MDWCC Insurer Designee List 3/2018 - wcc.state.md.us · AMCO/Nationwide Ins Company P.O. Box 69080...

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A M C O INSURANCE COMPANY

Robert Spagnolo 800-889-9872

WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080

spagnor@nationwide.com

ACADIA INSURANCE CO

Ralph Lukhard 800-283-1153

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

rlukhard@wrbmag.com

ACCEPTANCE INSURANCE CO

Jim Stilen 888-389-0708

Assistant VP ClaimsAcceptance Indemnity Insurance Company702 Oberlin RoadRaleigh, NC 27605

jstilen@mcm-ins.com

ACCIDENT FUND INSURANCE CO OF AMERICA

Lynn Schrems 866-206-5851

Regional Assistant IIAccident Fund Insurance Company of America200 N Grand AvenueLansing, MI 48901-7990

lynn.schrems@accidentfund.com

ACCIDENT FUND NATIONAL INS CO

Lynn Schrems 866-206-5851

Regional Assistant IIAccident Fund Insurance Company of America200 N Grand AvenueLansing, MI 48901-7990

lynn.schrems@accidentfund.com

ACE AMERICAN INSURANCE COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

ACE FIRE UNDERWRITERS INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

ACE INDEMNITY INSURANCE COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

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Insurer Designee ListLast Updated: 5/1/2018 8:00:14 AM

ACE PROPERTY AND CASUALTY INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

ACIG INS CO(AMER CONTRACTORS INS GROUP)

Cynthia Sadler 410-560-7011

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

csadler@novaprorisk.com

ADVANTAGE WORKERS COMPENSATION INS CO

Victor Frech 888-595-8750

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

vfrech@advantagewc.com

ADVENTIST HEALTHCARE INC.

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.adventist@rcmd.com

AFFINITY HEALTH ALLIANCE

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.unionhospitalcc@rcmd.com

AIG ASSURANCE COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AIG PROPERTY CASUALTY COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AIU INSURANCE COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

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Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

ALBAN TRACTOR COMPANY

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

ALEA NORTH AMERICA INSURANCE CO

Matthew Smith 877-775-8637

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

matthew.smith@aleagroup.com

ALL AMERICA INSURANCE COMPANY

Jamie Wiechart 800-786-9169

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

jwiechart@central-insurance.com

ALLEGHENY ENERGY SERVICE CORPORATION

E. Jeff Holmes 301-621-3554

Workers'Compensation ConsultantAcordia Employers Service8955 Guilford RoadColumbia, MD 21046

eholmes@alleghenyenergy.com

ALLIANZ GLOBAL RISKS US INS CO

Jason Fredrick 314-817-2806

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

jason.fredrick@agcs.allianz.com

ALLIED EASTERN INDEMNITY CO

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

jkreider@eains.com

ALLIED PROPERTY & CASUALTY INS. CO.

Ronald Dietrich 215-513-8738

WC Claims ManagerNationwide Mutual Insurance Company355 Maple Ave.Harleysville, PA 19438

rdietri@nationwide.com

ALLMERICA FINANCIAL ALLIANCE INS CO

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

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ALLMERICA FINANCIAL BENEFIT INS CO

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

AMERICAN ALLIANCE INS. CO.

Debbie Elliott 301-791-7040

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

dkelliott@gaic.com

AMERICAN ALTERNATIVE INSURANCE CORP

Charles Kroh 866-220-3505

Vice PresidentAmerican Alternative Insurance Corporation555 College Road EastPrinceton, NJ 08543

ckroh@munichreamerica.com

AMERICAN BUILDERS INSURANCE CO

Craig Edwards 678-309-4000

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

cedwards@bldrs.com

AMERICAN CAS. CO. OF READING

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

AMERICAN CASUALTY CO OF CNA

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

AMERICAN COMPENSATION INSURANCE COMPANYScott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

AMERICAN ECONOMY INSURANCE CO.

Rob Warzala 410-420-8013

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

rowarz@safeco.com

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AMERICAN FIRE AND CASUALTY CO.

kimberly galloway 410-871-2963

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

kim.galloway@ocas.com

AMERICAN GLOBAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AMERICAN HOME ASSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AMERICAN INSURANCE COMPANY

Dennis Mason 800-389-7231

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

dmason@ffic.com

AMERICAN INTERNATIONAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AMERICAN INTERNATIONAL SOUTH INS CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

AMERICAN INTERSTATE INSURANCE CO

KIM MIDKIFF 800-256-3462

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

kmidkiff@amerisafe.com

AMERICAN MANUF'S MUTUAL INS.CO

Edwin Bond 800-622-8637

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

edwin.bond@choosebroadspire.com

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AMERICAN MOTORISTS INSURANCE

Edwin Bond 800-492-0479

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

Edwin.Bond@choosebroadspire.com

AMERICAN RISK FUNDING INSURANCE CO

Cynthia Sadler 410-560-7011

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

csadler@novaprorisk.com

AMERICAN STATES INSURANCE CO.

KIMBERLY GALLOWAY 410-871-2963

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

kimberly.galloway@ohiocasualty-ins.com

AMERICAN TELEPHONE & TELEGRAPH CORP.

Briony Eccleston 800-622-8637

AdjusterBroadspireOne Monument PlaceFairfax, VA 220334062

briony.eccleston@choosebroadspire.com

AMERISURE INSURANCE CO.

Steven Donnelly 800-257-1900

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

sdonnelly@amerisure.com

AMERISURE MUTUAL INSURANCE CO

Steven Donnelly 800-257-1900

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

sdonnelly@amerisure.com

AMERISURE PARTNERS INSURANCE CO

Steven Donnelly 800-257-1900

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

sdonnelly@amerisure.com

AMGUARD INSURANCE COMPANY

JOANITA NAOUM 800-673-2465

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

joanitan@guard.com

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AMSTED INDUSTRIES INC

Daniel Litwin 866-552-9151

Assistant TreasurerAmsted Industries Incorporated180 N. Stetson DrChicago, IL 60601

dlitwin@amsted.com

ANNE ARUNDEL COUNTY

Bruce Lamartin 410-222-7630

Asst. Manager, Safety and InsuranceAnne Arundel County, Maryland Risk Management DivisionP.O. Box 6675Annapolis, MD 21401

rmlama80@aacounty.org

ANNE ARUNDEL HEALTH SYSTEM, INC

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D/ SISCO555 Fairmount AveTowson, MD 21286

wcc.aamc@rcmd.com

ARCBEST CORPORATION

Lynette Baker-Woodie 800-961-9477

Claims SpecialistArkansas Best Corporation3801 Old Greenwood RoadFort Smith, AR 72903

lynettebw@arkbest.com

ARCHDIOCESE OF BALTIMORE

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.archdiocese@rcmd.com

ARROWOOD INDEMNITY COMPANY

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

ARROWOOD INDEMNITY COMPANY

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

ASCENSION HEALTH

Elizabeth Brown-Hughes 410-773-4201

Operations ManagerSedgwick CMS11350 McCormick RoadHunt Valley, MD 21031

LBrown-Hughes@sedgwickcms.com

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ASHMERE INSURANCE COMPANY

Gary Roche 954-727-7001

COOAshmere Insurance Company401 E Las Olas BlvdFort Lauderdale, FL 33301

ashmeretaxes@ashmereins.com

ASPLUNDH TREE EXPERT COMPANY

Kathryn McDonald 800-526-6525

Team ManagerLiberty Mutual Ins.6101 Executive BlvdRockville, MD 20852

Kathryn.McDonald@LibertyMutual.com

ASSOCIATED INDEMNITY CORP.

