New York State Workers Compensation Board Group Self-Insured Trusts Summary of Funding Status as of July 1, 2011
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1 PIANY Doc. No New York State Workers Compensation Board Group Self-Insured Trusts Summary of Funding as of July 1, 2011 The information contained within this Resource kit was made available by the New York State Workers Compensation Board and is provided as a PIANY member service. To contact PIA for more information, or to request a QuickSource document index, contact: phone: (800) fax: (888) resourcecenter@pia.org Website: Think PIA first 7/11
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3 Last Fiscal Cumulative Operating Restrictions Group Self-Insurer Group Administrator Year Level 1 Regulatory Funding Position Regulatory Imposed Review Final Deficit *A = Active; I = Inactive Fully Less 90-99% 80-89% 70-79% 60-69% Funded than 60% Yes No Pending (A) Associated Builders & Contractors Compensation Trust Reller Risk Management, LLC 04/30/10 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Charles Reller Effective Date: 5/1/ Fly Road Remarks: Trust will be changing their year N/A Remarks: Industry Served: Contractors/Services to Contractors Approximate Number of Active Members East Syracuse, NY charles.reller@rellerrisk.com end to a calendar year end effective 12/31/10. (A) Baumann Self-Insurance Trust Fund Self-Administered 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( X ) ( ) ( ) Edward Keaney Remarks: Closed to Effective Date: 11/1/ Veterans Memorial Highway $1.2 M new members; Industry Served: Passenger Transportation - Bus Operators Ronkonkoma, NY enhanced financial Approximate Number of Active Members ekeaney@abatransportation.com monitoring; mandatory scheduled deposits. (A) Contractors Self-Insurance Trust Fund NCA Comp Inc. 09/30/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Steven Gidwitz Effective Date: 8/15/97 14 Lafayette Square N/A Remarks: Industry Served: Contractors/Services to Contractors Buffalo, NY Approximate Number of Active Members sgidwitz@ncacomp.com (A) Electrical Employers Self-Insurance Safety Plan Self-Administered 12/31/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Steven Farago Effective Date: 1/1/ Harry Van Arsdale Jr. Avenue N/A Remarks: Industry Served: Electrical Workers - IBEW Local #3 Flushing, NY Approximate Number of Active Members sfarago@jibei.com (A) ESTRA Self-Insurance Trust Program Risk Management, Inc. 12/31/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) John Conroy Effective Date: 5/15/95 P. O. Box N/A Remarks: Industry Served: Auto/Towing/Recovery/Related Operations 900 Watervliet-Shaker Road Approximate Number of Active Members Albany, NY jconroy@prm.com (A) Healthcare of New York Workers' Compensation Trust SAFE, LLC 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( X ) Gina Emerson Effective Date: 9/1/01 Approximate Number of Active Members Erie Boulevard West Syracuse, NY gemerson@safetpa.com $4.5 M Remarks: Page No. 1 of 10
4 Last Fiscal Cumulative Operating Restrictions Group Self-Insurer Group Administrator Year Level 1 Regulatory Funding Position Regulatory Imposed Review Final Deficit Fully Less 90-99% 80-89% 70-79% 60-69% Funded than 60% Yes No Pending *A = Active; I = Inactive (A) Healthcare Underwriters Mutual Risk Management Group Self Funding, Inc. 12/31/09 ( ) ( ) ( ) ( ) ( X ) ( ) ( ) ( ) ( X ) John Berger Effective Date: 4/1/ Main Street $3.2M Remarks: Williamsville, NY Approximate Number of Active Members jberger@selffundinginc.com (A) Human Services Self-Insurance Trust Fund 12/31/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Bryan Bingel Effective Date: 12/29/95 P. O. Box 1248 N/A Remarks: Williamsville, NY Approximate Number of Active Members bbingel@fcsadministrators.com (A) McGuire Group Trust Self-Administered 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( X ) ( ) ( ) Daniel Cronmiller Remarks: Closed to new Effective Date: 1/1/ Delaware Avenue $1.0 M members; enhanced Buffalo, NY financial monitoring; Approximate Number of Active Members additional security