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21-Day PIP Notification


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

21st Century Assurance Company
Personal Lines Claims
Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054

Phone: 1-856-437-2661
FAX: 1-877-217-1389
E-mail: katherine.savvas@farmersinsurance.com
 
21st Century Centennial Insurance Company
Voluntary Claims
Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054
Phone: 1-856-437-2661
FAX: 1-877-217-1389
E-mail:
 katherine.savvas@farmersinsurance.com
Assigned Risk Claims
Attention: Christopher Peppard
PO Box 9053, Hicksville, NY 11802
E-mail: christopher.peppard@21st.com
Phone: 1-800-603-9694
FAX: 516-688-1455
21st Century Insurance Company
Personal Line Claims
Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054
Phone: 1-856-437-2661
FAX: 1-877-217-1389
E-mail:
 katherine.savvas@farmersinsurance.com
21st Century National Insurance Company
Personal Lines Claims
Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054
Phone: 1-856-437-2661
FAX: 1-877-217-1389
E-mail:
 katherine.savvas@farmersinsurance.com
21st Century Pinnacle
Personal Lines Claims
Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054
Phone: 1-856-437-2661
FAX: 1-877-217-1389
E-mail:
 katherine.savvas@farmersinsurance.com
21st Century Premier Insurance Company
Attention: William Murphy
1 Connell Drive - Suite 2100, Berkeley Heights, NJ 07922
Phone: 1-888-724-8881
FAX: 1-866-947-1512
ACE Fire Underwriters Insurance Company
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
ACE Indemnity Insurance Company
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
ACE Insurance Company
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
ACE Property and Casualty Insurance Company
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
AIG Property Casualty Co. (formerly Chartis Property Casualty Company)
Commercial Auto
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Personal Auto
Attention: William Murphy
1 Connell Drive - Suite 2100
Berkeley Heights, NJ 07922
Phone: 1-888-724-8881
FAX: 1-866-947-1512
AIU Insurance Company
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
All America Insurance Company
Attention: Susan E. Sylvester
PO Box 9124, Waltham, MA 02254-9124
Phone: 1-800-359-2233
Allied World National Assurance Company
Attention: Karen Colonna, S.V.P. & Deputy General Counsel, U.S. Compliance
199 Water St. - 24th Floor, New York, NY 10038
Phone: 646-794-0576
FAX: 646-794-0610
E-mail: Karen.Colonna@AWAC.com
Allied World Reinsurance Company
Attention: John R. Wilkens, CPCU, Vice President - Compliance, Allied World Assurance Company (U.S.), Inc.
199 Water St., 29th Floor, New York, NY 10038
Phone: 646-794-0580
FAX: 646-794-0811
E-mail: john.wilkens@awac.com
Allstate New Jersey Insurance Company
Allstate New Jersey Property and Casualty Insurance Company
Attention: Joan Hofmann
PO Box 250, Pluckemin, NJ 07978
Phone: 1-888-710-3483 ext. 5611
FAX: 1-866-229-1960
E-mail: BCSupportUnit@Allstate.com
American Commerce Insurance Company
Attention: Frank Dungey
11 Gore Road, Webster, MA 01570
Phone: 508-949-5309
FAX: 508-671-3309
American Compensation Insurance Company
Attention: Jay Carleton, Vice President - Casualty Claims
700 W. 47th St., Suite 350, Kansas City, MO 64112
Phone: 816-412-2829
E-mail: jcarleton@rhkc.com
American Home Assurance Company
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
AmGUARD Insurance Company
Attention: Bill Gray
16 S. River St., Wilkes-Barre, PA 18702-1368
Phone: 1-800-673-2465 ext. 1036
FAX: 1-570-825-0611
E-mail: bgray@guard.com
Amica Mutual Insurance Company
Amica Property and Casualty Insurance Company
Attention: David Gattuso
One Maynard Drive, Suite 1104, Park Ridge, NJ 07656-1878                               
Phone: 1-800-762-6422
FAX: 1-866-596-1095
E-mail: dgattuso@amica.com
Atlantic Employers Insurance Company
Commercial Auto
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
Personal Auto
Attention: Douglas Smith
150 Allen Road, Suite 101
Basking Ridge, NJ 07920
Phone: 908-860-4634
FAX: 215-861-6498
E-mail: douglas.smith@acegroup.com
Atlantic Mutual Insurance Company
Attention: Laura Ammerman
PO Box 821, Madison, NJ 07940-0821
Phone: 201-408-6155
Automobile Insurance Company of Hartford, Connecticut
Attention: Lois Solecki
PO Box 1900, Morristown, NJ 07962
Phone: 973-682-4930
Fax: 1-866-296-4180
E-mail: lsolecki@travelers.com
AutoOne Insurance Company
Attention: Tracy Barnes
5788 Widewater Parkway, Syracuse, NY 13214
Phone: 315-251-6151
Fax: 1-877-811-6502
Balboa Insurance Company
Attention: Linda Kyd
PO Box 1685, Salem, VA 24153
Phone: 1-540-375-7564
E-mail: Linda_B_Kyd@atlanticmutual.com
Bankers Standard Insurance Company
Commercial Auto
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513

