Claims Office / Third Party Administrators

Do Not Mail C-4 Forms to a PO Box Address

ZURICH AMERICAN INSURANCE COMPANY

PO Box
Schaumburg, Illinois 60196

AMERICAN CLAIMS MANAGEMENT INC

639 Isbell Rd. Suite 390
Reno, Nevada 89509

BENCHMARK ADMINISTRATORS, LLC

PO Box 46350
Las Vegas, Nevada 89114

BROADSPIRE SERVICES, INC.

2560 Montessouri St. Ste. 206
Las Vegas, Nevada 89117

CANNON COCHRAN MANAGEMENT SERVICES, INC.

PO Box 35350
Las Vegas, Nevada 89133

CONSTITUTION STATE SERVICES LLC

P O Box 71000
Las Vegas, Nevada 89170

CORVEL ENTERPRISE COMP INC

PO Box 61228
Las Vegas, Nevada 89160

ESIS INC

6935 Aliante Parkway
Suite 104-411
Las Vegas, Nevada 89084

GALLAGHER BASSETT SERVICES, INC.

777 N Rainbow Blvd, 2nd Floor, South Building
Las Vegas, Nevada 89107

HELMSMAN MANAGEMENT SERVICES LLC

9205 W. Russell Rd., Suite 370
Las Vegas, Nevada 89148

PMA MANAGEMENT CORP

300 South 4th Street
Office #628
Las Vegas, Nevada 89101

SEDGWICK CLAIMS MANAGEMENT SERVICES INC

9930 West Cheyenne Avenue
Suite 150
Las Vegas, Nevada 89129

THE ZURICH SERVICES CORPORATION

PO Box 968005
Schaumburg, Illinois 60196