Web13 Jul 2009 · The Form 44 is to be completed by a workers’ compensation insurance carrier seeking reimbursement from the state Second Injury Fund. Once both the carrier and the Fund agree on the figures and sign the form, it is sent to the Commission for approval. [NOTE: Read Memorandum No. 2004-04 for complete instructions regarding the filing of … WebThe Division of Coal Mine Workers' Compensation, or Federal Black Lung Program, administers claims filed under the Black Lung Benefits Act. The Act provides compensation to coal miners who are totally disabled by pneumoconiosis arising out of coal mine employment, and to survivors of coal miners whose deaths are attributable to the disease. …
Workers Compensation Coverage Verification
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MSF - Provider Documents & Forms - Montana State Fund
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