Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
C of A Employer 397 AFFINITY GAMING Elizabeth Guth V.P. Of Insurance and Benefits 3755 Breakthrough Way Suite 300 Las Vegas NV 89135 702-341-2419
Association Name Date Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 01-JAN-11 Subsidiary AFFINITY GAMING 01-JAN-11 Subsidiary PRIMADONNA COMPANY, LLC THE DBA PRIMM VALLEY RESORT AND CASINO 01-MAR-12 Subsidiary PRIMADONNA COMPANY, LLC THE DBA WHISKEY PETE'S HOTEL AND CASINO 01-MAR-12 Subsidiary PLANTATION INVESTMENTS, LLC DBA RAIL CITY CASINO 01-MAR-12 Subsidiary PRIMADONNA COMPANY, LLC THE DBA BUFFALO BILL'S RESORT AND CASINO 01-MAR-12 Subsidiary FLAMINGO PARADISE GAMING, LLC DBA SILVER SEVENS HOTEL AND CASINO 01-JUL-13
C of A Employer 125420 AMERICAN CASINO AND ENTERTAINMENT PROPERTIES, LLC Jennifer Stiffler HR Director 2000 LAS VEGAS BLVD SOUTH LAS VEGAS NV 89104 702-383-5387
Association Name Date Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 20-FEB-14 Subsidiary AQUARIUS GAMING, LLC 20-FEB-14 Subsidiary FRESCA, LLC 20-FEB-14 Subsidiary ARIZONA CHARLIE'S, LLC 20-FEB-14 Subsidiary STRATOSPHERE GAMING, LLC 20-FEB-14
C of A Employer 45 ARCBEST CORPORATION (FKA ARKANSAS BEST CORPORATION) Allen King Workers Comp Manager 3801 Old Greenwood Rd. Fort Smith AR 72903 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
479-785-6218
Association Name Date Subsidiary ABF FREIGHT SYSTEM, INC. 15-DEC-81 Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13
C of A Employer 326 BEST BUY CO INC Nicole Franzese Senior Risk Manager 7601 Penn Avenue South Richfield MN 55423 612-291-7207
Association Name Date Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13
C of A Employer 52 BOYD GAMING CORPORATION Amber Dippre Industrial Insurance Analyst 6465 South Rainbow Blvd Las Vegas NV 89118 702-792-7352
Association Name Date Subsidiary GOLD COAST HOTEL & CASINO 01-FEB-89 Subsidiary BOYD GAMING CORPORATION 01-NOV-90 Subsidiary BOYD SHARED SERVICES, INC. 01-JUN-07 Subsidiary BOYD DEVELOPMENT CORPORATION 01-OCT-95 Subsidiary CALIFORNIA HOTEL & CASINO DBA CALIFORNIA HOTEL AND CASINO 01-AUG-82 Subsidiary ELDORADO, INC. DBA ELDORADO CASINO 01-APR-93 Subsidiary CONSTELLATION INSURANCE COMPANY 01-JUL-05 Subsidiary M.S.W., INC. DBA MAIN STREET STATION HOTEL, CASINO & BREWERY 22-NOV-96 Subsidiary BOYD ATLANTIC CITY, INC. 01-JAN-99 Subsidiary SUNCOAST HOTEL & CASINO, THE 01-FEB-89 Subsidiary SAM-WILL, INC. DBA FREMONT HOTEL AND CASINO 01-JUL-81 Subsidiary ELDORADO, INC. DBA JOKERS WILD CASINO 15-OCT-93 Subsidiary BOYD CENTRAL REGION, INC. 01-FEB-96 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
COAST CASINOS F/K/A COAST HOTEL & CASINO, INC. DBA THE ORLEANS HOTEL & Subsidiary 01-FEB-89 CASINO Subsidiary BOYD TRAVEL, INC. DBA VACATIONS-HAWAII 01-OCT-95 CALIFORNIA HOTEL & CASINO DBA SAM'S TOWN HOTEL, GAMBLING HALL & BOWLING Subsidiary 01-AUG-82 CENTER Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 11 CAESARS ENTERTAINMENT CORPORATION Maila Aganon Director of Treasury & Risk Finance One Caesars Palace Drive Las Vegas NV 89019 702-407-6277
Association Name Date Subsidiary CAESARS ENTERPRISE SERVICES, LLC 31-JUL-14 Subsidiary CG SERVICES, LLC 29-AUG-13 Subsidiary CAESARS LINQ, LLC 29-MAR-11 Subsidiary CAESARS MARKETING SERVICES CORPORATION 23-NOV-10 Subsidiary CAESARS ENTERTAINMENT OPERATING COMPANY, INC. 22-NOV-10 Subsidiary DESERT PALACE, INC. DBA CAESARS PALACE LAS VEGAS 01-JUN-10 Subsidiary PHW MANAGER, LLC 20-NOV-09 Subsidiary PARIS LAS VEGAS OPERATING COMPANY, LLC DBA PARIS LAS VEGAS 30-JAN-08 Subsidiary FLAMINGO LAS VEGAS OPERATING COMPANY, LLC DBA FLAMINGO LAS VEGAS 14-SEP-07 Subsidiary 3535 LV CORP. 08-SEP-05 Subsidiary CAESARS PALACE SPORTS PROMOTIONS 01-JAN-03 Subsidiary CAESARS ENTERTAINMENT GOLF, INC. DBA CASCATA GOLF COURSE 04-OCT-00 Subsidiary PARBALL CORPORATION 03-AUG-98 Subsidiary RIO DEVELOPMENT COMPANY, INC DBA RIO SECCO GOLF COURSE 29-AUG-97 Subsidiary RIO PROPERTIES, LLC DBA RIO ALL-SUITE HOTEL & CASINO 24-FEB-92 Subsidiary HARRAH SOUTH SHORE CORPORATION 12-NOV-97 Subsidiary CAESARS ENTERTAINMENT RETAIL, INC. 17-MAR-03 Subsidiary PHW LAS VEGAS, LLC 01-JUN-13 Subsidiary HARVEYS TAHOE MANAGEMENT COMPANY, INC. 01-AUG-01 Subsidiary HARRAH'S LAS VEGAS, LLC 01-JUN-83 Subsidiary HARRAH'S LAUGHLIN, LLC 28-APR-88 Subsidiary CAESARS ENTERTAINMENT INC 12-JUL-80 Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
C of A Employer 125980 CAESARS GROWTH PROPERTIES HOLDINGS, LLC Maila Aganon Director of Treasury & Risk Finance One Caesars Palace Dr Las Vegas NV 89109 702-407-6277
Association Name Date Subsidiary PHWLV, LLC 31-JUL-14 Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 05-MAY-14 Subsidiary PARBALL NEWCO, LLC DBA BALLY'S LAS VEGAS 05-MAY-14 Subsidiary CORNER INVESTMENT COMPANY, LLC (THE CROMWELL) 05-MAY-14 Subsidiary 3535 LV NEWCO, LLC DBA THE QUAD RESORT AND CASINO 05-MAY-14
C of A Employer 393 CARSON CITY Cecilia Meyer, ASHM Risk Management Coordinator, CC Finance Division 201 North Carson Street Ste 3 Carson City NV 89701 775-283-7484
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 01-JUL-10
