INSURANCE CARRIER/SELF-INSURER LIST OF DESIGNATED CONTACTS
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1 State of New Jersey Department of Labor & Workforce Development Division of Workers Compensation INSURANCE CARRIER/SELF-INSURER LIST OF DESIGNATED CONTACTS P.L Chapter 96, effective October 1, 2008, applies to workers compensation insurance carriers and authorized self-insured employers. The law provides that: Every carrier and self-insured employer shall designate a contact person who is responsible for responding to issues concerning medical and temporary disability benefits where no claim petition has been filed or where a claim petition has not been answered. The full name, telephone number, address, address, and fax number of the contact person shall be submitted to the division. Any changes in information about the contact person shall be immediately submitted to the division as they occur. After an answer is filed with the division, the attorney of record for the respondent shall act as the contact person in the case. Failure to comply with the provisions of this section shall result in a fine of $2,500 for each day of noncompliance, payable to the Second Injury Fund. The Division has compiled the attached contact person listing from information submitted to us by workers compensation insurance carriers and authorized self-insurers. You can search for a particular company in this document by using the Find tool in Adobe Reader or by clicking on the embedded bookmarks. If you find an error with a particular entry in the attached list, please contact the following to verify our records: Joanne Allen ([email protected]), tel: , fax: Carriers/self-insurers that have not yet designated a contact person as required by law must do so by downloading and completing the Insurance Carrier Contact form available on our website: Note: If you are a representative from a specific carrier/self-insurer who has already submitted an Insurance Carrier Contact Form to the Division but cannot locate your company in this listing, please contact us to verify that the form has been received by us. Thank you. Last revised: 12/22/2014
2 ABF FREIGHT SYSTEM, INC. RACHELLE PRATT, WC CLAIMS SPECIALIST ATTN: RISK MANAGEMENT, P.O. BOX 10048, FORT SMITH, AR TEL #: FAX #: ALLEN KING, MANAGER, WORKERS' COMP P.O. BOX FORT SMITH, AR TEL #: FAX #: ACCIDENT FUND GENERAL INSURANCE COMPANY JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE, LANSING, MI TEL #: FAX #: -- KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE LANSING, MI TEL #: FAX #: ACCIDENT FUND INSURANCE COMPANY OF AMERICA JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE, LANSING, MI TEL #: FAX #: -- KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE LANSING, MI TEL #: FAX #: ACCIDENT FUND NATIONAL INSURANCE COMPANY JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE, LANSING, MI TEL #: FAX #: -- KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT 200 N. GRAND AVENUE LANSING, MI TEL #: FAX #: ACE AMERICAN INSURANCE COMPANY PAM LLEWELLYN, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E, WILMINGTON DE TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 1
3 GUS GONNELLA, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E WILMINGTON DE TEL #: FAX #: ACE FIRE UNDERWRITERS INSURANCE COMPANY PAM LLEWELLYN, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E, WILMINGTON DE TEL #: FAX #: GUS GONNELLA, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E WILMINGTON DE TEL #: FAX #: ACE PROPERTY & CASUALTY INSURANCE COMPANY PAM LLEWELLYN, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E, WILMINGTON, DE TEL #: FAX #: GUS GONNELLA, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E WILMINGTON, DE TEL #: FAX #: ACIG INSURANCE COMPANY RON ARTHUR, VICE PRESIDENT - CLAIMS MANAGER MERIT DRIVE, SUITE 1660, DALLAS, TX TEL #: FAX #: [email protected] SUSIE MCGEE, VICE PRESIDENT - CLAIMS MERIT DRIVE, SUITE 1660 DALLAS, TX TEL #: FAX #: [email protected] ACME MARKETS, INC. JEAN MICHETTI, TEAM LEADER SPECIALTY RISK SERVICES (SRS), 150 SOUTH WARNER ROAD, KING OF PRUSSIA, PA TEL #: FAX #: [email protected] CASSANDRA GOMEZ, OPERATIONS MANAGER SPECIALTY RISK SERVICES (SRS), 4245 MERIDIAN PARKWAY AURORA, IL TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 2
4 ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY TERESA J. MARECK, VICE PRESIDENT & GENERAL COUNSEL P.O. BOX , SALT LAKE CITY, UT TEL #: FAX #: GWEN E. CHURCH, ASSISTANT VICE PRESIDENT P.O. BOX SALT LAKE CITY, UT TEL #: FAX #: AIG PROPERTY CASUALTY COMPANY JANICE MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 4050, ALPHARETTA, GA TEL #: FAX #: MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 4050 ALPHARETTA, GA TEL #: FAX #: ALCATEL-LUCENT USA INC SHERRY D BAKER, CLAIMS MANAGER 624 S.E. 29TH STREET, CAPE CORAL, FL TEL #: FAX #: [email protected] SOPHIE CHEVILLET, DIRECTOR NA RISK MANAGEMENT 600 MOUNTAIN AVENUE, ROOM 7B-503 MURRAY HILL, NJ TEL #: FAX #: [email protected] ALLAMERICA FINANCIAL ALLIANCE INSURANCE COMPANY CHERYL UNGAR, WC UNIT MANAGER P.O. BOX 15144, WORCESTER, MA TEL #: FAX #: [email protected] PAULA ANDRADE, WC UNIT MANAGER P.O. BOX WORCESTER, MA TEL #: FAX #: [email protected] ALLAMERICA FINANCIAL BENEFIT INSURANCE COMPANY CHERYL UNGAR, WC UNIT MANAGER P.O. BOX 15144, WORCESTER, MA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 3
5 PAULA ANDRADE, WC UNIT MANAGER P.O. BOX WORCESTER, MA TEL #: FAX #: ALLIANCE NATIONAL INSURANCE COMPANY JOHN EAGEN, MANAGER 220 W. GERMANTOWN PIKE, PLYMOUTH MEETING, PA TEL #: FAX #: MARY BETH TORUNIAN, UNDERWRITER 220 W. GERMANTOWN PIKE PLYMOUTH MEETING, PA TEL #: FAX #: ALLIED EASTERN INDEMNITY COMPANY KELLI CHAPMAN, DIRECTOR OF CLAIMS 25 RACE AVENUE, LANCASTER PA TEL #: ext FAX #: TARA HOOPER, MANAGER OF REGIONAL CLAIMS 25 RACE AVENUE LANCASTER PA TEL #: ext FAX #: AMERICAN ALTERNATIVE INSURANCE COMPANY CHARLES KROH, VICE PRESIDENT 555 COLLEGE ROAD EAST, PRINCETON, NJ TEL #: FAX #: STEPHEN DIONISIO, VICE PRESIDENT 555 COLLEGE ROAD EAST PRINCETON, NJ TEL #: FAX #: AMERICAN AUTOMOBILE INSURANCE COMPANY THOMAS CUEL, SR. CLAIMS DIRECTOR GREAT OAKS WAY, SUITE 200, ALPHARETTA, GA TEL #: FAX #: JENNIFER FELCH, WORKERS' COMPENSATION SUPERVISOR GREAT OAKS WAY, SUITE 200 ALPHARETTA, GA TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 4
6 AMERICAN CASUALTY COMPANY OF READING PA DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO, IL TEL #: FAX #: AMERICAN COMPENSATION INSURANCE COMPANY SUSAN PILON, MANAGER OF NATIONAL CLAIM QUALITY & COMPLIANCE P.O. BOX , MINNEAPOLIS, MN TEL #: FAX #: AMY HAWLEY, DIRECTOR OF OPERATIONS P.O. BOX MINNEAPOLIS, MN TEL #: FAX #: AMERICAN FIRE & CASUALTY INSURANCE COMAPNY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, E. SYRACUSE, NY TEL #: FAX #: KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY E. SYRACUSE, NY TEL #: FAX #: AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY BRIAN M. DOOLEY, ASST. VICE PRESIDENT 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C, PARSIPPANY, NJ TEL #: FAX #: RONALD TANELLI, TEAM MANAGER 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C PARSIPPANY, NJ TEL #: FAX #: AMERICAN HOME ASSURANCE COMPANY JANICE MOORE, ASSISTANT VICE PRESIDENT CHARTIS, P.O. BOX 9973, WILMINGTON, DE TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 5
7 MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 9973 WILMINGTON, DE TEL #: FAX #: AMERICAN INSURANCE COMPANY THOMAS CUEL, SR. CLAIMS DIRECTOR GREAT OAKS WAY, SUITE 200, ALPHARETTA GA TEL #: FAX #: JENNIFER FELCH, WORKERS' COMPENSATION SUPERVISOR GREAT OAKS WAY, SUITE 200 ALPHARETTA, GA TEL #: FAX #: AMERICAN ZURICH INSURANCE COMPANY BRIAN M. DOOLEY, ASST. VICE PRESIDENT 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C, PARSIPPANY, NJ TEL #: FAX #: RONALD TANELLI, TEAM MANAGER 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C PARSIPPANY, NJ TEL #: FAX #: AMERIHEALTH CASUALTY INSURANCE COMPANY TERRY SMITH, MANAGER OF NJ OPERATIONS 8000 MIDLANTIC DRIVE, SUITE 410N, MT. LAUREL, NJ TEL #: FAX #: MARK MORRONE, SENIOR CLAIMS REPRESENTATIVE 8000 MIDLANTIC DRIVE, SUITE 410N MT. LAUREL, NJ TEL #: FAX #: AMERISURE INSURANCE COMPANY LAURA PIERMAN, CLAIMS MANAGER HALSTED, FARMINGTON HILLS, MI TEL #: ext FAX #: MICHAEL HEARSCH, CLAIMS SUPERVISOR HALSTED FARMINGTON HILLS, MI TEL #: ext FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 6
8 AMERISURE MUTUAL INSURANCE COMPANY LAURA PIERMAN, CLAIMS MANAGER HALSTED, FARMINGTON HILLS, MI TEL #: ext FAX #: MICHAEL HEARSCH, CLAIMS SUPERVISOR HALSTED FARMINGTON HILLS, MI TEL #: ext FAX #: AMERITRUST INSURANCE CORPORATION LINDA FEATHERNGILL, WC CLAIMS SUPERVISOR P.O. BOX 5086, SOUTHFIELD, MI TEL #: FAX #: RANDY LESTER, CLAIMS MANAGER P.O. BOX 5086 SOUTHFIELD, MI TEL #: FAX #: AMGUARD INSURANCE COMPANY HUGH SPIEGELMAN, CLAIMS SUPERVISOR GUARD INSURANCE GROUP, P.O. BOX 1368, WILKES BARRE, PA TEL #: FAX #: DIANA DUDA MONGO, STAFF ATTORNEY GUARD INSURANCE GROUP, 110 SOUTH JEFFERSON ROAD WHIPPANY, NJ TEL #: FAX #: AMSTED INDUSTRIES, INC. ROB GOULD, HUMAN RESOURCES MANAGER 1100 WEST FRONT STREET, FLORENCE, NJ TEL #: FAX #: JOHN GEANEY, ATTORNEY 8000 MIDLANTIC DRIVE, SUITE 300S MT. LAUREL, NJ TEL #: FAX #: ARCH INSURANCE COMPANY CHASE W DEITS, CPCU, ARM, AIC 1125 SANCTUARY PKWY, SUITE 200, ALPHARETTA, GA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 7
9 PAUL MILOSCIA, VP, CLAIMS ONE LIBERTY PLAZA, 53RD FLOOR NEW YORK, NY TEL #: FAX #: ARGONAUT INSURANCE COMPANY MARILYN BRANDS, VP OF WORKERS' COMPENSATION CLAIMS 100 MARINE PARKWAY, REDWOOD CITY, CA TEL #: FAX #: MELINDA SEILER, REGIONAL CLAIMS DIRECTOR 8325 N. ALLEN RD., SUITE B PEORIA, IL TEL #: FAX #: [email protected] ARGONAUT-MIDWEST INSURANCE COMPANY MARILYN BRANDS, VP OF WORKERS' COMPENSATION CLAIMS 100 MARINE PARKWAY, REDWOOD CITY, CA TEL #: FAX #: [email protected] MELINDA SEILER, REGIONAL CLAIMS DIRECTOR 8325 N. ALLEN RD., SUITE B PEORIA, IL TEL #: FAX #: [email protected] AT&T CORPORATION JULIE DUNCAN, CLAIMS SUPERVISOR 350 LINDEN OAKS, ROCHESTER, NY TEL #: FAX #: [email protected] MARIANNE PEIKHAM, CLAIMS SUPERVISOR 350 LINDEN OAKS ROCHESTER, NY TEL #: FAX #: [email protected] ATLANTIC HEALTH SYSTEMS INC & SUBS LORI WILLIAMS, ESQ., ATTORNEY 475 SOUTH STREET, P.O. BOX 1905, MORRISTOWN NJ TEL #: FAX #: [email protected] STEPHEN T FANNON 8000 MIIDLANTIC DR, STE 300, LAUREL CORPORATE CENTER MT LAUREL NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 8
