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U. S. Department of Labor Office of Workers’ Compensation Programs

Division of Longshore and 

Harbor Workers’ Compensation

200 Constitution Avenue, Room C-4319 

Washington, DC 20210

July 24, 2017

Notice No. 161

To: Insurance Carriers and Self-Insured Employers under the Longshore and 

Harbor Workers’ Compensation Act, and its extensions, and the District Of 

Columbia Compensation Act 

Subject: 2017 Final Assessment for the Special Fund

Notice: This notice transmits the 2017 Final Assessment bill and instructions for forwarding 

payment. (PLEASE READ PAYMENT INSTRUCTIONS CAREFULLY)

_________________________________________________________________

On January 18, 2017, 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 2016. Form LS-513, Report of Payments, was 

attached to the Notice.

All payments made during calendar year 2016 by insurance carriers and self-insured 

employers have now been reported. A total of $959,394,551 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 $2,264,497 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 2017, a total of $114,000,000 is needed 

for the Special Fund under the Longshore Act and extensions (excluding the D.C. Act) and a 

total of $5,000,000 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 2017 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.
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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.

_________________________________________________________________

INSTRUCTIONS FOR PAYING YOUR FINAL ASSESSMENT(S)

Options for remitting payment: The U.S. Treasury has mandated that payments to the 

Federal government be conducted by FedWire/ACH credit to the greatest extent possible. 

Payment Option 1 – To process a Fed Wire with Treasury New York, you

MUST email your wire instructions to the Longshore Assessment Questions email 

box: Longshore_Assessment_Questions@dol.gov with the subject line “WIRE 

INSTRUCTIONS” prior to the transaction. When emailing the wire instructions, you 

must include your company’s name, the bill and sequence numbers (SEQ) as shown 

on the bill; the bill and SEQ number can be found on the top left hand corner of your 

bill. 

Bank: Federal Reserve Bank of New York

Routing number: 021030004

Account number: 16150003

Payment Option 2 – You may also submit a check made payable to U.S. 

Department of Labor, with a copy of the bill, to the address below. Please note that 

your check will be converted to an electronic fund transfer and electronically debited 

to your account. The original check will be destroyed but a copy will be retained. 

U.S. Department of Labor

Office of Workers’ Compensation 

Division of Longshore and Harbor Workers’ Compensation

200 Constitution Avenue N.W., Room C-4319

Washington, D.C. 20210

Payments should not be combined regardless of whether payment is made via 

wire or check:

• Do not combine payments for subsidiary companies that fall under your 

control. If paying by check, you should submit a separate check for each subsidiary 

with a corresponding bill attached. If paying by wire, your wire instructions should 

clearly reflect the subsidiaries for which you are forwarding payment and the 

individual amounts remitted.

• Do not combine payments for the LHWCA assessment and the DCCA 

assessment.

_________________________________________________________________

YOUR DEADLINES

Due Dates: 

Payment of the Final Assessment bill is due by August 23, 2017.
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Questions: For questions pertaining to this year's final assessment, please submit your 

inquiry to the Longshore Assessment Questions email box at the following address:

Longshore_Assessment_Questions@dol.gov

You may also call the OWCP/DLHWC Branch of Financial Management Insurance and 

Assessments at (202) 693-0038. 

Douglas C. Fitzgerald

Director, Division of Longshore and 

Harbor Workers' Compensation