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A M C O INSURANCE COMPANY
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
ACADIA INSURANCE CO
Kimberly Moore 804-237-5189
Manager WC ClaimsBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
kmoore@wrbmag.com
ACCEPTANCE INSURANCE CO
Jim Stilen 888-389-0708
Assistant VP ClaimsAcceptance Indemnity Insurance Company702 Oberlin RoadRaleigh, NC 27605
jstilen@mcm-ins.com
ACCIDENT FUND GENERAL INSURANCE COMPANY
DAN TERRY 866-206-5851
BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901
dan.terry@accidentfund.com
ACCIDENT FUND INSURANCE CO OF AMERICA
DAN TERRY 866-206-5851
BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901
dan.terry@accidentfund.com
ACCIDENT FUND NATIONAL INS CO
DAN TERRY 866-206-5851
BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901
dan.terry@accidentfund.com
ACE AMERICAN INSURANCE COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
ACE FIRE UNDERWRITERS INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
Page 1 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM
Press CTRL+F to Search
ACE INDEMNITY INSURANCE COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
ACE PROPERTY AND CASUALTY INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
ACIG INS CO(AMER CONTRACTORS INS GROUP)
Cynthia Sadler 410-560-7011
Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094
csadler@novaprorisk.com
ADVENTIST HEALTHCARE INC.
Hilary Millspaugh 410-339-5222
Manager - Business ApplicationsRCM&D Self Insured Services Co, Inc.,PO Box 42737Baltimore, MD 21284
wcc.adventist@rcmd.com
AESC/ALLEGHENY ENERGY SUPPLY, LLC
Tracy Dark 410-773-4211
Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031
tracy.mcmaster-dark@sedgwick.com
AESC/THE POTOMAC EDISON COMPANY
Tracy Dark 410-773-4211
Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031
tracy.mcmaster-dark@sedgwick.com
AFFINITY HEALTH ALLIANCE
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., IncPO Box 42737Baltimore, MD 21284
wcc.unionhospitalcc@rcmd.com
AIG ASSURANCE COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
Page 2 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM
AIG PROPERTY CASUALTY COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
AIU INSURANCE COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
ALBAN TRACTOR COMPANY
Beth Straw 410-870-8001
Senior Claims AdministratorCharles Taylor TPA64 Danbury RoadWilton, CT 06897
beth.straw@sageusa.com
ALEA NORTH AMERICA INSURANCE CO
Matthew Smith 877-775-8637
Interface AnalystAlea North America Insurance Company55 Capital BlvdRocky Hill, CT 06067
matthew.smith@aleagroup.com
ALL AMERICA INSURANCE COMPANY
Jamie Wiechart 800-786-9169
WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891
jwiechart@central-insurance.com
ALLEGHENY ENERGY SERVICE CORPORATION
Tracy Dark 410-773-4211
Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031
tracy.mcmaster-dark@sedgwick.com
ALLIANZ GLOBAL RISKS US INS CO
Jason Fredrick 314-817-2806
Claims ManagerAllianz Global Corporate & Specialiaty1 Progress Point ParkwayO'Fallon, MO 63368
jason.fredrick@agcs.allianz.com
ALLIED EASTERN INDEMNITY CO
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
jkreider@eains.com
Page 3 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM
ALLIED PROPERTY & CASUALTY INS. CO.
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
ALLMERICA FINANCIAL ALLIANCE INS CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
ALLMERICA FINANCIAL BENEFIT INS CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
ALLSTATE INSURANCE CO.
Debbie Wasserman 847-402-6202
Accounting Team LeadAllstate Insurance Group3075 Sanders RoadNorthbrook, IL 60062
dwast@allstate.com
AMERICAN ALLIANCE INS. CO.
Debbie Elliott 301-791-7040
Sr. Claim RepresentativeGreat American Alliance InsuranceP.O. Box 3770Hagerstown, MD 21742
dkelliott@gaic.com
AMERICAN ALTERNATIVE INSURANCE CORP
Charles Kroh 866-220-3505
Vice PresidentAmerican Alternative Insurance Corporation555 College Road EastPrinceton, NJ 08543
ckroh@munichreamerica.com
AMERICAN BUILDERS INSURANCE CO
Craig Edwards 678-309-4000
SVP General Counsel & SecretaryAmerican Builders Insurance Company2410 Paces Ferry RoadAtlanta, GA 30339
cedwards@bldrs.com
AMERICAN CAS. CO. OF READING
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
Page 4 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
AMERICAN CASUALTY CO OF CNA
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
AMERICAN COMPENSATION INSURANCE COMPANYScott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
AMERICAN ECONOMY INSURANCE CO.
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
rowarz@safeco.com
AMERICAN FIRE AND CASUALTY CO.
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
kim.galloway@ocas.com
AMERICAN GLOBAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
AMERICAN HOME ASSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
AMERICAN INSURANCE COMPANY
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
dmason@ffic.com
AMERICAN INTERNATIONAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
Page 5 of 62
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AMERICAN INTERNATIONAL SOUTH INS CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
AMERICAN INTERSTATE INSURANCE CO
KIM MIDKIFF 800-256-3462
1ST REPORT TEAM LEADERAmerican Interstate Insurance Company2301 Hwy 190 WestDeRidder, LA 70634
kmidkiff@amerisafe.com
AMERICAN MANUF'S MUTUAL INS.CO
Edwin Bond 800-622-8637
Branch ManagerBroadspire Services Inc12150 E Monument Dr.Fairfax, VA 22033
edwin.bond@choosebroadspire.com
AMERICAN MOTORISTS INSURANCE
Edwin Bond 800-492-0479
Branch ManagerBroadspire Services12150 E, Monument Dr,Fairfax, VA 22033
Edwin.Bond@choosebroadspire.com
AMERICAN RISK FUNDING INSURANCE CO
Cynthia Sadler 410-560-7011
Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094
csadler@novaprorisk.com
AMERICAN STATES INSURANCE CO.
KIMBERLY GALLOWAY 410-871-2963
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
kimberly.galloway@ohiocasualty-ins.com
AMERICAN TELEPHONE & TELEGRAPH CORP.
Briony Eccleston 800-622-8637
AdjusterBroadspireOne Monument PlaceFairfax, VA 220334062
briony.eccleston@choosebroadspire.com
AMERISURE INSURANCE CO.
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
sdonnelly@amerisure.com
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AMERISURE MUTUAL INSURANCE CO
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
sdonnelly@amerisure.com
AMERISURE PARTNERS INSURANCE CO
Steven Donnelly 800-257-1900
VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331
sdonnelly@amerisure.com
AMGUARD INSURANCE COMPANY
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
joanitan@guard.com
AMSTED INDUSTRIES INC
Daniel Litwin 866-552-9151
Assistant TreasurerAmsted Industries Incorporated180 N. Stetson DrChicago, IL 60601
dlitwin@amsted.com
ANNE ARUNDEL COUNTY
Nicole Liening 410-222-7630
Manager, Safety and InsuranceAnne Arundel County GovernmentP.O. Box 6675Annapolis, MD 21401
rmlien99@aacounty.org
ANNE ARUNDEL HEALTH SYSTEM, INC
Hilary Millspaugh 410-339-5222
Manager - Business ApplicationsRCM&D Self Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284
wcc.aamc@rcmd.com
ARCBEST CORPORATION
Lynette Baker-Woodie 800-961-9477
Claims SpecialistArkansas Best Corporation3801 Old Greenwood RoadFort Smith, AR 72903
lynettebw@arkbest.com
ARCH INDEMNITY INSURANCE CO
Albert Randall 410-752-8700
AttorneyFranklin & Prokopik, P.C.2 North Charles StreetBaltimore, MD 21201
archdesignee@fandpnet.com
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ARCH INSURANCE CO
Albert Randall 410-752-8700
AttorneyFranklin & Prokopik, P.C.2 North Charles StreetBaltimore, MD 21201
archdesignee@fandpnet.com
ARCHDIOCESE OF BALTIMORE
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.archdiocese@rcmd.com
ARGONAUT INSURANCE CO.
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
ARGONAUT MIDWEST INSURANCE CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
ARROWOOD INDEMNITY COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
ASCENSION HEALTH
Elizabeth Brown-Hughes 410-773-4201
Operations ManagerSedgwick CMS11350 McCormick RoadHunt Valley, MD 21031
LBrown-Hughes@sedgwickcms.com
ASHMERE INSURANCE COMPANY
Gary Roche 954-727-7001
COOAshmere Insurance Company401 E Las Olas BlvdFort Lauderdale, FL 33301
ashmeretaxes@ashmereins.com
ASPLUNDH TREE EXPERT COMPANY
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
Page 8 of 62
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ASSOCIATED INDEMNITY CORP.
