DEPARTMENT OF INSURANCE
Insurer Details
NAMEEvergreen USA Risk Retention Group, Inc.
DOI ID503256
FEIN #860611984
ALIEN #
State of DomicileVT
Domicile Country
Merged Into
NAIC #38466
NAIC Group #
Entity TypeLiability Risk Retention Group (foreign)
Admitted
AM Best Rating
PresidentLucas Baxter Hartford
Process AgentGeorge A. Chaffee(Not Specified)
(See address table below for process agent address)

Registration/Certificate of Filing – these entities register with the KYDOI or are issued a certificate of filing, no Certificate of Authority. May provide select or limited insurance coverage (entity specific). i.e. Makers of service contracts, Pools, Residual Market Mechanisms, Employer-Organized Self-Insured Associations, Provider-Sponsored Networks, Product Liability Risk Retention Groups (foreign), Liability Self-Insured Groups, Insurance Purchasing Outlets.
TypeAddress
Agent Licensing Address76 St. Paul, Suite 500 Burlington, VT 05401
Mailing76 St. Paul Street, Suite 500 Burlington, VT 05401
Process AgentPO Box 64649 Burlington, VT 054064649
Statutory Home Office76 St. Paul Street, Suite 500 Burlington, VT 05401
TypeNumber
Business / Home Office(207) 784-4566
Licensing - Agent Licensing Phone(802) 264-4593
Annual Statement - Annual Statement(802) 264-4577

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