DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	FHM Insurance Company
DOI ID	724346
FEIN #	596077796
ALIEN #
State of Domicile	FL
Domicile Country
Merged Into
NAIC #	10699
NAIC Group #	4873
Entity Type	Insurer
Admitted	3/10/2010
AM Best Rating
President	Ford Charles Marionneaux
Process Agent	John A. Lemine Date Assigned : 4/2/2010 (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

Casualty
Workers' Compensation & Employer's Liability

Type	Address
Annual Statement	4601 TOUCHTON RD E BLDG 300 SUITE 3150 JACKSONVILLE, FL 32246
Mailing	P.O. Box 98082 Baton Rouge, LA 708989082
Statutory Home Office	4601 Touchton Road E Bldg 300 Suite 3150 Jacksonville, FL 32246

Type	Number
Business / Home Office	(225) 389-5822
Annual Statement - Fax	(225) 216-4201
Annual Statement - Annual Statement	(225) 389-5822 - 4204

Type	Internet Information
Annual Statement - Business Email	swerner@lubawc.com