2008 Worker's Comp Industrial Insurance Carriers...2008 Worker's Comp Industrial Insurance Carriers ALASKA NATIONAL INSURANCE COMPANY AMERICAN ALL-RISK LOSS ADMINISTRATORS P.O. Box

2008 Worker's Comp Industrial Insurance Carriers

BRANCH OFFICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1a - 3a

LISTINGS ( A thru Z) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1 - 31

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- 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) 737-8840Fax: (800) 975-1653

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 32 33

MATRIX DOCUMENT IMAGING, INC.www.legal-records.com

Toll Free: (800) 737-8840Fax: (800) 975-1653

Worker's Comp Department of Industrial Relations

ANAHEIM OFFICE - AHM GOLETA OFFICE - GOL1661 N. Raymond Ave., Suite 202 6755 Hollister Ave., Suite 100

Anaheim, CA 92801-1162 Goleta, CA 93117-5551

Main: (714) 738-4041 Main: (805) 968-0258Disability Evaluation Unit: (714) 738-4040 Disability Evaluation Unit: (805) 485-4423Information & Assistance Unit: (714) 738-4038 Information & Assistance: (805) 968-4158Rehabilitation Unit: (714) 738-4046 Rehabilitation Unit: (805) 968-7678SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300 UEF Claims Unit: (916) 263-2774

BAKERSFIELD OFFICE - BAK GROVER BEACH OFFICE - GRO1800 - 30th Street, Suite 100 1562 W. Grand Avenue

Bakersfield, CA 93301-1929 Grover Beach, CA 93433-2261

Main: (661) 395-2723 Main: (805) 481-4912Disability Evaluation Unit: (559) 445-6427 Disability Evaluation Unit: (805) 485-4423Information & Assistance Unit: (661) 395-2514 Information & Assistance: (805) 481-3296Rehabilitation Unit: (559) 445-5066 Rehabilition Unit: (805) 968-7678SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF 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) 737-8840Fax: (800) 975-1653

UEF Claims Unit: (510) 286 7067 UEF Claims Unit: (916) 263 2774

EUREKA OFFICE - URE LONG BEACH OFFICE - LBO100 "H" Street, Suite 202 300 Oceangate, Room 200

Eureka, CA 95501-0481 Long Beach, CA 90802-4304

Main: (707) 445-6518 Main: (562) 590-5001Disability Evaluation Unit: (530) 225-3179 Disability Evaluation Unit: (562) 590-5017Information & Assistance: (707) 441-5723 Information & Assistance: (562) 590-5001Rehabilitation Unit: (530) 225-2859 Rehabilitation Unit: (562) 590-5033SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (916) 263-2774 UEF Claims Unit: (213)-576-7300

FRESNO OFFICE - FRE LOS ANGELES OFFICE - LAO2550 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) 576-7426Disability Evaluation Unit: (559) 445-6427 Audit Unit: (213) 620-2312Information & Assistance: (559) 445-5355 Disability Evaluation Unit: (213) 576-7426Reabilitation Unit: (559) 445-5066 Information & Assistance: (213) 576-7389SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (510) 286-7067 UEF Claims Unit: (213)-576-7300


Toll Free: (800) 737-8840Fax: (800) 975-1653


MARINA DEL REY OFFICE - MDR REDDING OFFICE - RDG4720 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) 225-2845Disability Evaluation Unit: (310) 482-3868 Disability Evaluation Unit: (530) 225-3179Information & Assistance: (310) 482-3858 Rehabilitation Unit: (909) 623-8767Rehabilitation Unit: (310) 482-3858 SIF Unit: (916) 263-2774SIF Unit: (916) 263-2774 UEF Claims Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300

RIVERSIDE OFFICE - RIVOAKLAND OFFICE - OAK 3737 Main Street, Suite 300

1515 Clay Street, 6th Floor Riverside, CA 92501-3337

Oakland, CA 94612-1402 Main: (951) 782-4269Disability Evaluation Unit: (510) 622-2859 Diability Evaluation Unit: (951) 782-4345Information & Assistance Unit: (510) 622-2861 Information & Assistance Unit: (951) 782-4347Rehabilitation Unit: (510) 622-2860 Rehabilitation Unit: (951) 782-4867SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (510) 286-7067 UEF Claims Unit: (213) 576-7300

- BRANCH OFFICES -


Toll Free: (800) 737-8840Fax: (800) 975-1653

OXNARD OFFICE - OXN SACRAMENTO OFFICE - SAC2220 E. Gonzales Rd., Suite 100 2424 Arden Way, Suite 230

Oxnard, CA 93036-8293 Sacramento, CA 95825-2404

Main: (805) 485-4423 Main: (916) 263-2735Disability Evaluation Unit: (805) 485-4423 Audit Unit: (916) 263-2710Information & Assistance Unit: (805) 485-3528 Disability Evaluation Unit: (916) 263-2767Rehabilitation Unit: (805) 485-3144 Information & Assistance Unit: (916) 263-2741SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300 UEF Claims Unit: (916) 263-2774

POMONA OFFICE - POM SALINAS OFFICE -SAL732 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) 443-3060Disability Evaluation Unit: (909) 623-4301 Disability Evaluation Unit: (831) 443-3222Disability Evaluation Unit: (530) 225-3179 Information & Assistance Unit: (831) 443-3058Rehabilitation Unit: (909) 623-8767 Rehabilitation Unit: (831) 443-3021SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300 UEF Claims Unit: (510) 286-7067


Toll Free: (800) 737-8840Fax: (800) 975-1653


SAN BERNARDINO OFFICE - SBR SANTA ANA - ANA464 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) 558-4121Disability Evaluation Unit: (909) 383-6363 Disability Evaluation Unit: (714) 558-4113 ext. 6749Information & Assistance: (909) 383-4522 Information & Assistance: (714) 558-4597Rehabilitation Unit: (909) 383-4073 Rehabilitation Unit: (714) 558-4581SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300 UEF Claims Unit: (213) 576-7300

SAN DIEGO OFFICE - SDO SANTA ROSA OFFICE - SRO7575 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) 576-2391Disability Evaluation Unit: (619) 767-2086 Disability Evaluation Unit: (707) 576-2374Information & Assistance Unit: (619) 767-2082 Information & Assistance: (707) 576-2452Rehabilition Unit: (619) 767-2085 Rehabilitation Unit: (415) 703-5031SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (213)-576-7300 UEF Claims Unit: (510) 286-7067

- BRANCH OFFICES -


Toll Free: (800) 737-8840Fax: (800) 975-1653

UEF Claims Unit: (213) 576 7300 UEF Claims Unit: (510) 286 7067

SAN FRANCISCO OFFICE - SFC STOCKTON OFFICE - STK455 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) 948-7759Disability Evaluation Unit: (415) 703-5030 Disability Evaluation Unit: (209) 948-3651Information & Assistance: (415) 703-5020 Information & Assistance: (209) 948-7980Rehabilitation Unit: (415) 703-5031 Rehabilitation Unit: (916) 263-2930SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (510) 286-1067 UEF Claims Unit: (916) 263-2774

SAN JOSE OFFICE - SJO VAN NUYS OFFICE - VNO100 Paseo de San Antonio., Room 241 6150 Van Nuys Blvd., Suite 105

San Jose, CA 95113-1402 Van Nuys, CA 91401-3370

Main: (408) 277-1246 Main: (818) 901-5367 ext. 3501Disability Evaluation Unit: (408) 277-2024 Disability Evaluation Unit: (818) 901-5376 ext. 5Information & Assistance: (408) 277-1292 Info. & Assistance: (818) 901-5367 ext. 3541Rehabilitation Unit: (408) 277-1102 Rehabilitation Unit: (818) 901-5367 ext. 3601SIF Unit: (916) 263-2774 SIF Unit: (916) 263-2774UEF Claims Unit: (510) 286-7067 UEF Claims Unit: (213) 576-7300


Toll Free: (800) 737-8840Fax: (800) 975-1653


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 25978Main: (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 NorthACE USA San Diego, CA 92108(Northern California Regional Claims Center) (Mailing Address)39300 Civic Center Drive., Suite 300 P.O. Box 25978Fremont, CA 94538 Shawnee Mission, KS 66225-5978(Mailing Address) Main: (800) 736-6671 - (619) 688-3700 P.O. Box 31083 Fax: (866) 739-6981Tampa, 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) 737-8840Fax: (800) 975-1653

Main: (866) 751 3239 (510) 790 4600Fax: (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 66225-5978ACE USA Main: (800) 428-0906(Southern California Regional Claims Center) Fax: (925) 901-220021860 Burbank Blvd., Suite 200 (Claims Processed for Northern California)Woodland Hills, CA 91367(Mailing Address) AIMSP.O. Box 31051 ACCLAMATION INSURANCE MANAGEMENT SERVICESTampa, FL 33631-3051 P.O. Box 28100Main: (800) 654-5374 - (818) 712-6300 Fresno, CA 93729Fax: (800) 350-8299 Main: (559) 227-9891(Claims Processed by Employer's Name for Orange, Fax: (559) 227-1579Los Angeles, San Diego, Riverside, San Bernardino (Third Party Administrators)Ventura, Santa Barbara, Kern Counties, and Hawaii)

AIMSADMINSURE, INC. ACCLAMATION INSURANCE MANAGEMENT SERVICES1470 S. Valley Vista Drive., Suite 230 P.O. Box 269120Diamond Bar, CA 91765 Sacramento, CA 95826-9120Main: (909) 861-0816 Main: (800) 444-6157 - (916) 563-1900(Self Insured Adminstrators. Claims Processed Fax: (916) 563-1919by Employer's Name) (Third Party Administrators)

ADVENTIST HEALTH SYSTEM WEST AIMSP. O. Box 619028 ACCLAMATION INSURANCE MANAGEMENT SERVICESRoseville, CA 95661-9028 P.O. Box 937Main: (916) 781-4649 Santa Clarita, CA 91380-0937Fax: (916) 774-7320 Main: (661) 705-2900(Self-Insured / Self Administered) Fax: (661) 705-2999

