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WTC Volunteer Fund


Frequently Asked Questions

World Trade Center Fund

The Workers' Compensation Board has transitioned the management of the World Trade Center (WTC) Volunteer Fund claims to the Triad Group effective June 24, 2013.

  1. I am not currently a beneficiary of the WTC Volunteer Fund. How do I submit a new claim? To submit a claim, one should complete the Form WTCVol-3. Volunteers must produce proof of their service as a volunteer and provide medical evidence that their illness is due to this service. The documentation should be sent to:

    New York State Workers' Compensation Board,
    PO Box 5205
    Binghamton, NY 13902-5205

    Determinations about claim eligibility are made by the Board. Claims are forwarded to Triad if eligibility is established.
  2. Did I need to register by filing a WTC-12 before September 11, 2010, to qualify for the WTC Volunteer Fund? No. The filing of a WTC-12 is helpful in establishing that you were a volunteer, but is not necessary. If you can establish that you were a volunteer and that your illness or injury was caused by your volunteer service, the WTC Volunteer Fund will provide you benefits.
  3. Who is the Triad Group? The Triad Group is a professional third party administrator (TPA) that handles claims for dozens of self-insured employers. They were selected by the Board through a competitive Request For Proposals (RFP) to manage workers' compensation claims for the Board. More information is available on their website, www.triadgate.com Link to External Website.
  4. What impact will this transition have on my biweekly benefits? None. Claimants will continue receiving their biweekly indemnity benefits on the same schedule in place today. The Board will send its last biweekly payment on June 19, and Triad will send its first biweekly payment on July 3.
  5. What impact will this transition have on my health care benefits? None. Claimants will continue to receive necessary health care benefits through the program. Providers must begin sending their bills and reports to Triad for dates of service on or after June 24, 2013.
  6. Where should my health provider send medical reports and bills now? Health providers should begin sending new medical reports and bills to the Triad Group for dates of service on or after June 24. Any medical reports or bills with dates of service before June 24 should continue to be sent to the Board.
  7. Does my health care provider need to be authorized by the NYS Workers' Compensation Board? No. WTC Volunteers are allowed to seek treatment with any physician regardless of whether they are authorized by the Board or not. WTC Volunteers are encouraged to seek treatment from providers affiliated with the WTC Health Program http://www.cdc.gov/wtc/ Link to External Website.
  8. How does my health care provider obtain authorization to treat my causally-related injuries or illnesses? Triad Group will be your primary point of contact for all claims and benefit issues. Triad has assigned Gretchen Finch as the WTC Volunteer Fund coordinator and she will handle all claim-related questions. She may be reached at:

    Gretchen Finch, Claims Adjuster
    Triad Group LLC
    185 Jordan Rd
    Troy, NY 12180
    Phone: 1-800-337-7419 x112
    Fax: 1-866-617-7585
    Email: GFinch@triadgate.com

    In Gretchen's absence any triad staff member will be happy to assist you
  9. How do I fill my pharmacy benefits? In June 2013, active WTC Volunteer Fund claimants will receive a pharmacy benefit card from PMSI Tmesys. PMSI Tmesys is a pharmacy benefits manager with a network of pharmacies http://www.pmsionline.com Link to External Website You may continue to fill your prescriptions at any pharmacy, whether in the network or not. Just show the pharmacist your PMSI Tmesys card and the pharmacy will confirm your benefits and fill your prescription without any copay.
  10. Who does my pharmacy need to contact to receive approval/authorization to fill my prescriptions? Your PMSI Tmesys card has contact information on the back.
  11. Who can I call if I have questions about my benefits? Triad Group will be your primary point of contact for all claims and benefit issues. Triad has assigned Gretchen Finch as the WTC Volunteer Fund coordinator and she will handle all claim related questions. She may be reached at:

    Gretchen Finch, Claims Adjuster
    Triad Group LLC
    185 Jordan Rd
    Troy, NY 12180
    Phone: 1-800-337-7419 x112
    Fax: 1-866-617-7585
    Email: GFinch@triadgate.com

    In their absence, any Triad staff member can assist you and Triad staff members Mario Rubino mrubino@triadgate.com and Sharyn Canham scanham@triadgate.com will be contacting you to see if there is anything you need.
  12. Who can I contact at the Workers' Compensation Board if I have a claim-related problem that Triad cannot resolve? During the transition period (through September 30, 2013), staff from WCB will be available to answer WTC Volunteer claim-related questions or concerns at 1-800-877-4461.
  13. What will happen when the WTC Volunteer Fund runs out of money? The WTC Volunteer Fund is dependent on federal funding. As of January 1, 2013, more than $31 million of the $50 million had been spent. When the remaining monies are spent, the program will terminate, unless additional funding becomes available.

Other WTC-related Programs – Zadroga Act

  1. Are there any other benefits that I may qualify for as a result of being a WTC Volunteer? Yes, the James Zadroga 9/11 Health and Compensation Act provides both health and compensation for those affected by 9/11.

    You may be eligible to receive health benefits through the WTC Health Program http://www.cdc.gov/wtc/ Link to External Website

    You may also be eligible to receive a cash payment from the 9/11 Victim Compensation Fund. For more specific information, click here http://www.vcf.gov/index.html Link to External Website
  2. Should I sign up for the WTC Health Program? Yes. The WTC Health Program includes medical providers who are experts in the monitoring and treatment of 9/11 related conditions. In addition, the services provided by the WTC Health Program are separately funded for five years and do not draw down the limited funding that remains for the WTC Volunteer Fund. For more information on how to apply to the WTC Health Program, click http://www.cdc.gov/wtc/apply.html Link to External Website
  3. Can I receive benefits from the WTC Volunteer Fund and the WTC Health Program? Yes. Though all volunteers are encouraged to receive their health benefits entirely through the WTC Health Program, claimants in the Volunteer Fund may continue to receive health care through providers who do not participate in the WTC Health Program.
  4. Should I apply for the VCF? Yes. If you were physically injured or became ill as a result of the 9/11 terrorist activities, you may be eligible for financial compensation from the VCF. To receive benefits, you must waive your right to file a lawsuit for damages for the physical injury or condition sustained as a result of 9/11.
  5. Can I apply for benefits under the VCF if I receive benefits from the WTC Volunteer Fund? Yes.
  6. How do I apply for the VCF? You must first register with the VCF, either on-line or by filing a paper form. Once registered, you may file a claim by submitting completed Eligibility and Compensation Forms and supporting documents. Complete information on filing a claim is available on the VCF website, www.vcf.gov Link to External Website or by calling their help line at 1-855-885-1555 (or 1-855-885-1558 for the hearing impaired).
  7. What is the deadline to file for the VCF? Individuals who knew (or reasonably should have known) they had a WTC-related injury or condition as of October 3, 2011, must register by October 3, 2013. Individuals who learned of their WTC-related injury or condition after October 3, 2011 must register within two years of the date they learned (or reasonably should have learned) of their condition.
    As long as one registers on time, one may submit completed Eligibility and Compensation Forms, along with the required supporting documents, at any time on or before October 3, 2016.