Nvcaptives

NEVADA LICENSED CAPTIVE INSURERS
Captive Company Name License Date Type of Captive Type of Coverage Captive Manager
Acropolis Insurance Company 05/19/06 Pure General Liability and Home Beecher Carlson Riskcap
Warranty 1655 Lafayette St., #200
Denver, CO 80218
Mark Ouimette (303) 388-5688
Advanced Premium Insurance Company, Inc. 08/27/07 Pure General Liability USA Risk Group (West), Inc.
P. O. Box 4939
Incline Village, NV 89450
Mary Roock (888) 872-7475
mroock@vim.usarisk.com
AIP Insurance Company Limited 07/14/06 Pure Technology E & O Beecher Carlson Riskcap
Employment Practices 1655 Lafayette St., #200
Liability & Warranty Denver, CO 80218
Liability Richard Poling (303) 388-5688
rpoling@beechercarlson.com
ARI Insurance, Inc. 12/21/06 Pure P / C Liability Pro Group Captive Management Svcs
575 South Saliman Rd.
Carson City NV 89701
(775) 887-2480
robertvogel@pgmnv.com
Associated Insurance Co. 05/20/03 Association Compensation Workers' Pro Group Captive Management Svcs
Compensation for a self-group 575 South Saliman Rd.
Carson City NV 89701
(775) 887-2480
Attorneys Indemnity Insurance Co., A RRG 08/27/07 Association-RRG Legal Professional Liability Pro Group Captive Management Svcs
Carson City, NV 89701
Robert Vogel (775) 887-2480
Automotive Insurance Services, Inc. 10/23/06 Pure p y Liabilityy
Property Pro Groupp Captive
p Management
g Svcs
Mechanical Failure and 575 South Saliman Rd.
Contractual Liability Carson City, NV 89701
Automotive Underwriters Insurance 09/26/06 Association - RRG Contractual Liability Risk Services - Nevada Inc.
Company, Inc. a Risk Reterntion Group 5430 W. Sahara Ave.
Las Vegas, NV 89146
Mike Rogers (800) 226-0793
mrogers@pboa.com
AWA Assurance, Inc. Agency All lines of insurance for Self Managed
05/07/07 deductibles & SIRs Charles O. Hersh (702) 739-200
chersh@marnellcorrao.com
Battle Mountain Specialty Insurance Company 12/29/03 Association Insurance for the deductible Battle Mountain Specialty Ins., Inc.
portion of high deductible W/C Three Monarch Plaza, Suite 203
coverage Dana Point, CA 92629
Spencer Olsen
Secretary / Treasuerer
(949) 240-2423
Bonded Builders Insurance Co., A RRG 08/27/07 Association-RRG Home Warranty for residial Risk Serivces, LLC
builders 1800 Second St. Ste. 909
Sarasota, FL 34236
Mike Rogers (941) 955-0793
mrogers@pboa.com
Bridgetown Risk Retention Group 11/28/05 Association -- RRG General Liability incl wrap-up for Pro Group Captive Management Svcs
subs 575 South Saliman Rd.
BritWest Insurance Limited 12/31/05 Agency Captive Agency business USA Risk
7975 N. Hayden Rd. Ste. B204
Scottsdale, AZ 85258
Marc Lapointe (888) 872-7475
Page 1 of 9 10/2/2007
Builders Association of Nevada Insurance Company 03/21/06 Association Excess WC for Self-Insured Pro Group Captive Management Svcs
Association 575 South Saliman Rd.
Builders Risk Specialty Surety & Bonding Co., Inc. 02/08/06 Pure Surety Casey Ingels
Chad Ahrens
1015 Pacific Avenue
Tacoma, WA 98402
(253) 274-9700
California Auto Dealer Insurance Company 12/30/03 Association Reinsurance of worker's comp risk Pro Group Captive Management Svcs
in California 575 South Saliman Rd.
