What you need to know about reporting as an Insurance Adjuster. This option is used by someone who works for an insurance company that represents an injured Medicaid/OHP or TANF recipient or a Tortfeasor. The Submitter can be the adjuster or other employee of the insurance company. They will be the person we contact if we have questions and they receive the confirmation email after this form is submitted.
Why do we need your email address?
An email address is required because we send you a confirmation email that your submission has been received.
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