LCO No. 1812 1 of 10 General Assembly Raised Bill No. 351 February Session, 2020 LCO No. 1812 Referred to Committee on LABOR AND PUBLIC EMPLOYEES Introduced by: (LAB) AN ACT CONCERNING MI NOR AND TECHNICAL CH ANGES TO THE WORKERS' COMPENSATIO N ACT. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective October 1, 2020) (a) (1) Wherever the terms 1 "workers' compensation commissioner", "compensation commissioner" 2 or "commissioner" are used to denote a workers' compensation 3 commissioner in the following sections of the general statutes, the terms 4 "administrative law judge" shall be substituted in lieu thereof: 4-186, 5-5 170, 5-192h, 17b-341, 19a-641, 28-14, 29-4a, 31-275, 31-276, 31-277, 31-278, 6 31-279, 31-280, 31-280a, as amended by this act, 31-280b, 31-282, 31-283, 7 31-283d, 31-283e, 31-283f, as amended by this act, 31-284c, 31-286, 31-8 286a, 31-286b, 31-288, 31-289a, 31-290a, 31-293, 31-294b, 31-294c, 31-9 294d, 31-294e, 31-294f, 31-296, 31-296a, 31-297, 31-297a, 31-298, as 10 amended by this act, 31-299, 31-299a, 31-299b, 31-300, 31-301, 31-301c, 11 31-301d, 31-302, 31-306, 31-306b, 31-307a, 31-308, 31-308a, 31-310, 31-312, 12 31-313, 31-315, 31-316, 31-318, 31-321, 31-323, 31-326, 31-327, 31-329, 31-13 341, 31-342, 31-343, 31-349, as amended by this act, 31-349b, 31-349c, 31-14 353, 31-355, 38a-470, 38a-500, 38a-527, 46b-231, 51-49, 51-49a, 51-49b, 51-15 49c, 51-49d, 51-49g, 51-49h, 51-49i, 51-49j, 51-50, 51-50a, 51-50b, 51-51, 16 Raised Bill No. 351 LCO No. 1812 2 of 10 51-51h, 51-51i, 51-51k, 51-51l, 51-51m, 51-51n, 51-51o, 51-51p, 51-51q, 51-17 51r, 51-51s, 51-63 and 52-149a. 18 (2) Wherever the terms "workers' compensation commissioner", 19 "compensation commissioner" or "commissioner" are used to denote a 20 workers' compensation commissioner in any public act of the 2020 21 session, the term "administrative law judge" shall be substituted in lieu 22 thereof. 23 (b) The Legislative Commissioners' Office shall, in codifying said 24 sections of the general statutes pursuant to subdivision (1) of subsection 25 (a) of this section or any public act of the 2020 session pursuant to 26 subdivision (2) of subsection (a) of this section, make such technical, 27 grammatical and punctuation changes as are necessary to carry out the 28 purposes of this section. 29 Sec. 2. Subsection (c) of section 31-280a of the general statutes is 30 repealed and the following is substituted in lieu thereof (Effective October 31 1, 2020): 32 (c) The advisory board shall meet at least [twice] once in each 33 calendar quarter and at such other times as the chairman or the 34 chairman of the Workers' Compensation Commission deem necessary. 35 All actions of the advisory board shall require the affirmative vote of six 36 members of the advisory board. The advisory board may bring any 37 matter related to the operation of the workers' compensation system to 38 the attention of the chairman of the Workers' Compensation 39 Commission. The advisory board may adopt any rules of procedure that 40 the board deems necessary to carry out its duties under this chapter. 41 Sec. 3. Section 31-283f of the general statutes is repealed and the 42 following is substituted in lieu thereof (Effective October 1, 2020): 43 (a) A Statistical Division shall be established within the Workers' 44 Compensation Commission. The division shall compile and maintain 45 statistics concerning occupational injuries and diseases, voluntary 46 agreements, status of claims and commissioners' dockets. [The division 47 Raised Bill No. 351 LCO No. 1812 3 of 10 shall be administered by a full-time salaried director who shall be 48 appointed by the chairman of the Workers' Compensation Commission 49 under the provisions of chapter 67. The director shall report to the 50 chairman.] 51 (b) Sufficient funding for the establishment and maintenance of the 52 Workers' Compensation Statistical Division shall be supplied from the 53 Administrative Costs Fund, as provided in section 31-345. 54 Sec. 4. Section 31-298 of the general statutes is repealed and the 55 following is substituted in lieu thereof (Effective October 1, 2020): 56 Both parties may appear at any hearing, either in person or by 57 attorney or other accredited representative, and no formal pleadings 58 shall be required, beyond any informal notices that the commission 59 approves. In all cases and hearings under the provisions of this chapter, 60 the commissioner shall proceed, so far as possible, in accordance with 61 the rules of equity. He shall not be bound by the ordinary common law 62 or statutory rules of evidence or procedure, but shall make inquiry, 63 through oral testimony, deposition testimony or written and printed 64 records, in a manner that is best calculated to ascertain the substantial 65 rights of the parties and carry out the provisions and intent of this 66 chapter. No fees shall be charged to either party by the commissioner in 67 connection with any hearing or other procedure, but the commissioner 68 shall furnish at cost (1) certified copies of any testimony, award or other 69 matter which may be of record in his office, and (2) duplicates of audio 70 [cassette] recordings of any formal hearings. Witnesses subpoenaed by 71 the commissioner shall be allowed the fees and traveling expenses that 72 are allowed in civil actions, to be paid by the party in whose interest the 73 witnesses are subpoenaed. When liability or extent of disability is 74 contested by formal hearing before the commissioner, the claimant shall 75 be entitled, if he prevails on final judgment, to payment for oral 76 testimony or deposition testimony rendered on his behalf by a 77 competent physician, surgeon or other medical provider, including the 78 stenographic and videotape recording costs thereof, in connection with 79 the claim, the commissioner to determine the reasonableness of such 80 Raised Bill No. 351 LCO No. 1812 4 of 10 charges. 