Compliance Department Overview
The Virginia Workers' Compensation Commission's Compliance Department consists of two departments, EDI Compliance and Insurance Compliance.
EDI Quality Assurance
The EDI Quality Assurance Department establishes and maintains the EDI standards for Employers, Carriers and Claim Administrators to report workplace accidents to the Virginia Workers' Compensation Commission; Enforces compliance with those standards; Supports Employers, Carriers, and Claim Administrators who have EDI related issues, questions and/or training needs; Provides a certain level of support to WebFile users, especially the Claim Administrators using the Commission's WebFile system to submit EDI transactions; Oversees the EDI vendor contract (Mitchell); Processes transactions to eliminate duplicate filings.
All information regarding the EDI requirements for Virginia can be found under Online Services (VWC EDI Services). The Commission's EDI Implementation Guide contains all information needed to submit EDI to Virginia. The Implementation Guide and FAQ section under Online Services are great resources for most frequently asked questions. There are also training aids (FROI/SROI Key Even Matrix and Claim Event Flow) available that would be extremely beneficial those individuals responsible for filing the EDI transactions to Virginia.
If, after reviewing this information, you have additional EDI related questions, please contact the EDI Quality Assurances EDI Support Team directly at firstname.lastname@example.org.
Additional Contact Information
EDI Quality Assurance Manager
EDI Quality Assurance Team Leader
EDI Quality Assurance Fax # 877-787-3004
VWC Toll Free # 877-664-2566
The Insurance Compliance Department investigates and verifies coverage for claim files; receives/processes/maintains policy/membership information from commercial carriers and group self insured associations(WebFile Guide for GSIA); approves PEO registrations and monitors the termination of their clients (WebFile Guide for PEO); monitors and enforces requirements for coverage; processes rejections (Rejection of Coverage 16A), terminations (Notice Terminating Prior Rejection of Coverage 17A) and OD waivers (Waiver of Occupational Disease 9A); responds to general inquiries relating to employer workers' compensation liability insurance requirements.
Please note that the Virginia Bureau of Insurance (Bureau of Insurance) licenses, regulates, investigates and examines insurance companies, agencies and agents on behalf of the citizens of the Commonwealth of Virginia. Information pertaining to rules, rates, agents, regulated companies, and how to file a related complaint should be directed to the Bureau.
Virginia Bureau of Insurance
Street Address: Tyler Building, 1300 E. Main St., Richmond, Virginia 23219
Mailing Address: P.O. Box 1157 Richmond, Virginia 23218
Toll Free Phone: (Virginia Only) 1-800-552-7945 * TDD Phone: 804-371-9206
Ombudsman and Consumer Service Hotline Toll Free Phone: (Nationwide) 1-877-310-6560
BOI Main Phone: 804-371-9741*Agents Licensing Phone: 804-371-9631
Need additional information? Contact: email@example.com
The Commission has designated NCCI as its agent to receive filings of coverage and cancellations/non-renewals. NCCI also manages assigned risk policies for Virginia and questions relating to applying for such should be sent to NCCI directly.The National Council On Compensation Insurance Holding, Inc.
Address: P.O. Box 3098, Boca Raton, FL 33431-0998
Telephone: 800-NCCI 1-2-3
Facsimile: 407-989-6180 or 6181
Virginia Agents Associations
The Professional Insurance Agents Association of Virginia and the District of Columbia
Address: 8092 Villa Park Drive, Richmond, VA 23228-6500
The Independent Insurance Agents of Virginia
Address: 8600 Mayland Drive, Richmond, VA 23294
ComplianceDocuments & Forms
- Employer's Guide
- Employer Workplace Poster
- Employer Workplace Notice - Risk to Coal Miners
- Employer Workplace Notice - Spanish
- Injured Worker's Guide
- Injured Worker's Guide - Spanish
- Marketing Guidelines - Proving a Job Search
- Coverage Information Sheet for Out of State Employers
- Report An Employer Suspected of Operation without Worker's Compensation
- WebFile Guide for Claimants
- WebFile Guide for Claim Administrators
- WebFile Guide for PEO
- WebFile Guide for GSIA's
- Workers' Compensation Information Sheet