Michael F. Easley, Governor
Buck Lattimore, Chairman

Bernadine S. Ballance, Commissioner
Thomas J. Bolch, Commissioner
Laura K. Mavretic, Commissioner
Christopher Scott, Commissioner
Dianne C. Sellers, Commissioner
Pamela T. Young, Commissioner

North Carolina
Industrial Commission

MINUTES

            Pursuant to newly enacted N.C. Gen. Stat. §97-25.6, the Industrial Commission hereby adopts specific questions which an employer or insurer paying compensation for an admitted claim or paying without prejudice pursuant to N.C. Gen. Stat. §97-18(d) may use to communicate with an employee’s medical provider in writing. The attached Instructions to Workers’ Compensation Insurance Carriers, Third-Party Administrators, and Employers Regarding Access to Medical Information (consisting of one page) and the Workers’ Compensation Medical Status Questionnaire (consisting of two pages) are hereby adopted by the Industrial Commission and effective immediately.

                This 21st day of November 2005.

                             S/                              
BUCK LATTIMORE
CHAIRMAN

                             S/                              
BERNADINE S. BALLANCE
COMMISSIONER

                             S/                              
THOMAS J. BOLCH
COMMISSIONER

                             S/                              
LAURA KRANIFELD MAVRETIC
COMMISSIONER

                             S/                              
CHRISTOPHER SCOTT
COMMISSIONER

                             S/                              
DIANNE C. SELLERS
COMMISSIONER

                             S/                              
PAMELA T. YOUNG
COMMISSIONER


N.C. Industrial Commission ·   4340 Mail Service Center ·   Raleigh, NC 27699-4340
Main Telephone: (919) 807-2500 ·   Fax: (919) 715-0282
NCIC Home Page: http://www.comp.state.nc.us/