RevisedEmployer&TPAwebsitelist 4700 TPA Self Ins
User Manual: 4700 TPA
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Page Count: 6
Effective 4/1/2008, Frank Gates changed their name to Avizent.
Wells Fargo has more than one claims person listed for each employer, one for injury claims and one for disease claims.
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
ACF INDUSTRIES INC Avizent (Frank Gates) 800-535-3537 x23312 Linda Hughes
AKER CONSTRUCTION CO (former Aker Kvaerner Songer) Sedgwick Claims - Charleston 304-347-9620 Paul Bailey
ALCAN ROLLED PRODUCTS-Ravenswood (former Pechiney) Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
ALEX ENERGY INC Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
ALLIANCE COAL LLC (former Mettiki Coal) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
ALLIANT TECHSYSTEMS INC Specialty Risk Services 800-953-6635 x66221 Cathy Slabaugh
ALLEGHENY ENERGY SERVICE CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
ALLIED CHEMICAL CORPORATION (Honeywell) Constitution State Services 412-338-4277 Martha Delconte
AMERICAN CYANAMID COMPANY (Wyeth Holdings Corporation) No TPA 973-660-6723 Denise Lenza
AMERICAN ELECTRIC POWER Company Inc Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
AMFIRE LLC Wells Fargo Disability Mgmt 304-347-3724 Marylea Young-injury 304-556-4707 Anne Cecil-disease
ANCHOR HOCKING CORPORATION (Newell Rubbermaid) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
APPALACHIA MINE SERVICES LLC (prior 11/1/09) Avizent (Frank Gates) 304-414-3315 Lora Payne
APPALACHIA MINE SERVICES LLC (as of 11/1/09) Chartis Insurance 502-561-879 Samantha Sembillo
APPALACHIAN POWER COMPANY (AEP) Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
ARACOMA COAL COMPANY INC Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
ARMCO INC Wells Fargo Disability Mgmt 304-556-1163 Paul Ayers 304-556-4707 Anne Cecil-disease
ASHLAND CHEMICAL INC Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
ASHLAND INC Wells Fargo Disability Mgmt 304-556-1100 Candy Price 304-556-4707 Anne Cecil-disease
ASHLAND-BRANDED MARKETING INC Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
ASPLUNDH TREE EXPERT COMPANY Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-4700 Ed Pauley-disease
AT&T CORPORATION Sedgwick - Chicago, IL 312-356-1976 Charles French
BADGER COAL COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4700 Ed Pauley-disease
BALL AEROSOL & SPECIALTY CONTAINER INC Avizent (Frank Gates) 216-525-0700 x113 Becky Szymanski
BALL METAL FOOD CONTAINER CORPORATION Avizent (Frank Gates) 216-525-0700 x113 Becky Szymanski
BAYER CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
BEAZER EAST INC (formerly Koppers Industries) Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
BG DANIS COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
BIG MOUNTAIN COALS INC Wells Fargo Disability Mgmt 304-347-3734 Melissa Ryder-injury 304-556-4707 Anne Cecil-disease
BIRCHFIELD MINING INC (Woodridge) Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
BISHOP COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
BON TON DEPARTMENT STORES INC Helmsman Management Servi
c
800-752-5832 x448 Kim Jenkins
HEXION SPECIALTY CHEMICAL (former Borden Inc) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
BUFFALO MINING COMPANY Wells Fargo Disability Mgmt 304-556-1100 Derek Pring 304-556-4700 Ed Pauley-disease
CABOT CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
