21-Day PIP Notification

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21-Day PIP Notification

The list below contains the insurer addresses filed with the Department where 21-day notification of the commencement of medical treatment notices should be sent pursuant to N.J.A.C. 11:3-25 (PDF). The list is updated as further information is received.

21st Century Assurance Company
Personal Lines Claims Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054	Phone: 1-888-244-6163 ext. 48949 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.com

21st Century Centennial Insurance Company
Voluntary Claims Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054 Phone: 1-888-244-6163 ext. 48949 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.com	Assigned Risk Claims Attention: Christopher Peppard P.O. Box 9053, Hicksville, NY 11802 E-mail: christopher.peppard@21st.com Phone: 1-800-603-9694 FAX: 516-688-1455

21st Century Insurance Company
Personal Line Claims Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054	Phone: 1-888-244-6163 ext. 48949 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.com

21st Century National Insurance Company
Personal Lines Claims Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054	Phone: 1-888-244-6163 ext. 48949 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.c om

21st Century Pinnacle
Personal Lines Claims Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054	Phone: 1-888-244-6163 ext. 48949 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.com

21st Century Premier Insurance Company
Attention: William Murphy 1 Connell Drive - Suite 2100, Berkeley Heights, NJ 07922	Phone: 1-888-724-8881 FAX: 1-866-947-1512

AAA Mid-Atlantic Insurance Company of New Jersey
Attention: Gene Thackray P.O. Box 5432, Mount Laurel, NJ 08054	Phone: 1-800-451-5982

ACE Fire Underwriters Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

ACE Indemnity Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

ACE Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

ACE Property and Casualty Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

AIU Insurance Company
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

All America Insurance Company
Attention: Susan E. Sylvester P.O. Box 9124, Waltham, MA 02254-9124	Phone: 1-800-359-2233

Allied World National Assurance Company
Attention: Karen Colonna, S.V.P. & Deputy General Counsel, U.S. Compliance 199 Water St. - 24th Floor, New York, NY 10038	Phone: 646-794-0576 FAX: 646-794-0610 E-mail: Karen.Colonna@AWAC.com

Allied World Reinsurance Company
Attention: John R. Wilkens, CPCU, Vice President - Compliance, Allied World Assurance Company (U.S.), Inc. 199 Water St., 29th Floor, New York, NY 10038	Phone: 646-794-0580 FAX: 646-794-0811 E-mail: john.wilkens@awac.com

Allstate New Jersey Insurance Company Allstate New Jersey Property and Casualty Insurance Company
Attention: Joan Hofmann P.O. Box 250, Pluckemin, NJ 07978	Phone: 1-888-710-3483 ext. 5611 FAX: 1-866-229-1960 E-mail: BCSupportUnit@Allstate.com

American Commerce Insurance Company
Attention: Frank Dungey 11 Gore Road, Webster, MA 01570	Phone: 508-949-5309 FAX: 508-671-3309

American Compensation Insurance Company
Attention: Jay Carleton, Vice President - Casualty Claims 700 W. 47th St., Suite 350, Kansas City, MO 64112	Phone: 816-412-2829 E-mail: jcarleton@rhkc.com

American Home Assurance Company
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

AmGUARD Insurance Company
Attention: Bill Gray 16 S. River St., Wilkes-Barre, PA 18702-1368	Phone: 1-800-673-2465 ext. 1036 FAX: 1-570-825-0611 E-mail: bgray@guard.com

Amica Property & Casualty Insurance Company
Attention: David Gattuso P.O. Box 760, Park Ridge, NJ 07656-0760	Phone: 1-800-242-6422 FAX: 1-866-759-3238

Atlantic Employers Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

Atlantic Mutual Insurance Company
Attention: Laura Ammerman P.O. Box 821, Madison, NJ 07940-0821	Phone: 201-408-6155

Automobile Insurance Company of Hartford, Connecticut
Attention: Lois Solecki PO Box 1900, Morristown, NJ 07962	Phone: 973-682-4930 Fax: 1-866-296-4180 E-mail: lsolecki@travelers.com

AutoOne Insurance Company
Attention: Tracy Barnes 5788 Widewater Parkway, Syracuse, NY 13214	Phone: 315-251-6151 Fax: 1-877-811-6502