10 ATLANTIC STATES CAST IRON PIPE CO. ELIZABETH KUNIGUS, WORKERS' COMP. ADMINISTRATOR 183 SITGREAVES STREET, PHILLIPSBURG, NJ TEL #: ext. 276 FAX #: HEATHER KNIGHTEN, ACCOUNTANT 2900 HWY. 280, SUITE 300 BIRMINGHAM, AL TEL #: FAX #: ATLANTICARE REGIONAL MEDICAL CENTER TRUDY MANDIA, RN,CCM,CWCP, SR. MANAGER, WC DEPARTMENT 2500 ENGLISH CREEK AVENUE, ATLANTICARE HEALTH PARK BLDG. 600, EGG HARBOR TOWNSHIP, NJ TEL #: FAX #: PAT BITZER, W.C. SPECIALIST 2500 ENGLISH CREEK AVENUE, ATLANTICARE HEALTH PARK, BLDG. 600 EGG HARBOR TOWNSHIP, NJ TEL #: FAX #: BANCROFT NEUROHEALTH, INC. TONY DIBARTOLLO, V.P. HUMAN RESOURCES 800 NO. KINGS HWY., SUITE 305, CHERRY HILL, NJ TEL #: ext FAX #: MICHAEL SALERNO, ADMINISTRATOR 330 MILLTOWN ROAD, SUITE E-11 EAST BRUNSWICK, NJ TEL #: FAX #: BANKERS STANDARD INSURANCE COMPANY PAM LLEWELLYN, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E, WILMINGTON, DE TEL #: FAX #: GUS GONNELLA, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E WILMINGTON, DE TEL #: FAX #: BARNABAS HEALTH INC DAVID A. MEBANE, ESQ., SR. V.P. FOR LEGAL AFFAIRS - CHIEF LEGAL OFFICER 95 OLD SHORT HILLS ROAD, WEST ORANGE, NJ TEL #: FAX #: [email protected] CARYL RUSSO, SR. VICE PRESIDENT, CORPORATE CARE KIMBALL MEDICAL CENTER, 600 RIVER AVENUE LAKEWOOD, NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 9
11 BATH & BODY WORKS, INC. INNAH DULAY, CASE MANAGEMENT CONSULTANT 4 LIMITED PARKWAY, REYNOLDSBURG, OH TEL #: FAX #: [email protected] SUSAN MANOS, SUPERVISOR CASE MANAGEMENT 4 LIMITED PARKWAY REYNOLDSBURG, OH TEL #: FAX #: [email protected] BERGEN REGIONAL MEDICAL CENTER VIKI ABRAMS, CLAIMS EXAMINER QUALCARE, P.O. BOX 309, PISCATAWAY, NJ TEL #: FAX #: [email protected] PRIMO SISCO, BENEFITS COORDINATOR BERGEN REGIONAL MEDICAL CENTER, 230 EAST RIDGEWOOD AVENUE PARAMUS, NJ TEL #: FAX #: [email protected] BERKLEY NATIONAL INSURANCE COMPANY ROBERT BUEHLER, ASSISTANT SECRETARY 215 SHUMAN BLVD., SUITE 200, NAPERVILLE, IL TEL #: FAX #: [email protected] PATRICIA PETERS, REGULATORY ADMINISTRATOR 215 SHUMAN BLVD., SUITE 200 NAPERVILLE, IL TEL #: FAX #: [email protected] BERKLEY REGIONAL INSURANCE COMPANY JOHN THELAN, ASSISTANT SECRETARY DOUGLAS AVENUE, URBANDALE, IA TEL #: FAX #: [email protected] GREG KENDRICK, LEGAL ASSISTANT DOUGLAS AVENUE URBANDALE, IA TEL #: FAX #: [email protected] BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO (FMLY CORNHUSKERS CASUALTY) KATHLEEN KOESTER-HOLT, CLAIMS SUPERVISOR BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, P.O. BOX , SAN FRANCISCO, CA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 10
12 NICOLE ALBRECHT, CLAIMS MANAGER BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, P.O. BOX SAN FRANCISCO, CA TEL #: FAX #: BEST FOODS/CPC MICHELL LARGMANN, FINANCIAL ANALYST UNILEVER U.S. INC., 700 SYLVAN AVENUE, ENGLEWOOD CLIFFS, NJ TEL #: FAX #: -- SAM MALIK, ASSOCIATE FINANCE MANAGER UNILEVER U.S. INC., 700 SYLVAN AVENUE ENGLEWOOD CLIFFS, NJ TEL #: FAX #: -- BON SECOURS HEALTH SYSTEM INC. & SUBS KIM STEHLE, SR. CLAIM REPRESENTATIVE GALLAGHER BASSETT SERVICES, 3300 VICKERY ROAD, NORTH SYRACUSE, NY TEL #: FAX #: -- MARY BETH FITZGERALD, BRANCH MANAGER GALLAGHER BASSETT SERVICES, 3300 VICKERY ROAD NORTH SYRACUSE, NY TEL #: FAX #: -- BROTHERHOOD MUTUAL INSURANCE COMPANY DEBBIE BENZINGER, SR. MANAGER, WC CLAIMS 6400 BROTHERHOOD WAY, P.O. BOX 2227, FORT WAYNE, NJ TEL #: FAX #: DAVID ROESENER, REGULATORY AND COMPLIANCE DIRECTOR 6400 BROTHERHOOD WAY, P.O. BOX 2227 FORT WAYNE, NJ TEL #: FAX #: CAMDEN, RC DIOCESE OF PATRICIA NAPIER, SR. WC CLAIMS SUPERVISOR P.O. BOX 500, SOMERS POINT, NJ TEL #: ext FAX #: LINDA DEROUIN, LITIGATED SUPERVISOR P.O. BOX 500 SOMERS POINT, NJ TEL #: ext FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 11
13 CAPE REGIONAL MEDICAL CENTER MICHAEL MORLEY, V.P. RISK MANAGEMENT 2 SONE HARBOR BLVD., CAPE MAY COURT HOUSE, NJ TEL #: FAX #: [email protected] PATRICIA NAPIER, SENIOR CLAIMS ANALYST SCIBAL INSURANCE GROUP, P.O. BOX 500 SOMERS POINT, NJ TEL #: FAX #: -- [email protected] CAROLINA CASUALTY INSURANCE COMPANY LORI ZOBLER, DIRECTOR OF CLAIMS 2445 KUSER RD, STE 201, HAMILTON NJ TEL #: FAX #: [email protected] JOHN BURKE, SR VP AND CHIEF CLAIMS OFFICER BERKLEYNET UNDERWRITERS LLC, MARBLESTONE DRIVE, SUITE 250 WOODBRIDGE VA TEL #: FAX #: [email protected] CASTLEPOINT INSURANCE COMPANY LAURA DANIELS, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E, MELVILLE, NY TEL #: FAX #: [email protected] DEBORAH KREMER, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E MELVILLE, NY TEL #: FAX #: [email protected] CASTLEPOINT NATIONAL INSURANCE COMPANY TIM KARAGJIOZI, SR. HOME OFFICE CLAIM ANALYST 3 HUNTINGTON QUAD, SUITE 2015, MELVILLE, NY TEL #: FAX #: [email protected] PHILIP KOZELETZ, ASST. VICE PRESIDENT, BRANCH CLAIM MANAGER 3 HUNTINGTON QUAD, SUITE 2015 MELVILLE, NY TEL #: FAX #: [email protected] CBS BROADCASTING INC STEPHANIE GROSSBERG, DIRECTOR - RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK, NY TEL #: FAX #: [email protected] DAVID RICHARDSON, VICE PRESIDENT - CLAIMS ONE UNION PLAZA NEW LONDON, CT TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 12
14 CBS CORPORATION STEPHANIE GROSSBERG, DIRECTOR - RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK, NY TEL #: FAX #: [email protected] EUGENE J. MELLEVOLD, VICE PRESIDENT 51 W. 52ND STREET NEW YORK, NY TEL #: FAX #: [email protected] CBS OUTDOOR GROUP INC STEPHANIE GROSSBERG, DIRECTOR, RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK, NY TEL #: FAX #: [email protected] DAVE RICHARDSON, VP - CLAIMS MURPHY AND BEANE, ONE UNION PLAZA NEW LONDON, CT TEL #: ext. 240 FAX #: [email protected] CBS OUTDOOR INC STEPHANIE GROSSBERG, DIRECTOR - RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK, NY TEL #: FAX #: [email protected] DAVID RICHARDSON, VICE PRESIDENT - CLAIMS ONE UNION PLAZA NEW LONDON, CT TEL #: FAX #: [email protected] CECORR INC TIM B STARKS, SR. WC MANAGER 133 PEACHTREE STREET, NE, ATLANTA, GA TEL #: FAX #: [email protected] LIZ WYNACHT, MANAGER - WC 1333 PEACHTREE STREET, NE ATLANTA, GA TEL #: FAX #: -- [email protected] CHARTER OAK FIRE INSURANCE COMPANY MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER TRAVELERS INSURANCE COMPANIES, INC., 445 SOUTH STREET, MORRISTOWN, NJ TEL #: FAX #: [email protected] TROY TICE, DIRECTOR OF OPERATIONS TRAVELERS INSURANCE COMPANIES, INC., 445 SOUTH STREET MORRISTOWN, NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 13
15 CHEROKEE INSURANCE COMPANY SCOTT PHILLIPS, CLAIM REPRESENTATIVE P.O. BOX 159, WARREN, MI TEL #: ext FAX #: LAURA BOOTH, CLAIM REPRESENTATIVE P.O. BOX 159 WARREN, MI TEL #: ext FAX #: CHUBB INDEMNITY INSURANCE COMPANY ANDY HERBERT, CLAIMS SUPERVISOR 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616, WARREN, NJ TEL #: FAX #: CRAIG FARINA, CLAIMS MANAGER 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616 WARREN, NJ TEL #: FAX #: CHURCH MUTUAL INSURANCE COMPANY DAVID A SEISER, CLAIM MANAGER, WC P.O. BOX 342, MERRILL, WI TEL #: FAX #: [email protected] TEENA NOVOTNY, CLAIMS SUPERVISOR, WC P.O. BOX 342 MERRILL, WI TEL #: FAX #: [email protected] CINCINNATI CASUALTY COMPANY DEREK NEHIL, UNIT MANAGER YORK RISK SERVICES GROUP, P.O. BOX , COLUMBUS, OH TEL #: FAX #: [email protected] TONI POSTELL, SUPERINTENDENT P.O. BOX CINCINNATI, OH TEL #: FAX #: [email protected] CINCINNATI INDEMNITY COMPANY DEREK NEHIL, UNIT MANAGER YORK RISK SERVICES GROUP, P.O. BOX , COLUMBUS, OH TEL #: FAX #: [email protected] TONI POSTELL, SUPERINTENDENT P.O. BOX CINCINNATI, OH TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 14
16 CINCINNATI INSURANCE COMPANY DEREK NEHIL, UNIT MANAGER YORK RISK SERVICES GROUP, P.O. BOX , COLUMBUS, OH TEL #: FAX #: TONI POSTELL, SUPERINTENDENT CINCINNATI INSURANCE COMPANY, P.O. BOX CINCINNATI, OH TEL #: FAX #: CITIZENS INSURANCE COMPANY OF AMERICA DANIEL GERMAIN, UNIT MANAGER HANOVER INSURANCE, 440 LINCOLN STREET, WORCESTER, MA TEL #: FAX #: MOLLY FLANAGAN, AVP WORK COMP HANOVER INSURANCE, 440 LINCOLN STREET WORCESTER, MA TEL #: FAX #: COLONIAL CONCRETE CO & SUBS KAREN SAYRE, ADMINISTRATIVE ASST. P.O. BOX 68, NEWTON, NJ TEL #: FAX #: APRIL GRANGER, CLAIMS REPRESENTATIVE P.O. BOX 68 NEWTON, NJ TEL #: FAX #: COMMERCE & INDUSTRY INSURANCE COMPANY JANICE MOORE, ASSISTANT VICE PRESIDENT CHARTIS, P.O. BOX 9973, WILMINGTON, DE TEL #: FAX #: MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 9973 WILMINGTON, DE TEL #: FAX #: COMPANION PROPERTY & CASUALTY INSURANCE COMPANY TERRY SMITH, MANAGER OF NJ OPERATIONS 8000 MIDLANTIC DRIVE, SUITE 410N, MT. LAUREL, NJ TEL #: FAX #: MARK MORRONE, SENIOR CLAIMS REPRESENTATIVE 8000 MIDLANTIC DRIVE, SUITE 410N MT. LAUREL, NJ TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 15
17 CONAGRA FOODS INC AND SUBS BRENDA MCGOWEN, SR. FINANCIAL ANALYST CONAGRA FOODS, INC., ONE CONAGRA DRIVE, 1-220, OMAHA, NE TEL #: FAX #: EMILY JONES, FINANCIAL ANALYST CONAGRA FOODS, INC., ONE CONAGRA DRIVE OMAHA, NE TEL #: FAX #: CONTINENTAL CASUALTY COMPANY (CNA) DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO, IL TEL #: FAX #: CONTINENTAL INDEMNITY COMPANY ERIC KENNEDY, UNIT SUPERVISOR P.O. BOX 3804, OMAHA, NE TEL #: FAX #: PETER GUNN, CLAIMS MANAGER P.O. BOX 3804 OMAHA, NE TEL #: FAX #: CONTINENTAL INSURANCE COMPANY DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO IL TEL #: FAX #: CONTINENTAL INSURANCE COMPANY OF NEW JERSEY DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 30S CHICAGO, IL TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 16
