(1)
What is SIEDRS? SIEDRS is a
computer system that collects claim data electronically from self-insurers.
Effective July 1, 2008, all self-insurers must send timely and accurate claim
data to SIEDRS in the required format.
(2)
How often must a self-insurer
report claim data to SIEDRS? All claims opened during a calendar month,
as well as any updates made during that month to claims opened after the
self-insurer's enrollment date (postenrollment claims), must be reported to
SIEDRS by the tenth calendar day of the following month. Data can be submitted
more often, but not more than once per day.
Newly certified self-insurers must begin submitting data by the
tenth calendar day of the month following their date of certification. For
example, if an employer is certified to self-insure effective January 1st, data
must be submitted to SIEDRS by February 10th.
(3)
What is the required format?
Data submitted to SIEDRS must comply with all requirements outlined in the
SIEDRS Enrollment Package (Publication F207-194-000).
(4)
When must a self-insurer correct
errors? Error corrections must be submitted to SIEDRS within ten
calendar days of notification of the error. Notification occurs on the date
SIEDRS provides the error report to the self-insurer.
(5)
What happens if a self-insurer
doesn't comply with SIEDRS requirements?
(a) The department may assess penalties for
failure to comply with SIEDRS requirements. The department will consider
penalties when a self-insurer:
(i) Refuses or
fails to send data files to SIEDRS.
(ii) Repeatedly reports late.
(iii) Repeatedly fails to correct errors on
time.
(iv) Demonstrates repeated
and uncorrected inaccuracies in reporting format.
(b) Repeated failure to comply with SIEDRS
requirements may result in increased sanctions, up to and including withdrawal
of self-insurance certification.
(6)
How will penalties be
assessed?
(a) Penalties are assessed
for any occurrences within a twelve-month period, and need not be consecutive.
An occurrence is defined as a failure to comply with any part of this section,
and is attributed to an individual file regardless of the number of claims it
contains. For example, a failure to submit a data file (of any size) for one
particular month results in one occurrence.
(b) Penalties are cumulative. For example,
failure to send data files for twelve occurrences results in twelve penalties
with a cumulative total of seventy-one thousand dollars.
(c) The department has the discretion to
consider withdrawal of certification at any time, based on the self-insurer's
compliance record.
(d) Penalty
table:
|
Occurrence
|
Failure to Send Data Files
|
Late Reporting
|
Failure to Correct Errors on Time
|
Uncorrected Reporting Format
Inaccuracies
|
|
1st
|
|
$500
|
|
$250
|
|
$250
|
|
$500
|
|
|
2nd
|
|
$500
|
|
$250
|
|
$250
|
|
$500
|
|
|
3rd
|
|
$1,000
|
|
$500
|
|
$500
|
|
$1,000
|
|
|
4th
|
|
$2,000
|
|
$1,000
|
|
$1,000
|
|
$2,000
|
|
|
5th
|
|
$4,000
|
|
$1,500
|
|
$1,500
|
|
$4,000
|
|
|
6th
|
|
$6,000
|
|
$2,000
|
|
$2,000
|
|
$6,000
|
|
|
7th
|
|
$7,000
|
|
$3,000
|
|
$3,000
|
|
$7,000
|
|
|
8th
|
|
$8,000
|
|
$4,000
|
|
$4,000
|
|
$8,000
|
|
|
9th
|
|
$9,000
|
|
$5,000
|
|
$5,000
|
|
$9,000
|
|
|
10th
|
|
$10,000
|
|
$6,500
|
|
$6,500
|
|
$10,000
|
|
|
11th
|
|
$11,000
|
|
$8,000
|
|
$8,000
|
|
$11,000
|
|
|
12th
|
|
$12,000
|
|
$10,000
|
|
$10,000
|
|
$12,000
|
|
(i) 1st and 2nd
occurrences may be waived at the department's discretion for good
cause.
(ii) For any waived
occurrence, a notification is sent to the employer indicating noncompliance
subject to penalty on repeat violation.
(iii) Any occurrence waived counts against
the employer's overall SIEDRS compliance record.
(iv) If the department waives two occurrences
then the 3rd occurrence results in a penalty equal in amount to the 3rd
occurrence.
