| Party Type | Name | Address Line 1 | Address Line 2 | City | State | Zip Code | Phone | Fax |
| Claimant | Peter Howard | | | | | | | |
| Employer | Town of Monroe | 7 Fan Hill Road | | Monroe | CT | 06468- | | |
| . . . Insurer Contact | . . . Connecticut Interlocal Risk Management Agency | 545 Long Wharf Drive Fl 8 | | New Haven | CT | 06511- | (203) 946-3700 | (203) 773-8134 |
| Misc Int Party | Anthem Blue Cross Blue Shield | P.O. Box 659940 | | San Antonio | TX | 78265-9939 | (262) 523-8228 | (844) 634-2520 |
| . . . MIP Agent | . . . Health Care Subrogation Group (HCSG) | PO Box 789141 | | Philadelphia | PA | 19178-9141 | (203) 312-1730 | (203) 312-1799 |
| . . . MIP Agent | . . . Meridian Resource Company, LLC | P.O. Box 659940 | | San Antonio | TX | 78265-9939 | (262) 523-8228 | (844) 634-2520 |