(Third Party Administrators)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersALASKA NATIONAL INSURANCE COMPANY AMERICAN ALL-RISK LOSS ADMINISTRATORSP.O. Box 193970 AARLASan Francisco, CA 94119 4274 W. Richert AvenueMain: (866) 355-2642 - (415) 245-5030 Fresno, CA 93722Fax: (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) 277-4960ALLIANZ GLOBAL CORPORATE & SPECIALTY Fax: (559) 277-49612350 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 COMPANYMain: (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 CLAIMS1601 Exposition Blvd. ADMINISTRATORS ACCA, INC.Sacramento, CA 95815 P.O. Box 85479(Mailing Address) San Diego, CA 92186-54793820 - 109th Street., Dept. 5577 Main: (800) 661-6029Des Moines, IA 50391-5577 Fax: (800) 661-6984Main: (800) 552-2437 (Third Party Administrators, Claims ProcessedFax: (800) 742-1341 by Injured's Name for all of California)(Claims Processed by Employer's Name for all of California)


Toll Free: (800) 737-8840Fax: (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 94188-1716ALLSTATE 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 250Rancho Cordova, CA 95670 AMERICAN FIRE & CASUALTY COMPANY(Mailing Address) (See Ohio Casualty Group or Ins. Companies)P.O. Box 419068Rancho Cordova, CA 95741-9068 AMERICAN GUARANTEE & LIABILITY COMPANYMain: (800) 655-2667 - (916) 266-6100 (See Zurich North America)Fax: (916) 266-0314(Self- Insured administrators. Claims Administered for AMERICAN HARDWARE INSURANCE GROUPDistrict Hospitals in California) 5605 Green Circle Drive

Minnetonka, MN 55343ALTERNATIVE SERVICE CONCEPTS (ASC) (Mailing Address)5620 Birdcage St., Suite 130 P.O. Box 435Citrus Heights, CA 95610-7691 Minneapolis, MN 55440-0435Main: (800) 640-2264 - (916) 962-3190 Main: (800) 544- 8400Fax: (916) 962-3195 Fax: (800) 841- 5339(Third Party Administrators. Claims Processed by (Claims Processed by both Employers and Injured'sboth Employer's and Injured's Names) Names for all of California)

AMERICAN HOME ASSURANCE COMPANY(See AIG Domestic Claims, Inc.)


Toll Free: (800) 737-8840Fax: (800) 975-1653

http://www.alaskanational.com/�

2008 Worker's Comp Industrial Insurance CarriersAMERICAN 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 94522AMERICAN 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 93613-0897 (See Travelers)Main: (559) 299-2571Fax: (559) 299-2572 - B -(Third Party Administrators)

BEAVER INSURANCE COMPANYAMERICAN PROTECTION INSURANCE COMPANY (See Cambridge Integrated Services Group, Inc.)(See Broadspire)

BERKSHIRE HATHAWAY HOMESTATE COMPANIES AMERON INTERNATIONAL Worker's Compensation Specialty Division245 S. Los Robles Avenue 3452 E. Foothill Blvd., Suite 600Pasadena, CA 91101-2820 Pasadena, CA 91107(Mailing Address) (Mailing Address)P.O. Box 7007 P.O. Box 7008Pasadena, CA 91101-7007 Pasadena, CA 91109Main: (626) 683-4000 Main: (800) 339-9809 - (626) 356-1700 - (Self-Insured/Self-Administered) Fax: (626) 356-1717


Toll Free: (800) 737-8840Fax: (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 DivisionP.O. Box 3804 P.O. Box 85479Omaha, NE 68103 San Diego, CA 92186-5479Main: (877) 234-4424 Main: (800) 661-6029Fax: (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 DivisionARCMI P.O. Box 881716ARKANSAS CLAIMS MANAGEMENT, INC. San Francisco, CA 94188-1716(See Frank Gates Service Company) [El Dorado Hills] Main: (800) 661-6029 - (415) 782-3800Main: (800) 339-1109 Fax: (800) 661-6984

ARGONAUT INSURANCE COMPANY BIERLY AND ASSOCIATES5250 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 100Fresno, CA 93755 Redding, CA 96000-1749Main: (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) 223-2574ASSOCIATED CLAIMS MANAGEMENT, INC. Fax: (530) 223-2679(See Tristar Risk Management) (Third Party Administrators)

ASSOCIATED INDEMNITY CORPORATION(See Fireman's Fund Insurance Companies)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersBROADSPIRE BROADSPIREP.O. Box 2458 (Sacramento Claims Office)Brea, CA 92822-2458 2920 Kilgore Rd., Suite 110Main: (866) 780-4075 - (714) 579-8100 Rancho Cordova, CA 95670Fax: (770) 777-6415 (Mailing Address)www.choosebroadspire.com P.O. Box 10001(Third Party Administrators. Claims Processed by Van Nuys, CA 91410-0001Employer's Name for all of California) Main: (866) 817-4354 - (916) 636-4800

Fax: (770) 777-6417BROADSPIRE www.choosebroadspire.com1390 Willow Pass Rd., Suite 500 (Third Party Administrators. Claims Processed byConcord, CA 94520 Employers Name for all of Northern California)(Mailing Address)P.O. Box 4124 BROADSPIREConcord, CA 94524-4124 4180 Ruffin Rd., Suite 185Main: (925) 677-3400 San Diego, CA 92123Fax: (770) 777-6413 Main: (858) 514-1340www.choosebroadspire.com Fax: (770) 777-6420(Third Party Administrators. Claims Processed www.choosebroadspire.comby Employer's Name for Northern California) (Third Party Administrators. Claims Processed by

Employers Name for all of southern California)BROADSPIRE9131 Oakdale Avenue BROADSPIREChatsworth, CA 91311 5 Hutton Centre Drive, Suite 300(Mailing Address) Santa Ana, CA 92707P.O. Box 10001 (Mailing Address)Van Nuys CA 91410-0001 P O Box 66017


Toll Free: (800) 737-8840Fax: (800) 975-1653

Van Nuys, CA 91410-0001 P.O. Box 66017Main: (866) 817-4226 - (818) 407-2800 Anaheim, CA 92816-6017Fax: (770) 777-6468 Main: (714) 428-7100(Third Party Administrators. Claims Processed by Fax: (770) 777-6415Employers Name for all of California) www.choosebroadspire.com

(Third Party Administrators. Claims Processed BROADSPIRE by Employer's Name for Southern California)P.O. Box 24016Fresno, CA 93779 BUCKEYE CLAIMS ADMINISTRATORS, INC.Main: (559) 271-3800 P.O. Box 3177Fax: (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

www.buckeyeclaims.comBROADSPIRE (Third Party Administrators. Claims Processed (Rancho Cordova Claims Office) by Injured's Name)2920 Kilgore Rd., Suite 100Rancho Cordova, CA 95670 - C -(Mailing Address)P.O. Box 15810 CALCOMPSacramento, CA 95852-0810 CALIFORNIA COMPENSATION INSURANCE COMPANYMain: (916) 851-7500 (See Broadspire)Fax: (770) 777-6414www.choosebroadspire.com CALIFORNIA FAIR SERVICES AUTHORITY(Third Party Administrators. Claims Processed by P.O. Box 15518Employer's Name for all of California) Sacramento, CA 95852-0518

Main: (916) 263-6172Fax: (916) 263-6159

CALIFORNIA INDEMNITY INSURANCE COMPANY(See GAB Robins)


Toll Free: (800) 737-8840Fax: (800) 975-1653

http://www.choosebroadspire.com/�





http://www.buckeyeclaims.com/�

2008 Worker's Comp Industrial Insurance CarriersCALIFORNIA INSURANCE COMPANY CAMBRIDGE INTEGRATED SERVICES GROUP, INC.(See Applied Risk Services) 5751 Copley Dr., Suite "A"

San Diego, CA 92111CALIFORNIA INSURANCE GUARANTEE (Mailing Address)ASSOCIATION P.O. Box 719025P.O. Box 29066 San Diego, CA 92171Glendale, CA 91209-9066 Main: (800) 327-6072 - (858) 514-1800 Main: (818) 844-4300 Fax: (858) 569-0342Fax: (818) 291-1863 (Third Party Administrators. Claims also processed forwww.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 230Santa Ana, CA 92703-2561 CANNON COCHRAN MANAGEMENT(Mailing Address) SERVICES, INC.P.O. Box 1738 1800 Sutter St., Suite 200Santa Ana, CA 92702 Concord, CA 94520Main: (714) 547-0955 Main: (925) 685-0653Fax: (714) 547-0473 Fax: (925) 685-0725(Third Party Administrators) (Third Party Administrators)

CAMBRIDGE INTEGRATED SERVICES GROUP, INC. CHEVRON CORPORATION2300 Clayton Rd., Suite 900 6001 Bollinger Canyon RoadConcord, CA 94520 San Ramon, CA 94583(Mailing Address) (Mailing Address)P.O. Box 4142 P.O. Box 6022Concord CA 94524-4142 San Ramon CA 94583-0722


Toll Free: (800) 737-8840Fax: (800) 975-1653

Concord, CA 94524-4142 San Ramon, CA 94583-0722Main: (925) 603-5500 Main: (925) 842-8184Fax: (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 COMPANIES2923 Bradley Street 801 S. Figueroa St., Suite 2400Pasadena, CA 91107 Los Angeles, CA 90017-5556(Mailing Address) (Mailing Address)P.O. Box 29106 P.O. Box 30850Glendale, CA 91209-9106 Los Angeles, CA 90030-0850Main: (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 COMPANIESP.O. Box 15901 5050 Hopyard Rd., Suite 400Sacramento, CA 95852 Pleasanton, CA 94588Main: (800) 597-7677 - (916) 638-8300 Main: (925) 598-6000Fax: (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 OregonBorder)

CHUBB/PACIFIC INDEMNITY COMPANY(See Chubb Group of Insurance Companies)

CIGNA COMPANIES(See ACE USA)


Toll Free: (800) 737-8840Fax: (800) 975-1653

http://www.caiga.org/�

2008 Worker's Comp Industrial Insurance CarriersCITATION INSURANCE COMPANY CITY OF MODESTO(See Cambridge Integrated Services Group, Inc. - San 1010 - 10th St., Suite 5600Diego office) Modesto, CA 95354

(Mailing Address)CITY OF ANAHEIM P.O. Box 642Risk Management Workers' Compensation Modesto, CA 95353201 S. Anaheim Blvd., Suite 1002 Main: (209) 577-5411Anaheim, CA 92805 Fax: (209) 576-7069Main: (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 OCEANSIDECITY OF BURBANK 300 N. Coast HighwayW/C Risk Management Department Oceanside, CA 92054-2885275 E. Olive Avenue Main: (760) 435-3510Burbank, CA 91502 (Self-Insured/Self-Administered)Main: (818) 238-5010Fax: (818) 238-5019 CITY OF PASADENA(Self-Insured/Self-Administered. Claims Processed for 100 N. Garfield Ave., Room N123City of Glendale Employee's only) Pasadena, CA 91109