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
dmason@ffic.com
ATLANTIC SPECIALTY INS CO (ASIC)
Patrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
ATLANTIC STATES INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
lorikibler@donegalgroup.com
AUTOMOBILE DEALERS GROUP SELF INS TRUST
Anne Antionelli 410-527-9054
WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030
anne_antionelli@pmagroup.com
AUTOMOBILE INS.CO.OF HARTFORD
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
BALTIMORE COUNTY GOVERNMENT
Suja Varghese 410-887-6565
Workers' Compensation Claims ManagerBaltimore County Government400 Washington AvenueTowson, MD 21204
svarghese@baltimorecountymd.gov
BALTIMORE COUNTY PUBLIC SCHOOLS
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services CompanyPO Box 42737Baltimore, MD 21284
wcc.bcps@rcmd.com
BALTO WASH MED CENTER/NORTH ARUNDEL
Mary McFadden 667-214-7629
Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201
mmcfadden@mmcip.umm.edu
Page 9 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
BANKERS STANDARD INS. CO.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
BARRETT BUSINESS SERVICES, INC.
Melissa Lemon 410-933-8070
Sr. WC Claims ExaminerCorvelPO Box 44015Nottingham, MD 21236
melissa_lemon@corvel.com
BD OF ED OF HOWARD COUNTY
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.howardcountyboe@rcmd.com
BENCHMARK INSURANCE COMPANY
Steve Novak 952-974-2200
Vice PresidentBenchmark Insurance Company150 Lake Street WestWayzata, MN 55391
snovak@treancorp.com
BERKLEY CASUALTY CO
Sarah Koop 410-420-0700
AttorneyCipriani & Werner6411 Ivy LaneGreenbelt, MD 20770
skoop@c-wlaw.com
BERKLEY NATIONAL INSURANCE COMPANY
Suzanne Scelza 609-689-6648
VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690
sscelza@wrberkley.com
BERKLEY REGIONAL INSURANCE COMPANY
Suzanne Scelza 609-689-6648
VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690
sscelza@wrberkley.com
BERKSHIRE HATHAWAY HOMESTATE INS CO
Kenneth Shaffrey 410-576-4825
AttorneySemmes Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
kshaffrey@semmes.com
Page 10 of 62
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BITCO GENERAL INSURANCE CORP
Mary Bauer 800-346-5108
Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093
mbauer@bituminousinsurance.com
BITCO NATIONAL INSURANCE COMPANY
Mary Bauer 800-346-5108
Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093
mbauer@bituminousinsurance.com
BLACK AND DECKER CORPORATION
M. Clayton Roop 410-716-3737
Director, Corporate Risk ManagementThe Black & Decker Corporation701 E. Joppa Road, TW 230Towson, MD 21286
Clayton.Roop@bdk.com
BLUE RIDGE INDEMNITY CO
Sheila McGraw 800-362-5448
AVP ClaimsGeneral Casualty Co of WisconsinOne General DriveSun Prairie, Wi 53596
sheila.mcgraw@generalcasualty.com
BON SECOURS MERCY HEALTH, INC.
Yvonne Garside 410-442-3430
Sr. Manager Insurance & Workers' Comp.Bon Secours Health System, Inc.1505 Marriottsville RdMarriottsville, MD 21104
yvonne_garside@bshsi.org
BRETHREN MUTUAL INSURANCE CO.
LISA FERGUSON 800-621-4264
WORKERS COMP MANAGERBRETHREN MUTUAL INSURANCE COMPANY149 N EDGEWOOD DRIVEHAGERSTOWN, MD 21740
lferguson@bmic.com
BRICKSTREET MUTUAL INSURANCE COMPANY
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
sally.edge@brickstreet.com
BROTHERHOOD MUTUAL INSURANCE
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
mhall@lbmadjusters.com
Page 11 of 62
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BUILDERS MUTUAL INS CO
Colleen Sontag 919-227-0354
Assistant Claims ManagerBuilders Mutual Insurance Company5580 Centerview DriveRaleigh, NC 27606
csontag@bmico.com
BUILDERS PREMIER INSURANCE COMPANY
Colleen Sontag 919-227-0354
Assistant Claims ManagerBuilders Mutual Insurance Company5580 Centerview DriveRaleigh, NC 27606
csontag@bmico.com
CALIFORNIA INSURANCE CO
Jeffrey Silver 877-234-4420
General Counsel and SecretaryCalifornia Insurance Company10805 Old Mill Rd.Omaha, NE 68154
jeffreysilver@silver-law.net
CARE PROVIDERS WORKERS COMP SELF INS GRP
Hilary Millspaugh 410-512-4605
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.manpha@rcmd.com
CAROLINA CASUALTY INS CO
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
mbelluscio@berkleynet.com
CARROLL COUNTY GOVERNMENT
Cecilia Devilbiss 410-386-2667
Risk ManagerCarroll County Government225 N. Center StreetWestminster, MD 21157
cdevilbiss@ccg.carr.org
CARROLL COUNTY HEALTH SERVICES CORP.
Kathy Gallagher 240-566-3721
Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701
kgallagher@compclaimsllc.com
CASTLEPOINT NATIONAL INSURANCE COMPANY
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
jbeason@twrgrp.com
Page 12 of 62
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CECIL COUNTY, MARYLAND
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self-Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284
wcc.cecilcounty@rcmd.com
CENTENNIAL INSURANCE COMPANY
Patricia McComb 410-252-4230
Claim SpecialistAtlantic Mutual7 Giralda FarmsMadison, NJ 07940-1027
pmccomb@atlanticmutual.com
CENTRAL MUTUAL INSURANCE COMPANY
Jamie Wiechart 800-786-9169
WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891
jwiechart@central-insurance.com
CENTURY INDEMNITY COMPANY
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
CGU INSURANCE CO
Patrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
CHARLES COUNTY GOVERNMENT
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self-Insured Services Co., IncPO Box 42737Towson, MD 21286
wcc.charlescountygov@rcmd.com
CHARTER OAK FIRE INSURANCE CO.
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
CHARTIS CASUALTY COMPANY/FORMERLY AIG
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
Page 13 of 62
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CHARTIS PROPERTY CASUALTY COMPANY
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
CHEROKEE INSURANCE CO
Mark Dadabbo 800-201-0450
PresidentCherokee Insurance Company34200 Mound RoadSterling Heights, MI 48310
mdadabbo@cherokeeinsurance.com
CHESAPEAKE EMPLOYERS INSURANCE COMPANY
Nancy Harple 410-494-2093
SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286
nharple@ceiwc.com
CHUBB INDEMNITY INSURANCE CO
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
CHUBB NATIONAL INSURANCE COMPANY
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
CHURCH MUTUAL INSURANCE CO
Jennifer Laabs 800-554-2642
Claim ManagerChurch Mutual Insurance Company3000 Schuster LaneMerrill, WI 54452
jlaabs@churchmutual.com
CIMARRON INSURANCE CO
Mark Sparks 615-263-1300
Sr Vice President of ClaimsBrentwood Services Administrators, Inc.104 Continental PlaceBrentwood, TN 37027
mark.sparks@bwood.com
CINCINNATI CASUALTY CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
toni_postell@cinfin.com
Page 14 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
CINCINNATI INDEMNITY CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
toni_postell@cinfin.com
CINCINNATI INSURANCE CO
Toni Postell 301-877-5218
Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623
toni_postell@cinfin.com
CITIZENS INSURANCE CO OF AMERICA
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
CITY OF ANNAPOLIS
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.cityofannapolis@rcmd.com
CITY OF HAGERSTOWN, MARYLAND
Jamie Windell 410-527-3265
Claim Service ManagerPMA Companies/Old Republic Insurance Group200 International CircleHunt Valley, MD 21030
jamie_windell@pmagroup.com
CLARK CONSTRUCTION GROUP, LLC
Hilary Moore 443-921-2571
Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286
wcc.clark@rcmd.com
CLEAR SPRING PROPERTY & CASUALTY CO
Scott Hanfling 312-837-3680
EVP and General CounselClear Spring Property and Casualty Company227 West Monroe StreetChicago, IL 60606
scott.hanfling@clearspringinsurance.com
CNA CASUALTY OF CALIFORNIA
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
Page 15 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
COCA-COLA REFRESHMENTS USA, INC.
Patti Jones 410-773-4236
Claim SupervisorSedgwick CMS11350 McCormack Road, Executive Plaza IIHunt Valley, MD 21031
patricia.jones@sedgwickcms.com
COLONIAL PIPELINE COMPANY
Darla Lyle 410-933-5400
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
Darla.Lyle@choosebroadspire.com
COLONY SPECIALTY INS CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
COMMERCE & INDUSTRY INS. CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
COMMERCIAL UNION INS. CO.
Patrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
COMPANION PROPERTY & CASUALTY
Timothy McLaughlin 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201
mclaughlin@hmmcomplaw.com
CONNECTICUT INDEMNITY COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
CONTINENTAL CASUALTY COMPANY
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
Page 16 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
CONTINENTAL INDEMNITY COMPANY
Eric Kennedy 877-234-4420
Unit SupervisorContinental Indemnity Company10805 Old Mill RoadOmaha, NE 68154
ekennedy@auw.com
CONTINENTAL INSURANCE COMPANY
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
CONTINENTAL WESTERN INSURANCE COMPANY
Kimberly Moore 804-237-5189
Manager WC ClaimsBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
kmoore@wrbmag.com
COSTCO WHOLESALE
Carrie Freeland 800-913-1013
Workers' Compensation ManagerCostco Wholesale999 Lake DriveIssaquah, WA 98027
cfreeland@costco.com
CRUM & FORSTER INDEMNITY CO
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
janet.rourke@cfins.com
DELHAIZE AMERICA, LLC
James Maloney 301-766-7748
EsquireSemmes, Bowen & Semmes322 East Antietam StreetHagerstown, MD 21740
jmaloney@semmes.com
DEPOSITORS INSURANCE COMPANY
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
DIAKON LUTHERAN SOCIAL MINISTRIES/TRESSL
Staci Ulp 800-356-0438
Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105
sulp@pnat.com
Page 17 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
DIMENSIONS HEALTH CORPORATION
Robert Mellendick 410-339-7852
Senior Vice PresidentRCM&D555 Fairmount Ave.Baltimore, MD 21228
Rmellend@rcmd.com
DISCOVER PROPERTY & CASUALTY
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
amorale3@travelers.com
DOCTORS COMMUNITY HOSPITAL
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.doctorscommunity@rcmd.com
DOLGENCORP, LLC
Robert Pugh 800-456-9446
Director of Risk ManagementDollar General Corporation100 Mission RidgeGoodlettsville, TN 37072
bpugh@dollargeneral.com
DONEGAL MUTUAL INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
lorikibler@donegalgroup.com
E I DUPONT DE NEMOURS & CO
Edwin Bond 800-622-8637
ManagerBroadspire12150 East Monumant DriveFairfax, VA 22033
ebond@choosebroadspire.com
EASTERN ADVANTAGE ASSURANCE COMPANY
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
jkreider@eains.com
EASTERN ALLIANCE INSURANCE COMPANY
Jody Kreider 855-533-3444 ext 1723
Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603
jkreider@eains.com
Page 18 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
EASTGUARD INSURANCE CO
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
joanitan@guard.com
ELECTRIC INSURANCE CO
Michael Daney 443-656-6767
PartnerErlandson Vernon & Daney, LLC8815 Centre Park Dr., Suite 340Columbia, MD 21045
daney@evdlaw.com
EMCASCO INSURANCE CO
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
mhall@lbmadjusters.com
EMPLOYEE BENEFITS INSURANCE CO
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
EMPLOYERS ASSURANCE COMPANY
Kelly Spina 702-671-7271
Claim DirectorEmployers Assurance Company2550 Paseo Verde ParkwayHenderson, NV 89074
kspina@employers.com
EMPLOYERS COMPENSATION INS CO
Tracey Woznak 703-293-6623
Indemnity AdjusterBroadspire Services, Inc.PO Box 14341Lexington, KY 40512
tracey_woznak@choosebroadspire.com
EMPLOYERS INSURANCE COMPANY OF WAUSAU
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
EMPLOYERS MUTUAL & CASUALTY OF IOWA
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
mhall@lbmadjusters.com
Page 19 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
EMPLOYERS MUTUAL CASUALTY INS.
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
mhall@lbmadjusters.com
EMPLOYERS PREFERRED INS CO
Cheryl Hale 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201
cphillips@employers.com
ERIE INSURANCE CO
Darrell Spriggs 301-680-7464
Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914
darrell.spriggs@erieinsurance.com
ERIE INSURANCE CO OF NY
Darrell Spriggs 301-680-7464
Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914
darrell.spriggs@erieinsurance.com
ERIE INSURANCE EXCHANGE
Darrell Spriggs 301-680-7464
Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914
darrell.spriggs@erieinsurance.com
ERIE INSURANCE PROPERTY & CASUALTY
Darrell Spriggs 301-680-7464
Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914
darrell.spriggs@erieinsurance.com
EVEREST DENALI INSURANCE CO
tim roberts 714-371-9608
VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868
tim.roberts@everestre.com
EVEREST NATIONAL INSURANCE CO
tim roberts 714-371-9608
VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868
tim.roberts@everestre.com
Page 20 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
EVEREST PREMIER INSURANCE CO
tim roberts 714-371-9608
VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868
tim.roberts@everestre.com
EXCELSIOR INSURANCE CO
Christine Faucett 866-539-6449
Director Complex ClaimsExcelsior Insurance2000 Westwood DrWausau, WI 54402
christine.faucett@libertymutual.com
EXCELSIOR INSURANCE CO. OF NY
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
eugenia.root@ohiocasualty-ins.com
EXELON CORPORATION
Claims Adjuster 888-476-2669
for Maryland claimsPMA Insurance CompanyP.O. Box 5231Janesville, WI 53547
claimsmail@pmagroup.com
EXPLORER INSURANCE CO
Connor McNulty 484-654-1919
Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087
cmcnulty@icwgroup.com
FAIRMONT INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
FAIRMONT PREMIER INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
FAIRMONT SPECIALTY INSURANCE COMPANY
S. Woods Bennett 410-752-7600
Attorney At LawCornblatt, Bennett, Penhallegon & Roberson201 N. Charles StreetBaltimore, MD 21201
mail@cbprlaw.com
Page 21 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
FARMERS INSURANCE CO
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
michael_schaffer@corvel.com
FARMINGTON CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
FARMLAND MUTUAL INSURANCE COMPANY
Ryan McCombs 800-228-6700
Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218
mccombr@nationwide.com
FCCI INSURANCE COMPANY
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
kjensen@fcci-group.com
FEDERAL EXPRESS CORPORATION
Barb Quigley 410-773-4230
SupervisorSedgwick Claims Management11350 McCormick RdHunt Valley, MD 21031
bquigley@sedgwickcms.com
FEDERAL INSURANCE COMPANY
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
FEDERATED MUTUAL INSURANCE CO.
Kevin O'Neill 410-783-1296
AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202
koneill@sdolaw.com
FEDERATED SERVICE INS CO
Kevin O'Neill 410-783-1296
AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202
koneill@sdolaw.com
Page 22 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
FEDEX GROUND PACKAGE SYSTEMS INC
Larry Parks 800-238-6960
Manager Workers' CompensationFedEx Ground Package System, Inc.3925 Embassy ParkwayAkron, OH 44333
larry.parks@fedex.com
FIDELITY & GUAR. INSURANCE CO.
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
amorale3@travelers.com
FIDELITY & GUAR.INSURANCE UND.
Agnes Morales 860-954-8462
ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183
amorale3@travelers.com
FIRE & CASUALTY INS CO OF CONN
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
FIREMAN'S FUND INSURANCE CO.
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
dmason@ffic.com
FIREMAN'S FUND OF WISCONSIN
Dennis Mason 800-389-7231
Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022
dmason@ffic.com
FIREMAN'S INSURANCE CO. OF NJ
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
FIREMENS INSURANCE CO OF WASHINGTON D C
Kimberly Moore 804-237-5189
Manager WC ClaimsBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060
kmoore@wrbmag.com
Page 23 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
FIRST LIBERTY INSURANCE CORP
Tara Kasper 800-900-4875
Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068
tara.kasper@libertymutual.com
FIRST NATIONAL INS CO OF AMERICA
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
rowarz@safeco.com
FIRSTLINE NATIONAL INSURANCE CO
Bryan Yekstat 410-838-4000
Claims SupervisorHarford Mutual Insurance Company200 North Main StreetBel Air, MD 21014
byekstat@hm1842.com
FLAGSHIP CITY INSURANCE CO
Darrell Spriggs 301-680-7464
Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914
darrell.spriggs@erieinsurance.com
FLORIDA ROCK INDUSTRIES INC
Darla Stricker 410-933-5408
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
darla_stricker@us.crawco.com
FLORISTS INSURANCE CO
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@hortica.com
FLORISTS MUTUAL INSURANCE CO.
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@hortica.com
FORD MOTOR COMPANY
Brenda Price 800-508-2065
Claims RepresentiveBartech/Ford Motor Company16800 Executive plaza Dr.Dearborn, MI 48121
bprice48@ford.com
Page 24 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
FRANK WINSTON CRUM INSURANCE INC
Brigitte Becker 800-277-1620
Vice President of ClaimsFrank Winston Crum Insurance, Inc.100 S. Missouri Ave.Clearwater, FL 33756
brigitteb@fwcruminsurance.com
FRANKENMUTH MUTUAL INS CO
Kristin Ott 800-234-4433
Workers Compensation SupervisorFrankenmuth Mutual Insurance Company1 Mutual AvenueFrankenmuth, MI 48787
kristin.ott@fmins.com
FREDERICK HEALTH INC.