18 COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER MARYANN MIKULICH, BENEFITS SPECIALIST COOPER UNIVERSITY HOSPITAL, 3 COOPER PLAZA, SUITE 500, CAMDEN, NJ TEL #: FAX #: [email protected] KATHLEEN VONDER HAYDEN, ADMIN. DIRECTOR OF HUMAN RESOURCES COOPER UNIVERSITY HOSPITAL, 3 COOPER PLAZA, SUITE 500 CAMDEN, NJ TEL #: FAX #: [email protected] COSTCO WHOLESALE CORPORATION EDWARD W FRITSCH, CLAIMS SUPERVISOR SCMS, P.O. BOX 14517, LEXINGTON, KY TEL #: FAX #: [email protected] MICKEY PINEIRO, WORKERS' COMP MANAGER SCMS, P.O. BOX LEXINGTON, KY TEL #: FAX #: [email protected] CUMBERLAND INSURANCE COMPANY KEN MAILLEY, CLAIMS MANAGER 633 SHILO PIKE, P.O. BOX 556, BRIDGETON, NJ TEL #: FAX #: [email protected] NICOLE BANO, OPERATIONS MANAGER 633 SHILO PIKE, P.O. BOX 556 BRIDGETON, NJ TEL #: FAX #: [email protected] CVS/CAREMARK CORPORATION LISA HOUDE, WC EXAMINER ONE CVS DRIVE, WOUNSOCKET, RI TEL #: ext FAX #: [email protected] JOCELYN RUSHEY, WC MANAGER ONE CVS DRIVE WOUNSOCKET, RI TEL #: ext FAX #: [email protected] DAVIDS BRIDAL INC MARGARET MUIR-O'CONNOR, WC FIELD PRODUCT LINE MANAGER P.O. BOX 1900, MORRISTOWN, NJ TEL #: FAX #: None provided INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 17
19 DCH AUTO GROUP INC & SUBS JOHN BRUTHER, CFO 955 ROUTE 9 NORTH, SOUTH AMBOY, NJ TEL #: FAX #: [email protected] GENE HALLENBECK, VP OF HUMAN RESOURCES 955 ROUTE 9 NORTH SOUTH AMBOY, NJ TEL #: FAX #: [email protected] DELHAIZE AMERICA LLC ROD BACK, CLAIMS MANAGER P.O. BOX 2527, SALISBURY, NC TEL #: FAX #: [email protected] JAN PINION, LITIGATION SPECIALIST P.O. BOX 2527 SALISBURY, NC TEL #: FAX #: [email protected] DOLGENCORP, INC. DAVID STEFFES, SR.ANALYST 100 MISSION RIDGE, GOODLETTSVILLE, TN TEL #: FAX #: [email protected] CHAD DAVIS, ACCOUNT EXECUTIVE 5000 BRADENTON AVENUE DUBLIN OH TEL #: FAX #: [email protected] E.I. DUPONT DE NEMOURS & COMPANY BRUCE D PEIFFER, TEAM MANAGER BROADSPIRE, A CRAWFORD COMPANY, CONNELL CORPORATE CTR. III, 3 OAK WAY, P.O. BOX 608 BERKELEY HEIGHTS, NJ TEL #: FAX #: [email protected] CAROLE A CARR, TREASURY SPECIALIST E.I. SUPONT DE NEMOURS AND CO., 1007 MARKET STREET, D8065 WILMINGTON, DE TEL #: FAX #: [email protected] EASTERN ADVANTAGE ASSURANCE COMPANY KELLI CHAPMAN, DIRECTOR OF CLAIMS 25 RACE AVENUE, LANCASTER, PA TEL #: ext FAX #: [email protected] TARA HOOPER, MANAGER OF REGIONAL CLAIMS 25 RACE AVENUE LANCASTER, PA TEL #: ext FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 18
20 EASTERN ALLIANCE INSURANCE COMPANY KELLI CHAPMAN, DIRECTOR OF CLAIMS EASTERN ALLIANCE INSURANCE GROUP, 25 RACE AVENUE, LANCASTER, PA TEL #: ext FAX #: TARA HOOPER, MANAGER OF REGIONAL CLAIMS EASTERN ALLIANCE INSURANCE GROUP, 25 RACE AVENUE LANCASTER, PA TEL #: ext FAX #: EASTGUARD INSURANCE COMPANY HUGH SPIEGELMAN, CLAIMS SUPERVISOR GUARD INSURANCE GROUP, P.O. BOX 1368, WILKES BARRE, PA TEL #: FAX #: DIANA DUDA MONGO, STAFF ATTORNEY GUARD INSURANCE GROUP, 110 SOUTH JEFFERSON ROAD WHIPPANY, NJ TEL #: FAX #: ELECTRIC INSURANCE COMPANY PAT NICKEL, ADJUSTER GE WC REGIONALSERVICE CENTER, 1 CORPORATE PLAZA, SUITE 104, 260 WASHINGTON STREET EXT. ALBANY, NY TEL #: FAX #: [email protected] JULIE KIELY, SPECIAL LITIGATION MANAGER 75 SAM FONZO DRIVE BEVERLY, MA TEL #: FAX #: [email protected] EMPLOYERS MUTUAL CASUALTY COMPANY JAMES N ZEIGLER, BRANCH CLAIMS MANAGER 1610 MEDICAL DRIVE, SUITE 205, POTTSTOWN, PA TEL #: FAX #: [email protected] CATHY BROWN, CLAIMS SUPERVISOR 1610 MEDICAL DRIVE, SUITE 205 POTTSTOWN, PA TEL #: FAX #: [email protected] EMPLOYERS PREFERRED INSURANCE CO DAVID MACY, MANAGER, CLAIMS 412 E. PARKCENTER BLVD., SUITE 320, BOISE, ID TEL #: FAX #: [email protected] KATHRYN WHETSONE, VP, REGIONAL CLAIMS 851 TRAFALGAR COURT, SUITE 400E MAITLAND, FL TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 19
21 EVEREST NATIONAL INSURANCE COMPANY ELENA BITNER, CLAIM MANAGER 477 MARTINSVILLE ROAD, LIBERTY CORNER, NJ TEL #: FAX #: TOM CAREY, CLAIM DIRECTOR 477 MARTINSVILLE ROAD LIBERTY CORNER, NJ TEL #: FAX #: EXCELSIOR INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, EAST SYRACUSE, NY TEL #: FAX #: KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY EAST SYRACUSE, NY TEL #: FAX #: EXXONMOBIL RESRCH & ENGINEERING CO JOHN E DILL, CLAIMS SUPERVISOR 3225 GALLOWS ROAD, ROOM 2C2126, FAIRFAX, VA TEL #: FAX #: [email protected] ALAN W RAPEE, TEAM LEAD 3225 GALLOWS ROAD, ROOM 2C1734 FAIRFAX, VA TEL #: FAX #: [email protected] FARM FAMILY CASUALTY INSURANCE COMPANY JULIE LAVIN, WC CLAIM MANAGER 344 ROUTE 9W, GLENMONT, NY TEL #: FAX #: [email protected] ALICIA HOGAN, HOME OFFICE EXAMINER - WC 344 ROUTE 9W GLENMONT, NY TEL #: FAX #: [email protected] FARMERS INSURANCE COMMPANY OF FLEMINGTON PATRICK ALLARD, VICE PRESIDENT - CLAIMS 23 ROYAL ROAD, SUITE 100, FLEMINGTON, NJ TEL #: ext. 104 FAX #: [email protected] MELINDA RUSSO, CLAIMS ADJUSTER P.O. BOX 400 BRANCHVILLE, NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 20
22 FARMERS INSURANCE EXCHANGE GRAHAM CADWALLADER, WC CLAIMS TEAM LEADER FARMERS INSURANCE, P.O. BOX , OKLAHOMA CITY, OK TEL #: FAX #: MIKE MCCABE, WC CLAIM MANAGER FARMERS INSURANCE, P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: FARMERS MUTUAL FIRE INSURANCE COMPANY OF SALEM COUNTY MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY 330 FELLOWSHIP ROAD, SUITE 200, MT. LAUREL, NJ TEL #: FAX #: JIM JORDAN, AVP CLAIMS 330 FELLOWSHIP ROAD, SUITE 200 MT. LAUREL, NJ TEL #: FAX #: FEDERAL EXPRESS CORP. THOMAS CONSTANCE, CLAIMS SUPERVISOR P.O. BOX 37726, PHILADELPHIA, PA TEL #: FAX #: MICKEY PINEIRO, WC CLAIMS MANAGER P.O. BOX PHILADELPHIA, PA TEL #: FAX #: FEDERAL INSURANCE COMPANY ANDY HERBERG, CLAIMS SUPERVISOR 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616, WARREN, NJ TEL #: FAX #: CRAIG FARINA, CLAIMS MANAGER 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616 WARREN, NJ TEL #: FAX #: FEDERATED MUTUAL INSURANCE COMPANY KAREN EBERHARDT, CLAIMS SUPERVISOR P.O. BOX 50487, INDIANAPOLIS, IN TEL #: FAX #: TODD FORBES, REGIONAL CLAIMS MANAGER P.O. BOX INDIANAPOLIS, IN TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 21
23 FEDEX GROUND PACKAGE SYSTEM, INC. THOMAS DITTOE, MANAGER, WORKERS' COMPENSATION 1000 FEDEX DRIVE, MOON TOWNSHIP, PA TEL #: FAX #: LAURA DETWILER, WORKERS' COMPENSATION ADMINISTRATOR 1000 FEDEX DRIVE MOON TOWNSHIP PA TEL #: FAX #: FEDEX SMARTPOST, INC THOMAS DITTOE, MANAGER, WORKERS' COMPENSATION 1000 FEDEX DRIVE, MOON TOWNSHIP, PA TEL #: FAX #: LAURA DETWILER, WC ADMINISTRATOR 1000 FEDEX DRIVE MOON TOWNSHIP, PA TEL #: FAX #: FIREMANS FUND INSURANCE COMPANY THOMAS CUEL, SR. CLAIMS DIRECTOR GREAT OAKS WAY, SUITE 200, ALPHARETTA, GA TEL #: FAX #: JENNIFER FELCH, WORKERS' COMPENSATION SUPERVISOR GREAT OAKS WAY, SUITE 200 ALPHARETTA, GA TEL #: FAX #: FIREMENS INSURANCE COMPANY OF WASHINGTON DC JEAN SHAW, REGIONAL CLAIM MANAGER BERKELY MID-ATLANTIC GROUP, 4820 LAKE BROOK DRIVE, SUITE 300, GLEN ALLEN, VA TEL #: ext FAX #: SUSAN HILL, WC CLAIM MANAGER BERKLEY MID-ATLANTIC GROUP, 4820 LAKE BROOK DRIVE, SUITE 300 GLEN ALLEN, VA TEL #: ext FAX #: FIRST LIBERTY INSURANCE COMPANY CHRISTOPHER NIESMERTELNY, CLAIMS MANAGER 3 BECKER FARM ROAD, ROSELAND, NJ TEL #: ext FAX #: [email protected] m INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 22
24 JASON HACKLING, TEAM MANAGER 3 BECKER FARM ROAD ROSELAND, NJ TEL #: ext FAX #: [email protected] FIRSTENERGY CORP & SUBS BARBARA J. MARSHALL, MANAGER, HEALTH & ABSENCE MGT. C/O FIRSTENERGY SERVICE, 76 S. MAIN STREET, AKRON, OH TEL #: FAX #: [email protected] DONNA DUFFY, ACCOUNT MANAGER ASSOCIATED COMPENSATION RESOURCES, CURTISS WRIGHT PARKWAY, SUITE 100 RICHMOND HEIGHTS, OH TEL #: FAX #: [email protected] FIRSTLINE NATIONAL INSURANCE COMPANY RICHARD HUGHES, CLAIM SUPERVISOR 200 NORTH MAIN STREET, BEL AIR, MD TEL #: FAX #: [email protected] DEBORAH BETTEN, CLAIM SUPERINTENDENT 200 NORTH MAIN STREET BEL AIR, MD TEL #: FAX #: [email protected] FITCHBURG MUTUAL INSURANCE COMPANY JOSEPH B. HASWELL, ASST. DIV. MANAGER, CASUALTY CLAIMS 222 AMES STREET, DEDHAM, MA TEL #: FAX #: [email protected] ALAN T. CONSOLETTI, SUPERVISOR, CASUALTY CLAIMS 222 AMES STREET DEDHAM, MA TEL #: FAX #: [email protected] FLORISTS MUTUAL INSURANCE COMPANY DANIEL K SEYFERTH, WORKERS' COMPENSATION CLAIMS MANAGER #1 HORTICULTURAL LANE, EDWARDSVILLE, IL TEL #: FAX #: [email protected] LINDA RENSING, WC CLAIMS MANAGER #1 HORTICULTURAL LANE EDWARDSVILLE, IL TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 23
25 FMI INSURANCE COMPANY DALE MARTIN, CO-VICE PRESIDENT - CLAIMS P.O. BOX 400, BRANCHVILLE, NJ TEL #: FAX #: [email protected] MELINDA RUSSO, CLAIMS ADJUSTER P.O. BOX 400 BRANCHVILLE, NJ TEL #: FAX #: [email protected] FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN GRAHAM CADWALLADER, TEAM LEADER - WORKERS' COMPENSATION P.O. BOX , OKLAHOMA CITY, OK TEL #: FAX #: [email protected] MIKE MCCABE, CLAIMS MANAGER - WORKERS' COMPENSATION P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: [email protected] FOREMOST PROPERTY & CASUALTY INSURANCE COMPANY GRAHAM CADWALLADER, TEAM LEADER - WORKERS' COMPENSATION P.O. BOX , OKLAHOMA CITY, OK TEL #: FAX #: [email protected] MIKE MCCABE, CLAIMS MANAGER - WORKERS' COMPENSATION P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: [email protected] FOREMOST SIGNATURE INSURANCE COMPANY GRAHAM CADWALLADER, TEAM LEADER - WORKERS' COMPENSATION P.O. BOX , OKLAHOMA CITY, OK TEL #: FAX #: [email protected] MIKE MCCABE, CLAIMS MANAGER - WORKERS' COMPENSATION P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: [email protected] FORT JAMES OPERATING COMPANY TIM B STARKS, SR. WC MANAGER 133 PEACHTREE STREET, NE, ATLANTA, GA TEL #: FAX #: [email protected] LIZ WYNACHT, MANAGER - WC 133 PEACHTREE STREET, NE ATLANTA, GA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 24
