOD CASUALTY INSURANCE COPO BOX 3736 654 MAIN STPEORIA, IL 61612-3736 ROCKWOOD, PA 15557-

1519 C RURAL COMMUNITY INSURANCE CO 1789 S RURAL TRUST INSURANCE COATTN: DEBORAH LARSON 6301 IVY LN STE 5063501 THURSTON AVE GREENBELT, MD 20770-6338ANOKA, MN 55303-

0436 S SAFECO INSURANCE CO OF AMERICA 1325 C SAFETY FIRST INSURANCE COC/O AIMEE TREECE 1832 SCHUETZ RD101 N ROBINSON AVE STE 1105 ST LOUIS, MO 63146-OKLAHOMA CITY, OK 73102-

1155 C SAFETY NATIONAL CASUALTY CORP 1257 C SAGAMORE INSURANCE COATTN: JIM GODFREY C/O DAVID GHESQUIERE1832 SCHUETZ RD PO BOX 7099ST LOUIS, MO 63146- INDIANAPOLIS, IN 46207-7099



TYPE: INSUR CO


1631 C SAMSUNG FIRE & MARINE INSURANCE CO LTD USB 1381 S SEABRIGHT INSURANCE CO85 CHALLENGER RD FL 6 ATTN: DAVID CALANDRORIDGEFIELD PARK, NJ 07660-2112 150 2ND AVE N 3RD FLOOR

ST PETERSBURG, FL 33701-

1826 C SEABRIGHT INSURANCE CO (CLEARSPRING) 1613 C SECURA INSURANCE CO55 NE 5TH AVE STE 502 PO BOX 819BOCA RATON, FL 33432-4093 APPLETON, WI 54912-

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-

0372 C SELECT INSURANCE CO 1520 C SENECA INSURANCE COC/O CORPORATION SERVICE CO ATTN: LINDA VITELLARO10300 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-



TYPE: INSUR CO


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

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-



TYPE: INSUR CO


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-

1682 C STARSTONE INS HOLDINGS FKA TORUS NATL INS CO 0625 S STATE AUTO PROPERTY & CASUALTY INSURANCE COC/O ENSTAR US - DAVID J CALANDRO ATTN: SUSAN PILON150 2ND AVENUE NORTH 3RD FL PO BOX 390327ST PETERSBURG, FL 33701- MINNEAPOLIS, MN 55439-0327

0626 S STATE AUTOMOBILE MUTUAL INSURANCE CO 0315 S STATE FARM FIRE AND CASUALTY COATTN: SUSAN PILON C/O CORPORATION SERVICE COMPANYPO BOX 390327 10300 GREENBRIAR PLACEMINNEAPOLIS, MN 55439-0327 OKLAHOMA CITY, OK 73159-7653

1753 C STILLWATER PROPERTY AND CASUALTY INSURANCE CO 1471 S STONETRUST COMMERCIAL INSURANCE COATTN: MARK DAVEY ATTN: ANGELA SANDERS4905 BELFORT RD #110 5615 CORPORATE BLVD STE 700JACKSONVILLE, FL 32256- BATON ROUGE, LA 70808-2557

1525 C STONINGTON INSURANCE CO 1619 S SUNZ INSURANCE COC/O SEDGWICK CMS C/O NEXT LEVEL ADMIN LLC - LISA WAGNERATTN: LISA ZIMMERMAN 1301 6TH AVE W 2ND FLOORPO BOX 975 BRADENTON, FL 34205-SUN PRAIRIE, WI 53590-



TYPE: INSUR CO


1770 C SUSSEX INSURANCE COMPANY 1242 C TECHNOLOGY INSURANCE CO (AMTRUST)ATTN: GAYLE P LEVY ATTN: LISA JOHNSON221 DAWSON ROAD PO BOX 94405COLUMBIA, SC 29223- CLEVELAND, OH 44101-

1260 C THE INSURANCE CO 0631 C TIG INSURANCE COATTN: PAULETTE DAVIS C/O LARRY TAYLOR10451 GULF BLVD 406 S BOULDER STE 410TREASURE ISLAND, FL 33706-4814 TULSA, OK 74103-

