Untimely IBR Decisions - DWC Ignores CA Law

July 18, 2023 21 min read

By: the daisyNews Team

Untimely IBR Decisions - DWC Ignores CA Law

Recently, we shared the numbers demonstrating the absurd (and unlawful) lengths of time for which the Division of Workers’ Compensation (DWC) forces providers to wait for an Independent Bill Review (IBR) decision.

Today, we share even more data on this problem — and it’s bleak.

The table below lists all IBR disputes between claims administrators and daisyCollect clients since 2018, for which Maximus rendered a decision. These data reveal that 31% of those IBR decisions were rendered beyond the legally mandated 90-day time limit. Even darker:

66% of the IBR decisions issued were late in 2022
100% of the IBR decisions issued in 2023 were late

Labor Code Section 4603.6 allows the DWC 30 days to assign an IBR case to Maximus (the DWC’s designated IBR organization) for review, followed by 60 days for Maximus to render the IBR decision — meaning that an IBR-eligible dispute must be resolved within 90 days from the date the provider requests IBR.

IBR is time-consuming and costly in administrative resources (including the $180 IBR filing fee). And even when the provider is in the right, payment may be weeks, months, or over a year away. No wonder many providers bow out of treating injured workers — and no wonder claims administrators play “IBR Chicken.”

Late IBR Decisions: Leaving Doctors Unpaid

Following a Second Review appeal to dispute denied or incorrect payment, a provider has 30 days to pay $180 and request IBR. If the provider fails to adhere to the 30-day requirement, the provider forfeits the reimbursement owed. California Labor Code Section 4603.6 considers the bill satisfied if the provider misses this deadline:

“If the provider fails to request an independent bill review within 30 days, the bill shall be deemed satisfied, and neither the employer nor the employee shall be liable for any further payment.”

The DWC enforces the 30-day provider IBR deadline by refusing to allow providers to request IBR if the provider is even a day late with paying and filing the $180 to request IBR.

§4603.6 also establishes another 30-day deadline for the DWC to “assign” a dispute to the independent reviewer, Maximus:

“Upon receipt of a request for independent bill review and the required fee, the administrative director or the administrative director’s designee shall assign the request to an independent bill reviewer within 30 days and notify the medical provider and employer of the independent reviewer assigned.”

Yet, the DWC consistently violates this California law, and takes far, far longer than 30 days to assign disputes for IBR to Maximus resulting in many IBR cases taking for longer than 90 days to resolve. Of the 425 IBR cases listed below:

An untimely IBR decision was issued 131 times (31%)
100% of the untimely IBR decisions were the DWC untimely assigning the case to Maximus
Of those late decisions, 122 were “Overturn” decisions in the provider’s favor (93%)
Of the untimely “Overturn” decisions, 31 took 180 days or more to resolve. In one case, the provider was denied due reimbursement for 254 days after timely filing for IBR.

So we’re absolutely clear: the doctor did everything right for IBR cases in which Maximus overturned the claims administrator’s improper denial or adjustment.

The doctor rendered authorized services. They billed accurately, timely, and compliantly. They submitted timely, compliant Second Review appeals to give the claims administrator another chance. They assembled reams of paperwork, spent countless person-hours, and coughed up $180 to promptly request IBR. Ultimately, they won.

…but then, they waited. And waited. And waited — as the DWC failed to adhere to California law.

Meanwhile, the costs of running a practice (and the extraordinary costs of serving injured workers) continued.

Claims administrators aren’t ignorant. They know how difficult it is to secure what’s owed through IBR. It is impossible for any objective stakeholder not to wonder if the one-sided enforcement of IBR rules is why claims administrators issue so many nonsensical payment denials and stand by them upon Second Review.

It is impossible to witness claims administrators suddenly, inexplicably decide to pay correctly only after the provider requests IBR, and not wonder if IBR Chicken is part of the business model.

Providers cannot participate in the workers’ comp system at a financial loss or in an unpredictable environment. California regulators should adhere to California law. Regulators owe providers a level playing field and the expectation that a compliant, accurate bill will be timely paid — and that if it isn’t, the state will provide timely redress.

Below are all IBR decisions for payment disputes filed by daisyCollect since June 2018. These doctors had the considerable advantage of a workers’ comp-specific billing service navigating the obstacle course on their behalf. How many providers have lost how much revenue because they didn’t have the resources to see the appeals process through?

