georgia state board of workers' compensation insurer and claim
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SBWC # Insurer Name Address Email
10114 WILMINGTON
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20582 ATLANTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20622 DOTHAN
FL 32716
Phone:
SBWC # Insurer Name Address Email
20764 FORT SMITH
FORT SMITH AR 72917
Phone:
SBWC # Insurer Name Address Email
13246 LANSING
LANSING MI 48901
Phone:
BRUNSWICK GA 31520
Phone:
SBWC # Insurer Name Address Email
13214 LANSING
LANSING MI 48901
888-888-8136 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
A G RHODES HOME INC 3715 NORTHSIDE PKWY,
BLDG 400 STE 305
GA 30327 BCHANDLER@BAUGUESSMGMT.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
Georgia State Board of Workers' Compensation
Insurer and Claim Offices by Name
21ST CENTURY PREMIER INS CO FKA
COLONIAL PENN FRAN INS CO
21ST CENTURY PLAZA, 3
BEAVER VALLEY ROAD
DE 19803
ACCIDENT FUND INSURANCE 20-3058200 129 FREDERICK DR GINNYS@ACCIDENTFUND.COM
912-264-0988 Ext.
800-395-2366 Ext. 1702
ACCIDENT FUND GENERAL INSURANCE
COMPANY
MI 48933 JUDY2T@ACCIDENTFUND.COM
ACCIDENT FUND CLAIMS
DEPT
38-3207001 200 N GRAND AVE STEPHENW@ACCIDENTFUND.COM
800-961-9744 Ext.
ABF FREIGHT SYSTEM INC. AR 72917 STANMCD@ARKBEST.COM
ABF FREIGHT SYSTEM INC 71-0249444 P O BOX 10048 LYNETTEBW@ARKBEST.COM
800-315-6090 Ext.
AAA COOPER TRANSPORTATION AL 36302 ASCOTT@AAACOOPER.COM
NORTH AMERICAN RISK
SERVICES INC
13-3901415 P O BOX 166002 ALTAMONTE
SPRINGS
MAILROOM@NARIK.COM
ACCIDENT FUND CLAIMS
DEPT
38-3207001 200 N GRAND AVE STEPHENW@ACCIDENTFUND.COM
ACCIDENT FUND INSURANCE CO OF AMERICA MI 48933 JUDY2T@ACCIDENTFUND.COM
Phone:
BRUNSWICK GA 31520
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13240 LANSING
LANSING MI 48901
Phone:
BRUNSWICK GA 31520
Phone:
SBWC # Insurer Name Address Email
13235 IRMO
KENNESAW GA 30144
Phone:
SBWC # Insurer Name Address Email
10253 PHILADELPHIA
LITTLE ROCK AZ 72231
Phone:
BIRMINGHAM AL 35209
Phone:
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
LOUISVILLE KY 40222
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
CINCINNATI OH 45224
Phone:
MAITLAND FL 32751
ACCIDENT FUND INSURANCE 20-3058200 129 FREDERICK DR GINNYS@ACCIDENTFUND.COM
912-264-0988 Ext.
800-395-2366 Ext. 1702
ACCIDENT FUND NATIONAL INSURANCE
COMPANY
MI 48933 JUDY2T@ACCIDENTFUND.COM
ACCIDENT FUND CLAIMS
DEPT
38-3207001 200 N GRAND AVE STEPHENW@ACCIDENTFUND.COM
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
ACCIDENT FUND INSURANCE 20-3058200 129 FREDERICK DR GINNYS@ACCIDENTFUND.COM
912-264-0988 Ext.
800-395-2366 Ext. 1702
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
ALTERNATIVE SERVICE
CONCEPTS LLC
43-1954328 P O BOX 15550 JAMES.CHANCELLOR@ASCRISK.COM
800-669-0437 Ext. 108
ACE AMERICAN INS CO 436 WALNUT STREET, PA 19106 MARILEE.BRABSON@ACEGROUP.COM
800-896-6884 Ext. 8459
US ADMINISTRATOR CLAIMS 26-3357762 3440 BLUE SPRINGS ROAD HMOSS@USADMINCLAIMS.COM
ACCIDENT INSURANCE COMPANY SC 29063 MICHAEL.HUNTER@ACCINSCO.COM
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
BROADSPIRE SERVICES INC. 36-3917295 9502 WILLIAMSBURG TOM.WEBER@CHOOSEBROADSPIRE.COM
800-742-4248 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
678-969-7337 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
ALPHARETTA GA 30005
Phone:
TAMPA FL 33612
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
FT MILL SC 29716
Phone:
CLEARWATER FL 33758
Phone:
FORT MILL SC 29715
Phone:
TAMPA FL 33618
Phone:
ATLANTA GA 30328
800-473-9009 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-685-7361 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR GEORGIAWCBOARD@TRAVELERS.COM
866-814-1740 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
800-282-6218 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 607 JULIE_MCCOY-LINCOLN@GBTPA.COM
803-547-8036 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30338
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
LAKE MARY FL 32746
Phone:
ALPHARETTA GA 30005
Phone:
SAVANNAH GA 31405
Phone:
PARSIPPANY NJ 07054
Phone:
SBWC # Insurer Name Address Email
10221 PHILADELPHIA
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ROSWELL GA 30076
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-353-4591 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS BELLSOUTH
DISABILITY
36-2685608 1200 ASHWOOD PARKWAY TOBIN.BECKERMANN@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
800-347-4494 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
ACE FIRE UNDERWRITERS 436 WALNUT STREET,
WB04G
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
912-355-8989 Ext.
YORK CLAIMS SERVICE INC 13-1963636 99 CHERRY HILL ROAD STEPHANIE.MARSHALL@YORKRSG.COMM
877-927-2255 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
800-541-0139 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
CT
SCOTT.WESTMAN@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
Phone:
DULUTH GA 30097
Phone:
ORLANDO FL 32878
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
13034 PHILADELPHIA
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
SYRACAUSE NY 13202
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
615-824-5095 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
800-685-7361 Ext.
800-685-7361 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ACE INDEMNITY INSURANCE CO PA 19106 MARILEE.BRABSON@ACEGROUP.COM
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
SBWC # Insurer Name Address Email
10002 PHILADELPHIA
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
SYRACAUSE NY 13202
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13193 DALLAS,
TAMPA FL 33602
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13176 SALT LAKE CITY
TUCKER GA 30084
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21753 ORLANDO
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
ACE PROPERTY & CASUALTY 436 WALNUT STREET,
WB04G
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
ACIG INSURANCE COMPANY 12222 MERIT DRIVE,
SUITE 1660
TX 75251 ACIGREGULATORY@ACIG.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
407-562-3632 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ADVENTIST HEALTH SYSTEM SUNBELT
HEALTHCARE CORP
602 COURTLAND ST, STE
330
FL 32804 NANCEE.ROSEN@AHSS.ORG
800-354-6494 Ext. 201
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
ADVANTAGE WORKERS COMPENSATION
INSURANCE COMPANY
UT 84157 CLAIMS@ADVANTAGEWC.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
678-731-9091 Ext. 252
NOVAPRO RISK 36-4550659 101 E KENNEDY BLVD KROGERS@NOVAPRORISK.COM
800-426-5990 Ext.
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE TKATER@NOVAPRORISK.COM
ORLANDO FL 32804
Phone:
SBWC # Insurer Name Address Email
20315 ATLANTA
ATLANTA GA 30302
Phone:
SBWC # Insurer Name Address Email
30047 COMMERCE
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
10066 NEW YORK
ALPHARETTA GA 30023
SBWC # Insurer Name Address Email
21130 ALBANY
JOHNS CREEK GA 30097
SBWC # Insurer Name Address Email
21715 ALBANY
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13202 ROCKY HILL
ATLANTA GA 30326
Phone:
GLEN ALLEN VA 23058
Phone:
TUCKER GA 30084
407-200-4894 Ext.
ADVENTIST HEALTH
SYSTEM RISK MANAGEMENT
59-2170012 602 COURTLAND STREET NANCEE.SMITH@AHSS.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
ALBANY CITY OF GA 31702 JCLARK@ALBANY.GA.US
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
AIU INSURANCE COMPANY 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
AGRI TRUST OF GA GA 30529
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE
404-584-3782 Ext.
AGL RESOURCES INC. DBA ATLANTA GAS
LIGHT
GA 30302 KEMERSON@AGLRESOURCES.COM
AGL RISK MANAGEMENT 58-2210952 P O BOX 4569 KEMERSON@AGLRESOURCES.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
404-266-4855 Ext.
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
800-906-4461 Ext.
ALEA NORTH AMERICA INSURANCE COMPANY CT 06067 ARLEEN.SIMMONS@ALEAGROUP.COM
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ALBANY INTERNATIONAL CORP NY 12201 ANITA.GERACE@ALBINT.COM
Phone:
SBWC # Insurer Name Address Email
10295 VAN WERT
VAN WERT OH 45891
Phone:
SBWC # Insurer Name Address Email
13275 LANCASTER
LANCASTER PA 17608
Phone:
SBWC # Insurer Name Address Email
13244 COLUMBUS
GAINESVILLE FL 32614
Phone:
SBWC # Insurer Name Address Email
21464 ATLANTA
ALPHARETTA GA 30023
Phone:
SBWC # Insurer Name Address Email
13293 WORCESTER
WORCESTER MA 01653
Phone:
SBWC # Insurer Name Address Email
21596 ALPHARETTA
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
13245 COLUMBUS
GAINESVILLE FL 32614
Phone:
SBWC # Insurer Name Address Email
800-354-6494 Ext. 201
ALLIED SYSTEMS LTD 2302 PARKLAKE DR,
BUILDING 15 SUITE 600
GA 30378 JOHN.BLOUNT@ALLIEDHOLDINGS.COM
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
800-985-7078 Ext.
ALLIED PROPERTY AND CASUALTY INSURANCE
COMPANY
ONE NATIONWIDE
PLAZA, 3-13-401
OH 43215 KINGJ4@NATIONWIDE.COM
ALLIED EASTERN
INDEMNITY COMPANY
26-0026993 P O BOX 83777 RIRONS@EAINS.COM
888-654-7100 Ext.
ALLIED EASTERN INDEMNITY COMPANY PA 17608 RIRONS@EAINS.COM
CENTRAL INSURANCE 34-4202560 800 SOUTH WASHINGTON CLININGER@CENTRAL-INSURANCE.COM
800-736-7000 Ext. 2380
ALL AMERICA INSURANCE CO OH 45891 PWOIROL@CENTRAL-INSURANCE.COM
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
800-985-7078 Ext.
AMCO INSURANCE COMPANY ONE NATIONWIDE
PLAZA, 3-13-401
OH 43215 KINGJ4@NATIONWIDE.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
ALPHARETTA CITY OF GA 30009 DNELSON@ALPHARETA.GA.US
HANOVER INSURANCE
COMPANY
13-5129825 440 LINCOLN STREET EBESHAI@HANOVER.COM
800-628-0250 Ext.
ALLMERICA FINANCIAL BENEFIT INSURANCE
COMPANY
MA 01653 EBESHAI@HANOVER.COM
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
13122 PRINCETON
ATLANTA GA 30319
Phone:
TUCKER GA 30084
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10006 NOVATO
ATLANTA GA 30374
Phone:
ALPHARETTA GA 30022
Phone:
SBWC # Insurer Name Address Email
10007 CHICAGO
ATLANTA GA 30339
Phone:
POMPANO BEACH FL 33064
Phone:
DULUTH GA 30096
Phone:
CHICAGO IL 60604
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
IRVING TX 75039
Phone:
678-393-4584 Ext.
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174 KLOCKE@FFIC.COM
678-393-4550 Ext.
FIREMAN'S FUND
INSURANCE CO
94-1610280 11475 GREAT OAKS WAY JUDY.OWEN@AFFIC.COM
AMERICAN AUTOMOBILE INSURANCE
COMPANY
CA 94998 LMNUSON@FFIC.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
800-450-0692 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
AMERICAN ALTERNATIVE INSURANCE
CORPORPATION
NJ 08543 CKROH@MUNICHREAMERICAN.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
312-822-2331 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
800-862-4252 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
AMERICAN CASUALTY COMPANY OF READING
PENNSYLVANIA
333 S WABASH AVENUE,
28 SOUTH
IL 60604 DEBRA.RETEL@CNA.COM
CAMBRIDGE INTEGRATED 23-2731565 1775 THE EXCHANGE DAVID.HAYS@CAMBRIDGE-NA.COM
GALLAGHER BASSET 36-3365500 222 W LAS COLINAS BLVD TERRY_TARTER@GBTPA.COM
800-787-6750 Ext.
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13271 BLOOMINGTON
MAITLAND FL 32751
Phone:
SBWC # Insurer Name Address Email
10262 SEATTLE
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13255 MADISON
SCHOFIELD WI 55476
Phone:
SBWC # Insurer Name Address Email
10011 FAIRFIELD
CHARLOTTE NC 28277
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
866-246-0259 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
AMERICAN FIRE & CASUALTY COMPANY OH 45014 CORPORATESECRETARY@LIBERTYMUTUAL.COM
800-692-6326 Ext. 41237
AMERICAN FAMILY INSURANCE COMPANY WI 53783 CGILB@AMFAM.COM
AMERICAN FAMILY
INSURANCE COMPANY
CLAIMS
39-1835307 P O BOX 530 SLODHOLZ@AMFAM.COM
678-417-3654 Ext.
AMERICAN ECONOMY INS CO CO LICENSING T-18,
SAFECO PLAZA
WA 98185 CORPORATESECRETARY@LIBERTYMUTUAL.COM
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
866-291-0194 Ext.
AMERICAN COMPENSATION INSURANCE
COMPANY
MN 55437 MARSHALL.LIN@RTWI.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
10013 SCHAUMBURG
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
CLEARWATER FL 33758
Phone:
TAMPA FL 33622
Phone:
BIRMINGHAM AL 35266
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
FT MILL SC 29716
Phone:
800-473-9009 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
404-851-3207 Ext.
AMERICAN GUARANTEE
AND LIABILITY COMPANY
36-6071400 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
AMERICAN GUARANTEE & LIABILITY
INSURANCE COMPANY
IL 60196 TIM.GRAHAM@ZURICHNA.COM
AMERICAN GUARANTEE
AND LIABILITY COMPANY
36-6071400 1001 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
AMERICAN FIRE &
CASUALTY COMPANY
59-141790 13830 BALLANTYNE CORP
800-334-0197 Ext.
800-334-0078 Ext. 214
WARNER.MARSHALL@LIBERTYMUTUAL.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2600 MCCORMICK DR #110 CANDICE_BUCHANAN@GBTPA.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
866-814-1740 Ext. 201
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SCHAUMBERG IL 60666
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
10015 NEW YORK
NORCROSS GA 30071
Phone:
BIRMINGHAM AL 35209
Phone:
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
CINCINNATI OH 45224
Phone:
MAITLAND FL 32751
Phone:
ALPHARETTA GA 30023
Phone:
OKLAHOMA CITY OK 73123
AMERICAN HOME ASSURANCE COMPANY 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NORTH AMERICA 36-3839542 P.O. BOX 2769 USZ_GA_WC_CLAIM_NOTICES@ZURICHNA.COM
404-851-3208 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
678-969-7337 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
ALTERNATIVE SERVICE
CONCEPTS LLC DBA ASC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
CLAIMETRICS 20-1604010 PO BOX 22478 LAUREN.TOPPINS@CLAIMETRICS.COM
866-291-0194 Ext.
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.EXCHANGING.COM
800-235-1134 Ext. 5
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
Phone:
ALPHARETTA GA 30005
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
ORLANDO FL 32878
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
EDI USE ONLY 01 72756 JUDY PIERCE
Phone:
NASHVILLE TN 37214
Phone:
LEXINGTON KY 40512
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
985-624-6739 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
770-352-2978 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
405-728-5544 Ext. 2326
800-347-4494 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
241-922-0638 Ext.
SEDGWICK WALMART HD 71-0738006 EDI USE ONLY
479-621-2900 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
Phone:
SBWC # Insurer Name Address Email
10016 NOVATO
ATLANTA GA 30374
Phone:
ALPHARETTA GA 30022
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
13021 DERIDDER
DERIDDER LA 70634
Phone:
LAWRENCEVILLE GA 30045
Phone:
SBWC # Insurer Name Address Email
13296 BIRMINGHAM
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20459 WASHINGTON
RICHMOND VA 23285
Phone:
SBWC # Insurer Name Address Email
20496 CUMMING
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174 KLOCKE@FFIC.COM
678-393-4550 Ext.
FIREMAN'S FUND
INSURANCE CO
94-1610280 11475 GREAT OAKS WAY JUDY.OWEN@AFFIC.COM
AMERICAN INSURANCE COMPANY CA 94998 ESAYERS@FFIC.COM
605 CRESCENT EXECUTIVE
COURT
800-541-0139 Ext.
770-339-9878 Ext.
AMERISAFE RISK SERVICES
INC
58-1181498 2301 HWY 190 WEST GASTATEBOARD@AMERISAFE.COM
800-256-3462 Ext.
AMERISAFE RISK SERVICES
INC
72-1274075 555 OLD NORCROSS RD JBISTOK@AMERISAFE.COM
AMERICAN INTERSTATE INSURANCE COMPANY LA 70634 PMCCRANEY@AMERISAFE.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
678-393-4584 Ext.
AMERICAN PROTEINS INC GA 30041 ANN.MILFORD@AMPROT.COM
SEDGWICK CMS 36-2685608 1800 BAYBERRY COURT PATRICIA.CARROWIANO@SEDGWICKCMS.COM
804-673-5400 Ext.
AMERICAN NATIONAL RED CROSS 2025 E. STREET NW, 3RD
FLOOR, NW3-144A
DC 20006 WOLDETSADIKM@USA.REDCROSS.ORG
-- Ext.
AMERICAN MINING INSURANCE COMPANY INC AL 35266 MCARNEY@AMERICANMINING.COM
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
13007 MOBILE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13124 DALLAS
ATLANTA GA 30348
Phone:
SBWC # Insurer Name Address Email
13223 ATLANTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10254 SEATTLE
DULUTH GA 30097
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10244 SEATTLE
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
12077 SCHAUMBURG
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
678-258-8000 Ext.
AMERICAN RESOURCES INS CO AL 36695 MBRADY@ARIC.CC
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
AMERICAN STATES INSURANCE COMPANY SAFECO PLAZA, 1001
4TH AVENUE
WA 98185 CORPORATESECRETARY@LIBERTYMUTUAL.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
AMERICAN SAFETY CASUALTY INSURANCE 100 GALLERIA
PARKWAY SE, SUITE 700
GA 30339 TRUDD@AMSAFETY.COM
800-283-2318 Ext.
AMERICAN RISK FUNDING 12222 MERIT DRIVE,
SUITE 1660
TX 75251
CNA CLAIMS PLUS - P O BOX 105497
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
AMERICAN STATES INSURANCE COMPANY OF
TEXAS
SAFECO PLAZA, 1001
4TH AVENUE
WA 98154 CORPORATESECRETARY@LIBERTYMUTUAL.COM
TRAVELERS CASUALTY &
SURETY COMPANY OF
AMERICA
06-0907370 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS CASUALTY &
SURETY COMPANY OF
AMERICA
06-0907370 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
404-851-3207 Ext.
AMERICAN ZURICH
INSURANCE COMPANY
36-3141762 1001 SUMMIT BLVVD CHRIS.CALLOWAY@ZURICHNA.COM
AMERICAN ZURICH INSURANCE COMPANY IL 60196 USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
AMERICAN ZURICH
INSURANCE COMPANY
36-3141762 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
Phone:
TAMPA FL 33630
Phone:
ATLANTA GA 30319
Phone:
POMPANO BEACH FL 33064
Phone:
MAITLAND FL 32751
Phone:
UNIONTOWN OH 44685
Phone:
ALPHARETTA GA 30005
Phone:
DUBUQUE IA 52004
Phone:
WHITESBURG GA 30185
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
BIRMINGHAM AL 35266
Phone:
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE CLAIMS 36-3917295 CALL BOX 30539 KRISTIN.CANNELL@CHOOSEBROADSPIRE.COM
800-258-1811 Ext.
404-851-3207 Ext.
CHESTERFIELD SERVICES 34-1709723 3520 FOREST LAKE DRIVE ITALO.GROSSI@TPA4TSA.COM
330-896-4311 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
866-291-0194 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
CREATIVE RISK SOLUTIONS 20-0989430 P O BOX 9207 NLYMAN@YOURCLAIMS.COM
770-577-9657 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
877-241-6121 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
770-352-2978 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-473-9009 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
800-354-6494 Ext. 201
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
FT MILL SC 29716
Phone:
CLEARWATER FL 33758
Phone:
WILMINGTON NC 28404
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
TAMPA FL 33602
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
COLUMBIA SC 29210
Phone:
ATLANTA GA 30338
Phone:
JACKSONVILLE FL 32256
Phone:
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-896-3079 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
866-814-1740 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
678-731-9091 Ext. 252
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
NOVAPRO RISK 36-4550659 101 E KENNEDY BLVD KROGERS@NOVAPRORISK.COM
800-426-5990 Ext.
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE TKATER@NOVAPRORISK.COM
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
888-878-0005 Ext.
SEDGWICK CMS 36-2685608 8649 BAYPINE ROAD MARILYN.SANDERS@SEDGWICKCMS.COM
888-784-3470 Ext.
800-426-2885 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
LAKE MARY FL 32746
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
FT SMITH AR 72919
Phone:
TAMPA FL 33610
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
12022 FARMINGTON
HILLSDULUTH GA 30097
Phone:
DULUTH GA 30097
Phone:
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
678-338-4171 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-548-1373 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 FIANA WAY MWHITE@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
AMERISURE INSURANCE COMPANY MI 48331 CORPLEGAL@AMERISURE.COM
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
888-329-6259 Ext.
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
800-842-5612 Ext. 4611
800-230-9338 Ext.
AMERISURE MUTUAL 38-0829210 2160 SATELLITE BLVD CPUZA@AMERISURE.COM
770-813-3302 Ext.
AMERISURE INSURANCE
COMPANY
38-1869912 2160 SATELLITE BLVD KSWAN@AMERISURE.COM
SBWC # Insurer Name Address Email
10106 FARMINGTON
HILLSDULUTH GA 30097
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13167 WILKES-BARRE
WILKES-BARRE PA 18703
Phone:
ALPHARARETTA GA 30009
Phone:
WILKES-BARRE PA 18703
Phone:
WILKES-BARRE PA 18703
Phone:
TOWSON MD 21204
Phone:
SBWC # Insurer Name Address Email
13095 DALLAS
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13210 FRANKENMUTH
FRANKENMUTH MI 48787
Phone:
FRANKENMUTH MI 48787
Phone:
SBWC # Insurer Name Address Email
13183 STAMFORD
SAVANNAH GA 31405
AMERISURE MUTUAL 38-0829210 2160 SATELLITE BLVD CPUZA@AMERISURE.COM
770-813-3302 Ext.
AMERISURE INSURANCE
COMPANY
38-1869912 2160 SATELLITE BLVD KSWAN@AMERISURE.COM
800-230-9338 Ext.
AMERISURE MUTUAL INSURANCE COMPANY MI 48331 CORPLEGAL@AMERISURE.COM
800-673-2465 Ext. 8302
GUARD INSURANCE GROUP - P O Box 1368 CLAIMS3@GUARD.COM
678-581-0589 Ext.
GUARD INSURANCE GROUP 23-2240322 102 WEST PENNSYLVANIA
AVE
CLAIMS3@GUARD.COM
800-673-2465 Ext. 8110
GUARD INSURANCE GROUP 23-2240322 P O BOX A - H CLAIMS3@GUARD.COM
800-673-2465 Ext. 8110
AMGUARD 23-2240321 P O Box 1368 CLAIMS3@GUARD.COM
800-673-2465 Ext. 8110
AMGUARD INSURANCE
COMPANY
23-2240321 294 SOUTH MAIN STREET BDIAMOND@GUARD.COM
AMGUARD INSURANCE COMPANY PA 18703 ESOLA@GUARD.COM
ANSUR AMERICA INSURANCE COMPANY MI 48787 JOHN.BENSON@FMINS.COM
ANSUR AMERICA
INSURANCE COMPANY
38-3467437 ONE MUTUAL AVENUE SUZANNE.COWAN@FMINS.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
AMTRUST INSURANCE COMPANY OF KANSAS
INC
TX 75265 KFAIRRIS@AMTRUSTGROUP.COM
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
ARCH INSURANCE COMPANY 300 1ST STAMFORD
PLACE, 5TH FLOOR
CT 06902 JROEHRICH@ARCHINSURANCE.COM
800-234-1133 Ext.
FRANKENMUTH MUTUAL
INSURANCE COMPANY
38-0555290 ONE MUTUAL AVE. SUZANNE.COWAN@FMINS.COM
800-234-1122 Ext.
Phone:
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
DULUTH GA 30096
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
PARSIPPANY NJ 07054
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
21371 THOMASVILLE
MARIETTA GA 30006
Phone:
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA CMULLINS@AVIZENTRISK.COM
800-277-7500 Ext. 20104
800-580-6912 Ext.
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
866-246-0259 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 9 CAMPUS DRIVE ATLANTAR@GABROBINS.COM
800-422-4436 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY BETH.RODEE@SRSCONNECT.COM
770-901-3124 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
ALLIED CLAIMS
ADMINISTRATION INC
58-1962415 P O BOX 674869 WILCOXB@MCNEARY.COM
800-476-7601 Ext.
ARCHBOLD MEDICAL CENTER INC GA 31799 JKING@ARCHBOLD.ORG
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
SBWC # Insurer Name Address Email
21644 DECATUR
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
10081 SAN ANTONIO
ALPHARETTA GA 30022
Phone:
SBWC # Insurer Name Address Email
10026 SAN ANTONIO
ALPHARETTA GA 30022
Phone:
IRVING TX 75015
Phone:
CHICAGO IL 60606
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
12039 SAN ANTONIO
ALPHARETTA GA 30022
Phone:
IRVING TX 75015
Phone:
CHICAGO IL 60606
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
10147 CHARLOTTE
ARGONAUT GREAT
CENTRAL INSURANCE
37-0301640 3000 OLD ALABAMA ROAD CWILLIAMS@ARGOGROUPUS.COM
770-754-0424 Ext.
ARGONAUT GREAT CENTRAL 10101 REUNION PLACE,
SUTIE 500
TX 78216 MSMITH@ARGOGROUPUS.COM
866-246-0259 Ext.
ARCHER DANIELS MIDLAND COMPANY IL 62525 MICHAEL.SCOTT@ADM.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ARGONAUT INSURANCE
COMPANY
94-1390273 255 W WASHINGTON CSURENS@ARGOGROUPUS.COM
800-678-6766 Ext.
ARGONAUT INSURANCE 94-1390273 P O BOX 152007 CSTEVENS@ARGOGROUPUS.COM
800-678-6766 Ext.
ARGONAUT GREAT
CENTRAL INSURANCE
37-0301640 3000 OLD ALABAMA ROAD CWILLIAMS@ARGOGROUPUS.COM
770-754-0424 Ext.
ARGONAUT INSURANCE COMPANY 10101 REUNION PLACE,
SUITE 500
TX 78216 MSMITH@ARGOGROUPUS.COM
ARGONAUT GREAT
CENTRAL INSURANCE
37-0301640 3000 OLD ALABAMA ROAD CWILLIAMS@ARGOGROUPUS.COM
770-754-0424 Ext.
ARGONAUT MIDWEST INS CO 10101 REUNION PLACE,
SUITE 500
TX 78216 MSMITH@ARGOGROUPUS.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
ARGONAUT MIDWEST
INSURANCE COMPANY
36-2489372 275 W WASHINGTON CSTEVENS@ARGOGROUP.COM
800-678-6766 Ext.
ARGONAUT INSURANCE 94-1390273 P O BOX 152007 CSTEVENS@ARGOGROUPUS.COM
800-678-6766 Ext.
ARROWOOD INDEMNITY COMPANY NC 28273 LLINDA.PETTIGREW@ARROWPOINTCAP.COM
CHARLOTTE NC 28273
Phone:
SBWC # Insurer Name Address Email
21476 WILLOW GROVE
TAMPA FL 33618
Phone:
SBWC # Insurer Name Address Email
10027 NOVATO
ATLANTA GA 30374
Phone:
ALPHARETTA GA 30022
Phone:
SBWC # Insurer Name Address Email
13115 BOCA RATON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13173 AUSTIN
ATLANTA GA 30319
Phone:
COLUMBIA MO 65205
Phone:
SBWC # Insurer Name Address Email
10144 ATLANTA
ATLANTA GA 30339
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
ASPLUNDH TREE EXPERT CO 708 BLAIR MILL ROAD,
RISK MGMT 3RD FLOOR
PA 19090 DRIGGS@ASPLUNDH.COM
800-523-6235 Ext. 3
ARROWOOD INDEMNITY
COMPANY
13-5358230 3600 ARCO CORPORATE
DRIVE
DEBBIE.SCHILLER@ARROWPOINTCAP.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
ASSOCIATED INDUSTRIES INSURANCE
COMPANY INC
FL 33481 JSCHUESSLER@AMTRUSTGROUP.COM
678-393-4550 Ext.
FIREMAN'S FUND
INSURANCE CO
94-1610280 11475 GREAT OAKS WAY JUDY.OWEN@AFFIC.COM
678-393-4584 Ext.
ASSOCIATED INDEMNITY CORP CA 94998 LMUNSON@FFIC.COM
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174 KLOCKE@FFIC.COM
573-474-6193 Ext.
ASSOCIATION CASUALTY 74-1958653 4370 PEACHTREE ROAD NE RPITTMAN@COLINSGRP.COM
404-442-1174 Ext.
ASSOCIATION CASUALTY
INSURANCE CO
74-1958653 P O BOX 618 FSHORE@COLINSGRP.COM
ASSOCIATION CASUALTY INSURANCE
COMPANY
3420 EXECUTIVE
CENTER DRIVE, #200
TX 78731 FSHORE@COLINSGRP.COM
JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
800-883-9305 Ext.
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY
ASSOCIATION INSURANCE COMPANY GA 30339 LMCMURRAY@BLDRS.COM
BUILDERS INSURANCE 58-2453325 P O BOX 723099 CLAIMSFORM@BLDRS.COM
10252 SCHAUMBURG
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20505 FORT WORTH
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
10215 ST PAUL
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21534 ATHENS
ATHENS GA 30603
Phone:
SBWC # Insurer Name Address Email
21257 ATHENS
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
20314 ATLANTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20485 ATLANTA
ASSURANCE COMPANY OF
AMERICA
13-6081895 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
ASSURANCE COMPANY OF
AMERICA
13-6081895 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
ASSURANCE COMPANY OF AMERICA IL 60196 TIM.GRAHAM@ZURICHNA.COM
COLLINS & COMPANY 62-0882150 555 RIVER STREET AGRIME@COLLINSANDCO.COM
800-884-1535 Ext.
ATCO RUBBER PRODUCTS INC TX 76118 BLIGHTSEY@ATCOFLEX.COM
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
404-851-3207 Ext.
706-613-3101 Ext.
ATHENS CLARKE CTY GOVT GA 30603
ATHENS CLARKE CTY GOVT 58-1911146 P O BOX 1868
888-487-3492 Ext.
ATHENA ASSURANCE
COMPANY
41-1435765 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
ATHENA ASSURANCE CO MN 55102 CURBANIA@TRAVELERS.COM
ATHENA ASSURANCE
COMPANY
41-1435765 BLDG V STE 200 DBRYSON@TRAVELERS.COM
ATLANTA HOUSING AUTHORITY GA 30303 STEPHANIE.STEPHENS@ATLANTAHOUSING.ORG
TKATER@NOVAPRORISK.COM
678-731-9091 Ext. 252
ATLANTA CITY OF 68 MITCHELL STREET
SW, SUITE 9100
GA 30303
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE
800-421-0710 Ext.
ATHENS REGIONAL MEDICAL CENTER GA 30606 TERRIASH@ARMC.ORG
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
ATLANTA GA 30303
Phone:
SBWC # Insurer Name Address Email
20313 ATLANTA
ATLANTA GA 30303
Phone:
SBWC # Insurer Name Address Email
13154 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
13232 MARIETTA
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
21676 AUGUSTA
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
10030 LANSING
DULUTH GA 30096
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
12010 HARTFORD
TAMPA FL 33610
ATLANTIC SPECIALTY INS CO MA 02108 SHOLLAND@ONEBEACON.COM
ATLANTA PUBLIC SCHOOLS - 130 TRINITY AVENUE HBTURNER@ATLANTA.K12.GA.US
404-802-2335 Ext.
ATLANTA PUBLIC SCHOOLS GA 30303
ATLANTA HOUSING
AUTHORITY
- 230 JOHN WESLEY DOBBS
AVE NE
404-817-7465 Ext.
AUGUSTA RICHMOND COUNTY BOARD
COMMISSIONERS
CITY/COUNTY
BUILDING, ROOM 217
GA 30911 JBLACKSTONE@AUGUSTAGA.GO
800-277-7442 Ext. 1336
ATLANTIC STATES INSURANCE COMPANY 1195 RIVER ROAD, PO
BOX 302
PA 17547 CYGREENYA@DONEGALGROUP.COM
SOUTHERN INSURANCE 54-0386765 3237 SATELLITE BLVD MIKEGORE@DONEGALGROUP.COM
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
800-238-6214 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
AUTO OWNERS INSURANCE
CO
38-0315280 P O BOX 100044 GEORGIAWORKCOMP.CLM@AOINS.COM
770-931-7766 Ext. 201
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
AUTO-OWNERS INSURANCE CO MI 48909 AOHOCLAIMS@AOINS.NET
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
AUTOMOBILE INSURANCE COMPANY OF
HARTFORD CT
CT 06183 KDAVIS@TRAVELERS.COM
AUTOMOBILE INS CO OF
HARTFORD CT
06-0848755 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21545 COOKEVILLE
COOKEVILLE TN 38502
Phone:
SBWC # Insurer Name Address Email
21348 MILLEDGEVILLE
MILLEDGEVILLE GA 31059
Phone:
SBWC # Insurer Name Address Email
13074 OKLAHOMA CITY
ATLANTA GA 30319
Phone:
GLEN ALLEN VA 23058
Phone:
CHARLESTON SC 29416
Phone:
FRISCO TX 75034
Phone:
SBWC # Insurer Name Address Email
13299 ST PETERSBURG
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10269 PHILADELPHIA
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
800-906-4461 Ext.
