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