Captive Insurance Solutions Holdings, Inc. 09/27/07 Pure - Sponsor of Liberty Mutual Management (VT), LLC
#100659 Captive 28 Walnut St. Ste. 210
Insurance Solutions Williston, VT 05495
Inc. Kregg Kittell (802) 288-9100
kregg.kittell@libertymutual.com
Captive Insurance Solutions, Inc. 09/27/07 Sponsored Property Casualty, Excess Liberty Mutual Management (VT), LLC
Workers Comp, General 28 Walnut St. Ste. 210
Liability and Auto Liability Williston, VT 05495
Kregg Kittell (802) 288-9100
kregg.kittell@libertymutual.com
Champion Re LTD 08/29/05 Pure Reinsurance of credit insurance Pro Group Captive Management Svcs
Citadel Insurance, Risk Retention Group 02/16/07 Association - RRG General Liability & Risk Services, Nevada - Inc.
Uninsured Long Term 5430 W. Sahara Ave.
Liability Las Vegas, NV 89146
Mike Rogers (800) 226-0793 ext. 152
mrogers@pboa.com
Citrus Insurance Company, Inc 10/02/04 Pure Workers Comp deductible, surety Marsh Management Services, Inc.
and general liability 6859 S. Eastern Ave. Ste. 104
Las Vegas, NV 89119
Scott Stansbury (702) 697-6302
Scott.Stansbury@Marsh.com
CODE International Assurance Ltd. 06/30/03 Pure Non-US Liability reinsurance for Marsh Management Services, Inc.
parent 6859 S. Eastern Ave. Ste. 104
Las Vegas, NV 89119
Scott.Stansbury@Marsh.com
Construction Coverage, Inc. 12/21/06 Pure P / C, Worker's Comp, Pro Group Captive Management Svcs
Umbrella Liability, 575 South Saliman Rd.
Pollution Liability and Carson City, NV 89701
other liability risks Robert Vogel (775) 887-2480
relating to the parent robertvogel@pgmnv.com
Contractors Liability Insurance Company, A Risk Retention 07/22/03 Association -- RRG Liability Ins. For construction Risk Services
Group companies 2233 Wisconsin Ave NW Ste. 310
Washington, DC 20007
Heather Ross (202) 471-5944
Cornerstone Insurance Company, 01/31/07 Association - RRG General Liability USA Risk Group (West), Inc.
A Risk Retention Group P. O. Box 4939
Mary Roock (775) 832-3795
mcroock@sbcglobal.net
Court Insurance Company 05/25/04 Pure Legal Professional Liability Gene Leverty
832 Willow St.
Reno, NV 89502
Page 2 of 9 10/2/2007
Cramer Insurance, Inc. 03/06/07 Pure Property & Casuality, Pro Group Captive Management Svcs
Contractual Liability with 575 South Saliman Rd.
Vehicle Mechanical Carson City, NV 89701
Breakdown agreements Robert Vogel (775) 887-2480
Crossfire Insurance Company 12/30/03 Pure Various insurance and reinsurance Pro Group Captive Management Svcs
of P&C risks 575 South Saliman Rd.
EIC Insurance, Inc. 09/29/04 Pure Insure Parent Property & Casualty Pro Group Captive Management Svcs
Risks 575 South Saliman Rd.
EMAG Insurance, Inc. 12/01/04 Pure (Ed Morse family) Multiple liability lines Pro Group Captive Management Svcs
Embassy Insurance 12/19/05 Pure WC ded reimb, Credit, E&O, USA Risk
Const Defect, Income 7975 N. Hayden Rd. Ste. B204
Scottsdale, AZ 85258
Emerald Reinsurance Corporation ---- 11/30/05 Sponsor Workers Compensation Pro Group Captive Management Svcs
Protected Cells: Reinsurance 575 South Saliman Rd.
17250-1 Esserman Automotive Group; Carson City, NV 89701
17250-2 Icore Holdings Inc.; Robert Vogel (775) 887-2480
17250-3 Coastal Staffing, LLC; robertvogel@pgmnv.com
17250-4 Modern Business Associates, Inc.
