Michael D. Drobot Pacific Hospital of Long Beach

Michael D. Drobot Pacific Hospital of Long Beach Additional Case Information Page 1 Case number Injured Worker...

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Michael D. Drobot Pacific Hospital of Long Beach Additional Case Information Case number

Injured Worker

Employer

Claims administrator

ADJ2259171

DOLORES MORENO

7UP BOTTLING COMPANY

7UP/RC BOTTLING CO

ADJ1719616

LIRA LEBRON

99 CENT STORES

99" ONLY STORE

ADJ1719616

LIRA LEBRON

99 CENTS ONLY STORE

99" ONLY STORE

ADJ496698

JERONIMO GALLARDO

SOUTHWEST MARINE

ACCLAIM IRVINE

ADJ7190535

BETTY MYLES

COUNTY OF LOS ANGELES

ACCLAMATION 802108 SANTA CLARITA

ADJ8071516

ZHENIK AKOPYAN

COUNTY OF L A DEPT OF CHILDREN

ACCLAMATION 802108 SANTA CLARITA

ADJ846180

MICHAEL NESREEN

L A COUNTY PROBATION DEPT

ACCLAMATION 802108 SANTA CLARITA

ADJ4284751

LADONNA ROBINSON

GRANADA HILLS HOSP

ACCLAMATION FRESNO

ADJ4284751

LADONNA ROBINSON

GRANADA HILLS HOSPITAL

ACCLAMATION FRESNO

ADJ4308441

DENISE RODRIGUEZ

DANIEL FREEMAN MEMORIAL

ACCLAMATION FRESNO

FAM

HOSPITAL ADJ6451880

CHARITO NUNEZ

CITY OF DELANO

ACCLAMATION FRESNO

ADJ1242640 ADJ6748230

L KENYA SMITH WIGGS

COUNTY OF LOS ANGELES

ACCLAMATION SANTA CLARITA

RUSSELL REED

COUNTY OF LOS ANGELES

ACCLAMATION SANTA CLARITA

ADJ6748230

RUSSELL REED

OFFICE OF THE COUNTY COUNSEL

ACCLAMATION SANTA CLARITA

ADJ7904002

JO ANN WILLIAMS

COUNTY OF LOS ANGELES DEPT OF

ACCLAMATION SANTA CLARITA

CHILD SERVICES ADJ1103380

BARBARA MCGOWAN

INLAND PAPERBOARD & PACKAGING

ACE

INC ADJ1472382

ORA DICKSON

LOCKHEED MARTIN

ACE

ADJ1548254

LAWRENCE GONZALEZ

TIMEC

ACE

ADJ1548254

LAWRENCE GONZALEZ

TIMEC INC

ACE ACE

ADJ203871

JELKA SKORIC

AMPCO PARKING

ADJ2349516

ARMANDO SANCHEZ

RELIANCE STEEL

ACE

ADJ2411123

KEVIN NICHOLS

FOLEY ELECTRIC

ACE

ADJ2429736

JOSE CARRILLO

ACE

ADJ3650236

EVELYN ALDANA

SELECT STAFFING

ACE

ADJ598884

ROBERTO ATONAL

SELECT PERSONNEL

ACE

ADJ7804777

JUAN TORRES

PIERRE SPRINKLER AND LANDSCAPE

ACE

ADJ4212052

VICTOR MORENO

ASPEN DISTRIBUTION

ACE AMERICAN INSURANCE COMPANY

ADJ4212052

VICTOR MORENO

PACIFIC EXTERIORS INC

ACE AMERICAN INSURANCE COMPANY

ADJ1788202

IRENE NAVARRO

CITY OF EL MONTE

ADMINSURE DIAMOND BAR

ADJ1941549

JOSE MACIEL

WHITTIER UNION HIGH SCHOOL

ADMINSURE DIAMOND BAR

ADJ290765

JANICE ASHFORD

CITY OF INGLEWOOD

ADMINSURE DIAMOND BAR

ADJ290765

JANICE ASHFORD

CITY OF INGLEWOOD POLICE DEPT

ADMINSURE DIAMOND BAR

ADJ3365600

HUGO ESPARZA

COUNTY SANITATION DIST L A

ADMINSURE DIAMOND BAR

COUNTY ADJ6780464

KATHY ROBINSON

CITY OF HOPE

ADMINSURE DIAMOND BAR

ADJ7512141

SHELLEY BENJAMIN

CITY OF INGLEWOOD

ADMINSURE DIAMOND BAR

ADJ7767004

RAMONA LAFRANCE

CITY OF INGLEWOOD

ADMINSURE DIAMOND BAR

ADJ8045665

JOSE LUIS ARCOS

LOS ANGELES COMMUNITY COLLEGES

ADMINSURE DIAMOND BAR

ADJ8396668

JAMES MARSH

CITY OF DOWNEY FIRE DEPT

ADMINSURE DIAMOND BAR

ADJ3792880

MIGUEL FLORES

BBSI/SABROSO

ADVANTAGE ROCKLIN

Page 1

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1129988

GENEVIEVE CLAVREUL

GLENDALE ADVENTIST MEDICAL

ADVENTIST HEALTH ROSEVILLE

CNTR ADJ7139227

JOSE ARAGON

GLENDALE ADVENTIST MEDICAL

ADVENTIST HEALTH ROSEVILLE

CENTER ADJ1357308

RUTH CHARLES

GELSON'S MARKET

AIG AMERICAN INTL CLAIMS SERVICES

ADJ1357308

RUTH CHARLES

GELSON'S MARKET #6

AIG AMERICAN INTL CLAIMS SERVICES

ADJ1921048

STEVE CORDRAY

ENTERTAINMENT PARTNERS

AIG AMERICAN INTL CLAIMS SERVICES

ADJ1921048

STEVE CORDRAY

WARNER BROTHERS

AIG AMERICAN INTL CLAIMS SERVICES

ADJ3263529

LISA PRICE

HAPI MANAGEMENT INC

AIG AMERICAN INTL CLAIMS SERVICES

ADJ3363262

FRANCES SAUNDERS TIPPIN

BOEING COMPANY

AIG AMERICAN INTL CLAIMS SERVICES

ADJ3363262

FRANCES SAUNDERS TIPPIN

THE BOEING COMPANY

AIG AMERICAN INTL CLAIMS SERVICES

ADJ3887877

NELIA SARDIDO

G.T.E. VERIZON

AIG AMERICAN INTL CLAIMS SERVICES

ADJ3073005

JOAQUIN RIVERA

BENS ASPHALT SEAL AND COATING

AIG CLAIM SERVICES

ADJ1062268

ROBERT SOWMA

RAINBOW ENGINEERING

AIG CLAIMS CONCORD

ADJ1139914

MATEO SILVA

ADJ1357308

RUTH CHARLES

GELSON'S MARKET

AIG CLAIMS CONCORD AIG CLAIMS CONCORD

ADJ1357308

RUTH CHARLES

GELSON'S MARKET #6

AIG CLAIMS CONCORD

ADJ2180310

MARTHA VIRGEN

ROYAL COURT

AIG CLAIMS CONCORD

ADJ2536003

ROBIN CRADER

BECKMAN COULTER INC

AIG CLAIMS CONCORD

ADJ2643505

ANNIE COVIN

NORTHROP GRUMMAN

AIG CLAIMS CONCORD

ADJ3902747

CHRISTOPHER COLLINS

WAREHOUSE EQUIPMENT

AIG CLAIMS CONCORD

ADJ3902747

CHRISTOPHER COLLINS

WAREHOUSE EQUIPMENT, INC.

AIG CLAIMS CONCORD

ADJ4183519

CYNTHIA THOMPSON

DRAKE CERTIVO

AIG CLAIMS CONCORD

ADJ4183519

CYNTHIA THOMPSON

DRAKE CERTIVO INC

AIG CLAIMS CONCORD

ADJ926199

MICHELLE EVANS

BANK OF AMERICA

AIG CLAIMS CONCORD AIG CLAIMS COSTA MESA

ADJ1030031

JOSE AREVALO

TOBIN, LUCKS & GOLDMAN

ADJ1046462

TAMMY TROGLIN

ENTERTAINMENT PARTNERS

AIG CLAIMS COSTA MESA

ADJ1386722

EDDIE VALDIVIA

NORTHROP GRUMMAN

AIG CLAIMS COSTA MESA

ADJ1432513

DAVID RIDDING

KEDREN COMMUNITY HEALTH

AIG CLAIMS COSTA MESA

CENTER ADJ1480265

MARIA CEBALLOS

ADJ1593443

ANTONIO REYES

J.C. PENNY LOGISTICS

AIG CLAIMS COSTA MESA AIG CLAIMS COSTA MESA

ADJ1861342

DAWN WALKER

SKYWEST AIRLINES

AIG CLAIMS COSTA MESA

ADJ1863051

KELSEY MADDOX

TRADER JOE'E

AIG CLAIMS COSTA MESA

ADJ1921048

STEVE CORDRAY

ENTERTAINMENT PARTNERS

AIG CLAIMS COSTA MESA

ADJ1921048

STEVE CORDRAY

WARNER BROTHERS

AIG CLAIMS COSTA MESA

ADJ2127502

JOSE ORTEGA MARQUEZ

HARBOR RAIL SERVICES OF

AIG CLAIMS COSTA MESA

CALIFORNIA ADJ2176209

MIGUEL DELGADILLO

LANE FRAMING SYSTEMS INC

AIG CLAIMS COSTA MESA

ADJ2364181

JOSE ANGEL TAPIA IXTA

POTENTIAL INDUSTRIES

AIG CLAIMS COSTA MESA

ADJ2443167

FRANK MARISCAL

CTR PRINTING

AIG CLAIMS COSTA MESA

ADJ2501329

JOSHUA PINA

AUTO CHLOR SYSTEMS

AIG CLAIMS COSTA MESA

ADJ251786

LINDA SMITH ARNOLD

ENTERTAINMENT PARTNERS

AIG CLAIMS COSTA MESA

Page 2

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2630657

SANDRA MORTON

LEHMAN BROTHERS HOLDING INC

AIG CLAIMS COSTA MESA

ADJ2677684

ROSSLYN ELMORE MORRIS

MCDONNELL DOUGLAS CORP.

AIG CLAIMS COSTA MESA

ADJ2705470

DALE ERVIN

STAFF MARK

AIG CLAIMS COSTA MESA

ADJ273194

JAMES GOODMAN

MGE UPS SYSTEMS

AIG CLAIMS COSTA MESA

ADJ3036684

RUTH STILL

VERIZON

AIG CLAIMS COSTA MESA

ADJ3073005

JOAQUIN RIVERA

BENS ASPHALT SEAL AND COATING

AIG CLAIMS COSTA MESA

ADJ3136111

DAVID T DURBORAW

AXIUM INTERNATIONAL

AIG CLAIMS COSTA MESA

ADJ3136111

DAVID T DURBORAW

CAST & CREW PRODUCTION

AIG CLAIMS COSTA MESA

PAYROLL INC ADJ3136111

DAVID T DURBORAW

ENTERTAINMENT PARTNERS

AIG CLAIMS COSTA MESA

ADJ3154751

AMY MARTIN

MONTAGE RESORT

AIG CLAIMS COSTA MESA

ADJ3222155

CARMEN GIL

J.C. PENNEY

AIG CLAIMS COSTA MESA

ADJ3231061

STEPHEN TREVINO

BRIAN KORINER

AIG CLAIMS COSTA MESA

ADJ3477816

GIL CRENSHAW

NORTHROP GRUMMAN

AIG CLAIMS COSTA MESA

ADJ3640706

RICHARD TEALOR

CROWN DISPOSAL COMPANY INC

AIG CLAIMS COSTA MESA

ADJ3672183

ALFONSO CORRAL

AIG CLAIMS COSTA MESA

ADJ3854079

JOSE GARCIA

WING LEE FARMS

AIG CLAIMS COSTA MESA

ADJ3977675

KEITH SIMIEN

CRST INTERNATIONAL

AIG CLAIMS COSTA MESA

ADJ3988151

ROSE CALDERON

LASERLYTE

ADJ4305002

LOUISE COLEMAN

TTCC, INC.

AIG CLAIMS COSTA MESA

ADJ4367196

ENRIQUE CUEVAS

SIMMONS

AIG CLAIMS COSTA MESA

ADJ4417255

RONNIE HURST

ALLIAD WASTE

AIG CLAIMS COSTA MESA

ADJ4700809

RAY RAMIREZ

NATIONAL OAK DISTRIBUTORS

AIG CLAIMS COSTA MESA

INCORPORATED AIG CLAIMS COSTA MESA

ADJ6506806

PERLA SOSA

CPR STAFFING

AIG CLAIMS COSTA MESA

ADJ666229

CANDIDA SILVA

PEERLESS BUILDING

AIG CLAIMS COSTA MESA

ADJ6699463

CLEMENCIA SUAREZ LOPEZ

WAL MART

AIG CLAIMS COSTA MESA

ADJ6711322

ANTONIO OLIVO

CITI STAFF SOLUTIONS INC

AIG CLAIMS COSTA MESA

JAM INDUSTRIES INC DBA JAM

AIG CLAIMS COSTA MESA

DECEASED ADJ6724087

MAYRA ROQUEZ

WAREHOUSE ADJ6737703

MARIA TOVAR

ADJ6852886

CHRISTOPHER MOORE

G-2 SECURE STAFF

AIG CLAIMS COSTA MESA

AIG CLAIMS COSTA MESA

ADJ6946204

LORETTA DARDEN

SHELLDS FOR FAMILIES

AIG CLAIMS COSTA MESA

ADJ6961509

KAREN MAZON

PORTS AMERICA

AIG CLAIMS COSTA MESA

ADJ6963945

CHRISTOPHER PASCUZZO

ENTERTAINMENT PARTNERS

AIG CLAIMS COSTA MESA

ADJ7002068

SUSAN MILLER

SONUS HEARING CARE

AIG CLAIMS COSTA MESA

ADJ7176344

JORGE GARCIA LEMUS

SMART PARTY RENTALS INC

AIG CLAIMS COSTA MESA

ADJ7232700

LEE SHEPARD

BURRTEC WASTE GROUP INC

AIG CLAIMS COSTA MESA

ADJ7305003

DAVID CAST

NORTHROP GRUMMAN

AIG CLAIMS COSTA MESA

ADJ7305247

LUIZ IRIAS LI

SOUTHERN CALIFORNIA PIZZA

AIG CLAIMS COSTA MESA

COMPANY PIZZA HUT

Page 3

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7410042

DONALD KENNEY

BRITISH TELECOM

AIG CLAIMS COSTA MESA

ADJ7447861

LAURA DE GALVEZ

UNIFIED CARE SERVICES INC DBA

AIG CLAIMS COSTA MESA

ADJ750791

ARTURO CONTRERAS

NOVESTAFF RESOURCE GROUP, LLC.

AIG CLAIMS COSTA MESA

ADJ750791

ARTURO CONTRERAS

UEBTF LOS ANGELES

AIG CLAIMS COSTA MESA

ADJ7578897

EDWARD ORTIZ

CRAFT RESOURCES

AIG CLAIMS COSTA MESA

ADJ7608132

HARVEY AMEZCUA

PENHALL

AIG CLAIMS COSTA MESA

ADJ7638366

JOSE MARTINEZ

CPS EXPRESS

AIG CLAIMS COSTA MESA

ADJ7686424

GUADALUPE RODELO

SOURCE INTERLINK RETAIL SERVICES

AIG CLAIMS COSTA MESA

PACIFIC PALM HEALTHCARE

ADJ7789932

MARLON BLANDON

BIZJET SERVICES

AIG CLAIMS COSTA MESA

ADJ7880142

GERARDO CONTRERAS

PACIFIC TANK LINES

AIG CLAIMS COSTA MESA

ADJ8113244

MARTHA GOMEZ

TECTRANS INC

AIG CLAIMS COSTA MESA

ADJ8131001

FERNANDO ALVAREZ JR

HOLLYWOOD PARK RACING

AIG CLAIMS COSTA MESA

ADJ817041

ALEJANDRO MORENO

ADJ8240130 ADJ860176 ADJ2127502

ASSOCIATION J.C. PENNEY

AIG CLAIMS COSTA MESA

FRANCISCO GONZALEZ

ROCK TENN

AIG CLAIMS COSTA MESA

MERCY GEE

ALVARADO PARKWAY INSTITUTE

AIG CLAIMS COSTA MESA

JOSE ORTEGA MARQUEZ

HARBOR RAIL SERVICES OF

AIG CLAIMS PHOENIX

CALIFORNIA ADJ6605588

DAVID SANTISTEVAN

ADJ6737703

MARIA TOVAR

ADJ7056112

JULIO PEREZ

GEVITY PEOPLE 1ST

AIG CLAIMS PHOENIX AIG CLAIMS SAN DIEGO

PERSONNEL PLUS AGENCY INC

AIG CLAIMS SAN DIEGO

ADJ7136263

ROSA GUEVARRA

FRESH FOOD CONCEPTS

AIG CLAIMS SAN DIEGO

ADJ7329727

KRISSY KORN

ENTERTAINMENT PARTNERS

AIG CLAIMS SAN DIEGO

ADJ7346458

MAURICIO MORALES

AMERICAN GUNITE INCORP

AIG CLAIMS SAN DIEGO

ADJ7346458

MAURICIO MORALES

UNINSURED EMPLOYERS FUND

AIG CLAIMS SAN DIEGO

ADJ7514118

MICHAEL PHILLIPS

CRST INTERNATIONAL

AIG CLAIMS SAN DIEGO

ADJ7589739

RANULFO GARCIA

CROWN DISPOSAL CO INC

AIG CLAIMS SAN DIEGO

ADJ7637915

JUAN SORIANO

PERSONNEL PLUS

AIG CLAIMS SAN DIEGO

ADJ7673467

ANTONIO ZENDEJAS

DEERE & COMPANY

AIG CLAIMS SAN DIEGO

ADJ7842128

EDWIN RODRIGUEZ

SOUTHERN CALIFORNIA PIZZA

AIG CLAIMS SAN DIEGO

COMPANY ADJ8039543

MARTHA CASAS

PERSONNEL PLUS

AIG CLAIMS SAN DIEGO

ADJ8321209 ADJ3426267

JAHANA SOTO

PERSONNEL PLUS

AIG CLAIMS SAN DIEGO

THOMAS DAY

COUNTY OF LA/PROBATION DEPT

AIMS

ADJ5827299

SHEILA LABOMME

COUNTY OF LOS ANGELES

AIMS INC.

ADJ1211630

JOSE LUA DIAZ

UNIVERSAL SODEXHO

ALASKA NATIONAL SEATTLE

ADJ4372048

JOSE LUA DIAZ

UNIVERSAL SODEXHO

ALASKA NATIONAL SEATTLE

ADJ6544953

CALIXTO DILLON

CONNECT TELEVISON

ALASKA NATIONAL WALNUT CREEK

ADJ6759057

ALFREDO LEYVA

JADE INC

ALASKA NATIONAL WALNUT CREEK

ADJ7363129

JOSEFINA ETRATA

VILLA MESA CARE CENTER

ALASKA NATIONAL WALNUT CREEK

ADJ2854178

BELITA RIGOLI

VONS WAREHOUSE

ALBERTSONS HOLDINGS FULLERTON

BETANCOURT ADJ3318078

GLORIA ROJAS

VONS MARKET

ALBERTSONS HOLDINGS FULLERTON

ADJ601181

MARIA ANDERSON

PAVILION #233

ALBERTSONS HOLDINGS FULLERTON

Page 4

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6569802

JOE ORIGEL

VONS COMPANIES, INC.

ALBERTSONS HOLDINGS FULLERTON

ADJ8667338

FRANCIS APONTE

ALBERTSONS INC

ALBERTSONS INC

ADJ4230430

LINDA SMITH

UNITED AIRLINES

ALEXIS RISK MGT

ADJ896033

MICHAEL WRIGHT

HANFORD GLASS COMPANY

ALISTAR INS CO IN LIQUIDATION

ADJ3876482

ANTONIO MELGAREJO

MCSTARLITE CO

ALLIANZ BURBANK

ADJ3876482

ANTONIO MELGAREJO

MCSTARLITE CO

ALLIANZ INSURANCE COMPANY

ADJ746480

ROSA GARCIA

L.A. SMOKING AND CURING

ALLIANZ INSURANCE COMPANY

ADJ162927

MARIA VIANA

THE GRAFTON ON SUNSET

ALLIANZ RESOLUTION PETALUMA

ADJ3520155

MARISELA URIBE

DR. MORRIS AKHAMZADEH/FAMILY

ALLIANZ RESOLUTION RANCHO CORDOVA

DENT. ADJ7647732

BRAY PANFILO

CHARTER FURNITURE

ALLIANZ RESOLUTION RANCHO CORDOVA

ADJ7702149

DEBORAH HAASE

SAFEWORK INC

ALLIANZ RESOLUTION RANCHO CORDOVA

ADJ8175645

MARTHA ROCHA

MC1 FOODS

ALLIANZ RESOLUTION RANCHO CORDOVA

ADJ8188419

JULIO MUNOZ

INDUSTRIAL METAL SUPPLY

ALLIANZ RESOLUTION RANCHO CORDOVA

ADJ830119

DESTINY MORGAN

DESERT DUNES ANIMAL HOSPITAL

ALLIANZ RESOLUTION RANCHO CORDOVA

ADJ1254664

LETICIA SANDOVAL

CENTRAL PARKING SYSTEM

ALTERNATIVE SERVICE CITRUS HEIGHTS

ADJ1341056

GUADALUPE SANCHEZ

INTERCOMMUNITY NURSING CENTER

AMERICAN CASUALTY

ADJ1563144

GARY CUSUMANO

TREND OFF SET PRINTERS

AMERICAN CASUALTY

ADJ1649554

MARIA MEZA

ANZA APT

AMERICAN CASUALTY

ADJ1819572

RONALD WARD

ASCENT MEDIA GROUP

AMERICAN CASUALTY

ADJ1921048

STEVE CORDRAY

ENTERTAINMENT PARTNERS

AMERICAN CASUALTY

ADJ1921048

STEVE CORDRAY

WARNER BROTHERS

AMERICAN CASUALTY

ADJ212263

DONNA MILLER

HOLY CROSS MEDICAL CENTER

AMERICAN CASUALTY

ADJ3275386

MARIA GARCIA DE JESUS

MGH GOURMET INC

AMERICAN CASUALTY

ADJ3669642

LUISA O CONNOR

UNIVERSAL PROTECTION SERVICES

AMERICAN CASUALTY

ADJ1801513

SOFIA DEL CARMEN

AMERICAN CLAIMS SAN DIEGO

ZELAYA ADJ3163359

LISSETTE AGUILAR

MCDONALDS

AMERICAN CLAIMS SAN DIEGO

ADJ7146789

DANNY PHILLIPS

CONTINENTAL MARBLE AND TILE

AMERICAN CLAIMS SAN DIEGO

ADJ7146789

DANNY PHILLIPS

ESIS FREMONT

AMERICAN CLAIMS SAN DIEGO

ADJ7523496

HELGA RAMIREZ

TRIAS LLC

AMERICAN CLAIMS SAN DIEGO

ADJ7904218

MARTHA DURAN

CHECK CASHIERS

AMERICAN CLAIMS SAN DIEGO

ADJ8330151

SANTIAGO CORONADO

R T FRAMING CORPORATION

AMERICAN CLAIMS SAN DIEGO

ADJ8411444

BEVERLY ORANGE

AVALON VILLA CARE CENTER

AMERICAN CLAIMS SAN DIEGO

ADJ3538802

GUADALUPE BUENO

ALAHAMBRA BUILDING

AMERICAN COMMERCIAL AMERICAN COMMERCIAL

ADJ3649101

EDWARD DAVIS

PERSONNEL PLOS ANAHEIM

ADJ4201565

MELECIO GONZALEZ

TEMPLE ISRAEL OF HOLLYWOOD

AMERICAN COMMERCIAL

ADJ1460361

MARIA BAFILE

DEBILIO FOOD DISTRIB.

AMERICAN COMMERCIAL SAN DIEGO

ADJ1545119

TROY FUCONE

PACIFIC WEST LITHO INC

AMERICAN COMMERCIAL SAN DIEGO

Page 5

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1749683

ALFREDO ZATARIAN

JAYAR MANUFACTURING COMPANY

AMERICAN COMMERCIAL SAN DIEGO

ADJ3076419

JOANNE OSBY

DRC

AMERICAN COMMERCIAL SAN DIEGO

ADJ3076419

JOANNE OSBY

UEF

AMERICAN COMMERCIAL SAN DIEGO

ADJ4264155

LISA WARNER

MERCEDES BENZ OF LAGUNA NIGUEL

AMERICAN COMMERCIAL SAN DIEGO

ADJ4522208

ESPIRIDION CONTRERAS

ROYAL CABINETS

AMERICAN COMMERCIAL SAN DIEGO

ADJ6939275

AGUSTIN VELAZQUEZ

BROOKER ASSOCIATES INC

AMTRUST CONCORD

ACEVEDO ADJ3153732

DENEANE STEVENSON

CERTIFIED GROCERS OF CALIFORNIA

AMTRUST COVINA

ADJ1545119

TROY FUCONE

PACIFIC WEST LITHO INC

AMTRUST IRVINE

ADJ443823

RICHARD ZOSCHKE

REDWOOD FIRE & CASUALTY

AMTRUST IRVINE

INSURANCE C ADJ443823

RICHARD ZOSCHKE

SUREFIRE, LLC

AMTRUST IRVINE

ADJ7058838

RICHARD SUTTON

CERRITOS FORD

AMTRUST IRVINE

ADJ7129093

SANTIAGO HERRERA

RAINBOW

AMTRUST IRVINE

ADJ7346458

MAURICIO MORALES

AMERICAN GUNITE INCORP

AMTRUST IRVINE

ADJ7346458

MAURICIO MORALES

UNINSURED EMPLOYERS FUND

AMTRUST IRVINE

ADJ7431227

GUADALUPE AQUINO

PICASSO STYLE INC

AMTRUST IRVINE

ADJ7552608

ELIZABETH EISENFELD

SOUTHERN CALIFORNIA NESSAH

AMTRUST IRVINE

EDUCATIONAL CULTURAL CENTER ADJ7733498

MINOO DANESHRAD

NESSAH EDUCATIONAL AND

AMTRUST IRVINE

CULTURAL CENTER ADJ3185843

FERNANDO CAMPOS

CPE/DANMAR RETIREMENT VILLA

AMTRUST NORTH AMERICA/TECHNOLOGY INSURANCE

ADJ1679828

JUAN CARLOS DIAZ

JKP INC

APPLIED RISK OMAHA

ADJ2898367

SEAN QUINLIVAN

PETE'S PLUMBING

APPLIED RISK OMAHA

ADJ3331582

MICHAEL LOPEZ

SOLO TERMITE CONTROL

APPLIED RISK OMAHA

ADJ6784010

ALEJO RUBIO

CATALINA YACHTS

APPLIED RISK OMAHA

ADJ7437470

JOSE BECERRA

COAST CHEM EXTERMINATING

APPLIED RISK OMAHA

ADJ7937467

ROSARIO LARA

MY C INC DBA GOLDILOCKS CORP

APPLIED RISK OMAHA

ADJ817604

SHIRLEY BOESSNECK

SAMS CLUB

ARCMI

ADJ3465583

SIPRIANO HUITRON

CEMCO,INC

ARGONAUT FRESNO

ADJ4652794

ALICIA PENALVER

AGRI-CEL, INC.

ARGONAUT FRESNO

ADJ3345793

ROSENDO VELIZ

FAIRCHILD FASTENER GRP

ARROWOOD INDEMNITY COMPANY

ADJ3471970

ANDREA LOPEZ

KRAGEN AUTO PARTS

ARROWOOD INDEMNITY COMPANY

ADJ4113415

JHOANA MORALES

WESTSIDE PACKAGING, INC.

ASIC

ADJ4062533

JOSE REYES

ASSOC CONCRETE PRODUCTS

ASSOCIATED CONCRETE PRODUCTS/AUFAIT

CHARLOTTE CHARLOTTE

RISK MANAGEMENT SERVICE

Page 6

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4062533

JOSE REYES

ASSOCIATED CONCRETE PRODUCTS

ASSOCIATED CONCRETE PRODUCTS/AUFAIT RISK MANAGEMENT SERVICE

ADJ6985332

FAKHRI TAHERI

IHASET

ASSURANCE CO OF AMERICA SACRAMENTO

ADJ1690845

MARY NASH

PACIFIC BELL

AT & T TECHNOLOGIES/HELMSMAN

ADJ2876773

VERONICA BAILEY

FALLBROOK UNION HIGH SCHOOL

ATHENS ADMINISTRATORS CONCORD

MANAGEMENT SERVICES INC DISTRIC ADJ3875469

MARIA PRECIADO

ADJ6625078

ARLENE NELSON

HOUSING AUTHORITY

ATHENS ADMINISTRATORS CONCORD

ADJ6744645

PASTOR ESTRADA

LA PARTY RENTS

ATHENS ADMINISTRATORS CONCORD

ADJ7988038

CHRISTEN VINCENT

ABF FREIGHT SYSTEMS

ATHENS ADMINISTRATORS CONCORD

ADJ7028491

ROSE LOPEZ

PRESBYTERIAN COMMUNITY

ATHENS ADMINISTRATORS ORANGE

ATHENS ADMINISTRATORS CONCORD

HOSPITAL ADJ3283627

JULIO MORALES

SAFE PLATING INC

ATHENS ADMINISTRATORS SACRAMENTO

ADJ2054212

SILVANO GUERRERO

THE QUIKRETE CO

ATLANTIC MUTUAL INSURANCE CO

ADJ6882755

JONATHAN HAMMER

P AND R PAPER SUPPLY COMPANY

AVIZENT 4740 EL DORADO HILLS

ADJ6684842

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

BARRETT BUSINESS SACRAMENTO

ADJ6694885

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

BARRETT BUSINESS SACRAMENTO

ADJ8246437

SALVADOR LARIOS

BRO PACK INC

BARRETT BUSINESS SACRAMENTO

ADJ6684842

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

BARRETT BUSINESS SACRAMENTO

ADJ6694885

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

BARRETT BUSINESS SACRAMENTO

ADJ6759338

COBI JONES

LOS ANGELES GALAXY

BERKLEY SPECIALTY IRVING

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

BERKLEY SPECIALTY IRVING

ADJ7269278

ANTE RAZOV

LOS ANGELES GALAXY

BERKLEY SPECIALTY IRVING

ADJ7380036

BOBBY YOUNG

UNITED PIMPING SERVICE INC

BERKLEY SPECIALTY IRVING

ADJ8199704

OLIVER ROSS

ARIZONA CARDINALS

BERKLEY SPECIALTY IRVING

ADJ1164224

ANTONIO PEREZ

AMERICAN LANDSCAPE

BERKSHIRE HATHAWAY PASADENA

MAINTENANCE ADJ1164224

ANTONIO PEREZ

AMERICAN LANDSCAPE

BERKSHIRE HATHAWAY PASADENA

MAINTENENCE ADJ2949920

MARINA SILVA

PLAZA DE LA RAZA HEAD START INC

BERKSHIRE HATHAWAY PASADENA

ADJ443823

RICHARD ZOSCHKE

REDWOOD FIRE & CASUALTY

BERKSHIRE HATHAWAY PASADENA

INSURANCE C ADJ443823

RICHARD ZOSCHKE

SUREFIRE, LLC

BERKSHIRE HATHAWAY PASADENA

ADJ6814391

LUCY JASSO

LEGAL AID FOUNDATION OF LOS

BERKSHIRE HATHAWAY PASADENA

ADJ6828953

PETE GARABITO

UNITY COURIER

BERKSHIRE HATHAWAY PASADENA

ADJ6828953

PETE GARABITO

UNITY COURIER

BERKSHIRE HATHAWAY SAN DIEGO

ADJ7487053

AGUSTINA CONTRERAS

RAYS WRAP INC.

BERKSHIRE HATHAWAY SAN DIEGO

ADJ1623288

KENNETH ECHAVARRIA

AIR GOURMET INC

BERKSHIRE HATHAWAY SAN FRANCISCO

ANGELES

Page 7

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4384574

MARIA DUENAS

LB PROPERTY MANAGEMENT

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ6744645

PASTOR ESTRADA

LA PARTY RENTS

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ7244721

ALMA CASTILLO

DIANA'S MEXICAN FOOD

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ7447845

ERNESTO HERMOSILLO

EVYCA

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ7733498

MINOO DANESHRAD

NESSAH EDUCATIONAL AND

BERKSHIRE HATHAWAY SAN FRANCISCO

CULTURAL CENTER ADJ8068932

GREGORY POWELL

BLUE DAISY CEMENT PRODUCTS INC

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ8120012

MARCOS GONZALES

ROSS & BARROWS INC

BERKSHIRE HATHAWAY SAN FRANCISCO

ADJ7900772

CARMEN BARRANCO

BOEING

BOEING

ADJ3650313

JORGE DOMINGUEZ

AM PERSONNEL PARTNERS, INC.

BROADSPIRE

ADJ3650313

JORGE DOMINGUEZ

BARRATT AMERICAN INCORPORATED

BROADSPIRE

ADJ3650313

JORGE DOMINGUEZ

FORD PLASTERING

BROADSPIRE

ADJ7925389

LUIS QUINTERO

AMERICANOS USA

BROADSPIRE 12586 FRESNO CLOSED

ADJ1069951

LINDA CERDA

GLORY USA, INC.

BROADSPIRE 24016 FRESNO

ADJ1308857

ULUALO ASUEGA

STAFF MARK

BROADSPIRE 24016 FRESNO

ADJ1423647

DIANA MORALES

SO CAL AUTO AUCTION

BROADSPIRE 24016 FRESNO

ADJ1423647

DIANA MORALES

SOUTHERN CALIFORNIA AUTO

BROADSPIRE 24016 FRESNO

AUCTION ADJ1673870

SOFIA CERDA

99 CENTS ONLY STORE

BROADSPIRE 24016 FRESNO

ADJ2381097

JOHN RHODES

C.R. ENGLAND

BROADSPIRE 24016 FRESNO

ADJ2804761

RUBEN PEREZ ARAUJO

CENTIMARK CORPORATION

BROADSPIRE 24016 FRESNO

ADJ317660

LORENZO GARCIA

LINDBERG HEAT TREATING

BROADSPIRE 24016 FRESNO

ADJ4681462

BETTY CHAN

LOS ANGELES FIREMANS CREDIT

COMPANY BROADSPIRE 24016 FRESNO

UNION ADJ7859341

TUYET TATE

AMETEK

BROADSPIRE 24016 FRESNO

ADJ8207921

MIGUEL MEDINA

MV TRANSPORTATION

BROADSPIRE 24016 FRESNO

ADJ1044616

ALFRED SANCHEZ

THE BOEING CO

BROADSPIRE BREA

ADJ1116165

GILBERT AGUILAR

AJILON COMMUNICATIONS

BROADSPIRE BREA

ADJ1311205

GARY CLEVENGER

POOL WELL SERVICES

BROADSPIRE BREA

ADJ1781346

ROBERT AZALBARIAN

SAM'S SHELL #1

BROADSPIRE BREA

ADJ1921048

STEVE CORDRAY

ENTERTAINMENT PARTNERS

BROADSPIRE BREA

ADJ1921048

STEVE CORDRAY

WARNER BROTHERS

BROADSPIRE BREA

ADJ2656740

JOHN FANOUS

THE BOEING COMPANY

BROADSPIRE BREA

ADJ3088000

BRIAN ROJAS

DUNN-EDWARDS CORPORATION

BROADSPIRE BREA

ADJ3193103

MARIA STEVENS DIAKIS

UNIVERSITY OF SOUTHERN

BROADSPIRE BREA

ADJ3363262

FRANCES SAUNDERS TIPPIN

BOEING COMPANY

BROADSPIRE BREA

ADJ3363262

FRANCES SAUNDERS TIPPIN

THE BOEING COMPANY

BROADSPIRE BREA

CALIFORNIA

ADJ4032540

DONALD DOTY

BOEING CO.

BROADSPIRE BREA

ADJ4320776

JOHN MARTIN

TRW

BROADSPIRE BREA

ADJ4364675

SILVIA HUERTAS

JACK IN THE BOX

BROADSPIRE BREA

Page 8

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4606617

ROBERT MOYA

BRAND SCAFFOLD RENTAL AND

BROADSPIRE BREA

ERECTION ADJ6567956

MATTY CAMPOS

USC

BROADSPIRE BREA

ADJ6778624

PAUL CALLOWAY

SECURITAS SECURITY SERVICE

BROADSPIRE BREA

ADJ6989046

OSCAR LARA

MAXUM PETROLIUM INC

BROADSPIRE BREA

ADJ7083510

THOMAS MELENDEZ

STRAUB DISTRIBURING COMPANY

BROADSPIRE BREA

ADJ7181841

LIDIA VELAZQUEZ

USC

BROADSPIRE BREA

ADJ7285453

MARIA VARGAS

SMURFIT STONE

BROADSPIRE BREA

ADJ7481451

RAMON PALAFOX

TEXTRON INC

BROADSPIRE BREA

ADJ8142625

ALEJANDRO RIEGER

HOBART

BROADSPIRE BREA

ADJ8383846

LONGMY HUYNH

GENERAL DYNAMICS

BROADSPIRE BREA

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING

BROADSPIRE CIGA GLENDALE CLOSED

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING SERVICES

BROADSPIRE CIGA GLENDALE CLOSED

ADJ1023285

MARINA GONZALEZ

SIMPLE TECHNOLOGY

BROADSPIRE CIGA GLENDALE CLOSED

ADJ105997

SAMUEL HYNES

TAMCO STEEL

BROADSPIRE CIGA GLENDALE CLOSED

ADJ1253139

BRENDA BECKER

BESTFORMS

BROADSPIRE CIGA GLENDALE CLOSED

ADJ1315320

SARA PEDRAZA

SOUTH COAST MEDICAL CENTER

BROADSPIRE CIGA GLENDALE CLOSED

ADJ1579947

ELAINE VASQUEZ

LA HABRA VILLA

BROADSPIRE CIGA GLENDALE CLOSED

ADJ2757596

SERGIO VALENZUELA

ELITE PERSONNEL SERVICE

BROADSPIRE CIGA GLENDALE CLOSED

ADJ2757596

SERGIO VALENZUELA

SOUTHLAND BOX CO.

BROADSPIRE CIGA GLENDALE CLOSED

ADJ2817792

DOROTHY GOULD

HARVEST FARMS

BROADSPIRE CIGA GLENDALE CLOSED

ADJ2859662

MARICELA PANTOJA

ROGER'S FOODS

BROADSPIRE CIGA GLENDALE CLOSED

ADJ2890022

SHEILA CIANCANELLI

HYDRA BATHS INC.

BROADSPIRE CIGA GLENDALE CLOSED

ADJ3162883

JOSE GARCIA

UNITED ALLOYS INC

BROADSPIRE CIGA GLENDALE CLOSED

ADJ4019325

ALLEN SHEPARD

SWIFT TRANSPORTATION

BROADSPIRE CIGA GLENDALE CLOSED

ADJ4113415

JHOANA MORALES

WESTSIDE PACKAGING, INC.

BROADSPIRE CIGA GLENDALE CLOSED

ADJ576480

ARSENIO GARCIA

TEMPSTAR SERVICES

BROADSPIRE CIGA GLENDALE CLOSED

ADJ576480

ARSENIO GARCIA

WET SEAL

BROADSPIRE CIGA GLENDALE CLOSED

ADJ746480

ROSA GARCIA

L.A. SMOKING AND CURING

BROADSPIRE CIGA GLENDALE CLOSED

ADJ896033

MICHAEL WRIGHT

HANFORD GLASS COMPANY

BROADSPIRE CIGA GLENDALE CLOSED

ADJ7875869

REINA ELIZABETH

OBERTHUR TECHNOLOGIES OF

BROADSPIRE CONCORD

ORELLANA

AMERICA CORP

ADJ8286541

MARIA TORRES

PENTAIR WATER POOL AND SPA

BROADSPIRE CONCORD

ADJ1286605

LAURO GUERRERO

UNIVERSAL ALLOY

BROADSPIRE INSURANCE COMPANIES

ADJ2646272

SUZAN GUBRUD

FRESH START BAKERY

BROADSPIRE INSURANCE COMPANIES

ADJ3756070

ANDRES CORTEZ

DUNHAM ROOFING, INC.

BROADSPIRE INSURANCE COMPANIES

ADJ4358198

KAREN BROWN POUNCY

PACIFIC CARE OF CALIFORNIA

BROADSPIRE INSURANCE COMPANIES

ADJ546036

MARIBEL GOMEZ

ANGELICA TEXTILES SERVICES

BROADSPIRE INSURANCE COMPANIES

ADJ1140089

SCOTT CANNELL

TIERNAY METALS

BROADSPIRE SACRAMENTO

ADJ1140089

SCOTT CANNELL

TIERNEY METALS

BROADSPIRE SACRAMENTO

ADJ1202959

GEORGE MARTINEZ

US FOOD SERVICE

BROADSPIRE SACRAMENTO

ADJ1305070

MARK MARGOLIS

ALBERTSONS

BROADSPIRE SACRAMENTO

ADJ1333680

REYNA CASTILLO

COURTESY EMPLOYMENT SERVICES

BROADSPIRE SACRAMENTO

ADJ2013835

JAMES MOORE

BOEING

BROADSPIRE SACRAMENTO

Page 9

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2695773

JANINE PERDEW

ALBERTSONS

BROADSPIRE SACRAMENTO

ADJ2859662

MARICELA PANTOJA

ROGER'S FOODS

BROADSPIRE SACRAMENTO

ADJ3335294

BERT SASSENBERG

RENZENBERGER, INC.

