Embed Size (px)
Citation preview
A M C O INSURANCE COMPANY
Robert Spagnolo 800-889-9872
WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080
ACADIA INSURANCE CO
Ralph Lukhard 800-283-1153
WC SupervisorBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
ACCEPTANCE INSURANCE CO
Jim Stilen 888-389-0708
Assistant VP ClaimsAcceptance Indemnity Insurance Company702 Oberlin RoadRaleigh, NC 27605
ACCIDENT FUND INSURANCE CO OF AMERICA
Lynn Schrems 866-206-5851
Regional Assistant IIAccident Fund Insurance Company of America200 N Grand AvenueLansing, MI 48901-7990
ACCIDENT FUND NATIONAL INS CO
Lynn Schrems 866-206-5851
Regional Assistant IIAccident Fund Insurance Company of America200 N Grand AvenueLansing, MI 48901-7990
ACE AMERICAN INSURANCE COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
ACE FIRE UNDERWRITERS INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
ACE INDEMNITY INSURANCE COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
Page 1 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:14 AM
ACE PROPERTY AND CASUALTY INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
ACIG INS CO(AMER CONTRACTORS INS GROUP)
Cynthia Sadler 410-560-7011
Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094
ADVANTAGE WORKERS COMPENSATION INS CO
Victor Frech 888-595-8750
Claims ManagerAdvantage Workers Compensation Insurance Company1100 East 6600 SouthMurray, UT 84121
ADVENTIST HEALTHCARE INC.
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
AFFINITY HEALTH ALLIANCE
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
AIG ASSURANCE COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AIG PROPERTY CASUALTY COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AIU INSURANCE COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
Page 2 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
ALBAN TRACTOR COMPANY
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
ALEA NORTH AMERICA INSURANCE CO
Matthew Smith 877-775-8637
Interface AnalystAlea North America Insurance Company55 Capital BlvdRocky Hill, CT 06067
ALL AMERICA INSURANCE COMPANY
Jamie Wiechart 800-786-9169
WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891
ALLEGHENY ENERGY SERVICE CORPORATION
E. Jeff Holmes 301-621-3554
Workers'Compensation ConsultantAcordia Employers Service8955 Guilford RoadColumbia, MD 21046
ALLIANZ GLOBAL RISKS US INS CO
Jason Fredrick 314-817-2806
Claims ManagerAllianz Global Corporate & Specialiaty1 Progress Point ParkwayO'Fallon, MO 63368
ALLIED EASTERN INDEMNITY CO
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
ALLIED PROPERTY & CASUALTY INS. CO.
Ronald Dietrich 215-513-8738
WC Claims ManagerNationwide Mutual Insurance Company355 Maple Ave.Harleysville, PA 19438
ALLMERICA FINANCIAL ALLIANCE INS CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
Page 3 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
ALLMERICA FINANCIAL BENEFIT INS CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
AMERICAN ALLIANCE INS. CO.
Debbie Elliott 301-791-7040
Sr. Claim RepresentativeGreat American Alliance InsuranceP.O. Box 3770Hagerstown, MD 21742
AMERICAN ALTERNATIVE INSURANCE CORP
Charles Kroh 866-220-3505
Vice PresidentAmerican Alternative Insurance Corporation555 College Road EastPrinceton, NJ 08543
AMERICAN BUILDERS INSURANCE CO
Craig Edwards 678-309-4000
SVP General Counsel & SecretaryAmerican Builders Insurance Company2410 Paces Ferry RoadAtlanta, GA 30339
AMERICAN CAS. CO. OF READING
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
AMERICAN CASUALTY CO OF CNA
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
AMERICAN COMPENSATION INSURANCE COMPANYScott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
AMERICAN ECONOMY INSURANCE CO.
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
Page 4 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
AMERICAN FIRE AND CASUALTY CO.
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
AMERICAN GLOBAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AMERICAN HOME ASSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AMERICAN INSURANCE COMPANY
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
AMERICAN INTERNATIONAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AMERICAN INTERNATIONAL SOUTH INS CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
AMERICAN INTERSTATE INSURANCE CO
KIM MIDKIFF 800-256-3462
1ST REPORT TEAM LEADERAmerican Interstate Insurance Company2301 Hwy 190 WestDeRidder, LA 70634
AMERICAN MANUF'S MUTUAL INS.CO
Edwin Bond 800-622-8637
Branch ManagerBroadspire Services Inc12150 E Monument Dr.Fairfax, VA 22033
Page 5 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
AMERICAN MOTORISTS INSURANCE
Edwin Bond 800-492-0479
Branch ManagerBroadspire Services12150 E, Monument Dr,Fairfax, VA 22033
AMERICAN RISK FUNDING INSURANCE CO
Cynthia Sadler 410-560-7011
Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094
AMERICAN STATES INSURANCE CO.
KIMBERLY GALLOWAY 410-871-2963
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
AMERICAN TELEPHONE & TELEGRAPH CORP.
Briony Eccleston 800-622-8637
AdjusterBroadspireOne Monument PlaceFairfax, VA 220334062
AMERISURE INSURANCE CO.
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
AMERISURE MUTUAL INSURANCE CO
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
AMERISURE PARTNERS INSURANCE CO
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
AMGUARD INSURANCE COMPANY
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
Page 6 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
AMSTED INDUSTRIES INC
Daniel Litwin 866-552-9151
Assistant TreasurerAmsted Industries Incorporated180 N. Stetson DrChicago, IL 60601
ANNE ARUNDEL COUNTY
Bruce Lamartin 410-222-7630
Asst. Manager, Safety and InsuranceAnne Arundel County, Maryland Risk Management DivisionP.O. Box 6675Annapolis, MD 21401
ANNE ARUNDEL HEALTH SYSTEM, INC
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D/ SISCO555 Fairmount AveTowson, MD 21286
ARCBEST CORPORATION
Lynette Baker-Woodie 800-961-9477
Claims SpecialistArkansas Best Corporation3801 Old Greenwood RoadFort Smith, AR 72903
ARCHDIOCESE OF BALTIMORE
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
ARROWOOD INDEMNITY COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
ARROWOOD INDEMNITY COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
ASCENSION HEALTH
Elizabeth Brown-Hughes 410-773-4201
Operations ManagerSedgwick CMS11350 McCormick RoadHunt Valley, MD 21031
Page 7 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
ASHMERE INSURANCE COMPANY
Gary Roche 954-727-7001
COOAshmere Insurance Company401 E Las Olas BlvdFort Lauderdale, FL 33301
ASPLUNDH TREE EXPERT COMPANY
Kathryn McDonald 800-526-6525
Team ManagerLiberty Mutual Ins.6101 Executive BlvdRockville, MD 20852
ASSOCIATED INDEMNITY CORP.
