WTC Volunteer Fund
Transition to Triad Group
Since its creation, the 9/11 Volunteer Fund claims have been managed by the No Insurance Unit, which administers claims for the Uninsured Employers Fund (UEF) at the Workers' Compensation Board. As part of an effort to use professional licensed third party administrators (TPAs) to manage claims previously handled by the No Insurance/UEF, Triad Group will assume responsibility for managing all existing 9/11 Volunteer claims on June 24, 2013. The Board will maintain ongoing oversight of the Fund and Triad Group to ensure that benefits and claims are handled appropriately.
The impact of the transition on WTC volunteers receiving Fund benefits should be minimal. Claimants will continue receiving their biweekly indemnity benefits on the same schedule in place today. While health providers should begin sending new medical reports and bills to the Triad Group for dates of service on or after June 24, they will continue to operate under the same flexible rules that have governed the WTC Volunteer Fund since its creation. Volunteers with new claims should continue submitting them directly to the Board. The Triad Group will assume responsibility for the claim only after the Board determines the claimant is eligible for the Fund.
The Triad Group has designated a WTC administrator, Gretchen Finch, to address any issues that arise during the transition. Gretchen will serve as the claimants' first point of contact for all claim administration issues and can be reached via email at:
Gretchen Finch, Claims Adjuster
Triad Group LLC
185 Jordan Rd
Troy, NY 12180
Phone: 1-800-337-7419 x112
She will have direct access to Board staff to address individual questions or problems as they arise.
The transition of claim administration responsibilities to professional TPAs is driven by the Board's focus on its core competencies as primary regulator of the workers' compensation system and adjudicator of disputes in individual claims. It rarely is responsible for the administration and payment of benefits. As a result, the Board's IT systems are not designed for the activities associated with directly administering benefits. In contrast, the Triad Group and other TPAs handle claims for hundreds of employers and insurers and therefore invest in the IT systems necessary to address the ever changing workers' compensation claim environment.
The Board is extremely proud of the staff in both the No Insurance Unit and the Office of the Advocate for Injured Workers for their tireless dedication to the needs of the heroes who volunteered in the aftermath of 9/11 and became ill, as a result.