Report and Manage Claims
What to do when an incident occurs
1Get medical treatment if necessary
If your employee’s need for treatment appears urgent — for example, bleeding profusely, unconscious or may be having a heart attack — get them to the nearest emergency room or call 911.
For non-emergency injuries, the Nurse Triage Hotline is available. Your employee can call 855.469.6877 (855-4MY-NURSE) to speak to a nurse specializing in workplace injuries. This service is accessible 24/7, offers English and Spanish-speaking nurses, and will start the claims process for you.
Note: If your employee needs medical treatment, you must approve treatment at a Medical Provider Network (MPN) facility within one working day after you receive a claim form from your employee. If your employee has pre-designated a personal physician to treat on-the job injury or illness, the employee should go to this physician.
2Complete California’s claim forms
Give form DWC1 to the injured employee within one working day after learning about the employee’s work injury or illness. The employee should complete the Employee section and return the form to you. Within one day of receiving the completed and signed form from your employee, complete the Employer section, provide one copy to the injured employee, and one copy to ICW Group. Keep a copy for your records.
To report a COVID-19 exposure
Senate Bill 1159 (SB-1159) provides outbreak definition guidance and requirements for reporting COVID-19 exposures. Use this online form to ensure you’re in compliance with this new California legislation.
3Submit applicable formsSelect one of these convenient ways to submit your forms. If you have questions feel free to call us 855.442.9252 (855.4.ICW.CLAIMS).
First Notice of Loss
PO Box 509039
San Diego, CA 92150