Workers Compensation Claim kit – Iowa

Who will handle your claims?
The Milwaukee Regional Claim Office will handle your Iowa claims, located at:

375 Bishops Way, Suite 225
Brookfield, WI 53005

Phone (800)242-4566
Jeanine Ramstack, Regional Director

How to Report Workers’ Compensation Claims?

To report 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 forms and pamphlets does the employer need to be aware of?

FROI – Employer’s First Report of Injury
An Employer’s First Report of injury must be filed with the workers’ compensation commissioner when an employee alleges an injury arising out of and in the course of employment, which results in time loss from work of more than three days, permanent injury or death. The report is to be filed with the workers’ compensation commissioner within four days of notice or knowledge of such alleged injury. 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 this form, and fax it to Crum & Forster at the fax number provided above.

Iowa-FROI-May 2015rev

What is the Waiting Period For Lost Wages in Iowa?
There is a 3 day waiting period in Iowa. If the employee is off work for14 days, the first 3 days are paid retroactively.

What are the Choice of Physician Rules in Iowa?
The employer provides medical care reasonably suited to treat the employee’s injury, and has the right to choose the medical care. If the employee is dissatisfied with the care offered, the employee should discuss the problem with the employer or insurance carrier. In certain situations the employee may wish to request alternate care. If the employer, or insurance carrier, does not allow alternate care, the employee (through appropriate proceedings) may apply to the workers’ compensation commissioner for alternate medical care. (85.27)

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:

Iowa Workers’ Compensation Website – http://www.iowaworkforce.org/wc/

Iowa WC Formshttps://www.iowaworkforcedevelopment.gov/forms-and-publications

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