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Colorado General Admission of Liability for Workers' Compensation

State:
Colorado
Control #:
CO-WC002G-1-WC
Format:
Word; 
PDF; 
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Definition and meaning

The Colorado General Admission of Liability for Workers' Compensation is a formal document used by insurance carriers or self-insured employers to acknowledge that an injury or occupational disease is compensable under workers' compensation laws. This admission signifies that the claimant is eligible for certain benefits as determined by Colorado state law.

How to complete a form

To properly complete the Colorado General Admission of Liability for Workers' Compensation, follow these steps:

  1. Identify the claim number and carrier information.
  2. Fill in the claimant's personal details, including their name and Social Security number.
  3. Provide information regarding the employer and the date of injury.
  4. List the average weekly wage and specify the dates for the first payments related to temporary total disability (TTD) and permanent partial disability (PPD).
  5. Indicate admittance for various benefits, choosing from options such as medical benefits or rehabilitation maintenance benefits.
  6. Complete details regarding any disabilities, including the type of benefit and time periods.

Who should use this form

This form is intended for claimants who have suffered a work-related injury or occupational disease and are seeking workers' compensation benefits in Colorado. Additionally, insurance carriers and self-insured employers must utilize this form to formally admit liability for the injury claimed by the worker.

Key components of the form

The Colorado General Admission of Liability includes several critical components:

  • Claim Information: Claim number, insurance carrier details, and the claimant's basic information.
  • Admission of Liability: Indicates which benefits are admitted, such as medical or disability benefits.
  • Benefit Schedule: Detailed breakdown of benefits including amounts and duration.
  • Claimant's Rights: Information about the right to object to the admission and provide additional documentation.

Common mistakes to avoid when using this form

When completing the Colorado General Admission of Liability, avoid these common pitfalls:

  • Failing to provide accurate or complete information, as this can delay the processing of benefits.
  • Not adhering to the required time frames for submitting information regarding other income sources.
  • Ignoring the requirement to notify the insurance carrier of any additional awards from other benefits.

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FAQ

There's nothing in the workers compensation law that protects your employment status. If you come back to work, you are not guaranteed a specific job or rate of pay. You will be entitled to differential wage loss benefits if your work injury prevents you from earning full, pre-injury wages.

Generally, workers' compensation laws are administered under what is referred to as strict liability, which means that it is not an admission of fault when an employer provides benefits for an injured worker.

Once you've reached MMI, a doctor will evaluate you to determine if your work injury or illness has left you with any permanent lost function or impairment to part of your bodyand if so, to what extent. In most cases with any lasting impairment, you'll receive permanent partial disability benefits.

General Liability and Workers' Compensation Insurance. Most businesses should have both general liability and workers' compensation insurance.General liability insurance helps protect your actual business, while workers' compensation helps protect your employees if they get a work-related injury or illness.

General Liability and Workers' Compensation Insurance. Most businesses should have both general liability and workers' compensation insurance.General liability insurance helps protect your actual business, while workers' compensation helps protect your employees if they get a work-related injury or illness.

Workers' comp laws change constantly. Therefore, it can be difficult for the company to track what needs to be done. As laws change, the company must make adjustments to many facets of a claim, from the application process to the confirmation that you are eligible for compensation.

If you haven't reported your injury, your employer may deny you medical treatment and benefits for missed time from work.Also, if the accident isn't filed immediately, your employer may deny the accident happened or claim that it took place outside of work.

All injuries, no matter how minor, must be reported within 24 hours of the injury.It must be reported to our workers' compensation department in case the injury becomes worse and needs medical attention in the future. That way, the reporting of the injury will not be considered late by the state.

A worker is disqualified where the injury: (1) is caused by the worker's own intoxication (alcohol or other controlled substance as defined by the Health and Safety Code; (2) is intentionally self-inflicted; (3) occurs out of an altercation (mutual combat) where the claimant was the initial physical aggressor; (4)

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Colorado General Admission of Liability for Workers' Compensation