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Search Results for Insurer's Designated Contact For Optional Prior Approval

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NOTE: The contacts displayed in the following table are for requests submitted prior to May 2, 2022. Due to COVID-19, these requests needed to be emailed to the designated contact. All prior authorization requests submitted on or after May 2, 2022 must be submitted through OnBoard.


Insurer Name W Number Contact Name Phone Number Fax Number e-mail Address District/Region/Unit Date Updated
ACE American Insurance Co.W019004Jennifer Seyfang(716) 285-5710
ext.
(716)285-2618NYWCMGAdmin@chubb.com 09/24/2021
ACE American Insurance Co.W019004Pamela Murphy(631) 357-8198
ext.
(866)645-4048pamela_murphy@corvel.comCorvel handled claims10/07/2021
ACE American Insurance Co.W019004Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
ACE American Insurance Co.W019004Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
ACE American Insurance Co.W019004Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
ACE American Insurance Co.W019004Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
ACE American Insurance Co.W019004Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comSedgwick handled claims10/04/2021
ACE American Insurance Co.W019004Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
ACE American Insurance Co.W019004Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/05/2021
ACE American Insurance Co.W019004Susan Sloan(714) 565-7640
ext.3419
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/07/2021
ACE American Insurance Co.W019004Greg Sisson(800) 928-1342
ext.6289
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/07/2021
ACE American Insurance Co.W019004Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/12/2021
ACE American Insurance Co.W019004Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
ACE Fire Underwriters Insurance CompanyW011001Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
ACE Fire Underwriters Insurance CompanyW011001Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
ACE Fire Underwriters Insurance CompanyW011001Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
ACE Fire Underwriters Insurance CompanyW011001Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
ACE Fire Underwriters Insurance CompanyW011001Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
ACE Fire Underwriters Insurance CompanyW011001Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
ACE Fire Underwriters Insurance CompanyW011001Greg Sisson(800) 928-1342
ext.6289
(502)489-6430carriercontact@uscky.comUnderwriters and Safety handled claims10/05/2021
ACE Fire Underwriters Insurance CompanyW011001Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
ACE Fire Underwriters Insurance CompanyW011001Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/07/2021
ACE Fire Underwriters Insurance CompanyW011001Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
ACE Fire Underwriters Insurance CompanyW011001Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
ACE Property and Casualty Insurance CompanyW012009Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
ACE Property and Casualty Insurance CompanyW012009Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
ACE Property and Casualty Insurance CompanyW012009Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comSedgwick handled claims10/04/2021
ACE Property and Casualty Insurance CompanyW012009Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
ACE Property and Casualty Insurance CompanyW012009Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/05/2021
ACE Property and Casualty Insurance CompanyW012009Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/05/2021
ACE Property and Casualty Insurance CompanyW012009Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
ACE Property and Casualty Insurance CompanyW012009Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comTristar handled claims10/05/2021
ACE Property and Casualty Insurance CompanyW012009Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
ACE Property and Casualty Insurance CompanyW012009Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
ACE Property and Casualty Insurance CompanyW012009Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
ACIG Insurance CompanyW036545Rene Pinson(972) 702-9004
ext.
(972)687-0602rene.pinson@acig.com 03/30/2020
ALLEGANY-LIMESTONE CENTRAL SCHOOL DISTRICTW801880Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
ALLSTATE INSURANCE COMPANYW020002Mischelle McCarthy(315) 385-6258
ext.
(866)826-4338mischelle.mccarthy@srsconnect.com 12/10/2010
AMERICAN MUTUAL INSURANCE CO OF BOSTONW033005Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
AMERISURE MUTUAL INSURANCE COW137004Rachel Frassetto(248) 442-6644
ext.
&nRFrassetto@amerisure.comOPA09/21/2020
AMERISURE MUTUAL INSURANCE COW137004Kelli Lucas(630) 281-4014
ext.
&nKLucas@amerisure.comOPA09/21/2020
ANDOVER CENTRAL SCHOOL DISTRICTW802102Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
AT & T Corp.W325005Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Accident Fund General Insurance CompanyW012108Joe Wrozek(517) 708-5277
ext.
(517)316-2706cccompliance@afhi.com 01/13/2021
Accident Fund Insurance Company of AmericaW012074Joe Wrozek(517) 708-5277
ext.
(517)316-2706cccompliance@afhi.com 01/13/2021
Accident Fund National Insurance CompanyW012124Joe Wrozek(517) 708-5277
ext.
(517)316-2706cccompliance@afhi.com 02/02/2021
Accredited Surety And CasualtyW010441Chris Bartholet(407) 629-2131
ext.
(407)629-4553claims.department@accredited-inc.comUnit08/03/2020
Addison Central School DistrictW800440Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Admiral Indemnity CompanyW082507Mercedes Perez(201) 518-2512
ext.
(201)518-1250mperez@clermonthid.com 05/10/2011
Admiral Indemnity CompanyW082507Tracey Stokes(802) 860-3233
ext.
(866)874-5104Tracey.Stokes@acadia-ins.com 11/01/2021
Airborne Express, Inc.W304133Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Albany City School DistrictW800759KAREN COOLEY(315) 453-6447
ext.
(866)727-5573karen_cooley@corvel.com 04/06/2011
Albion Central School DistrictW801633Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 12/10/2020
Alexandria CSDW801757Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Alfred-Almond Central SchoolW801823Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
All America Insurance CompanyW016505Jamie Wiechart(800) 786-9169
ext.
(800)736-7026jwiechart@central-insurance.com 02/08/2022
All America Insurance CompanyW016505Jamie Wiechart(800) 786-9169
ext.
(800)736-7026jwiechart@central-insurance.com 02/08/2022
Allegany County Mutual Self-Insurance PlanW802003Erin Russell(800) 337-7419
ext.471
(877)434-3551MTG@TRIADGATE.COM TRIAD NURSE08/18/2021
Allegany County Mutual Self-Insurance PlanW802003Shanen Sullivan(800) 337-7419
ext.349
(877)434-3551mtg@triadgate.comAdjuster03/17/2022
Allens, Inc.W304380Jody Yoakum(800) 234-2553
ext.486
(479)524-2990jyoakum@allens.com 02/15/2011
Alliance National Insurance CompanyW223002Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 08/25/2020
Allstate Northbrook Indemnity CompanyW160717Mischelle McCarthy(315) 385-6258
ext.
(866)826-4338mischelle.mccarthy@srsconnect.com 04/22/2011
Altmar-Parish-Williamstown CSDW802029Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
American Automobile Ins. Co.W021000Tarria Harris(678) 393-4054
ext.
(888)204-4229tarria.harris@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Margaret Hellebusch(314) 513-1141
ext.
(888)837-6808margaret.hellebusch@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Marilyn Johnson(678) 393-4559
ext.
(888)261-3199marilyn.johnson@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Sara Marek(314) 513-1014
ext.
(888)260-3084sara.marek@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Beverly Reed(314) 817-2857
ext.
(888)536-2620beverly.reed@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Irma Salmond(678) 393-4592
ext.
(888)287-5618irma.salmond@ffic.com 11/02/2016
American Automobile Ins. Co.W021000Letitia Tigue(952) 486-5259
ext.
(888)340-6679letitia.tigue@agcs.allianz.com 09/03/2019
American Automobile Ins. Co.W021000Adriana Alvarez(312) 629-2017
ext.
(888)296-2348adraina.alvarez@agcs.allianz.com 09/04/2019
American Automobile Ins. Co.W021000Peggie Leidelmeijer(818) 972-3378
ext.
(818)688-0173peggie.leidelmeijer@agcs.allianz.comAGCS09/04/2019
American Automobile Ins. Co.W021000Jodie Bryson(646) 949-2018
ext.
(212)937-2368jodie.bryson@agcs.allianz.comAGCS10/16/2020
American Economy Ins. Co.W022503Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
American Employers InsuranceW024004Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
American Express Bank Ltd.W319008Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
American Express CompanyW318000Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.comFor claims handled by Sedgwick CMs01/26/2018
American Express CompanyW31800001Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.comFor claims handled by Sedgwick CMs01/26/2018
American Manufacturers Mutual Insurance CompanyW031009John Lastella(800) 800-7660
ext.
(770)723-8647tcmumintake@choosebroadspire.comBroadspire12/17/2010
American Manufacturers Mutual Insurance CompanyW031009Steve Marsh(716) 639-2709
ext.
(800)914-0956Steve.marsh@esis.comESIS01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Robin Moleski(888) 777-4789
ext.
(877)905-4002Robin.Moleski@srsconnect.comSRS - Specialty Risk Services01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Diane Muraven(518) 862-7942
ext.866
(866)422-8263Albvaria@travelers.comTravelers - Albany01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Lynn Pelisek(515) 223-6946
ext.515
(515)221-7181lpelisek@creativerisksolutions.comHolmes Murphy - Creative Risk Solutions01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comTravelers - Buffalo01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Susanne Wuerthner(315) 457-6004
ext.
(315)453-5597GB-CM-NYMEDICAL-MAIL@gbtpa.comGallagher Bassett01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Jody Cannon(516) 535-4985
ext.
(516)535-4982MTG@RMPG.comRMPG - Risk Management Planning GrouP01/18/2011
American Manufacturers Mutual Insurance CompanyW031009Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
American Motorists Insurance CompanyW032007John Lastella(800) 800-7660
ext.
(770)723-8647tcmumintake@choosebroadspire.comBroadspire12/17/2010
American Motorists Insurance CompanyW032007Steve Marsh(716) 639-2709
ext.
(800)914-0956Steve.marsh@esis.comESIS01/18/2011
American Motorists Insurance CompanyW032007Robin Moleski(888) 777-4789
ext.
(877)905-4002Robin.Moleski@srsconnect.comSRS - Specialty Risk Services01/18/2011
American Motorists Insurance CompanyW032007Diane Muraven(518) 862-7941
ext.
(866)422-8263Albvaria@travelers.comTravelers - Albany01/18/2011
American Motorists Insurance CompanyW032007Lynn Pelisek(515) 223-6946
ext.
(515)221-7181lpelisek@creativerisksolutions.comHolmes Murphy01/18/2011
American Motorists Insurance CompanyW032007Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comTravelers - Buffalo01/18/2011
American Motorists Insurance CompanyW032007Susanne Wuerthner(315) 457-6004
ext.
(315)453-5597GB-CM-NYMEDICAL-MAIL@gbtpa.comGallagher Bassett01/18/2011
American Motorists Insurance CompanyW032007Jody Cannon(516) 535-4985
ext.
(516)535-4982MTG@RMPG.comRMPG - Risk Management Planning Group01/18/2011
American Motorists Insurance CompanyW032007Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
American Mutual Liability InsuranceW034003Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
American Protection Insurance CompanyW036503John Lastella(800) 800-7660
ext.
(770)723-8647tcmunintake@choosebroadspire.comBroadspire Claims12/17/2010
American Protection Insurance CompanyW036503Jody Cannon(516) 535-4985
ext.
(516)535-4982MTG@RMPG.comRMPG - Risk Management Planning Grou[01/18/2011
American Protection Insurance CompanyW036503Margie Gingras(631) 577-7862
ext.
(866)889-8376melvaria@travelers.comTravelers - Melville01/18/2011
American Protection Insurance CompanyW036503Sue Hickey(585) 321-8351
ext.
(266)228-7729convaria@travelers.comTravelers - Construction01/18/2011
American Protection Insurance CompanyW036503Steve Marsh(716) 639-2709
ext.
(800)914-0956Steve.marsh@esis.comESIS01/18/2011
American Protection Insurance CompanyW036503Robin Moleski(888) 777-4789
ext.
(877)905-4002Robin.Moleski@srsconnect.comSRS - Specialty Risk Services01/18/2011
American Protection Insurance CompanyW036503Diane Muraven(518) 862-7942
ext.
(866)422-8263Albvaria@travelers.comTravelers - Albany01/18/2011
American Protection Insurance CompanyW036503Lynn Pelisek(515) 223-6946
ext.
(515)221-7181lpelisek@creativerisksolutions.comHolmes Murphy - Creative Risk Solutions01/18/2011
American Protection Insurance CompanyW036503Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comTravelers - Buffalo01/18/2011
American Protection Insurance CompanyW036503Susanne Wuerthner(315) 457-6004
ext.
(315)453-5597GB-CM-NYMEDICAL-MAIL@gbtpa.comGallagher Bassett01/18/2011
American Protection Insurance CompanyW036503Todd Gancarz(315) 445-6443
ext.
(800)432-9762Todd_Gancarz@pmagroup.com 11/04/2016
American Sales Company, Inc.W322507Jeffrey Lewis(800) 288-8415
ext. 4903
(717)960-8332ausa.mgh.group@aholdusa.com 06/17/2013
American Sales Company, Inc.W322507Ashley Marotta(617) 689-4933
ext.null
(717)960-4855ashley.marotta@ahold.com 02/05/2015
American Sales Company, Inc.W322507Jennifer Seyfang(716) 285-5710
ext.
(716)285-2618MTG-C1@managedcarenetwork.com 04/30/2021
American States Insurance CoW036578Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
Amerisure Insurance CompanyW037501Rachel Frassetto(248) 442-6644
ext.
&nRFrassetto@amerisure.comOPA09/22/2020
Amerisure Insurance CompanyW037501Kelli Lucas(630) 281-4014
ext.
&nKLucas@amerisure.comOPA09/22/2020
Andes Central SchoolW802227Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Argonaut Insurance CompanyW037006Jason McMichael(309) 690-3915
ext.
(303)773-7249jmcmichael@argogroupus.com 12/15/2021
Argonaut Insurance CompanyW037006Susan Mallinger(800) 382-9163
ext.
(855)287-4028Brian.yamamoto@genexservices.com 01/05/2022
Argonaut-Midwest Ins, CoW037253Jason McMichael(309) 690-3915
ext.
(303)773-7249jmcmichael@argogroupus.com 12/15/2021
Argonaut-Midwest Ins, CoW037253Susan Mallinger(800) 382-9163
ext.
(855)287-4028Brian.yamamoto@genexservices.com 01/05/2022
Arkport Central SchoolW802326Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Ascension HealthW333132Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Aspire of Western NY Inc.W333199Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 01/06/2021
At-A-Glance, Inc.W368385Anne Allen(315) 426-4832
ext.
(501)251-2689anne.allen@sedgwick.com 08/07/2019
Atlantic Mutual InsuranceW040000Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Auburn Enlarged City Sch DistW802375Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Aurubis Buffalo IncW315501Rosemary Mastantuoni(800) 422-0820
ext.25182
(603)334-8111rosemary.mastantuoni@libertymutual.com 02/17/2011
AutoOne Insurance CompanyW091508Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 06/18/2021
AutoOne Select Insurance Co.W166508Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 06/18/2021
Avoca Central School Dist.W802441Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Avon Central School DistrictW802474Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
BELFAST CENTRAL SCHOOL DISTRICTW803324Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
BERKLEY NATIONAL INSURANCE COW043822Andrew Makar(410) 337-9260
ext.215
(866)915-7879andrew.makarjr@finsecure.netFinSecure, LLC11/08/2010
BERKLEY NATIONAL INSURANCE COW043822Donna Sofinowski(410) 337-9260
ext.205
(866)915-7879donna.sofinowski@finsecure.netFinSecure LLC11/08/2010
BERKLEY NATIONAL INSURANCE COW043822Steve Hintze(832) 308-6938
ext.
(866)334-5621shintze@berkleyoil-gas.comBerkley Oil & Gas Specialty Services, LLC11/08/2010
BERKLEY NATIONAL INSURANCE COW043822Brittany Tafolla(832) 308-6936
ext.
(888)201-8105bgtafolla@berkleyoil-gas.comBerkley Oil & gas Specialty Services, LLC11/08/2010
BERKLEY NATIONAL INSURANCE COW043822Maegan O'Brien(985) 624-6732
ext.
