MEMORANDUM   
 
TO: MEMBERS OF THE GEORGIA SELF-INSURERS GUARANTY TRUST FUND
 
FROM: JACK REALE, ADMINISTRATOR  

RE: IMPORTANT CHANGES TO THE MEMBER INFORMATION UPDATE FORM

DATE: DECEMBER 1, 2007    

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Per the order of the State Board of Workers’ Compensation please note the following changes to the 2008 Member Information Update Form:

Regarding question

#16 for (Active Members)&  
#14 for (Canceled members): 

  •  All members are now required to submit a loss run by claimant noting the reserve for that particular claim. 

Regarding question

#15 for (Active Members)&  
#12 for (Canceled Members): 

  • The total amount of indemnity paid in Georgia should include indemnity payments made in conjunction with lost time and indemnity only claims as well as any settlements. 

Should you have any questions, please do not hesitate to contact us at the number listed above.

Thank you in advance for your cooperation


1918211/
10708-16211