CABOT OIL & GAS CORPORATION Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
CAPITOL CEMENT CORPORATION Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-4707 Anne Cecil-disease
CARBON FUEL COMPANY Wells Fargo Disability Mgmt 304-347-3734 Melissa Ryder-injury 304-556-4707 Anne Cecil-disease
CARNEGIE NATURAL GAS COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
Page 1 of 6 3/30/2010
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
CATLETTSBURG REFINING LLC Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
CAYMEN COAL COMPANY No TPA 713-232-7216 Karen Johnson
CCBCC INC Avizent (Frank Gates) 304-346-2683 x121 Maida Brown
CELOTEX CORPORATION (J P Hamer Lumber Co) No TPA 727-563-5192 Lecil Colburn
CENTRAL OPERATING COMPANY (AEP) Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
CENTURY ALUMINUM OF WEST VIRGINIA INC Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-1121 Michelle Grayam-disease
CHARLESTON AREA MEDICAL CENTER Avizent (Frank Gates) 800-535-3537 x129 Kathy Fink
CHEMTURA CORPORATION (formerly Crompton Corp) Gallagher Bassett Services 800-831-3247 x211 Debbie Fisher
CHESAPEAKE APPALACHIA LLC (formerly Columbia Natural Resou Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
CHESAPEAKE SERVICES INC (Woodridge) Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
CITY OF CHARLESTON Sedgwick Claims - Charleston 304-347-9616 Becky Weaver
CITY OF FAIRMONT Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
CITY OF HUNTINGTON Avizent 304-414-3302 Karen Burgess
CITY OF PARKERSBURG Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
CITY OF WHEELING Health Plan of the Upper Ohio
V
740-699-6262 David Wilkinson
COLUMBIA GAS OF WV INC ESIS Inc. 614-210-6203 Courtney Kazatsky
COLUMBIA GAS TRANSMISSION LLC (NiSource) ESIS Inc. 614-210-6203 Courtney Kazatsky
COLUMBIA WV CORPORATION (Columbia Forest Products) Gallagher Bassett Services 800-831-3247 Tom Sinclair
CONAGRA FOODS INC Sedgwick Claims - Atlanta 770-901-3000 x13162 Michelle Fobarr
CONOCOPHILLIPS COMPANY ESIS Inc. 614-210-6203 Courtney Kazatsky
CONSOL COAL COMPANY - Bluefield Operations Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
CONSOL COAL COMPANY - Eastern Region Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
CONSOL COAL COMPANY - Morgantown Operations Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
CONSOL ENERGY INC Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
CONSOL OF KENTUCKY INC Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
CONTINENTAL CAN COMPANY No TPA 720-888-1000 Kimberly Zimmerman
CORNING INC-Martinsburg/Paden City plants Broadspire Services Inc 800-622-8637 x6661 Robert Demchak
CORNING INC-Parkersburg/Buckhannon plants Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-4700 Ed Pauley-disease
CRACKER BARREL OLD COUNTRY STORE INC Gallagher Bassett Services 800-831-3247 x229 Tom Sinclair
CRANE MERCHANDISING SYSTEMS INC (former Dixie Narco) ESIS 614-210-6203 Courtney Kazatsky
CRUCIBLE STEEL COMPANY OF AMERICA Avizent (Frank Gates) 304-346-2683 x112 Linda Hughes
CSX HOTELS INC (The Greenbrier) Avizent (Frank Gates) 800-535-3537 x23308 Linda Perry
DANIS ENVIRONMENTAL INDUSTRIES Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
DAVIDSON MINING INC Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
DEHUE COAL COMPANY Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
DELHAIZE AMERICA LLC (Food Lion) No TPA 704-310-4605 Rod Back
DOLGENCORP LLC No TPA 615-855-5121 Louise Witherspoon
DOMINION TRANSMISSION INC Gallagher Bassett Services 800-831-3247 x211 Debbie Fisher
