California Workers Compensation Information (CA)

Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium, and high.

Includes risks such as contractors, trucking, roofing, and temporary staffing.

Direct Bill Work Comp

All risks acceptable:  low, medium, and high.

Pay As You Go General Liability

Contractor and service risks acceptable:  low, medium only

Commercial Insurance- Standard Lines

Most Risks

Commercial Packages- 12 Equal Installs

Non-construction risks only.

PaySmart Payroll & Insurance Management

Available

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

$37,700.00- Min Annual Payroll (effective 01.01.10).

Individuals and Partners must elect coverage.

LLC Members

Partnership status.  Treated as employee.  Includes all working members renumeration of an LLC subject to min/max.  $35,000 Min,  $92,300- max.

Corporate Officers: Corporations

$35,100- Min Annual Payroll (effective 01.01.08).

Private corp- execs rendering service must elect coverage.

Executives not owning stock are included in coverage.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$33,600- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$33,600- flat annual (effective 07.01.84).

CA Work Comp Resources & Links:

 CA Workers Compensation Forms:

State of California

http://www.ca.gov/

Department of Industrial Relations

http://www.dir.ca.gov/

Commission on Health and Safety and Workers’ Compensation

http://www.dir.ca.gov/chswc/

1515 Clay Street, Room 901
Oakland, California 94612
 

(510) 622-3959, Fax: (510) 622-3265
E-mail: chswc@hq.dir.ca.gov

Division of Workers’ Compensation (DWC)

http://www.dir.ca.gov/dwc/dwc_home_page.htm

Street Address:
1515 Clay Street, 17th Floor
Oakland, California 94612
 

Mailing Address:
Post Office Box 420603
San Francisco, California 94142
 

(800) 736-7401, (510) 286-7100
E-mail: dwc@dir.ca.gov 

Street Address:
1515 Clay Street, 18th Floor
Oakland, California 94612

Mailing Address:
Post Office Box 71010
San Francisco, California 94142

(800) 794-6900 (in California), (510) 286-3700

Complaint Line: (800) 999-1041

Workers’ Compensation Appeals Board (WCAB)

http://www.dir.ca.gov/WCAB/

Street Address:
455 Golden Gate Avenue, Suite 9328
San Francisco, California 94102-3660
 

Mailing Address:
Post Office Box 429459
San Francisco, California 94142-9459
Information and Assistance Division: (800) 736-7401

State Compensation Insurance Fund (SCIF)

http://www.scif.com/

1275 Market Street
San Francisco, California 94103
 

(415) 565-1234

Claims Reporting Service

(toll free): (888) 222-3211

Fraud Hotline: (888) 786-7372

Acord 130 Form

Certificate Request Form

ERM-14 Form

Order Loss Runs (Example)

NCCI Mod Authorization

* Information contained herein is based on the most accurate data as of the time of posting.  Please check with you states Division of Workers' Compensation Insurance for the most up to date information and to verify accuracy.