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Online Data Reports

The reports listed in the table below must be completed using the Bureau of Insurance's online reporting system. In order to enter information into the system, you need your company's Maine license number and access code. If you do not have your access code, please contact the person listed below for your report. By accessing these reporting forms, you acknowledge that you have the proper authorization to file these reports on behalf of your company.

Click this link to enter the online reporting system: https://www.pfr.maine.gov/Insurance/Filing.aspx

An error message is being returned upon the submission of all online forms.  If you receive the error, you may log back into the forms section and verify that the form has moved to the Submitted Forms box.  If you need further assistance please contact the Bureau via email to research.pfr@maine.gov

After completing and submitting your company's data, you will receive a confirmation email with a pdf file containing your reported information. If you discover that your data needs to be edited after it has been submitted, contact the appropriate person listed below.

Report	Contact Person
Carrier Reporting Form	Bradford Brown 207-624-8478 Bradford.L.Brown@maine.gov
Fraud and Abuse	Kelly Rogers 207-624-8438 Kelly.E.Rogers@maine.gov
Liquor Liability	Barbra Garboski 207-624-8440 Barbra.L.Garboski@maine.gov
Mandated Benefits	Bradford Brown 207-624-8478 Bradford.L.Brown@maine.gov
Self-Insurer Aggregate Benefits Paid	Barbra Garboski 207-624-8440 Barbra.L.Garboski@maine.gov
Self-Insurer Annual Payroll	Barbra Garboski 207-624-8440 Barbra.L.Garboski@maine.gov
Supplemental Insurance Report Form (286-A)	Bradford Brown 207-624-8478 Bradford.L.Brown@maine.gov
Third Party Administrator Health Claims Paid	Bradford Brown 207-624-8478 Bradford.L.Brown@maine.gov
Tick Borne (Lyme) Disease	Barbra Garboski 207-624-8440 Barbra.L.Garboski@maine.gov
Workers' Compensation Paid Benefits - Insurance Companies	Barbra Garboski 207-624-8440 Barbra.L.Garboski@maine.gov

 

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