Balboa Insurance Company
Attention: Linda Kyd P.O. Box 1685, Salem, VA 24153	Phone: 1-540-375-7564 E-mail: Linda_B_Kyd@atlanticmutual.com

Bankers Standard Insurance Company
Commercial Auto Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803 Phone: 302-476-6007 FAX: 302-476-6513	Personal Auto Attention: Linda Kyd ACE Private Risk Services P.O. Box 1685, Salem, VA 24153 Phone: 1-877-210-3149 ext. 7564 FAX: 540-725-7266 E-mail: Linda.Kyd@Ace-INA.com

Berkley National Insurance Company Berkley Regional Insurance Company
Attention: Larris R. Larsen, CPCU, ACP, Vice President, Regulatory 215 Shuman Blvd., Suite 200, Naperville, IL 60563

California Casualty & Fire Insurance Company
Attention: Team Manager, NJ PIP Unit P.O. Box 9100 Mission, KS 66201-1700	Phone: 1-800-346-6840 FAX: 1-800-230-3880

Camden Fire Insurance Association
Attention: Timothy Mulcahy Camden Fire Insurance Association 5788 Widewater Parkway, Syracuse, NY 13214	Phone: 315-251-3088 FAX: 315-251-3004

Canal Insurance Company
Attention: Kathy Lee Williams P.O. Box 7, Greenville, SC 29602	Phone: 1-800-452-6911, ext. 5433 FAX: 864-679-2518 E-mail: KathyLee.Williams@canal-ins.com

CastlePoint Insurance Company
Attention: Amy Welde 440 East Swedesford Road, Wayne, PA 19087	Phone: 610-964-5294 FAX: 610-964-5251 Web site: www.genexservices.com

Catlin Indemnity Company
Attention: Bob Eells 1600 Market Street, Suite 1616, Philadelphia, PA 19103	Phone: 215-446-9132 FAX: 215-446-9131 E-mail: bob.eells@catlin.com

Centennial Insurance Company
Attention: Laura Ammerman P.O. Box 82, Madison, NJ 07940-0821	Phone: 201-408-6155

Central Mutual Insurance Company
Attention: Susan E. Sylvester P.O. Box 9124, Waltham, MA 02254-9124	Phone: 1-800-359-2233

Chartis Property Casualty Company
Commercial Auto Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225 Phone: 515-221-6824 FAX: 515-221-6805	Personal Auto Attention: William Murphy 1 Connell Drive - Suite 2100 Berkeley Heights, NJ 07922 Phone: 1-888-724-8881 FAX: 1-866-947-1512

Chubb Group of Insurance Companies
12 Vreeland Road, Florham Park, NJ 07932	Phone: 1-800-524-2392

Citizens United Reciprocal Exchange (CURE) (formerly NJCURE)
Attention: Marla Ongradi 214 Carnegie Center, Suite 101, Princeton, NJ 08540	Phone: 609-520-0800

Clarendon National Insurance Company
Attention: Andrea Kanakis, No-Fault Department Assistant Manager P.O. Box 6580, Saddle Brook, NJ 07663	Phone: 201-368-8055 FAX: 201-368-8690

Commerce and Industry Insurance Company
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

Companion Property & Casualty Insurance Company
Attention: RIS Risk Management Services, LLC 231 Springside Drive, Suite 150, Akron, OH 44333	Phone: 1-877-758-3700 FAX: 330-685-3746

Consumer First Insurance Company
Attention: Michael Bonner 1144 Clifton Avenue, Clifton, NJ 07013	Phone: 1-973-745-0462 FAX: 1-973-470-9817 E-mail: mbonner@consumerfirstins.com

Continental Casualty Company
Attention: Michael Taylor, Division Manager P.O. Box 907, Monmouth Junction, NJ 08852	Phone: 732-398-4120 FAX: 732-398-5015

Continental Insurance Company of NJ
Attention: Michael Taylor, Division Manager P.O. Box 907, Monmouth Junction, NJ 08852	Phone: 732-398-4120 FAX: 732-398-5015