81 Sec. 5. Section 31-349 of the general statutes is repealed and the 82 following is substituted in lieu thereof (Effective October 1, 2020): 83 [(a)] The fact that an employee has suffered a previous disability, 84 shall not preclude him from compensation for a second injury, nor 85 preclude compensation for death resulting from the second injury. If an 86 employee having a previous disability incurs a second disability from a 87 second injury resulting in a permanent disability caused by both the 88 previous disability and the second injury which is materially and 89 substantially greater than the disability that would have resulted from 90 the second injury alone, he shall receive compensation for (1) the entire 91 amount of disability, including total disability, less any compensation 92 payable or paid with respect to the previous disability, and (2) necessary 93 medical care, as provided in this chapter, notwithstanding the fact that 94 part of the disability was due to a previous disability. For purposes of 95 this [subsection] section, "compensation payable or paid with respect to 96 the previous disability" includes compensation payable or paid 97 pursuant to the provisions of this chapter, as well as any other 98 compensation payable or paid in connection with the previous 99 disability, regardless of the source of such compensation. 100 [(b) As a condition precedent to the liability of the Second Injury 101 Fund, the employer or its insurer shall: (1) Notify the custodian of the 102 fund by certified mail no later than three calendar years after the date of 103 injury or no later than ninety days after completion of payments for the 104 first one hundred and four weeks of disability, whichever is earlier, of 105 its intent to transfer liability for the claim to the Second Injury Fund; (2) 106 include with the notification (A) copies of all medical reports, (B) an 107 accounting of all benefits paid, (C) copies of all findings, awards and 108 approved voluntary agreements, (D) the employer's or insurer's 109 estimate of the reserve amount to ultimate value for the claim, (E) a two-110 thousand-dollar notification fee payable to the custodian to cover the 111 fund's costs in evaluating the claim proposed to be transferred and (F) 112 such other material as the custodian may require. The employer by 113 Raised Bill No. 351 LCO No. 1812 5 of 10 whom the employee is employed at the time of the second injury, or its 114 insurer, shall in the first instance pay all awards of compensation and 115 all medical expenses provided by this chapter for the first one hundred 116 four weeks of disability. Failure on the part of the employer or an insurer 117 to comply does not relieve the employer or insurer of its obligation to 118 continue furnishing compensation under the provisions of this chapter. 119 The custodian of the fund shall, by certified mail, notify a self-insured 120 employer or an insurer, as applicable, of the rejection of the claim within 121 ninety days after receiving the completed notification. Any claim which 122 is not rejected pursuant to this section shall be deemed accepted, unless 123 the custodian notifies the self-insured employer or the insurer within 124 the ninety-day period that up to an additional ninety days is necessary 125 to determine if the claim for transfer will be accepted. If the claim is 126 accepted for transfer, the custodian shall file with the workers' 127 compensation commissioner for the district in which the claim was filed, 128 a form indicating that the claim has been transferred to the Second 129 Injury Fund and the date that such claim was transferred and shall 130 refund fifteen hundred dollars of the notification fee to the self-insured 131 employer or the insurer, as applicable. A copy of the form shall be 132 mailed to the self-insured employer or the insurer and to the claimant. 133 No further action by the commissioner shall be required to transfer said 134 claim. If the custodian rejects the claim of the employer or its insurer, 135 the question shall be submitted by certified mail within thirty days of 136 the receipt of the notice of rejection by the employer or its insurer to the 137 commissioner having jurisdiction, and the employer or insurer shall 138 continue furnishing compensation until the outcome is finally decided. 