Application For Waiver Page 3
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4IDAPA 17.02.03.051. REQUIREMENTS
FOR
MAINTAINING
IDAHO
WORKERS'
COMPENSATION CLAIMS FILES.
All sureties, self-insured employers, and licensed adjustors servicing Idaho workers’ compensation claims
shall comply with the following requirements:
01.
Idaho Office. All sureties, self-insured employers and licensed adjusters servicing Idaho
workers’ compensation claims shall maintain an office within the state of Idaho. The offices shall be
staffed by adequate personnel to conduct business. The surety or self-insured employer shall authorize a
member of its staff or a licensed adjuster to make decisions regarding claims pursuant to Idaho Code,
Section 72-305. As staffing changes occur and, at least annually, the surety, self-insured employer or
licensed adjuster shall submit to the Industrial Commission the names of those authorized to make
decisions regarding claims pursuant to Idaho Code, Section 72-305. Answering machines, answering
services, or toll free numbers outside of the state will not suffice.
02.
Claim Files. All Idaho workers’ compensation claim files shall be maintained within the
state of Idaho, or if maintained on an out-of-state computer, data must be entered from within the State.
Hard copies of data entry shall be maintained within the State. Claim files shall include, but are not
limited to:
a.
Notice of Injury and Claim for Benefits;
b.
Copies of bills for medical care;
c.
Copy of lost-time computations, if applicable;
d.
Correspondence reflecting reasons for any delays in payments (i.e., awaiting medical
reports, clarification, questionable items on bills, etc.);
e.
Employer’s Supplemental Report; and
f.
Medical reports.
03.
Correspondence. All original correspondence regarding Idaho workers’ compensation
claims shall be mailed from and maintained at in-state offices.
04.
Date Stamp. Each of the above shall be date-stamped on the day received by the claims
office.
05.
Notice And Claim. All Notices of Injury and Claims for Benefits, occupational illnesses
and fatalities shall be sent directly to the in-state adjuster, surety, or self-insured employer. The original
copy of the Notice of Injury and Claim for Benefits, occupational illness and fatality shall be sent directly
to the Industrial Commission.
06.
Compensation. “Compensation” is used collectively and means any or all of the income
benefits the medical and related benefits and medical services made under the provision of the Workers’
Compensation Act. All compensation must be issued from the in-state office.
07.
Checks And Drafts. Checks must be signed and issued within the state of Idaho; drafts are
prohibited.
a.
However, the Commission may, upon receipt of a written Application for Waiver, grant a
waiver from the provisions of Subsections 051.06 and 051.07 of this rule to permit a surety or self-insured
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