POC State Guide - Virginia

Posted Date: April 12, 2016
    
 

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 December 31, 1989
POC Contact Information

Virginia Workers Compensation Commission
1000 DMV Drive
Richmond, VA 23220-2036

Contact Name: Aubrey Chigwada
Tel: 804-482-5304
Fax: 804-367-2239
Email: Aubrey.Chigwada@workcomp.virginia.gov
Web: www.workcomp.virginia.gov

How NCCI Provides POC Data to State
  • NCCI Daily POC 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 of the Policy Effective Date.

POC Notices may be submitted if the policy will not be issued within 30 days of the Policy Effective Date. This does not eliminate the need to submit the policy.

Cancellations

Due 10 days prior to the Cancellation Effective Date for Nonpayment Cancellations. Other cancellations are due 30 days prior to the Cancellation Effective Date.

A cancellation at the employer's request is effective as of the date the notice is received by the Commission.

Reinstatements

Due within 30 days of the Reinstatement Effective Date.

Nonrenewals

Nonrenewal cancellations initiated by insurer are required 30 days prior to the cancellation date. Nonrenewal transactions are not required if the insurer offered a renewal and the renewal is not taken by the insured or if the insured obtains other insurance and the Commission is notified by the insurer assuming the risk.

POC Data Reporting Requirements

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:

  • If you report a Virginia State Premium Record, you must report at least one Virginia employer Address Type 2 or 6 linked to State Code Link 45
  • When there is no physical location in the state, Virginia will accept Employer Names linked to:
    • Address Type 6—No Physical Location
    • Address Type 2—Location of Operations with an Out-of-State Address reported with State Code Link 45

State Processing Exceptions:

  • When reporting a Professional Employer Organization (PEO) Master Policy, only one PEO name is allowed
POC Penalties & Appeals
POC Fines

An insurance carrier that fails to report timely will be fined by the Virginia Workers Compensation Commission (VWCC) a civil penalty of up to $500 for each failure. When the VWCC is notified by an employer that it has Proof of Coverage but the coverage has not been filed timely, VWCC offers an opportunity to file. In the event the carrier fails to file promptly, a fine is issued.

To encourage carrier review and compliance, the VWCC is also conducting broad quarterly, systematic reviews of all timely filings and fining.

Appeals

A 30-day period is allowed to request formal review.

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.