Insurer Directory Updates This report covers insurance company changes processed by the Oregon Insurance Division from Insurer Directory Updates from December 9, 2013 through February 12, 2014. NEW COMPANY AUTHORIZATIONS ACCESS CLINICAL HOLDINGS, LLC 956537 Home office address: 405 EL CAMINO REAL #248 MENLO PARK, CA 94025 2850 SE POWELL VALLEY RD., SUITE 206 GRESHAM, OR 97080 Registered agent & office: CORPORATION SERVICE COMPANY 285 LIBERTY STREET NE Date incorporated: 2011 Entered Oregon: 11/13/2013 Classes authorized: DISCOUNT MEDICAL PLAN ALLIED INSURANCE COMPANY OF AMERICA 956533 NAIC number: 10127 Group number: 140 Home office address: ONE W. NATIONWIDE BLVD. COLUMBUS, OH 43215-0220 ONE W. NATIONWIDE BLVD., 1-04-701 COLUMBUS, OH 43215-0220 Registered agent & office: CT CORPORATION SYSTEM 388 STATE STREET, SUITE 420 Date incorporated: 2005 Entered Oregon: 1/24/2014 Classes authorized: PROPERTY, CASUALTY INC. WORKERS' COMPENSATION, MARINE & TRANSPORTATION, SURETY, HEALTH CAREOREGON ADVANTAGE 956532 NAIC number: 12277 Home office address: 315 SW FIFTH AVENUE, SUITE 900 PORTLAND, OR 97204 Registered agent & office: HEALTH PLAN OF CAREOREGON 315 SW FIFTH AVENUE, SUITE 900 PORTLAND, OR 97204 Date incorporated: 2013 Entered Oregon: 12/19/2013 Classes authorized: HEATH CARE SERVICES 1
NEW COMPANY AUTHORIZATIONS (CONTINUED) MUNICIPAL ASSURANCE CORP. 956501 NAIC number: 13559 Group number: 194 Home office address: 31 W. 52ND STREET NEW YORK, NY 10019 Registered agent & office: CORPORATION SERVICE COMPANY 285 LIBERTY STREET NE Date incorporated: 2008 Entered Oregon: 1/27/2014 Classes authorized: CASUALTY EXC. WORKERS' COMPENSATION, SURETY ROCHE SURETY AND CASUALTY COMPANY, INC. 956535 NAIC number: 42706 Home office address: 1910 ORIENT ROAD TAMPA, FL 33619 Registered agent & office: CT CORPORATION SYSTEM 388 STATE STREET, SUITE 420 Date incorporated: 1981 Entered Oregon: 12/11/2013 Classes authorized: SURETY SOUTHWEST MARINE AND GENERAL INSURANCE COMPANY 956534 NAIC number: 12294 Group number: 256 Home office address: 860 N. SCOTTSDALE ROAD, SUITE 300 SCOTTSDALE, AZ 85253 412 MT. KEMBLE, SUITE 300C MORRISTOWN, NJ 07960 Registered agent & office: CORPORATION SERVICE COMPANY 285 LIBERTY STREET NE Date incorporated: 2005 Entered Oregon: 12/16/2013 Classes authorized: SURETY 2
REDOMESTICATION Company Name: DISCOVER PROPERTY & CASUALTY INSURANCE COMPANY 955127 Redomesticated from ILLINOIS to CONNECTICUT, effective 12/1/2013 BUSINESS ADDRESS ONE TOWER SQUARE HARTFORD, CT 06183 Company Name: FIDELITY & GUARANTY LIFE INSURANCE COMPANY 954301 Redomesticated from MARYLAND to IOWA, effective 11/1/2013 BUSINESS ADDRESS PO BOX 1137 BALTIMORE, MD 21202 699 WALNUT STREET, SUITE 400 DES MOINES, IA 53909 Company Name: GENERALI USA LIFE REASSURANCE COMPANY 955677 Redomesticated from MISSOURI to DELAWARE, effective 8/20/2013 BUSINESS ADDRESS 11625 ROSEWOOD STREET, SUITE 300 LEAWOOD, KS 66211 2711 CENTERVILLE ROAD, SUITE 400 WILMINGTON, DE 19808 Company Name: PLAZA INSURANCE COMPANY 955493 Redomesticated from MISSOURI to IOWA, effective 12/3/2013 BUSINESS ADDRESS 518 E. BROAD STREET COLUMBUS, OH 43215 1300 WOODLAND AVENUE WEST DES MOINES, IA 50265 Company Name: PRESIDENTIAL LIFE INSURANCE COMPANY - USA 954259 Redomesticated from DELAWARE to IOWA, effective 6/27/2013 BUSINESS ADDRESS 215 10TH STREET, SUITE 1100 DES MOINES, IA 50309 3
