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January 30, 2009
NOTICE TO INSURANCE CARRIERS AND SELF-INSURED EMPLOYERS LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT AND DISTRICT OF COLUMBIA (DC) COMPENSATION ACT
SUBJECT: 2009 Advance Assessment for the Special Fund pursuant to Section 44 of the Longshore Act – Due March 5, 2009
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 on http://www.dol.gov/esa/owcp/dlhwc.This report, along with your share of the Special Fund's costs during calendar year 2008 under Section 8(f), will serve as the basis for determining the final amount of your company's 2009 assessment. Please make sure 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 (CY) 2007, the total of all compensation payments reported for CY 2007, (the only data available at this time), plus CY 2008 Section 8(f) costs, the total of all CY 2008 Section 8(f) costs, and the estimated CY 2009 Longshore Act Special Fund expenditures. The amount due for your CY 2009 advance assessment is shown at the bottom of the billing form.
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 on http://www.dol.gov/esa/owcp/dlhwc.This report, along with your share of the total compensation and medical payments reported during calendar year 2008 will serve as the basis for determining the final amount of your company's 2009 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 (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(CY) 2007, and the total of all compensation and medical payments reported for CY 2007 (the only data available at this time), and the estimated CY 2009 District of Columbia Special Fund expenditures.
(1) DO NOT combine any payments and pay each bill separately. Forward the BILL and CHECK and the completed LS-513, Report of Payments, to this address:
U.S. DEPARTMENT OF LABOR - Longshore
200 Constitution Avenue N.W. – Room C-4315
Washington, D.C. 20210
Please note your check will be converted to an electronic fund transfer and electronically debited to your account. The original check will be destroyed but a copy will be retained.
(2) You may also process a Fed Wire with TREASURY 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, 2009. 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
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