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New Hampshire Second Injury Fund Certification by Physician

State:
New Hampshire
Control #:
NH-SKU-1195
Format:
PDF
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Description

Second Injury Fund Certification by Physician

The New Hampshire Second Injury Fund Certification by Physician is a program that helps to protect employers by providing financial assistance to help cover the cost of workers' compensation claims resulting from an employee's preexisting disability or impairment. This certification is issued by a licensed physician and is required for an employer to be eligible for benefits under the New Hampshire Second Injury Fund. There are two types of certifications that can be issued: 1. Permanent and Total Disability Certification: This certification is issued when an employee is found to be permanently and totally disabled due to a preexisting impairment or disability. 2. Partial Disability Certification: This certification is issued when an employee is found to be partially disabled due to a preexisting impairment or disability. The certifications must be completed by a licensed physician and must include the employee's medical history, treatment, and diagnosis. The certification must also include a statement whether the employee is permanently and totally disabled or partially disabled due to their preexisting impairment. The New Hampshire Second Injury Fund Certification by Physician is an important tool to help employers protect themselves from financial losses due to workers' compensation claims.

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FAQ

Division of Federal Employees', Longshore and Harbor Workers' Compensation (DFELHWC) The Special Fund (also known as the "Second Injury Fund") pays certain types of claims and expenses authorized by the LHWCA.

The fund was established in 1945 and is administered by the State of California Division of Workers' Compensation. It exists to provide additional income from workers' compensation benefits to persons injured in the workplace who already had a preexisting condition.

The second-injury fund, also known as the subsequent-injury fund (SIF), was established to meet problems arising when an employee has a preexisting injury or condition and is subsequently injured at work.

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 Second Injury Fund pays compensation on behalf of an employer to an employee who has already suffered a prior disabling injury, and now sustains a subsequent injury, and the combination of the two injuries creates a greater disability than the second injury would have created by itself.

This fund is designed to encourage employers to hire people with disabilities by limiting their liability for subsequent injuries. The second injury fund is usually funded by assessments against insurers and self-insurers, but may also be financed through general state revenues.

More info

The endorsed warrant and receipt is a full and complete acquittance to the Commission for the payment out of the Second Injury Fund. 2nd Injury Fund Forms.They will send you a form, which you must complete and return with a doctors' certification that you remain. Secondinjury funds collect assessments on employers and carriers. Second Injury Fund Certification By Physician Form. This is a New Hampshire form and can be use in Second Injury Fund Workers Comp. To file a claim, an injured worker must complete an Uninsured Employers Fund Claim Application and provide the required documentation. Before you actually start to receive benefits from the SIF, though, you will need to complete an initial certification. Please complete this form for injuries occurring after July 1, 2007. HTMLPDF, 296-15-225, Self-insurance second injury fund assessment.

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New Hampshire Second Injury Fund Certification by Physician