DONALDSON MINING COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
E I DUPONT DENEMOURS & COMPANY Broadspire Services Inc 800-622-8637 x6652 Rob Toler or Misha Freimann
EASTERN ASSOCIATED COAL LLC (prior 11/1/2009) Avizent (Frank Gates) 304-414-3306 Babette Flanagan
EASTERN ASSOCIATED COAL LLC (as of 11/1/2009) Chartis Insurance 502-561-8789 Samantha Sembillo
Page 2 of 6 3/30/2010
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
EASTMAN KODAK COMPANY Broadspire Services Inc 410-638-6840 Darla Lyle
84 LUMBER COMPANY Gallagher Bassett 800-831-3247 Peter Lawson
ELDER BEERMAN STORES CORP Helmsman Management Servi
c
800-752-5832 x448 Kim Jenkins
ELKAY MINING COMPANY Wells Fargo Disability Mgmt 304-556-1100 Derek Pring 304-556-4700 Ed Pauley-disease
ELKEM METALS INC Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-4700 Ed Pauley-disease
ELM GROVE COAL COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
EQT Corporation (former Equitable Resources) Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
EUREKA PIPE LINE COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
EXXON MOBIL CORPORATION No TPA 703-846-7416 Robert Boyer
FAMILY DOLLAR STORES OF WEST VIRGINIA INC Sedgwick Claims - Charleston 304-347-9620 Paul Bailey as of 8/21/09
FEDERAL EXPRESS CORPORATION Sedgwick Claims - Charleston 304-347-9615 Baxter Nida
FEDEX FREIGHT INC No TPA 800-874-4723 Betty Reynolds
FEDEX GROUND PACKAGE SYSTEM INC Broadspire Services Inc 410-638-6840 Darla Lyle
FEDEX SMARTPOST Broadspire Services Inc 410-638-6840 Darla Lyle
FIRE MOUNTAIN RESTAURANTS LLC (Ryan's Family Steakhouses
)
Specialty Risk Services 800-953-6635 x66235 Lauren Cox
FMC CORPORATION Constitution State Services (do 412-338-4277 Martha Delconte
FMC CORPORATION (including Ordinance Division) Crawford/Broadspire (doi 1/1/7
5
410-803-4807 Darla Lyle
FOLA COAL COMPANY LLC Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
FOOTE MINERAL COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
FORCENERGY ONSHORE INC (Forest Oil Corporation) Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-4707 Anne Cecil-disease
G C C BEVERAGES INC Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan
GANNETT RIVER STATES PUBLISHING CORP Constitution State Services 443-353-1739 Meredith Haskell
GENERAL ELECTRIC COMPANY Sedgwick - Albany (Electric Ins 800-434-8331 x213 George Bremser
GENERAL MOTORS CORPORATION GM National Benefit Center (S
e
248-223-6799 Aaron Dickerson
GENESIS HEALTHCARE CORPORATION Avizent (Frank Gates) 304-346-2683 x135 Tammi Green
GEORGIA PACIFIC LLC Sedgwick Claims - Charleston 304-347-9613 Ricky Richmond
GOODRICH CORPORATION Broadspire Services Inc 601-372-1176 Jeff Lowery
GOODYEAR TIRE & RUBBER COMPANY Helmsman Management Servi
c
800-752-5832 Gary Whisler
GRAYBAR ELECTRIC COMPANY INC Comp Trol Inc. 800-218-1921 Phil Murphy
GREER INDUSTRIES INC Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
GUARDIAN FIBERGLASS INC ESIS Inc. 614-210-6200 Shauna Mossman
GUARDIAN GLASS COMPANY ESIS Inc. 614-210-6200 Shauna Mossman
GUYAN INTERNATIONAL INC (Permco) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan
HARLEY MINING INC Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
HEALTHSOUTH CORPORATION ESIS Inc. 614-210-6203 Courtney Kazatsky
HEARTLAND EMPLOYMENT SERVICES LLC No TPA 419-254-5416 Lisa Jurski
HERCULES INC Specialty Risk Services 610-386-7630 Harry Bergandino
HIGHLAND MINING COMPANY Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