Personal Auto
Attention: Linda Kyd
ACE Private Risk Services
PO Box 1685, Salem, VA 24153
Phone: 1-877-210-3149 ext. 7564
FAX: 540-725-7266
E-mail: Linda.Kyd@Ace-INA.com
Berkley National Insurance Company
Berkley Regional Insurance Company
Attention: Larris R. Larsen, CPCU, ACP, Vice President, Regulatory
215 Shuman Blvd., Suite 200, Naperville, IL 60563
 
California Casualty & Fire Insurance Company
Attention: Team Manager, NJ PIP Unit
PO Box 9100
Mission, KS 66201-1700
Phone: 1-800-346-6840
FAX: 1-800-230-3880
Camden Fire Insurance Association
Attention: Timothy Mulcahy
Camden Fire Insurance Association
5788 Widewater Parkway, Syracuse, NY 13214
Phone: 315-251-3088
FAX: 315-251-3004
Canal Insurance Company
Attention: Kathy Lee Williams
PO Box 7, Greenville, SC 29602
Phone: 1-800-452-6911, ext. 5433
FAX: 864-679-2518
E-mail: KathyLee.Williams@canal-ins.com
CastlePoint Insurance Company
Attention: Amy Welde
440 East Swedesford Road, Wayne, PA 19087
Phone: 610-964-5294
FAX: 610-964-5251
Web site: www.genexservices.com
Catlin Indemnity Company
Attention: Bob Eells
1600 Market Street, Suite 1616, Philadelphia, PA 19103
Phone: 215-446-9132
FAX: 215-446-9131
E-mail: bob.eells@catlin.com
Centennial Insurance Company
Attention: Laura Ammerman
PO Box 82, Madison, NJ 07940-0821
Phone: 201-408-6155
Central Mutual Insurance Company
Attention: Susan E. Sylvester
PO Box 9124, Waltham, MA 02254-9124
Phone: 1-800-359-2233
Chartis Property Casualty Company
Commercial Auto
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Personal Auto
Attention: William Murphy
1 Connell Drive - Suite 2100
Berkeley Heights, NJ 07922
Phone: 1-888-724-8881
FAX: 1-866-947-1512
Chubb Group of Insurance Companies
12 Vreeland Road, Florham Park, NJ 07932 Phone: 1-800-524-2392
Citizens United Reciprocal Exchange (CURE) (formerly NJCURE)
Attention: Marla Ongradi
214 Carnegie Center, Suite 101, Princeton, NJ 08540
Phone: 609-520-0800
Clarendon National Insurance Company
Attention: Andrea Kanakis, No-Fault Department Assistant Manager
PO Box 6580, Saddle Brook, NJ 07663
Phone: 201-368-8055
FAX: 201-368-8690
Commerce and Industry Insurance Company
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Companion Property & Casualty Insurance Company
Attention: RIS Risk Management Services, LLC
231 Springside Drive, Suite 150, Akron, OH 44333
Phone: 1-877-758-3700
FAX: 330-685-3746
Consumer First Insurance Company
Attention: Michael Bonner
1144 Clifton Avenue, Clifton, NJ 07013
Phone: 1-973-745-0462
FAX: 1-973-470-9817