BROADSPIRE SACRAMENTO

ADJ3590636

DONALD REICHENECKER

OWENS & MINOR

BROADSPIRE SACRAMENTO

ADJ3732140

GARY SIMS

BOYD COFFEE CO

BROADSPIRE SACRAMENTO

ADJ3934528

CECILIA LEDEZMA

STAPLES

BROADSPIRE SACRAMENTO

ADJ4038941

RONALD HIGHLEY

NEWPORT DIVERSIFIED

BROADSPIRE SACRAMENTO

ADJ406953

LARRY SPRATT

BRAND SCAFFOLD

BROADSPIRE SACRAMENTO

ADJ4238525

SHANNON HILL LEMIEUX

JOHNSON & JOHNSON

BROADSPIRE SACRAMENTO

ADJ4523497

ANTHONY BECKER

AMERICAN DRUG STORES

BROADSPIRE SACRAMENTO

ADJ6882300

CARLOS HUERTA

MCDPETERSONHERB GA ENTERPRISES

BROADSPIRE SACRAMENTO

ADJ6972089

DANA VAN AUKEN

CAST AND CREW PRODUCTION

BROADSPIRE SACRAMENTO

ADJ6972089

DANA VAN AUKEN

ENTERTAINMENT PARTNERS

BROADSPIRE SACRAMENTO

ADJ6972089

DANA VAN AUKEN

FILM PAYMENT SERVICES

BROADSPIRE SACRAMENTO

ADJ6972089

DANA VAN AUKEN

REEL PAYROLL INC

BROADSPIRE SACRAMENTO

ADJ7706751

MARIA AVILA

FRENCH CRAFT LEATHER GOODS INC

BROADSPIRE SACRAMENTO

ADJ791635

DONALD REICHENECKER

OWENS & MINOR

BROADSPIRE SACRAMENTO

ADJ2856536

JOSE NEVAREZ

SEE'S CANDY

BROADSPIRE SERVICES

ADJ2856536

JOSE NEVAREZ

SEES CANDY

BROADSPIRE SERVICES

ADJ1566681

ENRIQUE MACIAS

CHECK MATE

BUCKEYE CERRITOS CLOSED

ADJ200259

JOEL SANCHEZ

CHECK MATE STAFFING

BUCKEYE CERRITOS CLOSED

ADJ200259

JOEL SANCHEZ

MERRICK ENGINEERING INC

BUCKEYE CERRITOS CLOSED

ADJ272143

ALEJANDRO SOSA

NEW NUMATECH

BUCKEYE CERRITOS CLOSED

ADJ2948575

JOSE RAMIREZ

CHECK MATE AGENCY

BUCKEYE CERRITOS CLOSED

ADJ2948575

JOSE RAMIREZ

SUPERIOR ASSEMBLY DISTRIBUTION

BUCKEYE CERRITOS CLOSED

ADJ3650313

JORGE DOMINGUEZ

AM PERSONNEL PARTNERS, INC.

BUCKEYE CERRITOS CLOSED

ADJ3650313

JORGE DOMINGUEZ

BARRATT AMERICAN INCORPORATED

BUCKEYE CERRITOS CLOSED

ADJ3650313

JORGE DOMINGUEZ

FORD PLASTERING

BUCKEYE CERRITOS CLOSED BUCKEYE CERRITOS CLOSED

ADJ431885

MINOR CARDONA

CHECKMATE STAFFING

ADJ4382097

GEMMA MILLNER

DIVERSIFIED PARATRANSIT INC

BUCKEYE CERRITOS CLOSED

ADJ4622151

CYNTHIA AGUILAR

DIVERSIFIED PARIT TRANSIT

BUCKEYE CERRITOS CLOSED

ADJ676071

JAIME REYES

CHECKMATE STAFFING

BUCKEYE CERRITOS CLOSED

ADJ2855238

JOSE VASQUEZ

IDEAL STAFFING INC

CA SELF INSURED SECURITY FUND ESTATE

ADJ1364894

FLETCHER RAYNOR

CITY OF RIDGECREST

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ1364894

FLETCHER RAYNOR

SASS

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ1924892

ROBERTO JIMENEZ

BURGER KING - GE ENTERPRIESE

CALIF COMPENSATION & FIRE CO/BROADSPIRE

MAINSTAY

Page 10

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3345965

JENNIFER GUERRERO

RUIZ FOODS PRODUCTS INC

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ367455

VICTORIA SARGENT

DENNY'S/QLC MANAGEMENT

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ367455

VICTORIA SARGENT

DONAHUE ENTERPRISES

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ4184795

MARIA ELENA CALDERON

AF GILMORE COMPANY

CALIF COMPENSATION & FIRE CO/BROADSPIRE

ADJ1299994

DANIEL SANDOVAL

CARLTON FORGE WEST

CALIFORNIA CASUALTY INSURANCE CO/GAB ROBINS NORTH AMERICA INC

ADJ1299994

DANIEL SANDOVAL

CARLTON FORGE WORKS

CALIFORNIA CASUALTY INSURANCE CO/GAB

ADJ1156697

OFELIA SARINO

CITY OF LOS ANGELES

CAMBRIDGE

ADJ3434414

CHRISTOPHER BERNAL

LOS ANGELES COUNTY PROBATION

CAMBRIDGE INTEGRATED

ROBINS NORTH AMERICA INC

DEPT ADJ3663324

ESTEBANA GONZALES

SPOTLESS PLASTIC USA

CAMBRIDGE INTEGRATED SERVICE

ADJ2222094

SYLVIA TORRES

MERLE NORMAN COSMETICS

CAMBRIDGE INTEGRATED SERVICE

ADJ127237

PAUL SCHWARTZ

GREGG ELECTRIC

CAMBRIDGE INTEGRATED SERVICES

ADJ2381097

JOHN RHODES

C.R. ENGLAND

CAMBRIDGE INTEGRATED SERVICES GROUP

ADJ1350011

VALERIE SHUMAKE

AIS INSURANCE

CAMBRIDGE PASADENA CLOSED

ADJ1354849

ALMA HOLGUIN

HACIENDA-LA PUENTE SCHOOL DIST

CAMBRIDGE PASADENA CLOSED

ADJ1448844

ENRIQUE MANCILLA

PUCHE DENTAL LAB

CAMBRIDGE PASADENA CLOSED

ADJ174140

SANDRA BROWN

COUNTY OF LA DCFS

CAMBRIDGE PASADENA CLOSED

ADJ2285295

JEANETTE SMITH

ANADITE INC WESTERN DIV

CAMBRIDGE PASADENA CLOSED

ADJ3245361

CHERYL NAKISO

L.A. COUNTY/DPSS

CAMBRIDGE PASADENA CLOSED

ADJ3306755

MICHELLE FRITZ

LOS ANGELES COUNTY DPSS

CAMBRIDGE PASADENA CLOSED

ADJ3434817

ANA FRANCO

CITY OF LA HOUSING AUTHORITY

CAMBRIDGE PASADENA CLOSED

ADJ3434817

ANA FRANCO

CITY OF LA/HOUSING AUTHORITY

CAMBRIDGE PASADENA CLOSED

ADJ3460127

FLOYD LUCAS DECEASED

THE BOEING CO

CAMBRIDGE PASADENA CLOSED

ADJ3833368

IRENE DELGADILLO

MEMORIAL MEDICAL GROUP

CAMBRIDGE PASADENA CLOSED

ADJ3914162

SIDNEY PEARSON

LAC-USC MEDICAL CNTR

CAMBRIDGE PASADENA CLOSED

ADJ4347928

SALVADOR SANCHEZ

ANAHEIM TERRACE CARE CENTER

CAMBRIDGE PASADENA CLOSED

ADJ4645734

MICHAEL CROUGH

MCDONNELL DOUGLAG AIRCRAFT

CAMBRIDGE PASADENA CLOSED CAMBRIDGE PASADENA CLOSED

ADJ4676910

PATRICIA SABIJON

OLIVE VIEW MEDICAL CNTR

ADJ846180

MICHAEL NESREEN

L A COUNTY PROBATION DEPT

CAMBRIDGE PASADENA CLOSED

ADJ1252993

JOANNE BARNES

CITY NATIONAL BANK

CAMBRIDGE SAN DIEGO CLOSED

ADJ1286605

LAURO GUERRERO

UNIVERSAL ALLOY

CAMBRIDGE SAN DIEGO CLOSED

ADJ132852

FRANCES VACA

AQUARIUM OF THE PACIFIC

CAMBRIDGE SAN DIEGO CLOSED

ADJ1621412

CARLOS ORREGO

RESEDA AUTO & ELECTRIC

CAMBRIDGE SAN DIEGO CLOSED

ADJ2185675

ANGEL SHOFNER

AHMED SYED NORTH AMERICAN

CAMBRIDGE SAN DIEGO CLOSED

GROUP

Page 11

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2185675

ANGEL SHOFNER

FANTASTIC SAMS

CAMBRIDGE SAN DIEGO CLOSED

ADJ313717

RAMON MARQUEZ

WESTLAND GRAPHICS

CAMBRIDGE SAN DIEGO CLOSED

ADJ3259223

CHRISTOPHER LOPEZ

SOUTH TITLE CORPORATION

CAMBRIDGE SAN DIEGO CLOSED

ADJ3259223

CHRISTOPHER LOPEZ

SOUTHLAND TITLE CORP

CAMBRIDGE SAN DIEGO CLOSED

ADJ3990441

SHARON ROWELL

ANAHEIM UNIFIED SCHOOL DISTRICT

CAMBRIDGE SAN DIEGO CLOSED

ADJ3990441

SHARON ROWELL

ANAHEIM UNION HIGH SCH DIST

CAMBRIDGE SAN DIEGO CLOSED

ADJ3995603

HERMINEGILDA CHAVEZ

AUTO ZONE

CAMBRIDGE SAN DIEGO CLOSED

ADJ3995603

HERMINEGILDA CHAVEZ

CHIEF AUTO PARTS

CAMBRIDGE SAN DIEGO CLOSED

ADJ406518

JAVIER RIOS

HARRISON-NICHOLS COMPANY

CAMBRIDGE SAN DIEGO CLOSED

ADJ4231027

MIKE DEHOYOS

SYSTEMS SOURCE INC.

CAMBRIDGE SAN DIEGO CLOSED

ADJ7482272

JULIO ESCALANTE

BILTMORE HOTEL

CANNON COCHRAN CONCORD

ADJ1781346

ROBERT AZALBARIAN

SAM'S SHELL #1

CANNON COCHRAN IRVINE

ADJ7939474

JOHN MCCRATIC

UNITED ROAD TOWING

CANNON COCHRAN IRVINE

ADJ7500629

RAMON SALAZAR

REPUBLIC SERVICES

CANNON COCHRAN SCOTTSDALE

ADJ7768399

ESTHER DEL CAMPO

ROSE VILLA HEALTHCARE CENTER

CARL WARREN TUSTIN

ADJ7346458

MAURICIO MORALES

AMERICAN GUNITE INCORP

CASTLEPOINT NATIONAL INS IRVINE

ADJ7346458

MAURICIO MORALES

UNINSURED EMPLOYERS FUND

CASTLEPOINT NATIONAL INS IRVINE

ADJ1535502

CLEOTIDE CRUZ

TRANS BOX SYSTEMS

CHUBB GROUP LOS ANGELES

ADJ2940195

EDWARD REYES

LIQUI-BOX

CHUBB GROUP LOS ANGELES

ADJ4233069

MARIA MONTESINOS

SUPERBRA

CHUBB GROUP LOS ANGELES

ADJ4357182

DANIEL MARTINEZ

PRIMARY STEEL

CHUBB GROUP LOS ANGELES

ADJ6459504

LINDA MYERS

SULLIVAN AND CROMWELL

CHUBB GROUP LOS ANGELES

ADJ6827065

GLEN MURRAY

BOSTON BRUINS

CHUBB GROUP LOS ANGELES

ADJ6827065

GLEN MURRAY

PITTSBURGH PENGUINS

CHUBB GROUP LOS ANGELES

ADJ6831999

ANITA LOPEZ DE LOPEZ

SANTA MONICA BEACH HOTEL

CHUBB GROUP LOS ANGELES

CORPORATION ADJ7051002

SUSAN MCKINNEY

PHNS INC

CHUBB GROUP LOS ANGELES

ADJ7079221

HELEN BATES

TICKET MASTER

CHUBB GROUP LOS ANGELES

ADJ7361488

LOUIS RITTENHOUSE

TIFFANY AND COMPANY

CHUBB GROUP LOS ANGELES

ADJ7410042

DONALD KENNEY

BRITISH TELECOM

CHUBB GROUP LOS ANGELES

ADJ7457407

KAYELLE MORGAN

PURPLE COMMUNICATIONS INC

CHUBB GROUP LOS ANGELES

ADJ7561994

NOE PAZ

PRIMARY COLOR PRINTING

CHUBB GROUP LOS ANGELES

ADJ7624479

MARIA REYES

ADAM NUTRITION

CHUBB GROUP LOS ANGELES

ADJ7822727

ANA NARKORN

MCCULLOCH TRUST

CHUBB GROUP LOS ANGELES

ADJ804550

VENUS REDE DURAN

TONAWANDA PICTURES

CHUBB GROUP LOS ANGELES

ADJ8048910

RICARDO CHILLON

HYATT REGENCY

CHUBB GROUP LOS ANGELES

ADJ3709853

MARIA THOMPSON

COMMUNITY BAPTIST CHURCH OF

CHURCH MUTUAL MERRILL

MANHATT ADJ8384175

GILBERT CANTY

VISTA DEL MAR SENIOR LIVING

CHURCH MUTUAL MERRILL

ADJ2673188

NONITO ZAMORA

I WAS FRAMED INC

CIGA

ADJ1074010

ESAM NADROUS

PARADISE THEATER

CIGA GLENDALE

ADJ117564

CATRINA WILLIAMS

DIVERSIFIED PHOTO GRAPHICS

CIGA GLENDALE

SUPPLY ADJ1308857

ULUALO ASUEGA

STAFF MARK

Page 12

CIGA GLENDALE

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1680667

JANET MLADY FLETCHER

VERDUGO HILLS HOSPITAL

CIGA GLENDALE

ADJ2673188

NONITO ZAMORA

I WAS FRAMED INC

CIGA GLENDALE

ADJ3455123

CARMELO PEREYRA

FOSTER PRINTING CO

CIGA GLENDALE

ADJ3460127

FLOYD LUCAS DECEASED

THE BOEING CO

CIGA GLENDALE

ADJ3650313

JORGE DOMINGUEZ

AM PERSONNEL PARTNERS, INC.

CIGA GLENDALE

ADJ3650313

JORGE DOMINGUEZ

BARRATT AMERICAN INCORPORATED

CIGA GLENDALE

ADJ3650313

JORGE DOMINGUEZ

FORD PLASTERING

CIGA GLENDALE

ADJ3672183

ALFONSO CORRAL

ADJ7476261

DANNY LEE TOLER

ADJ7484505

FRANCISCO VILCHIS

ADJ750791

CIGA GLENDALE CIGA GLENDALE PACIFIC FLOOR COVERING

CIGA GLENDALE

ARTURO CONTRERAS

NOVESTAFF RESOURCE GROUP, LLC.

CIGA GLENDALE

ADJ750791

ARTURO CONTRERAS

UEBTF LOS ANGELES

CIGA GLENDALE CIGA GLENDALE

MONDRAGON

ADJ8250681

MARIA SHARGAY

TOP PRIORITY COURIER

ADJ8469449

FRANK RICE

TAMPA BAY BUCCANEERS

CIGA GLENDALE

ADJ1581308

CAROL DEL REAL

PINAACLE TECHNOLOGY SERVICES

CIGA TRISTAR RANCHO CORDOVA

ADJ576480

ARSENIO GARCIA

TEMPSTAR SERVICES

CIGA TRISTAR RANCHO CORDOVA

ADJ576480

ARSENIO GARCIA

WET SEAL

CIGA TRISTAR RANCHO CORDOVA

ADJ684643

PAUL JACKSON

CLEGG INDUSTRIES INC

CIGA TRISTAR RANCHO CORDOVA

ADJ3663324

ESTEBANA GONZALES

SPOTLESS PLASTIC USA

CIGNA

ADJ1167904

APRIL PAYNE

COUNTY OF LOS ANGELES

CIS/PRESIDIUM

ADJ1513760

LESLIE GORDON

MOULTON PLAZA PHARMACY

CITATION/FREMONT INSURANCE CO

ADJ894396

RUBEN RICO

HARVEST PRODUCE

CITATION/FREMONT INSURANCE CO/CAMBRIDGE INTEGRATED SERVICES GROUP

ADJ689855

THOMAS BROOKS

CITY OF LOS ANGELES/DEPT WATER

CITY ATTORNEY'S OFFICE

POWE ADJ7767004

RAMONA LAFRANCE

CITY OF INGLEWOOD

CITY OF INGLEWOOD

ADJ7143227

PAULINO CABRAL

CITY OF LA PUBLIC WORK

CITY OF LA PUBLIC WORK SANATATION

SANATATION ADJ1354925

ROSA BRIONES

CITY OF LONG BEACH

CITY OF LONG BEACH

ADJ1291176

SHERRY TOWNSEND

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ152197

YOLANDA NESBY

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ1547810

BELEN CASTRO

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ1775760

MAURY BULLARD

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ1942560

ROGER MARKEL

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ2086386

IAN SALAVARIA

CITY OF LA/OFFICE OF THE CITY

CITY OF LOS ANGELES

ATTY/ ADJ2086386

IAN SALAVARIA

LOS ANGELES WORLD AIRPORTS

CITY OF LOS ANGELES

ADJ2548467

MICHAEL PUGA

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ2605713

ANGELIA COYNE

MTA

CITY OF LOS ANGELES

ADJ2913933

SHERRI GONZALEZ

CITY OF LOS ANGELES

CITY OF LOS ANGELES

Page 13

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3026190

ANNIE AUZENNE

CITY OF LOS ANGELES POLICE DEPT

CITY OF LOS ANGELES

ADJ3053419

ROBERTO CORONA

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ3131361

ANN MEDINA

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ3318388

MATILDA VALLES

ADJ3385689

SABRINA WILLIAMS

CITY OF LOS ANGELES/LAPD

CITY OF LOS ANGELES CITY OF LOS ANGELES

ADJ342227

ROLAND DARNELL

CITY OF LOS ANGELES-DEPT OF AI

CITY OF LOS ANGELES CITY OF LOS ANGELES

GARLAND ADJ3637682

ROSEMARY ARROYO

L.A.P.D.

ADJ3657796

BRIDGETTE BARNES

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ3932432

JANIS ROACH

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ4095783

LANE WELLS

LOS ANGELES DEPT OF PUBLIC

CITY OF LOS ANGELES

WORKS ADJ4271541

DANILO YAP

LOS ANGELES DEPARTMENT OF

CITY OF LOS ANGELES

WATER & ADJ616136

LINDA WALKER

LOS ANGELES POLICE DEPT

CITY OF LOS ANGELES

ADJ6672457

ESTELA SANCHEZ

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ6672457

ESTELA SANCHEZ

CITY OF LOS ANGELES DEPT OF

CITY OF LOS ANGELES

GENERAL SERVICES ADJ6759075

SANDRA RODRIGUEZ

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ6945132

VASDEV SINGH

CITY OF LOS ANGELES OFFICE OF

CITY OF LOS ANGELES

FINANCE ADJ7083355

SHARLENE SUTHERLAND

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7143227

PAULINO CABRAL

CITY OF LA PUBLIC WORK

CITY OF LOS ANGELES

SANATATION ADJ717684

LYDIA GARCIA

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7371318

JULIE WALTERS

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7427851

RODNEY BEVERLY

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ779674

CAESAR RIVAS

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7825078

REGINA DONALDSON

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7842154

MIKA NEAL

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ7870087

PATRICIA WOOD

CITY OF LOS ANGELES PUBLIC WORKS

CITY OF LOS ANGELES

ADJ788955

CYNTHIA HILL

CITY OF LOS ANGELES

CITY OF LOS ANGELES

STREET LIGHTING ADJ8013900

BRENDA CASTRO

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ807086

JULIE ALEXIS TUEGEL

CITY OF L.A./DEPT.OF RECREATION

CITY OF LOS ANGELES

ADJ8071453

DOUG BELL

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ8605369

EILEEN STUART

CITY OF LOS ANGELES LAPD

CITY OF LOS ANGELES

ADJ905973

TERRY THOMAS

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ6672457

ESTELA SANCHEZ

CITY OF LOS ANGELES

CITY OF LOS ANGELES DEPT OF GENERAL SERVICES

ADJ6672457

ESTELA SANCHEZ

CITY OF LOS ANGELES DEPT OF

CITY OF LOS ANGELES DEPT OF GENERAL

GENERAL SERVICES

SERVICES

EILEEN STUART

CITY OF LOS ANGELES LAPD

CITY OF LOS ANGELES LAPD

ADJ8486513

CLAY STOWERS

CITY OF SAN BERNARDINO

CITY OF SAN BERNARDINO

ADJ6760885

ROBERT YAMANE

CITY OF SANTA MONICA

CITY OF SANTA MONICA

ADJ8605369

Page 14

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8243929

MICHAEL WILEY

CITY OF SANTA MONICA

CITY OF SANTA MONICA

ADJ8314466

JOHN BAYLISS

CITY OF SANTA MONICA

CITY OF SANTA MONICA

ADJ7064604

JOSEPH YOUNG

CITY OF VENTURA FIRE DEPARTMENT

CITY OF VENTURA FIRE DEPARTMENT

ADJ1351571

JAVIER LARIOS

G & M MATTRESS & FOAM CORP

CLAIMQUEST INC

ADJ1351571

JAVIER LARIOS

POWER P.E.O. (FOR G&M MATTRESS)

CLAIMQUEST INC

ADJ1719616

LIRA LEBRON

99 CENT STORES

CLAIMQUEST INC

ADJ1719616

LIRA LEBRON

99 CENTS ONLY STORE

CLAIMQUEST INC

ADJ2154585

JUAN CADENAS

ST HART CONTAINER CORPORATION

CLAIMQUEST INC

ADJ2842446

DAVID LANDIN

PACIFIC SECURITY SYSTEMS

CLAIMQUEST WALNUT

ADJ3650313

JORGE DOMINGUEZ

AM PERSONNEL PARTNERS, INC.

CLAIMQUEST WALNUT

ADJ3650313

JORGE DOMINGUEZ

BARRATT AMERICAN INCORPORATED

CLAIMQUEST WALNUT

ADJ3650313

JORGE DOMINGUEZ

FORD PLASTERING

CLAIMQUEST WALNUT

ADJ7480247

VIDAL ORDONEZ

MERCHANTS BUILDING

CLAIMQUEST WALNUT

ADJ7484505

FRANCISCO VILCHIS

PACIFIC FLOOR COVERING

CLAIMQUEST WALNUT

MAINTENANCE LLC MONDRAGON ADJ1923391

MIGUEL GOMEZ

ROYAL ROOFING COMPANY

CLAIMS ADMINISTRATION (INDEPENDING

ADJ1923391

MIGUEL GOMEZ

UEBTF LOS ANGELES

CLAIMS ADMINISTRATION (INDEPENDING

ADJ3504138

LADONNE GREEN

PROJECT INDEPENDENT

CLARENDON NATIONAL INSURANCE CO

ADJ3504138

LADONNE GREEN

SU CASA FAMILY SUPPORT

CLARENDON NATIONAL INSURANCE CO

ADJ2270033

DONNA HORNAK

SHERMAN OAKS HOSP

CLARENDON NATIONAL INSURANCE

ADJ2270033

DONNA HORNAK

SHERMAN OAKS HOSPITAL

CLARENDON NATIONAL INSURANCE

CO/BROADSPIRE CO/BROADSPIRE ADJ4498874

LUIS ROBLES

CLOUGHERTY PACKING

CLOUGHERTY PACKING CO

ADJ4000411

FLIP NIMMANANT

FARMER JOHN/HORMEL FOODS

CLOUGHERTY PACKING LOS ANGELES

ADJ2459616

MICHELE PALMER

ANTELOPE VALLEY UNION HIGH

CNA CASUALTY OF CALIFORNIA

SCHOOL ADJ4624427

MARY ROCCO

LANCASTER SCHOOL DIST

CNA CASUALTY OF CALIFORNIA

ADJ1921048

STEVE CORDRAY

ENTERTAINMENT PARTNERS

CNA CLAIMS PLUS BREA

ADJ1921048

STEVE CORDRAY

WARNER BROTHERS

CNA CLAIMS PLUS BREA

ADJ2173767

MARIA FERNANDEZ

PARADISE BUILDING SERVICE

CNA CLAIMS PLUS BREA

ADJ3275386

MARIA GARCIA DE JESUS

MGH GOURMET INC

CNA CLAIMS PLUS BREA

ADJ3669642

LUISA O CONNOR

UNIVERSAL PROTECTION SERVICES

CNA CLAIMS PLUS BREA

ADJ7236976

TOMMY LUONG

HAWAIIAN GARDENS CASINO

CNA CLAIMS PLUS BREA

ADJ7370852

JUAN DAVILA

FOASBERG LAUNDRY

CNA CLAIMS PLUS BREA

ADJ7444114

JOSE LAZARIT

AJAY BERI CORPORATION SUBWAY

CNA CLAIMS PLUS BREA

NO 28347 ADJ7491185

SENAIDA BENITEZ

INFINITY INSURANCE

CNA CLAIMS PLUS BREA

ADJ7586982

OCTAVIO CASTELLANOS

WARE DISPOSAL INC

CNA CLAIMS PLUS BREA

ADJ7640342

MARIO TAPIA

V5 CAR WASH

CNA CLAIMS PLUS BREA

Page 15

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8172255

TOMMIE AMOS

UNIVERSAL PROTECTION SERVICE LP

CNA CLAIMS PLUS BREA

ADJ8645585

OSCAR GONZALEZ

ELECTRIZE

CNA CLAIMS PLUS BREA

ADJ1341056

GUADALUPE SANCHEZ

INTERCOMMUNITY NURSING CENTER

CNA CLAIMS PLUS PORTLAND

ADJ1942382

MARGARET SIMMS

STATE FARM INSURANCE

CNA CLAIMS PLUS PORTLAND

ADJ2001914

ELVIA GONZALEZ

HAAS AUTOMATION

CNA CLAIMS PLUS PORTLAND

ADJ212263

DONNA MILLER

HOLY CROSS MEDICAL CENTER

CNA CLAIMS PLUS PORTLAND

ADJ3923996

BRENDA PHILLIPS

STIRI-OSS INC

CNA CLAIMS PLUS PORTLAND

ADJ7959519

MARIA ESTRADA

ANZA APARTMENTS

CNA CLAIMS PLUS PORTLAND

ADJ3198657

PETE VASQUEZ

PEPSI COLA SAN JOAQUIN BOTTLING

CNA CLAIMS PLUS SAN FRANCISCO

ADJ807100

RICHARD TURGEON

ABM ENGINEERING SERVICES

CNA CLAIMS PLUS SAN FRANCISCO

ADJ2377517

MICHAEL GOEKEN

RIVERSIDE COUNTY SHERIFF'S DEPT

CNTY OF RIVERSIDE WORK COMP DIV

ADJ4301180

BELINDA WINFIELD

DEPT OF PUBLIC HEALTH / RIVERSIDE

CNTY OF RIVERSIDE WORK COMP DIV

ADJ7175248

KARAPET TOROSYAN

COACH AMERICA

COACH AMERICA

ADJ2666892

SCOTT CORWIN

US FOOD SERVICE

COMCO MANAGEMENT SIERRA MADRE

ADJ3090987

DONNA ARGENT TOLLE

INLAND VALLEY REGIONAL MED CTR

COMCO MANAGEMENT SIERRA MADRE COMMERCIAL INSURANCE CO.

ADJ1891702

JESUS LICEA

MAERSK LINES

ADJ1242705

RALEIGH ALCARAZ

SUNWEST ELECTRIC, INC.

COMP LINK INC

ADJ1242705

RALEIGH ALCARAZ

SUNWEST ELECTRIC, INC.

COMPLINK IRVINE

ADJ1665131

JEANNETTE CAJIGAL

STORM INDUSTRIES INC

COMPWEST NEWPORT BEACH

ADJ4200229

RUFINO RODRIGUEZ

BAY CITIES CONTAINER CORP

COMPWEST NEWPORT BEACH

ADJ6691870

HUGO AMADOR

STRINGERS GIFT BASKETS

COMPWEST NEWPORT BEACH

HERNANDEZ ADJ7691042

FRANKLIN GUARDADO

HUXTABLES KITCHEN INC

COMPWEST NEWPORT BEACH

ADJ7715435

MERCED GONZALEZ

GAR LABORATORIES

COMPWEST NEWPORT BEACH

ADJ1856376

DONNETTE LOUD

LACMTA

CONSTITUTION STATE SERVICE CO CONTINENTAL RISK MANAGEMENT

ADJ212263

DONNA MILLER

HOLY CROSS MEDICAL CENTER

ADJ1364894

FLETCHER RAYNOR

CITY OF RIDGECREST

CORVEL CHINO

ADJ1364894

FLETCHER RAYNOR

SASS

CORVEL CHINO

ADJ2143562

DANNY BRADFIELD

LYNWOOD USD

CORVEL CHINO

ADJ2471312

ROSEMARY VAUGHN

COUNTY OF ORANGE

CORVEL CHINO

ADJ2471312

ROSEMARY VAUGHN

SUPERIOR COURT OF CA

CORVEL CHINO

ADJ2962943

SAMUEL COLE

COMPTON UNIFIED SCHOOL DIST

CORVEL CHINO

ADJ3536913

ANDREW PILCHER

CITY OF RIALTO

CORVEL CHINO

ADJ4087514

ERMELINDA HARWOOD

DURHAM SCHOOL SERVICE

CORVEL CHINO

OCHOA ADJ4600692

NINFA MENDEZ

POMONA UNIFIED SCHOOL DISTRICT

CORVEL CHINO

ADJ6915527

DANIEL SOLIS

PASADENA UNIFIED SCHOOL

CORVEL CHINO

DISTRICT ADJ7011336

BLANCA SERRANO

PRIME HEALTH CARE SERVICES

CORVEL CHINO

ADJ7193990

JESUS JIM

CLOUGHERTY PARKING LLC

CORVEL CHINO

Page 16

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7503779

JULIA BERO

CENTINELA HOSPITAL

CORVEL CHINO

ADJ7706875

DAMITA SMITH

COMPTON UNIFIED SCHOOL

CORVEL CHINO

ADJ7755542

JULIO CASASOLA

BOERNER TRUCK CENTER

CORVEL CHINO

ADJ7852902

ELESHA AGUIRRE

VENTURA SUPERIOR COURTS

CORVEL CHINO

ADJ8159898

NORMA GARCIA

COUNTY OF LOS ANGELES

CORVEL CHINO

ADJ8205923

MATTHEW HICKMAN

COACHELLA VALLEY WATER

CORVEL CHINO

DISTRICT

DISTRICT ADJ1039793

DANIELA TAMAYO

COUNTY OF VENTURA

CORVEL CORPORATION

ADJ1039793

DANIELA TAMAYO

COUNTY OF VENTURA

CORVEL OXNARD

ADJ4076124

EFREN BALBUENA

AJAX BOILER, INC.

CORVEL SACRAMENTO

ADJ6430823

STEVEN GUERRERO

BANK OF AMERICA

CORVEL SACRAMENTO

ADJ7500183

RAMON MARTIN

T D COMMUNICATION

CORVEL SACRAMENTO

ADJ8902662

PATRICK HEDRICK

WHITES STEEL INC

CORVEL SACRAMENTO

ADJ6596192

ANA CAMPOS

HDSI MANAGEMENT INC

CORVEL SAN DIEGO

ADJ7663575

KIMBERLY WILKERSON

COUNTY OF LA DEPT OF CHILDREN

COUNTY OF LA DEPT OF CHILDREN AND

AND FAMILY SERVICES

FAMILY SERVICES

ADJ7479678

CARLA OWENS

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ7582924

LISA COLEMAN

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ7690343

GLORIA CORTEZ

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ7709574

DAVID GALINDO

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ7710943

CHARLES DOREMUS

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ7939631

VAL CHACON

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ8113583

ANITRA CHATMAN

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ8382059

EDWARD GANDARA

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES

ADJ913365

GLORIA WILLIAMS

LOS ANGELES COUNTY/DPSS

COUNTY OF LOS ANGELES

ADJ6657844

RICHARD ENGERSBACH

COUNTY OF LOS ANGELES SHERIFFS

COUNTY OF LOS ANGELES SHERIFFS DEPT

DEPT ADJ1168353

FRANCISCO BLANCO

COUNTY OF LOS ANGELES

COUNTY OF LOS ANGELES/CAMBRIDGE

ADJ6729300

PRISCILLA BAEZA

COUNTY OF LOS ANGELES/DPSS

COUNTY OF LOS ANGELES/DPSS

ADJ2231855

LUIS BUSTOS

COUNTY OF LOS ANGELES SHERIFF

COUNTY OF LOS ANGELES/TRISTAR CLAIMS

INTEGRATED SERVICES GROUP

ADJ2231855

LUIS BUSTOS

DEPT

MGMT #2

COUNTY OF LOS ANGELES SHERIFFS

COUNTY OF LOS ANGELES/TRISTAR CLAIMS

DEPT

MGMT #2

ADJ7099636

GALE GUERRA

COUNTY OF SAN BERNARDINO

COUNTY OF SAN BERNARDINO

ADJ1456596

MAGGIE WHITEHAIR

COUNTY OF SAN BERNARDINO

COUNTY OF SAN BERNARDINO/SAN

ADJ3172634

MICHAEL HUSE

SAN BERNARDINO COUNTY MEDICAL

COUNTY OF SAN BERNARDINO/SAN

CTR

BERNARDINO COUNTY RISK MGMT DIV

ADJ3128769

ALNEDIUS BURTON

RALLY STAFFING

CRAWFORD & CO.

ADJ625356

CHAUNCEE HICKS

RALLY STAFFING

CRAWFORD & CO.

ADJ2216746

ANITA SCHAEFFER

MEDI RIDE

CRAWFORD & COMPANY

ADJ3128769

ALNEDIUS BURTON

RALLY STAFFING

CRAWFORD & COMPANY

ADJ2171718

FRED FARLEY

LOS ANGELES COUNTY FIRE

CRAWFORD AND CO

ADJ2735904

LARRY SPEARS

SHERIFF'S DEPARTMENT

CRAWFORD AND CO

ADJ2831300

JOHN CASTANEDA

COUNTY OF LOS ANGELES

CRAWFORD AND CO

ADJ4013338

IRMA OLAQUE

LAIDLAW TRANSIT

CRAWFORD AND CO

BERNARDINO COUNTY RISK MGMT DIV

Page 17

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ494644

HELEN ARIIZUMI

COUNTY OF LA SUPERIOR COURT

CRAWFORD AND CO

ADJ6684842

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

CRS COMMERCIAL BBSI SANTA ANA

ADJ6684842

GABRIEL VILLA

CRS COMMERCIAL BBSI SANTA ANA

CRS COMMERCIAL BBSI SANTA ANA CRUM FORSTER ORANGE

ADJ398278

MARIA SALAZAR

SUN GLASS PRODUCTS

ADJ4266982

HARRY CHICAS

J. ROBERT SCOTT, INC.

CRUM FORSTER ORANGE

ADJ6668417

JUAN CHAVEZ

SWEETNER PRODUCTS

CRUM FORSTER ORANGE

ADJ6757965

GEOVANNY MONTANO

EL SUPER Z BODEGA LATINA

CRUM FORSTER ORANGE

ADJ6784010

ALEJO RUBIO

CATALINA YACHTS

CRUM FORSTER ORANGE

ADJ6898941

SOLEDAD MORENO

O C HEADSTART

CRUM FORSTER ORANGE

ADJ6973286

AMPARO OROS

ORANGE COUNTY HEAD START INC

CRUM FORSTER ORANGE

ADJ7037184

MARIA BOTELLO

TROJAN BATTERY COMPANY

CRUM FORSTER ORANGE

ADJ7231505

MARIA PERDOMO

ACME AUTO HEADLING CO

CRUM FORSTER ORANGE

ADJ7498536

EFRAIN BARCO

IPS CORPORATION

CRUM FORSTER ORANGE

ADJ8235740

STEVEN STORM

THIBIANT INTERNATIONAL INC

CRUM FORSTER ORANGE

ADJ977341

OSARO AKHIONBARE

LIVE HOME INC

CRUM FORSTER ORANGE

ADJ7103397

JOSE PERALTA

PARKING CONCEPTS INC

CRUM FORSTER RICHARDSON

ADJ7678850

TINA COTY

IPC THE HOSPITALIST COMPANY

CRUM FORSTER RICHARDSON

ADJ7818550

FRANK BIELAWA

DEPARTMENT OF CORRECTIONS AND

DEPARTMENT OF CORRECTIONS AND

REHABILITATION

REHABILITATION

ADJ8567568

GARY CURRIER

DEPARTMENT OF CORRECTIONS AND

DEPARTMENT OF CORRECTIONS AND

REHABILITATION

REHABILITATION

DEPARTMENT OF WATER AND

DEPARTMENT OF WATER AND POWER

ADJ8062137

ROBERT TOCCO

POWER ADJ6756982

LEAH GARVER

DEPT OF CORRECTIONS AND REHAB

DEPT OF CORRECTIONS AND REHAB

ADJ3907604

AIDA DELGADILLO

LOS ANGELES COUNTY TAX

DEPT OF SOCIAL SERVICES

COLLECTOR ADJ4031234

CAROLYN MCLAURIN

LOS ANGELES DEPART OF WATER &

DEPT WATER & POWER OF CITY OF L A

POWER ADJ1321576

GUSTAVO BARRIOS

DISNEYLAND

DISNEY ANAHEIM

ADJ4271541

DANILO YAP

LOS ANGELES DEPARTMENT OF

DWP LOS ANGELES

WATER & ADJ8062137

ROBERT TOCCO

DEPARTMENT OF WATER AND

DWP LOS ANGELES

POWER ADJ3345793

ROSENDO VELIZ

FAIRCHILD FASTENER GRP

DYNAMIC CLAIMS IRVINE

ADJ7119442

ROBERT GUY

ADJ4452453

ANTHONY BRISENO

BATH MASTERS, INC

EMPLOYERS COMP GLENDALE

DYNAMIC CLAIMS IRVINE

ADJ6871785

SHAROL JOHNSON

LAKESIDE MEDICAL GROUP

EMPLOYERS COMP GLENDALE

ADJ6929435

JIMMY FLORES

SOICHER MARIN

EMPLOYERS COMP GLENDALE

ADJ7074277

FELIX RODRIGUEZ

LE PARC HOMEOWNERS

EMPLOYERS COMP GLENDALE

ASSOCIATION ADJ7194044

SUSANA LOPEZ

CLINICA MEDICA BERNALES

EMPLOYERS COMP GLENDALE

ADJ7476702

QUINTILA CRUZ

CROWN PLAZA VENTURA BEACH

EMPLOYERS COMP GLENDALE

ADJ7530211

REYNER ABREU

JUICE IT UP

EMPLOYERS COMP GLENDALE

Page 18

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7636364

ALEJANDRO RAMIREZ

ARION INTERNATIONAL

EMPLOYERS COMP GLENDALE

ADJ8055050

KENNETH MORALES

AEOLUS DOWN INC

EMPLOYERS COMP GLENDALE

ADJ8418094

ARMANDO GOMEZ

PERFORMANCE PAINT AND BODY

EMPLOYERS COMP GLENDALE

ADJ8427382

SUSANA GUAJARDO

ALL STAR HR

EMPLOYERS COMP GLENDALE

ADJ8427382

SUSANA GUAJARDO

MCKENNA LABS

EMPLOYERS COMP GLENDALE

ADJ6871785

SHAROL JOHNSON

LAKESIDE MEDICAL GROUP

EMPLOYERS COMP NEWBURY PARK

ADJ7146789

DANNY PHILLIPS

CONTINENTAL MARBLE AND TILE

EMPLOYERS COMPENSATION EMPLOYERS COMPENSATION

ADJ7146789

DANNY PHILLIPS

ESIS FREMONT

ADJ7822747

YOLANDA HUERTA

AMERICAN MOVING PARTS

EMPLOYERS COMPENSATION

ADJ4338093

MARLENE QUINTERO

PARK PLACE MEDICAL CENTER

EMPLOYERS COMPENSATION INSURANCE

ADJ3995603

HERMINEGILDA CHAVEZ

AUTO ZONE

EMPLOYERS INSURANCE OF WAUSAU

ADJ3995603

HERMINEGILDA CHAVEZ

CHIEF AUTO PARTS

EMPLOYERS INSURANCE OF WAUSAU

ADJ7795086

WEI QU

RADNET MANAGEMENT INC

EMPLOYERS PREFERRED GLENDALE

ADJ115424

PONCIANO FUENTES

AAA PACKING AND SHIPPING INC

ENSTAR US ORANGE

ADJ2630604

ADOLFO MENDOZA

RIALTO CONCRETE PRODUCTS

ENSTAR US ORANGE ENSTAR US ORANGE

ADJ4010082

CESAR CORTES

GOMEZ CONSTRUCTION

ADJ4212052

VICTOR MORENO

ASPEN DISTRIBUTION

ENSTAR US ORANGE

ADJ4212052

VICTOR MORENO

PACIFIC EXTERIORS INC

ENSTAR US ORANGE

ADJ6577293

CEVIN LACK

FINAL PHASE INC

ENSTAR US ORANGE

ADJ6720440

TONY PHAM

BETTS EXPRESS

ENSTAR US ORANGE

ADJ7494006

RAUL TOVAR

SANA FE BUILDING EQUIPMENT

ENSTAR US ORANGE

ADJ7795086

WEI QU

RADNET MANAGEMENT INC

ENSTAR US ORANGE

ADJ8158631

TODD SCOTT

WINDOR

ENSTAR US ORANGE

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING

ESIS CHATSWORTH

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING SERVICES

ESIS CHATSWORTH

ADJ1023285

MARINA GONZALEZ

SIMPLE TECHNOLOGY

ESIS CHATSWORTH

ADJ1967544

JENNIFER STRONG

LOCKHEED MARTIN

ESIS CHATSWORTH

ADJ2320713

JOSE TIRADO

ABM INDUSTRIES INC

ESIS CHATSWORTH

ADJ2349516

ARMANDO SANCHEZ

RELIANCE STEEL

ESIS CHATSWORTH

ADJ2384732

ARTURO JR RODRIGUEZ

LOCKHEED MARTIN SKUNK WORKS

ESIS CHATSWORTH

ADJ2429736

JOSE CARRILLO

ADJ305396

JOSE CARRASCO

KING MEAT, INC.

