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2008 WC Insurance Guide - Untitled

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					            2008 Worker's Comp Industrial Insurance Carriers
                                    - TABLE OF CONTENTS -



          I. WORKER'S COMP DEPARTMENT OF INDUSTRIAL RELATIONS
                                 BRANCH OFFICES                 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1a - 3a




          II. WORKER'S COMP INDUSTRIAL INSURANCE CARRIERS
                                LISTINGS ( A thru Z)              . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 1 - 31




          III. NOTES & COMMENTS
                                            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pg. 32 - 33




MATRIX DOCUMENT IMAGING, INC.                                                                                                  Toll Free: (800) 737-8840
www.legal-records.com                                                                                                                 Fax: (800) 975-1653
             Worker's Comp Department of Industrial Relations
                                          - BRANCH OFFICES -
    ANAHEIM OFFICE - AHM                                     GOLETA OFFICE - GOL
    1661 N. Raymond Ave., Suite 202                          6755 Hollister Ave., Suite 100
    Anaheim, CA 92801-1162                                   Goleta, CA 93117-5551
    Main: (714) 738-4041                                     Main: (805) 968-0258
    Disability Evaluation Unit: (714) 738-4040               Disability Evaluation Unit: (805) 485-4423
    Information & Assistance Unit: (714) 738-4038            Information & Assistance: (805) 968-4158
    Rehabilitation Unit: (714) 738-4046                      Rehabilitation Unit: (805) 968-7678
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (213)-576-7300                          UEF Claims Unit: (916) 263-2774


    BAKERSFIELD OFFICE - BAK                                 GROVER BEACH OFFICE - GRO
    1800 - 30th Street, Suite 100                            1562 W. Grand Avenue
    Bakersfield, CA 93301-1929                               Grover Beach, CA 93433-2261
    Main: (661) 395-2723                                     Main: (805) 481-4912
    Disability Evaluation Unit: (559) 445-6427               Disability Evaluation Unit: (805) 485-4423
    Information & Assistance Unit: (661) 395-2514            Information & Assistance: (805) 481-3296
    Rehabilitation Unit: (559) 445-5066                      Rehabilition Unit: (805) 968-7678
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
                           286 7067
    UEF Claims Unit: (510) 286-7067                                                 263 2774
                                                             UEF Claims Unit: (916) 263-2774


    EUREKA OFFICE - URE                                      LONG BEACH OFFICE - LBO
    100 "H" Street, Suite 202                                300 Oceangate, Room 200
    Eureka, CA 95501-0481                                    Long Beach, CA 90802-4304
    Main: (707) 445-6518                                     Main: (562) 590-5001
    Disability Evaluation Unit: (530) 225-3179               Disability Evaluation Unit: (562) 590-5017
    Information & Assistance: (707) 441-5723                 Information & Assistance: (562) 590-5001
    Rehabilitation Unit: (530) 225-2859                      Rehabilitation Unit: (562) 590-5033
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (916) 263-2774                          UEF Claims Unit: (213)-576-7300


    FRESNO OFFICE - FRE                                      LOS ANGELES OFFICE - LAO
    2550 Mariposa Street, Suite 4078                         320 W. Fourth Street, Ninth Floor
    Fresno, CA 93721-2280                                    Los Angeles, CA 90013-2329
    Main: (559) 445-5051                                     Main: (213) 576-7426
    Disability Evaluation Unit: (559) 445-6427               Audit Unit: (213) 620-2312
    Information & Assistance: (559) 445-5355                 Disability Evaluation Unit: (213) 576-7426
    Reabilitation Unit: (559) 445-5066                       Information & Assistance: (213) 576-7389
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (510) 286-7067                          UEF Claims Unit: (213)-576-7300




MATRIX DOCUMENT IMAGING, INC.                                                                      Toll Free: (800) 737-8840
www.legal-records.com                               - [ 1a ] -                                          Fax: (800) 975-1653
             Worker's Comp Department of Industrial Relations
                                          - BRANCH OFFICES -
    MARINA DEL REY OFFICE - MDR                              REDDING OFFICE - RDG
    4720 Lincoln Blvd., Second Floor                         2115 Civic Center Drive., Suite 15
    Marina Del Rey, CA 90292                                 Redding, CA 96001-2740
    Main: (310) 482-3868                                     Main: (530) 225-2845
    Disability Evaluation Unit: (310) 482-3868               Disability Evaluation Unit: (530) 225-3179
    Information & Assistance: (310) 482-3858                 Rehabilitation Unit: (909) 623-8767
    Rehabilitation Unit: (310) 482-3858                      SIF Unit: (916) 263-2774
    SIF Unit: (916) 263-2774                                 UEF Claims Unit: (916) 263-2774
    UEF Claims Unit: (213)-576-7300
                                                             RIVERSIDE OFFICE - RIV
    OAKLAND OFFICE - OAK                                     3737 Main Street, Suite 300
    1515 Clay Street, 6th Floor                              Riverside, CA 92501-3337
    Oakland, CA 94612-1402                                   Main: (951) 782-4269
    Disability Evaluation Unit: (510) 622-2859               Diability Evaluation Unit: (951) 782-4345
    Information & Assistance Unit: (510) 622-2861            Information & Assistance Unit: (951) 782-4347
    Rehabilitation Unit: (510) 622-2860                      Rehabilitation Unit: (951) 782-4867
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (510) 286-7067                          UEF Claims Unit: (213) 576-7300


    OXNARD OFFICE - OXN                                      SACRAMENTO OFFICE - SAC
    2220 E. Gonzales Rd., Suite 100                          2424 Arden Way, Suite 230
    Oxnard, CA 93036-8293                                    Sacramento, CA 95825-2404
    Main: (805) 485-4423                                     Main: (916) 263-2735
    Disability Evaluation Unit: (805) 485-4423               Audit Unit: (916) 263-2710
    Information & Assistance Unit: (805) 485-3528            Disability Evaluation Unit: (916) 263-2767
    Rehabilitation Unit: (805) 485-3144                      Information & Assistance Unit: (916) 263-2741
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (213)-576-7300                          UEF Claims Unit: (916) 263-2774


    POMONA OFFICE - POM                                      SALINAS OFFICE -SAL
    732 Corporate Center Drive                               1880 North Main Street., Suite 100 and 200
    Pomona, CA 91768-2653                                    Salinas, CA 93906-2037
    Main: (909) 623-4301                                     Main: (831) 443-3060
    Disability Evaluation Unit: (909) 623-4301               Disability Evaluation Unit: (831) 443-3222
    Disability Evaluation Unit: (530) 225-3179               Information & Assistance Unit: (831) 443-3058
    Rehabilitation Unit: (909) 623-8767                      Rehabilitation Unit: (831) 443-3021
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (213)-576-7300                          UEF Claims Unit: (510) 286-7067




MATRIX DOCUMENT IMAGING, INC.                                                                       Toll Free: (800) 737-8840
www.legal-records.com                               - [ 2a ] -                                            Fax: (800) 975-1653
            Worker's Comp Department of Industrial Relations
                                          - BRANCH OFFICES -
    SAN BERNARDINO OFFICE - SBR                              SANTA ANA - ANA
    464 W. Fourth Street, Suite 249                          28 Civic Center Plaza., Suite 451
    San Bernardino, CA 92401-1426                            Santa Ana, CA 92701-4033
    Main: (909) 383-4341                                     Main: (714) 558-4121
    Disability Evaluation Unit: (909) 383-6363               Disability Evaluation Unit: (714) 558-4113 ext. 6749
    Information & Assistance: (909) 383-4522                 Information & Assistance: (714) 558-4597
    Rehabilitation Unit: (909) 383-4073                      Rehabilitation Unit: (714) 558-4581
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (213)-576-7300                          UEF Claims Unit: (213) 576-7300


    SAN DIEGO OFFICE - SDO                                   SANTA ROSA OFFICE - SRO
    7575 Metropolitan Drive, Suite 202                       50 "D" Street, Suite 420
    San Diego, CA 92108-4424                                 Santa Rosa, CA 95404-47771
    Main: (619) 767-2083                                     Main: (707) 576-2391
    Disability Evaluation Unit: (619) 767-2086               Disability Evaluation Unit: (707) 576-2374
    Information & Assistance Unit: (619) 767-2082            Information & Assistance: (707) 576-2452
    Rehabilition Unit: (619) 767-2085                        Rehabilitation Unit: (415) 703-5031
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
                     (213) 576 7300
    UEF Claims Unit: (213)-576-7300                                                 286 7067
                                                             UEF Claims Unit: (510) 286-7067


    SAN FRANCISCO OFFICE - SFC                               STOCKTON OFFICE - STK
    455 Golden Gate Ave., 2nd Floor                          31 E. Channel St., Room 344
    San Francisco, CA 94102-7014                             Stockton, CA 95202-2314
    Main: (415) 703-5011                                     Main: (209) 948-7759
    Disability Evaluation Unit: (415) 703-5030               Disability Evaluation Unit: (209) 948-3651
    Information & Assistance: (415) 703-5020                 Information & Assistance: (209) 948-7980
    Rehabilitation Unit: (415) 703-5031                      Rehabilitation Unit: (916) 263-2930
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (510) 286-1067                          UEF Claims Unit: (916) 263-2774


    SAN JOSE OFFICE - SJO                                    VAN NUYS OFFICE - VNO
    100 Paseo de San Antonio., Room 241                      6150 Van Nuys Blvd., Suite 105
    San Jose, CA 95113-1402                                  Van Nuys, CA 91401-3370
    Main: (408) 277-1246                                     Main: (818) 901-5367 ext. 3501
    Disability Evaluation Unit: (408) 277-2024               Disability Evaluation Unit: (818) 901-5376 ext. 5
    Information & Assistance: (408) 277-1292                 Info. & Assistance: (818) 901-5367 ext. 3541
    Rehabilitation Unit: (408) 277-1102                      Rehabilitation Unit: (818) 901-5367 ext. 3601
    SIF Unit: (916) 263-2774                                 SIF Unit: (916) 263-2774
    UEF Claims Unit: (510) 286-7067                          UEF Claims Unit: (213) 576-7300




MATRIX DOCUMENT IMAGING, INC.                                                                      Toll Free: (800) 737-8840
www.legal-records.com                               - [ 3a ] -                                          Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
                                                            -A-
    AARLA                                                           AETNA CASUALTY & SURETY COMPANY
    (See American All -Risk Loss Administrators)                    (See Travelers)

    ACCA, INC.                                                      AID INSURANCE COMPANY (Mutual)
    (See American Commercial Claims Administrators)                 (See Allied Insurance)

    ACCELERATED CLAIMS SERVICES, INC.                               AIG DOMESTIC CLAIMS, INC.
    P.O. Box 14190                                                  (Costa Mesa Office)
    Irvine, CA 92623-4190                                           P.O. Box 25978
    Main: (714) 647-1120                                            Shawnee Mission, KS 66225-5978
    (Third Party Administrators. Claims Processed by                Main: (714) 4365-5100
     Injured's Name for all of California)                          (Claims Processed for Central and Southern California)

    ACCLAIM RISK MANAGEMENT, INC.                                   AIG DOMESTIC CLAIMS, INC.
    (See Frank Gates Acclaim, Inc.)                                 (San Diego Office)
                                                                    3131 Camino Del Rio North
    ACE USA                                                         San Diego, CA 92108
    (Northern California Regional Claims Center)                    (Mailing Address)
    39300 Civic Center Drive., Suite 300                            P.O. Box 25978
    Fremont, CA 94538                                               Shawnee Mission, KS 66225-5978
    (Mailing Address)                                               Main: (800) 736-6671 - (619) 688-3700
    P.O. Box 31083                                                  Fax: (866) 739-6981
    Tampa, FL 33631-3083                                            (Claims Processed for all of California)
    Main: (866) 751-3239 - (510) 790-4600
                   751 3239            790 4600
    Fax: (800) 366-0570                                             AIG DOMESTIC CLAIMS, INC.
    (Claims Processed by Employer's name for all Counties           (San Ramon Office)
    North of Bakersfield to the Oregon Stateline)                   P.O. Box 25978
                                                                    Shawnee Mission, KS 66225-5978
    ACE USA                                                         Main: (800) 428-0906
    (Southern California Regional Claims Center)                    Fax: (925) 901-2200
    21860 Burbank Blvd., Suite 200                                  (Claims Processed for Northern California)
    Woodland Hills, CA 91367
    (Mailing Address)                                               AIMS
    P.O. Box 31051                                                  ACCLAMATION INSURANCE MANAGEMENT SERVICES
    Tampa, FL 33631-3051                                            P.O. Box 28100
    Main: (800) 654-5374 - (818) 712-6300                           Fresno, CA 93729
    Fax: (800) 350-8299                                             Main: (559) 227-9891
    (Claims Processed by Employer's Name for Orange,                Fax: (559) 227-1579
    Los Angeles, San Diego, Riverside, San Bernardino               (Third Party Administrators)
    Ventura, Santa Barbara, Kern Counties, and Hawaii)
                                                                    AIMS
    ADMINSURE, INC.                                                 ACCLAMATION INSURANCE MANAGEMENT SERVICES
    1470 S. Valley Vista Drive., Suite 230                          P.O. Box 269120
    Diamond Bar, CA 91765                                           Sacramento, CA 95826-9120
    Main: (909) 861-0816                                            Main: (800) 444-6157 - (916) 563-1900
    (Self Insured Adminstrators. Claims Processed                   Fax: (916) 563-1919
    by Employer's Name)                                             (Third Party Administrators)

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


MATRIX DOCUMENT IMAGING, INC.                                                                                        Toll Free: (800) 737-8840
www.legal-records.com                                       -(1)-                                                            Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    ALASKA NATIONAL INSURANCE COMPANY                                     AMERICAN ALL-RISK LOSS ADMINISTRATORS
    P.O. Box 193970                                                       AARLA
    San Francisco, CA 94119                                               4274 W. Richert Avenue
    Main: (866) 355-2642 - (415) 245-5030                                 Fresno, CA 93722
    Fax: (415) 248-5035                                                   (Mailing Address)
    www.alaskanational.com                                                P.O. Box 9783
    (Claims Processed by Injured's Name for all of California)            Fresno, CA 93794-9783
                                                                          Main: (800) 500-3744 - (559) 277-4960
    ALLIANZ GLOBAL CORPORATE & SPECIALTY                                  Fax: (559) 277-4961
    2350 Empire Avenue                                                    (Third Party Administrators. Claims Processed by
    Burbank, CA 91504-3350                                                Employer's name for all of California)
    (Mailing Address)
    P.O. Box 7782                                                         AMERICAN ASSOCIATED INSURANCE COMPANY:
    Burbank, CA 91510-7782                                                AMERICAN AUTO INSURANCE COMPANY
    Main: (818) 260-7500                                                  (See Fireman's Fund Insurance Companies)
    Fax: (818) 260-7218
    (Claims Processed by Injured's Name for all of California)            AMERICAN CASUALTY COMPANY

    ALLIED INSURANCE, A MEMBER OF NATIONWIDE INS.                         AMERICAN COMMERCIAL CLAIMS
    1601 Exposition Blvd.                                                 ADMINISTRATORS ACCA, INC.
    Sacramento, CA 95815                                                  P.O. Box 85479
    (Mailing Address)                                                     San Diego, CA 92186-5479
    3820 - 109th Street., Dept. 5577                                      Main: (800) 661-6029
    Des Moines, IA 50391-5577                                             Fax: (800) 661-6984
    Main: (800) 552-2437                                                  (Third Party Administrators, Claims Processed
    Fax: (800) 742-1341                                                   by Injured's Name for all of California)
                         Employer s
    (Claims Processed by Employer's Name for all of California)
                                                                          AMERICAN COMMERCIAL CLAIMS
    ALLIED INSURANCE COMPANY (MUTUAL)                                     ADMINISTRATORS ACCA, INC.
    (See Allied Insurance)                                                P.O. Box 881716
                                                                          San Francisco, CA 94188-1716
    ALLSTATE INSURANCE COMPANY                                            Main: (800) 661-6029- (415) 782-3800
    (See Specialty Risk Services, LLC)                                    Fax: (800) 661-6984
                                                                          (Third Party Administrators. Claims Processed by
    ALPHA FUND                                                            Injured's Name for all of California)
    2969 Prospect Park Drive., Suite 250
    Rancho Cordova, CA 95670                                              AMERICAN FIRE & CASUALTY COMPANY
    (Mailing Address)                                                     (See Ohio Casualty Group or Ins. Companies)
    P.O. Box 419068
    Rancho Cordova, CA 95741-9068                                         AMERICAN GUARANTEE & LIABILITY COMPANY
    Main: (800) 655-2667 - (916) 266-6100                                 (See Zurich North America)
    Fax: (916) 266-0314
    (Self- Insured administrators. Claims Administered for                AMERICAN HARDWARE INSURANCE GROUP
    District Hospitals in California)                                     5605 Green Circle Drive
                                                                          Minnetonka, MN 55343
    ALTERNATIVE SERVICE CONCEPTS (ASC)                                    (Mailing Address)
    5620 Birdcage St., Suite 130                                          P.O. Box 435
    Citrus Heights, CA 95610-7691                                         Minneapolis, MN 55440-0435
    Main: (800) 640-2264 - (916) 962-3190                                 Main: (800) 544- 8400
    Fax: (916) 962-3195                                                   Fax: (800) 841- 5339
    (Third Party Administrators. Claims Processed by                      (Claims Processed by both Employers and Injured's
    both Employer's and Injured's Names)                                  Names for all of California)

