Use this subtask to record detailed information about your workers' compensation insurance carrier.
Update this subtask whenever an employee has been injured in a work-related accident or reports an illness due to working conditions.
This field displays the ID number and name of the employee for whom you are recording an accident or illness. This non-editable information comes from the main screen.
This field displays the internal case number assigned to this record in the main screen.
Use the fields in this group box to record information that pertains to and is required by your workers' compensation insurance carrier.
Enter, or use Lookup to select, the workers' compensation code that applies to this accident or illness. The description of the code is displayed to the right. This is an optional field. Establish workers' compensation codes in Costpoint Labor.
Enter up to 25 alphanumeric characters for the name of the company providing workers' compensation insurance. This is an optional field.
Enter up to 30 alphanumeric characters for the street portion of the insurer's address. This is an optional field.
Enter up to 25 alphanumeric characters for the city portion of the insurer's address. This is an optional field.
Enter, or use Lookup to select, the code for the state/province portion of the insurer's address. State/province codes can contain up to 15 alphanumeric characters and are validated against the system's State table. This is an optional field.
Enter up to 10 alphanumeric characters for the zip code or foreign postal code portion of the insurer's address. This is an optional field.
Enter, or use Lookup to select, the number of your workers' compensation insurance policy. This optional field can have up to 20 alphanumeric characters.
Enter the date, in "MM/DD/YYYY" format, on which your workers' compensation insurance policy expires. This is an optional field.
Enter, or use Lookup to select, the reason code that applies to this accident/illness claim. Workers' compensation reason codes are validated against the Worker's Comp Filing Reasons table. This is an optional field.
Enter up to 10 alphanumeric characters for the filing number that the state Workers' Compensation Office has assigned to this claim. This is an optional field.