What's happening
This bill requires insurance carriers or self-insured employers to notify injured workers when their workers' compensation claims representative is changed or removed.
Why it matters
Improves transparency for injured workers. by making sure they are informed when the person handling their workers’ compensation claim changes, helping them stay updated about who to contact for information or issues.
Helps prevent delays or confusion. in benefit processing by ensuring that workers are not left in the dark about changes to their claims representative, which can be crucial during times of medical or financial stress.
Establishes a clear communication timeline and method. carriers must notify the worker within 14 business days, and must use certified mail or electronic means, creating accountability for insurers and self-insured employers.
Requires disclosure of new representative’s contact information. , empowering injured workers to quickly re-establish communication and continue claim management without unnecessary obstacles.
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Who cares
Headline styles
Notify Workers of Claim Changes
Plain English, a few words. Used as the page title.
Sponsors
No co-sponsors yet.
History
- Referred to labor
- Referred to labor
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
358
2019-2020 Regular Sessions
IN ASSEMBLY (Prefiled)
January 9, 2019
Introduced by M. of A. PAULIN -- read once and referred to the Committee on Labor
AN ACT to amend the workers' compensation law, in relation to notification in the case of a change to a workers' compensation claims representative
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. The workers' compensation law is amended by adding a new section 138 to read as follows:
§ 138. Workers' compensation claims representative replacement. 1. Where an injured employee is entitled to workers' compensation benefits under this chapter and a claims representative has been assigned to his or her workers' compensation claim by an insurance carrier or self-insured employer, such insurance carrier or self-insured employer shall be required to notify such injured employee or such employee's personal representative in the event that such claim is assigned to a new claims representative, or it is determined that the assignment of a claims representative is no longer necessary. For the purposes of this section, "claims representative" shall mean any employee, agent, or other representative of an insurance carrier or self-insured employer that is responsible for processing, adjudicating, or in any way effecting the settlement of a workers' compensation claim.
2. An insurance carrier or self-insured employer shall provide such notice by electronic means or by certified or registered mail, return receipt requested, to the last known address of the injured employee or such employee's personal representative within fourteen business days of the replacement of any claims representative or the determination that the assignment of a claims representative is no longer necessary. Such notice must include the name and contact information of the new claims representative when a new assignment has been made.
§ 2. This act shall take effect on the ninetieth day after it shall have become a law.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD01674-01-9
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.