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
ATLANTIC SPECIALTY INS CO (ASIC)
Patrick Roberson 410-539-0906
CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201
ATLANTIC STATES INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
AUTOMOBILE DEALERS GROUP SELF INS TRUST
Anne Antionelli 410-527-9054
WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030
AUTOMOBILE INS.CO.OF HARTFORD
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
BALTIMORE COUNTY GOVERNMENT
Suja Varghese 410-887-5669
Supervising Attorney/Claims ManagerBaltimore County Government308 Allegheny AvenueTowson, MD 21204
Page 8 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
BALTIMORE COUNTY PUBLIC SCHOOLS
HILLARY MILSPAUGH 410-512-4605
Business Analyst SupervisorRCM&D SISCO555 Fairmount AvenueTowson, MD 21286
BALTO WASH MED CENTER/NORTH ARUNDEL
Mary McFadden 410-328-7629
Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201
BANKERS STANDARD INS. CO.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
BARRETT BUSINESS SERVICES, INC.
Melissa Lemon 410-933-8070
Sr. WC Claims ExaminerCorvelPO Box 44015Nottingham, MD 21236
BD OF ED OF HOWARD COUNTY
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services co., Inc555 Fairmount AveTowson, MD 21286
BENCHMARK INSURANCE COMPANY
Steve Novak 800-283-0622
Vice PresidentBenchmark Insurance Company775 Prairie Center DriveEden Prairie, MN 55344
BERKLEY NATIONAL INSURANCE COMPANY
Ralph Lukhard 800-283-1153
WC SupervisorBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
BERKSHIRE HATHAWAY DIRECT INSURANCE CO
Nichole Albrecht 800-661-6029
Claims ManagerBerkshire Hathaway Homestate Companies1314 Douglas StreetOmaha, NE 68102
Page 9 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
BERKSHIRE HATHAWAY HOMESTATE INS CO
Dustin Puntney 800-661-6029
Claims ManagerBerkshire Hathaway Homestate Insurance CompanyPO Box 881716San Francisco, CA 94188
BITCO GENERAL INSURANCE CORP
Mary Bauer 800-346-5108
Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093
BITCO NATIONAL INSURANCE COMPANY
Mary Bauer 800-346-5108
Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093
BLACK AND DECKER CORPORATION
M. Clayton Roop 410-716-3737
Director, Corporate Risk ManagementThe Black & Decker Corporation701 E. Joppa Road, TW 230Towson, MD 21286
BLUE RIDGE INDEMNITY CO
Sheila McGraw 800-362-5448
AVP ClaimsGeneral Casualty Co of WisconsinOne General DriveSun Prairie, Wi 53596
BON SECOURS HEALTH SYSTEMS INC.
Yvonne Garside 410 442-3430
Manager, Workers' CompensationBon Secours Health System, Inc.1505 Marriottsville RdMarriottsville, MD 21104
BRETHREN MUTUAL INSURANCE CO.
LISA FERGUSON 800-621-4264
WORKERS COMP MANAGERBRETHREN MUTUAL INSURANCE COMPANY149 N EDGEWOOD DRIVEHAGERSTOWN, MD 21740
BRICKSTREET MUTUAL INSURANCE COMPANY
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
Page 10 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
BROTHERHOOD MUTUAL INSURANCE
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
BUILDERS MUTUAL INS CO
Patrick Tedesco 410-576-4720
AttorneySemmes, Bowen, & Semmes25 S. Charles StreetBaltimore, MD 21201
CARE PROVIDERS WORKERS COMP SELF INS GRP
Richard W. Scheiner 410-539-5040
Counsel of RecordSemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
CAROLINA CASUALTY INS CO
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
CARROLL COUNTY GOVERNMENT
Cecilia Devilbiss 410-386-2667
Risk ManagerCarroll County Government225 N. Center StreetWestminster, MD 21157
CARROLL COUNTY HEALTH SERVICES CORP.
Kathy Gallagher 240-566-3721
Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701
CASTLEPOINT NATIONAL INSURANCE COMPANY
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
CECIL COUNTY, MARYLAND
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
Page 11 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
CENTENNIAL INSURANCE COMPANY
Patricia McComb 410-252-4230
Claim SpecialistAtlantic Mutual7 Giralda FarmsMadison, NJ 07940-1027
CENTRAL MUTUAL INSURANCE COMPANY
Jamie Wiechart 800-786-9169
WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891
CENTURY INDEMNITY COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
CGU INSURANCE CO
Patrick Roberson 410-539-0906
CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201
CHARLES COUNTY GOVERNMENT
Hilary Millspaugh 410-512-4605
Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284
CHARTER OAK FIRE INSURANCE CO.
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
CHARTIS CASUALTY COMPANY/FORMERLY AIG
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
CHARTIS PROPERTY CASUALTY COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
Page 12 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
CHEROKEE INSURANCE CO
Mark Dadabbo 800-201-0450
PresidentCherokee Insurance Company34200 Mound RoadSterling Heights, MI 48310
CHESAPEAKE EMPLOYERS INSURANCE COMPANY
Timothy Michels 410-494-2300
Chesapeake Employers Insurance Company8722 Loch Raven BlvdTowson, MD 21286
CHUBB INDEMNITY INSURANCE CO
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
CHUBB NATIONAL INSURANCE COMPANY
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
CHURCH MUTUAL INSURANCE CO
Angela Calmes 800-554-2642
Work Comp Claims ManagerChurch Mutual Insurance CompanyPO Box 342Merrill, WI 54452
CINCINNATI CASUALTY CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
CINCINNATI INDEMNITY CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
CINCINNATI INSURANCE CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
Page 13 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
CITIZENS INSURANCE CO OF AMERICA
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
CITY OF ANNAPOLIS
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
CLARK CONSTRUCTION GROUP, LLC
Hilary Moore 443-921-2571
Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286
CNA CASUALTY OF CALIFORNIA
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
COCA-COLA REFRESHMENTS USA, INC.
Patti Jones 410-773-4236
Claim SupervisorSedgwick CMS11350 McCormack Road, Executive Plaza IIHunt Valley, MD 21031
COLONIAL PIPELINE COMPANY
Darla Lyle 410-933-5400
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
COLONY SPECIALTY INS CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
COMMERCE & INDUSTRY INS. CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
Page 14 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
COMMERCIAL UNION INS. CO.
