Carrier SI Contact

State of New Jersey
Department of Labor & Workforce Development

Division of Workers Compensation
INSURANCE CARRIER/SELF-INSURER LIST OF DESIGNATED CONTACTS

P.L. 2008 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,
e-mail 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 (joanne.allen@dol.state.nj.us), tel: 609-292-2414, fax: 609-984-2515.
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:
http://lwd.state.nj.us/labor/forms_pdfs/wc/pdf/interactive_pdf/insurance_contact_form.pdf
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
ABF FREIGHT SYSTEM, INC.

NAME:
RACHELLE PRATT, WC CLAIMS SPECIALIST
ADDRESS:
TEL #:
ATTN: RISK MANAGEMENT, P.O. BOX 10048,

FORT SMITH, AR 72917
479-785-6233
FAX #:
479-785-6396
NAME:
ADDRESS:
ALLEN KING, MANAGER, WORKERS' COMP

P.O. BOX 10048
TEL #:
FORT SMITH, AR 72917-0048

479-785-6218
FAX #:
479-785-6396
E-MAIL:
rpratt@arkbest.com
E-MAIL:
aking@arkbest.com
E-MAIL:
jean.kluisza@accidentfund.com
E-MAIL:
karen.holtz@accidentfund.com
E-MAIL:
E-MAIL:
E-MAIL:
E-MAIL:
E-MAIL:
pamela.llewellyn@ace-ina.com
ACCIDENT FUND GENERAL INSURANCE COMPANY

NAME:
JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT
ADDRESS:
200 N. GRAND AVENUE,
TEL #:
LANSING, MI 48933-1228
517-708-5268
NAME:
ADDRESS:
KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT

200 N. GRAND AVENUE
TEL #:
517-708-5207
FAX #:
FAX #:
--
517-367-7205
ACCIDENT FUND INSURANCE COMPANY OF AMERICA

NAME:
ADDRESS:
TEL #:
517-708-5268
NAME:
ADDRESS:

200 N. GRAND AVENUE
TEL #:
517-708-5207
FAX #:
FAX #:
--
517-367-7505
ACCIDENT FUND NATIONAL INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:
517-708-5268
NAME:
ADDRESS:

200 N. GRAND AVENUE
TEL #:
517-708-5207
FAX #:
FAX #:
--
517-367-7205
ACE AMERICAN INSURANCE COMPANY

NAME:
PAM LLEWELLYN, AVP WORKERS' COMPENSATION
ADDRESS:
ONE BEAVER VALLEY ROAD, SUITE 4E,

WILMINGTON DE 09803
302-476-7255
FAX #:
TEL #:
302-476-7858
INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 1

http://lwd.state.nj.us/labor/forms_pdfs/wc/pdf/carriercontact.pdf
NAME:
GUS GONNELLA, AVP WORKERS' COMPENSATION
ADDRESS:
ONE BEAVER VALLEY ROAD, SUITE 4E

WILMINGTON DE 09803
302-476-7822
FAX #:
TEL #:
302-476-7858
E-MAIL:
gus.gonnella@ace-ina.com
E-MAIL:
E-MAIL:
E-MAIL:
E-MAIL:
972-687-0602
E-MAIL:
acigregulatory@acig.com
972-687-0602
E-MAIL:
acigregulatory@acig.com
E-MAIL:
jean.michetti@srsconnect.com
E-MAIL:
cassandra.gomez@srsconnect.com
ACE FIRE UNDERWRITERS INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:

WILMINGTON DE 19803
302-476-7255
FAX #:
NAME:
ADDRESS:

WILMINGTON DE 19803
302-476-7822
FAX #:
TEL #:
302-476-7858
302-476-7858
ACE PROPERTY & CASUALTY INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:

WILMINGTON, DE 19803
302-476-7255
FAX #:
NAME:
ADDRESS:

302-476-7822
FAX #:
TEL #:
302-476-7858
302-476-7858
ACIG INSURANCE COMPANY

NAME:
RON ARTHUR, VICE PRESIDENT - CLAIMS MANAGER
ADDRESS:
TEL #:
12222 MERIT DRIVE, SUITE 1660,

DALLAS, TX 75251
972-702-9004
FAX #:
NAME:
SUSIE MCGEE, VICE PRESIDENT - CLAIMS
ADDRESS:
12222 MERIT DRIVE, SUITE 1660

DALLAS, TX 75251
972-702-9004
FAX #:
TEL #:
ACME MARKETS, INC.

NAME:
JEAN MICHETTI, TEAM LEADER
ADDRESS:
TEL #:
SPECIALTY RISK SERVICES (SRS), 150 SOUTH WARNER ROAD,

KING OF PRUSSIA, PA 19406
800-551-0271
FAX #:
860-723-8174
NAME:
CASSANDRA GOMEZ, OPERATIONS MANAGER
ADDRESS:
SPECIALTY RISK SERVICES (SRS), 4245 MERIDIAN PARKWAY

AURORA, IL 60504
630-692-7282
FAX #:
860-723-4281
TEL #:

ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY

NAME:
TERESA J. MARECK, VICE PRESIDENT & GENERAL COUNSEL
ADDRESS:
P.O. BOX 571918,
TEL #:
SALT LAKE CITY, UT 84157-1918

888-595-8750
FAX #:
NAME:
ADDRESS:
GWEN E. CHURCH, ASSISTANT VICE PRESIDENT

P.O. BOX 571918
TEL #:
SALT LAKE CITY, UT 84157-1918

888-595-8750
FAX #:
866-346-3289
E-MAIL:
tmareck@advantagewc.com
866-346-3289
E-MAIL:
gchurch@advantagewc.com
302-765-1806
E-MAIL:
JaniceM.Moore@chartisinsurance.com
302-765-1800
E-MAIL:
melody.fralick@chartisinsurance.com
303-429-1770
E-MAIL:
sherry.baker@alcatel-lucent.com
E-MAIL:
sophie.chevillet@alcatel-lucent.com
508-635-0419
E-MAIL:
cungar@hanover.com
PAULA ANDRADE, WC UNIT MANAGER

P.O. BOX 15144
WORCESTER, MA 01615
508-855-5893
FAX #:
508-635-0396
E-MAIL:
pandrade@hanover.com
E-MAIL:
cungar@hanover.com
AIG PROPERTY CASUALTY COMPANY

NAME:
JANICE MOORE, ASST. VICE PRESIDENT
ADDRESS:
CHARTIS, P.O. BOX 4050,
TEL #:
ALPHARETTA, GA 30023-4050
302-765-1635
FAX #:
NAME:
MELODY KENSEY, ADMINISTRATIVE ASSISTANT
ADDRESS:
CHARTIS, P.O. BOX 4050
TEL #:
302-765-1629
FAX #:
ALCATEL-LUCENT USA INC

NAME:
SHERRY D BAKER, CLAIMS MANAGER
ADDRESS:
624 S.E. 29TH STREET,

CAPE CORAL, FL 33904
720-480-8344
TEL #:
FAX #:
NAME:
SOPHIE CHEVILLET, DIRECTOR NA RISK MANAGEMENT
ADDRESS:
600 MOUNTAIN AVENUE, ROOM 7B-503

MURRAY HILL, NJ 07974
908-582-7325
FAX #:
TEL #:
908-723-5276
ALLAMERICA FINANCIAL ALLIANCE INSURANCE COMPANY

NAME:
CHERYL UNGAR, WC UNIT MANAGER
ADDRESS:
P.O. BOX 15144,

WORCESTER, MA 01615
508-855-3094
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
ALLAMERICA FINANCIAL BENEFIT INSURANCE COMPANY

NAME:
CHERYL UNGAR, WC UNIT MANAGER
ADDRESS:
P.O. BOX 15144,

WORCESTER, MA 01615
508-855-3094
TEL #:
FAX #:
508-635-0419

NAME:
ADDRESS:
TEL #:
PAULA ANDRADE, WC UNIT MANAGER

P.O. BOX 15144
WORCESTER, MA 01615
508-855-5893
FAX #:
508-635-0396
E-MAIL:
610-828-7387
E-MAIL:
JEagen@alliancenatl.com
MARY BETH TORUNIAN, UNDERWRITER

220 W. GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
610-242-2000
FAX #:
610-828-7387
E-MAIL:
MTorunian@alliancenatl.com
ALLIANCE NATIONAL INSURANCE COMPANY

NAME:
JOHN EAGEN, MANAGER
ADDRESS:
220 W. GERMANTOWN PIKE,

PLYMOUTH MEETING, PA 19462
610-242-2000
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
ALLIED EASTERN INDEMNITY COMPANY

NAME:
KELLI CHAPMAN, DIRECTOR OF CLAIMS
ADDRESS:
25 RACE AVENUE,
LANCASTER PA 17603
TEL #:
855-533-3444 ext. 1651
717-481-7170
E-MAIL:
kchapman@eains.com
NAME:
ADDRESS:
TARA HOOPER, MANAGER OF REGIONAL CLAIMS

25 RACE AVENUE
LANCASTER PA 17603
FAX #:
717-481-8214
855-533-3444 ext. 1645
E-MAIL:
thooper@eains.com
609-243-4558
E-MAIL:
ckroh@munichreamerica.com
609-243-4558
E-MAIL:
sdionisio@munichreamerica.com
E-MAIL:
thomas.cuel@ffic.com
E-MAIL:
jennifer.felch@ffic.com
TEL #:
FAX #:
AMERICAN ALTERNATIVE INSURANCE COMPANY

NAME:
CHARLES KROH, VICE PRESIDENT
ADDRESS:
555 COLLEGE ROAD EAST,

PRINCETON, NJ 08543
609-243-4846
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
STEPHEN DIONISIO, VICE PRESIDENT

555 COLLEGE ROAD EAST
PRINCETON, NJ 08543
609-243-4514
FAX #:
AMERICAN AUTOMOBILE INSURANCE COMPANY

NAME:
THOMAS CUEL, SR. CLAIMS DIRECTOR
ADDRESS:
11475 GREAT OAKS WAY, SUITE 200,

ALPHARETTA, GA 30022
678-393-4016
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
888-255-9157
JENNIFER FELCH, WORKERS' COMPENSATION SUPERVISOR

11475 GREAT OAKS WAY, SUITE 200
678-393-4057
FAX #:
888-864-1453

AMERICAN CASUALTY COMPANY OF READING PA

NAME:
DIANE WEBER, CLAIM MANAGER
ADDRESS:
CNA, 401 PENN STREET,

READING, PA 19601
610-320-4254
TEL #:
FAX #:
312-260-6876
E-MAIL:
NAME:
ELIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR
ADDRESS:
CNA, 333 S. WABASH AVE., 39S

CHICAGO, IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
E-MAIL:
diane.weber@cna.com
elizabeth.sieks@cna.com
AMERICAN COMPENSATION INSURANCE COMPANY

NAME:
SUSAN PILON, MANAGER OF NATIONAL CLAIM QUALITY & COMPLIANCE
ADDRESS:
P.O. BOX 390327,

MINNEAPOLIS, MN 55439
800-789-2242
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
800-563-3364
E-MAIL:
susan.pilon@rtwi.com
AMY HAWLEY, DIRECTOR OF OPERATIONS

P.O. BOX 390327
MINNEAPOLIS, MN 55439
800-789-2242
FAX #:
800-563-3364
E-MAIL:
amy.hawley@rtwi.com
AMERICAN FIRE & CASUALTY INSURANCE COMAPNY

NAME:
TODD GANCARZ, UNIT LEADER
ADDRESS:
5062 BRITTONFIELD PARKWAY,

E. SYRACUSE, NY 13057
315-431-6131
FAX #:
800-526-0681
E-MAIL:
todd.gancarz@peerless-ins.com
KAREN PEINKOFER, UNIT LEADER

5062 BRITTONFIELD PARKWAY
315-431-6322
FAX #:
800-526-0681
E-MAIL:
Karen.Peinkofer@peerless-ins.com
E-MAIL:
Brian.Dooley@zurichna.com
E-MAIL:
Ronald.Tanelli@zurichna.com
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY

NAME:
BRIAN M. DOOLEY, ASST. VICE PRESIDENT
ADDRESS:
300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C,

PARSIPPANY, NJ 07054
973-394-5281
FAX #:
973-394-5260
TEL #:
NAME:
RONALD TANELLI, TEAM MANAGER
ADDRESS:
300 INTERPACE PARKWAY, MORRIS CORPORATE 1, BLDG. B/C

973-394-5242
FAX #:
973-394-5260
TEL #:
AMERICAN HOME ASSURANCE COMPANY

NAME:
JANICE MOORE, ASSISTANT VICE PRESIDENT
ADDRESS:

302-765-1635
TEL #:
FAX #:
302-765-1806

NAME:
ADDRESS:

302-765-1629
TEL #:
FAX #:
302-765-1806
E-MAIL:
888-255-9157
E-MAIL:
E-MAIL:
E-MAIL:
E-MAIL:
ronald.Tanelli@zurichna.com
E-MAIL:
terry.smith@compservicesinc.com
866-441-5329
E-MAIL:
mark.morrone@compservicesinc.com
AMERICAN INSURANCE COMPANY

NAME:
ADDRESS:

ALPHARETTA GA 30022
678-393-4016
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:

678-393-4057
FAX #:
888-864-1453
AMERICAN ZURICH INSURANCE COMPANY

NAME:
ADDRESS:

973-394-5281
FAX #:
973-394-5260
TEL #:
NAME:
RONALD TANELLI, TEAM MANAGER
ADDRESS:

973-394-5242
FAX #:
973-394-5260
TEL #:
AMERIHEALTH CASUALTY INSURANCE COMPANY

NAME:
TERRY SMITH, MANAGER OF NJ OPERATIONS
ADDRESS:
TEL #:
8000 MIDLANTIC DRIVE, SUITE 410N,

MT. LAUREL, NJ 08054
856-380-6530
FAX #:
NAME:
MARK MORRONE, SENIOR CLAIMS REPRESENTATIVE
ADDRESS:
8000 MIDLANTIC DRIVE, SUITE 410N

856-380-6531
FAX #:
TEL #:
866-441-5329
AMERISURE INSURANCE COMPANY

NAME:
LAURA PIERMAN, CLAIMS MANAGER
ADDRESS:
26777 HALSTED,
FARMINGTON HILLS, MI 48331
TEL #:
248-615-9000 ext. 58385
248-615-8372
E-MAIL:
LPierman@amerisure.com
NAME:
ADDRESS:
MICHAEL HEARSCH, CLAIMS SUPERVISOR

26777 HALSTED
FAX #:
248-615-8602
248-615-9000 ext. 58634
E-MAIL:
MHearsch@amerisure.com
TEL #:
FAX #:

AMERISURE MUTUAL INSURANCE COMPANY

NAME:
LAURA PIERMAN, CLAIMS MANAGER
ADDRESS:
26777 HALSTED,
TEL #:
248-615-9000 ext. 58385
248-615-8372
E-MAIL:
LPierman@amerisure.com
NAME:
ADDRESS:
MICHAEL HEARSCH, CLAIMS SUPERVISOR

26777 HALSTED
FAX #:
248-615-8602
248-615-9000 ext. 58634
E-MAIL:
mhearsh@amerisure.com
TEL #:
FAX #:
AMERITRUST INSURANCE CORPORATION

NAME:
LINDA FEATHERNGILL, WC CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 5086,

SOUTHFIELD, MI 48086
248-204-8149
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
248-692-0432
E-MAIL:
Linda.Featherngill@Meadowbrook.com
RANDY LESTER, CLAIMS MANAGER

P.O. BOX 5086
SOUTHFIELD, MI 48086
248-204-8563
FAX #:
248-281-5370
E-MAIL:
Randy.Lester@Meadowbrook.com
E-MAIL:
hugh.spiegelman@guard.com
E-MAIL:
diana.mongo@guard.com
AMGUARD INSURANCE COMPANY

NAME:
HUGH SPIEGELMAN, CLAIMS SUPERVISOR
ADDRESS:
GUARD INSURANCE GROUP, P.O. BOX 1368,

WILKES BARRE, PA 18703
800-673-2465
FAX #:
570-825-0611
TEL #:
NAME:
DIANA DUDA MONGO, STAFF ATTORNEY
ADDRESS:
GUARD INSURANCE GROUP, 110 SOUTH JEFFERSON ROAD

WHIPPANY, NJ 07981
609-332-9019
FAX #:
570-825-2152
TEL #:
AMSTED INDUSTRIES, INC.

NAME:
ROB GOULD, HUMAN RESOURCES MANAGER
ADDRESS:
1100 WEST FRONT STREET,

FLORENCE, NJ 08518
609-499-7143
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
609-499-1541
E-MAIL:
rgould@griffinpipe.com
JOHN GEANEY, ATTORNEY

8000 MIDLANTIC DRIVE, SUITE 300S
856-234-6800
FAX #:
856-235-2786
E-MAIL:
jgeaney@capehart.com
404-682-3613
E-MAIL:
edeits@archinsurance.com
ARCH INSURANCE COMPANY

NAME:
CHASE W DEITS, CPCU, ARM, AIC
ADDRESS:
1125 SANCTUARY PKWY, SUITE 200,

404-682-4318
FAX #:
TEL #:

NAME:
ADDRESS:
TEL #:
PAUL MILOSCIA, VP, CLAIMS

ONE LIBERTY PLAZA, 53RD FLOOR
NEW YORK, NY 10006
646-344-8534
FAX #:
212-651-6499
E-MAIL:
pmiloscia@archinsurance.com
309-690-3920
E-MAIL:
mbrands@argogroupus.com
MELINDA SEILER, REGIONAL CLAIMS DIRECTOR

8325 N. ALLEN RD., SUITE B
PEORIA, IL 61615
309-690-3901
FAX #:
309-690-3920
E-MAIL:
mseiler@argogroupus.com
309-690-3920
E-MAIL:
mbrands@argogroupus.com
MELINDA SEILER, REGIONAL CLAIMS DIRECTOR

8325 N. ALLEN RD., SUITE B
PEORIA, IL 61615
309-690-3901
FAX #:
309-690-3920
E-MAIL:
mseiler@argogroupus.com
585-264-3410
E-MAIL:
julie.duncan@sedgwickcms.com
MARIANNE PEIKHAM, CLAIMS SUPERVISOR

350 LINDEN OAKS
ROCHESTER, NY 14625
585-264-3497
FAX #:
585-264-3410
E-MAIL:
marianne.peikham@sedgwickcms.com
E-MAIL:
lori.williams@atlantichealth.org
E-MAIL:
sfanon@capehart.com
ARGONAUT INSURANCE COMPANY

NAME:
MARILYN BRANDS, VP OF WORKERS' COMPENSATION CLAIMS
ADDRESS:
100 MARINE PARKWAY,

REDWOOD CITY, CA 94605
650-508-5403
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
ARGONAUT-MIDWEST INSURANCE COMPANY

NAME:
MARILYN BRANDS, VP OF WORKERS' COMPENSATION CLAIMS
ADDRESS:
100 MARINE PARKWAY,

REDWOOD CITY, CA 94605
650-508-5403
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
AT&T CORPORATION
NAME:
JULIE DUNCAN, CLAIMS SUPERVISOR
ADDRESS:
350 LINDEN OAKS,

ROCHESTER, NY 14625
585-264-3496
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
ATLANTIC HEALTH SYSTEMS INC & SUBS

NAME:
LORI WILLIAMS, ESQ., ATTORNEY
ADDRESS:
475 SOUTH STREET, P.O. BOX 1905,
TEL #:
MORRISTOWN NJ 07962-1905
973-660-3552
FAX #:
973-360-0540
NAME:
STEPHEN T FANNON
ADDRESS:
8000 MIIDLANTIC DR, STE 300, LAUREL CORPORATE CENTER

MT LAUREL NJ 08054
856-914-2065
FAX #:
856-439-3168
TEL #:

ATLANTIC STATES CAST IRON PIPE CO.

NAME:
ELIZABETH KUNIGUS, WORKERS' COMP. ADMINISTRATOR
ADDRESS:
183 SITGREAVES STREET,

PHILLIPSBURG, NJ 08865
TEL #:
908-454-1161 ext. 276
NAME:
ADDRESS:
HEATHER KNIGHTEN, ACCOUNTANT

2900 HWY. 280, SUITE 300
BIRMINGHAM, AL 35223
205-414-3110
FAX #:
TEL #:
FAX #:
908-878-0877
E-MAIL:
elizabeth.kunigus@atlanticstates.com
205-414-3170
E-MAIL:
hknighten@mcwane.com
ATLANTICARE REGIONAL MEDICAL CENTER

NAME:
TRUDY MANDIA, RN,CCM,CWCP, SR. MANAGER, WC DEPARTMENT
ADDRESS:
2500 ENGLISH CREEK AVENUE, ATLANTICARE HEALTH PARK BLDG. 600,

EGG HARBOR TOWNSHIP, NJ 08234
609-407-2881
FAX #:
609-272-6344
E-MAIL:
TEL #:
NAME:
PAT BITZER, W.C. SPECIALIST
ADDRESS:
2500 ENGLISH CREEK AVENUE, ATLANTICARE HEALTH PARK, BLDG. 600

EGG HARBOR TOWNSHIP, NJ 08234
609-407-2382
FAX #:
609-272-6344
E-MAIL:
TEL #:
trudy.mandia@atlanticare.org
patricia.bitzer@atlanticare.org
BANCROFT NEUROHEALTH, INC.

