Benchmark Insurance Program

Reporting New Claim

Telephone: 800-362-5198
24-Hour Hotline: 800-289-4502
E-Mail: firstreport@benchmarkadministrators.com

Claim Kit Documents

  • Benchmark Employee’s Claim for Workers’ Compensation (DWC-1) Online Form | PDF
  • Benchmark Employer’s First Report of Injury Form (Form 5020) Online Form | PDF
  • Benchmark DWC Notice to Employees Poster
    English Spanish

Medical Provider Network

MPN Applicant: Benchmark Insurance Company
MPN Network: Sierra MPN
MPN Approval Number: 48-6114880-2275
Contact Info: 800 957-2667 or email shlmpn@uhc.com.

Contact Information

Toll-Free:
(800) 362-5198


24-hour Emergency:
(800) 289-4502


Fax:
(909) 843-9156


E-mail:
firstreport@benchmarkadministrators.com

Address:
430 N. Vineyard Ave, Ste 230
Ontario, California 91764


Claims Manager:
Danny Thorn
(909) 843-9160
dthorn@benchmarkadministrators.com


President:
Dave Oakden
(702) 873-5115
doakden@scclaimslv.com