Insurance Payment View Search Entries: ID # Incident Number Ins Co. Incident Type Pay Month Chk Date Chk # Amt Paid Rcvry % Due to Dept SFRS Cut OK-41-0162022-178MVAApril 01, 202303/07/2023N 240546898$1,156.0015$982.60$173.40 TX-CW-20123-476629STATE FARMMVAApril 01, 202303/07/20231 08 404863-J$1,408.7515$1,197.44$211.31 TX-SH-201C23-02139-EGEICO INSURANCE – MEDICALMVAApril 01, 202303/07/2023N 240492284$1,500.0015$1,275.00$225.00 TX-SH-201TX-SH-201-C23-02139-EGEICO INSURANCE – MEDICALMVAApril 01, 202303/07/2023240499999$1,500.0015$1,275.00$225.00 OK-73-14823-1John WickwareMVAApril 01, 202303/10/2023528$500.0015$425.00$75.00 OK-16-01623-237Farmer's InsuranceStructureApril 01, 202303/13/20231635394579$750.0015$637.50$112.50 TX-CN-31023-2592-5STATE FARMMVAApril 01, 202303/04/20231 08 411513$250.0015$212.50$37.50 TX-CN-31023-27891-ASTATE FARMMVAApril 01, 202303/01/20231 08 407070$500.0015$425.00$75.00 AL-05-02222-2845254-BSTATE FARMMVAApril 01, 202303/03/20231 15 210789 J$604.0015$513.40$90.60 TX-HS-403398-BAmerican Modern InsuranceMVAApril 01, 202303/10/2023FA20813757$1,704.0015$1,448.40$255.60 TX-CW-20122-47504American Modern InsuranceMVAApril 01, 202303/08/20231710081526$500.0015$425.00$75.00 TX-HP-30922-330American Modern InsuranceMVAApril 01, 202303/10/20231810000532$5,000.0015$4,250.00$750.00 AL-06-20323-14STATE FARMMVAApril 01, 202303/09/20231 09 898676 J$300.0015$255.00$45.00 AL-06-20322-901Barbara SimsStructureApril 01, 202303/14/20230097$500.0035$325.00$175.00 OK-41-0162023-34STATE AUTO INSURANCEMVAApril 01, 202303/10/20231 26 078907$1,145.0015$973.25$171.75 TX-SH-201C23-02139GEICO INSURANCE COMPANYMVAApril 01, 202303/13/2023240890157$915.0015$777.75$137.25 OK-41-0162022-179STATE AUTO INSURANCEMVAApril 01, 202303/17/20231 26 084449$250.0015$212.50$37.50 TX-HN-40323-21GREAT WEST CASUALTYMVAApril 01, 202302/17/20235694097$630.0015$535.50$94.50 TX-CW-20123-4766291State Farm Mutual InsuranceMVAApril 01, 202302/17/20231 08 389710 J$1,500.0015$1,275.00$225.00 AL-05-02222-1529-EENCOMPASS – PIP / MEDPAYMVAApril 01, 202303/01/2023132823832$927.0015$787.95$139.05 TX-SH-201C22-14527ELEPHANT INSURANCEMVAApril 01, 202303/01/2023543044$710.0035$461.50$248.50 OK-16-01622-641Rental Claims ServicesMVAApril 01, 202303/01/20230000746787$1,427.2515$1,213.16$214.09 TX-SH-201C22-23061Imperium Insurance CompanyMVAApril 01, 202303/01/20230185834314$400.0015$340.00$60.00 TX-BY-20522-0517AAA Texas County Mutual InsuranceMVAApril 01, 202303/01/20230007225581$420.0035$273.00$147.00 TX-AK-30522-704739NATIONWIDE INSURANCE – MEDICALMVAApril 01, 202303/01/20231717198$3,116.5035$2,025.73$1,090.77 ID # Incident Number Ins Co. Incident Type Pay Month Chk Date Chk # Amt Paid Rcvry % Due to Dept SFRS Cut