Philip A. Sobol Additional Case Information Case Number Injured Worker Employer Claims Administrator ADJ10000678 BERNARD GRIFFIN SOUTHWEST AIRLINES SEDGWICK 14573 SACRAMENTO ADJ10000912 ARLIN WALKER CC TAPROOM 1 EMPLOYERS PREFERRED GLENDALE ADJ1000103 RAQUEL ANDRADE CENTINELA HOSP MEDICAL AIG CLAIMS COSTA MESA CNTR ADJ10001328 BILLIE SCOTT CITY OF LOS ANGELES TRISTAR SANTA ANA DEPARTMENT OF MENTAL HEALTH ADJ10001359 KAMILLA TAYLOR MOVE ING GALLAGHER BASSETT CALABASAS ADJ10001365 EMMANUEL BUGARIN TECH COAT CONTRACTORS SCIF INSURED FRESNO ADJ10002441 AHWORN KEEF ANHEUSER BUSCH INC SEDGWICK RIVERSIDE ADJ10002442 JUAN DELGADILLO ALL CITY TOW SERVICE INSURANCE CO OF THE WEST PLEASANTON ADJ10002442 JUAN DELGADILLO ALL CITY TOW SERVICE INSURANCE CO OF THE WEST SAN DIEGO ADJ10002527 MARIA DEL SCORRO SELECT STAFFING CORVEL CHINO GOMEZ ADJ10002720 MARIA GASPAR RJM6 INC DBA SUBWAY 561 AMTRUST IRVINE ADJ1000365 LINDA GLUCKMAN KAISER PERMANENTE KAISER OAKLAND CAMPBELL ADJ10004587 JULIAN AYALA PHO CONSOMME EMPLOYERS ASSURANCE SAN FRANCISCO ADJ10006684 WAYNE BRUCE ADT SECURITY SEDGWICK 14442 ORANGE ADJ10006684 WAYNE BRUCE ADT SECURITY ZURICH LOS ANGELES ADJ10006686 NINA COOKE CITY OF LOS ANGELES ACME ADMINISTRATORS TEMECULA CAMPBELL ADJ10009493 MONIQUE BANKS WATTS HEALTHCARE BETA HEALTHCARE GROUP ROSEVILLE CORPORATION ADJ10010342 PRISCILLA AREVALO THERMAL COMBUSTION GALLAGHER BASSETT SAN DIEGO INNOVATORS ADJ10010633 PHILLIP BORUNDA PERFORMANCE AIG CLAIMS COSTA MESA CONTRACTING INC ADJ10010633 PHILLIP BORUNDA PERFORMANCE CNA CLAIMS PLUS BREA CONTRACTING INC ADJ10010633 PHILLIP BORUNDA PERFORMANCE ESIS TAMPA CONTRACTING INC ADJ10010633 PHILLIP BORUNDA PERFORMANCE LIBERTY MUTUAL 29073 GLENDALE CONTRACTING INC ADJ10010633 PHILLIP BORUNDA PERFORMANCE OLD REPUBLIC BROOKFIELD CONTRACTING INC ADJ10010633 PHILLIP BORUNDA PERFORMANCE SCIF INSURED FRESNO CONTRACTING INC 1 Phillip A. Sobol ADJ10010633 PHILLIP BORUNDA PERFORMANCE ZURICH LOS ANGELES CONTRACTING INC ADJ10010911 GONZALO ACOSTA RAYMOND PELLEGRINO ALLIANZ RESOLUTION PETALUMA ADJ10011112 LUIS APONTE MCKINNEY CONSTRUCTION SECURITY NATIONAL INSURANCE CO DALLAS ADJ10011409 GUILLERMO GUZMAN S GARDENS PACKARD CLAIMS ADMIN TARPON MARTINEZ SPRINGS ADJ10011409 GUILLERMO GUZMAN S GARDENS YORK ROSEVILLE MARTINEZ ADJ10011543 JOSE MADRIGAL 99 CENT ONLY STORES BROADSPIRE BREA ADJ10012938 HELIODORO AVELAR CERRITOS FORD TRAVELERS DIAMOND BAR ADJ10013053 