REMIF
Welcome to the REMIF Claims Information Page!

Welcome

Welcome to the Athens Administrators and Redwood Empire Municipal Insurance Fund (REMIF) workers’ compensation website. This website was developed to assist REMIF’s members with their workers’ compensation program.

It is Athens goal to provide you with exceptional service. For your convenience, we have tailored your website to have valuable information needed for claims reporting, obtaining information such as state mandated reporting requirements and necessary forms for your workers’ compensation program.

On behalf of your Athens Claims Team we are committed to work together in providing you with all the tools and information you need to manage your workers’ compensation program. If you need any further assistance or have questions, please feel free to contact us via the Contact tab above.

Regards,
Athens Administrators

Report a Claim

Internet: Claim Compass
User Name: email address
Password: need from Emily
Support: Gina Popejoy
Mail: P.O. Box 696, Concord, CA 94522
Phone: (925) 826-1129

Client Login

Internet: Client Login
User Name: email address
Password: need from Emily
Support: Gina Popejoy
Mail: P.O. Box 696, Concord, CA 94522
Phone: (925) 826-1129

Forms

Letter to Cities

Letter for WORK-RELATED INJURY & ILLNESS: A SUPERVISOR’S RESPONSIBILITIES.

Supervisor Report of Employee Injury or Illness

Incident Only Report

Time of Hire – English:

Time of Hire – Spanish:

DWC-1:

Form for Injured Workers filing a workers’ compensation claim with your employer.

DWC-1-thumb

Form 5020:

Employers use this form to report occupational injury or illness.

5020-thumb

DWC-9783:

Pre-designation of personal physician form.

DWC 9783-thumb

Medical Service Order:

med-service-order-thmb

Claims Team

If you have any questions or concerns, don’t hesitate to contact a member of our claims team by clicking below.

City Examiner Phone Fax E-Mail
Arcata Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
City of Eureka Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Cloverdale Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Cotati Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Eureka Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Fort Bragg Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Fortuna Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Healdsburg Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Lakeport Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
Redwood Empire Municipal Ins. Fund Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
Rohnert Park Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Sebastopol Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
Sonoma Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
St. Helena Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
Town of Windsor Cecilia Taizan 925 826-1238 925 887-6752 ctaizan@athensadmin.com
Ukiah Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com
Willits Ann Jensen 925 826-1234 925 887-6622 ajensen@athensadmin.com

Additional Support:

Jeanette Mason, Division Claims Manager
Phone (925) 826-1160
Fax (925) 609-5434
jmason@athensadmin.com

Lakisha Jones-Bishop, Claims Supervisor
Phone (925) 826-1246
Fax (925) 887-6895
ljonesbishop@athensadmin.com

Lanette Soto, Future Medical Examiner
Phone (925) 826-1235
Fax (925) 887-6891
lsoto@athensadmin.com

Alysse Ducummon, Assistant Claims Examiner
Phone (925) 826-1121
Fax (925) 887-6881
aducummon@athensadmin.com