Procedures under § 31-310 of the general statutes

(a) Concurrent Employment An employee may be eligible for concurrent employment benefits if that employee falls within the definition of an employee as defined in subparagraphs (A) and (B) of subdivision (9) of section 31-275 of the General Statutes. An employer may be a concurrent employer for purposes of this section if that employer falls within the definition of an employer as defined in subparagraphs (A), (B), (C), and (D) of subdivision (10) of section 31-275 of the General Statutes. (b) Eligibility A claimant is eligible for concurrent employment benefits if the claimant has two (2) or more jobs at the time of his compensable injury. The Fund shall reimburse an employer for that part of the compensation rate represented by the earnings from places of employment other than where the employee sustained the injury. (c) Carrier Reimbursement The carrier shall pay the full compensation rate and then seek reimbursement from the Fund. The reimbursement does not include medical bills. (d) Notice (1) Notice to the Fund for reimbursement shall contain the following documentation: (A) The worker's compensation district; (B) The voluntary agreement approved and signed by a commissioner or finding and award; (C) Form 44-68 approved and signed by a commissioner; (D) Statement of earnings; including copies of documents showing claimant's earnings with all employers during the § 31-310 time period. (E) Copies of claimant's benefits checks; or an accounting from the employer or insurance carrier. (F) Medical reports; (G) Claimant's status: permanent total, temporary total, permanent partial, temporary partial; (H) Number of weeks of disability paid for each disability status; and (I) Amount requested for reimbursement. (2) Send all correspondence to: Second Injury Fund Accounting Department P.O. Box 668 10 Griffin Road North Windsor, CT 06095-0668