Dennis Mason 800-389-7231

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

dmason@ffic.com

ATLANTIC SPECIALTY INS CO (ASIC)

Patrick Roberson 410-539-0906

CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201

roberson@hmmlawyers.com

ATLANTIC STATES INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

lorikibler@donegalgroup.com

AUTOMOBILE DEALERS GROUP SELF INS TRUST

Anne Antionelli 410-527-9054

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

anne_antionelli@pmagroup.com

AUTOMOBILE INS.CO.OF HARTFORD

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

BALTIMORE COUNTY GOVERNMENT

Suja Varghese 410-887-5669

Supervising Attorney/Claims ManagerBaltimore County Government308 Allegheny AvenueTowson, MD 21204

svarghese@baltimorecountymd.gov

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BALTIMORE COUNTY PUBLIC SCHOOLS

HILLARY MILSPAUGH 410-512-4605

Business Analyst SupervisorRCM&D SISCO555 Fairmount AvenueTowson, MD 21286

wcc.bcps@rcmd.com

BALTO WASH MED CENTER/NORTH ARUNDEL

Mary McFadden 410-328-7629

Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201

mmcfadden@mmcip.umm.edu

BANKERS STANDARD INS. CO.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

BARRETT BUSINESS SERVICES, INC.

Melissa Lemon 410-933-8070

Sr. WC Claims ExaminerCorvelPO Box 44015Nottingham, MD 21236

melissa_lemon@corvel.com

BD OF ED OF HOWARD COUNTY

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services co., Inc555 Fairmount AveTowson, MD 21286

wcc.howardcountyboe@rcmd.com

BENCHMARK INSURANCE COMPANY

Steve Novak 800-283-0622

Vice PresidentBenchmark Insurance Company775 Prairie Center DriveEden Prairie, MN 55344

snovak@treancorp.com

BERKLEY NATIONAL INSURANCE COMPANY

Ralph Lukhard 800-283-1153

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

rlukhard@wrbmag.com

BERKSHIRE HATHAWAY DIRECT INSURANCE CO

Nichole Albrecht 800-661-6029

Claims ManagerBerkshire Hathaway Homestate Companies1314 Douglas StreetOmaha, NE 68102

nalbrecht@bhhc.com

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BERKSHIRE HATHAWAY HOMESTATE INS CO

Dustin Puntney 800-661-6029

Claims ManagerBerkshire Hathaway Homestate Insurance CompanyPO Box 881716San Francisco, CA 94188

dpuntney@bhhc.com

BITCO GENERAL INSURANCE CORP

Mary Bauer 800-346-5108

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

mbauer@bituminousinsurance.com

BITCO NATIONAL INSURANCE COMPANY

Mary Bauer 800-346-5108

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

mbauer@bituminousinsurance.com

BLACK AND DECKER CORPORATION

M. Clayton Roop 410-716-3737

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

Clayton.Roop@bdk.com

BLUE RIDGE INDEMNITY CO

Sheila McGraw 800-362-5448

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

sheila.mcgraw@generalcasualty.com

BON SECOURS HEALTH SYSTEMS INC.

Yvonne Garside 410 442-3430

Manager, Workers' CompensationBon Secours Health System, Inc.1505 Marriottsville RdMarriottsville, MD 21104

yvonne_garside@bshsi.com

BRETHREN MUTUAL INSURANCE CO.

LISA FERGUSON 800-621-4264

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

lferguson@bmic.com

BRICKSTREET MUTUAL INSURANCE COMPANY

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

sally.edge@brickstreet.com

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BROTHERHOOD MUTUAL INSURANCE

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

BUILDERS MUTUAL INS CO

Patrick Tedesco 410-576-4720

AttorneySemmes, Bowen, & Semmes25 S. Charles StreetBaltimore, MD 21201

ptedesco@semmes.com

CARE PROVIDERS WORKERS COMP SELF INS GRP

Richard W. Scheiner 410-539-5040

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

rscheiner@semmes.com

CAROLINA CASUALTY INS CO

Michelle Belluscio 877-497-2637

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

mbelluscio@berkleynet.com

CARROLL COUNTY GOVERNMENT

Cecilia Devilbiss 410-386-2667

Risk ManagerCarroll County Government225 N. Center StreetWestminster, MD 21157

cdevilbiss@ccg.carr.org

CARROLL COUNTY HEALTH SERVICES CORP.

Kathy Gallagher 240-566-3721

Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701

kgallagher@compclaimsllc.com

CASTLEPOINT NATIONAL INSURANCE COMPANY

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

jbeason@twrgrp.com

CECIL COUNTY, MARYLAND

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

wcc.cecilcounty@rcmd.com

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CENTENNIAL INSURANCE COMPANY

Patricia McComb 410-252-4230

Claim SpecialistAtlantic Mutual7 Giralda FarmsMadison, NJ 07940-1027

pmccomb@atlanticmutual.com

CENTRAL MUTUAL INSURANCE COMPANY

Jamie Wiechart 800-786-9169

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

jwiechart@central-insurance.com

CENTURY INDEMNITY COMPANY

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

CGU INSURANCE CO

Patrick Roberson 410-539-0906

CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201

roberson@hmmlawyers.com

CHARLES COUNTY GOVERNMENT

Hilary Millspaugh 410-512-4605

Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284

wcc.charlescountygov@rcmd.com

CHARTER OAK FIRE INSURANCE CO.

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

CHARTIS CASUALTY COMPANY/FORMERLY AIG

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

CHARTIS PROPERTY CASUALTY COMPANY

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

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CHEROKEE INSURANCE CO

Mark Dadabbo 800-201-0450

PresidentCherokee Insurance Company34200 Mound RoadSterling Heights, MI 48310

mdadabbo@cherokeeinsurance.com

CHESAPEAKE EMPLOYERS INSURANCE COMPANY

Timothy Michels 410-494-2300

Chesapeake Employers Insurance Company8722 Loch Raven BlvdTowson, MD 21286

tmichels@ceic.com

CHUBB INDEMNITY INSURANCE CO

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

CHUBB NATIONAL INSURANCE COMPANY

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

CHURCH MUTUAL INSURANCE CO

Angela Calmes 800-554-2642

Work Comp Claims ManagerChurch Mutual Insurance CompanyPO Box 342Merrill, WI 54452

acalmes@churchmutual.com

CINCINNATI CASUALTY CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

toni_postell@cinfin.com

CINCINNATI INDEMNITY CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

toni_postell@cinfin.com

CINCINNATI INSURANCE CO

Toni Postell 301-877-5218

Claims SpecialistCincinnati Casualty CompanyPO Box 517Cheltenham, MD 20623

toni_postell@cinfin.com

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CITIZENS INSURANCE CO OF AMERICA

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

CITY OF ANNAPOLIS

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.cityofannapolis@rcmd.com

CLARK CONSTRUCTION GROUP, LLC

Hilary Moore 443-921-2571

Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286

wcc.clark@rcmd.com

CNA CASUALTY OF CALIFORNIA

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

COCA-COLA REFRESHMENTS USA, INC.

Patti Jones 410-773-4236

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

patricia.jones@sedgwickcms.com

COLONIAL PIPELINE COMPANY

Darla Lyle 410-933-5400

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

Darla.Lyle@choosebroadspire.com

COLONY SPECIALTY INS CO

Leslie W. Gawlik 443-650-0080

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

flyin_fan@yahoo.com

COMMERCE & INDUSTRY INS. CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

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COMMERCIAL UNION INS. CO.

Patrick Roberson 410-539-0906

CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201

roberson@hmmlawyers.com

COMPANION PROPERTY & CASUALTY

Timothy McLaughlin 410-539-0906

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

mclaughlin@hmmcomplaw.com

CONNECTICUT INDEMNITY COMPANY

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

CONSTELLATION ENERGY GROUP, INC.

