Table 8: Workers Compensation Administrative, Rating And Claims Appeal Agencies By Jurisdiction
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1 Table 8: Administrative, Rating And Claims Appeal Agencies By AL Division AL Department of Industrial Relations Industrial Relations Building 649 Monroe Street Montgomery, AL (334) Fax: (334) Rating AL Department of Insurance 201 Monroe Street Suite 1700 Montgomery, AL Claims Appeal Courts 1 AK Division of AK Department of Labor & Workforce Development P.O. Box Juneau, AK (907) Fax: (907) Board AK Department of Labor P.O.Box M/S 0700 Juneau, Alaska (907) Fax: (907) Board AK Department of Labor & Workforce Development P.O. Box Juneau, AK (907) Fax: (907) Al and TN use the State Courts to hear workers compensation appeals. 1
2 Table 8: Administrative, Rating And Claims Appeal Agencies By AZ AR Industrial Commission of Arizona 90 West Washington P.O. Box Phoenix, AZ (602) AR Commission 324 Spring Street P.O. Box 950 Little Rock, AR (800) , (501) Fax: (501) Rating AZ Department of Insurance 2910 North 44 th Street Suite 210 Phoenix, AZ (602) AR Insurance Department 1200 W. Third Street Little Rock, AR (501) (800) Claims Appeal Industrial Commission of Arizona 90 West Washington P.O. Box Phoenix, AZ (602) AR Commission 324 Spring Street P.O. Box 950 Little Rock, AR (800) , (501)
3 Table 8: Administrative, Rating And Claims Appeal Agencies By CA State of California Division of Workers Compensation 455 Golden Gate Ave., 9 th Floor San Francisco, CA (415) Rating Insurance Rating Board 525 Market Street, Suite 800 San Francisco, CA Claims Appeal Appeals Board 455 Golden Gate Ave., Suite 9328 San Francisco, CA (415) CO Department of Industrial Relations Commission on Health and Safety and 455 Golden Gate Ave., 10 th Floor San Francisco, CA (415) Division of 1515 Arapahoe Street Tower 2, Suite 500 Denver, CO (800) , (303) Department of Regulatory Agencies Colorado Division of Insurance 1560 Broadway, Suite 850 Denver, CO (800) , (303) Industrial Claims Appeals Office 1515 Arapahoe Street Tower 2, Suite 350 Denver, CO (303)
4 Table 8: Administrative, Rating And Claims Appeal Agencies By CT DE CT Commission 21 Oak Street Hartford, CT (860) Fax: (860) DE Department of Labor, Division of Industrial Affairs Office of 4425 North Market Street Wilmington, DE (302) industaffairs Rating CT Department of Insurance Property and Casualty Division P.O. Box 816 Hartford, CT (860) Fax: (860) DE Compensation Rating Board One South Penn Square Widener Building; 6 th Floor Philadelphia, PA (302) Fax: (215) Claims Appeal CT Commission Compensation Review Board 21 Oak Street Hartford, CT (860) DE Department of Labor, Division of Industrial Affairs Industrial Accident Board 4425 North Market Street Wilmington, DE Accident Board 4
5 Table 8: Administrative, Rating And Claims Appeal Agencies By DC FL DC Department of Employment Services Office of 77 P Street, NE, 2 nd Floor Washington, DC (202) FL Department of Financial Services Division of 301 Forrest Building 2728 Centerview Drive Tallahassee, FL (850) Fax: (850) Rating DC Department of Insurance and Securities Regulation 810 First Street, NE, Suite 701 Washington, DC (202) FL Financial Services Commission Office of Insurance Regulation 2000 East Gaines Street Tallahassee, FL (850) Claims Appeal DC Department of Employment Services Office of 77 P Street, NE, 2 nd Floor Washington, DC (202) FL Department of Financial Services Division of Administrative Hearings Office of Judges of Compensation Claims P.O. Box 8000 Tallahassee, FL (850)
