Introduction
Employers or their representatives use this form to select a managed care organization (MCO) to medically manage their workers' compensation claims. MCOs partner with employers to ensure claims are filed quickly, treatment for injured workers' begins promptly and recovery programs are implemented to safely and quickly return injured employees to work. State-fund employers are required to select an MCO, or BWC may assign one to them.

We offer the MCO Selection Guide and MCO Report Card to help employers with the selection process.
Note: Some MCOs may be placed at capacity, which means they are unable to accept additional employers. A BWC representative will contact you for another choice if the MCO you've chosen is unavailable for selection.

• Employer policy number
• County of operation
• Contact name
• Phone number
• Number of employees
• MCO name

If you have all the required information on hand, simply click the start button to begin.