Claims Administrator	Reimbursement Amount Disputed	IBR Case Number	IBR File Date	IBR Assignment Date	Days Elapsed: IBR Filed to Assignment Date	IBR Decision Date	Days Elapsed: IBR File Date to Decision
State Compensation Insurance Fund	$674.00	CB22-0002937	10/26/2022	05/16/2023	202	07/07/2023	254
Intercare Holdings Insurance	$455.00	CB22-0002939	10/26/2022	05/05/2023	191	06/30/2023	247
Sedgwick Claims Management Services	$503.75	CB22-0002941	10/26/2022	05/05/2023	191	06/29/2023	246
Athens Administrators	$239.94	CB22-0002960	10/27/2022	04/14/2023	169	06/06/2023	222
CNA Insurance	$3,713.00	CB22-0003295	11/16/2022	05/03/2023	168	06/23/2023	219
Sedgwick Claims Management Services	$692.00	CB22-0003289	11/16/2022	05/03/2023	168	06/23/2023	219
Sedgwick Claims Management Services	$796.25	CB22-0003595	12/08/2022	05/23/2023	166	07/14/2023	218
Sedgwick Claims Management Services	$1,316.25	CB22-0003596	12/08/2022	05/23/2023	166	07/14/2023	218
Guard Insurance Group	$2,216.50	CB22-0002940	10/26/2022	04/10/2023	166	06/01/2023	218
Sedgwick Claims Management Services	$2,320.88	CB22-0002942	10/26/2022	04/07/2023	163	05/30/2023	216
Liberty Mutual Insurance	$877.50	CB22-0000267	02/09/2022	07/27/2022	168	09/09/2022	212
Sedgwick Claims Management Services	$2,216.50	CB22-0002935	10/26/2022	04/04/2023	160	05/23/2023	209
Sedgwick Claims Management Services	$2,216.50	CB22-0000594	03/15/2022	08/18/2022	156	10/07/2022	206
Albertsons / Safeway / Vons	$618.22	CB21-0002235	09/17/2021	02/28/2022	164	04/07/2022	202
Gallagher Bassett	$650.00	CB21-0003104	12/17/2021	05/16/2022	150	07/06/2022	201
Gallagher Bassett	$650.00	CB21-0003103	12/17/2021	05/16/2022	150	07/01/2022	196
Sentry Insurance	$222.94	CB22-0000276	02/10/2022	07/11/2022	151	08/24/2022	195
State Compensation Insurance Fund	$1,316.25	CB21-0003000	12/03/2021	05/04/2022	152	06/16/2022	195
Travelers	$263.37	CB21-0002811	11/11/2021	04/12/2022	152	05/24/2022	194
The Hartford	$650.00	CB22-0003823	12/29/2022	05/16/2023	138	07/10/2023	193
State Compensation Insurance Fund	$222.94	CB22-0000331	02/18/2022	07/14/2022	146	08/29/2022	192
State Compensation Insurance Fund	$100.81	CB22-0002958	10/27/2022	03/22/2023	146	05/04/2023	189
Athens Administrators	$92.69	CB19-0001325	10/23/2019	03/12/2020	141	04/29/2020	189
Gallagher Bassett	$209.84	CB22-0000657	03/24/2022	08/12/2022	141	09/27/2022	187
State Compensation Insurance Fund	$246.15	CB21-0002669	10/27/2021	03/15/2022	139	04/29/2022	184
Sedgwick Claims Management Services	$20,354.00	CB22-0000391	02/24/2022	07/14/2022	140	08/26/2022	183
North Bay Schools Insurance Authority (CA)	$2,657.00	CB22-0000427	02/28/2022	07/15/2022	137	08/29/2022	182
State Compensation Insurance Fund	$4,658.50	CB22-0000405	02/25/2022	07/14/2022	139	08/26/2022	182
Albertsons / Safeway / Vons	$250.00	CB22-0000012	01/05/2022	05/27/2022	142	07/06/2022	182
Liberty Mutual Insurance	$2,015.00	CB22-0002520	10/05/2022	02/23/2023	141	04/04/2023	181
Gallagher Bassett	$2,015.00	CB22-0002170	09/09/2022	01/23/2023	136	03/09/2023	181
Liberty Mutual Insurance	$1,776.94	CB22-0002168	09/09/2022	01/23/2023	136	03/09/2023	181
Sedgwick Claims Management Services	$2,072.00	CB22-0002169	09/09/2022	01/23/2023	136	03/09/2023	181
Zurich Insurance North America	$938.04	CB21-0003061	12/10/2021	04/28/2022	139	06/09/2022	181
Liberty Mutual Insurance	$2,216.50	CB22-0001712	07/21/2022	11/29/2022	131	01/17/2023	180
Gallagher Bassett	$650.00	CB22-0000269	02/09/2022	06/27/2022	138	08/08/2022	180
Keenan & Associates	$662.07	CB21-0002307	09/23/2021	02/15/2022	145	03/22/2022	180
The Hartford	$2,015.00	CB21-0002004	08/30/2021	01/06/2022	129	02/25/2022	179
State Compensation Insurance Fund	$145.90	CB22-0001883	08/09/2022	12/14/2022	127	02/03/2023	178
State Compensation Insurance Fund	$145.90	CB22-0001884	08/09/2022	12/15/2022	128	02/03/2023	178
Sedgwick Claims Management Services	$651.60	CB22-0002499	10/03/2022	02/22/2023	142	03/29/2023	177
Markel First Comp Insurance	$2,015.00	CB22-0000299	02/15/2022	06/29/2022	134	08/11/2022	177
Intact Insurance Specialty Solutions	$650.00	CB22-0000030	01/10/2022	05/27/2022	137	07/06/2022	177
Zurich Insurance North America	$638.25	CB22-0001882	08/09/2022	12/15/2022	128	02/01/2023	176
Berkshire Hathaway Homestate Companies	$1,447.88	CB22-0001326	06/07/2022	10/14/2022	129	11/30/2022	176
Gallagher Bassett	$150.95	CB21-0002890	11/22/2021	04/07/2022	136	05/17/2022	176
ESIS, Inc.	$1,908.56	CB22-0001879	08/09/2022	12/15/2022	128	01/31/2023	175
United Heartland	$503.75	CB22-0001195	05/24/2022	10/05/2022	134	11/15/2022	175
Liberty Mutual Insurance	$2,015.00	CB22-0000804	04/05/2022	08/17/2022	134	09/27/2022	175
Gallagher Bassett	$2,216.50	CB22-0000552	03/11/2022	07/21/2022	132	09/02/2022	175
Cannon Cochran Management Services Inc.	$1,447.88	CB22-0001466	06/23/2022	11/02/2022	132	12/14/2022	174
Travelers	$503.75	CB22-0001348	06/09/2022	10/18/2022	131	11/30/2022	174
Sedgwick Claims Management Services	$1,908.56	CB22-0000088	01/20/2022	06/02/2022	133	07/13/2022	174
Enstar Group	$142.22	CB22-0000884	04/13/2022	08/23/2022	132	10/03/2022	173
Sedgwick Claims Management Services	$2,216.50	CB22-0000743	03/31/2022	08/12/2022	134	09/20/2022	173
Sedgwick Claims Management Services	$1,007.00	CB22-0000143	01/26/2022	06/07/2022	132	07/18/2022	173
Sedgwick Claims Management Services	$877.50	CB22-0000101	01/21/2022	06/02/2022	132	07/13/2022	173
