Home
Forms Library
HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny

HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny 2025

HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny Preview on Page 1

Show details

4.4 out of 5

179 votes

The document outlines the process for health insurers to request reimbursement for health benefits paid on behalf of injured employees under New York State's Workers' Compensation Board. It includes sections for submitting reimbursement requests, objections from workers' compensation carriers, and procedures for arbitration in case of disputes. Detailed instructions are provided for both health insurers and carriers regarding documentation requirements, timelines, and the arbitration process.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to modify HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our extensive and user-friendly PDF editor is easy. Adhere to the instructions below to complete HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny online easily and quickly:

Log in to your account. Sign up with your credentials or register a free account to test the service prior to choosing the subscription.
Import a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny. Easily add and highlight text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your document.
Get the HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with others through a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to rapidly manage your paperwork online!

See more HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny versions

We've got more versions of the HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny form. Select the right HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (60 Votes)
2009	4.4 Satisfied (179 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the best way to electronically sign my [KEY]?

A lot of software solutions are available on the market for document modifying and signing. DocHub is one of the most in-demand online solutions that comply with all data protection and compliance requirements and guarantees your eSigned paperwork is legally enforceable. All you need to try it out is to create an account, add your [KEY], fill out the requested details, and click Sign. Create your eSignature by typing, drawing it, uploading its image to your document, or scanning a unique QR code.

How do you edit [KEY] online?

With DocHub, you have several convenient ways to edit your [KEY] online. You can drag and drop the form and edit it directly at the DocHub site or use our browser extension to fill out your form immediately. Additionally, you can edit your PDF on your phone, as DocHub works with all the available mobile platforms.

How long does it take to settle a workers comp case in NY?

The entire settlement processfrom filing your claim to having the money in your handscan take around 12-18 months depending on the details of your case and whether or not you have legal representation.

What is the New York State assessment for workers compensation?

On Oct. 30th, the New York State Workers Compensation Board (WCB) announced the assessment rate that will apply to all employers during the 2021 calendar year. The assessment rate will be 11.8 percent of the standard premium or premium equivalent.

How much does NYC Workers Comp pay?

Date of AccidentWeekly Maximum Total / PartialJuly 1, 2019 - June 30, 2020$934.11 / $934.11July 1, 2018 - June 30, 2019$904.74 / $904.74July 1, 2017 - June 30, 2018$870.61 / $870.61July 1, 2016 - June 30, 2017$864.32 / $864.3216 more rows

Who is the NYS WCB medical director?

Tacci, MD, JD, MPH (FACOEM, FACPM), is the Medical Director of the NYS Workers Compensation Board.

How do I contact New York State Workers Compensation Board?

Customer Service Toll-Free Number: (877) 632-4996.

What happens at a workers compensation hearing in NY?

The judge hears testimony, reviews medical records and wages, then decides on a resolution and the amount of any award. Injured Workers always have the right to an attorney or licensed representative, who may not ask for or accept a fee. The legal fee is determined by the Board and deducted from the compensation award.

What is the maximum workers compensation in NYS?

ingly, the maximum weekly benefit rate will be $1,125.46 for compensable lost time for workers compensation claims with dates of injury during the period from July 1, 2022, through June 30, 2023.

What is the NYS WC assessment for 2022?

Pursuant to WCL 151, the Chair of the Workers Compensation Board shall annually establish an assessment rate for all employers by November 1 of each year, to be effective January 1 of the subsequent calendar year. For calendar year 2022, the rate shall be 10.2% of the standard premium or premium equivalent.

HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny 2025

Here's how it works

The best way to modify HIMP-1(1/09) - Workers' Compensation Board - New York State - wcb ny in PDF format online