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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. | W019004 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | NYWCMGAdmin@chubb.com | 09/24/2021 | |
| ACE American Insurance Co. | W019004 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | pamela_murphy@corvel.com | Corvel handled claims | 10/07/2021 |
| ACE American Insurance Co. | W019004 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| ACE American Insurance Co. | W019004 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| ACE American Insurance Co. | W019004 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| ACE American Insurance Co. | W019004 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| ACE American Insurance Co. | W019004 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| ACE American Insurance Co. | W019004 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| ACE American Insurance Co. | W019004 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/05/2021 |
| ACE American Insurance Co. | W019004 | Susan Sloan | (714) 565-7640 ext.3419 | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/07/2021 |
| ACE American Insurance Co. | W019004 | Greg Sisson | (800) 928-1342 ext.6289 | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/07/2021 |
| ACE American Insurance Co. | W019004 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/12/2021 |
| ACE American Insurance Co. | W019004 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| ACE Fire Underwriters Insurance Company | W011001 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Greg Sisson | (800) 928-1342 ext.6289 | (502)489-6430 | carriercontact@uscky.com | Underwriters and Safety handled claims | 10/05/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/07/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| ACE Fire Underwriters Insurance Company | W011001 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| ACE Property and Casualty Insurance Company | W012009 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/05/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/05/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Tristar handled claims | 10/05/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| ACE Property and Casualty Insurance Company | W012009 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| ACIG Insurance Company | W036545 | Rene Pinson | (972) 702-9004 ext. | (972)687-0602 | rene.pinson@acig.com | 03/30/2020 | |
| ALLEGANY-LIMESTONE CENTRAL SCHOOL DISTRICT | W801880 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| ALLSTATE INSURANCE COMPANY | W020002 | Mischelle McCarthy | (315) 385-6258 ext. | (866)826-4338 | mischelle.mccarthy@srsconnect.com | 12/10/2010 | |
| AMERICAN MUTUAL INSURANCE CO OF BOSTON | W033005 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| AMERISURE MUTUAL INSURANCE CO | W137004 | Rachel Frassetto | (248) 442-6644 ext. | &n | RFrassetto@amerisure.com | OPA | 09/21/2020 |
| AMERISURE MUTUAL INSURANCE CO | W137004 | Kelli Lucas | (630) 281-4014 ext. | &n | KLucas@amerisure.com | OPA | 09/21/2020 |
| ANDOVER CENTRAL SCHOOL DISTRICT | W802102 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| AT & T Corp. | W325005 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Accident Fund General Insurance Company | W012108 | Joe Wrozek | (517) 708-5277 ext. | (517)316-2706 | cccompliance@afhi.com | 01/13/2021 | |
| Accident Fund Insurance Company of America | W012124 | Joe Wrozek | (517) 708-5277 ext. | (517)316-2706 | cccompliance@afhi.com | 02/02/2021 | |
| Accident Fund National Insurance Company | W012074 | Joe Wrozek | (517) 708-5277 ext. | (517)316-2706 | cccompliance@afhi.com | 01/13/2021 | |
| Accredited Surety And Casualty | W010441 | Chris Bartholet | (407) 629-2131 ext. | (407)629-4553 | claims.department@accredited-inc.com | Unit | 08/03/2020 |
| Addison Central School District | W800440 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Admiral Indemnity Company | W082507 | Mercedes Perez | (201) 518-2512 ext. | (201)518-1250 | mperez@clermonthid.com | 05/10/2011 | |
| Admiral Indemnity Company | W082507 | Tracey Stokes | (802) 860-3233 ext. | (866)874-5104 | Tracey.Stokes@acadia-ins.com | 11/01/2021 | |
| Airborne Express, Inc. | W304133 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Albany City School District | W800759 | KAREN COOLEY | (315) 453-6447 ext. | (866)727-5573 | karen_cooley@corvel.com | 04/06/2011 | |
| Albion Central School District | W801633 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 12/10/2020 | |
| Alexandria CSD | W801757 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Alfred-Almond Central School | W801823 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| All America Insurance Company | W016505 | Jamie Wiechart | (800) 786-9169 ext. | (800)736-7026 | jwiechart@central-insurance.com | 02/08/2022 | |
| All America Insurance Company | W016505 | Jamie Wiechart | (800) 786-9169 ext. | (800)736-7026 | jwiechart@central-insurance.com | 02/08/2022 | |
| Allegany County Mutual Self-Insurance Plan | W802003 | Erin Russell | (800) 337-7419 ext.471 | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD NURSE | 08/18/2021 |
| Allegany County Mutual Self-Insurance Plan | W802003 | Shanen Sullivan | (800) 337-7419 ext.349 | (877)434-3551 | mtg@triadgate.com | Adjuster | 03/17/2022 |
| Allens, Inc. | W304380 | Jody Yoakum | (800) 234-2553 ext.486 | (479)524-2990 | jyoakum@allens.com | 02/15/2011 | |
| Alliance National Insurance Company | W223002 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 08/25/2020 | |
| Allstate Northbrook Indemnity Company | W160717 | Mischelle McCarthy | (315) 385-6258 ext. | (866)826-4338 | mischelle.mccarthy@srsconnect.com | 04/22/2011 | |
| Altmar-Parish-Williamstown CSD | W802029 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| American Automobile Ins. Co. | W021000 | Jennifer Felch | (678) 393-4057 ext. | (888)864-1453 | jennifer.felch@ffic.com | 11/12/2010 | |
| American Automobile Ins. Co. | W021000 | Jennifer Felch | (678) 393-4057 ext. | (888)864-1453 | jennifer.felch@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Tarria Harris | (678) 393-4054 ext. | (888)204-4229 | tarria.harris@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Margaret Hellebusch | (314) 513-1141 ext. | (888)837-6808 | margaret.hellebusch@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Marilyn Johnson | (678) 393-4559 ext. | (888)261-3199 | marilyn.johnson@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Sara Marek | (314) 513-1014 ext. | (888)260-3084 | sara.marek@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Beverly Reed | (314) 817-2857 ext. | (888)536-2620 | beverly.reed@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Irma Salmond | (678) 393-4592 ext. | (888)287-5618 | irma.salmond@ffic.com | 11/02/2016 | |
| American Automobile Ins. Co. | W021000 | Letitia Tigue | (952) 486-5259 ext. | (888)340-6679 | letitia.tigue@agcs.allianz.com | 09/03/2019 | |
| American Automobile Ins. Co. | W021000 | Adriana Alvarez | (312) 629-2017 ext. | (888)296-2348 | adraina.alvarez@agcs.allianz.com | 09/04/2019 | |
| American Automobile Ins. Co. | W021000 | Peggie Leidelmeijer | (818) 972-3378 ext. | (818)688-0173 | peggie.leidelmeijer@agcs.allianz.com | AGCS | 09/04/2019 |
| American Automobile Ins. Co. | W021000 | Loren McGarvin | (314) 684-4874 ext. | (314)552-7394 | loren.mcgarvin@agcs.allianz.com | AGCS | 09/04/2019 |
| American Automobile Ins. Co. | W021000 | Loren McGarvin | (314) 684-4874 ext. | (314)552-7394 | loren.mcgarvin@agcs.allianz.com | AGCS | 09/04/2019 |
| American Automobile Ins. Co. | W021000 | Jodie Bryson | (646) 949-2018 ext. | (212)937-2368 | jodie.bryson@agcs.allianz.com | AGCS | 10/16/2020 |
| American Economy Ins. Co. | W022503 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| American Employers Insurance | W024004 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| American Express Bank Ltd. | W319008 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| American Express Company | W318000 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | For claims handled by Sedgwick CMs | 01/26/2018 |
| American Express Company | W31800001 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | For claims handled by Sedgwick CMs | 01/26/2018 |
| American Manufacturers Mutual Insurance Company | W031009 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | tcmumintake@choosebroadspire.com | Broadspire | 12/17/2010 |
| American Manufacturers Mutual Insurance Company | W031009 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | Roxanne.Brown@sedgwickcms.com | Sedgwick CMS | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Steve Marsh | (716) 639-2709 ext. | (800)914-0956 | Steve.marsh@esis.com | ESIS | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | Robin.Moleski@srsconnect.com | SRS - Specialty Risk Services | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Diane Muraven | (518) 862-7942 ext.866 | (866)422-8263 | Albvaria@travelers.com | Travelers - Albany | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Lynn Pelisek | (515) 223-6946 ext.515 | (515)221-7181 | lpelisek@creativerisksolutions.com | Holmes Murphy - Creative Risk Solutions | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Travelers - Buffalo | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Susanne Wuerthner | (315) 457-6004 ext. | (315)453-5597 | GB-CM-NYMEDICAL-MAIL@gbtpa.com | Gallagher Bassett | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Jody Cannon | (516) 535-4985 ext. | (516)535-4982 | MTG@RMPG.com | RMPG - Risk Management Planning GrouP | 01/18/2011 |
| American Manufacturers Mutual Insurance Company | W031009 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| American Motorists Insurance Company | W032007 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | tcmumintake@choosebroadspire.com | Broadspire | 12/17/2010 |
| American Motorists Insurance Company | W032007 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | Rosanne.Brown@sedgwickcms.com | Sedgwick CMS | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Steve Marsh | (716) 639-2709 ext. | (800)914-0956 | Steve.marsh@esis.com | ESIS | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | Robin.Moleski@srsconnect.com | SRS - Specialty Risk Services | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Diane Muraven | (518) 862-7941 ext. | (866)422-8263 | Albvaria@travelers.com | Travelers - Albany | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Lynn Pelisek | (515) 223-6946 ext. | (515)221-7181 | lpelisek@creativerisksolutions.com | Holmes Murphy | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Travelers - Buffalo | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Susanne Wuerthner | (315) 457-6004 ext. | (315)453-5597 | GB-CM-NYMEDICAL-MAIL@gbtpa.com | Gallagher Bassett | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Jody Cannon | (516) 535-4985 ext. | (516)535-4982 | MTG@RMPG.com | RMPG - Risk Management Planning Group | 01/18/2011 |
| American Motorists Insurance Company | W032007 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| American Mutual Liability Insurance | W034003 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| American Protection Insurance Company | W036503 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | tcmunintake@choosebroadspire.com | Broadspire Claims | 12/17/2010 |
| American Protection Insurance Company | W036503 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | Roxanne.Brown@sedgwickcms.com | Sedgwick CMS | 01/18/2011 |
| American Protection Insurance Company | W036503 | Jody Cannon | (516) 535-4985 ext. | (516)535-4982 | MTG@RMPG.com | RMPG - Risk Management Planning Grou[ | 01/18/2011 |
| American Protection Insurance Company | W036503 | Margie Gingras | (631) 577-7862 ext. | (866)889-8376 | melvaria@travelers.com | Travelers - Melville | 01/18/2011 |
| American Protection Insurance Company | W036503 | Sue Hickey | (585) 321-8351 ext. | (266)228-7729 | convaria@travelers.com | Travelers - Construction | 01/18/2011 |
| American Protection Insurance Company | W036503 | Steve Marsh | (716) 639-2709 ext. | (800)914-0956 | Steve.marsh@esis.com | ESIS | 01/18/2011 |
| American Protection Insurance Company | W036503 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | Robin.Moleski@srsconnect.com | SRS - Specialty Risk Services | 01/18/2011 |
| American Protection Insurance Company | W036503 | Diane Muraven | (518) 862-7942 ext. | (866)422-8263 | Albvaria@travelers.com | Travelers - Albany | 01/18/2011 |
| American Protection Insurance Company | W036503 | Lynn Pelisek | (515) 223-6946 ext. | (515)221-7181 | lpelisek@creativerisksolutions.com | Holmes Murphy - Creative Risk Solutions | 01/18/2011 |
| American Protection Insurance Company | W036503 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Travelers - Buffalo | 01/18/2011 |
| American Protection Insurance Company | W036503 | Susanne Wuerthner | (315) 457-6004 ext. | (315)453-5597 | GB-CM-NYMEDICAL-MAIL@gbtpa.com | Gallagher Bassett | 01/18/2011 |
| American Protection Insurance Company | W036503 | Todd Gancarz | (315) 445-6443 ext. | (800)432-9762 | Todd_Gancarz@pmagroup.com | 11/04/2016 | |
| American Sales Company, Inc. | W322507 | Jeffrey Lewis | (800) 288-8415 ext. 4903 | (717)960-8332 | ausa.mgh.group@aholdusa.com | 06/17/2013 | |
| American Sales Company, Inc. | W322507 | Karen Brainard | (617) 689-4982 ext.null | (717)960-8318 | kbrainard@aholdusa.com | 02/05/2015 | |
| American Sales Company, Inc. | W322507 | Ashley Marotta | (617) 689-4933 ext.null | (717)960-4855 | ashley.marotta@ahold.com | 02/05/2015 | |
| American Sales Company, Inc. | W322507 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | MTG-C1@managedcarenetwork.com | 04/30/2021 | |
| American States Insurance Co | W036578 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| Amerisure Insurance Company | W037501 | Rachel Frassetto | (248) 442-6644 ext. | &n | RFrassetto@amerisure.com | OPA | 09/22/2020 |
| Amerisure Insurance Company | W037501 | Kelli Lucas | (630) 281-4014 ext. | &n | KLucas@amerisure.com | OPA | 09/22/2020 |
| Andes Central School | W802227 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Argonaut Insurance Company | W037006 | Jason McMichael | (309) 690-3915 ext. | (303)773-7249 | jmcmichael@argogroupus.com | 12/15/2021 | |
| Argonaut Insurance Company | W037006 | Susan Mallinger | (800) 382-9163 ext. | (855)287-4028 | Brian.yamamoto@genexservices.com | 01/05/2022 | |
| Argonaut-Midwest Ins, Co | W037253 | Jason McMichael | (309) 690-3915 ext. | (303)773-7249 | jmcmichael@argogroupus.com | 12/15/2021 | |
| Argonaut-Midwest Ins, Co | W037253 | Susan Mallinger | (800) 382-9163 ext. | (855)287-4028 | Brian.yamamoto@genexservices.com | 01/05/2022 | |
| Arkport Central School | W802326 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Ascension Health | W333132 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Aspire of Western NY Inc. | W333199 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 01/06/2021 | |
| At-A-Glance, Inc. | W368385 | Anne Allen | (315) 426-4832 ext. | (501)251-2689 | anne.allen@sedgwick.com | 08/07/2019 | |
| Atlantic Mutual Insurance | W040000 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Atlantic Specialty Insurance Company | W040257 | Christine Baer | (781) 332-8708 ext.8708 | (888)246-1852 | cbaer@onebeacon.com | 05/16/2018 | |
| Auburn Enlarged City Sch Dist | W802375 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Aurubis Buffalo Inc | W315501 | Rosemary Mastantuoni | (800) 422-0820 ext.25182 | (603)334-8111 | rosemary.mastantuoni@libertymutual.com | 02/17/2011 | |
| AutoOne Insurance Company | W091508 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| AutoOne Select Insurance Co. | W166508 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| Avoca Central School Dist. | W802441 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Avon Central School District | W802474 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| BELFAST CENTRAL SCHOOL DISTRICT | W803324 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Andrew Makar | (410) 337-9260 ext.215 | (866)915-7879 | andrew.makarjr@finsecure.net | FinSecure, LLC | 11/08/2010 |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Donna Sofinowski | (410) 337-9260 ext.205 | (866)915-7879 | donna.sofinowski@finsecure.net | FinSecure LLC | 11/08/2010 |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Steve Hintze | (832) 308-6938 ext. | (866)334-5621 | shintze@berkleyoil-gas.com | Berkley Oil & Gas Specialty Services, LLC | 11/08/2010 |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Brittany Tafolla | (832) 308-6936 ext. | (888)201-8105 | bgtafolla@berkleyoil-gas.com | Berkley Oil & gas Specialty Services, LLC | 11/08/2010 |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Maegan O'Brien | (985) 624-6732 ext. | (985)624-8684 | Maegan.Obrien@fara.com | FARA (Berkley Life Sciences LLC TPA) | 11/09/2010 |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Suzanne Klein | (504) 324-7180 ext. | (888)201-8151 | sklein@berkleyoil-gas.com | 03/11/2016 | |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Megan Manogue | (410) 372-6333 ext. | (866)915-7879 | mmanogue@berkleyfinsecure.com | 03/11/2016 | |
