Connecticut 2019 Regular Session

Connecticut House Bill HB07241 Compare Versions

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76 General Assembly Raised Bill No. 7241
87 January Session, 2019
98 LCO No. 4863
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1110
12-Referred to Committee on LABOR AND PUBLIC
13-EMPLOYEES
11+Referred to Committee on LABOR AND PUBLIC EMPLOYEES
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1614 Introduced by:
1715 (LAB)
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2019
2120 AN ACT CONCERNING MI NOR AND TECHNICAL CHANGES TO THE
2221 WORKERS' COMPENSATIO N ACT.
2322 Be it enacted by the Senate and House of Representatives in General
2423 Assembly convened:
2524
2625 Section 1. (NEW) (Effective October 1, 2019) (a) Wherever the words 1
2726 "workers' compensation c ommissioner" or "compensation 2
2827 commissioner" are used in the general statutes, the words 3
2928 "administrative law judge" shall be substituted in lieu thereof. 4
3029 (b) The Legislative Commissioners' Office shall, in codifying the 5
3130 provisions of this section, make such technical, grammatical and 6
3231 punctuation changes as are necessary to carry out the purposes of this 7
3332 section. 8
3433 Sec. 2. Subsection (c) of section 31-280a of the general statutes is 9
3534 repealed and the following is substituted in lieu thereof (Effective 10
3635 October 1, 2019): 11
3736 (c) The advisory board shall meet at least [twice] once in each 12
38-calendar quarter and at such other times as the chairman or the 13 Raised Bill No. 7241
37+calendar quarter and at such other times as the chairman or the 13
38+chairman of the Workers' Compensation Commission deem necessary. 14 Raised Bill No. 7241
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4644 All actions of the advisory board shall require the affirmative vote of 15
4745 six members of the advisory board. The advisory board may bring any 16
4846 matter related to the operation of the workers' compensation system to 17
4947 the attention of the chairman of the Workers' Compensation 18
5048 Commission. The advisory board may adopt any rules of procedure 19
5149 that the board deems necessary to carry out its duties under this 20
5250 chapter. 21
5351 Sec. 3. Subsection (a) of section 31-283f of the general statutes is 22
5452 repealed and the following is substituted in lieu thereof (Effective 23
5553 October 1, 2019): 24
5654 (a) A Statistical Division shall be established within the Workers' 25
5755 Compensation [Commission] Commission's Management Information 26
5856 Systems Division. The division shall compile and maintain statistics 27
5957 concerning occupational injuries and diseases, voluntary agreements, 28
6058 status of claims and commissioners' dockets. [The division shall be 29
6159 administered by a full-time salaried director who shall be appointed 30
6260 by the chairman of the Workers' Compensation Commission under the 31
6361 provisions of chapter 67. The director shall report to the chairman.] 32
6462 Sec. 4. Section 31-349 of the general statutes is repealed and the 33
6563 following is substituted in lieu thereof (Effective October 1, 2019): 34
6664 [(a)] The fact that an employee has suffered a previous disability, 35
6765 shall not preclude him from compensation for a second injury, nor 36
6866 preclude compensation for death resulting from the second injury. If 37
6967 an employee having a previous disability incurs a second disability 38
7068 from a second injury resulting in a permanent disability caused by 39
7169 both the previous disability and the second injury which is materially 40
7270 and substantially greater than the disability that would have resulted 41
7371 from the second injury alone, he shall receive compensation for (1) the 42
7472 entire amount of disability, including total disability, less any 43
7573 compensation payable or paid with respect to the previous disability, 44
76-and (2) necessary medical care, as provided in this chapter, 45 Raised Bill No. 7241
74+and (2) necessary medical care, as provided in this chap ter, 45
75+notwithstanding the fact that part of the disability was due to a 46 Raised Bill No. 7241
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8481 previous disability. For purposes of this [subsection,] section 47
8582 "compensation payable or paid with respect to the previous disability" 48
8683 includes compensation payable or paid pursuant to the provisions of 49
8784 this chapter, as well as any other compensation payable or paid in 50
8885 connection with the previous disability, regardless of the source of 51
8986 such compensation. 52
9087 [(b) As a condition precedent to the liability of the Second Injury 53
9188 Fund, the employer or its insurer shall: (1) Notify the custodian of the 54
9289 fund by certified mail no later than three calendar years after the date 55
9390 of injury or no later than ninety days after completion of payments for 56
9491 the first one hundred and four weeks of disability, whichever is earlier, 57
9592 of its intent to transfer liability for the claim to the Second Injury Fund; 58