E-mail: mbonner@consumerfirstins.com
Continental Casualty Company
Attention: Michael Taylor, Division Manager
PO Box 907, Monmouth Junction, NJ 08852
Phone: 732-398-4120
FAX: 732-398-5015
Continental Insurance Company of NJ
Attention: Michael Taylor, Division Manager
PO Box 907, Monmouth Junction, NJ 08852
Phone: 732-398-4120
FAX: 732-398-5015
Countryway Insurance Company (formerly Agway Insurance Co.)
Attention: Paul Foley
PO Box 4851, Syracuse, NY 13221
Phone: 315-634-5229 or 1-800-828-6862
FAX: 315-634-5321
E-mail: pfoley@countryway.com
CSAA Affinity Insurance Company
Attention: Gene Thackray
PO Box 5483, Mount Laurel, NJ 08054
Phone: 856-222-4906
FAX: 856-533-9580
E-mail: Eugene.Thackray@goaaa.com
CSAA General Insurance Company
Attention: Gene Thackray
PO Box 5483, Mount Laurel, NJ 08054
Phone: 856-222-4906
FAX: 856-533-9580
E-mail: Eugene.Thackray@goaaa.com
CSAA Mid-Atlantic Insurance Company of New Jersey
Attention: Gene Thackray
PO Box 5483, Mount Laurel, NJ 08054
Phone: 856-222-4906
FAX: 856-533-9580
E-mail: Eugene.Thackray@goaaa.com
Darwin National Assurance Company
Attention: Karen Colonna, S.V.P. & Deputy General Counsel, U.S. Compliance
199 Water St. - 24th Floor, New York, NY 10038
Phone: 646-794-0576
FAX: 646-794-0610
E-mail: Karen.Colonna@AWAC.com
Diamond State Insurance Company
Diamond State Group
UnitedAmerica Insurance Group
Attention: David Elliott, AIC, SCLA, Assistant Vice President - Claims
Three Bala Plaza East, Suite 300
Bala Cynwyd, PA 19004
Phone 1-800-788-4780, 610-538-2525
FAX 610-660-8885
E-mail: Claims@uai-group.com
E-mail: delliott@uai-group.com
Electric Insurance Company
Attention: Premier Prizm Solutions LLC
10 East Stow Road, Suite 100, Marlton, NJ 08053
Phone: 856-596-5600
FAX: 856-596-6300
Employers Insurance of Wausau
Attention: Dana Campisi
Metroplex Corporate Center
200 Metroplex Drive, Edison, NJ 08817
Phone: 908-777-5889
FAX: 908-777-5280
Encompass Insurance Company of NJ
Encompass Property and Casualty Insurance Company of NJ
Attentionn: Donna Bruno
PO Box 5935, Bridgewater, NJ 08807
Phone: 1-800-260-1454
FAX: 1-866-434-3402
E-mail: Donna.bruno@encompassins.com
Esurance Insurance Company of New Jersey
Attention: PIP Department
PO Box 623, Basking Ridge, NJ 07920-0622
Phone: 866-899-6529
FAX: 866-493-1819
Farm Family Casualty Insurance Company
Attention: Russell Bergman, Claim Manager
MS# 10N
PO Box 656, Albany, NY 12201-0656
Phone: 518-431-5069
FAX: 518-431-5980
Federal Insurance Company
Attention: Dana Dentzer
890 Mountain Avenue, New Providence, NJ 07974-1297
Phone: 908-771-6873
Federated Mutual Insurance Company
Attention: David Nichols
PO Box 328 Owatonna, MN 55060
Phone: 317-595-4592
FAX: 1-866-636-8660
E-mail: denichols@fedins.com
Fidelity & Guaranty Insurance Underwriters, Inc.
(See Travelers Group)
Fireman’s Fund Indemnity Corporation
Karen Wallace, PIP Supervisor
One Progress Point Parkway, O'Fallon, MO 63368
Phone: 1-800-870-8857
FAX: 314-817-2686
First Trenton Indemnity Company
(See Travelers Group)
Fitchburg Mutual Insurance Company
Attention: Robert Street
222 Ames Street, PO Box 9109, Dedham, MA 02027-9109
Phone: 1-800-688-1825
Fax: 781-329-1818
Foremost Insurance Company Grand Rapids, Michigan (Bristol West)
Attention: Tricia DiNunzio
400 Colonial Center Parkway, Suite 200, Lake Mary, FL 32746
Phone: 407-777-4441
Fax: 1-877-777-5766
E-mail: tricia.dinunzio@bristolwest.com
Garrison Property and Casualty Insurance Company
Attention: George Strauch
Claims Service Dir. Auto Injury
PO Box 33490, San Antonio TX 78625
Phone: 210-498-1701
FAX: 210-498-4011 and 210-498-4012
General Casualty Company of Wisconsin
Attention: Rich Abrams
82 Hopmeadow St., Weatogue, CT 06089
Phone: 1-800-961-1121
Fax: 860-408-3268
Government Employees Insurance Co.
GEICO Casualty Co.
GEICO General Insurance Co.
GEICO Indemnity Co.
Premier Prizm Solutions, LLC
PO Box 986
Marlton, NJ 08053
FAX: 856-596-6300
Granite State Insurance Company
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Graphic Arts Mutual Insurance Co
Attention: Dan A. DeAngelo
104 Interchange Plaza, Cranbury, NJ 08512-9561
Phone: 609-868-6800
FAX: 609-860-6899
Great American Insurance Company
Great American Insurance Company of NY
Attention: David D. Hubbard
500 Lanidex Center, Parsippany, NJ 07054
Phone: 201-952-9835
FAX: 201-952-9737
Great Northern Insurance Company
Attention: Dana Dentzer
890 Mountain Avenue, New Providence, NJ 07974-1297
Phone: 908-771-6873
Greater New York Mutual Insurance Company
Insurance Company of Greater New York
Attention: Joseph McGrath