6 Table 8: Administrative, Rating And Claims Appeal Agencies By GA HI GA State Board of Workers Compensation 270 Peachtree St, NW Atlanta, GA (800) , (404) Fax: (404) HI Disability Compensation Division 830 Punchbowl Street, Room 209 Honolulu, HI (808) Fax: (808) Rating Office of the Commissioner of Insurance GA Rating Bureau Property and Casualty Unit 904 West Tower; Floyd Building Two Martin Luther King, Jr. Drive Atlanta, GA (404) HI Insurance Bureau So King Street Suite 320 Honolulu, HI (808) (F) (808) Claims Appeal GA State Board of Workers Compensation Appellate Division 270 Peachtree St, NW Atlanta, GA (800) , (404) Fax: (404) HI Labor & Industrial Relations Appeals Board 888 Mililani Street, Room 400 Honolulu, HI (808) Fax: (808) HI Office of Commerce and Community Affairs Division of Insurance P.O. Box 3614 Honolulu, HI NCCI reports that HI is an NCCI state. However, they have a rating bureau that uses NCCI information to develop rate filings that are reviewed and approved by the HI Division of Insurance. 6
7 Table 8: Administrative, Rating And Claims Appeal Agencies By ID ID Industrial Commission P.O. Box Boise, ID (208) Rating Claims Appeal ID Industrial Commission P.O. Box Boise, ID (208) IL IL Industrial Commission 100 W. Randolph, Suite Chicago, IL (312) ID Department of Insurance 700 West State Street P.O. Box Boise, ID (208) IL Industrial Commission 100 W. Randolph, Suite Chicago, IL (312) IL Department of Insurance 320 W. Washington Street James R. Thompson Center Springfield, IL (217)
8 Table 8: Administrative, Rating And Claims Appeal Agencies By IN Board of Indiana Government Center South 402 W Washington Street, W-196 Indianapolis, IN (317) Rating ID Compensation Rating Burea (ICRB) Castleway West Drive Indianapolis, IN (800) (317) (F) (317) Claims Appeal Board of Indiana Government Center South 402 W Washington Street, W-196 Indianapolis, IN (317) IA Iowa Workforce Development Division of 1000 East Grand Avenue Des Moines, IA (515) IN Department of Insurance 311 W. Washington Street, Suite 300 Indianapolis, IN (317) Iowa Insurance Division 330 Maple Street Des Moines, IA (877) Iowa Workforce Development Division of 1000 East Grand Avenue Des Moines, IA (515) NCCI reports that IN is an NCCI state, however, the state has a rating bureau that uses NCCI information to develop rate filings that are reviewed and approved by the IN Department of Insurance. 8
9 Table 8: Administrative, Rating And Claims Appeal Agencies By KS KY KS Department of Human Resources Division of Workers Compensation 800 SW Jackson St., Suite 600 Topeka, KS (785) Commonwealth of Kentucky Department of Workers Claims 657 To Be Announced Avenue Frankfort, KY (800) , (502) Rating The KS Department of Insurance 420 SW 9 th Street Topeka, KS (785) Commonwealth of Kentucky Department of Insurance 420 SW 9 th Street Topeka, KS (785) Claims Appeal KS Appeals Board 800 SW Jackson; 14 th Floor Topeka, KS (785) Commonwealth of Kentucky Department of Workers Claims Board 1047 U.S. 127 South, Suite 4 Frankfurt, KY (502) ex 391 LA LA Office of Workers Compensation Administration (OWCA) P.O. Box Baton Rouge, LA (225) LA Bureau of Insurance 1702 N 3 rd Street Baton Rouge, LA (225) LA Office of Workers Compensation Administration (OWCA) P.O. Box Baton Rouge, LA (225)
