DEPARTMENT OF INSURANCE
Insurer Details
NAMEFairmont Insurance Company
DOI ID301924
FEIN #941737938
ALIEN #
State of DomicileCA
Domicile Country
Merged IntoTIG Insurance Company
NAIC #18864
NAIC Group #158
Entity TypeInsurer
Admitted11/29/1983
AM Best Rating
PresidentNicholas Craig Bentley
Process AgentCT Corporation System
Date Assigned : 6/30/2008
(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.
TypeAddress
Agent Licensing Address2850 Lake Vista Drive Suite 150 Lewisville, TX 75067
Agent Licensing Address2850 Lake Vista Drive Suite 150 Lewisville, TX 75067
Agent Licensing Address250 Commercial Street Suite 5000 Manchester, NH 03101
Annual Statement250 Commercial Street Suite 5000 Manchester, NH 03101
Catastrophe/Disaster Coordinator Address250 Commercial Street Suite 5000 Manchester, NH 03101
Claim Information Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Consumer Complaint250 Commercial Street Suite 5000 Manchester, NH 03101
Consumer Complaint250 Commercial Street Suite 5000 Manchester, NH 03101
Deposits Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Local Domestic/Foreign State Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Mailing250 Commercial Street, Suite 5000 Manchester, NH 03101
Managing General Agent250 Commercial Street Suite 5000 Manchester, NH 03101
P & C Form and Rate Filing250 Commercial Street Suite 5000 Manchester, NH 03101
Policyholder Information Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Premium Tax AddressFairfax Tax Services 2850 Lake Vista Drive Suite 150 Lewisville, TX 75067
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Statutory Home Officec/o RiverStone Resources LLC 8880 Rio San Diego Drive, Suite 510 San Diego, CA 92108
TypeNumber
Company Licenses/Fees Contact - Business / Home Office(603) 656-2344
Deposits Contact - Business / Home Office(603) 656-2577
Local Office in Domestic/Foreign State Contact - Other(603) 656-2344
Catastrophe/Disaster Coordination Contact - Other(603) 656-2259
Claim Information Contact - Other(603) 656-2432
Consumer Complaint - Other(678) 504-4553
Managing General Agent - Other(603) 656-2344
P & C Form and Rate Filing - Other(603) 656-2344
Regulatory Compliance/Gvmt Relations Contact - Other(603) 656-2344
Policyholder Information Contact - Other(603) 656-2432
Licensing - Agent Licensing Phone(678) 504-4553
Annual Statement - Annual Statement(603) 656-2233
Premium Tax Contact - Premium Tax (972) 318-6594
TypeInternet Information
Annual Statement - Business EmailLaura_Chabot@TRG.com
Company Licenses/Fees Contact - Business Emailbrenda_van_hirtum@trg.com
Deposits Contact - Business EmailKristina_Jacques@trg.com
P & C Form and Rate Filing - Business EmailBrenda_Van_Hirtum@trg.com
Catastrophe/Disaster Coordination Contact - Business EmailKaren_Myers@trg.com
Claim Information Contact - Business EmailMichael_Owen@trg.com
Consumer Complaint - Business EmailComplaints.TRG@trg.com
Local Office in Domestic/Foreign State Contact - Business EmailBrenda_Van_Hirtum@trg.com
Managing General Agent - Business EmailBrenda_Van_Hirtum@trg.com
Regulatory Compliance/Gvmt Relations Contact - Business EmailBrenda_Van_Hirtum@trg.com
Policyholder Information Contact - Business EmailMichael_Owen@trg.com
Premium Tax Contact - Business Emaildwhitaker@fairfaxtax.net
Licensing - Business EmailBenson_Jeffress@trg.com

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