Countryway Insurance Company (formerly Agway Insurance Co.)
Attention: Paul Foley P.O. Box 4851, Syracuse, NY 13221	Phone: 315-634-5229 or 1-800-828-6862 FAX: 315-634-5321 E-mail: pfoley@countryway.com

Darwin National Assurance Company
Attention: Karen Colonna, S.V.P. & Deputy General Counsel, U.S. Compliance 199 Water St. - 24th Floor, New York, NY 10038	Phone: 646-794-0576 FAX: 646-794-0610 E-mail: Karen.Colonna@AWAC.com

Diamond State Insurance Company Diamond State Group UnitedAmerica Insurance Group
Attention: David Elliott, AIC, SCLA, Assistant Vice President - Claims Three Bala Plaza East, Suite 300 Bala Cynwyd, PA 19004	Phone 1-800-788-4780, 610-538-2525 FAX 610-660-8885 E-mail: Claims@uai-group.com E-mail: delliott@uai-group.com

Electric Insurance Company
Attention: Premier Prizm Solutions LLC 10 East Stow Road, Suite 100, Marlton, NJ 08053	Phone: 856-596-5600 FAX: 856-596-6300

Employers Insurance of Wausau
Attention: Dana Campisi Metroplex Corporate Center 200 Metroplex Drive, Edison, NJ 08817	Phone: 908-777-5889 FAX: 908-777-5280

Encompass Property and Casualty Insurance Company of NJ Encompass Insurance Company of NJ
Attentionn: Donna Bruno P.O. Box 907, Monmouth Junction, NJ 08701	Phone: 732-951-6194 E-mail: Donna.Bruno@Encompassins.com

Esurance Insurance Company of New Jersey
Attention: PIP Department P.O. Box 623, Basking Ridge, NJ 07920-0622	Phone: 866-899-6529 FAX: 866-493-1819

Farm Family Casualty Insurance Company
Attention: Russell Bergman, Claim Manager MS# 10N P.O. Box 656, Albany, NY 12201-0656	Phone: 518-431-5069 FAX: 518-431-5980

Federal Insurance Company
Attention: Dana Dentzer 890 Mountain Avenue, New Providence, NJ 07974-1297	Phone: 908-771-6873

Federated Mutual Insurance Company
Attention: David Nichols P.O. Box 50487, Indianapolis, IN 46250-0487	Phone: 317-849-7550 FAX: 1-866-636-8660

Fidelity & Guaranty Insurance Underwriters, Inc.
(See Travelers Group)

Fireman’s Fund Indemnity Corporation
Peter Fong, PIP Supervisor 3301 Rider Trail South, Earth City, MO 63045	Phone: 314-817-2718 FAX: 1-800-870-8859 E-mail: pfong@ffic.com

First Trenton Indemnity Company
(See Travelers Group)

Fitchburg Mutual Insurance Company
Attention: Robert Street 222 Ames Street, P.O. Box 9109, Dedham, MA 02027-9109	Phone: 1-800-688-1825 Fax: 781-329-1818

Garrison Property and Casualty Insurance Company
Attention: George Strauch Claims Service Dir. Auto Injury P.O. Box 33490, San Antonio TX 78625	Phone: 210-498-1701 FAX: 210-498-4011 and 210-498-4012

General Casualty Company of Wisconsin
Attention: Rich Abrams 82 Hopmeadow St., Weatogue, CT 06089	Phone: 1-800-961-1121 Fax: 860-408-3268

Government Employees Insurance Co. GEICO Casualty Co. GEICO General Insurance Co. GEICO Indemnity Co.
Premier Prizm Solutions, LLC P.O. Box 986 Marlton, NJ 08053	FAX: 856-596-6300

Granite State Insurance Company
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

Graphic Arts Mutual Insurance Co
Attention: Dan A. DeAngelo 104 Interchange Plaza, Cranbury, NJ 08512-9561	Phone: 609-868-6800 FAX: 609-860-6899

Great American Insurance Company Great American Insurance Company of NY
Attention: David D. Hubbard 500 Lanidex Center, Parsippany, NJ 07054	Phone: 201-952-9835 FAX: 201-952-9737

Great Northern Insurance Company
Attention: Dana Dentzer 890 Mountain Avenue, New Providence, NJ 07974-1297	Phone: 908-771-6873

