MOC Insurance Services - California Horsemen's Safety Alliance (CHSA)

The CHSA is an exclusive workers' compensation program that MOC administrates on behalf of the racing stables of California.

Application Process

Please fill out the online application, print it, and sign the both pages.

2008-2009 CHSA Application & CTBL Participation Agreement

Final Audit:

As part of the California Horseman’s Safety Alliance, a final audit is necessary to finalize your workers’ compensation policy written through American Home Assurance. Usually a physical audit is performed. However, this year your policy has been selected for a fax and telephone audit. We are requesting your assistance in completing your audit promptly.

CHSA Blank Audit Form

Requires free Adobe Reader to view and print.

Mail To:                    Or Fax To:
     MOC Insurance Services               (415) 957-0577
     Attn: CHSA
     44 Montgomery Street, 17th Floor
     San Francisco, CA 94104

Please include three years of detailed loss history from your prior workers’ compensation insurance carrier.

NOTE: All policies begin on July 1 and end on June 30.
Once the application has been approved and processed, you will be mailed a quote and payment terms. In order to bind coverage, a signed quote and payment terms (if applicable) must be submitted with a money order or cashier’s check to MOC Insurance Service.

COVERAGE IS NOT BOUND UNTIL THE SIGNED ITEMS HAVE BEEN PROCESSED.

WCIRB California Classification Reference

8278, "Racing Stables-jockeys employed on a per race basis"
8631, "Racing Stables-operations-including trainers and jockeys"

Changes in Address

Please notify MOC Insurance Services as soon as you are aware of an address change. MOC will notify the CHSA and the insurance carrier. It is important to have accurate information on every policyholder.

FOOTNOTE - click here

FOOTNOTE:

8278, "Racing Stables - jockeys employed on a per race basis"

The exposure for jockeys employed on a per race basis shall be the number of races.

DESCRIPTION:

Classification 8278 applies only to jockeys employed by racing stables on a per race basis. Racing stables contemplates all types of horse racing, including harness racing (standardbred), as well as thoroughbred and quarter horse racing. Harness racing is a method of horse racing where a single horse pulls a carriage carrying a driver. Thoroughbred and quarter horse racing is the more common method where the jockey rides atop the horse on saddles. Jockeys not employed on a per race basis shall be assigned to Classification 8631, "Racing Stables - operation - including trainers and jockeys." In harness racing, "drivers" are considered jockeys for classification purposes. In this segment of the industry, it is not uncommon for trainers to also race the horses; however, drivers may be employed on a per race basis. In thoroughbred and quarter horse racing, it is common for jockeys to be employed by trainers or stables to ride the horses during workouts and races. Most of the jockeys regularly employed by trainers or stables are used only during the workouts, while most racing is performed by jockeys who are retained on a per race basis. In instances where jockeys are paid both on a salary and on a per race basis, Classification 8631 shall apply to the salaried portion, while Classification 8278 shall apply when employed on a per race basis.

8631, "Racing Stables - operation - including trainers and jockeys"

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FOOTNOTE

The payroll of all employees must be included at their actual remuneration excluding shares of winning purses, but in no event shall the payroll of jockers and trainers be included for a sum less than $3,000 per annum per jockey or trainer. This classification does not apply to jockeys employed on a per race basis, such jockeys shall be assigned to 8278, "Racing Stables."

DESCRIPTION:

Classification 8631 contemplates all types of horse racing, including harness racing (standardbred) as well as thoroughbred and quarter horse racing. Harness racing is a method of horse racing where a single horse pulls a carriage carrying a driver. Thoroughbred and quarter horse racing is the more common method where the jockey rides atop the horse on saddles. Training occurs at both on-track and off-track locations. Operations include feeding, watering, and bathing horses and maintaining stable areas. Other activities include working out and walking horses, as well as ensuring the horses are ready to race.

Jockeys employed on a per race basis shall be assigned to Classification 8278, "Racing Stables - jockeys employed on a per race basis." in harness racing, "drivers" are considered jockeys for classification purposes. In this segment of the industry, it is not uncommon for trainers to also race the horses; however, drivers may be employed on a per-race basis.

