An Employers Guide to Reporting a
Job-Related Illness or Injury:
Workers’ Compensation coverage is
designed to pay for the medical expenses
and lost wages of an employee who has
been injured on the job. You have
purchased this important coverage to pay
for this employee benefit. We
understand that you want to provide
your employees with this benefit they are
entitled to, yet you may be
uncomfortable with some of the
mechanics involved in filing a claim.
This brochure is designed to assist you in
Before an Injury Happens:
¾ Guidelines for reporting need to be
explained to each employee at the
time of hire. An open dialogue
about the Workers’ Compensation
process will help you manage your
costs associated with injuries.
¾ We encourage you to distribute the
“Employees Guide to Workers’
Compensation Claims” brochure
included in this packet or on our
¾ Place Workers’ Compensation
posting notices at a prominent place
in your location.
When an Injury Happens:
It is important to notify MJ
Insurance/Sorority Division of an
accident or injury the same day you
become aware of it. This is important
for several reasons:
¾ Each injured employee should obtain
immediate medical attention if
¾ Each state has very strict time-frame
guidelines as to when a claim must
After an Injury Happens:
¾ Complete the “First Report of
Injury” as thoroughly as possible.
Call MJ Insurance/Sorority Division
for a copy of the form or visit our
website at www.mjsorority.com.
¾ Report all losses regardless of
whether you believe they are job-
related or not. You can voice your
opinions or concerns regarding any
claim directly to our department,
once the claim has been reported.
¾ Notify MJ Insurance/Sorority
Division with the information on the
“First Report of Injury.” You can fax
317-805-7580, email bev-
call toll free 888-442-7470.
The following items need to