Greater New York Mutual Insurance Company Insurance Company of Greater New York
Attention: Joseph McGrath 377 Summerhill Road, East Brunswick, NJ 08816	Phone: 732-238-6300 ext. 276 FAX: 732-238-3781

Hanover Insurance Company Hanover New Jersey Insurance Company
Attention: Dionjonai Elzy - PIP Claims P.O. Box 1299, Piscataway, NJ 08855	Phone: 1-800-257-5720 E-mail: delzy@hanover.com

Harleysville Insurance Company of NJ
Attention: Regina Cotter, Liability/PIP Manager 112 West Park Dr., Suite 200, Mount Laurel, NJ 08054	Phone: 1-888-595-9876 ext. 2113 FAX: 1-856-642-7846

Harleysville Insurance Company Harleysville Mutual Insurance Company Harleysville Ins. Co. of New Jersey Harleysville Preferred Insurance Co.
Attention: Regina Cotter, Liability/PIP Manager 112 W. Park Dr., Suite 200, Moorestown, NJ 08054	Phone: 1-888-595-9876 ext. 2113 Fax: 1-856-642-7846 E mail: rcotter@Harleysvillegroup.com

Hartford Insurance Company of the Midwest Hartford Fire Insurance Company Hartford Underwriters Insurance Company
Attention: Karen Delpome NEPLCSC P.O. Box 2910, Hartford, CT 06104	Phone: 1-800-280-0555 ext. 21989 FAX: 1-866-771-6001

High Point Preferred Insurance Company
Attention: Lisa Wagner One River Center - Building 3, 331 Newman Springs Road, Red Bank, NJ 07701	Phone: 1-800-258-1476 FAX: 1-800-978-7138 E-mail: lwagner@highpointins.com

High Point Property and Casualty Insurance Company
Attention: Lisa Wagner One River Center - Building 3, 331 Newman Springs Road, Red Bank, NJ 07701	Phone: 1-800-258-1476 FAX: 1-800-978-7138 E-mail: lwagner@highpointins.com

High Point Safety and Insurance Company
Attention: Lisa Wagner One River Center - Building 3, 331 Newman Springs Road, Red Bank, NJ 07701	Phone: 1-800-258-1476 FAX: 1-800-978-7138 E-mail: lwagner@highpointins.com

IDS Property Casualty Insurance Company
Attention: Stacy A. Bartz 3500 Packerland Drive, De Pere, WI 54115-9070	Phone: 920-330-5195 FAX: 920-330-5334

IFA Insurance Company
Attention: Bobbi Morin 123 North Union Avenue, Cranford, NJ 07016	Phone: 908-276-4480

Illinois National Insurance Company
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

Indemnity Insurance Company of North America
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

Indiana Lumbermens Mutual Insurance Company
Attention: Customer Service 8888 Keystone Crossing, Suite 250 Indianapolis, IN 46240	Phone: 317-875-3607 or 1-800-732-0777 Ext. 607 FAX: 866-293-6591 Web site: www.ILMGROUP.com

Insurance Company of North America
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

Insurance Company of the State of Pennsylvania
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

Ironshore Indemnity Inc.
Attention: Innovative Claims Strategies, LLC Corporate Headquarters 485A Route 1 South, Suite 300, Iselin, NJ 08830	Phone: 732-404-2020 Web site: www.icstrategies.com

Keystone Insurance Company
Attention: Gary Kammerer P.O. Box 5483, Mt. Laurel, NJ 08054	Phone: 1-800-451-5982

Liberty Mutual Insurance Group
Attention: Rachelle Bella-Shinn P.O. Box 1052, Montgomeryville, PA 18936	Phone: 1-866-548-5127 ext. 82501 FAX: 1-856-596-4280 or 1-888-382-6719 E-mail: Rachelle.Bella@LibertyMutual.com

Lincoln General Insurance Company
Attention: Tim Kirk, Vice President Claims P.O. Box 3608, 3501 Concord Road, York, PA 17402-0628	Phone: 1-800-876-3350 or 717-757-0000 FAX: 717-751-0165

Markel American Insurance Company
Attention: Kathy Kuske P.O. Box 906, Pewaukee, WI 53072-0906	Phone: 262-548-9880 ext. 33415 FAX: 262-548-6110 E-mail: kkuske@markelcorp.com

