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 />
843 01/01/92 PRECISION CASTPARTS CORPORATION - CLAIMS 01/01/06 & FORWARD<br />
ADVANCED FORMING TECHNOLOGIES<br />
Ms. Debbie Baird<br />
Ms. Mim Duffy<br />
Sedgwick CMS<br />
Human Resources Manager<br />
7400 East Orchard Road, Suite 4015 Precision Castparts Corporation -<br />
P. O. Box 5107 (80155-5107) Advanced Forming Technologies<br />
Greenwood Village, CO 80111-2518 7040 Weld County Road 20<br />
Longmont, CO 80504-9423<br />
OFFICE: 303-713-6010 OFFICE: 303-833-6012<br />
800-507-9656 FAX: 303-833-6440<br />
FAX: 303-713-6056<br />
EMAIL: mduffy@pcc-aft.com<br />
EMAIL: dbaird@sedgwickcms.com<br />
CLAIMS PRIOR TO 01/01/06<br />
Mr. Wes Johnson<br />
ESIS<br />
P. O. Box 911<br />
Portl<strong>and</strong>, OR 97207-0911<br />
OFFICE: 503-598-1477<br />
FAX: 503-431-6811<br />
EMAIL: Wesley.Johnson@esis.com<br />
494 01/01/97 PRINCIPAL FINANCIAL GROUP, INC. Mr. Steve C. Jones Ms. Lori Diercks<br />
Claim Analyst<br />
Assistant Claim Manager<br />
Principal Financial Group, Inc.<br />
Principal Financial Group, Inc.<br />
711 High Street 711 High Street<br />
Des Moines, IA 50392-2040 Des Moines, IA 50392-2040<br />
OFFICE: 515-248-2274 OFFICE: 515-247-6761<br />
FAX: 866-496-6524 FAX: 866-496-6524<br />
EMAIL: Jones.Steve.C@principal.com<br />
EMAIL: diercks.lori@principal.com<br />
Page 28 6/22/2009
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