| BERKLEY NATIONAL INSURANCE CO | W043822 | Shirley Mouchon | (504) 407-0705 ext. | (866)233-8544 | smouchon@berkleyoil-gas.com | 03/11/2016 | |
| BITCO General Insurance Corporation | W046007 | Wil Klipfel | (412) 937-9000 ext. | (412)937-1143 | wklipfel@bituminousinsurance.com | 03/29/2011 | |
| BITUMINOUS FIRE AND MARINE | W047005 | Wil Klipfel | (412) 937-9000 ext. | (412)937-1143 | wklipfel@bituminousinsurance.com | 03/29/2011 | |
| BJ's Wholesale Club, Inc. | W335756 | Sherry Dyer-Cox | (774) 512-5472 ext. | &n | sdyer-cox@bjs.com | 12/18/2013 | |
| BJ's Wholesale Club, Inc. | W335756 | Michelle Kopf | (304) 348-5538 ext. | (877)922-7236 | Michelle.Kopf@sedgwickcms.com | 11/13/2013 | |
| BOCES Livingston-Steuben-Wyoming | W832257 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| BOCES Oswego County | W858880 | Devon Fik | (716) 842-0045 ext. | (716)842-0015 | variancerequest@ncacomp.com | 03/24/2021 | |
| BOCES Schuyler-Chemung-Tioga | W865919 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| BOCES Steuben-Allegany | W867329 | Devon Fik | (716) 842-0045 ext.0 | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| BOLIVAR-RICHBURG CENTRAL SCHOOL DISTRICT | W805295 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Balboa Insurance Company | W042329 | Tresa Miller | (480) 224-5163 ext. | (480)755-5910 | tresa.miller@balboainsurance.com | 01/03/2011 | |
| Baldwinsville School District | W802631 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Bankers Standard Ins. Co. | W043251 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| Bankers Standard Ins. Co. | W043251 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| Bankers Standard Ins. Co. | W043251 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| Bankers Standard Ins. Co. | W043251 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/07/2021 |
| Bankers Standard Ins. Co. | W043251 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/07/2021 |
| Bankers Standard Ins. Co. | W043251 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| Bankers Standard Ins. Co. | W043251 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| Barker CSD | W802789 | Deanna Jones | (716) 842-0045 ext.109 | (716)842-0018 | DJONES@NCACOMP.COM | 11/03/2010 | |
| Barker CSD | W802789 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 12/10/2020 | |
| Bath & Body Works , Inc. | W499073 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | jed_magid@gbtpa.com | Gallagher Bassett Claims | 07/19/2017 |
| Bath & Body Works , Inc. | W499073 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | GB-NYMedical-Mail@gbtpa.com | 04/06/2020 | |
| Bath Central School Distrist | W802797 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Bay Shore Public School UFSD #1 | W802839 | Michelle Short | (888) 476-2669 ext. | (315)233-3021 | MG2@pmagroup.com | 07/14/2021 | |
| Beaver River CSD | W803100 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Bedivere Insurance Company | W091003 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| Belleville-Henderson C.S.D. | W803381 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Berkley Casualty Company | W031251 | Tammy Ansell | (205) 874-8204 ext. | (205)870-3245 | tansell@americanmining.com | 02/27/2018 | |
| Birds Eye Foods, Inc. | W380257 | Theodore Birchmeier | (856) 397-1128 ext. | (973)541-6693 | Ted.birchmeier@pinnaclefoods.com | 11/30/2010 | |
| Bon Secours Charity Health Sys | W347886 | Roberta Montgomery | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/09/2021 | |
| Bradford CSD | W805352 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Briggs and Stratton Corporation | W354138 | Robin Brown | (315) 701-1600 ext.240 | (315)218-0063 | rbrown@safetpa.com | 09/01/2020 | |
| Brookdale Hospital Medical Ctr | W354252 | Elizabeth Garcia | (646) 925-8459 ext. | (646)355-0749 | elizabeth.garcia@gcgriskmanagement.com | Last Initial: C F G L R U X | 10/31/2019 |
| Brookdale Hospital Medical Ctr | W354252 | Jennifer Batista | (212) 431-3000 ext.58443 | (646)502-6297 | jennifer.batista@gcgriskmanagement.com | Claims with Last Initial A D I J O P S V Y | 06/16/2020 |
| Brookdale Hospital Medical Ctr | W354252 | Christen Garcia | (212) 431-3000 ext.58458 | (646)233-1895 | christen.garcia@gcgriskmanagement.com | Claims with Last Initial B E H K M N Q T W Z | 06/16/2020 |
| Brookhaven Comsewogue Union Free School District | W805758 | Robin Coleman | (800) 337-7419 ext.105 | (866)593-9245 | rcoleman@triadgate.com | 12/04/2018 | |
| Brookhaven Comsewogue Union Free School District | W805758 | Chris Wright | (800) 337-7419 ext.316 | (866)388-7071 | cwright@triadgate.com | Nurse | 03/09/2022 |
| Brookhaven, Town of | W805501 | Sonia Mendez | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/10/2021 | |
| Brookhaven, Town of | W805501 | Carrie Jaynes | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/10/2021 | |
| Brooklyn Bureau of Community | W354948 | Maryclare Scerbo | (718) 310-5604 ext. | (718)522-0400 | mscerbo@WeAreBCS.org | 05/20/2011 | |
| Brunswick CSD | W806509 | John Iorio | (888) 476-2669 ext. | &n | mg2@pmagroup.com | 06/23/2021 | |
| Brushton- Moira C.S.D. | W806756 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Buffalo Sewer Authority | W807507 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | angela.talarico@usi.com | 02/09/2022 | |
| Bush Industries, Inc. | W361638 | Kevin Nicoli | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 01/26/2021 | |
| CAPITOL INDEMNITY CORPORATION | W050322 | Tom Moriearty | (608) 829-4834 ext. | (608)829-7411 | tmoriearty@capitol.net | 11/03/2010 | |
| CAROLINA CASUALTY INS CO | W050389 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | GB-NYMedical-Mail@gbtpa.com | 08/04/2021 | |
| CH Energy Group Inc | W361786 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Albany and Buffalo | 03/29/2016 |
| CHENANGO VALLEY CSD | W812079 | Timothy Ryan | (315) 445-6348 ext. | (315)233-3021 | timothy_ryan@pmagroup.com | 07/09/2018 | |
| CHILDREN & WOMEN'S HEALTH INC | W367254 | Angela Talarico | (716) 849-8181 ext. | (716)819-5145 | Angela.Talarico@fnrm.com | 04/25/2013 | |
| COMMERCIAL COMPENSATION CASUALTY CO. | W058507 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| COMMERCIAL COMPENSATION CASUALTY CO. | W058507 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| CREDIT GENERAL INSURANCE CO | W067250 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Caledonia Mumford C.S.D. | W808091 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Camden Fire Insurance Assn. | W050009 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| Canada Dry Corporation | W363006 | Amy Carver | (866) 286-0281 ext. | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Canaseraga Central School Dist | W808125 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Canisteo C.S.D. | W808224 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Capital District Transportation Authority | W808380 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Capital District Transportation Authority | W808380 | Chelsey Matthews | (610) 619-5791 ext. | (610)362-8107 | chelsey.matthews@usi.com | 02/10/2022 | |
| Cargill Incorporated | W364517 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | robin.moleski@sedgwickcms.com | 04/15/2011 | |
| Carthage C.S.D. | W808257 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Catlin Indemnity Company | W047500 | Anthony Hampton | (610) 968-2602 ext. | (877)896-4562 | xlclaims.general.emailbox4documentum@axaxl.com | 11/30/2020 | |
| Cattaraugus-Allegany-Erie-Wyoming Boces | W808885 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Cattaraugus-Little Valley Central School District | W808638 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Cayuga Medical Center | W646509 | Melissa Wilson | (716) 842-0045 ext.175 | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Cazenovia Central School Dist | W809388 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Centennial Insurance | W051007 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Central Mutual Insurance Company | W052005 | Jamie Wiechart | (800) 786-9169 ext. | (800)736-7026 | jwiechart@central-insurance.com | 02/08/2022 | |
| Central Square Central School District | W809842 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Central Square Central School District | W809842 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Centre Insurance Company | W126007 | Michelle Bracero | (800) 347-1140 ext. | (609)495-0254 | MICHELLE.BRACERO@REMLTD.COM | NEW YORK AND NEW JERSEY | 04/15/2011 |
| Century Indemnity Company | W053003 | Gus Gonnella | (302) 476-7822 ext. | (302)476-7858 | NYWCMGAdmin@acegroup.com | 01/03/2011 | |
| Century Indemnity Company | W053003 | Gus Gonnella | (302) 476-7822 ext. | (302)476-7858 | gus.gonnella@acegroup.com | 03/24/2011 | |
| Champion International Corp. | W365134 | Amy Carver | (866) 286-0281 ext. | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Charlotte Valley Central School District | W809941 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Charmer Industries, Inc. | W365324 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | TCMUMINTAKE@choosebroadspire.com | 05/09/2011 | |
| Chateaugay CSD | W809974 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Chautauqua County | W810006 | Michelle Lansing | (800) 337-7419 ext.328 | (866)433-5845 | mlansing@triadgate.com | 04/03/2020 | |
| Cherry Valley Springfield Central School District | W812135 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Child and Family Services of Erie County | W367193 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Chittenango Central School District | W812192 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Chubb Indemnity | W054605 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Chubb National Insurance Co. | W054621 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Church Mutual Insurance Company S.I. | W054639 | Derek Procknow | (715) 539-4122 ext. | (715)539-4651 | dprocknow@churchmutual.com | Send to both emails | 11/12/2020 |
| Church Mutual Insurance Company S.I. | W054639 | Rebekah Gullikson | (715) 539-4549 ext. | (715)539-4651 | rgullikson@churchmutual.com | Send to both emails | 11/05/2020 |
| Cincinnati Casualty Company | W055388 | Jessica Elsass | (877) 260-1397 ext. | (513)603-5002 | wcclaims@cinfin.com | 08/07/2019 | |
| Cincinnati Casualty Company | W055388 | Kimberly Kramer | (717) 270-8850 ext. | &n | kimberly_kramer@cinfin.com | 02/24/2020 | |
| Cincinnati Casualty Company | W055388 | Lindsey Gustavson | (513) 371-7546 ext. | (513)371-7030 | lindsey_gustavson@cinfin.com | 06/17/2020 | |
| Cincinnati Indemnity Company | W054886 | Jessica Elsass | (877) 260-1397 ext. | (513)603-5002 | wcclaims@cinfin.com | 08/07/2019 | |
| Cincinnati Indemnity Company | W054886 | Kimberly Kramer | (717) 270-8850 ext. | &n | kimberly_kramer@cinfin.com | 02/24/2020 | |
| Cincinnati Indemnity Company | W054886 | Lindsey Gustavson | (513) 371-7546 ext. | (513)371-7030 | lindsey_gustavson@cinfin.com | 06/17/2020 | |
| Cincinnati Insurance Companies | W054753 | Jessica Elsass | (877) 260-1397 ext. | (513)603-5002 | wcclaims@cinfin.com | 08/07/2019 | |
| Cincinnati Insurance Companies | W054753 | Kimberly Kramer | (717) 270-8850 ext. | &n | kimberly_kramer@cinfin.com | 02/24/2020 | |
| Cincinnati Insurance Companies | W054753 | Lindsey Gustavson | (513) 371-7546 ext. | (513)371-7030 | lindsey_gustavson@cinfin.com | 06/17/2020 | |
| Cincinnatus CSD | W812259 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| City School District of Troy | W873251 | John Iorio | (888) 476-2669 ext. | (315)233-3021 | CLAIMSMAIL@PMAGROUP.COM | 10/01/2020 | |
| City of Albany | W801005 | Heather Davies | (800) 337-7419 ext.102 | (866)622-5005 | hdavies@triadgate.com | 04/24/2018 | |
| City of Albany | W801005 | Erin Russell | (800) 337-7419 ext.471 | (866)324-4408 | ERUSSELL@TRIADGATE.COM | 08/06/2021 | |
| City of Lackawanna | W830319 | Robert Efthemis | (716) 314-2096 ext. | (610)362-8107 | robert.efthemis@usi.com | 02/09/2022 | |
| City of Lackawanna | W830319 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | angela.talarico@usi.com | 02/09/2022 | |
| City of Mount Vernon | W839005 | Jane Miles | (800) 337-7419 ext.320 | (866)336-0104 | jmiles@triadgate.com | 06/19/2019 | |
| City of Mount Vernon | W839005 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 06/28/2019 | |
| City of Mount Vernon | W839005 | Jean Puma | (800) 337-7419 ext.101 | (866)851-2450 | JPUMA@TRIADGATE.COM | 07/22/2020 | |
| City of New Rochelle | W841001 | Megan Binkowski | (800) 337-7419 ext.470 | (877)434-3551 | mtg@triadgate.com | 03/22/2021 | |
| City of New Rochelle | W841001 | Shanen Sullivan | (800) 337-7419 ext.349 | (866)744-8813 | mtg@triadgate.com | Adjuster | 03/17/2022 |
| City of Tonawanda | W871636 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| City of Tonawanda | W871636 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| City of Tonawanda | W871636 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| City of Tonawanda | W871636 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Clarendon Insurance | W056386 | Shannon Cables | (407) 557-8021 ext. | (407)875-3473 | scables@clarendon-ins.com | 11/02/2010 | |
| Clarendon Insurance | W056386 | Kimberly Expresion | (407) 557-8022 ext. | (407)875-3473 | kexpresion@clarendon-ins.com | 11/02/2010 | |
| Clermont Insurance Company | W056329 | Mercedes Perez | (201) 518-2512 ext. | (201)518-1250 | mperez@clermonthid.com | 05/10/2011 | |
| Clermont Insurance Company | W056329 | Nathan Barnett | (602) 627-1332 ext. | (866)874-5104 | nathan.barnett@acadia-ins.com | 07/22/2013 | |
| Clermont Insurance Company | W056329 | Toni Brazell | (315) 350-2952 ext. | (866)874-5104 | toni.brazell@acadia-ins.com | 07/22/2013 | |
| Clermont Insurance Company | W056329 | Mathew Essig | (315) 350-2963 ext. | (866)874-5104 | mathew.essig@acadia-ins.com | 07/22/2013 | |
| Clermont Insurance Company | W056329 | Sonja Perfetto | (207) 228-1979 ext. | (866)874-5104 | sonja.perfetto@acadia-ins.com | 07/22/2013 | |
| Clermont Insurance Company | W056329 | Tracey Stokes | (802) 860-3233 ext. | (866)874-5104 | tracey.stokes@acadia-ins.com | 07/22/2013 | |
| Clermont Insurance Company | W056329 | Tracey Stokes | (802) 860-3233 ext. | (866)874-5104 | Tracey.Stokes@acadia-ins.com | 11/01/2021 | |
| Cold Spring Harbor CSD | W814321 | Regina Middleton | (800) 337-7419 ext.450 | (866)286-6898 | mtg@triadgate.com | 04/19/2022 | |
| Cold Spring Harbor CSD | W814321 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | mtg@triadgate.com | 04/19/2022 | |
| Colonie, Town of | W814388 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Albany and Buffalo Offices | 03/29/2016 |
| Columbia County Mutual Self Insurance | W815005 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/02/2022 | |
| Columbia County Mutual Self Insurance | W815005 | Genie Mayo | (518) 220-0315 ext. | (877)737-6232 | gmayo@neami.com | 03/02/2022 | |
| Columbia County Mutual Self Insurance | W815005 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/02/2022 | |
| Columbia County Mutual Self Insurance | W815005 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/02/2022 | |
| Columbia County Mutual Self Insurance | W815005 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Columbia University | W370753 | Hana Bloch | (212) 851-0662 ext. | (212)851-7069 | hb356@columbia.edu | 11/18/2010 | |
| Columbia University | W370753 | Claudette Kenton | (212) 851-2857 ext. | (212)851-7069 | ck2242@columbia.edu | 04/23/2018 | |
| Columbia University | W370753 | Bridget Panarello | (516) 962-5601 ext. | (315)453-5597 | Bridget_Panarello@gbtpa.com | 04/23/2018 | |
| Columbia University | W370753 | Yvette Serrano | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 05/01/2020 | |
| Columbia University | W370753 | Yvette Serrano | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/09/2021 | |
| ConAgra Foods, Inc. | W372254 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| ConAgra Grocery Products Company | W341002 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | For claims handled by Sedgwick CMS | 01/26/2018 |
| ConAgra Maple Leaf Milling, Inc. | W372387 | Daniel Boyer | (609) 557-5036 ext. | (609)557-5011 | boyerd@gabrobins.com | 11/15/2010 | |
| Cooper Crouse-Hinds | W375398 | Renee Balzer | (440) 523-4394 ext. | (866)828-8550 | ReneeBalzer@eaton.com | 11/18/2019 | |
| Cooper Turbocompressor, Inc | W375919 | Nicklous Annoye | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 05/02/2019 | |
| Cooperstown Central School District | W815633 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Copenhagen C.S.D. | W815757 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Corinth Central School District | W815823 | Andrew Stephens | (888) 476-2669 ext. | (315)233-3021 | MG2@pmagroup.com | 06/10/2021 | |
| Corning, Inc. | W378004 | Jeanne Beebe | (607) 974-4838 ext. | (607)974-4869 | beebejl@corning.com | 03/22/2016 | |
| Corning, Inc. | W378004 | Susan Newman | (607) 974-4840 ext. | (607)974-4869 | newmansc@corning.com | 03/22/2016 | |