377 Summerhill Road, East Brunswick, NJ 08816
Phone: 732-238-6300 ext. 276
FAX: 732-238-3781
Greenwich Insurance Company
XL Insurance America, Inc.
XL Specialty Insurance Company
Attention: Karen Trout
505 Eagleview Blvd., Suite 100, Exton, PA 19341
Phone: 610-968-2896
FAX: 610-458-6653
Hanover Insurance Company
Hanover New Jersey Insurance Company
Attention: Dawn Cottet - PIP Claims Department
PO Box 15146, Worcester, MA 01615-0146
Phone: 1-800-628-0250
E-mail: dcottet@hanover.com
Harleysville Insurance Company
Harleysville Mutual Insurance Company
Harleysville Ins. Co. of New Jersey
Harleysville Preferred Insurance Co.
Attention: Annette LaBarre, Claims Director
112 W. Park Dr., Suite 200, Moorestown, NJ  08054
Phone: 1-800-523-6344 ext. 5461
Fax: 1-856-642-7846
E mail: alabarre@Harleysvillegroup.com
Hartford Insurance Company of the Midwest
Hartford Fire Insurance Company
Hartford Underwriters Insurance Company
Attention: Karen Delpome
NEPLCSC
PO Box 2910, Hartford, CT 06104
Phone: 1-800-280-0555 ext. 21989
FAX: 1-866-771-6001
High Point Preferred Insurance Company
High Point Property and Casualty Insurance Company
High Point Safety and Insurance Company
Attention: Lisa Wagner
PO Box 900, Lincroft, NJ 07738
Phone: 1-800-258-1476
FAX: 732-978-7109
E-mail: lwagner@plymouthrock.com
IDS Property Casualty Insurance Company
Attention: Stacy A. Bartz
3500 Packerland Drive, De Pere, WI 54115-9070
Phone: 920-330-5195
FAX: 920-330-5334
IFA Insurance Company
Attention: Bobbi Morin
123 North Union Avenue, Cranford, NJ 07016
Phone: 908-276-4480
Illinois National Insurance Company
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Indemnity Insurance Company of North America
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
Indiana Lumbermens Mutual Insurance Company
Attention: Customer Service
8888 Keystone Crossing, Suite 250
Indianapolis, IN 46240
Phone: 317-875-3607 or 1-800-732-0777 Ext. 607
FAX: 866-293-6591
Web site: www.ILMGROUP.com
Insurance Company of North America
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
Insurance Company of the State of Pennsylvania
Attention: William Murphy
100 Connell Drive - Suite 2100
Berkeley Heights, NJ 07922
Phone: 1-888-724-8881
FAX: 1-866-947-1512
Ironshore Indemnity Inc.
Attention: Innovative Claims Strategies, LLC
Corporate Headquarters
485A Route 1 South, Suite 300, Iselin, NJ 08830
Phone: 732-404-2020
Web site: www.icstrategies.com
Lancer Insurance Company
Attention: Holly Ritholtz
One Fairchild Court, Suite 200, Plainview, NY 11803
Phone: 1-516-349-8888
FAX: 1-516-349-9432
Liberty Mutual Insurance Group
Attention: Rachelle Bella-Shinn
PO Box 1052, Montgomeryville, PA 18936
Phone: 1-866-548-5127 ext. 82501
FAX: 1-856-596-4280 or 1-888-382-6719
E-mail: Rachelle.Bella@LibertyMutual.com
Lincoln General Insurance Company
Attention: Tim Kirk, Vice President Claims
PO Box 3608, 3501 Concord Road, York, PA 17402-0628
Phone: 1-800-876-3350 or 717-757-0000
FAX: 717-751-0165
Markel American Insurance Company
Attention: Kathy Kuske
PO Box 906, Pewaukee, WI 53072-0906
Phone: 262-548-9880 ext. 33415
FAX: 262-548-6110
E-mail: kkuske@markelcorp.com
Markel Insurance Company
Attention: Kathy Kuske
PO Box 906 Pewaukee, WI 53072-0906
Phone: 262-548-9880 Ext. 33415
FAX: 262-548-6110
E-mail kkuske@markelcorp.com
Maryland Casualty Company
Attention: First Report Department
PO Box 14013, New Brunswick, NJ 08906-4013
Phone: 908-777-5889
FAX: 908-777-5280
Merchants Mutual Insurance Company
Attention: Stephen A. Reilly
309 Fellowship Road, PO Box 868, Moorestown, NJ 08057
Phone: 609-235-8890 ext. 270
FAX: 609-273-8342
Merchants Preferred Insurance Company
Attention: Stephen A. Reilly
309 Fellowship Road, PO Box 868, Moorestown, NJ 08057
Phone: 609-235-8890 ext. 270
FAX: 609-273-8342
Mercury Indemnity Company of America
Attention: NJ PIP Team
685 Route 202/206, PO Box 5919, Bridgewater, NJ 08807
Phone: 1-877-533-6330
FAX: 1-908-243-1874
Meritplan Insurance Company
Attention: Linda Kyd
PO Box 1685, Salem, Va 24153
Phone: 1-540-375-7564
E-mail: Linda_B_Kyd@atlanticmutual.com
Metropolitan Group P&C Insurance Company
Metropolitan Direct P&C Insurance Company
Metropolitan Property & Casualty Insurance Company
Attention: Michael Taglione, Claim Department
31 British American Blvd.
Latham, NY 12110
Phone:  1-800-854-6011 ext. 8690
FAX:  1-877-405-6950
E-mail: mataglione@metlife.com
Michigan Mutual Insurance Company
Attention: James R. Kohloff
26777 Halsted, Farmington Hills, MI 48331-3586
Phone: 810-615-9000
FAX: 810-615-8372

