Madison, WI Header
File #: 23861    Version: 1 Name: CLAIM: S. Kushner, QBE Claims, General Casualty Insurance, One General Dr., Sun Prairie, 53596 for Nickles Electric, 4269 Argosy Ct., Madison, 53714 - compensation for medical benefits - $5,546.30.
Type: Claim Status: Disallowed
File created: 9/9/2011 In control: Risk Manager
On agenda: 10/18/2011 Final action: 10/18/2011
Enactment date: Enactment #:
Title: S. Kushner, QBE Claims, General Casualty Insurance, One General Dr., Sun Prairie, 53596 for Nickles Electric, 4269 Argosy Ct., Madison, 53714 - compensation for medical benefits - $5,546.30.
Title
S. Kushner, QBE Claims, General Casualty Insurance, One General Dr., Sun Prairie, 53596 for Nickles Electric, 4269 Argosy Ct., Madison, 53714 - compensation for medical benefits - $5,546.30.
Body
See attached claim received 09/07/2011.