Claim Reporting |
Claim Reporting for Primary Lines - pdf (Excludes Productivity Edge) |
Claim Reporting for Construction - pdf (Excludes Productivity Edge) |
Report Claims Online - pdf Website (Excludes Productivity Edge) |
USL&H - pdf |
Productivity Edge - If you are enrolled in Productivity Edge, please report your claim through the Nurse Triage phone number. |
Claim Reporting Questions |
Workers' Compensation - Loss/Medical - pdf |
Workers' Compensation - Notice Only - pdf |
Workers' Compensation - Construction - pdf |
State Forms |
Employer's Report of Occupational Injury or Illness - pdf |
DWC-1 - pdf effective 1/1/2016 |
DWC-7 - pdf Posting Notice effective 1/1/2016 |
Claim Information |
IntelliRisk®: Basic Claim Information / Loss Runs - pdf Website |
IntelliRisk® Advanced: Risk Management Information Services / Advanced Claim Analysis & Reporting - pdf Website |
AIG Workers' Compensation Claims Capabilities - Website |
AIG Go WC Information - pdf Employer Injured Worker Website |
Claim Office Addresses - pdf |
Medical Treatment |
Medical Management Networks - pdf |
Medical Provider Network (MPN) Letter - pdf |
Medical Provider Network (MPN) Handbooks - Primary Select |
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**If enrolled in Productivity Edge, use the website that was provided at time of enrollment. |
Cost Containment Information |
Return to Work - pdf - English Spanish |
Time of Hire - docx - English Spanish |
Medical Management Regulatory Update - pdf |
State Legislative Issues - pdf |
Pharmacy Information |
Pharmacy Benefit Network Letter - pdf |
Pharmacy Benefit Network Brochure - pdf |
Pharmacy Benefit Network Poster - pdf |
Pharmacy Benefit Management Program - pdf - English Spanish |
Pharmacy First Fill Program - pdf - English Spanish |
Mail Order Pharmacy Program - pdf |
Additional Resources |
State of California Department of Industrial Relations - Website |
Occupational Safety & Health Administration - Website |
AIG Claim Advantages - pdf |