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<br />, . <br /> <br />16. <br /> <br />17. <br /> <br />...5: I ð-// <br /> <br />9. <br /> <br />Plan of Action: Each claim file shall contain the examiners plan of action for the future handling of that <br />claim. Such plan of action will be identified in the computer notepad. <br /> <br />10. <br /> <br />InvestiQation: The TPA shall subscribe to the Index Bureau. The examiner shall request a report <br />from the Index Bureau on all new indemnity claims. Subsequent requests should be made every <br />six (6) to twelve (12) months thereafter on all active indemnity claims, <br /> <br />11. <br /> <br />Compensability: The compensability determination (accept claim, deny claim, or delay acceptance pending <br />the results of additional investigation) and the reasons for such determination will be made and <br />documented in the file within three (3) working days of the receipt of the notification of the loss. Delay or <br />denial of benefit letters shall be mailed in compliance with the Division of Industrial Relations' guidelines. <br />The TPA shall notify the member city of delay or denial of any claim. <br /> <br />In no case shall a final compensability decision be extended beyond ninety (90) days from the member <br />city's knowledge of the claim. <br /> <br />12. <br /> <br />Provision of Benefits: The TPA shall provide all compensation and medical benefits in a timely manner and <br />in compliance with the statutory requirements of the California Labor Code. The TPA shall compute and <br />pay temporary disability benefits to injured employees based upon earnings information and authorized <br />disability periods. The TPA shall review, compute, and pay all informal ratings, death benefits, Findings <br />and Awards, life pensions, or Compromise and Release settlements. <br /> <br />13. <br /> <br />Initial Indemnity Payment: The initial indemnity payment or voucher will be issued and mailed to the injured <br />employee together with properly completed DWC notices within fourteen (14) days of the first day of <br />disability, <br /> <br />Late payments must include the ten percent (10%) self-imposed penalty in accordance with Labor Code <br />Section 4650, <br /> <br />14. <br /> <br />Subsequent Indemnity Payments: All indemnity payments or vouchers subsequent to the first payment will be <br />verified, except for obvious long-term disability, and issued in compliance with Labor Code Section 4651. <br /> <br />Late payments must include the ten percent (10%) self-imposed penalty in accordance with labor Code <br />Section 4650. <br /> <br />15, <br /> <br />Return to Work: The TPA shall provide assistance to the member cities in returning injured employees to <br />modified duty while recovering and prior to their return to regular duties. <br /> <br />The TPA shall consult frequently with the member city in those cases where the injury residuals might <br />involve permanent work restrictions and/or retirement potential. <br /> <br />TranspOrtation Expense: Transportation reimbursement will be mailed within five (5) days of the receipt of the <br />claim for reimbursement. Advance travel expense payments will be mailed to the injured employee ten (10) <br />days prior to the anticipated date of travel. <br /> <br />Permanent Disability: The TPA shall explain and assist injured employees in completing the necessary <br />forms to obtain a permanent disability rating. <br /> <br />City of Redwood City WCP Performance Standards <br /> <br />Page 3 of 7 <br /> <br />July 1, 2005 <br />