18 | 17 | | |
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19 | 18 | | |
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20 | 19 | | |
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21 | 20 | | AN ACT CONCERNING MI NOR AND TECHNICAL CHANGES TO THE |
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22 | 21 | | WORKERS' COMPENSATIO N ACT. |
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23 | 22 | | Be it enacted by the Senate and House of Representatives in General |
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24 | 23 | | Assembly convened: |
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25 | 24 | | |
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26 | 25 | | Section 1. (NEW) (Effective October 1, 2019) (a) Wherever the words 1 |
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27 | 26 | | "workers' compensation c ommissioner" or "compensation 2 |
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28 | 27 | | commissioner" are used in the general statutes, the words 3 |
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29 | 28 | | "administrative law judge" shall be substituted in lieu thereof. 4 |
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30 | 29 | | (b) The Legislative Commissioners' Office shall, in codifying the 5 |
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31 | 30 | | provisions of this section, make such technical, grammatical and 6 |
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32 | 31 | | punctuation changes as are necessary to carry out the purposes of this 7 |
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33 | 32 | | section. 8 |
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34 | 33 | | Sec. 2. Subsection (c) of section 31-280a of the general statutes is 9 |
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35 | 34 | | repealed and the following is substituted in lieu thereof (Effective 10 |
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36 | 35 | | October 1, 2019): 11 |
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37 | 36 | | (c) The advisory board shall meet at least [twice] once in each 12 |
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46 | 44 | | All actions of the advisory board shall require the affirmative vote of 15 |
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47 | 45 | | six members of the advisory board. The advisory board may bring any 16 |
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48 | 46 | | matter related to the operation of the workers' compensation system to 17 |
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49 | 47 | | the attention of the chairman of the Workers' Compensation 18 |
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50 | 48 | | Commission. The advisory board may adopt any rules of procedure 19 |
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51 | 49 | | that the board deems necessary to carry out its duties under this 20 |
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52 | 50 | | chapter. 21 |
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53 | 51 | | Sec. 3. Subsection (a) of section 31-283f of the general statutes is 22 |
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54 | 52 | | repealed and the following is substituted in lieu thereof (Effective 23 |
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55 | 53 | | October 1, 2019): 24 |
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56 | 54 | | (a) A Statistical Division shall be established within the Workers' 25 |
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57 | 55 | | Compensation [Commission] Commission's Management Information 26 |
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58 | 56 | | Systems Division. The division shall compile and maintain statistics 27 |
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59 | 57 | | concerning occupational injuries and diseases, voluntary agreements, 28 |
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60 | 58 | | status of claims and commissioners' dockets. [The division shall be 29 |
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61 | 59 | | administered by a full-time salaried director who shall be appointed 30 |
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62 | 60 | | by the chairman of the Workers' Compensation Commission under the 31 |
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63 | 61 | | provisions of chapter 67. The director shall report to the chairman.] 32 |
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64 | 62 | | Sec. 4. Section 31-349 of the general statutes is repealed and the 33 |
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65 | 63 | | following is substituted in lieu thereof (Effective October 1, 2019): 34 |
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66 | 64 | | [(a)] The fact that an employee has suffered a previous disability, 35 |
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67 | 65 | | shall not preclude him from compensation for a second injury, nor 36 |
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68 | 66 | | preclude compensation for death resulting from the second injury. If 37 |
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69 | 67 | | an employee having a previous disability incurs a second disability 38 |
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70 | 68 | | from a second injury resulting in a permanent disability caused by 39 |
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71 | 69 | | both the previous disability and the second injury which is materially 40 |
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72 | 70 | | and substantially greater than the disability that would have resulted 41 |
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73 | 71 | | from the second injury alone, he shall receive compensation for (1) the 42 |
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74 | 72 | | entire amount of disability, including total disability, less any 43 |
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75 | 73 | | compensation payable or paid with respect to the previous disability, 44 |
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84 | 81 | | previous disability. For purposes of this [subsection,] section 47 |
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85 | 82 | | "compensation payable or paid with respect to the previous disability" 48 |
