1. (a) If an employer files a Notice of Temporary Compensation Payable, Form LIBC-501, the employer shall do all of the following simultaneously and no later than 21 days from the date the employer had notice or knowledge of the disability:

   1. (1) Send the Notice of Temporary Compensation Payable, Form LIBC-501, to the employee or the employee’s dependent.
   2. (2) Pay compensation to the employee or to the employee’s dependent.
   3. (3) File the Notice of Temporary Compensation Payable, Form LIBC-501, with the Bureau.
2. (b) A Statement of Wages, Form LIBC-494A or Statement of Wages, Form LIBC-494C, shall be filed with every Notice of Temporary Compensation Payable, Form LIBC-501, except a Statement of Wages, Form LIBC-494A or Statement of Wages, Form LIBC-494C, may not be filed with a Notice of Temporary Compensation Payable, Form LIBC-501, filed under subsection (d).

3. (c) To modify a Notice of Temporary Compensation Payable, Form LIBC-501, an employer shall file an amended Notice of Temporary Compensation Payable, Form LIBC-501, with the Bureau during the 90-day temporary compensation payable period. The amended Notice of Temporary Compensation Payable, Form LIBC-501, shall be clearly identified as ‘‘Amended’’ and may have only the insurer’s signature.

   1. (1) A Statement of Wages, Form LIBC-494A, or Statement of Wages, Form LIBC-494C, shall be filed with every amended Notice of Temporary Compensation Payable, Form LIBC-501.
   2. (2) This section does not apply upon conversion of the Notice of Temporary Compensation Payable, Form LIBC-501, to a Notice of Compensation Payable, Form LIBC-495.
4. (d) In medical only cases, when an employee’s injury has not resulted in lost time from work, an employer may file a Notice of Temporary Compensation Payable, Form LIBC-501.

Source

The provisions of this § 121.7a adopted August 3, 2007, effective August 4, 2007, 37 Pa.B. 4181.

Cross References

This section cited in § 121.17 (relating to change in compensation).