
Workers’ Compensation
Billing
Each church will receive two separate invoices for their portion of the conference wide insurance program premium. These two bills will cover all cost the church will be responsible for each year.
Invoice #1 will be sent to each church directly from Brotherhood Mutual Insurance Company. This invoice will be paid directly to Brotherhood Mutual and will cover the majority of each church’s insurance cost annually. This invoice will arrive in December at each church and will initially be billed quarterly. An option to pay the policy annually, set up EFT payments, or move to a Monthly 12 pay EFT billing are available. If a church intends to pay monthly we will need the information on the following Direct Pay EFT form (included in this packet), and a voided check returned to the Lightwell Insurance Advisors of NY office ASAP.
Invoice #2 will be sent to each church directly from Lightwell Insurance Advisors of New York. This invoice will be paid directly to Lightwell Insurance Advisors of New York. This invoice will cover each churches annual Workers Compensation cost, Umbrella premium and any other additional package policy premiums or discounts will be included in this billing. This invoice will be sent out on a quarterly basis to each church. Quarterly payment by check will be made out to, and mailed to Lightwell Insurance Advisors of New York. There will be information on this invoice that will direct the church to a website that will offer secure EFT quarterly payment options and quarterly Credit Card payment options. Due to the smaller premium size of this invoice Quarterly an annual payment options are all that will be available.
Initial Questions about how your churches individual billing or annual policy cost was determined should be directed to: Brandon Bower – Lightwell Insurance Advisors of NY – Sales Manager at (800) 326-7200 or cell at (646) 565-0193 or James Nguyen-Primary Account Executive – Lightwell Insurance Advisors of NY at (315) 414-8631
Claims
Claims Contact Info:
All claims should first be reported to Lightwell Insurance Advisors of NY during normal business hours (9 AM–5 PM).

Lightwell Insurance Advisors of NY
Toll-Free: 1 (800) 326-7200
Fax: (717) 763-5517
Email: UMCservice.NY@Lightwell.com
For After-Hours Claims Reporting:

Brotherhood Mutual
Toll-Free: 1 (800) 333-3371
For questions like “Should we submit this claim?”
James Nguyen: (315) 414-8631
Brandon Bower: (646) 565-0193
Certificates of Workers' Compensation Insurance: (C105.2)
Service Requests/ Certificates of Insurance: If a church needs a certificate of insurance the team at Lightwell Insurance Advisors of NY will be able to assist each church in obtaining the documentation they need.
Contacts for Certificates of Insurance Lightwell Insurance Advisors of NY
Toll Free: 1 (800) 326-7200
Fax: (717) 763-5517
Email: UMCservice.NY@Lightwell.com
If you call or email please identify:
Which church you are with,
Have your package policy number available, and
Indicate you are in the UNY UMC Annual Conference.
Forms
To be completed and filed at worksite by Employer within 7 days of Employee injury
To be completed and submitted by the Employer within 10 days of Employee injury
To be completed and submitted by the Employee
Questions?
Call Autumn Wells in the Finance Department at (315) 898-2004 or email at AutumnWells@unyumc.org
Program Administrator and Company Contacts:
Mailing Address - Lightwell Insurance Advisors of New York
P.O. Box 1310 Mechanicsburg, PA 17055
Phone: (800) 326-7200
Fax: (717) 763-5517
Certificates of Insurance- Service Related Questions:
Call 1(800) 326-7200
Email: UMCservice.NY@Lightwell.com
Claims: During office hours 9:00AM-5:00PM Call: 1-800-326-7200 Email UMCservice.NY@Lightwell.com After business hours Call 1-800-333-3371
Policy Related Questions:
Brandon Bower, Sales Manager
Cell: (646) 565-0193
Email: BBower@Lightwell.com
James Nguyen, Primary Account Executive
Cell: 315-414-8631
Email: JNguyen@Lightwell.com
