State workers' compensation: significant legislation in 1989.
State workers' compensation workers' compensation, payment by employers for some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work. : significant legislation in 1989
Among the enactments taken on behalf of injured workers, maximum weekly compensation payments for temporary total disability were increased in 45 States and the Virgin Islands, and many States provided for medical deductibles in insurance policies
In keeping with tradition, 49 States, the District of Columbia District of Columbia, federal district (2000 pop. 572,059, a 5.7% decrease in population since the 1990 census), 69 sq mi (179 sq km), on the east bank of the Potomac River, coextensive with the city of Washington, D.C. (the capital of the United States). , and Puerto Rico Puerto Rico (pwār`tō rē`kō), island (2005 est. pop. 3,917,000), 3,508 sq mi (9,086 sq km), West Indies, c.1,000 mi (1,610 km) SE of Miami, Fla. were in legislative session during 1989. Kentucky was the only State in which the legislature did not meet. As of late July, more than 1,000 proposals and 245 enactments had been received and legislation was still being processed.
All but five States and Puerto Rico increased maximum weekly payments for temporary total disability. In Colorado, the percentage of the State average weekly wage used for calculating benefits for total disability and death was raised from 80 percent to 91 percent. Two States reversed their method of determining benefits. Arkansas now uses a percentage of the State average weekly wage (66 2/3 percent) as a basis for determining weekly benefit levels, instead of making statutory increases. In Alaska, increases in benefits will be made statutorily instead of being linked to the State average weekly wage.
New legislation in California provides for weekly benefits for disability and death to be increased beginning on January 1, 1990, and again on January 1, 1991. In 1992, weekly payments are scheduled for a 16-percent increase. The cap on weekly benefit levels in Maine and Montana was lifted on July 1, leaving Oklahoma as the only remaining State where benefits are frozen; however, in a special session of the legislature in Montana, the freeze was restored until July 1991.
One State raised the minimum weekly compensation from $25 to $75 in cases of death, and another State approved lifetime benefits for permanent total disabilities. North Dakota North Dakota, state in the N central United States. It is bordered by Minnesota, across the Red River of the North (E), South Dakota (S), Montana (W), and the Canadian provinces of Saskatchewan and Manitoba (N). increased the weekly allowance for dependent children.
The allowances for burial were raised in Arizona, California, Maryland California is a census-designated place and community in St. Mary's County, Maryland, United States. The population was 9,307 at the 2000 census. California continues to grow with the spread of population out from the older adjacent community of Lexington Park and the growth in , and Nevada.
Several States now provide for the inclusion of medical deductibles in workers' compensation insurance policies as a cost savings mechanism. Other jurisdictions have authorized employers who want to become self-insurers to file letters of credit along with their applications for self-insurance, in addition to posting bonds and other security.
The State Workers' Compensation Fund in Hawaii has been reorganized re·or·gan·ize
v. re·or·gan·ized, re·or·gan·iz·ing, re·or·gan·iz·es
To organize again or anew.
To undergo or effect changes in organization. as the State Compensation Mutual Insurance Fund and will operate as a nonprofit independent mutual insurance corporation.
Other significant amendments related to rehabilitation rehabilitation: see physical therapy. and safety. Penalties and fines were assessed on employers and insurers for various violations of the law. Assessments were also authorized for funding purposes.
Following is a State-by-State summary of legislation enacted.
The Alabama Workmen's Compensation Workmen's Compensation n. a former name for Workers' Compensation before the unisex title of the acts was adopted. Self-Insurers Guaranty As a verb, to agree to be responsible for the payment of another's debt or the performance of another's duty, liability, or obligation if that person does not perform as he or she is legally obligated to do; to assume the responsibility of a guarantor; to warrant. Association was established to set up and provide funding for an insolvency fund to assure payment of claims filed against any insolvent member.
The burial allowance was increased from $1,000 to $3,000.
Lump-sum compensation is now payable when the Workers' Compensation Commission determines that such an arrangement is in the best interests of the employee or the dependents.
As a result of two major enactments, substantive reform in the workers' compensation system will become effective during 1990 and 1991. Reportedly, the new legislation is the first of its kind since 1971.
Maximum weekly benefits for temporary total and permanent total disability will increase on January 1, 1990, to $266 from $224; and on January 1, 1991, to $336. Minimum weekly benefits for temporary total disability will be increased during the same periods from $112 to $168, and from $168 to $189, respectively. The minimum for permanent total disability remains at $112.
Weekly compensation for permanent partial disabilities of 25 percent or greater, are now payable up to $148, formerly $140, as of January 1, 1991. On January 1, 1992, weekly payments will be increased by approximately 16 percent.