NAME:
TONY DIBARTOLLO, V.P. HUMAN RESOURCES
ADDRESS:
800 NO. KINGS HWY., SUITE 305,

CHERRY HILL, NJ 08034
FAX #:
856-667-7397 ext. 1195
856-348-1219
E-MAIL:
Tdibartolo@bnh.org
MICHAEL SALERNO, ADMINISTRATOR

330 MILLTOWN ROAD, SUITE E-11
EAST BRUNSWICK, NJ 08816
732-613-1600
FAX #:
732-613-9328
E-MAIL:
Mikesal226@aoc.com
E-MAIL:
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
BANKERS STANDARD INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:

302-476-7255
FAX #:
NAME:
ADDRESS:

302-476-7822
FAX #:
TEL #:
302-476-7858
302-476-7858
BARNABAS HEALTH INC

NAME:
DAVID A. MEBANE, ESQ., SR. V.P. FOR LEGAL AFFAIRS - CHIEF LEGAL OFFICER
ADDRESS:
95 OLD SHORT HILLS ROAD,

WEST ORANGE, NJ 07052
973-322-4042
TEL #:
FAX #:
973-322-4040
NAME:
CARYL RUSSO, SR. VICE PRESIDENT, CORPORATE CARE
ADDRESS:
KIMBALL MEDICAL CENTER, 600 RIVER AVENUE

LAKEWOOD, NJ 08701
732-557-7074
FAX #:
732-557-7165
TEL #:
E-MAIL:
dmebane@barnabashealth.org
E-MAIL:
crusso@barnabashealth.org

BATH & BODY WORKS, INC.

NAME:
INNAH DULAY, CASE MANAGEMENT CONSULTANT
ADDRESS:
4 LIMITED PARKWAY,
REYNOLDSBURG, OH 43068
614-577-6450
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
614-577-3959
E-MAIL:
Idulay@limitedbrands.com
SUSAN MANOS, SUPERVISOR CASE MANAGEMENT

4 LIMITED PARKWAY
614-577-6436
FAX #:
614-577-3306
E-MAIL:
smanos@limitedbrands.com
E-MAIL:
vabrams@qualcareinc.com
BERGEN REGIONAL MEDICAL CENTER

NAME:
VIKI ABRAMS, CLAIMS EXAMINER
ADDRESS:
TEL #:
QUALCARE, P.O. BOX 309,

PISCATAWAY, NJ 08855
732-465-6320
NAME:
PRIMO SISCO, BENEFITS COORDINATOR
ADDRESS:
BERGEN REGIONAL MEDICAL CENTER, 230 EAST RIDGEWOOD AVENUE

PARAMUS, NJ 07652
201-225-6736
FAX #:
201-967-4109
E-MAIL:
TEL #:
FAX #:
732-465-7355
psisco@bergenregional.com
BERKLEY NATIONAL INSURANCE COMPANY

NAME:
ROBERT BUEHLER, ASSISTANT SECRETARY
ADDRESS:
215 SHUMAN BLVD., SUITE 200,

NAPERVILLE, IL 60563
630-210-0359
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
630-210-0377
E-MAIL:
rbuehler@wrberkley.com
PATRICIA PETERS, REGULATORY ADMINISTRATOR

215 SHUMAN BLVD., SUITE 200
NAPERVILLE, IL 60563
630-210-0359
FAX #:
630-210-0377
E-MAIL:
ppeters@wrberkley.com
BERKLEY REGIONAL INSURANCE COMPANY

NAME:
JOHN THELAN, ASSISTANT SECRETARY
ADDRESS:
11201 DOUGLAS AVENUE,

URBANDALE, IA 50322
515-473-3338
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
515-473-3015
E-MAIL:
bricinsdept@cwgins.com
GREG KENDRICK, LEGAL ASSISTANT

11201 DOUGLAS AVENUE
URBANDALE, IA 50322
515-473-3357
FAX #:
515-473-3015
E-MAIL:
bricinsdept@cwgins.com
BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO (FMLY CORNHUSKERS CASUALTY)

NAME:
KATHLEEN KOESTER-HOLT, CLAIMS SUPERVISOR
ADDRESS:
BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, P.O. BOX 881716,

SAN FRANCISCO, CA 94188
800-661-6029
FAX #:
415-675-5469
E-MAIL:
kholt@bhhc.com
TEL #:

NAME:
NICOLE ALBRECHT, CLAIMS MANAGER
ADDRESS:
BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, P.O. BOX 881716

SAN FRANCISCO, CA 94188
800-661-6029
FAX #:
415-675-5469
E-MAIL:
TEL #:
nalbrecht@bhhc.com
BEST FOODS/CPC
NAME:
MICHELL LARGMANN, FINANCIAL ANALYST
ADDRESS:
UNILEVER U.S. INC., 700 SYLVAN AVENUE,

ENGLEWOOD CLIFFS, NJ 07632
201-894-2802
FAX #:
--
TEL #:
NAME:
SAM MALIK, ASSOCIATE FINANCE MANAGER
ADDRESS:
UNILEVER U.S. INC., 700 SYLVAN AVENUE

ENGLEWOOD CLIFFS, NJ 07632
201-894-7489
FAX #:
--
TEL #:
E-MAIL:
michell.largmann@unilever.com
E-MAIL:
sam.malik@unilever.com
E-MAIL:
Kimberly_Stehle@gbtpa.com
E-MAIL:
Mary_Fitzgerald@gbtpa.com
E-MAIL:
dbenzinger@brotherhoodmutual.com
E-MAIL:
droesener@brotherhoodmutual.com
E-MAIL:
tnapier@sciadvantage.com
E-MAIL:
lderouin@sciadvantage.com
BON SECOURS HEALTH SYSTEM INC. & SUBS

NAME:
KIM STEHLE, SR. CLAIM REPRESENTATIVE
ADDRESS:
GALLAGHER BASSETT SERVICES, 3300 VICKERY ROAD,

NORTH SYRACUSE, NY 13212
315-484-5852
FAX #:
--
TEL #:
NAME:
MARY BETH FITZGERALD, BRANCH MANAGER
ADDRESS:
GALLAGHER BASSETT SERVICES, 3300 VICKERY ROAD

NORTH SYRACUSE, NY 13212
315-484-5836
FAX #:
--
TEL #:
BROTHERHOOD MUTUAL INSURANCE COMPANY

NAME:
DEBBIE BENZINGER, SR. MANAGER, WC CLAIMS
ADDRESS:
6400 BROTHERHOOD WAY, P.O. BOX 2227,
TEL #:
FORT WAYNE, NJ 46801-2227

260-482-8668
NAME:
DAVID ROESENER, REGULATORY AND COMPLIANCE DIRECTOR
ADDRESS:
6400 BROTHERHOOD WAY, P.O. BOX 2227
TEL #:
FORT WAYNE, NJ 46801-2227

260-482-8668
FAX #:
FAX #:
260-482-3589
260-483-7525
CAMDEN, RC DIOCESE OF
NAME:
PATRICIA NAPIER, SR. WC CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 500,

SOMERS POINT, NJ 08244-0500
TEL #:
800-367-0138 ext. 2046
NAME:
ADDRESS:
LINDA DEROUIN, LITIGATED SUPERVISOR

P.O. BOX 500
TEL #:
800-367-0138 ext. 2058
FAX #:
609-926-8038

FAX #:
609-926-8038

CAPE REGIONAL MEDICAL CENTER

NAME:
MICHAEL MORLEY, V.P. RISK MANAGEMENT
ADDRESS:
TEL #:
2 SONE HARBOR BLVD.,

CAPE MAY COURT HOUSE, NJ 08210
609-463-2273
FAX #:
NAME:
PATRICIA NAPIER, SENIOR CLAIMS ANALYST
ADDRESS:
SCIBAL INSURANCE GROUP, P.O. BOX 500

SOMERS POINT, NJ 08244
609-653-8400
FAX #:
--
TEL #:
609-465-9391
E-MAIL:
mmorley@caperegional.com
E-MAIL:
pnapier@scibal.com
E-MAIL:
LZobler@berkleynet.com
CAROLINA CASUALTY INSURANCE COMPANY

NAME:
LORI ZOBLER, DIRECTOR OF CLAIMS
ADDRESS:
TEL #:
2445 KUSER RD, STE 201,

HAMILTON NJ 08690
609-584-4563
NAME:
JOHN BURKE, SR VP AND CHIEF CLAIMS OFFICER
ADDRESS:
BERKLEYNET UNDERWRITERS LLC, 12701 MARBLESTONE DRIVE, SUITE 250

WOODBRIDGE VA 22192
703-586-6304
FAX #:
866-790-2220
E-MAIL:
TEL #:
FAX #:
866-921-7316
JBurke@berkleynet.com
CASTLEPOINT INSURANCE COMPANY

NAME:
LAURA DANIELS, WC SUPERVISOR
ADDRESS:
TEL #:
225 BROADHOLLOW ROAD, SUITE 410E,

MELVILLE, NY 11747
631-465-1429
FAX #:
NAME:
DEBORAH KREMER, WC SUPERVISOR
ADDRESS:
225 BROADHOLLOW ROAD, SUITE 410E

MELVILLE, NY 11747
631-465-1443
FAX #:
TEL #:
631-465-1425
E-MAIL:
ldaniels@twrgrp.com
631-465-1425
E-MAIL:
dkremer@twrgrp.com
E-MAIL:
tkaragjiozi@twrgrp.com
CASTLEPOINT NATIONAL INSURANCE COMPANY

NAME:
TIM KARAGJIOZI, SR. HOME OFFICE CLAIM ANALYST
ADDRESS:
3 HUNTINGTON QUAD, SUITE 2015,

MELVILLE, NY 11747
631-465-1440
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
631-532-1815
PHILIP KOZELETZ, ASST. VICE PRESIDENT, BRANCH CLAIM MANAGER

3 HUNTINGTON QUAD, SUITE 2015
MELVILLE, NY 11747
631-465-1385
FAX #:
888-291-6262
E-MAIL:
pkozeletz@twrgrp.com
CBS BROADCASTING INC

NAME:
STEPHANIE GROSSBERG, DIRECTOR - RISK MANAGEMENT
ADDRESS:
51 W. 52ND STREET,
NEW YORK, NY 10019
212-975-8971
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
212-597-4163
E-MAIL:
stephanie.grossberg@cbs.com
DAVID RICHARDSON, VICE PRESIDENT - CLAIMS

ONE UNION PLAZA
NEW LONDON, CT 06320
860-447-0048
FAX #:
860-442-0076
E-MAIL:
drichardson@murphybeane.com

CBS CORPORATION
NAME:
ADDRESS:
51 W. 52ND STREET,
NEW YORK, NY 10019
212-975-8971
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
212-597-4163
E-MAIL:
EUGENE J. MELLEVOLD, VICE PRESIDENT

51 W. 52ND STREET
NEW YORK, NY 10019
212-975-8960
FAX #:
212-597-4163
E-MAIL:
gene.mellevold@cbs.com
212-597-4163
E-MAIL:
E-MAIL:
DRICHARDSON@MURPHYBEANE.COM
212-597-4163
E-MAIL:

ONE UNION PLAZA
860-447-0048
FAX #:
860-442-0076
E-MAIL:
404-654-4958
E-MAIL:
Tistark@gapac.com
--
E-MAIL:
eawynach@gapac.com
E-MAIL:
MMUIROCO@travelers.com
E-MAIL:
ttice@travelers.com
CBS OUTDOOR GROUP INC

NAME:
STEPHANIE GROSSBERG, DIRECTOR, RISK MANAGEMENT
ADDRESS:
TEL #:
51 W. 52ND STREET,
NEW YORK, NY 10019
212-975-8971
NAME:
DAVE RICHARDSON, VP - CLAIMS
ADDRESS:
MURPHY AND BEANE, ONE UNION PLAZA

FAX #:
860-442-0076
860-447-0048 ext. 240
TEL #:
FAX #:
CBS OUTDOOR INC

NAME:
ADDRESS:
51 W. 52ND STREET,
NEW YORK, NY 10019
212-975-8971
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
CECORR INC
NAME:
TIM B STARKS, SR. WC MANAGER
ADDRESS:
133 PEACHTREE STREET, NE,

ATLANTA, GA 30303
404-652-4642
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
LIZ WYNACHT, MANAGER - WC

1333 PEACHTREE STREET, NE
ATLANTA, GA 30303
404-652-4640
FAX #:
CHARTER OAK FIRE INSURANCE COMPANY

NAME:
MARGARET MUIR-O'CONNOR, FIELD PRODUCT LINE MANAGER
ADDRESS:
TRAVELERS INSURANCE COMPANIES, INC., 445 SOUTH STREET,
TEL #:
MORRISTOWN, NJ 07960-190
973-631-3063
NAME:
TROY TICE, DIRECTOR OF OPERATIONS
ADDRESS:
TRAVELERS INSURANCE COMPANIES, INC., 445 SOUTH STREET
TEL #:
973-631-3099
FAX #:
FAX #:
877-786-5568
877-786-5568

CHEROKEE INSURANCE COMPANY

NAME:
SCOTT PHILLIPS, CLAIM REPRESENTATIVE
ADDRESS:
P.O. BOX 159,

WARREN, MI 48090
TEL #:
800-201-0450 ext. 3438
586-939-8720
E-MAIL:
sphillips@cherokeeinsurance.com
NAME:
ADDRESS:
LAURA BOOTH, CLAIM REPRESENTATIVE

P.O. BOX 159
WARREN, MI 48090
FAX #:
586-939-8720
800-201-0450 ext. 3411
E-MAIL:
lbooth@cherokeeinsurance.com
E-MAIL:
asherbert@chubb.com
E-MAIL:
cfarina@chubb.com
715-539-4651
E-MAIL:
dseiser@churchmutual.com
TEENA NOVOTNY, CLAIMS SUPERVISOR, WC

P.O. BOX 342
MERRILL, WI 54452
715-539-4912
FAX #:
715-539-4651
E-MAIL:
tnovotny@churchmutual.com
TEL #:
FAX #:
CHUBB INDEMNITY INSURANCE COMPANY

NAME:
ANDY HERBERT, CLAIMS SUPERVISOR
ADDRESS:
TEL #:
15 MOUNTAIN VIEW ROAD, P.O. BOX 1616,

WARREN, NJ 07059
908-903-5551
FAX #:
908-903-5537
NAME:
CRAIG FARINA, CLAIMS MANAGER
ADDRESS:
15 MOUNTAIN VIEW ROAD, P.O. BOX 1616

WARREN, NJ 07059
908-903-5517
FAX #:
908-903-5537
TEL #:
CHURCH MUTUAL INSURANCE COMPANY

NAME:
DAVID A SEISER, CLAIM MANAGER, WC
ADDRESS:
P.O. BOX 342,

MERRILL, WI 54452
715-539-4626
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
CINCINNATI CASUALTY COMPANY

NAME:
DEREK NEHIL, UNIT MANAGER
ADDRESS:
YORK RISK SERVICES GROUP, P.O. BOX 183188,

COLUMBUS, OH 43218
609-807-9387
FAX #:
609-689-0632
E-MAIL:
derek.nehil@yorkrsg.com
TONI POSTELL, SUPERINTENDENT

P.O. BOX 145496
CINCINNATI, OH 45250
513-603-5583
FAX #:
513-371-7339
E-MAIL:
toni_postell@cinfin.com
NAME:
ADDRESS:

COLUMBUS, OH 43218
609-807-9387
FAX #:
609-689-0632
E-MAIL:

P.O. BOX 145496
513-603-5583
FAX #:
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
CINCINNATI INDEMNITY COMPANY
TEL #:
NAME:
ADDRESS:
TEL #:
513-371-7339

CINCINNATI INSURANCE COMPANY

NAME:
ADDRESS:

COLUMBUS, OH 43218
609-807-9387
FAX #:
609-689-0632
TEL #:
E-MAIL:
E-MAIL:
E-MAIL:
dgermain@hanover.com
E-MAIL:
moflanagan@hanover.com
973-940-1852
E-MAIL:
ksayre@risksolutions.com
APRIL GRANGER, CLAIMS REPRESENTATIVE

P.O. BOX 68
NEWTON, NJ 07860
973-940-1851
FAX #:
973-940-1852
E-MAIL:
agranger@risksolutions.com
E-MAIL:
E-MAIL:
E-MAIL:
Terry.Smith@compservicesinc.com
E-MAIL:
Mark.Morrone@compservicesinc.com
NAME:
ADDRESS:
CINCINNATI INSURANCE COMPANY, P.O. BOX 145496

513-603-5583
FAX #:
513-371-7339
TEL #:
CITIZENS INSURANCE COMPANY OF AMERICA

NAME:
DANIEL GERMAIN, UNIT MANAGER
ADDRESS:
HANOVER INSURANCE, 440 LINCOLN STREET,

WORCESTER, MA 01615
508-855-5360
FAX #:
508-635-1064
TEL #:
NAME:
MOLLY FLANAGAN, AVP WORK COMP
ADDRESS:
HANOVER INSURANCE, 440 LINCOLN STREET

WORCESTER, MA 01615
800-628-0250
FAX #:
508-926-1929
TEL #:
COLONIAL CONCRETE CO & SUBS

NAME:
KAREN SAYRE, ADMINISTRATIVE ASST.
ADDRESS:
P.O. BOX 68,

NEWTON, NJ 07860
973-940-1851
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
COMMERCE & INDUSTRY INSURANCE COMPANY

NAME:
JANICE MOORE, ASSISTANT VICE PRESIDENT
ADDRESS:
TEL #:

302-765-1635
NAME:
ADDRESS:

302-765-1629
TEL #:
FAX #:
FAX #:
302-765-1806
302-765-1806
COMPANION PROPERTY & CASUALTY INSURANCE COMPANY

NAME:
TERRY SMITH, MANAGER OF NJ OPERATIONS
ADDRESS:
TEL #:
8000 MIDLANTIC DRIVE, SUITE 410N,

856-380-6530
FAX #:
NAME:
MARK MORRONE, SENIOR CLAIMS REPRESENTATIVE
ADDRESS:
8000 MIDLANTIC DRIVE, SUITE 410N

856-380-6531
FAX #:
TEL #:
866-441-5329
866-441-5329

CONAGRA FOODS INC AND SUBS

NAME:
BRENDA MCGOWEN, SR. FINANCIAL ANALYST
ADDRESS:
TEL #:
CONAGRA FOODS, INC., ONE CONAGRA DRIVE, 1-220,

OMAHA, NE 68102
402-240-5282
FAX #:
402-930-4564
NAME:
EMILY JONES, FINANCIAL ANALYST
ADDRESS:
CONAGRA FOODS, INC., ONE CONAGRA DRIVE 1-220

OMAHA, NE 68102
402-240-5964
FAX #:
402-917-9509
TEL #:
E-MAIL:
brenda.mcgowen@conagrafoods.com
E-MAIL:
emily.jones@conagrafoods.com
E-MAIL:
diane.weber@cna.com
CONTINENTAL CASUALTY COMPANY (CNA)

NAME:
ADDRESS:

READING, PA 19601
610-320-4254
TEL #:
FAX #:
312-260-6876
NAME:
ADDRESS:

CHICAGO, IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
E-MAIL:
FAX #:
877-234-4425
E-MAIL:
ekennedy@auw.com
PETER GUNN, CLAIMS MANAGER

P.O. BOX 3804
OMAHA, NE 68103
877-234-4420
FAX #:
877-234-4425
E-MAIL:
pgunn@auw.com
312-260-6876
E-MAIL:
diane.weber@cna.com
CONTINENTAL INDEMNITY COMPANY

NAME:
ERIC KENNEDY, UNIT SUPERVISOR
ADDRESS:
P.O. BOX 3804,

OMAHA, NE 68103
877-234-4420
TEL #:
NAME:
ADDRESS:
TEL #:
CONTINENTAL INSURANCE COMPANY

NAME:
ADDRESS:

READING, PA 19601
610-320-4254
TEL #:
FAX #:
NAME:
ADDRESS:

CHICAGO IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
E-MAIL:
E-MAIL:
diane.weber@cna.com
CONTINENTAL INSURANCE COMPANY OF NEW JERSEY

NAME:
ADDRESS:
TEL #:

READING, PA 19601
610-320-4254
NAME:
ADDRESS:

CHICAGO, IL 60604
312-822-4751
FAX #:
TEL #:
FAX #:
312-260-6876
312-260-6320
E-MAIL:

COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER

NAME:
MARYANN MIKULICH, BENEFITS SPECIALIST
ADDRESS:
COOPER UNIVERSITY HOSPITAL, 3 COOPER PLAZA, SUITE 500,

CAMDEN, NJ 08103
856-342-2375
FAX #:
856-968-8519
TEL #:
E-MAIL:
NAME:
KATHLEEN VONDER HAYDEN, ADMIN. DIRECTOR OF HUMAN RESOURCES
ADDRESS:
COOPER UNIVERSITY HOSPITAL, 3 COOPER PLAZA, SUITE 500

CAMDEN, NJ 08103
856-342-3057
FAX #:
856-968-8519
TEL #:
mikulich-maryann@cooperhealth.edu
E-MAIL:
vonderhayden-k@cooperhealth.edu
E-MAIL:
njmotions@sedgwickcms.com
215-231-3800
E-MAIL:
856-455-8468
E-MAIL:
kmailley@cumberlandgroup.com
FAX #:
856-455-8468
E-MAIL:
NBano@cumberlandgroup.com
COSTCO WHOLESALE CORPORATION

NAME:
EDWARD W FRITSCH, CLAIMS SUPERVISOR
ADDRESS:
SCMS, P.O. BOX 14517,
TEL #:
LEXINGTON, KY 40512-4517
215-231-3804
NAME:
MICKEY PINEIRO, WORKERS' COMP MANAGER
ADDRESS:
SCMS, P.O. BOX 14517
TEL #:
LEXINGTON, KY 40512-4517
215-231-3908
FAX #:
FAX #:
215-231-3800
CUMBERLAND INSURANCE COMPANY