9693 (2) include with the notification (A) copies of all medical reports, (B) an 59
9794 accounting of all benefits paid, (C) copies of all findings, awards and 60
9895 approved voluntary agreements, (D) the employer's or insurer's 61
9996 estimate of the reserve amount to ultimate value for the claim, (E) a 62
10097 two-thousand-dollar notification fee payable to the custodian to cover 63
10198 the fund's costs in evaluating the claim proposed to be transferred and 64
10299 (F) such other material as the custodian may require. The employer by 65
103100 whom the employee is employed at the time of the second injury, or its 66
104101 insurer, shall in the first instance pay all awards of compensation and 67
105102 all medical expenses provided by this chapter for the first one hundred 68
106103 four weeks of disability. Failure on the part of the employer or an 69
107104 insurer to comply does not relieve the employer or insurer of its 70
108105 obligation to continue furnishing compensation under the provisions 71
109106 of this chapter. The custodian of the fund shall, by certified mail, notify 72
110107 a self-insured employer or an insurer, as applicable, of the rejection of 73
111108 the claim within ninety days after receiving the completed notification. 74
112109 Any claim which is not rejected pursuant to this section shall be 75
113110 deemed accepted, unless the custodian notifies the self-insured 76
114111 employer or the insurer within the ninety-day period that up to an 77
115112 additional ninety days is necessary to determine if the claim for 78
116-transfer will be accepted. If the claim is accepted for transfer, the 79 Raised Bill No. 7241
113+transfer will be accepted. If the claim is accepted for transfer, the 79
114+custodian shall file with the workers' compensation commissioner for 80 Raised Bill No. 7241
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124120 the district in which the claim was filed, a form indicating that the 81
125121 claim has been transferred to the Second Injury Fund and the date that 82
126122 such claim was transferred and shall refund fifteen hundred dollars of 83
127123 the notification fee to the self-insured employer or the insurer, as 84
128124 applicable. A copy of the form shall be mailed to the self-insured 85
129125 employer or the insurer and to the claimant. No further action by the 86
130126 commissioner shall be required to transfer said claim. If the custodian 87
131127 rejects the claim of the employer or its insurer, the question shall be 88
132128 submitted by certified mail within thirty days of the receipt of the 89
133129 notice of rejection by the employer or its insurer to the commissioner 90
134130 having jurisdiction, and the employer or insurer shall continue 91
135131 furnishing compensation until the outcome is finally decided. Claims 92
136132 not submitted to the commissioner within said time period shall be 93
137133 deemed withdrawn with prejudice. If the employer or insurer prevails, 94
138134 or if the custodian accepts the claim all payments made beyond the 95
139135 one-hundred-four-week period shall be reimbursed to the employer or 96
140136 insurer by the Second Injury Fund. 97
141137 (c) If the second injury of an employee results in the death of the 98
142138 employee, and it is determined that the death would not have occurred 99
143139 except for a preexisting permanent physical impairment, the employer 100
144140 or its insurer shall, in the first instance, pay the funeral expense 101
145141 described in this chapter, and shall pay death benefits as may be due 102
146142 for the first one hundred four weeks. The employer or its insurer may 103
147143 thereafter transfer liability for the death benefits to the Second Injury 104
148144 Fund in accordance with the procedures set forth in subsection (b) of 105
149145 this section. 106
150146 (d) Notwithstanding the provisions of this section, no injury which 107
151147 occurs on or after July 1, 1995, shall serve as a basis for transfer of a 108
152148 claim to the Second Injury Fund under this section. All such claims 109
153149 shall remain the responsibility of the employer or its insurer under the 110
154150 provisions of this section. 111
155-(e) All claims for transfer of injuries for which the fund has been 112 Raised Bill No. 7241
151+(e) All claims for transfer of injuries for which the fund has been 112
152+notified prior to July 1, 1995, shall be deemed withdrawn with 113 Raised Bill No. 7241
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163158 prejudice, unless the employer or its insurer notifies the custodian of 114
164159 the fund by certified mail prior to October 1, 1995, of its intention to 115
165160 pursue transfer pursuant to the provisions of this section. No 116
166161 notification fee shall be required for notices submitted pursuant to this 117
167162 subsection. This subsection shall not apply to notices submitted prior 118
168163 to July 1, 1995, in response to the custodian's request, issued on March 119
169164 15, 1995, for voluntary resubmission of notices. 120
170165 (f) No claim, where the custodian of the Second Injury Fund was 121
