2024-10-07T19:42:56-05:00 2023-12-31 871353108 EISNER ADVISORY GROUP LLC 111 WOOD AVENUE SOUTH ISELIN NJ 088302700 990 2023-01-01 272030868 WORKERS COMPENSATION SECURITY FUND WORK 9083827100 233 MOUNT AIRY ROAD BASKING RIDGE NJ 079202335 FRANK ROTELLA DIRECTOR OF FINANCE 9083827100 2024-07-26 1 1 BARBARA PENA P00851803 7322437000 2023 2024-10-15 13:58:12Z FRANK ROTELLA 233 MOUNT AIRY RD BASKING RIDGE NJ 07920 294444965 0 X WWW.NJGUARANTY.ORG X 2010 NJ SEE SCHEDULE O 9 9 0 0 0 0 0 0 31737371 27873413 2113124 5670089 0 0 33850495 33543502 0 0 0 0 3011001 2902820 0 0 0 24500129 23384937 27511130 26287757 6339365 7255745 236085862 243284559 377689 320641 235708173 242963918 X THE WCSF WAS ESTABLISHED BY THE NEW JERSEY LEGISLATURE IN 1935 TO PAYTHE CLAIMS OF INSOLVENT WORKERS' COMPENSATION INSURANCE CARRIERSARISING FROM THE COVERAGE OF RISKS LOCATED OR RESIDENT IN NEW JERSEY.CARRIERS AUTHORIZED TO TRANSACT THE BUSINESS OF WORKERS' COMPENSATIONINSURANCE IN NEW JERSEY CONTRIBUTE TO THE WCSF. 0 0 THE WCSF WAS ESTABLISHED BY THE NEW JERSEY LEGISLATURE IN 1935 TO PAY THE CLAIMS OF INSOLVENT WORKERS' COMPENSATION INSURANCE CARRIERS ARISING FROM THE COVERAGE OF RISKS LOCATED OR RESIDENT IN NEW JERSEY. CARRIERS AUTHORIZED TO TRANSACT THE BUSINESS OF WORKERS' COMPENSATION INSURANCE IN NEW JERSEY CONTRIBUTE TO THE WCSF. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 565 0 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X FRANK ROTELLA 9083827100 233 MOUNT AIRY ROAD BASKING RIDGE NJ 07920 JESSICA SCHLEE-GILBERT TRUSTEE - DIRECTOR 0.00 0.00 X 0 0 0 DAVID RACZENBECK TRUSTEE - DIRECTOR 0.00 0.00 X 0 0 0 ALLSTATE NEW JERSEY INSURANCE INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 LIBERTY MUTUAL INSURANCE CO INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 AIG PROPERTY CASUALTY COMPANY INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 SELECTIVE INSURANCE CO OF AMER INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 STATE FARM INSURANCE COMPANY INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 UNITED SERVICES AUTO ASSOC INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 FEDERAL INSURANCE COMPANY INSTITUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 JOSEPH DELLAFERA CHIEF EXECUTIVE OFFICER 9.00 31.00 X 0 295408 34876 LORI CONNORS GENERAL COUNSEL 9.00 31.00 X 0 232414 33169 RONALD CHESS DIR. OF COMPLIANCE & IT 9.00 31.00 X 0 186459 33664 MICHAEL ROMEO DIRECTOR OF CLAIMS 9.00 31.00 X 0 176850 28871 TRISH YOUNG DIRECTOR OF OPERATIONS 9.00 31.00 X 0 175773 14895 FRANK ROTELLA DIRECTOR OF FINANCE 9.00 31.00 X 0 119556 10238 THOMAS ANTOLA SOFTWARE DEVELOP. MANAGER 9.00 31.00 X 0 155066 31638 STEVEN LISNER SR MED BILL REVIEW & CODE ANLST 9.00 31.00 X 0 148624 26573 RENAN BESIDO ASST DIRECTOR OF CLAIMS 9.00 31.00 X 0 152014 34555 NICHOLAS HAMM DIRECTOR OF SUI 9.00 31.00 X 0 153816 12942 JASON PINTER ASST DIRECTOR OF COMPLIANCE & IT 9.00 31.00 X 0 143978 35673 WILLIAM KAHLE FORMER DIRECTOR OF FINANCE 9.00 31.00 X 0 147915 30550 0 2087873 327644 0 1 1 0 BAYADA HOME HEALTH CARE INC PO BOX 536446 PITTSBURGH PA 152535906 NURSING SERVICES 313885 CAP CARE LLC 31 PARK ST 2ND FLOOR MONTCLAIR NJ 07042 NURSING SERVICES 142137 2 WC ASSESSMENT COLLECTE 524298 25205987 25205987 LIQUIDATION DIVIDEND 524298 2614104 2614104 LARGE DEDUCTIBLE 524298 46506 46506 LIQUIDATION DIV-ANNU. 524298 6816 6816 27873413 5930697 5930697 260640855 260901463 -260608 -260608 -260608 33543502 27873413 0 5670089 252733 2044535 175562 259651 170339 12333 49006 120593 115414 141282 142871 11000 188473 43944 CLAIM PAID 19681078 CLAIM EXPENSES PAID 2539555 ADMINISTRATIVE EXPENSES 339388 26287757 1307414 1342071 8712275 9512985 226066173 232391652 0 37851 236085862 243284559 377689 320641 377689 320641 X 0 0 0 0 235708173 242963918 235708173 242963918 236085862 243284559 7255745 0 X X 0 1 X 1 0 0 PAYABLE