Assembled Workers' Compensation Claims: Beginning 2000

data.ny.gov | Last Updated 26 Sep 2019

The Workers’ Compensation Board (WCB) administers and regulates workers’ compensation benefits, disability benefits, volunteer firefighters’ benefits, volunteer ambulance workers’ benefits, and volunteer civil defense workers’ benefits. The WCB processes and adjudicates claims for benefits; ensures employer compliance with the requirement to maintain appropriate insurance coverage; and regulates the various system stakeholders, including self-insured employers, medical providers, third party administrators, insurance carriers and legal representatives. Claim assembly occurs when the WCB learns of a workplace injury and assigns the claim a WCB claim number. The WCB “assembles” a claim in which an injured worker has lost more than one week of work, has a serious injury that may result in a permanent disability, is disputed by the carrier or employer, or receives a claim form from the injured worker (Form C-3). A reopened claim is one that has been reactivated to resolve new issues following a finding that no further action was necessary

Tags: wcb, compensation claims, assembled claims

This dataset has the following 51 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
Claim Identifierclaim_identifiernumberUnique identifier for each claim, assigned by Workers' Compensation Board (WCB).
Claim Typeclaim_typetextWorkers’ compensation benefits are different for certain classifications of volunteer worker. This field indicates the category for the worker in each claim. WC for a Workers Compensation claim, VF for a Volunteer Firefighter claim, VW for a Volunteer Ambulance worker claim.
District Namedistrict_nametextName of the WCB district office that oversees claims for that region or area of the state.
Average Weekly Wageaverage_weekly_wagenumberWage used to calculate total disability benefit rates for most claimants defined as 1/52nd of the Injured Worker's average annual earnings, based on the prior year's payroll data. Blank means data was not provided.
Current Claim Statuscurrent_claim_statustextPresent status of the claim whether newly assembled, re-opened, among several “in process” states, or closed.
Claim Injury Typeclaim_injury_typetextDescribes the Claim in terms of the type of award applicable: 1. NON-COMP – No compensation for the claim, 2. MED ONLY – The claims will pay out Medicals only, 3. TEMP TOTAL – Claim type involving loss of time, 4. PPD SCH LOSS – Scheduled Loss payment involving a part of body, 5. PPD NSL – Permanent Partial Non Scheduled Loss, 6. PTD – Permanent Total Disability 7. DEATH – A claim involving a deceased claimant.
Age at Injuryage_at_injurynumberAge of claimant when the injury occurred.
Assembly Dateassembly_datecalendar_dateThe date the claim was first assembled. The WCB “assembles” a claim in which an injured worker has lost more than one week of work, has a serious injury that may result in a permanent disability, is disputed by the carrier or employer, or receives a claim form from the injured worker (Form C‐3).
Accident Dateaccident_datecalendar_dateInjury date of the claim.
ANCR Dateancr_datecalendar_dateDate ANCR (Accident, Notice and Causal Relationship) was determined and claim was established. Minimal conditions that must be met before financial responsibility can be assigned to a claim for workers' compensation. An “established claim” is one where the WCB has made a finding of a work-related accident or injury. Established Claims with indemnity award: Claims for which there was a finding made by the Board that (1) the claimant sustained an injury or illness arising out of and in the course of employment; (2) timely notice thereof was given to the employer; (3) there is a causal relationship between the work injury or illness and a consequent disability; and (4) the claimant received a monetary award.
Controverted Datecontroverted_datecalendar_dateDate the carrier filed a Notice of Controversy (Form C-7).
Section 32 Datesection_32_datecalendar_dateDate a Waiver Agreement was filed for the Claim.
