Texas Certified Self-Insurers' Third-Party Administrator/Austin Representative List from the Texas Department of Insurance

Texas Certified Self-Insurers' Third-Party Administrator/Austin Representative List

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As of August 31, 2009

Texas Certified Self-Insurers' Third-Party Administrator/Austin Representative List
Certified Self-Insurer	Company Contact	Third-Party Administrator	Austin Representative
AAA Cooper Transportation P.O. Box 6827 Dothan, AL 36302	Ms. Anna Scott Manager of Personnel & Risk Mgmt. Phone: (334) 836-8662 Fax: (334) 702-1872	Broadspire Services, Inc. Ms. Debbie Mehnert Supervisor P.O. Box 814610 Dallas, TX 75381 Phone: (214) 640-4522 Fax: (214) 631-7115 02/01/1994 through Present	Crawford & Company Ms. Janet Williford Casualty Claims Adjuster 505 E. Huntland Dr., Ste 340 Austin, TX 78752 Phone: (512) 454-5100 Fax: (512) 454-5110
ABF Freight System, Inc. P.O. Box 10048 Fort Smith, AR 72917-0048	Mr. Stan McDaniel Director Risk Management Phone: (479) 785-6319 Fax: (479) 494-6624	Arkansas Best Corporation Ms. Lynnette Baker-Woodie P.O. Box 10048 Fort Smith, AR 72917-0048 Phone: (479) 785-6047 Fax: (479) 494-6624 09/01/1993 through Present	J.T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of WC Services 7600 Chevy Chase Dr., Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967
American Electric Power Company, Inc. 777 Hopewell Dr. Heath, OH 43056-1581	Mr. Loyd A. Hudson Integrated Disability Programs Mgr Phone: (740) 349-4040 Fax: (866) 243-5741	Avizent Ms. Julie Duff Account Representative 13601 Preston Rd., Ste 500 West Dallas, TX 75380-3355 Phone: (972) 715-4226 Fax: (972) 550-1260 02/06/1998 through Present	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Ameron International Corporation 245 So. Los Robles Ave. Pasadena, CA 91101-2894	Ms. Doris A. Johnson Insurance Manager Phone: (626) 683-4000 Fax: (626) 683-4023	Crawford & Company Mr. Matt C. Wilkinson Branch Manager P.O. Box 810839 Dallas, TX 75381 Phone: (214) 640-4508 Fax: (214) 689-2022 06/01/1995 through Present	Crawford & Company Ms. Janet Williford Casualty Claims Adjuster 505 E. Huntland Dr., Ste 340 Austin, TX 78752 Phone: (512) 454-5100 Fax: (512) 454-5110
Archer-Daniels-Midland Company P.O. Box 1470 Decatur, IL 62525	Mr. Michael Scott Manager-International Insurance Phone: (217) 424-5233 Fax: (217) 451-6192	Crawford & Company Mr. Gary Szydlo Account Administrator 1900 E. Golf Rd., Ste 700 Schaumburg, IL 60173-5032 Phone: (847) 517-3230 Fax: (847) 619-9290 01/01/1996 through 06/30/2002	Gallagher Bassett Services, Inc. Ms. Diana Johnson AVP of State Compliance P.O. Box 151509 Austin, TX 78715-1509 Phone: (512) 292-7495 Fax: (210) 490-1606
Archer-Daniels-Midland Company SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Gallagher Bassett Services, Inc. Ms. Amy White Account Manager Two Pierce Place Itasca, IL 60143-3141 Phone: (630) 285-4172 Fax: (630) 285-3993 07/01/2002 through Present	SAME AS ABOVE
Ascension Health P.O. Box 46944 St. Louis, MO 63146	Ms. Suzann Bylund Director, Workers' Compensation/ Disability Management Phone: (314) 733-8701 Fax: (314) 733-8740	Sedgwick CMS Ms. Dawn Hofmeister IDM Supervisor P.O. Box 14562 Lexington, KY 40512 Phone: (314) 514-2353 Fax: (314) 514-2374 06/20/2003 through Present	Flahive, Ogden & Latson Mr. Rob Dollars P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Associated Wholesale Grocers, Inc. P.O. Box 2932 Kansas City, KS 66110-2932	Mr. Thomas S. Burchett Insurance Manager Phone: (913) 288-1128 Fax: (913) 288-1154	Cambridge Integrated Services Group, Inc. Ms. Susan Watson Regional Claims Manager 1501 Luna Rd., Ste 102 Carrollton, TX 75006 Phone: (469) 546-2880 Fax: (440) 914-2895 03/01/2008 through Present	Flahive, Ogden & Latson Mr. Steve Tipton P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Baptist Hospitals of Southeast Texas P.O. Drawer 1591 Beaumont, TX 77704	Ms. Jerri Clements, RN Interim Director of RiskCompliance/ Legal Svcs Phone: (409) 212-7070 Fax: (409) 212-7059	F. A. Richard & Associates, Inc. Mr. Tom Edwards Account Executive 2360 Fifth St. Mandeville, LA 70471 Phone: (985) 624-8383 Fax: (985) 624-8489 08/01/2002 through Present	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P. O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Chevron Corporation P.O. Box 6022 San Ramon, CA 94583-0722	Ms. Kelly George WC Claims Administrator, National Program Phone: (925) 842-8164 Fax: (925) 842-8185	Broadspire Services, Inc. Ms. Katherine Pineda Claims Supervisor 3100 S. Gessner #500 Houston, TX 77063 Phone: (800) 345-7785 ext 337 Fax: (713) 780-1905 07/01/2001 through Present	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P. O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Driver Pipeline Company, Inc. 1200 N. Union Bower Rd. Irving, TX 75061	Mr. James Shaffer President Phone: (972) 573-2300 Fax: (972) 573-2299	Specialty Risk Services, LLC Mr. Richard Malcolm Acct. Management Director 16633 Dallas Pkwy, #500 Dallas, TX 75001 Phone: (469) 737-3070 Fax: (469) 737-3170 10/01/1994 through Present	J.T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of W.C. Services 7600 Chevy Chase Dr., Ste 350 Austin, TX 78752-1566 Phone: (512) 320-9950 Fax: (512) 320-9967
E. I. du Pont de Nemours and Company 1007 Market St., D8065 Wilmington, DE 19898	Ms. Carole A. Carr Treasury Specialist Phone: (302) 773-6473 Fax: (302) 773-3428	Broadspire Services, Inc. Ms. Suzanne Poirier Account Executive 3 Connell Dr. Berkley Heights, NJ 07922 Phone: (908) 508-5042 Fax: (908) 508-5051 03/01/2008 through Present	Crawford & Company Ms. Janet Williford Casualty Claims Adjuster 505 E. Huntland Dr., Ste 340 Austin, TX 78752 Phone: (512) 454-5100 Fax: (512) 454-5110
