Workers' Compensation
The Division actively ensures the self-execution of the workers' compensation
system through educating and informing all stakeholders in the system of their
rights and responsibilities, compiling and monitoring system data, and holding
parties accountable for meeting their obligations.
Leadership
- Director Tanner Holloman
- Assistant Director
Andrew Sabolic
Bureaus and Offices
Bureau Chief: Robin Delaney
- Investigate employers to determine civil compliance
with Chapter 440, Florida Statutes.
- Enforce civil compliance when violations of Chapter 440, Florida Statutes
are discovered.
- Refer suspected violations of other agency laws (state and federal) to
proper agency.
- Process exemption applications in 11 offices throughout the state.
- Maintain exemption database in CCAS (on-line Compliance database).
- Maintain imaged exemption applications and make available to public via
public records request.
- Process workers' compensation coverage data received from leasing companies.
- Maintain proof of coverage (POC) database for Florida.
- Efficiently respond to inquiries with reliable information about Bureau and
other agency processes.
Bureau Chief: Stephen Yon
- Investigates disputes and facilitates resolution
without undue expense, costly litigation or delay in the
provision of benefits.
- Assists system participants in fulfilling their statutory responsibilities.
- Educates and disseminates information to all system participants.
- Initiates contacts with injured workers to discuss their rights and
responsibilities and advise them of services available through EAO.
- Reviews claims in which injured workers' benefits have been denied, stopped,
or suspended.
- Provides reemployment services to eligible injured employees who are unable
to return to work as a result of their work place injuries or illnesses.
- Regulation of individual self-insurers to ensure
financial resources are available to pay employee' s claims.
- Overall monitoring and auditing of carrier performance.
- Monitoring accuracy of benefit payments; initiating intervention efforts
when appropriate.
- Establishing permanent total cases eligible for Division-paid supplemental
benefits.
- Assessing penalties for late reporting, benefit payments, or medical
payments.
- Providing technical assistance to customers through telephone contacts,
training, and audit workshops.
Bureau Chief: Lisel Laslie
- Collection, quality control, analysis and reporting of
medical data provided under workers' compensation.
- Establishes and implements the rules, requirements, and processes for
electronic reporting of the First Report of Injury, Subsequent Report of Injury
and Proof of Coverage forms, using national EDI standardized file formats.
- Monitors accuracy and timeliness of benefit payments; initiating
intervention efforts when appropriate.
- Provides for collection, distribution and archival of the division' s imaged
records.
- Provides public record information.
- Produces the division' s annual report.
- Responds to requests for division data.
Bureau Chief: Greg Jenkins
i. Assessments Unit
- Calculates the assessment rate for the Special
Disability Trust Fund (SDTF) annually;
- Calculates the assessment rate for the Workers' Compensation Administration
Trust Fund (WCATF) annually;
- Insurance companies, assessable mutual insurance companies,
self-insurance funds and individual self-insurers are required to pay the
Division assessments to support the Workers' Compensation Administration Trust
Fund (WCATF) and the Special Disability Trust Fund (SDTF);
- Collects the assessment payments from insurance companies, self-insurance
funds and individual self-insurers quarterly; and
- Conducts audits to validate the accuracy of the premium data that the
carrier reported against other national premiums sources, such as the NAIC
ii. Financial Accountability Section
- Monitors the receipt of all payments submitted by
check or made online related to Notices of Election to be Exempt
and Employer penalty payments;
- Oversees the process of reinstating Stop-Work Orders when Employers default
on their payments, pursuant to their periodic payment agreement schedule; and
- Refers delinquent accounts to the collection agency and files liens against
those Employers
iii. IT Contract Management for Technology Services
- Manages the execution and tracking of the Division's
IT contracts
iv. Project, Software, and Data Analysis Unit
- Supports the Division of Workers' Compensation's
(Division) project, software, and data analysis needs;
- Provides data analysis services for the Division;
- Sponsors and develops new technology systems and modernizes older technology
systems; and
- Provides project management services for the Division
v. Self-Insurance Regulation Unit
- Regulates individual self-insurers to ensure financial
resources are available to pay employee' s claims;
- Contracts with FSIGA to actively manage private self-insurers;
- Issues notices of violation for late filing of forms, reports or documents
as required by Section 440.38(2)(b), Florida Statutes;
- Issues notices of violation for delinquent payment of assessment to the
Florida Self-Insurers Guaranty Association (FSIGA);
- Reviews Drug-Free and Safety Premium Credit Programs application to
determine if it in compliance with sections 440.101 and 440.1025 Florida
Statutes; and
- Promulgates experience modifications for all active individually self-insurered
employers
vi. Special Disability Trust Fund Unit
- Reviews all filed Proofs of Claim to determine if the
claim meets eligibility requirements for reimbursement of
benefits paid by the carrier and subsequently notify the carrier
whether the claim has been accepted or denied;
- Determines eligibility for reimbursement by the Fund through auditing
Reimbursement Requests and supporting documentation submitted by the carrier on
claims that have been accepted;
- Issues accurate reimbursements; and
- Disburses Permanent Total Supplemental Benefits to certain injured workers
Program Administrator: Theresa Pugh
- Health Care Provider certification pursuant to Section
440.13(3), Florida Statutes.
- Expert Medical Advisor certification pursuant to Section 440.13(9), Florida
Statutes. Health Care Provider and Expert Medical Advisor database maintenance.
- Reimbursement dispute resolution pursuant to Section 440.13(7), Florida
Statutes.
- Investigation and determination of healthcare provider utilization patterns,
billing practices or violations of law or rules that may require penalties,
pursuant to Section 440.13(8), (11) or (13), Florida Statutes.
- Development of Workers' Compensation Reimbursement Manuals, in collaboration
with the three-member panel, pursuant to Section 440.13(12), Florida Statutes.
- Provision of educational and technical support regarding the aspects of
medical services in response to inquiries.