0331 S TOKIO MARINE AMERICA INS CO 1459 C TOWER INSURANCE CO OF NEW YORKATTN: KATHY STEPHENS ATTN: BILL HIPSELBERGER900 ASHWOOD PKWY STE 425 200 HUDSON ST STE 800ATLANTA, GA 30338- JERSEY CITY, NJ 07311-1104

1573 C TOWER NATIONAL INSURANCE CO 1586 C TOYOTA MOTOR INSURANCE COATTN: BILL HIPSELBERGER 19001 S WESTERN AVE NF 23200 HUDSON ST STE 800 TORRANCE, CA 90509-JERSEY CITY, NJ 07311-1104

1498 S TRANS PACIFIC INSURANCE CO (NEW ID) 1240 C TRANSGUARD INSURANCE CO OF AMERICA INCATTN: SAL ETERNO C/O CORPORATION SERVICE CO230 PARK AVE 10300 GREENBRIAR PLACENEW YORK, NY 10169-0001 OKLAHOMA CITY, OK 73159-

0463 S TRANSPORTATION INSURANCE CO 0289 C TRAVCOATTN: ROBERT BILTZ C/O CORPORATION SERVICE COPO BOX 8317 10300 GREENBRIAR PLACECHICAGO, IL 60680- OKLAHOMA CITY, OK 73159-



TYPE: INSUR CO


0290 C TRAVELERS CASUALTY & SURETY CO 0291 C TRAVELERS CASUALTY & SURETY OF AMERICAC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653

0293 C TRAVELERS CASUALTY CO OF CONNECTICUT 0292 C TRAVELERS CASUALTY INSURANCE CO OF AMERICAC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653

0294 C TRAVELERS COMMERCIAL INSURANCE CO 0295 C TRAVELERS HOME & MARINE INSURANCE COC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653

0296 C TRAVELERS INDEMNITY CO 0297 C TRAVELERS INDEMNITY CO OF AMERICAC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653

0298 C TRAVELERS INDEMNITY CO OF CONNECTICUT 0300 C TRAVELERS INDEMNITY CO OF MISSOURIC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653

0301 C TRAVELERS INSURANCE CO 0299 C TRAVELERS PROPERTY & CASUALTY CO OF AMERICAC/O CORPORATION SERVICE CO C/O CORPORATION SERVICE CO10300 GREENBRIAR PLACE 10300 GREENBRIAR PLACEOKLAHOMA CITY, OK 73159-7653 OKLAHOMA CITY, OK 73159-7653



TYPE: INSUR CO


1643 C TRI STATE INSURANCE COMPANY OF MINNESOTA 1324 S TRIANGLE INSURANCE COATTN: JOANNA NG ATTN: MELANIE PRENTICE1250 E DIEHL ROAD, SUITE 2300 PO BOX 1719NAPERVILLE, IL 60563- LITTLE ROCK, AR 72203-

1729 S TRIUMPHE CASUALTY COMPANY 0635 S TRUCK INSURANCE EXCHANGEC/O COMMERCIAL INSURANCE SERVICES C/O TAMMY LEEPO BOX 25928 PO BOX 108843OKLAHOMA CITY, OK 73125-0928 OKLAHOMA CITY, OK 73101-8843

1621 S TRUMBULL INSURANCE CO 0268 S TWIN CITY FIRE INSURANCEATTN: CENTRAL WORKERS COMP CLAIM CNTR ATTN: CENTRAL WORKERS COMP CLAIM CENTERPO BOX 14471 PO BOX 14471LEXINGTON, KY 40512- LEXINGTON, KY 40512-

0309 S UNION INSURANCE CO 1797 C UNION INSURANCE COMPANY OF PROVIDENCEATTN: SUZANNE RICHARDSON C/O EMC INSURANCE, BARNES G KELLEYPO BOX 152180 PO BOX 712IRVING, TX 75015- DES MOINES, IA 50306-0712

0483 C UNITED STATES FIDELITY & GUARANTY CO 0640 S UNITED STATES FIRE INSURANCE COC/O CORPORATION SERVICE CO ATTN: MIKE HICKS10300 GREENBRIAR PLACE 2400 LAKESIDE BLVD STE 200OKLAHOMA CITY, OK 73159- RICHARDSON, TX 75082-

