Alaska Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement

State:
Alaska
Control #:
AK-CR-1550
Format:
PDF
Instant download
This website is not affiliated with any governmental entity
Public form

Description

Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement

The Alaska Second Injury Fund (IF) is a state-run program that provides employers with reimbursements for the costs of work-related injuries or illnesses that are the result of an employee’s pre-existing disability. The purpose of the IF is to encourage employers to hire and retain employees with disabilities by providing them with reimbursement for the additional costs associated with managing the pre-existing condition. The Alaska Second Injury Fund consists of two main components: Petition to Join Second Injury Fund and Claim for Reimbursement. Petition to Join Second Injury Fund: Companies may petition the IF to become an approved employer in the program. Once approved, employers can receive reimbursement for the costs associated with managing the pre-existing disability of their workers. Claim for Reimbursement: Once an employer has been approved, they can submit a claim to the IF for reimbursement of an employee’s work-related injury or illness that is a result of a pre-existing disability. The claim must include the employee’s medical records, documentation of the work-related injury or illness, and proof of the pre-existing disability. Once the claim is approved, the employer will receive reimbursement from the IF. There are two types of claims that can be filed with the IF: Initial Claim and Reopened Claim. Initial Claim: This is the first claim that an employer files with the IF. The employer must provide all necessary documentation to prove the pre-existing disability and the work-related injury or illness. Reopened Claim: An employer can reopen an existing claim if they need to update or supplement the existing documentation that was submitted with the initial claim. The employer must provide proof that the additional documentation is necessary to prove the pre-existing disability and the work-related injury or illness.

How to fill out Alaska Second Injury Fund, Petition To Join Second Injury Fund And Claim For Reimbursement?

If you’re seeking a method to suitably prepare the Alaska Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement without enlisting a legal professional, then you’ve arrived at the perfect destination.

US Legal Forms has established itself as the most comprehensive and trustworthy repository of official templates for every individual and business circumstance. Each document you locate on our online platform is crafted in compliance with federal and state laws, ensuring that your paperwork is properly organized.

Another advantageous feature of US Legal Forms is that you can always find the paperwork you have acquired - any of your downloaded templates can be located in the My documents section of your profile whenever you require it.

  1. Verify that the document displayed on the page matches your legal conditions and state laws by reviewing its text description or perusing the Preview mode.
  2. Input the form title in the Search tab at the top of the page and select your state from the dropdown list to locate another template if there are any discrepancies.
  3. Repeat the content verification and click Buy now when you are certain that the paperwork meets all the specifications.
  4. Log In to your account and click Download. Register for the service and select a subscription plan if you do not already have one.
  5. Utilize your credit card or the PayPal option to process payment for your US Legal Forms subscription. The document will be accessible for download immediately after.
  6. Choose which format you would like to receive your Alaska Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement, and download it by clicking the corresponding button.
  7. Incorporate your template into an online editor to swiftly complete and sign it, or print it out to prepare your physical copy manually.

Form popularity

More info

Second Injury Fund to make lump-sum reimbursements, reimbursement for compensation between 104 weeks and the filing date of this petition. They will send you a form, which you must complete and return with a doctors' certification that you remain.Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings. After 104 weeks of benefits have been paid, the Fund assumes all remaining liability on the claim. What do I do if a certified worker is injured on the job? The Second Injury Fund also is responsible for paying medical bills of injured employees when the employer fails to insure its workers' compensation liability. Section 37A Insurers may request reimbursement from the Trust Fund when there is a second injury AND every element of MGL c. 152 § 37A has been satisfied. Mileage for use of a private car is reimbursed at 58 cents per mile. (85.

Trusted and secure by over 3 million people of the world’s leading companies

Alaska Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement