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Fighting Fraud – NY

An upstate New York truck driver pleaded guilty this week to perjury after receiving almost $8,000 in workers’ compensation benefits while continuing to work. Roger Decker, 48, of Lee Center, New York, gave false testimony in a hearing and falsified documents as part of a job application with the state, New York Inspector General Catherine

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Why is an IME Scheduled?

Early in a claim, there may be a question if the injury is work-related. Is the injury a pre-existing condition? Did work actually cause the condition? Is the medical condition directly related to something at work? When these issues arise, adjusters schedule the IME soon after the claim is submitted. Later in the claim, the

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Independent Medical Examinations (IME)

Your workers’ compensation insurance carrier is entitled to schedule an independent medical examination, or IME. They may choose any doctor, chiropractor or psychologist. Usually, the adjuster chooses a doctor who specializes in the worker’s injury. The examination may be scheduled at any time during the claim. Once the worker is properly notified of the appointment,

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Rating Values Effective October 1, 2018

The New York State Department of Financial Services recently approved the New York Compensation Insurance Rating Board’s (NYCIRB) request for an 11.7% decrease in the overall average loss costs levels effective October 1, 2018.  On July 30, 2018, NYCIRB released the loss costs for each individual classification.  The percentage change varies by class code. CODE

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Safety and Health Committee

Safety Committees are a valuable part of your safety program.  Who participates and how often you meet will be up to your organization structure and needs.  But establishing safety committees is an excellent way management can encourage employees to participate in implementing and monitoring the company’s safety program.  When you develop your safety committee it

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Local Law 196 of 2017: Site Safety Training (SST) Curriculum

Recent NYC Local Law 196 of 2017 requires workers and supervisors performing most construction activities within all NYC Borough jurisdiction receive safety training. The safety training requirements will be phased-in in three parts beginning on March 1, 2018, with full training being required no later than September 1, 2020.  NYC Department of Buildings will mandate

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OSHA 30-HOUR CONSTRUCTION SAFETY

November 27, 28, 29, & 30th This course meets the training requirements of New York State Labor Law 220-h. This regulation requires all laborers, workers, and mechanics, working on construction, reconstruction, maintenance and/or repair of public work, where the total cost of all work to be performed under the contract is at least two hundred

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Claim Forms – Things to know:

Claim Forms Some claims will require additional forms as outlined below. All forms should be sent to our office by email claims@keevily.com or fax 914-381-1134. C240 Form:  Employer’s Statement of Wage Earnings (Prior to the Date of Accident) Download This form should be completed any time the lost time exceeds the 7 calendar day waiting period. This

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Considering First Aid? – Things to know:

Considering First Aid? Employers have the option to pay for the medical treatment out of pocket if the employee did not lose time from work beyond the work day on which the accident occurred and/or received no more than 2 medical treatments. The injury should not result in permanency (example facial scars, ligament or tendon injuries).

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Filing NYSIF Work Comp Claims – Things to know:

Claims must be filed within 10 days of injury WCL Section 110(4), the Board may impose a penalty up to $2,500 against an employer who repeatedly refuses or neglects to file First Report of Injury. Filing NYSIF Work Comp Claims Go to www.NYSIF.com\reportinjury Click filing a timely first report of injury using NYSIF eFROI® The

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OSHA 10 Hour Construction Safety Course

Join us for our OSHA 10 Hour Construction Safety Course. But hurry space is limited. Sign up to join us on May 30th and 31st in our Harrison Office for this course. This is a course every business owner, safety manager, supervisor, human resource personnel should take….don’t miss out. A few included topics are the new OSHA’s

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OSHA 30-HOUR CONSTRUCTION SAFETY

July 30 & 31st August 1 & 2nd This course meets the training requirements of New York State Labor Law 220-h. This regulation requires all laborers, workers, and mechanics, working on construction, reconstruction, maintenance and/or repair of public work, where the total cost of all work to be performed under the contract is at least

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Your W/C Responsibilities as an Employer

When an employee has a workers compensation injury you need to take action. Communication – stay in touch with your employees while they are out of work to obtain updates and encourage the injured worker to return to work as soon as possible. Request Out of Work slips for all lost time periods. Report immediately – filing claims

