RELATES TO:
KRS
342.038,
342.039
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
342.039 requires the Commissioner of the
Department of Workers' Claims to promulgate administrative regulations by which
each insurance company writing workers' compensation policies in the
Commonwealth, every group of self-insurers, and each employer carrying its own
risk shall file detailed claim information contained in the model regulation
developed by the National Association of Insurance Commissioners (NAIC) in
conjunction with the International Association of Industrial Accident Boards
and Commissions (IAIABC). This administrative regulation establishes the
requirements for filing claims information with the Department of Workers'
Claims.
Section 1. Definitions.
(1) "Carrier" is defined by
KRS
342.0011(6).
(2) "Commissioner" is defined by
KRS
342.0011(9).
(3) "Vendor" means an entity that transcribes
information into an electronic format, accepts electronic data transmissions,
and sorts the resulting data for delivery to and from the Department of
Workers' Claims.
Section
2. Reporting Requirements.
(1)
Each carrier shall file the information required on the Form IA-1 through a
vendor approved by the Department of Workers' Claims, in electronic format,
according to the time periods established by
KRS
342.038.
(2) Each carrier shall file the information
required on the Form IA-2 through a vendor approved by the Department of
Workers' Claims, in electronic format:
(a) As
soon as practicable and not later than one (1) week from the date payments to
an employee are commenced, terminated, changed, or resumed; and
(b) Every sixty (60) days during temporary
total disability.
Section 4. Acknowledgements. An
acknowledgement of an accepted filing made pursuant to this administrative
regulation, or a request by the Department of Workers' Claims for resubmission
of a report due to incomplete or incorrect information, shall be made in
electronic format through the same vendor used for the filing.
Section 5. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) "Form IA-1", October 10, 1995
edition; and
(b) "Form IA-2",
October 10, 1995 edition.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Department of Workers'
Claims, Mayo-Underwood Building, 3rd Floor, 500 Mero Street, Frankfort,
Kentucky 40601, Monday through Friday, 8 a.m. to 4:30 p.m.
