BETA Risk Management Authority Does NOT Require the Reporting of First Aid Claims

BETA Risk Management Authority Does NOT Require the Reporting of First Aid Claims

 

Recent changes to First Aid reporting outlined by the California Workers’ Compensation Uniform Statistical Reporting Plan do NOT pertain to BETARMA members.  Our members may continue to handle First Aid and Incident Only claims internally; there is no need to report such claims to BETARMA.  BETARMA members are considered self-insured for workers’ compensation through the Office of Self-Insurance Plans and are excluded from this requirement.  The law allows your organization to handle your First Aid claims in-house and pay any associated charges internally.  We strongly recommend that our members administer these claims internally because doing so will keep First Aid claims from impacting your experience modification factor and future contributions.

Below is a brief outline of the types of workers’ compensation claims.

Incident Only – refers to an incident wherein no medical treatment was received.  A simple paper cut is an example of such an incident.  Claims of this nature should NOT be reported to BETARMA.

First Aid –refers to a claim where medical treatment was received as a one-time visit with one subsequent visit for observation purposes only.  This is a minor injury and might include a laceration with bandaging but no prescription medication.  Claims of this nature should NOT be reported to BETARMA.

Medical Only – this claim is more serious than First Aid with additional treatment necessary and up to three days of lost time from work.   Claims of this nature MUST be reported to BETARMA.

Indemnity – refers to a claim that is more serious than Medical Only.  Typically these claims include more than 3 days of lost time, have the potential for permanent disability, litigation, investigation or claim denial.  Claims of this nature MUST be reported to BETARMA.

If you have questions, please feel free to contact our office by telephone at (916) 266-6100 or (800) 655-COMP(2667) or by email at jamie.goff@alphafund.org

 

 

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