NAME:
KEN MAILLEY, CLAIMS MANAGER
ADDRESS:
TEL #:
633 SHILO PIKE, P.O. BOX 556,

BRIDGETON, NJ 08302
856-451-4050
FAX #:
NAME:
NICOLE BANO, OPERATIONS MANAGER
ADDRESS:
633 SHILO PIKE, P.O. BOX 556

BRIDGETON, NJ 08302
856-451-4050
TEL #:
CVS/CAREMARK CORPORATION
NAME:
LISA HOUDE, WC EXAMINER
ADDRESS:
ONE CVS DRIVE,

WOUNSOCKET, RI 02895
TEL #:
401-765-1500 ext. 7889
FAX #:
401-770-5244
E-MAIL:
emhoude@cvs.com
NAME:
ADDRESS:
JOCELYN RUSHEY, WC MANAGER

ONE CVS DRIVE
WOUNSOCKET, RI 02895
FAX #:
401-765-1500 ext. 7895
401-770-5244
E-MAIL:
jmbushey@cvs.com
E-MAIL:
None provided
TEL #:
DAVIDS BRIDAL INC

NAME:
MARGARET MUIR-O'CONNOR, WC FIELD PRODUCT LINE MANAGER
ADDRESS:
P.O. BOX 1900,

MORRISTOWN, NJ 07962
973-631-3063
TEL #:
FAX #:
866-870-3512

DCH AUTO GROUP INC & SUBS

NAME:
JOHN BRUTHER, CFO
ADDRESS:
955 ROUTE 9 NORTH,

SOUTH AMBOY, NJ 08879
732-727-9168
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
732-727-8373
E-MAIL:
jbruther@dchusa.com
GENE HALLENBECK, VP OF HUMAN RESOURCES

955 ROUTE 9 NORTH
SOUTH AMBOY, NJ 08879
732-727-7692
FAX #:
732-727-8373
E-MAIL:
ghallenbeck@dchusa.com
704-645-4174
E-MAIL:
roderick.back@delhaize.com
704-645-4152
E-MAIL:
jan.pinion@delhaize.com
FAX #:
615-855-5114
E-MAIL:
dsteffes@dollargeneral.com
CHAD DAVIS, ACCOUNT EXECUTIVE

5000 BRADENTON AVENUE
DUBLIN OH 43017
614-766-8732
FAX #:
614-932-8688
E-MAIL:
cdavis@avizentrisk.com
DELHAIZE AMERICA LLC

NAME:
ROD BACK, CLAIMS MANAGER
ADDRESS:
P.O. BOX 2527,

SALISBURY, NC 28145
704-310-4605
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
JAN PINION, LITIGATION SPECIALIST

P.O. BOX 2527
SALISBURY, NC 28145
704-310-3529
FAX #:
DOLGENCORP, INC.
NAME:
DAVID STEFFES, SR.ANALYST
ADDRESS:
100 MISSION RIDGE,

GOODLETTSVILLE, TN 37072
615-855-5145
TEL #:
NAME:
ADDRESS:
TEL #:
E.I. DUPONT DE NEMOURS & COMPANY

NAME:
BRUCE D PEIFFER, TEAM MANAGER
ADDRESS:
BROADSPIRE, A CRAWFORD COMPANY, CONNELL CORPORATE CTR. III, 3 OAK WAY, P.O. BOX 608
BERKELEY HEIGHTS, NJ 07922
908-508-4890
FAX #:
908-508-4850
E-MAIL:
bpeiffer@choosebroadspire.com
TEL #:
NAME:
CAROLE A CARR, TREASURY SPECIALIST
ADDRESS:
E.I. SUPONT DE NEMOURS AND CO., 1007 MARKET STREET, D8065

302-773-6473
FAX #:
302-773-3428
TEL #:
E-MAIL:
carole.a.carr@usa.dupont.com
EASTERN ADVANTAGE ASSURANCE COMPANY

NAME:
ADDRESS:
25 RACE AVENUE,
LANCASTER, PA 17603
TEL #:
855-533-3444 ext. 1651
717-481-7170
E-MAIL:
kchapman@eains.com
NAME:
ADDRESS:

25 RACE AVENUE
LANCASTER, PA 17603
FAX #:
717-481-8214
855-533-3444 ext. 1645
E-MAIL:
thooper@eains.com
TEL #:
FAX #:

EASTERN ALLIANCE INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:
EASTERN ALLIANCE INSURANCE GROUP, 25 RACE AVENUE,

LANCASTER, PA 17603
FAX #:
717-481-7070
855-533-3444 ext. 1651
NAME:
ADDRESS:
EASTERN ALLIANCE INSURANCE GROUP, 25 RACE AVENUE

LANCASTER, PA 17603
FAX #:
717-481-8214
855-533-3444 ext. 1645
TEL #:
E-MAIL:
kchapman@eains.com
E-MAIL:
thooper@eains.com
E-MAIL:
E-MAIL:
EASTGUARD INSURANCE COMPANY

NAME:
ADDRESS:

800-673-2465
FAX #:
570-825-0611
TEL #:
NAME:
ADDRESS:

WHIPPANY, NJ 07981
609-332-9019
FAX #:
570-825-2152
TEL #:
ELECTRIC INSURANCE COMPANY

NAME:
PAT NICKEL, ADJUSTER
ADDRESS:
GE WC REGIONALSERVICE CENTER, 1 CORPORATE PLAZA, SUITE 104, 260 WASHINGTON STREET EXT.
ALBANY, NY 12212
518-218-2207
FAX #:
978-232-1907
E-MAIL:
Pat.Nickel@electricinsurance.com
TEL #:
NAME:
ADDRESS:
TEL #:
JULIE KIELY, SPECIAL LITIGATION MANAGER

75 SAM FONZO DRIVE
BEVERLY, MA 01915
978-524-5291
FAX #:
978-236-5291
E-MAIL:
julie.kiely@electricinsurance.com
EMPLOYERS MUTUAL CASUALTY COMPANY

NAME:
JAMES N ZEIGLER, BRANCH CLAIMS MANAGER
ADDRESS:
1610 MEDICAL DRIVE, SUITE 205,

POTTSTOWN, PA 19464
610-427-6203
FAX #:
610-327-6857
E-MAIL:
James.N.Zeigler@EMCIns.com
CATHY BROWN, CLAIMS SUPERVISOR

1610 MEDICAL DRIVE, SUITE 205
POTTSTOWN, PA 19464
610-427-6208
FAX #:
610-327-6857
E-MAIL:
Cathy.M.Brown@EMCIns.com
208-424-7471
E-MAIL:
dmacy@employers.com
KATHRYN WHETSONE, VP, REGIONAL CLAIMS

851 TRAFALGAR COURT, SUITE 400E
MAITLAND, FL 32751
407-221-7816
FAX #:
702-671-7881
E-MAIL:
kwhetstone@employers.com
TEL #:
NAME:
ADDRESS:
TEL #:
EMPLOYERS PREFERRED INSURANCE CO

NAME:
DAVID MACY, MANAGER, CLAIMS
ADDRESS:
412 E. PARKCENTER BLVD., SUITE 320,

BOISE, ID 83706
208-424-4703
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:

EVEREST NATIONAL INSURANCE COMPANY

NAME:
ELENA BITNER, CLAIM MANAGER
ADDRESS:
477 MARTINSVILLE ROAD,

LIBERTY CORNER, NJ 07938
908-604-3281
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
908-604-3525
E-MAIL:
elena.bitner@everestre.com
TOM CAREY, CLAIM DIRECTOR

477 MARTINSVILLE ROAD
LIBERTY CORNER, NJ 07938
908-604-3344
FAX #:
908-604-3525
E-MAIL:
tom.carey@everestre.com
EXCELSIOR INSURANCE COMPANY

NAME:
ADDRESS:

EAST SYRACUSE, NY 13057
315-431-6131
FAX #:
800-526-0681
E-MAIL:

315-431-6322
FAX #:
800-526-0681
E-MAIL:
Karen.Peinkofer@peerless-ins.com
703-846-2363
E-MAIL:
john.e.dill@exxonmobile.com
703-846-2362
E-MAIL:
alan.w.rapee@exxonmobil.com
518-533-4569
E-MAIL:
Julile_Lavin@FarmFamily.com
ALICIA HOGAN, HOME OFFICE EXAMINER - WC

344 ROUTE 9W
GLENMONT, NY 12077
518-431-5255
FAX #:
518-391-7698
E-MAIL:
alicia_hogan@farmfamily.com
TEL #:
NAME:
ADDRESS:
TEL #:
EXXONMOBIL RESRCH & ENGINEERING CO

NAME:
JOHN E DILL, CLAIMS SUPERVISOR
ADDRESS:
TEL #:
3225 GALLOWS ROAD, ROOM 2C2126,

FAIRFAX, VA 22037
703-846-2484
FAX #:
NAME:
ALAN W RAPEE, TEAM LEAD
ADDRESS:
3225 GALLOWS ROAD, ROOM 2C1734

FAIRFAX, VA 22037
703-846-7247
FAX #:
TEL #:
FARM FAMILY CASUALTY INSURANCE COMPANY

NAME:
JULIE LAVIN, WC CLAIM MANAGER
ADDRESS:
344 ROUTE 9W,

GLENMONT, NY 12077
518-431-5530
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
FARMERS INSURANCE COMMPANY OF FLEMINGTON

NAME:
PATRICK ALLARD, VICE PRESIDENT - CLAIMS
ADDRESS:
23 ROYAL ROAD, SUITE 100,

FLEMINGTON, NJ 08822
TEL #:
800-842-5032 ext. 104
FAX #:
908-782-6199
E-MAIL:
pallard@farmersofflemington.com
NAME:
ADDRESS:
MELINDA RUSSO, CLAIMS ADJUSTER

P.O. BOX 400
BRANCHVILLE, NJ 07826
973-948-8865
FAX #:
973-948-7190
E-MAIL:
mhawkins@fmiweb.com
TEL #:

FARMERS INSURANCE EXCHANGE

NAME:
GRAHAM CADWALLADER, WC CLAIMS TEAM LEADER
ADDRESS:
FARMERS INSURANCE, P.O. BOX 108843,
TEL #:
OKLAHOMA CITY, OK 73101-8843

630-907-4340
FAX #:
NAME:
MIKE MCCABE, WC CLAIM MANAGER
ADDRESS:
FARMERS INSURANCE, P.O. BOX 108843
TEL #:

630-907-4335
FAX #:
630-907-2428
E-MAIL:
graham.cadwallader@hpcs.com
630-907-2428
E-MAIL:
michael.mccabe@hpcs.com
856-727-3186
E-MAIL:
Melissa_Kuchtyak@pmagroup.com
856-727-3186
E-MAIL:
jim_jordan@pmagroup.com
215-231-3899
E-MAIL:
215-231-3899
E-MAIL:
NAME:
ANDY HERBERG, CLAIMS SUPERVISOR
ADDRESS:
TEL #:

WARREN, NJ 07059
908-903-5551
FAX #:
908-903-5537
E-MAIL:
asherbert@chubb.com
NAME:
ADDRESS:

WARREN, NJ 07059
908-903-5517
FAX #:
908-903-5537
E-MAIL:
cfarina@chubb.com
866-636-8660
E-MAIL:
kkeberhardt@fedins.com
TODD FORBES, REGIONAL CLAIMS MANAGER

P.O. BOX 50487
INDIANAPOLIS, IN 46250
317-849-7550
FAX #:
866-636-8660
E-MAIL:
mtforbes@fedins.com
FARMERS MUTUAL FIRE INSURANCE COMPANY OF SALEM COUNTY

NAME:
MELISSA KUCHTYAK, ADMINISTRATIVE SECRETARY
ADDRESS:
TEL #:
330 FELLOWSHIP ROAD, SUITE 200,

856-727-3015
FAX #:
NAME:
JIM JORDAN, AVP CLAIMS
ADDRESS:
330 FELLOWSHIP ROAD, SUITE 200

856-727-3039
FAX #:
TEL #:
FEDERAL EXPRESS CORP.

NAME:
THOMAS CONSTANCE, CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 37726,
TEL #:
PHILADELPHIA, PA 19101-5026
215-231-3846
FAX #:
NAME:
ADDRESS:
MICKEY PINEIRO, WC CLAIMS MANAGER

P.O. BOX 37726
TEL #:
PHILADELPHIA, PA 19101-5026
215-231-3908
FAX #:
FEDERAL INSURANCE COMPANY
TEL #:
FEDERATED MUTUAL INSURANCE COMPANY

NAME:
KAREN EBERHARDT, CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 50487,

INDIANAPOLIS, IN 46250
317-849-7550
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

FEDEX GROUND PACKAGE SYSTEM, INC.

NAME:
THOMAS DITTOE, MANAGER, WORKERS' COMPENSATION
ADDRESS:
1000 FEDEX DRIVE,
TEL #:
MOON TOWNSHIP, PA 15108-9373

412-747-8318
FAX #:
NAME:
ADDRESS:
LAURA DETWILER, WORKERS' COMPENSATION ADMINISTRATOR

1000 FEDEX DRIVE
TEL #:
MOON TOWNSHIP PA 15108-9373

412-747-8321
FAX #:
412-747-8320
E-MAIL:
thomas.dittoe@fedex.com
E-MAIL:
laura.detwiler@fedex.com
412-747-8320
E-MAIL:
thomas.dittoe@fedex.com
412-747-8320
E-MAIL:
laura.detwiler@fedex.com
888-255-9157
E-MAIL:
E-MAIL:
412-747-8320
FEDEX SMARTPOST, INC

NAME:
THOMAS DITTOE, MANAGER, WORKERS' COMPENSATION
ADDRESS:
1000 FEDEX DRIVE,
TEL #:

412-747-8318
FAX #:
NAME:
ADDRESS:
LAURA DETWILER, WC ADMINISTRATOR

1000 FEDEX DRIVE
TEL #:

412-747-8321
FAX #:
FIREMANS FUND INSURANCE COMPANY

NAME:
ADDRESS:

678-393-4016
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:

678-393-4057
FAX #:
888-864-1453
FIREMENS INSURANCE COMPANY OF WASHINGTON DC

NAME:
JEAN SHAW, REGIONAL CLAIM MANAGER
ADDRESS:
BERKELY MID-ATLANTIC GROUP, 4820 LAKE BROOK DRIVE, SUITE 300,

GLEN ALLEN, VA 23060
FAX #:
877-684-5484
E-MAIL:
800-283-1153 ext. 3359
TEL #:
NAME:
SUSAN HILL, WC CLAIM MANAGER
ADDRESS:
BERKLEY MID-ATLANTIC GROUP, 4820 LAKE BROOK DRIVE, SUITE 300

GLEN ALLEN, VA 23060
FAX #:
877-684-5484
E-MAIL:
800-283-1153 ext. 5051
TEL #:
jshaw@wrbmag.com
shill@wrbmag.com
FIRST LIBERTY INSURANCE COMPANY

NAME:
CHRISTOPHER NIESMERTELNY, CLAIMS MANAGER
ADDRESS:
3 BECKER FARM ROAD,
TEL #:
800-900-4875 ext. 2209
ROSELAND, NJ 07068-1722
FAX #:
800-449-2567
E-MAIL:
christopher.niesmertelny@libertymutual.co
m

NAME:
ADDRESS:
JASON HACKLING, TEAM MANAGER

3 BECKER FARM ROAD
TEL #:
800-900-4875 ext. 2206
FAX #:
800-449-2567
E-MAIL:
jason.hackling@libertymutual.com
E-MAIL:
marshallb@firstenergycorp.com
FIRSTENERGY CORP & SUBS

NAME:
BARBARA J. MARSHALL, MANAGER, HEALTH & ABSENCE MGT.
ADDRESS:
TEL #:
C/O FIRSTENERGY SERVICE, 76 S. MAIN STREET,

AKRON, OH 44308
330-384-5270
FAX #:
330-374-6217
NAME:
DONNA DUFFY, ACCOUNT MANAGER
ADDRESS:
ASSOCIATED COMPENSATION RESOURCES, 26391 CURTISS WRIGHT PARKWAY, SUITE 100

RICHMOND HEIGHTS, OH 44143
216-731-8215
FAX #:
216-731-8290
E-MAIL:
donna@acrcomp.com
TEL #:
FIRSTLINE NATIONAL INSURANCE COMPANY

NAME:
RICHARD HUGHES, CLAIM SUPERVISOR
ADDRESS:
200 NORTH MAIN STREET,

BEL AIR, MD 21014
410-838-4000
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
410-638-8707
E-MAIL:
richard_hughes@harfordmutual.com
DEBORAH BETTEN, CLAIM SUPERINTENDENT

200 NORTH MAIN STREET
BEL AIR, MD 21014
410-838-4000
FAX #:
410-638-6206
E-MAIL:
deborah_betten@harfordmutual.com
E-MAIL:
jhaswell@ndgroup.com
E-MAIL:
aconsoletti@ndgroup.com
FITCHBURG MUTUAL INSURANCE COMPANY

NAME:
JOSEPH B. HASWELL, ASST. DIV. MANAGER, CASUALTY CLAIMS
ADDRESS:
222 AMES STREET,

DEDHAM, MA 02026
781-326-4010
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
781-329-1818
ALAN T. CONSOLETTI, SUPERVISOR, CASUALTY CLAIMS

222 AMES STREET
DEDHAM, MA 02026
781-326-4010
FAX #:
781-329-1818
FLORISTS MUTUAL INSURANCE COMPANY

NAME:
DANIEL K SEYFERTH, WORKERS' COMPENSATION CLAIMS MANAGER
ADDRESS:
#1 HORTICULTURAL LANE,
EDWARDSVILLE, IL 62025
618-655-1845
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
618-655-2517
E-MAIL:
Dseyferth@hortica-insurance.com
LINDA RENSING, WC CLAIMS MANAGER

#1 HORTICULTURAL LANE
EDWARDSVILLE, IL 62025
618-655-1847
FAX #:
618-655-2517
E-MAIL:
Lrensing@hortica-insurance.com

FMI INSURANCE COMPANY

NAME:
DALE MARTIN, CO-VICE PRESIDENT - CLAIMS
ADDRESS:
P.O. BOX 400,

973-948-8808
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
973-948-7190
E-MAIL:
djmartin@fmiweb.com

P.O. BOX 400
973-948-8865
FAX #:
973-948-7190
E-MAIL:
mhawkins@fmiweb.com
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN

NAME:
GRAHAM CADWALLADER, TEAM LEADER - WORKERS' COMPENSATION
ADDRESS:
P.O. BOX 108843,
TEL #:

630-907-4340
FAX #:
NAME:
ADDRESS:
MIKE MCCABE, CLAIMS MANAGER - WORKERS' COMPENSATION

P.O. BOX 108843
TEL #:

630-907-4335
FAX #:
630-907-2428
630-907-2428
E-MAIL:
E-MAIL:
FOREMOST PROPERTY & CASUALTY INSURANCE COMPANY

NAME:
ADDRESS:
P.O. BOX 108843,
TEL #:

630-907-4340
FAX #:
NAME:
ADDRESS:

P.O. BOX 108843
TEL #:

630-907-4335
FAX #:
630-907-2428
630-907-2428
E-MAIL:
E-MAIL:
FOREMOST SIGNATURE INSURANCE COMPANY

NAME:
ADDRESS:
P.O. BOX 108843,
TEL #:

630-907-4340
FAX #:
NAME:
ADDRESS:

P.O. BOX 108843
TEL #:

630-907-4335
FAX #:
630-907-2428
E-MAIL:
630-907-2428
E-MAIL:
FAX #:
404-654-4958
E-MAIL:
Tistark@gapac.com

ATLANTA, GA 30303
404-652-4640
FAX #:
404-232-4132
E-MAIL:
eawynach@gapac.com
FORT JAMES OPERATING COMPANY

NAME:
ADDRESS:

ATLANTA, GA 30303
404-652-4642
TEL #:
NAME:
ADDRESS:
TEL #:

FRANK WINSTON CRUM INSURANCE INC

NAME:
ADELIN VINAS, CLAIMS MANAGER
ADDRESS:
100 S. MISSOURI AVENUE,

CLEARWATER, FL 33756
727-799-1150
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
727-450-7911
E-MAIL:
adelinv@frankcrum.com
BRIGITTE BECKER, VICE PRESIDENT-CLAIMS

100 S. MISSOURI AVENUE
CLEARWATER, FL 33756
727-799-1150
FAX #:
727-450-7911
E-MAIL:
brigitteb@fwcruminsurance.com
FRANKLIN MUTUAL INSURANCE COMPANY

NAME:
DALE MARTIN, CO-VICE PRESIDENT - CLAIMS
ADDRESS:
P.O. BOX 400,

973-948-8808
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
973-948-7190
E-MAIL:
djmartin@fmiweb.com

P.O. BOX 400
973-948-8865
FAX #:
973-948-7190
E-MAIL:
mhawkins@fmiweb.com
--
E-MAIL:
ellen.mcgrath@sedgwickcms.com
972-334-3833
E-MAIL:
steve.landin@fritolay.com
E-MAIL:
None provided
E-MAIL:
patrice.simcox@genesiehcc.com
FRITO-LAY, INC.
NAME:
ELLEN MCGRATH, CLAIMS EXAMINER
ADDRESS:
45 MALLETT DRIVE,
TEL #:
FREEPORT, ME 04032-0417
207-865-2551
NAME:
STEVE LANDIN, NORTH WC MANAGER
ADDRESS:
7701 LEGACY DRIVE, MAIL DROP 3C-114

PLANO, TX 75024
972-334-5644
FAX #:
TEL #:
FAX #:
GANNETT SATELLITE INFO. NETWORK

NAME:
KIM HARRIS, RISK MANAGEMENT COORDINATOR
ADDRESS:
GANNETT CO., INC., 7950 JONES BRANCH DRIVE,

MCLEAN, VA 22107
703-854-6015
FAX #:
703-854-2047
TEL #:
GENESIS HEALTH VENTURES, INC.

