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2008 WC IIC REFERENCE

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2008 Worker's Comp Industrial Insurance Carriers
- TABLE OF CONTENTS -
I. WORKER'S COMP DEPARTMENT OF INDUSTRIAL RELATIONS
BRANCH OFFICES
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1a - 3a
II. WORKER'S COMP INDUSTRIAL INSURANCE CARRIERS
LISTINGS ( A thru Z)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1 - 31
III. NOTES & COMMENTS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 32 - 33
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
Fax: (800) 975-1653
Worker's Comp Department of Industrial Relations
- BRANCH OFFICES ANAHEIM OFFICE - AHM
GOLETA OFFICE - GOL
1661 N. Raymond Ave., Suite 202
6755 Hollister Ave., Suite 100
Anaheim, CA 92801-1162
Goleta, CA 93117-5551
Main: (714) 738-4041
Main: (805) 968-0258
Disability Evaluation Unit: (714) 738-4040
Disability Evaluation Unit: (805) 485-4423
Information & Assistance Unit: (714) 738-4038
Information & Assistance: (805) 968-4158
Rehabilitation Unit: (714) 738-4046
Rehabilitation Unit: (805) 968-7678
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
UEF Claims Unit: (916) 263-2774
BAKERSFIELD OFFICE - BAK
GROVER BEACH OFFICE - GRO
1800 - 30th Street, Suite 100
1562 W. Grand Avenue
Bakersfield, CA 93301-1929
Grover Beach, CA 93433-2261
Main: (661) 395-2723
Main: (805) 481-4912
Disability Evaluation Unit: (559) 445-6427
Disability Evaluation Unit: (805) 485-4423
Information & Assistance Unit: (661) 395-2514
Information & Assistance: (805) 481-3296
Rehabilitation Unit: (559) 445-5066
Rehabilition Unit: (805) 968-7678
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (510) 286-7067
286 7067
UEF Claims Unit: (916) 263-2774
263 2774
EUREKA OFFICE - URE
LONG BEACH OFFICE - LBO
100 "H" Street, Suite 202
300 Oceangate, Room 200
Eureka, CA 95501-0481
Long Beach, CA 90802-4304
Main: (707) 445-6518
Main: (562) 590-5001
Disability Evaluation Unit: (530) 225-3179
Disability Evaluation Unit: (562) 590-5017
Information & Assistance: (707) 441-5723
Information & Assistance: (562) 590-5001
Rehabilitation Unit: (530) 225-2859
Rehabilitation Unit: (562) 590-5033
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
FRESNO OFFICE - FRE
LOS ANGELES OFFICE - LAO
2550 Mariposa Street, Suite 4078
320 W. Fourth Street, Ninth Floor
Fresno, CA 93721-2280
Los Angeles, CA 90013-2329
Main: (559) 445-5051
Main: (213) 576-7426
Disability Evaluation Unit: (559) 445-6427
Audit Unit: (213) 620-2312
Information & Assistance: (559) 445-5355
Disability Evaluation Unit: (213) 576-7426
Reabilitation Unit: (559) 445-5066
Information & Assistance: (213) 576-7389
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (510) 286-7067
UEF Claims Unit: (213)-576-7300
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
- [ 1a ] -
Toll Free: (800) 737-8840
Fax: (800) 975-1653
Worker's Comp Department of Industrial Relations
- BRANCH OFFICES MARINA DEL REY OFFICE - MDR
REDDING OFFICE - RDG
4720 Lincoln Blvd., Second Floor
2115 Civic Center Drive., Suite 15
Marina Del Rey, CA 90292
Redding, CA 96001-2740
Main: (310) 482-3868
Main: (530) 225-2845
Disability Evaluation Unit: (310) 482-3868
Disability Evaluation Unit: (530) 225-3179
Information & Assistance: (310) 482-3858
Rehabilitation Unit: (909) 623-8767
Rehabilitation Unit: (310) 482-3858
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
RIVERSIDE OFFICE - RIV
OAKLAND OFFICE - OAK
3737 Main Street, Suite 300
1515 Clay Street, 6th Floor
Riverside, CA 92501-3337
Oakland, CA 94612-1402
Main: (951) 782-4269
Disability Evaluation Unit: (510) 622-2859
Diability Evaluation Unit: (951) 782-4345
Information & Assistance Unit: (510) 622-2861
Information & Assistance Unit: (951) 782-4347
Rehabilitation Unit: (510) 622-2860
Rehabilitation Unit: (951) 782-4867
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (510) 286-7067
UEF Claims Unit: (213) 576-7300
OXNARD OFFICE - OXN
SACRAMENTO OFFICE - SAC
2220 E. Gonzales Rd., Suite 100
2424 Arden Way, Suite 230
Oxnard, CA 93036-8293
Sacramento, CA 95825-2404
Main: (805) 485-4423
Main: (916) 263-2735
Disability Evaluation Unit: (805) 485-4423
Audit Unit: (916) 263-2710
Information & Assistance Unit: (805) 485-3528
Disability Evaluation Unit: (916) 263-2767
Rehabilitation Unit: (805) 485-3144
Information & Assistance Unit: (916) 263-2741
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
UEF Claims Unit: (916) 263-2774
POMONA OFFICE - POM
SALINAS OFFICE -SAL
732 Corporate Center Drive
1880 North Main Street., Suite 100 and 200
Pomona, CA 91768-2653
Salinas, CA 93906-2037
Main: (909) 623-4301
Main: (831) 443-3060
Disability Evaluation Unit: (909) 623-4301
Disability Evaluation Unit: (831) 443-3222
Disability Evaluation Unit: (530) 225-3179
Information & Assistance Unit: (831) 443-3058
Rehabilitation Unit: (909) 623-8767
Rehabilitation Unit: (831) 443-3021
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
UEF Claims Unit: (510) 286-7067
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
- [ 2a ] -
Toll Free: (800) 737-8840
Fax: (800) 975-1653
Worker's Comp Department of Industrial Relations
- BRANCH OFFICES SAN BERNARDINO OFFICE - SBR
SANTA ANA - ANA
464 W. Fourth Street, Suite 249
28 Civic Center Plaza., Suite 451
San Bernardino, CA 92401-1426
Santa Ana, CA 92701-4033
Main: (909) 383-4341
Main: (714) 558-4121
Disability Evaluation Unit: (909) 383-6363
Disability Evaluation Unit: (714) 558-4113 ext. 6749
Information & Assistance: (909) 383-4522
Information & Assistance: (714) 558-4597
Rehabilitation Unit: (909) 383-4073
Rehabilitation Unit: (714) 558-4581
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
UEF Claims Unit: (213) 576-7300
SAN DIEGO OFFICE - SDO
SANTA ROSA OFFICE - SRO
7575 Metropolitan Drive, Suite 202
50 "D" Street, Suite 420
San Diego, CA 92108-4424
Santa Rosa, CA 95404-47771
Main: (619) 767-2083
Main: (707) 576-2391
Disability Evaluation Unit: (619) 767-2086
Disability Evaluation Unit: (707) 576-2374
Information & Assistance Unit: (619) 767-2082
Information & Assistance: (707) 576-2452
Rehabilition Unit: (619) 767-2085
Rehabilitation Unit: (415) 703-5031
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (213)-576-7300
(213) 576 7300
UEF Claims Unit: (510) 286-7067
286 7067
SAN FRANCISCO OFFICE - SFC
STOCKTON OFFICE - STK
455 Golden Gate Ave., 2nd Floor
31 E. Channel St., Room 344
San Francisco, CA 94102-7014
Stockton, CA 95202-2314
Main: (415) 703-5011
Main: (209) 948-7759
Disability Evaluation Unit: (415) 703-5030
Disability Evaluation Unit: (209) 948-3651
Information & Assistance: (415) 703-5020
Information & Assistance: (209) 948-7980
Rehabilitation Unit: (415) 703-5031
Rehabilitation Unit: (916) 263-2930
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (510) 286-1067
UEF Claims Unit: (916) 263-2774
SAN JOSE OFFICE - SJO
VAN NUYS OFFICE - VNO
100 Paseo de San Antonio., Room 241
6150 Van Nuys Blvd., Suite 105
San Jose, CA 95113-1402
Van Nuys, CA 91401-3370
Main: (408) 277-1246
Main: (818) 901-5367 ext. 3501
Disability Evaluation Unit: (408) 277-2024
Disability Evaluation Unit: (818) 901-5376 ext. 5
Information & Assistance: (408) 277-1292
Info. & Assistance: (818) 901-5367 ext. 3541
Rehabilitation Unit: (408) 277-1102
Rehabilitation Unit: (818) 901-5367 ext. 3601
SIF Unit: (916) 263-2774
SIF Unit: (916) 263-2774
UEF Claims Unit: (510) 286-7067
UEF Claims Unit: (213) 576-7300
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
- [ 3a ] -
Toll Free: (800) 737-8840
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-AAARLA
(See American All -Risk Loss Administrators)
AETNA CASUALTY & SURETY COMPANY
(See Travelers)
ACCA, INC.
(See American Commercial Claims Administrators)
AID INSURANCE COMPANY (Mutual)
(See Allied Insurance)
ACCELERATED CLAIMS SERVICES, INC.
P.O. Box 14190
Irvine, CA 92623-4190
Main: (714) 647-1120
(Third Party Administrators. Claims Processed by
Injured's Name for all of California)
AIG DOMESTIC CLAIMS, INC.
(Costa Mesa Office)
P.O. Box 25978
Shawnee Mission, KS 66225-5978
Main: (714) 4365-5100
(Claims Processed for Central and Southern California)
ACCLAIM RISK MANAGEMENT, INC.
(See Frank Gates Acclaim, Inc.)
AIG DOMESTIC CLAIMS, INC.
(San Diego Office)
3131 Camino Del Rio North
San Diego, CA 92108
(Mailing Address)
P.O. Box 25978
Shawnee Mission, KS 66225-5978
Main: (800) 736-6671 - (619) 688-3700
Fax: (866) 739-6981
(Claims Processed for all of California)
ACE USA
(Northern California Regional Claims Center)
39300 Civic Center Drive., Suite 300
Fremont, CA 94538
(Mailing Address)
P.O. Box 31083
Tampa, FL 33631-3083
Main: (866) 751-3239
751 3239 - (510) 790-4600
790 4600
Fax: (800) 366-0570
(Claims Processed by Employer's name for all Counties
North of Bakersfield to the Oregon Stateline)
AIG DOMESTIC CLAIMS, INC.
(San Ramon Office)
P.O. Box 25978
Shawnee Mission, KS 66225-5978
Main: (800) 428-0906
Fax: (925) 901-2200
(Claims Processed for Northern California)
ACE USA
(Southern California Regional Claims Center)
21860 Burbank Blvd., Suite 200
Woodland Hills, CA 91367
(Mailing Address)
P.O. Box 31051
Tampa, FL 33631-3051
Main: (800) 654-5374 - (818) 712-6300
Fax: (800) 350-8299
(Claims Processed by Employer's Name for Orange,
Los Angeles, San Diego, Riverside, San Bernardino
Ventura, Santa Barbara, Kern Counties, and Hawaii)
AIMS
ACCLAMATION INSURANCE MANAGEMENT SERVICES
P.O. Box 28100
Fresno, CA 93729
Main: (559) 227-9891
Fax: (559) 227-1579
(Third Party Administrators)
AIMS
ACCLAMATION INSURANCE MANAGEMENT SERVICES
P.O. Box 269120
Sacramento, CA 95826-9120
Main: (800) 444-6157 - (916) 563-1900
Fax: (916) 563-1919
(Third Party Administrators)
ADMINSURE, INC.
1470 S. Valley Vista Drive., Suite 230
Diamond Bar, CA 91765
Main: (909) 861-0816
(Self Insured Adminstrators. Claims Processed
by Employer's Name)
ADVENTIST HEALTH SYSTEM WEST
P. O. Box 619028
Roseville, CA 95661-9028
Main: (916) 781-4649
Fax: (916) 774-7320
(Self-Insured / Self Administered)
AIMS
ACCLAMATION INSURANCE MANAGEMENT SERVICES
P.O. Box 937
Santa Clarita, CA 91380-0937
Main: (661) 705-2900
Fax: (661) 705-2999
(Third Party Administrators)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(1)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
ALASKA NATIONAL INSURANCE COMPANY
P.O. Box 193970
San Francisco, CA 94119
Main: (866) 355-2642 - (415) 245-5030
Fax: (415) 248-5035
www.alaskanational.com
(Claims Processed by Injured's Name for all of California)
AMERICAN ALL-RISK LOSS ADMINISTRATORS
AARLA
4274 W. Richert Avenue
Fresno, CA 93722
(Mailing Address)
P.O. Box 9783
Fresno, CA 93794-9783
Main: (800) 500-3744 - (559) 277-4960
Fax: (559) 277-4961
(Third Party Administrators. Claims Processed by
Employer's name for all of California)
ALLIANZ GLOBAL CORPORATE & SPECIALTY
2350 Empire Avenue
Burbank, CA 91504-3350
(Mailing Address)
P.O. Box 7782
Burbank, CA 91510-7782
Main: (818) 260-7500
Fax: (818) 260-7218
(Claims Processed by Injured's Name for all of California)
AMERICAN ASSOCIATED INSURANCE COMPANY:
AMERICAN AUTO INSURANCE COMPANY
(See Fireman's Fund Insurance Companies)
AMERICAN CASUALTY COMPANY
ALLIED INSURANCE, A MEMBER OF NATIONWIDE INS.
1601 Exposition Blvd.
Sacramento, CA 95815
(Mailing Address)
3820 - 109th Street., Dept. 5577
Des Moines, IA 50391-5577
Main: (800) 552-2437
Fax: (800) 742-1341
(Claims Processed by Employer
Employer'ss Name for all of California)
AMERICAN COMMERCIAL CLAIMS
ADMINISTRATORS ACCA, INC.
P.O. Box 85479
San Diego, CA 92186-5479
Main: (800) 661-6029
Fax: (800) 661-6984
(Third Party Administrators, Claims Processed
by Injured's Name for all of California)
AMERICAN COMMERCIAL CLAIMS
ADMINISTRATORS ACCA, INC.