Kathy Gallagher 240-566-3721
Exec. DirectorComp Claim Management LLC700 Toll House AvenueFrederick, MD 21701
kgallagher@fmh.org
FRONT ROYAL INSURANCE CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
FRONTIER INSURANCE COMPANY
Nancy Esposito 800-807-5080
WC Claims ManagerFrontier Insurance Co in Rehabilitation195 Lake Louise Marie RdRock Hill, NY 12775
nesposito@ftrins.com
GATEWAY INSURANCE COMPANY
Joseph Shugrue 800-897-2551
Vice President ClaimsGateway Insurance Company150 Northwest Point Blvd.Elk Grove Village, IL 60007
jshugrue@atlas-fin.com
GBMC HEALTHCARE, INC.
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.gbmc@rcmd.com
GENERAL ACC INS CO OF AMERICA/MONTGOMERYPatrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
Page 25 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
GENERAL CASUALTY CO OF WISCONSIN
Kimberly Reed 800-961-1121
WC Unit ManagerGeneral Casualty Co of Wisconsin82 Hopmeadow StreetSimsbury, CT 06070
Kimberly.Reed@generalcasualty.com
GENERAL CONF. OF SEVENTH DAY ADVENTISTS
Joshua Nieblas 301-680-6863
Field Services ManagerAdventist Risk Management12501 Old Columbia PikeSilver Spring, MD 20904
jnieblas@adventistrisk.org
GENERAL INSURANCE CO. OF AMER.
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
rowarz@safeco.com
GENERAL MOTORS COMPANY
Randy Clifford 410-773-4244
Claims Examiner, IISedgwick CMSPO Box 808Hunt Valley, MD 21030
randy.clifford@sedgwickcms.com
GENERAL MOTORS CORPORATION
Bobbi Elliott 410-773-4242
Maryland Plant InvestigatorGeneral Motors CorporationPO Box 808Hunt Valley, MD 21030
belliott@sedgwickcms.com
GENESIS INSURANCE CO
MARY ANN BROWN 800-431-9994
ASSISTANT SECRETARYGENESIS INSURANCE COMPANY120 LONG RIDGE ROADSTAMFORD, CT 06902
mary.ann.brown@gumc.com
GIANT FOOD STORES LLC T/A MARTIN'S FOOD
Barry Bernstein 410-385-3943
Attorney At Lawfor Ahold U.S.A., Inc.- Giant Food Stores LLC-MAC Risk Management25 South Charles StreetBaltimore, MD 21201
bbernstein@semmes.com
GLOBE INDEMNITY INSURANCE CO.
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
Page 26 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
GRANITE STATE INSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
GREAT AMERICAN ALLIANCE INS
Valerie Aburn 770-225-4618
Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201
vaburn@strategiccomp.com
GREAT AMERICAN ASSURANCE CO
Tom Conard 513-287-8153
Director Claims OperationsGreat American Insurance Group301 East 4th StreetCincinnati, OH 45202
tconard@gaig.com
GREAT AMERICAN INS CO OF NY
Valerie Aburn 770-225-4618
Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201
vaburn@strategiccomp.com
GREAT AMERICAN INSURANCE CO.
Tom Conard 513-287-8153
Director Claims OperationsGreat American Insurance Group301 East 4th StreetCincinnati, OH 45202
tconard@gaig.com
GREAT ATLANTIC & PACIFIC TEA CO
Darla Stricker 410-933-5408
Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236
darla_stricker@us.crawco.com
GREAT MIDWEST INSURANCE CO
Cora Wolfel 888-377-7263
AdjusterRCM&DP.O. Box 42737Baltimore, MD 21284
cwolfel@rcmd.com
GREAT NORTHERN INSURANCE CO.
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
Page 27 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
GREAT WEST CASUALTY COMPANY
Dale Seguin 800-228-8602
Manager, WC ClaimsGreat West Casualty Company1100 W. 29th St.South Sioux City, NE 68776
d.seguin@gwccnet.com
GREATER NY MUTUAL INSURANCE CO
Paul Donoghue 410-727-2443
AttorneyRollins, Smalkin, Richards & Mackie300 East Lombard Street, Suite 900Baltimore, MD 21202
pdonoghue@rsrm.com
GREENWICH INSURANCE CO
ANTHONY HAMPTON 877-720-8844
OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861
xlcatlintpacorrespondence@axaxl.com
GUARANTEE INSURANCE COMPANY
Mark Hoehn 877-567-0303
Regional ManagerPatriot Risk Services, Inc.PO Box 386Conshohocken, PA 19428
mhoehn@pnigroup.com
GUIDEONE MUTUAL INSURANCE COMPANY
Christine Opfer 515-267-5166
Medical Operations ManagerGuideOne Mutual Insurance Company1111 Ashworth Rd.West Des Moines, IA 50265
copfer@guideone.com
GUIDEONE SPECIALTY MUTUAL INS CO
Christine Opfer 515-267-5166
Medical Operations ManagerGuideOne Mutual Insurance Company1111 Ashworth Rd.West Des Moines, IA 50265
copfer@guideone.com
HANOVER AMERICAN INSURANCE CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
HANOVER INSURANCE CO.
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
Page 28 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
HARFORD COUNTY MARYLAND
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.harfordcountymd@rcmd.com
HARFORD MUTUAL INSURANCE CO.
Bryan Yekstat 410-838-4000
Claims SupervisorHarford Mutual Insurance Company200 North Main StreetBel Air, MD 21014
byekstat@hm1842.com
HARLEYSVILLE INSURANCE COMPANY
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
HARLEYSVILLE MUTUAL INSURANCE
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
HARLEYSVILLE PREFERRED INS
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
HARLEYSVILLE WORCESTER INSURANCE CO
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
HARTFORD ACCIDENT & INDEMNITY
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
HARTFORD CASUALTY INSURANCE CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
Page 29 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
HARTFORD FIRE INSURANCE CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
HARTFORD INS CO OF THE MIDWEST
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
HARTFORD INSURANCE CO OF THE SOUTHEAST
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
HARTFORD UNDERWRITERS INSURANCE
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
HDI GLOBAL INSURANCE COMPANY
John Thompson 800-607-6000
Vice President, ClaimsHDI-Gerling America Insurance Company700 North Brand BoulevardGlendale, CA 91203
john.thompson@hid-gerling.com
HEBREW HOME OF GREATER WASHINGTON
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
wcc.hebrewhome@rcmd.com
HERR FOODS, INC.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
HIGHMARK CASUALTY INS CO
Robert Frew 800-328-5433
Director, Compliance/Contracts/SIUHighmark Casualty Insurance Company120 Fifth Avenue, Fifth Avenue PlacePittsburgh, PA 15222-3099
rob.frew@highmarklife.com
Page 30 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
HOMEWOOD RET. CTR OF THE UNITED CHURCH
Jamie Windell 410-527-3265
Claim Service ManagerPMA Companies/Old Republic Insurance Group200 International CircleHunt Valley, MD 21030
jamie_windell@pmagroup.com
HOWARD COUNTY MARYLAND
Charles Lewis 410-313-6390
AdministratorHoward County Maryland6751 Columbia Gateway DrColumbia, MD 21046
clewis@howardcountymd.gov
ILLINOIS NATIONAL INSURANCE CO
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
IMPERIAL CASUALTY AND INDEMNITY CO
Michael McClellan 888-339-5736
Claims ManagerImperial Casualty and Indemnity Company (Providence Holdings, Inc.)P.O. Box 2769Frisco, TX 75034
mmcclellan@ppcinsurance.com
IMPERIUM INSURANCE COMPANY
Richard Starkie 800-203-1179
Vice President - Claim ManagerDelos Insurance Company120 West 45th Street,New York, NY 10036
rstarkie@delosinsurance.com
INDEMNITY INS. CO. OF N. AMER.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
INSURANCE CO OF NORTH AMERICA
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
INSURANCE CO. OF GREATER NY
Paul Donoghue 410-727-2443
AttorneyRollins, Smalkin, Richards & Mackie300 East Lombard Street, Suite 900Baltimore, MD 21202
pdonoghue@rsrm.com
Page 31 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
INSURANCE CO. OF STATE OF PA.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
INSURANCE COMPANY OF THE WEST
Connor McNulty 484-654-1919
Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087
cmcnulty@icwgroup.com
INTERNATIONAL PAPER COMPANY
David Miles 410-773-4226
SupervisorSedgwick Claims Management Services11350 McCormick RoadHunt Valley, MD 21031
dmiles@sedgwickcms.com
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
Sharon Soistman 410-955-4800
Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205
ssoistm1@jhmi.edu
JOHNS HOPKINS UNIVERSITY
Sharon Soistman 410-955-4800
Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205
ssoistm1@jhmi.edu
KENNEDY KRIEGER INSTITUTE
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
wcc.kennedykrieger@rcmd.com
KEY RISK INSURANCE COMPANY
Suzanne McAuliffe 704-496-5256
Vice President, KRIC ClaimsKey Risk Insurance CompanyP.O. Box 49129Greensboro, NC 27419
smcauliffe@keyrisk.com
L M INSURANCE CORP
Amparo Sadovnik 800-900-4875
Team ManagerLiberty Mutual3 Becker Farm RoadRoseland, NJ 07068
amparo.sadovnik@libertymutual.com
Page 32 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
LIBERTY INSURANCE CORP
Ervin Gainer Sr 301-881-9300
Claims Manager/OOMLiberty Mutual6101 Executive BlvdRockville, MD 20852
ervin.gainersr@libertymutual.com
LIBERTY MUTUAL FIRE INS CO
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
LIBERTY MUTUAL INSURANCE CO.
