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 />
956 12/01/75 CHEVRON U.S.A., INC. Ms Stacy Kimmell Ms. Kelly George<br />
Manager<br />
Insurance Division Claims Administrator<br />
Broadspire, A Crawford Company<br />
Chevron U.S.A., Inc.<br />
9200 East Panorama Circle, Suite 160 P. O. Box 6022<br />
P. O. Box 6502 (80155-6502) San Ramon, CA 94583-0722<br />
Englewood, CO 80112-3490<br />
OFFICE: 720-875-9231 OFFICE: 925-842-8164<br />
FAX: 720-875-9040 FAX: 925-842-8185<br />
EMAIL: stacy.kimmell@choosebroadspire.com EMAIL: kelly.george@chevron.com<br />
468 03/01/05 CHILDREN’S HOSPITAL ASSOCIATION, CLAIMS 06/01/06 & FORWARD<br />
THE<br />
Ms. Karen Marie Lesko<br />
Mr. Kevin Hamilton<br />
Director, Sales <strong>and</strong> Client Services<br />
Director <strong>of</strong> Benefits <strong>and</strong> Employee Health Services<br />
TRI-Star Risk Management<br />
The Children’s Hospital <strong>of</strong> Denver<br />
200 Union Boulevard, Suite 580 13611 E Colfax Ave. #200<br />
P. O. Box 5007 (80217-5007) Aurora, CO 80045<br />
Denver, CO 80228-1849<br />
OFFICE: 720-962-0274 OFFICE: 303-861-6402<br />
FAX: 720-962-0301 FAX: 303-764-8080<br />
EMAIL: karen.lesko@tristargroup.net<br />
Email: hamilton.kevin@tchden.org<br />
EMAIL: wukitsch.michael@tchden.org<br />
479 07/01/01 COACHMEN INDUSTRIES, INC. Ms. Annette Shafer LES THIMLAR<br />
AAH-CO., LLC<br />
Vice President<br />
3333 East Center Drive Coachmen Industries, Inc.<br />
Milliken, CO 80543-9322 P. O. Box 3300<br />
2831 Dexter Drive<br />
Elkhart, IN 46515-3300<br />
OFFICE: 970-587-0544 OFFICE: 574-266-2514<br />
FAX: 970-587-0545 FAX: 574-206-1700<br />
EMAIL: ashafer@allamericanhomes.com<br />
EMAIL: mmir<strong>and</strong>a@coachmen.com<br />
Page 7 6/22/2009
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