Fortis Benefits Insurance Company (see Union Security Insurance Company) (3/06) Gallery Imaging See St. Paul Radiology (11/10) Galvin Rehabilitation Services Craig Galvin P.O. Box 66 (507) 233-7733 New Ulm, MN 56073 Fax (507) 354-7287 (3/06) Gold Cross Ambulance and Mayo Medical Charles S. Bierman (atty) Stacie Schmid Transport Mayo Clinic Mayo Clinic Attn: Business Office 200 First St. SW 200 First St. SW 501 Sixth Ave. NW Rochester, MN Rochester, MN 55905 Rochester, MN 55901 (507) 266-0484 (507) 266-0484 (2/16) Fax (507) 284-9229 Fax (507) 284-9229 Grand Itasca Clinic and Hospital Ruth Hoolihan Roxanne Christie 111 Southeast Third Street (218) 999-1713 (218) 999-1711 Grand Rapids, MN 55744 Fax (218) 999-1709 Fax (218) 999-1709 (11/18) Greater Metropolitan See Rosene, Haugrud & Staab, Chtd. Health and Welfare Fund (1/08) Group Health Plan d/b/a HealthPartners Kris Wittwer/Jessica Syverson P.O. Box 244 (attorneys) Mailstop 25508B 1700 Highway 36 W, Suite 640 Minneapolis, MN 55440 Roseville, MN 55113 (8/15) (651) 493-2934 Fax (651) 493-2987 Hartford See The Hartford HealthPartners Jacquie Hakes Brian Albrecht P.O. Box 1309 (952) 883-5192 (952) 883-5687 Mail Stop 21114A Fax (952) 853-8728 Fax (952) 853-8728 Bloomington, MN 55440 (9/16)
Fortis Benefits Insurance Company (see Union Security Insurance Company) (3/06) Gallery Imaging (11/10) See St. Paul Radiology Galvin Rehabilitation Services P.O. Box 66 New Ulm, MN 56073 (3/06) Craig Galvin (507) 233-7733 Fax (507) 354-7287 Gold Cross Ambulance and Mayo Medical Transport Attn: Business Office 501 Sixth Ave. NW Rochester, MN 55901 (2/16) Charles S. Bierman (atty) Mayo Clinic 200 First St. SW Rochester, MN (507) 266-0484 Fax (507) 284-9229 Stacie Schmid Mayo Clinic 200 First St. SW Rochester, MN 55905 (507) 266-0484 Fax (507) 284-9229 Grand Itasca Clinic and Hospital 111 Southeast Third Street Grand Rapids, MN 55744 (11/18) Ruth Hoolihan (218) 999-1713 Fax (218) 999-1709 Roxanne Christie (218) 999-1711 Fax (218) 999-1709 Greater Metropolitan Health and Welfare Fund (1/08) See Rosene, Haugrud & Staab, Chtd. Group Health Plan d/b/a HealthPartners P.O. Box 244 Mailstop 25508B Minneapolis, MN 55440 (8/15) Kris Wittwer/Jessica Syverson (attorneys) 1700 Highway 36 W, Suite 640 Roseville, MN 55113 (651) 493-2934 Fax (651) 493-2987 Hartford See The Hartford HealthPartners P.O. Box 1309 Mail Stop 21114A Bloomington, MN 55440 (9/16) Jacquie Hakes (952) 883-5192 Fax (952) 853-8728 Brian Albrecht (952) 883-5687 Fax (952) 853-8728