DIVISION OF WORKERS’ COMPENSATION

INSURANCE COMPANY CONTACTS – December 10, 2007

If you find an error with this listing, please contact the Division at (609) 777-4921
Ace American Insurance Company American Home Assurance (AIG)
1 Beaver Valley Road PO Box 499
Wilmington DE 19850 Essington PA 19029
Contact #1: Robin Smith Contact #1: Janice Moore
Title: Claims Manager Title: Assistant Vice President
Telephone: (302) 476-6218 Telephone: (610) 362-3110
Fax#: 610-362-3212
e-mail: janicemmoore@aig.com
AIU Insurance Co. (AIG)
PO Box 499
Essington PA 19029 American International Group
Contact #1: Janice Moore PO Box 499
Title: Assistant Vice President Essington PA 19029
Telephone: (610) 362-3110 Contact #1: Janice Moore
Fax#: 610-362-3212 Title: Assistant Vice President
e-mail: janicemmoore@aig.com Telephone: (610) 362-3110
Fax#: 610-362-3212
e-mail: janicemmoore@aig.com
All America Insurance Company
800 S. Washington St.
Van Wert OH 45891 American Motorists Insurance Company (Kemper)
Contact #1: Carol Lininger Connel Corporate Center III
Title: Claims Manager 3 Oak Way P.O. Box 608
Telephone: (800) 786-9171 Berkely Heights NJ 07922
Fax#: 800-736-7026 Contact #1: Mary Cicalese
e-mail: clininger@central-insurance.com Title: Claims Manager
Telephone: (908) 286-5460
Contact #2: Deb Grothouse
Title: RN,CLNC
Telephone: 888-530-5580 American Mutual Liability (c/o NJ PLIGA)
Fax#: 800-736-7026 222 Mt. Airy Road
e-mail: dgrothouse@central-insurance.com Basking Ridge, NJ 07920
Contact #1: Gerard Brady
Title:
Allstate Insurance Company Telephone: 908-382-7100 ext 7321
P.O. Box 61512
King of Prussia PA 19406
Contact #1: Shirley Hughes Amguard Insurance Company (Guard Ins. Group)
Title: Claims Manager 16 South River Street
Telephone: (800) 551-0271 Ext. 618 Wilkes Barre PA 18703
Contact #1: Ron Ragno
Title: Asst. Vice President
American Druggist (c/o NJ PLIGA) Telephone: 800-673-2465 ext 7801
222 Mt. Airy Road
Basking Ridge, NJ 07920
Contact #1: Gerard Brady Argonaut Insurance Company
Title: 1 International Plaza, Suite 550
Telephone: 908-382-7100 ext 7321 Philadelphia PA 19113
Contact #1: Kathryn Bethards
Title: Claims Manager
American Employers Insurance Company (One Beacon) Telephone: (610) 595-7700
c/o One Beacon Insurance Company
P.O. Box 302
Buffalo NY 14240 Associated Compensation Resources
Contact #1: David Johnson 26391 Curtiss Wright Pkwy
Title: Claims Manager Richmond Heights OH 44143
Telephone: 1-800-828-7212 ext 9260 Contact #1: Leslie Harth
e-mail: dljohnson@onebeacon.com Title: Account Manager
Telephone: 216-731-8215
Contact #2: Peggy Attardo Fax#: 216-731-8290
Title: WC Supervisor e-mail: leslie@acrcomp.com
Telephone: 800-828-7212 ext 9243
e-mail: mattardo@onebeacon.com
INSURANCE COMPANY CONTACTS – December 10, 2007
page 1
Atlantic County Carriers Insurance Co. (c/o NJ PLIGA)
1333 Atlantic Ave 222 Mt. Airy Road
8th Floor Basking Ridge, NJ 07920
Atlantic City NJ 08401 Contact #1: Gerard Brady
Contact #1: Sally Caterina Title:
Title: County Adjuster Telephone: 908-382-7100 ext 7321
Telephone: 609-343-2361
Fax#: 609-343-2322
e-mail: caterina_sally@aclink.org Casualty Reciprocal Exchange (handled by Meadowbrook
Insurance Services)
Contact #2: Jaqueline Woods 1300 Rte 73 North
Title: Supervisor of Claims Suite 303
Telephone: 609-345-6700 ext 2483 Marlton NJ 08053
Fax#: 609-343-2164 Contact #1: Joseph Strauss
e-mail: woods_jackie@aclink.org

CCMSI - Cannon Cochran Mgmt Svcs Inc

Atlantic Mutual Insurance Company 3535 Route 66
7 Giralda Farms Building 6
Suite 120 Neptune NJ 07735
Madison NJ 07940-1027 Contact #1: Maria Stryker
Contact #1: Caretha Bryant Title: Claim Supervisor
Title: Claims Admin Services Telephone: 732-918-9111
Telephone: (973) 408-6105 Fax#: 732-918-9119
Fax#: 973-408-8279 e-mail: mstryker@ccmsi.com
e-mail: caretha_bryant@atlanticmutual.com

Central Mutual Insurance Company

Bergen Risk Managers 800 S. Washington St.
7 Cedar St Van Wert OH 45891
Ramsey NJ 07446 Contact #1: Carol Lininger
Contact #1: Robert McGuire Title: Claims Manager
Title: Mgr. WC Telephone: (800) 786-9171
Telephone: 201-825-0357 Fax#: 800-736-7026
Fax#: 201-825-2230 e-mail: clininger@central-insurance.com
e-mail: r.mcgurie@bergenrisk.com
Contact #2: Deb Grothouse
Title: RN,CLNC
Berkley Risk Managers Telephone: 888-530-5580
800 Route 50 Fax#: 800-736-7026
PO Box 776 e-mail: dgrothouse@central-insurance.com
Mays Landing NJ 08330
Contact #1: Jackie Margadonna
Title: Vice President CGU Insurance Company (One Beacon)
Telephone: 609-625-5544 c/o One Beacon Insurance Company
Fax#: 609-625-4215 P.O. Box 302
e-mail: jmargadonna@berkleyrisk.com Buffalo NY 14240
Contact #1: David Johnson
Title: Claims Manager
Camden Fire Insurance Association (One Beacon) Telephone: 1-800-828-7212 ext 9260
c/o One Beacon Insurance Company e-mail: dljohnson@onebeacon.com
P.O. Box 302
Buffalo NY 14240 Contact #2: Peggy Attardo
Contact #1: David Johnson Title: WC Supervisor
Title: Claims Manager Telephone: 800-828-7212 ext 9243
Telephone: 1-800-828-7212 ext 9260 e-mail: mattardo@onebeacon.com
e-mail: dljohnson@onebeacon.com