Markel Insurance Company
Attention: Kathy Kuske P.O. Box 906 Pewaukee, WI 53072-0906	Phone: 262-548-9880 Ext. 33415 FAX: 262-548-6110 E-mail kkuske@markelcorp.com

Maryland Casualty Company
Attention: First Report Department P.O. Box 14013, New Brunswick, NJ 08906-4013	Phone: 908-777-5889 FAX: 908-777-5280

Merchants Mutual Insurance Company
Attention: Stephen A. Reilly 309 Fellowship Road, P.O. Box 868, Moorestown, NJ 08057	Phone: 609-235-8890 ext. 270 FAX: 609-273-8342

Merchants Preferred Insurance Company
Attention: Stephen A. Reilly 309 Fellowship Road, P.O. Box 868, Moorestown, NJ 08057	Phone: 609-235-8890 ext. 270 FAX: 609-273-8342

Mercury Indemnity Company of America
Attention: NJ PIP Team 685 Route 202/206, PO Box 5919, Bridgewater, NJ 08807	Phone: 1-877-533-6330 FAX: 1-908-243-1874

Meritplan Insurance Company
Attention: Linda Kyd P.O. Box 1685, Salem, Va 24153	Phone: 1-540-375-7564 E-mail: Linda_B_Kyd@atlanticmutual.com

Metropolitan Group P&C Insurance Company Metropolitan Direct P&C Insurance Company Metropolitan Property & Casualty Insurance Company
Attention: Michael Taglione, Claim Department 31 British American Blvd. Latham, NY 12110	Phone: 1-800-854-6011 ext. 8690 FAX: 1-877-405-6950 E-mail: mataglione@metlife.com

Michigan Mutual Insurance Company
Attention: James R. Kohloff 26777 Halsted, Farmington Hills, MI 48331-3586	Phone: 810-615-9000 FAX: 810-615-8372

Mid-Century Insurance Company Farmers Insurance Exchange Truck Insurance Exchange
Attention: Katherine Savvas 1000 Midlantic Drive, Mount Laurel, NJ 08054	Phone: 1-856-437-2667 FAX: 1-866-947-4935 E-mail: katherine.savvas@21st.net

National Continental Insurance Company (servicing carrier for NJ CAIP and NJ SAIP only; for non-CAIP/SAIP see Progressive Group)
Attention: Jacqueline Ruiz-Fisher 103 Morgan Lane, Suite 250, Plainsboro, NJ 08536	Phone: 1-800-444-0013 ext. 5323 or Direct Line 609-936-5323 FAX: 609-750-8672 or 1-888-278-1586 E-mail: Jacqueline_Ruiz-Fisher@progressive.com

National Liability & Fire Insurance Company
c/o Northeast Alliance Insurance Agency, LLC Attention: William Abrams P.O. Box 9028, Bethpage, NY 11714	Phone: 1-888-327-3000 FAX: 1-800-572-3648

National Union Fire Insurance Company of Pittsburgh, Pa.
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

Nationwide Agribusiness Insurance Company
Attention: Claims Staff 1100 Locust St., Dept. 3010, Des Moines, IA 50391-3010	Phone: 1-800-228-6700 FAX: 1-800-842-1482 E-mail: newclaim@nationwide.com

New Jersey Skylands Insurance Association
New Jersey Skylands Insurance Company

Attention: NJ PIP Claims
P.O. Box 1287
Buffalo, NY 14240-1287

New Hampshire Insurance Company (LAD)
Attention: Sarah Hlad AIG Domestic Claims, Inc. Olathe Ops Center P.O. Box 25588, Shawnee Mission, KS 66225	Phone: 515-221-6824 FAX: 515-221-6805

New Jersey Indemnity Insurance Company
Attention: Beth Harner P.O. Box 928, West Trenton, NJ 08628-0118	Phone: 609-883-1300, ext 5410 FAX: 609-493-1277 E-mail: pipnotification@njm.com

New Jersey Manufacturers Insurance Company
Attention: Beth Harner P.O. Box 928, West Trenton, NJ 08628-0118	Phone: 609-883-1300 ext. 5410 FAX: 609-493-1277 E-mail: pipnotification@njm.com