931-525-5384 Ext.
AVERITT EXPRESS INC TN 38502 DMCDOWELL@AVERITTEXPRESS.COM
AVERITT EXPRESS INC 62-0755421 P O BOX 3166 LMAYBERRY@AVERITTEXPRESS.COM
888-329-6259 Ext.
AUTOMOBILE INSURANCE
COMPANY OF HARTFORD CT
06-0848755 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
CORVEL CORPORATION 95-3382819 4820 LAKE BROOK DRIVE
#150
MARCIA_MORGAN@CORVEL.COM
866-424-2480 Ext.
CORVEL ENTERPRISES 42-1704550 P O BOX 81029 GLENN_MARTIN@CORVEL.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BANCINSURE INC OK 73126 BBAILEY@BANCINSURE.COM
912-453-8404 Ext.
BALDWIN CO BOARD OF COMMISSIONERS GA 31061 BOBBY@BOBBYBROWNINSURANCE.COM
BALDWIN COUNTY RISK - P O BOX 1599 BOBBY@BOBBYBROWNINSURANCE.COM
BANKERS INSURANCE COMPANY FL 33716 COMPLIANCE@BANKERSINSURANCE.COM
IMPERIAL CASUALTY
INDEMNITY COMPANY
47-0412734 P O BOX 2009 SUPPORT@IMPERIALCASUALTY.COM
888-339-5736 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
BANKERS STANDARD FIRE AND MARINE
COMPANY
436 WALNUT STREET,
WB04
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE TKATER@NOVAPRORISK.COM
678-731-9091 Ext. 252
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13071 PHILADELPHIA
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
20529 DULUTH
GRAYSON GA 30017
Phone:
SBWC # Insurer Name Address Email
21760 DALTON
DALTON GA 30722
Phone:
SBWC # Insurer Name Address Email
21209 DALLAS
NORCROSS GA 30010
Phone:
JACKSONVILLE FL 32256
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30338
678-338-4171 Ext.
BANKERS STANDARD INSURANCE COMPANY 436 WALNUT STREET,
WB04G
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
BARTOW COUNTY BOE 3473 SATELLITE BLVD,
STE 310 NORTH
GA 30096
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
KELLYW@MAIL.COREMRG.COM
770-962-3627 Ext.
SEDGWICK CMS BELLSOUTH
DISABILITY
36-2685608 1200 ASHWOOD PARKWAY TOBIN.BECKERMANN@SEDGWICKCMS.COM
888-784-3470 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
SEDGWICK CMS 36-2685608 8649 BAYPINE ROAD MARILYN.SANDERS@SEDGWICKCMS.COM
BROADSPIRE INC 36-3917295 P O BOX 926240
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
BELLSOUTH TELECOMMUNICATIONS INC fka
BELLSOUTH CORPORATION
ONE AT&T PLAZA, 208 S
AKARD ROOM 2731
TX 75202 JD949H@ATT.COM
706-275-4451 Ext. 5406
BEAULIEU GROUP LLC GA 30722 BETH.RANDOLPH@BEAULIEUGROUP.COM
BEAULIEU GROUP LLC 58-2272636 PO BOX 1248 BETH.RANDOLPH@BEAULIEUGROUP.COM
Phone:
SBWC # Insurer Name Address Email
13077 OVERLAND PARK
JOHNS CREEK GA 30097
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20537 DOUGLASVILLE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13290 NAPERVILLE
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13298 NAPERVILLE
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
20608 MOUNT BERRY
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
21186 MACON
MACON GA 31201
Phone:
SBWC # Insurer Name Address Email
21654 COLUMBUS
BENCHMARK INSURANCE CO 6405 METCALF AVENUE,
SUITE 400
KS 66202 JSPAIN@BENCHMARKINSCO.COM
770-353-4591 Ext.
678-258-8000 Ext.
BENTON-GEORGIA INC GA 30133 MMCM@BENTON-GEORGIA.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
866-246-0259 Ext.
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
478-779-3527 Ext.
BIBB COUNTY BOARD OF EDUCATION GA 31208 KBENTLEY@BIBB.K12.GA.US
BIBB COUNTY BD P ED & - P O BOX 6157 KBENTLEY@BIBB.K12.GA.US
336-668-9050 Ext. 7539
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
BERRY COLLEGE INC GA 30149 BERB@BERRY.EDU
KEY RISK MANAGEMENT
SERVICES LLC
56-1800954 3655 NORTH POINT PKWY JDUGGINS@KEYRISK.COM
800-366-1511 Ext. 7732
BERKLEY REGIONAL INSURANCE COMPANY 215 SHURMAN BLVD,
SUITE 200
IL 60563 LLARSEN@BUPLLC.COM
800-366-1511 Ext. 7732
BERKLEY NATIONAL INSURANCE COMPANY 215 SHUMAN BLVD,
SUITE 200
IL 60563 LLARSEN@BUPLLC.COM
KEY RISK MANAGEMENT
SERVICES LLC
56-1800954 3655 NORTH POINT PKWY JDUGGINS@KEYRISK.COM
BIG LOTS STORES INC FKA CONSOLIDATED
STORES CORP
OH 43228 SHARONEVANS@BIGLOTS.COM
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
10032 ROCK ISLAND
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
10033 ROCK ISLAND
DULUTH GA 30096
Phone:
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
21729 WESTBOROUGH
JACKSONVILLE FL 32256
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
20541 FORT VALLEY
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21746 BOWDON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13179 LAKELAND
800-822-2905 Ext.
BITUMINOUS FIRE & MARINE
INS CO
36-6054328 3700 CRESTWOOD
PARKWAY
ROLSON@BITUMINOUSINSURANCE.COM
800-822-2905 Ext.
BITUMINOUS FIRE & MARINE INSURANCE CO IL 61201 BRAINEY@BITUMINOUSINSURANCE.COM
BITUMINOUS CASUALTY 36-0810360 3700 CRESTWOOD
PARKWAY
ROLSON@BITUMINOUSINSURANCE.COM
800-822-2905 Ext.
BITUMINOUS CASUALTY CORP IL 61201 BRAINEY@BITUMINOUSINSURANCE.COM
BITUMINOUS CASUALTY 36-0810360 3700 CRESTWOOD
PARKWAY
ROLSON@BITUMINOUSINSURANCE.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
678-258-8000 Ext.
BREMEN BOWDON INVESTMENT COMPANY GA 30108 DEBBRADY@ATT.NET
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
BLUE BIRD BODY COMPANY GA 31010 MIKE.MCCURDY@BLUE-BIRD.COM
888-784-3470 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
BJ'S WHOLESALE CLUB INC 25 RESEARCH DRIVE, P
O BOX 5230
MA 01581 MCHAFE@BJS.COM
SEDGWICK CMS 36-2685608 8649 BAYPINE ROAD MARILYN.SANDERS@SEDGWICKCMS.COM
BRIDGEFIELD CASUALTY INSURANCE
COMPANY
FL 38802 BOB.LARAMORE@SUMMITHOLDINGS.COM
CHARLOTTE NC 28277
Phone:
GAINESVILLE GA 30501
Phone:
SBWC # Insurer Name Address Email
13286 BOSTON
GAINESVILLE GA 30501
Phone:
SBWC # Insurer Name Address Email
21888 WAUWATOSA
CHARLESTON SC 29416
Phone:
SBWC # Insurer Name Address Email
10031 FORT WAYNE
FORT WAYNE IN 46801
Phone:
SBWC # Insurer Name Address Email
21649 DALTON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20394 BRUNSWICK
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
40008 ATLANTA
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
BROTHERHOOD MUTUAL INSURANCE
COMPANY
IN 46801 DROESENER@BROTHERHOODMUTUAL.CO
GLENN_MARTIN@CORVEL.COM
866-434-2480 Ext.
BRIGGS AND STRATTON CORPORATION WI 53222
PARKER SERVICES 39-1956269 P O BOX 81029
800-971-2667 Ext.
BRIDGEFIELD EMPLOYERS INSURANCE
COMPANY
MA 02116 BOB.LARAMORE@SUMMITHHOLDINGS.COM
SUMMIT CONSULTING INC. 59-1683711 340 JESSE JEWELL
PARKWAY SE
STACEY.FEWOX@SUMMITHOLDINGS.COM
800-334-0078 Ext.
SUMMIT CONSULTING INC. 59-1683711 340 JESSE JEWELL
PARKWAY SE
STACEY.FEWOX@SUMMITHOLDINGS.COM
800-971-2667 Ext.
BRIDGEFIELD CASUALTY
INSURANCE COMPANY
59-3269531 1380 BALLANTYNE CORP
PLACE
WARNER.MARSHALL@LIBERTYMUTUAL.COM
BUILDERS INSURANCE 58-2453325 P O BOX 723099 CLAIMSFORM@BLDRS.COM
800-883-9305 Ext.
BUILDERS INSURANCE A MUTUAL CAPTIVE 2410 PACES FERRY
ROAD, SUITE 300
GA 30339 CEDWARDS@BLDRS.COM
912-355-8989 Ext.
BRUNSWICK CITY OF GA 31521 GRIFFINC@SBWC.GA.GOV
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
BROWN INDUSTRIES INC GA 30722 TIM.HOLT@BROWNIND.COM
BROTHERHOOD MUTUAL
INSURANCE COMPANLY
35-0198580 P O BOX 2227 GALDRIDGE@BROTHERHOODMUTUAL.COM
800-333-3735 Ext.
13261 RALEIGH
RALEIGH NC 27624
Phone:
SBWC # Insurer Name Address Email
21517 TIFTON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21427 ATLANTA
ALPHARETTA GA 30004
Phone:
SBWC # Insurer Name Address Email
13234 OMAHA
OMAHA NE 68103
Phone:
SBWC # Insurer Name Address Email
21762 WOODBINE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
10036 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
13099 GREENVILLE
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
21297 SAVANNAH
SAVANNAH GA 31401
Phone:
877-234-4424 Ext.
CALIFORNIA INSURANCE COMPANY NE 68103 SWILLNERD@AUW.COM
CALIFORNIA INSURANCE
COMPANY
94-1627528 P O BOX 3804 NALBRECHT@AUW.COM
770-752-0122 Ext.
CAGLES INC & SUBSIDIARY GA 30318 LWAITE@CAGLESINC.COM
AMERICAN PROFESSIONAL
RISK
58-1872616 1255 MCFARLAND 400 CLAIMS@AMPRISK.COM
678-258-8000 Ext.
BURLEN CORPORATION GA 31793 LISAS@BURLEN.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
800-809-4861 Ext.
BUILDERS MUTUAL INSURANCE COMPANY NC 27606 JVISINTINE@BMICO.COM
AEGIS ADMINISTRATIVE
SERVICES INC
56-1749798 P O BOX 150006 SGAY@BMICO.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
CANDLER HOSPITAL INC GA 31405 MILLSA@SJCHS.ORG
678-447-0200 Ext. 302
CANAL INSURANCE CO. SC 29602
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
ONEBEACON INSURANCE 23-1502700 P O BOX 9155
CAMDEN FIRE INSURANCE ASSOCIATION MA 02021 SHOLLAND@ONEBEACON.COM
678-258-8000 Ext.
CAMDEN COUNTY BOARD OF COMMISSIONERS GA 31569 SBOWICK@CO.CAMDEN.GA.US
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
912-355-8929 Ext. 224
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
13048 COLUMBIA
759507 MACON GA 31221
Phone:
SBWC # Insurer Name Address Email
13078 WOODBRIDGE
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
21775 CARTERSVILLE
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
21139 FAIRVIEW
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
12098 CHICAGO
MOBILE AL 36695
Phone:
MAITLAND FL 32751
Phone:
CHICAGO IL 60606
Phone:
SBWC # Insurer Name Address Email
20621 SMYRNA
COLUMBIA SC 29202
CASCADE CORPORATION OR 97024 SUSAN.WRIGHT@CASCORP.COM
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
CARTERSVILLE CITY OF GA 30120 DPORTA@CITYOFCARTERSVILLE.ORG
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
336-668-9050 Ext. 7539
CAROLINA CASUALTY INS 12701 MARBLESTONE
DRIVE, SUITE 250
VA 22192 JBURKE@BERKLEYNET.COM
800-471-2103 Ext.
CAPITAL CITY INS SC 29221 WWALTON@NPIC.COM
SOUTHEASTERN CLAIMS
SERVICES INC
57-0851047 P O BOX 27180 WMURRAY@SOUTHEASTERNCLAIMS.COM
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
866-450-8608 Ext.
SUA INSURANCE CO 23-2182777 2222 S RIVERSIDE PLAZA NFLORES@SUAINSURANCE.COM
888-782-4672 Ext.
CASTLEPOINT NATIONAL
INSURANCE COMPANY
23-2182777 1111 HILLCREST ROAD EWALLS@TWRGRP.COM
800-711-4405 Ext.
SUA INSURANCE CLAIMS 23-2182777 101 SOUTHHALL LANE,
SUITE 365
JBEASON@SUAINSURANCE.COM
CASTLEPOINT NATIONAL INSURANCE
COMPANY FKA SUA INS CO
222 SOUTH RIVERSIDE
PLAZA, SUITE 1600
IL 60606 ROREN@TWRGRP.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
336-668-9050 Ext. 7539
CATHOLIC ARCHDIOCESE OF ATLANTA GA 30080 LGALLAGHER@ARCHATL.COM
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
Phone:
SBWC # Insurer Name Address Email
21624 RINGOLD
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
21368 LEBANON
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
21533 MACON
GLEN ALLEN VA 23058
Phone:
CHARLESTON SC 29416
Phone:
SBWC # Insurer Name Address Email
10040 VAN WERT
VAN WERT OH 45891
Phone:
SBWC # Insurer Name Address Email
10267 PHILADELPHIA
ROSWELL GA 30076
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
21081 VALLEY FORGE
RICHMOND IN 47374
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
CBOCS INC F/K/A CRACKER BARREL COUNTRY
STORE
PO BOX 787, HARTMAN
DRIVE
TN 37088 RBEHNKE@CRACKERBARREL.COM
WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext. 43582
CATOOSA COUNTY BOARD OF EDUCATION GA 30736
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159
800-845-2724 Ext. 43582
COMPANION THIRD PARTY
ADMINISTRATORS LLC
CENTRAL MUTUAL INSURANCE COMPANY OH 45891 PWOIROL@CENTRAL-INSURANCE.COM
866-434-2480 Ext.
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
800-906-4461 Ext.
CORVEL ENTERPRISES 42-1704550 P O BOX 81029 GLENN_MARTIN@CORVEL.COM
CENTRAL GA HEALTH SYSTEM fka MACON BIBB
HOSP AUTHORITY
777 HEMLOCK STREET,
MSC#135
GA 31201 HODGE.SUSAN@MCCG.ORG
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-685-7361 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
CENTURY INDEMNITY COMPANY PA 19106 PAUL.NEAFSEY@ACEGROUP.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
CENTRAL INSURANCE 34-4202560 800 SOUTH WASHINGTON CLININGER@CENTRAL-INSURANCE.COM
800-736-7000 Ext. 2380
CERTAINTEED CORPORATION PA 19482 MEGHAN.GILLIN@SAINT-GOBAIN.CO
ESIS INC. - 120 NORTH 9TH STREET GAFORMS@ESIS.COM
800-541-0139 Ext.
Phone:
SBWC # Insurer Name Address Email
10272 HARTFORD
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
10146 NEW YORK
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
ALPHARETTA GA 30023
Phone:
OKLAHOMA CITY OK 73123
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33612
Phone:
TAMPA FL 33610
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
765-983-6244 Ext.
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
CHARTIS CASUALTY COMPANY 175 WATER STREET,
18TH FLOOR
NY 10038 SMEETA.TECK@CHARTISINSURANCE.COM
888-329-6259 Ext.
CHARTER OAK FIRE INS CO 06-0291290 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
CHARTER OAK FIRE INSURANCE COMPANY CT 06183 KDAVIS@TRAVELERS.COM
CHARTER OAK FIRE INS CO 06-0291290 BLDG V STE 200 DBRYSON@TRAVELERS.COM
CLAIMETRICS 20-1604010 PO BOX 22478 LAUREN.TOPPINS@CLAIMETRICS.COM
405-728-5544 Ext. 2326
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-448-9707 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
800-685-7361 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR
DR #200
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
770-352-2978 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR GEORGIAWCBOARD@TRAVELERS.COM
770-934-3414 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
TAMPA FL 33602
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
LEXINGTON KY 40512
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10193 NEW YORK
ALPHARETTA GA 30023
Phone:
TAMPA FL 33610
Phone:
ATLANTA GA 30338
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
20561 SAVANNAH
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21738 CARTERSVILLE
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
20443 CANTON
800-426-5990 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
NOVAPRO RISK 36-4550659 101 E KENNEDY BLVD KROGERS@NOVAPRORISK.COM
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
800-541-0139 Ext. 35832
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR
DR #200
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
CHARTIS PROPERTY CASUALTY COMPANY 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
CHEMICAL PRODUCTS CORP GA 30120 DPICKARD@CPC-US.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
CHATHAM COUNTY BOC P O BOX 9297, 12 E BAY GA 31412 CMVOELKE@CHATHAMCOUNTY.ORG
CHEROKEE COUNTY BD OF ED GA 30114 JULIE.LITTLE@CHEROKEE.K12.GA.US
336-668-9050 Ext. 7539
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21129 CANTON
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
13250 STERLING
HEIGHTSSTERLING
HEIGHTS
MI 48310
Phone:
SBWC # Insurer Name Address Email
20607 SAN RAMON
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21504 ATLANTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13075 WARREN
ATLANTA GA 30326
Phone:
GLEN ALLEN VA 23058
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
CHEROKEE COUNTY BOARD OF
COMMISSIONER
GA 30114 MMCGUIRE@CHEROKEEGA.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
678-258-8000 Ext.
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CHEVRON USA INC PO BOX 6022, 6001
BOLLINGER CANYON
ROAD
CA 94583 KELLY.GEORGE@CHEVRON.COM
800-201-0450 Ext. 3436
CHEROKEE INSURANCE COMPANY MI 48310 MMITTLESTAT@CHEROKEEINSURANCE.COM
CHEROKEE INSURANCE CO 38-3464294 34200 MOUND ROAD MMROHN@CHEROKEEINSURANCE.COM
336-668-9050 Ext. 7539
404-266-4855 Ext.
CORVEL CORPORATION 95-3382819 4820 LAKE BROOK DRIVE
#150
MARCIA_MORGAN@CORVEL.COM
866-424-2480 Ext.
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
CHUBB INDEMNITY INSURANCE COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
CHILDRENS HEALTHCARE OF ATL (EGLESTON/SCOTTISH
RITE), 1600 TULIE
CIRCLE NE
GA 30329 DARLENE.ALMEIDA@CHOA.ORG
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13195 WARREN
ATLANTA GA 30326
Phone:
GLEN ALLEN VA 23058
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10297 MERRILL
MERRILL WI 54452
Phone:
SBWC # Insurer Name Address Email
13014 CINCINNATI
NORCROSS GA 30010
Phone:
SBWC # Insurer Name Address Email
13060 CINCINNATI
NORCROSS GA 30010
Phone:
SBWC # Insurer Name Address Email
10195 CINCINNATI
NORCROSS GA 30010
TAMPA FL 33610
CHUBB NATIONAL INSURANCE COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
CORVEL CORPORATION 95-3382819 4820 LAKE BROOK DRIVE
#150
MARCIA_MORGAN@CORVEL.COM
866-424-2480 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
404-266-4855 Ext.
CINCINNATI INSURANCE
COMPANY
31-0542366 P O BOX 920338 MIKE_THOMAS@CINFIN.COM
770-662-8753 Ext.
CINCINNATI CASUALTY CO 6200 S. GILMORE RD., P
O BOX 145496
OH 45250 MARK_WELSH@CINFIN.COM
800-554-2642 Ext. 2
CHURCH MUTUAL 39-0712210 3000 SCHUSTER LANE DSEISER@CHURCHMUTUAL.COM
CHURCH MUTUAL INSURANCE COMPANY WI 54452 DSEISER@CHURCHMUTUAL.COM
TRAVELERS COMMERCIAL
CASUALTY COMPANY
95-3634110 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
CINCINNATI INSURANCE
COMPANY
31-0542366 P O BOX 920338 MIKE_THOMAS@CINFIN.COM
CINCINNATI INS CO THE OH 45250 MARK_WELSH@CINFIN.COM
CINCINNATI INSURANCE
COMPANY
31-0542366 P O BOX 920338 MIKE_THOMAS@CINFIN.COM
770-662-8753 Ext.
CINCINNATI INDEMNITY COMPANY OH 45250 MARK_WELSH@CINFIN.COM
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
10043 WORCESTER
WORCESTER MA 01653
Phone:
SBWC # Insurer Name Address Email
12094 NEW YORK
ATLANTA GA 30366
FL 32716
Phone:
SBWC # Insurer Name Address Email
21159 JONESBORO
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21069 JONESBORO
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
20527 MORROW
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
21487 ELKHART
MANDEVILLE LA 70471
TRAVELERS COMMERCIAL
CASUALTY COMPANY
10401 HIGHLAND MANOR
DRIVE
888-329-6259 Ext.
CLARENDON NATIONAL INS 466 LEXINGTON AVE,
19TH FLOOR
NY 10017 DNG@CLARENDON-INS.COM
HANOVER INSURANCE
COMPANY
13-5129825 440 LINCOLN STREET EBESHAI@HANOVER.COM
800-628-0250 Ext.
CITIZENS INSURANCE COMPANY OF AMERICA MA 01653 DAXMURPHY@HANOVER.COM
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
CLAYTON COUNTY PUBLIC SCHOOLS GA 30236 BMILLER@CLAYTON.K12.GA.US
CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
CLAYTON COUNTY BOARD OF COMMISSIONERS RISK MANAGEMENT, 112
SMITH STREET
GA 30236
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE
800-315-6090 Ext.
ADJUSTMENT SERVICES INC. 58-1623664 P O BOX 81306 SHARON@ADJUSTMENTSERVICES.COM
NORTH AMERICAN RISK
SERVICES INC
13-3901415 P O BOX 166002 ALTAMONTE
SPRINGS
MAILROOM@NARIK.COM
COACHMEN RECREATIONAL VEHICLE IN 46515 LBARKER@ALLAMERICANGROUPINC.COM
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
888-888-8136 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
CLAYTON COUNTY WATER AUTHORITY GA 30260 MMIRZAIEE@CCWA.US
Phone:
BRENTWOOD TN 37027
Phone:
SBWC # Insurer Name Address Email
20345 CHARLOTTE
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21066 MARIETTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21038 MARIETTA
MARIETTA GA 30061
Phone:
SBWC # Insurer Name Address Email
20514 ATLANTA
ALPHARETTA GA 30005
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
20347 COLLEGE PARK
POMPANO BEACH FL 33064
Phone:
SBWC # Insurer Name Address Email
13181 SCHAUMBURG
ATLANTA GA 30319
Phone:
985-624-6739 Ext.
F A RICHARD (FARA) 72-0837383 7000 EXECUTIVE CENTER
DRIVE
GEORGIA.NOTICES@FARA.COM
800-675-2771 Ext. 225
678-258-8000 Ext.
COBB COUNTY BD OF COMMISS GA 30061 TONY.HAGLER@COBBCOUNTY.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
800-450-0692 Ext.
COATS NORTH AMERICA FKA COATS & CLARK
INC
3430 TORINGDON WAY,
SUITE 301
NC 28277 SCOTT.WILLIS@COATS.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
COCA COLA COMPANY ONE COCA-COLA
PLAZA, MAIL STOP NAT
GA 30313 SHGREEN@NA.KO.COM
770-426-3357 Ext.
COBB COUNTY SCHOOL SYSTEM GA 30061 SANDRA.ELLIOTT@COBBK12.ORG
COBB COUNTY SCHOOLS
RISK M
58-6000214 P O BOX 1088 SANDRA.ELLIOTT@COBBK12.ORG
COLONIAL AMERICAN CASUALTY & SURETY
COMPANY
IL 60196 USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
ASSURANCE COMPANY OF
AMERICA
13-6081895 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
877-295-0011 Ext.
COLLEGE PARK CITY OF GA 30337 DBAKER@COLLEGPARKGA.COM
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
404-851-3207 Ext.
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21505 SAVANNAH
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
13221 BOSTON
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21529 MOULTRIE
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
20323 MOULTRIE
MOULTRIE GA 31768
Phone:
SBWC # Insurer Name Address Email
20550 APPLING
LAWRENCEVILLE GA 30042
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NA ATL CLAIMS 36-4233459 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
COLONIAL AMERICAN
CASUALTY AND SURETY
52-1096670 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
COLONIAL AMERICAN
CASUALTY AND SURETY
52-1096670 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
COLORADO CASUALTY INSURANCE COMPANY MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
COLONIAL GROUP INC GA 31402 DDEASON@COLONIALGROUPINC.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
800-928-9096 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
COLQUITT CTY BD OF ED GA 31776 MKEY@COLQUITT.K12.GA.US
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
COLUMBIA COUNTY BD OF ED GA 30802
COLQUITT REGIONAL
MEDICAL CENTER
58-0607088 3131 SOUTH MAIN STREET DSPRUNGER@COLQUITTREGIONAL.COM
229-890-3482 Ext.
COLQUITT REGIONAL MEDICAL CENTER GA 31768 DSPRUNGER@COLQUITTREGIONAL.COM
Phone:
SBWC # Insurer Name Address Email
13127 COLUMBIA
ATLANTA GA 30345
Phone:
SBWC # Insurer Name Address Email
10010 COLUMBIA
ATLANTA GA 30345
Phone:
COLUMBIA MO 65205
Phone:
SBWC # Insurer Name Address Email
20958 COLUMBUS
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
21094 COLUMBUS
COLUMBUS GA 31902
Phone:
SBWC # Insurer Name Address Email
10248 NEW YORK
POMPANO BEACH FL 33064
Phone:
ALPHARETTA GA 30023
Phone:
OKLAHOMA CITY OK 73123
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
800-224-9524 Ext.
800-767-4080 Ext.
COLUMBIA NATIONAL INS 47-0685688 P O BOX 618 FSHORE@COLINSGRP.COM
573-474-6193 Ext.
COLUMBIA NATIONAL INSURANCE COMPANY MO 65205 FSHORE@COLINSGRP.COM
COLUMBIA INSURANCE
GROUP
43-0926456 2295 PARKLAKE DR FSHORE@COLINSGRP.COM
800-767-4080 Ext.
COLUMBIA MUTUAL MO 65202 FSHORE@COLINSGRP.COM
COLUMBIA INSURANCE
GROUP
43-0926456 2295 PARKLAKE DR FSHORE@COLINSGRP.COM
706-649-3436 Ext.
COLUMBUS WATER WORKS GA 31902 PCRAIGHEAD@CWWGA.ORG
COLUMBUS WATER WORKS 58-6001931 P O BOX 1600 PCRAIGHEAD@CWWGA.ORG
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
COLUMBUS REGIONAL HEALTHCARE SYSTEM
INC
GA 31901 WAYNE.JOINER@CRHS.NET
800-685-7361 Ext.
CLAIMETRICS 20-1604010 PO BOX 22478 LAUREN.TOPPINS@CLAIMETRICS.COM
405-728-5544 Ext. 2326
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-448-9707 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
COMMERCE AND INDUSTRY INS 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
LEXINGTON KY 40512
Phone:
NASHVILLE TN 37214
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13165 COLUMBIA
COLUMBIA SC 29202
Phone:
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
13000 COLUMBIA
COLUMBIA SC 29202
Phone:
COLUMBIA SC 29202
Phone:
FRANKLIN TN 37067
Phone:
SBWC # Insurer Name Address Email
40016 ATLANTA
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
21393 OMAHA
COLUMBIA SC 29210
800-541-0139 Ext. 35832
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
800-845-2724 Ext.
COMPANION PROPERTY &
CASUALTY
57-0768836 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
877-379-7389 Ext.
COMPANION COMMERCIAL INS SC 29202 CURTIS.STEWART@COMPANIONGROUP.COM
COMPANION COMMERCIAL
INS
58-2292212 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
AFFINITY SERVICE GROUP 58-2438483 1940 THE EXCHANGE GDORSEY@AFFINITYSERVICEGROUP.COM
800-233-2436 Ext. 1897
COMPTRUST AGC MUTUAL CAPTIVE
INSURANCE CO
1940 THE EXCHANGE,
SUITE 200
GA 30339 BCOREY@AFFINITYSERVICEGROUP.COM
KM@JOHNSTONANDASSOC.COM
800-304-5035 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
800-845-2724 Ext.
COMPANION PROPERTY &
CASUALTY
57-0768836 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
877-379-7389 Ext.
COMPANION PROPERTY & CASUALTY SC 29202 CURTIS.STEWART@COMPANIONGROUP.COM
COMPANION COMMERCIAL
INS
58-2292212 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE BHANNA@SEDGWICKCMS.COM
CONAGRA FOODS INC AND SUBSIDIARIES NE 68102 JEFF.REGLER@CONAGRAFOOD.COM
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
30006 TYRONE
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
10051 CHICAGO
ATLANTA GA 30319
Phone:
ATLANTA GA 30339
Phone:
POMPANO BEACH FL 33064
Phone:
DULUTH GA 30096
Phone:
CHICAGO IL 60604
Phone:
DUBUQUE IA 52004
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
CONSTRUCTION SUPPLIERS 120 HANDLEY ROAD,
SUITE 610
GA 30290 DIANEROUNTREE@GOCSA.COM
241-922-0638 Ext.
800-426-9218 Ext. 12131
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
312-822-2331 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
800-862-4252 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED 23-2731565 1775 THE EXCHANGE DAVID.HAYS@CAMBRIDGE-NA.COM
CONTINENTAL CASUALTY CO 333 S WABASH AVENUE,
28 SOUTH
IL 60604 GASTATEICNUMBERS@CNA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
877-241-6121 Ext.
COTTINGHAM AND BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
ALPHARETTA GA 30005
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
20523 NEW YORK
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
10052 CHICAGO
POMPANO BEACH FL 33064
Phone:
DULUTH GA 30096
Phone:
ALPHARETTA GA 30005
Phone:
CHICAGO IL 60604
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21016 FORT MILL
POMPANO BEACH FL 33064
Phone:
SBWC # Insurer Name Address Email
13225 URBANDALE
IRVING TX 75039
Phone:
SBWC # Insurer Name Address Email
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
CONTINENTAL GRAIN F/K/A CONTIGROUP
COMPANIES INC
NY 10172 STEVE.CARLSSON@CONTI.COM
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
800-238-6214 Ext.
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
312-822-2331 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-283-2318 Ext. 3574
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
CONTINENTAL INSURANCE CO 333 S WABASH AVENUE,
28 SOUTH
IL 60604 DEBRA.RETEL@CNA.COM
UNION STANDARD 47-0547953 122 W CARPENTER
FREEWAY
SRICHARDSON@USIC.COM
CONTINENTAL WESTERN INS CO IA 50322 SGEILS@USIC.COM
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CONTINENTAL TIRE THE AMERICAS LLC FKA
CONTINENTAL TIRE NORTH
SC 29707 RICK.LEDSINGER@CONTI-NA.COM
800-444-0049 Ext.
13295 OMAHA
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21694 ISSAQUAH
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
20603 COVINGTON
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21755 NEWNAN
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20552 NEWNAN
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
21532 ATLANTA
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21360 STILLMORE
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
13037 MORRISTOWN
LAKE MARY FL 32795
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-548-1373 Ext.
COSTCO WHOLESALE CORPORATION WA 98027 ALOONAM@COSTCO.COM
CORNHUSKER CASUALTY
COMPANY
- 1725 WINDWARD
CONCOURSE
NWILSON@BHHC.COM
877-212-3816 Ext. 253
CORNHUSKER CASUALTY COMPANY 3333 FARNAM STREET,
SUITE 300
NE 68131 NWILSON@BHHC.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
COWETA COUNTY BOC GA 30263
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
COVINGTON CITY OF GA 30015 NHARVILLE@CITYOFCOVINGTON.ORG
-- Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
CRAWFORD & COMPANY INC GA 30319 JOE_CAPORASO@US.CRAWCO.COM
WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext. 43582
COWETA COUNTY SCHOOL SYS BD OF ED GA 30264
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159
UNITED STATES FIRE
INSURANCE COMPANY
13-5459190 1064 GREENWOOD BLVD DENVER_CHEEK@CFINS.COM
CRUM & FORSTER INDEMNITY COMPANY NJ 07962 GEORGE_ROBERTS@CFINS.COM
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
CRIDER INCORPORATED GA 30464 MHARRELL@CRIDERINC.COM
Phone:
SBWC # Insurer Name Address Email
21021 MARIETTA
MARIETTA GA 30061
Phone:
SBWC # Insurer Name Address Email
13109 OMAHA
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21370 ALMA
ALMA GA 31510
Phone:
SBWC # Insurer Name Address Email
13265 SIOUX FALLS
ATLANTA GA 30302
Phone:
SBWC # Insurer Name Address Email
13228 DALLAS
DALTON GA 30722
Phone:
SBWC # Insurer Name Address Email
21355 DALTON
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
21789 MASON
MASON MI 48854
Phone:
SBWC # Insurer Name Address Email
20610 MASON
UNITED STATES FIRE
INSURANCE COMPANY
800-423-3060 Ext. 6301
CYPRESS INSURANCE COMPANY 3333 FRNAM STREET,
SUITE 300
NE 68131 DALTMAN@BHHC.COM
770-422-7520 Ext.
CW MATTHEWS CONTRACTING CO INC GA 30061 SFRAM@CWMATTHEWS.COM
C W MATTHEWS
CONTRACTING CO.
58-0652729 P O DRAWER 970 LORIT@CWMATTHEWS.COM
DALLAS NATIONAL INSURANCE COMPANY 14160 DALLAS
PARKWAY, SUITE 500
TX 75254 JOSEB@ASPENADMININC.COM
404-300-1250 Ext.
DAKOTA TRUCK UNDERWRITERS SD 30319 ROB.HOLLAN@RASCOMPANIES.COM
CRAWFORD & COMPANY 58-0506554 P O BOX 5056 SHARI_BRANSON@US.CRAWCO.COM
800-673-9339 Ext.
D L LEE & SON INC GA 31510 JERRY.LEE@DLLEE.COM
D L LEE & SON INC - P O BOX 206 JERRY.LEE@DLLEE.COM
800-884-1535 Ext.
DALTON CITY OF GA 30720 CCAIN@COLLINSANDCO.COM
COLLINS & COMPANY 62-0882150 555 RIVER STREET AGRIME@COLLINSANDCO.COM
COLLINS & COMPANY 62-0882150 P O BOX 6429 AGRIME@COLLINSANDCO.COM
706-277-1253 Ext.
DART CONTAINER CORPORATION OF GEORGIA MI 48854 CHERYL.KLEBBA@DART.BIZ
800-545-3278 Ext. 2548
DART CONTAINER CORP OF CALIFORNIA MI 48854 CHERYL_KLEBBA@DART.BIZ
DART CONTAINER CORP 38-2482823 500 HOGSBACK ROAD CHERYL_KLEBBA@DART.BIZ
CYPRESS INSURANCE 95-6042929 1725 WINDWARD
CONCOURSE
CBARNES@BHHC.COM
877-212-3816 Ext. 230
MASON MI 48854
Phone:
SBWC # Insurer Name Address Email
20617 DECATUR
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20298 DECATUR
DECATUR GA 30030
Phone:
SBWC # Insurer Name Address Email
20722 STONE
MOUNTAINSTONE MOUNTAIN GA 30083
Phone:
SBWC # Insurer Name Address Email
20499 DECATUR
DECATUR GA 30030
Phone:
SBWC # Insurer Name Address Email
21410 DECATUR
BRENTWOOD TN 37024
Phone:
SBWC # Insurer Name Address Email
21175 PORTLAND
SALISBURY NC 28145
Phone:
SBWC # Insurer Name Address Email
800-545-3278 Ext. 2548
DART CONTAINER CORPORATION OF GEORGIA
DART CONTAINER CORP 38-2482823 500 HOGSBACK ROAD CHERYL_KLEBBA@DART.BIZ
404-371-4791 Ext.
DEKALB COUNTY BOARD OF COMMISSIONERS 1300 COMMERCE DRIVE,
4TH FLOOR
GA 30030 WDLAWTON@CO.DEKALB.GA.US
DEKALB COUNTY RISK
MANAGEMENT
58-6000814 1300 COMMERCE DRIVE WDLAWTON@DEKALBCOUNTYGA.GOV
770-677-3423 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
DECATUR CITY OF GA 30031 BIEN.NGUYEN@DECATURGA.COM
PMA INS GROUP 23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
DEKALB REGIONAL HEALTHCARE SYSTEM INC
DBA DEKALB MEDICAL
GA 30033 DAWN.MANNING@DEKALBMEDICAL.ORG
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
404-371-3912 Ext. 3915
DEKALB FARMERS MARKET(YOUR) GA 30030 HR@DEKALBFARMERSMARKET.COM
DEKALB FARMERS
MARKET(YOUR)
58-1332242 3000 E PONCE DE LEON ASHARMA@DEKALBFARMERSMARKET.COM
678-676-0401 Ext.
DEKALB COUNTY BOARD OF EDUCATION GA 30083 MICHAEL_S_FLORIO@FC.DEKALB.K12.GA.US
DEKALB COUNTY BOARD OF
EDUCATION
58-6000227 1701 MOUNTAIN
INDUSTRIAL BLVD
704-633-8250 Ext.
DELHAIZE AMERICA LLC ME 04104 LIROBERTS@HANNAFORD.COM
DELHAIZE RISK
MANAGEMENT
56-0660192 P O BOX 1330 RPBACK@FOODLION.COM
800-524-0604 Ext.
20538 ATLANTA
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
13177 ATLANTA
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13243 DES MOINES
DES MOINES IA 50391
Phone:
GAINESVILLE FL 32614
Phone:
SBWC # Insurer Name Address Email
13281 BALA CYNWYD
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10198 ST PAUL
NORCROSS GA 30071
Phone:
NORCROSS GA 30071
Phone:
SAVANNAH GA 31405
Phone:
LAKE MARY FL 32746
Phone:
BIRMINGHAM AL 35209
ATLANTA GA 30319
DELTA AIR LINES HARTSFIELD-JACKSON
INT'L, P O BOX 20706
DEPT 858
GA 30320 GRETCHEN.A.VANPARYS@DELTA.COM
800-985-7078 Ext.
DEPOSITORS INSURANCE
COMPANY
42-1207150 1100 LOCUST STREET PORTERK@NATIONWIDE.COM
800-532-1436 Ext. 3340
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
DEPOSITORS INSURANCE COMPANY IA 50391
GEORGIA CASUALTY &
SURETY
58-0537066 4370 PEACHTREE ROAD NE FSHORE@COLINSGRP.COM
800-877-3579 Ext.
DELTA FIRE & CASUALTY INS GA 30319 KSLONINA@ATLAM.COM
DISCOVER PROPERTY & CASUALTY MN 55102 CURBANIA@TRAVELERS.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
DIAMOND STATE INSURANCE COMPANY THREE BALA PLAZA
EAST, SUITE 300
PA 19004 GSEGELKEN@UAI-GROUP.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
AVIZENT 31-4359765 701 INTERNATIONAL
PARKWAY
TWELDON@AVIZENTRISK.COM
800-755-1441 Ext.
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
800-580-6912 Ext.
678-447-0200 Ext. 302
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
ATLANTA@CHOOSEBROADSPIRE.COMBROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
ALTERNATIVE SERVICE
CONCEPTS LLC DBA ASC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
Phone:
POMPANO BEACH FL 33064
Phone:
MAITLAND FL 32751
Phone:
DUBUQUE IA 52004
Phone:
ALPHARETTA GA 30005
Phone:
FT SMITH AR 72919
Phone:
FRANKLIN TN 37067
Phone:
CHARLOTTE NC 28226
Phone:
TAMPA FL 33610
Phone:
ORLANDO FL 32814
Phone:
ROSWELL GA 30076
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37229
Phone:
866-291-0194 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
877-295-0011 Ext.
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
DISCOVER PROPERTY &
CASUALTY INS CO
36-2999370 1000 WINWARD GEORGIA.WC.BOARD@TRAVELERS.COM
800-238-6214 Ext.
DISCOVER PROPERTY &
CASUALTY INSURANCE
COMPANY
36-2999370 1000 FIANA WAY MJWHITE@TRAVELERS.COM
877-241-6121 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
-- Ext.
ESIS 95-2008390 500 COLONIAL CENTER
PARKWAY
MARK.IRWIN@ESIS.COM
678-795-4500 Ext.
DISCOVER PROPERTY &
CASUALTY INSURANCE
COMPANY
36-2999370 2420 LAKEMONT AVENUE
888-329-6259 Ext.
DISCOVER PROPERTY &
CASUALTY INSURANCE
COMPANY
36-2999370 11440 CARMEL COMMONS
BLVD
MWLANE@TRAVELERS.COM
800-759-6194 Ext.
DISCOVER PROPERTY &
CASUALTY INSURANCE
COMPANY
36-2999370 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
800-842-5612 Ext. 4611
DISCOVER PROPERTY &
CASUALTY INSURANCE
COMPANY
36-2999370 6640 CAROTHERS LCRAFT@TRAVELERS.COM
615-660-6258 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
TAMPA FL 33631
Phone:
WILMINGTON NC 28404
Phone:
OWING MILLS MD 21117
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-896-3079 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
866-654-4001 Ext.
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
800-282-6218 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-347-4494 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
RICHMOND VA 23260
Phone:
ATLANTA GA 30328
Phone:
LEXINGTON KY 40512
Phone:
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
20854 DALTON
ALPHARETTA GA 30004
Phone:
SBWC # Insurer Name Address Email
20302 GOODLETSVILLE
GOODLETTSVILLE TN 37070
Phone:
SBWC # Insurer Name Address Email
13287 MARIETTA
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
20405 ALBANY
SAVANNAH GA 31405
Phone:
800-541-0139 Ext. 35832
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-822-4469 Ext.
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
770-752-0122 Ext.
DIXIE GROUP & SUBSIDIARIES GA 30721 DEREK.DAVIS@DIXIEGROUP.COM
AMERICAN PROFESSIONAL
RISK
58-1872616 1255 MCFARLAND 400 CLAIMS@AMPRISK.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
DOUGHERTY COUNTY BOC GA 31703
DONEGAL INSURANCE - 3097 SATELLITE BLVD MIKEGORE@DONEGALGROUP.COM
800-277-7442 Ext.
DONEGAL MUTUAL INSURANCE COMPANY PA 17547 WAYNESMITH@DONEGALGROUP.COM
800-871-6670 Ext.
RISK ENTERPRISES
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
615-855-5110 Ext.
DOLLAR GENERAL CORPORATION TN 37070 JSTUTSMA@DOLLARGENERAL.COM
DOLLAR GENERAL
CORPORATION
61-0502302 100 MISSION RIDGE DRIVE JSTUTSMA@DOLLARGENERAL.COM
SBWC # Insurer Name Address Email
21367 ALBANY
BRENTWOOD TN 37024
Phone:
SBWC # Insurer Name Address Email
20301 DOUGLAS
ALPHARETTA GA 30004
Phone:
SBWC # Insurer Name Address Email
20365 DOUGLASVILLE
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
20553 DOUGLASVILLE
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21328 AUGUSTA
AUGUSTA GA 30903
Phone:
SBWC # Insurer Name Address Email
21609 DULUTH
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20366 WILMINGTON
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21538 SNELLVILLE
800-524-0604 Ext.
DOUGHERTY COUNTY SCHOOL SYSTEM GA 31701 K.HENDERSON@DOCOSCHOOLS.ORG
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
706-849-6250 Ext.
DSM CHEMICALS NORTH AMERICA INC GA 30903 LINDA.GRIFFITH@DSM.COM
DSM CHEMICALS RISK
MANAGEMENT
58-0942142 P O BOX 2451 LINDA.GRIFFITH@DSM.COM
800-224-9524 Ext.
DOUGLAS COUNTY SCHOOLS GA 30134 KAY_TURNER@DOUGLAS.K12.GA.US
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-233-2436 Ext. 1897
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
E I DUPONT NEMOURS & COMPANY 1007 MARKET STREET,
ROOM D-8065
DE 19898 CAROL.A.CARR@USA.DUPONT.COM
678-258-8000 Ext.
DULUTH CITY OF GA 30096 EJOHNSON@DULUTHGA.NET
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
DOUGLAS COUNTY BOC GA 30134
AFFINITY SERVICE GROUP 58-2438483 1940 THE EXCHANGE GDORSEY@AFFINITYSERVICEGROUP.COM
CLAIMS@AMPRISK.COM
770-752-0122 Ext.
DOUGLAS CITY OF GA 31533
AMERICAN PROFESSIONAL
RISK
58-1872616 1255 MCFARLAND 400
E R SNELL CONTRACTOR INC GA 30078 RGOODWIN@ERSNELL.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21558 EAST POINT
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13276 LANCASTER
LANCASTER PA 17608
Phone:
SBWC # Insurer Name Address Email
13249 LANCASTER
LANCASTER PA 17608
Phone:
SBWC # Insurer Name Address Email
13168 WILKES-BARRE
WILKES-BARRE PA 18703
Phone:
ALPHARETTA GA 30009
Phone:
WILKES-BARRE PA 18703
Phone:
TOWSON MD 21204
Phone:
SBWC # Insurer Name Address Email
21552 ELBERTON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13072 BEVERLY
888-654-7100 Ext.
EASTERN ADVANTAGE ASSURANCE COMPANY PA 17608 RIRONS@EAINS.COM
EASTERN ADVANTAGE
ASSURANCE COMPANY
65-1316719 P O BOX 83777 RIRONS@EAINS.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
EAST POINT CITY OF GA 30344
800-532-7706 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
ELBERTON CITY OF GA 30345
GUARD INSURANCE GROUP 23-2240322 102 WEST PENNSYLVANIA
AVE
CLAIMS3@GUARD.COM
800-673-2465 Ext. 8302
800-673-2465 Ext. 8110
EASTGUARD INSURANCE
COMPANY
01-0125870 294 S MAIN STREET BDIAMOND@GUARD.COM
800-673-2465 Ext. 8110
GUARD INSURANCE GROUP 23-2240322 P O BOX A - H CLAIMS3@GUARD.COM
800-673-2465 Ext. 8110
EASTGUARD INSURANCE COMPANY PA 18703 ESOLA@GUARD.COM
AMGUARD 23-2240321 P O Box 1368 CLAIMS3@GUARD.COM
888-654-7100 Ext.
EASTERN ALLIANCE INSURANCE CO PA 17608 RIRONS@EAINS.COM
EASTERN ALLIANCE 23-2900463 P O BOX 83777 KCHAPMAN@EAINS.COM
ELECTRIC INSURANCE COMPANY MA 01915 STEPHEN.PALENSCAR@ELECTRICINSURANCE.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
ALBANY NY 12212
Phone:
SBWC # Insurer Name Address Email
10017 DES MOINES
BIRMINGHAM AL 35201
Phone:
SBWC # Insurer Name Address Email
13152 DES MOINES
BIRMINGHAM AL 35201
Phone:
SBWC # Insurer Name Address Email
20379 ATLANTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13117 RENO
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
10196 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
10189 BOSTON
CHARLOTTE NC 28277
Phone:
TAMPA FL 33618
Phone:
SBWC # Insurer Name Address Email
10241 DES MOINES
EMORY UNIVERSITY 1364 CLIFTON RD NE,
ROOM HB53
GA 30322 LUCRECIA.WALKER@EMORYHEALTHCARE.ORG
EMPLOYERS MUTUAL
CASUALTY COMPANY
42-0234980 P O BOX 1568 TERRY.L.HARDESTY@EMCINS.COM
800-239-1407 Ext. 301
EMCASCO INSURANCE COMPANY IA 50306 KEVIN.J.HOVICK@EMCINS.COM
TERRY.L.HARDESTY@EMCINS.COM
800-239-1407 Ext. 301
EMC PROPERTY & CASUALTY COMPANY IA 50306
EMPLOYERS MUTUAL
CASUALTY COMPANY
42-0234980 P O BOX 1568
800-434-8331 Ext.
STEPHEN.PALENSCAR@ELECTRICINSURANCE.COM
SEDGWICK CMS 36-2685608 PO BOX 15065 PNICKEL@EDGE.ELECTRICINSURANCE.COM
704-759-2580 Ext.
EMPLOYERS INS CO OF
WAUSAU
39-0264050 3901 PREMIER NORTH DR CHARLES.HUNNELL@LIBERTYMUTUAL.COM
813-264-6588 Ext.
EMPLOYERS INSURANCE CO OF WAUSAU MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
EMPLOYERS INS CO OF
WAUSAU
39-0264050 P O BOX 49000 CHARLES.HUNNELL@LIBERTYMUTUAL.COM
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
EMPLOYERS FIRE INS CO THE MA 02021 SHOLLAND@ONEBEACON.COM
EMPLOYERS ASSURANCE
COMPANY
61-0477370 14120 BALLANTYNE
CORPORATE PL
EASTIMAGING@EMPLOYERS.COM
800-992-1072 Ext.
EMPLOYERS ASSURANCE COMPANY NV 89521 REGULATORY@EMPLOYERS.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
EMPLOYERS MUTUAL CASUALTY CO IA 50306 KEVIN.J.HOVICK@EMCINS.COM
BIRMINGHAM AL 35201
Phone:
SBWC # Insurer Name Address Email
13126 RENO
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13188 CHICAGO,
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13189 CHICAGO,
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13190 CHICAGO,
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13191 CHICAGO,
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
21617
KNOXVILLE TN 37919
Phone:
SBWC # Insurer Name Address Email
21572 RICHMOND
TUCKER GA 30084
ENCOMPASS INDEPENDENT INS. CO. CNA CENTER-28TH
FLOOR, 333 SO. WABASH
IL 60604 NEFIA.DORITY@CNA.COM
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
ENCOMPASS HOME AND AUTO INS. CNA CENTER-28TH
FLOOR, 333 SO. WABASH
IL 60604 NEIFIA.DORITY@CNA.COM
EMPLOYERS ASSURANCE
COMPANY
61-0477370 14120 BALLANTYNE
CORPORATE PL
EASTIMAGING@EMPLOYERS.COM
800-992-1072 Ext.
EMPLOYERS PREFERRED INSURANCE
COMPANY
NV 89521 REGULATORY@EMPLOYERS.COM
EMPLOYERS MUTUAL
CASUALTY COMPANY
42-0234980 P O BOX 1568 TERRY.L.HARDESTY@EMCINS.COM
800-239-1407 Ext. 301
865-583-8342 Ext.
JESSICA.FARNSCHLADER@KEYSTONEFOODS.COM
SEDGWICK CMS 36-2685608 1111 NORTHSHORE DRIVE KENNETH.CAMPBELL@SEDGWICKCMS.COM
EQUITY GROUP GA DIV fka CAGLE FOODS JV
LLC
300 BARR HARBOR
DRIVE, SUITE 600
WEST
CONSHOHOCKEN
PA 19428
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
ENCOMPASS PROPERTY & CASUALTY CNA CENTER-28TH
FLOOR, 333 SO WABASH
IL 60604 NEIFIA.DORITY@CNA.COM
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
ENCOMPASS INS.CO. OF AMERICA CNA CENTER-28TH
FLOOR, 333 SO. WABASH
IL 60604 NEIFIA.DORITY@CNA.COM
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
ESTES EXPRESS LINES VA 23260 LSIBLEY@ESTES-EXPRESS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
21620 ROME
DALTON GA 30722
Phone:
SBWC # Insurer Name Address Email
13082 LIBERTY CORNER
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ALPHARETTA GA 30009
Phone:
MANDEVILLE LA 70471
Phone:
BRENTWOOD TN 37027
Phone:
TUCKER GA 30084
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
EVEREST NATIONAL INSURANCE CO 477 MARTINSVILLE RD.,
PO BOX 830
NJ 07938 LORRAINE.DAY@EVERESTRE.COM
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
706-277-1253 Ext.
EVANS GRADING CO. INC 3225 ALABAMA HWY,
P.O. BOX 2160
GA 30164 EVANSCONST1@COMCAST.NET
COLLINS & COMPANY 62-0882150 P O BOX 6429 AGRIME@COLLINSANDCO.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
100 CRESCENT CENTRE
PARKWAY
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
F A RICHARD (FARA) 72-0837383 7000 EXECUTIVE CENTER
DRIVE
GEORGIA.NOTICES@FARA.COM
800-675-2771 Ext. 225
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
678-942-2330 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.EXCHANGING.COM
800-235-1134 Ext. 5
EVEREST NATIONAL
INSURANCE COMPANY
22-2660372 P O BOX 1620 CHIP.CRAZE@ESICINSURANCE.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
Phone:
SARASOTA FL 34230
Phone:
NASHVILLE TN 37214
Phone:
LEXINGTON KY 40512
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13180 ALPHARETTA
LIBERTY CORNER NJ 07938
Phone:
BRENTWOOD TN 37027
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
12023 KEENE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13091 WARREN
ATLANTA GA 30326
Phone:
ATLANTA GA 30326
Phone:
EVEREST SECURITY INSURANCE 925 NORTH POINT
PARKWAY, SUITE 400
GA 30005 CHIP.CRAZE@ESICINSURANCE.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-595-2255 Ext.
PBOA (PROFESSIONAL
BUSINESS OWNERS ASSN
65-0923856 P O BOX 49468 AWARD@PBOA.COM
866-246-0259 Ext.
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
404-266-4855 Ext.
EXECUTIVE RISK INDEMNITY INC NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
EXCELSIOR INSURANCE CO NH 03431 CORPORATESECRETARY@LIBERTYMUTUAL.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
800-675-2771 Ext. 225
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
EVEREST NATIONAL
INSURANCE
22-2660372 477 MARTINSVILLE ROAD ELENA.BITNER@EVERESTRE.COM
800-438-4375 Ext.
F A RICHARD (FARA) 72-0837383 7000 EXECUTIVE CENTER
DRIVE
GEORGIA.NOTICES@FARA.COM
EXECUTIVE RISK 13-2912259 2 LIVE OAK CENTER SUITE
900
KPILZ@CHUBB.COM
404-266-4127 Ext.
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13128 STAMFORD
MAITLAND FL 32751
Phone:
SBWC # Insurer Name Address Email
10214 MANCHESTER
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
MANCHESTER NH 03101
Phone:
SBWC # Insurer Name Address Email
10230 MANCHESTER
ATLANTA GA 30348
Phone:
SBWC # Insurer Name Address Email
13009 HARTFORD
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13142 DES MOINES
FAIRMONT PREMIER INSURANCE COMPANY 250 COMMERCIAL
STREET, SUITE 5000
NH 03101 BRENDA_VAN_HIRTUM@TRG.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
FAIRFIELD INSURANCE COMPANY CT 06904 DSPRAGUE@GENRE.COM
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
FARMINGTON CASUALTY
COMPANY
06-1067463 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
FARMINGTON CASUALTY
COMPANY
06-1067463 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
FARMINGTON CASUALTY COMPANY CT 06183 KDAVIS@TRAVELERS.COM
CNA CLAIMS PLUS - P O BOX 105497
800-283-2318 Ext.
FAIRMONT SPECIALTY INSURANCE COMPANY 250 COMMERCIAL
STREET, SUITE 5000
NH 03101 BRENDA_VAN_HIRTUN@TRG.COM
TIG WORK COMP CLAIMS - 250 COMMERCIAL STREET BRENDA_VAN_HIRTUM@TRG.COM
888-805-9184 Ext.
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
FARMLAND MUTUAL INSURANCE COMPANY 1100 LOCUST STREET,
DEPT 0301
IA 50391 LARSENS@NATIONWIDE.COM
888-329-6259 Ext.
DES MOINES IA 50391
Phone:
SBWC # Insurer Name Address Email
21361 FAYETTEVILLE
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
20516 FAYETTEVILLE
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13153 SARASOTA
SARASOTA FL 34232
Phone:
SARASOTA FL 34240
Phone:
SBWC # Insurer Name Address Email
21433 MEMPHIS
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
10062 WARREN
ATLANTA GA 30319
Phone:
ATLANTA GA 30326
Phone:
DULUTH GA 30097
Phone:
PARSIPPANY NJ 07054
Phone:
FCCI INSURANCE COMPANY FL 34240 COMPLIANCEDEPT@FCCI-GROUP.COM
XCALIBRE RISK SERVICES 26-4197853 4370 PEACHTREE ROAD NE JMARSHBURN@ATLAM.COM
404-266-5749 Ext.
FAYETTE COUNTY BOARD OF EDUCATION GA 30214 ELLIS.REANEE@FCBOE.ORG
AFFINITY SERVICE GROUP 58-2438483 1940 THE EXCHANGE GDORSEY@AFFINITYSERVICEGROUP.COM
800-233-2436 Ext. 1897
FAYETTE COUNTY BOARD OF COMMISSIONERS GA 30214 LSMITH@FAYETTECOUNTYGA.GOV
NATIONWIDE AGRIBUSINESS 42-1015537 1100 LOCUST ST. NEWCLAIM@NATIONWIDE.COM
800-532-1436 Ext. 4344
1100 LOCUST STREET,
DEPT 0301
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
FEDERAL INSURANCE COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
FEDERAL EXPRESS CORPORATION 3620 HACKS CROSS
ROAD, BLG B, 3RD
TN 38125 JGSTEGALL@FEDEX.COM
800-226-3243 Ext. 5729
FCCI SERVICES 59-1968027 P O BOX 58004 FCCICLAIMSEDI@FCCI-GROUP.COM
800-226-3243 Ext. 5729
FCCI SERVICES INC 59-1968027 6300 UNIVERSITY FCCICLAIMSEDI@FCCI-GROUP.COM
800-422-4436 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 9 CAMPUS DRIVE ATLANTAR@GABROBINS.COM
404-266-4127 Ext.
FEDERAL INSURANCE
COMPANY
13-1963496 2 LIVE OAK CNTR #900 KPILZ@CHUBB.COM
DULUTH GA 33622
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
CLEARWATER FL 33758
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10064 OWATONNA
TAMPA FL 33634
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
12059 LENEXA
ATLANTA GA 30302
Phone:
GAINESVILLE GA 30503
Phone:
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PKWY LASKYM@GABROBINS.COM
770-823-0997 Ext. 230
FEDERATED MUTUAL INS CO MN 55060 TLHANEY@FEDINS.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
800-226-8002 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
404-992-3845 Ext.
SHARI_BRANSON@US.CRAWCO.COM
404-300-1250 Ext.
CRAWFORD & COMPANY 58-0506554 P O BOX 41 GREG_HODSON@US.CRAWCO.COM
CRAWFORD & COMPANY 58-0506554 P O BOX 5056
FEDERATED RURAL ELECTRIC INSURANCE
EXCHANGE
KS 66285
FEDERATED MUTUAL
INSURANCE COMPANY
- 20 PERIMETER SUMMIT
BLVD NE
800-241-4945 Ext.
FEDERATED MUTUAL
INSURANCE COMPANY
41-0417460 P O BOX 31716 CLVOLLENWEIDER@FEDINS.COM
800-237-8292 Ext. 8253
SBWC # Insurer Name Address Email
13130 OWATONNA
TAMPA FL 33634
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
20535 HARRISON
800-237-8292 Ext. 8253
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
FEDERATED SERVICE INSURANCE COMPANY MN 55060 ACKELLY@FEDINS.COM
FEDERATED MUTUAL
INSURANCE COMPANY
41-0417460 P O BOX 31716 CLVOLLENWEIDER@FEDINS.COM
615-493-5802 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
407-562-3632 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
FEDEX FREIGHT EAST INC fka AMERICAN
FREIGHTWAYS
AR 72602
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
HARRISON AR 72602
Phone:
SBWC # Insurer Name Address Email
21705 PITTSBURGH
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13146 MAITLAND
MAITLAND FL 32751
Phone:
SBWC # Insurer Name Address Email
13229 JACKSONVILLE
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
10299 ST PAUL
NORCROSS GA 30071
SAVANNAH GA 31405
Phone:
LAKE MARY FL 32746
Phone:
BIRMINGHAM AL 35209
Phone:
TAMPA FL 33630
Phone:
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
LOUISVILLE KY 40222
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
FEDEX GROUND PACKAGE SYSTEM INC WORKERS
COMPENSATION
SECTION, P O BOX
535859
PA 15253 THOMAS.DITTOE@FEDEX.COM
FEDEX EAST 71-0562003 P O BOX 840 BETTY.REYNOLDS@FEDEX.COM
870-741-9000 Ext.
FEDEX FREIGHT EAST INC fka AMERICAN
FREIGHTWAYS
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
FIDELITY & GUARANTY INSURANCE CO MN 55102 CURBANIA@TRAVELERS.COM
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
FHM INSURANCE COMPANY FKA FLORIDA
HOSPITALITY MUTUAL INS CO
4601 TOUCHTON ROAD
EAST, SUITE 3150
BUILDING 300
FL 32246 COO@FHMIC.COM
800-346-4825 Ext.
FFVA MUTUAL CLAIMS 59-6828087 800 TRAFALGAR COURT SHALAGH.MAXWELL@FFVA.COM
FFVA MUTUAL FL 32794 ALAN.HAIR@FFVA.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES INC. 36-3917295 9502 WILLIAMSBURG TOM.WEBER@CHOOSEBROADSPIRE.COM
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
BROADSPIRE CLAIMS 36-3917295 CALL BOX 30539 KRISTIN.CANNELL@CHOOSEBROADSPIRE.COM
800-258-1811 Ext.
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-580-6912 Ext.
AVIZENT 31-4359765 701 INTERNATIONAL
PARKWAY
TWELDON@AVIZENTRISK.COM
800-755-1441 Ext.
Phone:
POMPANO BEACH FL 33064
Phone:
MAITLAND FL 32751
Phone:
DUBUQUE IA 52004
Phone:
FARMINGTON CT 06032
Phone:
ROSWELL GA 30076
Phone:
ROSWELL GA 30076
Phone:
ALPHARETTA GA 30005
Phone:
FT SMITH AR 72919
Phone:
CHARLOTTE NC 28226
Phone:
FRANKLIN TN 37067
Phone:
ORLANDO FL 32814
Phone:
TAMPA FL 33610
Phone:
ORLANDO FL 32814
Phone:
FRANKLIN TN 37067
Phone:
TAMPA FL 33610
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
800-742-4248 Ext.
800-842-5612 Ext. 4611
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
43-1091525 1000 FIANA WAY MJWHITE@TRAVELERS.COM
678-795-4500 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
DISCOVER RE MANAGERS 06-1288492 5 BATTERSON PARK EDOUGLAS@DISCOVER-RE.COM
866-657-2827 Ext.
ESIS 95-2008390 500 COLONIAL CENTER
PARKWAY
MARK.IRWIN@ESIS.COM
877-241-6121 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-295-0011 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 6640 CAROTHERS LCRAFT@TRAVELERS.COM
615-660-6258 Ext.
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
470-388-2587 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
407-388-2587 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
800-759-6194 Ext. 3298
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 6640 CAROTHERS LCRAFT@TRAVELERS.COM
615-660-6258 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 11440 CARMEL COMMONS
BLVD
MWLANE@TRAVELERS.COM
Phone:
CHARLOTTE NC 28226
Phone:
FT SMITH AR 72919
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
CLEARWATER FL 33758
Phone:
TAMPA FL 33622
Phone:
BIRMINGHAM AL 35266
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
MAITLAND FL 32794
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
10401 HIGHLAND MANOR
DRIVE
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2600 MCCORMICK DR #110 CANDICE_BUCHANAN@GBTPA.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext. 4611
888-329-6259 Ext.
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 11440 CARMEL COMMONS
BLVD
MWLANE@TRAVELERS.COM
800-759-6194 Ext. 3298
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
407-916-8580 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GATES MCDONALD 31-4187660 P O BOX 945150
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
Phone:
TAMPA FL 33631
Phone:
WILMINGTON NC 28404
Phone:
OWING MILLS MD 21117
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
ATLANTA GA 30338
Phone:
LAKE MARY FL 32746
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
CHARLOTTE NC 28217
Phone:
RICHMOND VA 23260
Phone:
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
800-532-7706 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
888-888-8136 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
866-654-4001 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-896-3079 Ext.
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-548-1373 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
LEXINGTON KY 40512
Phone:
ATLANTA GA 30328
Phone:
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
10257 SCHAUMBURG
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
10197 ST PAUL
NORCROSS GA 30071
Phone:
SAVANNAH GA 31405
Phone:
LAKE MARY FL 32746
Phone:
BIRMINGHAM AL 35209
ATLANTA GA 30319
Phone:
POMPANO BEACH FL 33064
Phone:
MAITLAND FL 32751
FIDELITY AND DEPOSIT CO OF MARYLAND IL 60196 TIM.GRAHAM@ZURICHNA.COM
FIDELITY AND DEPOSIT
COMPANY OF MARYLAND
13-3046577 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
800-444-9098 Ext. 214
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
AVIZENT 31-4359765 701 INTERNATIONAL
PARKWAY
TWELDON@AVIZENTRISK.COM
800-755-1441 Ext.
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
800-580-6912 Ext.
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
FIDELITY AND GUARANTY UNDERWRITERS
INSURANCE
MN 55102 CURBANIA@TRAVELERS.COM
404-851-3207 Ext.
ZURICH SERVICES CORP 36-3839542 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
FIDELITY AND DEPOSIT
COMPANY OF MARYLAND
13-3046577 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
877-295-0011 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
ALPHARETTA GA 30005
Phone:
FT SMITH AR 72919
Phone:
CHARLOTTE NC 28226
Phone:
ORLANDO FL 32814
Phone:
FRANKLIN TN 37067
Phone:
TAMPA FL 33610
Phone:
CHARLOTTE NC 28226
Phone:
FT SMITH AR 72919
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
877-241-6121 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
866-291-0194 Ext.
800-759-6194 Ext. 3298
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext. 4611
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
INC
52-0616768 11440 CARMEL COMMONS
BLVD
MWLANE@TRAVELERS.COM
FIDELITY & GUARANTY
INSURANCE UNDERWRITERS
52-0616768 6640 CAROTHERS LCRAFT@TRAVELERS.COM
615-660-6258 Ext.
407-388-2587 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 11440 CARMEL COMMONS
BLVD
MWLANE@TRAVELERS.COM
800-759-6194 Ext. 3298
FIDELITY & GUARANTY
INSURANCE COMPANY
42-1091525 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
800-238-6214 Ext.
FIDELITY & GUARANTY
INSURANCE COMPANY
43-1091525 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext. 4611
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
TAMPA FL 33631
Phone:
WILMINGTON NC 28404
Phone:
OWING MILLS MD 21117
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-843-8999 Ext.
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
888-888-8136 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
866-654-4001 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-282-6218 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-896-3079 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
CHARLOTTE NC 28217
Phone:
RICHMOND VA 23260
Phone:
ATLANTA GA 30328
Phone:
227968 CHARLOTTE NC 28262
Phone:
LEXINGTON KY 40512
Phone:
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
21022 BALDWIN
BALDWIN GA 30511
Phone:
SBWC # Insurer Name Address Email
10067 NOVATO
ATLANTA GA 30374
Phone:
ALPHARETTA GA 30022
Phone:
SBWC # Insurer Name Address Email
12029 NOVATO
ATLANTA GA 30374
Phone:
SBWC # Insurer Name Address Email
13066 BOSTON
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 10735 DAVID TAYLOR JENNIFER.REEVE@SRSCONNECT.COM
800-822-4469 Ext.
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
678-393-4584 Ext.
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174 KLOCKE@FFIC.COM
678-393-4550 Ext.
