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Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee

State:
Minnesota
Control #:
MN-SKU-1782
Format:
PDF
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Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee
Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee is an administrative document issued by the Minnesota Department of Labor and Industry in accordance with Minnesota Statute 176.101. It is issued to the legal representative of the deceased employee's estate to inform them that the Minnesota workers' compensation benefits have been discontinued upon the death of the employee. The notice is sent to the legal representative within 30 days of the employee's death. The notice outlines the employee's name, date of death, and the benefits that will be discontinued. It also provides the legal representative with the contact information of the Minnesota Department of Labor and Industry's Workers' Compensation Division. There are two types of Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee: Type 1 and Type 2. Type 1 Notices are sent out if the deceased employee had an active workers' compensation claim when they passed away. Type 2 Notices are sent out if the deceased employee did not have an active workers' compensation claim when they passed away.

Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee is an administrative document issued by the Minnesota Department of Labor and Industry in accordance with Minnesota Statute 176.101. It is issued to the legal representative of the deceased employee's estate to inform them that the Minnesota workers' compensation benefits have been discontinued upon the death of the employee. The notice is sent to the legal representative within 30 days of the employee's death. The notice outlines the employee's name, date of death, and the benefits that will be discontinued. It also provides the legal representative with the contact information of the Minnesota Department of Labor and Industry's Workers' Compensation Division. There are two types of Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee: Type 1 and Type 2. Type 1 Notices are sent out if the deceased employee had an active workers' compensation claim when they passed away. Type 2 Notices are sent out if the deceased employee did not have an active workers' compensation claim when they passed away.

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FAQ

What is the Statute of Limitations in Minnesota? The statute of limitations on a work injury in Minnesota varies. If your employer filed something called a First Report of Injury, then you have three years from the date of injury listed on the report.

In Minnesota, the workers' compensation waiting period starts on the first day of any lost time and is three calendar-days long. Wage-loss benefits for an injured worker are not paid for the waiting period unless the disability continues for 10 calendar-days or longer.

Under Minnesota law, your employer must provide workers' compensation insurance after a work-related accident, injury, or illness. If you file an insurance claim, you may be entitled to a range of benefits, including payment for lost wages, compensation for medical or hospital bills, or vocational support.

Although Minnesota is an at-will state, employers cannot fire a worker for filing a workers' compensation claim or be fired after a workers' comp settlement. If this happens, this can be considered retaliation, and it is illegal.

176.151 TIME LIMITATIONS. (a) Actions or proceedings by an injured employee to determine or recover compensation, three years after the employer has made written report of the injury to the commissioner of the Department of Labor and Industry, but not to exceed six years from the date of the accident.

It doesn't matter if one year has passed or ten years have passed. It also doesn't matter if you change employers or move out of Minnesota. You're covered as long as the medical care is reasonable and necessary to cure or alleviate the effects of your work injury!

176.151 TIME LIMITATIONS. (a) Actions or proceedings by an injured employee to determine or recover compensation, three years after the employer has made written report of the injury to the commissioner of the Department of Labor and Industry, but not to exceed six years from the date of the accident.

Your employer pays the cost of the insurance. Unless specifically exempted, all Minnesota employers must have workers' compensation insurance or become self-insured.

More info

Insurer must complete the following. Due to the employee's death, workers' compensation wage-loss benefits were discontinued on. (date). 1.This form is only available as a downloadable PDF which will be made available to you after you complete your purchase. Minimize the risk of using outdated forms and eliminate rejected fillings. TDI Form NumberDescriptionFile FormatLanguageDWC003Employer's wage statement. Rev. A right of action survives in a case based on a compensable injury that results in the employee's death. Acts 1993, 73rd Leg. OWCP's Division of Coal Mine Workers' Compensation has made a variety of forms available online. These forms are only available in PDF format. Continuation of pay for disability resulting from traumatic, job-related injury, not to exceed 45 calendar days.

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Minnesota Notice of Discontinuance of Workers Compensation Benefits Upon Death of Employee