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As a POC service provider NCCI’s approach is to provide guidance to carriers on proof of coverage reporting guidelines. This guide is not intended to provide carrier notice to insured filing requirements.
All information provided in this guide is subject to change and dependent on notification from the state. Please refer to the applicable Workers Compensation Statutes or Rules for additional information.
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| NCCI POC Service Start Date |
May 1, 2009 |
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POC Contact Information |
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Industrial Commission of Arizona
800 W. Washington Street
Phoenix, AZ 85007
Contact Name: Joyce Escobedo
Tel: 602-542-6733
Fax:
602-542-3373
Emails:
Joyce.Escobedo@azica.gov
Claims@azica.gov
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| How NCCI Provides POC Data to State |
- NCCI Daily POC format
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Proof of Coverage Inquiry
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POC Timeliness Reporting Requirements |
| Transaction Received Date |
NCCI’s received date is used to determine timeliness on POC transactions accepted by the state.
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| Policies |
Must be filed within 5 days after undertaking to insure an employer.
POC Notices may be submitted if the policy will not be issued within 5 days after undertaking to insure an employer. This does not eliminate the need to submit the policy.
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| Cancellations |
At least 30 days' notice shall be given by the insurance carrier to the employer and to the commission of any cancellation or nonrenewal of a policy if the cancellation or nonrenewal is at the election of the insurance carrier. The insurance carrier shall promptly notify the commission of any cancellation by the employer or failure of the employer to renew the policy.
Policies may not be cancelled by the insurer except for nonpayment or when one or both parties to a Professional Employer Organization agreement terminate the agreement.
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| Reinstatements |
Due within 5 days after the reinstatement.
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| Nonrenewals |
At least 30 days' notice shall be given by the insurance carrier to the employer and to the commission of any cancellation or nonrenewal of a policy if the cancellation or nonrenewal is at the election of the insurance carrier. The insurance carrier shall promptly notify the commission of any cancellation by the employer or failure of the employer to renew the policy.
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POC Data Reporting Requirements |
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Data Elements:
- Refer to the POC Data Element Requirements Chart located in NCCI’s
Policy and Proof of Coverage (POC) Reporting Guidebook for all requirements
Address Reporting—No Physical Location:
- When there is no physical location in the state, Arizona will accept Employer Names linked to:
- Address Type 2—Location of Operations with an Out-of-State Address reported with State Code Link 02
- Arizona will not accept Employer Names linked to an Address Type 6—No Physical Location
State Processing Exceptions:
- Insurance companies writing workers compensation policies that use a Third Party Administrator (TPA) to process claims must register and provide the TPA contact information to the Industrial Commission of Arizona within 5 days of reporting the policy to NCCI.
- Please provide a contact name and phone number to the ICA for policy/TPA clarification purposes. If you have questions about the TPA information or coverage issues, please contact Joyce Escobedo, Industrial Commission of Arizona, at 602-542-6733.
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POC Penalties & Appeals |
| POC Fines |
Possible Bad Faith Patterns and Practices fine of $1,000 for each incident if coverage provider and/or processing Third Party Administrator (TPA) are consistently reporting late, which results in delay of benefits.
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| Appeals |
May appeal fines to the Industrial Commission of Arizona.
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Disclaimer:
This guide is comprised of materials and information which are proprietary to NCCI and are protected by United States and international copyright and other intellectual property laws.
This guide is provided solely as a reference tool to be used for the limited purpose of providing information to carriers regarding the reporting of proof of coverage information in various states. The information in this guide shall not be construed or interpreted as providing of legal or any other advice as to the cancellation, renewal or nonrenewal of an insurance policy or contract. Use of this guide for any purpose other than as set forth herein is strictly prohibited.
The guide is furnished “As Is” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to this guide, and expressly disclaims any and all express, statutory, or implied warranties including the implied warranty of merchantability and fitness for a particular purpose. Additionally, you assume responsibility for the use of, and for any and all results, conclusions, analyses, or decisions developed, derived or obtained as a result of this guide and NCCI does not endorse, approve, or otherwise acquiesce in your actions, results, analyses, or decisions, nor shall NCCI have any liability thereto.
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