Registering your business is an easy process, the company owner completes and signs the MSI A Registration form and hand delivers it to the KLO Office Manager and Support. MSI will create a $100.00 deposit invoice; the company owner makes payment at the main MCK building and returns the payment receipt. Your company/organization is registered and employees covered from that day forward. The KLO Office Manager and Support will send an e-mail with all the necessary documents.

CNESST pamphlet
Instructions for MSI-A form
MSI-A form
MSI Mode of payment procedure
Yearly Rates

MSI Policy (Revision 56 Feb. 2023)
MSI Premium Rates
MSI Construction Premium Rates

Safety Programs

As an Employer, it is your responsibility to maintain a workplace that is free of unsafe conditions, and you are responsible for following all safety and health standards and regulations. You are also responsible for ensuring that your employees comply with the same rules, standards and regulations. Workers are required to follow the established safety regulations and report unsafe working conditions to their employers.

Your Back
Slips and Falls
Attitude

Mohawk Self Insurance is a program that provides financial and social benefits to “on the job injured workers”. Most governments in the US and Canada provide basic social programs to protect all workers such as employment insurance, workers compensation. Fraud is a serious issue associated with these programs. It can take many forms such as:

• Workers making injury claims for incidents that did not occur at work;
• Workers making injury claims for incidents that did not occur at all;
• Workers attempting to collect SA/SAAQ/EI while on MSI
• Workers extending their rehabilitation period to continue time off of work;
• Employers misrepresenting the number of employees to save premium costs; and
• Employers misrepresenting the salaries of employees to again save premium costs.

Kahnawà:ke has signed an inter-governmental labor agreement with Quebec where the community of Kahnawà:ke, through MSI, has gained full authority for its workers compensation on the territory (instead of CNESST). As such, this program is self-sustaining with no Federal or Provincial funding supplied. The costs are covered through contributions made by employers. It is important that employers provide this protection for their workers just as they protect their valuable assets such buildings, equipment, and vehicles.

Fraudulent claims made by workers or employers betray the trust and financial integrity of the community as well as the contributions made by all employers contributing to the program.

A work-related accident is when the injury or disease which occurred or from which the worker is suffering in the result of a sudden and unforeseen event during the course of employment or, in certain circumstances, while they were performing duties related to their work.

What to do in the event of injury or occupational disease
Instructions for the completion of an injury
MSI-1 form
MSI-18 form

A pregnant worker may be eligible for benefits from this MSI program if her working conditions endanger her health or that of her unborn child. It must be clear that a physician has identified an approved danger, as this program is not a leave but a preventative program.  She will receive MSI benefits until such time as she is offered a safe job by the employer or 4 weeks prior to giving birth.  If you are not eligible for QPIP, MSI will continue paying you the indemnity until the date on which your child is born. You must send MSI the letter from QPIP specifying that you are ineligible for QPIP benefits.

Instructions for the Completion of MSI Safe Maternity Program Form Rev-4
MSI-4 Form
MSI-21 Form
Instructions to complete Preventative Withdrawal Due to Pregnancy
Quebec Parental Insurance Plan

The MSI Program also includes a Return to Work Program.  The goal of the return to work program is to provide a uniform return to work process for participants covered under the Mohawk Self Insurance on the Job Injury Program.  Once medical evidence confirms that the worker is ready to return to regular work, graduated return to work or modified work, the worker is admitted to the return to work program.  The Mohawk Self Insurance Claims officer will work with the worker, employer and treating physicians to facilitate a return to work.  This will involve communicating with the worker, treating physicians/practitioners and the employer to secure information regarding updated medical status and return to work information.  The return to work program encompasses the restrictions, the accommodations, as well as the proposed work schedule for the injured worker once the worker is fit to return.

Mohawk Self Insurance provides a labor market re-entry program for a worker who cannot go back to her/his position as a result of an injury, this will enable the worker to re-enter the labor market and reduce or eliminate the loss of previous earnings in the employment or business that is suitable for the worker.  Mohawk Self Insurance works with Tewatohnhi’saktha or other qualified agencies to perform an assessment and re-train the worker. This consists of three types of assessments: transferable skills, vocational and psycho-vocational. This assessment also assists in determining potential future economic loss. Benefits to replace lost future income will be available to workers permanently injured. It is not the responsibility of MSI to provide or find the worker a job; MSI will assist the worker as much as possible. After completion of any training, MSI will continue paying the weekly indemnity for up to (1) one year after graduation.

The main purpose of this program is to re-integrate an employee who has suffered a work related injury, but cannot return to his/her original occupation. It assists in re-establishing his/her employability into the work force, it assists an employer to fill positions within their organization, it re-establishes employee self-esteem and productivity.

Subsidy cover letter
Subsidy program booklet
MSI-16e form
MSI-Ae form
MSI-Be