Notice to all California Policy Holders

What is considered First Aid? Should I report it?

According to the Workers’ Compensation Insurance Rating Bureau (“WCIRB“), and the California Workers’ Compensation Uniform Statistical Reporting Plan (the “plan”) effective January 1, 2017, all worker’s compensation medical payments need to be reported to the WCIRB including first aid claim payments. Such incidents are defined in Cal. Lab. Code 5401 (a) (West 2016), as follows:

“First aid” means any one-time treatment, and any follow up visit for the purpose of observation of minor scratches, cuts, burns, splinters, or other minor industrial injury, which do not ordinarily require medical care. This one time treatment, and follow up visit for the purpose of observation, is considered first aid even though provided by a physician or registered professional personnel. 

Who should I contact if I have claim questions?

Should you have additional questions regarding whether or not to report claim information, contact your company assigned adjuster or  Alvarado Pacific Insurance representative for further clarification. Contact information for licensed insurance agents in La Mesa, California is available by clicking here.