For more detailed information about WCRA reimbursements, the Claims Reference Guide is available on the Portal under Claims>Resources or upon request.
An initial reimbursement request can be submitted to the WCRA after payments to the claimant or claimant(s) involved in the same loss occurrence exceed the retention limit that was in effect at the time of injury.
Reimbursement requests may be submitted in the anniversary and half-year anniversary months of the date of loss (exceptions apply).
Following an initial reimbursement request, interim reimbursement requests should be submitted to the WCRA during the anniversary and half-year anniversary months of the date of loss for each separate loss occurrence (i.e.: six-month schedule). A reimbursement request may be submitted at any time during the eligible month of the applicable cycle.
Reimbursement requests must be submitted electronically via the WCRA Portal. If you do not have a Portal account, go to the WCRA website landing page and click on the ‘Request Portal Access.’ If your application is accepted, you will receive an email with a link on how to set up your Portal account.
For more detailed step-by-step instructions on how to submit a reimbursement request, click here for the Portal Overview and Training.
Submission of an interim reimbursement request satisfies the Claim update reporting requirement, so an Interim Claim update does not need to be submitted in addition to a reimbursement request. If the member does not have all the necessary documentation to support the requested reimbursement, an Interim Claim update report can be submitted instead of a reimbursement request.
The following information must be submitted electronically to the WCRA with each initial or interim reimbursement request.
Indemnity and Medical payment ledgers. Required to be submitted in an electronic spreadsheet format like Microsoft Excel that identifies the amount, time frame, payee, and nature of the benefits paid.
If applicable, copies of SSDI benefit history.
Medical and Vocational Rehabilitation narrative reports.
Legal documents such as Stipulations, Findings and Orders.
Apportionment or contribution information.
If portions of the Claim file are not available and/or no documentation exists for specific Member payments, the WCRA will not reimburse undocumented payments.
The WCRA shall provide indemnification to a Member for 100 percent of the Member Payments of Ultimate Loss sustained in each loss occurrence in excess of the applicable Retention Limit selected by the Member. Ultimate Loss generally includes the required benefits payable under Minnesota Statutes Chapter 176 and excludes Claims, Expenses, and penalties.
The WCRA is prohibited from reimbursing some Claims expenses, according to statute or the WCRA Plan of Operation. Payments not eligible for reimbursement include:
Penalties, interest, civil damages.
Claims administration expenses and legal defense costs.
Supplemental benefits and Special Compensation Fund special assessments.
Employer’s liability payments under Coverage B of the workers’ compensation policy.
Vocational Rehabilitation services provided by a consultant or vendor that are rendered in the absence of, in a manner inconsistent with, or outside of the scope of a rehabilitation plan.
Please contact the WCRA claims services staff for a more detailed description of expenses or costs that may be eligible or ineligible for reimbursement.
A Member can submit an initial reimbursement after Member payments to the claimant or claimants involved in the same Loss Occurrence exceed the applicable Retention Limit selected by the Member.
Following the initial reimbursement request, interim reimbursement requests should be submitted to the WCRA during the anniversary and half-year anniversary months of the date of loss (i.e.: six-month schedule).
The WCRA requests that Members wait until receiving the scheduled email notification before submitting interim reimbursement requests to ensure any specific documentation requested by the WCRA can be submitted at the same time as the reimbursement request.
Detailed information on past reimbursement requests that may have been processed by the WCRA can be found on the WCRA portal.
For more detailed step-by-step instructions on how to submit a reimbursement request, click here for the Portal Overview and Training.