Laserfiche WebLink
C.CaliforniaDepartmentofInsurance–AppealstotheInsuranceCommissioner.Afteryoufollowthe <br />appropriatedisputeresolutionprocessdescribedabove,if(1)weortheWCIRBdeclinetoreviewyour <br />request,(2)youaredissatisfiedwiththedecisionuponreview,or(3)weortheWCIRBfailtograntorreject <br />yourrequestorissueadecisionuponreview,youmayappealtotheInsuranceCommissionerpursuantto <br />CICSections11737,11752.6,11753.1andTitle10,CaliforniaCodeofRegulations,Section2509.40etseq. <br />Youmustfileyourappealwithin30daysafterweortheWCIRBsendyouthenoticerejectingreviewofyour <br />ComplaintandRequestforActionorthedecisionuponyourComplaintandRequestforAction.Ifnowritten <br />decisionregardingyourComplaintandRequestforActionissent,yourappealmustbefiledwithin120days <br />afteryousentyourComplaintandRequestforActiontousortotheWCIRB.Thefilingaddressforallappeals <br />to the Insurance Commissioner is: <br />Administrative Hearing Bureau <br />California Department of Insurance <br />1901 Harrison Street, 3rd Floor Mailroom <br />Oakland, CA 94612 <br />415.538.4243 <br />YouhavetherighttoahearingbeforetheInsuranceCommissioner,andouraction,ortheactionofthe <br />WCIRB, may be affirmed, modified or reversed. <br />III.Resources Available to You in Obtaining Information and Pursuing Disputes <br />A.PolicyholderOmbudsman.PursuanttoCaliforniaInsuranceCodeSection11752.6,apolicyholder <br />ombudsmanisavailableattheWCIRBtoassistyouinobtainingandevaluatingtherating,policy,andclaims <br />informationreferencedinI.A.andI.B.,above.Theombudsmanmayadviseyouonanydisputewithus,the <br />WCIRB,oronanappealtotheInsuranceCommissionerpursuanttoSection11737oftheInsuranceCode. <br />th <br />TheaddressofthepolicyholderombudsmanisWCIRB,1901HarrisonStreet,17Floor,Oakland,CA94612, <br />Attn:PolicyholderOmbudsman.Thepolicyholderombudsmancanbereachedat415.778.7159(phone), <br />415.371.5288 (fax) andombudsman@wcirb.com (email). <br />B.CaliforniaDepartmentofInsurance-InformationandAssistance.Informationandassistanceonpolicy <br />questionscanbeobtainedfromtheDepartmentofInsuranceConsumerHOTLINE,800.927.HELP(4357)or <br />insurance.ca.gov.ForquestionsandcorrespondenceregardingappealstotheAdministrativeHearing <br />Bureau, see the contact information in paragraph II.C. <br />This notice does not change the policy to which it is attached. <br />Form PN 04 99 01 I (02/22)Printed in U.S.A.Page3 of3 <br /> <br />