ESIS CHATSWORTH

ESIS CHATSWORTH ESIS CHATSWORTH

ADJ354979

JOE MARTINEZ

AUTHENTIC FITNESS

ADJ3650236

EVELYN ALDANA

SELECT STAFFING

ESIS CHATSWORTH

ADJ598884

ROBERTO ATONAL

SELECT PERSONNEL

ESIS CHATSWORTH

ADJ6759338

COBI JONES

LOS ANGELES GALAXY

ESIS CHATSWORTH

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

ESIS CHATSWORTH

ADJ6933559

CHRISTINE BOYD

WIS INTERNATIONAL

ESIS CHATSWORTH

ADJ7010898

CYNTHIA EVANS

WDS WAREHOUSE DEMO SERVICES

ESIS CHATSWORTH

ADJ7140230

ANABELLA SANCHEZ

CHIPOTLE MEXICAN GRILL

ESIS CHATSWORTH

Page 19

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

ADJ745634

MARIA TORRES

ONE SOURCE

Claims administrator ESIS CHATSWORTH

ADJ7777352

MARGARET BROOKS

WERNER ENTERPRISES

ESIS CHATSWORTH

ADJ7849800

SUGEY ESTRADA

KOOSHAREM CORPORATION DBA

ESIS CHATSWORTH

SELECT STAFFING ADJ7879981

EARL BUELER

CLP RESOURCES

ESIS CHATSWORTH

ADJ7921257

MELISSA PRIETO

TIME WARNER CABLE INC

ESIS CHATSWORTH

ADJ7985342

YAIRO SIERRA

PARSEC INC

ESIS CHATSWORTH

ADJ8063998

LAQUINTA HOSEIN

KELLY SERVICES

ESIS CHATSWORTH

ADJ807100

RICHARD TURGEON

ABM ENGINEERING SERVICES

ESIS CHATSWORTH

ADJ8176174

MARIBEL REYES

SELECT STAFFING

ESIS CHATSWORTH

ADJ8198298

JACK JEWETT

ADJ8233740

ILIANA BARRIOS

BLOOMFIELD BAKERS

ESIS CHATSWORTH

ADJ8424503

DANNY WAFER

HOSTESS BRANDS

ESIS CHATSWORTH

ADJ3663571

CECILIA LEDEZMA

STAPLES

ESIS CHATSWORTH

ADJ7010898

CYNTHIA EVANS

WDS WAREHOUSE DEMO SERVICES

ESIS FREMONT

ADJ7146789

DANNY PHILLIPS

CONTINENTAL MARBLE AND TILE

ESIS FREMONT

ADJ7146789

DANNY PHILLIPS

ESIS FREMONT

ESIS FREMONT

ADJ7269278

ANTE RAZOV

LOS ANGELES GALAXY

ESIS FREMONT

ADJ7295407

GERARDO GUILLEN

IRVINE VALENCIA GROWERS

ESIS FREMONT

ADJ7578481

MANUEL GIL

AMERIPRIDE SERVICES INC

ESIS FREMONT

ADJ8315020

CLEMMIE GRAVES

RON SAIDARA DDS

ESIS FREMONT

ADJ2320713

JOSE TIRADO

ABM INDUSTRIES INC

ESIS PORTLAND

ESIS CHATSWORTH

ADJ6823602

VALERIA CAPOZZI

SONY PICTURES

ESIS PORTLAND

ADJ1103380

BARBARA MCGOWAN

INLAND PAPERBOARD & PACKAGING

ESIS TAMPA

INC ADJ6759338

COBI JONES

LOS ANGELES GALAXY

ESIS TAMPA

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

ESIS TAMPA

ADJ7269278

ANTE RAZOV

LOS ANGELES GALAXY

ESIS TAMPA

ADJ8277789

LYNN WILCHER

DELTA AIRLINES

ESIS TAMPA

ADJ794548

DANIEL NAVARRETE

LA PRINCESITA TORTILLERIA

EVEREST NATIONAL INSURANCE CO

ADJ2216629

JORGE SANCHEZ

GELSONS MARKETS

EVEREST NATIONAL INSURANCE OAKLAND

ADJ3974204

MARIA CORTINA

EDGEWATER CONV HOSPITAL

EVEREST NATIONAL INSURANCE OAKLAND

ADJ2948575

JOSE RAMIREZ

CHECK MATE AGENCY

EVEREST NATIONAL ORANGE INVALID

ADJ2948575

JOSE RAMIREZ

SUPERIOR ASSEMBLY DISTRIBUTION

EVEREST NATIONAL ORANGE INVALID

ADJ4042638

RAMONA LOZANO

A RUDIN DESIGNS

EVEREST NATIONAL ORANGE INVALID

ADJ6578710

RUBEN GARZA

CALSTRIP INDUSTRIES

EVEREST NATIONAL ORANGE INVALID

ADJ1167159

PANFILO SALDANA

COLOR SPOT NURSERIES

EXPLORER INSURANCE/ICW

ADJ6616863

LORI BATES

EXPRESS EMPLOYMENT

EXPRESS EMPLOYMENT PROFESSIONALS

ADJ1164224

ANTONIO PEREZ

AMERICAN LANDSCAPE

PROFESSIONALS FARA ORANGE

MAINTENANCE ADJ1164224

ANTONIO PEREZ

AMERICAN LANDSCAPE MAINTENENCE

Page 20

FARA ORANGE

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1772324

MERCEDES SANDOVAL

CIMMS INC.

FARA ORANGE

ADJ4000411

FLIP NIMMANANT

FARMER JOHN/HORMEL FOODS

FARMER JOHN

ADJ3348853

ENRIQUE SANCHEZ

AMBER ALVAREZ GARCIA

FARMERS PLEASANTON

ADJ3348853

ENRIQUE SANCHEZ

FRANK GARCIA

FARMERS PLEASANTON

ADJ3348853

ENRIQUE SANCHEZ

TROPICAL ROCK

FARMERS PLEASANTON

ADJ3348853

ENRIQUE SANCHEZ

UEBTF LOS ANGELES

FARMERS PLEASANTON

ADJ7671902

LIET BUI

SOUTH BAY FABRICATION

FARMERS PLEASANTON

ADJ2203324

KRISTA DILLON

HOT DIGGITY DOG

FARMERS SANTA ANA

ADJ3799621

SCOTT BREZNOCK

OCEAN BREWING CO INC

FARMERS SANTA ANA FARMERS SANTA ANA

ADJ4038021

JOSE VILICANA

AUTO CRAFT

ADJ4648342

PEDRO FUENTES

ALBERT J. BAN LUND

FARMERS SANTA ANA

ADJ6934397

ISRAEL SIERRA

OSTIONERIA PLAYAS DE SINALOA

FARMERS SANTA ANA

ADJ7638558

SALOMON VALENTE

CAPITAL SEAFOOD GROUP

FARMERS SANTA ANA

ADJ7930943

JORGE PEREZ

JOHN & ETHEL SUN

FARMERS SANTA ANA

ADJ8000258

MARIA DE ROSARIO

FACILITY MASTERS INC

FARMERS SANTA ANA FARMERS WESTLAKE VILLAGE

CHAVARIN ADJ123892

ADOLFO GOMEZ

ROBERT PALMER DBA TITAN

ADJ1621412

CARLOS ORREGO

RESEDA AUTO & ELECTRIC

FARMERS WESTLAKE VILLAGE

ADJ1661603

SANTOS TOVAR

CALIFORNIA BUYERS

FARMERS WESTLAKE VILLAGE

ADJ3024787

EVELYN ZAPANTA

RAYMOND TODD

FARMERS WESTLAKE VILLAGE

ADJ3312998

OSCAR NAVA

ISLAND FLOOR COVERING/CARPET

FARMERS WESTLAKE VILLAGE

ADJ3799621

SCOTT BREZNOCK

OCEAN BREWING CO INC

FARMERS WESTLAKE VILLAGE

ADJ3965600

MARTA SANTIZO

ELITE PERSONNEL SERVICES, INC.

FARMERS WESTLAKE VILLAGE

ADJ4523825

FRANCISCO DIAZ -

KING PLUSH

FARMERS WESTLAKE VILLAGE

ALI GACHAIN AND DIANA GACHAIN

FARMERS WESTLAKE VILLAGE

AUTOMOBILE

MIRANDA ADJ6611254

MARIA SALTO

ADJ8038699

ALBERT RUBIO

PARK PLAZA AUTOMOTIVE

FARMERS WESTLAKE VILLAGE

ADJ8136599

BERNARDO ORTIZ

SIGNATURE MAINTENANCE

FARMERS WESTLAKE VILLAGE

MARTINEZ ADJ3875469

MARIA PRECIADO

HOUSING AUTHORITY

FEDERAL EXPRESS CORP/ATHENS

ADJ2003630

ANNIE COLES

MACY'S

FEDERATED CLAIMS SERVICE GROUP

ADMINISTRATORS ADJ2003630

ANNIE COLES

MACYS WEST

FEDERATED CLAIMS SERVICE GROUP

ADJ1299994

DANIEL SANDOVAL

CARLTON FORGE WEST

FIREMANS FUND INSURANCE COMPANY/CALCO MEDICAL MANAGEMENT CORP

ADJ1299994

DANIEL SANDOVAL

CARLTON FORGE WORKS

FIREMANS FUND INSURANCE COMPANY/CALCO MEDICAL MANAGEMENT CORP

ADJ3174868

ABRAHAM CAPERS

FLEETWOOD ENTERPRISES

FLEETWOOD ENTERPRISES INC

ADJ3174868

ABRAHAM CAPERS

SELF INSURED SECURITIES FUND

FLEETWOOD ENTERPRISES INC

ADJ4024637

ZENAIDA GONZALEZ

FLEETWOOD ENTERPRISES INC

FLEETWOOD ENTERPRISES INC

FLEETWOOD HOMES

FLEETWOOD ENTERPRISES INC

ARROYO ADJ4024637

ZENAIDA GONZALEZ ARROYO

Page 21

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4621751

KAREN ANDERSON

LONG BEACH UNIFIED SCHOOL

FLEMING & ASSOCIATES

DISTRICT ADJ7545331

ESTEBAN CRUZ

FAR EAST LANDSCAPE MAINTENANCE

FLORISTS MUTUAL INS EDWARDSVILLE

INC ADJ7992256

IGNACIO LUNA

O` CONNELL LANDSCAPING

FLORISTS MUTUAL INS EDWARDSVILLE

MAINTNANCE ADJ751718

JULIE HERNANDEZ

COUNTRY INN OF PORT HUENEME

FREMONT COMP (29069)

ADJ117564

CATRINA WILLIAMS

DIVERSIFIED PHOTO GRAPHICS

FREMONT COMPENSATION INSURANCE CO

SUPPLY ADJ3259223

CHRISTOPHER LOPEZ

SOUTH TITLE CORPORATION

FREMONT COMPENSATION INSURANCE CO

ADJ3259223

CHRISTOPHER LOPEZ

SOUTHLAND TITLE CORP

FREMONT COMPENSATION INSURANCE CO

ADJ3548804

VICTOR ESQUIVEL

NATIONAL GENETICS INSTITUTE

FREMONT COMPENSATION INSURANCE CO

ADJ751718

JULIE HERNANDEZ

COUNTRY INN OF PORT HUENEME

FREMONT INDEMNITY INSURANCE CO

ADJ3502707

RICARDO TORRES

ESCAMILLA & SONS INC

FRONTIER IN REHAB NEW YORK

ADJ7545762

EDGAR NAVA

JBL MOVING AND STORAGE

FRYE CLAIMS HAYWARD

ADJ4230430

LINDA SMITH

UNITED AIRLINES

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ6807404

PAULINE NGUYEN

YOSHINOYA AMERICA INC

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ6980403

DENESE DAVIDSON

AMERICAN CORPORATE SECURITY

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ7162235

DELIA CASTILLO

LA QUINTA INN AND SUITES

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ7798560

JANE WOHLFEIL

SWIFT TRANSPORTATION

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ8516710

WILLIAM MARTAK

SWIFT TRANPORTATION CO INC

GALLAGHER BASSETT 255397 SACRAMENTO

ADJ6599290

MARTIN MELCHOR

MK CONSTRUCTION

GALLAGHER BASSETT 4040 SACRAMENTO

ADJ6966307

LUIS PINONES

ALLSCAPE ARCHITECTURAL

GALLAGHER BASSETT 4040 SACRAMENTO

LANDSCAPE LIGHTING ADJ6966307

LUIS PINONES

PHILIPS ELECTRONICS NORTH

GALLAGHER BASSETT 4040 SACRAMENTO

AMERICA CORPORATION ADJ7879973

MARYANN CAZAREZ

VEOLIA TRANSPORTATION

GALLAGHER BASSETT 4040 SACRAMENTO

ADJ8072856

ELIZABETH TAFOYA

HOSPITALITY STAFFING SOLUTIONS

GALLAGHER BASSETT 4040 SACRAMENTO

ADJ8143281

ROBERT GRIFFITH

MINNESOTA VIKINGS

GALLAGHER BASSETT 4040 SACRAMENTO

ADJ8173896

NORIA VALIENTE

AUTONATION POWER FOOD

GALLAGHER BASSETT 4040 SACRAMENTO

ADJ1074010

ESAM NADROUS

PARADISE THEATER

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ1443430

ART MONTOYA

CSX LINES

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2113629

JEFF BAILEY

FIRST CLASS GLASS INC

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

Page 22

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2172344

MEREGILDO RAMIREZ

SME ERECTORS

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2172344

MEREGILDO RAMIREZ

SME STEEL CONTRACTORS

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2405930

ENRIQUE MANCILLA

PIZZA HUT

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2536003

ROBIN CRADER

BECKMAN COULTER INC

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2551935

MARIA ROMERO

MCDONALDS RESTAURANT

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ3046200

HECTOR MARTINEZ

SYSCO FOODS

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ3046604

ANGELICA GUTIERREZ

MCDONALDS CORPORATION

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ3896516

ALEX RAMIREZ

BRIDGESTONE AMERICAS HOLDING

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ4166687

GINA NEVARES

MCMASTER-CARR SUPPLY CO

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ4356152

MARIA ROMERO

MCDONALDS RESTAURANT

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ6581434

GRISELDA RUBALCAVA

DART CONTAINER CORP

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ6755786

AN TONY YOUNG

LOS ANGELES TIMES

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ7176475

OSCAR ALVARADO

BROTHERS TOWING OF NORCO INC

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ873638

ANA OSORIO

TRIBUNE COMPANY

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ891833

MARIO MARQUEZ

VOPAK/WILMINGTON LIQUID

GALLAGHER BASSETT 70003 ANAHEIM CLOSED

ADJ2151581

LILIAN ESPINOZA TINTLE

CHARMING STORES

GALLAGHER BASSETT BURBANK

ADJ4249228

LOURDES DUARTE

CLEGG INDUSTRIES INC

GALLAGHER BASSETT BURBANK

ADJ4445031

SANDINA SIDMORE

OPTION ONE MORTGAGE CORP

GALLAGHER BASSETT BURBANK

ADJ6759338

COBI JONES

LOS ANGELES GALAXY

GALLAGHER BASSETT BURBANK

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

GALLAGHER BASSETT BURBANK

ADJ7261396

JEFFARIE OWENS

VIEW PARK COVALESSANT HOSPITAL

GALLAGHER BASSETT BURBANK

ADJ1557067

PAULINE MARK

GALLAGHER BASSETT CALABASAS

ADJ1817438

ANDRES DEHARO

FOAMEX

GALLAGHER BASSETT CALABASAS

ADJ3328246

ELISA ZUNIGA

G&K SERVICES

GALLAGHER BASSETT CALABASAS

ADJ377301

WITOLD FRANCZAK

WESSLEN CONSTRUCTION

GALLAGHER BASSETT CALABASAS

ADJ6533912

GERARD BEST

20TH CENTURY

GALLAGHER BASSETT CALABASAS

ADJ6694770

DULJO AVDIBASIC

JOURNEY ELECTRICAL

GALLAGHER BASSETT CALABASAS

TECHNOLOGIES INC ADJ6861535

MARIA ROMERO

SODEXHO

GALLAGHER BASSETT CALABASAS

ADJ7010597

MARINA GALAVIZ

SODEXO INC

GALLAGHER BASSETT CALABASAS

Page 23

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7176475

OSCAR ALVARADO

BROTHERS TOWING OF NORCO INC

GALLAGHER BASSETT CALABASAS

ADJ7255564

ELISSA SELVO

FOX CABLE NETWORKS

GALLAGHER BASSETT CALABASAS

ADJ7306766

HARRISON SUMMERISE

SODEXHO

GALLAGHER BASSETT CALABASAS

ADJ7310705

ZENAIDO PARRA

LIVE NATION HOUSE OF BLUES

GALLAGHER BASSETT CALABASAS

ADJ7967236

MARGARITA NICOLAS

SODEXO INC

GALLAGHER BASSETT CALABASAS

ADJ1689231

ARTURO PLANCARTE

FAMILY TREE PRODUCE

GALLAGHER BASSETT CORONA

ADJ179617

MICHAEL RICCOBONO

PCT/KENAN ADVANTAGE GROUP INC

GALLAGHER BASSETT CORONA

ADJ1891702

JESUS LICEA

MAERSK LINES

GALLAGHER BASSETT CORONA

ADJ2112764

RUBEN TAPIA

AMERICAN GOLF CORP

GALLAGHER BASSETT CORONA

ADJ277029

JOSE DUARTE

US GYPSUM

GALLAGHER BASSETT CORONA

ADJ3211317

MARIA ROSAS

TACO BELL

GALLAGHER BASSETT CORONA

ADJ3211317

MARIA ROSAS

UNITRANS INC

GALLAGHER BASSETT CORONA

ADJ3211317

MARIA ROSAS

YUM BRANDS,INC.

GALLAGHER BASSETT CORONA

ADJ6537827

KEVIN BEDINGFIELD

THEODORE ROBINS FORD

GALLAGHER BASSETT CORONA

ADJ6568102

UZZIEL AMBRIZ

BFS RETAIL AND COMMERCIAL

GALLAGHER BASSETT CORONA

ADJ6702985

MARIANO MELCHOR

PIZZA HUT/ SAN FERNANDO

GALLAGHER BASSETT CORONA

ADJ7013140

SOFIA RIVERA

LAKE FORST NURSING CENTER

GALLAGHER BASSETT CORONA

ADJ7024443

RANDAL VANDERTUIG

K HOVANANIAN HOMES

GALLAGHER BASSETT CORONA

ADJ7028159

WAYNE KITRELL

M AND M ACTION TOWING

GALLAGHER BASSETT CORONA

ADJ7129858

NORMA GUERRERO

PIZZA HUT

GALLAGHER BASSETT CORONA

ADJ7503235

RICARDO HERNANDEZ

SIMONIZ JANSS MALL

GALLAGHER BASSETT CORONA

ADJ8321962

CHERYL JENKINS

TUTOR TIME LEARNING CARE GROUP

GALLAGHER BASSETT CORONA

ADJ8398567

LINDA SMITH

BROOKDALE SENIOR LIVING

GALLAGHER BASSETT CORONA

ADJ8467309

ALFONSO LEON

AUTONATION INC

GALLAGHER BASSETT CORONA

ADJ6939282

MARIA ELENA IBARRA

PRICEWATERHOUSECOOPERS LLP

GALLAGHER BASSETT GLENDALE

ADJ8048910

RICARDO CHILLON

HYATT REGENCY

GALLAGHER BASSETT GLENDALE

ADJ6430823

STEVEN GUERRERO

BANK OF AMERICA

GALLAGHER BASSETT GOLD RIVER

ADJ7147964

THERESA STONE

BANK OF AMERICA

GALLAGHER BASSETT GOLD RIVER

ADJ7282201

RUFINO SANCHEZ

WASTE MANAGEMENT

GALLAGHER BASSETT GOLD RIVER

ADJ7635173

JUAN RODRIGUEZ

SEALY MATTRESS CO

GALLAGHER BASSETT GOLD RIVER

ADJ2216746

ANITA SCHAEFFER

MEDI RIDE

GALLAGHER BASSETT LAGUNA HILLS GALLAGHER BASSETT LAGUNA HILLS

ADJ3732140

GARY SIMS

BOYD COFFEE CO

ADJ4013338

IRMA OLAQUE

LAIDLAW TRANSIT

GALLAGHER BASSETT LAGUNA HILLS

ADJ6586492

JOSE MENJIVAR

MASSIVE PRINTS

GALLAGHER BASSETT LAGUNA HILLS

ADJ6852886

CHRISTOPHER MOORE

G-2 SECURE STAFF

GALLAGHER BASSETT LAGUNA HILLS

ADJ933594

JOSE MENJIVAR

MASSIVE PRINTS

GALLAGHER BASSETT LAGUNA HILLS

ADJ1891702

JESUS LICEA

MAERSK LINES

GALLAGHER BASSETT LAS VEGAS

ADJ7998498

JEANETTE ALVAREZ

GALLAGHER BASSETT

GALLAGHER BASSETT LAS VEGAS

ADJ112728

EDWARD ROSS

SAVE ON / CVS PHARMACY

GALLAGHER BASSETT ONTARIO

ADJ6759338

COBI JONES

LOS ANGELES GALAXY

GALLAGHER BASSETT ONTARIO

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

GALLAGHER BASSETT ONTARIO

ADJ8430296

LYDIA PENA

SAVA SENIORCARE ADMINISTRATIVE

GALLAGHER BASSETT ONTARIO

SERVICES ADJ8486309

ARTEMIO LUNA

DUNN EDWARDS

Page 24

GALLAGHER BASSETT ONTARIO

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3043881

EDMUNDO SUAREZ

UNITED AIRLINES

GALLAGHER BASSETT ORANGE

ADJ3880736

MICHAEL STEWART

CALIFORNIA COMMUNITY NEWS

GALLAGHER BASSETT ORANGE

ADJ3920506

ABRAHAM CHRISTIAN

RING SECURITY AGENCY INC

GALLAGHER BASSETT ORANGE

ADJ4026089

RICHARD PERRY

COMPTON UNIFIED SCHOOL DIST

GALLAGHER BASSETT ORANGE

ADJ4026089

RICHARD PERRY

COMPTON UNIFIED SCHOOL

GALLAGHER BASSETT ORANGE

ADJ4062533

JOSE REYES

ASSOC CONCRETE PRODUCTS

GALLAGHER BASSETT ORANGE

ADJ4062533

JOSE REYES

ASSOCIATED CONCRETE PRODUCTS

GALLAGHER BASSETT ORANGE

DISTRICT

ADJ6430823

STEVEN GUERRERO

BANK OF AMERICA

GALLAGHER BASSETT ORANGE

ADJ6581434

GRISELDA RUBALCAVA

DART CONTAINER CORP

GALLAGHER BASSETT ORANGE

ADJ6941579

MICHAEL SMITH

U HAUL

GALLAGHER BASSETT ORANGE

ADJ7037231

THERESA TOPPS

VEOLIA TRANSPORTATION

GALLAGHER BASSETT ORANGE

ADJ7392923

MANUEL ALONZO

REAL MEX DBA EL TORITO

GALLAGHER BASSETT ORANGE

ADJ7526359

HARVEY MUNOZ

ARCHER DANIELS MIDLAND CO

GALLAGHER BASSETT ORANGE

ADJ7902802

TRESE CORDOZA

ACAPULCO MEXICAN RESTAURANT

GALLAGHER BASSETT ORANGE

ADJ7998498

JEANETTE ALVAREZ

GALLAGHER BASSETT

GALLAGHER BASSETT ORANGE

ADJ8045665

JOSE LUIS ARCOS

LOS ANGELES COMMUNITY COLLEGES

GALLAGHER BASSETT ORANGE

ADJ8108987

JACK STRICKLER

LOS ANGELES TIMES

GALLAGHER BASSETT ORANGE

ADJ8142182

IVONNE SANCHEZ

PANDA RESTAURANT GROUP INC

GALLAGHER BASSETT ORANGE

ADJ1863051

KELSEY MADDOX

TRADER JOE'E

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ2112764

RUBEN TAPIA

AMERICAN GOLF CORP

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ3211351

CLIFFORD THOMPSON

USF REDDAWAY

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ3243253

MINH NGUYEN

USF BESTWAY

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ3575268

CARMEN AGUIRRE MEDINA

AMERICAN RACING

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ3575268

CARMEN AGUIRRE MEDINA

AMERICAN RACING EQUIPMENT

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ4713038

MARCOS LOPEZ

PEACH PERSONNEL

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ4713038

MARCOS LOPEZ

SUNDANCE SPAS INC

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ6712153

MARIA TRUJILLO

MONTEREY PARK CONVALESCENT

GALLAGHER BASSETT RANCHO CUCAMONGA

HOSPITAL ADJ6814387

LETICIA IBARRA

OCEAN BEAUTY SEAFOODS INC

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ6876253

ALMA PEREZ VILLAREAL

MEMORIAL PARK & MORTUARY

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ7024443

RANDAL VANDERTUIG

K HOVANANIAN HOMES

GALLAGHER BASSETT RANCHO CUCAMONGA

Page 25

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7203790

BELEN SANCHEZ

PARK REGENCY RETIREMENT

GALLAGHER BASSETT RANCHO CUCAMONGA

RESIDENCE ADJ7774238

MIRIAM PANTOJA

PAYLESS SHOE SOURCE

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ7942828

ANTHONY BELL

FEDEX

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ8450363

YVONNE TADROS

YMCA OF GREATER LONG BEACH

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ8486309

ARTEMIO LUNA

DUNN EDWARDS

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ8795651

ANDRES ESPINOZA

MRS REDD'S PIE

GALLAGHER BASSETT RANCHO CUCAMONGA

ADJ6966307

LUIS PINONES

ALLSCAPE ARCHITECTURAL

GALLAGHER BASSETT ROSEVILLE

ADJ6966307

LUIS PINONES

PHILIPS ELECTRONICS NORTH

LANDSCAPE LIGHTING GALLAGHER BASSETT ROSEVILLE

AMERICA CORPORATION ADJ6980403

DENESE DAVIDSON

AMERICAN CORPORATE SECURITY

GALLAGHER BASSETT ROSEVILLE

ADJ7003401

ART JARAMILLO

WALDEN HOUSE

GALLAGHER BASSETT ROSEVILLE

ADJ7167269

JANINA COX

RAND CORPOKAT10N

GALLAGHER BASSETT ROSEVILLE

ADJ7174699

ROSA ALDRETE

STRATEGIC STAFFING ALLIANCE INC

GALLAGHER BASSETT ROSEVILLE

ADJ7786647

REYNALDO SIERRA

COVENANT TRANSPORT

GALLAGHER BASSETT ROSEVILLE

ADJ6523117

GILBERTO RUVALCABA

KEER

GALLAGHER BASSETT SACRAMENTO

ADJ6759338

COBI JONES

LOS ANGELES GALAXY

GALLAGHER BASSETT SACRAMENTO

ADJ6759338

COBI JONES

MAJOR LEAGUE SOCCER

GALLAGHER BASSETT SACRAMENTO

ADJ7798560

JANE WOHLFEIL

SWIFT TRANSPORTATION

GALLAGHER BASSETT SACRAMENTO

ADJ7957628

SANDRA NELSON

ICEF PUBLIC SCHOOLS

GALLAGHER BASSETT SACRAMENTO

ADJ3226110

CELIA MENDEZ

JACK IN THE BOX

GALLAGHER BASSETT SAN DIEGO

ADJ4589871

MAIDA ORELLANA

7-UP/RC BOTTLING COMPANIES OF

GALLAGHER BASSETT SAN DIEGO

SO CA ADJ6692329

DARLEY SHORT

TRANS PACIFIC CONTAINER SERVICES

GALLAGHER BASSETT SAN DIEGO

CORP ADJ7562162

TIMOTHY SMITH

U S FOOD SERVICE

GALLAGHER BASSETT SAN DIEGO

ADJ8205620

JUAN MARTINEZ

SOKEN TRADE CORP

GALLAGHER BASSETT SAN DIEGO

ADJ8415535

DIANE BRENNAN

FRONTIER AIRLINE

GALLAGHER BASSETT SAN DIEGO

ADJ1891702

JESUS LICEA

MAERSK LINES

GALLAGHER BASSETT SCOTTSDALE

ADJ7392923

MANUEL ALONZO

REAL MEX DBA EL TORITO

GALLAGHER BASSETT SCOTTSDALE

ADJ1557067

PAULINE MARK

GALLAGHER BASSETT SERVICES

ADJ458935

LETICIA DE LEON

MAXINE SWIM GROUP INC

GALLAGHER BASSETT SERVICES

ADJ1817438

ANDRES DEHARO

FOAMEX

GALLAGHER BASSETT SERVICES INC

ADJ1970035

BERTHA GUZMAN

SALIB ENTERPRISES

GALLAGHER BASSETT SERVICES INC

ADJ2277275

ROSIE GONZAGA

20TH CENTURY FOX

GALLAGHER BASSETT SERVICES INC

ADJ7578368

MICHAEL VASQUEZ

UPS

GALLAGHER BASSETT UPS5141 LAKE FOREST

ADJ2471312

ROSEMARY VAUGHN

COUNTY OF ORANGE

GATES MCDONALD & CO

ADJ2471312

ROSEMARY VAUGHN

SUPERIOR COURT OF CA

GATES MCDONALD & CO

ADJ4083116

THELMA CANDELARIO

KAREN & MARTIN MOHAN

GOLDEN EAGLE ALISO VIEJO

Page 26

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3040624

JOSE HERNANDEZ

MAGNET SALES & MANUFACTURING

GOLDEN EAGLE INSURANCE CO

ADJ4014122

BECKEY RILEY

HOOSE NEWS

GOLDEN EAGLE INSURANCE CO

ADJ458935

LETICIA DE LEON

MAXINE SWIM GROUP INC

GOLDEN EAGLE INSURANCE CO

ADJ852762

JOE SMITH

ADJ1491843

GONZALO SANDOVAL

PHOENIX PAVING

GOLDEN EAGLE ORANGE

ADJ4038941

RONALD HIGHLEY

NEWPORT DIVERSIFIED

GOLDEN EAGLE ORANGE

ADJ4096616

SOFIA ORTIZ

RALPHS GROCERY

GOLDEN EAGLE ORANGE

ADJ2063594

PRESCILIANO LAGUNA

NORTH AMERICAN TEXTILE CO

GRANITE STATE INSURANCE COMPANY

ADJ4053010

LAURIE BROWN

BRUNSWICK SANDS BOWL

HARTFORD ACCIDENT & INDEMNITY

ADJ4212052

VICTOR MORENO

ASPEN DISTRIBUTION

HARTFORD ACCIDENT AND INDEMNITY

GOLDEN EAGLE INSURANCE CO

CO/SPECIALTY RISK SERVICES INC COMPANY ADJ4212052

VICTOR MORENO

PACIFIC EXTERIORS INC

HARTFORD ACCIDENT AND INDEMNITY

ADJ3497846

JORGE MARTINEZ

TRAFFIC CONTROL SERVICES

HARTFORD SACRAMENTO

ADJ3497846

JORGE MARTINEZ

TRAFFIC CONTROL SYSTEMS

HARTFORD SACRAMENTO

ADJ447304

CYNTHIA MILLER

COLORADO RIVER MEDICAL CENTER

HARTFORD SACRAMENTO

ADJ460944

LILIA AGUILAR

PILLOWTEX CORP.

HARTFORD SACRAMENTO

ADJ6502174

LINDA RHODES

STEPHEN F LINDSAY MD INC & JOHN

HARTFORD SACRAMENTO

COMPANY

W PUCKETT MD INC ADJ6890655

ROMAN BUTLER

STS EXCEL FOODS

HARTFORD SACRAMENTO

ADJ6985332

FAKHRI TAHERI

IHASET

HARTFORD SACRAMENTO

ADJ7293368

ROSENDA SANDOVAL

CASTEC INC

HARTFORD SACRAMENTO

ADJ7487053

AGUSTINA CONTRERAS

RAYS WRAP INC.

