Reporting Non-Industrial COVID Cases

Gavin Newsom signed SB1159 into law on 9/17/20, requiring California businesses to report ALL positive COVID cases to their Workers’ Compensation carrier, whether industrial or non-industrial. The changes apply retroactively to July 6, 2020 and remain in effect until January 1, 2023.

  • Retroactive reporting: All positive COVID tests between 7/6/20 to 9/16/20 must be reported, whether it is an industrial or non-industrial COVID case.
  • Current and ongoing reporting: All positive COVID cases, whether industrial or non-industrial, between 7/6/20 and 1/1/23 must be reported within 3 business days of knowledge.

Workers’ Compensation COVID Specific Reporting Forms & Information:


AmTrust Insurance:  

COVID Tracking Form


Benchmark Insurance:  

COVID Tracking Form  |  Email to: nonwccovid@bmaclaims.com


BHHC:

COVID Tracking & Information for Policyholders  |  Email to: CovidReporting@bhhc.com


CompWest Insurance:

COVID Tracking Form  |   Email to: COVID19@AFGroup.com or Fax: 844-618-3636


Employers:  

COVID Tracking Form  |  Email to: reportaclaim@employers.com or Fax: 775-886-1725


Hartford:  

COVID Tracking Form (7/6/20 - 9/16/20)  |  COVID Tracking Form (9/17/20 - 1/1/23)  |  Resource Page  |  Email to: LossConnect@TheHartford.com or Fax: 800-347-8197


ICW: 

COVID Tracking Form  |  Email to: firstnotice@icwgroup.com or Fax: 858-436-8916


Midwest: 

COVID Tracking Form  |  Email to: caclaims@midins.com or Fax: 866.642.1234


Pacific Comp:  

COVID Tracking Form (7/6/20 – 9/16/20)  |  COVID Tracking Form (9/17/20 – 1/1/23)  |  Email to: COVIDREPORTS@pacificcomp.com


Preferred Employers: 

COVID Tracking Form  |  Email to: firstreport@peiwc.com or Fax: 866-921-7313


Republic Indemnity: 

COVID Tracking Report  |  Email to: SB1159@ri-net.com or Fax: 866-448-1159


State Fund:  

COVID Tracking Form  |  Resource Page  |  Email to: COVID@scif.com or Fax: 800-325-1284


The Zenith: 

COVID Tracking Form (7/6/20 – 9/16/20)  |  COVID Tracking Form (9/17/20 – 1/1/23)  |  Email to: COVID1159Reporting@thezenith.com


Travelers:  

COVID Tracking Form  |  Email to: covidexposure@travelers.com