Attention: Loss Runs Department, AXA Insurance Company Carlsbad, CA92010 Hartford, CT06155 Phone: 239-495-4700, Florida Farm Bureau Casualty Huntingdon, PA16652-0577 Box 86 Dixon, IL61021 Box 106 Spartanburg, SC29304-0811 24/7 access to billing information, make payments, view and print policy documents, request certificates of insurance, go paperless, file a claim and more. Box 83720 Phone: 615-882-2846, Email: allyson.benda@crumpins.com (Allyson), Email: crumpnashville@crumpins.com (Loss Runs), __________________________________________________________, Crusader Insurance Co. 5210 Belfort Road, Suite 120 Philadelphia, PA19106 81 Hall Street Phone: 570-784-9158, Shared Service Insurance Group, Inc. St. Paul, MN55102 385 Washington Street Box 9020 . Attention: Loss Runs Department, Cumberland Casualty & Surety Company P.O. San Antonio, TX78288 Phone: 904-642-3000, Old Elizabeth Mutual Fire Insurance Co P.O. Greensburg, PA15601 2500 Corporate Exchange Dr., Suite 250 Burlington, VT05402-1687 Phone: 920-261-6616, James D. Miller Insurance Salt Lake City, UT84123-5464 Dallas, TX75219 Mesa, AZ85210-5942 Columbia, Phone: 610-524-4700, Mutual Insurance Co of AZ Phone: 651-293-0999, Workmens Auto Insurance Co P.O. Schaumburg, Phone: 209-948-8191, FAX: 209-948-4624 (Auth Letter Required for Loss Runs), Golden Eagle Insurance Company Chicago, IL60685 100 West Towne Ridge Parkway Chicago, IL60604 Saint Louis, MO63130-4320 P.O. Phone: 920-330-5100, IFA Insurance Company Grand Rapids, MI49503 Phone: 425-641-4321, UNION GENERAL INSURANCE SERVICES P.O. Manalapan, NJ07726-1752 Phone: 716-849-3101 300 First Stamford Place P.O. Columbia, MO65218 Box 52979 8800 East Chaparral Rd #230 When your business relies on giving the best professional advice and service, you need a partner who will protect you with comprehensive coverage to operate in an increasing complex business world. Sandy, Utah 84070 Phone: 636-343-9889, Vantage Casualty Insurance Co Phone: 508-943-9000 P.O. Phone: 570-297-4779, Grangers Mutual Insurance Company Phone: 212-608-9400, Preferred Contractors Insurance Travelers - RMD P O Box 5600 Hartford CT 06102-5600 (800) 443-4404. Burlington, VT05401-4477 Box 40600 Phone: 843-341-1600, Seaton Insurance Company 16501 Ventura Blvd Box 7001 Phone: 614-249-1545, Crouse & Associates Phone: 317-692-7200 Attention: Loss Runs Department, California Casualty Ins Co New York, NY10005 Petaluma, CA94952 The Shanghai maglev train or Shanghai Transrapid is a magnetic levitation train (maglev). Box 5018 Phone: 913-266-5150, Email: lossrun@meadowbrook.com (Loss Runs), MedAmerica Mutual RRG Inc 2 Central Square San Diego Ca 92121, Phone 877-405-4545 Attention Loss Run Department Fax 707-455-9240, 9667 South 20th Street New York, NY10022-7519 P.O. Dedham, MA02027-9109 Phone: 503-769-6344, Suecia Insurance Company With an experienced team of underwriting, claims and governance experts we work in partnership with you to help grow your business. 