Under the authority of the Department of Industrial Relations, Self-Insured Division, the JPA self-insures all work related injuries by levying a premium using a base rate and assigning an experience modification factor to each member to arrive at a net rate. Self-insured means that all members pay premiums based on their net rate times actual total wages, which is used to pay claims filed, claims administration and JPA administrative costs.

• All claims are to be faxed to LWP Claims Solution at 408-725-0395.
• Cal/OSHA - California Occupational Safety and Health Administration
• Covered Employee Notification of Rights Materials
• Employee’s Claim for Workers’ Compensation Benefits DWC-1 (PDF)
• Employer’s Report of Injury 5020 (PDF)
• Graphs/Presentations
• Claims Count
• Costs
• Safety/Awareness
• Fed/State Poster Update
• Family and Medical Leave Act Poster
• Federal Minimum Wage Poster
• Minimum Wage Poster
• Military Family Leave
• Injured Worker Packet
• InterWest Insurance Services, Inc. - Insurance Broker and Loss Control Services
• LWP Claims Solutions - Claims Management (Help with accessing claims)
• MPN Notification to Employees
• MPN Provider Directory
• New Hire MPN Packet

2011-12 Loss Control Training Calendar

FOR WORKSHOPS AND CUSTOM TRAINING contact
Michael Strech, Executive Director, 530.221.6444

Visit the MPN Network at www.wcs.anthem.com