| Corning-Painted Post Area SD | W815856 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Cortland City School District | W816045 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Cortland County Self Ins Plan | W816003 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Cortland County Self Ins Plan | W816003 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Cortland County Self Ins Plan | W816003 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Cortland County Self Ins Plan | W816003 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Cosmopolitan Mutual Insurance | W065007 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Costco Wholesale Corporation | W378442 | Nicklous Annoye | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 05/02/2019 | |
| County of Nassau | W840003 | Regina Middleton | (800) 337-7419 ext.450 | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD NURSE | 08/18/2021 |
| County of Nassau | W840003 | Jean Puma | (800) 337-7419 ext.101 | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD TEAM LEADER | 08/18/2021 |
| County of Orange | W857007 | Lisa Crouse | (800) 337-7419 ext.306 | (866)640-3876 | lcrouse@triadgate.com | 08/06/2019 | |
| County of Orange | W857007 | Valerie Litow | (800) 337-7419 ext.466 | (866)519-0594 | vlitow@triadgate.com | 10/17/2019 | |
| County of Putnam | W861256 | Vicki Halpen | (843) 742-5728 ext. | (800)432-9762 | Vicki_Halpen@pmagroup.com | 03/19/2021 | |
| County of Westchester | W878755 | Megan Binkowski | (800) 337-7419 ext.470 | (866)278-7016 | mtg@triadgate.com | 04/14/2022 | |
| County of Westchester | W878755 | Lisa Tucci | (800) 337-7419 ext.467 | (866)245-6710 | mtg@triadgate.com | 04/14/2022 | |
| Crouse-Hinds Company | W379002 | Renee Balzer | (440) 523-4394 ext. | (866)828-8550 | ReneeBalzer@eaton.com | 11/18/2019 | |
| Cuba-Rushford Central School District | W816383 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Cummins, Inc | W379887 | Amy Carver | (866) 286-0281 ext. | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| DPWN Holdings (USA) Inc. | W381255 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Dansville C.S.D. | W816474 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| De Ruyter Central School Dist | W817076 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Delhaize America LLC | W448252 | Angelia Rummage | (704) 310-4490 ext. | (704)638-1921 | RiskManagement-Fo@Foodlion.com | Delhaize America (Risk Management Services) | 06/20/2017 |
| Delhi Central School District | W817043 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Dolgencorp of New York, Inc. | W389753 | Ruth Gregory | (615) 855-5113 ext. | (615)694-5117 | rgregory@dollargeneral.com | 10/08/2020 | |
| Dolgencorp of New York, Inc. | W389753 | Melinda Cope | (615) 855-4364 ext. | (615)694-5235 | mecope@dollargeneral.com | 11/09/2020 | |
| Dresser Industries, Inc. | W390504 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | Angela.Talarico@usi.com | 02/09/2022 | |
| ELDRED CENTRAL SCHOOL DISTRICT | W817779 | KAREN COOLEY | (315) 453-6447 ext. | (866)727-5573 | Karen_Cooley@Corvel.com | 11/05/2010 | |
| ELDRED CENTRAL SCHOOL DISTRICT | W817779 | DEANNA OKIPNEY | (315) 453-6451 ext. | (866)727-5573 | Deanna_Okipney@Corvel.com | 11/05/2010 | |
| EVEREST NATIONAL INS COMPANY | W183693 | Bridget Panarello | (516) 962-5601 ext. | (315)453-5597 | bridget_panarello@gbtpa.com | 05/16/2018 | |
| EVEREST NATIONAL INS COMPANY | W183693 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5657 | GM-SYNY-claims@corvel.com | 06/12/2018 | |
| EVEREST NATIONAL INS COMPANY | W183693 | James Campbell | (404) 300-1508 ext. | (404)300-1525 | james.campbell@choosebroadspire.com | 06/12/2018 | |
| EVEREST NATIONAL INS COMPANY | W183693 | Judy D'Agostino | (518) 322-4995 ext. | (614)717-6152 | mg2@wellcomp.com | 07/27/2018 | |
| EVEREST NATIONAL INS COMPANY | W183693 | Tia Gau | (714) 258-5270 ext. | (714)480-4128 | tia.gau@sedgwickcms.com | 07/27/2018 | |
| EVEREST NATIONAL INS COMPANY | W183693 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick | 10/28/2020 |
| EXPLORER INSURANCE COMPANY | W077508 | LaJessica Mathis | (815) 615-9790 ext. | (815)230-1336 | lmathis@veritasclaims.com | 12/29/2021 | |
| East Hampton, Town of | W817399 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| East Hampton, Town of | W817399 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| East Hampton, Town of | W817399 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| East Hampton, Town of | W817399 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Eastern Co. Frazer/Jones Div | W391502 | Daniel Garrett | (800) 962-2680 ext. | (716)636-7164 | daniel.garrett@esis.com | 06/01/2011 | |
| Edmeston Central School Dist | W817746 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| ElderWood Senior Care | W398325 | Angela Talarico | (716) 314-2000 ext. | (610)362-8107 | angela.talarico@usi.com | 02/09/2022 | |
| Electric Insurance Company | W071757 | Charles Meehan | (518) 862-4633 ext. | (978)232-1925 | charles.meehan@electricinsurance.com | 11/08/2010 | |
| Electric Insurance Company | W072003 | Charles Meehan | (518) 862-4633 ext. | (978)232-1925 | charles.meehan@electricinsurance.com | 11/08/2010 | |
| Electric Insurance Company | W071757 | Laura Moran | (518) 862-4625 ext. | (859)264-4360 | laura.moran@electricinsurance.com | 05/08/2018 | |
| Electric Insurance Company | W072003 | Laura Moran | (518) 862-4625 ext. | (859)264-4360 | laura.moran@electricinsurance.com | 05/08/2018 | |
| Ellicottville Central School District | W817829 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Elmira Heights Central School District | W817878 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Empire Insurance Company | W017008 | Dawn Renaud | (518) 322-4995 ext. | (866)548-2637 | Dawn.Renaud@yorkrsg.com | 02/26/2018 | |
| Empire Insurance Company | W073001 | Dawn Renaud | (518) 322-4995 ext. | (866)548-2637 | Dawn.Renaud@yorkrsg.com | 02/26/2018 | |
| Empire Insurance Company | W157002 | Dawn Renaud | (518) 322-4995 ext. | (866)548-2637 | Dawn.Renaud@yorkrsg.com | 02/26/2018 | |
| Empire State Transportation WC Trust | W399505 | Devon Fik | (716) 842-0045 ext.null | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Employers Assurance Company | W073324 | John Lastella | (800) 800-7660 ext.7660 | (770)777-6447 | Intakebsi@choosebroadspire.com | Broadspire Utilization Review Department | 08/13/2018 |
| Employers Assurance Company | W073324 | Gail Bulson | (315) 247-4955 ext. | (800)371-8204 | gbulson@employers.com | 12/02/2021 | |
| Employers Assurance Company | W073324 | Carol Phillips | (888) 682-6671 ext. | (800)371-8204 | cphillips@employers.com | 12/02/2021 | |
| Employers Compensation Insurance | W073381 | John Lastella | (800) 800-7660 ext.7660 | (770)777-6447 | Intakebsi@choosebroadspire.com | Broadspire Utilization Review Department | 08/13/2018 |
| Employers Compensation Insurance | W073381 | Carol Phillips | (888) 682-6671 ext. | (800)371-8204 | cphillips@employers.com | 12/02/2021 | |
| Employers Fire Insurance Co | W074009 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| Employers Insurance Company of Wausau | W076004 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 10/05/2015 | |
| Employers Mutual Casualty Co | W075006 | Chad Buresh | (515) 345-2053 ext. | (877)260-2811 | Chad.D.Buresh@EMCIns.com | 01/08/2016 | |
| Employers Preferred Insurance Company | W076592 | John Lastella | (800) 800-7660 ext.7660 | (770)777-6447 | Intakebsi@choosebroadspire.com | Broadspire Utilization Review Department | 08/13/2018 |
| Employers Preferred Insurance Company | W076592 | Gail Bulson | (315) 247-4955 ext. | (800)371-8204 | gbulson@employers.com | 12/02/2021 | |
| Employers Preferred Insurance Company | W076592 | Carol Phillips | (888) 682-6671 ext. | (800)371-8204 | cphillips@employers.com | 12/02/2021 | |
| Erie County Medical Ctr. Corp | W818256 | Justin Neuman | (315) 445-6452 ext.6452 | (315)233-3021 | MG2@pmagroup.com | 03/01/2022 | |
| Erie Insurance Company | W076889 | Christopher Chappel | (814) 870-2118 ext. | (800)241-8360 | christopher.chappel@erieinsurance.com | 03/06/2019 | |
| Erie Insurance Company of New York | W076947 | Christopher Chappel | (814) 870-2118 ext. | (800)241-8360 | christopher.chappel@erieinsurance.com | 03/06/2019 | |
| Erie Insurance Company of New York | W076947 | Christopher Chappel | (814) 870-2118 ext. | (800)241-8360 | christopher.chappel@erieinsurance.com | 03/06/2019 | |
| Erie Insurance Company of New York | W076947 | Pennie Bennett | (844) 806-5219 ext. | (800)241-8360 | Pennie.Bennett@ERieInsurance.com | 07/19/2021 | |
| Erie Insurance Company of New York | W076947 | Pennie Bennett | (844) 806-5219 ext. | (800)241-8360 | Pennie.Bennett@ERieInsurance.com | 07/19/2021 | |
| Erie Insurance Property | W076962 | Christopher Chappel | (814) 870-2118 ext. | (800)241-8360 | christopher.chappel@erieinsurance.com | 03/06/2019 | |
| Esco Turbine Technologies Syracuse Inc. | W439756 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 04/12/2016 | |
| Essex County Self Ins Plan | W819007 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Essex County Self Ins Plan | W819007 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Essex County Self Ins Plan | W819007 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Essex County Self Ins Plan | W819007 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Exxon Corp. | W412001 | Alan Rapee | (703) 846-7247 ext. | (703)846-2363 | alan.w.rapee@exxonmobil.com | 04/20/2011 | |
| Exxon Corp. | W412001 | John Dill | (832) 625-7691 ext. | (262)953-4967 | john.e.dill@exxonmobil.cojm | 09/22/2016 | |
| Exxon Corp. | W412001 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| FAIRMONT SPECIALTY INS CO | W186001 | Gary Hinson | (603) 656-2511 ext. | (603)656-2400 | gary_hinson@trg.com | 04/24/2013 | |
| FAIRMONT SPECIALTY INS CO | W186001 | Curtis Broyles | (603) 656-2316 ext. | (603)656-7500 | curtis_broyles@trg.com | 03/24/2016 | |
| FAIRMONT SPECIALTY INS CO | W186001 | Kari Mellin | (800) 440-5020 ext. | (800)364-0443 | NewYorkAuthReq@thezenith.com | Zenith Insurance - Claims/Supervisor | 11/13/2018 |
| FAIRMONT SPECIALTY INS CO | W186001 | Vivian Leffler | (800) 440-5020 ext.null | (800)364-0443 | NewYorkAuthReq@thezenith.com | Zenith Insurance - Medical/Nurse | 11/13/2018 |
| FARMERS INSURANCE EXCHANGE | W079131 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| FEDERATED RURAL ELECTRIC INS. | W082259 | Christina Johnson | (800) 356-8360 ext.122 | (913)541-2822 | cjohnson@federatedrural.com | 04/01/2020 | |
| FEDERATED SERVICE INSURANCE CO | W082754 | Michael Forbes | (800) 428-4143 ext.7233113 | (866)636-8660 | pcclaims@fedins.com | 12/18/2017 | |
| FIRE INSURANCE EXCHANGE | W085633 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurnance.com | 05/02/2018 | |
| FIRST CENTRAL INSURANCE CO | W052500 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Fabius-Pompy Central School District | W819130 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 10/05/2020 | |
| Fairfield Insurance Company | W078257 | Mary Ann Phillips | (716) 336-7151 ext. | (800)914-0956 | MaryAnn.Phillips@esis.com | 02/16/2011 | |
| Fairfield Insurance Company | W078257 | Mary Ann Phillips | (716) 336-7151 ext. | (800)914-0956 | MaryAnn.Phillips@esis.com | 03/05/2013 | |
| Fairport Municipal Commission | W819197 | Elizabeth Santaferra | (315) 445-6454 ext. | (315)233-3021 | mg2@pmagroup.com | ACR | 06/01/2021 |
| Fairport Municipal Commission | W819197 | Courtney Tomeny | (315) 445-6307 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| Fairport Municipal Commission | W819197 | Courtney Tomeny | (315) 445-6307 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| Farm Family Casualty Ins. Co. | W079008 | Steve Marsh | (716) 636-2709 ext. | (800)914-0956 | Steve.Marsh@esis.com | 12/10/2021 | |
| Farm Family Casualty Ins. Co. | W079008 | Steve Marsh | (716) 636-2709 ext. | (800)914-0956 | Steve.Marsh@esis.com | 12/29/2021 | |
| Farm Family Casualty Ins. Co. | W079008 | Steve Marsh | (716) 636-2709 ext. | (800)914-0956 | Steve.Marsh@esis.com | 12/29/2021 | |
| Farmingdale UFSD | W819502 | Robin Moleski | (315) 385-6840 ext. | (877)905-4002 | robin.moleski@sedgwickcms.com | 04/29/2011 | |
| Fayetteville-Manlius CSD | W819635 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Federal Express Corporation | W413785 | Brian Yamamoto | (866) 301-6568 ext.827 | (855)287-4028 | urreferrals@genexservices.com | 10/24/2018 | |
| Federal Insurance Company | W080006 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Federated Mutual Ins. Co. | W082002 | Michael Forbes | (800) 428-4143 ext.7233113 | (866)636-8660 | pcclaims@fedins.com | 12/18/2017 | |
| Fillmore Central School District | W819759 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Fire Districts Insurance Company, Inc. | W085575 | Yenny Tjokosudarmo | (845) 352-8855 ext.7024 | (845)352-2022 | yennyt@fdmny.com | 03/16/2016 | |
| Fire Districts Insurance Company, Inc. | W085575 | Laura Castaldo | (845) 352-8855 ext.7022 | (845)352-2022 | laurac@fdmny.com | 03/16/2016 | |
| Fire Districts Insurance Company, Inc. | W085575 | Pamella Rattray | (845) 352-8855 ext.7023 | (845)352-2022 | pamelar@fdmny.com | 03/16/2016 | |
| Fire Districts Insurance Company, Inc. | W085575 | Lenore Pearson-Vouitsis | (845) 352-8855 ext.7021 | (845)352-2022 | lpearson-vouitsis@fdmny.com | 04/12/2018 | |
| Fire Districts Insurance Company, Inc. | W085575 | Jessyca Ruiz | (845) 352-8855 ext.7026 | (845)352-2022 | JRuiz@fdmny.com | claims | 04/12/2018 |
| Fire Districts Insurance Company, Inc. | W085575 | Jessyca Ruiz | (845) 352-8855 ext.7026 | (845)352-2022 | JRuiz@fdmny.com | claims | 04/12/2018 |
| Fireman's Fund Insurance Company | W086003 | Letitia Tigue | (952) 486-5259 ext. | (888)340-6679 | letitia.tigue@agcs.allianz.com | 09/03/2019 | |
| Fireman's Fund Insurance Company | W086003 | Loren McGarvin | (314) 684-4874 ext. | (314)552-7394 | loren.mcgarvin@agcs.allianz.com | AGCS | 09/04/2019 |
| Fireman's Fund Insurance Company | W086003 | Adriana Alvarez | (312) 629-2017 ext. | (888)296-2348 | adriana.alvarez@agcs.allianz.com | AGCS | 09/04/2019 |
| Fireman's Fund Insurance Company | W086003 | Peggie Leidelmeijer | (818) 972-3378 ext. | (818)688-0173 | peggie.leidelmeijer@agcs.allianz.com | AGCS | 09/04/2019 |
| Fireman's Fund Insurance Company | W086003 | Sara Marek | (314) 513-1014 ext. | (888)260-3084 | sara.marek@agcs.allianz.com | AGCS | 09/24/2019 |
| Fireman's Fund Insurance Company | W086003 | Margaret Hellebusch | (314) 513-1141 ext. | (888)837-6808 | margaret.hellebusch@allianzrm-us.com | ARM | 09/24/2019 |
| Fireman's Fund Insurance Company | W086003 | Jason Fredrick | (314) 817-2806 ext. | (888)887-6381 | jason.fredrick@agcs.allianz.com | AGCS | 09/25/2019 |
| Fireman's Fund Insurance Company | W086003 | Irma Salmond | (678) 393-4592 ext. | (415)899-2533 | irma.salmond@allianzrm-us.com | ARM | 03/16/2020 |
| Fireman's Fund Insurance Company | W086003 | Jennifer Felch | (678) 393-4057 ext. | (415)899-2533 | jennifer.felch@allianzrm-us.com | ARM | 03/16/2020 |
| Fireman's Fund Insurance Company | W086003 | Marilyn Johnson | (678) 393-4559 ext. | (415)899-2533 | marilyn.johnson@allianzrm-us.com | ARM | 03/16/2020 |
| Fireman's Fund Insurance Company | W086003 | Beverly Reed | (314) 817-2857 ext. | (415)899-2533 | beverly.reed@allianz-us.com | ARM | 03/16/2020 |
| Fireman's Fund Insurance Company | W086003 | Tarria Harris | (678) 393-4054 ext. | (415)899-2533 | tarria.harris@allianzrm-us.com | ARM | 03/16/2020 |
| Fireman's Fund Insurance Company | W086003 | Vicki Sweatland | (678) 332-3505 ext. | (415)899-2533 | victoria.sweatland@allianzrm-us.com | ARM | 03/17/2020 |
| Fireman's Fund Insurance Company | W086003 | Jodie Bryson | (646) 949-2018 ext. | (212)937-2368 | jodie.bryson@agcs.allianz.com | AGCS | 10/16/2020 |
| First Liberty Insurance Corp. | W087449 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 10/05/2015 | |
| First National Supermarkets Inc. | W417752 | Jeffrey Lewis | (800) 288-8415 ext. 4903 | (717)960-8332 | ausa.mgh.group@aholdusa.com | 06/17/2013 | |
| First National Supermarkets Inc. | W417752 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | MTG-C1@managedcarenetwork.com | 04/30/2021 | |
| Flagship City Insurance Co. | W088637 | Christopher Chappel | (814) 870-2118 ext. | (800)241-8360 | christopher.chappel@erieinsurance.com | 03/06/2019 | |
| FleetBoston Financial Corp. | W417885 | Nicklous Annoye | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 05/02/2019 | |
| Florists Insurance Company | W088751 | Joan Klopf | (800) 473-6879 ext.3927152 | (800)999-4642 | joan.klopf@sentry.com | 10/17/2016 | |
| Florists Mutual Insurance Company | W089007 | Joan Klopf | (978) 392-7152 ext. | (800)999-4642 | joan.klopf@sentry.com | 10/17/2016 | |
| Ford Motor Company | W421002 | Maria Monroe | (716) 821-4264 ext. n/a | (716)821-4183 | mmonroe1@ford.com | BUFFALO STAMPING PLANT | 11/05/2010 |
| Ford Motor Company | W421002 | Maria Monroe | (716) 821-4264 ext. | (716)821-4183 | mmonroe1@ford.com | 01/05/2016 | |
| Foremost Ins Co Grand Rapids Michigan | W089254 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| Foremost Property and Casualty Co | W089502 | Stacy Holwerda | (616) 956-4811 ext. | (616)956-2093 | stacy.holwerda@foremost.com | 12/29/2010 | |
| Foremost Property and Casualty Co | W089502 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| Foremost Signature Ins Co | W089759 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| Franklin Central School Dist. | W819981 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Franklin Co. Self Ins. Plan | W820005 | Becky Ranucci | (315) 453-6440 ext.36461 | (866)727-5573 | Becky_Ranucci@Corvel.com | 04/22/2011 | |