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




MATRIX DOCUMENT IMAGING, INC.                                                                                                Toll Free: (800) 737-8840
www.legal-records.com                                             -(2)-                                                           Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    AMERICAN INTERNATIONAL ADJUSTMENT CO., INC.                                         ASSOCIATION CALIFORNIA HEALTHCARE DISTRICTS
    (See Broadspire)                                                                    (See Alpha Fund)

    AMERICAN INSURANCE COMPANY (THE)                                                    ATHENS ADMINISTRATORS
    (See Fireman's Fund Insurance Companies)                                            P.O. Box 696
                                                                                        Concord, CA 94522
    AMERICAN MOTORISTS INSURANCE COMPANY                                                Main: (866) 826-3535 - (925) 826-1000
    (See Broadspire)                                                                    Fax: (925) 671-9183
                                                                                        (Claims Processed for all of California)
    AMERICAN PROFESSIONAL RISK SERVICES, INC.
    P.O. Box 897                                                                        AXIA SERVICES, INC.
    Clovis, CA 93613-0897                                                               (See Travelers)
    Main: (559) 299-2571
    Fax: (559) 299-2572                                                                                                  -B-
    (Third Party Administrators)
                                                                                        BEAVER INSURANCE COMPANY
    AMERICAN PROTECTION INSURANCE COMPANY                                               (See Cambridge Integrated Services Group, Inc.)
    (See Broadspire)
                                                                                        BERKSHIRE HATHAWAY HOMESTATE COMPANIES
    AMERON INTERNATIONAL                                                                Worker's Compensation Specialty Division
    245 S. Los Robles Avenue                                                            3452 E. Foothill Blvd., Suite 600
    Pasadena, CA 91101-2820                                                             Pasadena, CA 91107
    (Mailing Address)                                                                   (Mailing Address)
    P.O. Box 7007                                                                       P.O. Box 7008
    Pasadena, CA 91101-7007                                                             Pasadena, CA 91109
    Main: (626) 683-4000                                                                Main: (800) 339-9809 - (626) 356-1700 -
    (Self-Insured/Self-Administered)                                                    Fax: (626) 356-1717

    APPLIED RISK SERVICES                                                               BERKSHIRE HATHAWAY HOMESTATE COMPANIES
    CALIFORNIA INSURANCE COMPANY                                                        Worker's Compensation Specialty Division
    P.O. Box 3804                                                                       P.O. Box 85479
    Omaha, NE 68103                                                                     San Diego, CA 92186-5479
    Main: (877) 234-4424                                                                Main: (800) 661-6029
    Fax: (402) 827-7955                                                                 Fax: (866) 820-0398
    (Claims Processed by Employer's Name for all of
    California)                                                                         BERKSHIRE HATHAWAY HOMESTATE COMPANIES
                                                                                        Worker's Compensation Specialty Division
    ARCMI                                                                               P.O. Box 881716
    ARKANSAS CLAIMS MANAGEMENT, INC.                                                    San Francisco, CA 94188-1716
    (See Frank Gates Service Company) [El Dorado Hills]                                 Main: (800) 661-6029 - (415) 782-3800
    Main: (800) 339-1109                                                                Fax: (800) 661-6984

    ARGONAUT INSURANCE COMPANY                                                          BIERLY AND ASSOCIATES
    5250 N. Palm Ave., Suite 210                                                        (See Cambridge Integrated Services Group, Inc.)
    Fresno, CA 93704
    (Mailing Address)                                                                   GREGORY B. BRAGG & ASSOCIATES, INC.
    P.O Box 563                                                                         100 E. Cypress Ave., Suite 100
    Fresno, CA 93755                                                                    Redding, CA 96000-1749
    Main: (559) 447-7100                                                                (Mailing Address)
    Fax: (559) 447-7180                                                                 P.O. Box 491749-1749
    (Claims Processed by both Employer's and Injured's Names for all of California)     Redding, CA 96049-1749
                                                                                        Main: (530) 223-2574
    ASSOCIATED CLAIMS MANAGEMENT, INC.                                                  Fax: (530) 223-2679
    (See Tristar Risk Management)                                                       (Third Party Administrators)

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



MATRIX DOCUMENT IMAGING, INC.                                                                                                             Toll Free: (800) 737-8840
www.legal-records.com                                                           -(3)-                                                          Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    BROADSPIRE                                                 BROADSPIRE
    P.O. Box 2458                                              (Sacramento Claims Office)
    Brea, CA 92822-2458                                        2920 Kilgore Rd., Suite 110
    Main: (866) 780-4075 - (714) 579-8100                      Rancho Cordova, CA 95670
    Fax: (770) 777-6415                                        (Mailing Address)
    www.choosebroadspire.com                                   P.O. Box 10001
    (Third Party Administrators. Claims Processed by           Van Nuys, CA 91410-0001
    Employer's Name for all of California)                     Main: (866) 817-4354 - (916) 636-4800
                                                               Fax: (770) 777-6417
    BROADSPIRE                                                 www.choosebroadspire.com
    1390 Willow Pass Rd., Suite 500                            (Third Party Administrators. Claims Processed by
    Concord, CA 94520                                          Employers Name for all of Northern California)
    (Mailing Address)
    P.O. Box 4124                                              BROADSPIRE
    Concord, CA 94524-4124                                     4180 Ruffin Rd., Suite 185
    Main: (925) 677-3400                                       San Diego, CA 92123
    Fax: (770) 777-6413                                        Main: (858) 514-1340
    www.choosebroadspire.com                                   Fax: (770) 777-6420
    (Third Party Administrators. Claims Processed              www.choosebroadspire.com
    by Employer's Name for Northern California)                (Third Party Administrators. Claims Processed by
                                                               Employers Name for all of southern California)
    BROADSPIRE
    9131 Oakdale Avenue                                        BROADSPIRE
    Chatsworth, CA 91311                                       5 Hutton Centre Drive, Suite 300
    (Mailing Address)                                          Santa Ana, CA 92707
    P.O. Box 10001                                             (Mailing Address)
         Nuys,
    Van Nuys CA 91410-0001                                     P.O.
                                                               P O Box 66017
    Main: (866) 817-4226 - (818) 407-2800                      Anaheim, CA 92816-6017
    Fax: (770) 777-6468                                        Main: (714) 428-7100
    (Third Party Administrators. Claims Processed by           Fax: (770) 777-6415
    Employers Name for all of California)                      www.choosebroadspire.com
                                                               (Third Party Administrators. Claims Processed
    BROADSPIRE                                                 by Employer's Name for Southern California)
    P.O. Box 24016
    Fresno, CA 93779                                           BUCKEYE CLAIMS ADMINISTRATORS, INC.
    Main: (559) 271-3800                                       P.O. Box 3177
    Fax: (559) 274-0270                                        Cerritos, CA 90703
    (Third Party Administrators. Claims Processed by           Main: (800) 584-8187 - (562) 926-8002
    Employers Name for all of California)                      Fax: (562) 926-1254
                                                               www.buckeyeclaims.com
    BROADSPIRE                                                 (Third Party Administrators. Claims Processed
    (Rancho Cordova Claims Office)                             by Injured's Name)
    2920 Kilgore Rd., Suite 100
    Rancho Cordova, CA 95670                                                                    -C-
    (Mailing Address)
    P.O. Box 15810                                             CALCOMP
    Sacramento, CA 95852-0810                                  CALIFORNIA COMPENSATION INSURANCE COMPANY
    Main: (916) 851-7500                                       (See Broadspire)
    Fax: (770) 777-6414
    www.choosebroadspire.com                                   CALIFORNIA FAIR SERVICES AUTHORITY
    (Third Party Administrators. Claims Processed by           P.O. Box 15518
    Employer's Name for all of California)                     Sacramento, CA 95852-0518
                                                               Main: (916) 263-6172
                                                               Fax: (916) 263-6159

                                                               CALIFORNIA INDEMNITY INSURANCE COMPANY
                                                               (See GAB Robins)



MATRIX DOCUMENT IMAGING, INC.                                                                                     Toll Free: (800) 737-8840
www.legal-records.com                                  -(4)-                                                           Fax: (800) 975-1653
            2008 Worker's Comp Industrial Insurance Carriers
    CALIFORNIA INSURANCE COMPANY                        CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
    (See Applied Risk Services)                         5751 Copley Dr., Suite "A"
                                                        San Diego, CA 92111
    CALIFORNIA INSURANCE GUARANTEE                      (Mailing Address)
    ASSOCIATION                                         P.O. Box 719025
    P.O. Box 29066                                      San Diego, CA 92171
    Glendale, CA 91209-9066                             Main: (800) 327-6072 - (858) 514-1800
    Main: (818) 844-4300                                Fax: (858) 569-0342
    Fax: (818) 291-1863                                 (Third Party Administrators. Claims also processed for
    www.caiga.org                                       Worker's Compensation and Indemnity Company of California,
                                                        Citation Insurance Company, Fremont Indemnity Company,
    CAMBRIDGE INTEGRATED SERVICES GROUP, INC.           and Fremont Compensation Insurance Group)
    901 Civic Center Dr., Suite 230
    Santa Ana, CA 92703-2561                            CANNON COCHRAN MANAGEMENT
    (Mailing Address)                                   SERVICES, INC.
    P.O. Box 1738                                       1800 Sutter St., Suite 200
    Santa Ana, CA 92702                                 Concord, CA 94520
    Main: (714) 547-0955                                Main: (925) 685-0653
    Fax: (714) 547-0473                                 Fax: (925) 685-0725
    (Third Party Administrators)                        (Third Party Administrators)

    CAMBRIDGE INTEGRATED SERVICES GROUP, INC.           CHEVRON CORPORATION
    2300 Clayton Rd., Suite 900                         6001 Bollinger Canyon Road
    Concord, CA 94520                                   San Ramon, CA 94583
    (Mailing Address)                                   (Mailing Address)
    P.O. Box 4142                                       P.O. Box 6022
    Concord,
    Concord CA 94524-4142                                    Ramon,
                                                        San Ramon CA 94583-0722
    Main: (925) 603-5500                                Main: (925) 842-8184
    Fax: (925) 603-5581, 5502                           Fax: (925) 842-8185
    (Third Party Administrators)                        (Claims Processed for all of California)

    CAMBRIDGE INTEGRATED SERVICES GROUP, INC.           CHUBB GROUP OF INSURANCE COMPANIES
    2923 Bradley Street                                 801 S. Figueroa St., Suite 2400
    Pasadena, CA 91107                                  Los Angeles, CA 90017-5556
    (Mailing Address)                                   (Mailing Address)
    P.O. Box 29106                                      P.O. Box 30850
    Glendale, CA 91209-9106                             Los Angeles, CA 90030-0850
    Main: (800) 542-7597 - (626) 296-4200               Main: (800) 262-4459 - (213) 612-0880
    Fax: (626) 296-4220                                 Fax: (213) 612-5746
    (Third Party Administrators)                        (Claims Processed by Injured's name for Los Angeles,
                                                        Ventura, Santa Barbara, Kern, Orange, Riverside,
    CAMBRIDGE INTEGRATED SERVICES GROUP, INC.            San Bernandino, San Diego and Imperial Counties,
    11030 White Rock Rd., Suite 110                     plus the states of Arizona and Hawaii)
    Rancho Cordova, CA 95670
    (Mailing Address)                                   CHUBB GROUP OF INSURANCE COMPANIES
    P.O. Box 15901                                      5050 Hopyard Rd., Suite 400
    Sacramento, CA 95852                                Pleasanton, CA 94588
    Main: (800) 597-7677 - (916) 638-8300               Main: (925) 598-6000
    Fax: (916) 635-6431                                 Fax: (925) 598-6146
    (Third Party Administrators)                        (Claims Processed by Employer's Name for San Luis
                                                        Obispo, Tulare and Inyo Counties North to the Oregon
                                                        Border)

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

                                                        CIGNA COMPANIES
                                                        (See ACE USA)

MATRIX DOCUMENT IMAGING, INC.                                                                      Toll Free: (800) 737-8840
www.legal-records.com                           -(5)-                                                   Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    CITATION INSURANCE COMPANY                                                      CITY OF MODESTO
    (See Cambridge Integrated Services Group, Inc. - San                            1010 - 10th St., Suite 5600
    Diego office)                                                                   Modesto, CA 95354
                                                                                    (Mailing Address)
    CITY OF ANAHEIM                                                                 P.O. Box 642
    Risk Management Workers' Compensation                                           Modesto, CA 95353
    201 S. Anaheim Blvd., Suite 1002                                                Main: (209) 577-5411
    Anaheim, CA 92805                                                               Fax: (209) 576-7069
    Main: (714) 765-5113                                                            (Self-Insured/Self-Administered. Claims Processed by
    Fax: (714) 765-5245                                                              Injured's Name for City of Modesto Employees only)
    (Self-Insured. Claims Processed for City of Anaheim only)
                                                                                    CITY OF OCEANSIDE
    CITY OF BURBANK                                                                 300 N. Coast Highway
    W/C Risk Management Department                                                  Oceanside, CA 92054-2885
    275 E. Olive Avenue                                                             Main: (760) 435-3510
    Burbank, CA 91502                                                               (Self-Insured/Self-Administered)
    Main: (818) 238-5010
    Fax: (818) 238-5019                                                             CITY OF PASADENA
    (Self-Insured/Self-Administered. Claims Processed for                           100 N. Garfield Ave., Room N123
    City of Glendale Employee's only)                                               Pasadena, CA 91109
                                                                                    (Mailing Address)
    CITY OF GLENDALE                                                                P.O. Box 7115
    Risk Management Division/W.C. Section                                           Pasadena, CA 91109-7215
    613 E. Broadway, Room 100                                                       Main: (626) 744-4362
    Glendale, CA 91206                                                              Fax: (626) 744-4260
    Main: (818) 548-2101                                                            (Self-Insured/Self-Administered)
    (Self-Insured/Self-Administered.
    (Self-Insured/Self-Administered Claims Processed for
    City of Glendale Employees only)                                                CITY OF POMONA
                                                                                    Workers' Comp. Department
    CITY OF HUNTINGTON BEACH                                                        505 S. Garey Avenue
    Worker's Comp. Department                                                       Pomona, CA 91766
    2000 Main Street                                                                Main: (909) 620-2291
    Huntington Beach, CA 92648-2702                                                 Fax: (909) 620- 2295
    (Mailing Address)                                                               (Self-Insured/Self-Administered)
    P.O. Box 906
    Huntington Beach, CA 92648-0797                                                 CITY OF REDDING
    Main: (714) 374-5378                                                            Risk Management
    Fax: (714) 374-1597                                                             777 Cypress Avenue
    (Self-Insured/Self-Administered)                                                Redding, CA 96001-2718
                                                                                    Main: (530-225-4348
    CITY OF LONG BEACH                                                              Fax: (530) 225-4337
    Workers' Compensation Office                                                    (Self-Insured/Self-Administered)
    333 W. Ocean Blvd., Eighth Floor, City Hall
    Long Beach, CA 90802-4664                                                       CITY OF RIVERSIDE
    Main: (562) 570-2245                                                            3780 Market Street
    Fax: (562) 570-2220                                                             Riverside, CA 92501
    (Self-insured. Claims Processed for City of Long Beach only)                    Main: (951) 826-5559
                                                                                    Fax: (951) 826-2529
    CITY OF LOS ANGELES                                                             (Self-Insured/Self-Administered. Claims Processed
    Personnel Department                                                            by Injured's Name)
    Workers' Compensation Division
    700 E. Temple St., Room 210
    Los Angeles, CA 90012
    Main: (213) 473-3400
    Fax: (213) 473-3333
    (Self-Insured. Claims Processed for all City of Los Angeles Employees
    except for the Department of Water and Power, and uniformed Fire
    and Police Employees-TPA)

