New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) is a form used by New York carriers to request reimbursement for payments made to employees for compensation purposes under Section 14(6) of the Workers’ Compensation Law. The form includes the name of the carrier, the date the payment was made, the amount of the payment, the name of the employee, and the reason for the payment. The form must be accompanied by the appropriate supporting documentation, such as a letter from the employee stating the amount of the payment and the purpose for the payment. There are two types of New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper): Form C-240 (Request for Reimbursement of Compensation Payments) and Form C-241 (Request for Reimbursement of Medical Payments).
New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)
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Worker's compensation form completed when the patient first seeks treatment for a work-related illness or injury. It does not contain a signature line. It is filed with State Worker's Compensatin Board/Commission.
SI-12 (7/09) Affidavit Certifying That Compensation Has Been Secured. Employers with Board-approved self-insurance for workers' compensation. Filed with the government agency issuing a permit, license or contract. The SI-12 must be completed by the Board's Self-Insurance Office and approved by the Board's Secretary.
Your employer must notify their insurance carrier within 10 days of the injury or illness if you require medical treatment beyond first aid or have lost at least one day from work other than the date the injury or illness occurred.
There is a statutory waiting period of seven calendar days for workers' compensation benefits. NYSIF must begin payments within 18 days after the onset of disability. Subsequent benefits are paid bi-weekly.
If you filed a claim and were assigned a number, you can call (646)264-3000 for information about your claim. If you are a U.S. Department of Labor employee, please call (816)502-0301 for claim status information.
The length of time you can stay out on workers' compensation will range from 225 to 525 weeks. However, the number of weeks and amount of money you can collect from workers' comp for your work-related injury each week will vary, depending upon your individual circumstances.
The entire settlement process?from filing your claim to having the money in your hands?can take around 12-18 months depending on the details of your case and whether or not you have legal representation.