Contact #2: Peggy Attardo

Title: WC Supervisor
Telephone: 800-828-7212 ext 9243
e-mail: mattardo@onebeacon.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 2
Chubb & Son Clarendon National Insurance Company
15 Mountainview Rd 2600 Westhall Lane
Entry West Maitland FL 32751
Warren NJ 07059 Contact #1: Barry Stinson
Contact #1: Ken Nietzer Title: Sr Vice President-Claims
Title: VP Claims Telephone: 321-441-1249
Telephone: 908-903-7003 Fax#: 407-875-3473
Fax#: 908-903-7187
e-mail: knietzer@chubb.com Contact #2: Catherine Hood
Title: Sr V P-Compliance
Contact #2: Bill Barry Telephone: 212-790-9778
Title: Asst VP Fax#: 212-790-9800
Telephone: 908-903-7802
Fax#: 908-903-7840
e-mail: wbarry@chubb.com CNA
401 Penn Street
Reading PA 19601
City of Atlantic City Contact #1: John Holladay
1125 Atlantic Ave Title: Service Center Director
Suite 612 Telephone: (610) 320-4000
Atlantic City NJ 08401 Fax#:
Contact #1: Nancy Egrie e-mail: john.holladay@cna.com
Title: Director of Risk Mgt.
Telephone: 609-345-4755
Fax#: 609-345-4788 Cologne Services Corp
e-mail: mrmnj@verizon.net 220 West Germantown Pike
Suite 240
Contact #2: Ingred French Plymouth Meeting PA 19462
Title: Asst. City Solicitor Contact #1: John Eager
Telephone: 609-347-5281 Title: Claim Manager
Fax#: 609-347-5210 Telephone: 610-242-2000
e-mail: l.french@cityofatlanticcity.org Fax#: 610-828-7387
e-mail: jeager@alliancenatl.com

City of Jersey City

280 Grove St Commerce & Industry Insurance Co. (AIG)
Jersey City NJ 07302 PO Box 499
Contact #1: Peter Soriero Essington PA 19029
Title: Risk Manager Contact #1: Janice Moore
Telephone: 201-547-5034 Title: Assistant Vice President
Fax#: 201-547-4761 Telephone: (610) 362-3110
e-mail: pete@jcnj.org Fax#: 610-362-3212
e-mail: janicemmoore@aig.com
Contact #2: Theresa Flynn
Title: Sec. Asst.
Telephone: 201-547-5034 Consolidated Mutual Insurance Co. (c/o NJ PLIGA)
Fax#: 201-547-4761 222 Mt. Airy Road
e-mail: theresa@jcnj.org Basking Ridge, NJ 07920
Contact #1: Gerard Brady
Title:
Clarendon Insurance Group Telephone: 908-382-7100 ext 7321
2600 Westhall Lane
Maitland FL 30751
Contact #1: Ann Speak Constitution State Services Co.
Title: HR Associate 1100 American Road, 2nd Floor
Telephone: 407-875-1700 ext 1515 Morris Plains NJ 07950
Fax#: 407-875-1417 Contact #1: Regina Dowd
e-mail: aspeak@narisk.com Title: Claims Manager
Telephone: (973) 401-3020
Contact #2: Barry Stinson
Title: President
Telephone: 407-875-1700 ext 1249
e-mail: bstinson@clarendon-ins.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 3
Continental Casualty Company (CNA) Employer's Fire Insurance Company (One Beacon)
401 Penn Street c/o One Beacon Insurance Company
Reading PA 19601 P.O. Box 302
Contact #1: John Holladay Buffalo NY 14240
Title: Service Center Director Contact #1: David Johnson
Telephone: (610) 320-4000 Title: Claims Manager
e-mail: john.holladay@cna.com Telephone: 1-800-828-7212 ext 9260
e-mail: dljohnson@onebeacon.com

Cosmopolitan Mutual (c/o NJ PLIGA) Contact #2: Peggy Attardo

222 Mt. Airy Road Title: WC Supervisor
Basking Ridge, NJ 07920 Telephone: 800-828-7212 ext 9243
Contact #1: Gerard Brady e-mail: mattardo@onebeacon.com
Title:
Telephone: 908-382-7100 ext 7321
Employers Insurance of Wausau A Mutual Company
P.O. Box 4834
Credit General Insurance Co, (c/o NJ PLIGA) Syacuse NY 13221
222 Mt. Airy Road Contact #1: Anthony Dauaro
Basking Ridge, NJ 07920 Title: Claims Manager
Contact #1: Gerard Brady Telephone: (315)413-2970
Title: e-mail: anthony.dauaro@wausau.com
Telephone: 908-382-7100 ext 7321

ESIS
Crum & Foster PO Box 31080
P.O. Box 1960 Tama FL 33631
305 Madison Ave Contact #1: Karen Patterson
Morristown NJ 07962 Title: Claims Manager
Contact #1: Arlene Lyons Telephone: 800-648-9427
Title: Claims Manager Fax#: 800-611-7048
Telephone: (973) 490-6016 e-mail: karen.patterson@esis.com

Contact #2: Heather Frisbee

Cumberland Insurance Company Inc. Title: Tech Manager
P.O. Box 556
Bridgeton NJ 08302
Contact #1: Kenneth Maillen Excelsior Insurance Co.
Title: Claims Manager 5062 Brittonfield Pkwy
Telephone: (856) 451-4050 East Syracuse NY 13057
Contact #1: Douglas Kirkwood
Title: WC Unit Supervisor
Discover Property & Casualty (F/K/A Northbrook National Telephone: 315-431-6144
Ins) Fax#: 315-431-6102
c/o Discover Re Managers Inc e-mail: douglas.kirkwood@peerlees-ins.com
5 Batterson Park
Farmington CT 06032 Contact #2: Susan Leitzel
Contact #1: Erika Douglas Title: Claim Manager
Title: Claims Service Representative Telephone: 315-431-6120
Telephone: 866-657-2827 Fax#: 315-431-6508
Fax#: 860-677-4352 e-mail: susan.leitzel@peerless-ins.com
e-mail: edouglas@discover-re.com

