Montana Electronic Prior Claims (EPC) History Access Agreement

State:
Montana
Control #:
MT-SKU-0610
Format:
PDF
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Description

Electronic Prior Claims (EPC) History Access Agreement

The Montana Electronic Prior Claims (EPC) History Access Agreement is a contract between the Montana Department of Labor & Industry (DLI) and an authorized user. The agreement allows the authorized user to access and view information regarding prior claims filed with the DLI. It also outlines the rights and responsibilities of the user, including but not limited to confidentiality, security, and the use of data. There are two types of Montana Electronic Prior Claims (EPC) History Access Agreement: 1) the Montana EPC History Access Agreement for Employers, and 2) the Montana EPC History Access Agreement for Insurers. The Montana EPC History Access Agreement for Employers is intended for employers and authorized representatives of employers who wish to access prior claims history from the DLI. It outlines the rights and responsibilities of the employer, including the use of data, security, and confidentiality. The Montana EPC History Access Agreement for Insurers is intended for insurers and authorized representatives of insurers who wish to access prior claims history from the DLI. It outlines the rights and responsibilities of the insurer, including the use of data, security, and confidentiality.

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FAQ

We recommend reporting the injury online. If you are unable to report online, call us at 800-332-6102 and a Customer Service Specialist will complete the First Report of Injury form with you over the phone.

In Montana, work comp may be obtained in three ways: self-insurance, private company, or from Montana State Fund. Work comp is solely funded by premiums paid by employers based on the amount of payroll they pay in the various job categories or class codes. Each class code has a work comp rate associated with it.

You may receive weekly compensation of 66 2/3 percent of your wages at the time of injury ? up to the maximum rate (see chart below).

Form ERD-991 First Report of Injury or Occupational Disease (FROI). (click link above) Employees must submit a written and signed First Report of Injury (FROI) within 12 months from the date of their accident or occupational disease. They can submit this form to you, EMPLOYERS or the Department of Labor and Industry.

In Montana, work comp may be obtained in three ways: self-insurance, private company, or from Montana State Fund. Work comp is solely funded by premiums paid by employers based on the amount of payroll they pay in the various job categories or class codes. Each class code has a work comp rate associated with it.

When applying for workers' compensation in Montana, timing is important. First, an injured employee must report an accident to their employer within 30 days. Then, Montana law requires employers to file a First Report of Injury (FROI) form within 6 days of being notified by the injured worker.

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Montana Electronic Prior Claims (EPC) History Access Agreement