In cases of death, benefit payments will increase to a maximum of $336 per week as of January 1991, and a minimum of $224. The total maximum benefit payable for two or more surviving dependents in cases of death has been raised to $115,000, previously $95,000. Eligibility for death benefits will now continue until the youngest dependent minor child reaches age 18, even if compensation exceeds the statutory maximum.
Reserve or deputy peace officers and volunteer members of a sheriff's reserve are now protected by workers' compensation coverage.
The burial allowance was increased to $5,000 from $2,000 for injuries resulting in death on and after January 1, 1991.
An amendment permits reimbursement of costs for travel to medical examinations at 24 cents per mile, regardless of date of injury.
New procedures were enacted for resolving medical disputes and for determining the existence, and limitations, of permanent impairments. The period of disability that must pass following the 3-day waiting period before retroactive Having reference to things that happened in the past, prior to the occurrence of the act in question.
A retroactive or retrospective law is one that takes away or impairs vested rights acquired under existing laws, creates new obligations, imposes new duties, or attaches a compensation is paid for temporary total disability was changed from 21 to 14 days.
An amendment raised the amount of compensation allowable for maintenance during vocational rehabilitation Noun 1. vocational rehabilitation - providing training in a specific trade with the aim of gaining employment
rehabilitation - the restoration of someone to a useful place in society from $224 to $246. Vocational rehabilitation services that were previously terminated may now be restored within 5 years after injury in certain instances. Employers were given authority to withhold the benefit payments of an employee who unreasonably fails to cooperate during vocational rehabilitation. A new fee schedule was developed for vocational rehabilitation services that should reduce counselor charges by 10 percent.
The Division of Workers' Compensation was created as a successor office to the former Division of Industrial Accidents to administer the workers' compensation program. An Industrial Medical Council was established to replace the Medical and Chiropractic chiropractic (kīrəprăk`tĭk) [Gr.,=doing by hand], medical practice based on the theory that all disease results from a disruption of the functions of the nerves. Advisory Committee and qualified medical evaluators were appointed to treat patients at least 20 percent of their medical practice time. Also, authorization was given for the creation of a safety and health program. Other provisions were amended relative to adjudication The legal process of resolving a dispute. The formal giving or pronouncing of a judgment or decree in a court proceeding; also the judgment or decision given. The entry of a decree by a court in respect to the parties in a case. , attorney fee regulations, and insurance.
An enactment eliminated the extraterritoriality extraterritoriality or exterritoriality, privilege of immunity from local law enforcement enjoyed by certain aliens. Although physically present upon the territory of a foreign nation, those aliens possessing extraterritoriality are considered coverage of out-of-State employers or employees who are temporarily employed in Colorado. Others eliminated from coverage include inmates in training, rehabilitation, or work release programs, volunteer ski patrol A ski patrol is an organization that provides first aid and rescue services to skiers and participants of other snow sports, either at a ski area or in a backcountry setting. personnel and ski instructors, race crew members, and passenger tramway operators.
New increases were approved for maximum benefits in cases of temporary total disability based on 91 percent of the State's average weekly wage, formerly 80 percent. For permanent total disabilities, benefits may now be reduced by 50 percent of any Federal Social Security benefits at age 65, or if the employee is receiving retirement benefits, the reduction is based on the employer's contribution to the retirement fund over the entire period of covered employment if a work-related injury occurs after age 45.
The waiting period was changed from 3 days to 3 regular working days before any compensation will be paid for temporary total disability.
A medical care provider is no longer permitted to attempt to recover costs or fees for services from the employee when the employer or carrier is liable for payment of such expenses.
New procedures are now in effect for resolving disputes on claims. Another amendment added a deductible ($1,500 per claim) which may be taken by employers in contracts for workmen's compensation insurance. The Workmen's Compensation Cost Containment cost containment,
n the features of a dental benefits program or of the administration of the program designed to reduce or eliminate certain charges to the plan. Act was created to assist employers in reducing costs related to coverage of injuries.
New coverage was extended to members of volunteer fire departments while performing firefighting 1. firefighting - What sysadmins have to do to correct sudden operational problems. An opposite of hacking. "Been hacking your new newsreader?" "No, a power glitch hosed the network and I spent the whole afternoon fighting fires."
2. duties under an agreement established between municipalities.
Minimum weekly benefits were raised in certain cases of partial disability from $20 to $50.
The Second Injury Fund is required to continue payment of premiums for health insurance coverage of employees where the employer has relocated or shut down a business. Retroactive compensation is now payable to the dependents of an employee who was injured on or after January 1, 1974, and who died not later than December 31, 1981. Interest will now be applied at 10 percent, formerly 6 percent, on compensation payments or adjustments in payments that are unduly delayed or neglected.
Employers who promote and maintain safety in the workplace may now be charged reduced premiums as an incentive.
