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A M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 [email protected] ACADIA INSURANCE CO Kimberly Moore 804-237-5189 Manager WC Claims Berkley Mid Atlantic Group, LLC 4820 Lake Brook Drive Glen Allen, VA 23060 [email protected] ACCEPTANCE INSURANCE CO Jim Stilen 888-389-0708 Assistant VP Claims Acceptance Indemnity Insurance Company 702 Oberlin Road Raleigh, NC 27605 [email protected] ACCIDENT FUND GENERAL INSURANCE COMPANY DAN TERRY 866-206-5851 BUSINESS OPERATIONS ASSISTANT Accident Fund National Insurance Company PO Box 40790 Lansing, MI 48901 [email protected] ACCIDENT FUND INSURANCE CO OF AMERICA DAN TERRY 866-206-5851 BUSINESS OPERATIONS ASSISTANT Accident Fund National Insurance Company PO Box 40790 Lansing, MI 48901 [email protected] ACCIDENT FUND NATIONAL INS CO DAN TERRY 866-206-5851 BUSINESS OPERATIONS ASSISTANT Accident Fund National Insurance Company PO Box 40790 Lansing, MI 48901 [email protected] ACE AMERICAN INSURANCE COMPANY Sonya Okolosi 800-433-0385 Claims Compliance Analyst ACE USA 1 Beaver Valley Road Wilmington, DE 19803 [email protected] ACE FIRE UNDERWRITERS INSURANCE CO Sonya Okolosi 800-433-0385 Claims Compliance Analyst ACE USA 1 Beaver Valley Road Wilmington, DE 19803 [email protected] Page 1 of 62 Insurer Designee List Last Updated: 4/11/2020 5:00:07 AM Press CTRL+F to Search

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Page 1: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

A M C O INSURANCE COMPANY

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

ACADIA INSURANCE CO

Kimberly Moore 804-237-5189

Manager WC ClaimsBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060

[email protected]

ACCEPTANCE INSURANCE CO

Jim Stilen 888-389-0708

Assistant VP ClaimsAcceptance Indemnity Insurance Company702 Oberlin RoadRaleigh, NC 27605

[email protected]

ACCIDENT FUND GENERAL INSURANCE COMPANY

DAN TERRY 866-206-5851

BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901

[email protected]

ACCIDENT FUND INSURANCE CO OF AMERICA

DAN TERRY 866-206-5851

BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901

[email protected]

ACCIDENT FUND NATIONAL INS CO

DAN TERRY 866-206-5851

BUSINESS OPERATIONS ASSISTANTAccident Fund National Insurance CompanyPO Box 40790Lansing, MI 48901

[email protected]

ACE AMERICAN INSURANCE COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

ACE FIRE UNDERWRITERS INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

Page 1 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM

Press CTRL+F to Search

Page 2: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

ACE INDEMNITY INSURANCE COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

ACE PROPERTY AND CASUALTY INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

ACIG INS CO(AMER CONTRACTORS INS GROUP)

Cynthia Sadler 410-560-7011

Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094

[email protected]

ADVENTIST HEALTHCARE INC.

Hilary Millspaugh 410-339-5222

Manager - Business ApplicationsRCM&D Self Insured Services Co, Inc.,PO Box 42737Baltimore, MD 21284

[email protected]

AESC/ALLEGHENY ENERGY SUPPLY, LLC

Tracy Dark 410-773-4211

Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031

[email protected]

AESC/THE POTOMAC EDISON COMPANY

Tracy Dark 410-773-4211

Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031

[email protected]

AFFINITY HEALTH ALLIANCE

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., IncPO Box 42737Baltimore, MD 21284

[email protected]

AIG ASSURANCE COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

Page 2 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM

Page 3: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

AIG PROPERTY CASUALTY COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

AIU INSURANCE COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

ALBAN TRACTOR COMPANY

Beth Straw 410-870-8001

Senior Claims AdministratorCharles Taylor TPA64 Danbury RoadWilton, CT 06897

[email protected]

ALEA NORTH AMERICA INSURANCE CO

Matthew Smith 877-775-8637

Interface AnalystAlea North America Insurance Company55 Capital BlvdRocky Hill, CT 06067

[email protected]

ALL AMERICA INSURANCE COMPANY

Jamie Wiechart 800-786-9169

WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891

[email protected]

ALLEGHENY ENERGY SERVICE CORPORATION

Tracy Dark 410-773-4211

Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031

[email protected]

ALLIANZ GLOBAL RISKS US INS CO

Jason Fredrick 314-817-2806

Claims ManagerAllianz Global Corporate & Specialiaty1 Progress Point ParkwayO'Fallon, MO 63368

[email protected]

ALLIED EASTERN INDEMNITY CO

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

[email protected]

Page 3 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:07 AM

Page 4: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

ALLIED PROPERTY & CASUALTY INS. CO.

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

ALLMERICA FINANCIAL ALLIANCE INS CO

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

ALLMERICA FINANCIAL BENEFIT INS CO

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

ALLSTATE INSURANCE CO.

Debbie Wasserman 847-402-6202

Accounting Team LeadAllstate Insurance Group3075 Sanders RoadNorthbrook, IL 60062

[email protected]

AMERICAN ALLIANCE INS. CO.

Debbie Elliott 301-791-7040

Sr. Claim RepresentativeGreat American Alliance InsuranceP.O. Box 3770Hagerstown, MD 21742

[email protected]

AMERICAN ALTERNATIVE INSURANCE CORP

Charles Kroh 866-220-3505

Vice PresidentAmerican Alternative Insurance Corporation555 College Road EastPrinceton, NJ 08543

[email protected]

AMERICAN BUILDERS INSURANCE CO

Craig Edwards 678-309-4000

SVP General Counsel & SecretaryAmerican Builders Insurance Company2410 Paces Ferry RoadAtlanta, GA 30339

[email protected]

AMERICAN CAS. CO. OF READING

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

Page 4 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 5: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

AMERICAN CASUALTY CO OF CNA

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

AMERICAN COMPENSATION INSURANCE COMPANYScott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

AMERICAN ECONOMY INSURANCE CO.

Rob Warzala 410-420-8013

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

AMERICAN FIRE AND CASUALTY CO.

kimberly galloway 410-871-2963

sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158

[email protected]

AMERICAN GLOBAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

AMERICAN HOME ASSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

AMERICAN INSURANCE COMPANY

Dennis Mason 800-389-7231

Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022

[email protected]

AMERICAN INTERNATIONAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

Page 5 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 6: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

AMERICAN INTERNATIONAL SOUTH INS CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

AMERICAN INTERSTATE INSURANCE CO

KIM MIDKIFF 800-256-3462

1ST REPORT TEAM LEADERAmerican Interstate Insurance Company2301 Hwy 190 WestDeRidder, LA 70634

[email protected]

AMERICAN MANUF'S MUTUAL INS.CO

Edwin Bond 800-622-8637

Branch ManagerBroadspire Services Inc12150 E Monument Dr.Fairfax, VA 22033

[email protected]

AMERICAN MOTORISTS INSURANCE

Edwin Bond 800-492-0479

Branch ManagerBroadspire Services12150 E, Monument Dr,Fairfax, VA 22033

[email protected]

AMERICAN RISK FUNDING INSURANCE CO

Cynthia Sadler 410-560-7011

Branch ManagerNovaPro Risk SolutionsP.O. BOX 484LUTHERVILLE, MD 21094

[email protected]

AMERICAN STATES INSURANCE CO.

KIMBERLY GALLOWAY 410-871-2963

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

AMERICAN TELEPHONE & TELEGRAPH CORP.

Briony Eccleston 800-622-8637

AdjusterBroadspireOne Monument PlaceFairfax, VA 220334062

[email protected]

AMERISURE INSURANCE CO.

Steven Donnelly 800-257-1900

VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331

[email protected]

Page 6 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 7: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

AMERISURE MUTUAL INSURANCE CO

Steven Donnelly 800-257-1900

VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331

[email protected]

AMERISURE PARTNERS INSURANCE CO

Steven Donnelly 800-257-1900

VP, ClaimsAmerisure Mutual Insurance Company26777 Halsted RoadFarmington Hills, MI 48331

[email protected]

AMGUARD INSURANCE COMPANY

JOANITA NAOUM 800-673-2465

SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703

[email protected]

AMSTED INDUSTRIES INC

Daniel Litwin 866-552-9151

Assistant TreasurerAmsted Industries Incorporated180 N. Stetson DrChicago, IL 60601

[email protected]

ANNE ARUNDEL COUNTY

Nicole Liening 410-222-7630

Manager, Safety and InsuranceAnne Arundel County GovernmentP.O. Box 6675Annapolis, MD 21401

[email protected]

ANNE ARUNDEL HEALTH SYSTEM, INC

Hilary Millspaugh 410-339-5222

Manager - Business ApplicationsRCM&D Self Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284

[email protected]

ARCBEST CORPORATION

Lynette Baker-Woodie 800-961-9477

Claims SpecialistArkansas Best Corporation3801 Old Greenwood RoadFort Smith, AR 72903

[email protected]

ARCH INDEMNITY INSURANCE CO

Albert Randall 410-752-8700

AttorneyFranklin & Prokopik, P.C.2 North Charles StreetBaltimore, MD 21201

[email protected]

Page 7 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 8: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

ARCH INSURANCE CO

Albert Randall 410-752-8700

AttorneyFranklin & Prokopik, P.C.2 North Charles StreetBaltimore, MD 21201

[email protected]

ARCHDIOCESE OF BALTIMORE

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

ARGONAUT INSURANCE CO.