FIREMAN'S FUND
INSURANCE CO
94-1610280 11475 GREAT OAKS WAY JUDY.OWEN@AFFIC.COM
FIREMAN'S FUND INS CO CA 94998 ESAYERS@FFIC.COM
FIELDALE FARMS
CORPORATION
58-1119934 P O BOX 558 SHELIACANTRELL@FIELDALE.COM
706-778-5100 Ext.
FIELDALE FARMS CORPORATION GA 30511 TOMHENSLEY@FIELDALE.COM
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
877-300-6187 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
FIRST LIBERTY INSURANCE
CORPORATION
04-3058503 P O BOX 49000 CMC550CHARLOTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
FIRST LIBERTY INSURANCE
CORPORATION
04-3058503 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
FIRST LIBERTY INSURANCE CORPORATION MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
KLOCKE@FFIC.COM
678-393-4550 Ext.
FIREMAN'S FUND INSURANCE CO OF GEORGIA CA 94998
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
SBWC # Insurer Name Address Email
10292 SEATTLE
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
21196 DUBUQUE
DUBUQUE IA 52004
Phone:
SBWC # Insurer Name Address Email
20932 BIRMINGHAM
JACKSONVILLE FL 32207
Phone:
SBWC # Insurer Name Address Email
13174 EDWARDSVILLE
ATLANTA GA 30319
Phone:
LAWRENCEVILLE GA 30045
Phone:
ATLANTA GA 30319
Phone:
ORLANDO FL 32822
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY INSURANCE
CORPORATION
03-0316876 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
FIRST LIBERTY INSURANCE
CORPORATION
877-241-6121 Ext.
FLEXSTEEL INDUSTRIES INC IA 52004 CBRENN@FLEXSTEEL.COM
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
FIRST NATIONAL INSURANCE COMPANY OF
AMERICA
SAFECO PLAZA, 1901
FOURTH AVENUE
WA 98154 CORPORATESCRETARY@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY MUTUAL FIRE
INSURANCE
04-1924000 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
-- Ext.
HORTICA - 5840A SOUTH SEMORAN
BLVD
BKEMP@HORTICA-INSURANCE.COM
CRAWFORD & COMPANY 58-0506554 160-3130 SUGARLOAF
PARKWAY
SHARI_BRANSON@CRAWCO.COM
678-377-5654 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
FLORISTS INSURANCE COMPANY IL 62025 LTUCKER@HORTICA-INSURANCE.COM
866-293-5353 Ext. 114
FLORIDA ROCK INDUSTRIES INC AL 35242 HERRINGTONB@VMCMAIL.COM
BROADSPIRE 36-3917295 1965 BEACHWAY ROAD JENNIFER_JACOBS@CHOOSEBROADSPIRE.COM
Phone:
SBWC # Insurer Name Address Email
10259 EDWARDSVILLE
ATLANTA GA 30319
Phone:
LAWRENCEVILLE GA 30045
Phone:
ATLANTA GA 30319
ORLANDO FL 32822
Phone:
SBWC # Insurer Name Address Email
21002 THOMASVILLE
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21598 ROME
GREENVILLE SC 29607
Phone:
SBWC # Insurer Name Address Email
20600 ROME
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21472 ROME
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20380 DEARBORN
DEARBORN MI 48121
Phone:
SBWC # Insurer Name Address Email
5840A SOUTH SEMORAN
BLVD
800-566-5458 Ext.
FLORISTS MUTUAL INSURANCE COMPANY IL 62025 LTUCKER@HORTICA-INSURANCE.COM
800-421-9139 Ext. 859
FLOYD COUNTY BOARD OF COMMISSIONERS GA 30162 JOHNSONL@FLOYDCOUNTYGA.ORG
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 8500 RHURLEY@HEWITTCOLEMAN.COM
800-224-9524 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
FLOWERS FOODS INC GA 31792 MICHAEL_EGAN@FLOCORP.COM
HORTICA - 5840A SOUTH SEMORAN
BLVD
BKEMP@HORTICA-INSURANCE.COM
800-566-5458 Ext.
678-377-5654 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CRAWFORD & COMPANY 58-0506554 160-3130 SUGARLOAF
PARKWAY
SHARI_BRANSON@CRAWCO.COM
313-206-4709 Ext.
FORD MOTOR COMPANY MI 48121 RWOOD4@FORD.COM
FORD MOTOR CLAIMS 38-0549190 P O BOX 607 MEVAN189@FORD.COM
678-258-8000 Ext.
FLOYD HEALTHCARE MANAGEMENT INC GA 30162 RSHEERIN@FLOYD.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
FLOYD COUNTY BOARD OF EDUCATION GA 30161 CKESSLER@FLOYDBOE.NET
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
20393 FOREST PARK
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21559 CUMMING
BRENTWOOD TN 37024
Phone:
SBWC # Insurer Name Address Email
13259 CLEARWATER
TAMPA FL 33630
Phone:
SBWC # Insurer Name Address Email
13164 FRANKENMUTH
FRANKENMUTH MI 48787
Phone:
FRANKENMUTH MI 48787
Phone:
SBWC # Insurer Name Address Email
21756 FRANKLIN
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
21574 MANCHESTER
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
20599 ATLANTA
ATLANTA GA 30303
Phone:
800-224-9524 Ext.
FOREST PARK CITY OF GA 30051 JPARKER@FORESTPARKGA.ORG
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
ANSUR AMERICA
INSURANCE COMPANY
38-3467437 ONE MUTUAL AVENUE SUZANNE.COWAN@FMINS.COM
800-234-1133 Ext.
FRANKENMUTH MUTUAL
INSURANCE COMPANY
38-0555290 ONE MUTUAL AVE. SUZANNE.COWAN@FMINS.COM
FRANKENMUTH MUTUAL INS. MI 48787 JOHN.BENSON@FMINS.COM
800-258-1811 Ext.
FRANK WINSTON CRUM INSURANCE INC FL 33756 BRIGITTEB@FWCRUMINSURANCE.COM
BROADSPIRE CLAIMS 36-3917295 CALL BOX 30539 KRISTIN.CANNELL@CHOOSEBROADSPIRE.COM
800-524-0604 Ext.
FORSYTH COUNTY BOARD OF EDUCATION GA 30040 DJONES@FORSYTH.K12.GA.US
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
FULTON COUNTY 58-6001729 141 PRYOR ST VALARIE.HOWARD@FULTONCOUNTYGA.GOV
404-730-6749 Ext.
FULTON COUNTY 141 PRYOR STREET, 5070-
A
GA 30303 VALARIE.HOWARD@FULTONCOUNTYGA.GOV
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
FREUDENBERG-NOK GENERAL PARTNERSHIP 100 COMMERCIAL ST
1ST FL NORTH, FIRST
FLOOR NORTH
NH 03101 ALEXA.SCHLIEKER@FNACC.COM
800-932-4464 Ext.
FRANKLIN ALUMINUM CO INC GA 30217 DBIRCH@JACPROD.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-234-1122 Ext.
SBWC # Insurer Name Address Email
21172 COLLEGE PARK
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
30003 NORCROSS
NORCROSS GA 30071
Phone:
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
30004 ATLANTA
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
20388 THOMASVILLE
THOMASVILLE GA 31799
Phone:
SBWC # Insurer Name Address Email
30017 ATLANTA
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
30008 ATLANTA
ATLANTA GA 30303
Phone:
SBWC # Insurer Name Address Email
30029 CONYERS
MACON GA 31210
866-646-8516 Ext. 245
GA AUTO DEALERS ASSOC SI GA 30339 LISAP@GADA.COM
GA AUTO DEALERS (GADA)
CLAIMS
58-1493566 2060 POWERS FERRY ROAD
SE
LISAP@GADA.COM
678-447-0200 Ext. 302
ACCG 58-1044477 3169 HOLCOMB BRIDGE
ROAD
JSMITH@ACCG.ORG
678-225-4241 Ext.
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
GA ASSOCIATION COUNTY COM ACCG-GSIWCF, 3169
HOLCOMB BRIDGE
ROAD STE 400
GA 30071
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext. 43582
FULTON COUNTY BOARD OF EDUCATION GA 30349 ROUNSAVILLE@FULTON.K12.GA.US
GA NURSING HOME GROUP C/O TIS OF GA, 2281
MORRISON ROAD SW
GA 30094 CDOWNS@TISINS.COM
GA MUNICIPAL 58-1740980 201 PRYOR STREET SW KCLARK@GMANET.COM
888-488-4462 Ext. 124
GA MUNICIPAL ASSOCIATION GA 30303 GVANLEUVEN@GMANET.COM
GDORSEY@AFFINITYSERVICEGROUP.COM
800-233-2436 Ext. 1897
GA EDUCATION WC TRUST FUND 1940 THE EXCHANGE,
STE 200
GA 30339
AFFINITY SERVICE GROUP 58-2438483 1940 THE EXCHANGE
800-841-0001 Ext.
GA CRATE & BASKET COMPANY INC GA 31799 ELLIS@GACRATE.COM
GA CRATE & BASKET CO 58-0255590 PO BOX 46 LILLIAN@GACRATE.COM
SANFORD COMPANY 02-0634255 4025 VINEVILLE AVE JMERRITT@SANFORDCOMPANY.ORG
Phone:
SBWC # Insurer Name Address Email
30014 LAWRENCEVILLE
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
30033 CLEARWATER
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
30023 LAWRENCEVILLE
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21665 MCLEAN
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13264 ST LOUIS
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
10213 BOSTON
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
10058 SUN PRAIRIE
ATLANTA GA 31145
GA SCHOOL BOARD ASSOC GA 30243
888-888-8136 Ext.
PMA INS GROUP 23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
770-677-3423 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
GA OPERATORS SELF INSURED FUND C/O ARTHUR J
GALLAGHER, P O BOX
9000
FL 33758 RANDI_WATSON@AJG.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
GA OILMEN'S ASSSOCIATION GA 30043
800-281-9761 Ext.
800-762-5573 Ext.
GENERAL ACCIDENT INSURANCE CO MA 02108
MONTGOMERY INSURANCE - 3555 KOGER BLVD.
770-813-0997 Ext. 230
GATEWAY INSURANCE COMPANY MO 63144 LWARD@GICAUTO.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-352-2978 Ext.
GANNETT COMPANY INC VA 22107 KHARRIS@GANNETT.COM
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-224-9524 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
GENERAL CASUALTY
COMPANY OF WISCONSIN
39-0301590 P O BOX 450409 SHARON.STARKS@US.QBE.COM
GENERAL CASUALTY CO OF WISCONSIN WI 55359 SHEILA.MCGRAW@GENERALCASUALTY.COM
Phone:
SBWC # Insurer Name Address Email
10073 SEATTLE
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
10075 COLUMBIA
ATLANTA GA 30319
Phone:
COLUMBIA MO 65205
Phone:
SBWC # Insurer Name Address Email
30007 TUCKER
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
30011 MARIETTA
MARIETTA GA 30006
Phone:
SBWC # Insurer Name Address Email
20788 ATLANTA
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21453 LAGRANGE
BRENTWOOD TN 37027
Phone:
SBWC # Insurer Name Address Email
800-877-3579 Ext.
GEORGIA CASUALTY &
SURETY
58-0537066 2102 WHITE GATE DR FSHORE@COLINSGRP.COM
573-474-6193 Ext.
GEORGIA CASUALTY & SURETY MO 65205 FSHORE@COLINSGRP.COM
GEORGIA CASUALTY &
SURETY
58-0537066 4370 PEACHTREE ROAD NE FSHORE@COLINSGRP.COM
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
GENERAL INSURANCE COMPANY OF AMERICA 1001 FOURTH AVENUE,
SAFECO PLAZA
WA 98154 CORPORATESECRETARY@LIBERTYMUTUAL.COM
GENERAL CASUALTY
COMPANY OF WISCONSIN
770-493-1931 Ext.
GFF HOLDING CO GA 30240 GFFBETH@BELLSOUTH.NET
GA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GAADMINSVCS.COM
770-963-7732 Ext.
GEORGIA STATE OF CAPITOL HILL STATION,
P O BOX 38198
GA 30334 RISKMANAGEMENT@DOAS.GA.GOV
800-476-7601 Ext.
ALLIED CLAIMS
ADMINISTRATION INC
58-1962415 P O BOX 674869 WILCOXB@MCNEARY.COM
GEORGIA HOSPITAL ASSOCIATION WC FUND GA 30067 WILCOXB@MCNEARY.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
GEORGIA EMC WORKERS COMP FUND GA 30085 RICHARD.WEST@GEORGIAEMC.COM
BRENTWOOD SERVICES 62-1482047 1602 KNOX COURT JOHN.SMITHERMAN@BWOOD.COM
800-524-0604 Ext.
21787 GROVETOWN
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21516 BRUNSWICK
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
20554 BRUNSWICK
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21386 BOGART
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21227 ATLANTA
BRENTWOOD TN 37024
Phone:
SBWC # Insurer Name Address Email
10277 COLUMBUS
WARRENVILLE IL 60555
Phone:
COLUMBUS OH 43216
Phone:
SBWC # Insurer Name Address Email
10079 NEW YORK
NORCROSS GA 30071
Phone:
ALPHARETTA GA 30023
Phone:
800-224-9524 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
GLYNN COUNTY BOARD OF EDUCATION GA 31520
678-447-0200 Ext. 302
GLYNN COUNTY BOARD OF COMMISSIONERS GA 31520 GCOOLIDGE@GLYNNCOUNTY-GA.GOV
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
GIW INDUSTRIES INC GA 30813 GFOGUS@GIWINDUSTRIES.COM
800-935-5300 Ext. 254
GRANGE MUTUAL
CASUALTY COMPANY
31-4192970 P O BOX 182306 LVANCAMP@IMICO.COM
800-348-1741 Ext. 8407
GRANGE MUTUAL CASUALTY CO OH 43206 COLEMANL@GRANGEINSURANCE.COM
GRANGE MUTUAL 31-4192970 27755 DIEHL ROAD WIZAJ@GRANGEINSURANCE.COM
800-524-0604 Ext.
GRADY HOSPITAL FKA FULTON DEKALB HOSP
AUTHOR
80 JESSE HILL JR DR,
BOX 26208
GA 30303 CHUGHES@GMH.EDU
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
678-258-8000 Ext.
GOLDEN PANTRY FOOD STORES INC GA 30622 DBGRIFFITH@GOLDENPANTRY.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
678-447-0200 Ext. 302
GRANITE STATE INSURANCE CO 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
SBWC # Insurer Name Address Email
12006 NEW HARTFORD
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
12062 METAIRIE
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
12007 CINCINNATI
CINCINNATI OH 45202
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
ALPHARETTA GA 30099
Phone:
SBWC # Insurer Name Address Email
12075 CINCINNATI
CINCINNATI OH 45202
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
-- Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
GRAY INSURANCE COMPANY (THE) LA 70002 MTAYLOR@GRAYINSCO.COM
GRAPHIC ARTS MUTUAL
INSURANCE CO
13-5274760 1040 CROWN POINT
PARKWAY
WORKERSCOMPMAIL@UTICANATIONAL.COM
800-477-1914 Ext.
GRAPHIC ARTS MUT INS CO NY 13413 WORKERSCOMPMAIL@UTICANATIONAL.COM
770-225-3538 Ext. 360
STRATEGIC COMP SERVICES 72-1331800 P O BOX 1445 BSMITH@STRATEGICCOMP.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
GREAT AMERICAN 31-0501234 P O BOX 5432 BSMITH@STRATEGICCOMP.COM
877-589-6846 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
GREAT AMERICAN ALLIANCE INS. 49 EAST FOURTH
STREET, 4400 SOUTH
OH 45202 TPEDOTO@GAIC.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
877-589-6846 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
GREAT AMERICAN ASSURANCE COMP OH 45202 TPEDOTO@GAIC.COM
GREAT AMERICAN 31-0501234 P O BOX 5432 BSMITH@STRATEGICCOMP.COM
ALPHARETTA GA 30099
Phone:
SBWC # Insurer Name Address Email
10080 CINCINNATI
MAITLAND FL 32751
Phone:
CINCINNATI OH 45202
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10080 CINCINNATI
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
ALPHARETTA GA 30099
SBWC # Insurer Name Address Email
10192 CINCINNATI
CINCINNATI OH 45202
Phone:
ALPHARETTA GA 30099
Phone:
SBWC # Insurer Name Address Email
13216 SCOTTSDALE
IRVING TX 75039
Phone:
SBWC # Insurer Name Address Email
12072 WARREN
ATLANTA GA 30326
Phone:
STRATEGIC COMP SERVICES 72-1331800 P O BOX 1445 BSMITH@STRATEGICCOMP.COM
770-225-3538 Ext. 360
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
GREAT AMERICAN INS CO 49 EAST FOURTH
STREET, SUITE 400
OH 45202 TPEDOTO@GAIC.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
770-901-3121 Ext.
GREAT AMERICAN 31-0501234 P O BOX 5432 BSMITH@STRATEGICCOMP.COM
877-589-6846 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
GREAT AMERICAN INS CO 49 EAST FOURTH
STREET, SUITE 400
OH 45202 TPEDOTO@GAIC.COM
GREAT NORTHERN INSURANCE COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
800-449-2024 Ext. 8952
GREAT DIVIDE INSURANCE COMPANY AZ 85260 PLAMBERT@BERKLEYSUM.COM
BERKLEY SPECIALTY
UNDERWRITING
45-0397186 122 WEST CARPENTER
FREEWAY #300
JICLARK@BERKLEYSUM.COM
770-225-3538 Ext. 360
BSMITH@STRATEGICCOMP.COM
877-589-6846 Ext.
STRATEGIC COMP SERVICES 72-1331800 P O BOX 1445 BSMITH@STRATEGICCOMP.COM
GREAT AMERICAN INS CO OF NY 49 EAST FOURTH OH 45202
GREAT AMERICAN 31-0501234 P O BOX 5432
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
STRATEGIC COMP SERVICES 72-1331800 P O BOX 1445 BSMITH@STRATEGICCOMP.COM
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
404-266-4855 Ext.
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30326
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10298 SOUTH SIOUX
CITYSOUTH SIOUX
CITY
NE 68776
Phone:
SBWC # Insurer Name Address Email
10082 NEW YORK
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
12078 EXTON
ATLANTA GA 30319
Phone:
ATLANTA GA 30339
Phone:
POMPANO BEACH FL 33064
Phone:
ATLANTA GA 30305
Phone:
BIRMINGHAM AL 35209
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
GREAT WEST CASUALTY
COPANY
47-6024508 P O BOX 277 WCCLAIMS@GWCCNET.COM
800-228-8602 Ext. 7208
GREAT WEST CASUALTY COMPANY NE 68776 WCCLAIMS@GWCCNET.COM
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
866-246-0259 Ext.
GREAT NORTHERN
INSURANCE
41-0729473 2 LIVE OAK CENTER SUITE
900
KPULZ@CHUBB.COM
404-266-4127 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
404-504-6290 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ECS CLAIM - 3525 PIEDMONT RD #300
800-450-0692 Ext.
CAMBRIDGE INTEGRATED 23-2731565 1775 THE EXCHANGE DAVID.HAYS@CAMBRIDGE-NA.COM
800-862-4252 Ext.
GREENWICH INSURANCE COMPANY PA 19341 ANTHONY.EVANS@XLGROUP.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-838-9853 Ext.
GREATER NEW YORK MUTUAL INS. CO NY 10016 PMCGOVERN@GNY.COM
INDEPENDENT ADJUSTERS
INC.
58-1075455 2130 TUCKER INDUSTRIAL
RD
CLAIMS@IAICLAIMS.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 1 METROPLEX DRIVE ATLANTAR@GABROBINS.COM
800-587-3773 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ATLANTA GA 30338
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
20555 GRIFFIN
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
30020 ATLANTA
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
12046 FT LAUDERDALE
LAKE MARY FL 32746
Phone:
FORT
LAUDERDALE
FL 33301
Phone:
SBWC # Insurer Name Address Email
21053 AUBURN HILLS
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
10246 WEST DES
STONE MOUNTAIN GA 30087
Phone:
SBWC # Insurer Name Address Email
21135 SAVANNAH
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
615-493-5802 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
654-703-8038 Ext.
GUARANTEE INSURANCE 22-2222789 1000 PRIMERA BLVD ALEPORE@GUARANTEEINS.COM
800-948-2651 Ext. 1306
GUARANTEE INSURANCE 22-2222789 401 EAST LAS OLAS BLVD ALEPORE@GUARANTEEINS.COM
GUARANTEE INSURANCE CO 401 EAST LAS OLAS
BLVD, SUITE 1540
FL 33301 KDAVIS@GUARANTEEINS.COM
CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
GTMA/AYSA 50 HURT PLAZA, SUITE GA 30303
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE
50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
GRIFFIN SPALDING BOARD OF EDUCATION GA 30223
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE
GULFSTREAM AEROSPACE CORP DBA GENERAL
DYNAMICS
500 GULFSTREAM ROAD,
MAIL STATION B-06
GA 31407 TOM.RAMEE@GULFSTREAM.COM
KTORAIN@GUIDEONE.COM
800-659-1232 Ext. 6337
GUIDEONE MUTUAL INSURANCE COMPANY IA 50265
GUIDEONE MUTUAL
INSURANCE CO
42-0645088 2305 W PARK PLACE
800-685-7361 Ext.
GUARDIAN AUTOMOTIVE CORPORATION MI 48326 CLUMPKIN@GUARDIAN.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21780 LAWRENCEVILLE
227948 LAWRENCEVILLE GA 30045
Phone:
SBWC # Insurer Name Address Email
21076 LAWRENCEVILLE
995259 CHARLOTTE NC 28247
Phone:
SBWC # Insurer Name Address Email
21418 LAWRENCEVILLE
228131 LAWRENCEVILLE GA 30046
Phone:
SBWC # Insurer Name Address Email
20466 GAINESVILLE
GRAYSON GA 30017
Phone:
SBWC # Insurer Name Address Email
21097 DALTON
928653 ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10086 WORCESTER
WORCESTER MA 01653
912-355-8929 Ext. 224
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
HALL COUNTY BOARD OF EDUCATION 711 GREEN STREET,
SUITE 100
GA 30501 PAM.CRAVERO@HALLCO.ORG
GWINNETT HEALTH SYSTEM 58-2135755 100 MEDICAL CENTER RMILLER@GWINNETTMEDICALCENTER.ORG
678-312-4164 Ext.
GWINNETT HEALTH SYSTEM 100 MEDICAL CENTER
BLVD, SUITE 100
GA 30046 VGRIFFIN@GWINNETTMEDICALCENTER.ORG
BRENTWOOD SERVICES
ADMINISTRATORS INC
62-1482047 P O BOX 471127 JEAN.HIGH@BWOOD.COM
800-524-0604 Ext.
GWINNETT COUNTY PUBLIC SCHOOLS 53 GWINNETT DRIVE,
BUILDING A
GA 30045 BOB_TAYLOR@GWINNETT.K12.GA.US
770-822-7850 Ext.
GWINNETT COUNTY BOARD OF
COMMISSIONERS
GA 30045 BILL.SWIGER@GWINNETTCOUNTY.COM
GWINNETT COUNTY BD OF
COM
- 75 LANGLEY DRIVE
HANOVER INSURANCE CO MA 01653 DAWMURPHY@HANOVER.COM
HANOVER INSURANCE
COMPANY
13-5129825 440 LINCOLN STREET EBESHAI@HANOVER.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
HAMILTON HEALTH CARE SYSTEM INC GA 30722 JHOPKINS@HHCS.ORG
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969 KELLYW@MAIL.COREMRG.COM
770-962-3627 Ext.
Phone:
SBWC # Insurer Name Address Email
21031 HAPEVILLE
227674 ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13020 NEW YORK
ATLANTA GA 30366
Phone:
ATLANTA GA 30339
Phone:
FL 32716
Phone:
SBWC # Insurer Name Address Email
12051 ROLLING
MEADOW
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13057 HARLEYSVILLE
227475 HARLEYSVILLE PA 19438
Phone:
SBWC # Insurer Name Address Email
13285 HARLEYSVILLE
1004829 HARLEYSVILLE PA 19438
Phone:
SBWC # Insurer Name Address Email
12018 HARLEYSVILLE
227475 HARLEYSVILLE PA 19438
Phone:
SBWC # Insurer Name Address Email
13284 HARLEYSVILLE
1004829 HARLEYSVILLE PA 19438
HAPEVILLE CITY OF GA 30354 ASHEPARD@HAPEVILLE.ORG
SELF-INSURANCE
ADMINISTRATORS (SIA)
58-1870166 4370 PEACHTREE ROAD NE JMARSHBURN@ATLAM.COM
800-628-0250 Ext.
800-450-0692 Ext.
HARCO NATIONAL INSURANCE COMPANY IL 60008 KCOOK@IAT-HARCO.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-315-6090 Ext.
800-883-9305 Ext.
NORTH AMERICAN RISK
SERVICES INC
13-3901415 P O BOX 166002 ALTAMONTE
SPRINGS
MAILROOM@NARIK.COM
ADJUSTMENT SERVICES INC. 58-1623664 P O BOX 81306 SHARON@ADJUSTMENTSERVICES.COM
800-772-8427 Ext.
BUILDERS INSURANCE 58-2453325 P O BOX 723099 CLAIMSFORM@BLDRS.COM
HARBOR SPECIALTY INS 7 TIMES SQUARE, 36 & 37
FLOOR
NY 10036 JSVOBODA@CLARENDON-INS.COM
404-266-5749 Ext.
HARLEYSVILLE PREFERRED INSURANCE
COMPANY
PA 19438 DBOND@HARLEYSVILLEGROUP.COM
HARLEYSVILLE GROUP - P O BOX 244 DHURT@HARLEYSVILLEGROUP.COM
888-549-9876 Ext. 1217
HARLEYSVILLE MUTUAL INSURANCE PA 19438 LHANSON@HARLEYSVILLEGROUP.COM
HARLEYSVILLE ATLANTIC 23-0902325 P O BOX 244 LHANSON@HARLEYSVILLEGROUP.COM
888-549-9826 Ext. 5003
HARLEYSVILLE INSURANCE COMPANY PA 19438 LHANSON@HARLEYSVILLEGROUP.COM
HARLEYSVILLE GROUP - P O BOX 244 DHURT@HARLEYSVILLEGROUP.COM
888-549-9876 Ext. 1217
HARLEYSVILLE ATLANTIC INSURANCE PA 19438 LHANSON@HARLEYSVILLEGROUP.COM
HARLEYSVILLE ATLANTIC 23-0902325 P O BOX 244 LHANSON@HARLEYSVILLEGROUP.COM
Phone:
SBWC # Insurer Name Address Email
13283 HARLEYSVILLE
1004829 HARLEYSVILLE PA 19438
Phone:
SBWC # Insurer Name Address Email
20389 BETHLEHEM
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
10089 HARTFORD
ATLANTA GA 30319
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
888-549-9826 Ext. 5003
800-450-0692 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
HARTFORD ACCIDENT & INDEMNITY CT 06115 PAULA.SOBOLESKI@THEHARTFORD.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
HARRISON POULTRY INC GA 30620 GFINCH@HARRISONPOULTRY.COM
888-549-9826 Ext. 5003
HARLEYSVILLE WORCESTER INSURANCE
COMPANY
PA 19438 LHANSON@HARLEYSVILLEGROUP.COM
HARLEYSVILLE GROUP - P O BOX 244 DHURT@HARLEYSVILLEGROUP.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
SYRACAUSE NY 13202
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10044 HARTFORD
ATLANTA GA 30319
Phone:
MAITLAND FL 32751
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
SUNRISE FL 33323
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-450-0692 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
HARTFORD CASUALTY INSURANCE COMPANY CT 06155 PAULA.SOBOLESK@THEHARTFORD.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-541-0139 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-685-7361 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
COTTINGHAM AND BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
FRANKLIN TN 37067
Phone:
SYRACAUSE NY 13202
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
831038 HARTFORD CT 06115
Phone:
ATLANTA GA 30328
407-562-3632 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
KM@JOHNSTONANDASSOC.COM
800-304-5035 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
860-547-7936 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY BETH.RODEE@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 HARTFORD PLAZA PAUL.HAYWARD@THEHARTFORD.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-932-4464 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
12045 HARTFORD
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
MAITLAND FL 32751
Phone:
WHITESBURG GA 30185
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
SUNRISE FL 33323
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
770-901-3124 Ext.
866-291-0194 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
HARTFORD FIRE INS CO CT 06115 PAULA.SOBOLESKI@THEHARTFORD.COM
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
985-624-6739 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
770-577-9657 Ext.
CREATIVE RISK SOLUTIONS 20-0989430 P O BOX 9207 NLYMAN@YOURCLAIMS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
LAKE MARY FL 32746
Phone:
FRANKLIN TN 37067
Phone:
SYRACAUSE NY 13202
Phone:
ATLANTA GA 30328
Phone:
COLUMBIA SC 29210
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
LAKE MARY FL 32795
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
800-426-2885 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
407-562-3632 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
KM@JOHNSTONANDASSOC.COM
800-304-5035 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 958424 MARI.NOONAN@SRSCONNECT.COM
877-300-6187 Ext. 1012
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
12037 HARTFORD
ATLANTA GA 30319
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
407-562-3632 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-541-0139 Ext.
605 CRESCENT EXECUTIVE
COURT
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-450-0692 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
HARTFORD INSURANCE CO OF THE SOUTHEAST CT 06155 PAULA.SOBOLESKI@THEHARTFORD.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
Phone:
SYRACAUSE NY 13202
Phone:
COLUMBIA SC 29210
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
12092 HARTFORD
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
DUBUQUE IA 52004
Phone:
DUBUQUE IA 52004
Phone:
WHITESBURG GA 30185
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
407-562-3632 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD UNDERWRITERS
INS CO
200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-541-0139 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
800-426-2885 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
770-577-9657 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
COTTINGHAM AND BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
CREATIVE RISK SOLUTIONS 20-0989430 P O BOX 9207 NLYMAN@YOURCLAIMS.COM
800-450-0692 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
HARTFORD INSURANCE COMPANY OF
MIDWEST
CT 06155 PAULA.SOBOLESKI@THEHARTFORD.COM
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
Phone:
DULUTH GA 30097
Phone:
PARSIPPANY NJ 07054
Phone:
TUCKER GA 30084
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
SYRACRUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
866-246-0259 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-422-4436 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 9 CAMPUS DRIVE ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
985-624-6739 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO MIDWEST 06-1008026 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INC CO MIDWEST 06-1008026 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10123 HARTFORD
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
BRENTWOOD TN 37027
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
615-824-5095 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
877-241-6121 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
HARTFORD UNDERWRITERS INS CT 06155 PAULA.SOBOLESKI@THEHARTFORD.COM
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-675-2771 Ext. 225
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
F A RICHARD (FARA) 72-0837383 7000 EXECUTIVE CENTER
DRIVE
GEORGIA.NOTICES@FARA.COM
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
Phone:
COLUMBIA SC 29210
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
800-426-2885 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
ALPHARETTA GA 30005
Phone:
954444 TAMPA FL 33610
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
40012 LAWRENCEVILLE
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21779 N LIBERTY
TUCKER GA 30084
Phone:
SBWC # Insurer Name Email
20580 MCDONOUGH
GRAYSON GA 30017
Phone:
SBWC # Insurer Name Address Email
21426 BRANSON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20533 SUWANEE
JOHNS CREEK GA 30097
615-824-5095 Ext.
407-562-3632 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-238-6214 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
678-258-8000 Ext.
HERSCHEND FAMILY ENTERTAINMENT FKA
SILVER DOLLAR CITY
MO 65616 BETHERIDGE@HFECORP.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
770-962-3627 Ext.
Address
HENRY COUNTY BOARD OF EDUCATION GA 30253 DIANNA.WARE@HENRY.K12.GA.US
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969 KELLYW@MAIL.COREMRG.COM
800-354-6494 Ext. 201
HEARTLAND EXPRESS INC IA 52317 GKING@HEARTLANDEXPRESS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-421-0710 Ext.
HEALTHCARE MUTUAL CAPTIVE GA 30043 CEDWARDS@GAADMINSVCS.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
HILLCREST FOODS INC 50 SATELLITE BLVD,
SUITE G
GA 30024 UHNGNTHR@BELLSOUTH.NET
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
Phone:
SBWC # Insurer Name Address Email
21612 MUSCATINE
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20565 AUSTIN
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20312 CUTHBERT
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21046 VALDOSTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20362 WARNER ROBINS
GREENVILLE SC 29607
Phone:
SBWC # Insurer Name Address Email
20407 PERRY
GRAYSON GA 30017
Phone:
SBWC # Insurer Name Address Email
ZURICH NA ATL CLAIMS 36-4233459 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
HORMEL FOODS MN 55912 ENCARDENAS@HORMEL.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HNI CORPORATION/HON INDUSTRIES IA 52761 HUDDLESTONM@HNICORP.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
678-258-8000 Ext.
RHURLEY@HEWITTCOLEMAN.COM
800-421-9139 Ext. 859
HOUSTON COUNTY BOARD OF
COMMISSIONERS
GA 31088
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 8500
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
HOSPITAL AUTHORITY OF
VALDOSTA/LOWNDES
2501 N PATTERSON
STREET, P.O. BOX 1727
GA 31603 CHARLES.EIDSON@SGMC.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
HOSPITAL AUTHORITY OF RANDOLPH COUNTY GA 39840 KPETERSE@PPMH.ORG
ZURICH SERVICES CORP 36-3839542 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
770-962-3627 Ext.
HOUSTON COUNTY BOARD OF EDUCATION GA 31069
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969 KELLYW@MAIL.COREMRG.COM
21286 WARNER ROBINS
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21354 SANDERSVILLE
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21001 CHICAGO
MIRAMAR FL 33027
Phone:
SBWC # Insurer Name Address Email
21182 PINE MOUNTAIN
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
12071 PHILADELPHIA
NORCROSS GA 30010
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ALPHARETTA GA 30005
Phone:
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
HOWARD SHEPPARD INC GA 31082 ANDY@HOWARDSHEPPARD.COM
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
HOUSTON HOSPITALS INC dba HOSP AUTHOR
OF HOUSTON CO
GA 31099 MFOWLER@HHC.ORG
ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
BROADSPIRE INC 36-3917295 P O BOX 926240
INDEMNITY INSURANCE COMPANY OF NORTH
AMERICA
PA 19105 MARILEE.BRABSON@ACEGROUP.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
IDA CASON CALLAWAY FOUNDATION GA 31822 SLIPP@CALLAWAYGARDENS.COM
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-473-9009 Ext.