All construction industry employers are newly required to provide workers' compensation coverage if the employer employs one or more employees.
A new provision authorizes an employer to require his or her employees to submit to alcohol or drug tests, if the employer suspects that an injury was caused by alcohol intoxication intoxication, condition of body tissue affected by a poisonous substance. Poisonous materials, or toxins, are to be found in heavy metals such as lead and mercury, in drugs, in chemicals such as alcohol and carbon tetrachloride, in gases such as carbon monoxide, and or by the use of a nonprescription non·pre·scrip·tion
Sold legally without a physician's prescription; over-the-counter. drug. If drug abuse is proven, an employer is required to give 25 percent of an employee's weekly indemnity benefits indemnity benefit,
n a contract benefit that is paid to the insured to meet the cost of dental services received. , up to $5,000, to a drug abuse program for rehabilitation of the employee.
Reimbursement for nonprofessional non·pro·fes·sion·al
One who is not a professional.
nonpro·fes attendant or custodial care Custodial Care
Non-medical care that helps individuals with his or her activities of daily living, preparation of special diets and self-administration of medication not requiring constant attention of medical personnel. of an injured worker by a family member is limited to 12 hours per day.
The penalty for the failure or refusal of an employer or carrier to submit timely reports of injuries or death was increased to $500, formerly $100.
All compensation payments for wage loss, total disability, or death will now be made biweekly in lieu of weekly or monthly payments. By enactment, the offset of wage loss benefits by Federal Social Security benefits will be terminated at age 70.
Awards for recovery of attorney fees must now include the amount, statutory basis, and type of benefits that have been obtained through legal representation.
The Division of Workers' Compensation's role in the rehabilitation of injured workers was reestablished. Vocational rehabilitation services voluntarily provided by the employer or carrier must be useful to restoring the injured worker to suitable gainful gain·ful
Providing a gain; profitable: gainful employment.
gainful·ly adv. employment. Such services are also required to be referred for utilization review u·til·i·za·tion review
A process for monitoring the use, delivery, and cost-effectiveness of services, especially those provided by medical professionals. .
Employers who employs permanently disabled employees for 2 consecutive years are entitled to be reimbursed based on 50 percent of the employee's wages, from the Special Disability Trust Fund, for up to 6 months.
By January 1990, the Division is required to identify and assist employers or groups of employers determined as having highest frequency or severity of work-related injuries in reducing the number of accidents. An employer identified in this category must submit a safety training program to the Division for approval; however, if no program is submitted, a program will be developed for the employer and if the employer refuses to implement it, his or her workers' compensation coverage may be cancelled. Any discount or deviation granted the employer for the remainder of the policy may also be terminated.
Fines for safety violations were raised from a $20 minimum to a minimum of $100, and from a $100 maximum to a maximum of $1,000.
A $10,000 maximum may be assessed in cases of repeat violations. Compensation for injuries caused by the willful refusal of the employee to use a safety appliance provided by the employer will be reduced by 25 percent.
Suppliers of rehabilitation services are prohibited from directly billing an employee for authorized services rendered.
The "Hawaii Workers' Compensation State Fund" was renamed the "Hawaii State Compensation Mutual Insurance Fund" and will operate as a nonprofit independent mutual insurance corporation, rather than an agency of the State.
Members of the State National Guard are now eligible for benefits under the Idaho workers' compensation law for an injury or death which is not covered not covered Health care adjective Referring to a procedure, test or other health service to which a policy holder or insurance beneficiary is not entitled under the terms of the policy or payment system–eg, Medicare. Cf Covered. by Federal law.
Newly enacted legislation grants widowers the same entitlement to benefits that are authorized for a widow. Previously, widowers were ineligible for the same benefits unless actually dependent on the deceased employee at the time of injury.
All references to "workmen's" were changed to "workers" throughout the law.
Vocational rehabilitation services have been extended to an employee who, as a result of a work-related injury or disease, cannot perform work for which he or she had previous training or experience, to restore the employee to useful employment.
Claim settlements are no longer acceptable in contested cases unless evidence is produced of a bona fide [Latin, In good faith.] Honest; genuine; actual; authentic; acting without the intention of defrauding.
A bona fide purchaser is one who purchases property for a valuable consideration that is inducement for entering into a contract and without suspicion of being dispute regarding a substantial portion of the claim.
Assessments to maintain the solvency of the Second Injury Fund were raised from $2,000 to $4,000, in death cases where there are dependents; and from $5,000 to $15,000, in cases where there are no dependents.
An amendment authorizes vocational rehabilitation services for employees who, because of injury or occupational disease, are unable to work for the same employer at a comparable wage, and for employees who are unable to enter the open labor market labor market A place where labor is exchanged for wages; an LM is defined by geography, education and technical expertise, occupation, licensure or certification requirements, and job experience and earn comparable wages.