C of A Employer 394 CARSON CITY SCHOOL DISTRICT Lynn Garrett HR/Workers' Comp 1402 West King Street Carson City NV 89702 775-283-2004
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 383 CATHOLIC CHARITIES OF SOUTHERN NEVADA Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Patrice Ross Vice President Human Resources 1501 Las Vegas Blvd North Las Vegas NV 89101 702-215-4724
Association Name Date Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 199 CEDAR ENTERPRISES INC Kia Summers Human Resources Representative 1328 Dublin RoadSuite 300 Columbus OH 43215 614-737-7808
Association Name Date Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 11-SEP-13 Subsidiary WENDY'S OF LAS VEGAS, INC. 01-JAN-94
C of A Employer 130131 CHURCHILL COUNTY SCHOOL DISTRICT Phyllys Dowd Director of Business Services 690 S MAINE ST FALLON NV 89406-3807 775-428-7220
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 01-JUL-15
C of A Employer 169 CITY OF HENDERSON Mary Sexton Workers' Compensation Analyst 240 Water StreetPO Box 95050, MSC137 Henderson NV 89009-5050 702-267-1922 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 78 CITY OF LAS VEGAS Connolly Bob HR Manager 495 S. Main St. Las Vegas NV 89101 702-229-5043
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 29-DEC-85
C of A Employer 197 CITY OF NORTH LAS VEGAS Vicki Dibernardo Human Resources 2250 Las Vegas Blvd North North Las Vegas NV 89030 702-633-1517
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 147 CITY OF RENO Kelly Leerman Director PO Box 1900 Reno NV 89505 775-334-2285
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 163 CITY OF SPARKS Jill Valdez Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Human Resources Analyst 431 Prater Way Sparks NV 89431 775-353-4021
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 399 CITYCENTER HOLDINGS, LLC Paula Gentile Senior Vice President and General Counsel MGM Administration Building71 E Harmon Avenue Las Vegas NV 89109 702-692-9555
Association Name Date Subsidiary CITY CENTER REALTY CORPORATION 30-NOV-11 Subsidiary PROJECT CC, LLC 30-NOV-11 Subsidiary ARIA RESORTS AND CASINO LLC 30-NOV-11 Subsidiary CRYSTALS AT CITY CENTER MANAGEMENT LLC, THE 30-NOV-11
C of A Employer 75 CLARK COUNTY Sandra Swickard Workers' Compensation Coordinator Workers' Compensation500 S Grand Central Pkwy 5th Fl Las Vegas NV 89106 702-455-5524
Association Name Date Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 11-SEP-13 Subsidiary MCCARRAN INTERNATIONAL AIRPORT 15-JUL-85 Subsidiary VOLUNTEER ACCOUNT 01-APR-86 Subsidiary UNIVERSITY MEDICAL CENTER 01-AUG-86
C of A Employer 104 CLARK COUNTY SCHOOL DISTRICT Roque Lapuz, Jr. Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Workers Comp Coordinator 4828 S. Pearl Street MS 200 Las Vegas NV 89121 702-799-0060 x 5601
Association Name Date Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 01-JUL-90
C of A Employer 115 CLARK COUNTY WATER RECLAMATION DISTRICT Martin Flynn Assistant to General Manager 5857 East Flamingo Road Las Vegas NV 89122 702-668-8066
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 154 COSTCO WHOLESALE CORPORATION Anthony Stover Integrated Leave Specialist II 999 Lake Drive Issaquah WA 98027 425-313-8503
Association Name Date Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 11-SEP-13 Subsidiary COSTCO WHOLESALE CORPORATION 01-JAN-93
C of A Employer 347 CREATIONS MEANDRES INC Mary Spees Regional Director of Human Resources 980 Kelly Johnson Drive Suite 200 Las Vegas NV 89119 702-352-0190
Association Name Date Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 11-SEP-13 Subsidiary CIRQUE APPLE ADMINISTRATION, LLC 05-DEC-05 Subsidiary CIRQUE DU SOLEIL (US), INC. 01-FEB-99 Subsidiary CIRQUE DU SOLEIL, INC. 01-FEB-99 Subsidiary CIRQUE DU SOLEIL 'O', LLC 29-DEC-03 Subsidiary CIRQUE DU SOLEIL NEVADA, INC. 01-FEB-99 Subsidiary CIRQUE DU SOLEIL HOLDING USA, INC. 01-FEB-99 Subsidiary CIRQUE DU SOLEIL ILLUSION LLC 16-NOV-06 Subsidiary CIRQUE DU SOLEIL MY CALL L.L.C. 18-FEB-13 Subsidiary CIRQUE DU SOLEIL ZUMANITY, LLC 24-JUN-03 Subsidiary CIRQUE DU SOLEIL PERCEPTIONS, LLC 24-NOV-03 Subsidiary CIRQUE DU SOLEIL RADIO CT.L.L.C. 09-OCT-12
C of A Employer 361 DIGNITY HEALTH Terri Kielhorn Vice President Risk Services 185 Berry Street Suite 300 San Francisco CA 94107 415-438-5530
Association Name Date Subsidiary DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC 01-OCT-13 Subsidiary ST ROSE DOMINICAN HOSPITAL-DE LIMA CAMPUS 01-OCT-00 Subsidiary ST ROSE DOMINICAN HOSPITAL-SAN MARTIN CAMPUS 01-OCT-00 Subsidiary ST ROSE DOMINICAN HEALTH FOUNDATION 01-OCT-00 Subsidiary ST ROSE DOMINICAN HOSPITAL-SIENA CAMPUS 01-AUG-06 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 216 DOUGLAS COUNTY SCHOOL DISTRICT Holly Luna Chief Financial Officer 1638 Mono Ave. Minden NV 89423 775-782-5131 x 1615
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
C of A Employer 323 EBSCO INDUSTRIES INC Heather Moore Vice President/Acctg P O Box 1943 Birmingham AL 35201 205-991-1473