1428 C UNITED WISCONSIN INSURANCE CO 1527 C UNIVERSAL CASUALTY COACCIDENT FUND HOLDINGS INC - NELLIE OSOWSKI 150 NW POINT BLVDPO BOX 40790 ELK GROVE VILLAGE, IL 60007-LANSING, MI 48901-7990



TYPE: INSUR CO


0323 S UNIVERSAL UNDERWRITERS INSURANCE CO 1799 C US FIRE INS COC/O ZURICH CLAIMS 305 MADISON AVENUEATTN: TANYA GROOVER MORRISWTOWN, NJ 07960-PO BOX 968023SCHAUMBURG, IL 60196-

1413 C US SPECIALTY INSURANCE CO 0426 C UTICA MUTUAL INSURANCE CO13403 NW FRWY ATTN: SANDY GIEHLHOUSTON, TX 77040- PO BOX 5310

BINGHAMTON, NY 13902-

1606 C UTICA NATIONAL ASSURANCE CO 0464 S VALLEY FORGE INSURANCE CO180 GENESEE ST ATTN: ROBERT BILTZNEW HARTFORD, NY 13413- PO BOX 8317

CHICAGO, IL 60680-

0396 S VANLINER INSURANCE CO 1743 C VANTAPRO SPECIALTY INSURANCE COMPANYATTN: ALVIN B TURNER JR C/O MARLENE MOURAD3250 INTERSTATE INSURANCE COMPANY 1690 NEW BRITAIN AVE STE 101RICHFIELD, OH 44286- FARMINGTON, CT 06032-

0642 C VIGILANT INSURANCE CO 0644 C VIRGINIA SURETY COC/O MALCOLM SMITH C/O JEFF DASOVICH5416 S YALE AVE STE 225 11914 N PENN AVE STE B4TULSA, OK 74135- OKLAHOMA CITY, OK 73120-

1528 C WASHINGTON INTERNATIONAL INSURANCE CO 0645 S WAUSAU BUSINESS INSURANCE COATTN: EDWARD STYS C/O AIMEE TREECE475 N MARTINGDALE RD 101 N ROBINSON AVE STE 1105SCHAUMBURG, IL 60173- OKLAHOMA CITY, OK 73102-



TYPE: INSUR CO


0431 S WAUSAU UNDERWRITERS INSURANCE CO 1529 C WESCO INSURANCE CO (AMTRUST)C/O AIMEE TREECE ATTN: LISA JOHNSON101 N ROBINSON AVE STE 1105 PO BOX 94405OKLAHOMA CITY, OK 73102- CLEVELAND, OH 44101-

0348 S WEST AMERICAN INSURANCE CO 0428 C WESTCHESTER FIRE INSURANCEC/O AIMEE TREECE C/O ESIS101 N ROBINSON AVE STE 1105 ATTN: CAROL GALLIMOREOKLAHOMA CITY, OK 73102- 225 E JOHN CARPENTER FWY STE 1300

IRVING, TX 75062-

1759 C WESTCO INSURANCE 1530 C WESTERN AGRICULTURAL INSURANCE COWESTCO INSURANCE ATTN: CONNIE T DRESEN420 MAPLE 5400 UNIVERSITY AVEYUKON, OK 73099- WEST DES MOINES, IA 50266-

1566 C WESTERN NATIONAL ASSURANCE CO 1422 S WESTFIELD INSURANCE COPO BOX 1463 C/O BROADSPIRE SERVICES INCMINNEAPOLIS, MN 55440- ATTN: DEBRA GLOVER

5901 COLLEGE BLVD STE 275OVERLAND PARK, KS 66211-

1824 S WESTFIELD NATIONAL INS 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



TYPE: INSUR CO


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


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

Records printed: 437


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Date: 01/02/2018 OKLAHOMA WORKERS' … c argonaut great central insurance co 0361 c argonaut insurance co ... 01/02/2018 oklahoma workers' compensation commission and court of existing