Skip Maine state header navigation

Agencies | Online Services | Help

Skip First Level Navigation | Skip All Navigation > PFR Home > Insurance Regulation > Online Data Reports

Online Data Reports

The reports listed in the table below must be completed using the Bureau of Insurance's online reporting system. In order to enter information into the system, you need your company's Maine license number and access code. If you do not have your access code, please contact the person listed below for your report. By accessing these reporting forms, you acknowledge that you have the proper authorization to file these reports on behalf of your company.

Click this link to enter the online reporting system:

After completing and submitting your company's data, you will have access to a pdf file containing your reported information. If you discover that your data needs to be edited after it has been submitted, contact the appropriate person listed below.

Report Contact Person
Carrier Reporting Form Bradford Brown 207-624-8478
Fraud and Abuse Kelly Rogers 207-624-8438
Liquor Liability Barbra Garboski 207-624-8440
Mandated Benefits Bradford Brown 207-624-8478
Self-Insurer Aggregate Benefits Paid Barbra Garboski 207-624-8440
Self-Insurer Annual Payroll Barbra Garboski 207-624-8440
Supplemental Insurance Report Form (286-A) Bradford Brown 207-624-8478
Third Party Administrator Health Claims Paid Bradford Brown 207-624-8478
Tick Borne (Lyme) Disease Barbra Garboski 207-624-8440
Workers' Compensation Paid Benefits - Insurance Companies Barbra Garboski 207-624-8440


Last Updated: May 9, 2014