Patrick Roberson 410-539-0906
CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201
COMPANION PROPERTY & CASUALTY
Timothy McLaughlin 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201
CONNECTICUT INDEMNITY COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
CONSTELLATION ENERGY GROUP, INC.
Mark Hackman 410-470-5709
CounselConstellation Energy Group, Inc.100 Constellation WayBaltimore, MD 21202
CONTINENTAL CASUALTY COMPANY
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
CONTINENTAL INDEMNITY COMPANY
Eric Kennedy 877-234-4420
Unit SupervisorContinental Indemnity Company10805 Old Mill RoadOmaha, NE 68154
CONTINENTAL INSURANCE COMPANY
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
CONTINENTAL WESTERN INSURANCE COMPANY
Ralph Lukhard 800-283-1153
WC SupervisorBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
Page 15 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
COSTCO WHOLESALE
Carrie Freeland 800-913-1013
Workers' Compensation ManagerCostco Wholesale999 Lake DriveIssaquah, WA 98027
CRUM & FORSTER INDEMNITY CO
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
DELHAIZE AMERICA, LLC
James Maloney 301-766-7748
EsquireSemmes, Bowen & Semmes322 East Antietam StreetHagerstown, MD 21740
DIAKON LUTHERAN SOCIAL MINISTRIES/TRESSL
Staci Ulp 800-356-0438
Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105
DIMENSIONS HEALTH CORPORATION
Robert Mellendick 410-339-7852
Senior Vice PresidentRCM&D555 Fairmount Ave.Baltimore, MD 21228
DISCOVER PROPERTY & CASUALTY
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
DOCTORS COMMUNITY HOSPITAL
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
DOLGENCORP, LLC
Robert Pugh 800-456-9446
Director of Risk ManagementDollar General Corporation100 Mission RidgeGoodlettsville, TN 37072
Page 16 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
DONEGAL MUTUAL INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
E I DUPONT DE NEMOURS & CO
Edwin Bond 800-622-8637
ManagerBroadspire12150 East Monumant DriveFairfax, VA 22033
EASTERN ADVANTAGE ASSURANCE COMPANY
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
EASTERN ALLIANCE INSURANCE COMPANY
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
EASTGUARD INSURANCE CO
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
EMCASCO INSURANCE CO
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
EMPLOYEE BENEFITS INSURANCE CO
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
EMPLOYERS ASSURANCE COMPANY
Kelly Spina 702-671-7271
Claim DirectorEmployers Assurance Company2550 Paseo Verde ParkwayHenderson, NV 89074
Page 17 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
EMPLOYERS MUTUAL & CASUALTY OF IOWA
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
EMPLOYERS MUTUAL CASUALTY INS.
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
EMPLOYERS PREFERRED INS CO
Cheryl Hale 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201
ERIE INSURANCE CO
Darrell Spriggs 301-680-7464
Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914
ERIE INSURANCE EXCHANGE
Darrell Spriggs 301-680-7464
Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914
ERIE INSURANCE PROPERTY & CASUALTY
Darrell Spriggs 301-680-7464
Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914
EVEREST NATIONAL INSURANCE CO
James Camerino 800-438-4375
Senior Vice PresidentEverest National Insurance Company477 Martinsville RoadLiberty Corner, NJ 07938
EXCELSIOR INSURANCE CO
Christine Faucett 866-539-6449
Director Complex ClaimsExcelsior Insurance2000 Westwood DrWausau, WI 54402
Page 18 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
EXCELSIOR INSURANCE CO. OF NY
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
FAIRMONT INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
FAIRMONT PREMIER INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
FAIRMONT SPECIALTY INSURANCE COMPANY
S. Woods Bennett 410-752-7600
Attorney At LawCornblatt, Bennett, Penhallegon & Roberson201 N. Charles StreetBaltimore, MD 21201
FARMERS INSURANCE CO
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
FARMINGTON CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
FARMLAND MUTUAL INSURANCE COMPANY
Christopher Crawford 800-228-6700
Director, Workers CompensationNationwide Agribusiness1100 Locust StDes Moines, IA 50391
FCCI INSURANCE COMPANY
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
Page 19 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
FEDERAL EXPRESS CORPORATION
Barb Quigley 410-773-4230
SupervisorSedgwick Claims Management11350 McCormick RdHunt Valley, MD 21031
FEDERAL INSURANCE COMPANY
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
FEDERATED MUTUAL INSURANCE CO.
Kevin O'Neill 410-783-1296
AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202
FEDERATED SERVICE INS CO
Kevin O'Neill 410-783-1296
AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202
FEDEX GROUND PACKAGE SYSTEMS INC
Larry Parks 800-238-6960
Manager Workers' CompensationFedEx Ground Package System, Inc.3925 Embassy ParkwayAkron, OH 44333
FIDELITY & GUAR. INSURANCE CO.
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
FIDELITY & GUAR.INSURANCE UND.
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
FIRE & CASUALTY INS CO OF CONN
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
Page 20 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
FIREMAN'S FUND INSURANCE CO.
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
FIREMAN'S FUND OF WISCONSIN
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
FIREMAN'S INSURANCE CO. OF NJ
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
FIREMENS INSURANCE CO OF WASHINGTON D C
Ralph Lukhard 800-283-1153
WC SupervisorBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
FIRST LIBERTY INSURANCE CORP
Tara Kasper 800-900-4875
Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068
FIRST NATIONAL INS.CO-AMERICA
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
FIRSTLINE NATIONAL INSURANCE CO
Tara Turner 443-640-2314
Claims Quality & Compliance ManagerFirstline National Insurance Company200 N. Main StreetBel Air, MD 21014
FLAGSHIP CITY INSURANCE CO
Darrell Spriggs 301-680-7464
Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914
Page 21 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
FLORIDA ROCK INDUSTRIES INC
Darla Stricker 410-933-5408
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
FLORISTS INSURANCE CO
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
FLORISTS MUTUAL INSURANCE CO.
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
FORD MOTOR COMPANY
Brenda Price 800-508-2065
Claims RepresentiveBartech/Ford Motor Company16800 Executive plaza Dr.Dearborn, MI 48121
FRANK WINSTON CRUM INSURANCE INC
Brigitte Becker 800-277-1620
Vice President of ClaimsFrank Winston Crum Insurance, Inc.100 S. Missouri Ave.Clearwater, FL 33756
FRANKENMUTH MUTUAL INS CO
Bonnie Ellison 800-234-4433
Workers' Compensation SupervisorFrankenmuth Mutual Insurance Co.One Mutual AvenueFrankenmuth, MI 48787-0040
FREDERICK MEMORIAL HOSPITAL, INC.