HARTFORD SACRAMENTO

ADJ7520941

FIDEL RAMIREZ

ADEL WIGGIN DIV

HARTFORD SACRAMENTO

ADJ7568577

CHARLES DIXON

MA FOLKES

HARTFORD SACRAMENTO

ADJ7576206

MAI VU

ATRON INC

HARTFORD SACRAMENTO

ADJ7594309

ANA DURAND ACOSTA

WESTERN DENTAL SERVICE

HARTFORD SACRAMENTO

ADJ7600103

VINH QUANG TRAN

QSC AUDIO

HARTFORD SACRAMENTO

ADJ7652196

JOSE MARTINEZ

PREMIER MOUNTS

HARTFORD SACRAMENTO

ADJ7699267

CHRIS LUNTSFORD

SMART SOURCE

HARTFORD SACRAMENTO

ADJ8062100

BLAINE COTTON

CENTRAL ASTISTS

HARTFORD SACRAMENTO

ADJ8062382

DEBORA BATRES

ROBERT L GORDON MARK EDELSTEIN

HARTFORD SACRAMENTO

HOWARD ADJ8188660

ANITA HERNANDEZ

FUSION LINENS

HARTFORD SACRAMENTO

ADJ8218751

SHAWN JEWELL

PRECISION OMB

HARTFORD SACRAMENTO

ADJ8264158

ANGELICA ARVIZU

CONTRACT SERVICE GROUP INC

HARTFORD SACRAMENTO

ADJ4446499

JANET RILEY

COUNTY OF LOS ANGELES

HCM/HERTZ CLAIM MANAGEMENT

ADJ3071975

DEIDRA HARPER

SBC

HELMSMAN MANAGEMENT

ADJ3739661

JANNIE BLAKE

MANUAL ARTS HIGH SCHOOL

HELMSMAN MANAGEMENT

ADJ3071975

DEIDRA HARPER

SBC

HELMSMAN MANAGEMENT GLENDALE

ADJ7748926

ARTURO MAGALLANES JR

UPS FREIGHT

HELMSMAN MANAGEMENT GLENDALE

ADJ8290929

LILY RAINS

VIVENDI UNIVERSAL ENTERTAINMENT

HELMSMAN MANAGEMENT GLENDALE

LLP ADJ8344472

KATHLEEN ROBINSON

ALLSTATE INSURANCE COMPANY

Page 27

HELMSMAN MANAGEMENT GLENDALE

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1491843

GONZALO SANDOVAL

PHOENIX PAVING

HELMSMAN MANAGEMENT ROCKLIN

ADJ8340709

TRINA CONGER

COSTCO

HELMSMAN MANAGEMENT ROCKLIN

ADJ8472627

EFREN CABRERA

USED GYM EQUIPMENT

HELMSMAN MANAGEMENT ROCKLIN

ADJ1160976

DERICK TAYLOR

LAUSD

HELMSMAN MANAGEMENT SERVICE INC

ADJ1168353

FRANCISCO BLANCO

COUNTY OF LOS ANGELES

HELMSMAN MANAGEMENT SERVICE INC

ADJ2032286

DAVID MASON

COUNTY OF LOS ANGELES

HELMSMAN MANAGEMENT SERVICE INC

ADJ2598466

CLAYTON CHAMBERS

BECKMAN INSTRUMENTS

HELMSMAN MANAGEMENT SERVICE INC

ADJ3549419

ZETTA BROWN

COUNTY OF LOS ANGELES/TREASURE

HELMSMAN MANAGEMENT SERVICE INC

ADJ3269930

ARON THOMPSON

LOS ANGELES COUNTY PROBATION

HELMSMAN MANAGEMENT SERVICES

ADJ4039160

ELEANOR CHAGOLLA

COUNTY OF L A /D P S S

HELMSMAN MANAGEMENT SERVICES

ADJ1420328

VIRGINIA MORALES

EL TAPATIO

HIGHLANDS INSURANCE CO

ADJ1521253

JULIE MESA

NORM REEVES HONDA OF CERRITOS

HIGHLANDS INSURANCE COMPANY

ADJ4079093

DIANNE MILTMORE

JIMBOS NATURALLY

HIGHLANDS INSURANCE COMPANY

ADJ4249228

LOURDES DUARTE

CLEGG INDUSTRIES INC

HIGHLANDS INSURANCE COMPANY

ADJ1621412

CARLOS ORREGO

RESEDA AUTO & ELECTRIC

HIH AMERICA INS

ADJ2515216

MARK WILLIAMS

STEVEDORING SERVICES OF AMERICA

HOMEPORT INSURANCE

ADJ2331910

BRIAN CODD

STEVEDORING SERVICES OF AMERICA

HOMEPORT INSURANCE COMPANY

ADJ4714463

MANUEL JIMENEZ ZAVALA

MIKE CAMPBELL & ASSOCIATES

HUMAN DYNAMICS CORP

ADJ2148573

RODGER NAPIER

WALT'S DIESEL

ILLINOIS MIDWEST SPRINGFIELD

ADJ3366924

RICHARD MARQUEZ

CO OPPORTUNITY

ILLINOIS MIDWEST SPRINGFIELD

ADJ6613623

GERARDO PEREZ

PARTY PRONTO

ILLINOIS MIDWEST SPRINGFIELD

ADJ6930945

SOO JANG

EDWARD SKY INC DBA SURASANG

ILLINOIS MIDWEST SPRINGFIELD

ADJ7224109

FRANCISCO ZAZUETA

REXHALL INDUSTRIES

ILLINOIS MIDWEST SPRINGFIELD

ADJ7304477

CARMEN RUIZ

CREATIVE CARE INC

ILLINOIS MIDWEST SPRINGFIELD

ADJ7333719

FRANCISCO MARTINEZ

TORRAHOP DBA IHOP

ILLINOIS MIDWEST SPRINGFIELD

RESTAURANT

SOTO ADJ7589739

RANULFO GARCIA

CROWN DISPOSAL CO INC

ILLINOIS MIDWEST SPRINGFIELD

ADJ7606360

LUCIA AYALA ZURITA

KNOWL WOOD ENTERPRISES

ILLINOIS MIDWEST SPRINGFIELD

ADJ8028993

JORGE CHAVEZ

MI PIACE RESTAURANTS

ILLINOIS MIDWEST SPRINGFIELD

ADJ6730204

ALLEN HORNSBY

BOB AND DAVES TOWING INC

IMPERIUM INSURANCE NEW YORK

ADJ6730204

ALLEN HORNSBY

CALIFORNIA COACH AUTO BODY

IMPERIUM INSURANCE NEW YORK

AND TOWING ADJ6730204

ALLEN HORNSBY

KENNY'S AUTO SERVICE

IMPERIUM INSURANCE NEW YORK

ADJ3663324

ESTEBANA GONZALES

SPOTLESS PLASTIC USA

INDEMNITY INSURANCE OF NO AMERICA

ADJ1366769

DOROTEO MONTERO

GIBBEL BROTHERS INC

INS CO OF NORTH AMERICA

ADJ2172344

MEREGILDO RAMIREZ

SME ERECTORS

INSURANCE CO OF STATE OF PA/GALLAGHER

ADJ2172344

MEREGILDO RAMIREZ

SME STEEL CONTRACTORS

INSURANCE CO OF STATE OF PA/GALLAGHER

BASSETT SERVICES INC BASSETT SERVICES INC ADJ2569041

HUMBERTO GONZALEZ

SUN & SUN INDUSTRIES

INSURANCE CO OF THE WEST SAN DIEGO

ADJ2569041

HUMBERTO GONZALEZ

SUN INDUSTRIES

INSURANCE CO OF THE WEST SAN DIEGO

Page 28

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4415129

TIMOTHY REMBAC

KEN SMITH MASONRY INC

INSURANCE CO OF THE WEST SAN DIEGO

ADJ6738724

DANIEL DEJOHN

MOUNTA1N VLEW LAND COMPANY

INSURANCE CO OF THE WEST SAN DIEGO

ADJ7074277

FELIX RODRIGUEZ

LE PARC HOMEOWNERS

INSURANCE CO OF THE WEST SAN DIEGO

ASSOCIATION ADJ7804777

JUAN TORRES

PIERRE SPRINKLER AND LANDSCAPE

INSURANCE CO OF THE WEST SAN DIEGO

ADJ7830089

HILARIO PEREZ

ALMAC FELT CO

INSURANCE CO OF THE WEST SAN DIEGO

ADJ8100697

JOSE DE JESUS MORALES

UGMC

INSURANCE CO OF THE WEST SAN DIEGO

ADJ290765

JANICE ASHFORD

CITY OF INGLEWOOD

INTEGRATED CLAIMS TORRANCE

ADJ290765

JANICE ASHFORD

CITY OF INGLEWOOD POLICE DEPT

INTEGRATED CLAIMS TORRANCE

ADJ7512141

SHELLEY BENJAMIN

CITY OF INGLEWOOD

INTEGRATED CLAIMS TORRANCE

ADJ7767004

RAMONA LAFRANCE

CITY OF INGLEWOOD

INTEGRATED CLAIMS TORRANCE

ADJ1112224

HECTOR TOPETE

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ1230843

CORINA CASTRO

LA COUNTY PARKS & RECREATIONS

INTERCARE 14243 ORANGE

ADJ1783472

BARBARA BARTICK

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ1924617

JANICE PAYNE

SUPERIOR COURT/COUNTY OF LA

INTERCARE 14243 ORANGE

ADJ2841612

ALICE ALONSO

L.A. COUNTY-DISTRICT ATTORNEY

INTERCARE 14243 ORANGE

ADJ3208118

BRIDGET JOHNSON SIMS

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ3452514

ELISA MORENO

LA COUNTY SUPERIOR COURT

INTERCARE 14243 ORANGE

ADJ3477656

EZELL GIPSON

COUNTY OF LOS ANGELES/CORONER

INTERCARE 14243 ORANGE

ADJ3606965

RODNEY PREYER

LA COUNTY PARKS & RECREATION

INTERCARE 14243 ORANGE

ADJ4025175

BLANCA ARREOLA

LA COUNTY SUPERIOR

INTERCARE 14243 ORANGE

COURT/BELLFLOWER ADJ408531

CHARLENE PADLO

LOS ANGELES SUPERIOR COURT

INTERCARE 14243 ORANGE

ADJ6523265

ROSEMARY BASKOM

COUNTY OF LOS ANGELES LA

INTERCARE 14243 ORANGE

SUPERIOR COURT ADJ6599441

ALICE ALONSO

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ6599441

ALICE ALONSO

OFFICE OF THE COUNTY COUNSEL

INTERCARE 14243 ORANGE

ADJ6641654

STELLA APARICIO

COUNTY OF LOS ANGELES SUPERIOR

INTERCARE 14243 ORANGE

COURT ADJ6674530

SUSAN WATERMAN

LOS ANGELES COUNTY SUPERIOR

INTERCARE 14243 ORANGE

COURT ADJ6735051

KIMBERLEE ALVAREZ

LA COUNTY DEPT OF PARK AND REC

INTERCARE 14243 ORANGE

ADJ6743883

CYNTHIA BARBEE

LOS ANGELES COUNTY FIRE

INTERCARE 14243 ORANGE

DEPARTMENT ADJ7333405

BRINDA CHAVEZ

LOS ANGELES SUPERIOR COURT

Page 29

INTERCARE 14243 ORANGE

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7502603

NATOSHA SANDERS

LOS ANGELES COUNTY SUPERIOR

INTERCARE 14243 ORANGE

BOWEN

COURT DEPT OF TRAFFIC

CHERRYL BUTTS

COUNTY OF LOS ANGELES CHILD

ADJ7588195

INTERCARE 14243 ORANGE

SUPPORT SERVICES ADJ7690343

GLORIA CORTEZ

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ7709574

DAVID GALINDO

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ7710943

CHARLES DOREMUS

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ7752545

DILVA ROSAS

LOS ANGELES SUPERIOR COURT

INTERCARE 14243 ORANGE

ADJ7939631

VAL CHACON

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ8000301

YOLANDA CABADA

LOS ANGELES COUNTY SHERIFFS DEPT

INTERCARE 14243 ORANGE

ADJ8130638

BEATRIZ PABLO

MAR PIZZA

INTERCARE 14243 ORANGE

ADJ8382059

EDWARD GANDARA

COUNTY OF LOS ANGELES

INTERCARE 14243 ORANGE

ADJ872513

BARBARA SALAZAR

LOS ANGELES COUNTY SUPERIOR

INTERCARE 14243 ORANGE

VILLAJIN

COURT

ADJ7641636

ESTER ANDERSON

COUNTY OF LOS ANGELES CHILD

ADJ1110485

KURT GALLARDO

DYZNEE TOWING SERVICE

INTERCARE CIGA GLENDALE

ADJ3108458

GLEN CUNNINGHAM

VINEYARD CHIRSTIAN FELLOWSHIP

INTERCARE CIGA GLENDALE

INTERCARE 5915 ORANGE

SUPPORT SERVICES

OF AN ADJ4245584

BARBARA SEOANE

FURNITURE TRADING CO

INTERCARE CIGA GLENDALE

ADJ4442446

GAVINO VASQUEZ

WEST STAR DAIRY

INTERCARE CIGA GLENDALE

ADJ7720401

JOSE MANUEL SALAS

CV WINDOWS AND DOORS MV

INTERCARE CIGA GLENDALE

ADJ1311205

GARY CLEVENGER

POOL WELL SERVICES

INTERCARE FRESNO

ADJ4557777

DENISE CRUZ WOODS

REDLANDS COMMUNITY HOSPITAL

INTERCARE INSURANCE SERVICES

ADJ2678985

NICOLE GOODEN

ST ERNE HEALTHCARE

INTERCARE IRVINE CLOSED

ADJ2678985

NICOLE GOODEN

ST. ERNE HEALTHCARE

INTERCARE IRVINE CLOSED

ADJ3185843

FERNANDO CAMPOS

CPE/DANMAR RETIREMENT VILLA

INTERCARE IRVINE CLOSED

ADJ3995603

HERMINEGILDA CHAVEZ

AUTO ZONE

INTERCARE IRVINE CLOSED

ADJ3995603

HERMINEGILDA CHAVEZ

CHIEF AUTO PARTS

INTERCARE IRVINE CLOSED

ADJ4557777

DENISE CRUZ WOODS

REDLANDS COMMUNITY HOSPITAL

INTERCARE IRVINE CLOSED

ADJ533246

JORGE PRIETO

COAST CONVERTER

INTERCARE IRVINE CLOSED

ADJ533246

JORGE PRIETO

COAST CONVERTERS

INTERCARE IRVINE CLOSED

ADJ586036

ANITA MEDINA CAMPOS

ACTION EMBROIDERY CORP

INTERCARE IRVINE CLOSED

ADJ1074010

ESAM NADROUS

PARADISE THEATER

INTERCARE PASADENA

ADJ1354849

ALMA HOLGUIN

HACIENDA-LA PUENTE SCHOOL DIST

INTERCARE PASADENA

ADJ1521253

JULIE MESA

NORM REEVES HONDA OF CERRITOS

INTERCARE PASADENA

TORRES

ADJ2203053

ELSA AGUIRRE

SELECT PERSONNEL

INTERCARE PASADENA

ADJ4179389

CYNTHIA GLASIER

BODY WORKS EMPORIUM

INTERCARE PASADENA

Page 30

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4179389

CYNTHIA GLASIER

BODYWORK EMPORIUM, INC.

INTERCARE PASADENA

ADJ4557777

DENISE CRUZ WOODS

REDLANDS COMMUNITY HOSPITAL

INTERCARE PASADENA

ADJ7064604

JOSEPH YOUNG

CITY OF VENTURA FIRE DEPARTMENT

INTERCARE PASADENA

ADJ709641

LINDA LANGLEY

MARINERS CHURCH

INTERCARE PASADENA

ADJ7114084

KAREN MATICICH

BRASWELL`S CHATEAU VILLA LTD

INTERCARE PASADENA

ADJ7910754

MARIA ELENA PANIAGUA

OLYMPIA CONVALESCENT HOSPITAL

INTERCARE PASADENA

ADJ8330151

SANTIAGO CORONADO

R T FRAMING CORPORATION

INTERCARE PASADENA

ADJ1074010

ESAM NADROUS

PARADISE THEATER

INTERCARE ROSEVILLE

ADJ1115074

MICHAEL BARON

MOON BEAN PRODUCTION

INTERCARE ROSEVILLE

ADJ2640752

CARLOS MACIAS

N-U ENTERPRISES

INTERCARE ROSEVILLE

ADJ2678985

NICOLE GOODEN

ST ERNE HEALTHCARE

INTERCARE ROSEVILLE

ADJ2678985

NICOLE GOODEN

ST. ERNE HEALTHCARE

INTERCARE ROSEVILLE

ADJ4296342

VALERI BRANNON

COUNTY OF LOS ANGELES

INTERCARE ROSEVILLE

ADJ548133

MARIA NAVARETE

FOAM ROGER MN CORPORATION

INTERCARE ROSEVILLE

ADJ6608581

ANTONIA VILLALBA

DENNYS NO 6715

INTERCARE ROSEVILLE

ADJ7523496

HELGA RAMIREZ

TRIAS LLC

INTERCARE ROSEVILLE

ADJ2375030

MARTIN BERNAL

WESTERN TEAR OFF DISPOSAL INC

INTERCARE SACRAMENTO CLOSED

ADJ2855238

JOSE VASQUEZ

IDEAL STAFFING INC

INTERCARE SACRAMENTO CLOSED

ADJ3108458

GLEN CUNNINGHAM

VINEYARD CHIRSTIAN FELLOWSHIP

INTERCARE SACRAMENTO CLOSED

ADJ3365680

ALONDRA BROWNER

METHODIST HOSPITAL OF SO

OF AN INTERCARE SACRAMENTO CLOSED

CALIFORNIA ADJ881498

JAMES SHAW

SOUTH BAY FORD

INTERCARE SACRAMENTO CLOSED

ADJ3760450

MATTEO BUSCAINO

INTERSTATE BRANDS

INTERSTATE BRANDS SAN DIEGO

ADJ4074598

LYDIA CASTILLO

INTERSTATE BRANDS

INTERSTATE BRANDS SAN DIEGO

ADJ4518347

LYDIA RIOS CHAVEZ

POMONA UNIFIED SCHOOL DIST

JT2 INTEGRATED ONTARIO

ADJ6848365

OSCAR BURGOS

VALLEY PRESBYTERIAN HOSPITAL

JT2 INTEGRATED ONTARIO

ADJ7101859

FRANCES AIRADA

KAISER

KAISER

ADJ6802971

MARIA BARRIERE

KAISER FOUNDATION HOSPITAL

KAISER FOUNDATION HOSPITAL

ADJ7256873

RYAN CLEGG

KAISER HOSPITAL

KAISER HOSPITAL KAISER OAKLAND

ADJ1011528

BRENDA LEAKE

KAISER PERMANETE

ADJ142151

THOMAS MORENO

KAISER PERMANENTE

KAISER OAKLAND

ADJ2441835

ANNETTE NAJERA

KAISER PERMANENTE

KAISER OAKLAND

ADJ4540979

VICKY MARINO

KAISER PERMANENTE

KAISER OAKLAND

ADJ6802971

MARIA BARRIERE

KAISER FOUNDATION HOSPITAL

KAISER OAKLAND

ADJ6808327

RENEE WEDGEWORTH

KAISER PERMANENTE

KAISER OAKLAND KAISER OAKLAND

GLASS ADJ6894500

ISABEL VASQUEZ

KAISER PERMANENTE

ADJ6997376

GWENDOLYN SPENCER

KAISER PERMANENTE

KAISER OAKLAND

ADJ7101859

FRANCES AIRADA

KAISER

KAISER OAKLAND

ADJ7233713

TANYA WASHINGTON

KAISER PERMANENTE MEDICAL

KAISER OAKLAND

GROUP ADJ7256873

RYAN CLEGG

KAISER HOSPITAL

Page 31

KAISER OAKLAND

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7355162

MANUELA RAMIREZ

KAISER PERMANENTE

KAISER OAKLAND

ADJ8017049

JURY ROCHA

KAISER PERMANENTE

KAISER OAKLAND

ADJ8377391

ELIZABETH CORONA

KAISER PERMANENTE

KAISER OAKLAND

ADJ6894500

ISABEL VASQUEZ

KAISER PERMANENTE

KAISER PERMANENTE

ADJ6997376

GWENDOLYN SPENCER

KAISER PERMANENTE

KAISER PERMANENTE

ADJ7355162

MANUELA RAMIREZ

KAISER PERMANENTE

KAISER PERMANENTE KAISER PERMANENTE

ADJ8017049

JURY ROCHA

KAISER PERMANENTE

ADJ2664599

EDWARD VULJAK

MT SAN ANTONIO COLLEGE

KEENAN & ASSOC

ADJ8043410

JO RAY

RIVERSIDE COUNTY OFFICE OF

KEENAN ASSOCIATES RIVERSIDE

EDUCATION ADJ2664599

EDWARD VULJAK

MT SAN ANTONIO COLLEGE

KEENAN ASSOCIATES TORRANCE

ADJ3990441

SHARON ROWELL

ANAHEIM UNIFIED SCHOOL DISTRICT

KEENAN ASSOCIATES TORRANCE

ADJ3990441

SHARON ROWELL

ANAHEIM UNION HIGH SCH DIST

KEENAN ASSOCIATES TORRANCE

ADJ4198803

TRAVIS MARTIN

COMPTON COMMUNITY COLLEGE

KEENAN ASSOCIATES TORRANCE

ADJ4609707

ROBERT RODRIGUEZ

CULVER CITY UNIFIED SCHOOL

KEENAN ASSOCIATES TORRANCE

ADJ6954786

VICTORIA ASTURI

ANAHEIM UNION HIGH SCHOOL

DISTRICT KEENAN ASSOCIATES TORRANCE

DISTRICT ADJ7019771

EDDIE WALKER

HOAG MEMORIAL HOSPITAL

KEENAN ASSOCIATES TORRANCE

ADJ7028491

ROSE LOPEZ

PRESBYTERIAN COMMUNITY

KEENAN ASSOCIATES TORRANCE

HOSPITAL ADJ7412806

LORETTA PADRON

HOAG HOSPITAL

KEENAN ASSOCIATES TORRANCE

ADJ8004073

EVELEEN IBRAHIM

TORRANCE UNIFIED SCHOOL

KEENAN ASSOCIATES TORRANCE

DISTRICT ADJ3590636

DONALD REICHENECKER

OWENS & MINOR

KEMPER INSURANCE COMPANIES

ADJ8402781

CHUCK TIFFANY

CANTERBURY BASEBALL LLC AKA

KENTUCKY EMPLOYERS MUTUAL INS

FLORENCE FREEDOM ADJ8402781

CHUCK TIFFANY

GRAND PRAIRIE PROFESSIONAL

KENTUCKY EMPLOYERS MUTUAL INS

BASEBALL LP ADJ8402781

CHUCK TIFFANY

HAWAII BASEBALL LLC

KENTUCKY EMPLOYERS MUTUAL INS

ADJ8402781

CHUCK TIFFANY

LOS ANGELES DODGERS

KENTUCKY EMPLOYERS MUTUAL INS

ADJ8402781

CHUCK TIFFANY

ST GEORGE ROADRUNNERS ET AL

KENTUCKY EMPLOYERS MUTUAL INS

ADJ6777137

MARY CHAVEZ

LA COUNTY SHERIFFS DEPT

LA COUNTY SHERIFFS DEPT

ADJ6450006

ROCHELLE OKEKE

LACMTA

LACMTA

ADJ7427348

ERNESTO PADILLA

LACNY LOGISTICS

LACNY LOGISTICS

ADJ4062533

JOSE REYES

ASSOC CONCRETE PRODUCTS

LEGION INSURANCE COMPANY/SCOTT WETZEL

ADJ4062533

JOSE REYES

SERVICES ASSOCIATED CONCRETE PRODUCTS LEGION INSURANCE COMPANY/SCOTT WETZEL SERVICES ADJ1545119

TROY FUCONE

PACIFIC WEST LITHO INC

ADJ3096584

ALBERTO MOLINA

ROYAL ELECTRIC COMPANY

LIBERTY MUTUAL

ADJ1252993

JOANNE BARNES

CITY NATIONAL BANK

LIBERTY MUTUAL 29073 GLENDALE

ADJ1305625

ANGEL MARCUCCI

COUNTY OF LOS ANGELES

LIBERTY MUTUAL 29073 GLENDALE

Page 32

LIBERTY MUTUAL

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1484619

MARLENE WELTERS

COUNTY OF LOS

LIBERTY MUTUAL 29073 GLENDALE

ANGELES,MED.CENTER ADJ1661203

JUDY HUGHES

PACIFIC BELL

LIBERTY MUTUAL 29073 GLENDALE

ADJ1690845

MARY NASH

PACIFIC BELL

LIBERTY MUTUAL 29073 GLENDALE

ADJ1876116

JOANNE BARNES

CITY NATIONAL BANK

LIBERTY MUTUAL 29073 GLENDALE

ADJ2467170

LISA DRUCKER

SBC

LIBERTY MUTUAL 29073 GLENDALE

ADJ250567

BRENDETTA BHONES

LA COUNTY/MCLARENS CHILDREN

LIBERTY MUTUAL 29073 GLENDALE

CENTER ADJ3360359

DEBBIE MUNCIE

UPS

LIBERTY MUTUAL 29073 GLENDALE

ADJ3614205

PAUL MUNOZ

UPS

LIBERTY MUTUAL 29073 GLENDALE

ADJ3838622

JODY DUNBAR

SBC

LIBERTY MUTUAL 29073 GLENDALE

ADJ3933377

MARIA PARRA

CITY OF LOS ANGELES/LAPD

LIBERTY MUTUAL 29073 GLENDALE

ADJ3933377

MARIA PARRA

LORETO STREET ELEMENTARY

LIBERTY MUTUAL 29073 GLENDALE

ADJ4087635

JANICE ALVAREZ

HERITAGE POINTE

LIBERTY MUTUAL 29073 GLENDALE

ADJ4144521

SHIRLEY WARD

DEPT OF SOCIAL SERVICES

LIBERTY MUTUAL 29073 GLENDALE

ADJ4289444

SYLVIA TORRES

MERLE NORMAN COSMETICS

LIBERTY MUTUAL 29073 GLENDALE

ADJ433160

JUAN MORENO

FARA

LIBERTY MUTUAL 29073 GLENDALE

ADJ433160

JUAN MORENO

HOLLYWOOD PARK

LIBERTY MUTUAL 29073 GLENDALE

ADJ433160

JUAN MORENO

HOLLYWOOD PARK OPERATIN

LIBERTY MUTUAL 29073 GLENDALE

COMPANY ADJ6707057

REFUGIO GUTIERREZ

J L S CONCRETE PUMPING INC

LIBERTY MUTUAL 29073 GLENDALE

ADJ6882605

ALFRED JACKSON

ARS RESCUE ROOTER

LIBERTY MUTUAL 29073 GLENDALE

ADJ7210547

PATRICIA MUNOZ

SAPUTO CHEESE USA INC

LIBERTY MUTUAL 29073 GLENDALE

ADJ7589739

RANULFO GARCIA

CROWN DISPOSAL CO INC

LIBERTY MUTUAL 29073 GLENDALE

ADJ771228

BRENDETTA BHONES

LA COUNTY / MCLARENS CHILD

LIBERTY MUTUAL 29073 GLENDALE

CENTER ADJ7804777

JUAN TORRES

PIERRE SPRINKLER AND LANDSCAPE

ADJ7912831

ANDRES RODRIGUEZ

FIRST FIRE SYSTEMS

LIBERTY MUTUAL 29073 GLENDALE

ADJ7946485

SHAWNTEL ROBERTO

JANI KING

LIBERTY MUTUAL 29073 GLENDALE

EDUARDO ANTONIO

CERADYNE INC

LIBERTY MUTUAL 29073 GLENDALE

ADJ8129097

LIBERTY MUTUAL 29073 GLENDALE

AVALOS HERNANDEZ DIAZ ADJ8233740

ILIANA BARRIOS

BLOOMFIELD BAKERS

LIBERTY MUTUAL 29073 GLENDALE

ADJ1861342

DAWN WALKER

SKYWEST AIRLINES

LIBERTY MUTUAL BEAVERTON

ADJ4087635

JANICE ALVAREZ

HERITAGE POINTE

LIBERTY MUTUAL BEAVERTON

ADJ7481303

ANTONIA GONZALEZ

THE TERRACES AT PARK MARINO

LIBERTY MUTUAL BEAVERTON

USED GYM EQUIPMENT

LIBERTY MUTUAL BEAVERTON

MENDOZA ADJ8472627

EFREN CABRERA

ADJ2598466

CLAYTON CHAMBERS

BECKMAN INSTRUMENTS

LIBERTY MUTUAL INS

ADJ1315320

SARA PEDRAZA

SOUTH COAST MEDICAL CENTER

LIBERTY MUTUAL ORANGE

ADJ1687929

OSCAR ROSALES

BOSTON BRICK AND STONE

LIBERTY MUTUAL ORANGE

ADJ1687929

OSCAR ROSALES

PERSONNEL LEASING INC.

LIBERTY MUTUAL ORANGE

ADJ2001914

ELVIA GONZALEZ

HAAS AUTOMATION

LIBERTY MUTUAL ORANGE

ADJ2142589

JOHN JAMES

COAST IRON & STEEL

LIBERTY MUTUAL ORANGE

ADJ2423265

JESUS GARCIA

CLEAN STEEL

LIBERTY MUTUAL ORANGE

ADJ3436569

TERRY SALGUERO

UCI MEDICAL CENTER

LIBERTY MUTUAL ORANGE

ADJ3724502

CARLOS AREVALOS

UNITED PARCEL SERVICE

LIBERTY MUTUAL ORANGE

Page 33

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6807404

PAULINE NGUYEN

YOSHINOYA AMERICA INC

LIBERTY MUTUAL ORANGE

ADJ6905799

ANDRE BERRU LICON

DOMTAR PAPER COMPANY, LLC

LIBERTY MUTUAL ORANGE

ADJ7037187

CLEOTILDE HERNANDEZ

SABRITEC

LIBERTY MUTUAL ORANGE

ADJ7485767

ALFREDO LIMON

KENS BEVERAGE INC

LIBERTY MUTUAL ORANGE

ADJ7647732

BRAY PANFILO

CHARTER FURNITURE

LIBERTY MUTUAL ORANGE

ADJ894848

MARIA TORREZ

MOLLY MAID OF CALIFORNIA

LIBERTY MUTUAL ORANGE

ADJ3732140

GARY SIMS

BOYD COFFEE CO

LIBERTY MUTUAL RCG PORTLAND

ADJ1463748

JOSE PINEDA

MAGGIANO'S LITTLE ITALY

LIBERTY MUTUAL ROCKLIN

ADJ1471922

FRANCISCO MANZO

PROFESSIONAL COMMUNITY

LIBERTY MUTUAL ROCKLIN

MANAGEMENT ADJ1471922

FRANCISCO MANZO

PROFESSIONAL COMMUNITY MGMT

LIBERTY MUTUAL ROCKLIN

ADJ1884198 ADJ3734442

ANNABEL TAJANLANGIT

BORDERS BOOKS AND MUSIC

LIBERTY MUTUAL ROCKLIN

LAURA WERNER

LIBERTY MUTUAL INSURANCE GROUP

LIBERTY MUTUAL ROCKLIN

ADJ6724834

JESUS CHAFFINO

JLS CONCRETE PUMPING

LIBERTY MUTUAL ROCKLIN

ADJ6772667

WEBBER KNIGHT

WORLD WIDE FACILITIES

LIBERTY MUTUAL ROCKLIN

ADJ6822233

ROSA RIVERA

GATE GOURMET INC

LIBERTY MUTUAL ROCKLIN

ADJ7586053

GLENDY VALDEZ

CARL`S JR

LIBERTY MUTUAL ROCKLIN

ADJ7597721

TAREK ABDO

NEIMAN MARCUS GROUP INC

LIBERTY MUTUAL ROCKLIN

ADJ7759920

JOSE PINEDA

MAGGIANOS LITTLE ITALY

LIBERTY MUTUAL ROCKLIN

ADJ7946485

SHAWNTEL ROBERTO

JANI KING

LIBERTY MUTUAL ROCKLIN

ADJ8134710

RUTH CASTILLO

LOS ANGELES COUNTY MTA

LOS ANGELES COUNTY MTA

ADJ4095783

LANE WELLS

LOS ANGELES DEPT OF PUBLIC

LOS ANGELES DEPT OF PUBLIC WORKS

WORKS ADJ231465

ROBERT WILLIAMS

LACMTA

LOS ANGELES METROPOLITAN AUTHORITY

ADJ2605713

ANGELIA COYNE

MTA

LOS ANGELES METROPOLITAN AUTHORITY

ADJ2917702

ZINA KELLEY

MTA

LOS ANGELES METROPOLITAN AUTHORITY

ADJ569546

GERALD NOLEN

LACMTA

LOS ANGELES METROPOLITAN AUTHORITY

ADJ634231

ELIHUE BROOMFIELD

MTA

LOS ANGELES METROPOLITAN AUTHORITY

ADJ7320644

LYDIA MAZARIEGOS

METRO SAN GABRIEL VALLEY SECTOR

LOS ANGELES METROPOLITAN AUTHORITY

DIVISION ADJ7441121

PEDRO PENA

LOS ANGELES PROBATION DEPT

LOS ANGELES PROBATION DEPT LOS ANGELES PROBATION DEPTI

ADJ7441121

PEDRO PENA

LOS ANGELES PROBATION DEPT

ADJ3447105

JOSEFINA GARCIA

L.A.U.S.D.,(52ND ST. ELEM. SCHOOL)

LOS ANGELES UNIFIED SCHOOL DIST/HELMSMAN MANAGEMENT SERVICES INC

ADJ3447105

JOSEFINA GARCIA

LOS ANGELES UNIFIED SCHOOL DIST

LOS ANGELES UNIFIED SCHOOL DIST/HELMSMAN MANAGEMENT SERVICES INC

ADJ6772864

PHILLIS NEWBORN

LOS ANGELES UNIFIED SCHOOL DISTRICT

Page 34

LOS ANGELES UNIFIED SCHOOL DISTRICT

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8333198

JAMES WRIGHT

LOS ANGELES UNIFIED SCHOOL

LOS ANGELES UNIFIED SCHOOL DISTRICT

DISTRICT ADJ7744200

RYAN BOBLETER

TRI DIAMOND STAFFING

LUMBERMENS UNDERWRITING BOCA RATON

ADJ7888192

SALVADOR SANCHEZ

FOOTE AXLE FORGELLC

LUMBERMENS UNDERWRITING BOCA RATON

ADJ7923715

BLANCA REBOLLAR

ACCOUNTABILITY INC

LUMBERMENS UNDERWRITING BOCA RATON

ADJ7930519

ANA JIFKINS DE DIOS

DIAMOND STAFFING

LUMBERMENS UNDERWRITING BOCA RATON

ADJ8250681

MARIA SHARGAY

TOP PRIORITY COURIER

LUMBERMENS UNDERWRITING BOCA RATON

ADJ1763727

MARTIN ERICKSON

MOUNTAIN HIGH SKI RESORT

LWP CLAIMS GLENDALE

ADJ6620429

ANTONIO ACEVES

ORTIZ TRANSPORTATION

LWP CLAIMS SACRAMENTO

ADJ6620429

ANTONIO ACEVES

UEBTF LOS ANGELES

LWP CLAIMS SACRAMENTO

ADJ6620429

ANTONIO ACEVES

UEBTF SACRAMENTO

LWP CLAIMS SACRAMENTO

ADJ6759057

ALFREDO LEYVA

JADE INC

LWP CLAIMS SACRAMENTO

ADJ6882300

CARLOS HUERTA

MCDPETERSONHERB GA ENTERPRISES

LWP CLAIMS SACRAMENTO

ADJ7300143

MARIA SALAZAR

PELICAN PRODUCTS INC

LWP CLAIMS SACRAMENTO

ADJ7853984

JULIETTE JARRETTE

ANDREW INTLS

LWP CLAIMS SACRAMENTO

ADJ8005455

OSCAR VASQUEZ

ADJ8562736

JOSE FRAUSTO

ADJ4179389

CYNTHIA GLASIER

BODY WORKS EMPORIUM

LWP CLAIMS SOLUTIONS

ADJ4179389

CYNTHIA GLASIER

BODYWORK EMPORIUM, INC.

LWP CLAIMS SOLUTIONS

LWP CLAIMS SACRAMENTO NORTHSTAR MOVING CORPORATION

LWP CLAIMS SACRAMENTO

ADJ4179389

CYNTHIA GLASIER

BODY WORKS EMPORIUM

LWP CLAIMS SOLUTIONS, INC.

ADJ4179389

CYNTHIA GLASIER

BODYWORK EMPORIUM, INC.

LWP CLAIMS SOLUTIONS, INC.

ADJ3854111

ALICIA GARIBAY

FEDERATED LOGISTICS

MACYS REDONDO BEACH

ADJ4045308

TIFFANY RICHER

BLOOMINGDALE'S

MACYS REDONDO BEACH

ADJ532561

JANET SOUZA

MACY'S

MACYS REDONDO BEACH

ADJ7611196

PAUL SOBHANI

MACY`S WEST STORES, INC.

MACYS REDONDO BEACH

ADJ7827727

MIRALBA CASTRO ROSAS

MACYS REDONDO BEACH

MACYS REDONDO BEACH

ADJ2003630

ANNIE COLES

MACY'S

MACYS WEST/BROADWAY STORES MACYS WEST/BROADWAY STORES

ADJ2003630

ANNIE COLES

MACYS WEST

ADJ7809907

HIPOLITO FIGUEROA

MAINSTAY BUSINESS SOLUTIONS

MAINSTAY BUSINESS SOLUTIONS

ADJ7655083

BRIAN PRIDEMORE

MCCORMACK ROOFING

MAINSTAY BUSINESS SOLUTIONS FOLSOM

ADJ3497846

JORGE MARTINEZ

TRAFFIC CONTROL SERVICES

MARKEL SERVICES OMAHA

ADJ3497846

JORGE MARTINEZ

TRAFFIC CONTROL SYSTEMS

MARKEL SERVICES OMAHA

ADJ577350

KWANG YEO

RANCHO CAR WASH & DETAIL

MARKEL SERVICES OMAHA

CENTER ADJ6671812

GERALDINE GUIMONT

PAGE LEARNING ACADEMY INC

MARKEL SERVICES OMAHA MARKEL SERVICES OMAHA

ADJ6687936

JORGE ORTEGA

PLAHN LANDSCAPING

ADJ6910889

MARIA CHAVEZ

FORTUNE AVENUE FOODS

MARKEL SERVICES OMAHA

ADJ6998509

OSBALDO ORTIZ

CAR BODY REPAIR

MARKEL SERVICES OMAHA

ADJ7451395

GUILLERMO REYES

JOEL ESCOBEDO

MARKEL SERVICES OMAHA

ADJ7480134

SUNG PAK

BOBBY K CORP

MARKEL SERVICES OMAHA

Page 35

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7832176

MARIA ZARATE

CENTRAL COMMUNITY HEALTH CARE

MARKEL SERVICES OMAHA

CENTER ADJ8062810

RODRIGO CHAVEZ

AMERICAN GLASS COMPANY

ADJ1061680

SANDRA MORAN

MARINA BEACH MARRIOTT

MARKEL SERVICES OMAHA MARRIOTT HOT SPRINGS

ADJ4630024

JULIE SCHULTZ

MARRIOTT DESERT SPRINGS

MARRIOTT HOT SPRINGS

ADJ6516052

CARLOS PEREZ

LA AIRPORT MARRIOTT HOTEL

MARRIOTT HOT SPRINGS MARRIOTT HOT SPRINGS

ADJ6784681

ELSA ALVARADO

MARRIOTT HOTEL

ADJ6784681

ELSA ALVARADO

MARRIOTT HOTEL

MARRIOTT HOTEL

ADJ1435978

LORI BENSON

ABBOTT LABORATORIES

MATRIX RANCHO CUCAMONGA

ADJ4024637

ZENAIDA GONZALEZ

FLEETWOOD ENTERPRISES INC

MATRIX RANCHO CUCAMONGA

FLEETWOOD HOMES

MATRIX RANCHO CUCAMONGA

ARROYO ADJ4024637

ZENAIDA GONZALEZ ARROYO

ADJ7998417

MYISHA JACKSON

ECOLOGY AUTO PARTS

MATRIX ROCKLIN

ADJ6989046

OSCAR LARA

MAXUM PETROLIUM INC

MAXUM PETROLIUM INC

ADJ6989064

OSCAR LARA

MAXUM PETROLIUM INC

MAXUM PETROLIUM INC

ADJ7174699

ROSA ALDRETE

STRATEGIC STAFFING ALLIANCE INC

MEADOWBROOK INSURANCE LAS VEGAS

ADJ7518647

MARIA ELENA BARAJAS

VELORIA FARM LABOR

MEADOWBROOK INSURANCE LAS VEGAS

CONTRACTING ADJ8218751

SHAWN JEWELL

PRECISION OMB

MEADOWBROOK INSURANCE LAS VEGAS

ADJ2855238

JOSE VASQUEZ

IDEAL STAFFING INC

METRO RISK LONG BEACH

ADJ3174868

ABRAHAM CAPERS

FLEETWOOD ENTERPRISES

METRO RISK LONG BEACH

ADJ3174868

ABRAHAM CAPERS

SELF INSURED SECURITIES FUND

METRO RISK LONG BEACH

ADJ4024637

ZENAIDA GONZALEZ

FLEETWOOD ENTERPRISES INC

METRO RISK LONG BEACH

FLEETWOOD HOMES

METRO RISK LONG BEACH METRO RISK LONG BEACH

ARROYO ADJ4024637

ZENAIDA GONZALEZ ARROYO

ADJ6692246

MANUEL LEMUS

WALLDESIGN INC

ADJ7655083

BRIAN PRIDEMORE

MCCORMACK ROOFING

METRO RISK LONG BEACH

ADJ7809907

HIPOLITO FIGUEROA

MAINSTAY BUSINESS SOLUTIONS

METRO RISK LONG BEACH

ADJ1621412

CARLOS ORREGO

RESEDA AUTO & ELECTRIC

MID CENTURY INSURANCE ORANGE

ADJ3406521

JOSE LUCERO

TABC INC

MITSUI SUMITOMO INSURANCE GROUP

ADJ950588

MISAEL AVILA

TABC

MITSUI SUMITOMO MARINE MANAGEMENT MITSUI SUMITOMO UNIVERSAL CITY

ADJ256445

JOYCE TAYLOR

TABC TOYOTA

ADJ3406521

JOSE LUCERO

TABC INC

MITSUI SUMITOMO UNIVERSAL CITY

ADJ7024648

AMIR ARIF

JAPAN TELECOM, INC.

MITSUI SUMITOMO UNIVERSAL CITY

ADJ7149096

JAVIER CARO

NUMERO UNO ACQUISITIONS

MITSUI SUMITOMO UNIVERSAL CITY

ADJ7987961

MARIA BOYD

CHINA OCEAN SHIPPING

MITSUI SUMITOMO UNIVERSAL CITY

ADJ1772324

MERCEDES SANDOVAL

CIMMS INC.

MURPHY BEANE CULVER CITY

ADJ7302699

CERELA RUIZ

BROOKVALE INTERNATIONAL LLC

NATIONAL INTERSTATE RICHFIELD

ADJ7302699

CERELA RUIZ

CALIFORNIA CARTAGE CO

NATIONAL INTERSTATE RICHFIELD

ADJ7302699

CERELA RUIZ

RALLY MANAGEMENT STAFFING

NATIONAL INTERSTATE RICHFIELD

ADJ7861175

ERICK ANTON

GIESE TRUCKING

NATIONAL INTERSTATE RICHFIELD

ADJ3756070

ANDRES CORTEZ

DUNHAM ROOFING, INC.

NATIONAL UNION FIRE INSURANCE CO/BROADSPIRE

Page 36

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2246754

ANI KARAMANUKYAN

THERMADOR WASTE KING

NI INDUSTRIES INC

ADJ2246754

ANI KARAMANUKYAN

WASTE KING

NI INDUSTRIES INC

ADJ2246754

ANI KARAMANUKYAN

THERMADOR WASTE KING

NI INDUSTRIES INC. ATTN: WORKERS'

ADJ2246754

ANI KARAMANUKYAN

WASTE KING

NI INDUSTRIES INC. ATTN: WORKERS'

COMPENSATION COMPENSATION ADJ3730664

ESTELA ZAMORA RIVERA

NORDSTROM

NORDSTROM SANTA ANA

ADJ645131

ROGER CZARN

NORDSTROM

NORDSTROMS

ADJ3212743

BRIAN SOLOWAY

LARRY MICHAEL EDWARDS

NORTH AMERICAN RISK ALTAMONTE SPRINGS

ADJ7804777

JUAN TORRES

PIERRE SPRINKLER AND LANDSCAPE

OLD REPUBLIC BROOKFIELD ONE BEACON ANAHEIM

ADJ6977377

TRACY THOMAS

SOREN MCADAM CHRISTENSEN

ADJ7766364

LUTASHA BRADLEY

LINGERIE FOOTBALL LEAGUE

ONE BEACON CANTON

ADJ7045716

YOLANDA GIBSON

FIRST COMMERCE BANK

ONE BEACON ENGLEWOOD

ADJ6620429

ANTONIO ACEVES

ORTIZ TRANSPORTATION

ORTIZ TRANSPORTATION ORTIZ TRANSPORTATION

ADJ6620429

ANTONIO ACEVES

UEBTF LOS ANGELES

ADJ6620429

ANTONIO ACEVES

UEBTF SACRAMENTO

ORTIZ TRANSPORTATION

ADJ7462108

DONALD AYALA

OXNARD SCHOOL DISTRICT

OXNARD SCHOOL DISTRICT

ADJ1376351

CESAR ROLDAN

PACIFIC COLLISION CENTER

PACIFIC COMP CLAIM THOU OAKS

ADJ2566258

GUADALUPE GOMEZ

GRAPHIC PRESS INC

PACIFIC COMP CLAIM THOU OAKS

ADJ2833273

JOSE LUIS LOPEZ

G L VENEER COMPANY, INC

PACIFIC COMP CLAIM THOU OAKS

ADJ3154751

AMY MARTIN

MONTAGE RESORT

PACIFIC COMP CLAIM THOU OAKS

ADJ345200

CHRIS PACK

MEDWAY PLASTICS CORPORATION

PACIFIC COMP CLAIM THOU OAKS

ADJ4200229

RUFINO RODRIGUEZ

BAY CITIES CONTAINER CORP

PACIFIC COMP CLAIM THOU OAKS

ADJ4522208

ESPIRIDION CONTRERAS

ROYAL CABINETS

PACIFIC COMP CLAIM THOU OAKS

ADJ4682968

BERTHA MENDOZA

BIG SAVER FOODS

PACIFIC COMP CLAIM THOU OAKS

ADJ6757965

GEOVANNY MONTANO

EL SUPER Z BODEGA LATINA

PACIFIC COMP CLAIM THOU OAKS

ADJ6948560

MARTIN PALACIOS

PACIFIC COAST WAREHOUSE

PACIFIC COMP CLAIM THOU OAKS

ADJ2819937

EDWARD LIZAMA

PACIFIC EMPLYERS INC CO.

