Getting a Denial Decision Reversed

The key to claim acceptance is complete, accurate, and appropriate documentation. If SITF determines that a claim does not qualify for reimbursement, the SITF will issue a letter of denial.

When a claim has been denied: The employer/insurer must Request a Hearing with the State Board of Workers’ Compensation (Board Form WC-14) within 90 days of receipt of the letter of denial. A copy of the form must be provided to the SITF.

The employer/insurer may request reconsideration of the denial by submitting additional information no later than 15 calendar days before the initial date of the scheduled State Board hearing.

Remember, a request for reconsideration or submission of additional claim information does not extend the 90-day period during which the employer/insurer must file for a hearing to challenge the fund’s denial. If the employer/insurer fails to submit the Form WC-14, it will be barred to challenge the fund's denial decision.

key to claim acceptance is complete, accurate, and appropriate documentation. If SITF determines that a claim does not qualify for reimbursement, the SITF will issue a letter of denial.

When a claim has been denied: The employer/insurer must Request a Hearing with the State Board of Workers’ Compensation (Board Form WC-14) within 90 days of receipt of the letter of denial. A copy of the form must be provided to the SITF.

The employer/insurer may request reconsideration of the denial by submitting additional information no later than 15 calendar days before the initial date of the scheduled State Board hearing.

Remember, a request for reconsideration or submission of additional claim information does not extend the 90-day period during which the employer/insurer must file for a hearing to challenge the fund’s denial. If the employer/insurer fails to submit the Form WC-14, it will be barred to challenge the fund's denial decisio