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

ARGONAUT MIDWEST INSURANCE CO

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

ARROWOOD INDEMNITY COMPANY

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

ASCENSION HEALTH

Elizabeth Brown-Hughes 410-773-4201

Operations ManagerSedgwick CMS11350 McCormick RoadHunt Valley, MD 21031

[email protected]

ASHMERE INSURANCE COMPANY

Gary Roche 954-727-7001

COOAshmere Insurance Company401 E Las Olas BlvdFort Lauderdale, FL 33301

[email protected]

ASPLUNDH TREE EXPERT COMPANY

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

Page 8 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 9: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

ASSOCIATED INDEMNITY CORP.

Dennis Mason 800-389-7231

Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022

[email protected]

ATLANTIC SPECIALTY INS CO (ASIC)

Patrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

ATLANTIC STATES INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

[email protected]

AUTOMOBILE DEALERS GROUP SELF INS TRUST

Anne Antionelli 410-527-9054

WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030

[email protected]

AUTOMOBILE INS.CO.OF HARTFORD

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

BALTIMORE COUNTY GOVERNMENT

Suja Varghese 410-887-6565

Workers' Compensation Claims ManagerBaltimore County Government400 Washington AvenueTowson, MD 21204

[email protected]

BALTIMORE COUNTY PUBLIC SCHOOLS

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services CompanyPO Box 42737Baltimore, MD 21284

[email protected]

BALTO WASH MED CENTER/NORTH ARUNDEL

Mary McFadden 667-214-7629

Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201

[email protected]

Page 9 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 10: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

BANKERS STANDARD INS. CO.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

BARRETT BUSINESS SERVICES, INC.

Melissa Lemon 410-933-8070

Sr. WC Claims ExaminerCorvelPO Box 44015Nottingham, MD 21236

[email protected]

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

[email protected]

BENCHMARK INSURANCE COMPANY

Steve Novak 952-974-2200

Vice PresidentBenchmark Insurance Company150 Lake Street WestWayzata, MN 55391

[email protected]

BERKLEY CASUALTY CO

Sarah Koop 410-420-0700

AttorneyCipriani & Werner6411 Ivy LaneGreenbelt, MD 20770

[email protected]

BERKLEY NATIONAL INSURANCE COMPANY

Suzanne Scelza 609-689-6648

VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690

[email protected]

BERKLEY REGIONAL INSURANCE COMPANY

Suzanne Scelza 609-689-6648

VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690

[email protected]

BERKSHIRE HATHAWAY HOMESTATE INS CO

Kenneth Shaffrey 410-576-4825

AttorneySemmes Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

Page 10 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 11: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

BITCO GENERAL INSURANCE CORP

Mary Bauer 800-346-5108

Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093

[email protected]

BITCO NATIONAL INSURANCE COMPANY

Mary Bauer 800-346-5108

Sr. Claims RepresentativeBituminous Fire & MarineHeaver Plaza, 1301 York RoadLutherville, MD 21093

[email protected]

BLACK AND DECKER CORPORATION

M. Clayton Roop 410-716-3737

Director, Corporate Risk ManagementThe Black & Decker Corporation701 E. Joppa Road, TW 230Towson, MD 21286

[email protected]

BLUE RIDGE INDEMNITY CO

Sheila McGraw 800-362-5448

AVP ClaimsGeneral Casualty Co of WisconsinOne General DriveSun Prairie, Wi 53596

[email protected]

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

[email protected]

BRETHREN MUTUAL INSURANCE CO.

LISA FERGUSON 800-621-4264

WORKERS COMP MANAGERBRETHREN MUTUAL INSURANCE COMPANY149 N EDGEWOOD DRIVEHAGERSTOWN, MD 21740

[email protected]

BRICKSTREET MUTUAL INSURANCE COMPANY

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

[email protected]

BROTHERHOOD MUTUAL INSURANCE

Michael Hall 800-899-2235

ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046

[email protected]

Page 11 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 12: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

BUILDERS MUTUAL INS CO

Colleen Sontag 919-227-0354

Assistant Claims ManagerBuilders Mutual Insurance Company5580 Centerview DriveRaleigh, NC 27606

[email protected]

BUILDERS PREMIER INSURANCE COMPANY

Colleen Sontag 919-227-0354

Assistant Claims ManagerBuilders Mutual Insurance Company5580 Centerview DriveRaleigh, NC 27606

[email protected]

CALIFORNIA INSURANCE CO

Jeffrey Silver 877-234-4420

General Counsel and SecretaryCalifornia Insurance Company10805 Old Mill Rd.Omaha, NE 68154

[email protected]

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

[email protected]

CAROLINA CASUALTY INS CO

Michelle Belluscio 877-497-2637

Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192

[email protected]

CARROLL COUNTY GOVERNMENT

Cecilia Devilbiss 410-386-2667

Risk ManagerCarroll County Government225 N. Center StreetWestminster, MD 21157

[email protected]

CARROLL COUNTY HEALTH SERVICES CORP.

Kathy Gallagher 240-566-3721

Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701

[email protected]

CASTLEPOINT NATIONAL INSURANCE COMPANY

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

[email protected]

Page 12 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 13: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

CECIL COUNTY, MARYLAND

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self-Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284

[email protected]

CENTENNIAL INSURANCE COMPANY

Patricia McComb 410-252-4230

Claim SpecialistAtlantic Mutual7 Giralda FarmsMadison, NJ 07940-1027

[email protected]

CENTRAL MUTUAL INSURANCE COMPANY

Jamie Wiechart 800-786-9169

WC Claims SupervisorAll America Insurance Company800 S Washington StVan Wert, OH 45891

[email protected]

CENTURY INDEMNITY COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

CGU INSURANCE CO

Patrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

CHARLES COUNTY GOVERNMENT

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self-Insured Services Co., IncPO Box 42737Towson, MD 21286

[email protected]

CHARTER OAK FIRE INSURANCE CO.

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

CHARTIS CASUALTY COMPANY/FORMERLY AIG

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

Page 13 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 14: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

CHARTIS PROPERTY CASUALTY COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

CHEROKEE INSURANCE CO

Mark Dadabbo 800-201-0450

PresidentCherokee Insurance Company34200 Mound RoadSterling Heights, MI 48310

[email protected]

CHESAPEAKE EMPLOYERS INSURANCE COMPANY

Nancy Harple 410-494-2093

SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286

[email protected]

CHUBB INDEMNITY INSURANCE CO

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

CHUBB NATIONAL INSURANCE COMPANY

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

CHURCH MUTUAL INSURANCE CO

Jennifer Laabs 800-554-2642

Claim ManagerChurch Mutual Insurance Company3000 Schuster LaneMerrill, WI 54452

[email protected]

CIMARRON INSURANCE CO

Mark Sparks 615-263-1300

Sr Vice President of ClaimsBrentwood Services Administrators, Inc.104 Continental PlaceBrentwood, TN 37027

[email protected]

CINCINNATI CASUALTY CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

[email protected]

Page 14 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 15: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

CINCINNATI INDEMNITY CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

[email protected]

CINCINNATI INSURANCE CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

[email protected]

CITIZENS INSURANCE CO OF AMERICA

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

CITY OF ANNAPOLIS

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

CITY OF HAGERSTOWN, MARYLAND

Jamie Windell 410-527-3265

Claim Service ManagerPMA Companies/Old Republic Insurance Group200 International CircleHunt Valley, MD 21030

[email protected]

CLARK CONSTRUCTION GROUP, LLC

Hilary Moore 443-921-2571

Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286

[email protected]

CLEAR SPRING PROPERTY & CASUALTY CO

Scott Hanfling 312-837-3680

EVP and General CounselClear Spring Property and Casualty Company227 West Monroe StreetChicago, IL 60606

[email protected]

CNA CASUALTY OF CALIFORNIA

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

Page 15 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 16: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

COCA-COLA REFRESHMENTS USA, INC.