Association Name Date Subsidiary VALLEY JOIST, INC. (AKA VALLEY JOIST WEST) 01-OCT-97 Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 58 ELDORADO RESORTS LLC DBA ELDORADO HOTEL & CASINO Robert Mackay Director of Administration 345 North Virginia Street Reno NV 89501 775-786-5700 x 7656
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 192 ELKO COUNTY SCHOOL DISTRICT Mike Smith Assistant Superintendent 1092 Burns RoadPO Box 1012 Elko NV 89803 775-738-5196
Association Name Date Third Party Administrator ALTERNATIVE SERVICE CONCEPTS LLC 11-SEP-13
C of A Employer 285 FEDEX CORPORATION (PARENT)(Ground) Leigh Ferron Manager-Workers Compensation 1000 Fedex Drive Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Moon Twp. PA 15108 412-859-7240
Association Name Date Subsidiary FEDEX GROUND PACKAGE SYSTEM, INC. FKA RPS, INC. 01-AUG-96 Third Party Administrator BROADSPIRE SERVICES INC 11-SEP-13
C of A Employer 29 FEDEX CORPORATION for Federal Express Corporation Julia Stegall Sr. Risk Analyst 3620 Hacks Cross Road Bldg B 3rd Floor Memphis TN 38125-8800 901-434-4557
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13 Subsidiary FEDERAL EXPRESS CORPORATION 01-APR-81
C of A Employer 120 FEDEX CORPORATION for Fedex Freight Inc Kayla Quandt Advisor - Risk Management 2200 Forward Drive Delivery Code 2256 Harrison AR 72602 870-704-5187
Association Name Date Subsidiary FEDEX FREIGHT INC. 01-NOV-91 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 174 FOUR QUEENS LLC DBA FOUR QUEENS HOTEL & CASINO Brian Arlin VP/CFO 202 East Fremont Street Las Vegas NV 89101 702-387-5188
Association Name Date Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Subsidiary TLC CASINO ENTERPRISES, INC. 01-JAN-08 Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 400 FP HOLDINGS LP Sarah Wooward Risk Analyst c/o AON Global Risk Consulting5600 W 83rd St.,8200 Tower, Ste 1100 Minneapolis MN 55437 952-807-0720
Association Name Date Subsidiary NM VENTURES I LLC 30-NOV-11 Subsidiary NM VENTURES II LLC 30-NOV-11 Subsidiary PPII HOLDINGS, LLC (PALMS PLACE, LLC) 30-NOV-11 Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 01-NOV-11
C of A Employer 141 FRIAS HOLDING COMPANY LLC Bonet Allosada Corporate Secretary 5010 South Valley View Blvd Las Vegas NV 89118 702-798-3424
Association Name Date Subsidiary FRIAS STANDARD CAPITAL INC. 02-JAN-15 Subsidiary UNION CAB LLC DBA UNION CAB 01-JUL-92 Subsidiary OXFORD TECHNOLOGY, INC. DBA EL MIRADOR MOTEL 01-JUL-99 Subsidiary ACE CAB LLC DBA ACE CAB 01-JUL-92 Subsidiary VEGAS-WESTERN CAB LLC DBA VEGAS-WESTERN CAB 01-JUL-92 Subsidiary AIRLINE SHUTTLE LLC DBA AIRLINE SHUTTLE 01-APR-00 Subsidiary LAS VEGAS LIMOUSINES LLC DBA LAS VEGAS LIMOUSINES 01-JAN-96 Subsidiary VIRGIN VALLEY CAB LLC DBA VIRGIN VALLEY CAB 01-AUG-94 Subsidiary A NLV CAB LLC DBA ANLV CAB 01-JUL-92 Subsidiary FRIAS MANAGEMENT, LLC DBA FRIAS TRANSPORTATION MANAGEMENT 01-JUL-10 Third Party Administrator R A WONG 11-SEP-13
C of A Employer Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
386 GAUGHAN SOUTH LLC DBA SOUTH POINT HOTEL AND CASINO Heather Hall Risk Manager 9777 Las Vegas Blvd South Las Vegas NV 89183 702-797-8245
Association Name Date Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 380 GOLDEN NUGGET INC Lea Ann Lopez Associate Director Risk Management 1510 W Loop South Houston TX 77027 713-386-7202
Association Name Date Third Party Administrator CORVEL ENTERPRISE COMP INC 23-JAN-04 Subsidiary GNL, CORP (GOLDEN NUGGET LAUGHLIN) 23-JAN-04 Subsidiary GNLV, CORP (GOLDEN NUGGET LAS VEGAS) 23-JAN-04
C of A Employer 182 HAMILTON HOLDING MANAGEMENT CORP Carolyn Cooper Human Resources Supervisor 4990 Energy Way Reno NV 89502 775-858-3000 x 284
Association Name Date Third Party Administrator HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY 11-SEP-13 Subsidiary HAMILTON ROBOTICS 10-DEC-09 Subsidiary HAMILTON COMPANY 01-JUL-93
C of A Employer 114 HAT LTD A NEVADA LIMITED PARTNERSHIP DBA MANPOWER TEMPORARY SERVICES Mike Harrigan Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Owner 1155 West 4th Street Suite 223 Reno NV 89503 775-328-6020
Association Name Date
C of A Employer 165 HCA HOLDINGS INC Leah Larkin Senior Compliance Analyst One Park Plaza Bldg 2-4 East Nashville TN 37203 615-344-1487
Association Name Date Subsidiary MEDICREDIT, INC. 20-OCT-14 Subsidiary FAR WEST DIVISION, INC. 11-JUL-11 Subsidiary H2U WELLNESS CENTERS, LLC 13-JAN-14 Subsidiary SUNRISE MOUNTAINVIEW HOSPITAL, INC. 30-JAN-97 Subsidiary HEALTHCARE SALES NATIONAL MANAGEMENT 01-SEP-09 Subsidiary HCA IT&S FIELD OPERATIONS, INC. DBA IT&S FAR WEST SERVICE CENTER 11-MAY-08 Subsidiary SUNRISE HOSPITAL & MEDICAL CENTER, LLC 01-MAR-93 SUNRISE MOUNTAINVIEW MULTI-SPECIALTY CLINICS, LLC FKA SUNRISE NEURO Subsidiary 01-DEC-07 SCIENCES, LLC Subsidiary COSCORP, LLC 23-APR-99 Subsidiary HCA ASD FINANCIAL OPERATIONS, LLC 03-JUN-11 Subsidiary OUTPATIENT SERVICES HOLDINGS, INC. 18-MAR-13 Subsidiary VISION CONSULTING GROUP LLC FKA VISION CONSULTING, INC. 23-MAR-12 Subsidiary HCA ASD SALES SERVICES, LLC 26-DEC-10 Subsidiary PARALLON HEALTH INFORMATION SYSTEMS, LLC 01-MAY-12 Subsidiary LAS VEGAS SURGICARE, INC. 01-DEC-94 Subsidiary HCA MANAGEMENT SERVICES, LP 01-JAN-99 Subsidiary PARALLON ENTERPRISES, LLC 01-JAN-12 Subsidiary TENNESSEE HEALTHCARE MANAGEMENT INC 01-MAR-05 Subsidiary SURGICARE OF LAS VEGAS, INC. 01-OCT-92 Subsidiary SOUTHERN HILLS MEDICAL CENTER, LLC 01-MAR-04 Subsidiary LAS VEGAS ASC, LLC 29-JUL-05 Subsidiary SUN-MED, LLC 14-JAN-05 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator BROADSPIRE SERVICES INC 01-JAN-86