Emergency Medicine Professional Assurance Company, A 06/22/04 Association -- RRG Medical Professional Liability for Risk Services
Risk Retention Group (EMPAC) E.R. Physicians 2233 Wisconsin Ave. NW Ste. 310
Washington, DC 20007
Heather Ross (202) 471-5944
Emergency Physicians Insurance Company Risk Retention 08/27/03 Association -- RRG Liability Ins. (Med-Mal) for EPIC Insurance Managers
Group (EPIC) Emergency Rm Physicians AIF Nyhan consulting Group
11760 Atwood Road, Ste. 5
Auburn, CA 95603
(866) 374-2467
Entertainment Risk Management 05/22/06 Pure Workers Compensation CHSI Captive Insurance Managers
Insurance Company, Inc. 770 Pilot Road, Suite I
Las Vegas, NV 89119
Ted Hall (702) 736-4415
Thall@chsi-nv.com
Escalade Insurance Inc. 06/21/05 pure Property, Credit, GL, Pollution, Pro Group Captive Management Svcs
Intellectual Property, Executive 575 South Saliman Rd.
Prot Carson City, NV 89701
FBMI Risk Management Services, Inc. 10/10/06 Pure P / C and General Liability relating Pro Group Captive Management Svcs
to parent 575 South Saliman Rd.
Financial Advisors Assurance 01/01/07 Association - RRG Professional Liability CHSI Captive Insurance Managers
Select Risk Retention Group Reciprocal 770 Pilot Road, Suite I
Las Vegas, NV 89119
Ted Hall (702) 736-4415
Thall@chsi-nv.com
Page 3 of 9 10/2/2007
Financial Insurance Factors, Inc. 09/30/05 Branch Credit reinsurance Financial Insurance Factors, Inc.
515 E. Burnside Street
Portland, OR 97214
Sam Bradbury (503) 238-6450
First State Risk Management, Inc. 10/10/06 Pure P / C and General Liability relating Wilmington Trust
to parent 3993 Howard Hughes Pkwy Ste. 250
Las Vegas, NV 89169
Mindy Riddle (702) 866-2203
mriddle@wilmingtontrust.com
GIC, Inc. 12/19/05 Pure Property, Liab., Pollution, WC SIR, Pro Group Captive Management Svcs
Warranty 575 South Saliman Rd.
Golden Insurance Company, A Risk Retention Group 07/09/01 Association -- RRG Liability Contractual Liability RiskCap Inc.
covering Home Waranty 1655 Lafayette Street, Ste. 200
Denver, CO 80218
Richard Poling, Vice Pres.
Gulph Mills Insurance Limited 09/29/04 Pure Fronting carrier for parent's Med Marsh Management Services, Inc.
Mal-deductible of $1M &$3M Topa Financial Center
aggregate Fort Street Tower
745 Fort Street, Ste 800
Honolulu, HI 96813-3800
(808) 585-3532
Gynecologic Oncologists RRG 12/30/03 Association -- RRG Prof liability (med malpractice) for Risk Services
members of the medical group 5430 W Sahara Ave
Las Vegas, NV 89146-3307
G. Wayne Harris (800) 421-7922
Health Facilities of California Mutual 07/31/07 Association - RRG General & Professional g
Beecher Carlson Management
Insurance Company, Inc. A Risk Retention Group Liability for nursing 1655 Lafayette St. Ste. 200
home facilities Denver, CO 80218
Kirk Mooneyham (303) 388-5688
kmooneyham@beechercarlson.com
Health Future Insurance Exchange, A Risk Retention Group 10/07/04 Association -- RRG Professional and General Liability Health Future Ins Exchange
A Risk Retention Group
777 Murphy Rd.
Medford, OR 97504
Mr. Kyle Wichelmann, CFO
Home Builders National Indemnity Risk Retention Group 03/30/06 Association -- RRG limited construction defect in USA Risk Group (West), Inc.
Right to Repair states P. O. Box 4939
mlapointe@vim.usarisk.com
Home Construction Insurance Company A Risk Retention 03/08/04 Association -- RRG Liability Ins. For construction Risk Services
Group companies 5430 W Sahara Ave
J. M. Woodworth Risk Retention Group, Inc. 04/21/06 Association -- RRG Medical malpractice and general Uni-Ter Underwriting Mgt. Corp.
liability 500 Northridge Road, Ste. 330
Atlanta, GA 30350
Sandy Elsass (678) 781-2400
JFI, Inc. 12/01/04 Pure Deductible buy-down for: Gen Pro Group Captive Management Svcs
Liab & Prop Empt Practices; Bus 575 South Saliman Rd.
interruption Carson City, NV 89701
JMK Insurance, Inc. 08/29/07 Pure Property Liability Pro Group Captive Management Svcs
Mechanical Failure and 575 South Saliman Rd.
