ARS Online Manual
SIF Determination - Worklist
After the FROI (C-2) has been successfully submitted by your agency, the New York State Insurance Fund (NYSIF) 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 NYSIF acknowledging the claim.
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.
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.).
A (C-7) form is sent when NYSIF 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 a determination received within your worklist, follow the instructions below.
To display all worklist items for the SIF Determination Business Process, click on the Detail button next to SIF Determination.
Once the Detail button has been clicked, the SIF Determination Business Process will highlight and the corresponding worklist items will appear under the blue Details navigation bar. Click Work It to view the SIF determination form received for that incident.
You will automatically be forwarded to the Claims Management component of ARS. The C-6, C-7, or C-9 form can be accessed from the SIF Determination page. In this example, a C-9 was sent by NYSIF. Click on C-9 Details to view the form's information.
The C-9 information page will appear. If you were reviewing a C-6 or C-7 form, the corresponding page will appear for that form. (Examples of those pages are shown in the Claims Management section of this manual.)
To return to the SIF Determination page, click on the Return button.
To print the C-9 form, click on Print C-Form.
Click Run.
Under the Process List, notice that the checkbox next to Print the C-9 Form 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 SIF Determination form will open in Acrobat/Adobe Reader for viewing. Click on the Printer icon at the top of the page to print the form.
Once you have reviewed or printed the C-9 form, the worklist item can be removed from your worklist. To do so, go back to your worklist and hover the mouse's cursor over the green checkmark icon under Mark Worked next to the item you would like to delete.
**Note** Removing an item from the Worklist will not delete the incident from the ARS database.
When the green checkmark icon turns to a red X icon, single click on the X.
**Note** If the worklist item is removed from your worklist, the SIF Determination can still be reviewed and printed by following the instructions in the Claims Management section of this manual.