Kathy Gallagher 240-566-3721
Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701
FRONT ROYAL INSURANCE CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
Page 22 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
FRONTIER INSURANCE COMPANY
Nancy Esposito 800-807-5080
WC Claims ManagerFrontier Insurance Co in Rehabilitation195 Lake Louise Marie RdRock Hill, NY 12775
GATEWAY INSURANCE COMPANY
Joseph Shugrue 800-897-2551
Vice President ClaimsGateway Insurance Company150 Northwest Point Blvd.Elk Grove Village, IL 60007
GBMC HEALTHCARE, INC.
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
GENERAL ACC INS CO OF AMERICA/MONTGOMERYPatrick Roberson 410-539-0906
CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201
GENERAL CASUALTY CO OF WISCONSIN
Kimberly Reed 800-961-1121
WC Unit ManagerGeneral Casualty Co of Wisconsin82 Hopmeadow StreetSimsbury, CT 06070
GENERAL CONF. OF SEVENTH DAY ADVENTISTS
Joshua Nieblas 301-680-6863
Field Services ManagerAdventist Risk Management12501 Old Columbia PikeSilver Spring, MD 20904
GENERAL INSURANCE CO. OF AMER.
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
GENERAL MOTORS COMPANY
Randy Clifford 410-773-4244
Claims Examiner, IISedgwick CMSPO Box 808Hunt Valley, MD 21030
Page 23 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
GENERAL MOTORS CORPORATION
Bobbi Elliott 410-773-4242
Maryland Plant InvestigatorGeneral Motors CorporationPO Box 808Hunt Valley, MD 21030
GENESIS INSURANCE CO
MARY ANN BROWN 800-431-9994
ASSISTANT SECRETARYGENESIS INSURANCE COMPANY120 LONG RIDGE ROADSTAMFORD, CT 06902
GIANT FOOD STORES LLC T/A MARTIN'S FOOD
Barry Bernstein 410-385-3943
Attorney At Lawfor Ahold U.S.A., Inc.- Giant Food Stores LLC-MAC Risk Management25 South Charles StreetBaltimore, MD 21201
GLOBE INDEMNITY INSURANCE CO.
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
GRANITE STATE INSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
GREAT AMERICAN ALLIANCE INS
Valerie Aburn 770-225-4618
Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201
GREAT AMERICAN INS CO OF NY
Valerie Aburn 770-225-4618
Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201
GREAT AMERICAN INSURANCE CO.
Debbie Elliott 301-791-7040
Sr. Claim RepresentativeGreat American Alliance InsuranceP.O. Box 3770Hagerstown, MD 21742
Page 24 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
GREAT ATLANTIC & PACIFIC TEA CO
Darla Stricker 410-933-5408
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
GREAT MIDWEST INSURANCE CO
Cora Wolfel 888-377-7263
AdjusterRCM&DP.O. Box 42737Baltimore, MD 21284
GREAT NORTHERN INSURANCE CO.
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
GREAT WEST CASUALTY COMPANY
Dale Seguin 800-228-8602
Manager, WC ClaimsGreat West Casualty Company1100 W. 29th St.South Sioux City, NE 68776
GREATER NY MUTUAL INSURANCE CO
Paul Donoghue 410-727-2443
AttorneyRollins, Smalkin, Richards & Mackie401 North Charles StreetBaltimore, MD 21201
GUARANTEE INSURANCE COMPANY
Mark Hoehn 877-567-0303
Regional ManagerPatriot Risk Services, Inc.PO Box 386Conshohocken, PA 19428
GUIDEONE MUTUAL INSURANCE COMPANY
Linda Wilson 877-448-4331
Workers Compensation SupervisorGuideOne Insurance1025 Ashworth RdWest Des Moines, IA 50265
GUIDEONE SPECIALTY MUTUAL INS CO
Christine Opfer 515-267-5166
Medical Operations ManagerGuideOne Specialty Mutual Insurance Company1111 Ashworth Rd.West Des Moines, IA 50265
Page 25 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
HANOVER AMERICAN INSURANCE CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
HANOVER INSURANCE CO.
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
HARFORD COUNTY MARYLAND
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company555 Fairmount AvenueTowson, MD 21286
HARFORD MUTUAL INSURANCE CO.
Tara Turner 443-640-2314
Claims Quality & Compliance ManagerFirstline National Insurance Company200 N. Main StreetBel Air, MD 21014
HARLEYSVILLE MUTUAL INSURANCE
Jan Ross 410-902-6910
WC Claim RepresentativeHarleysville Insurance2885 Elm Hill PikeNashville, TN 37214
HARLEYSVILLE PREFERRED INS
Jan Ross 410-902-6910
WC Claim RepresentativeHarleysville Insurance2885 Elm Hill PikeNashville, TN 37214
HARTFORD ACCIDENT & INDEMNITY
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
HARTFORD CASUALTY INSURANCE CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
Page 26 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
HARTFORD FIRE INSURANCE CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
HARTFORD INS CO OF THE MIDWEST
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
HARTFORD INSURANCE CO OF THE SOUTHEAST
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
HARTFORD UNDERWRITERS INSURANCE
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
HDI GLOBAL INSURANCE COMPANY
John Thompson 800-607-6000
Vice President, ClaimsHDI-Gerling America Insurance Company700 North Brand BoulevardGlendale, CA 91203
HEBREW HOME OF GREATER WASHINGTON
Hilary Millspaugh 410-512-4605
Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284
HERR FOODS, INC.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
HIGHMARK CASUALTY INS CO
Robert Frew 800-328-5433
Director, Compliance/Contracts/SIUHighmark Casualty Insurance Company120 Fifth Avenue, Fifth Avenue PlacePittsburgh, PA 15222-3099
Page 27 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
HOWARD COUNTY MARYLAND
Charles Lewis 410-313-6390
AdministratorHoward County Maryland6751 Columbia Gateway DrColumbia, MD 21046
ILLINOIS NATIONAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
IMPERIAL CASUALTY AND INDEMNITY CO
Michael McClellan 888-339-5736
Claims ManagerImperial Casualty and Indemnity Company (Providence Holdings, Inc.)P.O. Box 2769Frisco, TX 75034
IMPERIUM INSURANCE COMPANY
Richard Starkie 800-203-1179
Vice President - Claim ManagerDelos Insurance Company120 West 45th Street,New York, NY 10036
INDEMNITY INS. CO. OF N. AMER.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
INSURANCE CO. OF GREATER NY
Paul Donoghue 410-727-2443
AttorneyRollins, Smalkin, Richards & Mackie401 North Charles StreetBaltimore, MD 21201
INSURANCE CO. OF N. AMERICA
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
INSURANCE CO. OF STATE OF PA.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
Page 28 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
INSURANCE COMPANY OF THE WEST
Connor McNulty 610-657-6955
Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087
INTERNATIONAL PAPER COMPANY
David Miles 410-773-4226
SupervisorSedgwick Claims Management Services11350 McCormick RoadHunt Valley, MD 21031
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
Sharon Soistman 410-955-4800
Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205
JOHNS HOPKINS UNIVERSITY
Sharon Soistman 410-955-4800
Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205
KENNEDY KRIEGER INSTITUTE
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
L M INSURANCE CORP
Amparo Sadovnik 800-900-4875
Team ManagerLiberty Mutual3 Becker Farm RoadRoseland, NJ 07068
LIBERTY INSURANCE CORP
Ervin Gainer Sr 301-881-9300
Claims Manager/OOMLiberty Mutual6101 Executive BlvdRockville, MD 20852
LIBERTY MUTUAL INSURANCE CO.