HOMER LAUGHLIN CHINA COMPANY (THE) Health Plan of the Upper Ohio
V
740-699-6262 Dave Wilkinson
HOPE GAS INC Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
HOUDAILLE INDUSTRIES INC Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
HUNTINGTON ALLOYS CORPORATION Avizent (Frank Gates) 800-535-3537 x135 Kathy Fink
Page 3 of 6 3/30/2010
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
HUNTINGTON INSURANCE AGENCY SERVICES INC Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
HUNTINGTON INVESTMENT COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
HUNTINGTON MORTGAGE COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
HUNTINGTON BANCSHARES INC Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
HUNTINGTON RAIL & RIVER CORPORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
INDUSTRIAL CONTRACTING OF FAIRMONT Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
INGRAM INDUSTRIES INC (formerly Ohio River Co) No TPA 615-298-8303 John Jackovich
ISLAND CREEK COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
ISLAND CREEK CORPORATION Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
ISLAND CREEK KY MINING COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
ITMANN COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
JELD-WEN Broadspire Services Inc 610-359-1860 Dee Donovan
KANAWHA & HOCKING COAL COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
KELLEY'S CREEK & NORTHWESTERN RAILROAD COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
KINGSFORD MANUFACTURING COMPANY Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-1137 Anne Cecil-disease
KINGSTON MINING INC Wells Fargo Disability Mgmt 304-556-1137 Lori Nichols 304-556-4707 Anne Cecil-disease
KITT ENERGY CORPORATION (BP America Inc) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
K-MART CORPORATION Sedgwick Claims - Charleston 304-347-9620 Paul Bailey
KRAFT FOODS No TPA 847-646-5868 Quinise Billups
KROGER LIMITED PARTNERSHIP I Sedgwick Claims - Charleston 304-347-9620 Paul Bailey
LAUREL CREEK COMPANY INC Wells Fargo Disability Mgmt 304-556-1137 Lori Nichols 304-556-4707 Anne Cecil-disease
LAUREL RUN MINING COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
LOCKHEED MARTIN CORPORATION Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
LOGAN MEDICAL FOUNDATION Wells Fargo Disability Mgmt 304-347-3734 Melissa Ryder-injury 304-556-4707 Anne Cecil-disease
LONG-AIRDOX COMPANY (The Marmon Group LLC) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
LOWE'S HOME CENTERS INC Specialty Risk Services 800-775-6937 Paul Hennessey
M A E WEST INC Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4707 Anne Cecil-disease
MACY'S RETAIL HOLDINGS INC (formerly Federated) No TPA 443-484-4001 Nancy Norton
MAJESTIC MINING COMPANY (Tutor Perini Corporation) Wells Fargo Disability Mgmt 304-556-1100 Lisa Jordan-injury 304-556-4707 Anne Cecil-disease
MARATHON ASHLAND PETROLEUM LLC Avizent (Frank Gates) 304-346-2683 x23302 Karen Burgess
MARRIOTT INTERNATIONAL INC No TPA 866-627-0111 Faith Fritz
MCELROY COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford 304-556-4700 Ed Pauley-disease
MCJUNKIN REDMAN CORPORATION Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
METROPOLITAN LIFE INSURANCE COMPANY Constitution State Services 860-277-0728 Martha Delconte
MINGO LOGAN COAL COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
MOUNTAINEER GAS COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
