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[   Claim Number: 400113411   ]

Claim Detail



Case:      Howard, Peter vs Town of Monroe

Injury Date: 06/29/2019     Filing District: Bridgeport
Injured Body Part (Primary): Shoulder(s)     Claim Status: Litigated
Date of Birth:     Nature of Injury: Sprain


Forms Filed
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Hearings
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Interested Parties to Claim
Party TypeNameAddress Line 1Address Line 2CityStateZip CodePhoneFax
Claimant Peter Howard        
Employer Town of Monroe 7 Fan Hill Road  Monroe CT06468-   
. . . Insurer Contact . . . Connecticut Interlocal Risk Management Agency 545 Long Wharf Drive Fl 8 New Haven CT06511- (203) 946-3700(203) 773-8134
Misc Int Party Anthem Blue Cross Blue Shield P.O. Box 659940  San Antonio TX78265-9939(262) 523-8228(844) 634-2520
. . . MIP Agent . . . Health Care Subrogation Group (HCSG) PO Box 789141  Philadelphia PA19178-9141(203) 312-1730(203) 312-1799
. . . MIP Agent . . . Meridian Resource Company, LLC P.O. Box 659940  San Antonio TX78265-9939(262) 523-8228(844) 634-2520