MATRIX DOCUMENT IMAGING, INC.                                                                                                           Toll Free: (800) 737-8840
www.legal-records.com                                                       -(6)-                                                            Fax: (800) 975-1653
                2008 Worker's Comp Industrial Insurance Carriers
    CITY OF TORRANCE                                                                        CITY OF SANTA ANA
    Human Resources                                                                         W/C Risk Management Department
    Risk Management Division                                                                P.O. Box 1988 M-41
    W/C Program                                                                             Santa Ana, CA 92702
    3231 Torrance Boulevard                                                                 Main: (714) 647-6942
    Torrance, CA 90503-5055                                                                 (Self-Insured/Self-Administered)
    Main: (310) 618-2950
    Fax: (310) 618-2927                                                                     CITY OF SIMI VALLEY
    (Self-Insured/Self-Administered)                                                        2929 Tapo Canyon Road
                                                                                            Simi Valley, CA 93063
    CITY OF SACRAMENTO                                                                      Main: (805) 583-6394
    Workers Compensation HR Dept.                                                           (Self-Insured/Self-Administered. Claims Processed
    City Hall                                                                               by Injured's Name for Los Angeles and Ventura Counties)
    915 "I" St., Fourth Floor
    Sacramento, CA 95814-2604                                                               CLAIMQUEST, INC.
    Main: (916) 808-5741                                                                    675 Brea Canyon Rd., Suite 4
    Fax: (916) 808-8216                                                                     Walnut, CA 91789
    Email: eyoung@cityofsacrament.org                                                       Main: (909) 594-9400
    (Self-Insured/Self-Administered)                                                        Fax: (909) 594-5544
                                                                                            (Third Party Administrators. Claims Processed by
    CITY OF SAN BERNARDINO                                                                  Employer's Name for all Counties)
    Risk Management Department
    300 N. "D" Street                                                                       CLAIMS MANAGEMENT, INC.
    San Bernardino, CA 92418-0001                                                           P.O. Box 16339
    Main: (909) 384-5173                                                                    Fresno, CA 93755-6339
    (Self-Insured. Claims Processed for City of                                             Main: (559) 221-2820
    San Bernardino and City of San Bernardino Water Department)                             Fax: (559) 222-7453
                                                                                            (Third Party Administrators)
    CITY OF SAN DIEGO
    Risk Management Department                                                              CLAIMS MANAGEMENT, INC.
    1200 Third Ave., Suite 1000                                                             2868 Prospect Park Dr., Suite 600
    San Diego, CA 92101                                                                     Rancho Cordova, CA 95670
    (Mailing Address)                                                                       (Mailing Address)
    P.O. Box 129013                                                                         P.O. Box 3042
    San Diego, CA 92112 -9013                                                               Sacramento, CA 95812-3042
    Main: (619) 236-6395                                                                    Main: (916) 631-1250
    Fax: (619) 236-6106                                                                     Fax: (916) 635-6288
    (Self-Insured/Self-Administered. Claims Processed for City of San Diego Only)           (Third Party Administrators)

    CITY AND COUNTY OF SAN FRANCISCO                                                        CLAIMS SOLUTIONS
    W/C Division                                                                            (See LWP Claims Solutions, Inc.)
    30 Van Ness Ave., Suite 3300
    San Francisco, CA 94102                                                                 CLARENDON NATIONAL INSURANCE COMPANY
    Main: (415) 575-5600                                                                    (See American All-Risk Loss Administrators)
    (Self-Insured/Self-Administered)
                                                                                            C.N.A.
    CITY OF SAN JOSE                                                                        STANDARD LINES Claims
    W/C Risk Management                                                                     675 Placentia Avenue
    200 E. Santa Clara Street                                                               Brea, CA 92821-6167
    San Jose, CA 95113-1903                                                                 (Mailing Address)
    Main: (408) 535-1285                                                                    P.O. Box 6500
    Fax: (408) 292-6447                                                                     Brea, CA 92822-6500
    (Self-Insured. Claims Processed for City of San Jose Only)                              Main: (800) 262-8714 - (714) 255-7300
                                                                                            Fax: (714) 255-2554
                                                                                            www.cnacentral.com
                                                                                            (Claims Processed by Employer's Name for Southern
                                                                                            California)



MATRIX DOCUMENT IMAGING, INC.                                                                                                                  Toll Free: (800) 737-8840
www.legal-records.com                                                               -(7)-                                                           Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    C.N.A.                                                      COUNTY OF KERN
    STANDARD LINES CLAIMS                                       Kern County Risk Management
    405 Howard St., Suite 600                                   1115 Truxtun Ave., Fourth Floor
    San Francisco, CA 94105                                     Bakersfield, CA 93301-4639
    (Mailing Address)                                           Main: (661) 868-3801
    P.O. Box 880670                                             Fax: (661) 868-3875
    San Francisco, CA 94188-0670                                (Self-Insured/Self-Administered. Claims Processed by
    Main: (415) 932-7500                                        Injured's Name for Kern County)
    Fax: (415) 932-7454
    www.cnacentral.com                                          COUNTY OF LOS ANGELES
    (Claims Processed by Employer's Name for Northern           Risk Management Branch
    California)                                                 Workers' Compensation Program
                                                                3333 Wilshire Blvd., Suite 820
    COLEN AND LEE                                               Los Angeles, CA 90010
    (See AdminSure, Inc.)                                       Main: (213) 738-2154
                                                                Fax: (213) 252-0404
    COMCO MANAGEMENT, INC.                                      (Claims Processed by the following Third Party
    P.O. Box 577                                                Administrators: Tristar Risk Management*, Intercare
    Sierra Madre, CA 91025-0577                                 Insurance Services**, and AIMS***)
    Main: (800) 788-2662 - (626) 836-5817                        *Tristar Risk Management, (Irvine)
    Fax: (626) 836-5827                                         P.O. Box 19775
    (Self-Insured Administrators. Claims Processed by           Irvine, CA 92623-9775
    Employer's Name)                                            Main: (800) 782-5888
                                                                *Tristar Risk Management (Santa Ana)
    COMPLINK                                                    P.O. Box 11967
    2100 Main St., Suite 350                                    Santa Ana, CA 92711-1967
    Irvine CA 92614-9265
    Irvine,                                                     Main: (800) 377-3487
    (Mailing Address)                                           **Intercare Insurance Services (Orange)
    P.O. Box 19619                                              P.O. Box 14243
    Irvine, CA 92623-9619                                       Orange, CA 92863-4243
    Main: (949) 852-4871                                        Main: (866) 221-2968
    Fax: (949) 223-0657                                         *** AIMS (Santa Clarita)
    (Third Party Administrators)                                P.O. Box 937
                                                                Santa Clarita, CA 91380-0937
    CONSTITUTION STATE SERVICE COMPANY                          Main: (866) 511-2467
    (See Travelers)                                             (The above TPA's are also listed in the book)

    CONTINENTAL CASUALTY COMPANY                                COUNTY OF RIVERSIDE
    (See CNA)                                                   Workers' Compensation Division
                                                                P.O. Box 1120
    CONTINENTAL LOSS ADJUSTING SERVICES                         Riverside, CA 92502
    (See CNA)                                                   Main: (951) 955-3530
                                                                (Self-Insured. Claims Processed by Injured's Name
    CONTINENTAL RISK MANAGEMENT SERVICES                        for Riverside County Employees only)
    (See CNA])
                                                                COUNTY OF SACRAMENTO
    CONTRA COSTA COUNTY                                         P.O. Box 276130
    Risk Management Division                                    Sacramento, CA 95827
    2530 Arnold Dr., Suite 140                                  Main: (916) 876-5251
    Martinez, CA 94553                                          (Self-Insured/Self-Administered)
    Main: (925) 335-1400
    Fax: (925) 335-1420
    (Self-Insured. Claims Processed by
    Injured's Name for County of Contra Costa)




MATRIX DOCUMENT IMAGING, INC.                                                                                       Toll Free: (800) 737-8840
www.legal-records.com                                   -(8)-                                                            Fax: (800) 975-1653
                2008 Worker's Comp Industrial Insurance Carriers
    COUNTY OF SAN BERNARDINO                                        CRAWFORD & COMPANY INSURANCE ADJUSTERS
    Department of Risk Management                                   900 E. Washington St., Suite 350
    222 W. Hospitality Lane, Third Floor                            Colton, CA 92324
    San Bernardino, CA 92415-0016                                   Main: (909) 825-8730
    Main: (909) 386-8655                                            Fax: (909) 825-5349
    Fax: (909) 386-8711                                             (Claims Processed by Employer's Name for
    (Self-Insured. Claims Processed by                              Riverside and San Bernardino Counties)
    Department for County of San Bernardino)
                                                                    CRAWFORD & COMPANY INSURANCE ADJUSTERS
    COUNTY OF SAN DIEGO - DHR                                       1515 W. 190th St., Suite 500
    Workers' Compensation Office                                    Gardena, CA 90248
    444. W. Beech St., Third Floor                                  Main: (310) 380-6000
    San Diego, CA 92101-2942                                        Fax: (310) 380-6029
    Main: (619) 578-5700                                            (Claims Processed by both Employer's and Injured's
    Fax: (619) 578-5740                                             Name for all of California)
    (Self-Insured/Self-Administered. Claims Processed by
    Injured's Name for County of San Diego)                         CRAWFORD & COMPANY INSURANCE ADJUSTERS
                                                                    1900 Alameda De Las Pulgas, Suite 103
    COUNTY OF SANTA BARBARA                                         San Mateo, CA 94403
    W/C Risk Management Department                                  Main: (650) 357-6242
    1 E. Anapamu St., Second Floor                                  Fax: (650) 357-8983
    Santa Barbara, CA 93101-2704                                    (Claims Processed by both Employer's and Injured's
    Main: (805) 884-6860                                            Names for San Francisco, San Mateo, Marin, Sonoma
    Fax: (805) 884-6861                                             and Solano Counties)
    (Self-Insured/Self-Administered)
                                                                    CRUM & FORSTER
    COUNTY OF SANTA CLARA                                           UNITED STATES FIRE INSURANCE COMPANY
    Workers' Compensation Division                                  THE NORTH RIVER INSURANCE COMPANY
    2310 N. First St., Suite 205                                    One City Blvd. West, Suite 350
    San Jose, CA 95131-1032                                         Orange, CA 92868
    Main: (408) 441-4300                                            (Mailing Address)
    (Self-Insured. Claims Processed by Injured's Name               P.O. Box 14217
    for Santa Clara and Santa Clara County Central                  Orange, CA 92863
    Fire District)                                                  Main: (714) 244-1023
                                                                    Fax: (714) 244-1050
    COUNTY OF SHASTA                                                (Claims Processed for All of California)
    1450 Court St., Room 348
    Redding, CA 96001-1676                                          CUNNINGHAM LINDSEY U.S., INC.
    Main: (530) 225-5141                                            (See Broadspire)
    Fax: (530) 225-5251
    (Self-Insured/Self-Administered)                                CYPRESS INSURANCE COMPANY
                                                                    (See Berkshire Hathaway Homestate
    COUNTY SANITATION DISTRICTS OF                                  Companies [BHHC] )
    THE COUNTY OF LOS ANGELES
    1955 Workman Mill Road                                                                  -D-
    Whittier, CA 90601
    (Mailing Address)                                               DANIELSON NATIONAL INSURANCE COMPANY
    P.O. Box 4998                                                   (See Tristar Risk Management - Los Angeles)
    Whittier, CA 90607-4998
    Main: (562) 699-7411                                            JOHN DEERE INSURANCE COMPANY
    Fax: (562) 692-3056                                             (See Sentry Insurance)
    (Claims Processed by Injured Employee's Name and
    Date of Injury for the County Sanitation Districts of
    Los Angeles County)




MATRIX DOCUMENT IMAGING, INC.                                                                           Toll Free: (800) 737-8840
www.legal-records.com                                       -(9)-                                            Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    DEPARTMENT OF WATER AND POWER                                              EMPLOYERS INSURANCE OF WAUSAU
    City of Los Angeles                                                        (See Wausau Insurance Companies)
    Workers' Compensation Section
    111 N. Hope St., Room 553                                                  EOS / GROUP
    Los Angeles, CA 90012                                                      (See Tristar Risk Management)
    (Mailing Address)
    P.O. Box 51111, Room 553                                                   ESIS, INC.
    Los Angeles, CA 90051-0100                                                 (See ACE USA)
    Main: (213) 367-1942
    Fax: (213) 367-3636                                                        EVEREST NATIONAL INSURANCE COMPANY
    (Self-Insured)                                                             1111 Broadway, Suite 2050
                                                                               Oakland, CA 94607
    THE WALT DISNEY COMPANY                                                    (Mailing Address)
    Workers' Compensation                                                      P.O. Box 70160
    700 W. Ball Road                                                           Oakland, CA 94612-0160
    Anaheim, CA 92802                                                          Main: (800) 529-1354
    (Mailing Address)                                                          Fax: (510) 267-0752
    P.O. Box 3909                                                              (Claims Processed for All of California)
    Anaheim, CA 92803
    Main: (714) 781-1680                                                       EVEREST NATIONAL INSURANCE COMPANY
    Fax: (714) 781-1670                                                        725 W. Town & Country Rd., 4th Floor
    (Self-Insured)                                                             Orange, CA 92868
                                                                               Main: (714) 371-9600
    DYNAMIC CLAIMS SERVICES, INC.                                              Fax: (714) 371-9677
    P.O. Box 29080                                                             (Claims Processed for All of California)
    Glendale, CA 91209
    Main: (818) 247-3662                                                       EXPLORER INSURANCE COMPANY
    Fax: (818) 247-7018                                                        (See Insurance Company of the West)
    (Third Party Administrators)
                                                                                                                -F-
                                     -E-
                                                                               FARA / F.A RICHARD & ASSOCIATES
    EAGLE INSURANCE GROUP, INC.                                                2525 Cherry Ave., Suite 350
    (See SeaBright Insurance Company)                                          Signal Hill, CA 90755-2054
                                                                               Main: (562) 426-9800
    EMPLOYERS                                                                  Fax: (562) 426-4848
    P.O. Box 539004                                                            (Self-Insured Administrators and Independent Adjusters)
    Henderson, NV 89053-9004
    Main: (888) 682-6671                                                       FARMERS INSURANCE GROUP
    (Claims Processed by Employer's Name for All of California)                11555 Dublin Canyon Rd., 4th Floor
                                                                               Pleasanton, CA 94588
    EMPLOYERS COMPENSATION INSURANCE COMPANY                                   (Mailing Address)
    (See Employers)                                                            P.O. Box 5040
                                                                               Pleasanton, CA 94566
    EMPLOYER'S DIRECT INSURANCE COMPANY                                        Main: (925) 847-3141 - Fax: (925) 416-0948
    P.O. Box 5042                                                              (Same as Truck Insurance Exchange. Claims Processed by Injured's
    Thousand Oaks, CA 91359-5042                                               Name for Northern California)
    Main: (818) 575-8500
    Fax: (818) 575-8575                                                        FARMERS INSURANCE GROUP
    (Claims Processed by Employer's Name for All of California)                3707 W. Garden Grove Blvd., Ste 202
                                                                               Orange, CA 92868-4803
    EMPLOYERS FIRST INSURANCE                                                  (Mailing Address)
    (See Cambridge Integrated Services Group, Inc.)                            P. O. Box 928
                                                                               Santa Ana, Ca 92707-0928
    EMPLOYERS INSURANCE GROUP                                                  Main: (888) 274-2165 - (714) 740-2165
    (See Employers)                                                            Fax: (714) 750-1942
                                                                               (Same as Truck Ins. Exchange. Claims Processed by Injured's Name
                                                                               Orange, San Bernardino, Riverside, San Diego and Imperial Counties)

