Insurer Designee List Press CTRL+F to Search Last Updated: 9/25/2021 5:00:13 AM

A M C O INSURANCE COMPANY ACCIDENT FUND INSURANCE CO OF AMERICA

Ronald Dietrich 215-513-8738 DAN TERRY 866-206-5851

Claims Manager BUSINESS OPERATIONS ASSISTANT Nationwide Insurance Accident Fund National Insurance Company 355 Maple Avenue PO Box 40790 Harleysville, PA 19438 Lansing, MI 48901 [email protected] [email protected]

ACADIA INSURANCE CO ACCIDENT FUND NATIONAL INS CO

Kimberly Moore 804-237-5189 DAN TERRY 866-206-5851

Manager WC Claims BUSINESS OPERATIONS ASSISTANT Berkley Mid Atlantic Group, LLC Accident Fund National Insurance Company 4820 Lake Brook Drive PO Box 40790 Glen Allen, VA 23060 Lansing, MI 48901 [email protected] [email protected]

ACCEPTANCE INSURANCE CO ACE AMERICAN INSURANCE COMPANY

Jim Stilen 888-389-0708 Sonya Okolosi 800-433-0385

Assistant VP Claims Claims Compliance Analyst Acceptance Indemnity Insurance Company ACE USA 702 Oberlin Road 1 Beaver Valley Road Raleigh, NC 27605 Wilmington, DE 19803 [email protected] [email protected]

ACCIDENT FUND GENERAL INSURANCE COMPANY ACE FIRE UNDERWRITERS INSURANCE CO

DAN TERRY 866-206-5851 Sonya Okolosi 800-433-0385

BUSINESS OPERATIONS ASSISTANT Claims Compliance Analyst Accident Fund National Insurance Company ACE USA PO Box 40790 1 Beaver Valley Road Lansing, MI 48901 Wilmington, DE 19803 [email protected] [email protected]

Page 1 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

ACE INDEMNITY INSURANCE COMPANY AESC/ALLEGHENY ENERGY SUPPLY, LLC

Sonya Okolosi 800-433-0385 Tracy Dark 410-773-4211

Claims Compliance Analyst Operations Manager ACE USA Sedgwick 1 Beaver Valley Road 11350 McCormick Road Wilmington, DE 19803 Hunt Valley, MD 21031 [email protected] [email protected]

ACE PROPERTY AND CASUALTY INSURANCE CO AESC/THE POTOMAC EDISON COMPANY

Sonya Okolosi 800-433-0385 Tracy Dark 410-773-4211

Claims Compliance Analyst Operations Manager ACE USA Sedgwick 1 Beaver Valley Road 11350 McCormick Road Wilmington, DE 19803 Hunt Valley, MD 21031 [email protected] [email protected]

ACIG INS CO(AMER CONTRACTORS INS GROUP) AFFINITY HEALTH ALLIANCE

Lisa Iamonaco 215-592-5000 Hilary Millspaugh 410-339-5222

Manager Business Applications Manager Tristar Risk Management RCM&D Self Insured Services Co., Inc PO Box 2805 PO Box 42737 Clinton, IA 52733 Baltimore, MD 21284 [email protected] [email protected]

ADVENTIST HEALTHCARE INC. AFFLIATED F & M INSURANCE CO.

Hilary Millspaugh 410-339-5222 Jason Mansfield 800-320-6760

Manager - Business Applications Risk Management Consultant RCM&D Self Insured Services Co, Inc., FM Global PO Box 42737 270 Central Ave Baltimore, MD 21284 Johnston, RI 02919 [email protected] [email protected]

Page 2 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

AIG ASSURANCE COMPANY ALEA NORTH AMERICA INSURANCE CO

Loren Berrocal 866-642-5246 Matthew Smith 877-775-8637

Claim Manager Interface Analyst AIG Alea North America Insurance Company P.O. Box 305902 55 Capital Blvd Nashville, TN 37230 Rocky Hill, CT 06067 [email protected] [email protected]

AIG PROPERTY CASUALTY COMPANY ALL AMERICA INSURANCE COMPANY

Loren Berrocal 866-642-5246 Jamie Wiechart 800-786-9169

Claim Manager WC Claims Manger AIG All America Insurance Company P.O. Box 305902 800 S Washington St Nashville, TN 37230 Van Wert, OH 45891 [email protected] [email protected]

AIU INSURANCE COMPANY ALLEGHENY ENERGY SERVICE CORPORATION

Loren Berrocal 866-642-5246 Tracy Dark 410-773-4211

Claim Manager Operations Manager AIG Sedgwick P.O. Box 305902 11350 McCormick Road Nashville, TN 37230 Hunt Valley, MD 21031 [email protected] [email protected]

ALBAN TRACTOR COMPANY ALLIANZ GLOBAL RISKS US INS CO

Beth Straw 410-870-8001 Amanda Gress 800-870-8857

Senior Claims Administrator TPA Oversight Manager Charles Taylor TPA Allianz Global Corp & Specialty 64 Danbury Road One Progress Point Pkwy Wilton, CT 06897 O'Fallon, MO 63368 [email protected] [email protected]

Page 3 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

ALLIED EASTERN INDEMNITY CO ALLSTATE INDEMNITY CO

Jody Kreider 855-533-3444 ext 1723 Debbie Wasserman 847-402-6202

Senior Compliance Specialist Accounting Team Lead Eastern Alliance Insurance Company Allstate Insurance Group 25 Race Avenue 3075 Sanders Road Lancaster, PA 17603 Northbrook, IL 60062 [email protected] [email protected]

ALLIED PROPERTY & CASUALTY INS. CO. ALLSTATE INSURANCE CO.

Ronald Dietrich 215-513-8738 Debbie Wasserman 847-402-6202

Claims Manager Accounting Team Lead Nationwide Insurance Allstate Insurance Group 355 Maple Avenue 3075 Sanders Road Harleysville, PA 19438 Northbrook, IL 60062 [email protected] [email protected]

ALLMERICA FINANCIAL ALLIANCE INS CO ALLSTATE PROPERTY & CASUALTY

Elizabeth Beshai 800-628-0250 Debbie Wasserman 847-402-6202

WC Claims Compliance Administrator Accounting Team Lead The Hanover Insurance Group Allstate Insurance Group 440 Lincoln Street 3075 Sanders Road Worcester, MA 01653 Northbrook, IL 60062 [email protected] [email protected]

ALLMERICA FINANCIAL BENEFIT INS CO AMERICAN ALLIANCE INS. CO.

Elizabeth Beshai 800-628-0250 Debbie Elliott 301-791-7040

WC Claims Compliance Administrator Sr. Claim Representative The Hanover Insurance Group Great American Alliance Insurance 440 Lincoln Street P.O. Box 3770 Worcester, MA 01653 Hagerstown, MD 21742 [email protected] [email protected]

Page 4 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

AMERICAN ALTERNATIVE INSURANCE CORP AMERICAN CASUALTY CO OF CNA

Charles Kroh 866-220-3505 Kevin Mahoney 410-453-4437

Vice President Claim specialist American Alternative Insurance Corporation American Casualty Co 555 College Road East 1954 Greenspring Drive Princeton, NJ 08543 Timonium, MD 21093 [email protected] [email protected]

AMERICAN AUTOMOBILE INS. CO. AMERICAN COMPENSATION INSURANCE COMPANY Amanda Gress 800-870-8857 Scott Smith 800-789-2242 TPA Oversight Manager Claim Manager Allianz Global Corp & Specialty State Auto Insurance Company One Progress Point Pkwy 3600 American Blvd. West O'Fallon, MO 63368 Bloomington, MN 55431 [email protected] [email protected]

AMERICAN BUILDERS INSURANCE CO AMERICAN ECONOMY INSURANCE CO. Craig Edwards 678-309-4000 Kathy McDonald 800-865-1872 SVP General Counsel & Secretary Team Manager American Builders Insurance Company Liberty Mutual Insurance 2410 Paces Ferry Road 800 King Farm Blvd Atlanta, GA 30339 Rockville, MD 20850 [email protected] [email protected]

AMERICAN CAS. CO. OF READING AMERICAN FIRE AND CASUALTY CO. Kevin Mahoney 410-453-4437 Kathy McDonald 800-865-1872 Claim specialist Team Manager American Casualty Co Liberty Mutual Insurance 1954 Greenspring Drive 800 King Farm Blvd Timonium, MD 21093 Rockville, MD 20850 [email protected] [email protected]

Page 5 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

AMERICAN GLOBAL INSURANCE CO AMERICAN INTERNATIONAL SOUTH INS CO

Loren Berrocal 866-642-5246 Loren Berrocal 866-642-5246

Claim Manager Claim Manager AIG AIG P.O. Box 305902 P.O. Box 305902 Nashville, TN 37230 Nashville, TN 37230 [email protected] [email protected]

AMERICAN HOME ASSURANCE CO. AMERICAN INTERSTATE INSURANCE CO

Loren Berrocal 866-642-5246 KIM MIDKIFF 800-256-3462

Claim Manager 1ST REPORT TEAM LEADER AIG American Interstate Insurance Company P.O. Box 305902 2301 Hwy 190 West Nashville, TN 37230 DeRidder, LA 70634 [email protected] [email protected]

AMERICAN INSURANCE COMPANY AMERICAN MANUF'S MUTUAL INS.CO

Amanda Gress 800-870-8857 Edwin Bond 800-622-8637

TPA Oversight Manager Branch Manager Allianz Global Corp & Specialty Broadspire Services Inc One Progress Point Pkwy 12150 E Monument Dr. O'Fallon, MO 63368 Fairfax, VA 22033 [email protected] [email protected]

AMERICAN INTERNATIONAL INSURANCE CO AMERICAN MOTORISTS INSURANCE

Loren Berrocal 866-642-5246 Edwin Bond 800-492-0479

Claim Manager Branch Manager AIG Broadspire Services P.O. Box 305902 12150 E, Monument Dr, Nashville, TN 37230 Fairfax, VA 22033 [email protected] [email protected]

Page 6 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

AMERICAN RISK FUNDING INSURANCE CO AMERICAN ZURICH INSURANCE

Cynthia Sadler 410-560-7011 Vanessa Yacola 800-987-3373

Branch Manager Sr. Claim Specialist NovaPro Risk Solutions American Zurich Insurance P.O. BOX 484 P.O. Box 968084 LUTHERVILLE, MD 21094 Schaumberg, IL 60196 [email protected] [email protected]

AMERICAN SELECT INSURANCE COMPANY AMERISURE INSURANCE CO.

Maija Jackson 410-230-3615 Rachel Toncic 770-709-3244

Principal Director-WC Field Claims Franklin & Prokopik Amerisure Partners Insurance Company 2 N. Charles Street P.O. Box 1515 Baltimore, MD 21201 Cannonsburg, PA 15317 [email protected] [email protected]

AMERICAN STATES INSURANCE CO. AMERISURE MUTUAL INSURANCE CO

Kathy McDonald 800-865-1872 Rachel Toncic 770-709-3244

Team Manager Director-WC Field Claims Liberty Mutual Insurance Amerisure Partners Insurance Company 800 King Farm Blvd P.O. Box 1515 Rockville, MD 20850 Cannonsburg, PA 15317 [email protected] [email protected]

AMERICAN TELEPHONE & TELEGRAPH CORP. AMERISURE PARTNERS INSURANCE CO

Gina Maiale 972-706-7397 Rachel Toncic 770-709-3244

Risk Manager, Risk Management Director-WC Field Claims AT&T Services, Inc. Amerisure Partners Insurance Company 308 S. Akard St. P.O. Box 1515 Dallas, TX 75202 Cannonsburg, PA 15317 [email protected] [email protected]

Page 7 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

AMGUARD INSURANCE COMPANY ARCH INDEMNITY INSURANCE CO

JOANITA NAOUM 800-673-2465 Albert Randall 410-752-8700

SR CLAIMS REP Attorney GUARD INS GROUP Franklin & Prokopik, P.C. PO BOX 1368 2 North Charles Street WILKES-BARRE, PA 18703 Baltimore, MD 21201 [email protected] [email protected]

AMSTED INDUSTRIES INC ARCH INSURANCE CO

Dave Brower 866-552-9151 Albert Randall 410-752-8700

Assistant Treasurer Attorney Amsted Industries Incorporated Franklin & Prokopik, P.C. 180 N. Stetson Dr 2 North Charles Street Chicago, IL 60601 Baltimore, MD 21201 [email protected] [email protected]

ANNE ARUNDEL COUNTY ARCHDIOCESE OF BALTIMORE

Nicole Liening 410-222-7630 Hilary Millspaugh 410-339-5222

Manager, Safety and Insurance Business Applications Manager Anne Arundel County Government RCM&D Self Insured Services Co., Inc. P.O. Box 6675 555 Fairmount Avenue Annapolis, MD 21401 Towson, MD 21286 [email protected] [email protected]

ARCBEST CORPORATION ARGONAUT GREAT CENTRAL INSURANCE CO

Lynette Baker-Woodie 800-961-9477 Debbie Elliott 301-791-7040

Claims Specialist Sr. Claim Representative Arkansas Best Corporation Great American Alliance Insurance 3801 Old Greenwood Road P.O. Box 3770 Fort Smith, AR 72903 Hagerstown, MD 21742 [email protected] [email protected]

Page 8 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

ARGONAUT INSURANCE CO. ASHMERE INSURANCE COMPANY

Leslie W. Gawlik 443-650-0080 Gary Roche 954-727-7001

Counsel COO Law Offices of Leslie W. Gawlik, LLC Ashmere Insurance Company 100 North Charles Street 401 E Las Olas Blvd Baltimore, MD 21201 Fort Lauderdale, FL 33301 [email protected] [email protected]

ARGONAUT MIDWEST INSURANCE CO ASPLUNDH TREE EXPERT COMPANY

Leslie W. Gawlik 443-650-0080 Kathy McDonald 800-865-1872

Counsel Team Manager Law Offices of Leslie W. Gawlik, LLC Liberty Mutual Insurance 100 North Charles Street 800 King Farm Blvd Baltimore, MD 21201 Rockville, MD 20850 [email protected] [email protected]

ARROWOOD INDEMNITY COMPANY ASSOCIATED INDEMNITY CORP.

Audra Moraski 800-524-4505 Amanda Gress 800-870-8857

Claim Supervisor TPA Oversight Manager Arrowood Indemnity (Formerly Security Ins. Co. of Allianz Global Corp & Specialty Hartford) One Progress Point Pkwy PO Box 4701 O'Fallon, MO 63368 Syracuse, NY 13221 [email protected] [email protected]

ATLANTIC SPECIALTY INS CO (ASIC) ASCENSION HEALTH Patrick Roberson 410-539-0906 Tracy Dark 410-773-4211 Carrier Counsel AVP Claims OBI America Insurance Company Sedgwick CMS 20 South Charles Street 11350 McCormick Road Baltimore, MD 21201 Hunt Valley, MD 21031 [email protected] [email protected]

Page 9 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

ATLANTIC STATES INSURANCE CO BALTIMORE COUNTY PUBLIC SCHOOLS

Lori Kibler 800-877-0600 Hilary Millspaugh 410-339-5222

Workers Compensation Claims Manager Business Applications Manager Peninsula Insurance Company RCM&D Self Insured Services Company 1195 River Road PO Box 42737 Marietta, PA 17547 Baltimore, MD 21284 [email protected] [email protected]

AUTOMOBILE DEALERS GROUP SELF INS TRUST BALTIMORE GAS AND ELECTRIC, INC.

