DEPARTMENT OF INSURANCE
Insurer Details
NAMEEmergency Physicians Insurance Exchange Risk Retention Group
DOI ID575380
FEIN #562317340
ALIEN #
State of DomicileVT
Domicile Country
Merged Into
NAIC #11714
NAIC Group #
Entity TypeLiability Risk Retention Group (foreign)
Admitted
AM Best Rating
PresidentEdward D. Boudreau
Process AgentPremier Insurance Management Services, Inc.
Date Assigned : 1/19/2016
(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
Annual Statement1528 EUREKA ROAD, SUITE 102 ROSEVILLE, CA 95661
Mailing6200 Mineral Point Road Suite 100 Madison, WI 53705
Process Agent150 Dorest Street PMB #238 S Burlington, VT 05403
Statutory Home Office150 Dorset Street PMB #238; S Burlington, VT 05403
TypeNumber
Business / Home Office(608) 416-1013
Annual Statement - Annual Statement(916) 772-2080
TypeInternet Information
Annual Statement - Business Emailaccounting@epixrrg.com

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