Tara Kasper 800-900-4875
Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068
tara.kasper@libertymutual.com
LIBERTY MUTUAL MID ATLANTIC INSURANCE CO
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
LIFEBRIDGE HEALTH, INC
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Company, Inc555 Fairmount AvenueTowson, MD 21286
wcc.lifebridge@rcmd.com
LION INSURANCE COMPANY
Grant Dalgleish 727-682-0155
Secretary and Director of FinanceLion Insurance Company2739 U.S. Highway 19 NorthHoliday, FL 34691
gdalgleish@lioninsurancecompany.com
LM PROPERTY AND CASUALTY INS CO
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
LOWE'S HOME CENTERS, LLC
Lori Mills 877-494-8010
Claim SpecialistSpecialty Risk ServicesPO Box 807Hunt Valley, MD 21030
lori.mills@srsconnect.com
Page 33 of 62
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LUMBERMEN'S UNDERWR. ALLIANCE
Phyllis Charlton 866-794-0360
WC Claims AdjusterLUA Claims Service11019 Thistlebrook CourtColumbia, MD 21044
phyllis.charlton@ins-lua.com
MACY'S INC./FEDERATED DEPT STORES
Roxanne Stegemeyer 513-483-5326
Claims ExaminerSedgwickPO Box 14025Lexington, KY 40512
roxanne.stegemeyer@sedgwickcms.com
MAIN STREET AMERICA ASSURANCE CO
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
frank.lipshulz@zaunerlaw.com
MAINE EMPLOYERS MUTUAL INS CO
David Godwin 410-418-8778
EsquireGodwin, Eriandson, Vernon and Daney330 North Ridge RoadEllicott City, MD 21043
godwin@gevdlaw.com
MANUFACTURERS ALLIANCE CO.
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
eric_reiner@pmagroup.com
MARFY/CBH
Laurie Wilson 410-933-0002
Sr. Claim AdjusterHSC Claims Administration Inc8019 Corporate Dr.Baltimore, MD 21236
lwilson@hsc-claims.com
MARKEL INSURANCE COMPANY
Kenneth Shaffrey 410-576-4825
AttorneySemmes Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
kshaffrey@semmes.com
MARRIOTT INTERNATIONAL, INC.
Steve Perroots 866-627-0111
Senior DirectorMarriott Claims Services - Mid-Atlantic Region9737 Washingtonian BoulevardGaithersburg, MD 20878
steve.perroots@marriott.com
Page 34 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
MARYLAND ASSOC BOARDS OF EDUC
Tina Gates 410-841-2493
WC SupervisorMABE Workers' Compensation Group Self-Insurance Fund621 Ridgely AvenueAnnapolis, MD 21401-1087
tgates@mabe.org
MARYLAND GENERAL HOSPITAL
Mary McFadden 667-214-7629
Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201
mmcfadden@mmcip.umm.edu
MARYLAND GROUP SELF-INSURED HOSPITALS
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.mha@rcmd.com
MASSACHUSETTS BAY INSURANCE CO
Elizabeth Beshai 800-628-0250
WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653
ebeshai@hanover.com
MAYOR AND CITY COUNCIL OF BALTIMORE
Donna Briscoe 443-984-2301
Workers' Comp Contract AdministratorMayor & City Council of Baltimore7 E Redwood StreetBaltimore, MD 21202
donnac.briscoe@baltimorecity.gov
MD ASSN. COMMUNITY SVCS- SELF-INS. GROUP
Darrick Bowens 410-931-6620
Workers' Compensation Claims SupervisorHSC Claims Administration, Inc.8019 Corporate DriveBaltimore, MD 21236
dbowens@4hsbc.com
MD. RESTAURANT & HOSP. SELF INS. FUND
Anne Antionelli 410-527-9054
WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030
anne_antionelli@pmagroup.com
MEMIC CASUALTY CO
Stacey Foote 800-660-1306
Director, Claims Shared ServicesMEMIC Casualty Co.261 Commercial StreetPortland, ME 04101
sfoote@memic.com
Page 35 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
MEMIC INDEMNITY COMPANY
Stacey Foote 800-660-1306
Director, Claims Shared ServicesMEMIC Casualty Co.261 Commercial StreetPortland, ME 04101
sfoote@memic.com
MERCHANTS MUTUAL INSURANCE CO.
Maralee Denz 716-849-3029
WC Claim SupervisorMerchants Mutual Insurance Company250 Main StreetBuffalo, NY 14202
mdenz@merchantsgroup.com
MERCY MEDICAL CENTER
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284
wcc.mercy@rcmd.com
MERIDIAN MUTUAL INS CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
MERIDIAN SECURITY INS CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
MERITUS MEDICAL CENTER/WASH CO HOSP
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.washingtoncountyhospital@rcmd.com
METTIKI COAL, LLC
Pam Hanline 301-334-5326
Workers' Compensation CoordinatorMettiki Coal, LLC243 Table Rock RoadOakland, MD 21550
pam.hanline@arlp.com
MIC PROPERTY & CASUALTY INS
Rhonda Gaylor 313-656-5432
AccountMIC Property & Casualty Insurance Corporation500 Woodward Ave, 14th FloorDetroit, MI 48226
rhonda.gaylor@ally.com
Page 36 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
MID CENTURY INSURANCE CO.
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
michael_schaffer@corvel.com
MIDDLESEX INSURANCE COMPANY
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@sentry.com
MIDWEST EMPLOYERS CASUALTY CO
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
mbelluscio@berkleynet.com
MILLER & LONG CO. INC
Deborah Carr 301-347-4203
VP InsuranceMiller & Long Co., Inc.7101 Wisconsin AveBethesda, MD 20814
deborahcarr@millerandlong.com
MITSUI SUMITOMO INSURANCE CO OF AMERICA
Anthony Zaccagnini 410-576-4781
PrincipalSemmes, Bowen and Semmes25 South Charles StreetBaltimore, MD 21201
azaccagnini@semmes.com
MITSUI SUMITOMO INSURANCE USA INC
Anthony Zaccagnini 410-576-4781
PrincipalSemmes, Bowen and Semmes25 South Charles StreetBaltimore, MD 21201
azaccagnini@semmes.com
MONROE GUARANTY INSURANCE CO
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
kjensen@fcci-group.com
MONTGOMERY COUNTY MARYLAND
Lissa Bales 240-777-8903
Claims ManagerMontgomery County Self Insurance Program101 Monroe StreetRockville, MD 20850
lissa.bales@montgomerycountymd.gov
Page 37 of 62
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MONTGOMERY GENERAL HOSPITAL
Stan Haynes 410-576-4723
Hospital Workers Comp RepresentativeSemmes, Bowen & Semmes250 West Pratt StreetBaltimore, MD 21201
shaynes@semmes.com
MONTGOMERY INDEMNITY CO
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
eugenia.root@ohiocasualty-ins.com
MONTGOMERY MUTUAL INS. CO.
Kathryn McDonald 240-533-0276
Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852
kathryn.mcdonald@libertymutual.com
MOTORISTS COMMERCIAL MUTUAL INS. CO.
Judy Palamara 800-876-7488
Branch Claims ManagerMotorists Insurance Group/American Hardware Insurance2674 Monroeville BlvdMonroeville, PA 15146
judy.palamara@motoristsgroup.com
MUTUAL BENEFIT INSURANCE CO.
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
bnead@mutualbenefitgroup.com
NATIONAL AMERICAN INS CO
R. Patrick Gilmore 405-258-4262
Senior Vice PresidentNational American Insurance Company1010 Manvel AvenueChandler, OK 74834
pgilmore@naico.com
NATIONAL BUILDERS INSURANCE CO
Robert Erlandson 410-418-8778
AttorneyGodwin Erlandson Vernon & Daney, LLC3300 North Ridge RoadEllicott City, MD 21043
erlandson@gedlawfirm.com
NATIONAL CASUALTY COMPANY
Ryan McCombs 800-228-6700
Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218
mccombr@nationwide.com
Page 38 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
NATIONAL CONTINENTAL INS CO
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
NATIONAL FIRE INS. OF HARTFORD
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
NATIONAL FIRE INSURANCE CO.
kevin mahoney 410-527-7838
claim specialistCNA201 International DriveHunt Valley, MD 21030
kevin.mahoney@ cna.com
NATIONAL INTERSTATE INS CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
jimwillett@semmes.com
NATIONAL SURETY CORPORATION
Jason Fredrick 314-817-2806
Claims ManagerAllianz Global Corporate & Specialiaty1 Progress Point ParkwayO'Fallon, MO 63368
jason.fredrick@agcs.allianz.com
NATIONAL TRUST INSURANCE COMPANY
Kelly Jensen 800-226-3224
Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240
kjensen@fcci-group.com
NATIONAL UNION FIRE INS CO OF PITTSBURGH
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
NATIONAL UNION FIRE INSURANCE
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
Page 39 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
NATIONWIDE AGRIBUSINESS INS CO
Ryan McCombs 800-228-6700
Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218
mccombr@nationwide.com
NATIONWIDE MUTUAL FIRE INS CO
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
NATIONWIDE MUTUAL INSURANCE CO
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
NATIONWIDE PROPERTY & CASUALTY
Ronald Dietrich 215-513-8738
Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438
rdietri@nationwide.com
NETHERLANDS INSURANCE COMPANY
EUGENIA ROOT 800-382-1223
WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011
eugenia.root@ohiocasualty-ins.com
NEW HAMPSHIRE INSURANCE CO.
