This is one of the official workers' compensation forms for the the state of South Carolina
South Carolina Health Insurance Claim Form for Workers' Compensation
Category:
State:
South Carolina
Control #:
SC-14-A-WC
Format:
Word;
PDF;
Rich Text
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How to fill out South Carolina Health Insurance Claim Form For Workers' Compensation?
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FAQ
Medical only workers' comp claims are those that involve an injury where the employee only receives medical care and treatment, or the wage loss is confined to the waiting period under a workers' compensation act.
The Workers' Compensation Act in South Carolina provides that if an employee suffers injury by accident arising out of and in the course of employment, that individual is entitled to recover medical expenses, temporary total compensation for lost time, and permanent disability benefits if he/she suffered any permanent
Estimated employer costs for workers' compensation in South Carolina are $1.71 per $100 covered in payroll. The Department of Consumer and Business Services for South Carolina says it has the 14th highest average in the nation for workers' compensation rates.
South Carolina Workers' Compensation Insurance CoverageSouth Carolina requires employers with at least four employees to have workers' compensation insurance. However, there are few exceptions, including:Employers with less than $3,000 in annual payroll in the previous year.
All injuries, no matter how minor, must be reported within 24 hours of the injury.It must be reported to our workers' compensation department in case the injury becomes worse and needs medical attention in the future. That way, the reporting of the injury will not be considered late by the state.
Workers' comp insurance provides coverage to help your employee pay for medical expenses related to a work-related injury or illness. This can include emergency room visits, necessary surgeries and prescriptions.
A medical-only claim is any claim involving medical attention, but no time lost from work beyond the state-mandated waiting period and does not include any permanency of injury.
To file a claim you must submit a Form 50 or Form 52 to the Commission. If you are unable to download these forms, email the Commission's Claims Department at claims@wcc.sc.gov to request the forms be mailed to you. When filing a claim on a Form 50 or Form 52, mark the box 13a.
Reporting the injury. filing the actual claim with your employer, and. filing an application for adjudication of claim with the Workers' Compensation Appeals Board (WCAB).