W. Va. Code R. § 85-2-4

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 85-2-4 - Claims Index
4.1. Consistent with the provisions of W. Va. Code § 23-2C-5(c)(8), a West Virginia Workers' Compensation Claims Index shall be maintained in the form of an electronic database and administered by staff of the Commissioner, utilizing selected data reported by private carriers, special funds and self-insured employers to the Commissioner through EDI. The purpose of the claims index is to make basic information regarding claims filed by injured workers available to private carriers, self-insured employers and the Commissioner.
4.2. The claims index shall contain basic information on all West Virginia workers' compensation claims reported consistent with this rule, including the following minimum requirements, based upon the best information available to the private carrier, self-insured employer or Commissioner:
a. Claim number;
b. Accident date/Date of injury or last exposure;
c. Claimant's full name;
d. Claimant's social security number;
e. Name, address and phone number of a contact person for the private carrier, self-insured employer or third-party administrator, as applicable;
f. Body part that is the subject of the claim;
g. The percentage of permanent partial disability award granted in the claim; and h. Any other fields of information as the Commissioner deems necessary.
4.3. The required fields for the claims index shall be established by the Commissioner with advice and consent of the Industrial Council consistent with an objective of providing sufficient basic information regarding West Virginia workers' compensation claims to private carriers, self-insured employers and the Commissioner without creating unduly burdensome reporting requirements.

W. Va. Code R. § 85-2-4