92623 2008 WC IIC REFERENCE

User Manual: 92623

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Page Count: 38

2008 Worker's Comp Industrial Insurance Carriers

BRANCH OFFICE

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LISTINGS ( A thru Z)

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. 32 - 3

- TABLE OF CONTENTS -

I. WORKER'S COMP DEPARTMENT OF INDUSTRIAL RELATIONS

II. WORKER'S COMP INDUSTRIAL INSURANCE CARRIERS

III. NOTES & COMMENTS

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

Toll Free: (800) 737-8840

Fax: (800) 975-1653

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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

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 UEF Claims Unit:

(

916

)

263-2774

- BRANCH OFFICES -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- [ 1a ] -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

UEF Claims Unit: (510) 286 7067

UEF Claims Unit: (916) 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

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 92501-333

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

- BRANCH OFFICES -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- [ 2a ] -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

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

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 UEF Claims Unit:

(

510

)

286-7067

- BRANCH OFFICES -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- [ 3a ] -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

UEF Claims Unit: (213) 576 7300

UEF Claims Unit: (510) 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

AN NUYS OFFICE - VNO

100 Paseo de San Antonio., Room 241 6150 Van Nuys Blvd., Suite 105

San Jose, CA 95113-1402

an 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

AARLA AETNA CASUALTY & SURETY COMPANY

(See American All -Risk Loss Administrators) (See Travelers)

ACCA, INC. AID INSURANCE COMPANY (Mutual)

(See American Commercial Claims Administrators) (See Allied Insurance)

ACCELERATED CLAIMS SERVICES, INC. AIG DOMESTIC CLAIMS, INC.

P.O. Box 14190 (Costa Mesa Office)

Irvine, CA 92623-4190 P.O. Box 25978

Main: (714) 647-1120 Shawnee Mission, KS 66225-5978

(Third Party Administrators. Claims Processed by Main: (714) 4365-5100

Injured's Name for all of California) (Claims Processed for Central and Southern California)

ACCLAIM RISK MANAGEMENT, INC. AIG DOMESTIC CLAIMS, INC.

(See Frank Gates Acclaim, Inc.) (San Diego Office)

3131 Camino Del Rio North

ACE USA San Diego, CA 92108

(Northern California Regional Claims Center) (Mailing Address)

39300 Civic Center Drive., Suite 30

P.O. Box 25978

Fremont, CA 94538 Shawnee Mission, KS 66225-5978

(Mailing Address) Main: (800) 736-6671 - (619) 688-3700

P.O. Box 31083 Fax: (866) 739-6981

Tampa, FL 33631-3083 (Claims Processed for all of California)

Main:

(

866

)

751-3239 -

(

510

)

790-4600

- A -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 1 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

Main: (866) 751 3239 (510) 790 4600

Fax: (800) 366-0570 AIG DOMESTIC CLAIMS, INC.

(Claims Processed by Employer's name for all Counties (San Ramon Office)

North of Bakersfield to the Oregon Stateline) P.O. Box 25978

Shawnee Mission, KS 66225-5978

ACE USA Main: (800) 428-0906

(Southern California Regional Claims Center) Fax: (925) 901-2200

21860 Burbank Blvd., Suite 200 (Claims Processed for Northern California)

Woodland Hills, CA 91367

(Mailing Address) AIMS

P.O. Box 31051 ACCLAMATION INSURANCE MANAGEMENT SERVICES

Tampa, FL 33631-3051 P.O. Box 28100

Main: (800) 654-5374 - (818) 712-6300 Fresno, CA 93729

Fax: (800) 350-8299 Main: (559) 227-9891

(Claims Processed by Employer's Name for Orange, Fax: (559) 227-1579

Los Angeles, San Diego, Riverside, San Bernardino (Third Party Administrators)

Ventura, Santa Barbara, Kern Counties, and Hawaii)

AIMS

ADMINSURE, INC. ACCLAMATION INSURANCE MANAGEMENT SERVICES

1470 S. Valley Vista Drive., Suite 230 P.O. Box 269120

Diamond Bar, CA 91765 Sacramento, CA 95826-9120

Main: (909) 861-0816 Main: (800) 444-6157 - (916) 563-1900

(Self Insured Adminstrators. Claims Processed Fax: (916) 563-1919

by Employer's Name) (Third Party Administrators)

ADVENTIST HEALTH SYSTEM WEST AIMS

P. O. Box 619028 ACCLAMATION INSURANCE MANAGEMENT SERVICES

Roseville, CA 95661-9028 P.O. Box 937

Main: (916) 781-4649 Santa Clarita, CA 91380-0937

Fax: (916) 774-7320 Main: (661) 705-2900

(Self-Insured / Self Administered) Fax: (661) 705-2999

(Third Party Administrators)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 1 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

ALASKA NATIONAL INSURANCE COMPANY AMERICAN ALL-RISK LOSS ADMINISTRATORS

P.O. Box 193970 AARLA

San Francisco, CA 94119 4274 W. Richert Avenue

Main: (866) 355-2642 - (415) 245-5030 Fresno, CA 93722

Fax: (415) 248-5035 (Mailing Address)

www.alaskanational.com P.O. Box 9783

(Claims Processed by Injured's Name for all of California) Fresno, CA 93794-9783

Main: (800) 500-3744 - (559) 277-4960

ALLIANZ GLOBAL CORPORATE & SPECIALTY Fax: (559) 277-4961

2350 Empire Avenue (Third Party Administrators. Claims Processed by

Burbank, CA 91504-3350 Employer's name for all of California)

(Mailing Address)

P.O. Box 7782 AMERICAN ASSOCIATED INSURANCE COMPANY:

Burbank, CA 91510-7782 AMERICAN AUTO INSURANCE COMPANY

Main: (818) 260-7500 (See Fireman's Fund Insurance Companies)

Fax: (818) 260-7218

(Claims Processed by Injured's Name for all of California) AMERICAN CASUALTY COMPANY

ALLIED INSURANCE, A MEMBER OF NATIONWIDE INS. AMERICAN COMMERCIAL CLAIMS

1601 Exposition Blvd. ADMINISTRATORS ACCA, INC.

Sacramento, CA 95815 P.O. Box 85479

(Mailing Address) San Diego, CA 92186-5479

3820 - 109th Street., Dept. 5577 Main: (800) 661-6029

Des Moines, IA 50391-5577 Fax: (800) 661-6984

Main: (800) 552-2437 (Third Party Administrators, Claims Processed

Fax: (800) 742-1341 by Injured's Name for all of California)

(Claims Processed by Employer

s Name for all of California)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 2 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

(Claims Processed by Employer s Name for all of California)

AMERICAN COMMERCIAL CLAIMS

ALLIED INSURANCE COMPANY (MUTUAL) ADMINISTRATORS ACCA, INC.

(See Allied Insurance) P.O. Box 881716

San Francisco, CA 94188-1716

ALLSTATE INSURANCE COMPANY Main: (800) 661-6029- (415) 782-3800

(See Specialty Risk Services, LLC) Fax: (800) 661-6984

(Third Party Administrators. Claims Processed by

ALPHA FUND Injured's Name for all of California)

2969 Prospect Park Drive., Suite 250

Rancho Cordova, CA 95670 AMERICAN FIRE & CASUALTY COMPANY

(Mailing Address) (See Ohio Casualty Group or Ins. Companies)

P.O. Box 419068

Rancho Cordova, CA 95741-9068 AMERICAN GUARANTEE & LIABILITY COMPANY

Main: (800) 655-2667 - (916) 266-6100 (See Zurich North America)

Fax: (916) 266-0314

(Self- Insured administrators. Claims Administered for AMERICAN HARDWARE INSURANCE GROUP

District Hospitals in California) 5605 Green Circle Driv

Minnetonka, MN 55343

ALTERNATIVE SERVICE CONCEPTS (ASC) (Mailing Address)

5620 Birdcage St., Suite 130 P.O. Box 435

Citrus Heights, CA 95610-7691 Minneapolis, MN 55440-0435

Main: (800) 640-2264 - (916) 962-3190 Main: (800) 544- 8400

Fax: (916) 962-3195 Fax: (800) 841- 5339

(Third Party Administrators. Claims Processed by (Claims Processed by both Employers and Injured's

both Employer's and Injured's Names) Names for all of California)

AMERICAN HOME ASSURANCE COMPANY

(See AIG Domestic Claims, Inc.)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 2 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

AMERICAN INTERNATIONAL ADJUSTMENT CO., INC. ASSOCIATION CALIFORNIA HEALTHCARE DISTRICTS

(See Broadspire) (See Alpha Fund)

AMERICAN INSURANCE COMPANY (THE) ATHENS ADMINISTRATORS

(See Fireman's Fund Insurance Companies) P.O. Box 696

Concord, CA 94522

AMERICAN MOTORISTS INSURANCE COMPANY Main: (866) 826-3535 - (925) 826-1000

(See Broadspire) Fax: (925) 671-9183

(Claims Processed for all of California)

AMERICAN PROFESSIONAL RISK SERVICES, INC.

P.O. Box 897 AXIA SERVICES, INC.

Clovis, CA 93613-089

(See Travelers)

Main: (559) 299-2571

Fax: (559) 299-2572 - B -

(Third Party Administrators)

BEAVER INSURANCE COMPANY

AMERICAN PROTECTION INSURANCE COMPANY (See Cambridge Integrated Services Group, Inc.)

(See Broadspire)

BERKSHIRE HATHAWAY HOMESTATE COMPANIES

AMERON INTERNATIONAL Worker's Compensation Specialty Division

245 S. Los Robles Avenue 3452 E. Foothill Blvd., Suite 600

Pasadena, CA 91101-2820 Pasadena, CA 91107

(Mailing Address) (Mailing Address)

P.O. Box 7007 P.O. Box 7008

Pasadena, CA 91101-7007 Pasadena, CA 91109

Main: (626) 683-4000 Main: (800) 339-9809 - (626) 356-1700 -

(Self-Insured/Self-Administered)

Fax: (626) 356-1717

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 3 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

(Self

Insured/Self

Administered)

Fax: (626) 356

1717

APPLIED RISK SERVICES BERKSHIRE HATHAWAY HOMESTATE COMPANIES

CALIFORNIA INSURANCE COMPANY Worker's Compensation Specialty Division

P.O. Box 3804 P.O. Box 85479

Omaha, NE 68103 San Diego, CA 92186-5479

Main: (877) 234-4424 Main: (800) 661-6029

Fax: (402) 827-7955 Fax: (866) 820-0398

(Claims Processed by Employer's Name for all of

California) BERKSHIRE HATHAWAY HOMESTATE COMPANIES

Worker's Compensation Specialty Division

ARCMI P.O. Box 881716

ARKANSAS CLAIMS MANAGEMENT, INC. San Francisco, CA 94188-1716

(See Frank Gates Service Company) [El Dorado Hills] Main: (800) 661-6029 - (415) 782-3800

Main: (800) 339-1109 Fax: (800) 661-6984

ARGONAUT INSURANCE COMPANY BIERLY AND ASSOCIATES

5250 N. Palm Ave., Suite 210 (See Cambridge Integrated Services Group, Inc.)

Fresno, CA 93704

(Mailing Address) GREGORY B. BRAGG & ASSOCIATES, INC.

P.O Box 563 100 E. Cypress Ave., Suite 10

Fresno, CA 93755 Redding, CA 96000-1749

Main: (559) 447-7100 (Mailing Address)

Fax: (559) 447-7180 P.O. Box 491749-1749

(Claims Processed by both Employer's and Injured's Names for all of California) Redding, CA 96049-1749

Main: (530) 223-2574

ASSOCIATED CLAIMS MANAGEMENT, INC. Fax: (530) 223-2679

(See Tristar Risk Management) (Third Party Administrators)

ASSOCIATED INDEMNITY CORPORATION

(See Fireman's Fund Insurance Companies)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 3 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

BROADSPIRE BROADSPIRE

P.O. Box 2458 (Sacramento Claims Office)

Brea, CA 92822-2458 2920 Kilgore Rd., Suite 110

Main: (866) 780-4075 - (714) 579-8100 Rancho Cordova, CA 95670

Fax: (770) 777-6415 (Mailing Address)

www.choosebroadspire.com P.O. Box 10001

(Third Party Administrators. Claims Processed by

an Nuys, CA 91410-0001

Employer's Name for all of California) Main: (866) 817-4354 - (916) 636-4800

Fax: (770) 777-6417

BROADSPIRE

ww.choosebroadspire.com

1390 Willow Pass Rd., Suite 500 (Third Party Administrators. Claims Processed by

Concord, CA 94520 Employers Name for all of Northern California)

(Mailing Address)

P.O. Box 4124 BROADSPIRE

Concord, CA 94524-4124 4180 Ruffin Rd., Suite 185

Main: (925) 677-3400 San Diego, CA 92123

Fax: (770) 777-6413 Main: (858) 514-1340

www.choosebroadspire.com Fax: (770) 777-6420

(Third Party Administrators. Claims Processed

ww.choosebroadspire.com

by Employer's Name for Northern California) (Third Party Administrators. Claims Processed by

Employers Name for all of southern California)

BROADSPIRE

9131 Oakdale Avenue BROADSPIRE

Chatsworth, CA 91311 5 Hutton Centre Drive, Suite 300

(Mailing Address) Santa Ana, CA 92707

P.O. Box 10001 (Mailing Address)

Van Nuys CA 91410-0001

P O Box 66017

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 4 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

Van Nuys

CA 91410

0001

Box 66017

Main: (866) 817-4226 - (818) 407-2800

naheim, CA 92816-6017

Fax: (770) 777-6468 Main: (714) 428-7100

(Third Party Administrators. Claims Processed by Fax: (770) 777-6415

Employers Name for all of California)

ww.choosebroadspire.com

(Third Party Administrators. Claims Processed

BROADSPIRE by Employer's Name for Southern California)

P.O. Box 24016

Fresno, CA 93779 BUCKEYE CLAIMS ADMINISTRATORS, INC.

