- 601-924-2001 or 888-367-6722
- msba@msbaonline.org
Joining the MSBA Workers’ Compensation Trust (WCT) gives school districts and community / junior colleges several distinct advantages:
This form is required by the Mississippi Workers’ Compensation Commission and must be filed on all claims. It is often referred to as the B-3 form.
This form collects all of the required information for the B-3 but gives more room to write and is more user friendly. Either this form or the First Notice of Loss form above can be completed and submitted directly into the CorVel CareMC claims system.
This form may be used if there is a witness(es) to the incident. Information on the form helps the adjuster in investigating the claim.
This form must be signed so that the adjuster can get copies of the medical records and pay any bills MSBA is responsible for paying.
The form gives notification of the doctor chosen by the employee to render treatment.
This form goes with the employee to the doctor. It has a section to be completed by the doctor regarding work status.
This form allows an employee to receive a 14 day supply of medications with no out of pocket expense or co-pays. Injured employees should take this form with them to the pharmacy when filling their first prescription.
*These forms must be completed and faxed to CorVel at 1-866-434-4720.
To file a new worker’s comp claim, click here.
We know the least expensive accident is the one that never happened. There are a number of things that you can do to protect your district against losses. The MSBA Risk Management Program is designed to help you do just that. Some of these services include:
The MSBA will be working with you to identify the source of losses and what you can do to specifically target those areas. Participation in this program will help you control your losses and impact your insurance premiums, saving you money.
Members of the MSBA Workers’ Compensation Trust and Property & Casualty Trusts have access to a wide variety of on-site and online training courses such as:
