VOTING OPEN - IRR CLM947 - Alaska reduced benefits based on out-of-state cost of living adjustments
Business Requirement / Issue: What is the business requirement / issue? Cite any applicable statute/rules, and attach a copy, if desired.
In Alaska, they have a COLA adjustment to benefits when the claimant does not live in AK. In cases where the claimant lives in
another state but comes to AK to work they will reduce the indemnity amount based on a cost of living table they use.
Requester's Proposed Solution (optional):
Update the definition for Adjustment code 1 - COLA to include decrease OR Create a new code for COLA decrease.
Or
Create a new code for COLA decrease.
The voting period for this IRR has begun and will extend through 2/6/25. A ballot for this IRR was sent to the voting body via email on 1/15/25. The voting body is comprised of current IAIABC jurisdictional and EDI members in good standing. Each eligible organization is allowed one vote per IRR. It is the responsibility of the designated voter (or the alternate, if the designated voter is not available) to discuss the issue up for vote with all stakeholders within their organization and vote accordingly.
Due to the holidays & IAIABC offices being closed 12/25/24-1/1/25 & with agreement of EDI Claims Committee leadership, to allow everyone to review & provide feedback, the 14-day review has been extended through Friday, January 10, 2025.
The 14-Day Review period for this IRR has begun and will extend through Monday, December 30, 2024.
Upon completion of this review period, this IRR will move to the Voting phase.
Please find the proposed resolution attached. We apologize for the recent file download issues.
Thank you everyone for the discussion yesterday in the Claims meeting. Please see the attached proposed resolution.
We will target moving this IRR to 14 day review on December 9th.
Our apologies for the file download issue recently. The attached should now download as an Excel file.
Thank you for your patience!
Third time is a charm? I think the filename was causing issues with opening the file. Let's try this one.
Appologies! Please use these updated examples instead of the ones in the previous post.
The Claims committee met at the Convention in Toronto and discussed this IRR. Two options are being explored (see the posted minutes for details):
(1) Use the existing code and modify the definition to include "increase or decrease for cost of living adjustment.
(2) Add a new code for an adjustment decrease.
We took a poll during the meeting and the majority of the group that was present leaned toward changing the existing definition (option 1), but there was some good discussion from the ‘claim system’ side where adding a new code would be better for proper calculations in their systems.
There was a request to see scenarios for both options. Please see attached. These are not full claim examples, only benefits and adjustments for both examples are shown and there really isn’t much difference other than a new code on the 2nd tab (code '5' was used for the example). Hopefully this helps everyone think through the options.
The group in Toronto was light so the Claims committee plans to meet in November to discuss this IRR again and make a final decision on how to proceed.
Please feel free to post any comments or thoughts in this community.