Tara Kasper 800-900-4875
Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068
Page 29 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
LIFEBRIDGE HEALTH, INC
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
LOWE'S HOME CENTERS, LLC
Lori Mills 877-494-8010
Claim SpecialistSpecialty Risk ServicesPO Box 807Hunt Valley, MD 21030
LUMBERMEN'S UNDERWR. ALLIANCE
Phyllis Charlton 866-794-0360
WC Claims AdjusterLUA Claims Service11019 Thistlebrook CourtColumbia, MD 21044
MACY'S INC./FEDERATED DEPT STORES
Roxanne Stegemeyer 443-484-4007
Claims SpecialistMacy's, Inc3300A Fashion WayJoppa, MD 21085
MAIN STREET AMERICA ASSURANCE CO
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
MAINE EMPLOYERS MUTUAL INS CO
David Godwin 410-418-8778
EsquireGodwin, Eriandson, Vernon and Daney330 North Ridge RoadEllicott City, MD 21043
MANUFACTURERS ALLIANCE CO.
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
MARFY/CBH
Laurie Wilson 410-933-0002
Sr. Claim AdjusterHSC Claims Administration Inc8019 Corporate Dr.Baltimore, MD 21236
Page 30 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
MARKEL INSURANCE COMPANY
Kenneth Shaffrey 410-576-4825
AttorneySemmes, Bowen & Semmes25 South Charles St.Baltimore, MD 21201
MARRIOTT INTERNATIONAL, INC.
Steve Perroots 866-627-0111
Senior DirectorMarriott Claims Services - Mid-Atlantic Region9737 Washingtonian BoulevardGaithersburg, MD 20878
MARYLAND ASSOC BOARDS OF EDUC
Tina Gates 410-841-2493
WC SupervisorMABE Workers' Compensation Group Self-Insurance Fund621 Ridgely AvenueAnnapolis, MD 21401-1087
MARYLAND GENERAL HOSPITAL
Mary McFadden 410-328-7629
Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201
MARYLAND GROUP SELF-INSURED HOSPITALS
Hilary Millspaugh 410-512-4605
Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284
MASSACHUSETTS BAY INSURANCE CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
MAYOR AND CITY COUNCIL OF BALTIMORE
Tracy Logue 410-864-2576
Program ManagerKey Risk Management Services, Inc.7 Saint Paul StreetBaltimore, MD 21202
MD ASSN. COMMUNITY SVCS- SELF-INS. GROUP
Darrick Bowens 410-931-6620
Workers' Compensation Claims SupervisorHSC Claims Administration, Inc.8019 Corporate DriveBaltimore, MD 21236
Page 31 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
MD. RESTAURANT & HOSP. SELF INS. FUND
Anne Antionelli 410-527-9054
WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030
MEMIC INDEMNITY COMPANY
Karen Porter 866-636-4292
Director, Claim ComplianceMEMIC Indemnity Company1750 Elm StreetManchester, NH 03104
MERCHANTS MUTUAL INSURANCE CO.
Maralee Denz 716-849-3029
WC Claim SupervisorMerchants Mutual Insurance Company250 Main StreetBuffalo, NY 14202
MERCY MEDICAL CENTER
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
MERIDIAN MUTUAL INS CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
MERIDIAN SECURITY INS CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
MERITUS MEDICAL CENTER/WASH CO HOSP
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
METTIKI COAL, LLC
Pam Hanline 301-334-5326
Workers' Compensation CoordinatorMettiki Coal, LLC243 Table Rock RoadOakland, MD 21550
Page 32 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
MID CENTURY INSURANCE CO.
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
MIDDLESEX INSURANCE COMPANY
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
MIDWEST EMPLOYERS CASUALTY CO
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
MILLER & LONG CO. INC
Deborah Carr 301-347-4203
VP InsuranceMiller & Long Co., Inc.7101 Wisconsin AveBethesda, MD 20814
MONROE GUARANTY INSURANCE CO
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
MONTGOMERY COUNTY MARYLAND
Lissa Bales 240-777-8903
Claims ManagerMontgomery County Self Insurance Program101 Monroe StreetRockville, MD 20850
MONTGOMERY GENERAL HOSPITAL
Stan Haynes 410-576-4723
Hospital Workers Comp RepresentativeSemmes, Bowen & Semmes250 West Pratt StreetBaltimore, MD 21201
MONTGOMERY INDEMNITY CO
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
Page 33 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
MOTORISTS COMMERCIAL MUTUAL INS. CO.
Judy Palamara 800-876-7488
Branch Claims ManagerMotorists Insurance Group/American Hardware Insurance2674 Monroeville BlvdMonroeville, PA 15146
MUTUAL BENEFIT INSURANCE CO.