| Franklin Co. Self Ins. Plan | W820005 | Connie Jeror | (518) 481-1678 ext. | (518)483-2340 | cjeror@co.franklin.ny.us | 04/22/2011 | |
| Franklin Co. Self Ins. Plan | W820005 | Connie Jeror | (518) 481-1678 ext. | (518)483-2340 | cjeror@co.franklin.ny.us | 03/11/2016 | |
| Franklin Co. Self Ins. Plan | W820005 | April Starks | (315) 453-6440 ext. | (866)727-5573 | GM-SYNY-Claims@corvel.com | 03/11/2016 | |
| Franklin-Essex-Hamilton Boces | W819965 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Franklin-Essex-Hamilton Boces | W819965 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Franklinville Central School District | W820252 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Fremont Industrial Indemnity Company | W114003 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Friendship Central School District | W820633 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Frontier Communications | W588008 | Amy Wren | (570) 631-3033 ext. | (570)631-8054 | Amy.Wren@ftr.com | 01/05/2011 | |
| Fulton Boiler Works, Inc. | W422380 | Michelle Namisniak | (800) 337-7419 ext. | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD ADJUSTER | 04/01/2021 |
| Fulton Boiler Works, Inc. | W422380 | Erin Russell | (800) 337-7419 ext. | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD NURSE | 04/01/2021 |
| Fulton Group, NA | W422570 | Michelle Namisniak | (800) 337-7419 ext. | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD ADJUSTER | 04/01/2021 |
| Fulton Group, NA | W422570 | Erin Russell | (800) 337-7419 ext. | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD NURSE | 04/01/2021 |
| GATEWAY INSURANCE COMPANY | W090823 | Alex Stein | (314) 373-3333 ext.223 | (314)373-5867 | astein@gicauto.com | 11/04/2010 | |
| GULF UNDERWRITERS INSURANCE CO | W101885 | MaryJo Doyle | (585) 321-8351 ext. | (866)228-7729 | convaria@travelers.com | Construction Claim Office | 03/29/2016 |
| GULF UNDERWRITERS INSURANCE CO | W101885 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Albany and Buffalo | 03/29/2016 |
| GULF UNDERWRITERS INSURANCE CO | W101885 | Patricia Pierce | (631) 577-7593 ext. | (866)889-8376 | MELVARIA@travelers.com | Melville | 08/04/2016 |
| General Brown CSD | W822506 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| General Casualty Co of Wisconsin | W091755 | Brian Scott | (800) 961-1121 ext.643331 | (608)925-0249 | NYAuthorizationRequests@us.qbe.com | 12/30/2010 | |
| General Ins Co of America | W093009 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| General Motors | W431001 | Jodi White, RN | (248) 223-6894 ext. | (248)223-6815 | gmpreferredvendorcorrespondences@sedgwickcms.com | all | 11/06/2020 |
| Genesee County Self-Ins Plan | W823009 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 01/04/2021 | |
| Genesee Valley Central School District | W802078 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Geneseo CSD | W823025 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Geneva Reg Hlth System, Inc. | W433759 | Angela Talarico | (716) 314-2007 ext. | (716)314-2199 | Angela.Talarico@usi.com | 11/30/2018 | |
| Germantown Cen. School Dist | W823033 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Gilboa Conesville Central School District | W823074 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Gioia Insurance Trust Fund | W435507 | Lori Lysek | (716) 842-0045 ext.113 | (716)842-0018 | llysek@ncacomp.com | 11/02/2010 | |
| Great American Alliance Insurance Company | W020507 | Julie Powers | (770) 225-4611 ext.297 | (855)277-6359 | japowers@strategiccomp.com | 03/06/2020 | |
| Great American Insurance Company | W100002 | Donna Freshneck | (973) 952-9889 ext. | (888)223-1317 | dfreshneck@gaic.com | 11/08/2010 | |
| Great American Insurance Company | W100002 | Debbie Elliott | (301) 791-7040 ext. | (888)223-1317 | dkelliott@gaic.com | 11/08/2010 | |
| Great American Insurance Company | W100002 | Julie Powers | (770) 225-4611 ext. | (855)277-6359 | japowers@strategiccomp.com | 05/20/2014 | |
| Great American Insurance Company | W100002 | Debbie Elliott | (866) 791-7040 ext. | (888)223-1317 | DKElliott@gaig.com | Alternative Markets Division | 01/07/2016 |
| Great American Insurance Company | W100002 | Pamela Goldstein | (973) 952-9845 ext. | (888)223-1317 | PRGoldstein@gaig.com | Alternative Markets Division | 01/07/2016 |
| Great American Insurance Company | W100002 | Kim Randall | (973) 952-9727 ext. | (888)223-1317 | KRandall2@gaig.com | Alternative Markets Division | 01/07/2016 |
| Great American Insurance Company | W100002 | Katherine Rodriguez | (973) 952-9764 ext. | (888)223-1317 | KRodriguez@gaig.com | Alternative Markets Division | 01/07/2016 |
| Great American Insurance Company | W100002 | Brenda Walker | (973) 952-9728 ext. | (888)223-1317 | BJWalker@gaig.com | Alternative Markets Division | 01/07/2016 |
| Great Divide Insurance Company | W100135 | Tamika Reed | (800) 259-2560 ext.8882 | (866)360-1718 | workcompclaims@berkleyenvironmental.com | 04/02/2020 | |
| Great Divide Insurance Company | W100135 | Tamara Tillman | (201) 748-3110 ext. | (866)360-1718 | ttillman@berkleyenvironmental.com | 11/12/2021 | |
| Great Northern Insurance Company | W100507 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Great West Casualty Company | W100754 | Jammie Lynn | (712) 490-8044 ext. | (800)833-1851 | j.lynn@gwccnet.com | 09/06/2019 | |
| Great West Casualty Company | W100754 | Susie Mcarthur | (402) 241-1047 ext. | &n | S.MCARTHUR@gwccnet.com | GWCC | 11/07/2019 |
| Great West Casualty Company | W100754 | WORK CA | (402) 494-7790 ext. | (800)228-8602 | workca@gwccnet.com | Assistants | 11/07/2019 |
| Greene County | W823389 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Greene County | W823389 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Greene County | W823389 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Greene County | W823389 | Genie Mayo | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Greene County | W823389 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Greenwood Central School | W823603 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Guideone Mutual Ins Co | W101752 | Amber Grambo | (888) 748-4326 ext.6318 | (800)676-4457 | agrambo@guideone.com | 02/26/2018 | |
| Guideone Mutual Ins Co | W101752 | Karen Maher | (888) 748-4326 ext.5169 | (800)676-4457 | kmaher@guideone.com | 02/26/2018 | |
| HARLEYSVILLE PREFERRED INS CO | W104889 | Kathleen Tennett | (215) 513-8753 ext. | (855)206-0714 | wcadmin@nationwide.com | 11/18/2019 | |
| HDI Global Insurance Company | W102503 | Ann Crepeau | (312) 589-6751 ext. | (312)924-0951 | ann.crepeau@hdi-gerling.com | 12/30/2014 | |
| HOUSTON GENERAL INS CO | W111504 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| HOUSTON GENERAL INS CO | W111504 | Kari Mellin | (800) 440-5020 ext. | (800)364-0443 | NewYorkAuthReq@thezenith.com | Zenith Insurance - Claims/Supervisor | 11/13/2018 |
| HOUSTON GENERAL INS CO | W111504 | Vivian Leffler | (800) 440-5020 ext.null | (800)364-0443 | NewYorkAuthReq@thezenith.com | Zenith Insurance - Medical/Nurse | 11/13/2018 |
| Hammondsport CSD | W823777 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Hancock CSD | W824023 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Hannibal CSD | W824031 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Hanover American Insurance Company | W102751 | Kerri Hollenkamp | (800) 628-0250 ext. | (508)926-1570 | WCNYMTG@Hanover.com | 02/14/2017 | |
| Hanover Insurance Co. | W103006 | Kerri Hollenkamp | (800) 628-0250 ext. | (508)926-1570 | WCNYMTG@Hanover.com | 02/14/2017 | |
| Harleysville Insurance Company | W104756 | Kathleen Tennett | (215) 513-8753 ext. | (855)206-0714 | wcadmin@nationwide.com | 11/18/2019 | |
| Harleysville Worcester Insurance | W227193 | Kathleen Tennett | (215) 513-8753 ext. | (855)206-0714 | wcadmin@nationwide.com | 11/18/2019 | |
| Hartford Accident and Indemnity | W105001 | Linda Cornnell | (877) 544-7843 ext.7491 | (515)518-2311 | LCornnell@creativerisksolutions.com | Creative Risk Solutions | 09/15/2020 |
| Hartford Accident and Indemnity | W105001 | Michele Connell | (877) 544-7843 ext.5978 | (515)518-2348 | MConnell@creativerisksolutions.com | Creative Risk Solutions | 09/15/2020 |
| Hartford Accident and Indemnity | W105001 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Casualty Ins. Co. | W106009 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Fire Ins. Co. | W106504 | Linda Cornell | (877) 544-7843 ext.7491 | (515)518-2311 | LCornell@creativeisksolutions.com | Creative Risk Solutions | 07/24/2020 |
| Hartford Fire Ins. Co. | W106504 | Michele Connell | (877) 544-7843 ext.5978 | (515)518-2348 | MConnell@creativerisksolutions.com | Creative Risk Solutions | 07/24/2020 |
| Hartford Fire Ins. Co. | W106504 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Ins Co Midwest | W106751 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Ins Co Midwest | W106751 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Insurance Company of Illinois | W106637 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Hartford Underwriters Ins. Co. | W158000 | Linda Cornell | (877) 544-7843 ext.7491 | (515)518-2311 | LCornell@creativerisksolutions.com | Creative Risk Solutions | 07/27/2020 |
| Hartford Underwriters Ins. Co. | W158000 | Michelle Connell | (877) 544-7843 ext.5978 | (515)518-2311 | MConnell@creativerisksolutions.com | Creative Risk Solutions | 07/27/2020 |
| Hartford Underwriters Ins. Co. | W158000 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Healthcare of NY WC Trust (HONY) | W450886 | Gina Emerson | (315) 701-1600 ext.16 | (315)218-0063 | gemerson@safetpa.com | 11/19/2010 | |
| Healthcare of NY WC Trust (HONY) | W450886 | Lori Wilson | (315) 701-1600 ext. | (315)218-0063 | lwilson@safetpa.com | 02/03/2021 | |
| Hercules Incorporated | W452007 | Daniel Garrett | (800) 962-2680 ext.47147 | (716)636-7164 | daniel.garrett@esis.com | 04/22/2011 | |
| Herricks UFSD | W826093 | Regina Middleton | (800) 337-7419 ext.450 | (866)286-6898 | mtg@triadgate.com | 04/19/2022 | |
| Herricks UFSD | W826093 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | jpuma@triadgate.com | 04/19/2022 | |
| Hewlett Woodmere UFSD | W826101 | Robin Coleman | (800) 337-7419 ext.105 | (866)593-9245 | rcoleman@triadgate.com | 12/04/2018 | |
| Hewlett Woodmere UFSD | W826101 | Chris Wright | (800) 337-7419 ext.316 | (866)388-7071 | cwright@triadgate.com | TRIAD NURSE | 03/09/2022 |
| Highlands Insurance Company | W107007 | Norma Green | (713) 267-8312 ext. | (713)267-8323 | norma.green@highlandsinsurance.com | 12/03/2010 | |
| Highview National Insurance Company | W221634 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5573 | gm-syny-claims@CorVel.com | CorVel Claims | 02/23/2021 |
| Hillside Children's Center | W454888 | Erin O'Connor | (716) 314-2002 ext. | (610)362-8107 | erin.oconnor@usi.com | 02/10/2022 | |
| Hinsdale Central School District | W826150 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Hollingsworth & Vose Company | W453757 | David Schwalbach | (315) 233-4278 ext. | (315)463-1605 | Dave_Schwalbach@us.crawco.com | 04/11/2011 | |
| Home Indemnity Company | W109003 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Home Indemnity Company | W110001 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Homeland Insurance Co of NY | W090757 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| Homer Central School District | W826226 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Hornell City School District | W826218 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Horseheads Central School District | W826267 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Horseheads Central School District | W826267 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Horseheads Central School District | W826267 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Horseheads Central School District | W826267 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Hudson City School District | W826283 | Sharifa Carbon | (518) 828-4360 ext.2100 | (518)697-8315 | carbons@hudsoncsd.org | 10/28/2016 | |
| Humble Oil and Refining Co | W470009 | Alan Rapee | (703) 846-7247 ext. | (703)846-7247 | alan.w.rapee@exxonmobil.com | 04/20/2011 | |
| Hunter Tannersville Central School District | W826242 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| IBM Corporation | W473508 | Rosemary Mastantuoni | (800) 422-0820 ext.25182 | (603)334-8111 | rosemary.mastantuoni@libertymutual.com | All NY IBM. | 02/14/2011 |
| Ideal Mutual | W112007 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Inc. Village of Lynbrook | W833255 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Inc. Village of Lynbrook | W833255 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Inc. Village of Lynbrook | W833255 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Inc.Village of Garden City | W820716 | Nicklous Annoye | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 08/21/2019 | |
| Indemnity Insurance of North America | W112502 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| Indemnity Insurance of North America | W112502 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| Indemnity Insurance of North America | W112502 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| Indemnity Insurance of North America | W112502 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/07/2021 |
| Indemnity Insurance of North America | W112502 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/07/2021 |
| Indemnity Insurance of North America | W112502 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| Indemnity Insurance of North America | W112502 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| Indian River C.S.D. | W826325 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Ingersoll Rand Company | W473003 | Daniel Garrett | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | 04/23/2021 | |
| Insurance Co of North America | W116008 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| Insurance Co of North America | W116008 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| Insurance Co of North America | W116008 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| Insurance Co of North America | W116008 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/08/2021 |
| Insurance Co of North America | W116008 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/08/2021 |
| Insurance Co of North America | W116008 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| Insurance Co of North America | W116008 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| Insurance Company of The West | W117253 | LaJessica Mathis | (888) 837-1199 ext.null | (815)230-1336 | lmathis@veritasclaims.com | 12/29/2021 | |
| Int'l Imaging Materials, Inc. | W475503 | Edward Gould | (716) 759-9606 ext.315 | (716)459-9609 | egould@wjcox.com | 11/17/2010 | |
| Int'l Imaging Materials, Inc. | W475503 | Edward Gould | (716) 759-9606 ext.315 | (716)759-9609 | egould@wjcox.com | 03/11/2016 | |
| Int'l Imaging Materials, Inc. | W475503 | Lori Karalus | (716) 759-9606 ext.317 | (716)759-9606 | lkaralus@wjcox.com | 03/11/2016 | |
| Interboro Mutual Indemnity Insurance Company | W118004 | Albert Brewer, Jr. | (516) 248-1100 ext.560 | (516)248-0219 | abrewer@interboroinsurance.com | 04/07/2011 | |
| International Paper Company | W476006 | Amy Carver | (866) 286-0281 ext. | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Irvington UFSD | W826440 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Irvington UFSD | W826440 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Irvington UFSD | W826440 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Irvington UFSD | W826440 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Islip UFSD | W826754 | Robin Coleman | (800) 337-7419 ext.105 | (866)593-9245 | rcoleman@triadgate.com | 12/04/2018 | |
| Islip UFSD | W826754 | Chris Wright | (800) 337-7419 ext.316 | (866)388-7071 | cwright@triadgate.com | TRIAD NURSE | 03/09/2022 |
| Jamesville-Dewitt CSD | W829139 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Jasper Troupsburg CSD | W829253 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Jefferson Central School District | W829758 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Jefferson County Department of Insurance | W830004 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 05/05/2020 | |
| Jefferson-Lewis Boces | W830079 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| K-Mart Corporation | W492003 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| KISTNER CONCRETE PRODUCTS INC | W489389 | Robert Efthemis | (716) 314-2096 ext. | (610)362-8107 | robert.efthemis@usi.com | 02/09/2022 | |
| Keshequa CSD | W830178 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| KeyCorp | W488829 | Robin Shaffer-McLoud | (216) 689-0305 ext. | (216)370-9273 | Robin_L_Shaffer-McLoud@keybank.com | 12/26/2018 | |
| Kimberly-Clark Corp. | W489009 | Matt Stoss | (804) 323-4550 ext. | (800)999-4642 | matt.stoss@sentry.com | 03/09/2016 | |
| Kinderhook CSD | W830194 | John Iorio | (888) 476-2669 ext. | (315)233-3021 | John_Iorio@pmagroup.com | 09/29/2020 | |