PPD Scheduled Loss Dateppd_scheduled_loss_datecalendar_datePermanent Partial Disability applies when part of the employee's wage-earning capacity has been permanently lost. There are two types of permanent partial disability benefits, depending on the body part affected and the nature of the permanent disability: schedule loss of use (SLU) and non-schedule. Schedule Loss of Use Permanent Partial Disability applies when an employee has permanently lost use of an upper extremity (shoulder, arm, hand, wrist, finger), lower extremity (hip, leg, knee, ankle, foot, toe), or eyesight or hearing. Compensation is limited to a certain number of weeks based on the body part and severity of the disability, according to a schedule set by law. Temporary benefits that have been paid are deducted from the total SLU award. Date the claim was determined to be of a PPD scheduled loss nature.
PPD Non-Scheduled Loss Dateppd_non_scheduled_loss_datecalendar_datePermanent Partial Disability applies when part of the employee's wage-earning capacity has been permanently lost. There are two types of permanent partial disability benefits, depending on the body part affected and the nature of the permanent disability: schedule loss of use (SLU) and non-schedule. Non-schedule Permanent Partial Disability applies where the injury is to a body part or of a type other than one of those listed on the “schedule” that defines SLU injuries. The severity of the disability is measured when the employee has reached maximum medical improvement (MMI). MMI is presumed to occur no more than two years after the date of injury. Date the claim was determined to be of a PPD non-scheduled loss nature.
PTD Dateptd_datetextPermanent Total Disability (PTD) applies when the employee's wage-earning capacity is permanently and totally lost. There is no limit on the number of weeks payable. In certain instances, an employee may continue to engage in business or employment, if his/her wages, combined with the weekly benefit, do not exceed the maximums set by law. Date the claim was determined to be of a Permanent Total disability nature.
First Appeal Datefirst_appeal_datecalendar_dateDate the claim was first appealed. A blank date means the claim has not yet been appealed.
WCIO Part Of Body Codewcio_pob_codetextWCIO is the Workers Compensation Insurance Organizations. The WCIO part of body codes & descriptions are available at https://www.wcio.org/Document%20Library/InjuryDescriptionTa blePage.aspx. Blank means it does not apply to this claim.
WCIO Part Of Body Descriptionwcio_pob_desctextWCIO is the Workers Compensation Insurance Organizations. The WCIO part of body codes & descriptions are available at https://www.wcio.org/Document%20Library/InjuryDescriptionTa blePage.aspx. Blank means it does not apply to this claim.
WCIO Nature of Injury Codewcio_nature_of_injury_codetextWCIO is the Workers Compensation Insurance Organizations. The WCIO nature of injury codes & descriptions are available at https://www.wcio.org/Active%20PNC/WCIO_Nature_Table.pdf, Blank means it does not apply to this claim.
WCIO Nature of Injury Descriptionwcio_nature_of_injury_desctextWCIO is the Workers Compensation Insurance Organizations. The WCIO nature of injury codes & descriptions are available at https://www.wcio.org/Active%20PNC/WCIO_Nature_Table.pdf, Blank means it does not apply to this claim.
WCIO Cause of Injury Codewcio_cause_of_injury_codetextWCIO is the Workers Compensation Insurance Organizations. The WCIO cause of injury codes & descriptions are available at https://www.wcio.org/Active%20PNC/WCIO_Cause_Table.pdf, Blank means it does not apply to this claim.
WCIO Cause of Injury Descriptionwcio_cause_of_injury_desctextWCIO is the Workers Compensation Insurance Organizations. The WCIO cause of injury codes & descriptions are available at https://www.wcio.org/Active%20PNC/WCIO_Cause_Table.pdf, Blank means it does not apply to this claim.
OIICS Part Of Body Codeoiics_pob_codetextOIICS is the Occupational Injury and Illness Classification System. The OIICS part of body codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=BodyPart. Blank means it does not apply to this claim.
OIICS Part Of Body Descriptionoiics_pob_desctextOIICS is the Occupational Injury and Illness Classification System. The OIICS part of body codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=BodyPart. Blank means it does not apply to this claim.
OIICS Nature of Injury Codeoiics_nature_injury_codetextOIICS is the Occupational Injury and Illness Classification System. The OIICS nature of injury codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Nature. Blank means it does not apply to this claim.
