Welcome to the Atlas Claim Information Page!

Claims Kit

Atlas California Claims Kit v8
Atlas Arizona Claims Kit

Welcome Letters

Ullico Welcome Letter (policy numbers that begin with WCS)
Companion Welcome Letter (policy numbers that begin with WAT)
Republic Welcome Letter (policy numbers that begin with ATW and UAW)

Report a Claim

Internet:	www.athensadmin.com/reportclaim
	User Name: athens1
	Password: athens1
Telephone:	888-534-6375
Fax:	877-302-2872
eMail:	reportclaim@athensadmin.com
Mail:	P.O. Box 696, Concord, CA 94522

California Claims Kit Attachments

Notice to Employees (DWC 7) - MUST BE POSTED
Workers' Compensation Claim Form (DWC 1) & Notice of Potential Eligibility
Employer's Report of Occupational Injury or Illness (Form 5020)
Refusal Of Medical Treatment Form
Athens MPN Employee Written Notification - MUST BE POSTED
Athens MPN Implementation Notice
Athens MPN Acknowledgement Form
Athens MPN Affidavit
Athens Claim Supply Request

NEW DWC REGS

Athens MPN - Internet Physician Lookup

Internet:	www.athensadmin.com/findadoc
	Name: ATHER
	Password: ATHER02

Marketing Information

Athens Atlas Program Brochure
General Information - Single Page
General Information - Power Point
Athens Fraud Poster 1
Athens Fraud Poster 2
Athens Fraud Poster 3
Athens Fraud Poster 4

For all claims related inquiries

Jamie Sanderson, Account Manager
925-826-1127
jsanderson@athensadmin.com

Request Loss Runs

eMail:

lossruns@atlas.us.com