Form 108 Insurer's Complaint for Modification, Discontinuance or Recoupment of Compensation - Massachusetts

Form 108 Insurer's Complaint for Modification, Discontinuance or Recoupment of Compensation - Massachusetts

What Is Form 108?

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: Form 108 is the Insurer's Complaint for Modification, Discontinuance or Recoupment of Compensation in Massachusetts.

Q: What is the purpose of Form 108?A: The purpose of Form 108 is to allow an insurer to request a modification, discontinuance, or recoupment of compensation payments in a workers' compensation case.

Q: Who can file Form 108?A: Form 108 can be filed by the insurer or their attorney.

Q: When should Form 108 be filed?A: Form 108 should be filed when the insurer believes that there is a change in circumstances that justifies a modification, discontinuance, or recoupment of compensation payments.

Q: What information is required on Form 108?A: Form 108 requires information about the injured worker, the insurer, the nature of the request, and supporting documentation.

Q: Is there a fee to file Form 108?A: No, there is no fee to file Form 108.

Q: What happens after Form 108 is filed?A: After Form 108 is filed, the DIA will review the request and may schedule a hearing to determine whether a modification, discontinuance, or recoupment is appropriate.

Q: Can the injured worker respond to Form 108?A: Yes, the injured worker has the opportunity to respond to Form 108 and present their own evidence at the hearing.

Q: What should I do if I receive Form 108?A: If you receive Form 108, it is important to review it carefully and consider seeking legal advice to understand your rights and options.

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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 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.

Download Form 108 Insurer's Complaint for Modification, Discontinuance or Recoupment of Compensation - Massachusetts

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