DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	Cimarron Insurance Company, Inc.
DOI ID	300842
FEIN #	480516614
ALIEN #
State of Domicile	AZ
Domicile Country
Merged Into
NAIC #	20400
NAIC Group #
Entity Type	Insurer
Admitted	3/29/1954
AM Best Rating
President	Paul Van Hindenburg Halter lll
Process Agent	Paul Halter Date Assigned : 7/23/2019 (See address table below for process agent address)
Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.

Line(s) of Authority

Health

Property

Surety

Casualty
Vehicle Insurance
Liability Insurance
Workers' Compensation & Employer's Liability
Burglary & Theft
Personal Property Floater
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment
Credit
Malpractice
Elevator
Congenital Defects
Livestock
Entertainments
Failure of Certain Institutions to Record Documents
Automobile Guaranty
Miscellaneous

Marine & Transportation

Type	Address
Agent Licensing Address	One Financial Center 13th Floor Boston, MA 02111
Annual Statement	One Financial Center 13th Floor Boston, MA 02111
Company Licenses/Fee Contact Address	One Financial Center 13th Floor Boston, MA 02111
Mailing	7301 Carmel Executive Park Drive Suite 102 Charlotte, NC 28226
Premium Tax Address	One Financial Center 13th Floor Boston, MA 02111
Process Agent	7301 Carmel Executive Park Drive Suite 102 Charlotte, NC 28226
Regulatory Compliance/Gvmt Relations Contact Address	One Financial Center 13th Floor Boston, MA 02111
Statutory Home Office	8601 N. Scottsdale Road, Suite 300 Scottsdale, AZ 85253

Type	Number
Company Licenses/Fees Contact - Business / Home Office	(617) 428-9893
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office	(617) 428-9893
Business / Home Office	(980) 771-2490
Annual Statement - Fax	(615) 263-1301
Licensing - Fax	(617) 428-9869
Premium Tax Contact - Fax	(617) 330-1748
Company Licenses/Fees Contact - Fax	(617) 428-9869
Regulatory Compliance/Gvmt Relations Contact - Fax	(617) 428-9869
Licensing - Agent Licensing Phone	(617) 428-9893
Annual Statement - Annual Statement	(980) 771-2491
Premium Tax Contact - Premium Tax	(617) 428-9888

Type	Internet Information
Annual Statement - Business Email	p.halter@cimarronins.com
Premium Tax Contact - Business Email	MGABREE@COVERYS.COM
Company Licenses/Fees Contact - Business Email	SMASUDI@COVERYS.COM
Licensing - Business Email	SMASUDI@COVERYS.COM
Regulatory Compliance/Gvmt Relations Contact - Business Email	SMASUDI@COVERYS.COM