Approved service providers

Authorized service providers list

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

Division of Financial Regulation
P.O. Box 14480
Salem, OR 97309-0405

Required forms

Placement on Approved Captive Insurer Management Firm List form (440-4936)
Application to Certify Loss and Expense Reserves for Captive Insurers form (440-4945)
Authorization as an Independent Certified Public Accountant for Captive form (440-4946)

Authorized actuaries/actuarial firms

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

AmeRisk Consulting, LLC
P.O. Box 14126
Albuquerque, NM 87191
Phone: 480-719-5662
Web: www.ameriskconsulting.com

Captive Risk Underwriting and Insurance Services II, LLC
18816 Hammock Ln
Davidson, NC 28036
Phone: 704-895-5522

Epsilon Actuarial Solutions, LLC
4921 E. Mitchell Dr.
Phoenix, AZ 58018
Phone: 602-954-1611

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

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

AcuCap Insurance Management, LLC
1074 E Cathy Dr.
Gilbert, AZ 85260
Phone: 602-615-2249

Beecher Carlson Insurance Services, LLC
156 College St., Suite 301
Burlington, VT 05401
Phone: 802-658-7834
Web:https://www.bbrown.com/

CIC Services
9721 Cogdill Road, Suite 202
Knoxville, TN 97932
Phone: 865-248-3044
Web: https://www.captivatingthinking.com

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

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

Ryan LLC
16220 N. Scottsdale Road, Suite 650
Scottsdale, AZ 85254
Phone: 602-955-1792
Fax: 602-955-4892
Web: www.ryan.com

Strategic Risk Solutions (West) Inc.
20860 N. Tatum Blvd., Suite 260
Phoenix, AZ 85050
Phone: 480-682-4985
Web: https://www.strategicrisks.com/

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

Carr Riggs & Ingram, LLC
7550 Halcyon Summit Dr.
Montgomery, AL 36117
Phone: 334-271-6678
Web: www.cricpa.com

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

Adam Dubuque
Johnson Lambert, LLP
One Lawson Lane, P.O. Box 525
Burlington, VT 05402-0525
Phone: 802-383-4800
Web: https://www.johnsonlambert.com/

Donald Riggs
Deloitte & Touche, LLP
111 SW Fifth Ave., Suite 3900
Portland, OR 97204
Phone: 503-727-5284

HKG, LLP
17701 Cowan, Suite 120A
Irvine, CA 92614
Phone: 949-474-8500
FAX: 949-474-8510

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

Liptz & Associates, Inc.
1401 Quail Street, Suite 140
Newport Beach, CA 92660
Phone: 949-474-8500
Fax: 949-474-8510

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