REPORTING INJURY AND ILLNESS
Under Section 110 of the New York State Workers’ Compensation Law, when a workplace injury or illness occurs, an employer is required to report the incident to their carrier, New York State Insurance Fund, within 10 days of knowledge unless the incident qualify for self-pay/first aid.
BENEFITS OF REPORTING CASES IMMEDIATELY:
Allows the injured worker to receive treatment and benefits promptly,
Allows carrier ample time to investigate claim,
Has been shown to reduce the costs of a claim,
Avoid penalties for late filing,
Helps the insurer monitor and administer the claim, and
Ultimately leads to the injured worker returning to work faster.
HOW SOON MUST EMPLOYERS REPORT A WORKPLACE INJURY OR ILLNESS?
Employers should notify their insurer immediately
if the injury or illness:
Caused (or will cause) the worker to lose time from regular duties beyond the working day or shift on which the injury occurred.
Required (or will require) the worker to receive medical treatment beyond ordinary first aid, or more than two minor medical treatments.
HOW DO EMPLOYERS REPORT A WORKPLACE INJURY OR ILLNESS?
An online system has been implemented by New York Sate Insurance Fund to process claims with more speed and efficiency. Faster resolution helps lower claim costs. This process starts with you, the employer, filing a new claim Electronic First Report of Injury (EFROI) with NYSIF.
IS THERE A PENALTY FOR UNTIMELY REPORTING?
YES. Employers should notify State Insurance Fund immediately of a workplace injury or illness as penalties of up to $2,500 for late or missing reports are possible.
CAN EMPLOYERS CHALLENGE A CLAIM?
YES. Include all facts and concerns to the additional info section in the Electronic First Report Of Injury. Cases are transmitted to Keevily and NYSIF at which point we will begin to manage the issues.
DO I NEED TO GIVE ANYTHING TO MY INJURED EMPLOYEE?
YES. Employers need to provide the injured employee with a claimant packet.
For more information call us!
1 (800) 523-5516