(985)624-8684Maegan.Obrien@fara.comFARA (Berkley Life Sciences LLC TPA)11/09/2010
BERKLEY NATIONAL INSURANCE COW043822Suzanne Klein(504) 324-7180
ext.
(888)201-8151sklein@berkleyoil-gas.com 03/11/2016
BERKLEY NATIONAL INSURANCE COW043822Megan Manogue(410) 372-6333
ext.
(866)915-7879mmanogue@berkleyfinsecure.com 03/11/2016
BERKLEY NATIONAL INSURANCE COW043822Shirley Mouchon(504) 407-0705
ext.
(866)233-8544smouchon@berkleyoil-gas.com 03/11/2016
BITCO General Insurance CorporationW046007Wil Klipfel(412) 937-9000
ext.
(412)937-1143wklipfel@bituminousinsurance.com 03/29/2011
BITUMINOUS FIRE AND MARINEW047005Wil Klipfel(412) 937-9000
ext.
(412)937-1143wklipfel@bituminousinsurance.com 03/29/2011
BJ's Wholesale Club, Inc.W335756Sherry Dyer-Cox(774) 512-5472
ext.
&nsdyer-cox@bjs.com 12/18/2013
BJ's Wholesale Club, Inc.W335756Michelle Kopf(304) 348-5538
ext.
(877)922-7236Michelle.Kopf@sedgwickcms.com 11/13/2013
BOCES Livingston-Steuben-WyomingW832257Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
BOCES Oswego CountyW858880Devon Fik(716) 842-0045
ext.
(716)842-0015variancerequest@ncacomp.com 03/24/2021
BOCES Schuyler-Chemung-TiogaW865919Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
BOCES Steuben-AlleganyW867329Devon Fik(716) 842-0045
ext.0
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
BOLIVAR-RICHBURG CENTRAL SCHOOL DISTRICTW805295Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Balboa Insurance CompanyW042329Tresa Miller(480) 224-5163
ext.
(480)755-5910tresa.miller@balboainsurance.com 01/03/2011
Baldwinsville School DistrictW802631Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Bankers Standard Ins. Co.W043251Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
Bankers Standard Ins. Co.W043251Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
Bankers Standard Ins. Co.W043251Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
Bankers Standard Ins. Co.W043251Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
Bankers Standard Ins. Co.W043251Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
Bankers Standard Ins. Co.W043251Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
Bankers Standard Ins. Co.W043251Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
Bankers Standard Ins. Co.W043251Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/07/2021
Bankers Standard Ins. Co.W043251Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/07/2021
Bankers Standard Ins. Co.W043251Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
Bankers Standard Ins. Co.W043251Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
Barker CSDW802789Deanna Jones(716) 842-0045
ext.109
(716)842-0018DJONES@NCACOMP.COM 11/03/2010
Barker CSDW802789Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 12/10/2020
Bath & Body Works , Inc.W499073Jed Magid(315) 484-5832
ext.
(315)453-5597jed_magid@gbtpa.comGallagher Bassett Claims07/19/2017
Bath & Body Works , Inc.W499073Jed Magid(315) 484-5832
ext.
(315)453-5597GB-NYMedical-Mail@gbtpa.com 04/06/2020
Bath Central School DistristW802797Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Bay Shore Public School UFSD #1W802839Michelle Short(888) 476-2669
ext.
(315)233-3021MG2@pmagroup.com 07/14/2021
Beaver River CSDW803100Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Bedivere Insurance CompanyW091003Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 06/18/2021
Belleville-Henderson C.S.D.W803381Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Berkley Casualty CompanyW031251Tammy Ansell(205) 874-8204
ext.
(205)870-3245tansell@americanmining.com 02/27/2018
Birds Eye Foods, Inc.W380257Theodore Birchmeier(856) 397-1128
ext.
(973)541-6693Ted.birchmeier@pinnaclefoods.com 11/30/2010
Bon Secours Charity Health SysW347886Roberta Montgomery(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/09/2021
Bradford CSDW805352Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Briggs and Stratton CorporationW354138Robin Brown(315) 701-1600
ext.240
(315)218-0063rbrown@safetpa.com 09/01/2020
Brookdale Hospital Medical CtrW354252Elizabeth Garcia(646) 925-8459
ext.
(646)355-0749elizabeth.garcia@gcgriskmanagement.comLast Initial: C F G L R U X10/31/2019
Brookdale Hospital Medical CtrW354252Jennifer Batista(212) 431-3000
ext.58443
(646)502-6297jennifer.batista@gcgriskmanagement.comClaims with Last Initial A D I J O P S V Y06/16/2020
Brookdale Hospital Medical CtrW354252Christen Garcia(212) 431-3000
ext.58458
(646)233-1895christen.garcia@gcgriskmanagement.comClaims with Last Initial B E H K M N Q T W Z06/16/2020
Brookhaven Comsewogue Union Free School DistrictW805758Robin Coleman(800) 337-7419
ext.105
(866)593-9245rcoleman@triadgate.com 12/04/2018
Brookhaven Comsewogue Union Free School DistrictW805758Chris Wright(800) 337-7419
ext.316
(866)388-7071cwright@triadgate.comNurse03/09/2022
Brookhaven, Town ofW805501Sonia Mendez(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/10/2021
Brookhaven, Town ofW805501Carrie Jaynes(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/10/2021
Brooklyn Bureau of CommunityW354948Maryclare Scerbo(718) 310-5604
ext.
(718)522-0400mscerbo@WeAreBCS.org 05/20/2011
Brunswick CSDW806509John Iorio(888) 476-2669
ext.
&nmg2@pmagroup.com 06/23/2021
Brushton- Moira C.S.D.W806756Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Buffalo Sewer AuthorityW807507Angela Talarico(716) 314-2007
ext.
(610)362-8107angela.talarico@usi.com 02/09/2022
Bush Industries, Inc.W361638Kevin Nicoli(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 01/26/2021
CAPITOL INDEMNITY CORPORATIONW050322Tom Moriearty(608) 829-4834
ext.
(608)829-7411tmoriearty@capitol.net 11/03/2010
CAROLINA CASUALTY INS COW050389Jed Magid(315) 484-5832
ext.
(315)453-5597GB-NYMedical-Mail@gbtpa.com 08/04/2021
CH Energy Group IncW361786Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comAlbany and Buffalo03/29/2016
CHENANGO VALLEY CSDW812079Timothy Ryan(315) 445-6348
ext.
(315)233-3021timothy_ryan@pmagroup.com 07/09/2018
CHILDREN & WOMEN'S HEALTH INCW367254Angela Talarico(716) 849-8181
ext.
(716)819-5145Angela.Talarico@fnrm.com 04/25/2013
COMMERCIAL COMPENSATION CASUALTY CO.W058507Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
COMMERCIAL COMPENSATION CASUALTY CO.W058507Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
CREDIT GENERAL INSURANCE COW067250Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Caledonia Mumford C.S.D.W808091Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Camden Fire Insurance Assn.W050009Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
Canada Dry CorporationW363006Amy Carver(866) 286-0281
ext.
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Canaseraga Central School DistW808125Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Canisteo C.S.D.W808224Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Capital District Transportation AuthorityW808380Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Capital District Transportation AuthorityW808380Chelsey Matthews(610) 619-5791
ext.
(610)362-8107chelsey.matthews@usi.com 02/10/2022
Cargill IncorporatedW364517Robin Moleski(888) 777-4789
ext.
(877)905-4002robin.moleski@sedgwickcms.com 04/15/2011
Carthage C.S.D.W808257Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Catlin Indemnity CompanyW047500Anthony Hampton(610) 968-2602
ext.
(877)896-4562xlclaims.general.emailbox4documentum@axaxl.com 11/30/2020
Cattaraugus-Allegany-Erie-Wyoming BocesW808885Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Cattaraugus-Little Valley Central School DistrictW808638Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Cayuga Medical CenterW646509Melissa Wilson(716) 842-0045
ext.175
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Cazenovia Central School DistW809388Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Centennial InsuranceW051007Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Central Mutual Insurance CompanyW052005Jamie Wiechart(800) 786-9169
ext.
(800)736-7026jwiechart@central-insurance.com 02/08/2022
Central Square Central School DistrictW809842Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Central Square Central School DistrictW809842Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Centre Insurance CompanyW126007Michelle Bracero(800) 347-1140
ext.
(609)495-0254MICHELLE.BRACERO@REMLTD.COMNEW YORK AND NEW JERSEY04/15/2011
Century Indemnity CompanyW053003Gus Gonnella(302) 476-7822
ext.
(302)476-7858NYWCMGAdmin@acegroup.com 01/03/2011
Century Indemnity CompanyW053003Gus Gonnella(302) 476-7822
ext.
(302)476-7858gus.gonnella@acegroup.com 03/24/2011
Champion International Corp.W365134Amy Carver(866) 286-0281
ext.
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Charlotte Valley Central School DistrictW809941Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Charmer Industries, Inc.W365324John Lastella(800) 800-7660
ext.
(770)723-8647TCMUMINTAKE@choosebroadspire.com 05/09/2011
Chateaugay CSDW809974Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Chautauqua CountyW810006Michelle Lansing(800) 337-7419
ext.328
(866)433-5845mlansing@triadgate.com 04/03/2020
Cherry Valley Springfield Central School DistrictW812135Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Child and Family Services of Erie CountyW367193Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Chittenango Central School DistrictW812192Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Chubb IndemnityW054605Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Chubb National Insurance Co.W054621Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Church Mutual Insurance Company S.I.W054639Derek Procknow(715) 539-4122
ext.
(715)539-4651dprocknow@churchmutual.com Send to both emails11/12/2020
Church Mutual Insurance Company S.I.W054639Rebekah Gullikson(715) 539-4549
ext.
(715)539-4651rgullikson@churchmutual.com Send to both emails11/05/2020
Cincinnati Casualty CompanyW055388Jessica Elsass(877) 260-1397
ext.
(513)603-5002wcclaims@cinfin.com 08/07/2019
Cincinnati Casualty CompanyW055388Kimberly Kramer(717) 270-8850
ext.
&nkimberly_kramer@cinfin.com 02/24/2020
Cincinnati Casualty CompanyW055388Lindsey Gustavson(513) 371-7546
ext.
(513)371-7030lindsey_gustavson@cinfin.com 06/17/2020
Cincinnati Indemnity CompanyW054886Jessica Elsass(877) 260-1397
ext.
(513)603-5002wcclaims@cinfin.com 08/07/2019
Cincinnati Indemnity CompanyW054886Kimberly Kramer(717) 270-8850
ext.
&nkimberly_kramer@cinfin.com 02/24/2020
Cincinnati Indemnity CompanyW054886Lindsey Gustavson(513) 371-7546
ext.
(513)371-7030lindsey_gustavson@cinfin.com 06/17/2020
Cincinnati Insurance CompaniesW054753Jessica Elsass(877) 260-1397
ext.
(513)603-5002wcclaims@cinfin.com 08/07/2019
Cincinnati Insurance CompaniesW054753Kimberly Kramer(717) 270-8850
ext.
&nkimberly_kramer@cinfin.com 02/24/2020
Cincinnati Insurance CompaniesW054753Lindsey Gustavson(513) 371-7546
ext.
(513)371-7030lindsey_gustavson@cinfin.com 06/17/2020
Cincinnatus CSDW812259Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
City School District of TroyW873251John Iorio(888) 476-2669
ext.
(315)233-3021CLAIMSMAIL@PMAGROUP.COM 10/01/2020
City of AlbanyW801005Heather Davies(800) 337-7419
ext.102
(866)622-5005hdavies@triadgate.com 04/24/2018
City of AlbanyW801005Erin Russell(800) 337-7419
ext.471
(866)324-4408ERUSSELL@TRIADGATE.COM 08/06/2021
City of LackawannaW830319Robert Efthemis(716) 314-2096
ext.
(610)362-8107robert.efthemis@usi.com 02/09/2022
City of LackawannaW830319Angela Talarico(716) 314-2007
ext.
(610)362-8107angela.talarico@usi.com 02/09/2022
City of Mount VernonW839005Jane Miles(800) 337-7419
ext.320
(866)336-0104jmiles@triadgate.com 06/19/2019
City of Mount VernonW839005Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 06/28/2019
City of Mount VernonW839005Jean Puma(800) 337-7419
ext.101
(866)851-2450JPUMA@TRIADGATE.COM 07/22/2020
City of New RochelleW841001Megan Binkowski(800) 337-7419
ext.470
(877)434-3551mtg@triadgate.com 03/22/2021
City of New RochelleW841001Shanen Sullivan(800) 337-7419
ext.349
(866)744-8813mtg@triadgate.comAdjuster03/17/2022
City of TonawandaW871636Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
City of TonawandaW871636Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
City of TonawandaW871636Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
City of TonawandaW871636Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Clarendon InsuranceW056386Shannon Cables(407) 557-8021
ext.
(407)875-3473scables@clarendon-ins.com 11/02/2010
Clarendon InsuranceW056386Kimberly Expresion(407) 557-8022
ext.
(407)875-3473kexpresion@clarendon-ins.com 11/02/2010
Clermont Insurance CompanyW056329Mercedes Perez(201) 518-2512
ext.
(201)518-1250mperez@clermonthid.com 05/10/2011
Clermont Insurance CompanyW056329Nathan Barnett(602) 627-1332
ext.
(866)874-5104nathan.barnett@acadia-ins.com 07/22/2013
Clermont Insurance CompanyW056329Mathew Essig(315) 350-2963
ext.
(866)874-5104mathew.essig@acadia-ins.com 07/22/2013
Clermont Insurance CompanyW056329Sonja Perfetto(207) 228-1979
ext.
(866)874-5104sonja.perfetto@acadia-ins.com 07/22/2013
Clermont Insurance CompanyW056329Tracey Stokes(802) 860-3233
ext.
(866)874-5104tracey.stokes@acadia-ins.com 07/22/2013
Clermont Insurance CompanyW056329Tracey Stokes(802) 860-3233
ext.
(866)874-5104Tracey.Stokes@acadia-ins.com 11/01/2021
Cold Spring Harbor CSDW814321Regina Middleton(800) 337-7419
ext.450
(866)286-6898mtg@triadgate.com 04/19/2022
Cold Spring Harbor CSDW814321Jean Puma(800) 337-7419
ext.
(866)851-2450mtg@triadgate.com 04/19/2022
Colonie, Town ofW814388Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comAlbany and Buffalo Offices03/29/2016
Columbia County Mutual Self InsuranceW815005Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/02/2022
Columbia County Mutual Self InsuranceW815005Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/02/2022
Columbia County Mutual Self InsuranceW815005Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/02/2022
Columbia County Mutual Self InsuranceW815005Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Columbia UniversityW370753Hana Bloch(212) 851-0662
ext.
(212)851-7069hb356@columbia.edu 11/18/2010
Columbia UniversityW370753Claudette Kenton(212) 851-2857
ext.
(212)851-7069ck2242@columbia.edu 04/23/2018
Columbia UniversityW370753Bridget Panarello(516) 962-5601
ext.
(315)453-5597Bridget_Panarello@gbtpa.com 04/23/2018
Columbia UniversityW370753Yvette Serrano(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 05/01/2020
Columbia UniversityW370753Yvette Serrano(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/09/2021
ConAgra Foods, Inc.W372254Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
ConAgra Grocery Products CompanyW341002Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.comFor claims handled by Sedgwick CMS01/26/2018
ConAgra Maple Leaf Milling, Inc.W372387Daniel Boyer(609) 557-5036
ext.
(609)557-5011boyerd@gabrobins.com 11/15/2010
Cooper Industries IncW375398Renee Balzer(440) 523-4394
ext.
(866)828-8550ReneeBalzer@eaton.com 11/18/2019
Cooper Turbocompressor, IncW375919Nicklous Annoye(800) 664-2273
ext.