26 FRANK WINSTON CRUM INSURANCE INC ADELIN VINAS, CLAIMS MANAGER 100 S. MISSOURI AVENUE, CLEARWATER, FL TEL #: FAX #: BRIGITTE BECKER, VICE PRESIDENT-CLAIMS 100 S. MISSOURI AVENUE CLEARWATER, FL TEL #: FAX #: FRANKLIN MUTUAL INSURANCE COMPANY DALE MARTIN, CO-VICE PRESIDENT - CLAIMS P.O. BOX 400, BRANCHVILLE, NJ TEL #: FAX #: [email protected] MELINDA RUSSO, CLAIMS ADJUSTER P.O. BOX 400 BRANCHVILLE, NJ TEL #: FAX #: [email protected] FRITO-LAY, INC. ELLEN MCGRATH, CLAIMS EXAMINER 45 MALLETT DRIVE, FREEPORT, ME TEL #: FAX #: -- [email protected] STEVE LANDIN, NORTH WC MANAGER 7701 LEGACY DRIVE, MAIL DROP 3C-114 PLANO, TX TEL #: FAX #: [email protected] GANNETT SATELLITE INFO. NETWORK KIM HARRIS, RISK MANAGEMENT COORDINATOR GANNETT CO., INC., 7950 JONES BRANCH DRIVE, MCLEAN, VA TEL #: FAX #: None provided GENESIS HEALTH VENTURES, INC. PATRICE SIMCOX, WORKERS' COMPENSATION CLAIMS MANAGER 101 E. STATE STREET, KENNET SQUARE, PA TEL #: FAX #: [email protected] NICOLE THOMPSON, WORKERS' COMPENSATION PROGRAM MANAGER 101 E. STATE STREET KENNET SQUARE, PA TEL #: FAX #: nicole.thompson(corporate)@genesishcc.co m INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 25
27 GEORGIA-PACIFIC CORPORATION TIM B STARKS, SR. WC MANAGER 133 PEACHTREE STREET, NE, ATLANTA, GA TEL #: FAX #: [email protected] LIZ WYNACHT, MANAGER - WC 133 PEACHTREE STREET, NE ATLANTA, GA TEL #: FAX #: [email protected] GERRESHEIMER GLASS INC SUSAN TINNON, VICE PRESIDENT, HUMAN RESOURCES GERRESHEIMER GLASS, INC., 537 CRYSTAL AVENUE, VINELAND, NJ TEL #: FAX #: -- [email protected] ED FRITSCH, CLAIMS SUPERVISOR CORVEL CORP., P.O. BOX NOTTINGHAM, MD TEL #: FAX #: [email protected] GRANITE STATE INSURANCE COMPANY JANICE MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 4050, ALPHARETTA, GA TEL #: FAX #: [email protected] MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 4050 ALPHARETTA, GA TEL #: FAX #: [email protected] GRAPHIC ARTS MUTUAL INSURANCE COMPANY DIANE SERVELLO, WORKERS' COMPENSATION SUPERVISOR P.O. BOX 5310, BINGHAMTON, NY TEL #: FAX #: [email protected] JOSEPH SMITH, DISTRICT CLAIMS MANAGER 50 MILLSTONE ROAD, BLDG. 200, SUITE 240 EAST WINDSOR, NJ TEL #: FAX #: [email protected] GREAT AMERICAN ALLIANCE INSURANCE COMPANY PETER BUONPANE, SR. CLAIM MANAGER STRATEGIC COMP, P.O. BOX 1445, ALPHARETTA, GA TEL #: ext. 306 FAX #: [email protected] RON RAGNO, DIVISIONAL VP CLAIMS STRATEGIC COMP, P.O. BOX 1445 ALPHARETTA, GA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 26
28 GREAT DIVIDE INSURANCE COMPAY ALSA ZUAITER, WC ASSISTANT MANAGER 600 E. LAS COLINAS BLVD., SUITE 1400, IRVING, TX TEL #: FAX #: CASSIE MEBES, WC MANAGER 600 E. LAS COLINAS BLVD., SUITE 1400 IRVING, TX TEL #: FAX #: GREAT NORTHERN INSURANCE COMPANY ANDY HERBERT, CLAIMS SUPERVISOR 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616, WARREN, NJ TEL #: FAX #: CRAIG FARINA, CLAIMS MANAGER 15 MOUNTAIN VIEW ROAD, P.O. BOX 1616 WARREN, NJ TEL #: FAX #: GREATER NEW YORK MUTUAL INSURANCE COMPANY JAMES M PRIMAMORE, NJ WORKERS' COMPENSATION MANAGER 377 SUMMERHILL ROAD, P.O. BOX 1064, EAST BRUNSWICK, NJ TEL #: ext. 284 FAX #: [email protected] RICHARD ZWEIBEL, ASST. MANAGER, NJ WORKERS' COMPENSATION 377 SUMMERHILL ROAD, P.O. BOX 1064 EAST BRUNSWICK, NJ TEL #: ext. 288 FAX #: [email protected] GREENWICH INSURANCE COMPANY LYNN MUNSON, ASST. VP CLAIMS REGULATORY & COMPLIANCE 20 N. MARTINGALE ROAD, SUITE 200, SCHAUMBURG, IL TEL #: FAX #: [email protected] BRYAN SANDERS, ASST. VP PRIMARY CASUALTY & PROGRAM CLAIMS 505 EAGLEVIEW BLVD. EXTON, PA TEL #: FAX #: -- [email protected] GUARANTEE INSURANCE COMPANY MARK HOEHN, NE REGIONAL CLAIM MANAGER C/O PATRIOT RISK SERVICES, INC., P.O. BOX 386, CONSHOHOCKEN, PA TEL #: FAX #: [email protected] LORI SCARAMUCCI, CLAIM SUPERVISOR C/O PATRIOT RISK SERVICES, INC., P.O. BOX 386 CONSHOHOCKEN, PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 27
29 GUIDEONE MUTUAL INSURANCE COMPANY LINDA WILSON, WC SUPERVISOR 1025 ASHWORTH ROAD, WEST DES MOINES, IA TEL #: FAX #: LEIGH HOLLIS, WC ADJUSTER 1025 ASHWORTH ROAD WEST DES MOINES, IA TEL #: FAX #: HANOVER INSURANCE COMPANY JOHN FURTADO, UNIT MANAGER 440 LINCOLN STREET, WORCESTER, MA TEL #: FAX #: PAUL COUGHLIN, SENIOR ADJUSTER 440 LINCOLN STREET WORCESTER, MA TEL #: FAX #: HARFORD MUTUAL INSURANCE COMPANY RICHARD HUGHES, CLAIM SUPERVISOR 200 NORTH MAIN STREET, BEL AIR, MD TEL #: FAX #: DEBORAH BETTEN, CLAIM SUPERINTENDENT 200 NORTH MAIN STREET BEL AIR, MD TEL #: FAX #: HARLEYSVILLE INSURANCE COMPANY MELISSA TRIMMER, WC CLAIMS SUPERVISOR 355 MAPLE AVENUE, HARLEYSVILLE, PA TEL #: FAX #: JAMES FELBINGER, WC MANAGER 355 MAPLE AVENUE HARLEYSVILLE, PA TEL #: FAX #: HARLEYSVILLE INSURANCE COMPANY OF NEW JERSEY MELISSA TRIMMER, WC CLAIMS SUPERVISOR 355 MAPLE AVENUE, HARLEYSVILLE, PA TEL #: FAX #: JAMES FELBINGER, WC DIRECTOR 355 MALE AVENUE HARLEYSVILLE, PA TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 28
30 HARLEYSVILLE PREFERRED INSURANCE COMPANY MELISSA F. TRIMMER, WC CLAIMS SUPERVISOR 355 MAPLE AVENUE, HARLEYSVILLE, PA TEL #: FAX #: JAMES FELBINGER, WC CLAIMS MANAGER 355 MAPLE AVENUE HARLEYSVILLE, PA TEL #: FAX #: HARLEYSVILLE WORCESTER INSURANCE COMPANY MELISSA TRIMMER, WC CLAIMS SUPERVISOR 355 MAPLE AVENUE, HARLEYSVILLE, PA TEL #: FAX #: JAMES FELBINGER, WC DIRECTOR 355 MAPLE AVENUE HARLEYSVILLE, PA TEL #: FAX #: HARTFORD ACCIDENT & INDEMNITY COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: HARTFORD CASUALTY INSURANCE COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: HARTFORD FIRE INSURANCE COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: HARTFORD INSURANCE COMPANY OF THE MIDWEST MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: HARTFORD UNDERWRITERS INSURANCE COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 29
31 HDI-GERLING AMERICA INSURANCE COMPANY JOHN THOMPSON, V.P. CLAIMS 700 NORTH BRAND BLVD., SUITE 600, GLENDALE, CA TEL #: FAX #: MARK ACKERMAN, CHIEF CLAIMS OFFICER 161 N. CLARK STREET CHICAGO, IL TEL #: FAX #: HERCULES INCORPORATED WENDY WOLFRUM, WC SPECIALIST 1313 N. MARKET STREET, WILMINGTON, DE TEL #: FAX #: BARBARA BUSS, MANAGER CORPORATE INSURANCE 1313 N. MARKET STREET WILMINGTON, DE TEL #: FAX #: HERR FOOD, INC. MARK BENNETT, VP CLAIMS SERVICES 39 N. DUKE STREET, LANCASTER, PA TEL #: FAX #: LINDA KOPF, MANAGER, LICENSING AND COMPLIANCE 39 N. DUKE STREET LANCASTER, PA TEL #: FAX #: HIGHMARK CASUALTY INSURANCE COMPANY VINCE HAAS, CLAIMS MANAGER P.O. BOX 2738, PITTSBURGH, PA TEL #: FAX #: ROBERT MARTI, CLAIMS ADMINISTRATOR P.O. BOX 2738 PITTSBURGH, PA TEL #: FAX #: HILTON WORLDWIDE INC LYNN TRACY, MANAGER, CASUALTY INSURANCE 7930 JONES BRANCH DRIVE, MCLEAN, VA TEL #: FAX #: POLLY JAMES, DIRECTOR, RISK MANAGEMENT 7930 JONES BRANCH DRIVE MCLEAN, VA TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 30
32 HOLY REDEEMER HEALTH SYSTEM AND AFFILIATES DARLENE PETERSON, WC MANAGER 2166 S. 12TH STREET, ALLENTOWN, PA TEL #: FAX #: BONNIE KEELAR, WC MANAGER 2166 S. 12TH STREET ALLENTOWN, PA TEL #: FAX #: HOSPITAL TRUST FOR WORKERS COMPENSATION PHYLLIS GODFREY, WC CLAIM SUPERVISOR P.O. BOX 5322, PRINCETON, NJ TEL #: FAX #: DONNA SCHWARTZ, WC EXAMINER P.O. BOX 5322 PRINCETON, NJ TEL #: FAX #: ILLINOIS NATIONAL INSURANCE COMPANY JANICE MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 4050, ALPHARETTA, GA TEL #: FAX #: MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 4050 ALPHARETTA, GA TEL #: FAX #: INDEMNITY INSURANCE COMPANY OF NORTH AMERICA PAM LLEWELLYN, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E, WILMINGTON, DE TEL #: FAX #: GUS GONNELLA, AVP WORKERS' COMPENSATION ONE BEAVER VALLEY ROAD, SUITE 4E WILMINGTON, DE TEL #: FAX #: INDIANA INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, E. SYRACUSE, NY TEL #: FAX #: KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY E. SYRACUSE, NY TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 31
33 INSURANCE COMPANY OF GREATER NEW YORK JAMES M PRIMAMORE, NJ WORKERS' COMPENSATION MANAGER 377 SUMMERHILL ROAD, P.O. BOX 1064, EAST BRUNSWICK, NJ TEL #: FAX #: [email protected] RICHARD ZWEIBEL, ASST. MANAGER, NJ WORKERS' COMPENSATION 377 SUMMERHILL ROAD, P.O. BOX 1064 EAST BRUNSWICK, NJ TEL #: ext. 288 FAX #: [email protected] INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA JANICE MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 9973, WILMINGTON, DE TEL #: FAX #: [email protected] MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 9973 WILMINGTON, DE TEL #: FAX #: [email protected] INSURANCE COMPANY OF THE WEST GINA SKOLASKI, OPERATIONS MANAGER EL CAMINO REAL, SAN DIEGO, CA TEL #: FAX #: [email protected] SHAWN MILLER, CLAIM MANAGER ICW GROUP, 5888 W. SUNSET ROAD, #100 LAS VEGAS,Q NV TEL #: FAX #: [email protected] INTERNATIONAL PAPER CO. ROBERT FETTEROLF, CLAIMS TEAM LEADER 2805 OLD POST ROAD, SUITE 310, HARRISBURG, PA TEL #: FAX #: [email protected] ROBERT MACHION, OPERATIONS MANAGER FIVE RADNOR CORPORATE CENTER RADNOR, PA TEL #: FAX #: [email protected] INTERNATIONAL PROCESSING CORPORATION RIDA HAMED, SENIOR VP 2811 WILSHIRE BLVD., #410, SANTA MONICA, CA TEL #: FAX #: [email protected] BRUCE WILLIAMS, PAYROLL/HR SUPERVISOR 2811 WILSHIRE BLVD., #410 SANTA MONICA, CA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 32
34 JOHNS MANVILLE MARY ANN LOONAM, SENIOR WC ADMINISTRATOR TH STREET, DENVER, CO TEL #: FAX #: ROBERT KLINGER, LEADER, EMPLOYEE PROTECTION TH STREET DENVER, CO TEL #: FAX #: K MART OF PENNSYLVANIA LP MATT BRUCE, WCCC-RISK MANAGEMENT 3333 BEVERLY ROAD, E3-221B, HOFFMAN ESTATES, IL TEL #: FAX #: PAM ALEXANDER, LEAD WCCC-RISK MANAGEMENT 333 BEVERLY ROAD, E3-216B HOFFMAN ESTATES, IL TEL #: FAX #: KIMBALL MEDICAL CENTER MICHELE SCHWEERS, VP OF HUMAN RESOURCES 600 RIVER AVENUE, LAKEWOOD, NJ TEL #: ext FAX #: MICHAEL SALERNO, ADMINISTRATOR 330 MILLTOWN ROAD, SUITE E-11 EAST BRUNSWICK, NJ TEL #: FAX #: KIMBLE CHASE LIFE SCIENCE & RESEARCH PRO ELLEN BIASELLI, HUMAN RESOURCES MGR 1022 SPRUCE STREET, VINELAND NJ TEL #: ext FAX #: STEVEN SMITH, CLAIMS EXAIINER CORVEL, P O BOX BALTIMORE MD TEL #: FAX #: [email protected] KING WORLD CORPORATION STEPHANIE GROSSBERG, DIRECTOR - RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK, NY TEL #: FAX #: [email protected] DAVID RICHARDSON, VICE PRESIDENT - CLAIMS ONE UNION PLAZA NEW LONDON, CT TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 33
