Self insured list - Colorado Department of Labor and Employment
Self insured list - Colorado Department of Labor and Employment
Self insured list - Colorado Department of Labor and Employment
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SELF INSURED LIST<br />
PERMIT<br />
ANNIVERSARY<br />
DATE NAME OF PERMIT TPA OR LOCAL PERMIT HOLDER<br />
811 08/01/95 HYATT CORPORATION Ms. Cynthia Tucker Ms. Kelly Wasilewski<br />
Branch Manager<br />
Director, Risk Management<br />
Gallagher Bassett Services, Inc.<br />
Administration<br />
P. O. Box 4068 Hyatt Corporation<br />
Englewood, CO 80155-4068<br />
71 South Wacker Drive, 14th Floor<br />
Chicago, IL 60606-4637<br />
OFFICE: 303-796-9494, x201 OFFICE: 312-780-5509<br />
FAX: 303-796-9498 FAX: 312-780-5284<br />
EMAIL: cynthia_tucker@gbtpa.com<br />
EMAIL: kelly.wasilewski@corphq.hyatt.com<br />
853 07/01/91 INTERNATIONAL PAPER COMPANY Ms. Courtney Thomas Ms. Penny Humphrey<br />
Examiner<br />
WC Insurance Administrator<br />
Sedgwick CMS<br />
International Paper Company<br />
500 North Akard Street, Suite 2200 6400 Poplar Avenue, Tower 3<br />
Dallas, TX 75201-3302 Memphis, TN 38197<br />
OFFICE: 214-849-5018 OFFICE: 901-419-3938<br />
FAX: 214-849-5201 FAX: 901-419-3940<br />
EMAIL: cathomas@sedgwickcms.com<br />
EMAIL: penny.humphrey@ipaper.com<br />
875 01/01/89 JEFFERSON COUNTY Linda Mitchell Linda Mitchell<br />
Workers' Compensation Analyst<br />
Benefits & Workers' Compensation Manager<br />
§8-42-124 Jefferson County Human Resources<br />
3500 Illinois Street, Suite 2500 Jefferson County<br />
Golden, CO 80401-6023 3500 Illinois Street, Suite 2500<br />
Golden, CO 80401-6023<br />
OFFICE: 303-271-8430 OFFICE: 303-271-8405<br />
FAX: 303-271-8442 FAX: 303-271-8442<br />
EMAIL: twise@jeffco.us<br />
EMAIL: lmitchl@jeffco.us<br />
lmitchl@jeffco.us<br />
303-271-8430<br />
Page 19 6/22/2009
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