Workers' Comp Contacts
ALASKA NATIONAL INSURANCE COMPANY
Ph (415) 248-5030 Toll Free (866) 355-2642
Owen P. Jones, Underwriter Ph (415) 248-8394
ALIGN GENERAL INSURANCE AGENCY, LLC
ARROYO #2848, ARCADIA #5336 KNAUF #5217
350 10th Ave, Suite 1450
San Diego, CA 92101
Ph (619) 333-2517 Fax (619) 593-2176
Mike Tudman, Marketing Mgr. Ph (818) 825-6181
E-mail Quotes: workcomp@aligngeneral.com
AMTRUST NORTH AMERICA
ARROYO #113159 DPG #47368, SIMONDS #48430, MODERN: #48433, LEO HEPP #48434, KNAUF #48435, MORELAND #48436, PONDELLA #48438, BCV #48440, CRAIG TOM #48411
2600 Michelson Drive, Suite 1400
Irvine, Ca 92623
Ph (949) 732-0525 Fax (949) 202-5985
Marisa Santizo, W/Comp Underwriter Ph (949) 590-4040
Marisa.Santizo@amtrustgroup.com
Rae Santos, Renewal Underwriter Rae.Santos@amtrustgroup.com
Denise Jump, Package/CPP Underwriter Ph (714) 402-9727
Debee Lewman, BOP Underwriter Ph (831) 647-4462
Tracie Day, Regional Sales Assistant Ph (925) 288-6692
Jon M. Wilson, Regional Sales Manager Ph (925) 266-2920
Phil Runge, Regional VP Ph (925) 288-6662
Todd Byrd, Lumber Specialty Underwriter Ph (561) 962-9426
Melissa Nesbitt, Auto Service+ Underwriter Ph (831) 233-1550
Melissa.nesbitt@amtrustgroup.com
Roger Halstead, Nonprofit Underwriter Ph (312) 627-1537
Roger.halstead@amtrustgroup.com
Jennifer Watters, PAYO Sales Mgr. Ph (858) 618-3537
Jennifer.watters@amtrustgroup.com
Billing Inquiries Ph (877) 528-7878
New Submissions www.amtrustnorthamerica.com
Help Desk for AmTrust online system Ph (925) 288-6692
Commission Inquiries Ph (877) 528-7878
antrustcommissions@amtrustgroup.com
Endorsement Inquiries
amtrustendorsements@amtrustgroup.com
Jeff Corder, Loss Control Ph (888) 486-7466 ext 363250
Carmen DeSantis, Audit Manager Ph (216) 328-6189
Carmen.desantis@amtrustgroup.com
Audit Inquiries audits@amtrustgroup.com
ARROWHEAD WHOLESALE INSURANCE SERVICES
3333 Camino Del Rio South, Suite 220
San Diego, Ca 92108
(866)840-5329 Fax (866)840-5330
Underwriter: Jose Cruz Ph (619) 876-4104
Underwriter: Rob Young
APPLIED UNDERWRITERS
P.O. Box 281900
San Francisco, CA 94128-1900
(877)234-4450 Fax (877)234-4452
Paul Wurth, Business Development Representative Ext. 4020
Cole Shelton, Agency Manager Ext. 2363
Darlene Overhue, Product Underwriter Ph (877) 234-4450, Ext 4287
dkoverhue@auw.com Fx (877) 234-4452
COMPWEST
MORELAND #20205, PONDELLA #20215, KNAUF #20210
P.O. Box 12859
Newport Beach, CA 92658
(888)266-7937 Fax (949)399-1105
Bryan Bogardus, President Ph (714) 641-9505 Cell (714) 673-7359
bbogardus@compwestinsurance.com
Ed Pedroza, Underwriter Ph (714) 955-6824
Epedroza@compwestinsurance.com
Kristi Houston, Sr Bus. Develop. Consult. Ph (714) 641-9570 Cell (714) 910-4585
khouston@compwestinsurance.com
New/Renewal Under: Kristi Houston (temporary) Ph (714) 641-9570
Rick Shaw, Underwriting Director Ext. 521
Loss Runs & Policy Services: Policymanagement@compwestinsurance.com
New Business Submissions over $75,000: newbusiness@compwestinsurance.com
EMPLOYERS INSURANCE GROUP
ARROYO #04819110/ ARCADIA #0091000,
PONDELLA #04505815, CARR BEEDLE #3924/100, KNAUF #3978
500 N. Brand Ave. #800, Glendale, CA 91203
Ph (818) 434-3729
Territory Mgmt (Arcadia, Pas, Glendale, Sherman Oaks & Encino)
Diantha Kelly Ph (818) 434-3729
Agency Management Ph (866) 217-7221
agencymanagement@employers.com
Collections
Billing Ph (888) 682-6671
Audit
Premium Audit Ph (800) 677-3252
Claims
Customer Service Center Ph (888) 682-6671
Loss Control
Loss Control Ph (800) 588-5200
Mkt (Redlands & Irvine)
Eddie Trapps Ph (818) 292-2024
Mkt (San Pedro, Torrance & LA Offices)
Mark Martinez Ph (818) 618-3981
For Underwriters, accounts less than $50,000, goes by agency name on sub code appt:
For A-E
Brandy Fisher Ph (559) 436-2641
For J-M
Sthacee Vega (pronounced Stacy) Ph (559) 436-2695
New Mid Market Underwriter: (Over $50,000)
Linda Holt Ph (818) 502-5242
Renewal Mid Market Underwriter (Over $50,000)
Toni Haugen Ph (818) 502-5249
New Small Business Underwriter: (Under $50,000)
Sarah Farr Ph (559) 436-2634
Renewal Small Business Underwriter: (Under $50,000)