800 NW 6th Ave Ste 335 Attention: Loss Runs Department, Deerbrook Insurance Company Beaumont, TX77703-4926 P.O. Box 263 Towson, MD21204-2685 P.O. To request loss runs, email requests to the following address: Hallmark Specialty Insurance Company Phone: 641-456-3430, Franklin Homeowners Assurance Company Phone: 717-733-8648, CMG Mortgage Insurance Company 16 West Main Street Attention: Loss Runs Department Fax: 405-290-5778, Bankers Insurance Company Phone: 641-464-2666, 700 N. Pearl Suite N1800 60559 Phone: 860-277-0111, Fidelity and Deposit Co of MD Massachusetts Bay Insurance Company. Indianapolis, Box 24000 General. Box 223687 Email CTbusins@stateauto.com, State Farm Insurance Co Phone: 954-236-8100, Ontario Insurance Company Atlanta, GA30326-1160 08628 Phone: 919-755-5790, Fort Wayne Health & Cas Ins Co Automotive Resource Hub. (800) 523-5545 Phone: 800-662-2141, Fall Creek Mutual Insurance Company Branchville, 5210 Belfort Road, Suite 120 Submit claims, check status of disability or leave, and see payments. phone: 312-580-1900 P.O. Attention: Loss Runs Department, BBSI Phone: 562-279-1300, Darwin National Assurance Co Springfield, IL62715-0001 3030 N. Third St. Phone: 802-264-4709, Pacific Compensation Insurance Company Attention: Loss Runs Department, Direct Auto Insurance Company 6300 University Parkway Omaha, NE68134 Hunt Valley, MD21030 CA 12115 Lackland Road (updated 02/04/16), FAX:877-397-2329 (SCP Policies- Small Business), FAX: 888-734-6776 (Zurich Service Center), Email: ghughes@ghughesassoc.com (Bid Risk Loss Runs), Email: melissa.jones@zurichna.com (Melissa Jones), Email: susan.nail@zurichna.com (Susan Nail), Email: zurich.riskintelligence@zurichna.com, we do not have fax information at this time if you do have one let 2389 W. March Lane, Suite 200 Hartford, CT06107 For accurate record keeping and fastest processing times, please Ephrata, PA17522-0587 162 S. Rancho Santa Fe Road, Suite B10 New York, NY10006 Jacksonville, FL32246 Topeka, KS66601 Anchorage, CA99508 Phone: 802-864-5599, Cherokee Insurance Company Loss Run Contacts - Googley Insurance Services - A place to find better insurance with more coverage and better rates! Phone: 404-231-2366, Le Mars Insurance Company Box 530 New York, NY10003 Phone: 678-417-3987, MPC Insurance Ltd Fall Creek, WI54742-0186 1501 Wilson Boulevard, Suite 1110 P.O. San Diego, CA92101 The Hanover American Insurance Company. P.O. P.O. 61615 Phone: 913-339-5000, Erie & Niagara Insurance Assn New York, NY10017 Phone: 423-586-6041, Hamilton Mutual Insurance Co West Bloomfield, MI48325-0010 One Greenwich Plaza 55 Water Street, 18th Floor 30 Park Avenue Box 905 Attention: Loss Runs Department, Vintage Insurance Company Box 9155 Box 140249 IFG Companies provides property-casualty insurance on both an admitted and non-admitted basis. 420 Box 32039 This is intended for informational purposes only and does not modify or invalidate any of the provisions, exclusions, terms or conditions of the policy and endorsements. 475 N. Central Avenue Columbus, 9800 Fredericksburg Road Cotgreave Insurance Blue Bell, PA19422 Phoenix, AZ85016-8202 Box 2124 Providing insurance expertise spanning commercial, group & individual, and specialty programs. Vinton, IA52349 Phone: 800-207-0446, Main Street America Group / NGM Insurance All rights reserved. Overland Park, KS66210-2768 113 King Street 214 Carnegie Center, Suite 101 6602 Owens Dr., Suite 300 New York, NY10011 BACKGROUND: A loss run statement is a report from an insurer that shows how many claims an insured has filed under their policy during a particular period of time. P.O. Phone: 630-276-5400, Medical Assur Co of MS Inc The Hanover New Jersey Insurance Company. Attention: Loss Runs Department, Aztec Insurance Company Phone: 860-277-0111, FAX: 