Sample Benefit Letters – Delay, Deny, AcceptDownload Form
After an Employee Claim Form is filed, within 14 days an injured worker is to receive a benefit letter accepting, rejecting, or delaying the determination of the claim. If delayed, then within 90 days the injured worker is to receive a benefit letter accepting or rejecting some, or all, of the claim.
If an insurance company fails to issue a letter within 90 days, then pursuant to Labor Code Section 5402 the claim is presumed to be accepted and there are certain rights afforded the injured worker in the case going forward.
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