C of A Employer 136 HCR ManorCare, Inc. Lisa Jurski Director - Mgr Workers Comp Program 333 N Summit StPO Box 10086 Toledo OH 43699-0086 419-254-5416
Association Name Date Subsidiary HEARTLAND EMPLOYMENT SERVICES, LLC 01-JAN-02 Subsidiary HCR MANOR CARE SERVICES, LLC 31-DEC-11 Third Party Administrator BROADSPIRE SERVICES INC 11-SEP-13
C of A Employer 107 HEALTHSOUTH CORPORATION Cassie Reed Risk Management Analyst 3660 Grandview Parkway Ste 200 Birmingham AL 35243 205-970-4057
Association Name Date Subsidiary HEALTHSOUTH HOME HEALTH OF HENDERSON 29-MAR-05 Subsidiary HEALTHSOUTH REHABILITATION HOSPITAL OF LAS VEGAS 01-FEB-96 Subsidiary HEALTHSOUTH REHABILITATION HOSPITAL OF HENDERSON 01-OCT-01 Subsidiary HEALTHSOUTH DESERT CANYON REHABILITATION HOSPITAL 01-JUN-10 Subsidiary HEALTHSOUTH CORPORATION 01-DEC-97 Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 129 HOME DEPOT USA INC Matt Rushing Senior Risk Analyst Store Support Center, Bldg C-202455 Paces Ferry Road, N.W. Atlanta GA 30339 770-433-8211 x 85195 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Association Name Date Subsidiary THD AT-HOME SERVICES, INC. 01-JUL-06 Subsidiary YOUR 'OTHER' WAREHOUSE 27-JUL-04 Subsidiary U.S. REMODELERS, INC. 01-OCT-12 Subsidiary U.S. HOME SYSTEMS, INC. 01-OCT-12 Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 11-SEP-13
C of A Employer 402 HRHH GAMING SENIOR MEZZ, LLC Katie Fellows VP/General Counsel 4455 Paradise Rd Las Vegas NV 89169 702-693-4427
Association Name Date Subsidiary BREF HR, LLC 01-MAR-11 Subsidiary HRHH GAMING MEMBER, LLC 01-MAR-11 Subsidiary BREF TWO, LLC 01-MAR-11 Subsidiary HRHH GAMING JUNIOR MEZZ, LLC 01-MAR-11 Subsidiary HRHH IP, LLC 01-MAR-11 Subsidiary BREF HRHH, LLC 01-MAR-11 Subsidiary BREF HR MANAGEMENT, LLC 01-MAR-11 Subsidiary BROOKFIELD FINANCIAL, LLC SERIES B 01-MAR-11 Subsidiary LVHR CASINO, LLC 01-MAR-11 Subsidiary CRZ PIV, LLC 01-MAR-11 Subsidiary HRHH GAMING SENIOR MEZZ, LLC 01-MAR-11 Subsidiary BREF STELLAR, LLC 01-MAR-11 Subsidiary HRHH HOTEL/CASINO, LLC 01-MAR-11 Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 403 HUMBOLDT COUNTY SCHOOL DISTRICT David Dr. Superintendent 310 East Fourth St Winnemucca NV 89445 775-623-8100 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 338 HYATT HOTELS CORPORATION Laurene Dufault Consultant, Aon Global Risk Consulting 5600 w. 83rd St. Ste. 110Risk Management Minneapolis MN 55437 952-807-0701
Association Name Date Subsidiary HYATT CORPORATION 01-FEB-98 Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13 Subsidiary SELECT HOTELS GROUP, LLC 05-JAN-08 Subsidiary HYATT RESIDENTIAL GROUP, INC. 01-NOV-12
C of A Employer 63 IKE GAMING INC DBA EL CORTEZ HOTEL AND CASINO AND DBA CABANA SUITES Joe Woody Chief Financial Officer 107 North 6th Street 3rd Floor Las Vegas NV 89101 702-474-3613
Association Name Date Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 119 KENNAMETAL INC (PARENT) Michael Murphy Director, Corporate Risk Management 1600 Technology Way PO Box 231 Latrobe PA 15650 724-539-4647
Association Name Date Subsidiary TRICON 01-JUL-09 Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 01-SEP-13 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
C of A Employer 357 KIEWIT CORPORATION Debra Prochaska Claims Analyst Kiewit Plaza Omaha NE 68131 402-271-2862
Association Name Date Subsidiary MASS. ELECTRIC CONSTRUCTION CO. 01-DEC-11 Subsidiary KIEWIT INFRASTRUCTURE WEST CO. 01-SEP-12 Subsidiary KIEWIT SOUTHWEST CO. 01-APR-06 Subsidiary KIEWIT INFRASTRUCTURE CO. 01-NOV-99 Subsidiary LAKE MEAD CONSTRUCTORS 01-NOV-99 Subsidiary TIC-INDUSTRIAL COMPANY, THE 29-DEC-08 Subsidiary TPAC, A DIVISION OF KIEWIT WESTERN 01-NOV-99 Subsidiary WESTERN SUMMIT CONSTRUCTORS, INC. 29-DEC-08 Subsidiary KIEWIT FEDERAL GROUP INC. 01-DEC-11 Subsidiary KIEWIT WESTERN CO. 01-NOV-99 Subsidiary AERO AUTOMATIC SPRINKLER COMPANY 26-AUG-09 Subsidiary KIEWIT POWER CONSTRUCTORS CO. 29-DEC-07 Subsidiary CONTINENTAL FIRE SPRINKLER COMPANY 26-FEB-09 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 122 KINROSS GOLD CORPORATION Josh Johnson Senior Accountant 5075 S Syracuse Street Suite 800 Denver CO 80237 303-802-1438
Association Name Date Subsidiary ECHO BAY MINDERALS COMPANY 01-DEC-91 Subsidiary ROUND MOUNTAIN GOLD CORP 01-DEC-91 Third Party Administrator PINNACLE RISK MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 382 KNIGHT TRANSPORTATION INC Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Todd Cantrill Director 20002 N 19th Ave Phoenix AZ 85027 602-269-2000
Association Name Date Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 44 KROGER COMPANY Nathan Fraley Corporate Claims Manager 1014 Vine Street Cincinnati OH 45202 513-762-4360
