Section R20-5-726. Processing of Workers’ Compensation Claims by a Pool

A.      The Commission shall permit a pool to process its own work- ers’ compensation claims if the pool provides information and supporting documentation establishing the following:

1.        The pool has facilities and equipment to manage, process, and store its own workers’ compensation claims;

2.        If required by law, a pool shall ensure that a licensed claims adjuster processes all workers’ compensation claims. If a licensed claims adjuster is not required by law to process claims, then the pool shall ensure that workers’ compensation claims are processed by persons with expe- rience, training, and knowledge of the following:

a.        Processing   of   Arizona   workers’    compensation claims; and

b.        Arizona Workers’ Compensation Act;

3.        Pool personnel processing workers’ compensation claims shall attend and complete training provided by the Com- mission Claims Division.

B.       A pool shall pay and process workers’ compensation claims in compliance with the Arizona Workers’ Compensation Act and the rules.

Historical Note

Adopted effective September 9, 1998 (Supp. 98-3).