WC Procedures for Resolving Premium Disputes

PROCEDURES FOR RESOLUTION OF WORKERS’ COMPENSATION PREMIUM DISPUTES:

Should a premium dispute arise between a policyholder and a carrier or rate service organization, please refer to regulations pertaining to the appeal process, which can be found at https://publications.tnsosfiles.com/rules/0780/0780-01/0780-01-82.pdf

The following are a few of the preliminary, or "front-end” requirements.

If the matter involves manual rules, classifications, or rating plans used by the voluntary/standard or assigned risk markets, the policyholder must first contact NCCI (Phone: 1-800-622-4123, Option #5) to determine whether the NCCI Dispute Resolution process applies. Veruschka Zachtshinsky is the contact person for the Dispute Resolution Service.

National Council on Compensation Insurance, Inc.
Dispute Resolution Services
901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
disputeresolution@ncci.com
Fax Number: 561-893-5043

PLEASE BE ADVISED THAT THERE ARE SPECIFIC TIME REQUIREMENTS FOR FILING A COMMISSIONER APPEAL (SEE ABOVE REGULATIONS).

The appeal must contain a short and plain statement as to what portion of the decision is being appealed and the basis for such appeal.

The appeal must be accompanied by a certification from the insured or the insured’s attorney that a copy of any materials filed with the commissioner has also been sent to the Administrative Procedures Division of the Office of the Secretary of State and all parties to the dispute. In sending the appeal, the insured may use any method allowed by law for legal service of process.

“Administrative Procedures Division” means the Administrative Procedures Division of the Office of the Secretary of State, 312 Rosa L Parks Avenue, 6th Floor, William R. Snodgrass Tower, Nashville, Tennessee 37243-1102. They can be contacted by telephone at (615) 741-7008 and online at https://sos.tn.gov/form/contact-apd. For additional information regarding APD, their website is https://sos.tn.gov/apd.

The appeal to the commissioner shall also be sent to the Department of Commerce and Insurance, Davy Crockett Tower, Attn: Policy Analysis Section, 500 James Robertson Parkway, Nashville, Tennessee 37243. Their telephone number is (615) 741-2825, and the section email is ins.policy.analysis@tn.gov. Contact. Jessica Thomas for questions concerning premium disputes: Jessica.Thomas@tn.gov.