Association Name Date Subsidiary FRED MEYER, INC. 09-SEP-97 Subsidiary RALPHS GROCERY COMPANY DBA FOOD FOR LESS HOLDINGS, INC. 19-MAR-01 Subsidiary QUIK STOP MARKETS, INC. 11-OCT-01 Subsidiary SMITH'S FOOD & DRUG CENTERS, INC. 01-NOV-81 Subsidiary FRED MEYER JEWELERS, INC 15-NOV-98 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 369 LAS VEGAS CONVENTION AND VISITORS AUTHORITY Milla Zacarias Benefits Manager 3150 PARADISE RD LAS VEGAS NV 89109-9096 702-892-0711
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 159 LAS VEGAS METRO POLICE DEPARTMENT Jeff Roch Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Director of Risk Management 400 S. Martin Luther King Blvd. Las Vegas NV 89106 702-828-3406
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 96 LAS VEGAS SANDS CORP Lee Hamilton Workers Comp Manager 3355 Las Vegas Blvd South Las Vegas NV 89109 702-414-4395
Association Name Date Subsidiary LAS VEGAS SANDS, LLC 28-APR-89 Subsidiary LIDO CASINO RESORT, LLC 31-MAR-00 Subsidiary VENETIAN CASINO RESORT, LLC DBA VENETIAN RESORT HOTEL CASINO 01-JAN-98 Subsidiary LIDO CASINO RESORT HOLDING CO. LLC 01-AUG-04 Subsidiary VENETIAN HOTEL OPERATIONS, LLC 01-APR-03 Subsidiary VENETIAN OPERATING CO. LLC 31-MAR-00 Third Party Administrator SIERRA NEVADA ADMINISTRATORS INC 11-SEP-13
C of A Employer 371 LAS VEGAS VALLEY WATER DISTRICT Matt Chorpening Acting Risk Manager 1001 South Valley View Blvd. Las Vegas NV 89153 702-259-8165
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 325 LES SCHWAB WAREHOUSE CENTER, INC. AND LES SCHWAB TIRE CENTERS OF NEVADA, INC. Denny Carter Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Risk Services Manager P O Box 5350 Bend OR 97708-5350 541-416-5479
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 374 LYON COUNTY SCHOOL DISTRICT Shani Dues Risk Management 25 East Goldfield Ave Yerington NV 89447 775-463-6800 x 127
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 349 MACY'S INC Ann Back Manager 7 West Seventh Street Cincinnati OH 45202 513-562-6647
Association Name Date Subsidiary MACY'S RETAIL HOLDINGS, INC. 01-MAY-95 Subsidiary MACY'S WEST STORES, INC. 01-MAY-95 Subsidiary BLOOMINGDALE'S, INC. 01-NOV-02 Subsidiary MACY'S SYSTEMS AND TECHNOLOGY, INC. 01-APR-99 Subsidiary MACY'S CORPORATE SERVICES, INC. 01-APR-99 Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 11-SEP-13
C of A Employer 47 MARRIOTT INTERNATIONAL INC Steve Huy Compliance Analyst Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
10400 Fernwood Road Dept 52/924.36 Bethesda MD 20817 301-380-4450
Association Name Date Subsidiary FAIRFIELD FMC, LLC 01-NOV-93 Subsidiary MARRIOTT HOTEL SERVICES, INC. 01-DEC-99 Subsidiary MARRIOTT CLAIMS SERVICES CORPORATION 01-OCT-06 Subsidiary SPRINGHILL SMC, LLC 01-OCT-11 Subsidiary MARRIOTT INTERNATIONAL ADMINISTRTIVE SERVICES, INC. 01-OCT-97 Subsidiary COURTYARD MANAGEMENT CORPORATION 01-AUG-89 Subsidiary RESIDENCE INN BY MARRIOTT, LLC 01-AUG-89 Subsidiary THE RITZ-CARLTON HOTEL COMPANY, LLC 01-OCT-06
C of A Employer 309 MASCO CORPORATION Ash Darwish Risk Analyst 21001 VAN BORN RD TAYLOR MI 48180-1340 313-792-6462
Association Name Date Third Party Administrator CONSTITUTION STATE SERVICES LLC (TPA) 11-SEP-13 Subsidiary MILGARD MANUFACTURING INC 31-DEC-03 Subsidiary MASCO CABINETRY LLC 01-JAN-11 Subsidiary BEHR PAINT CORP 01-SEP-10 Subsidiary MASCO RETAIL SALES SUPPORT, INC. 01-JAN-08
C of A Employer 194 MCDONALD'S CORPORATION Steve Laughlin Director Corporate Insurance McDonald Plaza 2915 Jorie Blvd Oak Brook IL 60523 630-623-8079
Association Name Date Subsidiary MCDONALD'S RESTAURANTS OF NEVADA, INC. 01-DEC-93 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13
C of A Employer 15 MCKESSON CORPORATION Kirsti Lawson Director of Risk Management One Post Street 34th Floor San Francisco CA 94104-5296 415-596-9206
Association Name Date Subsidiary PST SERVICES, INC. 01-JAN-07 Subsidiary MCKESSON TECHNOLOGIES, INC. 01-JAN-10 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 28-FEB-11 Subsidiary MCKESSON PHARMACY OPTIMIZATION LLC 01-MAY-08 Subsidiary US ONCOLOGY RESEARCH LLC 01-JAN-12 Subsidiary PSS WORLD MEDICAL, INC. 01-JUL-13 Subsidiary MCKESSON MEDICAL-SURGICAL INC. 01-DEC-97
C of A Employer 398 MESQUITE GAMING LLC Barry Winter Dir Risk Management & Benefits 950 W MESQUITE BLVD MESQUITE NV 89027-5204 702-346-6827
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13 Subsidiary Oasis Recreational Properties, Inc. 01-AUG-11 Subsidiary OASIS RESORT & CASINO 01-AUG-11 Subsidiary Virgin River Hotel, Casino, & Bingo 01-AUG-11 Subsidiary Casablanca Resorts, LLC. 01-AUG-11 Subsidiary RBG, LLC. 01-AUG-11 Subsidiary VRCC, LLC 01-AUG-11 Subsidiary CasaBlanca Resort & Casino 01-AUG-11
C of A Employer 43 MGM RESORTS INTERNATIONAL Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Paula Gentile Senior Vice President and General Counsel MGM ADMINISTRATION BUILDING71 E HARMON AVE LAS VEGAS NV 89109-4539 702-692-9555
