|
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.
|
| NCCI POC Service Start Date |
June 1, 1994 |
|
POC Contact Information |
|
Montana Department of Labor & Industry
Employment Relations Division
PO Box 8011
Helena, MT 59604
Street Address:
1805 Prospect Street
Helena, MT 59601
Contact: Doug Roope
Tel:
406-444-1600
Fax:
406-444-4140
Email:
Doug.Roope@mt.gov
|
| How NCCI Provides POC Data to State |
- IAIABC POC 3.0 Format
-
Proof of Coverage Inquiry
|
|
POC Timeliness Reporting Requirements |
| Transaction Received Date |
NCCI’s received date is used to determine timeliness on POC transactions accepted by the state.
|
| Policies |
Due within 30 days from the date issued.
POC Notices may be submitted if the policy will not be issued within 30 days after the Policy Effective Date. This does not eliminate the need to submit the policy.
|
| Cancellations |
Due 20 days prior to the Cancellation Effective Date.
|
| Reinstatements |
Statute does not mandate time frame. NCCI requires Reinstatements to be reported within 30 days from the Reinstatement Effective Date.
|
| Nonrenewals |
Montana is a continuous coverage state. Nonrenewals are required and must be reported 45 days prior to the effective date of nonrenewal cancellation. (MCA 33.15.1105)
|
|
POC Data Reporting Requirements |
|
Data Elements:
-
Industry Code—A valid 2012 or 2017 North American Industry Classification System (NAICS) code must be reported
- Number of Employees—Must be reported on Address Type Codes 1, 2, and 6
- 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, Montana will accept Employer Names linked to:
- Address Type 2—Location of Operations with an Out-of-State Address reported with State Code Link 25
- Montana does not accept Employer Names linked to Address Type 6—No Physical Location
State Processing Exceptions:
|
|
POC Penalties & Appeals |
| POC Fines |
Statute allows $200 fine to be assessed for late reporting.
|
| Appeals |
Appeals process is a Contested Case Hearing before the Department of Labor and Industry within 30 days of the adverse action and then on to the Workers Compensation Court.
|
|
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.
|
|
|