35 K-MART CORPORATION MATT BRUCE, WCCC-RISK MANAGEMENT 3333 BEVERLY ROAD, E3-221B, HOFFMAN ESTATES, IL TEL #: FAX #: PAM ALEXANDER, LEAD WCCC-RISK MANAGEMENT 3333 BEVERLY ROAD, E3-216B HOFFMAN ESTATES, IL TEL #: FAX #: LEADING INSURANCE GROUP INSURANCE COMPANY LTD (US BRANCH) MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY 330 FELLOWSHIP ROAD, SUITE 200, P.O. BOX 5007, MT. LAUREL, NJ TEL #: FAX #: JASON MARETT, TPA CLAIMS OPERATIONS MANAGER 330 FELLOWSHIP ROAD, SUITE 200, P.O. BOX 5007 MT. LAUREL, NJ TEL #: FAX #: LIBERTY INSURANCE CORPORATION MICHAEL SQUEO, SR. CLAIMS MANAGER, MID-ATLANTIC 7 BECKER FARM ROAD, ROSELAND, NJ TEL #: ext FAX #: [email protected] EDIE MCGINN, CLAIMS TEAM MANAGER II 7 BECKER FARM ROAD ROSELAND, NJ TEL #: FAX #: [email protected] LIBERTY MUTUAL FIRE INSURANCE CO. CHRISTOPHER NIESMERTELNY, CLAIMS MANAGER 3 BECKER FARM ROAD, ROSELAND, NJ TEL #: ext FAX #: [email protected] m JASON D HACKLING, TEAM MANAGER 3 BECKER FARM ROAD ROSELAND, NJ 1722 TEL #: ext FAX #: [email protected] LIBERTY MUTUAL INSURANCE CO. CHRISTOPHER NIESMERTELNY, CLAIMS MANAGER 3 BECKER FARM ROAD, ROSELAND, NJ TEL #: ext FAX #: [email protected] m INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 34
36 JASON D. HACKLING, TEAM MANAGER 3 BECKER FARM ROAD ROSELAND, NJ TEL #: ext FAX #: jason,[email protected] LION INSURANCE COMPANY STEPHANIE WALLACE, CLAIMS MANAGER PACKARD CLAIMS ADMINISTRATION, P.O. BOX 1549, TARPON SPRINGS, FL TEL #: FAX #: [email protected] LM INSURANCE CORPORATION CHRISTOPHER NIESMERTELNY, CLAIMS MANAGER 3 BECKER FARM ROAD, ROSELAND, NJ TEL #: ext FAX #: [email protected] m JASON D HACKLING, TEAM MANAGER 3 BECKER FARM ROAD ROSELAND, NJ TEL #: ext FAX #: [email protected] LOWES HOME CENTERS INC KELLY YEAGER, WC CLAIMS HANDLER 150 S. WARNER ROAD, SUITE 300, P.O. BOX KING OF PRUSSIA, PA TEL #: FAX #: [email protected] MECHELLE COLBY, WC CLAIMS HANDLER 303 LIPPINCOTT DRIVE, SUITE 200P.O. BOX 779 MARLTON, NJ TEL #: FAX #: [email protected] LUMBERMEN'S UNDERWRITING ALLIANCE JANET SUTHERLAND, AUDIT & COMPLIANCE MANAGER LUMBERMEN'S UNDERWRITING ALLIANCE, 1905 NW CORPORATE BLVD., BOCA RATON, FL TEL #: FAX #: [email protected] KIMBERLEY HINSHAW, WC CLAIMS SUPERVISOR 1905 N.W. CORPORATE BLVD. BOCA RATON, FL TEL #: FAX #: [email protected] MACY'S INC AND SUBSIDIARIES BILL KRONER, WORKERS' COMPENSATION MANAGER P.O. BOX 3069, CINCINNATI, OH TEL #: ext FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 35
37 TOM CONARD, SR. WORKERS' COMPENSATION MANAGER P.O. BOX 3069 CINCINNATI, OH TEL #: FAX #: MAINE EMPLOYERS MUTUAL INSURANCE CO MATTHEW HARMON, ASST V.P., MIC CLAIM DEPT ELM ST., #500, MANCHESTER, NH TEL #: FAX #: STACEY FOOTE, UNIT MANAGER 1750 ELM ST., #500 MANCHESTER, NH TEL #: FAX #: MANUFACTURERS ALLIANCE INSURANCE COMPANY MARITA TORTORELLI, AVP 330 FELLOWSHIP ROAD, MT. LAUREL, NJ TEL #: FAX #: EDYTHE WITTNER-STORER, CLAIMS SUPERVISOR 330 FELLOWSHIP ROAD MT. LAUREL, NJ TEL #: FAX #: MARCAL PAPER MILLS, INC. JACQUELINE A LYNCH, CLAIMS MANAGER PO BOX 309, PISCATAWAY NJ TEL #: FAX #: [email protected] KAREN JOSKO, SUPERVISOR OF WORKERS' COMPENSATION PO BOX 309 PISCATAWAY NJ TEL #: FAX #: [email protected] MARKEL INSURANCE COMPANY KAREN DWYER, CLAIMS MANAGER MARKEL SERVICE, INCORPORATED, P.O. BOX 3188, OMAHA, NE TEL #: FAX #: [email protected] KIM SHOTKOSKI, SENIOR REGULATORY COMPLIANCE SPECIALIST MARKEL SERVICE, INCORPORATED, P.O. BOX 3188 OMAHA, NE TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 36
38 MARRIOTT CLAIMS SERVICES CORP. FAITH FRITZ, CLAIMS MANAGER 9737 WASHINGTONIAN BLVD., SUITE 201, GAITHERSBURG, MD TEL #: FAX #: ELIZABETH M TOTH, SENIOR DIRECTOR 9737 WASHINGTONIAN BLVD., SUITE 201 GAITHERSBURG, MD TEL #: FAX #: [email protected] MARRIOTT INTERNATIONAL, INC. FAITH FRITZ, CLAIMS MANAGER 9737 WASHINGTONIAN BLVD., SUITE 201, GAITHERSBURG, MD TEL #: FAX #: [email protected] ELIZABETH M TOTH, SENIOR DIRECTOR 9737 WASHINGTONIAN BLVD., SUITE 201 GAITHERSBURG, MD TEL #: FAX #: [email protected] MASSACHUSETTS BAY INSURANCE COMPANY CHERYL UNGER, SCLA,AIC, UNIT MANAGER P.O. BOX 15144, WORCESTER MA TEL #: FAX #: [email protected] PAULA ANDRADE, UNIT MANAGR P.O. BOX WORCESTER MA TEL #: FAX #: [email protected] MEDICAL CENTER OF OCEAN COUNTY LISA GRAIFF, WC SUPERVISOR SCIBAL ASSOCIATES, INC., P.O. BOX 500, SOMERS POINT, NJ TEL #: FAX #: [email protected] JOSEPH M HARVEY, SR. VP PUBLIC RISKS SCIBAL ASSOCIATES, INC., P.O. BOX 500 SOMERS POINT, NJ TEL #: FAX #: [email protected] MEMIC INDEMNITY COMPANY MATTHEW HARMON, VICE PRESIDENT OF CLAIMS 1750 ELM STREET#500, MANCHESTER, NH TEL #: FAX #: [email protected] STACEY FOOTE, UNIT MANAGER 1750 ELM STREET #500 MANCHESTER, NH TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 37
39 MEMORIAL SLOAN KETTERING CANCER CENTER MAGDALENE NEGRON, MANAGER, FMLA/DISABILITY 533 THIRD AVENUE, 5TH FLOOR, NEW YORK, NY TEL #: FAX #: DONYSA VACHARASANEE, DISABILITY SPECIALIST 633 THIRD AVENUE, 5TH FLOOR NEW YORK, NY TEL #: FAX #: MERCER INSURANCE COMPANY OF NEW JERSEY INC MATHEW RATHJE, WORK COMP CLAIMS SUPERVISOR P.O. BOX 73909, CEDAR RAPIDS, IA TEL #: FAX #: VICKY GREFF, CORPORATE WORK COMP MANAGER P.O. BOX CEDAR RAPIDS, IA TEL #: FAX #: MERCHANTS MUTUAL INSURANCE COMPANY DEE GRAULICH, CLAIM REPRESENTATIVE 309 FELLOWSHIP ROAD, SUITE 300, MT. LAUREL NJ TEL #: ext. 271 FAX #: BILL WOLFE, CLAIM MANAGER 309 FELLOWSHIP ROAD, SUITE 300 MT. LAUREL NJ TEL #: ext. 270 FAX #: MERCHANTS PREFERRED INSURANCE COMPANY DEE GRAULICH, W. C. CLAIM REPRESENTATIVE 309 FELLOWSHIP ROAD, SUITE 300, MT. LAUREL NJ TEL #: ext. 271 FAX #: BILL WOLFE, CLAIM MANAGER 309 FELLOWSHIP ROAD, SUITE 300 MT. LAUREL NJ TEL #: ext. 270 FAX #: MERCK & COMPANY, INC. ERIC JUSTICE, WC TEAM LEADER 100 DMV DRIVE, KING OF PRUSSIA PA TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 38
40 NANCY HOFAKER, ACCOUNT MANAGEMENT DIRECTOR 303 LIPPINCOTT CENTER, SUITE 200 MANTOR NJ TEL #: FAX #: MERRILL LYNCH & CO. & SUBS. CHRISTOPHER HOTALEN, BRANCH MANAGER 6 CAMPUS DRIVE, PARSIPPANY NJ TEL #: FAX #: christopher_jpta;[email protected] CATHY LEAVITT, WORKERS COMPENSTION SUPERVISOR 6 CAMPUT DRIVE PARSIPPANY NJ TEL #: FAX #: CATHY_LEAVITT@GBTA. COM METUCHEN, RC DIOCESE OF JACQUELINE GLAKIN, INSURANCE MANAGER 146 METLARS LANE, DIOCESE OF METUCHEN, PISCATAWAY NJ TEL #: FAX #: [email protected] ERIC DILL, HUMAN RESOURCES DIRECTOR 146 METLARS LANE PPISCATAWAY NJ TEL #: FAX #: [email protected] MID CENTURY INSURANCE COMPANY GRAHAM CADWALLADER, WC CLAIMS TEAM LEADER FARMERS INSURANCE, P.O. BO , OKLAHOMA CITY, OK TEL #: FAX #: [email protected] MIKE MCCABE, WC CLAIM MANAGER FARMERS INSURANCE, P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: [email protected] MIDDLESEX INSURANCE COMPANY JOAN KLOPF, CLAIMS MANAGER 3 CARLISLE ROAD, PO BOX 584, WESTFORD MA TEL #: FAX #: [email protected] KARRI ERBES, CLAIMS MANAGER 1421 STRONGS AVENUE, PO BOX 8032 STEVENS POINT, WI TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 39
41 MIDWEST EMPLOYERS CASUALTY COMPANY LORI ZOBLER, DIRECTOR OF CLAIMS BERKLEYNET UNDERWRITERS LLC, 2445 KUSER ROAD, SUITE 201, HAMILTON, NJ TEL #: FAX #: JOHN BURKE, SENIOR VP AND CHIEF CLAIMS OFFICER BERKLEYNET UNDERWRITERS LLC, MARBLESTONE DRIVE, SUITE 250 WOODBRIDGE, VA TEL #: FAX #: MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA SALLY DEROSA, BENEFITS ADMINISTRATOR MITSUI SEIKI (USA), INC., 563 COMMERCE STREET, FRANKLIN LAKES, NJ TEL #: FAX #: YENDA CHIU, ACCOUNTING MANAGER MITSUI SEIKI (USA), INC., 563 COMMERCE STREET FRANKLIN LAKES, NJ TEL #: FAX #: MITSUI SUMITOMO INSURANCE USA INC MARY JO ASILO, WORKERS' COMPENSATION SUPERVISOR 15 INDEPENDENCE BLVD., WARREN NJ TEL #: FAX #: LINDA DUNHAM, SENIOR CLAIMS REPRESENTATIVE 15 INDEPENDENCE BLVD. WARREN NJ TEL #: FAX #: MOMENTIVE SPECIALTY CH NEIL BOOK, RISK ANALYST, SR. 180 E. BROAD ST., 26TH FLOOR, COLUMBUS, OH TEL #: FAX #: MICHAEL DEROSA, DIRETOR, ENTERPRISE RISK MANAGEMENT 180 E. BROAD ST., 26TH FLOOR COLUMBUS, OH TEL #: FAX #: MONMOUTH OCEAN HOSPITAL SERVICES CORP JACQUELINE A LYNCH, CLAIMS MANAGER PO BOX 309, PISCATAWAY NJ TEL #: FAX #: [email protected] KAREN JOSKO, SUPERVISOR OF WORKERS' COMPENSATIOIN PO BOX 309 PISCATAWAY NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 40
42 NATIONAL FIRE INSURANCE OF HARTFORD DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: EIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO IL TEL #: FAX #: NATIONAL INTERSTATE INSURANCE COMPANY OF HAWAII ANDY ISAKOFF, CLAIMS MANAGER 3250 INTERSTATE DRIVE, RICHFIELD, OH TEL #: ext FAX #: BRAD SCOFIELD, VICE PRESIDENT OF CLAIMS 3250 INTERSTATE DRIVE RICHFIELD, OH TEL #: ext FAX #: NATIONAL SURETY CORPORATION THOMAS CUEL, SR. CLAIMS DIRECTOR GREAT OAKS WAY, SUITE 200, ALPHARETTA, GA TEL #: FAX #: JENNIFER FELCH, WORKERS' COMPENSATION SUPERVISOR GREAT OAKS WAY, SUITE 200 ALPHARETTA, GA TEL #: FAX #: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PENNSYLVANIA JANICE M. MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 4050, ALPHARETTA, GA TEL #: FAX #: MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 4050 ALPHARETTA, GA TEL #: FAX #: NATIONWIDE AGRIBUSINESS INSURANCE COMPANY DENISE HAMILTON, CLAIMS DIRECTOR, COMMERCIAL NATIONWIDE AGRIBUSINESS INSURANCE COMPANY, 1100 LOCUST STREET, DES MOINES, IA TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 41