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86 | 83 | | includes compensation payable or paid pursuant to the provisions of 49 |
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87 | 84 | | this chapter, as well as any other compensation payable or paid in 50 |
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88 | 85 | | connection with the previous disability, regardless of the source of 51 |
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89 | 86 | | such compensation. 52 |
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90 | 87 | | [(b) As a condition precedent to the liability of the Second Injury 53 |
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91 | 88 | | Fund, the employer or its insurer shall: (1) Notify the custodian of the 54 |
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92 | 89 | | fund by certified mail no later than three calendar years after the date 55 |
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93 | 90 | | of injury or no later than ninety days after completion of payments for 56 |
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94 | 91 | | the first one hundred and four weeks of disability, whichever is earlier, 57 |
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95 | 92 | | of its intent to transfer liability for the claim to the Second Injury Fund; 58 |
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96 | 93 | | (2) include with the notification (A) copies of all medical reports, (B) an 59 |
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97 | 94 | | accounting of all benefits paid, (C) copies of all findings, awards and 60 |
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98 | 95 | | approved voluntary agreements, (D) the employer's or insurer's 61 |
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99 | 96 | | estimate of the reserve amount to ultimate value for the claim, (E) a 62 |
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100 | 97 | | two-thousand-dollar notification fee payable to the custodian to cover 63 |
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101 | 98 | | the fund's costs in evaluating the claim proposed to be transferred and 64 |
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102 | 99 | | (F) such other material as the custodian may require. The employer by 65 |
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103 | 100 | | whom the employee is employed at the time of the second injury, or its 66 |
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104 | 101 | | insurer, shall in the first instance pay all awards of compensation and 67 |
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105 | 102 | | all medical expenses provided by this chapter for the first one hundred 68 |
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106 | 103 | | four weeks of disability. Failure on the part of the employer or an 69 |
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107 | 104 | | insurer to comply does not relieve the employer or insurer of its 70 |
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108 | 105 | | obligation to continue furnishing compensation under the provisions 71 |
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109 | 106 | | of this chapter. The custodian of the fund shall, by certified mail, notify 72 |
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110 | 107 | | a self-insured employer or an insurer, as applicable, of the rejection of 73 |
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111 | 108 | | the claim within ninety days after receiving the completed notification. 74 |
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112 | 109 | | Any claim which is not rejected pursuant to this section shall be 75 |
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113 | 110 | | deemed accepted, unless the custodian notifies the self-insured 76 |
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114 | 111 | | employer or the insurer within the ninety-day period that up to an 77 |
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115 | 112 | | additional ninety days is necessary to determine if the claim for 78 |
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124 | 120 | | the district in which the claim was filed, a form indicating that the 81 |
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125 | 121 | | claim has been transferred to the Second Injury Fund and the date that 82 |
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126 | 122 | | such claim was transferred and shall refund fifteen hundred dollars of 83 |
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127 | 123 | | the notification fee to the self-insured employer or the insurer, as 84 |
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128 | 124 | | applicable. A copy of the form shall be mailed to the self-insured 85 |
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129 | 125 | | employer or the insurer and to the claimant. No further action by the 86 |
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130 | 126 | | commissioner shall be required to transfer said claim. If the custodian 87 |
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131 | 127 | | rejects the claim of the employer or its insurer, the question shall be 88 |
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132 | 128 | | submitted by certified mail within thirty days of the receipt of the 89 |
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133 | 129 | | notice of rejection by the employer or its insurer to the commissioner 90 |
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134 | 130 | | having jurisdiction, and the employer or insurer shall continue 91 |
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135 | 131 | | furnishing compensation until the outcome is finally decided. Claims 92 |
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136 | 132 | | not submitted to the commissioner within said time period shall be 93 |
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137 | 133 | | deemed withdrawn with prejudice. If the employer or insurer prevails, 94 |
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138 | 134 | | or if the custodian accepts the claim all payments made beyond the 95 |
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139 | 135 | | one-hundred-four-week period shall be reimbursed to the employer or 96 |
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140 | 136 | | insurer by the Second Injury Fund. 97 |
