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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 12. Department of Labor |
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Chapter V. Workers' Compensation |
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Subchapter H. Disability Benefits |
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Article 1. Regulations Under Disability Benefits Law |
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Part 363. Claims |
Sec. 363.13. Rejection of claim
Latest version.
- (a) Notice of rejection of claim.If an employee's claim for benefits is rejected in whole or in part by the chairman, carrier or employer, notice of such rejection, in a form prescribed by the chairman, shall be mailed promptly in triplicate to the employee.(b) Request for review.If an employee desires a review of any action on his claim, he shall file with the chairman two copies of the notice of rejection of his claim, his request for review and a statement giving specific reasons for such request. Determination of such contested claim shall be made in accordance with the provisions of section 221 of the Workers' Compensation Law. Any hearing necessary for such review will be scheduled within 90 days after receipt by the board of the completed request for review. Cases at hearing points which do not have regularly scheduled hearings within 90 days, may be scheduled at another available hearing point.