DYANE JONES LAUSD SEDGWICK PASADENA ADJ10014215 LORENA GOMEZ RALPHS SEDGWICK 14563 LONG BEACH ADJ10014753 CONSTANTINO LOTERIA GRILL EMPLOYERS COMP GLENDALE HERNANDEZ ADJ10014776 KELVIN A PONCE MILLER EQUIPMENT SCIF INSURED SACRAMENTO COMPANY INC ADJ10014860 SINDERELLA ZAVAND LAW OFFICES OF BURG & EMPLOYERS COMP NEWBURY PARK BROCK ADJ10014860 SINDERELLA ZAVAND LAW OFFICES OF BURG & HELMSMAN MANAGEMENT ROCKLIN BROCK ADJ10016385 LETTY BARRIOS COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO DPSS ADJ10020160 ELIZABETH LISA MEJIA FASHION INSTITUTE OF HARTFORD SACRAMENTO DESIGN MERCHANDISING ADJ10020270 ERICK RODRIGUEZ LOS ANGELES JEWISH HOME PACIFIC CLAIMS MANAGEMENT FRESNO ADJ10024863 CARLOS COMEAUX CEMEX CONRETE GALLAGHER BASSETT RANCHO CUCAMONGA ADJ10027781 MUHEIDDINE BOBS UNION INC EMPLOYERS COMP GLENDALE ABOUAMMOU ADJ10027781 MUHEIDDINE BOBS UNION INC EMPLOYERS COMP NEWBURY PARK ABOUAMMOU ADJ10027781 MUHEIDDINE BOBS UNION INC HANOVER INSURANCE GROUP ABOUAMMOU WORCESTER ADJ10030655 IRMA DELA CRUZ FORTRESS HOLDING GRP LLC HARTFORD SACRAMENTO DBA BARON HR ADJ10030971 HAITHAM ZAITOUN CALWEST CONSTRUCTION SCIF INSURED GLENDALE ADJ10030971 HAITHAM ZAITOUN CALWEST CONSTRUCTION SCIF INSURED SANTA ANA ADJ10031727 ERNESTINA BRISENO PAYLESS INC GALLAGHER BASSETT ONTARIO ADJ10032322 ANTHONY QUIETTE LA COUNTY PROBATION SEDGWICK COLA ONTARIO DEPT ADJ10034589 GLORIA ARMIJO THE BOEING COMPANY SEDGWICK 14450 LONG BEACH ADJ10035233 MICHAEL LOALBO BOEING SEDGWICK 14450 LONG BEACH 2 Phillip A. Sobol ADJ10036180 JAMES TEELE LOS ANGELES LOS ANGELES METROPOLITAN METROPOLITAN AUTHORITY AUTHORITY ADJ1003620 CLIFFORD BURTON GENERAL TELEPHONE CO AIG AMERICAN INTL CLAIMS SERVICES ADJ10036821 GUSTAVO GONZALEZ THE CLEANING SPOT AmTrust - which one? ADJ10039552 PETER KESACHEKIAN STAR AUTO BODY GROUP SECURITY NATIONAL INSURANCE DALLAS ADJ10042258 JOSEFA BERNAL KOOS MANUFACTURING INC BERKSHIRE HATHAWAY SAN DIEGO ADJ10042258 JOSEFA BERNAL KOOS MANUFACTURING INC CALIFORNIA INSURANCE COMPANY ADJ10042258 JOSEFA BERNAL KOOS MANUFACTURING INC CYPRESS INSURANCE COMPANY ADJ10043040 BRIDGETTE BOWEN ALLAN D SINGER MD INC PREFERRED EMPLOYERS SAN DIEGO DEAN T CHIANG MD INC A MEDICAL ADJ10045562 SELMA HENDY COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE INTERNAL SERVICES ADJ10045681 BRIDGET BROWN COUNTY OF LOS ANGELES SEDGWICK 14458 ONTARIO PROBATION DEPARTMENT ADJ10046720 ROBERTO DIAZ BARNEYS