O. Box 950, Little Rock, AR 72203-0950 501-682-3930 / 1-800-622-4472 ACCIDENT PREVENTION SERVICES ANNUAL REPORT 1) Insurance Company: 2) Telephone no.: ( 3) Mailing Address: 4) City, State, Zip: ) 5a) NAIC Company no.: ____________________ 5b) NAIC Group no.: ____________________ 6) Total amount spent for accident prevention services during the current calendar year (salaries, travel): $___________________ 7a) Total amount of workers’ compensation insurance written manual premium in A.
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How to fill out the AR HS-31-C online
The AR HS-31-C form is essential for reporting on accident prevention services in Arkansas. This guide will help you understand how to complete the form accurately and efficiently, ensuring compliance with the reporting requirements.
Follow the steps to fill out the form effectively.
- Click ‘Get Form’ button to access the form and open it in an editor.
- Begin by entering the name of the insurance company in the designated field.
- Provide the telephone number of the insurance company, ensuring all area codes are included.
- Fill in the complete mailing address for the insurance company, including street, city, state, and zip code.
- Enter the NAIC Company number and NAIC Group number in the relevant fields.
- Indicate the total amount spent for accident prevention services during the current calendar year. Include salaries and travel expenses.
- In section 7a, enter the total amount of workers’ compensation insurance written manual premium in Arkansas for the year.
- Complete section 7b with the total amount of workers’ compensation insurance direct premium written in Arkansas for the year.
- Provide the name and office of the individual who supplied the premium information in section 7c.
- Fill in the number of Field Safety Representatives and Approved Professional Safety Sources used by the insurance company.
- Record the total number of on-site inspections performed by Field Safety Representatives.
- Identify the number of Arkansas workers’ compensation insurance policyholders for various premium groups listed in section 10.
- For section 11, input the current year and previous year, as well as the total number of medical-only and indemnity claims opened, along with the total amounts paid on these claims.
- Certify that the information is accurate by providing the name, title, and signature of the designated representative, along with the date.
- Make sure to include an email address and review all entries for accuracy before submitting.
- Once completed, save your changes, download a copy, print the form, or share it as needed.
Complete your AR HS-31-C form online to ensure timely and accurate reporting.
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Get answers to your most pressing questions about US Legal Forms API.
What is the waiting period for workers' comp in Arkansas?
In Arkansas, there is typically a waiting period of seven days before workers' compensation benefits start. If your absence due to injury extends beyond 14 days, you may receive retroactive benefits back to the first day of your injury, as outlined in the AR HS-31-C documentation. Knowing this waiting period helps you plan financially during your recovery. For detailed guidance, consider exploring our legal forms to streamline your claims process.
What is not covered by workers' compensation insurance?
Workers' compensation in Arkansas generally does not cover injuries related to intoxication, horseplay, or outside work activities. Additionally, certain pre-existing conditions may not be eligible for coverage under the AR HS-31-C provisions. It's essential to understand these limitations so you can better navigate claims and seek appropriate assistance. Our platform offers resources to clarify what is included and excluded from coverage.
How does Workmans Comp work in Arkansas?
In Arkansas, workers' compensation, or Workmans Comp, provides benefits to employees injured on the job. Under the AR HS-31-C guidelines, once an injury is reported, employers are required to provide medical treatment and wage loss benefits. The system ensures that you receive compensation without needing to prove fault, thus simplifying the process for injured workers. Utilizing our legal forms can help you navigate these guidelines effectively.
How do I file for workers comp in Arkansas?
To file for workers comp in Arkansas, begin by reporting your injury to your employer and obtaining the AR HS-31-C form. Fill it out thoroughly and submit it to the designated insurance provider. Ensure you keep a copy of your submission to track your claim and follow up for updates as needed.
Is it worth filing a workers' comp claim?
Filing a workers' comp claim can be worth it, especially if your injury affects your ability to work. Workers' compensation can provide benefits for medical expenses and lost wages. The AR HS-31-C form can help you navigate this process and secure the support you need to recover and return to work.
How long do you have to report a work injury in Arkansas?
In Arkansas, you typically have 30 days to report a work injury to your employer. It is crucial to notify them promptly to avoid complications with your claims process. This notification is essential for filing the necessary AR HS-31-C form accurately and within the required time frame.
How do I file a workers comp claim as an employer?
As an employer, you must ensure your injured employee knows how to file a workers' comp claim. Provide them with the AR HS-31-C form and guide them through the process. Once the employee submits the claim, you need to report the incident to your insurance provider in a timely manner to ensure compliance with state laws.
How to file a workers' comp claim in Arkansas?
To file a workers' comp claim in Arkansas, start by reporting your injury to your employer as soon as possible. Next, your employer should provide you with the necessary forms, including the AR HS-31-C. Complete this form accurately and submit it to the insurance provider. Keep copies of all documents for your records.
Do I have to carry workers comp insurance in Arkansas?
Arkansas Workers' Compensation Commission. Insurance Requirements: Most employers in Arkansas with three or more employees are required by law to have Workers' Compensation insurance coverage for their employees.
How long can you draw workers comp in Arkansas?
The length of your workers' compensation benefits depends on the severity of your injuries and your recovery time. Typically, you could expect to receive a percentage of your lost income for up to six months for a physical injury. In more severe cases, you could receive benefits for up to 450 weeks.
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