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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 108-A
for the current year.
Form 108-A Insurer's Request for Post-lump Sum Medical Mediation - Massachusetts
What Is Form 108-A?
This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 108-A?
A: Form 108-A is Insurer's Request for Post-lump Sum Medical Mediation.
Q: What is the purpose of Form 108-A?
A: The purpose of Form 108-A is to request post-lump sum medical mediation in Massachusetts.
Q: Who uses Form 108-A?
A: This form is used by insurers in Massachusetts.
Q: What is post-lump sum medical mediation?
A: Post-lump sum medical mediation is a process used to resolve disputes related to medical expenses after a lump sum settlement has been reached.
Form Details:
- Released on February 1, 2017;
- The latest edition provided by the Massachusetts Department of Industrial Accidents;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 108-A by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.