Page 4 of 9 10/2/2007
Lakeside Insurance Company 09/20/04 Agency Reinsurance of personal auto Pro Group Captive Management Svcs
Lewis & Clark LTC RRG, Inc. 12/31/03 Association -- RRG Liability insurance for long term Uni-Ter Underwriting Mgt. Corp.
care facilities 500 Northridge Road, Ste. 330
Atlanta, GA 30350
Lokey Insurance, Inc. 06/22/06 Pure General Liability Pro Group Captive Management Svcs
LTC Risk Management, Inc. 12/19/05 Pure Property, Liab, Pollution, WC (ded Pro Group Captive Management Svcs
reimbursement) 575 South Saliman Rd.
M3 Nevada Insurance Company 06/01/05 Pure Professional Liability, Workers Willis Management (VT)
Comp, Commercial & General 1 Lawson Lane, Ste. 410
Liability Burlington, VT 05401
(802) 658-9466
Mervis Insurance Company 03/04/05 pure P/C Pro Group Captive Management Svcs
p y
Mountain View Insurance Company 11/03/06 Pure General Liabilityy USA Risk Groupp (West),
( ) Inc.
P. O. Box 4939
Mary Roock (775) 832-3795
mcroock@sbcglobal.net
National Builders & Contractors Insurance Company, A Risk 12/01/04 Association -- RRG Commercial Comp Gen Liab & Risk Services
Retention Group, Inc. Commercial umbrella Liab 5430 W Sahara Ave
Old name: Mississippi Builders & Contractors G. Wayne Harris (800) 421-7922
Insurance Company, A Risk Retention
Group, Inc.
Nevada Contractors Insurance Company, Inc 01/25/00 Rental Workers Compensation Risk Services
Reinsurance 5430 W Sahara Ave
Nevada Docs Medical RRG, Inc. 01/01/06 Association-RRG med mal Risk Services
5430 W Sahara Ave
Nevada Retail Insurance Company 12/15/04 Association W/C excess of Excess Insurance Pro Group Captive Management Svcs
Nevada Transportation Insurance 03/04/05 Association Excess WC for Self-Insured Pro Group Captive Management Svcs
Association 575 South Saliman Rd.
(775) 887-2480
New World Re 11/30/04 Pure Assume GAP ins. Pro Group Captive Management Svcs
Page 5 of 9 10/2/2007
Northstar Insurance, Inc. 08/31/06 Pure Property, Casuality, Pro Group Captive Management Svcs
General Liability. 575 South Saliman Rd.
Executive Protection, Carson City, NV 89701
and Mechanical Failure Robert Vogel (775) 887-2480
Contractual Liability robertvogel@pgmnv.com
NPD Insurance Company, Inc. 09/29/04 Agency Reinsurance of Dental indemnity Pacific Dental Benefits, Inc.
Coverages 1390 Willow Pass Rd., Ste. 800
Concord, CA 94520
(925) 363-6022
OCIC 12/19/05 Pure Property, Liab, Credit, E & O and Pro Group Captive Management Svcs
EPLI, Pollution 575 South Saliman Rd.
P & H Insurance, Inc. 08/04/05 Pure Workers Compensation Pro Group Captive Management Svcs
Reinsurance 575 South Saliman Rd.
Paddington Liability RRG 12/15/04 Association - RRG General Liability Pro Group Captive Management Svcs
Physhield Insurance Exchange, A Risk Retention Group 02/15/06 Association - RRG Medical Malpractice USA Risk
7975 N. Hayden Rd. Ste. B204
Scottsdale, AZ 852
y
Physicians Compliance
p Liabilityy Ins Co RRG 11/28/05 Association -- RRG Liabilityy Pro Groupp Captive
p Management
g Svcs
Physicians Indemnity 07/28/06 Association -- RRG Professional Liability CHSI Captive Insurance Managers
Risk Retention Group, Inc Medical Malpractice 770 Pilot Road, Suite I
Las Vegas, NV 89119
Ted Hall (702)736-4415
Plateau Reinsurance Company 12/29/03 Pure Reinsurance of credit insurance Pro Group Captive Management Svcs
from affiliated P&C and L&H 575 South Saliman Rd.