P.O. Box 881716
San Francisco, CA 94188-1716
Main: (800) 661-6029- (415) 782-3800
Fax: (800) 661-6984
(Third Party Administrators. Claims Processed by
Injured's Name for all of California)
ALLIED INSURANCE COMPANY (MUTUAL)
(See Allied Insurance)
ALLSTATE INSURANCE COMPANY
(See Specialty Risk Services, LLC)
ALPHA FUND
2969 Prospect Park Drive., Suite 250
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 419068
Rancho Cordova, CA 95741-9068
Main: (800) 655-2667 - (916) 266-6100
Fax: (916) 266-0314
(Self- Insured administrators. Claims Administered for
District Hospitals in California)
AMERICAN FIRE & CASUALTY COMPANY
(See Ohio Casualty Group or Ins. Companies)
AMERICAN GUARANTEE & LIABILITY COMPANY
(See Zurich North America)
AMERICAN HARDWARE INSURANCE GROUP
5605 Green Circle Drive
Minnetonka, MN 55343
(Mailing Address)
P.O. Box 435
Minneapolis, MN 55440-0435
Main: (800) 544- 8400
Fax: (800) 841- 5339
(Claims Processed by both Employers and Injured's
Names for all of California)
ALTERNATIVE SERVICE CONCEPTS (ASC)
5620 Birdcage St., Suite 130
Citrus Heights, CA 95610-7691
Main: (800) 640-2264 - (916) 962-3190
Fax: (916) 962-3195
(Third Party Administrators. Claims Processed by
both Employer's and Injured's Names)
AMERICAN HOME ASSURANCE COMPANY
(See AIG Domestic Claims, Inc.)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(2)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
AMERICAN INTERNATIONAL ADJUSTMENT CO., INC.
(See Broadspire)
ASSOCIATION CALIFORNIA HEALTHCARE DISTRICTS
(See Alpha Fund)
AMERICAN INSURANCE COMPANY (THE)
(See Fireman's Fund Insurance Companies)
ATHENS ADMINISTRATORS
P.O. Box 696
Concord, CA 94522
Main: (866) 826-3535 - (925) 826-1000
Fax: (925) 671-9183
(Claims Processed for all of California)
AMERICAN MOTORISTS INSURANCE COMPANY
(See Broadspire)
AMERICAN PROFESSIONAL RISK SERVICES, INC.
P.O. Box 897
Clovis, CA 93613-0897
Main: (559) 299-2571
Fax: (559) 299-2572
(Third Party Administrators)
AXIA SERVICES, INC.
(See Travelers)
-BBEAVER INSURANCE COMPANY
(See Cambridge Integrated Services Group, Inc.)
AMERICAN PROTECTION INSURANCE COMPANY
(See Broadspire)
BERKSHIRE HATHAWAY HOMESTATE COMPANIES
Worker's Compensation Specialty Division
3452 E. Foothill Blvd., Suite 600
Pasadena, CA 91107
(Mailing Address)
P.O. Box 7008
Pasadena, CA 91109
Main: (800) 339-9809 - (626) 356-1700 Fax: (626) 356-1717
AMERON INTERNATIONAL
245 S. Los Robles Avenue
Pasadena, CA 91101-2820
(Mailing Address)
P.O. Box 7007
Pasadena, CA 91101-7007
Main: (626) 683-4000
(Self-Insured/Self-Administered)
APPLIED RISK SERVICES
CALIFORNIA INSURANCE COMPANY
P.O. Box 3804
Omaha, NE 68103
Main: (877) 234-4424
Fax: (402) 827-7955
(Claims Processed by Employer's Name for all of
California)
BERKSHIRE HATHAWAY HOMESTATE COMPANIES
Worker's Compensation Specialty Division
P.O. Box 85479
San Diego, CA 92186-5479
Main: (800) 661-6029
Fax: (866) 820-0398
BERKSHIRE HATHAWAY HOMESTATE COMPANIES
Worker's Compensation Specialty Division
P.O. Box 881716
San Francisco, CA 94188-1716
Main: (800) 661-6029 - (415) 782-3800
Fax: (800) 661-6984
ARCMI
ARKANSAS CLAIMS MANAGEMENT, INC.
(See Frank Gates Service Company) [El Dorado Hills]
Main: (800) 339-1109
ARGONAUT INSURANCE COMPANY
5250 N. Palm Ave., Suite 210
Fresno, CA 93704
(Mailing Address)
P.O Box 563
Fresno, CA 93755
Main: (559) 447-7100
Fax: (559) 447-7180
(Claims Processed by both Employer's and Injured's Names for all of California)
ASSOCIATED CLAIMS MANAGEMENT, INC.
(See Tristar Risk Management)
BIERLY AND ASSOCIATES
(See Cambridge Integrated Services Group, Inc.)
GREGORY B. BRAGG & ASSOCIATES, INC.
100 E. Cypress Ave., Suite 100
Redding, CA 96000-1749
(Mailing Address)
P.O. Box 491749-1749
Redding, CA 96049-1749
Main: (530) 223-2574
Fax: (530) 223-2679
(Third Party Administrators)
ASSOCIATED INDEMNITY CORPORATION
(See Fireman's Fund Insurance Companies)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(3)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
BROADSPIRE
P.O. Box 2458
Brea, CA 92822-2458
Main: (866) 780-4075 - (714) 579-8100
Fax: (770) 777-6415
www.choosebroadspire.com
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
BROADSPIRE
(Sacramento Claims Office)
2920 Kilgore Rd., Suite 110
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 10001
Van Nuys, CA 91410-0001
Main: (866) 817-4354 - (916) 636-4800
Fax: (770) 777-6417
www.choosebroadspire.com
(Third Party Administrators. Claims Processed by
Employers Name for all of Northern California)
BROADSPIRE
1390 Willow Pass Rd., Suite 500
Concord, CA 94520
(Mailing Address)
P.O. Box 4124
Concord, CA 94524-4124
Main: (925) 677-3400
Fax: (770) 777-6413
www.choosebroadspire.com
(Third Party Administrators. Claims Processed
by Employer's Name for Northern California)
BROADSPIRE
4180 Ruffin Rd., Suite 185
San Diego, CA 92123
Main: (858) 514-1340
Fax: (770) 777-6420
www.choosebroadspire.com
(Third Party Administrators. Claims Processed by
Employers Name for all of southern California)
BROADSPIRE
9131 Oakdale Avenue
Chatsworth, CA 91311
(Mailing Address)
P.O. Box 10001
Van Nuys,
Nuys CA 91410-0001
Main: (866) 817-4226 - (818) 407-2800
Fax: (770) 777-6468
(Third Party Administrators. Claims Processed by
Employers Name for all of California)
BROADSPIRE
5 Hutton Centre Drive, Suite 300
Santa Ana, CA 92707
(Mailing Address)
P O Box 66017
P.O.
Anaheim, CA 92816-6017
Main: (714) 428-7100
Fax: (770) 777-6415
www.choosebroadspire.com
(Third Party Administrators. Claims Processed
by Employer's Name for Southern California)
BROADSPIRE
P.O. Box 24016
Fresno, CA 93779
Main: (559) 271-3800
Fax: (559) 274-0270
(Third Party Administrators. Claims Processed by
Employers Name for all of California)
BUCKEYE CLAIMS ADMINISTRATORS, INC.
P.O. Box 3177
Cerritos, CA 90703
Main: (800) 584-8187 - (562) 926-8002
Fax: (562) 926-1254
www.buckeyeclaims.com
(Third Party Administrators. Claims Processed
by Injured's Name)
BROADSPIRE
(Rancho Cordova Claims Office)
2920 Kilgore Rd., Suite 100
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 15810
Sacramento, CA 95852-0810
Main: (916) 851-7500
Fax: (770) 777-6414
www.choosebroadspire.com
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
-CCALCOMP
CALIFORNIA COMPENSATION INSURANCE COMPANY
(See Broadspire)
CALIFORNIA FAIR SERVICES AUTHORITY
P.O. Box 15518
Sacramento, CA 95852-0518
Main: (916) 263-6172
Fax: (916) 263-6159
CALIFORNIA INDEMNITY INSURANCE COMPANY
(See GAB Robins)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(4)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
CALIFORNIA INSURANCE COMPANY
(See Applied Risk Services)
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
5751 Copley Dr., Suite "A"
San Diego, CA 92111
(Mailing Address)
P.O. Box 719025
San Diego, CA 92171
Main: (800) 327-6072 - (858) 514-1800
Fax: (858) 569-0342
(Third Party Administrators. Claims also processed for
Worker's Compensation and Indemnity Company of California,
Citation Insurance Company, Fremont Indemnity Company,
and Fremont Compensation Insurance Group)
CALIFORNIA INSURANCE GUARANTEE
ASSOCIATION
P.O. Box 29066
Glendale, CA 91209-9066
Main: (818) 844-4300
Fax: (818) 291-1863
www.caiga.org
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
901 Civic Center Dr., Suite 230
Santa Ana, CA 92703-2561
(Mailing Address)
P.O. Box 1738
Santa Ana, CA 92702
Main: (714) 547-0955
Fax: (714) 547-0473
(Third Party Administrators)
CANNON COCHRAN MANAGEMENT
SERVICES, INC.
1800 Sutter St., Suite 200
Concord, CA 94520
Main: (925) 685-0653
Fax: (925) 685-0725
(Third Party Administrators)
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
2300 Clayton Rd., Suite 900
Concord, CA 94520
(Mailing Address)
P.O. Box 4142
Concord CA 94524-4142
Concord,
Main: (925) 603-5500
Fax: (925) 603-5581, 5502
(Third Party Administrators)
CHEVRON CORPORATION
6001 Bollinger Canyon Road
San Ramon, CA 94583
(Mailing Address)
P.O. Box 6022
San Ramon,
Ramon CA 94583-0722
Main: (925) 842-8184
Fax: (925) 842-8185
(Claims Processed for all of California)
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
2923 Bradley Street
Pasadena, CA 91107
(Mailing Address)
P.O. Box 29106
Glendale, CA 91209-9106
Main: (800) 542-7597 - (626) 296-4200
Fax: (626) 296-4220
(Third Party Administrators)
CHUBB GROUP OF INSURANCE COMPANIES
801 S. Figueroa St., Suite 2400
Los Angeles, CA 90017-5556
(Mailing Address)
P.O. Box 30850
Los Angeles, CA 90030-0850
Main: (800) 262-4459 - (213) 612-0880
Fax: (213) 612-5746
(Claims Processed by Injured's name for Los Angeles,
Ventura, Santa Barbara, Kern, Orange, Riverside,
San Bernandino, San Diego and Imperial Counties,
plus the states of Arizona and Hawaii)
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
11030 White Rock Rd., Suite 110
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 15901
Sacramento, CA 95852
Main: (800) 597-7677 - (916) 638-8300
Fax: (916) 635-6431
(Third Party Administrators)
CHUBB GROUP OF INSURANCE COMPANIES
5050 Hopyard Rd., Suite 400
Pleasanton, CA 94588
Main: (925) 598-6000
Fax: (925) 598-6146
(Claims Processed by Employer's Name for San Luis
Obispo, Tulare and Inyo Counties North to the Oregon
Border)
CHUBB/PACIFIC INDEMNITY COMPANY
(See Chubb Group of Insurance Companies)
CIGNA COMPANIES
(See ACE USA)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(5)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
CITATION INSURANCE COMPANY
(See Cambridge Integrated Services Group, Inc. - San
Diego office)
CITY OF MODESTO
1010 - 10th St., Suite 5600
Modesto, CA 95354
(Mailing Address)
P.O. Box 642
Modesto, CA 95353
Main: (209) 577-5411
Fax: (209) 576-7069
(Self-Insured/Self-Administered. Claims Processed by
Injured's Name for City of Modesto Employees only)
CITY OF ANAHEIM
Risk Management Workers' Compensation
201 S. Anaheim Blvd., Suite 1002
Anaheim, CA 92805
Main: (714) 765-5113
Fax: (714) 765-5245
(Self-Insured. Claims Processed for City of Anaheim only)
CITY OF OCEANSIDE
300 N. Coast Highway
Oceanside, CA 92054-2885
Main: (760) 435-3510
(Self-Insured/Self-Administered)
CITY OF BURBANK
W/C Risk Management Department
275 E. Olive Avenue
Burbank, CA 91502
Main: (818) 238-5010
Fax: (818) 238-5019
(Self-Insured/Self-Administered. Claims Processed for
City of Glendale Employee's only)
CITY OF PASADENA
100 N. Garfield Ave., Room N123
Pasadena, CA 91109
(Mailing Address)
P.O. Box 7115
Pasadena, CA 91109-7215
Main: (626) 744-4362
Fax: (626) 744-4260
(Self-Insured/Self-Administered)
CITY OF GLENDALE
Risk Management Division/W.C. Section
613 E. Broadway, Room 100
Glendale, CA 91206
Main: (818) 548-2101
(Self-Insured/Self-Administered Claims Processed for
(Self-Insured/Self-Administered.
