skip navigational linksDOL Seal - Link to DOL Home Page
Photos representing the workforce - Digital Imagery© copyright 2001 PhotoDisc, Inc.
www.dol.gov/esa
November 4, 2008    DOL Home > ESA > OWCP > DLHWC > Advanced Assessment Notice   

Office of Workers' Compensation Programs (OWCP)

Printer-Friendly Version

ESA OFCCP OLMS OWCP WHD
OWCP Administers disability compensation programs that provide benefits for certain workers or dependants who experience work-related injury or illness.
Black Lung Longshore Energy Federal Employees' Comp line graphic


Division of Longshore and Harbor Workers' Compensation (DLHWC)

Advanced Assessment Notice

January 31, 2008

NOTICE TO INSURANCE CARRIERS AND SELF-INSURED EMPLOYERS LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT AND DISTRICT OF COLUMBIA (DC) COMPENSATION ACT

SUBJECT: 2008 Advance Assessment for the Special Fund pursuant to Section 44 of the Longshore Act

Section 44 of the Longshore and Harbor Workers' Compensation Act provides for an annual assessment of each authorized insurance carrier and self insurer for payment into the Special Fund, to provide for payments described under Section 44(i). Separate accounts are maintained for the District of Columbia (DC) Act and the Longshore Act and its extensions. Separate instructions apply for reporting payments under the DC Act and the Longshore Act and its extensions (Defense Base Act, Outer Continental Shelf Lands Act and Nonappropriated Fund Instrumentalities Act).

PLEASE READ ALL NOTICES CAREFULLY.

FORM LS-513, REPORT OF PAYMENTS - LONGSHORE

This notice transmits Form LS-513, Report of Payments. The instructions for completion and return of this form are posted here:

http://www.dol.gov/esa/owcp/dlhwc/ls-513instructions.htm

This report, along with your share of the Special Fund's costs during calendar year 2007 under Section 8(f), will serve as the basis for determining the final amount of your company's 2008 assessment. Please make sure that the report is correct in accordance with the instructions provided.

FORM LS-513, REPORT OF PAYMENTS - DC

This notice transmits Form LS-513, Report of Payments. The instructions for completion and return of the form are posted here:

http://www.dol.gov/esa/owcp/dlhwc/ls-513instructions.htm

This report, along with your share of the total compensation and medical payments reported during calendar year 2007 will serve as the basis for determining the final amount of your company's 2008 DC assessment. Please report only compensation and medical payments where the date of injury was prior to July 26, 1982 under the DCCA Act and make certain that the report is correct in accordance with the instructions provided.

ADVANCE ASSESSMENT (LONGSHORE)

This notice also transmits your Longshore Act advance assessment billing, calculated using your reported compensation payment figure for calendar year 2007, the total of all compensation payments reported for calendar year 2007, (the only data available at this time), plus CY 2007 Section 8(f) costs, the total of all CY 2007 Section 8(f) costs, and the estimated CY 2008 Longshore Act Special Fund expenditures. The amount due for your CY 2008 advance assessment is shown at the bottom of the billing form

ADVANCE ASSESSMENT (DC ONLY)

This notice also transmits your District of Columbia Compensation Act advance assessment billing, calculated using your reported compensation and medical payments for calendar year 2007, and the total of all compensation and medical payments reported for calendar year 2007 (the only data available at this time), and the estimated CY 2008 District of Columbia Special Fund expenditures.

Please DO NOT combine any payments, pay each bill with a separate check,and forward the BILL and CHECK to this address:

DEPARTMENT OF LABOR - LONGSHORE
200 Constitution Avenue N.W. - Room C-4315
Washington, D.C. 20210

Also please send the completed LS-513, Report of Payments, to this office at the same address.

Please note this year your check will converted to an electronic fund transfer and electronically debited to your account. The original check will be destroyed but a copy will be retained. You may also process a Fed Wire with FRB New York.

Bank: Federal Reserve Bank of New York
Routing number: 021030004
Account number: 16150003

You must FAX a copy of the bill and your wire instructions with the sequence number and bill number to (202) 693-1380 prior to the transaction.

All payments and documents must be submitted no later than March 5, 2008. For any questions pertaining to this year's advance assessment please contact Carl Abildso at (202) 693-0801 or fax (202) 693-1380 or (email) abildso.carl@dol.gov

MICHAEL NISS
Director, Division of Longshore and Harbor
Workers' Compensation

 



Phone Numbers