Massachusetts Workers Compensation

Workers Compensation Insurance Massachusetts What is the Office of Claims Administration? The Office of Claims Administration is the foundation or starting point for the Department of Industrial Accidents. Workers Compensation Insurance Massachusetts are established from filings received from filings received from insurance companies, employers, third party providers and attorneys. The Office of Claims Administrations has several roles of responsibility that are prominent within the DIA and the public sector. What is the DIA? The DIA (Department of Industrial Accidents) is a court system tasked with resolving disputed workers’ compensation claims. The Department of Industrial Accidents will answer all questions regarding Massachusetts Workers Compensation Laws and Workers Compensation Insurance Massachusetts and will let you know the proper procedures to receive said benefits. If your claim for workers compensation insurance Massachusetts is denied by the insurer or if you do not receive the total amount you are owed, the Department of Industrial Accidents will guide you through the claim process. To file a sound claim for workers compensation insurance Massachusetts, you must maintain all documents your employer—and their insurer—sends you. To streamline the process, you should call the DIA’s Public Information Office. The Public Information Office will provide you with a guide, filled with information regarding your responsibilities, the workers’ compensation dispute process, the insurance provider’s role and what types of workers’ compensation benefits you are entitled to. Please observe the following offices connected to Workers Compensation Insurance Massachusetts: • Workers Compensation Insurance MAL: Unemployment claim status, general eligibility, benefit checks, claim issues/adjudication 617-626-6800 • Workers Compensation Insurance MAL: 877-626-6800 Employer services (revenue services, contributions)617-626-5075Question regarding Labor Board or laws regarding employment ( State Attorney General's Office) • Workers Compensation Insurance MAL: Federal employment laws, go to elaws advisors website617-727-3465 • Workers Compensation Insurance MAL: Unemployment check status617-626-6563 • Workers Compensation Insurance MAL: Unemployment claim wages617-626-5039 • Workers Compensation Insurance MAL: Unemployment tax withholding (Form 1099)617-626-5647 • Workers Compensation Insurance MAL: Interstate (moved out-of-state) unemployment claim617-626-6140 • Workers Compensation Insurance MAL: Training Opportunities Program/Section 30617-626-5375 • Workers Compensation Insurance MAL: Career center services, job search assistance, recruitment and hiring 617-626-5300 • Workers Compensation Insurance MAL: Apprentice training 617-626-5409 • Workers Compensation Insurance MAL: Medical Security Program 800-908-8801 • Workers Compensation Insurance MAL: Unemployment insurance problem resolution 617-626-5400 • Workers Compensation Insurance MAL: Workers' compensation claim status, eligibility, issues 617-727-4900 • Workers Compensation Insurance MAL: Occupational safety and health programs, including lead, asbestos, employment agency, prevailing wage 617-626-6975 Where to Start your Claim for Massachusetts Workers Compensation Laws: If you suffer a work-related illness or injury which forces you to miss work for at least five full or partial calendar days, your employer is required to file the Employer’s First Report of Injury or Fatality-Form 101 with the Department of Industrial Accidents and their worker’s compensation insurance company within seven days from the fifth full or partial day you have been incapacitated because of an illness or injury. The responding insurance company has 14 calendar days from when they secure the aforementioned from your employer to formally investigate the claim and render a decision as to whether to pay the claim or not. Filing Your Claim for Massachusetts Workers Compensation Laws: To file for a Workers Insurance Compensation Massachusetts please observe the following steps: The first step to filing for Workers Insurance Compensation Massachusetts is to fill-an as many of the boxes on the Employee Claim—Form 110 as you can. The boxes or information listed below are particularly critical with regards to getting your request processed by the Department of Industrial Accidents. If you have thoughts or questions please contact the information desk of the Massachusetts Labor and Workforce Development at 1-800-323-3249 extension 470; the office is open Monday through Friday 8:00 AM to 5:00 PM. If you are calling from outside the state, you will need to contact 617-727-4900 extension 476. Information you will need to Secure Massachusetts Workers Compensation Laws: Section #1 of MA Workers Compensation Laws: Print or type your full name (last name, first name and middle initial) Section #2 of MA Workers Compensation Laws: Enter your nine digit social security number (voluntary) but is helpful to the Department of Industrial Accidents in maintaining your records separate from others with the same name. Section #3 of MA Workers Compensation Laws: Print or type your home telephone number Box #5 of MA Workers Compensation Laws: Print or type your number of dependents (this information is required according to Massachusetts Compensation Laws) Box #7 of MA Workers Compensation Laws: Enter your e-mail address and indicate your native language Box #10 of MA Workers Compensation Laws: Print or type your employer’s business name and its address. If your employer maintains multiple addresses, use the address where you conduct most of your work. Box #11 of MA Workers