NAME:
PATRICE SIMCOX, WORKERS' COMPENSATION CLAIMS MANAGER
ADDRESS:
101 E. STATE STREET,

KENNET SQUARE, PA 19348
610-925-4007
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
610-925-4344
NICOLE THOMPSON, WORKERS' COMPENSATION PROGRAM MANAGER

101 E. STATE STREET
KENNET SQUARE, PA 19348
610-543-2946
FAX #:
610-925-4344
E-MAIL:
nicole.thompson(corporate)@genesishcc.co
m

GEORGIA-PACIFIC CORPORATION
NAME:
ADDRESS:

ATLANTA, GA 30303
404-652-4642
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
404-654-4958
E-MAIL:
Tistark@gapac.com

ATLANTA, GA 30303
404-652-4640
FAX #:
404-232-4132
E-MAIL:
eawynach@gapac.com
E-MAIL:
S.Tinnon@Gerresheimer.com
866-913-2704
E-MAIL:
ed_fritsch@corvel.com
302-765-1806
E-MAIL:
E-MAIL:
972-301-4211
E-MAIL:
diane.servello@uticanational.com
JOSEPH SMITH, DISTRICT CLAIMS MANAGER

50 MILLSTONE ROAD, BLDG. 200, SUITE 240
EAST WINDSOR, NJ 08520
609-308-4505
FAX #:
609-308-4599
E-MAIL:
Joseph.Smith@uticanational.com
770-225-3581
E-MAIL:
pbuonpane@strategiccomp.com
770-225-3581
E-MAIL:
rragno@strategiccomp.com
GERRESHEIMER GLASS INC

NAME:
SUSAN TINNON, VICE PRESIDENT, HUMAN RESOURCES
ADDRESS:
GERRESHEIMER GLASS, INC., 537 CRYSTAL AVENUE,

VINELAND, NJ 08360
856-507-5991
FAX #:
--
TEL #:
NAME:
ED FRITSCH, CLAIMS SUPERVISOR
ADDRESS:
CORVEL CORP., P.O. BOX 44015

NOTTINGHAM, MD 21236
484-831-3332
FAX #:
TEL #:
GRANITE STATE INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:
302-765-1635
FAX #:
NAME:
ADDRESS:
TEL #:
302-765-1629
FAX #:
302-765-1800
GRAPHIC ARTS MUTUAL INSURANCE COMPANY

NAME:
DIANE SERVELLO, WORKERS' COMPENSATION SUPERVISOR
ADDRESS:
P.O. BOX 5310,

BINGHAMTON, NY 13902
315-235-6619
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
GREAT AMERICAN ALLIANCE INSURANCE COMPANY

NAME:
PETER BUONPANE, SR. CLAIM MANAGER
ADDRESS:
TEL #:
STRATEGIC COMP, P.O. BOX 1445,

FAX #:
800-467-7725 ext. 306
NAME:
RON RAGNO, DIVISIONAL VP CLAIMS
ADDRESS:
STRATEGIC COMP, P.O. BOX 1445

800-467-7725
FAX #:
TEL #:

GREAT DIVIDE INSURANCE COMPAY

NAME:
ALSA ZUAITER, WC ASSISTANT MANAGER
ADDRESS:
600 E. LAS COLINAS BLVD., SUITE 1400,

IRVING, TX 75039
972-819-8890
FAX #:
972-819-8975
E-MAIL:
azuaiter@berkleysum.com
CASSIE MEBES, WC MANAGER

600 E. LAS COLINAS BLVD., SUITE 1400
IRVING, TX 75039
972-819-8979
FAX #:
972-819-8975
E-MAIL:
cmebes@berkleysum.com
NAME:
ADDRESS:
TEL #:

WARREN, NJ 07059
908-903-5551
FAX #:
908-903-5537
E-MAIL:
asherbert@chubb.com
NAME:
ADDRESS:

WARREN, NJ 07059
908-903-5517
FAX #:
908-903-5537
E-MAIL:
cfarina@chubb.com
E-MAIL:
jprimamore@gny.com
TEL #:
NAME:
ADDRESS:
TEL #:
GREAT NORTHERN INSURANCE COMPANY
TEL #:
GREATER NEW YORK MUTUAL INSURANCE COMPANY

NAME:
JAMES M PRIMAMORE, NJ WORKERS' COMPENSATION MANAGER
ADDRESS:
TEL #:
377 SUMMERHILL ROAD, P.O. BOX 1064,

FAX #:
732-238-6300 ext. 284
NAME:
RICHARD ZWEIBEL, ASST. MANAGER, NJ WORKERS' COMPENSATION
ADDRESS:
377 SUMMERHILL ROAD, P.O. BOX 1064

FAX #:
732-238-6300 ext. 288
TEL #:
732-238-0355
732-238-0355
E-MAIL:
rzweibel@gny.com
E-MAIL:
lynn.munson@xlgroup.com
GREENWICH INSURANCE COMPANY

NAME:
LYNN MUNSON, ASST. VP CLAIMS REGULATORY & COMPLIANCE
ADDRESS:
20 N. MARTINGALE ROAD, SUITE 200,

SCHAUMBURG, IL 60173
847-517-2363
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
847-517-2314
BRYAN SANDERS, ASST. VP PRIMARY CASUALTY & PROGRAM CLAIMS

505 EAGLEVIEW BLVD.
EXTON, PA 19341
610-968-2925
FAX #:
-E-MAIL:
Bryan.Sanders@xlgroup.com
GUARANTEE INSURANCE COMPANY

NAME:
MARK HOEHN, NE REGIONAL CLAIM MANAGER
ADDRESS:
C/O PATRIOT RISK SERVICES, INC., P.O. BOX 386,
TEL #:
CONSHOHOCKEN, PA 19428-0368
484-567-0300
FAX #:
NAME:
LORI SCARAMUCCI, CLAIM SUPERVISOR
ADDRESS:
C/O PATRIOT RISK SERVICES, INC., P.O. BOX 386
TEL #:
CONSHOHOCKEN, PA 19428-0368
484-567-0300
FAX #:
484-567-0305
484-567-0305
E-MAIL:
mhoehn@pnigroup.com
E-MAIL:
lscaramucci@pnigroup.com

GUIDEONE MUTUAL INSURANCE COMPANY

NAME:
LINDA WILSON, WC SUPERVISOR
ADDRESS:
1025 ASHWORTH ROAD,

WEST DES MOINES, IA 50265
515-267-5662
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
800-676-4457
E-MAIL:
lwilson@guideone.com
LEIGH HOLLIS, WC ADJUSTER

1025 ASHWORTH ROAD
WEST DES MOINES, IA 50265
515-267-5508
FAX #:
800-676-4457
E-MAIL:
lhollis@guideone.com
508-635-1871
E-MAIL:
jfurtado@hanover.com
508-635-5892
E-MAIL:
patcoughlin@hanover.com
410-638-8707
E-MAIL:
richard_hughes@harfordmutual.com
DEBORAH BETTEN, CLAIM SUPERINTENDENT

200 NORTH MAIN STREET
BEL AIR, MD 21014
410-838-4000
FAX #:
410-638-6206
E-MAIL:
deborah_betten@harfordmutual.com
HANOVER INSURANCE COMPANY

NAME:
JOHN FURTADO, UNIT MANAGER
ADDRESS:
440 LINCOLN STREET,

WORCESTER, MA 01615
508-855-3105
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
PAUL COUGHLIN, SENIOR ADJUSTER

440 LINCOLN STREET
WORCESTER, MA 01615
508-855-8193
FAX #:
HARFORD MUTUAL INSURANCE COMPANY

NAME:
RICHARD HUGHES, CLAIM SUPERVISOR
ADDRESS:
200 NORTH MAIN STREET,

BEL AIR, MD 21014
410-838-4000
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
HARLEYSVILLE INSURANCE COMPANY

NAME:
MELISSA TRIMMER, WC CLAIMS SUPERVISOR
ADDRESS:
355 MAPLE AVENUE,

HARLEYSVILLE, PA 19438
215-513-8746
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
215-513-8749
E-MAIL:
mtrimmer@harleysvillegroup.com
JAMES FELBINGER, WC MANAGER

355 MAPLE AVENUE
215-513-8741
FAX #:
215-513-8749
E-MAIL:
jfelbinger@harleysvillegroup.com
800-41-4118
E-MAIL:
800-441-4118
E-MAIL:
HARLEYSVILLE INSURANCE COMPANY OF NEW JERSEY

NAME:
ADDRESS:
355 MAPLE AVENUE,

215-513-8746
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
JAMES FELBINGER, WC DIRECTOR

355 MALE AVENUE
215-513-8741
FAX #:

HARLEYSVILLE PREFERRED INSURANCE COMPANY

NAME:
MELISSA F. TRIMMER, WC CLAIMS SUPERVISOR
ADDRESS:
355 MAPLE AVENUE,

215-513-8746
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
215-513-8749
E-MAIL:
JAMES FELBINGER, WC CLAIMS MANAGER

355 MAPLE AVENUE
215-513-8741
FAX #:
215-513-8749
E-MAIL:
HARLEYSVILLE WORCESTER INSURANCE COMPANY

NAME:
ADDRESS:
355 MAPLE AVENUE,

215-513-8746
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
800-441-4118
E-MAIL:
JAMES FELBINGER, WC DIRECTOR

355 MAPLE AVENUE
215-513-8741
FAX #:
800-441-4118
E-MAIL:
877-664-8376
E-MAIL:
Michelle.Noble@thehartford.com
877-664-8376
E-MAIL:
877-664-8376
E-MAIL:
E-MAIL:
HARTFORD ACCIDENT & INDEMNITY COMPANY

NAME:
MICHELLE NOBLE, QUALITY SPECIALIST
ADDRESS:
300 SOUTH STATE STREET,

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
HARTFORD CASUALTY INSURANCE COMPANY

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
HARTFORD FIRE INSURANCE COMPANY

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
HARTFORD INSURANCE COMPANY OF THE MIDWEST

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
877-664-8376
HARTFORD UNDERWRITERS INSURANCE COMPANY

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
877-664-8376
E-MAIL:
HDI-GERLING AMERICA INSURANCE COMPANY

NAME:
JOHN THOMPSON, V.P. CLAIMS
ADDRESS:
700 NORTH BRAND BLVD., SUITE 600,

GLENDALE, CA 91203
818-662-4360
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
818-637-6015
E-MAIL:
john.thompson@hdi-gerling.com
MARK ACKERMAN, CHIEF CLAIMS OFFICER

161 N. CLARK STREET
CHICAGO, IL 60601
312-456-6760
FAX #:
312-924-0901
E-MAIL:
mark.ackerman@hdi-gerling.com
302-594-5696
E-MAIL:
wewolfrum@herc.com
BARBARA BUSS, MANAGER CORPORATE INSURANCE

1313 N. MARKET STREET
302-594-5777
FAX #:
302-594-5696
E-MAIL:
wewolfrum@herc.com
E-MAIL:
mbennett@murrayins.com
E-MAIL:
lkopf@murrayins.com
412-544-0730
E-MAIL:
vince.haas@hminsurancegroup.com
ROBERT MARTI, CLAIMS ADMINISTRATOR

P.O. BOX 2738
PITTSBURGH, PA 15230
412-544-2063
FAX #:
412-544-0730
E-MAIL:
robert.marti@hminsurancegroup.com
703-288-1210
E-MAIL:
lynn.tracy@hilton.com
POLLY JAMES, DIRECTOR, RISK MANAGEMENT

7930 JONES BRANCH DRIVE
MCLEAN, VA 22102
703-883-5456
FAX #:
703-288-1210
E-MAIL:
polly.james@hilton.com
HERCULES INCORPORATED
NAME:
WENDY WOLFRUM, WC SPECIALIST
ADDRESS:
1313 N. MARKET STREET,

302-594-5777
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
HERR FOOD, INC.

NAME:
MARK BENNETT, VP CLAIMS SERVICES
ADDRESS:
39 N. DUKE STREET,
LANCASTER, PA 17601
717-397-9600
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
717-735-6951
LINDA KOPF, MANAGER, LICENSING AND COMPLIANCE

39 N. DUKE STREET
LANCASTER, PA 17601
717-397-9600
FAX #:
717-735-6929
HIGHMARK CASUALTY INSURANCE COMPANY

NAME:
VINCE HAAS, CLAIMS MANAGER
ADDRESS:
P.O. BOX 2738,

412-544-0720
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
HILTON WORLDWIDE INC

NAME:
LYNN TRACY, MANAGER, CASUALTY INSURANCE
ADDRESS:
7930 JONES BRANCH DRIVE,

MCLEAN, VA 22102
703-883-5619
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

HOLY REDEEMER HEALTH SYSTEM AND AFFILIATES

NAME:
DARLENE PETERSON, WC MANAGER
ADDRESS:
2166 S. 12TH STREET,

ALLENTOWN, PA 18103
610-969-0162
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
610-969-0252
E-MAIL:
Darlene.Peterson@lvh.com
BONNIE KEELAR, WC MANAGER

2166 S. 12TH STREET
ALLENTOWN, PA 18103
610-969-0245
FAX #:
610-969-0252
E-MAIL:
Bonnie.Keelar@lvh.com
609-452-5478
E-MAIL:
Phyllis.Godfrey@PrincetonInsurance.com
609-452-5415
E-MAIL:
Donna.Schwartz@PrincetonInsurance.com
302-765-1806
E-MAIL:
E-MAIL:
E-MAIL:
302-476-7858
E-MAIL:
HOSPITAL TRUST FOR WORKERS COMPENSATION

NAME:
PHYLLIS GODFREY, WC CLAIM SUPERVISOR
ADDRESS:
P.O. BOX 5322,
TEL #:
PRINCETON, NJ 08543-5322
609-452-9404
NAME:
ADDRESS:
DONNA SCHWARTZ, WC EXAMINER

P.O. BOX 5322
TEL #:
PRINCETON, NJ 08543-5322
609-452-9404
FAX #:
FAX #:
ILLINOIS NATIONAL INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:
302-765-1635
FAX #:
NAME:
ADDRESS:
TEL #:
302-765-1629
FAX #:
302-765-1800
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA

NAME:
ADDRESS:
TEL #:

302-476-7255
FAX #:
NAME:
ADDRESS:

302-476-7822
FAX #:
TEL #:
302-476-7858
INDIANA INSURANCE COMPANY

NAME:
ADDRESS:

315-431-6131
FAX #:
800-526-0681
E-MAIL:

315-431-6322
FAX #:
800-526-0681
E-MAIL:
karen.peinkofer@peerless-ins.com
TEL #:
NAME:
ADDRESS:
TEL #:

INSURANCE COMPANY OF GREATER NEW YORK

NAME:
JAMES M PRIMAMORE, NJ WORKERS' COMPENSATION MANAGER
ADDRESS:
TEL #:
377 SUMMERHILL ROAD, P.O. BOX 1064,

732-238-6300
FAX #:
NAME:
RICHARD ZWEIBEL, ASST. MANAGER, NJ WORKERS' COMPENSATION
ADDRESS:
377 SUMMERHILL ROAD, P.O. BOX 1064

FAX #:
732-238-6300 ext. 288
TEL #:
732-238-0355
732-238-0355
E-MAIL:
jprimamore@gny.com
E-MAIL:
rzweibel@gny.com
E-MAIL:
E-MAIL:
858-436-8966
E-MAIL:
gskolaski@icwgroup.com
NAME:
SHAWN MILLER, CLAIM MANAGER
ADDRESS:
ICW GROUP, 5888 W. SUNSET ROAD, #100

LAS VEGAS,Q NV 89118
702-866-2555
FAX #:
702-866-2355
E-MAIL:
smiller@icwgroup.com
717-526-6010
E-MAIL:
Robert.Fetterolf@sedgwickcms.com
ROBERT MACHION, OPERATIONS MANAGER

FIVE RADNOR CORPORATE CENTER
RADNOR, PA 19087
610-989-1013
FAX #:
610-989-1028
E-MAIL:
Robert.Machion@sedgwickcms.com
310-453-5629
E-MAIL:
rhamed@dextco.com
BRUCE WILLIAMS, PAYROLL/HR SUPERVISOR

2811 WILSHIRE BLVD., #410
SANTA MONICA, CA 90403
310-458-1574
FAX #:
310-458-6424
E-MAIL:
bwilliams@dextco.com
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

NAME:
ADDRESS:

302-765-1635
TEL #:
FAX #:
302-765-1806
NAME:
ADDRESS:

302-765-1629
TEL #:
FAX #:
302-765-1806
INSURANCE COMPANY OF THE WEST

NAME:
GINA SKOLASKI, OPERATIONS MANAGER
ADDRESS:
11455 EL CAMINO REAL,

SAN DIEGO, CA 92130
858-350-2789
TEL #:
TEL #:
FAX #:
INTERNATIONAL PAPER CO.

NAME:
ROBERT FETTEROLF, CLAIMS TEAM LEADER
ADDRESS:
2805 OLD POST ROAD, SUITE 310,

HARRISBURG, PA 17110
717-526-6060
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
INTERNATIONAL PROCESSING CORPORATION

NAME:
RIDA HAMED, SENIOR VP
ADDRESS:
2811 WILSHIRE BLVD., #410,

SANTA MONICA, CA 90403
310-458-1574
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

JOHNS MANVILLE
NAME:
MARY ANN LOONAM, SENIOR WC ADMINISTRATOR
ADDRESS:
717 17TH STREET,

DENVER, CO 80202
303-978-4662
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-743-3357
E-MAIL:
loonamma@jm.com
ROBERT KLINGER, LEADER, EMPLOYEE PROTECTION

717 17TH STREET
DENVER, CO 80202
303-978-4937
FAX #:
303-978-3768
E-MAIL:
klinglerr@jm.com
E-MAIL:
mbruce4@searshc.com
E-MAIL:
palex11@searshc.com
732-886-4486
E-MAIL:
MSCHWEERS@SBHCS.COM
732-613-9328
E-MAIL:
MIKESAL22@AOL.COM
856-507-5883
E-MAIL:
e.biasell@kimble-chase.com
410-933-3969
E-MAIL:
steven_smith@corvel.com
212-597-4163
E-MAIL:

ONE UNION PLAZA
860-447-0048
FAX #:
860-442-0076
E-MAIL:
K MART OF PENNSYLVANIA LP
NAME:
MATT BRUCE, WCCC-RISK MANAGEMENT
ADDRESS:
3333 BEVERLY ROAD, E3-221B,

HOFFMAN ESTATES, IL 60179
847-286-3970
FAX #:
TEL #:
847-286-2648
NAME:
PAM ALEXANDER, LEAD WCCC-RISK MANAGEMENT
ADDRESS:
333 BEVERLY ROAD, E3-216B

847-286-0861
TEL #:
FAX #:
847-286-2648
KIMBALL MEDICAL CENTER

NAME:
MICHELE SCHWEERS, VP OF HUMAN RESOURCES
ADDRESS:
600 RIVER AVENUE,
TEL #:
732-363-1900 ext. 24755
NAME:
ADDRESS:

732-613-1600
FAX #:
LAKEWOOD, NJ 08761-5281
TEL #:
FAX #:
KIMBLE CHASE LIFE SCIENCE & RESEARCH PRO

NAME:
ELLEN BIASELLI, HUMAN RESOURCES MGR
ADDRESS:
1022 SPRUCE STREET,

VINELAND NJ 08360
TEL #:
856-692-3600 ext. 7140
FAX #:
NAME:
STEVEN SMITH, CLAIMS EXAIINER
ADDRESS:
CORVEL, P O BOX 44015

BALTIMORE MD 21236
410-933-3966
TEL #:
FAX #:
KING WORLD CORPORATION

NAME:
ADDRESS:
51 W. 52ND STREET,
NEW YORK, NY 10019
212-975-8971
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

K-MART CORPORATION
NAME:
ADDRESS:

847-286-3970
FAX #:
TEL #:
847-286-2648
NAME:
ADDRESS:

847-286-0861
TEL #:
FAX #:
847-286-2648
E-MAIL:
mbruce4@searshc.com
E-MAIL:
palex11@searshc.com
LEADING INSURANCE GROUP INSURANCE COMPANY LTD (US BRANCH)

NAME:
ADDRESS:
330 FELLOWSHIP ROAD, SUITE 200, P.O. BOX 5007,

856-727-3015
FAX #:
856-727-3186
TEL #:
NAME:
JASON MARETT, TPA CLAIMS OPERATIONS MANAGER
ADDRESS:
330 FELLOWSHIP ROAD, SUITE 200, P.O. BOX 5007

856-727-3018
FAX #:
856-727-3186
TEL #:
E-MAIL:
melissa_kuchtyak@pmagroup.com
E-MAIL:
jason_marett@pmagroup.com
LIBERTY INSURANCE CORPORATION

NAME:
MICHAEL SQUEO, SR. CLAIMS MANAGER, MID-ATLANTIC
ADDRESS:
7 BECKER FARM ROAD,

ROSELAND, NJ 07068
TEL #:
800-900-4875 ext. 21178
603-334-8393
E-MAIL:
michael.squeo@libertymutual.com
NAME:
ADDRESS:
EDIE MCGINN, CLAIMS TEAM MANAGER II

7 BECKER FARM ROAD
ROSELAND, NJ 07068
800-900-4875
FAX #:
603-427-2682
E-MAIL:
edie.mcginn@libertymutual.com
800-449-2567
E-MAIL:
m
800-449-2567
E-MAIL:
E-MAIL:
m
TEL #:
FAX #:
LIBERTY MUTUAL FIRE INSURANCE CO.