NABISCO INC Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
NORTHWEST PIPE COMPANY ESIS Inc. 614-210-6203 Courtney Kazatsky
OHIO POWER COMPANY (AEP) Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
OMAR MINING COMPANY Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
OVERHEAD DOOR CORPORATION Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan
PEERLESS EAGLE COAL COMPANY Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
Page 4 of 6 3/30/2010
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
PENNZOIL-QUAKER STATE COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
PEPSI BOTTLING GROUP INC Sedgwick Claims - Charleston 304-347-9612 Gary Holstein
PERFORMANCE COAL COMPANY Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-1121 Michelle Grayam-disease
PHARMACIA CORPORATION (Monsanto) ESIS Inc. 614-210-6203 Courtney Kazatsky
PHILIPS ELECTRONICS NORTH AMERICAN Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4700 Ed Pauley-disease
PILGRIM'S PRIDE Avizent (Frank Gates) 304-346-2683 x121 Maida Brown
PINE RIDGE COAL COMPANY LLC (prior 11/1/09) Avizent (Frank Gates) 304-414-3306 Babette Flanagan
PINE RIDGE COAL COMPANY LLC (as of 11/1/09) Chartis Insurance 502-561-8789 Samantha Sembillo
PLUM CREEK TIMBER COMPANY INC No TPA 406-892-6908 LaDonna Peterson
PPG INDUSTRIES INC Avizent (Frank Gates) 304-346-2683 x23304 Twila St. Clair
QUAKER STATE CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
RANGER FUEL CORPORATION Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4700 Ed Pauley-disease
RESIDENCE INN BY MARRIOTT LLC No TPA 866-627-0111 Faith Fritz
RIVERS EDGE MINING INC (prior 11/1/09) Avizent (Frank Gates) 304-346-2683 x Babette Flanagan
RIVERS EDGE MINING INC (as of 11/1/09) Chartis Insurance 502-561-8789 Samantha Sembillo
ROADWAY EXPRESS INC No TPA 614-764-7616 x226 Lisa McVay
ROCKSPRING DEVELOPMENT Wells Fargo Disability Mgmt 304-556-1137 Lori Nichols-injury 304-556-4707 Anne Cecil-disease
ROWLAND COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
ROYAL VENDORS INC Wells Fargo Disability Mgmt 304-556-1124 Kathy Price-injury 304-556-4700 Ed Pauley-disease
SEARS ROEBUCK AND COMPANY (prior 4/1/05) Liberty Mutual/Helmsman 800-752-5832 x448 Kim Jenkins
SEARS ROEBUCK AND COMPANY (as of 4/1/05) Sedgwick Claims - Charleston 304-347-9612 Gary Holstein
SENTINEL TRANSPORTATION COMPANY Broadspire Services Inc 800-622-8637 x6652 Rob Toler
SEVERSTAL WHEELING INC (former Wheeling-Pitt) Health Plan of the Upper Ohio
V
740-699-6262 David Wilkinson
SEWELL COAL COMPANY Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4700 Ed Pauley-disease
SHELL CHEMICAL COMPANY ESIS Inc. 614-210-6203 Courtney Kazatsky
SHONEYS INC Avizent (Frank Gates) 304-346-2683 Stacie Archer
SHREWSBURY COAL COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
SNOWSHOE MOUNTAIN INC ESIS 614-210-6203 Courtney Kazatsky
SPARTAN MINING COMPANY Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-1121 Michelle Grayam-disease
SPEEDWAY SUPERAMERICA LLC Avizent (Frank Gates) 304-346-2683 x23302 Karen Burgess
ST. MARY'S MEDICAL CENTER INC Avizent (Frank Gates) 800-535-3537 Stacie Archer
STERLING SMOKELESS COAL COMPANY Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
SUN COAL COMPANY Wells Fargo Disability Mgmt 304-556-1100 Lisa Jordan-injury 304-556-4707 Anne Cecil-disease
SWVA INC (Steel Of West Virginia Inc) Avizent 304-414-3321 Maida Brown
TA OPERATING CORPORATION Gallagher Bassett Services 800-831-3247 x220 Susie Dlugos