139 Claims not submitted to the commissioner within said time period shall 140 be deemed withdrawn with prejudice. If the employer or insurer 141 prevails, or if the custodian accepts the claim all payments made beyond 142 the one-hundred-four-week period shall be reimbursed to the employer 143 or insurer by the Second Injury Fund. 144 (c) If the second injury of an employee results in the death of the 145 employee, and it is determined that the death would not have occurred 146 except for a preexisting permanent physical impairment, the employer 147 Raised Bill No. 351 LCO No. 1812 6 of 10 or its insurer shall, in the first instance, pay the funeral expense 148 described in this chapter, and shall pay death benefits as may be due for 149 the first one hundred four weeks. The employer or its insurer may 150 thereafter transfer liability for the death benefits to the Second Injury 151 Fund in accordance with the procedures set forth in subsection (b) of 152 this section. 153 (d) Notwithstanding the provisions of this section, no injury which 154 occurs on or after July 1, 1995, shall serve as a basis for transfer of a claim 155 to the Second Injury Fund under this section. All such claims shall 156 remain the responsibility of the employer or its insurer under the 157 provisions of this section. 158 (e) All claims for transfer of injuries for which the fund has been 159 notified prior to July 1, 1995, shall be deemed withdrawn with prejudice, 160 unless the employer or its insurer notifies the custodian of the fund by 161 certified mail prior to October 1, 1995, of its intention to pursue transfer 162 pursuant to the provisions of this section. No notification fee shall be 163 required for notices submitted pursuant to this subsection. This 164 subsection shall not apply to notices submitted prior to July 1, 1995, in 165 response to the custodian's request, issued on March 15, 1995, for 166 voluntary resubmission of notices. 167 (f) No claim, where the custodian of the Second Injury Fund was 168 served with a valid notice of intent to transfer under this section, shall 169 be eligible for transfer to the Second Injury Fund unless all requirements 170 for transfer, including payment of the one hundred and four weeks of 171 benefits by the employer or its insurer, have been completed prior to 172 July 1, 1999. All claims, pursuant to this section, not eligible for transfer 173 to the fund on or before July 1, 1999, will remain the responsibility of the 174 employer or its insurer.] 175 Sec. 6. Subsection (a) of section 31-354 of the general statutes is 176 repealed and the following is substituted in lieu thereof (Effective October 177 1, 2020): 178 (a) There shall be a fund to be known as the Second Injury Fund. Each 179 Raised Bill No. 351 LCO No. 1812 7 of 10 employer, other than the state, shall, within thirty days after notice 180 given by the State Treasurer, pay to the State Treasurer for the use of the 181 state a sum in payment of his liability under this chapter which shall be 182 calculated in accordance with the Second Injury Fund surcharge base, 183 as defined in section 31-349g, [and shall be assessed in accordance with 184 subsection (f) of section 31-349,] sections 31-349g, 31-349h and 31-349i, 185 this section, section 31-354b and sections 8 and 9 of public act 96-242. 186 Such sum shall be an amount sufficient to (1) pay the debt service on 187 state revenue bond obligations authorized to be issued under and for 188 the purposes set forth in section 31-354b including reserve and covenant 189 coverage requirements, (2) provide for costs and expenses of operating 190 the Second Injury Fund, and (3) pay Second Injury Fund stipulations on 191 claims settled by the custodian or other benefits payable out of the 192 Second Injury Fund and not funded through state revenue bond 193 obligations and shall be determined in accordance with the regulations 194 adopted pursuant to the provisions of section 31-349g. The custodian 195 shall establish a factor for the annual surcharge that caps such surcharge 196 for the fiscal years ending June 30, 1996, 1997 and 1998. In determining 197 such factor the custodian shall consider the funding mechanism 198 authorized by [subsection (f) of section 31-349,] sections 31-349g, 31-199 349h and 31-349i, this section, section 31-354b and sections 8 and 9 of 200 public act 96-242, recognize that an acceptable level of employer 201 assessment is important to the vitality of the economy of the state and 202 nevertheless shall assure provision of services to injured workers that 203 enhances their ability to return to work and improve their quality of life. 204 In any event, such factor shall not exceed, with respect to insured 205 employers, a rate of fifteen per cent on the Second Injury Fund 206 surcharge base with respect to workers' compensation and employers' 207 liability policies and, with respect to self-insured employers, a 208 comparable percentage limitation representing their pro rata share of 209 any assessment. Any employer or any insurance company acting as 210 collection agent for the custodian of the Second Injury Fund who fails to 211 pay in accordance with such regulations shall pay a penalty to the State 212 Treasurer of fifteen per cent on the unpaid assessment or surcharge or 213 fifty dollars, whichever is greater. Interest at the rate of six per cent per 214 Raised Bill No. 351 LCO No. 1812 8 of 10 annum shall be charged on any amounts owed on assessment