Mid-Century Insurance Company
Farmers Insurance Exchange
Truck Insurance Exchange

Attention: Katherine Savvas
1000 Midlantic Drive, Mount Laurel, NJ 08054
Phone: 1-856-437-2667
FAX: 1-866-947-4935
E-mail: katherine.savvas@21st.net
 
National Continental Insurance Company (servicing carrier for NJ CAIP and NJ SAIP only; for non-CAIP/SAIP see Progressive Group)
Attention: Jacqueline Ruiz-Fisher
103 Morgan Lane, Suite 250, Plainsboro, NJ 08536
Phone: 1-800-444-0013 ext. 5323 or Direct Line 609-936-5323
FAX: 609-750-8672 or 1-888-278-1586
E-mail: Jacqueline_Ruiz-Fisher@progressive.com
National Liability & Fire Insurance Company
c/o Northeast Alliance Insurance Agency, LLC
Attention: William Abrams
PO Box 9028, Bethpage, NY 11714  
Phone: 1-888-327-3000
FAX: 1-800-572-3648
National Union Fire Insurance Company of Pittsburgh, Pa.
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
Nationwide Agribusiness Insurance Company
Attention: Claims Staff
1100 Locust St., Dept. 3010, Des Moines, IA 50391-3010
Phone: 1-800-228-6700  
FAX: 1-800-842-1482
E-mail: newclaim@nationwide.com
Nationwide Mutual Insurance Company (Private Passenger Auto)
Attention: Joseph Cribari, Casualty/PIP Claims Manager
PA-02-21

PO Box 2655
Harrisburg, PA 17105-2655

Phone: 1-717-657-6442
FAX: 1-717-657-6812
E-mail: cribarj@nationwide.com
Nationwide Mutual Insurance Company (Classic Car)
Attention: Lauren Lowes
141 River's Edge Drive, Suite 200
Traverse City, MI 49684

