The Governing Articles of the Mississippi Workers’
Compensation Assigned Risk Pool provide that each Member shall designate and
provide to the Pool Administrator the name and address of an official of the
Member’s organization with authority to represent the Member in its dealings
with the Pool and to whom all correspondence from the Pool shall be sent. Form
MS-3 is used for this purpose.
You should file Form MS-3 if no contact person is listed on
the cover page accompanying this form. You should also file Form MS-3 if the
contact information on the cover page is incorrect or incomplete. If you have
previously filed Form MS-3 and none of the contact information has changed,
there is no need to file another Form MS-3. (Note - If you are a member of an
affiliated group that has properly elected group reporting to the Mississippi
Pool, only the reporting Member is required to complete and file Form MS-3.)