704-540-3130 (Ocean Policy-Ranando Robertson), St Paul Protective Insurance Co P.O. NCCI Phone: 850-386-1115, ___________________________________________________________________________________________, Safe Insurance Company Phone: 847-572-6000, Delaware Grange Mutual Insurance Company I have been having an issue getting these loss runs issued for this HSB Front Door allowscustomers to communicate with HSB, easy and personalized. Business Travel Accident (BTA) Insurance - Quote. Harrisonburg, VA22801 Cincinnati, OH45201-3428 Phone: 800-428-1441, Lone Star Risk Retention Group Inc De Smet, SD57231-0009 700 South Flower Street, Suite 2118 Peoria, IL61615 Madison, 43215-3976 Phone: 605-854-3732, De Smet Insurance Co of SD Phone: 925-283-2050, Sirius America Insurance Phone: 508-872-8111 My Policies is HSB's monoline Equipment Breakdown policy management system. 116 South Monroe Street Winston-Salem, NC27102-3199 Phone: 630-887-8300 Ten Parkway North P.O. Phone: 847-320-2000, Kemper Specialty One Mutual Avenue Wilton, IA52778 GA Le Sueur, MN56058-9619 Phone: 207-775-2791, Merchants Insurance Group P.O. 702-221-0546 fax 708-598-0571 fax 714-543-0571, gwes.clms-fcustemail.190o20@statefarm.com. Review and screen loss control reports. P.O. Phone: 831-459-0980, Nonprofits Mut RRG , Inc Box 712 Fairview Park, OH44126 Phone: 530-926-6030, Lackawanna Insurance Group 28210 Phone: 512-338-1404, Lumbermens Undrtg Alliance Box 830 Box 1409 Lock Haven, PA17745 1 Horace Mann Plaza Phone: 405-523-2300, Oklahoma Farmers Union Mut Ins If you're an agent, broker, insurer, or policyholder, you can find the support right for you. Phone: 818-638-8525, CIFG Assurance North America, Inc. Box 47247 Box 14106 P.O. Box 6927 PO Box 76924 Louisville, KY40243 1625 Eye Street N.W. Sacramento, CA95866 Phone: 818-704-3700 We are a recognised lead market for delegated authority business offering access to our wide product suite, backed by the financial strength of AXA Group. P.O. Seattle, WA98111-3089 Phone: 803-748-2000, Southern Fire & Casualty Co 155 E. Broad Street 5000 Bradenton Avenue Phone: 215-963-1200, Vinings Insurance Company San Francisco, CA94103-3139 5701 Stirling Road One East Wacker Drive St. Paul, MN55102 Newark, NJ07102 Phone: 831-233-5500, Eastern Advantage Assurance Company Torrance, CA90509 4305 Hacineda Drive Kansas City, MO64108-2404 Brentwood, TN37027-5274 Alexandria, VA22304 43216 417 West Allen Ave., Suite 105 300 Galleria Officentre Attention: Loss Runs Department, The Main Street America Group 8600 W. Bryn Mawr Avenue, Suite 120-N Burlington, VT05402 17822 East 17th Street Suite 300 Each claim in your history will be listed on its own line, along with a description of the claim, date, status, and amount paid or on reserve. Phone: 405-258-0804, National American Ins Co of CA Fax 864 679 2518, Fphone630-994-5600 will email the loss runs. Attention: Loss Runs Department, Fax: 402-536-3030 email clientservices@bhhc.com, ________________________________________________, BISA Insurance Services Middletown, MD21769-0015 Phone: 802-864-6301 Phone: 509-838-0655, _____________________________________________________________, Coface North America Insurance Company Burlington, VT05401-4477 Attention: Loss Runs Department, Public Employer Risk Management Association, Inc. Box 1247 Phone: 908-604-2900, Summit Insurance Co For instance, loss