(603)422-7989nystateguidelines2@libertymutual.com 05/02/2019
Cooperstown Central School DistrictW815633Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Copenhagen C.S.D.W815757Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Corinth Central School DistrictW815823Andrew Stephens(888) 476-2669
ext.
(315)233-3021MG2@pmagroup.com 06/10/2021
Corning, Inc.W378004Jeanne Beebe(607) 974-4838
ext.
(607)974-4869beebejl@corning.com 03/22/2016
Corning, Inc.W378004Susan Newman(607) 974-4840
ext.
(607)974-4869newmansc@corning.com 03/22/2016
Corning-Painted Post Area SDW815856Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Cortland City School DistrictW816045Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Cortland County Self Ins PlanW816003Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Cortland County Self Ins PlanW816003Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Cortland County Self Ins PlanW816003Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Cortland County Self Ins PlanW816003Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Cosmopolitan Mutual InsuranceW065007Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Costco Wholesale CorporationW378442Nicklous Annoye(800) 664-2273
ext.
(603)422-7989nystateguidelines2@libertymutual.com 05/02/2019
County of NassauW840003Regina Middleton(800) 337-7419
ext.450
(877)434-3551MTG@TRIADGATE.COM TRIAD NURSE08/18/2021
County of NassauW840003Jean Puma(800) 337-7419
ext.101
(877)434-3551MTG@TRIADGATE.COM TRIAD TEAM LEADER08/18/2021
County of OrangeW857007Lisa Crouse(800) 337-7419
ext.306
(866)640-3876lcrouse@triadgate.com 08/06/2019
County of OrangeW857007Valerie Litow(800) 337-7419
ext.466
(866)519-0594vlitow@triadgate.com 10/17/2019
County of PutnamW861256Vicki Halpen(843) 742-5728
ext.
(800)432-9762Vicki_Halpen@pmagroup.com 03/19/2021
County of WestchesterW878755Megan Binkowski(800) 337-7419
ext.470
(866)278-7016mtg@triadgate.com 04/14/2022
County of WestchesterW878755Lisa Tucci(800) 337-7419
ext.467
(866)245-6710mtg@triadgate.com 04/14/2022
Crouse-Hinds CompanyW379002Renee Balzer(440) 523-4394
ext.
(866)828-8550ReneeBalzer@eaton.com 11/18/2019
Cuba-Rushford Central School DistrictW816383Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Cummins, IncW379887Amy Carver(866) 286-0281
ext.
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
DPWN Holdings (USA) Inc.W381255Amy Carver(866) 286-0281
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
De Ruyter Central School DistW817076Devon Fik(716) 842-0045
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Delhaize America LLCW448252Angelia Rummage(704) 310-4490
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(704)638-1921RiskManagement-Fo@Foodlion.comDelhaize America (Risk Management Services)06/20/2017
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Dolgencorp of New York, Inc.W389753Ruth Gregory(615) 855-5113
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(615)694-5117rgregory@dollargeneral.com 10/08/2020
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(615)694-5235mecope@dollargeneral.com 11/09/2020
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(610)362-8107Angela.Talarico@usi.com 02/09/2022
ELDRED CENTRAL SCHOOL DISTRICTW817779KAREN COOLEY(315) 453-6447
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(866)727-5573Karen_Cooley@Corvel.com 11/05/2010
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(315)453-5597bridget_panarello@gbtpa.com 05/16/2018
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(866)727-5657GM-SYNY-claims@corvel.com 06/12/2018
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(614)717-6152mg2@wellcomp.com 07/27/2018
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(714)480-4128tia.gau@sedgwickcms.com 07/27/2018
East Hampton, Town ofW817399Audrey Audino(518) 220-1111
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(877)737-6232cadmin@neami.comClaims02/22/2022
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(877)737-6232cadmin@neami.comClaims02/25/2022
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(877)737-6232cadmin@neami.comClaims02/25/2022
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(877)737-6232cadmin@neami.comClaims04/19/2022
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ElderWood Senior CareW398325Angela Talarico(716) 314-2000
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Electric Insurance CompanyW071757Laura Moran(518) 862-4625
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(859)264-4360laura.moran@electricinsurance.com 05/08/2018
Electric Insurance CompanyW072003Laura Moran(518) 862-4625
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(859)264-4360laura.moran@electricinsurance.com 05/08/2018
Ellicottville Central School DistrictW817829Devon Fik(716) 842-0045
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Elmira Heights Central School DistrictW817878Devon Fik(716) 842-0045
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Empire Insurance CompanyW017008Dawn Renaud(518) 322-4995
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(866)548-2637Dawn.Renaud@yorkrsg.com 02/26/2018
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(866)548-2637Dawn.Renaud@yorkrsg.com 02/26/2018
Empire State Transportation WC TrustW399505Devon Fik(716) 842-0045
ext.null
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Employers Assurance CompanyW073324John Lastella(800) 800-7660
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(770)777-6447Intakebsi@choosebroadspire.comBroadspire Utilization Review Department08/13/2018
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(800)371-8204gbulson@employers.com 12/02/2021
Employers Assurance CompanyW073324Carol Phillips(888) 682-6671
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Employers Compensation InsuranceW073381John Lastella(800) 800-7660
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(770)777-6447Intakebsi@choosebroadspire.comBroadspire Utilization Review Department08/13/2018
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ext.7660
(770)777-6447Intakebsi@choosebroadspire.comBroadspire Utilization Review Department08/13/2018
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(800)371-8204gbulson@employers.com 12/02/2021
Employers Preferred Insurance CompanyW076592Carol Phillips(888) 682-6671
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(800)371-8204cphillips@employers.com 12/02/2021
Erie County Medical Ctr. CorpW818256Justin Neuman(315) 445-6452
ext.6452
(315)233-3021MG2@pmagroup.com 03/01/2022
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(800)241-8360christopher.chappel@erieinsurance.com 03/06/2019
Erie Insurance Company of New YorkW076947Christopher Chappel(814) 870-2118
ext.
(800)241-8360christopher.chappel@erieinsurance.com 03/06/2019
Erie Insurance Company of New YorkW076947Pennie Bennett(844) 806-5219
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(800)241-8360Pennie.Bennett@ERieInsurance.com 07/19/2021
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(800)241-8360Pennie.Bennett@ERieInsurance.com 07/19/2021
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(800)241-8360christopher.chappel@erieinsurance.com 03/06/2019
Esco Turbine Technologies Syracuse Inc.W439756Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 04/12/2016
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ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
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ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Essex County Self Ins PlanW819007Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
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(877)737-6232cadmin@neami.comClaims04/19/2022
Exxon Corp.W412001Alan Rapee(703) 846-7247
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(703)846-2363alan.w.rapee@exxonmobil.com 04/20/2011
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(262)953-4967john.e.dill@exxonmobil.cojm 09/22/2016
Exxon Corp.W412001Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
FAIRMONT SPECIALTY INS COW186001Gary Hinson(603) 656-2511
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(603)656-2400gary_hinson@trg.com 04/24/2013
FAIRMONT SPECIALTY INS COW186001Curtis Broyles(603) 656-2316
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(603)656-7500curtis_broyles@trg.com 03/24/2016
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(800)364-0443NewYorkAuthReq@thezenith.comZenith Insurance - Claims/Supervisor11/13/2018
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ext.null
(800)364-0443NewYorkAuthReq@thezenith.comZenith Insurance - Medical/Nurse11/13/2018
FARMERS INSURANCE EXCHANGEW079131Danielle Musgrove(512) 533-8388
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(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
FEDERATED RURAL ELECTRIC INS.W082259Christina Johnson(800) 356-8360
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(913)541-2822cjohnson@federatedrural.com 04/01/2020
FEDERATED SERVICE INSURANCE COW082754Michael Forbes(800) 428-4143
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(866)636-8660pcclaims@fedins.com 12/18/2017
FIRE INSURANCE EXCHANGEW085633Danielle Musgrove(512) 533-8388
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(866)846-3114danielle.musgrove@farmersinsurnance.com 05/02/2018
FIRST CENTRAL INSURANCE COW052500Todd Gancarz(888) 476-2669
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(315)233-3021claimsmail@pmagroup.com 08/02/2018
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(716)842-0018variancerequest@ncacomp.com 10/05/2020
Fairfield Insurance CompanyW078257Mary Ann Phillips(716) 336-7151
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(800)914-0956MaryAnn.Phillips@esis.com 02/16/2011
Fairfield Insurance CompanyW078257Mary Ann Phillips(716) 336-7151
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Fairport Municipal CommissionW819197Elizabeth Santaferra(315) 445-6454
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Fairport Municipal CommissionW819197Courtney Tomeny(315) 445-6307
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(315)233-3021mg2@pmagroup.com 06/01/2021
Farm Family Casualty Ins. Co.W079008Steve Marsh(716) 636-2709
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(800)914-0956Steve.Marsh@esis.com 12/10/2021
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(800)914-0956Steve.Marsh@esis.com 12/29/2021
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(800)914-0956Steve.Marsh@esis.com 12/29/2021
Farmingdale UFSDW819502Robin Moleski(315) 385-6840
ext.
(877)905-4002robin.moleski@sedgwickcms.com 04/29/2011
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Federal Express CorporationW413785Brian Yamamoto(866) 301-6568
ext.827
(855)287-4028urreferrals@genexservices.com 10/24/2018
Federal Insurance CompanyW080006Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Federated Mutual Ins. Co.W082002Michael Forbes(800) 428-4143
ext.7233113
(866)636-8660pcclaims@fedins.com 12/18/2017
Fillmore Central School DistrictW819759Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Fire Districts Insurance Company, Inc.W085575Yenny Tjokosudarmo(845) 352-8855
ext.7024
(845)352-2022yennyt@fdmny.com 03/16/2016
Fire Districts Insurance Company, Inc.W085575Laura Castaldo(845) 352-8855
ext.7022
(845)352-2022laurac@fdmny.com 03/16/2016
Fire Districts Insurance Company, Inc.W085575Pamella Rattray(845) 352-8855
ext.7023
(845)352-2022pamelar@fdmny.com 03/16/2016
Fire Districts Insurance Company, Inc.W085575Lenore Pearson-Vouitsis(845) 352-8855
ext.7021
(845)352-2022lpearson-vouitsis@fdmny.com 04/12/2018
Fire Districts Insurance Company, Inc.W085575Jessyca Ruiz(845) 352-8855
ext.7026
(845)352-2022JRuiz@fdmny.comclaims04/12/2018
Fire Districts Insurance Company, Inc.W085575Jessyca Ruiz(845) 352-8855
ext.7026
(845)352-2022JRuiz@fdmny.comclaims04/12/2018
Fireman's Fund Insurance CompanyW086003Letitia Tigue(952) 486-5259
ext.
(888)340-6679letitia.tigue@agcs.allianz.com 09/03/2019
Fireman's Fund Insurance CompanyW086003Adriana Alvarez(312) 629-2017
ext.
(888)296-2348adriana.alvarez@agcs.allianz.comAGCS09/04/2019
Fireman's Fund Insurance CompanyW086003Peggie Leidelmeijer(818) 972-3378
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(818)688-0173peggie.leidelmeijer@agcs.allianz.comAGCS09/04/2019
Fireman's Fund Insurance CompanyW086003Sara Marek(314) 513-1014
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(888)260-3084sara.marek@agcs.allianz.com AGCS09/24/2019
Fireman's Fund Insurance CompanyW086003Margaret Hellebusch(314) 513-1141
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(888)837-6808margaret.hellebusch@allianzrm-us.comARM09/24/2019
Fireman's Fund Insurance CompanyW086003Jason Fredrick(314) 817-2806
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(888)887-6381jason.fredrick@agcs.allianz.comAGCS09/25/2019
Fireman's Fund Insurance CompanyW086003Irma Salmond(678) 393-4592
ext.
(415)899-2533irma.salmond@allianzrm-us.com ARM03/16/2020
Fireman's Fund Insurance CompanyW086003Marilyn Johnson(678) 393-4559
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(415)899-2533marilyn.johnson@allianzrm-us.com ARM03/16/2020
Fireman's Fund Insurance CompanyW086003Beverly Reed(314) 817-2857
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(415)899-2533beverly.reed@allianz-us.com ARM03/16/2020
Fireman's Fund Insurance CompanyW086003Tarria Harris(678) 393-4054
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(415)899-2533tarria.harris@allianzrm-us.com ARM03/16/2020
Fireman's Fund Insurance CompanyW086003Vicki Sweatland(678) 332-3505
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(415)899-2533victoria.sweatland@allianzrm-us.comARM03/17/2020
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First Liberty Insurance Corp.W087449Melissa Jewell(800) 664-2273
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(603)422-7989nystateguidelines2@LibertyMutual.com 10/05/2015
First National Supermarkets Inc.W417752Jeffrey Lewis(800) 288-8415
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(717)960-8332ausa.mgh.group@aholdusa.com 06/17/2013
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(716)285-2618MTG-C1@managedcarenetwork.com 04/30/2021
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FleetBoston Financial Corp.W417885Nicklous Annoye(800) 664-2273
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(603)422-7989nystateguidelines2@libertymutual.com 05/02/2019
Florists Insurance CompanyW088751Joan Klopf(800) 473-6879
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(800)999-4642joan.klopf@sentry.com 10/17/2016
Florists Mutual Insurance CompanyW089007Joan Klopf(978) 392-7152
ext.
(800)999-4642joan.klopf@sentry.com 10/17/2016
Ford Motor CompanyW421002Maria Monroe(716) 821-4264
ext. n/a
(716)821-4183mmonroe1@ford.com BUFFALO STAMPING PLANT11/05/2010
Ford Motor CompanyW421002Maria Monroe(716) 821-4264
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(716)821-4183mmonroe1@ford.com 01/05/2016
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ext.
(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
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ext.
(616)956-2093stacy.holwerda@foremost.com 12/29/2010
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ext.
(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
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(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
Franklin Central School Dist.W819981Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Franklin Co. Self Ins. PlanW820005Becky Ranucci(315) 453-6440
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(866)727-5573Becky_Ranucci@Corvel.com 04/22/2011
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ext.
(518)483-2340cjeror@co.franklin.ny.us 04/22/2011
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ext.
(518)483-2340cjeror@co.franklin.ny.us 03/11/2016
Franklin Co. Self Ins. PlanW820005April Starks(315) 453-6440
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(866)727-5573GM-SYNY-Claims@corvel.com 03/11/2016
Franklin-Essex-Hamilton BocesW819965Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Franklinville Central School DistrictW820252Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
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(315)233-3021claimsmail@pmagroup.com 08/02/2018
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Frontier CommunicationsW588008Amy Wren(570) 631-3033
ext.
(570)631-8054Amy.Wren@ftr.com 01/05/2011
Fulton Boiler Works, Inc.W422380Erin Russell(800) 337-7419
ext.
(877)434-3551MTG@TRIADGATE.COM TRIAD NURSE04/01/2021
Fulton Group, NAW422570Erin Russell(800) 337-7419
ext.
(877)434-3551MTG@TRIADGATE.COM TRIAD NURSE04/01/2021
GATEWAY INSURANCE COMPANYW090823Alex Stein(314) 373-3333
ext.223
(314)373-5867astein@gicauto.com 11/04/2010
GULF UNDERWRITERS INSURANCE COW101885MaryJo Doyle(585) 321-8351
ext.
(866)228-7729convaria@travelers.comConstruction Claim Office03/29/2016
GULF UNDERWRITERS INSURANCE COW101885Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comAlbany and Buffalo03/29/2016
GULF UNDERWRITERS INSURANCE COW101885Patricia Pierce(631) 577-7593
ext.