NAME:
ADDRESS:
3 BECKER FARM ROAD,
TEL #:
800-900-4875 ext. 2209
NAME:
ADDRESS:
JASON D HACKLING, TEAM MANAGER

3 BECKER FARM ROAD
ROSELAND, NJ 1722
FAX #:
800-900-4875 ext. 2209
TEL #:
FAX #:
LIBERTY MUTUAL INSURANCE CO.

NAME:
ADDRESS:
3 BECKER FARM ROAD,
TEL #:
800-900-4875 ext. 2209
FAX #:
800-449-2567

NAME:
ADDRESS:
JASON D. HACKLING, TEAM MANAGER

3 BECKER FARM ROAD
TEL #:
800-900-4875 ext. 2209
FAX #:
800-449-2567
E-MAIL:
jason,hackling@libertymutual.com
E-MAIL:
sawallace@packardclaims.com
800-449-2567
E-MAIL:
m
800-449-2567
E-MAIL:
NAME:
KELLY YEAGER, WC CLAIMS HANDLER
ADDRESS:
150 S. WARNER ROAD, SUITE 300, P.O. BOX 61512

KING OF PRUSSIA, PA 19406
610-386-7744
FAX #:
610-386-7763
E-MAIL:
Kelly.Yeager@srsconnect.com
E-MAIL:
Mechelle.Colby@srsconnect.com
LION INSURANCE COMPANY

NAME:
STEPHANIE WALLACE, CLAIMS MANAGER
ADDRESS:
PACKARD CLAIMS ADMINISTRATION, P.O. BOX 1549,

TARPON SPRINGS, FL 34688
727-682-1072
FAX #:
727-202-9945
TEL #:
LM INSURANCE CORPORATION
NAME:
ADDRESS:
3 BECKER FARM ROAD,
TEL #:
800-900-4875 ext. 2094
NAME:
ADDRESS:
JASON D HACKLING, TEAM MANAGER

3 BECKER FARM ROAD
TEL #:
800-900-4875 ext. 2206
FAX #:
FAX #:
LOWES HOME CENTERS INC
TEL #:
NAME:
MECHELLE COLBY, WC CLAIMS HANDLER
ADDRESS:
303 LIPPINCOTT DRIVE, SUITE 200P.O. BOX 779

MARLTON, NJ 08053
856-355-4484
FAX #:
860-756-8427
TEL #:
LUMBERMEN'S UNDERWRITING ALLIANCE

NAME:
JANET SUTHERLAND, AUDIT & COMPLIANCE MANAGER
ADDRESS:
LUMBERMEN'S UNDERWRITING ALLIANCE, 1905 NW CORPORATE BLVD.,
TEL #:
BOCA RATON, FL 33431-7303

561-994-1900
NAME:
ADDRESS:
KIMBERLEY HINSHAW, WC CLAIMS SUPERVISOR

1905 N.W. CORPORATE BLVD.
TEL #:
BOCA RATON, FL 33431-7303

561-994-1900
FAX #:
FAX #:
866-803-5225
866-648-3021
E-MAIL:
janet.sutherland@ins-lua.com
E-MAIL:
kh9@ins-lua.com
E-MAIL:
bill.kroner@macys.com
MACY'S INC AND SUBSIDIARIES

NAME:
BILL KRONER, WORKERS' COMPENSATION MANAGER
ADDRESS:
P.O. BOX 3069,

TEL #:
800-677-0693 ext. 7133
FAX #:
866-908-2397

NAME:
ADDRESS:
TEL #:
TOM CONARD, SR. WORKERS' COMPENSATION MANAGER

P.O. BOX 3069
800-677-0693
FAX #:
866-908-2395
E-MAIL:
tom.conard@macys.com
MAINE EMPLOYERS MUTUAL INSURANCE CO

NAME:
MATTHEW HARMON, ASST V.P., MIC CLAIM DEPT.
ADDRESS:
1750 ELM ST., #500,

MANCHESTER, NH 03104
603-314-0612
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
603-314-0630
E-MAIL:
mharmon@memic.com
STACEY FOOTE, UNIT MANAGER

1750 ELM ST., #500
603-314-0615
FAX #:
603-314-0630
E-MAIL:
sfoote@memic.com
856-727-3144
E-MAIL:
marita_tortorelli@pmagroup.com
EDYTHE WITTNER-STORER, CLAIMS SUPERVISOR

330 FELLOWSHIP ROAD
856-727-3063
FAX #:
856-727-3144
E-MAIL:
edythe_wittmer@pmagroup.com
E-MAIL:
jlynch@qualcareinc.com
E-MAIL:
kjosko@qualcareinc.com
E-MAIL:
kdwyer@firstcomp.com
E-MAIL:
kshotkoski@firstcomp.com
MANUFACTURERS ALLIANCE INSURANCE COMPANY

NAME:
MARITA TORTORELLI, AVP
ADDRESS:
330 FELLOWSHIP ROAD,

856-727-3117
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
MARCAL PAPER MILLS, INC.

NAME:
JACQUELINE A LYNCH, CLAIMS MANAGER
ADDRESS:
PO BOX 309,
PISCATAWAY NJ 08854
732-562-7872
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
732-465-7355
KAREN JOSKO, SUPERVISOR OF WORKERS' COMPENSATION

PO BOX 309
PISCATAWAY NJ 08854
731-562-7872
FAX #:
732-465-7355
MARKEL INSURANCE COMPANY

NAME:
KAREN DWYER, CLAIMS MANAGER
ADDRESS:
TEL #:
MARKEL SERVICE, INCORPORATED, P.O. BOX 3188,

OMAHA, NE 68103
888-500-3344
FAX #:
877-444-6806
NAME:
KIM SHOTKOSKI, SENIOR REGULATORY COMPLIANCE SPECIALIST
ADDRESS:
MARKEL SERVICE, INCORPORATED, P.O. BOX 3188

OMAHA, NE 68103
888-500-3344
FAX #:
877-444-6806
TEL #:

MARRIOTT CLAIMS SERVICES CORP.

NAME:
FAITH FRITZ, CLAIMS MANAGER
ADDRESS:
9737 WASHINGTONIAN BLVD., SUITE 201,

GAITHERSBURG, MD 20878
301-380-0375
FAX #:
301-644-8230
TEL #:
NAME:
ELIZABETH M TOTH, SENIOR DIRECTOR
ADDRESS:
9737 WASHINGTONIAN BLVD., SUITE 201

301-380-0341
FAX #:
301-644-8230
TEL #:
E-MAIL:
faith.fritz@marriot.com
E-MAIL:
beth.toth@marriott.com
E-MAIL:
faith.fritz@marriott.com
E-MAIL:
beth.toth@marriott.com
MARRIOTT INTERNATIONAL, INC.

NAME:
ADDRESS:

301-380-0375
FAX #:
301-644-8230
TEL #:
NAME:
ELIZABETH M TOTH, SENIOR DIRECTOR
ADDRESS:
9737 WASHINGTONIAN BLVD., SUITE 201

301-380-0341
FAX #:
301-644-8230
TEL #:
MASSACHUSETTS BAY INSURANCE COMPANY

NAME:
CHERYL UNGER, SCLA,AIC, UNIT MANAGER
ADDRESS:
P.O. BOX 15144,

WORCESTER MA 01615
508-855-3094
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
508-635-0419
E-MAIL:
cungar@hanover.com
PAULA ANDRADE, UNIT MANAGR

P.O. BOX 15144
WORCESTER MA 01615
508-855-5893
FAX #:
508-635-0396
E-MAIL:
609-926-9270
E-MAIL:
lgraiff@scibal.com
609-926-9270
E-MAIL:
jharvey@scibal.com
MEDICAL CENTER OF OCEAN COUNTY

NAME:
LISA GRAIFF, WC SUPERVISOR
ADDRESS:
SCIBAL ASSOCIATES, INC., P.O. BOX 500,
TEL #:

609-653-8400
FAX #:
NAME:
JOSEPH M HARVEY, SR. VP PUBLIC RISKS
ADDRESS:
SCIBAL ASSOCIATES, INC., P.O. BOX 500
TEL #:

609-653-8400
FAX #:
MEMIC INDEMNITY COMPANY

NAME:
MATTHEW HARMON, VICE PRESIDENT OF CLAIMS
ADDRESS:
1750 ELM STREET#500,

603-314-0612
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
603-314-0630
E-MAIL:
mharmon@memic.com
STACEY FOOTE, UNIT MANAGER

1750 ELM STREET #500
603-314-0615
FAX #:
603-314-0630
E-MAIL:
sfoote@memic.com

MEMORIAL SLOAN KETTERING CANCER CENTER

NAME:
MAGDALENE NEGRON, MANAGER, FMLA/DISABILITY
ADDRESS:
533 THIRD AVENUE, 5TH FLOOR,

NEW YORK, NY 10017
646-227-3638
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
212-557-1249
E-MAIL:
negronm@mskcc.org
DONYSA VACHARASANEE, DISABILITY SPECIALIST

633 THIRD AVENUE, 5TH FLOOR
NEW YORK, NY 10017
646-227-3289
FAX #:
212-557-1249
E-MAIL:
vacarad@mskcc.org
E-MAIL:
mrathje@unitedfiregroup.com
E-MAIL:
vgreff@unitedfiregroup.com
856-778-8290
E-MAIL:
fgraulich@merchantsgroup.ocm
856-778-8290
E-MAIL:
wwolfe@merchantsgroup.com
856-778-8290
E-MAIL:
fgraulich@merchantsgroup.com
856-778-8290
E-MAIL:
wwolfe@merchantsgroup.com
860-947-3907
E-MAIL:
eric.justice@srsconnect.com
MERCER INSURANCE COMPANY OF NEW JERSEY INC

NAME:
MATHEW RATHJE, WORK COMP CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 73909,
TEL #:
CEDAR RAPIDS, IA 52407-3909

319-399-5700
FAX #:
NAME:
ADDRESS:
VICKY GREFF, CORPORATE WORK COMP MANAGER

P.O. BOX 73909
TEL #:
CEDAR RAPIDS, IA 52407-3909

319-399-5700
FAX #:
888-514-9190
888-514-9190
MERCHANTS MUTUAL INSURANCE COMPANY

NAME:
DEE GRAULICH, CLAIM REPRESENTATIVE
ADDRESS:

MT. LAUREL NJ 08054
FAX #:
865-235-8890 ext. 271
TEL #:
NAME:
BILL WOLFE, CLAIM MANAGER
ADDRESS:

MT. LAUREL NJ 08054
FAX #:
856-235-8890 ext. 270
TEL #:
MERCHANTS PREFERRED INSURANCE COMPANY

NAME:
DEE GRAULICH, W. C. CLAIM REPRESENTATIVE
ADDRESS:

MT. LAUREL NJ 08054
FAX #:
856-235-8890 ext. 271
TEL #:
NAME:
BILL WOLFE, CLAIM MANAGER
ADDRESS:

MT. LAUREL NJ 08054
FAX #:
856-235-8890 ext. 270
TEL #:
MERCK & COMPANY, INC.

NAME:
ERIC JUSTICE, WC TEAM LEADER
ADDRESS:
100 DMV DRIVE,

KING OF PRUSSIA PA 19406
800-551-0271
TEL #:
FAX #:

NAME:
NANCY HOFAKER, ACCOUNT MANAGEMENT DIRECTOR
ADDRESS:
303 LIPPINCOTT CENTER, SUITE 200

MANTOR NJ 08053
856-797-6533
FAX #:
TEL #:
860-756-8426
E-MAIL:
namcy.hofacker@srsconnect.com
E-MAIL:
christopher_jpta;em@gbtpa.com
E-MAIL:
CATHY_LEAVITT@GBTA. COM
MERRILL LYNCH & CO. & SUBS.

NAME:
CHRISTOPHER HOTALEN, BRANCH MANAGER
ADDRESS:
6 CAMPUS DRIVE,
PARSIPPANY NJ 07054
973-644-5906
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-680-7920
CATHY LEAVITT, WORKERS COMPENSTION SUPERVISOR

6 CAMPUT DRIVE
PARSIPPANY NJ 07054
973-644-5946
FAX #:
866-680-7920
METUCHEN, RC DIOCESE OF
NAME:
JACQUELINE GLAKIN, INSURANCE MANAGER
ADDRESS:
146 METLARS LANE, DIOCESE OF METUCHEN,

PISCATAWAY NJ 08854
732-562-1990
FAX #:
732-562-2464
E-MAIL:
jglackin@diometuchen.org
ERIC DILL, HUMAN RESOURCES DIRECTOR

146 METLARS LANE
PPISCATAWAY NJ 07059
732-562-2465
FAX #:
732-562-2464
E-MAIL:
edill@metuchen.org
630-907-2428
E-MAIL:
630-907-2428
E-MAIL:
978-392-7137
E-MAIL:
joan.klopf@sentry.com
715-346-9708
E-MAIL:
karri.erbes@sentry.com
TEL #:
NAME:
ADDRESS:
TEL #:
MID CENTURY INSURANCE COMPANY

NAME:
ADDRESS:
FARMERS INSURANCE, P.O. BO 108843,
TEL #:

630-907-4340
FAX #:
NAME:
ADDRESS:
TEL #:

630-907-4335
FAX #:
MIDDLESEX INSURANCE COMPANY

NAME:
JOAN KLOPF, CLAIMS MANAGER
ADDRESS:
TEL #:
3 CARLISLE ROAD, PO BOX 584,

WESTFORD MA 01886
978-392-7152
FAX #:
NAME:
KARRI ERBES, CLAIMS MANAGER
ADDRESS:
1421 STRONGS AVENUE, PO BOX 8032
TEL #:
STEVENS POINT, WI 54481-8032

715-346-9311
FAX #:

MIDWEST EMPLOYERS CASUALTY COMPANY

NAME:
ADDRESS:
BERKLEYNET UNDERWRITERS LLC, 2445 KUSER ROAD, SUITE 201,

HAMILTON, NJ 08690
609-584-4563
FAX #:
866-921-7316
TEL #:
E-MAIL:
NAME:
JOHN BURKE, SENIOR VP AND CHIEF CLAIMS OFFICER
ADDRESS:

WOODBRIDGE, VA 22192
703-586-6304
FAX #:
866-790-2220
E-MAIL:
TEL #:
LZobler@berkleynet.com
JBurke@berkleynet.com
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA

NAME:
SALLY DEROSA, BENEFITS ADMINISTRATOR
ADDRESS:
TEL #:
MITSUI SEIKI (USA), INC., 563 COMMERCE STREET,

FRANKLIN LAKES, NJ 07417
201-337-1300
FAX #:
201-337-3680
NAME:
YENDA CHIU, ACCOUNTING MANAGER
ADDRESS:
MITSUI SEIKI (USA), INC., 563 COMMERCE STREET

FRANKLIN LAKES, NJ 07417
201-337-1300
FAX #:
201-337-3680
TEL #:
E-MAIL:
sderosa@mitsuiseiki.com
E-MAIL:
ychiu@mitsuiseiki.com
908-604-2835
E-MAIL:
mjasilo@msigusa.com
LINDA DUNHAM, SENIOR CLAIMS REPRESENTATIVE

15 INDEPENDENCE BLVD.
WARREN NJ 07059
908-604-2916
FAX #:
908-604-2835
E-MAIL:
ldunham@msigusa.com
E-MAIL:
neil.book@momentive.com
E-MAIL:
michael.derosa@momentive.com
E-MAIL:
jlynch@qualcareinc.com
E-MAIL:
kjosko@qualcareinc.com
MITSUI SUMITOMO INSURANCE USA INC

NAME:
MARY JO ASILO, WORKERS' COMPENSATION SUPERVISOR
ADDRESS:
15 INDEPENDENCE BLVD.,
WARREN NJ 07059
908-604-2915
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
MOMENTIVE SPECIALTY CH
NAME:
NEIL BOOK, RISK ANALYST, SR.
ADDRESS:
180 E. BROAD ST., 26TH FLOOR,

COLUMBUS, OH 43215
614-225-4059
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
614-225-4108
MICHAEL DEROSA, DIRETOR, ENTERPRISE RISK MANAGEMENT

180 E. BROAD ST., 26TH FLOOR
COLUMBUS, OH 43215
614-225-4112
FAX #:
614-225-4108
MONMOUTH OCEAN HOSPITAL SERVICES CORP

NAME:
JACQUELINE A LYNCH, CLAIMS MANAGER
ADDRESS:
PO BOX 309,
PISCATAWAY NJ 08854
732-562-7872
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
732-465-7355
KAREN JOSKO, SUPERVISOR OF WORKERS' COMPENSATIOIN

PO BOX 309
PISCATAWAY NJ 08854
732-465-7346
FAX #:
732-465-7355

NATIONAL FIRE INSURANCE OF HARTFORD

NAME:
ADDRESS:

READING, PA 19601
610-320-4254
TEL #:
FAX #:
312-260-6876
E-MAIL:
NAME:
EIZABETH SIEKS, WC OPERATIONS ANALYSIS CONSULTING DIRECTOR
ADDRESS:

CHICAGO IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
diane.weber@cna.com
E-MAIL:
NATIONAL INTERSTATE INSURANCE COMPANY OF HAWAII

NAME:
ANDY ISAKOFF, CLAIMS MANAGER
ADDRESS:
3250 INTERSTATE DRIVE,

RICHFIELD, OH 44286
TEL #:
800-929-1500 ext. 1117
330-659-8909
E-MAIL:
andy.isakoff@natl.com
NAME:
ADDRESS:
BRAD SCOFIELD, VICE PRESIDENT OF CLAIMS

3250 INTERSTATE DRIVE
RICHFIELD, OH 44286
FAX #:
330-659-8909
800-929-1500 ext. 1110
E-MAIL:
brad.scofield@natl.com
E-MAIL:
E-MAIL:
TEL #:
FAX #:
NATIONAL SURETY CORPORATION

NAME:
ADDRESS:

678-393-4016
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
888-255-9157

678-393-4057
FAX #:
888-864-1453
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PENNSYLVANIA

NAME:
JANICE M. MOORE, ASST. VICE PRESIDENT
ADDRESS:
TEL #:
302-765-1635
FAX #:
320-765-1806
NAME:
ADDRESS:
TEL #:
302-765-1629
FAX #:
302-765-1800
E-MAIL:
E-MAIL:
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY

NAME:
DENISE HAMILTON, CLAIMS DIRECTOR, COMMERCIAL
ADDRESS:
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY, 1100 LOCUST STREET,

DES MOINES, IA 50391
515-508-3572
FAX #:
515-508-3672
E-MAIL:
TEL #:
DHAMILTO@NATIONWIDE.COM

NAME:
JARED HOLTGREWE, P/C PRODUCT MANAGER
ADDRESS:
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY, 1100 LOCUST STREET

DES MOINES, IA 50391
515-508-3742
FAX #:
515-508-3694
E-MAIL:
TEL #:
JHOLTGRE@NATIONWIDE.COM
NATIONWIDE MUTUAL INSURANCE COMPANY

NAME:
ROBERT SPAGNOLO, WC CLAIM MANAGER
ADDRESS:
TEL #:
NATIONWIDE/ALLIED INSURANCE, P.O. BOX 69080,

717-526-3385
FAX #:
866-492-1836
NAME:
JOHN DEWAN, WC CLAIM MANAGER
ADDRESS:
NATIONWIDE/ALLIED INSURANCE, P.O. BOX 69080

717-526-3370
FAX #:
866-220-5357
TEL #:
E-MAIL:
spagnor@nationwide.com
E-MAIL:
dewanj1@nationwide.com
NETHERLANDS INSURANCE COMPANY

NAME:
ADDRESS:

EAST SYRACUSE NY 13057
315-431-6131
FAX #:
800-526-0681
E-MAIL:

5062 BRITTONFRIELD PARKWAY
315-431-6322
FAX #:
800-526-0681
E-MAIL:
302-765-1806
E-MAIL:
302-765-1806
E-MAIL:
Melody.Fralick@chartisinsurance.com
609-493-1349
E-MAIL:
ekerner@njm.com
609-493-1274
E-MAIL:
mduca@njm.com
TEL #:
NAME:
ADDRESS:
TEL #:
NEW HAMPSHIRE INSURANCE COMPANY

NAME:
ADDRESS:

302-765-1635
TEL #:
FAX #:
NAME:
ADDRESS:

302-765-1629
TEL #:
FAX #:
NEW JERSEY CASUALTY INSURANCE COMPANY

NAME:
EDWARD M KERNER, VICE PRESIDENT
ADDRESS:
SULLIVAN WAY,
WEST TRENTON NJ 08328
TEL #:
609-883-1300 ext. 8020
NAME:
ADDRESS:
MARK DUCA, ASSISTANT SECRETARY

SULLIVAN WAY
FAX #:
609-883-1300 ext. 6003
TEL #:
FAX #:

NEW JERSEY MANUFACTURERS INSURANCE COMPANY

NAME:
EDWARD M KERNER, VICE PRESIDENT CLAIMS
ADDRESS:
301 SULLIVAN WAY,

WEST TRENTON, NJ 08628
TEL #:
609-883-1300 ext. 6004
NAME:
ADDRESS:
MARC A DUCA, DIRECTOR

301 SULLIVAN WAY
WEST TRENTON, NJ 08628
TEL #:
609-883-1300 ext. 6003
FAX #:
609-493-1349
E-MAIL:
ekerner@njm.com
FAX #:
609-493-1274
E-MAIL:
mduca@njm.com
609-493-1349
E-MAIL:
ekerner@njm.com
609-493-1274
E-MAIL:
mduca@njm.com
NEW JERSEY RE-INSURANCE COMPANY

NAME:
EDWARD M KERNER, VICE PRESIDENT
ADDRESS:
SULLIVAN WAY,
TEL #:
609-883-1300 ext. 6004
NAME:
ADDRESS:
MARK DUCA, ASSISTANT SECRETARY

SULLIVAN WAY
FAX #:
609-883-1300 ext. 6003
TEL #:
FAX #:
NEW YORK MARINE AND GENERAL INSURANCE COMPANY

NAME:
MELISSA KOVACEY, WC CLAIMS MANAGER
ADDRESS:
412 MT. KEMBLE AVENUE, SUITE 300C,

973-532-1944
FAX #:
855-200-1158
E-MAIL:
mkovacsy@prosightspecialty.com
PATRICK GANO, CLAIMS ASSISTANT

412 MT. KEMBLE AVE., SUITE 300C
973-532-1935
FAX #:
855-200-1158
E-MAIL:
pgano@prosightspecialty.com
212-921-2055
E-MAIL:
coopetj@nytimes.com
KRISTINE A DOWNEY, CLAIMS MANAGER

500 7TH AVENUE
NEW YORK, NY 10018
212-556-1898
FAX #:
212-921-2055
E-MAIL:
downek@nytimes.com
973-497-4313
E-MAIL:
wrobeldo@rcan.org
973-497-4313
E-MAIL:
frankjoe@rcan.org
TEL #:
NAME:
ADDRESS:
TEL #:
NEW YORK TIMES CO. & SUBS.

