DEPARTMENT OF INSURANCE

Insurer Details

NAME	Capson Physicians Insurance Company
DOI ID	301959
FEIN #	746017951
ALIEN #
State of Domicile	TX
Domicile Country
Merged Into
NAIC #	19348
NAIC Group #
Entity Type	Insurer
Admitted	2/3/1999
AM Best Rating
President	Maury Lenard Magids
Process Agent	Andrew K. Maebius Date Assigned : 4/19/2011 (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.

Type	Address
Agent Licensing Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Annual Statement	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Catastrophe/Disaster Coordinator Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Claim Information Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Company Licenses/Fee Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Consumer Complaint	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Deposits Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Local Domestic/Foreign State Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Mailing	2901 Via Forturna Suite 510 Austin, TX 78746
Managing General Agent	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
P & C Form and Rate Filing	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Policyholder Information Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Premium Tax Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Process Agent	221 W. 6th Street Suite 301 Austin, TX 78701
Regulatory Compliance/Gvmt Relations Contact Address	2901 Via Fortuna Drive Suite 510 Austin, TX 78746
Statutory Home Office	2901 Via Forturna Suite 510 Austin, TX 78746
U.S. Legal Counsel for Aliens	2901 Via Fortuna Drive Suite 510 Austin, TX 78746

Type	Number
Managing General Agent - Business / Home Office	(512) 609-7910
Deposits Contact - Business / Home Office	(512) 609-7910
Consumer Complaint - Business / Home Office	(512) 609-7910
Policyholder Information Contact - Business / Home Office	(512) 609-7910
P & C Form and Rate Filing - Business / Home Office	(512) 609-7910
Claim Information Contact - Business / Home Office	(512) 609-7910
Regulatory Compliance/Gvmt Relations Contact - Business / Home Office	(512) 609-7910
Company Licenses/Fees Contact - Business / Home Office	(512) 609-7910
Catastrophe/Disaster Coordination Contact - Business / Home Office	(512) 609-7910
U.S. Legal Counsel for aliens - Business / Home Office	(512) 609-7910
Local Office in Domestic/Foreign State Contact - Business / Home Office	(210) 609-7910
Deposits Contact - Fax	(512) 609-7909
Annual Statement - Fax	(512) 609-7909
Premium Tax Contact - Fax	(512) 609-7909
Consumer Complaint - Fax	(512) 609-7909
Policyholder Information Contact - Fax	(512) 609-7909
Regulatory Compliance/Gvmt Relations Contact - Fax	(512) 609-7909
P & C Form and Rate Filing - Fax	(512) 609-7909
Company Licenses/Fees Contact - Fax	(512) 609-7909
Catastrophe/Disaster Coordination Contact - Fax	(512) 609-7909
Claim Information Contact - Fax	(512) 609-7909
Local Office in Domestic/Foreign State Contact - Fax	(512) 609-7909
U.S. Legal Counsel for aliens - Fax	(512) 609-7909
Managing General Agent - Fax	(512) 609-7909
Licensing - Fax	(512) 609-7909
Licensing - Agent Licensing Phone	(512) 609-7910
Annual Statement - Annual Statement	(512) 609-7904
Premium Tax Contact - Premium Tax	(512) 609-7910

Type	Internet Information
Claim Information Contact - Business Email	spaschal@capson.com
Managing General Agent - Business Email	spaschal@capson.com
Premium Tax Contact - Business Email	spaschal@capson.com
Consumer Complaint - Business Email	spaschal@capson.com
P & C Form and Rate Filing - Business Email	spaschal@capson.com
Policyholder Information Contact - Business Email	spaschal@capson.com
Regulatory Compliance/Gvmt Relations Contact - Business Email	spaschal@capson.com
Company Licenses/Fees Contact - Business Email	spaschal@capson.com
Catastrophe/Disaster Coordination Contact - Business Email	spaschal@capson.com
Deposits Contact - Business Email	spaschal@capson.com
Licensing - Business Email	spaschal@capson.com
U.S. Legal Counsel for aliens - Business Email	spaschal@capson.com
Local Office in Domestic/Foreign State Contact - Business Email	spaschal@capson.com