My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
AEF SYSTEMS CONSULTING, INC. (2)
Clerk
>
Contracts / Agreements
>
A
>
AEF SYSTEMS CONSULTING, INC. (2)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2022 10:27:13 AM
Creation date
6/29/2020 3:27:23 PM
Metadata
Fields
Template:
Contracts
Company Name
AEF SYSTEMS CONSULTING, INC.
Contract #
N-2020-108
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Destruction Year
2026
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
73
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Reporting a Work -Related Injury is Time Sensitive! <br />Call The Hartford's LossConnect immediately to report a claim. <br />1-800-327-3636 <br />Available 24 hours a day, 365 days a year. <br />The Benefits of Timely Loss Reporting: <br />Research has shown that faster loss reporting significantly affects loss costs. The sooner we are notified, the sooner we <br />can investigate the accident and coordinate with you, the injured employee, and the medical team to ensure the fastest <br />possible return to health and work. <br />The Effect of Timely Reporting on Controlling the Cost of Your Loss: <br />Average Loss for Closed Claims <br />(Accident Years 2002-2005) <br />Report Lag in Days <br />Percent Change in Loss Costs <br />Compared to First Week Report <br />Incident Day <br />-6% <br />Week 1 <br />0% <br />Week 2 <br />13% <br />Week 3 or 4 <br />16% <br />1 Month or Later <br />24% <br />Statutory requirements also necessitate the prompt initial reporting of the accident causing <br />injury or death. Failure to comply may result in a fineable offense by the State. <br />Information You'll Need <br />Company Information <br />o Account Number <br />o Location Code (if applicable) <br />o Parent Company (or program name) <br />o Policy Number <br />Worker Information <br />o Name, DOB, Address, Phone <br />o Social Security Number <br />o Age, Gender <br />o Marital Status, Number of Dependants <br />o Hire Date, Years in Current Position <br />o Wage Information <br />Incident Information <br />o Type of injury (burn, cut, etc.)? <br />o Exact body part injured? <br />o What caused the accident? <br />o Any reason to question the injury? <br />o Any witnesses? <br />o Address where injury occurred? <br />o Where was the injured employee treated? (Provide <br />name, address, phone of medical provider.) <br />o When was the accident reported to you and by <br />whom (date, time)? <br />Network Providers <br />A listing of more than 400,000 network providers qualified to treat work -related injuries is available online at <br />www.talisl)oint.com/hartext or by calling our Network Referral Unit at 1-800-327-3636 (select 4 at the prompt). Since <br />network referrals are often impacted by state specific rules, please call to learn how to maximi <br />on behalf of your employees. to k <br />Form WC 66 03 84 Printed in U.S.A. <br />REVIEWED APPROVED By., <br />® Risk Management Analyst <br />
The URL can be used to link to this page
Your browser does not support the video tag.