NYS Workers’ Compensation Board Third Party …

1 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 1 of 7 Name/Address Phone # AbSolve, LLC 519 Graham Avenue Brooklyn, NY 11222 800-401-2691 ACS Claim Service, Inc. 400 Bent Creek Boulevard Terrace Level Mechanicsburg, PA 17050 717-795-9997 AIG Claims, Inc. 175 Water Street, 18th Floor New York, NY 10038 212-770-7000 Alternative Service Concepts, LLC 5010 Ritter Road, Suite 106 Mechanicsburg, PA 17055 615-360-5699 Amalgamated Employee Benefits Administrators, Inc. 333 Westchester Avenue White Plains, NY 10604 855-750-5963 American Claims Management, Inc. Box 9060 Carlsbad, CA 92018 888-799-2919 American Equity Underwriters, Inc. (The) 3850 North Causeway Blvd., Suite 1600 Metairie, LA 70002 504-840-6500 AmTrust North America, Inc. 800 Superior Ave, E, 21st Floor Cleveland, OH 44414 866-203-3037 Applied Risk Services of New York, Inc. 10805 Old Mill Road Omaha, NE 68154 402-342-4900 Armour Risk Management, Inc.

2 1880 JFK Blvd., Suite 801 Philadelphia, PA 19103 215-665-5000 Arrowood Indemnity Company 3600 Arco Corporate Drive Charlotte, NC 28273 704-522-2000 Atlantic Specialty Insurance Company 605 Highway 169 North Suite 800 Plymouth, MN 55441 952-852-2431 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 2 of 7 Name/Address Phone # Benetech, Inc. Box 348 One Dodge Street Wynantskill, NY 12198 518-283-8500 Broadspire Services, Inc. 5335 Triangle Parkway NW Peachtree Corners, GA 30092 404-300-1038 Agency, Inc. 10843 Old Mill Road Omaha, NE 68154 402-551-8765 CNA ClaimPlus, Inc. 151 N. Franklin St., 14th Floor Chicago, IL 60606 312-822-5000 Cannon Cochran Management Services, Inc. 2 East Main Street Danville, IL 61832-5852 217-446-1089 Cervus Claim Solutions, LLC One Hartford Plaza HO-1- 09 Hartford, CT 06155 407-562-3601 Chesterfield Services (New York), Inc.

3 C/o Stewart, Greenbelt, Manning & Baez 6800 Jericho Turnpike, Suite 100W Syosset, NY 11791 516-433-6677 CIGNA Life Insurance Company of New York 140 East 45th Street New York, NY 10017 646-654-7002 Claims Administration Services, Inc. (CASI) 600 La Terraza Blvd. Escondido, CA 92025 833-249-0573 Claims Service Bureau of New York, Inc. 21 Hempstead Avenue Box 805 Lynbrook, NY 11563 516-593-2440 ComTon, Inc. 6780 Pittsford-Palmyra Road Building 3, Suite A Fairport, NY 14450 585-598-2931 Constitution State Services, LLC One Tower Square Hartford, CT 06183 1-800-243-2490 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 3 of 7 Name/Address Phone # Cool Insuring Agency, Inc. 784 Troy-Schenectady Road Latham, NY 12110 518-783-2665 CorVel Enterprise Comp, Inc. 2010 Main, Suite 600 Irvine, CA 92614 949-851-1473 Creative Risk Solutions, LLC 3001 Westown Parkway West Des Moines, IA 50266 515-223-6800 Crown Risk Management, LLC 432 North Franklin Street Suite 20 Syracuse, NY 13204 315-428-3830 Custard Insurance Adjusters, Inc.

4 602 Route 299 Highland, NY 12528 845-834-2880 Denz, Maralee Merchants Insurance Company 250 Main Street Buffalo, NY 14202 716-849-3029 Emerald Claims Management of New York, LLC 5 Hanover Square, Suite 1002 New York, NY 10004 212-776-1808 Enstar (US), Inc. 411 Fifth Avenue, 5th Floor New York, NY 10016 212-790-7700 ESIS, Inc. 300 Airborne Parkway, Suite 200 Cheektowaga, NY 14225 716-636-7100 FCS Administrators, Inc. 831 Maple Road Williamsville, NY 14221 716-631-5001 First Unum Life Insurance Company 666 Third Avenue, Suite 301 New York, NY 10017 212-328-8830 FutureComp 726 Exchange Street, Suite 618 Buffalo, NY 14210 716-314-2000 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 4 of 7 Name/Address Phone # Risk Management, Inc. 100 Church Street, Suite #810 New York, NY 10007 212-431-3000 Gallagher Bassett Services, Inc. 2850 Golf Road Rolling Meadows, IL 60008-4050 630-285-4122 Glacier Bay TPA, LLC 7 Airport Park Blvd.