Main: (559) 271-3800 P.O. Box 3177

Fax: (559) 274-0270 Cerritos, CA 90703

(Third Party Administrators. Claims Processed by Main: (800) 584-8187 - (562) 926-8002

Employers Name for all of California) Fax: (562) 926-1254

ww.buckeyeclaims.co

BROADSPIRE (Third Party Administrators. Claims Processed

(Rancho Cordova Claims Office) by Injured's Name)

2920 Kilgore Rd., Suite 100

Rancho Cordova, CA 95670 - C -

(Mailing Address)

P.O. Box 15810 CALCOMP

Sacramento, CA 95852-0810 CALIFORNIA COMPENSATION INSURANCE COMPANY

Main: (916) 851-7500 (See Broadspire)

Fax: (770) 777-6414

www.choosebroadspire.com CALIFORNIA FAIR SERVICES AUTHORITY

(Third Party Administrators. Claims Processed by P.O. Box 15518

Employer's Name for all of California) 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

- ( 4 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

CALIFORNIA INSURANCE COMPANY CAMBRIDGE INTEGRATED SERVICES GROUP, INC.

(See Applied Risk Services) 5751 Copley Dr., Suite "A"

San Diego, CA 92111

CALIFORNIA INSURANCE GUARANTEE (Mailing Address)

ASSOCIATION P.O. Box 719025

P.O. Box 29066 San Diego, CA 92171

Glendale, CA 91209-9066 Main: (800) 327-6072 - (858) 514-1800

Main: (818) 844-4300 Fax: (858) 569-0342

Fax: (818) 291-1863 (Third Party Administrators. Claims also processed for

www.caiga.org Worker's Compensation and Indemnity Company of California,

Citation Insurance Company, Fremont Indemnity Company,

CAMBRIDGE INTEGRATED SERVICES GROUP, INC. and Fremont Compensation Insurance Group)

901 Civic Center Dr., Suite 230

Santa Ana, CA 92703-2561 CANNON COCHRAN MANAGEMENT

(Mailing Address) SERVICES, INC.

P.O. Box 1738 1800 Sutter St., Suite 200

Santa Ana, CA 92702 Concord, CA 94520

Main: (714) 547-0955 Main: (925) 685-0653

Fax: (714) 547-0473 Fax: (925) 685-0725

(Third Party Administrators) (Third Party Administrators)

CAMBRIDGE INTEGRATED SERVICES GROUP, INC. CHEVRON CORPORATION

2300 Clayton Rd., Suite 900 6001 Bollinger Canyon Road

Concord, CA 94520 San Ramon, CA 94583

(Mailing Address) (Mailing Address)

P.O. Box 4142 P.O. Box 6022

Concord CA 94524-4142

San Ramon CA 94583-0722

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Concord

CA 94524

4142

San Ramon

CA 94583

0722

Main: (925) 603-5500 Main: (925) 842-8184

Fax: (925) 603-5581, 5502 Fax: (925) 842-8185

(Third Party Administrators) (Claims Processed for all of California)

CAMBRIDGE INTEGRATED SERVICES GROUP, INC. CHUBB GROUP OF INSURANCE COMPANIES

2923 Bradley Street 801 S. Figueroa St., Suite 2400

Pasadena, CA 91107 Los Angeles, CA 90017-5556

(Mailing Address) (Mailing Address)

P.O. Box 29106 P.O. Box 30850

Glendale, CA 91209-9106 Los Angeles, CA 90030-0850

Main: (800) 542-7597 - (626) 296-4200 Main: (800) 262-4459 - (213) 612-0880

Fax: (626) 296-4220 Fax: (213) 612-5746

(Third Party Administrators) (Claims Processed by Injured's name for Los Angeles,

Ventura, Santa Barbara, Kern, Orange, Riverside,

CAMBRIDGE INTEGRATED SERVICES GROUP, INC.

San Bernandino, San Diego and Imperial Counties,

11030 White Rock Rd., Suite 110 plus the states of Arizona and Hawaii)

Rancho Cordova, CA 95670

(Mailing Address) CHUBB GROUP OF INSURANCE COMPANIES

P.O. Box 15901 5050 Hopyard Rd., Suite 400

Sacramento, CA 95852 Pleasanton, CA 94588

Main: (800) 597-7677 - (916) 638-8300 Main: (925) 598-6000

Fax: (916) 635-6431 Fax: (925) 598-6146

(Third Party Administrators) (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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

CITATION INSURANCE COMPANY CITY OF MODESTO

(See Cambridge Integrated Services Group, Inc. - San 1010 - 10th St., Suite 5600

Diego office) Modesto, CA 95354

(Mailing Address)

CITY OF ANAHEIM P.O. Box 642

Risk Management Workers' Compensation Modesto, CA 95353

201 S. Anaheim Blvd., Suite 1002 Main: (209) 577-5411

Anaheim, CA 92805 Fax: (209) 576-7069

Main: (714) 765-5113 (Self-Insured/Self-Administered. Claims Processed by

Fax: (714) 765-5245

Injured's Name for City of Modesto Employees only)

(Self-Insured. Claims Processed for City of Anaheim only)

CITY OF OCEANSIDE

CITY OF BURBANK 300 N. Coast Highway

W/C Risk Management Department Oceanside, CA 92054-2885

275 E. Olive Avenue Main: (760) 435-3510

Burbank, CA 91502 (Self-Insured/Self-Administered)

Main: (818) 238-5010

Fax: (818) 238-5019 CITY OF PASADENA

(Self-Insured/Self-Administered. Claims Processed for 100 N. Garfield Ave., Room N123

City of Glendale Employee's only) Pasadena, CA 91109

(Mailing Address)

CITY OF GLENDALE P.O. Box 7115

Risk Management Division/W.C. Section Pasadena, CA 91109-7215

613 E. Broadway, Room 100 Main: (626) 744-4362

Glendale, CA 91206 Fax: (626) 744-4260

Main: (818) 548-2101 (Self-Insured/Self-Administered)

(Self-Insured/Self-Administered Claims Processed for

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

(Self

Insured/Self

Administered

Claims Processed for

City of Glendale Employees only) CITY OF POMONA

orkers' Comp. Departmen

CITY OF HUNTINGTON BEACH 505 S. Garey Avenue

Worker's Comp. Departmen

Pomona, CA 91766

2000 Main Street Main: (909) 620-2291

Huntington Beach, CA 92648-2702 Fax: (909) 620- 2295

(Mailing Address) (Self-Insured/Self-Administered)

P.O. Box 906

Huntington Beach, CA 92648-0797 CITY OF REDDING

Main: (714) 374-5378 Risk Management

Fax: (714) 374-1597 777 Cypress Avenu

(Self-Insured/Self-Administered) Redding, CA 96001-2718

Main: (530-225-4348

CITY OF LONG BEACH Fax: (530) 225-4337

orkers' Compensation Office (Self-Insured/Self-Administered)

333 W. Ocean Blvd., Eighth Floor, City Hall

Long Beach, CA 90802-4664 CITY OF RIVERSIDE

Main: (562) 570-2245 3780 Market Street

Fax: (562) 570-2220 Riverside, CA 92501

(Self-insured. Claims Processed for City of Long Beach only) Main: (951) 826-5559

Fax: (951) 826-2529

CITY OF LOS ANGELES (Self-Insured/Self-Administered. Claims Processed

Personnel Department by Injured's Name)

orkers' 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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

CITY OF TORRANCE CITY OF SANTA ANA

Human Resources

/C Risk Management Department

Risk Management Division P.O. Box 1988 M-41

W/C Program Santa Ana, CA 92702

3231 Torrance Boulevard Main: (714) 647-6942

Torrance, CA 90503-5055 (Self-Insured/Self-Administered)

Main: (310) 618-2950

Fax: (310) 618-2927 CITY OF SIMI VALLEY

(Self-Insured/Self-Administered) 2929 Tapo Canyon Road

Simi Valley, CA 93063

CITY OF SACRAMENTO Main: (805) 583-6394

Workers Compensation HR Dept. (Self-Insured/Self-Administered. Claims Processed

City Hall by Injured's Name for Los Angeles and Ventura Counties)

915 "I" St., Fourth Floor

Sacramento, CA 95814-2604 CLAIMQUEST, INC.

Main: (916) 808-5741 675 Brea Canyon Rd., Suite 4

Fax: (916) 808-8216

alnut, CA 91789

Email: eyoung@cityofsacrament.org Main: (909) 594-9400

(Self-Insured/Self-Administered) Fax: (909) 594-5544

(Third Party Administrators. Claims Processed by

CITY OF SAN BERNARDINO Employer's Name for all Counties)

Risk Management Department

300 N. "D" Street CLAIMS MANAGEMENT, INC.

San Bernardino, CA 92418-0001 P.O. Box 16339

Main: (909) 384-5173 Fresno, CA 93755-6339

(Self-Insured. Claims Processed for City of Main: (559) 221-2820

San Bernardino and City of San Bernardino Water Department)

Fax: (559) 222-7453

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

San Bernardino and City of San Bernardino Water Department)

Fax: (559) 222

7453

(Third Party Administrators)

CITY OF SAN DIEGO

Risk Management Department CLAIMS MANAGEMENT, INC.

1200 Third Ave., Suite 1000 2868 Prospect Park Dr., Suite 600

San Diego, CA 92101 Rancho Cordova, CA 95670

(Mailing Address) (Mailing Address)

P.O. Box 129013 P.O. Box 3042

San Diego, CA 92112 -9013 Sacramento, CA 95812-3042

Main: (619) 236-6395 Main: (916) 631-1250

Fax: (619) 236-6106 Fax: (916) 635-6288

(Self-Insured/Self-Administered. Claims Processed for City of San Diego Only) (Third Party Administrators)

CITY AND COUNTY OF SAN FRANCISCO CLAIMS SOLUTIONS

W/C Division (See LWP Claims Solutions, Inc.)

30 Van Ness Ave., Suite 3300

San Francisco, CA 94102 CLARENDON NATIONAL INSURANCE COMPANY

Main: (415) 575-5600 (See American All-Risk Loss Administrators)

(Self-Insured/Self-Administered)

C.N.A.