Farm Family Casualty Insurance Company

Eastguard Insurance Company (Guard Ins. Group) P.O. Box 656
16 South River Street Albany NY 12201
Wilkes Barre PA 18703 Contact #1: Bonnie Flynn
Contact #1: Ron Ragno Title: Claims Manager
Title: Asst. Vice President Telephone: (518) 431-5483
Telephone: 800-673-2465 ext 7801

INSURANCE COMPANY CONTACTS – December 10, 2007

page 4
Federal Insurance Co (Chubb & Son) Florist Mutual Insurance Company
15 Mountainview Rd #1 Horticultural Lane
Entry West PO Box 428
Warren NJ 07059 Edwardsville IL 62025
Contact #1: Ken Nietzer Contact #1: Dan Seyferth
Title: VP Claims Title: Claims Manager
Telephone: 908-903-7003 Telephone: (618) 656-4240 Ext. 1845
Fax#: 908-903-7187 Fax#: 800-632-4445
e-mail: knietzer@chubb.com e-mail: dseyferth@hortica-insurance.com

Contact #2: Bill Barry Contact #2: Linda Rensing

Title: Asst VP Title: Claim Manager
Telephone: 908-903-7802 Telephone: 618-656-4240 ext 1847
Fax#: 908-903-7840 Fax#: 800-632-4445
e-mail: wbarry@chubb.com e-mail: lrewnsing@hortica-insurance.com

Federated Dept Stores (Macy's, Bloomingdales) Franklin Mutual Insurance Company

7004 Security Blvd P.O. Box 400
Suite 304 Branchville NJ 07826
Baltimore MD 21239 Contact #1: Charles Fassel
Contact #1: Nancy Norton Green Title: Claims Manager
Title: Claims Manager Telephone: (201) 948-3120 Ext. 8210
Telephone: 410-298-1866
Fax#: 410-298-1896
e-mail: nancy.norton@fds.com Fremont Indemnity Company
P.O. Box H
Contact #2: Glenn Elscrond Whippany NJ 07981
Title: Assoc Claims Mgr Contact #1: Rita Lind
Telephone: 410-298-1867 Title: Claims Manager
Fax#: 410-298-1896 Telephone: (973) 515-6401
e-mail: gleen.elscrond@fds.com

Frigidare Co (Electrolux Holdings)

Fidelity & Guaranty Insurance Co c/o Electrolux Home Products
c/o Discover Re Managers Inc 200 Contennial Ave #200
5 Batterson Park Piscataway NJ 08854
Farmington CT 06032 Contact #1: Tom Smoltino
Contact #1: Erika Douglas Title: WC Supervisor
Title: Claims Service Representative Telephone: 732-377-2026
Telephone: 866-657-2827 Fax#: 732-377-2076
Fax#: 860-677-4352 e-mail: tom.smoltino@electrolux.com
e-mail: edouglas@discover-re.com
Contact #2: Ellen Jakovcic
Title: Asst Risk Mgr
Fidelity & Guaranty Insurance Underwriters Telephone: 216-898-2386
c/o Discover Re Managers Inc Fax#: 216-898-2337
5 Batterson Park e-mail: ellen.jakovcic@electrolux.com
Farmington CT 06032
Contact #1: Erika Douglas
Title: Claims Service Representative GAB Robins North America
Telephone: 866-657-2827 3 Terri Lane
Fax#: 860-677-4352 Burlington NJ 08016
e-mail: edouglas@discover-re.com Contact #1: Carla Johnson
Title: Claims Supervisor
Telephone: 609-557-5030
Firemans Fund Insurance Company Fax#: 609-557-5011
1 Huntington quadrangle e-mail: johnsonc@gabrobbins.com
Millville NY 11747
Contact #1: Francine Ragano Contact #2: Melissa Gingell
Title: Claims Executive Title: Claims Supervisor
Telephone: (631) 756-6694 Telephone: 609-232-5103
Fax#: 609-557-5011
e-mail: gignellm@gabrobbins.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 5
Garden State Re-Insurance (Franklin Mutual ins, Farmers Graphic Arts Mutual Insurance Co. (Utica National Ins.
Ins Co of Flemington & Farmers Mutual Co of Salem Group)
County) Windsor Corporate Park
139 Harristown Rd 50 Mill Stone Road Bldg. 200 - Suite 240
Suite 205 PO Box 98 East Windsor NJ 08520
Glen Rock NJ 07453 Contact #1: Sharron Sochon
Contact #1: Judith Cannon Title: Supervisor
Title: Vice President Telephone: (609) 308-4500 Ext. 4506
Telephone: 201-447-7070
Fax#: 201-447-9953
e-mail: judithcannon@gsraclaims.com Great American Insurance Co
500 Lanidex Center
Contact #2: Mecerda Hawkins Parsippany NJ 07054
Title: Sr Claims Supervisor Contact #1: Donna Freshneck
Telephone: 201-447-7070 Title: Claims Supervisor
Fax#: 201-447-6149 Telephone: 973-952-9889
e-mail: mhawkins@gsraclaims.com Fax#: 973-952-9857
e-mail: dfreshneck@gaic.com

General Accident Insurance Company (CGU) of America Contact #2: Gina Stille
(One Beacon) Title: Claim Manager
c/o One Beacon Insurance Company Telephone: 973-952-9796
P.O. Box 302 Fax#: 973-952-9857
Buffalo NY 14240 e-mail: gstille@gaic.com
Contact #1: David Johnson
Title: Claims Manager
Telephone: 1-800-828-7212 ext 9260 Greater New York Mutual Insurance Company
e-mail: dljohnson@onebeacon.com 377 Summerhill Road
P.O. Box 1064
Contact #2: Peggy Attardo East Brunswick NJ 08816-1064
Title: WC Supervisor Contact #1: James Prinamore
Telephone: 800-828-7212 ext 9243 Title: Claims Manager
e-mail: mattardo@onebeacon.com Telephone: (732) 238-6300