(866)889-8376MELVARIA@travelers.comMelville08/04/2016
General Brown CSDW822506Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
General Casualty Co of WisconsinW091755Brian Scott(800) 961-1121
ext.643331
(608)925-0249NYAuthorizationRequests@us.qbe.com 12/30/2010
General Ins Co of AmericaW093009Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
General MotorsW431001Jodi White, RN(248) 223-6894
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(248)223-6815gmpreferredvendorcorrespondences@sedgwickcms.comall11/06/2020
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(716)842-0018VarianceRequest@ncacomp.com 01/04/2021
Genesee Valley Central School DistrictW802078Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Geneseo CSDW823025Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Geneva Reg Hlth System, Inc.W433759Angela Talarico(716) 314-2007
ext.
(716)314-2199Angela.Talarico@usi.com 11/30/2018
Germantown Cen. School DistW823033Devon Fik(716) 842-0045
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(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Gilboa Conesville Central School DistrictW823074Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Gioia Insurance Trust FundW435507Lori Lysek(716) 842-0045
ext.113
(716)842-0018llysek@ncacomp.com 11/02/2010
Great American Alliance Insurance CompanyW020507Julie Powers(770) 225-4611
ext.297
(855)277-6359japowers@strategiccomp.com 03/06/2020
Great American Insurance CompanyW100002Donna Freshneck(973) 952-9889
ext.
(888)223-1317dfreshneck@gaic.com 11/08/2010
Great American Insurance CompanyW100002Debbie Elliott(301) 791-7040
ext.
(888)223-1317dkelliott@gaic.com 11/08/2010
Great American Insurance CompanyW100002Julie Powers(770) 225-4611
ext.
(855)277-6359japowers@strategiccomp.com 05/20/2014
Great American Insurance CompanyW100002Debbie Elliott(866) 791-7040
ext.
(888)223-1317DKElliott@gaig.comAlternative Markets Division01/07/2016
Great American Insurance CompanyW100002Pamela Goldstein(973) 952-9845
ext.
(888)223-1317PRGoldstein@gaig.comAlternative Markets Division01/07/2016
Great American Insurance CompanyW100002Kim Randall(973) 952-9727
ext.
(888)223-1317KRandall2@gaig.comAlternative Markets Division01/07/2016
Great American Insurance CompanyW100002Katherine Rodriguez(973) 952-9764
ext.
(888)223-1317KRodriguez@gaig.comAlternative Markets Division01/07/2016
Great American Insurance CompanyW100002Brenda Walker(973) 952-9728
ext.
(888)223-1317BJWalker@gaig.comAlternative Markets Division01/07/2016
Great Divide Insurance CompanyW100135Tamika Reed(800) 259-2560
ext.8882
(866)360-1718workcompclaims@berkleyenvironmental.com 04/02/2020
Great Divide Insurance CompanyW100135Tamara Tillman(201) 748-3110
ext.
(866)360-1718ttillman@berkleyenvironmental.com 11/12/2021
Great Northern Insurance CompanyW100507Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Great West Casualty CompanyW100754Jammie Lynn(712) 490-8044
ext.
(800)833-1851j.lynn@gwccnet.com 09/06/2019
Great West Casualty CompanyW100754Susie Mcarthur(402) 241-1047
ext.
&nS.MCARTHUR@gwccnet.comGWCC11/07/2019
Great West Casualty CompanyW100754WORK CA(402) 494-7790
ext.
(800)228-8602workca@gwccnet.comAssistants11/07/2019
Greene CountyW823389Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Greene CountyW823389Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Greene CountyW823389Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Greene CountyW823389Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Greenwood Central SchoolW823603Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Guideone Mutual Ins CoW101752Amber Grambo(888) 748-4326
ext.6318
(800)676-4457agrambo@guideone.com 02/26/2018
Guideone Mutual Ins CoW101752Karen Maher(888) 748-4326
ext.5169
(800)676-4457kmaher@guideone.com 02/26/2018
HDI Global Insurance CompanyW102503Ann Crepeau(312) 589-6751
ext.
(312)924-0951ann.crepeau@hdi-gerling.com 12/30/2014
HOUSTON GENERAL INS COW111504Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
HOUSTON GENERAL INS COW111504Kari Mellin(800) 440-5020
ext.
(800)364-0443NewYorkAuthReq@thezenith.comZenith Insurance - Claims/Supervisor11/13/2018
HOUSTON GENERAL INS COW111504Vivian Leffler(800) 440-5020
ext.null
(800)364-0443NewYorkAuthReq@thezenith.comZenith Insurance - Medical/Nurse11/13/2018
Hammondsport CSDW823777Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Hancock CSDW824023Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Hannibal CSDW824031Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Hanover American Insurance CompanyW102751Kerri Hollenkamp(800) 628-0250
ext.
(508)926-1570WCNYMTG@Hanover.com 02/14/2017
Hanover Insurance Co.W103006Kerri Hollenkamp(800) 628-0250
ext.
(508)926-1570WCNYMTG@Hanover.com 02/14/2017
Hartford Accident and IndemnityW105001Linda Cornnell(877) 544-7843
ext.7491
(515)518-2311LCornnell@creativerisksolutions.comCreative Risk Solutions09/15/2020
Hartford Accident and IndemnityW105001Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Casualty Ins. Co.W106009Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Fire Ins. Co.W106504Linda Cornell(877) 544-7843
ext.7491
(515)518-2311LCornell@creativeisksolutions.comCreative Risk Solutions07/24/2020
Hartford Fire Ins. Co.W106504Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Ins Co MidwestW106751Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Ins Co MidwestW106751Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Insurance Company of IllinoisW106637Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Hartford Underwriters Ins. Co.W158000Linda Cornell(877) 544-7843
ext.7491
(515)518-2311LCornell@creativerisksolutions.comCreative Risk Solutions07/27/2020
Hartford Underwriters Ins. Co.W158000Michelle Connell(877) 544-7843
ext.5978
(515)518-2311MConnell@creativerisksolutions.comCreative Risk Solutions07/27/2020
Hartford Underwriters Ins. Co.W158000Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Healthcare of NY WC Trust (HONY)W450886Gina Emerson(315) 701-1600
ext.16
(315)218-0063gemerson@safetpa.com 11/19/2010
Healthcare of NY WC Trust (HONY)W450886Lori Wilson(315) 701-1600
ext.
(315)218-0063lwilson@safetpa.com 02/03/2021
Hercules IncorporatedW452007Daniel Garrett(800) 962-2680
ext.47147
(716)636-7164daniel.garrett@esis.com 04/22/2011
Herricks UFSDW826093Regina Middleton(800) 337-7419
ext.450
(866)286-6898mtg@triadgate.com 04/19/2022
Herricks UFSDW826093Jean Puma(800) 337-7419
ext.
(866)851-2450jpuma@triadgate.com 04/19/2022
Hewlett Woodmere UFSDW826101Robin Coleman(800) 337-7419
ext.105
(866)593-9245rcoleman@triadgate.com 12/04/2018
Hewlett Woodmere UFSDW826101Chris Wright(800) 337-7419
ext.316
(866)388-7071cwright@triadgate.comTRIAD NURSE03/09/2022
Highlands Insurance CompanyW107007Norma Green(713) 267-8312
ext.
(713)267-8323norma.green@highlandsinsurance.com 12/03/2010
Highview National Insurance CompanyW221634Wendy Hildreth(315) 453-6440
ext.
(866)727-5573gm-syny-claims@CorVel.comCorVel Claims02/23/2021
Hillside Children's CenterW454888Erin O'Connor(716) 314-2002
ext.
(610)362-8107erin.oconnor@usi.com 02/10/2022
Hinsdale Central School DistrictW826150Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Hollingsworth & Vose CompanyW453757David Schwalbach(315) 233-4278
ext.
(315)463-1605Dave_Schwalbach@us.crawco.com 04/11/2011
Home Indemnity CompanyW109003Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Home Indemnity CompanyW110001Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Homeland Insurance Co of NYW090757Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
Homer Central School DistrictW826226Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Hornell City School DistrictW826218Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Horseheads Central School DistrictW826267Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Horseheads Central School DistrictW826267Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Horseheads Central School DistrictW826267Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Horseheads Central School DistrictW826267Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Hudson City School DistrictW826283Sharifa Carbon(518) 828-4360
ext.2100
(518)697-8315carbons@hudsoncsd.org 10/28/2016
Humble Oil and Refining CoW470009Alan Rapee(703) 846-7247
ext.
(703)846-7247alan.w.rapee@exxonmobil.com 04/20/2011
Hunter Tannersville Central School DistrictW826242Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
IBM CorporationW473508Rosemary Mastantuoni(800) 422-0820
ext.25182
(603)334-8111rosemary.mastantuoni@libertymutual.comAll NY IBM.02/14/2011
Ideal MutualW112007Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Inc. Village of LynbrookW833255Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Inc. Village of LynbrookW833255Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Inc. Village of LynbrookW833255Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Inc.Village of Garden CityW820716Nicklous Annoye(800) 664-2273
ext.
(603)422-7989nystateguidelines2@libertymutual.com 08/21/2019
Indemnity Insurance of North AmericaW112502Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comSedgwick handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
Indemnity Insurance of North AmericaW112502Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
Indemnity Insurance of North AmericaW112502Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
Indemnity Insurance of North AmericaW112502Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/07/2021
Indemnity Insurance of North AmericaW112502Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/07/2021
Indemnity Insurance of North AmericaW112502Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
Indemnity Insurance of North AmericaW112502Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
Indian River C.S.D.W826325Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Ingersoll Rand CompanyW473003Daniel Garrett(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.com 04/23/2021
Insurance Co of North AmericaW116008Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
Insurance Co of North AmericaW116008Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
Insurance Co of North AmericaW116008Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
Insurance Co of North AmericaW116008Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
Insurance Co of North AmericaW116008Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comSedgwick handled claims10/04/2021
Insurance Co of North AmericaW116008Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
Insurance Co of North AmericaW116008Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
Insurance Co of North AmericaW116008Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
Insurance Co of North AmericaW116008Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/08/2021
Insurance Co of North AmericaW116008Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/08/2021
Insurance Co of North AmericaW116008Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
Insurance Co of North AmericaW116008Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
Int'l Imaging Materials, Inc.W475503Edward Gould(716) 759-9606
ext.315
(716)459-9609egould@wjcox.com 11/17/2010
Int'l Imaging Materials, Inc.W475503Edward Gould(716) 759-9606
ext.315
(716)759-9609egould@wjcox.com 03/11/2016
Int'l Imaging Materials, Inc.W475503Lori Karalus(716) 759-9606
ext.317
(716)759-9606lkaralus@wjcox.com 03/11/2016
International Paper CompanyW476006Amy Carver(866) 286-0281
ext.
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Irvington UFSDW826440Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Irvington UFSDW826440Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Irvington UFSDW826440Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Irvington UFSDW826440Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Islip UFSDW826754Robin Coleman(800) 337-7419
ext.105
(866)593-9245rcoleman@triadgate.com 12/04/2018
Islip UFSDW826754Chris Wright(800) 337-7419
ext.316
(866)388-7071cwright@triadgate.comTRIAD NURSE03/09/2022
Jamesville-Dewitt CSDW829139Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Jasper Troupsburg CSDW829253Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Jefferson Central School DistrictW829758Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Jefferson County Department of InsuranceW830004Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 05/05/2020
Jefferson-Lewis BocesW830079Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
K-Mart CorporationW492003Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
KISTNER CONCRETE PRODUCTS INCW489389Robert Efthemis(716) 314-2096
ext.
(610)362-8107robert.efthemis@usi.com 02/09/2022
Keshequa CSDW830178Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
KeyCorpW488829Robin Shaffer-McLoud(216) 689-0305
ext.
(216)370-9273Robin_L_Shaffer-McLoud@keybank.com 12/26/2018
Kimberly-Clark Corp.W489009Matt Stoss(804) 323-4550
ext.
(800)999-4642matt.stoss@sentry.com 03/09/2016
Kinderhook CSDW830194John Iorio(888) 476-2669
ext.
(315)233-3021John_Iorio@pmagroup.com 09/29/2020
Kookmin Best Insurance Co LtdW122949Dawn Conville(609) 495-0001
ext.3462
(609)495-0252Dawn.conville@tristargroup.net 11/15/2016
Krasdale Foods IncW491500Tara DiFulio(315) 453-6468
ext.
(866)727-5573tara_difulio@corvel.com 12/13/2010
LM Insurance CorporationW122824Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
LMI InsuranceW156756Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
LOCKPORT CITY SCHOOL DISTRICTW832448Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.comLockport City School District04/09/2020
LaFayette Central School DistW830350Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Lafargeville C.S.D.W830327Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lake Placid CSDW830368Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lamorak Insurance CompanyW060008Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 06/18/2021
Laurens Central SchoolW830467Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lawrence UFSDW830442Chelsea Krause(800) 337-7419
ext.116
(866)908-1107CKRAUSE@TRIADGATE.COM 05/18/2015
Lawrence UFSDW830442Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 02/19/2019
LeRoy Central School DistrictW830471Devon Fik(716) 840-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Legion Insurance CompanyW148506Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Leprino Foods CompanyW498380Daniel Garrett(716) 636-7147
ext.
(716)636-7164daniel.garrett@esis.com 04/29/2011
Letchworth CSDW830475Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Liberty Mutual Fire Ins.Co.W123509Melissa Jewell(800) 664-2273
ext.
(603)422-7989nystateguidelines2@LibertyMutual.com 10/05/2015
Liberty Mutual Fire Ins.Co.W123509Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/20/2015
Liberty Mutual Fire Ins.Co.W123509Stephanie Writz(800) 664-2273
ext.
(603)422-7989nystateguidelines2@libertymutual.com 08/14/2020
Liberty Mutual Insurance CoW124002Melissa Jewell(800) 664-2273
ext.
(603)422-7989nystateguidelines2@LibertyMutual.com 08/12/2015
Liberty Mutual Insurance CoW124002Melissa Jewell(800) 664-2273
ext.
(603)422-7989nystateguidelines2@LibertyMutual.com 04/25/2019
Lifetime Healthcare, IncW417380Nancy Cure(315) 453-6440
ext.
(866)727-5573gm-syny-claims@corvel.com 06/30/2016
Liverpool CSDW831473Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Livonia Central School DistW832380Devon Fik(716) 840-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Locust Valley CSDW832505Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429mtg@triadgate.com 04/19/2022
Locust Valley CSDW832505Jean Puma(800) 337-7419
ext.
(866)851-2450mtg@triadgate.com 04/19/2022
Long Lake CSDW832638Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lowe's Home Centers, Inc.W515506Sedgwick UR(866) 286-0281
ext.
(877)922-7236lowesmedsupport@lowes.com 04/27/2016
Lowe's Home Centers, Inc.W515506Sandra Saukas(704) 928-7194
ext.
(704)717-7701sandra.saukas@lowes.com 01/16/2021
Lowville Central School DistW832752Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lumbermen's CasualtyW122139Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Lumbermen's Underwriting AllianceW130256Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lumbermens Mutual Casualty CompanyW130009John Lastella(800) 800-7660
ext.
(770)723-8647tcmumintake@choosebroadspire.comBroadspire12/17/2010
Lumbermens Mutual Casualty CompanyW130009MaryJo Doyle(585) 321-8351
ext.
(866)228-7729convaria@travelers.comTravelers - Construction01/18/2011
Lumbermens Mutual Casualty CompanyW130009Donna Johnson(847) 320-4772
ext.
(847)320-7215Donna.Johnson@LMCCO.comLumbermens Mutual01/18/2011
Lumbermens Mutual Casualty CompanyW130009Steve Marsh(716) 639-2709
ext.
(800)914-0956Steve.marsh@esis.comESIS01/18/2011
Lumbermens Mutual Casualty CompanyW130009Robin Moleski(888) 777-4789
ext.
(877)905-4002Robin.Moleski@srsconnect.comSRS- Specialty Risk Services01/18/2011
Lumbermens Mutual Casualty CompanyW130009Diane Muraven(518) 862-7942
ext.
