-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10006*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0001
Due: July 1, 2019
June 4, 2019
PartnerRe Insurance Company of New York
200 First Stamford Place, Suite 400
Stamford, CT 06902
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10006
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $842,404.00 $1,500.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10007*05202019*73*$1,700.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0002
Due: July 1, 2019
June 4, 2019
Nevada General Insurance Company
4700 West 77th Street
Edina, MN 55435-4818
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10007
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$272,637.00 $817.91
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $2,674,134.00
$1,500.00
Total Due: $2,617.91
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10014*05202019*73*$1,700.00*49*$917.91
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0003
Due: July 1, 2019
June 4, 2019
Affiliated FM Insurance Company
PO Box 7500
Johnson, RI 02919
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10014
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10019*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0004
Due: July 1, 2019
June 4, 2019
Greystone Insurance Company
300 First Stamford Place
Stamford, CT 06902
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10019
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$1,796,295.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $198,161.00
$594.48
Total Due: $2,394.48
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10030*05202019*73*$794.48*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0005
Due: July 1, 2019
June 4, 2019
Westchester Fire Insurance Company
436 Walnut Street
Philadelphia, PA 19106
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10030
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $0.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$378,703.00 $1,136.11
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $1,809,121.00
$1,500.00
Total Due: $2,836.11
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10051*05202019*73*$1,700.00*49*$1,136.11
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0006
Due: July 1, 2019
June 4, 2019
Lyndon Southern Insurance Company
10151 Deerwood Park Boulevard, Building 100 Suite 330
Jacksonville, FL 32256
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10051
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $56,326.00 $168.98
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $5,460.00 $100.00
Total Due: $568.98
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10052*05202019*73*$300.00*49*$268.98
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0007
Due: July 1, 2019
June 4, 2019
Chubb National Insurance Company
PO Box 1000 WB12A
Philadelphia, PA 19106
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10052
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $443,035.00
$1,329.11
Total Due: $1,729.11
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10069*05202019*73*$1,529.11*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0008
Due: July 1, 2019
June 4, 2019
Housing Authority Property Insurance, A Mutual Company
189 Commerce Court
Cheshire, CT 06410-0189
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10069
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $196,054.00 $588.16
B. Homeowner's and farm owners';
(3,4) $317,449.00 $952.35
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$13,051.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $35,721.00
$107.16
Total Due: $1,847.67
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10071*05202019*73*$1,647.67*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0009
Due: July 1, 2019
June 4, 2019
Encompass Insurance Company of America
3075 Sanders Road, Suite G4E
Northbrook, IL 60062-3075
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10071
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10103*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0010
Due: July 1, 2019
June 4, 2019
American Agricultural Insurance Company
1501 East Woodfield Road, Suite 300W
Schaumburg, IL 60173
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10103
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $331,482.00 $994.45
B. Homeowner's and farm owners';
(3,4) $9,204,574.00 $1,500.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$2,499,383.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $2,604,104.00
$1,500.00
Total Due: $5,594.45
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10111*05202019*73*$3,994.45*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0011
Due: July 1, 2019
June 4, 2019
American Bankers Insurance Company of Florida
11222 Quail Roost Drive
Miami, FL 33157-6596
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10111
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10117*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0012
Due: July 1, 2019
June 4, 2019
Security First Insurance Company
140 South Atlantic Avenue
Ormond Beach, FL 32176
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10117
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $1,042,114.00 $1,500.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$1,311,663.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $125,403.00
$376.21
Total Due: $3,576.21
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10120*05202019*73*$576.21*49*$3,000.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0013
Due: July 1, 2019
June 4, 2019
Everest National Insurance Company
477 Martinsville Road
Liberty Corner, NJ 07938-0830
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10120
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$641,904.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $384,360.00
$1,153.08
Total Due: $2,953.08
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10127*05202019*73*$1,353.08*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0014
Due: July 1, 2019
June 4, 2019
Allied Insurance Company of America
One West Nationwide Boulevard
Columbus, OH 43215-2220
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10127
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $0.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $0.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $0.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $200.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10130*05202019*73*$200.00*49*$0.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0015
Due: July 1, 2019
June 4, 2019
SU Insurance Company
9667 South 20th Street
Oak Creek, WI 53154
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10130
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $1,082,611.00 $1,500.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10166*05202019*73*$300.00*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0016
Due: July 1, 2019
June 4, 2019
Accident Fund Insurance Company of America
PO Box 40790
Lansing, MI 48901
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10166
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $5,131,019.00 $1,500.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$7,267,209.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $3,412,874.00
$1,500.00
Total Due: $4,700.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10177*05202019*73*$1,700.00*49*$3,000.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0017
Due: July 1, 2019
June 4, 2019
Mountain States Indemnity Company
PO Box 93254
Albuquerque, NM 87199-3254
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10177
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10178*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0018
Due: July 1, 2019
June 4, 2019
FCCI Insurance Company
6300 University Parkway
Sarasota, FL 34240
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10178
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$1,360,156.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $69,521.00
$208.56
Total Due: $2,008.56
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10200*05202019*73*$408.56*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0019
Due: July 1, 2019
June 4, 2019
Hiscox Insurance Company Inc.
