About PRISM

Claims

Name Type Date ▲
WC Carve-Outs (ADR) Application (Word)
  • Forms
 docx May 8, 2020
WC Carve-Outs (ADR) Application (PDF)
  • Forms
 pdf May 8, 2020
WC Carve-Outs (ADR) Process
  • Forms
 pdf May 8, 2020
WC Reporting-Reimbursement-Authority Guidelines
  • Procedures
 pdf Feb 10, 2021
WC Reimbursement Request
  • Forms
 doc Feb 10, 2021
PWC/EWC Settlement Request
  • Forms
 doc Feb 10, 2021
EWC First Report
  • Forms
 doc Feb 10, 2021
EWC Status Report
  • Forms
 doc Feb 10, 2021
Liability File Closure
  • Forms
 pdf Aug 31, 2021
Liability Reserve/Pmt. Update
  • Forms
 pdf Aug 31, 2021
Med Mal Incident Notification
  • Forms
 pdf Nov 15, 2023
Medical Malpractice Claims Guidelines
  • Procedures
 pdf Feb 27, 2024
Aviation Claims Reporting
  • Forms
 pdf Apr 9, 2025
Defense Counsel Standards
  • Standards
 pdf Jul 1, 2025
Addendum B - Liability
  • Standards
 pdf Jul 1, 2025

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