Michigan Nursing Home Administrator (NHA) Practice Exam

WCA - Form 100 must be provided to which of the following?

1. Only the insurance carrier

2. The employer, the employee, and the WCA

3. Only the employee

4. The insurance carrier and the Department of Health

The correct answer is: The employer, the employee, and the WCA

WCA - Form 100, also known as the Workers’ Compensation Form, serves as an important notification document within the Workers’ Compensation Act. It must be provided to all relevant parties involved in a workers' compensation claim. This includes the employer, the employee, and the Workers' Compensation Agency (WCA). Providing the form to the employer ensures that they are aware of the claim and can fulfill their responsibilities regarding workers' compensation. Involving the employee is critical since they need to understand their rights and the details of the claim process. Submission to the WCA is necessary as it allows the state agency to keep accurate records and monitor compliance with workers' compensation laws. This comprehensive approach guarantees that all parties are informed and that the claims process is handled correctly, which is essential for maintaining workplace safety and compliance with legal standards. In contrast, focusing solely on the insurance carrier or only the employee would not fulfill the requirements set forth by the Workers’ Compensation Act, as complete communication among all stakeholders is essential for an effective process.