deposit dcronmiller@mcguiregroup.com for entire deficit posted. (A) New York Bus Operators Compensation Trust Arthur J. Gallagher Risk Management Services Inc. 12/31/09 ( ) ( X ) ( ) ( ) ( ) ( ) ( X ) ( ) ( ) Lynn Cagnetta Effective Date: 1/1/93 40 Richards Avenue 6th floor $1.9 M Remarks: Enhanced Industry Served: Passenger Transportation - Bus Operators Norwalk, CT financial monitoring. Approximate Number of Active Members lynn_cagnetta@ajg.com (A) New York Choice Self-Insurance Trust 09/30/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Pauline Salay Effective Date: 9/1/97 P. O. Box 1248 Remarks: Trust will be changing their year N/A Remarks: Industry Served: Gas/Petroleum/Fuel Oils - Sale of Williamsville, NY end to a calendar year end Approximate Number of Active Members effective 12/31/10. psalay@fcsadministrators.com (A) New York College & University Risk Management Group Marsh USA, Inc. 12/31/09 ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) Annette Borodzik Effective Date: 6/30/ Main Street $2.5 M Remarks: Industry Served: Schools (Elementary, Colleges, Universities) Buffalo, NY Approximate Number of Active Members annette.m.borodzik@marsh.com Page No. 2 of 10
5 Last Fiscal Cumulative Operating Restrictions Group Self-Insurer Group Administrator Year Level 1 Regulatory Funding Position Regulatory Imposed Review Final Deficit Fully Less 90-99% 80-89% 70-79% 60-69% Funded than 60% Yes No Pending *A = Active; I = Inactive (A) New York Lumbermen's Insurance Trust Fund W. J. Cox Associates, Inc. 12/31/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Roxanne Dungan Effective Date: 4/1/ Main Street N/A Remarks: Industry Served: New York Lumbermen Clarence, NY Approximate Number of Active Members rdungan@wjcox.com (A) New York Operators Self-Insurance Trust Arthur J. Gallagher Risk Management Services Inc. 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( X ) Lynn Cagnetta Effective Date: 12/31/95 40 Richards Avenue 6th floor $600 K Remarks: Industry Served: Eating and Drinking Establishments Norwalk, CT Approximate Number of Active Members lynn_cagnetta@ajg.com (A) New York State Motor Truck Association Compensation Trust First Niagara Risk Management, Inc. 12/31/09 ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) Robert Fortenbaugh Effective Date: 7/1/ Exchange Street - Suite 900 $566 K Remarks: Industry Served: Transportation Buffalo, NY Approximate Number of Active Members robert.fortenbaugh@fnrm.com (A) Niagara Business Trust 12/31/09 ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Pauline Salay Effective Date: 2/1/98 P. O. Box 1248 $157 K Remarks: Trust Billed an Industry Served: Manufacturers - Various Types Williamsville, NY additional $160,000 for Approximate Number of Active Members and has collected psalay@fcsadministrators.com 75%. (A) NYAHSA Services, Inc. Self-Insurance Trust Cool Insurance Agency 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( ) ( ) ( X ) John Snow Effective Date: 10/2/ Troy-Schenectady Road $15.1M Remarks: Approximate Number of Active Members jfsnow@coolins.com (A) Rochester General Health System Workers' Compensation Trust Self-Administered 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( X ) ( ) ( ) Mary Tribuzzi Remarks: Closed to new Effective Date: 10/1/96 as ViaHealth Workers' Compensation Trust 1425 Portland Avenue Remarks: Trust Changed Name effective 10/25/10. $2.9 M members; enhanced Rochester, NY Previous name was ViaHealth. financial monitoring. Approximate Number of Active Members mary.tribuzzi@viahealth.org Page No. 3 of 10