Mark Hackman 410-470-5709

CounselConstellation Energy Group, Inc.100 Constellation WayBaltimore, MD 21202

mark.t.hackman@constellation.com

CONTINENTAL CASUALTY COMPANY

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

CONTINENTAL INDEMNITY COMPANY

Eric Kennedy 877-234-4420

Unit SupervisorContinental Indemnity Company10805 Old Mill RoadOmaha, NE 68154

ekennedy@auw.com

CONTINENTAL INSURANCE COMPANY

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

CONTINENTAL WESTERN INSURANCE COMPANY

Ralph Lukhard 800-283-1153

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

rlukhard@wrbmag.com

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COSTCO WHOLESALE

Carrie Freeland 800-913-1013

Workers' Compensation ManagerCostco Wholesale999 Lake DriveIssaquah, WA 98027

cfreeland@costco.com

CRUM & FORSTER INDEMNITY CO

Janet Rourke 888-890-1500

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

janet.rourke@cfins.com

DELHAIZE AMERICA, LLC

James Maloney 301-766-7748

EsquireSemmes, Bowen & Semmes322 East Antietam StreetHagerstown, MD 21740

jmaloney@semmes.com

DIAKON LUTHERAN SOCIAL MINISTRIES/TRESSL

Staci Ulp 800-356-0438

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

sulp@pnat.com

DIMENSIONS HEALTH CORPORATION

Robert Mellendick 410-339-7852

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

Rmellend@rcmd.com

DISCOVER PROPERTY & CASUALTY

Agnes Morales 860-954-8462

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

amorale3@travelers.com

DOCTORS COMMUNITY HOSPITAL

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

wcc.doctorscommunity@rcmd.com

DOLGENCORP, LLC

Robert Pugh 800-456-9446

Director of Risk ManagementDollar General Corporation100 Mission RidgeGoodlettsville, TN 37072

bpugh@dollargeneral.com

Page 16 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

DONEGAL MUTUAL INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

lorikibler@donegalgroup.com

E I DUPONT DE NEMOURS & CO

Edwin Bond 800-622-8637

ManagerBroadspire12150 East Monumant DriveFairfax, VA 22033

ebond@choosebroadspire.com

EASTERN ADVANTAGE ASSURANCE COMPANY

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

jkreider@eains.com

EASTERN ALLIANCE INSURANCE COMPANY

Jody Kreider 855-533-3444 ext 1723

Senior Compliance SpecialistEastern Alliance Insurance Company25 Race AvenueLancaster, PA 17603

jkreider@eains.com

EASTGUARD INSURANCE CO

JOANITA NAOUM 800-673-2465

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

joanitan@guard.com

EMCASCO INSURANCE CO

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

EMPLOYEE BENEFITS INSURANCE CO

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

EMPLOYERS ASSURANCE COMPANY

Kelly Spina 702-671-7271

Claim DirectorEmployers Assurance Company2550 Paseo Verde ParkwayHenderson, NV 89074

kspina@employers.com

Page 17 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

EMPLOYERS MUTUAL & CASUALTY OF IOWA

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

EMPLOYERS MUTUAL CASUALTY INS.

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

EMPLOYERS PREFERRED INS CO

Cheryl Hale 410-539-0906

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

cphillips@employers.com

ERIE INSURANCE CO

Darrell Spriggs 301-680-7464

Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914

darrell.spriggs@erieinsurance.com

ERIE INSURANCE EXCHANGE

Darrell Spriggs 301-680-7464

Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914

darrell.spriggs@erieinsurance.com

ERIE INSURANCE PROPERTY & CASUALTY

Darrell Spriggs 301-680-7464

Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914

darrell.spriggs@erieinsurance.com

EVEREST NATIONAL INSURANCE CO

James Camerino 800-438-4375

Senior Vice PresidentEverest National Insurance Company477 Martinsville RoadLiberty Corner, NJ 07938

james.camerino@everestre.com

EXCELSIOR INSURANCE CO

Christine Faucett 866-539-6449

Director Complex ClaimsExcelsior Insurance2000 Westwood DrWausau, WI 54402

christine.faucett@libertymutual.com

Page 18 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

EXCELSIOR INSURANCE CO. OF NY

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

eugenia.root@ohiocasualty-ins.com

FAIRMONT INSURANCE CO

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

FAIRMONT PREMIER INSURANCE CO

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

FAIRMONT SPECIALTY INSURANCE COMPANY

S. Woods Bennett 410-752-7600

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

mail@cbprlaw.com

FARMERS INSURANCE CO

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

michael_schaffer@corvel.com

FARMINGTON CASUALTY CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

FARMLAND MUTUAL INSURANCE COMPANY

Christopher Crawford 800-228-6700

Director, Workers CompensationNationwide Agribusiness1100 Locust StDes Moines, IA 50391

crawfc4@nationwide.com

FCCI INSURANCE COMPANY

Kelly Jensen 800-226-3224

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

kjensen@fcci-group.com

Page 19 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

FEDERAL EXPRESS CORPORATION

Barb Quigley 410-773-4230

SupervisorSedgwick Claims Management11350 McCormick RdHunt Valley, MD 21031

bquigley@sedgwickcms.com

FEDERAL INSURANCE COMPANY

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

FEDERATED MUTUAL INSURANCE CO.

Kevin O'Neill 410-783-1296

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

koneill@sdolaw.com

FEDERATED SERVICE INS CO

Kevin O'Neill 410-783-1296

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

koneill@sdolaw.com

FEDEX GROUND PACKAGE SYSTEMS INC

Larry Parks 800-238-6960

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

larry.parks@fedex.com

FIDELITY & GUAR. INSURANCE CO.

Agnes Morales 860-954-8462

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

amorale3@travelers.com

FIDELITY & GUAR.INSURANCE UND.

Agnes Morales 860-954-8462

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

amorale3@travelers.com

FIRE & CASUALTY INS CO OF CONN

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

Page 20 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

FIREMAN'S FUND INSURANCE CO.

Dennis Mason 800-389-7231

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

dmason@ffic.com

FIREMAN'S FUND OF WISCONSIN

Dennis Mason 800-389-7231

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

dmason@ffic.com

FIREMAN'S INSURANCE CO. OF NJ

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

FIREMENS INSURANCE CO OF WASHINGTON D C

Ralph Lukhard 800-283-1153

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

rlukhard@wrbmag.com

FIRST LIBERTY INSURANCE CORP

Tara Kasper 800-900-4875

Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068

tara.kasper@libertymutual.com

FIRST NATIONAL INS.CO-AMERICA

Rob Warzala 410-420-8013

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

rowarz@safeco.com

FIRSTLINE NATIONAL INSURANCE CO

Tara Turner 443-640-2314

Claims Quality & Compliance ManagerFirstline National Insurance Company200 N. Main StreetBel Air, MD 21014

tturner@hm1842.com

FLAGSHIP CITY INSURANCE CO

Darrell Spriggs 301-680-7464

Regional Claims SupervisorErie Insurance Company12121 Tech RoadSilver Spring, MD 20914

darrell.spriggs@erieinsurance.com

Page 21 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

FLORIDA ROCK INDUSTRIES INC

Darla Stricker 410-933-5408

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

darla_stricker@us.crawco.com

FLORISTS INSURANCE CO

Matt Stoss 800-851-7740

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

matt.stoss@hortica.com

FLORISTS MUTUAL INSURANCE CO.

Matt Stoss 800-851-7740

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

matt.stoss@hortica.com

FORD MOTOR COMPANY

Brenda Price 800-508-2065

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

bprice48@ford.com

FRANK WINSTON CRUM INSURANCE INC

Brigitte Becker 800-277-1620

Vice President of ClaimsFrank Winston Crum Insurance, Inc.100 S. Missouri Ave.Clearwater, FL 33756

brigitteb@fwcruminsurance.com

FRANKENMUTH MUTUAL INS CO

Bonnie Ellison 800-234-4433

Workers' Compensation SupervisorFrankenmuth Mutual Insurance Co.One Mutual AvenueFrankenmuth, MI 48787-0040

bonnie.ellison@ffgrp.com

FREDERICK MEMORIAL HOSPITAL, INC.

