DBA Notice to Employees LS-241 Ever See One of These ?

Posted by defensebaseactcomp on May 15, 2010

How many companies still fail to post this?

§ 934. Compensation notice


Every employer who has secured compensation under the provisions of this Act  shall keep posted in a conspicuous place or places in and about his place or  places of business typewritten or printed notices, in accordance with a form  prescribed by the Secretary, stating that such employer has secured the payment  of compensation in accordance with the provisions of this Act. Such notices  shall contain the name and address of the carrier, if any, with whom the  employer has secured payment of compensation and the date of the expiration of  the policy.

The Form LS-241 is provided to each insured employer by its insurance  carrier. Upon confirmation or renewal of insurance coverage, the insurance  carrier should give the insured employer an up-to-date Form LS-241 for posting.  The OWCP will supply the Form LS-242 to an employer upon its initial  authorization as a self-insured employer.

Because of the nature and purpose of these forms, they are not available for  download from the internet. The DLHWC National Office will mail additional blank  forms to authorized carriers or self-insured employers upon request. Contact  information is at http://www.dol.gov/owcp/dlhwc/lscontac.htm.

DBA Notice to Employees

U.S. Department of Labor Employment Standards Administration Office of Workers’ Compensation Programs Division of Longshore and  Harbor Workers’ Compensation Washington, D.C. 20210

Notice to Employees Working for U.S. Government  Contractors Overseas

What You Should Know Before You are Injured

  • The Defense Base Act provides disability compensation, medical treatment,  and vocational rehabilitation to workers injured at work and death benefits to  survivors when the worker is killed on the job. You need not be a U.S. citizen  or a U.S. resident to obtain these benefits.
  • Ask your employer if you are covered for workers’ compensation under the  Defense Base Act. If you are not covered under the Defense Base Act, ask under  what workers’ compensation laws are you covered when you work overseas.
  • Ask your employer for the name, address, and phone number of the person to  whom you should report your injury. Write down the information here.
  • Ask your employer for the name, address, and phone number of the insurance  company that will handle your workers’ compensation claim when you are injured.  Write down the information here.

What to do When You are Injured at Work

  1. NOTIFY YOUR EMPLOYER IMMEDIATELY. Notice should be given to the  person identified above. If possible, complete Form LS-201, Notice of Injury,  available from your employer.
  2. MEDICAL TREATMENT. Request authority from your employer for treatment  by the physician you choose. In an emergency or if you are unable to contact  your employer, go to the nearest hospital or physician, but be sure to let your  employer know as soon as possible.
  3. DISABILITY. If you are disabled more than 3 days, contact your  employer or the insurance company indicated above for payment of compensation,  payable 14 days after your employer has knowledge of injury.
  4. IMPORTANT! The law requires you to give written notice of injury  (Form LS-201) to your employer and to the Office of Workers’ Compensation  Programs (OWCP) within 30 days. Additional time may be allowed for certain  hearing loss and occupational disease claims. Notice should be sent to the  District Director at one of the following addresses:
    1. OWCP/DLHWC, P.O. Box 249, New York, NY 10014-0249, USA, or OWCP/DLHWC, 300 Ala Moana, Box 50209, Honolulu, HI 96850, USA
  5. FURTHER ASSISTANCE AND INFORMATION. On request, the Office of  Workers’ Compensation Programs will explain benefits and proceedings under the  Defense Base Act. Its staff will also provide information on medical and  vocational services, and will assist in obtaining such benefits. Information is  also available online.

Important Notice

Section 31 (a)(1) of the Longshore Act, 33 U.S.C. 931(a)(1), provides as  follows: Any claimant or representative of a claimant who knowingly and  willfully makes a false statement or representation for the purpose of obtaining  a benefit or payment under this Act shall be guilty of a felony, and on  conviction thereof shall be punished by a fine not to exceed $10,000, by  imprisonment not to exceed five years, or by both.

Just as Important



(c) A person including, but not limited to, an employer, his duly authorized  agent, or an employee of an insurance carrier who knowingly and willfully makes  a false statement or representation for the purpose of reducing, denying, or  terminating benefits to an injured employee, or his dependents pursuant to  section 9 [33 USC § 909]if the injury results in death, shall be punished by a  fine not to exceed $ 10,000, by imprisonment not to exceed five years, or by  both

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