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Workers' Compensation

Insurance Adjuster

Frequently Asked Questions:

  • Do the changes in statute and rule requiring electronic filing of all First Reports of Injury impact when a First Report is required? In other words, is a First Report required for all claims, including medical only claims?

No. §8-43-101(1) was amended so that a First Report must be filed upon the contraction of certain occupational diseases, as outlined in Rule 5-2(B)(2). That is the only expansion of when a First Report must be filed. Also, whenever any claim is denied, including a medical only claim, a First Report must be filed. That has been the Division’s policy for some time, and is now clearly stated in rule. Other than the expansion for occupational diseases, and the clarification on denied claims, the requirements for when a First Report of Injury must be filed with the Division have not changed. The mandate for electronic filing involves the mechanism for how a First Report is filed, not when one is required. The rule stating all First Reports must be filed electronically is specifically directed to all First Reports that are required by statute to be filed with the Division.

  • Does the requirement in Rule 5-11(B) that a Final Payment Notice be submitted in every claim for which benefits were paid impact when a First Report of Injury must be filed?

No. The requirement for a Final Payment Notice applies to claims that have been filed with the Division. The requirement does not have any effect on when a First Report must be filed. If a First Report has not been filed with the Division, such as in a medical only claim, no Final Payment Notice is required.

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