Patti Jones 410-773-4236

Claim SupervisorSedgwick CMS11350 McCormack Road, Executive Plaza IIHunt Valley, MD 21031

[email protected]

COLONIAL PIPELINE COMPANY

Darla Lyle 410-933-5400

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

[email protected]

COLONY SPECIALTY INS CO

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

COMMERCE & INDUSTRY INS. CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

COMMERCIAL UNION INS. CO.

Patrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

COMPANION PROPERTY & CASUALTY

Timothy McLaughlin 410-539-0906

AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201

[email protected]

CONNECTICUT INDEMNITY COMPANY

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

CONTINENTAL CASUALTY COMPANY

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

Page 16 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 17: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

CONTINENTAL INDEMNITY COMPANY

Eric Kennedy 877-234-4420

Unit SupervisorContinental Indemnity Company10805 Old Mill RoadOmaha, NE 68154

[email protected]

CONTINENTAL INSURANCE COMPANY

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

CONTINENTAL WESTERN INSURANCE COMPANY

Kimberly Moore 804-237-5189

Manager WC ClaimsBerkley Mid Atlantic Group, LLC4820 Lake Brook DriveGlen Allen, VA 23060

[email protected]

COSTCO WHOLESALE

Carrie Freeland 800-913-1013

Workers' Compensation ManagerCostco Wholesale999 Lake DriveIssaquah, WA 98027

[email protected]

CRUM & FORSTER INDEMNITY CO

Janet Rourke 888-890-1500

Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962

[email protected]

DELHAIZE AMERICA, LLC

James Maloney 301-766-7748

EsquireSemmes, Bowen & Semmes322 East Antietam StreetHagerstown, MD 21740

[email protected]

DEPOSITORS INSURANCE COMPANY

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

DIAKON LUTHERAN SOCIAL MINISTRIES/TRESSL

Staci Ulp 800-356-0438

Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105

[email protected]

Page 17 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 18: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

DIMENSIONS HEALTH CORPORATION

Robert Mellendick 410-339-7852

Senior Vice PresidentRCM&D555 Fairmount Ave.Baltimore, MD 21228

[email protected]

DISCOVER PROPERTY & CASUALTY

Agnes Morales 860-954-8462

ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183

[email protected]

DOCTORS COMMUNITY HOSPITAL

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

DOLGENCORP, LLC

Robert Pugh 800-456-9446

Director of Risk ManagementDollar General Corporation100 Mission RidgeGoodlettsville, TN 37072

[email protected]

DONEGAL MUTUAL INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

[email protected]

E I DUPONT DE NEMOURS & CO

Edwin Bond 800-622-8637

ManagerBroadspire12150 East Monumant DriveFairfax, VA 22033

[email protected]

EASTERN ADVANTAGE ASSURANCE COMPANY

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

[email protected]

EASTERN ALLIANCE INSURANCE COMPANY

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

[email protected]

Page 18 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 19: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

EASTGUARD INSURANCE CO

JOANITA NAOUM 800-673-2465

SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703

[email protected]

ELECTRIC INSURANCE CO

Michael Daney 443-656-6767

PartnerErlandson Vernon & Daney, LLC8815 Centre Park Dr., Suite 340Columbia, MD 21045

[email protected]

EMCASCO INSURANCE CO

Michael Hall 800-899-2235

ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046

[email protected]

EMPLOYEE BENEFITS INSURANCE CO

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

EMPLOYERS ASSURANCE COMPANY

Kelly Spina 702-671-7271

Claim DirectorEmployers Assurance Company2550 Paseo Verde ParkwayHenderson, NV 89074

[email protected]

EMPLOYERS COMPENSATION INS CO

Tracey Woznak 703-293-6623

Indemnity AdjusterBroadspire Services, Inc.PO Box 14341Lexington, KY 40512

[email protected]

EMPLOYERS INSURANCE COMPANY OF WAUSAU

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

EMPLOYERS MUTUAL & CASUALTY OF IOWA

Michael Hall 800-899-2235

ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046

[email protected]

Page 19 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 20: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

EMPLOYERS MUTUAL CASUALTY INS.

Michael Hall 800-899-2235

ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046

[email protected]

EMPLOYERS PREFERRED INS CO

Cheryl Hale 410-539-0906

AttorneyHumphreys, McLaughlin & McAleer, LLCOne North Charles StreetBaltimore, MD 21201

[email protected]

ERIE INSURANCE CO

Darrell Spriggs 301-680-7464

Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914

[email protected]

ERIE INSURANCE CO OF NY

Darrell Spriggs 301-680-7464

Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914

[email protected]

ERIE INSURANCE EXCHANGE

Darrell Spriggs 301-680-7464

Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914

[email protected]

ERIE INSURANCE PROPERTY & CASUALTY

Darrell Spriggs 301-680-7464

Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914

[email protected]

EVEREST DENALI INSURANCE CO

tim roberts 714-371-9608

VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868

[email protected]

EVEREST NATIONAL INSURANCE CO

tim roberts 714-371-9608

VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868

[email protected]

Page 20 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 21: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

EVEREST PREMIER INSURANCE CO

tim roberts 714-371-9608

VP - WC ClaimsEverest National Insurance Company725 Town and Country RoadOrange, CA 92868

[email protected]

EXCELSIOR INSURANCE CO

Christine Faucett 866-539-6449

Director Complex ClaimsExcelsior Insurance2000 Westwood DrWausau, WI 54402

[email protected]

EXCELSIOR INSURANCE CO. OF NY

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

[email protected]

EXELON CORPORATION

Claims Adjuster 888-476-2669

for Maryland claimsPMA Insurance CompanyP.O. Box 5231Janesville, WI 53547

[email protected]

EXPLORER INSURANCE CO

Connor McNulty 484-654-1919

Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087

[email protected]

FAIRMONT INSURANCE CO

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

FAIRMONT PREMIER INSURANCE CO

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

FAIRMONT SPECIALTY INSURANCE COMPANY

S. Woods Bennett 410-752-7600

Attorney At LawCornblatt, Bennett, Penhallegon & Roberson201 N. Charles StreetBaltimore, MD 21201

[email protected]

Page 21 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 22: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

FARMERS INSURANCE CO

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

[email protected]

FARMINGTON CASUALTY CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

FARMLAND MUTUAL INSURANCE COMPANY

Ryan McCombs 800-228-6700

Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218

[email protected]

FCCI INSURANCE COMPANY

Kelly Jensen 800-226-3224

Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240

[email protected]

FEDERAL EXPRESS CORPORATION

Barb Quigley 410-773-4230

SupervisorSedgwick Claims Management11350 McCormick RdHunt Valley, MD 21031

[email protected]

FEDERAL INSURANCE COMPANY

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

FEDERATED MUTUAL INSURANCE CO.

Kevin O'Neill 410-783-1296

AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202

[email protected]

FEDERATED SERVICE INS CO

Kevin O'Neill 410-783-1296

AttorneySchmidt, Dailey & O'Neill300 East Lombard StreetBaltimore, MD 21202

[email protected]

Page 22 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 23: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

FEDEX GROUND PACKAGE SYSTEMS INC

Larry Parks 800-238-6960

Manager Workers' CompensationFedEx Ground Package System, Inc.3925 Embassy ParkwayAkron, OH 44333

[email protected]

FIDELITY & GUAR. INSURANCE CO.

Agnes Morales 860-954-8462

ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183

[email protected]

FIDELITY & GUAR.INSURANCE UND.

Agnes Morales 860-954-8462

ConsultantFidelity and Guaranty Insurance Underwriters, Inc.One Tower SquareHartford, CT 06183

[email protected]

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

[email protected]

FIREMAN'S FUND INSURANCE CO.

Dennis Mason 800-389-7231

Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022

[email protected]

FIREMAN'S FUND OF WISCONSIN

Dennis Mason 800-389-7231

Claim DirectorFireman's Fund of Wisconsin11475 Great Oaks WayAlpharetta, GA 30022

[email protected]

FIREMAN'S INSURANCE CO. OF NJ

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

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

[email protected]

Page 23 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 24: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

FIRST LIBERTY INSURANCE CORP

Tara Kasper 800-900-4875

Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068

[email protected]

FIRST NATIONAL INS CO OF AMERICA

Rob Warzala 410-420-8013

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

FIRSTLINE NATIONAL INSURANCE CO

Bryan Yekstat 410-838-4000

Claims SupervisorHarford Mutual Insurance Company200 North Main StreetBel Air, MD 21014

[email protected]

FLAGSHIP CITY INSURANCE CO

Darrell Spriggs 301-680-7464

Workers Compensation SupervisorErie Insurance Co of NY12121 Tech RoadSilver Spring, MD 20914

[email protected]

FLORIDA ROCK INDUSTRIES INC

Darla Stricker 410-933-5408

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

[email protected]

FLORISTS INSURANCE CO

Matt Stoss 800-851-7740

Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226

[email protected]

FLORISTS MUTUAL INSURANCE CO.