104 South Michigan Avenue, Suite 600
Chicago, IL 60603
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10200
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10220*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0020
Due: July 1, 2019
June 4, 2019
Commonwealth Insurance Company of America
250 Commercial Street, Suite 5000
Manchester, NH 03101
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10220
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10227*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0021
Due: July 1, 2019
June 4, 2019
Munich Reinsurance America, Inc.
555 College Road East
Princeton, NJ 08540
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10227
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10239*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0022
Due: July 1, 2019
June 4, 2019
SECURA Supreme Insurance Company
P O Box 819
Appleton, WI 54912
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10239
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$525,487.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10243*05202019*73*$300.00*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0023
Due: July 1, 2019
June 4, 2019
National Continental Insurance Company
6300 Wilson Mills Road, W33
Mayfield Village, OH 44143
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10243
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10336*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0024
Due: July 1, 2019
June 4, 2019
First Acceptance Insurance Company, Inc.
3813 Green Hills Village Drive
Nashville, TN 37215
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10336
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $33,171.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10340*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0025
Due: July 1, 2019
June 4, 2019
Stonington Insurance Company
One QBE Way
Sun Prairie, WI 53596
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10340
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10348*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0026
Due: July 1, 2019
June 4, 2019
Arch Reinsurance Company
445 South Street, Suite 220
Morristown, NJ 07960
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10348
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$10,416.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $176,960.00
$530.88
Total Due: $930.88
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10367*05202019*73*$730.88*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0027
Due: July 1, 2019
June 4, 2019
Avemco Insurance Company
13403 Northwest Freeway
Houston, TX 77040
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10367
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $27,865.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10391*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0028
Due: July 1, 2019
June 4, 2019
Berkshire Hathaway Direct Insurance Company
1314 Douglas Street, Suite 1400
Omaha, NE 68102-1944
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10391
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$105,776.00 $317.33
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $40,282.00
$120.85
Total Due: $738.17
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10464*05202019*73*$320.85*49*$417.33
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0029
Due: July 1, 2019
June 4, 2019
Canal Insurance Company
P.O. Box 7
Greenville, SC 29602
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10464
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$425,796.00 $1,277.39
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $66,338.00
$199.01
Total Due: $1,776.40
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10472*05202019*73*$399.01*49*$1,377.39
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0030
Due: July 1, 2019
June 4, 2019
Capitol Indemnity Corporation
PO Box 5900
Madison, WI 53705
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10472
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$1,650.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $208.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10499*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0031
Due: July 1, 2019
June 4, 2019
CorePointe Insurance Company
800 Superior Avenue East, 21st Floor
Cleveland, OH 44114
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10499
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $117,137.00 $351.41
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$72,104.00 $216.31
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $867.72
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10510*05202019*73*$300.00*49*$567.72
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0032
Due: July 1, 2019
June 4, 2019
Carolina Casualty Insurance Company
PO Box 9190
Des Moines, IA 50306-9190
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10510
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$4,525.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $743,334.00
$1,500.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10641*05202019*73*$1,700.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0033
Due: July 1, 2019
June 4, 2019
Endurance American Insurance Company
4 Manhattanville Road, 3rd Floor
Purchase, NY 10577
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10641
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $6,727.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10642*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0034
Due: July 1, 2019
June 4, 2019
Cherokee Insurance Company
34200 Mound Road
Sterling Heights, MI 48310
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10642
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $2,717,247.00 $1,500.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10655*05202019*73*$1,700.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0035
Due: July 1, 2019
June 4, 2019
Unique Insurance Company
7400 North Caldwell Avenue, Floor 3
Niles, IL 60714
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10655
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$22,501.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10671*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0036
Due: July 1, 2019
June 4, 2019
Gray Casualty & Surety Company (The)
PO Box 6202
Metairie, LA 70009-6202
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10671