(Mailing Address)CITY OF GLENDALE P.O. Box 7115Risk Management Division/W.C. Section Pasadena, CA 91109-7215613 E. Broadway, Room 100 Main: (626) 744-4362Glendale, CA 91206 Fax: (626) 744-4260Main: (818) 548-2101 (Self-Insured/Self-Administered)(Self-Insured/Self-Administered Claims Processed for


Toll Free: (800) 737-8840Fax: (800) 975-1653

(Self-Insured/Self-Administered. Claims Processed for City of Glendale Employees only) CITY OF POMONA

Workers' Comp. DepartmentCITY OF HUNTINGTON BEACH 505 S. Garey AvenueWorker's Comp. Department Pomona, CA 917662000 Main Street Main: (909) 620-2291Huntington Beach, CA 92648-2702 Fax: (909) 620- 2295(Mailing Address) (Self-Insured/Self-Administered)P.O. Box 906Huntington Beach, CA 92648-0797 CITY OF REDDINGMain: (714) 374-5378 Risk ManagementFax: (714) 374-1597 777 Cypress Avenue(Self-Insured/Self-Administered) Redding, CA 96001-2718

Main: (530-225-4348CITY OF LONG BEACH Fax: (530) 225-4337Workers' Compensation Office (Self-Insured/Self-Administered)333 W. Ocean Blvd., Eighth Floor, City HallLong Beach, CA 90802-4664 CITY OF RIVERSIDEMain: (562) 570-2245 3780 Market StreetFax: (562) 570-2220 Riverside, CA 92501(Self-insured. Claims Processed for City of Long Beach only) Main: (951) 826-5559

Fax: (951) 826-2529CITY OF LOS ANGELES (Self-Insured/Self-Administered. Claims ProcessedPersonnel Department by Injured's Name)Workers' Compensation Division700 E. Temple St., Room 210Los Angeles, CA 90012Main: (213) 473-3400Fax: (213) 473-3333(Self-Insured. Claims Processed for all City of Los Angeles Employeesexcept for the Department of Water and Power, and uniformed Fireand Police Employees-TPA)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersCITY OF TORRANCE CITY OF SANTA ANAHuman Resources W/C Risk Management DepartmentRisk Management Division P.O. Box 1988 M-41W/C Program Santa Ana, CA 927023231 Torrance Boulevard Main: (714) 647-6942Torrance, CA 90503-5055 (Self-Insured/Self-Administered)Main: (310) 618-2950Fax: (310) 618-2927 CITY OF SIMI VALLEY(Self-Insured/Self-Administered) 2929 Tapo Canyon Road

Simi Valley, CA 93063CITY OF SACRAMENTO Main: (805) 583-6394Workers Compensation HR Dept. (Self-Insured/Self-Administered. Claims ProcessedCity Hall by Injured's Name for Los Angeles and Ventura Counties)915 "I" St., Fourth FloorSacramento, CA 95814-2604 CLAIMQUEST, INC.Main: (916) 808-5741 675 Brea Canyon Rd., Suite 4Fax: (916) 808-8216 Walnut, CA 91789Email: [email protected] 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 Department300 N. "D" Street CLAIMS MANAGEMENT, INC.San Bernardino, CA 92418-0001 P.O. Box 16339Main: (909) 384-5173 Fresno, CA 93755-6339(Self-Insured. Claims Processed for City of Main: (559) 221-2820San Bernardino and City of San Bernardino Water Department) Fax: (559) 222-7453


Toll Free: (800) 737-8840Fax: (800) 975-1653

San Bernardino and City of San Bernardino Water Department) Fax: (559) 222-7453(Third Party Administrators)

CITY OF SAN DIEGORisk Management Department CLAIMS MANAGEMENT, INC.1200 Third Ave., Suite 1000 2868 Prospect Park Dr., Suite 600San Diego, CA 92101 Rancho Cordova, CA 95670(Mailing Address) (Mailing Address)P.O. Box 129013 P.O. Box 3042San Diego, CA 92112 -9013 Sacramento, CA 95812-3042Main: (619) 236-6395 Main: (916) 631-1250Fax: (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 SOLUTIONSW/C Division (See LWP Claims Solutions, Inc.)30 Van Ness Ave., Suite 3300San Francisco, CA 94102 CLARENDON NATIONAL INSURANCE COMPANYMain: (415) 575-5600 (See American All-Risk Loss Administrators)(Self-Insured/Self-Administered)

C.N.A.CITY OF SAN JOSE STANDARD LINES ClaimsW/C Risk Management 675 Placentia Avenue200 E. Santa Clara Street Brea, CA 92821-6167San Jose, CA 95113-1903 (Mailing Address)Main: (408) 535-1285 P.O. Box 6500Fax: (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) 255-2554www.cnacentral.com(Claims Processed by Employer's Name for SouthernCalifornia)


Toll Free: (800) 737-8840Fax: (800) 975-1653

http://www.cnacentral.com/�

2008 Worker's Comp Industrial Insurance CarriersC.N.A. COUNTY OF KERNSTANDARD LINES CLAIMS Kern County Risk Management405 Howard St., Suite 600 1115 Truxtun Ave., Fourth FloorSan Francisco, CA 94105 Bakersfield, CA 93301-4639(Mailing Address) Main: (661) 868-3801P.O. Box 880670 Fax: (661) 868-3875San Francisco, CA 94188-0670 (Self-Insured/Self-Administered. Claims Processed by Main: (415) 932-7500 Injured's Name for Kern County)Fax: (415) 932-7454www.cnacentral.com COUNTY OF LOS ANGELES(Claims Processed by Employer's Name for Northern Risk Management BranchCalifornia) Workers' Compensation Program

3333 Wilshire Blvd., Suite 820COLEN AND LEE Los Angeles, CA 90010(See AdminSure, Inc.) Main: (213) 738-2154

Fax: (213) 252-0404COMCO 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 92623-9775Employer's Name) Main: (800) 782-5888

*Tristar Risk Management (Santa Ana)COMPLINK P.O. Box 119672100 Main St., Suite 350 Santa Ana, CA 92711-1967Irvine CA 92614-9265 Main: (800) 377-3487


Toll Free: (800) 737-8840Fax: (800) 975-1653

Irvine, CA 92614-9265 Main: (800) 377-3487(Mailing Address) **Intercare Insurance Services (Orange)P.O. Box 19619 P.O. Box 14243Irvine, CA 92623-9619 Orange, CA 92863-4243Main: (949) 852-4871 Main: (866) 221-2968Fax: (949) 223-0657 *** AIMS (Santa Clarita)(Third Party Administrators) P.O. Box 937

Santa Clarita, CA 91380-0937CONSTITUTION 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) Workers' Compensation Division

P.O. Box 1120CONTINENTAL LOSS ADJUSTING SERVICES Riverside, CA 92502(See CNA) Main: (951) 955-3530

(Self-Insured. Claims Processed by Injured's NameCONTINENTAL RISK MANAGEMENT SERVICES for Riverside County Employees only)(See CNA])

COUNTY OF SACRAMENTOCONTRA COSTA COUNTY P.O. Box 276130Risk Management Division Sacramento, CA 958272530 Arnold Dr., Suite 140 Main: (916) 876-5251Martinez, CA 94553 (Self-Insured/Self-Administered)Main: (925) 335-1400Fax: (925) 335-1420(Self-Insured. Claims Processed by Injured's Name for County of Contra Costa)


Toll Free: (800) 737-8840Fax: (800) 975-1653

http://www.cnacentral.com/�

2008 Worker's Comp Industrial Insurance CarriersCOUNTY OF SAN BERNARDINO CRAWFORD & COMPANY INSURANCE ADJUSTERSDepartment of Risk Management 900 E. Washington St., Suite 350222 W. Hospitality Lane, Third Floor Colton, CA 92324San Bernardino, CA 92415-0016 Main: (909) 825-8730Main: (909) 386-8655 Fax: (909) 825-5349Fax: (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 ADJUSTERSCOUNTY OF SAN DIEGO - DHR 1515 W. 190th St., Suite 500Workers' Compensation Office Gardena, CA 90248444. W. Beech St., Third Floor Main: (310) 380-6000San Diego, CA 92101-2942 Fax: (310) 380-6029Main: (619) 578-5700 (Claims Processed by both Employer's and Injured'sFax: (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 Alameda De Las Pulgas, Suite 103COUNTY OF SANTA BARBARA San Mateo, CA 94403W/C Risk Management Department Main: (650) 357-62421 E. Anapamu St., Second Floor Fax: (650) 357-8983Santa Barbara, CA 93101-2704 (Claims Processed by both Employer's and Injured'sMain: (805) 884-6860 Names for San Francisco, San Mateo, Marin, Sonoma Fax: (805) 884-6861 and Solano Counties)(Self-Insured/Self-Administered)

CRUM & FORSTERCOUNTY OF SANTA CLARA UNITED STATES FIRE INSURANCE COMPANY


Toll Free: (800) 737-8840Fax: (800) 975-1653

COUNTY OF SANTA CLARA UNITED STATES FIRE INSURANCE COMPANYWorkers' Compensation Division THE NORTH RIVER INSURANCE COMPANY2310 N. First St., Suite 205 One City Blvd. West, Suite 350San Jose, CA 95131-1032 Orange, CA 92868Main: (408) 441-4300 (Mailing Address)(Self-Insured. Claims Processed by Injured's Name P.O. Box 14217for Santa Clara and Santa Clara County Central Orange, CA 92863Fire District) Main: (714) 244-1023

