Company Profile
Workers Compensation
USA LIFE ONE INSURANCE COMPANY OF INDIANA
DBA Name: LIFE ONE MUTUAL INSURANCE COMPANY OF INDIANA
7735 LOMA COURT
FISHERS,   IN 46038

Workers' Compensation Complaint and Requests for Action Contact Information
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.
Phone Number:    Ext:
FAX:  
E-Mail:  
WEB Address:  
Company Contact:  
Mailing Address:  
      
Contact Notes:  


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.

Phone Number:    Ext:
FAX:  
E-Mail:  
WEB Address:  
Company Contact:  
Mailing Address:  
      
Appeals Notes:  

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