Administration & Information, Dept. of

Local Government Self-Insurance Program

Chapter 6: Procedure for Claim Filing and Notification

Effective Date: 07/20/1989 to Current

Rule Type: Current Rules & Regulations

Reference Number: 006.0003.6.07201989

CHAPTER VI

PROCEDURE FOR CLAIM FILING AND NOTIFICATION

Section 1. Claim Procedure. Nothing in these rules or the certificate of participation shall be deemed to obviate the necessity of compliance with W.S. 1-39-113 through W.S. 1-39-115.

Section 2. Local Government Responsibility.

(a) The local government shall notify the Division in writing within ten (10) days of occurrence or knowledge of occurrence of any accident, occurrence or loss which could reasonably be assumed would produce a liability claim. (See Item "c"). For accidents or occurrences involving bodily injury, the Division should be notified as soon as practical by phone, followed by the required written notice.

(b) The local government shall forward the original notice of claims or lawsuit to the Division immediately following receipt, designating:

1. (i) the date received by the local government representative upon whom notice was served and;
2. (ii) If personally presented, by whom and date served;
3. (iii) If by mail, date received;
4. (iv) Any and all correspondence received from the party submitting the claim.

(c) The local government shall also prepare and forward to the Division, at the same time, a written narrative, stating:

1. (i) Time, place and circumstances giving rise to the claim or occurrence;
2. (ii) Identity, address and phone number of persons involved, including any witnesses;
3. (iii) Statements of circumstances from employee(s) involved in or witness to the accident; and
4. (iv) Name, title, address and phone number of local government representative that will be available for further contact.

(d) No local government has the authority to obligate funds of the self insurance account.

(e) Notices and reports are to be sent to:

DAFC Purchasing & Property Control Insurance Section 324 E Emerson Building Cheyenne, WY 82002-0060

Section 3. Division's Responsibility.

(a) Upon receipt of claim, the Division will review the claim. If a claim or portion of a claim is not covered by the provisions of statute or certificate the Division will notify the participant in writing.

(b) The division reserves to itself the right to assign claims or lawsuits to an assigned adjuster or attorney.