Consolidated Yearly Report Of Medical Only Cases {WC-26}

WC-26 - CONSOLIDATED YEARLY REPORT OF MEDICAL ONLY CASES AND ANNUAL PAYMENTS ON INDEMNITY CLAIMS. This form must be filed on or before March 1 following each calendar year by the Insurer/Self-Insurers/Group Fund. It is due even if no reportable injuries or payments occurred during the reporting year. If you are no longer active, and all your runoff claims have been closed, make note of this on the form. The form is used for reporting workers' compensation claims and payments in the state of Georgia. The form requires information from insurers, self-insurers, or group funds regarding the total number of claims, amounts paid, and other details related to both medical-only claims and indemnity claims (claims involving lost wages or income benefits). It includes mandatory information about the reporting entity, details on medical-only claims, and information about indemnity claims, including income benefits, temporary total benefits, temporary partial benefits, permanent partial benefits, medical payments, and hospital payments. www.FormsWorkflow.com