Matt Stoss 800-851-7740

Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226

[email protected]

FORD MOTOR COMPANY

Brenda Price 800-508-2065

Claims RepresentiveBartech/Ford Motor Company16800 Executive plaza Dr.Dearborn, MI 48121

[email protected]

Page 24 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 25: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

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

[email protected]

FRANKENMUTH MUTUAL INS CO

Kristin Ott 800-234-4433

Workers Compensation SupervisorFrankenmuth Mutual Insurance Company1 Mutual AvenueFrankenmuth, MI 48787

[email protected]

FREDERICK HEALTH INC.

Kathy Gallagher 240-566-3721

Exec. DirectorComp Claim Management LLC700 Toll House AvenueFrederick, MD 21701

[email protected]

FRONT ROYAL INSURANCE CO

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

FRONTIER INSURANCE COMPANY

Nancy Esposito 800-807-5080

WC Claims ManagerFrontier Insurance Co in Rehabilitation195 Lake Louise Marie RdRock Hill, NY 12775

[email protected]

GATEWAY INSURANCE COMPANY

Joseph Shugrue 800-897-2551

Vice President ClaimsGateway Insurance Company150 Northwest Point Blvd.Elk Grove Village, IL 60007

[email protected]

GBMC HEALTHCARE, INC.

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

GENERAL ACC INS CO OF AMERICA/MONTGOMERYPatrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

Page 25 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 26: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

GENERAL CASUALTY CO OF WISCONSIN

Kimberly Reed 800-961-1121

WC Unit ManagerGeneral Casualty Co of Wisconsin82 Hopmeadow StreetSimsbury, CT 06070

[email protected]

GENERAL CONF. OF SEVENTH DAY ADVENTISTS

Joshua Nieblas 301-680-6863

Field Services ManagerAdventist Risk Management12501 Old Columbia PikeSilver Spring, MD 20904

[email protected]

GENERAL INSURANCE CO. OF AMER.

Rob Warzala 410-420-8013

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

GENERAL MOTORS COMPANY

Randy Clifford 410-773-4244

Claims Examiner, IISedgwick CMSPO Box 808Hunt Valley, MD 21030

[email protected]

GENERAL MOTORS CORPORATION

Bobbi Elliott 410-773-4242

Maryland Plant InvestigatorGeneral Motors CorporationPO Box 808Hunt Valley, MD 21030

[email protected]

GENESIS INSURANCE CO

MARY ANN BROWN 800-431-9994

ASSISTANT SECRETARYGENESIS INSURANCE COMPANY120 LONG RIDGE ROADSTAMFORD, CT 06902

[email protected]

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

[email protected]

GLOBE INDEMNITY INSURANCE CO.

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

Page 26 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 27: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

GRANITE STATE INSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

GREAT AMERICAN ALLIANCE INS

Valerie Aburn 770-225-4618

Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201

[email protected]

GREAT AMERICAN ASSURANCE CO

Tom Conard 513-287-8153

Director Claims OperationsGreat American Insurance Group301 East 4th StreetCincinnati, OH 45202

[email protected]

GREAT AMERICAN INS CO OF NY

Valerie Aburn 770-225-4618

Field Claim SpecialistGreat American insurance Company of NYPO Box 5789Cincinatti, OH 45201

[email protected]

GREAT AMERICAN INSURANCE CO.

Tom Conard 513-287-8153

Director Claims OperationsGreat American Insurance Group301 East 4th StreetCincinnati, OH 45202

[email protected]

GREAT ATLANTIC & PACIFIC TEA CO

Darla Stricker 410-933-5408

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

[email protected]

GREAT MIDWEST INSURANCE CO

Cora Wolfel 888-377-7263

AdjusterRCM&DP.O. Box 42737Baltimore, MD 21284

[email protected]

GREAT NORTHERN INSURANCE CO.

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

Page 27 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 28: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

GREAT WEST CASUALTY COMPANY

Dale Seguin 800-228-8602

Manager, WC ClaimsGreat West Casualty Company1100 W. 29th St.South Sioux City, NE 68776

[email protected]

GREATER NY MUTUAL INSURANCE CO

Paul Donoghue 410-727-2443

AttorneyRollins, Smalkin, Richards & Mackie300 East Lombard Street, Suite 900Baltimore, MD 21202

[email protected]

GREENWICH INSURANCE CO

ANTHONY HAMPTON 877-720-8844

OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861

[email protected]

GUARANTEE INSURANCE COMPANY

Mark Hoehn 877-567-0303

Regional ManagerPatriot Risk Services, Inc.PO Box 386Conshohocken, PA 19428

[email protected]

GUIDEONE MUTUAL INSURANCE COMPANY

Christine Opfer 515-267-5166

Medical Operations ManagerGuideOne Mutual Insurance Company1111 Ashworth Rd.West Des Moines, IA 50265

[email protected]

GUIDEONE SPECIALTY MUTUAL INS CO

Christine Opfer 515-267-5166

Medical Operations ManagerGuideOne Mutual Insurance Company1111 Ashworth Rd.West Des Moines, IA 50265

[email protected]

HANOVER AMERICAN INSURANCE CO

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

HANOVER INSURANCE CO.

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

Page 28 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 29: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

HARFORD COUNTY MARYLAND

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

HARFORD MUTUAL INSURANCE CO.

Bryan Yekstat 410-838-4000

Claims SupervisorHarford Mutual Insurance Company200 North Main StreetBel Air, MD 21014

[email protected]

HARLEYSVILLE INSURANCE COMPANY

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

HARLEYSVILLE MUTUAL INSURANCE

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

HARLEYSVILLE PREFERRED INS

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

HARLEYSVILLE WORCESTER INSURANCE CO

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

HARTFORD ACCIDENT & INDEMNITY

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

HARTFORD CASUALTY INSURANCE CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

Page 29 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 30: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

HARTFORD FIRE INSURANCE CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

HARTFORD INS CO OF THE MIDWEST

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

HARTFORD INSURANCE CO OF THE SOUTHEAST

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

HARTFORD UNDERWRITERS INSURANCE

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

HDI GLOBAL INSURANCE COMPANY

John Thompson 800-607-6000

Vice President, ClaimsHDI-Gerling America Insurance Company700 North Brand BoulevardGlendale, CA 91203

[email protected]

HEBREW HOME OF GREATER WASHINGTON

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

[email protected]

HERR FOODS, INC.

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

HIGHMARK CASUALTY INS CO

Robert Frew 800-328-5433

Director, Compliance/Contracts/SIUHighmark Casualty Insurance Company120 Fifth Avenue, Fifth Avenue PlacePittsburgh, PA 15222-3099

[email protected]

Page 30 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 31: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

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

[email protected]

HOWARD COUNTY MARYLAND

Charles Lewis 410-313-6390

AdministratorHoward County Maryland6751 Columbia Gateway DrColumbia, MD 21046

[email protected]

ILLINOIS NATIONAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

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

[email protected]

IMPERIUM INSURANCE COMPANY

Richard Starkie 800-203-1179

Vice President - Claim ManagerDelos Insurance Company120 West 45th Street,New York, NY 10036

[email protected]

INDEMNITY INS. CO. OF N. AMER.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

INSURANCE CO OF NORTH AMERICA

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

INSURANCE CO. OF GREATER NY

Paul Donoghue 410-727-2443

AttorneyRollins, Smalkin, Richards & Mackie300 East Lombard Street, Suite 900Baltimore, MD 21202

[email protected]

Page 31 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 32: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

INSURANCE CO. OF STATE OF PA.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

INSURANCE COMPANY OF THE WEST

Connor McNulty 484-654-1919

Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087

[email protected]

INTERNATIONAL PAPER COMPANY

David Miles 410-773-4226

SupervisorSedgwick Claims Management Services11350 McCormick RoadHunt Valley, MD 21031

[email protected]

JOHNS HOPKINS HEALTH SYSTEM CORPORATION

Sharon Soistman 410-955-4800

Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205

[email protected]

JOHNS HOPKINS UNIVERSITY

Sharon Soistman 410-955-4800

Manager, Workers Comp ClaimsJohns Hopkins Health System2024 E. Monument StreetBaltimore, MD 21205

[email protected]

KENNEDY KRIEGER INSTITUTE

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

[email protected]

KEY RISK INSURANCE COMPANY

Suzanne McAuliffe 704-496-5256

Vice President, KRIC ClaimsKey Risk Insurance CompanyP.O. Box 49129Greensboro, NC 27419

[email protected]

L M INSURANCE CORP

Amparo Sadovnik 800-900-4875

Team ManagerLiberty Mutual3 Becker Farm RoadRoseland, NJ 07068

[email protected]

Page 32 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 33: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

LIBERTY INSURANCE CORP

Ervin Gainer Sr 301-881-9300

Claims Manager/OOMLiberty Mutual6101 Executive BlvdRockville, MD 20852

[email protected]

LIBERTY MUTUAL FIRE INS CO

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

LIBERTY MUTUAL INSURANCE CO.