John Waggoner 804-967-5662 John Waggoner 804-967-5662

Assistant Vice President - Claims Assistant Vice President - Claims PMA Companies PMA Companies 200 International Circle 200 International Circle Hunt Valley, MD 21030 Hunt Valley, MD 21030 [email protected] [email protected]

AUTOMOBILE INS.CO.OF HARTFORD BALTO WASH MED CENTER/NORTH ARUNDEL

Meredith Haskell 800-842-0091 Teri Wise 667-214-1259

Unit Manager Senior Claims Manager Travelers Casualty Insurance Company of America MMCIP - Medicine Comprehensive Insurance 111 Schilling Road Program Hunt Valley, MD 21031 250 W. Pratt Street Baltimore, MD 21201 [email protected] [email protected]

BALTIMORE COUNTY GOVERNMENT BANKERS STANDARD INS. CO. Suja Varghese 410-887-6565 Sonya Okolosi 800-433-0385 Workers' Compensation Claims Manager Baltimore County Government Claims Compliance Analyst 400 Washington Avenue ACE USA Towson, MD 21204 1 Beaver Valley Road Wilmington, DE 19803 [email protected] [email protected]

Page 10 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

BARRETT BUSINESS SERVICES, INC. BERKLEY NATIONAL INSURANCE COMPANY

Melissa Lemon 410-933-8070 Suzanne Scelza 609-689-6648

Sr. WC Claims Examiner VP Compliance Corvel Berkley Shared Services PO Box 44015 2445 Kuser Road Nottingham, MD 21236 Hamilton Square, NJ 08690 [email protected] [email protected]

BD OF ED OF HOWARD COUNTY BERKLEY REGIONAL INSURANCE COMPANY

Hilary Millspaugh 410-339-5222 Suzanne Scelza 609-689-6648

Business Applications Manager VP Compliance RCM&D Self Insured Services Co., Inc. Berkley Shared Services 555 Fairmount Avenue 2445 Kuser Road Towson, MD 21286 Hamilton Square, NJ 08690 [email protected] [email protected]

BENCHMARK INSURANCE COMPANY BERKSHIRE HATHAWAY DIRECT INSURANCE CO

David Williams 225-242-4460 Ed Hennrikus 844-472-0966

WC Claims Audit Manager Director of Claims Benchmark Insurance Company Berkshire Hathaway Direct Ins Co 150 Lake Street West PO Box 113247 Wayzata, MN 55391 Stamford, CT 06911 [email protected] [email protected]

BERKLEY CASUALTY CO BERKSHIRE HATHAWAY HOMESTATE INS CO

Tammy Ansell 205-874-8204 Dustin Puntney 800-661-6029

Quality & Training Manager Assistant Director of Claims Berkley Industrial Comp Berkshire Hathaway Homestate Companies One Metroplex Drive PO Box 881716 Birmingham, AL 35209 San Francisco, CA 94188 [email protected] [email protected]

Page 11 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

BITCO GENERAL INSURANCE CORP BON SECOURS MERCY HEALTH, INC.

Mary Bauer 800-346-5108 Yvonne Garside 410-442-3430

Sr. Claims Representative Sr. Manager Insurance & Workers' Comp. Bituminous Fire & Marine Bon Secours Health System, Inc. Heaver Plaza, 1301 York Road 1505 Marriottsville Rd Lutherville, MD 21093 Marriottsville, MD 21104 [email protected] [email protected]

BITCO NATIONAL INSURANCE COMPANY BRETHREN MUTUAL INSURANCE CO.

Mary Bauer 800-346-5108 LISA FERGUSON 800-621-4264

Sr. Claims Representative WORKERS COMP MANAGER Bituminous Fire & Marine BRETHREN MUTUAL INSURANCE COMPANY Heaver Plaza, 1301 York Road 149 N EDGEWOOD DRIVE Lutherville, MD 21093 HAGERSTOWN, MD 21740 [email protected] [email protected]

BLACK AND DECKER CORPORATION BRICKSTREET MUTUAL INSURANCE COMPANY

M. Clayton Roop 410-716-3737 Sally Edge 866-452-7425

Director, Corporate Risk Management Director, Claims Operations The Black & Decker Corporation Pinnacle Insurance Company 701 E. Joppa Road, TW 230 400 Quarrier Street Towson, MD 21286 Charleston, WV 25301

[email protected] [email protected]

BLUE RIDGE INDEMNITY CO BROTHERHOOD MUTUAL INSURANCE

Sheila McGraw 800-362-5448 Michael Hall 800-899-2235

AVP Claims Manager General Casualty Co of Wisconsin Love, Barnes & McKew One General Drive 9891 Broken Land Parkway Sun Prairie, Wi 53596 Columbia, MD 21046 [email protected] [email protected]

Page 12 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

BUILDERS MUTUAL INS CO CAROLINA CASUALTY INS CO

Colleen Sontag 919-227-0354 Brent Fournier 877-497-2637

Assistant Claims Manager Claims Manager Builders Mutual Insurance Company BerkleyNet 5580 Centerview Drive 9301 Innovation Dr Raleigh, NC 27606 Manassas, VA 20110 [email protected] [email protected]

BUILDERS PREMIER INSURANCE COMPANY CARROLL COUNTY GOVERNMENT

Colleen Sontag 919-227-0354 Cecilia Devilbiss 410-386-2667

Assistant Claims Manager Risk Manager Builders Mutual Insurance Company Carroll County Government 5580 Centerview Drive 225 N. Center Street Raleigh, NC 27606 Westminster, MD 21157 [email protected] [email protected]

CALIFORNIA INSURANCE CO CARROLL COUNTY HEALTH SERVICES CORP.

Jeffrey Silver 877-234-4420 Kathy Gallagher 240-566-3721

General Counsel and Secretary Exec. Director Continental Indemnity Company Comp Claim Management LLC 10805 Old Mill Rd. 470 Prospect Boulevard Omaha, NE 68154 Frederick, MD 21701 [email protected] [email protected]

CARE PROVIDERS WORKERS COMP SELF INS GRP CASTLEPOINT NATIONAL INSURANCE COMPANY

Hilary Millspaugh 410-512-4605 Jeffrey Beason 866-450-8608

Business Applications Manager AVP Southeast Claims RCM&D Self Insured Services Co., Inc. Tower Group Companies 555 Fairmount Avenue PO Box 948154 Towson, MD 21286 Maitland, FL 32794 [email protected] [email protected]

Page 13 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

CECIL COUNTY, MARYLAND CENTURY INDEMNITY COMPANY

Hilary Millspaugh 410-339-5222 Sonya Okolosi 800-433-0385

Business Applications Manager Claims Compliance Analyst RCM&D Self-Insured Services Co., Inc. ACE USA PO Box 42737 1 Beaver Valley Road Baltimore, MD 21284 Wilmington, DE 19803 [email protected] [email protected]

CENTENNIAL INSURANCE COMPANY CGU INSURANCE CO

Patricia McComb 410-252-4230 Patrick Roberson 410-539-0906

Claim Specialist Carrier Counsel Atlantic Mutual OBI America Insurance Company 7 Giralda Farms 20 South Charles Street Madison, NJ 07940-1027 Baltimore, MD 21201 [email protected] [email protected]

CENTRAL MUTUAL INSURANCE COMPANY CHARLES COUNTY GOVERNMENT

Jamie Wiechart 800-786-9169 Frank Young 877-879-9240

WC Claims Manger TPA Operations Manager All America Insurance Company Johns Eastern Company, Inc. 800 S Washington St 9841 Broken Land Parkway Van Wert, OH 45891 Columbia, MD 21046 [email protected] [email protected]

CENTRE INSURANCE CO CHARTER OAK FIRE INSURANCE CO.

Jim Kerr 888-558-7478 Meredith Haskell 800-842-0091

Vice President of Claims Operations Unit Manager Tristar Insurance Group Travelers Casualty Insurance Company of America 100 Oceangate 111 Schilling Road Long Beach, CA 90802 Hunt Valley, MD 21031 [email protected] [email protected]

Page 14 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

CHARTIS CASUALTY COMPANY/FORMERLY AIG CHUBB INDEMNITY INSURANCE CO

Loren Berrocal 866-642-5246 Brandon Cusumano 800-252-4670

Claim Manager Sr. Claims Examiner AIG Chubb P.O. Box 305902 PO Box 4700 Nashville, TN 37230 Chesapeake, VA 23327 [email protected] [email protected]

CHARTIS PROPERTY CASUALTY COMPANY CHUBB NATIONAL INSURANCE COMPANY

Loren Berrocal 866-642-5246 Brandon Cusumano 800-252-4670

Claim Manager Sr. Claims Examiner AIG Chubb P.O. Box 305902 PO Box 4700 Nashville, TN 37230 Chesapeake, VA 23327 [email protected] [email protected]

CHEROKEE INSURANCE CO CHURCH MUTUAL INSURANCE CO

Mark Dadabbo 800-201-0450 Jennifer Laabs 800-554-2642

President Claim Manager Cherokee Insurance Company Church Mutual Insurance Company 34200 Mound Road 3000 Schuster Lane Sterling Heights, MI 48310 Merrill, WI 54452 [email protected] [email protected]

CHESAPEAKE EMPLOYERS INSURANCE COMPANY CIM INSURANCE CORP

Nancy Harple 410-494-2093 Paul Trubiano 800-225-5642

Supervisor Manager Claims Operations Chesapeake Employers Insurance Company Ally Insurance 8722 Loch Raven Boulevard 500 Woodward Ave Towson, MD 21286 Detroit, MI 48226 [email protected] [email protected]

Page 15 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

CIMARRON INSURANCE CO CITIZENS INSURANCE CO OF AMERICA

Mark Sparks 615-263-1300 Elizabeth Beshai 800-628-0250

Sr Vice President of Claims WC Claims Compliance Administrator Brentwood Services Administrators, Inc. The Hanover Insurance Group 104 Continental Place 440 Lincoln Street Brentwood, TN 37027 Worcester, MA 01653 [email protected] [email protected]

CINCINNATI CASUALTY CO CITY OF ANNAPOLIS

Toni Postell 301-877-5218 Hilary Millspaugh 410-339-5222

Claims Specialist Business Applications Manager Cincinnati Casualty Company RCM&D Self Insured Services Co., Inc. PO Box 517 555 Fairmount Avenue Cheltenham, MD 20623 Towson, MD 21286 [email protected] [email protected]

CINCINNATI INDEMNITY CO CITY OF HAGERSTOWN, MARYLAND

Toni Postell 301-877-5218 John Waggoner 804-967-5662

Claims Specialist Assistant Vice President - Claims Cincinnati Casualty Company PMA Companies PO Box 517 200 International Circle Cheltenham, MD 20623 Hunt Valley, MD 21030 [email protected] [email protected]

CINCINNATI INSURANCE CO CLARENDON NATIONAL INS CO

Toni Postell 301-877-5218 David Calandro 888-636-1580

Claims Specialist Regional Claim Manager Cincinnati Casualty Company Enstar US PO Box 517 150 2nd Ave North Cheltenham, MD 20623 Saint Petersburg, FL 33701 [email protected] [email protected]

Page 16 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

CLARK CONSTRUCTION GROUP, LLC COLONIAL PIPELINE COMPANY

Hilary Moore 443-921-2571 Chad Davis 410-933-5400

Business Analyst Unit Manager RCM&D/ SISCO Sedgwick Claims Management Services 555 Fairmount Avenue 9900 Franklin Square Drive Towson, MD 21286 Baltimore, MD 21236 [email protected] [email protected]

CLEAR SPRING PROPERTY & CASUALTY CO COLONY SPECIALTY INS CO

Scott Hanfling 312-837-3680 Leslie W. Gawlik 443-650-0080

EVP and General Counsel Counsel Clear Spring Property and Casualty Company Law Offices of Leslie W. Gawlik, LLC 227 West Monroe Street 100 North Charles Street Chicago, IL 60606 Baltimore, MD 21201 [email protected] [email protected]

CNA CASUALTY OF COMMERCE & INDUSTRY INS. CO.

Kevin Mahoney 410-453-4437 Loren Berrocal 866-642-5246

Claim specialist Claim Manager American Casualty Co AIG 1954 Greenspring Drive P.O. Box 305902 Timonium, MD 21093 Nashville, TN 37230 [email protected] [email protected]

COCA-COLA REFRESHMENTS USA, INC. COMMERCIAL UNION INS. CO.

