Affidavit of exempt status under the workers compensation act arkansas

Employers whose Workers’ Compensation insurance coverage cannot be verified by the Arkansas Workers’ Compensation Commission will be contacted in one of three ways:

All employers with current coverage must have a poster of instructions (Form P) on display in the workplace. Again, employers may lose some of the protection provided them if they fail to post these directions.

Employers or their insurance representatives have the right to choose doctor(s) to treat injured workers, but notice of these choices must be given to employees. If the employer’s representative has a managed care organization (MCO) for work-related injuries, a health notice (Form H) must be posted at the business. MCO regulations are found in Rule 099.33.

Providers who bill employees for treatment of Workers’ Compensation injuries should be reported by the worker to the employer, who then should inform its insurance representative.

Employers who receive bills from the medical providers should send them immediately to their insurance representative for prompt handling. Delays in forwarding these bills may interfere with the treatment and prescriptions that are due the injured worker.

If Form P is posted, employers have the right to expect injured workers to give written notice (Form N) of the accident according to instructions on the poster. Form N is sent by the employers to their insurance representative.

Once employers have notice of an accident:

Because benefits to workers can be delayed or halted by employers failing to file reports, employers are required to notify insurance representatives in a timely manner with:

Generally, the employer is responsible for Workers’ Compensation benefits to the injured employee for two years from the date of injury or, if it is a longer period of time, one year from the date of last payment for new benefits.

For help with their insurance policy, employers should first contact their insurance agent or insurance company representative.

For help in understanding any of the AWCC forms listed above or for general information on the AWCC rules, advisories, or procedures, employers may contact the Communications Liaison.

Information about their insurance coverage, if not available from the insurance company, may be available from the AWCC’s Operations/Compliance Division, along with questions about the certification of non-coverage program.

Information about being self-insured is found in AWCC Rule 099.05 or by calling or emailing the Self-Insurance Division at AWCCInfo@arkansas.gov.

Questions about medical bills, choice of physician, change-of-physician, or managed care may be directed to the Medical Cost Containment Division.

Employers in the Rule 099.32 program or those interested in the Voluntary Drug-Free Testing Program may contact the Health and Safety Division for assistance in improving workplace safety conditions.

For assistance in understanding the state laws on Workers’ Compensation issues, employers may call the AWCC Legal Advisor Division at 501-682-2707 or 800-250-2511.