Self insured list - Colorado Department of Labor and Employment

More documents

Recommendations

Info

SELF INSURED LIST PERMIT ANNIVERSARY DATE NAME OF PERMIT TPA OR LOCAL PERMIT HOLDER 822 04/30/93 VALERO ENERGY CORPORATION Ms. Alison Collier Mr. Theodore Guidry II CCMSI Executive Director 7600 East Orchard Road, Suite 360N Business Risk Management Greenwood Village, CO 80111-2518 Valero Energy Corporation 6000 North Loop 1604 W San Antonio, TX 78249-1100 OFFICE: 303-337-6161, x105 OFFICE: 210-345-2048 FAX: 303-337-6165 FAX: 210-345-2964 EMAIL: acollier@ccmsi.com EMAIL: eric.honeyman@valero.com 846 01/01/92 WELD COUNTY Ms. Norma Stimmler Ms Michelle Raimer County Technical Service, Inc. Human Resources Analyst 800 Grant Street, Suite 400 Weld County Denver, CO 80203-2944 P. O. Box 758 Greeley, CO 80632-0758 OFFICE: 303-861-0507 OFFICE: 970-336-7220 FAX: 303-861-1022 FAX: 970-352-9019 EMAIL: nstimmler@ctsi.org EMAIL: mraimer@co.weld.co.us 467 06/01/05 WENDY’S INTERNATIONAL, INC. CLAIMS 07/04/05 & FORWARD Tracy Ridenour Risk Programs Analyst Jennifer Napier Wendy's/Arby's Group, Inc. Gallagher Bassett Service, Inc. 1155 Perimeter Center West P. O. Box 4068 Atlanta GA 30338 Englewood, CO 80155-4068 Allen Zearing Supervisor 800-933-8143 X234 allen_zearing@gbtpa.com tracy.ridenour@wendysarbys.com OFFICE: 800-933-8143, x229 OFFICE: 678-514-6751 FAX: 303-796-9498 FAX: 678-514- EMAIL: jennifera_napier@gbtpa.com EMAIL: kim_mead@wendys.com jennifer 800-938-8143 X212 CLAIMS PRIOR TO 07/03/05 Ms. Anita Fresquez-Montoya ESIS P. O. Box 911 Portland, OR 97207-0911 OFFICE: 303-683-6591 FAX: 303-683-6608 800-992-7578 Ms. Kimberly Mead EMAIL: anita.fresquez-montoya@esis.com Page 34 6/22/2009
SELF INSURED LIST PERMIT ANNIVERSARY DATE NAME OF PERMIT TPA OR LOCAL PERMIT HOLDER ALL CLAIMS 997 01/01/86 WESTMINSTER, CITY OF Ms. Sally Phillips Ms. Martee Erichson §8-42-124 Risk Manager Risk Manager C/O Jefferson County School District R-1 City of Westminster Risk Management Department 4800 West 92nd Avenue P. O. Box 4001 Westminster, CO 80031-6387 Golden, CO 80401-0001 OFFICE: 303-982-2439 OFFICE: 303-430-2400, x2156 FAX: 303-982-2327 FAX: 303-706-3924 EMAIL: sphillip@jeffco.k12.co.us EMAIL: merichson@ci.westminster.co.us Effective 7/1/09 change from in house to TPA 886 01/01/88 WEYERHAEUSER COMPANY Laurie Iverson Ms. Betsie Doust Specialty Risk Services Manager, Administration Ms. Jessie Garbarino P.O.Box 221700 Weyerhaeuser Company Senior Claims Representative Denver, CO 80222 P. O. Box 9777, NB2-2B4 Weyerhaeuser Company Federal Way, WA 98063-9777 PO Box 9777, NB2-2E4 Federal Way, WA 98063-9777 OFFICE: 800-829-7985 X 58506 OFFICE: 253-924-7591 FAX: 303-645-8654 FAX: 253-924-4440 OFFICE: 253-924-7685 EMAIL: betsie.doust@weyerhaeuser.com FAX: 253-924-4440 laurie.iverson@srsconnect.com EMAIL: jessie.garbarino@weyerhaeuser.com All past, Present, Future claims are handled by SRS 863 01/01/90 YELLOW TRANSPORTATION, INC. Ms. Kelly Castanon Ms. Jill A. Rueter Gallagher Bassett Services, Inc. Insurance Specialist Revoked 10/1/08 P. O. Box 4200 Yellow Transportation, Inc. Rancho Cucamonga, CA 91729-4200 P. O. Box 7270 Overland Park, KS 66207-0270 OFFICE: 909-581-1919, x252 OFFICE: 913-696-6107 FAX: 909-581-1996 FAX: 913-234-9173 EMAIL: kelly_castanon@gbtpa.com EMAIL: jilla.rueter@yrcw.com 866-517-6782 X252 10990 Roe Avenue Overlandpark KS 66211 Page 35 6/22/2009
Page 1 and 2: SELF INSURED LIST PERMIT ANNIVERSAR
Page 33: SELF INSURED LIST PERMIT ANNIVERSAR

Self insured list - Colorado Department of Labor and Employment

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?