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19 | 19 | | AN ACT MAKING REVISIONS TO THE SECOND INJURY FUND. |
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20 | 20 | | Be it enacted by the Senate and House of Representatives in General |
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21 | 21 | | Assembly convened: |
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22 | 22 | | |
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23 | 23 | | Section 1. Subsections (a) and (b) of section 31-349g of the general 1 |
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24 | 24 | | statutes are repealed and the following is substituted in lieu thereof 2 |
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25 | 25 | | (Effective from passage): 3 |
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26 | 26 | | (a) For purposes of this section: 4 |
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27 | 27 | | (1) "Insured employer" means an employer who insures its risks 5 |
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28 | 28 | | incurred under this chapter with an insurance company authorized to 6 |
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29 | 29 | | issue workers' compensation policies in this state by the Insurance 7 |
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30 | 30 | | Department, and includes any member of a workers' compensation pool 8 |
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31 | 31 | | administered by an interlocal risk management agency, and on and after 9 |
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32 | 32 | | January 1, 2005, an employer mutual association organized prior to June 10 |
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33 | 33 | | 6, 1996, with a membership composed exclusively of health care 11 |
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34 | 34 | | providers and whose premium base is derived entirely from health care 12 |
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35 | 35 | | organizations. 13 |
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42 | 44 | | Workers' Compensation Commission. For the period commencing 16 |
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43 | 45 | | October 1, 2004, and ending December 31, 2004, "self-insured employer" 17 |
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44 | 46 | | includes an employer mutual association organized prior to June 6, 18 |
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45 | 47 | | 1996, with a membership composed exclusively of health care providers 19 |
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46 | 48 | | and whose premium base is derived entirely from health care 20 |
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47 | 49 | | organizations. 21 |
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48 | 50 | | (3) "Paid losses" means the total indemnity, medical and any other 22 |
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49 | 51 | | expenses, prior to any credits or deductions being taken, paid on or after 23 |
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50 | 52 | | January 1, 2006, by or on behalf of an employer to or on behalf of an 24 |
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51 | 53 | | injured employee. Paid losses includes all legal expenses paid for the 25 |
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52 | 54 | | benefit of an injured worker in accordance with this chapter and any 26 |
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53 | 55 | | loss payments within deductible limits on workers' compensation 27 |
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54 | 56 | | policies. 28 |
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55 | 57 | | (4) "Second Injury Fund surcharge base" means direct written 29 |
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56 | 58 | | premium on policies prior to application of any deductible policy 30 |
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57 | 59 | | premium credits. 31 |
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58 | 60 | | (5) "Direct written premium" includes all endorsements, 32 |
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59 | 61 | | retrospective adjustments, audits and minimum premium and shall be 33 |
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60 | 62 | | determined without regard to when or whether the premium on the 34 |
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61 | 63 | | policy is paid. 35 |
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62 | 64 | | (6) "Second Injury Fund surcharge" for insurance companies, 36 |
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63 | 65 | | interlocal risk management agencies and self-insurance groups means 37 |
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64 | 66 | | the rate set by the custodian multiplied by the Second Injury Fund 38 |
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65 | 67 | | surcharge base. 39 |
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66 | 68 | | (7) "Self-insurance group" means a not-for-profit association 40 |
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67 | 69 | | consisting of fifteen or more employers who are engaged in the same or 41 |
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68 | 70 | | similar type of business, who are members of the same bona fide trade 42 |
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69 | 71 | | or professional association which has been in existence for not less than 43 |
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70 | 72 | | five years, and who enter into agreements to pool their liabilities for 44 |
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75 | 79 | | |
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76 | 80 | | (8) "Tortfeasor" means a third party that was liable in tort for an injury 46 |
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77 | 81 | | to an employee. 47 |
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78 | 82 | | (b) The State Treasurer, in consultation with the Insurance 48 |
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79 | 83 | | Commissioner, may adopt regulations, in accordance with the 49 |
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80 | 84 | | provisions of chapter 54, regarding the method of assessing all 50 |
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81 | 85 | | employers for the liabilities of the Second Injury Fund. The liabilities 51 |
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82 | 86 | | shall be allocated between self-insured employers and insured 52 |
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83 | 87 | | employers based on a percentage of paid losses for the preceding 53 |
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84 | 88 | | calendar year for each group. No credits shall be taken against paid 54 |
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85 | 89 | | losses, except voided checks in connection with expenses paid under 55 |
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86 | 90 | | this chapter previously reported as a paid loss, actual recoveries from 56 |
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87 | 91 | | [third party] tortfeasors, reimbursement granted pursuant to section 31-57 |
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88 | 92 | | 299b and Second Injury Fund reimbursements. The method of 58 |
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89 | 93 | | assessment for self-insured employers shall be based on paid losses. The 59 |
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90 | 94 | | method of assessment for insured employers, for policies with effective 60 |
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91 | 95 | | dates before July 1, 2006, shall be based on the standard premium, and 61 |
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92 | 96 | | for policies with effective dates on or after July 1, 2006, shall be based on 62 |
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93 | 97 | | the Second Injury Fund surcharge base. In adopting regulations under 63 |
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94 | 98 | | this section, the State Treasurer shall consider their effect upon (1) the 64 |
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95 | 99 | | cost of doing business in this state, (2) the overall cost of the workers' 65 |
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96 | 100 | | compensation system, (3) the effect of the regulations on insurers, 66 |
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97 | 101 | | insureds and self-insured employers, and (4) the financial condition and 67 |
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98 | 102 | | liabilities of the fund. 68 |
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99 | 103 | | This act shall take effect as follows and shall amend the following |
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100 | 104 | | sections: |
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101 | 105 | | |
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102 | 106 | | Section 1 from passage 31-349g(a) and (b) |
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103 | 107 | | |
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