Coverage is newly provided for legislative assistants as State employees, immediately upon employment. The requirement was lifted that foreign employers or out-of-State employers file a security deposit for workers' compensation purposes.
A self-insured employer who defaults on compensation payments will now be subject to forfeiture The involuntary relinquishment of money or property without compensation as a consequence of a breach or nonperformance of some legal obligation or the commission of a crime. The loss of a corporate charter or franchise as a result of illegality, malfeasance, or Nonfeasance. of any security deposit posted or any surety bond surety bond
An insurance fee required before a duplicate security is issued to replace one that has been lost. The fee is approximately 4% of the market value of the security to be replaced. posted with the Office of Workers' Compensation.
Authorization was given for a penalty of 24 percent to be applied in all compensation cases where benefit payments are overdue, unless the order is appealed.
A new fraud investigation section was established within the Office of Workers' Compensation Administration to investigate allegations of workers' compensation fraud and transmit information to appropriate prosecutorial pros·e·cu·to·ri·al
Of, relating to, or concerned with prosecution: "a huge investigative and prosecutorial effort" Lucian K. Truscott IV. officials. In special session, the legislature passed an amendment requesting the Louisiana Insurance Rating Commission to reconsider its recent approval of increased workers' compensation insurance rates to relieve businesses from any additional financial burdens during the current economic crisis.
Definitions for "mental injury," and "heart-related" or "perivascular perivascular /peri·vas·cu·lar/ (-vas´ku-lar) near or around a vessel.
around a vessel.
perivascular cellulitis injuries" were revised to eliminate coverage for accidents caused by the employee engaging in horseplay horse·play
Rowdy or rough play.
rough or rowdy play
Noun 1. , or occurring as a result of a dispute, unrelated to the employment, with another person. An amendment now provides that compensation will be paid for disability or death to any employee covered by the Federal Employers' Liability employers' liability: see workers' compensation. Act, the Longshore long·shore
Occurring, living, or working along a seacoast.
[Short for alongshore.] and Harbor Workers' Act, or any of its extensions, or the Jones Act.
All rights of an employee to compensation will be forfeited during periods of incarceration Confinement in a jail or prison; imprisonment.
Police officers and other law enforcement officers are authorized by federal, state, and local lawmakers to arrest and confine persons suspected of crimes. The judicial system is authorized to confine persons convicted of crimes. unless a determination is made that the dependents of the employee rely on the award for support. The amount of supplemental earnings used in computing compensation is now limited to 4.3 times the temporary total disability benefits.
Medical expenses now may be offset when payment has been made by any person or entity, other than a direct payment by the employee, a relative, or a friend of the employee, who extinguishes a claim against the employer or insurer for such benefits. Additionally, procedures for the resolution of disputes involving health care services were revised.
The provisions were revised to specifically enumerate To count or list one by one. For example, an enumerated data type defines a list of all possible values for a variable, and no other value can then be placed into it. See device enumeration and ENUM. the goals, criteria, and standards of the rehabilitation process relative to injured workers.
In third-party cases, the district court has new authority to approve lump-sum compensation or compromise a settlement of the claim.
The definition of "seasonal worker" was modified to eliminate any worker who is customarily employed for more than 26 weeks in a calendar year while working for one or more employers.
Criteria were added for determining an injured employee's degree of incapacity The absence of legal ability, competence, or qualifications.
An individual incapacitated by infancy, for example, does not have the legal ability to enter into certain types of agreements, such as marriage or contracts. , to include the availability of work in the employee's community and the employee's ability to obtain work considering the effects of his or her work-related injury. If these criteria do not apply, the degree of incapacity will be based on 100 percent.
Compensation for medical expenses, aids, and other services in cases of permanent impairment must now be paid within 75 days, formerly 90 days, from date request for payment is made.
Employers of 250 or more employees now are required to reinstate To restore to a condition that has terminated or been lost; to reestablish.
To reinstate a case, for example, means to restore it to the same position it had before dismissal. injured employees who have completed rehabilitation within 2 years after maximum medical improvement. An enactment strengthened the statutes concerning the injured worker's rights to rehabilitation and made other changes concerning the program.
The data reporting requirements of insurers and self-insurers were simplified, and authorization was given for the use of surety bonds as security for self-insurance. Additionally, regulations for self-insurance were clarified and group self-insurers can no longer operate as a corporation.