Contact #2: Rick Zweibel

General Motors Benefit Center Title: Asst Manager
300 Renaissance Ctr
MC 482-C26-A68
Detriot MI 48265 GRE-Peerless (Peerless, Excelsior and Netherlands
Contact #1: Elizabeth LaMarra Insurance)
Title: Manager, Disability 5062 Brittonfield Pkwy
Telephone: 313-665-4323 East Syracuse NY 13057
Fax#: 313-665-6728 Contact #1: Douglas Kirkwood
e-mail: elizabeth.m.lamarra@gm.com Title: WC Unit Supervisor
Telephone: 315-431-6144
Contact #2: Susan Azar Fax#: 315-431-6102
Title: Manager WC e-mail: douglas.kirkwood@peerlees-ins.com
Telephone: 313-665-4319
Fax#: 313-665-6728 Contact #2: Susan Leitzel
e-mail: susan.r.azar@gm.com Title: Claim Manager
Telephone: 315-431-6120
Fax#: 315-431-6508
Granite State Ins. Co. (AIG) e-mail: susan.leitzel@peerless-ins.com
PO Box 499
Essington PA 19029
Contact #1: Janice Moore Guard Insurance Group
Title: Assistant Vice President 16 South River Street
Telephone: (610) 362-3110 Wilkes Barre PA 18703
Fax#: 610-362-3212 Contact #1: Ron Ragno
e-mail: janicemmoore@aig.com Title: Asst. Vice President
Telephone: 800-673-2465 ext 7801

INSURANCE COMPANY CONTACTS – December 10, 2007

page 6
Hanover Insurance Company Houston General Insurance Company (One Beacon)
First Republic Bldg. #1 c/o One Beacon Insurance Company
443 Electronics Parkway P.O. Box 4898 P.O. Box 302
Syracuse NY 13221 Buffalo NY 14240
Contact #1: Contact #1: David Johnson
Title: Title: Claims Manager
Telephone: Telephone: 1-800-828-7212 ext 9260
e-mail: dljohnson@onebeacon.com

Harleysville Mutual Insurance Company Contact #2: Peggy Attardo

355 Maple Avenue Title: WC Supervisor
Harleysville, PA 19438 Telephone: 800-828-7212 ext 9243
Contact #1: James Felbinger e-mail: mattardo@onebeacon.com
Title: Claims Manager
Telephone: (888) 595-9876 Ext.2741
Fax#: 215-513-8749 Ideal Mutual (c/o NJ PLIGA)
222 Mt. Airy Road
Contact #2: Michael Guziewiez Basking Ridge, NJ 07920
Title: WC Claims Supervisor Contact #1: Gerard Brady
Telephone: (888) 595-9876 Ext.2738 Title:
Fax#: 215-513-8749 Telephone: 908-382-7100 ext 7321

Hartford Accident & Indemnity Company Insurance Company of the State of PA (AIG)
300 South State Street PO Box 499
P.O. Box 4771 Essington PA 19029
Syracuse NY 13202 Contact #1: Janice Moore
Contact #1: Deseree Kaszubinski Title: Assistant Vice President
Title: OSU Unit Leader Telephone: (610) 362-3110
Telephone: 877-469-9222 ext. 52248 Fax#: 610-362-3212
e-mail: janicemmoore@aig.com

Highmark Casualty ins Co (Highmark Inc)

PO Box 535065 Johns Manville
Suite P6504 PO Box 5108
Pittsburgh PA 15253 Denver CO 80217
Contact #1: Anthony Mistretta Contact #1: Mary Ann Loonam
Title: Compliance Analyst II Title: Sr. WC Administrator
Telephone: 412-544-2716 Telephone: 303-978-4662
Fax#: 412-544-1138 Fax#: 303-978-3768
e-mail: anthony.mistretta@hminsurancegroup.com
Contact #2: Robert Klingler
Contact #2: Alison Trbovich Title: Leader, Empl. Protection
Title: Business Analyst II Telephone: 303-978-4937
Telephone: 412-544-1182
Fax#: 412-544-1138
e-mail: alison.trbovich@hminsurancegroup.com Legion Insurance Company
One Logan Square, Suite 1400
Philadelphia PA 19103
Homeland Central Insurance Company (One Beacon) Contact #1: Dean Bender
c/o One Beacon Insurance Company Title: Claims Manager
P.O. Box 302 Telephone: (215) 979-7830
Buffalo NY 14240
Contact #1: David Johnson
Title: Claims Manager
Telephone: 1-800-828-7212 ext 9260
e-mail: dljohnson@onebeacon.com

Contact #2: Peggy Attardo

Title: WC Supervisor
Telephone: 800-828-7212 ext 9243
e-mail: mattardo@onebeacon.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 7
Liberty Mutual Fire Insurance Lumbermens Underwriting Alliance
3 Becker Farm Rd c/o Cambridge Intergrated Services
Roseland NJ 07068 1905 NW Corporate Blvd
Contact #1: Michael Squeo Boca Raton, FL 33431
Title: Claims Manager Contact #1: Pat Mathews
Telephone: 800-900-4875 ext 2094 Title: Manager
Fax#: 800-449-2567 Telephone: 888-451-2864
e-mail: michael.squeo@libertymutual.com Fax#: 315-461-4227
e-mail: pat.mathews@cambridge-na.com
Contact #2: Donald Grunstra
Title: Claims Team Mgr
Telephone: 800-900-4875 ext 2142 Marriott Claims Services (Marriott International)
Fax#: 800-449-2567 Marriott Cliams Services
e-mail: donald.grustra@libertymutual.com PO Box 29202
Hot Springs AR 71903
Contact #1: Jane Healy
Liberty Mutual Insurance Company Title: Claims Unit Manager
3 Becker Farm Rd Telephone: 301-820-6371
Roseland NJ 07068 Fax#: 301-820-6394
Contact #1: Michael Squeo e-mail: jane.healy@marriott.com
Title: Claims Manager
Telephone: 800-900-4875 ext 2094 Contact #2: Beth Toth
Fax#: 800-449-2567 Title: Sr Mgr Claims Operations
e-mail: michael.squeo@libertymutual.com Telephone: 301-820-6342
Fax#: 301-820-6394
Contact #2: Donald Grunstra e-mail: beth.toth@marriott.com
Title: Claims Team Mgr
Telephone: 800-900-4875 ext 2142
Fax#: 800-449-2567 Maryland Casualty Company
e-mail: donald.grustra@libertymutual.com 500 Enterprise Drive
Rocky Hill CT 06067
Contact #1: Mari Persempere
LM Insurance Company Title: Claims Manager
3 Beckerfarm Rd Telephone: (860) 257-6887
Roseland NJ 07068
Contact #1: Michael Squeo
Title: Claims Manager Mastercare Insurance Company (c/o NJM)
Telephone: 800-900-4875 301 Sullivan Way
Fax#: 800-449-2567 West Trenton NJ 08628-3496
e-mail: michael.squeo@libertymutual.com Contact #1: Harold Fink
Title: Claims Manager
Contact #2: Donald Grunstra Telephone: (609) 883-1300 Ext. 6007
Title: Team Manager
Telephone: 800-900-4875
Fax#: 800-449-2567 Meadowbrook Ins
e-mail: donald.grunstra@libertymutual.com 26255 American Dr
Southfield MI 48034
Contact #1: Randy Lester
LMI Insurance Company (In Liquidation) Title: Regional claims Manager
1000 Lenox Drive Telephone: 248-204-8563
C/O Ohio Ins 1366 Dublin Rd Fax#: 248-281-5370
Columbus OH 43215 e-mail: lester@meadowbrook.com
Contact #1: Ann H Womer Benjamin
Title: Claims Manager Contact #2: Linda Featherngill
Telephone: (614) 487-9200 Title: WC Claims Supervisor
Telephone: 248-204-8149
Fax#: 248-358-3257
Long Island Insurance (c/o NJ PLIGA) e-mail: lfeaterngill@meadowbrook.com
222 Mt. Airy Road
Basking Ridge, NJ 07920
Contact #1: Gerard Brady
Title:
Telephone: 908-382-7100 ext 7321