In thoroughbred and quarter horse racing, it is common for jockeys to be employed by trainers or stables to ride the horses during workouts and races. Most of the jockeys employed by trainers or stables are used only during the workouts, while most racing is performed by jockeys who are retained on a per-race basis.

In instances where jockeys are paid by both salary and on a per-race basis, Classification 8631 shall apply to the salaried portion while Classification 8278 shall apply when employed on a per-race basis.

Claims Information

Toll Free Claims Reporting Phone Number: (877) 399-6442

The person taking your information will relay it to a claims adjustor. The claims adjustor will call you in 24-48 hours to further explain the claims process and answer your concerns about the claim. Report claims as soon as you or your staff is aware of an injury. The reporting of a claim does not admit liability.

How can I reduce my claim costs?

Direct your employee to a participating medical clinic or to an emergency room depending on the severity of the injury. Sending your employees to participating medical clinics can reduce claims costs.
Participate in CHSA Loss Control Services

o Have you and your employees watch the CHSA Safety Video

o Instruct your exercise riders to use the safety equipment properly

(i.e. Do not pull the stuffing out of the vests!) and to pay attention to the posted exercise regulations at the track.

Visit your injured employees to see how they are doing and show them you are concerned for their welfare. Studies show that employers who pay a friendly visit to their employees while they are recovering can reduce the amount of time lost from work by up to 50%.
Report all claims regardless of whether you believe they are legitimate. Failure to report a claim immediately may result in the inability to decline acceptance of it in the future.

Medical Providers

SOUTHERN CALIFORNIA

Santa Anita Racetrack:
285 W. Huntington Drive
Arcadia, CA 91007

Irwindale Industrial Clinic
6000 No. Irwindale Avenue
Phone: (626) 969-9800
Fax: (626) 969-3061
Open 24 hours, 7 days a week

Hollywood Park Racetrack:
1050 South Prairie Avenue
Inglewood, CA 90301

U. S. Health Works
930 N. Sepulveda Blvd. #1000
El Segundo, CA 990245
Phone: (310) 640-9911
Open 24 hours, 7 days a week

Pomona Fairplex:
1101 West McKinley Ave.
Pomona CA 91768

U.S. Health Works
801 Corporate Center Drive, Suite 130
Pomona, CA 91768
Phone: (909) 623-1954
Hours: Mon- Fri., 7:30 am – 6:00 pm
Taxi Voucher provided upon request

San Luis Rey Downs:
5772 Camino Del Rey
Bonsall, CA 92003

U. S. Health Works
2023 West Vista Way, Suite C
Vista, CA 92033
Phone: (760) 941-2000
Hours: Mon.-Sat., 8:00 a.m. - 5:00 p.m.

Fallbrook Hospital (Emergency Care)
624 E. Elder St.
Fallbrook, CA 92028
Phone: (760) 728-1191

Del Mar Thoroughbred Club:
2260 Jimmie Durante Boulevard
Del Mar, CA 92014

U.S. Health Works
5897 Oberllin Drive Suite 100
San Diego, CA 92121
Phone: (858) 455-0200

Fax: (858) 455-0044
Hours: Mon-Fri. 8:00am to 5:00pm

Scripps Memorial Hospital

(emergency care)

NORTHERN CALIFORNIA

Golden Gate Fields:
1100 Eastshore Highway
Albany, CA 94706

U.S. Health Works
2850 Seventh Street, Suite 100
Berkeley, CA 94710
Phone: (510) 845-5170 Fax (510) 845-0486
Hours: Mon-Fri., 8:00 a.m. to 5:00 p.m.
Taxi Voucher provided upon request

Alameda County Fairgrounds – Pleasanton:
4501 Pleasanton Avenue
Pleasanton, CA 94566

Premier Comp Medical Group
5635 W. Las Positas, #401
Pleasanton, CA 94588
Phone: (925) 520-0055
Hours: Mon.-Fri., 8:00 a.m. - 5:00 p .m.
Closed Sat. & Sun.

Solano County Fair – Vallejo:
900 Fairgrounds Drive
Vallejo, CA 94589

Jobcare
477 Devlin Road, Suite 109
Vallejo, CA 94558
Phone: (707) 253-8084
Hours: Mon.-Fri., 8:30 a.m. - 5:00 p.m.
Closed Sat. & Sun.

