Report a claim, check a claim status, access Nurse Triage, or report issues.

File a claim, check claim status, access Nurse Triage, or if you are a medical provider:

Toll-Free: 800-318-8870, ext. 1

WC Claims Staff
P&L Claims Staff

Claim Forms

Property and Liability
Property and Liability Loss Report
Equipment Breakdown Loss Report
Cyber Data Compromise Claim Report
Cyber Security Breach Report

Workers’ Compensation
Employer’s First Report of Injury
Employee’s Notice of Injury
Wage Statement
Prescription First Fill Information