OIICS Nature of Injury Descriptionoiics_nature_injury_desctextOIICS is the Occupational Injury and Illness Classification System. The OIICS nature of injury codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Nature. Blank means it does not apply to this claim.
OIICS Injury Source Codeoiics_injury_source_codetextOIICS is the Occupational Injury and Illness Classification System. The OIICS injury source codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Source. Blank means it does not apply to this claim.
OIICS Injury Source Descriptionoiics_injury_source_desctextOIICS is the Occupational Injury and Illness Classification System. The OIICS injury source codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Source. Blank means it does not apply to this claim.
OIICS Event Exposure Codeoiics_event_exposure_codetextOIICS is the Occupational Injury and Illness Classification System. The OIICS event exposure codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Event. Blank means it does not apply to this claim.
OIICS Event Exposure Descriptionoiics_event_exposure_desctextOIICS is the Occupational Injury and Illness Classification System. The OIICS event exposure codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Event. Blank means it does not apply to this claim.
OIICS Secondary Source Codeoiics_secondary_source_codetextOIICS is the Occupational Injury and Illness Classification System. The OIICS secondary source codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Source. Blank means it does not apply to this claim.
OIICS Secondary Source Descriptionoiics_secondary_source_desctextOIICS is the Occupational Injury and Illness Classification System. The OIICS secondary source codes & descriptions are available at http://wwwn.cdc.gov/wisards/oiics/Trees/MultiTree.aspx?TreeTy pe=Source. Blank means it does not apply to this claim.
Alternative Dispute Resolutionalternative_dispute_resolutiontextClaims subject to adjudication processes external to the Board - Y or N.
GendergendertextInjured worker's gender: F - Female, M -Male, U – Unknown (gender was not specified)
Birth Yearbirth_yearnumberClaimant’s year of birth. Blank means data was not provided.
Zip Codezip_codetextZip code of the injured worker’s current home address.
Medical Fee Regionmedical_fee_regiontextThe region the claimant would receive medical service within as laid out in the workers’ compensation medical fee schedule.
C-2 Datec2_datecalendar_dateDate Form C-2 was received. Blank indicates no form received. C-2 is the “Employer’s Report of Work-Related Injury/Illness”.
C-3 Datec3_datecalendar_dateDate Form C-3 was received. Blank indicates no form received. C-3 is the “Employee Claim” form.
First Hearing Datefirst_hearing_datecalendar_dateDate the first hearing was held on a claim at a WCB hearing location. A blank date means the claim has not yet had a hearing held.
Highest Processhighest_processtextThe highest adjudication process the claim is currently in.
Hearing Counthearing_countnumberNumber of WCB hearings held on the claim.
Closed Countclosed_countnumberThe number of times a claim was closed in its lifecycle with a "No further action" decision.
Attorney/Representativeatty_rep_indtextIs the claim being represented by an Attorney/Representative (Y) or not (N)?
Carrier Namecarrier_nametextName of primary insurance provider whose coverage pertains to the injured worker.
Carrier Typecarrier_typetextType of primary insurance provider whose coverage pertains to the injured worker (Private Carrier, State Insurance Fund, Self-insured, or Special Fund).
IME-4 Countime4_countnumberIME-4 is the “Independent Examiner's Report of Independent Medical Examination” form. Number of IME-4s received for the claim.
Interval Assembled to ANCRinterval_assembled_to_ancrnumberThe number of days taken from the WCB Claim Assembly date to the establishment of the claim. A claim is established when Accident Notice Causal Relationship (ANCR) or Occupational Disease Notice Causal Relationship (ODNCR) is found in the claim.
Accidentaccident_indtextIndication of an injury due to a workplace accident (not an occupational disease) as determined by the WCB. Y – Yes N – No
Occupational Diseaseoccupational_disease_indtextIndication of the onset of disability, attributable to the occupation of the worker (not from a specific workplace accident), as determined by the WCB. Y - Yes N - No
County of Injuryinjured_in_county_nametextName of the NY County where the injury occurred.