(866)422-8263Albvaria@travelers.comTraverlers - Albany Office01/18/2011
Lumbermens Mutual Casualty CompanyW130009Lynn Pelisek(515) 223-6946
ext.
(515)221-7181lpelisek@creativerisksolutions.comHolmes Murphy01/18/2011
Lumbermens Mutual Casualty CompanyW130009Nicole Sergi(716) 849-8533
ext.
(866)530-1013travelwc@travelers.comTravelers - Buffalo Office01/18/2011
Lumbermens Mutual Casualty CompanyW130009Susanne Wuerthner(315) 457-6004
ext.
(315)453-5597GB-CM-NYMEDICAL-MAIL@gbtpa.comGallagher Bassett01/18/2011
Lumbermens Mutual Casualty CompanyW130009Jody Cannon(516) 535-4985
ext.
(516)535-4982MTG@RMPG.comRMPG - Risk Management Planning Grou[01/18/2011
Lumbermens Mutual Casualty CompanyW130009Todd Gancarz(315) 445-6443
ext.
(800)432-9762claimsmail@pmagroup.com 11/04/2016
Lumbermens Mutual Casualty CompanyW130009Todd Gancarz(315) 445-6443
ext.
(800)432-9762claimsmail@pmagroup.com 08/02/2018
Lyme C.S.D.W833131Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lynbrook UFSDW833503Lisa Crouse(800) 337-7419
ext.306
(866)640-3876lcrouse@triadgate.com 10/28/2016
Lynbrook UFSDW833503Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 02/19/2019
Lyncourt UFSD at SalinaW833750Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Lyndonville Central SchoolW833792Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 12/10/2020
MEDINA CENTRAL SCHOOL DISTRICTW835359Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 12/10/2020
MEMIC CASUALTY COMPANYW134530Erica Winnie(518) 292-6815
ext.
(207)791-3334EWinnie@memic.com 03/23/2020
MEMIC CASUALTY COMPANYW134530Jenna Reynolds(518) 292-6804
ext.
(207)791-3334jreynolds@memic.com 08/20/2020
MERCER INSURANCE COMPANYW135255Lawrence Crawford(609) 737-0426
ext.1162
(609)737-7783lcrawford@mercerins.com 11/04/2010
MERCER INSURANCE COMPANYW135255Vicky Greff(319) 286-2565
ext.2565
(888)726-9737vgreff@unitedfiregroup.com 02/26/2018
Magna Powertrain USA, Inc.W517387Bridget Panarello(516) 962-5601
ext.
(315)453-5597Bridget_Panarello@gbtpa.com 04/21/2016
Magna Powertrain USA, Inc.W549885Bridget Panarello(516) 962-5601
ext.
(315)453-5597Bridget_Panarello@gbtpa.com 04/21/2016
Maine Employers Mutual Ins CoW132633Erica Winnie(518) 292-6815
ext.
(207)791-3334ewinnie@memic.com 08/20/2020
Maine Employers Mutual Ins CoW132633Jenna Reynolds(518) 292-6804
ext.
(207)791-3334jreynolds@memic.com 08/20/2020
Malone CSDW834600Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Marathon Central School DistW835078Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Margaretville Central School DistrictW835128Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Massapequa UFSDW835136Jeremy Conners(315) 445-6306
ext.
(315)233-3021mg2@pmagroup.com 06/01/2021
Massapequa UFSDW835136Courtney Tomeny(315) 445-6307
ext.
(315)233-3021mg2@pmagroup.comACA06/01/2021
Mayfair Super Markets IncW519714Jeffrey Lewis(800) 288-4815
ext. 4903
(717)960-8332ausa.mgh.group@aholdusa.com 06/17/2013
Mayfair Super Markets IncW519714Jennifer Seyfang(716) 285-5710
ext.
(716)285-2618MTG-C1@managedcarenetwork.com 04/30/2021
McGraw Central School Dist.W835326Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
MeadWestvaco CorporationW677009Kim Bolster(804) 444-7047
ext.
(804)444-1984kim.bolster@mwv.com 11/08/2010
Mem Sloan-Kettering Cancer CtrW520746John Lastella(908) 540-0373
ext.
(770)777-6404intakebsi@choosebroadspire.com 11/03/2020
Mem Sloan-Kettering Cancer CtrW520746Janet Haut(646) 888-4029
ext.
(646)888-4025hautj@mskcc.org 11/03/2020
Mercantile Self Ins TrustW634505Stephanie Skardinski(315) 699-8475
ext.216315
(315)699-1438sskardinski@workerscomp.com 12/02/2010
Mexico Central School DistrictW835441Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Michigan Millers Mutual Insurance CompanyW136006Rachael Feldpausch(517) 367-5042
ext.5042
(517)371-7733claims@mimillers.com 08/31/2021
Mid-Century Insurance CompanyW137509Danielle Musgrove(512) 533-8388
ext.
(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
Mid-Hudson Valley Staffco, LLC.W520870Sonia Mendez(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 05/01/2020
Mid-Hudson Valley Staffco, LLC.W520870Mark Donahue(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/09/2021
Middletown, City ofW836001Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Middletown, City ofW836001Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Middletown, City ofW836001Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Middletown, City ofW836001Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Midland Ins CoW139000Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Milford Central SchoolW836506Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Millard Fillmore HospitalW415004Angela Talarico(716) 314-2007
ext.
(610)362-8107Angela.Talarico@usi.com 02/09/2022
Millard Fillmore HospitalsW415509Angela Talarico(716) 314-2007
ext.
(610)362-8107Angela.Talarico@usi.com 02/09/2022
Mitsui Sumitomo INS USA INCW206502Jim Harrington(908) 350-1783
ext.
(908)604-2835nymedicalrequests@msigusa.com 10/08/2020
Mitsui Sumitomo INS USA INCW206502Robert Mikita(908) 604-2911
ext.
(908)604-2835nymedicalrequests@msigusa.com 10/08/2020
Mitsui Sumitomo Insurance Company of AmericaW204507Jim Harrington(908) 350-1783
ext.
(908)604-2835nymedicalrequests@msigusa.com 10/08/2020
Mitsui Sumitomo Insurance Company of AmericaW204507Robert Mikita(908) 604-2911
ext.
(908)604-2835nymedicalrequests@msigusa.com 10/08/2020
Mobil Corp.W522502John Dill(832) 625-7691
ext.
(262)953-4967john.e.dill@exxonmobil.com 09/22/2016
Mobil Corp.W522502Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
Mobil Oil Corp.W524003John Dill(832) 625-7691
ext.
(262)953-4967John.E.Dill@exxonmobil.com 09/22/2016
Mobil Oil Corp.W524003Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
Mobil Oil CorporationW522759John Dill(832) 625-7691
ext.
(262)953-4967joh.e.dill@exxonmobil.com 09/22/2016
Mobil Oil CorporationW522759Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
Mobil Pipe Line CompanyW525000John Dill(832) 625-7691
ext.
(262)953-4967john.e.dill@exxonmobil.com 09/22/2016
Mobil Pipe Line CompanyW525000Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
Moravia Central School DistW838072Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Morris Central School Dist.W838197Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Motorists Commercial MutualW028005Lisa Simon(866) 578-2937
ext.
(217)477-6666lsimon@ccmsi.comCCMSI08/29/2017
Motorists Commercial MutualW028005Lisa White(855) 660-6494
ext.
(217)477-6666lwhite@ccmsi.comCCMSI08/29/2017
Motorists Commercial MutualW028005Sandhya Dabholkar(932) 643-3452
ext.
(217)477-6666sdabholkar@ccmsi.comCCMSI08/29/2017
Motorists Commercial MutualW028005Danielle Hubbard(844) 815-9206
ext.
(217)477-6666dhubbard@ccmsi.comCCSMI10/17/2017
Motorists Commercial MutualW028005Danielle Ambrose(844) 815-9206
ext.
(217)477-6666dhubbard@ccmsi.comCCSMI10/17/2017
Mount Vernon Fire Insurance CoW143887Adi Shapiro(212) 815-8900
ext.303
(212)732-5509Adi_Shapiro@gbtpa.com 04/21/2011
Mt Morris C.S.D.W838635Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
NATIONAL CASUALTY COW146005Kari Draeger(515) 508-2443
ext.
(800)363-8904WCADMIN@nationwide.com 05/18/2021
NEW YORK MARINE AND GENERALW156665Mike Thorlton(217) 444-1193
ext.
(732)938-5710mthorlton@ccmsi.com 05/14/2018
NEW YORK TRANSPORTATION INSW156699VINEET JOSHI(718) 803-9571
ext.
(718)803-9574vjoshi@nyticins.com 04/06/2011
NEW YORK TRANSPORTATION INSW156699Harkesh Tuli(718) 803-9571
ext.
(718)803-9574htuli@nyticins.com 04/06/2011
NYS Health ProvidersTrustW552756Angela Talarico(716) 314-2007
ext.
(610)362-8107angela.talatico@usi.com 02/09/2022
NYS Liquidation BureauW025001Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW042006Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW050504Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW050637Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW055008Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW062004Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW076384Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW090633Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW110258Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW110506Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW111009Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW113500Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW117501Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW128003Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW132005Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW142251Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW198006Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYS Liquidation BureauW225387Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
NYSARC INC CHAUTAUQUA COUNTY dba THE RESOURCE CNTRW537633Kristina Petry(716) 314-2100
ext.
(610)362-8107kristina.petry@usi.com 02/09/2022
NYSARC, Inc. Chautauqua County ChapterW537500Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Nassau Health Care Corp.W840078Mary O'Grady(347) 657-0871
ext.
(315)233-3021MG2@pmagroup.com 06/01/2021
Nassau Health Care Corp.W840078Mary O'Grady(347) 657-0871
ext.
(315)233-3021MG2@pmagroup.com 06/01/2021
Nassau Health Care Corp.W840078Mary O'Grady(347) 657-0871
ext.
(315)233-3021MG2@pmagroup.com 06/01/2021
National American Insurance CompanyW144505Ray Herring(800) 332-2210
ext.4475
(405)240-5409rherring@naico.com 05/26/2011
National Fuel Gas CompanyW541254Joanna Deneke(716) 857-7172
ext.
(716)857-7195denekej@natfuel.com 09/25/2018
National Fuel Gas CompanyW541254Kelly Coakley(716) 857-7615
ext.
(716)857-7195coakleyk@natfuel.com 12/04/2018
National Fuel Gas Dist. CorpW541502Joanna Deneke(716) 857-7172
ext.null
(716)857-7195denekej@natfuel.com 09/27/2018
National Fuel Gas Dist. CorpW541502Kelly Coakley(716) 857-7615
ext.
(716)857-7195coakleyk@natfuel.com 12/04/2018
National Fuel Gas Dist. CorpW541502Joanna Deneke(716) 857-7172
ext.7172
(716)857-7195DenekeJ@natfuel.com 05/13/2021
National Fuel Gas SupplyW541759Joanna Deneke(716) 857-7172
ext.null
(716)857-7195denekej@natfuel.com 09/27/2018
National Fuel Gas SupplyW541759Kelly Coakley(716) 857-7615
ext.
(716)857-7195coakleyk@natfuel.com 12/04/2018
National Fuel Gas SupplyW541759Joanna Deneke(716) 857-7172
ext.7172
(716)857-7195DenekeJ@natfuel.com 05/13/2021
National Interstate Ins CoW148639Lisa Sauro(888) 595-7322
ext.
(330)659-8909lisa.sauro@natl.com 02/27/2018
National Liability & Fire Insurance CompanyW148753MaryJo Cunningham(844) 549-2512
ext.5228
(203)903-0387maryjo.cunningham@nlf-info.com 02/27/2018
National Liability & Fire Insurance CompanyW148753Lydia Ems(844) 549-2512
ext.5228
(203)903-0387lydia.ems@nlf-info.com 02/27/2018
National Surety CorporationW149009Tarria Harris(678) 393-4054
ext.
(888)204-4229tarris.harris@ffic.com 11/02/2016
National Surety CorporationW149009Margaret Hellebusch(314) 513-1141
ext.
(888)837-6808margaret.hellebusch@ffic.com 11/02/2016
National Surety CorporationW149009Marilyn Johnson(678) 393-4559
ext.
(888)261-3199marilyn.johnson@ffic.com 11/02/2016
National Surety CorporationW149009Sara Marek(314) 513-1014
ext.
(888)260-3084sara.marek@ffic.com 11/02/2016
National Surety CorporationW149009Beverly Reed(314) 817-2857
ext.
(888)556-2620beverly.reed@ffic.com 11/02/2016
National Surety CorporationW149009Irma Salmond(678) 393-4592
ext.
(888)287-5618irma.salmond@ffic.com 11/02/2016
National Surety CorporationW149009Letitia Tigue(952) 486-5259
ext.
(888)340-6679letitia.tigue@agcs.allianz.com 09/03/2019
National Surety CorporationW149009Peggie Leidelmeijer(818) 972-3378
ext.
(818)688-0173peggie.leidelmeijer@agcs.allianz.comAGCS09/04/2019
National Surety CorporationW149009Adriana Alvarez(312) 629-2017
ext.
(888)296-2348adriana.alvarez@agcs.allianz.comAGCS09/04/2019
National Surety CorporationW149009Jodie Bryson(646) 949-2018
ext.
(212)937-2368jodie.bryson@agcs.allianz.comAGCS10/16/2020
Nationwide Agribusiness Ins CoW151252Kari Draeger(515) 508-2443
ext.
(800)363-8904WCADMIN@nationwide.com 05/18/2021
Netflix, Inc.W548509Janet Mars(323) 828-2435
ext.
(323)828-2435jmars@netflix.com 07/16/2018
New Jersey Manufacturers Insurance CompanyW156004Todd DeCola(800) 232-6600
ext.8612
(609)493-1466WCC_NY_Variance@njm.com 03/05/2020
New Lebanon CSDW840292John Iorio(888) 476-2669
ext.
&nMG2@pmagroup.com 06/04/2021
New York Lumbermens Insurance Trust FundW551006Sarah Cedeno(716) 759-9606
ext.331
(716)759-9609scedeno@wjcox.com 11/04/2010
New York Lumbermens Insurance Trust FundW551006Lori Karalus(716) 759-9606
ext.317
(716)759-9609Lkaralus@wjcox.com 03/11/2016
New York Lumbermens Insurance Trust FundW551006Elaine Perkins(716) 759-9606
ext.322
(716)759-9609EPerkins@WJCOX.com 04/05/2017
New York Lumbermens Insurance Trust FundW551006Ginger Shiring(716) 759-9606
ext.304
(716)759-9609GShiring@wjcox.com 02/05/2019
Niagara County Mutual Self InsuranceW851000Gian Giandomenico(716) 314-2034
ext.
(610)362-8107gian.giandomenico@usi.com 02/09/2022
Niagara County Mutual Self InsuranceW851000Judy Heinen(716) 314-2047
ext.
(610)362-8107judy.heinen@usi.com 02/09/2022
Niagara County Mutual Self InsuranceW851000Kristina Petry(716) 314-2100
ext.
(610)362-8107kristina.petry@usi.com 02/09/2022
Niagara Falls Board of Ed.W850002Devon Fik(716) 842-0045
ext.129
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Nordstrom, Inc.W557417Kim Kennedy(714) 513-4776
ext.
(714)513-4778Kimberly.Kennedy@Nordstrom.comRisk Management10/28/2019
Nordstrom, Inc.W557417Renee Updegraff(714) 513-4772
ext.
(714)513-4778Renee.Updegraff@Nordstrom.comRisk Management10/28/2019
Nordstrom, Inc.W557417Jaime Smalling(714) 513-4795
ext.
(714)513-4778Jaime.Smalling@Nordstrom.comRisk Management10/28/2019
Nordstrom, Inc.W557417Gaylon Holler(714) 513-4759
ext.
(714)513-4778Gaylon.Holler@Nordstrom.comRisk Management10/28/2019
Nordstrom, Inc.W557417Virginia Razo(714) 513-4789
ext.