Loren Berrocal 866-642-5246
Claim ManagerAIGP.O. Box 305902Nashville, TN 37230
loren.berrocal@aig.com
NEW JERSEY MANUFACTURERS INS CO
Francis Shuler 800-232-6600
Claims SupervisorNJM Insurance Group1599 Littleton RoadParsippany, NJ 07054
fshuler@njm.com
NEW YORK MARINE & GENERAL INSURANCE CO
Patrick Gano 800-774-2755
Claims RepresentativeNew York Marine & General Insurance Company412 Mt. Kemble AvenueMorristown, NJ 07960
pgano@prosightspecialty.com
Page 40 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
NEWARK INSURANCE COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
NGM INSURANCE COMPANY
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
frank.lipshulz@zaunerlaw.com
NIPPONKOA INSURANCE CO LIMITED
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
NORDSTROM INC
Robert Haugen 877-275-7475
Workers Compensation ManagerNordstrom, Inc.1700 Seventh AvenueSeattle, WA 98101-4407
bob.haugen@nordstrom.com
NORGUARD INSURANCE CO
JOANITA NAOUM 800-673-2465
SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703
joanitan@guard.com
NORTH AMERICAN SPECIALTY INS
Rose Kasper 816-702-3148
Senior AccountantNorth American Specialty Insurance Company1200 Main StreetKansas City, MD 64105
rose_kasper@swissre.com
NORTH RIVER INSURANCE CO.
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
janet.rourke@cfins.com
NORTHSTONE INSURANCE CO
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
sally.edge@brickstreet.com
Page 41 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
NORTHWEST HEALTH SYSTEM, INC.
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.northwest@rcmd.com
NOXELL CORPORATION
Geneva Sallee 800-235-1134
Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202
sallee.ga@pg.com
OBI AMERICA INSURANCE CO
Patrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
OBI NATIONAL INSURANCE COMPANY
Patrick Roberson 410-539-0906
Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201
roberson@hmmlawyers.com
OCCIDENTAL FIRE & CASUALTY
Mark Mendenhall 630-864-3450
WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563
mark.mendenhall@iatinsurance.com
OHIO SECURITY INSURANCE CO
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
kim.galloway@ocas.com
OLD DOMINION INSURANCE CO
Frank Lipshultz 410-843-0506
AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201
frank.lipshulz@zaunerlaw.com
OLD GUARD INSURANCE CO
Kerri Weaver 800-732-0050
Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604
kerriweaver@westfieldgrp.com
Page 42 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
OLD REPUBLIC GENERAL INS CORP
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
OLD REPUBLIC INSURANCE CO.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
OLD REPUBLIC UNION INSURANCE CO
J. Eric Stroka 724-838-5462
Assistant Vice PresidentOld Republic Insurance Company133 Oakland AvenueGreensburg, PA 15601
e.stroka@orinsco.com
ONEBEACON AMERICA INS CO
Debby Schoen-Cruz 877-248-3455
TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021
dschoen-cruz@onebeacon.com
ONEBEACON INS CO
Debby Schoen-Cruz 877-248-3455
TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021
dschoen-cruz@onebeacon.com
ORISKA INSURANCE CO
James Kernan 800-358-3513
PresidentOriska Insurance Company1310 Utica St., PO Box 855Oriskany, NY 13424
contact@oriska.com
P.H. GLATFELTER COMPANY
Crista Sutton 410-527-9033
Sr. Accounts Claims Rep.PMA Insurance Group200 International CircleHunt Valley, MD 21030
crista_sutton@pmagroup.com
PACIFIC EMPLOYERS INSURANCE CO
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
Page 43 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
PACIFIC INDEMNITY COMPANY
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
PEERLESS INDEMNITY INS CO
KIMBERLY GALLOWAY 410-871-2963
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
kimberly.galloway@ohiocasualty-ins.com
PENINSULA INDEMNITY CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
lorikibler@donegalgroup.com
PENINSULA INSURANCE CO
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
lorikibler@donegalgroup.com
PENINSULA REGIONAL MEDICAL CENTER
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286
wcc.peninsularmc@rcmd.com
PENN MILLERS INS CO
Donna Westervelt 856-780-3907
Claims RepresentativeGallagher Bassett9240 Rumsey RoadColumbia, MD 21045
donna_westervelt@gbtpa.com
PENN NATIONAL SECURITY INS CO
NICOLE CARRUTH 800-388-4764
DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101
ncarruth@pnat.com
PENNSYLVANIA LUMBERMENS MUT'L.
Francis R. Santoro 800-752-1895
AVP-Claims DepartmentPennsylvania Lumbermens Mutual Insurance CompanyOne Commerce Sq., 2005 Market StreetPhiladelphia, PA 191037008
fsantoro@plmins.com
Page 44 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM
PENNSYLVANIA MFG. ASSOCIATION
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
eric_reiner@pmagroup.com
PENNSYLVANIA MFG. INDEMNITY
Eric Reiner 800-382-1203
Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030
eric_reiner@pmagroup.com
PENNSYLVANIA NATIONAL MUTUAL CAS INS CO
NICOLE CARRUTH 800-388-4764
DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101
ncarruth@pnat.com
PERDUE FARMS, INC.
Beth Grove 410-749-2155
Senior AdjusterCrawford & Company1501 Edgemore AvenueSalisbury, MD 21801
Beth_Grove@us.crawco.com
PHARMACISTS MUTUAL INSURANCE CO
Lisa Molsberry 800-247-5930
Workers Compensation Claims ManagerPharmacists Mutual Insurance Company818 Highway 18 West, PO Box 370Algona, IA 50511
lisa.molsberry@phmic.com
PHOENIX INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
PINNACLEPOINT INSURANCE CO
Sally Edge 866-452-7425
Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301
sally.edge@brickstreet.com
PLAZA INSURANCE COMPANY
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
Page 45 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
POTOMAC FARMS DAIRY/GALLIKER DAIRY CO
Staci Ulp 800-356-0438
Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105
sulp@pnat.com
PRAETORIAN INSURANCE COMPANY
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
david.palmer@us.qbe.com
PREFERRED PROFESSIONAL INS CO
Kathryn McAleer 410-539-0906
AttorneyHumphreys, McLaughlin & McAleer, LLC1 N Charles StreetBaltimore, MD 21201
mcaleer@hmmlawyers.com
PRINCE GEORGE CO COMM COLLEGE
Lazina Alie 301-583-5411
Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774
lazina_alie@corvel.com
PRINCE GEORGE'S COUNTY MARYLAND
Lisa Jones 301-583-5411
Claims ManagerCorVel Corporation8140 Corporate DriveBaltimore, MD 21236
lisa_jones@corvel.com
PRINCETON INSURANCE CO
Michael Broadway 800-394-8335
Branch ManagerCrawford & Company9900 Franklin Square DriveBaltimore, Md 21236
Darla_Stricker@us.crawco.com
PROCTER & GAMBLE MANUF CO
Geneva Sallee 800-235-1134
Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202
sallee.ga@pg.com
PROTECTIVE INSURANCE COMPANY
David Ghesquiere 800-479-0981
AVP of ClaimsPROTECTIVE INSURANCE COMPANYPost Office Box 7099Indianapolis, IN 46207
notice@protectiveinsurance.com
Page 46 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
QBE INSURANCE CORPORATION
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
david.palmer@us.qbe.com
RECIPROCAL OF AMERICA
Mark Hyland 800-824-8847
Second Vice PresidentReciprocal of America in Liquidation4200 Innslake DriveGlen Allen, Va 23060
mhyland@reciprocalgroup.com
REDWOOD FIRE & CASUALTY INS CO
Blake Gordon 402-952-5132
Claims Unit SupervisorRedwood Fire & Casualty Insurance Company1314 Douglas StreetOmaha, NE 68102
bgordon@bhhc.com
REPUBLIC FRANKLIN INSURANCE
Bonnie Johnson 410-252-9575
claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093
bjohnson@gtb.net
RIVERPORT INSURANCE COMPANY
Suzanne Scelza 609-689-6648
VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690
sscelza@wrberkley.com
ROCKWOOD CASUALTY INSURANCE CO
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
ROCKWOOD INS. CO OF INDIANA
Leslie W. Gawlik 443-650-0080
CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201
les.gawlik@lwg-law.com
ROXUL USA, INC./CHICAGO METALLIC
Robert Mellendick 410-339-7852
Senior Vice PresidentRCM&D/SISCO555 Fairmount AvenueBaltimore, MD 21286-5497
rmellendick@RCMD.com
Page 47 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
RYDER SYSTEMS INC
Richard W. Scheiner 410-539-5040
Counsel of RecordSemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
rscheiner@semmes.com
SAFECO INS. CO. OF AMERICA
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
rowarz@safeco.com
SAFECO INSURANCE CO OF ILLINOIS
Rob Warzala 410-420-8013
WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051
rowarz@safeco.com
SAFEGUARD INSURANCE COMPANY
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
SAFETY FIRST INS CO
Jennifer Holmes 888-995-5300
Technical Support SpecialistSafety First Insurance Company (Safety National Casualty Corporation)1832 Schuetz RoadSt. Louis, MO 63146
jennifer.holmes@safetynational.com
SAFETY NATIONAL CASUALTY CORP
Jennifer Holmes 888-995-5300
Technical Support SpecialistSafety First Insurance Company (Safety National Casualty Corporation)1832 Schuetz RoadSt. Louis, MO 63146
jennifer.holmes@safetynational.com
SAFEWAY INC.
