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Utah Statement of Insurance Carrier Or Self Insurer With Respect To Discontinuance of Benefits

State:
Utah
Control #:
UT-SKU-0716
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PDF
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Statement of Insurance Carrier Or Self Insurer With Respect To Discontinuance of Benefits

The Utah Statement of Insurance Carrier or Self Insurer With Respect To Discontinuance of Benefits is a document issued by an insurance carrier or self-insured employer in the state of Utah. This document outlines the terms and conditions for discontinuing or reducing workers' compensation benefits. It also outlines the reasons for discontinuance or reduction and the procedures for notification of the affected employee. It is important for employees to be aware of and understand the terms and conditions of this document in order to ensure their rights are fully protected. There are two types of Utah Statement of Insurance Carrier or Self Insurer With Respect To Discontinuance of Benefits: 1. Temporary Suspension of Benefits: This type of statement indicates that the insurance carrier or self-insured employer has temporarily suspended certain workers' compensation benefits due to a change in medical condition or other reasons. It outlines the reasons for the suspension and the procedures for notification of the affected employee. 2. Permanent Discontinuance of Benefits: This type of statement indicates that the insurance carrier or self-insured employer has permanently discontinued certain workers' compensation benefits due to a change in medical condition or other reasons. It outlines the reasons for the discontinuance and the procedures for notification of the affected employee.

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FAQ

For assistance, an injured worker, employer, medical provider or insurance carrier may contact the Industrial Accidents Division at (801) 530-6800 or toll free (in Utah) at (800) 530-5090.

Workers' Compensation Generally, benefits are barred if a claim is not filed within six years from the date of the accident.

Penalties? If an employer fails to maintain workers compensation coverage, the consequences can be severe. They include: Penalties of at least $1,000; Injunctions prohibiting continued business operations; and.

The total amount cannot exceed 85% of the state average weekly wage at the time of injury or cannot exceed the average weekly wage of the employee at the time of injury, whichever is less. The weekly maximum for 2022 is $961.00.

Workers' Compensation Generally, benefits are barred if a claim is not filed within six years from the date of the accident.

Temporary Partial Benefits Maximum: $1130.00 (updated every July 1) Injured worker shall receive 66 2/3% of the difference between the worker's average weekly wage before the accident and the weekly wages the worker is able to earn after the accident. See temporary total benefits for dependent spouse/child add-on.

Reporting a Work Injury or Illness It is important to ensure the report of an injury or illness is documented. If an injured employee fails to report an injury or illness within 180 days, they may be disqualified from receiving workers' compensation benefits.

More info

Self-Insurer Applicant: Application for workers' disability compensation self-insured authority is made on Form WC-402. Questions 1through 10 must be completed.Employers insured for disability benefits through an insurance carrier or Board-approved self-insurance. This form is not filed. TDI Form NumberDescriptionFile FormatLanguageDWC003Employer's wage statement. Rev. Questions and Answers about Employer Information Reporting on Form 1094-C and Form 1095-C. 095. 296-15-510, What is the process used for vocational rehabilitation with regard to self-insured employers? To the Employer: Thank you for your inquiry regarding the establishment of a self-insured Private Plan under the New. Jersey Temporary Disability Benefits Law. To the Employer: Thank you for your inquiry regarding the establishment of a self-insured Private Plan under the New.

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Utah Statement of Insurance Carrier Or Self Insurer With Respect To Discontinuance of Benefits