171166 served with a valid notice of intent to transfer under this section, shall 122
172167 be eligible for transfer to the Second Injury Fund unless all 123
173168 requirements for transfer, including payment of the one hundred and 124
174169 four weeks of benefits by the employer or its insurer, have been 125
175170 completed prior to July 1, 1999. All claims, pursuant to this section, not 126
176171 eligible for transfer to the fund on or before July 1, 1999, will remain 127
177172 the responsibility of the employer or its insurer.] 128
178173 Sec. 5. Subsection (a) of section 31-354 of the general statutes is 129
179174 repealed and the following is substituted in lieu thereof (Effective 130
180175 October 1, 2019): 131
181176 (a) There shall be a fund to be known as the Second Injury Fund. 132
182177 Each employer, other than the state, shall, within thirty days after 133
183178 notice given by the State Treasurer, pay to the State Treasurer for the 134
184179 use of the state a sum in payment of his liability under this chapter 135
185180 which shall be calculated in accordance with the Second Injury Fund 136
186181 surcharge base, as defined in section 31-349g, [and shall be assessed in 137
187182 accordance with subsection (f) of section 31-349,] sections 31-349g, 31-138
188183 349h and 31-349i, this section, section 31-354b and sections 8 and 9 of 139
189184 public act 96-242. Such sum shall be an amount sufficient to (1) pay the 140
190185 debt service on state revenue bond obligations authorized to be issued 141
191186 under and for the purposes set forth in section 31-354b including 142
192187 reserve and covenant coverage requirements, (2) provide for costs and 143
193188 expenses of operating the Second Injury Fund, and (3) pay Second 144
194-Injury Fund stipulations on claims settled by the custodian or other 145 Raised Bill No. 7241
189+Injury Fund stipulations on claims settled by the custodian or other 145
190+benefits payable out of the Second Injury Fund and not funded 146 Raised Bill No. 7241
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202196 through state revenue bond obligations and shall be determined in 147
203197 accordance with the regulations adopted pursuant to the provisions of 148
204198 section 31-349g. The custodian shall establish a factor for the annual 149
205199 surcharge that caps such surcharge for the fiscal years ending June 30, 150
206200 1996, 1997 and 1998. In determining such factor the custodian shall 151
207201 consider the funding mechanism authorized by [subsection (f) of 152
208202 section 31-349,] sections 31-349g, 31-349h and 31-349i, this section, 153
209203 section 31-354b and sections 8 and 9 of public act 96-242, recognize that 154
210204 an acceptable level of employer assessment is important to the vitality 155
211205 of the economy of the state and nevertheless shall assure provision of 156
212206 services to injured workers that enhances their ability to return to work 157
213207 and improve their quality of life. In any event, such factor shall not 158
214208 exceed, with respect to insured employers, a rate of fifteen per cent on 159
215209 the Second Injury Fund surcharge base with respect to workers' 160
216210 compensation and employers' liability policies and, with respect to 161
217211 self-insured employers, a comparable percentage limitation 162
218212 representing their pro rata share of any assessment. Any employer or 163
219213 any insurance company acting as collection agent for the custodian of 164
220214 the Second Injury Fund who fails to pay in accordance with such 165
221215 regulations shall pay a penalty to the State Treasurer of fifteen per cent 166
222216 on the unpaid assessment or surcharge or fifty dollars, whichever is 167
223217 greater. Interest at the rate of six per cent per annum shall be charged 168
224218 on any amounts owed on assessment audits or surcharge audits. For 169
225219 self-insured employers interest shall accrue thirty days after notice 170
226220 from the Second Injury Fund of the unpaid audit assessment. For 171
227221 insurance companies, the interest shall accrue from the date of the 172
228222 notice of audit errors or deficiencies as determined by the date 173
229223 postmarked by the United States Postal Service. The State Treasurer 174
230224 shall notify each employer of the penalty or interest provision with the 175
231225 notice of assessment. Any partial payments made to the fund shall be 176
232226 first applied to any unpaid penalty, then to any unpaid interest and the 177
233227 remainder, if any, to the unpaid assessment or surcharge. Interest or 178
234228 penalties shall be applied if assessment or surcharge reports or 179
235-payments are postmarked by the United States Postal Service after the 180 Raised Bill No. 7241
229+payments are postmarked by the United States Postal Service after the 180
230+designated due date. The sums received shall be accounted for 181 Raised Bill No. 7241
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242-designated due date. The sums received shall be accounted for 181
