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Len Toenjes, CAE
President
AGC of St. Louis

 

Worker's Compensation

All claims for the Contractors Insurance Alliance Captive Insurance Program, regardless of severity or location should be reported to the following reporting center.

  1. E-FAX: (866) 695-3651
  2. Email: York@mcmcllc.com
  3. Telephone: 888-INS-YORK (888-467-9675)

To expedite the handling of your new claim, the following information please provide when reporting a claim:

York Client Code: 6238

POLICY/LOCATION INFORMATION

  • Insured Name and DBA (doing business as name) / Location
  • Policy Number / Location Number (if available)

INJURED WORKER INFORMATION

  • Employee name and social security number
  • Address and home phone number
  • Spouse’s name
  • Number of dependents
  • Date of hire
  • Gross pay per week

ACCIDENT INFORMATION

  • Exact date and time of injury
  • Exact location or site code where injury occurred
  • Specific description of injury (i.e., employee slipped and fell on wet floor in warehouse)
  • Safeguards or safety equipment provided to prevent injuries (where applicable)
  • Name and address of client’s physician
  • Name and address of hospital

The claim is sent to YORK and will be assigned to the YORK office for handling. A claim acknowledgement will then be transmitted to the designated individuals advising of the York claim number and the adjuster assigned to the claim.

Key Contact:

Stacie Archer
York National Account Executive
Client Services
(304) 414-3310 x23310
sarcher@avizentisk.com

Cindy White
York WC Unit Manager
(630) 286-7813
Cindy.White@yorkrsg.com