PACIFIC EMPLOYERS INS

ADJ1513760

LESLIE GORDON

MOULTON PLAZA PHARMACY

PACIFIC NATIONAL INSURANCE COMPANY

ADJ1942794

SAMUEL RICHARDSON

CARDIS CORP

PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC

ADJ1942794

SAMUEL RICHARDSON

CARDIS CORPORATION

PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC

ADJ7302699

CERELA RUIZ

BROOKVALE INTERNATIONAL LLC

PATRIOT RISK CIGA RANCHO CORDOVA CLOSED

ADJ7302699

CERELA RUIZ

CALIFORNIA CARTAGE CO

PATRIOT RISK CIGA RANCHO CORDOVA

ADJ7302699

CERELA RUIZ

RALLY MANAGEMENT STAFFING

PATRIOT RISK CIGA RANCHO CORDOVA

CLOSED CLOSED

Page 37

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7720401

JOSE MANUEL SALAS

CV WINDOWS AND DOORS MV

PATRIOT RISK CIGA RANCHO CORDOVA

TORRES

CLOSED

ADJ7828329

KIMBERLY VARGAS

COLLEGE HEALTH ENTERPRISE

PATRIOT RISK CIGA RANCHO CORDOVA

ADJ7947716

JOSE HENRIQUEZ

SUPERIOR GROCERS

PATRIOT RISK CIGA RANCHO CORDOVA

CLOSED CLOSED ADJ8180280

FRANCISCO GIL

SUPERIOR GROCERIES BAKERSFIELD

PATRIOT RISK CIGA RANCHO CORDOVA

ADJ8563505

MANUEL ARDON

THE OLIVE BRANCH ASSISTED LIVING

PATRIOT RISK CIGA RANCHO CORDOVA

CLOSED CLOSED ADJ1333680

REYNA CASTILLO

COURTESY EMPLOYMENT SERVICES

PAULA INSURANCE COMPANY

ADJ8330151

SANTIAGO CORONADO

R T FRAMING CORPORATION

PENNSYLVANIA MANUFACTURERS

ADJ8002528

JOSE ENRIQUEZ

POTENTIAL INDUSTRIES INC

ADJ1054155

HIRITI OKUBAMICHAEL

POTENTIAL INDUSTRIES INC PREFERRED EMPLOYERS SAN DIEGO

ADJ2948274

KRISTEN DRAKE

DEREK LEE, M.D.

PREFERRED EMPLOYERS SAN DIEGO

ADJ815575

MARIA ARMENTA

DAYS INN MOTEL

PREFERRED EMPLOYERS SAN DIEGO

ADJ7028491

ROSE LOPEZ

PRESBYTERIAN COMMUNITY

PRESBYTERIAN COMMUNITY HOSPITAL

HOSPITAL ADJ4370525

JAMES CARTER

CITY OF LOS ANGELES

PRESIDIUM

ADJ7016252

JOSE LOPEZ

PACIFIC HOSPITAL OF LONG BEACH

PRIVATE ADJUSTING RANCHO CUCAMONGA

ADJ7346503

SANDRA BROWN

SANTA ANITA CONVALESCENT

PRIVATE ADJUSTING RANCHO CUCAMONGA

HOSPITAL ADJ7910754

MARIA ELENA PANIAGUA

OLYMPIA CONVALESCENT HOSPITAL

PRIVATE ADJUSTING RANCHO CUCAMONGA

ADJ7956233

MILUSKA WHEELER

PROVIDENCE LITTLE COMPANY OF

PROVIDENCE LITTLE COMPANY OF MARY

MARY ADJ6480318

ADALBERTO RUIZ

CAL BUMPER

QBE SPECIALTY INS SACRAMENTO

ADJ7795086

WEI QU

RADNET MANAGEMENT INC

RADNET MANAGEMENT INC

ADJ1325998

SHERLINE PRIEBE

RALPHS

RALPHS

ADJ2397613

SUSAN MALDONADO

RALPHS GROCERY COMPANY

RALPHS

ADJ632854

RICHARD PERKINS

RALPHS GROCERY CO

RALPHS

ADJ772195

LORETTA KABADIAN

RALPHS

RALPHS

ADJ4365919

VICTOR HYDE

RALPHS GROCERY

RALPHS GROCERY CO

ADJ4557777

DENISE CRUZ WOODS

REDLANDS COMMUNITY HOSPITAL

REDLANDS COMMUNITY HOSPITAL

ADJ1351571

JAVIER LARIOS

G & M MATTRESS & FOAM CORP

REINSURANCE COMPANY OF AMERICA

ADJ1351571

JAVIER LARIOS

POWER P.E.O. (FOR G&M MATTRESS)

REINSURANCE COMPANY OF AMERICA

ADJ2469368

ZOILA PINEDA

AMBROSIO GRANO, JR. AND JUAN

RELIANCE INSURANCE COMPANY/STERLING

GRANO

CLAIMS MANAGEMENT SERVICES

JUAN & AMBROSIO GRANO

RELIANCE INSURANCE COMPANY/STERLING

ADJ2469368

ZOILA PINEDA

CLAIMS MANAGEMENT SERVICES

Page 38

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2469368

ZOILA PINEDA

LAS PALMAS CLUB

RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES

ADJ2469368

ZOILA PINEDA

UEBTF LOS ANGELES

RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES

ADJ1433352

DENNIS PETERMAN

MUFFIN PATCH

REPUBLIC INDEMNITY ENCINO

ADJ4140648

MARY BEATTY

CONEXANT SYSTEMS INC

RICOMP CLAIMS MANAGEMENT

ADJ3828682

RONA SARWARY

SHERMAN OAKS HOSPITAL

RISICO CLAIMS MANAGEMENT FRESNO

ADJ4010082

CESAR CORTES

GOMEZ CONSTRUCTION

RISICO CLAIMS MANAGEMENT FRESNO

ADJ6480318

ADALBERTO RUIZ

CAL BUMPER

RISICO CLAIMS MANAGEMENT FRESNO

ADJ7548256

DONNA COLEMAN

LANDMARK ASSET MANAGEMENT

RISICO CLAIMS MANAGEMENT FRESNO

GROUP ADJ7599563

RUBEN DEL REAL

KMK MANAGEMENT

RISICO CLAIMS MANAGEMENT FRESNO

ADJ2634490

TERESA ROGERS

KATELLA ANIMAL CLINIC/W. VICKERS

RISK ENTERPRISE 2314 BREA CLOSED

ADJ3034805

JESUS GARCIA

C & D AEROSPACE

RISK ENTERPRISE 2314 BREA CLOSED

ADJ433160

JUAN MORENO

FARA

RISK ENTERPRISE 2314 BREA CLOSED

ADJ433160

JUAN MORENO

HOLLYWOOD PARK

RISK ENTERPRISE 2314 BREA CLOSED

ADJ433160

JUAN MORENO

HOLLYWOOD PARK OPERATIN

RISK ENTERPRISE 2314 BREA CLOSED

COMPANY ADJ2948575

JOSE RAMIREZ

CHECK MATE AGENCY

RRPI INSURANCE SERVICES

ADJ2948575

JOSE RAMIREZ

SUPERIOR ASSEMBLY DISTRIBUTION

RRPI INSURANCE SERVICES

ADJ1321695

DAVID PARIS

SAVOLT, INC.

SAFECO LOS ANGELES CLOSED

ADJ3732140

GARY SIMS

BOYD COFFEE CO

SAFECO LOS ANGELES CLOSED

ADJ4083116

THELMA CANDELARIO

KAREN & MARTIN MOHAN

SAFECO LOS ANGELES CLOSED

ADJ6882755

JONATHAN HAMMER

P AND R PAPER SUPPLY COMPANY

SAFECO LOS ANGELES CLOSED

ADJ3071975

DEIDRA HARPER

SBC

SBC

ADJ4644157

ANTONIO SANTILLAN

CASTEC INC

SCIF

ADJ2423265

JESUS GARCIA

CLEAN STEEL

SCIF INSURED BAKERSFIELD

ADJ4029584

PAUL YBANEZ

CDC-NORTH KERN

SCIF INSURED BAKERSFIELD

ADJ4623414

DALE PAPPAS

J. NOBLE BINNS

SCIF INSURED BAKERSFIELD

ADJ552343

DENNIS ROGERS

CHEROKEE CABLE CONTRACTORS

SCIF INSURED BAKERSFIELD

ADJ7165561

JORGE OCHOA

COUNTERTOPS EXPRESS

SCIF INSURED BAKERSFIELD

ADJ1218269

JOSE GOMEZ

PAINTER & ROOFING/MISONG CORP

SCIF INSURED FRESNO

ADJ1383586

CARLOS VASQUEZ

BELTECH INC

SCIF INSURED FRESNO

ADJ233369

NICOLAS GUTIERREZ

CHOOLJIAN BROTHERS

SCIF INSURED FRESNO

ADJ2445845

ANDRES SALADO

VINCO CONSTRUCTION CORP

SCIF INSURED FRESNO

ADJ3040748

JACQUELYN LAWSON

SPIRES RESTAURANT

SCIF INSURED FRESNO

ADJ4415129

TIMOTHY REMBAC

KEN SMITH MASONRY INC

SCIF INSURED FRESNO

ADJ528659

KAREN GUERRERO

HEMET SURGERY CENTER

SCIF INSURED FRESNO

ADJ7170562

JEANETTE ALEXANDER

FAIRVIEW DEVELOPMENTAL CENTER

SCIF INSURED FRESNO

Page 39

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7348129

MEGAN STORY

ARTISM BEHAVIOR CONSULTANTS,

SCIF INSURED FRESNO

INC ADJ7361014

STEPHEN PAGE

STATE OF CALIFORNIA

ADJ7505155

JAY ALLEN STEINMAN

ECKLES CONSTRUCTION

SCIF INSURED FRESNO SCIF INSURED FRESNO

ADJ1296187

ELVA AURORA PLASCENCIA

PLASTIC DRESS UP COMPANY

SCIF INSURED GLENDALE

ADJ1330743

MARIA VIRAMONTES

AGOURA HILLS SENIOR RETREAT

SCIF INSURED GLENDALE

ADJ142824

ELSA CRUZ

AIRPORT CONCESSIONS, INC.

SCIF INSURED GLENDALE

ADJ1665131

JEANNETTE CAJIGAL

STORM INDUSTRIES INC

SCIF INSURED GLENDALE

ADJ1749683

ALFREDO ZATARIAN

JAYAR MANUFACTURING COMPANY

SCIF INSURED GLENDALE

ADJ1833650

DAVID FUENTES

IN MAINTENANCE

SCIF INSURED GLENDALE

ADJ1844115

GUSTAVO NUNEZ

HILLS RESTAURANT

SCIF INSURED GLENDALE

ADJ1925823

JAVIER SORIANO

ROSEMEAD MOTORS

SCIF INSURED GLENDALE

ADJ2055194

ERASMO GONZALEZ

BAY CITIES CONTAINER

SCIF INSURED GLENDALE

CORPORATION ADJ2063594

PRESCILIANO LAGUNA

NORTH AMERICAN TEXTILE CO

SCIF INSURED GLENDALE

ADJ2270033

DONNA HORNAK

SHERMAN OAKS HOSP

SCIF INSURED GLENDALE

ADJ2270033

DONNA HORNAK

SHERMAN OAKS HOSPITAL

SCIF INSURED GLENDALE

ADJ2287041

KATHLEEN BROWN

LEACH OIL

SCIF INSURED GLENDALE

ADJ2361959

ELOY TRUJILLO

S.O.S INC

SCIF INSURED GLENDALE

ADJ2415039

SAUNDRA BROWN

CONTINENTAL F C U

SCIF INSURED GLENDALE

ADJ2423265

JESUS GARCIA

CLEAN STEEL

SCIF INSURED GLENDALE

ADJ2497892

SONIA RIVERA

CONSOLIDATED FOUNDRIES

SCIF INSURED GLENDALE

ADJ2498393

ROCIO PAYAN

907 CLUB

SCIF INSURED GLENDALE

ADJ2503116

GUADALUPE VELASQUEZ

SOFTUB INC

SCIF INSURED GLENDALE

ADJ2605918

SILVIA VALDEZ

INTERNATIONAL ART

SCIF INSURED GLENDALE

ADJ2673188

NONITO ZAMORA

I WAS FRAMED INC

SCIF INSURED GLENDALE

ADJ2777755

ARSENIO AVALOS

LA POPULAR

SCIF INSURED GLENDALE

ADJ2777755

ARSENIO AVALOS

WEST VALLEY FURNITURE

SCIF INSURED GLENDALE

ADJ2792766

TIMOTHY SMITH

KKW TRUCKING

SCIF INSURED GLENDALE

ADJ2846845

REGINO GUTIERREZ

CLAUDES BODY & PAINT SHOP INC

SCIF INSURED GLENDALE

ADJ2960069

ROSA MENDOZA

AFFORDABLE SENIOR LIVING SINCE

SCIF INSURED GLENDALE

1968 ADJ2985835

MICHELLE TURNER

ADJ3053984

ARTURO REBOLLEDO

K. WATANABE CORP

SCIF INSURED GLENDALE

SCIF INSURED GLENDALE

ADJ3065398

SHARON BEALES

CAL-LIFT INC

SCIF INSURED GLENDALE SCIF INSURED GLENDALE

ADJ3111880

ROBERTO LARA

BUDDY BAR CASTING

ADJ3113030

GRISELDA DOMINGUEZ

TAMAYO RESTAURANT

SCIF INSURED GLENDALE

ADJ3215099

SOCORRO MUNOZ

FOUNDATION FOR EARLY

SCIF INSURED GLENDALE

CHILDHOOD ED ADJ3224593

GREGORY MAYER

LINDERO MASONRY

SCIF INSURED GLENDALE

ADJ3244236

STEPHEN ANDREW

NUWAY LINEN

SCIF INSURED GLENDALE

ADJ3288473

AURORA REALIVASQUEZ

TUR-BO JET PRODUCTS CO INC

SCIF INSURED GLENDALE

Page 40

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3294428

LORENA VILLEGAS

PALOS VERDES HEALTH CARE CENTER

SCIF INSURED GLENDALE

ADJ336832

JOSE ARMANDO PEREZ

VALLEY COURIERS

SCIF INSURED GLENDALE

ADJ3373248

IVY IBAVEN

CIBA INSURANCE SERVICES

SCIF INSURED GLENDALE

ADJ3396927

MARIO FLORES

TORN & GLASSER

SCIF INSURED GLENDALE

ADJ3406993

THOMAS HALVORSON

R & R MASONRY

SCIF INSURED GLENDALE

ADJ3434230

ALEJANDRA COVARRUBIAS

RICO INTERNATIONAL

SCIF INSURED GLENDALE

ADJ3445678

LINDA SHAFFER

SUNLIT GARDENS

SCIF INSURED GLENDALE

ADJ3492835

LORENA VELAZQUEZ

PAIN NET, INC.

SCIF INSURED GLENDALE

ADJ3509131

COLLEEN HOWE

REVCARE

SCIF INSURED GLENDALE

ADJ3509131

COLLEEN HOWE

REVCARE INC

SCIF INSURED GLENDALE

ADJ3532448

ANTONIO SANTILLAN

CASTEC INC

SCIF INSURED GLENDALE

ADJ3603118

MANUEL APALATEQUI

L.A. YUMA FRIEGHTS LINES, INC.

SCIF INSURED GLENDALE

ADJ367320

CRISTINA UGARTE

FLINKMAN REALTY

SCIF INSURED GLENDALE

ADJ3677414

ROBERTO RIVAS

PACIFIC COURIERS INC

SCIF INSURED GLENDALE

ADJ3687513

FRANK ZEPEDA

CALIFORNIA MART

SCIF INSURED GLENDALE

ADJ371306

GILBERTO GONZALEZ

ORANGE COUNTY SCAFFOLD INC.

SCIF INSURED GLENDALE

ADJ3778585

JAVIER CORONEL

MALONEY MEAT CO.

SCIF INSURED GLENDALE SCIF INSURED GLENDALE

ADJ397223

MARIA ARREOLA

WILSON INDUSTRIES

ADJ398278

MARIA SALAZAR

SUN GLASS PRODUCTS

SCIF INSURED GLENDALE

ADJ4042638

RAMONA LOZANO

A RUDIN DESIGNS

SCIF INSURED GLENDALE

ADJ4075417

CARL GONZALES

STAFFORD'S QUALITY PAINTING

SCIF INSURED GLENDALE

ADJ4075736

FELIPE MEJIA MENA

FIRE SAFE SYSTEMS, INC.

SCIF INSURED GLENDALE

ADJ4148092

JOSE LUIS RAMIREZ

L.B. CONCEPTS

SCIF INSURED GLENDALE

ADJ4206936

YOKO DOMINGUEZ

DMS STORE CARE INC

SCIF INSURED GLENDALE

ADJ4221587

MIGUEL CAMACHO

CRC RIM INC

SCIF INSURED GLENDALE

ADJ433589

GLADYS GIRON

IDEAL CATERING

SCIF INSURED GLENDALE

ADJ433589

GLADYS GIRON

UEBTF LOS ANGELES

SCIF INSURED GLENDALE

ADJ4338093

MARLENE QUINTERO

PARK PLACE MEDICAL CENTER

SCIF INSURED GLENDALE

ADJ4347928

SALVADOR SANCHEZ

ANAHEIM TERRACE CARE CENTER

SCIF INSURED GLENDALE

ADJ4357182

DANIEL MARTINEZ

PRIMARY STEEL

SCIF INSURED GLENDALE

ADJ4398452

JEFF ROSS

JS GLASS & MIRROR INC

SCIF INSURED GLENDALE

ADJ4465831

TIMOTHY TIRRE

HOLIDAY PORCELAIN ENAMEL

SCIF INSURED GLENDALE

COMPANY ADJ4467720

JOSE AJA

CONSOLIDATED EQUIPMENT CORP

SCIF INSURED GLENDALE

ADJ4476995

OLIVIA MORFIN

STAFFING SERVICES

SCIF INSURED GLENDALE

ADJ4529657

JERRY BRISCOE

MEASURE COMP

SCIF INSURED GLENDALE

ADJ4644157

ANTONIO SANTILLAN

CASTEC INC

SCIF INSURED GLENDALE

ADJ533246

JORGE PRIETO

COAST CONVERTER

SCIF INSURED GLENDALE

ADJ533246

JORGE PRIETO

COAST CONVERTERS

SCIF INSURED GLENDALE

ADJ6429739

JOSE VALLES

ROYAL ROOT CO. #3

SCIF INSURED GLENDALE

ADJ648245

BENJAMIN ORTIZ

ADJ6634534

CYNTHIA GAMEZ

SILVERMAN AND GOLDSZER

SCIF INSURED GLENDALE

ADJ6730204

ALLEN HORNSBY

BOB AND DAVES TOWING INC

SCIF INSURED GLENDALE

SCIF INSURED GLENDALE

Page 41

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6730204

ALLEN HORNSBY

CALIFORNIA COACH AUTO BODY

SCIF INSURED GLENDALE

AND TOWING ADJ6730204

ALLEN HORNSBY

KENNY'S AUTO SERVICE

SCIF INSURED GLENDALE

ADJ6744645

PASTOR ESTRADA

LA PARTY RENTS

SCIF INSURED GLENDALE

ADJ6784010

ALEJO RUBIO

CATALINA YACHTS

SCIF INSURED GLENDALE

ADJ6846161

JESUS SOTO

JOSEPH J BERTRAND

SCIF INSURED GLENDALE

ADJ6870638

ALBA ZUNIGA

ADJ6924960

GEORGE LABRECQUE

LABOR SYSTEMS

SCIF INSURED GLENDALE

SCIF INSURED GLENDALE

ADJ6930945

SOO JANG

EDWARD SKY INC DBA SURASANG

SCIF INSURED GLENDALE

RESTAURANT ADJ6939775

LUIS GONZALEZ

SOUTHERN CALIFORNIA ICE CO

SCIF INSURED GLENDALE

ADJ6971424

TERRY COVINGTON

AMERICAN COMPUTER SUPPLIES INC

SCIF INSURED GLENDALE

ADJ7014583

JOSE PEREZ

EVANS AND SON TOUR SERV INC AKA

SCIF INSURED GLENDALE

CALIF TOUCH OF CLASS ADJ7028159

WAYNE KITRELL

M AND M ACTION TOWING

SCIF INSURED GLENDALE

ADJ7203623

DOMINIC YANEZ

HEALTH DEVICES INC

SCIF INSURED GLENDALE

ADJ7215676

BLANCA MURILLO

CALIFORNIA FAIR PLAN

SCIF INSURED GLENDALE

ADJ7279312

BENJAMIN OCHOA

BROWNCO CONSTRUCTION

SCIF INSURED GLENDALE

ADJ7379766

JEFFREY WEAVER

URBAN BUILDERS, INC.

SCIF INSURED GLENDALE

ADJ7380036

BOBBY YOUNG

UNITED PIMPING SERVICE INC

SCIF INSURED GLENDALE

ADJ7437470

JOSE BECERRA

COAST CHEM EXTERMINATING

SCIF INSURED GLENDALE

ADJ7508664

DANIEL CERVANTES

STONE ETC INC

SCIF INSURED GLENDALE

ADJ7690667

ANTONIO YAX

BENALEX WINDOWS AND DOORS

SCIF INSURED GLENDALE

ADJ7816423

RONNIE ANGUIANO

DEL CAMPO TRUCKING

SCIF INSURED GLENDALE

ADJ7840950

SANDRA CARTER

BARBOUR FLOYD MEDICAL ASSOC

SCIF INSURED GLENDALE

ADJ8115142

DESTINY BIOSAH

PROJECT INDEPENDENCE

SCIF INSURED GLENDALE

ADJ819174

VICTOR HARO

C. LUJAN & COMPANY

SCIF INSURED GLENDALE

ADJ8402781

CHUCK TIFFANY

CANTERBURY BASEBALL LLC AKA

SCIF INSURED GLENDALE

CORP

FLORENCE FREEDOM ADJ8402781

CHUCK TIFFANY

GRAND PRAIRIE PROFESSIONAL

SCIF INSURED GLENDALE

BASEBALL LP ADJ8402781

CHUCK TIFFANY

HAWAII BASEBALL LLC

SCIF INSURED GLENDALE

ADJ8402781

CHUCK TIFFANY

LOS ANGELES DODGERS

SCIF INSURED GLENDALE

ADJ8402781

CHUCK TIFFANY

ST GEORGE ROADRUNNERS ET AL

SCIF INSURED GLENDALE

ADJ845436

GLENN MACDONALD

JON KERTES CONSTRUCTION CO

SCIF INSURED GLENDALE

ADJ912959

MELODY LARUE KREISS

LBS FINANCIAL CREDIT UNION

SCIF INSURED GLENDALE

ADJ1048691

SIXTO GUILLERMO

DESERT COASTAL TRANSPORT

SCIF INSURED INLAND EMPIRE

HUAPAYA ADJ1125444

KATHY SANCHEZ

INFONXX

SCIF INSURED INLAND EMPIRE

ADJ1125444

KATHY SANCHEZ

INFONXX INC

SCIF INSURED INLAND EMPIRE

ADJ1173510

ROSA GONZALEZ

UPLAND CONVALESCENT HOSPITAL

SCIF INSURED INLAND EMPIRE

ADJ1366096

ROY BEAMS

CTS

SCIF INSURED INLAND EMPIRE

Page 42

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1764405

VICTOR FLORES

STK INTERNATIONAL, INC.

SCIF INSURED INLAND EMPIRE

ADJ1927566

ROBERT SMITH

SAUNDERS & MCMILLIN

SCIF INSURED INLAND EMPIRE

ADJ200259

JOEL SANCHEZ

CHECK MATE STAFFING

SCIF INSURED INLAND EMPIRE

ADJ200259

JOEL SANCHEZ

MERRICK ENGINEERING INC

SCIF INSURED INLAND EMPIRE

ADJ2009087

DOROTHY AUGUSTINE

PHS/MWA

SCIF INSURED INLAND EMPIRE

ADJ2039183

MICAELA CRUZ

DYNAMIC NURSING

SCIF INSURED INLAND EMPIRE

ADJ207268

DONALD FOWLER

BROOKSTONE EQUIPMENT SERVICES

SCIF INSURED INLAND EMPIRE

INC ADJ2107599

RAYMOND COTE

INTERNATIONAL E-Z UP

SCIF INSURED INLAND EMPIRE

ADJ2284440

CRAIG DANIELSON

EL & EL WOOD PRODUCTS CORP

SCIF INSURED INLAND EMPIRE

ADJ237230

ALFREDO LOPEZ

PREMIER HOMES

SCIF INSURED INLAND EMPIRE

ADJ2465041

TOMAS RAMOS

PERFORMANCE CONCRETE

SCIF INSURED INLAND EMPIRE

ADJ255494

JON RODEWALD

KOR BARNABEY'S LLC

SCIF INSURED INLAND EMPIRE

ADJ2753691

JERRY RODRIGUEZ

HANSEN CONSOLIDATORS

SCIF INSURED INLAND EMPIRE

ADJ2975177

JORGE VERASTEGUI

SCIF INSURED INLAND EMPIRE

ALVARADO ADJ325203

ANITA SCHAEFFER

ADMINISTAFF CO INC

SCIF INSURED INLAND EMPIRE

ADJ325203

ANITA SCHAEFFER

ARGUS PRO HEALTH

SCIF INSURED INLAND EMPIRE

ADJ3278964

ROBERTO SEPULVEDA

ABC WINDOW COMPANY

SCIF INSURED INLAND EMPIRE

ADJ3416812

JAMES BUSCH

NORTH COUNTY PUMP

SCIF INSURED INLAND EMPIRE

ADJ344371

MICHAEL GUILDING

J T AUTOMOTIVE

SCIF INSURED INLAND EMPIRE

ADJ3719710

ROSA GONZALEZ

UPLAND CONVALESCENT

SCIF INSURED INLAND EMPIRE

ADJ3747693

SALVADOR DURAN

ALHAMBRA FOUNDRY COMPANY

SCIF INSURED INLAND EMPIRE

ADJ3853229

ROBERT LUDWICK

DON'S AIRCONDITIONING SERVICE

SCIF INSURED INLAND EMPIRE

ADJ4290345

DIANA ZAMORA

J Z'S PARTY CHARM

SCIF INSURED INLAND EMPIRE

ADJ4361902

MARLENE GUADAMUZ

GUARANTY MANAGEMENT CORP

SCIF INSURED INLAND EMPIRE

ADJ4429497

LORENA VILLEGAS

PALOS VERDES HEALTH CARE CENTER

SCIF INSURED INLAND EMPIRE

ADJ603626

GERTRUDIS HERNANDEZ

BERTOLINI

SCIF INSURED INLAND EMPIRE

ADJ6790123

RONALD THRONSON

ALLAN FENCE

SCIF INSURED INLAND EMPIRE

ADJ7018828

DERRELL GARCIA

FREDS GLASS AND MIRROR

SCIF INSURED INLAND EMPIRE

ADJ7024442

CARLOS SERRANO

VEIRS KLUK ROOFING

SCIF INSURED INLAND EMPIRE

ADJ7176429

KIRK KING

KINGS POOL SERVICE

SCIF INSURED INLAND EMPIRE

ADJ7671874

YOLANDA DE LA TORRE

SATANAS MEXICAN FOOD

SCIF INSURED INLAND EMPIRE

ADJ7719317

CAROL VARGAS

SOUTH COAST CHILDRENS

SCIF INSURED INLAND EMPIRE

ADJ8047375

FRANCISCO RONQUILLO

TRAIL LINES

SCIF INSURED INLAND EMPIRE

ADJ1222132

BRENT MARTIN

G.E. CONSTRUCTION

SCIF INSURED OXNARD

ADJ2153519

WILLIAM LITMAN

ANACAPA HOSPITAL

SCIF INSURED OXNARD

ADJ2295179

ANNETTE FRANCO

TECHSTYLES

SCIF INSURED OXNARD

ADJ260724

ERNIE RASCON

ARCTURUS MFG

SCIF INSURED OXNARD

ADJ2809626

SALVADOR COVARRUBIAS

ROSSCO HOLDINGS

SCIF INSURED OXNARD

ADJ3373248

IVY IBAVEN

CIBA INSURANCE SERVICES

SCIF INSURED OXNARD

ADJ354887

SIKUKA PANAPA

SMITHSON FIRE PROTECTION

SCIF INSURED OXNARD

Page 43

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3933871

CHARLES PAGE

REZAC MEYERS ATTORNEY S

SCIF INSURED OXNARD

ADJ642748

DELLA WALKER

HOME INSTEAD SENIOR CARE

SCIF INSURED OXNARD

ADJ8067163

ROBERT CAMACHO

AVENAL STATE PRISON

SCIF INSURED OXNARD

ADJ7741770

MARIA GARCIA

ROYAL CATERING CO

SCIF INSURED PLEASANTON

ADJ714637

MICHAEL MALO

CALIFORNIA HWY PATROL

SCIF INSURED SAN DIEGO

ADJ8869137

DOMINIC VELASQUEZ

CENTINELLA STATE PRISON

SCIF INSURED SAN DIEGO SCIF INSURED SAN JOSE

ADJ1723076

JESUS HERNANDEZ

J AND L FARMS

ADJ7979492

MICHAEL COSGROVE

GOLDEN BASEBALL LEAGUE

SCIF INSURED SAN JOSE

ADJ1110485

KURT GALLARDO

DYZNEE TOWING SERVICE

SCIF INSURED SANTA ANA

ADJ113049

BARBARA SEOANE

FURNITURE TRADING CO

SCIF INSURED SANTA ANA

ADJ1146069

ANTHONY VILLA

WESTMONT INDUSTRIES

SCIF INSURED SANTA ANA

ADJ125914

DONALD TOUPE

VAN ETTEN DRYWALL

SCIF INSURED SANTA ANA

ADJ1581910

LINDA BELSHE

CAL STATE UNIVERSITY LONG BEACH

SCIF INSURED SANTA ANA

ADJ1581910

LINDA BELSHE

CSULB FOUNDATION

SCIF INSURED SANTA ANA

ADJ1614898

FRANCISCO SANCHEZ

EAGLE RIDER

SCIF INSURED SANTA ANA

ADJ1709179

ED BYNG

CALVARY CHAPEL OF COSTA MESA

SCIF INSURED SANTA ANA

ADJ1764405

VICTOR FLORES

STK INTERNATIONAL, INC.

SCIF INSURED SANTA ANA

ADJ1826305

SALLY NGHIEM

VIETNAMESE LEAGUE OF ORANGE

SCIF INSURED SANTA ANA

COUNTY ADJ188754

MARIO RODRIGUEZ

QUAKER CITY PLATING

SCIF INSURED SANTA ANA

ADJ189448

YOLANDA DE GASPAR

JOB OPTIONS INC

SCIF INSURED SANTA ANA

ADJ2078909

EMILIO LOPEZ

VILORIA CONSTRUCTION INC

SCIF INSURED SANTA ANA

ADJ2214600

MICHAEL THOMPSON

TORREZ TRUCKING

SCIF INSURED SANTA ANA

ADJ2221138

DANIELL MORPHIS

SMART SYSTEMS TECH.

SCIF INSURED SANTA ANA

ADJ2268459

HERB PACHECO

SCOTT ROBINSON HONDA

SCIF INSURED SANTA ANA

ADJ2326468

MARIA GODINEZ

AIR INDUSTRIES

SCIF INSURED SANTA ANA

ADJ2497538

JOSE MENDEZ

U.S. GROWERS COLD STORAGE

SCIF INSURED SANTA ANA

ADJ2792766

TIMOTHY SMITH

KKW TRUCKING

SCIF INSURED SANTA ANA

ADJ2837957

SUSAN AHN

EASTWOOD INS

SCIF INSURED SANTA ANA

ADJ3040748

JACQUELYN LAWSON

SPIRES RESTAURANT

SCIF INSURED SANTA ANA

ADJ3253900

MARIA AQUINO

IMPERIAL TOY CORP

SCIF INSURED SANTA ANA

ADJ3253900

MARIA AQUINO

KHALID AHMED HACIENDA HEIGHTS

SCIF INSURED SANTA ANA

ADJ3394014

DONNA ABENT

MARINA MEDICAL BILLING SERVICES

SCIF INSURED SANTA ANA

ADJ3494021

CATHERINA YOUNG

EASTER SEALS

SCIF INSURED SANTA ANA

ADJ3504138

LADONNE GREEN

PROJECT INDEPENDENT

SCIF INSURED SANTA ANA

ADJ3504138

LADONNE GREEN

SU CASA FAMILY SUPPORT

SCIF INSURED SANTA ANA

ADJ3507140

FRANCISCO OBANDO

THOMPSON BUILDING MATERIALS

SCIF INSURED SANTA ANA

ADJ373202

DONALD PHILLIPS

AMERICAN CONTRACTING

SCIF INSURED SANTA ANA

ADJ3744523

MITCHELL MORENO

CAUSEY ELECTRIC INC

SCIF INSURED SANTA ANA

ADJ3828451

VICTOR MENDOZA

TOP INSTALLER

SCIF INSURED SANTA ANA

ADJ4027310

ALAN SPELL

M & N COASTLINE AUTO/GOODYEAR

SCIF INSURED SANTA ANA

Page 44

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4033269

JESUS FRUTOS

ACADEMY MANUFACTURING CO.,

SCIF INSURED SANTA ANA

INC. ADJ4069490

DEAN FRANKLIN

HART BROS. ELECTRIC

SCIF INSURED SANTA ANA

ADJ4087635

JANICE ALVAREZ

HERITAGE POINTE

SCIF INSURED SANTA ANA

ADJ4237705

MARTHA DABOUB

NEWPORT HAND CENTER

SCIF INSURED SANTA ANA

ADJ4245584

BARBARA SEOANE

FURNITURE TRADING CO

SCIF INSURED SANTA ANA

ADJ4295994

MARIA ZALDANA

A.P. EXPRESS WORLDWIDE

SCIF INSURED SANTA ANA

ADJ4388525

ANITA FERNANDEZ

CUSTOMIZE SCREENPRINTING &

SCIF INSURED SANTA ANA

DISTRIBU ADJ4415129

TIMOTHY REMBAC

KEN SMITH MASONRY INC

SCIF INSURED SANTA ANA

ADJ4491590

CONCEPCION VELASQUEZ

ERUSTON CORP

SCIF INSURED SANTA ANA

ADJ4511565

JOSEPH CONTRERAS

ICC

SCIF INSURED SANTA ANA

ADJ458935

LETICIA DE LEON

MAXINE SWIM GROUP INC

SCIF INSURED SANTA ANA

ADJ6666743

BERNAVE SILVERIO

HOYT ROOFS INC

SCIF INSURED SANTA ANA

ADJ6742057

JOSE ESPINOZA

WILMINGTON WOODWORKING

SCIF INSURED SANTA ANA

ADJ6931866

DELFINO HERNANDEZ

L&R TRANSPORTES, INC., DBA

SCIF INSURED SANTA ANA

ADJ7458446

ELIZABETH MONTES

DIAMANTE BAR

SCIF INSURED SANTA ANA

ADJ7831833

ALBERTO VEGA

B L PRICE

SCIF INSURED SANTA ANA

ADJ7831938

CANDY TOURVILLE

FAIRVIEW DEVELOPMENTAL CENTER

SCIF INSURED SANTA ANA

FRONTERAS DEL NORTE

ADJ7834491

JUVENAL ALVAREZ

REXWAY ROOFING

SCIF INSURED SANTA ANA

ADJ809195

LUZ HERRERA BALBOA

MAXINE SWIM GROUP INC

SCIF INSURED SANTA ANA

ADJ8115142

DESTINY BIOSAH

PROJECT INDEPENDENCE

SCIF INSURED SANTA ANA

ADJ8411199

MARK BERGINE

RECAT INC

SCIF INSURED SANTA ANA

ADJ860891

JOHN WEBB

SHORE STEEL INC

SCIF INSURED SANTA ANA

ADJ912959

MELODY LARUE KREISS

LBS FINANCIAL CREDIT UNION

SCIF INSURED SANTA ANA SCIF INSURED SANTA ROSA

ADJ163167

MICHAEL VITALI

ULTIMATE JUICE COMPANY

ADJ7427348

ERNESTO PADILLA

LACNY LOGISTICS

SCIF INSURED SANTA ROSA

ADJ891833

MARIO MARQUEZ

VOPAK/WILMINGTON LIQUID

SCIF LONGSHORE PLEASANTON

ADJ3815656

LINDA SCOTT

STATE COMP. INSRUANCE FUND

SCIF SCIF EMPLOYEES ALL

ADJ3815656

LINDA SCOTT

STATE COMPENSATION INSURANCE

SCIF SCIF EMPLOYEES ALL

ADJ3128349

JORGE CORONA

PLAZA DEL SOL

SCIF SCO MONTEREY PARK SCIF SCO MONTEREY PARK

FUND ADJ3128349

JORGE CORONA

RICARDO NUNEZ

ADJ6624702

SUZANNE BOYLE

ME AND ED`S PIZZA PARLOR

SCIF SCO MONTEREY PARK

ADJ6624775

ABRAHAM JEON

YOUNG AGAIN ADULT DAY HEALTH

SCIF SCO MONTEREY PARK

CARE ADJ7014583

JOSE PEREZ

EVANS AND SON TOUR SERV INC AKA

SCIF SCO MONTEREY PARK

CALIF TOUCH OF CLASS ADJ7138683

RAMON PEREZ

LOS TAPATIOS

SCIF SCO MONTEREY PARK

ADJ7180930

SILVESTRE DIONISIO

ROYAL DINING

SCIF SCO MONTEREY PARK

ADJ7223042

JAMIE MANN

MILL CREEK EQUESTRAIN CENTER

SCIF SCO MONTEREY PARK

ADJ7330394

MARTIN GARCIA

LUPE TEOS PIANO

SCIF SCO MONTEREY PARK

ADJ7411005

KENNETH SCHUMACHER

JONES BROTHERS CONSTRUCTION

SCIF SCO MONTEREY PARK

Page 45

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

ADJ7007754

ADRIANA CENDEJAS

ADJ3128349

JORGE CORONA

Employer

Claims administrator SCIF SCO SAN BERNARDINO

PLAZA DEL SOL

SCIF STATE EMPLOYEES OXNARD

ADJ3128349

JORGE CORONA

RICARDO NUNEZ

SCIF STATE EMPLOYEES OXNARD

ADJ3304807

DEBRA COURTNEY

CAMARILLO STATE HOSPITAL

SCIF STATE EMPLOYEES OXNARD

ADJ727774

ISELA MENDOZA

PLEASANT VALLEY STATE PRISON

SCIF STATE EMPLOYEES OXNARD

ADJ1125444

KATHY SANCHEZ

INFONXX

SCIF STATE EMPLOYEES RIVERSIDE

ADJ1125444

KATHY SANCHEZ

INFONXX INC

SCIF STATE EMPLOYEES RIVERSIDE

ADJ1141411

WILLIAM HORTON

ALBERT V O'NEAL

SCIF STATE EMPLOYEES RIVERSIDE

ADJ1141411

WILLIAM HORTON

ALBERT'S TRUCKING

SCIF STATE EMPLOYEES RIVERSIDE

ADJ1141411

WILLIAM HORTON

UEBTF LOS ANGELES

SCIF STATE EMPLOYEES RIVERSIDE

ADJ1718463

ZERINA MESIHOVIC

COUNTY OF LOS ANGELES DPSS

SCIF STATE EMPLOYEES RIVERSIDE

ADJ6756982

LEAH GARVER

DEPT OF CORRECTIONS AND REHAB

SCIF STATE EMPLOYEES RIVERSIDE

ADJ710857

NICHOLAS ACORDI

DEPARTMENT OF CORRECTIONS

SCIF STATE EMPLOYEES RIVERSIDE

ADJ749699

BLANCA GUERRERO

IHSS

SCIF STATE EMPLOYEES RIVERSIDE

ADJ7818550

FRANK BIELAWA

DEPARTMENT OF CORRECTIONS AND

SCIF STATE EMPLOYEES RIVERSIDE

REHABILITATION ADJ8567568

GARY CURRIER

DEPARTMENT OF CORRECTIONS AND

SCIF STATE EMPLOYEES RIVERSIDE

REHABILITATION ADJ3323637

DARRYL BOSTON

CALIFORNIA DEPT OF CORRECTIONS

SCIF STATE EMPLOYEES SACRAMENTO

ADJ3957833

JOAN ROSS

CALIFORNIA HIGHWAY PATROL

SCIF STATE EMPLOYEES SACRAMENTO

ADJ6992217

DOROTHY LOPEZ

STATE OF CALIFORNIA CHP

SCIF STATE EMPLOYEES SACRAMENTO

ADJ714637

MICHAEL MALO

CALIFORNIA HWY PATROL

SCIF STATE EMPLOYEES SACRAMENTO

ADJ1008019

VICTORIA ISAAC

STATE OF CALIFORNIA DEPT. OF

SCIF STATE EMPLOYEES SANTA ANA

CORREC ADJ1334495

RAY RIVERA

CAL POLY UNIVERSITY

SCIF STATE EMPLOYEES SANTA ANA

ADJ1401899

EDWARD BEADLE

WASCO STATE PRISON

SCIF STATE EMPLOYEES SANTA ANA

ADJ2175401

CECILIA MARQUEZ

DEPT OF MOTOR VEHICLES

SCIF STATE EMPLOYEES SANTA ANA

ADJ2461296

ATI FUIAVA

CAL-TRANS

SCIF STATE EMPLOYEES SANTA ANA

ADJ2962063

CHARLENE SHEA

DEPARTMENT OF MENTAL HEALTH

SCIF STATE EMPLOYEES SANTA ANA

ADJ3505086

SIMONE BOULOS

EDD

SCIF STATE EMPLOYEES SANTA ANA

ADJ4141215

DOREEN LABOY

METROPOLITAN STATE HOSPITAL

SCIF STATE EMPLOYEES SANTA ANA

ADJ4703930

RICHARD ENRIQUEZ

DEPARTMENT OF MOTOR VEHICLES

SCIF STATE EMPLOYEES SANTA ANA

ADJ7932952

EUGENE WILLIAMS

CAL TRANS

SCIF STATE EMPLOYEES SANTA ANA

ADJ192640

ALAN LOONEY

TEMPLE-INLAND

SEDGWICK 14153 RIVERSIDE

ADJ7388184

MAURICIO RODRIGUEZ

CR AND R

SEDGWICK 14153 RIVERSIDE

ADJ8497086

JUDITH MALOOF

WEST ANAHEIM MEDICAL CENTER

SEDGWICK 14153 RIVERSIDE

ANAHEIM ADJ8667338

FRANCIS APONTE

ALBERTSONS INC

SEDGWICK 14153 RIVERSIDE

ADJ7646553

YOLANDA HERNANDEZ

BUD OF CALIFORNIA

SEDGWICK 14154 SACRAMENTO

ADJ7925389

LUIS QUINTERO

AMERICANOS USA

SEDGWICK 14154 SACRAMENTO

ADJ1928884

ROBERT TELLES

BED BATH & BEYOND

SEDGWICK 14442 ORANGE

ADJ3198657

PETE VASQUEZ

PEPSI COLA SAN JOAQUIN BOTTLING

SEDGWICK 14442 ORANGE

ADJ3413847

CONNIE JOHNSTON

COSTCO WHOLESALE

SEDGWICK 14442 ORANGE

Page 46

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4087514

ERMELINDA HARWOOD

DURHAM SCHOOL SERVICE

SEDGWICK 14442 ORANGE

OCHOA ADJ4131269

DARCY ROBINSON

KINDRED HOSPITAL

SEDGWICK 14442 ORANGE

ADJ6523117

GILBERTO RUVALCABA

KEER

SEDGWICK 14442 ORANGE

ADJ6568102

UZZIEL AMBRIZ

BFS RETAIL AND COMMERCIAL

SEDGWICK 14442 ORANGE

ADJ6772972

DAVID TORRES

RIO TINTO MINERALS

SEDGWICK 14442 ORANGE

ADJ6788433

GAIL CAPLAN

ST JOSEPHS HOSPITAL

SEDGWICK 14442 ORANGE

ADJ6882163

NELY BARGOLA

ROSS STORES

SEDGWICK 14442 ORANGE

ADJ7165056

DAMEN WINSTON

PEPSI BOTTLING GROUP NEWBERN

SEDGWICK 14442 ORANGE

TRANSPORT ADJ7320812

ELIAS AGUILAR

BRIDGESTONE AMERICA TIRE

SEDGWICK 14442 ORANGE

OPERATIONS ADJ7562865

ROSA BATRES

TARGET CORPORATION

SEDGWICK 14442 ORANGE

ADJ7811686

JUAN ONTIVEROS

FIRESTONE TIRE & AUTO SERVICE

SEDGWICK 14442 ORANGE

ADJ7859337

CHARLES GRIMM

VERIZON GTE

SEDGWICK 14442 ORANGE

ADJ7956233

MILUSKA WHEELER

PROVIDENCE LITTLE COMPANY OF

SEDGWICK 14442 ORANGE

MARY ADJ8028767

DELINA GARCIA

PUBLIC STORAGE

SEDGWICK 14442 ORANGE

ADJ8231540

NANCY CARRILLO

ST MARYS MEDICAL CENTER

SEDGWICK 14442 ORANGE

ADJ8242062

SANDRA PALESTINO

COSTCO WHOLESALE

SEDGWICK 14442 ORANGE

ADJ8340709

TRINA CONGER

COSTCO

SEDGWICK 14442 ORANGE

ADJ3539520

JAMES DANIELS

TRANS WORLD AIRLINES

SEDGWICK 14450 LONG BEACH

ADJ4451760

DANIEL ALMOND

BOEING CO.

