Nevada Division of Insurance Department of Business and ...

[Pages:47]Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

C of A 142274

Employer AFFINITY INTERACTIVE Elizabeth Guth VP - Insurance & Benefits 3755 Breakthrough Way, Suite 300 Las Vegas NV 89135 702-341-2419

Doing Business As

Affinity Gaming

Association Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Third Party Administrator

Name Flamingo Paradise Gaming, LLC Plantation Investments, LLC Primadonna Company, LLC (The) Primadonna Company, LLC (The) Primadonna Company, LLC (The) Sierra Nevada Administrators

Effective Date: 01-JUL-21

DBA Silver Sevens Hotel and Casino Rail City Casino Whiskey Pete's Hotel and Casino Buffalo Bill's Resort and Casino Primm Valley Resort and Casino

C of A 122997

Employer ARCBEST CORPORATION (FKA ARKANSAS BEST CORPORATION) Lynette Woodie Manager, Loss Prevention & Administration P.O. Box 10048 Fort Smith AR 72917-0048 479-785-6047

Association Subsidiary Subsidiary Third Party Administrator

Name ABF FREIGHT SYSTEM, INC. AcrBest II GALLAGHER BASSETT SERVICES, INC.(TPA)

DBA

Date 31-JAN-17 31-JAN-17 31-JAN-17 31-JAN-17 31-JAN-17 31-JAN-17

Date 15-DEC-81 01-NOV-20 15-DEC-81

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

C of A 123211

Employer BEST BUY CO INC Allison Klonne Senior Analyst - Casualty Risk 7601 Penn Avenue South B4 Richfield MN 55423 612-291-6958

Association Subsidiary Subsidiary Subsidiary Subsidiary Third Party Administrator

Name BEST BUY HEALTH INC. BEST BUY STORES LP BEST BUY WAREHOUSING LOGISTICS LLC GREATCALL INC SEDGWICK CLAIMS MANAGEMENT SERVICES INC

C of A 123005

Employer BOYD GAMING CORPORATION Kim Cowley GL & WC Claims Manager 6465 South Rainbow Blvd Las Vegas NV 89118 702-792-7352

Association Subsidiary Subsidiary Subsidiary Subsidiary

Name ALIANTE CASINO AND HOTEL BOYD ATLANTIC CITY, INC. BOYD CENTRAL REGION, INC. BOYD DEVELOPMENT CORPORATION

DBA Sedgwick

DBA

Date 01-FEB-20 01-DEC-97 01-APR-17 01-OCT-18 01-DEC-97

Date 27-SEP-16 01-JAN-99 01-FEB-96 01-OCT-95

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

Subsidiary Subsidiary Subsidiary

BOYD GAMING CORPORATION BOYD SHARED SERVICES, INC. BOYD TRAVEL, INC.

Subsidiary

CALIFORNIA HOTEL & CASINO

Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary

CALIFORNIA HOTEL & CASINO CANNERY CASINO AND HOTEL COAST CASINOS CONSTELLATION INSURANCE COMPANY EASTSIDE CANNERY HOTEL AND CASINO ELDORADO, INC. ELDORADO, INC. GOLD COAST HOTEL & CASINO

Subsidiary

M.S.W., INC.

Subsidiary Subsidiary Third Party Administrator

SAM-WILL, INC. SUNCOAST HOTEL & CASINO, THE CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123011

Employer CAESARS ENTERTAINMENT, INC. Tracey Hudson Corporate Vice President of Risk Management 100 West Liberty St., Suite 1200 Reno NV 89501 775-348-3343

Association Subsidiary Subsidiary Subsidiary Subsidiary

Name 3535 LV CORP. 3535 LV NEWCO LLC 3535 LV NEWCO LLC CAESARS ENTERPRISE SERVICES, LLC

VACATIONS-HAWAII SAM'S TOWN HOTEL, GAMBLING HALL & BOWLING CENTER CALIFORNIA HOTEL AND CASINO

THE ORLEANS HOTEL & CASINO

JOKERS WILD CASINO ELDORADO CASINO

MAIN STREET STATION HOTEL, CASINO & BREWERY FREMONT HOTEL AND CASINO

CCMSI

01-NOV-90 01-JUN-07 01-OCT-95

01-AUG-82

01-AUG-82 20-DEC-16 01-FEB-89 01-JUL-05 20-DEC-16 01-APR-93 01-APR-93 01-FEB-89

22-NOV-96

01-JUL-81 01-FEB-89 01-JUL-81

DBA

THE LINQ HOTEL AND CASINO (fka The Quad) THE LINQ

Date 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

Subsidiary

CAESARS HOLDINGS INC.

Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Subsidiary Third Party Administrator

CAESARS INTERACTIVE ENTERTAINMENT LLC CAESARS LINQ, LLC CC-RENO, LLC CEOC LLC CEOC LLC CIRCUS AND ELDORADO JOINT VENTURE LLC COLUMBIA PROPERTIES TAHOE LLC CORNER INVESTMENT COMPANY LLC DESERT PALACE LLC DESERT PALACE LLC EASTSIDE CONVENTION CENTER LLC ELDORADO RESORTS, LLC FLAMINGO LAS VEGAS OPERATING COMPANY, LLC HARRAH SOUTH SHORE CORPORATION HARRAH'S LAS VEGAS, LLC HARRAH'S LAS VEGAS, LLC HARRAH'S LAUGHLIN, LLC HARVEYS TAHOE MANAGEMENT COMPANY LLC HARVEYS TAHOE MANAGEMENT COMPANY LLC HARVEYS TAHOE MANAGEMENT COMPANY LLC HARVEYS TAHOE MANAGEMENT COMPANY LLC PARBALL LLC PARBALL NEWCO LLC PARBALL NEWCO LLC PARIS LAS VEGAS OPERATING COMPANY, LLC PHW MANAGER, LLC PHWLV, LLC RIO PROPERTIES, LLC TROPICANA LAUGHLIN LLC CANNON COCHRAN MANAGEMENT SERVICES INC

C of A

Employer

CAESARS HOLDINGS FKA CAESARS ENTERTAINMENT CORPORATION

THE LINQ Circus Circus Reno HARRAH'S CASINO HOTEL RENO HARRAH'S RENO Silver Legacy Hotel Casino Montbleu THE CROMWELL CAESARS PALACE CAESARS PALACE LAS VEGAS

Eldorado Hotel Casino FLAMINGO LAS VEGAS

HARRAH'S LAS VEGAS HARRAH'S CASINO HOTEL, LAS VEGAS HARRAH'S LAUGHLIN HARVEY'S RESORT HOTEL/CASINO HARRAH'S CASINO HOTEL LAKE TAHOE HARRAH'S LAKE TAHOE HARVEY'S LAKE TAHOE

THE SALON AT BALLY'S BALLY'S LAS VEGAS PARIS LAS VEGAS

PLANET HOLLYWOOD RIO ALL-SUITES HOTEL & CASINO Tropicana Laughlin CCMSI

20-JUL-20

20-JUL-20 20-JUL-20 23-NOV-15 20-JUL-20 20-JUL-20 23-NOV-15 01-OCT-18 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 01-NOV-82 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 20-JUL-20 01-OCT-18 01-NOV-82

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

122973

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

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 122974

Employer CARSON CITY SCHOOL DISTRICT Ann Cyr Risk Manager 1402 West King Street Carson City NV 89703 775-283-2006

Association

Name

Third Party Administrator DAVIES CLAIMS SOLUTIONS, LLC

C of A 122963

Employer CATHOLIC CHARITIES OF SOUTHERN NEVADA Mary Spees

1501 Las Vegas Blvd North Las Vegas NV 89101 702-385-2662

DBA CCMSI

DBA

Date 01-JUL-10

Date 01-JUL-10

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

Association

Name

Third Party Administrator NEVADA ALTERNATIVE SOLUTIONS INC

C of A 130131

Employer CHURCHILL COUNTY SCHOOL DISTRICT Christi Fielding Comptroller 690 S MAINE ST FALLON NV 89406-3807 775-428-7220

Association

Name

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123103

Employer CITY OF HENDERSON Carol Banks Workers' Compensation Analyst 240 Water StreetPO Box 95050, MSC122 Henderson NV 89015 702-267-1922

Association

Name

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123239

Employer CITY OF LAS VEGAS

DBA

DBA CCMSI

DBA CCMSI

Date 01-OCT-12

Date 01-JUL-15

Date 01-APR-93

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

John Raftery, 495 S. Main St. Las Vegas NV 89101 702-229-5048

Association

Name

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123155

Employer CITY OF NORTH LAS VEGAS William Harty

2250 Las Vegas Blvd NorthSte. 820 North Las Vegas NV 89030 702-633-1462

Association

Name

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123079

Employer CITY OF RENO Adria White Management Analyst 1 E. First Street, 9th Floor Reno NV 89501 775-393-4173

Association

Name

DBA CCMSI

DBA CCMSI

DBA

Date 29-DEC-85

Date 01-JAN-94

Date

Department of Business and Industry

Nevada Division of Insurance

Self-Insured Employer List

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 123097

Employer CITY OF SPARKS Jill Valdez Human Resources Analyst Senior 431 Prater Way Sparks NV 89431 775-353-2345

Association

Name

Third Party Administrator CANNON COCHRAN MANAGEMENT SERVICES INC

C of A 122979

Employer CITYCENTER HOLDINGS, LLC Mike Jokerst Director of Workers Compensation MGM Administration Building71 E Harmon Avenue Las Vegas NV 89109 702-692-9583

Association

Name

Third Party Administrator SELF-ADMINISTERED

C of A 123236

Employer CLARK COUNTY Erin DeFrates

CCMSI

DBA CCMSI

DBA

01-SEP-92

Date 01-FEB-93

Date 30-NOV-12

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download