Regulatory Compliance
New Jersey
CorVel helps reduce workers’ compensation costs through immediate intervention, claims management, medical treatment plans, return to work programs, medical bill review, preferred provider savings and patient management. Our cost containment solutions are based on a simple formula that combines industry leading bill review, case management expertise and a national PPO built for the casualty market. Each innovation offers New Jersey employers improved return to work outcomes and industry leading savings.
CorVel specializes in applying advanced communication and information technology to improve disability management for New Jersey employers. Our proprietary solutions can be tailored to your specific state risk management program.
New Jersey Regulatory Updates 07/11/2024
New Jersey AB 4559 – Concerns Certain Workers’ Compensation Supplemental Benefits and Funding Method.
Issues: Workers’ Compensation: Any Proposal
Summary For 06/18/2024
Beginning on July 1, 2025, and in each following fiscal year, employees or their dependents who are receiving weekly benefits for disabilities or deaths occurring after December 31, 1979, and who are not entitled to receive special adjustment or supplemental benefits, will be eligible for additional weekly supplemental benefits from the Second Injury Fund.
- These supplemental benefits will be provided if the initially awarded weekly benefits are less than the total amount that would be payable if supplemental benefits were included.
- The Commissioner of Labor and Workforce Development will not include the anticipated additional costs for these supplemental benefits in the annual surcharge calculation for the Second Injury Fund.
- The necessary funds for these weekly supplemental benefits will come from the General Fund.
- The base amount of the weekly supplemental benefits will be calculated so that, when the funds are added to the initially awarded workers’ compensation weekly benefits, the total amount matches the same percentage of the current maximum workers’ compensation benefit rate as the initial benefits did to the maximum rate at the time of the injury or death.
- This measure contains provisions on how the supplemental benefit will be phased in over the 2026-2028 fiscal years and exemptions when a different adjustment may be required.
- An insurance carrier or self-insured employer responsible for paying workers’ compensation to an individual must notify the Division of Workers’ Compensation within 60 days of determining that supplemental benefits from the Second Injury Fund are required.
If they fail to notify the division and this results in an incorrect amount of benefits being paid, the responsibility for paying the supplemental benefits will transfer from the Second Injury Fund to
Most Recent Update:
- 06/13/2024 – Introduced; Referred to Assembly Labor Committee
New Jersey Regulatory Updates 04/11/2024
New Jersey SB 2822 – Revises Workers’ Compensation Law to Increase Contingency Attorney Fee Cap In Contingency Case from 20 Percent to 25 Percent.
Issues: Workers’ Compensation: Any Proposal
Summary For 03/13/2024: This measure increases the workers’ compensation contingency free cap from 20% to 25%. It applies to all cases pending on or after enactment.
Most Recent Update:
- 03/14/2024 – This measure was heard on March 14 in the Senate Labor Committee, chaired by Senator Joseph A. Lagana (D). It passed committee by a vote of 5-0.This measure is eligible for further consideration in the Senate.
New Jersey AB 3986 – Revises Workers’ Compensation Law to Increase Contingency Attorney Fee Cap In Contingency Case from 20 Percent to 25 Percent.
Issues: Workers’ Compensation (General), Mandated Benefits
Summary For 03/13/2024:
This measure increases the workers’ compensation contingency free cap from 20% to 25%. It applies to all cases pending on or after enactment.
Most Recent Update:
03/07/2024 – This measure was referred to the Assembly Labor Committee on March 7.It is eligible for consideration in the committee of referral.
New Jersey Regulatory Updates 08/08/2023
SB 3309 – Raises Maximum Workers’ Compensation Fees For Evaluating Physicians; Expands Circumstances For Which Physician Legal Fees Are Permitted.
Issues: Workers’ Compensation: Any Proposal
Summary:
This measure increases the workers’ compensation reimbursement rate for evaluating physicians by $400. This measure relates to workers’ compensation reimbursement rates. It increases the reimbursement rate for evaluating physicians from $600 to $1000. It takes effect upon enactment.
Most Recent Update:
- 07/20/2023 – Signed by Governor
New Jersey Direction of Care
New Jersey NJAC 11:6 – 2.3 (effective 1, 1993) allows direction of medical care for the life of a claim.
We are here to help.
CorVel has been certified by the New Jersey Department of Banking and Insurance since 1996 and offers early intervention and direct channeling to our network of providers. CorVel’s goal for directing care is to prevent lost time or facilitate return to work within the first 30 days. We offer a comprehensive suite of workers’ compensation solutions for New Jersey employers and is compliant with the provisions of the New Jersey Insurance Cost Reduction Act.
Learn more about CorVel’s comprehensive suite of workers’ compensation solutions, or you can contact a local representative for additional information.
New Jersey Services
- Directed channeling to top quality providers
- State-approved utilization management program
- First notice of loss and early intervention
- Workers’ compensation claims administration and medical bill review
New Jersey Resources
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