INSURANCE COMPANY CONTACTS – December 10, 2007

page 8
Mercer Insurance Group Netherlands Insurance Co.
10 North Highway 31 5062 Brittonfield Pkwy
PO Box 278 East Syracuse NY 13057
Pennington NJ 08534 Contact #1: Douglas Kirkwood
Contact #1: Lawrence Crawford Title: WC Unit Supervisor
Title: Vice President, Claims Telephone: 315-431-6144
Telephone: 609-737-0426 Fax#: 315-431-6102
Fax#: 609-737-7783 e-mail: douglas.kirkwood@peerlees-ins.com
e-mail: lcrawford@mercerins@com
Contact #2: Susan Leitzel
Contact #2: Stephen Acquino Title: Claim Manager
Title: Manager Claims Telephone: 315-431-6120
Telephone: 609-737-0426 Fax#: 315-431-6508
Fax#: 609-737-7783 e-mail: susan.leitzel@peerless-ins.com
e-mail: stephenacquino@franklinins.com

New Hamshire Ins Co

Merchants Mutual Insurance Company 1 International Plaza
P.O. Box 868 Suite 200
Moorestown NJ 08057 Philadelphia PA 19113
Contact #1: William Wolfe Contact #1: Janice Moore
Title: Claims Manager Title: Assistant VP
Telephone: (856) 235-8890 Ext. 270 Telephone: 610-360-3110
e-mail: wwolfe@merchantsgroup.com Fax#: 610-362-3212
e-mail: janicem.moore@aig.com
Contact #2: Dee Graulich
Title: WC Claims Specialist Contact #2: Melody Kensey
Telephone: 856-235-8890 ext 271 Title: Admin Coordinator
e-mail: fgraulich@merchantsgroup.com Telephone: 610-362-3117
Fax#: 610-362-3212
e-mail: melody.fraluck@aig.com
Middlesex JIF
2 Jocama Blvd
Old Bridge NJ 08857 New Jersey Manufacturers Insurance Company
Contact #1: Glen Kurtz 301 Sullivan Way
Title: Manager West Trenton NJ 08628-3496
Telephone: 732-970-1001 Contact #1: Harold Fink
Fax#: 732-970-0909 Title: Claims Manager
e-mail: glenkurtz@grma.us Telephone: (609) 883-1300 Ext. 6007

Contact #2: Tom Kurtz

Title: Adjuster New Jersey Transit
Telephone: 732-970-1001 180 Boyden Ave
Fax#: 732-970-0909 Maplewood NJ 07040
Contact #1: Robert Kurtz
Title: Director Workers' Comp
Midland Insurance (c/o NJ PLIGA) Telephone: 973-378-6331
222 Mt. Airy Road Fax#: 973-378-6010
Basking Ridge, NJ 07920 e-mail: rkurtz@njtransit.com
Contact #1: Gerard Brady
Title: Contact #2: Maryann Redmond
Telephone: 908-382-7100 ext 7321 Title: Mgr WC & Disability
Telephone: 973-378-6066
Fax#:
National Union Fire of Pittsburgh (AIG) e-mail: mknoll@njtransit.com
PO Box 499
Essington PA 19029
Contact #1: Janice Moore
Title: Assistant Vice President
Telephone: (610) 362-3110
Fax#: 610-362-3212
e-mail: janicemmoore@aig.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 9
Newark Board of Education North American Risk Services
2 Cedar St 2600 Westhall Lane
Neark NJ 07102 Maitland FL 30751
Contact #1: Ron Hale Contact #1: Ann Speak
Title: Risk Manager Title: HR Associate
Telephone: 973-733-6836 Telephone: 407-875-1700 ext 1515
Fax#: 973-733-8446 Fax#: 407-875-1417
e-mail: rhale@nps.k12.nj.us e-mail: aspeak@narisk.com

Contact #2: Cassandra Wright Contact #2: Barry Stinson

Title: Sr Claims Examiner Title: President
Telephone: 973-733-7345 Telephone: 407-875-1700 ext 1249
Fax#: 973-733-8446 e-mail: bstinson@clarendon-ins.com
e-mail: cwright@nps.k12.nj.us

North River Insurance Company (Crum & Foster)

NJ Casualty (c/o NJM) P.O. Box 1960
301 Sullivan Way 305 Madison Ave
West Trenton NJ 08628-3496 Morristown NJ 07962
Contact #1: Harold Fink Contact #1: Arlene Lyons
Title: Claims Manager Title: Claims Manager
Telephone: (609) 883-1300 Ext. 6007 Telephone: (973) 490-6016