SEDGWICK 14450 LONG BEACH

ADJ6568102

UZZIEL AMBRIZ

BFS RETAIL AND COMMERCIAL

SEDGWICK 14450 LONG BEACH

ADJ6822100

LIZETTE GAMEZ

SMART & FINAL

SEDGWICK 14450 LONG BEACH

ADJ7103893

PATRICIA RAMIREZ

TARGET CORPORATION

SEDGWICK 14450 LONG BEACH

ADJ7572187

NORMA SALCEDO

RALPHS GROCERY COMPANY

SEDGWICK 14450 LONG BEACH

ADJ7591874

CHRISTIE KATHARY

KMART

SEDGWICK 14450 LONG BEACH

ADJ7775441

CYNTHIA BROWN

JENNY CRAIG

SEDGWICK 14450 LONG BEACH

ADJ7963695

RODNEY WILSON

THE BOEING COMPANY

SEDGWICK 14450 LONG BEACH

ADJ3363262

FRANCES SAUNDERS TIPPIN

BOEING COMPANY

SEDGWICK 14458 ONTARIO

ADJ3363262

FRANCES SAUNDERS TIPPIN

THE BOEING COMPANY

SEDGWICK 14458 ONTARIO

ADJ3626113

THERESA CONTINI

RALPH'S CORPORATION

SEDGWICK 14458 ONTARIO

ADJ2247649

KIM FOSTER

UNIVERSITY CORPORATION

SEDGWICK 14479 MCU IVOS VAN NUYS

ADJ8091644

SERINA JOHNSON

ST VINCENT MEDICAL CENTER

SEDGWICK 14479 MCU IVOS VAN NUYS

ADJ2125706

MODESTO CATALAN

COLOR SPOT

SEDGWICK 14522 VAN NUYS

EDWARDS

ADJ4591301

VICTOR GARCIA

ST FRANCIS MEDICAL CENTER

SEDGWICK 14522 VAN NUYS

ADJ6860128

AMANDA RUSSELL

THE UNIVERSITY CORPORATION

SEDGWICK 14522 VAN NUYS

ADJ7672005

SYLVIA APODACA

FIRST DATA REMITCO INC

SEDGWICK 14522 VAN NUYS

ADJ8377617

ISMAEL UDASCO

ST VINCENT MEDICAL CENTER

SEDGWICK 14522 VAN NUYS

ADJ8091644

SERINA JOHNSON

ST VINCENT MEDICAL CENTER

SEDGWICK 14535 OAKLAND

ADJ6633028

STELLA ANDRE

RALPHS GROCERY COMPANY

SEDGWICK 14563 LONG BEACH

ADJ6807474

DONUEL STALLWORTH

LOS ANGELES UNIFIED SCHOOL

SEDGWICK 14563 LONG BEACH

DISTRICT ADJ7045668

WALTER COLLINS

RALPHS GROCERY STORE

Page 47

SEDGWICK 14563 LONG BEACH

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7318795

ELIZABETH WILLIS

THE KROGER COMPANY

SEDGWICK 14563 LONG BEACH

ADJ7591874

CHRISTIE KATHARY

KMART

SEDGWICK 14563 LONG BEACH

ADJ7949084

LEONEL QUINTERO

RALPHS GROCERY

SEDGWICK 14563 LONG BEACH

EDWARDS ALMERAYA ADJ8059853

BELEN REZA

LOWES

SEDGWICK 14563 LONG BEACH

ADJ8079888

LAURIE TALSTAD KEIDSER

RALPHS GROCERY COMPANY

SEDGWICK 14563 LONG BEACH

ADJ8193929

MARTHA HART

RALPHS GROCERY STORE

SEDGWICK 14563 LONG BEACH

ADJ8255357

HOWARD CHAREST

LOS ANGELES UNIFIED SCHOOL

SEDGWICK 14563 LONG BEACH

DISTRICT ADJ8387593

JOSE AMEZQUITA

FOOD 4 LESS

SEDGWICK 14563 LONG BEACH

ADJ2423265

JESUS GARCIA

CLEAN STEEL

SEDGWICK 14573 SACRAMENTO

ADJ7329709

TIMOTHY HANNA

FEDERAL EXPRESS NATIONAL

SEDGWICK 14573 SACRAMENTO

ADJ7509958

ALDO CEPEDA

GORDON TRUCKING INC

SEDGWICK 14573 SACRAMENTO

ADJ7866586

ROBERTO MARQUEZ

CINTAS

SEDGWICK 14573 SACRAMENTO

ADJ1275544

TAUNA THOMPSON

PACIFIC BELL

SEDGWICK 14627 ONTARIO

ADJ1986731

PATRICIA JOHNSON

SBC/ATT

SEDGWICK 14627 ONTARIO

ADJ3071975

DEIDRA HARPER

SBC

SEDGWICK 14627 ONTARIO

ADJ6673120

ESTER SHRUM

AT AND T

SEDGWICK 14627 ONTARIO

ADJ6743384

ROBERT PEREZ

AT AND T

SEDGWICK 14627 ONTARIO

ADJ7155087

MELVIN SMITH

AT&T

SEDGWICK 14627 ONTARIO

ADJ8051546

LILLIAN GARCIA

AT T

SEDGWICK 14627 ONTARIO

ADJ3027124

MARIA GUZMAN

IRVINE MEDICAL CENTER

SEDGWICK 14667 ORANGE

ADJ3027124

MARIA GUZMAN

REGENTS - UNIVERSITY OF

SEDGWICK 14667 ORANGE

CALIFORNIA ADJ1215230

DOROTHY MOORE

CAL POLY POMONA UNIVERISTY

SEDGWICK 2078 OAKLAND

ADJ2247649

KIM FOSTER

UNIVERSITY CORPORATION

SEDGWICK 2078 OAKLAND

ADJ1215230

DOROTHY MOORE

CAL POLY POMONA UNIVERISTY

SEDGWICK 3170 RANCHO CORDOVA

ADJ6860128

AMANDA RUSSELL

THE UNIVERSITY CORPORATION

SEDGWICK 3170 RANCHO CORDOVA

ADJ7442060

JUSTIN HENDEE

CSU SAN BERNARDINO

SEDGWICK 3170 RANCHO CORDOVA

ADJ8431761

SAMUEL CASTRUITA

CSU DOMINQUEZ HILLS

SEDGWICK 3170 RANCHO CORDOVA

ADJ6819987

LUISA MESONES

ADJ2924625

CATHERINE TARBET

ALBERTSON'S

SEDGWICK ALBERTSONS BREA

ADJ4523497

ANTHONY BECKER

AMERICAN DRUG STORES

SEDGWICK ALBERTSONS BREA

SEDGWICK 51460 ONTARIO

ADJ1578859

EDILIA BLEDSOE

SAV-ON

SEDGWICK BREA

ADJ2216629

JORGE SANCHEZ

GELSONS MARKETS

SEDGWICK BREA

ADJ2307296

MARIA MOSQUEDA

ONE SOURCE

SEDGWICK BREA

ADJ2695773

JANINE PERDEW

ALBERTSONS

SEDGWICK BREA

ADJ2951264

O'KEEFE ANTEE

LOWE'S HOME IMPROVEMENT

SEDGWICK BREA

ADJ3426985

LISA BRUMFIELD

CENTURY CITY HOSPITAL

SEDGWICK BREA

ADJ355156

MARTHA DIAZ

ADECO EMPLOYMENT SERVICES

SEDGWICK BREA

ADJ355156

MARTHA DIAZ

VOLT SERVICES GROUP

SEDGWICK BREA

ADJ3866615

OLIVIA SALAZAR

TECHNICOLOR

SEDGWICK BREA

ADJ4023065

MARTHA MILLAN

USC UNIVERSITY HOSPITAL

SEDGWICK BREA

ADJ4053010

LAURIE BROWN

BRUNSWICK SANDS BOWL

SEDGWICK BREA

ADJ4571130

JESUS LUCERO

COMMUNITY & MISSION HOSPITAL OF

SEDGWICK BREA

Page 48

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

ADJ4596408

REYNALDA GONZALEZ

DOUBLE TREE HOTEL

Claims administrator SEDGWICK BREA

ADJ628072

CUI ZHEN FU

ZONG WEN JUN

SEDGWICK BREA

ADJ6772667

WEBBER KNIGHT

WORLD WIDE FACILITIES

SEDGWICK BREA

ADJ7281928

YVONNE ADAME

AUTOMBILE CLUB OF SOUTHERN

SEDGWICK BREA

ADJ7392610

SAYED SHAH

SOUTHERN CALIFORNIA

CALIFORNIA SEDGWICK BREA

AUTOMOBILE CLUB DBA AAA AUTO CLUB ADJ7472391

GLORIA BERMINGHAM

LOWES

SEDGWICK BREA

ADJ7476534

JAIME ADAME

CR&R INCORPORATED

SEDGWICK BREA

ADJ902591

MARIA DIAZ

RADISSON PLAZA HOTEL

SEDGWICK BREA

ADJ2192468

PAUL DRUSKY

INITIAL SECURITY

SEDGWICK BURBANK

ADJ3244236

STEPHEN ANDREW

NUWAY LINEN

SEDGWICK BURBANK

ADJ7309195

YOLANDA GARCIA

ARAMARK CLEANROOM SERVICES

SEDGWICK BURBANK

ADJ8234651

ZULEMA MIRANDA

ARAMARK

SEDGWICK BURBANK

ADJ8244599

ALEJANDRA VILLANUEVA

ARAMARK CLEANROOM SERVICES

SEDGWICK BURBANK

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING

SEDGWICK CIGA GLENDALE

ADJ1023285

MARINA GONZALEZ

PROFESSIONAL STAFFING SERVICES

SEDGWICK CIGA GLENDALE

ADJ1023285

MARINA GONZALEZ

SIMPLE TECHNOLOGY

SEDGWICK CIGA GLENDALE

ADJ1093811

HECTOR JIMENEZ

CRESCENT TRUCK LINES

SEDGWICK CIGA GLENDALE

ADJ1513760

LESLIE GORDON

MOULTON PLAZA PHARMACY

SEDGWICK CIGA GLENDALE

ADJ1630869

LEE TORRES

ANAHEIM DOOR CO

SEDGWICK CIGA GLENDALE

ADJ1630869

LEE TORRES

ANAHEIM DOOR COMPANY, INC

SEDGWICK CIGA GLENDALE

ADJ1763727

MARTIN ERICKSON

MOUNTAIN HIGH SKI RESORT

SEDGWICK CIGA GLENDALE

ADJ1942456

MARIA REBECCA

HRN SERVICES INC

SEDGWICK CIGA GLENDALE

ADJ1943091

STEVE FAIRLEY

MARTIN BROTHERS CO

SEDGWICK CIGA GLENDALE

ADJ1971926

EDY LEHRBASS

GRIFFITH CO

SEDGWICK CIGA GLENDALE

ADJ2090837

MARTIN GARCIA

TRIANGLE BRASS MFG

SEDGWICK CIGA GLENDALE

ADJ2535818

DANIEL WHITE

HEMET UNIFIED SCHOOL DIST

SEDGWICK CIGA GLENDALE

ADJ2535818

DANIEL WHITE

HEMET UNIFIED SCHOOL DISTRICT

SEDGWICK CIGA GLENDALE

ADJ2677684

ROSSLYN ELMORE MORRIS

MCDONNELL DOUGLAS CORP.

SEDGWICK CIGA GLENDALE

ADJ2848828

JEANETTE SMITH

ANADITE INC WESTERN DIV

SEDGWICK CIGA GLENDALE

ADJ2848828

JEANETTE SMITH

ANADITE METAL FINISHING DIVISION

SEDGWICK CIGA GLENDALE

DOMINGUEZ

ADJ2985835

MICHELLE TURNER

ADJ3299585

HERLINDA HERNANDEZ

S.K. TEXTILE, INC.

SEDGWICK CIGA GLENDALE SEDGWICK CIGA GLENDALE

ADJ3455123

CARMELO PEREYRA

FOSTER PRINTING CO

SEDGWICK CIGA GLENDALE

ADJ3548804

VICTOR ESQUIVEL

NATIONAL GENETICS INSTITUTE

SEDGWICK CIGA GLENDALE

ADJ365091

MARK JONES

INDUSTRY COLOR PRINTING

SEDGWICK CIGA GLENDALE

ADJ3710635

JIM CONTRERAS

PACIFIC MARINE MAINTENANCE

SEDGWICK CIGA GLENDALE

ADJ388925

ELIS MORENO

PRIME WHEEL

SEDGWICK CIGA GLENDALE

ADJ388925

ELIS MORENO

PRIME WHEEL CORPORATION

SEDGWICK CIGA GLENDALE

Page 49

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4088091

ROSA PUJOL

BLUE CROSS OF CALIFORNIA

SEDGWICK CIGA GLENDALE

ADJ4179389

CYNTHIA GLASIER

BODY WORKS EMPORIUM

SEDGWICK CIGA GLENDALE

ADJ4179389

CYNTHIA GLASIER

BODYWORK EMPORIUM, INC.

SEDGWICK CIGA GLENDALE

ADJ4231027

MIKE DEHOYOS

SYSTEMS SOURCE INC.

SEDGWICK CIGA GLENDALE

ADJ4645734

MICHAEL CROUGH

MCDONNELL DOUGLAG AIRCRAFT

SEDGWICK CIGA GLENDALE

ADJ4681462

BETTY CHAN

LOS ANGELES FIREMANS CREDIT

SEDGWICK CIGA GLENDALE

UNION ADJ622630

LINDA CASTILLO

MOLINA MEDICAL CENTER

SEDGWICK CIGA GLENDALE

ADJ7176475

OSCAR ALVARADO

BROTHERS TOWING OF NORCO INC

SEDGWICK CIGA GLENDALE

ADJ894396

RUBEN RICO

HARVEST PRODUCE

SEDGWICK CIGA GLENDALE

ADJ896033

MICHAEL WRIGHT

HANFORD GLASS COMPANY

SEDGWICK CIGA GLENDALE

ADJ902591

MARIA DIAZ

RADISSON PLAZA HOTEL

SEDGWICK CIGA GLENDALE

ADJ7979454

CARMEN CORTAZAR

FULLERTON RESIDENTIAL MANOR

SEDGWICK CIGA ORANGE

ADJ3436569

TERRY SALGUERO

UCI MEDICAL CENTER

SEDGWICK CLAIMS MANAGEMENT

ADJ4131269

DARCY ROBINSON

KINDRED HOSPITAL

ADJ1292559

MARIA LOPEZ

ADJ1580080

BETTY STANCIEL

COACH USA

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ1580080

BETTY STANCIEL

COACH USA ANTELOPE DIV

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ1750932

RODNEY RICE

FRITO LAY INC.

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ1954265

MARY SMALL

AXIUM ENTERTAINMENT

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ1954265

MARY SMALL

CAST AND CREW PRODUCTION

SEDGWICK CLAIMS MANAGEMENT SERVICES

SEDGWICK CLAIMS MANAGEMENT SEDGWICK CLAIMS MANAGEMENT SERVICES

SERVICES INC ADJ1954265

MARY SMALL

ENTERTAINMENT PARTNERS

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ2084889

STACEY ROUX

COUNTY OF LOS ANGELES

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ2084889

STACEY ROUX

L.A.U.S.D.

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ220777

ESSIE ROBERSON

TARGET

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ2849194

KEITH PIERCE

PNS STORES (BIG LOTS)

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ2886819

JINOUS BAHRAMI

RALPHS

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ293247

MICHAEL GONZALES

RALPHS GROCERY CO

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ3193103

MARIA STEVENS DIAKIS

UNIVERSITY OF SOUTHERN

SEDGWICK CLAIMS MANAGEMENT SERVICES

CALIFORNIA ADJ3386967

PEGGY DRAPER

COMPTON UNIFIED SCHOOL DISTRICT

Page 50

SEDGWICK CLAIMS MANAGEMENT SERVICES

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3572795

GARY DONNEL HARNAGE

SEARS AUTO CENTER

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ3832099

MARY PANINGSORO

U.S. AIRWAYS

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ3832099

MARY PANINGSORO

US AIRWAYS

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ4096616

SOFIA ORTIZ

RALPHS GROCERY

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ4234122

TINA MEDINA

RALPHS GROCERY

SEDGWICK CLAIMS MANAGEMENT SERVICES

ADJ3817160

JILL MAGUIRE

RALPHS GROCERY

SEDGWICK CLAIMS MANAGMENT SERVICES

ADJ1928884

ROBERT TELLES

BED BATH & BEYOND

SEDGWICK CMS

ADJ1112044

AMELIA GONZALEZ

COUNTY OF LOS ANGELES/DPSS

SEDGWICK COLA ONTARIO

ADJ1199269

TAMMY ELDRIDGE

LOS ANGELES COUNTY

SEDGWICK COLA ONTARIO

COUNTY OF LOS ANGELES/DPSS

SEDGWICK COLA ONTARIO

DECEASED ADJ1269315

TANISHA HAIRSTON

ADJ1305625

ANGEL MARCUCCI

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ1409388

BEVERLY WASHINGTON

LA COUNTY REGISTER RECORDER

SEDGWICK COLA ONTARIO

ADJ1464448

MARTHA GONZALEZ

COUNTY OF LA/REGOSTRAR

SEDGWICK COLA ONTARIO

RECORDS/ ADJ1490377

APO JONES

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ1528846

VALERIE CLEMENT

COUNTY OF LA/DPSS

SEDGWICK COLA ONTARIO

ADJ1701496

AISHA CHILDS

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

PROBATION ADJ2274703

JENNY AGUILAR

LOS ANGELES COUNTY/DPSS

SEDGWICK COLA ONTARIO

ADJ274195

LYDIA ARELLANO

LA COUNTY DEPT OF SOCIAL

SEDGWICK COLA ONTARIO

ADJ298139

PATRICIA COOKSIE

ADJ313551

CAMELIA LEE

ADJ3252376

OLGA ABGARYAN

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ339206

THOMAS REDE

MASONITE/DOOR FABRICATION

SEDGWICK COLA ONTARIO

ADJ3434414

CHRISTOPHER BERNAL

LOS ANGELES COUNTY PROBATION

SEDGWICK COLA ONTARIO

SERVICES SEDGWICK COLA ONTARIO COUNTY OF LOS ANGELES/DPSS

SEDGWICK COLA ONTARIO

DEPT ADJ3907604

AIDA DELGADILLO

LOS ANGELES COUNTY TAX

SEDGWICK COLA ONTARIO

COLLECTOR ADJ4068081

SHEILA LANGLEY

COUNTY OF LOS ANGELES/DPSS

SEDGWICK COLA ONTARIO

ADJ4132356

IRENE HERNANDEZ

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ4448585

ALBERT VALENZUELA

L.A. COUNTY DEPT. OF SOCIAL

SEDGWICK COLA ONTARIO

SERVICE ADJ5827299

SHEILA LABOMME

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ602112

PAULETTE MASON

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ6458077

MARY CONNER

LOS ANGELES COUNTY PROBATION

SEDGWICK COLA ONTARIO

MELENDREZ DEPT ADJ6500506

LILLIE THOMAS

COUNTY OF LA

SEDGWICK COLA ONTARIO

ADJ6617506

MARIA MUNOZ

COUNTY OF LOS ANGELES DPSS

SEDGWICK COLA ONTARIO

Page 51

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6701052

MARLENA GRAVES

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ6729300

PRISCILLA BAEZA

COUNTY OF LOS ANGELES/DPSS

SEDGWICK COLA ONTARIO

ADJ6748230

RUSSELL REED

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ6748230

RUSSELL REED

OFFICE OF THE COUNTY COUNSEL

SEDGWICK COLA ONTARIO

ADJ6767727

ELLA BROWN

COUNTY OF LOS ANGELES REGISTRAR

SEDGWICK COLA ONTARIO

ADJ6792587

IVONNE ABBITT

COUNTY OF LOS ANGELES DPSS

SEDGWICK COLA ONTARIO

ADJ6875194

RAINI COLE

COUNTY OF LA DPSS WELFARE

SEDGWICK COLA ONTARIO

RECORDER

FRAUD INV ADJ7099485

BENJAMIN GAMBOA

COUNTY OF LOS ANGELES DEPT OF

SEDGWICK COLA ONTARIO

PUBLIC WORKS ADJ7169247

JOYCE SAMIA

SEDGWICK COLA ONTARIO

ADJ7190800

ALICE RIVADENEIRA

LOS ANGELES COUNTY

SEDGWICK COLA ONTARIO

ADJ7208671

JAIME BETANCOURT

LA COUNTY PROBATION

SEDGWICK COLA ONTARIO

ADJ7273546

SUSANA FRAGOSO

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ7321285

NANCY VILLICANA

LOS ANGELES COUNTY DEPT OF

SEDGWICK COLA ONTARIO

DEPARTMENT

PUBLIC AND SOCIAL SERVICES ADJ7341285

MIRIAM OHANIAN

LOS ANGELES COUNTY DPSS

SEDGWICK COLA ONTARIO

ADJ7430439

EVELYN HORTON

LA COUNTY DEPT OF CHILDREN AND

SEDGWICK COLA ONTARIO

CAMERON

FAMILY SERVICES

ADJ7441121

PEDRO PENA

LOS ANGELES PROBATION DEPT

SEDGWICK COLA ONTARIO

ADJ7478040

GLORIA YOUNG

COUNTY OF LOS ANGELES DPSS

SEDGWICK COLA ONTARIO

ADJ7479678

CARLA OWENS

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ7577206

ARGO HYMAN

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ7635030

TENAYA TRIPPLETT FIELDS

LA COUNTY PROBATION

SEDGWICK COLA ONTARIO

DEPARTMENT ADJ7647998

PAMELA HUNTER

LA COUNTY PROBATION

SEDGWICK COLA ONTARIO

DEPARTMENT ADJ7663575

KIMBERLY WILKERSON

COUNTY OF LA DEPT OF CHILDREN

SEDGWICK COLA ONTARIO

AND FAMILY SERVICES ADJ7678077

VALERY COLEMAN

COUNTY OF LOS ANGELES DCFS

SEDGWICK COLA ONTARIO

ADJ7737970

MARIA ROSALES

LOS ANGELES COUNTY

SEDGWICK COLA ONTARIO

ADJ7894189

EDDIE CHISM

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ7981874

JANEEN CAUDILLO

COUNTY OF LOS ANGELES DEPT OF

SEDGWICK COLA ONTARIO

CHILDREN FAMILY SERVICES ADJ8071516

ZHENIK AKOPYAN

COUNTY OF L A DEPT OF CHILDREN

SEDGWICK COLA ONTARIO

FAM ADJ8190096

OSCAR PLACENCIA

L A COUNTY DEPT OF SOCIAL

SEDGWICK COLA ONTARIO

SERVICES ADJ8319064

DAVID TRAN

COUNTY OF LOS ANGELES

SEDGWICK COLA ONTARIO

ADJ8376730

GLORIA ALVAREZ

COUNTY OF LOS ANGELES DEPT OF

SEDGWICK COLA ONTARIO

ADJ970109

JAMES WILBURN

HOUSING AUTHORITY OF L.A.

SEDGWICK COLA ONTARIO

ADJ1009051

FEDERICO MOSSIEU

AMERICAN RED CROSS

SEDGWICK CONCORD

ADJ1763727

MARTIN ERICKSON

MOUNTAIN HIGH SKI RESORT

SEDGWICK CONCORD

ADJ1931014

PATRICIA CALDERON

FEDERAL EXPRESS

SEDGWICK CONCORD

PUBLIC SOCIAL SERVICES

Page 52

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ433160

JUAN MORENO

FARA

SEDGWICK CONCORD

ADJ433160

JUAN MORENO

HOLLYWOOD PARK

SEDGWICK CONCORD

ADJ433160

JUAN MORENO

HOLLYWOOD PARK OPERATIN

SEDGWICK CONCORD

COMPANY ADJ2441835

ANNETTE NAJERA

KAISER PERMANENTE

SEDGWICK KAISER LEXINGTON

ADJ3536224

JOANNE BRETADO

KAISER PERMANENTE

SEDGWICK KAISER LEXINGTON

ADJ3566452

ROBERTO VELAZQUEZ

KAISER FOUNDATION HOSPITALS

SEDGWICK KAISER LEXINGTON

ADJ4540979

VICKY MARINO

KAISER PERMANENTE

SEDGWICK KAISER LEXINGTON

ADJ6675613

LEMUEL NAVARRETE

KAISER PERMANENTE REGIONAL LAB

SEDGWICK KAISER LEXINGTON

ADJ6675894

LEMUEL NAVARRETE

KAISER PERMANENTE REGIONAL LAB

SEDGWICK KAISER LEXINGTON

ADJ6788922

JOSEPH ROMERO

KAISER PERMANENTE

SEDGWICK KAISER LEXINGTON

ADJ6802971

MARIA BARRIERE

KAISER FOUNDATION HOSPITAL

SEDGWICK KAISER LEXINGTON

ADJ6808327

RENEE WEDGEWORTH

KAISER PERMANENTE

SEDGWICK KAISER LEXINGTON SEDGWICK KAISER LEXINGTON

GLASS ADJ7233713

TANYA WASHINGTON

KAISER PERMANENTE MEDICAL

ADJ7758348

CLAUDIA IBARRA

SOUTHERN CALIFORNIA

GROUP SEDGWICK KAISER LEXINGTON

PERMANENTE MEDICAL GROUP ADJ1556592

BETTE DAVIS

VAN NUYS HIGH SCHOOL

SEDGWICK PASADENA

ADJ2355924

MARIA FABRO

LAUSD

SEDGWICK PASADENA

ADJ2380797

RAMON DELEON

AMERICAN HONDA MOTOR CO

SEDGWICK PASADENA

ADJ2832636

HAROLD HAMILTON

LAUSD

SEDGWICK PASADENA

ADJ2889330

ALAN FRIEDMAN

LAUSD

SEDGWICK PASADENA

ADJ3447105

JOSEFINA GARCIA

L.A.U.S.D.,(52ND ST. ELEM. SCHOOL)

SEDGWICK PASADENA

ADJ3447105

JOSEFINA GARCIA

LOS ANGELES UNIFIED SCHOOL DIST

SEDGWICK PASADENA

ADJ3448289

ANGELA WIENCKOWSKI

LAUSD

SEDGWICK PASADENA

ADJ3671720

ESMERALDA MARISCAL

L.A.U.S.D.