Phone: 1-800–922–4050
FAX: 1-231–941–8227
E-mail: claims@hagerty.com
New Hampshire Insurance Company (LAD)
Attention: Sarah Hlad 
AIG Domestic Claims, Inc.
Olathe Ops Center
PO Box 25588, Shawnee Mission, KS 66225  
Phone: 515-221-6824 
FAX: 515-221-6805
New Jersey Indemnity Insurance Company
Attention: Beth Harner
PO Box 928, West Trenton, NJ 08628-0118
Phone: 609-883-1300, ext 5410
FAX: 609-493-1277
E-mail: pipnotification@njm.com
New Jersey Manufacturers Insurance Company
Attention: Beth Harner
PO Box 928, West Trenton, NJ 08628-0118
Phone: 609-883-1300 ext. 5410
FAX: 609-493-1277
E-mail: pipnotification@njm.com
New Jersey Re-Insurance Company
Attention: Beth Harner
PO Box 928, West Trenton, NJ 08628-0118
Phone: 609-883-1300 ext. 5410
FAX: 609-493-1277
E-mail: pipnotification@njm.com
New Jersey Skylands Insurance Association
New Jersey Skylands Insurance Company
Attention: NJ PIP Claims
PO Box 1287
Buffalo, NY 14240-1287
North American Elite Insurance Company
Attention: Cliff St. George, Compliance Officer
650 Elm St., Manchester, NH 03101
Phone: 603-644-6647
FAX: 603-644-6613
E-mail: NASGroup_Regulatory@nasins.com
Northern Insurance Company of New Jersey
Attention: First Report Department
PO Box 14013, New Brunswick, NJ 08906-4013
Phone: 908-777-5889
FAX: 908-777-5280
Ohio Casualty Insurance Company
Attention: Michael Galante
Ohio Casualty Claim Department, PO Box 1951,
Voorhees, NJ 08043
Phone: 1-866-950-5533
FAX: 1-877-343-1335
Ohio Security Insurance Company

Attention: Bruce Whitney
LMAC CL PIP/Auto Med Pay Claims
Cincinnati CSC
PO Box 515097
Los Angeles, CA  90051-5097

Phone: 1-877-246-4264 ext. 7653730
FAX: 1-888-268-8840
E-mail: Bruce.Whitney@LibertyMutual.com

Pacific Employers Insurance Company
Attention: Dick Snyder
Wilmington Claims Center
1 Beaver Valley Road, Wilmington, DE 19803
Phone: 302-476-6007
FAX: 302-476-6513
Pacific Indemnity Company
Attention: Dana Dentzer
890 Mountain Avenue, New Providence, NJ 07974-1297
Phone: 908-771-6873
Palisades Insurance Company
Palisades Safety and Insurance Association
Attention: Lisa Wagner
PO Box 900, Lincroft, NJ 07738
Phone: 1-800-258-1476
FAX: 732-978-7109
E-mail: lwagner@plymouthrock.com
Penn Millers Insurance Company
Attention: Christine Boyle
PO Box P, Wilkes-Barre, PA 18773-0016
Phone: 1-800-233-8347
FAX: 570-822-2165
E-mail: cboyle@pennmillers.com
Pennsylvania National Mutual Casualty Insurance Company
Founders Insurance Company
Attention: Richard Swieconek, Claims Manager
New Jersey Claims Service Office
340 Scotch Road, West Trenton, NJ 08628
Phone: 609-883-5111 ext. 5601
FAX: 609-883-8537
Personal Service Insurance Company
Attention: John Schmittinger, Claims Manager
1000 River Road, Suite 300, Conshohocken, PA 19428
Phone: 1-800-954-2442 ext. 8480
Plaza Insurance Company
Attention: Jay Carleton, Vice President - Casualty Claims
700 W. 47th Street, Suite 350, Kansas City, MO 64112
Phone: 816-412-2829
E-mail: jcarleton@rhkc.com
Praetorian Insurance Company
Attention: Andrea Kanakis, No-Fault Department Assistant Manager
PO Box 6580, Saddle Brook, NJ 07663
Phone: 201-368-8055
FAX: 201-368-8690
Preferred Professional Insurance Company
Attention: Cindy Loftis
C.M.G. Agency, Inc.
10843 Old Mill Road, Omaha, NE 68154-2600

Phone: 402-551-8765
FAX: 402-392-2673
E-mail: cloftis@catholicmutual.org

Privilege Underwriters Reciprocal Exchange (PURE)
Attention: Mr. Scott Congiusti
1 North Lexington Avenue, Suite 1450
White Plains, NY 10601
Phone: 914-328-8102
FAX: 914-328-3883
ProCentury Insurance Company
Attention: Gary Forthoffer, Manager
York Claims Service, Inc.