T H D GROUP (7/5/2005 - 12/31/2009) Gallagher Bassett Services 724-836-3247 Ron Genard
T H D GROUP (as of 1/1/2010) Specialty Risk Services 800-953-6635 x66220 Claire Gillispie
TERRY EAGLE COAL COMPANY Wells Fargo Disability Mgmt 304-556-1123 Debbie Burford-injury 304-556-4700 Ed Pauley-disease
TOYOTA MOTOR MANUFACTURING WV INC MSI Risk Management Service
s
304-937-7480 Cathy Epperhart
U S SILICA COMPANY Wells Fargo Disability Mgmt 304-556-4712 Lisa Jordan-injury 304-556-4707 Anne Cecil-disease
U S STEEL MINING LLC Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
UNION CARBIDE CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
Page 5 of 6 3/30/2010
COMPANY NAME TP
A
CONTACT # CONTACT NAME CONTACT # CONTACT NAME
UNION CARBIDE POLYOLEFINS DEVELOPMENT COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4700 Ed Pauley-disease
UNITED PARCEL SERVICE INC Wells Fargo Disability Mgmt 304-347-3724 Marylea Young-injury 304-556-4707 Anne Cecil-disease
UNITED STATES COAL & COKE COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
UPS GROUND FREIGHT INC dba UPS Freight (former Overnite) Wells Fargo Disability Mgmt 304-347-3719 Lena McClanahan-injury 304-556-4707 Anne Cecil-disease
UPSHUR COALS CORPORATION Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
USX CORPORATION (United States Steel Corp) Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
VALLEY CAMP COAL COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
VALLEY CAMP COAL SALES COMPANY Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-1121 Michelle Grayam-disease
VALVOLINE INC Wells Fargo Disability Mgmt 304-556-1142 Serena Dean-injury 304-556-4707 Anne Cecil-disease
VERIZON WEST VIRGINIA INC Sedgwick Claims - Charleston 304-347-9620 Paul Bailey
VIACOM INC Murphy & Beane 610-265-4281 Michael Lane
VIRGINIA ELECTRIC & POWER COMPANY Gallagher Bassett Services 800-831-3247 x211 Debbie Fisher
W-P COAL COMPANY Wells Fargo Disability Mgmt 304-347-3724 Melissa Ryder-injury 304-556-1121 Michelle Grayam-disease
WAL-MART ASSOCIATES INC Claims Management Inc. 479-621-2900 x20860 Christa Metter
WENDY'S/ARBY'S GROUP INC (as of 1/1/2010) Specialty Risk Services 800-953-6635 x66220 Claire Gillispie
WENDY'S/ARBY'S GROUP INC (7/5/2005 - 12/31/2009) Gallagher Bassett Services 724-836-3247 Ron Genard
WESTERN & SOUTHERN LIFE INSURANCE COMPANY Cambridge Integrated Services 877-261-8977 Marg Hamilton
WESTMORELAND COAL COMPANY Wells Fargo Disability Mgmt 304-556-1100 Lisa Jordan-injury 304-556-4700 Ed Pauley-disease
WESTMORELAND COAL COMPANY - Imperial Smokeless Division Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4700 Ed Pauley-disease
WESTMORELAND COAL COMPANY - Winding Gulf Division Wells Fargo Disability Mgmt 304-556-4712 Christy Shaw-injury 304-556-4700 Ed Pauley-disease
WESTVACO CORPORATION Sedgwick Claims - Pittsburgh 412-566-3100 Ron Vogel
WEYERHAEUSER COMPANY Specialty Risk Services 800-953-6635 x66234 Marita Petrosky as of 12/1/09
WHEELING HOSPITAL INC Health Plan of the Upper Ohio
V
740-699-6262 Dave Wilkinson
WHEELING MACHINE PRODUCTS COMPANY Helmsman Management Servi
c
800-752-5832 x200 Marc Shemon
WHEELING PARK COMMISSION Wells Fargo Disability Mgmt 304-347-3724 Marylea Young-injury 304-556-4707 Anne Cecil-disease
WHEELING POWER COMPANY (AEP) Avizent (Frank Gates) 800-535-3537 x23302 Karen Burgess
WHITE CONSOLIDATED INDUSTRIES (Electrolux) Gallagher Bassett Services 724-836-3247 Debbie Fisher
YELLOW TRANSPORTATION INC Gallagher Bassett Services 800-416-1826 Richard Klomparens
Page 6 of 6 3/30/2010