MATRIX DOCUMENT IMAGING, INC.                                                                                                   Toll Free: (800) 737-8840
www.legal-records.com                                             - ( 10 ) -                                                             Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    FARMERS INSURANCE GROUP                                                                                               -G-
    (L.A. Centralized WC Claims Office)
    3041 Cochran Street                                                                  GAB BUSINESS SERVICES, INC.
    Simi Valley, CA 93065                                                                (See GAB Robins)
    (Mailing Address)
    P. O. Box 10149                                                                      GAB ROBINS
    Van Nuys, CA 91410-0149                                                              GAB ROBINS NORTH AMERICA, INC.
    Main: (888) 486-1451 - (805) 583-7567                                                100 E. Tujunga Avenue
    Fax: (805) 583-7467                                                                  Burbank, CA 91502
    (Same as Truck Insurance Exchange. Claims Processed by Injured's Name                (Mailing Address)
    for Los Angeles, Ventura, Santa Barbara and San Luis Obispo Counties)                P. O. Box 7858
                                                                                         Burbank, CA 91510-7858
    FREMONT EMPLOYER'S INSURANCE COMPANY                                                 Main: (800) 841-5297 - (818) 846-5297
    (See Employers)                                                                      Fax: (818) 846-1153
                                                                                         (Claims Processed by Employer's Name for all of California)
    FREMONT INDEMNITY 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 300
    3500 Breakwater Ct., Bldg., "A"                                                      Ontario, CA 91764
    Hayward, CA 94545                                                                    Main: (909) 980-0498
    Main: (800) 322-3793 - (510) 782-9882                                                Fax: (909) 980-0458
    Fax: (800) 455-3793                                                                  (Claims Processed by Employer's Name for all of California)
    (Third Party Administrators)
                                                                                         GAB ROBINS
    FUNDS INSURANCE COMPANIES                                                            GAB ROBINS NORTH AMERICA, INC.
    (See Fireman's Fund Insurance Companies)
         Fireman s                                                                       P. O
                                                                                         P O. Box 269037
                                                                                         Sacramento, CA 95827-9037
    F.I.R.M. SOLUTIONS                                                                   Main: (916) 853-6600
    (See Tristar Risk Management)                                                        Fax: (916) 853-8183
                                                                                         (Claims Processed by Employer's Name for all of California)
    FIRE INSURANCE EXCHANGE
    (See Farmers Insurance Group)                                                        GALLAGHER BASSETT SERVICES, INC.
                                                                                         P.O. Box 70003
    FIREMAN'S FUND INSURANCE COMPANIES                                                   Anaheim, CA 92825-0003
    2995 Prospect Park Dr., Suite 200                                                    Main: (714) 938-0172
    Rancho Cordova, CA 95670                                                             Fax: (714) 938-1067
    (Mailing Address)                                                                    (Workers' Compensation Self-Insured Claims Admins.)
    P. O. Box 13340
    Sacramento, CA 95813                                                                 GALLAGHER BASSETT SERVICES, INC.
    Main: (800) 662-3750                                                                 P. O. Box 9875
    Fax: (888) 387-3196                                                                  Calabasas, CA 91372-0875
    (Claims Processed for All of California)                                             Main: (818) 746-9925
                                                                                         Fax: (818) 880-4213
    FIRST NATIONAL INSURANCE COMPANY                                                     (Workers' Compensation Self-Insured Claims Admins.)
    (See Safeco Insurance Group)
                                                                                         GALLAGHER BASSETT SERVICES, INC.
    FOSTER POULTRY FARMS                                                                 P. O. Box 6900
    WORKER'S COMPENSATION                                                                Corona, CA 92878-6900
    P. O. Box 277                                                                        Main: (951) 279-0073
    Livingston, CA 95334-0277                                                            Fax: (951) 279-6632
    Main: (866) 566-4556                                                                 (Workers' Compensation Self-Insured Claims Admins.)
    Fax: (209) 668-6613
    (Self Insured / Self-Administered)                                                   GALLAGHER BASSETT SERVICES, INC.
                                                                                         P. O. Box 1390
    FREMONT COMPENSATION INSURANCE GROUP                                                 Elk Grove, CA 95759
    (See Cambridge Integrated Services Group Inc.)                                       Main: (916) 683-5550
                                                                                         (Workers' Compensation Self-Insured Claims Admins.)

MATRIX DOCUMENT IMAGING, INC.                                                                                                             Toll Free: (800) 737-8840
www.legal-records.com                                                       - ( 11 ) -                                                           Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    GALLAGHER BASSETT SERVICES, INC.                                   E & J GALLO WINERY
    P. O. Box 2290                                                     600 Yosemite Boulevard
    Gold River, CA 95741-2290                                          Modesto, CA 95354-9972
    Main: (916) 403-1600                                               (Mailing Address)
    Fax: (916) 403-1619                                                P.O. Box 1130
    (Workers' Compensation Self-Insured Claims Admins.                 Modesto, CA 95353
                                                                       Main: (209) 341-3782
    GALLAGHER BASSETT SERVICES, INC.                                   (Self-Insured / Self-Administered)
    (Metro Office)
    P. O. Box 30840                                                    FRANK GATES SERVICES COMPANY
    Laguna Hills, CA 92654-0840                                        2400 E. Katella Ave., Suite 650
    Main: (949) 458-0181                                               Anaheim, CA 92806
    Fax: (949) 588-8931                                                Main: (800) 994-4611 - (714) 978-1351
    (Workers' Compensation Self-Insured Claims Admins.)                Fax: (714) 978-1651
                                                                       (Claims Processed by Employer's Name for all of
    GALLAGHER BASSETT SERVICES, INC.                                   California)
    P. O. Box 14260
    Orange, CA 92863                                                   FRANK GATES SERVICE COMPANY
    Main: (714) 939-0877                                               P.O. Box 4530
    Fax: (714) 938-1036                                                El Dorado Hills, CA 95762-0020
    (Workers' Compensation Self-Insured Claims Admins.                 Main: (916) 939-8011
                                                                       Fax: (916) 939-8230
    GALLAGHER BASSETT SERVICES, INC.                                   (Claims Processed by Employer's Name for all of
    P. O. Box 4200                                                     California. For Wal-Mart and Sam's Club, Mail Claim
    Rancho Cucamonga, CA 91729-4200                                    to: P.O. Box 1288 Bentonville, AR 72712)
    Main: (866) 517-6782 - (909) 581-1919                              Main: (800) 339-1109
    Fax: (909) 581-1996                                                Fax: (479) 204-9537
    (Workers' Compensation Self-Insured Claims Admins.)                (Third Party Admistrators)

    GALLAGHER BASSETT SERVICES, INC.                                   FRANK GATES ACCLAIM, INC.
    P. O. Box 4040                                                     19800 MacArthur Blvd., Suite 430
    Sacramento, CA 95812-4040                                          Irvine, CA 92612-8441
    Main: (866) 481-0962 - (916) 576-8200                              Main: (800) 337-0314 - (949) 851-8955
    Fax: (916) 576-8206                                                Fax: (949) 851-8960
    (Workers' Compensation Self-Insured Claims Admins.)                (Third Party Admistrators)

    GALLAGHER BASSETT SERVICES, INC.                                   FRANK GATES ACCLAIM, INC.
    (Regional Office)                                                  P.O. Box 120431
    P. O. Box 255397                                                   San Diego, CA 92112-0431
    Sacramento, CA 95865-5397                                          Main: (619) 595-0255
    Main: (916) 929-7581                                               Fax: (619) 595-1689
    Fax: (916) 929-3791                                                (Third Party Admistrators)
    (Workers' Compensation Self-Insured Claims Admins.)
                                                                       GATES, McDONALD & COMPANY
    GALLAGHER BASSETT SERVICES, INC.                                   (See Cambridge Integrated Services Group, INC.
    P. O. Box 85013                                                     Concord and Santa Ana offices)
    San Diego, CA 92186-5013
    Main: (619) 471-1219                                               GENERAL ELECTRIC COMPANY
    Fax: (619) 471-1250                                                (See Sedgwick, CMS)
    (Workers' Compensation Self-Insured Claims Admins.)
                                                                       GENERAL INSURANCE COMPANY OF AMERICA
    GALLAGHER BASSETT SERCVICES, INC.                                  (See Safeco Insurance Group)
    P.O. Box 4511
    Woodland Hills, CA 91365-4511                                      GOLDEN EAGLE INSURANCE CORPORATION
    Main: (818) 226-9071                                               (See Liberty Mutual Insurance Company - Orange office)
    Fax: (818) 226-9982
    (Workers' Compensation Self-Insured Claims Admins.)                GRANITE STATE INSURANCE COMPANY
                                                                       (See AIG Domestic Claims, Inc.)

MATRIX DOCUMENT IMAGING, INC.                                                                                            Toll Free: (800) 737-8840
www.legal-records.com                                     - ( 12 ) -                                                          Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    GREAT AMERICAN INSURANCE COMPANY                                                                            -H-
    (Walnut Creek Office)
    P.O. Box 5432                                                              HAMMERMAN & GAINER, INC.
    Cincinnati, OH 45201-5432                                                  P.O. Box 368
    Main: (800) 759-0036                                                       Banning, CA 92220
    Fax: (888) 223-1317                                                        Main: (951) 922-2828
    (Claimes Processed for the State of California and Arizona)                Fax: (951) 922-2016
                                                                               (Third Party Administrators)
    GREAT STATES INSURANCE COMPANY
    (See Intercare Insurance Services)                                         THE HARTFORD
                                                                               HARTFORD ACCIDENT & INDEMNITY COMPANY
    GREGORY B. BRAGG & ASSOCIATES, INC.                                        12009 Foundation Place
    One Sierra Gate Plaza, Suite 250B                                          Rancho Cordova, CA 95670
    Roseville, CA 95678                                                        (Mailing Address)
    (Mailing Address)                                                          P.O. Box 13835
    P.O. Box 619058                                                            Sacramento, CA 95853-4835
    Roseville, CA 95661-9058                                                   Main: (866) 401-9222 - (916) 294-1000
    Main: (800) 422-7244 - (916) 783-0100                                      Fax: (916) 294-1600
    Fax: (916) 783-0338
    (Third Party Administrators)                                               HARTFORD INSURANCE GROUP
                                                                               (See The Hartford)
    GREGORY B. BRAGG & ASSOCIATES, INC.
    4512 Feather River Dr., Suite B                                            HAZELRIGG RISK MANAGEMENT SERVICES, INC.
    Stockton, CA 95219                                                         (See HRMS / A Corvel Company)
    (Mailing Address)
    P.O. Box 7245                                                              C.E. HEATH COMPENSATION & LIABILITY
    Stockton CA 95267-0245
    Stockton,                                                                  INSURANCE COMPANY
    Main: (209) 956-2119                                                       (See Intercare Insurance Services)
    Fax: (209) 956-2638
    (Third Party Administrators)                                               HEALTHCARE ALLICANCE CORPORATION
    (See Cambridge Integrated Services Group, Inc.)                            (See Alpha Fund)

    GREGORY B. BRAGG & ASSOCIATES, INC.                                        HELMSMAN MANAGEMENT SERVICES, INC.
    150 N. Wiget Lane, Suite 212                                               (See Liberty Mutual Insurance Company)
    Walnut Creek, CA 94598
    (Mailing Address)                                                          HERTZ CLAIM MANAGEMENT
    P.O. Box 5372                                                              (See Cambridge Integrated Services Group, Inc.)
    Walnut Creek, CA 94596-5372
    Main: (925) 933-2992                                                       HIH INSURANCE
    Fax: (925) 933-2994                                                        (See Intercare Insurance Services)
    (Third Party Administrators)
                                                                               HOME INDEMNITY COMPANY
    GROCERS AND MERCHANTS INSURANCE SERVICE                                    (See Risk Enterprise Management Limited)
    (See Springfield Insurance Company / GMIS)
                                                                               HOME INSURANCE COMPANY
    GUIDEONE INSURANCE                                                         (See Risk Enterprise Management Limited)
    2351 Sunset Blvd., Suite 170, PMB # 305
    Rocklin, CA 95765                                                          HOME INSURANCE COMPANY, NEW YORK
    Main: (800) 647-9324 - (916) 624-3288                                      (See Risk Enterprise Management Limited)
    Fax: (800) 676-4457
                                                                               HRMS / A CORVEL COMPANY
    GULF INSURANCE COMPANY                                                     751 E. Daily Dr., Suite 400
    (See Travelers (800) 994-3890)                                             Camarillo, CA 93010
                                                                               (Mailing Address)
                                                                               P.O. Box 5166
                                                                               Oxnard, CA 93031
                                                                               Main: (866) 785-2835 - (805) 389-4200
                                                                               (Third Party Administrators)

MATRIX DOCUMENT IMAGING, INC.                                                                                                    Toll Free: (800) 737-8840
www.legal-records.com                                             - ( 13 ) -                                                          Fax: (800) 975-1653
                2008 Worker's Comp Industrial Insurance Carriers
    HRMS / A CORVEL COMPANY                                        INNOVATIVE CLAIM SOLUTIONS, INC.
    14275 Pipeline Avenue                                          P.O. Box 5128
    Chino, CA 91710                                                San Ramon, CA 94583-5138
    (Mailing Address)                                              Main: (925) 327-8050
    P.O. Box 669                                                   Fax: (925) 327-8078
    Chino, CA 91708                                                (Third Party Administrators)
    Main: (805) 993-0340
    Fax: (909) 627-9751                                            INTERCARE INSURANCE SERVICES
    (Third Party Administrators)                                   1120 Forest Ave., Box 339
                                                                   Pacific Grove, CA 93950
    HRMS / A CORVEL COMPANY                                        Main: (831) 655-2155
    P.O. Box 277550                                                Fax: (831) 655-2755
    Sacramento, CA 95827                                           (Third Party Administrators)
    Main: (916) 379-5560
    Fax: (916) 379-5598                                            INTERCARE INSURANCE SERVICES
    (Third Party Administrators)                                   P.O. Box 7111
                                                                   Pasadena, CA 91109-7211
    HRMS / A CORVEL COMPANY                                        Main: (866) 785-6819 - (626) 304-1200
    8787 Complex Dr., Third Floor                                  Fax: (626) 304-1249
    San Diego, CA 92123                                            (Third Party Administrators)
    (Mailing Address)
    5694 Mission Center Rd., #700                                  INTERCARE INSURANCE SERVICES
    San Diego, CA 92108                                            P.O. Box 579
    Main: (800) 757-7100 - (858) 300-2500                          Roseville, CA 95661
    Fax: (858) 300-2560                                            Main: (916) 677-2500
    (Third Party Administrators)                                   Fax: (916) 677-2608
                                                                   (Third Party Administrators)
                                       -I-
                                                                   INTERCARE INSURANCE SERVICES
    ICS                                                            P.O. Box 348180
    (See Innovative Claim Solutions, Inc.)                         Sacramento, CA 95834-8180
                                                                   Main: (800) 394-9304 - (916) 920-5800
    ICW GROUP                                                      Fax: (916) 920-5588
    (See Insurance Company of the West)                            (Third Party Administrators. Claims Processed
                                                                   by Injured's Name for all of California)
    INDEMNITY INSURANCE COMPANY OF NORTH
    AMERICA                                                        INTERSTATE BRANDS CORPORATION
    (See ACE USA)                                                  7807 Convoy Ct., Suite 110
                                                                   San Diego, CA 92111
    INDUSTRIAL INDEMNITY                                           Main: (858) 569-7311
    (See Cambridge Integrated Services Group, Inc.)                Fax: (858) 569-1525
                                                                   (Self -Insured / Self-Administered. Claims Processed
    INNOVATIVE CARE SYSTEMS, INC.                                  by Injured's Name for all of California and Washington)
    (See Innovate Claim Solutions, Inc.)
                                                                   IRISC-CAMBRIDGE INTEGRATED SERVICES GROUP,INC.
    INNOVATIVE CLAIM SOLUTIONS, INC.                               (See Cambridge Integrated Services Group, Inc.)
    11030 White Rock Rd., Suite 210
    Rancho Cordova, CA 95670-6055                                  ITT HARTFORD
    (Mailing Address)                                              (See The Hartford)
    P.O. Box 2070
    Rancho Cordova, CA 95741                                       ITT SPECIALTY RISK SERVICES
    Main: (916) 852-8588                                           (See Specialty Risk Services, LLC)
    (Third Party Administrators)
                                                                   INSURANCE COMPANY OF NORTH AMERICA /
                                                                   ESIS, INC. / CIGNA COMPANIES
                                                                   (See ACE USA)




