Indemnity insurance company of north america workers compensation

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NAIC#:	43575	DOM:	Pennsylvania	Group:	ACE Ltd. Group	Phone:	215-640-1000
CPAF:	2074	ORG:	PC	Group#:	626	Spl Risk:
DMV#:	172	Website:	WWW.ACE-INA.COM	Admitted Dt:	03/22/1995	FId:	061016108
Indemnity Insurance Company of North America Po Box 1000 436 Walnut Street Philadelphia, PA 19106

Company Name History:
(No Data Available)

Current Writing Powers:

NYS Insurance Law Section Code	Line of Business	Description
1113(a)	3	Accident And Health
1113(a)	4	Fire
1113(a)	5	Miscellaneous Property
1113(a)	6	Water Damage
1113(a)	7	Burglary And Theft
1113(a)	8	Glass
1113(a)	9	Boiler And Machinery
1113(a)	10	Elevator
1113(a)	11	Animal
1113(a)	12	Collision
1113(a)	13	Personal Injury Liability
1113(a)	14	Property Damage Liability
1113(a)	15	Workers' Compensation And Employers' Liability
1113(a)	16	Fidelity And Surety
1113(a)	17	Credit
1113(a)	19	Motor Vehicle And Aircraft Physical Damage
1113(a)	20	Marine And Inland Marine
1113(a)	21	Marine Protection And Indemnity
1113(a)	28	Service Contract Reimbursement
1113(a)	29	Legal Services

Company Information

INDEMNITY INSURANCE COMPANY OF NORTH AMERICA

1601 CHESTNUT STREET

PHILADELPHIA, PA 19192

800-352-4462

STUYVESANT INS CO

1979-03-27

NAIC #:	25348
California Company ID #:	0369-9
Date Authorized in California:	1912-03-12
License Status:	MERGED
Company Type:	Property & Casualty
State of Domicile:	NEW YORK

NAIC Group #:

0901

CIGNA HLTH GRP

Lines Of Business

The company is authorized to transact business within these lines of insurance.
For an explanation of any of these terms, please refer to the glossary.

	AIRCRAFT
	AUTOMOBILE
	BOILER AND MACHINERY
	BURGLARY
	COMMON CARRIER LIABILITY
	CREDIT
	DISABILITY
	FIRE
	LIABILITY
	MARINE
	MISCELLANEOUS
	PLATE GLASS
	SPRINKLER
	SURETY
	TEAM AND VEHICLE
	WORKERS' COMPENSATION

Workers Compensation

INDEMNITY INSURANCE COMPANY OF NORTH AMERICA

436 WALNUT STREET

PHILADELPHIA, PA 19106

800-352-4462

Workers' Compensation Complaint and Requests for Action Contact Information

Part 1: Complaints and Requests for Action (CRA)

If you are seeking information about your workers' compensation insurance policy, or if you have a dispute with your insurance carrier about how its rating plan was applied to your policy (e.g. a dispute about a classification assignment or experience modification applied to your policy) you must first submit a Complaint and Request for Action (CRA) to the workers' compensation insurance company using the address below.

Phone Number:	213-612-5396 Ext:
FAX:
E-Mail:
WEB Address:
Company Contact:	Misty Coffield
Mailing Address:	555 S. Flower Street Los Angeles CA 90071
Contact Notes:

Part 2: Appeals to the Department of Insurance

You may appeal your workers' compensation insurance company's written decision on your CRA to the Insurance Commissioner. Mail your appeal to the CDI's Administrative Hearing Bureau, 45 Fremont Street, San Francisco, CA 94105. You also must mail a copy of your appeal to your workers' compensation insurance company using the address below.

Phone Number:	215-640-1272 Ext:
FAX:	215-640-4986
E-Mail:
WEB Address:
Company Contact:	Stephen Hawkins
Mailing Address:	436 Walnut Street Philadelphia PA 19106
Appeals Notes: