California Admin/Reporting
First Report of Injury Form Information |
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| State's First Report of Injury form | ||
| Number of the form (if applicable) | ||
| Revision date of the First Report of Injury form | ||
| Which State Agency administers workers' comp claims? | ||
First Report Submission Requirements and Preferences |
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| State's Preferred Method for receiving the First Report | ||
| State accepts claims via EDI? | ||
| State accepts claims via Email? | ||
| State accepts claims via FAX? | ||
| State accepts claims via Online? | ||
| State accepts claims via US Mail? | ||
Reporting Requirements |
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| Types of Injuries/Accidents the Employer is required to report | ||
| Injuries/Illnesses not covered? | ||
| Date the State requires the First Report to be submitted | ||
| Time Requirement for the Injured Worker to File a Claim | ||
| Employer Required to Keep Records of Claims? | ||
Penalties |
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| Monetary Penalties for Failure to Report? | ||
| Imprisonment Penalties for Failure to Report? | ||
Vocational Rehabilitation and Return to Work Policies |
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| Rehab Services are Provided by the State | ||
| Employer/Carrier Responsibilities for Voc Rehab | ||
| Employee's responsibilities regarding Voc Rehab | ||
| Penalties to the Employee for non-compliance | ||
| Employee's benefits during Voc Rehab | ||
| Services are provided by the State WC Rehab Unit | ||
| State's Codes/Regulations for Voc Rehab | ||
| Funding source for the rehabilitation of disabled workers | ||
| Maintenance Allowance Benefits provided during rehabilitation of Disabled Workers? | ||
Fraud Provisions |
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| Does the State have a Fraud Bureau? | ||
| Claim Fraud defined as a specific crime? | ||
| Underwriting Fraud a specific crime | ||
| Insurer Fraud a specific crime? | ||
| Fraud Plan required? | ||
| SIU required? | ||
| Annual Fraud Reports required? | ||
| Fraud Warning required? | ||
| Fraud provisions for Insurer-to-Insurer fraud? | ||
| Notify the Licensing Board? | ||
Immunity Provisions |
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| Specific Immunity for Insurer to Insurer? | ||
| Specific Immunity for reporting to Law Enforcement? | ||
| Specific Immunity for reporting to the Fraud Bureau? | ||
| Specific Immunity for reporting to the NAIC? | ||
| Specific Immunity for reporting to the NICB? | ||
Subrogation Statutes and Provisions |
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| Carrier sue the Third Party directly? | ||
| Intervention? | ||
| UM/UIM Recovery? | ||
| State's Subrogation Statutes | ||
Medical Malpractice Statutes and Provisions |
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| Medical Malpractice as a Third Party? | ||
| Legal Malpractice as a Third Party? | ||
| Recovery Limits | ||
| Employer Negligence? | ||
| Future Credit? | ||
| Personal Injury Statute of Limitations | ||
Reporting Requirements and Information for Occupational Diseases |
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| Occupational Diseases are covered | ||
| Time limit for filing a claim for Occupational Disease | ||
| Medical Care Provisions for Occupational Disease claims | ||
| Compensation Provisions for Occupational Diseases | ||
| Claims settled or resolved | ||
Administration and Appeals Provisions |
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| Time limit for modifications of award? | ||
| Attorney Fees determined? | ||
| Method for paying Attorney's Fees | ||
| Administrative agency that has purview over appeals provisions | ||
| Time requirement to file an appeal | ||
| Court(s) for Appeals | ||
| Process and procedure for filing an appeal | ||
| Appeal process by way of a Jury Trial? | ||
Disclaimer: This reporting information may not be the most current version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.