19 MAC Pt. 7, R. 15.05
Filing of Claims
Cite as 19 Miss. Admin. Code Pt. 7, R. 15.05
Filing of Claims.
An eligible first responder shall file a claim form with the Mississippi Insurance Department, a
copy of which is attached hereto as Exhibit “A”. The claim form must also provide written
verification of the diagnosis by a board-certified physician in the medical specialty appropriate
for the type of cancer diagnosed that the cancer was caused by an occupational hazard.
The claim may be filed electronically or through the U.S. Mail.
If sent via U.S. Mail:
Mississippi Insurance Department
ATTN: First Responder Health and Safety Program
P.O. Box 79
Jackson, MS 39205-0079.
If sent electronically:
FirstResponderFund@mid.ms.gov
Within thirty (30) days of receipt, the claimant will be notified of the award of benefits, or that
additional information will be needed in order to approve the claim. If a claim is denied, the
reason for denial will be provided: to the claimant. Reasons for denial may include, but are not
limited to, that the claimant was not eligible, that the cancer did not fall under the list of
occupational cancer, or that the claimant has failed to submit the necessary documentation
required to approve the claim.