CITY OF SAN JOSE STANDARD LINES Claims

W/C Risk Management 675 Placentia Avenue

200 E. Santa Clara Street Brea, CA 92821-6167

San Jose, CA 95113-1903 (Mailing Address)

Main: (408) 535-1285 P.O. Box 6500

Fax: (408) 292-6447 Brea, CA 92822-6500

(Self-Insured. Claims Processed for City of San Jose Only) Main: (800) 262-8714 - (714) 255-7300

Fax: (714) 255-2554

ww.cnacentral.com

(Claims Processed by Employer's Name for Southern

California)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

C.N.A. COUNTY OF KERN

STANDARD LINES CLAIMS Kern County Risk Management

405 Howard St., Suite 600 1115 Truxtun Ave., Fourth Floor

San Francisco, CA 94105 Bakersfield, CA 93301-4639

(Mailing Address) Main: (661) 868-3801

P.O. Box 880670 Fax: (661) 868-3875

San Francisco, CA 94188-0670 (Self-Insured/Self-Administered. Claims Processed by

Main: (415) 932-7500 Injured's Name for Kern County)

Fax: (415) 932-7454

ww.cnacentral.com COUNTY OF LOS ANGELES

(Claims Processed by Employer's Name for Northern Risk Management Branch

California)

orkers' Compensation Program

3333 Wilshire Blvd., Suite 820

COLEN AND LEE Los Angeles, CA 90010

(See AdminSure, Inc.) Main: (213) 738-2154

Fax: (213) 252-0404

COMCO MANAGEMENT, INC. (Claims Processed by the following Third Party

P.O. Box 577 Administrators: Tristar Risk Management*, Intercare

Sierra Madre, CA 91025-0577 Insurance Services**, and AIMS***)

Main: (800) 788-2662 - (626) 836-5817

*Tristar Risk Management, (Irvine)

Fax: (626) 836-5827 P.O. Box 19775

(Self-Insured Administrators. Claims Processed by Irvine, CA 92623-9775

Employer's Name) Main: (800) 782-5888

*Tristar Risk Management (Santa Ana)

COMPLINK P.O. Box 11967

2100 Main St., Suite 350 Santa Ana, CA 92711-1967

Irvine CA 92614-9265

Main: (800) 377-3487

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Irvine

CA 92614

9265

Main: (800) 377

3487

(Mailing Address) **Intercare Insurance Services (Orange)

P.O. Box 19619 P.O. Box 14243

Irvine, CA 92623-9619 Orange, CA 92863-4243

Main: (949) 852-4871 Main: (866) 221-2968

Fax: (949) 223-0657 *** AIMS (Santa Clarita)

(Third Party Administrators) P.O. Box 937

Santa Clarita, CA 91380-0937

CONSTITUTION STATE SERVICE COMPANY Main: (866) 511-2467

(See Travelers) (The above TPA's are also listed in the book)

CONTINENTAL CASUALTY COMPANY COUNTY OF RIVERSIDE

(See CNA)

orkers' Compensation Division

P.O. Box 1120

CONTINENTAL LOSS ADJUSTING SERVICES Riverside, CA 92502

(See CNA) Main: (951) 955-3530

(Self-Insured. Claims Processed by Injured's Name

CONTINENTAL RISK MANAGEMENT SERVICES for Riverside County Employees only)

(See CNA])

COUNTY OF SACRAMENTO

CONTRA COSTA COUNTY P.O. Box 276130

Risk Management Division Sacramento, CA 95827

2530 Arnold Dr., Suite 140 Main: (916) 876-5251

Martinez, CA 94553 (Self-Insured/Self-Administered)

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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

COUNTY OF SAN BERNARDINO CRAWFORD & COMPANY INSURANCE ADJUSTERS

Department of Risk Management 900 E. Washington St., Suite 350

222 W. Hospitality Lane, Third Floor Colton, CA 92324

San Bernardino, CA 92415-0016 Main: (909) 825-8730

Main: (909) 386-8655 Fax: (909) 825-5349

Fax: (909) 386-8711 (Claims Processed by Employer's Name for

(Self-Insured. Claims Processed by Riverside and San Bernardino Counties)

Department for County of San Bernardino)

CRAWFORD & COMPANY INSURANCE ADJUSTERS

COUNTY OF SAN DIEGO - DHR 1515 W. 190th St., Suite 500

Workers' Compensation Office Gardena, CA 90248

444. W. Beech St., Third Floor Main: (310) 380-6000

San Diego, CA 92101-2942 Fax: (310) 380-6029

Main: (619) 578-5700 (Claims Processed by both Employer's and Injured's

Fax: (619) 578-5740 Name for all of California)

(Self-Insured/Self-Administered. Claims Processed by

Injured's Name for County of San Diego) CRAWFORD & COMPANY INSURANCE ADJUSTERS

1900

lameda De Las Pulgas, Suite 103

COUNTY OF SANTA BARBARA San Mateo, CA 94403

W/C Risk Management Department Main: (650) 357-6242

1 E. Anapamu St., Second Floor Fax: (650) 357-8983

Santa Barbara, CA 93101-2704 (Claims Processed by both Employer's and Injured's

Main: (805) 884-6860 Names for San Francisco, San Mateo, Marin, Sonoma

Fax: (805) 884-6861 and Solano Counties)

(Self-Insured/Self-Administered)

CRUM & FORSTER

COUNTY OF SANTA CLARA

UNITED STATES FIRE INSURANCE COMPANY

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

COUNTY OF SANTA CLARA

UNITED STATES FIRE INSURANCE COMPANY

Workers' Compensation Division THE NORTH RIVER INSURANCE COMPANY

2310 N. First St., Suite 205 One City Blvd. West, Suite 350

San Jose, CA 95131-1032 Orange, CA 92868

Main: (408) 441-4300 (Mailing Address)

(Self-Insured. Claims Processed by Injured's Name P.O. Box 14217

for Santa Clara and Santa Clara County Central Orange, CA 92863

Fire District) Main: (714) 244-1023

Fax: (714) 244-1050

COUNTY OF SHASTA (Claims Processed for All of California)

1450 Court St., Room 348

Redding, CA 96001-1676 CUNNINGHAM LINDSEY U.S., INC.

Main: (530) 225-5141 (See Broadspire)

Fax: (530) 225-5251

(Self-Insured/Self-Administered) CYPRESS INSURANCE COMPANY

(See Berkshire Hathaway Homestate

COUNTY SANITATION DISTRICTS OF Companies [BHHC] )

THE COUNTY OF LOS ANGELES

1955 Workman Mill Road - D -

Whittier, CA 90601

(Mailing Address) DANIELSON NATIONAL INSURANCE COMPANY

P.O. Box 4998 (See Tristar Risk Management - Los Angeles)

Whittier, CA 90607-4998

Main: (562) 699-7411

OHN DEERE INSURANCE COMPANY

Fax: (562) 692-3056 (See Sentry Insurance)

(Claims Processed by Injured Employee's Name and

Date of Injury for the County Sanitation Districts of

Los Angeles County)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

DEPARTMENT OF WATER AND POWER EMPLOYERS INSURANCE OF WAUSAU

City of Los Angeles (See Wausau Insurance Companies)

Workers' Compensation Section

111 N. Hope St., Room 553 EOS / GROUP

Los Angeles, CA 90012 (See Tristar Risk Management)

(Mailing Address)

P.O. Box 51111, Room 553 ESIS, INC.

Los Angeles, CA 90051-0100 (See ACE USA)

Main: (213) 367-1942

Fax: (213) 367-3636 EVEREST NATIONAL INSURANCE COMPANY

(Self-Insured) 1111 Broadway, Suite 2050

Oakland, CA 94607

THE WALT DISNEY COMPANY (Mailing Address)

Workers' Compensation P.O. Box 70160

700 W. Ball Road Oakland, CA 94612-0160

Anaheim, CA 92802 Main: (800) 529-1354

(Mailing Address) Fax: (510) 267-0752

P.O. Box 3909 (Claims Processed for All of California)

Anaheim, CA 92803

Main: (714) 781-1680 EVEREST NATIONAL INSURANCE COMPANY

Fax: (714) 781-1670 725 W. Town & Country Rd., 4th Floor

(Self-Insured) Orange, CA 92868

Main: (714) 371-9600

DYNAMIC CLAIMS SERVICES, INC. Fax: (714) 371-9677

P.O. Box 29080 (Claims Processed for All of California)

Glendale, CA 91209

Main: (818) 247-3662

EXPLORER INSURANCE COMPANY

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Main: (818) 247

3662

EXPLORER INSURANCE COMPANY

Fax: (818) 247-7018 (See Insurance Company of the West)

(Third Party Administrators)

- F -

- E - FARA / F.A RICHARD & ASSOCIATES

EAGLE INSURANCE GROUP, INC. 2525 Cherry Ave., Suite 350

(See SeaBright Insurance Company) Signal Hill, CA 90755-2054

Main: (562) 426-9800

EMPLOYERS Fax: (562) 426-4848

P.O. Box 539004 (Self-Insured Administrators and Independent Adjusters)

Henderson, NV 89053-9004

Main: (888) 682-6671 FARMERS INSURANCE GROUP

(Claims Processed by Employer's Name for All of California) 11555 Dublin Canyon Rd., 4th Floor

Pleasanton, CA 94588

EMPLOYERS COMPENSATION INSURANCE COMPANY (Mailing Address)

(See Employers) P.O. Box 5040

Pleasanton, CA 94566

EMPLOYER'S DIRECT INSURANCE COMPANY Main: (925) 847-3141 - Fax: (925) 416-0948

P.O. Box 5042 (Same as Truck Insurance Exchange. Claims Processed by Injured's

Thousand Oaks, CA 91359-5042 Name for Northern California)

Main: (818) 575-8500

Fax: (818) 575-8575 FARMERS INSURANCE GROUP

(Claims Processed by Employer's Name for All of California) 3707 W. Garden Grove Blvd., Ste 202

Orange, CA 92868-4803

EMPLOYERS FIRST INSURANCE (Mailing Address)

(See Cambridge Integrated Services Group, Inc.) P. O. Box 928

Santa Ana, Ca 92707-0928

EMPLOYERS INSURANCE GROUP Main: (888) 274-2165 - (714) 740-2165

(See Employers) Fax: (714) 750-1942

(Same as Truck Ins. Exchange. Claims Processed by Injured's Name

Orange, San Bernardino, Riverside, San Diego and Imperial Counties)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 10 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

FARMERS INSURANCE GROUP - G -

(L.A. Centralized WC Claims Office)

3041 Cochran Street GAB BUSINESS SERVICES, INC.

Simi Valley, CA 93065 (See GAB Robins)

(Mailing Address)

P. O. Box 10149 GAB ROBINS

Van Nuys, CA 91410-0149 GAB ROBINS NORTH AMERICA, INC.

Main: (888) 486-1451 - (805) 583-7567 100 E. Tujunga Avenue

Fax: (805) 583-7467 Burbank, CA 91502

(Same as Truck Insurance Exchange. Claims Processed by Injured's Name (Mailing Address)

for Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties) P. O. Box 7858

Burbank, CA 91510-7858

FREMONT EMPLOYER'S INSURANCE COMPANY Main: (800) 841-5297 - (818) 846-5297

(See Employers) Fax: (818) 846-1153

(Claims Processed by Employer's Name for all of California)

FREMONT INDEMNITY COMPAN

(See Cambridge Integrated Services Group, Inc. - San Diego Office) GAB ROBINS

GAB ROBINS NORTH AMERICA, INC.

FRYE CLAIMS CONSULTATION & ADMIN. 3350 Shelby St., Suite 300

3500 Breakwater Ct., Bldg., "A" Ontario, CA 91764

Hayward, CA 94545 Main: (909) 980-0498

Main: (800) 322-3793 - (510) 782-9882 Fax: (909) 980-0458

Fax: (800) 455-3793 (Claims Processed by Employer's Name for all of California)

(Third Party Administrators)

GAB ROBINS

FUNDS INSURANCE COMPANIES GAB ROBINS NORTH AMERICA, INC.

(See Fireman

s Fund Insurance Companies)

P O Box 269037

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

(See Fireman s Fund Insurance Companies)

Box 269037

Sacramento, CA 95827-9037

F.I.R.M. SOLUTIONS Main: (916) 853-6600

(See Tristar Risk Management) Fax: (916) 853-8183

(Claims Processed by Employer's Name for all of California)

FIRE INSURANCE EXCHANGE

(See Farmers Insurance Group) GALLAGHER BASSETT SERVICES, INC.

P.O. Box 70003

FIREMAN'S FUND INSURANCE COMPANIES

naheim, CA 92825-0003

2995 Prospect Park Dr., Suite 200 Main: (714) 938-0172

Rancho Cordova, CA 95670 Fax: (714) 938-1067

(Mailing Address) (Workers' Compensation Self-Insured Claims Admins.)

P. O. Box 13340

Sacramento, CA 95813 GALLAGHER BASSETT SERVICES, INC.

Main: (800) 662-3750 P. O. Box 9875

Fax: (888) 387-3196 Calabasas, CA 91372-0875

(Claims Processed for All of California) Main: (818) 746-9925

Fax: (818) 880-4213

FIRST NATIONAL INSURANCE COMPANY (Workers' Compensation Self-Insured Claims Admins.)

(See Safeco Insurance Group)

GALLAGHER BASSETT SERVICES, INC.

FOSTER POULTRY FARMS P. O. Box 6900

ORKER'S COMPENSATION Corona, CA 92878-6900

P. O. Box 277 Main: (951) 279-0073

Livingston, CA 95334-0277 Fax: (951) 279-6632

Main: (866) 566-4556 (Workers' Compensation Self-Insured Claims Admins.)

Fax: (209) 668-6613

(Self Insured / Self-Administered) GALLAGHER BASSETT SERVICES, INC.