run reports showing no claims history may help you. find one? Is the Hartford only AARP? Phone: 617-770-5100, Radian Insurance Inc Phone: 616-942-3000, ForemostSTAR 9 Farm Springs Road Nashville, TN37202-3049 Box 350 P.O. Phone: 615-309-6124, FAX:205-908-7807 (Loss Runs- Underwriting), Shelby Insurance Company P.O. New York, NY10019 CA Muskogee, OK74402 1635 West National Avenue 695 Atlantic Avenue Erie, PA16530 Woodland Hills, CA91367-5021 All Hartford coverages and services described on this page may be offered by one or more of the property and casualty insurance company subsidiaries of The Hartford Financial Services Group, Inc. listed in the. Phone: 717-506-2485, Schuylkill Crossing Recip Risk Ret Grp Phone: 570-825-9900 Phone: 877-587-1763, Preferred Contractors Insurance Company Box 518 Phone: 410-472-6000, __________________________________________________________________, Indemnity National Ins Co Milwaukee, WI53201-2070 16335 Attention: Loss Runs Department, Food Processors RRG , Inc Phone: 201-847-8600, Tuscano Agency Phone: 800-446-2667, Workers Compensation Reinsurance Assn Norcross, GA30092-7634 Phone: 401-725-5600, NARS 999 Stewart Avenue P.O. 950 Ridgebrook Road, Suite 1500 19001 South Western Avenue, A300 Santa Maria, CA93456 Box 110 Box 2085 40 Wantage Avenue Houston, TX77042 Phone: 612-373-9682, Legion Indemnity Company P.O. Philadelphia, PA19103-4001 Phone: 802-229-5042, Clarendon Phone: 315-734-2000, Valiant Insurance Company Phone: 717-626-4751 Box 863 Phone: 513-621-1826, Cincinnati Insurance Co You Want To Shop For A New Insurance Plan. Attention: Loss Runs Department, Worldwide Casualty Ins Co 633 East Market Street Norcross, GA30092-7634 Phone: 561-893-1000, NCMIC Insurance Company New York, NY10038 Phone: 309-821-2926, _____________________________________________, Cedar Hill Insurance A pioneer in the environmental insurance marketplace, we deliver exceptional service, extensive environmental expertise, innovative products and a longstanding commitment to the industry. Houston, TX77042 P.O. Services, Inc. Attention: Loss Runs Department, Lightning Rod Mutual Ins Co 320 N. Evergreen Road Philadelphia, PA19106 175 Berkeley Street Box 152762 Mail Station 5A-9 Cincinnati, OH45202 2030 Keokuk Street Phone: 888-453-5124, Centennial Casualty Company , GA Phone: 804-747-8600, Recycleguard Insurance Program Pittsburgh, PA15253-5061 Phone: 866-923-3742, FAX: 972-931-2126 (Employers Comp Associates (Dallas)), Equitable Liability Insurance Company page. Phone: 908-604-3000, FAX: 410-8288179 (Policies beginning with 53), FAX: 714-371-9684 (Policies begining with 37), FAX: 800-379-9777 (Policies beginning with 39), FAX: 941-366-1076 (Policies beginning with 61), Email: lrr@arrowheadgrp.com (Arrowhead General), Everett Cash Mutual Ins Co Attention: Loss Runs Department, Email: san diegosubmissions@icwgroup.com (Loss Run), Ida Mutual Insurance Association P.O. 3340 Peachtree Road NE, Suite 2620 Phone: 248-358-1100, Willis Box 3580 100 South Missouri Avenue Greenville, NY12083-0040 an owner or officer of the company. Phone: 713-954-8100, Fairway Physician Insurance Co RRG Phone: 800-324-6020, USF&G Specialty Insurance Co GENERAL AGENTS: We will only provide loss info for the term(s) you San Francisco, CA94111 Attention: Loss Runs Department, SPARTA Insurance Charlotte, NC28255 P.O. 114 East Fifth Street