Claims & Loss Control

Worker's Compensation Reform, Effective February 1, 2014

S.B. 1062 was signed into law by Gov. Mary Fallin and created Title 85A, a new worker’s compensation statute, which fundamentally changed the WC system in Oklahoma.

Effective Feb. 1, 2014, the effects of the Administrative Workers’ Compensation Act include changes in reporting and filing timelines, changes in benefit levels, changes to forms and posted notices among many others. A new notice, CC-Form 1A is attached and should be posted on all work sites and premises. It replaces the old CC-Form 1A.

As of February 1, 2014, many forms for existing WC claims have been revised or replaced. In order to ensure correct forms are used, go to Oklahoma Worker’s Compensation Court of Existing Claims

Timeline changes to be aware of:

Employee has 30 days to report an injury to its employer or injury may be presumed not employment related.

Once the employer is aware of any injury that results in more than 3 days missed work, the employer (NAICOMP files on your behalf) has 10 days to file the FNOI form, CC Form 2. In order for NAICOMP to file these timely, we must know about the injury as soon as you do.

NAICOMP has 15 days after notice to the employer of injury or death to accept or controvert the claim. A compensability decision must be made quickly by the insurance carrier, so NAICOMP must have prompt notice to have time to properly investigate the claim.

Note: In the past, many employers handled minor claims on their own. Going forward, all claims must be reported to NAICOMP, or your agent, regardless of how minor the claim may be. This is a departure from the customary procedures in the past for some, as not all claims were reported immediately but reported later after further development. Now, all claims will be compensable if we do not controvert or ask for more time within this 15 day period; therefore, it is critical to inform us of all claims immediately.

Oklahoma Worker’s Compensation Court of Existing Claims

Oklahoma Worker's Compensation Comission

2014 Worker's Compensation Reform Handout

Oklahoma Workers' Compensation Notice and Instruction to Employers and Employees

Oklahoma Workers' Compensation Notice and Instruction to Employers and Employees (Spanish)

Work Comp Claim Services

♦ Immediate 3 Point Contact ‐ When A Claim Is Received

The employer, injured employee and injured employee’s doctor, will be contacted immediately upon receipt of your claim.

♦ Medical Bill Auditing
In 2013, NAICO reduced medical bills by over 60% compared to the amount invoiced by employing audit services.

♦ Medical Case Management
A medical case manager is assigned to every lost time claim to help your injured employee with their injuries (i.e. doctor appointment scheduling, counseling, recovery monitoring, and prescription drug monitoring).

♦ Nationwide PPO Network
NAICOMP has access to a network of over 500,000 medical facilities for injured employees, which means your injured employees can receive the benefit of discounted rates on their workers’ compensation injuries.

♦ Diagnostic Testing
Typical 48 hour diagnostic testing—There is no need for your injured employees to sit at home and wait for an appointment with a doctor to get diagnostic testing when they can get scheduled quickly, typically within 48 hours of the request. Accelerate your injured employee’s treatment, recovery time and help them return to work sooner!

♦ Prescription Drug Program
▪ No out‐of‐pocket expenses to your employee.
▪ Accepted at over 50,000 pharmacies, including major chains.
▪ Prescription Drug Monitoring—prohibits abuse or filling of prescriptions that are not relevant to your employees injuries.
▪ Average 15% reduction in cost.

♦ Superior Information Technology System
Upon request and approval, you, as a policyholder, may gain access to the NAICOMP Claims database, having the status of claims at your fingertips. You, as a policyholder, may also gain access to your own loss history at any time. NAICOMP will provide the loss history upon request, and even set up an automated delivery schedule if desired.