Fax: (714) 244-1050COUNTY OF SHASTA (Claims Processed for All of California)1450 Court St., Room 348Redding, 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 HomestateCOUNTY SANITATION DISTRICTS OF Companies [BHHC] )THE COUNTY OF LOS ANGELES1955 Workman Mill Road - D -Whittier, CA 90601(Mailing Address) DANIELSON NATIONAL INSURANCE COMPANYP.O. Box 4998 (See Tristar Risk Management - Los Angeles)Whittier, CA 90607-4998Main: (562) 699-7411 JOHN DEERE INSURANCE COMPANYFax: (562) 692-3056 (See Sentry Insurance)(Claims Processed by Injured Employee's Name andDate of Injury for the County Sanitation Districts of Los Angeles County)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersDEPARTMENT OF WATER AND POWER EMPLOYERS INSURANCE OF WAUSAUCity of Los Angeles (See Wausau Insurance Companies)Workers' Compensation Section111 N. Hope St., Room 553 EOS / GROUPLos 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) 367-1942Fax: (213) 367-3636 EVEREST NATIONAL INSURANCE COMPANY(Self-Insured) 1111 Broadway, Suite 2050

Oakland, CA 94607THE WALT DISNEY COMPANY (Mailing Address)Workers' Compensation P.O. Box 70160700 W. Ball Road Oakland, CA 94612-0160Anaheim, CA 92802 Main: (800) 529-1354(Mailing Address) Fax: (510) 267-0752P.O. Box 3909 (Claims Processed for All of California)Anaheim, CA 92803Main: (714) 781-1680 EVEREST NATIONAL INSURANCE COMPANYFax: (714) 781-1670 725 W. Town & Country Rd., 4th Floor(Self-Insured) Orange, CA 92868

Main: (714) 371-9600DYNAMIC CLAIMS SERVICES, INC. Fax: (714) 371-9677P.O. Box 29080 (Claims Processed for All of California)Glendale, CA 91209Main: (818) 247-3662 EXPLORER INSURANCE COMPANY


Toll Free: (800) 737-8840Fax: (800) 975-1653

Main: (818) 247-3662 EXPLORER INSURANCE COMPANYFax: (818) 247-7018 (See Insurance Company of the West)(Third Party Administrators)

- F -- E -

FARA / F.A RICHARD & ASSOCIATESEAGLE INSURANCE GROUP, INC. 2525 Cherry Ave., Suite 350 (See SeaBright Insurance Company) Signal Hill, CA 90755-2054

Main: (562) 426-9800EMPLOYERS Fax: (562) 426-4848P.O. Box 539004 (Self-Insured Administrators and Independent Adjusters)Henderson, NV 89053-9004Main: (888) 682-6671 FARMERS INSURANCE GROUP(Claims Processed by Employer's Name for All of California) 11555 Dublin Canyon Rd., 4th Floor

Pleasanton, CA 94588EMPLOYERS COMPENSATION INSURANCE COMPANY (Mailing Address)(See Employers) P.O. Box 5040

Pleasanton, CA 94566EMPLOYER'S DIRECT INSURANCE COMPANY Main: (925) 847-3141 - Fax: (925) 416-0948P.O. Box 5042 (Same as Truck Insurance Exchange. Claims Processed by Injured'sThousand Oaks, CA 91359-5042 Name for Northern California)Main: (818) 575-8500Fax: (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 92868-4803EMPLOYERS FIRST INSURANCE (Mailing Address)(See Cambridge Integrated Services Group, Inc.) P. O. Box 928

Santa Ana, Ca 92707-0928EMPLOYERS 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 NameOrange, San Bernardino, Riverside, San Diego and Imperial Counties)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersFARMERS 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 ROBINSVan Nuys, CA 91410-0149 GAB ROBINS NORTH AMERICA, INC.Main: (888) 486-1451 - (805) 583-7567 100 E. Tujunga AvenueFax: (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 91510-7858FREMONT 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 COMPANY(See Cambridge Integrated Services Group, Inc. - San Diego Office) GAB ROBINS

GAB ROBINS NORTH AMERICA, INC.FRYE CLAIMS CONSULTATION & ADMIN. 3350 Shelby St., Suite 3003500 Breakwater Ct., Bldg., "A" Ontario, CA 91764Hayward, CA 94545 Main: (909) 980-0498Main: (800) 322-3793 - (510) 782-9882 Fax: (909) 980-0458Fax: (800) 455-3793 (Claims Processed by Employer's Name for all of California)(Third Party Administrators)

GAB ROBINSFUNDS INSURANCE COMPANIES GAB ROBINS NORTH AMERICA, INC.(See Fireman's Fund Insurance Companies) P O Box 269037


Toll Free: (800) 737-8840Fax: (800) 975-1653

(See Fireman s Fund Insurance Companies) P. O. Box 269037Sacramento, 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 70003FIREMAN'S FUND INSURANCE COMPANIES Anaheim, CA 92825-00032995 Prospect Park Dr., Suite 200 Main: (714) 938-0172Rancho Cordova, CA 95670 Fax: (714) 938-1067(Mailing Address) (Workers' Compensation Self-Insured Claims Admins.)P. O. Box 13340Sacramento, CA 95813 GALLAGHER BASSETT SERVICES, INC.Main: (800) 662-3750 P. O. Box 9875Fax: (888) 387-3196 Calabasas, CA 91372-0875(Claims Processed for All of California) Main: (818) 746-9925

Fax: (818) 880-4213FIRST NATIONAL INSURANCE COMPANY (Workers' Compensation Self-Insured Claims Admins.)(See Safeco Insurance Group)

GALLAGHER BASSETT SERVICES, INC.FOSTER POULTRY FARMS P. O. Box 6900WORKER'S COMPENSATION Corona, CA 92878-6900P. O. Box 277 Main: (951) 279-0073Livingston, CA 95334-0277 Fax: (951) 279-6632Main: (866) 566-4556 (Workers' Compensation Self-Insured Claims Admins.)Fax: (209) 668-6613(Self Insured / Self-Administered) GALLAGHER BASSETT SERVICES, INC.

P. O. Box 1390FREMONT COMPENSATION INSURANCE GROUP Elk Grove, CA 95759(See Cambridge Integrated Services Group Inc.) Main: (916) 683-5550

(Workers' Compensation Self-Insured Claims Admins.)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersGALLAGHER BASSETT SERVICES, INC. E & J GALLO WINERYP. O. Box 2290 600 Yosemite BoulevardGold River, CA 95741-2290 Modesto, CA 95354-9972Main: (916) 403-1600 (Mailing Address)Fax: (916) 403-1619 P.O. Box 1130(Workers' Compensation Self-Insured Claims Admins. Modesto, CA 95353

Main: (209) 341-3782GALLAGHER BASSETT SERVICES, INC. (Self-Insured / Self-Administered)(Metro Office)P. O. Box 30840 FRANK GATES SERVICES COMPANYLaguna Hills, CA 92654-0840 2400 E. Katella Ave., Suite 650Main: (949) 458-0181 Anaheim, CA 92806Fax: (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 14260Orange, CA 92863 FRANK GATES SERVICE COMPANYMain: (714) 939-0877 P.O. Box 4530Fax: (714) 938-1036 El Dorado Hills, CA 95762-0020(Workers' Compensation Self-Insured Claims Admins. Main: (916) 939-8011

Fax: (916) 939-8230GALLAGHER BASSETT SERVICES, INC. (Claims Processed by Employer's Name for all ofP. O. Box 4200 California. For Wal-Mart and Sam's Club, Mail ClaimRancho Cucamonga, CA 91729-4200 to: P.O. Box 1288 Bentonville, AR 72712)Main: (866) 517-6782 - (909) 581-1919 Main: (800) 339-1109Fax: (909) 581-1996 Fax: (479) 204-9537


Toll Free: (800) 737-8840Fax: (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 430Sacramento, CA 95812-4040 Irvine, CA 92612-8441Main: (866) 481-0962 - (916) 576-8200 Main: (800) 337-0314 - (949) 851-8955Fax: (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 120431P. O. Box 255397 San Diego, CA 92112-0431Sacramento, CA 95865-5397 Main: (619) 595-0255Main: (916) 929-7581 Fax: (619) 595-1689Fax: (916) 929-3791 (Third Party Admistrators)(Workers' Compensation Self-Insured Claims Admins.)

GATES, McDONALD & COMPANYGALLAGHER BASSETT SERVICES, INC. (See Cambridge Integrated Services Group, INC. P. O. Box 85013 Concord and Santa Ana offices)San Diego, CA 92186-5013Main: (619) 471-1219 GENERAL ELECTRIC COMPANYFax: (619) 471-1250 (See Sedgwick, CMS)(Workers' Compensation Self-Insured Claims Admins.)

GENERAL INSURANCE COMPANY OF AMERICAGALLAGHER BASSETT SERCVICES, INC. (See Safeco Insurance Group)P.O. Box 4511Woodland Hills, CA 91365-4511 GOLDEN EAGLE INSURANCE CORPORATIONMain: (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.)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersGREAT AMERICAN INSURANCE COMPANY - H -(Walnut Creek Office)P.O. Box 5432 HAMMERMAN & GAINER, INC.Cincinnati, OH 45201-5432 P.O. Box 368Main: (800) 759-0036 Banning, CA 92220Fax: (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 COMPANYGREGORY B. BRAGG & ASSOCIATES, INC. 12009 Foundation PlaceOne Sierra Gate Plaza, Suite 250B Rancho Cordova, CA 95670Roseville, CA 95678 (Mailing Address)(Mailing Address) P.O. Box 13835P.O. Box 619058 Sacramento, CA 95853-4835Roseville, CA 95661-9058 Main: (866) 401-9222 - (916) 294-1000Main: (800) 422-7244 - (916) 783-0100 Fax: (916) 294-1600Fax: (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 & LIABILITYStockton CA 95267-0245 INSURANCE COMPANY


Toll Free: (800) 737-8840Fax: (800) 975-1653

Stockton, CA 95267-0245 INSURANCE COMPANYMain: (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 MANAGEMENTP.O. Box 5372 (See Cambridge Integrated Services Group, Inc.)Walnut Creek, CA 94596-5372Main: (925) 933-2992 HIH INSURANCEFax: (925) 933-2994 (See Intercare Insurance Services)(Third Party Administrators)

HOME INDEMNITY COMPANYGROCERS AND MERCHANTS INSURANCE SERVICE (See Risk Enterprise Management Limited)(See Springfield Insurance Company / GMIS)

HOME INSURANCE COMPANYGUIDEONE INSURANCE (See Risk Enterprise Management Limited)2351 Sunset Blvd., Suite 170, PMB # 305Rocklin, CA 95765 HOME INSURANCE COMPANY, NEW YORKMain: (800) 647-9324 - (916) 624-3288 (See Risk Enterprise Management Limited)Fax: (800) 676-4457

