PIANY Doc. No. 31363 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) 424-4244 fax: (888) 225-6935 e-mail: resourcecenter@pia.org Website: www.pia.org Think PIA first 7/11
1 2 3 4 5 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 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: 5/1/97 6315 Fly Road Remarks: Trust will be changing their year N/A Remarks: Industry Served: Contractors/Services to Contractors Approximate Number of Active Members - 350 East Syracuse, NY 13057 315-432-8210 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: 11/1/92 3355 Veterans Memorial Highway $1.2 M new members; Industry Served: Passenger Transportation - Bus Operators Ronkonkoma, NY 11779 enhanced financial Approximate Number of Active Members - 4 631-471-4600 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 14203 Approximate Number of Active Members - 160 716-842-0045 sgidwitz@ncacomp.com (A) Electrical Employers Self-Insurance Safety Plan Self-Administered 12/31/09 ( X ) ( ) ( ) ( ) ( ) ( ) ( ) ( X ) ( ) Steven Farago Effective Date: 1/1/67 158-11 Harry Van Arsdale Jr. Avenue N/A Remarks: Industry Served: Electrical Workers - IBEW Local #3 Flushing, NY 11365 Approximate Number of Active Members - 430 716-591-2800 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 12305 N/A Remarks: Industry Served: Auto/Towing/Recovery/Related Operations 900 Watervliet-Shaker Road Approximate Number of Active Members - 190 Albany, NY 12212 518-456-5557 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 - 25 620 Erie Boulevard West Syracuse, NY 13204 315-701-1600 gemerson@safetpa.com $4.5 M Remarks: Page No. 1 of 10
1 2 3 4 5 6 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: 4/1/96 5687 Main Street $3.2M Remarks: Williamsville, NY 14221 Approximate Number of Active Members - 4 716-634-2876 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 14231 Approximate Number of Active Members - 60 716-631-5001 bbingel@fcsadministrators.com (A) McGuire Group Trust Self-Administered 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) ( X ) ( ) ( ) Daniel Cronmiller Remarks: Closed to new Effective Date: 1/1/94 560 Delaware Avenue $1.0 M members; enhanced Buffalo, NY 14202 financial monitoring; Approximate Number of Active Members - 8 716-826-2010 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 06854 financial monitoring. Approximate Number of Active Members - 40 203-642-0500 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 14231 end to a calendar year end Approximate Number of Active Members - 60 716-631-5001 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: 6/30/94 665 Main Street $2.5 M Remarks: Industry Served: Schools (Elementary, Colleges, Universities) Buffalo, NY 14203 Approximate Number of Active Members - 35 716-843-4504 annette.m.borodzik@marsh.com Page No. 2 of 10
1 2 3 4 5 6 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: 4/1/81 9600 Main Street N/A Remarks: Industry Served: New York Lumbermen Clarence, NY 14031 Approximate Number of Active Members - 300 716-759-9606 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 06854 Approximate Number of Active Members - 265 203-642-0500 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: 7/1/94 726 Exchange Street - Suite 900 $566 K Remarks: Industry Served: Transportation Buffalo, NY 14210 Approximate Number of Active Members - 70 716-819-5640 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 14231 additional $160,000 for Approximate Number of Active Members - 40 716-631-5001 2009 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: 10/2/95 784 Troy-Schenectady Road $15.1M Remarks: Approximate Number of Active Members - 110 518-783-2665 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 14621 Previous name was ViaHealth. financial monitoring. Approximate Number of Active Members - 9 585-922-3978 mary.tribuzzi@viahealth.org Page No. 3 of 10
1 2 3 4 5 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 - 600 (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 12/29/95-12/31/10-292 (I) Automotive Service and Repair Self-Insurance Trust Industry Served: Auto Service and Repair Total Members from 1/1/05-1/31/10-453 Fully Less 90-99% 80-89% 70-79% 60-69% Funded than 60% USA TPA - Prior to 2011- New York Compensation Managers, Inc. 09/30/09 ( X ) ( ) ( ) ( ) ( ) ( ) Christoher R. Mason P. O. Box 3580 6250 South Bay Road Syracuse, NY 13220 Remarks: Trust will be changing their year end to a calendar year end effective 12/31/10. 315-699-8475 cmason@workerscomp.com Marsh USA, Inc. 12/31/09 ( ) ( ) ( X ) ( ) ( ) ( ) Annette Borodzik 665 Main Street Buffalo, NY 14203 716-843-4504 annette.m.borodzik@marsh.com INACTIVE GROUP SELF-INSURERS Bryan Bingel P. O. Box 1248 Williamsville, NY 14231 716-631-5001 bbingel@fcsadministrators.com New York Compensation Managers, Inc. Anthony D'Amato P. O. Box 3580 6250 South Bay Road Syracuse, NY 13220 315-699-8475 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 16803 315-247-7094 Ted.Strobeck@ebsrmsco.com Page No. 4 of 10
(I) Builders Self-Insurance Trust Fund Industry Served: Contractors/Services to Contractors Total Members from 10/1/98-9/30/07-311 (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 12/15/95-12/31/10-457 (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 7/1/01-1/1/09-536 (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 14203 716-843-4500 As of 5/1/09 Trust transferred to State contracted group Program Risk Management, Inc. Edward Sorenson P. O. Box 12305 900 Watervliet-Shaker Road Albany, NY 12212 518-456-5557 esorenson@prm.com Self-Administered Richard Courtney 7 Limestone Drive Williamsville, NY 14221 716-633-3900 rcourtney@elderwood.com Bryan Bingel P. O. Box 1248 Williamsville, NY 14231 716-631-5001 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
