State of Connecticut Office of the State Comptroller MEMORANDUM NO. 95-57
COMPTROLLER'S SEAL STATE OF CONNECTICUT
STATE OF CONNECTICUT
NANCY WYMAN
COMPTROLLER
OFFICE OF THE STATE COMPTROLLER
55 ELM STREET
HARTFORD, CONNECTICUT 06106-1775
MARK OJAKIAN
DEPUTY COMPTROLLER

MEMORANDUM NO. 95 - 57

October 4, 1995

TO THE HEADS OF ALL STATE AGENCIES

Attention: Chief Administrative and Fiscal Officers, Business
Managers, and Payroll and Personnel Officers
Subject: Workers' Compensation Cost Recovery

In 1992, with the issuance of Memorandum 92-34, the Office of the Comptroller established the requirement that all State agencies develop a mechanism to recover the cost of providing Worker's Compensation benefits to employees paid by sources other than General Fund budgeted appropriations. Recently the Auditors of Public Accounts cited instances of non-compliance by State Agencies with this requirement.

Based upon that finding, the Office of the Comptroller will be monitoring compliance and bring those not doing so into compliance. The attached questionnaire has been developed to gather information on compliance. Please take the time to complete the questionnaire and return it by October 31, 1995.

If you have any questions please call Robert Kinnin at 860-566-5337.

NANCY WYMAN
STATE COMPTROLLER

WORKERS' COMPENSATION COST RECOVERY QUESTIONNAIRE

AGENCY: ________________________________________________

CONTACT PERSON:

________________________________________________

TITLE:

________________________________________________
ADDRESS:

________________________________________________

________________________________________________

PHONE NUMBER:

________________________________________________
FAX NUMBER: ________________________________________________

Comptroller's Memorandum No. 92-34 required all agencies to establish a system to recover the cost of Worker's Compensation benefits provided to employees paid from other than General Fund budgeted appropriations. Please describe below how your agency has complied with this requirement. If your agency is funded by General Fund budgeted appropriations only, please indicate so.

_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

If the cost of providing Worker's Compensation benefits has been recovered from other than General Fund budgeted appropriations please list the amounts for the last three fiscal years and the account to which these amounts were deposited.

_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

PLEASE RETURN THE COMPLETED QUESTIONNAIRE TO:

OFFICE OF THE STATE COMPTROLLER
WORKER'S COMPENSATION QUESTIONNAIRE
COST REPORTING UNIT, RM 222
55 ELM STREET
HARTFORD, CT 06106

OR FAX TO (860) 566-1650

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