Kathy Gallagher 240-566-3721

Exec. DirectorComp Claim Management LLC470 Prospect BoulevardFrederick, MD 21701

kgallagher@fmh.org

FRONT ROYAL INSURANCE CO

Leslie W. Gawlik 443-650-0080

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

flyin_fan@yahoo.com

Page 22 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

FRONTIER INSURANCE COMPANY

Nancy Esposito 800-807-5080

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

nesposito@ftrins.com

GATEWAY INSURANCE COMPANY

Joseph Shugrue 800-897-2551

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

jshugrue@atlas-fin.com

GBMC HEALTHCARE, INC.

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

wcc.gbmc@rcmd.com

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

CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201

roberson@hmmlawyers.com

GENERAL CASUALTY CO OF WISCONSIN

Kimberly Reed 800-961-1121

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

Kimberly.Reed@generalcasualty.com

GENERAL CONF. OF SEVENTH DAY ADVENTISTS

Joshua Nieblas 301-680-6863

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

jnieblas@adventistrisk.org

GENERAL INSURANCE CO. OF AMER.

Rob Warzala 410-420-8013

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

rowarz@safeco.com

GENERAL MOTORS COMPANY

Randy Clifford 410-773-4244

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

randy.clifford@sedgwickcms.com

Page 23 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

GENERAL MOTORS CORPORATION

Bobbi Elliott 410-773-4242

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

belliott@sedgwickcms.com

GENESIS INSURANCE CO

MARY ANN BROWN 800-431-9994

ASSISTANT SECRETARYGENESIS INSURANCE COMPANY120 LONG RIDGE ROADSTAMFORD, CT 06902

mary.ann.brown@gumc.com

GIANT FOOD STORES LLC T/A MARTIN'S FOOD

Barry Bernstein 410-385-3943

Attorney At Lawfor Ahold U.S.A., Inc.- Giant Food Stores LLC-MAC Risk Management25 South Charles StreetBaltimore, MD 21201

bbernstein@semmes.com

GLOBE INDEMNITY INSURANCE CO.

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

GRANITE STATE INSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

GREAT AMERICAN ALLIANCE INS

Valerie Aburn 770-225-4618

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

vaburn@strategiccomp.com

GREAT AMERICAN INS CO OF NY

Valerie Aburn 770-225-4618

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

vaburn@strategiccomp.com

GREAT AMERICAN INSURANCE CO.

Debbie Elliott 301-791-7040

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

dkelliott@gaic.com

Page 24 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

GREAT ATLANTIC & PACIFIC TEA CO

Darla Stricker 410-933-5408

Unit ManagerCrawford & Company9900 Franklin Square DriveBaltimore, MD 21236

darla_stricker@us.crawco.com

GREAT MIDWEST INSURANCE CO

Cora Wolfel 888-377-7263

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

cwolfel@rcmd.com

GREAT NORTHERN INSURANCE CO.

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

GREAT WEST CASUALTY COMPANY

Dale Seguin 800-228-8602

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

d.seguin@gwccnet.com

GREATER NY MUTUAL INSURANCE CO

Paul Donoghue 410-727-2443

AttorneyRollins, Smalkin, Richards & Mackie401 North Charles StreetBaltimore, MD 21201

pdonoghue@rsrm.com

GUARANTEE INSURANCE COMPANY

Mark Hoehn 877-567-0303

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

mhoehn@pnigroup.com

GUIDEONE MUTUAL INSURANCE COMPANY

Linda Wilson 877-448-4331

Workers Compensation SupervisorGuideOne Insurance1025 Ashworth RdWest Des Moines, IA 50265

lwilson@guideone.com

GUIDEONE SPECIALTY MUTUAL INS CO

Christine Opfer 515-267-5166

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

copfer@guideone.com

Page 25 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

HANOVER AMERICAN INSURANCE CO

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

HANOVER INSURANCE CO.

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

HARFORD COUNTY MARYLAND

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company555 Fairmount AvenueTowson, MD 21286

wcc.harfordcountymd@rcmd.com

HARFORD MUTUAL INSURANCE CO.

Tara Turner 443-640-2314

Claims Quality & Compliance ManagerFirstline National Insurance Company200 N. Main StreetBel Air, MD 21014

tturner@hm1842.com

HARLEYSVILLE MUTUAL INSURANCE

Jan Ross 410-902-6910

WC Claim RepresentativeHarleysville Insurance2885 Elm Hill PikeNashville, TN 37214

jross@harleysvillegroup.com

HARLEYSVILLE PREFERRED INS

Jan Ross 410-902-6910

WC Claim RepresentativeHarleysville Insurance2885 Elm Hill PikeNashville, TN 37214

jross@harleysvillegroup.com

HARTFORD ACCIDENT & INDEMNITY

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

HARTFORD CASUALTY INSURANCE CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

Page 26 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

HARTFORD FIRE INSURANCE CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

HARTFORD INS CO OF THE MIDWEST

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

HARTFORD INSURANCE CO OF THE SOUTHEAST

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

HARTFORD UNDERWRITERS INSURANCE

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

HDI GLOBAL INSURANCE COMPANY

John Thompson 800-607-6000

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

john.thompson@hid-gerling.com

HEBREW HOME OF GREATER WASHINGTON

Hilary Millspaugh 410-512-4605

Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284

wcc.hebrewhome@rcmd.com

HERR FOODS, INC.

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

HIGHMARK CASUALTY INS CO

Robert Frew 800-328-5433

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

rob.frew@highmarklife.com

Page 27 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

HOWARD COUNTY MARYLAND

Charles Lewis 410-313-6390

AdministratorHoward County Maryland6751 Columbia Gateway DrColumbia, MD 21046

clewis@howardcountymd.gov

ILLINOIS NATIONAL INSURANCE CO

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

IMPERIAL CASUALTY AND INDEMNITY CO

Michael McClellan 888-339-5736

Claims ManagerImperial Casualty and Indemnity Company (Providence Holdings, Inc.)P.O. Box 2769Frisco, TX 75034

mmcclellan@ppcinsurance.com

IMPERIUM INSURANCE COMPANY

Richard Starkie 800-203-1179

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

rstarkie@delosinsurance.com

INDEMNITY INS. CO. OF N. AMER.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

INSURANCE CO. OF GREATER NY

Paul Donoghue 410-727-2443

AttorneyRollins, Smalkin, Richards & Mackie401 North Charles StreetBaltimore, MD 21201

pdonoghue@rsrm.com

INSURANCE CO. OF N. AMERICA

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

INSURANCE CO. OF STATE OF PA.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

Page 28 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

INSURANCE COMPANY OF THE WEST

Connor McNulty 610-657-6955

Claims ManagerICW Group550 E Swedesford RdWayne, PA 19087

cmcnulty@icwgroup.com

INTERNATIONAL PAPER COMPANY

David Miles 410-773-4226

SupervisorSedgwick Claims Management Services11350 McCormick RoadHunt Valley, MD 21031

dmiles@sedgwickcms.com

JOHNS HOPKINS HEALTH SYSTEM CORPORATION

Sharon Soistman 410-955-4800

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

ssoistm1@jhmi.edu

JOHNS HOPKINS UNIVERSITY

Sharon Soistman 410-955-4800

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

ssoistm1@jhmi.edu

KENNEDY KRIEGER INSTITUTE

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.kennedykrieger@rcmd.com

L M INSURANCE CORP

Amparo Sadovnik 800-900-4875

Team ManagerLiberty Mutual3 Becker Farm RoadRoseland, NJ 07068

amparo.sadovnik@libertymutual.com

LIBERTY INSURANCE CORP

Ervin Gainer Sr 301-881-9300

Claims Manager/OOMLiberty Mutual6101 Executive BlvdRockville, MD 20852

ervin.gainersr@libertymutual.com

LIBERTY MUTUAL INSURANCE CO.