Elective coverage of volunteer firefighters and rescue squad
“Rescue squad” redirects here. For other uses, see Rescue squad (disambiguation). members was changed to mandatory coverage. The Adjutant ADJUTANT. A military officer, attached to every battalion of a regiment. It is his duty to superintend, under his superiors, all matters relating to the ordinary routine of discipline in the regiment. General is newly required to provide workers' compensation coverage for all members of the Maryland State Guard during training. Certain owner/operators of motor vehicles who establish contracts with motor carriers have been eliminated from coverage.
The maximum allowance for funeral expenses was raised to $2,500, previously $1,200, and the statute of limitations A type of federal or state law that restricts the time within which legal proceedings may be brought.
Statutes of limitations, which date back to early Roman Law, are a fundamental part of European and U.S. law. on claims for funeral expenses was extended from 5 to 7 years.
A percentage of all awards for permanent disability and death, including disfigurement dis·fig·ure
tr.v. dis·fig·ured, dis·fig·ur·ing, dis·fig·ures
To mar or spoil the appearance or shape of; deform.
[Middle English disfiguren, from Old French desfigurer and mutilations, and for all settlement agreements, now will be paid to the Subsequent Injury Fund.
The responsibility for determining the State's average weekly wage was transferred from the Department of Employment and Training to the Department of Economic and Employment Development.
Legislation was enacted to protect the confidentiality of information concerning the injury of and benefits paid to an individual worker and information in records of employers who make application for self-insurance status from disclosure under the Freedom of Information Act.
A 45-member workers' compensation appeals board was established to assist in resolving disputed claims through mediation and arbitration.
By enactment, a State Fund was created to operate as a nonprofit independent public corporation. The Fund will provide insurance coverage for every employer who makes a request for coverage unless an assigned risk plan An insurance plan created and imposed by state statute under which persons who normally would be denied insurance coverage as bad risks are permitted to purchase insurance from a pool of insurers who must offer coverage to such individuals. is established within the State. The same amendment gives the Commissioner of the Department of Labor and Industry Not to be confused with the United States Department of Labor, most U.S. States have a Department of Labor and Industry (DLI or L&I).
Duties for the Department include: inspected the working conditions in factories, administering benefits to unemployed individuals and authority to establish an assigned risk plan for workers' compensation. Another enactment created a Guaranty Fund to cover payment of claims against insolvent self-insured employers.
The freeze on maximum weekly compensation for disability and death was extended another year, to June 30, 1991. A new revision provides that no compensation may be paid for the first 48 hours or 6 days of lost wages in cases of total disability, whichever is less; previously, the waiting period was 6 days.
Reciprocal agreements for coverage may now be arranged by the Governor with any Canadian province Noun 1. Canadian province - Canada is divided into 12 provinces for administrative purposes
province, state - the territory occupied by one of the constituent administrative districts of a nation; "his state is in the deep south" to ensure coverage of Montana employers and workers while temporarily employed in Canada. Members of an employer's family are no longer allowed to be included for coverage if an exemption for such person can be claimed under the Federal Internal Revenue Code The Internal Revenue Code is the body of law that codifies all federal tax laws, including income, estate, gift, excise, alcohol, tobacco, and employment taxes. These laws constitute title 26 of the U.S. Code (26 U.S.C.A. § 1 et seq. .
Benefits for rehabilitation are now permitted to continue for 26 weeks after the healing period, except for cases of non-work-related subsequent injuries to the same body part.
Injured workers may also be reimbursed for reasonable costs for travel and medical treatment at the same rates permitted for State employees.
The filing period for claims is extended an additional 24 months in cases of a latent injury or equitable estoppel equitable estoppel n. where a court will not grant a judgment or other legal relief to a party who has not acted fairly; for example, by having made false representations or concealing material facts from the other party. .
The law now allows workers' compensation insurance policies issued after September 30, 1989, to offer a medical deductible in $500 increments, not to exceed $2,500 per claim.
A maximum of $200 was established as the fine which may be assessed on an employer for giving improper notification regarding the cancellation of an insurance policy.
Workers' compensation hearings in cases where the accident occurred outside of the State may be held anywhere in Nebraska at the discretion of the court, unless otherwise stipulated.
The amount payable for burial expenses doubled to a maximum of $5,000. Lumpsum compensation payments may now be permitted for injuries that occurred on or after July 1, 1981, formerly 1987, and resulted in permanent partial disability of more than 25 percent.
A presumption was added which states that a disease of the lung is conclusively presumed to be work-related for any person who has been employed full-time and continuously as a police officer or firefighter for 5 years or more prior to disablement.
New provisions were enacted concerning fraudulent claims submitted for payment of services rendered to workers' compensation claimants. Another enactment authorizes insurers to deduct from the compensation of an employee any amounts obtained by the employee through misrepresentation misrepresentation
In law, any false or misleading expression of fact, usually with the intent to deceive or defraud. It most commonly occurs in insurance and real-estate contracts. False advertising may also constitute misrepresentation. or concealment of a material fact. Repayment of any benefits obtained in this manner is now required.