Paul Osborn 301-918-8919
WC Claims ManagerSafeway Inc.4551 Forbes Blvd.Lanham, MD 20706
paul.osborn@safeway.com
SEABOARD FIRE & MARINE INS.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
Page 48 of 62
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SEABRIGHT INSURANCE COMPANY
Michael Schaffer 410-933-3966
ManagerSchaffer Companies, LTD9940 Franklin Square DriveBaltimore, MD 21236
michael schaffer@corvel.com
SECURITY INSURANCE CO.
Audra Moraski 800-524-4505
Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221
audra.moraski@arrowpointcap.com
SELECT INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
SELECT RISK INSURANCE CO
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
bnead@mutualbenefitgroup.com
SELECT RISK MUTUAL INS CO
Brenda Nead 800-283-3531
Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652
bnead@mutualbenefitgroup.com
SELECTIVE INS CO OF SOUTH CAROLINA
Lachunta Miller 800-688-9656
WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277
lachunta.miller@selective.com
SELECTIVE INS CO OF THE SOUTHEAST
Lachunta Miller 800-688-9656
WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277
lachunta.miller@selective.com
SELECTIVE INS. CO. OF AMERICA
Lachunta Miller 800-688-9656
WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277
lachunta.miller@selective.com
Page 49 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
SELECTIVE WAY INSURANCE CO
Lachunta Miller 800-688-9656
WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277
lachunta.miller@selective.com
SENECA INSURANCE CO
Michael Hall 800-899-2235
ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046
mhall@lbmadjusters.com
SENTINEL INSURANCE COMPANY
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
SENTRY CASUALTY COMPANY
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@sentry.com
SENTRY INDEMNITY COMPANY
Bonnie Johnson 410-252-9575
claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093
bjohnson@gtb.net
SENTRY INSURANCE A MUTUAL CO
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@sentry.com
SENTRY SELECT INS CO /F/K/A JOHN DEERE
Matt Stoss 800-851-7740
Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226
matt.stoss@sentry.com
SFM MUTUAL INSURANCE CO
Shawn Stricker 800-937-1181
Claims Technical SpecialistSFM Mutual Insurance3500 American Blvd WBloomington, MN 55431
shawn.stricker@sfmic.com
Page 50 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
SHEEHY AUTO STORES
Jessica Edelstein 800-203-5677
Claims RepresentativeColonial HealthCare, Inc.9901 Business ParkwayLanham, MD 20706
jedelstein@chc-inc.com
SHEPPARD & ENOCH PRATT HEALTH SYSTEM
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286
wcc.sheppardpratt@rcmd.com
SINAI HOSPITAL OF BALTIMORE, INC.
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286
wcc.sinai@rcmd.com
SOLO CUP COMPANY/DART CONTAINER
Bonita Formwalt 800-448-0077
Branch ManagerGallagher Bassett Services, Inc.10025 Governor Warfield PkwyColumbia, MD 21044
bonita_formwalt@gbtpa.com
SOMPO AMERICA INSURANCE CO
Judith Werner 877-589-5959
Claims Examiner IVSompo America Insurance Co.11405 North Community House RoadCharlotte, NC 29707
jwerner@sompo-us.com
SOUTHERN INSURANCE CO OF VIRGINIA
Lori Kibler 800-877-0600
Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547
lorikibler@donegalgroup.com
SOUTHERN INSURANCE COMPANY
Frank Hall 877-788-6008
Program Claims ManagerSouthern Insurance Company5525 LBJ FreewayDallas, TX 75240-6241
frank.hall@republicgroup.com
SOUTHERN MD ELECTRIC CO-OP
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self Insured Services Company, inc.555 Fairmount AvenueTowson, MD 21286
wcc.smeco@rcmd.com
Page 51 of 62
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SOUTHERN PILOT INS CO
Ridge Cramer 410-821-1764
Senior Claims AdjusterWard North America8501 LaSalle RoadBaltimore, MD 21296
rcramer@wardclaims.com
SOUTHERN STATES INSURANCE EXCH
TESS SHERZEY 877-243-6677
SENIOR CLAIM EXAMINERSouthern States Insurance Exchange6606 West Broad StRichmond, VA 23230
TESS.SHERZEY@SSCOOP.COM
SPARTA INSURANCE COMPANY
John Mindek 877-772-7824
SVP, ClaimsSPARTA Insurance Company185 Asylum StreetHartford, CT 06103
jmindek@spartainsurance.com
ST PAUL FIRE & MARINE INS CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
ST PAUL GUARDIAN INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
ST PAUL MERCURY INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
ST. MARY'S COUNTY GOVERNMENT
Hilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self-Insured Services Co., IncPO Box 42737Baltimore, MD 21284
wcc.stmarysgov@rcmd.com
STANDARD FIRE INSURANCE CO.
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
Page 52 of 62
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STANLEY WORKS
Robyn Jones 800-551-0271
MD Team LeaderSpecialty Risk ServicesP.O Box 61512King of Prussia, PA 19406
Robyn.jones@srsconnect.com
STAR INSURANCE CO
Thomas Tucker 800-482-2726
VP ClaimsMeeadowbrook, Inc26255 American DriveSouthfield, MI 48034
ttucker@meadowbrook.com
STARNET INSURANCE COMPANY
Michelle Belluscio 877-497-2637
Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192
mbelluscio@berkleynet.com
STATE AUTO PROPERTY & CAS. CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
STATE AUTOMOBILE MUTUAL INS.CO
Scott Smith 800-789-2242
Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431
scott.smith@stateauto.com
STATE FARM GENERAL INSURANCE
Rick Scotton 301-620-6424
Team ManagerState Farm Fire & Casualty CoOne State Farm DriveFrederick, MD 21709
rick.scotton.ceh9@statefarm.com
STATE NATIONAL INSURANCE COMPANY
Debbie VanSanford 800-877-4567
State Filings CoordinatorState National Insurance Company, Inc.1900 L. Don Dodson DriveBedford, TX 76021
dvansanford@statenational.com
STATE OF MARYLAND
Nancy Harple 410-494-2093
SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286
nharple@ceiwc.com
Page 53 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
STATE OF MARYLAND
Nancy Harple 410-494-2093
SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286
nharple@ceiwc.com
STONINGTON INSURANCE COMPANY
Dave Palmer 608-825-5767
Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596
david.palmer@us.qbe.com
SUBURBAN HOSPITAL ASSOCIATION
Hilary Moore 443-921-2571
Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286
wcc.suburban@rcmd.com
SUSSEX INSURANCE CO
DAVID CALANDRO 866-367-7242
Regional Claim ManagerEnstar US for Sussex Insurance Company150 2ND AVENUE NST PETERSBURGE, FL 33701
david.calandro@enstargroup.com
T.H.E. INSURANCE CO
ANTHONY HAMPTON 877-720-8844
OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861
xlcatlintpacorrespondence@axaxl.com
TARGET CORPORATION
Catherine Marschall 800-285-3258
Claims SupervisorSedgwick Claims Management Services, Inc.11350 McCormack RoadHunt Valley, MD 21031
CTMarschall@sedgwickcms.com
TECHNOLOGY INSURANCE CO
Brenda Oals-Becker 888-239-3909
Claims AnalystTechnology Insurance CompanyP.O. Box 2007Hagerstown, MD 21742
bbecker@amtrustgroup.com
TIG INSURANCE CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
Page 54 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
TOKIO MARINE AMERICA INSURANCE COMPANY
Todd Alena 800-628-2796
Manager, Workers Compensation ClaimsTokio Marine Management, Inc.230 Park AvenueNew York, NY 10169
todd.alena@tokiom.com
TOWER INSURANCE CO OF NEW YORK
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
jbeason@twrgrp.com
TOWER NATIONAL INSURANCE COMPANY
Jeffrey Beason 866-450-8608
AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794
jbeason@twrgrp.com
TOWN OF OCEAN CITY
Eric Lagstrom 410-289-8773
Risk ManagerTown of Ocean City301 Baltimore AveOcean City, MD 21842
ELagstrom@ococean.com
TRANSAMERICA INSURANCE CO.