MATRIX DOCUMENT IMAGING, INC.                                                                                       Toll Free: (800) 737-8840
www.legal-records.com                                 - ( 14 ) -                                                             Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    INSURANCE COMPANY OF THE WEST /                                            JT2 INTEGRATED RESOURCES
    EXPLORER INSURANCE COMPANY                                                 P.O. Box 51462
    (Home Office - W.C. Claims)                                                Ontario, CA 91761
    11455 El Camino Real                                                       Main: (909) 390-1115
    San Diego, CA 92130-2045                                                   Fax: (909) 390-1135
    (Mailing Address)                                                          (Self-Insured Administrators. Claims Processed
    P.O. Box 85563                                                             for all of Southern California)
    San Diego, CA 92186-5563
    Main: (800) 877-1111 - (858) 350-2400                                      JT2 INTEGRATED RESOURCES
    Fax: (858) 350-2755                                                        231 Market Pl., PMB # 381
    (Claims Processed by Employer's Name for All of California)                San Ramon, CA 94583-4743
                                                                               Main: (925) 556-7012
    INTEGRATED CLAIMS ADMINISTRATORS, INC.                                     Fax: (925) 556-7032
    P.O. Box 3189                                                              (Self-Insured Administrators)
    Torrance, CA 90510-3189
    Main: (310) 542-5130                                                       JT2 INTEGRATED RESOURCES
    Fax: (310) 542-7310                                                        (Lathrop California Office)
    (Third Party Administrators)                                               231 Market Pl., PMB #381
                                                                               San Ramon, CA 94583-4743
    IHDS                                                                       Main: (800) 582-4671 - (209) 491-7031
    INTEGRATED HEALTH DELIVERY SERVICES                                        Fax: (209) 491-7039
    (See Cambridge Integrated Services Group, Inc.)                            (Self-Insured Administrators)

    INTERCARE INSURANCE SERVICES                                                                                -K-
    P.O. Box 40009
    Fresno, CA 93755-0009                                                      KAISER PERMANENTE MEDICAL CARE PROGRAM
    Main: (559) 447-1029                                                                   Workers
                                                                               (California Workers' Compensation Department)
    (Third Party Administrators)                                               P. O. Box 12927
                                                                               Oakland, CA 94604-2927
    INTERCARE INSURANCE SERVICES                                               Main: (510) 625-2496
    P.O. Box 19544                                                             Fax: (510) 625-3345
    Irvine, CA 92623                                                           (Self-Insured, Claims Processed for all of California)
    Main: (800) 394-9308 - (949) 752-7170
    Fax: (949) 752-7189                                                        KANSAS CITY FIRE & MARINE INSURANCE COMPANY
    (Third Party Administrators)                                               (See CNA)

    INTERCARE INSURANCE SERVICES                                               KEENAN AND ASSOCIATES
    P.O. Box 14243                                                             320 " I " Street
    Orange, CA 92863-4243                                                      Eureka, CA 95501
    Main: (714) 480-0105                                                       Main: (707) 268-1616
    Fax: (714) 480-0041                                                        Fax: (707) 268-8963
    (Third Party Administrators - Claims Processed for                         (Claims Processed by Injured's Name for Northern
    County of Los Angeles)                                                     California)

                                      -J-                                      KEENAN AND ASSOCIATES
                                                                               5776 Stoneridge Mall Rd., Suite 130
    JENKINS / ATHENS INSURANCE SERVICES                                        Pleasanton, CA 94588
    (See Athens Administrators)                                                (Mailing Address)
                                                                               P. O. Box 2486
    JT2 INTEGRATED RESOURCES                                                   Dublin, CA 94568-0766
    P.O. Box 70410                                                             Main: (925) 225-0611
    Oakland,CA 94612                                                           Fax: (925) 225-1280
    Main: (510) 844-3100                                                       (Claims Processed by Injured's Name for Northern California)
    Fax: (510) 844-3201
    (Self-Insured Administrators)




MATRIX DOCUMENT IMAGING, INC.                                                                                                     Toll Free: (800) 737-8840
www.legal-records.com                                             - ( 15 ) -                                                           Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    KEENAN AND ASSOCIATES                                                                                        -L-
    2882 Prospect Park Dr., Suite 200
    Rancho Cordova, CA 95670                                                    LINDSEY MORDEN CLAIMS MANAGEMENT, INC.
    (Mailing Address)                                                           (See Broadspire)
    P.O. Box 1538
    Rancho Cordova, CA 95741                                                    LOMA LINDA UNIVERSITY MEDICAL CENTER
    Main: (800) 343-0694 - (916) 859-4900                                       Department of Risk Management
    Fax: (916) 859-7166                                                         11161 Anderson St., Suite # 200
    (Claims Processed by Injured's Name for Northern California)                Loma Linda, CA 92354-2825
                                                                                (Mailing Address)
    KEENAN AND ASSOCIATES                                                       P.O. Box 1770
    1791 Broadway                                                               Loma Linda, CA 92354-0570
    Redwood City, CA 94063                                                      Main: (909) 558-4389
    (Mailing Address)                                                           Fax: (909) 558-7974
    P.O. Box 5218                                                               (Self Insured / Self Administured.Claims Processed
    Redwood City, CA 94063                                                      Loma Linda University Medical Center,
    Main: (650) 306-0616                                                        Faculty Medical Group-School of Medicine,
    Fax: (650) 306-0620                                                         Loma Linda Faculty Medical Physicians & Surgeons,
    (Claims Processed by Injured's Name for San Mateo County)                   Loma Linda University, Loma Linda
                                                                                Loma Linda Univ Health Care, Behavioral Medicine Cntr,
    KEENAN AND ASSOCIATES                                                       Loma Linda Univ Adventist Health Science Center, Inc.
    3550 Vine St., Suite 200                                                    and Loma Linda University Health Services)
    Riverside, CA 92507
    Main: (800) 654-8347 - (951) 788-0330                                       LUBERMENS MUTUAL CASUALTY COMPANY
    Fax: (951) 788-8013                                                         (See Broadspire)
    (Claims Processed by Injured's Name for Imperial,
    Riverside,
    Riverside San Bernardino and San Diego Counties)                                              SOLUTIONS, INC.
                                                                                LWP CLAIMS SOLUTIONS INC
                                                                                P.O. Box 10640
    KEENAN AND ASSOCIATES                                                       Glendale, CA 91209-0640
    1740 Technology Dr., Suite 300                                              Main: (818) 245-1860
    San Jose, CA 95110                                                          Fax: (818) 245-1861
    Main: (800) 334-6554 - (408) 441-0876                                       (Third Party Administrators. Claims Processed by
    Fax: (408) 436-9306                                                         Employer's Name for all of California)
    (Claims Processed by Employer's Name for Alameda,
    Contra Costa, Monterey, San Benito, San Mateo, Santa Clara                  LWP CLAIMS SOLUTIONS, INC.
    Santa Cruz, San Luis Obispo and Stanislaus Counties)                        P.O. Box 349016
                                                                                Sacramento, CA 95834-9016
    KEENAN AND ASSOCIATES                                                       Main: (800) 565-5694 - (916) 609-3600
    2355 Crenshaw Blvd., Suite 200                                              Fax: (916) 609-3637
    Torrance, CA 90501                                                          (Third Party Administrators. Claims Processed by
    (Mailing Address)                                                           Employer's Name for all of California)
    P.O. Box 4328
    Torrance, CA 90510                                                          LEGION INSURANCE COMPANY
    Main: (800) 654-8102 - (310) 212-3344                                       Main: (800) 255-6738
    Fax: (310) 328-6793
                                                                                LIBERTY MUTUAL INSURANCE COMPANY
    KEMPER EMPLOYER'S CLAIMS SERVICES                                           330 N. Brand Blvd., Suite 500
    (See Broadspire)                                                            Glendale, CA 91203
                                                                                (Mailing Address)
    KEMPER INSURANCE COMPANIES                                                  P.O. Box 29073
    (See Broadspire)                                                            Glendale, CA 91209-9073
                                                                                Main: (818) 240-1234
    KM ADMINISTRATIVE SERVICES, INC.                                            (Claims Processed by Employer's Name for Los Angeles,
    (See Cambridge Integrated Services Group, Inc.)                             Ventura, San Luis Obispo and Santa Barbara Counties)




MATRIX DOCUMENT IMAGING, INC.                                                                                                      Toll Free: (800) 737-8840
www.legal-records.com                                              - ( 16 ) -                                                           Fax: (800) 975-1653
                2008 Worker's Comp Industrial Insurance Carriers
    LIBERTY MUTUAL INSURANCE COMPANY                                       MAJESTIC INSURANCE COMPANY
    333 City Boulevard West, Suite 300                                     P.O. Box 270769
    Orange, CA 92868                                                       San Diego, CA 92198
    (Mailing Address)                                                      Main: (877) 829-6305 - (858) 385-4040
    P.O. Box 11025                                                         Fax: (858) 487-6908
    Orange, CA 92856-1125                                                  (Claims Processed by Employer's Name for
    Main: (714) 937-1400                                                   San Diego, Imperial Counties, and Inland Empire)
    Fax: (603) 334-0249
    (Claims Processed by Employer's Name for Orange, San                   MAJESTIC INSURANCE COMPANY
    Bernardino, Riverside, San Diego and Imperial Counties)                101 California St., 22nd Floor
                                                                           San Francisco, CA 94111
    LIBERTY MUTUAL INSURANCE COMPANY                                       (Mailing Address)
    6130 Stoneridge Mall Rd., Suite 400                                    P.O. Box 2359
    Pleasanton, CA 94588                                                   San Francisco, CA 94126-2359
    (Mailing Address)                                                      Main: (415) 362-7000
    P.O. Box 11025                                                         Fax: (415) 247-7290
    Orange, CA 92856-1125                                                  (Claims Processed by Employer's Name for
    Main: (800) 676-6514 - (925) 734-9200                                  Northern California)
    Fax: (603) 334-0249
    (Claims Processed by Injured's Name for Alameda,                       MANAGEDCOMP, INC.
    Contra Costa, Lake, Marin, Monterey, Napa, San Benito                  (See Pinnacle Risk Management Services, Inc.)
    San Benito, San Francisco, San Mateo, Santa, Clara,
    Santa Cruz, and Sonoma Counties)                                       MARRIOTT INTERNATIONAL, INC.
                                                                           3130 S. Harbor Blvd., Suite 550
    LIBERTY MUTUAL INSURANCE COMPANY                                       Santa Ana, CA 92704
    1750 Howe Ave., Suite # 400                                            (Mailing Address)
    Sacramento CA 95825
    Sacramento,                                                            P.O.
                                                                           P O Box 29210
    (Mailing Address)                                                      Hot Springs, AR 71903-9210
    P.O. Box 989000                                                        Main: (714) 545-5261
    West Sacramento, CA 95798-9000                                         (Self-Insured)
    Main: (916) 564-1792
    Fax: (603) 334-0231                                                    MARYLAND CASUALTY COMPANY
                                                                           (See Zurich North America)
                                      -M-
                                                                           MARYLAND INSURANCE GROUP
    MACY'S CORPORATE SERVICES                                              (See Zurich North America)
    1801 Hawthorne Blvd., Suite 1
    Redondo Beach, CA 90278-3494                                           MATRIX ABSENCE MANAGEMENT, INC.
    (Mailing Address)                                                      3602 Inland Empire Blvd., Suite C-318
    P.O. Box 8012                                                          Ontario, CA 91764-4966
    Redondo Beach, CA 90277-8012                                           (Mailing Address)
    Main: (310) 793-3400                                                   P.O. Box 788
    Fax: (866) 421-8313                                                    Rancho Cucamonga, CA 91729-0788
    (Self - Insured Administrators. Claims Processed for                   Main: (800) 660-0588 - (909) 466-9663
    Macy's)                                                                Fax: (909) 483-6324
                                                                           (Third Party Administrators)
    MAJESTIC INSURANCE COMPANY
    5001 Airport Plaza Dr., Suite 200                                      MATRIX ABSENCE MANAGEMENT, INC.
    Long Beach, CA 90815                                                   2208 Plaza Dr., Suite 100
    (Mailing Address)                                                      Rocklin, CA 95765
    P.O. Box 7549                                                          Main: (866) 560-1447 - (916) 773-5737
    Long Beach, CA 90807-0549                                              Fax: (408) 361-9112
    Main: (800) 432-2107 - (562) 627-1400                                  (Third Party Administrators)
    Fax: (562) 429-9017
    (Claims Processed by Employer's for Los Angeles
    Orange, San Bernadino, Santa Barbara and
    Ventura Counties)



MATRIX DOCUMENT IMAGING, INC.                                                                                                 Toll Free: (800) 737-8840
www.legal-records.com                                         - ( 17 ) -                                                           Fax: (800) 975-1653
              2008 Worker's Comp Industrial Insurance Carriers
    MATRIX ABSENCE MANAGEMENT, INC.                                                                -N-
    5225 Hellyer Ave., Suite 210
    San Jose, CA 95138-1001                                        NATIONAL AMERICAN INSURANCE COMPANY
    (Mailing Address)                                              OF CALIFORNIA
    P.O. Box 11035                                                 (See Tristar Risk Management - Los Angeles)
    San Jose, CA 95103
    Main: (800) 980-1006 - (408) 360-8370                          NATIONAL INDEMNITY INSURANCE COMPANY
    Fax: (408) 360-9441; 9442                                      (See Berkshire Hathaway Homestate Companies
    (Third Party Administrators)                                   [BHHC] )

    METRO RISK MANAGEMENT, LLC                                     NATIONAL LOSS CONTROL SERVICE
    720 East "E" Street                                            CORPORATION
    Wilmington, CA 90744-6014                                      (See Broadspire)
    (Mailing Address)
    P.O. Box 547                                                   NATIONAL SURETY INSURANCE COMPANY
    Wilmington, CA 90748-0547                                      (See Fireman's Fund Insurance Companies)
    Main: (310) 816-6633
    Fax: (310) 816-6644                                            NATIONAL UNION FIRE INSURANCE COMPANY
    (Claims Processed by both Employer's and                       OF PITTSBURG, PENNSYLVANIA
    Injured's Names for all of California)                         (See AIG Domestic Claims, Inc.)

    METROPOLITAN STEVEDORE COMPANY                                 NATIONAL UNION INSURANCE COMPANIES
    (See Metro Risk Management, LLC)                               (See AIG Domestic Claims, Inc.)