Emerson Electric Co. P.O. Box 4100 St. Louis, MO 63136	Ms. Linda Donahue Sr. Insurance Analyst Phone: (314) 553-1918 Fax: (314) 553-2463	Sedgwick CMS Ms. Sharon Latta Supervisor P.O. Box 14497 Lexington, KY 40512-4594 Phone: (214) 922-0652 Fax: (214) 849-5201 04/01/1996 through Present	Flahive, Ogden & Latson Mr. Steven M. Tipton Attorney at Law P. O. Drawer 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
FedEx Freight, Inc. P.O. Box 840 Harrison, AR 72602	Ms. Connie Creamer Manager Workers' Compensation Phone: (870) 741-9000 ext. 4674 Fax: (870) 391-7305	Cambridge Integrated Services Ms. Sherry Lopez VP National Client Services 4131 S. Sullivan Rd Veradale, WA 99037 Phone: (509) 892-1237 Fax: (440) 914-2966 01/01/2004 through Present	Flahive, Ogden & Latson Ms. Patsy Shelton Office Manager P. O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
FedEx Ground Package System, Inc. P.O. Box 5459 Akron, OH 44334-0459	Mr. Larry Parks Sr. Manager, Workers' Compensation Phone: (330) 665-8512 Fax: (330) 665-8522	Broadspire Services, Inc. Mr. Wayne T. Gill SCLA Sr. Claims Examiner-Workers' Comp. P.O. Box 701809 Dallas, TX 75370-1809 Phone: (512) 244-7803 Fax: (512) 244-7137 01/01/1999 through Present	Crawford & Company Ms. Janet Williford Casualty Claims Adjuster 505 E. Huntland Dr., Ste 340 Austin, TX 78752-1566 Phone: (512) 454-5100 Fax: (512) 454-5110
General Motors Corporation 300 Renaissance Ctr, M/C 482-C26-A68 Detroit, MI 48265-3000	Ms. Susan Azar, CPCU, ARM Manager, Workers' Compensation Phone: (313) 665-4519 Fax: (313) 665-6728	Sedgwick Claims Management Services, Inc. Mr. Richard Gomez Claims Supervisor 600 N. Pearl St., Plaza of Americas Dallas, TX 75201 Phone: (214) 922-0636 Fax: (214) 922-0650 09/01/1994 through Present	Burns, Anderson, Jury & Brenner, L.L.P. Mr. Nick Huestis Workers' Comp Consultant P.O. Box 26300 Austin, TX 78755-6300 Phone: (512) 338-5322 Fax: (512) 338-5363
Guardian Industries Corp. 2300 Harmon Rd. Auburn Hills, MI 48326-1714	Ms. Candi Lumpkin Administrative Assistant Phone: (248) 340-2249 Fax: (248) 340-2159	ESIS, Inc. Ms. Darlene Simpson Two Riverway Houston, TX 77056 Phone: (713) 465-7552 Fax: (972) 465-7964 04/13/1995 through Present	Downs & Stanford, PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-0977
Hyatt Corporation 71 S. Wacker Dr. Chicago, IL 60606	Ms. Madison Womersley Risk Management Analyst Phone: (312) 780-5507 Fax: (312) 780-5278	Gallagher Bassett Services, Inc. Mr. Ray Camarillo Branch Manager 16414 San Pedro Ave., Ste 400 San Antonio, TX 78232 Phone: (210) 403-9682 Fax: (210) 403-9621 01/01/1995 through Present	Gallagher Bassett Services, Inc. Ms. Diana Johnson AVP of State Compliance P.O. Box 151509 Austin, TX 78715-1509 Phone: (512) 292-7495 Fax: (210) 490-1606
International Paper Company 6400 Poplar Ave., Tower III Memphis, TN 38197	Ms. Penny Humphrey Workers' Compensation Insurance Administrator Phone: (901) 419-3938 Fax: (901) 419-3940	Sedgwick Claims Management Svcs., Inc. Mr. Albert Martinez Claims Examiner III P.O. Box 131580 Dallas, TX 75313-1580 Phone: (214) 922-0675 Fax: (214) 922-0650 02/01/1994 through Present	Downs & Stanford PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Jacobs Engineering Group Inc. P.O. Box 53495 Houston, TX 77052	Ms. Barbara Lewis Senior W/C Analyst Phone: (832) 351-7149 Fax: (832) 351-7712	ESIS (ACE USA) Mr. Blair Sisson Account Manager Two Riverway, 9th Floor Houston, TX 77056 Phone: (713) 403-3062 Fax: (713) 403-3043 06/01/1993 through Present	Downs & Stanford PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-0977
Johns Manville P.O. Box 5108 Denver, CO 80217-5108	Ms. Mary Ann Loonam Sr. Administrator, Workers' Compensation Phone: (303) 978-4662 Fax: (866) 743-3357	ESIS, Inc. Ms. Robin Mountain Claims Vice President P.O. Box 152036 Irving, TX 75015-2036 Phone: (972) 465-7900 Fax: (972) 465-7967 07/01/2004 through Present	Downs & Stanford, PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Kiewit Corporation 1000 Kiewit Plaza Omaha, NE 68131	Ms. Debra L. Prochaska Claims Specialist Phone: (402) 271-2862 Fax: (402) 271-2997	Specialty Risk Services, Inc. Ms. Janet Watson Account Representative P.O. Box 219024 Dallas, TX 75221 Phone: (866) 409-9960 Fax: (469) 737-3133 10/01/1993 through Present	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367, Capitol Station Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1704
Kimberly-Clark Corporation P.O. Box 2007 Neenah, WI 54957	Ms. Tammy Strebig Claims Coordinator Phone: (920) 721-8505 Fax: (920) 721-4970	Kimberly-Clark Global Sales, Inc. Ms. Janice Feltz Workers' Compensation Analyst P.O. Box 2007 Neenah, WI 54957 Phone: (920) 721-2894 Fax: (920) 721-4970 01/01/2005 through Present	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
Leonard Family Corporation 647 Steves Ave. San Antonio, TX 78210	Ms. Melanie J. Schulte, PhD Vice President Phone: (210) 531-1276 Fax: (210) 532-5033	Cambridge Integrated Services Group Ms. Mary Jane McCall Vice President 1222 Harvest Canyon San Antonio, TX 78258 Phone: (210) 490-8052 Fax: (440) 914-2572 8/01/2007 through Present	Adami, Shuffield, Scheihing & Burns Mr. Wayne Shuffield Attorney at Law 32 Wingreen Loop Austin, TX 78738 Phone: (512) 322-9493 Fax: (512) 322-9497
Limited Brands, Inc. Three Limited Parkway P.O. Box 16000 Columbus, OH 43230	Ms. Lisa Craig Manager, Insurance & Risk Phone: (614) 415-7966 Fax: (614) 415-7384	Constitution State Service Company Ms. Jeanette Broadway Claims Analyst P.O. Box 660456 Dallas, TX 75266 Phone: (214) 570-6628 ext. 3840 Fax: (877) 786-5577 12/1/1993 through 01/31/1995	Flahive, Ogden & Latson Mr. Robert Stokes Attorney P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1700