10 Table 8: Administrative, Rating And Claims Appeal Agencies By ME ME Board 27 State House Station Augusta, ME (207) Rating Claims Appeal ME Board 27 State House Station Augusta, ME (207) MD MA MD Commission 10 East Baltimore Street Baltimore, MD (410) Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street, 7 th Floor Boston, MA ME Department of Professional and Financial Regulation Bureau of Insurance #34 State House Station Augusta, ME (800) , (207) MD Insurance Administration 525 St. Paul Place Baltimore, MD (410) The Rating and Inspection Bureau (WCRIB) of MA 101 Arch Street Boston, MA (617) Fax: (617) MD Commission 10 East Baltimore Street Baltimore, MD (410) Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street, 7 th Floor Boston, MA
11 Table 8: Administrative, Rating And Claims Appeal Agencies By Rating Claims Appeal MI Bureau of Workers & Unemployment Compensation 7150 Harris Drive P.O. Box Lansing, MI (888) Compensation Advisory Organization of Michigan P.O. Box 3337 Livonia, MI (734) MI Department of Consumer & Industry Services Appellate Commission 201 No. Washington Square P.O. Box Lansing, MI (517) MN MN Department of Labor and Industry Division 443 Lafayette Road St. Paul, MN (651) or (800) MN Insurers Association, Inc. (MWCIA) 7701 France Ave, South; Suite 450 Minneapolis, MN (952) (F) MN Court of Appeals 405 Minnesota Judicial Center 25 Constitution Avenue St. Paul, MN (651) MN Department of Commerce Insurance 85 7 th Place East, Suite 500 St. Paul, MN (651)
12 Table 8: Administrative, Rating And Claims Appeal Agencies By MS MS Commission 1428 Lakeland Drive Jackson, MS (601) Rating Claims Appeal MS Commission 1428 Lakeland Drive Jackson, MS (601) MO MO Department of Labor and Industrial Relations Division of 3315 West Truman Blvd P.O. Box 58 Jefferson City, MO (573) , (888) MS Insurance Department 1001 Woolfolk State Office Bldg Jackson, MS (601) MO Department of Insurance 301 West High Street P.O. Box 690 Jefferson City, MO (573) MO Determinations Review Board P.O. Box 690 Jefferson City, MO (573) (F) (573)
13 Table 8: Administrative, Rating And Claims Appeal Agencies By MT NE MT Department of Labor and Industry Regulation Bureau 1805 Prospect Avenue P.O. Box 8011 Helena, MT (406) NE Court P.O. Box Lincoln, NE (402) , (800) Rating MT Insurance Department 8400 Helena Ave. Helena, MT (800) Claims Appeal MT Court th Avenue Helena, MT (406) NE Court P.O. Box Lincoln, NE (402) , (800) NE Department of Insurance Terminal Building 941 O Street, Suite 400 Lincoln, NE (402)
14 Table 8: Administrative, Rating And Claims Appeal Agencies By NV NH NJ NV Division of Industrial Relations 400 West King Street, Suite 400 Carson City, NV (775) NH Department of Labor Division 95 Pleasant Street Concord, NH (603) NJ Department of Labor Division of P.O. Box 381 Trenton, NJ (609) Fax: (609) Rating NV Division of Insurance 788 Fairview Drive, Suite 300 Carson City, NV (775) NH Department of Insurance 56 Old Suncock Road Concord, NH (603) NJ Compensation Rating and Inspection Bureau 60 Park Place Newark, NJ (973) Fax: (973) Claims Appeal NV Division of Industrial Relations Department of Administrative Appeals Officer 400 West King Street, Suite 400 Carson City, NV (775) NH Department of Labor Division Claims Division 95 Pleasant Street Concord, NH (603) NJ Department of Labor Division of P.O. Box 381 Trenton, NJ (609) Fax: (609)
