Louisiana Administrative Code › Title 37 - INSURANCE › Part I - Insurance and Related Matter › Subpart 1 - Insurance and Related Matters › Chapter 7 - Reporting of Claims › Section I-707 - Reporting of Worker's Compensation and Maritime Claims

Current through Register Vol. 50, No. 6, June 20, 2024
A. All claims must be reported as soon as
				  possible, but no later than the prescription period outlined in Book III, Title
				  24, Chapter 4 of the Louisiana Civil Code. In most cases, prescription periods
				  are one year. ORM will pay only for covered losses reported before one year
				  from the date of the accident or discovery date. Policy language clearly
				  states: "...you must see to it that we are notified as soon as practicable of
				  an "occurrence" or an offense which may result in a claim." Failure to report
				  potential claims as soon as possible severely limits the ability of ORM to
				  investigate the facts and may compromise the state's legal rights to
				  subrogation from a responsible third party.
B. The state of Louisiana provides insurance
				  coverage for worker's compensation and maritime claims.
C. All accidents or occupational diseases
				  involving state employees while in the course and scope of their employment
				  with the state are to be reported to the Office of Risk Management within five
				  days from the date of injury or knowledge. The forms used for this purpose are
				  the Employer's Report of Occupational Injury or Disease Form (E-1, completed at
				  the time of the accident), and the Pre-Existing Condition Form (E-2, which was
				  completed when hired). The Office of Risk Management will accept electronic
				  filing of the Employer's Report of Occupational Injury or Disease Form. Access
www.doa.louisiana.gov/orm
and
				  click on Agency Claims Reporting System.
D. Employer's Report of Occupational Injury
				  or Disease Forms can be obtained from the Office of Risk Management's web
				  address cited in the above paragraph. The Pre-Existing Condition Form can be
				  obtained from the Office of Risk Management, Claims Section, P.O. Box 91106,
				  Baton Rouge, LA 70821-9106.
E. A
				  copy of the Employer's Report of Occupational Injury or Disease Form and a copy
				  of the Pre-Existing Condition Form for a claim in which lost time exceeds seven
				  days, is to be submitted to the Office of Worker's Compensation Administration,
				  P.O. Box 94040, Baton Rouge, LA 70804-9040 within 10 days of actual knowledge
				  of injury or death.
F. All
				  Employer's Report of Occupational Injury or Disease Forms and Pre-existing
				  Condition Forms are to be accurately and completely filled out.
G. Information required to be submitted when
				  a worker's compensation claim is reported on the Employer's Report of
				  Occupational Injury or Disease Form includes:
1. agency's location code number (located in
				  a block below the Employer's Federal Tax I.D. Number);
2. the occupation of the employee, inclusive
				  of his/her classified or unclassified job title. A classified job title is to
				  include the civil service job classification code number;
3. an injured employee's weekly wages are to
				  be reported on the Employer's Report of Occupational Injury or Disease
				  Form.