In order to provide injured employees with access to the MPN, employers must:
Direct all injured employees to a medical provider within the California MPN Website. This site will help locate network providers specializing in Workers Compensation with a strong focus on returning injured employees back to work.
Post the California State DWC-7 Form and a panel listing of MPN providers that are in the employees' area. Create a panel of medical providers via the California MPN Website (click “Provider Panel” tab) or email your request to PPOPanelRequest@cna.com.
If you choose to email your request, please include:
- Name of insured.
- Address of insured (including zip code).
- List any specific physicians that should be included in the panel.
- Contact person.
- If the panel can be sent electronically, include an email address.
- If the panel should be sent by hard copy, include mailing address.
Timeframe for Completing Panel Submissions:
- Up to 10 panel requests will be provided within 24 to 48 hours of the request.
- Between 10 and 40 panel requests will be provided within five business days of the request.
- For more than 40 requests, the Operations team will provide an estimated time of completion.)
![Checkmark Icon](/web/wcm/connect/9a0e36de-bcdb-4da1-91c4-d4f89e831ca7/check-mark_fill+white+copy.png?MOD=AJPERES)
The Employee Notification (Spanish version) should be given to an injured employee at the time of injury.
![Checkmark Icon](/web/wcm/connect/9a0e36de-bcdb-4da1-91c4-d4f89e831ca7/check-mark_fill+white+copy.png?MOD=AJPERES)
Send a Change of MPN Notice (Spanish version) to all injured employees if there is a change in the MPN.
![Checkmark Icon](/web/wcm/connect/9a0e36de-bcdb-4da1-91c4-d4f89e831ca7/check-mark_fill+white+copy.png?MOD=AJPERES)
Send all employees a MPN Cessation/Termination Notice (Spanish version) if the MPN is no longer being used.