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The Maine Workers’ Compensation Board. Office of Monitoring, Audit and Enforcement. Maine Workers Compensation Board (MWCB). Governed by 7 member panel Appointed by the Governor 3 Appointees from the labor sector 3 Appointees from the management sector

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The Maine Workers’ Compensation Board

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The Maine Workers’ Compensation Board

Office of Monitoring, Audit and Enforcement


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Maine Workers Compensation Board (MWCB)

  • Governed by 7 member panel

  • Appointed by the Governor

  • 3 Appointees from the labor sector

  • 3 Appointees from the management sector

  • Executive Director - Paul Dionne serves as the Board Chair, also appointed by the Governor


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Claims Management Unit

Performs preliminary monitoring of claims filings

Monitors EDI filings

Enters all payment forms (WCB-2, WCB-2A,

WCB-3, etc.)

Verifies wage calculations

MWCB Divisions Central Operations - Augusta


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MWCB DivisionsCentral Operations - Augusta

Coverage Division

  • Maintains employer and coverage database shared with the Bureau of Labor Standards

  • Monitors EDI submission of policy data

  • Verifies coverage

  • Coordinates non-filing with Abuse Unit


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Monitoring Division

Reconciliation & Compliance Reports

Monitors performance of industry

Refers insurers for audit

Compiles other workers’

compensation research

MWCB DivisionsMonitoring, Audit & Enforcement(MAE)


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MWCB DivisionsMonitoring, Audit & Enforcement(MAE)

Audit Division

  • Conducts audits of all insurers and claim administrators per random schedule

  • Schedule can be superseded by Complaints for Audit


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MWCB Divisions Monitoring, Audit & Enforcement(MAE)

Enforcement Division

  • Prepares Consent Decrees for violations of Maine Workers’ Compensation Act of 1992

  • Coordinates with the Abuse Investigation Unit and Bureau of Insurance


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MWCB Divisions Central Operations - Augusta

Abuse Investigation Unit

  • Investigates fraud and abuse violations

  • Prosecutes violations of the Maine Workers’ Compensation Act of 1992

  • Coordinates with the Maine Attorney General’s Office


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MWCB DivisionsDispute Resolution

Portland Lewiston Augusta

Bangor Caribou

62 Elm St

Portland, ME 04101

207-822-0840

1-800-400-6858

36 Mollison Way

Lewiston, ME 04240

207-753-7700

1-800-400-6857

24 Stone St Suite 2

Augusta, ME

04330

207-287-2308

1-800-400-6854

1 Vaughn Place

43 Hatch Dr, Ste 110

Caribou, ME

04736

207-498-6428

1-800-400-6855

106 Hogan Road

Bangor ME

04401

207-941-4550

1-800-400-6856


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Troubleshooting

Engages whenever the board is notified of a dispute

Attempts to identify and resolve the issues

If troubleshooting fails, file may proceed to mediation

MWCB DivisionsDispute Resolution

Regional Offices : Portland, Lewiston, Augusta,Bangor and Caribou


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MWCB DivisionsDispute Resolution

Regional Offices : Portland, Lewiston, Augusta,Bangor and Caribou

  • Mediation

  • Mandatory meeting between parties (failure to attend or cooperate may result in sanctions or fines)

  • Effort to resolve issue(s) in a face to face setting, moderated by a Board Mediator

  • Mediation agreements are binding and payable within 10 days


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MWCB DivisionsDispute Resolution

Regional Offices : Portland, Lewiston, Augusta,Bangor and Caribou

  • Formal Hearing

  • Only engages when petitions are filed

  • Presided over by Hearing Officer (Judge)

  • Determines final outcome of dispute

  • Can be appealed to Law Court or Maine Workers Compensation Board of Directors


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MWCB DivisionsDispute Resolution

Regional Offices : Portland, Lewiston, Augusta,Bangor and Caribou

  • Advocates

  • Employee representative requested in lieu of attorney at no cost to the employee

  • For employees who proceed to mediation and formal hearing


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So what now???

Relax - There’s lots more to come.


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