Gallagher Bassett	$206.88	CB21-0002228	09/16/2021	01/25/2022	131	03/08/2022	173
Liberty Mutual Insurance	$503.75	CB21-0001996	08/27/2021	12/28/2021	123	02/16/2022	173
Sedgwick Claims Management Services	$1,994.00	CB22-0000745	03/31/2022	08/12/2022	134	09/19/2022	172
Gallagher Bassett	$625.00	CB21-0001993	08/27/2021	12/29/2021	124	02/14/2022	171
Pacific Compensation Insurance Company	$3,365.50	CB22-0000845	04/11/2022	08/19/2022	130	09/28/2022	170
Sedgwick Claims Management Services	$2,216.50	CB22-0002036	08/29/2022	12/28/2022	121	02/14/2023	169
Liberty Mutual Insurance	$650.00	CB22-0001620	07/13/2022	11/16/2022	126	12/29/2022	169
Sedgwick Claims Management Services	$503.75	CB22-0001609	07/12/2022	11/15/2022	126	12/28/2022	169
Liberty Mutual Insurance	$6,158.00	CB22-0001004	05/03/2022	09/02/2022	122	10/19/2022	169
Enstar Group	$142.22	CB22-0000883	04/13/2022	08/22/2022	131	09/29/2022	169
Sedgwick Claims Management Services	$877.50	CB22-0000742	03/31/2022	08/12/2022	134	09/16/2022	169
Travelers	$13,037.00	CB21-0002352	09/29/2021	02/01/2022	125	03/17/2022	169
Gallagher Bassett	$206.88	CB21-0002226	09/16/2021	01/18/2022	124	03/03/2022	168
CorVel	$90.04	CB19-0000594	05/03/2019	08/21/2019	110	10/18/2019	168
Sedgwick Claims Management Services	$503.75	CB22-0000927	04/21/2022	08/25/2022	126	10/04/2022	166
Intact Insurance Specialty Solutions	$150.95	CB21-0002429	10/05/2021	02/08/2022	126	03/18/2022	164
CopperPoint Mutual	$224.35	CB22-0000806	04/06/2022	08/04/2022	120	09/14/2022	161
Berkshire Hathaway Homestate Companies	$1,300.00	CB21-0001679	07/27/2021	11/15/2021	111	01/03/2022	160
Helmsman Management Services	$2,778.00	CB21-0001642	07/23/2021	11/05/2021	105	12/30/2021	160
Gallagher Bassett	$144.60	CB21-0002224	09/16/2021	12/30/2021	105	02/15/2022	152
JT2 Integrated Resources	$193.66	CB21-0001181	06/07/2021	09/23/2021	108	11/03/2021	149
Sedgwick Claims Management Services	$1,125.00	CB21-0002138	09/10/2021	12/20/2021	101	02/04/2022	147
The Hartford	$202.48	CB21-0002105	09/08/2021	12/08/2021	91	02/02/2022	147
Farmers Insurance	$227.50	CB21-0002957	11/29/2021	01/04/2022	36	04/22/2022	144
Liberty Mutual Insurance	$1,776.94	CB22-0000952	04/26/2022	08/11/2022	107	09/16/2022	143
Applied Underwriters	$273.77	CB21-0002104	09/08/2021	12/03/2021	86	01/27/2022	141
Cannon Cochran Management Services Inc.	$1,720.00	CB22-0002953	10/27/2022	01/26/2023	91	03/15/2023	139
Liberty Mutual Insurance	$595.86	CB20-0000085	01/17/2020	04/17/2020	91	06/03/2020	138
Liberty Mutual Insurance	$500.00	CB21-0001283	06/17/2021	09/17/2021	92	10/29/2021	134
ESIS, Inc.	$687.50	CB20-0000400	03/12/2020	06/01/2020	81	07/24/2020	134
Sedgwick Claims Management Services	$206.88	CB21-0001818	08/10/2021	11/03/2021	85	12/21/2021	133
CorVel	$64.12	CB20-0000366	03/05/2020	05/21/2020	77	07/16/2020	133
Sedgwick Claims Management Services	$199.89	CB21-0000023	01/07/2021	03/26/2021	78	05/18/2021	131
Sedgwick Claims Management Services	$52.95	CB21-0000636	04/02/2021	06/24/2021	83	08/09/2021	129
Gallagher Bassett	$201.73	CB21-0000472	03/12/2021	06/04/2021	84	07/19/2021	129
Pacific Compensation Insurance Company	$632.82	CB21-0001890	08/17/2021	11/09/2021	84	12/23/2021	128
Gallagher Bassett	$650.00	CB21-0001817	08/10/2021	11/01/2021	83	12/14/2021	126
Sedgwick Claims Management Services	$665.62	CB20-0001345	09/15/2020	12/08/2020	84	01/19/2021	126
Berkshire Hathaway Homestate Companies	$62.50	CB21-0000112	01/27/2021	04/19/2021	82	06/01/2021	125
ESIS, Inc.	$875.00	CB20-0001004	06/26/2020	09/14/2020	80	10/29/2020	125
Gallagher Bassett	$15.18	CB20-0000469	03/27/2020	06/03/2020	68	07/30/2020	125
Liberty Mutual Insurance	$227.39	CB19-0000575	04/30/2019	07/05/2019	66	08/28/2019	120
QBE North American	$141.19	CB20-0001429	10/01/2020	12/11/2020	71	01/28/2021	119
Berkshire Hathaway Homestate Companies	$508.03	CB21-0000337	02/25/2021	05/13/2021	77	06/23/2021	118
Sedgwick Claims Management Services	$1,039.00	CB22-0003760	12/22/2022	02/23/2023	63	04/18/2023	117
Liberty Mutual Insurance	$6,865.95	CB21-0000861	04/30/2021	07/08/2021	69	08/25/2021	117
The Hartford	$500.00	CB21-0000290	02/18/2021	05/03/2021	74	06/15/2021	117
Guard Insurance Group	$1,199.92	CB21-0000230	02/11/2021	04/23/2021	71	06/07/2021	116
CorVel	$279.14	CB22-0002945	10/26/2022	12/21/2022	56	02/15/2023	112
Liberty Mutual Insurance	$2,500.00	CB21-0000167	02/03/2021	04/19/2021	75	05/26/2021	112
Intact Insurance Specialty Solutions	$7,125.00	CB21-0000961	05/12/2021	07/20/2021	69	08/30/2021	110
Athens Administrators	$253.92	CB18-0000490	05/04/2018	08/06/2018	94	08/22/2018	110
Sedgwick Claims Management Services	$625.00	CB21-0000027	01/07/2021	03/24/2021	76	04/26/2021	109
CorVel	$214.33	CB22-0002946	10/26/2022	12/21/2022	56	02/10/2023	107
Sedgwick Claims Management Services	$135.86	CB21-0000291	02/18/2021	04/22/2021	63	06/04/2021	106
Sedgwick Claims Management Services	$687.50	CB21-0001286	06/17/2021	08/19/2021	63	09/30/2021	105
Travelers	$1,562.50	CB21-0000962	05/12/2021	07/07/2021	56	08/25/2021	105
Sedgwick Claims Management Services	$1,547.25	CB23-0000756	03/03/2023	04/20/2023	48	06/15/2023	104
Sedgwick Claims Management Services	$503.75	CB22-0003380	11/22/2022	01/10/2023	49	03/06/2023	104
Applied Risk Services	$69.51	CB19-0001120	09/04/2019	11/06/2019	63	12/17/2019	104
Liberty Mutual Insurance	$650.00	CB22-0003125	11/04/2022	12/29/2022	55	02/15/2023	103
