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 />
885 01/01/88 PORTERCARE ADVENTIST HEALTH Ms. Stacy Ross Mr. Richard Osborn<br />
SYSTEM State Director Director, Risk Management<br />
CCMSI<br />
PorterCare Adventist Health System<br />
7600 East Orchard Road, #360N 2525 South Downing Street<br />
P. O. Box 4998 (80155-4998) Denver, CO 80210-5876<br />
Canceled effective midnight 1/31/09 Greenwood Village, CO 80111-2518<br />
In Adventist Health Systems effective 2/1/09 OFFICE: 303-804-2032 OFFICE: 303-778-2538<br />
FAX: 303-804-2005 FAX: 303-778-5295<br />
EMAIL: sross@ccmsi.com<br />
EMAIL: richardosborn@centura.org<br />
897 01/01/87 POUDRE SCHOOL DISTRICT R-1 Ms. Stacy Ross Ms. Kristin Bennett<br />
State Director<br />
Benefits Manager<br />
§8-42-124 CCMSI Poudre School District R-1<br />
7600 East Orchard Road, #360N 2407 LaPorte Avenue<br />
P. O. Box 4998 (80155-4998) Ft. Collins, CO 80521-2297<br />
Greenwood Village, CO 80111-2518<br />
A1 OFFICE: 303-804-2032 OFFICE: 970-490-3627<br />
FAX: 303-804-2005 FAX: 970-490-3529<br />
EMAIL: sross@ccmsi.com<br />
EMAIL: kbennett@psdschools.org<br />
Kathy Lindgren<br />
871 04/01/89 POUDRE VALLEY HEALTH CARE, INC. Vicky Roden Diane M Gross<br />
CCMSI<br />
Associate General Counsel<br />
Original 7600 East Orchard Road, #360N Poudre Valley Health System<br />
Anniversary P. O. Box 4998 (80155-4998) 2315 Harmony Rd Suite 200<br />
Date: 01/01/89 Mr. Gary Swenson till 12/31/08 Greenwood Village CO 80111-2518 Ft. Collins, CO 80528-3929<br />
Director 303-804-2031<br />
Support Services, Inc. 217-477-3007 Fax OFFICE: 970-237-7030<br />
7335 East Orchard Road, Suite 200 FAX: 970-237-7094<br />
Greenwood Village, CO 80111-2518 vroden@ccmsi.com EMAIL: dmg5@pvhs.org<br />
OFFICE: 720-489-9300<br />
FAX: 720-489-1166<br />
EMAIL: gary.swenson@cha.com<br />
All SI period claims adjusted by CCMSI<br />
Page 27 6/22/2009
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