HYATT HOTELS CORPORATION 71 SOUTH WACKER
DRIVE, 17TH FLOOR
IL 60606 MADISON.WOMERSLEY@HYATT.COM
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
TAMPA FL 33612
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
TUCKER GA 30084
Phone:
CLEARWATER FL 33758
Phone:
TAMPA FL 33622
Phone:
BIRMINGHAM AL 35266
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
FT MILL SC 29716
Phone:
CLEARWATER FL 33758
Phone:
TAMPA FL 33618
Phone:
TAMPA FL 33631
Phone:
ATLANTA GA 30328
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-934-3414 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR GEORGIAWCBOARD@TRAVELERS.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2600 MCCORMICK DR #110 CANDICE_BUCHANAN@GBTPA.COM
800-473-9009 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
866-814-1740 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
LAKE MARY FL 32746
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
986169 PARSIPPANY NJ 07054
Phone:
SBWC # Insurer Name Address Email
21344 ASHEVILLE
941165 ASHEVILLE NC 28816
Phone:
SBWC # Insurer Name Address Email
10093 PHILADELPHIA
ROSWELL GA 30076
Phone:
DULUTH GA 30097
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
770-901-3121 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
800-548-1373 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
INSURANCE COMPANY OF NORTH AMERICA 436 WALNUT STREET,
WB04G
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
828-669-2941 Ext. 426
INGLES MARKETS INC NC 28816 AEUBANK@INGLES-MARKETS.COM
INGLES MARKETS 56-0846267 P O BOX 6676 AEUBANK@INGLES-MARKETS.COM
877-927-2255 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
YORK CLAIMS SERVICE INC 13-1963636 99 CHERRY HILL ROAD STEPHANIE.MARSHALL@YORKRSG.COMM
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10094 NEW YORK
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ALPHARETTA GA 30023
Phone:
OKLAHOMA CITY OK 73123
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33612
Phone:
FT SMITH AR 72919
Phone:
ROSWELL GA 30076
GAB ROBINS NORTH
AMERICA INC
770-813-0997 Ext. 230
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
INSURANCE COMPANY OF STATE OF PA 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
770-934-3414 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
CLAIMETRICS 20-1604010 PO BOX 22478 LAUREN.TOPPINS@CLAIMETRICS.COM
405-728-5544 Ext. 2326
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-448-9707 Ext.
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
CLEARWATER FL 33758
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
LEXINGTON KY 40512
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13089 SAN DIEGO
678-731-9091 Ext. 252
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
800-226-8002 Ext.
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE TKATER@NOVAPRORISK.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
800-685-7361 Ext.
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
INSURANCE COMPANY OF THE WEST CA 92130 JDODKIN@ICWGROUP.COM
800-238-6214 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
TAMPA FL 33602
Phone:
SBWC # Insurer Name Address Email
20359 LAGRANGE
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
SBWC # Insurer Name Address Email
20642 MEMPHIS
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
21514 RICEBORO
228221 RICEBORO GA 31323
Phone:
SBWC # Insurer Name Address Email
21321 DALTON
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
21143 JESUP
227978 JESUP GA 31545
Phone:
SBWC # Insurer Name Address Email
21474 ATLANTA
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
20412 DENVER
INTERNATIONAL PAPER CO 6400 POPLAR AVENUE,
TOWER III, 4-110
TN 38197 PENNY.HUMPHREY@IPAPER.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
INTERFACE INC GA 30240 TED.ROUNTREE@INTERFACEFLOR.COM
NOVAPRO RISK 36-4550659 101 E KENNEDY BLVD KROGERS@NOVAPRORISK.COM
800-426-5990 Ext.
912-427-1313 Ext.
JESUP CITY OF GA 31545
JESUP CITY OF - P O BOX 427
800-884-1535 Ext.
J & J INDUSTRIES INC GA 30721 JULIE.NOLES@JJ-INVISION.COM
COLLINS & COMPANY 62-0882150 555 RIVER STREET AGRIME@COLLINSANDCO.COM
912-884-3371 Ext. 238
INTERSTATE PAPER LLC GA 31323 MIKE_MCGOWAN@INTERSTATEPAPER.COM
INTERSTATE PAPER LLC 54-1876547 2366 INTERSTATE PAPER
ROAD
SHARON_TERRY@INTERSTATEPAPER.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
JOHNS MANVILLE CO 80202 LOONAMMA@JM.COM
800-845-2724 Ext. 43582
JOHN WIELAND HOMES AND NEIGHBORHOODS
INC.
GA 30337 MARK.WHYTE@JWHOMES.COM
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
21719 WAYCROSS
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20571 TIFTON
GRAYSON GA 30017
Phone:
SBWC # Insurer Name Address Email
20944 BATTLE CREEK
GLEN ALLEN VA 23058
Phone:
CHARLESTON SC 29416
Phone:
SBWC # Insurer Name Address Email
13155 GREENSBORO
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
21051 NEENAH
NEEAH WI 54957
Phone:
SBWC # Insurer Name Address Email
21461 JACKSON
JACKSON MS 39218
Phone:
SBWC # Insurer Name Address Email
21752 PHOENIX
BIRMINGHAM AL 35209
770-962-3627 Ext.
KELLEY MANUFACTURING COMPANY GA 31793 JTOMBERLIN@KELLEYMFG.COM
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969 KELLYW@MAIL.COREMRG.COM
678-258-8000 Ext.
JONES COMPANY (THE) GA 31502 HSIRMANS@FLASHFOODS.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
800-685-7361 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
-- Ext.
KIMBERLY-CLARK
CORPORATION
39-0394230 2300 WINCHESTER RD
KIMBERLY CLARK CORPORATION 2300 WINCHESTER
ROAD, PO BOX 2007
WI 54957 JANICE.FELTZ@KCC.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
336-668-9050 Ext. 7539
KEY RISK INSURANCE CO 7900 MCCLOUD ROAD,
SUITE 300
NC 27409 TELBERT@KEYRISK.COM
800-906-4461 Ext.
CORVEL ENTERPRISES 42-1704550 P O BOX 81029 GLENN_MARTIN@CORVEL.COM
866-434-2480 Ext.
KELLOGG CO AND SUBSIDIARIES fka KEEBLER MI 49017 TRACY.LOZA@KELLOGG.COM
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
KNIGHT TRANSPORTATION INC AZ 85043 TODDC@KNIGHTTRANS.COM
601-933-4942 Ext.
KLLM TRANSPORT SERVICES LLC MS 39218 JLUM@KLLM.COM
KLLM TRANSPORT SERVICES 64-0577750 135 RIVERVIEW DRIVE JLUM@KLLM.COM
Phone:
SBWC # Insurer Name Address Email
13267 WEST TRENTON
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21704 ATLANTA
DULUTH GA 30096
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
21709 TACOMA
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
21763 LAGRANGE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21340 VALDOSTA
763045 VALDOSTA GA 31603
Phone:
SBWC # Insurer Name Address Email
21550 LAWRENCEVILLE
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20507 BIRMINGHAM
BIRMINGHAM AL 35238
Phone:
KROGER COMPANY (THE) GA 30345 BILL.GREEN@KROGER.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
KODIAK INSURANCE COMPANY NJ 08628 CPOPP@HERMITAGEINS.COM
AVIZENT fka FRANK GATES
SERVICE CO
800-277-7500 Ext. 29106
LANGDALE INDUSTRIES 58-1688919 P O BOX 1088 BBARRETT@LANGDALEINDUSTRIES.COM
229-333-2551 Ext.
LANGDALE COMPANY (THE) GA 31603 BBARRETT@LANGDALEINDUSTRIES.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
LAGRANGE CITY OF GA 30240 MKELSEY@LAGRANGEGA.ORG
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
LABOR READY INC 1015 A STREET, P O BOX
2910
WA 98401 AARENCIBIA@TRUEBLUEINC.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
LEGACY VULCAN
MATERIALS CO
63-0366371 P O BOX 385014 REEDB@VMCMAIL.COM
800-474-4082 Ext.
LEGACY VULCAN F/K/A VULCAN MATERIALS
COMPANY
AL 35242 HERRINGTONB@VMCMAIL.COM
XCALIBRE RISK SERVICES 26-4197853 4370 PEACHTREE ROAD NE JMARSHBURN@ATLAM.COM
404-266-5749 Ext.
LAWRENCEVILLE CITY OF GA 30046 TRACY.TULLIS@LAWRENCEVILLEGAWEB.ORG
SBWC # Insurer Name Address Email
13182 BOSTON
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
SBWC # Insurer Name Address Email
10097 BOSTON
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
SBWC # Insurer Name Address Email
10098 BOSTON
TAMPA FL 33618
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
LIBERTY INSURANCE CORPORATION MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
LIBERTY MUTUAL FIRE INS CO MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY INSURANCE
CORPORATION
03-0316876 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY INSURANCE
CORPORATION
03-0316876 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY MUTUAL INS CO MA 02117 CORPORATESECRETARY@LIBERTYMUTUAL.COM
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
LM INSURANCE
CORPORATION
04-3058504 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
800-282-6218 Ext.
LIBERTY MUTUAL FIRE
INSURANCE
04-1924000 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY MUTUAL FIRE
INSURANCE
04-1924000 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
SBWC # Insurer Name Address Email
13220 HOLIDAY
HOLIDAY FL 34691
Phone:
SBWC # Insurer Name Address Email
13059 BOSTON
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
HELMSMAN MANAGEMENT
SERVICES
LM INSURANCE CO MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
PACKARD CLAIMS
ADMINISTRATION INC.
03-0567602 2739 US HIGHWAY 19 DOCUMENTS@PACKARDCLAIMS.COM
727-682-1072 Ext. 5552
LION INSURANCE COMPANY 2739 US HIGHWAY 19
NORTH, SUITE 600
FL 34691 GBEAN@LIONINSURANCECOMPANY.COM
800-282-6218 Ext.
LM INSURANCE
CORPORATION
04-3058504 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY INSURANCE
CORPORATION
03-0316876 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
LM INSURANCE
CORPORATION
04-3058504 P O BOX 31204
LIBERTY MUTUAL GROUP 04-1543470 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
LIBERTY INSURANCE
CORPORATION
03-0316876 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
866-246-0259 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21547 JONESBORO
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21333 MOORESVILLE
ATLANTA GA 30338
Phone:
LAKE MARY FL 32746
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
12005 BOCA RATON
BOCA RATON FL 33431
Phone:
SBWC # Insurer Name Address Email
21530 OKLAHOMA CITY
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20430 MACON
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21389 MACON
ORLANDO FL 32861
Phone:
800-532-7706 Ext.
800-282-6218 Ext.
LM INSURANCE
CORPORATION
04-3058504 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
LUMBERMENS UNDERWRITING ALLIANCE FL 33431 GA@INS-LUA.COM
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-548-1373 Ext.
LOWES HOME CENTERS INC NC 28115 TIA.L.SCHWEIKERT@LOWES.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
678-258-8000 Ext.
LOW TEMP INDUSTRIES GA 30237 RPRIEGEL@LOWTEMPIND.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
800-444-9098 Ext. 214
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
MACON/BIBB WATER/SEWERAGE GA 31298
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
MACON CITY OF 700 POPLAR STREET,
3RD FLOOR
GA 31201 KAREN.PENNYCUFF@MACON.GA.US
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
-- Ext.
M-D BUILDING PRODUCTS INC OK 73118 MCKINNEK@MDTEAM.COM
LUMBERMENS
UNDERWRITING ALLIANCE
CLAIMS
43-0799570 1905 NW CORPORATE LYNNCLAIMS@INS-LUA.COM
800-327-0515 Ext. 227
SBWC # Insurer Name Address Email
21630 CINCINNATI
CINCINNATI OH 45202
Phone:
SBWC # Insurer Name Address Email
10140 ATLANTA
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
13139 BLUE BELL
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
21490 GAINESVILLE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21415 MARIETTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20577 CHATTANOOGA
DALTON GA 30722
Phone:
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
PMA INS GROUP 23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
770-677-3423 Ext.
MANUFACTURERS
ALLIANCE INSURANCE
23-2086596 500 NORTHPARK TOWN
CENTER
ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
MANUFACTURERS ALLIANCE INSURANCE
COMPANY
PA 19422 STEPHEN_GARTNER@PMAGROUP.COM
678-447-0200 Ext. 302
MAG MUTUAL INSURANCE COMPANY 3525 PIEDMONT ROAD,
BLDG 8-600
GA 30305 BPITTS@MAGMUTUAL.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
866-908-2395 Ext.
MACYS INC F/K/A FEDERATED DEPARTMENT
STORES INC
OH 45202 TIM.SCHWIRTZ@MACYS.COM
MACY'S F/K/A FEDERATED
DEPART STORE CLAIMS
13-3324058 7 WEST SEVENTH STREET BILL.KRONER@MACYS.COM
423-265-0541 Ext.
COLLINS & COMPANY 62-0882150 P O BOX 6429 AGRIME@COLLINSANDCO.COM
706-277-1253 Ext.
COLLINS & COMPANY 62-0882150 555 RIVER ST SBIBLE@COLLINSANDCO.COM
MARKETPLACE HOLDINGS fka COLLIS FOODS
INC
701 CHEROKEE BLVD,
SUITE 100
TN 37405 GTROBINSON@BELLSOUTH.NET
50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
MARIETTA CITY OF AND BOARD OF LIGHTS &
WATER
GA 30061
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE
678-258-8000 Ext.
MAR-JAC POULTRY INC GA 30503 MDMOHAMED@MARJACPOULTRY.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
21610 BETHESDA
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
20809 ATLANTA
ATLANTA GA 30324
Phone:
SBWC # Insurer Name Address Email
10103 SCHAUMBURG
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
SCHAUMBERG IL 60666
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
10258 WORCESTER
WORCESTER MA 01653
Phone:
SBWC # Insurer Name Address Email
21878 CORAL GABLES
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
20487 COLUMBIA
GREENVILLE SC 29607
Phone:
SBWC # Insurer Name Email
21764 AUGUSTA
404-851-3207 Ext.
MARYLAND CASUALTY
COMPANY
52-0403120 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
MARYLAND CASUALTY COMPANY IL 60196 TIM.GRAHAM@ZURICHNA.COM
MARYLAND CASUALTY
COMPANY
52-0403120 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
404-848-4521 Ext.
MARTA RISK MANAGEMENT,
2424 PIEDMONT ROAD
GA 30324 LMURPHY@ITSMARTA.COM
MARTA 58-0964286 RISK MANAGEMENT WCDISABILITY@ITSMARTA.COM
MARRIOTT CLAIMS SERVICE 52-2055918 320 INTERSTATE NORTH
PKWY
JERRY.WOOD@MARRIOTT.COM
800-825-2467 Ext.
MARRIOTT INTERNATIONAL INC 10400 FERNWOOD ROD,
DEPT 51/924.36
MD 20817 STEVE.HUY@MARRIOTT.COM
MB KAHN CONSTRUCTION SC 29202 JGORSAGE@MBKAHN.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
MASTEC NORTH AMERICA INC FL 33134 ANDRES.LLOP@MASTEC.COM
HANOVER INSURANCE
COMPANY
13-5129825 440 LINCOLN STREET EBESHAI@HANOVER.COM
800-628-0250 Ext.
MASSACHUSETTS BAY INS CO MA 01653 DAWMURPHY@HANOVER.COM
404-851-3208 Ext.
ZURICH SERVICES CORP 36-3839542 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NORTH AMERICA 36-3839542 P.O. BOX 2769 USZ_GA_WC_CLAIM_NOTICES@ZURICHNA.COM
Address
MCG HEALTH INC 1120 15TH STREET, (CJ
2332)
GA 30912 LMITCHUM@MCG.EDU
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 8500 RHURLEY@HEWITTCOLEMAN.COM
800-421-9139 Ext. 859
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20606 TEMPLE
ALPHARETTA GA 30023
Phone:
SBWC # Insurer Name Address Email
21759 VIDALIA
MACON GA 31202
Phone:
SBWC # Insurer Name Address Email
21737 RICHMOND
COLUMBIA SC 29210
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
13215 PORTLAND
MAITLAND FL 32751
Phone:
MANCHESTER NH 03104
Phone:
SBWC # Insurer Name Address Email
21446 SAVANNAH
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21675 MACON
888-741-2673 Ext.
CORE RISK MANAGEMENT
SERVICES
58-2314468 P O BOX 90 CONNIEW@COREMRG.COM
MEADOWS REGIONAL MEDICAL CENTER INC GA 30475 SHENDRIX@MEADOWSREGIONAL.ORG
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
MCLANE COMPANY INC 4747 MCLANE
PARKWAY, PO BOX 6115
TX 76503 MELANIE.BENNETT@MCLANECO.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
1120 15TH STREET, (CJ
2332)
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
MEMORIAL HEALTH INC GA 31403 RAHNELL@MEMORIALHEALTH.COM
866-291-0194 Ext.
MEMIC INDEMNITY 02-0515329 1750 ELM STREET MHARMON@MEMIC.COM
800-660-1306 Ext. 612
MEMIC INDEMNITY COMPANY ME 04104 KSCHWARTZ@MEMIC.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
800-426-2885 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
MEADWESTVACO VA 23219 KSB13@MEADWESTVACO.COM
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
MERCER UNIVERSITY (THE CORPORATION OF) GA 31207 SMITH_CS@MERCER.EDU
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
MACON GA 31202
Phone:
SBWC # Insurer Name Address Email
13148 INDIANAPOLIS
GLEN ALLEN VA 23058
Phone:
INDIANAPOLIS IN 46206
Phone:
INDIANAPOLIS IN 46206
Phone:
SBWC # Insurer Name Address Email
21525 BIRMINGHAM
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10172 BLOOMFIELD
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13274 LANSING
ATLANTA GA 30319
Phone:
SARASOTA FL 34233
Phone:
LANSING MI 48917
Phone:
SBWC # Insurer Name Address Email
20502 NORCROSS
NORCROSS GA 30071
Phone:
800-777-7324 Ext.
MERIDIAN SECURITY
INSURANCE
35-1135866 P O BOX 7183 GLORIA-JEANNE.WILSON@STATEAUTO.COM
800-777-7324 Ext.
STATE AUTOMOBILE 31-4316080 2955 N MERIDIAN STREET GLORIA-JEANNE.WILSON@STATEAUTO.COM
800-906-4461 Ext.
MERIDIAN SECURITY INSURANCE CO IN 46208 MIKE.HOLMES@STATEAUTO.COM
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
888-741-2673 Ext.
CORE RISK MANAGEMENT
SERVICES
58-2314468 P O BOX 90 CONNIEW@COREMRG.COM
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
-- Ext.
MICHIGAN COMMERCIAL
INSURANCE MUTUAL
38-3497412 4161 CLARK ROAD WRODRIGUEZ@MCIM.COM
MICHIGAN COMMERCIAL INSURANCE MUTUAL MI 48917 ESCHOBERT@MCIM.COM
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
METLIFE INSURANCE OF CONNECTICUT FKA
TRAVELERS INSURANCE CO
CT 06002 KDAVIS@TRAVELERS.COM
770-677-3423 Ext.
METALPLATE GALVANIZING AL 35201 MGREEN@METALPLATE.COM
PMA INS GROUP 23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
678-447-0200 Ext. 302
MICROMERITICS INSTRUMENT CORPORATION GA 30093 JOANNE.MOCNY@MICROMERITIC.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
800-262-4743 Ext.
MICHIGAN COMMERCIAL
INSURANCE MUTUAL
38-3497412 1044 EASTBURY DRIVE WRODRIGUEZ@MCIM.COM
800-262-4743 Ext.
NASHVILLE TN 37214
Phone:
SBWC # Insurer Name Address Email
10222 STEVENS POINT
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
13292 KANSAS CITY
POMPANO BEACH FL 33064
Phone:
SBWC # Insurer Name Address Email
10104 CHESTERFIELD
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
TUCKER GA 30084
Phone:
AUBRUNDALE FL 33823
Phone:
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
13208 LOVELAND
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
MIDDLESEX INSURANCE COMPANY WI 54481 TOM.HERZOG@SENTRY.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 2501 MCGAVOCK PIKE SHARON.PROSSER@ASCRISK.COM
800-322-1276 Ext. 382
800-282-2460 Ext.
HERITAGE CONSULTANTS 59-2305659 209 PALMETTO STREET GGIST@FLORIDATPA.COM
800-354-6494 Ext. 201
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
MIDWEST EMPLOYERS CASUALTY 14755 NORTH OUTER
FORTY DR., SUITE 300
MO 63017 LALOISI@MWECC.COM
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
MIDWEST BUILDERS CASUALTY MUTUAL
COMPANY
1100 WALNUT STREET,
SUITE 3010
MO 64106 JCROWLEY@MWBC.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
MIDWESTERN INDEMNITY COMPANY OH 45140 CORPORATESECRETARY@LIBERTYMUTUA.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
336-668-9050 Ext. 7539
21536 MILLEDGEVILLE
MILLEDGEVILLE GA 31059
Phone:
SBWC # Insurer Name Address Email
20410 JACKSONVILLE
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
13054 WARREN
ATLANTA GA 30305
Phone:
CINCINNATI OH 45202
Phone:
SBWC # Insurer Name Address Email
13233 WARREN
ATLANTA GA 30305
Phone:
SBWC # Insurer Name Address Email
20299 MONROE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13219 SARASOTA
SARASOTA FL 34232
Phone:
SARASOTA FL 34240
Phone:
SBWC # Insurer Name Address Email
21020 MAULDIN
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
21103 COLUMBUS
800-421-0710 Ext.
MILTON J WOOD COMPANY (MJW
CONSOLIDATED)
FL 32226 MWOOD@MJWOOD.COM
GA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GAADMINSVCS.COM
478-453-9496 Ext.
MILLEDGEVILLE CITY OF GA 31059 BOBBY@BBROWNINSURANCE.COM
MILLEDGEVILLE CITY OF 58-1467285 P O BOX 1599 BOBBY@BBROWNINSURANCE.COM
50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
MONROE CITY OF GA 30655
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE
MITSUI SUMITO MARINE 13-3429270 14 PIEDMONT CNT #415 PEASTERWOOD@MSIGUSA.COM
877-365-2299 Ext.
MITSUI SUMITOMO INSURANCE USA INC NJ 07059 BCURTIS@MSIGUSA.COM
MITSUI SUMITOMO MARINE
MANAGEMENT (USA) INC
22-3818012 312 ELM STREET
-- Ext.
877-365-2299 Ext.
MITSUI SUMITOMO INS. CO. OF AM NJ 07059 BCURTIS@MSIGUSA.COM
MITSUI SUMITO MARINE 13-3429270 14 PIEDMONT CNT #415 PEASTERWOOD@MSIGUSA.COM
MUSCOGEE COUNTY SCHOOL DISTRICT GA 31904 DNWALKER@MCSDGA.NET
800-845-2724 Ext. 43582
MOUNT VERNON MILLS SC 29662 GARYW@MVMILLS.COM
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
800-226-3243 Ext. 5729
FCCI SERVICES INC 59-1968027 6300 UNIVERSITY FCCICLAIMSEDI@FCCI-GROUP.COM
800-226-3243 Ext. 5729
MONROE GUARANTY INSURANCE COMP FL 34240 COMPLIANCEDEPT@FCCI-GROUP.COM
FCCI SERVICES 59-1968027 P O BOX 58004 FCCICLAIMSEDI@FCCI-GROUP.COM
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21701 LAVONIA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
12081 CHANDLER
CHANDLER OK 74834
Phone:
SBWC # Insurer Name Address Email
10115 CHICAGO
DULUTH GA 30096
Phone:
CHICAGO IL 60604
Phone:
DUBUQUE IA 52004
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
12088 OMAHA
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13184 RICHFIELD
DALTON GA 30722
Phone:
CHATTANOOGA TN 37405
Phone:
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
312-822-2331 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
800-283-2318 Ext. 3574
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
NATIONAL FIRE INS COMPANY OF HARTFORD 3333 S WABASH AVENUE,
28 SOUTH
IL 60604 GASTATEICNUMBERS@CNA.COM
LMCGREGOR@NAICO.COM
800-332-2210 Ext.
NATIONAL AMERICAN INSURANCE COMPANY OK 74834
NATIONAL AMERICAN INS 47-0247300 1010 MANVEL AVENUE
888-888-8136 Ext.
NASH JOHNSON & SONS FARMS INC GA 30553 DEB.WHITLEY@HOUSEOFRAEFORD.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
423-265-0541 Ext.
COLLINS & COMPANY 62-0882150 P O BOX 6429 AGRIME@COLLINSANDCO.COM
706-277-1253 Ext.
COLLINS & COMPANY 62-0882150 555 RIVER ST SBIBLE@COLLINSANDCO.COM
NATIONAL INTERSTATE INSURANCE COMPANY OH 44286 KATHY.JUHASZ@NATL.COM
CYPRESS INSURANCE 95-6042929 1725 WINDWARD
CONCOURSE
CBARNES@BHHC.COM
877-212-3816 Ext. 230
NATIONAL INDEMNITY COMPANY NE 68131 LRRU@NATIONALINDEMNITY.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
ATLANTA GA 31139
Phone:
SBWC # Insurer Name Address Email
13047 OMAHA
MONTGOMERY AL 36123
Phone:
SBWC # Insurer Name Address Email
10117 NOVATO
ATLANTA GA 30374
Phone:
ALPHARETTA GA 30022
Phone:
SBWC # Insurer Name Address Email
13061 SARASOTA
SARASOTA FL 34232
Phone:
SARASOTA FL 34240
Phone:
SBWC # Insurer Name Address Email
10118 NEW YORK
NORCROSS GA 30071
Phone:
BIRMINGHAM AL 35209
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ALPHARETTA GA 30023
Phone:
ROSWELL GA 30076
COLLINS AND COMPANY 62-0882150 P O BOX 723783 ATLANTA@COLLINSANDCO.COM
770-434-9222 Ext.
NATIONAL TRUST INSURANCE COMPANY FL 34240 COMPLIANCEDEPT@FCCI-GROUP.COM
FCCI SERVICES 59-1968027 P O BOX 58004 FCCICLAIMSEDI@FCCI-GROUP.COM
678-393-4584 Ext.
FIREMAN'S FUND CLAIMS
CENTER
58-1373156 P O BOX 740174 KLOCKE@FFIC.COM
678-393-4550 Ext.
FIREMAN'S FUND
INSURANCE CO
94-1610280 11475 GREAT OAKS WAY JUDY.OWEN@AFFIC.COM
NATIONAL SURETY CORPORATION CA 94998 LMUNSON@FFIC.COM
ASSOCIATED INSURANCE
ADMINISTRATORS
63-1103582 P O BOX 230848 CDAIL@ACAWORKCOMP.COM
800-388-6268 Ext.
NATIONAL LIABILITY & FIRE INSURANCE
COMPANY
NE 68131 STRPTGA@NATIONALINDEMNITY.COM
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
678-447-0200 Ext. 302
NATIONAL UNION FIRE INSURANCE COMPANY
OF PITTSBURGH PA
175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
800-226-3243 Ext. 5729
FCCI SERVICES INC 59-1968027 6300 UNIVERSITY FCCICLAIMSEDI@FCCI-GROUP.COM
800-226-3243 Ext. 5729
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
Phone:
MANDEVILLE LA 70471
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13143 DES MOINES
DES MOINES IA 50391
Phone:
SBWC # Insurer Name Address Email
12021 COLUMBUS
GAINESVILLE FL 32614
Phone:
SBWC # Insurer Name Address Email
10119 COLUMBUS
GAINESVILLE FL 32614
Phone:
SBWC # Insurer Name Address Email
13015 COLUMBUS
GAINESVILLE FL 32614
Phone:
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
800-985-7078 Ext.
NATIONWIDE MUTUAL INS CO ONE NATIONWIDE
PLAZA, 3-13-401
OH 43215 KINGJ4@NATIONWIDE.COM
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
800-985-7078 Ext.
NATIONWIDE MUTUAL FIRE INS CO OH 43215 KINGJ4@NATIONWIDE.COM
NATIONWIDE AGRIBUSINESS 42-1015537 1100 LOCUST ST. NEWCLAIM@NATIONWIDE.COM
800-532-1436 Ext. 4344
NATIONWIDE AGRIBUSINESS 1100 LOCUST ST., DEPT
3030
IA 50391 NEWCLAIM@NATIONWIDE.COM
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
800-985-7078 Ext.
NATIONWIDE PROPERTY AND CASUALTY
INSURANCE CO
OH 43215 KINGJ4@NATIONWIDE.COM
NATIONWIDE INSURANCE 31-4177100 P O BOX 147061 FERRANT@NATIONWIDE.COM
SBWC # Insurer Name Address Email
13045 KEENE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
10122 NEW YORK
NORCROSS GA 30071
Phone:
BIRMINGHAM AL 35209
Phone:
SBWC # Insurer Name Address Email
10122 NEW YORK
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
MAITLAND FL 32751
Phone:
ALPHARETTA GA 30023
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33612
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
NEW HAMPSHIRE INSURANCE CO 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
NETHERLANDS INS CO NH 03431 CORPORATESECRETARY@LIBERTYMUTUAL.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
800-277-7500 Ext. 20104
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
NEW HAMPSHIRE INSURANCE CO 175 WATER STREET,
18TH FLOOR
NY 10038 ALGAWCFR@AIG.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA CMULLINS@AVIZENTRISK.COM
770-352-2978 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR GEORGIAWCBOARD@TRAVELERS.COM
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
CHARTIS CLAIMS 13-2925174 P O BOX 1821 ALGAWCFR@AIG.COM
800-448-9707 Ext.
Phone:
FT SMITH AR 72919
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
CLEARWATER FL 33758
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
877-241-6121 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
770-934-3414 Ext.
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-473-9009 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-532-7706 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
800-226-8002 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
LEXINGTON KY 40512
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13294 NEW YORK
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
20601 COVINGTON
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
12040 HARTFORD
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-282-6218 Ext.
NEWTON COUNTY BOARD OF EDUCATION GA 30015 WILLIAMS.SHERRI@NEWTON.K12.GA.US
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
NEW YORK MARINE & GENERAL INSURANCE
COMPANY
919 3RD AVENUE, 10TH
FLOOR
NY 10022 CMCAULEY@PROSIGHTSPECIALTY.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
NIPPONKOA INSURANCE
COMPANY LIMITED (U S
BRANCH)
98-0032627 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
NIPPONKOA INSURANCE
COMPANY LIMITED (U S
BRANCH)
98-0032627 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
NIPPONKOA INS CO LTD (US BRANCH) CT 06183
XCALIBRE RISK SERVICES 26-4197853 4370 PEACHTREE ROAD NE JMARSHBURN@ATLAM.COM
404-266-5749 Ext.
Phone:
SBWC # Insurer Name Address Email
13101 WASHINGTON
WASHINGTON DC 20004
Phone:
SBWC # Insurer Name Address Email
21643 AMHERST
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
21679 SEATTLE
SANTA ANA CA 92799
Phone:
SBWC # Insurer Name Address Email
13169 WILKES-BARRE
WILKES-BARRE PA 18703
Phone:
WILKES-BARRE PA 18703
Phone:
TOWSON MD 21204
Phone:
SBWC # Insurer Name Address Email
20591 CLAXTON
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
13001 MANCHESTER
ATLANTA GA 30319
Phone:
FT MILL SC 29716
NORDSON CORPORATION OH 44001 MDOYLE@NORDSON.COM
NLC Mutual Insurance Company 52-1479893 1301 PENNSYLVANIA AVE GERGEN@NLCMUTUAL.COM
202-626-3162 Ext.
NLC MUTUAL INSURANCE COMPANY 1301 PENNSYLVANIA
AVENUE NW, #550
DC 20004 MMCCORD@NLCMUTUAL.COM
888-329-6259 Ext.
NIPPONKOA INSURANCE
COMPANY LIMITED (U S
BRANCH)
800-673-2465 Ext. 8110
GUARD INSURANCE GROUP 23-2240322 P O BOX A - H CLAIMS3@GUARD.COM
800-673-2465 Ext. 8110
NORGUARD INSURANCE COMPANY PA 18703 ESOLA@GUARD.COM
AMGUARD 23-2240321 P O Box 1368 CLAIMS3@GUARD.COM
877-275-7475 Ext.
NORDSTROM INC WA 98111 DEBBIE.BORDEAUX@NORDSTROM.COM
NORDSTROM 91-0515058 P O BOX 25799 STEVE.TOLAN@NORDSTROM.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
NORTH AMERICAN SPECIALTY INSURANCE NH 03101 MARILYN_WRIGHT@SWISSRE.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
NORMAN W. FRIES INC dba CLAXTON POULTRY GA 30417 BOB_GUNNELS@CLAXTONPOULTRY.COM
800-673-2465 Ext. 8302
GUARD INSURANCE GROUP 23-2240322 102 WEST PENNSYLVANIA
AVE
CLAIMS3@GUARD.COM
Phone:
SBWC # Insurer Name Address Email
10125 MORRISTOWN
LAKE MARY FL 32795
Phone:
SBWC # Insurer Name Address Email
12026 NORTHBROOK
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
21388 GAINESVILLE
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
10126 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
10209 SCHAMBURG
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
SCHAUMBERG IL 60666
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21259 ATLANTA
GALLAGHER BASSETT
SERVICES INC
866-814-1740 Ext. 201
NORTHERN ASSURANCE COMPANY OF
AMERICA
MA 02081 SHOLLAND@ONEBEACON.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
NORTHEAST GEORGIA HEALTH SYSTEM INC GA 30501 CYNTHIA.TABUE@NGHS.COM
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
NORTHBROOK INDEMNITY INSURANCE CO IL 60062
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
800-423-3060 Ext. 6301
UNITED STATES FIRE
INSURANCE COMPANY
13-5459190 1064 GREENWOOD BLVD DENVER_CHEEK@CFINS.COM
NORTH RIVER INSURANCE COMPANY NJ 07962 GEORGE_ROBERTS@CFINS.COM
NORTHSIDE HEALTH SERVICES INC GA 30342 SUSAN.SOMMERS@NORTHSIDE.COM
404-851-3208 Ext.
