Be sure to give your insurance company all the information it needs, or your claim may be delayed. This Pennsylvania Commercial Auto form provides coverage details and limits for businesses.We have compiled links for the most common downloadable forms, guides, and applications with regard to workers' compensation in Pennsylvania. To establish an LLC in Pennsylvania, a Certificate of Organization is required to be filed with the. Form LIBC-344 First Report of Injury (FROI). As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. The MassHealth Premium Assistance program reimburses eligible MassHealth members for some or all the premium cost of eligible private insurance. PA Health and Wellness provides quality Medicaid and health insurance plans in Pennsylvania. For an alphabetical list of licensed insurance companies, click on the desired starting letter of the company name. LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . .