Pennsylvania Code
Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

• No statutes or acts will be found at this website.

The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules.

PA Bulletin, Doc. No. 17-149

STATEMENTS OF POLICY

Title 34—LABOR
AND INDUSTRY

DEPARTMENT OF LABOR AND INDUSTRY

[ 34 PA. CODE CH. 123 ]

Workers' Compensation Automation and Integration System

[47 Pa.B. 440]
[Saturday, January 28, 2017]

 The Department of Labor and Industry (Department) adopts Chapter 123, Subchapter J (relating to Workers' Compensation Automation and Integration System—statement of policy) to read as set forth in Annex A. This subchapter provides guidelines for the use of the Workers' Compensation Automation and Integration System (WCAIS) and prescribes the format for certain forms filed with the Department through use of electronic data interchange (EDI) under Chapter 121 (relating to general provisions).

A. Effective Date

 This statement of policy will be effective upon publication in the Pennsylvania Bulletin.

B. Contact Person

 The contact person for this statement of policy is Scott Weiant, Director, Bureau of Workers' Compensation, Department of Labor and Industry, 1171 South Cameron Street, Room 103, Harrisburg, PA 17104.

C. Statutory Authority

 The Department issues this statement of policy under the authority in sections 401.1, 404, 406 and 435(a) and (c) of the Workers' Compensation Act (act) (77 P.S. §§ 710, 715, 717 and 991(a) and (c)), section 2205 of The Administrative Code of 1929 (71 P.S. § 565) and sections 404 and 406 of The Pennsylvania Occupational Disease Act (77 P.S. §§ 1504 and 1506).

D. Purpose

 Under § 121.3 (relating to filing of forms) insurers and self-insured employers are required to file certain forms in the format prescribed by the Bureau of Workers' Compensation (Bureau). This statement of policy will clarify the format prescribed by the Bureau for certain forms generated in WCAIS by the submission of an EDI transaction.

 Submission of certain EDI transactions will generate in WCAIS the forms required under §§ 121.7, 121.7a, 121.13 and 121.17. Specifically, Form LIBC-495 (Notice of Compensation Payable), Form LIBC-496 (Notice of Compensation Denial), Form LIBC-501 (Notice of Temporary Compensation Payable) and Form LIBC-502 (Notice Stopping Temporary Compensation) will be automatically generated by the submission of the appropriate EDI transaction in WCAIS.

 This statement of policy implements § 121.3 in that the format prescribed by the Bureau for Forms LIBC-495, LIBC-496, LIBC-501 and LIBC-502 is the form automatically generated in WCAIS. The Department will not accept Forms LIBC-495, LIBC-496, LIBC-501 and LIBC-502 through other means.

KATHY M. MANDERINO, 
Secretary

 (Editor's Note: Title 34 of the Pa. Code is amended by adding a statement of policy in § 123.901 to read as set forth in Annex A.)

 Fiscal Note: 12-103. No fiscal impact; (8) recommends adoption.

Annex A

TITLE 34. LABOR AND INDUSTRY

PART VIII. BUREAU OF WORKERS' COMPENSATION

CHAPTER 123. GENERAL PROVISIONS—PART II

Subchapter J. WORKERS' COMPENSATION AUTOMATION AND INTEGRATION SYSTEM—STATEMENT OF POLICY

§ 123.901. Workers' Compensation Automation and Integration System.

 (a) This subchapter provides guidelines concerning how the Department uses its electronic filing and record retention system, known as the Workers' Compensation Automation and Integration System (WCAIS). This subchapter expresses the present intentions of the Department with respect to utilizing WCAIS for the electronic reporting, filing and retention of forms. The Department intends to promulgate regulations for this purpose as soon as practicable.

 (b) For the following forms, the form electronically generated in WCAIS using data provided through an electronic data interchange transaction is the format prescribed by the Bureau under § 121.3 (relating to filing of forms) for purposes of reporting, filing and service of these forms to the Department. Form LIBC-495 (Notice of Compensation Payable), Form LIBC-496 (Notice of Compensation Denial), Form LIBC-501 (Notice of Temporary Compensation Payable) and Form LIBC-502 (Notice Stopping Temporary Compensation) may not be submitted to the Department in any other format.

[Pa.B. Doc. No. 17-149. Filed for public inspection January 27, 2017, 9:00 a.m.]


No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Bulletin full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.