Contracts or agreements arranged for therapy treatment or with a particular pharmacy for filling prescriptions are prohibited if such arrangement would prevent the injured worker from receiving prompt professional services (job) professional services - A department of a supplier providing consultancy and programming manpower for the supplier's products. .
New Hampshire New Hampshire, one of the New England states of the NE United States. It is bordered by Massachusetts (S), Vermont, with the Connecticut R. forming the boundary (W), the Canadian province of Quebec (NW), and Maine and a short strip of the Atlantic Ocean (E).
For coverage purposes, a call or volunteer firefighter is no longer required to be a member of the New Hampshire Firemen's Association.
A pilot program was set up to review medical, hospital, and remedial care in workers' compensation.
New Mexico New Mexico, state in the SW United States. At its northwestern corner are the so-called Four Corners, where Colorado, New Mexico, Arizona, and Utah meet at right angles; New Mexico is also bordered by Oklahoma (NE), Texas (E, S), and Mexico (S).
Employers were given authority to implement safety programs and provide bonuses based on 10 percent of the worker's wages if certain criteria are met. Coverage was amended to eliminate licensed real estate salespersons.
New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
Employers are now responsible for replacing prostheses Prostheses
A synthetic object that resembles a missing anatomical part.
Mentioned in: Microphthalmia and Anophthalmia that are lost or damaged without bodily injury to the employee. Damage to, or the loss of, a prosthetic pros·thet·ic
1. Serving as or relating to a prosthesis.
2. Of or relating to prosthetics.
serving as a substitute; pertaining to prostheses or to prosthetics. device is deemed to be an injury, except that no disability benefits are payable in such cases.
Various fines were increased and stiffer penalties enacted for untimely payment of compensation, for violations of reporting requirements, and for noncompliance noncompliance
failure of the owner to follow instructions, particularly in administering medication as prescribed; a cause of a less than expected response to treatment.
noncompliance with other provisions under the workers' compensation law.
North Carolina North Carolina, state in the SE United States. It is bordered by the Atlantic Ocean (E), South Carolina and Georgia (S), Tennessee (W), and Virginia (N). Facts and Figures
Area, 52,586 sq mi (136,198 sq km). Pop.
Coverage was revised by clarifying that a general contractor A general contractor is an organization or individual that contracts with another organization or individual (the owner) for the construction of a building, road or any other execution of work or facility. is not responsible for workers' compensation coverage of a subcontractor One who takes a portion of a contract from the principal contractor or from another subcontractor.
When an individual or a company is involved in a large-scale project, a contractor is often hired to see that the work is done. who has no employees and who waives his or her rights for coverage under the law. Subcontractors are permitted an exemption from coverage when there are no employees. Additional funding was approved for the Stock and Mutual Workers' Compensation Security Funds through assessment increases on carriers and self-insured employers.
Weekly benefit payments for total disability were increased from $150 to $160. In cases of death, weekly compensation was increased to $100, from $90, where a claimant is eligible for supplementary benefits; and dependency allowances for children were raised from $7 to $10 per week.
Legislation provides for the State average weekly wage to be computed to the next highest dollar. Lump-sum awards may now be received for injuries that cause permanent impairment, other than scheduled injuries, based on 33 1/3 percent of the State's average weekly wage, rounded to the next highest dollar. Compensation was formerly limited to $60 per week for a total of 500 weeks.
An enactment provides that no compensation is payable for a total or partial disability where the duration of such disability is less than 5 consecutive calendar days, formerly 5 days.
The compensation of any person confined to a correctional institution Noun 1. correctional institution - a penal institution maintained by the government
detention camp, detention home, detention house, house of detention - an institution where juvenile offenders can be held temporarily (usually under the supervision of a juvenile will now be suspended during incarceration, unless such person has a spouse or child eligible for such benefits.
A provision was enacted which exempts compensation from all claims of creditors, except for benefit overpayments recovered by the Bureau of Workers' Compensation.
Many definitions were revised to either broaden the scope of coverage or limit its application. A total of $10,000 is now payable to injured workers who sustain catastrophic injuries to cover remodeling remodeling /re·mod·el·ing/ (re-mod´el-ing) reorganization or renovation of an old structure.
bone remodeling costs or for adaptations to real estate. Reimbursement will now be made for travel and other personal expenses incurred by the injured worker to obtain medical care upon request.
Employees must now submit to medical examinations provided by a physician designated or approved by the Bureau. Providers of medical services are prohibited from billing a claimant directly for the difference between the usual and customary amounts charged for medical services and amounts allowed by the Bureau's fee schedule.