99 Cherry Hill Road, Suite 102, Parsippany, NJ  07054
Phone: 1-866-391-9675
E mail: yorkclaimsintake@york-claims.com
Progressive Group (Progressive Freedom Insurance Company, Progressive Garden State Insurance Company, Drive NJ Insurance Company, National Continental Insurance Company)
Attention: Gordon Dickenson
485 Route 1 South - Bldg. A, Suite 470, Iselin, NJ 08830
Phone: 732-726-5624 or 1-800-PROGRESSIVE
Prudential Property and Casualty Insurance Company of New Jersey
(See High Point Insurance)
Public Service Mutual Insurance Company
Attention: Leslie Myrie or Michele Woodson
132 West 31st Street, New York, NY 10001
Phone: 212-560-5121 or 212-560-5116
FAX: 212-947-4019
Quincy Mutual Fire Insurance Company
Attention: Deborah Marini
57 Washington St., Quincy, MA 02169
Phone: 1-800-899-1116
FAX: 1-800-899-7790
Regent Insurance Company
Attention: Rich Abrams
82 Hopmeadow St., Weatogue, CT 06089
Phone: 1-800-961-1121
Fax: 860-408-3268
Republic-Franklin Insurance Co.
Attention: Dan A. DeAngelo
104 Interchange Plaza, Cranbury, NJ 08512-9561
Phone: 609-860-6800
FAX: 609-860-6899
Response Insurance Company
Attention: Denise Warzel, PIP Supervisor
502 W. Germantown Pike, Suite 900, Plymouth Meeting, PA 19462
Phone: 610-276-3904
FAX: 610-276-3931
E-mail: dwarzel@unitrindirect.com
RLI Insurance Company
Attention: Phyllis Planisek
202 Montrose West Avenue, Suite 200, Copley, OH 44333
Phone: 1-888-665-3719
FAX: 234-542-1042
E-mail: phyllis.planisek@risholdings.com
Rutgers Casualty Insurance Company
Attention: Leslie Braytenbah
2250 Chapel Avenue West - Suite 200, Cherry Hill, NJ 08002
Phone: 856-779-0600
Safety National Casualty Corporation
Attention: Mitch Neuhaus, Assistant Vice President - Claims
1832 Schuetz Road, St. Louis, MO 63146
Phone: 314-692-9517 or 1-888-995-5300, ext. 29517
FAX: 314-995-3897
E-mail: mitch.neuhaus@safetynational.com
Selective Insurance Company of America
Selective Way Insurance Company
Selective Casualty Insurance Company
Selective Fire & Casualty Insurance Company
Selective Insurance Company of New England
Attention: Richard Wilson, Claims Manager
PO Box 7950, Trenton, NJ 08650
Phone: 1-800-365-9656
FAX: 609-631-0795
Seneca Insurance Company
Attention: Frank Donahue
160 Water Street, New York, NY 10038
Phone: 212-344-3000
FAX: 212-422-7541
Sentry Casualty Company
Sentry Insurance A Mutual Company
Sentry Select Insurance Company
Attention: Mark Kovatch, Sr. Claims Specialist
1800 North Point Drive, Steven Point, WI 54481
Phone: 715-346-8435
FAX: 715-346-7112
E-mail: Mark.Kovatch@sentry.com
Starnet Insurance Company
Attention: Larris R. Larsen, CPCU, ACP, Vice President, Regulatory
215 Shuman Blvd., Suite 200, Naperville, IL 60563
 
Starr Indemnity & Liability Company
Attention: Marina Peck, Vice President - Claims
399 Park Ave., 8th Floor, New York, NY 10022
Phone: 646-227-6586
FAX: 631-685-6732
E-mail: Marina.Peck@cvstarr.com
State Farm Indemnity Company
State Farm Guaranty Insurance Company
Attention: Thomas Hills
State Farm Claims, Northeastern PIP
PO Box 106105, Atlanta, GA 30348-6105
Phone: 1-888-326-0152
Fax: 1-866-497-2745
State National Insurance Company
Commercial Auto Horticultural Program
Attention: New Claims, NJ PIP
PO Box 428, Edwardsville, IL 62025
Phone: 1-800-851-7740
Fax: 1-800-632-4445
E-mail: NewClaims@hortica-insurance.com
Teachers Auto Insurance Company of New Jersey
Attention: Lisa Wagner
PO Box 900, Lincroft, NJ 07738
Phone: 1-800-258-1476
FAX: 732-978-7109
E-mail: lwagner@plymouthrock.com
Tokio Marine and NichidoFire Insurance Company Ltd.
TNUS Insurance Company
Attention: Sharon Mock Yen-Ellis, Manager
230 Park Avenue, New York, NY 10169
Phone: 212-297-6781
FAX: 212-297-6691
Tower Group
Preserver Insurance Company
Attention: Victoria Sadkowski
21-Day PIP Notification, PO Box 5155, Buffalo, NY 14240-5155
Phone: 1-866-992-4368
FAX: 1-888-892-1640
E-mail:vsadkowski@twrgrp.com
Travelers Group (Fidelity & Guaranty Insurance Underwriters, Inc., First Trenton Indemnity Co., St. Paul Protective Insurance Company, Travelers Auto Insurance Co. of New Jersey)
Attention: Lois Solecki
PO Box 906, Cedar Knolls, NJ 07927

Phone: 973-682-4930
FAX: 1-866-296-4180
E-mail: lsolecki@travelers.com
Twin Lights Insurance Company
Attention: Lisa Wagner
PO Box 923, Lincroft, NJ 07738
Phone: 1-877-894-6467
FAX: 908-219-5060
E-mail: lwagner@plymouthrock.com
Ullico Casualty Company
Attention: Dorothy Wallace
Ullico Claims, 1625 I Street N.W., Washington, DC 20006
Phone: 202-682-7962
FAX: 202-962-8853
United Farm Family Insurance Company
Attention: Russell Bergman, Claim Manager
MS# 10N
PO Box 656, Albany, NY 12201-0656
Phone: 518-431-5069
FAX: 518-431-5980
United Services Automobile Association
Attention: Luis Ramirez, Claims Service Director
Northeast Region Claims Department
PO Box 33490, San Antonio, TX 78265
Phone: 210-498-0284
FAX: 210-498-4011 and 210-498-4012
United States Liability Insurance Company
Claims Department
Attention: Emily Parker, Associate Examiner
1190 Devon Park Drive, Wayne, PA 19087
Phone: 1-800-523-5545 ext. 2440
FAX: 1-610-687-9398
E-mail: eparker@usli.com or newlosses@usli.com
Unitrin Direct Insurance Company
Attention: Cheri Martinozzi
502 West Germantown Pike - Suite 900, Plymouth Meeting, PA 19462
Phone: 1-877-270 5702
FAX: 610-276-3931
Universal Underwriters Insurance Company
Attention: Regional Claims Manager - Suite 206
100 Walnut Avenue, Clark, NJ 07066
Phone: 908-396-8500
FAX: 908-396-8509
USAA Casualty Insurance Company
Attention: Luis Ramirez, Claims Service Director
Northeast Region Claims Department
PO Box 33490, San Antonio, TX 78265
Phone: 210-498-0284
FAX: 210-498-4011 and 210-498-4012
USAA General Indemnity Company
Attention: George Strauch
Claims Service Dir. Auto Injury
PO Box 33490, San Antonio TX 78625
Phone: 210-498-1701
FAX: 210-498-4011 and 210-498-4012
Utica Mutual Insurance Co.
Attention: Dan A. DeAngelo
104 Interchange Plaza, Cranbury, NJ 08512-9561
Phone: 609-860-6800
FAX: 609-860-6899
Valley Forge Insurance Company
Attention: Michael Taylor, Division Manager
PO Box 2113, Cranbury, NJ 08570
Phone: 609-395-2465
FAX: 609-395-6678
Vigilant Insurance Company
Attention: Dana Dentzer
890 Mountain Avenue, New Providence, NJ 07974-1297
Phone: 908-771-6873
Wausau Underwriters Insurance Company
Attention: Dana Campisi
Metroplex Corporate Center, 200 Metroplex Drive, Edison, NJ 08817
Phone: 908-777-5889
FAX: 908-777-5280
West American Insurance Company
Attention: Michael Galante
Ohio Casualty Claim Department
PO Box 1951
Voorhees, NJ 08043
Phone: 1-866-950-5533
FAX: 877-343-1335
Western United Insurance Company
Attention: Gene Thackray
1400 Howard Blvd.
Mount Laurel, NJ 08054

Phone: 856-222-4906
FAX: 856-533-9580
E-mail: Eugene.Thackray@goaaa.com

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