As of 07/01/07, the self-insured employers and the carriers in New York can no longer file claims for reimbursement with the Special Funds Conservation Committee under Section 15-8. In other words, for claims with dates of accident or dates of disablement of 07/01/07 or later, Bookmark It Hide Sites $$(‘div.d450′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Posts Tagged ‘SITF’
Second Injury Fund in North Carolina Still Active
In North Carolina, the Industrial Commission disburses moneys from the Second Injury Fund. In order to qualify for compensation for a second injury, the original and the subsequent injury must be at least twenty percent (20%) of the entire body, and, the additional compensation cannot exceed Bookmark It Hide Sites $$(‘div.d452′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Types of Second-Injury Funds
The two major types of second-injury funds are reimbursement funds and take-over funds. In both of these situations, the employer/insurer can reduce liability when the fund becomes liable. Bookmark It Hide Sites $$(‘div.d454′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Thoughts On The SITF
With the Georgia legislature now back in session, it makes me consider the fate of the SITF and its impending sunset. While it does not appear that the legislature will consider any new measures for the SITF in this session, I would certainly wish Bookmark It Hide Sites $$(‘div.d419′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Acronyms and Definitions
§ – Section CAT claim – Catastrophic designation (designation through the SBWC) CAT scan, CT or CT scan – Computed Tomography (medical procedure) CMS – Centers for Medicare & Medicaid Services FCE – Functional Capacity Evaluation Depo – Deposition IME – Independent Medical Examination MMI – Maximum Medical Improvement MRI – Magnetic Resonance Imaging MSA [...]
Unprecedented growth Contributes to Closing of Georgia SITF
The unprecedented growth of the Georgia SITF over the past few years reportedly indicates growth of a substantial unfunded liability. These ever-rising liabilities, coupled with incentives to submit cases into the Fund and increasing assessments, have been a recipe for financial disaster that the Georgia Legislature has now addressed. Bookmark It Hide Sites $$(‘div.d143′).each( function(e) [...]
Are expenses incurred prior to 2003 reimbursable?
The 2003 amendment to O.C.G.A. § 34-9-203, effective July 1, 2003, added paragraph (c)(4), imposing a one year limitation period on the filing of reimbursement claims. While this amendment imposed a one year filing limitation Bookmark It Hide Sites $$(‘div.d244′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Benefits of Settling a Claim when the SITF is Involved…
Settlement may occur prior to OR following SITF acceptance of a claim. In the case where a claim is settled prior to SITF acceptance, SITF does not consider itself a party to the agreement and is not subject to its provisions. When settlement negotiations are initiated during the evaluation process, SITF must be notified by [...]
23 Presumptive Medical Conditions
In order for an employer/insured to be eligible for reimbursement from the Subsequent Injury Trust Fund, the employee’s subsequent injury must be directly caused by the prior impairment. The employer must show that this prior impairment was permanent and likely to be a hindrance to employment. Any pre-existing, permanent condition qualifies. The condition may be [...]
Who, What, and How will the Georgia SITF reimburse me?
Any insurance company licensed in Georgia to issue workers’ compensation policies or self-insured employer authorized by the State Board of Workers’ Compensation is eligible to file a claim for potential reimbursement from the Subsequent Injury Trust Fund. The employer/insurer should forward a letter to the fund stating a desire to actively pursue the claim. The [...]