Limited Brands, Inc. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Specialty Risk Services, LLC Ms. Rebecca Ryan Team Leader P.O. Box 139024 Dallas, TX 75313 Phone: (972) 244-1212 Fax: (860) 380-9732 02/01/1995 through 01/31/2005	SAME AS ABOVE
Limited Brands, Inc. SAME AS ABOVE. *3rd Third Party Administrator*	SAME AS ABOVE	Cambridge Integrated Services Ms. Lynnette Polk Supervisor P.O. Box 111189 Carrollton, TX 75011 Phone: (469) 546-2943 Fax: (440) 914-2895 02/01/2005 through Present	SAME AS ABOVE
Lockheed Martin Corporation P.O. Box 748, MZ 6463 Fort Worth, TX 76101	Mr. Sam J. McMurry Administrator, Workers' Comp. Phone: (817) 763-7234 Fax: (817) 762-4526	ESIS Ms. Robin Mountain Claim Vice President P.O. Box 31143 Tampa, FL 33631-3143 Phone: (800) 937-7460 Fax: (800) 373-5156 01/01/1994 through Present	Downs & Stanford, PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Louisiana-Pacific Corporation 805 SW Broadway, Ste 900 Portland, OR 97205	Mr. Guy Boileau Safety & Workers' Comp. Mgr. Phone: (503) 821-5289 Fax: (503) 821-5313	Cannon Cochran Management Services, Inc. "CCMSI" Ms. Tonya Hawthorne 13601 Preston Rd., Ste 318W Dallas, TX 75240 Phone: (972) 386-7908 Fax: (972) 386-7918 05/01/1993 through Present	Christopher Ameel, Attorney at Law, PLLC Mr. Christopher J. Ameel 805 Las Cimas Pky, Ste 125 Austin, TX 78746 Phone: (512) 347-0220 Fax: (512) 347-0222
MeadWestvaco Corporation 11013 West Broad St. Glen Allen, VA 23060-5937	Ms. Kim Bolster Casualty Program Administrator Phone: (804) 327-8008 Fax: (804) 201-2192	Sedgwick CMS Ms. Lisa McDonald Manager P.O. Box 85631 Richmond, VA 23285-5631 Phone: (804) 673-5447 Fax: (804) 484-6117 06/01/2000 through Present	Christopher Ameel, Attorney at Law, PLLC Mr. Christopher J. Ameel 805 Las Cimas Pky, Ste 125 Austin, TX 78746 Phone: (512) 347-0220 Fax: (512) 347-0222
Mount Vernon Mills, Inc. P.O. Box 100 Mauldin, SC 29662	Mr. Gary R. Williams V.P., Human Resources Phone: (864) 688-7220 Fax: (864) 688-7221	Constitution State Service Co. Mr. Robert K. Cenna Account Executive, Travelers Property Casualty P.O. Box 4416 Alpharetta, GA 30202 Phone: (770) 521-3591 Fax: (770) 521-3585 06/01/1999 through 12/31/2000	Christopher Ameel, Attorney at Law, PLLC Mr. Christopher J. Ameel 805 Las Cimas Pky, Ste 125 Austin, TX 78746 Phone: (512) 347-0220 Fax: (512) 347-0222
Mount Vernon Mills, Inc. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Companion Group Third Party Administrators Ms. Linda Mass Claims Manager P.O. Box 100159 Columbia, SC 29202 Phone: (803) 264-5088 Fax: (800) 290-1858 01/01/2001 through Present	SAME AS ABOVE
PACCAR Inc P.O. Box 1518 Bellevue, WA 98009	Ms. DeeAnne Flegel Manager, Workplace Absence Programs, Health & Welfare Benefits Phone: (425) 468-7939 Fax: (425) 468-8206	Broadspire Services, Inc. Ms. Deborah Fields Sr. Adjuster P.O. Box 814610 Dallas, TX 75381-4610 Phone: (214) 640-4561 Fax: (214) 631-7115 06/20/1996 through Present	Harris & Harris, Attorneys At Law Mr. Pete Gomez Chief Operating Officer 5900 Southwest Pkwy, Bldg 2 Austin, TX 78735 Phone: (512) 346-5533, ext. 110 Fax: (512) 346-2539
Parker-Hannifin Corporation 6035 Parkland Blvd., MS E2RM01 Cleveland, OH 44124-4141	Ms. Pat Zupancic Workers' Compensation Specialist Phone: (216) 896-2681 Fax: (216) 896-4043	Underwriters Safety & Claims Ms. Yolanda Freeman Adjuster P.O. Box 530897 Grand Prairie, TX 75053-0897 Phone: (866) 296-2829 Fax: (972) 282-9091 01/01/1996 through Present	Flahive, Ogden & Latson Ms. Patsy Shelton Office Manager P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Poly-America, L.P. 2000 W. Marshall Dr. Grand Prairie, TX 75051	Ms. Joan Tasker Human Resource Manager Phone: (972) 337-7227 Fax: (972) 337-8227	Avizent Ms. Karen Nixon National Account Executive P.O. Box 803355 Dallas, TX 75380 Phone: (972) 715-4250 Fax: (614) 717-6045 08/15/1994 through Present	Cunningham Lindsey Claims Management, Inc. Mr. Tom Lang Manager 314 Highland Mall Blvd., Ste 200 Austin, TX 78752 Phone: (512) 452-9518 Fax: (512) 452-7004
PPG Industries, Inc. 4325 Rosanna Dr. Allison Park, PA 15101	Ms. Cyndi J. Greco Workers' Compensation Administrator Phone: (412) 492-5465 Fax: (412) 492-5484	Sentry Insurance Mr. Jim Kieffer Director of National Accounts Claims P.O. Box 8032 Stevens Point, WI 54481 Phone: (715) 346-7395 Fax: (715) 346-7560 09/02/1994 through Present	Flahive, Ogden & Latson Mr. Steven M. Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Sam Kane Beef Processors, Inc. P.O. Box 9254 Corpus Christi, TX 78469	Mr. Jerry Kane President Phone: (361) 241-5000, ext. 205 Fax: (361) 265-1800	Cambridge Integrated Services Group, Inc. Ms. LuAnn Sonoski Sr. Acct. Executive 1501 Luna Rd, Ste 102B Carrollton, TX 75006 Phone: (469) 546-2968 Fax: (469) 546-2695 12/31/2003 through Present	Adami, Goldman & Shuffield, Inc. Ms. Katie Robinson TWCC Representative 32 Wingreen Loop Austin, TX 78738 Phone: (512) 322-9400 Fax: (512) 322-9497
Southwestern Bell Telephone Company One AT&T Plaza, 208 S. Akard, Rm 2731 Dallas, TX 75202	Ms. Jennifer De La Torre Director - Risk Management Phone: (214) 757-5053 Fax: (214) 746-2278	Helmsman Management Svcs., Inc. Mr. Bruce Borner Settlement Specialist 2100 W. Walnut Hill Ln, Ste 100 Irving, TX 75038 Phone: (972) 550-7899 ext. 2225 Fax: (603) 334-8096 11/15/1993 through 6/30/2004	Downs & Stanford, P.C. Mr. Stuart Colburn 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-9630
Southwestern Bell Telephone Company SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Sedgwick Claims Management Services, Inc. Mr. Anthony Graves Asst. Operations Manager 3625 W. Royal Ln, Ste 250 Irving, TX 75063 Phone: (469) 417-6061 Fax: (469) 417-6070 07/01/2004 through Present	SAME AS ABOVE