P. O. Box 1390

FREMONT COMPENSATION INSURANCE GROUP Elk Grove, CA 95759

(See Cambridge Integrated Services Group Inc.) Main: (916) 683-5550

(Workers' Compensation Self-Insured Claims Admins.)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

GALLAGHER BASSETT SERVICES, INC. E & J GALLO WINERY

P. O. Box 2290 600 Yosemite Boulevard

Gold River, CA 95741-2290 Modesto, CA 95354-9972

Main: (916) 403-1600 (Mailing Address)

Fax: (916) 403-1619 P.O. Box 1130

(Workers' Compensation Self-Insured Claims Admins. Modesto, CA 95353

Main: (209) 341-3782

GALLAGHER BASSETT SERVICES, INC. (Self-Insured / Self-Administered)

(Metro Office)

P. O. Box 30840 FRANK GATES SERVICES COMPANY

Laguna Hills, CA 92654-0840 2400 E. Katella Ave., Suite 650

Main: (949) 458-0181

naheim, CA 92806

Fax: (949) 588-8931 Main: (800) 994-4611 - (714) 978-1351

(Workers' Compensation Self-Insured Claims Admins.) Fax: (714) 978-1651

(Claims Processed by Employer's Name for all of

GALLAGHER BASSETT SERVICES, INC. California)

P. O. Box 14260

Orange, CA 92863 FRANK GATES SERVICE COMPANY

Main: (714) 939-0877 P.O. Box 4530

Fax: (714) 938-1036 El Dorado Hills, CA 95762-0020

(Workers' Compensation Self-Insured Claims Admins. Main: (916) 939-8011

Fax: (916) 939-8230

GALLAGHER BASSETT SERVICES, INC. (Claims Processed by Employer's Name for all of

P. O. Box 4200 California. For Wal-Mart and Sam's Club, Mail Claim

Rancho Cucamonga, CA 91729-4200 to: P.O. Box 1288 Bentonville, AR 72712)

Main: (866) 517-6782 - (909) 581-1919 Main: (800) 339-1109

Fax: (909) 581-1996

Fax: (479) 204-9537

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Fax: (909) 581

1996

Fax: (479) 204

9537

(Workers' Compensation Self-Insured Claims Admins.) (Third Party Admistrators)

GALLAGHER BASSETT SERVICES, INC. FRANK GATES ACCLAIM, INC.

P. O. Box 4040 19800 MacArthur Blvd., Suite 430

Sacramento, CA 95812-4040 Irvine, CA 92612-8441

Main: (866) 481-0962 - (916) 576-8200 Main: (800) 337-0314 - (949) 851-8955

Fax: (916) 576-8206 Fax: (949) 851-8960

(Workers' Compensation Self-Insured Claims Admins.) (Third Party Admistrators)

GALLAGHER BASSETT SERVICES, INC. FRANK GATES ACCLAIM, INC.

(Regional Office) P.O. Box 120431

P. O. Box 255397 San Diego, CA 92112-0431

Sacramento, CA 95865-5397 Main: (619) 595-0255

Main: (916) 929-7581 Fax: (619) 595-1689

Fax: (916) 929-3791 (Third Party Admistrators)

(Workers' Compensation Self-Insured Claims Admins.)

GATES, McDONALD & COMPANY

GALLAGHER BASSETT SERVICES, INC. (See Cambridge Integrated Services Group, INC.

P. O. Box 85013

Concord and Santa Ana offices)

San Diego, CA 92186-5013

Main: (619) 471-1219 GENERAL ELECTRIC COMPANY

Fax: (619) 471-1250 (See Sedgwick, CMS)

(Workers' Compensation Self-Insured Claims Admins.)

GENERAL INSURANCE COMPANY OF AMERICA

GALLAGHER BASSETT SERCVICES, INC. (See Safeco Insurance Group)

P.O. Box 4511

Woodland Hills, CA 91365-4511 GOLDEN EAGLE INSURANCE CORPORATION

Main: (818) 226-9071 (See Liberty Mutual Insurance Company - Orange office)

Fax: (818) 226-9982

(Workers' Compensation Self-Insured Claims Admins.) GRANITE STATE INSURANCE COMPANY

(See AIG Domestic Claims, Inc.)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

GREAT AMERICAN INSURANCE COMPANY - H -

(Walnut Creek Office)

P.O. Box 5432 HAMMERMAN & GAINER, INC.

Cincinnati, OH 45201-5432 P.O. Box 368

Main: (800) 759-0036 Banning, CA 92220

Fax: (888) 223-1317 Main: (951) 922-2828

(Claimes Processed for the State of California and Arizona) Fax: (951) 922-2016

(Third Party Administrators)

GREAT STATES INSURANCE COMPANY

(See Intercare Insurance Services) THE HARTFORD

HARTFORD ACCIDENT & INDEMNITY COMPANY

GREGORY B. BRAGG & ASSOCIATES, INC. 12009 Foundation Place

One Sierra Gate Plaza, Suite 250B Rancho Cordova, CA 95670

Roseville, CA 95678 (Mailing Address)

(Mailing Address) P.O. Box 13835

P.O. Box 619058 Sacramento, CA 95853-4835

Roseville, CA 95661-9058 Main: (866) 401-9222 - (916) 294-1000

Main: (800) 422-7244 - (916) 783-0100 Fax: (916) 294-1600

Fax: (916) 783-0338

(Third Party Administrators) HARTFORD INSURANCE GROUP

(See The Hartford)

GREGORY B. BRAGG & ASSOCIATES, INC.

4512 Feather River Dr., Suite B HAZELRIGG RISK MANAGEMENT SERVICES, INC.

Stockton, CA 95219 (See HRMS / A Corvel Company)

(Mailing Address)

P.O. Box 7245 C.E. HEATH COMPENSATION & LIABILITY

Stockton CA 95267-0245

INSURANCE COMPANY

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Stockton

CA 95267

0245

INSURANCE COMPANY

Main: (209) 956-2119 (See Intercare Insurance Services)

Fax: (209) 956-2638

(Third Party Administrators) HEALTHCARE ALLICANCE CORPORATION

(See Cambridge Integrated Services Group, Inc.) (See Alpha Fund)

GREGORY B. BRAGG & ASSOCIATES, INC. HELMSMAN MANAGEMENT SERVICES, INC.

150 N. Wiget Lane, Suite 212 (See Liberty Mutual Insurance Company)

Walnut Creek, CA 94598

(Mailing Address) HERTZ CLAIM MANAGEMENT

P.O. Box 5372 (See Cambridge Integrated Services Group, Inc.)

Walnut Creek, CA 94596-5372

Main: (925) 933-2992 HIH INSURANCE

Fax: (925) 933-2994 (See Intercare Insurance Services)

(Third Party Administrators)

HOME INDEMNITY COMPAN

GROCERS AND MERCHANTS INSURANCE SERVICE (See Risk Enterprise Management Limited)

(See Springfield Insurance Company / GMIS)

HOME INSURANCE COMPANY

GUIDEONE INSURANCE (See Risk Enterprise Management Limited)

2351 Sunset Blvd., Suite 170, PMB # 305

Rocklin, CA 95765 HOME INSURANCE COMPANY, NEW YORK

Main: (800) 647-9324 - (916) 624-3288 (See Risk Enterprise Management Limited)

Fax: (800) 676-4457

HRMS / A CORVEL COMPANY

GULF INSURANCE COMPANY 751 E. Daily Dr., Suite 400

(See Travelers (800) 994-3890) Camarillo, CA 93010

(Mailing Address)

P.O. Box 5166

Oxnard, CA 93031

Main: (866) 785-2835 - (805) 389-4200

(Third Party Administrators)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

HRMS / A CORVEL COMPANY INNOVATIVE CLAIM SOLUTIONS, INC.

14275 Pipeline Avenue P.O. Box 5128

Chino, CA 91710 San Ramon, CA 94583-5138

(Mailing Address) Main: (925) 327-8050

P.O. Box 669 Fax: (925) 327-8078

Chino, CA 91708 (Third Party Administrators)

Main: (805) 993-0340

Fax: (909) 627-9751 INTERCARE INSURANCE SERVICES

(Third Party Administrators) 1120 Forest Ave., Box 339

Pacific Grove, CA 93950

HRMS / A CORVEL COMPANY Main: (831) 655-2155

P.O. Box 277550 Fax: (831) 655-2755

Sacramento, CA 95827 (Third Party Administrators)

Main: (916) 379-5560

Fax: (916) 379-5598 INTERCARE INSURANCE SERVICES

(Third Party Administrators) P.O. Box 7111

Pasadena, CA 91109-7211

HRMS / A CORVEL COMPANY Main: (866) 785-6819 - (626) 304-1200

8787 Complex Dr., Third Floor Fax: (626) 304-1249

San Diego, CA 92123 (Third Party Administrators)

(Mailing Address)

5694 Mission Center Rd., #700 INTERCARE INSURANCE SERVICES

San Diego, CA 92108 P.O. Box 579

Main: (800) 757-7100 - (858) 300-2500 Roseville, CA 95661

Fax: (858) 300-2560 Main: (916) 677-2500

(Third Party Administrators) Fax: (916) 677-2608

(Third Party Administrators)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

(Third Party Administrators)

- I -

INTERCARE INSURANCE SERVICES

ICS P.O. Box 348180

(See Innovative Claim Solutions, Inc.) Sacramento, CA 95834-8180

Main: (800) 394-9304 - (916) 920-5800

ICW GROUP Fax: (916) 920-5588

(See Insurance Company of the West) (Third Party Administrators. Claims Processed

by Injured's Name for all of California)

INDEMNITY INSURANCE COMPANY OF NORTH

AMERICA INTERSTATE BRANDS CORPORATION

(See ACE USA) 7807 Convoy Ct., Suite 110

San Diego, CA 92111

INDUSTRIAL INDEMNITY Main: (858) 569-7311

(See Cambridge Integrated Services Group, Inc.) Fax: (858) 569-1525

(Self -Insured / Self-Administered. Claims Processed

INNOVATIVE CARE SYSTEMS, INC. by Injured's Name for all of California and Washington)

(See Innovate Claim Solutions, Inc.)

IRISC-CAMBRIDGE INTEGRATED SERVICES GROUP,INC.

INNOVATIVE CLAIM SOLUTIONS, INC. (See Cambridge Integrated Services Group, Inc.)

11030 White Rock Rd., Suite 210

Rancho Cordova, CA 95670-6055 ITT HARTFORD

(Mailing Address) (See The Hartford)

P.O. Box 2070

Rancho Cordova, CA 95741 ITT SPECIALTY RISK SERVICES

Main: (916) 852-8588 (See Specialty Risk Services, LLC)

(Third Party Administrators)

INSURANCE COMPANY OF NORTH AMERICA /

ESIS, INC. / CIGNA COMPANIES

(See ACE USA)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

INSURANCE COMPANY OF THE WEST /

T2 INTEGRATED RESOURCES

EXPLORER INSURANCE COMPANY P.O. Box 51462

(Home Office - W.C. Claims) Ontario, CA 91761

11455 El Camino Real Main: (909) 390-1115

San Diego, CA 92130-2045 Fax: (909) 390-1135

(Mailing Address) (Self-Insured Administrators. Claims Processed

P.O. Box 85563 for all of Southern California)

San Diego, CA 92186-5563

Main: (800) 877-1111 - (858) 350-2400

T2 INTEGRATED RESOURCES

Fax: (858) 350-2755 231 Market Pl., PMB # 381

(Claims Processed by Employer's Name for All of California) San Ramon, CA 94583-4743

Main: (925) 556-7012

INTEGRATED CLAIMS ADMINISTRATORS, INC. Fax: (925) 556-7032

P.O. Box 3189 (Self-Insured Administrators)

Torrance, CA 90510-3189

Main: (310) 542-5130

T2 INTEGRATED RESOURCES

Fax: (310) 542-7310 (Lathrop California Office)

(Third Party Administrators) 231 Market Pl., PMB #381

San Ramon, CA 94583-4743

IHDS Main: (800) 582-4671 - (209) 491-7031

INTEGRATED HEALTH DELIVERY SERVICES Fax: (209) 491-7039

(See Cambridge Integrated Services Group, Inc.) (Self-Insured Administrators)

INTERCARE INSURANCE SERVICES - K -

P.O. Box 40009

Fresno, CA 93755-0009 KAISER PERMANENTE MEDICAL CARE PROGRAM

Main: (559) 447-1029

(California Workers

Compensation Department)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Main: (559) 447

1029

(California Workers Compensation Department)

(Third Party Administrators) P. O. Box 12927

Oakland, CA 94604-2927

INTERCARE INSURANCE SERVICES Main: (510) 625-2496

P.O. Box 19544 Fax: (510) 625-3345

Irvine, CA 92623 (Self-Insured, Claims Processed for all of California)

Main: (800) 394-9308 - (949) 752-7170

Fax: (949) 752-7189 KANSAS CITY FIRE & MARINE INSURANCE COMPANY

(Third Party Administrators) (See CNA)

INTERCARE INSURANCE SERVICES KEENAN AND ASSOCIATES

P.O. Box 14243 320 " I " Street

Orange, CA 92863-4243 Eureka, CA 95501

Main: (714) 480-0105 Main: (707) 268-1616

Fax: (714) 480-0041 Fax: (707) 268-8963

(Third Party Administrators - Claims Processed for (Claims Processed by Injured's Name for Northern

County of Los Angeles) California)

- KEENAN AND ASSOCIATES

5776 Stoneridge Mall Rd., Suite 130

ENKINS / ATHENS INSURANCE SERVICES Pleasanton, CA 94588

(See Athens Administrators) (Mailing Address)

P. O. Box 2486

T2 INTEGRATED RESOURCES Dublin, CA 94568-0766

P.O. Box 70410 Main: (925) 225-0611

Oakland,CA 94612 Fax: (925) 225-1280

Main: (510) 844-3100 (Claims Processed by Injured's Name for Northern California)

Fax: (510) 844-3201

(Self-Insured Administrators)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

KEENAN AND ASSOCIATES - L

2882 Prospect Park Dr., Suite 200

Rancho Cordova, CA 95670 LINDSEY MORDEN CLAIMS MANAGEMENT, INC.