City of Glendale Employees only)
CITY OF POMONA
Workers' Comp. Department
505 S. Garey Avenue
Pomona, CA 91766
Main: (909) 620-2291
Fax: (909) 620- 2295
(Self-Insured/Self-Administered)
CITY OF HUNTINGTON BEACH
Worker's Comp. Department
2000 Main Street
Huntington Beach, CA 92648-2702
(Mailing Address)
P.O. Box 906
Huntington Beach, CA 92648-0797
Main: (714) 374-5378
Fax: (714) 374-1597
(Self-Insured/Self-Administered)
CITY OF REDDING
Risk Management
777 Cypress Avenue
Redding, CA 96001-2718
Main: (530-225-4348
Fax: (530) 225-4337
(Self-Insured/Self-Administered)
CITY OF LONG BEACH
Workers' Compensation Office
333 W. Ocean Blvd., Eighth Floor, City Hall
Long Beach, CA 90802-4664
Main: (562) 570-2245
Fax: (562) 570-2220
(Self-insured. Claims Processed for City of Long Beach only)
CITY OF RIVERSIDE
3780 Market Street
Riverside, CA 92501
Main: (951) 826-5559
Fax: (951) 826-2529
(Self-Insured/Self-Administered. Claims Processed
by Injured's Name)
CITY OF LOS ANGELES
Personnel Department
Workers' Compensation Division
700 E. Temple St., Room 210
Los Angeles, CA 90012
Main: (213) 473-3400
Fax: (213) 473-3333
(Self-Insured. Claims Processed for all City of Los Angeles Employees
except for the Department of Water and Power, and uniformed Fire
and Police Employees-TPA)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(6)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
CITY OF TORRANCE
Human Resources
Risk Management Division
W/C Program
3231 Torrance Boulevard
Torrance, CA 90503-5055
Main: (310) 618-2950
Fax: (310) 618-2927
(Self-Insured/Self-Administered)
CITY OF SANTA ANA
W/C Risk Management Department
P.O. Box 1988 M-41
Santa Ana, CA 92702
Main: (714) 647-6942
(Self-Insured/Self-Administered)
CITY OF SIMI VALLEY
2929 Tapo Canyon Road
Simi Valley, CA 93063
Main: (805) 583-6394
(Self-Insured/Self-Administered. Claims Processed
by Injured's Name for Los Angeles and Ventura Counties)
CITY OF SACRAMENTO
Workers Compensation HR Dept.
City Hall
915 "I" St., Fourth Floor
Sacramento, CA 95814-2604
Main: (916) 808-5741
Fax: (916) 808-8216
Email: eyoung@cityofsacrament.org
(Self-Insured/Self-Administered)
CLAIMQUEST, INC.
675 Brea Canyon Rd., Suite 4
Walnut, CA 91789
Main: (909) 594-9400
Fax: (909) 594-5544
(Third Party Administrators. Claims Processed by
Employer's Name for all Counties)
CITY OF SAN BERNARDINO
Risk Management Department
300 N. "D" Street
San Bernardino, CA 92418-0001
Main: (909) 384-5173
(Self-Insured. Claims Processed for City of
San Bernardino and City of San Bernardino Water Department)
CLAIMS MANAGEMENT, INC.
P.O. Box 16339
Fresno, CA 93755-6339
Main: (559) 221-2820
Fax: (559) 222-7453
(Third Party Administrators)
CITY OF SAN DIEGO
Risk Management Department
1200 Third Ave., Suite 1000
San Diego, CA 92101
(Mailing Address)
P.O. Box 129013
San Diego, CA 92112 -9013
Main: (619) 236-6395
Fax: (619) 236-6106
(Self-Insured/Self-Administered. Claims Processed for City of San Diego Only)
CLAIMS MANAGEMENT, INC.
2868 Prospect Park Dr., Suite 600
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 3042
Sacramento, CA 95812-3042
Main: (916) 631-1250
Fax: (916) 635-6288
(Third Party Administrators)
CITY AND COUNTY OF SAN FRANCISCO
W/C Division
30 Van Ness Ave., Suite 3300
San Francisco, CA 94102
Main: (415) 575-5600
(Self-Insured/Self-Administered)
CLAIMS SOLUTIONS
(See LWP Claims Solutions, Inc.)
CLARENDON NATIONAL INSURANCE COMPANY
(See American All-Risk Loss Administrators)
C.N.A.
STANDARD LINES Claims
675 Placentia Avenue
Brea, CA 92821-6167
(Mailing Address)
P.O. Box 6500
Brea, CA 92822-6500
Main: (800) 262-8714 - (714) 255-7300
Fax: (714) 255-2554
www.cnacentral.com
(Claims Processed by Employer's Name for Southern
California)
CITY OF SAN JOSE
W/C Risk Management
200 E. Santa Clara Street
San Jose, CA 95113-1903
Main: (408) 535-1285
Fax: (408) 292-6447
(Self-Insured. Claims Processed for City of San Jose Only)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(7)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
C.N.A.
STANDARD LINES CLAIMS
405 Howard St., Suite 600
San Francisco, CA 94105
(Mailing Address)
P.O. Box 880670
San Francisco, CA 94188-0670
Main: (415) 932-7500
Fax: (415) 932-7454
www.cnacentral.com
(Claims Processed by Employer's Name for Northern
California)
COUNTY OF KERN
Kern County Risk Management
1115 Truxtun Ave., Fourth Floor
Bakersfield, CA 93301-4639
Main: (661) 868-3801
Fax: (661) 868-3875
(Self-Insured/Self-Administered. Claims Processed by
Injured's Name for Kern County)
COUNTY OF LOS ANGELES
Risk Management Branch
Workers' Compensation Program
3333 Wilshire Blvd., Suite 820
Los Angeles, CA 90010
Main: (213) 738-2154
Fax: (213) 252-0404
(Claims Processed by the following Third Party
Administrators: Tristar Risk Management*, Intercare
Insurance Services**, and AIMS***)
*Tristar Risk Management, (Irvine)
P.O. Box 19775
Irvine, CA 92623-9775
Main: (800) 782-5888
*Tristar Risk Management (Santa Ana)
P.O. Box 11967
Santa Ana, CA 92711-1967
Main: (800) 377-3487
**Intercare Insurance Services (Orange)
P.O. Box 14243
Orange, CA 92863-4243
Main: (866) 221-2968
*** AIMS (Santa Clarita)
P.O. Box 937
Santa Clarita, CA 91380-0937
Main: (866) 511-2467
(The above TPA's are also listed in the book)
COLEN AND LEE
(See AdminSure, Inc.)
COMCO MANAGEMENT, INC.
P.O. Box 577
Sierra Madre, CA 91025-0577
Main: (800) 788-2662 - (626) 836-5817
Fax: (626) 836-5827
(Self-Insured Administrators. Claims Processed by
Employer's Name)
COMPLINK
2100 Main St., Suite 350
Irvine CA 92614-9265
Irvine,
(Mailing Address)
P.O. Box 19619
Irvine, CA 92623-9619
Main: (949) 852-4871
Fax: (949) 223-0657
(Third Party Administrators)
CONSTITUTION STATE SERVICE COMPANY
(See Travelers)
CONTINENTAL CASUALTY COMPANY
(See CNA)
COUNTY OF RIVERSIDE
Workers' Compensation Division
P.O. Box 1120
Riverside, CA 92502
Main: (951) 955-3530
(Self-Insured. Claims Processed by Injured's Name
for Riverside County Employees only)
CONTINENTAL LOSS ADJUSTING SERVICES
(See CNA)
CONTINENTAL RISK MANAGEMENT SERVICES
(See CNA])
COUNTY OF SACRAMENTO
P.O. Box 276130
Sacramento, CA 95827
Main: (916) 876-5251
(Self-Insured/Self-Administered)
CONTRA COSTA COUNTY
Risk Management Division
2530 Arnold Dr., Suite 140
Martinez, CA 94553
Main: (925) 335-1400
Fax: (925) 335-1420
(Self-Insured. Claims Processed by
Injured's Name for County of Contra Costa)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(8)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
COUNTY OF SAN BERNARDINO
Department of Risk Management
222 W. Hospitality Lane, Third Floor
San Bernardino, CA 92415-0016
Main: (909) 386-8655
Fax: (909) 386-8711
(Self-Insured. Claims Processed by
Department for County of San Bernardino)
CRAWFORD & COMPANY INSURANCE ADJUSTERS
900 E. Washington St., Suite 350
Colton, CA 92324
Main: (909) 825-8730
Fax: (909) 825-5349
(Claims Processed by Employer's Name for
Riverside and San Bernardino Counties)
CRAWFORD & COMPANY INSURANCE ADJUSTERS
1515 W. 190th St., Suite 500
Gardena, CA 90248
Main: (310) 380-6000
Fax: (310) 380-6029
(Claims Processed by both Employer's and Injured's
Name for all of California)
COUNTY OF SAN DIEGO - DHR
Workers' Compensation Office
444. W. Beech St., Third Floor
San Diego, CA 92101-2942
Main: (619) 578-5700
Fax: (619) 578-5740
(Self-Insured/Self-Administered. Claims Processed by
Injured's Name for County of San Diego)
CRAWFORD & COMPANY INSURANCE ADJUSTERS
1900 Alameda De Las Pulgas, Suite 103
San Mateo, CA 94403
Main: (650) 357-6242
Fax: (650) 357-8983
(Claims Processed by both Employer's and Injured's
Names for San Francisco, San Mateo, Marin, Sonoma
and Solano Counties)
COUNTY OF SANTA BARBARA
W/C Risk Management Department
1 E. Anapamu St., Second Floor
Santa Barbara, CA 93101-2704
Main: (805) 884-6860
Fax: (805) 884-6861
(Self-Insured/Self-Administered)
CRUM & FORSTER
UNITED STATES FIRE INSURANCE COMPANY
THE NORTH RIVER INSURANCE COMPANY
One City Blvd. West, Suite 350
Orange, CA 92868
(Mailing Address)
P.O. Box 14217
Orange, CA 92863
Main: (714) 244-1023
Fax: (714) 244-1050
(Claims Processed for All of California)
COUNTY OF SANTA CLARA
Workers' Compensation Division
2310 N. First St., Suite 205
San Jose, CA 95131-1032
Main: (408) 441-4300
(Self-Insured. Claims Processed by Injured's Name
for Santa Clara and Santa Clara County Central
Fire District)
COUNTY OF SHASTA
1450 Court St., Room 348
Redding, CA 96001-1676
Main: (530) 225-5141
Fax: (530) 225-5251
(Self-Insured/Self-Administered)
CUNNINGHAM LINDSEY U.S., INC.
(See Broadspire)
CYPRESS INSURANCE COMPANY
(See Berkshire Hathaway Homestate
Companies [BHHC] )
COUNTY SANITATION DISTRICTS OF
THE COUNTY OF LOS ANGELES
1955 Workman Mill Road
Whittier, CA 90601
(Mailing Address)
P.O. Box 4998
Whittier, CA 90607-4998
Main: (562) 699-7411
Fax: (562) 692-3056
(Claims Processed by Injured Employee's Name and
Date of Injury for the County Sanitation Districts of
Los Angeles County)
-DDANIELSON NATIONAL INSURANCE COMPANY
(See Tristar Risk Management - Los Angeles)
JOHN DEERE INSURANCE COMPANY
(See Sentry Insurance)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
-(9)-
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
DEPARTMENT OF WATER AND POWER
City of Los Angeles
Workers' Compensation Section
111 N. Hope St., Room 553
Los Angeles, CA 90012
(Mailing Address)
P.O. Box 51111, Room 553
Los Angeles, CA 90051-0100
Main: (213) 367-1942
Fax: (213) 367-3636
(Self-Insured)
EMPLOYERS INSURANCE OF WAUSAU
(See Wausau Insurance Companies)
EOS / GROUP
(See Tristar Risk Management)
ESIS, INC.
(See ACE USA)
EVEREST NATIONAL INSURANCE COMPANY
1111 Broadway, Suite 2050
Oakland, CA 94607
(Mailing Address)
P.O. Box 70160
Oakland, CA 94612-0160
Main: (800) 529-1354
Fax: (510) 267-0752
(Claims Processed for All of California)
THE WALT DISNEY COMPANY
Workers' Compensation
700 W. Ball Road
Anaheim, CA 92802
(Mailing Address)
P.O. Box 3909
Anaheim, CA 92803
Main: (714) 781-1680
Fax: (714) 781-1670
(Self-Insured)
EVEREST NATIONAL INSURANCE COMPANY
725 W. Town & Country Rd., 4th Floor
Orange, CA 92868
Main: (714) 371-9600
Fax: (714) 371-9677
(Claims Processed for All of California)
DYNAMIC CLAIMS SERVICES, INC.
P.O. Box 29080
Glendale, CA 91209
Main: (818) 247-3662
Fax: (818) 247-7018
(Third Party Administrators)
EXPLORER INSURANCE COMPANY
(See Insurance Company of the West)
-F-
-E-
FARA / F.A RICHARD & ASSOCIATES
2525 Cherry Ave., Suite 350
Signal Hill, CA 90755-2054
Main: (562) 426-9800
Fax: (562) 426-4848
(Self-Insured Administrators and Independent Adjusters)
EAGLE INSURANCE GROUP, INC.
(See SeaBright Insurance Company)
EMPLOYERS
P.O. Box 539004
Henderson, NV 89053-9004
Main: (888) 682-6671
(Claims Processed by Employer's Name for All of California)
FARMERS INSURANCE GROUP
11555 Dublin Canyon Rd., 4th Floor
Pleasanton, CA 94588
(Mailing Address)
P.O. Box 5040
Pleasanton, CA 94566
Main: (925) 847-3141 - Fax: (925) 416-0948
(Same as Truck Insurance Exchange. Claims Processed by Injured's
Name for Northern California)
EMPLOYERS COMPENSATION INSURANCE COMPANY
(See Employers)
EMPLOYER'S DIRECT INSURANCE COMPANY
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Main: (818) 575-8500
Fax: (818) 575-8575
(Claims Processed by Employer's Name for All of California)
FARMERS INSURANCE GROUP
3707 W. Garden Grove Blvd., Ste 202
Orange, CA 92868-4803
(Mailing Address)
P. O. Box 928
Santa Ana, Ca 92707-0928
Main: (888) 274-2165 - (714) 740-2165
Fax: (714) 750-1942
(Same as Truck Ins. Exchange. Claims Processed by Injured's Name
Orange, San Bernardino, Riverside, San Diego and Imperial Counties)
EMPLOYERS FIRST INSURANCE
(See Cambridge Integrated Services Group, Inc.)
EMPLOYERS INSURANCE GROUP
(See Employers)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 10 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
FARMERS INSURANCE GROUP
(L.A. Centralized WC Claims Office)
3041 Cochran Street
Simi Valley, CA 93065
(Mailing Address)
P. O. Box 10149
Van Nuys, CA 91410-0149
Main: (888) 486-1451 - (805) 583-7567
Fax: (805) 583-7467
(Same as Truck Insurance Exchange. Claims Processed by Injured's Name
for Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties)
-GGAB BUSINESS SERVICES, INC.
