South Carolina Code of Regulations
Chapter 67 - SOUTH CAROLINA WORKERS' COMPENSATION COMMISSION
Article 2 - GENERAL
Section 67-202 - Words and Phrases, Defined
Universal Citation: SC Code Regs 67-202
Current through Register Vol. 48, No. 3, March 22, 2024
A. The definition of words and phrases used in this Chapter include:
(1) Accident
Reporting Division: A division of the Commission responsible for receipt and
processing of the employer's first report of injury, Form 12A (ACORD 4) and
Form 12M.
(2) Certified Mail: Mail
including that which is certified by the U. S. Postal Service and that carried
by a commercial carrier that keeps proper documentation.
(3) Claimant: The party making a claim
including his or her attorney.
(4)
Claims Department: A department of the Commission responsible for managing the
workers' compensation file. The department reviews case files that are not
contested and assures compliance with the provisions of this Chapter and the
Act by requesting and, if necessary, assessing a fine for failure to file
reports required by this Chapter and the Act.
(5) Compliance Division : A division of the
Commission responsible for investigation and, if necessary, requests
prosecution of an employer who refuses or neglects to comply with the insurance
provisions of this Chapter and the Act. The division is authorized to request
and, if necessary, assess a fine for failure to file reports required under
this Chapter and the Act.
(6)
Coverage Division: A division responsible for monitoring and maintaining
coverage records of employers, employees, insurance carriers, self-insurance
funds, and the State Accident Fund's compliance with the Chapter and the Act.
The division is authorized to request and, if necessary, assess a fine for
failure to file reports required under this Chapter and the Act.
(7) Employer's Representative.
(a) The employer's insurance carrier, the
claims administrator for a self-insurance fund or a self-insured employer, the
State Accident Fund, and counsel of record for the employer and its insurance
carrier.
(b) If an employer is
operating as an unqualified self-insured, the term "employer's representative"
shall mean the unqualified self-insured employer and its attorney, if any, who
shall be directly responsible for compliance with the provisions of this
Chapter and the Act.
(8)
Federal Employer Identification Number: "FEIN."
(9) Informal Conference: Also called a
"viewing," an informal conference is a meeting with the claimant, the
employer's representative, and a Commissioner or claims mediator. At the
informal conference, the Commissioner or claims mediator answers questions
about the claim and reviews, for approval, a proposed settlement of a claim. An
informal conference may be held for the purpose of certifying a Form 17
according to R.67-505E
and R.67-506F.
(10) Judicial
Department: A department of the Commission which assigns the informal
conference, contested case, and Commission review docket and issues the hearing
notice. The department reviews the Commission's files and assures compliance
with the provisions of this Chapter and the Act by requesting and, if
necessary, assessing a fine for failure to file reports required by this
Chapter and the Act.
(11) Medical
Services Division: A division of the Commission which administratively reviews
physician fees and hospital charges to assure compliance with the Medical
Services Provider Manual and the Hospital and Ambulatory Surgery Center Payment
Manual.
(12) Public Affairs
Division: A division of the Commission responding to the general inquiries of
employees and employers concerning their rights, benefits, and obligations
under the Act. The service does not provide legal advice or offer opinions
concerning a particular claim.
(13)
Self-Insurance Division: A division of the Commission which monitors the
compliance of self-insured employers and self-insurance funds with this Chapter
and the Act. The division reviews applications to self-insure and is authorized
to request and, if necessary, assess a fine for failure to file reports
required under this Chapter and the Act.
(14) South Carolina Workers' Compensation
Commission: the Commission.
(15)
Unqualified Self-Insured Employer: An employer who refuses or neglects to
comply with the insurance provisions of this Chapter and the Act.
(16) Workers' Compensation Law: the
Act.
(17) Workers' Compensation
Commission's file number: the W.C.C. file number.
(18) Rehabilitation professionals:
coordinators of medical rehabilitation services.
B. In addition, other words and phrases are defined in the article most closely associated with the word or phrase.
Disclaimer: These regulations may not be the most recent version. South Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.