INSURER’S COMPLAINT FOR MODIFICATION, DISCONTINUANCE OR RECOUPMENT OF COMPENSATION Forms
| Form Name | INSURER’S COMPLAINT FOR MODIFICATION, DISCONTINUANCE OR RECOUPMENT OF COMPENSATION |
| Form # | Form 108 |
| Form Revision | Revised 7/2019 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Massachusetts |
| Language | English |
| State Description | This form is used by insurance carriers to schedule a Conciliation. Send a copy of this notice to the Employee and the Employee's Representative. |
| Claimwire Description | n/a |