(Mailing Address) (See Broadspire)

P.O. Box 1538

Rancho Cordova, CA 95741 LOMA LINDA UNIVERSITY MEDICAL CENTER

Main: (800) 343-0694 - (916) 859-4900 Department of Risk Management

Fax: (916) 859-7166 11161 Anderson St., Suite # 200

(Claims Processed by Injured's Name for Northern California) Loma Linda, CA 92354-2825

(Mailing Address)

KEENAN AND ASSOCIATES P.O. Box 1770

1791 Broadway Loma Linda, CA 92354-0570

Redwood City, CA 94063 Main: (909) 558-4389

(Mailing Address) Fax: (909) 558-7974

P.O. Box 5218 (Self Insured / Self Administured.Claims Processed

Redwood City, CA 94063 Loma Linda University Medical Center,

Main: (650) 306-0616 Faculty Medical Group-School of Medicine,

Fax: (650) 306-0620 Loma Linda Faculty Medical Physicians & Surgeons,

(Claims Processed by Injured's Name for San Mateo County) Loma Linda University, Loma Linda

Loma Linda Univ Health Care, Behavioral Medicine Cntr,

KEENAN AND ASSOCIATES Loma Linda Univ Adventist Health Science Center, Inc.

3550 Vine St., Suite 200 and Loma Linda University Health Services)

Riverside, CA 9250

Main: (800) 654-8347 - (951) 788-0330 LUBERMENS MUTUAL CASUALTY COMPANY

Fax: (951) 788-8013 (See Broadspire)

(Claims Processed by Injured's Name for Imperial,

Riverside San Bernardino and San Diego Counties)

LWP CLAIMS SOLUTIONS INC

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Riverside

San Bernardino and San Diego Counties)

LWP CLAIMS SOLUTIONS

INC

P.O. Box 10640

KEENAN AND ASSOCIATES Glendale, CA 91209-0640

1740 Technology Dr., Suite 300 Main: (818) 245-1860

San Jose, CA 95110 Fax: (818) 245-1861

Main: (800) 334-6554 - (408) 441-0876 (Third Party Administrators. Claims Processed by

Fax: (408) 436-9306 Employer's Name for all of California)

(Claims Processed by Employer's Name for Alameda,

Contra Costa, Monterey, San Benito, San Mateo, Santa Clara LWP CLAIMS SOLUTIONS, INC.

Santa Cruz, San Luis Obispo and Stanislaus Counties) P.O. Box 349016

Sacramento, CA 95834-9016

KEENAN AND ASSOCIATES Main: (800) 565-5694 - (916) 609-3600

2355 Crenshaw Blvd., Suite 200 Fax: (916) 609-3637

Torrance, CA 90501 (Third Party Administrators. Claims Processed by

(Mailing Address) Employer's Name for all of California)

P.O. Box 4328

Torrance, CA 90510 LEGION INSURANCE COMPANY

Main: (800) 654-8102 - (310) 212-3344 Main: (800) 255-6738

Fax: (310) 328-6793

LIBERTY MUTUAL INSURANCE COMPANY

KEMPER EMPLOYER'S CLAIMS SERVICES 330 N. Brand Blvd., Suite 500

(See Broadspire) Glendale, CA 91203

(Mailing Address)

KEMPER INSURANCE COMPANIES P.O. Box 29073

(See Broadspire) Glendale, CA 91209-9073

Main: (818) 240-1234

KM ADMINISTRATIVE SERVICES, INC. (Claims Processed by Employer's Name for Los Angeles,

(See Cambridge Integrated Services Group, Inc.) Ventura, San Luis Obispo and Santa Barbara Counties)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 16 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

LIBERTY MUTUAL INSURANCE COMPANY MAJESTIC INSURANCE COMPANY

333 City Boulevard West, Suite 300 P.O. Box 270769

Orange, CA 92868 San Diego, CA 92198

(Mailing Address) Main: (877) 829-6305 - (858) 385-4040

P.O. Box 11025 Fax: (858) 487-6908

Orange, CA 92856-1125 (Claims Processed by Employer's Name for

Main: (714) 937-1400 San Diego, Imperial Counties, and Inland Empire)

Fax: (603) 334-0249

(Claims Processed by Employer's Name for Orange, San MAJESTIC INSURANCE COMPANY

Bernardino, Riverside, San Diego and Imperial Counties) 101 California St., 22nd Floor

San Francisco, CA 94111

LIBERTY MUTUAL INSURANCE COMPANY (Mailing Address)

6130 Stoneridge Mall Rd., Suite 400 P.O. Box 2359

Pleasanton, CA 94588 San Francisco, CA 94126-2359

(Mailing Address) Main: (415) 362-7000

P.O. Box 11025 Fax: (415) 247-7290

Orange, CA 92856-1125 (Claims Processed by Employer's Name for

Main: (800) 676-6514 - (925) 734-9200 Northern California)

Fax: (603) 334-0249

(Claims Processed by Injured's Name for Alameda, MANAGEDCOMP, INC.

Contra Costa, Lake, Marin, Monterey, Napa, San Benito (See Pinnacle Risk Management Services, Inc.)

San Benito, San Francisco, San Mateo, Santa, Clara,

Santa Cruz, and Sonoma Counties) MARRIOTT INTERNATIONAL, INC.

3130 S. Harbor Blvd., Suite 550

LIBERTY MUTUAL INSURANCE COMPANY Santa Ana, CA 92704

1750 Howe Ave., Suite # 400 (Mailing Address)

Sacramento CA 95825

P O Box 29210

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Sacramento

CA 95825

Box 29210

(Mailing Address) Hot Springs, AR 71903-9210

P.O. Box 989000 Main: (714) 545-5261

West Sacramento, CA 95798-9000 (Self-Insured)

Main: (916) 564-1792

Fax: (603) 334-0231 MARYLAND CASUALTY COMPANY

(See Zurich North America)

- M -

MARYLAND INSURANCE GROUP

MACY'S CORPORATE SERVICES (See Zurich North America)

1801 Hawthorne Blvd., Suite 1

Redondo Beach, CA 90278-3494 MATRIX ABSENCE MANAGEMENT, INC.

(Mailing Address) 3602 Inland Empire Blvd., Suite C-318

P.O. Box 8012 Ontario, CA 91764-4966

Redondo Beach, CA 90277-8012 (Mailing Address)

Main: (310) 793-3400 P.O. Box 788

Fax: (866) 421-8313 Rancho Cucamonga, CA 91729-0788

(Self - Insured Administrators. Claims Processed for Main: (800) 660-0588 - (909) 466-9663

acy's) Fax: (909) 483-6324

(Third Party Administrators)

MAJESTIC INSURANCE COMPANY

5001 Airport Plaza Dr., Suite 200 MATRIX ABSENCE MANAGEMENT, INC.

Long Beach, CA 90815 2208 Plaza Dr., Suite 100

(Mailing Address) Rocklin, CA 95765

P.O. Box 7549 Main: (866) 560-1447 - (916) 773-5737

Long Beach, CA 90807-0549 Fax: (408) 361-9112

Main: (800) 432-2107 - (562) 627-1400 (Third Party Administrators)

Fax: (562) 429-9017

(Claims Processed by Employer's for Los Angeles

Orange, San Bernadino, Santa Barbara and

Ventura Counties)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 17 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

MATRIX ABSENCE MANAGEMENT, INC. - N -

5225 Hellyer Ave., Suite 210

San Jose, CA 95138-1001 NATIONAL AMERICAN INSURANCE COMPANY

(Mailing Address) OF CALIFORNIA

P.O. Box 11035 (See Tristar Risk Management - Los Angeles)

San Jose, CA 95103

Main: (800) 980-1006 - (408) 360-8370 NATIONAL INDEMNITY INSURANCE COMPANY

Fax: (408) 360-9441; 9442 (See Berkshire Hathaway Homestate Companies

(Third Party Administrators) [BHHC] )

METRO RISK MANAGEMENT, LLC NATIONAL LOSS CONTROL SERVICE

720 East "E" Street CORPORATION

Wilmington, CA 90744-6014 (See Broadspire)

(Mailing Address)

P.O. Box 547 NATIONAL SURETY INSURANCE COMPANY

Wilmington, CA 90748-0547 (See Fireman's Fund Insurance Companies)

Main: (310) 816-6633

Fax: (310) 816-6644 NATIONAL UNION FIRE INSURANCE COMPANY

(Claims Processed by both Employer's and OF PITTSBURG, PENNSYLVANIA

Injured's Names for all of California) (See AIG Domestic Claims, Inc.)

METROPOLITAN STEVEDORE COMPANY NATIONAL UNION INSURANCE COMPANIES

(See Metro Risk Management, LLC) (See AIG Domestic Claims, Inc.)

MID-CENTURY INSURANCE COMPANY NATIONWIDE INSURANCE

(See Farmers Insurance Group) (See Wausau Insurance Companies)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 18 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

MIDDLESEX MUTUAL INSURANCE COMPANY NEW YORK UNDERWRITERS INSURANCE COMPANY

(See Sentry Insurance) (See Hartford)

MISSION AMERICAN INSURANCE COMPANY THE NOETICS GROUP

(See Tristar Risk Management- Los Angeles) (See Tristar Risk Management)

MITSUI SUMITOMO MARINE MANAGEMENT NORDSTROM RISK MANAGEMENT

(USA), INC.

/C Claims Department

10 Universal City Plaza, Suite 1700 P.O. Box 25799

Universal City, CA 91608 Santa Ana, CA 92799-5799

Main: (800) 365-4671 - (818) 942-3900 Main: (714) 513-4771

Fax: (818) 760-3824 Fax: (714) 513-4778

(Claims Processed by Employer's Name for all of (Self-Insured)

California)

THE NORTH RIVER INSURANCE COMPANY

(See Crum & Forster)

Los Angeles County Metropolitan Transportation

Authority NORTHERN INSURANCE COMPANY OF NEW YORK

One Gateway Plaza, Mail Stop 99-10-2 (See Zurich North America)

Los Angeles, CA 90012-2952

Main: (213) 922-3806 NORTHERN CLAIMS MANAGEMENT

Fax: (213) 922-4351 P.O. Box 6385

(Self-Insured / Self-Administered) Santa Rosa, CA 95406

Main: (707) 575-8887

MURPHY AND BEANE, INC. (Third Party Administrators)

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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

NOVPRO RISK SOLUTIONS, L.P. PAULA INSURANCE COMPANY

17862 E. 17th St., Suite 111 PAN PACIFIC BENEFIT ADMINISTRATORS

Tustin, CA 92780 (See Intercare Insurance Services)

(Mailing Address)

P.O. Box 2422 PEGASUS RISK MANAGEMENT, INC.

Tustin, CA 92781 642 Galaxy Way

Main: (714) 544-0980 Modesto, CA 95356

Fax: (714) 544-1979 (Mailing Address)

(Claims Processed by Employer's Name for California P.O. Box 5038

or Nation-Wide, Depending on Account) Modesto, CA 95352-5038

Main: (888) 312-5246 - (209) 574-2800

- O - Fax: (209) 574-2900

(Third Party Administrators)

OAK RIVER INSURANCE COMPANY

(See Berkshire Hathaway Homestate Companies PINNACLE RISK MANAGEMENT SERVICES, INC.

[BHHC]) One Sierra Gate Plaza, Suite A-200

Roseville, CA 95678

OCTAGON RISK SERVICES, INC. (Mailing Address)

(See Sedgwick CMS) P.O. Box 120

Rocklin, CA 95677

OHIO CASUALTY GROUP OF INSURANCE COMPANIES Main: (916) 780-9250

136 N. Third Street Fax: (916) 780-9251

Hamilton, OH 45025 (Third Party Administrators)

Main: (800) 821-2010 - (513) 867-3900

Fax: (800) 830-5257 POWER & ASSOCIATES

(Claims Processed by Employer's Name for P.O. Box 4068

All of California)

Paso Robles CA 93447-4068

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 19 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

All of California)

Paso Robles

CA 93447

4068

Main: (805) 239-3706

- P - Fax: (805) 239-3690

(Third Party Administrators / Independent Adjusters)

PACIFIC COMPENSATION INSURANCE COMPANY

(See Cambridge Integrated Services Group, Inc.) PREFERRED EMPLOYERS INSURANCE COMPANY

P.O. Box 85838

PACIFIC EAGLE INSURANCE GROUP, INC. San Diego, CA 92186-5838

(See Sea Bright Insurance Company) Main: (619) 688-3900

Fax: (619) 688-3913

PACIFIC EMPLOYERS INSURANCE COMPANY (Claims Processed by Employer's Name

(See ACE USA) for All of California)

PACIFIC GAS AND ELECTRIC COMPANY PREFERRED RISK GROUP

Safety, Health and Claims Department (See Guideone Insurance)

77 Beale St., 23rd Floor, B23H

San Francisco, CA 94105 PRESIDUIM, INC.