NAME:
TEREL J COOPERHOUSE, DIRECTOR OF OCCUPATIONAL HEALTH
ADDRESS:
500 7TH AVENUE,

NEW YORK, NY 10018
212-556-1724
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
NEWARK, RC ARCHDIOCESE OF
NAME:
DONNA WROBEL, ASSISTANT DIRECTOR
ADDRESS:
171 CLIFTON AVENUE,

NEWARK, NJ 07104
973-497-4044
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
JOSEPH FRANK, EXECUTIVE DIRECTOR

171 CLIFTON AVENUE
NEWARK, NJ 07104
973-497-4041
FAX #:

NIPPONKOA INSURANCE COMPANY LTD (US BRANCH)

NAME:
ADDRESS:
445 SOUTH STREET,
TEL #:
973-631-3063
NAME:
ADDRESS:

445 SOUTH STREET
TEL #:
973-631-3099
FAX #:
877-786-5568
E-MAIL:
877-786-5568
E-MAIL:
ttice@travelers.com
E-MAIL:
simonetta.leveque@nordstrom.com
E-MAIL:
steve.tolan@nordstrom.com
E-MAIL:
E-MAIL:
E-MAIL:
david.collngwood@us.qbe.com
877-622-6197
E-MAIL:
Arlene_Lyons@cfins.com
MELISSA KOVACSY, ASSISTANT VICE PRESIDENT

305 MADISON AVENUE
973-490-6690
FAX #:
877-622-6197
E-MAIL:
Melissa_Kovacsy@cfins.com
FAX #:
NORDSTROM, INC.
NAME:
SIMONETTA LEVEQUE, WORKERS COMPENSATION SUPERVISOR
ADDRESS:
P.O. BOX 21865,
TEL #:
SEATTLE WA 98111-3865
206-303-2501
NAME:
ADDRESS:
STEVE TOLAN, DIRECTOR OF WORKERS' COMPENSATION

P.O. BOX 21865
TEL #:
SEATTLE WA 98111-3865
714-513-4766
FAX #:
FAX #:
206-303-2789
206-303-2789
NORGUARD INSURANCE COMPANY

NAME:
ADDRESS:

800-673-2465
FAX #:
570-825-0611
TEL #:
NAME:
ADDRESS:

WHIPPANY, NJ 07981
609-332-9019
FAX #:
570-825-2152
TEL #:
NORTH POINTE INSURANCE COMPANY

NAME:
DAVID COLLINGWOOD, SR. CLAIMS PROGRAM MANAGER
ADDRESS:
ONE GENERAL DRIVE,

SUN PRAIRIE, WI 53596
608-825-5573
TEL #:
FAX #:
608-825-5122
NORTH RIVER INSURANCE COMPANY

NAME:
ARLENE LYONS, WORKERS' COMPENSATION MANAGER
ADDRESS:
305 MADISON AVENUE,

973-490-6016
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

NOVA CASUALTY COMPANY

NAME:
MICHELE KENNEDY, ASST. VP
ADDRESS:
2 WATERSIDE CROSSING, SUITE 400,

WINDSOR, CT 06095
860-683-5012
FAX #:
860-683-4453
E-MAIL:
mkennedy@aixgroup.com
BRIAN RALPHS, VICE PRESIDENT

2 WATERSIDE CROSSING, SUITE 400
WINDSOR, CT 06095
860-683-9866
FAX #:
860-683-4453
E-MAIL:
bralphs@aixgroup.com
TEL #:
NAME:
ADDRESS:
TEL #:
OHIO CASUALTY INSURANCE COMPANY

NAME:
ADDRESS:

315-431-6131
FAX #:
800-526-0681
E-MAIL:

EAS SYRACUSE, NY 13057
315-431-6322
FAX #:
800-526-0681
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
OHIO SECURITY INSURANCE COMPANY

NAME:
ADDRESS:

315-431-6131
FAX #:
800-526-0681
E-MAIL:
tod.gancarz@peerles-ins.com

315-431-6322
FAX #:
800-526-0681
E-MAIL:
E-MAIL:
jkolenda@oldrepublic.com
TEL #:
NAME:
ADDRESS:
TEL #:
OLD REPUBLIC GENERAL INSURANCE COMPANY

NAME:
JAMES A. KOLENDA, ASST. VICE PRESIDENT
ADDRESS:
307 N. MICHIGAN AVENUE,

CHICAGO, IL 60601
312-762-4357
TEL #:
FAX #:
312-346-2050
OLD REPUBLIC INSURANCE COMPANY

NAME:
J. ERIC STROKA, ASSISTANT VICE PRESIDENT
ADDRESS:
P.O. BOX 2200,

GREENSBURG PA 15601
724-834-5000
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
724-834-8204
E-MAIL:
e.stroka@orinsco.com
BETSEY SELLERS, MANAGER

P.O. BOX 2200
GREENSBURG PA 15601
724-834-5000
FAX #:
724-838-5404
E-MAIL:
b.sellers@orinsco.com

OWENS-BROCKWAY GLASS CONTAINER, INC.

NAME:
LINDA FULLMER, CLAIMS REPRESENTATIVE
ADDRESS:
8 FLOWERS DRIVE,
MECHANICSBURG, PA 17050
800-437-1266
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-880-2990
E-MAIL:
linda_fullmer@GBTPA.com
JAMES C. KNICOS, WC CONSULTANT

P.O. BOX 3455
MERCERVILLE, NJ 08619
609-915-3246
FAX #:
609-587-4304
E-MAIL:
Kappa59@AOL.com
E-MAIL:
linda_fuller@GBTPA.com
E-MAIL:
Kappa59@aol.com
OWENS-BROCKWAY PLASTIC PRODUCTS, INC.

NAME:
ADDRESS:
8 FLOWERS DRIVE,
MECHANICSBURG PA 17050
800-437-1266
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-880-2990
JAMES C KNICOS, WORKERS' COMPENSATION CONSULTANT

PO BOX 3455
MERCERVILLE NJ 08619
609-915-3246
FAX #:
609-587-4304
OWENS-ILLINOIS CLOSURE, INC.

NAME:
ADDRESS:
8 FLOWERS DRIVE,
800-437-1266
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-880-2990
E-MAIL:

P.O. BOX 3455
609-915-3246
FAX #:
609-587-4304
E-MAIL:
Kappa59@AOL.com
OWENS-ILLINOIS PRESCRIPTION PROD INC.

NAME:
ADDRESS:
8 FLOWERS DRIVE,
800-437-1266
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
866-880-2990
E-MAIL:

P.O. BOX 3455
609-915-3246
FAX #:
609-587-4304
E-MAIL:
Kappa59@AOL.com
E-MAIL:
thad.franklin@o-i.com
E-MAIL:
elizabeth_loudenslager@GBTPA.com
OWENS-ILLINOIS, INC.
NAME:
THAD FRANKLIN, MANAGER, WC
ADDRESS:
OWENS ILLINOIS, INC., ONE MICHAEL OWENS WAY,
TEL #:
PERRYSBURG, OH 43551-2999
567-336-2064
FAX #:
567-336-1218
NAME:
ELIZABETH LOUDENSLAGER, CLAIMS EXAMINER
ADDRESS:
GALLAGHER BASSETT, 8 FLOWERS DRIVE

717-731-7258
FAX #:
866-398-2636
TEL #:

PACIFIC INDEMNITY COMPANY

NAME:
ADDRESS:
TEL #:
15 MOUNTAIN VIEW ROAD, PO BOX 1616,

WARREN NJ 07059
908-903-5551
FAX #:
908-903-5537
NAME:
ADDRESS:
15 MOUNTAIN VIEW ROAD, PO BOC 1616

WARREN NJ 07059
908-903-5517
FAX #:
908-903-5537
TEL #:
E-MAIL:
aherbert@chubb.com
E-MAIL:
cfarina@ chubb.com
516-283-0282
E-MAIL:
gll@naiclaimsconsulting.com
TERRY BANASZAK, ACCOUNT EXECUTIVE

1700 EASTPOINT PARKWAY
LOUISVILLE, KY 40223
502-244-1343
FAX #:
502-426-9185
E-MAIL:
terryb@uscky.com
E-MAIL:
tnapier@sciadvantage.com
E-MAIL:
lderouin@sciadvantage.com
516-228-1420
E-MAIL:
fortman@aptea.com
CHRISTIE COLEMAN, CLAIMS SUPERVISOR

2 PARAGON DRIVE
MONTVALE NJ 07645
201-571-8112
FAX #:
201-571-8108
E-MAIL:
coleman@aptea.com
PARKER HANNIFIN CORPORATION

NAME:
GARY LIMONCELLI, CLAIMS ADJUSTER
ADDRESS:
850 FULTON STREET, SUITE 3,

FARMINGDALE, NY 11735
516-750-1323
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
PATERSON, RC DIOCESE OF
NAME:
PATRICIA NAPIER, SR WC CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 500,
TEL #:
800-367-0138 ext. 2046
NAME:
ADDRESS:
LINDA DEROUIN, LITIGATED SUPERVISOR

P.O. BOX 500

FAX #:
609-926-8038

TEL #:
800-367-0138 ext. 2058
FAX #:
609-926-8038
PATHMARK STORES, INC.

NAME:
GARY FORTMAN, DIRECTOR-CASUALTY CLAIMS
ADDRESS:
333 EARL OVINGTON BLVD.,

UNIONDALE NY 11553
516-228-1404
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
PEERLESS INDEMNITY INSURANCE COMPANY

NAME:
ADDRESS:

301-431-6131
FAX #:
800-526-0681
E-MAIL:

315-431-6322
FAX #:
800-526-0681
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:

PENN MILLERS INSURANCE COMPANY

NAME:
MARCY MARRA, CLAIMS SUPERVISOR
ADDRESS:
TEL #:
PENN MILLERS, PO BOX P,

WILKES-BARRE PA 18773
570-200-1344
NAME:
KEVIN HIGGINS, VICE PRESIDENT CLAIMS
ADDRESS:
PENN MILLERS, PO BOX P

WILKES-BARRE PA 18773
570-200-2074
TEL #:
FAX #:
FAX #:
570-822-2165
570-822-2165
E-MAIL:
mmarra@pennmillers.com
E-MAIL:
khiggins@pennmillers.com
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY

NAME:
MARITA TORTORELLI, REGIONAL CLAIM MANAGER
ADDRESS:
330 FELLOWSHIP ROAD, 2ND FLOOR,

856-727-3117
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
856-727-3144
EDYTHE WITTMER-STORER, REGIONAL CLIAM SUPERVISOR

330 FELLOWSHIP ROAD, 2ND FLOOR
856-727-3117
FAX #:
856-727-3144
E-MAIL:
E-MAIL:
E-MAIL:
E-MAIL:
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY

NAME:
MARITA TORTORELLI, REGIONAL CLAIM MANAGER
ADDRESS:
330 FELLOWSHIP ROAD, 2ND FLOOR,

856-727-3117
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
856-727-3144
EDYTHE WITTMER-STORER, REGIONAL CLAIM SUPERVISOR

330 FELLOWSHIP ROAD, 2ND FLOOR
856-727-3063
FAX #:
856-727-3144
PENNSYLVANIA NATIONAL MUTUAL CASUALTY COMPANY

NAME:
NICOLE CARRUTH, WC TEAM LEADER
ADDRESS:
P.O. BOX 3880,

TEL #:
800-942-9715 ext. 3555
877-942-9715
E-MAIL:
ncarruth@pnat.com
NAME:
ADDRESS:
DARLENE FLEISHER, WC TEAM LEADER

P.O. BOX 3880
FAX #:
877-942-9715
800-942-9715 ext. 3572
E-MAIL:
dfleisher@pnat.com
E-MAIL:
Kathleen.Zilles@tristargroup.neet
E-MAIL:
Dana.Brennen@tristargroup.net
TEL #:
FAX #:
PHARMACISTS MUTUAL INSURANCE COMPANY

NAME:
KATHLEEN ZILLES, CLAIMS SUPERVISOR
ADDRESS:
TEL #:
TRISTAR RISK MANAGEMENT, 833 CHESTNUT STREET, SUITE 720,

PHILADELPHIA, PA 19107
814-790-4148
FAX #:
215-592-5067
NAME:
DANA BRENNAN, CLAIMS SUPERVISOR
ADDRESS:
TRISTAR RISK MANAGEMENT, 833 CHESTNUT STREET, SUITE 720

PHILADELPHIA, PA 19107
215-592-5141
FAX #:
215-592-5067
TEL #:

PHOENIX INSURANCE COMPANY

NAME:
ADDRESS:
445 SOUTH STREET,
TEL #:
973-631-3063
NAME:
ADDRESS:

445 SOUTH STREET
TEL #:
973-631-3099
FAX #:
FAX #:
877-786-5568
E-MAIL:
877-786-5568
E-MAIL:
ttice@travelers.com
E-MAIL:
jim.kieffer@sentry.com
E-MAIL:
david.collingwood@us.qbe.com
E-MAIL:
cheryl.barbarino@ppg.com
E-MAIL:
wfields@ppg.com
E-MAIL:
jmoxley@catholicmutual.org
E-MAIL:
jbrackett@catholicmutual.org
E-MAIL:
ldaniels@twrgrp.com
PPG INDUSTRIES, INC.

NAME:
JIM KEEFER, DIRECTOR OF NATIONAL ACCOUNTS CLAIMS
ADDRESS:
SENTRY INSURANCE, PO BOX 8032, 1800 NORTH POINT DRIVE`

STEVENS POINT WI 54481
715-346-7395
FAX #:
715-346-7112
TEL #:
PRAETORIAN INSURANCE COMPANY

NAME:
ADDRESS:
QBE, ONE GENERAL DRIVE,

608-825-5573
TEL #:
FAX #:
--
PRC-DESOTO INTERNATIONAL INC

NAME:
CHERYL L. BARBARINO, WORKERS' COMPENSATION ADMIN.
ADDRESS:
TEL #:
PPG INDUSTRIES, INC., 12780 SAN FERNANDO ROAD,

SYLMAR, CA 91342
818-741-1609
FAX #:
--
NAME:
WARREN FIELDS, OPERATIONS MANAGER - ASC
ADDRESS:
PPG INDUSTRIES, INC., 823 EAST GATE DRIVE

856-234-1600
FAX #:
--
TEL #:
PREFERRED PROFESSIONAL INSURANCE COMPANY

NAME:
JAN MOXLEY, WORK COMP CLAIMS MANAGER
ADDRESS:
TEL #:
CATHOLIC MUTUAL GROUP, 10843 OLD MILL ROAD,

OMAHA, NE 68154
FAX #:
402-551-2943
402-551-8765 ext. 2407
NAME:
JIM BRACKETT, CLAIMS SPECIALIST
ADDRESS:
CATHOLIC MUTUAL GROUP, 10843 OLD MILL ROAD

OMAHA, NE 68154
FAX #:
402-551-2943
402-551-8765 ext. 2415
TEL #:
PRESERVER INSURANCE COMPANY

NAME:
LAURA DANIELS, WORKERS COMPENSATION SUPERVISOR
ADDRESS:
225 BROADHOLLOW ROAD, ROUTE 410-E,

MELVILLE NY 11747
631-465-1429
FAX #:
631-465-1425
TEL #:

NAME:
DEBORAH KREMER, WORKERS COMPENSATION SUPERVISOR
ADDRESS:
225 BROADHOLLOW ROAD, ROUTE 410-E

MELVILLE NY 11747
631-465-1443
FAX #:
631-465-1425
TEL #:
E-MAIL:
dkremer@turgrp.com
609-258-3448
E-MAIL:
lzimmaro@princeton.edu
609-258-3448
E-MAIL:
adamsm@princeton.edu
PRINCETON UNIVERSITY
NAME:
LISA ZIMMARO, ESQ., RISK & INSURANCE MANAGER
ADDRESS:
TEL #:
P.O. BOX 35, 2 NEW SOUTH BLDG.,

PRINCETON, NJ 08544
609-258-3349
FAX #:
NAME:
MEGAN ADAMS, ESQ., ASST. TREASURER
ADDRESS:
P.O. BOX 35, 2 NEW SOUTH BLDG.

PRINCETON NJ 08544
609-258-2169
FAX #:
TEL #:
PROCTOR & GAMBLE DISTRIBUTING CO.

NAME:
DENISE MCCLANAHAN, SR. CLAIMS ADJUSTER
ADDRESS:
5299 SPRING GROVE AVENUE,

TEL #:
800-235-1134 ext. 2
FAX #:
513-627-5314
E-MAIL:
denise.mcclanahan@cambridge-na.com
NAME:
ADDRESS:
CARRIE BOWLING, ADMINISTRATOR

5299 SPRING GROVE AVENUE
CINCINATTI, OH 45217
513-627-7571
FAX #:
866-554-0470
E-MAIL:
bowling.ca@pg.com
TEL #:
PROCTOR & GAMBLE MANUFACTURING CO.

NAME:
DENISE MCCLANAHAN, SENIOR CLAIMS MANAGER
ADDRESS:

CINCINNITI, OH 45217
TEL #:
800-235-1134 ext. 2
FAX #:
513-627-5314
E-MAIL:
denise.mcclanahan@cambridge.com
NAME:
ADDRESS:

513-627-7571
FAX #:
866-554-0470
E-MAIL:
bowling.ca@pg.com
E-MAIL:
Lydia.Griffin@thehartford.com
E-MAIL:
Deseree.Kaszubinski@thehartford.com
TEL #:
PROPERTY & CASUALTY COMPANY OF HARTFORD

NAME:
LYDIA GRIFFIN, OFFICE SUPPORT MANAGER
ADDRESS:
TEL #:
THE HARTFORD, P.O. BOX 14472,

LEXINGTON, KY 40512
315-385-6474
FAX #:
NAME:
DESEREE KASZUBINSKI, OFFICE SUPPORT UNIT LEADER
ADDRESS:
THE HARTFORD, P.O. BOX 14472

LEXINGTON, KY 40512
315-385-5248
FAX #:
TEL #:
860-947-3758
860-947-3912

PROTECTIVE INSURANCE COMPANY

NAME:
DAVID GHESQUIERE, CLAIMS MANAGER
ADDRESS:
P.O. BOX 2000,

CARMEL, IN 46082
317-429-2638
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
MELISSA DALE, CLAIMS SUPERVISOR

P.O. BOX 2000
CARMEL, IN 46082
317-452-7460
FAX #:
317-429-2939
E-MAIL:
dghesquiere@protectiveinsurance.com
317-452-7461
E-MAIL:
mdale@protectiveinsurance.com
E-MAIL:
E-MAIL:
856-727-3186
E-MAIL:
846-727-3186
E-MAIL:
856-727-3186
E-MAIL:
856-727-3186
E-MAIL:
E-MAIL:
nrothstein@mcarta.com
PSEG POWER LLC AND SUBSIDIARIES

NAME:
ADDRESS:
PMA COMPANIES, 330 FELLOWSHIP ROAD, SUITE 200

MT. LAUREL NJ 08054
856-727-3015
FAX #:
856-727-3186
TEL #:
NAME:
JIM JORDAN, A.V.P. CLAIMS
ADDRESS:
PMA COMPANIES, 330 FELLOWSHIP ROADSUITE 200

MT. LAUREL NJ 08054
856-727-3039
FAX #:
856-727-3186
TEL #:
PSEG SERVICES CORPORATION

NAME:
ADDRESS:

MT. LAUREL NJ 08054
856-727-3015
FAX #:
TEL #:
NAME:
ADDRESS:

MT. LAUREL NJ 08054
856-727-3039
FAX #:
TEL #:
PUBLIC SERVICE ELECTRIC & GAS CO.