Company Name: PROCENTURY INSURANCE COMPANY 956069 Redomesticated from TEXAS to MICHIGAN, effective 12/2/2013 BUSINESS ADDRESS PO BOX 163340 COLUMBUS, OH 43216-3340 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 Company Name: ST. PAUL PROTECTIVE INSURANCE COMPANY 953827 Redomesticated from ILLINOIS to CONNECTICUT, effective 12/1/2013 BUSINESS ADDRESS ONE TOWER SQUARE HARTFORD, CT 06183 SUSPENSION Company Name: INDEMNITY INSURANCE CORPORATION OF DC, RISK RETENTION GROUP Certificate of Authority Suspended, effective 1/6/2014 956341 NAME CHANGES Eff. Date Co. No. Old Company Name New Company Name 12/31/13 956532 CareOregon Advantage Health Plan of CareOregon, Inc. 10/03/13 956497 Community Care of Oregon, Inc., dba Oregon's Health CO-OP Oregon's Health CO-OP 11/15/13 956487 Coastal Dental, Inc. CDI Group, Inc. (The) 10/25/13 954259 Presidential Life Insurance Company - Accordia Life and Annuity Company USA 10/30/13 956075 World Corp Insurance Company Medico Corp Life Insurance Company 12/31/13 956367 Maple Life Financial, Inc. Maple Life Financial, LLC 11/21/13 955453 Bancinsure, Inc. Red Rock Insurance Company 10/01/13 955677 Generali USA Life Reassurance Company SCOR Global Life USA Reinsurance Company 02/12/14 954015 Northwestern Pacific Indemnity Company Palomar Specialty Insurance Company 4
Eff. Date Co. No. Company Name INACTIVE COMPANIES 10/31/13 956371 Life Settlement Corporation voluntary withdrawal 01/20/13 956456 Pinnacle Choice, Inc. license expired 10/31/13 956465 TruHearing, Inc. voluntary withdrawal 12/31/13 953487 Health Plan of CareOregon, Inc. merged into #956532 CareOregon Advantage 12/31/13 954881 USAA Direct Life Insurance Company merged into #954508 USAA Life Insurance Company 12/31/13 954081 Tokio Marine & Nichido Fire Insurance Co., Ltd merged into #956481 Tokio Marine America Insurance Company 01/21/14 956281 Global International Insurance voluntary withdrawal Company, A Risk Retention Group 01/21/14 956357 Livestock Market Enhancement Risk voluntary withdrawal Retention Group 01/21/14 956505 Fiduciaries Risk Retention Group, Inc. voluntary withdrawal 01/21/14 956356 State Capitol Insurance Risk Retention voluntary withdrawal Group 01/21/14 956350 Proair Risk Retention Group, Inc. voluntary withdrawal 12/31/13 955994 Investors Insurance Corporation merged into #954243 Athene Annuity & Life Assurance Company 12/31/13 954509 Union Bankers Insurance Company merged into #954269 Constitution Life Insurance Company ADDRESS CHANGES Company Name: FREESTONE INSURANCE COMPANY 955789 5501 LBJ, SUITE 1200 DALLAS, TX 75240 Company Name: MONY LIFE INSURANCE COMPANY 954395 5788 WIDEWATERS PKWY, 2ND FLR SYRACUSE, NY 13214 Company Name: NATIONAL TITLE INSURANCE OF NEW YORK, INC. 956171 601 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 Company Name: PALOMAR SPECIALTY INSURANCE COMPANY 954015 888 PROSPECT STREET, SUITE 105 LA JOLLA, CA 92037 Company Name: PEACHTREE LIFE SETTLEMENTS, LLC 956369 STEPHEN KIRKWOOD 201 KING OF PRUSSIA ROAD, SUITE 501 RADNOR, PA 19087 5
Company Name: RED ROCK INSURANCE COMPANY 955453 5104 N. FRANCIS AVENUE, #101 OKLAHOMA CITY, OK 73118 Company Name: STERLING LIFE INSURANCE COMPANY 955021 8735 HENDERSON ROAD TAMPA, FL 33634 Company Name: UNITED GENERAL TITLE INSURANCE COMPANY 955987 1 FIRST AMERICAN WAY SANTA ANA, CA 92707 6