ARS Online Manual
SIF Determination
On the SIF Determination page within the Claims Management component, users can access the C-6, C-7, C-9, and C8EMP forms submitted by the New York State Insurance Fund (NYSIF). The forms provide specific details of a workers compensation case and are used to administer the appropriate workers' compensation benefit. No incident data needs to be inputted on this page.
After the FROI (C-2) has been successfully submitted by an agency, the SIF Case Manager will make a determination on whether the claim is accepted or denied. Dependent upon the determination, a C-6, a C-7 or a C-9 form will be issued by SIF acknowledging the claim. Users will receive a worklist item (SIF Determination) when one is received. A further explanation of each form is detailed below.
Another form users may see displayed on the SIF Determination page is the (ACK) FROI Acknowledgement. A FROI Acknowledgment (ACK) is not to replace a SIF Determination form, but is to be viewed as a receipt from NYSIF once the agency has submitted a FROI (C-2).
Note: To view the details of a FROI Acknowledgement (ACK) appearing on the SIF Determination page, please refer to the "Claims Management Summary of Enhancements" document under the News and Release Updates menu item.
The C8 EMP is a summary form detailing employer reimbursement information specific to an injured employee which is used to restore his/her leave credits. Users will also receive a worklist item (SIF C8 EMP) when a C8 EMP is received within ARS.
To view the details of the SIF Determination forms related to an incident, follow the instructions below.
When you input a specific incident number into the Claims Management component, as shown in the Claims Management section of this manual, the SIF Determination page will automatically appear. The most recent form received will be displayed first. In order to view additional forms that were previously received for an incident, click on the right arrow icon within the blue SIF Determination bar.
The date a form was processed will be at the bottom of the page. The NYSIF Case Manager who prepared the form and his/her phone number are shown as well.
A C-9 form is sent when NYSIF does not dispute the claim, but does not begin payment of the compensation for a specific reason (i.e. the employee did not lose time from work, no medical evidence of the disability was received from the treating physician, the employee is paid wages in full by his/her employer, etc.).
To view the details of a C-9 form, click on C-9 Details.
The C-9 Details page will provide the reasons why the compensation payment has not begun for the claim. In order to return to the SIF Determination page, click the Return button.
A C-6 form is sent when NYSIF does not dispute the claim and begins to pay the employee for his/her lost time as a result of the work-related injury. To view the details of a C-6 form, click on C-6 Details.
Injured workers are entitled to a compensation rate equal to two-thirds of the average weekly wage (AWW) in New York State for the 52-week period immediately prior to the date of accident, subject to statutory maximums and degree of disability. The C-6 Details page will show the basis for which the AWW is computed.
In order to return to the SIF Determination page, click the Return button.
A C-7 form is sent when SIF controverts, or disputes, the claim for a specific reason (i.e. the accident did not arise out of and in the course of employment, proper notice was not given, the injury was not a result of the work-related accident, etc.).
To view the details of a C-7 form, click on C-7 Details.
The C-7 Details page will provide the reasons why the SIF disputes the claim. In order to return to the SIF Determination page, click the Return button.
The C8 EMP is a summary form detailing employer reimbursement information specific to an injured employee which is used to restore his/her leave credits. To view the details of a C8 EMP form, click on C8 EMP.
The C8 EMP information page will appear. To see all payments made related to the C8 EMP being reviewed, click View All.
The details of the credit to the State used to restore the injured employee's leave credits are under the Details of New York State Credit bar at the bottom of the page.
To return to the SIF Determination page, click OK.
To print the C8 EMP form, or any other forms within the SIF Determination page for an incident, click on Print C-Form within the page of the form you would like to print.
Click Run.
Under the Process List, notice that the checkbox next to the form you would like to print is checked. If it is not, check the appropriate box. Then, click OK.
Click on Process Monitor.
The most recent report created will be displayed at the top of all requests under the Process List. Under Run Status, you will see Queued, Initiated, Processing, then Success. (You may need to click the Refresh button until Success is shown.)
Once the Run Status displays Success and the Distribution Status displays Posted, click on Details.
On the Process Detail page, click on View Log/Trace.
Click on the .PDF file under File List.
The form will open in Acrobat/Adobe Reader for viewing. Click the Printer icon at the top of the page to print the form.