(See GAB Robins)
GAB ROBINS
GAB ROBINS NORTH AMERICA, INC.
100 E. Tujunga Avenue
Burbank, CA 91502
(Mailing Address)
P. O. Box 7858
Burbank, CA 91510-7858
Main: (800) 841-5297 - (818) 846-5297
Fax: (818) 846-1153
(Claims Processed by Employer's Name for all of California)
FREMONT EMPLOYER'S INSURANCE COMPANY
(See Employers)
FREMONT INDEMNITY COMPANY
(See Cambridge Integrated Services Group, Inc. - San Diego Office)
GAB ROBINS
GAB ROBINS NORTH AMERICA, INC.
3350 Shelby St., Suite 300
Ontario, CA 91764
Main: (909) 980-0498
Fax: (909) 980-0458
(Claims Processed by Employer's Name for all of California)
FRYE CLAIMS CONSULTATION & ADMIN.
3500 Breakwater Ct., Bldg., "A"
Hayward, CA 94545
Main: (800) 322-3793 - (510) 782-9882
Fax: (800) 455-3793
(Third Party Administrators)
GAB ROBINS
GAB ROBINS NORTH AMERICA, INC.
P O.
P.
O Box 269037
Sacramento, CA 95827-9037
Main: (916) 853-6600
Fax: (916) 853-8183
(Claims Processed by Employer's Name for all of California)
FUNDS INSURANCE COMPANIES
(See Fireman
Fireman'ss Fund Insurance Companies)
F.I.R.M. SOLUTIONS
(See Tristar Risk Management)
FIRE INSURANCE EXCHANGE
(See Farmers Insurance Group)
GALLAGHER BASSETT SERVICES, INC.
P.O. Box 70003
Anaheim, CA 92825-0003
Main: (714) 938-0172
Fax: (714) 938-1067
(Workers' Compensation Self-Insured Claims Admins.)
FIREMAN'S FUND INSURANCE COMPANIES
2995 Prospect Park Dr., Suite 200
Rancho Cordova, CA 95670
(Mailing Address)
P. O. Box 13340
Sacramento, CA 95813
Main: (800) 662-3750
Fax: (888) 387-3196
(Claims Processed for All of California)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 9875
Calabasas, CA 91372-0875
Main: (818) 746-9925
Fax: (818) 880-4213
(Workers' Compensation Self-Insured Claims Admins.)
FIRST NATIONAL INSURANCE COMPANY
(See Safeco Insurance Group)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 6900
Corona, CA 92878-6900
Main: (951) 279-0073
Fax: (951) 279-6632
(Workers' Compensation Self-Insured Claims Admins.)
FOSTER POULTRY FARMS
WORKER'S COMPENSATION
P. O. Box 277
Livingston, CA 95334-0277
Main: (866) 566-4556
Fax: (209) 668-6613
(Self Insured / Self-Administered)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 1390
Elk Grove, CA 95759
Main: (916) 683-5550
(Workers' Compensation Self-Insured Claims Admins.)
FREMONT COMPENSATION INSURANCE GROUP
(See Cambridge Integrated Services Group Inc.)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 11 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 2290
Gold River, CA 95741-2290
Main: (916) 403-1600
Fax: (916) 403-1619
(Workers' Compensation Self-Insured Claims Admins.
E & J GALLO WINERY
600 Yosemite Boulevard
Modesto, CA 95354-9972
(Mailing Address)
P.O. Box 1130
Modesto, CA 95353
Main: (209) 341-3782
(Self-Insured / Self-Administered)
GALLAGHER BASSETT SERVICES, INC.
(Metro Office)
P. O. Box 30840
Laguna Hills, CA 92654-0840
Main: (949) 458-0181
Fax: (949) 588-8931
(Workers' Compensation Self-Insured Claims Admins.)
FRANK GATES SERVICES COMPANY
2400 E. Katella Ave., Suite 650
Anaheim, CA 92806
Main: (800) 994-4611 - (714) 978-1351
Fax: (714) 978-1651
(Claims Processed by Employer's Name for all of
California)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 14260
Orange, CA 92863
Main: (714) 939-0877
Fax: (714) 938-1036
(Workers' Compensation Self-Insured Claims Admins.
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 4200
Rancho Cucamonga, CA 91729-4200
Main: (866) 517-6782 - (909) 581-1919
Fax: (909) 581-1996
(Workers' Compensation Self-Insured Claims Admins.)
FRANK GATES SERVICE COMPANY
P.O. Box 4530
El Dorado Hills, CA 95762-0020
Main: (916) 939-8011
Fax: (916) 939-8230
(Claims Processed by Employer's Name for all of
California. For Wal-Mart and Sam's Club, Mail Claim
to: P.O. Box 1288 Bentonville, AR 72712)
Main: (800) 339-1109
Fax: (479) 204-9537
(Third Party Admistrators)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 4040
Sacramento, CA 95812-4040
Main: (866) 481-0962 - (916) 576-8200
Fax: (916) 576-8206
(Workers' Compensation Self-Insured Claims Admins.)
FRANK GATES ACCLAIM, INC.
19800 MacArthur Blvd., Suite 430
Irvine, CA 92612-8441
Main: (800) 337-0314 - (949) 851-8955
Fax: (949) 851-8960
(Third Party Admistrators)
GALLAGHER BASSETT SERVICES, INC.
(Regional Office)
P. O. Box 255397
Sacramento, CA 95865-5397
Main: (916) 929-7581
Fax: (916) 929-3791
(Workers' Compensation Self-Insured Claims Admins.)
FRANK GATES ACCLAIM, INC.
P.O. Box 120431
San Diego, CA 92112-0431
Main: (619) 595-0255
Fax: (619) 595-1689
(Third Party Admistrators)
GATES, McDONALD & COMPANY
(See Cambridge Integrated Services Group, INC.
Concord and Santa Ana offices)
GALLAGHER BASSETT SERVICES, INC.
P. O. Box 85013
San Diego, CA 92186-5013
Main: (619) 471-1219
Fax: (619) 471-1250
(Workers' Compensation Self-Insured Claims Admins.)
GENERAL ELECTRIC COMPANY
(See Sedgwick, CMS)
GENERAL INSURANCE COMPANY OF AMERICA
(See Safeco Insurance Group)
GALLAGHER BASSETT SERCVICES, INC.
P.O. Box 4511
Woodland Hills, CA 91365-4511
Main: (818) 226-9071
Fax: (818) 226-9982
(Workers' Compensation Self-Insured Claims Admins.)
GOLDEN EAGLE INSURANCE CORPORATION
(See Liberty Mutual Insurance Company - Orange office)
GRANITE STATE INSURANCE COMPANY
(See AIG Domestic Claims, Inc.)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 12 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-H-
GREAT AMERICAN INSURANCE COMPANY
(Walnut Creek Office)
P.O. Box 5432
Cincinnati, OH 45201-5432
Main: (800) 759-0036
Fax: (888) 223-1317
(Claimes Processed for the State of California and Arizona)
HAMMERMAN & GAINER, INC.
P.O. Box 368
Banning, CA 92220
Main: (951) 922-2828
Fax: (951) 922-2016
(Third Party Administrators)
GREAT STATES INSURANCE COMPANY
(See Intercare Insurance Services)
THE HARTFORD
HARTFORD ACCIDENT & INDEMNITY COMPANY
12009 Foundation Place
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 13835
Sacramento, CA 95853-4835
Main: (866) 401-9222 - (916) 294-1000
Fax: (916) 294-1600
GREGORY B. BRAGG & ASSOCIATES, INC.
One Sierra Gate Plaza, Suite 250B
Roseville, CA 95678
(Mailing Address)
P.O. Box 619058
Roseville, CA 95661-9058
Main: (800) 422-7244 - (916) 783-0100
Fax: (916) 783-0338
(Third Party Administrators)
HARTFORD INSURANCE GROUP
(See The Hartford)
GREGORY B. BRAGG & ASSOCIATES, INC.
4512 Feather River Dr., Suite B
Stockton, CA 95219
(Mailing Address)
P.O. Box 7245
Stockton CA 95267-0245
Stockton,
Main: (209) 956-2119
Fax: (209) 956-2638
(Third Party Administrators)
(See Cambridge Integrated Services Group, Inc.)
HAZELRIGG RISK MANAGEMENT SERVICES, INC.
(See HRMS / A Corvel Company)
C.E. HEATH COMPENSATION & LIABILITY
INSURANCE COMPANY
(See Intercare Insurance Services)
HEALTHCARE ALLICANCE CORPORATION
(See Alpha Fund)
GREGORY B. BRAGG & ASSOCIATES, INC.
150 N. Wiget Lane, Suite 212
Walnut Creek, CA 94598
(Mailing Address)
P.O. Box 5372
Walnut Creek, CA 94596-5372
Main: (925) 933-2992
Fax: (925) 933-2994
(Third Party Administrators)
HELMSMAN MANAGEMENT SERVICES, INC.
(See Liberty Mutual Insurance Company)
HERTZ CLAIM MANAGEMENT
(See Cambridge Integrated Services Group, Inc.)
HIH INSURANCE
(See Intercare Insurance Services)
HOME INDEMNITY COMPANY
(See Risk Enterprise Management Limited)
GROCERS AND MERCHANTS INSURANCE SERVICE
(See Springfield Insurance Company / GMIS)
HOME INSURANCE COMPANY
(See Risk Enterprise Management Limited)
GUIDEONE INSURANCE
2351 Sunset Blvd., Suite 170, PMB # 305
Rocklin, CA 95765
Main: (800) 647-9324 - (916) 624-3288
Fax: (800) 676-4457
HOME INSURANCE COMPANY, NEW YORK
(See Risk Enterprise Management Limited)
HRMS / A CORVEL COMPANY
751 E. Daily Dr., Suite 400
Camarillo, CA 93010
(Mailing Address)
P.O. Box 5166
Oxnard, CA 93031
Main: (866) 785-2835 - (805) 389-4200
(Third Party Administrators)
GULF INSURANCE COMPANY
(See Travelers (800) 994-3890)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 13 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
HRMS / A CORVEL COMPANY
14275 Pipeline Avenue
Chino, CA 91710
(Mailing Address)
P.O. Box 669
Chino, CA 91708
Main: (805) 993-0340
Fax: (909) 627-9751
(Third Party Administrators)
INNOVATIVE CLAIM SOLUTIONS, INC.
P.O. Box 5128
San Ramon, CA 94583-5138
Main: (925) 327-8050
Fax: (925) 327-8078
(Third Party Administrators)
INTERCARE INSURANCE SERVICES
1120 Forest Ave., Box 339
Pacific Grove, CA 93950
Main: (831) 655-2155
Fax: (831) 655-2755
(Third Party Administrators)
HRMS / A CORVEL COMPANY
P.O. Box 277550
Sacramento, CA 95827
Main: (916) 379-5560
Fax: (916) 379-5598
(Third Party Administrators)
INTERCARE INSURANCE SERVICES
P.O. Box 7111
Pasadena, CA 91109-7211
Main: (866) 785-6819 - (626) 304-1200
Fax: (626) 304-1249
(Third Party Administrators)
HRMS / A CORVEL COMPANY
8787 Complex Dr., Third Floor
San Diego, CA 92123
(Mailing Address)
5694 Mission Center Rd., #700
San Diego, CA 92108
Main: (800) 757-7100 - (858) 300-2500
Fax: (858) 300-2560
(Third Party Administrators)
INTERCARE INSURANCE SERVICES
P.O. Box 579
Roseville, CA 95661
Main: (916) 677-2500
Fax: (916) 677-2608
(Third Party Administrators)
-I-
INTERCARE INSURANCE SERVICES
P.O. Box 348180
Sacramento, CA 95834-8180
Main: (800) 394-9304 - (916) 920-5800
Fax: (916) 920-5588
(Third Party Administrators. Claims Processed
by Injured's Name for all of California)
ICS
(See Innovative Claim Solutions, Inc.)
ICW GROUP
(See Insurance Company of the West)
INDEMNITY INSURANCE COMPANY OF NORTH
AMERICA
(See ACE USA)
INTERSTATE BRANDS CORPORATION
7807 Convoy Ct., Suite 110
San Diego, CA 92111
Main: (858) 569-7311
Fax: (858) 569-1525
(Self -Insured / Self-Administered. Claims Processed
by Injured's Name for all of California and Washington)
INDUSTRIAL INDEMNITY
(See Cambridge Integrated Services Group, Inc.)
INNOVATIVE CARE SYSTEMS, INC.
(See Innovate Claim Solutions, Inc.)
IRISC-CAMBRIDGE INTEGRATED SERVICES GROUP,INC.
(See Cambridge Integrated Services Group, Inc.)
INNOVATIVE CLAIM SOLUTIONS, INC.
11030 White Rock Rd., Suite 210
Rancho Cordova, CA 95670-6055
(Mailing Address)
P.O. Box 2070
Rancho Cordova, CA 95741
Main: (916) 852-8588
(Third Party Administrators)
ITT HARTFORD
(See The Hartford)
ITT SPECIALTY RISK SERVICES
(See Specialty Risk Services, LLC)
INSURANCE COMPANY OF NORTH AMERICA /
ESIS, INC. / CIGNA COMPANIES
(See ACE USA)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 14 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
INSURANCE COMPANY OF THE WEST /
EXPLORER INSURANCE COMPANY
(Home Office - W.C. Claims)
11455 El Camino Real
San Diego, CA 92130-2045
(Mailing Address)
P.O. Box 85563
San Diego, CA 92186-5563
Main: (800) 877-1111 - (858) 350-2400
Fax: (858) 350-2755
(Claims Processed by Employer's Name for All of California)
JT2 INTEGRATED RESOURCES
P.O. Box 51462
Ontario, CA 91761
Main: (909) 390-1115
Fax: (909) 390-1135
(Self-Insured Administrators. Claims Processed
for all of Southern California)
JT2 INTEGRATED RESOURCES
231 Market Pl., PMB # 381
San Ramon, CA 94583-4743
Main: (925) 556-7012
Fax: (925) 556-7032
(Self-Insured Administrators)
INTEGRATED CLAIMS ADMINISTRATORS, INC.