    MID-CENTURY INSURANCE COMPANY                                  NATIONWIDE INSURANCE
    (See Farmers Insurance Group)                                  (See Wausau Insurance Companies)

    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 Department
    10 Universal City Plaza, Suite 1700                            P.O. Box 25799
    Universal City, CA 91608                                       Santa Ana, CA 92799-5799
    Main: (800) 365-4671 - (818) 942-3900                          Main: (714) 513-4771
    Fax: (818) 760-3824                                            Fax: (714) 513-4778
    (Claims Processed by Employer's Name for all of                (Self-Insured)
    California)
                                                                   THE NORTH RIVER INSURANCE COMPANY
    MTA                                                            (See Crum & Forster)
    Los Angeles County Metropolitan Transportation
    Authority                                                      NORTHERN INSURANCE COMPANY OF NEW YORK
    One Gateway Plaza, Mail Stop 99-10-2                           (See Zurich North America)
    Los Angeles, CA 90012-2952
    Main: (213) 922-3806                                           NORTHERN CLAIMS MANAGEMENT
    Fax: (213) 922-4351                                            P.O. Box 6385
    (Self-Insured / Self-Administered)                             Santa Rosa, CA 95406
                                                                   Main: (707) 575-8887
    MURPHY AND BEANE, INC.                                         (Third Party Administrators)
    5901 Green Valley Cir., Suite 145
    Culver City, CA 90230
    Main: (800) 553-1955 - (310) 649-4470
    Fax: (310) 649-0209
    (Self-Insured Administrators)



MATRIX DOCUMENT IMAGING, INC.                                                                            Toll Free: (800) 737-8840
www.legal-records.com                                 - ( 18 ) -                                              Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
    NOVPRO RISK SOLUTIONS, L.P.                                        PAULA INSURANCE COMPANY
    17862 E. 17th St., Suite 111                                       PAN PACIFIC BENEFIT ADMINISTRATORS
    Tustin, CA 92780                                                   (See Intercare Insurance Services)
    (Mailing Address)
    P.O. Box 2422                                                      PEGASUS RISK MANAGEMENT, INC.
    Tustin, CA 92781                                                   642 Galaxy Way
    Main: (714) 544-0980                                               Modesto, CA 95356
    Fax: (714) 544-1979                                                (Mailing Address)
    (Claims Processed by Employer's Name for California                P.O. Box 5038
    or Nation-Wide, Depending on Account)                              Modesto, CA 95352-5038
                                                                       Main: (888) 312-5246 - (209) 574-2800
                                    -O-                                Fax: (209) 574-2900
                                                                       (Third Party Administrators)
    OAK RIVER INSURANCE COMPANY
    (See Berkshire Hathaway Homestate Companies                        PINNACLE RISK MANAGEMENT SERVICES, INC.
    [BHHC])                                                            One Sierra Gate Plaza, Suite A-200
                                                                       Roseville, CA 95678
    OCTAGON RISK SERVICES, INC.                                        (Mailing Address)
    (See Sedgwick CMS)                                                 P.O. Box 120
                                                                       Rocklin, CA 95677
    OHIO CASUALTY GROUP OF INSURANCE COMPANIES                         Main: (916) 780-9250
    136 N. Third Street                                                Fax: (916) 780-9251
    Hamilton, OH 45025                                                 (Third Party Administrators)
    Main: (800) 821-2010 - (513) 867-3900
    Fax: (800) 830-5257                                                POWER & ASSOCIATES
    (Claims Processed by Employer's Name for                           P.O. Box 4068
    All of California)                                                       Robles,
                                                                       Paso Robles CA 93447-4068
                                                                       Main: (805) 239-3706
                                    -P-                                Fax: (805) 239-3690
                                                                       (Third Party Administrators / Independent Adjusters)
    PACIFIC COMPENSATION INSURANCE COMPANY
    (See Cambridge Integrated Services Group, Inc.)                    PREFERRED EMPLOYERS INSURANCE COMPANY
                                                                       P.O. Box 85838
    PACIFIC EAGLE INSURANCE GROUP, INC.                                San Diego, CA 92186-5838
    (See Sea Bright Insurance Company)                                 Main: (619) 688-3900
                                                                       Fax: (619) 688-3913
    PACIFIC EMPLOYERS INSURANCE COMPANY                                (Claims Processed by Employer's Name
    (See ACE USA)                                                      for All of California)

    PACIFIC GAS AND ELECTRIC COMPANY                                   PREFERRED RISK GROUP
    Safety, Health and Claims Department                               (See Guideone Insurance)
    77 Beale St., 23rd Floor, B23H
    San Francisco, CA 94105                                            PRESIDUIM, INC.
    (Mailing Address)                                                  (See Cambridge Integrated Services Group, Inc.)
    P.O. Box 7779
    San Francisco, CA 94120-7779                                       PRIVATE ADJUSTING CLAIMS SERVICES
    Main: (415) 973-8700, Option # 2                                   9570 Center Avenue
    Fax: (415) 973-7828                                                Rancho Cucamonga, CA 91730-5814
    (Self-Insured)                                                     (Mailing Address)
                                                                       P.O. Box 2849
    THE PACIFIC RIM ASSURANCE COMPANY                                  Rancho Cucamonga, CA 91729-2849
    (See Broadspire)                                                   Main: (909) 481-4111
                                                                       Fax: (909) 481-4110
    PACIFIC STATES CASUALTY COMPANY                                    (Third Party Administrators)
    (See Ulico Insurance Group)
                                                                                                        -Q-
    PAN AMERICAN UNDERWRITERS, INC.
    (See Intercare Insurance Services)

MATRIX DOCUMENT IMAGING, INC.                                                                                            Toll Free: (800) 737-8840
www.legal-records.com                                     - ( 19 ) -                                                          Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
                                    -R-                                                    REPUBLIC WESTERN INSURANCE COMPANY
                                                                                           2721 N. Central Ave.
    RECON ADMINISTRATIVE SERVICES, INC.                                                    Phoenix, AZ 85004
    (See Hammerman & Gainer, Inc.)                                                         Main: (800) 528-7134 - (602) 263-6520
                                                                                           Fax: (602) 745-6436
    REDWOOD EMPIRE SCHOOLS INS. GROUP                                                      (Claims Processed by Employer's Name for Entire State of California)
    5760 Skylane Blvd., Suite 100
    Windsor, CA 95492-9742
    Main: (707) 836-0779                                                                   F.A. RICHARD & ASSOCIATES
    Fax: (707) 836-9479                                                                    (See FARA / F.A. Richard & Associates)
    (Claims Processed by Injured's Name for Sonoma County School Districts)
                                                                                           RICOMP CLAIMS MANAGEMENT CORPORATION
    REDWOOD FIRE & CASUALTY INS. COMPANY                                                   P.O. Box 2837
    (See Berkshire Hathaway Homestate Companies [BHHC])                                    Seal Beach, CA 90740
                                                                                           Main: (714) 503-1186
    RELIANCE / UNITED PACIFIC INSURANCE                                                    Fax: (714) 503-1006
    COMPANIES                                                                              (Third Party Administrators)
    (See Cambridge Integrated Services Group, Inc. -
    Pasadena and Rancho Cordova offices)                                                   RISK ENTERPRISE MANAGEMENT LIMITED
                                                                                           3230 E. Imperial Hwy., Suite 300
    RENAISSANCE RISK MANAGEMENT                                                            Brea, CA 92821
    (See Aims)                                                                             (Mailing Address)
                                                                                           P.O. Box 2314
    REPUBLIC INDEMNITY COMPANY OF AMERICA                                                  Brea, CA 92822-2314
    15821 Ventura Blvd., Suite 370                                                         Main: (800) 347-2509 - (714) 579-2500
    Encino, CA 91436-2936                                                                  (Claims Processed by both Employer's and Injured's
    (Mailing Address)                                                                      Names for Entire State of California)
    P.O. Box 20036
    Encino, CA 91416-0036                                                                  ROSS & CASTILLO
    Main: (818) 990-9860                                                                   (See Tristar Risk Management - Fresno office)
    Fax: (818) 382-1252
    (Claims Processed by Employer's Name for Los Angeles, Orange Counties,                 REPUBLIC INDEMNITY COMPANY OF AMERICA
    the Northern Portion of San Bernardino County, plus the following                      4995 Murphy Canyon Rd., Suite 401
    3-digit Zip Code areas: 932, 933, 936, 937,938, 942, 952, 956, 957                     San Diego, CA 92123-4366
    958, 959, 960 and 961)                                                                 (Mailing Address)
                                                                                           P.O. Box 85590
    REPUBLIC INDEMNITY COMPANY OF AMERICA                                                  San Diego, CA 92186-5590
    4995 Murphy Canyon Rd., Suite 401                                                      Main: (858) 292-7002 - Fax: (858) 292-4816
    San Diego, CA 92123-4366                                                               (Claims Processed by Injured's Address for Riverside,
    (Mailing Address)                                                                      San Bernardino, Imperial and San Diego Counties)
    P.O. Box 85590
    San Diego, CA 92186-5590                                                               ROYAL & SUN ALLIANCE
    Main: (858) 292-7002 - Fax: (858) 292-4816                                             (Arrowpoint Capital Corp.)
    (Claims Processed by Injured's Address for Riverside,                                  Main: (800) 526-6235
    San Bernardino, Imperial and San Diego Counties)
    938, 942, 952, 956, 957, 958, 959, 960 and 961)                                        RSKCO
                                                                                           (See Broadspire)
    REPUBLIC INDEMNITY COMPANY OF AMERICA
    100 Pine St., Suite 1400
    San Francisco, CA 94111-5167
    (Mailing Address)
    P.O. Box 7878
    San Francisco, CA 94120-7878
    Main: (415) 981-3200
    Fax: (415) 954-1178
    (Claims Processed by Injured's Name for the following
    3-digit Zip Code areas: 939,940.941.943,944, 946, 947,
    948,949, 950, 951, 954 and 955)

MATRIX DOCUMENT IMAGING, INC.                                                                                                               Toll Free: (800) 737-8840
www.legal-records.com                                                         - ( 20 ) -                                                          Fax: (800) 975-1653
               2008 Worker's Comp Industrial Insurance Carriers
                                      -S-                                       SEABRIGHT INSURANCE COMPANY
                                                                                681 S. Parker St., Suite 220
    ST. PAUL FIRE & MAINE INSURNACE COMPANY                                     Orange, CA 92868-4719
    (See Travelers)                                                             (Mailing Address)
                                                                                P.O. Box 11027
    ST. PAUL TRAVELERS                                                          Orange, CA 92856-8127
    (See Travelers)                                                             Main: (800) 664-9420 - (714) 918-5900
                                                                                Fax: (714) 918-5972
    SAFECO INSURANCE GROUP                                                      (Claims Processed by Insured's Name)
    P.O. Box 515097
    Los Angeles, CA 90051-5097                                                  SEDGWICK CMS
    Main: (800) 332-3226                                                        SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    (Claims Processed for All of California)                                    (Long Beach Office)
                                                                                P.O. Box 14563
    SAFEWAY, INC.                                                               Lexington, KY 40512-4563
    P.O. Box 9077                                                               Main: (562) 981-1700
    Pleasanton, CA 94566-9077                                                   Fax: (562) 981-1745
    Main: (800) 535-0009 - (925) 469-7900                                       (Third Party Administrators. Claims Processed by
    Fax: (925) 469-7011                                                         Employer's Name for all of California)
    (Self-Insured. Claims Processed by Injured's Name
    for Northern California, Northern Nevada and Hawaii)                        SEDGWICK CMS
                                                                                SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    SAN DIEGO GAS & ELECTRIC                                                    (Formerly Octagon Risk Services, Inc.)
    (Sempra Energy)                                                             P.O. Box 956914
    8306 Century Park Ct., Suite 41C                                            Los Angeles, CA 90095-6914
    San Diego, CA 92123-9831                                                    Main: (310) 794-8247
    Main: (858) 636-5511; 5513                                                  Fax: (310) 794-8269
    Fax: (858) 636-5510                                                         (Claims Handled for Regents of University of
    (Claims Processed by Injured's Name for                                     California, University of California at Los Angeles
    San Diego and Orange Counties)                                              University of California at Santa Barbara, UCLA Medical
                                                                                Center, UCLA, NPI/NPH and Santa Monica UCLA
    SANTA ANA UNIFIED SCHOOL DISTRICT                                           Medical Center)
    1601 E. Chestnut Avenue
    Santa Ana, CA 92701                                                         SEDGWICK CMS
    Main: (714) 558-5856                                                        SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    Fax: (714) 480-5320                                                         (Formerly Octagon Risk Services, Inc.)
    (Self-Insured)                                                              P.O. Box 2063
                                                                                Oakland, CA 94604-2063
    SCHOOLS INSURANCE AUTHORITY                                                 Main: (510) 302-3180
    9800 Old Placerville Rd.                                                    Fax: (510) 302-3277
    Sacramento, CA 95827                                                        (Claims Handled for Regents of University of California
    (Mailing Address)                                                           Office of The President
    P.O. Box 276710                                                             University of California at Berkley
    Sacramento, CA 95827-6710                                                   University of California at Merced
    Main: (916) 364-1281                                                        University of California at San Francisco
    Fax: (916) 362-2824                                                         University of California at Santa Cruz
    (Self-Insured Claims Administrators. Claims Processed                       Lawrence Berkley Laboratory and
    for Various School Districts throughout Northern California)                Lawrence Livermore Laboratory)

    SCOTT WETZEL SERVICES, INC.                                                 SEDGWICK CMS
    (See Novapro Risk Solutions, L.P.)                                          SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
                                                                                (Formerly Octagon Risk Services, Inc.)
                                                                                P.O. Box 2066
                                                                                Oakland, CA 94604-2066
                                                                                Main: (510) 302-3000
                                                                                Fax: (510) 302-3263
                                                                                (Claims Processed by Employer's Name for Catholic Healthcare West [CHW])



MATRIX DOCUMENT IMAGING, INC.                                                                                                 Toll Free: (800) 737-8840
www.legal-records.com                                              - ( 21 ) -                                                      Fax: (800) 975-1653
             2008 Worker's Comp Industrial Insurance Carriers
    SEDGWICK CMS                                                              SEDGWICK CMS
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                                 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    (Formerly Octagon Risk Services, Inc.)                                    (Formerly Octagon Risk Services, Inc.)
    P.O. Box 2078                                                             P.O. Box 3110
    Oakland, CA 94604-2078                                                    Rancho Cordova, CA 95741-3110
    Main: (888) 777-0012 - (510) 302-3000                                     Main: (916) 851-8000
    Fax: (510) 302-3267                                                       Fax: (916) 851-8078
    (Claims Processed by Employer's Name for CSU                              (Third Party Administrators for all of California)
    Campuses in Bakersfield, Dominguez Hills, Hayward,
    Humboldt, Long Beach, Monterey Bay, Pomona,                               SEDGWICK CMS
    San Francisco, San Jose, San Marcos, Sonoma,                              SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    and Maritime Academy)                                                     (Formerly Octagon Risk Services, Inc.)
                                                                              P.O. Box 3170
    SEDGWICK CMS                                                              Rancho Cordova, CA 95741-3170
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                                 Main: (916) 851-8000
    (Ontario Office)                                                          Fax: (916) 851-8079
    P.O. Box 14627                                                            (Claims Processed by Employer's Name for CSU Campuses
    Lexington, KY 40512-4627                                                  in Channel Islands, Chico, Fresno, Fullerton, Los Angeles
    Main: (909) 477-5500                                                      Northridge, Sacramento, San Diego, San Luis Obispo, and
    Fax: (866) 224-4607                                                       the Chancellor's office)
    (Third Party Administrators. Claims Processed
    by Employers Name for all of California)                                  SEDGWICK CMS
                                                                              SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    SEDGWICK CMS                                                              (Riverside Office)
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                                 P.O. Box 14440
    (Orange Office)                                                           Lexington, KY 40512-4440
    P O Box 14442
    P.O.                                                                      Main: (866) 568-8924 - (951) 248-8800
    Lexington, KY 40512-4442                                                  Fax: (951) 248-8765
    Main: (800) 854-6188 - (714) 258-5000                                     (Third Party Administrators. Claims Processed by
    Fax: (714) 258-5001                                                       Employer's Name for all of California)
    (Third Party Administrators. Claims Processed
    by Employers Name for all of California)                                  SEDGWICK CMS
                                                                              SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    SEDGWICK CMS                                                              (Sacramento Office)
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                                 P.O. Box 14433
    (Formerly Octagon Risk Services, Inc.)                                    Lexington, KY 40512-4433
    P.O. Box 14237                                                            Main: (916) 771-2900
    Orange, CA 92863                                                          Fax: (916) 771-2990
    Main: (714) 634-3451                                                      (Third Party Administrators. Claims Processed by Employers
    Fax: (714) 937-5900                                                       Name for all of California)
    (Claims Handled for Regents of
    University of California at Irvine and UCI Medical Center)                SEDGWICK CMS
                                                                              SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
    SEDGWICK CMS                                                              (Formerly Octagon Risk Services, Inc.)
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                                 P.O. Box 526012
    (Pasadena Office)                                                         Sacramento, CA 95852-6012
    P.O. Box 14623                                                            Main: (916) 929-3506
    Lexington, KY 40512-4623                                                  Fax: (916) 925-2673
    Main: (626) 397-9200                                                      (Claims Handled for Regents of University of California
    Fax: (626) 397-9250                                                        and University of California at Davis and
    (Third Party Admin. Claims Processed by Injured's                         UCD Medical Center)
    Name for Los Angeles Unified School Dist. [LAUSD] only)




