Company Profile
Workers Compensation

NATIONAL FOUNDATION LIFE INSURANCE COMPANY
300 BURNETT STREET, SUITE 200
FORT WORTH,   TX 76102
800-221-9039


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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