(Mailing Address) (See Cambridge Integrated Services Group, Inc.)

P.O. Box 7779

San Francisco, CA 94120-7779 PRIVATE ADJUSTING CLAIMS SERVICES

Main: (415) 973-8700, Option # 2 9570 Center Avenue

Fax: (415) 973-7828 Rancho Cucamonga, CA 91730-5814

(Self-Insured) (Mailing Address)

P.O. Box 2849

THE PACIFIC RIM ASSURANCE COMPANY Rancho Cucamonga, CA 91729-2849

(See Broadspire) Main: (909) 481-4111

Fax: (909) 481-4110

PACIFIC STATES CASUALTY COMPANY (Third Party Administrators)

(See Ulico Insurance Group)

PAN AMERICAN UNDERWRITERS, INC.

(See Intercare Insurance Services)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 19 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

- R - REPUBLIC WESTERN INSURANCE COMPANY

2721 N. Central Ave.

RECON ADMINISTRATIVE SERVICES, INC. Phoenix, AZ 85004

(See Hammerman & Gainer, Inc.) Main: (800) 528-7134 - (602) 263-6520

Fax: (602) 745-6436

REDWOOD EMPIRE SCHOOLS INS. GROUP (Claims Processed by Employer's Name for Entire State of California)

5760 Skylane Blvd., Suite 100

Windsor, CA 95492-9742

Main: (707) 836-0779 F.A. RICHARD & ASSOCIATES

Fax: (707) 836-9479 (See FARA / F.A. Richard & Associates)

(Claims Processed by Injured's Name for Sonoma County School Districts)

RICOMP CLAIMS MANAGEMENT CORPORATION

REDWOOD FIRE & CASUALTY INS. COMPANY P.O. Box 2837

(See Berkshire Hathaway Homestate Companies [BHHC]) Seal Beach, CA 90740

Main: (714) 503-1186

RELIANCE / UNITED PACIFIC INSURANCE Fax: (714) 503-1006

COMPANIES (Third Party Administrators)

(See Cambridge Integrated Services Group, Inc. -

Pasadena and Rancho Cordova offices) RISK ENTERPRISE MANAGEMENT LIMITED

3230 E. Imperial Hwy., Suite 300

RENAISSANCE RISK MANAGEMENT Brea, CA 92821

(See Aims) (Mailing Address)

P.O. Box 2314

REPUBLIC INDEMNITY COMPANY OF AMERICA Brea, CA 92822-2314

15821 Ventura Blvd., Suite 370 Main: (800) 347-2509 - (714) 579-2500

Encino, CA 91436-2936 (Claims Processed by both Employer's and Injured's

(Mailing Address)

Names for Entire State of California)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

(Mailing Address)

Names for Entire State of California)

P.O. Box 20036

Encino, CA 91416-0036 ROSS & CASTILLO

Main: (818) 990-9860 (See Tristar Risk Management - Fresno office)

Fax: (818) 382-1252

(Claims Processed by Employer's Name for Los Angeles, Orange Counties, REPUBLIC INDEMNITY COMPANY OF AMERICA

the Northern Portion of San Bernardino County, plus the following 4995 Murphy Canyon Rd., Suite 401

3-digit Zip Code areas: 932, 933, 936, 937,938, 942, 952, 956, 957 San Diego, CA 92123-4366

958, 959, 960 and 961) (Mailing Address)

P.O. Box 85590

REPUBLIC INDEMNITY COMPANY OF AMERICA San Diego, CA 92186-5590

4995 Murphy Canyon Rd., Suite 401 Main: (858) 292-7002 - Fax: (858) 292-4816

San Diego, CA 92123-4366 (Claims Processed by Injured's Address for Riverside,

(Mailing Address) San Bernardino, Imperial and San Diego Counties)

P.O. Box 85590

San Diego, CA 92186-5590 ROYAL & SUN ALLIANCE

Main: (858) 292-7002 - Fax: (858) 292-4816 (Arrowpoint Capital Corp.)

(Claims Processed by Injured's Address for Riverside, Main: (800) 526-6235

San Bernardino, Imperial and San Diego Counties)

938, 942, 952, 956, 957, 958, 959, 960 and 961) 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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

- S

SEABRIGHT INSURANCE COMPANY

681 S. Parker St., Suite 220

ST. PAUL FIRE & MAINE INSURNACE COMPANY Orange, CA 92868-4719

(See Travelers) (Mailing Address)

P.O. Box 11027

ST. PAUL TRAVELERS Orange, CA 92856-8127

(See Travelers) Main: (800) 664-9420 - (714) 918-5900

Fax: (714) 918-5972

SAFECO INSURANCE GROUP (Claims Processed by Insured's Name)

P.O. Box 515097

Los Angeles, CA 90051-509

SEDGWICK CMS

Main: (800) 332-3226 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

(Claims Processed for All of California) (Long Beach Office)

P.O. Box 14563

SAFEWAY, INC. Lexington, KY 40512-4563

P.O. Box 9077 Main: (562) 981-1700

Pleasanton, CA 94566-9077 Fax: (562) 981-1745

Main: (800) 535-0009 - (925) 469-7900 (Third Party Administrators. Claims Processed by

Fax: (925) 469-7011 Employer's Name for all of California)

(Self-Insured. Claims Processed by Injured's Name

for Northern California, Northern Nevada and Hawaii) SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

SAN DIEGO GAS & ELECTRIC (Formerly Octagon Risk Services, Inc.)

(Sempra Energy) P.O. Box 956914

8306 Century Park Ct., Suite 41C Los Angeles, CA 90095-6914

San Diego, CA 92123-9831 Main: (310) 794-8247

Main: (858) 636-5511; 5513

Fax: (310) 794-8269

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Main: (858) 636

5511; 5513

Fax: (310) 794

8269

Fax: (858) 636-5510 (Claims Handled for Regents of University of

(Claims Processed by Injured's Name for California, University of California at Los Angeles

San Diego and Orange Counties) University of California at Santa Barbara, UCLA Medical

Center, UCLA, NPI/NPH and Santa Monica UCLA

SANTA ANA UNIFIED SCHOOL DISTRICT

edical Center)

1601 E. Chestnut Avenue

Santa Ana, CA 92701 SEDGWICK CMS

Main: (714) 558-5856 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

Fax: (714) 480-5320 (Formerly Octagon Risk Services, Inc.)

(Self-Insured) P.O. Box 2063

Oakland, CA 94604-2063

SCHOOLS INSURANCE AUTHORITY Main: (510) 302-3180

9800 Old Placerville Rd. Fax: (510) 302-3277

Sacramento, CA 95827 (Claims Handled for Regents of University of California

(Mailing Address) Office of The President

P.O. Box 276710 University of California at Berkley

Sacramento, CA 95827-6710 University of California at Merced

Main: (916) 364-1281 University of California at San Francisco

Fax: (916) 362-2824 University of California at Santa Cruz

(Self-Insured Claims Administrators. Claims Processed Lawrence Berkley Laboratory and

for Various School Districts throughout Northern California) Lawrence Livermore Laboratory)

SCOTT WETZEL SERVICES, INC. SEDGWICK CMS

(See Novapro Risk Solutions, L.P.) 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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

SEDGWICK CMS SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

(Formerly Octagon Risk Services, Inc.) (Formerly Octagon Risk Services, Inc.)

P.O. Box 2078 P.O. Box 3110

Oakland, CA 94604-2078 Rancho Cordova, CA 95741-3110

Main: (888) 777-0012 - (510) 302-3000 Main: (916) 851-8000

Fax: (510) 302-3267 Fax: (916) 851-8078

(Claims Processed by Employer's Name for CSU (Third Party Administrators for all of California)

Campuses in Bakersfield, Dominguez Hills, Hayward,

Humboldt, Long Beach, Monterey Bay, Pomona, SEDGWICK CMS

San Francisco, San Jose, San Marcos, Sonoma, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

and Maritime Academy) (Formerly Octagon Risk Services, Inc.)

P.O. Box 3170

SEDGWICK CMS Rancho Cordova, CA 95741-3170

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. Main: (916) 851-8000

(Ontario Office) Fax: (916) 851-8079

P.O. Box 14627 (Claims Processed by Employer's Name for CSU Campuses

Lexington, KY 40512-4627 in Channel Islands, Chico, Fresno, Fullerton, Los Angeles

Main: (909) 477-5500 Northridge, Sacramento, San Diego, San Luis Obispo, and

Fax: (866) 224-4607 the Chancellor's office)

(Third Party Administrators. Claims Processed

by Employers Name for all of California) SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

SEDGWICK CMS (Riverside Office)

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. P.O. Box 14440

(Orange Office) Lexington, KY 40512-4440

P O Box 14442

Main: (866) 568-8924 - (951) 248-8800

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Box 14442

Main: (866) 568

8924

(951) 248

8800

Lexington, KY 40512-4442 Fax: (951) 248-8765

Main: (800) 854-6188 - (714) 258-5000 (Third Party Administrators. Claims Processed by

Fax: (714) 258-5001 Employer's Name for all of California)

(Third Party Administrators. Claims Processed

by Employers Name for all of California) SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

SEDGWICK CMS (Sacramento Office)

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. P.O. Box 14433

(Formerly Octagon Risk Services, Inc.) Lexington, KY 40512-4433

P.O. Box 14237 Main: (916) 771-2900

Orange, CA 92863 Fax: (916) 771-2990

Main: (714) 634-3451 (Third Party Administrators. Claims Processed by Employers

Fax: (714) 937-5900 Name for all of California)

(Claims Handled for Regents of

University of California at Irvine and UCI Medical Center) SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

SEDGWICK CMS (Formerly Octagon Risk Services, Inc.)

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. P.O. Box 526012

(Pasadena Office) Sacramento, CA 95852-6012

P.O. Box 14623 Main: (916) 929-3506

Lexington, KY 40512-4623 Fax: (916) 925-2673

Main: (626) 397-9200 (Claims Handled for Regents of University of California

Fax: (626) 397-9250

and University of California at Davis and

(Third Party Admin. Claims Processed by Injured's UCD Medical Center)

Name for Los Angeles Unified School Dist. [LAUSD] only)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

SEDGWICK CMS SENTRY INSURANCE

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. (Sentry Claims Center)

(Formerly Octagon Risk Services, Inc.) P.O. Box 11524

P.O. Box 639028 Santa Ana, CA 92711-1524

San Diego, CA 92163-9028 Main: (800) 253-8672

Main: (619) 294-2178 Fax: (949) 930-6111

(Claims Handled for Regents of University of (Claims Processed by Employer's Name for all of California)

California and University of California at San Diego,

UCSD Medical Center, University of California at Irvine SENTRY INSURANCE

UCI Medical Center and Univ. of California at Riverside) (Sentry Claims Center)

9060 E. Via Linda Blvd.

SEDGWICK CMS Scottsdale, AZ 85258

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. (Mailing Address)

(Formerly Octagon Risk Services, Inc.) P.O. Box 29466

2800 W. March Lane, Suite 480 Phoenix, AZ 85038-9466

Stockton, CA 95219 Main: (800) 833-2244 - (480) 860-7000

Main: (209) 957-5419 Fax: (480) 860-7987

Fax: (209) 957-5325 (Claims Processed by both Employer's and Injured's Names for

(Claims Processed by Employer's Name for Catholic the Entire States of Arizona, California, Hawaii, Idaho, Alaska

Healthcare West Hospitals, Northern California only) Colorado, New Mexico, Texas, Oregon, Oklahoma, Wyoming,

and Utah)

SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. SENTRY INSURANCE

(Formerly Octagon Risk Services, Inc.) (Sentry Claims Center)

P.O. Box 1027 P.O. Box 8032

Van Nuys, CA 91408-1027 Stevens Point, WI 54481

Main: (818) 997-3500

Main: (800) 739-3344 - (715) 346-6000

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Main: (818) 997

3500

Main: (800) 739

3344

(715) 346

6000

(Third Party Administrators. Claims Processed for Fax: (715) 346-9708

Southern California and Arizona) (Claims Processed by both Employer's Names for

all of California)

SEDGWICK CMS

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. SOUTHERN CALIFORNIA EDISON COMPANY

(Walnut Creek Office) 8631 Rush St., Fourth Floor

P.O. Box 14421 Rosemead, CA 91770-3738

Lexington, KY 40512-44421 Main: (626) 302-6890

Main: (925) 933-9560 Fax: (626) 302-4790

Fax: (925) 933-9559 (Self-Insured. Claims Processed by Injured's Name)

(Third Party Administrators. Claims Processed by

Employer's Name for all of California) SOUTHERN CALIFORNIA GAS COMPANY

(Sempra Energy)

SELF-INSURED MANAGEMENT SERVICES 555 W. Fifth St., M.L. 16CO

(See Tristar Risk Management ) Los Angeles, CA 90013

(Mailing Address)

SELF-INSURED SCHOOLS OF CALIFORNIA P.O. Box 30937

1300 - 17th Street Los Angeles, CA 90030-093

Bakersfield, CA 93301 Main: (213) 244-3145

(Mailing Address) (Self-Insured / Self Administered)

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

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

SOUTHERN CALIFORNIA RISK MANAGEMENT SPECIALTY RISK SERVICES, LLC

ASSOCIATES, INC. P.O. Box 591

18625 Sutter Blvd., Suite 500 Burbank, CA 91503-0591

Morgan Hill, CA 95037-2862 Main: (800) 999-3945 - (818) 525-2400

Main: (408) 782-1074 Fax: (818) 955-9925

Fax: (408) 776-9001 (Third Party Administrators. Claims Processed

(Claims Processed by Employer's, then Injured's Name) by Employer's Name for California, Colorado and Utah)

SOUTHERN CALIFORNIA RISK MANAGEMENT SPECIALTY RISK SERVICES, LLC

ASSOCIATES, INC. 6140 Stoneridge Mall Rd., Suite 245

1801 N. Solar Dr., Suite 190 Pleasanton, CA 94588-3233

Oxnard, CA 93030-8226 (Mailing Address)

Main: (805) 288-4100 P.O. Box 8116

Fax: (805) 988-9101 Pleasanton, CA 94588

(Claims Processed by Employer's, then Injured's Name) Main: (877) 809-9478 - (925) 225-8400

Fax: (925) 227-0996

SOUTHERN CALIFORNIA RISK MANAGEMENT (Claims Processed by Account Name, Statewide)

ASSOCIATES, INC.