New Jersey Re-Insurance Company
Attention: Beth Harner P.O. Box 928, West Trenton, NJ 08628-0118	Phone: 609-883-1300 ext. 5410 FAX: 609-493-1277 E-mail: pipnotification@njm.com

North American Elite Insurance Company
Attention: Cliff St. George, Compliance Officer 650 Elm St., Manchester, NH 03101	Phone: 603-644-6647 FAX: 603-644-6613 E-mail: NASGroup_Regulatory@nasins.com

Northern Insurance Company of New Jersey
Attention: First Report Department P.O. Box 14013, New Brunswick, NJ 08906-4013	Phone: 908-777-5889 FAX: 908-777-5280

Ohio Casualty Insurance Company
Attention: Michael Galante Ohio Casualty Claim Department, P.O. Box 1951, Voorhees, NJ 08043	Phone: 1-866-950-5533 FAX: 1-877-343-1335

Ohio Security Insurance Company
Attention: Bruce Whitney LMAC CL PIP/Auto Med Pay Claims Cincinnati CSC P.O. Box 515097 Los Angeles, CA 90051-5097	Phone: 1-877-246-4264 ext. 7653730 FAX: 1-888-268-8840 E-mail: Bruce.Whitney@LibertyMutual.com

Pacific Employers Insurance Company
Attention: Dick Snyder Wilmington Claims Center 1 Beaver Valley Road, Wilmington, DE 19803	Phone: 302-476-6007 FAX: 302-476-6513

Pacific Indemnity Company
Attention: Dana Dentzer 890 Mountain Avenue, New Providence, NJ 07974-1297	Phone: 908-771-6873

Palisades Insurance Company
Attention: Pat Martucci 200 Connell Drive, Suite 3000 P.O. Box 617, Berkeley Heights, NJ 07922	Phone: 908-219-5385 FAX: 908-219-5407 E-mail: pmartucci@palisades.com

Palisades Property & Casualty Insurance Company
Attention: Pat Martucci 200 Connell Drive, Suite 3000 P.O. Box 617, Berkeley Heights, NJ 07922	Phone: 908-219-5385 FAX: 908-219-5407 E-mail: pmartucci@palisades.com

Palisades Safety and Insurance Association
Attention: Pat Martucci 200 Connell Drive, Suite 3000 P.O. Box 617, Berkeley Heights, NJ 07922	Phone: 908-219-5385 FAX: 908-219-5407 E-mail: pmartucci@palisades.com

Penn Millers Insurance Company
Attention: Christine Boyle P.O. Box P, Wilkes-Barre, PA 18773-0016	Phone: 1-800-233-8347 FAX: 570-822-2165 E-mail: cboyle@pennmillers.com

Pennsylvania National Mutual Casualty Insurance Company Founders Insurance Company
Attention: Richard Swieconek, Claims Manager New Jersey Claims Service Office 340 Scotch Road, West Trenton, NJ 08628	Phone: 609-883-5111 ext. 5601 FAX: 609-883-8537

Personal Service Insurance Company
Attention: John Schmittinger, Claims Manager 1000 River Road, Suite 300, Conshohocken, PA 19428	Phone: 1-800-954-2442 ext. 8480

Plaza Insurance Company
Attention: Jay Carleton, Vice President - Casualty Claims 700 W. 47th Street, Suite 350, Kansas City, MO 64112	Phone: 816-412-2829 E-mail: jcarleton@rhkc.com

Praetorian Insurance Company
Attention: Andrea Kanakis, No-Fault Department Assistant Manager P.O. Box 6580, Saddle Brook, NJ 07663	Phone: 201-368-8055 FAX: 201-368-8690

Preferred Professional Insurance Company
Attention: Cindy Loftis C.M.G. Agency, Inc. 10843 Old Mill Road, Omaha, NE 68154-2600	Phone: 402-551-8765 FAX: 402-392-2673 E-mail: cloftis@catholicmutual.org

Privilege Underwriters Reciprocal Exchange (PURE)
Attention: Mr. Scott Congiusti 1 North Lexington Avenue, Suite 1450 White Plains, NY 10601	Phone: 914-328-8102 FAX: 914-328-3883

