Are you confused about the difference between a Form 60 and a Form 63 in workers’ compensation? You’re not alone. These two forms can often cause confusion and frustration for employers and employees alike. But fear not, we’re here to break it down for you and help you understand the distinction between these two important documents.
In this article, we will delve into the details of Form 60 and Form 63, explaining their functions, when to use them, and what happens if you do not use the right one. Whether you’re an employer or an employee involved in a workers’ compensation case, this guide will help you understand the difference between these two forms and how to properly utilize them.
What is the Difference Between a Form 60 and a Form 63?
These are the two forms which defendants use to accept a claim before the Industrial Commission. A Form 60 is an outright acceptance of the claim. It’s difficult for an insurance company to get off the hook if they’ve filed this. As a result, you are more likely to see an adjuster file a Form 63.
Technically, a Form 63 is supposed to be used if an adjuster isn’t sure if a claim is compensable. They have 90 days to investigate the claim and then deny it if needed. If they take no action within 90 days the claim is accepted. There are two things to look out for. If you have a Form 60 it may be very limited – they are only accepting your low back, not your hips, legs, or upper back for instance.
Additionally, a Form 63 is often misused as a 90-day trial. If your case looks like it’s going to be expensive the claim is going to be denied without regard to the actual facts of how you got hurt. We’ve actually had an adjuster testify to that tactic, under oath, before the Industrial Commission.
How Do Form 60 and Form 63 Impact the Claims Process in Workers’ Compensation?
Form 60 and Form 63 are two important forms utilized in the workers’ compensation claims process. Each form is used to give information that helps the insurance provider assess whether a claim is valid, and if so what sort of coverage should be provided to the claimant.
Both Form 60 and Form 63 play a vital role in the claims process as they provide essential information to the workers’ compensation insurance carrier. The information collected on these forms helps the insurance carrier determine the compensability of the claim, the extent of the injury, and the appropriate benefits to be provided to the injured employee.
Accurate and timely completion of these forms is crucial for a smooth claims process. Any discrepancies or incomplete information can lead to delays or denials of the claim. It is important for both the employer and the employee to understand the significance of these forms and ensure that they are completed accurately and submitted promptly.
Are There Any Legal Implications or Consequences for Using the Wrong Form in Workers’ Compensation?
Using the wrong form in Workers’ Compensation can have legal implications and consequences. Both Form 60 and Form 63 are important documents that serve different purposes in the workers’ compensation process. Failing to use the correct form can result in delays, potential legal issues, and even financial penalties.
Insurance companies may also question the validity of the claim or deny it altogether, leading to prolonged disputes and potential legal battles. Additionally, regulatory authorities may impose penalties for non-compliance with the proper reporting procedures.
To avoid these legal implications and consequences, it is essential to familiarize yourself with the specific requirements and guidelines for reporting work-related injuries or illnesses in your jurisdiction. Consulting with legal professionals or experts in workers’ compensation can provide valuable guidance in understanding the correct forms to use and ensuring compliance with the necessary procedures.
To make sure that you will be filling out Forms 60 and 63, as well as any other related forms, correctly and in a timely manner, Oxner + Permar Law would be happy to help you. Contact us today for a free consultation.