Denise Kohlhepp 410-773-4236 Patrick Roberson 410-539-0906

Claim Supervisor Carrier Counsel Sedgwick CMS OBI America Insurance Company 11350 McCormack Road, Executive Plaza II 20 South Charles Street Hunt Valley, MD 21031 Baltimore, MD 21201 [email protected] [email protected]

Page 17 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

COMMONWEALTH CONTR GROUP SELF INS ASSOC CONTINENTAL CASUALTY COMPANY

Wayne Carlson 800-277-8721 Kevin Mahoney 410-453-4437

Vice President/Claims Claim specialist Landin Inc American Casualty Co PO Box 17590 1954 Greenspring Drive Richmond, VA 23226 Timonium, MD 21093 [email protected] [email protected]

COMPANION PROPERTY & CASUALTY CONTINENTAL INDEMNITY COMPANY

Timothy McLaughlin 410-539-0906 Jeffrey Silver 877-234-4420

Attorney General Counsel and Secretary Humphreys, McLaughlin & McAleer, LLC Continental Indemnity Company One North Charles Street 10805 Old Mill Rd. Baltimore, MD 21201 Omaha, NE 68154 [email protected] [email protected]

CONNECTICUT INDEMNITY COMPANY CONTINENTAL INSURANCE COMPANY

Audra Moraski 800-524-4505 Kevin Mahoney 410-453-4437

Claim Supervisor Claim specialist Arrowood Indemnity (Formerly Security Ins. Co. of American Casualty Co Hartford) 1954 Greenspring Drive PO Box 4701 Timonium, MD 21093 Syracuse, NY 13221 [email protected] [email protected]

CONTINENTAL WESTERN INSURANCE COMPANY CONSTELLATION ENERGY GROUP, INC. Kimberly Moore 804-237-5189 John Waggoner 804-967-5662 Manager WC Claims Assistant Vice President - Claims Berkley Mid Atlantic Group, LLC PMA Companies 4820 Lake Brook Drive 200 International Circle Glen Allen, VA 23060 Hunt Valley, MD 21030 [email protected] [email protected]

Page 18 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

COREPOINTE INSURANCE COMPANY CUMBERLAND MUTUAL FIRE INSURANCE CO

Lisa Martin 888-239-3909 Harold Gunning 800-232-6992 ext 1352

Director of Claims Senior Vice President/Casualty claims Corepointe Ins Co Cumberland Mutual Fire Insurance Co 3925 Brookside Pkwy PO Box 556 Alpharetta, GA 30022 Bridgeton, NJ 08302 [email protected] [email protected]

COSTCO WHOLESALE DELHAIZE AMERICA, LLC

Carolyn Horton 714-741-7728 James Maloney 301-766-7748

Workers' Compensation Program Manager Esquire Costco Wholesale Semmes, Bowen & Semmes 999 Lake Drive 322 East Antietam Street Issaquah, WA 98027 Hagerstown, MD 21740 [email protected] [email protected]

CRESTBROOK INSURANCE CO DELMARVA POWER & LIGHT CO/CONNECTIV POWE Melissa Trimmer 215-513-8746 John Waggoner 804-967-5662 Manager, WC Claims Assistant Vice President - Claims Nationwide PMA Companies PO Box 182079 200 International Circle Columbus, OH 43218 Hunt Valley, MD 21030 [email protected] [email protected]

CRUM & FORSTER INDEMNITY CO DEPOSITORS INSURANCE COMPANY Janet Rourke 888-890-1500 Ronald Dietrich 215-513-8738 Executive Specialist Claims Manager Crum & Forster Indemnity Insurance Company Nationwide Insurance 305 Madison Avenue 355 Maple Avenue Morristown, NJ 07962 Harleysville, PA 19438 [email protected] [email protected]

Page 19 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

DIAKON LUTHERAN SOCIAL MINISTRIES/TRESSL DOLGENCORP, LLC

Staci Ulp 800-356-0438 Robert Pugh 800-456-9446

Regional Vice President Director of Risk Management Inservco Insurance Services, Inc. Dollar General Corporation Post Office Box 3899 100 Mission Ridge Harrisburg, PA 17105 Goodlettsville, TN 37072 [email protected] [email protected]

DIMENSIONS HEALTH CORPORATION DONEGAL MUTUAL INSURANCE CO

Robert Mellendick 410-339-7852 Lori Kibler 800-877-0600

Senior Vice President Workers Compensation Claims Manager RCM&D Peninsula Insurance Company 555 Fairmount Ave. 1195 River Road Baltimore, MD 21228 Marietta, PA 17547

[email protected] [email protected]

DISCOVER PROPERTY & CASUALTY E I DUPONT DE NEMOURS & CO

Agnes Morales 860-954-8462 Bob Demchak 800-622-8637

Consultant Sr. Claim Examiner Fidelity and Guaranty Company Broadspire One Tower Square 12150 East Monumant Drive Hartford, CT 06183 Fairfax, VA 22033 [email protected] [email protected]

DOCTORS COMMUNITY HOSPITAL EASTERN ADVANTAGE ASSURANCE COMPANY

Hilary Millspaugh 410-339-5222 Jody Kreider 855-533-3444 ext 1723

Business Applications Manager Senior Compliance Specialist RCM&D Self Insured Services Co., Inc. Eastern Alliance Insurance Company 555 Fairmount Avenue 25 Race Avenue Towson, MD 21286 Lancaster, PA 17603 [email protected] [email protected]

Page 20 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

EASTERN ALLIANCE INSURANCE COMPANY EMPLOYEE BENEFITS INSURANCE CO

Jody Kreider 855-533-3444 ext 1723 Audra Moraski 800-524-4505

Senior Compliance Specialist Claim Supervisor Eastern Alliance Insurance Company Arrowood Indemnity (Formerly Security Ins. Co. of 25 Race Avenue Hartford) Lancaster, PA 17603 PO Box 4701 Syracuse, NY 13221 [email protected] [email protected]

EASTGUARD INSURANCE CO EMPLOYERS ASSURANCE COMPANY JOANITA NAOUM 800-673-2465 Kelly Spina 702-671-7271 SR CLAIMS REP GUARD INS GROUP Claim Director PO BOX 1368 Employers Assurance Company WILKES-BARRE, PA 18703 2550 Paseo Verde Parkway Henderson, NV 89074 [email protected] [email protected]

ELECTRIC INSURANCE CO EMPLOYERS COMPENSATION INS CO Michael Daney 443-656-6767 Tracey Woznak 703-293-6623 Partner Erlandson Vernon & Daney, LLC Indemnity Adjuster 8815 Centre Park Dr., Suite 340 Broadspire Services, Inc. Columbia, MD 21045 PO Box 14341 Lexington, KY 40512 [email protected] [email protected]

EMCASCO INSURANCE CO EMPLOYERS FIRE INSURANCE CO. Michael Hall 800-899-2235 Christine Pica 877-624-9779 Manager Love, Barnes & McKew Claim Supervisor 9891 Broken Land Parkway Armour Risk Management Columbia, MD 21046 3 Batterymarch Park Quincy, MA 02169 [email protected] [email protected]

Page 21 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

EMPLOYERS INS OF WAUSAU A MUTUAL INS EMPLOYERS PREFERRED INS CO

Kathy McDonald 800-865-1872 Cheryl Hale 410-539-0906

Team Manager Attorney Liberty Mutual Insurance Humphreys, McLaughlin & McAleer, LLC 800 King Farm Blvd One North Charles Street Rockville, MD 20850 Baltimore, MD 21201 [email protected] [email protected]

EMPLOYERS INSURANCE COMPANY OF WAUSAU ENCOMPASS INSURANCE CO

Kathy McDonald 800-865-1872 Debbie Wasserman 847-402-6202

Team Manager Accounting Team Lead Liberty Mutual Insurance Allstate Insurance Group 800 King Farm Blvd 3075 Sanders Road Rockville, MD 20850 Northbrook, IL 60062 [email protected] [email protected]

EMPLOYERS MUTUAL & CASUALTY OF IOWA ERIE INSURANCE CO

Michael Hall 800-899-2235 Darrell Spriggs 301-680-7464

Manager Workers Compensation Supervisor Love, Barnes & McKew Erie Insurance Co of NY 9891 Broken Land Parkway 12121 Tech Road Columbia, MD 21046 Silver Spring, MD 20914 [email protected] [email protected]

EMPLOYERS MUTUAL CASUALTY INS. ERIE INSURANCE CO OF NY

Michael Hall 800-899-2235 Darrell Spriggs 301-680-7464

Manager Workers Compensation Supervisor Love, Barnes & McKew Erie Insurance Co of NY 9891 Broken Land Parkway 12121 Tech Road Columbia, MD 21046 Silver Spring, MD 20914 [email protected] [email protected]

Page 22 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

ERIE INSURANCE EXCHANGE EVEREST PREMIER INSURANCE CO

Darrell Spriggs 301-680-7464 tim roberts 714-371-9608

Workers Compensation Supervisor VP - WC Claims Erie Insurance Co of NY Everest National Insurance Company 12121 Tech Road 725 Town and Country Road Silver Spring, MD 20914 Orange, CA 92868 [email protected] [email protected]

ERIE INSURANCE PROPERTY & CASUALTY EXCELSIOR INSURANCE CO

Darrell Spriggs 301-680-7464 Kathy McDonald 800-865-1872

Workers Compensation Supervisor Team Manager Erie Insurance Co of NY Liberty Mutual Insurance 12121 Tech Road 800 King Farm Blvd Silver Spring, MD 20914 Rockville, MD 20850 [email protected] [email protected]

EVEREST DENALI INSURANCE CO EXCELSIOR INSURANCE CO. OF NY tim roberts 714-371-9608 EUGENIA ROOT 800-382-1223

VP - WC Claims WC Unit Leader Everest National Insurance Company CASUALTY INSURANCE 725 Town and Country Road 275 GRANDVIEW AVE Orange, CA 92868 CAMP HILL, PA 17011 [email protected] [email protected]

EVEREST NATIONAL INSURANCE CO EXECUTIVE RISK INDEMNITY INC tim roberts 714-371-9608 Brandon Cusumano 800-252-4670

VP - WC Claims Sr. Claims Examiner Everest National Insurance Company Chubb 725 Town and Country Road PO Box 4700 Orange, CA 92868 Chesapeake, VA 23327 [email protected] [email protected]

Page 23 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

EXELON CORPORATION FAIRMONT SPECIALTY INSURANCE COMPANY

John Waggoner 804-967-5662 S. Woods Bennett 410-752-7600

Assistant Vice President - Claims Attorney At Law PMA Companies Cornblatt, Bennett, Penhallegon & Roberson 200 International Circle 201 N. Charles Street Hunt Valley, MD 21030 Baltimore, MD 21201 [email protected] [email protected]

EXPLORER INSURANCE CO FALLS LAKE NATIONAL INSURANCE COMPANY

Connor McNulty 484-654-1919 Paul Donoghue 410-727-2443

Claims Manager Principal/partner ICW Group Rollins, Smalkin, Richards & Mackie LLC 550 E Swedesford Rd 300 E Lombard St Wayne, PA 19087 Baltimore, MD 21202 [email protected] [email protected]

FAIRMONT INSURANCE CO FARMERS INSURANCE CO

S. Woods Bennett 410-539-0906 Michael Schaffer 410-933-8080

Esquire Claims Manager Humphreys, McLaughlin & McAleer, LLC CorVel Corporation 20 South Charles Street PO Box 44015 Baltimore, MD 21201 Baltimore, MD 21236 [email protected] [email protected]

FAIRMONT PREMIER INSURANCE CO FARMINGTON CASUALTY CO

S. Woods Bennett 410-539-0906 Meredith Haskell 800-842-0091

Esquire Unit Manager Humphreys, McLaughlin & McAleer, LLC Travelers Casualty Insurance Company of America 20 South Charles Street 111 Schilling Road Baltimore, MD 21201 Hunt Valley, MD 21031 [email protected] [email protected]

Page 24 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

FARMLAND MUTUAL INSURANCE COMPANY FEDERAL INSURANCE COMPANY

Ryan McCombs 800-228-6700 Brandon Cusumano 800-252-4670

Manager, Workers Compensation Sr. Claims Examiner Nationwide Agribusiness Chubb PO Box 182066 PO Box 4700 Columbus, OH 43218 Chesapeake, VA 23327 [email protected] [email protected]

FCCI INSURANCE COMPANY FEDERATED MUTUAL INSURANCE CO.

Laura Meltzer 800-226-3224 Kevin O'Neill Esq 410-783-1296

Claim Examiner Attorney FCCI Insurance Company Schmidt Dailey & O'Neill LLC 6300 University Parkway 300 E Lombard St Sarasota, FL 34240 Baltimore, MD 21202 [email protected] [email protected]

FCCI SERVICES INC FEDERATED RESERVE INSURANCE CO

Laura Meltzer 800-226-3224 Kevin O'Neill Esq 410-783-1296

Claim Examiner Attorney FCCI Insurance Company Schmidt Dailey & O'Neill LLC 6300 University Parkway 300 E Lombard St Sarasota, FL 34240 Baltimore, MD 21202 [email protected] [email protected]

FEDERAL EXPRESS CORPORATION FEDERATED RURAL ELECTRIC INS EXCHANGE

Tracy Dark 410-773-4211 Christina Johnson 800-356-8360 ext 122

AVP Claims Workers Compensation Claims Manager Sedgwick CMS Federated Rural Electric Insurance Exchange 11350 McCormick Road PO Box 15147 Hunt Valley, MD 21031 Lenexa, KS 66285 [email protected] [email protected]

Page 25 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:13 AM

FEDERATED SERVICE INS CO FIRE & CASUALTY INS CO OF CONN

Kevin O'Neill Esq 410-783-1296 Audra Moraski 800-524-4505

Attorney Claim Supervisor Schmidt Dailey & O'Neill LLC Arrowood Indemnity (Formerly Security Ins. Co. of 300 E Lombard St Hartford) Baltimore, MD 21202 PO Box 4701 Syracuse, NY 13221 [email protected] [email protected]

FEDEX GROUND PACKAGE SYSTEMS INC FIREMAN'S FUND INSURANCE CO. Larry Parks 800-238-6960 Amanda Gress 800-870-8857 Manager Workers' Compensation FedEx Ground Package System, Inc. TPA Oversight Manager 3925 Embassy Parkway Allianz Global Corp & Specialty Akron, OH 44333 One Progress Point Pkwy O'Fallon, MO 63368 [email protected] [email protected]

FIDELITY & GUAR. INSURANCE CO. FIREMAN'S FUND OF WISCONSIN Agnes Morales 860-954-8462 Dennis Mason 800-389-7231 Consultant United States Fidelity and Guaranty Company Claim Director One Tower Square Fireman's Fund of Wisconsin Hartford, CT 06183 11475 Great Oaks Way Alpharetta, GA 30022 [email protected] [email protected]

FIDELITY & GUAR.INSURANCE UND. FIREMAN'S INSURANCE CO. OF NJ Agnes Morales 860-954-8462 Kevin Mahoney 410-453-4437 Consultant United States Fidelity and Guaranty Company Claim specialist One Tower Square American Casualty Co Hartford, CT 06183 1954 Greenspring Drive Timonium, MD 21093 [email protected] [email protected]

Page 26 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

FIREMENS INSURANCE CO OF WASHINGTON D C FIRSTLINE INSURANCE CO

Kimberly Moore 804-237-5189 Bryan Yekstat 410-838-4000

Manager WC Claims Claims Supervisor Berkley Mid Atlantic Group, LLC Harford Mutual Insurance Company 4820 Lake Brook Drive 200 North Main Street Glen Allen, VA 23060 Bel Air, MD 21014 [email protected] [email protected]

FIRST LIBERTY INSURANCE CORP FLAGSHIP CITY INSURANCE CO

Kathy McDonald 800-865-1872 Darrell Spriggs 301-680-7464

Team Manager Workers Compensation Supervisor Liberty Mutual Insurance Erie Insurance Co of NY 800 King Farm Blvd 12121 Tech Road Rockville, MD 20850 Silver Spring, MD 20914 [email protected] [email protected]

FIRST NATIONAL INS CO OF AMERICA FLORIDA ROCK INDUSTRIES INC

Kathy McDonald 800-865-1872 Tom Parsons 410-933-5408

Team Manager Unit Manager Liberty Mutual Insurance Crawford & Company 800 King Farm Blvd 9900 Franklin Square Drive Rockville, MD 20850 Baltimore, MD 21236 [email protected] [email protected]

FIRST NONPROFIT INSURANCE CO FLORISTS INSURANCE CO

Lori Scaramucci 866-203-3037 Matt Stoss 800-851-7740

Claims Manager Director WC Claims Amtrust Sentry Insurance a Mutual Company PO Box 94405 1025 Boulders Parkway Cleveland, OH 44101 Richmond, VA 23226 [email protected] [email protected]

Page 27 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

FLORISTS MUTUAL INSURANCE CO. FRANK WINSTON CRUM INSURANCE INC

Matt Stoss 800-851-7740 Brigitte Becker 800-277-1620

Director WC Claims Vice President of Claims Sentry Insurance a Mutual Company Frank Winston Crum Insurance, Inc. 1025 Boulders Parkway 100 S. Missouri Ave. Richmond, VA 23226 Clearwater, FL 33756 [email protected] [email protected]

FORD MOTOR COMPANY FRANKENMUTH MUTUAL INS CO

Casey Perkins 800-508-2065 Kristin Ott 800-234-4433

Claims Representive Workers Compensation Supervisor Bartech/Ford Motor Company Frankenmuth Mutual Insurance Company 16800 Executive plaza Dr. 1 Mutual Avenue Dearborn, MI 48121 Frankenmuth, MI 48787 [email protected] [email protected]

FOREMOST INS CO GRAND RAPIDS MICHIGAN FREDERICK HEALTH INC.