insurers in TN Carson City, NV 89701
PMR Insurance Company 12/13/05 Pure Construction Defect on their own Avant Captive Managers, LLC
projects 360 N. Sepulveda Blvd. Ste. 2070
El Segundo, CA 90245
Jeff Post (310) 322-1732 ext. 201
jpost@avantmanagers.com
PNFP Insurance, Inc. 10/10/06 Pure P / C and General Liability relating Wilmington Trust
to parent 3993 Howard Hughes Pkwy Ste. 250
Las Vegas, NV 89169
PNW Insurance Group 07/02/07 Pure Commercial Pollution Beecher Carlson
Liability & Warranty 1655 Lafayette St., #200
Liability Reimbursement Denver, CO 80218
Mark Ouimette (303) 388-5688
mouimette@beechercarlson.com
Premier Physicians Insurance Company, Inc., 02/02/06 Association - RRG Medical Malpractice Pro Group Captive Management Svcs
A Risk Retention Group 575 South Saliman Rd.
Page 6 of 9 10/2/2007
Procyon Insurance, Inc. 08/31/06 Pure Property, Casuality, Pro Group Captive Management Svcs
Providence Insurance, Inc. 11/13/06 Pure Ded & Self-Insured Retention Pro Group Captive Management Svcs
related to parent 575 South Saliman Rd.
CCIP & Subcontractor Carson City, NV 89701
Default Insurance program Robert Vogel (775) 887-2480
Public Compensation Mutual 06/26/07 Association Reinsurance of Excess Public Agency Risk Mgmnt Svcs, Inc.
Workers Compensation 201 S. Roop Street, Ste. 102
Carson City, NV 89701-4790
Wayne Carlson & Doug Smith
(775) 885-7475
Waynecarlson @poolpact.com
Public Risk Mutual (PRM) 07/26/04 Association - Mutual Property and Casualty for Public Agency Risk Mgmnt Svcs, Inc.
Members- Public Agency Ins. Pool 201 S. Roop Street, Ste. 102
Carson City, NV 89701-4790
Wayne Carlson & Doug Smith
RG Insurance, Inc. 12/13/04 Pure Deductible buy-down on several Pro Group Captive Management Svcs
liability and property coverages 575 South Saliman Rd.
Romulus Risk and Insurance Company, Inc. 09/29/06 Pure Terrorism coverage Beecher Carlson
American Savings Bank Tower
1001 Bishop St. Ste. 2788
Honolulu, HI 96813
Jason Flaxbeard (808) 521-1121
jflaxbeard@beechercarlson.com
San Joaquin Re, Inc. 12/29/06 Pure W / C and other liability Excelerate Management, LLC
risks relating to the 601 S 10th St. Ste. 102
parent Las Vegas, NV 89101
David J. Lyon (702) 233-4444
dlyon@fabianlaw.com
Scrubs Mutual Assurance Company, 05/15/07 Association - RRG Medical Professional Liability Marsh Mgmt Services, Inc.
a Risk Retention Group 6859 S. Eastern Ave. Ste. 104
Las Vegas, NV 89119
Scot.Stansbury@marsh.com
SecureCare Corporation 11/23/04 Pure Deductible buy- down from State Pro Group Captive Management Svcs
Volunteer Mutual Ins. Company 575 South Saliman Rd.
for Med-Mal Carson City, NV 89701
Seminole Insurance, Inc. 08/31/06 Pure Property, Casuality, Pro Group Captive Management Svcs
Sophia Palmer Nurses 02/20/07 Association - RRG Professional Liability Uni-Ter Underwriting Mgt. Corp.
Risk Retention Group, Inc. 500 Northridge Road, Ste. 330
Atlanta, GA 30350
selsass@usre.com
Southeastern Insurance Company 10/27/05 Pure Products Liability for dietary Pro Group Captive Management Svcs
supplements 575 South Saliman Rd.
