Member Services

Loss Data Requirements and Resources

Workers' Compensation, Liability, and Medical Malpractice Program Members

PRISM requires first dollar, full value complete loss history for Workers' Compensation, Liability, and Medical Malpractice throughout the year.  In accordance with the EWC and GL1 Policy Statements, all Members of the *GL1, GL2 and EWC Programs are required to submit losses monthly, evaluated as of the last day of the month and due by the 3rd business day of the following month.

All Members of the PWC program have their in program PWC losses submitted monthly by their approved PWC TPA. *Members that participate in the GL1 Deductible Buy Down option (DBD) have their in program DBD losses submitted monthly by their approved DBD TPA. 

If we do not currently collect complete loss data submissions from your entity, please complete and submit the Authorization to Obtain Loss Data Form 

If you have had any TPA changes please send the new TPA information, including the date range details of the losses managed/transferred by the new TPA, to lossdata@prismrisk.gov.

Who Should Submit Loss Data:

  • Every current and former Member.
    • If you use a Third Party Administrator (TPA), and you have completed the Authorization to Obtain Loss Data Form, we will contact your TPA(s) to submit the data on your behalf.
    • If your claims are administered in-house, please forward this information to the individual responsible for the data.

Loss Data Resource Primer:

Monthly Data Specifications:

If there are no claims to report, please send PRISM a confirmation email with a subject title of "No Known Losses" to lossdata@prismrisk.gov.
 
How to Send Data: For your convenience, we can work with you and/or your data provider to set up an automate ftp submission. You may also use the secure transmission process offered on our website.