National Liability & Fire Insurance Company

 

Connecticut MCP

 

 

 

 

 

 

We are pleased that you have selected National Liability & Fire Insurance Company as your Workers' Compensation insurer. In addition to secure coverage, we provide extensive value-added services.  Under this policy, you have chosen to be enrolled in a Managed Care Program (MCP), and we have partnered with Coventry Health Care (a Connecticut State Certified provider) to administer this program.  If a claim should happen to occur, our medical management activities are handled through another Berkshire Hathaway partner selected for this program.  To better acquaint you with the information and procedures you need to know, we provide the following important materials:

 

 

Employer Instructions

Once you've read and understood the Managed Care Plan reference flyer, complete and sign the Employer Application Form and Summary of Employer Responsibilities; send to:

 

National Liability & Fire Insurance Company

NL&F Processing
P.O. Box 113247
Stamford, CT 06911-3247
Attn: CT Managed Care Department

 

Upon receipt, we will review and process the application, including submission to the State.  A representative from the Connecticut Commissioner's office will visit you to confirm:  (1) your company is knowledgeable about the MCP; (2) you have access to Coventry's on-line managed care services and tools; and (3) your company has an established safety program and a return-to-work program.  Once these items have been successfully reviewed, your application will be approved.  Then, a Coventry representative will contact you to schedule an implementation date; we recommend choosing one within two weeks of the request.  Once set, you will receive an MCP certificate.

 

Upon certification, you should immediately initiate the MCP as outlined in the Employer Handbook.  As part of this process, you will need the Initial Employee Notice and Employee Training Acknowledgement Form, Employee Notice at Time of Injury, and On-line Directory of Managed Care Providers.  If you have any questions, do not hesitate to contact our office at 1-844-549-2512.