Accidents happen. We’re here to help you.
Did you get injured on the job? If so, KEMI is ready to work with you and provide the highest standard of care available throughout your claim. We believe that starts with offering claimants a clear picture of how our claims process works.
Report an incident or illness immediately.
Receive initial medical treatment.
Return to work and continue approved treatment if needed.
Close the claim.
The Claim Process
KEMI policyholders are responsible for reporting injuries or illnesses in a timely manner; however, the claimant may submit his or her own First Report of Incident using the IA-1 First Report of Incident form.
Once a work-related incident is reported to KEMI, our Claims Team will move into action by reviewing the information and ensuring the claimant receives the care they deserve.
Once we’ve reviewed the First Report of Incident, we will gather additional information and determine appropriate benefits if the claimant is expected to miss work or needs ongoing treatment from a provider in our network. If the claimant is able to return to work with restrictions, we will work with the policyholder to make those accommodations if possible.
As part of our commitment to you, we want to help you return to work as quickly and safely as possible.
KEMI has a zero-tolerance policy on workers’ compensation fraud to protect our policyholders and their employees.
Submitting a First Report of Incident
KEMI policyholders are responsible for reporting injuries or illnesses in a timely manner. However, a claimant may submit a First Report of Incident using the IA-1 First Report of Incident or Illness form. Find details below in Frequently Asked Questions > How do I report an incident?
Forms & Resources for Claimants
After a claim is filed with KEMI, we will request additional information from a claimant. Use the forms below to help expedite your claim.
- Direct Deposit
- Direct Deposit (Spanish)
- Medical Waiver & Consent Form (Form 106)
- Notice of Designated Physician (Form 113)
- Claimant Reimbursement Form (Form 114)
- KEMI Contact Card
KEMI works closely with the Occupational Managed Care Network (OMCA) to provide quality care for work-related injuries.
Frequently Asked Questions
Workers’ compensation insurance (workers’ comp) is a form of accident insurance paid by employers which covers an employee’s medical expenses and lost wages if they are injured on the job or acquire a work-related illness.
Work-related injuries and illnesses should be reported to KEMI immediately. Kentucky law states that policyholders must report injuries or illnesses to us within three (3) working days of receiving notification of the incident or alleged incident.
The policyholder is responsible for reporting the injury to KEMI in a timely manner; however, the injured worker may submit his or her own First Report of Injury.
An injured worker may report a claim by submitting the First Report of Injury or Illness, or IA-1 form, and faxing it to 859-425-7822 or mailing to the address below:
ATTN: Claims Unit
P.O. Box 12500
Lexington, KY 40583-2500
To report a claim by phone, call 1-800-640-KEMI (5364) or 859-425-7800 during business hours (Monday – Friday from 8 a.m.-5 p.m.).
Still have questions?
If you have a claims question, give us a call at 1-800-640-KEMI (5364) or 859-425-7800. You may also use the contact form here.