Insurers and Adjusters

Become an Adjuster

The RI Department of Business Regulation (DBR), Insurance Division, handles testing and licensing of Workers' Compensation Adjusters for the State of Rhode Island.

The following items are offered as study materials


All fees, methods and applications for licensing are set by DBR and are subject to change. For updates and information, visit www.dbr.ri.gov/divisions/insurance or call (401) 462-9520

Claims Training

EDI Transaction Information

RI requires that both legal agreements and electronic EDI transactions be filed over the duration of a claim. Legal agreements are submitted on paper. See Claim Forms for information on filing legal documents. See EDI website for more information on EDI transactions.

EDI Process

  • RI DLT uses the national standard, Claims Release 3, established by The International Association of Industrial Accident Boards and Commissions (IAIABC).
  • RI DLT mandated electronic filing on March 1, 2015.
  • The insurer or claim adjusting company handling the claim is known as the claim administrator. The claim administrator gathers information on the claim and sends it electronically to RI DLT.
  • Injured workers and employers do not send a paper first report to RI DLT. A worker reports an injury to the employer. The employer reports the injury to the claim administrator. The claim administrator reports electronically to RI DLT.
  • RI DLT has contracted with Insurance Services Office, Inc. (ISO) to manage electronic FROI and SROI reporting. ISO will register trading partners, conduct testing, collect EDI data and submit data to RI DLT.
  • Claim Administrators must register with ISO as a trading partner. Please complete a Trading Partner Profile.
  • For more information, visit the or contact ISO at ridltedi@iso.com.

EDI Transactions

  • First Report of Injury (FROI)
    • An injury must be reported if medical treatment is needed, if the injured worker is unable to earn full wages for at least 3 days, or if the injury is fatal.
    • Injured workers and employers do not send a paper first report to RI DLT. A worker reports an injury to the employer. The employer reports the injury to the claim administrator handling the claim. The claim administrator reports injuries electronically to RI DLT.
    • No first report forms are accepted on paper.

  • Subsequent Report of Injury (SROI)
    • A SROI is required when indemnity benefits START, STOP or CHANGE.
    • A SROI is required every 6 months to report the status of the claim (open or closed).
    • A SROI reports the amount of benefits (indemnity and other) paid to date.

EDI Requirements

Report Policy Information

Insurance carriers are required to electronically report the start of, end of, and any changes to each workers' compensation policy in Rhode Island. Paper filings are not accepted. Notice of the issuance of a policy or reinstatement of a policy must be made within 5 days of the effective date. Cancellations or non-renewals must be reported immediately and are not effective until received by the Department. Carriers that fail to report as required are subject to a penalty of $250 per transaction.

Insurance carriers are required to report policy information electronically to the Department's designated agent.

Carriers should contact NCCI at 800-NCCI-123 (800-622-4123) or ncci.com with questions regarding electronic reporting.

Reporting Rhode Island Unemployment Number (UI Number).

The RI UI Number (also known as the ERN) is required when reporting policy information. If the UI Number is not available, use these default codes

  • Not available - When the insurer cannot get the UI Number for an established employer, use the default code "0000000001". Coverage may not be denied if an agent or employer fails to provide the UI Number.

  • New employer - The UI Number is issued by the RI Division of Taxation after the employer has payroll. For new employers waiting for assignment of a UI Number, use code "0000000002".

  • Exempt employer - For employers exempt per RIGL Section 28-42-8 that are not eligible for a UI Number, use code "0000000003".

  • "If any policy" - Employers without employees in RI are not eligible for a UI Number. Use code "0000000004".

  • Exposure without payroll - For an employer with RI exposure and without RI payroll, use code "0000000004".

Spendable Base Wage

A worker's base weekly compensation rate is calculated as seventy-five percent (75%) of the worker's spendable earnings or spendable base wage capped at a maximum weekly rate. Spendable base wage approximates a worker's earnings less withholdings. Withholding amounts take into account the maximum number of personal exemptions allowed to the employee, not the employee's actual net earnings.

Select the year to view the spendable base wage information (PDF)



The Division of Workers' Compensation publishes information annually on spendable base wage calculations. The worker's date of incapacity determines which set of calculations to use.