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Keep safety awareness in everyone’s thought process

What can you do right now to bring some attention and awareness to work place safety? Print out the posters below and utilize them to remind your employees to stay safe. NYSIF Downloadable Safety Posters: Stay Focused Safety Poster Organization Is Key Poster Right Equipment Safety Poster Safe Distance Poster Want more resources? OSHA step by

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Workers’ Comp Accident Investigation

Accident investigations are a critical part of your safety procedures and Workers’Compensation program. It will help identify fraud and provide evidence for hearings, it will document root cause and corrective measures taken to comply with OSHA’s general duty regulation and it will give you the information you will need to prevent future workers compensation claims.

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OSHA 10 Hour Construction Safety Course

Join us for our OSHA 10 Hour Construction Safety Course. But hurry space is limited. Sign up to join us on April 19th and 20th in 6800 Jericho Turnpike Syosset, NY 11791 US. This is a course every business owner, safety manager, supervisor, human resource personnel should take….don’t miss out. A few included topics are the new

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NYSIF Safety Group Electronic OSHA Filing Q & A

When determining number of employees what type of employees so I include? All employees in at your establishment need to be included, for example all part time, seasonal, clerical, principles, etc.  I have 20-249 employees and I am in construction, do I need to electronically file with OSHA? Yes, all construction NAICS codes are included

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NYSIF Standardizes Premium Payment Terms for All Policyholders

Effective December 1, 2017, the New York State Insurance Fund will standardize the due dates of policyholder premium payments, impose a late payment fee if premium is not paid when due, and shorten the time frame for placement in nonpayment cancellation. Important Information Late fees will only be charged on active policies. Payments received after

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OSHA 10 Hour Construction Safety Course

Join us for our OSHA 10 Hour Construction Safety Course. But hurry space is limited. Sign up to join us on December 13th and 14th in our Harrison Office for this course. This is a course every business owner, safety manager, supervisor, human resource personnel should take….don’t miss out. A few included topics are the new OSHA’s

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Webinar: NEW Respirable Crystalline Silica Construction Standard

Webinar information:  1 hour Name: NEW Respirable Crystalline Silica Construction Standard Date and hour:  9:00 am Thursday Nov 30th The new Respirable Crystalline Silica in Construction Standard represents a significant change to how silica containing dust needs to be managed in the workplace.  While previous requirements were limited to a maximum concentration in air that

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OSHA Recordkeeping Update

1.  Contact OSHA within 8 hours of a work related fatality.2. Contact OSHA within 24 hours of a work related in-patient hospitalization, amputation or loss of eye.Situations that do not require you to contact OSHA under the serious injury rule: Serious Injury resulting from a motor vehicle accident on a public street or highway (except in a construction work

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Workers’ Comp Accident Investigation

Accident investigations are a critical part of your safety procedures and Workers’Compensation program. An in-house accident investigation will provide the following benefits: Secure witness and injured worker statements. Provides evidence against fraudulent or denied claims. Preserves the accident scene at the time of the loss. Obtains valuable information for any 3rd party recovery efforts. Provide

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Prescription Benefits for NYSIF Workers’ Compensation Claims

NYSIF’s pharmacy benefits management program offers the option for a claimant to obtain medication for a work-related injury or illness through the CareComp Network of CVS Caremark. This does not change a injured worker’s right to use any pharmacy to obtain medication necessary to treat such an injury or illness. Use the CVS Caremark Pharmacy Locator or

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Workers Comp Fraud

  Leading the Fight on Fraud The State Insurance Fund has been leading the fight on fraud with their arrest record nearing the 1,000 mark. State Insurance Fund’s special investigation unit, the Division of Confidential Investigations (DCI) is comprised of white collar crime investigators, most with over 20 years of law enforcement experience with top

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Fraud: These are some “Red Flag” indicators to be aware of.

Everyone plays a role in combating fraud. Being aware of some “red flags” will help prompt additional questions and/or investigations into these issues. Accident occurs on a Monday morning or late on a Friday and is not reported until the following Monday. What occurred over the weekend or during days off? The accident occurs just

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