ProCentury Insurance Company
Attention: Gary Forthoffer, Manager York Claims Service, Inc. 99 Cherry Hill Road, Suite 102, Parsippany, NJ 07054	Phone: 1-866-391-9675 E mail: yorkclaimsintake@york-claims.com

Progressive Group (Progressive Freedom Insurance Company, Progressive Garden State Insurance Company, Drive NJ Insurance Company, National Continental Insurance Company)
Attention: Gordon Dickenson 485 Route 1 South - Bldg. A, Suite 470, Iselin, NJ 08830	Phone: 732-726-5624 or 1-800-PROGRESSIVE

Prudential Property and Casualty Insurance Company of New Jersey
(See High Point Insurance)

Public Service Mutual Insurance Company
Attention: Leslie Myrie or Michele Woodson 132 West 31st Street, New York, NY 10001	Phone: 212-560-5121 or 212-560-5116 FAX: 212-947-4019

Quincy Mutual Fire Insurance Company
Attention: Deborah Marini 57 Washington St., Quincy, MA 02169	Phone: 1-800-899-1116 FAX: 1-800-899-7790

Regent Insurance Company
Attention: Rich Abrams 82 Hopmeadow St., Weatogue, CT 06089	Phone: 1-800-961-1121 Fax: 860-408-3268

Republic-Franklin Insurance Co.
Attention: Dan A. DeAngelo 104 Interchange Plaza, Cranbury, NJ 08512-9561	Phone: 609-860-6800 FAX: 609-860-6899

Response Insurance Company
Attention: Denise Warzel, PIP Supervisor 502 W. Germantown Pike, Suite 900, Plymouth Meeting, PA 19462	Phone: 610-276-3904 FAX: 610-276-3931 E-mail: dwarzel@unitrindirect.com

RLI Insurance Company
Attention: Phyllis Planisek 202 Montrose West Avenue, Suite 200, Copley, OH 44333	Phone: 1-888-665-3719 FAX: 234-542-1042 E-mail: phyllis.planisek@risholdings.com

Rutgers Casualty Insurance Company
Attention: Leslie Braytenbah 2250 Chapel Avenue West - Suite 200, Cherry Hill, NJ 08002	Phone: 856-779-0600

Safety National Casualty Corporation
Attention: Mitch Neuhaus, Assistant Vice President - Claims 1832 Schuetz Road, St. Louis, MO 63146	Phone: 314-692-9517 or 1-888-995-5300, ext. 29517 FAX: 314-995-3897 E-mail: mitch.neuhaus@safetynational.com

Selective Insurance Company of America Selective Way Insurance Company Selective Casualty Insurance Company Selective Fire & Casualty Insurance Company Selective Insurance Company of New England
Attention: Richard Wilson, Claims Manager P.O. Box 7950, Trenton, NJ 08650	Phone: 1-800-365-9656 FAX: 609-631-0795

Seneca Insurance Company
Attention: Frank Donahue 160 Water Street, New York, NY 10038	Phone: 212-344-3000 FAX: 212-422-7541

Sentry Casualty Company Sentry Insurance A Mutual Company Sentry Select Insurance Company
Attention: Mark Kovatch, Sr. Claims Specialist 1800 North Point Drive, Steven Point, WI 54481	Phone: 715-346-8435 FAX: 715-346-7112 E-mail: Mark.Kovatch@sentry.com

Starnet Insurance Company
Attention: Larris R. Larsen, CPCU, ACP, Vice President, Regulatory 215 Shuman Blvd., Suite 200, Naperville, IL 60563

Starr Indemnity & Liability Company
Attention: Marina Peck, Vice President - Claims 399 Park Ave., 8th Floor, New York, NY 10022	Phone: 646-227-6586 FAX: 631-685-6732 E-mail: Marina.Peck@cvstarr.com

State Farm Indemnity Company State Farm Guaranty Insurance Company
Attention: Thomas Hills State Farm Claims, Northeastern PIP P.O. Box 106105, Atlanta, GA 30348-6105	Phone: 1-888-326-0152 Fax: 1-866-497-2745