P.O. Box 3189
Torrance, CA 90510-3189
Main: (310) 542-5130
Fax: (310) 542-7310
(Third Party Administrators)
JT2 INTEGRATED RESOURCES
(Lathrop California Office)
231 Market Pl., PMB #381
San Ramon, CA 94583-4743
Main: (800) 582-4671 - (209) 491-7031
Fax: (209) 491-7039
(Self-Insured Administrators)
IHDS
INTEGRATED HEALTH DELIVERY SERVICES
(See Cambridge Integrated Services Group, Inc.)
-K-
INTERCARE INSURANCE SERVICES
P.O. Box 40009
Fresno, CA 93755-0009
Main: (559) 447-1029
(Third Party Administrators)
KAISER PERMANENTE MEDICAL CARE PROGRAM
(California Workers
Workers' Compensation Department)
P. O. Box 12927
Oakland, CA 94604-2927
Main: (510) 625-2496
Fax: (510) 625-3345
(Self-Insured, Claims Processed for all of California)
INTERCARE INSURANCE SERVICES
P.O. Box 19544
Irvine, CA 92623
Main: (800) 394-9308 - (949) 752-7170
Fax: (949) 752-7189
(Third Party Administrators)
KANSAS CITY FIRE & MARINE INSURANCE COMPANY
(See CNA)
INTERCARE INSURANCE SERVICES
P.O. Box 14243
Orange, CA 92863-4243
Main: (714) 480-0105
Fax: (714) 480-0041
(Third Party Administrators - Claims Processed for
County of Los Angeles)
KEENAN AND ASSOCIATES
320 " I " Street
Eureka, CA 95501
Main: (707) 268-1616
Fax: (707) 268-8963
(Claims Processed by Injured's Name for Northern
California)
-J-
KEENAN AND ASSOCIATES
5776 Stoneridge Mall Rd., Suite 130
Pleasanton, CA 94588
(Mailing Address)
P. O. Box 2486
Dublin, CA 94568-0766
Main: (925) 225-0611
Fax: (925) 225-1280
(Claims Processed by Injured's Name for Northern California)
JENKINS / ATHENS INSURANCE SERVICES
(See Athens Administrators)
JT2 INTEGRATED RESOURCES
P.O. Box 70410
Oakland,CA 94612
Main: (510) 844-3100
Fax: (510) 844-3201
(Self-Insured Administrators)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 15 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-L-
KEENAN AND ASSOCIATES
2882 Prospect Park Dr., Suite 200
Rancho Cordova, CA 95670
(Mailing Address)
P.O. Box 1538
Rancho Cordova, CA 95741
Main: (800) 343-0694 - (916) 859-4900
Fax: (916) 859-7166
(Claims Processed by Injured's Name for Northern California)
LINDSEY MORDEN CLAIMS MANAGEMENT, INC.
(See Broadspire)
LOMA LINDA UNIVERSITY MEDICAL CENTER
Department of Risk Management
11161 Anderson St., Suite # 200
Loma Linda, CA 92354-2825
(Mailing Address)
P.O. Box 1770
Loma Linda, CA 92354-0570
Main: (909) 558-4389
Fax: (909) 558-7974
(Self Insured / Self Administured.Claims Processed
Loma Linda University Medical Center,
Faculty Medical Group-School of Medicine,
Loma Linda Faculty Medical Physicians & Surgeons,
Loma Linda University, Loma Linda
Loma Linda Univ Health Care, Behavioral Medicine Cntr,
Loma Linda Univ Adventist Health Science Center, Inc.
and Loma Linda University Health Services)
KEENAN AND ASSOCIATES
1791 Broadway
Redwood City, CA 94063
(Mailing Address)
P.O. Box 5218
Redwood City, CA 94063
Main: (650) 306-0616
Fax: (650) 306-0620
(Claims Processed by Injured's Name for San Mateo County)
KEENAN AND ASSOCIATES
3550 Vine St., Suite 200
Riverside, CA 92507
Main: (800) 654-8347 - (951) 788-0330
Fax: (951) 788-8013
(Claims Processed by Injured's Name for Imperial,
Riverside San Bernardino and San Diego Counties)
Riverside,
LUBERMENS MUTUAL CASUALTY COMPANY
(See Broadspire)
LWP CLAIMS SOLUTIONS,
SOLUTIONS INC
INC.
P.O. Box 10640
Glendale, CA 91209-0640
Main: (818) 245-1860
Fax: (818) 245-1861
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
KEENAN AND ASSOCIATES
1740 Technology Dr., Suite 300
San Jose, CA 95110
Main: (800) 334-6554 - (408) 441-0876
Fax: (408) 436-9306
(Claims Processed by Employer's Name for Alameda,
Contra Costa, Monterey, San Benito, San Mateo, Santa Clara
Santa Cruz, San Luis Obispo and Stanislaus Counties)
LWP CLAIMS SOLUTIONS, INC.
P.O. Box 349016
Sacramento, CA 95834-9016
Main: (800) 565-5694 - (916) 609-3600
Fax: (916) 609-3637
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
KEENAN AND ASSOCIATES
2355 Crenshaw Blvd., Suite 200
Torrance, CA 90501
(Mailing Address)
P.O. Box 4328
Torrance, CA 90510
Main: (800) 654-8102 - (310) 212-3344
Fax: (310) 328-6793
LEGION INSURANCE COMPANY
Main: (800) 255-6738
LIBERTY MUTUAL INSURANCE COMPANY
330 N. Brand Blvd., Suite 500
Glendale, CA 91203
(Mailing Address)
P.O. Box 29073
Glendale, CA 91209-9073
Main: (818) 240-1234
(Claims Processed by Employer's Name for Los Angeles,
Ventura, San Luis Obispo and Santa Barbara Counties)
KEMPER EMPLOYER'S CLAIMS SERVICES
(See Broadspire)
KEMPER INSURANCE COMPANIES
(See Broadspire)
KM ADMINISTRATIVE SERVICES, INC.
(See Cambridge Integrated Services Group, Inc.)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 16 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
LIBERTY MUTUAL INSURANCE COMPANY
333 City Boulevard West, Suite 300
Orange, CA 92868
(Mailing Address)
P.O. Box 11025
Orange, CA 92856-1125
Main: (714) 937-1400
Fax: (603) 334-0249
(Claims Processed by Employer's Name for Orange, San
Bernardino, Riverside, San Diego and Imperial Counties)
MAJESTIC INSURANCE COMPANY
P.O. Box 270769
San Diego, CA 92198
Main: (877) 829-6305 - (858) 385-4040
Fax: (858) 487-6908
(Claims Processed by Employer's Name for
San Diego, Imperial Counties, and Inland Empire)
MAJESTIC INSURANCE COMPANY
101 California St., 22nd Floor
San Francisco, CA 94111
(Mailing Address)
P.O. Box 2359
San Francisco, CA 94126-2359
Main: (415) 362-7000
Fax: (415) 247-7290
(Claims Processed by Employer's Name for
Northern California)
LIBERTY MUTUAL INSURANCE COMPANY
6130 Stoneridge Mall Rd., Suite 400
Pleasanton, CA 94588
(Mailing Address)
P.O. Box 11025
Orange, CA 92856-1125
Main: (800) 676-6514 - (925) 734-9200
Fax: (603) 334-0249
(Claims Processed by Injured's Name for Alameda,
Contra Costa, Lake, Marin, Monterey, Napa, San Benito
San Benito, San Francisco, San Mateo, Santa, Clara,
Santa Cruz, and Sonoma Counties)
MANAGEDCOMP, INC.
(See Pinnacle Risk Management Services, Inc.)
MARRIOTT INTERNATIONAL, INC.
3130 S. Harbor Blvd., Suite 550
Santa Ana, CA 92704
(Mailing Address)
P O Box 29210
P.O.
Hot Springs, AR 71903-9210
Main: (714) 545-5261
(Self-Insured)
LIBERTY MUTUAL INSURANCE COMPANY
1750 Howe Ave., Suite # 400
Sacramento CA 95825
Sacramento,
(Mailing Address)
P.O. Box 989000
West Sacramento, CA 95798-9000
Main: (916) 564-1792
Fax: (603) 334-0231
MARYLAND CASUALTY COMPANY
(See Zurich North America)
-M-
MARYLAND INSURANCE GROUP
(See Zurich North America)
MACY'S CORPORATE SERVICES
1801 Hawthorne Blvd., Suite 1
Redondo Beach, CA 90278-3494
(Mailing Address)
P.O. Box 8012
Redondo Beach, CA 90277-8012
Main: (310) 793-3400
Fax: (866) 421-8313
(Self - Insured Administrators. Claims Processed for
Macy's)
MATRIX ABSENCE MANAGEMENT, INC.
3602 Inland Empire Blvd., Suite C-318
Ontario, CA 91764-4966
(Mailing Address)
P.O. Box 788
Rancho Cucamonga, CA 91729-0788
Main: (800) 660-0588 - (909) 466-9663
Fax: (909) 483-6324
(Third Party Administrators)
MAJESTIC INSURANCE COMPANY
5001 Airport Plaza Dr., Suite 200
Long Beach, CA 90815
(Mailing Address)
P.O. Box 7549
Long Beach, CA 90807-0549
Main: (800) 432-2107 - (562) 627-1400
Fax: (562) 429-9017
(Claims Processed by Employer's for Los Angeles
Orange, San Bernadino, Santa Barbara and
Ventura Counties)
MATRIX ABSENCE MANAGEMENT, INC.
2208 Plaza Dr., Suite 100
Rocklin, CA 95765
Main: (866) 560-1447 - (916) 773-5737
Fax: (408) 361-9112
(Third Party Administrators)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 17 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-N-
MATRIX ABSENCE MANAGEMENT, INC.
5225 Hellyer Ave., Suite 210
San Jose, CA 95138-1001
(Mailing Address)
P.O. Box 11035
San Jose, CA 95103
Main: (800) 980-1006 - (408) 360-8370
Fax: (408) 360-9441; 9442
(Third Party Administrators)
NATIONAL AMERICAN INSURANCE COMPANY
OF CALIFORNIA
(See Tristar Risk Management - Los Angeles)
NATIONAL INDEMNITY INSURANCE COMPANY
(See Berkshire Hathaway Homestate Companies
[BHHC] )
METRO RISK MANAGEMENT, LLC
720 East "E" Street
Wilmington, CA 90744-6014
(Mailing Address)
P.O. Box 547
Wilmington, CA 90748-0547
Main: (310) 816-6633
Fax: (310) 816-6644
(Claims Processed by both Employer's and
Injured's Names for all of California)
NATIONAL LOSS CONTROL SERVICE
CORPORATION
(See Broadspire)
NATIONAL UNION FIRE INSURANCE COMPANY
OF PITTSBURG, PENNSYLVANIA
(See AIG Domestic Claims, Inc.)
METROPOLITAN STEVEDORE COMPANY
(See Metro Risk Management, LLC)
NATIONAL UNION INSURANCE COMPANIES
(See AIG Domestic Claims, Inc.)
MID-CENTURY INSURANCE COMPANY
(See Farmers Insurance Group)
NATIONWIDE INSURANCE
(See Wausau Insurance Companies)
MIDDLESEX MUTUAL INSURANCE COMPANY
(See Sentry Insurance)
NEW YORK UNDERWRITERS INSURANCE COMPANY
(See Hartford)
MISSION AMERICAN INSURANCE COMPANY
(See Tristar Risk Management- Los Angeles)
THE NOETICS GROUP
(See Tristar Risk Management)
MITSUI SUMITOMO MARINE MANAGEMENT
(USA), INC.
10 Universal City Plaza, Suite 1700
Universal City, CA 91608
Main: (800) 365-4671 - (818) 942-3900
Fax: (818) 760-3824
(Claims Processed by Employer's Name for all of
California)
NORDSTROM RISK MANAGEMENT
W/C Claims Department
P.O. Box 25799
Santa Ana, CA 92799-5799
Main: (714) 513-4771
Fax: (714) 513-4778
(Self-Insured)
NATIONAL SURETY INSURANCE COMPANY
(See Fireman's Fund Insurance Companies)
THE NORTH RIVER INSURANCE COMPANY
(See Crum & Forster)
MTA
Los Angeles County Metropolitan Transportation
Authority
One Gateway Plaza, Mail Stop 99-10-2
Los Angeles, CA 90012-2952
Main: (213) 922-3806
Fax: (213) 922-4351
(Self-Insured / Self-Administered)
NORTHERN INSURANCE COMPANY OF NEW YORK
(See Zurich North America)
NORTHERN CLAIMS MANAGEMENT
P.O. Box 6385
Santa Rosa, CA 95406
Main: (707) 575-8887
(Third Party Administrators)
MURPHY AND BEANE, INC.
5901 Green Valley Cir., Suite 145
Culver City, CA 90230
Main: (800) 553-1955 - (310) 649-4470
Fax: (310) 649-0209
(Self-Insured Administrators)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 18 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
NOVPRO RISK SOLUTIONS, L.P.
17862 E. 17th St., Suite 111
Tustin, CA 92780
(Mailing Address)
P.O. Box 2422
Tustin, CA 92781
Main: (714) 544-0980
Fax: (714) 544-1979
(Claims Processed by Employer's Name for California
or Nation-Wide, Depending on Account)
PAULA INSURANCE COMPANY
PAN PACIFIC BENEFIT ADMINISTRATORS
(See Intercare Insurance Services)
PEGASUS RISK MANAGEMENT, INC.
642 Galaxy Way
Modesto, CA 95356
(Mailing Address)
P.O. Box 5038
Modesto, CA 95352-5038
Main: (888) 312-5246 - (209) 574-2800
Fax: (209) 574-2900
(Third Party Administrators)
-OOAK RIVER INSURANCE COMPANY
(See Berkshire Hathaway Homestate Companies
[BHHC])
PINNACLE RISK MANAGEMENT SERVICES, INC.
