The Coverage Division assists in the claims process by providing proper identification of employers' workers' compensation insurance coverage. The division maintains a historical record of insurance coverage and uses it to confirm the responsible insurance carrier in the event of a work-related accident or injury. Coverage Requirements and Statute References
You may verify coverage information through our online coverage verification service. Please note that this service does not provide coverage information on employers who are covered through the State Accident Fund.
For employer coverage information:
Click here for common employer name variations
Verify Coverage Online
This division also oversees and coordinates the creation of all Commission claim files (WCC File) and negotiates agreements with trading partners for EDI transmission, as well as researching, correcting, and monitoring EDI errors.
Cancellation of Insurance
The South Carolina Workers' Compensation Commission (SCWCC) has implemented a system to notify a general contractor via email if a sub-contractor appears to have failed to maintain Workers' Compensation Insurance. This system has been developed in cooperation with the South Carolina Home Builders Association (SCHBA).
The SCWCC Lapse in Insurance Notification User Guide includes instructions on how to register for this notification service. Click here to view the user manual.
To obtain a report of policies you have registered for click here.
Where to mail a claim
Claims should be completed and filed with the appropriate payer as soon as possible after the initial visit or treatment and at reasonable and regular intervals throughout the course of treatment. When filing a claim, send the original claim form for medical services to the employer and/or insurance carrier. Do not submit claims for payment to the Commission. You may contact our Coverage Department at firstname.lastname@example.org if you are unsure of the carriers contact information. The Commission will not forward claim forms to Insurance Carriers.
For WCC file numbers, and claim file corrections/reporting errors, contact:
Barbara James (803) 737-5722
In addition, this division monitors and maintains the Commission’s coverage/fine system to ensure correct and prompt filing of coverage documents and the collection of fines.
South Carolina law requires insurance carriers to file policy information with its legal agent, National Council on Compensation Insurance (NCCI)
, within thirty days of the policy’s effective date. Carriers are required to provide the Employers’ Federal Identification Number (FEIN) on all policies. Insurance carriers who do not meet these requirements are subject to fines in accordance with Section 42-19-50 and Regulation 67-405C.
The coverage staff works closely with the Compliance Division regarding problems associated with coverage enforcement.