By enactment, an injured worker now has a right to select the initial physician for treatment. A system of peer review has been authorized for reviewing the quality of medical care and services provided to injured workers. Medical assessment teams were also approved to review any physical restrictions and limitations of the injured worker.
After 104 weeks, benefits for rehabilitation will terminate, except in the case of catastrophic injuries, where benefits may continue beyond 5 years. Additional benefits may be approved to assist the worker with work search after rehabilitation is completed. Eligibility for partial disability benefits may continue for up to 2 years after rehabilitation is completed and the injured employee has acquired substantial gainful employment.
An offset was enacted, to be applied in cases of total or partial disability where the worker fails to report wages from any other source. Another provision now states that an offset of permanent total disability benefits by benefits under the Federal Social Security law may not exceed 40 percent of the employee's weekly Social Security benefits.
Maximum weekly compensation for scheduled injuries will now be based on 100 percent of the State's average weekly wage; previously, the maximum was two-thirds of the employee's average weekly wage, not to exceed 100 percent of the State's average weekly wage.
Compensation for temporary total disability is limited to 66 2/3 percent of the State's average weekly wage if the employee is also eligible for Social Security retirement benefits.
Legislation was enacted concerning assessments on employers for self-insurance under a separate, newly established fund within the State treasury.
Coverage was revised to clarify that an employer from another State is exempt from coverage even though the employer has a temporary workplace in Oregon, provided certain conditions are met. Formerly, the exemption was only applicable to a worker.
The term "independent contractor A person who contracts to do work for another person according to his or her own processes and methods; the contractor is not subject to another's control except for what is specified in a mutually binding agreement for a specific job. " was also revised to create a universal definition applicable to income taxes, workers' compensation, unemployment compensation, and the registering of residential builders.
Indemnity benefits may now be garnished for child and spousal support spousal support n. payment for support of an ex-spouse (or a spouse while a divorce is pending) ordered by the court. More commonly called alimony, spousal support is the term used in California and a few other states as part of new non-confrontational language (such by an amount up to one-fourth of the employee's benefits.
The Department of Insurance and Finance was given authority to request reports from insurers at any time concerning safety and health loss control activities.
Rhode Island Rhode Island, island, United States
Rhode Island, island, 15 mi (24 km) long and 5 mi (8 km) wide, S R.I., at the entrance to Narragansett Bay. It is the largest island in the state, with steep cliffs and excellent beaches.
Dependency allowances in cases of permanent total disabilities will now be increased as the number of persons entitled to compensation increases.
State employees are newly allowed to use the treatment facilities at the Donley Rehabilitation Center, regardless of date of injury.
An education unit was established within the Department of Workers' Compensation to provide information and services on known and suspected workplace hazards and on the prevention of occupational diseases and injuries. Training will also be provided for nonmanagement employees and employers on procedures and rights under the workers' compensation law.
A Special Legislative Commission was created to investigate occupational diseases in the workplace and submit a report on its investigation to the General Assembly on or before April 3, 1991.
South Carolina South Carolina, state of the SE United States. It is bordered by North Carolina (N), the Atlantic Ocean (SE), and Georgia (SW). Facts and Figures
Area, 31,055 sq mi (80,432 sq km). Pop. (2000) 4,012,012, a 15.
Minimum weekly compensation for death was raised from $25 to $75, not to exceed the employee's average weekly wage.
Surviving nondependent children are now eligible for death benefits of a deceased employee who leaves no dependent survivors. In cases of death when all the deceased employee's children are no longer dependent, any remaining benefits must now be equally divided among all the children, rather than benefits terminating permanently.
New legislation requires employers to provide and enforce the use of safety appliances, and adopt and enforce safety rules and regulations. Previously, the Workers' Compensation Commission had authority over workplace safety regulations.
Maintenance tax assessments have now been reduced from 4 1/2 to 3 1/3 percent of actual operating costs operating costs npl → gastos mpl operacionales for fiscal year 1990-91; for fiscal year 1991-92 and onward, the assessment will be 2 1/2 percent.
South Dakota South Dakota (dəkō`tə), state in the N central United States. It is bordered by North Dakota (N), Minnesota and Iowa (E), Nebraska (S), and Wyoming and Montana (W).
Temporary total disability compensation is now payable for a maximum of 60 days in cases where the employee is unable to return to his or her usual and customary line of employment, when the employee is pursuing rehabilitation.
Self-insurers were authorized to secure compensation with a surety bond, cash, certificate of deposit, approved government securities, or an irrevocable letter of credit Irrevocable letter of credit
Assurance of funds issued by a bank that cannot be canceled or amended without the beneficiary's approval. in a total amount equal to the greater of $250,000, or twice the amount of compensation claims paid by the employer during the preceding calendar year, or an amount designated by the employer as a reserve for workers' compensation claims.
