N.H. Admin. Code § Lab 511.03

Current through Register No. 36, September 5, 2024
Section Lab 511.03 - Third Party Liability
(a) Upon recovering damages from a third person under RSA 281-A:13, employees, employers or carriers shall prepare in full and file for the commissioner's approval "Settlement of Third Party Claim Computation", form WC-3PR-1 (6/2015), contained in Appendix II or a copy of the court filing, if any, resolving the third party claim and lien.
(b) The computation shall show the employer/carrier's pro rata share of attorney fees, expenses and costs of the action, the employee or claimant's share of attorney fees, expenses and costs of the action, the employer or carrier's net payment in satisfaction of lien, and the net amount of the settlement due the employee or claimant.
(c) In lieu of "Settlement of Third Party Claim Computation", form WC-3PR-1(6/2015), contained in Appendix II if the parties have filed documents with a court or arbitrator settling the claim and lien, copies of those documents shall be submitted to the department.
(d) The commissioner shall review the completed form and submitted document to assure that the figures are correct and that the lien or compromised lien of the employer or carrier is satisfied. If so, the commissioner shall approve the resolution of the claim.

N.H. Admin. Code § Lab 511.03

#6806, eff 7-18-98 (formerly Lab 511); ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07

New. #9019, eff 11-1-07

Amended by, Volume XXXVI Number 14, Filed April 7, 2016, Proposed by #11067, Effective 4/1/2016, Expires 4/1/2026.