15 Table 8: Administrative, Rating And Claims Appeal Agencies By NM NY NC NM Administration P.O. Box Albuquerque, NM (505) Fax: (505) NYS Board 100 Broadway-Menands Albany, NY (518) Fax: (518) NC Industrial Commission 4319 Mail Service Center Raleigh, NC (919) Rating NM Public Regulation Commission Insurance Division Bureau 1120 Paseo De Peralta P.O. Drawer 1269 Santa Fe, NM (505) NYS Compensation Insurance Rating Board (NCIRB) 200 E. 42 St. New York, NY (212) Fax: (212) NC Rating Bureau 5401 Six Forks Road Raleigh, NC (919) Fax: (919) Claims Appeal NM Administration Dispute Resolution Bureau P.O. Box Albuquerque, NM (505) Fax: (505) NM Court of Appeals NYS Board 100 Broadway-Menands Albany, NY (518) Fax: (518) NC Industrial Commission 4319 Mail Service Center Raleigh, NC (919)
16 Table 8: Administrative, Rating And Claims Appeal Agencies By ND ND 500 Front Avenue Bismark, ND (800) (701) (Fax) (701) Rating ND 500 Front Avenue Bismark, ND (800) (701) (Fax) (701) Claims Appeal ND 500 Front Avenue Bismark, ND (800) (701) (Fax) (701) OH OH Bureau of 30 West Spring Street Columbus, OH (614) , (800) OH Bureau of 30 West Spring Street Columbus, OH (614) , (800) Industrial Commission of Ohio 30 West Spring Street Columbus, OH (614) , (800) OK OK Department of Labor Enforcement Division 4001 N Lincoln Blvd Oklahoma City, OK (405) OK Insurance Department Property & Casualty Rates Division 2401 NW 23 rd, Suite 28 Oklahoma City, OK (405) OK Court 1915 North Stiles Ave Oklahoma City, OK (405)
17 Table 8: Administrative, Rating And Claims Appeal Agencies By OR OR Department of Consumer & Business Services Division 250 Winter Street, NE, Room 27 Salem, OR (503) , (800) Fax: (503) Rating OR Insurance Division 30 Winter Street, NE Salem, OR (503) Claims Appeal OR Board th Street, SE Salem, OR (503) PA PA Department of Labor and Industry Bureau of 1171 South Cameron Street, Room 324 Harrisburg, PA (717) PA Compensation Rating Bureau Widener Building, 6 th Floor One So Penn Square Philadelphia, PA (215) PA Workmen s Compensation Appeals Board 1171 South Cameron Street Room 305 Harrisburg, PA (717) RI RI Department of Labor and Training Division of 1511 Pontiac Avenue Building 69, 2 nd Floor Cranston, RI (401) RI Department of Business Regulation Division of Insurance 233 Richmond Street Providence, RI (401) RI Court One Dorrance Plaza Providence, RI (401)
18 Table 8: Administrative, Rating And Claims Appeal Agencies By SC SC Commission 1612 Marion Street Columbia, SC (803) Rating Claims Appeal SC Commission Judicial Division 1612 Marion Street Columbia, SC (803) SD SD Department of Labor Division of Labor and Management Kneip Building, 3 rd Floor 700 Governors Drive Pierre, SD (605) Fax: (605) SC Department of Insurance 300 Arbor Lake Drive Suite 1200 Columbia, SC (803) SD Department of Revenue Division of Insurance 118 W Capitol Pierre, SD (605) SD Department of Labor Division of Labor and Management Kneip Building, 3 rd Floor 700 Governors Drive Pierre, SD (605) Fax: (605)
19 Table 8: Administrative, Rating And Claims Appeal Agencies By TN TX UT TN Department of Labor and Workforce Development Division 710 James Robertson Parkway Gateway Plaza, 2 nd Floor Nashville, TN (615) TX Workers Compensation Commission Southfield Building 4000 S IH-35 Austin, TX (512) UT Labor Commission 160 East 300 Street South, 3 rd Floor Salt Lake City, UT (801) Rating TN Department of Commerce and Insurance Division of Insurance Davy Crockett Tower, Suite 500 Nashville, TN (615) TX Department of Insurance P.O. Box Austin, TX (512) , (800) Claims Appeal Courts 1 TX Workers Compensation Commission Southfield Building 4000 S IH-35 Austin, TX (512) UT Labor Commission Appeals Board 160 East 300 Street South, 3 rd Floor Salt Lake City, UT (801) UT Insurance Department State Office Building Room 3110 Salt Lake City, UT (801)