6 Last Fiscal Cumulative Operating Restrictions Group Self-Insurer Group Administrator Year Level 1 Regulatory Funding Position Regulatory Imposed Review Final Deficit *A = Active; I = Inactive (A) Special Trades, Contracting and Construction Trust Effective Date: 10/1/95 Industry Served: Contractors/Services to Contractors Approximate Number of Active Members (A) Western New York Hospital Risk Management Group Effective Date: 7/1/94 Approximate Number of Active Members - 15 (I) Automobile Dealers Workers' Compensation Self-Insurance Trust Industry Served: Retailers/Wholesalers - Automobiles Total Members from 12/29/95-12/31/ (I) Automotive Service and Repair Self-Insurance Trust Industry Served: Auto Service and Repair Total Members from 1/1/05-1/31/ Fully Less 90-99% 80-89% 70-79% 60-69% Funded than 60% USA TPA - Prior to New York Compensation Managers, Inc. 09/30/09 ( X ) ( ) ( ) ( ) ( ) ( ) Christoher R. Mason P. O. Box South Bay Road Syracuse, NY Remarks: Trust will be changing their year end to a calendar year end effective 12/31/ cmason@workerscomp.com Marsh USA, Inc. 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) Annette Borodzik 665 Main Street Buffalo, NY annette.m.borodzik@marsh.com INACTIVE GROUP SELF-INSURERS Bryan Bingel P. O. Box 1248 Williamsville, NY bbingel@fcsadministrators.com New York Compensation Managers, Inc. Anthony D'Amato P. O. Box South Bay Road Syracuse, NY N/A $3.1 M Run Off Yes No Pending ( ) ( X ) ( ) Remarks: Membership limited to 966 per legislation ( ) ( ) ( X ) Remarks: Remarks: Trust voluntarily terminated effective 1/31/10. Forensic accounting review completed and member deficit reconstruction bills issued on 6/15/11. (I) Beer Wholesalers Compensation Trust of New York Industry Served: Retailers/Wholesalers - Malt & Carbonated Total Members from 2/1/00-12/31/10-50 As of 10/15/10 Trust transferred to State contracted group EBS-RMSCO, Inc. Theodore Strobeck 557 Lanceshire Lane State College, PA Ted.Strobeck@ebsrmsco.com Page No. 4 of 10
7 (I) Builders Self-Insurance Trust Fund Industry Served: Contractors/Services to Contractors Total Members from 10/1/98-9/30/ (I) Business Council WC Manufacturers Group Self-Insurance Trust Industry Served: Manufacturers - Various Types Total Members from 1/1/96-1/1/09-1,264 (I) Contractors Compensation Trust Industry Served: Contractors/Services to Contractors Total Members from 11/1/99-1/1/09-2,865 (I) Cooperative Association of Food Enterprises WC Trust Industry Served: Eating and Drinking Establishments Total Members from 6/13/95-1/1/09-3,986 (I) Community Residence Insurance Saving Plan SI Trust Total Members from 12/15/95-12/31/ (I) Elderwood Senior Care Self-Insurance Trust Total Members from 11/1/05-1/1/09-14 (I) ELEC-CON Trust Industry Served: Electrical Contractors and Supplies Total Members from 7/1/01-1/1/ (I) Elite Contractors Trust of New York Industry Served: Contractors/Services to Contractors Total Members from 8/27/99-7/16/08-2,676 Marsh USA, Inc. Robert Bossert 665 Main Street Buffalo, NY As of 5/1/09 Trust transferred to State contracted group Program Risk Management, Inc. Edward Sorenson P. O. Box Watervliet-Shaker Road Albany, NY esorenson@prm.com Self-Administered Richard Courtney 7 Limestone Drive Williamsville, NY rcourtney@elderwood.com Bryan Bingel P. O. Box 1248 Williamsville, NY As of 4/1/10 Trust transferred to State contracted group Insolvent Remarks: Trust terminated effective 9/30/07. Forensic accounting review completed and member deficit reconstruction bills issued on 8/4/10. Insolvent Remarks: Trust terminated effective 7/16/08. Forensic accounting review completed and member deficit reconstruction bills issued on 1/31/11. Page No. 5 of 10
8 (I) Empire State Agricultural Compensation Trust Industry Served: Agriculture and Related Services Total Members from 12/31/97-1/1/09-1,801 (I) Empire State Education Trust Industry Served: Schools (Elementary, Colleges, Universities) Total Members from 6/30/00-1/1/ (I) Empire State Hospitality WC Trust Industry Served: Lodging/Amusement/Recreation Services Total Members from 3/1/96-1/1/ (I) Empire State Transportation WC Trust Industry Served: Passenger Transportation - Bus Operators Total Members from 1/1/95-1/1/ (I) First Automotive Services Trust Industry Served: Auto Service and Repair Total Members from 1/1/05-1/1/09-1,007 (I) Health Care Providers Self-Insurance Trust Total Members from 4/19/93-7/1/ (I) Healthcare Industry Trust of New York Total Members from 9/12/99-12/31/ (I) Hudson Health Care Workers' Compensation Group Trust Total Members from 1/1/02-12/31/10-8 Agri-Services Agency, LLC Janice Klodowski P. O. Box 4910 Syracuse, NY