For more information, please contact the Education Unit at:
(401) 462-8100
DLT.WCEdcUnit@dlt.ri.gov

COLA Rates

Rates are effective from May 10th of each year. See the Workers’ Compensation Act for determining eligibility requirements.

View COLA Rate PDF

Effective date COLA Rate
5/10/20 2.3%
5/10/19 1.3%
5/10/18 2.3%
5/10/17 2.8%
5/10/16 0.7%
5/10/15 0.0%
5/10/14 1.0%
5/10/13 1.9%
5/10/12 3.1%
5/10/11 2.3%
5/10/10 2.8%
5/10/09 0.0%
5/10/08 4.4%
5/10/07 2.2%
5/10/06 3.7%
5/10/05 3.0%
5/10/04 1.5%
5/10/03 3.2%
5/10/02 0.8%
5/10/01 3.5%
5/10/00 3.3%
5/10/99 1.6%
5/10/98 1.1%
5/10/97 3.0%
5/10/96 2.6%
5/10/95 3.0%
5/10/94 2.3%
5/10/93 3.2%
5/10/92 2.7%
5/10/91 5.1%

Maximum Compensation Rates

Effective date Maximum Weekly Rate
10/1/19 $1,275
10/1/18 $1,253
10/1/17 $1,221
10/1/16 $1,154
9/1/15 $1,042
9/1/14 $1,017
9/1/13 $995
9/1/12 $972
9/1/11 $946
9/1/10 $939
9/1/09 $908
9/1/08 $908
9/1/07 $882
9/1/06 $845
9/1/05 $785
9/1/04 $760
9/1/03 $726
9/1/02 $702
9/1/01 $682
9/1/00 $653
9/1/99 $573
9/1/98 $544
9/1/97 $519
9/1/96 $503
9/1/95 $485
9/1/94 $474
9/1/93 $463
9/1/92 $440
9/1/91 $427
9/1/90 $403
9/1/89 $386
9/1/88 $360
9/1/87 $337
9/1/86 $320
9/1/85 $307
9/1/84 $292
9/1/83 $275
9/1/82 $257
9/1/81 $238
9/1/80 $217
9/1/79 $199
9/1/78 $183
9/1/77 $176
9/1/76 $166
9/1/75 $156
9/1/74 $97

Medical Fees

The Director of the Department of Labor and Training establishes a medical fee schedule of rules and rates of reimbursement for workers' compensation medical services.

The 2018 medical fee schedule effective October 1, 2018 is now available online.

Hospital services are subject to the Hospital Rates instead of the medical fee schedule.

› Hospital Rates

The amount a hospital is paid for services for a workers' compensation injury is adjusted. Annually, the Division of Workers' Compensation publishes an adjustment rate for hospital charges for each hospital's charges for inpatient, ambulatory surgery, and emergency room charges. The adjustments are based on approved cost finding methodology and other statistical data furnished by each hospital.

A hospital's charges should be multiplied by the corresponding percentage based on date of service, hospital, and if the type of service is inpatient, ambulatory surgery, or emergency room. below.

For example: Newport Hospital provided an inpatient service on July 5, 2012. Based on the chart that covers services from July 1, 2012 to June 30, 2013, the inpatient adjustment for an inpatient service at Newport Hospital is 74.76%. The total charge for the service is $1000. Multiply the charge for service by the adjustment: $1000 times 74.76% = $747.60, which is the amount Newport Hospital would be paid for that service.

Click on the dates below for the information letter containing the Hospital Rate Adjustments

View or order a copy (printed or electronic) of the RI Medical Fee schedule online at Rising Medical Solutions, Inc. ®

The Medical Advisory Board (MAB) adopts and reviews protocols of treatment for work-related injuries and provides notice of impartial medical exams required at 26 and 39 weeks of incapacity. The MAB also records complaints against and is authorized to disqualify medical care providers. You can reach the Medical Advisory Board at One Dorrance Plaza Providence, RI 02903. Phone: (401) 458-3460 | Email: John F. McBurney, Administrator

For more information abut the medical fee schedules, please contact:

