Arizona Administrative Code › Title 20 - COMMERCE, FINANCIAL INSTITUTIONS, AND INSURANCE › Chapter 05 - INDUSTRIAL COMMISSION OF ARIZONA › Article 14 - MUNICIPAL FIREFIGHTER CANCER REIMBURSEMENT FUND AND FIREFIGHTER AND FIRE INVESTIGATOR CANCER CLAIM REPORTING › Section R20-5-1405 - Cancer Claim Reporting Method; Frequency; Deadlines; Duration

Current through Register Vol. 30, No. 28, July 12, 2024
A. Cancer-related
				claim reporting under A.R.S. §
									23-971
				and this Article shall be performed electronically through the commission's
				electronic claims portal. Insurance carriers, self-insured employers,
				self-insurance pools, or a designee (including third-party administrators or an
				adjuster) are authorized to complete required claim reporting. Duplicate
				reporting of the same claim information is prohibited.
B. Subject to the claim reporting durations
				specified in subsection D of this section, insurance carriers, self-insured
				employers, and self-insurance pools subject to A.R.S. §
									23-971
				shall annually report the data elements specified in R20-5-1407 and R20-5-1408
				for cancer-related claims filed by or on behalf of firefighters and fire
				investigators.
C. Claim data
				reported pursuant to subsection B of this section shall be determined as of the
				loss valuation date for the applicable reporting period.
D. Claim reporting shall be completed within
				31 days after each applicable reporting period,
i.e.
, no
				later than July 31 of each year.
E.
				Claim reporting under A.R.S. §
									23-971
				is subject to the following claim reporting durations:
1. Denied Claims: Reported one time following
				the reporting period during which the claim is denied by a notice of claim
				status. Reporting is not required for claims denied prior to July 1,
				2021.
2. Claims Accepted on or
				after July 1, 2021: Reported for the longer of:
(a) the duration the claim remains open plus
				two additional annual reports after the claim is closed; or
(b) ten annual reports after acceptance of
				the claim.
3. Claims
				Accepted before July 1, 2021: If the claim was open on July 1, 2021, the claim
				shall be reported for the duration the claim remains open plus two additional
				annual reports after the claim is closed. If the claim was closed as of July 1,
				2021, and was accepted on or after July 1, 2011, the claim shall be reported
				for two annual reports. If the claim was closed as of July 1, 2021, and was
				accepted prior to July 1, 2011, reporting is not required.
4. Reopened Claims: Reported for the longer
				of:
(1) the duration the claim remains open
				(following acceptance of the petition to reopen), plus two additional annual
				reports after the claim is closed; or
(2) ten annual reports after acceptance of
				the petition to reopen.
5. Claims that Develop into Cancer-Related
				Claims: If a claim develops into a cancer-related claim, reporting should begin
				following the reporting period in which the claim developed into a
				cancer-related claim. In these circumstances, the claim shall be reported for
				the longer of:
(1) the duration the claim
				remains open plus two additional annual reports after the claim is closed; or
(2) ten annual
				reports.
6.
				Non-Cancer-Related Claims: If a cancer-related claim develops into a claim that
				no longer meets the definition of a cancer-related claim, no further annual
				reporting is required.
7.
				Informational Claims: Claims that have been filed but have not been accepted or
				denied as of the applicable loss valuation date shall not be
				reported.