DEPARTMENT OF INSURANCE
Insurer Details
NAMEMountain Valley Indemnity Company
DOI ID703310
FEIN #020478119
ALIEN #
State of DomicileNY
Domicile Country
Merged Into
NAIC #10205
NAIC Group #4928
Entity TypeInsurer
Admitted4/3/2009
AM Best Rating
PresidentJohn Nader
Process AgentSally Hall
Date Assigned : 6/19/2015
(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
Elevator
Automobile Guaranty
Miscellaneous
Marine & Transportation
TypeAddress
Agent Licensing Address5630 University Parkway Winston Salem, NC 27105
Annual Statement5630 University Parkway Winston Salem, NC 27105
Catastrophe/Disaster Coordinator Address5630 University Parkway Winston Salem, NC 27105
Claim Information Contact Address5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Company Licenses/Fee Contact Address5630 University Parkway Mail Code 4A05 Winston Salem, NC 27105
Consumer Complaint5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Deposits Contact Address5630 University Parkway Winston Salem, NC 27105
MailingP.O. Box 3199 Winston Salem, NC 27102
P & C Form and Rate Filing5630 University Parkway Mail Code 4A06 Winston Salem, NC 27105
Policyholder Information Contact Address5630 University Parkway Attn: Shane Mitchener Winston Salem, NC 27105
Premium Tax Address5630 University Parkway Winston Salem, NC 27105
Process Agent5630 University Parkway Mail Code 1A04 Winston Salem, NC 27105
Regulatory Compliance/Gvmt Relations Contact Address5630 University Parkway Mail Code 4A06 Winston Salem, NC 27105
Statutory Home Office59 Maiden Lane, 38th Floor New York, NY 10038
TypeNumber
Claim Information Contact - Business / Home Office(314) 493-7987
Business / Home Office(336) 435-2000
Consumer Complaint - Business / Home Office(314) 493-7987
Deposits Contact - Business / Home Office(212) 430-0005
Policyholder Information Contact - Business / Home Office(336) 493-7987
Claim Information Contact - Fax(336) 435-0085
Annual Statement - Fax(336) 435-0236
Company Licenses/Fees Contact - Fax(336) 435-2022
Consumer Complaint - Fax(336) 435-0085
P & C Form and Rate Filing - Fax(336) 435-8105
Policyholder Information Contact - Fax(336) 435-0085
Regulatory Compliance/Gvmt Relations Contact - Fax(336) 435-8105
Licensing - Fax(336) 435-0426
P & C Form and Rate Filing - Other(336) 435-2612
Catastrophe/Disaster Coordination Contact - Other(336) 435-2950
Company Licenses/Fees Contact - Other(336) 435-3746
Regulatory Compliance/Gvmt Relations Contact - Other(336) 435-2612
Licensing - Agent Licensing Phone(336) 435-2499
Annual Statement - Annual Statement(336) 436-2560
Premium Tax Contact - Premium Tax (216) 357-7510
TypeInternet Information
Annual Statement - Business EmailAnnualStatementContact@NGIC.com
P & C Form and Rate Filing - Business EmailRobin.Coe@ngic.com
Claim Information Contact - Business EmailShane.Mitchener@NGICc.com
Catastrophe/Disaster Coordination Contact - Business EmailDan.Rogers@NGIC.com
Company Licenses/Fees Contact - Business EmailJulie.Wilder@ngic.com
Consumer Complaint - Business EmailDOI.Complaint@NGIC.com
Deposits Contact - Business EmailAnnualStatementContact@NGIC.com
Policyholder Information Contact - Business EmailShane.Mitchener@NGIC.com
Premium Tax Contact - Business Emailtaxdepartment@ngic.com
Licensing - Business EmailAleta.Stephens@ngic.com
Regulatory Compliance/Gvmt Relations Contact - Business EmailRobin.Coe@ngic.com

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