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $4,913.00 $100.00
B. Homeowner's and farm owners';
(3,4) $18,979.00 $100.00
C. Workers' compensation;
(16) $146,930.00 $440.79
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$12,423,314.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $5,664,073.00
$1,500.00
Total Due: $3,640.79
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10677*05202019*73*$1,700.00*49*$1,940.79
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0037
Due: July 1, 2019
June 4, 2019
The Cincinnati Insurance Company
P O Box 145496
Cincinnati, OH 45250
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10677
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$58,443.00 $175.33
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $9,190.00 $100.00
Total Due: $575.33
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10690*05202019*73*$300.00*49*$275.33
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0038
Due: July 1, 2019
June 4, 2019
Allied World National Assurance Company
199 Water Street, 24th Floor
New York, NY 10038
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10690
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10723*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0039
Due: July 1, 2019
June 4, 2019
Nationwide Assurance Company
One West Nationwide Boulevard FSSC RR
Columbus, OH 43215-2220
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10723
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10749*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0040
Due: July 1, 2019
June 4, 2019
Intrepid Insurance Company
S7400 College Boulevard, Suite 350
Overland Park, KS 66210
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10749
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$70,741.00 $212.22
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $612.22
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10758*05202019*73*$300.00*49*$312.22
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0041
Due: July 1, 2019
June 4, 2019
Colonial Surety Company
123 Tice Boulevard, Suite 250
Woodcliff Lake, NJ 07677
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10758
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$37,729.00 $113.19
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $513.19
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10784*05202019*73*$300.00*49*$213.19
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0042
Due: July 1, 2019
June 4, 2019
Maxum Casualty Insurance Company
One Hartford Plaza
Hartford, CT 06155
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10784
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $1,062.00 $100.00
C. Workers' compensation;
(16) $489,405.00 $1,468.22
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$2,357,820.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $1,343,811.00
$1,500.00
Total Due: $4,668.22
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10804*05202019*73*$1,700.00*49*$2,968.22
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0043
Due: July 1, 2019
June 4, 2019
Continental Western Insurance Company
P O Box 9190
Des Moines, IA 50306-9190
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10804
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $5,333,748.00 $1,500.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,900.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10807*05202019*73*$1,700.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0044
Due: July 1, 2019
June 4, 2019
ACCC Insurance Company
390 Benmar Drive, Suite 225
Houston, TX 77060
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10807
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $225.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10815*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0045
Due: July 1, 2019
June 4, 2019
Verlan Fire Insurance Company
440 Lincoln Street
Worcester, MA 01653
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10815
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$473,989.00 $1,421.97
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $1,821.97
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10817*05202019*73*$300.00*49*$1,521.97
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0046
Due: July 1, 2019
June 4, 2019
Plateau Casualty Insurance Company
PO Box 7001
Crossville, TN 38557-7001
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10817
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$0.00 $100.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $0.00 $100.00
Total Due: $500.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10829*05202019*73*$300.00*49*$200.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0047
Due: July 1, 2019
June 4, 2019
Markel Global Reinsurance Company
Ten Parkway North
Deerfield, IL 60015
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10829
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - ASK – OSI
email: [email protected]
www.osi.state.nm.us
Category Line of Business Direct Premium
Written
Filing Fee
A. Private passenger automobile - liability and physical
damage;
(19.1, 19.2, 21.1) $0.00 $100.00
B. Homeowner's and farm owners';
(3,4) $0.00 $100.00
C. Workers' compensation;
(16) $0.00 $100.00
D. Other casualty, including surety and fidelity;
Title (Direct Operations + Agency Operations) and Mexican
Casualty
(5.2,6,10,11.1,17.1,17.2,17.3,18,19.3,19.4,23,24,26,27,28,30.34,)
$3,337,815.00 $1,500.00
E. Other property.
(1,2.1, 2.4, 2.5, 5.1, 8, 9, 12, 21.2, 22) $518,730.00
$1,500.00
Total Due: $3,300.00
Attention: Please include in your addenda via Wire or ACH
Credit:
PC*10847*05202019*73*$1,700.00*49*$1,600.00
Property & Casualty Rate, Rule and Form Annual Filing
Fee
Fee Year: July 1, 2019 – June 30, 2020
INVOICE #PC-0048
Due: July 1, 2019
June 4, 2019
CUMIS Insurance Society, Inc.
PO Box1084
Madison, WI 53701
Important: Checks are no longer accepted.
Payments must be submitted via Wire or ACH Credit.
NAIC CoCode: 10847
Example date: Please insert the date the payment is
submitted.
-
STATE OF NEW MEXICO
OFFICE OF SUPERINTENDENT OF INSURANCE
DEPUTY SUPERINTENDENT
Robert E. Doucette, Jr.
DEPUTY SUPERINTENDENT
Andy Romero
SUPERINTENDENT OF INSURANCE
John G. Franchini
Main Office: P.O. Box 169, 1120 Paseo de Peralta, Room 435 Santa
Fe, NM 87501
Main Phone: (505) 827-4601 |Direct Phone: (505) 827-4593 | Toll
Free: (855) 4 - A