One Sierra Gate Plaza, Suite A-200
Roseville, CA 95678
(Mailing Address)
P.O. Box 120
Rocklin, CA 95677
Main: (916) 780-9250
Fax: (916) 780-9251
(Third Party Administrators)
OCTAGON RISK SERVICES, INC.
(See Sedgwick CMS)
OHIO CASUALTY GROUP OF INSURANCE COMPANIES
136 N. Third Street
Hamilton, OH 45025
Main: (800) 821-2010 - (513) 867-3900
Fax: (800) 830-5257
(Claims Processed by Employer's Name for
All of California)
POWER & ASSOCIATES
P.O. Box 4068
Paso Robles,
Robles CA 93447-4068
Main: (805) 239-3706
Fax: (805) 239-3690
(Third Party Administrators / Independent Adjusters)
-PPACIFIC COMPENSATION INSURANCE COMPANY
(See Cambridge Integrated Services Group, Inc.)
PREFERRED EMPLOYERS INSURANCE COMPANY
P.O. Box 85838
San Diego, CA 92186-5838
Main: (619) 688-3900
Fax: (619) 688-3913
(Claims Processed by Employer's Name
for All of California)
PACIFIC EAGLE INSURANCE GROUP, INC.
(See Sea Bright Insurance Company)
PACIFIC EMPLOYERS INSURANCE COMPANY
(See ACE USA)
PACIFIC GAS AND ELECTRIC COMPANY
Safety, Health and Claims Department
77 Beale St., 23rd Floor, B23H
San Francisco, CA 94105
(Mailing Address)
P.O. Box 7779
San Francisco, CA 94120-7779
Main: (415) 973-8700, Option # 2
Fax: (415) 973-7828
(Self-Insured)
PREFERRED RISK GROUP
(See Guideone Insurance)
PRESIDUIM, INC.
(See Cambridge Integrated Services Group, Inc.)
PRIVATE ADJUSTING CLAIMS SERVICES
9570 Center Avenue
Rancho Cucamonga, CA 91730-5814
(Mailing Address)
P.O. Box 2849
Rancho Cucamonga, CA 91729-2849
Main: (909) 481-4111
Fax: (909) 481-4110
(Third Party Administrators)
THE PACIFIC RIM ASSURANCE COMPANY
(See Broadspire)
PACIFIC STATES CASUALTY COMPANY
(See Ulico Insurance Group)
-Q-
PAN AMERICAN UNDERWRITERS, INC.
(See Intercare Insurance Services)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 19 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-R-
REPUBLIC WESTERN INSURANCE COMPANY
2721 N. Central Ave.
Phoenix, AZ 85004
Main: (800) 528-7134 - (602) 263-6520
Fax: (602) 745-6436
(Claims Processed by Employer's Name for Entire State of California)
RECON ADMINISTRATIVE SERVICES, INC.
(See Hammerman & Gainer, Inc.)
REDWOOD EMPIRE SCHOOLS INS. GROUP
5760 Skylane Blvd., Suite 100
Windsor, CA 95492-9742
Main: (707) 836-0779
Fax: (707) 836-9479
(Claims Processed by Injured's Name for Sonoma County School Districts)
F.A. RICHARD & ASSOCIATES
(See FARA / F.A. Richard & Associates)
RICOMP CLAIMS MANAGEMENT CORPORATION
P.O. Box 2837
Seal Beach, CA 90740
Main: (714) 503-1186
Fax: (714) 503-1006
(Third Party Administrators)
REDWOOD FIRE & CASUALTY INS. COMPANY
(See Berkshire Hathaway Homestate Companies [BHHC])
RELIANCE / UNITED PACIFIC INSURANCE
COMPANIES
(See Cambridge Integrated Services Group, Inc. Pasadena and Rancho Cordova offices)
RISK ENTERPRISE MANAGEMENT LIMITED
3230 E. Imperial Hwy., Suite 300
Brea, CA 92821
(Mailing Address)
P.O. Box 2314
Brea, CA 92822-2314
Main: (800) 347-2509 - (714) 579-2500
(Claims Processed by both Employer's and Injured's
Names for Entire State of California)
RENAISSANCE RISK MANAGEMENT
(See Aims)
REPUBLIC INDEMNITY COMPANY OF AMERICA
15821 Ventura Blvd., Suite 370
Encino, CA 91436-2936
(Mailing Address)
P.O. Box 20036
Encino, CA 91416-0036
Main: (818) 990-9860
Fax: (818) 382-1252
(Claims Processed by Employer's Name for Los Angeles, Orange Counties,
the Northern Portion of San Bernardino County, plus the following
3-digit Zip Code areas: 932, 933, 936, 937,938, 942, 952, 956, 957
958, 959, 960 and 961)
ROSS & CASTILLO
(See Tristar Risk Management - Fresno office)
REPUBLIC INDEMNITY COMPANY OF AMERICA
4995 Murphy Canyon Rd., Suite 401
San Diego, CA 92123-4366
(Mailing Address)
P.O. Box 85590
San Diego, CA 92186-5590
Main: (858) 292-7002 - Fax: (858) 292-4816
(Claims Processed by Injured's Address for Riverside,
San Bernardino, Imperial and San Diego Counties)
REPUBLIC INDEMNITY COMPANY OF AMERICA
4995 Murphy Canyon Rd., Suite 401
San Diego, CA 92123-4366
(Mailing Address)
P.O. Box 85590
San Diego, CA 92186-5590
Main: (858) 292-7002 - Fax: (858) 292-4816
(Claims Processed by Injured's Address for Riverside,
San Bernardino, Imperial and San Diego Counties)
938, 942, 952, 956, 957, 958, 959, 960 and 961)
ROYAL & SUN ALLIANCE
(Arrowpoint Capital Corp.)
Main: (800) 526-6235
RSKCO
(See Broadspire)
REPUBLIC INDEMNITY COMPANY OF AMERICA
100 Pine St., Suite 1400
San Francisco, CA 94111-5167
(Mailing Address)
P.O. Box 7878
San Francisco, CA 94120-7878
Main: (415) 981-3200
Fax: (415) 954-1178
(Claims Processed by Injured's Name for the following
3-digit Zip Code areas: 939,940.941.943,944, 946, 947,
948,949, 950, 951, 954 and 955)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 20 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-S-
SEABRIGHT INSURANCE COMPANY
681 S. Parker St., Suite 220
Orange, CA 92868-4719
(Mailing Address)
P.O. Box 11027
Orange, CA 92856-8127
Main: (800) 664-9420 - (714) 918-5900
Fax: (714) 918-5972
(Claims Processed by Insured's Name)
ST. PAUL FIRE & MAINE INSURNACE COMPANY
(See Travelers)
ST. PAUL TRAVELERS
(See Travelers)
SAFECO INSURANCE GROUP
P.O. Box 515097
Los Angeles, CA 90051-5097
Main: (800) 332-3226
(Claims Processed for All of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Long Beach Office)
P.O. Box 14563
Lexington, KY 40512-4563
Main: (562) 981-1700
Fax: (562) 981-1745
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
SAFEWAY, INC.
P.O. Box 9077
Pleasanton, CA 94566-9077
Main: (800) 535-0009 - (925) 469-7900
Fax: (925) 469-7011
(Self-Insured. Claims Processed by Injured's Name
for Northern California, Northern Nevada and Hawaii)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 956914
Los Angeles, CA 90095-6914
Main: (310) 794-8247
Fax: (310) 794-8269
(Claims Handled for Regents of University of
California, University of California at Los Angeles
University of California at Santa Barbara, UCLA Medical
Center, UCLA, NPI/NPH and Santa Monica UCLA
Medical Center)
SAN DIEGO GAS & ELECTRIC
(Sempra Energy)
8306 Century Park Ct., Suite 41C
San Diego, CA 92123-9831
Main: (858) 636-5511; 5513
Fax: (858) 636-5510
(Claims Processed by Injured's Name for
San Diego and Orange Counties)
SANTA ANA UNIFIED SCHOOL DISTRICT
1601 E. Chestnut Avenue
Santa Ana, CA 92701
Main: (714) 558-5856
Fax: (714) 480-5320
(Self-Insured)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 2063
Oakland, CA 94604-2063
Main: (510) 302-3180
Fax: (510) 302-3277
(Claims Handled for Regents of University of California
Office of The President
University of California at Berkley
University of California at Merced
University of California at San Francisco
University of California at Santa Cruz
Lawrence Berkley Laboratory and
Lawrence Livermore Laboratory)
SCHOOLS INSURANCE AUTHORITY
9800 Old Placerville Rd.
Sacramento, CA 95827
(Mailing Address)
P.O. Box 276710
Sacramento, CA 95827-6710
Main: (916) 364-1281
Fax: (916) 362-2824
(Self-Insured Claims Administrators. Claims Processed
for Various School Districts throughout Northern California)
SCOTT WETZEL SERVICES, INC.
(See Novapro Risk Solutions, L.P.)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 2066
Oakland, CA 94604-2066
Main: (510) 302-3000
Fax: (510) 302-3263
(Claims Processed by Employer's Name for Catholic Healthcare West [CHW])
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 21 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 2078
Oakland, CA 94604-2078
Main: (888) 777-0012 - (510) 302-3000
Fax: (510) 302-3267
(Claims Processed by Employer's Name for CSU
Campuses in Bakersfield, Dominguez Hills, Hayward,
Humboldt, Long Beach, Monterey Bay, Pomona,
San Francisco, San Jose, San Marcos, Sonoma,
and Maritime Academy)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 3110
Rancho Cordova, CA 95741-3110
Main: (916) 851-8000
Fax: (916) 851-8078
(Third Party Administrators for all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 3170
Rancho Cordova, CA 95741-3170
Main: (916) 851-8000
Fax: (916) 851-8079
(Claims Processed by Employer's Name for CSU Campuses
in Channel Islands, Chico, Fresno, Fullerton, Los Angeles
Northridge, Sacramento, San Diego, San Luis Obispo, and
the Chancellor's office)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Ontario Office)
P.O. Box 14627
Lexington, KY 40512-4627
Main: (909) 477-5500
Fax: (866) 224-4607
(Third Party Administrators. Claims Processed
by Employers Name for all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Riverside Office)
P.O. Box 14440
Lexington, KY 40512-4440
Main: (866) 568-8924 - (951) 248-8800
Fax: (951) 248-8765
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Orange Office)
P O Box 14442
P.O.
Lexington, KY 40512-4442
Main: (800) 854-6188 - (714) 258-5000
Fax: (714) 258-5001
(Third Party Administrators. Claims Processed
by Employers Name for all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Sacramento Office)
P.O. Box 14433
Lexington, KY 40512-4433
Main: (916) 771-2900
Fax: (916) 771-2990
(Third Party Administrators. Claims Processed by Employers
Name for all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 14237
Orange, CA 92863
Main: (714) 634-3451
Fax: (714) 937-5900
(Claims Handled for Regents of
University of California at Irvine and UCI Medical Center)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 526012
Sacramento, CA 95852-6012
Main: (916) 929-3506
Fax: (916) 925-2673
(Claims Handled for Regents of University of California
and University of California at Davis and
UCD Medical Center)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Pasadena Office)
P.O. Box 14623
Lexington, KY 40512-4623
Main: (626) 397-9200
Fax: (626) 397-9250
(Third Party Admin. Claims Processed by Injured's
Name for Los Angeles Unified School Dist. [LAUSD] only)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 22 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 639028
San Diego, CA 92163-9028
Main: (619) 294-2178
(Claims Handled for Regents of University of
California and University of California at San Diego,
UCSD Medical Center, University of California at Irvine
UCI Medical Center and Univ. of California at Riverside)
SENTRY INSURANCE
(Sentry Claims Center)
P.O. Box 11524
Santa Ana, CA 92711-1524
Main: (800) 253-8672
Fax: (949) 930-6111
(Claims Processed by Employer's Name for all of California)
SENTRY INSURANCE
(Sentry Claims Center)
9060 E. Via Linda Blvd.
Scottsdale, AZ 85258
(Mailing Address)
P.O. Box 29466
Phoenix, AZ 85038-9466
Main: (800) 833-2244 - (480) 860-7000
Fax: (480) 860-7987
(Claims Processed by both Employer's and Injured's Names for
the Entire States of Arizona, California, Hawaii, Idaho, Alaska
Colorado, New Mexico, Texas, Oregon, Oklahoma, Wyoming,
and Utah)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
2800 W. March Lane, Suite 480
Stockton, CA 95219
Main: (209) 957-5419
Fax: (209) 957-5325
(Claims Processed by Employer's Name for Catholic
Healthcare West Hospitals, Northern California only)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Formerly Octagon Risk Services, Inc.)
P.O. Box 1027
Van Nuys, CA 91408-1027
Main: (818) 997-3500
(Third Party Administrators. Claims Processed for
Southern California and Arizona)
SENTRY INSURANCE
(Sentry Claims Center)
P.O. Box 8032
Stevens Point, WI 54481
Main: (800) 739-3344 - (715) 346-6000
Fax: (715) 346-9708
(Claims Processed by both Employer's Names for
all of California)
SEDGWICK CMS
SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
(Walnut Creek Office)
P.O. Box 14421
Lexington, KY 40512-44421
Main: (925) 933-9560
Fax: (925) 933-9559
(Third Party Administrators. Claims Processed by
Employer's Name for all of California)
SOUTHERN CALIFORNIA EDISON COMPANY
8631 Rush St., Fourth Floor
Rosemead, CA 91770-3738
Main: (626) 302-6890
Fax: (626) 302-4790
(Self-Insured. Claims Processed by Injured's Name)
SOUTHERN CALIFORNIA GAS COMPANY
(Sempra Energy)
555 W. Fifth St., M.L. 16CO
Los Angeles, CA 90013
(Mailing Address)
P.O. Box 30937
Los Angeles, CA 90030-0937
Main: (213) 244-3145
(Self-Insured / Self Administered)
SELF-INSURED MANAGEMENT SERVICES
(See Tristar Risk Management )
SELF-INSURED SCHOOLS OF CALIFORNIA
1300 - 17th Street
Bakersfield, CA 93301
(Mailing Address)
P.O. Box 1847
Bakersfield, CA 93303-1847
Main: (661) 636-4710
Fax: (661) 636-4721
(Claims Processed by [Member] School Districts
for Kern, Inyo, and Mono Counties, plus
Trona School District in San Bernardino County)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 23 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
SOUTHERN CALIFORNIA RISK MANAGEMENT
ASSOCIATES, INC.
