Claim Forms and Reporting Methods

Claims can be submitted to the League of Minnesota Cities Insurance Trust (LMCIT) by using one of the following five methods:

Fax: (651) 281-1297 or (888) 234-7839
Email: claims@lmc.org
Mail: LMCIT Claims, 145 University Ave. West, St. Paul, MN 55103-2044
Phone: (800) 925-1122 or (651) 281-1287
Online: Members with a username and password can submit claims online by following the link at left. To obtain a username and password, contact Jill Hanson at jhanson@lmc.org or (651) 215-4165.

Once a claim is submitted, a claim adjuster will be in contact with all appropriate parties within one business day of claim receipt.

Auto, liability, and property claim forms
Cities can submit auto, liability, and property claims to LMCIT using any type of format that is most convenient for the city. The most common forms of submission are by using an LMCIT form (found below) or an ACORD form. Cities should submit these types of claims as soon as the city becomes aware of the claim.

Workers’ compensation claim forms
Workers’ compensation claims must be submitted on a First Report of Injury (FROI) form. These types of claims must be submitted within 10 days of the city’s first knowledge of an employee’s injuries. Given a death or serious injury, the information must be reported by phone within 48 hours and a FROI form must be submitted within seven days of the injury.

Minnesota's Workers' Compensation Statute requires that employers provide employees with a copy of the Minnesota Workers' Compensation System Employee Information Sheet at the time the employee is given a copy of the FROI. Cities should make copies of this information sheet and keep with the employee’s FROI.

Below are several forms to help cities successfully process a workers’ compensation claim.

Risk management information

Visit the Resource Library to obtain a wide range of information on issues related to risk management, coverage, and more. Use the link below to easily browse all risk management memos.
Browse risk management memos in the Resource Library