WHAT PAYERS NEED TO KNOW - ARCHIVED UPDATES
May 1, 2026
New maximum and minimum weekly benefit rates
The maximum weekly benefit rate for New York State workers' compensation claimants is two-thirds of the New York State Average Weekly Wage (NYSAWW) for the previous calendar year, as determined by the New York State Department of Labor (Workers' Compensation Law Sections 2[16] and 15[6]).
The Department of Labor reported that the NYSAWW for calendar year 2025 is $1,922.25.
Accordingly, the maximum weekly benefit rate will be $1,281.50 and the minimum weekly benefit rate will be $384.45 for compensable lost time for workers' compensation claims with dates of injury during the period from July 1, 2026, through June 30, 2027.
Read more in Subject Number 046-1805.
Extending the ability of residents and fellows to treat injured workers
An amendment to Section 13-b of the New York State Workers' Compensation Law went into effect in 2025, extending the ability of residents and fellows (under the supervision of an authorized physician) to treat injured workers. The Chair has adopted the addition of a new subdivision (e) of Section 329-1.3 of Title 12 of the NYCRR to help implement this law by providing guidance about billing procedures when services are provided by residents and fellows under the supervision of a New York State Workers' Compensation Board-authorized physician.
Read more in Subject Number 046-1804.
Reminders
The What Payers Need to Know section of the Board's website walks payers through getting started in the workers' compensation system, becoming a trading partner, administering claims, and more.
Electronic submission of the CMS-1500 form is mandatory. Visit CMS-1500 initiative for more details and send your questions to CMS1500@wcb.ny.gov.
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The latest versions of several Paid Family Leave presentations are available, including family care, foster care/adoption, military leave, and bonding. Visit the Paid Family Leave website opens external website for more information.
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