| Kookmin Best Insurance Co Ltd | W122949 | Dawn Conville | (609) 495-0001 ext.3462 | (609)495-0252 | Dawn.conville@tristargroup.net | 11/15/2016 | |
| Krasdale Foods Inc | W491500 | Tara DiFulio | (315) 453-6468 ext. | (866)727-5573 | tara_difulio@corvel.com | 12/13/2010 | |
| LM Insurance Corporation | W122824 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| LMI Insurance | W156756 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| LOCKPORT CITY SCHOOL DISTRICT | W832448 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | Lockport City School District | 04/09/2020 |
| LaFayette Central School Dist | W830350 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Lafargeville C.S.D. | W830327 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lake Placid CSD | W830368 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lamorak Insurance Company | W060008 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| Laurens Central School | W830467 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lawrence UFSD | W830442 | Chelsea Krause | (800) 337-7419 ext.116 | (866)908-1107 | CKRAUSE@TRIADGATE.COM | 05/18/2015 | |
| Lawrence UFSD | W830442 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 02/19/2019 | |
| LeRoy Central School District | W830471 | Devon Fik | (716) 840-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Legion Insurance Company | W148506 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Leprino Foods Company | W498380 | Daniel Garrett | (716) 636-7147 ext. | (716)636-7164 | daniel.garrett@esis.com | 04/29/2011 | |
| Letchworth CSD | W830475 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Liberty Mutual Fire Ins.Co. | W123509 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 10/05/2015 | |
| Liberty Mutual Fire Ins.Co. | W123509 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/20/2015 | |
| Liberty Mutual Fire Ins.Co. | W123509 | Stephanie Writz | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 08/14/2020 | |
| Liberty Mutual Insurance Co | W124002 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 08/12/2015 | |
| Liberty Mutual Insurance Co | W124002 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 04/25/2019 | |
| Lifetime Healthcare, Inc | W417380 | Nancy Cure | (315) 453-6440 ext. | (866)727-5573 | gm-syny-claims@corvel.com | 06/30/2016 | |
| Liverpool CSD | W831473 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Livonia Central School Dist | W832380 | Devon Fik | (716) 840-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Locust Valley CSD | W832505 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | mtg@triadgate.com | 04/19/2022 | |
| Locust Valley CSD | W832505 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | mtg@triadgate.com | 04/19/2022 | |
| Long Lake CSD | W832638 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lowe's Home Centers, Inc. | W515506 | Sedgwick UR | (866) 286-0281 ext. | (877)922-7236 | lowesmedsupport@lowes.com | 04/27/2016 | |
| Lowe's Home Centers, Inc. | W515506 | Sandra Saukas | (704) 928-7194 ext. | (704)717-7701 | sandra.saukas@lowes.com | 01/16/2021 | |
| Lowville Central School Dist | W832752 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lumbermen's Casualty | W122139 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Lumbermen's Underwriting Alliance | W130256 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lumbermens Mutual Casualty Company | W130009 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | tcmumintake@choosebroadspire.com | Broadspire | 12/17/2010 |
| Lumbermens Mutual Casualty Company | W130009 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | Roxanne.Brown@sedgwickcms.com | Sedgwick CMS | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | MaryJo Doyle | (585) 321-8351 ext. | (866)228-7729 | convaria@travelers.com | Travelers - Construction | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Donna Johnson | (847) 320-4772 ext. | (847)320-7215 | Donna.Johnson@LMCCO.com | Lumbermens Mutual | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Steve Marsh | (716) 639-2709 ext. | (800)914-0956 | Steve.marsh@esis.com | ESIS | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | Robin.Moleski@srsconnect.com | SRS- Specialty Risk Services | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Diane Muraven | (518) 862-7942 ext. | (866)422-8263 | Albvaria@travelers.com | Traverlers - Albany Office | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Lynn Pelisek | (515) 223-6946 ext. | (515)221-7181 | lpelisek@creativerisksolutions.com | Holmes Murphy | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Nicole Sergi | (716) 849-8533 ext. | (866)530-1013 | travelwc@travelers.com | Travelers - Buffalo Office | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Susanne Wuerthner | (315) 457-6004 ext. | (315)453-5597 | GB-CM-NYMEDICAL-MAIL@gbtpa.com | Gallagher Bassett | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Jody Cannon | (516) 535-4985 ext. | (516)535-4982 | MTG@RMPG.com | RMPG - Risk Management Planning Grou[ | 01/18/2011 |
| Lumbermens Mutual Casualty Company | W130009 | Todd Gancarz | (315) 445-6443 ext. | (800)432-9762 | claimsmail@pmagroup.com | 11/04/2016 | |
| Lumbermens Mutual Casualty Company | W130009 | Todd Gancarz | (315) 445-6443 ext. | (800)432-9762 | claimsmail@pmagroup.com | 08/02/2018 | |
| Lyme C.S.D. | W833131 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lynbrook UFSD | W833503 | Lisa Crouse | (800) 337-7419 ext.306 | (866)640-3876 | lcrouse@triadgate.com | 10/28/2016 | |
| Lynbrook UFSD | W833503 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 02/19/2019 | |
| Lyncourt UFSD at Salina | W833750 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Lyndonville Central School | W833792 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 12/10/2020 | |
| MEDINA CENTRAL SCHOOL DISTRICT | W835359 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 12/10/2020 | |
| MEMIC CASUALTY COMPANY | W134530 | Erica Winnie | (518) 292-6815 ext. | (207)791-3334 | EWinnie@memic.com | 03/23/2020 | |
| MEMIC CASUALTY COMPANY | W134530 | Jenna Reynolds | (518) 292-6804 ext. | (207)791-3334 | jreynolds@memic.com | 08/20/2020 | |
| MERCER INSURANCE COMPANY | W135255 | Lawrence Crawford | (609) 737-0426 ext.1162 | (609)737-7783 | lcrawford@mercerins.com | 11/04/2010 | |
| MERCER INSURANCE COMPANY | W135255 | Vicky Greff | (319) 286-2565 ext.2565 | (888)726-9737 | vgreff@unitedfiregroup.com | 02/26/2018 | |
| Magna Powertrain USA, Inc. | W517387 | Bridget Panarello | (516) 962-5601 ext. | (315)453-5597 | Bridget_Panarello@gbtpa.com | 04/21/2016 | |
| Magna Powertrain USA, Inc. | W549885 | Bridget Panarello | (516) 962-5601 ext. | (315)453-5597 | Bridget_Panarello@gbtpa.com | 04/21/2016 | |
| Maine Employers Mutual Ins Co | W132633 | Erica Winnie | (518) 292-6815 ext. | (207)791-3334 | ewinnie@memic.com | 08/20/2020 | |
| Maine Employers Mutual Ins Co | W132633 | Jenna Reynolds | (518) 292-6804 ext. | (207)791-3334 | jreynolds@memic.com | 08/20/2020 | |
| Malone CSD | W834600 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Marathon Central School Dist | W835078 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Margaretville Central School District | W835128 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Massapequa UFSD | W835136 | Jeremy Conners | (315) 445-6306 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| Massapequa UFSD | W835136 | Courtney Tomeny | (315) 445-6307 ext. | (315)233-3021 | mg2@pmagroup.com | ACA | 06/01/2021 |
| Mayfair Super Markets Inc | W519714 | Jeffrey Lewis | (800) 288-4815 ext. 4903 | (717)960-8332 | ausa.mgh.group@aholdusa.com | 06/17/2013 | |
| Mayfair Super Markets Inc | W519714 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | MTG-C1@managedcarenetwork.com | 04/30/2021 | |
| McGraw Central School Dist. | W835326 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| MeadWestvaco Corporation | W677009 | Kim Bolster | (804) 444-7047 ext. | (804)444-1984 | kim.bolster@mwv.com | 11/08/2010 | |
| Mem Sloan-Kettering Cancer Ctr | W520746 | John Lastella | (908) 540-0373 ext. | (770)777-6404 | intakebsi@choosebroadspire.com | 11/03/2020 | |
| Mem Sloan-Kettering Cancer Ctr | W520746 | Janet Haut | (646) 888-4029 ext. | (646)888-4025 | hautj@mskcc.org | 11/03/2020 | |
| Mercantile Self Ins Trust | W634505 | Stephanie Skardinski | (315) 699-8475 ext.216315 | (315)699-1438 | sskardinski@workerscomp.com | 12/02/2010 | |
| Mexico Central School District | W835441 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Michigan Millers Mutual Insurance Company | W136006 | Rachael Feldpausch | (517) 367-5042 ext.5042 | (517)371-7733 | claims@mimillers.com | 08/31/2021 | |
| Mid-Century Insurance Company | W137509 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| Mid-Hudson Valley Staffco, LLC. | W520870 | Sonia Mendez | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 05/01/2020 | |
| Mid-Hudson Valley Staffco, LLC. | W520870 | Mark Donahue | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/09/2021 | |
| Middletown, City of | W836001 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Middletown, City of | W836001 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Middletown, City of | W836001 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Middletown, City of | W836001 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Midland Ins Co | W139000 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Milford Central School | W836506 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Millard Fillmore Hospital | W415004 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | Angela.Talarico@usi.com | 02/09/2022 | |
| Millard Fillmore Hospitals | W415509 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | Angela.Talarico@usi.com | 02/09/2022 | |
| Mitsui Sumitomo INS USA INC | W206502 | Jim Harrington | (908) 350-1783 ext. | (908)604-2835 | nymedicalrequests@msigusa.com | 10/08/2020 | |
| Mitsui Sumitomo INS USA INC | W206502 | Robert Mikita | (908) 604-2911 ext. | (908)604-2835 | nymedicalrequests@msigusa.com | 10/08/2020 | |
| Mitsui Sumitomo Insurance Company of America | W204507 | Jim Harrington | (908) 350-1783 ext. | (908)604-2835 | nymedicalrequests@msigusa.com | 10/08/2020 | |
| Mitsui Sumitomo Insurance Company of America | W204507 | Robert Mikita | (908) 604-2911 ext. | (908)604-2835 | nymedicalrequests@msigusa.com | 10/08/2020 | |
| Mobil Corp. | W522502 | John Dill | (832) 625-7691 ext. | (262)953-4967 | john.e.dill@exxonmobil.com | 09/22/2016 | |
| Mobil Corp. | W522502 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| Mobil Oil Corp. | W524003 | John Dill | (832) 625-7691 ext. | (262)953-4967 | John.E.Dill@exxonmobil.com | 09/22/2016 | |
| Mobil Oil Corp. | W524003 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| Mobil Oil Corporation | W522759 | John Dill | (832) 625-7691 ext. | (262)953-4967 | joh.e.dill@exxonmobil.com | 09/22/2016 | |
| Mobil Oil Corporation | W522759 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| Mobil Pipe Line Company | W525000 | John Dill | (832) 625-7691 ext. | (262)953-4967 | john.e.dill@exxonmobil.com | 09/22/2016 | |
| Mobil Pipe Line Company | W525000 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| Moravia Central School Dist | W838072 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Morris Central School Dist. | W838197 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Motorists Commercial Mutual | W028005 | Lisa Simon | (866) 578-2937 ext. | (217)477-6666 | lsimon@ccmsi.com | CCMSI | 08/29/2017 |
| Motorists Commercial Mutual | W028005 | Lisa White | (855) 660-6494 ext. | (217)477-6666 | lwhite@ccmsi.com | CCMSI | 08/29/2017 |
| Motorists Commercial Mutual | W028005 | Sandhya Dabholkar | (932) 643-3452 ext. | (217)477-6666 | sdabholkar@ccmsi.com | CCMSI | 08/29/2017 |
| Motorists Commercial Mutual | W028005 | Danielle Hubbard | (844) 815-9206 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCSMI | 10/17/2017 |
| Motorists Commercial Mutual | W028005 | Danielle Ambrose | (844) 815-9206 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCSMI | 10/17/2017 |
| Mount Vernon Fire Insurance Co | W143887 | Adi Shapiro | (212) 815-8900 ext.303 | (212)732-5509 | Adi_Shapiro@gbtpa.com | 04/21/2011 | |
| Mt Morris C.S.D. | W838635 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| NATIONAL CASUALTY CO | W146005 | Kari Draeger | (515) 508-2443 ext. | (800)363-8904 | WCADMIN@nationwide.com | 05/18/2021 | |
| NEW YORK MARINE AND GENERAL | W156665 | Mike Thorlton | (217) 444-1193 ext. | (732)938-5710 | mthorlton@ccmsi.com | 05/14/2018 | |
| NEW YORK TRANSPORTATION INS | W156699 | VINEET JOSHI | (718) 803-9571 ext. | (718)803-9574 | vjoshi@nyticins.com | 04/06/2011 | |
| NEW YORK TRANSPORTATION INS | W156699 | Harkesh Tuli | (718) 803-9571 ext. | (718)803-9574 | htuli@nyticins.com | 04/06/2011 | |
| NYS Health ProvidersTrust | W552756 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | angela.talatico@usi.com | 02/09/2022 | |
| NYS Liquidation Bureau | W025001 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W042006 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W050504 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W050637 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W055008 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W062004 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W076384 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W090633 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W110258 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W110506 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W111009 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W113500 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W117501 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W128003 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W132005 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W142251 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W198006 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYS Liquidation Bureau | W225387 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| NYSARC INC CHAUTAUQUA COUNTY dba THE RESOURCE CNTR | W537633 | Kristina Petry | (716) 314-2100 ext. | (610)362-8107 | kristina.petry@usi.com | 02/09/2022 | |
| NYSARC, Inc. Chautauqua County Chapter | W537500 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Nassau Health Care Corp. | W840078 | Mary O'Grady | (347) 657-0871 ext. | (315)233-3021 | MG2@pmagroup.com | 06/01/2021 | |
| Nassau Health Care Corp. | W840078 | Mary O'Grady | (347) 657-0871 ext. | (315)233-3021 | MG2@pmagroup.com | 06/01/2021 | |
| Nassau Health Care Corp. | W840078 | Mary O'Grady | (347) 657-0871 ext. | (315)233-3021 | MG2@pmagroup.com | 06/01/2021 | |
| National American Insurance Company | W144505 | Ray Herring | (800) 332-2210 ext.4475 | (405)240-5409 | rherring@naico.com | 05/26/2011 | |
| National Fuel Gas Company | W541254 | Joanna Deneke | (716) 857-7172 ext. | (716)857-7195 | denekej@natfuel.com | 09/25/2018 | |
| National Fuel Gas Company | W541254 | Kelly Coakley | (716) 857-7615 ext. | (716)857-7195 | coakleyk@natfuel.com | 12/04/2018 | |
| National Fuel Gas Dist. Corp | W541502 | Joanna Deneke | (716) 857-7172 ext.null | (716)857-7195 | denekej@natfuel.com | 09/27/2018 | |
| National Fuel Gas Dist. Corp | W541502 | Kelly Coakley | (716) 857-7615 ext. | (716)857-7195 | coakleyk@natfuel.com | 12/04/2018 | |
| National Fuel Gas Dist. Corp | W541502 | Joanna Deneke | (716) 857-7172 ext.7172 | (716)857-7195 | DenekeJ@natfuel.com | 05/13/2021 | |
| National Fuel Gas Supply | W541759 | Joanna Deneke | (716) 857-7172 ext.null | (716)857-7195 | denekej@natfuel.com | 09/27/2018 | |
| National Fuel Gas Supply | W541759 | Kelly Coakley | (716) 857-7615 ext. | (716)857-7195 | coakleyk@natfuel.com | 12/04/2018 | |
| National Fuel Gas Supply | W541759 | Joanna Deneke | (716) 857-7172 ext.7172 | (716)857-7195 | DenekeJ@natfuel.com | 05/13/2021 | |
| National Interstate Ins Co | W148639 | Lisa Sauro | (888) 595-7322 ext. | (330)659-8909 | lisa.sauro@natl.com | 02/27/2018 | |
| National Liability & Fire Insurance Company | W148753 | MaryJo Cunningham | (844) 549-2512 ext.5228 | (203)903-0387 | maryjo.cunningham@nlf-info.com | 02/27/2018 | |
| National Liability & Fire Insurance Company | W148753 | Lydia Ems | (844) 549-2512 ext.5228 | (203)903-0387 | lydia.ems@nlf-info.com | 02/27/2018 | |
| National Surety Corporation | W149009 | Jennifer Felch | (678) 393-4057 ext. | (888)864-1453 | jennifer.felch@ffic.com | 11/10/2010 | |
| National Surety Corporation | W149009 | Jennifer Felch | (678) 393-4057 ext. | (888)854-1453 | jennifer.felch@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Tarria Harris | (678) 393-4054 ext. | (888)204-4229 | tarris.harris@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Margaret Hellebusch | (314) 513-1141 ext. | (888)837-6808 | margaret.hellebusch@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Marilyn Johnson | (678) 393-4559 ext. | (888)261-3199 | marilyn.johnson@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Sara Marek | (314) 513-1014 ext. | (888)260-3084 | sara.marek@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Beverly Reed | (314) 817-2857 ext. | (888)556-2620 | beverly.reed@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Irma Salmond | (678) 393-4592 ext. | (888)287-5618 | irma.salmond@ffic.com | 11/02/2016 | |