43 JARED HOLTGREWE, P/C PRODUCT MANAGER NATIONWIDE AGRIBUSINESS INSURANCE COMPANY, 1100 LOCUST STREET DES MOINES, IA TEL #: FAX #: NATIONWIDE MUTUAL INSURANCE COMPANY ROBERT SPAGNOLO, WC CLAIM MANAGER NATIONWIDE/ALLIED INSURANCE, P.O. BOX 69080, HARRISBURG, PA TEL #: FAX #: JOHN DEWAN, WC CLAIM MANAGER NATIONWIDE/ALLIED INSURANCE, P.O. BOX HARRISBURG, PA TEL #: FAX #: NETHERLANDS INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, EAST SYRACUSE NY TEL #: FAX #: KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFRIELD PARKWAY EAST SYRACUSE NY TEL #: FAX #: NEW HAMPSHIRE INSURANCE COMPANY JANICE MOORE, ASST. VICE PRESIDENT CHARTIS, P.O. BOX 9973, WILMINGTON, DE TEL #: FAX #: MELODY KENSEY, ADMINISTRATIVE ASSISTANT CHARTIS, P.O. BOX 9973 WILMINGTON, DE TEL #: FAX #: NEW JERSEY CASUALTY INSURANCE COMPANY EDWARD M KERNER, VICE PRESIDENT SULLIVAN WAY, WEST TRENTON NJ TEL #: ext FAX #: [email protected] MARK DUCA, ASSISTANT SECRETARY SULLIVAN WAY WEST TRENTON NJ TEL #: ext FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 42
44 NEW JERSEY MANUFACTURERS INSURANCE COMPANY EDWARD M KERNER, VICE PRESIDENT CLAIMS 301 SULLIVAN WAY, WEST TRENTON, NJ TEL #: ext FAX #: [email protected] MARC A DUCA, DIRECTOR 301 SULLIVAN WAY WEST TRENTON, NJ TEL #: ext FAX #: [email protected] NEW JERSEY RE-INSURANCE COMPANY EDWARD M KERNER, VICE PRESIDENT SULLIVAN WAY, WEST TRENTON NJ TEL #: ext FAX #: [email protected] MARK DUCA, ASSISTANT SECRETARY SULLIVAN WAY WEST TRENTON NJ TEL #: ext FAX #: [email protected] NEW YORK MARINE AND GENERAL INSURANCE COMPANY MELISSA KOVACEY, WC CLAIMS MANAGER 412 MT. KEMBLE AVENUE, SUITE 300C, MORRISTOWN, NJ TEL #: FAX #: [email protected] PATRICK GANO, CLAIMS ASSISTANT 412 MT. KEMBLE AVE., SUITE 300C MORRISTOWN, NJ TEL #: FAX #: [email protected] NEW YORK TIMES CO. & SUBS. TEREL J COOPERHOUSE, DIRECTOR OF OCCUPATIONAL HEALTH 500 7TH AVENUE, NEW YORK, NY TEL #: FAX #: [email protected] KRISTINE A DOWNEY, CLAIMS MANAGER 500 7TH AVENUE NEW YORK, NY TEL #: FAX #: [email protected] NEWARK, RC ARCHDIOCESE OF DONNA WROBEL, ASSISTANT DIRECTOR 171 CLIFTON AVENUE, NEWARK, NJ TEL #: FAX #: [email protected] JOSEPH FRANK, EXECUTIVE DIRECTOR 171 CLIFTON AVENUE NEWARK, NJ TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 43
45 NIPPONKOA INSURANCE COMPANY LTD (US BRANCH) MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER 445 SOUTH STREET, MORRISTOWN, NJ TEL #: FAX #: TROY TICE, DIRECTOR OF OPERATIONS 445 SOUTH STREET MORRISTOWN, NJ TEL #: FAX #: NORDSTROM, INC. SIMONETTA LEVEQUE, WORKERS COMPENSATION SUPERVISOR P.O. BOX 21865, SEATTLE WA TEL #: FAX #: STEVE TOLAN, DIRECTOR OF WORKERS' COMPENSATION P.O. BOX SEATTLE WA TEL #: FAX #: NORGUARD INSURANCE COMPANY HUGH SPIEGELMAN, CLAIMS SUPERVISOR GUARD INSURANCE GROUP, P.O. BOX 1368, WILKES BARRE, PA TEL #: FAX #: DIANA DUDA MONGO, STAFF ATTORNEY GUARD INSURANCE GROUP, 110 SOUTH JEFFERSON ROAD WHIPPANY, NJ TEL #: FAX #: NORTH POINTE INSURANCE COMPANY DAVID COLLINGWOOD, SR. CLAIMS PROGRAM MANAGER ONE GENERAL DRIVE, SUN PRAIRIE, WI TEL #: FAX #: NORTH RIVER INSURANCE COMPANY ARLENE LYONS, WORKERS' COMPENSATION MANAGER 305 MADISON AVENUE, MORRISTOWN, NJ TEL #: FAX #: MELISSA KOVACSY, ASSISTANT VICE PRESIDENT 305 MADISON AVENUE MORRISTOWN, NJ TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 44
46 NOVA CASUALTY COMPANY MICHELE KENNEDY, ASST. VP 2 WATERSIDE CROSSING, SUITE 400, WINDSOR, CT TEL #: FAX #: [email protected] BRIAN RALPHS, VICE PRESIDENT 2 WATERSIDE CROSSING, SUITE 400 WINDSOR, CT TEL #: FAX #: [email protected] OHIO CASUALTY INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, EAST SYRACUSE, NY TEL #: FAX #: [email protected] KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY EAS SYRACUSE, NY TEL #: FAX #: [email protected] OHIO SECURITY INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, EAST SYRACUSE NY TEL #: FAX #: [email protected] KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY EAST SYRACUSE NY TEL #: FAX #: [email protected] OLD REPUBLIC GENERAL INSURANCE COMPANY JAMES A. KOLENDA, ASST. VICE PRESIDENT 307 N. MICHIGAN AVENUE, CHICAGO, IL TEL #: FAX #: [email protected] OLD REPUBLIC INSURANCE COMPANY J. ERIC STROKA, ASSISTANT VICE PRESIDENT P.O. BOX 2200, GREENSBURG PA TEL #: FAX #: [email protected] BETSEY SELLERS, MANAGER P.O. BOX 2200 GREENSBURG PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 45
47 OWENS-BROCKWAY GLASS CONTAINER, INC. LINDA FULLMER, CLAIMS REPRESENTATIVE 8 FLOWERS DRIVE, MECHANICSBURG, PA TEL #: FAX #: [email protected] JAMES C. KNICOS, WC CONSULTANT P.O. BOX 3455 MERCERVILLE, NJ TEL #: FAX #: [email protected] OWENS-BROCKWAY PLASTIC PRODUCTS, INC. LINDA FULLMER, CLAIMS REPRESENTATIVE 8 FLOWERS DRIVE, MECHANICSBURG PA TEL #: FAX #: [email protected] JAMES C KNICOS, WORKERS' COMPENSATION CONSULTANT PO BOX 3455 MERCERVILLE NJ TEL #: FAX #: [email protected] OWENS-ILLINOIS CLOSURE, INC. LINDA FULLMER, CLAIMS REPRESENTATIVE 8 FLOWERS DRIVE, MECHANICSBURG, PA TEL #: FAX #: [email protected] JAMES C. KNICOS, WC CONSULTANT P.O. BOX 3455 MERCERVILLE, NJ TEL #: FAX #: [email protected] OWENS-ILLINOIS PRESCRIPTION PROD INC. LINDA FULLMER, CLAIMS REPRESENTATIVE 8 FLOWERS DRIVE, MECHANICSBURG, PA TEL #: FAX #: [email protected] JAMES C. KNICOS, WC CONSULTANT P.O. BOX 3455 MERCERVILLE, NJ TEL #: FAX #: [email protected] OWENS-ILLINOIS, INC. THAD FRANKLIN, MANAGER, WC OWENS ILLINOIS, INC., ONE MICHAEL OWENS WAY, PERRYSBURG, OH TEL #: FAX #: [email protected] ELIZABETH LOUDENSLAGER, CLAIMS EXAMINER GALLAGHER BASSETT, 8 FLOWERS DRIVE MECHANICSBURG, PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 46
48 PACIFIC INDEMNITY COMPANY ANDY HERBERT, CLAIMS SUPERVISOR 15 MOUNTAIN VIEW ROAD, PO BOX 1616, WARREN NJ TEL #: FAX #: CRAIG FARINA, CLAIMS MANAGER 15 MOUNTAIN VIEW ROAD, PO BOC 1616 WARREN NJ TEL #: FAX #: chubb.com PARKER HANNIFIN CORPORATION GARY LIMONCELLI, CLAIMS ADJUSTER 850 FULTON STREET, SUITE 3, FARMINGDALE, NY TEL #: FAX #: TERRY BANASZAK, ACCOUNT EXECUTIVE 1700 EASTPOINT PARKWAY LOUISVILLE, KY TEL #: FAX #: PATERSON, RC DIOCESE OF PATRICIA NAPIER, SR WC CLAIMS SUPERVISOR P.O. BOX 500, SOMERS POINT, NJ TEL #: ext FAX #: LINDA DEROUIN, LITIGATED SUPERVISOR P.O. BOX 500 SOMERS POINT, NJ TEL #: ext FAX #: PATHMARK STORES, INC. GARY FORTMAN, DIRECTOR-CASUALTY CLAIMS 333 EARL OVINGTON BLVD., UNIONDALE NY TEL #: FAX #: CHRISTIE COLEMAN, CLAIMS SUPERVISOR 2 PARAGON DRIVE MONTVALE NJ TEL #: FAX #: [email protected] PEERLESS INDEMNITY INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY, EAST SYRACUSE NY TEL #: FAX #: [email protected] KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY EAST SYRACUSE NY TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 47
49 PENN MILLERS INSURANCE COMPANY MARCY MARRA, CLAIMS SUPERVISOR PENN MILLERS, PO BOX P, WILKES-BARRE PA TEL #: FAX #: KEVIN HIGGINS, VICE PRESIDENT CLAIMS PENN MILLERS, PO BOX P WILKES-BARRE PA TEL #: FAX #: [email protected] PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY MARITA TORTORELLI, REGIONAL CLAIM MANAGER 330 FELLOWSHIP ROAD, 2ND FLOOR, MT. LAUREL, NJ TEL #: FAX #: [email protected] EDYTHE WITTMER-STORER, REGIONAL CLIAM SUPERVISOR 330 FELLOWSHIP ROAD, 2ND FLOOR MT. LAUREL, NJ TEL #: FAX #: [email protected] PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY MARITA TORTORELLI, REGIONAL CLAIM MANAGER 330 FELLOWSHIP ROAD, 2ND FLOOR, MT. LAUREL, NJ TEL #: FAX #: [email protected] EDYTHE WITTMER-STORER, REGIONAL CLAIM SUPERVISOR 330 FELLOWSHIP ROAD, 2ND FLOOR MT. LAUREL, NJ TEL #: FAX #: [email protected] PENNSYLVANIA NATIONAL MUTUAL CASUALTY COMPANY NICOLE CARRUTH, WC TEAM LEADER P.O. BOX 3880, HARRISBURG, PA TEL #: ext FAX #: [email protected] DARLENE FLEISHER, WC TEAM LEADER P.O. BOX 3880 HARRISBURG, PA TEL #: ext FAX #: [email protected] PHARMACISTS MUTUAL INSURANCE COMPANY KATHLEEN ZILLES, CLAIMS SUPERVISOR TRISTAR RISK MANAGEMENT, 833 CHESTNUT STREET, SUITE 720, PHILADELPHIA, PA TEL #: FAX #: [email protected] DANA BRENNAN, CLAIMS SUPERVISOR TRISTAR RISK MANAGEMENT, 833 CHESTNUT STREET, SUITE 720 PHILADELPHIA, PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 48
50 PHOENIX INSURANCE COMPANY MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER 445 SOUTH STREET, MORRISTOWN, NJ TEL #: FAX #: TROY TICE, DIRECTOR OF OPERATIONS 445 SOUTH STREET MORRISTOWN, NJ TEL #: FAX #: PPG INDUSTRIES, INC. JIM KEEFER, DIRECTOR OF NATIONAL ACCOUNTS CLAIMS SENTRY INSURANCE, PO BOX 8032, 1800 NORTH POINT DRIVE` STEVENS POINT WI TEL #: FAX #: PRAETORIAN INSURANCE COMPANY DAVID COLLINGWOOD, SR. CLAIMS PROGRAM MANAGER QBE, ONE GENERAL DRIVE, SUN PRAIRIE, WI TEL #: FAX #: -- PRC-DESOTO INTERNATIONAL INC CHERYL L. BARBARINO, WORKERS' COMPENSATION ADMIN. PPG INDUSTRIES, INC., SAN FERNANDO ROAD, SYLMAR, CA TEL #: FAX #: -- WARREN FIELDS, OPERATIONS MANAGER - ASC PPG INDUSTRIES, INC., 823 EAST GATE DRIVE MT. LAUREL, NJ TEL #: FAX #: -- [email protected] PREFERRED PROFESSIONAL INSURANCE COMPANY JAN MOXLEY, WORK COMP CLAIMS MANAGER CATHOLIC MUTUAL GROUP, OLD MILL ROAD, OMAHA, NE TEL #: ext FAX #: [email protected] JIM BRACKETT, CLAIMS SPECIALIST CATHOLIC MUTUAL GROUP, OLD MILL ROAD OMAHA, NE TEL #: ext FAX #: [email protected] PRESERVER INSURANCE COMPANY LAURA DANIELS, WORKERS COMPENSATION SUPERVISOR 225 BROADHOLLOW ROAD, ROUTE 410-E, MELVILLE NY TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 49
51 DEBORAH KREMER, WORKERS COMPENSATION SUPERVISOR 225 BROADHOLLOW ROAD, ROUTE 410-E MELVILLE NY TEL #: FAX #: PRINCETON UNIVERSITY LISA ZIMMARO, ESQ., RISK & INSURANCE MANAGER P.O. BOX 35, 2 NEW SOUTH BLDG., PRINCETON, NJ TEL #: FAX #: [email protected] MEGAN ADAMS, ESQ., ASST. TREASURER P.O. BOX 35, 2 NEW SOUTH BLDG. PRINCETON NJ TEL #: FAX #: [email protected] PROCTOR & GAMBLE DISTRIBUTING CO. DENISE MCCLANAHAN, SR. CLAIMS ADJUSTER 5299 SPRING GROVE AVENUE, CINCINNATI, OH TEL #: ext. 2 FAX #: [email protected] CARRIE BOWLING, ADMINISTRATOR 5299 SPRING GROVE AVENUE CINCINATTI, OH TEL #: FAX #: [email protected] PROCTOR & GAMBLE MANUFACTURING CO. DENISE MCCLANAHAN, SENIOR CLAIMS MANAGER 5299 SPRING GROVE AVENUE, CINCINNITI, OH TEL #: ext. 2 FAX #: [email protected] CARRIE BOWLING, ADMINISTRATOR 5299 SPRING GROVE AVENUE CINCINNATI, OH TEL #: FAX #: [email protected] PROPERTY & CASUALTY COMPANY OF HARTFORD LYDIA GRIFFIN, OFFICE SUPPORT MANAGER THE HARTFORD, P.O. BOX 14472, LEXINGTON, KY TEL #: FAX #: [email protected] DESEREE KASZUBINSKI, OFFICE SUPPORT UNIT LEADER THE HARTFORD, P.O. BOX LEXINGTON, KY TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 50
