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S03955 Summary:

BILL NOS03955
 
SAME ASNo Same As
 
SPONSORRAMOS
 
COSPNSRSANDERS
 
MLTSPNSR
 
Add §§138 & 138-a, Work Comp L
 
Relates to notification in the case of a change to the workers' compensation claims representative.
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S03955 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          3955
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    January 31, 2025
                                       ___________
 
        Introduced  by  Sens.  RAMOS, SANDERS -- read twice and ordered printed,
          and when printed to be committed to the Committee on Labor
 
        AN ACT to amend the workers' compensation law, in relation to  notifica-
          tion  in the case of a change to a workers' compensation claims repre-
          sentative

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  The  workers' compensation law is amended by adding a new
     2  section 138 to read as follows:
     3    § 138. Workers' compensation claims representative  replacement.    1.
     4  Where  an injured employee is entitled to workers' compensation benefits
     5  under this chapter and a claims representative has been assigned to such
     6  injured employee's workers' compensation claim by an insurance  carrier,
     7  such insurance carrier shall be required to notify such injured employee
     8  or  such employee's personal representative in the event that such claim
     9  is assigned to a new claims representative, or it is determined that the
    10  assignment of a claims representative is no longer  necessary.  For  the
    11  purposes of this section, "claims representative" shall mean any employ-
    12  ee,  agent,  or  other  representative  of  an insurance carrier that is
    13  responsible for processing, adjudicating, or in any  way  effecting  the
    14  settlement of a workers' compensation claim.
    15    2.  An insurance carrier shall provide such notice by electronic means
    16  or by certified or registered mail, as elected by the injured  employee,
    17  return  receipt  requested,  to  the  last  known address of the injured
    18  employee or such  employee's  personal  representative  within  fourteen
    19  business  days  of  the  replacement of any claims representative or the
    20  determination that the assignment of a claims representative is no long-
    21  er necessary. Such notice shall include the name and contact information
    22  of the new claims representative when a new assignment has been made.
    23    § 2. The workers' compensation law is amended by adding a new  section
    24  138-a to read as follows:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08511-01-5

        S. 3955                             2
 
     1    §  138-a.  Workers'  compensation  claims  representative replacement;
     2  self-insured employer. 1. Where an injured employee is entitled to work-
     3  ers' compensation benefits under this chapter  and  a  claims  represen-
     4  tative  has  been  assigned  to such injured employee's workers' compen-
     5  sation  claim  by  a  self-insured  employer, such self-insured employer
     6  shall be required to notify such injured  employee  or  such  employee's
     7  personal  representative  in  the event that such claim is assigned to a
     8  new claims representative, or it is determined that the assignment of  a
     9  claims  representative  is no longer necessary. For the purposes of this
    10  section, "claims representative" shall  mean  any  employee,  agent,  or
    11  other  representative of a self-insured employer that is responsible for
    12  processing, adjudicating, or in any way effecting the  settlement  of  a
    13  workers' compensation claim.
    14    2.  A  self-insured  employer  shall provide such notice by electronic
    15  means or by certified or registered mail,  as  elected  by  the  injured
    16  employee,  return  receipt  requested,  to the last known address of the
    17  injured employee or such employee's personal representative within four-
    18  teen business days of the replacement of any  claims  representative  or
    19  the  determination  that the assignment of a claims representative is no
    20  longer necessary. Such notice shall include the name and contact  infor-
    21  mation  of  the new claims representative when a new assignment has been
    22  made.
    23    § 3. Severability clause. If any clause, sentence, paragraph, subdivi-
    24  sion, section or part of this act shall be  adjudged  by  any  court  of
    25  competent  jurisdiction  to  be invalid, such judgment shall not affect,
    26  impair, or invalidate the remainder thereof, but shall  be  confined  in
    27  its  operation  to the clause, sentence, paragraph, subdivision, section
    28  or part thereof directly involved in the controversy in which such judg-
    29  ment shall have been rendered. It is hereby declared to be the intent of
    30  the legislature that this act would  have  been  enacted  even  if  such
    31  invalid provisions had not been included herein.
    32    §  4.  This  act shall take effect on the ninetieth day after it shall
    33  have become a law.
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