WORKERS’ COMPENSATION Claim Kit – Georgia

Who will handle your claims?

The Orlando Claim Office will handle your Georgia claims, located at:

1035 Greenwood Blvd.
Suite 265
Lake Mary, FL 32795

Phone (800)423-3060
Rose Powell, Manager

How to report Workers’ Compensation claims?

To report via the Internet: Log on to the Crum & Forster website at https://cfconnect.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum & Forster Claims or Marketing resource.

To report via e-mail:                                     [email protected]
To report via fax:                                           1-877-622-6218
To report claims via telephone:                 1-800-690-5520

(7 day/24 hour toll free reporting line for all states)

  • In the event of a serious or fatal injury, notify the local claim office immediately by telephone.

What are the Reporting Requirements? What forms does the employer need to be aware of?

Employer Information
Click on the link for information as to how the Georgia Workers’ Compensation law applies to employers.
http://sbwc.georgia.gov/employer-information

WC-6 Wage Statement

GA-WC-6-Wage Statement 12.18

WC-1 Employer’s First Report of Injury or Occupational Disease
If you report the claim via the Internet or by telephone, you do not need to fill out this form. If you report the claim via Fax, complete the form, and Fax it to C&F at the Fax number provided above

GA-WC-1FROI 12.18

Posting Bill of Rights and Panel of Physician Notices:
The Bill of Rights and the Panel of Physicians must be posted together.

GA-WCBOR-SPN Rev 7.19

GA-WC-BOR-ENG Rev 7.19

GA Physician Notice – Spanish

GA Physician Notice – English

Posting Bill of Rights and Panel of Physician Notice: Failure to post the Bill of Rights and Panel of Physician Notices could result in fines and penalties in the state of GA. If the Bill of Rights and Panel of Physician Notices are needed, then please contact C&F at [email protected]

Medical Care for Injured Employees
The employer must place in a prominent place a panel of physicians. The panel shall consist of at least six non-associated physicians that include an orthopedic physician. This panel shall include a minority physician, where feasible. The panel will be prepared and e-mailed to you as soon as the physical address for each insured location is received and the panel prepared.

What is the Choice of Physician Rules in Georgia?
Mandatory posting of approved physician panel. Panel must be posted in conspicuous location where all employees’ can view.  If the panel is not posted the injured worker has the ability to treat with any doctor of their choice. The injured worker is entitled to a one time change in treating doctor; selection to be made from the posted panel if the panel was posted at the time of the loss.

What is the Waiting Period for Lost Wages in Georgia?
The waiting period for lost wages in Georgia is 7 days. If the employee is off for more than 21 days, the first 7 days are paid retroactively.

Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at:   www.talispoint.com/conduent/cfi

  • Search by Provider Address, Name or Region
  • Select the Distance, Provider Type and Specialty
  • Results can then be exported to a directory or excel.
  • You can obtain a Map List or text message by selecting a specific provider

Where should all medical bills be sent?

Crum & Forster
PO Box 14801
Lexington, KY 40512

Important Websites

Click on this link for the Georgia State Board of Workers’ Compensation:  http://sbwc.georgia.gov/

Multi-State Information: http://www.workerscompensation.com/