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
TRANSAMERICA PREMIER INS CO
S. Woods Bennett 410-539-0906
EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201
bennett@hmmlawyers.com
TRANSCONTINENTAL INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
TRANSGUARD INS CO OF AMERICA INS
Mark Mendenhall 630-864-3450
WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563
mark.mendenhall@iatinsurance.com
Page 55 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
TRANSPORT INSURANCE CO.
Desiree Mecca 267-675-3348
Assistant SecretaryTransport Insurance Company2 Logan SquarePhiladelphia, PA 19103
desiree.mecca@rqih.com
TRANSPORTATION INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
TRAVELERS CASU AND SURETY CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS CASUALTY AND SURETY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS CASUALTY CO OF CONNECTICUT
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS CASUALTY INS CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS COMMERICAL CASUALTY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
Page 56 of 62
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TRAVELERS COMMERICAL INSURANCE CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS INDEMNITY CO
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS INDEMNITY CO OF AMERICA
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS INDEMNITY CO OF CONNECTICUT
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS INSURANCE COMPANY
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRAVELERS PROPERTY CASUALTY CO OF AMER
Meredith Haskell 800-842-0091
Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031
balwcclm@travelers.com
TRI STATE INSURANCE CO OF MINNESOTA
Suzanne Scelza 609-689-6648
VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690
sscelza@wrberkley.com
TRINITY HEALTH CORPORATION
Jennifer Holmes 888-995-5300
Technical Support SpecialistSafety First Insurance Company (Safety National Casualty Corporation)1832 Schuetz RoadSt. Louis, MO 63146
jennifer.holmes@safetynational.com
Page 57 of 62
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TRIUMPHE CASUALTY CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
jimwillett@semmes.com
TRUCK INSURANCE EXCHANGE
Michael Schaffer 410-933-8080
Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236
michael_schaffer@corvel.com
TRUMBULL INS CO
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
TWIN CITY FIRE INSURANCE CO.
Chris Turner 407-562-3665
Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512
chris.turner@thehartford.com
TYSON FOODS, INC
Anita Hicks 800-388-2197
Claims AdjusterTyson Foods, Inc.1600 River RoadWilkesboro, NC 28697
anita.hicks@tyson.com
U S SPECIALTY INS CO
Charles McDaniel 800-343-3599
Assistant Vice PresidentU.S. Specialty Insurance Company13403 Northwest FreewayHouston, TX 77040
cmcdaniel@hcch.com
ULLICO CASUALTY CO
Robert Franklin 410-230-3623
AttorneyFranklin & Prokopik2 North Charles StreetBaltimore, MD 21201
rfranklin@fandpnet.com
UNION INSURANCE COMPANY
Triena Edwards 800-283-1153
Claim System AnalystBerkley Mid Atlantic Group4820 Lake Brook Dr.Glen Allen, VA 23060
tedwards@wrbmag.com
Page 58 of 62
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UNITED FARM FAMILY INS CO
Deborah Ptasinski 800-948-3276
Claim Administration ManagerUnited Farm Family Insurance CompanyPO Box 656Albany, NY 12201
debbie_ptasinski@farmfamily.com
UNITED STATES FIRE INS. CO.
Janet Rourke 888-890-1500
Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962
janet.rourke@cfins.com
UNITED WISCONSIN INSURANCE CO
Nellie Osowski 800-258-2667
Manager, State FilingUnited Wisconsin Insurance Co.200 West Small RoadNew Berlin, WI 53151
nellie.osowski@unitedheartland.com
UNIVERSAL UNDERWRITERS INS.CO.
Rebecca Heller 800-367-8842
WC Claims SpecialistUniversal Underwriters/Zurich Direct Underwriters100 Walnut AveClark, NJ 07066
rebecca.heller@zurichna.com
UNIVERSITY OF MD MEDICAL SYSTEMS CORP
Mary McFadden 667-214-7629
Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201
mmcfadden@mmcip.umm.edu
UNIVERSITY OF MD UPPER CHESAPEAKE HEALTH
Mark Moody 443-843-5334
Risk Management CoordinatorUpper Chesapeake Health System, Inc.501 South Union AvenueHavre de Grace, MD 21078-0340
mfm.01@ex.uchs.org
USF RED STAR, INC.
Susan Caringi 410-931-5844
Unit ManagerConstitution States Service Co.8013 Corporate DriveBaltimore, MD 21236
scaringi@stpaultravelers.com
VALLEY FORGE INSURANCE CO.
Kevin Mahoney 410-453-4437
Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093
kevin.mahoney@cna.com
Page 59 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
VANLINER INSURANCE CO
Jim Willett Jr 410-576-4733
AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201
jimwillett@semmes.com
VERIZON - MARYLAND
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
edward.m.solovay@verizon.com
VERIZON SERVICES CORPORATION
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
edward.m.solovay@verizon.com
VERIZON WASHINGTON DC
Ed Solovay 410-773-4217
Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920
edward.m.solovay@verizon.com
VIGILANT INSURANCE COMPANY
Brandon Cusumano 800-252-4670
Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327
brandon.cusumano@chubb.com
WASH METRO AREA TRANSIT AUTH
Michael Krausman 410-773-4218
Claims ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031
michael.krausman@sedgwick.com
WASHINGTON CO COMMISSIONERS
Frank Young 877-879-9240
TPA Operations ManagerJohns Eastern Company, Inc.9841 Broken Land ParkwayColumbia, MD 21046
fyoung@johnseastern.com
WASHINGTON POST/GRAHAM HOLDINGS COMPANYMichael Baker 800-627-1150
Risk Management SpecialistThe Washington Post Company1150 15th Street, NWWashington, DC 20071
Bakermj1@washpost.com
Page 60 of 62
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WASHINGTON SUBURBAN SANITARY COMMISSIONHilary Millspaugh 410-339-5222
Business Applications ManagerRCM&D Self-insured Services co., Inc555 Fairmount AvenueTowson, MD 21286
wcc.wssc@rcmd.com
WCF NATIONAL INSURANCE CO
Victor Frech 888-595-8750
Claims ManagerAdvantage Workers Compensation Insurance Company1100 East 6600 SouthMurray, UT 84121
vfrech@advantagewc.com
WEGMANS FOOD MARKETS, INC.
Amy John 800-934-6267
Risk Management Systems AdministratorWegmans Food Markets, Inc.1500 Brooks AvenueRochester, NY 14603-0844
amy.john@wegmans.com
WEIS MARKETS, INC.
Gina Laubach 410-933-8082
National Accounts Claims ManagerCorVel Corporation8140 Corporate DriveWhite Marsh, MD 21236
gina_laubach@corvel.com
WEST AMERICAN INSURANCE CO.
kimberly galloway 410-871-2963
sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158
kim.galloway@ocas.com
WESTCHESTER FIRE INSURANCE CO.
Sonya Okolosi 800-433-0385
Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803
sonya.okolosi@acegroup.com
WESTERN MARYLAND HEALTH SYSTEM
Robin Norris 301-723-4209
Employee Relations consultantWestern Maryland Health System555 Fairmount AveTowson, MD 21286
rnorris@wmhs.com
WESTFIELD INSURANCE CO
Kerri Weaver 800-732-0050
Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604
kerriweaver@westfieldgrp.com
Page 61 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
WESTROCK MWV,LLC/MEADWESTVACO
Kim Bolster 800-958-4785
Casualty Program AdministratorMeadWestvaco Corporation11013 West Broad StreetGlen Allen, VA 23060
ksb13@meadwestvaco.com
WEYERHAEUSER COMPANY
Tracy Dark 410-773-4211
Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031
tracy.mcmaster-dark@sedgwick.com
XL INSURANCE AMERICA INC
ANTHONY HAMPTON 877-720-8844
OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861
xlcatlintpacorrespondence@axaxl.com
XL SPECIALTY INSURANCE CO
ANTHONY HAMPTON 877-720-8844
OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861
xlcatlintpacorrespondence@axaxl.com
ZENITH INSURANCE CO
Laura McKenzie 410-230-3618
EsquireFranklin & ProkopikThe B&O Building, 2 N. Charles StreetBaltimore, MD 21201
lmckenzie@fandpnet.com
ZURICH AMERICAN INS CO OF IL
Lynn Vazquez 410-559-8503
Claim Manager IIZurich America Insurance Company600 Red Brook BlvdOwings Mills, MD 21117
lynn.vazquez@zurichna.com
ZURICH AMERICAN INSURANCE COMPANY
Lynn Vazquez 410-559-8503
Claim Manager IIZurich America Insurance Company600 Red Brook BlvdOwings Mills, MD 21117
lynn.vazquez@zurichna.com
Page 62 of 62
Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM
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