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NORTH AMERICA 36-3839542 P.O. BOX 2769 USZ_GA_WC_CLAIM_NOTICES@ZURICHNA.COM
404-851-3601 Ext.
NORTHERN INSURANCE
COMPANY OF NEW YORK
13-5283360 1900 SUMMIT TOWER CHRIS.CALLOWAY@ZURICHNA.COM
404-851-3207 Ext.
NORTHERN INSURANCE COMPANY OF NEW
YORK
IL 60196 TIM.GRAHAM@ZURICHNA.COM
NORTHERN INSURANCE
COMPANY OF NEW YORK
13-5283360 3003 SUMMIT BLVD CHRIS.CALLOWAY@ZURICHNA.COM
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13288 BUFFALO
TUCKER GA 30084
Phone:
ATLANTA GA 30328
Phone:
PARSIPPANY NJ 07054
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
10212 FAIRFIELD
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
12093 WESTFIELD
CENTERDULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13147 FAIRFIELD
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21062 THOMASVILLE
POMPANO BEACH FL 33064
Phone:
SBWC # Insurer Name Address Email
OHIO CASUALTY INS CO OH 45014 CORPORATESECRETARY@LIBERTYMUTUAL.COM
YORK CLAIMS SERVICE INC 13-1963636 1117 PERIMETER CENTER
WEST
GEORGE.NAJIM@YORKCLAIMS.COM
678-225-2284 Ext.
888-888-8136 Ext.
YORK CLAIMS SERVICE INC 13-1963636 99 CHERRY HILL ROAD STEPHANIE.MARSHALL@YORKRSG.COMM
877-927-2255 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
NOVA CASUALTY COMPANY 726 EXCHANGE STREET,
STE 1020
NY 14210 MSTARSKI@AIXGROUP.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
877-295-0011 Ext.
OLD DOMINION FREIGHT LINE INC NC 27360 KATRENA.PARKER@OLDFL.COM
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
800-334-0078 Ext. 214
OHIO SECURITY INSURANCE CO OH 45014 CORPORATESECRETARY@LIBERTYMUTUAL.COM
WESTFIELD INSURANCE
GROUP
34-6516838 3505 KROGER BLVD MARKKWIATKOWSKI@WESTFIELDGRP.COM
800-685-4604 Ext. 222
OHIO FARMERS INSURANCE CO OH 44251 DONBRATTON@WESTFIELDGRP.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
13032 JACKSONVILLE
SYRACUSE NY 13212
Phone:
SBWC # Insurer Name Address Email
12058 GREENSBURG
ATLANTA GA 30319
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
10129 GREENSBURG
ALPHARETTA GA 30005
Phone:
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
MAITLAND FL 32751
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30356
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-450-0692 Ext.
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-473-9009 Ext.
OLD REPUBLIC GENERAL INSURANCE
CORPORATION
PA 15601 E.STROKA@ORINSCO.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
315-434-1450 Ext.
OLD DOMINION INSURANCE
COMPANY
59-2070420 P O BOX 4828 KILLGOREK@MSAGROUP.COM
OLD DOMINION INS CO 4601 TOUCHTON ROAD
EAST, SUITE 3400
FL 32245 FOXB@MSAGROUP.COM
866-291-0194 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
419-847-6323 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
800-247-2656 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
OLD REPUBLIC INSURANCE COMPANY PA 15601 J.ROBINSON@ORINSCO.COM
BERKLEY RISK
ADMINISTRATORS
22-2235730 3655 NORTH POINT
PARKWAY
TGARRISON@BERKLEYRISK.COM
678-942-7300 Ext.
CUSTARD INSURANCE
ADJUSTERS
- P O BOX 888385 MADKINS@CUSTARD.COM
CORVEL 42-1704550 2905 PREMIER PARKWAY SHERRE_KAHRS@CORVEL.COM
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
BIRMINGHAM AL 35266
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
LAKE MARY FL 32746
Phone:
SAVANNAH GA 31405
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-473-9009 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
770-551-2070 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-541-0139 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
241-922-0638 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
Phone:
SBWC # Insurer Name Address Email
13028 CHICAGO
TUCKER GA 30084
Phone:
CHICAGO IL 60601
Phone:
SBWC # Insurer Name Address Email
13197 CANTON
DULUTH GA 30096
Phone:
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
13199 CANTON
DULUTH GA 30096
Phone:
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
13131 CANTON
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13196 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
21468 TOLEDO
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
800-354-6494 Ext. 201
OLD REPUBLIC UNION
INSURANCE
36-3765116 307 N MICHIGAN AVE
800-621-0365 Ext.
OLD REPUBLIC UNION INS IL 60601 ORIACCOUNTING@OLDREPUBLIC.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
912-355-8989 Ext.
ONEBEACON MIDWEST INS CO FKA
COMMERICAL UNION MIDWEST INS
MA 02021
MONTGOMERY INSURANCE - 3555 KOGER BLVD.
DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
800-762-5573 Ext.
ONEBEACON INSURANCE 23-1502700 P O BOX 9155
ONEBEACON INSURANCE CO. MA 02021 SHOLLAND@ONEBEACON.COM
MONTGOMERY INSURANCE - 3555 KOGER BLVD.
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
MONTGOMERY INSURANCE - 3555 KOGER BLVD.
800-762-5573 Ext.
ONEBEACON AMERICAN INS CO MA 02021 SHOLLAND@ONEBEACON.COM
800-354-6494 Ext. 201
OWENS CORNING ONE OWENS CORNING
PARKWAY, 2G
OH 43659 CAROL.OSINSKI@OWENSCORNING.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
ONEBEACON MIDWEST INS. CO. MA 02021 SHOLLAND@ONEBEACON.COM
800-762-5573 Ext.
20814 PERRYSBURG
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13004 LANSING
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
21717 ALBANY
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
10130 PHILADELPHIA
LITTLE ROCK AZ 72231
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
10132 WARREN
ATLANTA GA 30326
Phone:
TUCKER GA 30084
Phone:
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
OWENS ILLINOIS INC ONE O-I PLAZA, ONE
MICHAEL OWENS WAY
OH 43551 THAD.FRANKLIN@O-I.COM
800-685-7361 Ext.
ALTERNATIVE SERVICE
CONCEPTS LLC
43-1954328 P O BOX 15550 JAMES.CHANCELLOR@ASCRISK.COM
800-669-0437 Ext. 108
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
PACIFIC EMPLOYERS INSURANCE COMPANY 436 WALNUT STREET,
WB04G
PA 19106 MARILEE.BRABSON@ACEGROUP.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
OXFORD CONSTRUCTION COMPANY GA 31707 KMILLER@OXFORDCONSTRUCTION.COM
AUTO OWNERS INSURANCE
CO
38-0315280 P O BOX 100044 GEORGIAWORKCOMP.CLM@AOINS.COM
770-931-7766 Ext. 201
OWNERS INSURANCE COMPANY MI 48917 FISHER.BRUCE@AOINS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
404-266-4855 Ext.
PACIFIC INDEMNITY COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
615-824-5095 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
DULUTH GA 30097
Phone:
ATLANTA GA 30326
Phone:
ATLANTA GA 30326
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20457 CLEVELAND
SAVANNAH GA 31405
Phone: 912-355-8989 Ext.
SBWC # Insurer Name Email
10247 STEVENS POINT
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
21553 TOCCOA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21327 DOUGLAS
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
10029 WARRENVILLE
CHARLOTTE NC 28277
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
PATRIOT GENERAL INSURANCE COMPANY WI 54481 TOM.HERZOG@SENTRY.COM
Address
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
PARKER HANNIFIN CORP OH 44124 CGROSS@PARKER.COM
770-901-3121 Ext.
PACIFIC INDEMNITY
INSURANCE
95-1078160 2 LIVE OAK CENTER SUITE
900
KPILZ@CHUBB.COM
404-266-4127 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
866-246-0259 Ext.
PACIFIC INDEMNITY 95-1078160 3445 PEACHTREE RD KPILZ@CHUBB.COM
404-266-4127 Ext.
PEERLESS INDEMNITY INSURANCE COMPANY 27201 BELLA VISTA
PARKWAY, SUITE 130
IL 60555 CORPORATESECRETARY@LIBERTYMUTUAL.COM
912-355-8929 Ext. 224
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
PCC AIRFOILS INC GA 31535 JOHN.HALLISEY@PCCDOUGLAS.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
PATTERSON PUMP COMPANY GA 30577 SHARBIN@PATTERSONPUMPS.COM
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
CHRISTINE.JONES@MONTGOMERY-INS.COMMONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130
Phone:
SBWC # Insurer Name Address Email
10134 KEENE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
10291 WILKES BARRE
ATLANTA GA 31139
Phone:
SBWC # Insurer Name Address Email
13280 BALA CYNWYD
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13198 CANTON
CANTON MA 02021
Phone:
SBWC # Insurer Name Address Email
12074 PHILADELPHIA
ATLANTA GA 30350
Phone:
SBWC # Insurer Name Address Email
12009 BLUE BELL
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13138 BLUE BELL
PENN STAR INSURANCE THREE BALA PLAZA
EAST, SUITE 300
PA 19004 GSEGELKEN@UAI-GROUP.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
770-434-9222 Ext.
PENN MILLERS INSURANCE PA 18773 MMARRA@PENNMILLERS.COM
COLLINS AND COMPANY 62-0882150 P O BOX 723783 ATLANTA@COLLINSANDCO.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
PEERLESS INSURANCE CO NH 03431 CORPORATESECRETARY@LIBERTYMUTUAL.COM
800-334-0078 Ext. 214
MONTGOMERY INSURANCE
CLAIM CENTER
888-888-8136 Ext.
PENNSYLVANIA MANUFACTURERS ASSN INS CO PA 19422 STEPHEN_GARTNER@PMAGROUP.COM
PENNSYLVANIA
MANUFACTURERS
INDEMNITY
23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
800-621-1313 Ext.
PENNSYLVANIA LUMBERMENS MUTUAL
INSURANCE CO
ONE COMMERCE
SQUARE, 2005 MARKET
ST, STE 1200
PA 19103 HJAMISON@PLMINS.COM
TENCO SERVICES 62-0449213 8735 DUNWOODY PL BSHARPE@TENCO.COM
ONEBEACON INSURANCE 23-1502700 P O BOX 9155 DDAVENPORT@ONEBEACON.COM
800-203-9600 Ext. 9706
PENNSYLVANIA GENERAL INS CO MA 02028 SHOLLAND@ONEBEACON.COM
800-347-4494 Ext.
PENNSYLVANIA MANUFACTURERS INDEMNITY
CO
PA 19422 STEPHEN_GARTNER@PMAGROUP.COM
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10136 HARRISBURG
ATLANTA GA 30319
Phone:
GREENSBORO NC 27405
Phone:
SBWC # Insurer Name Address Email
10285 HOUSTON
FAIRFAX VA 22037
Phone:
SBWC # Insurer Name Address Email
13257 ALGONA
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
SBWC # Insurer Name Address Email
21292 ALBANY
OWING MILLS MD 21117
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
SBWC # Insurer Name Address Email
10138 HARTFORD
DULUTH GA 30097
888-975-2667 Ext.
EXXON MOBIL RISK
MANAGEMENT INC.
76-0006056 3225 GALLOWS ROAD MONICA.A.PARATONE@EXXONMOBILE.COM
PETROLEUM CASUALTY COMPANY TX 77253 BARBARA.L.HOOPER@EXXONMOBIL.COM
PENNSYLVANIA NATIONAL
MUTUAL CASUALTY
23-0961349 1703 E WENDOUR AVENUE
800-877-7366 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
PENNSYLVANIA NAT MUT CAS PA 17105 DAUSTIN@PNAT.COM
888-888-8136 Ext.
PENNSYLVANIA
MANUFACTURERS
INDEMNITY
23-1642962 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
866-654-4001 Ext.
MATRIX ABSENCE 77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-866-2301 Ext.
PHOEBE PUTNEY HEALTH SYSTEM INC GA 31707 DWALKER@PPMH.ORG
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
PHARMACISTS MUTUAL INSURANCE CO 808 HIGHWAY 18 WEST,
PO BOX 370
IA 50511 LISA.MOLSBERRY@PHMIC.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
PHOENIX INSURANCE COMPANY CT 06183 KDAVIS@TRAVELERS.COM
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
CHARLOTTE NC 28226
Phone:
SBWC # Insurer Name Address Email
21237 ATLANTA
ATLANTA GA 30309
Phone:
SBWC # Insurer Name Address Email
21622 CHARLESTON
CHARLOTTE NC 28226
Phone:
SBWC # Insurer Name Address Email
21728 KNOXVILLE
KNOXVILLE TN 37939
Phone:
SBWC # Insurer Name Address Email
20454 ALLISON PARK
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
13251 NEW YORK
ATLANTA GA 30366
Phone:
SBWC # Insurer Name Address Email
13141 OMAHA
PIEDMONT MEDICAL 58-1503902 1968 PEACHTREE RD NW CATHERINE.SWEELEY@PIEDMONT.ORG
404-605-3614 Ext.
PIEDMONT HEALTHCARE GA 30309 CATHERINE.SWEELEY@PIEDMONT.ORG
PHOENIX INSURANCE
COMPANY
06-0303275 11440 CARMEL COMMONS
BLVD
CMHARRIS1@TRAVELERS.COM
800-759-6194 Ext. 3298
800-238-6214 Ext.
PHOENIX INSURANCE
COMPANY
06-0303275 BUILDING V SUITE 200 DBRYSON@TRAVELERS.COM
888-487-3492 Ext.
866-246-0259 Ext.
PHOENIX INSURANCE
COMPANY
06-0303275 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-338-2487 Ext. 4616
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
PPG INDUSTRIES INC 4325 ROSANNA DRIVE,
BLDG C
PA 15101 CGRECO@PPG.COM
PILOT CORPORATION 34-1953155 P O BOX 10146 CONNIE.PARKS@PILOTTRAVELCENTERS.COM
800-562-6210 Ext.
PILOT TRAVEL CENTERS LLC TN 37939 DON.GRAHAM@PILOTTRAVELCENTERS.COM
CONSTITUTION STATE
SERVICES LLC
06-1501229 11440 CARMEL COMMONS
BLVD
BBIFARO@TRAVELERS.COM
800-759-6194 Ext. 3353
PIGGLY WIGGLY CAROLINA COMPANY INC 176 CROGHAN SPUR
ROAD, STE 301
SC 29407 DOLLYDROZE@THEPIG.NET
PREFERRED PROFESSIONAL INS CO 11605 MIRACLE HILLS
DRIVE, SUITE 200
NE 68154 COMPLIANCE@PPICINS.COM
800-772-8427 Ext.
PRAETORIAN INSURANCE CO NY 10005 MBLAKE@PFGI.COM
ADJUSTMENT SERVICES INC. 58-1623664 P O BOX 81306 SHARON@ADJUSTMENTSERVICES.COM
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
MANDEVILLE LA 70471
Phone:
BRENTWOOD TN 37027
Phone:
SBWC # Insurer Name Address Email
13226 MURFREESBORO
POMPANO BEACH FL 33064
Phone:
SBWC # Insurer Name Address Email
21712 AUSTELL
ATLANTA GA 30366
Phone:
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21567 ATLANTA
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13084 BIRMINGHAM
227414 ATLANTA GA 30350
Phone:
SBWC # Insurer Name Address Email
21449 CINCINNATI
CINCINNATI OH 45224
PREMIER GROUP INSURANCE COMPANY TN 37130 DHESTER@PREMIERGROUPINS.COM
F A RICHARD (FARA) 72-0837383 7000 EXECUTIVE CENTER
DRIVE
GEORGIA.NOTICES@FARA.COM
800-675-2771 Ext. 225
-- Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
11605 MIRACLE HILLS
DRIVE, SUITE 200
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
PRINTPACK INC GA 30339 DKENNY@PRINTPACK.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
404-266-5749 Ext.
ADJUSTMENT SERVICES INC. 58-1623664 P O BOX 81306 SHARON@ADJUSTMENTSERVICES.COM
800-772-8427 Ext.
SELF-INSURANCE
ADMINISTRATORS (SIA)
58-1870166 4370 PEACHTREE ROAD NE JMARSHBURN@ATLAM.COM
PRESBYTERIAN HOMES OF GEORGIA INC GA 30106 GHARDY@PHGAINC.ORG
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
PROCTER & GAMBLE CO 5299 SPRING GROVE
AVENUE, BOX 209
OH 45217 BOWLING.CA@PG.COM
800-621-1313 Ext.
PROASSURANCE INDEMNITY COMPANY INC SUITE 500, 100
BROOKWOOD PLACE
AL 35209 LGOODWIN@PROASSURANCE.COM
TENCO SERVICES 62-0449213 8735 DUNWOODY PL BSHARPE@TENCO.COM
Phone:
SBWC # Insurer Name Address Email
13094 HARTFORD
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
Phone:
NASHVILLE TN 37214
Phone:
SBWC # Insurer Name Address Email
13094 HARTFORD
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
PROPERTY & CASUALTY INSURANCE COMPANY
OF HARTFORD
CT 06155
800-235-1134 Ext. 5
615-824-5095 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
PROPERTY & CASUALTY INSURANCE COMPANY
OF HARTFORD
CT 06155
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW
Phone:
SBWC # Insurer Name Address Email
10266 INDIANAPOLIS
GLEN ALLEN VA 23058
Phone:
INDIANAPOLIS IN 46207
Phone:
SBWC # Insurer Name Address Email
12054 ST. LOUIS
227399 FRAZER PA 19355
Phone:
SBWC # Insurer Name Address Email
10142 NEW YORK
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
10042 DENVER
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
21706 TULSA
228406 TULSA OK 74101
Phone:
SBWC # Insurer Name Address Email
20350 ATLANTA
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21772 JACKSONVILLE
ROSWELL GA 30076
800-644-5501 Ext. 6573
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
800-906-4461 Ext.
PROTECTIVE INSURANCE 35-6021485 PO BOX 7099 GEORGIACLAIMNOTIFICATIONS@PROTECTIVEINSURANC
E.COM
PROTECTIVE INSURANCE CO IN 46204 GEORGIACLAIMNOTIFICATIONS@PROTECTIVEINSURA
NCE.COM
407-562-3632 Ext.
QUIKTRIP CORPORATION 73-0675375 P O BOX 3475 SPHIPPS@QUIKTRIP.COM
918-615-7754 Ext.
QUIKTRIP CORPORATION OK 74101 JDYE@QUIKTRIP.COM
ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
QUANTA INDEMNITY COMPANY FKA NATIONAL
FARMERS UNION STANDARD
1125 17TH STREET,
SUITE 600
CO 80202
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
800-580-6912 Ext.
PUBLIC SERVICE MUTUAL INSURANCE CO NY 10016 NROTHSTEIN@MCCARTA.COM
-- Ext.
PROVIDIAN AUTO & HOME MO 63146
PROVIDIAN AUTO & HOME - 20 MOORES ROAD
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
RAYONIER INC 1301 RIVERPLACE BLVD,
SUITE 2300
FL 32207 MICHAEL.FOUNTAIN@RAYONIER.COM
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
RACETRAC PETROLEUM INC 3225 CUMBERLAND
BLVD, SUITE 100
GA 30339 LWILLIAMS@RACETRAC.COM
Phone:
SBWC # Insurer Name Address Email
10055 SUN PRAIRIE
ATLANTA GA 31145
Phone:
SBWC # Insurer Name Address Email
21771 BIRMINGHAM
BIRMINGHAM AL 35209
Phone:
SBWC # Insurer Name Address Email
13031 NEW HARTFORD
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
20920 AUGUSTA
AUGUSTA GA 30901
Phone:
SBWC # Insurer Name Address Email
21671 RIVERDALE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13269 MINNEAPOLIS
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13227 CLEVELAND
REGIONS FINANCIAL CORPORATION 1900 5TH AVENUE
NORTH, ALBH10901B
AL 35203 SUZY.BRADEN@REGIONS.COM
SHARON.STARKS@US.QBE.COM
770-493-1931 Ext.
GENERAL CASUALTY
COMPANY OF WISCONSIN
39-0301590 P O BOX 450409
REGENT INSURANCE CO WI 53596 REGULATORYCOMPLIANCE@GENERALCASUALTY.CO
M
800-685-7361 Ext.
RIVERDALE CITY OF GA 30274 ASMITH@RIVERDALEGA.GOV
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
706-826-1010 Ext.
RICHMOND COUNTY BD OF ED 864 BROAD ST, 2ND
FLOOR #208
GA 30901 WILLIJU@BOE.RICHMOND.K12.GA.US
RICHMOND COUNTY BD OF 58-6000310 864 BROAD ST LABBRC1@BOE.RICHMOND.K12.GA.US
770-510-4100 Ext.
REPUBLIC FRANKLIN INSURANCE COMPANY NY 13413 WORKERSCOMPMAIL@UTICANATIONAL.COM
REPUBLIC-FRANKLIN
INSURANCE COMPANY
31-4290270 1040 CROWN POINT
PARKWAY
WORKERSCOMPMAIL@UTICANATIONAL.COM
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
ROCHDALE INSURANCE COMPANY 5800 LOMBARDO
CENTER, STE 200
OH 44131 CATHY.MAXIN@AMTRUSTGROUP.COM
800-366-1511 Ext. 7732
RIVERPORT INSURANCE COMPANY 222 SOUTH NINTH
STREET, SUITE 1300
MN 55402 EGERBER@RIVERPORTINSURANCE.COM
KEY RISK MANAGEMENT
SERVICES LLC
56-1800954 3655 NORTH POINT PKWY JDUGGINS@KEYRISK.COM
678-258-8000 Ext.
JOHNS CREEK GA 30097
Phone:
BIRMINGHAM AL 35209
Phone:
MANDEVILLE LA 70471
Phone:
FRANKLIN TN 37067
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
20602 CONYERS
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
20862 ATLANTA
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
21441 LAFAYETTE
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
21773 ROSEBURG
MAITLAND FL 32751
Phone:
SBWC # Insurer Name Address Email
20520 ROSWELL
ATLANTA GA 30328
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
ROLLINS INC GA 30324 KNAGY@ROLLINSCORP.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-845-2724 Ext. 43582
ROCKDALE COUNTY BOARD OF EDUCATION GA 30012 BBONTRAGER@ROCKDALE.K12.GA.US
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
800-304-5035 Ext.
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
KM@JOHNSTONANDASSOC.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
ROSWELL CITY OF GA 30075
866-291-0194 Ext.
ROSEBURG FOREST PRODUCTS COMPANY OR 97470 LISAF@RFPCO.COM
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
800-884-1535 Ext.
ROPER CORPORATION GA 30728 BETH.NARMORE@GE.COM
COLLINS & COMPANY 62-0882150 555 RIVER STREET AGRIME@COLLINSANDCO.COM
Phone:
SBWC # Insurer Name Address Email
10226 CHARLOTTE
CHARLOTTE NC 28219
Phone:
SBWC # Insurer Name Address Email
21656 ATLANTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
21500 MARYVILLE
TUCKER GA 30084
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20945 ALPHARETTA
227900 ALPHARETTA GA 30023
Phone:
SBWC # Insurer Name Address Email
10274 SEATTLE
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13092 HOFFMAN
ESTATES
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13187 ST LOUIS
NORCROSS GA 30010
Phone:
ROYAL & SUNALLIANCE INS.
CO
- P O BOX 19809
866-227-1500 Ext.
ROYAL & SUNALLIANCE INSURANCE CO NC 28219
PMA MANAGEMENT
CORPORATION
888-888-8136 Ext.
800-695-0359 Ext.
RYDER SYSTEM INC GA 30023 GPITZ@RYDER.COM
RYDER SYSTEM INC 59-2305021 P O BOX 2370 DEBBIE.L.BREISACHER@RYDER.COM
770-901-3124 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY BETH.RODEE@SRSCONNECT.COM
RUBY TUESDAY INC TN 37801 MBARRETT@RUBYTUESDAY.COM
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY BETH.RODEE@SRSCONNECT.COM
770-901-3124 Ext.
RTM LLC 1155 PERIMETER
CENTER WEST, SUITE
GA 30338 JENNIFER.SMITH@WENDYSARBYS.COM
678-969-7337 Ext.
SAFETY FIRST INSURANCE MO 63146 TIM.STANGER@SAFETYNATIONAL.COM
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
SAFECO INSURANCE OF ILLINOIS 2800 HIGGINS ROAD,
SUITE 1000
IL 60169 CORPORATESECRETARY@LIBERTYMUTUAL.COM
SAFECO 91-0742148 2055 SUGARLOAF CIRCLE MARPOO@SAFECO.COM
678-417-3654 Ext.
SAFECO INSURANCE COMPANY OF AMERICA SAFECO PLAZA, 1001
FOURTH AVENUE
WA 98154 CORPORATESECRETARY@LIBERTYMUTUAL.COM
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ROSWELL GA 30076
Phone:
TUCKER GA 30084
Phone:
OWING MILLS MD 21117
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
762600 ST LOUIS MO 63146
Phone:
ATLANTA GA 30338
LAKE MARY FL 32746
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
419-847-6323 Ext.
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
866-654-4001 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
800-235-1134 Ext. 5
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.EXCHANGING.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
800-548-1373 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
888-878-0005 Ext.
SAFETY NATIONAL
CASUALTY CORPORATION
43-0727872 2043 WOODLAND JENNIFER.HOLMES@SNCC.COM
888-995-5300 Ext. 29506
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
13121 ST LOUIS
ATLANTA GA 30319
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
ROSWELL GA 30076
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
ST LOUIS MO 63146
Phone:
ATLANTA GA 30338
Phone:
LAKE MARY FL 32746
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
21885 HOUMA
800-235-1134 Ext. 5
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.EXCHANGING.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
419-847-6323 Ext.
SAFETY NATIONAL CASUALTY CORPORATION MO 63146 TIM.STANGER@SAFETYNATIONAL.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-548-1373 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
888-995-5300 Ext. 29506
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
SAFETY NATIONAL
CASUALTY CORPORATION
43-0727872 2043 WOODLAND JENNIFER.HOLMES@SNCC.COM
866-246-0259 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-866-2301 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
SAIA MOTOR FREIGHT LINE LLC LA 70363 JFERGUSON@SAIA.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21296 WAYCROSS
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20468 SAVANNAH
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20884 SAVANNAH
COLUMBIA SC 29202
Phone:
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
13253 SEATTLE
SEATTLE WA 98101
Phone:
SBWC # Insurer Name Address Email
13096 DALLAS
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
10240 HARTFORD
ALPHARETTA GA 30052
Phone:
TAMPA FL 33610
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
SATILLA HEALTH SERVICES HUMAN RESOURCES, 410
DARLING AVE
GA 31501 DAVIDP@SATILLA.ORG
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
SEABRIGHT INSURANCE
CLAIMS
43-1436329 1501 4TH AVENUE MICHELLE.WELCH@SBIC.COM
813-315-8449 Ext.
SEABRIGHT INSURANCE COMPANY 1501 4TH AVENUE, SUITE
2600
WA 98101 DEBBIE.SUBRATTIE@SBIC.COM
800-845-2724 Ext.
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext. 43582
SAVANNAH-CHATHAM COUNTY BOARD OF
EDUCATION
GA 31401 ROB.GORDON@SAVANNAH.CHATHAM.K12.GA.US
COMPANION COMMERCIAL
INS
58-2292212 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
SAVANNAH CITY OF GA 31402 SMITCHELL@SAVANNAHGA.GOV
800-238-6214 Ext.
SELECT INSURANCE 75-6013697 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
SELECT INSURANCE CO CT 06183 KDAVIS@TRAVELERS.COM
SELECT INSURANCE 75-6013697 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
678-258-8000 Ext.
SECURITY NATIONAL INSURANCE TX 75265 KFAIRRIS@AMTRUSTGROUP.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
Phone:
SBWC # Insurer Name Address Email
13069 BRANCHVILLE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
12097 BRANCHVILLE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13042 BRANCHVILLE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13097 BRANCHVILLE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
12032 NEW YORK
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
13218 HARTFORD
ATLANTA GA 30319
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
SELECTIVE INSURANCE
COMPANY OF AMERICA
22-1272390 3426 TORINGDON WAY GAIL.BLEVINS@SELECTIVE.COM
800-688-9656 Ext. 1772
SELECTIVE INSURANCE CO OF AMERICA NJ 07890 KATE.IMPARATO@SELECTIVE.COM
888-329-6259 Ext.
SENECA INSURANCE COMPANY INC 160 WATER STREET,
16TH FLOOR
NY 10038 LNOIA@SENECAINSURANCE.COM
800-688-9656 Ext. 1772
JENNIFER.LOMAURO@SELECTIVE.COMSELECTIVE INSURANCE
COMPANY
22-1272390 3426 TORINGDON WAY
SELECTIVE WAY INSURANCE NJ 07890 KATE.IMPARATO@SELECTIVE.COM
SELECTIVE INSURANCE
COMPANY OF AMERICA
22-1272390 3426 TORINGDON WAY GAIL.BLEVINS@SELECTIVE.COM
800-688-9656 Ext. 1772
SELECTIVE INSURANCE COMPANY OF SOUTH
CAROLINA
NJ 07890 KATE.IMPARATO@SELECTIVE.COM
SELECTIVE INSURANCE
COMPANY OF AMERICA
22-1272390 3426 TORINGDON WAY GAIL.BLEVINS@SELECTIVE.COM
800-688-9656 Ext. 1772
SELECTIVE INSURANCE CO OF THE SOUTHEAST NJ 07890 KATE.IMPARATO@SELECTIVE.COM
800-685-7361 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
SENTINEL INSURANCE COMPANY LTD CT 06155 PAULA.SOBOLESKI@THEHARTFORD.COM
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
TUCKER GA 30084
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
866-246-0259 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
407-562-3640 Ext.
SENTINEL INS CO 06-1552103 200 COLONIAL CENTER
PKWY
LARRY.EMORY@THEHARTFORD.COM
404-562-3640 Ext.
SENTINEL INS CO 06-1552103 300 SOUTH STATE ST LARRY.EMORY@THEHARTFORD.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
407-562-3632 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13247 STEVENS POINT
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
10087 STEVENS POINT
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
10255 STEVENS POINT
RICHMOND VA 23260
Phone:
STEVENS POINT WI 54481
Phone:
SBWC # Insurer Name Address Email
13268 MONTEREY
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SENTRY INSURANCE COMPANY WI 54481 TOM.HERZOG@SENTRY.COM
800-338-2487 Ext. 4616
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
SENTRY CASUALTY COMPANY WI 54481 TOM.HERZOG@SENTRY.COM
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
800-450-0692 Ext.
SEQUOIA INSURANCE COMPANY CA 93940 RP4544@SEQUOIAINS.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-338-2487 Ext. 4616
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
SENTRY SELECT INSURANCE COMPANY WI 54481 GA.WC.CLAIMS@SENTRY.COM
SENTRY SELECT INSURANCE
COMPANY
39-0333950 P O BOX 8032 WCCLAIMSEAST@SENTRY.COM
800-739-3344 Ext. 9063
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
21084 DALTON
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
21645 ATLANTA
MARIETTA GA 30006
Phone:
SBWC # Insurer Name Address Email
21744 ATLANTA
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21266 CLEVELAND
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
13256 DERIDDER
DERIDDER LA 70634
Phone:
LAWRENCEVILLE GA 30045
Phone:
SBWC # Insurer Name Address Email
21758 SILOAM SPRINGS
ROGERS AR 72756
Phone:
SBWC # Insurer Name Address Email
21786 WILMINGTON
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
800-354-6494 Ext. 201
SHERWIN-WILLIAMS CO THE OH 44115 AJCOLANGELO@SHERWIN.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
770-963-7732 Ext.
SHEPHERD CONSTRUCTION COMPANY INC P O BOX 8088, STATION F GA 31106 SSTEVE@SHEPCONST.COM
GA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GAADMINSVCS.COM
ALLIED CLAIMS
ADMINISTRATION INC
58-1962415 P O BOX 674869 WILCOXB@MCNEARY.COM
800-476-7601 Ext.
SHEPHERD CENTER INC GA 30309 BETSY_FOX@SHEPHERD.ORG
866-246-0259 Ext.
SHAW INDUSTRIES INC GA 30722 BRENDA.RATCLIFF@SHAWINC.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
SIMPSON LUMBER COMPANY LLC NC 28412 GBALLAR@SIMPSON.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
479-636-0198 Ext.
SIMMONS FOODS INC AR 72761 GLBRYANT@SIMFOODS.COM
S.B. HOWARD & CO. - P O BOX 1627 LESSADAVIS@MYNEWROADS.COM
800-256-3462 Ext.
AMERISAFE RISK SERVICES
INC
72-1274075 555 OLD NORCROSS RD JBISTOK@AMERISAFE.COM
770-339-9878 Ext.
SILVER OAK CASUALTY INC LA 70634 PMCCRANEY@AMERISAFE.COM
AMERISAFE RISK SERVICES
INC
58-1181498 2301 HWY 190 WEST GASTATEBOARD@AMERISAFE.COM
866-246-0259 Ext.
20596 AUGUSTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21539 LANDSALE
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13200 NEW YORK,
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
20478 CAYCE
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
21497 BRUNSWICK
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
20428 COLUMBIA
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20858 ATLANTA
ATLANTA GA 30308
Phone:
SBWC # Insurer Name Address Email
10243 SUN PRAIRIE,
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
SOMPO JAPAN INS OF AMERICA TWO WORLD
FINANCIAL CTR, 225
LIBERTY STREET 43RD
FL
NY 10281 MSPRAGUE@SOMPO-JAPAN-US.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
SKF USA INC PA 19446 LINDA.K.GUNSALLUS@SKF.COM
678-258-8000 Ext.
SIZEMORE INC GA 30904 MKOTTYAN@SIZEMOREINC.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
SOUTHERN COMPANY 30 IVAN ALLEN JR BLVD
NW, BIN SC 1404
GA 30308 CLWHATLE@SOUTHERNCO.COM
866-246-0259 Ext.
SOUTHEASTERN FREIGHT LINE SC 29202 RCONNOR@SEFL.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
678-258-8000 Ext.