Sedgwick Claims Management Services	$1,316.25	CB23-0000794	03/07/2023	04/20/2023	44	06/16/2023	101
Intercare Holdings Insurance	$2,747.18	CB22-0002951	10/27/2022	12/21/2022	55	02/03/2023	99
Liberty Mutual Insurance	$553.00	CB18-0001168	09/10/2018	11/02/2018	53	12/17/2018	98
Athens Administrators	$239.94	CB22-0002961	10/27/2022	12/19/2022	53	02/01/2023	97
Athens Administrators	$225.95	CB22-0001619	07/13/2022	09/01/2022	50	10/17/2022	96
Guard Insurance Group	$687.50	CB20-0001703	11/25/2020	01/29/2021	65	03/01/2021	96
Liberty Mutual Insurance	$625.00	CB20-0001702	11/25/2020	01/29/2021	65	03/01/2021	96
Sedgwick Claims Management Services	$625.00	CB20-0001721	11/30/2020	02/01/2021	63	03/05/2021	95
Cottingham & Butler Claim Services, Inc.	$2,000.00	CB20-0001781	12/15/2020	02/11/2021	58	03/19/2021	94
Tristar Risk Management	$1,848.98	CB20-0001346	09/15/2020	11/02/2020	48	12/17/2020	93
Innovative Claim Solutions, Inc.	$5.71	CB19-0001105	09/03/2019	10/16/2019	43	12/05/2019	93
Liberty Mutual Insurance	$543.00	CB21-0002699	11/02/2021	12/09/2021	37	02/02/2022	92
CorVel	$368.97	CB22-0001954	08/17/2022	09/28/2022	42	11/16/2022	91
Risico Claims Management, Inc.	$341.25	CB22-0000027	01/07/2022	03/08/2022	60	04/07/2022	90
Sedgwick Claims Management Services	$124.70	CB19-0000843	07/02/2019	08/06/2019	35	09/30/2019	90
Helmsman Management Services	$625.00	CB20-0001829	12/23/2020	02/18/2021	57	03/22/2021	89
ESIS, Inc.	$312.50	CB20-0001477	10/09/2020	11/30/2020	52	01/06/2021	89
CorVel	$62.29	CB20-0000510	04/02/2020	05/07/2020	35	06/29/2020	88
Intercare Holdings Insurance	$123.92	CB20-0000509	04/02/2020	05/05/2020	33	06/29/2020	88
Zurich Insurance North America	$1,241.19	CB20-0001594	11/09/2020	12/31/2020	52	02/04/2021	87
CorVel	$90.04	CB19-0000503	04/16/2019	05/16/2019	30	07/12/2019	87
Sedgwick Claims Management Services	$167.31	CB19-0001603	12/18/2019	01/23/2020	36	03/13/2020	86
Gallagher Bassett	$1,000.00	CB20-0001804	12/17/2020	02/11/2021	56	03/12/2021	85
Sedgwick Claims Management Services	$2,968.75	CB20-0000983	06/22/2020	07/28/2020	36	09/15/2020	85
Gallagher Bassett	$650.00	CB21-0002576	10/18/2021	11/19/2021	32	01/10/2022	84
Acclamation Insurance Management Services	$447.92	CB19-0001535	12/05/2019	01/02/2020	28	02/27/2020	84
Preferred Employers Insurance Company	$596.68	CB19-0001163	09/11/2019	10/08/2019	27	12/04/2019	84
Zurich Insurance North America	$1,224.11	CB21-0002480	10/08/2021	11/12/2021	35	12/30/2021	83
JT2 Integrated Resources	$312.50	CB21-0002319	09/24/2021	10/26/2021	32	12/16/2021	83
Liberty Mutual Insurance	$1,000.00	CB20-0001476	10/09/2020	11/25/2020	47	12/31/2020	83
Guard Insurance Group	$416.35	CB19-0000972	08/01/2019	08/27/2019	26	10/23/2019	83
Gallagher Bassett	$1,316.25	CB21-0003002	12/03/2021	01/06/2022	34	02/23/2022	82
Berkshire Hathaway Homestate Companies	$12.89	CB21-0000915	05/07/2021	05/28/2021	21	07/28/2021	82
Berkshire Hathaway Homestate Companies	$12.89	CB21-0000917	05/07/2021	05/28/2021	21	07/28/2021	82
Berkshire Hathaway Homestate Companies	$12.89	CB21-0000918	05/07/2021	05/28/2021	21	07/28/2021	82
Berkshire Hathaway Homestate Companies	$12.89	CB21-0000920	05/07/2021	05/28/2021	21	07/28/2021	82
Berkshire Hathaway Homestate Companies	$13.70	CB21-0000921	05/07/2021	05/28/2021	21	07/28/2021	82
Athens Administrators	$225.95	CB22-0000970	04/28/2022	05/26/2022	28	07/18/2022	81
Sedgwick Claims Management Services	$650.00	CB21-0002463	10/07/2021	11/09/2021	33	12/27/2021	81
Sedgwick Claims Management Services	$187.50	CB21-0002144	09/10/2021	10/13/2021	33	11/30/2021	81
Municipal Pooling Authority (CA)	$85.50	CB21-0000180	02/04/2021	03/16/2021	40	04/26/2021	81
Athens Administrators	$20.61	CB19-0000371	03/21/2019	04/12/2019	22	06/10/2019	81
Cannon Cochran Management Services Inc.	$201.50	CB22-0001050	05/10/2022	06/03/2022	24	07/29/2022	80
Albertsons / Safeway / Vons	$125.00	CB21-0002140	09/10/2021	10/13/2021	33	11/29/2021	80
Sedgwick Claims Management Services	$500.00	CB21-0002139	09/10/2021	10/12/2021	32	11/29/2021	80
The Zenith	$3,875.00	CB21-0001676	07/27/2021	08/20/2021	24	10/15/2021	80
Los Angeles MTA	$96.84	CB20-0000607	04/17/2020	05/13/2020	26	07/06/2020	80
Acclamation Insurance Management Services	$296.07	CB19-0000631	05/14/2019	06/04/2019	21	08/02/2019	80
Chubb Group of Insurance Companies	$331.80	CB19-0000547	04/23/2019	05/14/2019	21	07/12/2019	80
Sedgwick Claims Management Services	$1,572.99	CB22-0000805	04/06/2022	05/04/2022	28	06/24/2022	79
Gallagher Bassett	$1,447.88	CB21-0002008	08/30/2021	10/01/2021	32	11/17/2021	79
York Risk Services Group	$495.67	CB19-0001557	12/10/2019	01/02/2020	23	02/27/2020	79
Applied Risk Services	$63.12	CB19-0001386	11/06/2019	12/03/2019	27	01/24/2020	79
The Zenith	$480.09	CB19-0000887	07/10/2019	08/01/2019	22	09/27/2019	79
Keenan & Associates	$127.87	CB19-0000842	07/02/2019	07/23/2019	21	09/19/2019	79
Zurich Insurance North America	$324.52	CB18-0001604	12/12/2018	01/09/2019	28	03/01/2019	79
State Compensation Insurance Fund	$225.95	CB22-0002409	09/26/2022	10/31/2022	35	12/13/2022	78
Berkley Net Underwriters, LLC	$131.63	CB22-0000154	01/27/2022	02/24/2022	28	04/15/2022	78
Athens Administrators	$37.06	CB20-0000744	05/07/2020	05/29/2020	22	07/24/2020	78
State Compensation Insurance Fund	$62.29	CB20-0000741	05/07/2020	05/29/2020	22	07/24/2020	78
State Compensation Insurance Fund	$487.30	CB20-0000742	05/07/2020	05/29/2020	22	07/24/2020	78
