The California Insurance Commissioner recently approved amendments to the California Workers’ Compensation Uniform Statistical Reporting Plan – 1995 (USRP) effective Jan. 1, 2017. The purpose of the amendments is to clarify the reporting requirements for “first aid” claims.
The Commissioner’s decision clarifies and reaffirms the long-standing positions of the California Department of Insurance (CDI) and the Workers’ Compensation Insurance Rating Bureau (WCIRB), that insurers must report the cost of all claims for which medical care is provided and medical costs are incurred, regardless of who incurred the costs. The decision also clarifies that “first aid claims,” even if paid by the employer, are to be reported in the same manner as medical-only claims.
Effective Jan. 1, 2017, LC Section 6409 was amended and regulates that every physician attending an injured worker shall file a complete report of occupational injury/illness electronically with the Division of Workers’ Compensation (DWC) within five days of the initial exam.
The WCIRB bulletin regarding this change can be found here. If you have questions or need a quote on Workers Compensation insurance contact our office at 877-428-8778
