NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d)

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1 ACS Claim Service, Inc. 101 Old Schoolhouse Lane P.O. Box 257 Mechanicsburg, PA Aetna Life Insurance Company 151 Farmington Avenue Hartford, CT AIG Claims, Inc. 175 Water Street, 18 th Floor New York, NY Alternative Service Concept, LLC 4 Tower Place Albany, NY Applied Risk Services of New York, Inc. 470 Park Avenue South, 12 th Floor New York, NY Arrowood Indemnity Company 3600 Arco Corporate Drive Charlotte, NC Atlantic Specialty Insurance Company 150 Royall Street Canton, MA Benetech, Inc. P.O. Box 348 One Dodge Street Wynantskill, NY Broadspire Services, Inc SW 80 th Terrace Plantation, FL Brown, Melissa P.O. Box Albany, NY Business Planners & Consultants-Filco, Inc. 85 Allen Street #210 Rochester, NY CIGNA Life Insurance Company of NY 140 East 45 th Street New York, NY Last Updated 10/22/2015 Page 1 of 7

2 C.M.G. Agency, Inc Old Mill Road Omaha, NE CNA Claim Plus, Inc. P.O. Box 9038 Melville, NY Cannon Cochran Management Services, Inc. 2 East Main Street Danville, IL Cardella, Nancy L. CorVel Corporation 251 Salina Meadows Pkwy, Ste 150 Syracuse, NY Cedarhill Claims Services, Inc. 85 Spruce Street Cedarhurst, NY Chesterfield Services (New York), Inc. c/o Stewart, Greenbelt, Manning & Baez 6800 Jericho Turnpike, Suite 100W Syosset, NY Claims Service Bureau of New York, Inc. 21 Hempstead Avenue P.O. Box 805 Lynbrook, NY Coats, Arthur P.O. Box Albany, NY ComTon, Inc Pittsford Palmyra Road Unit 3A P.O. Box 1358 Pittsford, NY Constitution State Services, LLC One Tower Square Hartford, CT Cool Insuring Agency, Inc. 784 Troy-Schenectady Road Latham, NY Last Updated 10/22/2015 Page 2 of 7

3 CorVel Enterprise Comp, Inc Main, Suite 600 Irvine, CA Crown Risk Management, LLC 221 South Warren Street Syracuse, NY Custard Insurance Adjusters, Inc. 40 Sunset Ridge, Suite 240 New Paltz, NY DMA Claim Services, LLC 9 Farm Springs Road, First Floor Farmington, CT Denz, Maralee Merchants Insurance Company 250 Main Street Buffalo, NY Dynamic Claim Services, Inc. 21 Robert Pitt Drive Suite 205 Monsey, NY Ekstrom, N. Jayne 5211 Kortwright Road Ashville, NY Emerald Claims Management, Inc East Wallis Drive Porter, TX ESIS, Inc. 300 Airborne Parkway, Suite 200 Cheektowaga, NY F.A. Richard & Associates, Inc West Causeway Approach Mandeville, LA FCS Administrators, Inc. 831 Maple Road Williamsville, NY First Niagara Risk Management, Inc. 239 Van Rensselaer Street Buffalo, NY Last Updated 10/22/2015 Page 3 of 7

4 First Unum Life Insurance Company Third Avenue, Suite 301 New York, NY G.C.G. Risk Management, Inc Church Street, Suite #810 New York, NY Gallagher Bassett Services, Inc Two Pierce Place Itasca, IL Glacier Bay TPA, LLC Airport Park Blvd. Latham, NY Hartford-Comprehensive Employee Benefit Service Co Hopmeadow Street Simsbury, CT Helmsman Management Services, LLC Berkeley Street Boston, MA Howe, Susan P.O. Box Albany, NY InterGUARD, Ltd P.O. Box A-H, 16 South River Street Wilkes-Barre, PA Klein, Paul Koral, Susan M Main Street Williamsville, NY Liberty Life Assurance Co. of Boston 175 Berkeley Street Boston, MA Lovell Safety Management Co., LLC 110 Williams Street 12 th Floor New York, NY MAC Risk Management of New York, LLC Triangle Heights 40 Triangle Center, Suite 207 Yorktown, NY Last Updated 10/22/2015 Page 4 of 7

5 Matrix Absence Management, Inc W. Peoria Avenue, Suite 200 Phoenix, AZ Maxon Administrators, Inc. 76 North Broadway Irvington, NY Maxon Company (The) 76 North Broadway Irvington, NY McNeil & Company, Inc. 20 Church Street Cortland, NY Metropolitan Life Insurance Company 200 Park Avenue New York, NY Monroe 2-Orleans BOCES 3599 Big Ridge Road Spencerport, NY Murphy and Beane One Union Plaza New London, CT NAI Claims Consulting, Inc Franklin Avenue, Suite 406 Garden City, NY NCAComp, Inc. 14 Lafayette Square, Suite 700 Buffalo, NY Network Adjusters, Inc 850 Fulton Street P.O. Box 9035 Farmingdale, NY North American Risk Services, Inc. 240 East Central Parkway, Suite 4010 Altamonte Springs, FL Northeast Association Management, Inc. 9 Cornell Road Latham, NY OneBeacon Insurance Company One Beacon Street Boston, MA Last Updated 10/22/2015 Page 5 of 7

6 Oryx Insurance Brokerage, Inc. P.O. Box 2849 Syracuse, NY PMA Management Corporation 5789 Widewaters Parkway Dewitt, NY PMA Management Corp. of New England, Inc. 550 Manaroneck Avenue, Suite 501, Harrison, NY Parker Services, LLC 1800 North Point Drive Stevens Point, WI Paystaf Technologies, Inc. c/o Robert L. Allen 4 Chalet Court Wynantskill, NY POMCO, Inc James Street Syracuse, NY Principal Life Insurance Co. 711 High Street Des Moines, Iowa Pugh, Christine A Qual-Lynx 6700 Old Collamer Road Suite 117 East Syracuse, NY Reed Group, Ltd Westmoor Drive, Suite 210 Westminster, CO Risk Management Planning Group, Inc. 211 Station Road, Suite 700 Mineola, NY S.A.F.E., LLC 620 Erie Boulevard West, Suite 100 Syracuse, NY Last Updated 10/22/2015 Page 6 of 7

7 Sedgwick Claims Management Services, Inc Ridgeway Loop Road Memphis, TN Standard Life Insurance Company of New York (The) 360 Hamilton Avenue, Suite 210 White Plains, NY Triad Group, LLC 185 Jordan Road Troy, NY TRISTAR Risk Enterprise Management, Inc Route 130, Suite 109 Cranbury, NJ Vision Risk Services, LLC 6333 Jericho Turnpike Commack, NY W.J. Cox Associates, Inc Main Street, Suite Three Clarence, NY Wright Risk Management Company, LLC 333 Earle Ovington Blvd., Suite 505 Uniondale, NY York Risk Services Group, Inc. One Whitehall Street, 14 th Floor New York, NY Zurich Services Corporation (The) 1400 American Lane Schaumburg, IL Last Updated 10/22/2015 Page 7 of 7

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