Department of Labor And Industry Financial-Compliance Audit for the Two Fiscal Years Ended June 30,... 1986

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The insurer is obligated to investigate before discontinuing benefits and OLA appears to suggest we place the burden of proof on the claimant. A better procedure, so that benefits are not inappropriately discontinued, is to provide sufficient time and resources to the claims examiners.
RECOMMENDATION #3 We recommend the Department use a record ID for workers' compensation claims that is unique to an individual.
Agency Response (Workers' Compensation Division): Do not concur. Although the recomm
...endation that an identi- fication number unique to an individual on its face appears reasonable, no one has identified any other numbers which would be unique except social security numbers (SSN's), so the following comments relate to their use. As we stated in the exit conference, requiring SSN's may be in conflict with federal statutes. A brief review of the federal law indi- cates that state government agencies are prohibited from denying benefits to individuals who refuse to disclose their SSN's.

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