State Compensation Insurance Fund	$62.29	CB20-0000743	05/07/2020	05/29/2020	22	07/24/2020	78
Pacific Gas & Electric	$77.05	CB20-0000731	05/06/2020	05/27/2020	21	07/23/2020	78
Gallagher Bassett	$338.39	CB19-0001604	12/18/2019	01/08/2020	21	03/05/2020	78
Gallagher Bassett	$184.02	CB19-0001605	12/18/2019	01/08/2020	21	03/05/2020	78
Applied Risk Services	$69.51	CB19-0001555	12/09/2019	12/30/2019	21	02/25/2020	78
Alaska National Insurance	$242.77	CB19-0001481	11/20/2019	12/11/2019	21	02/06/2020	78
Gallagher Bassett	$189.62	CB19-0001479	11/20/2019	12/11/2019	21	02/06/2020	78
Gallagher Bassett	$189.62	CB19-0001482	11/20/2019	12/11/2019	21	02/06/2020	78
State Compensation Insurance Fund	$63.12	CB19-0001478	11/20/2019	12/11/2019	21	02/06/2020	78
State Compensation Insurance Fund	$480.09	CB19-0001480	11/20/2019	12/11/2019	21	02/06/2020	78
State Compensation Insurance Fund	$495.67	CB19-0001096	08/28/2019	09/17/2019	20	11/14/2019	78
Gallagher Bassett	$184.02	CB19-0000666	05/22/2019	06/11/2019	20	08/08/2019	78
CorVel	$127.87	CB19-0000664	05/21/2019	06/11/2019	21	08/07/2019	78
Pacific Gas & Electric	$110.53	CB19-0000378	03/25/2019	04/16/2019	22	06/11/2019	78
Liberty Mutual Insurance	$177.98	CB19-0000342	03/14/2019	04/03/2019	20	05/31/2019	78
Helmsman Management Services	$51.92	CB19-0000332	03/12/2019	04/02/2019	21	05/29/2019	78
Meadowbrook Insurance Group	$692.00	CB22-0001325	06/07/2022	07/07/2022	30	08/23/2022	77
Broadspire	$201.50	CB22-0000173	01/31/2022	02/25/2022	25	04/18/2022	77
Liberty Mutual Insurance	$426.16	CB21-0001254	06/14/2021	07/08/2021	24	08/30/2021	77
California Insurance Guarantee Association	$77.06	CB20-0000730	05/06/2020	05/27/2020	21	07/22/2020	77
Keenan & Associates	$62.29	CB20-0000640	04/24/2020	05/15/2020	21	07/10/2020	77
State Compensation Insurance Fund	$62.29	CB20-0000514	04/02/2020	04/24/2020	22	06/18/2020	77
Sedgwick Claims Management Services	$331.19	CB20-0000302	02/24/2020	03/16/2020	21	05/11/2020	77
Keenan & Associates	$63.12	CB19-0001350	10/30/2019	11/26/2019	27	01/15/2020	77
Preferred Employers Insurance Company	$416.35	CB19-0001162	09/11/2019	10/08/2019	27	11/27/2019	77
Broadspire	$17.58	CB19-0001082	08/23/2019	09/13/2019	21	11/08/2019	77
Applied Risk Services	$69.51	CB19-0001045	08/15/2019	09/05/2019	21	10/31/2019	77
The Hartford	$90.04	CB19-0000872	07/08/2019	07/26/2019	18	09/23/2019	77
Athens Administrators	$29.97	CB19-0000349	03/15/2019	04/05/2019	21	05/31/2019	77
State Compensation Insurance Fund	$153.33	CB22-0001885	08/09/2022	08/31/2022	22	10/24/2022	76
AIG Claims, Inc.	$560.02	CB21-0002306	09/23/2021	10/22/2021	29	12/08/2021	76
Gallagher Bassett	$650.00	CB21-0002220	09/16/2021	10/15/2021	29	12/01/2021	76
Insurance Company of the West	$468.29	CB21-0000204	02/05/2021	03/19/2021	42	04/22/2021	76
State Compensation Insurance Fund	$65.75	CB20-0000515	04/02/2020	04/23/2020	21	06/17/2020	76
Gallagher Bassett	$13.41	CB20-0000462	03/27/2020	04/20/2020	24	06/11/2020	76
Gallagher Bassett	$25.88	CB20-0000471	03/27/2020	04/20/2020	24	06/11/2020	76
Gallagher Bassett	$18.48	CB20-0000473	03/27/2020	04/20/2020	24	06/11/2020	76
Gallagher Bassett	$595.86	CB20-0000003	01/03/2020	01/23/2020	20	03/19/2020	76
Keenan & Associates	$63.12	CB19-0001231	10/01/2019	10/24/2019	23	12/16/2019	76
York Risk Services Group	$46.07	CB19-0001128	09/05/2019	09/27/2019	22	11/20/2019	76
Athens Administrators	$29.97	CB19-0000265	03/01/2019	03/22/2019	21	05/16/2019	76
Gallagher Bassett	$312.06	CB19-0000264	03/01/2019	03/22/2019	21	05/16/2019	76
Tristar Risk Management	$7,293.87	CB19-0000234	02/22/2019	03/15/2019	21	05/09/2019	76
Gallagher Bassett	$650.00	CB21-0002221	09/16/2021	10/15/2021	29	11/30/2021	75
AmTrust North America	$750.00	CB21-0002141	09/10/2021	10/13/2021	33	11/24/2021	75
Athens Administrators	$73.37	CB21-0000233	02/11/2021	03/08/2021	25	04/27/2021	75
Liberty Mutual Insurance	$193.66	CB20-0000590	04/15/2020	05/07/2020	22	06/29/2020	75
State Compensation Insurance Fund	$202.06	CB20-0000511	04/02/2020	04/23/2020	21	06/16/2020	75
State Compensation Insurance Fund	$202.06	CB20-0000512	04/02/2020	04/24/2020	22	06/16/2020	75
Athens Administrators	$22.97	CB19-0001161	09/11/2019	10/04/2019	23	11/25/2019	75
Gallagher Bassett	$225.95	CB22-0000408	02/25/2022	04/01/2022	35	05/10/2022	74
Gallagher Bassett	$222.94	CB22-0000409	02/25/2022	04/01/2022	35	05/10/2022	74
Gallagher Bassett	$225.95	CB22-0000410	02/25/2022	04/01/2022	35	05/10/2022	74
Gallagher Bassett	$225.95	CB22-0000411	02/25/2022	04/01/2022	35	05/10/2022	74
Gallagher Bassett	$225.95	CB22-0000412	02/25/2022	04/01/2022	35	05/10/2022	74
Berkshire Hathaway Homestate Companies	$162.67	CB20-0000977	06/18/2020	07/09/2020	21	08/31/2020	74
Gallagher Bassett	$15.18	CB20-0000461	03/27/2020	04/20/2020	24	06/09/2020	74
Gallagher Bassett	$15.18	CB20-0000470	03/27/2020	04/20/2020	24	06/09/2020	74
Gallagher Bassett	$42.56	CB20-0000472	03/27/2020	04/20/2020	24	06/09/2020	74
Gallagher Bassett	$331.19	CB20-0000367	03/05/2020	03/27/2020	22	05/18/2020	74
North Bay Schools Insurance Authority	$104.03	CB20-0000079	01/16/2020	02/11/2020	26	03/30/2020	74
North Bay Schools Insurance Authority	$11.64	CB20-0000080	01/16/2020	02/11/2020	26	03/30/2020	74
Protective Insurance	$113.85	CB18-0000454	04/26/2018	05/31/2018	35	07/09/2018	74
Sedgwick Claims Management Services	$877.50	CB22-0002296	09/20/2022	10/19/2022	29	12/02/2022	73
Sedgwick Claims Management Services	$877.50	CB22-0001194	05/24/2022	06/22/2022	29	08/05/2022	73