| National Surety Corporation | W149009 | Letitia Tigue | (952) 486-5259 ext. | (888)340-6679 | letitia.tigue@agcs.allianz.com | 09/03/2019 | |
| National Surety Corporation | W149009 | Peggie Leidelmeijer | (818) 972-3378 ext. | (818)688-0173 | peggie.leidelmeijer@agcs.allianz.com | AGCS | 09/04/2019 |
| National Surety Corporation | W149009 | Adriana Alvarez | (312) 629-2017 ext. | (888)296-2348 | adriana.alvarez@agcs.allianz.com | AGCS | 09/04/2019 |
| National Surety Corporation | W149009 | Loren McGarvin | (314) 684-4874 ext. | (314)552-7394 | loren.mcgarvin@agcs.allianz.com | AGCS | 09/04/2019 |
| National Surety Corporation | W149009 | Jodie Bryson | (646) 949-2018 ext. | (212)937-2368 | jodie.bryson@agcs.allianz.com | AGCS | 10/16/2020 |
| Nationwide Agribusiness Ins Co | W151252 | Kari Draeger | (515) 508-2443 ext. | (800)363-8904 | WCADMIN@nationwide.com | 05/18/2021 | |
| Nationwide Mutual Fire Insurance | W151500 | Kathleen Tennett | (215) 513-8753 ext. | (855)206-0714 | wcadmin@nationwide.com | 11/18/2019 | |
| Nationwide Mutual Insurance | W152003 | Kathleen Tennett | (215) 513-8753 ext. | (855)206-0714 | wcadmin@nationwide.com | 11/18/2019 | |
| Nationwide Property and Casualty | W152508 | Kathleen Tennett | (215) 513-8735 ext. | (855)206-0714 | wcadmin@nationwide.com | 04/20/2020 | |
| Netflix, Inc. | W548509 | Janet Mars | (323) 828-2435 ext. | (323)828-2435 | jmars@netflix.com | 07/16/2018 | |
| New Jersey Manufacturers Insurance Company | W156004 | Todd DeCola | (800) 232-6600 ext.8612 | (609)493-1466 | WCC_NY_Variance@njm.com | 03/05/2020 | |
| New Lebanon CSD | W840292 | John Iorio | (888) 476-2669 ext. | &n | MG2@pmagroup.com | 06/04/2021 | |
| New York Lumbermens Insurance Trust Fund | W551006 | Sarah Cedeno | (716) 759-9606 ext.331 | (716)759-9609 | scedeno@wjcox.com | 11/04/2010 | |
| New York Lumbermens Insurance Trust Fund | W551006 | Lori Karalus | (716) 759-9606 ext.317 | (716)759-9609 | Lkaralus@wjcox.com | 03/11/2016 | |
| New York Lumbermens Insurance Trust Fund | W551006 | Elaine Perkins | (716) 759-9606 ext.322 | (716)759-9609 | EPerkins@WJCOX.com | 04/05/2017 | |
| New York Lumbermens Insurance Trust Fund | W551006 | Ginger Shiring | (716) 759-9606 ext.304 | (716)759-9609 | GShiring@wjcox.com | 02/05/2019 | |
| Niagara County Mutual Self Insurance | W851000 | Gian Giandomenico | (716) 314-2034 ext. | (610)362-8107 | gian.giandomenico@usi.com | 02/09/2022 | |
| Niagara County Mutual Self Insurance | W851000 | Judy Heinen | (716) 314-2047 ext. | (610)362-8107 | judy.heinen@usi.com | 02/09/2022 | |
| Niagara County Mutual Self Insurance | W851000 | Kristina Petry | (716) 314-2100 ext. | (610)362-8107 | kristina.petry@usi.com | 02/09/2022 | |
| Niagara Falls Board of Ed. | W850002 | Devon Fik | (716) 842-0045 ext.129 | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Nordstrom, Inc. | W557417 | Kim Kennedy | (714) 513-4776 ext. | (714)513-4778 | Kimberly.Kennedy@Nordstrom.com | Risk Management | 10/28/2019 |
| Nordstrom, Inc. | W557417 | Renee Updegraff | (714) 513-4772 ext. | (714)513-4778 | Renee.Updegraff@Nordstrom.com | Risk Management | 10/28/2019 |
| Nordstrom, Inc. | W557417 | Jaime Smalling | (714) 513-4795 ext. | (714)513-4778 | Jaime.Smalling@Nordstrom.com | Risk Management | 10/28/2019 |
| Nordstrom, Inc. | W557417 | Gaylon Holler | (714) 513-4759 ext. | (714)513-4778 | Gaylon.Holler@Nordstrom.com | Risk Management | 10/28/2019 |
| Nordstrom, Inc. | W557417 | Virginia Razo | (714) 513-4789 ext. | (714)513-4778 | Virginia.M.Razo@Nordstrom.com | Risk Management | 10/28/2019 |
| Nordstrom, Inc. | W557417 | Suzanne Kinsey | (714) 513-4781 ext. | (714)513-4778 | suzanne.p.kinsey@nordstrom.com | 06/30/2020 | |
| Nordstrom, Inc. | W557417 | Kim Crist | (714) 513-4770 ext. | (714)513-4778 | kim.crist@nordstrom.com | 08/20/2021 | |
| Nordstrom, Inc. | W557417 | Ivette Rombs | (714) 513-4787 ext. | (714)513-4778 | Ivette.rombs@nordstrom.com | 08/20/2021 | |
| North American Specialty Insurance Co. | W160675 | Edward Gould | (716) 759-9606 ext.315 | (716)759-9609 | egould@wjcox.com | 11/29/2010 | |
| North American Specialty Insurance Co. | W160675 | Sarah Cedeno | (716) 759-9606 ext.331 | (716)759-9609 | SCedeno@wjcox.com | 03/11/2016 | |
| Northeast Health Workers' Compensation Plan | W600381 | Tracey Graham-Weaver | (518) 525-6592 ext. | (518)525-1089 | tracey.graham-weaver@sphp.com | 11/15/2010 | |
| Northeast Health, Inc. | W557904 | Tracey Graham-Weaver | (518) 525-6592 ext. | (518)525-1089 | tracey.graham-weaver@sphp.com | 03/21/2011 | |
| Northern Assur Co of America | W162002 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| Northport-E Northport School D | W851257 | Lidiana Javier | (212) 431-3000 ext.58460 | (646)495-9410 | lidiana.javier@gcgriskmanagement.com | Claims Examiner | 06/16/2020 |
| Northwestern National Ins. Co. | W164008 | Devon Fik | (716) 842-0045 ext.129 | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| ORLEANS NIAGARA BOCES | W857882 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | 12/10/2020 | |
| Odessa-Montour Central School District | W852636 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| OfficeMax Inc. | W347504 | Nicklous Annoye | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@libertymutual.com | 05/02/2019 | |
| Oldcastle, Inc. | W558720 | Brian Colbert | (781) 767-6007 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | 10/12/2018 | |
| Olean City Central School District | W852883 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Oneida Ltd | W559504 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 04/12/2016 | |
| Oneonta City School District | W854509 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Onondaga County Self Ins.Division | W855001 | Deborah Rudy | (315) 415-7836 ext. | (315)410-5717 | advancedcmsolutions@gmail.com | 08/18/2021 | |
| Onondaga-Cortland-Madison BOCES | W855506 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Ontario County Mutual Self Insurance Plan | W856009 | Devon Fik | (716) 842-0045 ext.129 | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Orleans County Self-Insurance Plan | W858005 | Robert Efthemis | (716) 314-2096 ext. | (610)362-8107 | robert.efthemis@usi.com | 02/09/2022 | |
| Oswego City School District | W858823 | Elizabeth Santaferra | (315) 445-6454 ext. | (315)233-3021 | mg2@pmagroup.com | ACR | 06/01/2021 |
| Oswego City School District | W858823 | Courtney Tomeny | (315) 445-6406 ext. | (315)233-3021 | mg2@pmagroup.com | ACA | 06/01/2021 |
| Oswego Hospital | W560759 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 04/12/2016 | |
| Otsego Northern Catskill Boces | W860258 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Our Lady of Lourdes Hospital | W561500 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Our Lady of Victory Hospital of Lackawanna | W561633 | Daniel Garrett | (716) 636-7147 ext. | (716)636-7100 | Daniel.Garrett@esis.com | 04/25/2011 | |
| Owens Illinois, Inc. 1987 | W561757 | Susanne Wuerthner | (315) 457-6001 ext.206 | (866)897-1275 | Susanne_Wuerthner@gbtpa.com | 05/09/2011 | |
| Owens-Illinois | W562508 | Susanne Wuerthner | (315) 457-6001 ext.206 | (866)897-1275 | Susanne_Wuerthner@gbtpa.com | 05/09/2011 | |
| PENN MILLERS INSURANCE CO | W174007 | Marcy Marra | (570) 822-8111 ext.1344 | (570)822-2165 | mmarra@pennmillers.com | 11/03/2010 | |
| PENNSYLVANIA LUMBERMENS | W172506 | Betty Blum | (800) 752-1895 ext.9334 | (267)825-9333 | bblum@plmins.com | 11/15/2010 | |
| PHICO INSURANCE COMPANY | W176507 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Pacific Employers Ins. Co. | W167001 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Danielle Ambrose | (585) 402-0092 ext. | (770)723-8647 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| Pacific Employers Ins. Co. | W167001 | Leah Krazanowski | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines1@helmsmantpa.com | Helmsman handled claims | 10/05/2021 |
| Pacific Employers Ins. Co. | W167001 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| Pacific Employers Ins. Co. | W167001 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/08/2021 |
| Pacific Employers Ins. Co. | W167001 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/08/2021 |
| Pacific Employers Ins. Co. | W167001 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| Pacific Employers Ins. Co. | W167001 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| Pacific Indemnity Company | W168009 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Paramount Global | W446256 | Joanne Kenney | (860) 447-0048 ext.252 | (860)442-1956 | jkenney@murphybeane.com | 12/08/2010 | |
| Pennsylvania Insurance Company | W172001 | Mary Mahaffey | (716) 589-1124 ext. | (866)805-1232 | mmahaffey@armourrisk.com | 09/12/2016 | |
| Pennsylvania National Mutual Casualty Insurance Co | W175004 | Janet DiMaria | (877) 704-4440 ext. | (570)283-1637 | jdimaria@hooverinc.com | 11/30/2010 | |
| People, Inc. | W568078 | Cheryl Stiller | (716) 817-7212 ext. | (716)817-2600 | cstiller@people-inc.org | 03/31/2017 | |
| People, Inc. | W568078 | Kimberly Stehle | (315) 453-6447 ext. | (866)727-5573 | kim_stehle@corvel.com | 05/16/2017 | |
| Perry CSD | W860713 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Petroleum Casualty Co. | W175509 | Alan Rapee | (703) 846-7247 ext. | (703)846-2363 | alan.w.rapee@exxonmobil.com | 04/20/2011 | |
| Petroleum Casualty Co. | W175509 | John Dill | (832) 625-7691 ext. | (262)953-4967 | john.e.dill@exxonmobil.com | 09/22/2016 | |
| Petroleum Casualty Co. | W175509 | Kristin Hurwitz | (845) 834-2880 ext.1112 | (845)834-2884 | khurwitz@custard.com | 09/22/2016 | |
| Pharmacists Mutual Ins Co | W017255 | Lisa Molsberry | (800) 247-5930 ext.7447 | (515)295-4321 | claims@phmic.com | 01/31/2018 | |
| Phelps Memorial Hospital Association | W569137 | Sani Booker | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 05/01/2020 | |
| Plainedge UFSD | W860746 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | mtg@triadgate.com | 04/19/2022 | |
| Plainedge UFSD | W860746 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | jpuma@triadgate.com | 04/19/2022 | |
| Port Byron CSD | W861041 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Port Washington Union Free School District | W861132 | April Santy | (800) 337-7419 ext.386 | (866)408-3350 | mtg@triadgate.com | Adjuster | 03/17/2022 |
| Port Washington Union Free School District | W861132 | Chris Wright | (800) 337-7419 ext.316 | (866)388-7071 | cwright@triadgate.com | Triad Nurse | 03/17/2022 |
| Portville Central School District | W861157 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Potomac Insurance Co of Illinois | W179063 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 06/18/2021 | |
| Prattsburgh C.S.D. | W861215 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Preferred Manufacturers Insurance Trust Fund | W520720 | Gina Emerson | (315) 701-1600 ext.16 | (315)218-0063 | gemerson@safetpa.com | 11/29/2010 | |
| Princeton Insurance Co. | W179758 | Margaret Clemens | (973) 515-6429 ext. | (614)601-9471 | Margaret.Clemens@sedgwickcms.com | 03/05/2013 | |
| Procentury Insurance Company | W179881 | Temeka Hicks | (248) 204-8082 ext. | (248)648-7571 | temeka.hicks@ameritrustgroup.com | 05/14/2019 | |
| Property and Casualty Insurance Co of Hartford | W180756 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Protective Insurance Company | W181002 | Melissa Dale | (317) 452-7460 ext. | (317)452-7461 | mdale@protectiveinsurance.com | OPA | 03/15/2018 |
| Providence Washington Insurance Companies | W182000 | Amy Watts | (401) 453-7386 ext. | (401)431-9438 | amy.watts@enstargroup.us.com | 11/04/2010 | |
| Pulaski Academy and Central School | W861249 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| R C Diocese of Brooklyn | W591382 | Brian Cosgrove | (718) 965-7381 ext. | (718)965-7382 | bcosgrove@diobrook.org | 12/16/2010 | |
| R. C. Diocese of Albany | W591127 | Kathleen Williams | (518) 445-6250 ext. | (518)445-6253 | kwilliams@catholicmutual.org | 11/02/2010 | |
| R. E. Dietz Company | W388003 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 04/12/2016 | |
| R.C. Diocese of Buffalo | W591192 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | angela.talarico@usi.com | 02/09/2022 | |
| REGENT INSURANCE COMPANY | W186506 | Brian Scott | (800) 961-1121 ext.643331 | (608)925-0249 | NYAuthorizationRequests@us.qbe.com | 12/30/2010 | |
| RELIANCE INS CO OF NEW YORK | W187504 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| RELIANCE NATIONAL INDEMNITY CO | W178008 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| RLI INSURANCE CO | W185250 | Karen Houser | (315) 741-3910 ext. | (315)453-5597 | karen_houser@gbtpa.com | 02/28/2018 | |
| ROSINA FOOD PRODUCTS, INC. | W592133 | Christine Wagner | (716) 608-8563 ext. | (716)608-8606 | cwagner@rosina.com | 10/28/2016 | |
| ROSINA FOOD PRODUCTS, INC. | W592133 | Devon Fik | (716) 842-0045 ext. | (716)842-0048 | variancerequest@ncacomp.com | 03/24/2021 | |
| Randolph Academy UFSD | W861520 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Randolph Central School District | W861462 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Realm National Insurance | W186258 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Realm National Insurance | W186258 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Redwood Fire and Casualty Insurance Company | W186440 | Josef Gold | (800) 661-6029 ext. | (415)675-5469 | jgold@bhhc.com | 12/02/2020 | |
| Redwood Fire and Casualty Insurance Company | W186440 | Blake Gordon | (800) 661-6029 ext. | (415)675-5469 | bgordon@bhhc.com | 12/02/2020 | |
| Reliance Insurance | W187009 | Todd Gancarz | (315) 445-6443 ext. | (800)432-9762 | claimsmail@pmagroup.com | 11/07/2016 | |
| Reliance National Insurance Co | W187637 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Rensselaer City School Dist | W861637 | John Iorio | (888) 476-2669 ext. | (315)233-3021 | john_iorio@pmagroup.com | 09/29/2020 | |
| Repwest Insurance Company | W187884 | Debbie Bandoli | (833) 228-0632 ext.544506 | (602)745-6519 | debbie_bandoli@repwest.com | 06/19/2018 | |
| Retail and Wholesale Industry | W580252 | Gina Emerson | (315) 701-1600 ext.16 | (315)218-0063 | gemerson@safetpa.com | 11/19/2010 | |
| Riverhead, Town of | W861744 | Kathy Pitney | (518) 220-1111 ext.3009 | (877)736-6232 | Kpitney@perma.org | 04/13/2011 | |
| Riverhead, Town of | W861744 | Bridget Panarello | (614) 356-2275 ext. | (315)453-5597 | Bridget_Panarello@gbta.com | 11/09/2017 | |
| Rochester Institute of Technology | W587505 | Kristina Petry | (716) 314-2100 ext. | (610)362-8107 | kristina.petry@usi.com | 02/09/2022 | |
| Rochester-Genesee Regional | W862130 | Marianne Peckham | (585) 654-0236 ext. | (585)654-0229 | mpeckham@myrts.com | 04/14/2021 | |
| Rocky Point UFSD | W862775 | John Iorio | (888) 476-2669 ext.6431 | (800)432-9762 | MG2@pmagroup.com | 06/04/2021 | |
| Roman Catholic Diocese of Rochester | W591408 | Robert Efthemis | (716) 314-2096 ext. | (610)362-8107 | robert.efthemis@usi.com | 02/09/2022 | |
| Roman Catholic Diocese of Rochester | W591408 | Angela Talarico | (716) 314-2007 ext. | (610)362-8107 | angela.talarico@usi.com | 02/09/2022 | |
| Roman Catholic Diocese of Syracuse | W591507 | Melanie O'Hara | (800) 337-7419 ext.472 | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD ADJUSTER | 08/18/2021 |
| Roman Catholic Diocese of Syracuse | W591507 | Erin Russell | (800) 337-7419 ext.471 | (877)434-3551 | MTG@TRIADGATE.COM | TRIAD NURSE | 08/18/2021 |
| Rome City School District | W862866 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Roslyn UFSD | W862809 | Robin Moleski | (888) 777-4789 ext.56840 | (877)905-4002 | Robin.Moleski@sedgwickcms.com | 04/28/2011 | |
| Roxbury Central School | W862817 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| SAFETY FIRST INSURANCE COMPANY | W193254 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | NCAComp Inc. | 04/09/2020 |
| SAFETY FIRST INSURANCE COMPANY | W193254 | Kathleen Lewis | (315) 445-6388 ext. | (315)233-3021 | claimsmail@pmagroup.com | PMA Companies | 04/16/2020 |
| SAFETY FIRST INSURANCE COMPANY | W193254 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5573 | GM-SYNY-Claims@corvel.com | Corvel Claims Only | 04/16/2020 |
| SAFETY FIRST INSURANCE COMPANY | W193254 | Lori Wilson | (315) 701-1600 ext. | (315)218-0063 | lwilson@safetpa.com | SAFE, LLC | 04/30/2020 |
| SAMSUNG FIRE & MARINE INS | W192579 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | intakeBSI@choosebroadspire.com | 05/24/2018 | |
| STAR INSURANCE COMPANY | W202501 | Temeka Hicks | (248) 204-8082 ext. | (248)648-7571 | temeka.hicks@ameritrustgroup.com | 05/14/2019 | |
| STARR SPECIALTY INSURANCE | W202824 | Wendy Hildreth | (315) 453-6440 ext.null | (866)727-5573 | gm-syny-claims@corvel.com | Corvel claims only | 06/11/2021 |
| STARR SPECIALTY INSURANCE | W202824 | Adam Strong | (646) 963-2325 ext. | (646)304-1787 | mtgrequests@starrcompanies.com | 06/11/2021 | |
| SULLIVAN COUNTY BOCES | W868137 | DEANNA OKIPNEY | (315) 453-6451 ext. | (866)727-5573 | Deanna_Okipney@Corvel.com | 11/08/2010 | |
| SULLIVAN COUNTY BOCES | W868137 | KAREN COOLEY | (315) 453-6447 ext. | (866)727-5573 | Karen_cooley@Corvel.com | 11/08/2010 | |