Northern Assurance of America (One Beacon)

NJ Indemnity Insurance Co. (c/o NJM) c/o One Beacon Insurance Company
301 Sullivan Way P.O. Box 302
West Trenton NJ 08628-3496 Buffalo NY 14240
Contact #1: Harold Fink Contact #1: David Johnson
Title: Claims Manager Title: Claims Manager
Telephone: (609) 883-1300 Ext. 6007 Telephone: 1-800-828-7212 ext 9260
e-mail: dljohnson@onebeacon.com

NJ Reinsurance Co. (c/o NJM) Contact #2: Peggy Attardo

301 Sullivan Way Title: WC Supervisor
West Trenton NJ 08628-3496 Telephone: 800-828-7212 ext 9243
Contact #1: Harold Fink e-mail: mattardo@onebeacon.com
Title: Claims Manager
Telephone: (609) 883-1300 Ext. 6007
Ohio Casualty Insurance Company (OCG)
10 Griffin Road, North
NJ School Board Assoc Ins Group Windsor CT 06095
450 Veterans Dr Contact #1: Ana Rocheleau
Burlington NJ 08016 Title: Claims Manager
Contact #1: Connie Rogers Telephone: (860) 731-2715
Title: WC Supervisor
Telephone: 609-286-6060
Fax#: 609-386-8877 Old Republic Insurance Company
e-mail: crogers@njsbaig.org PO Box 2200
133 Oakland Ave
Contact #2: Louis Giannetto Greensburgh PA 15601
Title: Claim Manager Contact #1: J Eric Stroka
Telephone: 609-286-6060 Title: Assistant Vice President
Fax#: 609-386-8877 Telephone: (724) 834-5000
e-mail: lgiannetto@njsbaig.org

Norguard Insurance Company (Guard Ins. Group)

16 South River Street
Wilkes Barre PA 18703
Contact #1: Ron Ragno
Title: Asst. Vice President
Telephone: 800-673-2465 ext 7801

INSURANCE COMPANY CONTACTS – December 10, 2007

page 10
One Beacon America Insurance Company (One Beacon) Penn National Fire Ins
c/o One Beacon Insurance Company 3150 Brunswick Pike
P.O. Box 302 Suite 200
Buffalo NY 14240 Lawrenceville NJ 08648
Contact #1: David Johnson Contact #1: Regina Cunningham
Title: Claims Manager Title: WC Claims Supervisor
Telephone: 1-800-828-7212 ext 9260 Telephone: 609-883-5111
e-mail: dljohnson@onebeacon.com Fax#: 609-523-0583
e-mail: rcunningham@pnat.com
Contact #2: Peggy Attardo
Title: WC Supervisor Contact #2: Gloria Pellegrino
Telephone: 800-828-7212 ext 9243 Title: Admin Assistant
e-mail: mattardo@onebeacon.com Telephone: 609-883-5111
Fax#: 609-523-0583
e-mail: gpellegrino@pnat.com
One Beacon Insurance
P.O. Box 302
Buffalo NY 14240 Pennsylvania General Insurance Company (One Beacon)
Contact #1: David Johnson c/o One Beacon Insurance Company
Title: Claims Manager P.O. Box 302
Telephone: 1-800-828-7212 ext 9260 Buffalo NY 14240
e-mail: dljohnson@onebeacon.com Contact #1: David Johnson
Title: Claims Manager
Contact #2: Peggy Attardo Telephone: 1-800-828-7212 ext 9260
Title: WC Supervisor e-mail: dljohnson@onebeacon.com
Telephone: 800-828-7212 ext 9243
e-mail: mattardo@onebeacon.com Contact #2: Peggy Attardo
Title: WC Supervisor
Telephone: 800-828-7212 ext 9243
Pathmark Stores Inc. (PlainBridge LLC) e-mail: mattardo@onebeacon.com
200 Milik St
Carteret NJ 07008
Contact #1: Mike Roman
Title: WC Supervisor Pennsylvania Manufacturers Association Insurance
Telephone: 732-499-4908 Company
Fax#: 732-499-4285 380 Century Parkway
e-mail: mroman@pathmark.com Blue Bell PA 19422
Contact #1: Jim Jordan
Contact #2: Ken Zwoboda Title: Claims Manager
Title: Claim Manager Telephone: (856) 727-3039
Telephone: 732-499-4919
Fax#: 732-499-4285 Pennsylvania National Mutual Insurance Company
e-mail: kzwoboda@pathmark.com 3150 Brunswick Pike, Suite 200
Lawrenceville NJ 08648
Contact #1: Rich Swieconek
Peerless Insurance Title: Claims Manager
5062 Brittonfield Pkwy Telephone: (609) 883-5111 ext 5601
East Syracuse NY 13057
Contact #1: Douglas Kirkwood Contact #2: Regina Cunningham
Title: WC Unit Supervisor Telephone: 609-883-5111 ext 5111
Telephone: 315-431-6144
Fax#: 315-431-6102 PHICO Insurance Co. (c/o NJ PLIGA)
e-mail: douglas.kirkwood@peerlees-ins.com 222 Mt. Airy Road
Basking Ridge, NJ 07920
Contact #2: Susan Leitzel Contact #1: Gerard Brady
Title: Claim Manager Title:
Telephone: 315-431-6120 Telephone: 908-382-7100 ext 7321
Fax#: 315-431-6508
e-mail: susan.leitzel@peerless-ins.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 11
Port Authority of NY & NJ Republic Franklin Insurance Co. (Utica National Ins.
Risk Planning Group Group)
261 Station Rd Windsor Corporate Park
Mineola NY 11501 50 Mill Stone Road Bldg. 200 - Suite 240
Contact #1: John Simone East Windsor NJ 08520
Title: Asst Vice President Contact #1: Sharron Sochon
Telephone: 888-492-7675 ext 187 Title: Supervisor
Telephone: (609) 308-4500 Ext. 4506
Contact #2: Thomas Howard
Title: WC Liaison Contact #2: Lawrence Auerbach
Telephone: 212-435-5951