Tara Kasper 800-900-4875

Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068

[email protected]

LIBERTY MUTUAL MID ATLANTIC INSURANCE CO

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

LIFEBRIDGE HEALTH, INC

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Company, Inc555 Fairmount AvenueTowson, MD 21286

[email protected]

LION INSURANCE COMPANY

Grant Dalgleish 727-682-0155

Secretary and Director of FinanceLion Insurance Company2739 U.S. Highway 19 NorthHoliday, FL 34691

[email protected]

LM PROPERTY AND CASUALTY INS CO

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

LOWE'S HOME CENTERS, LLC

Lori Mills 877-494-8010

Claim SpecialistSpecialty Risk ServicesPO Box 807Hunt Valley, MD 21030

[email protected]

Page 33 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 34: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

LUMBERMEN'S UNDERWR. ALLIANCE

Phyllis Charlton 866-794-0360

WC Claims AdjusterLUA Claims Service11019 Thistlebrook CourtColumbia, MD 21044

[email protected]

MACY'S INC./FEDERATED DEPT STORES

Roxanne Stegemeyer 513-483-5326

Claims ExaminerSedgwickPO Box 14025Lexington, KY 40512

[email protected]

MAIN STREET AMERICA ASSURANCE CO

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

[email protected]

MAINE EMPLOYERS MUTUAL INS CO

David Godwin 410-418-8778

EsquireGodwin, Eriandson, Vernon and Daney330 North Ridge RoadEllicott City, MD 21043

[email protected]

MANUFACTURERS ALLIANCE CO.

Eric Reiner 800-382-1203

Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030

[email protected]

MARFY/CBH

Laurie Wilson 410-933-0002

Sr. Claim AdjusterHSC Claims Administration Inc8019 Corporate Dr.Baltimore, MD 21236

[email protected]

MARKEL INSURANCE COMPANY

Kenneth Shaffrey 410-576-4825

AttorneySemmes Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

MARRIOTT INTERNATIONAL, INC.

Steve Perroots 866-627-0111

Senior DirectorMarriott Claims Services - Mid-Atlantic Region9737 Washingtonian BoulevardGaithersburg, MD 20878

[email protected]

Page 34 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 35: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

MARYLAND ASSOC BOARDS OF EDUC

Tina Gates 410-841-2493

WC SupervisorMABE Workers' Compensation Group Self-Insurance Fund621 Ridgely AvenueAnnapolis, MD 21401-1087

[email protected]

MARYLAND GENERAL HOSPITAL

Mary McFadden 667-214-7629

Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201

[email protected]

MARYLAND GROUP SELF-INSURED HOSPITALS

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

MASSACHUSETTS BAY INSURANCE CO

Elizabeth Beshai 800-628-0250

WC Claims Compliance AdministratorThe Hanover Insurance Group440 Lincoln StreetWorcester, MA 01653

[email protected]

MAYOR AND CITY COUNCIL OF BALTIMORE

Donna Briscoe 443-984-2301

Workers' Comp Contract AdministratorMayor & City Council of Baltimore7 E Redwood StreetBaltimore, MD 21202

[email protected]

MD ASSN. COMMUNITY SVCS- SELF-INS. GROUP

Darrick Bowens 410-931-6620

Workers' Compensation Claims SupervisorHSC Claims Administration, Inc.8019 Corporate DriveBaltimore, MD 21236

[email protected]

MD. RESTAURANT & HOSP. SELF INS. FUND

Anne Antionelli 410-527-9054

WC SupervisorPMA Management CorpCenterPointe, 200 International CircleHunt Valley, MD 21030

[email protected]

MEMIC CASUALTY CO

Stacey Foote 800-660-1306

Director, Claims Shared ServicesMEMIC Casualty Co.261 Commercial StreetPortland, ME 04101

[email protected]

Page 35 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 36: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

MEMIC INDEMNITY COMPANY

Stacey Foote 800-660-1306

Director, Claims Shared ServicesMEMIC Casualty Co.261 Commercial StreetPortland, ME 04101

[email protected]

MERCHANTS MUTUAL INSURANCE CO.

Maralee Denz 716-849-3029

WC Claim SupervisorMerchants Mutual Insurance Company250 Main StreetBuffalo, NY 14202

[email protected]

MERCY MEDICAL CENTER

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.PO Box 42737Baltimore, MD 21284

[email protected]

MERIDIAN MUTUAL INS CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

MERIDIAN SECURITY INS CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

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

[email protected]

METTIKI COAL, LLC

Pam Hanline 301-334-5326

Workers' Compensation CoordinatorMettiki Coal, LLC243 Table Rock RoadOakland, MD 21550

[email protected]

MIC PROPERTY & CASUALTY INS

Rhonda Gaylor 313-656-5432

AccountMIC Property & Casualty Insurance Corporation500 Woodward Ave, 14th FloorDetroit, MI 48226

[email protected]

Page 36 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 37: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

MID CENTURY INSURANCE CO.

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

[email protected]

MIDDLESEX INSURANCE COMPANY

Matt Stoss 800-851-7740

Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226

[email protected]

MIDWEST EMPLOYERS CASUALTY CO

Michelle Belluscio 877-497-2637

Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192

[email protected]

MILLER & LONG CO. INC

Deborah Carr 301-347-4203

VP InsuranceMiller & Long Co., Inc.7101 Wisconsin AveBethesda, MD 20814

[email protected]

MITSUI SUMITOMO INSURANCE CO OF AMERICA

Anthony Zaccagnini 410-576-4781

PrincipalSemmes, Bowen and Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

MITSUI SUMITOMO INSURANCE USA INC

Anthony Zaccagnini 410-576-4781

PrincipalSemmes, Bowen and Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

MONROE GUARANTY INSURANCE CO

Kelly Jensen 800-226-3224

Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240

[email protected]

MONTGOMERY COUNTY MARYLAND

Lissa Bales 240-777-8903

Claims ManagerMontgomery County Self Insurance Program101 Monroe StreetRockville, MD 20850

[email protected]

Page 37 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 38: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

MONTGOMERY GENERAL HOSPITAL

Stan Haynes 410-576-4723

Hospital Workers Comp RepresentativeSemmes, Bowen & Semmes250 West Pratt StreetBaltimore, MD 21201

[email protected]

MONTGOMERY INDEMNITY CO

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

[email protected]

MONTGOMERY MUTUAL INS. CO.

Kathryn McDonald 240-533-0276

Team ManagerLiberty Mutual Insurance6101 Executive BlvdRockville, MD 20852

[email protected]

MOTORISTS COMMERCIAL MUTUAL INS. CO.

Judy Palamara 800-876-7488

Branch Claims ManagerMotorists Insurance Group/American Hardware Insurance2674 Monroeville BlvdMonroeville, PA 15146

[email protected]

MUTUAL BENEFIT INSURANCE CO.

Brenda Nead 800-283-3531

Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652

[email protected]

NATIONAL AMERICAN INS CO

R. Patrick Gilmore 405-258-4262

Senior Vice PresidentNational American Insurance Company1010 Manvel AvenueChandler, OK 74834

[email protected]

NATIONAL BUILDERS INSURANCE CO

Robert Erlandson 410-418-8778

AttorneyGodwin Erlandson Vernon & Daney, LLC3300 North Ridge RoadEllicott City, MD 21043

[email protected]

NATIONAL CASUALTY COMPANY

Ryan McCombs 800-228-6700

Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218

[email protected]

Page 38 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 39: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

NATIONAL CONTINENTAL INS CO

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

NATIONAL FIRE INS. OF HARTFORD

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

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

[email protected]

NATIONAL SURETY CORPORATION

Jason Fredrick 314-817-2806

Claims ManagerAllianz Global Corporate & Specialiaty1 Progress Point ParkwayO'Fallon, MO 63368

[email protected]

NATIONAL TRUST INSURANCE COMPANY

Kelly Jensen 800-226-3224

Corporate Claim ExaminerMonroe Guaranty Insurance Co.6300 University ParkwaySarasota, FL 34240

[email protected]

NATIONAL UNION FIRE INS CO OF PITTSBURGH

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

NATIONAL UNION FIRE INSURANCE

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

Page 39 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 40: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

NATIONWIDE AGRIBUSINESS INS CO

Ryan McCombs 800-228-6700

Manager, Workers CompensationNationwide AgribusinessPO Box 182066Columbus, OH 43218

[email protected]