313 E. Foothill Blvd. SPECIALTY RISK SERVICES, LLC

Upland, CA 91786-3952 (Inland Empire)

Main: (909) 608-7171 1420 Iowa Ave., Suite 200

Fax: (909) 608-7165 Riverside, CA 9250

(Claims Processed by Employer's, then Injured's Name) (Mailing Address)

P.O. Box 59907

SOUTHERN CALIFORNIA RISK MANAGEMENT Riverside, CA 9251

ASSOCIATES, INC. Main: (888) 737-7726 - (951) 715-3948

28235 Newhall Ranch Rd Suite 250

Fax: (951) 715-2701

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 24 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

28235 Newhall Ranch Rd

Suite 250

Fax: (951) 715

2701

Valencia, CA 91355-0986 (Claims Processed by Account Name, Statewide)

Main: (661) 775-9550 Bakersfield, CA 93311

Fax: (661) 775-9554 (Mailing Address)

(Claims Processed by Employer's, then Injured's Name) P.O. Box 3171

Suisun City, CA 94585-6171

SOUTHLAND CLAIMS SERVICE, INC. Main: (661) 664-4000

7761 Garden Grove Blvd. Fax: (661) 664-4101

Garden Grove, CA 92841 (Claims Processed by Employer's Name for All of Kern County)

(Mailing Address)

P.O. Box 958 SPRINGFIELD INSURANCE COMPANY/GMIS

Garden Grove, CA 92842-0958 874 S. Village Oaks Drive

Main: (714) 772-1933 Covina, CA 91724-3614

Fax: (714) 772-7718 (Mailing Address)

(Claims Processed for all of California) P.O. Box 3029

Covina, CA 91722-9029

SPECIALTY RISK SERVICES, LLC Main: (800) 821-3364 - (626) 915-1951

One Pointe Dr., Suite 220 Fax: (626) 967-2548

Brea, CA 92821 (Claims Processed by Employer's Name for All of California)

(Mailing Address)

P.O. Box 7007 STATE COMPENSATION INSURANCE FUND

La Habra, CA 90632-7007 (Bakersfield District Office)

Main: (800) 221-5473 - (714) 674-1000 9801 Camino Media

Fax: (714) 674-4602 Bakersfield, CA 93311

(Claims Processed by Account Name, Statewide) (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

- ( 24 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

STATE COMPENSATION INSURANCE FUND STATE COMPESATION INSURANCE FUND

STATE CONTRACT SERVICES (State Contract Services)

400 Citadel Dr., Suite 100 2901 N. Ventura Road, Suite 100

Commerce, CA 90040 Oxnard, CA 93030

(Mailing Address) (Mailing Address)

P.O. Box 910932 P.O. Box 9230

Commerce, CA 90091-0932 Oxnard, CA 93031-9045

Main: (323) 727-5600 Main: (805) 988-8600

Fax: (323) 727-5710 Fax: (805) 981-3410

(Claims Processed for State of California Employees (Claims Processed for State of California Employees

only, including all State Agencies) only, including all State Agencies)

STATE COMPENSATION INSURANCE FUND STATE COMPENSATION INSURANCE FUND

(Eureka District Office & State Contract Services) (Bay Area Claims Services)

2440 Sixth Street 5880 Owens Drive

Eureka, CA 95501 Pleasanton, CA 94588

(Mailing Address) (Mailing Address)

P.O. Box 4973 P.O. Box 3171

Eureka, CA 95502-4973 Suisan City, CA 94585-6171

Main: (707) 443-9721 Main: (925) 523-5200

(Claims Processed by Employees Name for Humboldt (Claims Processed by Employer's Name for Alameda,

and Del Norte Counties, plus the State of California Contra Costa, San Francisco and San Mateo Counties,

Employees, including all State Agencies)

plus the Vallejo City area)

STATE COMPENSATION INSURANCE FUND STATE COMPENSATION INSURANCE FUND

(Fresno District Office) (Redding District Office)

10 River Park Place East Third Floor

2175 Shasta View Drive

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 25 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

10 River Park Place East

Third Floor

2175 Shasta View Drive

Fresno, CA 93720 Redding, CA 96003

(Mailing Address) (Mailing Address)

P.O. Box 65005 P.O. Box 3171

Pinedale, CA 93650-5005 Suisun City, CA 94585-6171

Main: (559) 433-2700 Main: (530) 223-7000

(Claims Processed by Employer's Name for all of Fresno, Claims Processed by employer's Name for Butte, Glenn,

Kings, Madera, and Tulare, Counties) Tehama, Shasta, Trinity, Plumas, Modoc, Siskiyou

and Lassen Counties)

STATE COMPENSATION INSURANCE FUND

(Los Angeles Claims Services) STATE COMPENSATION INSURANCE FUND

655 N. Central Ave., Suite 200 (Riverside District Office)

Glendale, CA 91203-1400 6301 Day Street

(Mailing Address) Riverside, CA 9250

P.O. Box 92622 (Mailing Address)

Los Angeles, CA 90009-2622 P.O. Box 92622

Main: (818) 291-7000 - Fax: (818) 291-7300 Los Angeles, CA 90009-2622

(Claims Processed by Employer's Name Main: (951) 656-8300

for Los Angeles, plus San Fernando, Santa Clarita, Fax: (951) 653-1597

Antelope and San Gabriel Valleys) (Claims Processed by Employer's Name for Riverside County)

STATE COMPENSATION INSURANCE FUND STATE COMPENSATION INSURANCE FUND

(Oxnard District Office) (State Contract Services)

2901 N. Ventura Rd. 6301 Day Street

Oxnard, CA 93030 Riverside, CA 92507-0902

(Mailing Address) (Mailing Address)

P.O. Box 65005 P.O. Box 59901

Pinedale, CA 93650-5005 Riverside, CA 92517-1901

Main: (805) 988-5300 Main: (951) 697-7300

Fax: (805) 988-5528 Fax: (951) 697-7301

(Claims Processed by Employer's name for Ventura, (Claims Processed for State of California Employees

Santa Barbara and San Luis Obispo Counties) only, including all State Agencies)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 25 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

STATE COMPENSATION INSURANCE FUND STATE COMPESATION INSURANCE FUND

(State Contract Services) Claims Management Service (TPA Program)

5900 State Farm Drive., Suite 200 451 E. Vanderbilt Way, Suite 200

Rohnert Park, CA 94928-2149 San Bernardino, CA 92408

(Mailing Address) (Mailing Address)

P.O. Box 1609 P. O. Box 1806

Rohnert Park, CA 94927-1609 San Bernardino, CA 92402-1806

Main: (707)586-5000 Main: (909) 380-7488

Fax: (707) 586-5199 Fax: (909) 380-7495

(Claims Processed for State of California Employees

only, including all State Agencies) STATE COMPESATION INSURANCE FUND

(San Diego District Office)

STATE COMPENSATION INSURANCE FUND 10105 Pacific Heights Blvd.

(Sacramento District Office) San Diego, CA 92121-4214

2275 Gateway Oaks Drive., Third floor (Mailing Address)

Sacramento, CA 95833 P. O. Box 65005

(Mailing Address) Pinedale, CA 93650-5005

P.O. Box 3171 Main: (858) 552-7100

Suisun City, CA 94585-6171 Fax: (858) 552-7110

Main: (916) 924-5100 (Claims Processed by Employer's Name for

(Claims Processed by Employer's name for Sacramento, Imperial and San Diego Counties)

Solano, Yolo, Colusa, Sutter, Yuba, Nevada, Sierra,

Placer and El Dorado Counties) STATE COMPESATION INSURANCE FUND

(San Jose District Office)

STATE COMPENSATION INSURANCE FUND 6203 San Ignacio Avenue

(State Contract Services) San Jose, CA 95119

2450 Venture Oaks Way Suite 500

(Mailing Address)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 26 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2450 Venture Oaks Way

Suite 500

(Mailing Address)

Sacramento, CA 95833 P. O. Box 3171

(Mailing Address) Suisun City, CA 94585-6171

P.O. Box 659011 Main: (408) 363-7400

Sacramento, CA 95865-9011 Fax: (408) 363-7866

Main: (916) 567-7500 (Claims Processed by Employer's Name for Santa Clara,

Fax: (916) 567-7511 Santa Cruz, San Benito and Monterey Counties)

(Claims Processed for State of California Employees

only, including all State Agencies) STATE COMPESATION INSURANCE FUND

Orange County Claims Services

STATE COMPENSATION INSURANCE FUND 1750 E. Fourth St., Third Floor

Claims Management Service (TPA Program) Santa Ana, CA 92705

2450 Venture Oaks Way., Suite 230 (Mailing Address)

Sacramento, CA 95833 P. O. Box 65005

(Mailing Address) Pinedale, CA 93650-5005

P.O. Box 255127 Main: (714) 565-5000

Sacramento, CA 95865-5127 Fax: (714) 565-5801

Main: (916) 567-7775 (Claims Processed by Employer's Name for

Fax: (916) 567-7776 Orange County)

STATE COMPENSATION INSURANCE FUND STATE COMPESATION INSURANCE FUND

(San Bernardino District Office) Claims Management Service (TPA Program)

375 W. Hospitality Lane (Main Office of CMS)

San Bernardino, CA 92408 1750 E. Fourth St., Suite 260

(Mailing Address) Santa Ana, CA 92705

P.O. Box 92622 (Mailing Address)

Los Angeles, CA 90009-2622 P.O. Box 11828

Main: (800) 342-7214 - (909) 384-4500 Santa Ana, CA 92711-1828

Fax: (909) 384-4646 Main: (714) 565-7000

(Claims Processed by Employer's name for Fax: (714) 565-7001

San Bernardino, and Inyo Counties)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 26 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

STATE COMPESATION INSURANCE FUND TOKIO MARINE MANAGEMENT / TOKIO MARINE AND

(Santa Rosa District Office) FIRE INSURANCE COMPANY, LTD. AND

1450 Neotomas Avenue TRANSPACIFIC INSURANCE COMPANY

Santa Rosa, CA 95405 (Western Regional Claims Division)

(Mailing Address) 800 E. Colorado Blvd.

P. O. Box 65005 Pasadena, CA 91101

Pinedale, CA 93650-5005 (Mailing Address)

Main: (707) 573-6300 P. O. Box 7127

(Claims Processed by Employer's Name for Pasadena, CA 91109-7127

arin, Sonoma, Mendocino, Lake and Napa Counties) Main: (626) 568-7600

(Claims Processed by Employer's Name for

STATE COMPESATION INSURANCE FUND all States West of the Rocky Mountains, plus Texas,

(Stockton District Office) Alaska and Hawaii)

3247 W. March Lane

Stockton, CA 95219 TOPA INSURANCE COMPANY

(Mailing Address) P. O. Box 67810

P. O. Box 3171 Los Angles, CA 9006

Suisin, CA 94585-6171 Main: (310) 201-0451

Main: (209) 476-2600 Fax: (310) 286-7495

Fax: (209) 476-2750 (Claims Processed by Employer's Name for

(Claims Processed by Employer's Name for all California)

San Joaquin, Stanislaus, Alpine, Mono, Merced, Amador,

Calaveras, Mariposa and Tuolumne Counties) TRANSCONTINENTAL INSURANCE COMPANY

(See CNA)

STATE FARM FIRE & CASUALTY COMPANY

900 Old River Rd. TRANSPACIFIC INSURANCE COMPANY

Bakersfield CA 93311-6000

(see Tokyo Marine Management / Tokyo Marine and Fire

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Bakersfield

CA 93311

6000

(see Tokyo Marine Management / Tokyo Marine and Fire

Main: (661) 663-5634 (800) 749-9703 Insurance Company, ltd.)

