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HomeMy WebLinkAboutNYS Municipal Workers' CompNew York State Municipal Workers' Compensation Alliance vwvw.com palllance.org February 2, 2006 Mr. John Cushman, Comptroller Town of Southold P.O. Box 1179 Southold, lXPt' 11971 Dear Mr. Cushman: Enclosed please find a copy of the letter from the State of New York Workers' Compensation Board accepting the Town of Southold as a participant in the New York State Municipal Workers' Compensation Alliance effective January 1, 2006. If you have any questions or need further information, please do not hesitate to contact me. Very truly yours, Program Manager Plan Administrator: The Association of Towns of Re State of New York Enclosure(s) cc: Mr. John Johnston, Roy Reeve Agency Plan Manager: 100 Charles Lindbergh Blvd. Uniondale, NY 11553 Phone: 866-697-6922 Fax: 516-794-5254 STATE OF NEW YOP,]K WORKERS' COMPENSATION BOARD SELF-INSURANCE OFFICi2 20 PARK ?TRVFT - R©%M 2'16 FAX (518) 402-6199 THIS AGENCY EMPLOYS AND SERVES PEOPLE WI'Hq DJSABIiITIEq WITHOUT Janua~ 18,2006 John E. Congdon Manager Wright Risk Management Company, Inc. 333 Earle O~ington Boulevard - 5th Floor Uniondale, New York 11553 Re; Group Self Insurance - Workers' Compensation New York Municipal Wcrkers Compensatmn Alliance Carrier I. D. No. W848139 Dear Mr. Congdon: Attached are copies of the letters submitted to the self-insurance office for employers that were recently approved by the Self Insurance Office. Please note that the effective date of participation requested has been granted for these applications. If you have an!~ questions, please contact me at (518) 408-5589 or via e-mail at eileen, holoduelc~wcb, state, ny.us. Sincerely, W.C. Examiner 4 Attachments EH:rgd TTO BOSTON VTO LANCASTER TfO SOUTHOLD V~O WEST WINFIELD New York State Municipal Workers' Compensation Alliance vwwv.com palliance.org Plan AdminiStrator: The AssoCiation of Towns of llle State of New York P~an Manage~. 100 Charles Lindbergh Blvd. Uniondale, NY 11553 Phone: 866-697-6922 Fax: 516-794-5254 December 22, 2005 Ms. Suzanne Lengio Director of Self Insurance State of New Ybrk Workers' Compensation Board 20 Park Street, Room 201 Albany, NY 12207 NOTICE OF ELECTION TO SECURE COMPENSATION AS A SELF- INSURER RE: Town of Southold P.O. Box 1179 Southold, NY 11971 Dear Ms. Lengi!o: Please be advised that the Town of Southold (Suffolk County) has elected to become a member of the New York State Municipal Workers' Compensation Alliance effective January 1, 2006. Enclosed please find copies of their executed resolutions. Originals will be forwarded shortly, The New York State Municipal Workers Compensation Alliance was licensed February 18, 1994 - Carrier ID No. W848139. The plan document, which is on file in your office, names Wright Risk Management Company, Inc. as the general manager of the plan and claims administrator. Kindly notify our office if any further information is required and we thank you in advance for your prompt attention in this matter. Very truly yours, Program Manager Enclosure(s)