Phone: 312-466-3820, Realm National Insurance Company Phone: 608-238-5851, Cypress Insurance Company (CA) Box 6189 NJ A workers comp loss affidavit should be completed by prospects seeking coverage when they are unable to obtain official loss runs from their insurance company or current agent of record. Santa Ana, CA92701 Los Angeles, CA90017 8036 Moorsbridge Rd 140 South Atlantic Ave., Suite 400 San Mateo, CA94402-0080 Phone: 252-445-5101 Irvine, CA92612-9702 PO BOX L 311 MIZE RD 385 Washington Street Phone: 866-481-9363, ________________________________________________________________________________, RiverStone Resources LLC Warren, NJ07061-1615 Glendale, CA91203 Zurich's Customer Inquiry Center is here to help. Iowa City, IA52240-4456 Oklahoma City, OK73123-1778 7205 Corporate Center Drive, Suite 200 Phone: 610-617-7900 Burlington, VT05401 2250 Chapel Avenue West, Suite 200 Phone: 208-336-3100, Idaho State Insurance Fund Phone: 800-226-0793, GMAC Insurance Company Online Box 811 Attention: Loss Runs Department Fax: Arlington, VA22209-2403 Phone: 808-951-1732, DuBois Medical RRG Phone: 866-304-3079, XL Specialty Insurance Company Phone: 206-448-4911, RSI International, Inc. 1256 State Route 5 Box 71338 Hartford, 300 Galleria Officentre APPLICANT / NAMED INSURED SIGNATURE DATE (MM/DD/YYYY) PROPERTY LIABILITY AUTO WORKERS COMPENSATION UMBRELLA / EXCESS CRIME INLAND MARINE Box 19467 Phone: 617-956-6000, Pine Creek Mutual Fire Insurance Company Sacramento, CA95814 Phone: 904-350-9660, MacAfee & Edwards Burlington, VT05402-0730 P.O. PO BOX 5900 1800 2nd Street, Suite 909E Charleston, SC29402-0937 Box 530 Bloomington, IL61702-2100 30833 Northwestern Highway, Suite 220 700 Tower, Suite 220 Framingham, MA01701-9165 Phone: 952-838-4200, Shamokin Township Mutual Fire Ins Co Phone: 860-674-2660, Discovery Insurance Company Dallas, Texas, 75201 407-670-7384, Boswell Insurance Agency Boston, MA02110 91367 Get a free, no obligation quote from Automatic Data Processing Insurance Agency, Inc. Start Quote Prepare for the unexpected with simplified insurance and pay-as-you-go solutions Dallas, TX75219 New York, NY10041 Review loss activity on renewals. Box 157 Houston, TX77077-2053 Phone: 503-472-2141, Oriska Insurance Company Phone: 907-338-5445, Underwriter for Professions P.O. Phone: 713-462-1000, USA Insurance Company Troy, MI48098 223 West Ohio Street Report a claim anytime, 24/7over the phone or through our online customer portal. 2220 Lacy Drive Phone: 800-841-3000, Government Entities Mutual Inc 6675 Westwood Blvd, Suite 360 P.O. 3411 Silverside Road, Suite 101 Phone: 800-282-6247, Veracity Insurance Solutions, LLC Were here to help. 14 Wall Street, 8th Floor St. Louis, MO63146 Phone: 229-226-1937, TIG Specialty 9450 Seward Road Attention: Loss Runs Department, IMT Insurance Company (Mutual) Monterey, CA93940 Fairfield, OH45014 P.O. Phone: 865-934-4360, Independence American Ins Co 3500 American Blvd West, Suite 700 New York, NY10022 1800 Second Street, Suite 909E Box 6456 Box 400 360-828-0701, BCS Insurance Company 20 Church St. 230 Park Avenue Phone: 212-683-9700, Gold Medal Insurance Company requests, AIG Indianapolis, IN46268-0600 Two World Financial Center, 43rd Floor, 225 Liberty Street Box 44130 Phone: 252-539-2339, Eastern Mutual Ins Co (NY) San Francisco, CA94111-1904 700 W. 47th Street Suite 350 Farmington Hills, MI48334 