SOUTHEAST GEORGIA HEALTH SYS. GA 31520 PEBRI@SGHS.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
800-845-2724 Ext. 43582
SOUTH CAROLINA ELECTRIC & GAS 220 OPERATION WAY,
MAIL CODE C105
SC 29033 JMELLETTE@SCANA.COM
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
SOUTHERN FIRE & CAS CO WI 53596 REGULATORYCOMPLIANCE@GENERALCASUALTY.CO
M
SOUTHERN COMPANY
SERVICES
58-0690070 241 RALPH MCGILL BLVD CHHUNT@SOUTHERNCO.COM
404-506-2881 Ext.
ATLANTA GA 31145
Phone:
SBWC # Insurer Name Address Email
12053 SUN PRAIRIE
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
10224 SUN PRAIRIE
ATLANTA GA 31145
Phone:
SBWC # Insurer Name Address Email
13272 DALLAS
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13230 DULUTH
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
21042 UNION CITY
NORCROSS GA 30071
Phone:
SBWC # Insurer Name Address Email
13063 COLUMBIACOLUMBIA SC 29202
Phone:
COLUMBIA SC 29202
Phone:
770-493-1931 Ext.
SOUTHERN GUARANTY INS. CO. WI 53596 REGULATORYCOMPLIANCE@GENERALCASUALTY.CO
M
GENERAL CASUALTY
COMPANY OF WISCONSIN
39-0301590 P O BOX 450409 SHARON.STARKS@US.QBE.COM
800-450-0692 Ext.
SOUTHERN GUARANTY INS CO OF GA WI 53596 REGULATORYCOMPLIANCE@GENERALCASUALTY.CO
M
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
GENERAL CASUALTY
COMPANY OF WISCONSIN
39-0301590 P O BOX 450409 SHARON.STARKS@US.QBE.COM
770-493-1931 Ext.
SOUTHERN MUTUAL CHURCH SC 29290 RBATES@SMCINS.COM
678-447-0200 Ext. 302
SOUTHERN MILLS INC GA 30291 J.HARRIS@TENCATE.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
800-277-7442 Ext. 1336
SOUTHERN INSURANCE
COMPANY OF VIRGINIA
54-0386765 3237 SATELLITE BLVD MIKEGORE@DONEGALGROUP.COM
SOUTHERN INSURANCE COMPANY OF VIRGINIA 3097 SATELLITE BLVD,
SUITE 250
GA 30096 WAYNESMITH@DONEGALGROUP.COM
770-813-0997 Ext. 230
SOUTHERN INSURANCE COMPANY TX 75240 DORIS.BROOKS@REPUBLICGROUP.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
800-845-2724 Ext. 43582
COMPANION COMMERCIAL
INS
58-2292212 P O BOX 100165 WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext.
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
SBWC # Insurer Name Address Email
13277 ATHENS
ATHENS GA 30604
Phone:
SBWC # Insurer Name Address Email
12099 SUN PRAIRIE
ATLANTA GA 31145
Phone:
SBWC # Insurer Name Address Email
21117 RIVERDALE
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
13185 RICHMOND
VALDOSTA GA 31603
Phone:
RICHMOND VA 23230
Phone:
SBWC # Insurer Name Address Email
10236 MACON
MACON GA 31202
Phone:
SBWC # Insurer Name Address Email
20870 CARROLLTON
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13260 HARTFORD
DUBUQUE IA 52004
Phone:
TUCKER GA 30084
678-258-8000 Ext.
SOUTHERN REGIONAL HEALTH SYSTEM INC GA 32074 JANA.WARREN@SOUTHERNREGIONAL.ORG
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
770-493-1931 Ext.
SOUTHERN PILOT INSURANCE COMPANY WI 53596 REGULATORYCOMPLIANCE@GENERALCASUALTY.CO
M
GENERAL CASUALTY
COMPANY OF WISCONSIN
39-0301590 P O BOX 450409 SHARON.STARKS@US.QBE.COM
800-226-1919 Ext. 211
SOUTHERN MUTUAL INSURANCE COMPANY GA 30606 DAND@SOUTHERNMUTUAL.COM
SOUTHERN MUTUAL
INSURANCE
58-0439230 P O BOX 7009 MARTYW@SOUTHERNMUTUAL.COM
SPARTA INSURANCE COMPANY (THE) CITY PLACE II, 185
ASYLUM STREET
CT 06103 JMINDEK@SPARTAINSURANCE.COM
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
SOUTHWIRE CO GA 30119 CAROL_BUCHANAN@SOUTHWIRE.COM
SOUTHERN TRUST INS CO 58-1025758 P O BOX 250 SSHIFLETT@STINS.COM
800-476-5566 Ext.
SOUTHERN TRUST INSURANCE COMPANY GA 31202 KMOORE@STINS.COM
YOLANDA.WRIGHT@SSCOOP.COM
877-243-6677 Ext. 1421
229-242-0523 Ext.
SOUTHERN STATES INS
EXCHANGE
54-6048396 6606 WEST BROAD STREET
SOUTHERN STATES INSURANCE EXCHANGE VA 23260 GRADY.WATERS@SSCOOP.COM
CRAWFORD & COMPANY 58-0506554 P O BOX 2172 CECIL_ROBERSON@CRAWCO.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
20338 COLUMBUS
BRENTWOOD TN 37024
Phone:
CHARLOTTE NC 28247
Phone:
SBWC # Insurer Name Address Email
21391 SAVANNAH
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
10287 ST PAUL
ROSWELL GA 30076
Phone:
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10149 ST PAUL
TUCKER GA 30084
Phone:
ST JOSEPHS HOSPITAL INC (SAVANNAH) GA 31405 MILLSA@SJCHS.ORG
800-524-0604 Ext.
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
800-524-0604 Ext.
BRENTWOOD SERVICES
ADMINISTRATORS INC
62-1482047 P O BOX 471127 JEAN.HIGH@BWOOD.COM
ST FRANCIS HOSPITAL INC GA 31908 LANDRUMD@SFHGA.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
100 CRESCENT CENTRE
PARKWAY
800-354-6494 Ext. 201
ST PAUL FIRE & MARINE
INSURANCE COMPANY
41-0406690 10401 HIGHLAND MANOR
ROAD
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
888-329-6259 Ext.
ST PAUL FIRE & CASUALTY
INSURANCE COMPANY
41-1419276 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
ST PAUL FIRE & CASUALTY
INSURANCE COMPANY
41-1419276 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
ST PAUL FIRE & CASUALTY INSURANCE
COMPANY
MN 55102 CURBANIA@TRAVELERS.COM
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
ST PAUL FIRE & MARINE INSURANCE COMPANY MN 55102 CURBANIA@TRAVELERS.COM
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
12055 ST PAUL
ALPHARETTA GA 30005
Phone:
ORLANDO FL 32814
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10200 ST PAUL
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10150 ST PAUL
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13206 ST. PAUL
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
800-238-6214 Ext.
ST PAUL GUARDIAN INS CO 41-0963301 2420 LAKEMONT AVE PYOAKUM@TRAVELERS.COM
407-388-2587 Ext.
ST PAUL GUARDIAN INSURANCE COMPANY MN 55102 CURBANIA@TRAVELERS.COM
ST PAUL GUARDIAN INS CO 41-0963301 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
ST PAUL FIRE & MARINE
INSURANCE COMPANY
41-0406690 10401 HIGHLAND MANOR
ROAD
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
ST PAUL FIRE & MARINE
INSURANCE COMPANY
41-0406690 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
ST PAUL MERCURY
INSURANCE COMPANY
41-0881659 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
ST PAUL MERCURY
INSURANCE COMPANY
41-0881659 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
ST PAUL MERCURY INSURANCE COMPANY 385 WASHINGTON ST,
MC 502L
MN 55102 CURBANIA@TRAVELERS.COM
888-329-6259 Ext.
ST PAUL MEDICAL
LIABILITY INSURANCE
41-1435766 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
ST PAUL MEDICAL
LIABILITY INSURANCE
41-1435766 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
ST PAUL MEDICAL LIABILITY INSURANCE
COMPANY
MN 55102 CURBANIA@TRAVELERS.COM
ST PAUL GUARDIAN INS CO 41-0963301 10401 HIGHLAND MANOR DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
800-238-6214 Ext.
ST PAUL PROTECTIVE
INSURANCE COMPANY
36-2542404 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
ST PAUL PROTECTIVE INSURANCE COMPANY MN 55102 CURBANIA@TRAVELERS.COM
ST PAUL PROTECTIVE
INSURANCE COMPANY
36-2542404 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
Phone:
SBWC # Insurer Name Address Email
10216 HARTFORD
ALHPARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13053 SOUTHFIELD
SARASOTA FL 34232
Phone:
SBWC # Insurer Name Address Email
13252 WOODBRIDGE
GREENSBORO NC 27419
Phone:
SBWC # Insurer Name Address Email
10159 INDIANAPOLIS
GLEN ALLEN VA 23058
Phone:
INDIANAPOLIS IN 46206
Phone:
SBWC # Insurer Name Address Email
10163 INDIANAPOLIS
GLEN ALLEN VA 23058
Phone:
INDIANAPOLIS IN 46206
Phone:
SBWC # Insurer Name Address Email
10164 BLOOMINGTON
DULUTH GA 30098
MEADOWBROOK INC 38-1798156 P O BOX 50608 LKULL@MEADOWBROOK.COM
800-741-7244 Ext.
STAR INSURANCE COMPANY MI 48034 KFREEMAN@MEADOWBROOK.COM
800-238-6214 Ext.
STANDARD FIRE INSURANCE
COMPANY
06-6033509 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
STANDARD FIRE INSURANCE COMPANY CT 06183 KDAVIS@TRAVELERS.COM
STANDARD FIRE INSURANCE
COMPANY
06-6033509 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
ST PAUL PROTECTIVE
INSURANCE COMPANY
10401 HIGHLAND MANOR
DRIVE
888-329-6259 Ext.
STATE AUTOMOBILE MUTUAL INS IN 46206 GLORIA-JEANNE.WILSON@STATEAUTO.COM
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
800-777-7324 Ext.
STATE AUTOMOBILE 31-4316080 2955 N MERIDIAN STREET GLORIA-JEANNE.WILSON@STATEAUTO.COM
800-906-4461 Ext.
STATE AUTO PROPERTY & CASUALTY INS. CO IN 46208 MIKE.HOLMES@STATEAUTO.COM
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
KEY RISK MANAGEMENT
SERVICES
56-1800954 P O BOX 49129 GHENEHAN@KEYRISK.COM
336-668-9050 Ext. 7539
STARNET INSURANCE COMPANY 12701 MARBLESTONE
DRIVE, SUITE 250
VT 22192 JBURKE@BERKLEYNET.COM
STATE FARM FIRE & CAS CO IL 61710 HOME.ACCT-STAR-
STATEFILING.430O00@STATEFARM.COM
STATE FARM FIRE & CAS CO 37-0533080 11350 JOHNS CREEK
PARKWAY
GASC.CLMS-WC.057N27@STATEFARM.COM
800-906-4461 Ext.
STATE AUTOMOBILE 31-4316080 2955 N MERIDIAN STREET GLORIA-JEANNE.WILSON@STATEAUTO.COM
800-777-7324 Ext.
Phone:
SBWC # Insurer Name Address Email
13291 BEDFORD
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13238 BALTIMORE
BIRMINGHAM AL 35266
Phone:
SBWC # Insurer Name Address Email
21473 LOUISVILLE
LOUISVILLE KY 40210
Phone:
SBWC # Insurer Name Address Email
13282 ST PETERSBURG
GLEN ALLEN VA 23058
Phone:
CHARLESTON SC 29416
Phone:
ORLANDO FL 32861
Phone:
SBWC # Insurer Name Address Email
13297 CHARLOTTE
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13186 TREASURE
ISLANDATLANTA GA 30302
Phone:
STONEBRIDGE CASUALTY INSURANCE
COMPANY
MD 21044 PLATCHFORD@AEGONUSA.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
770-813-0997 Ext. 230
STATE NATIONAL INSURANCE COMPANY INC TX 76021 DVANSANFORD@STATENATIONAL.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
800-816-2449 Ext.
866-434-2480 Ext.
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
CORVEL CORPORATION 95-3382819 4820 LAKE BROOK DRIVE
#150
MARCIA_MORGAN@CORVEL.COM
-- Ext.
CORVEL ENTERPRISES 42-1704550 P O BOX 81029 GLENN_MARTIN@CORVEL.COM
SUNZ INSURANCE COMPANY 100 2ND AVENUE
NORTH, STE 300
FL 33701 GDISTEFANO@SUNZINSURANCE.COM
502-634-7390 Ext.
SUD-CHEMIE INC KY 40210 RICHARD.POE@SUD-CHEMIE.COM
SUD-CHEMIE INC 61-0536101 1600 W HILL STREET RICHARD.POE@SUD-CHEMIE.COM
800-762-3486 Ext.
CRAWFORD & COMPANY 58-0506554 P O BOX 5056 SHARI_BRANSON@US.CRAWCO.COM
404-300-1250 Ext.
T H E INSURANCE COMPANY FL 33706 KPRATT@THEINSCO.COM
866-710-0908 Ext.
SYNERGY INSURANCE COMPANY 3440 TORINGDON WAY,
STE 300
NC 28277 SGRANT@SYNERGYINSURANCE.NET
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
SBWC # Insurer Name Address Email
21568 CARROLLTON
CHARLOTTE NC 28247
Phone:
SBWC # Insurer Name Address Email
21535 MINNEAPOLIS
LAKE MARY FL 32746
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
13224 CLEVELAND
JOHNS CREEK GA 30097
Phone:
BIRMINGHAM AL 35209
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
MANDEVILLE LA 70471
Phone:
FRANKLIN TN 37067
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21585 COLUMBIA
GREENVILLE SC 29607
Phone:
TARGET CORPORATION 1000 NICOLLET MALL,
TPN 1300
MN 55403 CARLA.LAVERE@TARGET.COM
800-524-0604 Ext.
TANNER HEALTH SERVICES GA 30117 SFOX@TANNER.ORG
BRENTWOOD SERVICES
ADMINISTRATORS INC
62-1482047 P O BOX 471127 JEAN.HIGH@BWOOD.COM
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.XCHANGING.COM
800-235-1134 Ext. 5
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
TECHNOLOGY INSURANCE COMPANY 5800 LOMBARDO
CENTER, STE #200
OH 44131 CATHY.MAXIN@AMTRUSTGROUP.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 255 PRIMERA BLVD GASTATEBOARDINBOX@SEDGWICKCMS.COM
800-548-1373 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 8500 RHURLEY@HEWITTCOLEMAN.COM
800-421-9139 Ext. 859
TERMINIX SERVICE INC SC 29210 BCRAFT@TRUSTTERMINIX.COM
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
KM@JOHNSTONANDASSOC.COM
800-304-5035 Ext.
SBWC # Insurer Name Address Email
21387 MINNEAPOLIS
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
21463 AUGUSTA
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
20492 THOMASVILLE
THOMASVILLE GA 31799
Phone:
SBWC # Insurer Name Address Email
10167 MANCHESTER
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
SBWC # Insurer Name Address Email
21429 MARIETTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
21557 VALDOSTA
SAVANNAH GA 31401
Phone:
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
13289 NEW YORK
THERMAL CERAMICS INC GA 30903 JERRY.CABE@THERMALCERAMICS.COM
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
TEXTRON INC C/O AON, 8300 NORMAN
CENTER DRIVE, SUITE
MN 55437 NANCY.PEARSON@AON.COM
TIP TOP POULTRY INC GA 30065 DAVID.JOHNSON@TIPTOPPOULTRY.COM
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
TIG INSURANCE COMPANY 250 COMMERICAL
STREET, SUITE 5000
NH 03101 BRENDA_VAN_HIRTUM@TRG.COM
912-228-7673 Ext.
THOMASVILLE CITY OF GA 31799
THOMASVILLE CITY OF - P O BOX 1540
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
TNUS INSURANCE COMPANY NY 10169 AGENCIES.REGULATORY@TOKIOM.COM
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5105 PAULSEN ST ANNF@USCKY.COM
912-355-8929 Ext. 224
TM POLYFILM INC GA 31601 VICKIR@TMPOLYFILM.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
ATLANTA GA 30346
Phone:
SBWC # Insurer Name Address Email
12003 NEW YORK
TUCKER GA 30084
Phone:
HARTFORD CT 06115
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
12003 NEW YORK
LAKE MARY FL 32746
Phone:
HARTFORD CT 06103
Phone:
ATLANTA GA 30346
Phone:
SBWC # Insurer Name Address Email
13159 MANCHESTER
MANCHESTER NH 03101
Phone:
SBWC # Insurer Name Address Email
13239 NEW YORK
TUCKER GA 30084
Phone:
MAITLAND FL 32751
Phone:
TOKIO MARINE & NICHIDO FIRE INSURANCE
COMPANY
NY 10169 ANGELIQUE.COOPER@TOKIOM.COM
770-481-3227 Ext.
TOKIO MARINE
MANAGEMENT
13-2871816 ONE RAVINIA DRIVE KERRI.CROSBY@TOKIOM.COM
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 225 ASYLUM STREET SEBSTIANO.BORDONARO@SRSCONNECT.COM
TOKIO MARINE & NICHIDO FIRE INSURANCE
COMPANY
NY 10169 ANGELIQUE.COOPER@TOKIOM.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 HARTFORD PLAZA PAUL.HAYWARD@THEHARTFORD.COM
860-547-7936 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
866-450-8608 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
SUA INSURANCE CLAIMS 23-2182777 101 SOUTHHALL LANE,
SUITE 365
JBEASON@SUAINSURANCE.COM
TOWER INSURANCE CO OF NEW YORK 120 BROADWAY, 31ST
FLOOR
NY 10271 ROREN@TWRGRP.COM
800-805-9184 Ext.
TORUS NATIONAL INSURANCE COMPANY FKA
TIG INDEMNITY COMPANY
250 COMMERCIAL
STREET, SUITE 5000
NH 03101 BRENDA_VAN_HIRTUM@TRG.COM
TIG WORK COMP CLAIMS - 250 COMMERCIAL STREET BRENDA_VAN_HIRTUM@TRG.COM
800-551-0271 Ext.
TOKIO MARINE
MANAGEMENT
13-2871816 ONE RAVINIA DRIVE KERRI.CROSBY@TOKIOM.COM
770-481-3227 Ext.
CHICAGO IL 60606
Phone:
MOBILE AL 36695
Phone:
PARSIPPANY NJ 07054
Phone:
TALLAHASSEE FL 32302
Phone:
SBWC # Insurer Name Address Email
13273 NEW YORK
MAITLAND FL 32751
Phone:
CHICAGO IL 60606
Phone:
ATLANTA GA 30339
Phone:
MAITLAND FL 32794
Phone:
FT LAUDERDALE FL 33309
Phone:
MOBILE AL 36695
Phone:
SBWC # Insurer Name Address Email
12091 NEW YORK
TUCKER GA 30084
Phone:
ATLANTA GA 30346
Phone:
SBWC # Insurer Name Address Email
13237 WESTMONT
WESTMONT IL 60559
SUA INSURANCE CO 23-2182777 2222 S RIVERSIDE PLAZA NFLORES@SUAINSURANCE.COM
888-782-4672 Ext.
888-782-4672 Ext.
TOWER NATIONAL
INSURANCE COMPANY
23-2182777 2780 BERT ADAM RD ROREN@TWRGRP.COM
212-655-7330 Ext.
SUA INSURANCE CLAIMS 23-2182777 101 SOUTHHALL LANE,
SUITE 365
JBEASON@SUAINSURANCE.COM
866-450-8608 Ext.
SUA INSURANCE CO 23-2182777 2222 S RIVERSIDE PLAZA NFLORES@SUAINSURANCE.COM
TOWER NATIONAL INSURANCE COMPANY 120 BROADWAY, 31ST
FLOOR
NY 10271 ROREN@TWRGRP.COM
866-456-5630 Ext.
YORK CLAIMS SERVICE INC 13-1963636 P O BOX 10609 STEPHANIE.MARSHALL@YORKRSG.COM
877-927-2255 Ext.
TOWER INSURANCE
COMPANY OF NEW YORK
13-3548249 1111 HILLCREST ROAD EWELLS@TWRGRP.COM
800-711-4405 Ext.
YORK CLAIMS SERVICE INC 13-1963636 99 CHERRY HILL ROAD STEPHANIE.MARSHALL@YORKRSG.COMM
TRANSGUARD 36-3529298 700 OAKMONT LANE CHRISTY.SKALLAS@TRANSGUARD.COM
TRANSGUARD INSURANCE COMPANY OF
AMERICA INC
IL 60559 TRANSGUARD.COMPLIANCE@TRANSGUARD.COM
TOKIO MARINE
MANAGEMENT
13-2871816 ONE RAVINIA DRIVE KERRI.CROSBY@TOKIOM.COM
770-481-3227 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
TRANS PACIFIC INS CO NY 10169 ANGELIQUE.COOPER@TOKIOM.COM
800-711-4405 Ext.
TOWER NATIONAL
INSURANCE COMPANY
04-2811570 1111 HILLCREST ROAD EWELLS@TWRGRP.COM
877-490-0049 Ext.
TOWER NATIONAL
INSURANCE COMPANY
04-2811570 101 SOUTHHALL LANE RWEST@TWRGRP.COM
877-490-0049 Ext.
TOWER NATIONAL
INSURANCE COMPANY
04-2811570 500 W CYPRESS CREEK EFITZGERALD@TWRGRP.COM
Phone:
SBWC # Insurer Name Address Email
10170 DALLAS
DALLAS TX 75219
Phone:
SBWC # Insurer Name Address Email
10171 CHICAGO
ATLANTA GA 30319
Phone:
DULUTH GA 30096
Phone:
CHICAGO IL 60604
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
10001 HARTFORD
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
12016 HARTFORD
ALPHARETTA GA 30005
Phone:
800-474-2526 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
800-283-2318 Ext. 3574
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
312-822-2331 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
TRANSPORTATION INSURANCE COMPANY 333 S WASBASH AVENUE,
28 SOUTH
IL 60604 DEBRA.RETEL@CANA.COM
214-526-3876 Ext.
TRANSPORT INSURANCE CO TX 75219
TRANSPORT INSURANCE CO - 4100 HARRY HINES BLVD
800-238-6214 Ext.
TRAVELERS CASUALTY & SURETY OF AMERICA CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS CASUALTY &
SURETY COMPANY OF
AMERICA
06-0907370 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS CASUALTY &
SURETY COMPANY
06-6033504 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS CASUALTY & SURETY COMPANY CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS CASUALTY &
SURETY COMPANY
06-6033504 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13207 HARTFORD,
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13064 HARTFORD
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
12017 HARTFORD
TUCKER GA 30084
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
TRAVELERS CASUALTY &
SURETY COMPANY OF
AMERICA
06-0907370 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
800-238-6214 Ext.
TRAVELERS CASUALTY CO
OF CT
06-1286266 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS CASUALTY
COMPANY OF CONNECTICUT
06-1286266 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
TRAVELERS CASUALTY COMPANY OF
CONNECTICUT
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS CASUALTY
INSURANCE COMPANY OF
AMERICA
06-0876835 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
888-329-6259 Ext.
TRAVELERS CASUALTY
INSURANCE COMPANY OF
AMERICA
06-0876835 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS CASUALTY COMPANY OF
AMERICA
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS CASUALTY &
SURETY COMPANY
06-6033504 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
TRAVELERS CASUALTY
INSURANCE COMPANY OF
AMERICA
06-0876835 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
800-354-6494 Ext. 201
TRAVELERS CASUALTY
INSURANCE COMPANY OF
AMERICA
06-0876835 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS CASUALTY INS CO OF AMERICA CT 06183 KDAVIS@TRAVELERS.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13158 HARTFORD
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
13065 HARTFORD
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10218 HARTFORD
ALPHARETTA GA 30005
Phone:
ORLANDO FL 32814
Phone:
TAMPA FL 33610
Phone:
FT SMITH AR 72919
Phone:
CHARLOTTE NC 28226
Phone:
888-329-6259 Ext.
TRAVELERS COMMERCIAL
CASUALTY COMPANY
95-3634110 1000 WINDWARD
CONCOURSE
GEORGIA.WC.BOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS COMMERCIAL CASUALTY CO FKA
TRAVELERS INDEMNITY CO
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS COMMERCIAL
CASUALTY COMPANY
95-3634110 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
407-388-2587 Ext.
TRAVELERS INDEMNITY COMPANY CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS COMMERCIAL
INS CO
06-1286268 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS COMMERCIAL
INS CO
06-1286268 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
TRAVELERS COMMERCIAL INSURANCE
COMPANY
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS COMMERCIAL
INS CO
06-1286268 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
800-842-5612 Ext. 4611
TRAVELERS INDEMNITY
COPMANY
06-0566050 11440 CARMEL COMMONS
BLVD
CMHARRI1@TRAVELERS.COM
800-759-6194 Ext. 3298
TRAVELERS INDEMNITY
COMPANY
06-0566050 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 FIANA WAY MWHITE@TRAVELERS.COM
SBWC # Insurer Name Address Email
10162 HARTFORD
ALPHARETTA GA 30005
Phone:
ORLANDO FL 32814
Phone:
FRANKLIN TN 37067
Phone:
CHARLOTTE NC 28226
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
10060 HARTFORD
TAMPA FL 33610
Phone:
ALPHARETTA GA 30005
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13039 HARTFORD
ALPHARETTA GA 30005
Phone:
FRANKLIN TN 37067
Phone:
-- Ext.
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 6640 CAROTHERS LCRAFT@TRAVELERS.COM
615-660-6258 Ext.
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-759-6194 Ext.
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
TRAVELERS INDEMNITY COMPANY OF
AMERICA
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS PROPERTY CASUALTY COMPANY
OF AMERICA
CT 06183 KDAVIS@TRAVELERS.COM
TRAVELERS PROPERTY
CASUALTY COMPANY OF
AMERICA
36-2719165 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 10401 HIGHLAND MANOR
DR #200
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY CO
OF CT
06-0336212 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
TRAVELERS INDEMNITY COMPANY OF
CONNECTICUT
CT 06183 KDAVIS@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 11440 CARMEL COMMONS
BLVD
CMHARRI1@TRAVELERS.COM
800-759-6194 Ext. 3298
TRAVELERS INDEMNITY
COMPANY OF AMERICA
58-6020487 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
800-238-6214 Ext.
TRAVELERS PROPERTY
CASUALTY COMPANY OF
AMERICA
36-2719165 6640 CAROTHERS LNEELEY@TRAVELERS.COM
800-342-4062 Ext.
TAMPA FL 33610
Phone:
ORLANDO FL 32814
Phone:
SBWC # Insurer Name Address Email
21599 ATLANTA
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
10237 DALLAS
DALLAS TX 75265
Phone:
SBWC # Insurer Name Address Email
21595 LAGRANGE
CHATTANOOGA TN 37405
Phone:
SBWC # Insurer Name Address Email
10174 LOS ANGELES
ALBANY GA 31708
Phone:
ATLANTA GA 30319
Phone:
TAMPA FL 33618
Phone:
SBWC # Insurer Name Address Email
13157 HARTFORD
ATLANTA GA 30319
Phone:
ROSWELL GA 30076
888-291-8298 Ext. 8667
TRINITY UNIVERSAL INS CO TX 75265 CHAAG@UNITRIN.COM
TRINITY UNIVERSAL
INSURANCE COMPANY OF
KANSAS INC
75-1413993 P O BOX 650665 ASHANNON@UNITRIN.COM
866-246-0259 Ext.
TRC STAFFING SERVICES INC GA 30346 CAROLYN.FAIREY@TRCSTAFFING.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
407-388-2587 Ext.
TRAVELERS PROPERTY
CASUALTY COMPANY OF
AMERICA
36-2719165 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
TRAVELERS PROPERTY
CAUSLATY COMPANY OF
AMERICA
36-2719165 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
TRUMBULL INSURANCE COMPANY ONE HARTFORD
INSURANCE, HARTFORD
PLAZA
CT 06115 PAULA.SOBOLESKI@THEHARTFORD.COM
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
ATLANTA.GA@US.CRAWCO.COM
-- Ext.
CRAWFORD & COMPANY 58-0506554 P O BOX 71465
229-436-3376 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD
TRUCK INSURANCE EXCHANGE CA 90010 BURT_GARAVAGLIA@FARMERSINSURANCE.COM
AGRIME@COLLINSANDCO.COM
800-884-1535 Ext.
TROUP COUNTY BOARD OF ED GA 30241
COLLINS & COMPANY 62-0882150 555 RIVER STREET
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
Phone:
DULUTH GA 30097
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACAUSE NY 13202
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-685-7361 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-932-4464 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
800-822-4469 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
13213 COLUMBUS
WARRENVILLE IL 60555
Phone:
COLUMBUS OH 43216
Phone:
SBWC # Insurer Name Address Email
10175 HARTFORD
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
MAITLAND FL 32751
Phone:
DUBUQUE IA 52004
Phone:
WHITESBURG GA 30185
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
TUCKER GA 30084
Phone:
SUNRISE FL 33323
Phone:
800-348-1741 Ext. 8407
GRANGE MUTUAL 31-4192970 27755 DIEHL ROAD WIZAJ@GRANGEINSURANCE.COM
800-935-5300 Ext. 254
GRANGE MUTUAL
CASUALTY COMPANY
31-4192970 P O BOX 182306 LVANCAMP@IMICO.COM
TRUSTGARD INSURANCE COMPANY OH 43218 COLEMANL@GRANGEINSURANCE.COM
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
CREATIVE RISK SOLUTIONS 20-0989430 P O BOX 9207 NLYMAN@YOURCLAIMS.COM
770-577-9657 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
877-241-6121 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
800-277-7500 Ext. 20104
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
TWIN CITY FIRE INSURANCE COMPANY CT 06115 PAULA.SOBOLESKI@THEHARTFORD.COM
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA CMULLINS@AVIZENTRISK.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-354-6494 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
DULUTH GA 30097
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
FRANKLIN TN 37067
Phone:
SYRACAUSE NY 13202
Phone:
DULUTH GA 30096
Phone:
COLUMBIA SC 29210
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD ACCIDENT &
INDEMNITY CO
06-0383030 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD CASUALTY INS 06-0294398 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE JCONNOR@SEDGWICKCMS.COM
800-426-2885 Ext.
PROPERTY & CASUALTY INS
CO OF HARTFORD
06-1276326 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
407-562-3632 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
KM@JOHNSTONANDASSOC.COM
800-304-5035 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD INS CO OF THE 06-1013048 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
HARTFORD FIRE INS CO 06-0383750 300 SOUTH STATE STREET SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
LAKE MARY FL 32746
Phone:
SYRACUSE NY 13202
SBWC # Insurer Name Address Email
21101 SPRINGDALE
OXFORD AL 36203
Phone:
SBWC # Insurer Name Address Email
13166 HOUSTON
ATLANTA GA 30302
Phone:
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
13102 WASHINGTON
ATLANTA GA 30302
Phone:
ATLANTA GA 30319
Phone:
DULUTH GA 30097
Phone:
SBWC # Insurer Name Address Email
13217 IRVING
IRVING TX 75039
Phone:
SBWC # Insurer Name Address Email
20756 CHICAGO
SUNRISE FL 33323
800-541-0139 Ext.
TWIN CITY FIRE INS CO 06-0732738 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
407-562-3632 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
ULLICO CASUALTY COMPANY DC 20006 MGROOME@ULLICO.COM
800-354-6494 Ext. 201
CRAWFORD & COMPANY 58-0506554 P O BOX 5056 SHARI_BRANSON@US.CRAWCO.COM
404-300-1250 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
U.S. SPECIALTY INSURANCE COMPANY TX 77040 CMCDANIEL@HCC.COM
TYSON FOODS INC 71-0225165 1520 MCPHERSON STREET TERESA.CROSSON@TYSON.COM
256-831-4381 Ext.
TYSON FOODS INCORPORATED AR 72762 CONNIE.DOWNUM@TYSON.COM
TWIN CITY FIRE INS CO 06-0732738 300 SOUTH STATE STREET LARRY.EMORY@THEHARTFORD.COM
UNITED AIRLINES INC IL 60666 JOHN.SMOLK@UNITED.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-444-0049 Ext.
UNION STANDARD 47-0547953 122 W CARPENTER
FREEWAY
SRICHARDSON@USIC.COM
UNION INSURANCE COMPANY TX 75015
866-246-0259 Ext.
CRAWFORD & COMPANY 58-0506554 1001 SUMMIT BLVD ATLANTA.GA@US.CRAWCO.COM
-- Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
CRAWFORD & COMPANY 58-0506554 P O BOX 5056 SHARI_BRANSON@US.CRAWCO.COM
404-300-1250 Ext.
Phone:
SBWC # Insurer Name Address Email
40015 MARIETTA
MARIETTA GA 30067
Phone:
SBWC # Insurer Name Address Email
13278 BALA CYNWYD
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13279 BALA CYNWYD
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
10177 ST PAUL
NORCROSS GA 30071
Phone:
SAVANNAH GA 31405
Phone:
LAKE MARY FL 32746
Phone:
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
POMPANO BEACH FL 33064
Phone:
MAITLAND FL 32751
800-889-6764 Ext. 201
UNITED STATES FIDELITY & GUARANTY
COMPANY
MN 55102 CURBANIA@TRAVELERS.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
UNITED NATONAL CASUALTY INSURANCE
COMPANY
THREE BALA PLAZA
EAST, SUITE 300
PA 19004 GSEGELKON@UAI-GROUP.COM
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-347-4494 Ext.
UNITED NATIONAL SPECIALTY INSURANCE THE THREE BALA PLAZA
EAST, SUITE 300
PA 19004 GEORGELKEM@UAI-GROUP.COM
UNITED BUSINESS
INSURANCE COMPANY
02-0608690 350 FRANKLIN ROAD DSILER@UNITED-BUSINESS.US
678-766-8242 Ext. 204
UNITED BUSINESS INSURANCE COMPANY A
MUTUAL CAPTIVE
350 FRANKNLIN ROAD,
STE 330
GA 30067 BANDERSON@UNITED-BUSINESS.US
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA CMULLINS@AVIZENTRISK.COM
800-277-7500 Ext. 20104
AVIZENT 31-4359765 701 INTERNATIONAL
PARKWAY
TWELDON@AVIZENTRISK.COM
800-755-1441 Ext.
