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Board Rule 61b39 Form Wc244reimbursement Request Of Group Insurance Carrierdisability Benefits Provider

A group insurance carrier or disability benefits provider which requests reimbursement of disability benefits shall file this form during the pendency of a claim, and serve a copy on all counsel and unrepresented parties.

  • Form WC-244/Reimbursement Request of Group Insurance Carrier/Disability Benefits Provider

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