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[   Claim Number: 300136050   ]

Claim Detail



Case:      Klemenz, Thomas vs City of New Haven

Injury Date: 07/10/2023     Filing District: New Haven
Injured Body Part (Primary): Arm - Upper     Claim Status: Litigated
Date of Birth:     Nature of Injury: Contusion


Forms Filed
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Hearings
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Interested Parties to Claim
Party TypeNameAddress Line 1Address Line 2CityStateZip CodePhoneFax
Claimant Thomas Klemenz        
. . . Claimant's Rep . . . Gillis & Gillis, P.C. One Century Tower 265 Church Street, Suite 203 New Haven CT06510- (203) 562-5104(203) 495-6476
Employer City of New Haven 200 Orange Street Suite 401 New Haven CT06510- (203) 946-8357 
. . . Insurer Contact . . . PMA Customer Service Center ATTN: Hearing Notice Desk PO Box 5231 Janesville WI53547-5231(888) 476-2669(800) 432-9762
. . . . . . Insurer's Rep . . . . . . Strunk, Dodge, Aiken & Zovas 200 Corporate Place, Suite 100  Rocky Hill CT06067- (860) 785-4500(860) 436-9630
Misc Int Party Anthem Blue Cross and Blue Shield P.O. Box 533  North Haven CT06473-4201(203) 239-4911 
. . . MIP Agent . . . Carelon Subrogation P.O. Box 659940  San Antonio TX78265-9939(262) 523-8096