PASADENA LTD AMERICAN CLAIMS SAN DIEGO ADJ10047453 TISHA MOORE PLANNED PARENTHOOD APPLIED RISK OMAHA ADJ10048158 RUDOLPH KRANTZ GLENDALE DODGE LLC ENSTAR US ORANGE ADJ10049070 SHAUNIECE FRAZIER NEKTER JUICE BAR EMPLOYERS COMP GLENDALE ADJ10052698 LANNA SMITH LIVHOME CRUM FORSTER ORANGE ADJ10053048 SEAN LESTER 99 CENTES ONLY STORE BROADSPIRE BREA CORP ADJ10053048 SEAN LESTER 99 CENTES ONLY STORE BROADSPIRE SACRAMENTO CORP ADJ10055452 LETICIA ROLDAN ALHAMBRA UNIFIED SCHOOL YORK ROSEVILLE DISTRICT ADJ10056217 DANIELLE CLINES AMN HEALTHCARE INC GALLAGHER BASSETT ORANGE ADJ10056462 RALANA ELDRIDGE LACMTA LACMTA ADJ10056462 RALANA ELDRIDGE LACMTA LOS ANGELES METROPOLITAN AUTHORITY ADJ10056586 ERIC CASTRO AT T SEDGWICK 14627 ONTARIO ADJ10058662 MARGARETH DOCULYNX CNA CLAIMS PLUS SAN FRANCISCO MIKAELIAN ADJ10059493 ISIDORO DOMINGUEZ H L FOODSERVICE INC APPLIED RISK OMAHA ADJ10061181 DIMITRIS GARCIA BOEING AIG CLAIMS COSTA MESA ADJ10061181 DIMITRIS GARCIA BOEING SEDGWICK 14450 LONG BEACH 3 Phillip A. Sobol ADJ10061273 FAUSTO GARCIA CADENCE AEROSPACE CADENCE AEROSPACE ADJ10061525 GERALD BUTLER WASTE MANAGEMENT GALLAGHER BASSETT GOLD RIVER ADJ10064680 CUAUHTEMOC BARRETT BUSINESS SERVICES CORVEL SACRAMENTO SANTANA INC ADJ10065004 SEAN TWEEDY VERIZON WIRELESS SEDGWICK 14442 ORANGE ADJ10065125 ANGELA TYLOR KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ10065549 PHAN WOO CITY OF LOS ANGELES LAPD CITY OF LOS ANGELES RAMPART DIVISION ADJ10066184 ELVIA MATTHEWS METROPOLITAN TRANSIT LOS ANGELES METROPOLITAN AUTHORITY AUTHORITY ADJ10066848 DOUGLAS MATA GENEVA STAFFING PACKARD CLAIMS ADMIN TARPON SPRINGS ADJ10066848 DOUGLAS MATA GENEVA STAFFING ZURICH LOS ANGELES ADJ10066848 DOUGLAS MATA MARINE HARVEST PACKARD CLAIMS ADMIN TARPON SPRINGS ADJ10066848 DOUGLAS MATA MARINE HARVEST ZURICH LOS ANGELES ADJ10067070 RICARDO CLAURE UNITED AIRLINES INC GALLAGHER BASSETT LAGUNA HILLS ADJ10067070 RICARDO CLAURE UNITED AIRLINES INC UNITED AIRLINES INC ADJ10069916 LAURENCIO FISHBECKS SEDGWICK 14779 SAN DIEGO ESCALANTE ADJ10071827 LEONOR LOPEZ MOSHAY INC AMTRUST CONCORD ADJ10071981 ROSA MARIA COUNTY OF L A CHILD INTERCARE 14243 ORANGE CONCEPCION SUPPORT ADJ10072286 RONALD LENNEAR FEDEX SEDGWICK WALNUT CREEK ADJ10086556 WILLIAM EARLEY CITY OF SOUTH PASADENA INTERCARE PASADENA ADJ10086556 WILLIAM EARLEY CITY OF SOUTH PASADENA INTERCARE ROSEVILLE ADJ10089505 ANGELA WILSON KAISER PERMANENTE KAISER PERMANENTE