Claims Kit
Alaska
Forms
State Compliance Information
Penalties for Late Reporting Sec. 23.30.070
Failure to file Report Of Occupational Injury Or Illness within the required time may subject the employer and/or the insurer to a penalty equal to 20 percent of the amount of compensation due to the injured worker. Also, the Statute of Limitations does not begin to run until the report is filed.
Posting Requirements AS 23.30.060
The notice must be posted and kept on the premises of the employer or on the premises where the employer's operations are being carried on in three conspicuous places, at the office of the employer, at the mess house or boarding house if there is one, and in some conspicuous place on the premises or works. The notice must be substantially in the form described in the statute, and the signature must be witnessed by two witnesses.
An employer is conclusively presumed to have elected to pay compensation directly to employees until notice is posted.
Employer's Notice of Insurance
Reporting of Claim by Employer Sec. 23.30.070
Within 10 days from the date the employer has knowledge of an injury or death or from the date the employer has knowledge of a disease or infection, alleged by the employee or on behalf of the employee to have arisen out of and in the course of the employment, the employer must file with the division the Report Of Occupational Injury Or Illness.
Physician Selection AS 23.30.095
The employee may choose a licensed doctor to treat the injury (including a licensed medical doctor, surgeon, chiropractor, osteopath, dentist, or optometrist).
Change of physician
The employee may change their treating doctor once, but should let the insurer know before changing. If the doctor sends the employee to a specialist, this doesn't count as a change of doctors. If the employee wants to change to a third doctor, they MUST get the insurer's written agreement. If they change doctors more than once without the insurer's written agreement, they may have to pay the doctor's bills.
Posters & Brochures
Documents Provided by CopperPoint
Portal User Help
Pharmacy First Fill - ENG/SPA
Change of Address
Witness Statement - ENG/SPA
Accident Report - ENG/SPA
Gramm-Leach-Bliley Act (GLBA) Privacy Notice
Return To Work
Return To Work Transitional Employment Offer Template - ENG/SPA
Return To Work Policy Guide
Injured Workers Guide
The worker's compensation system can be complicated, and each state has its own laws regarding workers' compensation.
The information contained in your state's guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers' compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers' compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers' compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
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Claims Kit Contents
CopperPoint Insurance Company
PO Box 36070
Phoenix, AZ 85067
Phone: 800.231.1363
For Claim Reporting, please complete your First Notice of Loss and email to reportaclaim@copperpoint.com