Tara Kasper 800-900-4875

Team ManagerLiberty Mutual Insurance3 Becker Farm RoadRoseland, NJ 07068

tara.kasper@libertymutual.com

Page 29 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

LIFEBRIDGE HEALTH, INC

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self Insured Services Company, Inc.555 Fairmount AvenueTowson, MD 21286

wcc.lifebridge@rcmd.com

LOWE'S HOME CENTERS, LLC

Lori Mills 877-494-8010

Claim SpecialistSpecialty Risk ServicesPO Box 807Hunt Valley, MD 21030

lori.mills@srsconnect.com

LUMBERMEN'S UNDERWR. ALLIANCE

Phyllis Charlton 866-794-0360

WC Claims AdjusterLUA Claims Service11019 Thistlebrook CourtColumbia, MD 21044

phyllis.charlton@ins-lua.com

MACY'S INC./FEDERATED DEPT STORES

Roxanne Stegemeyer 443-484-4007

Claims SpecialistMacy's, Inc3300A Fashion WayJoppa, MD 21085

roxanne.stegemeyer@macys.com

MAIN STREET AMERICA ASSURANCE CO

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

frank.lipshulz@zaunerlaw.com

MAINE EMPLOYERS MUTUAL INS CO

David Godwin 410-418-8778

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

godwin@gevdlaw.com

MANUFACTURERS ALLIANCE CO.

Eric Reiner 800-382-1203

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

eric_reiner@pmagroup.com

MARFY/CBH

Laurie Wilson 410-933-0002

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

lwilson@hsc-claims.com

Page 30 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

MARKEL INSURANCE COMPANY

Kenneth Shaffrey 410-576-4825

AttorneySemmes, Bowen & Semmes25 South Charles St.Baltimore, MD 21201

kshaffrey@semmes.com

MARRIOTT INTERNATIONAL, INC.

Steve Perroots 866-627-0111

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

steve.perroots@marriott.com

MARYLAND ASSOC BOARDS OF EDUC

Tina Gates 410-841-2493

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

tgates@mabe.org

MARYLAND GENERAL HOSPITAL

Mary McFadden 410-328-7629

Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201

mmcfadden@mmcip.umm.edu

MARYLAND GROUP SELF-INSURED HOSPITALS

Hilary Millspaugh 410-512-4605

Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284

wcc.mha@rcmd.com

MASSACHUSETTS BAY INSURANCE CO

Elizabeth Beshai 800-628-0250

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

ebeshai@hanover.com

MAYOR AND CITY COUNCIL OF BALTIMORE

Tracy Logue 410-864-2576

Program ManagerKey Risk Management Services, Inc.7 Saint Paul StreetBaltimore, MD 21202

tlogue@keyrisk.com

MD ASSN. COMMUNITY SVCS- SELF-INS. GROUP

Darrick Bowens 410-931-6620

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

dbowens@4hsbc.com

Page 31 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

MD. RESTAURANT & HOSP. SELF INS. FUND

Anne Antionelli 410-527-9054

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

anne_antionelli@pmagroup.com

MEMIC INDEMNITY COMPANY

Karen Porter 866-636-4292

Director, Claim ComplianceMEMIC Indemnity Company1750 Elm StreetManchester, NH 03104

kporter@memic.com

MERCHANTS MUTUAL INSURANCE CO.

Maralee Denz 716-849-3029

WC Claim SupervisorMerchants Mutual Insurance Company250 Main StreetBuffalo, NY 14202

mdenz@merchantsgroup.com

MERCY MEDICAL CENTER

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AvenueTowson, MD 21286

wcc.mercy@rcmd.com

MERIDIAN MUTUAL INS CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

MERIDIAN SECURITY INS CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

MERITUS MEDICAL CENTER/WASH CO HOSP

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

wcc.washingtoncountyhospital@rcmd.com

METTIKI COAL, LLC

Pam Hanline 301-334-5326

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

pam.hanline@arlp.com

Page 32 of 56

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MID CENTURY INSURANCE CO.

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

michael_schaffer@corvel.com

MIDDLESEX INSURANCE COMPANY

Matt Stoss 800-851-7740

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

matt.stoss@sentry.com

MIDWEST EMPLOYERS CASUALTY CO

Michelle Belluscio 877-497-2637

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

mbelluscio@berkleynet.com

MILLER & LONG CO. INC

Deborah Carr 301-347-4203

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

deborahcarr@millerandlong.com

MONROE GUARANTY INSURANCE CO

Kelly Jensen 800-226-3224

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

kjensen@fcci-group.com

MONTGOMERY COUNTY MARYLAND

Lissa Bales 240-777-8903

Claims ManagerMontgomery County Self Insurance Program101 Monroe StreetRockville, MD 20850

lissa.bales@montgomerycountymd.gov

MONTGOMERY GENERAL HOSPITAL

Stan Haynes 410-576-4723

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

shaynes@semmes.com

MONTGOMERY INDEMNITY CO

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

eugenia.root@ohiocasualty-ins.com

Page 33 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

MOTORISTS COMMERCIAL MUTUAL INS. CO.

Judy Palamara 800-876-7488

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

judy.palamara@motoristsgroup.com

MUTUAL BENEFIT INSURANCE CO.

Brenda Nead 800-283-3531

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

bnead@mutualbenefitgroup.com

NATIONAL AMERICAN INS CO

R. Patrick Gilmore 405-258-4262

Senior Vice PresidentNational American Insurance Company1010 Manvel AvenueChandler, OK 74834

pgilmore@naico.com

NATIONAL BUILDERS INSURANCE CO

Robert Erlandson 410-418-8778

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

erlandson@gedlawfirm.com

NATIONAL CASUALTY COMPANY

Tracy Augspurger 800-228-6700

Consultant, Workers' CompensationNational Casualty Company1100 Locust STDes Moines, IA 50391

taugspur@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

audra.moraski@arrowpointcap.com

NATIONAL FIRE INS. OF HARTFORD

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

NATIONAL FIRE INSURANCE CO.

kevin mahoney 410-527-7838

claim specialistCNA201 International DriveHunt Valley, MD 21030

kevin.mahoney@ cna.com

Page 34 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

NATIONAL INTERSTATE INS CO

Jim Willett Jr 410-576-4733

AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

jimwillett@semmes.com

NATIONAL TRUST INSURANCE COMPANY

Kelly Jensen 800-226-3224

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

kjensen@fcci-group.com

NATIONAL UNION FIRE INS CO OF PITTSBURGH

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

NATIONAL UNION FIRE INSURANCE

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

NATIONWIDE AGRIBUSINESS INS CO

Christopher Crawford 800-228-6700

Director, Workers CompensationNationwide Agribusiness1100 Locust StDes Moines, IA 50391

crawfc4@nationwide.com

NATIONWIDE MUTUAL FIRE INS CO

Robert Spagnolo 800-889-9872

WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080

spagnor@nationwide.com

NATIONWIDE MUTUAL INSURANCE CO

Robert Spagnolo 800-889-9872

WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080

spagnor@nationwide.com

NATIONWIDE PROPERTY & CASUALTY

Robert Spagnolo 800-889-9872

WC Claim ManagerAMCO/Nationwide Ins CompanyP.O. Box 69080Harrisburg, PA 17106-9080

spagnor@nationwide.com

Page 35 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

NETHERLANDS INSURANCE COMPANY

EUGENIA ROOT 800-382-1223

WC Unit LeaderOHIO CASUALTY INSURANCE275 GRANDVIEW AVECAMP HILL, PA 17011

eugenia.root@ohiocasualty-ins.com

NEW HAMPSHIRE INSURANCE CO.

