US Legal Forms
New York Carriers Request For Reimbursement of Compensation Payments...

New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)

Name: New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.86 (296 reviews)

Category:

New York Workers Compensation - Reimbursements

State:

New York

Control #:

NY-C-251.2-WC

Format:

Instant download

Description

This form is an official New York Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law. New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) is a form used by New York carriers to request reimbursement for payments made to employees for compensation purposes under Section 14(6) of the Workers’ Compensation Law. The form includes the name of the carrier, the date the payment was made, the amount of the payment, the name of the employee, and the reason for the payment. The form must be accompanied by the appropriate supporting documentation, such as a letter from the employee stating the amount of the payment and the purpose for the payment. There are two types of New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper): Form C-240 (Request for Reimbursement of Compensation Payments) and Form C-241 (Request for Reimbursement of Medical Payments).

New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) is a form used by New York carriers to request reimbursement for payments made to employees for compensation purposes under Section 14(6) of the Workers’ Compensation Law. The form includes the name of the carrier, the date the payment was made, the amount of the payment, the name of the employee, and the reason for the payment. The form must be accompanied by the appropriate supporting documentation, such as a letter from the employee stating the amount of the payment and the purpose for the payment. There are two types of New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper): Form C-240 (Request for Reimbursement of Compensation Payments) and Form C-241 (Request for Reimbursement of Medical Payments).

View Checklist for Information in Employment Contracts

View this form

View Reference Check Control Form

View this form

View Manager's Checklist for Final Discipline

View this form

View Discipline Interview Checklist

View this form

View Formal Warning Memo

View this form

How to fill out New York Carriers Request For Reimbursement Of Compensation Payments Under Section 14(6) (Blue Paper)?

Handling official paperwork requires attention, precision, and using properly-drafted templates. US Legal Forms has been helping people across the country do just that for 25 years, so when you pick your New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) template from our service, you can be certain it meets federal and state regulations.

Dealing with our service is straightforward and fast. To obtain the required paperwork, all you’ll need is an account with a valid subscription. Here’s a quick guideline for you to get your New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) within minutes:

Remember to carefully look through the form content and its correspondence with general and legal requirements by previewing it or reading its description.
Search for an alternative formal blank if the previously opened one doesn’t suit your situation or state regulations (the tab for that is on the top page corner).
Log in to your account and download the New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) in the format you prefer. If it’s your first experience with our service, click Buy now to continue.
Register for an account, select your subscription plan, and pay with your credit card or PayPal account.
Decide in what format you want to save your form and click Download. Print the blank or upload it to a professional PDF editor to prepare it electronically.

All documents are drafted for multi-usage, like the New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) you see on this page. If you need them one more time, you can fill them out without re-payment - simply open the My Forms tab in your profile and complete your document whenever you need it. Try US Legal Forms and accomplish your business and personal paperwork quickly and in full legal compliance!

Form Rating

4.86

Satisfied(296)

Form popularity

FAQ

Worker's compensation form completed when the patient first seeks treatment for a work-related illness or injury. It does not contain a signature line. It is filed with State Worker's Compensatin Board/Commission.

SI-12 (7/09) Affidavit Certifying That Compensation Has Been Secured. Employers with Board-approved self-insurance for workers' compensation. Filed with the government agency issuing a permit, license or contract. The SI-12 must be completed by the Board's Self-Insurance Office and approved by the Board's Secretary.

Your employer must notify their insurance carrier within 10 days of the injury or illness if you require medical treatment beyond first aid or have lost at least one day from work other than the date the injury or illness occurred.

There is a statutory waiting period of seven calendar days for workers' compensation benefits. NYSIF must begin payments within 18 days after the onset of disability. Subsequent benefits are paid bi-weekly.

If you filed a claim and were assigned a number, you can call (646)264-3000 for information about your claim. If you are a U.S. Department of Labor employee, please call (816)502-0301 for claim status information.

The length of time you can stay out on workers' compensation will range from 225 to 525 weeks. However, the number of weeks and amount of money you can collect from workers' comp for your work-related injury each week will vary, depending upon your individual circumstances.

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.

More info

Items 14 - 33 — Providers sending professional and supplier claims to Medicare on paper must use Form. CMS-1500 in a valid version.Submitted to FIs. 30.2. 3 - Effect of Payment to Ineligible Recipient. 30.2. A: When a carrier requests additional information from the treating physician or provider, the payment deadline stops. If you require assistance with completing these forms, please contact us. Should it be determined that a benefit has been paid in error, BCBSIL will request a refund of the original payment. Rule and Regulation 43, Clean Claims, and Section 14 Claims . Section 6 – Denial of Enrollment, Termination and Suspension . Refund of registration fees for motor vehicles with commercial registration unfit for use. Sec. 14-32.

New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)

Description

Related forms

How to fill out New York Carriers Request For Reimbursement Of Compensation Payments Under Section 14(6) (Blue Paper)?

Show more info

Form Rating

Form popularity

FAQ

Which type of document is filed with the Workers Compensation Board?

What is an SI 12?

How long does an employer have to file a workers comp claim New York?

How long does it take to get workers comp check in NY?

How do I check the status of my workers compensation claim in NY?

How long can you get paid on workers comp in NY?

How long does it take to receive NYS workers comp settlement award?

More info

Trusted and secure by over 3 million people of the world’s leading companies