audits or 215 surcharge audits. For self-insured employers interest shall accrue thirty 216 days after notice from the Second Injury Fund of the unpaid audit 217 assessment. For insurance companies, the interest shall accrue from the 218 date of the notice of audit errors or deficiencies as determined by the 219 date postmarked by the United States Postal Service. The State Treasurer 220 shall notify each employer of the penalty or interest provision with the 221 notice of assessment. Any partial payments made to the fund shall be 222 first applied to any unpaid penalty, then to any unpaid interest and the 223 remainder, if any, to the unpaid assessment or surcharge. Interest or 224 penalties shall be applied if assessment or surcharge reports or 225 payments are postmarked by the United States Postal Service after the 226 designated due date. The sums received shall be accounted for 227 separately and apart from all other state moneys and the faith and credit 228 of the state of Connecticut is pledged for their safekeeping. The State 229 Treasurer shall be the custodian of the fund and all disbursements from 230 the fund shall be made by the Treasurer or the Treasurer's deputies. The 231 moneys of the fund shall be invested by the Treasurer in accordance 232 with applicable law and section 8 of public act 96-242. Interest, income 233 and dividends from the investments shall be credited to the fund. Each 234 employer, each private insurance carrier acting on behalf of any 235 employer and each interlocal risk management agency acting on behalf 236 of any employer shall annually, on or before April first, report to the 237 State Treasurer, in the form prescribed by the State Treasurer, the 238 amount of money expended by or on behalf of the employer in 239 payments for the preceding calendar year. Each private insurance 240 carrier, each self-insurance group and each interlocal risk management 241 agency shall submit annually, on or before April first, to the State 242 Treasurer, in the form prescribed by the State Treasurer, a report of the 243 total Second Injury Fund surcharge base collected in the preceding 244 calendar year and a report of the projected total Second Injury Fund 245 surcharge base for the current calendar year. The fund shall be used to 246 provide the benefits set forth in section 31-306 for adjustments in the 247 compensation rate and payment of certain death benefits, in section 31-248 307b for adjustments where there are relapses after a return to work, in 249 Raised Bill No. 351 LCO No. 1812 9 of 10 section 31-307c for totally disabled persons injured prior to October 1, 250 1953, in section 31-349, as amended by this act, for disabled or 251 handicapped employees and in section 31-355 for the payment of 252 benefits due injured employees whose employers or insurance carriers 253 have failed to pay the compensation, and medical expenses required by 254 this chapter, or any other compensation payable from the fund as may 255 be required by any provision contained in this chapter or any other 256 statute and to reimburse employers or insurance carriers for payments 257 made under subsection (b) of section 31-307a. The assessment required 258 by this section is a condition of doing business in this state and failure 259 to pay the assessment, when due, shall result in the denial of the 260 privilege of doing business in this state or to self-insure under section 261 31-284. Any administrative or other costs or expenses incurred by the 262 State Treasurer in connection with carrying out the provisions of this 263 part, including the hiring of necessary employees, shall be paid from the 264 fund. The State Treasurer may adopt regulations, in accordance with the 265 provisions of chapter 54, prescribing the practices, policies and 266 procedures to be followed in the administration of the Second Injury 267 Fund. 268 Sec. 7. Subsection (a) of section 31-355a of the general statutes is 269 repealed and the following is substituted in lieu thereof (Effective October 270 1, 2020): 271 (a) Whenever the Second Injury Fund is required, pursuant to section 272 31-355 [or subsection (c) of section 31-349,] to pay benefits or 273 compensation mandated by the provisions of this chapter for any 274 employer or insurer who fails or is unable to make such payments, the 275 amount so paid by the fund shall be collectible by any means provided 276 by law for the collection of any tax due the state of Connecticut or any 277 subdivision thereof, including any means provided by section 12-35. 278 Tax warrants referred to in said section 12-35 may be signed by the State 279 Treasurer. 280 Sec. 8. Sections 31-276a, 31-298a and 31-304 of the general statutes are 281 repealed. (Effective October 1, 2020) 282 Raised Bill No. 351 LCO No. 1812 10 of 10 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2020 New section Sec. 2 October 1, 2020 31-280a(c) Sec. 3 October 1, 2020 31-283f Sec. 4 October 1, 2020 31-298 Sec. 5 October 1, 2020 31-349 Sec. 6 October 1, 2020 31-354(a) Sec. 7 October 1, 2020 31-355a(a) Sec. 8 October 1, 2020 Repealer section Statement of Purpose: To make minor and technical changes to the Workers' Compensation Act. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]