NATIONWIDE MUTUAL FIRE INS CO

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

NATIONWIDE MUTUAL INSURANCE CO

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

NATIONWIDE PROPERTY & CASUALTY

Ronald Dietrich 215-513-8738

Claims ManagerNationwide Insurance355 Maple AvenueHarleysville, PA 19438

[email protected]

NETHERLANDS INSURANCE COMPANY

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

[email protected]

NEW HAMPSHIRE INSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

[email protected]

NEW JERSEY MANUFACTURERS INS CO

Francis Shuler 800-232-6600

Claims SupervisorNJM Insurance Group1599 Littleton RoadParsippany, NJ 07054

[email protected]

NEW YORK MARINE & GENERAL INSURANCE CO

Patrick Gano 800-774-2755

Claims RepresentativeNew York Marine & General Insurance Company412 Mt. Kemble AvenueMorristown, NJ 07960

[email protected]

Page 40 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 41: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

NEWARK INSURANCE COMPANY

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

NGM INSURANCE COMPANY

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

[email protected]

NIPPONKOA INSURANCE CO LIMITED

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

NORDSTROM INC

Robert Haugen 877-275-7475

Workers Compensation ManagerNordstrom, Inc.1700 Seventh AvenueSeattle, WA 98101-4407

[email protected]

NORGUARD INSURANCE CO

JOANITA NAOUM 800-673-2465

SR CLAIMS REPGUARD INS GROUPPO BOX 1368WILKES-BARRE, PA 18703

[email protected]

NORTH AMERICAN SPECIALTY INS

Rose Kasper 816-702-3148

Senior AccountantNorth American Specialty Insurance Company1200 Main StreetKansas City, MD 64105

[email protected]

NORTH RIVER INSURANCE CO.

Janet Rourke 888-890-1500

Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962

[email protected]

NORTHSTONE INSURANCE CO

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

[email protected]

Page 41 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 42: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

NORTHWEST HEALTH SYSTEM, INC.

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

NOXELL CORPORATION

Geneva Sallee 800-235-1134

Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202

[email protected]

OBI AMERICA INSURANCE CO

Patrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

OBI NATIONAL INSURANCE COMPANY

Patrick Roberson 410-539-0906

Carrier CounselOBI America Insurance Company20 South Charles StreetBaltimore, MD 21201

[email protected]

OCCIDENTAL FIRE & CASUALTY

Mark Mendenhall 630-864-3450

WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563

[email protected]

OHIO SECURITY INSURANCE CO

kimberly galloway 410-871-2963

sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158

[email protected]

OLD DOMINION INSURANCE CO

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

[email protected]

OLD GUARD INSURANCE CO

Kerri Weaver 800-732-0050

Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604

[email protected]

Page 42 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 43: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

OLD REPUBLIC GENERAL INS CORP

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

OLD REPUBLIC INSURANCE CO.

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

OLD REPUBLIC UNION INSURANCE CO

J. Eric Stroka 724-838-5462

Assistant Vice PresidentOld Republic Insurance Company133 Oakland AvenueGreensburg, PA 15601

[email protected]

ONEBEACON AMERICA INS CO

Debby Schoen-Cruz 877-248-3455

TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021

[email protected]

ONEBEACON INS CO

Debby Schoen-Cruz 877-248-3455

TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021

[email protected]

ORISKA INSURANCE CO

James Kernan 800-358-3513

PresidentOriska Insurance Company1310 Utica St., PO Box 855Oriskany, NY 13424

[email protected]

P.H. GLATFELTER COMPANY

Crista Sutton 410-527-9033

Sr. Accounts Claims Rep.PMA Insurance Group200 International CircleHunt Valley, MD 21030

[email protected]

PACIFIC EMPLOYERS INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

Page 43 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 44: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

PACIFIC INDEMNITY COMPANY

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

PEERLESS INDEMNITY INS CO

KIMBERLY GALLOWAY 410-871-2963

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

PENINSULA INDEMNITY CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

[email protected]

PENINSULA INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

[email protected]

PENINSULA REGIONAL MEDICAL CENTER

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

PENN MILLERS INS CO

Donna Westervelt 856-780-3907

Claims RepresentativeGallagher Bassett9240 Rumsey RoadColumbia, MD 21045

[email protected]

PENN NATIONAL SECURITY INS CO

NICOLE CARRUTH 800-388-4764

DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101

[email protected]

PENNSYLVANIA LUMBERMENS MUT'L.

Francis R. Santoro 800-752-1895

AVP-Claims DepartmentPennsylvania Lumbermens Mutual Insurance CompanyOne Commerce Sq., 2005 Market StreetPhiladelphia, PA 191037008

[email protected]

Page 44 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:08 AM

Page 45: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

PENNSYLVANIA MFG. ASSOCIATION

Eric Reiner 800-382-1203

Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030

[email protected]

PENNSYLVANIA MFG. INDEMNITY

Eric Reiner 800-382-1203

Assistant Vice President - ClaimsManufacturers Alliance Insurance CompanyCenterPointe, 200 International CircleHunt Valley, MD 21030

[email protected]

PENNSYLVANIA NATIONAL MUTUAL CAS INS CO

NICOLE CARRUTH 800-388-4764

DIRECTOR WC & MANAGED CAREPENN NATIONAL INSURANCE2 NORTH 2ND STREETHARRISBURG, PA 17101

[email protected]

PERDUE FARMS, INC.

Beth Grove 410-749-2155

Senior AdjusterCrawford & Company1501 Edgemore AvenueSalisbury, MD 21801

[email protected]

PHARMACISTS MUTUAL INSURANCE CO

Lisa Molsberry 800-247-5930

Workers Compensation Claims ManagerPharmacists Mutual Insurance Company818 Highway 18 West, PO Box 370Algona, IA 50511

[email protected]

PHOENIX INSURANCE COMPANY

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

PINNACLEPOINT INSURANCE CO

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

[email protected]

PLAZA INSURANCE COMPANY

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

Page 45 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 46: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

POTOMAC FARMS DAIRY/GALLIKER DAIRY CO

Staci Ulp 800-356-0438

Regional Vice PresidentInservco Insurance Services, Inc.Post Office Box 3899Harrisburg, PA 17105

[email protected]

PRAETORIAN INSURANCE COMPANY

Dave Palmer 608-825-5767

Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596

[email protected]

PREFERRED PROFESSIONAL INS CO

Kathryn McAleer 410-539-0906

AttorneyHumphreys, McLaughlin & McAleer, LLC1 N Charles StreetBaltimore, MD 21201

[email protected]

PRINCE GEORGE CO COMM COLLEGE

Lazina Alie 301-583-5411

Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774

[email protected]

PRINCE GEORGE'S COUNTY MARYLAND

Lisa Jones 301-583-5411

Claims ManagerCorVel Corporation8140 Corporate DriveBaltimore, MD 21236

[email protected]

PRINCETON INSURANCE CO

Michael Broadway 800-394-8335

Branch ManagerCrawford & Company9900 Franklin Square DriveBaltimore, Md 21236

[email protected]

PROCTER & GAMBLE MANUF CO

Geneva Sallee 800-235-1134

Manager, Regulatory Benefits WCThe Procter & Gamble Company5299 Spring Grove AvenueCincinnati, OH 45202

[email protected]

PROTECTIVE INSURANCE COMPANY

David Ghesquiere 800-479-0981

AVP of ClaimsPROTECTIVE INSURANCE COMPANYPost Office Box 7099Indianapolis, IN 46207

[email protected]

Page 46 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 47: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

QBE INSURANCE CORPORATION

Dave Palmer 608-825-5767

Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596

[email protected]

RECIPROCAL OF AMERICA

Mark Hyland 800-824-8847

Second Vice PresidentReciprocal of America in Liquidation4200 Innslake DriveGlen Allen, Va 23060

[email protected]

REDWOOD FIRE & CASUALTY INS CO

Blake Gordon 402-952-5132

Claims Unit SupervisorRedwood Fire & Casualty Insurance Company1314 Douglas StreetOmaha, NE 68102

[email protected]

REPUBLIC FRANKLIN INSURANCE

Bonnie Johnson 410-252-9575

claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093

[email protected]

RIVERPORT INSURANCE COMPANY

Suzanne Scelza 609-689-6648

VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690

[email protected]

ROCKWOOD CASUALTY INSURANCE CO

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

ROCKWOOD INS. CO OF INDIANA

Leslie W. Gawlik 443-650-0080

CounselLaw Offices of Leslie W. Gawlik, LLC100 North Charles StreetBaltimore, MD 21201

[email protected]

ROXUL USA, INC./CHICAGO METALLIC

Robert Mellendick 410-339-7852

Senior Vice PresidentRCM&D/SISCO555 Fairmount AvenueBaltimore, MD 21286-5497

[email protected]

Page 47 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 48: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

RYDER SYSTEMS INC

Richard W. Scheiner 410-539-5040

Counsel of RecordSemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

SAFECO INS. CO. OF AMERICA

Rob Warzala 410-420-8013

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

SAFECO INSURANCE CO OF ILLINOIS

Rob Warzala 410-420-8013

WC SpecialistSafeco Insurance Co. of AmericaPO Box 515097Los Angeles, CA 90051

[email protected]

SAFEGUARD INSURANCE COMPANY

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

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

[email protected]

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

[email protected]

SAFEWAY INC.

