Tools & Documents for Policyholders

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Duties Should Injury Occur

Type
PDF
Last Updated
2016-06-14

EFT/ACH Payment Installment Form

Type
PDF
Last Updated
2016-10-27

First Fill Program Pharmacy Card

Type
DOC
Last Updated
2016-06-14

Louisiana Claims Penalties

Type
PDF
Last Updated
2016-06-09

Louisiana Sample Drug & Alcohol Policy

Type
PDF
Last Updated
2018-01-30

New Policyholder LUBA Care Information Sheet

LUBA Care is a department within LUBA Workers’ Comp and, like our organization, is dedicated to developing relationships with our providers in order to ensure that you, our insured, have a list of options available for medical care. Our staff is available for any assistance or information you may need.

Type
PDF
Last Updated
2016-09-13

Prompt Return to Work Information Sheet - Policyholder

Prompt Return to Work (PRTW) is a team approach to getting an injured worker back to work as soon as possible. The team consists of the worker’s employer or supervisor, vocational rehabilitation counselor, LUBA’s claims adjuster, injured worker and the assigned physician.

Type
PDF
Last Updated
2016-07-19

Prompt Return-to-Work Program Booklet

At LUBA Workers’ Comp, our intent in regard to Prompt Return to Work (PRTW) is to create a situation which benefits all parties involved. A PRTW Program is an effective tool in helping us create such a situation. This program is designed to help facilitate the return of an injured worker to the workplace.

Type
PDF
Last Updated
2016-07-18

Vocational Rehabilitation Information Sheet

Vocational rehabilitation is a Workers' Compensation benefit designed to assist employers in returning their injured worker to work. This is defined as permanent or temporary employment and does not violate the restrictions imposed by the physician. All Vocational Rehabilitation Counselors used by LUBA Workers’ Comp are licensed by the Louisiana Licensed Professional Vocational Rehabilitation Counselors Board of Examiners.

Type
PDF
Last Updated
2016-03-17