Compensation Laws: Print or type your employer’s workers’ compensation insurance provider (do not record the insurance agent’s information, but instead, the name of the carrier that will provide compensation). The Massachusetts Labor and Workforce Development cannot schedule meetings without this information. If your employer does not provide you with the name of their insurance provider, please call the state’s office of insurance at 727-4900, extension 405. Box #12 of MA Workers Compensation Laws: Print or type the date that you were originally hurt or became ill as a result of a work-related illness. You—according to Massachusetts Workers Compensation Laws—should provide the department with the date you first received medical treatment or the last day you worked. You are also required to provide the department with the case claim number that your employer’s workers’ compensation insurance company assigned your claim. Box #13 of MA Workers Compensation Law: Provide the department with the first day that you were incapable of earning wages because of your illness or injury Box #14 of MA Workers Compensation Law: To secure workers compensation insurance Massachusetts, you must type or print the fifth day that you were not capable of earning full wages because of your illness or injury. Box #17 of MA Workers Compensation Law: To secure workers compensation insurance Massachusetts. Print or type the nature of your illness or injury and the part of your body that has been affected—to do this, please look at the codes on the back of the application. Box #23 of MA Workers Compensation Law: The application for Workers compensation insurance Massachusetts requires that you check the benefits that you are claiming are due according to Massachusetts workers compensation laws. Other sections of this law will include: willful misconduct of the employer, medical bills and interest or penalties for late payments. MA Workers Compensation law states that you must sign and date Box #26 and #27 respectively and Box #28 requires your attorney’s signature if one is signed. To secure Workers compensation insurance Massachusetts you must make two copies of this form and mail the original to the following: Department of Industrial Accidents - Dept. 110 1 Congress Street - Suite 100 Boston, MA 02114-2017 A copy of the application for workers compensation insurance Massachusetts should be mailed to the insurance provider. Moreover, you should keep the other copy for your records. When the DIA receives your application for workers compensation insurance Massachusetts they will schedule Conciliation within a few weeks. The conciliation will be held in the department office closest to your home. When Should I File For Workers Compensation Insurance Massachusetts (Form 110) The Employee Claim Form 110 (official form for Workers Compensation Insurance Massachusetts) should be finished whenever you think you are not receiving the workers’ compensation insurance Massachusetts you are entitled to. For instance, your employer or its insurance provider contests your right to receive workers compensation insurance MA or it has stopped payment of your compensation for reasons that you think are unfair. Remember—according to Workers Compensation Insurance MA—if you are filing for workers compensation insurance MA to offset medical costs, you must provide copies for all medical bills. Workers Compensation Insurance Massachusetts: Steps of the Dispute Process There are four levels to settle your dispute within the Department of Industrial Accidents: Level #1: The Conciliation Session The conciliation is the opening step to securing workers compensation insurance Massachusetts. The conciliation is an informal meeting between you and your employer’s insurance provider. Results of the conciliation will not be binding unless you agree to the provisions. That being said, even if you are satisfied with the payment, you may secure a notice to attend a conciliation that you did not want or request. This situation means that either the insurance provider thinks it is paying too much and wishes to reduce you benefits or halt your benefits entirely. Level #2: The Conference If your case is referred by a local administrative judge, a conference will be scheduled. The conference—like the conciliation—is informal with discussions between two parties. If the matter regarding your amount of workers compensation insurance MA is not settled, a judge will issue temporary orders indicating whether or not the insurance provider must deliver compensation. If you are not happy with the judge’s ruling or order, you may appeal it within 14 days of the filing date of the decision. Insurance providers also possess the right to appeal. Level #3: Hearing If your case for workers compensation insurance MA is appealed by the insurance company or yourself, if till move to the hearing stage, where the administrative judge is responsible for conducting a formal hearing where all of the evidence will be evaluated. These hearings take the form of regular trials; witnesses are brought to the stand and sworn and testimonies are taken by stenographers. Level #4: Review Board Either party—according to MA compensation law, may appeal the administrative judge’s decision to the review board within 30 days. Massachusetts compensation laws state that three administrative law judges will examine the transcripts. These judges may also ask for legal arguments. After reviewing the information, the Review Board will reverse the decision only if the decision was beyond the Administrative Judge’s power, was rendered without any justification or conflicted with Massachusetts compensation laws.