Fax: (661) 663-5705

(Claims Processed by Employer's Name for TRAVELERS

all California) THE TRAVELERS COMPANIES, INC.

21688 Gateway Center Drive

STERLING ADMINISTRATIVE SERVICES, INC. Diamond Bar, CA 91765-8511

(See Cambridge Integrated Services Group, (Mailing Address)

INC. - Pasadena and Rancho Cordova offices) P. O. Box 6510

Diamond Bar, CA 91765-8510

SUPERIOR NATIONAL INSURANCE COMPANY Main: (800) 258-3710 - (909) 612-3000

(See Broadspire) Fax: (877) 801-9677

(Claims Processed by Employer's Name for

SUPERIOR PACIFIC INSURANCE GROUP Los Angeles, Orange, Riverside, San Diego, San

(See Broadspire) Bernardino, Imperial, Ventura, Santa Barbara and San

Luis Obispo Counties)

SUTTER HEALTH

1014 W. North Market Blvd., Suite 40 TRAVELERS

Sacramento, CA 95834 THE TRAVELERS COMPANIES, INC.

(Mailing Address) 333 City Blvd. West, Suite 1100

P.O. Box 160066 Orange, CA 92868

Sacramento, CA 95816 (Mailing Address)

Main: (916) 561-6500 P. O. Box 14246

Fax: (916) 561-6501 Orange, 92863-1246

(Self Insured/Self-Administered) Main: (800) 221-3974 - (714) 620-1200

Fax: (866) 577-8331

- T - (Claims processed by both Employer's and Injured's Names

for all of California)

TIG INSURANCE COMPANY

(See Risk Enterprise Management Limited)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

TRAVELERS TRISTAR RISK MANAGEMENT

THE TRAVELERS COMPANIES, INC. 3333 Camino Del Rio So., Suite 340

P. O. Box 13089 San Diego, CA 92108

Sacramento. CA 95813-4089 (Mailing Address)

Main: (800) 727-3995 P. O. Box 880287

Fax: (877) 749-0077 San Diego, Ca 92168-0287

(Claims processed by Employer's Name for Main: (619) 238-5888

Northern California) Fax: (619) 299-1315

(Claims processed by Injured's Name for all of California)

TRAVELERS

THE TRAVELERS COMPANIES, INC. TRISTAR RISK MANAGEMENT

215 Lennon Lane 8665 Gibbs Dr., Suite 200

Walnut Creek, CA 94596 San Diego, CA 92123

(Mailing Address) (Mailing Address)

P. O. Box 8112 P. O. Box 600630

Walnut Creek, CA 94596-8112 San Diego, CA 92160

Main: (800) 842-7354 - (925) 945-4000 Main: (877) 715-8044 - (858) 715-8800

Fax: (877) 801-9679 Fax: (858) 715-8801

(Claims processed by Employer's Name for (Claims Processed by Injured's Name for all of California)

Northern California)

TRISTAR RISK MANAGEMENT

TRAVELERS INSURANCE COMPANY P. O. Box 11967

(See Travelers) Santa Ana, CA 92711-1967

Main: (714) 543-0700

THE TRAVELERS PROPERTY CASUALTY CORPORATION Fax: (714) 542-7617

(See Travelers) (Claims Processed by Injured's name for all of California)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

TRISTAR RISK MANAGEMENT TRISTAR RISK MANAGEMENT

744 E. Bullard Ave. 390 N. Wiget Lane

Fresno, CA 93710

alnut Creek, CA 94598-2489

Main: (559) 432-1260 (Mailing Address)

Fax:(559) 432-1267 P. O. Box 9350

(Claims processed by Injured's name for all California)

alnut Creek, CA 94598-0950

Main: (925) 930-9883

TRISTAR RISK MANAGEMENT Fax: (925) 930-0550

(L. A. County Claims - Sheriffs' Dept. only) (Claims Processed by Injured's Name for all of California)

P. O. Box 19775

Irvine, CA 92623-9775 TRUCK INSURANCE EXCHANGE

Main: (800) 782-5888 - (949) 635-3125 (See Farmers Insurance Group)

Fax: (949) - 635-3175

(Self-Insured. Claims processed for County of Los TWIN CITY FIRE INSURANCE COMPANY

Angeles [ Sheriffs' Department only ] ) (See The Hartford)

TRISTAR RISK MANAGEMENT - U -

P. O. Box 512028

Los Angeles, CA 90051-2028 ULICO INSURANCE GROUP

Main: (562) 506-0300 P. O. Box 5131

Fax: (562) 981-0804 Chino, CA 91708-5131

(Claims processed by Injured's Name for all of California) Main: (800) 408-7222 - (909) 393-5100

Fax: (909) 393-5110

TRISTAR RISK MANAGEMENT

P. O. Box 277490 ULICO STANDARD OF AMERICA

Sacramento, CA 95827-7490 (See Ulico Insurance Group)

Main: (916) 631-0415

Fax: (916) 638-5090 UNDERWRITERS ADJUSTING COMPANY

(Claims processed by Injured's Name for all of California) (See CNA)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

UNICARE INSURANCE COMPANY UNITED STATES DEPARTMENT OF LABOR …cont'd

(See Cambridge Integrated Services Group, Inc.) Division of Federal Employees' Compensation

Mailing addr. for medical reports, bills and case corresp.:

UNIGARD INSURANCE COMPANY U. S. Department of Labor

15805 N.E. 24th St. DFEC Central Mailroom - District 13

Bellevue, WA 98008-2409 P. O. Box 8300

(Mailing Address) London, KY 40742-8300)

P. O. Box 90701 Division of Longshore & Harbor Workers' Compensation

Bellevue, WA 98009-0701 P. O. Box 193770

Main: (800) 777-1757 - (425) 562-5264 San Francisco, CA 94119-3770

Fax: (425) 562-5258 Main: (415) 625-7669

(Claims processed by Injured's Name for Fax (415) 625-7470

all California) (Claims processed by Injured's Name for

States of California, Arizona, Nevada and Hawaii)

UNINSURED EMPLOYERS BENEFIT TRUST FUND Division of Longshore & Harbor Workers' Compensation

CLAIMS UNIT 401 E. Ocean Blvd., Suite # 720

320 W. Fourth St., Suite 690 Long Beach, CA 90802

Los Angeles, CA 90013 Main: (562) 980-3577

Main: (213) 576-7300 Fax: (562) 980-3587

Fax: (213) 576-7304 (Claims processed by Injured's Name for

(Claims Processed by Injured's Name for all of States of California, Arizona, Nevada and Hawaii)

Southern California)

U. S. FIDELITY AND GUARANTY COMPANY

UNINSURED EMPLOYERS BENEFIT TRUST FUND (See Travelers)

CLAIMS UNIT

1515 Clay Street., 17th Floor UNITED STATES FIRE INSURANCE COMPANY

Oakland CA 94142-9397

(See Crum & Forster)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

Oakland

CA 94142

9397

(See Crum & Forster)

(Mailing Address)

P.O. Box 429397 UNIVERSAL UNDERWRITERS GROUP

San Francisco, CA 94142-9397 (See Zurich Direct Underwriters)

Main: (510) 286-7067

Fax: (510) 286-6997 USA CASUALTY

(Claims processed by Injured's Name) (See Ulico Insurance Group)

UNINSURED EMPLOYERS BENEFIT TRUST FUND UTICA NATIONAL INSURANCE COMPANY

SUBSEQUENT INJURIES FUND P. O. Box 6554

CLAIMS UNIT Utica, NY 13504-6554

2424 Arden Way, Suite 355 Main: (800) 678-8422, (972) 677-6700

Sacramento, CA 95825 Fax: (315) 266-4127

Main: (916) 263-2774 (Claims Processed for 19 Western States, including California and Texas)

Fax: (916) 263-0971

(Claims Processed by Injured's Name) - V

UNITED PACIFIC-RELIANCE INSURANCE COMPANY

IGILANT INSURANCE COMPANY

(See Cambridge Integrated Services Group, Inc. - Pasadena and Rancho (See Chubb Group of Insurance companies)

Cordova Offices)

ONS, A SAFEWAY COMPANY

UNITED STATES DEPARTMENT OF LABOR (Risk Management Department)

(Office of Worker's Compensation Programs) (W.C. Claims Unit)

90 Seventh St., Suite 15300 618 Michillinda Ave.

San Francisco, CA 94103-6716

rcadia, CA 91007-1734

(Mailing Address) (Mailing Address)

P. O. Box 193769 P. O. Box 60008

San Francisco, Ca 94119-3769

rcadia, CA 91066-6008

Main: (415) 625-7500 Main: (626) 821-7149

Fax: (415) 625-7450 Fax: (626) 821-7915

(Self-Insured Administrators. Claims Processed by Injured's Name

for All of California)

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

- W - - Y

ARD NORTH AMERICA, INC.

ASUDA FIRE & MARINE INSURANCE COMPANY

(See Novapro Risk Solutions, L.P.) OF AMERICA

(See Broadspire - Fresno office)

ARNER BROTHERS STUDIOS FACILITIES

(Workers' Compensation Department) - Z -

4000 Warner Blvd.

Burbank, CA 91522 ZENITH INSURANCE COMPANY

Main: (818) 977-3232 7440 N. Palm Ave., Suite 103

Fax: (818) 977-6787 Fresno, CA 93711-5729

(Mailing Address)

P. O. Box 12546

ASAU INSURANCE COMPANIES Fresno, CA 93778-2546

P. O. Box 4025 Main: (800) 508-9910 - (559) 432-6660

Beaverton, OR 97076-4025 Fax: (559) 436-8839

Main: (800) 424-0054 - (503) 626-4100 (Claim Processed by Employer's Name for Fresno, Inyo, Kern

Fax: (603) 334-0307 Kings, Madera, Mariposa, Merced, Mono, San Luis Obispo,

(Claims Processed by Employer's Name for Stanislaus, Tulare and Tuolumne Counties)

California, Nevada and Hawaii)

ZENITH INSURANCE COMPANY

EAR AND WOOD, INC. 4309 Hacienda Dr., Suite 200

(See Tristar Risk Management - San Diego office Pleasanton, CA 94588

[ Camino Del Rio So. ] ) (Mailing Address)

P. O. Box 8002

EST AMERICAN INSURANCE COMPANY Pleasanton, CA 94588-8602

(See Ohio Casualty Group of Ins Companies)

Main: (925) 460-0600

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

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Toll Free: (800) 737-8840

Fax: (800) 975-1653

(See Ohio Casualty Group of Ins

Companies)

Main: (925) 460

0600

(Claims Processed by Employer's Name for Alameda, Alpine,

ESTERN GROWERS INSURANCE COMPANY Amador, Butte, Calaveras, Colusa,Contra Cosrta, Del Norte,

(See Intercare Insurance Services) El Dorado, Glenn, Humboldt, Lake Lassen, Marin, Mendocino,

odoc, Monterey, Napa, Nevada, Placer, Plumas, Sacramento,

ESTERN SELF-INSURANCE SERVICES San Benito, San Francisco, San Joaquin, San Luis Obispo,

619 Fifth St. San Mateo, Santa Clara, Santa Cruz, Sierra, Siskiyoiu, Solano,

Eureka, CA 95501 Sonoma, Shutter, Tehoma, Truinity, Yolo and Yuba Counties)

Main: (707) 445-5496

Fax: (707) 445-5498 ZENITH INSURANCE COMPANY

(Mission Valley Office)

ILLIS ADMINISTRATIVE SERVICES CORPORATION 7676 Hazard Center Dr., Suite 1200

(See ASC) San Diego, CA 92108

Main: (619) 299-6252

ILLIS CORRON ADMINISTRATIVE SERVICES CORP. Fax: (800) 533-6212

(See ASC) (Claims Processed by Employer's Name for Central and

South San Diego County [ South of the 56 Freeway ]

CA plus Imperial County)

ORKERS' COMPENSATION ADMINISTRATORS

265 E. Donovan Road ZENITH INSURANCE COMPANY

Santa Maria, CA 93454 420 Stevens Ave., Suite 300

Main: (805) 922-9157 Solana Beach, CA 92075

Fax: (805) 349-2816 (Mailing Address)

7676 Hazard Center Dr., #1200

ORKERS COMPENSATION AND INDEMNITY San Diego, CA 92108

COMPANY OF CALIFORNIA Main: (858) 509-6100

(See Cambridge Integrated Services Group, Inc - (Claims Processed by Employer's Name for North San Diego

San Diego Office) County [ North of the 56 Freeway])

- X -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 30 ) -

Toll Free: (800) 737-8840

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 Box 981030

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 31 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

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

- ( 31 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

- NOTES & COMMENTS -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 32 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 32 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers

- NOTES & COMMENTS -

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 33 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

MATRIX DOCUMENT IMAGING, INC.

www.legal-records.com

- ( 33 ) -

Toll Free: (800) 737-8840

Fax: (800) 975-1653

92623 2008 WC IIC REFERENCE

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