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Business Profile

Workers Compensation Insurance

New York State Insurance Fund

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Workers Compensation Insurance.

Complaints

Customer Complaints Summary

  • 4 total complaints in the last 3 years.
  • 2 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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Complaint status

Complaint type

  • Initial Complaint

    Date:12/09/2024

    Type:Service or Repair Issues
    Status:
    Resolved
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    Good afternoon:The notice of decision granted that the bills are to be processed in favor of the provider. *. *******,Carrier Case ********, date of service 7.12.19 the examiner is not responding to call or emails. This is a claim for ******************************. Please process claim. It's been 5 YEARS!!!!

    Business Response

    Date: 12/18/2024

    Good afternoon, ***** claims staff reviewed and the bills have been sent back to ********, our billing vendor for reconsideration.

    Thank you, 

    ******* *****

    ******************************

     

    Customer Answer

    Date: 12/19/2024

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.

    Sincerely,

    ****** *



     

  • Initial Complaint

    Date:08/13/2024

    Type:Order Issues
    Status:
    Answered
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    I submitted mileage and transportation expenses to my workers compensation carrier representative, ********************************* by email on March 04, 2024 that covered ***** miles from February, 2023 to February, 2024, for visits to all of my treating medical doctors, hospitals, surgery performed and ongoing medical treatment and care that I continue to receive. ***** has failed to reimburse or provide the reasons why it has not been paid. I have continually requested that this payment be made because I can not afford to continue going to my doctors without being reimbursed for previous trips. The price of fuel continues to rise and lets face it what I am normally paid is peanuts in comparison. In another matter, my workers compensation claim entitles me to be paid $210.00 per week for the rest of my life, ***** has not paid me $420.00 that was due and payable on June 21, 2024 by direct deposit. I had updated and changed my direct deposit information on June 12, 2024 on NYSIFS website and I see no intelligent reason why I have not been paid in accordance with my workers compensation claim. I depend on these payments to pay my bills, purchase food and survive and not receiving this payment left me in severe financial difficulties because I was unable to pay my bills or purchase food and groceries. I do not think it is right or fair that Im still waiting almost 3 months for this check. Its bad enough that I had foot surgery on March 19, 2024 and NYSIF failed to raise my weekly benefit rate from $210.00 to $300.00, which reflects total disability. ***** continues to act in bad faith with my claim. I have respectfully requested help from the workers compensation board to adjudicate these matters because I am truly suffering without this money. No one should be playing Russian Roulette with people lives or livelihoods. The workers compensation board has totally failed me and no emergency help or assistance has been provided. Payment history attached.

    Business Response

    Date: 08/28/2024

    ****** *** ****

    ****** ******** ****** * ************ ****** *** ****************

    ***********************************

    *********************
    ***
    *** *** ***************** ******************************** ***** **** *** ************
    Better Business Bureau:


    This letter is in response to a complaint by the claimant ******************************** has been forwarded to
    me for a reply.


    The claimant raises numerous issues which I will answer. The first issue is that ************** stated that
    he emailed mileage and transportation, ***** expenses for the period February 2023 till February
    2024 ********************************* which has not been addressed. There are 2 problems with this. The first is
    that his case manager, ********************************* has been out for months. ************** has been made aware
    of this prior occasions. Also, per the *** rules, *** has to be submitted on form C-257 and
    submitted to ****** post office box. We cannot accept this form by email. The correct address is
    *****************************. Also, due to security concerns, we are unable to access any of
    ****** staff email. So, if an email was sent it cannot be viewed.

    ************** also is questioning the amount of *** and wonders why his rate hasnt been increased
    from PPD to total since the date of his surgery. Please be advised that mileage and transportation
    can only be reimbursed for causally related treatment and surgery as well as travel for treatment
    related to same. The claimant had surgery for curly toe. The claim is established to the right-ankle,
    left-ankle, right-knee and other internal organs. The toes are not an established site. Surgery was
    also not authorized. As such, no reimbursement can be made for treatment, not can there be an
    increase in wages.


    ************** also noted problems that he has with the *************************** which I cannot
    comment on.


    For future information, *** ****** new case manager is *******************, ****************.
    ************.


    Sincerely

    ********************************* ****** *******
    ************* ****** ******** *
    *** *************************

    Customer Answer

    Date: 08/28/2024

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:  I feel ****************** is a bold face liar.  I emailed him personally and ********************* back in June when my check never was received.  Neither ****************** or ******************** responded.  In fact I only found out about *** ********* absence in an email last week.  I find it extremely disturbing that ***** does not bother to assign a new claim representative when your regularly assigned one doesnt work.  With regards to my surgery it was approved by the board so this is further proof that ****************** doesnt know how to manage his way out of a paper bag opened at both ends.  With regards to my * * * it is normal and customary to email it to my claim representative and have been doing that for years, I find it funny that now they make excuses and continue to lie to cover there behinds for acting in bad faith with my claim.  I noticed ****************** never mentioned why my check from June 20th was not processed or paid in a prompt professional or efficient manner.  I had to wait several months simply because he could not be bothered back in June.  I find it also funny that I submitted requests to multiple claims representatives that were supposedly assigned my claim and not one of them responded or took care of the issues that I raised and brought to there attention.  I personally feel that I continue to be discriminated against and treated unfairly by employees that are extremely racist and severely prejudiced against me.  Just by there lack of communication and resolving the situation and issues I raised snd brought to all of there attention including ****************** proved and justifies my complaint and concerns.  I intend to pursue legal action against NYSIF for discrimination. 

    ******************************





     

New York State Insurance Fund is NOT a BBB Accredited Business.

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