Suzie Duron Ph (559) 436-2622
General Inquiries: westunderwriting@employers.com
EVEREST NATIONAL INSURANCE COMPANY
725 Town & Country, Ste 400, Orange, CA 92868
(T): 714-371-9654 | (F): 714-371-9665 |
Andrew Pappas
Manager, Underwriting
Tom Nichols Ph (714) 371-9617
Manager, Underwriting
Submission Email - socal@everestre.com
Over $100,000 in Premium
FIRST COMP
ARROYO #5225
212 South 74th St.
Omaha, NE 68114
(888)500-3344 Fax (866)825-7168
REX Under:
Jonathan Munson Ph: (877) 322-7399 x1389
Underwriter: Chris Chua Ext. 7931
Acct Exec: Tyler Davidson Ext. 7983
Customer Service Ph (888)-500-3344
Loss Control
Report an Injury
FirstComp Marketing
marketingheadlines@firstcomp.com
EmployerPipeline, Inc.
877-374-7291
Xpress Capital
866-977-2271
Risk Exchange Insurance Services (REX)
877-322-7399
ICW ARCADIA
#4544, ENCINO #6339
21600 Oxnard Street
Suite 1000
Woodland Hills, CA 91367
P: 818.444.3850
F 818.444.3880
Corporate Office: 15025 Innovation Drive, San Diego, CA 92128
P: 800.877.1111
Stacy McAdam Ph (818) 444-3801
smcadam@icwgroup.com Cell (805) 637-8866
Marilee Lorusso, Bus Develop Under Ph (818) 444-3803
Katey Sooy, Bus Develop Specialist Ph (818) 444-3812
ksooy@icwgroup.com Cell (818) 919-9877
Margie Boyer, Sr. Branch Under. Ph (818) 444-3802
mboyer@icwgroup.com Cell (818) 307-4127
Lorien Souza, Under Asst. Ph (818) 444-3810
Valerie Johnson Ph (818) 444-3816 direct line
vjohnson@icwgroup.com Fx. (818) 878- 0439
(818).239.9052 cell
Barbara Harris Ph (818) 444-3804
bharris@icwgroup.com Cell (805) 657-5611
Ken Young Ph (818) 444-3805
kyoung@icwgroup.com Cell (805) 200-7749
Carmen Hernandez Ph (818) 444-3806
chernandez@icwgroup.com Cell (909) 342-0810
INTERNATIONAL FACILITIES
600 Wilshire Blvd., Suite 1400
Los Angeles, CA 90017
(213) 233-1919 Fax (213) 233-1969
Under: Gregg Curtis Ph (213) 833-0288 Ext 313
MIDWEST INSURANCE
940 S. Coast Drive, Suite 115, Costa Mesa, CA 92626
Ph (714) 296-6938 Fx (714) 754-1997
Underwriter: Amy Onken Ph (888) 643-4671
Sales Manager: Colin Boyln
NEXT WAVE INSURANCE SERVICES
402 W. Broadway, Ste 740, San Diego, Ca 92101
Ph (619) 232-3900 Fx (619) 234-0274
Jeff Ward, President
PACIFIC COMP
30301 Agoura Road, Agoura Hills, CA 91301-2096
Ph (818) 575-8500 Toll Free (866) 374-8500
Underwriting Team
Premiums over $150,000
Tina Martino Ph (818) 575-8535
Premiums less than $150,000
Tammy Givan Ph (818) 575-8543
Small Comp Program
Sharen Uno Ph (818) 597-7422
VP Underwriting
Chris Closser Ph (818) 575-8540
Customer Service Team, Premium Audit and Collections
Customer Service Manager
Stephanie Flores Ph (818) 575-8545
Policyholder Installation
MPN Enrollment, Claims Kits & Posters
Debbie Smith Ph (818) 575-8551
Premium Audit Manager
Ally Dawson Ph (818) 575-8537
Claims Reviews & Questions
Victoria Meacham Ph (818) 597-7426
Systems Helpdesk & Questions
Ryan Hecksel Ph (818) 575-8551
Premium Payments & Questions
Lisa Burola Ph (818) 575-2768
Broker Relations Team
Business Development Manager
Jose Cruz Ph (818) 575-2759
Broker Relations Director
Matt Horton Ph (818) 597-7455
REPUBLIC INDEMNITY
ARROYO #53-00-1760
15821 Ventura Blvd, Encino, CA 91436
ACCOUNTS OVER $10,000 EAP
Sr. Under: Will Morrill Ph (818) 382-1028 Fx (818) 905-9492
Asst: Noelle Aguilar Ph (818) 382-1038
ACCOUNTS UNDER $10,000 EAP
Under: Jon Black Ph (415) 954-1069
Asst: Christian Castro Ph (415) 954-3424
