DEPARTMENT OF INSURANCE
Insurer Details
NAMETriState Medical Insurance Company Risk Retention Group
DOI ID590509
FEIN #200840142
ALIEN #
State of DomicileNV
Domicile Country
Merged Into
NAIC #11987
NAIC Group #
Entity TypeLiability Risk Retention Group (foreign)
Admitted
AM Best Rating
PresidentBradley L. Miller, MD
Process AgentBartholomew G. Nyhan
Date Assigned : 6/4/2004
(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
Mailing11760 Atwood Road, Suite 5 Auburn, CA 95603
Process Agent11760 Atwood Road, Suite 5 Auburn, CA 95603
Statutory Home Office9585 Prototype Court, Suite B Reno, NV 89521
TypeNumber
Business / Home Office(530) 889-2800
Annual Statement - Annual Statement(916) 772-2080
TypeInternet Information
Annual Statement - Business Emailpshampay@epicrrg.com

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