Prosper

Independent School District

Attendance:

District Home

Workers' Compensation

Edwards Risk Management

Our Workers' Compensation Third Party Administrator

Lead Claims Adjuster: Monica Flores monica@edwardsrisk.com

Edwards Claims Administration

1004 Marble Heights Drive

Marble Falls, TX 78654

Phone: 1-800-575-2657

FAX: 1-830-693-2729

http://www.edwardsrisk.com

Comments (-1)
Texas Department of Insurance

https://www.tdi.texas.gov/wc/employee/index.html

Comments (-1)

Packet of Forms

Employee Workers' Compensation Packet - English

Workers Compensation Package - English.pdf 6.1 MB (Last Modified on Thursday at 1:45 PM)

Comments (-1)
Employee Workers' Compensation Packet - Spanish

Workers Compensation Package - Spanish.pdf 6.43 MB (Last Modified on Thursday at 1:45 PM)

Comments (-1)
Nurse or Supervisor Task List

Nurse or Supervisor Task List.pdf 457.95 KB (Last Modified on April 9, 2019)

Comments (-1)
ECA-1 Voluntary Use of Leave Form

ECA-1 Voluntary Use of Leave Form.pdf 139.07 KB (Last Modified on April 9, 2019)

Comments (-1)

Individual Forms (in packet)

Employee Acknowledgement Log

Employee Acknowledgement Log.pdf 332.26 KB (Last Modified on April 9, 2019)

Comments (-1)
Employee Injury Report Form - English

To be completed by Employee and submitted to Campus Nurse or Supervisor if not located on a Campus

Employee Injury Report - English.pdf 417.24 KB (Last Modified on April 1, 2019)

Comments (-1)
Employee Injury Report Form - Spanish

Employee Injury Report - Spanish.pdf 432.02 KB (Last Modified on April 1, 2019)

Comments (-1)
Employee Rights and Responsibilities - English

To be given to injured employee with the Injury Report

Employee Rights and Responsibilities English.pdf 1.24 MB (Last Modified on April 1, 2019)

Comments (-1)
Employee Rights and Responsibilities - Spanish

Employee Rights and Responsibilities Spanish.pdf 1.4 MB (Last Modified on April 1, 2019)

Comments (-1)
Health Care Provider Injury Notification Form

Billing information to take to any provider or facility that accepts Workers Compensation

Health Care Provider Injury Notification Form.pdf 597.53 KB (Last Modified on Thursday at 1:49 PM)

Comments (-1)
Suggested Locations

Suggested Locations for Workers Compensation.pdf 284.43 KB (Last Modified on April 9, 2019)

Comments (-1)
Key Information for Employees

Key Information For Employees.pdf 123.18 KB (Last Modified on April 9, 2019)

Comments (-1)

Michelle Benvie
Benefits Specialist

Phone: 469-219-2010 ext 12107

Fax: 469-219-2022

Email: mmbenvie@prosper-isd.net

Prosper

Independent School District

Benefits

Workers' Compensation

Edwards Risk Management

Texas Department of Insurance

Packet of Forms

Employee Workers' Compensation Packet - English

Employee Workers' Compensation Packet - Spanish

Nurse or Supervisor Task List

ECA-1 Voluntary Use of Leave Form

Individual Forms (in packet)

Employee Acknowledgement Log

Employee Injury Report Form - English

Employee Injury Report Form - Spanish

Employee Rights and Responsibilities - English

Employee Rights and Responsibilities - Spanish

Health Care Provider Injury Notification Form

Suggested Locations

Key Information for Employees

Michelle Benvie
Benefits Specialist

Phone: 469-219-2010 ext 12107

Fax: 469-219-2022

Email: mmbenvie@prosper-isd.net

Get In Touch

Prosper

Independent School District

Benefits

Workers' Compensation

Edwards Risk Management

Texas Department of Insurance

Packet of Forms

Individual Forms (in packet)

Michelle BenvieBenefits Specialist

Phone: 469-219-2010 ext 12107

Fax: 469-219-2022

Email: mmbenvie@prosper-isd.net

Get In Touch

Michelle Benvie
Benefits Specialist