Teachers Auto Insurance Company of New Jersey
Attention: Diane Dorsi One River Center - Building 3, 331 Newman Springs Road, Red Bank, NJ 07701	Phone: 1-800-258-1476 FAX: 732-978-7138 E-mail: ddorsi@highpointins.com

Tokio Marine and NichidoFire Insurance Company Ltd. TNUS Insurance Company
Attention: Sharon Mock Yen-Ellis, Manager 230 Park Avenue, New York, NY 10169	Phone: 212-297-6781 FAX: 212-297-6691

Travelers Group (Fidelity & Guaranty Insurance Underwriters, Inc., First Trenton Indemnity Co., Travelers Auto Insurance Co. of New Jersey)
Attention: Lois Solecki PO Box 906, Cedar Knolls, NJ 07927	Phone: 973-682-4930 FAX: 1-866-296-4180 E-mail: lsolecki@travelers.com

Twin Lights Insurance Company
Attention: Rick Carlucci P.O. Box 1428, Newark, NJ 07101	Phone: 1-877-894-6467 FAX: 908-219-5060 E-mail: rcarlucci@twinlightsins.com

Ullico Casualty Company
Attention: Dorothy Wallace Ullico Claims, 1625 I Street N.W., Washington, DC 20006	Phone: 202-682-7962 FAX: 202-962-8853

United Farm Family Insurance Company
Attention: Russell Bergman, Claim Manager MS# 10N P.O. Box 656, Albany, NY 12201-0656	Phone: 518-431-5069 FAX: 518-431-5980

United Services Automobile Association
Attention: Luis Ramirez, Claims Service Director Northeast Region Claims Department P.O. Box 33490, San Antonio, TX 78265	Phone: 210-498-0284 FAX: 210-498-4011 and 210-498-4012

United States Liability Insurance Company
Claims Department Attention: Emily Parker, Associate Examiner 1190 Devon Park Drive, Wayne, PA 19087	Phone: 1-800-523-5545 ext. 2440 FAX: 1-610-687-9398 E-mail: eparker@usli.com or newlosses@usli.com

Unitrin Direct Insurance Company
Attention: Cheri Martinozzi 502 West Germantown Pike - Suite 900, Plymouth Meeting, PA 19462	Phone: 1-877-270 5702 FAX: 610-276-3931

Universal Underwriters Insurance Company
Attention: Regional Claims Manager - Suite 206 100 Walnut Avenue, Clark, NJ 07066	Phone: 908-396-8500 FAX: 908-396-8509

USAA Casualty Insurance Company
Attention: Luis Ramirez, Claims Service Director Northeast Region Claims Department P.O. Box 33490, San Antonio, TX 78265	Phone: 210-498-0284 FAX: 210-498-4011 and 210-498-4012

USAA General Indemnity Company
Attention: George Strauch Claims Service Dir. Auto Injury P.O. Box 33490, San Antonio TX 78625	Phone: 210-498-1701 FAX: 210-498-4011 and 210-498-4012

Utica Mutual Insurance Co.
Attention: Dan A. DeAngelo 104 Interchange Plaza, Cranbury, NJ 08512-9561	Phone: 609-860-6800 FAX: 609-860-6899

Valley Forge Insurance Company
Attention: Michael Taylor, Division Manager P.O. Box 2113, Cranbury, NJ 08570	Phone: 609-395-2465 FAX: 609-395-6678

Vigilant Insurance Company
Attention: Dana Dentzer 890 Mountain Avenue, New Providence, NJ 07974-1297	Phone: 908-771-6873

Wausau Underwriters Insurance Company
Attention: Dana Campisi Metroplex Corporate Center, 200 Metroplex Drive, Edison, NJ 08817	Phone: 908-777-5889 FAX: 908-777-5280

West American Insurance Company
Attention: Michael Galante Ohio Casualty Claim Department, P.O. Box 1951, Voorhees, NJ 08043	Phone: 1-866-950-5533 FAX: 877-343-1335

WRM America Indemnity Company, Inc.
Attention: Linda Eori, Manager 600 Unicorn Park, Woburn, MA 01801	Phone: 781-396-6288 FAX: 781-395-5592 E-mail: leori@bmegateway.com Web site: www.BMEGateway.com



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