Sometimes payments are delayed. If the claims administrator can't determine whether your injury is covered by workers' compensation or whether TD benefits must be paid, he or she may delay your first TD payment while investigating. A delay is usually not longer than 90 days. If there is a delay, the claims administrator must send you a delay letter. It must explain:
-Why you won't receive payments within the first 14 days
-What information the claims administrator needs in order to decide if you are eligible for TD benefits
-When a decision will be made.
-If there are further delays, the claims administrator must send you additional delay letters.
The claims administrator must pay you an additional 10% of the payment, if the claims administrator sends a payment late and you filed a claim form for your injury more than 14 days before the payment was due.
This is true even if there was a reasonable excuse for the delay. However, there's no penalty if the claims administrator can't determine, in the first 14 days after your employer learned about your injury, whether TD benefits must be paid and sends you a delay letter as explained above. You could be awarded a total of 25% of each late payment, up to $10,000, if there was no reasonable excuse for the delay.
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Disclaimer: Any information given by me is for informational use only and is not legal advice. This is general information and is not intended to be specifically tailored to an individual. I strive to provide quality information, but I make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked herein and its associated sites. Persons accessing this response are encouraged to seek legal counsel in their jurisdiction for accurate guidance regarding their individual circumstances.