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0eroactallosseswereincrreddringteeperienceperiod.Tisypoteticalratingcalclationis <br />proided for informational prposes only. <br />II.Ejtqvuf!Qspdftt <br />Yo may dispte or actions or te actions of te WCIRB prsant to CIC Sections 113 and 113.1. <br />B/Pvs!Ejtqvuf!Sftpmvujpo!Qspdftt/ <br />YomaysendsawrittenComplaintandReestforActionreestingtatwereconsideracangeina <br />classificationassignmenttatresltsinanincreasedpremimand/orreestingtatwereiewtemannerin <br />wicorratingsystemaseenappliedinconnectionwitteinsranceaffordedorofferedyo.Written <br />Complaints and Reests for Action sold e forwarded to <br />Ibsugpse!Dbtvbmuz!Jotvsbodf!Dpnqboz <br />Pof!Qpjouf!Esjwf-!Tvjuf!311-!Csfb-!DB!:3932<!Ufmfqipof!)911*!562.7:55<!Gby!)971*!834.539:/ <br />AfteryosendyorComplaintandReestforAction,weae30daystosendyoawrittennotice <br />indicatingweteryorwrittenreestwillereiewed.Ifweagreetoreiewyorreest,wemstcondct <br />tereiewandisseadecisiongrantingorreectingyorreestwitin60daysaftersendingyotewritten <br />noticegrantingreiew.Ifwedeclinetoreiewyorreest,ifyoaredissatisfiedwittedecisionpon <br />reiew,orifwefailtograntorreectyorreestorisseadecisionponreiew,yomayappealtote <br />Insrance Commissioner as descried in paragrap II.C., elow. <br />C/EjtqvujohuifBdujpotpguifXDJSC/Ifyoaeeenaggrieedyanydecision,action,oromissiontoact <br />ofteWCIRB,yomayreest,inwriting,tatteWCIRBreconsideritsdecision,action,oromissiontoact. <br />Yomayalsoreest,inwriting,tatteWCIRBreiewtemannerinwicitsratingsystemaseen <br />appliedinconnectionwitteinsranceaffordedorofferedyo.Forreestsrelatedtoclassification <br />disptes,tereportingofeperience,orcoerageisses,yorinitialreestforreiewmstereceiedy <br />teWCIRBwitin12montsafterteepirationdateoftepolicytowictereestforreiewpertains, <br />eceptiftereestinolesteapplicationofteReisionofLossesrle.Forreestsrelatedtoyor <br />eperiencemodification,yorinitialreestforreiewmstereceiedyteWCIRBwitin6montsafter <br />teissance,or12montsafterteepirationdate,ofteeperiencemodificationtowictereestfor <br />reiewpertains,wiceerislater,eceptiftereestforreiewinolesteapplicationofteReisionof <br />Lossesrle.IftereestinolesteReisionofLossesrle,tetimetostateyorappealmayelonger. <br />See Section I, Rle  of te ERP. <br />YomaycommencetereiewprocessysendingteWCIRBawrittenIniry.WrittenIniriessolde <br />senttoXDJSC-PofNpouhpnfszTusffu-Tvjuf511-TboGsbodjtdp-DB:5215-Buuo;DvtupnfsTfswjdf/ <br />DvtupnfsTfswjdfdbocfsfbdifebu999/33:/3583)qipof*-526/889/8383)gby*boe <br />dvtupnfstfswjdfAxdjsc/dpn!)fnbjm*/ <br />IfyoaredissatisfiedwitteWCIRBsdecisionponanIniry,orifteWCIRBfailstorespondwitin90 <br />daysafterreceiptofteIniry,yomayprsetesectofteIniryysendingteWCIRBawritten <br />ComplaintandReestforAction.AfteryosendyorComplaintandReestforAction,teWCIRBas30 <br />daystosendyowrittennoticeindicatingweteryorwrittenreestwillereiewed.IfteWCIRBagrees <br />toreiewyorreest,itmstcondcttereiewandisseadecisiongrantingorreectingyorreest <br />witin60daysaftersendingyotewrittennoticegrantingreiew.IfteWCIRBdeclinestoreiewyor <br />reest,ifyoaredissatisfiedwittedecisionponreiew,orifteWCIRBfailstograntorreectyor <br />reestorisseadecisionponreiew,yomayappealtoteInsranceCommissionerasdescriedin <br />paragrapII.C.,elow.WrittenComplaintsandReestsforActionsoldeforwardedtoXDJSC-Pof <br />NpouhpnfszTusffu-Tvjuf511-TboGsbodjtdp-DB:5215-Buuo;DpnqmbjoutboeSfdpotjefsbujpo/Uif <br />XDJSC(tdpoubdujogpsnbujpojt999/33:/3583)qipof*-526/482/6315)gby*boe <br />dvtupnfstfswjdfAxdjsc/dpn!)fnbjm*/ <br />D/DbmjgpsojbEfqbsunfoupgJotvsbodf.BqqfbmtupuifJotvsbodfDpnnjttjpofs/Afteryofollowte <br />appropriatedispteresoltionprocessdescriedaoe,if1weorteWCIRBdeclinetoreiewyor <br />reest,2yoaredissatisfiedwittedecisionponreiew,or3weorteWCIRBfailtograntorreect <br />yorreestorisseadecisionponreiew,yomayappealtoteInsranceCommissionerprsantto <br />CICSections113,112.6,113.1andTitle10,CaliforniaCodeofReglations,Section209.40etse. <br />Yomstfileyorappealwitin30daysafterweorteWCIRBsendyotenoticereectingreiewofyor <br />ComplaintandReestforActionortedecisionponyorComplaintandReestforAction.Ifnowritten <br />decisionregardingyorComplaintandReestforActionissent,yorappealmstefiledwitin120days <br />afteryosentyorComplaintandReestforActiontosortoteWCIRB.Tefilingaddressforallappeals <br />to te Insrance Commissioner is <br />Gpsn!QO!15!::!12!K!)17036*Printed in .S.A.Qbhf3!pg4 <br /> <br />