jan.klodowski@agri-servicesagency.com Program Risk Management, Inc. John Conroy P. O. Box Watervliet-Shaker Road Albany, NY As of 10/13/09 Trust transferred to State contracted group P. O. Box As of 2/11/08 Trust transferred to State contracted group PMA Management Corp. of New England Joe Gugliotti 530 Preston Avenue Meriden, CT Joseph_Gugliotti@pmagroup.com Insolvent Remarks: Trust terminated effective 7/1/2009. Forensic accounting review completed and member deficit reconstruction bills issued on 9/14/10. Insolvent Remarks: Trust terminated effective 12/31/07. Forensic accounting review completed and member deficit reconstruction bills issued on 12/1/09. Page No. 6 of 10
9 (I) Independent Grocers Workers' Compensation Self-Insurance Trust Industry Served: Retailers/Wholesalers - Food Total Members from 4/26/96-7/1/09-68 (I) Long Term Care Risk Management Group Total Members from 10/1/92-12/31/09-69 Pauline Salay P. O. Box 1248 Williamsville, NY psalay@fcsadministrators.com Bryan Bingel P. O. Box 1248 Williamsville, NY Run Off Remarks: Trust voluntarily terminated effective 7/1/09. Run Off Remarks: Trust voluntarily terminated effective 12/31/09. Forensic accounting review in progress. (I) Manufacturing Industry WC Self-Insurance Trust Industry Served: Manufacturers - Various Types Total Members from 1/1/98-3/31/ (I) Manufacturing Self-Insurance Trust Industry Served: Manufacturers - Various Types Total Members from 12/1/97-8/31/ As of 4/14/11 Trust transferred to State contracted group Consolidated Risk Services, Inc. 985 Old Eagle School Road Wayne, PA As of 3/31/06 Trust transferred to State contracted group New York Compensation Managers, Inc. P. O. Box South Bay Road Syracuse, NY Insolvent Insolvent Remarks: Trust terminated effective 3/31/06. Forensic accounting review completed and member deficit reconstruction bills issued on 4/15/08. Remarks: Trust terminated effective 8/31/06. Attorney General issued summons and complaint for collections under joint and several. Forensic accounting review completed 11/16/09. (I) Mercantile Self-Insurance Trust Industry Served: Retailers/Wholesalers - Various Types Total Members from 10/1/94-2/29/ (I) New York Healthcare Facilities Workers' Compensation Trust Total Members from 1/1/98-7/31/ (I) New York McDonald's Operators WC Trust Industry Served: Eating and Drinking Establishments Total Members from 1/1/99-1/1/ (I) New York Petroleum Associations Compensation Trust Industry Served: Gas/Petroleum/Fuel Oils - Sale of Total Members from 7/1/01-1/1/ As of 6/1/07 Trust transferred to State contracted group USA TPA Lew Rumsmoke P. O. Box South Bay Road Syracuse, NY lrumsmoke@workerscomp.com Hamilton Wharton Group, Inc. 110 Wall Street New York, NY As of 7/31/06 Trust transferred to State contracted group Run Off Insolvent Remarks: Trust terminated effective 2/29/08. Member deficit assessment coordinated by group Remarks: Trust terminated effective 7/31/06. Forensic accounting review completed and member deficit reconstruction bills issued on 4/15/08. Page No. 7 of 10
10 (I) New York State Cemeteries Trust Industry Served: Cemeteries Total Members from 2/1/02-3/31/08-85 P. O. Box Insolvent Remarks: Trust terminated effective 3/31/08. Forensic accounting review completed and member deficit reconstruction bills issued on 7/9/10. (I) New York State Health Providers Workers' Compensation Trust Total Members from 4/1/02-12/31/10-18 (I) NY Transportation Workers' Compensation Trust Industry Served: Transportation Total Members from 12/1/00-1/1/09-1,375 (I) Northeast Health Workers' Compensation Plan Total Members from 1/1/95-12/31/10-26 (I) NYSARC Workers' Compensation Trust Total Members from 5/1/99-12/31/10-33 (I) OHI Workers' Compensation Trust Industry Served: Gas/Petroleum/Fuel Oils - Sale of Total Members from 1/1/98-1/1/ (I) PIA Manufacturers Self Insurance Trust Fund Industry Served: Printing Operations - Commercial Total Members from 4/1/96-12/31/ As of 7/7/08 Trust transferred to State contracted group Self-Administered Nanci Hurlburt 201 North Union Street Olean, NY nyshpa@verizon.net Self-Administered Robert Allen 600 Northern Boulevard Albany, NY allenb@nehealth.com USA TPA Christopher R. Mason P. O. Box South Bay Road Syracuse, NY cmason@workerscomp.com Cody Management Services, Inc. David Harvey 357 Bay Road Queensbury, NY As of 7/1/11 Trust transferred to State contracted group NCA Comp Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY sgidwitz@ncacomp.com Run Off Remarks: Trust voluntarily terminated effective 1/1/10. Page No. 8 of 10