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141 | 137 | | (c) If the second injury of an employee results in the death of the 98 |
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142 | 138 | | employee, and it is determined that the death would not have occurred 99 |
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143 | 139 | | except for a preexisting permanent physical impairment, the employer 100 |
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144 | 140 | | or its insurer shall, in the first instance, pay the funeral expense 101 |
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145 | 141 | | described in this chapter, and shall pay death benefits as may be due 102 |
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146 | 142 | | for the first one hundred four weeks. The employer or its insurer may 103 |
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147 | 143 | | thereafter transfer liability for the death benefits to the Second Injury 104 |
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148 | 144 | | Fund in accordance with the procedures set forth in subsection (b) of 105 |
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149 | 145 | | this section. 106 |
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150 | 146 | | (d) Notwithstanding the provisions of this section, no injury which 107 |
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151 | 147 | | occurs on or after July 1, 1995, shall serve as a basis for transfer of a 108 |
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152 | 148 | | claim to the Second Injury Fund under this section. All such claims 109 |
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153 | 149 | | shall remain the responsibility of the employer or its insurer under the 110 |
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154 | 150 | | provisions of this section. 111 |
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163 | 158 | | prejudice, unless the employer or its insurer notifies the custodian of 114 |
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164 | 159 | | the fund by certified mail prior to October 1, 1995, of its intention to 115 |
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165 | 160 | | pursue transfer pursuant to the provisions of this section. No 116 |
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166 | 161 | | notification fee shall be required for notices submitted pursuant to this 117 |
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167 | 162 | | subsection. This subsection shall not apply to notices submitted prior 118 |
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168 | 163 | | to July 1, 1995, in response to the custodian's request, issued on March 119 |
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169 | 164 | | 15, 1995, for voluntary resubmission of notices. 120 |
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170 | 165 | | (f) No claim, where the custodian of the Second Injury Fund was 121 |
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171 | 166 | | served with a valid notice of intent to transfer under this section, shall 122 |
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172 | 167 | | be eligible for transfer to the Second Injury Fund unless all 123 |
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173 | 168 | | requirements for transfer, including payment of the one hundred and 124 |
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174 | 169 | | four weeks of benefits by the employer or its insurer, have been 125 |
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175 | 170 | | completed prior to July 1, 1999. All claims, pursuant to this section, not 126 |
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176 | 171 | | eligible for transfer to the fund on or before July 1, 1999, will remain 127 |
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177 | 172 | | the responsibility of the employer or its insurer.] 128 |
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178 | 173 | | Sec. 5. Subsection (a) of section 31-354 of the general statutes is 129 |
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179 | 174 | | repealed and the following is substituted in lieu thereof (Effective 130 |
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180 | 175 | | October 1, 2019): 131 |
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181 | 176 | | (a) There shall be a fund to be known as the Second Injury Fund. 132 |
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182 | 177 | | Each employer, other than the state, shall, within thirty days after 133 |
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183 | 178 | | notice given by the State Treasurer, pay to the State Treasurer for the 134 |
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184 | 179 | | use of the state a sum in payment of his liability under this chapter 135 |
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185 | 180 | | which shall be calculated in accordance with the Second Injury Fund 136 |
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186 | 181 | | surcharge base, as defined in section 31-349g, [and shall be assessed in 137 |
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187 | 182 | | accordance with subsection (f) of section 31-349,] sections 31-349g, 31-138 |
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188 | 183 | | 349h and 31-349i, this section, section 31-354b and sections 8 and 9 of 139 |
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189 | 184 | | public act 96-242. Such sum shall be an amount sufficient to (1) pay the 140 |
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190 | 185 | | debt service on state revenue bond obligations authorized to be issued 141 |
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191 | 186 | | under and for the purposes set forth in section 31-354b including 142 |
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192 | 187 | | reserve and covenant coverage requirements, (2) provide for costs and 143 |
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193 | 188 | | expenses of operating the Second Injury Fund, and (3) pay Second 144 |
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202 | 196 | | through state revenue bond obligations and shall be determined in 147 |