Sedgwick Claims Management Services	$1,316.25	CB22-0000803	04/05/2022	05/04/2022	29	06/17/2022	73
Allianz	$629.00	CB21-0000417	03/05/2021	04/06/2021	32	05/17/2021	73
State Compensation Insurance Fund	$225.13	CB21-0000418	03/05/2021	04/06/2021	32	05/17/2021	73
Gallagher Bassett	$225.13	CB21-0000205	02/05/2021	03/01/2021	24	04/19/2021	73
Sedgwick Claims Management Services	$818.77	CB20-0001593	11/09/2020	12/09/2020	30	01/21/2021	73
California Insurance Guarantee Association	$812.50	CB20-0001119	07/24/2020	08/19/2020	26	10/05/2020	73
Gallagher Bassett	$15.18	CB20-0000460	03/27/2020	04/20/2020	24	06/08/2020	73
Gallagher Bassett	$13.41	CB20-0000467	03/27/2020	04/20/2020	24	06/08/2020	73
Gallagher Bassett	$15.18	CB20-0000468	03/27/2020	04/20/2020	24	06/08/2020	73
Pacific Gas & Electric	$27.37	CB20-0000088	01/20/2020	02/12/2020	23	04/02/2020	73
Cannon Cochran Management Services Inc.	$1,447.88	CB22-0001484	06/27/2022	07/21/2022	24	09/07/2022	72
Athens Administrators	$225.95	CB22-0001327	06/07/2022	07/07/2022	30	08/18/2022	72
Athens Administrators	$225.95	CB22-0001328	06/07/2022	07/07/2022	30	08/18/2022	72
Sedgwick Claims Management Services	$227.50	CB22-0000802	04/05/2022	05/04/2022	29	06/16/2022	72
Albertsons / Safeway / Vons	$201.50	CB21-0001814	08/10/2021	09/01/2021	22	10/21/2021	72
Liberty Mutual Insurance	$625.00	CB21-0000220	02/09/2021	03/19/2021	38	04/22/2021	72
Contra Costa County Schools Insurance Group	$14.98	CB20-0000087	01/20/2020	02/12/2020	23	04/01/2020	72
Gallagher Bassett	$2,225.25	CB22-0000746	03/31/2022	04/28/2022	28	06/10/2022	71
Sedgwick Claims Management Services	$1,331.16	CB22-0000316	02/17/2022	03/17/2022	28	04/29/2022	71
The Hartford	$375.00	CB20-0001348	09/15/2020	10/06/2020	21	11/25/2020	71
AmTrust North America	$184.02	CB20-0000419	03/18/2020	04/07/2020	20	05/28/2020	71
Liberty Mutual Insurance	$185.49	CB20-0000271	02/19/2020	03/12/2020	22	04/30/2020	71
State Compensation Insurance Fund	$63.12	CB20-0000204	02/06/2020	02/28/2020	22	04/17/2020	71
Gallagher Bassett	$156.56	CB19-0000501	04/16/2019	05/07/2019	21	06/26/2019	71
Contra Costa County Risk Management	$24.97	CB19-0000227	02/20/2019	03/14/2019	22	05/02/2019	71
Sedgwick Claims Management Services	$40.68	CB19-0000179	02/13/2019	03/07/2019	22	04/25/2019	71
The Hartford	$51.37	CB19-0000135	02/06/2019	02/27/2019	21	04/18/2019	71
Liberty Mutual Insurance	$213.92	CB19-0000059	01/22/2019	02/19/2019	28	04/03/2019	71
Liberty Mutual Insurance	$650.00	CB22-0000894	04/15/2022	05/09/2022	24	06/24/2022	70
Liberty Mutual Insurance	$1,316.25	CB22-0000882	04/13/2022	05/06/2022	23	06/22/2022	70
Sedgwick Claims Management Services	$325.00	CB22-0000285	02/11/2022	03/15/2022	32	04/22/2022	70
Gallagher Bassett	$222.94	CB22-0000270	02/09/2022	03/14/2022	33	04/20/2022	70
AIG Claims, Inc.	$65.00	CB21-0002007	08/30/2021	09/29/2021	30	11/08/2021	70
Farmers Insurance	$1,125.00	CB21-0001995	08/27/2021	09/24/2021	28	11/05/2021	70
Gallagher Bassett	$1,625.00	CB21-0001994	08/27/2021	09/24/2021	28	11/05/2021	70
Liberty Mutual Insurance	$650.00	CB21-0001986	08/27/2021	09/24/2021	28	11/05/2021	70
Sedgwick Claims Management Services	$59.15	CB21-0001985	08/27/2021	09/24/2021	28	11/05/2021	70
Sedgwick Claims Management Services	$225.00	CB21-0001987	08/27/2021	09/24/2021	28	11/05/2021	70
Gallagher Bassett	$201.73	CB21-0000473	03/12/2021	04/14/2021	33	05/21/2021	70
Berkshire Hathaway Homestate Companies	$273.41	CB21-0000231	02/11/2021	03/08/2021	25	04/22/2021	70
Employers Compensation Insurance Company	$1,812.50	CB20-0001732	12/03/2020	12/24/2020	21	02/11/2021	70
Gallagher Bassett	$15.18	CB20-0000433	03/20/2020	04/09/2020	20	05/29/2020	70
State Compensation Insurance Fund	$63.12	CB20-0000272	02/19/2020	03/12/2020	22	04/29/2020	70
Contra Costa County Risk Management	$15.61	CB20-0000045	01/14/2020	01/31/2020	17	03/24/2020	70
Sedgwick Claims Management Services	$19.28	CB19-0000178	02/13/2019	03/07/2019	22	04/24/2019	70
Liberty Mutual Insurance	$129.13	CB19-0000058	01/22/2019	02/15/2019	24	04/02/2019	70
Cannon Cochran Management Services Inc.	$455.00	CB22-0001575	07/07/2022	08/08/2022	32	09/14/2022	69
Insurance Company of the West	$225.95	CB22-0001051	05/10/2022	06/03/2022	24	07/18/2022	69
Liberty Mutual Insurance	$1,719.63	CB22-0001006	05/03/2022	06/01/2022	29	07/11/2022	69
Sedgwick Claims Management Services	$298.83	CB21-0000288	02/18/2021	03/24/2021	34	04/28/2021	69
Sedgwick Claims Management Services	$21.02	CB20-0000274	02/20/2020	03/12/2020	21	04/29/2020	69
Sedgwick Claims Management Services	$19.28	CB19-0000131	02/06/2019	02/27/2019	21	04/16/2019	69
Meadowbrook Insurance Group	$81.71	CB21-0001025	05/21/2021	06/11/2021	21	07/28/2021	68
Sedgwick Claims Management Services	$500.00	CB20-0001305	09/02/2020	09/24/2020	22	11/09/2020	68
Cottingham & Butler Claim Services, Inc.	$625.00	CB20-0001120	07/24/2020	08/17/2020	24	09/30/2020	68
Sedgwick Claims Management Services	$203.64	CB19-0001283	10/17/2019	11/07/2019	21	12/24/2019	68
Employers Compensation Insurance Company	$1,937.50	CB19-0000028	01/10/2019	01/31/2019	21	03/19/2019	68
Sedgwick Claims Management Services	$938.00	CB22-0000744	03/31/2022	04/28/2022	28	06/06/2022	67
Athens Administrators	$50.43	CB22-0000330	02/18/2022	03/17/2022	27	04/26/2022	67
Helmsman Management Services	$176.20	CB21-0000866	04/30/2021	05/24/2021	24	07/06/2021	67
