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NYSIF

NYSIF LAUNCHES EXTREME HEAT PPE PREMIUM CREDIT PROGRAM NYSIF is offering a one-time credit to workers’ compensation policyholders for the purchase of essential Personal Protective Equipment (PPE) for extreme heat. Receive 10% credit of annual premium on the purchase of heat-related PPE, with a maximum reimbursement of $1,000. This credit is tailored to provide qualified businesses that fall ...

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Forms - NYSIF

If you are a prospective or current policyholder and received an eSignature form request from NYSIF, please note it will appear in your inbox as "Electronic Form via DocuSign," with the name of the form as the subject line. Access frequently-used workers' compensation and disability benefits forms below. Many of the forms link directly to the Workers' Compensation Board website.

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FAQ - NYSIF

If you do not receive a code within 15 minutes, contact NYSIF at 888-875-5790 and select option “6”, followed by option “1”, and then option “1” again to reach the NYSIF Service Desk for assistance.

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Filing a Claim - NYSIF

Filing Disability Benefits Claims To file a Disability Benefits claim, an employee must complete NYSIF Form DB-450 and return it to NYSIF within 30 days of the onset after the start of the off-the-job injury or illness. For approved claims, Disability Benefits begin on the eighth day of disability. Your Part: Form DB-450 Part A is completed by the claimant. The claimant must answer all ...

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Essential Forms - NYSIF

Forms C-240, C-11 and C-107 are essential to avoid delays in claims payments, reimbursements and penalties. A C-105 Notice of Compliance is required by law to be posted in all business locations. C-240: Employer's Statement of Wage Earnings Preceding Date of Accident Promptly report accurate wage and attendance information about the injured worker to NYSIF by submitting Form C-240 to establish ...

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NYSIF.com Online Account User Guide MEDICAL PROVIDERS

About this Guide To safeguard the privileged information of both you and the NYSIF claimant, obtaining explanation of benefits (EOB) and bill payment information requires a secure login and two-step authentication procedure. This will allow authorized medical providers and/or their authorized representatives, access to bill status and payment information related to their submitted bills.

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NYSIF.com Online Account User Guide POLICYHOLDERS

Create an Account Visit nysif.com, choose “Login” at the top and click “Create an Account” from the dropdown menu. Choose the appropriate policy type (or both, if applicable).

https://ww3.nysif.com/-/media/Files/NYSIF_General_Info/PDF/Final...

Authorization/Variance Requests - NYSIF

On June 6, 2024, the Board reminded providers that most perioperative medications do not require prior authorization. The New York Workers’ Compensation Drug Formulary includes a perioperative drug list – a list of medications that do not require a prior authorization request (PAR) for treating an injured worker during the perioperative period.

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About NYSIF

NYSIF is the largest workers' compensation insurer in New York State and among the ten largest nationwide. NYSIF covers 2 million workers and insures 200,000 employers in New York State. NYSIF's mission is to guarantee the availability of workers' compensation, disability insurance and paid family leave at the lowest possible cost to New York employers while maintaining a solvent fund. Since ...

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