Virtual Outsourcing Solutions Newsletter
Issue: #9 September 2010
Greetings!

When you own a business and employ people, the state of California likes to micro-manage...something none of us are guilty of, right? The latest from the state has to do with Worker's Compensation and the updates to the required forms. Please read on as this is pretty important and timely...
 
New Workers' Comp Requirements Coming--Soon!

The state has approved a requirement that employers must distribute new workers' compensation materials as of October 8. The materials include the new hire pamphlet, claim forms and the posters that employers must use to inform employees of their rights and obligations under California workers' compensation laws.

 

Current versions of the new hire pamphlets, posting notices and claim forms will remain in effect only until October 8, at which time the new, updated versions will be required.

 

Employers are also required to provide employees with a form to predesignate their own personal physician, chiropractor, and/or acupuncturist.  The authorization must be on file with the doctors signed approval at least 30 days before a workers compensation claim is filed.   Otherwise, the employee has the ability to designate a Medical Provide Network (MPN) available to him or her through the Workers' Compensation Provider.   Failure to provide these pre-designated forms at the time of hire can lead to penalties and an employer's loss of control over the medical claim.

 

These latest amendments require additional information on Medical Provider Networks (MPNs), eliminate references to vocational rehabilitation (which is no longer available), revise the state's web site references and make other changes intended to streamline the forms.

 

The MPN notice regulations require that before coverage is implemented, a complete, written MPN employee notification must be posted in both English and Spanish in a conspicuous location frequented by employees during the workday and in close proximity to the workers' compensation posting.

 

"Because the details on this 'complete written MPN employee notification' are MPN-specific, claims administrators are scrambling to make sure these notices are ready for employers to post by the Oct. 8 effective date," said a representative of the California Workers Compensation Institute (CWCI), a private non-profit organization of insurers and self-insured employers.

 

A medical provider network (MPN) is an entity or group of health care providers set up by an insurer or self-insured employer and approved by California's Division of Workers' Compensation administrative director to treat workers injured on the job. MPNs are required to meet access to care standards for common occupational injuries and work-related illnesses, thus the requirement for the new posters to include instructions in Spanish. Contact your workers' compensation insurance carrier to find out if or when they will be providing you with the new forms.

 

Workers' compensation is the nation's oldest social insurance program. It was adopted in most states, including California, during the 1920's. The workers' compensation system is based on a trade-off between employers and employees. Employees are entitled to receive prompt, effective medical treatment for on-the-job injuries or illnesses no matter who is at fault and, in return, are prevented from suing employers over those injuries.

 

As a result, California employers are required by law to have workers' compensation insurance, even if they have only one employee.

 

If an employer does not have Workers' Comp Insurance, they can face stiff fines of thousands of dollars and even be liable for the medical expenses of an injured employee.

 

To learn more about Workers' Compensation and other employer/employee related issues, contact me at 693-4477 and I'll be happy to discuss your needs with you.

More in-depth

What is a Medical Provider Network?

A medical provider network (MPN) is a network of providers, including physicians, created to provide medical treatment for work injuries of employees in California. MPNs are created by payors (self-insured employers or workers' compensation insurers) and must be approved by the California Division of Workers' Compensation (DWC). Unless exempted by law or the employer, all medical care for workers injured on the job whose employer has an approved MPN will be handled and
provided through the MPN.8 CCR § 9767.1 et seq. (Source: DIR)


What's new?
The DWC amended regulations on MPN and employee information. Employers and insurers must revise their employee notices and workers' compensation posters to comply with the new regulations.
The amendments to the regulations include, but are not limited to, the following:


· Allows MPN notices to be distributed electronically to all covered workers.
· Eliminates the 14-day MPN implementation and change of MPN notice period.
· Reduces distribution of both the Change of MPN notices and the Termination/Cessation of Use of MPN notices only to covered injured workers.
· Requires an MPN contact e-mail address to be included in notices.
· Requires access to the MPN contact through the toll-free number.
· Updates the Employee Poster and Notice of Potential Eligibility and DWC Claim Form 1.

 
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Sincerely,
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Virtual Outsourcing Solutions 

 

Phone:  951.693.4477
Email: LMarruffo@YourVOS.com

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In This Issue
Workers' Comp update
MPN review
Quick Links
Lori, your consultant
Q and A with Lori
Where do I get the new forms that Worker's Comp is requiring?

Your insurance company should provide them to you. If not, please check this link or call me.

Do I have to give the notices or provide the poster in languages other than English?

Yes, in Spanish. There are few caveats, but in general, the notices and posters are now required to be in these two languages.

What is the deadline for compliance with these new posters?

You must have the new posters in place by October 8.

Are there any penalties for non-compliance?

Yes, failure to provide current information to employees can lead to loss control of medical treatment, civil penalties up to $7,000, and it can extend the statute of limitations for filing a claim.