Montana Accident Report For Workers Comp Compliance

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Multi-State
Control #:
US-FR-W-1
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PDF
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Detailed accident report for Employer's records and use with Insurance Company for Accidents that fall under the Workers' Compensation laws.
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FAQ

Base Rate: $5.03. Employer payroll: $100,000. Premium calculation: $5.03 per $100 of employer payroll (or 5.03% of payroll) Estimated annual premium: $5,030.00.

You may receive weekly compensation of 66 2/3 percent of your wages at the time of injury up to the maximum rate (see chart below). Again, these benefits are generally payable after four days or 32 hours of wage loss (whichever is less).

How does workers' compensation work in Montana? Workers' compensation insurance covers the cost of medical care for work-related injuries and occupational diseases. It also provides wage-loss benefits while the employee recovers, typically equal to two-thirds of their gross wages.

Montana State Workers' CompYou can purchase workers' compensation through the Montana state fund or through a private insurance company, like us. Purchasing coverage through a private insurance company can give you more workers' compensation benefits. To learn more, get a quote today.

EMPLOYER: Report the injury or illness to the WSIB by submitting Form 7 within 3 days after learning of your worker's injury or illness (as required by the Workplace Safety and Insurance Act).

The Workers' Compensation Section is responsible for regulating Workers' Compensation carriers within the state of Montana. Claims Assistance: Ensures compliance with the Workers' Compensation Act relating to benefits and claims.

Employers can submit their FROI to their workers' comp insurer or the Montana State Fund (MSF) via phone, fax, mail or online (see contact information below). The insurer will then have 30 days to accept or deny your claim.

A claim for workers' compensation benefits may be submitted by the employee, or by a personal representative if the employee is unable to submit the claim. Accident or injury claims must be submitted to the insurer within 12 months from the date of the accident.

More info

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Montana Accident Report For Workers Comp Compliance