Loren Berrocal 866-642-5246

Claim ManagerAIGP.O. Box 305902Nashville, TN 37230

loren.berrocal@aig.com

NEW JERSEY MANUFACTURERS INS CO

Francis Shuler 800-232-6600

Claims SupervisorNJM Insurance Group1599 Littleton RoadParsippany, NJ 07054

fshuler@njm.com

NEW YORK MARINE & GENERAL INSURANCE CO

Patrick Gano 800-774-2755

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

pgano@prosightspecialty.com

NEWARK INSURANCE COMPANY

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

NGM INSURANCE COMPANY

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

frank.lipshulz@zaunerlaw.com

NIPPONKOA INS CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

NORDSTROM INC

Robert Haugen 877-275-7475

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

bob.haugen@nordstrom.com

Page 36 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

NORGUARD INSURANCE CO

JOANITA NAOUM 800-673-2465

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

joanitan@guard.com

NORTH RIVER INSURANCE CO.

Janet Rourke 888-890-1500

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

janet.rourke@cfins.com

NORTHSTONE INSURANCE CO

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

sally.edge@brickstreet.com

NORTHWEST HEALTH SYSTEM, INC.

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services co., Inc.555 Fairmount AvenueTowson, MD 21286

wcc.northwest@rcmd.com

NOXELL CORPORATION

Geneva Sallee 800-235-1134

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

sallee.ga@pg.com

OBI NATIONAL INSURANCE COMPANY

Patrick Roberson 410-539-0906

CounselGeneral Acc Ins Co of America/ OneBeacon Ins Co20 South Charles StreetBaltimore, MD 21201

roberson@hmmlawyers.com

OCCIDENTAL FIRE & CASUALTY

Mark Mendenhall 630-864-3450

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

mark.mendenhall@iatinsurance.com

OHIO CASUALTY INSURANCE CO.

kimberly galloway 410-871-2963

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

kim.galloway@ocas.com

Page 37 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

OHIO SECURITY INSURANCE CO

kimberly galloway 410-871-2963

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

kim.galloway@ocas.com

OLD DOMINION INSURANCE CO

Frank Lipshultz 410-843-0506

AttorneyZauner & Associates100 N. Charles StreetBaltimore, MD 21201

frank.lipshulz@zaunerlaw.com

OLD GUARD INSURANCE CO

Kerri Weaver 800-732-0050

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

kerriweaver@westfieldgrp.com

OLD REPUBLIC GENERAL INS CORP

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

OLD REPUBLIC INSURANCE CO.

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

ONEBEACON AMERICA INS CO

Debby Schoen-Cruz 877-248-3455

TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021

dschoen-cruz@onebeacon.com

ONEBEACON INS CO

Debby Schoen-Cruz 877-248-3455

TPA Oversight SpecialistOneBeacon Insurance Company150 Royall StreetCanton, MA 02021

dschoen-cruz@onebeacon.com

ORISKA INSURANCE CO

James Kernan 800-358-3513

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

contact@oriska.com

Page 38 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

P.H. GLATFELTER COMPANY

Crista Sutton 410-527-9033

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

crista_sutton@pmagroup.com

PACIFIC EMPLOYERS INSURANCE CO

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

PACIFIC INDEMNITY COMPANY

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

PEERLESS INDEMNITY INS CO

KIMBERLY GALLOWAY 410-871-2963

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

kimberly.galloway@ohiocasualty-ins.com

PENINSULA INDEMNITY CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

lorikibler@donegalgroup.com

PENINSULA INSURANCE CO

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

lorikibler@donegalgroup.com

PENINSULA REGIONAL MEDICAL CENTER

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., inc.555 Fairmount AveTowson, MD 21286

wcc.peninsularmc@rcmd.com

PENN MILLERS INS CO

Donna Westervelt 856-780-3907

Claims RepresentativeGallagher Bassett9240 Rumsey RoadColumbia, MD 21045

donna_westervelt@gbtpa.com

Page 39 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

PENN NATIONAL SECURITY INS CO

NICOLE CARRUTH 800-388-4764

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

ncarruth@pnat.com

PENNSYLVANIA LUMBERMENS MUT'L.

Francis R. Santoro 800-752-1895

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

fsantoro@plmins.com

PENNSYLVANIA MFG. ASSOCIATION

Eric Reiner 800-382-1203

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

eric_reiner@pmagroup.com

PENNSYLVANIA MFG. INDEMNITY

Eric Reiner 800-382-1203

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

eric_reiner@pmagroup.com

PENNSYLVANIA NATIONAL MUTUAL CAS INS CO

NICOLE CARRUTH 800-388-4764

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

ncarruth@pnat.com

PERDUE FARMS, INC.

Beth Grove 410-749-2155

Senior AdjusterCrawford & Company1501 Edgemore AvenueSalisbury, MD 21801

Beth_Grove@us.crawco.com

PHARMACISTS MUTUAL INSURANCE CO

Lisa Molsberry 800-247-5930

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

lisa.molsberry@phmic.com

PHOENIX INSURANCE COMPANY

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

Page 40 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

PINNACLEPOINT INSURANCE CO

Sally Edge 866-452-7425

Director, Claims OperationsPinnacle Insurance Company400 Quarrier StreetCharleston, WV 25301

sally.edge@brickstreet.com

PLAZA INSURANCE COMPANY

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

POTOMAC FARMS DAIRY/GALLIKER DAIRY CO

Staci Ulp 800-356-0438

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

sulp@pnat.com

PRAETORIAN INSURANCE COMPANY

Dave Palmer 608-825-5767

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

david.palmer@us.qbe.com

PREFERRED PROFESSIONAL INS CO

Kathryn McAleer 410-539-0906

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

mcaleer@hmmlawyers.com

PRINCE GEORGE CO COMM COLLEGE

Lazina Alie 301-583-5411

Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774

lazina_alie@corvel.com

PRINCE GEORGE'S COUNTY MARYLAND

Lazina Alie 301-583-5411

Branch ManagerCorVel9475 Lottsford RoadLargo, MD 20774

lazina_alie@corvel.com

PRINCETON INSURANCE CO

Michael Broadway 800-394-8335

Branch ManagerCrawford & Company9900 Franklin Square DriveBaltimore, Md 21236

Darla_Stricker@us.crawco.com

Page 41 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

PROCTER & GAMBLE MANUF CO

Geneva Sallee 800-235-1134

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

sallee.ga@pg.com

PROTECTIVE INSURANCE COMPANY

David Ghesquiere 800-479-0981

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

notice@protectiveinsurance.com

QBE INSURANCE CORPORATION

Dave Palmer 608-825-5767

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

david.palmer@us.qbe.com

RECIPROCAL OF AMERICA

Mark Hyland 800-824-8847

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

mhyland@reciprocalgroup.com

REDWOOD FIRE & CASUALTY INS CO

Kathleen Koester-Holt 800-661-6029

Unit SupervisorRedwood Fire and Casualty Insurance1314 Douglas StreetOmaha, NE 68102

kholt@bhhc.com

REPUBLIC FRANKLIN INSURANCE

Bonnie Johnson 410-252-9575

claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093

bjohnson@gtb.net

ROCKWOOD CASUALTY INSURANCE CO

Leslie W. Gawlik 443-650-0080

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

flyin_fan@yahoo.com

ROCKWOOD INS. CO OF INDIANA

Leslie W. Gawlik 443-650-0080

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

flyin_fan@yahoo.com

Page 42 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

ROXUL USA, INC./CHICAGO METALLIC

Robert Mellendick 410-339-7852

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

rmellendick@RCMD.com

RYDER SYSTEMS INC

Richard W. Scheiner 410-539-5040

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

rscheiner@semmes.com

SAFECO INS. CO. OF AMERICA

Rob Warzala 410-420-8013

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

rowarz@safeco.com

SAFECO INSURANCE CO OF ILLINOIS

Rob Warzala 410-420-8013

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

rowarz@safeco.com

SAFEGUARD INSURANCE COMPANY

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

SAFETY FIRST INS CO

Jennifer Holmes 888-995-5300

Technical Support SpecialistSafety National Casualty Corporation1832 Schuetz Rd.St.Louis, MO 63146

jennifer.holmes@safetynational.com

SAFETY NATIONAL CASUALTY CORP

Jennifer Holmes 888-995-5300

Technical Support SpecialistSafety National Casualty Corporation1832 Schuetz Rd.St.Louis, MO 63146

jennifer.holmes@safetynational.com

SAFEWAY INC.