Mary Bauer 800-622-8637 Kathy Gallagher 240-566-3721

Senior Claim Examiner Exec. Director Broadspire a Crawford Co Comp Claim Management LLC PO Box 14341 700 Toll House Avenue Lexington, KY 40512 Frederick, MD 21701 [email protected] [email protected]

FOREMOST SIGNATURE INS CO FRONT ROYAL INSURANCE CO

Mary Bauer 800-622-8637 Leslie W. Gawlik 443-650-0080

Senior Claim Examiner Counsel Broadspire a Crawford Co Law Offices of Leslie W. Gawlik, LLC PO Box 14341 100 North Charles Street Lexington, KY 40512 Baltimore, MD 21201 [email protected] [email protected]

Page 28 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

FRONTIER INSURANCE COMPANY GENERAL CASUALTY CO OF WISCONSIN

Nancy Esposito 800-807-5080 Dave Palmer 844-723-2524

WC Claims Manager Lead Claims Compliance Analyst Frontier Insurance Co in Rehabilitation QBE Americas, Inc. 195 Lake Louise Marie Rd One General Drive Rock Hill, NY 12775 Sun Prairie, WI 53596 [email protected] [email protected]

GATEWAY INSURANCE COMPANY GENERAL CONF. OF SEVENTH DAY ADVENTISTS

Joseph Shugrue 800-897-2551 Joshua Nieblas 301-680-6863

Vice President Claims Field Services Manager Gateway Insurance Company Adventist Risk Management 150 Northwest Point Blvd. 12501 Old Columbia Pike Elk Grove Village, IL 60007 Silver Spring, MD 20904 [email protected] [email protected]

GBMC HEALTHCARE, INC. GENERAL INSURANCE CO. OF AMER.

Hilary Millspaugh 410-339-5222 Kathy McDonald 800-865-1872

Business Applications Manager Team Manager RCM&D Self Insured Services Co., Inc. Liberty Mutual Insurance 555 Fairmount Avenue 800 King Farm Blvd Towson, MD 21286 Rockville, MD 20850 [email protected] [email protected]

GENERAL ACC INS CO OF GENERAL MOTORS COMPANY AMERICA/MONTGOMERY Randy Clifford 410-773-4244 Patrick Roberson 410-539-0906 Claims Examiner, II Carrier Counsel Sedgwick CMS OBI America Insurance Company PO Box 808 20 South Charles Street Hunt Valley, MD 21030 Baltimore, MD 21201 [email protected] [email protected]

Page 29 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

GENERAL MOTORS CORPORATION GIANT FOOD STORES LLC T/A MARTIN'S FOOD

Bobbi Elliott 410-773-4242 Barry Bernstein 410-385-3943

Maryland Plant Investigator Attorney At Law General Motors Corporation for Ahold U.S.A., Inc.- Giant Food Stores LLC-MAC Risk PO Box 808 Management Hunt Valley, MD 21030 25 South Charles Street Baltimore, MD 21201 [email protected] [email protected]

GENERAL STAR NATIONAL INS CO GLOBE INDEMNITY INSURANCE CO. Letitia Boice 800-431-9994 Audra Moraski 800-524-4505 Second Vice President General Star National Insurance Co Claim Supervisor 120 Long Ridge Rd Arrowood Indemnity (Formerly Security Ins. Co. of Hartford) Stamford, CT 06902 PO Box 4701 [email protected] Syracuse, NY 13221

[email protected] GENESIS INSURANCE CO

Molly Dunn 800-431-9994 GRANITE STATE INSURANCE CO.

Assistant Vice President Loren Berrocal 866-642-5246 Genesis Insurance Company Claim Manager 120 Long Ridge Road AIG Stamford, CT 06902 P.O. Box 305902 [email protected] Nashville, TN 37230

[email protected] GEORGIA-PACIFIC CORPOPRATION

Laura Hilbert 800-884-7973 GRAPHIC ARTS MUTUAL INSURANCE

Claims Manager Michael Prokopik 410-230-3629 ESIS Attorney PO Box 6560 Franklin & Prokopik Scranton, PA 18505 2 N Charles St [email protected] Baltimore, MD 21201

[email protected]

Page 30 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

GRAY INSURANCE CO (THE) GREAT AMERICAN INSURANCE CO.

Michele Poston 888-918-9111 Valerie Aburn 770-225-4618

Workers' Comp Claim Rep II Sr. Field Claims Specialist CCMSI Great American Insurance Group 3773 Timahoe Cir P.O. Box 4080 Nottingham, MD 21236 Clinton, IA 52733 [email protected] [email protected]

GREAT AMERICAN ALLIANCE INS GREAT AMERICAN SPIRIT INSURANCE CO

Valerie Aburn 770-225-4618 Valerie Aburn 770-225-4618

Sr. Field Claims Specialist Sr. Field Claims Specialist Great American Insurance Group Great American Insurance Group P.O. Box 4080 P.O. Box 4080 Clinton, IA 52733 Clinton, IA 52733 [email protected] [email protected]

GREAT AMERICAN ASSURANCE CO GREAT ATLANTIC & PACIFIC TEA CO

Valerie Aburn 770-225-4618 Tom Parsons 410-933-5408

Sr. Field Claims Specialist Unit Manager Great American Insurance Group Crawford & Company P.O. Box 4080 9900 Franklin Square Drive Clinton, IA 52733 Baltimore, MD 21236 [email protected] [email protected]

GREAT AMERICAN INS CO OF NY GREAT DIVIDE INSURANCE COMPANY

Valerie Aburn 770-225-4618 Alaa Zuaiter 800-259-2560

Sr. Field Claims Specialist AVP WC Claims Great American Insurance Group Great Divide Insurance Co P.O. Box 4080 PO Box 140789 Clinton, IA 52733 Irving, TX 75014 [email protected] [email protected]

Page 31 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

GREAT MIDWEST INSURANCE CO GREENWICH INSURANCE CO

Cora Wolfel 888-377-7263 ANTHONY HAMPTON 877-720-8844

Adjuster OPERATIONS LEAD NORTH AMERICA RCM&D AXA XL INSURANCE COMPANY P.O. Box 42737 PO BOX 614002 Baltimore, MD 21284 ORLANDO, FL 32861 [email protected] [email protected]

GREAT NORTHERN INSURANCE CO. GUARANTEE INSURANCE COMPANY

Brandon Cusumano 800-252-4670 Mark Hoehn 877-567-0303

Sr. Claims Examiner Regional Manager Chubb Patriot Risk Services, Inc. PO Box 4700 PO Box 386 Chesapeake, VA 23327 Conshohocken, PA 19428 [email protected] [email protected]

GREAT WEST CASUALTY COMPANY GUIDEONE ELITE INSURANCE CO

Dale Seguin 800-228-8602 Christine Opfer 888-748-4326

Manager, WC Claims Medical Operations Manager Great West Casualty Company GuideOne Insurance 1100 W. 29th St. 1111 Ashworth Rd South Sioux City, NE 68776 West Des Moines, IA 50265 [email protected] [email protected]

GREATER NY MUTUAL INSURANCE CO GUIDEONE INSURANCE

Paul Donoghue 410-727-2443 Christine Opfer 888-748-4326

Principal/partner Medical Operations Manager Rollins, Smalkin, Richards & Mackie LLC GuideOne Insurance 300 E Lombard St 1111 Ashworth Rd Baltimore, MD 21202 West Des Moines, IA 50265 [email protected] [email protected]

Page 32 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

GUIDEONE MUTUAL INSURANCE COMPANY HARCO NATIONAL INSURANCE CO.

Christine Opfer 888-748-4326 Cassandra Gomez 800-474-2526

Medical Operations Manager Manager Claims Services GuideOne Insurance Harco National Ins Co 1111 Ashworth Rd 215 Shuman Blvd West Des Moines, IA 50265 Naperville, IL 60563 [email protected] [email protected]

GUIDEONE SPECIALTY MUTUAL INS CO HARFORD COUNTY MARYLAND

Christine Opfer 888-748-4326 Hilary Millspaugh 410-339-5222

Medical Operations Manager Business Applications Manager GuideOne Insurance RCM&D Self Insured Services Co., Inc. 1111 Ashworth Rd 555 Fairmount Avenue West Des Moines, IA 50265 Towson, MD 21286 [email protected] [email protected]

HANOVER AMERICAN INSURANCE CO HARFORD MUTUAL INSURANCE CO.

Elizabeth Beshai 800-628-0250 Bryan Yekstat 410-838-4000

WC Claims Compliance Administrator Claims Supervisor The Hanover Insurance Group Harford Mutual Insurance Company 440 Lincoln Street 200 North Main Street Worcester, MA 01653 Bel Air, MD 21014 [email protected] [email protected]

HANOVER INSURANCE CO. HARLEYSVILLE INSURANCE COMPANY

Elizabeth Beshai 800-628-0250 Ronald Dietrich 215-513-8738

WC Claims Compliance Administrator Claims Manager The Hanover Insurance Group Nationwide Insurance 440 Lincoln Street 355 Maple Avenue Worcester, MA 01653 Harleysville, PA 19438 [email protected] [email protected]

Page 33 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

HARLEYSVILLE MUTUAL INSURANCE HARTFORD CASUALTY INSURANCE CO

Ronald Dietrich 215-513-8738 Chris Turner 877-673-9222

Claims Manager Claim Manager Nationwide Insurance The Hartford 355 Maple Avenue PO Box 14473 Harleysville, PA 19438 Lexington, KY 40512 [email protected] [email protected]

HARLEYSVILLE PREFERRED INS HARTFORD FIRE INSURANCE CO

Ronald Dietrich 215-513-8738 Chris Turner 877-673-9222

Claims Manager Claim Manager Nationwide Insurance The Hartford 355 Maple Avenue PO Box 14473 Harleysville, PA 19438 Lexington, KY 40512 [email protected] [email protected]

HARLEYSVILLE WORCESTER INSURANCE CO HARTFORD INS CO OF THE MIDWEST

Ronald Dietrich 215-513-8738 Chris Turner 877-673-9222

Claims Manager Claim Manager Nationwide Insurance The Hartford 355 Maple Avenue PO Box 14473 Harleysville, PA 19438 Lexington, KY 40512 [email protected] [email protected]

HARTFORD ACCIDENT & INDEMNITY HARTFORD INSURANCE CO OF THE SOUTHEAST

Chris Turner 877-673-9222 Chris Turner 877-673-9222

Claim Manager Claim Manager The Hartford The Hartford PO Box 14473 PO Box 14473 Lexington, KY 40512 Lexington, KY 40512 [email protected] [email protected]

Page 34 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

HARTFORD UNDERWRITERS INSURANCE HOMEWOOD RET. CTR OF THE UNITED CHURCH

Chris Turner 877-673-9222 John Waggoner 804-967-5662

Claim Manager Assistant Vice President - Claims The Hartford PMA Companies PO Box 14473 200 International Circle Lexington, KY 40512 Hunt Valley, MD 21030 [email protected] [email protected]

HEBREW HOME OF GREATER WASHINGTON HOWARD COUNTY MARYLAND

Hilary Millspaugh 410-339-5222 Amy Lanham 410-313-3696

Business Applications Manager Administrator RCM&D Self Insured Services Co., Inc. Howard County Maryland 555 Fairmount Ave 6751 Columbia Gateway Dr Towson, MD 21286 Columbia, MD 21046 [email protected] [email protected]

HERR FOODS, INC. HUDSON INSURANCE COMPANY

S. Woods Bennett 410-539-0906 Greg Edwards 866-246-9945

Esquire Claim Unit Manager Humphreys, McLaughlin & McAleer, LLC Hudson Ins Group 20 South Charles Street 100 William St Baltimore, MD 21201 , NY 10038 [email protected] gedwards@hudsoninsgroup,com

HIGHMARK CASUALTY INS CO ILLINOIS NATIONAL INSURANCE CO

Robert Frew 800-328-5433 Loren Berrocal 866-642-5246

Director, Compliance/Contracts/SIU Claim Manager Highmark Casualty Insurance Company AIG 120 Fifth Avenue, Fifth Avenue Place P.O. Box 305902 Pittsburgh, PA 15222-3099 Nashville, TN 37230 [email protected] [email protected]

Page 35 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

IMPERIAL CASUALTY AND INDEMNITY CO INSURANCE CO. OF GREATER NY

Michael McClellan 888-339-5736 Paul Donoghue 410-727-2443

Claims Manager Principal/partner Imperial Casualty and Indemnity Company (Providence Rollins, Smalkin, Richards & Mackie LLC Holdings, Inc.) 300 E Lombard St P.O. Box 2769 Baltimore, MD 21202 Frisco, TX 75034 [email protected] [email protected]

INSURANCE CO. OF STATE OF PA. IMPERIUM INSURANCE COMPANY Loren Berrocal 866-642-5246 Richard Starkie 800-203-1179 Claim Manager Vice President - Claim Manager AIG Delos Insurance Company P.O. Box 305902 120 West 45th Street, Nashville, TN 37230 New York, NY 10036 [email protected] [email protected]

INSURANCE COMPANY OF THE WEST INDEMNITY INS. CO. OF N. AMER. Connor McNulty 484-654-1919 Sonya Okolosi 800-433-0385 Claims Manager Claims Compliance Analyst ICW Group ACE USA 550 E Swedesford Rd 1 Beaver Valley Road Wayne, PA 19087 Wilmington, DE 19803 [email protected] [email protected]

INTERNATIONAL PAPER COMPANY INSURANCE CO OF NORTH AMERICA Tracy Dark 410-773-4211 Sonya Okolosi 800-433-0385 AVP Claims Claims Compliance Analyst Sedgwick CMS ACE USA 11350 McCormick Road 1 Beaver Valley Road Hunt Valley, MD 21031 Wilmington, DE 19803 [email protected] [email protected]

Page 36 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

INTREPID INSURANCE CO KEY RISK INSURANCE COMPANY

Michael Breeding 877-249-7181 Suzanne McAuliffe 704-496-5256

Assistant Secretary Vice President, KRIC Claims Intrepid Insurance Co Key Risk Insurance Company 7400 College Blvd P.O. Box 49129 Overland Park, KS 66210 Greensboro, NC 27419 mbreeding@intrepiddirect,com [email protected]