New Applications: repindlanewapp@ri-net.com
Audit Dept: audit@ri-net.com
Premium Accounting: billing@ri-net.com
Order Loss Runs: lossrunrequests@ri-net.com
STATE FUND
ARROYO #514221 KNAUF/PONDELLA #511787
900 Corporate Center Drive, Monterey Park, CA 91754
P.O. Box 92503, Los Angeles, CA 90009-2503
Ph (323) 266-4002
Worker’s Compensation
Lorena Bendig, Regional Underwriting Manager
Todd C. Workman, Regional Marktg Mgr Ph (323) 981-2499
Jerry Magana, Regional Loss Control Manager
Ray Del Real, Marketing Rep Ph (213) 479-5311
Irma Castanon Ph (323) 266-5049
Nancy Forniss, CSR Ph (323) 266-5063
Annie Truong, CSR Ph (323) 266-5154
Michelle Lopez, Supervisor Ph (323) 981-6476
BoR: Fx (323) 266-5224
Billing: Ph (888) 782-8338
Claims Liaisons
Monterey Park-Tracy Harper CL Ph (818) 257-0704
Bakersfield (NT)-John Benne, ACM Ph (661) 664-4032
Oakland (NB)-Elisa Velasquez, CL Ph (510) 577-3042
Oxnard (SL)-Robert Collet, ACM Ph (805) 988-5420
Riverside (SK)-Kathy Skoglund, ACM Ph (951) 656-8331
San Bernardino (SJ)-James Anderson, ACM Ph (909) 384-4659
San Diego (SD)-Rob Hirata, ACM Ph (858) 552-3338
San Jose (NG)-Marianne Mandarino, CL Ph (408) 363-7775
Santa Ana (SP)-Cheryl Houston, CL Ph (714) 565-5806
South Orange (SG)-Bob Villarosa, CL Ph (714) 347-6570
ZENITH
ARROYO #088194A
MORELAND #091081A KNAUF #088155A
21255 Califa Street, Woodland Hills, CA 91367
P.O. Box 10181 Van Nuys, CA 91499-6070
Ph (818) 713-1000 Fx (818) 888-5278
Under: Connie Lukasiewicz Ph (818) 594-5549
Sr. VP, Reg. Mgr.: Steve Albers Ph (818) 694-5190
Branch Admin: Robin Wallen Ph (818) 594-5510
Underwriting
VP: Anne Bordewell Ph (818) 251-8688
Sr. Under Asst: Claudelle Angeles Ph (818) 594-5273
Under Tech Dir: Doug Lama Ph (818) 251-8668
Large Account Team
VP Under: Stephen Frye Ph (818) 594-5567
Under Tech Dir: Barbara Kidder Ph (818) 251-5847
Under Tech Dir: Todd Buell Ph (818) 594-5428
VP Marketing: Bablo Balasubramanian Ph (818) 251-8176
Branch Underwriting Services
AVP: Becky Barnette Ph (818) 251-8531
Under: Nancy Rubin Ph (818) 251-5620
Under Asst: Deanna Good Ph (818) 251-5630
Under Asst: Dianna Coonrod Ph (818) 251-5609
Anita Dhingra will be servicing agencies beginning with the letters A-M. Her email address is adhingra@thezenith.com
Melada Corswell will be servicing agencies beginning with the letters N-Z. Her email address is mcorswell@thezenith.com
Marketing
Sr. Mrktg Mgr: Candace Hobson Ph (818) 251-8182 Fx (818) 227-3013
VP: Dan Huckemeyer Ph (818) 594-5259
VP Mrktg Mgr: Rae Farese Ph (714) 705-2304
VP Mktg: Michael Walbeck Ph (818) 594-5194 Cell (818) 518-4148
E-Bus Dev. Specialist: Shari Firestone Ph (818) 251-5682
Claims
VP: Mike McFadden Ph (818) 594-5208
Claims Mgr (Orange): Michael Liddy Ph (714) 705-2330
Claims Mgr (Glendale): Cathey Jackson Ph (818) 502-7520
Safety & Health
Asst. VP: Sylvia Reyna Ph (818) 587-5732
Super (Woodland Hills): Candace Hobson Ph (818) 251-5637
Super (Glendale): Akio Niwa Ph (818) 502-7507
Super (Orange): Azza Carmona Ph (714) 705-2356
SIU/Fraud
Manager: Bob Taylor Ph (818) 694-5287
Premium Audit
Manager: Karen Erickson Ph (818) 594-5132
Small Business & Speciality Markets Ph (800) 333-6445
Under: Joseph San Juan jsanjuan1@thezenith.com
Aracely Calderon , CSR acalderon@thezenith.com
Yachtline Ph (805) 985-2377
Direct Bill: Ph (800) 440-5020