HRMS / A CORVEL COMPANYGULF INSURANCE COMPANY 751 E. Daily Dr., Suite 400(See Travelers (800) 994-3890) Camarillo, CA 93010

(Mailing Address)P.O. Box 5166Oxnard, CA 93031Main: (866) 785-2835 - (805) 389-4200(Third Party Administrators)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersHRMS / A CORVEL COMPANY INNOVATIVE CLAIM SOLUTIONS, INC.14275 Pipeline Avenue P.O. Box 5128Chino, CA 91710 San Ramon, CA 94583-5138(Mailing Address) Main: (925) 327-8050P.O. Box 669 Fax: (925) 327-8078Chino, CA 91708 (Third Party Administrators)Main: (805) 993-0340Fax: (909) 627-9751 INTERCARE INSURANCE SERVICES(Third Party Administrators) 1120 Forest Ave., Box 339

Pacific Grove, CA 93950HRMS / A CORVEL COMPANY Main: (831) 655-2155P.O. Box 277550 Fax: (831) 655-2755Sacramento, CA 95827 (Third Party Administrators)Main: (916) 379-5560Fax: (916) 379-5598 INTERCARE INSURANCE SERVICES(Third Party Administrators) P.O. Box 7111

Pasadena, CA 91109-7211HRMS / A CORVEL COMPANY Main: (866) 785-6819 - (626) 304-12008787 Complex Dr., Third Floor Fax: (626) 304-1249San Diego, CA 92123 (Third Party Administrators)(Mailing Address) 5694 Mission Center Rd., #700 INTERCARE INSURANCE SERVICESSan Diego, CA 92108 P.O. Box 579Main: (800) 757-7100 - (858) 300-2500 Roseville, CA 95661Fax: (858) 300-2560 Main: (916) 677-2500(Third Party Administrators) Fax: (916) 677-2608



Toll Free: (800) 737-8840Fax: (800) 975-1653


- I -INTERCARE INSURANCE SERVICES

ICS P.O. Box 348180(See Innovative Claim Solutions, Inc.) Sacramento, CA 95834-8180

Main: (800) 394-9304 - (916) 920-5800ICW 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 NORTHAMERICA INTERSTATE BRANDS CORPORATION(See ACE USA) 7807 Convoy Ct., Suite 110

San Diego, CA 92111INDUSTRIAL INDEMNITY Main: (858) 569-7311(See Cambridge Integrated Services Group, Inc.) Fax: (858) 569-1525

(Self -Insured / Self-Administered. Claims ProcessedINNOVATIVE 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 210Rancho Cordova, CA 95670-6055 ITT HARTFORD(Mailing Address) (See The Hartford)P.O. Box 2070Rancho Cordova, CA 95741 ITT SPECIALTY RISK SERVICESMain: (916) 852-8588 (See Specialty Risk Services, LLC)(Third Party Administrators)

INSURANCE COMPANY OF NORTH AMERICA /ESIS, INC. / CIGNA COMPANIES(See ACE USA)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersINSURANCE COMPANY OF THE WEST / JT2 INTEGRATED RESOURCESEXPLORER INSURANCE COMPANY P.O. Box 51462(Home Office - W.C. Claims) Ontario, CA 9176111455 El Camino Real Main: (909) 390-1115San Diego, CA 92130-2045 Fax: (909) 390-1135(Mailing Address) (Self-Insured Administrators. Claims ProcessedP.O. Box 85563 for all of Southern California)San Diego, CA 92186-5563Main: (800) 877-1111 - (858) 350-2400 JT2 INTEGRATED RESOURCESFax: (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) 556-7012INTEGRATED CLAIMS ADMINISTRATORS, INC. Fax: (925) 556-7032P.O. Box 3189 (Self-Insured Administrators)Torrance, CA 90510-3189Main: (310) 542-5130 JT2 INTEGRATED RESOURCESFax: (310) 542-7310 (Lathrop California Office)(Third Party Administrators) 231 Market Pl., PMB #381

San Ramon, CA 94583-4743IHDS Main: (800) 582-4671 - (209) 491-7031INTEGRATED HEALTH DELIVERY SERVICES Fax: (209) 491-7039(See Cambridge Integrated Services Group, Inc.) (Self-Insured Administrators)

INTERCARE INSURANCE SERVICES - K -P.O. Box 40009Fresno, CA 93755-0009 KAISER PERMANENTE MEDICAL CARE PROGRAMMain: (559) 447-1029 (California Workers' Compensation Department)


Toll Free: (800) 737-8840Fax: (800) 975-1653

Main: (559) 447-1029 (California Workers Compensation Department)(Third Party Administrators) P. O. Box 12927

Oakland, CA 94604-2927INTERCARE INSURANCE SERVICES Main: (510) 625-2496P.O. Box 19544 Fax: (510) 625-3345Irvine, CA 92623 (Self-Insured, Claims Processed for all of California)Main: (800) 394-9308 - (949) 752-7170Fax: (949) 752-7189 KANSAS CITY FIRE & MARINE INSURANCE COMPANY(Third Party Administrators) (See CNA)

INTERCARE INSURANCE SERVICES KEENAN AND ASSOCIATESP.O. Box 14243 320 " I " StreetOrange, CA 92863-4243 Eureka, CA 95501Main: (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 NorthernCounty of Los Angeles) California)

- J - KEENAN AND ASSOCIATES5776 Stoneridge Mall Rd., Suite 130

JENKINS / ATHENS INSURANCE SERVICES Pleasanton, CA 94588(See Athens Administrators) (Mailing Address)

P. O. Box 2486JT2 INTEGRATED RESOURCES Dublin, CA 94568-0766P.O. Box 70410 Main: (925) 225-0611Oakland,CA 94612 Fax: (925) 225-1280Main: (510) 844-3100 (Claims Processed by Injured's Name for Northern California)Fax: (510) 844-3201(Self-Insured Administrators)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersKEENAN AND ASSOCIATES - L -2882 Prospect Park Dr., Suite 200Rancho Cordova, CA 95670 LINDSEY MORDEN CLAIMS MANAGEMENT, INC.(Mailing Address) (See Broadspire)P.O. Box 1538Rancho Cordova, CA 95741 LOMA LINDA UNIVERSITY MEDICAL CENTERMain: (800) 343-0694 - (916) 859-4900 Department of Risk ManagementFax: (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 17701791 Broadway Loma Linda, CA 92354-0570Redwood City, CA 94063 Main: (909) 558-4389 (Mailing Address) Fax: (909) 558-7974P.O. Box 5218 (Self Insured / Self Administured.Claims ProcessedRedwood 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 92507Main: (800) 654-8347 - (951) 788-0330 LUBERMENS MUTUAL CASUALTY COMPANYFax: (951) 788-8013 (See Broadspire)(Claims Processed by Injured's Name for Imperial,Riverside San Bernardino and San Diego Counties) LWP CLAIMS SOLUTIONS INC


Toll Free: (800) 737-8840Fax: (800) 975-1653

Riverside, San Bernardino and San Diego Counties) LWP CLAIMS SOLUTIONS, INC.P.O. Box 10640

KEENAN AND ASSOCIATES Glendale, CA 91209-06401740 Technology Dr., Suite 300 Main: (818) 245-1860 San Jose, CA 95110 Fax: (818) 245-1861Main: (800) 334-6554 - (408) 441-0876 (Third Party Administrators. Claims Processed byFax: (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 95834-9016KEENAN AND ASSOCIATES Main: (800) 565-5694 - (916) 609-36002355 Crenshaw Blvd., Suite 200 Fax: (916) 609-3637Torrance, CA 90501 (Third Party Administrators. Claims Processed by(Mailing Address) Employer's Name for all of California)P.O. Box 4328Torrance, CA 90510 LEGION INSURANCE COMPANYMain: (800) 654-8102 - (310) 212-3344 Main: (800) 255-6738Fax: (310) 328-6793

LIBERTY MUTUAL INSURANCE COMPANYKEMPER 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) 240-1234KM 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)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersLIBERTY MUTUAL INSURANCE COMPANY MAJESTIC INSURANCE COMPANY333 City Boulevard West, Suite 300 P.O. Box 270769Orange, CA 92868 San Diego, CA 92198(Mailing Address) Main: (877) 829-6305 - (858) 385-4040P.O. Box 11025 Fax: (858) 487-6908Orange, 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 COMPANYBernardino, Riverside, San Diego and Imperial Counties) 101 California St., 22nd Floor

San Francisco, CA 94111LIBERTY MUTUAL INSURANCE COMPANY (Mailing Address)6130 Stoneridge Mall Rd., Suite 400 P.O. Box 2359Pleasanton, CA 94588 San Francisco, CA 94126-2359(Mailing Address) Main: (415) 362-7000 P.O. Box 11025 Fax: (415) 247-7290Orange, 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 550LIBERTY MUTUAL INSURANCE COMPANY Santa Ana, CA 927041750 Howe Ave., Suite # 400 (Mailing Address)Sacramento CA 95825 P O Box 29210


Toll Free: (800) 737-8840Fax: (800) 975-1653

Sacramento, CA 95825 P.O. Box 29210(Mailing Address) Hot Springs, AR 71903-9210P.O. Box 989000 Main: (714) 545-5261West 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 1Redondo Beach, CA 90278-3494 MATRIX ABSENCE MANAGEMENT, INC.(Mailing Address) 3602 Inland Empire Blvd., Suite C-318P.O. Box 8012 Ontario, CA 91764-4966Redondo Beach, CA 90277-8012 (Mailing Address)Main: (310) 793-3400 P.O. Box 788Fax: (866) 421-8313 Rancho Cucamonga, CA 91729-0788(Self - Insured Administrators. Claims Processed for Main: (800) 660-0588 - (909) 466-9663Macy's) Fax: (909) 483-6324