5 Latham, NY 12110 518-724-3559 Hartford Life and Accident Insurance Company One Hartford Plaza Hartford, CT 06155 860-547-5000 Helmsman Management Services, LLC 175 Berkeley Street Boston, MA 02116 813-264-6588 Intercare of New York Insurance Services, Inc. c/o Spiegel Leffler, PLLC 135 West 129th Street, Suite 801 New York, NY 10001 212-643-0200 Larkin Benefit Administrators of New York, Inc. 2350 Mission College Blvd., Suite 390 Santa Clara, CA 95054 650-938-0933 Lincoln Life Assurance Company of Boston 175 Berkeley Street Boston, MA 02116 1-800-762-5026 Lovell Safety Management Company, LLC 110 William Street 12th Floor New York, NY 10038-4949 212-709-8600 Matrix Absence Management, Inc. 2421 W. Peoria Avenue, Suite 200 Phoenix, AZ 85029-4940 877-315-9838 Maxon Administrators, Inc. 76 North Broadway Irvington, NY 10533 914-591-7111 McNeil & Company, Inc. 20 Church Street Cortland, NY 13045 607-756-4970 Metropolitan Life Insurance Company 200 Park Avenue New York, NY 10166 212-578-2211 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 5 of 7 Name/Address Phone # Monroe 2-Orleans BOCES 3599 Big Ridge Road Spencerport, NY 14559 585-352-2611 Murphy and Beane TPA, Inc.

6 One Union Plaza New London, CT 06320 800-447-0048 NCAComp, Inc. 14 Lafayette Square, Suite 700 Buffalo, NY 14203-1906 716-842-0045 Network Adjusters, Inc 850 Fulton Street Box 9035 Farmingdale, NY 11735 800-486-2524 Gary Nickels North American Risk Services, Inc. 240 East Central Parkway, Suite 4010 Altamonte Springs, FL 32701 800-315-6090 Northeast Association Management, Inc. 9 Cornell Road Latham, NY 12110 518-220-1111 Oryx Insurance Brokerage, Inc. 2 Court Street Binghamton, NY 13901 607-724-0173 PMA Management Corporation 380 Sentry Parkway Blue Bell, PA 19422 315-449-0157 PMA Management Corporation of New England, Inc. 101 Barnes Road, Suite 300 Wallingford, CT 06492 203-379-3400 Parker Services, LLC 1800 North Point Drive Stevens Point, WI 54481 715-346-6000 Price, David D. 315-569-0572 Pugh, Christine A. NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 6 of 7 Name/Address Phone # Scibal Associates Inc.

7 , d/b/a Qual-Lynx 6700 Old Collamer Road Suite 117 East Syracuse, NY 13057 315-437-7121 Reed Group Management LLC 10355 Westmoor Drive Westminster, CO 80021 303-247-1860 Retail Business Services, LLC PO Box 122000 Lithia Springs GA 30122 800-288-8415 Risk Management Planning Group, Inc. 333 Earl Ovington Boulevard Suite 600 Uniondale NY 11556 516-486-7475 , LLC 620 Erie Boulevard West, Suite 100 Syracuse, NY 13204 315-701-1600 St. Lawrence Lewis BOCES 40 West Main Street, PO Box 13617 Canton, NY 13617 315-379-3000 Sedgwick Claims Management Services, Inc. 1100 Ridgeway Loop Road, Suite 200 Memphis, TN 38120 901-415-7400 Standard Life Insurance Company of New York (The) 333 Westchester Avenue, Suite 300 White Plains, NY 10604-2911 919-989-4400 Triad Group, LLC 400 Jordan Road Troy, NY 12180 1-800-337-7419 TRISTAR Risk Enterprise Management, Inc. 2540 Route 130, Suite 109 Cranbury, NJ 08512 609-495-0001 Veritas Administrators II, LLC 1225 E.

8 Washington St., Suite 200 Joliet, IL 60433 888-837-1199 Vision Risk Management Services, Inc. 1008 W. Jericho Turnpike 2nd Floor Smithtown, NY 11728. 631-449-4000 NYS Workers Compensation Board Third Party Administrators Section 50 (3b/d) Last Updated 6/1/2020 Page 7 of 7 Name/Address Phone # Cox Associates, Inc. 9600 Main Street, Suite Three Clarence, NY 14031-2093 716-759-9606 Wright Risk Management Company, LLC 333 Earle Ovington Blvd., Suite 505 Uniondale, NY 11553-3624 516-227-2300 York Risk Services Group, Inc. One Upper Pond Road Parsippany, NJ 07054 973-404-1069 Zurich American Life Insurance Company of New York 900 S. Pine Island Road Plantation, FL 33324 954-991-3010 Zurich Services Corporation (The) 1299 Zurich Way Schaumburg, IL 60196 847-605-6000