Authorized service providers list

To become an authorized service provider, submit an application to:

Oregon Insurance Division
P.O. Box 14480
Salem, OR 97309-0405

Required forms

  • Placement on Approved Captive Insurer Management Firm List: fillable form or pdf
  • Application to Certify Loss and Expense Reserves for Captive Insurers: fillable form or pdf
  • Authorization as an Independent Certified Public Accountant for Captive: fillable form or pdf

Authorized Actuaries/Actuarial Firms

Allegiant Actuarial Group
Randall D. Ross, ACAS, MAAA
179 West Winchester Street
Murray, UT 84107
Phone: 385-743-4299
Web: www.allegiantactuarial.com

Bartlett Actuarial Group, Ltd.
145 King Street #203
Charleston, SC 29401
Phone: 843-377-0993
Fax: 843-377-0995
Web: www.bartlettactuarialgroup.com

Epsilon Actuarial Solutions, LLC
4921 E. Mitchell Drive
Phoenix, AZ 58018
Phone: 602-954-1611
Web: www.epsilonactuarial.com

Stonewall Insurance Services, Inc.
223 28th St.
San Francisco, CA 94131
Phone: 858-603-7440

Taylor-Walker & Associates, Inc.
P.O. Box 156
Midvale, UT 84047
Phone: 801-562-5748
Fax: 801-562-2816
Web: www.taylor-walker.com

Authorized Captive Managers

Active Captive Management
16485 Laguna Canyon Road, Suite 200
Irvine, CA 92618
Phone: 800-921-0155
Fax: 949-727-4770
Web: www.activecaptive.com

Pacific Captive Managers, LLC
5300 Meadows Road, Suite 300
Lake Oswego, OR 97035
Phone: 503-968-6300
Fax: 503-968-6305
Web: www.pacificcaptive.com

Pacific Risk Solutions
2897 Kalawao St.
Honolulu, Hawaii 96822
Phone: 808-988-3215
Fax: 808-988-3217
Web: www.pacificrisksolutions.com

Professional Captive Management, LLC
11040 SW Barbur Blvd.
Portland, OR 97219
Phone: 503-245-7201
Fax: 503-245-7057

Synergy Captive Strategies
8905 W Post Road, Suite 210
Las Vegas, NV 89148
Phone: 702-473-5720
Fax: 702-778-1357
Web: www.synergycaptives.com

Authorized Certified Public Accountants

Delap, LLP
5885 Meadows Road, Suite 200
Lake Oswego, OR 97035
Phone: 503-697-4118
Fax: 503-697-4196
Web: www.delapcpa.com

HKG, LLP
17701 Cowan Suite 120A
Irvine, CA 92614
Phone: 949-474-8500
FAX: 949-474-8510
Web: www.hkgllp.com

Larson & Company PC
9065 South 1300 East
Sandy, UT 84094
Phone: 801-313-1900
Fax: 801-313-1912
Web: www.larsco.com

Moss Adams, LLP
805 SW Broadway, Suite 1200
Portland, OR 97205
Phone: 503-242-1447
Web: www.mossadams.com

Perkins & Company, P.C.
1211 SW Fifth Ave., Suite 1000
Portland, OR 97204
Phone: 503-221-0336
Web: www.perkinsaccounting.com

‚Äč