Dept of Insurance Set to Release 2016 WC Adjuster Certification (WCAC) Data Call
The Institute has been notified that the California Department of Insurance (CDI) expects to issue the attached Workers’ Comp Adjuster Certification (2016 WCAC) Data Call for claims adjuster and medical bill reviewer data pursuant to California Insurance Code §11761 and CCR, Title 10, §§2592 – 2592.08 today (Friday, April 22). The Data Call includes instructions on retrieving the reporting materials from the Internet and submitting the data. After the Data Call is received, the WCAC “Acknowledgement of Receipt Form” will be due by Friday, May 13.
Please note that by Friday, July 8, insurance companies admitted to transact workers’ compensation insurance in California must submit a completed Data Workbook to certify their adjusters and/or medical bill reviewers. Self-insured employers and TPAs should not report using the CDI’s 2016 WCAC data workbook, but instead should continue to use the forms prescribed in CCR §§2592 et seq. After you determine your company’s reporting status, download the required forms to a local drive, complete each form, and submit them via the document upload program on the CDI website. (Note: you will not be able to complete the forms directly from the CDI website.) Step-by-step instructions for completing and submitting the forms are in the attached Statistical Plan. There are no significant changes from the 2015 plan, so unless the CDI has required a change in your company’s reporting methods, you should use the same reporting methods as last year.
Copies of the Acknowledgement of Receipt Form, WCAC 2016 Circular, Data Collection Workbook, and WCAC 2016 Statistical Plan are attached. If you have additional issues or questions after reviewing the information in these materials, please refer to the contacts listed in the Statistical Plan.
If you have staff members who need additional continuing education units, CWCI will conduct its 18th annual California Workers’ Compensation Case Law Update Seminar on May 23 in Long Beach and May 25 in San Francisco which will provide 5 hours of credit toward the CDI requirements. A seminar flyer is attached or you can get more details or register at www.cwci.org/conferences.html.