Association Name Date Subsidiary MANDALAY BAY 01-APR-98 Subsidiary NEW YORK NEW YORK HOTEL AND CASINO 01-DEC-96 Subsidiary VICTORIA PARTNERS 01-JUL-96 Subsidiary BELLAGIO 06-OCT-94 Subsidiary MGM GRAND LAUNDRY, INC. 01-DEC-93 Subsidiary MGM GRAND LAS VEGAS 01-DEC-93 Subsidiary RAMPARTS, INC. 01-JUL-93 Subsidiary M.I.R. TRAVEL 01-JAN-92 Subsidiary NEW CASTLE CORP. 01-OCT-89 Subsidiary SHADOW CREEK 01-MAY-89 Subsidiary MIRAGE CASINO & HOTEL (THE) 01-MAY-89 Subsidiary MGM Resorts International Design 26-OCT-81 Subsidiary SLOTS-A-FUN 15-NOV-80 Subsidiary MANDALAY RESORT GROUP 15-NOV-80 Subsidiary MANDALAY PLACE 01-MAY-01 Subsidiary MANDALAY RESORT GROUP 15-NOV-80 Subsidiary CIRCUS CIRCUS HOTEL (LAS VEGAS) 15-NOV-80 Subsidiary CIRCUS CIRCUS (RENO) 15-NOV-80
C of A Employer 200 MONARCH CASINO & RESORT INC Doug Simpson Dir. Of Security & Risk Management 3800 S VIRGINIA ST RENO NV 89502-6005 775-335-4534
Association Name Date SI Employer dba Atlantis Casino Resort 01-JAN-94 Subsidiary Golden Road Motor Inn, Inc. 01-JAN-94 Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
C of A Employer 232 NEV YELLOW NEV CHECKER & NEV STAR CAB CORP Bill Shranko Chief Operations Officer 5225 W POST RD LAS VEGAS NV 89118-4331 702-933-1620
Association Name Date Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 210 NEVADA READY MIX CORPORATION Larry Miller Corporate Administrator 151 CASSIA WAY HENDERSON NV 89014-6616 702-457-1115 x 3038
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 379 NEVADA SYSTEM OF HIGHER EDUCATION Lisa Schaller Director of Insurance & Loss Mgt. 2601 Enterprise Rd., Mail Stop 014 Reno NV 89512-1666 775-784-3472
Association Name Date Subsidiary WESTERN NEVADA COMMUNITY COLLEGE 01-JAN-04 Subsidiary UNIVERSITY OF NEVADA RENO 01-JAN-04 Subsidiary UNIVERSITY OF NEVADA LAS VEGAS 01-JAN-04 Subsidiary TRUCKEE MEADOWS COMMUNITY COLLEGE 01-JAN-04 Subsidiary NEVADA STATE COLLEGE AT HENDERSON 01-JAN-04 Subsidiary GREAT BASIN COLLEGE 01-JAN-04 Subsidiary DESERT RESEARCH INSTITUTE 01-JAN-04 Subsidiary Community College of Southern Nevada 01-JAN-04 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 373 NEW-COM, INC. Mark Summers Risk Manager 6600 AMELIA EARHART CT STE B LAS VEGAS NV 89119-3535 702-642-3331
Association Name Date Subsidiary TAB CONTRACTORS, INC. 29-JUL-03 Subsidiary MMC SOUTHWEST, INC. 29-JUL-03 Subsidiary MMC, INC. 29-JUL-03 Subsidiary ACME ELECTRIC 29-JUL-03 Subsidiary LLO, INC. 29-JUL-03 Subsidiary BIODIESEL OF LAS VEGAS, INC. 29-JUL-03 Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 388 NEWMONT MINING CORPORATION Courtney Muir Risk Management Analyst III 6363 S. Fiddlers Green Cr. Greenwood Village CO 80111 303-837-6019
Association Name Date Subsidiary Newmont International Services Ltd. 29-APR-08 Subsidiary Newmont Exploration Ltd. 29-APR-08 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13 Subsidiary Fronteer Gold 06-APR-11 Subsidiary Turquoise Ridge JV 29-APR-08 Subsidiary Santa Fe Pacific Gold Corporation 29-APR-08 Subsidiary Newmont USA Ltd 20-SEP-08 Subsidiary Newmont Nevada Energy Investment, LLC 29-APR-08 Subsidiary Newmont Indonesia Investment Ltd 29-APR-08 Subsidiary Newmont Gold Company 29-APR-08 Subsidiary Newmont Global Employment Ltd 29-APR-08 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Subsidiary Elko Land and Livestock Company 29-APR-08 Subsidiary Battle Mountain Gold Company 29-APR-08
C of A Employer 133 NV ENERGY INC Brian Wooster-Leyva Insurance Analyst 6226 W SAHARA AVE LAS VEGAS NV 89146-3060 702-402-5343
Association Name Date Subsidiary NEVADA POWER COMPANY 28-JUL-99 Subsidiary SIERRA PACIFIC POWER COMPANY 01-JUL-92 Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 389 NYE COUNTY SCHOOL DISTRICT Raymond Ritchie CFO 484 S WEST ST PAHRUMP NV 89048-2104 775-727-7743 x 234
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 221 Ocean Spray Cranberries Lori Henault Treasury Supervisor 1 OCEAN SPRAY DR LAKEVILLE-MIDDLEBORO MA 02349-1000 508-923-3995
Association Name Date Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 01-SEP-94
C of A Employer Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
230 PACCAR INC DeeAnne Flegel Manager, Workplace Absence Programs Health & Welfa PO BOX 1518 BELLEVUE WA 98009-1518 425-468-7939
Association Name Date Subsidiary PACCAR PARTS DIVISION 01-JAN-95 Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 90 PEPPERMILL CASINO'S INC Michael Heward Director of Risk Management 380 Brinkby Ave, Suite B Reno NV 89509 775-689-8992
Association Name Date Third Party Administrator HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY 11-SEP-13 Subsidiary RAINBOW CASINO, THE 31-JAN-95 SI Employer dba WESTERN VILLAGE CASINO 01-JUL-93 SI Employer dba PEPPERMILL INN AND CASINO 01-MAR-94 Subsidiary WENDOVER PROPERTIES 01-JUL-98 SI Employer dba RAINBOW CLUB 01-MAR-94 Subsidiary RAINBOW ASSOCIATES, INC. 01-JUL-98 Subsidiary PEPPERMILL HOTEL RENO 01-JUL-98 SI Employer dba PEPPERMILL HOTEL AND CASINO 01-JUL-98 Subsidiary WESTERN VILLAGE LIMITED PARTNERSHIP 01-JUL-98 Subsidiary NEVADA PROPERTIES 01-JUL-98
C of A Employer 401 PILOT TRAVEL CENTERS, LLC Don Graham Senior Risk Manager PO BOX 10146 KNOXVILLE TN 37939-0146 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
