Call toll-free 1-888-682-6671

Insurance Agents : Provider Forms

 

Inside Managed Care Services:

Provider Forms

Nevada

Authorization Request Form

Physicians and Chiropractors Progress Report

 

Other Locations

Please contact the EMPLOYERS Customer Service Center at (888) 682-6671.

© 2010 Employers Holdings, Inc. All rights reserved.

EMPLOYERS® and America's small business insurance specialist® are registered trademarks of Employers Insurance Company of Nevada. Insurance is offered through Employers Compensation Insurance Company, Employers Insurance Company of Nevada, Employers Preferred Insurance Company, and Employers Assurance Company. Not all insurers do business in all jurisdictions. A forward-looking statements disclaimer is an integral part of this website.