18625 Sutter Blvd., Suite 500
Morgan Hill, CA 95037-2862
Main: (408) 782-1074
Fax: (408) 776-9001
(Claims Processed by Employer's, then Injured's Name)
SPECIALTY RISK SERVICES, LLC
P.O. Box 591
Burbank, CA 91503-0591
Main: (800) 999-3945 - (818) 525-2400
Fax: (818) 955-9925
(Third Party Administrators. Claims Processed
by Employer's Name for California, Colorado and Utah)
SOUTHERN CALIFORNIA RISK MANAGEMENT
ASSOCIATES, INC.
1801 N. Solar Dr., Suite 190
Oxnard, CA 93030-8226
Main: (805) 288-4100
Fax: (805) 988-9101
(Claims Processed by Employer's, then Injured's Name)
SPECIALTY RISK SERVICES, LLC
6140 Stoneridge Mall Rd., Suite 245
Pleasanton, CA 94588-3233
(Mailing Address)
P.O. Box 8116
Pleasanton, CA 94588
Main: (877) 809-9478 - (925) 225-8400
Fax: (925) 227-0996
(Claims Processed by Account Name, Statewide)
SOUTHERN CALIFORNIA RISK MANAGEMENT
ASSOCIATES, INC.
313 E. Foothill Blvd.
Upland, CA 91786-3952
Main: (909) 608-7171
Fax: (909) 608-7165
(Claims Processed by Employer's, then Injured's Name)
SPECIALTY RISK SERVICES, LLC
(Inland Empire)
1420 Iowa Ave., Suite 200
Riverside, CA 92507
(Mailing Address)
P.O. Box 59907
Riverside, CA 92517
Main: (888) 737-7726 - (951) 715-3948
Fax: (951) 715-2701
(Claims Processed by Account Name, Statewide)
Bakersfield, CA 93311
(Mailing Address)
P.O. Box 3171
Suisun City, CA 94585-6171
Main: (661) 664-4000
Fax: (661) 664-4101
(Claims Processed by Employer's Name for All of Kern County)
SOUTHERN CALIFORNIA RISK MANAGEMENT
ASSOCIATES, INC.
28235 Newhall Ranch Rd.,
Rd Suite 250
Valencia, CA 91355-0986
Main: (661) 775-9550
Fax: (661) 775-9554
(Claims Processed by Employer's, then Injured's Name)
SOUTHLAND CLAIMS SERVICE, INC.
7761 Garden Grove Blvd.
Garden Grove, CA 92841
(Mailing Address)
P.O. Box 958
Garden Grove, CA 92842-0958
Main: (714) 772-1933
Fax: (714) 772-7718
(Claims Processed for all of California)
SPRINGFIELD INSURANCE COMPANY/GMIS
874 S. Village Oaks Drive
Covina, CA 91724-3614
(Mailing Address)
P.O. Box 3029
Covina, CA 91722-9029
Main: (800) 821-3364 - (626) 915-1951
Fax: (626) 967-2548
(Claims Processed by Employer's Name for All of California)
SPECIALTY RISK SERVICES, LLC
One Pointe Dr., Suite 220
Brea, CA 92821
(Mailing Address)
P.O. Box 7007
La Habra, CA 90632-7007
Main: (800) 221-5473 - (714) 674-1000
Fax: (714) 674-4602
(Claims Processed by Account Name, Statewide)
STATE COMPENSATION INSURANCE FUND
(Bakersfield District Office)
9801 Camino Media
Bakersfield, CA 93311
(Mailing Address)
P.O. Box 3171
Suisun City,CA 94585-6171
Main: (661) 664-4000
Fax: (661) 664-4101
(Clains Processed by Employer's Name for Kern County.)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 24 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
STATE COMPENSATION INSURANCE FUND
STATE CONTRACT SERVICES
400 Citadel Dr., Suite 100
Commerce, CA 90040
(Mailing Address)
P.O. Box 910932
Commerce, CA 90091-0932
Main: (323) 727-5600
Fax: (323) 727-5710
(Claims Processed for State of California Employees
only, including all State Agencies)
STATE COMPESATION INSURANCE FUND
(State Contract Services)
2901 N. Ventura Road, Suite 100
Oxnard, CA 93030
(Mailing Address)
P.O. Box 9230
Oxnard, CA 93031-9045
Main: (805) 988-8600
Fax: (805) 981-3410
(Claims Processed for State of California Employees
only, including all State Agencies)
STATE COMPENSATION INSURANCE FUND
(Eureka District Office & State Contract Services)
2440 Sixth Street
Eureka, CA 95501
(Mailing Address)
P.O. Box 4973
Eureka, CA 95502-4973
Main: (707) 443-9721
(Claims Processed by Employees Name for Humboldt
and Del Norte Counties, plus the State of California
Employees, including all State Agencies)
STATE COMPENSATION INSURANCE FUND
(Bay Area Claims Services)
5880 Owens Drive
Pleasanton, CA 94588
(Mailing Address)
P.O. Box 3171
Suisan City, CA 94585-6171
Main: (925) 523-5200
(Claims Processed by Employer's Name for Alameda,
Contra Costa, San Francisco and San Mateo Counties,
plus the Vallejo City area)
STATE COMPENSATION INSURANCE FUND
(Fresno District Office)
10 River Park Place East,
East Third Floor
Fresno, CA 93720
(Mailing Address)
P.O. Box 65005
Pinedale, CA 93650-5005
Main: (559) 433-2700
(Claims Processed by Employer's Name for all of Fresno,
Kings, Madera, and Tulare, Counties)
STATE COMPENSATION INSURANCE FUND
(Redding District Office)
2175 Shasta View Drive
Redding, CA 96003
(Mailing Address)
P.O. Box 3171
Suisun City, CA 94585-6171
Main: (530) 223-7000
Claims Processed by employer's Name for Butte, Glenn,
Tehama, Shasta, Trinity, Plumas, Modoc, Siskiyou
and Lassen Counties)
STATE COMPENSATION INSURANCE FUND
(Los Angeles Claims Services)
655 N. Central Ave., Suite 200
Glendale, CA 91203-1400
(Mailing Address)
P.O. Box 92622
Los Angeles, CA 90009-2622
Main: (818) 291-7000 - Fax: (818) 291-7300
(Claims Processed by Employer's Name
for Los Angeles, plus San Fernando, Santa Clarita,
Antelope and San Gabriel Valleys)
STATE COMPENSATION INSURANCE FUND
(Riverside District Office)
6301 Day Street
Riverside, CA 92507
(Mailing Address)
P.O. Box 92622
Los Angeles, CA 90009-2622
Main: (951) 656-8300
Fax: (951) 653-1597
(Claims Processed by Employer's Name for Riverside County)
STATE COMPENSATION INSURANCE FUND
(Oxnard District Office)
2901 N. Ventura Rd.
Oxnard, CA 93030
(Mailing Address)
P.O. Box 65005
Pinedale, CA 93650-5005
Main: (805) 988-5300
Fax: (805) 988-5528
(Claims Processed by Employer's name for Ventura,
Santa Barbara and San Luis Obispo Counties)
STATE COMPENSATION INSURANCE FUND
(State Contract Services)
6301 Day Street
Riverside, CA 92507-0902
(Mailing Address)
P.O. Box 59901
Riverside, CA 92517-1901
Main: (951) 697-7300
Fax: (951) 697-7301
(Claims Processed for State of California Employees
only, including all State Agencies)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 25 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
STATE COMPENSATION INSURANCE FUND
(State Contract Services)
5900 State Farm Drive., Suite 200
Rohnert Park, CA 94928-2149
(Mailing Address)
P.O. Box 1609
Rohnert Park, CA 94927-1609
Main: (707)586-5000
Fax: (707) 586-5199
(Claims Processed for State of California Employees
only, including all State Agencies)
STATE COMPESATION INSURANCE FUND
Claims Management Service (TPA Program)
451 E. Vanderbilt Way, Suite 200
San Bernardino, CA 92408
(Mailing Address)
P. O. Box 1806
San Bernardino, CA 92402-1806
Main: (909) 380-7488
Fax: (909) 380-7495
STATE COMPESATION INSURANCE FUND
(San Diego District Office)
10105 Pacific Heights Blvd.
San Diego, CA 92121-4214
(Mailing Address)
P. O. Box 65005
Pinedale, CA 93650-5005
Main: (858) 552-7100
Fax: (858) 552-7110
(Claims Processed by Employer's Name for
Imperial and San Diego Counties)
STATE COMPENSATION INSURANCE FUND
(Sacramento District Office)
2275 Gateway Oaks Drive., Third floor
Sacramento, CA 95833
(Mailing Address)
P.O. Box 3171
Suisun City, CA 94585-6171
Main: (916) 924-5100
(Claims Processed by Employer's name for Sacramento,
Solano, Yolo, Colusa, Sutter, Yuba, Nevada, Sierra,
Placer and El Dorado Counties)
STATE COMPESATION INSURANCE FUND
(San Jose District Office)
6203 San Ignacio Avenue
San Jose, CA 95119
(Mailing Address)
P. O. Box 3171
Suisun City, CA 94585-6171
Main: (408) 363-7400
Fax: (408) 363-7866
(Claims Processed by Employer's Name for Santa Clara,
Santa Cruz, San Benito and Monterey Counties)
STATE COMPENSATION INSURANCE FUND
(State Contract Services)
2450 Venture Oaks Way.,
Way Suite 500
Sacramento, CA 95833
(Mailing Address)
P.O. Box 659011
Sacramento, CA 95865-9011
Main: (916) 567-7500
Fax: (916) 567-7511
(Claims Processed for State of California Employees
only, including all State Agencies)
STATE COMPESATION INSURANCE FUND
Orange County Claims Services
1750 E. Fourth St., Third Floor
Santa Ana, CA 92705
(Mailing Address)
P. O. Box 65005
Pinedale, CA 93650-5005
Main: (714) 565-5000
Fax: (714) 565-5801
(Claims Processed by Employer's Name for
Orange County)
STATE COMPENSATION INSURANCE FUND
Claims Management Service (TPA Program)
2450 Venture Oaks Way., Suite 230
Sacramento, CA 95833
(Mailing Address)
P.O. Box 255127
Sacramento, CA 95865-5127
Main: (916) 567-7775
Fax: (916) 567-7776
STATE COMPENSATION INSURANCE FUND
(San Bernardino District Office)
375 W. Hospitality Lane
San Bernardino, CA 92408
(Mailing Address)
P.O. Box 92622
Los Angeles, CA 90009-2622
Main: (800) 342-7214 - (909) 384-4500
Fax: (909) 384-4646
(Claims Processed by Employer's name for
San Bernardino, and Inyo Counties)
STATE COMPESATION INSURANCE FUND
Claims Management Service (TPA Program)
(Main Office of CMS)
1750 E. Fourth St., Suite 260
Santa Ana, CA 92705
(Mailing Address)
P.O. Box 11828
Santa Ana, CA 92711-1828
Main: (714) 565-7000
Fax: (714) 565-7001
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 26 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
STATE COMPESATION INSURANCE FUND
(Santa Rosa District Office)
1450 Neotomas Avenue
Santa Rosa, CA 95405
(Mailing Address)
P. O. Box 65005
Pinedale, CA 93650-5005
Main: (707) 573-6300
(Claims Processed by Employer's Name for
Marin, Sonoma, Mendocino, Lake and Napa Counties)
TOKIO MARINE MANAGEMENT / TOKIO MARINE AND
FIRE INSURANCE COMPANY, LTD. AND
TRANSPACIFIC INSURANCE COMPANY
(Western Regional Claims Division)
800 E. Colorado Blvd.
Pasadena, CA 91101
(Mailing Address)
P. O. Box 7127
Pasadena, CA 91109-7127
Main: (626) 568-7600
(Claims Processed by Employer's Name for
all States West of the Rocky Mountains, plus Texas,
Alaska and Hawaii)
STATE COMPESATION INSURANCE FUND
(Stockton District Office)
3247 W. March Lane
Stockton, CA 95219
(Mailing Address)
P. O. Box 3171
Suisin, CA 94585-6171
Main: (209) 476-2600
Fax: (209) 476-2750
(Claims Processed by Employer's Name for
San Joaquin, Stanislaus, Alpine, Mono, Merced, Amador,
Calaveras, Mariposa and Tuolumne Counties)
TOPA INSURANCE COMPANY
P. O. Box 67810
Los Angles, CA 90067
Main: (310) 201-0451
Fax: (310) 286-7495
(Claims Processed by Employer's Name for
all California)
TRANSCONTINENTAL INSURANCE COMPANY
(See CNA)
STATE FARM FIRE & CASUALTY COMPANY
900 Old River Rd.
Bakersfield CA 93311-6000
Bakersfield,
Main: (661) 663-5634 (800) 749-9703
Fax: (661) 663-5705
(Claims Processed by Employer's Name for
all California)
TRANSPACIFIC INSURANCE COMPANY
(see Tokyo Marine Management / Tokyo Marine and Fire
Insurance Company, ltd.)
TRAVELERS
THE TRAVELERS COMPANIES, INC.
21688 Gateway Center Drive
Diamond Bar, CA 91765-8511
(Mailing Address)
P. O. Box 6510
Diamond Bar, CA 91765-8510
Main: (800) 258-3710 - (909) 612-3000
Fax: (877) 801-9677
(Claims Processed by Employer's Name for
Los Angeles, Orange, Riverside, San Diego, San
Bernardino, Imperial, Ventura, Santa Barbara and San
Luis Obispo Counties)
STERLING ADMINISTRATIVE SERVICES, INC.