Paul Osborn 301-918-8919

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

paul.osborn@safeway.com

Page 43 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

SEABOARD FIRE & MARINE INS.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

SEABRIGHT INSURANCE COMPANY

Michael Schaffer 410-933-3966

ManagerSchaffer Companies, LTD9940 Franklin Square DriveBaltimore, MD 21236

michael schaffer@corvel.com

SECURITY INSURANCE CO.

Audra Moraski 800-524-4505

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

audra.moraski@arrowpointcap.com

SELECT INSURANCE COMPANY

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

SELECT RISK INSURANCE CO

Brenda Nead 800-283-3531

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

bnead@mutualbenefitgroup.com

SELECT RISK MUTUAL INS CO

Brenda Nead 800-283-3531

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

bnead@mutualbenefitgroup.com

SELECTIVE INS CO OF SOUTH CAROLINA

Christy Jones 800-688-9656

Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277

christy.jones@selective.com

SELECTIVE INS CO OF THE SOUTHEAST

Christy Jones 800-688-9656

Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277

christy.jones@selective.com

Page 44 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

SELECTIVE INS. CO. OF AMERICA

Christy Jones 800-688-9656

Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277

christy.jones@selective.com

SELECTIVE WAY INSURANCE CO

Christy Jones 800-688-9656

Claims SupervisorSelective Way Insurance Company3426 Toringdon WayCharlotte, NC 28277

christy.jones@selective.com

SENECA INSURANCE CO

Michael Hall 800-899-2235

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

mhall@lbmadjusters.com

SENTINEL INSURANCE COMPANY

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

SENTRY CASUALTY COMPANY

Matt Stoss 800-851-7740

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

matt.stoss@sentry.com

SENTRY INDEMNITY COMPANY

Bonnie Johnson 410-252-9575

claims representativeAA Adjusting20 East TimoniumTimonium, MD 21093

bjohnson@gtb.net

SENTRY INSURANCE A MUTUAL CO

Matt Stoss 800-851-7740

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

matt.stoss@sentry.com

SENTRY SELECT INS CO /F/K/A JOHN DEERE

Matt Stoss 800-851-7740

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

matt.stoss@sentry.com

Page 45 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

SHEEHY AUTO STORES

Jessica Edelstein 800-203-5677

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

jedelstein@chc-inc.com

SHEPPARD & ENOCH PRATT HEALTH SYSTEM

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

wcc.sheppardpratt@rcmd.com

SINAI HOSPITAL OF BALTIMORE, INC.

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc555 Fairmount AveTowson, MD 21286

wcc.sinai@rcmd.com

SOLO CUP COMPANY/DART CONTAINER

Bonita Formwalt 800-448-0077

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

bonita_formwalt@gbtpa.com

SOMPO AMERICA INSURANCE CO

Judith Werner 877-589-5959

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

jwerner@sompo-us.com

SOUTHERN INSURANCE CO OF VIRGINIA

Lori Kibler 800-877-0600

Workers Compensation Claims ManagerPeninsula Insurance Company1195 River RoadMarietta, PA 17547

lorikibler@donegalgroup.com

SOUTHERN INSURANCE COMPANY

Frank Hall 877-788-6008

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

frank.hall@republicgroup.com

SOUTHERN MD ELECTRIC CO-OP

Giovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-Insured Services Co., Inc.555 Fairmount AveTowson, MD 21286

wcc.smeco@rcmd.com

Page 46 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

SOUTHERN PILOT INS CO

Ridge Cramer 410-821-1764

Senior Claims AdjusterWard North America8501 LaSalle RoadBaltimore, MD 21296

rcramer@wardclaims.com

SOUTHERN STATES INSURANCE EXCH

TESS SHERZEY 877-243-6677

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

TESS.SHERZEY@SSCOOP.COM

SPARTA INSURANCE COMPANY

John Mindek 877-772-7824

SVP, ClaimsSPARTA Insurance Company185 Asylum StreetHartford, CT 06103

jmindek@spartainsurance.com

ST PAUL FIRE & MARINE INS CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

ST PAUL GUARDIAN INSURANCE CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

ST PAUL MERCURY INSURANCE CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

ST. MARY'S COUNTY GOVERNMENT

Hilary Millspaugh 410-512-4605

Business Applications ManagerSISCOPO Box 42737Baltimore, MD 21284

wcc.stmarysgov@rcmd.com

STANDARD FIRE INSURANCE CO.

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

Page 47 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

STANLEY WORKS

Robyn Jones 800-551-0271

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

Robyn.jones@srsconnect.com

STAR INSURANCE CO

Thomas Tucker 800-482-2726

VP ClaimsMeeadowbrook, Inc26255 American DriveSouthfield, MI 48034

ttucker@meadowbrook.com

STARNET INSURANCE COMPANY

Michelle Belluscio 877-497-2637

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

mbelluscio@berkleynet.com

STATE AUTO PROPERTY & CAS. CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

STATE AUTOMOBILE MUTUAL INS.CO

Scott Smith 800-789-2242

Claim ManagerState Auto Insurance Comapny8500 Normandale Lake Blvd.Bloomington, MN 55437

scott.smith@stateauto.com

STATE FARM GENERAL INSURANCE

Rick Scotton 301-620-6424

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

rick.scotton.ceh9@statefarm.com

STATE NATIONAL INSURANCE COMPANY

Debbie VanSanford 800-877-4567

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

dvansanford@statenational.com

STATE OF MARYLAND

Timothy Michels 410-494-2300

Chesapeake Employers Insurance Company8722 Loch Raven BlvdTowson, MD 21286

tmichels@ceic.com

Page 48 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

STONINGTON INSURANCE COMPANY

Dave Palmer 608-825-5767

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

david.palmer@us.qbe.com

SUBURBAN HOSPITAL ASSOCIATION

Hilary Moore 443-921-2571

Business AnalystRCM&D/ SISCO555 Fairmount AvenueTowson, MD 21286

wcc.suburban@rcmd.com

SUSSEX INSURANCE CO

Joe Suarez 800-845-2724

Claims ManagerSussex Insurance Company221 Dawson Rd.Columbia, SC 29223

joe.suarez@enstargroup.com

TARGET CORPORATION

Catherine Marschall 800-285-3258

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

CTMarschall@sedgwickcms.com

TECHNOLOGY INSURANCE CO

Brenda Oals-Becker 888-239-3909

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

bbecker@amtrustgroup.com

TIG INSURANCE CO

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

TOKIO MARINE AMERICA INSURANCE COMPANY

Todd Alena 800-628-2796

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

todd.alena@tokiom.com

TOWER INSURANCE CO OF NEW YORK

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

jbeason@twrgrp.com

Page 49 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

TOWER NATIONAL INSURANCE COMPANY

Jeffrey Beason 866-450-8608

AVP Southeast ClaimsTower Group CompaniesPO Box 948154Maitland, FL 32794

jbeason@twrgrp.com

TOWN OF OCEAN CITY

Eric Lagstrom 410-289-8773

Risk ManagerTown of Ocean City301 Baltimore AveOcean City, MD 21842

ELagstrom@ococean.com

TRANSAMERICA INSURANCE CO.

