Payor Performance Penalty Notices (REVISED) “Who Can Receive the Penalty Notice Revised”

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Payor Performance Penalty Notices (REVISED)

As of January 2016, the NYS Workers’ Compensation Board will begin to issue penalties against Insurance Carriers, Self-Insured Employers and Municipalities for not filing a Timely First Report of Injury (FROI) in the fourth quarter of 2015. Thereafter, additional measurements will be implemented along with additional penalty letters being sent.

In response to feedback from affected payers, the Board has agreed to mail copies of the penalty letters to any third party (TPA’s, affiliated entities, etc.) that is designated by the carrier/payer/self-insured to receive them. Carriers must provide their own address in addition to any other party they wish to get a copy. This represents a revision of the Board’s previously stated policy.

In order to expedite the process, the Board is requesting that each carrier (W code) send the carrier name, W code, full address along with the contact person’s name and e-mail address.

If the carrier would like a copy of the penalty letter sent to a Third Party Administrator, the carrier must send along with their information, the Third Party Administrators name, T code, full address along with the contact person’s name and e-mail address in which the penalty letter(s) should be sent.

Please forward this information by e-mail to: Please state penalty letter in subject line.

Please note that the addresses submitted will ONLY be used by the Board for the submission of the Payor Compliance penalty letters and will not affect any other mailings the Board currently sends. Carriers are also responsible to advise the Monitoring Unit when there is a change to a Third Party Administrator or an address change.

Thank You
Monitoring Unit
NYS Workers’ Compensation Board