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PN 04 99 01 H ( Ed . 05 -20) After you send your Complaint and Request for Action , we have 30 days to send you a written notice indicating whether or not your written request will be reviewed . If we agree to review your request, we must conduct the review and issue a decision granting or rejecting your request within 60 days after sending you the written notice granting review . If we decline to review your request, if you are dissatisfied with the decision upon review , or if we fail to grant or reject your request or issue a decision upon review, you may appeal to the Insurance Commissioner as described in paragraph II . C . , below. B. Disputing the Actions of the WCIRB . If you have been aggrieved by any decision , action , or omission to act of the WCIRB , you may request, in writing , that the WCIRB reconsider its decision , action , or omission to act. You may also request, in writing , that the WCIRB review the manner in which its rating system has been applied in connection with the insurance afforded or offered you . For requests related to classification disputes , the reporting of experience , or coverage issues , your initial request for review must be received by the WCIRB within 12 months after the expiration date of the policy to which the request for review pertains , except if the request involves the application of the Revision of Losses rule . For requests related to your experience modification , your initial request for review must be received by the WCIRB within 6 months after the issuance , or 12 months after the expiration date , of the experience modification to which the request for review pertains , whichever is later, except if the request for review involves the application of the Revision of Losses rule . If the request involves the Revision of Losses rule , the time to state your appeal may be longer. (See Section VI , Rule 7 of the ERP ) . You may commence the review process by sending the WCIRB a written Inquiry . Written Inquiries should be sent to : WCIRB , 1221 Broadway, Suite 900 , Oakland , CA 94612 , Attn : Customer Service . Customer Service can be reached at 888 . 229 . 2472 ( phone) , 415 . 778. 7272 (fax) and customerservice (a')wcirb . com (email) . If you are dissatisfied with the WCIRB Is decision upon an Inquiry , or if the WCIRB fails to respond within 90 days after receipt of the Inquiry , you may pursue the subject of the Inquiry by sending the WCIRB a written Complaint and Request for Action . After you send your Complaint and Request for Action , the WCIRB has 30 days to send you written notice indicating whether or not your written request will be reviewed . If the WCIRB agrees to review your request, it must conduct the review and issue a decision granting or rejecting your request within 60 days after sending you the written notice granting review. If the WCIRB declines to review your request, if you are dissatisfied with the decision upon review, or if the WCIRB fails to grant or reject your request or issue a decision upon review, you may appeal to the Insurance Commissioner as described in paragraph II . C . , below. Written Complaints and Requests for Action should be forwarded to : WCIRB , 1221 Broadway , Suite 900 , Oakland , CA 94612 , Attn : Complaints and Reconsideration , The WCIRB 's contact information is 888 . 229 . 2472 (phone) , 415 . 371 . 5204 (fax) and customerservice(a)wcirb . com (email) . C . California Department of Insurance — Appeals to the Insurance Commissioner. After you follow the appropriate dispute resolution process described above , if ( 1 ) we or the WCIRB decline to review your request, (2 ) you are dissatisfied with the decision upon review, or (3) we or the WCIRB fail to grant or reject your request or issue a decision upon review , you may appeal to the Insurance Commissioner pursuant to CIC Sections 11737 , 11752 . 61 11753 . 1 and Title 10 , California Code of Regulations , Section 2509 . 40 et seq . You must file your appeal within 30 days after we or the WCIRB send you the notice rejecting review of your Complaint and Request for Action or the decision upon your Complaint and Request for Action . If no written decision regarding your Complaint and Request for Action is sent, your appeal must be filed within 120 days after you sent your Complaint and Request for Action to us or to the WCIRB . The filing address for all appeals to the Insurance Commissioner is : Administrative Hearing Bureau California Department of Insurance 1901 Harrison Street, 3rd Floor Oakland , CA 94612 415 . 538 . 4243 i You have the right to a hearing before the Insurance Commissioner, and our action , or the action of the WCIRB , may be affirmed , modified or reversed . III . Resources Available to You in Obtaining Information and Pursuing Disputes A . Policyholder Ombudsman . Pursuant to California Insurance Code Section 11752 . 6 , a policyholder ombudsman is available at the WCIRB to assist you in obtaining and evaluating the rating , policy , and claims information referenced in I . A. and I . B . , above . The ombudsman may advise you on any dispute with us , the WCIRB , or on an appeal to the Insurance Commissioner pursuant to Section 11737 of the Insurance Code . The address of the policyholder ombudsman is WCIRB , 1221 Broadway , Suite 900 , Oakland , CA 94612 , Attn : Policyholder Ombudsman . The policyholder ombudsman can be reached at 415 . 778 . 7159 (phone) , 415 . 371 . 5288 (fax) and ombudsman (a)wcirb . com (email ) . B . California Department of Insurance — Information and Assistance . Information and assistance on policy questions can be obtained from the Department of Insurance Consumer HOTLINE , 800 . 927 . HELP (4357 ) or insurance . ca . goy. For questions and correspondence regarding appeals to the Administrative Hearing Bureau , see the contact information in paragraph II . C . This notice does not change the policy to which it is attached . PN 04 99 01 H 2 of 2 ( Edo 05m20)