We provide coverage for workers’ compensation losses incurred under the State of California Workers’ Compensation Law and Statutes and within the limits of program coverage. FRMS claims are handled by our Third Party Administrator, Athens Administrators.
FRMS retains the first $750,000 of each loss for workers’ compensation and employer’s liability and shares the risk among the members. The workers’ compensation program also extends to include excess coverage above the pool’s threshold through the Local Agency Workers’ Compensation Excess Joint Powers Authority (LAWCX), up to statutory coverage limits. Specific coverage includes:
1. First Layer Excess Coverage provided through LAWCX – $750,001 to $5,000,000 (including 4850 benefits).
2. Second Layer Excess Coverage provided through LAWCX through the Public Risk Innovation, Solutions, and Management (PRISM) – $5,000,001 to statutory coverage limits.
For more information about this program, as well as additional layers of excess coverage in place, please contact our staff.
WC Forms & Documents
Claims Reporting requirements and loss forms can be found on this page. Please review all information and follow the procedures as described. Information contained on this page is in addition to following your district’s procedures for reporting and responding to an incident. You should alert local emergency authorities as appropriate.
We provide coverage for workers’ compensation losses incurred under the State of California Workers’ Compensation Law and Statutes and within the limits of program coverage. FRMS claims are handled by our Third Party Administrator, Athens Administrators.
FRMS retains the first $750,000 of each loss for workers’ compensation and employer’s liability and shares the risk among the members. The workers’ compensation program also extends to include excess coverage above the pool’s threshold through the Local Agency Workers’ Compensation Excess Joint Powers Authority (LAWCX), up to statutory coverage limits. Specific coverage includes:
1. First Layer Excess Coverage provided through LAWCX – $750,001 to $5,000,000 (including 4850 benefits).
2. Second Layer Excess Coverage provided through LAWCX through the Public Risk Innovation, Solutions, and Management (PRISM) – $5,000,001 to statutory coverage limits.
3. Employer’s Liability Coverage (through LAWCX) – $5,000,000.
For more information about this program, as well as additional layers of excess coverage in place, please contact our staff.
WC Forms & Documents
Claims Reporting requirements and loss forms can be found on this page. Please review all information and follow the procedures as described. Information contained on this page is in addition to following your district’s procedures for reporting and responding to an incident. You should alert local emergency authorities as appropriate.
WC Claims Manual
Memorandum of Coverage 2024/2025
General WC Forms and Postings
WC Claim Form (DWC-1)
Form 5020
Prescription Drugs Program – myMatrixx
What is the Employer’s Date of Knowledge?
Safety vs. Non-Safety
Return-To-Work Program
Legislative Updates
Jarvis
Report a Workers’ Compensation Claim
(925) 826-1236
Employment Hotline
Brian Egan, Attorney at Law, Laughlin, Falbo, Levi & Moresi
(800) 339-2224