YCPARMIA

• Home
• Member Portal
• Safety Training/Classes
• Video Library
• Safety Journal & Policy Templates
• Workers Comp/ MPN
• Risk Management
• Special Events
• Agendas/Minutes
• Board of Directors
• Transparency Documents
• Links
• Contact Us
• Anonymous Reporting Tool
• Job Opportunities

Workers' Compensation and Medical Provider Network Resource Page (MPN)

This page is a resource tool for our Workers' Compensation and the Medical Provider Network. For questions regarding Workers' Compensation, please contact Lorene Leathers at lleathers@ycparmia.org.

 

WORKERS' COMPENSATION

Notices/Forms:

• DWC7: Notice to Employees - Injuries Caused by Work (English & Spanish)
• Employee MPN Notification (English & Spanish)
• DWC1 Form: Workers' Compensation Claim Form (English & Spanish)
• 5020 Form: Employer's First Report Of Injury (English & Spanish)
• First Fill Pharmacy Card (English & Spanish)
• Predesignation Form: Designating your personal physician

 

MEDICAL PROVIDER NETWORK

The following can be found by clicking this link: www.lwpclaimsplatinummpn.com

• Medical Access Assistant
• MPN Contact
• Report Inaccuracies
• Obtain MPN Notifications

The Medical Access Assistant is available to assist you Monday through Saturday from 7am-8pm (Pacific).