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
NATIONAL AMERICAN INS CO
R. Patrick Gilmore 405-258-4262
Senior Vice PresidentNational American Insurance Company1010 Manvel AvenueChandler, OK 74834
NATIONAL BUILDERS INSURANCE CO
Robert Erlandson 410-418-8778
AttorneyGodwin Erlandson Vernon & Daney, LLC3300 North Ridge RoadEllicott City, MD 21043
NATIONAL CASUALTY COMPANY
Tracy Augspurger 800-228-6700
Consultant, Workers' CompensationNational Casualty Company1100 Locust STDes Moines, IA 50391
NATIONAL CONTINENTAL INS CO
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
NATIONAL FIRE INS. OF HARTFORD
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
NATIONAL FIRE INSURANCE CO.
kevin mahoney 410-527-7838
claim specialistCNA201 International DriveHunt Valley, MD 21030
kevin.mahoney@ cna.com
Page 34 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
NATIONAL INTERSTATE INS CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
NATIONAL TRUST INSURANCE COMPANY
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
NATIONAL UNION FIRE INS CO OF PITTSBURGH
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
NATIONAL UNION FIRE INSURANCE
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
NATIONWIDE AGRIBUSINESS INS CO
Christopher Crawford 800-228-6700
Director, Workers CompensationNationwide Agribusiness1100 Locust StDes Moines, IA 50391
NATIONWIDE MUTUAL FIRE INS CO
Robert Spagnolo 800-889-9872
WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080
NATIONWIDE MUTUAL INSURANCE CO
Robert Spagnolo 800-889-9872
WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080
NATIONWIDE PROPERTY & CASUALTY
Robert Spagnolo 800-889-9872
WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080
Page 35 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
NETHERLANDS INSURANCE COMPANY
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
NEW HAMPSHIRE INSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
NEW JERSEY MANUFACTURERS INS CO
Francis Shuler 800-232-6600
Claims SupervisorNJM Insurance Group1599 Littleton RoadParsippany, NJ 07054
NEW YORK MARINE & GENERAL INSURANCE CO
Patrick Gano 800-774-2755
Claims RepresentativeNew York Marine & General Insurance Company412 Mt. Kemble AvenueMorristown, NJ 07960
NEWARK INSURANCE COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
NGM INSURANCE COMPANY
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
NIPPONKOA INS CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
NORDSTROM INC
Robert Haugen 877-275-7475
Workers Compensation ManagerNordstrom, Inc.1700 Seventh AvenueSeattle, WA 98101-4407
Page 36 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
NORGUARD INSURANCE CO
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
NORTH RIVER INSURANCE CO.
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
NORTHSTONE INSURANCE CO
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
NORTHWEST HEALTH SYSTEM, INC.
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services co., Inc.555 Fairmount AvenueTowson, MD 21286
NOXELL CORPORATION
Geneva Sallee 800-235-1134
Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202
OBI NATIONAL INSURANCE COMPANY
Patrick Roberson 410-539-0906
CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201
OCCIDENTAL FIRE & CASUALTY
Mark Mendenhall 630-864-3450
WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563
OHIO CASUALTY INSURANCE CO.
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
Page 37 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
OHIO SECURITY INSURANCE CO
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
OLD DOMINION INSURANCE CO
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
OLD GUARD INSURANCE CO
Kerri Weaver 800-732-0050
Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604
OLD REPUBLIC GENERAL INS CORP
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
OLD REPUBLIC INSURANCE CO.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
ONEBEACON AMERICA INS CO
Debby Schoen-Cruz 877-248-3455
TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021
ONEBEACON INS CO
Debby Schoen-Cruz 877-248-3455
TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021
ORISKA INSURANCE CO
James Kernan 800-358-3513
PresidentOriska Insurance Company1310 Utica St., PO Box 855Oriskany, NY 13424
Page 38 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
P.H. GLATFELTER COMPANY
Crista Sutton 410-527-9033
Sr. Accounts Claims Rep.PMA Insurance Group200 International CircleHunt Valley, MD 21030
PACIFIC EMPLOYERS INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
PACIFIC INDEMNITY COMPANY
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
PEERLESS INDEMNITY INS CO
KIMBERLY GALLOWAY 410-871-2963
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
PENINSULA INDEMNITY CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
PENINSULA INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
PENINSULA REGIONAL MEDICAL CENTER
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., inc.555 Fairmount AveTowson, MD 21286
PENN MILLERS INS CO
Donna Westervelt 856-780-3907
Claims RepresentativeGallagher Bassett9240 Rumsey RoadColumbia, MD 21045
Page 39 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
PENN NATIONAL SECURITY INS CO
NICOLE CARRUTH 800-388-4764
DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101
PENNSYLVANIA LUMBERMENS MUT'L.
Francis R. Santoro 800-752-1895
AVP-Claims DepartmentPennsylvania Lumbermens Mutual Insurance CompanyOne Commerce Sq., 2005 Market StreetPhiladelphia, PA 191037008
PENNSYLVANIA MFG. ASSOCIATION
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
PENNSYLVANIA MFG. INDEMNITY
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
PENNSYLVANIA NATIONAL MUTUAL CAS INS CO
NICOLE CARRUTH 800-388-4764
DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101
PERDUE FARMS, INC.
Beth Grove 410-749-2155
Senior AdjusterCrawford & Company1501 Edgemore AvenueSalisbury, MD 21801
PHARMACISTS MUTUAL INSURANCE CO
Lisa Molsberry 800-247-5930
Workers Compensation Claims ManagerPharmacists Mutual Insurance Company818 Highway 18 West, PO Box 370Algona, IA 50511
PHOENIX INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
Page 40 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
PINNACLEPOINT INSURANCE CO
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
PLAZA INSURANCE COMPANY
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
POTOMAC FARMS DAIRY/GALLIKER DAIRY CO
Staci Ulp 800-356-0438
Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105
PRAETORIAN INSURANCE COMPANY
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
PREFERRED PROFESSIONAL INS CO
Kathryn McAleer 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLC1 N Charles StreetBaltimore, MD 21201
PRINCE GEORGE CO COMM COLLEGE
Lazina Alie 301-583-5411
Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774
PRINCE GEORGE'S COUNTY MARYLAND
Lazina Alie 301-583-5411
Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774
PRINCETON INSURANCE CO
Michael Broadway 800-394-8335
Branch ManagerCrawford & Company9900 Franklin Square DriveBaltimore, Md 21236
Page 41 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
PROCTER & GAMBLE MANUF CO
Geneva Sallee 800-235-1134
Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202
PROTECTIVE INSURANCE COMPANY
David Ghesquiere 800-479-0981
AVP of ClaimsPROTECTIVE INSURANCE COMPANYPost Office Box 7099Indianapolis, IN 46207
QBE INSURANCE CORPORATION
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
RECIPROCAL OF AMERICA
Mark Hyland 800-824-8847
Second Vice PresidentReciprocal of America in Liquidation4200 Innslake DriveGlen Allen, Va 23060
REDWOOD FIRE & CASUALTY INS CO
Kathleen Koester-Holt 800-661-6029
Unit SupervisorRedwood Fire and Casualty Insurance1314 Douglas StreetOmaha, NE 68102
REPUBLIC FRANKLIN INSURANCE
Bonnie Johnson 410-252-9575
claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093
ROCKWOOD CASUALTY INSURANCE CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
ROCKWOOD INS. CO OF INDIANA
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
Page 42 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
ROXUL USA, INC./CHICAGO METALLIC
Robert Mellendick 410-339-7852
Senior Vice PresidentRCM&D/SISCO555 Fairmount AvenueBaltimore, MD 21286-5497
RYDER SYSTEMS INC
Richard W. Scheiner 410-539-5040
Counsel of RecordSemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
SAFECO INS. CO. OF AMERICA
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
SAFECO INSURANCE CO OF ILLINOIS
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
SAFEGUARD INSURANCE COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
SAFETY FIRST INS CO
Jennifer Holmes 888-995-5300
Technical Support SpecialistSafety National Casualty Corporation1832 Schuetz Rd.St.Louis, MO 63146
SAFETY NATIONAL CASUALTY CORP
Jennifer Holmes 888-995-5300
Technical Support SpecialistSafety National Casualty Corporation1832 Schuetz Rd.St.Louis, MO 63146
SAFEWAY INC.
