New Mexico Administrative Code
Title 11 - LABOR AND WORKERS' COMPENSATION
Chapter 4 - WORKERS' COMPENSATION
Part 3 - PAYMENT OF CLAIMS, POST-ACCIDENT DRUG AND ALCOHOL TESTING, AND CONDUCT OF PARTIES
Section 11.4.3.13 - CONDUCT OF PARTIES
Universal Citation: 11 NM Admin Code 11.4.3.13
Current through Register Vol. 35, No. 18, September 24, 2024
A. Worker's duties:
(1) Worker shall answer
reasonable requests from the employer regarding work status.
(2) When a worker is receiving disability
benefits, worker shall report to employer, within 15 days, any return to work,
any written medical release to return to work provided to worker, and any
physical limitations imposed by a physician and provided to worker in
writing.
(3) Worker shall, upon
request, give employer the names, addresses, relationship and degree of
dependency of all dependents, and may be required to make a verified statement
regarding these matters.
(4) Worker
may be required to sign the authorization form approved by the WCA to release
medical information as a condition of receipt of workers' compensation
benefits.
B. Employer's duties:
(1) Upon receipt of a medical release
to return to work employer shall notify worker about any required procedures
for application for a pre-injury job or modified work.
(2) The employer shall not require the worker
to sign any medical release form, other than the WCA approved worker's
authorization for use and disclosure of health records, as a condition of
receipt of workers' compensation benefits. If a health care provider refuses to
accept the WCA approved worker's authorization for use and disclosure of health
records, the worker may be required to execute the health care provider's
requested release.
(3) The employer
shall sign any notice of accident form on the date submitted by the
worker.
(4) The employer shall
report every accident to their insurer or, in the case of a self-insured
employer or member of a self-insurance group, their claims administrator,
whether or not the employer considers the claim to be valid, within 72 hours of
the earlier of:
(a) actual knowledge of the
accident by the employer; or
(b)
presentation of a notice of accident form to the employer.
(5) An insured employer is prohibited from
making any payment of statutory workers' compensation benefits directly to a
worker, the dependents of a worker, or to a health care provider on behalf of a
worker, except when the employer is a self-insurer, or member of a group
self-insurance program, certified by the director. Payments of statutory
benefits by a certified self-insurer or a member of a certified group
self-insurance program must be made by the authorized claims administrator for
the self-insurance program. This prohibition does not preclude any employer
from paying a worker his or her full wage or salary pursuant to a wage
continuation program, or from paying wages or salary to a worker for limited or
light duty employment.
(6)
Employers who are subject to the Act but uninsured at the time of a compensable
accident shall pay statutory workers' compensation benefits directly to a
worker or eligible dependent, or HCP upon request. Any uninsured employer
paying a claim under this subsection shall inform the director in writing
within ten days of the initial payment, and shall provide the employer's
business location, the total number of employees, and the worker's name,
address, and benefit status. The director may impose upon the employer any
conditions regarding the manner of payment of benefits as may reasonably be
required to protect the interests of the worker and insure compliance with the
act.
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