Insurance Carrier/Self-Insured Employers Page

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Carrier Responsibilities

As an authorized insurance company or an Authorized Self-insured employer, what are my responsibilities under the Act?

1. Advise your insureds to post an up-to-date Form LS-241, or post Form LS-242 (if you are permissibly self-insured) at each place where you conduct your business. These forms are provided by the Insurance Carrier when the policy is issued. Employers should request them from their carrier. Carriers and self-insureds should request them from their corporate compliance department.

2. If not previously authorized, you should authorize medical care upon request from the injured worked using Form LS-1.

3. Make sure your insured has timely filed form LS-202 with the Jacksonville DLHWC Central Mail Receipt Office, which is designated as the Central Case Create site for the entire program. See Document Submission and Communication with OWCP FAQ #15.

4. Pay compensation benefits to the injured workers' at the correct rate and within the timeframes as outlined in the Longshore and Harbor Workers' Compensation Act at 33 U.S.C. 906 and 914 (a). See FAQ #29-46.

5. You must submit the Form LS- 207, Notice of Controversion to Right to Compensation if you object to the payment of compensation benefits. The Form may be used by the employer/insurer to controvert the right to compensation; 33 U.S.C 914(a) requires the employer to pay compensation promptly and without an award unless the right to such compensation is controverted [see 33 U.S.C. 914(d)]. If you have an OWCP number the LS-207 may be filed using Longshore's Secure Electronic Access Portal (SEAPortal). See Document Submission and Communication with OWCP FAQ #5.

6. File all necessary forms using the SEAPortal or the Jacksonville address (See Document Submission and Communication with OWCP FAQ #5), serve a copy of the medical reports and other information developed during the administration of the claims. Respond promptly to DLHWC requests for information.