20 Table 8: Administrative, Rating And Claims Appeal Agencies By VT VT Department of Labor and Industry Division National Life Building Drawer 20 Montpelier, VT (802) Rating VT Department of Banking and Industry 89 Main Street, Drawer 20 Montpelier, VT (802) Claims Appeal VT Department of Labor and Industry Division National Life Building Drawer 20 Montpelier, VT (802) VA VA Commission 1000 DMV Drive Richmond, VA (804) Fax: (804) Commonwealth of Virginia State Corporation Commission Bureau of Insurance Tyler Building 1300 E. Main Street Richmond, VA (804) , (800) VA Commission 1000 DMV Drive Richmond, VA (804) Fax: (804)
21 Table 8: Administrative, Rating And Claims Appeal Agencies By WA Washington State Department of Labor and Industry Insurances Services Division 7273 Linderson Way, SW Tumwater, WA (360) , (800) Rating Washington State Office of the Insurance Commissioner 5000 Capitol Boulevard Tumwater, WA (360) Claims Appeal Board of Industrial Insurance Appeals 2430 Chandler Court, SW P.O. Box Olympia, WA (360) , (800) (F) (360) WV West Virginia Bureau of Employment Programs Division P.O. Box 3824 Charleston, WV (304) , (800) West Virginia WC Fund 4700 MacCorkle Ave, SE Charleston, WV (800) or (304) Bureau of Employment Programs Appeal Board P.O. Box 2628 Charleston, WV (304) (F) (304) Office of Judges P.O. Box 2233 Charleston, WV (304)
22 Table 8: Administrative, Rating And Claims Appeal Agencies By WI WY AS GU WI Department of Workforce Development Worker s Compensation Division Room C E. Washington Ave Madison, WI (608) Wyoming Workers Safety and Compensation Division 1510 E. Pershing Blvd Cheyenne, WY (307) Workmen s Compensation Commission Office of the Governor Pago Pago, AS Department of Labor Commission 108 E Street Tiyan, Guam (671) Rating WI Compensation Rating Bureau P.O. Box 3080 Milwaukee, WI (262) Fax:(262) State of WI Office of the Commissioner of Insurance 125 South Webster Street Madison, WI (608) (800) Guam Insurance Commission Division of Tax and Revenue P.O. Box 2307 GMF, Guam (671) Claims Appeal WI Labor & Industry Review Commission (LIRC) P.O. Box 8126 Madison, WI West Beltline Highway Madison, WI (608) (F) (608) State Hearing Examiners or Medical Commission Workmen s Compensation Commission Office of the Governor Pago Pago, AS Department of Labor Commission 108 E Street Tiyan, Guam (671)
23 Table 8: Administrative, Rating And Claims Appeal Agencies By NN NMI Program P.O. Box 2489 Window Rock, AZ (928) Commonwealth of the Northern Mariana Islands Commission P.O. Box Saipan, MP (670) Rating Commonwealth of the Northern Mariana Islands Banking and Insurance Office Caller Box 1007 Saipan, MP (670) Claims Appeal Commonwealth of the Northern Mariana Islands Commission P.O. Box Saipan, MP (670) PR Industrial Commissioner s Office G.P.O Box San Juan, PR (787) PR State Insurance Fund G.P.O. Box 5028 San Juan, Puerto Rico (787) Industrial Commissioner s Office G.P.O Box San Juan, PR (787) VI Department of Labor Division 3012 Vitraco Mall, Golden Rock Christiansted St. Croix, VI (809) VI Department of Finance Division of Insurance 2314 Kronprindsens Gade St Thomas,VI (340) Sec 9 VI Department of Labor Division of Hearings and Appeals 3012 Vitraco Mall, Golden Rock Christiansted St. Croix, VI (809)
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