Claim Submission Instructions

To bring about efficient and meaningful handling of insurance claims, it is imperative that timely notice of loss be provided to the West Virginia Board of Risk and Insurance Management (BRIM).

Any employee of an insured entity under the State's insurance program who either witnesses or is made aware of the occurrence of any incident should immediately gather all available information on the incident and immediately forward the same to BRIM. For persons other than insureds who wish to present a claim, please feel free to submit information to BRIM detailing the loss, as described in the following paragraph, and in addition, please tell us which of our insureds was involved in the loss.

The online submission form can be accessed at https://wv.erims2.com/.  Click on the red banner with No Login Required to access the form.  All fields that are bolded red require input.  Attachments can be uploaded at the bottom of the form.  If an email is provided in the Submitter's section a copy of the submission will be sent to that email as verification after Send Notification has been clicked.   

Claims can also be submitted via the Loss Reporting Form (Click Here) and submitting to BRIM via US Mail, by fax or scanned and emailed to: brim.claims@wv.gov.

The most efficient way to report is the online form, if such is not possible, please submit the notice in any available format. As part of the notice, please provide the 'who', 'what', 'when', 'where' and 'how' of the incident as well as who for the insured agency should be contacted for further details. Also, please provide the telephone number for that person as well as their job title.

Claims should be submitted to:

West Virginia Board of Risk and Insurance Management
1124 Smith Street, Suite 4300
Charleston, WV 25301

Loss information can also be submitted via facsimile at (304) 558-6004.​