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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 />

463 11/07/08 BARRETT BUSINESS SERVICES INC CHRIS LYONS Mr. Steven McComb<br />

BBSI CORVEL CORPORATION WORKERS' COMPENSATION ADMINISTRATOR<br />

6455 S Yosemite St Suite 700 BARRETT BUSINESS SERVICES INC<br />

Greenwwod Village CO 80111 8100 NE PARKWAY DR SUITE 200<br />

VANCOUVER, WA 98662-<br />

866-449-5054<br />

OFFICE: 720-250-0735 OFFICE: 360-828-0685<br />

950 S CHERRY ST SUITE 1600 FAX: 866-449-5054 FAX: 360-828-0699<br />

EMAIL: chris_lyons@corvel.com<br />

EMAIL: STEVEN.MCCOMB@BBSIHQ.COM<br />

993 01/01/85 BALL CORPORATION Ms. Myra Jelinek Mr. Harold L. Lykins<br />

Specialty Risk Services<br />

Director, Corporate Risk<br />

§8-42-124 P.O.Box 221700 Ball Corporation<br />

Denver, CO 80222<br />

10 Longs Peak Drive<br />

Broomfield, CO 80021-2510<br />

OFFICE: 800-829-7985 X 58506 OFFICE: 303-460-2296<br />

FAX: 303-645-8654 FAX: 303-460-3716<br />

EMAIL: myra.jelinek@srsconnect.com<br />

EMAIL: dlykins@ball.com<br />

6053 South Fashion Square Drive<br />

Murray, UT 84107-5433<br />

489 01/01/98 BANNER HEALTH Ms. Kelly Kovatch Mr. Phil Holt<br />

Sentry Insurance<br />

Systems Director, Risk Financing<br />

P. O. Box 29466 Banner Health<br />

Phoenix, AZ 85038-9466<br />

1441 North 12th Street<br />

Phoenix, AZ 85006-2837<br />

OFFICE: 800-833-2244 OFFICE: 602-495-4799<br />

FAX: 480-860-7987 FAX: 602-495-4781<br />

EMAIL: kelly.kovatch@sentry.com<br />

EMAIL: tammy.willis@bannerhealth.com<br />

Page 4 6/22/2009

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