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Workers' Compensation Program

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Lane Oswalt
Insurance Marketing and Risk Services Manager

  
Workers Comp


Joining the MSBA Workers' Compensation Trust gives school districts and community/junior colleges several distinct advantages:

  • participation in a group whose members have similar risks
  • control by a Board of Trustees representing participants
  • Loss Control / Safety Seminars designed for school districts
  • FREE step-by-step Loss Control Manual which shows specifically how to handle various school situations
  • professional claims management
  • sound Investment of premium dollars
  • commitment to participants for lower premiums as loss experience permits

The governing body for the WCT is made up of trustees elected by MSBA Workers' Compensation Trust members in the state. This board decides policy issues and sets the direction for the self-insured group.

For general information, call Anissa Young at MSBA toll free, 1-888-367-6722. Email Anissa at ayoung@msbaonline.org .

 

  
Forms

Workers' Compensation Claims Reporting Forms

These forms are to be completed and filed on all claims.

  • First Notice of Loss
    This form is required by the Mississippi Workers' Compensation Commission and must be filed on all claims. It is often referred to as the B-3 form.
  • MSBA First Report of Injury or illness
    This form collects all of the required information for the B-3 but gives more room to write and is more user friendly. Either this form or the First Notice of Loss form above can be completed and submitted directly into the CorVel CareMC claims system.
  • Witness Statement*
    This form may be used if there is a witness(es) to the incident. Information on the form helps the adjuster in investigating the claim.
  • HIPAA Authorization*
    This form must be signed so that the adjuster can get copies of the medical records and pay any bills MSBA is responsible for paying.
  • Notice of Physician Choice*
    The form gives notification of the doctor chosen by the employee to render treatment.
  • WC Exam and Work Status*
    This form goes with the employee to the doctor. It has a section to be completed by the doctor regarding work status.
  • Pharmacy First Fill Form
    This form allows an employee to receive a 14 day supply of medications with no out of pocket expense or co-pays. Injured employees should take this form with them to the pharmacy when filling their first prescription.

For additional information about these forms, please contact Anissa Young, ayoung@msbaonline.org or 888-367-6722.

*These forms must be completed and faxed to CorVel at 1-866-434-4720.

  
Risk Management

 
We know the least expensive accident is the one that never happened. There are a number of things that you can do to protect your district against losses. The MSBA Risk Management Program is designed to help you do just that. Some of these services include:

  • draft policies
  • regional risk management/loss control training sessions
  • loss data analysis to identify trends causing losses
  • safety recommendations to specifically address losses

The MSBA will be working with you to identify the source of losses and what you can do to specifically target those areas. Participation in this program will help you control your losses and impact your insurance premiums, saving you money. Contact Anissa Young (ayoung@msbaonline.org), Insurance Program Manger for details at 888-367-6722 or 601-924-2001.

Click here for a list of Training Topics.

  

 

Anissa Young
Insurance Program Manager

 

 

Wednesday, November 22, 2017 MISSISSIPPI SCHOOL BOARDS ASSOCIATION
489 Springridge Rd., P.O.Box 203, Clinton, MS 39060
Phone: 601-924-2001   Fax:601-924-2003   Toll Free:888-367-6722