Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

34 Pa. Code § 121.16. Updating claims status.

§ 121.16. Updating claims status.

 (a)  The following paragraphs apply to the Annual Claims Status Report, Form LIBC-774:

   (1)  The Bureau will provide the Annual Claims Status Report, Form LIBC-774, to an insurer each year before March 1.

   (2)  The insurer shall file a completed Annual Claims Status Report, Form LIBC-774, including any attachment required to support the data reported, to the Bureau each year before June 1.

   (3)  If an insurance carrier fails to file the completed report, the Bureau may recommend that the Insurance Commissioner revoke or suspend the insurance carrier’s license under section 441(a) of the act (77 P. S. §  997(a)).

   (4)  If a self-insured employer fails to timely file the completed report, the Secretary of the Department may revoke or suspend the self-insured employer’s privilege to carry its own risk under section 441(b) of the act.

   (5)  The Annual Claims Status Report must contain a list of all open claims which were initiated by the filing of a Bureau document other than a first report of injury, more than 3 calendar years before the calendar year in which the report is filed and on which no activity was reported to the Bureau during the calendar year immediately before the report year.

   (6)  Only open claims which were initiated with the Bureau during calendar year 2004 and thereafter may be listed in the Annual Claims Status Report.

 (b)  A Final Statement of Account of Compensation Paid, Form LIBC-392A, shall be filed with the Bureau immediately after the final payment of compensation.

Source

   The provisions of this §  121.16 amended August 3, 2007, effective August 4, 2007, 37 Pa.B. 4181. Immediately preceding text appears at serial pages (305088) to (305089).



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