NAME:
MELLISA KUCHTYAK, ADMINISTRATIVE SECRETARY
ADDRESS:

MT. LAUREL NJ 08084
856-727-3015
FAX #:
TEL #:
NAME:
ADDRESS:

MT. LAUREL NJ 08084
856-727-3039
FAX #:
TEL #:
PUBLIC SERVICE INSURANCE COMPANY

NAME:
NORMAN ROTHSTEIN, AVP WORKERS COMPENSTATION CLAIMS
ADDRESS:
ONE PARK AVENUE,

NEW YORK CITY NY 10016
TEL #:
212-591-9321 ext. 9321
FAX #:
212-591-9644

NAME:
ADDRESS:
TEL #:
MICHELE WOODSON, MANAGER

ONE PARK AVENUE
NEW YORK CITY NY 10016
212-591-9320
FAX #:
212-591-9644
E-MAIL:
mwoodson@mcarta.com
E-MAIL:
david.collingwood@us.qbe.com
856-727-3186
E-MAIL:
856-727-3186
E-MAIL:
732-751-7619
E-MAIL:
LKapp@claytonsonline.com
732-751-7619
E-MAIL:
SDevito@claytonsonline.com
972-301-4211
E-MAIL:
E-MAIL:
joseph.smith@uticanational.com
QBE INSURANCE CORPORATION

NAME:
ADDRESS:
ONE GENERAL DRIVE,

608-825-5573
TEL #:
FAX #:
608-825-5122
QUICK CHECK CORPORATION

NAME:
ADDRESS:
330 FELLOWHIP ROAD, SUITE 200,

MT. LAUREL NJ 08054
856-727-3015
FAX #:
TEL #:
NAME:
ADDRESS:
330 FELLOWHIP ROAD, SUITE 200

MT. LAUREL NJ 08054
856-727-3039
FAX #:
TEL #:
RALPH CLAYTON & SONS AND AFFILIATES

NAME:
LOIS M. KAPP, MANAGER
ADDRESS:
P.O. BOX 3015,

LAKEWOOD, NJ 08701
732-751-7668
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
SANDRA DEVITO, CLAIMS ADJUSTER

P.O. BOX 3015
LAKEWOOD, NJ 08701
732-751-7662
FAX #:
REPUBLIC-FRANKLIN INSURANCE COMPANY

NAME:
DIANE SERVELLO, WC SUPERVISOR
ADDRESS:
TEL #:
P.O. BOX 5310,

315-235-6619
NAME:
ADDRESS:

609-308-4505
FAX #:
609-308-4599
TEL #:
FAX #:
RESIDENCE INN BY MARRIOTT, INC.

NAME:
ADDRESS:
MARROTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201,

301-380-0375
FAX #:
301-644-8230
E-MAIL:
TEL #:
NAME:
ELIZABETH M. TOTH, SENIOR DIRECTOR
ADDRESS:
MARRIOTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201

301-380-0341
FAX #:
301-644-8230
E-MAIL:
TEL #:
Faith.Fritz@Marriott.com
Beth.Toth@Marriott.com

RLI INSURANCE COMPANY

NAME:
CHRISTINA D. PAGE, CLAIM MANAGER
ADDRESS:
9025 N. LINDBERG DRIVE,

PEORIA, IL 61615
TEL #:
770-754-0100 ext. 2315
FAX #:
866-692-6796
E-MAIL:
Christina.Page@rlicorp.com
732-465-7355
E-MAIL:
JBakalchuk@qualcareinc.com
JUDI BARANOWITZ, BENEFITS MANAGER

181 SOMERSET STREET
NEW BRUNSWICK, NJ 08901
732-937-8811
FAX #:
732-937-8774
E-MAIL:
Judi.Baranowitz@rwjuh.edu
ROBERT WOOD JOHNSON UNIV. HOSPITAL

NAME:
JESSICA BAKALCHUK, SENIOR CLAIMS ADJUSTER
ADDRESS:
P.O. BOX 309,

PISCATAWAY, NJ 08855
732-465-7320
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
ROCHDALE INSURANCE COMPANY

NAME:
KIMBERLY KOWALSKI, WORKERS' COMPENSATION CLAIMS MANAGER
ADDRESS:
TEL #:
AMTRUST NORTH AMERICA, 300 ALEXANDER PARK, SUITE 300

PRINCETON NJ 08540
609-936-3001
FAX #:
609-919-9751
NAME:
JACQUELINE LYNCH, WORKERS' COMPENSATION CLAIMS SUPERVISOR
ADDRESS:
AMTRUST NORTH AMERICA, 300 ALEXANDER PARKSUITE 300

PRINCETON NJ 08540
609-396-3003
FAX #:
609-919-9751
TEL #:
E-MAIL:
kkowalski@amtrustgroup.com
E-MAIL:
jacqueline.lynch@amtrustgroup.com
E-MAIL:
jsimm@whiterose.com
ROSE TRUCKING CORP.

NAME:
JACQUELIN SIMMONS, VICE PRESIDENT OF HUMAN RESOURSES
ADDRESS:
380 MIDDLESEX AVENUE,

CARTERET NJ 07008
732-541-3551
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
732-541-3520
JOHN M KOCOT, WORKERS' COMPENSATION CLAIMS ADMINISTRATOR

380 MIDDLESEX AVENUE
CARTERET NJ 07008
732-541-3654
FAX #:
732-541-3507
E-MAIL:
jkoco@whiterose.com
RYDER SYSTEMS INC & SUBS

NAME:
DEBBIE BREISACHER, DIRECTOR, WORKERS' COMPENSATION
ADDRESS:
P.O. BOX 2370,

800-695-0359
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
770-446-8746
E-MAIL:
dbreisac@ryder.com
GREG PITZ, CLAIM MANAGER

P.O. BOX 2370
800-695-0359
FAX #:
770-446-8746
E-MAIL:
gpitz@ryder.com

SAFETY FIRST INSURANCE COMPANY

NAME:
DAVID BISHOP, SENIOR CLAIMS ANALYST
ADDRESS:
1832 SCHUETZ ROAD,

ST. LOUIS MO 63146
314-995-5300
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
314-995-3897
E-MAIL:
dave.bishop@sncc.com
E-MAIL:
tim.stanger@sncc.com
314-995-3897
E-MAIL:
Dave.Bishop@sncc.com
314-995-3897
E-MAIL:
Tim. Stanger@sncc.com
E-MAIL:
trocchia.thomas@samsung.com
E-MAIL:
st.kelly@samsung.com
E-MAIL:
mbruce4@searshc.com
847-286-2648
E-MAIL:
palex11@searshc.com
TIM STANGER, WORKERS' COMPENSATION REGIONAL MANAGER

1832 SCHUETZ ROAD
ST. LOUIS MO 63146
314-995-5300
FAX #:
314-995-3897
SAFETY NATIONAL CASUALTY CORPORATION

NAME:
DAVID BISHOP, SR. CLAMIS ANALYST
ADDRESS:
1832 SCHUETZ ROAD,
TEL #:
1832 SCHUETZ ROAD MO 63146-3540

314-995-5300
FAX #:
NAME:
ADDRESS:
TIM STANGER, REGIONAL MANAGER

1832 SCHUETZ ROAD
TEL #:
1832 SCHUETZ ROAD MO 63146-3540

314-995-5300
FAX #:
SAMSUNG FIRE & MARINE INSURANCE CO LTD

NAME:
THOMAS A. TROCCHIA, FILING & BUREAU REPORTING MANAGER
ADDRESS:
85 CHALLENGER ROAD, 6TH FLOOR,
TEL #:
RIDGEFIELD PARK, NJ 07660-2112

201-807-6724
FAX #:
NAME:
ADDRESS:
STEPHANIE KELLY, CGL CLAIMS MANAGER

85 CHALLENGER ROAD, 6TH FLOOR
TEL #:
RIDGEFIELD PARK, NJ 07660-2112

201-229-6008
FAX #:
201-229-6015
201-229-6015
SEARS, ROEBUCK & COMPANY

NAME:
ADDRESS:
TEL #:

847-286-3970
FAX #:
NAME:
ADDRESS:

847-286-0861
TEL #:
FAX #:
847-286-2648
SELECTIVE CASUALTY INSURANCE COMPANY

NAME:
RANDY BAKER, WC CLAIMS MANAGER
ADDRESS:
40 WANTAGE AVENUE,
TEL #:
609-890-2200 ext. 6548
877-352-5742
E-MAIL:
randy.baker@selective.com
NAME:
ADDRESS:
CHRIS HEALEY, WC CLAIMS SUPERVISOR

40 WANTAGE AVENUE
FAX #:
877-352-5742
609-890-2200 ext. 6237
E-MAIL:
chris.healey@selective.com
TEL #:
FAX #:

SELECTIVE FIRE & CASUALTY INSURANCE COMPANY

NAME:
ADDRESS:
40 WANTAGE AVENUE,
TEL #:
609-890-2200 ext. 6548
877-352-5742
E-MAIL:
NAME:
ADDRESS:

40 WANTAGE AVENUE
FAX #:
877-352-5742
609-890-2200 ext. 6237
E-MAIL:
TEL #:
FAX #:
SELECTIVE INSURANCE CO OF NEW ENGLAND

NAME:
ADDRESS:
40 WANTAGE AVENUE,
TEL #:
609-890-2200 ext. 6548
877-352-5742
E-MAIL:
NAME:
ADDRESS:

40 WANTAGE AVENUE
FAX #:
877-352-5742
609-890-2200 ext. 6237
E-MAIL:
855-883-0604
E-MAIL:
gwen.white@selective.com
855-883-0604
E-MAIL:
deborah.foster-smith@selective.com
855-883-0604
E-MAIL:
855-883-0604
E-MAIL:
855-883-0604
E-MAIL:
855-883-0604
E-MAIL:
TEL #:
FAX #:
SELECTIVE INSURANCE COMPANY OF AMERICA

NAME:
GWEN WHITE, REGIONAL CLAIMS MANAGER
ADDRESS:
3426 TORINGDON WAY, SUITE 200,

CHARLOTTE, NC 28277
704-916-1732
FAX #:
TEL #:
NAME:
DEBORAH FOSTER-SMITH, SUPERVISOR
ADDRESS:
3426 TORINGDON WAY, SUITE 200

CHARLOTTE, NC 28277
704-501-2895
FAX #:
TEL #:
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA

NAME:
ADDRESS:

CHARLOTTE, NC 28277
704-916-1732
FAX #:
TEL #:
NAME:
ADDRESS:

CHARLOTTE, NC 28277
704-501-2895
FAX #:
TEL #:
SELECTIVE WAY INSURANCE COMPANY

NAME:
ADDRESS:

CHARLOTTE, NC 28277
704-916-1732
FAX #:
TEL #:
NAME:
ADDRESS:

CHARLOTTE, NC 28277
704-501-2895
FAX #:
TEL #:

SENTINEL INSURANCE COMPANY LTD

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
877-664-8376
E-MAIL:
978-392-7137
E-MAIL:
715-346-9708
E-MAIL:
978-392-7137
E-MAIL:
715-346-9708
E-MAIL:
karry.erbes@sentry.com
978-392-7137
E-MAIL:
715-346-9708
E-MAIL:
SENTRY CASUALTY COMPANY

NAME:
ADDRESS:
TEL #:
3 CARLISLE ROAD, P.O. BOX 584,

WESTFORD, MA 01886
978-392-7152
FAX #:
NAME:
ADDRESS:
TEL #:
STEVENS POINT, WI 54481-8032

715-346-9311
FAX #:
SENTRY INSURANCE COMPANY A MUTUAL COMPANY

NAME:
ADDRESS:
TEL #:

WESTFORD MA 01886
978-392-7152
FAX #:
NAME:
ADDRESS:
TEL #:
STEVEN POINT WI 54481-8032

715-346-9311
FAX #:
SENTRY SELECT INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:

WESTFORD MA 01866
978-392-7152
FAX #:
NAME:
ADDRESS:
1421 STRONGS AVENUE, PO BOC 8032
TEL #:
STEVEN POINT WI 54481-8032

715-346-9311
FAX #:
SHERWIN-WILLIAMS CO.
NAME:
ANTHONY J COLANGELO, MANAGER
ADDRESS:
101 PROSPECT AVENUE N.W.,

CLEVELAND OH 44115
216-566-3095
FAX #:
216-566-1745
E-MAIL:
ajcolangelo@sherwin.com
MATT FLYNN, ANALYST & SAFETY

101 PROSPECT AVENUE N.W.
CLEVELAND OH 44115
216-566-3717
FAX #:
216-830-0661
E-MAIL:
matt.g.flynn@sherwin.com
TEL #:
NAME:
ADDRESS:
TEL #:

SHORE MEMORIAL HOSPITAL

NAME:
KATHLEEN T NUNZI, BENEFITS ADMINISTRATOR
ADDRESS:
TEL #:
SHORE ROAD & NEW YORK AVENUE,

SOMERS POINT NJ 08244
609-653-4533
FAX #:
NAME:
ADDRESS:

EAST BRUNSWICK NJ 08816
732-613-1600
FAX #:
TEL #:
609-601-6354
E-MAIL:
knunzi@shorememorial.com
732-613-9328
E-MAIL:
mikesal226@aol.com
E-MAIL:
william.wainscott@ipaper.com
E-MAIL:
tom.rodriguez@ipaper.com
212-597-4163
E-MAIL:
DAVID RICHARDSON, VICE PRESIDENT CLAIMS

ONE UNION PLAZA
NEW LONDON CT 06320
860-447-0048
FAX #:
860-442-0076
E-MAIL:
212-416-1283
E-MAIL:
msprague@sompo-japan-us.com
973-227-5746
E-MAIL:
sandra.barrett@choosebroadspire.com
860-275-6501
E-MAIL:
jmindek@spartainsurance.com
SHOREWOOD PACKAGING CORPORATION

NAME:
BILL WAINSCOTT, MANAGER - WORKERS' COMPENSTION
ADDRESS:
6400 POPLAR AVENUE,

MEMPHIS TN 38197
901-419-3913
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
901-419-3940
TOM RODRIGUEZ, WORKERS' COMPENSATION COORDINATOR

6400 POPLAR AVENUE
MEMPHIS TN 38197
901-419-3942
FAX #:
901-419-3940
SIMON & SCHUSTER, INC.

NAME:
STEPHANIE GROSSBERG, DIRECTOR-RISK MANAGEMENT
ADDRESS:
51 W. 52ND STREET,
NEW YORK NY 10019
212-975-8971
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
SOMPO JAPAN INSURANCE COMPANY OF AMERICA

NAME:
MIKE SPRAGUE, ASSISTANT MANAGER OF CLAIMS
ADDRESS:
2 WORLD FINANCIAL CENTER 43RD FL., 225 LIBERTY STREET,
TEL #:
NEW YORK NY 10281-1058

212-416-1336
FAX #:
NAME:
SANDRA BARRETT, TEAM MANAGER
ADDRESS:
100 PASSAIC AVENUE, SUITE 104

FAIRFIELD NJ 07004
973-439-6734
FAX #:
TEL #:
SPARTA INSURANCE COMPANY

NAME:
JOHN MINDEK, SVP, CLAIMS
ADDRESS:
CITY PLACE II, 185 ASYLUM STREET,

HARTFORD, CT 06103
860-275-6506
FAX #:
TEL #:

NAME:
SUSAN PUTTERMAN, EVP, CLAIMS
ADDRESS:
CITY PLACE II, 185 ASYLUM STREET

HARTFORD, CT 06013
860-275-6507
FAX #:
TEL #:
860-275-6501
E-MAIL:
sputterman@spartainsurance.com
E-MAIL:
dspector@saintpetersuh.com
E-MAIL:
jhunter@saintpetersuh.com
ST. PETERS UNIVERSITY HOSPITAL

NAME:
DIANE SPECTOR, MANAGER-EMPLOYER HEALTH SERVICES
ADDRESS:
254 EASTON AVENUE,

NEW BRUNSWICK NJ 08901
TEL #:
732-745-8600 ext. 8907
NAME:
ADDRESS:
JANET HUNTER-WILSON, DIRECTOR COMPENSATION & BENEFITS

254 EASTON AVENUE
NEW BRUNSWICK NJ 08901
732-745-8600
FAX #:
732-220-8046
TEL #:
FAX #:
732-220-8564
STAR INSURANCE COMPANY

NAME:
LINDA FEATHERNGILL, CLAIMS SUPERVISOR
ADDRESS:
P.O. BOX 5086,

SOUTHFIELD MI 48086
248-204-8149
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
248-692-0432
E-MAIL:
linda.featherngil@meadowbrook.com
RANDY LESTER, CLAIMS MANAGER

P.O. BOX 5086
SOUTHFIELD MI 48086
248-204-8563
FAX #:
248-281-5370
E-MAIL:
randy.lester@meadowbrook.com
E-MAIL:
LZobler@Berkleynet.com
STARNET INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:
BERKLEYNET UNDERWRITERS LLC, 2445 KUSER ROAD, SUITE 201,

HAMILTON NJ 08690
609-584-4563
FAX #:
866-921-7316
NAME:
JOHN BURKE, SR VP AND CHIEF CLAIMS OFFICER
ADDRESS:

WOODBRIDGE VA 22192
703-586-6304
FAX #:
866-790-2220
E-MAIL:
TEL #:
JBurke@Berleynet.com
STARR INDEMNITY AND LIABILITY COMPANY

NAME:
MIRIAM ELLIOTT, CLAIMS MANAGER
ADDRESS:
399 PARK AVENUE,

NEW YORK CITY, NY 10022
646-227-6563
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
RICHARD HILBIG, CLAIMS MANAGER

399 PARK AVENUE
NEW YORK CITY, NY 10022
215-399-2902
FAX #:
631-685-6775
E-MAIL:
None provided
--
E-MAIL:
None provided

STATE FARM FIRE & CASUALTY COMPANY

NAME:
DANA DOIG, CLAIM TEAM MANAGER
ADDRESS:
100 STATE FARM PLACE,

BALLSTON SPA, NY 12020
518-363-2227
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
518-884-5810
E-MAIL:
dana.r.doig.greu@statefarm.com
JENNIFER BUBENIK, CLAIM REPRESENTATIVE

100 STATE FARM PLACE
BALLSTON SPA, NY 12020
518-884-6357
FAX #:
518-884-5810
E-MAIL:
jennifer.bubenik.gu2g@statefarm.com
877-290-7001
E-MAIL:
tcinelli@statenational.com
SCOTT FOX, COMPLIANCE COORDINATOR

1900 L. DON DODSON DRIVE
BEDFORD, TX 76021
800-877-4567
FAX #:
877-290-7001
E-MAIL:
sfox@statenational.com
STATE NATIONAL INSURANCE COMPANY INC

NAME:
TERESA CINELLI, COMPLIANCE COORDINATOR
ADDRESS:
1900 L. DON DODSON DRIVE,

BEDFORD, TX 76021
800-877-4567
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
SUNDOR BRANDS, INC.

NAME:
DENISE MCCLANAHAN, SENIOR CLAIMS ADJUSTER
ADDRESS:

TEL #:
800-235-1134 ext. 2
FAX #:
513-627-5314
E-MAIL:
denise.mcclanahan@c-na.com
NAME:
ADDRESS:

513-627-7571
FAX #:
866-554-0470
E-MAIL:
bowling.ca@pg.com
609-495-9048
E-MAIL:
steven.cannon@REMLTD.com
STEPANIE JAMES, CLAIM SUPERVISORQ

2540 ROUTE 130
CRANBURY NJ 08512
570-420-8247
FAX #:
570-420-3248
E-MAIL:
stephanie.james@REMLTD.com
E-MAIL:
Marcia.Osborn@Sedgwickcms.com
E-MAIL:
Janet.Cohen@Sedgwickcms.com
TEL #:
T H E INSURANCE COMPANY
NAME:
STEVEN CANNON, CLAIM MANAGER
ADDRESS:
2540 ROUTE 130,

CRANBURY NJ 08512
609-495-0312
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
TARGET CORPORATION
NAME:
MARCIA OSBORN, CLAIMS TEAM LEAD
ADDRESS:
SEDGWICK, P.O. BOX 14491,

LEXINGTON, KY 40512
410-773-4258
TEL #:
FAX #:
410-773-4221
NAME:
JANET COHEN, CLAIMS TEAM LEAD - ASST.
ADDRESS:
SEDGWICK, P.O. BOX 14491

LEXINGTON, KY 40512
410-773-4258
TEL #:
FAX #:
410-773-4221

TNUS INSURANCE COMPANY

NAME:
ROBERT C. HUBBUCH, SENIOR MANAGER
ADDRESS:
230 PARK AVENUE,

NEW YORK, NY 10169
212-297-6942
TEL #:
212-297-6692
E-MAIL:
robert.hubbuch@tokiom.com
TYESHA LOWE, WC CLAIMS SUPERVISOR

230 PARK AVENUE
NEW YORK, NY 01069
212-297-6606
FAX #:
212-297-6692
E-MAIL:
tyesha.lowe@tokiom.com
212-297-6692
E-MAIL:

230 PARK AVENUE
NEW YORK, NY 10169
212-297-6606
FAX #:
212-297-6692
E-MAIL:
631-465-1425
E-MAIL:
ldaniels@twrgrp.com
631-465-1425
E-MAIL:
dkremer@twrgrp.com
631-465-1425
E-MAIL:
ldaniels@twrgrp.com
631-465-1425
E-MAIL:
dkeemer@twrgrp.com
NAME:
ADDRESS:

301-380-0375
FAX #:
301-644-8230
E-MAIL:
Faith.Fritz@Marriott.com
NAME:
ELIZABETH TOTH, SENIOR DIRECTOR
ADDRESS:
MARRIOTT CLAIMS SERVICES - DC, 9737 WASHINGTONIAN BLVD., SUITE 201

301-380-0341
FAX #:
301-644-8230
E-MAIL:
Beth.Toth@Marriott.com
NAME:
ADDRESS:
TEL #:
FAX #:
TOKIO MARINE & NICHIDO FIRE INSURANCE COMPANY

NAME:
ADDRESS:
230 PARK AVENUE,

NEW YORK, NY 10169
212-297-6942
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
TOWER INSURANCE COMPANY OF NEW YORK

NAME:
ADDRESS:
TEL #:

MELVILLE, NY 11747
631-465-1429
FAX #:
NAME:
DEBORAH KREMER, WC SUPERVISOR
ADDRESS:

MELVILLE, NY 11747
631-465-1443
FAX #:
TEL #:
TOWER NATIONAL INSURANCE COMPANY

NAME:
ADDRESS:
TEL #:

MELVILLE, NY 11747
631-465-1429
FAX #:
NAME:
DEBORAH KEEMER, WC SUPERVISOR
ADDRESS:

MELVILLE, NY 11747
631-465-1443
FAX #:
TEL #:
TOWNEPLACE MANAGEMENT CORPORATION
TEL #:
TEL #:

TOYS "R" US, INC.