Starbucks Corporation P.O. Box 34067, MS: S-RM1 Seattle, WA 98124-1067	Ms. Allison Frey, ARM Risk Analyst Phone: (206) 318-4850 Fax: (206) 318-2024	Gallagher Bassett Services, Inc. Mr. Terry Tarter Branch Manager 6504 International Pkwy., Ste 2100 Plano, TX 75903 Phone: (800) 382-0166 ext. 201 Fax: (972) 931-6256 10/01/2005 through Present	Gallagher Bassett Services, Inc. Ms. Diana Johnson Asst. VP of State Compliance P.O. Box 151509 Austin, TX 78715 Phone: (512) 292-7495 Fax: (210) 490-1606
Textron, Inc. 40 Westminster St. Providence, RI 02903	Ms. Irene Costa Executive Asst. Phone: (401) 457-2346 Fax: (401) 457-3533	Broadspire Services, Inc. Ms. Kim Moore Sr. Claim Representative 19111 N. Dallas Pkwy, Ste 180 Dallas, TX 75287 Phone: (972) 250-5073 Fax: (972) 250-5002 05/01/1993 through Present	Burns, Anderson, Jury & Brenner, L.L.P. Mr. Nick Huestis Workers' Compensation Consultant P.O. Box 26300 Austin, TX 78755-6300 Phone: (512) 338-5322 Fax: (512) 338-5363
The Procter & Gamble Company 5299 Spring Grove Ave., Box 209 Cincinnati, OH 45217-1087	Ms. Carrie Bowling Administrator, Regulatory Benefits Phone: (513) 627-7571 Fax: (866) 554-0470	Cambridge Integrated Services Group, Inc. Ms. Debra Williams WC Adjuster 1501 Luna Rd., Ste 102B Carrollton, TX 75008 Phone: (469) 546-2953 Fax: (972) 245-2364 05/03/1993 through Present	Burns, Anderson, Jury & Brenner, L.L.P. Mr. Nick Huestis Workers' Comp. Consultant P.O. Box 26300 Austin, TX 78755-6300 Phone: (512) 338-5322 Fax: (512) 338-5363
The Sherwin-Williams Company 101 Prospect Ave. NW Cleveland, OH 44115	Mr. Anthony J. Colangelo Manager, Workers' Comp. Phone: (216) 566-3095 Fax: (216) 566-1745	Gallagher Bassett Services, Inc. Mr. Doug Waters Claims Adjuster 6504 International Pkwy #2100 Plano, TX 75903 Phone: (972) 931-6277 Fax: (972) 931-6256 03/01/1994 through 06/30/2003	Downs & Stanford PC Mr. Stuart Colburn 4425 S. Mopac, South Bldg. #3, Ste #500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
The Sherwin-Williams Company SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Sedgwick CMS Ms. Debbie Bickerstaff 500 N. Akard, Ste 2200 Dallas, TX 75201 Phone: (214) 849-5200 Fax: (214) 849-5201 07/01/2003 through Present	SAME AS ABOVE
Trinity Mother Frances Health System 800 E. Dawson Tyler, TX 75701	Mr. Randy Perdue Human Resources Director Phone: (903) 531-4477 Fax: (903) 531-4234	JI Specialty Services, Inc. Ms. Heather Coady Claims Manager P.O. Box 26655 Austin, TX 78755 Phone: (512) 346-5314 Fax: (512) 346-9321 09/01/1993 through Present	JI Specialty Services, Inc. Ms. Heather Coady Claims Manager P.O. Box 26655 Austin, TX 78755 Phone: (512) 346-5314 Fax: (512) 346-9321
Union Tank Car Company 175 W. Jackson Blvd Chicago, IL 60604	Mr. John Kolb Manager, Safety & Health Phone: (312) 431-3111 ext. 3132 Fax: (312) 583-9423	Gallagher Bassett Services, Inc. Ms. Carolette Jennings Branch Manager 6750 W. Loop South, Ste 300 Bellaire, TX 77401 Phone: (713) 346-9700 Fax: (713) 346-9757 01/01/1996 through Present	Gallagher Bassett Services, Inc. Ms. Diana Johnson AVP of State Compliance P.O. Box 151509 Austin, TX 78715 Phone: (512) 292-7495 Fax: (210) 490-1606
Unique Staff Leasing I, Ltd. 4646 Corona, Ste 105 Corpus Christi, TX 78411	Mr. Garry Bradford President Phone: (361) 852-6392 Fax: (361) 852-6397	TRISTAR Risk Management Mr. Jimmy Dyer Director of Sales 5151 Flynn Pkwy. Corpus Christi, TX 78411 Phone: (361) 857-0080 Fax: (361) 857-0123 03/01/2005 through Present	Parker & Associates, LLC Mr. Kevin McGillicuddy Director of Workers' Comp. Services 7600 Chevy Chase Dr., Ste 350 Austin, TX 78752-1566 Phone: (512) 320-9950 Fax: (512) 320-9967
Valero Energy Corporation P.O. Box 696000 San Antonio, TX 78269-6000	Mr. Jeremy Bergeron Vice President Phone: (210) 345-2312 Fax: (210) 345-2301	Valero Claims Management, Inc. Mr. Bill F. Willrodt Director P.O. Box 696080 San Antonio, TX 78269-6080 Phone: (210) 345-4609 Fax: (210) 345-2302 04/30/1993 through Present	Flahive, Ogden & Latson Ms. Patsy Shelton Office Manager P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
VF Corporation P.O. Box 21488 Greensboro, NC 27420	Mr. Ralph E. Shank, Jr. Director, Risk Management Phone: (336) 424-6034 Fax: (336) 424-7625	Gallagher Bassett Services, Inc. Mr. Terry Tarter Branch Manager 6504 International Pkwy., Ste 2100 Plano, TX 75903 Phone: (800) 382-0166 ext. 201 Fax: (972) 931-6256 02/01/1994 through Present	Flahive Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
Wal-Mart Associates, Inc. 702 SW 8th St. Bentonville, AR 72716-0695	Ms. Julie Long Sr. Director Risk Management Phone: (479) 621-2150 Fax: (479) 277-4341	Claims Management Inc. Ms. Jennifer Pickard 922 West Walnut, Ste B Rogers, AR 72756 Phone: (800) 527-0566 ext. 12302 Fax: (479) 273-8138 01/15/2008 through Present	Hoffman Kelley, LLP Mr. Lloyd Hoffman Partner 5316 Hwy 290 West, Ste 360 Austin, TX 78735 Phone: (512) 326-2522 Fax: (479) 277-4341
Weyerhaeuser Company P.O. Box 9777, NB2 2B4 Federal Way, WA 98063-9777	Ms. Betsie Doust Self-Insurance Administrator Phone: (253) 924-7591 Fax: (253) 924-4440	Specialty Risk Services, LLC Ms. Dorothy Newton Adjuster P.O. Box 139024 Dallas, TX 75313-9024 Phone: (800) 677-1412 ext. 41143 Fax: (972) 378-0451 05/01/1993 through Present	Downs & Stanford PC Mr. Stuart D. Colburn 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772

(Total of 45 Companies are Certified Self-Insurers)

Note: This listing of Certified Companies is provided for general information use only. All operating divisions, subsidiaries and/or locations of a given company may not be covered under their Certificate of Authority. If specific location coverage information is required, contact the Insurance Coverage Section of the Texas Department of Insurance, Division of Workers’ Compensation at (512) 804-4345.