JOHNS HOPKINS HEALTH SYSTEM CORPORATION L M INSURANCE CORP

Sharon Soistman 410-955-4800 Kathy McDonald 800-865-1872

Manager, Workers Comp Claims Team Manager Johns Hopkins Health System Liberty Mutual Insurance 2024 E. Monument Street 800 King Farm Blvd Baltimore, MD 21205 Rockville, MD 20850 [email protected] [email protected]

JOHNS HOPKINS UNIVERSITY LIBERTY INSURANCE CORP

Sharon Soistman 410-955-4800 Kathy McDonald 800-865-1872

Manager, Workers Comp Claims Team Manager Johns Hopkins Health System Liberty Mutual Insurance 2024 E. Monument Street 800 King Farm Blvd Baltimore, MD 21205 Rockville, MD 20850 [email protected] [email protected]

KENNEDY KRIEGER INSTITUTE LIBERTY MUTUAL FIRE INS CO

Hilary Millspaugh 410-339-5222 Kathy McDonald 800-865-1872

Business Applications Manager Team Manager RCM&D Self Insured Services Co., Inc. Liberty Mutual Insurance 555 Fairmount Ave 800 King Farm Blvd Towson, MD 21286 Rockville, MD 20850 [email protected] [email protected]

Page 37 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

LIBERTY MUTUAL INSURANCE CO. LM GENERAL INSURANCE CO

Kathy McDonald 800-865-1872 Kathy McDonald 800-865-1872

Team Manager Team Manager Liberty Mutual Insurance Liberty Mutual Insurance 800 King Farm Blvd 800 King Farm Blvd Rockville, MD 20850 Rockville, MD 20850 [email protected] [email protected]

LIBERTY MUTUAL MID ATLANTIC INSURANCE CO LM PROPERTY AND CASUALTY INS CO

Kathy McDonald 800-865-1872 Kathy McDonald 800-865-1872

Team Manager Team Manager Liberty Mutual Insurance Liberty Mutual Insurance 800 King Farm Blvd 800 King Farm Blvd Rockville, MD 20850 Rockville, MD 20850 [email protected] [email protected]

LIFEBRIDGE HEALTH, INC LOWE'S HOME CENTERS, LLC

Hilary Millspaugh 410-339-5222 Marcia Osborn 800-285-3258

Business Applications Manager Claims Team Lead RCM&D Self Insured Services Company, Inc Sedgwick Claims Management Services 555 Fairmount Avenue 11350 McCormick Road Towson, MD 21286 Hunt Valley, MD 21031 [email protected] [email protected]

LION INSURANCE COMPANY LUMBERMEN'S UNDERWR. ALLIANCE

Maria Zevallos-Montalvo 727-682-0196 Phyllis Charlton 866-794-0360

Finance Manager WC Claims Adjuster Lion Insurance Company LUA Claims Service 2739 US Highway 19 North 11019 Thistlebrook Court Holiday, FL 34691 Columbia, MD 21044 [email protected] [email protected]

Page 38 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

LUMINIS HEALTH, INC./ AAHS MANUFACTURERS ALLIANCE CO.

Hilary Millspaugh 410-339-5222 Eric Reiner 800-382-1203

Manager - Business Applications Assistant Vice President - Claims RCM&D Self Insured Services Co., Inc. Manufacturers Alliance Insurance Company PO Box 42737 CenterPointe, 200 International Circle Baltimore, MD 21284 Hunt Valley, MD 21030 [email protected] [email protected]

MACY'S INC./FEDERATED DEPT STORES MARFY/CBH

Roxanne Stegemeyer 513-483-5326 John Waggoner 804-967-5662

Claims Examiner Assistant Vice President - Claims Sedgwick PMA Companies PO Box 14025 200 International Circle Lexington, KY 40512 Hunt Valley, MD 21030 [email protected] [email protected]

MAIN STREET AMERICA ASSURANCE CO MARKEL INSURANCE COMPANY

Frank Lipshultz 410-843-0506 Kenneth Shaffrey 410-576-4825

Attorney Attorney Zauner & Associates Semmes Bowen & Semmes 100 N. Charles Street 25 South Charles Street Baltimore, MD 21201 Baltimore, MD 21201 [email protected] [email protected]

MAINE EMPLOYERS MUTUAL INS CO MARRIOTT INTERNATIONAL, INC.

Stacey Foote 800-660-1306 Richard Goldberg 301-380-0347

Director, Claims Shared Servicesw Claims Unit Manager MEMIC Casualty co Marriott International INC 261 Commercial St PO BOX 29202 Portland, ME 04101 Hot Springs, AR 71903 [email protected] [email protected]

Page 39 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

MARYLAND ASSOC BOARDS OF EDUC MASSACHUSETTS BAY INSURANCE CO

Tina Gates 410-841-2493 Elizabeth Beshai 800-628-0250

WC Supervisor WC Claims Compliance Administrator MABE Workers' Compensation Group Self-Insurance Fund The Hanover Insurance Group 621 Ridgely Avenue 440 Lincoln Street Annapolis, MD 21401-1087 Worcester, MA 01653 [email protected] [email protected]

MARYLAND GENERAL HOSPITAL MAYOR AND CITY COUNCIL OF BALTIMORE

Teri Wise 667-214-1259 Donna Briscoe 443-984-2301

Senior Claims Manager Workers' Comp Contract Administrator MMCIP - Maryland Medicine Comprehensive Insurance Mayor & City Council of Baltimore Program 7 E Redwood Street 250 W. Pratt Street Baltimore, MD 21202 Baltimore, MD 21201 [email protected] [email protected]

MD ASSN. COMMUNITY SVCS- SELF-INS. GROUP MARYLAND GROUP SELF-INSURED HOSPITALS John Waggoner 804-967-5662 Hilary Millspaugh 410-339-5222 Assistant Vice President - Claims Business Applications Manager PMA Companies RCM&D Self Insured Services Co., Inc. 200 International Circle 555 Fairmount Avenue Hunt Valley, MD 21030 Towson, MD 21286 [email protected] [email protected]

MD. RESTAURANT & HOSP. SELF INS. FUND MARYLAND NAT'L CAP PARK COMM John Waggoner 804-967-5662 Lissa Bales 240-777-8903 Assistant Vice President - Claims Claims Manager PMA Companies Montgomery County Self Insurance Program 200 International Circle 101 Monroe St Hunt Valley, MD 21030 Rockville, MD 20850 [email protected] [email protected]

Page 40 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

MEMIC CASUALTY CO MERIDIAN MUTUAL INS CO

Stacey Foote 800-660-1306 Scott Smith 800-789-2242

Director, Claims Shared Servicesw Claim Manager MEMIC Casualty co State Auto Insurance Company 261 Commercial St 3600 American Blvd. West Portland, ME 04101 Bloomington, MN 55431 [email protected] [email protected]

MEMIC INDEMNITY COMPANY MERIDIAN SECURITY INS CO

Stacey Foote 800-660-1306 Scott Smith 800-789-2242

Director, Claims Shared Servicesw Claim Manager MEMIC Casualty co State Auto Insurance Company 261 Commercial St 3600 American Blvd. West Portland, ME 04101 Bloomington, MN 55431 [email protected] [email protected]

MERCHANTS MUTUAL INSURANCE CO. MERITUS MEDICAL CENTER/WASH CO HOSP

Maralee Denz 716-849-3029 Hilary Millspaugh 410-339-5222

WC Claim Supervisor Business Applications Manager Merchants Mutual Insurance Company RCM&D Self Insured Services Co., Inc. 250 Main Street 555 Fairmount Avenue Buffalo, NY 14202 Towson, MD 21286 [email protected] [email protected]

MERCY HEALTH SERVICES, INC. METTIKI COAL, LLC

Hilary Millspaugh 410-339-5222 Pam Hanline 301-334-5326

Business Applications Manager Workers' Compensation Coordinator RCM&D Self Insured Services Co., Inc. Mettiki Coal, LLC PO Box 42737 243 Table Rock Road Baltimore, MD 21284 Oakland, MD 21550 [email protected] [email protected]

Page 41 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

MIC PROPERTY & CASUALTY INS MILLER & LONG CO. INC

Rhonda Gaylor 313-656-5432 Deborah Carr 301-347-4203

Account VP Insurance MIC Property & Casualty Insurance Corporation Miller & Long Co., Inc. 500 Woodward Ave, 14th Floor 7101 Wisconsin Ave Detroit, MI 48226 Bethesda, MD 20814 [email protected] [email protected]

MID CENTURY INSURANCE CO. MITSUI SUMITOMO INSURANCE CO OF AMERICA

Michael Schaffer 410-933-8080 Anthony Zaccagnini 410-576-4781

Claims Manager Principal CorVel Corporation Semmes, Bowen and Semmes PO Box 44015 25 South Charles Street Baltimore, MD 21236 Baltimore, MD 21201 [email protected] [email protected]

MIDDLESEX INSURANCE COMPANY MITSUI SUMITOMO INSURANCE USA INC

Matt Stoss 800-851-7740 Anthony Zaccagnini 410-576-4781

Director WC Claims Principal Sentry Insurance a Mutual Company Semmes, Bowen and Semmes 1025 Boulders Parkway 25 South Charles Street Richmond, VA 23226 Baltimore, MD 21201 [email protected] [email protected]

MIDWEST EMPLOYERS CASUALTY CO MONROE GUARANTY INSURANCE CO

Brent Fournier 877-497-2637 Kelly Jensen 800-226-3224

Claims Manager Corporate Claim Examiner BerkleyNet Monroe Guaranty Insurance Co. 9301 Innovation Dr 6300 University Parkway Manassas, VA 20110 Sarasota, FL 34240 [email protected] [email protected]

Page 42 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

MONTGOMERY COUNTY MARYLAND MUTUAL BENEFIT INSURANCE CO.

Lissa Bales 240-777-8903 Pam Ayers 877-306-0894 ext 2330

Claims Manager Medical Only Workers Comp Adjuster Montgomery County Self Insurance Program Select Risk Insurance Co 101 Monroe St 409 Penn St Rockville, MD 20850 Huntingdon, PA 16652 [email protected] [email protected]

MONTGOMERY INDEMNITY CO NATIONAL AMERICAN INS CO

Kathy McDonald 800-865-1872 R. Patrick Gilmore 405-258-4262

Team Manager Senior Vice President Liberty Mutual Insurance National American Insurance Company 800 King Farm Blvd 1010 Manvel Avenue Rockville, MD 20850 Chandler, OK 74834 [email protected] [email protected]

MONTGOMERY MUTUAL INS. CO. NATIONAL BUILDERS INSURANCE CO

Kathy McDonald 800-865-1872 Robert Erlandson 443-656-6767

Team Manager Attorney Liberty Mutual Insurance Godwin Erlandson Vernon & Daney, LLC 800 King Farm Blvd 3300 North Ridge Road Rockville, MD 20850 Ellicott City, MD 21043 [email protected] [email protected]

MOTORISTS COMMERCIAL MUTUAL INS. CO. NATIONAL CASUALTY COMPANY

Judy Palamara 800-876-7488 Ryan McCombs 800-228-6700

Branch Claims Manager Manager, Workers Compensation Motorists Insurance Group/American Hardware Insurance Nationwide Agribusiness 2674 Monroeville Blvd PO Box 182066 Monroeville, PA 15146 Columbus, OH 43218 [email protected] [email protected]

Page 43 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

NATIONAL CONTINENTAL INS CO NATIONAL INTERSTATE INS CO

Audra Moraski 800-524-4505 Jim Willett Jr 410-576-4733

Claim Supervisor Attorney Arrowood Indemnity (Formerly Security Ins. Co. of Semmes, Bowen & Semmes Hartford) 25 South Charles Street PO Box 4701 Baltimore, MD 21201 Syracuse, NY 13221 [email protected] [email protected]

NATIONAL LIABILITY & FIRE INS NATIONAL FIRE INS. OF HARTFORD Ed Hennrikus 844-549-2512 Kevin Mahoney 410-453-4437 Director of Claims Claim specialist National Fire & Liability Ins Co American Casualty Co PO Box 06911-3212 1954 Greenspring Drive Stamford, CT 06911 Timonium, MD 21093 [email protected] [email protected]

NATIONAL SPECIALTY INSURANCE CO NATIONAL FIRE INSURANCE CO. Wenni Yin 800-877-4567 kevin mahoney 410-527-7838 Sr. Compliance Analyst claim specialist State National Companies CNA 1900 L. Don Dodson Drive 201 International Drive Bedford, TX 76021 Hunt Valley, MD 21030 [email protected] kevin.mahoney@ cna.com

NATIONAL SURETY CORPORATION NATIONAL INDEMNITY COMPANY Amanda Gress 800-870-8857 Ed Hennrikus 844-549-2512 TPA Oversight Manager Director of Claims Allianz Global Corp & Specialty National Fire & Liability Ins Co One Progress Point Pkwy PO Box 06911-3212 O'Fallon, MO 63368 Stamford, CT 06911 [email protected] [email protected]

Page 44 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

NATIONAL TRUST INSURANCE COMPANY NATIONWIDE MUTUAL FIRE INS CO

Kelly Jensen 800-226-3224 Ronald Dietrich 215-513-8738

Corporate Claim Examiner Claims Manager Monroe Guaranty Insurance Co. Nationwide Insurance 6300 University Parkway 355 Maple Avenue Sarasota, FL 34240 Harleysville, PA 19438 [email protected] [email protected]

NATIONAL UNION FIRE INS CO OF PITTSBURGH NATIONWIDE MUTUAL INSURANCE CO

Loren Berrocal 866-642-5246 Ronald Dietrich 215-513-8738

Claim Manager Claims Manager AIG Nationwide Insurance P.O. Box 305902 355 Maple Avenue Nashville, TN 37230 Harleysville, PA 19438 [email protected] [email protected]

NATIONAL UNION FIRE INSURANCE NATIONWIDE PROPERTY & CASUALTY

Loren Berrocal 866-642-5246 Ronald Dietrich 215-513-8738

Claim Manager Claims Manager AIG Nationwide Insurance P.O. Box 305902 355 Maple Avenue Nashville, TN 37230 Harleysville, PA 19438 [email protected] [email protected]

NATIONWIDE AGRIBUSINESS INS CO NETHERLANDS INSURANCE COMPANY

Ryan McCombs 800-228-6700 Kathy McDonald 800-865-1872

Manager, Workers Compensation Team Manager Nationwide Agribusiness Liberty Mutual Insurance PO Box 182066 800 King Farm Blvd Columbus, OH 43218 Rockville, MD 20850 [email protected] [email protected]

Page 45 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

NEW HAMPSHIRE INSURANCE CO. NGM INSURANCE COMPANY

Loren Berrocal 866-642-5246 Frank Lipshultz 410-843-0506

Claim Manager Attorney AIG Zauner & Associates P.O. Box 305902 100 N. Charles Street Nashville, TN 37230 Baltimore, MD 21201 [email protected] [email protected]

NEW JERSEY MANUFACTURERS INS CO NIPPONKOA INSURANCE CO LIMITED

Francis Shuler 800-232-6600 Meredith Haskell 800-842-0091

Claims Supervisor Unit Manager NJM Insurance Group Travelers Casualty Insurance Company of America 1599 Littleton Road 111 Schilling Road Parsippany, NJ 07054 Hunt Valley, MD 21031 [email protected] [email protected]

NEW YORK MARINE & GENERAL INSURANCE CO NORDSTROM INC

Patrick Gano 800-774-2755 Robert Haugen 877-275-7475

Claims Representative Workers Compensation Manager New York Marine & General Insurance Company Nordstrom, Inc. 412 Mt. Kemble Avenue 1700 Seventh Avenue Morristown, NJ 07960 Seattle, WA 98101-4407 [email protected] [email protected]

NEWARK INSURANCE COMPANY NORGUARD INSURANCE CO

Audra Moraski 800-524-4505 JOANITA NAOUM 800-673-2465

Claim Supervisor SR CLAIMS REP Arrowood Indemnity (Formerly Security Ins. Co. of GUARD INS GROUP Hartford) PO BOX 1368 PO Box 4701 WILKES-BARRE, PA 18703 Syracuse, NY 13221 [email protected] [email protected]

Page 46 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

NORTH AMERICAN SPECIALTY INS NORTHWEST HEALTH SYSTEM, INC.

