Who will handle your claims?
The New Jersey Regional Claim Office will handle your Massachusetts claims, located at:
305 Madison Ave
P.O. Box 1973
Morristown, NJ 07962
Phone: (888) 890-1500
Jeff Van Dyk, Assistant Vice President
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 e-mail: crumandforsternol@cfins.com
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?
Posting Notice:
Prominently display the notice where each employee is likely to see the notice on a regular basis. The Massachusetts posting notice is available on the Crum & Forster website.
Employer’s Guide to Workers Compensation
Employer’s First Report of Injury form
Employer’s Wage Statement
File this form with the carrier, claimant, and claimant’s representative when the claimant is losing time from work.
Mass-Earning Report Form 126-rev
Supplemental Report of Injury & Instructions
Massachusetts does not have a supplementary form.
Waiting Period for Lost Wages in Massachusetts
The waiting period is 5 days. If the employee is off for more than 21 days, the first 5 days are paid retroactively.
Choice of Physician Rules in Massachusetts
The employee is entitled to the initial choice of physician.
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: https://www-sf.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
Mass. Dept. of Industrial Accidents- http://www.mass.gov/dia/
Multi-State Information- http://www.workerscompensation.com/