U.S. Department of Labor Office of Workers’ Compensation Programs
Division of Longshore and Harbor Workers'
Compensation
Washington, D.C. 20210

July 06, 2015
INDUSTRY NOTICE No. 153

TO: INSURANCE CARRIERS AND SELF-INSURED EMPLOYERS, LONGSHORE AND
HARBOR WORKERS’ COMPENSATION ACT AND EXTENSIONS

SUBJECT: CY 2015 ASSESSMENT FOR THE SPECIAL FUND, SECTION 44
OF THE LONGSHORE AND HARBOR WORKERS’ COMPENSATION ACT

On January 16, 2015, pursuant to Section 44 of the Longshore and Harbor Workers’
Compensation Act, a Notice was sent to all insurance carriers and self-insured employers
authorized under the Act and its extensions (including the District of Columbia
Compensation Act) , requesting a report of the amount of all compensation and medical
payments made during calendar year 2014. Form LS-513, Report of Payments, was
attached to the Notice.

All payments made during calendar year 2014 by insurance carriers and self-insured
employers have now been reported. A total of $998,653,103 in compensation payments
has been reported under the Longshore Act and three extensions, the Defense Base Act, the
Outer Continental Shelf Lands Act, and the Nonappropriated Fund Instrumentalities Act. A
total of $2,839,947 has been reported under the District of Columbia Compensation Act for
compensation and medical payments in cases where the date of injury arose prior to July
26, 1982.

This Office has determined that for calendar year 2015, a total of $110,000,000 is needed
for the Special Fund under the Longshore Act and extensions (excluding the D.C. Act) and a
total of $8,000,000 is needed for the Special Fund under the District of Columbia Act.
Proceeds from the Special Fund assessment are used for payments under Sections 8(f),
10(h), and 18(b) plus other payments provided for under Section 44 of the Act.

This notice accompanies the bill for final amounts owed on your CY 2015 assessment. The
attached billing form shows the calculation on which your assessment is based. Under the
Longshore Act and extensions (except the D.C. Act) the assessment is based on (1) the
ratio of the amount each carrier or self-insurer paid during the prior calendar year for
compensation benefits in relation to the amount all such carriers and self-insurers paid
during that period, and (2), the ratio of the amount of payments made by the Special Fund
attributable to each carrier or self-insurer for cases being paid under Section 8(f) of the Act
during the preceding calendar year in relation to the total of such payments. The resulting
sum is divided by two and multiplied by the estimated expenses of the Fund. The amount
paid for the advance assessment is credited against the total assessment and the amount
now due is shown as the last figure.

Under the District of Columbia Compensation Act the ratio of the amount each carrier or
self-insurer paid during the prior calendar year for compensation and medical benefits in


relation to the amount all such carriers and self-insurers paid during that period is multiplied
by the estimated expenses of the Fund.

PLEASE MAKE YOUR CHECK PAYABLE TO THE U.S. DEPARTMENT OF LABOR, OFFICE OF
WORKERS’ COMPENSATION PROGRAMS, AND MAIL IT TO:

U.S. DEPARTMENT OF LABOR

Division of Longshore and Harbor Workers’ Compensation
200 CONSTITUTION AVE. N.W. - Room C-4319
Washington D.C. 20210

TAX ID# 61-1609381

You may also process a Fed Wire with TREASURY New York.

Bank: Federal Reserve Bank of New York
Routing number: 021030004
Account number: 16150003

You must FAX a copy of the bill and your wire instructions with the sequence
number and bill number to (202) 354-9635 prior to the transaction.

Payment must be received no later than August 14, 2015. Please provide the
Sequence No. and bill No. with any payments and include a copy of the bill with all
checks. Please direct any inquiries concerning your assessment to Kathy Blackwell of this
office at phone and FAX (202) 354-9635, email at biackwell.kathy@dol.gov, or Office FAX
(202) 693-1380.

Regards,

onio’A. Rios
Director
Division of Longshore and Harbor Workers’ Compensation

Enclosure: 2015 Final Assessment Bill