EXHIBIT_N-Collin_TX_2024_2-28_Redacted.pdf

PDF 277 KB Posted

Attached to
Excess Liability Insurance
Solicitation number
2024-316
Issued by
Collin County, Texas

About this file

This document is a Certificate of Liability Insurance for Wellpath Holdings, Inc., issued by HUB International Midwest West in Chicago, with Zurich American Insurance Company as the primary insurer. The certificate covers commercial general liability and automobile liability with policy periods from 2/28/2024 to 2/28/2025, providing $3,000,000 per occurrence for general liability and including additional named insureds across multiple healthcare and correctional service-related entities.

The insurance certificate includes comprehensive coverage for various Wellpath-affiliated companies, spanning healthcare management, correctional healthcare services, medical groups, and related professional corporations. The policy covers a wide range of operations, including correctional healthcare, behavioral health, community care centers, and medical service providers across multiple states, with specific provisions for workers' compensation, employers' liability, and medical professional liability. The additional named insureds list encompasses over 50 distinct legal entities, indicating a complex corporate structure with multiple subsidiaries and affiliated organizations in the healthcare and correctional service sectors.

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Text version

EXHIBIT N

AGENCY CUSTOMER ID:

LOC #:

ADDITIONAL REMARKS SCHEDULE

AGENCY

HUB International Midwest Limited

POLICY NUMBER

CARRIER NAIC CODE

EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE

ADDITIONAL NAMED INSUREDS INCLUDE:

• CCS-CMGC Parent Holdings, LP

• CCS-CMGC Intermediate Holdings2, Inc.

• CCS-CMGC Intermediate Holdings, Inc.

• Wellpath Holdings, Inc (fka CCS-CMGC Holdings, Inc.)

• Wellpath CFMG, Inc. (fka CFMG Holdings Corp)

• Wellpath Management, Inc. (fka Correctional Medical Group Companies, Inc. fka California Forensic Management Group, Inc.)

• Wellpath Group Holdings, LLC (fka Correct Care Solutions Group Holdings, LLC)

• Jessamine Healthcare, Inc.

• Wellpath LLC (fka CorrectCare Solutions, LLC (DE), fka Correct Care Solutions, LLC (KS)

• HCS Correctional Management, LLC (fka Health Cost Solutions, LLC changed 11/4/2021)

• Correct Care Holdings, LLC (fka GEO Care Holdings LLC)

• Wellpath Recovery Solutions, LLC (fka Correct Care, LLC fka GEO Care, LLC)

• Correct Care of South Carolina, LLC (fka GEO Care of South Carolina LLC)

• Conmed Healthcare Management, LLC (fka Conmed Healthcare Management, Inc.)

• WPmed, LLC (fka Conmed, LLC, fka Conmed, Inc.)

• Wellpath Education, LLC (fka Correctional Mental Health Services, LLC)

• Correctional Healthcare Holding Company, LLC (fka Jessamine-Peyton Purchaser, Inc, fka Correctional Healthcare Holdings Company, Inc., fka Correctional

Healthcare Holdings, Inc.)

• CHC Companies, LLC (fka Correctional Healthcare Companies, Inc., fka CHC Companies, Inc.)

• Physicians Network Association, Inc.

• Correctional Healthcare Companies, LLC (fka Correctional Healthcare Companies, Inc., fka CHC Companies, Ltd.)

• Healthcare Professionals, LLC (fka Health Professionals, Ltd.)

• Correct Cate Australasia PTY, LLC (fka Geo Care Australia PTY, Ltd.)

• Correct Care UK Limited

• Wellpath Hospital Holding Company, LLC

• 901 45th Street West Palm Beach Florida Behavioral Health Hospital Company, LLC

• Boynton Beach Florida Behavioral Health Hospital Company, LLC

• Wellpath Community Care Centers of Virginia, LLC

• Wellpath Community Care Holdings, LLC (DE)

• Wellpath Community Care Management, LLC (DE)

• Alpine Behavioral Health HoldCo, LLC (DE)

• Harborview Center, LLC

• Behavioral Health Management Systems, LLC

• HH Risk, LLC

• WHC, LLC

• California Forensic Medical Group, Incorporated (fka CFMG Holdings Corp.)

• California Health and Recovery Solutions, P.C. (fka California CCS, P.C.)

• CCS-Kastre Nevada, P.C.

• Emerald Healthcare Services, P.C.

• Grand Prairie Healthcare Services, P.C. (several PCs merged into Grand Prairie)

• Great Peak Dental, P.C.

• Great Peak Healthcare Services, P.C.

• Massachusetts Correctional Healthcare Services, P.C.

• Midwest Center, P.C.

• New Garden Healthcare Services, P.C.

• New York Correct Care Solutions Medical Services, P.C.

• Old Empire Dental, P.C.

• Old Empire Psychology, P.C.

• Southeast Correctional Medical Group, LLC

• Southwest Correctional Medical Group, PLLC

• Stringfellow Correctional Dental, P.A.

• California Community Care Clinics, PC

• Wellpath Community Care Centers of Indiana, P.C.

• Wellpath Community Care Centers of Michigan, P.C.

• Wellpath Community Care Centers of North Carolina, P.C.

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

File details come from the government source that posted it. Updated .