Paul Osborn 301-918-8919
WC Claims ManagerSafeway Inc.4551 Forbes Blvd.Lanham, MD 20706
Page 43 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
SEABOARD FIRE & MARINE INS.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
SEABRIGHT INSURANCE COMPANY
Michael Schaffer 410-933-3966
ManagerSchaffer Companies, LTD9940 Franklin Square DriveBaltimore, MD 21236
michael [email protected]
SECURITY INSURANCE CO.
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
SELECT INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
SELECT RISK INSURANCE CO
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
SELECT RISK MUTUAL INS CO
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
SELECTIVE INS CO OF SOUTH CAROLINA
Christy Jones 800-688-9656
Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277
SELECTIVE INS CO OF THE SOUTHEAST
Christy Jones 800-688-9656
Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277
Page 44 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
SELECTIVE INS. CO. OF AMERICA
Christy Jones 800-688-9656
Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277
SELECTIVE WAY INSURANCE CO
Christy Jones 800-688-9656
Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277
SENECA INSURANCE CO
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
SENTINEL INSURANCE COMPANY
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
SENTRY CASUALTY COMPANY
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
SENTRY INDEMNITY COMPANY
Bonnie Johnson 410-252-9575
claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093
SENTRY INSURANCE A MUTUAL CO
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
SENTRY SELECT INS CO /F/K/A JOHN DEERE
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
Page 45 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
SHEEHY AUTO STORES
Jessica Edelstein 800-203-5677
Claims RepresentativeColonial HealthCare, Inc.9901 Business ParkwayLanham, MD 20706
SHEPPARD & ENOCH PRATT HEALTH SYSTEM
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
SINAI HOSPITAL OF BALTIMORE, INC.
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc555 Fairmount AveTowson, MD 21286
SOLO CUP COMPANY/DART CONTAINER
Bonita Formwalt 800-448-0077
Branch ManagerGallagher Bassett Services, Inc.10025 Governor Warfield PkwyColumbia, MD 21044
SOMPO AMERICA INSURANCE CO
Judith Werner 877-589-5959
Claims Examiner IVSompo America Insurance Co.11405 North Community House RoadCharlotte, NC 29707
SOUTHERN INSURANCE CO OF VIRGINIA
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
SOUTHERN INSURANCE COMPANY
Frank Hall 877-788-6008
Program Claims ManagerSouthern Insurance Company5525 LBJ FreewayDallas, TX 75240-6241
SOUTHERN MD ELECTRIC CO-OP
Giovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
Page 46 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
SOUTHERN PILOT INS CO
Ridge Cramer 410-821-1764
Senior Claims AdjusterWard North America8501 LaSalle RoadBaltimore, MD 21296
SOUTHERN STATES INSURANCE EXCH
TESS SHERZEY 877-243-6677
SENIOR CLAIM EXAMINERSouthern States Insurance Exchange6606 West Broad StRichmond, VA 23230
SPARTA INSURANCE COMPANY
John Mindek 877-772-7824
SVP, ClaimsSPARTA Insurance Company185 Asylum StreetHartford, CT 06103
ST PAUL FIRE & MARINE INS CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
ST PAUL GUARDIAN INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
ST PAUL MERCURY INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
ST. MARY'S COUNTY GOVERNMENT
Hilary Millspaugh 410-512-4605
Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284
STANDARD FIRE INSURANCE CO.
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
Page 47 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
STANLEY WORKS
Robyn Jones 800-551-0271
MD Team LeaderSpecialty Risk ServicesP.O Box 61512King of Prussia, PA 19406
STAR INSURANCE CO
Thomas Tucker 800-482-2726
VP ClaimsMeeadowbrook, Inc26255 American DriveSouthfield, MI 48034
STARNET INSURANCE COMPANY
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
STATE AUTO PROPERTY & CAS. CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
STATE AUTOMOBILE MUTUAL INS.CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437
STATE FARM GENERAL INSURANCE
Rick Scotton 301-620-6424
Team ManagerState Farm Fire & Casualty CoOne State Farm DriveFrederick, MD 21709
STATE NATIONAL INSURANCE COMPANY
Debbie VanSanford 800-877-4567
State Filings CoordinatorState National Insurance Company, Inc.1900 L. Don Dodson DriveBedford, TX 76021
STATE OF MARYLAND
Timothy Michels 410-494-2300
Chesapeake Employers Insurance Company8722 Loch Raven BlvdTowson, MD 21286
Page 48 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
STONINGTON INSURANCE COMPANY
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
SUBURBAN HOSPITAL ASSOCIATION
Hilary Moore 443-921-2571
Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286
SUSSEX INSURANCE CO
Joe Suarez 800-845-2724
Claims ManagerSussex Insurance Company221 Dawson Rd.Columbia, SC 29223
TARGET CORPORATION
Catherine Marschall 800-285-3258
Claims SupervisorSedgwick Claims Management Services, Inc.11350 McCormack RoadHunt Valley, MD 21031
TECHNOLOGY INSURANCE CO
Brenda Oals-Becker 888-239-3909
Claims AnalystTechnology Insurance CompanyP.O. Box 2007Hagerstown, MD 21742
TIG INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
TOKIO MARINE AMERICA INSURANCE COMPANY
Todd Alena 800-628-2796
Manager, Workers Compensation ClaimsTokio Marine Management, Inc.230 Park AvenueNew York, NY 10169
TOWER INSURANCE CO OF NEW YORK
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
Page 49 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
TOWER NATIONAL INSURANCE COMPANY
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
TOWN OF OCEAN CITY
Eric Lagstrom 410-289-8773
Risk ManagerTown of Ocean City301 Baltimore AveOcean City, MD 21842
TRANSAMERICA INSURANCE CO.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
TRANSAMERICA PREMIER INS CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
TRANSCONTINENTAL INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
TRANSGUARD INS CO OF AMERICA INS
Mark Mendenhall 630-864-3450
WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563
TRANSPORT INSURANCE CO.
