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 Insurance Company of the West (ICW)
Admitted "A-" Excellent (IX) rated carrier by A.M. Best Company.
 
States
CA
 

Targeted Classes of Business

  * Auto or Truck Dealers * Concrete or Cement Work
  * Country or Golf Clubs * Electrical Wiring
  * Hotels * Janitorial Services
  * Landscaping * Light Manufacturing
  * Machine Shops * Plastic
  * Plumbing Contractors * Restaurants
  * Retail / Wholesale Stores * Sheet Metal Work
 
Endorsement
Please email all endorsement requests to endorsementreq@singlepointins.com.
 
Loss Run Report
Please email all loss run requests to lossrunreq@singlepointins.com.
 
Audit Information
To file a dispute on a final audit, the insured must submit a formal letter of dispute within 30 days of the final audit billing.  We can help you faster if you:
  1. Please indicate specifically what is being disputed.
  2. Write the letter on company letterhead.
  3. Letter must be signed by a company officer.
  4. Provide supporting payroll records.
  5. Please submit the formal letter of dispute by fax or mail.
 
Waiver of Subrogation
Specific Waivers of Subrogation require underwriting approval and a charge of 5% of payroll per entity/job, subject to a $50 minimum charge per entity/job.  Requires certificate of insurance and completed job worksheet.
A specific waiver request must be accompanied by a job worksheet and certificates of insurance. A blank copy of a job worksheet can be found here.
Blanket Waivers of Subrogration require underwriting approval and a charge of 3% of the total policy premium.  No minimum charge is applicable.
Requests for blanket waivers should be made at the time the bind order is submitted. Blanket waiver requests received after inception will be processed mid-term. In order to consider a blanket waiver, the follwoing information is required:
  1. A list of jobs from the past six months and any prospective jobs. (Please include a brief description of the duties that the employees are performing.)
  2. A description of the safety procedures for employees at the worksite or construction site.
 
MPN
Medex Healthcare, Inc.
www.icwgroup.com/mpn
Tel: 562.498.6767
MPN Coordinator: Deidre Doughty, 800.877.1111
 
Claim Services
First Notice of Loss To Request Claim Forms:
P.O. Box 8556 ICW Group
San Diego, CA 92186-5563 Attn: Workers' Compensation Underwriting
Tel: 877.442.9669 P.O. Box 85563
Fax: 858.436.8916 San Diego, CA 92186-5563
Email: firstnotice@icwgroup.com Email: WCClaimsForms@icwgroup.com
 
Customer Service and Billing Information
Michielle Givens
ICW Premium Accounting
mgivens@icwgroup.com
Tel: 858.350.2994
Fax: 858.350.2802
All payments, except for deposits, should be paid and mailed to Singlepoint Insurance Services, Inc.