TO PLIGA - ADMIN 320641 320641 X 33543502 0 33543502 0 33543502 26287757 0 26287757 0 26287757 PART X, LINE 2: THE FUND WAS PREVIOUSLY ADMINISTERED BY THE COMPENSATION RATING & INSPECTION BUREAU AS A COMPONENT OF THE STATE OF NEW JERSEY AND WAS THEREFORE TAX-EXEMPT. THE FUND IS EXEMPT FROM ALL TAXES AND FEES LEVIED BY THE STATE OF NEW JERSEY EXCEPT TAXES LEVIED ON REAL AND PERSONAL PROPERTY. THE FUND OBTAINED AN APPROVAL ON FEBRUARY 24, 2011 FROM THE INTERNAL REVENUE SERVICE ("IRS") OF ITS TAX-EXEMPT STATUS UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. THE EFFECTIVE DATE OF EXEMPTION WAS MARCH 1, 2010. MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN INCOME TAX POSITIONS TAKEN BY THE FUND AS OF DECEMBER 31, 2023. 0 0 0 JOSEPH DELLAFERA CHIEF EXECUTIVE OFFICER 0 288908 0 0 0 6500 0 23633 0 11243 0 330284 0 0 LORI CONNORS GENERAL COUNSEL 0 232414 0 0 0 0 0 18300 0 14869 0 265583 0 0 RONALD CHESS DIR. OF COMPLIANCE & IT 0 186459 0 0 0 0 0 14917 0 18747 0 220123 0 0 MICHAEL ROMEO DIRECTOR OF CLAIMS 0 176850 0 0 0 0 0 14148 0 14723 0 205721 0 0 TRISH YOUNG DIRECTOR OF OPERATIONS 0 175773 0 0 0 0 0 14062 0 833 0 190668 0 0 THOMAS ANTOLA SOFTWARE DEVELOP. MANAGER 0 155066 0 0 0 0 0 12405 0 19233 0 186704 0 0 RENAN BESIDO ASST DIRECTOR OF CLAIMS 0 152014 0 0 0 0 0 9817 0 24738 0 186569 0 0 JASON PINTER ASST DIRECTOR OF COMPLIANCE & IT 0 143978 0 0 0 0 0 11518 0 24155 0 179651 0 0 WILLIAM KAHLE FORMER DIRECTOR OF FINANCE 0 147915 0 0 0 0 0 11833 0 18717 0 178465 0 0 STEVEN LISNER SR MED BILL REVIEW & CODE ANLST 0 148624 0 0 0 0 0 11890 0 14683 0 175197 0 0 NICHOLAS HAMM DIRECTOR OF SUI 0 153816 0 0 0 0 0 12234 0 708 0 166758 0 0 SCHEDULE J, PART II, COL (D): THE NONTAXABLE BENEFITS CONSIST OF HEALTH INSURANCE AND LIFE INSURANCE. FORM 990, PART I, LINE 1 THE WCSF WAS ESTABLISHED BY THE NEW JERSEY LEGISLATURE IN 1935 TO PAY THE CLAIMS OF INSOLVENT WORKERS' COMPENSATION INSURANCE CARRIERS ARISING FROM THE COVERAGE OF RISKS LOCATED OR RESIDENT IN NEW JERSEY. CARRIERS AUTHORIZED TO TRANSACT THE BUSINESS OF WORKERS' COMPENSATION INSURANCE IN NEW JERSEY CONTRIBUTE TO THE WCSF. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS CONSIST OF CARRIERS AUTHORIZED TO TRANSACT THE BUSINESS OF WORKERS' COMPENSATION INSURANCE IN THE STATE OF NEW JERSEY. FORM 990, PART VI, SECTION A, LINE 7B THE COMMISSIONER OF THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE APPROVES CERTAIN DECISIONS OF THE GOVERNING BODY AS SET FORTH IN THE PLAN OF OPERATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY EXTERNAL AUDITORS AND DIRECTOR OF FINANCE. FORM 990 IS REVIEWED BY CEO AND GENERAL COUNSEL, REVIEWED BY THE AUDIT COMMITTEE, REVIEWED BY BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CEO DELIVERS A COPY OF THE CONFLICT OF INTEREST POLICY TO EVERY DIRECTOR OF WCSF. THE "ANTITRUST STATEMENT" IS REVIEWED BEFORE EACH BOARD MEETING OR BOARD COMMITTEE MEETING TO REMIND PARTICIPANTS THAT THE ANTITRUST POLICY IS ENFORCED AND TO ENSURE THAT THE CONDUCT OF THE MEETING CONFORMS WITH THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 WCSF MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO ITS MEMBERS UPON REQUEST. NEW JERSEY PROPERTY - LIABILITY INS 233 MOUNT AIRY ROAD BASKING RIDGE NJ 07920 222559832 STATUTORY FND NJ 501(C)(6) N/A N/A 0 NJ SURPLUS LINES INSURANCE GUARANTY FUND 233 MOUNT AIRY ROAD BASKING RIDGE NJ 07920 222603627 STATUTORY FND NJ 501(C)(6) N/A N/A 0 UNSATISFIED CLAIM AND JUDGMENT FUND 233 MOUNT AIRY ROAD BASKING RIDGE NJ 07920 200500733 STATUTORY FND NJ 501(C)(6) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 NJ PROP LIABILITY INS GUARANTY - 22-2559832 K 184439 NJ PROP LIABILITY INS GUARANTY - 22-2559832 M 654573 NJ PROP LIABILITY INS GUARANTY - 22-2559832 N 474666 NJ PROP LIABILITY INS GUARANTY - 22-2559832 O 2732481 NJ PROP LIABILITY INS GUARANTY - 22-2559832 P 4087521