Insurer files NOPLD form
The Notice of Insurer's Primary Liability Determination (NOPLD) form is filed with the state by the insurer, showing whether the insurer accepts or denies a claim. This form contains important information for the injured worker to know, including: the claim number, the insurance adjuster's name and phone number, the employee's average weekly wage, the compensation rate, if or when benefits will be initiated, and the specific reason and facts supporting any denial of liability. Keep a copy of this form for your records.
Return to claim process page