Page 7 of 9 10/2/2007
Southstar Insurance, Inc. 08/31/06 Pure Property, Casuality, Pro Group Captive Management Svcs
SP Insurance Co. Inc. 12/13/04 Pure Deductible buy- down on several Pro Group Captive Management Svcs
liability and property coverages 575 South Saliman Rd.
Stadium Insurance, Inc. 09/26/06 Pure Property, Casuality, Pro Group Captive Management Svcs
Mechanical Failure 575 South Saliman Rd.
Steel Products Coverage, Inc. 12/21/06 Pure P / C, Worker's Comp, Pro Group Captive Mgmt Svcs
Umbrella Liability, 575 South Saliman Rd.
Pollution Liability and Carson City NV 89701
other liability risks (775) 887-2480
relating to the parent robertvogel@pgmnv.com
Structures Insurance Company, LLC 12/01/06 Pure Earthquake & TRIA Marsh Management Services, Inc.
6859 S. Eastern Ave. Ste. 104
Las Vegas, NV 89119
Scott.Stansbury@marsh.com
Supreme Insurance Company, Inc. 11/23/04 Pure Multiple liability lines: Difference Pro Group Captive Management Svcs
in Condition; Product Recall; 575 South Saliman Rd.
Credit(Account Receiveable); Carson City, NV 89701
Pollution Liability.;Deductable Robert Vogel (775) 887-2480
Reimbursement on Worker's robertvogel@pgmnv.com
Comp
Synergy Ins Co RRG 08/26/05 Association - RRG General Liability Levertry & Assoc. Law
832 Willow St.
Reno, NV 89502
Gene Leverty (775) 322-6636
gene@levertylaw.com
Tamalpais Assurance Company 10/15/04 Agency Captive Reinsurance of Property & Pro Group Captive Management Svcs
Casualty Risks (Personal & Bus. 575 South Saliman Rd.
Owners' Umbrella) Carson City, NV 89701
Tang Insurance Limited 12/29/03 Pure Various insurance and reinsurance Tang Industries under consulting advice from
of casualty risks Gallagher Captive Services, Inc.
Texas Construction Insurance Company 7/18/06 Association - RRG General Liability & Umbrella Risk Services, LLC
Risk Retention Group, Inc Coverage for Contractors 1800 2nd Street, Ste. 909
Sarasota, FL 34236
Michael Rogers
(800) 226-0793 ext. 152
Trial Lawyers Insurance Company 07/14/06 Pure Legal Malpractice Liability Pro Group Captive Management Svcs
TriState Medical Insurance Company 05/25/04 Association -- RRG Medical Prof. Liability for Ind. TriState Ins. Mgr., LLC
Risk Retention Group Physicians 11760 Atwood Road, Ste 5
Auburn, CA 95603
Bartholomew G. Nyhan, Chairman
(530) 889-2800
Page 8 of 9 10/2/2007
United Community Risk 12/29/06 Pure Property DIC Pro Group Captive Management Svcs
Management Services, Inc. Umbrella Liability 575 South Saliman Rd.
Urgent Care Assurance Company Risk Retention Group 03/30/07 Association - RRG Property & Casualty and Risk Services, LLC
Medical Professional Liability 1800 2nd Street, Ste. 909
Sarasota, FL 34236
Michael Rogers
(800) 226-0793 ext. 152
Western Bonding Company 07/25/00 Agency Surety Self managed
A & H Insurance, Inc.
580 E. Plumb Lane
Reno, NV 89502
Dick Rottman (775) 829-6650
janbowman@nvbell.net
Western Regional Insurance 12/31/03 Pure Insurance for the Deductable Beecher Carlson Management
(formerly RNM) Portion of high deductible 1655 Lafayette St. Ste. 200
Worker Comp coverage in CA Denver, CO 80218
and fund for liability tail coverage Alicia Miller (303) 996-5435
amiller@beechercarlson.com
Western Star Risk Management 11/30/06 Pure Property Casuality and General Wilmington Trust
Corporation Liability relating to parent 3993 Howard Hughes Pkwy Ste. 250
Las Vegas, NV 89169
Page 9 of 9 10/2/2007

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NEVADA LICENSED CAPTIVE INSURERS

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