SEDGWICK PASADENA

ADJ3750605

JOSE LEM

LAUSD

SEDGWICK PASADENA

ADJ3850642

MARIA DE LA LUZ FLORES

PACOIMA ELEMENTARY

SEDGWICK PASADENA

ADJ3933377

MARIA PARRA

CITY OF LOS ANGELES/LAPD

SEDGWICK PASADENA

ADJ3933377

MARIA PARRA

LORETO STREET ELEMENTARY

SEDGWICK PASADENA

ADJ3963872

MADELINE NAVA

LAUSD

SEDGWICK PASADENA

ADJ526914

HILDA PENA TEJEDA

LAUSD

SEDGWICK PASADENA

ADJ6697750

LINDA WALKER

WALGREENS

SEDGWICK PASADENA

ADJ6772864

PHILLIS NEWBORN

LOS ANGELES UNIFIED SCHOOL

SEDGWICK PASADENA

DISTRICT ADJ6856825

DELIA GOMEZ

LAUSD

SEDGWICK PASADENA

ADJ6868829

JUAN SOSA

LOS ANGELES UNIFIED SCHOOL

SEDGWICK PASADENA

ADJ705672

DORLENE PICAZZO

LOS ANGELES USD

SEDGWICK PASADENA

ADJ7457611

BRENDA INOUYE

LAUSD

SEDGWICK PASADENA

ADJ7639876

MIGUEL RODRIGUEZ

LAUSD EL CAMINO REAL HIGH

SEDGWICK PASADENA

DISTRICT

SCHOOL

Page 53

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8013569

GARLAND GOFF

LAUSD MLK ELEMENTARY

SEDGWICK PASADENA

ADJ8079888

LAURIE TALSTAD KEIDSER

RALPHS GROCERY COMPANY

SEDGWICK PASADENA

ADJ8215051

NORBERT NAGY

SEARS HOLDINGS CORP

SEDGWICK PASADENA

ADJ8255357

HOWARD CHAREST

LOS ANGELES UNIFIED SCHOOL

SEDGWICK PASADENA

DISTRICT ADJ8301880

LINDA ESCOBAR

LOS ANGELES UNIFIED SCHOOL

SEDGWICK PASADENA

DISTRICT ADJ8333198

JAMES WRIGHT

LOS ANGELES UNIFIED SCHOOL

SEDGWICK PASADENA

DISTRICT ADJ1026795

MARIA YOLANDA

PACTIV CORPORATION

SEDGWICK PLEASANTON

LUNDGREN ADJ2857709

ROBERT WALL

AIRBORNE EXPRESS

SEDGWICK PLEASANTON

ADJ325203

ANITA SCHAEFFER

ADMINISTAFF CO INC

SEDGWICK PLEASANTON

ADJ325203

ANITA SCHAEFFER

ARGUS PRO HEALTH

SEDGWICK PLEASANTON

ADJ4023065

MARTHA MILLAN

USC UNIVERSITY HOSPITAL

SEDGWICK PLEASANTON

ADJ4274181

VICKI OBRIEN

SIERRA VISTA HOSPITAL

SEDGWICK PLEASANTON

ADJ4274181

VICKI OBRIEN

SIERRA VISTA REGIONAL MEDICAL

SEDGWICK PLEASANTON

CTR. ADJ6523020

JOSEPH EMMERSON

JOANN FABRICS

SEDGWICK PLEASANTON

ADJ654833

RACHAEL RODRIGUEZ

PIER 1 IMPORTS

SEDGWICK PLEASANTON

ADJ6852886

CHRISTOPHER MOORE

G-2 SECURE STAFF

SEDGWICK PLEASANTON

ADJ7330115

CLAUDIA CALDERA

RENT A WHEEL

SEDGWICK PLEASANTON

ADJ8173814

LUISA YANEZ

DOUBLETREE HOTEL

SEDGWICK PLEASANTON SEDGWICK PORTLAND

ADJ1364504

NARCISO GALENO

EUREST DINING SERVICES

ADJ3571910

MARIA TERESA AGUILAR

CROTHALL HEALTHCARE INC

SEDGWICK PORTLAND

ADJ3941567

RICHARD BURSON

PARKHOUSE TIRE INC

SEDGWICK PORTLAND

ADJ518971

ANGEL ESPINOZA

BON APPETIT MANAGEMENT

SEDGWICK PORTLAND

ADJ7231496

SOKHEOUN SUM

JAI BY WOLFGANG PUCK

ADJ989058

RICARDO CAMPOS

COMPANY SEDGWICK PORTLAND SEDGWICK PORTLAND

ADJ1673870

SOFIA CERDA

99 CENTS ONLY STORE

SEDGWICK RIVERSIDE

ADJ2192468

PAUL DRUSKY

INITIAL SECURITY

SEDGWICK RIVERSIDE

ADJ2903253

LINDA GARCIA

TYCO ELECTRONICS

SEDGWICK RIVERSIDE

ADJ3756945

DORIS AYALA

99 CENT ONLY STORE

SEDGWICK RIVERSIDE

ADJ7320812

ELIAS AGUILAR

BRIDGESTONE AMERICA TIRE

SEDGWICK RIVERSIDE

OPERATIONS ADJ7530594

MARIA BOZULICH

TXI RIVERSIDE CEMENTO

SEDGWICK RIVERSIDE

ADJ8100680

FINLEY LIDDELL

GENERAL MOTORS

SEDGWICK RIVERSIDE

ADJ8402781

CHUCK TIFFANY

CANTERBURY BASEBALL LLC AKA

SEDGWICK RIVERSIDE

FLORENCE FREEDOM ADJ8402781

CHUCK TIFFANY

GRAND PRAIRIE PROFESSIONAL

SEDGWICK RIVERSIDE

BASEBALL LP ADJ8402781

CHUCK TIFFANY

HAWAII BASEBALL LLC

SEDGWICK RIVERSIDE

ADJ8402781

CHUCK TIFFANY

LOS ANGELES DODGERS

SEDGWICK RIVERSIDE

ADJ8402781

CHUCK TIFFANY

ST GEORGE ROADRUNNERS ET AL

SEDGWICK RIVERSIDE

ADJ1861342

DAWN WALKER

SKYWEST AIRLINES

SEDGWICK ROSEVILLE

Page 54

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6748556

ALBERT AGUILERA

WALGREENS PHARMACY

SEDGWICK ROSEVILLE

ADJ1196862

CECILIA ARMENTA

UCLA BILLING DEPT

SEDGWICK UC 14533 LOS ANGELES

ADJ1677424

JEANNE LAPORTE AKA

UCLA

SEDGWICK UC 14533 LOS ANGELES

MCCONNEL ADJ1751617

RITA WORTHEY

UCLA MEDICAL CENTER

SEDGWICK UC 14533 LOS ANGELES

ADJ262105

BRIAN SWINK

UCLA MEDICAL PLAZA

SEDGWICK UC 14533 LOS ANGELES SEDGWICK UC 14533 LOS ANGELES

ADJ262105

BRIAN SWINK

UCLA ORTHOPEDIC CLINIC

ADJ3287868

LILIANA CHALABI

UCLA MEDICAL CNTR

SEDGWICK UC 14533 LOS ANGELES

ADJ3555060

JEANNE LAPORTE AKA

UCLA

SEDGWICK UC 14533 LOS ANGELES

MCCONNEL ADJ4023065

MARTHA MILLAN

USC UNIVERSITY HOSPITAL

SEDGWICK UC 14533 LOS ANGELES

ADJ6567956

MATTY CAMPOS

USC

SEDGWICK UC 14533 LOS ANGELES

ADJ7467133

MITCHELL MCCONNELL

UCLA

SEDGWICK UC 14533 LOS ANGELES

ADJ7607486

HILARIO LARRY HARO

REGENTS OF THE UNIVERSITY OF CA

SEDGWICK UC 14533 LOS ANGELES

ADJ7985110

FLOR CALLEJAS SANDOVAL

UCLA MEDICAL CENTER

SEDGWICK UC 14533 LOS ANGELES

ADJ2247649

KIM FOSTER

UNIVERSITY CORPORATION

SEDGWICK UC 14533 ROSEVILLE

ADJ6860128

AMANDA RUSSELL

THE UNIVERSITY CORPORATION

SEDGWICK UC 14533 ROSEVILLE

ADJ2898424

ANTONIA LOPEZ

ST BERNARDINE MEDICAL CENTER

SEDGWICK VAN NUYS

ADJ3369750

JAMES DAVISON

ST. MARY MEDICAL CENTER

SEDGWICK VAN NUYS

ADJ4001050

ALICIA CRUZ

CALIFORNIA HOSPITAL MEDICAL

SEDGWICK VAN NUYS

CENTER ADJ721984

CARLOTA HERNANDEZ

ST JOHNS REGIONAL MEDICAL

SEDGWICK VAN NUYS

CENTER ADJ7649727

LORENA WAGNER

CATHOLIC HEALTHCARE WEST

SEDGWICK VAN NUYS

ADJ2562769

FARAHNAZ JAHANBAHSH

TARGET STORE

SEDGWICK WALNUT CREEK

ADJ3832099

MARY PANINGSORO

U.S. AIRWAYS

SEDGWICK WALNUT CREEK

ADJ3832099

MARY PANINGSORO

US AIRWAYS

SEDGWICK WALNUT CREEK

ADJ4087514

ERMELINDA HARWOOD

DURHAM SCHOOL SERVICE

SEDGWICK WALNUT CREEK

OCHOA ADJ6815852

KENNETH GOSSETT

AMERICAN MEDICAL RESPONSE

SEDGWICK WALNUT CREEK

ADJ7175248

KARAPET TOROSYAN

COACH AMERICA

SEDGWICK WALNUT CREEK

ADJ7775441

CYNTHIA BROWN

JENNY CRAIG

SEDGWICK WALNUT CREEK

ADJ7848459

JOHN TU

NATIONAL EXPRESS CORPORATION

SEDGWICK WALNUT CREEK

ADJ8088757

MARCELINA MIRANDA

TARGET

SEDGWICK WALNUT CREEK SEDGWICK WALNUT CREEK

ADJ8416850

MARIA ALBANES

TARGET

ADJ1321545

SUSAN CHOW

RALPHS BROGERY

SELF INSURED

ADJ3345793

ROSENDO VELIZ

FAIRCHILD FASTENER GRP

SELF INSURERS SECURITY FUND OAKLAND

ADJ2449825

FILIBERTO LEON

NC DYNAMICS

SENTRY SELECT STEVENS POINT

ADJ3272542

DANIEL CRUZ

BARROT CORPORATION

SENTRY SELECT STEVENS POINT

ADJ6748095

JUAN ZAMORA

AY MAC PRECISION INC

SENTRY SELECT STEVENS POINT

ADJ7224279

MARINA BALTAZAR

KELLWOOD COMPANY

SENTRY SELECT STEVENS POINT

ADJ7395721

MONICA BECERRA

GUESS INC

SENTRY SELECT STEVENS POINT

Page 55

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7585034

IGNACIO RODRIGUEZ

BEST BRANDS CORPORATION CMS

SENTRY SELECT STEVENS POINT

BAKERY PRODUCTS ADJ7946553

MARCELINO CERVANTES

KAP MEDICAL

SENTRY SELECT STEVENS POINT

ADJ7285453

MARIA VARGAS

SMURFIT STONE

SMURFIT STONE

ADJ7854015

LARRY FLORES

SO CA GAS COMPANY

SO CA GAS COMPANY SO CALIF GAS COMPANY

ADJ8124745

ZAKEE SINGLETON

SO CALIF GAS COMPANY

ADJ6912077

VICENTE VARGAS

SOLAR TURBINES

SOLAR TURBINES

ADJ6912077

VICENTE VARGAS

SOLAR TURBINES

SOLAR TURBINES SAN DIEGO

ADJ1347189

EDWARD FROST

SOUTHERN CALIFORNIA EDISON CO

SOUTHERN CAL EDISON ROSEMEAD

ADJ259380

BENITO LASCANO

SOUTHERN CALIFORNIA EDISON CO

SOUTHERN CAL EDISON ROSEMEAD

ADJ2631422

KENNETH PRUIKSMA

SOUTHERN CALIFORNIA EDISON CO

SOUTHERN CAL EDISON ROSEMEAD

ADJ2664799

MICHELLE CUNNINGHAM

SOUTHERN CALIFORNIA EDISON

SOUTHERN CAL EDISON ROSEMEAD

ADJ2664799

MICHELLE CUNNINGHAM

SOUTHERN CALIFORNIA EDISON CO

SOUTHERN CAL EDISON ROSEMEAD

ADJ518335

VIRGINIA DIZON

SOUTHERN CALIFORNIA EDISON

SOUTHERN CAL EDISON ROSEMEAD

ADJ706831

RICHARD TERHAAR

SO CAL EDISON CO

SOUTHERN CAL EDISON ROSEMEAD

ADJ157733

FRANK FRUTOS

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ3081053

ROBERT REEVES

SO CAL GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ3339216

JESSE ALEX GRIJALVA

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ3861762

LORENZO RAMIREZ

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ4524362

BARBARA HAMILTON

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ649840

BELINDA MIRANDA

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ7394745

VIVIAN ALVAREZ

SO CAL GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ7694783

RUSSELL DAHLQUIST

SOUTHERN CALIFORNIA GAS

SOUTHERN CAL GAS LOS ANGELES

COMPANY ADJ7854015

LARRY FLORES

SO CA GAS COMPANY

SOUTHERN CAL GAS LOS ANGELES

ADJ8124745 ADJ8252289

ZAKEE SINGLETON

SO CALIF GAS COMPANY

SOUTHERN CAL GAS LOS ANGELES

MANUEL SILVA

SOUTHERN CALIFORNIA GAS

SOUTHERN CAL GAS LOS ANGELES

COMPANY ADJ8689797

ROSALYN SQUIRES

SOUTHERN CALIFORNIA GAS

SOUTHERN CAL GAS LOS ANGELES

COMPANY ADJ1369161

JUDY GHORBANZADEH

VENTURA UNIFIED SCHOOL DIST

SOUTHERN CALIF RISK MGMT ASSOC

ADJ1369161

JUDY GHORBANZADEH

VENTURA UNIFIED SCHOOL DISTRICT

SOUTHERN CALIF RISK MGMT ASSOC

ADJ1347189

EDWARD FROST

SOUTHERN CALIFORNIA EDISON CO

SOUTHERN CALIF. EDISON

ADJ2770564

JAMES DAGEN

SOUTHERN CALIFORNIA EDISON

SOUTHERN CALIFORNIA EDISON

ADJ518335

VIRGINIA DIZON

SOUTHERN CALIFORNIA EDISON

SOUTHERN CALIFORNIA EDISON

ADJ157733

FRANK FRUTOS

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CALIFORNIA GAS COMPANY

ADJ7510609

SALVADOR AGUIRRE

SOUTHERN CALIFORNIA GAS

SOUTHERN CALIFORNIA GAS COMPANY

COMPANY ADJ8689797

ROSALYN SQUIRES

SOUTHERN CALIFORNIA GAS COMPANY

Page 56

SOUTHERN CALIFORNIA GAS COMPANY

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7758348

CLAUDIA IBARRA

SOUTHERN CALIFORNIA

SOUTHERN CALIFORNIA PERMANENTE MEDICAL

PERMANENTE MEDICAL GROUP

GROUP

ADJ112728

EDWARD ROSS

SAVE ON / CVS PHARMACY

SPECIALTY RISK BREA

ADJ2235851

JUDY NABER

NEW ALBERTSONS

SPECIALTY RISK BREA

ADJ2924625

CATHERINE TARBET

ALBERTSON'S

SPECIALTY RISK BREA

ADJ3387029

SAVERIO BADALAMENTI

ALBERTSON'S

SPECIALTY RISK BREA

ADJ4013338

IRMA OLAQUE

LAIDLAW TRANSIT

SPECIALTY RISK BREA

ADJ4250514

ROSA DIAZ

ALBERTSONS

SPECIALTY RISK BREA

ADJ4451572

RUBEN VIGIL

ALBERTSON'S MARKET

SPECIALTY RISK BREA

ADJ6669016

ADRIANA NAVASARNIAN

ALBERTSONS

SPECIALTY RISK BREA

ADJ7271110

SUSIE MARTINEZ

ALBERTSONS

SPECIALTY RISK BREA

ADJ8357411

MARIA LARA

FRESH GRILL FOODS

SPECIALTY RISK BREA SPECIALTY RISK BREA

ADJ8667338

FRANCIS APONTE

ALBERTSONS INC

ADJ8832169

CRISTIAN CARDOZA

TIPP ENTERPRISES LP

SPECIALTY RISK BREA

ADJ2960595

CHARLYN DAVIS

TROYER CONTRACTING

SPECIALTY RISK DALLAS

ADJ6980403

DENESE DAVIDSON

AMERICAN CORPORATE SECURITY

SPECIALTY RISK DALLAS

ADJ7382345

FLORENCE GALBRAITH

JOANNE STORES

SPECIALTY RISK LEXINGTON

ADJ2092179

RONNIE WALTON

COACH USA

SPECIALTY RISK RIVERSIDE

ADJ2195921

SARA CHAVARRIA

EMBASSY SUITES

SPECIALTY RISK RIVERSIDE

ADJ4083006

BRUCE ALLEN

CERRITOS PONTIAC

SPECIALTY RISK RIVERSIDE

ADJ6477524

LUIS ACHTMANN

CENVEO ANDERSON LITHOGRAPH

SPECIALTY RISK RIVERSIDE

ADJ7374887

MICHAEL MARTINEZ

PIRTEK COMMERCE

SPECIALTY RISK RIVERSIDE

ADJ7930898

GLORIA ESTRADA

ACCENT CARE

SPECIALTY RISK RIVERSIDE

ADJ8198015

LLOYD CRABTREE

J AND L MANAGEMENT LLC

SPECIALTY RISK RIVERSIDE

ADJ3917943

PETER CASAREZ

UNIFIED WESTERN GROCERS

SPRINGFIELD COVINA

ADJ6678787

CLAUDIA ADAME

VALLARTA SUPERMARKET

SPRINGFIELD COVINA

ADJ8119925

JOSE ROSALES

SUPER KING MARKET

SPRINGFIELD COVINA

ADJ3369750

JAMES DAVISON

ST. MARY MEDICAL CENTER

ST MARY MEDICAL CENTER

ADJ2654604

PRISCILLA MAYS

ACS

ST PAUL FIRE & MARINE INS CO

ADJ1056467

RODERICK DECKER

BANSHEE CONSTRUCTION COMPANY

ST. PAUL FIRE & MARINE

ADJ1056467

RODERICK DECKER

URS CONSULTING THORTEC

ST. PAUL FIRE & MARINE

ADJ446889

DAVID HUERTA

ACI GLASS PRODUCTS

ST. PAUL TRAVELERS

ADJ136846

ELEAZAR VAZQUEZ

GOLDEN STATE TRANSPORT

STAFFING CONCEPTS, INC.

ADJ2153519

WILLIAM LITMAN

ANACAPA HOSPITAL

STATE COMP INS FUND

ADJ2295179

ANNETTE FRANCO

TECHSTYLES

STATE COMP INS FUND

ADJ3288473

AURORA REALIVASQUEZ

TUR-BO JET PRODUCTS CO INC

STATE COMP INS FUND

ADJ3304807

DEBRA COURTNEY

CAMARILLO STATE HOSPITAL

STATE COMP INS FUND

ADJ1123160

ROBERT STONE

IDEAL HOME IMPROVEMENT

STATE COMPENSATION INSURANCE FUND

ADJ1581910

LINDA BELSHE

CAL STATE UNIVERSITY LONG BEACH

STATE COMPENSATION INSURANCE FUND

ADJ1581910

LINDA BELSHE

CSULB FOUNDATION

STATE COMPENSATION INSURANCE FUND

Page 57

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1709179

ED BYNG

CALVARY CHAPEL OF COSTA MESA

STATE COMPENSATION INSURANCE FUND

ADJ3065398

SHARON BEALES

CAL-LIFT INC

STATE COMPENSATION INSURANCE FUND

ADJ3224593

GREGORY MAYER

LINDERO MASONRY

STATE COMPENSATION INSURANCE FUND

ADJ3398419

JOSE TORRECILLAS

RICHARD G. SIMPSON

STATE COMPENSATION INSURANCE FUND

CONSTRUCTION ADJ3494021

CATHERINA YOUNG

EASTER SEALS

ADJ3815656

LINDA SCOTT

STATE COMP. INSRUANCE FUND

STATE COMPENSATION INSURANCE FUND STATE COMPENSATION INSURANCE FUND/STATE COMP INSURANCE FUND

ADJ3815656

LINDA SCOTT

STATE COMPENSATION INSURANCE

ADJ1054155

HIRITI OKUBAMICHAEL

ADJ1683484

MONICA FUENTES

I.P.M. SURGERY CENTER, INC.

STATE FARM 21567 BAKERSFIELD CLOSED

ADJ2131225

LETTIE O BRIEN

KEEPSAKES

STATE FARM 21567 BAKERSFIELD CLOSED

ADJ2147000

ARTURO NAJERA

KISMAT ENTERPRISES DBA JIFFY LUBE

STATE FARM 21567 BAKERSFIELD CLOSED

ADJ3451202

MIRIAM SCHATZ

ROSTAM KAVOOSSI MD

STATE FARM 21567 BAKERSFIELD CLOSED

FUND

STATE COMPENSATION INSURANCE FUND/STATE COMP INSURANCE FUND STATE FARM 21567 BAKERSFIELD CLOSED

ADJ1498258

SIMINDOHT SHAFIGI

DAVID B. ANDERSON, M.D.

STATE FARM BAKERSFIELD

ADJ2057887

PEDRO MEDINA

XEROGRAPHIC COMPATIBLES INC

STATE FARM BAKERSFIELD

ADJ399293

CINDY PIERCE PALMER

CANINE CAROUSEL

STATE FARM BAKERSFIELD

ADJ4116298

CATHERINE FLORES

JOHN VOLLERS

STATE FARM BAKERSFIELD

ADJ4594818

MARIA AGUILAR

MITCHEL SILVERMAN M.D

STATE FARM BAKERSFIELD

ADJ6651681

HARVEY BRESCH

MELINDA MCCOYS FLOWERS

STATE FARM BAKERSFIELD

ADJ6663281

GLORIA CRUZ

HOUSE OF BRIDES

STATE FARM BAKERSFIELD

ADJ7428121

OBDULIA BARRERA

ALLAN AND CAROLINE NAKKEN

STATE FARM BAKERSFIELD

ADJ7876007

NICOLE JACOBS

THE BONE ADVENTURE INC

STATE FARM BAKERSFIELD

ADJ6992217

DOROTHY LOPEZ

STATE OF CALIFORNIA CHP

STATE OF CALIFORNIA CHP

ADJ8199704

OLIVER ROSS

ARIZONA CARDINALS

STATE WORKERS INS FUND POTTSVILLE

ADJ2717587

MICHAEL KRUGER

RANCHO SANTIAG COM COLLEGE

SUPERIOR INDUSTRIES/SOUTHERN CALIF RISK

ADJ2717587

MICHAEL KRUGER

RANCHO SANTIAGO COMMUNITY

SUPERIOR INDUSTRIES/SOUTHERN CALIF RISK

COLLEGE

MNGMNT ASSOC

MNGMNT ASSOC

ADJ576480

ARSENIO GARCIA

TEMPSTAR SERVICES

SUPERIOR NATIONAL INSURANCE CO

ADJ576480

ARSENIO GARCIA

WET SEAL

SUPERIOR NATIONAL INSURANCE CO

ADJ1030458

ARTURO GUTIERREZ

R.G.S. SERVICE

SUPERIOR NATIONAL INSURANCE

ADJ1291083

JESUS DURAN

HEADWAY STAFFING

SUPERIOR NATIONAL INSURANCE CO/PRIVATE

ADJ7798560

JANE WOHLFEIL

SWIFT TRANSPORTATION

ADJ7318795

ELIZABETH WILLIS

THE KROGER COMPANY

THE KROGER COMPANY

ADJ8235740

STEVEN STORM

THIBIANT INTERNATIONAL INC

THIBIANT INTERNATIONAL INC

ADJ2757596

SERGIO VALENZUELA

ELITE PERSONNEL SERVICE

TOKIO MARINE PASADENA

ADJ2757596

SERGIO VALENZUELA

SOUTHLAND BOX CO.

TOKIO MARINE PASADENA

ADJ7483200

FEDERICO GUTIERREZ

K-YUGE NURSERY

TOKIO MARINE PASADENA

CO/BROADSPIRE ADJUSTING CLAIMS SERVICES

Page 58

SWIFT TRANSPORTATION

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8275983

NGOC HOANG

PANASONIC CORPORATION OF

TOKIO MARINE PASADENA

NORTH ADJ8351265

TAIK AHN

MITSUWA

TOKIO MARINE PASADENA

ADJ8004073

EVELEEN IBRAHIM

TORRANCE UNIFIED SCHOOL

TORRANCE UNIFIED SCHOOL DISTRICT

ADJ7503235

RICARDO HERNANDEZ

SIMONIZ JANSS MALL

TOWER NATIONAL INSURANCE IRVINE

ADJ7437470

JOSE BECERRA

COAST CHEM EXTERMINATING

TOWER SELECT INSURANCE IRVINE

ADJ105997

SAMUEL HYNES

TAMCO STEEL

TRAVELERS DIAMOND BAR

ADJ1187017

ELISA ANAYA

HARMAN BECKER CALIFORNIA

TRAVELERS DIAMOND BAR

ADJ1471922

FRANCISCO MANZO

PROFESSIONAL COMMUNITY

TRAVELERS DIAMOND BAR

DISTRICT

MANAGEMENT ADJ1471922

FRANCISCO MANZO

PROFESSIONAL COMMUNITY MGMT

TRAVELERS DIAMOND BAR TRAVELERS DIAMOND BAR

ADJ167663

SANTIAGO RUIZ

DIAMOND MATTRESS

ADJ1996703

NUBIA STERTZ

COMMERCE CASINO

TRAVELERS DIAMOND BAR

ADJ2063594

PRESCILIANO LAGUNA

NORTH AMERICAN TEXTILE CO

TRAVELERS DIAMOND BAR

ADJ2276309

MARILYN JOHNSON

INVENSYS/ROBERTSHAW CONTROLS

TRAVELERS DIAMOND BAR

ADJ2875340

DUNG NGUYEN

STANDARD CONCRETE PRODUCTS

TRAVELERS DIAMOND BAR

ADJ3395228

DANIEL MERCHAIN

GARFIELD MEDICAL CENTER

TRAVELERS DIAMOND BAR

ADJ3545303

TENNE PHAM

HAWAIIAN GARDENS CASINO

TRAVELERS DIAMOND BAR

ADJ3566964

CHRISTOPHER ARDEN

LITTLE CAESAR ENTERPRISES

TRAVELERS DIAMOND BAR

ADJ3732140

GARY SIMS

BOYD COFFEE CO

TRAVELERS DIAMOND BAR

ADJ3773431

RICARDO GARCIA

TELAIR INTERNATIONAL

TRAVELERS DIAMOND BAR

ADJ3844647

JUAN JOSE MARTINEZ

FORWARD AIR, INC.

TRAVELERS DIAMOND BAR

ADJ388925

ELIS MORENO

PRIME WHEEL

TRAVELERS DIAMOND BAR

ADJ388925

ELIS MORENO

PRIME WHEEL CORPORATION

TRAVELERS DIAMOND BAR

ADJ3924904

MARIO CHAVEZ PINEDA

COROVAN/EMPLOYEES LEASING CO.

TRAVELERS DIAMOND BAR

ADJ3957764

LUZ VILLAREAL

TRAVELERS DIAMOND BAR

ADJ4083029

MARILU RUIZ

HARBOR FREIGHT

TRAVELERS DIAMOND BAR

ADJ433160

JUAN MORENO

FARA

TRAVELERS DIAMOND BAR

ADJ433160

JUAN MORENO

HOLLYWOOD PARK

TRAVELERS DIAMOND BAR

ADJ433160

JUAN MORENO

HOLLYWOOD PARK OPERATIN

TRAVELERS DIAMOND BAR

COMPANY ADJ532945

ROSA ROSALES

COMMODITY SALES

TRAVELERS DIAMOND BAR

ADJ6599389

FEDERICO QUINTOR

SCANTRON

TRAVELERS DIAMOND BAR

ADJ6648531

JOSE DIAZ CERVANTEZ

KLAUSSNER FURNITURE

TRAVELERS DIAMOND BAR

ADJ6665748

FRANK PAU

BEVERLY HILLS PROPERTIES

TRAVELERS DIAMOND BAR

ADJ6678787

CLAUDIA ADAME

VALLARTA SUPERMARKET

TRAVELERS DIAMOND BAR

ADJ6788515

CIRA ROJAS HERNANDEZ

CARLS JR

TRAVELERS DIAMOND BAR

ADJ6821725

BELINDA MILLER

ACCREDITED NURSING CARE

TRAVELERS DIAMOND BAR

ADJ6852886

CHRISTOPHER MOORE

G-2 SECURE STAFF

TRAVELERS DIAMOND BAR

ADJ6870638

ALBA ZUNIGA

TRAVELERS DIAMOND BAR

ADJ7060329

MEHDI EBRAHIMI

REHAB CARE GROUP

TRAVELERS DIAMOND BAR

ADJ7070483

ANDRES JIMENEZ

MCMASTER CARR SUPPLY CO

TRAVELERS DIAMOND BAR

Page 59

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7114141

LUPE PARRA

EUROSTAR INC

TRAVELERS DIAMOND BAR

ADJ7207474

YASSAH TROBEL

CITRUS VALLEY HEALTH PARTNERS

TRAVELERS DIAMOND BAR

ADJ7350428

RIGOBERTO JIMENEZ

INTERNATIONAL SEAL

TRAVELERS DIAMOND BAR

ADJ7428121

OBDULIA BARRERA

ALLAN AND CAROLINE NAKKEN

TRAVELERS DIAMOND BAR

ADJ7430944

GHAZALEH F ABEDALI

PACIFIC DENTAL SERVICES INC

TRAVELERS DIAMOND BAR

ADJ7486853

ALBERTO NUNEZ

SEPHORA USA INC

TRAVELERS DIAMOND BAR

ADJ7509981

BARBARA NIXTER

WHITTIER HOSPITAL MEDICAL

TRAVELERS DIAMOND BAR

CENTER ADJ7586053

GLENDY VALDEZ

CARL`S JR

TRAVELERS DIAMOND BAR

ADJ7638558

SALOMON VALENTE

CAPITAL SEAFOOD GROUP

TRAVELERS DIAMOND BAR

ADJ7665121

RAMON GONZALEZ

FLOWSERVE CORPORATION

TRAVELERS DIAMOND BAR

ADJ7692898

MARIA RODRIGUEZ

NIAGRA BOTTLING

TRAVELERS DIAMOND BAR

ADJ7717483

BETTY VELASCO

JON DONAIRE

TRAVELERS DIAMOND BAR

ADJ7724535

DA VONGIE JENNINGS

MCMASTER CARR SUPPLY COMPANY

TRAVELERS DIAMOND BAR

ADJ7843507

ELEOBARDO PERFZ

CALIFORNIA LANDSCAPE & DESIGN

TRAVELERS DIAMOND BAR

ADJ8028774

JAVIER JAUREGUI

RICH PRODUCTS CORP

TRAVELERS DIAMOND BAR

ADJ8043623

LUIS BARRAGAN

GATE GOURMET

TRAVELERS DIAMOND BAR TRAVELERS DIAMOND BAR

ADJ8058366

BENCES MONDRAGON

CONESYS INC

ADJ8206945

VIRGINIA VELASQUEZ

RICH PRODUCTS CORP

TRAVELERS DIAMOND BAR

ADJ7302699

CERELA RUIZ

BROOKVALE INTERNATIONAL LLC

TRAVELERS INSURANCE HARTFORD

ADJ7302699

CERELA RUIZ

CALIFORNIA CARTAGE CO

TRAVELERS INSURANCE HARTFORD

ADJ7302699

CERELA RUIZ

RALLY MANAGEMENT STAFFING

TRAVELERS INSURANCE HARTFORD

ADJ1229451

LEONARD SITA

QUEST SOFTWARE INC

TRAVELERS ORANGE

ADJ1548254

LAWRENCE GONZALEZ

TIMEC

TRAVELERS ORANGE

ADJ1548254

LAWRENCE GONZALEZ

TIMEC INC

TRAVELERS ORANGE

ADJ216576

EARL LEROY MENARY

HEALTHCARE SECURITY SERVICES

TRAVELERS ORANGE

ADJ2668772

CARLOS CARRILLO

ADECCO

TRAVELERS ORANGE

ADJ2715369

JOHN BAMBER

A O REED & COMPANY

TRAVELERS ORANGE

ADJ2715369

JOHN BAMBER

A.O. REED & COMPANY

TRAVELERS ORANGE

ADJ2973505

MANUEL OSUNA

CHERNE CONTRACTING

TRAVELERS ORANGE

CORPORATION ADJ3133395

DAVE INOSTROZA

FASTENAL CO

TRAVELERS ORANGE

ADJ3732140

GARY SIMS

BOYD COFFEE CO

TRAVELERS ORANGE

ADJ388925

ELIS MORENO

PRIME WHEEL

TRAVELERS ORANGE

ADJ388925

ELIS MORENO

PRIME WHEEL CORPORATION

TRAVELERS ORANGE

ADJ4455236

MARIA VEGA

VIRCO MANUFACTURING CORP.

TRAVELERS ORANGE

ADJ6821725

BELINDA MILLER

ACCREDITED NURSING CARE

TRAVELERS ORANGE

ADJ6985332

FAKHRI TAHERI

IHASET

TRAVELERS ORANGE

ADJ7427772

ANITA HERNANDEZ

MOLINA

TRAVELERS ORANGE

ADJ2974796

PATSY COLLINS

RITE AID

TRAVELERS SACRAMENTO

ADJ6804556

YOLANDA ALDANA

QUEEN BEACH PRINTERS INC

TRAVELERS SACRAMENTO

ADJ6875186

ESPERANZA MORALES

RITE AID

TRAVELERS SACRAMENTO

ADJ7600109

BRENDA NUNEZ

BECKSTROM POSTING INC

TRAVELERS SACRAMENTO

Page 60

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7762024

FLORIBERTA GALLEGOS

CALIFORNIA RICE CENTER

TRAVELERS SACRAMENTO

ADJ7923935

CRISTINA CALDERON

RITE AID CORPORATION

TRAVELERS SACRAMENTO

ADJ7968951

THONG VO

B K CORPORATION DBA B K

TRAVELERS SACRAMENTO

PRECISION ELECTRONIC TEST INSTRU ADJ8597972

CAROLINA IBLINGS

FIRST CUT ENTERPRISES

TRAVELERS SACRAMENTO

ADJ905419

DEBORAH GAY JEFFREY

EQUITY EXTERIOR INC.

TRAVELERS SACRAMENTO

ADJ1046661

LUZ VELIZ

BMK INC

TRAVELERS SAINT PAUL

ADJ1056467

RODERICK DECKER

BANSHEE CONSTRUCTION COMPANY

TRAVELERS SAINT PAUL

ADJ1056467

RODERICK DECKER

URS CONSULTING THORTEC

TRAVELERS SAINT PAUL

ADJ255494

JON RODEWALD

KOR BARNABEY'S LLC

TRAVELERS SAINT PAUL

ADJ2809626

SALVADOR COVARRUBIAS

ROSSCO HOLDINGS

TRAVELERS SAINT PAUL TRAVELERS SAINT PAUL

ADJ313584

RAYSELL VAUGHAN

POMEROY IT SOLUTION

ADJ4141695

ROSALVA SANDOVAL

PHOENIX SAHI PROPERTIES

TRAVELERS SAINT PAUL

ADJ7493212

FAREED BADAWI

UNITED INSURANCE

TRAVELERS SAINT PAUL

ADJ7932721

MARIA SOTO

MANAGEMENT APPLIED

TRAVELERS SAINT PAUL

PROGRAMMING INC ADJ1056467

RODERICK DECKER

BANSHEE CONSTRUCTION COMPANY

TRAVELERS WALNUT CREEK

ADJ1056467

RODERICK DECKER

URS CONSULTING THORTEC

TRAVELERS WALNUT CREEK

ADJ1480326

JENNIFER FRANK

CITIGROUP GLOBAL MARK

TRAVELERS WALNUT CREEK

BETANCOURT ADJ355156

MARTHA DIAZ

ADECO EMPLOYMENT SERVICES

TRAVELERS WALNUT CREEK

ADJ355156

MARTHA DIAZ

VOLT SERVICES GROUP

TRAVELERS WALNUT CREEK

ADJ4042638

RAMONA LOZANO

A RUDIN DESIGNS

TRAVELERS WALNUT CREEK

ADJ6748630

JESUS GARCIA

CLARK WESTERN BUILDING SYSTEMS

TRAVELERS WALNUT CREEK

ADJ6755119

MARGARITA MONTOYA

TOYS R US

TRAVELERS WALNUT CREEK

ADJ6966307

LUIS PINONES

ALLSCAPE ARCHITECTURAL

TRAVELERS WALNUT CREEK

LANDSCAPE LIGHTING ADJ6966307

LUIS PINONES

PHILIPS ELECTRONICS NORTH

TRAVELERS WALNUT CREEK

AMERICA CORPORATION ADJ7364504

RAQUEL RAMIREZ

BAXSTRA INC

TRAVELERS WALNUT CREEK

ADJ8137608

LOURDEZ RODRIGUEZ

TRUE FOOD KITCHEN

TRAVELERS WALNUT CREEK

QUINONEZ ADJ8242427

ESPERANZA QUEVEDO

MIKE THOMPSONS RV

TRAVELERS WALNUT CREEK

ADJ8608569

JOSE ALFREDO ANGELES

UEBTF LOS ANGELES

TRINITY INSURE SERVICES MANDEVILLE

ADJ2143562

DANNY BRADFIELD

LYNWOOD USD

TRISTAR 2805 SANTA ANA

ADJ2150534

LATRICIA GOFF

LONG BEACH TRANSIT

TRISTAR 2805 SANTA ANA

ADJ2429736

JOSE CARRILLO

ADJ2471312

ROSEMARY VAUGHN

COUNTY OF ORANGE

TRISTAR 2805 SANTA ANA

TRISTAR 2805 SANTA ANA

ADJ2471312

ROSEMARY VAUGHN

SUPERIOR COURT OF CA

TRISTAR 2805 SANTA ANA

ADJ4183226

CHERYL WRIGHT

LUCKY STORES

TRISTAR 2805 SANTA ANA

ADJ6515877

ROSA LUGO TRUJILLO

LAKE ELSINORE UNIFIED SCHOOL

TRISTAR 2805 SANTA ANA

DISTRICT ADJ2639360

JOHN HERNANDEZ

CITY OF LOS ANGELES

Page 61

TRISTAR 29104 GLENDALE

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4370525

JAMES CARTER

CITY OF LOS ANGELES

TRISTAR 29104 GLENDALE

ADJ483721

JAMES CARTER

CITY OF LOS ANGELES

TRISTAR 29104 GLENDALE

ADJ1156697

OFELIA SARINO

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ193017

DANIEL TAYLOR

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ1940056

KARI RESH DAVIS

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ221937

PHILLIP TATE

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ2285995

ROBERT SAITO

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ2757596

SERGIO VALENZUELA

ELITE PERSONNEL SERVICE

TRISTAR 29106 GLENDALE

ADJ2757596

SERGIO VALENZUELA

SOUTHLAND BOX CO.

TRISTAR 29106 GLENDALE

ADJ3678937

JEFFREY MULHEIM

CITY OF LOS ANGELES PSI

TRISTAR 29106 GLENDALE

ADJ475862

HOWARD CHAN

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ6676244

MARLENE RAMOS

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ7842154

MIKA NEAL

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ8013900

BRENDA CASTRO

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ2640679

GLORIA VASQUEZ

CEDARS SINAI MEDICAL CENTER

TRISTAR 880287 SAN DIEGO CLOSED

ADJ4457049

CHANDER ARORA

CEDARS SINAI MEDICAL GROUP

TRISTAR 880287 SAN DIEGO CLOSED

ADJ1638375

REINA SOLIS

RANSTAND WORK SOLUTION

TRISTAR BREA

ADJ7427348

ERNESTO PADILLA

LACNY LOGISTICS

TRISTAR BREA

ADJ7694812

SALIB MANSOUR

AMERICAN GUARD SERVICES

TRISTAR BREA

ADJ7735459

GHEORGHE MURESAN

NEW JERSEY NETS

TRISTAR BREA

ADJ7735459

GHEORGHE MURESAN

WASHINGTON WIZARDS

TRISTAR BREA

ADJ8069939

MIGUEL HERNANI

VALLARTA SUPERMARKETS #25

TRISTAR BREA

ADJ2950631

MARIAN SEATON

COUNTY OF LOS ANGELES

TRISTAR CONCORD

ADJ3345793

ROSENDO VELIZ

FAIRCHILD FASTENER GRP

TRISTAR CONCORD

ADJ4074598

LYDIA CASTILLO

INTERSTATE BRANDS

TRISTAR CONCORD

ADJ7814650

NATALIA KNOX

MARTIN LUTHER KING

TRISTAR IRVINE CLOSED

ADJ1066725

DARCUS TAYLOR

COUNTY OF L A/USC MED CNTR

TRISTAR LOS ANGELES

ADJ2246754

ANI KARAMANUKYAN

THERMADOR WASTE KING

TRISTAR LOS ANGELES

ADJ2246754

ANI KARAMANUKYAN

WASTE KING

TRISTAR LOS ANGELES

ADJ2459179

AGUSTIN CASTILLEJO

SUPERIOR INDUSTRIES

TRISTAR LOS ANGELES

INTERNATIONAL ADJ2640679

GLORIA VASQUEZ

CEDARS SINAI MEDICAL CENTER

TRISTAR LOS ANGELES

ADJ3620201

RICARDO PULIDO

CEDARS-SINAI HOSP

TRISTAR LOS ANGELES

ADJ4370507

ROSA TORRES

REMEDY TEMP INC.

TRISTAR LOS ANGELES

ADJ533246

JORGE PRIETO

COAST CONVERTER

TRISTAR LOS ANGELES

ADJ533246

JORGE PRIETO

COAST CONVERTERS

TRISTAR LOS ANGELES

ADJ8447841

SHARON GRANT BURTON

LONG BEACH USD

TRISTAR LOS ANGELES

ADJ602785

SANDRA CANDLER

RANCHO LOS AMIGOS

TRISTAR RISK MANAGEMENT

ADJ895382

LARRY WINSTON

CITY OF LOS ANGELES

TRISTAR RISK MANAGEMENT

ADJ1181919

JULIE SCHULTZ

LAKEWOOD REGIONAL MEDICAL

TRISTAR SAN DIEGO

CENTER ADJ2640679

GLORIA VASQUEZ

CEDARS SINAI MEDICAL CENTER

TRISTAR SAN DIEGO

ADJ2946283

IRENE MCKEEGAN

BROTMAN MEDICAL CENTER

TRISTAR SAN DIEGO

ADJ2999417

CHERYL SKIRVIN

VALLEY HEALTH SYSTEMS

TRISTAR SAN DIEGO

ADJ3620201

RICARDO PULIDO

CEDARS-SINAI HOSP

TRISTAR SAN DIEGO

ADJ7196437

CHAUNCENE LOCKE

CEDARS SINAI HEATH SYSTEM

TRISTAR SAN DIEGO

ADJ813859

BARBARA BLACKMORE

HCR-MANORCARE

TRISTAR SAN DIEGO

Page 62

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ1118791

ELVA ROSAS

LOS ANGELES COUNTY/USC MEDICAL

TRISTAR SANTA ANA

CTR ADJ1209527

GERARD VERITY

OLIVE VIEW UCLA MEDICAL CENTER

TRISTAR SANTA ANA

ADJ1214058

LINDA SNIPES

COUNTY OF LOS ANGELES

TRISTAR SANTA ANA

ADJ1645517

BLANCA ARREOLA

CITY OF LA/HOUSING AUTHORITY

TRISTAR SANTA ANA

ADJ1789835

YVONNE CATHEY

KING DREW MEDICAL CENTER

TRISTAR SANTA ANA

ADJ180338

PARIS YOUNG

COUNTY OF LOS ANGELES

TRISTAR SANTA ANA

ADJ1867841

EVANGELIA VITOGIANNIS

COUNTY OF LA/DEPT OF MENTAL

TRISTAR SANTA ANA

HEALTH ADJ1964625

ELIZABETH MORENO

LAC/USC

TRISTAR SANTA ANA

ADJ2121137

DELIA QUITCO

COUNTY OF L.A. HARBOR UCLA

TRISTAR SANTA ANA

ADJ2719720

ELIZABETH MORENO

LAC/USC

TRISTAR SANTA ANA

ADJ2798015

MOUNIR AZER

COUNTY OF L.A./MLK HOSPITAL

TRISTAR SANTA ANA

ADJ2872409

ROSA MARIA DURAN

LA COUNTY USC MEDICAL CENTER

TRISTAR SANTA ANA

ADJ3192400

JENNIE GYIMESI

COUNTY OF LA/OLIVE VIEW MEDICAL

TRISTAR SANTA ANA

CTR ADJ3507760

PAMELA BIDDLE

HARBOR UCLA MEDICAL CENTER

TRISTAR SANTA ANA

COUNTY OF LA/HUBERT HUMPHREY

TRISTAR SANTA ANA

MIDDLETON ADJ3632133

CHIJUANA THOMAS

HEALTH ADJ3974855

LINDA WILLIS

COUNTY OF LOS ANGELES HEALTH

ADJ4525196

DEBRA HUEY

COUNTY OF L.A./DEPT. OF HEALTH

TRISTAR SANTA ANA

SVCS TRISTAR SANTA ANA

SVC. ADJ515097

DORIS COLEMAN

LOS ANGELES COUNTY KING

TRISTAR SANTA ANA

ADJ570695

FLORA CABALLERO

WOMENS & CHILDRENS HOSPITAL

TRISTAR SANTA ANA

ADJ6438317

RENEE KELLY

LOS ANGELES COUNTY DMH

TRISTAR SANTA ANA

ADJ6478428

GERALDINE MITCHELL

COUNTY OF LA RANCHO LOS

TRISTAR SANTA ANA

AMIGOS MED CTR ADJ6515877

ROSA LUGO TRUJILLO

LAKE ELSINORE UNIFIED SCHOOL

TRISTAR SANTA ANA

DISTRICT ADJ6821476

YOLANDA DERRICO

COUNTY OF LOS ANGELES

TRISTAR SANTA ANA

ADJ6971420

PATRICIA HEWITT

COUNTY OF LOS ANGELES

TRISTAR SANTA ANA

DEPARTMENT OF HEALTH SERVICES ADJ7053772

GASTON WILSON

COUNTY OF LOS ANGELES

TRISTAR SANTA ANA

ADJ7303057

DONNA TERRY

LAC MEDICAL CENTER

TRISTAR SANTA ANA

ADJ7814650

NATALIA KNOX

MARTIN LUTHER KING

TRISTAR SANTA ANA

ADJ7921523

CARMEN AGUIRRE

LOS ANGELES COUNTY

TRISTAR SANTA ANA

ADJ796531

BERTHA GUERRERO

COUNTY OF LA/HEALTH SERVICES

TRISTAR SANTA ANA

ADJ7985110

FLOR CALLEJAS SANDOVAL

UCLA MEDICAL CENTER

UCLA MEDICAL CENTER

Page 63

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8136599

BERNARDO ORTIZ

SIGNATURE MAINTENANCE

USF AND G

CANTERBURY BASEBALL LLC AKA

UTAH WORKERS COMPENSATION FUND

MARTINEZ ADJ8402781

CHUCK TIFFANY

FLORENCE FREEDOM ADJ8402781

CHUCK TIFFANY

GRAND PRAIRIE PROFESSIONAL

UTAH WORKERS COMPENSATION FUND

BASEBALL LP ADJ8402781

CHUCK TIFFANY

HAWAII BASEBALL LLC

UTAH WORKERS COMPENSATION FUND

ADJ8402781

CHUCK TIFFANY

LOS ANGELES DODGERS

UTAH WORKERS COMPENSATION FUND

ADJ8402781

CHUCK TIFFANY

ST GEORGE ROADRUNNERS ET AL

UTAH WORKERS COMPENSATION FUND

ADJ7192031

ROBERT PEREZ

WARNER BROS STUDIOS

WARNER BROS BURBANK

ADJ7341855

LOUIS DEARY

WARNER BROS

WARNER BROS BURBANK

ADJ1140089

SCOTT CANNELL

TIERNAY METALS

WAUSAU BEAVERTON

ADJ1140089

SCOTT CANNELL

TIERNEY METALS

WAUSAU BEAVERTON

ADJ1861342

DAWN WALKER

SKYWEST AIRLINES

WAUSAU BEAVERTON

ADJ3684365

FRANCISCO CASTANEDA

E.P.C.

WAUSAU BEAVERTON

ADJ4482163

CHARLES THOMPSON

LOCKHEED

WAUSAU BEAVERTON

ADJ4482163

CHARLES THOMPSON

LOCKHEED MARTIN

WAUSAU BEAVERTON

ADJ6777353

LEOPOLDO PADILLA

SOUTH GATE ENGINEERING LLC

WAUSAU BEAVERTON

ADJ6807404

PAULINE NGUYEN

YOSHINOYA AMERICA INC

WAUSAU BEAVERTON

ADJ7039236

KEITH RAY JEPSEN

DELTA PRINTING SOLUTIONS

WAUSAU BEAVERTON

ADJ7148268

KRISTINA CHESLOW

SEQUOIA EQUITIES

WAUSAU BEAVERTON

ADJ8012013

GENOVEVA ACEVEDO

MARKEITH ENTERPRISES INC 8904

WAUSAU BEAVERTON

ADJ8235740

STEVEN STORM

THIBIANT INTERNATIONAL INC

WAUSAU BEAVERTON

ADJ6690898

DAWN WALKER

SKYWEST AIRLINES

WAUSAU BEAVERTON

ADJ3340389

ANABERTA VILLALOBOS

NORWALK-LA MIRADA SCHOOL DIST

YORK 1498 SANTA ANA

ADJ7231621

LINDA MERCIER

SAN DIEGO UNIFIED SCHOOL

YORK 1498 SANTA ANA

DISTRICT ADJ7552608

ELIZABETH EISENFELD

SOUTHERN CALIFORNIA NESSAH

YORK 1738 SANTA ANA

EDUCATIONAL CULTURAL CENTER ADJ2776764

DAVID HARVEY

GLENDALE UNIFIED SCHOOL DIST

YORK ANAHEIM

ADJ3283627

JULIO MORALES

SAFE PLATING INC

YORK ANAHEIM

ADJ4589871

MAIDA ORELLANA

7-UP/RC BOTTLING COMPANIES OF

YORK ANAHEIM

SO CA ADJ7542206

MARIA RODRIGUEZ

THE BICYCLE CASINO

YORK ANAHEIM

ADJ7706402

CLAUDIA FUENTES

THE BICYCLE CASINO

YORK ANAHEIM

ADJ7747907

GERMAN CRUZ

STATHATOS DAMON

YORK ANAHEIM

ADJ7867789

ALEJANDRO FLORES

ENTERPRISE RENT A CAR

YORK ANAHEIM

ADJ2103884

LINDA NEGRETE

WALMART

YORK EL DORADO HILLS

ADJ4490816

GUADALUPE DE LA MORA

WALMART

YORK EL DORADO HILLS

ADJ6699463

CLEMENCIA SUAREZ LOPEZ

WAL MART

YORK EL DORADO HILLS

ADJ7483207

ANA RIVAS

WALMART

YORK EL DORADO HILLS

Page 64

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ817604

SHIRLEY BOESSNECK

SAMS CLUB

YORK EL DORADO HILLS

ADJ1369161

JUDY GHORBANZADEH

VENTURA UNIFIED SCHOOL DIST

YORK OXNARD

ADJ1369161

JUDY GHORBANZADEH

VENTURA UNIFIED SCHOOL DISTRICT

YORK OXNARD

ADJ7462108

DONALD AYALA

OXNARD SCHOOL DISTRICT

YORK OXNARD

ADJ142207

JANICE JACKSON

COUNTY OF LOS ANGELES/DIST.

YORK PASADENA

ADJ1509309

WILLIAM HORWITZ

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ1535881

YVETTE DEANS

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ1764908

JACQUELINE SPENCER

COUNTY OF LOS ANGELES

YORK PASADENA

ATTY.

INGMAN ADJ181011

ELENA MORA

LOS ANGELES COUTNY JAIL

YORK PASADENA

ADJ1976848

GEORGE VASQUEZ

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ2084889

STACEY ROUX

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ2084889

STACEY ROUX

L.A.U.S.D.

YORK PASADENA

ADJ2231855

LUIS BUSTOS

COUNTY OF LOS ANGELES SHERIFF

YORK PASADENA

DEPT ADJ2231855

LUIS BUSTOS

COUNTY OF LOS ANGELES SHERIFFS

YORK PASADENA

DEPT ADJ2320046

GEORGE AZER

L.A. SHERIFF'S DEPARTMENT

YORK PASADENA

ADJ3101004

ANA BECERRA

LA COUNTY/SHERIFF'S DEPT

ADJ3318388

MATILDA VALLES

ADJ3944658

ARMANDO BARRERA

LOS ANGELES COUNTY

YORK PASADENA

ADJ4145230

STEVEN MARTIN

LOS ANGELES COUNTY SHERIFF DEPT.

YORK PASADENA

YORK PASADENA YORK PASADENA

ADJ4250668

ROBERT TROY

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ4251528

LYDIA RICHARDSON

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ4284302

ANITA LIMBRICK

COUNTY OF L.A./SHERIFF DEPT.

YORK PASADENA

ADJ4511142

KATIE CREED

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ469607

MICHAEL SMITH

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ6648620

JESUS VILLANUEVA

COUNTY OF LOS ANGELES SHERIFFS

YORK PASADENA

DEPT ADJ6657844

RICHARD ENGERSBACH

COUNTY OF LOS ANGELES SHERIFFS

YORK PASADENA

DEPT ADJ6777137

MARY CHAVEZ

LA COUNTY SHERIFFS DEPT

YORK PASADENA

ADJ6809177

CESAR VALIENTE

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ6822493

VACHEL BROWN

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ7127050

ALLEN BUELTEL

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ7293417

TANYA GONZALES

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ7462649

LINDA CRAFT

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ7582924

LISA COLEMAN

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ7588103

KATHRYN WALKER

LOS ANGELES COUNTY SHERIFFS DEPT

YORK PASADENA

ADJ7741376

JUAN GONZALEZ

COUNTY OF LOS ANGELES SHERIFFS

YORK PASADENA

DEPT ADJ7844618

PAMELA BROOM

COUNTY OF LOS ANGELES SHERIFF

YORK PASADENA

ADJ8113583

ANITRA CHATMAN

COUNTY OF LOS ANGELES

YORK PASADENA

Page 65

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ8172800

LUIS SIORDIA

COUNTY OF LOS ANGELES

YORK PASADENA

ADJ8429424

CHRISTINE STEPHENS

LOS ANGELES SHERIFF DEPT

YORK PASADENA

ADJ912416

REGINA MIMS

LOS ANGELES COUNTY/SHERIFF'S

YORK PASADENA

DEPT. ADJ1364894

FLETCHER RAYNOR

CITY OF RIDGECREST

YORK RANCHO CUCAMONGA

ADJ1364894

FLETCHER RAYNOR

SASS

YORK RANCHO CUCAMONGA

ADJ1788202

IRENE NAVARRO

CITY OF EL MONTE

YORK RANCHO CUCAMONGA

ADJ1829880

PAMELA FOWLER

HUNTINGTON BEACH CITY SCHOOL

YORK RANCHO CUCAMONGA

DISTRI ADJ2013290

ELIZABETH GRAY

CITY OF EL SEGUNDO

YORK RANCHO CUCAMONGA

ADJ2263468

NORMA ALEGRIA

ANTELOPE VALLEY UNION HIGH

YORK RANCHO CUCAMONGA

SCHOOL ADJ2459179

AGUSTIN CASTILLEJO

SUPERIOR INDUSTRIES

YORK RANCHO CUCAMONGA

ADJ2717587

MICHAEL KRUGER

RANCHO SANTIAG COM COLLEGE

YORK RANCHO CUCAMONGA

ADJ2717587

MICHAEL KRUGER

RANCHO SANTIAGO COMMUNITY

YORK RANCHO CUCAMONGA

ADJ3053697

MARTHA GARCIA

COLTON UNIFIED SCHOOLS

YORK RANCHO CUCAMONGA

ADJ3747164

DAWN HUGHEY

EL RANCHO UNIFIED SCHOOL DIST

YORK RANCHO CUCAMONGA

ADJ3812974

JOANN TORRES

PUPIL TRANSPORTATION

YORK RANCHO CUCAMONGA

INTERNATIONAL

COLLEGE

COOPERATIVE ADJ4024963

SHARON CAMPBELL

NORWALK TRANSPORTATION

YORK RANCHO CUCAMONGA

ADJ4516491

KURTIS CUSHMAN

CENTINELA VALLEY UNION H.S. DIST.

YORK RANCHO CUCAMONGA

ADJ4518347

LYDIA RIOS CHAVEZ

POMONA UNIFIED SCHOOL DIST

YORK RANCHO CUCAMONGA

ADJ4599837

PETRA RUIZ

LINDBURGH ELEMENTARY

YORK RANCHO CUCAMONGA

ADJ4600692

NINFA MENDEZ

POMONA UNIFIED SCHOOL DISTRICT

YORK RANCHO CUCAMONGA

ADJ675842

INOCENTE RODRIGUEZ

LACCD

YORK RANCHO CUCAMONGA

ADJ7192022

DOLORES DUARTE

CITY OF NORWALK

YORK RANCHO CUCAMONGA

ADJ7400908

RONNIE STEWART

INGLEWOOD UNIFIED SCHOOL

YORK RANCHO CUCAMONGA

DISTRICT ADJ7844411

ANA CARMAN

WHITTIER CITY SCHOOL DISTRICT

YORK RANCHO CUCAMONGA

ADJ7861342

ALFIE JIMENEZ

ROWLAND UNIFIED SCHOOL

YORK RANCHO CUCAMONGA

DISTRICT ADJ8433570

MOZELLE KRISMAN

IN HOME SUPPORTIVE SERVICES INC

YORK RANCHO CUCAMONGA

ADJ898480

BERENICE VITE

LOS NIETOS UNIFIED SCHOOL

YORK RANCHO CUCAMONGA

DISTRICT ADJ1719616

LIRA LEBRON

99 CENT STORES

YORK RIVERSIDE

ADJ1719616

LIRA LEBRON

99 CENTS ONLY STORE

YORK RIVERSIDE

ADJ1928884

ROBERT TELLES

BED BATH & BEYOND

YORK RIVERSIDE

ADJ3238206

SALLY NAJAR

EL MONTE USD

YORK RIVERSIDE

ADJ3756945

DORIS AYALA

99 CENT ONLY STORE

YORK RIVERSIDE

ADJ6821729

STEPHANIE WHARTON

CITY OF BELL GARDENS

YORK RIVERSIDE

Page 66

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ6834823

BERTHA MELENDREZ

SOUTH WHITTIER SCHOOL DISTRICT

YORK RIVERSIDE

ADJ7753849

WILLIAM SENSING

OAK PARK UNIFIED SCHOOL

YORK RIVERSIDE

DISTRICT ADJ8169437

ENRIQUETA PEREDA

FULLERTON SCHOOL DISTRICT

YORK RIVERSIDE

ADJ898480

BERENICE VITE

LOS NIETOS UNIFIED SCHOOL

YORK RIVERSIDE

ADJ2971018

TERESA CANDELARIA

MONTEBELLO UNIFIED SCHOOL

DISTRICT YORK ROSEVILLE

DISTRICT ADJ6771168

GAIL WILSON

LA CITY HOUSING AUTHORITY

YORK ROSEVILLE

ADJ7313362

ROBERT CHANG

GLENDALE UNIFIED SCHOOL

YORK ROSEVILLE

DISTRICT ADJ7912831

ANDRES RODRIGUEZ

FIRST FIRE SYSTEMS

YORK ROSEVILLE

ADJ8757683

MARIA LOZA

IN HOME SUPPORT SERVICES

YORK ROSEVILLE

ADJ8486513

CLAY STOWERS

CITY OF SAN BERNARDINO

YORK SAN BERNARDINO

ADJ2029763

DEBORAH DILLON

ANTELOPE VALLEY HIGH SCHOOL

YORK VALENCIA

DIST ADJ3434817

ANA FRANCO

CITY OF LA HOUSING AUTHORITY

YORK VALENCIA

ADJ3434817

ANA FRANCO

CITY OF LA/HOUSING AUTHORITY

YORK VALENCIA

ADJ4586044

MIGUEL ORTEGA

HOUSING AUTHORITY OF LOS

YORK VALENCIA

ANGELES ADJ6771168

GAIL WILSON

LA CITY HOUSING AUTHORITY

YORK VALENCIA

ADJ7239410

JOSE ACOSTA

SAN CONRADO CATHOLIC MISSION

YORK VALENCIA

DBA ST PETERS CHURCH ADJ7431227

GUADALUPE AQUINO

PICASSO STYLE INC

YORK VALENCIA

ADJ367320

CRISTINA UGARTE

FLINKMAN REALTY

ZENITH

ADJ7169952

VIVIANO OREGON

GMC DAIRY FARMS

ZENITH FRESNO

ADJ7200740

LUIS GONZALEZ

VOLKSWAGEN SANTA MONICA INC

ZENITH ORANGE

ADJ7767174

ANA PEREZ DE

CAPAY INC DBA FARM FRESH TO YOU

ZENITH ORANGE

VILLANUEVA ADJ1685818

JOHNNY MIRANDA

GOLDEN STATE FRAMERS

ZENITH PLEASANTON

ADJ2429041

GERARDO LICEA

WGG-MARTIN BERGER

ZENITH PLEASANTON

ADJ3250542

ARMANDO MONTELONGO

BRUNTON ENTERPRISES

ZENITH PLEASANTON

ADJ4681462

BETTY CHAN

LOS ANGELES FIREMANS CREDIT

ZENITH PLEASANTON

UNION ADJ576480

ARSENIO GARCIA

TEMPSTAR SERVICES

ADJ576480

ARSENIO GARCIA

WET SEAL

ZENITH PLEASANTON ZENITH PLEASANTON

ADJ1377214

CARLOS ANGUIANO

VANDERGEEST LANDSCAPE CO

ZENITH WOODLAND HILLS

ADJ1821887

ALVIN PONDS

PROTECTION PLUS

ZENITH WOODLAND HILLS ZENITH WOODLAND HILLS

ADJ2167030

CATALINA ESCALERA

PETER PEPPER PRODUCTS INC

ADJ2956013

FLAVIANO ARROYO

BROOKS AUTO

ZENITH WOODLAND HILLS

ADJ325203

ANITA SCHAEFFER

ADMINISTAFF CO INC

ZENITH WOODLAND HILLS

ADJ325203

ANITA SCHAEFFER

ARGUS PRO HEALTH

ZENITH WOODLAND HILLS

ADJ367320

CRISTINA UGARTE

FLINKMAN REALTY

ZENITH WOODLAND HILLS

Page 67

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ4042638

RAMONA LOZANO

A RUDIN DESIGNS

ZENITH WOODLAND HILLS

ADJ4201565

MELECIO GONZALEZ

TEMPLE ISRAEL OF HOLLYWOOD

ZENITH WOODLAND HILLS

ADJ454073

IRENE GARCIA

FRIEDA'S INC

ZENITH WOODLAND HILLS

ADJ638100

MONICA REVELES

SCULLY SPORTSWEAR,INC.

ZENITH WOODLAND HILLS

ADJ6526928

ANA SALVADOR

ADJ7236242

GUSTAVO VILLALPANDO

EL MONTE RV

ZENITH WOODLAND HILLS

ADJ7431195

MARICELA SANCHEZ

AMERICAN PRINTWORKS

ZENITH WOODLAND HILLS

ADJ7562334

CUAUHTEMOC BLANCAS

SINAI CONSTRUCTION

ZENITH WOODLAND HILLS

ZENITH WOODLAND HILLS

ADJ7567245

MAYRA MARTINEZ

COLORADO FARMS

ZENITH WOODLAND HILLS

ADJ7889678

ANTONIO BELLOSO

TECHNI CAST CORP

ZENITH WOODLAND HILLS

ADJ4358198

KAREN BROWN POUNCY

PACIFIC CARE OF CALIFORNIA

ZURICH INSURANCE

ADJ1566879

HUMBERTO RIVAS

WATERHOUSE INC.

ZURICH LOS ANGELES

ADJ1628260

CLEOTILDE LARA

SEE'S CANDIER

ZURICH LOS ANGELES

ADJ172616

CHRISTIAN LEMER

CAST AND CREW PRODUCTION

ZURICH LOS ANGELES

ADJ1785177

ANDREA LOPEZ

KRAGEN AUTO PARTS

ZURICH LOS ANGELES

ADJ1928345

RAFAEL ORTIZ

TRU GREEN

ZURICH LOS ANGELES

ADJ1954265

MARY SMALL

AXIUM ENTERTAINMENT

ZURICH LOS ANGELES

ADJ1954265

MARY SMALL

CAST AND CREW PRODUCTION

ZURICH LOS ANGELES

SERVICES INC

SERVICES INC ADJ1954265

MARY SMALL

ENTERTAINMENT PARTNERS

ZURICH LOS ANGELES

ADJ199075

GUSTAVO ESTRADA

CHINO CENTRAL RENTAL

ZURICH LOS ANGELES

ADJ2245042

MARIA HERNANDEZ

JONS MARKETPLACE

ZURICH LOS ANGELES

ADJ2356027

PERRY MARTIN

EXTENDED STAY OF AMERICA

ZURICH LOS ANGELES

ADJ2464742

JOAQUIN VELASQUEZ

ISEC , INC

ZURICH LOS ANGELES

ADJ2856536

JOSE NEVAREZ

SEE'S CANDY

ZURICH LOS ANGELES

ADJ2856536

JOSE NEVAREZ

SEES CANDY

ZURICH LOS ANGELES

ADJ3136111

DAVID T DURBORAW

AXIUM INTERNATIONAL

ZURICH LOS ANGELES

ADJ3136111

DAVID T DURBORAW

CAST & CREW PRODUCTION

ZURICH LOS ANGELES

PAYROLL INC ADJ3136111

DAVID T DURBORAW

ENTERTAINMENT PARTNERS

ZURICH LOS ANGELES

ADJ3965600

MARTA SANTIZO

ELITE PERSONNEL SERVICES, INC.

ZURICH LOS ANGELES

ADJ4349278

MARIA VAZQUEZ

SEVEN-UP BOTTLING CO

ZURICH LOS ANGELES

ADJ6821401

JOSE SANDOVAL

CUEVAS MATTRESS INC DBA SPRING

ZURICH LOS ANGELES

PEDIE ADJ6827065

GLEN MURRAY

BOSTON BRUINS

ZURICH LOS ANGELES

ADJ6827065

GLEN MURRAY

PITTSBURGH PENGUINS

ZURICH LOS ANGELES

ADJ6963064

SYLVIA MCNEAL

TIMEC

ZURICH LOS ANGELES

ADJ7146789

DANNY PHILLIPS

CONTINENTAL MARBLE AND TILE

ZURICH LOS ANGELES

ADJ7146789

DANNY PHILLIPS

ESIS FREMONT

ZURICH LOS ANGELES

ADJ7171749

MELENCIO INOCENCIO

DIVERSIFIED TRANSPORTATION CO

ZURICH LOS ANGELES

ADJ7218526

SERAFIN OROZCO

POTENTIAL INDUSTRIES

ZURICH LOS ANGELES

ADJ7293368

ROSENDA SANDOVAL

CASTEC INC

ZURICH LOS ANGELES

Page 68

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7364478

CANDY CONTRERAS

INGRAM MICRO

ZURICH LOS ANGELES

ADJ7585034

IGNACIO RODRIGUEZ

BEST BRANDS CORPORATION CMS

ZURICH LOS ANGELES

ADJ7656349

SARAH RAMIREZ

SAPUTO CHEESE USA INC

ZURICH LOS ANGELES

ADJ7804777

JUAN TORRES

PIERRE SPRINKLER AND LANDSCAPE

ZURICH LOS ANGELES

ADJ7823668

ROBERTO CASILLAS

BEAULIEU OF AMERICA

ZURICH LOS ANGELES

ADJ7884215

ELENA COVARRUBIAS

WHITE APRON INC

ZURICH LOS ANGELES

ADJ7955310

MARLAND E HARRIS

CALIFORNIA PIZZA KITCHEN LA

ZURICH LOS ANGELES

ADJ7976530

PONCIANO CONTRERAS

PF CHANG S

ZURICH LOS ANGELES

ADJ7986784

KEVIN MELLINGER

IRWIN INDUSTRIES

ZURICH LOS ANGELES

ADJ8002528

JOSE ENRIQUEZ

POTENTIAL INDUSTRIES INC

ZURICH LOS ANGELES

ADJ8100721

ANA ZEPEDA

SHRINERS HOSPITAL FOR CHILDREN

ZURICH LOS ANGELES

ADJ8319360

FRANK HWANG

WESTERN FREIGHT CARRIERS INC

ZURICH LOS ANGELES

ADJ8516241

MANUEL CARMONA

IRON MOUNTAIN RECORDS

ZURICH LOS ANGELES

ADJ902591

MARIA DIAZ

RADISSON PLAZA HOTEL

ZURICH LOS ANGELES

ADJ367675

JESUS RUBIO

CONCRETE CONCEPTS INC

ZURICH NORTH AMERICA CHICAGO

BAKERY PRODUCTS

ADJ902591

MARIA DIAZ

RADISSON PLAZA HOTEL

ZURICH NORTH AMERICA INVALID

ADJ6901241

ALEJANDRO MORENO

R L E DALMAS CONSTRUCTION

ZURICH NORTH AMERICA NEW JERSEY

ADJ6901241

ALEJANDRO MORENO

UEBTF ANAHEIM

ZURICH NORTH AMERICA NEW JERSEY

ADJ3950168

MARVIN MCCLENDON

INGLESIDE HOSPITAL

ZURICH SACRAMENTO

ADJ4069015

DEBRA CANO

HEALTH LINK MEDI VAN

ZURICH SACRAMENTO

ADJ7302699

CERELA RUIZ

BROOKVALE INTERNATIONAL LLC

ZURICH SACRAMENTO

ADJ7302699

CERELA RUIZ

CALIFORNIA CARTAGE CO

ZURICH SACRAMENTO

ADJ7302699

CERELA RUIZ

RALLY MANAGEMENT STAFFING

ZURICH SACRAMENTO

ADJ2229194

JESUS RODRIGUEZ

SPRING AIR MID ATLANTIC

ZURICH SAN FRANCISCO

ADJ362622

ROBERT SAMUELS

ST MARYS ACADEMY

ZURICH SAN FRANCISCO

ADJ6699318

VERNON NICKELL

ENSIGN

ZURICH SAN FRANCISCO

ADJ6985332

FAKHRI TAHERI

IHASET

ZURICH SAN FRANCISCO

ADJ7558457

CARL YARDE DECEASED

EIU ELECTRICAL &

ZURICH SAN FRANCISCO

INSTRUMENTATION UNLIMIT ADJ7882359

JOE ELIZALDE

ORMAT TECHNOLOGIES

ZURICH SAN FRANCISCO

ADJ1066793

OCTAVIO GARCIA

CAL SUNGOLD INC

CHARTIS COSTA MESA

CHECK MATE TEMP AGENCY

UEF

MENDOZA ADJ1141859

GLADIS ROSALES

ADJ1160990

JUVENAL PENA

JTK TEXTILES,M INC.

JTK TEXTILES,M INC.

ADJ1288464

FELICITA ZUNIGA

MAGNOLIA ROYAL RETIREMENT CTR

UEF

ADJ1288464

FELICITA ZUNIGA

RICHARD SCOTTI

UEF UEF

ADJ1288464

FELICITA ZUNIGA

UEBTF LOS ANGELES

ADJ1399217

JASWINDER SINGH

LAKHVINDER SINGH CHAHAL

UEF

ADJ1399217

JASWINDER SINGH

UEBTF LOS ANGELES

UEF

ADJ1399217

JASWINDER SINGH

VEN OAK MARKET

UEF

ADJ1410596

LORENA TINAJERO

MARIA PHARMACY

UEF

Page 69

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

ADJ1410596

LORENA TINAJERO

UEF

Claims administrator UEF

ADJ1415063

TRIEU NGUYEN

DUNG D NGUYEN

DUNG D NGUYEN

ADJ1438693

AURORA VELAZQUEZ

FRISBLE MANAGEMENT

FRISBLE MANAGEMENT

ADJ1478063

VINH DUONG

TDI ASSOCIATES

UEF

ADJ1478063

VINH DUONG

UEBTF LOS ANGELES

UEF

ADJ1496532

MIGUEL ANGEL

S.C. STAFFING SOLUTIONS, INC.

HARTFORD SACRAMENTO

ADJ1541975

FRANCISCO SANCHEZ

UEBTF LOS ANGELES

UEF

ADJ1541975

FRANCISCO SANCHEZ

UNITED SUPPLIES

UEF

ADJ1558392

ERIKA TIJERINO

SUN PACIFIC TRUCKING

SUN PACIFIC TRUCKING

ADJ1597303

NHAN NGUYEN

DMJ TRUCKING

UEF

ADJ1597303

NHAN NGUYEN

UEBTF LOS ANGELES

UEF

ADJ1634367

ALEJANDRA ORELLANA

H. K> CANNING INC

UEF

ADJ1634367

ALEJANDRA ORELLANA

UEBTF LOS ANGELES

UEF

ADJ1691794

LUIS RIVERA

ACE ROOFING SYSTEMS

ACE ROOFING SYSTEMS

ADJ1696638

MARIA ELVA RAMIREZ

KACHELLES CASTLE CLEANING INC

KACHELLES CASTLE CLEANING INC

ADJ1748184

TOMMY JACKSON

THOMAS CARR & SONS TRUCKING

UEF

ADJ1748184

TOMMY JACKSON

UEBTF LOS ANGELES

UEF

ADJ1757666

RAYMOND DAVIS

MAMMOET WESTERN

YORK

ADJ1776808

LINDA ARCARI

EXTRA SPACE STORAGE

ADJ1838077

MARTIN ROMERO

GARDNER TRUCKING

COMMERCE & INDUSTRY INSURANCE CO GARDNER TRUCKING

ADJ1851241

CESAR LOPEZ

UEBTF LOS ANGELES

UEF

ADJ1851241

CESAR LOPEZ

USA TELECOM

UEF

ADJ1884809

ARMANDO MONTELONGO

PLAS-TAL MFG

ADJ1995283

ROBERTO RUIZ RAMIREZ

JERRY SAUL DBA SUNNYMEAD

ADJ1995283

ROBERTO RUIZ RAMIREZ

SUNNYMEAD HAMBURGERS

SUNNYMEAD HAMBURGERS

ADJ1995283

ROBERTO RUIZ RAMIREZ

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ2031678

JESUS MANZO

BRAUN LINEN SERVICES

BROADSPIRE BREA

ADJ207112

WALTER ANTONIO

CARLOS MARTINEZ

CARLOS MARTINEZ UEF

CASTELLON

ZENITH PLEASANTON JERRY SAUL DBA SUNNYMEAD HAMBURGERS

HAMBURGERS

MELGAR ADJ2113344

ULISES ALVAREZ

FRED GAMM

ADJ2113344

ULISES ALVAREZ

UEBTF LOS ANGELES

UEF

ADJ2126841

ESPERANZA LUCIA

KELLERMEYER BUILDING SERVICES

GALLAGHER BASSETT SACRAMENTO

ADJ2182342

MARLENE DULBERG

C.W.B. SHREWBURY PLUMBING

C.W.B. SHREWBURY PLUMBING

ADJ222112

HECTOR ORTIZ

JENNIFER'S BINDERY, INC.

JENNIFER'S BINDERY, INC.

ADJ2323461

RAJINDER PAL

PRO LUBE N" TUNE BRAKES

PROTECTIVE INSURANCE INDIANAPOLIS

MELENDEZ

ADJ233735

CARLOS LOMELI

LOPEZ TIRES, INC.

LOPEZ TIRES, INC.

ADJ2496408

JOSE REYES

LATINO GROCERIES DISTRIBUTION

LATINO GROCERIES DISTRIBUTION

ADJ2590910

ROCIO VARGAS

PHITHAYA THAI RESTAURANT

UEF

ADJ2590910

ROCIO VARGAS

UEBTF LOS ANGELES

UEF

Page 70

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ2593429

CONSTANCE

HALLIBURTON ENERGY

HALLIBURTON ENERGY UEF

CUNNINGHAM ADJ2637647

JAIME URENA

CHAVEZ TRUCKING COMPANY

ADJ2637647

JAIME URENA

UEBTF LOS ANGELES

UEF

ADJ2678016

LORI MITCHELL

ANTELOPE AUTOMOTIVE

ANTELOPE AUTOMOTIVE

ADJ2683862

MARGARITA BARRERA

LAIDLAW TRANSIT

LAIDLAW TRANSIT

ADJ2715157

RAFAEL ROSAS

INDIAN RIDGE COUNTRY CLUB, INC.

LIBERTY MUTUAL ORANGE

ADJ2763427

JOSE LUEVANOS

GSG MARBLE COMPANY

UEF

ADJ2763427

JOSE LUEVANOS

MARY DEMIRJIAN

UEF

ADJ2763427

JOSE LUEVANOS

UEBTF LOS ANGELES

UEF

ADJ2789426

RAUL MARTINEZ

VOLUME DISTRIBUTORS, INC.

VOLUME DISTRIBUTORS, INC.

ADJ2839484

JULIO RAMIREZ

POWER AIR CONDITIONING

POWER AIR CONDITIONING

ADJ2870296

GUSTAVO OCHOA

CORTEZ FURNITURE MFG., INC.

UEF

ADJ2870296

GUSTAVO OCHOA

CORTEZ MUEBLERIA

UEF

ADJ2870296

GUSTAVO OCHOA

UEBTF LOS ANGELES

UEF

ADJ2884842

GUADALUPE BELTRAN

NORMAN A. SCOTT DBA TIDY

UEF

ADJ2884842

GUADALUPE BELTRAN

UEBTF LOS ANGELES

UEF

ADJ2898233

SUSANA LOPEZ

OCEANVIEW HEALTH CENTERS INC

UEF

ADJ2898233

SUSANA LOPEZ

UEBTF LOS ANGELES

UEF

ADJ3015282

YOLANDA LARIOS

SODEXHO INC

GALLAGHER BASSETT

ADJ3065099

EDITH CRISTERNA

EXCALIBER FUELS

SCIF

ADJ3159103

JOYCE KINJO

LOS ANGELES POLICE DEPARTMENT

CITY OF LOS ANGELES WORKERS'

ADJ3276569

LONNIE CURTIS

SAN DIEGO COUNTY WATER

JANITORIAL

COMPENSATION DEPT. AUTHORITY ADJ3335646

SERAFIN RECINOS

DJ WAREHOUSE

LANGTON KAZER SANTA ANA UEBTF LOS ANGELES

ADJ3335646

SERAFIN RECINOS

UNINSURED EMPLOYERS FUND

UEBTF LOS ANGELES

ADJ3438142

DARLENE GONGORA

ALL PETS VETERINARY HOSPITAL

FIREMAN'S FUND INSURANCE COMPANY

ADJ3446628

CHRISTOPHER LLOYD

CRANEMASTER/CONTRACTORS

UEBTF LOS ANGELES

CRANE CO ADJ3446628

CHRISTOPHER LLOYD

JEANETTE CHRISTINE WARD

UEBTF LOS ANGELES

ADJ3446628

CHRISTOPHER LLOYD

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ3476882

PAYTON ANDERSON

NEW BEGINNINGS

SCIF INSURED GLENDALE UNIT B

ADJ3581598

ANDREW SABALA

ALL CITY MANAGEMENT SERVICES

INTERCARE

ADJ3595073

ABELINA ROBLES

ALTERNATIVE CARE #1

ADJ3678787

VICTORIANO PEREZ

TERSANA INC.

UEBTF LOS ANGELES

ADJ3678787

VICTORIANO PEREZ

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ3683908

HECTOR SANTANA

DENNY'S RETAURANT

IMPACT SOLUTIONS

ADJ3737013

ROBERT MARTINEZ

CITY OF LOS ANGELES

CITY OF LOS ANGELES

ADJ3749601

ENRIQUETA MENDOZA

ONE SOURCE

SPECIALTY RISK LA HABRA

ADJ3782158

RICARDO CASTELAZO

WORLD OF JEANS AND TOPS INC

CIGA

ADJ379663

JUDI ALBARRAN

MCDONNELL DOUGLAS

FREMONT COMP GLENDALE

ADJ3925981

JOHN COTTRELL

INTERNATIONAL TRANSPORTATION SERVIC

Page 71

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ3928236

DARLENE HALL

AMERICAN AIRLINES

SEDGWICK 14450 LONG BEACH

ADJ3963453

SALVADOR NAVARRO

LOS ANGELES UNIFIED SCHOOL

SEDGWICK CMS

ADJ3964058

MARIA MAYA

MEE SOON LEE AND JOONG YEAL LEE

DISTRICT ELLIOTT KIM LOS ANGELES

DBA A FASHION ADJ3964058

MARIA MAYA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ3987464

TRINIDAD RAMIREZ

AMERICAN RAISING

GALLAGHER BASSETT CALABASAS

ADJ4039631

ROSEMARY DOMINGUEZ

COUNTY OF LOS ANGELES

SEDGWICK CMS

ADJ4086539

ROBERTO MORENO

TRICON

ADJ409665

JOSE GUTIERREZ

TEPALCUCHECA MARKET

UEBTF LOS ANGELES SEDGWICK CMS

SANDOVAL ADJ420871

PAMELA NICHOLSON

LOS ANGELES UNIFIED SCHOOL

ADJ4232612

ENEDINA DELATORRE

FREDDY MARIN

ADJ4265930

BRENDIA HARPER

VERIZON

AIG CLAIMS SERVICES

ADJ4279056

ROBIN TAW

RAMIL ABAKHAD IND/SUBS

UEBTF LOS ANGELES

ADJ4279056

ROBIN TAW

ROMANO'S JEWELERS

UEBTF LOS ANGELES

ADJ4279056

ROBIN TAW

UEBTF LOS ANGELES

UEBTF LOS ANGELES

DISTRICT

SHAREHOLDER

ADJ4309001

ELSA VELASQUEZ

HANNY SCHWEIZER

FARMERS PLEASANTON

ADJ4493553

ELLA MEZHIBURSKAYA

SUNNY MEDICAL TRANSPORTATION

UEBTF LOS ANGELES

ADJ4493553

ELLA MEZHIBURSKAYA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ4512540

SANTIAGO MEZA

G.V. CONSTRUCTION AND

UEBTF LOS ANGELES

DEVELOPMENT ADJ4512540

SANTIAGO MEZA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ4514942

SHAWN SCAVO

WARNER BROTHERS ENTERTAINMENT

WARNER BROS WORKERS COMPENSATION

ADJ4573306

KIMBERLY WILLIAMS

STERLING ENTERPRISES

UEBTF LOS ANGELES

ADJ4573306

KIMBERLY WILLIAMS

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ4599355

BENITO VILLANUEVA

SOCORRO'S RESTUARANT

UEBTF LOS ANGELES

ADJ4599355

BENITO VILLANUEVA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ4636269

JOSEPH VALDEZ

SUSANA WOODS DBA SIMI VALLEY

SCIF INSURED GLENDALE

MOBILE ADJ4664587

DAVID GARCIA

S.G. CONSTRUCTION

UEBTF LOS ANGELES

ADJ4664587

DAVID GARCIA

S.G. CONTRUCTION / SALVADOR

UEBTF LOS ANGELES

GODINEZ ADJ4664587

DAVID GARCIA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ4678801

GARY CORTES

FRANCISCO SANCHEZ DBA

UEBTF LOS ANGELES

FRANCISCO'S ADJ4678801

GARY CORTES

FRANCISCO'S HALLOWEEN

UEBTF LOS ANGELES

ADJ4711416

DANIEL NAVARRETE

LA PRINCESITA TORTILLERIA, INC.

SPECIALTY RISK LA HABRA

ADJ4713590

MARIA PONCE

SOUTHERN CALIFORNIA GAS CO

SOUTHERN CAL GAS LOS ANGELES

ADJ5751571

YOLYE VEGA

LITTLE CAESAR ENTERPRISES

ST PAUL TRAVELERS

ADJ617532

GUILLERMO BADE

AAA UNDERCAR PARTS

ADJ632678

MARIA DEAC

MARGARETA CINDEA INDIV & DBA CINDEA

Page 72

UEBTF LOS ANGELES

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ632678

MARIA DEAC

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ632678

MARIA DEAC

UEBTF SACRAMENTO

UEBTF LOS ANGELES

ADJ6425219

LORI BRANNON

KNIGHT TRANSPORTATION

COVEL CHINO

ADJ6462781

RUDOLPH SANCHEZ

KING RELOCATION

LWP CLAIMS SOLUTIONS

ADJ6555277

JULIO SALDARIAGA

R.J. WARNER CARPETS & FLOORS, INC.

UEBTF LOS ANGELES

ADJ6555277

JULIO SALDARIAGA

UNINSURED EMPLOYERS FUND

UEBTF LOS ANGELES

ADJ656318

CLAUDIA SANTANA

DIRECT PRODUCE, INC.

SCIF INSURED FRESNO

ADJ667074

EFRAIN VILLANUEVA

UEBTF LOS ANGELES

UEBTF LOS ANGELES UEBTF LOS ANGELES

ADJ667074

EFRAIN VILLANUEVA

ZAZUETA FREIGHT

ADJ6709649

GLORIA AGUAYO

QUICK TEST RESEARCH INC

CHUBB GROUP

ADJ6716944

WILLIAM KONIECZNY

UEBTF ANAHEIM

UEBTF LOS ANGELES

ADJ6733943

FEDERICO MEDINA

ROMAN FRESH BAKERY & GRILL

ILLINOIS MIDWEST INSURANCE AGENCY SCIF INSURED SACRAMENTO

ADJ6833003

EDDIE VALDEZ

BRENT SCHWEBEL PLASTERING

ADJ6870635

RAMON PALAFOX

GARCIA J CONSLTRUCTION

ADJ6871692

TERESA PICHARDO

DON DIEGO POST NO 7420 VETERANS

UEBTF LOS ANGELES

OF FOREIGN WARS OF THE UNITED STATES CORP ADJ6871692

TERESA PICHARDO

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ6886475

LA TRICIA ANDERSON

DAVID TOMA DDS

UEBTF LOS ANGELES

ADJ6886475

LA TRICIA ANDERSON

DAVID TOMA DDS DBA SMILEBURST

UEBTF LOS ANGELES

DENTISTRY ADJ6886475

LA TRICIA ANDERSON

SMILEBURST DENTISTRY

UEBTF LOS ANGELES

ADJ6886475

LA TRICIA ANDERSON

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ6888241

REMIJIA GUZMAN

FTDI INCORPORATED

GALLAGHER BASSETT SACRAMENTO

ADJ6903058

MARK SESMA

JOYCE GILES

UEBTF LOS ANGELES

ADJ6903058

MARK SESMA

PEACE OF MIND ENTERPRISES

UEBTF LOS ANGELES

ADJ6929460

DANIEL VEGA

RELIABLE CONTAINER CORP

TRAVELERS DIAMOND BAR

ADJ694922

JAMES FINN JR

NEW YORK GIANTS

BERKLEY SPECIALTY UNDERWRITING MGRS

ADJ6976878

NANCY VALLARTA

FUTURE GENERATIONS PRESCHOOL

SCIF CLAIMS DEPT

INC ADJ6977353

MARIA AVILES

NOBLE DISTRIBUTION SYSTEMS

SCIF

ADJ7037341

DARRELL BAILEY

FERGUSON ENTERPRISES

HELSMAN MANAGEMENT ROCKLIN

ADJ7065187

THOMAS WUNSCH

CITY OF LOS ANGELES

TRISTAR 29106 GLENDALE

ADJ7069336

ADEEB YASSA

HAWAIIAN GARDENS CASINO

CNA CLAIMS

ADJ7137017

GUADALUPE HOLGUIN

AVALON AT CERRITOS

AMTRUST NORTH AMERICA

ADJ7247698

ARLEIN KIOMARA PAZ

RED CATERING

UEBTF LOS ANGELES

ADJ7247698

ARLEIN KIOMARA PAZ

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ7402994

LUCILLE ALFORD

COUNTY OF LOS ANGELES/OLIVE

TRISTAR RISK MANAGEMENT

ADJ7447671

MIGUEL MARAVILLA

SEALY MATTRESS COMPANY

ADJ7455005

CARLOS BARRILLAS

OCB RESTURANT COMPANY LL

ADJ7470406

CANDICE LEE SMITH

HALLMARK CREATIONS

TRAVELERS

ADJ7471666

MARIA MALDONADO

OAKWOOD TEMPORARY HOUSING

LIBERTY MUTUAL 29073 GLENDALE

ADJ7536683

EVA CORPUS

LOS ANGELES COUNTY

CONTRERAS

VIEW

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GALLAGHER BASSETT GOLD RIVER

Michael D. Drobot Pacific Hospital of Long Beach Case number

Injured Worker

Employer

Claims administrator

ADJ7541039

ROMMEL TOMINES

JONATHAN CLUB

GALLAGHER BASSETT GOLD RIVER

ADJ7587954

EDUVIJES QUEZADAS

GALAXY INVESTMENTS LTD

AMERICAN CLAIMS SAN DIEGO

ADJ7591928

MIGUEL GUTIERREZ

LDI MECHANICAL

GALLAGHER BASSETTT CALABASAS

ADJ7677937

MARIO SUAREZ

HYCOR

UEBTF LOS ANGELES

ADJ771338

MAGGIE RIOS

COUNTY OF LOS ANGELES

INTERCARE

ADJ7728253

MARCO HERNANDEZ

MILLER ENVIRONMENTAL

ZURICH SAN FRANCISCO

ADJ7762497

JESUS REYES

MARIO CAMARILLO NEW DIMENSION

UEBTF LOS ANGELES

PAINTING ADJ7762497

JESUS REYES

UEBTF OAKLAND

UEBTF LOS ANGELES

ADJ7766974

MARIO JIMENEZ

MOA DESIGN

ILLINOIS MIDWEST SPRINGFIELD

ADJ7776378

MARIA MENDOZA

STAFFMARK INVESTMENT LLC

CANNON COCHRAN IRVINE

ADJ7816319

ABEL LOZA TORRES

LIZZE CUSTOM PROCESSING

ZURICH NORTH AMERICA

ADJ7852821

ROBERT VANDER DUSSEN

GENERAL ELECTRIC

ELECTRIC INSURANCE COMPANY

ADJ7905841

MICHAEL CWIKLA

HADLEY TOWING EQUIPMENT

SCIF INSURED ANAHEIM

ADJ7921247

DOUGLAS VILLAFRANCO

PLS AZTECA OF CALIFORNIA

AIG SAM RAMON WC CLAIMS

ADJ7923555

ANGELITA SANCHEZ

CHAOLA INC DBA BAMBOO GRILL

UEBTF LOS ANGELES

ADJ7923555

ANGELITA SANCHEZ

OD LEGAL LOS ANGELES

UEBTF LOS ANGELES

ADJ7923555

ANGELITA SANCHEZ

UNINSURED EMPLOYERS BENEFIT

UEBTF LOS ANGELES

TRUST FUND ADJ7923555

ANGELITA SANCHEZ

UNINSURED EMPLOYERS FUND

UEBTF LOS ANGELES

ADJ7949151

ALMA QUIROZ

CZ PROPERTY MANAGEMENT

SCIF INSURED ANAHEIM

ADJ8017496

KEYVAN RAHNEMOON

RADIO SHACK

LIBERTY MUTUAL INSURANCE PATRIOT RISK SERVICES CIGA

ADJ8028910

VIRGINIA PARDO

SUPER CENTER CONCEPTS INC

ADJ8159346

RAUL SANDOVAL

GW ASSOCIATION

SEDGWICK CMS

ADJ8281617

ISRAEL TAPIA

BRISTOL SPEED CAR WASH

HANOVER INSURANCE GROUP WORCESTER

EL RINCON RESTAURANT

ADJ840531

MARIA MEDINA

ADJ844741

BENJAMIN MONTOYA

PROPERTY FINE

UEBTF LOS ANGELES

ADJ844741

BENJAMIN MONTOYA

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ947073

KEUM SOON SEO

JUSTIN DENTAL ART

UEBTF LOS ANGELES

ADJ947073

KEUM SOON SEO

UEBTF LOS ANGELES

UEBTF LOS ANGELES

ADJ904752

CARMELO PEREYRA

FOSTER PRINTING CO

CIGA GLENDALE

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