MATRIX DOCUMENT IMAGING, INC.                                                                                          Toll Free: (800) 737-8840
www.legal-records.com                                            - ( 22 ) -                                                 Fax: (800) 975-1653
             2008 Worker's Comp Industrial Insurance Carriers
    SEDGWICK CMS                                                            SENTRY INSURANCE
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                               (Sentry Claims Center)
    (Formerly Octagon Risk Services, Inc.)                                  P.O. Box 11524
    P.O. Box 639028                                                         Santa Ana, CA 92711-1524
    San Diego, CA 92163-9028                                                Main: (800) 253-8672
    Main: (619) 294-2178                                                    Fax: (949) 930-6111
    (Claims Handled for Regents of University of                            (Claims Processed by Employer's Name for all of California)
    California and University of California at San Diego,
    UCSD Medical Center, University of California at Irvine                 SENTRY INSURANCE
    UCI Medical Center and Univ. of California at Riverside)                (Sentry Claims Center)
                                                                            9060 E. Via Linda Blvd.
    SEDGWICK CMS                                                            Scottsdale, AZ 85258
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                               (Mailing Address)
    (Formerly Octagon Risk Services, Inc.)                                  P.O. Box 29466
    2800 W. March Lane, Suite 480                                           Phoenix, AZ 85038-9466
    Stockton, CA 95219                                                      Main: (800) 833-2244 - (480) 860-7000
    Main: (209) 957-5419                                                    Fax: (480) 860-7987
    Fax: (209) 957-5325                                                     (Claims Processed by both Employer's and Injured's Names for
    (Claims Processed by Employer's Name for Catholic                       the Entire States of Arizona, California, Hawaii, Idaho, Alaska
     Healthcare West Hospitals, Northern California only)                   Colorado, New Mexico, Texas, Oregon, Oklahoma, Wyoming,
                                                                            and Utah)
    SEDGWICK CMS
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                               SENTRY INSURANCE
    (Formerly Octagon Risk Services, Inc.)                                  (Sentry Claims Center)
    P.O. Box 1027                                                           P.O. Box 8032
    Van Nuys, CA 91408-1027                                                 Stevens Point, WI 54481
    Main: (818) 997-3500                                                    Main: (800) 739-3344 - (715) 346-6000
    (Third Party Administrators. Claims Processed for                       Fax: (715) 346-9708
    Southern California and Arizona)                                        (Claims Processed by both Employer's Names for
                                                                            all of California)
    SEDGWICK CMS
    SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.                               SOUTHERN CALIFORNIA EDISON COMPANY
    (Walnut Creek Office)                                                   8631 Rush St., Fourth Floor
    P.O. Box 14421                                                          Rosemead, CA 91770-3738
    Lexington, KY 40512-44421                                               Main: (626) 302-6890
    Main: (925) 933-9560                                                    Fax: (626) 302-4790
    Fax: (925) 933-9559                                                     (Self-Insured. Claims Processed by Injured's Name)
    (Third Party Administrators. Claims Processed by
    Employer's Name for all of California)                                  SOUTHERN CALIFORNIA GAS COMPANY
                                                                            (Sempra Energy)
    SELF-INSURED MANAGEMENT SERVICES                                        555 W. Fifth St., M.L. 16CO
    (See Tristar Risk Management )                                          Los Angeles, CA 90013
                                                                            (Mailing Address)
    SELF-INSURED SCHOOLS OF CALIFORNIA                                      P.O. Box 30937
    1300 - 17th Street                                                      Los Angeles, CA 90030-0937
    Bakersfield, CA 93301                                                   Main: (213) 244-3145
    (Mailing Address)                                                       (Self-Insured / Self Administered)
    P.O. Box 1847
    Bakersfield, CA 93303-1847
    Main: (661) 636-4710
    Fax: (661) 636-4721
    (Claims Processed by [Member] School Districts
    for Kern, Inyo, and Mono Counties, plus
    Trona School District in San Bernardino County)




MATRIX DOCUMENT IMAGING, INC.                                                                                                 Toll Free: (800) 737-8840
www.legal-records.com                                          - ( 23 ) -                                                           Fax: (800) 975-1653
              2008 Worker's Comp Industrial Insurance Carriers
    SOUTHERN CALIFORNIA RISK MANAGEMENT                                  SPECIALTY RISK SERVICES, LLC
    ASSOCIATES, INC.                                                     P.O. Box 591
    18625 Sutter Blvd., Suite 500                                        Burbank, CA 91503-0591
    Morgan Hill, CA 95037-2862                                           Main: (800) 999-3945 - (818) 525-2400
    Main: (408) 782-1074                                                 Fax: (818) 955-9925
    Fax: (408) 776-9001                                                  (Third Party Administrators. Claims Processed
    (Claims Processed by Employer's, then Injured's Name)                by Employer's Name for California, Colorado and Utah)

    SOUTHERN CALIFORNIA RISK MANAGEMENT                                  SPECIALTY RISK SERVICES, LLC
    ASSOCIATES, INC.                                                     6140 Stoneridge Mall Rd., Suite 245
    1801 N. Solar Dr., Suite 190                                         Pleasanton, CA 94588-3233
    Oxnard, CA 93030-8226                                                (Mailing Address)
    Main: (805) 288-4100                                                 P.O. Box 8116
    Fax: (805) 988-9101                                                  Pleasanton, CA 94588
    (Claims Processed by Employer's, then Injured's Name)                Main: (877) 809-9478 - (925) 225-8400
                                                                         Fax: (925) 227-0996
    SOUTHERN CALIFORNIA RISK MANAGEMENT                                  (Claims Processed by Account Name, Statewide)
    ASSOCIATES, INC.
    313 E. Foothill Blvd.                                                SPECIALTY RISK SERVICES, LLC
    Upland, CA 91786-3952                                                (Inland Empire)
    Main: (909) 608-7171                                                 1420 Iowa Ave., Suite 200
    Fax: (909) 608-7165                                                  Riverside, CA 92507
    (Claims Processed by Employer's, then Injured's Name)                (Mailing Address)
                                                                         P.O. Box 59907
    SOUTHERN CALIFORNIA RISK MANAGEMENT                                  Riverside, CA 92517
    ASSOCIATES, INC.                                                     Main: (888) 737-7726 - (951) 715-3948
                           Rd.,
    28235 Newhall Ranch Rd Suite 250                                     Fax: (951) 715-2701
    Valencia, CA 91355-0986                                              (Claims Processed by Account Name, Statewide)
    Main: (661) 775-9550                                                 Bakersfield, CA 93311
    Fax: (661) 775-9554                                                  (Mailing Address)
    (Claims Processed by Employer's, then Injured's Name)                P.O. Box 3171
                                                                         Suisun City, CA 94585-6171
    SOUTHLAND CLAIMS SERVICE, INC.                                       Main: (661) 664-4000
    7761 Garden Grove Blvd.                                              Fax: (661) 664-4101
    Garden Grove, CA 92841                                               (Claims Processed by Employer's Name for All of Kern County)
    (Mailing Address)
    P.O. Box 958                                                         SPRINGFIELD INSURANCE COMPANY/GMIS
    Garden Grove, CA 92842-0958                                          874 S. Village Oaks Drive
    Main: (714) 772-1933                                                 Covina, CA 91724-3614
    Fax: (714) 772-7718                                                  (Mailing Address)
    (Claims Processed for all of California)                             P.O. Box 3029
                                                                         Covina, CA 91722-9029
    SPECIALTY RISK SERVICES, LLC                                         Main: (800) 821-3364 - (626) 915-1951
    One Pointe Dr., Suite 220                                            Fax: (626) 967-2548
    Brea, CA 92821                                                       (Claims Processed by Employer's Name for All of California)
    (Mailing Address)
    P.O. Box 7007                                                        STATE COMPENSATION INSURANCE FUND
    La Habra, CA 90632-7007                                              (Bakersfield District Office)
    Main: (800) 221-5473 - (714) 674-1000                                9801 Camino Media
    Fax: (714) 674-4602                                                  Bakersfield, CA 93311
    (Claims Processed by Account Name, Statewide)                        (Mailing Address)
                                                                         P.O. Box 3171
                                                                         Suisun City,CA 94585-6171
                                                                         Main: (661) 664-4000
                                                                         Fax: (661) 664-4101
                                                                         (Clains Processed by Employer's Name for Kern County.)




MATRIX DOCUMENT IMAGING, INC.                                                                                             Toll Free: (800) 737-8840
www.legal-records.com                                       - ( 24 ) -                                                           Fax: (800) 975-1653
              2008 Worker's Comp Industrial Insurance Carriers
    STATE COMPENSATION INSURANCE FUND                                      STATE COMPESATION INSURANCE FUND
    STATE CONTRACT SERVICES                                                (State Contract Services)
    400 Citadel Dr., Suite 100                                             2901 N. Ventura Road, Suite 100
    Commerce, CA 90040                                                     Oxnard, CA 93030
    (Mailing Address)                                                      (Mailing Address)
    P.O. Box 910932                                                        P.O. Box 9230
    Commerce, CA 90091-0932                                                Oxnard, CA 93031-9045
    Main: (323) 727-5600                                                   Main: (805) 988-8600
    Fax: (323) 727-5710                                                    Fax: (805) 981-3410
    (Claims Processed for State of California Employees                    (Claims Processed for State of California Employees
    only, including all State Agencies)                                    only, including all State Agencies)

    STATE COMPENSATION INSURANCE FUND                                      STATE COMPENSATION INSURANCE FUND
    (Eureka District Office & State Contract Services)                     (Bay Area Claims Services)
    2440 Sixth Street                                                      5880 Owens Drive
    Eureka, CA 95501                                                       Pleasanton, CA 94588
    (Mailing Address)                                                      (Mailing Address)
    P.O. Box 4973                                                          P.O. Box 3171
    Eureka, CA 95502-4973                                                  Suisan City, CA 94585-6171
    Main: (707) 443-9721                                                   Main: (925) 523-5200
    (Claims Processed by Employees Name for Humboldt                       (Claims Processed by Employer's Name for Alameda,
    and Del Norte Counties, plus the State of California                   Contra Costa, San Francisco and San Mateo Counties,
    Employees, including all State Agencies)                                plus the Vallejo City area)

    STATE COMPENSATION INSURANCE FUND                                      STATE COMPENSATION INSURANCE FUND
    (Fresno District Office)                                               (Redding District Office)
                         East,
    10 River Park Place East Third Floor                                   2175 Shasta View Drive
    Fresno, CA 93720                                                       Redding, CA 96003
    (Mailing Address)                                                      (Mailing Address)
    P.O. Box 65005                                                         P.O. Box 3171
    Pinedale, CA 93650-5005                                                Suisun City, CA 94585-6171
    Main: (559) 433-2700                                                   Main: (530) 223-7000
    (Claims Processed by Employer's Name for all of Fresno,                Claims Processed by employer's Name for Butte, Glenn,
    Kings, Madera, and Tulare, Counties)                                   Tehama, Shasta, Trinity, Plumas, Modoc, Siskiyou
                                                                           and Lassen Counties)
    STATE COMPENSATION INSURANCE FUND
    (Los Angeles Claims Services)                                          STATE COMPENSATION INSURANCE FUND
    655 N. Central Ave., Suite 200                                         (Riverside District Office)
    Glendale, CA 91203-1400                                                6301 Day Street
    (Mailing Address)                                                      Riverside, CA 92507
    P.O. Box 92622                                                         (Mailing Address)
    Los Angeles, CA 90009-2622                                             P.O. Box 92622
    Main: (818) 291-7000 - Fax: (818) 291-7300                             Los Angeles, CA 90009-2622
    (Claims Processed by Employer's Name                                   Main: (951) 656-8300
    for Los Angeles, plus San Fernando, Santa Clarita,                     Fax: (951) 653-1597
    Antelope and San Gabriel Valleys)                                      (Claims Processed by Employer's Name for Riverside County)

    STATE COMPENSATION INSURANCE FUND                                      STATE COMPENSATION INSURANCE FUND
    (Oxnard District Office)                                               (State Contract Services)
    2901 N. Ventura Rd.                                                    6301 Day Street
    Oxnard, CA 93030                                                       Riverside, CA 92507-0902
    (Mailing Address)                                                      (Mailing Address)
    P.O. Box 65005                                                         P.O. Box 59901
    Pinedale, CA 93650-5005                                                Riverside, CA 92517-1901
    Main: (805) 988-5300                                                   Main: (951) 697-7300
    Fax: (805) 988-5528                                                    Fax: (951) 697-7301
    (Claims Processed by Employer's name for Ventura,                      (Claims Processed for State of California Employees
    Santa Barbara and San Luis Obispo Counties)                            only, including all State Agencies)

MATRIX DOCUMENT IMAGING, INC.                                                                                             Toll Free: (800) 737-8840
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              2008 Worker's Comp Industrial Insurance Carriers
    STATE COMPENSATION INSURANCE FUND                                   STATE COMPESATION INSURANCE FUND
    (State Contract Services)                                           Claims Management Service (TPA Program)
    5900 State Farm Drive., Suite 200                                   451 E. Vanderbilt Way, Suite 200
    Rohnert Park, CA 94928-2149                                         San Bernardino, CA 92408
    (Mailing Address)                                                   (Mailing Address)
    P.O. Box 1609                                                       P. O. Box 1806
    Rohnert Park, CA 94927-1609                                         San Bernardino, CA 92402-1806
    Main: (707)586-5000                                                 Main: (909) 380-7488
    Fax: (707) 586-5199                                                 Fax: (909) 380-7495
    (Claims Processed for State of California Employees
    only, including all State Agencies)                                 STATE COMPESATION INSURANCE FUND
                                                                        (San Diego District Office)
    STATE COMPENSATION INSURANCE FUND                                   10105 Pacific Heights Blvd.
    (Sacramento District Office)                                        San Diego, CA 92121-4214
    2275 Gateway Oaks Drive., Third floor                               (Mailing Address)
    Sacramento, CA 95833                                                P. O. Box 65005
    (Mailing Address)                                                   Pinedale, CA 93650-5005
    P.O. Box 3171                                                       Main: (858) 552-7100
    Suisun City, CA 94585-6171                                          Fax: (858) 552-7110
    Main: (916) 924-5100                                                (Claims Processed by Employer's Name for
    (Claims Processed by Employer's name for Sacramento,                Imperial and San Diego Counties)
    Solano, Yolo, Colusa, Sutter, Yuba, Nevada, Sierra,
    Placer and El Dorado Counties)                                      STATE COMPESATION INSURANCE FUND
                                                                        (San Jose District Office)
    STATE COMPENSATION INSURANCE FUND                                   6203 San Ignacio Avenue
    (State Contract Services)                                           San Jose, CA 95119
                            Way.,
    2450 Venture Oaks Way Suite 500                                     (Mailing Address)
    Sacramento, CA 95833                                                P. O. Box 3171
    (Mailing Address)                                                   Suisun City, CA 94585-6171
    P.O. Box 659011                                                     Main: (408) 363-7400
    Sacramento, CA 95865-9011                                           Fax: (408) 363-7866
    Main: (916) 567-7500                                                (Claims Processed by Employer's Name for Santa Clara,
    Fax: (916) 567-7511                                                 Santa Cruz, San Benito and Monterey Counties)
    (Claims Processed for State of California Employees
    only, including all State Agencies)                                 STATE COMPESATION INSURANCE FUND
                                                                        Orange County Claims Services
    STATE COMPENSATION INSURANCE FUND                                   1750 E. Fourth St., Third Floor
    Claims Management Service (TPA Program)                             Santa Ana, CA 92705
    2450 Venture Oaks Way., Suite 230                                   (Mailing Address)
    Sacramento, CA 95833                                                P. O. Box 65005
    (Mailing Address)                                                   Pinedale, CA 93650-5005
    P.O. Box 255127                                                     Main: (714) 565-5000
    Sacramento, CA 95865-5127                                           Fax: (714) 565-5801
    Main: (916) 567-7775                                                (Claims Processed by Employer's Name for
    Fax: (916) 567-7776                                                 Orange County)

    STATE COMPENSATION INSURANCE FUND                                   STATE COMPESATION INSURANCE FUND
    (San Bernardino District Office)                                    Claims Management Service (TPA Program)
    375 W. Hospitality Lane                                             (Main Office of CMS)
    San Bernardino, CA 92408                                            1750 E. Fourth St., Suite 260
    (Mailing Address)                                                   Santa Ana, CA 92705
    P.O. Box 92622                                                      (Mailing Address)
    Los Angeles, CA 90009-2622                                          P.O. Box 11828
    Main: (800) 342-7214 - (909) 384-4500                               Santa Ana, CA 92711-1828
    Fax: (909) 384-4646                                                 Main: (714) 565-7000
    (Claims Processed by Employer's name for                            Fax: (714) 565-7001
    San Bernardino, and Inyo Counties)



