Contact Health Special Risk

Texas Office

Minnesota Office

Request Insurance
Information Form

- HSR Texas Office - For Claims, Accounting & Information Technology Services: HSR Plaza II - 4100 Medical Parkway - Carrollton, Texas 75007-1517 (972) 512-5600 \| 800-328-1114 (toll-free) \| (972) 512-5820 (fax)
President: Thomas J. Lenihan III	Direct dial: (972) 512-5700 TomLenihan@HSRI.com
Vice President: Henry Williams	Direct dial: (972) 512-5630 HenryWilliams@HSRI.com
Director of Accounting: Cheryl Mahaffey	Direct dial: (972) 512-5650 CherylMahaffey@HSRI.com

**- HSR Minnesota Office -**

For Underwriting, Sales and Insurance Products:
880 Sibley Memorial Highway, Suite 101
Mendota Heights, Minnesota 55118
(651) 455-8889 | 866-910-0131 (toll-free) | (651) 455-1877 (fax)

Chairman:
Philip K. Munson

Direct dial: (651) 455-8889
PhilMunson@HSRI.com

Underwriters:
Emily Frank	EmilyFrank@HSRI.com
Jenny Albert	JennyAlbert@HSRI.com
Beth Albert	BethAlbert@HSRI.com

*- Request Insurance Information Form* - If you would like us to send you additional information please complete the following information and we will immediately respond to you. Thank you for the opportunity to assist you!**
*General Information (required information is marked with ):**
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We at HSR would like to thank you for the time you have taken to discover our services. We look forward to your request!

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Contact Health Special Risk

- HSR Texas Office -

**- HSR Minnesota Office -**

**- Request Insurance Information Form -**