Texas Certified Self-Insurers' Third-Party Administrator/Austin Representative List, Part 2 (Withdrawn)
Withdrawn Certified Self-Insurer	Company Contact	Third-Party Administrator	Austin Representative
Albertson's, Inc. c/o New Albertson's, Inc. 155 North 400 West, Ste 300 Salt Lake City, UT 84103	Ms. Gail R. Sylvester Finance Analyst II, Risk Management Phone: (801) 961-3358 Fax: (801) 961-3902	Specialty Risk Services Mr. Toni Piper Team Leader 16633 Dallas Pkwy, Ste 500 Addison, TX 75001 Phone: (469) 737-3082 Fax: (469) 737-3133 07/01/1993 through 11/30/2006	Flahive, Ogden & Latson Mr. Robert Stokes Attorney P. O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
Anadarko E&P Company LP 1201 Lake Robbins Dr. The Woodlands, TX 77380	Mr. Gary W. Sylvester, CPCU, ARM, ASLI Sr. Risk Analyst Phone: (832) 636-7058 Fax: (832) 636-8214	Helmsman Management Svcs., Inc. Ms. Kathy Meacham Regional Sales Manager 2100 Walnut Hill Lane Irving, TX 75038 Phone: (972) 550-7899 ext. 2336 Fax: (972) 550-8361 03/01/1994 through 05/31/1999	Hammerman & Gainer, Inc. Ms. Susan M. Kelley Hearing Representative 9111 Jollyville Rd., Ste 115 Austin, TX 78759 Phone: (512) 231-0202 ext. 105 Fax: (512) 231-0210
AT&T Corp. One AT&T Plaza, 208 S. Akard, Rm 2731 Dallas, TX 75202	Ms. Jennifer De La Torre Director - Risk Management Phone: (214) 757-5053 Fax: (214) 746-2278	Sedgwick Claims Management Services, Inc. Mr. Charles French, SCLA, VP Program Manager 175 W. Jackson, Ste 700 Chicago, IL 60604 Phone: (312) 356-1976 Fax: (312) 356-1791 03/01/1994 through 12/31/2005	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1724
AT&T Corp., c/o Lucent SAME AS ABOVE.	SAME AS ABOVE	Liberty Mutual Ms. Linda Wrigley, CPCU, ATM, AIM Customer Service Manager 3 Becker Farm Road Roseland, NJ 07068 Phone: (800) 900-4875 ext. 2156 Fax: (973) 758-1493 03/01/1994 through 1/31/1996	SAME AS ABOVE
AT&T Corp., c/o Avaya SAME AS ABOVE.	SAME AS ABOVE	Gallagher Bassett Services, Inc. Mr. Jim Hart Senior Account Manager One Huntington Quadrangle, Ste 4N01 Melville, NY 11747 Phone: (800) 477-5343 ext. 241 Fax: (866) 249-3118 03/01/1994 through 1/31/1996	SAME AS ABOVE
ATK Launch Systems Inc. c/o Alliant Techsystems, Inc. 7480 Flying Cloud Dr. Eden Prairie, MN 55344	Ms. Kelly M. Aubrey Vice President & Assistant Treasurer Phone: (952) 351-2756 Fax: (952) 351-3041	Broadspire Services, Inc. Mr. Dennis Moscato Sr. Account Executive 1216 Dulaney Woods Rd. Cockeysville, MD 21030 Phone: (410) 666-7550 Fax: (410) 666-0741 09/01/1993 through 06/30/1999	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P. O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1704
BP Corporation North America, Inc. 4101 Winfield Rd. - 3 East Warrenville, IL 60555	Ms. Courtney Wilkison Insurance Consultant Phone: (630) 821-2189 Fax: (630) 821-3457	Gallagher Bassett Services, Inc. Mr. Nathan Frommelt Two Pierce Place, 7th Floor Itasca, IL 60143 Phone: (630) 694-5311 Fax: (866) 600-6883 09/01/1996 through 03/31/1999	Flahive, Ogden & Latson Mr. Ron Ogden Managing Partner P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Browning-Ferris Industries, Inc. 18500 North Allied Way Phoenix, AZ 85054	Ms. Christine Loch, ARM, AIC Risk Manager, Allied Waste Phone: (480) 627-7095 Fax: (480) 718-6525	AIG Domestic Claims, Inc. Mr. George Brown Unit Manager 8144 Walnut Hill Ln., Ste 1500 Dallas, TX 75231 Phone: (866) 434-0177 Fax: (214) 932-2773 09/15/1993 through 04/30/1997	Flahive, Ogden, & Latson Mr. Steven Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
Campbell Soup Company 1 Campbell Place, MS 31B Camden, NJ 08103-1799	Mr. Richard A. Yost Director, Risk Management Phone: (856) 342-5298 Fax: (856) 342-5299	Constitution State Service Co. Ms. Heather Doyle Field Product Line Manager P.O. Box 42927 Houston, TX 77042 Phone: (218) 606-7238 Fax: (877) 749-0075 12/01/1993 through 03/31/1995	Travelers Property Casualty Mr. Bill Weldon DWC Representative 15015 S. Mopac Pkwy, Ste A320 Austin, TX 78746 Phone: (512) 329-7358 Fax: (512) 347-7870
CHRISTUS Health 2707 North Loop West Houston, TX 77008	Mr. Gary Shope Risk Finance & Occupational Health Director Phone: (281) 936-3676 Fax: (281) 936-7817	Broadspire Services, Inc. Mr. Robert Martin Client Service Representative 19111 N. Dallas Pkwy, Ste 180 Dallas, TX 75287 Phone: (972) 250-5110 Fax: (972) 250-5155 08/01/1993 through 01/31/2004	Downs & Stanford, P.C. Ms. Jennifer Washington Austin Board Representative 4425 S. Mopac, Bldg III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-9630
Cooper US, Inc. P.O. Box 4446 Houston, TX 77210-4446	Mr. Mitch Drucker, SCLA Manager, Workers' Compensation Phone: (713) 209-8749 Fax: (713) 209-8996	Cambridge Integrated Services Group, Inc. Ms. Susan Watson Regional Claims Manager 1501 Luna Rd., Ste 102 Carrollton, TX 75006 Phone: (469) 546-2880 Fax: (440) 914-2895 05/01/1993 through 06/30/2008	Flahive, Ogden & Latson Ms. Lynette Phillips Managing Shareholder P. O. Drawer 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Costco Wholesale Corporation 999 Lake Dr. Issaquah, WA 98027	Ms. Ann Loonam Workers Compensation Program Administrator Phone: (425) 313-8547 Fax: (425) 416-2167	Sedgwick CMS Ms. Sharon Latta Supervisor P.O. Box 14497 Lexington, KY 20512-4497 Phone: (214) 922-0652 Fax: (214) 922-0650 09/01/2000 through 08/31/2007	Flahive, Ogden & Latson Ms. Patsy Shelton Office Manager P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Countrywide Home Loans, Inc. 5401 N. Beach St. Ft. Worth, TX 76137	Ms. Margaret Viss Vice President, Workers' Compensation Phone: (817) 230-5516 Fax: (817) 230-6840	ACE USA/ESIS Mr. F. Javier Gonzalez TDI DWC Carrier Representative 4400 W. William Canon Dr., Ste P-170 Austin, TX 78749 Phone: (512) 394-1442 Fax: (512) 394-1412 10/01/2006 through 06/30/2008	Downs & Stanford, PC Mr. Stuart Colburn Attorney 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Covenant Health System P.O. Box 1201 Lubbock, TX 79408	Ms. Christine Newman WC Claims Manager Phone: (806) 725-0120 Fax: (806) 725-0094	Hammerman & Gainer, Inc. Ms. Nancy Stoll Branch Manager/Regional Claims Manager P.O. Box 53814 Lubbock, TX 79453 Phone: (806) 796-0234 Fax: (806) 796-0122 08/01/1993 through 06/30/1998	Hammerman & Gainer, Inc. Ms. Melissa Hutcherson Unit Supervisor 9111 Jollyville Rd., Ste 115 Austin, TX 78759 Phone: (512) 231-0202 Fax: (512) 231-0210
