DEPARTMENT OF INSURANCE
Insurer Details
NAMEProvidence Washington Insurance Company
DOI ID301160
FEIN #050204450
ALIEN #
State of DomicileRI
Domicile Country
Merged Into
NAIC #24295
NAIC Group #1248
Entity TypeInsurer
Admitted12/1/1981
AM Best Rating
PresidentWyatt Douglas Blackburn
Process AgentCorporation Service Company
Date Assigned : 6/18/2024
(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
Property
Surety
Casualty
Vehicle Insurance
Liability Insurance
Workers' Compensation & Employer's Liability
Burglary & Theft
Personal Property Floater
Glass
Boiler & Machinery
Leakage & Fire Extinguishing Equipment
Malpractice
Elevator
Livestock
Automobile Guaranty
Miscellaneous
Marine & Transportation
TypeAddress
Annual StatementOne World Trade Center 41st Floor New York, NY 10007
Catastrophe/Disaster Coordinator AddressOne World Trade Center 41st Floor New York, NY 10007
Claim Information Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Company Licenses/Fee Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Consumer ComplaintOne World Trade Center 41st Floor New York, NY 10007
Cyber SecurityOne World Trade Center 41st Floor New York, NY 10007
Deposits Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Local Domestic/Foreign State Contact AddressOne World Trade Center 4 New York, NY 10007
MailingOne World Trade Center 41st Floor New York, NY 10007
Managing General AgentOne World Trade Center 41st Floor New York, NY 10007
P & C Form and Rate FilingOne World Trade Center 41st Floor New York, NY 10007
Policyholder Information Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Premium Tax AddressOne World Trade Center 41st Floor New York, NY 10007
Process Agent421 W. Main Street Frankfort, KY 40601
Producer Licensing Appointment Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Regulatory Compliance/Gvmt Relations Contact AddressOne World Trade Center 41st Floor New York, NY 10007
Statutory Home Officec/o Locke Lord One Financial Plaza Suite 2800 Westminster Street Providence, RI 02903
U.S. Legal Counsel for Aliens411 5th Avenue 5th Floor New York, NY 10016
TypeNumber
Catastrophe/Disaster Coordination Contact - Business / Home Office(855) 355-0327
Claim Information Contact - Business / Home Office(855) 355-0327
Company Licenses/Fees Contact - Business / Home Office(855) 355-0327
Consumer Complaint - Business / Home Office(855) 355-0327
Deposits Contact - Business / Home Office(855) 355-0327
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office(855) 355-0327
Business / Home Office(855) 355-0327
U.S. Legal Counsel for aliens - Business / Home Office(212) 790-9845
Local Office in Domestic/Foreign State Contact - Business / Home Office(855) 355-0327
Managing General Agent - Business / Home Office(855) 355-0327
Cyber Security - Business / Home Office(855) 355-0327
P & C Form and Rate Filing - Business / Home Office(855) 355-0327
Policyholder Information Contact - Business / Home Office(855) 355-0327
Licensing - Agent Licensing Phone(855) 355-0327
Annual Statement - Annual Statement(212) 208-3517
Premium Tax Contact - Premium Tax (855) 355-0327
TypeInternet Information
Annual Statement - Business Emailnscott@everspangroup.com
Licensing - Business Emailcompliance@everspangroup.com
Deposits Contact - Business Emailjsievers@ambac.com
P & C Form and Rate Filing - Business Emailcompliance@everspangroup.com
Policyholder Information Contact - Business Emailcompliance@everspangroup.com
Catastrophe/Disaster Coordination Contact - Business Emailmarc.karnell@everspangroup.com
Claim Information Contact - Business Emailmarc.karnell@everspangroup.com
Company Licenses/Fees Contact - Business Emailcompliance@everspangroup.com
Consumer Complaint - Business Emailcompliance@everspangroup.com
Premium Tax Contact - Business Emailjsievers@ambac.com
Regulatory Compliance/Gvmt Relations Contact - Business Emailcompliance@everspangroup.com
Cyber Security - Business Emailcompliance@everspangroup.com
U.S. Legal Counsel for aliens - Business EmailForm14Contacts@enstargroup.com
Local Office in Domestic/Foreign State Contact - Business Emailspatel@everspangroup.com
Managing General Agent - Business Emailcompliance@everspangroup.com

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