(Third Party Administrators)MAJESTIC INSURANCE COMPANY5001 Airport Plaza Dr., Suite 200 MATRIX ABSENCE MANAGEMENT, INC.Long Beach, CA 90815 2208 Plaza Dr., Suite 100(Mailing Address) Rocklin, CA 95765P.O. Box 7549 Main: (866) 560-1447 - (916) 773-5737 Long Beach, CA 90807-0549 Fax: (408) 361-9112Main: (800) 432-2107 - (562) 627-1400 (Third Party Administrators)Fax: (562) 429-9017(Claims Processed by Employer's for Los AngelesOrange, San Bernadino, Santa Barbara and Ventura Counties)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersMATRIX ABSENCE MANAGEMENT, INC. - N -5225 Hellyer Ave., Suite 210San Jose, CA 95138-1001 NATIONAL AMERICAN INSURANCE COMPANY(Mailing Address) OF CALIFORNIAP.O. Box 11035 (See Tristar Risk Management - Los Angeles)San Jose, CA 95103Main: (800) 980-1006 - (408) 360-8370 NATIONAL INDEMNITY INSURANCE COMPANYFax: (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 CORPORATIONWilmington, CA 90744-6014 (See Broadspire)(Mailing Address)P.O. Box 547 NATIONAL SURETY INSURANCE COMPANYWilmington, CA 90748-0547 (See Fireman's Fund Insurance Companies)Main: (310) 816-6633Fax: (310) 816-6644 NATIONAL UNION FIRE INSURANCE COMPANY(Claims Processed by both Employer's and OF PITTSBURG, PENNSYLVANIAInjured'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)


Toll Free: (800) 737-8840Fax: (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. W/C Claims Department10 Universal City Plaza, Suite 1700 P.O. Box 25799Universal City, CA 91608 Santa Ana, CA 92799-5799Main: (800) 365-4671 - (818) 942-3900 Main: (714) 513-4771Fax: (818) 760-3824 Fax: (714) 513-4778(Claims Processed by Employer's Name for all of (Self-Insured)California)

THE NORTH RIVER INSURANCE COMPANYMTA (See Crum & Forster)Los Angeles County Metropolitan TransportationAuthority NORTHERN INSURANCE COMPANY OF NEW YORKOne Gateway Plaza, Mail Stop 99-10-2 (See Zurich North America)Los Angeles, CA 90012-2952Main: (213) 922-3806 NORTHERN CLAIMS MANAGEMENTFax: (213) 922-4351 P.O. Box 6385(Self-Insured / Self-Administered) Santa Rosa, CA 95406

Main: (707) 575-8887MURPHY AND BEANE, INC. (Third Party Administrators)5901 Green Valley Cir., Suite 145Culver City, CA 90230Main: (800) 553-1955 - (310) 649-4470Fax: (310) 649-0209(Self-Insured Administrators)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersNOVPRO RISK SOLUTIONS, L.P. PAULA INSURANCE COMPANY17862 E. 17th St., Suite 111 PAN PACIFIC BENEFIT ADMINISTRATORSTustin, CA 92780 (See Intercare Insurance Services)(Mailing Address)P.O. Box 2422 PEGASUS RISK MANAGEMENT, INC.Tustin, CA 92781 642 Galaxy WayMain: (714) 544-0980 Modesto, CA 95356Fax: (714) 544-1979 (Mailing Address)(Claims Processed by Employer's Name for California P.O. Box 5038or 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 95678OCTAGON RISK SERVICES, INC. (Mailing Address)(See Sedgwick CMS) P.O. Box 120

Rocklin, CA 95677OHIO CASUALTY GROUP OF INSURANCE COMPANIES Main: (916) 780-9250136 N. Third Street Fax: (916) 780-9251Hamilton, OH 45025 (Third Party Administrators)Main: (800) 821-2010 - (513) 867-3900Fax: (800) 830-5257 POWER & ASSOCIATES(Claims Processed by Employer's Name for P.O. Box 4068All of California) Paso Robles CA 93447-4068


Toll Free: (800) 737-8840Fax: (800) 975-1653

All of California) Paso Robles, CA 93447-4068Main: (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 85838PACIFIC EAGLE INSURANCE GROUP, INC. San Diego, CA 92186-5838(See Sea Bright Insurance Company) Main: (619) 688-3900

Fax: (619) 688-3913PACIFIC EMPLOYERS INSURANCE COMPANY (Claims Processed by Employer's Name (See ACE USA) for All of California)

PACIFIC GAS AND ELECTRIC COMPANY PREFERRED RISK GROUPSafety, Health and Claims Department (See Guideone Insurance)77 Beale St., 23rd Floor, B23HSan Francisco, CA 94105 PRESIDUIM, INC.(Mailing Address) (See Cambridge Integrated Services Group, Inc.)P.O. Box 7779San Francisco, CA 94120-7779 PRIVATE ADJUSTING CLAIMS SERVICESMain: (415) 973-8700, Option # 2 9570 Center AvenueFax: (415) 973-7828 Rancho Cucamonga, CA 91730-5814(Self-Insured) (Mailing Address)

P.O. Box 2849THE PACIFIC RIM ASSURANCE COMPANY Rancho Cucamonga, CA 91729-2849(See Broadspire) Main: (909) 481-4111

Fax: (909) 481-4110PACIFIC STATES CASUALTY COMPANY (Third Party Administrators)(See Ulico Insurance Group)

- Q -PAN AMERICAN UNDERWRITERS, INC.(See Intercare Insurance Services)


Toll Free: (800) 737-8840Fax: (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) 745-6436REDWOOD EMPIRE SCHOOLS INS. GROUP (Claims Processed by Employer's Name for Entire State of California)5760 Skylane Blvd., Suite 100Windsor, CA 95492-9742Main: (707) 836-0779 F.A. RICHARD & ASSOCIATESFax: (707) 836-9479 (See FARA / F.A. Richard & Associates)(Claims Processed by Injured's Name for Sonoma County School Districts)

RICOMP CLAIMS MANAGEMENT CORPORATIONREDWOOD FIRE & CASUALTY INS. COMPANY P.O. Box 2837(See Berkshire Hathaway Homestate Companies [BHHC]) Seal Beach, CA 90740

Main: (714) 503-1186RELIANCE / UNITED PACIFIC INSURANCE Fax: (714) 503-1006COMPANIES (Third Party Administrators)(See Cambridge Integrated Services Group, Inc. -Pasadena and Rancho Cordova offices) RISK ENTERPRISE MANAGEMENT LIMITED

3230 E. Imperial Hwy., Suite 300RENAISSANCE RISK MANAGEMENT Brea, CA 92821(See Aims) (Mailing Address)

P.O. Box 2314REPUBLIC INDEMNITY COMPANY OF AMERICA Brea, CA 92822-231415821 Ventura Blvd., Suite 370 Main: (800) 347-2509 - (714) 579-2500Encino, CA 91436-2936 (Claims Processed by both Employer's and Injured's(Mailing Address) Names for Entire State of California)


Toll Free: (800) 737-8840Fax: (800) 975-1653

(Mailing Address) Names for Entire State of California)P.O. Box 20036Encino, CA 91416-0036 ROSS & CASTILLOMain: (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 AMERICAthe Northern Portion of San Bernardino County, plus the following 4995 Murphy Canyon Rd., Suite 4013-digit Zip Code areas: 932, 933, 936, 937,938, 942, 952, 956, 957 San Diego, CA 92123-4366958, 959, 960 and 961) (Mailing Address)

P.O. Box 85590REPUBLIC INDEMNITY COMPANY OF AMERICA San Diego, CA 92186-55904995 Murphy Canyon Rd., Suite 401 Main: (858) 292-7002 - Fax: (858) 292-4816San Diego, CA 92123-4366 (Claims Processed by Injured's Address for Riverside,(Mailing Address) San Bernardino, Imperial and San Diego Counties)P.O. Box 85590San Diego, CA 92186-5590 ROYAL & SUN ALLIANCEMain: (858) 292-7002 - Fax: (858) 292-4816 (Arrowpoint Capital Corp.)(Claims Processed by Injured's Address for Riverside, Main: (800) 526-6235San Bernardino, Imperial and San Diego Counties)938, 942, 952, 956, 957, 958, 959, 960 and 961) RSKCO

(See Broadspire)REPUBLIC INDEMNITY COMPANY OF AMERICA100 Pine St., Suite 1400San Francisco, CA 94111-5167(Mailing Address)P.O. Box 7878San Francisco, CA 94120-7878Main: (415) 981-3200Fax: (415) 954-1178(Claims Processed by Injured's Name for the following3-digit Zip Code areas: 939,940.941.943,944, 946, 947,948,949, 950, 951, 954 and 955)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers- S - SEABRIGHT INSURANCE COMPANY

681 S. Parker St., Suite 220ST. PAUL FIRE & MAINE INSURNACE COMPANY Orange, CA 92868-4719(See Travelers) (Mailing Address)

P.O. Box 11027ST. PAUL TRAVELERS Orange, CA 92856-8127(See Travelers) Main: (800) 664-9420 - (714) 918-5900

Fax: (714) 918-5972SAFECO INSURANCE GROUP (Claims Processed by Insured's Name)P.O. Box 515097Los Angeles, CA 90051-5097 SEDGWICK CMSMain: (800) 332-3226 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.(Claims Processed for All of California) (Long Beach Office)

P.O. Box 14563SAFEWAY, INC. Lexington, KY 40512-4563P.O. Box 9077 Main: (562) 981-1700Pleasanton, CA 94566-9077 Fax: (562) 981-1745Main: (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 Namefor 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 9569148306 Century Park Ct., Suite 41C Los Angeles, CA 90095-6914San Diego, CA 92123-9831 Main: (310) 794-8247Main: (858) 636-5511; 5513 Fax: (310) 794-8269


Toll Free: (800) 737-8840Fax: (800) 975-1653

Main: (858) 636-5511; 5513 Fax: (310) 794-8269Fax: (858) 636-5510 (Claims Handled for Regents of University of(Claims Processed by Injured's Name for California, University of California at Los AngelesSan Diego and Orange Counties) University of California at Santa Barbara, UCLA Medical

Center, UCLA, NPI/NPH and Santa Monica UCLASANTA ANA UNIFIED SCHOOL DISTRICT Medical Center)1601 E. Chestnut AvenueSanta Ana, CA 92701 SEDGWICK CMSMain: (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 94604-2063SCHOOLS INSURANCE AUTHORITY Main: (510) 302-31809800 Old Placerville Rd. Fax: (510) 302-3277Sacramento, CA 95827 (Claims Handled for Regents of University of California(Mailing Address) Office of The PresidentP.O. Box 276710 University of California at BerkleySacramento, CA 95827-6710 University of California at MercedMain: (916) 364-1281 University of California at San FranciscoFax: (916) 362-2824 University of California at Santa Cruz(Self-Insured Claims Administrators. Claims Processed Lawrence Berkley Laboratory andfor 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 2066Oakland, CA 94604-2066Main: (510) 302-3000Fax: (510) 302-3263(Claims Processed by Employer's Name for Catholic Healthcare West [CHW])


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSEDGWICK CMS SEDGWICK CMSSEDGWICK 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 3110Oakland, CA 94604-2078 Rancho Cordova, CA 95741-3110Main: (888) 777-0012 - (510) 302-3000 Main: (916) 851-8000Fax: (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 CMSSan Francisco, San Jose, San Marcos, Sonoma, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.and Maritime Academy) (Formerly Octagon Risk Services, Inc.)

