PUBLIC PROTECTION
CABINET
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 #8
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 Statement450 W. Hanes Mill Road Suite 101 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 Complaint450 W. Hanes Mill Road Suite 101 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
Deposits Contact - Business / Home Office(212) 430-0005
Business / Home Office(800) 526-0332
Consumer Complaint - Business / Home Office(314) 493-7987
Policyholder Information Contact - Business / Home Office(336) 493-7987
Claim Information Contact - Fax(336) 435-0085
Company Licenses/Fees Contact - Fax(336) 435-2022
Consumer Complaint - Fax(888) 685-1286
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
Catastrophe/Disaster Coordination Contact - Other(336) 435-2950
Company Licenses/Fees Contact - Other(336) 435-3746
P & C Form and Rate Filing - Other(336) 435-2612
Regulatory Compliance/Gvmt Relations Contact - Other(336) 435-2612
Consumer Complaint - Other(800) 526-0332
Licensing - Agent Licensing Phone(336) 435-2499
Annual Statement - Annual Statement(800) 526-0332
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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