Liberty Mutual Insurance	$176.20	CB21-0000864	04/30/2021	05/24/2021	24	07/06/2021	67
State Compensation Insurance Fund	$78.13	CB21-0000859	04/30/2021	05/24/2021	24	07/06/2021	67
Zurich Insurance North America	$121.44	CB21-0000708	04/12/2021	05/04/2021	22	06/18/2021	67
Sedgwick Claims Management Services	$500.00	CB20-0001587	11/06/2020	11/30/2020	24	01/12/2021	67
Sedgwick Claims Management Services	$135.86	CB20-0001282	08/31/2020	09/22/2020	22	11/06/2020	67
Gallagher Bassett	$15.18	CB20-0000437	03/23/2020	04/10/2020	18	05/29/2020	67
Contra Costa County Risk Management	$36.59	CB20-0000142	01/27/2020	02/19/2020	23	04/03/2020	67
Liberty Mutual Insurance	$41.81	CB19-0000237	02/25/2019	03/15/2019	18	05/03/2019	67
Sedgwick Claims Management Services	$31.74	CB19-0000238	02/25/2019	03/15/2019	18	05/03/2019	67
Liberty Mutual Insurance	$29.97	CB19-0000106	01/31/2019	02/21/2019	21	04/08/2019	67
Liberty Mutual Insurance	$29.97	CB19-0000107	01/31/2019	02/21/2019	21	04/08/2019	67
Gallagher Bassett	$177.39	CB19-0000049	01/17/2019	02/07/2019	21	03/25/2019	67
Liberty Mutual Insurance	$877.50	CB22-0001881	08/09/2022	08/31/2022	22	10/14/2022	66
Zurich Insurance North America	$650.00	CB22-0001880	08/09/2022	08/31/2022	22	10/14/2022	66
Albertsons / Safeway / Vons	$201.50	CB21-0001816	08/10/2021	09/01/2021	22	10/15/2021	66
Protective Insurance	$1,604.43	CB21-0000764	04/20/2021	05/12/2021	22	06/25/2021	66
Gallagher Bassett	$135.86	CB21-0000420	03/05/2021	03/29/2021	24	05/10/2021	66
Sedgwick Claims Management Services	$131.30	CB21-0000419	03/05/2021	03/29/2021	24	05/10/2021	66
Athens Administrators	$10.31	CB21-0000202	02/05/2021	03/01/2021	24	04/12/2021	66
Athens Administrators	$131.30	CB20-0001649	11/17/2020	12/10/2020	23	01/22/2021	66
Berkshire Hathaway Homestate Companies	$193.66	CB20-0001475	10/09/2020	10/30/2020	21	12/14/2020	66
Liberty Mutual Insurance	$500.00	CB20-0001349	09/15/2020	10/06/2020	21	11/20/2020	66
Farmers Insurance	$138.63	CB19-0001242	10/07/2019	10/25/2019	18	12/12/2019	66
AmTrust North America	$589.11	CB21-0001585	07/19/2021	08/10/2021	22	09/22/2021	65
Pacific Compensation Insurance Company	$503.75	CB21-0001043	05/24/2021	06/15/2021	22	07/28/2021	65
Zurich Insurance North America	$169.89	CB21-0000707	04/12/2021	05/04/2021	22	06/16/2021	65
Employers Compensation Insurance Company	$2,000.00	CB20-0001830	12/23/2020	01/13/2021	21	02/26/2021	65
Preferred Employers Insurance Company	$62.29	CB20-0001317	09/09/2020	09/30/2020	21	11/13/2020	65
Employers Compensation Insurance Company	$1,812.50	CB20-0001134	07/29/2020	08/18/2020	20	10/02/2020	65
Municipal Pooling Authority (CA)	$135.86	CB20-0000251	02/18/2020	03/09/2020	20	04/23/2020	65
Sedgwick Claims Management Services	$10.85	CB20-0000249	02/18/2020	03/09/2020	20	04/23/2020	65
State Compensation Insurance Fund	$21.03	CB20-0000248	02/18/2020	03/09/2020	20	04/23/2020	65
Liberty Mutual Insurance	$29.97	CB19-0000132	02/06/2019	02/27/2019	21	04/12/2019	65
Sedgwick Claims Management Services	$144.60	CB21-0001183	06/07/2021	07/01/2021	24	08/10/2021	64
Travelers	$1,312.50	CB21-0000765	04/20/2021	05/12/2021	22	06/23/2021	64
Sedgwick Claims Management Services	$625.00	CB21-0000436	03/09/2021	04/01/2021	23	05/12/2021	64
Employers Compensation Insurance Company	$1,937.50	CB20-0001731	12/03/2020	12/24/2020	21	02/05/2021	64
Athens Administrators	$131.30	CB20-0001663	11/19/2020	12/10/2020	21	01/22/2021	64
Athens Administrators	$131.30	CB20-0001664	11/19/2020	12/10/2020	21	01/22/2021	64
Pacific Compensation Insurance Company	$353.31	CB20-0001370	09/21/2020	10/13/2020	22	11/24/2020	64
American Claims Management, Inc	$40.68	CB19-0000133	02/06/2019	02/27/2019	21	04/11/2019	64
Markel First Comp Insurance	$61.50	CB21-0001418	07/01/2021	07/28/2021	27	09/02/2021	63
Sedgwick Claims Management Services	$375.00	CB21-0001420	07/01/2021	07/28/2021	27	09/02/2021	63
Sedgwick Claims Management Services	$937.50	CB21-0001216	06/10/2021	07/02/2021	22	08/12/2021	63
Guard Insurance Group	$421.87	CB21-0000922	05/07/2021	05/28/2021	21	07/09/2021	63
Sedgwick Claims Management Services	$176.20	CB21-0000863	04/30/2021	05/24/2021	24	07/02/2021	63
Travelers	$176.20	CB21-0000862	04/30/2021	05/24/2021	24	07/02/2021	63
City and County of San Francisco (CA)	$35.65	CB21-0000784	04/23/2021	05/13/2021	20	06/25/2021	63
Zurich Insurance North America	$121.44	CB21-0000596	03/30/2021	04/19/2021	20	06/01/2021	63
Sedgwick Claims Management Services	$135.86	CB21-0000474	03/12/2021	04/02/2021	21	05/14/2021	63
Sedgwick Claims Management Services	$135.86	CB21-0000478	03/12/2021	04/02/2021	21	05/14/2021	63
American Claims Management, Inc	$21.12	CB21-0000199	02/05/2021	03/01/2021	24	04/09/2021	63
Gallagher Bassett	$500.00	CB20-0001647	11/17/2020	12/10/2020	23	01/19/2021	63
Pacific Compensation Insurance Company	$875.00	CB20-0001646	11/17/2020	12/09/2020	22	01/19/2021	63
Sedgwick Claims Management Services	$12,312.50	CB20-0001645	11/17/2020	12/09/2020	22	01/19/2021	63
Keenan & Associates	$1,640.49	CB18-0000146	02/08/2018	03/08/2018	28	04/12/2018	63
Albertsons / Safeway / Vons	$742.71	CB22-0000026	01/07/2022	01/28/2022	21	03/10/2022	62
Albertsons / Safeway / Vons	$136.50	CB21-0001494	07/09/2021	08/02/2021	24	09/09/2021	62
Acclamation Insurance Management Services	$546.91	CB21-0001284	06/17/2021	07/09/2021	22	08/18/2021	62
Intercare Holdings Insurance	$375.00	CB21-0001285	06/17/2021	07/09/2021	22	08/18/2021	62
