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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 an employee's work-injury 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.