Laserfiche WebLink
DPNQMBJOU!OPUJDF; <br />EJTQVUF!SFTPMVUJPO!TFSWJDFT <br />ODDJ“T!EJTQVUF!SFTPMVUJPO!QSPDFTT!EPFT!OPU!BQQMZ!UP!XPSLFST!DPNQFOTBUJPO!DMBJNT/ <br />Gpsxpslfstdpnqfotbujpodmbjnejtqvuft-tff”DMBJNDPNQMBJOU•cfmpx/Gpsjttvftsfmbufeupbwjpmbujpopg <br />mbx!sfmbufe!up!zpvs!qpmjdz-!tff!”WJPMBUJPOT!PG!MBX•!cfmpx/ <br />JnqpsubouOpuf;TedispteresoltionsericesproidedtrogteDispteResoltionProcessProcessofte <br />ationalConcilonCompensationInsranceCCIare wpmvoubsz.TeProcessisnotanadministratieremedytat <br />msteeastedeforeyoprsereliefincort.singteProcessdoesnotpreentyoortecarriertatissed <br />te policy from prsing any aailale legal remedies at any time. <br />CCI can assist in te resoltion of a dispte regarding yor policy tat is related to any of te following matters <br />oTeapplicationorinterpretationofrlescontainedinteariosCCImanalsinclding,tnotlimitedto, <br />classification codes and eperience rating modifications <br />oRating programs <br />oEndorsements <br />oForms <br />Contacttecarriertatissedtepolicyandattempttoresoletedisptedirectly.Ifyoandtecarriercannotagree, <br />tencontactCCItoasforassistance.CCIs BasicManual rle,DispteResoltionProcess,addressesdisptes. <br />Yomayotaindispteresoltionsericesonlyafteryoaemadeareasonaleattempttofirstresoletedispte <br />directly wit te carrier and after yo ae paid any ndispted premim de to te carrier. <br />SendyorreestforassistanceymailtoCCI,DispteResoltionSerices,901PeninslaCorporateCircle,Boca <br />Raton, FL 3348-1362 or y fa to 61-893-043 or y email to dispteresoltionncci.com. <br />UIJTOPUJDFPGUIFEJTQVUFSFTPMVUJPOQSPDFTTJTGPSJOGPSNBUJPOPOMZBOEEPFTOPUCFDPNF <br />B!QBSU-!UFSN-!PS!DPOEJUJPO!PG!UIJT!QPMJDZ/ <br />WJPMBUJPOT!PG!MBX; <br />Ifyoelieetereaseenaiolationoflawrelatedtoyorpolicy,fileacomplaintwitteTeasDepartmentof <br />Insrance <br />Qipof; 1-800-22-3439 Pomjof; tdi.teas.go <br />Fnbjm; ConsmerProtectiontdi.teas.goNbjm; MC CO-CP, PO Bo 12030, Astin, T 811-2030 <br />DMBJN!DPNQMBJOU; <br />Iftereisaworerscompensationclaimcomplaintinolingoneofyoremployees,tencontactteTeasDepartment <br />ofInsrance-DiisionofWorersCompensation,ComplianceandInestigationsymailtoMCCI,POBo1200, <br />Astin, T 811-200 or y fa to 12-490-1030 or y email to DWCCOMPLAITStdi.teas.go. <br />UIJTOPUJDFJTGPSJOGPSNBUJPOPOMZBOEEPFTOPUCFDPNFBQBSU-UFSN-PSDPOEJUJPOPGUIJT <br />QPMJDZ/ <br />Gpsn!XD!53!14!12!M Printed in .S.A.Qbhf4!pg4 <br /> <br />