Innovative Risk Concepts, Inc.

New York State Workers' Compensation Safety Group Managers


Call Toll-Free 1-800-652-2015

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Workers' Compensation Safety Group Program Managers

Safety Group 568 - New York State Building Service Contractors' Trade Group

Safety Group 569 - New York State Medical Arts Trade Group

Safety Group 575 - New York State Veterinarians' Trade Group

Group 90 - General Pool

Workers' Compensation Claims Forms

Please Note: As of March 2014 all Reportable Workers' Compensation Claims being submitted by NYSIF Policyholders will need to be submitted via eFroi, C-2 Forms will no longer be accepted

Claimant Information Packet (Updated October 1, 2016)

An employer must provide any employee who is injured or becomes ill on the job with a Claimant Information Packet. This packet contains important information for the claimant and forms that must be completed by the claimant.

Workers' Compensation Incident Report

For non-reportable workers' compensation claims, Innovative Risk Concepts, Inc. asks policyholders to complete and keep on file a Workers' Compensation Incident Report.   

eFroi (Report a Claim)

All reportable Workers' Compensation Claims are to be submitted using the Electronic First Report of Injury or eFroi system. Once completed, all claims will automatically be submitted to NYSIF and the Workers' Compensation Board.

Additional Claims Forms

All Workers' Compensation Claims Forms for Employers, including C-11, C-107, and C-240 Forms, can be found on the NYSIF Website, as well as Workers' Compensation Claims Forms for Claimants and Medical Providers.