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203 | 197 | | accordance with the regulations adopted pursuant to the provisions of 148 |
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204 | 198 | | section 31-349g. The custodian shall establish a factor for the annual 149 |
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205 | 199 | | surcharge that caps such surcharge for the fiscal years ending June 30, 150 |
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206 | 200 | | 1996, 1997 and 1998. In determining such factor the custodian shall 151 |
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207 | 201 | | consider the funding mechanism authorized by [subsection (f) of 152 |
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208 | 202 | | section 31-349,] sections 31-349g, 31-349h and 31-349i, this section, 153 |
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209 | 203 | | section 31-354b and sections 8 and 9 of public act 96-242, recognize that 154 |
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210 | 204 | | an acceptable level of employer assessment is important to the vitality 155 |
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211 | 205 | | of the economy of the state and nevertheless shall assure provision of 156 |
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212 | 206 | | services to injured workers that enhances their ability to return to work 157 |
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213 | 207 | | and improve their quality of life. In any event, such factor shall not 158 |
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214 | 208 | | exceed, with respect to insured employers, a rate of fifteen per cent on 159 |
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215 | 209 | | the Second Injury Fund surcharge base with respect to workers' 160 |
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216 | 210 | | compensation and employers' liability policies and, with respect to 161 |
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217 | 211 | | self-insured employers, a comparable percentage limitation 162 |
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218 | 212 | | representing their pro rata share of any assessment. Any employer or 163 |
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219 | 213 | | any insurance company acting as collection agent for the custodian of 164 |
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220 | 214 | | the Second Injury Fund who fails to pay in accordance with such 165 |
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221 | 215 | | regulations shall pay a penalty to the State Treasurer of fifteen per cent 166 |
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222 | 216 | | on the unpaid assessment or surcharge or fifty dollars, whichever is 167 |
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223 | 217 | | greater. Interest at the rate of six per cent per annum shall be charged 168 |
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224 | 218 | | on any amounts owed on assessment audits or surcharge audits. For 169 |
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225 | 219 | | self-insured employers interest shall accrue thirty days after notice 170 |
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226 | 220 | | from the Second Injury Fund of the unpaid audit assessment. For 171 |
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227 | 221 | | insurance companies, the interest shall accrue from the date of the 172 |
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228 | 222 | | notice of audit errors or deficiencies as determined by the date 173 |
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229 | 223 | | postmarked by the United States Postal Service. The State Treasurer 174 |
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230 | 224 | | shall notify each employer of the penalty or interest provision with the 175 |
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231 | 225 | | notice of assessment. Any partial payments made to the fund shall be 176 |
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232 | 226 | | first applied to any unpaid penalty, then to any unpaid interest and the 177 |
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233 | 227 | | remainder, if any, to the unpaid assessment or surcharge. Interest or 178 |
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234 | 228 | | penalties shall be applied if assessment or surcharge reports or 179 |
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243 | 236 | | separately and apart from all other state moneys and the faith and 182 |
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244 | 237 | | credit of the state of Connecticut is pledged for their safekeeping. The 183 |
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245 | 238 | | State Treasurer shall be the custodian of the fund and all 184 |
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246 | 239 | | disbursements from the fund shall be made by the Treasurer or the 185 |
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247 | 240 | | Treasurer's deputies. The moneys of the fund shall be invested by the 186 |
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248 | 241 | | Treasurer in accordance with applicable law and section 8 of public act 187 |
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249 | 242 | | 96-242. Interest, income and dividends from the investments shall be 188 |
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250 | 243 | | credited to the fund. Each employer, each private insurance carrier 189 |
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251 | 244 | | acting on behalf of any employer and each interlocal risk management 190 |
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252 | 245 | | agency acting on behalf of any employer shall annually, on or before 191 |
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253 | 246 | | April first, report to the State Treasurer, in the form prescribed by the 192 |
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254 | 247 | | State Treasurer, the amount of money expended by or on behalf of the 193 |
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255 | 248 | | employer in payments for the preceding calendar year. Each private 194 |
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256 | 249 | | insurance carrier, each self-insurance group and each interlocal risk 195 |