Dean Holding Company 2515 McKinney Ave., Ste 1200 Dallas, TX 75201	Ms. Jo Harris Vice President, Risk Management Phone: (214) 303-3707 Fax: (214) 721-1400	Crawford & Company Ms. Amy Burney Client Service Manager 1210 Riverbend Dr., Ste 100 Dallas, TX 75247 Phone: (214) 640-4524 Fax: (214) 905-8622 01/01/1994 through 05/31/2002	Crawford & Company Ms. Janet Williford Casualty Claims Adjuster 505 E. Huntland Dr., Ste 340 Austin, TX 78752 Phone: (512) 454-5100 ext. 39 Fax: (512) 454-5110
Dillard's, Inc. P.O. Box 8039 Little Rock, AR 72203	Ms. Melanie White Workers' Comp. Supervisor Phone: (501) 376-5367 Fax: (501) 399-7245	Pulaski Adjustment Company Ms. Debbie Williams Claims Representative P.O. Box 8039 Little Rock, AR 72203 Phone: (501) 376-5393 Fax: (501) 210-9554 04/09/1993 through 01/31/1997	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P. O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1704
Dolgencorp of Texas, Inc. 100 Mission Ridge Goodlettsville, TN 37214	Ms. Jane Stutsman Sr. Director Risk Management Phone: (615) 855-5110 Fax: (615) 855-5114	Avizent Ms. Sue Cooper Branch Manager P.O. Box 803355 Dallas, TX 75380 Phone: 800) 765-1073 Fax: (972) 715-4220 06/01/1996 through 02/28/2005	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Dolgencorp of Texas, Inc. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Dollar General Corporation Ms. Vickie Harness Regional Claims Manager 100 Mission Ridge Goodlettsville, TN 37072 Phone: (615) 855-5138 Fax: (615) 855-5114 03/01/2005 through 11/30/08	SAME AS ABOVE
HEALTHSOUTH Corporation 3660 Grandview Pkwy, Ste 200 Birmingham, AL 35243	Ms. Suzy Baker Workers' Compensation Claims Coordinator Phone: (205) 970-3433 Fax: (205) 969-4603	ESIS, Inc. Ms. Kim Metzler Account Executive 500 Colonial Ctr Pkwy, Ste 200 Roswell, GA 30076 Phone: (678) 795-4322 Fax: (678) 795-4373 01/01/1995 through 12/31/2003	Downs & Stanford, PC Ms. Jennifer Washington Board Representative 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7772 Fax: (512) 891-9630
J. C. Penney Corporation, Inc. P.O. Box 10001 Dallas, TX 75301-1304	Ms. Madelon Issaeff Associate Risk Manager Phone: (972) 431-2336 Fax: (972) 431-2044	Helmsman Management Services, Inc. Ms. Beth Dempsey Claims Manager P.O. Box 168208 Irving, TX 75016-2067 Phone: (800) 300-0110 ext. 2517 Fax: (603) 334-8098 04/01/1994 through 01/31/2001	Flahive, Ogden & Latson Mr. Steven M. Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
J. C. Penney Corporation, Inc. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	AIG Domestic Claims, Inc. Mr. Jay Cranfill Unit Manager P.O. Box 25974 Shawnee Mission, KS 66225 Phone: (972) 448-1760 Fax: (866) 739-6983 02/01/2001 through 01/31/2004	SAME AS ABOVE
J.B. Hunt Transport, Inc. P.O. Box 598 Lowell, AR 72745	Ms. Christi Hill Workers Comp. Claims Examiner Phone: (800) 723-4942 ext. 73450 Fax: (479) 419-3350	NovaPro Risk Solutions LP Ms. Helana Barmore Branch Manager 10210 N. Central Expressway, Ste 500 Dallas, TX 75231 Phone: (214) 688-1992 Fax: (214) 637-5917 08/01/1993 through 08/19/1997	Pappas & Suchma, P.C. Mr. Stoney Burke Attorney P.O. Box 66655 Austin, TX 78766 Phone: (512) 374-0840 Fax: (512) 374-0848
JELD-WEN, inc. P.O. Box 1329 Klamath Falls, OR 97601	Mr. Kelly Beegle Director of Risk Management Phone: (541) 885-7420 Fax: (541) 885-7424	Broadspire, a Crawford Company Ms. Elizabeth Nelson Service Center Manager P. O. Box 814610 Dallas, TX 75381 Phone: (214) 640-4500 Fax: (214) 631-7115 08/01/1994 through 04/30/1999	Harris & Harris Ms. Wysteria Hutcherson Office Manager P.O. Box 91569 Austin, TX 78709-1569 Phone: (512) 346-5533 Fax: (512) 346-2539
Johnson Controls, Inc. P.O. Box 591 Milwaukee, WI 53201	Ms. Jennifer L. Rosenberg Analyst, Insurance Administration Phone: (414) 524-3109 Fax: (414) 524-3164	Underwriters Safety & Claims Ms. Susan E. Osborn Operations Coordinator P.O. Box 23790 Louisville, KY 40223 Phone: (502) 244-1340 ext. 5993 Fax: (502) 489-6440 07/01/1994 through 02/29/1996	Flahive, Ogden & Latson Ms. Patsy Shelton Office Manager 505 W. 12th St. Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Lowe's Home Centers, Inc. P.O. Box 1000 Mooresville, NC 28115	Ms. Tia W. Schweikert Manager - Workers' Compensation Phone: (704) 758-3055 Fax: (704) 757-0530	Specialty Risk Services Mr. Chuck Pierce Supervisor P.O. Box 139024 Dallas, TX 75313-1580 Phone: (800) 677-1412 Fax: (469) 737-3133 04/01/2002 through 11/30/08	Downs & Stanford, PC Mr. Stuart Colburn Attorney 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Mobil Corporation c/o Exxon Mobil Risk Management Inc. P.O Box 3342, CORP-BH4-1177B Houston, TX 77253-3342	Ms. Barbara L. Hooper Financial Analyst Phone: (713) 680-7148 Fax: (713) 680-7303	ExxonMobil Risk Management Inc. Mr. Mike Pasquier Lead Adjuster P.O. Box 3342, CORP-BH4-1177B Houston, TX 77253-3342 Phone: (713) 680-7173 Fax: (713) 680-7302 06/01/1997 through 11/29/1999	J.T. Parker & Associates, LLC Mr. Kevin McGillicuddy Director of W.C. Services 7600 Chevy Chase, Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967
Nabisco, Inc. c/o Kraft Foods Global, Inc. Three Lakes Drive Northfield, IL 60093	Ms. Nyoka R. Duerson Claims Manager Phone: (847) 646-7164 Fax: (570) 831-7957	Cambridge Integrated Services Group, Inc. Ms. Donna Isaac Claims Adjuster 1501 Luna Rd., Ste 102 Carrollton, TX 75006 Phone: (469) 546-2945 Fax: (440) 914-2895 01/15/1997 through 04/30/2001	Harris & Harris 8701 Mopac, Ste 400 Austin, TX 78759 (512) 346-5533 (512) 346-2539
Occidental Chemical Corporation P.O. Box 809050 Dallas, TX 75380-9050	Mr. Kyle Rogers Risk Analyst Phone: (972) 404-3988 Fax: (972) 404-3937	Gallagher Bassett Services, Inc. Mr. Ray Camarillo Branch Manager 16414 San Pedro Ave., Ste 400 San Antonio, TX 78232 Phone: (210) 403-9682 Fax: (210) 403-9621 12/01/1994 through 11/30/1998	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Roadway Express, Inc. 10990 Roe Ave., MS F415 Overland Park, KS 66211	Ms. Jill A. Rueter Risk & Insurance Specialist Phone: (913) 696-6107 Fax: (913) 234-9173	Gallagher Bassett Services, Inc. Mr. Terry Tarter Branch Manager 6504 International Pkwy., Ste 2100 Plano, TX 75903 Phone: (800) 382-0166 ext. 201 Fax: (972) 931-6256 07/01/1993 through 06/30/1996	Gallagher Bassett Services, Inc. Ms. Diana Johnson AVP of State Compliance P.O. Box 151509 Austin, TX 78715 Phone: (512) 292-7495 Fax: (210) 490-1606