P.O. Box 3170SEDGWICK CMS Rancho Cordova, CA 95741-3170SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. Main: (916) 851-8000(Ontario Office) Fax: (916) 851-8079P.O. Box 14627 (Claims Processed by Employer's Name for CSU CampusesLexington, KY 40512-4627 in Channel Islands, Chico, Fresno, Fullerton, Los AngelesMain: (909) 477-5500 Northridge, Sacramento, San Diego, San Luis Obispo, andFax: (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 40512-4440P O Box 14442 Main: (866) 568-8924 - (951) 248-8800


Toll Free: (800) 737-8840Fax: (800) 975-1653

P.O. Box 14442 Main: (866) 568-8924 - (951) 248-8800Lexington, KY 40512-4442 Fax: (951) 248-8765Main: (800) 854-6188 - (714) 258-5000 (Third Party Administrators. Claims Processed byFax: (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 40512-4433P.O. Box 14237 Main: (916) 771-2900Orange, CA 92863 Fax: (916) 771-2990Main: (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 95852-6012P.O. Box 14623 Main: (916) 929-3506Lexington, KY 40512-4623 Fax: (916) 925-2673Main: (626) 397-9200 (Claims Handled for Regents of University of CaliforniaFax: (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)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSEDGWICK CMS SENTRY INSURANCESEDGWICK CLAIMS MANAGEMENT SERVICES, INC. (Sentry Claims Center)(Formerly Octagon Risk Services, Inc.) P.O. Box 11524P.O. Box 639028 Santa Ana, CA 92711-1524San Diego, CA 92163-9028 Main: (800) 253-8672Main: (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 INSURANCEUCI Medical Center and Univ. of California at Riverside) (Sentry Claims Center)

9060 E. Via Linda Blvd.SEDGWICK CMS Scottsdale, AZ 85258SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. (Mailing Address)(Formerly Octagon Risk Services, Inc.) P.O. Box 294662800 W. March Lane, Suite 480 Phoenix, AZ 85038-9466Stockton, CA 95219 Main: (800) 833-2244 - (480) 860-7000Main: (209) 957-5419 Fax: (480) 860-7987Fax: (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 CMSSEDGWICK CLAIMS MANAGEMENT SERVICES, INC. SENTRY INSURANCE(Formerly Octagon Risk Services, Inc.) (Sentry Claims Center)P.O. Box 1027 P.O. Box 8032Van Nuys, CA 91408-1027 Stevens Point, WI 54481Main: (818) 997-3500 Main: (800) 739-3344 - (715) 346-6000


Toll Free: (800) 737-8840Fax: (800) 975-1653

Main: (818) 997-3500 Main: (800) 739-3344 - (715) 346-6000(Third Party Administrators. Claims Processed for Fax: (715) 346-9708Southern California and Arizona) (Claims Processed by both Employer's Names for

all of California)SEDGWICK CMSSEDGWICK CLAIMS MANAGEMENT SERVICES, INC. SOUTHERN CALIFORNIA EDISON COMPANY(Walnut Creek Office) 8631 Rush St., Fourth FloorP.O. Box 14421 Rosemead, CA 91770-3738Lexington, KY 40512-44421 Main: (626) 302-6890Main: (925) 933-9560 Fax: (626) 302-4790Fax: (925) 933-9559 (Self-Insured. Claims Processed by Injured's Name)(Third Party Administrators. Claims Processed byEmployer'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 309371300 - 17th Street Los Angeles, CA 90030-0937Bakersfield, CA 93301 Main: (213) 244-3145(Mailing Address) (Self-Insured / Self Administered)P.O. Box 1847Bakersfield, CA 93303-1847Main: (661) 636-4710Fax: (661) 636-4721(Claims Processed by [Member] School Districts for Kern, Inyo, and Mono Counties, plus Trona School District in San Bernardino County)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSOUTHERN CALIFORNIA RISK MANAGEMENT SPECIALTY RISK SERVICES, LLCASSOCIATES, INC. P.O. Box 59118625 Sutter Blvd., Suite 500 Burbank, CA 91503-0591Morgan Hill, CA 95037-2862 Main: (800) 999-3945 - (818) 525-2400Main: (408) 782-1074 Fax: (818) 955-9925Fax: (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, LLCASSOCIATES, INC. 6140 Stoneridge Mall Rd., Suite 2451801 N. Solar Dr., Suite 190 Pleasanton, CA 94588-3233Oxnard, CA 93030-8226 (Mailing Address)Main: (805) 288-4100 P.O. Box 8116Fax: (805) 988-9101 Pleasanton, CA 94588(Claims Processed by Employer's, then Injured's Name) Main: (877) 809-9478 - (925) 225-8400

Fax: (925) 227-0996SOUTHERN CALIFORNIA RISK MANAGEMENT (Claims Processed by Account Name, Statewide)ASSOCIATES, INC.313 E. Foothill Blvd. SPECIALTY RISK SERVICES, LLCUpland, CA 91786-3952 (Inland Empire)Main: (909) 608-7171 1420 Iowa Ave., Suite 200Fax: (909) 608-7165 Riverside, CA 92507(Claims Processed by Employer's, then Injured's Name) (Mailing Address)

P.O. Box 59907SOUTHERN CALIFORNIA RISK MANAGEMENT Riverside, CA 92517ASSOCIATES, INC. Main: (888) 737-7726 - (951) 715-394828235 Newhall Ranch Rd Suite 250 Fax: (951) 715-2701


Toll Free: (800) 737-8840Fax: (800) 975-1653

28235 Newhall Ranch Rd., Suite 250 Fax: (951) 715-2701Valencia, CA 91355-0986 (Claims Processed by Account Name, Statewide)Main: (661) 775-9550 Bakersfield, CA 93311Fax: (661) 775-9554 (Mailing Address)(Claims Processed by Employer's, then Injured's Name) P.O. Box 3171

Suisun City, CA 94585-6171SOUTHLAND CLAIMS SERVICE, INC. Main: (661) 664-40007761 Garden Grove Blvd. Fax: (661) 664-4101Garden Grove, CA 92841 (Claims Processed by Employer's Name for All of Kern County)(Mailing Address)P.O. Box 958 SPRINGFIELD INSURANCE COMPANY/GMISGarden Grove, CA 92842-0958 874 S. Village Oaks DriveMain: (714) 772-1933 Covina, CA 91724-3614Fax: (714) 772-7718 (Mailing Address)(Claims Processed for all of California) P.O. Box 3029

Covina, CA 91722-9029SPECIALTY RISK SERVICES, LLC Main: (800) 821-3364 - (626) 915-1951One Pointe Dr., Suite 220 Fax: (626) 967-2548Brea, CA 92821 (Claims Processed by Employer's Name for All of California)(Mailing Address)P.O. Box 7007 STATE COMPENSATION INSURANCE FUNDLa Habra, CA 90632-7007 (Bakersfield District Office)Main: (800) 221-5473 - (714) 674-1000 9801 Camino MediaFax: (714) 674-4602 Bakersfield, CA 93311(Claims Processed by Account Name, Statewide) (Mailing Address)

P.O. Box 3171Suisun City,CA 94585-6171Main: (661) 664-4000Fax: (661) 664-4101(Clains Processed by Employer's Name for Kern County.)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSTATE COMPENSATION INSURANCE FUND STATE COMPESATION INSURANCE FUND STATE CONTRACT SERVICES (State Contract Services)400 Citadel Dr., Suite 100 2901 N. Ventura Road, Suite 100Commerce, CA 90040 Oxnard, CA 93030(Mailing Address) (Mailing Address)P.O. Box 910932 P.O. Box 9230Commerce, CA 90091-0932 Oxnard, CA 93031-9045Main: (323) 727-5600 Main: (805) 988-8600Fax: (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 DriveEureka, CA 95501 Pleasanton, CA 94588(Mailing Address) (Mailing Address)P.O. Box 4973 P.O. Box 3171Eureka, CA 95502-4973 Suisan City, CA 94585-6171Main: (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


Toll Free: (800) 737-8840Fax: (800) 975-1653

10 River Park Place East, Third Floor 2175 Shasta View DriveFresno, CA 93720 Redding, CA 96003(Mailing Address) (Mailing Address)P.O. Box 65005 P.O. Box 3171Pinedale, CA 93650-5005 Suisun City, CA 94585-6171Main: (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 FUND655 N. Central Ave., Suite 200 (Riverside District Office)Glendale, CA 91203-1400 6301 Day Street (Mailing Address) Riverside, CA 92507P.O. Box 92622 (Mailing Address)Los Angeles, CA 90009-2622 P.O. Box 92622Main: (818) 291-7000 - Fax: (818) 291-7300 Los Angeles, CA 90009-2622(Claims Processed by Employer's Name Main: (951) 656-8300for Los Angeles, plus San Fernando, Santa Clarita, Fax: (951) 653-1597Antelope 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 59901Pinedale, CA 93650-5005 Riverside, CA 92517-1901Main: (805) 988-5300 Main: (951) 697-7300Fax: (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)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSTATE 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 200Rohnert 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 92402-1806Main: (707)586-5000 Main: (909) 380-7488Fax: (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 92121-42142275 Gateway Oaks Drive., Third floor (Mailing Address)Sacramento, CA 95833 P. O. Box 65005(Mailing Address) Pinedale, CA 93650-5005P.O. Box 3171 Main: (858) 552-7100Suisun City, CA 94585-6171 Fax: (858) 552-7110Main: (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 951192450 Venture Oaks Way Suite 500 (Mailing Address)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2450 Venture Oaks Way., Suite 500 (Mailing Address)Sacramento, CA 95833 P. O. Box 3171(Mailing Address) Suisun City, CA 94585-6171P.O. Box 659011 Main: (408) 363-7400Sacramento, CA 95865-9011 Fax: (408) 363-7866Main: (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 927052450 Venture Oaks Way., Suite 230 (Mailing Address)Sacramento, CA 95833 P. O. Box 65005(Mailing Address) Pinedale, CA 93650-5005P.O. Box 255127 Main: (714) 565-5000 Sacramento, CA 95865-5127 Fax: (714) 565-5801Main: (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 92705P.O. Box 92622 (Mailing Address)Los Angeles, CA 90009-2622 P.O. Box 11828Main: (800) 342-7214 - (909) 384-4500 Santa Ana, CA 92711-1828Fax: (909) 384-4646 Main: (714) 565-7000 (Claims Processed by Employer's name for Fax: (714) 565-7001San Bernardino, and Inyo Counties)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersSTATE COMPESATION INSURANCE FUND TOKIO MARINE MANAGEMENT / TOKIO MARINE AND (Santa Rosa District Office) FIRE INSURANCE COMPANY, LTD. AND 1450 Neotomas Avenue TRANSPACIFIC INSURANCE COMPANYSanta Rosa, CA 95405 (Western Regional Claims Division)(Mailing Address) 800 E. Colorado Blvd. P. O. Box 65005 Pasadena, CA 91101Pinedale, CA 93650-5005 (Mailing Address)Main: (707) 573-6300 P. O. Box 7127(Claims Processed by Employer's Name for Pasadena, CA 91109-7127Marin, 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 67810P. O. Box 3171 Los Angles, CA 90067Suisin, CA 94585-6171 Main: (310) 201-0451Main: (209) 476-2600 Fax: (310) 286-7495Fax: (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