Responsibility for administration of the Subsequent Injury Fund was transferred from the Department of Labor to the Division of Insurance.
Government self-insurance groups are now authorized to participate in the Second Injury Fund upon payment of an annual fee. Any disbursements from the fund will be made only in accordance with a decree, instead of through the court.
A resolution was enacted which directs schools in the State to require course instruction in industrial hygiene, safety, and occupational medicine and nursing because these fields would have a significant impact on medical cost containment. Another resolution instructs the State Board of Insurance to reassign furniture stores to more accurate classifications. Many of these businesses are suffering from unjustified economic losses as a result of combining two employee types (for example, furniture salespersons and furniture deliver personnel).
Coverage was amended to include volunteer firefighters as employees of local governments.
First payment of compensation must now commence within 30 days, formerly 90 days, after a final award has been made by the Industrial Commission.
Elective coverage was authorized for an independent contractor under his or her workers' compensation insurance policy as an employee of the employer, if an agreement regarding coverage has been reached with the insurer.
New conditions were enacted under which an ordinary disease of life is established as an occupational disease when an infection or contagious disease contagious disease
See communicable disease. is contracted in the direct delivery of health care services in the course of employment. Further, claims for symptomatic or asymptomatic a·symp·to·mat·ic
Exhibiting or producing no symptoms.
Persons who carry a disease and are usually capable of transmitting the disease but, who do not exhibit symptoms of the disease are said to be infection with human immunodeficiency virus human immunodeficiency virus
Human immunodeficiency virus (HIV)
A transmissible retrovirus that causes AIDS in humans. , including immunodeficiency syndrome immunodeficiency syndrome
A syndrome associated with an immunological deficiency or disorder and characterized primarily by an increased susceptibility to infection. , will be forever barred if not filed within 2 years after a positive test of such infection.
The Industrial Commission was authorized to make compensation awards within 36 months from the date of accident in cases where no compensation has been paid and where a review of an award is based on a change in condition.
When disputes arise regarding vocational rehabilitation training services, the employee can make a request to the Commission for approval of such services.
Coverage was amended to require that any common or contract carrier doing business in Washington exclusively in the area of interstate or foreign commerce or in any combination (formerly, domiciled dom·i·cile
1. A residence; a home.
2. One's legal residence.
v. dom·i·ciled, dom·i·cil·ing, dom·i·ciles
1. in the State) must cover their Washington employees, unless coverage has been established for such employees under the laws of another State.
An appropriation was authorized for at least $300,000 to be transferred from the Medical Aid Fund to the Department of Labor and Industries for the biennium bi·en·ni·um
n. pl. bi·en·ni·ums or bi·en·ni·a
A two-year period.
[Latin : bi-, two; see bi-1 + annus, year; see at- ending June 30, 1991, for workers' compensation purposes.
West Virginia West Virginia, E central state of the United States. It is bordered by Pennsylvania and Maryland (N), Virginia (E and S), and Kentucky and, across the Ohio R., Ohio (W). Facts and Figures
Area, 24,181 sq mi (62,629 sq km). Pop.
A resolution was enacted urging the U.S. Congress to enact legislation to restore interim black lung black lung: see pneumoconiosis. benefits to disabled coal miners whose benefits were put in jeopardy by a recent U.S. Supreme Court decision.
The law was modified concerning State employees' ineligibility for workers' compensation while receiving sick leave benefits, except for cases of permanent disability.
New coverage is now in effect for volunteer peace officers and for volunteers who handle or work with hazardous substances. Coverage was revised to include mine rescue teams and any employer or person who employs a worker engaged in an extra-hazardous occupation; however, the employer must be qualified as a resident or nonresident non·res·i·dent
1. Not living in a particular place: nonresident students who commute to classes.
Payments for temporary total disability are now based on two-thirds of the employee's actual monthly earnings at the time of injury, not to exceed the State's average monthly wage, in lieu of two-thirds of the employee's monthly earnings for the 12 months immediately preceding the injury.
The statute of limitations was changed to provide that a claim for additional disability or medical benefits must not be filed within 4 years. Notwithstanding the statute, medical claims still may be accepted under certain conditions after 4 years. Another amendment now prohibits recipients of unemployment compensation from receiving disability benefits under the workers' compensation law.
LaVerne C. Tinsley is a State standards adviser in the Division of State Workers' Compensation Programs, Office of State Liaison and Legislative Analysis, Employment Standards Administration The Employment Standards Administration (ESA), the largest agency within the U.S. Department of Labor, enforces and administers laws governing legally-mandated wages and working conditions, including child labor, minimum wages, overtime and family and medical leave; equal , U.S. Department of Labor.