Workers Compensation
| BROTHERHOOD MUTUAL INSURANCE COMPANY | |||
| P.O. BOX 2227 | |||
| FORT WAYNE, IN 46801 | |||
| 800-333-3735 | |||
| 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: | 800-333-3735 Ext: |
| FAX: | 260-483-7525 |
| E-Mail: | ddiwis@brotherhoodmutual.com |
| WEB Address: | |
| Company Contact: | Durand Diwis |
| Mailing Address: | 11875 Pigeon Pass Rd, Suite B13-141 Moreno Valley CA 92557 |
| 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: | 800-333-3735 Ext: |
| FAX: | 260-483-7525 |
| E-Mail: | ddiwis@brotherhoodmutual.com |
| WEB Address: | |
| Company Contact: | Durand Diwis |
| Mailing Address: | 11875 Pigeon Pass Rd, Suite B13-141 Moreno Valley CA 92557 |
| Appeals Notes: |
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