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Minnesota Notice of Intention To Claim Reimbursement From Second Injury Fund

Category:
Workers Compensation - Official
State:
Minnesota
Control #:
MN-SKU-1786
Format:
PDF
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Description

Notice of Intention To Claim Reimbursement From Second Injury Fund

The Minnesota Notice of Intention To Claim Reimbursement From Second Injury Fund is a document filed by a Minnesota employer who is seeking reimbursement for benefits paid to an employee who was injured on the job and had previously sustained an injury or disability that contributed to the employee’s incapacity. The employer must file the Notice with the Minnesota Department of Labor and Industry in order to receive reimbursement from the Second Injury Fund. There are two types of Minnesota Notice of Intention To Claim Reimbursement From Second Injury Fund: the Standard Form and the Alternative Form. The Standard Form is used for standard claims and requires the employer to provide detailed information about the employee’s injury, pre-existing condition, and benefits paid. The Alternative Form is used for claims involving more than one employer and requires additional information.

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FAQ

The maximum time frame for temporary total disability benefits is 130 weeks. Compensation time depends on your injury, but you may be able to predict the results by consulting with your doctor regarding healing time and any rehabilitation time.

How Long Does It Take to Reach a Settlement for Workers' Comp? The entire settlement process?from filing your claim to having the money in your hands?can take around 12-18 months depending on the details of your case and whether or not you have legal representation.

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.

What Does the Second Injury Fund Do? The workers' comp Second Injury Fund assumes liability for compensation benefits attributable to prior injuries or illnesses. This happens when a worker subsequently becomes totally disabled because of a workplace injury.

The maximum time frame for temporary total disability benefits is 130 weeks. Compensation time depends on your injury, but you may be able to predict the results by consulting with your doctor regarding healing time and any rehabilitation time.

The minimum weekly compensation payable is $130 per week or the injured employee's actual weekly wage, whichever is less.

More info

Notice of Intention to Claim. Reimbursement From the.Mail completed copy to: Department of Labor and Industry. Claims Services and Investigations. PPD due for the primary claim must be fully accrued before payments are due from the Second Injury Fund. (B) After December 31, 2011, the Second Injury Fund shall not accept a claim for reimbursement from any employer, self-insurer, or insurance carrier. Workers' Compensation Rate Notice . Workers' Compensation Forms and Worksheets. Workers' Compensation Forms and Worksheets. About the Second Injury Fund.

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