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Form 108-A Insurer's Request for Post-lump Sum Medical Mediation - Massachusetts
What Is Form 108-A?
This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 108-A?A: Form 108-A is Insurer's Request for Post-lump Sum Medical Mediation in Massachusetts.
Q: What does Form 108-A do?A: Form 108-A is used by an insurance company to request post-lump sum medical mediation in Massachusetts.
Q: Who can use Form 108-A?A: Insurance companies can use Form 108-A in Massachusetts.
Q: What is post-lump sum medical mediation?A: Post-lump sum medical mediation is a process to resolve disputes between an insurer and a claimant regarding medical expenses after a lump sum settlement has been reached.
Q: Is there a fee for filing Form 108-A?A: There is no fee for filing Form 108-A in Massachusetts.
Q: What happens after submitting Form 108-A?A: After submitting Form 108-A, the Division of Insurance will schedule a mediation session to help resolve the dispute.
Q: Are there any eligibility requirements for using Form 108-A?A: Yes, both the insurer and the claimant must agree to participate in the post-lump sum medical mediation process.
Q: Is Form 108-A mandatory?A: No, post-lump sum medical mediation is voluntary and either party can choose not to participate.
Q: Is legal representation required for using Form 108-A?A: Legal representation is not required, but either party may choose to have an attorney present during mediation.
Form Details:
- Released on July 1, 2019;
- The latest edition provided by the Massachusetts Department of Industrial Accidents;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 108-A by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
