Claim Reporting Information

Please report all Workers’ Compensation claims within 72 hours (or 24 hours in the vent of a major injury or death) to avoid fines and penalties as determined by the State Department of Labor. Worker’s Compensation claims need to be reported on a WC-1 form. Please report all other claims including but limited to General Liability, Business Auto, and Property as soon as practical. Please make sure that your incident report includes at a minimum the following information; date of loss, location of loss, brief description of incident, claimant’s name & contact information, description of injuries (if any), description of damaged property, other insurance information, and policy report number (if any). We have also provided some generic incident reports for your use.

In the event of a lawsuit, prompt handling is critical due to the time constraints of the legal system for responding to complaints & summons. When a lawsuit is received, it should be promptly submitted to you Monarch Agent and/or Account Manager for further assistance for review and transmittal to the appropriate insurer for handling.

If a Monarch team member can not be reached and the incident requires immediate reporting, you can also use the direct reporting service offered by our carrier partners.

Insurance Carrier Claims Contact Information

Island Insurance Company
Toll Free 888-312-2525
Local 808-564-8222
Fax 808-275-8222
Email clmrpt@islandinsurance.com

First Insurance Company
Toll Free 800-272-5202
Local 808-527-7711
Fax 808-545-3120
Email reportsdesk@ficoh.com

Fireman’s Fund Insurance Company
Toll Free 888-347-3428
Fax 800-511-3720

Fairmont Society Group
Toll Free 800-953-7999
Local 808-526-1654
Fax 808-531-6540
WC ONLY Fax 808-523-1150

Farmers Hawaii
Toll Free 800-413-1711
Local 808-544-3999

HEMIC
Toll Free 888-292-3642
Local 808-524-3642
Fax 808-522-5855

Claim Reporting Forms:

Auto Loss
Property Loss
General Liability
Workers Compensation
Pacific Guardian Life – Disability Claim