Rose Kasper 816-702-3148 Hilary Millspaugh 410-339-5222

Senior Accountant Business Applications Manager North American Specialty Insurance Company RCM&D Self Insured Services Co., Inc. 1200 Main Street 555 Fairmount Avenue Kansas City, MD 64105 Towson, MD 21286 [email protected] [email protected]

NORTH POINTE INSURANCE COMPANY NOXELL CORPORATION

Dave Palmer 844-723-2524 Terri Donahue 513-634-3885

Lead Claims Compliance Analyst Administrator Regulatory Benefits QBE Americas, Inc. The Procter & Gamble Company One General Drive 2 Procter & Gamble Plaza Sun Prairie, WI 53596 Cincinnati, OH 45202 [email protected] [email protected]

NORTH RIVER INSURANCE CO. NUTMEG INS CO

Janet Rourke 888-890-1500 Chris Turner 877-673-9222

Executive Specialist Claim Manager Crum & Forster Indemnity Insurance Company The Hartford 305 Madison Avenue PO Box 14473 Morristown, NJ 07962 Lexington, KY 40512 [email protected] [email protected]

NORTHSTONE INSURANCE CO OAK RIVER INSURANCE CO

Sally Edge 866-452-7425 Dustin Puntney 800-661-6029

Director, Claims Operations Assistant Director of Claims Pinnacle Insurance Company Berkshire Hathaway Homestate Companies 400 Quarrier Street PO Box 881716 Charleston, WV 25301 San Francisco, CA 94188 [email protected] [email protected]

Page 47 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

OBI AMERICA INSURANCE CO OHIO FARMERS INSURANCE CO.

Patrick Roberson 410-539-0906 Maija Jackson 410-230-3615

Carrier Counsel Principal OBI America Insurance Company Franklin & Prokopik 20 South Charles Street 2 N. Charles Street Baltimore, MD 21201 Baltimore, MD 21201 [email protected] [email protected]

OBI NATIONAL INSURANCE COMPANY OHIO SECURITY INSURANCE CO

Patrick Roberson 410-539-0906 Kathy McDonald 800-865-1872

Carrier Counsel Team Manager OBI America Insurance Company Liberty Mutual Insurance 20 South Charles Street 800 King Farm Blvd Baltimore, MD 21201 Rockville, MD 20850 [email protected] [email protected]

OCCIDENTAL FIRE & CASUALTY OLD DOMINION INSURANCE CO

Mark Mendenhall 630-864-3450 Frank Lipshultz 410-843-0506

WC Claim Services Manager Attorney Transguard Ins Company of America Ins Zauner & Associates 215 Shuman Blvd 100 N. Charles Street Naperville, IL 60563 Baltimore, MD 21201 [email protected] [email protected]

OHIO CASUALTY INSURANCE CO. OLD GUARD INSURANCE CO

Kathy McDonald 800-865-1872 Maija Jackson 410-230-3615

Team Manager Principal Liberty Mutual Insurance Franklin & Prokopik 800 King Farm Blvd 2 N. Charles Street Rockville, MD 20850 Baltimore, MD 21201 [email protected] [email protected]

Page 48 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

OLD REPUBLIC GENERAL INS CORP ONEBEACON INS CO

S. Woods Bennett 410-539-0906 Debby Schoen-Cruz 877-248-3455

Esquire TPA Oversight Specialist Humphreys, McLaughlin & McAleer, LLC OneBeacon Insurance Company 20 South Charles Street 150 Royall Street Baltimore, MD 21201 Canton, MA 02021 [email protected] [email protected]

OLD REPUBLIC INSURANCE CO. ORISKA INSURANCE CO

S. Woods Bennett 410-539-0906 James Kernan 800-358-3513

Esquire President Humphreys, McLaughlin & McAleer, LLC Oriska Insurance Company 20 South Charles Street 1310 Utica St., PO Box 855 Baltimore, MD 21201 Oriskany, NY 13424 [email protected] [email protected]

OLD REPUBLIC UNION INSURANCE CO P.H. GLATFELTER COMPANY

J. Eric Stroka 724-838-5462 Michael Petrone 410-527-9033

Assistant Vice President Sr. Accounts Claims Rep. Old Republic Insurance Company PMA Insurance Group 133 Oakland Avenue 200 International Circle Greensburg, PA 15601 Hunt Valley, MD 21030 [email protected] [email protected]

ONEBEACON AMERICA INS CO PACIFIC EMPLOYERS INSURANCE CO

Debby Schoen-Cruz 877-248-3455 Sonya Okolosi 800-433-0385

TPA Oversight Specialist Claims Compliance Analyst OneBeacon Insurance Company ACE USA 150 Royall Street 1 Beaver Valley Road Canton, MA 02021 Wilmington, DE 19803 [email protected] [email protected]

Page 49 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

PACIFIC INDEMNITY COMPANY PENINSULA INSURANCE CO

Brandon Cusumano 800-252-4670 Lori Kibler 800-877-0600

Sr. Claims Examiner Workers Compensation Claims Manager Chubb Peninsula Insurance Company PO Box 4700 1195 River Road Chesapeake, VA 23327 Marietta, PA 17547 [email protected] [email protected]

PEERLESS INDEMNITY INS CO PENN MILLERS INS CO

Kathy McDonald 800-865-1872 Donna Westervelt 856-780-3907

Team Manager Claims Representative Liberty Mutual Insurance Gallagher Bassett 800 King Farm Blvd 9240 Rumsey Road Rockville, MD 20850 Columbia, MD 21045 [email protected] [email protected]

PEERLESS INSURANCE COMPANY PENN NATIONAL SECURITY INS CO

Kathy McDonald 800-865-1872 NICOLE CARRUTH 800-388-4764

Team Manager DIRECTOR WC & MANAGED CARE Liberty Mutual Insurance PENN NATIONAL INSURANCE 800 King Farm Blvd 2 NORTH 2ND STREET Rockville, MD 20850 HARRISBURG, PA 17101 [email protected] [email protected]

PENINSULA INDEMNITY CO LUMBERMENS MUT'L.

Lori Kibler 800-877-0600 Francis R. Santoro 800-752-1895

Workers Compensation Claims Manager AVP-Claims Department Peninsula Insurance Company Pennsylvania Lumbermens Mutual Insurance Company 1195 River Road One Commerce Sq., 2005 Market Street Marietta, PA 17547 Philadelphia, PA 191037008 [email protected] [email protected]

Page 50 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

PENNSYLVANIA MFG. ASSOCIATION PETROLEUM CASUALTY CO.

Eric Reiner 800-382-1203 Gina Laubach 800-234-5003

Assistant Vice President - Claims Claims Manager Manufacturers Alliance Insurance Company Corvel Corp CenterPointe, 200 International Circle PO Box 44015 Hunt Valley, MD 21030 Baltimore, MD 21236 [email protected] [email protected]

PENNSYLVANIA MFG. INDEMNITY PHARMACISTS MUTUAL INSURANCE CO

Eric Reiner 800-382-1203 Lisa Molsberry 800-247-5930

Assistant Vice President - Claims Workers Compensation Claims Manager Manufacturers Alliance Insurance Company Pharmacists Mutual Insurance Company CenterPointe, 200 International Circle 818 Highway 18 West, PO Box 370 Hunt Valley, MD 21030 Algona, IA 50511 [email protected] [email protected]

PENNSYLVANIA NATIONAL MUTUAL CAS INS CO PHOENIX INSURANCE COMPANY

NICOLE CARRUTH 800-388-4764 Meredith Haskell 800-842-0091

DIRECTOR WC & MANAGED CARE Unit Manager PENN NATIONAL INSURANCE Travelers Casualty Insurance Company of America 2 NORTH 2ND STREET 111 Schilling Road HARRISBURG, PA 17101 Hunt Valley, MD 21031 [email protected] [email protected]

PERDUE FARMS, INC. PINNACLEPOINT INSURANCE CO

Zahra Javid 410-749-2155 Sally Edge 866-452-7425

Senior Adjuster Director, Claims Operations Crawford & Company Pinnacle Insurance Company 1501 Edgemore Avenue 400 Quarrier Street Salisbury, MD 21801 Charleston, WV 25301 [email protected] [email protected]

Page 51 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

PLAZA INSURANCE COMPANY PREFERRED PROFESSIONAL INS CO

Scott Smith 800-789-2242 Kathryn McAleer 410-539-0906

Claim Manager Attorney State Auto Insurance Company Humphreys, McLaughlin & McAleer, LLC 3600 American Blvd. West 1 N Charles Street Bloomington, MN 55431 Baltimore, MD 21201 [email protected] [email protected]

POTOMAC ELECTRIC POWER COMPANY PRINCE GEORGE CO COMM COLLEGE

John Waggoner 804-967-5662 Lazina Alie 301-583-5411

Assistant Vice President - Claims Branch Manager PMA Companies CorVel 200 International Circle 9475 Lottsford Road Hunt Valley, MD 21030 Largo, MD 20774 [email protected] [email protected]

POTOMAC FARMS DAIRY/GALLIKER DAIRY CO PRINCE GEORGE'S COUNTY MARYLAND

Staci Ulp 800-356-0438 Lisa Jones 301-583-5411

Regional Vice President Claims Manager Inservco Insurance Services, Inc. CorVel Corporation Post Office Box 3899 8140 Corporate Drive Harrisburg, PA 17105 Baltimore, MD 21236 [email protected] [email protected]

PRAETORIAN INSURANCE COMPANY PRINCETON INSURANCE CO

Dave Palmer 844-723-2524 Michael Broadway 800-394-8335

Lead Claims Compliance Analyst Branch Manager QBE Americas, Inc. Crawford & Company One General Drive 9900 Franklin Square Drive Sun Prairie, WI 53596 Baltimore, Md 21236 [email protected] [email protected]

Page 52 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

PROCTER & GAMBLE MANUF CO PROVIDENCE WASHINGTON INS.

Terri Donahue 513-634-3885 David Calandro 888-636-1580

Administrator Regulatory Benefits Regional Claim Manager The Procter & Gamble Company Enstar US 2 Procter & Gamble Plaza 150 2nd Ave North Cincinnati, OH 45202 Saint Petersburg, FL 33701 [email protected] [email protected]

PROGRESSIVE CASUALTY INSURANCE QBE INSURANCE CORPORATION

Jacqueline Jerome 800-692-4772 Dave Palmer 844-723-2524

Workers Compensation Adjuster III Lead Claims Compliance Analyst Progressive Casualty Ins Co QBE Americas, Inc. PO Box 89428 One General Drive Cleveland, OH 44101 Sun Prairie, WI 53596 [email protected] [email protected]

PROPERTY & CASUALTY INS CO OF HARTFORD RAMPART INSURANCE CO

Chris Turner 877-673-9222 Marcus Doran 877-624-9779

Claim Manager EVP The Hartford Rampart Insurance Co PO Box 14473 1880 JFK Blvd Lexington, KY 40512 Philadelphia, PA 19103 [email protected] [email protected]

PROTECTIVE INSURANCE COMPANY RECIPROCAL OF AMERICA

David Ghesquiere 800-479-0981 Mark Hyland 800-824-8847

AVP of Claims Second Vice President PROTECTIVE INSURANCE COMPANY Reciprocal of America in Liquidation Post Office Box 7099 4200 Innslake Drive Indianapolis, IN 46207 Glen Allen, Va 23060 [email protected] [email protected]

Page 53 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

REDWOOD FIRE & CASUALTY INS CO RLI INSURANCE COMPANY

Dustin Puntney 800-661-6029 Salena Sandford-Staub 800-331-4929 ext 1066

Assistant Director of Claims Claims Manager Berkshire Hathaway Homestate Companies RLI Transportation A Division of RLI Ins Co PO Box 881716 PO Box 3961 San Francisco, CA 94188 Peoria, IL 61612 [email protected] [email protected]

REGENT INSURANCE CO ROCKWOOD CASUALTY INSURANCE CO

Dave Palmer 844-723-2524 Leslie W. Gawlik 443-650-0080

Lead Claims Compliance Analyst Counsel QBE Americas, Inc. Law Offices of Leslie W. Gawlik, LLC One General Drive 100 North Charles Street Sun Prairie, WI 53596 Baltimore, MD 21201 [email protected] [email protected]

REPUBLIC FRANKLIN INSURANCE ROCKWOOD INS. CO OF INDIANA

Michael Prokopik 410-230-3629 Leslie W. Gawlik 443-650-0080

Attorney Counsel Franklin & Prokopik Law Offices of Leslie W. Gawlik, LLC 2 N Charles St 100 North Charles Street Baltimore, MD 21201 Baltimore, MD 21201 [email protected] [email protected]

RIVERPORT INSURANCE COMPANY ROXUL USA, INC./CHICAGO METALLIC

Suzanne Scelza 609-689-6648 Robert Mellendick 410-339-7852

VP Compliance Senior Vice President Berkley Shared Services RCM&D/SISCO 2445 Kuser Road 555 Fairmount Avenue Hamilton Square, NJ 08690 Baltimore, MD 21286-5497 [email protected] [email protected]

Page 54 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

RYDER SYSTEMS INC SAFETY FIRST INS CO

Richard Scheiner 410-576-4831 Jennifer Holmes 888-995-5300

Attorney at Law Technical Support Specialist Tokio Marine Group Safety First Insurance Company (Safety National Casualty 25 S Charles St Corporation) Baltimore, MD 21201 1832 Schuetz Road St. Louis, MO 63146 [email protected] [email protected]

SAFECO INS. CO. OF AMERICA SAFETY NATIONAL CASUALTY CORP Kathy McDonald 800-865-1872 Jennifer Holmes 888-995-5300 Team Manager Liberty Mutual Insurance Technical Support Specialist 800 King Farm Blvd Safety First Insurance Company (Safety National Casualty Corporation) Rockville, MD 20850 1832 Schuetz Road [email protected] St. Louis, MO 63146

[email protected] SAFECO INSURANCE CO OF ILLINOIS

Kathy McDonald 800-865-1872 SAFEWAY INC.

