A. Filing a Claim. A claim that is not filed by the employee pursuant to Section 12-107 within thirty (30) days of the incident or accident giving rise to the alleged compensable injury will be rejected, unless the Administrator, in its discretion, finds that extenuating circumstances justify the delay. If the specific date of incident or accident cannot be determined, or in the case of cumulative injury or trauma, no claim will be accepted if the claim is not filed within thirty (30) days from the date that the employee either knew, or in the exercise of reasonable diligence should have known, that the injury, illness, or condition was related to his or her employment.

B. Appealing a Decision. Should an employee disagree with any written decision of the Administrator, he or she may appeal that decision in writing within thirty (30) days of the date of the Administrator’s correspondence, in a manner and form consistent with the requirements set forth in Section 12-113. Failure to submit an appeal within this time frame will render the decision of the Administrator final and binding, with no further rights to appeal.

C. Reopening a Claim. Once a claim has been closed pursuant to Section 12-112, after one (1) year has passed from the last date of medical treatment, a claim shall be presumed permanently closed with no opportunity to reopen it unless the Administrator should, in its discretion and with new, additional, or previously undiscovered medical findings, decide otherwise. A claim that has been permanently closed will relieve the casino of any and all further liability associated with that claim, including any Medicare liens. (Res. 2022-44 (Exh. A))