Potomac Insurance Company of Illinois (One Beacon) Risk Enterprise Management

c/o One Beacon Insurance Company 615 Chestnut St
P.O. Box 302 Suite 1600
Buffalo NY 14240 Philadelphia PA 19106
Contact #1: David Johnson Contact #1: Dana Brennen
Title: Claims Manager Title: Claim Supervisor
Telephone: 1-800-828-7212 ext 9260 Telephone: 215-592-5141
e-mail: dljohnson@onebeacon.com Fax#: 215-592-5168
e-mail: dana.brennen@remltd.com
Contact #2: Peggy Attardo
Title: WC Supervisor Contact #2: Lisa Iamonaco
Telephone: 800-828-7212 ext 9243 Title: Senior Claims Manager
e-mail: mattardo@onebeacon.com Telephone: 215-592-5137
Fax#: 215-592-5015
Princeton Insurance Company e-mail: lisa.iamonaco@remltd.com
746 Alexander Road
CN-5322 Rochdale Insurance Company
Princeton NJ 08542 742 Alexander Rd
Contact #1: Bob Manchion Suite 302
Title: Asst. Vice President (Claims Manager) Princeton NJ 08543
Telephone: (609) 452-9404 Ext.7398 Contact #1: Kimberly Kowalski
Title: WC Claims Manager
Public Service Mutual Insurance Company Telephone: 609-520-6641
One Park Avenue Fax#: 609-452-1380
New York NY 10016-5802 e-mail: kkowalski@amtrustgroup.com
Contact #1: Norman Rothstein
Title: Vice President of W.C. Contact #2: Georgia Freeman
Telephone: (212) 591-9321 Title: WC Claims Supervisor
Quincy Mutual Fire Ins Co Telephone: 609-520-6649
Dietz & Hammer Fax#: 609-452-1380
PO Box 68 e-mail: gfreeman@amtrustgroup.com
Newton NJ 07860
Contact #1: Susan Hammer
Title: VP of Claims Royal Insurance Company of America (Royal
Telephone: 973-940-1851 Sun&Alliance)
Fax#: 973-940-1852 P.O. Box 420
e-mail: shammer@risksolution.com Hartford CT 06141
Contact #1: Charles Murray
Contact #2: Ann-Marie Kendall Title: Regional WC Claim Manager
Title: Assistant VP Telephone: (800) 243-7060 ext 4968
Telephone: 617-770-5154
Fax#: 800-899-7790
e-mail: akendall@quincymutual.com Royal Sun&Alliance
P.O. Box 420
Hartford CT 06141
Reliance Insurance Company (Selective Risk Services) Contact #1: Chris Flood
Three Parkway Title: Supervisor
Philadelphia PA 19102 Telephone: (800) 243-7060 ext 4943
Contact #1: Joe Starauss e-mail: chris_flood@rsausa.com
Title: Claims Manager
Telephone: (888)213-9884 Ext. 297 Contact #2: Sallie Borkowski
Title: Supervisor
Telephone: 800-243-7060 ext 3698

INSURANCE COMPANY CONTACTS – December 10, 2007

page 12
Rutgers Dept of Risk Mgmt Selective Insurance Company
3 Rutgers Pl 40 Wantage Ave
New Brunswick NJ 08901 Branchville NJ 07890
Contact #1: William Nortrup Contact #1: Randy Baker
Title: Claims Manager Title: Claims Manager
Telephone: 732-932-7300 ext 3206 Telephone: 609-890-2200 ext 6548
Fax#: 732-932-2580 Fax#: 800-395-9656
e-mail: nortrup@rci.rutgers.edu e-mail: randy.baker@selective.com

Contact #2: James Breeding Contact #2: Linda Wehner

Title: Director Risk Mgt Title: Claims Supervisor
Telephone: 732-932-7300 ext 3205 Telephone: 973-948-1457
Fax#: 732-932-2580 Fax#: 973-948-0382
e-mail: breeding@rci.rutgers.edu e-mail: linda.wehner@selective.com

Selective Risk Services

Scibal Associates (Subs. of AdvantageComp) Three Parkway
23 Mays Landing Rd Philadelphia PA 19102
Somers Point NJ 08244 Contact #1: Joe Starauss
Contact #1: Donald Kellerman Title: Claims Manager
Title: VP of Claims Telephone: (888)213-9884 Ext. 297
Telephone: 609-653-8400 ext 2035
Fax#: 609-926-8038 Seletech (Selective Insurance Co)
e-mail: dkellerman@sciadvantage.com 40 Wantage Ave
Branchville NJ 07890
Contact #2: Renee Miles Contact #1: Randy Baker
Title: WC Supervisor Title: Claims Manager
Telephone: 609-653-8400 ext 2065 Telephone: 609-890-2200 ext 6548
Fax#: 609-926-8038 Fax#: 800-395-9656
e-mail: rmiles@sciadvantage.com e-mail: randy.baker@selective.com

Contact #2: Linda Wehner

Security Mutual (c/o NJ PLIGA) Title: Claims Supervisor
222 Mt. Airy Road Telephone: 973-948-1457
Basking Ridge, NJ 07920 Fax#: 973-948-0382
Contact #1: Gerard Brady e-mail: linda.wehner@selective.com
Title:
Telephone: 908-382-7100 ext 7321 Self Insurance Management Agency
217 Route 130
Bordentown NJ 08505
Sedgwick CMS Contact #1: Michele Adams
PO Box 8006 Title: Claims Manager
Philadelphia PA 19101 Telephone: 609-291-8007
Contact #1: Mickey Piveiro Fax#: 609-291-8039
Title: WC Asst Claims Manager e-mail: madams@ejains.com
Telephone: 215-231-3908
Fax#: 215-231-3810 Contact #2: John Aloi
e-mail: mickey.piveiro@sedgwickcms.com Title: President
Telephone: 609-291-8007
Contact #2: Edward Fritsch Fax#: 609-291-8039
Title: WC Claims Supervisor
Telephone: 215-231-3804 Sentry Insurance A Mutual Company
Fax#: 215-231-3800 P.O. Box 584
e-mail: edward.fritsch@sedgwickcms.com Westford MA 01886
Contact #1: Kathy Fleming
Title: Claims Manager
Telephone: (800) 225-1390 Ext. 7288
Fax#: 978-392-7137
e-mail: kathleen.fleming@sentry.com

Contact #2: Steve Burton

Title:
Telephone: (800) 225-1390 Ext. 7042
Fax#: 978-392-7137
e-mail: steve.burton@sentry.com