Team Manager Paul Osborn 301-918-8919 Liberty Mutual Insurance WC Claims Manager 800 King Farm Blvd Safeway Inc. Rockville, MD 20850 4551 Forbes Blvd. [email protected] Lanham, MD 20706

[email protected] SAFEGUARD INSURANCE COMPANY

Audra Moraski 800-524-4505 SAGAMORE INSURANCE COMPANY

Claim Supervisor Lea Lindquist 800-626-8381 Arrowood Indemnity (Formerly Security Ins. Co. of Hartford) Vice President Workers Compensation PO Box 4701 Protective Insurance Syracuse, NY 13221 PO Box 7099 Indianapolis, IN 462077099 [email protected] [email protected]

Page 55 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SEABOARD FIRE & MARINE INS. SELECT INSURANCE COMPANY

Kevin Mahoney 410-453-4437 Meredith Haskell 800-842-0091

Claim specialist Unit Manager American Casualty Co Travelers Casualty Insurance Company of America 1954 Greenspring Drive 111 Schilling Road Timonium, MD 21093 Hunt Valley, MD 21031 [email protected] [email protected]

SEABRIGHT INSURANCE COMPANY SELECT RISK INSURANCE CO

Michael Schaffer 410-933-3966 Pam Ayers 877-306-0894 ext 2330

Manager Medical Only Workers Comp Adjuster Schaffer Companies, LTD Select Risk Insurance Co 9940 Franklin Square Drive 409 Penn St Baltimore, MD 21236 Huntingdon, PA 16652 michael [email protected] [email protected]

SECURITY INSURANCE CO. SELECT RISK MUTUAL INS CO

Audra Moraski 800-524-4505 Brenda Nead 800-283-3531

Claim Supervisor Sr. WC Claim Representative Arrowood Indemnity (Formerly Security Ins. Co. of Select Risk Mutual Ins. Co. Hartford) 409 Penn Street PO Box 4701 Huntingdon, PA 16652 Syracuse, NY 13221 [email protected] [email protected]

SELECTIVE INS CO OF SOUTH CAROLINA SECURITY NATIONAL INSURANCE COMPANY Jonathan Davis 980-215-7534 Lori Scaramucci 866-203-3037 WC Claims Supervisor Claims Manager Selective Ins Co of the Southeast Amtrust 6210 Ardrey Kell Rd. PO Box 94405 Charlotte, NC 28277 Cleveland, OH 44101 [email protected] [email protected]

Page 56 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SELECTIVE INS CO OF THE SOUTHEAST SENTINEL INSURANCE COMPANY

Jonathan Davis 980-215-7534 Chris Turner 877-673-9222

WC Claims Supervisor Claim Manager Selective Ins Co of the Southeast The Hartford 6210 Ardrey Kell Rd. PO Box 14473 Charlotte, NC 28277 Lexington, KY 40512 [email protected] [email protected]

SELECTIVE INS. CO. OF AMERICA SENTRY CASUALTY COMPANY

Jonathan Davis 980-215-7534 Matt Stoss 800-851-7740

WC Claims Supervisor Director WC Claims Selective Ins Co of the Southeast Sentry Insurance a Mutual Company 6210 Ardrey Kell Rd. 1025 Boulders Parkway Charlotte, NC 28277 Richmond, VA 23226 [email protected] [email protected]

SELECTIVE WAY INSURANCE CO SENTRY INDEMNITY COMPANY

Jonathan Davis 980-215-7534 Matt Stoss 800-851-7740

WC Claims Supervisor Director WC Claims Selective Ins Co of the Southeast Sentry Insurance a Mutual Company 6210 Ardrey Kell Rd. 1025 Boulders Parkway Charlotte, NC 28277 Richmond, VA 23226 [email protected] [email protected]

SENECA INSURANCE CO SENTRY INSURANCE A MUTUAL CO

Michael Hall 800-899-2235 Matt Stoss 800-851-7740

Manager Director WC Claims Love, Barnes & McKew Sentry Insurance a Mutual Company 9891 Broken Land Parkway 1025 Boulders Parkway Columbia, MD 21046 Richmond, VA 23226 [email protected] [email protected]

Page 57 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SENTRY INSURANCE COMPANY SHEEHY AUTO STORES

Matt Stoss 800-851-7740 John Waggoner 804-967-5662

Director WC Claims Assistant Vice President - Claims Sentry Insurance a Mutual Company PMA Companies 1025 Boulders Parkway 200 International Circle Richmond, VA 23226 Hunt Valley, MD 21030 [email protected] [email protected]

SENTRY SELECT INS CO /F/K/A JOHN DEERE SHEPPARD & ENOCH PRATT HEALTH SYSTEM

Matt Stoss 800-851-7740 Hilary Millspaugh 410-339-5222

Director WC Claims Business Applications Manager Sentry Insurance a Mutual Company RCM&D Self Insured Services Company, Inc. 1025 Boulders Parkway 555 Fairmount Avenue Richmond, VA 23226 Towson, MD 21286 [email protected] [email protected]

SEQUOIA INSURANCE CO SHERWIN WILLIAMS COMPANY

Bradley Greiner 214-360-8586 Heather Crouch 800-448-0077

Director, Claim Operations Branch Manager AmTrust NorthAmerica Gallagher Bassett 4455 LBJ Freeway 6518 Meadowridge Rd Dallas, TX 75244 Elkridge, MD 21075 [email protected] [email protected]

SFM MUTUAL INSURANCE CO SINAI HOSPITAL OF BALTIMORE, INC.

Shawn Stricker 800-937-1181 Hilary Millspaugh 410-339-5222

Claims Technical Specialist Business Applications Manager SFM Mutual Insurance RCM&D Self Insured Services Co., Inc. 3500 American Blvd W 555 Fairmount Ave Bloomington, MN 55431 Towson, MD 21286 [email protected] [email protected]

Page 58 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SIRIUS AMERICA INSURANCE CO SOMPO JAPAN INS CO OF AMERICA

Chris Kennedy 844-312-4527 John Huskin 443-720-6935

Vice President and Technical Claims Mgr Attorney Sirius America Administrators LLC Chartwell Law 140 Broadway 120 Steuart St New York, NY 10005 Baltimore, MD 21230 [email protected] [email protected]

SOLO CUP COMPANY/DART CONTAINER SOUTHERN GUARANTY INSURANCE CO

Vicki Rodi 248-699-9904 Jessica Simonelli 888-912-4767

Sr. Client Service Manager Vice President of Operations Helmsman Management Services Southern Guaranty insurance Co 34405 W. Twelve Mile Road 13600 ICOT Blvd Farmington Hills, MI 48331 Clearwater, FL 33760 [email protected] [email protected]

SOMPO AMERICA FIRE & MARINE INS CO SOUTHERN INSURANCE CO OF VIRGINIA

John Huskin 443-720-6935 Lori Kibler 800-877-0600

Attorney Workers Compensation Claims Manager Chartwell Law Peninsula Insurance Company 120 Steuart St 1195 River Road Baltimore, MD 21230 Marietta, PA 17547 [email protected] [email protected]

SOMPO AMERICA INSURANCE CO SOUTHERN INSURANCE COMPANY

John Huskin 443-720-6935 Frank Hall 877-788-6008

Attorney Program Claims Manager Chartwell Law Southern Insurance Company 120 Steuart St 5525 LBJ Freeway Baltimore, MD 21230 Dallas, TX 75240-6241 [email protected] [email protected]

Page 59 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SOUTHERN MD ELECTRIC CO-OP ST PAUL FIRE & MARINE INS CO

Hilary Millspaugh 410-339-5222 Meredith Haskell 800-842-0091

Business Applications Manager Unit Manager RCM&D Self Insured Services Company, inc. Travelers Casualty Insurance Company of America 555 Fairmount Avenue 111 Schilling Road Towson, MD 21286 Hunt Valley, MD 21031 [email protected] [email protected]

SOUTHERN PILOT INS CO ST PAUL GUARDIAN INSURANCE CO

Ridge Cramer 410-821-1764 Meredith Haskell 800-842-0091

Senior Claims Adjuster Unit Manager Ward North America Travelers Casualty Insurance Company of America 8501 LaSalle Road 111 Schilling Road Baltimore, MD 21296 Hunt Valley, MD 21031 [email protected] [email protected]

SOUTHERN STATES INSURANCE EXCH ST PAUL MERCURY INSURANCE CO

Yolanda Wright 804-281-1421 Meredith Haskell 800-842-0091

Senior Claims Examiner Unit Manager Southern States Insurance Exchange Travelers Casualty Insurance Company of America 6606 West Broad St 111 Schilling Road Richmond, VA 23260 Hunt Valley, MD 21031 [email protected] [email protected]

SPARTA INSURANCE COMPANY ST. MARY'S COUNTY GOVERNMENT

John Mindek 877-772-7824 John Waggoner 804-967-5662

SVP, Claims Assistant Vice President - Claims SPARTA Insurance Company PMA Companies 185 Asylum Street 200 International Circle Hartford, CT 06103 Hunt Valley, MD 21030 [email protected] [email protected]

Page 60 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

STANDARD FIRE INSURANCE CO. STARR INDEMNITY & LIABILITY COMPANY

Meredith Haskell 800-842-0091 Adilia Bannis 855-782-7725

Unit Manager Claims Processing Manager Travelers Casualty Insurance Company of America Starr Companies 111 Schilling Road 399 Park Ave Hunt Valley, MD 21031 New York, NY 10022 [email protected] [email protected]

STANLEY WORKS STARR SPECIALTY INS CO

Robyn Jones 800-551-0271 Adilia Bannis 855-782-7725

MD Team Leader Claims Processing Manager Specialty Risk Services Starr Companies P.O Box 61512 399 Park Ave King of Prussia, PA 19406 New York, NY 10022

[email protected] [email protected]

STAR INSURANCE CO STARSTONE NATIONAL INS CO

Thomas Tucker 800-482-2726 David Calandro 888-636-1580

VP Claims Regional Claim Manager Meeadowbrook, Inc Enstar US 26255 American Drive 150 2nd Ave North Southfield, MI 48034 Saint Petersburg, FL 33701 [email protected] [email protected]

STARNET INSURANCE COMPANY STATE AUTO PROPERTY & CAS. CO

Brent Fournier 877-497-2637 Scott Smith 800-789-2242

Claims Manager Claim Manager BerkleyNet State Auto Insurance Company 9301 Innovation Dr 3600 American Blvd. West Manassas, VA 20110 Bloomington, MN 55431 [email protected] [email protected]

Page 61 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

STATE AUTOMOBILE MUTUAL INS.CO STATE OF MARYLAND

Scott Smith 800-789-2242 Nancy Harple 410-494-2093

Claim Manager Supervisor State Auto Insurance Company Chesapeake Employers Insurance Company 3600 American Blvd. West 8722 Loch Raven Boulevard Bloomington, MN 55431 Towson, MD 21286 [email protected] [email protected]

STATE OF MARYLAND STATE FARM FIRE & CASUALTY INS Nancy Harple 410-494-2093 Tracy Dark 410-773-4211 Supervisor AVP Claims Chesapeake Employers Insurance Company Sedgwick CMS 8722 Loch Raven Boulevard 11350 McCormick Road Towson, MD 21286 Hunt Valley, MD 21031 [email protected] [email protected]

STONINGTON INSURANCE COMPANY STATE FARM GENERAL INSURANCE Dave Palmer 844-723-2524 Rick Scotton 301-620-6424 Lead Claims Compliance Analyst Team Manager QBE Americas, Inc. State Farm Fire & Casualty Co One General Drive One State Farm Drive Sun Prairie, WI 53596 Frederick, MD 21709 [email protected] [email protected]

STRATHMORE INSURANCE COMPANY STATE NATIONAL INSURANCE COMPANY Rob Castro 443-903-6551 Debbie VanSanford 800-877-4567 General Adjuster Property and Casualty State Filings Coordinator Custard Insurance Adjusters State National Insurance Company, Inc. 5004 Honeygo Center Dr 1900 L. Don Dodson Drive Perry Hall, MD 21128 Bedford, TX 76021 [email protected] [email protected]

Page 62 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

SUBURBAN HOSPITAL ASSOCIATION TARGET CORPORATION

Hilary Moore 443-921-2571 Marcia Osborn 800-285-3258

Business Analyst Claims Team Lead RCM&D/ SISCO Sedgwick Claims Management Services 555 Fairmount Avenue 11350 McCormick Road Towson, MD 21286 Hunt Valley, MD 21031 [email protected] [email protected]

SUMMITPOINT INSURANCE CO TECHNOLOGY INSURANCE CO

Sally Edge 866-452-7425 Brenda Oals-Becker 888-239-3909

Director, Claims Operations Claims Analyst Pinnacle Insurance Company Technology Insurance Company 400 Quarrier Street P.O. Box 2007 Charleston, WV 25301 Hagerstown, MD 21742 [email protected] [email protected]

SUSSEX INSURANCE CO TEXTRON, INC.

David Calandro 888-636-1580 Briony Koehne 800-622-8637 ext 6619

Regional Claim Manager Claims Examiner Enstar US Broadspire 150 2nd Ave North 12150 E Monument Dr Saint Petersburg, FL 33701 Fairfax, VA 22033 [email protected] [email protected]

T.H.E. INSURANCE CO TIDALHEALTH PENINSULA REGIONAL,INC.

ANTHONY HAMPTON 877-720-8844 Hilary Millspaugh 410-339-5222

OPERATIONS LEAD NORTH AMERICA Business Applications Manager AXA XL INSURANCE COMPANY RCM&D Self Insured Services Co., Inc. PO BOX 614002 555 Fairmount Avenue ORLANDO, FL 32861 Towson, MD 21286 [email protected] [email protected]

Page 63 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

TIG INSURANCE CO TOWER NATIONAL INSURANCE COMPANY

S. Woods Bennett 410-539-0906 Jeffrey Beason 866-450-8608

Esquire AVP Southeast Claims Humphreys, McLaughlin & McAleer, LLC Tower Group Companies 20 South Charles Street PO Box 948154 Baltimore, MD 21201 Maitland, FL 32794 [email protected] [email protected]

TNUS INSURANCE COMPANY TOWN OF OCEAN CITY

Richard Scheiner 410-576-4831 Christine Parks 410-289-8772

Attorney at Law Risk Manager Tokio Marine Group Town of Ocean City 25 S Charles St PO Box 158 Baltimore, MD 21201 Ocean City, MD 21843 [email protected] [email protected]

TOKIO MARINE AMERICA INSURANCE COMPANY TOYOTO MOTOR INSURANCE CO

Richard Scheiner 410-576-4831 Ruth Jessen 800-874-8822

Attorney at Law Insurance Compliance Analyst Tokio Marine Group Toyota Motor Ins Co 25 S Charles St 6565 Headquarters Dr Baltimore, MD 21201 Plano, TX 75024 [email protected] [email protected]

TOWER INSURANCE CO OF NEW YORK TRANSAMERICA INSURANCE CO.