52 PROTECTIVE INSURANCE COMPANY DAVID GHESQUIERE, CLAIMS MANAGER P.O. BOX 2000, CARMEL, IN TEL #: FAX #: MELISSA DALE, CLAIMS SUPERVISOR P.O. BOX 2000 CARMEL, IN TEL #: FAX #: PSEG POWER LLC AND SUBSIDIARIES MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY PMA COMPANIES, 330 FELLOWSHIP ROAD, SUITE 200 MT. LAUREL NJ TEL #: FAX #: JIM JORDAN, A.V.P. CLAIMS PMA COMPANIES, 330 FELLOWSHIP ROADSUITE 200 MT. LAUREL NJ TEL #: FAX #: PSEG SERVICES CORPORATION MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY 330 FELLOWSHIP ROAD, SUITE 200, MT. LAUREL NJ TEL #: FAX #: JIM JORDAN, A.V.P. CLAIMS 330 FELLOWSHIP ROAD, SUITE 200 MT. LAUREL NJ TEL #: FAX #: PUBLIC SERVICE ELECTRIC & GAS CO. MELLISA KUCHTYAK, ADMINISTRATIVE SECRETARY 330 FELLOWSHIP ROAD, SUITE 200, MT. LAUREL NJ TEL #: FAX #: JIM JORDAN, A.V.P. CLAIMS 330 FELLOWSHIP ROAD, SUITE 200 MT. LAUREL NJ TEL #: FAX #: PUBLIC SERVICE INSURANCE COMPANY NORMAN ROTHSTEIN, AVP WORKERS COMPENSTATION CLAIMS ONE PARK AVENUE, NEW YORK CITY NY TEL #: ext FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 51
53 MICHELE WOODSON, MANAGER ONE PARK AVENUE NEW YORK CITY NY TEL #: FAX #: QBE INSURANCE CORPORATION DAVID COLLINGWOOD, SR. CLAIMS PROGRAM MANAGER ONE GENERAL DRIVE, SUN PRAIRIE, WI TEL #: FAX #: QUICK CHECK CORPORATION MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY 330 FELLOWHIP ROAD, SUITE 200, MT. LAUREL NJ TEL #: FAX #: JIM JORDAN, A.V.P. CLAIMS 330 FELLOWHIP ROAD, SUITE 200 MT. LAUREL NJ TEL #: FAX #: RALPH CLAYTON & SONS AND AFFILIATES LOIS M. KAPP, MANAGER P.O. BOX 3015, LAKEWOOD, NJ TEL #: FAX #: SANDRA DEVITO, CLAIMS ADJUSTER P.O. BOX 3015 LAKEWOOD, NJ TEL #: FAX #: REPUBLIC-FRANKLIN INSURANCE COMPANY DIANE SERVELLO, WC SUPERVISOR P.O. BOX 5310, BINGHAMTON, NY TEL #: FAX #: JOSEPH SMITH, DISTRICT CLAIMS MANAGER 50 MILLSTONE ROAD, BLDG. 200, SUITE 240 EAST WINDSOR, NJ TEL #: FAX #: RESIDENCE INN BY MARRIOTT, INC. FAITH FRITZ, CLAIMS MANAGER MARROTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201, GAITHERSBURG, MD TEL #: FAX #: [email protected] ELIZABETH M. TOTH, SENIOR DIRECTOR MARRIOTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201 GAITHERSBURG, MD TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 52
54 RLI INSURANCE COMPANY CHRISTINA D. PAGE, CLAIM MANAGER 9025 N. LINDBERG DRIVE, PEORIA, IL TEL #: ext FAX #: ROBERT WOOD JOHNSON UNIV. HOSPITAL JESSICA BAKALCHUK, SENIOR CLAIMS ADJUSTER P.O. BOX 309, PISCATAWAY, NJ TEL #: FAX #: JUDI BARANOWITZ, BENEFITS MANAGER 181 SOMERSET STREET NEW BRUNSWICK, NJ TEL #: FAX #: ROCHDALE INSURANCE COMPANY KIMBERLY KOWALSKI, WORKERS' COMPENSATION CLAIMS MANAGER AMTRUST NORTH AMERICA, 300 ALEXANDER PARK, SUITE 300 PRINCETON NJ TEL #: FAX #: JACQUELINE LYNCH, WORKERS' COMPENSATION CLAIMS SUPERVISOR AMTRUST NORTH AMERICA, 300 ALEXANDER PARKSUITE 300 PRINCETON NJ TEL #: FAX #: ROSE TRUCKING CORP. JACQUELIN SIMMONS, VICE PRESIDENT OF HUMAN RESOURSES 380 MIDDLESEX AVENUE, CARTERET NJ TEL #: FAX #: JOHN M KOCOT, WORKERS' COMPENSATION CLAIMS ADMINISTRATOR 380 MIDDLESEX AVENUE CARTERET NJ TEL #: FAX #: [email protected] RYDER SYSTEMS INC & SUBS DEBBIE BREISACHER, DIRECTOR, WORKERS' COMPENSATION P.O. BOX 2370, ALPHARETTA, GA TEL #: FAX #: [email protected] GREG PITZ, CLAIM MANAGER P.O. BOX 2370 ALPHARETTA, GA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 53
55 SAFETY FIRST INSURANCE COMPANY DAVID BISHOP, SENIOR CLAIMS ANALYST 1832 SCHUETZ ROAD, ST. LOUIS MO TEL #: FAX #: TIM STANGER, WORKERS' COMPENSATION REGIONAL MANAGER 1832 SCHUETZ ROAD ST. LOUIS MO TEL #: FAX #: SAFETY NATIONAL CASUALTY CORPORATION DAVID BISHOP, SR. CLAMIS ANALYST 1832 SCHUETZ ROAD, 1832 SCHUETZ ROAD MO TEL #: FAX #: TIM STANGER, REGIONAL MANAGER 1832 SCHUETZ ROAD 1832 SCHUETZ ROAD MO TEL #: FAX #: Tim. SAMSUNG FIRE & MARINE INSURANCE CO LTD THOMAS A. TROCCHIA, FILING & BUREAU REPORTING MANAGER 85 CHALLENGER ROAD, 6TH FLOOR, RIDGEFIELD PARK, NJ TEL #: FAX #: STEPHANIE KELLY, CGL CLAIMS MANAGER 85 CHALLENGER ROAD, 6TH FLOOR RIDGEFIELD PARK, NJ TEL #: FAX #: SEARS, ROEBUCK & COMPANY MATT BRUCE, WCCC-RISK MANAGEMENT 3333 BEVERLY ROAD, E3-221B, HOFFMAN ESTATES, IL TEL #: FAX #: PAM ALEXANDER, LEAD WCCC-RISK MANAGEMENT 3333 BEVERLY ROAD, E3-216B HOFFMAN ESTATES, IL TEL #: FAX #: SELECTIVE CASUALTY INSURANCE COMPANY RANDY BAKER, WC CLAIMS MANAGER 40 WANTAGE AVENUE, BRANCHVILLE, NJ TEL #: ext FAX #: CHRIS HEALEY, WC CLAIMS SUPERVISOR 40 WANTAGE AVENUE BRANCHVILLE, NJ TEL #: ext FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 54
56 SELECTIVE FIRE & CASUALTY INSURANCE COMPANY RANDY BAKER, WC CLAIMS MANAGER 40 WANTAGE AVENUE, BRANCHVILLE, NJ TEL #: ext FAX #: CHRIS HEALEY, WC CLAIMS SUPERVISOR 40 WANTAGE AVENUE BRANCHVILLE, NJ TEL #: ext FAX #: SELECTIVE INSURANCE CO OF NEW ENGLAND RANDY BAKER, WC CLAIMS MANAGER 40 WANTAGE AVENUE, BRANCHVILLE, NJ TEL #: ext FAX #: CHRIS HEALEY, WC CLAIMS SUPERVISOR 40 WANTAGE AVENUE BRANCHVILLE, NJ TEL #: ext FAX #: SELECTIVE INSURANCE COMPANY OF AMERICA GWEN WHITE, REGIONAL CLAIMS MANAGER 3426 TORINGDON WAY, SUITE 200, CHARLOTTE, NC TEL #: FAX #: DEBORAH FOSTER-SMITH, SUPERVISOR 3426 TORINGDON WAY, SUITE 200 CHARLOTTE, NC TEL #: FAX #: SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA GWEN WHITE, REGIONAL CLAIMS MANAGER 3426 TORINGDON WAY, SUITE 200, CHARLOTTE, NC TEL #: FAX #: DEBORAH FOSTER-SMITH, SUPERVISOR 3426 TORINGDON WAY, SUITE 200 CHARLOTTE, NC TEL #: FAX #: SELECTIVE WAY INSURANCE COMPANY GWEN WHITE, REGIONAL CLAIMS MANAGER 3426 TORINGDON WAY, SUITE 200, CHARLOTTE, NC TEL #: FAX #: DEBORAH FOSTER-SMITH, SUPERVISOR 3426 TORINGDON WAY, SUITE 200 CHARLOTTE, NC TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 55
57 SENTINEL INSURANCE COMPANY LTD MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: SENTRY CASUALTY COMPANY JOAN KLOPF, CLAIMS MANAGER 3 CARLISLE ROAD, P.O. BOX 584, WESTFORD, MA TEL #: FAX #: [email protected] KARRI ERBES, CLAIMS MANAGER 1421 STRONGS AVENUE, PO BOX 8032 STEVENS POINT, WI TEL #: FAX #: [email protected] SENTRY INSURANCE COMPANY A MUTUAL COMPANY JOAN KLOPF, CLAIMS MANAGER 3 CARLISLE ROAD, PO BOX 584, WESTFORD MA TEL #: FAX #: [email protected] KARRI ERBES, CLAIMS MANAGER 1421 STRONGS AVENUE, PO BOX 8032 STEVEN POINT WI TEL #: FAX #: [email protected] SENTRY SELECT INSURANCE COMPANY JOAN KLOPF, CLAIMS MANAGER 3 CARLISLE ROAD, PO BOX 584, WESTFORD MA TEL #: FAX #: [email protected] KARRI ERBES, CLAIMS MANAGER 1421 STRONGS AVENUE, PO BOC 8032 STEVEN POINT WI TEL #: FAX #: [email protected] SHERWIN-WILLIAMS CO. ANTHONY J COLANGELO, MANAGER 101 PROSPECT AVENUE N.W., CLEVELAND OH TEL #: FAX #: [email protected] MATT FLYNN, ANALYST & SAFETY 101 PROSPECT AVENUE N.W. CLEVELAND OH TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 56
58 SHORE MEMORIAL HOSPITAL KATHLEEN T NUNZI, BENEFITS ADMINISTRATOR SHORE ROAD & NEW YORK AVENUE, SOMERS POINT NJ TEL #: FAX #: [email protected] MICHAEL SALERNO, ADMINISTRATOR 330 MILLTOWN ROAD, SUITE E-11 EAST BRUNSWICK NJ TEL #: FAX #: [email protected] SHOREWOOD PACKAGING CORPORATION BILL WAINSCOTT, MANAGER - WORKERS' COMPENSTION 6400 POPLAR AVENUE, MEMPHIS TN TEL #: FAX #: [email protected] TOM RODRIGUEZ, WORKERS' COMPENSATION COORDINATOR 6400 POPLAR AVENUE MEMPHIS TN TEL #: FAX #: [email protected] SIMON & SCHUSTER, INC. STEPHANIE GROSSBERG, DIRECTOR-RISK MANAGEMENT 51 W. 52ND STREET, NEW YORK NY TEL #: FAX #: [email protected] DAVID RICHARDSON, VICE PRESIDENT CLAIMS ONE UNION PLAZA NEW LONDON CT TEL #: FAX #: [email protected] SOMPO JAPAN INSURANCE COMPANY OF AMERICA MIKE SPRAGUE, ASSISTANT MANAGER OF CLAIMS 2 WORLD FINANCIAL CENTER 43RD FL., 225 LIBERTY STREET, NEW YORK NY TEL #: FAX #: [email protected] SANDRA BARRETT, TEAM MANAGER 100 PASSAIC AVENUE, SUITE 104 FAIRFIELD NJ TEL #: FAX #: [email protected] SPARTA INSURANCE COMPANY JOHN MINDEK, SVP, CLAIMS CITY PLACE II, 185 ASYLUM STREET, HARTFORD, CT TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 57
59 SUSAN PUTTERMAN, EVP, CLAIMS CITY PLACE II, 185 ASYLUM STREET HARTFORD, CT TEL #: FAX #: ST. PETERS UNIVERSITY HOSPITAL DIANE SPECTOR, MANAGER-EMPLOYER HEALTH SERVICES 254 EASTON AVENUE, NEW BRUNSWICK NJ TEL #: ext FAX #: JANET HUNTER-WILSON, DIRECTOR COMPENSATION & BENEFITS 254 EASTON AVENUE NEW BRUNSWICK NJ TEL #: FAX #: STAR INSURANCE COMPANY LINDA FEATHERNGILL, CLAIMS SUPERVISOR P.O. BOX 5086, SOUTHFIELD MI TEL #: FAX #: RANDY LESTER, CLAIMS MANAGER P.O. BOX 5086 SOUTHFIELD MI TEL #: FAX #: STARNET INSURANCE COMPANY LORI ZOBLER, DIRECTOR OF CLAIMS BERKLEYNET UNDERWRITERS LLC, 2445 KUSER ROAD, SUITE 201, HAMILTON NJ TEL #: FAX #: JOHN BURKE, SR VP AND CHIEF CLAIMS OFFICER BERKLEYNET UNDERWRITERS LLC, MARBLESTONE DRIVE, SUITE 250 WOODBRIDGE VA TEL #: FAX #: STARR INDEMNITY AND LIABILITY COMPANY MIRIAM ELLIOTT, CLAIMS MANAGER 399 PARK AVENUE, NEW YORK CITY, NY TEL #: FAX #: None provided RICHARD HILBIG, CLAIMS MANAGER 399 PARK AVENUE NEW YORK CITY, NY TEL #: FAX #: -- None provided INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 58
60 STATE FARM FIRE & CASUALTY COMPANY DANA DOIG, CLAIM TEAM MANAGER 100 STATE FARM PLACE, BALLSTON SPA, NY TEL #: FAX #: JENNIFER BUBENIK, CLAIM REPRESENTATIVE 100 STATE FARM PLACE BALLSTON SPA, NY TEL #: FAX #: STATE NATIONAL INSURANCE COMPANY INC TERESA CINELLI, COMPLIANCE COORDINATOR 1900 L. DON DODSON DRIVE, BEDFORD, TX TEL #: FAX #: SCOTT FOX, COMPLIANCE COORDINATOR 1900 L. DON DODSON DRIVE BEDFORD, TX TEL #: FAX #: SUNDOR BRANDS, INC. DENISE MCCLANAHAN, SENIOR CLAIMS ADJUSTER 5299 SPRING GROVE AVENUE, CINCINNATI, OH TEL #: ext. 2 FAX #: [email protected] CARRIE BOWLING, ADMINISTRATOR 5299 SPRING GROVE AVENUE CINCINNATI, OH TEL #: FAX #: [email protected] T H E INSURANCE COMPANY STEVEN CANNON, CLAIM MANAGER 2540 ROUTE 130, CRANBURY NJ TEL #: FAX #: [email protected] STEPANIE JAMES, CLAIM SUPERVISORQ 2540 ROUTE 130 CRANBURY NJ TEL #: FAX #: [email protected] TARGET CORPORATION MARCIA OSBORN, CLAIMS TEAM LEAD SEDGWICK, P.O. BOX 14491, LEXINGTON, KY TEL #: FAX #: [email protected] JANET COHEN, CLAIMS TEAM LEAD - ASST. SEDGWICK, P.O. BOX LEXINGTON, KY TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 59
