When can you close a claims file?

When can you close a claims file?

• A. When all benefits that are due and payable have been paid.
• B. When the last payment of PD has been made.
• C. When TD has ended.
• D. When the employee has returned to work.

Answer: (A)

Closing a claims file happens only when there is no remaining liability for the employer or insurer. In practice, this means all benefits that could be due and payable have been paid or otherwise resolved, including any future medical or disability obligations tied to the claim. If you stop at the point of the last PD payment or the end of temporary disability, there could still be ongoing medical treatment costs, future disability payments, or other entitlements, so the file would remain open. Returning to work likewise does not automatically end liability if there are outstanding or potential future benefits. Therefore, the file should be closed only when all benefits due and payable have been paid.

Closing a claims file happens only when there is no remaining liability for the employer or insurer. In practice, this means all benefits that could be due and payable have been paid or otherwise resolved, including any future medical or disability obligations tied to the claim. If you stop at the point of the last PD payment or the end of temporary disability, there could still be ongoing medical treatment costs, future disability payments, or other entitlements, so the file would remain open. Returning to work likewise does not automatically end liability if there are outstanding or potential future benefits. Therefore, the file should be closed only when all benefits due and payable have been paid.