Do I need to report FROI and SROI data for claims that are under the Alternative Dispute Resolution (ADR) provisions of a carve-out program?
A36. Yes. Labor Code sections 3201.5 and 3201.7 allow unions and employers to enter into labor-management agreements, called “carve-out” programs, which establish ADR procedures for workers’ compensation claims. These agreed-upon ADR procedures can either supplement or replace the dispute resolution provisions generally required by the Labor Code (such as bringing a case before the Workers’ Compensation Appeals Board). Although approved carve-out programs are exempt from many WCAB procedures, claims administrators who adjust claims under these programs must comply with the WCIS reporting requirements. See Title 8, C.C.R. sections 10201 (g) (1) and 10102 (i) (1).
Related Questions
- Do I need to report FROI and SROI data for claims that are under the Alternative Dispute Resolution (ADR) provisions of a carve-out program?
- How do ADR (Alternative Dispute Resolution) and conflict resolution fit with each other? What’s the difference?
- What is the status of the Alternative Dispute Resolution (ADR) process review?