61 TNUS INSURANCE COMPANY ROBERT C. HUBBUCH, SENIOR MANAGER 230 PARK AVENUE, NEW YORK, NY TEL #: FAX #: TYESHA LOWE, WC CLAIMS SUPERVISOR 230 PARK AVENUE NEW YORK, NY TEL #: FAX #: TOKIO MARINE & NICHIDO FIRE INSURANCE COMPANY ROBERT C. HUBBUCH, SENIOR MANAGER 230 PARK AVENUE, NEW YORK, NY TEL #: FAX #: TYESHA LOWE, WC CLAIMS SUPERVISOR 230 PARK AVENUE NEW YORK, NY TEL #: FAX #: TOWER INSURANCE COMPANY OF NEW YORK LAURA DANIELS, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E, MELVILLE, NY TEL #: FAX #: DEBORAH KREMER, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E MELVILLE, NY TEL #: FAX #: TOWER NATIONAL INSURANCE COMPANY LAURA DANIELS, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E, MELVILLE, NY TEL #: FAX #: DEBORAH KEEMER, WC SUPERVISOR 225 BROADHOLLOW ROAD, SUITE 410E MELVILLE, NY TEL #: FAX #: TOWNEPLACE MANAGEMENT CORPORATION FAITH FRITZ, CLAIMS MANAGER 9737 WASHINGTONIAN BLVD., SUITE 201, GAITHERSBURG, MD TEL #: FAX #: ELIZABETH TOTH, SENIOR DIRECTOR MARRIOTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201 GAITHERSBURG, MD TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 60
62 TOYS "R" US, INC. ELIZABETH NOVEDOMSKY, MANAGER, RISK MANAGEMENT ONE GEOFFREY WAY, WAYNE, NJ TEL #: FAX #: TRANS PACIFIC INSURANCE COMPANY ROBERT C. HUBBUCH, SENIOR MANAGER 230 PARK AVENUE, NEW YORK, NY TEL #: FAX #: TYESHA LOWE, WC CLAIMS SUPERVISOR 230 PARK AVENUE NEW YORK, NY TEL #: FAX #: TRANSGUARD INSURANCE COMPANY OF AMERICA INC CHRISTY SKALLAS, CLAIMS MANAGER 215 SHUMAN BLVD., SUITE 400, NAPERVILLE IL TEL #: FAX #: DANIEL BELL, CLAIMS SUPERVISOR 215 SHUMAN BLVD., SUITE 400 NAPERVILLE IL TEL #: FAX #: TRANSPORTATION INSURANCE COMPANY DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO, IL TEL #: FAX #: TRAVELERS IMDEMNITY COMPANY ELIZABETH GREEN BB&T BOYLE VAUGHAN INSURANCE, 2000 CENTER POINT ROAD, SUITE 2400, P.O. BOX 8628 COLUMBIA, SC TEL #: FAX #: None provided TRAVELERS INDEMNITY COMPANY OF AMERICA MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER 445 SOUTH STREET, MORRISTOWN, NJ TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 61
63 TROY TICE, DIRECTOR OF OPERATIONS 445 SOUTH STREET MORRISTOWN, NJ TEL #: FAX #: TRAVELERS INSURANCE COMPANY MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER 445 SOUTH STREET, MORRISTOWN, NJ TEL #: FAX #: TROY TICE, DIRECTOR OF OPERATIONS 445 SOUTH STREET MORRISTOWN, NJ TEL #: FAX #: TRENTON, RC DIOCESE OF JOSEPH BIANCHI, SPHR, DIRECTOR OF ADMINISTRATIVE SERVICES 701 LAWRENCEVILLE ROAD, TRENTON, NJ TEL #: FAX #: ANGELINA CANNADY, ADMINISTRATIVE ASSISTANT 701 LAWRENCEVILLE ROAD TRENTON, NJ TEL #: FAX #: TRINITAS REGIONAL MEDICAL PATRICIA THIEL, DIRECTOR 225 WILLIAMSON STREET, ELIZABETH, NJ TEL #: FAX #: RHONDA HARTLEY, R.N. 225 WILLIAMSON STREET ELIZABETH, NJ TEL #: FAX #: TRUCK INSURANCE EXCHANGE GRAHAM CADWALLADER, WC CLAIMS TEAM LEADER FARMERS INSURANCE, P.O. BOX , OKLAHOMA CITY, OK TEL #: FAX #: MIKE MCCABE, WC CLAIM MANAGER FARMERS INSURANCE, P.O. BOX OKLAHOMA CITY, OK TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 62
64 TRUMBULL INSURANCE COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: TWIN CITY FIRE INSURANCE COMPANY MICHELLE NOBLE, QUALITY SPECIALIST 300 SOUTH STATE STREET, SYRACUSE, NY TEL #: FAX #: U.S. FIDELITY & GUARANTY COMPANY JACI WASTA, CUSTOMER SERVICE REPRESENTATIVE 5 BATTERSON PARK, FARMINGTON, CT TEL #: FAX #: [email protected] SUE SHEA, LOSS DATA ANALYST 5 BATTERSON PARK FARMINGTON, CT TEL #: FAX #: [email protected] U.S. FIRE INSURANCE COMPANY ARLENE LYONS, WC MANAGER 305 MADISON AVENUE, MORRISTOWN, NJ TEL #: FAX #: [email protected] MELISSA KOVACSY, ASST. VP 305 MADISON AVENUE MORRISTOWN, NJ TEL #: FAX #: [email protected] U.S. PIPE & FOUNDRY COMPANY MARY JUSTICE, CLAIMS SUPERVISOR SEDGWICK CMS, 1117 PERIMETER CENTER WEST, SUITE E-500 ATLANTA, GA TEL #: FAX #: [email protected] ELAINE HODGES, SR. CLAIMS ADMINISTRATOR P.O. BOX BIRMINGHAM, AL TEL #: FAX #: None provided UNISOURCE WORLDWIDE INC TIM STARKS, SMWC GEORGIA-PACIFIC, LLC, 133 PEACHTREE STREET NE, 7TH FLOOR, ATLANTA, GA TEL #: FAX #: -- [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 63
65 LIZ WYNACHT, CLAIMS MANAGER GEORGE-PACIFIC, LLC, 133 PEACHTREE STREET NE, 7TH FLOOR ATLANTA, GA TEL #: FAX #: -- UNITED STATES STEEL LLC RICHARD A. ARMBRUST, DIRECTOR, IDM 600 GRANT ST., ROOM 468, PITTSBURGH, PA TEL #: FAX #: BRIAN WAGSTAFF, SUPERVISOR, WC 600 GRANT ST., ROOM 468 PITTSBURGH, PA TEL #: FAX #: UNITED WATER NEW JERSEY, INC. PAUL SOKOL, DIRECTOR - INSURANCE 200 OLD HOOK ROAD, HARRINGTON PARK, NJ TEL #: FAX #: [email protected] UNITED WISCONSIN INSURANCE COMPANY LEE AUBEK, DIRECTOR OF FIELD CLAIMS W. SMALL ROAD, NEW BERLIN, WI TEL #: FAX #: [email protected] DEBBIE JASKOLSKI, DIRECTOR OF CLAIMS W. SMALL ROAD NEW BERLIN, WI TEL #: FAX #: [email protected] UTICA MUTUAL INSURANCE COMPANY DIANE SERVELLO, WC SUPERVISOR P.O. BOX 5310, BINGHAMTON, NY TEL #: FAX #: [email protected] JOSEPH SMITH, DISTRICT CLAIMS MANAGER 50 MILLSTONE ROAD, BLDG. 200, SUITE 240 EAST WINDSOR, NJ TEL #: FAX #: [email protected] VALLEY FORGE INSURANCE COMPANY DIANE WEBER, CLAIM MANAGER CNA, 401 PENN STREET, READING, PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 64
66 ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR CNA, 333 S. WABASH AVE., 39S CHICAGO, IL TEL #: FAX #: VALLEY HOME CARE INC PEG MEYERSBURG, DIRECTOR, EMPLOYEE HEALTH SERVICE 15 ESSEX ROAD, PARAMUS, NJ TEL #: FAX #: MARION KARRAN, MANAGER, EMPLOYEE HEALTH SERVICE 15 ESSEX ROAD PARAMUS, NJ TEL #: FAX #: VALLEY PHYSICIANS SERVICES INC KAREN SOSNOWSKI, DIRECTOR, TOTAL REWARDS & HR TECHNOLOGY 223 NORTH VAN DIEN AVENUE, RIDGEWOOD, NJ TEL #: FAX #: BARBARA SCHULTZ, DIRECTOR EMPLOYEE HEALTH & WELLNESS 223 NORTH VAN DIEN AVENUE RIDGEWOOD, NJ TEL #: FAX #: VANLINER INSURANCE COMPANY COLLEEN SHEPHERD, CLAIMS DIRECTOR ONE PREMIER DRIVE, ST. LOUIS, MO TEL #: ext FAX #: STEVE WINBORN, VICE PRESIDENT OF OPERATIONS ONE PREMIER DRIVE ST. LOUIS, MO TEL #: ext FAX #: VICTORIA'S SECRET STORES, INC. INNAH DULAY, CASE MANAGEMENT CONSULTANT 4 LIMITED PARKWAY, REYNOLDSBURG, OH TEL #: FAX #: [email protected] SUSAN MANOS, SUPERVISOR CASE MANAGEMENT 4 LIMITED PARKWAY REYNOLDSBURG, OH TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 65
67 VIRTUA HEALTH, INC. & SUBS. LISA GRAIFF, WC SUPERVISOR SCIBAL ASSOCIATES, INC., P.O. BOX 500, SOMERS POINT, NJ TEL #: FAX #: JOSEPH M HARVEY, SR. VP PUBLIC RISKS SCIBAL ASSOCIATES, INC., P.O. BOX 500 SOMERS POINT, NJ TEL #: FAX #: [email protected] WEGMANS FOOD MARKETS, INC. ANNETTE DELAHOOKE, WC ANALYST P.O. BOX 30844, ROCHESTER, NY TEL #: FAX #: [email protected] CATHY L DAVIES, WCIDB SUPERVISOR P.O. BOX ROCHESTER, NY TEL #: FAX #: [email protected] WESCO INSURANCE COMPANY KIMBERLY KOWALSKI, WORKERS' COMPENSATION CLAIMS MANAGER AMTRUST NORTH AMERICA, 300 ALEXANDER PARK, SUITE 300 PRINCETON, NJ TEL #: FAX #: [email protected] JACQUELINE LYNCH, WORKERS' COMPENSATION CLAIMS SUPERVISOR AMTRUST NORTH AMERICA, 300 ALEXANDER PARKSUITE 300 PRINCETON, NJ TEL #: FAX #: [email protected] WEST AMERICAN INSURANCE COMPANY TODD GANCARZ, UNIT LEADER 5062 BRITTONFIELD PARKWAY E., SYRACUSE, NY TEL #: FAX #: [email protected] KAREN PEINKOFER, UNIT LEADER 5062 BRITTONFIELD PARKWAY E. SYRACUSE, NY TEL #: FAX #: [email protected] WEYERHAEUSER COMPANY SHARON BRINSON, WC MANAGER - EASTERN REGION WEYERHAEUSER, P.O. BOX 688, NEW BERN, NC TEL #: FAX #: [email protected] DAWN YEAGER, WC DIRECTOR WEYERHAEUSER, P.O. BOX 9777 FEDERAL WAY, WA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 66
68 WHITE CASTLE SYSTEM, INC. SAMANTHA WALGATE, SPECIALTY RISK SERVICES 303 LIPPINCOTT CENTER, SUITE 303, MARLTON NJ TEL #: ext FAX #: WILLIAM SELIGA, DIRECTOR-RISK MANAGEMENT 555 WEST GOODALE STREET COLUMBUS OH TEL #: FAX #: WHITE ROSE INC JOHN M. KOCOT, WORKERS' COMPENSATION CLAIMS ADMINISTRATOR 380 MIDDLESEX AVENUE, CARTERET, NJ TEL #: FAX #: BRIDGET KOVACS, CORPORATE INSURANCE MANAGER 380 MIDDLESEX AVENUE CARTERET, NJ TEL #: FAX #: XL INSURANCE AMERICA, INC. LYNN MUNSON, ASST VP - CLAIMS REGULATORY & COMPLIANCE 20 N. MARTINGALE ROAD, SUITE 200, SCHAUMBURG, IL TEL #: FAX #: [email protected] BRYAN SANDERS, ASST. VP - PRIMARY CASUALTY & PROGRAM CLAIMS 505 EAGLEVIEW BLVD. EXTON, PA TEL #: FAX #: -- [email protected] XL SPECIALTY INSURANCE COMPANY LYNN MUNSON ASST VP - CLAIMS REGULATORY & COMPLIANCE, 20 N. MARTINGALE ROAD, SUITE 200, SCHAUMBURG, IL TEL #: FAX #: [email protected] BRYAN SANDERS, ASST VP - PRIMARY CASUALTY & PROGRAM CLAIMS 505 EAGLEVIEW BLVD. EXTON, PA TEL #: FAX #: -- [email protected] ZENITH INSURANCE COMPANY FRANK PERPIGLIA, ASST. VICE PRESIDENT, CLAIMS 301 E. GERMANTOWN PIKE, 2ND FLOOR, EAST NORRITON, PA TEL #: FAX #: [email protected] INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 67
69 ROBERT SANDOW, CLAIMS, TECHNICAL SPECIALIST 301 E. GERMANTOWN PIKE, 2ND FLOOR EAST NORRITON, PA TEL #: FAX #: ZNAT INSURANCE COMPANY FRANK PERPIGLIA, AVP, CLAIMS ZENITH INSURANCE COMPANY, P.O. BOX 1558, SARASOTA, FL TEL #: FAX #: BOB SANDOW, CLAIMS SUPERVISOR ZENITH INSURANCE COMPANY, P.O. BOX 1558 SARASOTA, FL TEL #: FAX #: ZURICH AMERICAN INSURANCE COMPANY BRIAN M. DOOLEY, ASST. VICE PRESIDENT 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C, PARSIPPANY, NJ TEL #: FAX #: RONALD TANELLI, TEAM MANAGER-WC 300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C PARSIPPANY, NJ TEL #: FAX #: INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 68
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