800-562-6210
Association Name Date Third Party Administrator ESIS INC 01-SEP-15
C of A Employer 391 POLY-AMERICA FOR POLY-WEST INC Eric Anderson Human Resources Manager 251 CONESTOGA WAY HENDERSON NV 89002-9400 702-207-5629
Association Name Date Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 01-FEB-09
C of A Employer 333 PURCELL TIRE & RUBBER COMPANY Cassie Amsden Claims Administrator 301 N HALL ST POTOSI MO 63664-1403 573-438-2131 x 1153
Association Name Date Subsidiary Purcell Tire Company 01-JAN-98 Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13
C of A Employer 80 RALEY'S INC Fiona Williams Senior Risk Manager 500 W Capitol Ave West Sacramento CA 95605 916-373-6214
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
105 RENO SPARKS CONVENTION & VISITORS AUTHORITY Charlotte Anderson Human Resource Manager 4001 S. Virginia St., #G Reno NV 89502 775-827-7618
Association Name Date Third Party Administrator ALTERNATIVE SERVICE CONCEPTS LLC 11-SEP-13
C of A Employer 76 RENOWN HEALTH Michael Munda IHN Dir of Accreditation & Regulatory Compliance 1155 MILL ST MS J-11 RENO NV 89502-1576 775-982-4798
Association Name Date Subsidiary RENOWN BUSINESSES 01-JAN-92 Subsidiary RENOWN NETWORK SERVICES 01-JAN-89 Third Party Administrator HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY 11-SEP-13 Subsidiary NEVADA HEART INSTITUTE 01-JAN-11 Subsidiary NEVADA HEALTHCARE COOPERATIVE 15-OCT-04 Subsidiary RENOWN SKILLED NURSING 17-JUN-04 Subsidiary RENOWN SOUTH MEADOWS MEDICAL CENTER 01-FEB-99 Subsidiary RENOWN HEALTH FOUNDATION 01-JAN-89 Subsidiary HOMETOWN HEALTH PLAN INC. 01-JAN-89 Subsidiary HOMETOWN HEALTH MGT CO 01-JAN-89 Subsidiary RENOWN REGIONAL MEDICAL CENTER 01-AUG-85
C of A Employer 77 RIVERSIDE RESORT & CASINO Steve Willett Director Human Resources 1650 S Casino Center Drive Laughlin NV 89029 702-298-2535 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Association Name Date Subsidiary LAUGHLIN TRANSIT, INC. 09-JUL-03 Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 331 SCHNEIDER NATIONAL INC Amy Deprey Risk Insurance Analyst 3101 PACKERLAND DR GREEN BAY WI 54313-6187 920-591-3071
Association Name Date Subsidiary SCHNEIDER LOGISTICS, INC. 01-JAN-98 Subsidiary SCHNEIDER SPECIALIZED CARRIERS 01-JAN-98 Subsidiary SCHNEIDER NATIONAL CARRIERS 01-JAN-98 Subsidiary SCHNEIDER NATIONAL BULK CARRIERS 01-JAN-98 Subsidiary SCHNEIDER TANK LINES 01-JAN-98 Subsidiary SCHNEIDER TRANSPORT, INC. 01-JAN-98 Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 11-SEP-13
C of A Employer 117 SHERWIN-WILLIAMS COMPANY Anthony Colangelo Manager Workers Comp 101 Prospect Avenue NW Cleveland OH 44115-1075 216-566-3717
Association Name Date Third Party Administrator HELMSMAN MANAGEMENT SERVICES LLC 01-JUL-15
C of A Employer 244 SILVER LEGACY RESORT CASINO Tracey Hudson Guest Relations/Risk Manager 407 N VIRGINIA ST RENO NV 89502 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
775-325-7040
Association Name Date Third Party Administrator NELSON DAVISON ADMINISTRATORS INC 11-SEP-13
C of A Employer 317 SILVERTON CASINO LLC & MAJESTIC NV PROPERTY HOLDINGS LLC Darlene Koch HR Benefits Manager 3333 BLUE DIAMOND RD LAS VEGAS NV 89139-7888 702-914-8513
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 375 SOUTHERN NEVADA HARLEY DAVIDSON SALES INC & RED ROCK MOTORCYCLE SALES INC Tammy Parrish Human Resource 5191 LAS VEGAS BOULEVARD SOUTH LAS VEGAS NV 89119 702-431-8500
Association Name Date Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 263 SOUTHERN NEVADA TBA SUPPLY COMPANY INC Brenda Martz HR Manager 1701 LAS VEGAS BLVD S LAS VEGAS NV 89104-1301 702-732-2382 x 139
Association Name Date Subsidiary TED WIENS TIRE & AUTO 01-MAR-96 Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
208 SOUTHWEST AIRLINES CO Patti Colwell Manager Workers' Compensation 2702 LOVE FIELD DR DALLAS TX 75235-1908 214-792-6462
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 92 SOUTHWEST GAS CORPORATION Bradley Anderson Administrator/Corporate Risk Management PO BOX 98510 LAS VEGAS NV 89193-8510 702-876-7017
Association Name Date
C of A Employer 396 STATION CASINOS LLC Tim Cameron Corp Director Risk Management 1505 S PAVILION CENTER DR LAS VEGAS NV 89135-1403 702-495-3476
Association Name Date Subsidiary SC SP 4 LLC 30-SEP-14 Subsidiary SC SP 2 LLC 30-SEP-14 Subsidiary NP BOULDER LLC 14-JUN-11 Subsidiary SUNSET GV, LLC 14-JUN-11 Subsidiary NP LML LLC 14-JUN-11 Subsidiary NP MAGIC STAR LLC 14-JUN-11 Subsidiary NP GOLD RUSH LLC 14-JUN-11 Subsidiary NP RANCHO LLC 14-JUN-11 Subsidiary GREENS CAFE, LLC 14-JUN-11 Subsidiary TOWN CENTER AMUSEMENTS, INC. A LIMITED LIABILITY COMPANY 14-JUN-11 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Subsidiary NP TROPICANA LLC 14-JUN-11 Subsidiary NP FIESTA LLC 14-JUN-11 Subsidiary NP LAKE MEAD LLC 14-JUN-11 Subsidiary NP RED ROCK LLC 14-JUN-11 Subsidiary STATION GVR ACQUISITION, LLC 14-JUN-11 Subsidiary NP SUNSET LLC 14-JUN-11 Subsidiary NP TEXAS LLC 14-JUN-11 Subsidiary NP SANTA FE LLC 14-JUN-11 Subsidiary NP PALACE LLC 14-JUN-11 Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 384 SUN CITY ELECTRIC INC Andrea Gould Risk Manager 1220 S Commerce Street #120 Las Vegas NV 89102 702-220-5621
