If your business is a FUBA Workers’ Comp policyholder and one of your employees is injured on the job, please follow these instructions.
If immediate medical attention is required:
Direct the injured employee to the nearest urgent care clinic or emergency facility. Then report the injury within 24 hrs.
If immediate medical attention is not required:
Report the injury as soon as possible to have a claims adjuster assigned who can authorize medical treatment.
Florida law requires all workplace injuries be reported within 7 days. If injuries are not reported timely, the State of Florida can fine you up to $2,000.
To report a workplace injury:
Information needed to report a workplace injury:
- Workers’ comp insurance policy number
- Policyholder contact information – name, phone number, address, email
- Employee information – name, date of birth, contact info, date of hire, SSN, job description
- Description of the accident
- Date of accident
Please contact FUBA with any questions by calling 888-262-4483 or emailing firstname.lastname@example.org.
Claims service provided by Service Lloyds Insurance Company
Provider bill payment address:
Service Lloyds Insurance Company
PO Box 26850
Austin, TX 78755