S.C. Code Regs. § § 67-417

Current through Register Vol. 48, No. 11, November 22, 2024

Section 67-417 - Examination of Claim Files

A. As part of the claims review process, the Commission may conduct on-site examinations of all records relating to injuries, fatal or otherwise, sustained in the course and scope of an employee's employment.

B. Insurance carriers, self-insured employers, self-insured funds, the State Accident Fund, and any claims administrator acting on their behalf are required to cooperate with examinations.

C. Claims will be reviewed to ensure timely and accurate payment of benefits and the proper filing of reports as required under Title 42 and Chapter 67.

D. Repeated violations of reporting standards shall be reported to the South Carolina Department of Insurance pursuant to Section 38-13-10.

S.C. Code Regs. § 67-417

Added by State Register Volume 22, Issue No. 6, Part 3, eff June 26, 1998.