Self-Insured Employers

First Report of Injury

• Confirm First Report Filing
• EDI page

Forms

• Self Insured Forms
• TPA Application

General Information

• Final Medicare Guidelines
• Mileage Rates
• Information on PPI & Weekly Benefits
• PPI Guide
• PPI Calculation Worksheet
• PPI Adjuster Portal User Guide

Lists

• Self-Insured List
• Small Business Aid (Amish Employers) List

Worker's Compensation Code

• Indiana Administrative Code
• Indiana Work Comp Code
• Legislative Changes

Additional Information

• 2nd Injury Fund
• Board Memos
• Independent Contractors
• Posters