Paul Osborn 301-918-8919

WC Claims ManagerSafeway Inc.4551 Forbes Blvd.Lanham, MD 20706

[email protected]

SEABOARD FIRE & MARINE INS.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

Page 48 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 49: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

SEABRIGHT INSURANCE COMPANY

Michael Schaffer 410-933-3966

ManagerSchaffer Companies, LTD9940 Franklin Square DriveBaltimore, MD 21236

michael [email protected]

SECURITY INSURANCE CO.

Audra Moraski 800-524-4505

Claim SupervisorArrowood Indemnity (Formerly Security Ins. Co. of Hartford)PO Box 4701Syracuse, NY 13221

[email protected]

SELECT INSURANCE COMPANY

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

SELECT RISK INSURANCE CO

Brenda Nead 800-283-3531

Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652

[email protected]

SELECT RISK MUTUAL INS CO

Brenda Nead 800-283-3531

Sr. WC Claim RepresentativeSelect Risk Mutual Ins. Co.409 Penn StreetHuntingdon, PA 16652

[email protected]

SELECTIVE INS CO OF SOUTH CAROLINA

Lachunta Miller 800-688-9656

WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277

[email protected]

SELECTIVE INS CO OF THE SOUTHEAST

Lachunta Miller 800-688-9656

WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277

[email protected]

SELECTIVE INS. CO. OF AMERICA

Lachunta Miller 800-688-9656

WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277

[email protected]

Page 49 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 50: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

SELECTIVE WAY INSURANCE CO

Lachunta Miller 800-688-9656

WC Supervisor: Mid-Atlantic RegionSelective Insurance Company3426 Toringdon WayCharlotte, NC 28277

[email protected]

SENECA INSURANCE CO

Michael Hall 800-899-2235

ManagerLBM Insurance Adjusters, Inc.9891 Broken Land ParkwayColumbia, MD 21046

[email protected]

SENTINEL INSURANCE COMPANY

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

SENTRY CASUALTY COMPANY

Matt Stoss 800-851-7740

Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226

[email protected]

SENTRY INDEMNITY COMPANY

Bonnie Johnson 410-252-9575

claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093

[email protected]

SENTRY INSURANCE A MUTUAL CO

Matt Stoss 800-851-7740

Director WC ClaimsSentry Insurance a Mutual Company1025 Boulders ParkwayRichmond, VA 23226

[email protected]

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

[email protected]

SFM MUTUAL INSURANCE CO

Shawn Stricker 800-937-1181

Claims Technical SpecialistSFM Mutual Insurance3500 American Blvd WBloomington, MN 55431

[email protected]

Page 50 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 51: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

SHEEHY AUTO STORES

Jessica Edelstein 800-203-5677

Claims RepresentativeColonial HealthCare, Inc.9901 Business ParkwayLanham, MD 20706

[email protected]

SHEPPARD & ENOCH PRATT HEALTH SYSTEM

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

SINAI HOSPITAL OF BALTIMORE, INC.

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

[email protected]

SOLO CUP COMPANY/DART CONTAINER

Bonita Formwalt 800-448-0077

Branch ManagerGallagher Bassett Services, Inc.10025 Governor Warfield PkwyColumbia, MD 21044

[email protected]

SOMPO AMERICA INSURANCE CO

Judith Werner 877-589-5959

Claims Examiner IVSompo America Insurance Co.11405 North Community House RoadCharlotte, NC 29707

[email protected]

SOUTHERN INSURANCE CO OF VIRGINIA

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

[email protected]

SOUTHERN INSURANCE COMPANY

Frank Hall 877-788-6008

Program Claims ManagerSouthern Insurance Company5525 LBJ FreewayDallas, TX 75240-6241

[email protected]

SOUTHERN MD ELECTRIC CO-OP

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self Insured Services Company, inc.555 Fairmount AvenueTowson, MD 21286

[email protected]

Page 51 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 52: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

SOUTHERN PILOT INS CO

Ridge Cramer 410-821-1764

Senior Claims AdjusterWard North America8501 LaSalle RoadBaltimore, MD 21296

[email protected]

SOUTHERN STATES INSURANCE EXCH

TESS SHERZEY 877-243-6677

SENIOR CLAIM EXAMINERSouthern States Insurance Exchange6606 West Broad StRichmond, VA 23230

[email protected]

SPARTA INSURANCE COMPANY

John Mindek 877-772-7824

SVP, ClaimsSPARTA Insurance Company185 Asylum StreetHartford, CT 06103

[email protected]

ST PAUL FIRE & MARINE INS CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

ST PAUL GUARDIAN INSURANCE CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

ST PAUL MERCURY INSURANCE CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

ST. MARY'S COUNTY GOVERNMENT

Hilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self-Insured Services Co., IncPO Box 42737Baltimore, MD 21284

[email protected]

STANDARD FIRE INSURANCE CO.

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

Page 52 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 53: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

STANLEY WORKS

Robyn Jones 800-551-0271

MD Team LeaderSpecialty Risk ServicesP.O Box 61512King of Prussia, PA 19406

[email protected]

STAR INSURANCE CO

Thomas Tucker 800-482-2726

VP ClaimsMeeadowbrook, Inc26255 American DriveSouthfield, MI 48034

[email protected]

STARNET INSURANCE COMPANY

Michelle Belluscio 877-497-2637

Director of OperationsBerkleyNet (A WR Berkley Company)12701 Marblestone DriveWoodbridge, VA 22192

[email protected]

STATE AUTO PROPERTY & CAS. CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

STATE AUTOMOBILE MUTUAL INS.CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Company3600 American Blvd. WestBloomington, MN 55431

[email protected]

STATE FARM GENERAL INSURANCE

Rick Scotton 301-620-6424

Team ManagerState Farm Fire & Casualty CoOne State Farm DriveFrederick, MD 21709

[email protected]

STATE NATIONAL INSURANCE COMPANY

Debbie VanSanford 800-877-4567

State Filings CoordinatorState National Insurance Company, Inc.1900 L. Don Dodson DriveBedford, TX 76021

[email protected]

STATE OF MARYLAND

Nancy Harple 410-494-2093

SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286

[email protected]

Page 53 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 54: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

STATE OF MARYLAND

Nancy Harple 410-494-2093

SupervisorChesapeake Employers Insurance Company8722 Loch Raven BoulevardTowson, MD 21286

[email protected]

STONINGTON INSURANCE COMPANY

Dave Palmer 608-825-5767

Lead Claims Compliance AnalystQBE Americas, Inc.One General DriveSun Prairie, WI 53596

[email protected]

SUBURBAN HOSPITAL ASSOCIATION

Hilary Moore 443-921-2571

Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286

[email protected]

SUSSEX INSURANCE CO

DAVID CALANDRO 866-367-7242

Regional Claim ManagerEnstar US for Sussex Insurance Company150 2ND AVENUE NST PETERSBURGE, FL 33701

[email protected]

T.H.E. INSURANCE CO

ANTHONY HAMPTON 877-720-8844

OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861

[email protected]

TARGET CORPORATION

Catherine Marschall 800-285-3258

Claims SupervisorSedgwick Claims Management Services, Inc.11350 McCormack RoadHunt Valley, MD 21031

[email protected]

TECHNOLOGY INSURANCE CO

Brenda Oals-Becker 888-239-3909

Claims AnalystTechnology Insurance CompanyP.O. Box 2007Hagerstown, MD 21742

[email protected]

TIG INSURANCE CO

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

Page 54 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 55: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

TOKIO MARINE AMERICA INSURANCE COMPANY

Todd Alena 800-628-2796

Manager, Workers Compensation ClaimsTokio Marine Management, Inc.230 Park AvenueNew York, NY 10169

[email protected]

TOWER INSURANCE CO OF NEW YORK

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

[email protected]

TOWER NATIONAL INSURANCE COMPANY

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

[email protected]

TOWN OF OCEAN CITY

Eric Lagstrom 410-289-8773

Risk ManagerTown of Ocean City301 Baltimore AveOcean City, MD 21842

[email protected]

TRANSAMERICA INSURANCE CO.