INSURANCE COMPANY CONTACTS – December 10, 2007

page 13
St. Paul Fire & Marine Superior National Insurance (c/o NJM)
1100 American Road, 2nd Floor 301 Sullivan Way
Morris Plains NJ 07950 West Trenton NJ 08628-3496
Contact #1: Regina Dowd Contact #1: Harold Fink
Title: Claims Manager Title: Claims Manager
Telephone: (973) 401-3020 Telephone: (609) 883-1300 Ext. 6007

St. Paul Insurance Companies TIG Insurance Company

1100 American Road, 2nd Floor 615 Chestnut St
Morris Plains NJ 07950 Suite 1600
Contact #1: Regina Dowd Philadelphia PA 19108
Title: Claims Manager Contact #1: Lisa Iamonaco
Telephone: (973) 401-3020 Title: Sr Claims Manager
Telephone: 215-592-5137
Fax#: 215-592-5015
St. Paul Protective Ins Co. e-mail: lisa.iamonaco@remtd.com
1100 American Road, 2nd Floor
Morris Plains NJ 07950 Contact #2: Dana Brennen
Contact #1: Regina Dowd Title: Claims Supervisor
Title: Claims Manager Telephone: 215-592-5141
Telephone: (973) 401-3020 Fax#: 215-592-5168
e-mail: dana.brennen@remtd.com

St. Paul Travelers

1100 American Road, 2nd Floor Transit Casualty (c/o NJ PLIGA)
Morris Plains NJ 07950 222 Mt. Airy Road
Contact #1: Regina Dowd Basking Ridge, NJ 07920
Title: Claims Manager Contact #1: Gerard Brady
Telephone: (973) 401-3020 Title:
Telephone: 908-382-7100 ext 7321

State Farm Fire & Casualty

300 Kimball Dr Travelers Indemnity Company of America
4th Floor 1100 American Road, 2nd Floor
Parsippany NJ 07054 Morris Plains NJ 07950
Contact #1: Katherine Galletta Contact #1: Regina Dowd
Title: Claim Team Manager Title: Claims Manager
Telephone: 973-739-6412 Telephone: (973) 401-3020
Fax#: 973-739-6410
e-mail: katherine.galletta.exts@statefarm.com
Travelers Insurance Company
Contact #2: Lisa McGuire 1100 American Road, 2nd Floor
Title: Claims Representative Morris Plains NJ 07950
Telephone: 973-739-6404 Contact #1: Regina Dowd
Fax#: 973-739-6410 Title: Claims Manager
e-mail: lisa.a.mcguire.bsak@statefarm.com Telephone: (973) 401-3020

Statewide Insurance Fund Tropicana Casino & Resort

83 Spring St Brighton Ave & Boardwalk
PO Box 68 Atlantic City NJ 08401
Newton NJ 07860 Contact #1: Frank Harrison
Contact #1: Susan Hammer Title: Executive Director Risk Mgt
Title: VP Claims Telephone: 609-340-4110
Telephone: 973-940-1851 ext 224 Fax#: 609-343-6998
Fax#: 973-940-1852 e-mail: fharrison@tropicana.net
e-mail: shammer@risksolutions.com

Contact #2: John Carrasco U.S. Fire (Crum & Forster)

Title: Claims Supervisor P.O. Box 1960
Telephone: 973-940-1851 ext 232 305 Madison Ave
Fax#: 973-940-1852 Morristown NJ 07962
e-mail: jcarrasco@risksolutions.com Contact #1: Arlene Lyons
Title: Claims Manager
Telephone: (973) 490-6016
INSURANCE COMPANY CONTACTS – December 10, 2007
page 14
United Security Insurance Company (One Beacon) Utica Mutual Insurance Company (Utica National Ins.
c/o One Beacon Insurance Company Group)
P.O. Box 302 Windsor Corporate Park
Buffalo NY 14240 50 Mill Stone Road Bldg. 200 - Suite 240
Contact #1: David Johnson East Windsor NJ 08520
Title: Claims Manager Contact #1: Sharron Sochon
Telephone: 1-800-828-7212 ext 9260 Title: Supervisor
e-mail: dljohnson@onebeacon.com Telephone: (609) 308-4500 Ext. 4506

Contact #2: Peggy Attardo Contact #2: Lawrence Auerbach

Title: WC Supervisor
Telephone: 800-828-7212 ext 9243
e-mail: mattardo@onebeacon.com Utica National Insurance Group
Windsor Corporate Park
50 Mill Stone Road Bldg. 200 - Suite 240
United States Fidelity & Guaranty Insurance Company East Windsor NJ 08520
c/o Discover Re Managers Inc Contact #1: Sharron Sochon
5 Batterson Park Title: Supervisor
Farmington CT 06032 Telephone: (609) 308-4500 Ext. 4506
Contact #1: Erika Douglas
Title: Claims Service Representative
Telephone: 866-657-2827 Van Liner Insurance Company
Fax#: 860-677-4352 PO Box 26352
e-mail: edouglas@discover-re.com One United Dr
Fenton MO 63036
Contact #1: Skip Reams
Universal Underwriters Insurance Company Telephone: (636) 349-3906
7045 College Blvd.
Overland Park KS 66211
Contact #1: Debi Doering Zenith Insurance Co
Title: Director WC Claims Two Valley Square
Telephone: (913) 339-1555 / (800) 840-8842 ext 1555 Blue Bell PA 19422
Fax#: 913-906-2074 Contact #1: Patrick Fredella
e-mail: debi.doering@zurichna.com Title: Director, Claims
Telephone: 215-591-2910
Contact #2: Marlo Hollins Fax#: 215-591-6910
Title: Supervisor WC Claims e-mail: pfredella@thezenith.com
Telephone: 913-664-4782(800-840-8842 ext 4782)
Fax#: 913-906-2074 Contact #2: Robert Sandow
e-mail: mario.hall@zurichna.com Title: Senior Examiner
Telephone: 215-591-2914
Fax#: 215-591-6914
e-mail: rsandow@thezenith.com

Zurich Insurance Company

1 Upper Pond Road
Buliding E/F
Parsippany NJ 07054
Contact #1: Mario Bracuti
Title: Asst. Vice President
Telephone: (973) 394-5205

INSURANCE COMPANY CONTACTS – December 10, 2007

page 15