ADJ10089505 ANGELA WILSON KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ1009074 FRANCISCA MERCADO AZALEA ENTERPRISE INC BROADSPIRE BREA ADJ10094259 MIRIAM UMANA LAUSD SEDGWICK PASADENA ADJ10094260 FREDDY TORRES LOS ANGELES REGIONAL SEDGWICK 14442 ORANGE FOOD BANK ADJ10094261 GRADIETTA WOODS AT T SERVICES INC SEDGWICK 14627 ONTARIO ADJ10096256 RONNIE P WILLIAMS UNITED PARCEL SERVICE LIBERTY MUTUAL 29073 GLENDALE ADJ10097928 MICHAEL CRONIN MIDICI HANOVER INSURANCE GROUP WORCESTER ADJ10100335 PAUL JU GREEN ENERGY HARTFORD SACRAMENTO INNOVATIONS ADJ10100335 PAUL JU GREEN ENERGY MEADOWBROOK INSURANCE LAS INNOVATIONS VEGAS ADJ10100335 PAUL JU GREEN ENERGY SEDGWICK 3170 RANCHO CORDOVA INNOVATIONS 4 Phillip A. Sobol ADJ10100335 PAUL JU GREEN ENERGY SEDGWICK SEQUOIA INNOVATIONS ADJ10101101 SURINDER KAUR SONOCO PRODUCTS CO SEDGWICK 14153 RIVERSIDE ADJ1010124 ANA MENDOZA LSG SKY CHEFS LIBERTY MUTUAL 29073 GLENDALE ADJ1010583 THOMAS FOULK RUSNAK PASADENA ZENITH WOODLAND HILLS ADJ10108124 LILIAN MOLINA HEALTH NET INC SEDGWICK 14522 VAN NUYS ADJ10108125 SILVIA WHITLEY SERCO MGMT SERVICES INC YORK VALENCIA ADJ101118 CHERI WOOD VONS ALBERTSONS HOLDINGS FULLERTON ADJ10112144 JOSE CUEVAS IHSS LOS ANGELES COUNTY YORK RANCHO CUCAMONGA ADJ1011528 BRENDA LEAKE KAISER PERMANETE KAISER OAKLAND ADJ10118431 OLIVIA CANCHE WNC INSURANCE SERVICES HARTFORD SACRAMENTO ADJ10120711 JOSE REYES JONATHAN LOUIS APPLIED RISK OMAHA INTERNATIONAL LTD ADJ10130110 MARIA MENJIVAR SAMS CLUB YORK EL DORADO HILLS ADJ10135088 ALICIA CICCHINI KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ10135263 KIMBERLY DOLAN ALLIEDBARTON SECURITY ESIS CHATSWORTH SERVICES LLC ADJ10139490 MARCI CUTTRELL KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ1014106 DAVID ESPINOSA WALT DISNEY CO DISNEYLAND WORKERS' COMPENSATION ADJ10142394 ANDREA MARTIN TRADER JOES GALLAGHER BASSETT RANCHO CUCAMONGA ADJ10153149 LISA BASIRI COASTAL DEVELOPMENT YORK OXNARD SERVICES DBA WESTSIDE REGIONAL CENTE ADJ10163205 ART ALVA EL MONTE UNION HIGH HCMS CHINO HILLS SCHOOL ADJ10175084 RALPH SYKES STATE OF CA SCIF STATE EMPLOYEES SANTA ANA TRANSPORTATION ADJ1018529 ROSA IRLAS THE SERVICE COMPANIES INC ZURICH LOS ANGELES GONZALEZ DBA SSC & ADJ1018953 JORGE ALVARADO WARNER BROS AIG CLAIMS COSTA MESA ADJ10203398 ELDON HUBERT NORTHROP GRUMMAN AIG CLAIMS SAN DIEGO ADJ1020630 SAMUEL ESPINOZA CALIFORNIA VITAMIN SCIF INSURED SANTA ANA SUPPLEMENT