Association Name Date Subsidiary General Landscape LLC 23-MAY-14 Subsidiary Nevada Concrete Contractors LLC 27-MAR-14 Subsidiary BUILT RIGHT CONTRACTORS CORPORATION 29-SEP-14 Subsidiary WIRE POWER ELECTRIC 15-APR-13 Subsidiary FOCUS ELECTRIC 01-JUN-09 Subsidiary FOCUS PLUMBING 01-JUN-09 Subsidiary FOCUS CONCRETE 01-JAN-10 Subsidiary GREEN IMAGE LLC 01-FEB-11 Subsidiary FOCUS FRAMING, DOOR & TRIM 15-SEP-11
C of A Employer 124440 Sheltie OpCo, LLC Kathy Picollo Exec VP Director Human Resources 1100 NUGGET AVE SPARKS NV 89431-5750 775-356-3397
Association Name Date Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Subsidiary JA Nugget 15-APR-14 Subsidiary Reno Sparks Nugget 16-DEC-13 Subsidiary John Ascuaga's Nugget 16-DEC-13 Subsidiary SPARKS NUGGET INC 16-DEC-13 Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 26-NOV-13
C of A Employer 125 TARGET STORES Judy Essen Consultant - Risk Consulting AON Risk Consultants5600 W 83rd St., Ste 1100 MINNEAPOLIS MN 55437 952-807-0637
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 392 TREASURE ISLAND LLC Gayle Kurokawa V/P Human Resources 3300 LAS VEGAS BLVD S LAS VEGAS NV 89148 702-894-7506
Association Name Date Third Party Administrator YORK RISK SERVICES GROUP INC 11-SEP-13
C of A Employer 299 TRUE BLUE INC Shawn Warwick Risk Specialist PO BOX 29101015 A St. TACOMA WA 98401-2910 800-610-8920 x 3370
Association Name Date Subsidiary LABOR READY SOUTHWEST, INC. 01-JAN-99 Subsidiary LABOR READY NORTHWEST, INC. 28-AUG-98 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator ESIS INC 11-SEP-13
C of A Employer 168 U S FOODS INC Dena Abdallah Director-Risk Management 9399 W. Higgins Road Rosemont IL 60018 847-720-1689
Association Name Date Subsidiary OUTWEST MEAT COMPANY 01-APR-98 Subsidiary Harrison's Prime Meats & Provisions 01-APR-98 Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13 Subsidiary E&H DISTRIBUTING CO., INC. 01-APR-93 Subsidiary STOCKYARDS OF LAS VEGAS 01-APR-98 Subsidiary STOCKYARDS OF LAS VEGAS 01-MAR-97
C of A Employer 73 UNITED AIR LINES INC Maureen Zahnow Work Comp & Corporate Insurance Sr. Manager 233 S Wacker Drive - HDQCI Chicago IL 60606 872-825-7630
Association Name Date Third Party Administrator GALLAGHER BASSETT SERVICES, INC.(TPA) 11-SEP-13
C of A Employer 116 VIAD CORP Matt Heacock Assistant Client Services Specialist 16220 N SCOTTSDALE RD STE 600 SCOTTSDALE AZ 85254-1804 602-787-6112
Association Name Date Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 31-JUL-99 Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Third Party Administrator CORVEL ENTERPRISE COMP INC 01-SEP-91 Subsidiary SHOWS UNLIMITED, INC. 01-JAN-97 Subsidiary GLOBAL EXPERIENCE SPECIALISTS, INC. 01-JUL-91
C of A Employer 36 WASHOE COUNTY Celeste Wallick Risk Analyst PO BOX 11130 RENO NV 89520 775-328-2662
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 37 WASHOE COUNTY SCHOOL DISTRICT Jackie James Risk Coordinator PO BOX 30425 RENO NV 89520-3425 775-348-3854
Association Name Date Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC 11-SEP-13
C of A Employer 370 WENDOVER CASINOS INC Michael Heward Director of Risk Management 380 Brinkby Ave, Suite B Reno NV 89509 775-689-8992
Association Name Date Third Party Administrator HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY 11-SEP-13
C of A Employer 365 WESTERN CAB COMPANY INC Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
Martha Sarver General Manager 801 S MAIN ST LAS VEGAS NV 89101-6424 702-382-7100
Association Name Date Third Party Administrator R A WONG 11-SEP-13
C of A Employer 246 WESTERN STATES CONTRACTING INC Troy Shiozawa Risk Manager 4129 W Cheyenne North Las Vegas NV 89032 702-336-4656
Association Name Date Subsidiary WS-Dynoco II, LLC 21-FEB-14 Subsidiary TEJAS UNDERGROUND LLC 01-MAY-98 Subsidiary WS-DYNOCO PETROLEUM MANAGEMENT LLC 15-JAN-13 Subsidiary BDF EMPLOYMENT SERVICES LLC 15-JAN-13
C of A Employer 94 WEYERHAEUSER COMPANY Lisa Wysocki Workers' Compensation Liaison/Assistant Secretary PO BOX 9777 CH3K33 FEDERAL WAY WA 98063-9777 253-924-7471
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 11-SEP-13 Subsidiary WEYERHAEUSER NR COMPANY 01-JAN-09
C of A Employer 70 YOUNG ELECTRIC SIGN COMPANY Clark Smith Director of Finance/Treasurer Department of Business and Industry Nevada Division of Insurance Self-Insured Employer List
2401 Foothill Drive Salt Lake City UT 84109 801-464-4600
Association Name Date Subsidiary YESCO, LLC 01-JAN-08 Subsidiary YESCO ADMINISTRATION LLC 01-JAN-08 Subsidiary YESCO ELECTRONICS LLC 01-JAN-08 Subsidiary YESCO OUTDOOR MEDIA LLC 01-JAN-08 Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC 11-SEP-13
C of A Employer 79 YRC WORLDWIDE, INC. Greg Zinkiewicz Sr. Risk Analyst 10990 ROE AVEMS A305 OVERLAND PARK KS 66211-1213 913-266-6573
Association Name Date Third Party Administrator SEDGWICK CLAIMS MANAGEMENT SERVICES INC 14-MAY-14 Subsidiary YRC, INC 01-MAY-86