Benefits Administration Manual
Common Carrier Travel and Accident Insurance
801.9. Reporting a Covered Death/Loss
Department Personnel Offices are responsible for immediately reporting the death or covered loss of an insured employee to the Department of General Services, Office of Insurance and Risk Management, 707 Third Street, 1st Floor, West Sacramento, CA 95605, (916) 376-5278. The person reporting the death or covered injury must have the following information available:
- Employee's name
- CBID
- Social Security Number
- Date of Birth
- Date of Death or covered injury
- Last Day Physically Worked
- Marital or registered domestic partnership status
- Cause of Death or injury
- Names, addresses and phone numbers of next of kin on file, along with the name, department and phone number of the person reporting the death/loss.
Updated November 5, 2008 at 1:56 PM.