VT Worker's Compensation Basics questions with
correct answers, 2024.
How many days does the Adjuster have to determine compensability
21 Days
All Adjuster licenses issued continue in force no longer than
24 months
An applicant may qualify for a license as a Nonresident Adjuster, only if she holds a like license in
another state
Of the United States or a province of Canada
An applicant must submit the license application to the Vermont Commissioner within how many
months?
24 months of successfully passing the licensing examination
Every licensee must notify the Commissioner of any change to there residential or business address
within how many days?
30 Days
How long must a WC Adjuster, keep records available for examination by the Commissioner at all
times?
For at least 3 years
If the Commissioner decides to deny an application for a license or to non renew an existing license,
how many days does the applicant have to make a written demand upon the Commissioner for a
hearing?
30 Days
Employment Covered means what?
All EE's within the state and outside the state unless employment is covered by the laws of the United
States (Federal Government) provides for Workers Comp
The Employer must file the First Report of Injury with the Workers Comp. Insurance Company or pay
the medical bill with
30 Days
True or False: An aggravation or acceleration of a preexisting condition by a employment accident or
condition of work is compensable.
True
, Within how many days does an Adjuster have to Authorize or Deny a request for preauthorization for
a proposed medical treatment
14 Days
If an Adjuster Deny's a request for preauthorization treatment the Adjuster can schedule an IME or
order Medical Record Review.
How many days does the Adjuster have to notify the DOL and Injured Worker of the decision?
Within 45 days
First Aid Only has to be filed within how many days?
5 Days
Palliative Care Means What?
Medical services rendered to reduce stable medical condition but does not include those medical svc
rendered to diagnose
If the Commissioner orders that the Rehabilitation treatment Services
to be changed who will have to pay for the services?
The Employer would have to pay for the VR services
Define: Medical Benefits
A worker who is injured at work is entitled to reasonable surgical, medical, and nursing services and
supplies, including prescription drugs and durable medical equipment
How do you determine whether a treatment is "medically necessary" for a claimant?
Medical necessity is based on the likelihood that it will improve the patient's condition, either by
relieving symptoms or by maintaining/increasing functional abilities
Define: Palliative care
medical services rendered to reduce the intensity of an otherwise stable medical condition
Can a claimant receive reimbursement of prescription medications?
Yes, as long as the claimant provides documentation showing the necessity of the prescription or its
alleged relationship to the work-related injury
Define: Supporting documentation
documentation for each service provided which is sufficiently detailed to allow for the review of the
medical necessity of the service and the appropriateness of the fee charged
True or False: A worker's compensation insurance carrier has an obligation to pay wages to an
employee when that employee misses work to attend a medical appointment
False. The employee's current employer is responsible for paying the injured worker his/her wages.
correct answers, 2024.
How many days does the Adjuster have to determine compensability
21 Days
All Adjuster licenses issued continue in force no longer than
24 months
An applicant may qualify for a license as a Nonresident Adjuster, only if she holds a like license in
another state
Of the United States or a province of Canada
An applicant must submit the license application to the Vermont Commissioner within how many
months?
24 months of successfully passing the licensing examination
Every licensee must notify the Commissioner of any change to there residential or business address
within how many days?
30 Days
How long must a WC Adjuster, keep records available for examination by the Commissioner at all
times?
For at least 3 years
If the Commissioner decides to deny an application for a license or to non renew an existing license,
how many days does the applicant have to make a written demand upon the Commissioner for a
hearing?
30 Days
Employment Covered means what?
All EE's within the state and outside the state unless employment is covered by the laws of the United
States (Federal Government) provides for Workers Comp
The Employer must file the First Report of Injury with the Workers Comp. Insurance Company or pay
the medical bill with
30 Days
True or False: An aggravation or acceleration of a preexisting condition by a employment accident or
condition of work is compensable.
True
, Within how many days does an Adjuster have to Authorize or Deny a request for preauthorization for
a proposed medical treatment
14 Days
If an Adjuster Deny's a request for preauthorization treatment the Adjuster can schedule an IME or
order Medical Record Review.
How many days does the Adjuster have to notify the DOL and Injured Worker of the decision?
Within 45 days
First Aid Only has to be filed within how many days?
5 Days
Palliative Care Means What?
Medical services rendered to reduce stable medical condition but does not include those medical svc
rendered to diagnose
If the Commissioner orders that the Rehabilitation treatment Services
to be changed who will have to pay for the services?
The Employer would have to pay for the VR services
Define: Medical Benefits
A worker who is injured at work is entitled to reasonable surgical, medical, and nursing services and
supplies, including prescription drugs and durable medical equipment
How do you determine whether a treatment is "medically necessary" for a claimant?
Medical necessity is based on the likelihood that it will improve the patient's condition, either by
relieving symptoms or by maintaining/increasing functional abilities
Define: Palliative care
medical services rendered to reduce the intensity of an otherwise stable medical condition
Can a claimant receive reimbursement of prescription medications?
Yes, as long as the claimant provides documentation showing the necessity of the prescription or its
alleged relationship to the work-related injury
Define: Supporting documentation
documentation for each service provided which is sufficiently detailed to allow for the review of the
medical necessity of the service and the appropriateness of the fee charged
True or False: A worker's compensation insurance carrier has an obligation to pay wages to an
employee when that employee misses work to attend a medical appointment
False. The employee's current employer is responsible for paying the injured worker his/her wages.