(714)513-4778Virginia.M.Razo@Nordstrom.comRisk Management10/28/2019
Nordstrom, Inc.W557417Suzanne Kinsey(714) 513-4781
ext.
(714)513-4778suzanne.p.kinsey@nordstrom.com 06/30/2020
Nordstrom, Inc.W557417Ivette Rombs(714) 513-4787
ext.
(714)513-4778Ivette.rombs@nordstrom.com 08/20/2021
North American Specialty Insurance Co.W160675Edward Gould(716) 759-9606
ext.315
(716)759-9609egould@wjcox.com 11/29/2010
North American Specialty Insurance Co.W160675Sarah Cedeno(716) 759-9606
ext.331
(716)759-9609SCedeno@wjcox.com 03/11/2016
Northeast Health Workers' Compensation PlanW600381Tracey Graham-Weaver(518) 525-6592
ext.
(518)525-1089tracey.graham-weaver@sphp.com 11/15/2010
Northeast Health, Inc.W557904Tracey Graham-Weaver(518) 525-6592
ext.
(518)525-1089tracey.graham-weaver@sphp.com 03/21/2011
Northern Assur Co of AmericaW162002Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
Northport-E Northport School DW851257Lidiana Javier(212) 431-3000
ext.58460
(646)495-9410lidiana.javier@gcgriskmanagement.comClaims Examiner06/16/2020
Northwestern National Ins. Co.W164008Devon Fik(716) 842-0045
ext.129
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
ORLEANS NIAGARA BOCESW857882Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@ncacomp.com 12/10/2020
Odessa-Montour Central School DistrictW852636Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
OfficeMax Inc.W347504Nicklous Annoye(800) 664-2273
ext.
(603)422-7989nystateguidelines2@libertymutual.com 05/02/2019
Oldcastle, Inc.W558720Brian Colbert(781) 767-6007
ext.
(603)422-7989nystateguidelines1@helmsmantpa.com 10/12/2018
Olean City Central School DistrictW852883Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Oneida LtdW559504Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 04/12/2016
Oneonta City School DistrictW854509Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Onondaga County Self Ins.DivisionW855001Deborah Rudy(315) 415-7836
ext.
(315)410-5717advancedcmsolutions@gmail.com 08/18/2021
Onondaga-Cortland-Madison BOCESW855506Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Ontario County Mutual Self Insurance PlanW856009Devon Fik(716) 842-0045
ext.129
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Orleans County Self-Insurance PlanW858005Robert Efthemis(716) 314-2096
ext.
(610)362-8107robert.efthemis@usi.com 02/09/2022
Oswego City School DistrictW858823Elizabeth Santaferra(315) 445-6454
ext.
(315)233-3021mg2@pmagroup.comACR06/01/2021
Oswego City School DistrictW858823Courtney Tomeny(315) 445-6406
ext.
(315)233-3021mg2@pmagroup.comACA06/01/2021
Oswego HospitalW560759Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 04/12/2016
Otsego Northern Catskill BocesW860258Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Our Lady of Lourdes HospitalW561500Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Our Lady of Victory Hospital of LackawannaW561633Daniel Garrett(716) 636-7147
ext.
(716)636-7100Daniel.Garrett@esis.com 04/25/2011
Owens Illinois, Inc. 1987W561757Susanne Wuerthner(315) 457-6001
ext.206
(866)897-1275Susanne_Wuerthner@gbtpa.com 05/09/2011
Owens-IllinoisW562508Susanne Wuerthner(315) 457-6001
ext.206
(866)897-1275Susanne_Wuerthner@gbtpa.com 05/09/2011
PENN MILLERS INSURANCE COW174007Marcy Marra(570) 822-8111
ext.1344
(570)822-2165mmarra@pennmillers.com 11/03/2010
PENNSYLVANIA LUMBERMENSW172506Betty Blum(800) 752-1895
ext.9334
(267)825-9333bblum@plmins.com 11/15/2010
PHICO INSURANCE COMPANYW176507Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Pacific Employers Ins. Co.W167001Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comYork handled claims10/04/2021
Pacific Employers Ins. Co.W167001Roxanne Brown(901) 415-7790
ext.
(901)415-7409compaffairs@sedgwick.comSedgwick handled claims10/04/2021
Pacific Employers Ins. Co.W167001Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
Pacific Employers Ins. Co.W167001Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
Pacific Employers Ins. Co.W167001Danielle Ambrose(585) 402-0092
ext.
(770)723-8647dhubbard@ccmsi.comCCMSI handled claims10/04/2021
Pacific Employers Ins. Co.W167001Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
Pacific Employers Ins. Co.W167001Leah Krazanowski(800) 664-2273
ext.
(603)422-7989nystateguidelines1@helmsmantpa.comHelmsman handled claims10/05/2021
Pacific Employers Ins. Co.W167001Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
Pacific Employers Ins. Co.W167001Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/08/2021
Pacific Employers Ins. Co.W167001Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/08/2021
Pacific Employers Ins. Co.W167001Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
Pacific Employers Ins. Co.W167001Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
Pacific Indemnity CompanyW168009Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Paramount GlobalW446256Joanne Kenney(860) 447-0048
ext.252
(860)442-1956jkenney@murphybeane.com 12/08/2010
Pennsylvania Insurance CompanyW172001Mary Mahaffey(716) 589-1124
ext.
(866)805-1232mmahaffey@armourrisk.com 09/12/2016
Pennsylvania National Mutual Casualty Insurance CoW175004Janet DiMaria(877) 704-4440
ext.
(570)283-1637jdimaria@hooverinc.com 11/30/2010
People, Inc.W568078Cheryl Stiller(716) 817-7212
ext.
(716)817-2600cstiller@people-inc.org 03/31/2017
People, Inc.W568078Kimberly Stehle(315) 453-6447
ext.
(866)727-5573kim_stehle@corvel.com 05/16/2017
Perry CSDW860713Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Petroleum Casualty Co.W175509Alan Rapee(703) 846-7247
ext.
(703)846-2363alan.w.rapee@exxonmobil.com 04/20/2011
Petroleum Casualty Co.W175509John Dill(832) 625-7691
ext.
(262)953-4967john.e.dill@exxonmobil.com 09/22/2016
Petroleum Casualty Co.W175509Kristin Hurwitz(845) 834-2880
ext.1112
(845)834-2884khurwitz@custard.com 09/22/2016
Pharmacists Mutual Ins CoW017255Lisa Molsberry(800) 247-5930
ext.7447
(515)295-4321claims@phmic.com 01/31/2018
Phelps Memorial Hospital AssociationW569137Sani Booker(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 05/01/2020
Plainedge UFSDW860746Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429mtg@triadgate.com 04/19/2022
Plainedge UFSDW860746Jean Puma(800) 337-7419
ext.
(866)851-2450jpuma@triadgate.com 04/19/2022
Port Byron CSDW861041Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Port Washington Union Free School DistrictW861132April Santy(800) 337-7419
ext.386
(866)408-3350mtg@triadgate.comAdjuster03/17/2022
Port Washington Union Free School DistrictW861132Chris Wright(800) 337-7419
ext.316
(866)388-7071cwright@triadgate.comTriad Nurse03/17/2022
Portville Central School DistrictW861157Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Potomac Insurance Co of IllinoisW179063Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 06/18/2021
Prattsburgh C.S.D.W861215Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Preferred Manufacturers Insurance Trust FundW520720Gina Emerson(315) 701-1600
ext.16
(315)218-0063gemerson@safetpa.com 11/29/2010
Princeton Insurance Co.W179758Margaret Clemens(973) 515-6429
ext.
(614)601-9471Margaret.Clemens@sedgwickcms.com 03/05/2013
Procentury Insurance CompanyW179881Temeka Hicks(248) 204-8082
ext.
(248)648-7571temeka.hicks@ameritrustgroup.com 05/14/2019
Property and Casualty Insurance Co of HartfordW180756Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Protective Insurance CompanyW181002Melissa Dale(317) 452-7460
ext.
(317)452-7461mdale@protectiveinsurance.comOPA03/15/2018
Providence Washington Insurance CompaniesW182000Amy Watts(401) 453-7386
ext.
(401)431-9438amy.watts@enstargroup.us.com 11/04/2010
Pulaski Academy and Central SchoolW861249Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
R C Diocese of BrooklynW591382Brian Cosgrove(718) 965-7381
ext.
(718)965-7382bcosgrove@diobrook.org 12/16/2010
R. C. Diocese of AlbanyW591127Kathleen Williams(518) 445-6250
ext.
(518)445-6253kwilliams@catholicmutual.org 11/02/2010
R. E. Dietz CompanyW388003Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 04/12/2016
R.C. Diocese of BuffaloW591192Angela Talarico(716) 314-2007
ext.
(610)362-8107angela.talarico@usi.com 02/09/2022
REGENT INSURANCE COMPANYW186506Brian Scott(800) 961-1121
ext.643331
(608)925-0249NYAuthorizationRequests@us.qbe.com 12/30/2010
RELIANCE INS CO OF NEW YORKW187504Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
RELIANCE NATIONAL INDEMNITY COW178008Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
RLI INSURANCE COW185250Karen Houser(315) 741-3910
ext.
(315)453-5597karen_houser@gbtpa.com 02/28/2018
ROSINA FOOD PRODUCTS, INC.W592133Christine Wagner(716) 608-8563
ext.
(716)608-8606cwagner@rosina.com 10/28/2016
ROSINA FOOD PRODUCTS, INC.W592133Devon Fik(716) 842-0045
ext.
(716)842-0048variancerequest@ncacomp.com 03/24/2021
Randolph Academy UFSDW861520Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Randolph Central School DistrictW861462Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Realm National InsuranceW186258Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Realm National InsuranceW186258Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Redwood Fire and Casualty Insurance CompanyW186440Josef Gold(800) 661-6029
ext.
(415)675-5469jgold@bhhc.com 12/02/2020
Redwood Fire and Casualty Insurance CompanyW186440Blake Gordon(800) 661-6029
ext.
(415)675-5469bgordon@bhhc.com 12/02/2020
Reliance InsuranceW187009Todd Gancarz(315) 445-6443
ext.
(800)432-9762claimsmail@pmagroup.com 11/07/2016
Reliance National Insurance CoW187637Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Rensselaer City School DistW861637John Iorio(888) 476-2669
ext.
(315)233-3021john_iorio@pmagroup.com 09/29/2020
Repwest Insurance CompanyW187884Debbie Bandoli(833) 228-0632
ext.544506
(602)745-6519debbie_bandoli@repwest.com 06/19/2018
Retail and Wholesale IndustryW580252Gina Emerson(315) 701-1600
ext.16
(315)218-0063gemerson@safetpa.com 11/19/2010
Riverhead, Town ofW861744Kathy Pitney(518) 220-1111
ext.3009
(877)736-6232Kpitney@perma.org 04/13/2011
Riverhead, Town ofW861744Bridget Panarello(614) 356-2275
ext.
(315)453-5597Bridget_Panarello@gbta.com 11/09/2017
Rochester Institute of TechnologyW587505Kristina Petry(716) 314-2100
ext.
(610)362-8107kristina.petry@usi.com 02/09/2022
Rochester-Genesee RegionalW862130Marianne Peckham(585) 654-0236
ext.
(585)654-0229mpeckham@myrts.com 04/14/2021
Rocky Point UFSDW862775John Iorio(888) 476-2669
ext.6431
(800)432-9762MG2@pmagroup.com 06/04/2021
Roman Catholic Diocese of RochesterW591408Robert Efthemis(716) 314-2096
ext.
(610)362-8107robert.efthemis@usi.com 02/09/2022
Roman Catholic Diocese of RochesterW591408Angela Talarico(716) 314-2007
ext.
(610)362-8107angela.talarico@usi.com 02/09/2022
Roman Catholic Diocese of SyracuseW591507Melanie O'Hara(800) 337-7419
ext.472
(877)434-3551MTG@TRIADGATE.COM TRIAD ADJUSTER08/18/2021
Roman Catholic Diocese of SyracuseW591507Erin Russell(800) 337-7419
ext.471
(877)434-3551MTG@TRIADGATE.COM TRIAD NURSE08/18/2021
Rome City School DistrictW862866Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Roslyn UFSDW862809Robin Moleski(888) 777-4789
ext.56840
(877)905-4002Robin.Moleski@sedgwickcms.com 04/28/2011
Roxbury Central SchoolW862817Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
SAFETY FIRST INSURANCE COMPANYW193254Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.comNCAComp Inc.04/09/2020
SAFETY FIRST INSURANCE COMPANYW193254Kathleen Lewis(315) 445-6388
ext.
(315)233-3021claimsmail@pmagroup.comPMA Companies04/16/2020
SAFETY FIRST INSURANCE COMPANYW193254Wendy Hildreth(315) 453-6440
ext.
(866)727-5573GM-SYNY-Claims@corvel.comCorvel Claims Only04/16/2020
SAFETY FIRST INSURANCE COMPANYW193254Lori Wilson(315) 701-1600
ext.
(315)218-0063lwilson@safetpa.comSAFE, LLC04/30/2020
SAMSUNG FIRE & MARINE INSW192579John Lastella(800) 800-7660
ext.
(770)723-8647intakeBSI@choosebroadspire.com 05/24/2018
STAR INSURANCE COMPANYW202501Temeka Hicks(248) 204-8082
ext.
(248)648-7571temeka.hicks@ameritrustgroup.com 05/14/2019
STARR SPECIALTY INSURANCEW202824Wendy Hildreth(315) 453-6440
ext.null
(866)727-5573gm-syny-claims@corvel.comCorvel claims only06/11/2021
STARR SPECIALTY INSURANCEW202824Adam Strong(646) 963-2325
ext.
(646)304-1787mtgrequests@starrcompanies.com 06/11/2021
SULLIVAN COUNTY BOCESW868137DEANNA OKIPNEY(315) 453-6451
ext.
(866)727-5573Deanna_Okipney@Corvel.com 11/08/2010
SULLIVAN COUNTY BOCESW868137KAREN COOLEY(315) 453-6447
ext.
(866)727-5573Karen_cooley@Corvel.com 11/08/2010
SULLIVAN COUNTY BOCESW868137Jeanette D'Ambro(518) 283-8500
ext.342
(518)880-4131jeanetted@benetechadvantage.com 11/14/2019
SULLIVAN COUNTY BOCESW868137Tina Panichi(518) 283-8500
ext.302
(518)880-4131tinap@benetechadvantage.com 11/14/2019
SULLIVAN COUNTY SELF-INS PLANW868004Wendy Hildreth(315) 453-6440
ext.
(866)727-5573gm-syny-claims@CorVel.comCorVel claims04/28/2020
Sackets Harbor CSDW862940Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.comSackets Harbor CSD04/09/2020
Safety National Casualty CorporationW193502Devon Fik(716) 362-6483
ext.
(716)842-0018VarianceRequest@NCAComp.comNCAComp Inc.04/09/2020
Safety National Casualty CorporationW193502Kathleen Lewis(315) 445-6388
ext.
(315)233-3021claimsmail@pmagroup.comPMA Companies04/16/2020
Safety National Casualty CorporationW193502Wendy Hildreth(315) 453-6440
ext.
(866)727-5573GM-SYNY-Claims@corvel.comCorvel Claims Only04/16/2020
Safety National Casualty CorporationW193502John Lastella(631) 232-8460
ext.
(770)777-6404intakebsi@choosebroadspire.com Broadspire Claims Only04/20/2020
Safety National Casualty CorporationW193502Lori Wilson(315) 701-1600
ext.
(315)218-0063lwilson@safetpa.comSAFE, LLC04/30/2020
Safety National Casualty CorporationW193502Jed Magid(315) 484-5832
ext.
