Lost Time Claims definition

Lost Time Claims. : shall mean any timely reported workers’ compensation accident or claim where the injured employee will likely be entitled to medical benefits and has lost or may lose time from work or will submit or has submitted a claim for indemnity benefits. Claims shall be identified as Lost Time Claims when PMAMC initiates investigation of any kind to resolve issues regarding compensability without regard to:
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Lost Time Claims or "LT" shall mean: (i) any reported workers’ compensation accident or claim with respect to which the injured worker will not only be entitled to medical benefits but in addition has lost or appears likely to lose time from work or submit or has submitted a claim for indemnity benefits, including any claim originally classified as a Medical-Only Claim which becomes a Lost-Time Claim because the injured worker claims or becomes eligible for indemnity benefits; ( ii ) any claim in litigation; ( iii ) claims which would otherwise be classified as Medical-Only Claims involving an injured worker who has returned to work on alternate duty due to restrictions from the work-related injury, but follow-up by a claims representative will be needed to facilitate to return to full duty; and ( iv ) claims which merit investigation by a claims representative or private investigator due to questions regarding compensability.
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Examples of Lost Time Claims in a sentence

  • All costs associated with the Lost Time Claims, including the amounts paid on Valid Claims and administration costs, shall be paid exclusively out of the Settlement Fund.

  • In the event that the aggregate amount of all Documented Loss Payments and payments for the CMIS exceeds the total amount of the Net Settlement Fund, then no payments for Lost Time Claims will be made, and the value of the Documented Loss Payment to be paid to each Class Member shall be reduced, on a pro rata basis, such that the aggregate value of all Documented Loss Payments and payments due for CMIS does not exceed the Net Settlement Fund.

  • After the distribution of attorneys’ fees, Class Counsel’s litigation expenses, Administrative Fees, Service Award, Out-of- Pocket Expense Claims, and Lost Time Claims (each of which is defined below in this Section), the Settlement Administrator will make a $50 cash payment to each Class Member who submits a claim.

  • Lost Time Claims: $ 794 each Medical Only Claims (TPA Administered: $ 145 each Medical Plus Claims (City Administered): $ 30 each Record Only Claims (City Administered): $ 30 each Administration Fee: $ 8,295 annual Administration Fee will be due and payable at contract inception.

  • Lost Time Claims for reimbursement of $25.00 per hour up to 4 hours (for a total of $100) with an attestation on the Claim Form that the activities performed were related to the Security Incident.

  • Employer agrees to report all Medical Only and Lost Time Claims to SFM Risk.

  • Lost Time Claims for reimbursement of $25.00 per hour up to 3 hours (for a total of $75) with a brief description of the activities engaged in and the time spent on each such activity and an attestation on the Claim Form that the activities performed were related to the Data Incident.