Rockwell Automation, Inc. 1201 S. Second St, E-7C27 Milwaukee, WI 53204	Mr. Robert O'Connor Director - Insurance and Risk Mgmt. Phone: (414) 382-8407 Fax: (414) 382-8566	Broadspire Services, Inc. Mr. Mike Hicks Branch Claim Manager 19111 N. Dallas Pkwy #18 Dallas, TX 75287 Phone: (972) 250-5010 Fax: (972) 250-5002 06/01/1993 through 05/31/2002	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1700
Rockwell Collins, Inc. 400 Collins RdNE, MS 124-318 Cedar Rapids, IA 52498-0001	Mr. Dick Siefers Director, Risk Management & Insurance Phone: (319) 295-4442 Fax: (319) 295-0020	Constitution States Services Mr. Brian Sims Claims Manager P.O. Box 660456 Dallas, TX 75266 Phone: (214) 570-6476 Fax: (877) 786-5577 06/29/2001 through 12/31/2005	St. Paul Travelers Mr. Bill Weldon Representative 1501 S. Mopac Pkwy., Ste A320 Austin, TX 78746 Phone: (512) 329-7358 Fax: (512) 347-7870
Rohm and Haas Company 100 Independence Mall West Philadelphia, PA 19106-2399	Ms. Marcia K. Paulsen, ARM Manager of Pension Operations and Insurance Phone: (215) 592-3140 Fax: (215) 409-4500	Constitution State Service Company Ms. Sharon Peebles Unit Manager 10800 Richmond Ave. Houston, TX 77242-2927 Phone: (713) 787-4116 Fax: (713) 787-4120 12/01/1993 through 11/30/1999	Travelers Companies, Inc. Mr. William E. Weldon Staff Attorney for TDI-DWC Services 1501 S. Mopac Expressway, Ste A320 Austin, TX 78746 Phone: (512) 328-7055 Fax: (512) 347-7870
Ruby Tuesday, Inc. 150 W. Church Ave. Maryville, TN 37801	Mr. Michael Barrett Director of Risk Management Phone: (800) 325-0755 ext. 5910 Fax: (865) 379-6802	Specialty Risk Services, LLC Mr. Frank Shmays Account Service Manager 50 Glenlake Pkwy, Ste 425 Atlanta, GA 30328 Phone: (678) 338-4195 Fax: (860) 723-8192 06/01/1993 through 03/08/1996	Downs & Stanford P.C. Mr. Stuart Colburn Attorney 4425 S. Mopac, Bldg. III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
Sisters of Mercy Health System 14528 S. Outer Forty Dr., Ste 100 Chesterfield, MO 63017	Ms. Elaine Harding Sr. Data Specialist Phone: (314) 628-3628 Fax: (314) 628-3622	Innovative Risk Management Mr. James R. Bennett, Jr. Vice President-Claims 1431 Greenway Dr., Ste 620 Irving, TX 75038 Phone: (972) 518-1577 Fax: (972) 714-0128 08/01/1993 through 09/30/2003	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
Smith's Food & Drug Centers, Inc. P.O. Box 30550 Salt Lake City, UT 84130	Ms. Candi Ray Senior Financial Analyst Phone: (801) 973-1945 Fax: (801) 974-1356	Sedgwick Claims Management Services, Inc. Ms. Gayle Mills 19245 David Memorial Dr. Shenandoah, TX 77385 Phone: (713) 507-4839 Fax: (713) 507-4833 07/01/1994 through 06/30/1997	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Sonoco Products Company P.O. Box 160, MS-B15 Hartsville, SC 29551	Mr. Jason Anfinson Risk Analyst, Corporate Risk Mgmt. Phone: (843) 383-7053 Fax: (843) 383-7828	Specialty Risk Services (SRS) Mr. Paul Frank Account Manager 828 Royal Pkwy, Ste 200 Nashville, TN 37214 Phone: (615) 218-1791 Fax: (704) 717-6770 10/01/1997 through 09/30/2003	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Target Corporation Risk Management Dept. TPN 1300 1000 Nicollet Mall Minneapolis, MN 55403	Ms. Carla LaVere Risk Management Specialist Phone: (612) 761-1151 Fax: (612) 761-2850	Sedgwick Claims Management Services, Inc. Ms. Susan Holt Supervisor Custer Court I, 501 W. Pres. George W. Bush Hwy. Richardson, TX 75080 Phone: (469) 624-1019 Fax: (469) 624-1010 06/01/1993 through 01/31/2005	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1704
Texaco Inc. P.O. Box 6022 San Ramon, CA 94583	Ms. Kelly J. George Workers Compensation Claims Administrator Phone: (925) 842-8164 Fax: (925) 842-8185	Crawford & Company Ms. Katherine Pineda Claims Supervisor 3100 S. Gessner #500 Houston, TX 77063 Phone: (713) 780-9826 Fax: (713) 780-1905 08/01/1993 through 12/31/1998	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Texoma HealthCare System P.O. Box 890 Denison, TX 75020	Ms. Minnie Burkhardt, J.D., FACHE V.P./General Counsel Phone: (903) 416-4103 Fax: (903) 416-4129	Anchor Claims Management, Inc. Mr. Mike Barber WC Claims Manager P.O. Box 819045 Dallas, TX 75381-9045 Phone: (800) 275-3193 ext. 732 Fax: (800) 275-3194 03/01/1996 through 03/31/1998	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
The Evangelical Lutheran Good Samaritan Society P.O. Box 5038 Sioux Falls, SD 57117-5038	Mr. David Lundstrom Director of Ins./Risk Mgmt. Phone: (605) 362-3334 Fax: (605) 362-3344	Constitution State Service Company Mr. Darrell Olson Claims Account Executive 385 Washington St. St. Paul, MN 55102 Phone: (651) 310-3553 Fax: (651) 310-5495 08/01/1994 through 12/31/1997	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711-3367 Phone: (512) 477-4405 Fax: (512) 867-1701
The Heil Co. 5741 Cornelison Rd., 6400 Bldg B Chattanooga, TN 37411	Mr. Sean Moore Tax Manager Phone: (423) 899-9100 ext. 5569 Fax: (423) 855-6348	Alternative Services Concepts Ms. Diana Martinez P.O. Box 305148 Nashville, TN 37230-5148 Phone: (800) 888-1256 Fax: (615) 872-4343 08/16/1994 through 03/31/2000	Hammerman & Gainer, Inc. Ms. Melissa Hutcherson Unit Supervisor 9111 Jollyville Rd. #115 Austin, TX 78759 Phone: (512) 231-0202 Fax: (512) 231-0210
The Heil Co. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Helmsman Management Svcs., Inc. Mr. Craig Johnson Customer Service Mgr. 114 W. 47th St., 21st Floor New York, NY 10036 Phone: (212) 391-7500 ext 2225 Fax: (212) 391-1954 04/01/2000 through 08/15/2001	SAME AS ABOVE
The Stanley Works 1000 Stanley Dr. New Britain, CT 06053	Ms. Annette Parslow Workers Compensation Manager Phone: (860) 827-3936 Fax: (860) 827-3886	ESIS, Inc. Ms. Cheryl Rieder 436 Walnut St. Philadelphia, PA 19106 Phone: (215) 640-4195 Fax: (215) 640-2573 07/01/1993 through 06/30/1994	Harris & Harris, Attorneys At Law Mr. Herb Harris Managing Partner 5900 Southwest Pkwy, Bldg 2 Austin, TX 78735-6202 Phone: (512) 346-5533 Fax: (512) 346-5539