Matt Carey
(401) 462-8127
Matt.Carey@dlt.ri.gov

Information Letters

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View Archived Information Letters
Number Date Letter Description
20-06 7/10/2020 Notice of Assessment Rate
20-05 7/7/2020 Hospital Rates July 7, 2020
20-04 4/17/2020 Notice of 2020 Cost of Living Increase
20-03 4/17/2020 Rhode Island Workers’ Compensation Medical Fee Schedule
20-02 4/7/2020 Spendable Base Wage Tables and Related Forms (Updated)
20-01 3/31/2020 Covid 19 Fee Schedule Codes
19-07 10/03/2019 2019 Notice of Revised Independent Contractor Forms

Notice of Withdrawal of Designation as Independent Contractor

Notice of Designation as Independent Contractor
19-06 9/25/2019 2020 Revised Medical Fee Schedule
19-05 9/25/2019 Maximum Compensation Rate Increase
19-04 7/15/2019 Notice of Assessment Rate
19-03 7/09/2019 Hospital Rates July 1, 2019
19-02 5/01/2019 Spendable Base Wage Tables and Related Forms
19-01 4/15/2019 2019 Cost of Living Increase Notification
18-05 9/13/2018 Maximum Compensation Rate Increase
18-04 6/26/2018 Hospital Rates July 1, 2018
18-03 6/15/2018 Notice of Proposed Assessment Rate
18-02 5/15/2018
5/9/2018
Amended Spendable Base Wage Information

Spendable Base Wage Information
18-01 4/26/2018 2018 Cost of Living Increase Notification
17-05 9/2//2017 Maximum Compensation Rate Increase
17-04 8/3/2017 2017 Revised Rhode Island Workers’ Compensation Medical Fee Schedule
17-03 7/1/2017 Hospital Rates July 1, 2017
17-02 5/15/2017 Spendable Base Wage Information
17-01 4/7/2017 2017 Cost of Living Increase Notification
16-06 8/24/2016 New Effective Date for 2016 Maximum Compensation Rate
16-05 6/17/2016 Hospital Rates July 1, 2016
16-04 6/14/2016 2016 Revised Rhode Island Workers’ Compensation Medical Fee Schedule
16-03 6/8/2016 Notice of Proposed Assessment Rate
16-02 4/5/2016 Spendable Base Wage Information
16-01 4/5/2016 2016 Cost of Living Increase Notification
15-07 8/12/2015 Maximum Compensation Rate
15-06 7/7/2015 Notice of Proposed Assessment Rate
15-05 7/2/2015 Electronic and Legal Document Filing Requirements
15-04 6/30/2015 Hospital Rates July 1, 2015
15-03 4/7/2015 2015 Spendable Base Wage
15-02 4/2/2015 2015 Cost of Living Increase Notification
15-01 1/9/2015 WC Insurance Coverage Smart Phone App
14-10 9/17/2014 AMA Add-On Fees
14-09 8/15/2014 Maximum Compensation Rate 2014
14-08 6/25/2014 Non-Prejudicial Agreement Form Revised
14-07 6/24/2014 Hospital Rates July 1, 2014
14-06 5/16/2014 Proposed Draft of Non-Prejudicial Agreement Form for Comment
14-05 4/7/2014 2014 Spendable Base Wage
14-04 3/24/2014 2014 Cost of Living Increase 1.0%
14-03 3/17/2014 Medical Fee Schedule Effective April 1, 2014
14-02 2/7/2014 WC Court Announces Interdisciplinary Chronic Pain Management Program
14-01 1/23/2014 New and Updated Forms
13-09 11/27/2013 Webinar: Electronic Filing
13-08 11/6/2013 Electronic First and Subsequent Reports
13-07 11/15/2013 New and Updated Forms for 30 Day Review
13-06 9/18/2013 Proposed Changes to Medical Fee Schedule
13-05 8/15/2013 Maximum Compensation Rate 2013
13-04 7/22/2013 Pubic Access to Records
13-03 7/3/2013 Hospital Rates July 1, 2013
13-02 4/8/2013 2013 Spendable Base Wage
13-01 4/1/2013 2013 Cost of Living Increase 1.9%