Gallagher Bassett	$250.00	CB20-0001696	11/25/2020	12/18/2020	23	01/26/2021	62
Gallagher Bassett	$500.00	CB20-0001697	11/25/2020	12/18/2020	23	01/26/2021	62
Gallagher Bassett	$437.50	CB20-0001698	11/25/2020	12/18/2020	23	01/26/2021	62
Travelers	$250.00	CB20-0001699	11/25/2020	12/18/2020	23	01/26/2021	62
Sedgwick Claims Management Services	$312.50	CB20-0001545	10/27/2020	11/17/2020	21	12/28/2020	62
Berkshire Hathaway Homestate Companies	$135.86	CB20-0001526	10/23/2020	11/13/2020	21	12/24/2020	62
Berkshire Hathaway Homestate Companies	$131.30	CB20-0001527	10/23/2020	11/13/2020	21	12/24/2020	62
Pacific Gas & Electric	$71.44	CB18-0000489	05/04/2018	05/25/2018	21	07/05/2018	62
Sedgwick Claims Management Services	$135.86	CB21-0001322	06/23/2021	07/14/2021	21	08/23/2021	61
Helmsman Management Services	$1,500.00	CB21-0001168	06/04/2021	06/28/2021	24	08/04/2021	61
Liberty Mutual Insurance	$375.00	CB21-0001169	06/04/2021	06/28/2021	24	08/04/2021	61
Sedgwick Claims Management Services	$875.00	CB21-0001166	06/04/2021	06/28/2021	24	08/04/2021	61
Gallagher Bassett	$1,250.00	CB20-0001523	10/23/2020	11/13/2020	21	12/22/2020	60
National Casualty Company	$149.32	CB18-0000485	05/03/2018	05/24/2018	21	07/02/2018	60
Barrett Business Services	$106.13	CB18-0000455	04/26/2018	06/18/2018	53	06/25/2018	60
Berkshire Hathaway Homestate Companies	$487.30	CB21-0001182	06/07/2021	06/30/2021	23	08/05/2021	59
Gallagher Bassett	$4,187.50	CB21-0000471	03/12/2021	04/02/2021	21	05/10/2021	59
Athens Administrators	$176.06	CB20-0001595	11/09/2020	12/01/2020	22	01/07/2021	59
Zurich Insurance North America	$121.44	CB20-0001539	10/26/2020	11/16/2020	21	12/24/2020	59
Gallagher Bassett	$209.04	CB18-0001090	08/27/2018	09/14/2018	18	10/25/2018	59
Sedgwick Claims Management Services	$750.00	CB21-0000072	01/19/2021	02/16/2021	28	03/18/2021	58
Matrix Absence Management	$1,062.50	CB20-0001756	12/08/2020	12/30/2020	22	02/04/2021	58
Zurich Insurance North America	$500.00	CB20-0001797	12/16/2020	01/06/2021	21	02/11/2021	57
Sedgwick Claims Management Services	$1,750.00	CB20-0001606	11/11/2020	12/01/2020	20	01/07/2021	57
The Hartford	$1,312.50	CB21-0000396	03/03/2021	03/25/2021	22	04/28/2021	56
Cottingham & Butler Claim Services, Inc.	$875.00	CB21-0000289	02/18/2021	03/11/2021	21	04/15/2021	56
Sedgwick Claims Management Services	$190.65	CB21-0000229	02/11/2021	03/08/2021	25	04/08/2021	56
The Hartford	$625.00	CB20-0001764	12/10/2020	12/31/2020	21	02/04/2021	56
State Compensation Insurance Fund	$150.59	CB20-0001584	11/05/2020	11/25/2020	20	12/31/2020	56
Albertsons / Safeway / Vons	$3,500.00	CB21-0000026	01/07/2021	01/29/2021	22	03/03/2021	55
Liberty Mutual Insurance	$215.46	CB21-0000024	01/07/2021	01/29/2021	22	03/03/2021	55
Sedgwick Claims Management Services	$236.65	CB18-0000482	05/03/2018	06/19/2018	47	06/27/2018	55
Berkshire Hathaway Homestate Companies	$437.50	CB21-0000335	02/25/2021	03/17/2021	20	04/19/2021	53
Sedgwick Claims Management Services	$1,000.00	CB21-0000336	02/25/2021	03/17/2021	20	04/19/2021	53
Liberty Mutual Insurance	$141.41	CB21-0000025	01/07/2021	01/29/2021	22	03/01/2021	53
Sedgwick Claims Management Services	$500.00	CB20-0001757	12/08/2020	12/30/2020	22	01/29/2021	52
Sedgwick Claims Management Services	$500.00	CB21-0000168	02/03/2021	02/24/2021	21	03/26/2021	51
Sedgwick Claims Management Services	$750.00	CB21-0000169	02/03/2021	02/24/2021	21	03/26/2021	51
Gallagher Bassett	$553.00	CB18-0001167	09/10/2018	09/28/2018	18	10/31/2018	51
Travelers	$161.78	CB18-0000903	07/25/2018	08/31/2018	37	09/14/2018	51
Pacific Gas & Electric	$193.52	CB18-0000150	02/08/2018	03/09/2018	29	03/30/2018	50
Zurich Insurance North America	$82.31	CB18-0000148	02/08/2018	03/08/2018	28	03/30/2018	50
Farmers Insurance	$82.31	CB18-0000147	02/08/2018	03/08/2018	28	03/29/2018	49
Farmers Insurance	$111.21	CB18-0000217	02/21/2018	03/14/2018	21	04/10/2018	48
Farmers Insurance	$111.21	CB18-0000219	02/21/2018	03/14/2018	21	04/10/2018	48
Chubb Group of Insurance Companies	$111.21	CB18-0000214	02/21/2018	03/14/2018	21	04/09/2018	47
Farmers Insurance	$105.22	CB18-0000169	02/13/2018	03/06/2018	21	03/29/2018	44
County of Sacramento	$526.10	CB18-0000119	02/01/2018	02/22/2018	21	03/16/2018	43
State Compensation Insurance Fund	$87.43	CB18-0000188	02/15/2018	03/08/2018	21	03/29/2018	42
Athens Administrators	$111.21	CB18-0000118	02/01/2018	02/22/2018	21	03/15/2018	42
Farmers Insurance	$111.21	CB18-0000120	02/01/2018	02/22/2018	21	03/14/2018	41
ARGO - Argonaut Insurance Company	$222.40	CB18-0000117	02/02/2018	02/22/2018	20	03/14/2018	40
Athens Administrators	$213.92	CB18-0000904	07/25/2018	08/20/2018	26	08/31/2018	37
Gallagher Bassett	$553.00	CB18-0001020	08/16/2018	09/05/2018	20	09/21/2018	36
City of Los Angeles	$55.37	CB18-0000333	03/22/2018	04/12/2018	21	04/27/2018	36
Tristar Risk Management	$55.37	CB18-0000495	05/08/2018	05/30/2018	22	06/12/2018	35
Gallagher Bassett	$468.75	CB18-0000392	04/12/2018	05/01/2018	19	05/17/2018	35
Farmers Insurance	$216.43	CB18-0000149	02/08/2018	03/01/2018	21	03/14/2018	34
Gallagher Bassett	$225.94	CB18-0000385	04/11/2018	04/30/2018	19	05/14/2018	33
Acclamation Insurance Management Services	$55.36	CB18-0000759	06/27/2018	07/19/2018	22	07/27/2018	30
Sedgwick Claims Management Services	$150.99	CB18-0000637	06/05/2018	06/25/2018	20	07/03/2018	28

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