The Stanley Works SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Constitution State Service Company Ms. Maria McKeon Claim Account Executive P.O. Box 81-3607 Hollywood, FL 33081 Phone: (954) 983-6707 Fax: (877) 266-1419 07/01/1994 through 06/30/2000	SAME AS ABOVE
The Stanley Works SAME AS ABOVE. *3rd Third Party Administrator*	SAME AS ABOVE	Speciality Risk Services, Inc. Mr. Daniel McCabe Goodwin Square, 225 Asylum St. Hartford, CT 06103 Phone: (860) 520-2549 Fax: (860) 520-2503 07/01/2000 through 06/30/2008	SAME AS ABOVE
Tyco International (US) Inc. 9 Roszel Rd. Princeton, NJ 08540	Mr. Sean Patton Sr. Claims Manager Phone: (609) 720-4562 Fax: (609) 720-4572	Sedgwick CMS, Inc. Ms. Mildred Pierce Supervisor 500 N. Akard, Ste 2200 Dallas, TX 75201 Phone: (214) 849-5000 Fax: (214) 849-5201 03/09/1995 through 06/30/1999	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Tyson Foods, Inc. P.O. Box 2020 Springdale, AR 72765	Ms. Connie Downum Sr. Risk Management Analyst Phone: (479) 290-4278 Fax: (479) 290-4981	ESIS, Inc. Ms. Sylvia Reitz 600 East Campus Circle Dr., Ste 200 Irving, TX 75063 Phone: (800) 937-7460 Fax: (800) 373-5156 5/01/1993 through 12/31/2002	Flahive, Ogden & Latson Mr. Steve Tipton Managing Shareholder P.O. Box 13367 Austin, TX 78711 Phone: (512) 477-4405 Fax: (512) 867-1701
Union Pacific Motor Freight Company 1400 Douglas, STOP 1870 Omaha, NE 68179-1870	Mr. David G. Pincock Senior Insurance Officer Phone: (402) 544-2154 Fax: (402) 501-0059	Kemper Risk Management Services Ms. Marlys Thompson 1 Kemper Dr. Long Grove, IL 60049-0001 Phone: (847) 320-3963 Fax: (847) 320-5452 01/03/1994 through 02/28/1997	Harris & Harris Mr. Pete Gomez CEO 5900 Southwest Pkwy, Bldg 2 Austin, TX 78746 Phone: (512) 346-5533 Fax: (512) 346-2539
UPS Ground Freight, Inc. P.O. Box 1216 Richmond, VA 23218	Mr. Michael R. Smith Sr. Manager, Casualty Insurance Phone: (804) 231-8320 Fax: (804) 231-8964	Helmsman Management Services, Inc. Ms. Linda Cunningham WC Team Manager 2100 Walnut Hill Lane, Ste 100 Irving, TX 75038 Phone: (800) 300-0110 ext. 3245 Fax: (972) 518-0394 01/03/1994 through 12/31/1995	Gallagher Bassett Services, Inc. Ms. Diana Johnson Asst. VP of State Compliance P.O. Box 151509 Austin, TX 78715-1509 Phone: (512) 292-7495 Fax: (210) 490-1606
UPS Ground Freight, Inc. SAME AS ABOVE. *2nd Third Party Administrator*	SAME AS ABOVE	Gallagher Bassett Services, Inc. Ms. Gladys Thomas Adjuster 6504 International Pkwy #2100 Dallas, TX 75093 Phone: (972) 931-6277 ext. 218 Fax: (972) 931-6256 01/01/1996 through 12/31/2006	SAME AS ABOVE
W.R. Grace & Co. 5400 Broken Sound Blvd., NW Ste 300 Boca Raton, FL 33487	Mr. Frederick Zaremby Legal Counsel Phone: (561) 362-1568 Fax: (561) 362-1323	CNA - Compliance Mr. Dean Thresher Consultant 2002 Eaglebrook Pkwy Celina, OH 45/822 Phone: (419) 586-5357 Fax: (707) 598-4910 02/06/1995 through 02/05/1998	Burns, Anderson, Jury & Brenner, L.L.P. Ms. Deborah Derrickson Adjuster 7804 Bell Mountain Dr., #100 Austin, TX 78755-6300 Phone: (512) 338-5322 Fax: (512) 338-5363
Waffle House, Inc. P.O. Box 6450 Norcross, GA 30091	Ms. Elizabeth Bailey Director of Safety & Workers' Compensation Phone: (770) 729-5917 Fax: (770) 729-5949	Employers Edge Administrative Services, Inc. Mr. Scott Kakacek President P.O. Box 830767 Richardson, TX 75083-0767 Phone: (972) 437-1707 Fax: (972) 421-0791 03/08/1994 through 10/31/2002	Hammerman & Gainer, Inc. Mr. Don York Hearing Representative 9111 Jollyville Rd., Ste 115 Austin, TX 78759 Phone: (512) 231-0202 ext. 105 Fax: (512) 231-0210
Watkins Associated Industries, Inc. P.O. Box 8950 Lakeland, FL 33806-8950	Mr. Ronald A. Chipman Vice President/Risk Management Phone: (863) 802-2340 Fax: (866) 423-3841	Liberty Mutual Group Mr. Bruce Borner Operations Manager P.O. Box 8950 Lakeland, FL 33806-8950 Phone: (800) 300-0110 ext. 2225 Fax: (972) 550-0260 04/01/1994 through 10/31/2006	Hammerman & Gainer, Inc. Ms. Melissa Hutcherson DWC Unit Supervisor 9111 Jollyville Rd., Ste 115 Austin, TX 78759-7433 Phone: (512) 231-0202 Fax: (512) 231-0210
Winn-Dixie Montgomery, Inc. P.O. Box B Jacksonville, FL 32203-0297	Mr. Dale H. Bitter Senior Director, Risk Management Department Phone: (904) 783-5303 Fax: (904) 783-5609	Sedgwick Claims Management Services, Inc. Ms. Vicky Johnson Adjuster P.O. Box 24787 Jacksonville, FL 32241-4787 Phone: (904) 419-5340 Fax: (904) 419-5359 7/01/1993 through 06/30/2002	Downs & Stanford, P.C. Ms. Fran A. Lout Esq. Director of Operations 4425 S. Mopac, Bldg III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 346-2539
Kmart Corporation c/o Sears Holdings Corporation 3333 Beverly Rd., E3-273B Hoffman Estates, IL 60179	Ms. Kathryn Van Den Heuvel Risk Analyst Phone: (847) 286-8679 Fax: (847) 286-2648	Sedgwick Claims Management Services, Inc. Mr. Chance Fleming Claim Supervisor 501 W. President George Bush Hwy. Richardson, TX 75080 Phone: (469) 624-1000 Fax: (469) 624-1010 06/01/1993 through 02/28/2003	Downs & Stanford, P.C. Mr. Charles E. Morse Attorney 4425 S. Mopac, Bldg III, Ste 500 Austin, TX 78735 Phone: (512) 891-7771 Fax: (512) 891-7772
TCSIGA (Montgomery Ward & Co. Incorporated) 1115 San Jacinto Blvd., Ste 275 Austin, TX 78701	Mr. Clay Pope Executive Director Phone: (512) 480-0820 Fax: (512) 480-8051	J. T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of Workers' Compensation Services 7600 Chevy Chase, Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967 12/01/1995 through 11/30/1997	J. T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of Workers' Compensation Services 7600 Chevy Chase, Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967
TCSIGA (Venture Stores, Inc.) 1115 San Jacinto Blvd., Ste 275 Austin, TX 78701	Mr. Clay Pope Executive Director Phone: (512) 480-0820 Fax: (512) 480-8051	J. T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of Workers' Compensation Services 7600 Chevy Chase, Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967 09/01/1993 through 08/31/1997	J. T. Parker & Associates, L.L.C. Mr. Kevin McGillicuddy Director of Workers' Compensation Services 7600 Chevy Chase, Ste 350 Austin, TX 78752 Phone: (512) 320-9950 Fax: (512) 320-9967

(Total of 47 Withdrawn & 2 Impaired Certified Self-Insured Companies)

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Last updated: 09/22/2009