NAME:
ELIZABETH NOVEDOMSKY, MANAGER, RISK MANAGEMENT
ADDRESS:
ONE GEOFFREY WAY,

WAYNE, NJ 07470
973-617-3286
TEL #:
FAX #:
973-617-3070
E-MAIL:
elizabeth.nevedomsky@toysRus.com
212-297-6692
E-MAIL:

230 PARK AVENUE
NEW YORK, NY 10169
212-297-6606
FAX #:
212-297-6692
E-MAIL:
630-864-3583
E-MAIL:
christy.skallas@transguard.com
630-864-3583
E-MAIL:
dan.bell@transguard.com
312-260-6876
E-MAIL:
diane.weber@cna.com
TRANS PACIFIC INSURANCE COMPANY

NAME:
ADDRESS:
230 PARK AVENUE,

NEW YORK, NY 10169
212-297-6942
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
TRANSGUARD INSURANCE COMPANY OF AMERICA INC

NAME:
CHRISTY SKALLAS, CLAIMS MANAGER
ADDRESS:
215 SHUMAN BLVD., SUITE 400,

NAPERVILLE IL 60563
630-864-3450
FAX #:
TEL #:
NAME:
DANIEL BELL, CLAIMS SUPERVISOR
ADDRESS:
215 SHUMAN BLVD., SUITE 400

NAPERVILLE IL 60563
630-864-3461
FAX #:
TEL #:
TRANSPORTATION INSURANCE COMPANY

NAME:
ADDRESS:

READING, PA 19601
610-320-4254
TEL #:
FAX #:
NAME:
ADDRESS:

CHICAGO, IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
E-MAIL:
TRAVELERS IMDEMNITY COMPANY

NAME:
ELIZABETH GREEN
ADDRESS:
BB&T BOYLE VAUGHAN INSURANCE, 2000 CENTER POINT ROAD, SUITE 2400, P.O. BOX 8628
COLUMBIA, SC 29210
803-748-0100
FAX #:
877-467-7204
E-MAIL:
None provided
TEL #:
TRAVELERS INDEMNITY COMPANY OF AMERICA

NAME:
ADDRESS:
445 SOUTH STREET,
TEL #:
973-631-3063
FAX #:
877-786-5568
E-MAIL:

NAME:
ADDRESS:

445 SOUTH STREET
TEL #:
973-631-3099
FAX #:
877-786-5568
E-MAIL:
ttice@travelers.com
877-786-5568
E-MAIL:
mmuiroco@travelers.com
877-786-5568
E-MAIL:
ttice@travelers.com
609-406-7450
E-MAIL:
jbianc@dioceseoftrenton.org
ANGELINA CANNADY, ADMINISTRATIVE ASSISTANT

701 LAWRENCEVILLE ROAD
TRENTON, NJ 08638
609-406-7400
FAX #:
609-406-7450
E-MAIL:
acanna@dioceseoftrenton.org
TRAVELERS INSURANCE COMPANY

NAME:
ADDRESS:
445 SOUTH STREET,
TEL #:
973-631-3063
NAME:
ADDRESS:

445 SOUTH STREET
TEL #:
973-631-3099
FAX #:
FAX #:
TRENTON, RC DIOCESE OF
NAME:
JOSEPH BIANCHI, SPHR, DIRECTOR OF ADMINISTRATIVE SERVICES
ADDRESS:
701 LAWRENCEVILLE ROAD,

TRENTON, NJ 08638
609-406-7400
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
TRINITAS REGIONAL MEDICAL

NAME:
PATRICIA THIEL, DIRECTOR
ADDRESS:
225 WILLIAMSON STREET,

ELIZABETH, NJ 07202
908-994-5378
FAX #:
908-994-5623
E-MAIL:
pthiel@trinitas.org
RHONDA HARTLEY, R.N.

225 WILLIAMSON STREET
ELIZABETH, NJ 07202
908-994-5726
FAX #:
908-994-5623
E-MAIL:
rhartley@trinitas.org
630-907-2428
E-MAIL:
630-907-2428
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
TRUCK INSURANCE EXCHANGE

NAME:
ADDRESS:
FARMERS INSURANCE, P.O. BOX 108843,
TEL #:

630-907-4340
FAX #:
NAME:
ADDRESS:
TEL #:

630-907-4335
FAX #:

TRUMBULL INSURANCE COMPANY

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
877-664-8376
E-MAIL:
877-664-8376
E-MAIL:
TWIN CITY FIRE INSURANCE COMPANY

NAME:
ADDRESS:

SYRACUSE, NY 13202
315-385-6400
TEL #:
FAX #:
U.S. FIDELITY & GUARANTY COMPANY

NAME:
JACI WASTA, CUSTOMER SERVICE REPRESENTATIVE
ADDRESS:
5 BATTERSON PARK,
FARMINGTON, CT 06032
866-657-2827
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
860-677-4352
E-MAIL:
jwasta@discover-re.com
SUE SHEA, LOSS DATA ANALYST

5 BATTERSON PARK
FARMINGTON, CT 06032
866-657-2827
FAX #:
860-677-4352
E-MAIL:
sshea@discover-re.com
FAX #:
877-622-6197
E-MAIL:
Arlene_Lyons@cfins.com
MELISSA KOVACSY, ASST. VP

305 MADISON AVENUE
973-490-6690
FAX #:
877-622-6197
E-MAIL:
Melissa_Kovacsy@cfins.com
U.S. FIRE INSURANCE COMPANY

NAME:
ARLENE LYONS, WC MANAGER
ADDRESS:
305 MADISON AVENUE,

973-490-6016
TEL #:
NAME:
ADDRESS:
TEL #:
U.S. PIPE & FOUNDRY COMPANY

NAME:
MARY JUSTICE, CLAIMS SUPERVISOR
ADDRESS:
SEDGWICK CMS, 1117 PERIMETER CENTER WEST, SUITE E-500

ATLANTA, GA 30338
770-901-3172
FAX #:
770-901-3015
E-MAIL:
mary.justice@sedgwickcms.com
ELAINE HODGES, SR. CLAIMS ADMINISTRATOR

P.O. BOX 10406
BIRMINGHAM, AL 35202
205-254-7112
FAX #:
205-254-7497
E-MAIL:
None provided
E-MAIL:
tbstark@gapac.com
TEL #:
NAME:
ADDRESS:
TEL #:
UNISOURCE WORLDWIDE INC

NAME:
TIM STARKS, SMWC
ADDRESS:
GEORGIA-PACIFIC, LLC, 133 PEACHTREE STREET NE, 7TH FLOOR,

ATLANTA, GA 30303
404-652-4642
FAX #:
--
TEL #:

NAME:
LIZ WYNACHT, CLAIMS MANAGER
ADDRESS:
GEORGE-PACIFIC, LLC, 133 PEACHTREE STREET NE, 7TH FLOOR

ATLANTA, GA 30303
404-652-4640
FAX #:
--
TEL #:
E-MAIL:
elizabeth.wynacht@gapac.com
UNITED STATES STEEL LLC

NAME:
RICHARD A. ARMBRUST, DIRECTOR, IDM
ADDRESS:
600 GRANT ST., ROOM 468,

412-433-2649
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
412-433-6601
E-MAIL:
raarmbrust@uss.com
BRIAN WAGSTAFF, SUPERVISOR, WC

600 GRANT ST., ROOM 468
412-433-6633
FAX #:
412-433-6601
E-MAIL:
bwagstaff@uss.com
201-767-2839
E-MAIL:
Paul.Sokol@Unitedwater.com
262-787-7509
E-MAIL:
lee.zubek@unitedheartland.biz
DEBBIE JASKOLSKI, DIRECTOR OF CLAIMS

15200 W. SMALL ROAD
NEW BERLIN, WI 53151
262-787-7689
FAX #:
262-825-7429
E-MAIL:
debbie.jaskolski@unitedheartland.biz
E-MAIL:
E-MAIL:
joseph.smith@uticanational.com
E-MAIL:
diane.weber@cna.com
UNITED WATER NEW JERSEY, INC.

NAME:
PAUL SOKOL, DIRECTOR - INSURANCE
ADDRESS:
200 OLD HOOK ROAD,

HARRINGTON PARK, NJ 07640
201-767-2898
FAX #:
TEL #:
UNITED WISCONSIN INSURANCE COMPANY

NAME:
LEE AUBEK, DIRECTOR OF FIELD CLAIMS
ADDRESS:
15200 W. SMALL ROAD,

NEW BERLIN, WI 53151
262-787-7508
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
UTICA MUTUAL INSURANCE COMPANY

NAME:
DIANE SERVELLO, WC SUPERVISOR
ADDRESS:
TEL #:
P.O. BOX 5310,

315-235-6619
NAME:
ADDRESS:

609-308-4505
FAX #:
609-308-4599
TEL #:
FAX #:
972-301-4211
VALLEY FORGE INSURANCE COMPANY

NAME:
ADDRESS:

READING, PA 19601
610-320-4254
TEL #:
FAX #:
312-260-6876

NAME:
ADDRESS:

CHICAGO, IL 60604
312-822-4751
FAX #:
TEL #:
312-260-6320
E-MAIL:
elizabeth.seiks@cna.com
E-MAIL:
pmeyers@valleyhealth.com
E-MAIL:
mkarran@valleyhealth.com
VALLEY HOME CARE INC

NAME:
PEG MEYERSBURG, DIRECTOR, EMPLOYEE HEALTH SERVICE
ADDRESS:
15 ESSEX ROAD,
PARAMUS, NJ 07652
201-291-6436
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
201-291-6125
MARION KARRAN, MANAGER, EMPLOYEE HEALTH SERVICE

15 ESSEX ROAD
PARAMUS, NJ 07652
201-291-6436
FAX #:
201-291-6125
VALLEY PHYSICIANS SERVICES INC

NAME:
KAREN SOSNOWSKI, DIRECTOR, TOTAL REWARDS & HR TECHNOLOGY
ADDRESS:
223 NORTH VAN DIEN AVENUE,

RIDGEWOOD, NJ 07450
201-291-6336
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
201-291-6290
BARBARA SCHULTZ, DIRECTOR EMPLOYEE HEALTH & WELLNESS

223 NORTH VAN DIEN AVENUE
RIDGEWOOD, NJ 07450
201-291-6436
FAX #:
201-291-6437
E-MAIL:
ksosnow@valleyhealth.com
E-MAIL:
bschult@valleyhealth.com
VANLINER INSURANCE COMPANY

NAME:
COLLEEN SHEPHERD, CLAIMS DIRECTOR
ADDRESS:
ONE PREMIER DRIVE,

ST. LOUIS, MO 63026
TEL #:
800-325-3619 ext. 3682
636-326-0403
E-MAIL:
colleen.shepherd@vanliner.com
NAME:
ADDRESS:
STEVE WINBORN, VICE PRESIDENT OF OPERATIONS

ONE PREMIER DRIVE
ST. LOUIS, MO 63026
FAX #:
636-326-0403
800-325-3619 ext. 3854
E-MAIL:
steve.winborn@vanliner.com
614-577-3959
E-MAIL:
idulay@limitedbrands.com
SUSAN MANOS, SUPERVISOR CASE MANAGEMENT

4 LIMITED PARKWAY
614-577-6936
FAX #:
614-577-3306
E-MAIL:
smanos@limitedbrands.com
TEL #:
FAX #:
VICTORIA'S SECRET STORES, INC.

NAME:
INNAH DULAY, CASE MANAGEMENT CONSULTANT
ADDRESS:
4 LIMITED PARKWAY,
614-577-6936
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:

VIRTUA HEALTH, INC. & SUBS.

NAME:
LISA GRAIFF, WC SUPERVISOR
ADDRESS:
SCIBAL ASSOCIATES, INC., P.O. BOX 500,
TEL #:

609-653-8400
FAX #:
NAME:
JOSEPH M HARVEY, SR. VP PUBLIC RISKS
ADDRESS:
SCIBAL ASSOCIATES, INC., P.O. BOX 500
TEL #:

609-653-8400
FAX #:
609-926-9270
E-MAIL:
lgraiff@scibal.com
609-926-9270
E-MAIL:
jharvey@scibal.com
585-429-3312
E-MAIL:
annette.delahooke@wegmans.com
585-429-3312
E-MAIL:
cathy.davies@wegmans.com
WEGMANS FOOD MARKETS, INC.

NAME:
ANNETTE DELAHOOKE, WC ANALYST
ADDRESS:
P.O. BOX 30844,

ROCHESTER, NY 14603
585-429-3276
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
CATHY L DAVIES, WCIDB SUPERVISOR

P.O. BOX 30844
ROCHESTER, NY 14603
585-429-3860
FAX #:
WESCO INSURANCE COMPANY

NAME:
KIMBERLY KOWALSKI, WORKERS' COMPENSATION CLAIMS MANAGER
ADDRESS:
TEL #:
AMTRUST NORTH AMERICA, 300 ALEXANDER PARK, SUITE 300

PRINCETON, NJ 08540
609-936-3001
FAX #:
609-919-9751
NAME:
JACQUELINE LYNCH, WORKERS' COMPENSATION CLAIMS SUPERVISOR
ADDRESS:
AMTRUST NORTH AMERICA, 300 ALEXANDER PARKSUITE 300

PRINCETON, NJ 08540
609-936-3003
FAX #:
609-919-9751
TEL #:
E-MAIL:
kkowalski@amtrustgroup.com
E-MAIL:
jacqueline.lynch@amtrustgroup.com
WEST AMERICAN INSURANCE COMPANY

NAME:
ADDRESS:
5062 BRITTONFIELD PARKWAY E.,

SYRACUSE, NY 13057
315-431-6131
FAX #:
800-526-0681
E-MAIL:

5062 BRITTONFIELD PARKWAY E.
SYRACUSE, NY 13057
315-431-6322
FAX #:
800-526-0681
E-MAIL:
252-636-0391
E-MAIL:
sharon.brinson@weyerhaeuser.com
253-924-4440
E-MAIL:
dawn.yeager@weyerhaeuser.com
TEL #:
NAME:
ADDRESS:
TEL #:
WEYERHAEUSER COMPANY
NAME:
SHARON BRINSON, WC MANAGER - EASTERN REGION
ADDRESS:
TEL #:
WEYERHAEUSER, P.O. BOX 688,

NEW BERN, NC 28560
252-634-3225
FAX #:
NAME:
DAWN YEAGER, WC DIRECTOR
ADDRESS:
WEYERHAEUSER, P.O. BOX 9777

FEDERAL WAY, WA 98001
253-924-7641
FAX #:
TEL #:

WHITE CASTLE SYSTEM, INC.

NAME:
SAMANTHA WALGATE, SPECIALTY RISK SERVICES
ADDRESS:
303 LIPPINCOTT CENTER, SUITE 303,

MARLTON NJ 08053
FAX #:
800-630-0746 ext. 54486
TEL #:
NAME:
ADDRESS:
TEL #:
860-293-0778
E-MAIL:
samantha.walgate@srsconnect.com
WILLIAM SELIGA, DIRECTOR-RISK MANAGEMENT

555 WEST GOODALE STREET
COLUMBUS OH 43215
614-559-2700
FAX #:
614-559-2757
E-MAIL:
seligab@whitecastle.com
WHITE ROSE INC

NAME:
JOHN M. KOCOT, WORKERS' COMPENSATION CLAIMS ADMINISTRATOR
ADDRESS:
380 MIDDLESEX AVENUE,

CARTERET, NJ 07008
732-541-3654
TEL #:
NAME:
ADDRESS:
TEL #:
FAX #:
732-541-3723
BRIDGET KOVACS, CORPORATE INSURANCE MANAGER

380 MIDDLESEX AVENUE
CARTERET, NJ 07008
732-541-3735
FAX #:
732-541-3710
E-MAIL:
jkoco@whiterose.com
E-MAIL:
bkova@whiterose.com
E-MAIL:
XL INSURANCE AMERICA, INC.

NAME:
LYNN MUNSON, ASST VP - CLAIMS REGULATORY & COMPLIANCE
ADDRESS:
20 N. MARTINGALE ROAD, SUITE 200,

847-517-2363
FAX #:
TEL #:
NAME:
ADDRESS:
TEL #:
847-517-2314
BRYAN SANDERS, ASST. VP - PRIMARY CASUALTY & PROGRAM CLAIMS

505 EAGLEVIEW BLVD.
EXTON, PA 19341
610-968-2925
FAX #:
-E-MAIL:
bryan.sanders@xlgroup.com
XL SPECIALTY INSURANCE COMPANY

NAME:
LYNN MUNSON
ADDRESS:
ASST VP - CLAIMS REGULATORY & COMPLIANCE, 20 N. MARTINGALE ROAD, SUITE 200,

847-517-2363
FAX #:
847-517-2314
E-MAIL:
TEL #:
NAME:
ADDRESS:
TEL #:
BRYAN SANDERS, ASST VP - PRIMARY CASUALTY & PROGRAM CLAIMS

505 EAGLEVIEW BLVD.
EXTON, PA 19341
610-968-2925
FAX #:
-E-MAIL:
Bryan.Sanders@xlgroup.com
ZENITH INSURANCE COMPANY

NAME:
FRANK PERPIGLIA, ASST. VICE PRESIDENT, CLAIMS
ADDRESS:
301 E. GERMANTOWN PIKE, 2ND FLOOR,
TEL #:
EAST NORRITON, PA 19401-6517

484-622-2911
FAX #:
800-364-0443
E-MAIL:
fperpiglia@thezenith.com

NAME:
ADDRESS:
ROBERT SANDOW, CLAIMS, TECHNICAL SPECIALIST

301 E. GERMANTOWN PIKE, 2ND FLOOR
TEL #:
EAST NORRITON, PA 19401-6517

484-622-2914
FAX #:
800-364-0443
E-MAIL:
rsandow@thezenith.com
E-MAIL:
FPerpiglia@TheZenith.com
E-MAIL:
RSandow@theZenith.com
E-MAIL:
E-MAIL:
Ronald.Tanelli@Zurichna.com
ZNAT INSURANCE COMPANY

NAME:
FRANK PERPIGLIA, AVP, CLAIMS
ADDRESS:
ZENITH INSURANCE COMPANY, P.O. BOX 1558,
TEL #:
SARASOTA, FL 34230-1558
484-672-2911
NAME:
BOB SANDOW, CLAIMS SUPERVISOR
ADDRESS:
ZENITH INSURANCE COMPANY, P.O. BOX 1558
TEL #:
SARASOTA, FL 34230-1558
484-622-2914
FAX #:
FAX #:
484-622-6911
484-622-6914
ZURICH AMERICAN INSURANCE COMPANY

NAME:
ADDRESS:

973-394-5281
FAX #:
973-394-5260
TEL #:
NAME:
RONALD TANELLI, TEAM MANAGER-WC
ADDRESS:

973-394-5242
FAX #:
973-394-5260
TEL #:


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State of New Jersey

Department of Labor & Workforce Development

INSURANCE CARRIER/SELF-INSURER LIST OF DESIGNATED CONTACTS

Last revised: 12/22/2014

ABF FREIGHT SYSTEM, INC.

RACHELLE PRATT, WC CLAIMS SPECIALIST

ATTN: RISK MANAGEMENT, P.O. BOX 10048,

ALLEN KING, MANAGER, WORKERS' COMP

FORT SMITH, AR 72917-0048

ACCIDENT FUND GENERAL INSURANCE COMPANY

JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT

200 N. GRAND AVENUE,

KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT

ACCIDENT FUND INSURANCE COMPANY OF AMERICA

JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT

200 N. GRAND AVENUE,

KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT

ACCIDENT FUND NATIONAL INSURANCE COMPANY

JEAN KLUISZA, CORPORATE CLAIMS CONSULTANT

200 N. GRAND AVENUE,

KAREN HOLTZ, CORPORATE CLAIMS CONSULTANT

ACE AMERICAN INSURANCE COMPANY

PAM LLEWELLYN, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E,

INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 1

GUS GONNELLA, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E

ACE FIRE UNDERWRITERS INSURANCE COMPANY

PAM LLEWELLYN, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E,

GUS GONNELLA, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E

ACE PROPERTY & CASUALTY INSURANCE COMPANY

PAM LLEWELLYN, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E,

GUS GONNELLA, AVP WORKERS' COMPENSATION

ONE BEAVER VALLEY ROAD, SUITE 4E

ACIG INSURANCE COMPANY

RON ARTHUR, VICE PRESIDENT - CLAIMS MANAGER

12222 MERIT DRIVE, SUITE 1660,

SUSIE MCGEE, VICE PRESIDENT - CLAIMS

12222 MERIT DRIVE, SUITE 1660

ACME MARKETS, INC.

JEAN MICHETTI, TEAM LEADER

SPECIALTY RISK SERVICES (SRS), 150 SOUTH WARNER ROAD,

CASSANDRA GOMEZ, OPERATIONS MANAGER

SPECIALTY RISK SERVICES (SRS), 4245 MERIDIAN PARKWAY

INSURANCE COMPANY / SELF-INSURER CONTACTS December 22, page 2

ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY

TERESA J. MARECK, VICE PRESIDENT & GENERAL COUNSEL

P.O. BOX 571918,

SALT LAKE CITY, UT 84157-1918

GWEN E. CHURCH, ASSISTANT VICE PRESIDENT

SALT LAKE CITY, UT 84157-1918

PAULA ANDRADE, WC UNIT MANAGER

AIG PROPERTY CASUALTY COMPANY

JANICE MOORE, ASST. VICE PRESIDENT

CHARTIS, P.O. BOX 4050,

MELODY KENSEY, ADMINISTRATIVE ASSISTANT

CHARTIS, P.O. BOX 4050

ALCATEL-LUCENT USA INC

SHERRY D BAKER, CLAIMS MANAGER

624 S.E. 29TH STREET,

SOPHIE CHEVILLET, DIRECTOR NA RISK MANAGEMENT