San Joaquin County Fair – Stockton:
1658 S. Airport Way
Stockton, CA 95206

Sierra Occupational Svc. Med. Clinic
1429 W. Fremont Street
Stockton, CA 95203
Phone: (209) 546-7767
Hours: Mon.-Fri., 7:00 a.m. - 7:00 p .m.
St. Joseph Medical Center (Emergency Care)

FAIR CIRCUIT

Alameda County Fairgrounds – Pleasanton:
4501 Pleasanton Ave.
Pleasanton CA 94566

Premier Comp Medical Group
5635 W. Las Positas #401
Pleasanton, CA 94588
Phone: (925) 520-0055
Hours: Mon.-Fri., 8:00 a.m. - 5:00 p .m.
Closed Sat. & Sun.

Solano County Fair – Vallejo:
900 Fairgrounds Dr.
Vallejo, CA 94589

Jobcare
477 Devlin Road, Suite 109
Napa, CA 94558
Phone: (707) 253-8084
Hours: Mon.-Fri., 8:30 a.m. - 5:00 p .m.
Closed Sat. & Sun.

San Joaquin County Fair – Stockton:
1658 S. Airport Way
Stockton, CA 95206

Sierra Occupational Svc. Med. Clinic
1429 W. Fremont Street
Stockton, CA 95203
Phone: (209) 546-7767
Hours: Mon.-Fri., 7:00 a.m. - 7:00 p .m.
Closed Sat. & Sun.
St. Joseph Medical Center (Emergency Care)

California State Fair – Sacramento:
1600 Exposition Boulevard
Sacramento, CA 95815

H&H Occupational Medical Associates
1219 30th Street
Sacramento, CA 95816
Phone: (916) 444-2400
Hours: Mon.-Fri., 8:30 a.m. - 4:30 p .m.
Closed Sat. & Sun.
Sutter Hospital (Emergency Care)

The Big Fresno Fair – Fresno:
1121 Chance Avenue
Fresno, CA 93702

Concentra Medical Centers – South
2555 So. East Avenue
Fresno, CA 93707
Phone: (559) 445-0606
Hours: Mon.-Fri., 6:00 a.m. - 6:00 p .m.
Sat. & Sun., 8:00 a.m. - 12:00 noon
Fresno Community Hospital (Emergency Care)

Humboldt County Fair – Ferndale:
P.O. Box 637
Ferndale, CA 95536

Humboldt Medical Group
528 Washington Road
Ferndale, CA 95536
Phone: (707) 786-4028
Hours: Mon.-Fri., 9:00 a.m. - 5:00 p .m.
Closed Sat. & Sun.
Redwood Memorial Hospital (Emergency Care)

Links

Daily Racing Form

Bloodhorse

Thoroughbred Times

AI Credit - In order to login, please have your loan number and the zip code of your billing address handy. Click on Insureds Login then US Insureds Login.
http://www.iaicc.com

California Thoroughbred Trainers - updates on legislation for the racing industry, and different programs run by the California Throroughbred Trainers.
http://www.thoroughbredinfo.com/showcase/CTT.htm

CHRB-California Horse Racing Board - to regulate pari-mutuel wagering for the protection of the betting public, to promote horse racing and breeding industries, and to maximize State of California tax revenues.
http://www.chrb.ca.gov/index.htm

Department of Insurance - Fraud Division - Information about insurance fraud.
Please note: Even if you suspect an injury to be fraudulent, please report the injury to the insurance carrier. Reporting a potential claim is not an admission of liability and failure to report a potential claim may lead to the automatic acceptance of a claim and civil penalties.
http://www.insurance.ca.gov/FRD/Frd_main.htm

Contact

Contact Us

John Patrick Unick - President Thoroughbred Racing Division
Phone: (415) 357-9219
Fax: (415) 957-0577
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Sara Przemielewski - Manager
Phone: (415) 357-9234
Fax: (415) 957-0577
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Frankie Spitaleri - Account Executive
Phone: (415) 357-9229
Fax: (415) 957-0577
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Dilcia Giron - Claims Representative
Phone: (415) 357-9212
Fax: (415) 957-0577
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