MATRIX DOCUMENT IMAGING, INC.                                                                                         Toll Free: (800) 737-8840
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               2008 Worker's Comp Industrial Insurance Carriers
    STATE COMPESATION INSURANCE FUND                                      TOKIO MARINE MANAGEMENT / TOKIO MARINE AND
    (Santa Rosa District Office)                                          FIRE INSURANCE COMPANY, LTD. AND
    1450 Neotomas Avenue                                                  TRANSPACIFIC INSURANCE COMPANY
    Santa Rosa, CA 95405                                                  (Western Regional Claims Division)
    (Mailing Address)                                                     800 E. Colorado Blvd.
    P. O. Box 65005                                                       Pasadena, CA 91101
    Pinedale, CA 93650-5005                                               (Mailing Address)
    Main: (707) 573-6300                                                  P. O. Box 7127
    (Claims Processed by Employer's Name for                              Pasadena, CA 91109-7127
    Marin, Sonoma, Mendocino, Lake and Napa Counties)                     Main: (626) 568-7600
                                                                          (Claims Processed by Employer's Name for
    STATE COMPESATION INSURANCE FUND                                      all States West of the Rocky Mountains, plus Texas,
    (Stockton District Office)                                            Alaska and Hawaii)
    3247 W. March Lane
    Stockton, CA 95219                                                    TOPA INSURANCE COMPANY
    (Mailing Address)                                                     P. O. Box 67810
    P. O. Box 3171                                                        Los Angles, CA 90067
    Suisin, CA 94585-6171                                                 Main: (310) 201-0451
    Main: (209) 476-2600                                                  Fax: (310) 286-7495
    Fax: (209) 476-2750                                                   (Claims Processed by Employer's Name for
    (Claims Processed by Employer's Name for                              all California)
    San Joaquin, Stanislaus, Alpine, Mono, Merced, Amador,
    Calaveras, Mariposa and Tuolumne Counties)                            TRANSCONTINENTAL INSURANCE COMPANY
                                                                          (See CNA)
    STATE FARM FIRE & CASUALTY COMPANY
    900 Old River Rd.                                                     TRANSPACIFIC INSURANCE COMPANY
    Bakersfield CA 93311-6000
    Bakersfield,                                                          (see Tokyo Marine Management / Tokyo Marine and Fire
    Main: (661) 663-5634 (800) 749-9703                                   Insurance Company, ltd.)
    Fax: (661) 663-5705
    (Claims Processed by Employer's Name for                              TRAVELERS
    all California)                                                       THE TRAVELERS COMPANIES, INC.
                                                                          21688 Gateway Center Drive
    STERLING ADMINISTRATIVE SERVICES, INC.                                Diamond Bar, CA 91765-8511
    (See Cambridge Integrated Services Group,                             (Mailing Address)
    INC. - Pasadena and Rancho Cordova offices)                           P. O. Box 6510
                                                                          Diamond Bar, CA 91765-8510
    SUPERIOR NATIONAL INSURANCE COMPANY                                   Main: (800) 258-3710 - (909) 612-3000
    (See Broadspire)                                                      Fax: (877) 801-9677
                                                                          (Claims Processed by Employer's Name for
    SUPERIOR PACIFIC INSURANCE GROUP                                      Los Angeles, Orange, Riverside, San Diego, San
    (See Broadspire)                                                      Bernardino, Imperial, Ventura, Santa Barbara and San
                                                                          Luis Obispo Counties)
    SUTTER HEALTH
    1014 W. North Market Blvd., Suite 40                                  TRAVELERS
    Sacramento, CA 95834                                                  THE TRAVELERS COMPANIES, INC.
    (Mailing Address)                                                     333 City Blvd. West, Suite 1100
    P.O. Box 160066                                                       Orange, CA 92868
    Sacramento, CA 95816                                                  (Mailing Address)
    Main: (916) 561-6500                                                  P. O. Box 14246
    Fax: (916) 561-6501                                                   Orange, 92863-1246
    (Self Insured/Self-Administered)                                      Main: (800) 221-3974 - (714) 620-1200
                                                                          Fax: (866) 577-8331
                                   -T-                                    (Claims processed by both Employer's and Injured's Names
                                                                          for all of California)
    TIG INSURANCE COMPANY
    (See Risk Enterprise Management Limited)




MATRIX DOCUMENT IMAGING, INC.                                                                                             Toll Free: (800) 737-8840
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                2008 Worker's Comp Industrial Insurance Carriers
    TRAVELERS                                                                 TRISTAR RISK MANAGEMENT
    THE TRAVELERS COMPANIES, INC.                                             3333 Camino Del Rio So., Suite 340
    P. O. Box 13089                                                           San Diego, CA 92108
    Sacramento. CA 95813-4089                                                 (Mailing Address)
    Main: (800) 727-3995                                                      P. O. Box 880287
    Fax: (877) 749-0077                                                       San Diego, Ca 92168-0287
    (Claims processed by Employer's Name for                                  Main: (619) 238-5888
    Northern California)                                                      Fax: (619) 299-1315
                                                                              (Claims processed by Injured's Name for all of California)
    TRAVELERS
    THE TRAVELERS COMPANIES, INC.                                             TRISTAR RISK MANAGEMENT
    215 Lennon Lane                                                           8665 Gibbs Dr., Suite 200
    Walnut Creek, CA 94596                                                    San Diego, CA 92123
    (Mailing Address)                                                         (Mailing Address)
    P. O. Box 8112                                                            P. O. Box 600630
    Walnut Creek, CA 94596-8112                                               San Diego, CA 92160
    Main: (800) 842-7354 - (925) 945-4000                                     Main: (877) 715-8044 - (858) 715-8800
    Fax: (877) 801-9679                                                       Fax: (858) 715-8801
    (Claims processed by Employer's Name for                                  (Claims Processed by Injured's Name for all of California)
    Northern California)
                                                                              TRISTAR RISK MANAGEMENT
    TRAVELERS INSURANCE COMPANY                                               P. O. Box 11967
    (See Travelers)                                                           Santa Ana, CA 92711-1967
                                                                              Main: (714) 543-0700
    THE TRAVELERS PROPERTY CASUALTY CORPORATION                               Fax: (714) 542-7617
    (See Travelers)                                                           (Claims Processed by Injured's name for all of California)

    TRISTAR RISK MANAGEMENT                                                   TRISTAR RISK MANAGEMENT
    744 E. Bullard Ave.                                                       390 N. Wiget Lane
    Fresno, CA 93710                                                          Walnut Creek, CA 94598-2489
    Main: (559) 432-1260                                                      (Mailing Address)
    Fax:(559) 432-1267                                                        P. O. Box 9350
    (Claims processed by Injured's name for all California)                   Walnut Creek, CA 94598-0950
                                                                              Main: (925) 930-9883
    TRISTAR RISK MANAGEMENT                                                   Fax: (925) 930-0550
    (L. A. County Claims - Sheriffs' Dept. only)                              (Claims Processed by Injured's Name for all of California)
    P. O. Box 19775
    Irvine, CA 92623-9775                                                     TRUCK INSURANCE EXCHANGE
    Main: (800) 782-5888 - (949) 635-3125                                     (See Farmers Insurance Group)
    Fax: (949) - 635-3175
    (Self-Insured. Claims processed for County of Los                         TWIN CITY FIRE INSURANCE COMPANY
    Angeles [ Sheriffs' Department only ] )                                   (See The Hartford)

    TRISTAR RISK MANAGEMENT                                                                                     -U-
    P. O. Box 512028
    Los Angeles, CA 90051-2028                                                ULICO INSURANCE GROUP
    Main: (562) 506-0300                                                      P. O. Box 5131
    Fax: (562) 981-0804                                                       Chino, CA 91708-5131
    (Claims processed by Injured's Name for all of California)                Main: (800) 408-7222 - (909) 393-5100
                                                                              Fax: (909) 393-5110
    TRISTAR RISK MANAGEMENT
    P. O. Box 277490                                                          ULICO STANDARD OF AMERICA
    Sacramento, CA 95827-7490                                                 (See Ulico Insurance Group)
    Main: (916) 631-0415
    Fax: (916) 638-5090                                                       UNDERWRITERS ADJUSTING COMPANY
    (Claims processed by Injured's Name for all of California)                (See CNA)




MATRIX DOCUMENT IMAGING, INC.                                                                                                    Toll Free: (800) 737-8840
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               2008 Worker's Comp Industrial Insurance Carriers
    UNICARE INSURANCE COMPANY                                                           UNITED STATES DEPARTMENT OF LABOR …cont'd
    (See Cambridge Integrated Services Group, Inc.)                                     Division of Federal Employees' Compensation
                                                                                        Mailing addr. for medical reports, bills and case corresp.:
    UNIGARD INSURANCE COMPANY                                                           U. S. Department of Labor
    15805 N.E. 24th St.                                                                 DFEC Central Mailroom - District 13
    Bellevue, WA 98008-2409                                                             P. O. Box 8300
    (Mailing Address)                                                                   London, KY 40742-8300)
    P. O. Box 90701                                                                     Division of Longshore & Harbor Workers' Compensation
    Bellevue, WA 98009-0701                                                             P. O. Box 193770
    Main: (800) 777-1757 - (425) 562-5264                                               San Francisco, CA 94119-3770
    Fax: (425) 562-5258                                                                 Main: (415) 625-7669
    (Claims processed by Injured's Name for                                             Fax (415) 625-7470
    all California)                                                                     (Claims processed by Injured's Name for
                                                                                        States of California, Arizona, Nevada and Hawaii)
    UNINSURED EMPLOYERS BENEFIT TRUST FUND                                              Division of Longshore & Harbor Workers' Compensation
    CLAIMS UNIT                                                                         401 E. Ocean Blvd., Suite # 720
    320 W. Fourth St., Suite 690                                                        Long Beach, CA 90802
    Los Angeles, CA 90013                                                               Main: (562) 980-3577
    Main: (213) 576-7300                                                                Fax: (562) 980-3587
    Fax: (213) 576-7304                                                                 (Claims processed by Injured's Name for
    (Claims Processed by Injured's Name for all of                                      States of California, Arizona, Nevada and Hawaii)
    Southern California)
                                                                                        U. S. FIDELITY AND GUARANTY COMPANY
    UNINSURED EMPLOYERS BENEFIT TRUST FUND                                              (See Travelers)
    CLAIMS UNIT
    1515 Clay Street., 17th Floor                                                       UNITED STATES FIRE INSURANCE COMPANY
    Oakland,
    Oakland CA 94142-9397                                                               (See Crum & Forster)
    (Mailing Address)
    P.O. Box 429397                                                                     UNIVERSAL UNDERWRITERS GROUP
    San Francisco, CA 94142-9397                                                        (See Zurich Direct Underwriters)
    Main: (510) 286-7067
    Fax: (510) 286-6997                                                                 USA CASUALTY
    (Claims processed by Injured's Name)                                                (See Ulico Insurance Group)

    UNINSURED EMPLOYERS BENEFIT TRUST FUND                                              UTICA NATIONAL INSURANCE COMPANY
    SUBSEQUENT INJURIES FUND                                                            P. O. Box 6554
    CLAIMS UNIT                                                                         Utica, NY 13504-6554
    2424 Arden Way, Suite 355                                                           Main: (800) 678-8422, (972) 677-6700
    Sacramento, CA 95825                                                                Fax: (315) 266-4127
    Main: (916) 263-2774                                                                (Claims Processed for 19 Western States, including California and Texas)
    Fax: (916) 263-0971
    (Claims Processed by Injured's Name)                                                                                 -V-
    UNITED PACIFIC-RELIANCE INSURANCE COMPANY                                           VIGILANT INSURANCE COMPANY
    (See Cambridge Integrated Services Group, Inc. - Pasadena and Rancho                (See Chubb Group of Insurance companies)
    Cordova Offices)
                                                                                        VONS, A SAFEWAY COMPANY
    UNITED STATES DEPARTMENT OF LABOR                                                   (Risk Management Department)
    (Office of Worker's Compensation Programs)                                          (W.C. Claims Unit)
    90 Seventh St., Suite 15300                                                         618 Michillinda Ave.
    San Francisco, CA 94103-6716                                                        Arcadia, CA 91007-1734
    (Mailing Address)                                                                   (Mailing Address)
    P. O. Box 193769                                                                    P. O. Box 60008
    San Francisco, Ca 94119-3769                                                        Arcadia, CA 91066-6008
    Main: (415) 625-7500                                                                Main: (626) 821-7149
    Fax: (415) 625-7450                                                                 Fax: (626) 821-7915
                                                                                        (Self-Insured Administrators. Claims Processed by Injured's Name
                                                                                        for All of California)

MATRIX DOCUMENT IMAGING, INC.                                                                                                            Toll Free: (800) 737-8840
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               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 103
    Fax: (818) 977-6787                                            Fresno, CA 93711-5729
                                                                   (Mailing Address)
                                                                   P. O. Box 12546
    WASAU INSURANCE COMPANIES                                      Fresno, CA 93778-2546
    P. O. Box 4025                                                 Main: (800) 508-9910 - (559) 432-6660
    Beaverton, OR 97076-4025                                       Fax: (559) 436-8839
    Main: (800) 424-0054 - (503) 626-4100                          (Claim Processed by Employer's Name for Fresno, Inyo, Kern
    Fax: (603) 334-0307                                            Kings, Madera, Mariposa, Merced, Mono, San Luis Obispo,
    (Claims Processed by Employer's Name for                       Stanislaus, Tulare and Tuolumne Counties)
    California, Nevada and Hawaii)
                                                                   ZENITH INSURANCE COMPANY
    WEAR AND WOOD, INC.                                            4309 Hacienda Dr., Suite 200
    (See Tristar Risk Management - San Diego office                Pleasanton, CA 94588
    [ Camino Del Rio So. ] )                                       (Mailing Address)
                                                                   P. O. Box 8002
    WEST AMERICAN INSURANCE COMPANY                                Pleasanton, CA 94588-8602
                                Ins.
    (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 ADMINISTRATORS
    265 E. Donovan Road                                            ZENITH INSURANCE COMPANY
    Santa Maria, CA 93454                                          420 Stevens Ave., Suite 300
    Main: (805) 922-9157                                           Solana Beach, CA 92075
    Fax: (805) 349-2816                                            (Mailing Address)
                                                                   7676 Hazard Center Dr., #1200
    WORKERS COMPENSATION AND INDEMNITY                             San Diego, CA 92108
    COMPANY OF CALIFORNIA                                          Main: (858) 509-6100
    (See Cambridge Integrated Services Group, Inc -                (Claims Processed by Employer's Name for North San Diego
    San Diego Office)                                              County [ North of the 56 Freeway])

                                    -X-



MATRIX DOCUMENT IMAGING, INC.                                                                                       Toll Free: (800) 737-8840
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               2008 Worker's Comp Industrial Insurance Carriers
    ZENITH INSURANCE COMPANY
    21255 Califa Street
    Woodland Hills, Ca 91367-5021
    (Mailing Address)
    P. O. Box 9055
    Van Nuys, CA 91409-9055
    Main: (800) 448-4356 - (818) 713-1000
    Fax: (818) 713-8296
    (Claims Processed by Employer's Name for Los Angeles,
    Orange, Riverside, San Bernardino, Santa Barbara and
    Ventura Counties)

    ZURICH - AMERICAN INSURANCE COMPANIES
    (See Zurich North America)

    ZURICH DIRECT UNDERWRITERS
    P. O. Box 2904
    Shawnee Mission, KS 66201-1304
    Main: (877) 549-3905
    Fax: (877) 331-1700
    (Claims Processed by Injured's Name for all of California)

    ZURICH NORTH AMERICA
    3249 Quality Dr., Suite 300
    Rancho Cordova, CA 95670-6098
    (Mailing Address)
    P. O
    P O. Box 981030
    West Sacramento, CA 95798
    Main: (800) 239-4829
    Fax: (800) 547-2487
    (Claims Processed by Employer's Name for all of California)

    ZURICH NORTH AMERICA
    560 Mission St., 24th Floor
    San Francisco, CA 94105
    (Mailing Address)
    P. O. Box 7774
    San Francisco, CA 94120-7774
    Main: (800) 701-4926 - (415) 538-7100
    Fax: (415) 538-7150
    (Claims Processed for Northern California, plus
    States of Alaska, Hawaii, Oregon and Idaho)

    ZURICH NORTH AMERICA
    21300 Victory Blvd., Tenth Floor
    Woodland Hills, CA 91367
    (Mailing Address)
    P. O. Box 92566
    Los Angeles, CA 90009-2566
    Main: (818) 227-1700
    Fax: (818) 227-1740
    (Claims Processed by Employer's Name for Southern
    California and Arizona)

    ZURICH U.S.
    (See Zurich North America)




MATRIX DOCUMENT IMAGING, INC.                                                  Toll Free: (800) 737-8840
www.legal-records.com                                             - ( 31 ) -        Fax: (800) 975-1653
            2008 Worker's Comp Industrial Insurance Carriers
                                - NOTES & COMMENTS -




MATRIX DOCUMENT IMAGING, INC.                          Toll Free: (800) 737-8840
www.legal-records.com                   - ( 32 ) -          Fax: (800) 975-1653
            2008 Worker's Comp Industrial Insurance Carriers
                                - NOTES & COMMENTS -




MATRIX DOCUMENT IMAGING, INC.                          Toll Free: (800) 737-8840
www.legal-records.com                   - ( 33 ) -          Fax: (800) 975-1653