Toll Free: (800) 737-8840Fax: (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 91765-8510SUPERIOR 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 1100P.O. Box 160066 Orange, CA 92868Sacramento, CA 95816 (Mailing Address)Main: (916) 561-6500 P. O. Box 14246Fax: (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)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersTRAVELERS TRISTAR RISK MANAGEMENT THE TRAVELERS COMPANIES, INC. 3333 Camino Del Rio So., Suite 340P. O. Box 13089 San Diego, CA 92108Sacramento. CA 95813-4089 (Mailing Address)Main: (800) 727-3995 P. O. Box 880287Fax: (877) 749-0077 San Diego, Ca 92168-0287(Claims processed by Employer's Name for Main: (619) 238-5888Northern California) Fax: (619) 299-1315

(Claims processed by Injured's Name for all of California)TRAVELERSTHE TRAVELERS COMPANIES, INC. TRISTAR RISK MANAGEMENT 215 Lennon Lane 8665 Gibbs Dr., Suite 200Walnut Creek, CA 94596 San Diego, CA 92123(Mailing Address) (Mailing Address)P. O. Box 8112 P. O. Box 600630Walnut Creek, CA 94596-8112 San Diego, CA 92160Main: (800) 842-7354 - (925) 945-4000 Main: (877) 715-8044 - (858) 715-8800Fax: (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) 543-0700THE TRAVELERS PROPERTY CASUALTY CORPORATION Fax: (714) 542-7617(See Travelers) (Claims Processed by Injured's name for all of California)


Toll Free: (800) 737-8840Fax: (800) 975-1653

TRISTAR RISK MANAGEMENT TRISTAR RISK MANAGEMENT 744 E. Bullard Ave. 390 N. Wiget Lane Fresno, CA 93710 Walnut Creek, CA 94598-2489Main: (559) 432-1260 (Mailing Address)Fax:(559) 432-1267 P. O. Box 9350 (Claims processed by Injured's name for all California) Walnut Creek, CA 94598-0950

Main: (925) 930-9883TRISTAR 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 19775Irvine, 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 COMPANYAngeles [ Sheriffs' Department only ] ) (See The Hartford)

TRISTAR RISK MANAGEMENT - U -P. O. Box 512028Los 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) 393-5110TRISTAR RISK MANAGEMENT P. O. Box 277490 ULICO STANDARD OF AMERICA Sacramento, CA 95827-7490 (See Ulico Insurance Group) Main: (916) 631-0415Fax: (916) 638-5090 UNDERWRITERS ADJUSTING COMPANY(Claims processed by Injured's Name for all of California) (See CNA)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersUNICARE 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' CompensationBellevue, WA 98009-0701 P. O. Box 193770Main: (800) 777-1757 - (425) 562-5264 San Francisco, CA 94119-3770Fax: (425) 562-5258 Main: (415) 625-7669 (Claims processed by Injured's Name for Fax (415) 625-7470all 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' CompensationCLAIMS UNIT 401 E. Ocean Blvd., Suite # 720320 W. Fourth St., Suite 690 Long Beach, CA 90802Los Angeles, CA 90013 Main: (562) 980-3577Main: (213) 576-7300 Fax: (562) 980-3587Fax: (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 UNIT1515 Clay Street., 17th Floor UNITED STATES FIRE INSURANCE COMPANYOakland CA 94142-9397 (See Crum & Forster)


Toll Free: (800) 737-8840Fax: (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) 286-7067Fax: (510) 286-6997 USA CASUALTY(Claims processed by Injured's Name) (See Ulico Insurance Group)

UNINSURED EMPLOYERS BENEFIT TRUST FUND UTICA NATIONAL INSURANCE COMPANYSUBSEQUENT INJURIES FUND P. O. Box 6554CLAIMS UNIT Utica, NY 13504-65542424 Arden Way, Suite 355 Main: (800) 678-8422, (972) 677-6700 Sacramento, CA 95825 Fax: (315) 266-4127Main: (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 VIGILANT INSURANCE COMPANY(See Cambridge Integrated Services Group, Inc. - Pasadena and Rancho (See Chubb Group of Insurance companies) Cordova Offices)

VONS, A SAFEWAY COMPANYUNITED 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 Arcadia, CA 91007-1734(Mailing Address) (Mailing Address)P. O. Box 193769 P. O. Box 60008San Francisco, Ca 94119-3769 Arcadia, CA 91066-6008Main: (415) 625-7500 Main: (626) 821-7149 Fax: (415) 625-7450 Fax: (626) 821-7915

(Self-Insured Administrators. Claims Processed by Injured's Namefor All of California)


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance Carriers- W - - Y -

WARD NORTH AMERICA, INC. YASUDA FIRE & MARINE INSURANCE COMPANY (See Novapro Risk Solutions, L.P.) OF AMERICA

(See Broadspire - Fresno office)WARNER 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 103Fax: (818) 977-6787 Fresno, CA 93711-5729

(Mailing Address)P. O. Box 12546

WASAU INSURANCE COMPANIES Fresno, CA 93778-2546P. 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, KernFax: (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 COMPANYWEAR 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 8002WEST AMERICAN INSURANCE COMPANY Pleasanton, CA 94588-8602(See Ohio Casualty Group of Ins Companies) Main: (925) 460-0600


Toll Free: (800) 737-8840Fax: (800) 975-1653

(See Ohio Casualty Group of Ins. Companies) Main: (925) 460-0600(Claims Processed by Employer's Name for Alameda, Alpine,

WESTERN GROWERS INSURANCE COMPANY Amador, Butte, Calaveras, Colusa,Contra Cosrta, Del Norte,(See Intercare Insurance Services) El Dorado, Glenn, Humboldt, Lake Lassen, Marin, Mendocino,

Modoc, Monterey, Napa, Nevada, Placer, Plumas, Sacramento,WESTERN 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) WILLIS ADMINISTRATIVE SERVICES CORPORATION 7676 Hazard Center Dr., Suite 1200(See ASC) San Diego, CA 92108

Main: (619) 299-6252 WILLIS 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 ]WCA plus Imperial County)WORKERS' COMPENSATION ADMINISTRATORS265 E. Donovan Road ZENITH INSURANCE COMPANYSanta Maria, CA 93454 420 Stevens Ave., Suite 300Main: (805) 922-9157 Solana Beach, CA 92075Fax: (805) 349-2816 (Mailing Address)

7676 Hazard Center Dr., #1200WORKERS COMPENSATION AND INDEMNITY San Diego, CA 92108COMPANY OF CALIFORNIA Main: (858) 509-6100(See Cambridge Integrated Services Group, Inc - (Claims Processed by Employer's Name for North San DiegoSan Diego Office) County [ North of the 56 Freeway])

- X -


Toll Free: (800) 737-8840Fax: (800) 975-1653

2008 Worker's Comp Industrial Insurance CarriersZENITH INSURANCE COMPANY21255 Califa Street Woodland Hills, Ca 91367-5021(Mailing Address)P. O. Box 9055Van Nuys, CA 91409-9055Main: (800) 448-4356 - (818) 713-1000Fax: (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 UNDERWRITERSP. O. Box 2904Shawnee Mission, KS 66201-1304Main: (877) 549-3905 Fax: (877) 331-1700(Claims Processed by Injured's Name for all of California)

ZURICH NORTH AMERICA 3249 Quality Dr., Suite 300Rancho Cordova, CA 95670-6098(Mailing Address)P O Box 981030


Toll Free: (800) 737-8840Fax: (800) 975-1653

P. O. Box 981030West Sacramento, CA 95798Main: (800) 239-4829 Fax: (800) 547-2487(Claims Processed by Employer's Name for all of California)

ZURICH NORTH AMERICA560 Mission St., 24th Floor San Francisco, CA 94105(Mailing Address)P. O. Box 7774San Francisco, CA 94120-7774Main: (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 AMERICA21300 Victory Blvd., Tenth Floor Woodland Hills, CA 91367(Mailing Address)P. O. Box 92566Los Angeles, CA 90009-2566Main: (818) 227-1700 Fax: (818) 227-1740(Claims Processed by Employer's Name for SouthernCalifornia and Arizona)

ZURICH U.S. (See Zurich North America)


Toll Free: (800) 737-8840Fax: (800) 975-1653


- NOTES & COMMENTS -


Toll Free: (800) 737-8840Fax: (800) 975-1653


Toll Free: (800) 737-8840Fax: (800) 975-1653


- NOTES & COMMENTS -


Toll Free: (800) 737-8840Fax: (800) 975-1653


Toll Free: (800) 737-8840Fax: (800) 975-1653

Documents

2008 Worker's Comp Industrial Insurance Carriers...2008 Worker's Comp Industrial Insurance Carriers ALASKA NATIONAL INSURANCE COMPANY AMERICAN ALL-RISK LOSS ADMINISTRATORS P.O. Box