Illinois Midwest Insurance Agency, LLC

ProCentury Insurance Company

National Casualty Company

Billing Information

Payments can be processed as follows:

In the Event of an Employee Injury

  • Get your injured employee medical attention immediately by:
  • Calling 911 (if needed).
  • Providing first aid (if trained staff is available).
  • Taking or sending the injured employee to a Medical Provider Network (MPN) facility if he or she has not predesignated a physician.
  • Employees who have predesignated can be sent to their personal physician.
  • Employees who have predesignated can be sent to their personal physician.

Search for an in-network medical provider here:

https://www.viiad.com/anthemcompass/KBMIDWEST000/app/home.asp


Claim Reporting
Report your workers compensation claim directly to Midwest Insurance as follows:

By Phone
California:         (866) 642-2567
Other States:     (800) 293-0616

By Fax
California:         (866) 642-1234
Other States:     (217) 726-6943

Online
www.midins.com/ClaimsServices.php
Requires Registration


Claim Forms
Workers Compensation Claim Form – to be completed out by the employee and employer
Employer’s Report of Occupational Injury or Illness– to be completed by the employer/policyholder