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Company Profile
Workers Compensation
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Part 1: Complaints and Requests for Action (CRA)
If you are seeking information about your workers' compensation insurance policy,
or if you have a dispute with your insurance carrier about how its rating plan was
applied to your policy (e.g. a dispute about a classification assignment or experience
modification applied to your policy) you must first submit a Complaint and Request
for Action (CRA) to the workers' compensation insurance company using the address below.
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| Phone Number: |
5138895663 Ext:
201
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| FAX: |
5138894675 |
| E-Mail: |
nnic@northwesternnic.com |
| WEB Address: |
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| Company Contact: |
Gary M. Sussman |
| Mailing Address: |
8200 Beckett Park Dr. Suite 201
West Chester
Oh
45069
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| Contact Notes: |
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Part 2: Appeals to the Department of Insurance
You may appeal your workers' compensation insurance company's written decision on your CRA
to the Insurance Commissioner. Mail your appeal to the CDI's Administrative Hearing Bureau,
45 Fremont Street, San Francisco, CA 94105. You also must mail a copy of your appeal to
your workers' compensation insurance company using the address below.
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| Phone Number: |
Ext:
201
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| FAX: |
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| E-Mail: |
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| WEB Address: |
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| Company Contact: |
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| Mailing Address: |
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| Appeals Notes: |
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