(See Cambridge Integrated Services Group,
INC. - Pasadena and Rancho Cordova offices)
SUPERIOR NATIONAL INSURANCE COMPANY
(See Broadspire)
SUPERIOR PACIFIC INSURANCE GROUP
(See Broadspire)
SUTTER HEALTH
1014 W. North Market Blvd., Suite 40
Sacramento, CA 95834
(Mailing Address)
P.O. Box 160066
Sacramento, CA 95816
Main: (916) 561-6500
Fax: (916) 561-6501
(Self Insured/Self-Administered)
TRAVELERS
THE TRAVELERS COMPANIES, INC.
333 City Blvd. West, Suite 1100
Orange, CA 92868
(Mailing Address)
P. O. Box 14246
Orange, 92863-1246
Main: (800) 221-3974 - (714) 620-1200
Fax: (866) 577-8331
(Claims processed by both Employer's and Injured's Names
for all of California)
-TTIG INSURANCE COMPANY
(See Risk Enterprise Management Limited)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 27 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
TRAVELERS
THE TRAVELERS COMPANIES, INC.
P. O. Box 13089
Sacramento. CA 95813-4089
Main: (800) 727-3995
Fax: (877) 749-0077
(Claims processed by Employer's Name for
Northern California)
TRISTAR RISK MANAGEMENT
3333 Camino Del Rio So., Suite 340
San Diego, CA 92108
(Mailing Address)
P. O. Box 880287
San Diego, Ca 92168-0287
Main: (619) 238-5888
Fax: (619) 299-1315
(Claims processed by Injured's Name for all of California)
TRAVELERS
THE TRAVELERS COMPANIES, INC.
215 Lennon Lane
Walnut Creek, CA 94596
(Mailing Address)
P. O. Box 8112
Walnut Creek, CA 94596-8112
Main: (800) 842-7354 - (925) 945-4000
Fax: (877) 801-9679
(Claims processed by Employer's Name for
Northern California)
TRISTAR RISK MANAGEMENT
8665 Gibbs Dr., Suite 200
San Diego, CA 92123
(Mailing Address)
P. O. Box 600630
San Diego, CA 92160
Main: (877) 715-8044 - (858) 715-8800
Fax: (858) 715-8801
(Claims Processed by Injured's Name for all of California)
TRAVELERS INSURANCE COMPANY
(See Travelers)
THE TRAVELERS PROPERTY CASUALTY CORPORATION
(See Travelers)
TRISTAR RISK MANAGEMENT
744 E. Bullard Ave.
Fresno, CA 93710
Main: (559) 432-1260
Fax:(559) 432-1267
(Claims processed by Injured's name for all California)
TRISTAR RISK MANAGEMENT
390 N. Wiget Lane
Walnut Creek, CA 94598-2489
(Mailing Address)
P. O. Box 9350
Walnut Creek, CA 94598-0950
Main: (925) 930-9883
Fax: (925) 930-0550
(Claims Processed by Injured's Name for all of California)
TRISTAR RISK MANAGEMENT
(L. A. County Claims - Sheriffs' Dept. only)
P. O. Box 19775
Irvine, CA 92623-9775
Main: (800) 782-5888 - (949) 635-3125
Fax: (949) - 635-3175
(Self-Insured. Claims processed for County of Los
Angeles [ Sheriffs' Department only ] )
TRUCK INSURANCE EXCHANGE
(See Farmers Insurance Group)
TWIN CITY FIRE INSURANCE COMPANY
(See The Hartford)
-U-
TRISTAR RISK MANAGEMENT
P. O. Box 512028
Los Angeles, CA 90051-2028
Main: (562) 506-0300
Fax: (562) 981-0804
(Claims processed by Injured's Name for all of California)
ULICO INSURANCE GROUP
P. O. Box 5131
Chino, CA 91708-5131
Main: (800) 408-7222 - (909) 393-5100
Fax: (909) 393-5110
TRISTAR RISK MANAGEMENT
P. O. Box 277490
Sacramento, CA 95827-7490
Main: (916) 631-0415
Fax: (916) 638-5090
(Claims processed by Injured's Name for all of California)
ULICO STANDARD OF AMERICA
(See Ulico Insurance Group)
UNDERWRITERS ADJUSTING COMPANY
(See CNA)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
TRISTAR RISK MANAGEMENT
P. O. Box 11967
Santa Ana, CA 92711-1967
Main: (714) 543-0700
Fax: (714) 542-7617
(Claims Processed by Injured's name for all of California)
Toll Free: (800) 737-8840
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Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
UNICARE INSURANCE COMPANY
(See Cambridge Integrated Services Group, Inc.)
UNITED STATES DEPARTMENT OF LABOR …cont'd
Division of Federal Employees' Compensation
Mailing addr. for medical reports, bills and case corresp.:
U. S. Department of Labor
DFEC Central Mailroom - District 13
P. O. Box 8300
London, KY 40742-8300)
Division of Longshore & Harbor Workers' Compensation
P. O. Box 193770
San Francisco, CA 94119-3770
Main: (415) 625-7669
Fax (415) 625-7470
(Claims processed by Injured's Name for
States of California, Arizona, Nevada and Hawaii)
Division of Longshore & Harbor Workers' Compensation
401 E. Ocean Blvd., Suite # 720
Long Beach, CA 90802
Main: (562) 980-3577
Fax: (562) 980-3587
(Claims processed by Injured's Name for
States of California, Arizona, Nevada and Hawaii)
UNIGARD INSURANCE COMPANY
15805 N.E. 24th St.
Bellevue, WA 98008-2409
(Mailing Address)
P. O. Box 90701
Bellevue, WA 98009-0701
Main: (800) 777-1757 - (425) 562-5264
Fax: (425) 562-5258
(Claims processed by Injured's Name for
all California)
UNINSURED EMPLOYERS BENEFIT TRUST FUND
CLAIMS UNIT
320 W. Fourth St., Suite 690
Los Angeles, CA 90013
Main: (213) 576-7300
Fax: (213) 576-7304
(Claims Processed by Injured's Name for all of
Southern California)
U. S. FIDELITY AND GUARANTY COMPANY
(See Travelers)
UNINSURED EMPLOYERS BENEFIT TRUST FUND
CLAIMS UNIT
1515 Clay Street., 17th Floor
Oakland CA 94142-9397
Oakland,
(Mailing Address)
P.O. Box 429397
San Francisco, CA 94142-9397
Main: (510) 286-7067
Fax: (510) 286-6997
(Claims processed by Injured's Name)
UNITED STATES FIRE INSURANCE COMPANY
(See Crum & Forster)
UNIVERSAL UNDERWRITERS GROUP
(See Zurich Direct Underwriters)
USA CASUALTY
(See Ulico Insurance Group)
UNINSURED EMPLOYERS BENEFIT TRUST FUND
SUBSEQUENT INJURIES FUND
CLAIMS UNIT
2424 Arden Way, Suite 355
Sacramento, CA 95825
Main: (916) 263-2774
Fax: (916) 263-0971
(Claims Processed by Injured's Name)
UTICA NATIONAL INSURANCE COMPANY
P. O. Box 6554
Utica, NY 13504-6554
Main: (800) 678-8422, (972) 677-6700
Fax: (315) 266-4127
(Claims Processed for 19 Western States, including California and Texas)
UNITED PACIFIC-RELIANCE INSURANCE COMPANY
(See Cambridge Integrated Services Group, Inc. - Pasadena and Rancho
Cordova Offices)
VIGILANT INSURANCE COMPANY
(See Chubb Group of Insurance companies)
-V-
VONS, A SAFEWAY COMPANY
(Risk Management Department)
(W.C. Claims Unit)
618 Michillinda Ave.
Arcadia, CA 91007-1734
(Mailing Address)
P. O. Box 60008
Arcadia, CA 91066-6008
Main: (626) 821-7149
Fax: (626) 821-7915
(Self-Insured Administrators. Claims Processed by Injured's Name
for All of California)
UNITED STATES DEPARTMENT OF LABOR
(Office of Worker's Compensation Programs)
90 Seventh St., Suite 15300
San Francisco, CA 94103-6716
(Mailing Address)
P. O. Box 193769
San Francisco, Ca 94119-3769
Main: (415) 625-7500
Fax: (415) 625-7450
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
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Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
-W-
-Y-
WARD NORTH AMERICA, INC.
(See Novapro Risk Solutions, L.P.)
YASUDA FIRE & MARINE INSURANCE COMPANY
OF AMERICA
(See Broadspire - Fresno office)
WARNER BROTHERS STUDIOS FACILITIES
(Workers' Compensation Department)
4000 Warner Blvd.
Burbank, CA 91522
Main: (818) 977-3232
Fax: (818) 977-6787
-ZZENITH INSURANCE COMPANY
7440 N. Palm Ave., Suite 103
Fresno, CA 93711-5729
(Mailing Address)
P. O. Box 12546
Fresno, CA 93778-2546
Main: (800) 508-9910 - (559) 432-6660
Fax: (559) 436-8839
(Claim Processed by Employer's Name for Fresno, Inyo, Kern
Kings, Madera, Mariposa, Merced, Mono, San Luis Obispo,
Stanislaus, Tulare and Tuolumne Counties)
WASAU INSURANCE COMPANIES
P. O. Box 4025
Beaverton, OR 97076-4025
Main: (800) 424-0054 - (503) 626-4100
Fax: (603) 334-0307
(Claims Processed by Employer's Name for
California, Nevada and Hawaii)
ZENITH INSURANCE COMPANY
4309 Hacienda Dr., Suite 200
Pleasanton, CA 94588
(Mailing Address)
P. O. Box 8002
Pleasanton, CA 94588-8602
Main: (925) 460-0600
(Claims Processed by Employer's Name for Alameda, Alpine,
Amador, Butte, Calaveras, Colusa,Contra Cosrta, Del Norte,
El Dorado, Glenn, Humboldt, Lake Lassen, Marin, Mendocino,
Modoc, Monterey, Napa, Nevada, Placer, Plumas, Sacramento,
San Benito, San Francisco, San Joaquin, San Luis Obispo,
San Mateo, Santa Clara, Santa Cruz, Sierra, Siskiyoiu, Solano,
Sonoma, Shutter, Tehoma, Truinity, Yolo and Yuba Counties)
WEAR AND WOOD, INC.
(See Tristar Risk Management - San Diego office
[ Camino Del Rio So. ] )
WEST AMERICAN INSURANCE COMPANY
(See Ohio Casualty Group of Ins.
Ins Companies)
WESTERN GROWERS INSURANCE COMPANY
(See Intercare Insurance Services)
WESTERN SELF-INSURANCE SERVICES
619 Fifth St.
Eureka, CA 95501
Main: (707) 445-5496
Fax: (707) 445-5498
ZENITH INSURANCE COMPANY
(Mission Valley Office)
7676 Hazard Center Dr., Suite 1200
San Diego, CA 92108
Main: (619) 299-6252
Fax: (800) 533-6212
(Claims Processed by Employer's Name for Central and
South San Diego County [ South of the 56 Freeway ]
plus Imperial County)
WILLIS ADMINISTRATIVE SERVICES CORPORATION
(See ASC)
WILLIS CORRON ADMINISTRATIVE SERVICES CORP.
(See ASC)
WCA
WORKERS' COMPENSATION ADMINISTRATORS
265 E. Donovan Road
Santa Maria, CA 93454
Main: (805) 922-9157
Fax: (805) 349-2816
ZENITH INSURANCE COMPANY
420 Stevens Ave., Suite 300
Solana Beach, CA 92075
(Mailing Address)
7676 Hazard Center Dr., #1200
San Diego, CA 92108
Main: (858) 509-6100
(Claims Processed by Employer's Name for North San Diego
County [ North of the 56 Freeway])
WORKERS COMPENSATION AND INDEMNITY
COMPANY OF CALIFORNIA
(See Cambridge Integrated Services Group, Inc San Diego Office)
-X-
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 30 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
ZENITH INSURANCE COMPANY
21255 Califa Street
Woodland Hills, Ca 91367-5021
(Mailing Address)
P. O. Box 9055
Van Nuys, CA 91409-9055
Main: (800) 448-4356 - (818) 713-1000
Fax: (818) 713-8296
(Claims Processed by Employer's Name for Los Angeles,
Orange, Riverside, San Bernardino, Santa Barbara and
Ventura Counties)
ZURICH - AMERICAN INSURANCE COMPANIES
(See Zurich North America)
ZURICH DIRECT UNDERWRITERS
P. O. Box 2904
Shawnee Mission, KS 66201-1304
Main: (877) 549-3905
Fax: (877) 331-1700
(Claims Processed by Injured's Name for all of California)
ZURICH NORTH AMERICA
3249 Quality Dr., Suite 300
Rancho Cordova, CA 95670-6098
(Mailing Address)
P O.
P.
O Box 981030
West Sacramento, CA 95798
Main: (800) 239-4829
Fax: (800) 547-2487
(Claims Processed by Employer's Name for all of California)
ZURICH NORTH AMERICA
560 Mission St., 24th Floor
San Francisco, CA 94105
(Mailing Address)
P. O. Box 7774
San Francisco, CA 94120-7774
Main: (800) 701-4926 - (415) 538-7100
Fax: (415) 538-7150
(Claims Processed for Northern California, plus
States of Alaska, Hawaii, Oregon and Idaho)
ZURICH NORTH AMERICA
21300 Victory Blvd., Tenth Floor
Woodland Hills, CA 91367
(Mailing Address)
P. O. Box 92566
Los Angeles, CA 90009-2566
Main: (818) 227-1700
Fax: (818) 227-1740
(Claims Processed by Employer's Name for Southern
California and Arizona)
ZURICH U.S.
(See Zurich North America)
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
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Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
- NOTES & COMMENTS -
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 32 ) -
Fax: (800) 975-1653
2008 Worker's Comp Industrial Insurance Carriers
- NOTES & COMMENTS -
MATRIX DOCUMENT IMAGING, INC.
www.legal-records.com
Toll Free: (800) 737-8840
- ( 33 ) -
Fax: (800) 975-1653
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