11 (I) Preferred Manufacturers Insurance Trust Fund Industry Served: Manufacturers - Various Types Total Members from 1/1/93-9/1/ NCA Comp, Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY Run Off Remarks: Trust voluntarily terminated on 9/1/09. Forensic accounting review completed and member deficit reconstruction bills issued on 11/19/10. As of 9/1/09 Trust transferred to State contracted group (I) Provider Agency Trust for Human Services Consolidated Risk Services, Inc. 985 Old Eagle School Road Insolvent Remarks: Trust terminated effective 3/1/06. Forensic accounting review completed Wayne, PA and member deficit reconstruction bills issued on 4/15/ Total Members from 1/1/97-3/1/06-46 As of 3/1/06 Trust transferred to State contracted group (I) Public Entity Trust of New York P. O. Box 1999 Insolvent Remarks: Trust terminated effective 8/2/07. Forensic accounting review completed Industry Served: Public Entity and member deficit reconstruction bills issued on 5/10/10. Total Members from 1/1/02-8/2/ (I) Real Estate Management Trust of New York Industry Served: Real Estate and Property Management Total Members from 1/1/01-1/31/ (I) Retail and Wholesale Industry WC Self-Insurance Trust Industry Served: Retailers/Wholesalers - Various Types Total Members from 7/16/98-7/31/06-70 (I) Retailers of New York Worker's Compensation Trust Industry Served: Retailers/Wholesalers - Various Types Total Members from 9/1/97-1/1/09-1,421 (I) Selective Safety Trust Industry Served: Transportation Total Members from 10/1/95-1/1/ As of 7/7/08 Trust transferred to State contracted group P. O. Box As of 7/7/08 Trust transferred to State contracted group NCA Comp, Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY As of 10/15/08 Trust transferred to State contracted group As of 3/18/11 Trust transferred to State contracted group Insolvent Remarks: Trust terminated effective 1/31/08. Forensic accounting review completed and member deficit reconstruction bills issued on 6/30/10. Insolvent Remarks: Trust terminated effective 7/31/06. Forensic accounting review completed and member deficit reconstruction bills issued on 6/28/10. Insolvent Remarks: Trust voluntarily terminated effective 1/1/09. Forensic accounting review in progress. Estimated member deficit bills issued on 6/1/11. Page No. 9 of 10
12 (I) Team Transportation Workers' Comp Trust Industry Served: Transportation Total Members from 10/15/95-12/31/ (I) Trade Industry Workers' Compensation Trust for Manufacturers Industry Served: Manufacturers - Various Types Total Members from 12/27/01-1/31/ (I) Transportation Industry Workers' Compensation Trust Industry Served: Transportation Total Members from 12/27/00-1/31/ (I) Wholesale and Retail Workers' Compensation Trust of New York Industry Served: Retailers/Wholesalers - Various Types Total Members from 9/27/99-4/29/ Program Risk Management, Inc. John Conroy P. O. Box Watervliet-Shaker Road Albany, NY jconroy@prm.com P. O. Box As of 5/16/08 Trust transferred to State contracted group P. O. Box As of 9/8/08 Trust transferred to State contracted group P. O. Box As of 8/11/08 Trust transferred to State contracted group Insolvent Remarks: Trust terminated effective 1/31/08. Forensic accounting review completed and member deficit reconstruction bills issued on 6/1/10. Insolvent Remarks: Trust terminated effective 1/31/08. Forensic accounting review completed and member deficit reconstruction bills issued on 7/29/10. Insolvent Remarks: Trust terminated effective 4/29/08. Forensic accounting review completed and member deficit reconstruction bills issued on 5/25/10. Page No. 10 of 10
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