Desiree Mecca 267-675-3348
Assistant SecretaryTransport Insurance Company2 Logan SquarePhiladelphia, PA 19103
TRANSPORTATION INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
Page 50 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
TRAVELERS CASU AND SURETY CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS CASUALTY AND SURETY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS CASUALTY CO OF CONNECTICUT
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS CASUALTY INS CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS COMMERICAL CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS COMMERICAL INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS INDEMNITY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
Page 51 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
TRAVELERS INDEMNITY CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS INDEMNITY CO OF CONNECTICUT
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRAVELERS PROPERTY CASUALTY CO OF AMER
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
TRIUMPHE CASUALTY CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
TRUCK INSURANCE EXCHANGE
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
TRUMBULL INS CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
TWIN CITY FIRE INSURANCE CO.
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
Page 52 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
TYSON FOODS, INC
Anita Hicks 800-388-2197
Claims AdjusterTyson Foods, Inc.1600 River RoadWilkesboro, NC 28697
U S SPECIALTY INS CO
Charles McDaniel 800-343-3599
Assistant Vice PresidentU.S. Specialty Insurance Company13403 Northwest FreewayHouston, TX 77040
ULLICO CASUALTY CO
Robert Franklin 410-230-3623
AttorneyFranklin & Prokopik2 North Charles StreetBaltimore, MD 21201
UNION INSURANCE COMPANY
Triena Edwards 800-283-1153
Claim System AnalystBerkley Mid Atlantic Group4820 Lake Brook Dr.Glen Allen, VA 23060
UNITED FARM FAMILY INS CO
Deborah Ptasinski 800-948-3276
Claim Administration ManagerUnited Farm Family Insurance CompanyPO Box 656Albany, NY 12201
UNITED STATES FIRE INS. CO.
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
UNITED WISCONSIN INSURANCE CO
Nellie Osowski 800-258-2667
Manager, State FilingUnited Wisconsin Insurance Co.PO Box 3026Milwaukee, WI 53201
UNIVERSAL UNDERWRITERS INS.CO.
Rebecca Heller 800-367-8842
WC Claims SpecialistUniversal Underwriters/Zurich Direct Underwriters100 Walnut AveClark, NJ 07066
Page 53 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM
UNIVERSITY OF MD MEDICAL SYSTEMS CORP
Mary McFadden 410-328-7629
Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201
UNIVERSITY OF MD UPPER CHESAPEAKE HEALTH
Mark Moody 443-843-5334
Risk Management CoordinatorUpper Chesapeake Health System, Inc.501 South Union AvenueHavre de Grace, MD 21078-0340
USF RED STAR, INC.
Susan Caringi 410-931-5844
Unit ManagerConstitution States Service Co.8013 Corporate DriveBaltimore, MD 21236
VALLEY FORGE INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
VANLINER INSURANCE CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
VERIZON - MARYLAND
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
VERIZON SERVICES CORPORATION
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
VERIZON WASHINGTON DC
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
Page 54 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM
VIGILANT INSURANCE COMPANY
Christy Layte 410-659-6566
Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202
WASH METRO AREA TRANSIT AUTH
Merle Gaither-Morgan 410-992-6144
Claims ManagerAS&G Claims Administration, Inc.4940 Campbell BlvdBaltimore, MD 21236
WASHINGTON CO COMMISSIONERS
Byron Deese 410-527-3242
Senior Claims adjusterPMA Management corp200 International circleHunt valley, MD 21030
WASHINGTON POST/GRAHAM HOLDINGS COMPANYMichael Baker 800-627-1150
Risk Management SpecialistThe Washington Post Company1150 15th Street, NWWashington, DC 20071
WASHINGTON SUBURBAN SANITARY COMMISSIONGiovanna Vogel 410-512-4605
Business Analyst SupervisorRCM&D Self-insured Services co., Inc555 Fairmount AveTowson, MD 21286
WEGMANS FOOD MARKETS, INC.
Amy John 800-934-6267
Risk Management Systems AdministratorWegmans Food Markets, Inc.1500 Brooks AvenueRochester, NY 14603-0844
WEIS MARKETS, INC.
Christopher Moy 410-931-5938
Claims ManagerCorVel Corporation8140 Corporation DriveWhite Marsh, MD 21236
WEST AMERICAN INSURANCE CO.
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
Page 55 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM
WESTCHESTER FIRE INSURANCE CO.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
WESTERN MARYLAND HEALTH SYSTEM
Robin Norris 301-723-4209
Employee Relations consultantWestern Maryland Health System555 Fairmount AveTowson, MD 21286
WESTFIELD INSURANCE CO
Kerri Weaver 800-732-0050
Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604
WESTROCK MWV,LLC/MEADWESTVACO
Kim Bolster 800-958-4785
Casualty Program AdministratorMeadWestvaco Corporation11013 West Broad StreetGlen Allen, VA 23060
WEYERHAEUSER COMPANY
Tracy McMaster-Dark 410-773-4221
Director ClaimsSedgwick Claims Management Services, Inc11350 McCormick RoadHunt Valley, MD 21031
ZENITH INSURANCE CO
Laura McKenzie 410-230-3618
EsquireFranklin & ProkopikThe B&O Building, 2 N. Charles StreetBaltimore, MD 21201
ZURICH AMERICAN INS CO OF IL
BRENDA HILTON 410-559-8508
MCU SPECIALISTZURICH INSURANCE COMPANY600 RED BROOK BLVD.OWINGS MILLS, MD 21117
ZURICH AMERICAN INSURANCE COMPANY
Lynn Vazquez 410-559-8503
Claim Manager IIZurich Insurance Company600 Red Brook BlvdOwings Mills, MD 21117
Page 56 of 56
Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM
