| Admitted "A" Excellent (IX) rated carrier by A.M. Best Company. |
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| States |
| CA |
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Targeted Classes of Business |
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* Agriculture |
* Professional Services |
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* Automotive |
* Hospitality |
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* Computer Hardware / Software |
* Restaurants |
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* Non-profit Organizations |
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| Endorsement |
| Please email all endorsement requests to endorsementreq@singlepointins.com. |
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| Loss Run Report |
| Please email all loss run requests to lossrunreq@singlepointins.com. |
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| Audit Information |
| To file a dispute on a final audit, the insured must submit a formal letter of dispute within 30 days of the final audit billing. We can help you faster if you: |
- Please indicate specifically what is being disputed.
- Write the letter on company letterhead.
- Letter must be signed by a company officer.
- Provide supporting payroll records.
- Please submit the formal letter of dispute by fax or mail.
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| Waiver of Subrogation |
Republic Indemnity does not offer blanket waivers. There will be either a 5% of job premium or a flat rate charge for specific waivers.
A specific waiver request must be accompanied by a job worksheet and certificates of insurance. A blank copy of a job worksheet can be found here. |
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| MPN |
| Republic Indemnity Company Medical Provider Network |
| 877.854.3353 |
| www.talispoint.com/ri |
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| Claim Services |
| Republic Indemnity |
| PO Box 20036 |
| Encino, CA 91416-0036 |
| Fax number for all California Claims Offices: 818.382.1200 |
| For Los Angeles, Tri-County, Orange County and San Joaquin Valley |
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For San Diego, San Bernardino, Riverside and Imperial County |
| Tel: 818.990.9860 |
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Tel: 858.292.7002 |
| For Northern California |
| Tel: 415.981.3200 |
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| Customer Service and Billing Information |
| PO Box 20036 |
| Encino, CA 91416-0036 |
| Tel: 818.990.9860 |
| All payments, except for deposits, should be paid and mailed to Singlepoint Insurance Services, Inc. |
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