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

TRANSAMERICA PREMIER INS CO

S. Woods Bennett 410-539-0906

EsquireHumphreys, McLaughlin & McAleer, LLC20 South Charles StreetBaltimore, MD 21201

[email protected]

TRANSCONTINENTAL INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

TRANSGUARD INS CO OF AMERICA INS

Mark Mendenhall 630-864-3450

WC Claim Services ManagerTransguard Ins Company of America Ins215 Shuman BlvdNaperville, IL 60563

[email protected]

Page 55 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 56: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

TRANSPORT INSURANCE CO.

Desiree Mecca 267-675-3348

Assistant SecretaryTransport Insurance Company2 Logan SquarePhiladelphia, PA 19103

[email protected]

TRANSPORTATION INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

TRAVELERS CASU AND SURETY CO OF AMERICA

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS CASUALTY AND SURETY CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS CASUALTY CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS CASUALTY CO OF CONNECTICUT

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS CASUALTY INS CO OF AMERICA

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS COMMERICAL CASUALTY CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

Page 56 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 57: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

TRAVELERS COMMERICAL INSURANCE CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS INDEMNITY CO

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS INDEMNITY CO OF AMERICA

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS INDEMNITY CO OF CONNECTICUT

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS INSURANCE COMPANY

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRAVELERS PROPERTY CASUALTY CO OF AMER

Meredith Haskell 800-842-0091

Unit ManagerTravelers Casualty Insurance Company of America111 Schilling RoadHunt Valley, MD 21031

[email protected]

TRI STATE INSURANCE CO OF MINNESOTA

Suzanne Scelza 609-689-6648

VP ComplianceBerkley Shared Services2445 Kuser RoadHamilton Square, NJ 08690

[email protected]

TRINITY HEALTH CORPORATION

Jennifer Holmes 888-995-5300

Technical Support SpecialistSafety First Insurance Company (Safety National Casualty Corporation)1832 Schuetz RoadSt. Louis, MO 63146

[email protected]

Page 57 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 58: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

TRIUMPHE CASUALTY CO

Jim Willett Jr 410-576-4733

AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

TRUCK INSURANCE EXCHANGE

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

[email protected]

TRUMBULL INS CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

TWIN CITY FIRE INSURANCE CO.

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

[email protected]

TYSON FOODS, INC

Anita Hicks 800-388-2197

Claims AdjusterTyson Foods, Inc.1600 River RoadWilkesboro, NC 28697

[email protected]

U S SPECIALTY INS CO

Charles McDaniel 800-343-3599

Assistant Vice PresidentU.S. Specialty Insurance Company13403 Northwest FreewayHouston, TX 77040

[email protected]

ULLICO CASUALTY CO

Robert Franklin 410-230-3623

AttorneyFranklin & Prokopik2 North Charles StreetBaltimore, MD 21201

[email protected]

UNION INSURANCE COMPANY

Triena Edwards 800-283-1153

Claim System AnalystBerkley Mid Atlantic Group4820 Lake Brook Dr.Glen Allen, VA 23060

[email protected]

Page 58 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 59: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

UNITED FARM FAMILY INS CO

Deborah Ptasinski 800-948-3276

Claim Administration ManagerUnited Farm Family Insurance CompanyPO Box 656Albany, NY 12201

[email protected]

UNITED STATES FIRE INS. CO.

Janet Rourke 888-890-1500

Executive SpecialistCrum & Forster Indemnity Insurance Company305 Madison AvenueMorristown, NJ 07962

[email protected]

UNITED WISCONSIN INSURANCE CO

Nellie Osowski 800-258-2667

Manager, State FilingUnited Wisconsin Insurance Co.200 West Small RoadNew Berlin, WI 53151

[email protected]

UNIVERSAL UNDERWRITERS INS.CO.

Rebecca Heller 800-367-8842

WC Claims SpecialistUniversal Underwriters/Zurich Direct Underwriters100 Walnut AveClark, NJ 07066

[email protected]

UNIVERSITY OF MD MEDICAL SYSTEMS CORP

Mary McFadden 667-214-7629

Sr. Claims ManagerMaryland Medicine Comprehensive Insurance Program250 West Pratt StreetBaltimore, MD 21201

[email protected]

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

[email protected]

USF RED STAR, INC.

Susan Caringi 410-931-5844

Unit ManagerConstitution States Service Co.8013 Corporate DriveBaltimore, MD 21236

[email protected]

VALLEY FORGE INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

[email protected]

Page 59 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 60: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

VANLINER INSURANCE CO

Jim Willett Jr 410-576-4733

AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

[email protected]

VERIZON - MARYLAND

Ed Solovay 410-773-4217

Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920

[email protected]

VERIZON SERVICES CORPORATION

Ed Solovay 410-773-4217

Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920

[email protected]

VERIZON WASHINGTON DC

Ed Solovay 410-773-4217

Sr. Analyst Treasury - Risk ManagementVerizon1 Verizon WayBasking Ridge, NJ 07920

[email protected]

VIGILANT INSURANCE COMPANY

Brandon Cusumano 800-252-4670

Sr. Claims ExaminerChubbP.O. Box 4700Chesapeake, VA 23327

[email protected]

WASH METRO AREA TRANSIT AUTH

Michael Krausman 410-773-4218

Claims ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031

[email protected]

WASHINGTON CO COMMISSIONERS

Frank Young 877-879-9240

TPA Operations ManagerJohns Eastern Company, Inc.9841 Broken Land ParkwayColumbia, MD 21046

[email protected]

WASHINGTON POST/GRAHAM HOLDINGS COMPANYMichael Baker 800-627-1150

Risk Management SpecialistThe Washington Post Company1150 15th Street, NWWashington, DC 20071

[email protected]

Page 60 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 61: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

WASHINGTON SUBURBAN SANITARY COMMISSIONHilary Millspaugh 410-339-5222

Business Applications ManagerRCM&D Self-insured Services co., Inc555 Fairmount AvenueTowson, MD 21286

[email protected]

WCF NATIONAL INSURANCE CO

Victor Frech 888-595-8750

Claims ManagerAdvantage Workers Compensation Insurance Company1100 East 6600 SouthMurray, UT 84121

[email protected]

WEGMANS FOOD MARKETS, INC.

Amy John 800-934-6267

Risk Management Systems AdministratorWegmans Food Markets, Inc.1500 Brooks AvenueRochester, NY 14603-0844

[email protected]

WEIS MARKETS, INC.

Gina Laubach 410-933-8082

National Accounts Claims ManagerCorVel Corporation8140 Corporate DriveWhite Marsh, MD 21236

[email protected]

WEST AMERICAN INSURANCE CO.

kimberly galloway 410-871-2963

sr. litigation specialistWest American Insurancep.o. box 235westminster, MD 21158

[email protected]

WESTCHESTER FIRE INSURANCE CO.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

[email protected]

WESTERN MARYLAND HEALTH SYSTEM

Robin Norris 301-723-4209

Employee Relations consultantWestern Maryland Health System555 Fairmount AveTowson, MD 21286

[email protected]

WESTFIELD INSURANCE CO

Kerri Weaver 800-732-0050

Worker's Compensation Claim ManagerWestfield Insurance Company201 East Oregon RdLancaster, PA 17604

[email protected]

Page 61 of 62

Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM

Page 62: Insurer Designee List Press CTRL+F to SearchA M C O INSURANCE COMPANY Ronald Dietrich 215-513-8738 Claims Manager Nationwide Insurance 355 Maple Avenue Harleysville, PA 19438 rdietri@nationwide.com

WESTROCK MWV,LLC/MEADWESTVACO

Kim Bolster 800-958-4785

Casualty Program AdministratorMeadWestvaco Corporation11013 West Broad StreetGlen Allen, VA 23060

[email protected]

WEYERHAEUSER COMPANY

Tracy Dark 410-773-4211

Operations ManagerSedgwick11350 McCormick RoadHunt Valley, MD 21031

[email protected]

XL INSURANCE AMERICA INC

ANTHONY HAMPTON 877-720-8844

OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861

[email protected]

XL SPECIALTY INSURANCE CO

ANTHONY HAMPTON 877-720-8844

OPERATIONS LEAD NORTH AMERICAAXA XL INSURANCE COMPANYPO BOX 614002ORLANDO, FL 32861

[email protected]

ZENITH INSURANCE CO

Laura McKenzie 410-230-3618

EsquireFranklin & ProkopikThe B&O Building, 2 N. Charles StreetBaltimore, MD 21201

[email protected]

ZURICH AMERICAN INS CO OF IL

Lynn Vazquez 410-559-8503

Claim Manager IIZurich America Insurance Company600 Red Brook BlvdOwings Mills, MD 21117

[email protected]

ZURICH AMERICAN INSURANCE COMPANY

Lynn Vazquez 410-559-8503

Claim Manager IIZurich America Insurance Company600 Red Brook BlvdOwings Mills, MD 21117

[email protected]

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Insurer Designee ListLast Updated: 4/11/2020 5:00:09 AM