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

TRANSAMERICA PREMIER INS CO

S. Woods Bennett 410-539-0906

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

bennett@hmmlawyers.com

TRANSCONTINENTAL INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

TRANSGUARD INS CO OF AMERICA INS

Mark Mendenhall 630-864-3450

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

mark.mendenhall@iatinsurance.com

TRANSPORT INSURANCE CO.

Desiree Mecca 267-675-3348

Assistant SecretaryTransport Insurance Company2 Logan SquarePhiladelphia, PA 19103

desiree.mecca@rqih.com

TRANSPORTATION INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

Page 50 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

TRAVELERS CASU AND SURETY CO OF AMERICA

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS CASUALTY AND SURETY CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS CASUALTY CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS CASUALTY CO OF CONNECTICUT

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS CASUALTY INS CO OF AMERICA

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS COMMERICAL CASUALTY CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS COMMERICAL INSURANCE CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS INDEMNITY CO

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

Page 51 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

TRAVELERS INDEMNITY CO OF AMERICA

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS INDEMNITY CO OF CONNECTICUT

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS INSURANCE COMPANY

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRAVELERS PROPERTY CASUALTY CO OF AMER

Meredith Haskell 800-842-0091

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

balwcclm@travelers.com

TRIUMPHE CASUALTY CO

Jim Willett Jr 410-576-4733

AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

jimwillett@semmes.com

TRUCK INSURANCE EXCHANGE

Michael Schaffer 410-933-8080

Claims ManagerCorVel CorporationPO Box 44015Baltimore, MD 21236

michael_schaffer@corvel.com

TRUMBULL INS CO

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

TWIN CITY FIRE INSURANCE CO.

Chris Turner 407-562-3665

Claim ManagerThe HartfordPO Box 14473Lexington, KY 40512

chris.turner@thehartford.com

Page 52 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

TYSON FOODS, INC

Anita Hicks 800-388-2197

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

anita.hicks@tyson.com

U S SPECIALTY INS CO

Charles McDaniel 800-343-3599

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

cmcdaniel@hcch.com

ULLICO CASUALTY CO

Robert Franklin 410-230-3623

AttorneyFranklin & Prokopik2 North Charles StreetBaltimore, MD 21201

rfranklin@fandpnet.com

UNION INSURANCE COMPANY

Triena Edwards 800-283-1153

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

tedwards@wrbmag.com

UNITED FARM FAMILY INS CO

Deborah Ptasinski 800-948-3276

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

debbie_ptasinski@farmfamily.com

UNITED STATES FIRE INS. CO.

Janet Rourke 888-890-1500

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

janet.rourke@cfins.com

UNITED WISCONSIN INSURANCE CO

Nellie Osowski 800-258-2667

Manager, State FilingUnited Wisconsin Insurance Co.PO Box 3026Milwaukee, WI 53201

nellie.osowski@unitedheartland.biz

UNIVERSAL UNDERWRITERS INS.CO.

Rebecca Heller 800-367-8842

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

rebecca.heller@zurichna.com

Page 53 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:15 AM

UNIVERSITY OF MD MEDICAL SYSTEMS CORP

Mary McFadden 410-328-7629

Claims AdjusterMaryland Medicine Comprehensive Insurance Program11 South Paca StreetBaltimore, MD 21201

mmcfadden@mmcip.umm.edu

UNIVERSITY OF MD UPPER CHESAPEAKE HEALTH

Mark Moody 443-843-5334

Risk Management CoordinatorUpper Chesapeake Health System, Inc.501 South Union AvenueHavre de Grace, MD 21078-0340

mfm.01@ex.uchs.org

USF RED STAR, INC.

Susan Caringi 410-931-5844

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

scaringi@stpaultravelers.com

VALLEY FORGE INSURANCE CO.

Kevin Mahoney 410-453-4437

Claim specialistAmerican Casualty Co1954 Greenspring DriveTimonium, MD 21093

kevin.mahoney@cna.com

VANLINER INSURANCE CO

Jim Willett Jr 410-576-4733

AttorneySemmes, Bowen & Semmes25 South Charles StreetBaltimore, MD 21201

jimwillett@semmes.com

VERIZON - MARYLAND

Ed Solovay 410-773-4217

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

edward.m.solovay@verizon.com

VERIZON SERVICES CORPORATION

Ed Solovay 410-773-4217

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

edward.m.solovay@verizon.com

VERIZON WASHINGTON DC

Ed Solovay 410-773-4217

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

edward.m.solovay@verizon.com

Page 54 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM

VIGILANT INSURANCE COMPANY

Christy Layte 410-659-6566

Claims ExaminerChubb National Insurance Company200 St. Paul PlaceBaltimore, MD 21202

clayte@chubb.com

WASH METRO AREA TRANSIT AUTH

Merle Gaither-Morgan 410-992-6144

Claims ManagerAS&G Claims Administration, Inc.4940 Campbell BlvdBaltimore, MD 21236

mmorgan@asgclaims.com

WASHINGTON CO COMMISSIONERS

Byron Deese 410-527-3242

Senior Claims adjusterPMA Management corp200 International circleHunt valley, MD 21030

byron_deese@pmagroup.com

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

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

Bakermj1@washpost.com

WASHINGTON SUBURBAN SANITARY COMMISSIONGiovanna Vogel 410-512-4605

Business Analyst SupervisorRCM&D Self-insured Services co., Inc555 Fairmount AveTowson, MD 21286

wcc.wssc@rcmd.com

WEGMANS FOOD MARKETS, INC.

Amy John 800-934-6267

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

amy.john@wegmans.com

WEIS MARKETS, INC.

Christopher Moy 410-931-5938

Claims ManagerCorVel Corporation8140 Corporation DriveWhite Marsh, MD 21236

chris_moy@corvel.com

WEST AMERICAN INSURANCE CO.

kimberly galloway 410-871-2963

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

kim.galloway@ocas.com

Page 55 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM

WESTCHESTER FIRE INSURANCE CO.

Sonya Okolosi 800-433-0385

Claims Compliance AnalystACE USA1 Beaver Valley RoadWilmington, DE 19803

sonya.okolosi@acegroup.com

WESTERN MARYLAND HEALTH SYSTEM

Robin Norris 301-723-4209

Employee Relations consultantWestern Maryland Health System555 Fairmount AveTowson, MD 21286

rnorris@wmhs.com

WESTFIELD INSURANCE CO

Kerri Weaver 800-732-0050

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

kerriweaver@westfieldgrp.com

WESTROCK MWV,LLC/MEADWESTVACO

Kim Bolster 800-958-4785

Casualty Program AdministratorMeadWestvaco Corporation11013 West Broad StreetGlen Allen, VA 23060

ksb13@meadwestvaco.com

WEYERHAEUSER COMPANY

Tracy McMaster-Dark 410-773-4221

Director ClaimsSedgwick Claims Management Services, Inc11350 McCormick RoadHunt Valley, MD 21031

tracy.mcmaster-dark@sedgwick.com

ZENITH INSURANCE CO

Laura McKenzie 410-230-3618

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

lmckenzie@fandpnet.com

ZURICH AMERICAN INS CO OF IL

BRENDA HILTON 410-559-8508

MCU SPECIALISTZURICH INSURANCE COMPANY600 RED BROOK BLVD.OWINGS MILLS, MD 21117

brenda.hilton@zurichna.com

ZURICH AMERICAN INSURANCE COMPANY

Lynn Vazquez 410-559-8503

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

lynn.vazquez@zurichna.com

Page 56 of 56

Insurer Designee ListLast Updated: 5/1/2018 8:00:16 AM

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