| SULLIVAN COUNTY BOCES | W868137 | Jeanette D'Ambro | (518) 283-8500 ext.342 | (518)880-4131 | jeanetted@benetechadvantage.com | 11/14/2019 | |
| SULLIVAN COUNTY BOCES | W868137 | Tina Panichi | (518) 283-8500 ext.302 | (518)880-4131 | tinap@benetechadvantage.com | 11/14/2019 | |
| SULLIVAN COUNTY SELF-INS PLAN | W868004 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5573 | gm-syny-claims@CorVel.com | CorVel claims | 04/28/2020 |
| Sackets Harbor CSD | W862940 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | Sackets Harbor CSD | 04/09/2020 |
| Safety National Casualty Corporation | W193502 | Devon Fik | (716) 362-6483 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | NCAComp Inc. | 04/09/2020 |
| Safety National Casualty Corporation | W193502 | Kathleen Lewis | (315) 445-6388 ext. | (315)233-3021 | claimsmail@pmagroup.com | PMA Companies | 04/16/2020 |
| Safety National Casualty Corporation | W193502 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5573 | GM-SYNY-Claims@corvel.com | Corvel Claims Only | 04/16/2020 |
| Safety National Casualty Corporation | W193502 | John Lastella | (631) 232-8460 ext. | (770)777-6404 | intakebsi@choosebroadspire.com | Broadspire Claims Only | 04/20/2020 |
| Safety National Casualty Corporation | W193502 | Lori Wilson | (315) 701-1600 ext. | (315)218-0063 | lwilson@safetpa.com | SAFE, LLC | 04/30/2020 |
| Safety National Casualty Corporation | W193502 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | GB-NYMedical-Mail@gbtpa.com | 10/05/2020 | |
| Safety National Casualty Corporation | W193502 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | GB-NYMedical-Mail@gbtpa.com | Gallagher Bassett | 10/05/2020 |
| Safety National Casualty Corporation | W193502 | Steve Marsh | (800) 914-0956 ext. | (716)639-2709 | Steve.Marsh@esis.com | ESIS | 10/06/2020 |
| Safety National Casualty Corporation | W193502 | Leah Krzanowski | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines1@helmsmantpa.com | Helmsman | 10/07/2020 |
| Safety National Casualty Corporation | W193502 | Roxanne Brown | (866) 286-0281 ext. | (901)415-7409 | nyrequests@sedgwick.com | Sedgwick | 10/07/2020 |
| Safety National Casualty Corporation | W193502 | Cheryl Primas | (619) 881-5540 ext. | (619)744-5030 | cprimas@acmclaims.com | Amercian Claims Management | 10/13/2020 |
| Safety National Casualty Corporation | W193502 | Cindy Altimano | (800) 866-2301 ext.40240 | (408)361-9112 | cindy.altimano@matrixcos.com | Matrix | 11/04/2020 |
| Safety National Casualty Corporation | W193502 | Kathleen Hamilton | (716) 650-2739 ext. | (716)631-0321 | authorizations@fcsadministrators.com | FCS Administrators | 02/12/2021 |
| Sagamore Insurance Company | W193750 | Melissa Dale | (317) 452-7460 ext. | (317)452-7461 | mdale@protectiveinsurance.com | PAU | 03/15/2018 |
| Sagamore Insurance Company | W193750 | Charene Harris | (317) 452-7664 ext. | (317)452-7665 | charris@protectiveinsurance.com | Supervisor | 09/23/2020 |
| Saint-Gobain Abrasives, Inc. | W557862 | Daniel Garrett | (800) 962-2680 ext. | (716)636-7164 | daniel.garrett@esis.com | 04/18/2011 | |
| Salamanca City School District | W863757 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Salmon River C.S.D. | W863856 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Sandy Creek Central School District | W863773 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Saranac Lake C.S.D. | W863799 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Saratoga County Workers' Compensation Plan | W864003 | Nancy Cure | (315) 453-6440 ext. | (866)727-5573 | GM-SYNY-claims@corvel.com | 07/01/2016 | |
| Schenectady City of | W865000 | Chelsea Krause | (800) 337-7419 ext.116 | (866)908-1107 | ckrause@triadgate.com | 02/05/2020 | |
| Schenectady City of | W865000 | Valerie Litow | (800) 337-7419 ext.466 | (866)519-0594 | vlitow@triadgate.com | 02/05/2020 | |
| Schenectady County Self Ins | W865505 | Robin Coleman | (800) 337-7419 ext. | (866)593-9245 | rcoleman@triadgate.com | 03/02/2016 | |
| Schenectady County Self Ins | W865505 | Valerie Litow | (800) 337-7419 ext. | (866)519-0594 | vlitow@triadgate.com | 03/02/2016 | |
| Schenevus Central School | W865638 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Schodack CSD | W865752 | John Iorio | (888) 476-2669 ext. | (315)233-3021 | John_Iorio@pmagroup.com | 09/29/2020 | |
| Schuyler Steuben Chemung Tioga Allegany Boces | W865927 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Schuyler Steuben Chemung Tioga Allegany Boces | W865927 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Scio CSD | W865943 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Scott Paper Company | W600944 | Matt Stoss | (804) 323-4550 ext. | (800)999-4642 | matt.stoss@sentry.com | 03/09/2016 | |
| Sears, Roebuck & Company | W604003 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| Seneca County Self Insurance | W866008 | Greg Pellicano | (315) 539-1714 ext.1714 | (315)539-1659 | gpellicano@co.seneca.ny.us | 03/23/2011 | |
| Seneca County Self Insurance | W866008 | Devon Fik | (716) 842-0045 ext.129 | (716)842-0018 | VarianceRequest@NCAComp.com | 06/10/2020 | |
| Sentinel Insurance Co Ltd | W199509 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Snyder Tank Corp | W616882 | Lori Lysek | (716) 842-0045 ext.113 | (716)842-0018 | llysek@ncacomp.com | 11/02/2010 | |
| Sodus Central School District | W866898 | Bridget Livingstone | (585) 352-2709 ext. | (585)352-2427 | blivings@monroe2boces.org | WFL Area School Workers' Comp. Plan | 10/31/2016 |
| Solvay Union Free School Dist | W866933 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| Sompo America Fire and Marine Ins Co | W200190 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | IntakeBSI@choosebroadspire.com | Broadspire | 03/29/2018 |
| Sompo America Fire and Marine Ins Co | W200190 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | GB-NYMedical-Mail@gbtpa.com | 06/29/2021 | |
| Sonoco Products Company | W617757 | Mike Sunderland | (843) 383-7875 ext. | (843)383-7066 | mike.sunderland@sonoco.com | 04/14/2011 | |
| South Jefferson C.S.D. | W866958 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| South Kortright Central School District | W866925 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| South Lewis CSD | W866901 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| South Manor Union Free School | W866891 | Chris Kownack | (518) 283-8500 ext.351 | (518)283-8515 | chrisk@benetech.cc | 01/07/2011 | |
| South Manor Union Free School | W866891 | John Sheeran | (518) 283-8500 ext.350 | (518)283-8515 | johns@benetech.cc | 01/07/2011 | |
| Special Funds Sec 25-A (02) | W997002 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Special Funds Sec 25-A (03) | W997003 | Chelsea Krause | (800) 337-7419 ext.116 | (866)908-1107 | ckrause@triadgate.com | 01/23/2019 | |
| Special Funds Sec 25-A (04) | W997004 | Chelsea Krause | (800) 337-7419 ext.116 | (866)908-1107 | ckrause@triadgate.com | 01/23/2019 | |
| Special Funds Sec 25-A (05) | W997005 | Robin Brown | (315) 701-1600 ext.24 | (315)218-0063 | rbrown@safetpa.com | 09/17/2018 | |
| Special Funds Sec 25-A (06) | W997006 | Bonnie Ryan | (716) 631-5001 ext. | (716)631-0321 | authorizations@fcsadministrators.com | 11/12/2021 | |
| Special Trades Contracting & Construction Trust | W521504 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 03/29/2013 | |
| St Lawrence Cty Self-Ins Pl | W863005 | Mark Kanoza | (800) 337-7419 ext.112 | (877)434-3551 | MTG@triadgate.com | 12/15/2021 | |
| St Lawrence Cty Self-Ins Pl | W863005 | Valerie Litow | (800) 337-7419 ext.466 | (877)434-3551 | MTG@triadgate.com | 12/15/2021 | |
| St Mary's Hosp at Amsterdam | W597561 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | 01/26/2018 | |
| St Mary's Hospital of Troy | W597751 | Amy Carver | (866) 286-0281 ext.63409 | (877)922-7236 | NYRequests@sedgwickcms.com | From 7/1/81 thru 1/1/95 | 01/26/2018 |
| St. Barnabas Comm Enter, Inc, | W596845 | Jonas Ampomah | (646) 925-8457 ext. | (908)344-5518 | jonas.ampomah@gcgriskmanagement.com | Medical Claims | 02/14/2018 |
| St. Barnabas Comm Enter, Inc, | W596845 | Martha Bermudez | (212) 431-3000 ext.58444 | (646)502-8148 | martha.bermudez@gcgriskmanagement.com | Examiner for All Claims | 06/16/2020 |
| St. Regis Falls C.S.D. | W863633 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| St. Regis Falls C.S.D. | W863633 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Stamford Central School District | W867196 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Standard Products Company | W626758 | Robin Moleski | (888) 777-4789 ext. | (877)905-4002 | ROBIN.MOLESKI@SEDGWICKCMS.COM | 04/29/2011 | |
| Starbucks Corporation | W627756 | Noreen Olson | (206) 660-6136 ext. | (000)000-0000 | noolson@starbucks.com | 01/19/2022 | |
| Starbucks Corporation | W627756 | Gina LaMendola | (585) 368-7733 ext. | (859)264-4065 | NYSBUXNotifications@sedgwick.com | 01/20/2022 | |
| Starbucks Corporation | W627756 | Julia Winter | (206) 660-6396 ext. | (206)594-6990 | jbrash@starbucks.com | 01/28/2022 | |
| Starr Indemnity and Liability Co | W202683 | Wendy Hildreth | (315) 453-6440 ext. | (866)727-5573 | gm-syny-claims@corvel.com | Corvel claims only | 12/30/2020 |
| Starr Indemnity and Liability Co | W202683 | Jed Magid | (315) 484-5832 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett Claims Only | 01/04/2021 |
| Starr Indemnity and Liability Co | W202683 | Adam Strong | (845) 453-9046 ext. | (646)304-1787 | MTGRequests@starrcompanies.com | 01/28/2021 | |
| State Farm Fire and Cas. Co. | W203004 | Amanda Waters | (315) 426-4998 ext. | (859)264-4065 | amanda.waters@sedgwick.com | 03/03/2022 | |
| State Farm Fire and Cas. Co. | W203004 | Mark Moleski | (315) 426-4819 ext. | (859)264-4065 | StateFarmDocuments@sedgwick.com | 03/24/2022 | |
| State Farm Fire and Cas. Co. | W203004 | Luigi Parlato | (315) 426-4882 ext. | (859)264-4065 | StateFarmDocuments@sedgwick.com | 03/24/2022 | |
| State Farm Fire and Cas. Co. | W203004 | Ashley Rodriguez | (321) 235-5848 ext. | (859)264-4065 | StateFarmDocuments@sedgwick.com | 03/24/2022 | |
| State Farm Fire and Cas. Co. | W203004 | Jeff Shatto | (610) 293-4815 ext. | (859)264-4065 | StateFarmDocuments@sedgwick.com | 03/24/2022 | |
| Steuben County Self Insurance Plan | W867006 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Steuben County Self Insurance Plan | W867006 | Genie Mayo | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Steuben County Self Insurance Plan | W867006 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Steuben County Self Insurance Plan | W867006 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Steuben County Self Insurance Plan | W867006 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Stewart's Marketing Corp | W630750 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Stewart's Marketing Corp | W630750 | Chelsey Matthews | (610) 619-5791 ext. | (610)362-8107 | chelsey.matthews@usi.com | 02/09/2022 | |
| Stewart's Processing Corp | W630883 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Stewart's Processing Corp | W630883 | Chelsey Matthews | (610) 619-5791 ext. | (610)362-8107 | chelsey.matthews@usi.com | 02/09/2022 | |
| Stewart's Shops Corp | W630503 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Stewart's Shops Corp | W630503 | Chelsey Matthews | (610) 619-5791 ext. | (610)362-8107 | chelsey.matthews@usi.com | 02/09/2022 | |
| Stillwater Central School District | W867048 | Andrew Stephens | (315) 445-6334 ext. | (800)432-9762 | Andrew_stephens@pmagroup.com | 11/01/2017 | |
| Stillwater Central School District | W867048 | Patti Barnello | (315) 445-6379 ext.null | (800)432-9762 | Patti_Barnello@pmagroup.com | 11/01/2017 | |
| Stillwater Central School District | W867048 | Magdalena Perski | (315) 445-6323 ext.null | (800)432-9762 | Magdaglena_perski@pmagroup.com | 11/01/2017 | |
| Suffern, Village of | W867378 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Suffern, Village of | W867378 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Suffern, Village of | W867378 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Suffern, Village of | W867378 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Syosset CSD | W868509 | Jane Miles | (800) 337-7419 ext.320 | (866)336-0104 | jmiles@triadgate.com | 10/28/2016 | |
| Syosset CSD | W868509 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 02/19/2019 | |
| T.H.E. Insurance Company | W207252 | Roxanne Brown | (866) 286-0281 ext. | (901)415-7409 | nyrequests@sedgwick.com | 11/30/2020 | |
| TNUS INSURANCE COMPANY | W207328 | Tyesha Lowe | (201) 521-6206 ext. | (201)604-6348 | tyesha.lowe@tmamerica.com | 08/08/2018 | |
| TNUS INSURANCE COMPANY | W207328 | Keiko Matsubara | (201) 521-6309 ext. | (201)604-6348 | Keiko.Matsubara@tmamerica.com | 12/22/2020 | |
| TOWN OF ELMA | W817845 | Elizabeth Santaferra | (315) 445-6454 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| TOWN OF ELMA | W817845 | Courtney Tomeny | (315) 445-6307 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| TRUCK INSURANCE EXCHANGE | W214001 | Danielle Musgrove | (512) 533-8388 ext. | (866)846-3114 | danielle.musgrove@farmersinsurance.com | 05/02/2018 | |
| Tessy Plastics | W642757 | Erin Russell | (800) 337-7419 ext.471 | (877)434-3551 | MTG@TRIADGATE.COM | 08/18/2021 | |
| Tessy Plastics | W642757 | Mark Kanoza | (800) 337-7419 ext.309 | (877)434-3551 | mtg@triadgate.com | 03/17/2022 | |
| The Pie Insurance Company | W030001 | Letitia Tigue | (952) 486-5259 ext. | (888)340-6679 | letitia.tigue@agcs.allianz.com | 09/03/2019 | |
| The Pie Insurance Company | W030001 | Loren McGarvin | (314) 684-4874 ext. | (314)552-7394 | loren.mcgarvin@agcs.allianz.com | 09/04/2019 | |
| The Pie Insurance Company | W030001 | Peggie Leidelmeijer | (818) 972-3378 ext. | (818)688-0173 | peggie.leidelmeijer@agcs.allianz.com | 09/04/2019 | |
| The Pie Insurance Company | W030001 | Adriana Alvarez | (312) 629-4874 ext. | (888)296-2348 | adriana.alvarez@agcs.allianz.com | 09/04/2019 | |
| The Pie Insurance Company | W030001 | Jennifer Felch | (678) 393-4057 ext. | (415)899-2533 | jennifer.felch@allianzrm-us.com | 03/16/2020 | |
| The Pie Insurance Company | W030001 | Nancy Buchholz | (916) 852-3769 ext. | (415)899-2533 | nancy.buchholz@allianzrm-us.comj | 03/19/2020 | |
| The Pie Insurance Company | W030001 | Vicki Sweatland | (678) 323-3505 ext. | (415)899-2533 | vicki.sweatland@allianzrm-us.com | 03/19/2020 | |
| The Raymond Corporation | W576755 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 06/30/2020 | |
| The Stop & Shop Companies | W629505 | Jeffrey Lewis | (800) 288-8415 ext. 4903 | (717)960-8332 | ausa.mgh.group@aholdusa.com | 06/17/2013 | |
| The Stop & Shop Companies | W629505 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | MTG-C1@managedcarenetwork.com | 04/30/2021 | |
| Thousand Islands C.S.D. | W870257 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Thousand Islands C.S.D. | W870257 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Tokio Marine & Fire Ins. Co. | W207500 | Tyesha Lowe | (201) 521-6206 ext. | (201)604-6348 | tyesha.lowe@tmamerica.com | 08/08/2018 | |
| Tokio Marine America Insurance Company | W206254 | Tyesha Lowe | (201) 521-6206 ext. | (201)604-6348 | Tyesha.Lowe@tmamerica.com | 08/08/2018 | |
| Tokio Marine America Insurance Company | W206254 | Keiko Matsubara | (201) 521-6309 ext. | (201)604-6348 | Keiko.Matsubara@tmamerica.com | 12/22/2020 | |
| Tonawanda, Town of | W871750 | Michelle Short | (315) 445-6441 ext. | (315)233-3021 | MG2@pmagroup.com | 07/14/2021 | |
| Tops Markets, Inc. | W555502 | Traci Graham | (617) 689-4987 ext. | (717)960-8330 | rbs-operations.group@retailbusinessservices.com | 04/09/2020 | |
| Tops Markets, Inc. | W555502 | Jennifer Seyfang | (716) 285-5710 ext. | (716)285-2618 | MTG-C1@managedcarenetwork.com | 04/30/2021 | |
| Town of Blooming Grove | W805074 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Town of Blooming Grove | W805074 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Town of Blooming Grove | W805074 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Town of Blooming Grove | W805074 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Town of Cheektowaga | W811509 | Melissa DeCrescenzo | (518) 514-3628 ext. | (610)362-8107 | melissa.decrescenzo@usi.com | 02/09/2022 | |
| Town of Cortlandt | W816078 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 02/19/2019 | |
| Town of Greece | W823199 | Tracey Easterly | (585) 723-2330 ext. | (585)723-2466 | teasterly@greeceny.gov | 05/10/2011 | |
| Town of Greece | W823199 | Michelle Short | (888) 476-2669 ext. | (315)233-3021 | Michelle_Short@pmagroup.com | 07/14/2021 | |
| Town of Hamburg | W823769 | Erin O'Connor | (716) 314-2002 ext. | (610)362-8107 | erin.oconnor@usi.com | 02/10/2022 | |
| Town of Homer | W826236 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Town of Homer | W826236 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Town of Homer | W826236 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Town of Homer | W826236 | Genie Mayo | (518) 220-1111 ext. | (877)877-6232 | cadmin@neami.com | 03/08/2022 | |
| Town of Homer | W826236 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Town of Queensbury | W861450 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 05/27/2020 | |