AS&G CLAIMS
ADMINISTRATION INC
76-0516648 125 PARK OF COMMERCE
DRIVE #B
MREVELLE@ASG-ADJ.COM
800-580-6912 Ext.
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
Phone:
DUBUQUE IA 52004
Phone:
ROSWELL GA 30076
Phone:
DULUTH GA 30097
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
TAMPA FL 33631
Phone:
TAMPA FL 33631
Phone:
WILMINGTON NC 28404
Phone:
OWING MILLS MD 21117
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-288-9843 Ext. 201
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
COTTINGHAM & BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
877-241-6121 Ext.
CANNON COCHRAN
MANAGEMENT SERVICES
866-291-0194 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
RAYMOND.EVANS@LIBERTYMUTUAL.COM
813-264-6588 Ext.
LIBERTY MUTUAL INS CO 04-1543470 P O BOX 31204
800-532-7706 Ext.
HELMSMAN MANAGEMENT
SERVICES LLC
04-2791584 P O BOX 31204 HEATHER.STANFORD@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 31204 CMC555TAMPA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
HELMSMAN MANAGEMENT
SERVICES
04-2791584 P O BOX 49000 CMC550CHARLOTTE2@LIBERTYMUTUAL.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
800-896-3079 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
CHARLOTTE NC 28217
Phone:
MEMPHIS TN 38120
Phone:
RICHMOND VA 23260
Phone:
ATLANTA GA 30328
Phone:
LEXINGTON KY 40512
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
800-347-4494 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
800-866-2301 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
866-654-4001 Ext.
770-901-3121 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 14151 DANIELLE.MINNIEHAN@SRSCONNECT.COM
800-541-0139 Ext. 35832
SENTRY INSURANCE A
MUTUAL COMPANY
39-0333950 P O BOX 26263 WCCLAIMSEAST@SENTRY.COM
800-338-2487 Ext. 4616
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-932-4464 Ext.
RISK ENTERPRISES
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-871-6670 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 ONE LAKEVIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-493-5802 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
ORLANDO FL 32861
Phone:
ALPHARETTA GA 30005
Phone:
ORLANDO FL 32814
Phone:
FT SMITH AR 72919
Phone:
FRANKLIN TN 37067
Phone:
CHARLOTTE NC 28226
Phone:
TAMPA FL 33610
Phone:
SBWC # Insurer Name Address Email
13263 NEW BERLIN
NEW BERLINE WI 53151
Phone:
SBWC # Insurer Name Address Email
10179 ORLANDO
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
21241 AUGUSTA
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
10178 MORRISTOWN
ROSWELL GA 30076
Phone:
407-388-2587 Ext.
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 1000 FIANA WAY MJWHITE@TRAVELERS.COM
800-842-5612 Ext. 4611
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 2420 LAKEMONT AVENUE PYOAKUM@TRAVELERS.COM
800-238-6214 Ext.
UNITED SELF INSURED
SERVICES
20-4580645 P O BOX 616648 SAM.BOONE@USIS-TPA.COM
800-444-9098 Ext. 214
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
UNIVERSITY HEALTH INC GA 30901 JSEWELL@UH.ORG
UNIVERSAL UNDERWRITERS - 600 GALLERIA PKY. USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
800-433-8842 Ext.
UNIVERSAL UNDERWRITERS INSURANCE
COMPANY
1900 SUMMIT TOWER
BOULEVARD, SUITE 600
FL 32810 USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
UNITED WISCONSIN
INSURANCE COMPANLY
39-0941450 15200 WEST SMALL ROAD STEPHEN.BURTON@UNITEDHEARTLAND.BIZ
800-258-2667 Ext. 7704
UNITED WISCONSIN INSURANCE COMPANY WI 53151 JUDY2T@ACCIDENTFUND.COM
800-759-6194 Ext. 3298
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 10401 HIGHLAND MANOR
DRIVE
DBRYSON@TRAVELERS.COM
888-329-6259 Ext.
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 6640 CAROTHERS LNEELEY@TRAVELERS.COM
800-342-4064 Ext.
UNITED STATES FIDELITY &
GUARANTY COMPANY
52-0515280 11440 CARMEL COMMONS
BLVD
CMHARRIS1@TRAVELERS.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-685-7361 Ext.
US FIRE INSURANCE COMPANY NJ 07962 GEORGE_ROBERTS@CFINS.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
LAKE MARY FL 32795
Phone:
SBWC # Insurer Name Address Email
21688 OVERLAND PARK
NASHVILLE TN 37229
Phone:
SBWC # Insurer Name Address Email
13134 ST PAUL
ALPHARETTA GA 30005
Phone:
SBWC # Insurer Name Address Email
10180 UTICA
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
13132 NEW HARTFORD
ATLANTA GA 30338
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
20503 VALDOSTA
JOHNS CREEK GA 30097
Phone:
SBWC # Insurer Name Address Email
10181 CHICAGO
ATLANTA GA 30319
Phone:
DULUTH GA 30096
Phone:
USF&G FAMILY INSURANCE CO MN 55102
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
USF HOLLAND INC FKA YRC WORLDWIDE 10990 ROE AVENUE, MS
A305
KS 66211 GLENDA.HARTL@YRCW.COM
UNITED STATES FIRE
INSURANCE COMPANY
13-5459190 1064 GREENWOOD BLVD DENVER_CHEEK@CFINS.COM
800-423-3060 Ext. 6301
VALDOSTA CITY OF GA 31601
UTICA NATIONAL
ASSURANCE CO
16-1486064 1040 CROWNE POINTE WORKERSCOMPMAIL@UTICANATIONAL.COM
770-510-4100 Ext.
UTICA MUTUAL INSURANCE
CO
15-0476880 1040 CROWN POINTE
PARKWAY, STE 450
WORKERSCOMPMAIL@UTICANATIONAL.COM
800-477-1914 Ext.
UTICA NATIONAL ASSURANCE CO NY 13413 WORKERSCOMPMAIL@UTICANATIONAL.COM
800-477-1914 Ext.
UTICA MUTUAL INSURANCE
CO
15-0476880 1040 CROWN POINTE
PARKWAY, STE 450
WORKERSCOMPMAIL@UTICANATIONAL.COM
UTICA MUTUAL INSURANCE CO NY 13504 WORKERSCOMPMAIL@UTICANATIONAL.COM
TRAVELERS INDEMNITY
COMPANY
06-0566050 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
800-238-6214 Ext.
800-283-2318 Ext. 3574
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CNA CLAIMS PLUS 16-1633560 2435 COMMERCE AVENUE GASTATEICNUMBERS@CNA.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
VALLEY FORGE INSURANCE CO 333 S WABASH AVENUE,
28 SOUTH
IL 60604 DEBRA.RETEL@CNA.COM
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
CHICAGO IL 60604
Phone:
SBWC # Insurer Name Address Email
13025 FENTON
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21725 HENDERSON
GREENVILLE SC 29607
Phone:
GREENVILLE SC 29606
Phone:
SBWC # Insurer Name Address Email
10235 WARREN
ATLANTA GA 30326
Phone:
TUCKER GA 30084
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30326
Phone:
SBWC # Insurer Name Address Email
13222 ATLANTA
ATLANTA GA 30339
Phone:
CHARLOTTE NC 28277
Phone:
800-421-0710 Ext.
VANLINER INSURANCE CO MO 63026 NICHOLAS_KOHL@VANLINER.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
CONTINENTAL CASUALTY
COMPANY
36-2114545 333 SOUTH WABASH GASTATEICNUMBERS@CNA.COM
312-822-2331 Ext.
866-246-0259 Ext.
SPECIALTY RISK SERVICES 20-0730592 P O BOX 60000 MARY.DAGOSTINO@SRSCONNECT.COM
770-901-3121 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
CHUBB SERVICES
CORPORATION
22-3096895 3445 PEACHTREE ROAD NE KPILZ@CHUBB.COM
404-266-4855 Ext.
VIGILANT INSURANCE COMPANY NJ 07061 PREMIUMTAXGROUP@CHUBB.COM
800-421-9139 Ext. 859
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 6528 CHOLLAND@HEWITTCOLEMAN.COM
864-240-5851 Ext.
VARIETY WHOLESALERS INC NC 27536 GTB@VWSTORES.COM
HEWITT COLEMAN
ASSOCIATES
57-0297041 P O BOX 8500 RHURLEY@HEWITTCOLEMAN.COM
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
BUILDERS INSURANCE 58-2453325 P O BOX 723099 CLAIMSFORM@BLDRS.COM
800-883-9305 Ext.
VININGS INSURANCE COMPANY 2410 PACES FERRY
ROAD, SUITE 300
GA 30339 CEDWARDS@BLDRS.COM
VIGILANT INSURANCE
COMPANY
13-1963495 2 LIVE OAK CENTER #900 KPILZ@CHUBB.COM
404-266-4127 Ext.
SBWC # Insurer Name Address Email
12063 GLENVIEW
TUCKER GA 30084
Phone:
SBWC # Insurer Name Address Email
20481 ATLANTA
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
21119 NORCROSS
BRENTWOOD TN 37024
Phone:
SBWC # Insurer Name Address Email
21629 GREER
GREER SC 29651
Phone:
SBWC # Insurer Name Address Email
21876 BENTONVILLE
DULUTH GA 30096
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
21661 LAFAYETTE
COLUMBIA SC 29202
Phone:
SBWC # Insurer Name Address Email
21735 MONROE
GRAYSON GA 30017
Phone:
VISITING NURSE HEALTH SYSTEM INC 5775 GLENRIDGE DRIVE,
E200
GA 30328 PATTI.ASKEW@VNHS.ROG
800-354-6494 Ext. 201
VIRGINIA SURETY CO INC IL 60025 WAYNE_BALIGA@AON.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
WAL MART ASSOCIATES INC 702 SW 8TH STREET, MS
0695
AR 72716
WAGGONERS TRUCKING 81-0290880 1131 HWY. 101 SOUTH RCOMPTON@WAGGONERSTRUCKING.COM
800-462-0602 Ext.
WAGGONERS TRUCKING THE SC 29651 RCOMPTON@WAGGONERSTRUCKING.COM
BRENTWOOD SERVICES 62-1482047 P O BOX 1125 MICHELLE.BYRD@BWOOD.COM
800-524-0604 Ext.
WAFFLE HOUSE INC GA 30091 ELIZABETHBAILEY@WAFFLEHOUSE.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
800-421-0710 Ext.
CORE ADMINISTRATIVE
SERVICES
58-2314468 P O BOX 969 KELLYW@MAIL.COREMRG.COM
770-962-3627 Ext.
WALTON COUNTY BOARD OF EDUCATION GA 30655
COMPANION THIRD PARTY
ADMINISTRATORS LLC
56-2151867 P O BOX 100159 WCMAIL@COMPANIONGROUP.COM
800-845-2724 Ext. 43582
WALKER COUNTY BOARD OF EDUCATION GA 30728
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
800-625-6588 Ext.
SBWC # Insurer Name Address Email
20349 DUBLIN
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
21357 WARNER ROBINS
SAVANNAH GA 31405
Phone:
SBWC # Insurer Name Address Email
21788 ALBANY
ATLANTA GA 30339
Phone:
SBWC # Insurer Name Address Email
10095 BOSTON
TAMPA FL 33618
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
13116 BOSTON
CHARLOTTE NC 28277
Phone:
TAMPA FL 33618
Phone:
SBWC # Insurer Name Address Email
12036 BOSTON
CHARLOTTE NC 28277
Phone:
TAMPA FL 33618
WARNER ROBINS CITY OF GA 31099
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
800-224-9524 Ext.
WAREHOUSE HOME FURNISHINGS
DISTRIBUTORS INC
GA 31040 BHAGGARD@FARMERSFURNITURE.COM
WAUSAU GENERAL INSURANCE COMPANY MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
WAUSAU BUSINESS
INSURANCE COMPANY
36-3522250 P O BOX 49000 CMC125ATLANTA@LIBERTYMUTUAL.COM
800-282-6218 Ext.
WAUSAU BUSINESS
INSURANCE COMPANY
36-3522250 3901 PREMIER NORTH RAYMOND.EVANS@LIBERTYMUTUAL.COM
800-282-6218 Ext.
WAUSAU BUSINESS INSURANCE COMPANY MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
800-233-2436 Ext. 1897
WATER GAS & LIGHT COMMISSION OF ALBANY GA 31702 TTUCKER@WGL.ALBANYGA.ORG
AFFINITY SERVICE GROUP 58-2438483 1940 THE EXCHANGE GDORSEY@AFFINITYSERVICEGROUP.COM
912-355-8989 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
WAUSAU UNDERWRITERS
INS GO
39-1341459 3901 PREMIER NORTH DR CHARLES.HUNNELL@LIBERTYMUTUAL.COM
WAUSAU UNDERWRITERS
INS CO
39-1341459 P O BOX 49000 JONATHAN.DAVIS@LIBERTYMUTUAL.COM
704-759-2580 Ext.
WAUSAU UNDERWRITER INSURANCE COMPANY MA 02116 CORPORATESECRETARY@LIBERTYMUTUAL.COM
813-264-6588 Ext.
CMC125ATLANTA@LIBERTYMUTUAL.COM
704-759-2580 Ext.
WAUSAU GENERAL
INSURANCE COMPANY
36-2753986 3901 PREMIER NORTH DR CHARLES.HUNNELL@LIBERTYMUTUAL.COM
WAUSAU GEN INS CO 36-2753986 P O BOX 49000
Phone:
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
20451 WAYCROSS
GLEN ALLEN VA 23058
Phone:
CHARLESTON SC 29416
Phone:
SBWC # Insurer Name Address Email
21767 NEW YORK
ROSWELL GA 30076
Phone:
SBWC # Insurer Name Address Email
21626 MARIETTA
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
20548
ATLANTA GA 30328
Phone:
SBWC # Insurer Name Address Email
13242 CLEVELAND
JOHNS CREEK GA 30097
Phone:
BIRMINGHAM AL 35209
Phone:
MANDEVILLE LA 70471
Phone:
FRANKLIN TN 37067
Phone:
WAYCROSS CITY OF GA 31502 EGRIFFIN@WAYCROSSGA.COM
CORVEL CORP 95-3382819 4820 LAKE BROOK DRIVE MARCIA_MORGAN@CORVEL.COM
800-943-1113 Ext. 454
WAUSAU UNDERWRITERS
INS GO
813-264-6588 Ext.
WAUSAU UNDERWRITERS
INSURANCE
39-1341459 P O BOX 49000 CMC125ATLANTA@LIBERTYMUTUAL.COM
WENDYS INTERNATIONAL INC 1155 PERIMETER
CENTER WEST, 6TH
GA 30328 JENNIFER.SMITH@WENDYSARBYS.COM
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
WELLSTAR HEALTH SYSTEM 140 LACY STREET, SUITE GA 30060 SAM.STOREY@WELLSTAR.ORG
800-685-7361 Ext.
WAYNE FARMS LLC NY 10172 STEVE.CARLSSON@CONTI.COM
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
800-906-4461 Ext.
CORVEL ENTERPRISES 42-1704550 P O BOX 81029 GLENN_MARTIN@CORVEL.COM
866-434-2480 Ext.
800-304-5035 Ext.
JOHNSTON & ASSOCIATES 62-1426686 1885 GENERAL GEORGE
PATTON DRIVE
KM@JOHNSTONANDASSOC.COM
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
AMTRUST NORTH AMERICA 34-1965476 11330 LAKEFIELD DRIVE 50STATENOTICES@AMTRUSTGROUP.COM
678-258-8000 Ext.
WESCO INSURANCE COMPANY 5800 LOMBARDO
CENTER, STE 200
OH 44131 CATHY.MAXIN@AMTRUSTGROUP.COM
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
678-338-4171 Ext.
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
10275 FAIRFIELD
CHARLOTTE NC 28277
Phone:
SBWC # Insurer Name Address Email
21511 LAGRANGE
MARIETTA GA 30006
Phone:
SBWC # Insurer Name Address Email
12084 WESTFIELD
CENTERDULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13044 WESTFIELD
CENTER
DULUTH GA 30096
Phone:
SBWC # Insurer Name Address Email
13204 OVERLAND PARK
NASHVILLE TN 37229
Phone:
FT MILL SC 29716
Phone:
SBWC # Insurer Name Address Email
20726 FEDERAL WAY
NASHVILLE TN 37214
Phone:
SYNERGY COVERAGE
SOLUTIONS
04-3718801 3440 TORINGDON WAY JTHOMAS@SYNERGYINSURANCE.NET
866-710-0908 Ext.
WESTFIELD INSURANCE
GROUP
34-6516838 3505 KROGER BLVD MARKKWIATKOWSKI@WESTFIELDGRP.COM
800-685-4604 Ext. 222
WESTFIELD NATIONAL INSURANCE COMPANY OH 44251 DONBRATTON@WESTFIELDGRP.COM
WESTFIELD INSURANCE
GROUP
34-6516838 3505 KROGER BLVD MARKKWIATKOWSKI@WESTFIELDGRP.COM
800-685-4604 Ext. 222
WESTFIELD INSURANCE COMPANY OH 44251 DONBRATTON@WESTFIELDGRP.COM
ALLIED CLAIMS
ADMINISTRATION INC
58-1962415 P O BOX 674869 WILCOXB@MCNEARY.COM
800-476-7601 Ext.
WEST GEORGIA MEDICAL CENTER INC FKA
LAGRANGE-TROUP CTY HOSP
GA 30240 HODGEK@WGHEALTH.ORG
800-334-0078 Ext. 214
WEST AMERICAN INSURANCE COMPANY OH 45014 CORPORATESECRETARY@LIBERTYMUTUAL.COM
MONTGOMERY INSURANCE
CLAIM CENTER
52-0424870 P O BOX 49130 CHRISTINE.JONES@MONTGOMERY-INS.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
WEYERHAEUSER COMPANY P O BOX 9777, CH 3K33 WA 98063 BETSIE.DOUST@WEYERHAEUSER.COM
866-814-1740 Ext. 201
GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
WESTPORT INSURANCE CORP KS 66202
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109
SBWC # Insurer Name Address Email
21353 DALTON
LAWRENCEVILLE GA 30042
Phone:
SBWC # Insurer Name Address Email
13120 SOUTHFIELD
SARASOTA FL 34232
Phone:
SBWC # Insurer Name Address Email
20889 JACKSONVILLE
JACKSONVILLE FL 32256
Phone:
MEMPHIS TN 38120
Phone:
SBWC # Insurer Name Address Email
13236 WILMINGTON
ATLANTA GA 30319
Phone:
SBWC # Insurer Name Address Email
13270 EXTON
NORCROSS GA 30071
Phone:
TAMPA FL 33630
Phone:
NORCROSS GA 30010
Phone:
ATLANTA GA 30319
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
TUCKER GA 30084
800-224-9524 Ext.
UNDERWRITERS SAFETY &
CLAIMS
61-0489172 5415 SUGARLOAF LAWRENCEVILLE@USCKY.COM
WHITFIELD CO BOARD OF ED GA 30720
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
WORK FIRST CASUALTY COMPANY 3411 SILVERSIDE RD,
BARNARD BLDG STE 101
DE 19810 SLONG@WORKFIRSTCASUALTY.COM
888-784-3470 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
WINN-DIXIE STORES INC FL 32254 DALEBITTER@WIN-DIXIE.COM
SEDGWICK CMS 36-2685608 8649 BAYPINE ROAD MARILYN.SANDERS@SEDGWICKCMS.COM
MEADOWBROOK INC 38-1798156 P O BOX 50608 LKULL@MEADOWBROOK.COM
800-741-7244 Ext.
WILLIAMSBURG NATIONAL INSURANCE
COMPANY
MN 48034 KFREEMAN@MEADOWBROOK.COM
770-813-0997 Ext. 230
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
800-473-9009 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
BROADSPIRE INC 36-3917295 P O BOX 926240 ATLANTA@CHOOSEBROADSPIRE.COM
678-969-7337 Ext.
BROADSPIRE CLAIMS 36-3917295 CALL BOX 30539 KRISTIN.CANNELL@CHOOSEBROADSPIRE.COM
800-258-1811 Ext.
678-447-0200 Ext. 302
XL INSURANCE AMERICA INC PA 19341 ANTHONY.EVANS@XLGROUP.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
DULUTH GA 30097
Phone:
ATLANTA GA 30338
Phone:
SBWC # Insurer Name Address Email
13081 EXTON
NORCROSS GA 30071
Phone:
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
ATLANTA GA 30339
Phone:
POMPANO BEACH FL 33064
Phone:
TAMPA FL 33619
Phone:
DULUTH GA 30097
Phone:
BIRMINGHAM AL 35209
Phone:
PARSIPPANY NJ 07054
Phone:
TUCKER GA 30084
800-277-7500 Ext. 29106
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
ALTERNATIVE SERVICE
CONCEPTS DBA ASC LLC
43-1954328 3135 AVALON RIDGE SUE.LORANCE@ASCRISK.COM
678-447-0200 Ext. 302
XL SPECIALTY INSURANCE COMPANY PA 19341 ANTHONY.EVANS@XLGROUP.COM
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
100 CRESCENT CENTRE
PARKWAY
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
800-422-4436 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
GAB ROBINS NORTH
AMERICA INC
13-2747054 9 CAMPUS DRIVE ATLANTAR@GABROBINS.COM
800-587-3773 Ext.
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 1 METROPLEX DRIVE ATLANTAR@GABROBINS.COM
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 9950 PRINCESS PALM
AVENUE
JANET.CHORZELESKI@CAMBRIDGE-NA.COM
800-303-4437 Ext.
800-862-4252 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
CAMBRIDGE INTEGRATED 23-2731565 1775 THE EXCHANGE DAVID.HAYS@CAMBRIDGE-NA.COM
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
Phone:
TAMPA FL 33622
Phone:
ORLANDO FL 32878
Phone:
DULUTH GA 30097
Phone:
DULUTH GA 30096
Phone:
ATLANTA GA 30338
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SBWC # Insurer Name Address Email
21601 MACON
LAWRENCEVILLE GA 30043
Phone:
SBWC # Insurer Name Address Email
13056 E PROVIDENCE
E. PROVIDENCE RI 02914
Phone:
SBWC # Insurer Name Address Email
10143 WOODLAND
HILLSCHARLOTTE NC 28202
Phone:
SBWC # Insurer Name Address Email
800-354-6494 Ext. 201
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
SPECIALTY RISK SERVICES 20-0730592 ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 3700 CRESTWOOD
PARKWAY
ATLANTA.GA@SEDGWICKCMS.COM
678-628-1318 Ext.
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
ZENITH INSURANCE
COMPANY
95-1651549 900 W TRADE STREET CLAIMSLEGALNC@THEZENITH.COM
800-200-2667 Ext.
ZENITH INSURANCE CO CA 91367 AALPAY@THEZENITH.COM
800-556-3825 Ext.
YORK INSURANCE COMPANY RI 02901 NANCY.RESENDE@PROVWASH.COM
PROVIDENCE WASHINGTON - 88 BOYD AVENUE AMY.WATTS@PROVWASH.COM
800-421-0710 Ext.
YKK CORPORATION OF AMERICA GA 31217 JIMMYJOYNER@YKK-USA.COM
GEORGIA ADMINISTRATIVE
SERVICES
58-2196973 1775 SPECTRUM DRIVE CEDWARDS@GEORGIA-ADMIN.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
800-541-0139 Ext.
10187 SCHAUMBURG
TAMPA FL 33630
Phone:
ATLANTA GA 30319
Phone:
LOUISVILLE KY 40222
Phone:
TOWSON MD 21286
Phone:
POMPANO BEACH FL 33064
Phone:
CINCINNATI OH 45224
Phone:
MAITLAND FL 32751
Phone:
UNIONTOWN OH 44685
Phone:
ALPHARETTA GA 30005
Phone:
DUBUQUE IA 52004
Phone:
WHITESBURG GA 30185
Phone:
ROSWELL GA 30076
Phone:
MANDEVILLE LA 70471
Phone:
DULUTH GA 30097
Phone:
MIRAMAR FL 33027
Phone:
NASHVILLE TN 37229
Phone:
TUCKER GA 30084
800-235-1134 Ext. 5
CANNON COCHRAN
MANAGEMENT SERVICES
37-1057804 2600 LAKE LUCIEN DR SHEIMAN@CCMSI.COM
866-291-0194 Ext.
CAMBRIDGE INTEGRATED
SERVICES
23-2731565 1100 PARK CENTRAL BLVD
SOUTH
ARTGOULD@US.XCHANGING.COM
877-295-0011 Ext.
CAMBRIDGE INTEGRATED
SERVICES GROUP INC
23-2731565 6300 CENTER HILL ROAD NICOLE.DEWITT@US.EXCHANGING.COM
800-742-4248 Ext.
CAMBRIDGE INTEGRATED
SERVICE GROUP INC
23-2731565 809 GLEN EAGLES COURT BRIAN.WALSH@US.XCHANGING.COM
419-847-6323 Ext.
ATLANTA@CHOOSEBROADSPIRE.COM
800-450-0692 Ext.
BROADSPIRE SERVICES INC. 36-3917295 9502 WILLIAMSBURG TOM.WEBER@CHOOSEBROADSPIRE.COM
800-258-1811 Ext.
BROADSPIRE SERVICES 36-3917295 1001 SUMMIT BOULEVARD
ZURICH AMERICAN INSURANCE COMPANY IL 60196 USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
BROADSPIRE CLAIMS 36-3917295 CALL BOX 30539 KRISTIN.CANNELL@CHOOSEBROADSPIRE.COM
770-813-0997 Ext. 230
GAB ROBINS NORTH
AMERICA INC
13-2747054 3039 PREMIERE PARKWAY ATLANTAR@GABROBINS.COM
800-685-7361 Ext.
F A RICHARD (FARA) 72-0837383 1625 WEST CAUSEWAY
APPROACH
GEORGIA.NOTICES@FARA.COM
985-624-6739 Ext.
CREATIVE RISK SOLUTIONS 20-0989430 P O BOX 9207 NLYMAN@YOURCLAIMS.COM
770-577-9657 Ext.
ESIS INC 95-2008390 500 COLONIAL PARKWAY GAFORMS@ESIS.COM
877-241-6121 Ext.
COTTINGHAM AND BUTLER
CLAIM SERVICES
20-5233506 P O BOX 28 DUNMACHT@CBCSCLAIMS.COM
330-896-4311 Ext.
CONSTITUTION STATE
SERVICES
06-1501229 1000 WINDWARD
CONCOURSE
GEORGIAWCBOARD@TRAVELERS.COM
770-352-2978 Ext.
CHESTERFIELD SERVICES 34-1709723 3520 FOREST LAKE DRIVE ITALO.GROSSI@TPA4TSA.COM
GALLAGHER BASSETT
SERVICES INC
36-3365500 100 CRESCENT CENTRE
PARKWAY
GB-ATLANTA_NORTH-MAIL@GBTPA.COM
800-473-9009 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 292109 GALE_LESIEUR@GBTPA.COM
800-288-9843 Ext. 201
GALLAGHER BASSETT
SERVICES
36-3365500 P O BOX 279310 KRISTY_SANDS@GBTPA.COM
Phone:
TAMPA FL 33622
Phone:
BIRMINGHAM AL 35266
Phone:
ORLANDO FL 32878
Phone:
SUNRISE FL 33323
Phone:
DULUTH GA 30097
Phone:
FT MILL SC 29716
Phone:
CLEARWATER FL 33758
Phone:
LAKE MARY FL 32746
Phone:
WILMINGTON NC 28404
Phone:
OWING MILLS MD 21117
Phone:
PLANT CITY FL 33563
Phone:
PHOENIX AZ 85029
Phone:
SAN JOSE CA 95109
Phone:
TAMPA FL 33602
Phone:
ATLANTA GA 30328
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 785071 KEITH_LEAHY@GBTPA.COM
800-843-8999 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1301 INTERNATIONAL
PARKWAY
ANDREA_HUMPHRIES@GBTPA.COM
866-428-0283 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 601 VESTAVIA PARKWAY CHRIS_ROCK@GBTPA.COM
800-762-3486 Ext.
GALLAGHER BASSETT
SERVICES INC
100 CRESCENT CENTRE
PARKWAY
800-354-6494 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 21227 WILLIAM_KIMBROUGH@GBTPA.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1479 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
866-654-4001 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 3448 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
407-562-3632 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 10156 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
800-896-3079 Ext.
HARTFORD UNDERWRITERS
INS CO
06-1222527 200 COLONIAL CENTER
PARKWAY
SOUTHEASTCLAIMCENTER.WCEDM@THEHARTFORD.COM
800-226-8002 Ext.
GALLAGHER BASSETT
SERVICES INC
36-3365500 1096 ASSEMBLY DRIVE JULIE_MCCOY-LINCOLN@GBTPA.COM
866-814-1740 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 P O BOX 4840 KIM_BUCHANAN@GBTPA.COM
800-889-6764 Ext. 201
GALLAGHER BASSETT
SERVICES INC
36-3365500 2915 PREMIERE PARKWAY GB-ATLANTA_NORTH-MAIL@GBTPA.COM
866-246-0259 Ext.
800-426-5990 Ext.
NOVAPRO RISK SOLUTIONS 36-4550659 SIX CONCOURSE TKATER@NOVAPRORISK.COM
MATRIX ABSENCE
MANAGEMENT
77-0493584 P O BOX 1468 GEORGIAWORKERSCOMPENSATION@MATRIXCOS.COM
888-878-0005 Ext.
NOVAPRO RISK 36-4550659 101 E KENNEDY BLVD KROGERS@NOVAPRORISK.COM
888-878-0005 Ext.
MATRIX ABSENCE
MANAGEMENT
77-0493584 11221 N 28TH DRIVE EDICOORDINATOR@MATRIXCOS.COM
800-866-2301 Ext.
Phone:
ATLANTA GA 30328
Phone:
ATLANTA GA 30328
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30338
Phone:
JACKSONVILLE FL 32256
Phone:
COLUMBIA SC 29210
Phone:
CHARLOTTE NC 28217
Phone:
LEWISVILLE TX 75067
Phone:
MEMPHIS TN 38120
Phone:
NASHVILLE TN 37214
Phone:
ATLANTA GA 30328
Phone:
LAKE MARY FL 32746
Phone:
SAVANNAH GA 31405
Phone:
ORLANDO FL 32810
Phone:
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
Phone:
ATLANTA GA 30319
Phone:
800-871-6670 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 565 MARRIOTT DRIVE JANICE.GUIDRY@REMLTD.COM
800-347-4494 Ext.
PMA MANAGEMENT
CORPORATION
23-2652239 1100 ABERNATHY ROAD ADOLPHUS_DRAIN@PMAGROUP.COM
888-888-8136 Ext.
RISK ENTERPRISE
MANAGEMENT LIMITED
13-3832689 1140 HAMMOND DR JANET.GREER@REMLTD.COM
678-731-9091 Ext. 252
404-851-3207 Ext.
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ONE LAKE VIEW TAMMY.WILLIAMS@SRSCONNECT.COM
615-824-5095 Ext.
SPECIALTY RISK SERVICES 20-0730592 50 GLENLAKE PARKWAY MARY.DAGOSTINO@SRSCONNECT.COM
ZURICH NA ATL CLAIMS 36-4233459 1900 SUMMIT TOWER USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NA ATL CLAIMS 36-4233459 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
ZURICH AMERICAN
INSURANCE OF ILLINOIS
36-2781080 1900 SUMMIT TOWER USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
UNDERWRITERS SAFETY &
CLAIMS INC
61-0489172 5105 PAULSEN STREET ANNF@USCKY.COM
912-355-8989 Ext.
800-541-0139 Ext.
SPECIALTY RISK SERVICES 20-0730592 605 CRESCENT EXECUTIVE
COURT
SCOTT.WESTMAN@SRSCONNECT.COM
678-338-4171 Ext.
SPECIALTY RISK SERVICES 20-0730592
972-906-8599 Ext.
SEDGWICK CMS 36-2685608 1100 RIDGEWAY LOOP APULLEN@SEDGWICKCMS.COM
241-922-0638 Ext.
SEDGWICK CMS 36-2685608 5260 PARKWAY PLAZA
BLVD
MYRA.NORMAN@SEDGWICKCMS.COM
800-822-4469 Ext.
SEDGWICK CMS 36-2685608 750 STATE HWY 121 STEVEN.KEEFER@SEDGWICKCMS.COM
888-784-3470 Ext.
SEDGWICK CMS 36-2685608 2000 CENTER POINT DRIVE BHANNA@SEDGWICKCMS.COM
800-426-9218 Ext. 12131
SEDGWICK CMS 36-2685608 1117 PERIMETER CENTER
WEST
ATLANTA.GA@SEDGWICKCMS.COM
800-932-4464 Ext.
SEDGWICK CMS 36-2685608 8649 BAYPINE ROAD MARILYN.SANDERS@SEDGWICKCMS.COM
SBWC # Insurer Name Address Email
13017 SCHAUMBURG
BIRMINGHAM AL 35209
Phone:
ATLANTA GA 30319
Phone:
ORLANDO FL 32810
Phone:
ORLANDO FL 32810
Phone:
ATLANTA GA 30319
Phone: 404-851-3207 Ext.
ZURICH AMERICAN
INSURANCE OF ILLINOIS
36-2781080 1900 SUMMIT TOWER USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH NA ATL CLAIMS 36-4233459 1900 SUMMIT TOWER USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
ZURICH AMERICAN
INSURANCE COMPANY OF
ILLINOIS
36-2781080 3003 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
AVIZENT fka FRANK GATES
SERVICE CO
31-4359765 #1 INDEPENDENCE PLAZA DMCCLOSKEY@AVIZENTRISK.COM
800-277-7500 Ext. 29106
ZURICH AMERICAN INSURANCE COMPANY OF
IL
IL 60196 USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
404-851-3207 Ext.
ZURICH SERVICES
CORPORATION
36-3839542 1001 SUMMIT BLVD USZ.GA.WC.CLAIM.NOTICES@ZURICHNA.COM
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