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257 | 250 | | management agency shall submit annually, on or before April first, to 196 |
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258 | 251 | | the State Treasurer, in the form prescribed by the State Treasurer, a 197 |
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259 | 252 | | report of the total Second Injury Fund surcharge base collected in the 198 |
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260 | 253 | | preceding calendar year and a report of the projected total Second 199 |
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261 | 254 | | Injury Fund surcharge base for the current calendar year. The fund 200 |
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262 | 255 | | shall be used to provide the benefits set forth in section 31-306 for 201 |
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263 | 256 | | adjustments in the compensation rate and payment of certain death 202 |
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264 | 257 | | benefits, in section 31-307b for adjustments where there are relapses 203 |
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265 | 258 | | after a return to work, in section 31-307c for totally disabled persons 204 |
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266 | 259 | | injured prior to October 1, 1953, in section 31-349 for disabled or 205 |
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267 | 260 | | handicapped employees and in section 31-355 for the payment of 206 |
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268 | 261 | | benefits due injured employees whose employers or insurance carriers 207 |
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269 | 262 | | have failed to pay the compensation, and medical expenses required 208 |
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270 | 263 | | by this chapter, or any other compensation payable from the fund as 209 |
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271 | 264 | | may be required by any provision contained in this chapter or any 210 |
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272 | 265 | | other statute and to reimburse employers or insurance carriers for 211 |
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273 | 266 | | payments made under subsection (b) of section 31 -307a. The 212 |
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274 | 267 | | assessment required by this section is a condition of doing business in 213 |
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275 | 268 | | this state and failure to pay the assessment, when due, shall result in 214 |
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284 | 276 | | expenses incurred by the State Treasurer in connection with carrying 217 |
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285 | 277 | | out the provisions of this part, including the hiring of necessary 218 |
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286 | 278 | | employees, shall be paid from the fund. The State Treasurer may adopt 219 |
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287 | 279 | | regulations, in accordance with the provisions of chapter 54, 220 |
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288 | 280 | | prescribing the practices, policies and procedures to be followed in the 221 |
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289 | 281 | | administration of the Second Injury Fund. 222 |
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290 | 282 | | Sec. 6. Subsection (a) of section 31-355a of the general statutes is 223 |
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291 | 283 | | repealed and the following is substituted in lieu thereof (Effective 224 |
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292 | 284 | | October 1, 2019): 225 |
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293 | 285 | | (a) Whenever the Second Injury Fund is required, pursuant to 226 |
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294 | 286 | | section 31-355 [or subsection (c) of section 31-349,] to pay benefits or 227 |
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295 | 287 | | compensation mandated by the provisions of this chapter for any 228 |
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296 | 288 | | employer or insurer who fails or is unable to make such payments, the 229 |
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297 | 289 | | amount so paid by the fund shall be collectible by any means provided 230 |
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298 | 290 | | by law for the collection of any tax due the state of Connecticut or any 231 |
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299 | 291 | | subdivision thereof, including any means provided by section 12-35. 232 |
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300 | 292 | | Tax warrants referred to in said section 12-35 may be signed by the 233 |
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301 | 293 | | State Treasurer. 234 |
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302 | 294 | | Sec. 7. Sections 31-276a, 31-298a and 31-304 of the general statutes 235 |
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303 | 295 | | are repealed. (Effective October 1, 2019) 236 |
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304 | 296 | | This act shall take effect as follows and shall amend the following |
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305 | 297 | | sections: |
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306 | 298 | | |
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307 | 299 | | Section 1 October 1, 2019 New section |
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308 | 300 | | Sec. 2 October 1, 2019 31-280a(c) |
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309 | 301 | | Sec. 3 October 1, 2019 31-283f(a) |
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310 | 302 | | Sec. 4 October 1, 2019 31-349 |
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311 | 303 | | Sec. 5 October 1, 2019 31-354(a) |
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312 | 304 | | Sec. 6 October 1, 2019 31-355a(a) |
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313 | 305 | | Sec. 7 October 1, 2019 Repealer section |
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314 | 306 | | |
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