(315)453-5597GB-NYMedical-Mail@gbtpa.com 10/05/2020
Safety National Casualty CorporationW193502Jed Magid(315) 484-5832
ext.
(315)453-5597GB-NYMedical-Mail@gbtpa.comGallagher Bassett10/05/2020
Safety National Casualty CorporationW193502Steve Marsh(800) 914-0956
ext.
(716)639-2709Steve.Marsh@esis.comESIS10/06/2020
Safety National Casualty CorporationW193502Leah Krzanowski(800) 664-2273
ext.
(603)422-7989NYStateGuidelines1@helmsmantpa.comHelmsman10/07/2020
Safety National Casualty CorporationW193502Roxanne Brown(866) 286-0281
ext.
(901)415-7409nyrequests@sedgwick.comSedgwick10/07/2020
Safety National Casualty CorporationW193502Cheryl Primas(619) 881-5540
ext.
(619)744-5030cprimas@acmclaims.comAmercian Claims Management10/13/2020
Safety National Casualty CorporationW193502Cindy Altimano(800) 866-2301
ext.40240
(408)361-9112cindy.altimano@matrixcos.comMatrix11/04/2020
Safety National Casualty CorporationW193502Kathleen Hamilton(716) 650-2739
ext.
(716)631-0321authorizations@fcsadministrators.comFCS Administrators02/12/2021
Sagamore Insurance CompanyW193750Melissa Dale(317) 452-7460
ext.
(317)452-7461mdale@protectiveinsurance.comPAU03/15/2018
Sagamore Insurance CompanyW193750Charene Harris(317) 452-7664
ext.
(317)452-7665charris@protectiveinsurance.comSupervisor09/23/2020
Saint-Gobain Abrasives, Inc.W557862Daniel Garrett(800) 962-2680
ext.
(716)636-7164daniel.garrett@esis.com 04/18/2011
Salamanca City School DistrictW863757Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Salmon River C.S.D.W863856Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Sandy Creek Central School DistrictW863773Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Saranac Lake C.S.D.W863799Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Saratoga County Workers' Compensation PlanW864003Nancy Cure(315) 453-6440
ext.
(866)727-5573GM-SYNY-claims@corvel.com 07/01/2016
Schenectady City ofW865000Chelsea Krause(800) 337-7419
ext.116
(866)908-1107ckrause@triadgate.com 02/05/2020
Schenectady City ofW865000Valerie Litow(800) 337-7419
ext.466
(866)519-0594vlitow@triadgate.com 02/05/2020
Schenectady County Self InsW865505Robin Coleman(800) 337-7419
ext.
(866)593-9245rcoleman@triadgate.com 03/02/2016
Schenectady County Self InsW865505Valerie Litow(800) 337-7419
ext.
(866)519-0594vlitow@triadgate.com 03/02/2016
Schenevus Central SchoolW865638Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Schodack CSDW865752John Iorio(888) 476-2669
ext.
(315)233-3021John_Iorio@pmagroup.com 09/29/2020
Schuyler Steuben Chemung Tioga Allegany BocesW865927Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Schuyler Steuben Chemung Tioga Allegany BocesW865927Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Scio CSDW865943Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Scott Paper CompanyW600944Matt Stoss(804) 323-4550
ext.
(800)999-4642matt.stoss@sentry.com 03/09/2016
Sears, Roebuck & CompanyW604003Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
Seneca County Self InsuranceW866008Greg Pellicano(315) 539-1714
ext.1714
(315)539-1659gpellicano@co.seneca.ny.us 03/23/2011
Seneca County Self InsuranceW866008Devon Fik(716) 842-0045
ext.129
(716)842-0018VarianceRequest@NCAComp.com 06/10/2020
Sentinel Insurance Co LtdW199509Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Snyder Tank CorpW616882Lori Lysek(716) 842-0045
ext.113
(716)842-0018llysek@ncacomp.com 11/02/2010
Sodus Central School DistrictW866898Bridget Livingstone(585) 352-2709
ext.
(585)352-2427blivings@monroe2boces.org WFL Area School Workers' Comp. Plan10/31/2016
Solvay Union Free School DistW866933Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
Sompo America Fire and Marine Ins CoW200190John Lastella(800) 800-7660
ext.
(770)723-8647IntakeBSI@choosebroadspire.comBroadspire03/29/2018
Sompo America Fire and Marine Ins CoW200190Jed Magid(315) 484-5832
ext.
(315)453-5597GB-NYMedical-Mail@gbtpa.com 06/29/2021
Sonoco Products CompanyW617757Mike Sunderland(843) 383-7875
ext.
(843)383-7066mike.sunderland@sonoco.com 04/14/2011
South Jefferson C.S.D.W866958Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
South Kortright Central School DistrictW866925Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
South Lewis CSDW866901Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
South Manor Union Free SchoolW866891Chris Kownack(518) 283-8500
ext.351
(518)283-8515chrisk@benetech.cc 01/07/2011
South Manor Union Free SchoolW866891John Sheeran(518) 283-8500
ext.350
(518)283-8515johns@benetech.cc 01/07/2011
Special Funds Sec 25-A (02)W997002Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Special Funds Sec 25-A (03)W997003Chelsea Krause(800) 337-7419
ext.116
(866)908-1107ckrause@triadgate.com 01/23/2019
Special Funds Sec 25-A (04)W997004Chelsea Krause(800) 337-7419
ext.116
(866)908-1107ckrause@triadgate.com 01/23/2019
Special Funds Sec 25-A (05)W997005Robin Brown(315) 701-1600
ext.24
(315)218-0063rbrown@safetpa.com 09/17/2018
Special Funds Sec 25-A (06)W997006Bonnie Ryan(716) 631-5001
ext.
(716)631-0321authorizations@fcsadministrators.com 11/12/2021
Special Trades Contracting & Construction TrustW521504Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 03/29/2013
St Lawrence Cty Self-Ins PlW863005Mark Kanoza(800) 337-7419
ext.112
(877)434-3551MTG@triadgate.com 12/15/2021
St Lawrence Cty Self-Ins PlW863005Valerie Litow(800) 337-7419
ext.466
(877)434-3551MTG@triadgate.com 12/15/2021
St Mary's Hosp at AmsterdamW597561Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.com 01/26/2018
St Mary's Hospital of TroyW597751Amy Carver(866) 286-0281
ext.63409
(877)922-7236NYRequests@sedgwickcms.comFrom 7/1/81 thru 1/1/9501/26/2018
St. Barnabas Comm Enter, Inc,W596845Jonas Ampomah(646) 925-8457
ext.
(908)344-5518jonas.ampomah@gcgriskmanagement.comMedical Claims02/14/2018
St. Barnabas Comm Enter, Inc,W596845Martha Bermudez(212) 431-3000
ext.58444
(646)502-8148martha.bermudez@gcgriskmanagement.comExaminer for All Claims06/16/2020
St. Regis Falls C.S.D.W863633Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
St. Regis Falls C.S.D.W863633Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Stamford Central School DistrictW867196Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Standard Products CompanyW626758Robin Moleski(888) 777-4789
ext.
(877)905-4002ROBIN.MOLESKI@SEDGWICKCMS.COM 04/29/2011
Starbucks CorporationW627756Noreen Olson(206) 660-6136
ext.
(000)000-0000noolson@starbucks.com 01/19/2022
Starbucks CorporationW627756Gina LaMendola(585) 368-7733
ext.
(859)264-4065NYSBUXNotifications@sedgwick.com 01/20/2022
Starbucks CorporationW627756Julia Winter(206) 660-6396
ext.
(206)594-6990jbrash@starbucks.com 01/28/2022
Starr Indemnity and Liability CoW202683Wendy Hildreth(315) 453-6440
ext.
(866)727-5573gm-syny-claims@corvel.comCorvel claims only12/30/2020
Starr Indemnity and Liability CoW202683Jed Magid(315) 484-5832
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett Claims Only01/04/2021
Starr Indemnity and Liability CoW202683Adam Strong(845) 453-9046
ext.
(646)304-1787MTGRequests@starrcompanies.com 01/28/2021
State Farm Fire and Cas. Co.W203004Amanda Waters(315) 426-4998
ext.
(859)264-4065amanda.waters@sedgwick.com 03/03/2022
State Farm Fire and Cas. Co.W203004Mark Moleski(315) 426-4819
ext.
(859)264-4065StateFarmDocuments@sedgwick.com 03/24/2022
State Farm Fire and Cas. Co.W203004Luigi Parlato(315) 426-4882
ext.
(859)264-4065StateFarmDocuments@sedgwick.com 03/24/2022
State Farm Fire and Cas. Co.W203004Ashley Rodriguez(321) 235-5848
ext.
(859)264-4065StateFarmDocuments@sedgwick.com 03/24/2022
State Farm Fire and Cas. Co.W203004Jeff Shatto(610) 293-4815
ext.
(859)264-4065StateFarmDocuments@sedgwick.com 03/24/2022
Steuben County Self Insurance PlanW867006Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Steuben County Self Insurance PlanW867006Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Steuben County Self Insurance PlanW867006Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Steuben County Self Insurance PlanW867006Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Stewart's Marketing CorpW630750Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Stewart's Marketing CorpW630750Chelsey Matthews(610) 619-5791
ext.
(610)362-8107chelsey.matthews@usi.com 02/09/2022
Stewart's Processing CorpW630883Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Stewart's Processing CorpW630883Chelsey Matthews(610) 619-5791
ext.
(610)362-8107chelsey.matthews@usi.com 02/09/2022
Stewart's Shops CorpW630503Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Stewart's Shops CorpW630503Chelsey Matthews(610) 619-5791
ext.
(610)362-8107chelsey.matthews@usi.com 02/09/2022
Stillwater Central School DistrictW867048Andrew Stephens(315) 445-6334
ext.
(800)432-9762Andrew_stephens@pmagroup.com 11/01/2017
Stillwater Central School DistrictW867048Patti Barnello(315) 445-6379
ext.null
(800)432-9762Patti_Barnello@pmagroup.com 11/01/2017
Stillwater Central School DistrictW867048Magdalena Perski(315) 445-6323
ext.null
(800)432-9762Magdaglena_perski@pmagroup.com 11/01/2017
Suffern, Village ofW867378Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Suffern, Village ofW867378Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Suffern, Village ofW867378Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Suffern, Village ofW867378Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Syosset CSDW868509Jane Miles(800) 337-7419
ext.320
(866)336-0104jmiles@triadgate.com 10/28/2016
Syosset CSDW868509Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 02/19/2019
TNUS INSURANCE COMPANYW207328Tyesha Lowe(201) 521-6206
ext.
(201)604-6348tyesha.lowe@tmamerica.com 08/08/2018
TNUS INSURANCE COMPANYW207328Keiko Matsubara(201) 521-6309
ext.
(201)604-6348Keiko.Matsubara@tmamerica.com 12/22/2020
TOWN OF ELMAW817845Elizabeth Santaferra(315) 445-6454
ext.
(315)233-3021mg2@pmagroup.com 06/01/2021
TOWN OF ELMAW817845Courtney Tomeny(315) 445-6307
ext.
(315)233-3021mg2@pmagroup.com 06/01/2021
TRUCK INSURANCE EXCHANGEW214001Danielle Musgrove(512) 533-8388
ext.
(866)846-3114danielle.musgrove@farmersinsurance.com 05/02/2018
Tessy PlasticsW642757Erin Russell(800) 337-7419
ext.471
(877)434-3551MTG@TRIADGATE.COM 08/18/2021
Tessy PlasticsW642757Mark Kanoza(800) 337-7419
ext.309
(877)434-3551mtg@triadgate.com 03/17/2022
The Pie Insurance CompanyW030001Letitia Tigue(952) 486-5259
ext.
(888)340-6679letitia.tigue@agcs.allianz.com 09/03/2019
The Pie Insurance CompanyW030001Peggie Leidelmeijer(818) 972-3378
ext.
(818)688-0173peggie.leidelmeijer@agcs.allianz.com 09/04/2019
The Pie Insurance CompanyW030001Adriana Alvarez(312) 629-4874
ext.
(888)296-2348adriana.alvarez@agcs.allianz.com 09/04/2019
The Pie Insurance CompanyW030001Vicki Sweatland(678) 323-3505
ext.
(415)899-2533vicki.sweatland@allianzrm-us.com 03/19/2020
The Raymond CorporationW576755Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 06/30/2020
The Stop & Shop CompaniesW629505Jeffrey Lewis(800) 288-8415
ext. 4903
(717)960-8332ausa.mgh.group@aholdusa.com 06/17/2013
The Stop & Shop CompaniesW629505Jennifer Seyfang(716) 285-5710
ext.
(716)285-2618MTG-C1@managedcarenetwork.com 04/30/2021
Thousand Islands C.S.D.W870257Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Thousand Islands C.S.D.W870257Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Tokio Marine & Fire Ins. Co.W207500Tyesha Lowe(201) 521-6206
ext.
(201)604-6348tyesha.lowe@tmamerica.com 08/08/2018
Tokio Marine America Insurance CompanyW206254Tyesha Lowe(201) 521-6206
ext.
(201)604-6348Tyesha.Lowe@tmamerica.com 08/08/2018
Tokio Marine America Insurance CompanyW206254Keiko Matsubara(201) 521-6309
ext.
(201)604-6348Keiko.Matsubara@tmamerica.com 12/22/2020
Tonawanda, Town ofW871750Michelle Short(315) 445-6441
ext.
(315)233-3021MG2@pmagroup.com 07/14/2021
Tops Markets, Inc.W555502Traci Graham(617) 689-4987
ext.
(717)960-8330rbs-operations.group@retailbusinessservices.com 04/09/2020
Tops Markets, Inc.W555502Jennifer Seyfang(716) 285-5710
ext.
(716)285-2618MTG-C1@managedcarenetwork.com 04/30/2021
Town of Blooming GroveW805074Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Town of Blooming GroveW805074Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Town of Blooming GroveW805074Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Town of Blooming GroveW805074Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Town of CheektowagaW811509Melissa DeCrescenzo(518) 514-3628
ext.
(610)362-8107melissa.decrescenzo@usi.com 02/09/2022
Town of CortlandtW816078Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 02/19/2019
Town of GreeceW823199Tracey Easterly(585) 723-2330
ext.
(585)723-2466teasterly@greeceny.gov 05/10/2011
Town of GreeceW823199Michelle Short(888) 476-2669
ext.
(315)233-3021Michelle_Short@pmagroup.com 07/14/2021
Town of HamburgW823769Erin O'Connor(716) 314-2002
ext.
(610)362-8107erin.oconnor@usi.com 02/10/2022
Town of HomerW826236Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Town of HomerW826236Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Town of HomerW826236Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Town of HomerW826236Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Town of QueensburyW861450Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 05/27/2020
Town of QueensburyW861450Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims05/27/2020
Town of QueensburyW861450Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.com 03/08/2022
Town of QueensburyW861450Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Town of WoodburyW879029Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Town of WoodburyW879029Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Town of WoodburyW879029Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Town of WoodburyW879029Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Trans Pacific Insurance CoW209753Tyesha Lowe(201) 521-6206
ext.
(201)604-6348tyesha.lowe@tmamerica.com 08/08/2018
Trans Pacific Insurance CoW209753Keiko Matsubara(201) 521-6309
ext.
(201)604-6348Keiko.Matsubara@tmamerica.com 12/22/2020
TransGuard Ins. Co. of AmericaW209886Daniel Bell(800) 474-2526
ext.3461
(630)864-3583dan.bell@transguard.com 11/04/2010
TransGuard Ins. Co. of AmericaW209886Trish Sobus(800) 474-2526
ext.3468
(630)864-3583trish.sobus@transguard.com 11/04/2010
Transportation Industry Workers Comp TrustW648885Gina Emerson(315) 701-1600
ext.16
(315)218-0063gemerson@safetpa.com 11/19/2010
Transtate Ins CoW211502Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Trumbull Insurance CompanyW214506Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
Tully Central School DistrictW873442Karen Cooley(315) 453-6451
ext.