Jeffrey Beason 866-450-8608 S. Woods Bennett 410-539-0906

AVP Southeast Claims Esquire Tower Group Companies Humphreys, McLaughlin & McAleer, LLC PO Box 948154 20 South Charles Street Maitland, FL 32794 Baltimore, MD 21201 [email protected] [email protected]

Page 64 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

TRANSAMERICA PREMIER INS CO TRANSPORT INSURANCE CO.

S. Woods Bennett 410-539-0906 Desiree Mecca 267-675-3348

Esquire Assistant Secretary Humphreys, McLaughlin & McAleer, LLC Transport Insurance Company 20 South Charles Street 2 Logan Square Baltimore, MD 21201 Philadelphia, PA 19103 [email protected] [email protected]

TRANSCONTINENTAL INSURANCE CO. TRANSPORTATION INSURANCE CO.

Kevin Mahoney 410-453-4437 Kevin Mahoney 410-453-4437

Claim specialist Claim specialist American Casualty Co American Casualty Co 1954 Greenspring Drive 1954 Greenspring Drive Timonium, MD 21093 Timonium, MD 21093 [email protected] [email protected]

TRANSGUARD INS CO OF AMERICA INS TRAVELERS CASU AND SURETY CO OF AMERICA

JOVAN JONES 919-833-1600 Meredith Haskell 800-842-0091

ASSOCIATE TAX ANALYST Unit Manager TRANSGUARD INS CO OF AMERICA INS Travelers Casualty Insurance Company of America 702 Oberlin Rd 111 Schilling Road Raleigh, NC 27605 Hunt Valley, MD 21031 [email protected] [email protected]

TRANS-PACIFIC INSURANCE CO. TRAVELERS CASUALTY AND SURETY CO

Richard Scheiner 410-576-4831 Meredith Haskell 800-842-0091

Attorney at Law Unit Manager Tokio Marine Group Travelers Casualty Insurance Company of America 25 S Charles St 111 Schilling Road Baltimore, MD 21201 Hunt Valley, MD 21031 [email protected] [email protected]

Page 65 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

TRAVELERS CASUALTY CO TRAVELERS COMMERICAL INSURANCE CO

Meredith Haskell 800-842-0091 Meredith Haskell 800-842-0091

Unit Manager Unit Manager Travelers Casualty Insurance Company of America Travelers Casualty Insurance Company of America 111 Schilling Road 111 Schilling Road Hunt Valley, MD 21031 Hunt Valley, MD 21031 [email protected] [email protected]

TRAVELERS CASUALTY CO OF TRAVELERS INDEMNITY CO

Meredith Haskell 800-842-0091 Meredith Haskell 800-842-0091

Unit Manager Unit Manager Travelers Casualty Insurance Company of America Travelers Casualty Insurance Company of America 111 Schilling Road 111 Schilling Road Hunt Valley, MD 21031 Hunt Valley, MD 21031 [email protected] [email protected]

TRAVELERS CASUALTY INS CO OF AMERICA TRAVELERS INDEMNITY CO OF AMERICA

Meredith Haskell 800-842-0091 Meredith Haskell 800-842-0091

Unit Manager Unit Manager Travelers Casualty Insurance Company of America Travelers Casualty Insurance Company of America 111 Schilling Road 111 Schilling Road Hunt Valley, MD 21031 Hunt Valley, MD 21031 [email protected] [email protected]

TRAVELERS COMMERICAL CASUALTY CO TRAVELERS INDEMNITY CO OF CONNECTICUT

Meredith Haskell 800-842-0091 Meredith Haskell 800-842-0091

Unit Manager Unit Manager Travelers Casualty Insurance Company of America Travelers Casualty Insurance Company of America 111 Schilling Road 111 Schilling Road Hunt Valley, MD 21031 Hunt Valley, MD 21031 [email protected] [email protected]

Page 66 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

TRAVELERS INSURANCE COMPANY TRIUMPHE CASUALTY CO

Meredith Haskell 800-842-0091 Jim Willett Jr 410-576-4733

Unit Manager Attorney Travelers Casualty Insurance Company of America Semmes, Bowen & Semmes 111 Schilling Road 25 South Charles Street Hunt Valley, MD 21031 Baltimore, MD 21201 [email protected] [email protected]

TRAVELERS PROPERTY CASUALTY CO OF AMER TRUCK INSURANCE EXCHANGE

Meredith Haskell 800-842-0091 Michael Schaffer 410-933-8080

Unit Manager Claims Manager Travelers Casualty Insurance Company of America CorVel Corporation 111 Schilling Road PO Box 44015 Hunt Valley, MD 21031 Baltimore, MD 21236 [email protected] [email protected]

TRI STATE INSURANCE CO OF MINNESOTA TRUMBULL INS CO

Suzanne Scelza 609-689-6648 Chris Turner 877-673-9222

VP Compliance Claim Manager Berkley Shared Services The Hartford 2445 Kuser Road PO Box 14473 Hamilton Square, NJ 08690 Lexington, KY 40512 [email protected] [email protected]

TRINITY HEALTH CORPORATION TWIN CITY FIRE INSURANCE CO.

Jennifer Holmes 888-995-5300 Chris Turner 877-673-9222

Technical Support Specialist Claim Manager Safety First Insurance Company (Safety National Casualty The Hartford Corporation) PO Box 14473 1832 Schuetz Road Lexington, KY 40512 St. Louis, MO 63146 [email protected] [email protected]

Page 67 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

TYSON FOODS, INC UNION INSURANCE COMPANY

Anita Hicks 800-388-2197 Triena Edwards 800-283-1153

Claims Adjuster Claim System Analyst Tyson Foods, Inc. Berkley Mid Atlantic Group 1600 River Road 4820 Lake Brook Dr. Wilkesboro, NC 28697 Glen Allen, VA 23060 [email protected] [email protected]

U S SPECIALTY INS CO UNITED FARM FAMILY INS CO

Charles McDaniel 800-343-3599 Deborah Ptasinski 800-948-3276

Assistant Vice President Claim Administration Manager U.S. Specialty Insurance Company United Farm Family Insurance Company 13403 Northwest Freeway PO Box 656 Houston, TX 77040 Albany, NY 12201 [email protected] [email protected]

ULLICO CASUALTY CO UNITED STATES FIDELITY & GUAR.

Robert Franklin 410-230-3623 Agnes Morales 860-954-8462

Attorney Consultant Franklin & Prokopik United States Fidelity and Guaranty Company 2 North Charles Street One Tower Square Baltimore, MD 21201 Hartford, CT 06183 [email protected] [email protected]

UNION INSURANCE CO OF PROVIDENCE UNITED STATES FIRE INS. CO.

Michael Hall 800-899-2235 Janet Rourke 888-890-1500

Manager Executive Specialist Love, Barnes & McKew Crum & Forster Indemnity Insurance Company 9891 Broken Land Parkway 305 Madison Avenue Columbia, MD 21046 Morristown, NJ 07962 [email protected] [email protected]

Page 68 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

UNITED WISCONSIN INSURANCE CO UPMC HEALTH BENEFITS INC

Nellie Osowski 800-258-2667 Vince Haas 800-633-1197

Manager, State Filing Sr Claims Manager United Wisconsin Insurance Co. Workpartners 200 West Small Road 600 Grant St New Berlin, WI 53151 Pittsburgh, PA 15219 [email protected] [email protected]

UNIVERSAL UNDERWRITERS INS.CO. UPMC WESTERN MARYLAND CORPORATION

Rebecca Heller 800-367-8842 Mary Mills 412-667-7084

WC Claims Specialist Director-Self Insured Claims Universal Underwriters/Zurich Direct Underwriters Workpartners Claims Management 100 Walnut Ave USX Tower, 600 Grant Street Clark, NJ 07066 Pittsburgh, PA 15219 [email protected] [email protected]

UNIVERSITY OF MD MEDICAL SYSTEMS CORP UPMC WORK ALLIANCE INC

Teri Wise 667-214-1259 Vince Haas 800-633-1197

Senior Claims Manager Sr Claims Manager MMCIP - Maryland Medicine Comprehensive Insurance Workpartners Program 600 Grant St 250 W. Pratt Street Pittsburgh, PA 15219 Baltimore, MD 21201 [email protected] [email protected]

USF RED STAR, INC. UNIVERSITY OF MD UPPER CHESAPEAKE HEALTH Susan Caringi 410-931-5844 Laura Hefner 443-843-5334 Unit Manager Risk Management Coordinator Constitution States Service Co. U of MD Upper Chesapeake Health System, Inc. 8013 Corporate Drive 501 South Union Avenue Baltimore, MD 21236 Havre de Grace, MD 21078 [email protected] [email protected]

Page 69 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

UTICA MUTUAL INSURANCE COMPANY VERIZON - MARYLAND

Michael Prokopik 410-230-3629 Ed Solovay 410-773-4217

Attorney Sr. Analyst Treasury - Risk Management Franklin & Prokopik Verizon 2 N Charles St 1 Verizon Way Baltimore, MD 21201 Basking Ridge, NJ 07920 [email protected] [email protected]

UTICA NAT'L INS CO OF TEXAS VERIZON SERVICES CORPORATION

Michael Prokopik 410-230-3629 Ed Solovay 410-773-4217

Attorney Sr. Analyst Treasury - Risk Management Franklin & Prokopik Verizon 2 N Charles St 1 Verizon Way Baltimore, MD 21201 Basking Ridge, NJ 07920 [email protected] [email protected]

VALLEY FORGE INSURANCE CO. VERIZON WASHINGTON DC

Kevin Mahoney 410-453-4437 Ed Solovay 410-773-4217

Claim specialist Sr. Analyst Treasury - Risk Management American Casualty Co Verizon 1954 Greenspring Drive 1 Verizon Way Timonium, MD 21093 Basking Ridge, NJ 07920 [email protected] [email protected]

VANLINER INSURANCE CO VIGILANT INSURANCE COMPANY

Jim Willett Jr 410-576-4733 Brandon Cusumano 800-252-4670

Attorney Sr. Claims Examiner Semmes, Bowen & Semmes Chubb 25 South Charles Street PO Box 4700 Baltimore, MD 21201 Chesapeake, VA 23327 [email protected] [email protected]

Page 70 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

VIRGINIA SURETY CO WASHINGTON SUBURBAN SANITARY COMMISSION Doreen Giardina 800-786-6426 Hilary Millspaugh 410-339-5222 Attorney in Fact Business Applications Manager National Indemnity Co RCM&D Self-insured Services co., Inc 100 First Stamford Pl 555 Fairmount Avenue Stamford, CT 06902 Towson, MD 21286 [email protected] [email protected]

WASH METRO AREA TRANSIT AUTH WAUSAU BUSINESS INSURANCE CO Michael Krausman 410-773-4218 Kathy McDonald 800-865-1872 Claims Manager Team Manager Sedgwick Liberty Mutual Insurance 11350 McCormick Road 800 King Farm Blvd Hunt Valley, MD 21031 Rockville, MD 20850 [email protected] [email protected]

WASHINGTON CO COMMISSIONERS WAUSAU UNDERWRITERS INS. CO. Frank Young 877-879-9240 Kathy McDonald 800-865-1872 TPA Operations Manager Team Manager Johns Eastern Company, Inc. Liberty Mutual Insurance 9841 Broken Land Parkway 800 King Farm Blvd Columbia, MD 21046 Rockville, MD 20850 [email protected] [email protected]

WASHINGTON POST/GRAHAM HOLDINGS COMPANY WCF NATIONAL INSURANCE CO Michael Baker 800-627-1150 Dan Stephens 888-595-8750

Risk Management Specialist VP Multi-State Claims The Washington Post Company WCF National Insurance Company 1150 15th Street, NW 100 West Towne Ridge Pkwy Washington, DC 20071 Sandy, UT 84070 [email protected] [email protected]

Page 71 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

WEGMANS FOOD MARKETS, INC. WESTCHESTER FIRE INSURANCE CO.

Amy John 800-934-6267 Sonya Okolosi 800-433-0385

Risk Management Systems Administrator Claims Compliance Analyst Wegmans Food Markets, Inc. ACE USA 1500 Brooks Avenue 1 Beaver Valley Road Rochester, NY 14603-0844 Wilmington, DE 19803 [email protected] [email protected]

WEIS MARKETS, INC. WESTFIELD INSURANCE CO

Gina Laubach 410-933-8082 Maija Jackson 410-230-3615

National Accounts Claims Manager Principal CorVel Corporation Franklin & Prokopik 8140 Corporate Drive 2 N. Charles Street White Marsh, MD 21236 Baltimore, MD 21201 [email protected] [email protected]

WESCO INSURANCE COMPANY WESTFIELD NATIONAL INS COMPANY

Lori Scaramucci 866-203-3037 Maija Jackson 410-230-3615

Claims Manager Principal Amtrust Franklin & Prokopik PO Box 94405 2 N. Charles Street Cleveland, OH 44101 Baltimore, MD 21201 [email protected] [email protected]

WEST AMERICAN INSURANCE CO. WESTROCK MWV,LLC/MEADWESTVACO

Kathy McDonald 800-865-1872 Kim Bolster 800-958-4785

Team Manager Casualty Program Administrator Liberty Mutual Insurance MeadWestvaco Corporation 800 King Farm Blvd 11013 West Broad Street Rockville, MD 20850 Glen Allen, VA 23060 [email protected] [email protected]

Page 72 of 73 Insurer Designee List Last Updated: 9/25/2021 5:00:14 AM

WEYERHAEUSER COMPANY ZENITH INSURANCE CO

Tracy Dark 410-773-4211 Laura McKenzie 410-230-3618

Operations Manager Esquire Sedgwick Franklin & Prokopik 11350 McCormick Road The B&O Building, 2 N. Charles Street Hunt Valley, MD 21031 Baltimore, MD 21201 [email protected] [email protected]

WORK FIRST CASUALTY COMPANY ZURICH AMERICAN INS CO OF IL

Mary Bauer 800-622-8637 Vanessa Yacola 800-987-3373

Senior Claim Examiner Sr. Claim Specialist Broadspire a Crawford Co American Zurich Insurance PO Box 14341 P.O. Box 968084 Lexington, KY 40512 Schaumberg, IL 60196 [email protected] [email protected]

XL INSURANCE AMERICA INC ZURICH AMERICAN INSURANCE COMPANY

ANTHONY HAMPTON 877-720-8844 Vanessa Yacola 800-987-3373

OPERATIONS LEAD NORTH AMERICA Sr. Claim Specialist AXA XL INSURANCE COMPANY American Zurich Insurance PO BOX 614002 P.O. Box 968084 ORLANDO, FL 32861 Schaumberg, IL 60196 [email protected] [email protected]

XL SPECIALTY INSURANCE CO

ANTHONY HAMPTON 877-720-8844

OPERATIONS LEAD NORTH AMERICA AXA XL INSURANCE COMPANY PO BOX 614002 ORLANDO, FL 32861 [email protected]

Page 73 of 73