NLF: How to Open a Workers' Compensation File
This guide will aid the paralegal or secretary in taking in information and assembling the file documents and opening the workers's compensation claim.
I. THE FILE SETUP:A. Make sure you have critical information.
i. If you do not have the following info, call client, check intake sheet, or Google to obtain it.
1. Date of injury
2. Physical location of injury
3. Body part injured
4. Employer's address
5. Workers' Compensation Insurance Company.
6. Each relevant medical treater that the client has seen for this injury.
ii. Some info is harder to find. It can be discovered in the places set forth below:
1. Workers' Compensation Insurance Company:
a. Go to the State's Verification page HERE and select "verify coverage" and enter in the necessary information.
b. If this does not work, call 860-493-1500 and ask for Peter.
c. Also call Peter if you cannot find address.
III. INITIAL DOCUMENTS TO THE COMMISSIONER: A. Determine the type of claim and which jurisdictioni. Ask these questions:
1. Is this an initial claim?
a. If so, a Form 30C must be prepared unless it is more than 1 year past the date of injury.
b. If not, a 30C is not necessary.
2. Are we the first attorneys to appear on the file?
3. Is this a repetitive trauma claim? An occupational disease claim? (note that these are relatively rare).
4. Are we requesting an informal hearing?
5. Where is the place of injury?
a. This impacts which jurisdiction (which Comp. Office) you will send your claim to.
b. If you are unsure which jurisdiction a town is in, go to http://www.wcc.state.cut.us (the CT Workers' Comp. site). On the right side of the page (you must scroll down) is a map with each jurisdiction (see picture). Each district is elaborated if you click the individual link. The phone numbers and addresses of each office can also be found here.
i. Many times, a claim will already be started and you will already know which office the file is in.
B. Send the Initial WC Letter to Commissioner:
i. This letter will need to be specifically tailored to each client.
ii. A standard letter will usually include the following attachments:
1. A completed Form 30C.
2. A Completed Notification of Appearance.
3. PLEASE NOTE:
a. Not all claims will require a 30C. Please speak to a paralegal or attorney if you have any doubt.
iii. If you have been advised to request a hearing, please also include...
1. A completed Hearing Request
2. If a hearing is requested, the Workers' Compensation Insurance Carrier (or their attorney) should be cc'd and sent a copy.
iv. Print out on letterhead.
v. Have attorney sign. vi. Copy the entire contents (letter and attachments), holepunch, and place on the left side of the file backer.
vii. Send the packet (certified if there is a 30C, regular mail if there is not) to the proper Workers' Compensation Commission office.
C. Send Initial Letters to the Employer: There are TWO initial letters that go to each employer
i. Send the Initial Letter to Employer with 30C.
1. PLEASE NOTE:
a. This letter is only sent if a 30C is required on the file.
b. These letters are often time sensitive.
2. Please tailor this to each individual client.
3. Print out on firm letterhead.
4. Have attorney sign.
5. This letter should be sent certified mail.
ii. Send the Initial Letter Request to Employer..
1. Please tailor this to each individual client.
2. Print out. Please note that the document will be two pages. The first page is the firm's letterhead, the second is general colored paper.
3. Have attorney sign.
4. Please include an General Authorization (the one-paged authorization) signed by the client.
5. Copy the entire contents (letter and attachments), holepunch, and place on the right side of the file backer.
6. This letter is sent via regular mail.
D. Send the Initial Letters to the Workers' Compensation Insurance Company
i. Send the Initial Letter to WC Insurance Carrier.
1. Please tailor this to each individual client. This means that if this is not a file which requires a 30C, hospitals, but one can easily change the wording to fit any other type of medical treatment center.
b. Print on firm letterhead