(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 6/30/00-1/1/09-112 (I) Empire State Hospitality WC Trust Industry Served: Lodging/Amusement/Recreation Services Total Members from 3/1/96-1/1/09-731 (I) Empire State Transportation WC Trust Industry Served: Passenger Transportation - Bus Operators Total Members from 1/1/95-1/1/09-935 (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 4/19/93-7/1/09-333 (I) Healthcare Industry Trust of New York Total Members from 9/12/99-12/31/07-468 (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 13221 866-826-0207 jan.klodowski@agri-servicesagency.com 518-223-1900 Program Risk Management, Inc. John Conroy P. O. Box 12305 900 Watervliet-Shaker Road Albany, NY 12212 518-456-5557 As of 10/13/09 Trust transferred to State contracted group P. O. Box 1999 845-452-4100 As of 2/11/08 Trust transferred to State contracted group PMA Management Corp. of New England Joe Gugliotti 530 Preston Avenue Meriden, CT 06450 203-379-3434 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
(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 14231 716-631-5001 psalay@fcsadministrators.com Bryan Bingel P. O. Box 1248 Williamsville, NY 14231 716-631-5001 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 1/1/98-3/31/06-103 (I) Manufacturing Self-Insurance Trust Industry Served: Manufacturers - Various Types Total Members from 12/1/97-8/31/06-266 As of 4/14/11 Trust transferred to State contracted group Consolidated Risk Services, Inc. 985 Old Eagle School Road Wayne, PA 19087 610-975-8257 As of 3/31/06 Trust transferred to State contracted group New York Compensation Managers, Inc. P. O. Box 3580 6250 South Bay Road Syracuse, NY 13220 315-699-8475 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 10/1/94-2/29/08-575 (I) New York Healthcare Facilities Workers' Compensation Trust Total Members from 1/1/98-7/31/06-207 (I) New York McDonald's Operators WC Trust Industry Served: Eating and Drinking Establishments Total Members from 1/1/99-1/1/09-155 (I) New York Petroleum Associations Compensation Trust Industry Served: Gas/Petroleum/Fuel Oils - Sale of Total Members from 7/1/01-1/1/09-228 As of 6/1/07 Trust transferred to State contracted group USA TPA Lew Rumsmoke P. O. Box 3580 6250 South Bay Road Syracuse, NY 13220 315-699-8475 lrumsmoke@workerscomp.com Hamilton Wharton Group, Inc. 110 Wall Street New York, NY 10005 212-344-6000 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
(I) New York State Cemeteries Trust Industry Served: Cemeteries Total Members from 2/1/02-3/31/08-85 P. O. Box 1999 845-452-4100 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 1/1/98-1/1/2010-165 (I) PIA Manufacturers Self Insurance Trust Fund Industry Served: Printing Operations - Commercial Total Members from 4/1/96-12/31/2010-73 As of 7/7/08 Trust transferred to State contracted group Self-Administered Nanci Hurlburt 201 North Union Street Olean, NY 14760 716-375-4606 nyshpa@verizon.net Self-Administered Robert Allen 600 Northern Boulevard Albany, NY 12204 518-427-3407 allenb@nehealth.com USA TPA Christopher R. Mason P. O. Box 3580 6250 South Bay Road Syracuse, NY 13220 315-699-8475 cmason@workerscomp.com Cody Management Services, Inc. David Harvey 357 Bay Road Queensbury, NY 12804 518-745-7159 As of 7/1/11 Trust transferred to State contracted group NCA Comp Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY 14203 716-845-0045 sgidwitz@ncacomp.com Run Off Remarks: Trust voluntarily terminated effective 1/1/10. Page No. 8 of 10
(I) Preferred Manufacturers Insurance Trust Fund Industry Served: Manufacturers - Various Types Total Members from 1/1/93-9/1/09-211 NCA Comp, Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY 14203 716-842-0045 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 19087 and member deficit reconstruction bills issued on 4/15/08. 610-975-8257 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 1/1/02-8/2/07-14 845-452-4100 (I) Real Estate Management Trust of New York Industry Served: Real Estate and Property Management Total Members from 1/1/01-1/31/08-307 (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 10/1/95-1/1/09-159 As of 7/7/08 Trust transferred to State contracted group P. O. Box 1999 845-452-4100 As of 7/7/08 Trust transferred to State contracted group NCA Comp, Inc. Steven Gidwitz 14 Lafayette Square Buffalo, NY 14203 716-842-0045 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
(I) Team Transportation Workers' Comp Trust Industry Served: Transportation Total Members from 10/15/95-12/31/10-768 (I) Trade Industry Workers' Compensation Trust for Manufacturers Industry Served: Manufacturers - Various Types Total Members from 12/27/01-1/31/08-148 (I) Transportation Industry Workers' Compensation Trust Industry Served: Transportation Total Members from 12/27/00-1/31/08-826 (I) Wholesale and Retail Workers' Compensation Trust of New York Industry Served: Retailers/Wholesalers - Various Types Total Members from 9/27/99-4/29/08-905 Program Risk Management, Inc. John Conroy P. O. Box 12305 900 Watervliet-Shaker Road Albany, NY 12212 518-456-5557 jconroy@prm.com P. O. Box 1999 845-452-4100 As of 5/16/08 Trust transferred to State contracted group P. O. Box 1999 845-452-4100 As of 9/8/08 Trust transferred to State contracted group P. O. Box 1999 845-452-4100 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