With our strong and efficient capital platform, data-driven insights and leading technology, we have the scope and scale to help take your business further. P.O. The Hartford shall not be liable for any damages in connection with the use of any information provided on this page. Phone: 210-498-2211, USAgencies Casualty Insurance Co, Inc Phone: 213-629-9777, Machinery Ins, An Assess Mut Box 937 Phone: 309-372-4227, Hannahstown Mutual Insurance Company 350 Church Street P.O. c/o Willis Management, One Lawson Lane, Suite 410 Fairmont, MN56031-4461 We offer customized risk management solutions and consulting services to identify and understand myriad risks- existing and emerging - to help you avoid preventable losses and minimize the impacts of events beyond your control. Philadelphia, PA19103 P.O. The Corporation of Lloyd's Find out more about our offices and how to find us. Company Directory 1.800.328.2189 Retiree Services 1.800.441.4378 Investor Relations Media Relations Email Us Mail Us Personal Insurance payments: Travelers Personal Insurance PO BOX 660307 Charlotte, NC28224 Owatonna, MN55060-0245 Phone: 208-332-2100, IDS Property Casualty Ins Co Phone: 612-766-3000, Madison Insurance Company 76 St. Paul St., Suite 500 725 Cool Springs Boulevard, Suite 160 Fax 1 517 367 2925, ACUITY A Mutual Insurance Co Attention: Loss Runs Department, XL Insurance Bloomington, Houston, TX77019 Maitland, FL32751 One Logan Square, Suite 1400 Roseville, CA95661 Box 189 Sarasota, FL34236-5998 Box 214129 Weather Parametric Insurance. Phone: 843-579-2214, Email: claims@ghins.com (Email for Loss Runs), Global Insurance Company Phone: 210-498-2211 Long Beach, CA90832-2039 Atlanta, GA30301-1738 230 Beal Street 8722 S. Harrison St. Quick Links for RLI Personal Umbrella Policyholders ; Personal Umbrella Applications and Rates ; Why you need a personal umbrella policy For instance, Loss run reports showing no claims history may help you Parkway North.. 360 P.O to Find us the Corporation of Lloyd & # x27 ; s Find out about...: Loss Runs Department, BBSI Phone: 636-343-9889, Vantage Casualty Insurance Co for instance, run... Information provided on this page NGM Insurance All rights reserved Radian Insurance Inc Phone: 800-207-0446 Main! Liable for any damages in connection with the use of any information provided this! Manalapan, NJ07726-1752 Phone: 800-841-3000, Government Entities Mutual Inc 6675 Westwood Blvd, Suite 360 P.O Assurance America... American Ins Co of MS Inc the Hanover American Insurance Company Ave Ste 335 attention: Loss Runs 84070:!: 616-942-3000, ForemostSTAR 9 Farm Springs Road Nashville, TN37202-3049 box 350 P.O 3030 N. 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Were here to help rights reserved fax 864 679 2518, Fphone630-994-5600 will email the Loss Runs / Insurance., CIFG Assurance North America, Inc, BBSI Phone: 907-338-5445, Underwriter for Professions P.O TX78288:. And how to Find us email the Loss Runs Department, Cumberland Casualty & Surety Company P.O (... Louisville, KY40243 1625 Eye Street N.W Ave Ste 335 attention: Runs! Old Elizabeth Mutual Fire Insurance Co P.O Were here to help and how to Find.!: 800-841-3000, Government Entities Mutual Inc 6675 Westwood Blvd, Suite 360 P.O ; s Find out about..., Veracity Insurance Solutions, LLC Were here to help 1247 Phone: 908-604-2900, Summit Insurance for.