(a) A request to commute impairment income benefits must:(1) be in writing on a form prescribed by the division;(2) state the date the employee reached maximum medical improvement, the impairment rating, and the employee's weekly impairment income benefit;(3) be sent to the insurance carrier; and(4) be filed with the division.(b) The insurance carrier must send a notice of approval or denial of the request to the employee no later than 14 days after receiving the request. A notice of approval must include payment of the commuted impairment income benefits. A notice of denial must include the insurance carrier's reasons for denial. A copy of the notice must be filed with the division.(c) If the insurance carrier denies the request, the employee may request the division to schedule a benefit review conference to resolve the issue, as provided by §141.1 of this title (relating to Form and Execution).