(866)727-5573karen_cooley@corvel.com 11/05/2010
Tully Central School DistrictW873442Deanna O'Kipney(315) 453-6451
ext.
(866)727-5573deanna_okipney@corvel.com 11/05/2010
Tully Central School DistrictW873442Misty Fraser(716) 842-0045
ext.
(716)842-0018mfraser@ncacomp.com 04/01/2013
Tupper Lake CSDW873475Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Twin City Fire Ins Co.W215008Lisa Gosselin(800) 662-5814
ext.
(877)646-1573MailStat.HIG.NY@reviewstat.comHartford handled WC claims.10/25/2021
U.S. Specialty Insurance CompanyW220503Cynthia Torlucci(713) 744-3700
ext.217
(713)996-1224ctorlucci@ussic.com 11/03/2010
UNITED COMMUNITYW218507Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Unifrax 1 LLCW651160Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Uninsured Employers FundW000004Eileen Holoduek(800) 877-4461
ext.
(518)402-7382eileen.holoduek@wcb.ny.govAlbany; Hempstead; Hauppauge; Syracuse06/15/2015
Uninsured Employers FundW000004David Smith(518) 402-6041
ext.
(518)402-7382david.smith@wcb.ny.govWhite Plains; Brooklyn; Binghamton03/02/2017
Uninsured Employers FundW000004Brett Romano(518) 402-1401
ext.
(518)402-7382brett.romano@wcb.ny.govManhattan09/12/2017
Union Indemnity Ins Co of NYW218259Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
Union Springs CSDW874101Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Uniondale Free School DistrictW874077Sani Booker(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 05/01/2020
Uniondale Free School DistrictW874077Sani Booker(888) 476-2669
ext.
(800)432-9762MG2@pmagroup.com 06/09/2021
United Airlines, Inc.W653000Colleen Roux(315) 426-4911
ext.
(859)264-4065colleen.roux@sedgwick.com 10/15/2020
United Airlines, Inc.W653506Colleen Roux(315) 426-4911
ext.
(859)264-4065colleen.roux@sedgwick.com 10/15/2020
United States Liability Insurance CoW221253Adi Shapiro(212) 815-8900
ext.303
(212)732-5509Adi_Shapiro@gbtpa.com 04/21/2011
United Wisconsin Insurance CompanyW221600Joe Wrozek(517) 708-5277
ext.
&ncccompliance@afhi.comUnited Wisconsin02/02/2021
Upstate Niagara Cooperative, Inc.W662068Erin O'Connor(716) 314-2002
ext.
(610)362-8107erin.oconnor@usi.com 02/10/2022
Upstate Niagara Cooperative, Inc.W662068Erin O'Connor(716) 314-2002
ext.
(610)362-8107erin.oconnor@usi.com 02/10/2022
Utica City School DistrictW874135Deanna O'Kipney(315) 453-6451
ext.
(866)727-5573deanna_okipney@corvel.com 11/05/2010
Utica City School DistrictW874135Karen Cooley(315) 453-6447
ext.
(866)727-5573karen_cooley@corvel.com 11/05/2010
Utica Specialty Risk Ins CoW222757Martha Gonzalez(800) 647-1427
ext.
(877)210-3753urreferrals@genexservices.com 10/29/2020
VILLAGE OF SPENCERPORTW867173Elizabeth Santaferra(315) 445-6454
ext.
(315)233-3021mg2@pmagroup.com 06/01/2021
VILLAGE OF SPENCERPORTW867173Courtney Tomeny(315) 445-6307
ext.
(315)233-3021mg2@pmagroup.com 06/01/2021
Vanliner Insurance CompanyW224505Lori Wilson(315) 701-1600
ext.30
(315)218-0063lwilson@safetpa.com 02/27/2018
Vanliner Insurance CompanyW224505Pamela Murphy(631) 357-8180
ext.
(866)645-4048wcb_requests@corvel.com 01/12/2022
Viacom Inc.W549919Joanne Kenney(860) 447-0048
ext.252
(860)442-1956jkenney@murphybeane.com 12/14/2010
Vigilant Insurance CompanyW225007Deedra Pearson-Toro(516) 365-0229
ext.4
(516)405-3791mtg@viscardicorp.comDirect Handled Claims Only-Not for TPA Claims06/18/2021
Village of Greenwood LakeW823563Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Village of Greenwood LakeW823563Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of Greenwood LakeW823563Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of Greenwood LakeW823563Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Village of MamaroneckW834691Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Village of MamaroneckW834691Toni-Marie Powers(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of MamaroneckW834691Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of MamaroneckW834691Victoria Fitzgerald(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims04/19/2022
Village of OssiningW858757Megan Binkowski(800) 337-7419
ext.470
(866)278-7016mbinkowski@triadgate.com 04/13/2016
Village of OssiningW858757Robin Coleman(800) 337-7419
ext.105
(866)593-9245rcoleman@triadgate.com 04/03/2019
Village of Tuxedo ParkW873485Audrey Audino(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/22/2022
Village of Tuxedo ParkW873485Toni-Marie Powers(518) 577-8110
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of Tuxedo ParkW873485Christina Royster(518) 220-1111
ext.
(877)737-6232cadmin@neami.comClaims02/25/2022
Village of Tuxedo ParkW873485Victoria Fitzgerald(518) 220-1111
ext.
(87 )737-6269cadmin@neami.comClaims04/19/2022
Villanova InsuranceW036008Todd Gancarz(888) 476-2669
ext.
(315)233-3021claimsmail@pmagroup.com 08/02/2018
WCB Test GroupW0000001Bill Hathway(518) 402-6022
ext. 1112
(333)654-6546bill.hathway@wcb.state.ny.ustest12/04/2014
WCB Test GroupW0000001Bill Hathway(518) 402-6022
ext. 1112
(333)654-6546bill.hathway@wcb.state.ny.us 12/04/2014
WCF National Ins CoW012132Victor Frech(385) 743-3019
ext.
(866)346-3289vfrech@advantagewc.com 05/11/2011
WCF Select InsuranceW038004Tarria Harris(678) 393-4054
ext.
(888)204-4229tarria.harris@ffic.com 11/03/2016
WCF Select InsuranceW038004Margaret Hellebusch(314) 513-1141
ext.
(888)837-6808margaret.hellebusch@ffic.com 11/03/2016
WCF Select InsuranceW038004Marilyn Johnson(678) 393-4559
ext.
(888)261-3199marilyn.johnson@ffic.com 11/03/2016
WCF Select InsuranceW038004Jeannine Klein(678) 393-4342
ext.
(888)270-1511jeannine.klein@ffic.com 11/03/2016
WCF Select InsuranceW038004Sara Marek(314) 513-1014
ext.
(888)260-3084sara.marek@ffic.com 11/03/2016
WCF Select InsuranceW038004Beverly Reed(314) 817-2857
ext.
(888)556-2620beverly.reed@ffic.com 11/03/2016
WCF Select InsuranceW038004Toni Roquemore-James(678) 393-4034
ext.
(888)310-6541toni.roquemore-james@ffic.com 11/03/2016
WCF Select InsuranceW038004Irma Salmond(678) 393-4592
ext.
(888)257-5618irma.salmond@ffic.com 11/03/2016
WCF Select InsuranceW038004Tarria Harris(678) 393-4054
ext.
(888)204-4229tarria.harris@ffic.com 11/04/2016
WCF Select InsuranceW038004Margaret Hellebusch(314) 513-1141
ext.
(888)837-6808margaret.hellebusch@ffic.com 11/04/2016
WCF Select InsuranceW038004Marilyn Johnson(678) 393-4559
ext.
(888)261-3199marilyn.johnson@ffic.com 11/04/2016
WCF Select InsuranceW038004Jeannine Klein(678) 393-4342
ext.
(888)270-1511jeannine.klein@ffic.com 11/04/2016
WCF Select InsuranceW038004Sara Marek(314) 513-1014
ext.
(888)260-3084sara.marek@ffic.com 11/04/2016
WCF Select InsuranceW038004Beverly Reed(314) 817-2857
ext.
(888)556-2620beverly.reed@ffic.com 11/04/2016
WCF Select InsuranceW038004Toni Roquemore-James(678) 393-4034
ext.
(888)310-6541toni.roquemore-james@ffic.com 11/04/2016
WCF Select InsuranceW038004Irma Salmond(678) 393-4592
ext.
(888)287-5618irma.salmond@ffic.com 11/04/2016
WCF Select InsuranceW038004Letitia Tigue(952) 486-5259
ext.
(888)340-6679letitia.tigue@agcs.allianz.comAllianz Global Corporate & Specialty (AGCS)09/03/2019
WESTCHESTER FIRE INS COW227003Gus Gonnella(302) 476-7822
ext.
(302)476-7858NYWCMGAdmin@acegroup.com 01/03/2011
WESTCHESTER FIRE INS COW227003Gus Gonnella(302) 476-7822
ext.
(302)476-7858gus.gonnella@acegroup.com 03/24/2011
WILLIAMSBURG NATIONAL INS COW227169Temeka Hicks(248) 204-8082
ext.
(248)648-7571temeka.hicks@ameritrustgroup.com 05/14/2019
WORK FIRST CASUALTY COMPANYW227326John Lastella(800) 800-7660
ext.
(770)723-8647INTAKEBSI@choosebroadspire.com 07/31/2018
Warsaw Central School DistrictW874903Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Watertown C.S.D.W876502Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.comNCAComp, Inc.04/09/2020
Watervliet, City ofW877005Gretchen Finch(800) 337-7419
ext.112
(866)617-7585gfinch@triadgate.com 01/10/2020
Watervliet, City ofW877005Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 01/10/2020
Watkins Glen CSDW877351Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Wausau Business Insurance CoW225445Melissa Jewell(800) 664-2273
ext.
(603)422-7989nystateguidelines2@LibertyMutual.com 10/05/2015
Wausau Business Insurance CoW225445Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
Wausau General Insurance CoW225486Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
Wausau Underwriters Ins CoW225502Candace Klueckman(800) 664-2273
ext.
(603)422-7989NYStateGuidelines2@LibertyMutual.com 11/23/2015
Wayland-Cohocton CentralW877443Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Wayne County Self INS PlanW878003Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Wellsville CSDW878102Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
West Genesee Central School DistrictW878185Devon Fik(716) 842-0045
ext.
(716)842-0018variancerequest@ncacomp.com 03/24/2021
West Valley CSDW878573Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Westbury Union Free School DistrictW878631Jane Miles(800) 337-7419
ext.320
(866)336-0104jmiles@triadgate.com 10/28/2016
Westbury Union Free School DistrictW878631Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429rrowe@triadgate.com 02/19/2019
Westchester Fire Ins. Co.W054696Danielle Ambrose(732) 643-3420
ext.
(217)477-6666dhubbard@ccmsi.comCCMSI handled claims10/04/2021
Westchester Fire Ins. Co.W054696Michelle Jacobs(631) 577-7691
ext.
(866)889-8376melvaria@travelers.comCSSC handled claims10/04/2021
Westchester Fire Ins. Co.W054696Jed Magid(315) 457-6004
ext.
(315)453-5597gb-nymedical-mail@gbtpa.comGallagher Bassett handled claims10/04/2021
Westchester Fire Ins. Co.W054696Steve Marsh(716) 639-2709
ext.
(716)636-7164steve.marsh@esis.comESIS handled claims10/04/2021
Westchester Fire Ins. Co.W054696Pamela Murphy(631) 357-8198
ext.
(866)645-4048wcb_requests@corvel.comCorvel handled claims10/07/2021
Westchester Fire Ins. Co.W054696Susan Sloan(714) 565-7640
ext.
(562)506-0355tmc.casemgmt@tristargroup.netTristar handled claims10/07/2021
Westchester Fire Ins. Co.W054696Greg Sisson(800) 928-1342
ext.
(502)489-6430carriercontact@uscky.comUnderwriters Safety and Claims handled claims10/07/2021
Westchester Fire Ins. Co.W054696Vicki Deen(585) 402-0092
ext.
(770)723-8647intakebsi@choosebroadspire.comBroadspire handled claims10/13/2021
Westchester Fire Ins. Co.W054696Robyn Zerger(716) 332-3019
ext.
(716)842-0018VarianceRequest@ncacomp.comNCA Comp Handled Claims01/27/2022
Western Regional OTBW671508Devon Fik(716) 842-0045
ext.129
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Western Suffolk BOCESW805253Erin Russell(800) 337-7419
ext.471
(866)324-4408mtg@triadgate.com 04/19/2022
Western Suffolk BOCESW805253Jean Puma(800) 337-7419
ext.
(866)851-2450jpuma@triadgate.com 04/19/2022
Westhill CSDW878854Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Westport Insurance CompanyW227060Earl Cartwright, Jr.(913) 676-5305
ext.
(913)676-5221Earl_Cartwright@swissre.com 04/22/2011
Weyerhaeuser CompanyW677504Betsie Doust(253) 924-7591
ext.
(253)924-5300Betsie.doust@weyerhaeuser.com 05/04/2011
White Castle System, Inc.W678254Anthony Piscola(631) 232-6700
ext.
(770)777-6404apiscola@choosebroadspire.comHauppauge Service Center10/30/2012
White Castle System, Inc.W678254Melissa Harrison(614) 559-2693
ext.
(614)559-2757harrisom@whitecastle.com 11/17/2016
White Castle System, Inc.W678254Melissa Harrison(614) 559-2693
ext.
(614)559-2757harrisom@whitecastle.com 12/22/2016
White Rose Food CorpW521009John Kocot(732) 541-3654
ext.
(732)541-3723jkoco@whiterose.com 05/10/2011
Whitesville CSDW878987Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Wholesale& Retail WC TrustW445506Gina Emerson(315) 701-1600
ext.16
(315)218-0063gemerson@safetpa.com 11/19/2010
Windham Ashland Jewett Central School DistrictW878953Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Worcester Central SchoolW878995Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Wyandanch UFSDW879258Robbyn Rowe(800) 337-7419
ext.464
(866)525-9429mtg@triadgate.com 04/19/2022
Wyandanch UFSDW879258Jean Puma(800) 337-7419
ext.
(866)851-2450jpuma@triadgate.com 04/19/2022
Wyoming County WCW879001Valerie Litow(800) 337-7419
ext. 466
(866)519-0594vlitow@triadgate.com 04/08/2016
Wyoming County WCW879001Stanne Nourse(800) 337-7419
ext.304
(866)411-0093snourse@triadgate.com 04/07/2017
Xerox CorporationW687503Colleen Gallo(847) 517-3415
ext.
(866)212-1452Colleen.Gallo@choosebroadspire.com 02/15/2018
Yates County Mutual Self InsuranceW880009Kerry Brennan(315) 536-5554
ext.5554
(315)536-5118kbrennan@yatescounty.orgN/A12/05/2016
Yates County Mutual Self InsuranceW880009Tina Panichi(518) 283-8500
ext.302
(518)880-4015tinaP@benetechadvantage.com 12/05/2016
Yates County Mutual Self InsuranceW880009Jennifer Sheeran(518) 283-8500
ext.352
(518)880-4015jennifers@benetechadvantage.com 12/05/2016
York Central School DistrictW887756Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Yorkshire-Pioneer Central School DistrictW882128Devon Fik(716) 842-0045
ext.
(716)842-0018VarianceRequest@NCAComp.com 04/09/2020
Zenith Insurance CompanyW227888Vivian Leffler(800) 440-5020
ext.
(800)364-0443NewYorkAuthReq@thezenith.comMedical Management10/10/2018

Please contact the Medical Director's Office at 1-800-781-2362 or WCBMedicalDirectorsOffice@wcb.ny.gov with any questions regarding this program. Contact WCB Customer Support if you have technical questions about this page.