| Town of Queensbury | W861450 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 05/27/2020 |
| Town of Queensbury | W861450 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | 03/08/2022 | |
| Town of Queensbury | W861450 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Town of Woodbury | W879029 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Town of Woodbury | W879029 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Town of Woodbury | W879029 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Town of Woodbury | W879029 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Trans Pacific Insurance Co | W209753 | Tyesha Lowe | (201) 521-6206 ext. | (201)604-6348 | tyesha.lowe@tmamerica.com | 08/08/2018 | |
| Trans Pacific Insurance Co | W209753 | Keiko Matsubara | (201) 521-6309 ext. | (201)604-6348 | Keiko.Matsubara@tmamerica.com | 12/22/2020 | |
| TransGuard Ins. Co. of America | W209886 | Daniel Bell | (800) 474-2526 ext.3461 | (630)864-3583 | dan.bell@transguard.com | 11/04/2010 | |
| TransGuard Ins. Co. of America | W209886 | Trish Sobus | (800) 474-2526 ext.3468 | (630)864-3583 | trish.sobus@transguard.com | 11/04/2010 | |
| Transportation Industry Workers Comp Trust | W648885 | Gina Emerson | (315) 701-1600 ext.16 | (315)218-0063 | gemerson@safetpa.com | 11/19/2010 | |
| Transtate Ins Co | W211502 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Trumbull Insurance Company | W214506 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| Tully Central School District | W873442 | Karen Cooley | (315) 453-6451 ext. | (866)727-5573 | karen_cooley@corvel.com | 11/05/2010 | |
| Tully Central School District | W873442 | Deanna O'Kipney | (315) 453-6451 ext. | (866)727-5573 | deanna_okipney@corvel.com | 11/05/2010 | |
| Tully Central School District | W873442 | Misty Fraser | (716) 842-0045 ext. | (716)842-0018 | mfraser@ncacomp.com | 04/01/2013 | |
| Tupper Lake CSD | W873475 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Twin City Fire Ins Co. | W215008 | Lisa Gosselin | (800) 662-5814 ext. | (877)646-1573 | MailStat.HIG.NY@reviewstat.com | Hartford handled WC claims. | 10/25/2021 |
| U.S. Specialty Insurance Company | W220503 | Cynthia Torlucci | (713) 744-3700 ext.217 | (713)996-1224 | ctorlucci@ussic.com | 11/03/2010 | |
| UNITED COMMUNITY | W218507 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Unifrax 1 LLC | W651160 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Uninsured Employers Fund | W000004 | Eileen Holoduek | (800) 877-4461 ext. | (518)402-7382 | eileen.holoduek@wcb.ny.gov | Albany; Hempstead; Hauppauge; Syracuse | 06/15/2015 |
| Uninsured Employers Fund | W000004 | David Smith | (518) 402-6041 ext. | (518)402-7382 | david.smith@wcb.ny.gov | White Plains; Brooklyn; Binghamton | 03/02/2017 |
| Uninsured Employers Fund | W000004 | Brett Romano | (518) 402-1401 ext. | (518)402-7382 | brett.romano@wcb.ny.gov | Manhattan | 09/12/2017 |
| Uninsured Employers Fund | W000004 | Kathleen Santiago | (800) 877-4461 ext. | (518)402-7382 | kathleen.santiago@wcb.ny.gov | Buffalo; Queens; Rochester | 04/30/2019 |
| Union Indemnity Ins Co of NY | W218259 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| Union Springs CSD | W874101 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Uniondale Free School District | W874077 | Sani Booker | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 05/01/2020 | |
| Uniondale Free School District | W874077 | Sani Booker | (888) 476-2669 ext. | (800)432-9762 | MG2@pmagroup.com | 06/09/2021 | |
| United Airlines, Inc. | W653000 | Colleen Roux | (315) 426-4911 ext. | (859)264-4065 | colleen.roux@sedgwick.com | 10/15/2020 | |
| United Airlines, Inc. | W653506 | Colleen Roux | (315) 426-4911 ext. | (859)264-4065 | colleen.roux@sedgwick.com | 10/15/2020 | |
| United States Liability Insurance Co | W221253 | Adi Shapiro | (212) 815-8900 ext.303 | (212)732-5509 | Adi_Shapiro@gbtpa.com | 04/21/2011 | |
| United Wisconsin Insurance Company | W221600 | Joe Wrozek | (517) 708-5277 ext. | &n | cccompliance@afhi.com | United Wisconsin | 02/02/2021 |
| Upstate Niagara Cooperative, Inc. | W662068 | Erin O'Connor | (716) 314-2002 ext. | (610)362-8107 | erin.oconnor@usi.com | 02/10/2022 | |
| Upstate Niagara Cooperative, Inc. | W662068 | Erin O'Connor | (716) 314-2002 ext. | (610)362-8107 | erin.oconnor@usi.com | 02/10/2022 | |
| Utica City School District | W874135 | Deanna O'Kipney | (315) 453-6451 ext. | (866)727-5573 | deanna_okipney@corvel.com | 11/05/2010 | |
| Utica City School District | W874135 | Karen Cooley | (315) 453-6447 ext. | (866)727-5573 | karen_cooley@corvel.com | 11/05/2010 | |
| Utica Specialty Risk Ins Co | W222757 | Martha Gonzalez | (800) 647-1427 ext. | (877)210-3753 | urreferrals@genexservices.com | 10/29/2020 | |
| VILLAGE OF SPENCERPORT | W867173 | Elizabeth Santaferra | (315) 445-6454 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| VILLAGE OF SPENCERPORT | W867173 | Courtney Tomeny | (315) 445-6307 ext. | (315)233-3021 | mg2@pmagroup.com | 06/01/2021 | |
| Vanliner Insurance Company | W224505 | Lori Wilson | (315) 701-1600 ext.30 | (315)218-0063 | lwilson@safetpa.com | 02/27/2018 | |
| Vanliner Insurance Company | W224505 | Pamela Murphy | (631) 357-8180 ext. | (866)645-4048 | wcb_requests@corvel.com | 01/12/2022 | |
| Viacom Inc. | W549919 | Joanne Kenney | (860) 447-0048 ext.252 | (860)442-1956 | jkenney@murphybeane.com | 12/14/2010 | |
| Vigilant Insurance Company | W225007 | Deedra Pearson-Toro | (516) 365-0229 ext.4 | (516)405-3791 | mtg@viscardicorp.com | Direct Handled Claims Only-Not for TPA Claims | 06/18/2021 |
| Village of Greenwood Lake | W823563 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Village of Greenwood Lake | W823563 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Greenwood Lake | W823563 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Greenwood Lake | W823563 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Village of Mamaroneck | W834691 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Village of Mamaroneck | W834691 | Toni-Marie Powers | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Mamaroneck | W834691 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Mamaroneck | W834691 | Victoria Fitzgerald | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 04/19/2022 |
| Village of Ossining | W858757 | Megan Binkowski | (800) 337-7419 ext.470 | (866)278-7016 | mbinkowski@triadgate.com | 04/13/2016 | |
| Village of Ossining | W858757 | Robin Coleman | (800) 337-7419 ext.105 | (866)593-9245 | rcoleman@triadgate.com | 04/03/2019 | |
| Village of Tuxedo Park | W873485 | Audrey Audino | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/22/2022 |
| Village of Tuxedo Park | W873485 | Toni-Marie Powers | (518) 577-8110 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Tuxedo Park | W873485 | Christina Royster | (518) 220-1111 ext. | (877)737-6232 | cadmin@neami.com | Claims | 02/25/2022 |
| Village of Tuxedo Park | W873485 | Victoria Fitzgerald | (518) 220-1111 ext. | (87 )737-6269 | cadmin@neami.com | Claims | 04/19/2022 |
| Villanova Insurance | W036008 | Todd Gancarz | (888) 476-2669 ext. | (315)233-3021 | claimsmail@pmagroup.com | 08/02/2018 | |
| WCB Test Group | W0000001 | Bill Hathway | (518) 402-6022 ext. 1112 | (333)654-6546 | bill.hathway@wcb.state.ny.us | test | 12/04/2014 |
| WCB Test Group | W0000001 | Bill Hathway | (518) 402-6022 ext. 1112 | (333)654-6546 | bill.hathway@wcb.state.ny.us | 12/04/2014 | |
| WCF National Ins Co | W012132 | Victor Frech | (385) 743-3019 ext. | (866)346-3289 | vfrech@advantagewc.com | 05/11/2011 | |
| WCF Select Insurance | W038004 | Jennifer Felch | (678) 393-4057 ext. | (888)864-1453 | jennifer.felch@ffic.com | 11/09/2010 | |
| WCF Select Insurance | W038004 | Jennifer Felch | (678) 393-4057 ext. | (888)858-1453 | jennifer.felch@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Tarria Harris | (678) 393-4054 ext. | (888)204-4229 | tarria.harris@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Margaret Hellebusch | (314) 513-1141 ext. | (888)837-6808 | margaret.hellebusch@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Marilyn Johnson | (678) 393-4559 ext. | (888)261-3199 | marilyn.johnson@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Jeannine Klein | (678) 393-4342 ext. | (888)270-1511 | jeannine.klein@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Sara Marek | (314) 513-1014 ext. | (888)260-3084 | sara.marek@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Beverly Reed | (314) 817-2857 ext. | (888)556-2620 | beverly.reed@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Toni Roquemore-James | (678) 393-4034 ext. | (888)310-6541 | toni.roquemore-james@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Irma Salmond | (678) 393-4592 ext. | (888)257-5618 | irma.salmond@ffic.com | 11/03/2016 | |
| WCF Select Insurance | W038004 | Jennifer Felch | (678) 393-4057 ext. | (888)864-1453 | jennifer.felch@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Tarria Harris | (678) 393-4054 ext. | (888)204-4229 | tarria.harris@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Margaret Hellebusch | (314) 513-1141 ext. | (888)837-6808 | margaret.hellebusch@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Marilyn Johnson | (678) 393-4559 ext. | (888)261-3199 | marilyn.johnson@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Jeannine Klein | (678) 393-4342 ext. | (888)270-1511 | jeannine.klein@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Sara Marek | (314) 513-1014 ext. | (888)260-3084 | sara.marek@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Beverly Reed | (314) 817-2857 ext. | (888)556-2620 | beverly.reed@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Toni Roquemore-James | (678) 393-4034 ext. | (888)310-6541 | toni.roquemore-james@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Irma Salmond | (678) 393-4592 ext. | (888)287-5618 | irma.salmond@ffic.com | 11/04/2016 | |
| WCF Select Insurance | W038004 | Letitia Tigue | (952) 486-5259 ext. | (888)340-6679 | letitia.tigue@agcs.allianz.com | Allianz Global Corporate & Specialty (AGCS) | 09/03/2019 |
| WESTCHESTER FIRE INS CO | W227003 | Gus Gonnella | (302) 476-7822 ext. | (302)476-7858 | NYWCMGAdmin@acegroup.com | 01/03/2011 | |
| WESTCHESTER FIRE INS CO | W227003 | Gus Gonnella | (302) 476-7822 ext. | (302)476-7858 | gus.gonnella@acegroup.com | 03/24/2011 | |
| WILLIAMSBURG NATIONAL INS CO | W227169 | Temeka Hicks | (248) 204-8082 ext. | (248)648-7571 | temeka.hicks@ameritrustgroup.com | 05/14/2019 | |
| WORK FIRST CASUALTY COMPANY | W227326 | John Lastella | (800) 800-7660 ext. | (770)723-8647 | INTAKEBSI@choosebroadspire.com | 07/31/2018 | |
| Warsaw Central School District | W874903 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Watertown C.S.D. | W876502 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | NCAComp, Inc. | 04/09/2020 |
| Watervliet, City of | W877005 | Gretchen Finch | (800) 337-7419 ext.112 | (866)617-7585 | gfinch@triadgate.com | 01/10/2020 | |
| Watervliet, City of | W877005 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 01/10/2020 | |
| Watkins Glen CSD | W877351 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Wausau Business Insurance Co | W225445 | Melissa Jewell | (800) 664-2273 ext. | (603)422-7989 | nystateguidelines2@LibertyMutual.com | 10/05/2015 | |
| Wausau Business Insurance Co | W225445 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| Wausau General Insurance Co | W225486 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| Wausau Underwriters Ins Co | W225502 | Candace Klueckman | (800) 664-2273 ext. | (603)422-7989 | NYStateGuidelines2@LibertyMutual.com | 11/23/2015 | |
| Wayland-Cohocton Central | W877443 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Wayne County Self INS Plan | W878003 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Wellsville CSD | W878102 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| West Genesee Central School District | W878185 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | variancerequest@ncacomp.com | 03/24/2021 | |
| West Valley CSD | W878573 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Westbury Union Free School District | W878631 | Jane Miles | (800) 337-7419 ext.320 | (866)336-0104 | jmiles@triadgate.com | 10/28/2016 | |
| Westbury Union Free School District | W878631 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | rrowe@triadgate.com | 02/19/2019 | |
| Westchester Fire Ins. Co. | W054696 | Danielle Ambrose | (732) 643-3420 ext. | (217)477-6666 | dhubbard@ccmsi.com | CCMSI handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Michelle Jacobs | (631) 577-7691 ext. | (866)889-8376 | melvaria@travelers.com | CSSC handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Jed Magid | (315) 457-6004 ext. | (315)453-5597 | gb-nymedical-mail@gbtpa.com | Gallagher Bassett handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Steve Marsh | (716) 639-2709 ext. | (716)636-7164 | steve.marsh@esis.com | ESIS handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | York handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Roxanne Brown | (901) 415-7790 ext. | (901)415-7409 | compaffairs@sedgwick.com | Sedgwick handled claims | 10/04/2021 |
| Westchester Fire Ins. Co. | W054696 | Pamela Murphy | (631) 357-8198 ext. | (866)645-4048 | wcb_requests@corvel.com | Corvel handled claims | 10/07/2021 |
| Westchester Fire Ins. Co. | W054696 | Susan Sloan | (714) 565-7640 ext. | (562)506-0355 | tmc.casemgmt@tristargroup.net | Tristar handled claims | 10/07/2021 |
| Westchester Fire Ins. Co. | W054696 | Greg Sisson | (800) 928-1342 ext. | (502)489-6430 | carriercontact@uscky.com | Underwriters Safety and Claims handled claims | 10/07/2021 |
| Westchester Fire Ins. Co. | W054696 | Vicki Deen | (585) 402-0092 ext. | (770)723-8647 | intakebsi@choosebroadspire.com | Broadspire handled claims | 10/13/2021 |
| Westchester Fire Ins. Co. | W054696 | Robyn Zerger | (716) 332-3019 ext. | (716)842-0018 | VarianceRequest@ncacomp.com | NCA Comp Handled Claims | 01/27/2022 |
| Western Regional OTB | W671508 | Devon Fik | (716) 842-0045 ext.129 | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Western Suffolk BOCES | W805253 | Erin Russell | (800) 337-7419 ext.471 | (866)324-4408 | mtg@triadgate.com | 04/19/2022 | |
| Western Suffolk BOCES | W805253 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | jpuma@triadgate.com | 04/19/2022 | |
| Westhill CSD | W878854 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Westport Insurance Company | W227060 | Earl Cartwright, Jr. | (913) 676-5305 ext. | (913)676-5221 | Earl_Cartwright@swissre.com | 04/22/2011 | |
| Weyerhaeuser Company | W677504 | Betsie Doust | (253) 924-7591 ext. | (253)924-5300 | Betsie.doust@weyerhaeuser.com | 05/04/2011 | |
| White Castle System, Inc. | W678254 | Anthony Piscola | (631) 232-6700 ext. | (770)777-6404 | apiscola@choosebroadspire.com | Hauppauge Service Center | 10/30/2012 |
| White Castle System, Inc. | W678254 | Melissa Harrison | (614) 559-2693 ext. | (614)559-2757 | harrisom@whitecastle.com | 11/17/2016 | |
| White Castle System, Inc. | W678254 | Melissa Harrison | (614) 559-2693 ext. | (614)559-2757 | harrisom@whitecastle.com | 12/22/2016 | |
| White Rose Food Corp | W521009 | John Kocot | (732) 541-3654 ext. | (732)541-3723 | jkoco@whiterose.com | 05/10/2011 | |
| Whitesville CSD | W878987 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Wholesale& Retail WC Trust | W445506 | Gina Emerson | (315) 701-1600 ext.16 | (315)218-0063 | gemerson@safetpa.com | 11/19/2010 | |
| Windham Ashland Jewett Central School District | W878953 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Worcester Central School | W878995 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Wyandanch UFSD | W879258 | Robbyn Rowe | (800) 337-7419 ext.464 | (866)525-9429 | mtg@triadgate.com | 04/19/2022 | |
| Wyandanch UFSD | W879258 | Jean Puma | (800) 337-7419 ext. | (866)851-2450 | jpuma@triadgate.com | 04/19/2022 | |
| Wyoming County WC | W879001 | Valerie Litow | (800) 337-7419 ext. 466 | (866)519-0594 | vlitow@triadgate.com | 04/08/2016 | |
| Wyoming County WC | W879001 | Stanne Nourse | (800) 337-7419 ext.304 | (866)411-0093 | snourse@triadgate.com | 04/07/2017 | |
| Xerox Corporation | W687503 | Colleen Gallo | (847) 517-3415 ext. | (866)212-1452 | Colleen.Gallo@choosebroadspire.com | 02/15/2018 | |
| Yates County Mutual Self Insurance | W880009 | Kerry Brennan | (315) 536-5554 ext.5554 | (315)536-5118 | kbrennan@yatescounty.org | N/A | 12/05/2016 |
| Yates County Mutual Self Insurance | W880009 | Tina Panichi | (518) 283-8500 ext.302 | (518)880-4015 | tinaP@benetechadvantage.com | 12/05/2016 | |
| Yates County Mutual Self Insurance | W880009 | Jennifer Sheeran | (518) 283-8500 ext.352 | (518)880-4015 | jennifers@benetechadvantage.com | 12/05/2016 | |
| York Central School District | W887756 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Yorkshire-Pioneer Central School District | W882128 | Devon Fik | (716) 842-0045 ext. | (716)842-0018 | VarianceRequest@NCAComp.com | 04/09/2020 | |
| Zenith Insurance Company | W227888 | Vivian Leffler | (800) 440-5020 ext. | (800)364-0443 | NewYorkAuthReq@thezenith.com | Medical Management | 10/10/2018 |
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.