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243236 separately and apart from all other state moneys and the faith and 182
244237 credit of the state of Connecticut is pledged for their safekeeping. The 183
245238 State Treasurer shall be the custodian of the fund and all 184
246239 disbursements from the fund shall be made by the Treasurer or the 185
247240 Treasurer's deputies. The moneys of the fund shall be invested by the 186
248241 Treasurer in accordance with applicable law and section 8 of public act 187
249242 96-242. Interest, income and dividends from the investments shall be 188
250243 credited to the fund. Each employer, each private insurance carrier 189
251244 acting on behalf of any employer and each interlocal risk management 190
252245 agency acting on behalf of any employer shall annually, on or before 191
253246 April first, report to the State Treasurer, in the form prescribed by the 192
254247 State Treasurer, the amount of money expended by or on behalf of the 193
255248 employer in payments for the preceding calendar year. Each private 194
256249 insurance carrier, each self-insurance group and each interlocal risk 195
257250 management agency shall submit annually, on or before April first, to 196
258251 the State Treasurer, in the form prescribed by the State Treasurer, a 197
259252 report of the total Second Injury Fund surcharge base collected in the 198
260253 preceding calendar year and a report of the projected total Second 199
261254 Injury Fund surcharge base for the current calendar year. The fund 200
262255 shall be used to provide the benefits set forth in section 31-306 for 201
263256 adjustments in the compensation rate and payment of certain death 202
264257 benefits, in section 31-307b for adjustments where there are relapses 203
265258 after a return to work, in section 31-307c for totally disabled persons 204
266259 injured prior to October 1, 1953, in section 31-349 for disabled or 205
267260 handicapped employees and in section 31-355 for the payment of 206
268261 benefits due injured employees whose employers or insurance carriers 207
269262 have failed to pay the compensation, and medical expenses required 208
270263 by this chapter, or any other compensation payable from the fund as 209
271264 may be required by any provision contained in this chapter or any 210
272265 other statute and to reimburse employers or insurance carriers for 211
273266 payments made under subsection (b) of section 31 -307a. The 212
274267 assessment required by this section is a condition of doing business in 213
275268 this state and failure to pay the assessment, when due, shall result in 214
276-the denial of the privilege of doing business in this state or to self-215 Raised Bill No. 7241
269+the denial of the privilege of doing business in this state or to self-215
270+insure under section 31-284. Any administrative or other costs or 216 Raised Bill No. 7241
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284276 expenses incurred by the State Treasurer in connection with carrying 217
285277 out the provisions of this part, including the hiring of necessary 218
286278 employees, shall be paid from the fund. The State Treasurer may adopt 219
287279 regulations, in accordance with the provisions of chapter 54, 220
288280 prescribing the practices, policies and procedures to be followed in the 221
289281 administration of the Second Injury Fund. 222
290282 Sec. 6. Subsection (a) of section 31-355a of the general statutes is 223
291283 repealed and the following is substituted in lieu thereof (Effective 224
292284 October 1, 2019): 225
293285 (a) Whenever the Second Injury Fund is required, pursuant to 226
294286 section 31-355 [or subsection (c) of section 31-349,] to pay benefits or 227
295287 compensation mandated by the provisions of this chapter for any 228
296288 employer or insurer who fails or is unable to make such payments, the 229
297289 amount so paid by the fund shall be collectible by any means provided 230
298290 by law for the collection of any tax due the state of Connecticut or any 231
299291 subdivision thereof, including any means provided by section 12-35. 232
300292 Tax warrants referred to in said section 12-35 may be signed by the 233
301293 State Treasurer. 234
302294 Sec. 7. Sections 31-276a, 31-298a and 31-304 of the general statutes 235
303295 are repealed. (Effective October 1, 2019) 236
304296 This act shall take effect as follows and shall amend the following
305297 sections:
306298
307299 Section 1 October 1, 2019 New section
308300 Sec. 2 October 1, 2019 31-280a(c)
309301 Sec. 3 October 1, 2019 31-283f(a)
310302 Sec. 4 October 1, 2019 31-349
311303 Sec. 5 October 1, 2019 31-354(a)
312304 Sec. 6 October 1, 2019 31-355a(a)
313305 Sec. 7 October 1, 2019 Repealer section
314306
315-LAB Joint Favorable Raised Bill No. 7241
307+Statement of Purpose:
308+To make minor and technical changes to the Workers' Compensation
309+Act. Raised Bill No. 7241
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315+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
316+except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
317+not underlined.]
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