Illinois 2025-2026 Regular Session

Illinois Senate Bill SB1503 Compare Versions

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11 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1503 Introduced 2/4/2025, by Sen. Michael W. Halpin SYNOPSIS AS INTRODUCED: 820 ILCS 305/8 from Ch. 48, par. 138.8820 ILCS 305/16 from Ch. 48, par. 138.16820 ILCS 305/16a from Ch. 48, par. 138.16a820 ILCS 305/19 from Ch. 48, par. 138.19 Amends the Workers' Compensation Act. Provides that, if a petitioner's claim is contested and enters arbitration proceedings, the Arbitrator shall include in its award pre-award interest at the rate of 6% per annum to a prevailing petitioner from the date of the contested injury, provided that no interest shall accrue if, within 12 months after the date of the injury, the respondent concedes that the claim is compensable. Provides that the non-prevailing party is responsible for any costs incurred in deposing a medical practitioner. Provides that all attorney's fees for representation of an employee or the employee's dependents shall be the responsibility of the non-prevailing employer (rather than only recoverable from compensation actually paid to such employee or dependents). Provides that, within 60 days after receipt of service of notice of preliminary proceedings before an Arbitrator, an employer shall disclose documents sufficient to calculate a petitioner's average weekly wage LRB104 08239 SPS 18289 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1503 Introduced 2/4/2025, by Sen. Michael W. Halpin SYNOPSIS AS INTRODUCED: 820 ILCS 305/8 from Ch. 48, par. 138.8820 ILCS 305/16 from Ch. 48, par. 138.16820 ILCS 305/16a from Ch. 48, par. 138.16a820 ILCS 305/19 from Ch. 48, par. 138.19 820 ILCS 305/8 from Ch. 48, par. 138.8 820 ILCS 305/16 from Ch. 48, par. 138.16 820 ILCS 305/16a from Ch. 48, par. 138.16a 820 ILCS 305/19 from Ch. 48, par. 138.19 Amends the Workers' Compensation Act. Provides that, if a petitioner's claim is contested and enters arbitration proceedings, the Arbitrator shall include in its award pre-award interest at the rate of 6% per annum to a prevailing petitioner from the date of the contested injury, provided that no interest shall accrue if, within 12 months after the date of the injury, the respondent concedes that the claim is compensable. Provides that the non-prevailing party is responsible for any costs incurred in deposing a medical practitioner. Provides that all attorney's fees for representation of an employee or the employee's dependents shall be the responsibility of the non-prevailing employer (rather than only recoverable from compensation actually paid to such employee or dependents). Provides that, within 60 days after receipt of service of notice of preliminary proceedings before an Arbitrator, an employer shall disclose documents sufficient to calculate a petitioner's average weekly wage LRB104 08239 SPS 18289 b LRB104 08239 SPS 18289 b A BILL FOR
22 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1503 Introduced 2/4/2025, by Sen. Michael W. Halpin SYNOPSIS AS INTRODUCED:
33 820 ILCS 305/8 from Ch. 48, par. 138.8820 ILCS 305/16 from Ch. 48, par. 138.16820 ILCS 305/16a from Ch. 48, par. 138.16a820 ILCS 305/19 from Ch. 48, par. 138.19 820 ILCS 305/8 from Ch. 48, par. 138.8 820 ILCS 305/16 from Ch. 48, par. 138.16 820 ILCS 305/16a from Ch. 48, par. 138.16a 820 ILCS 305/19 from Ch. 48, par. 138.19
44 820 ILCS 305/8 from Ch. 48, par. 138.8
55 820 ILCS 305/16 from Ch. 48, par. 138.16
66 820 ILCS 305/16a from Ch. 48, par. 138.16a
77 820 ILCS 305/19 from Ch. 48, par. 138.19
88 Amends the Workers' Compensation Act. Provides that, if a petitioner's claim is contested and enters arbitration proceedings, the Arbitrator shall include in its award pre-award interest at the rate of 6% per annum to a prevailing petitioner from the date of the contested injury, provided that no interest shall accrue if, within 12 months after the date of the injury, the respondent concedes that the claim is compensable. Provides that the non-prevailing party is responsible for any costs incurred in deposing a medical practitioner. Provides that all attorney's fees for representation of an employee or the employee's dependents shall be the responsibility of the non-prevailing employer (rather than only recoverable from compensation actually paid to such employee or dependents). Provides that, within 60 days after receipt of service of notice of preliminary proceedings before an Arbitrator, an employer shall disclose documents sufficient to calculate a petitioner's average weekly wage
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1414 1 AN ACT concerning employment.
1515 2 Be it enacted by the People of the State of Illinois,
1616 3 represented in the General Assembly:
1717 4 Section 5. The Workers' Compensation Act is amended by
1818 5 changing Sections 8, 16, 16a, and 19 as follows:
1919 6 (820 ILCS 305/8) (from Ch. 48, par. 138.8)
2020 7 Sec. 8. The amount of compensation which shall be paid to
2121 8 the employee for an accidental injury not resulting in death
2222 9 is:
2323 10 (a) The employer shall provide and pay the negotiated
2424 11 rate, if applicable, or the lesser of the health care
2525 12 provider's actual charges or according to a fee schedule,
2626 13 subject to Section 8.2, in effect at the time the service was
2727 14 rendered for all the necessary first aid, medical and surgical
2828 15 services, and all necessary medical, surgical and hospital
2929 16 services thereafter incurred, limited, however, to that which
3030 17 is reasonably required to cure or relieve from the effects of
3131 18 the accidental injury, even if a health care provider sells,
3232 19 transfers, or otherwise assigns an account receivable for
3333 20 procedures, treatments, or services covered under this Act. If
3434 21 the employer does not dispute payment of first aid, medical,
3535 22 surgical, and hospital services, the employer shall make such
3636 23 payment to the provider on behalf of the employee. The
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4040 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1503 Introduced 2/4/2025, by Sen. Michael W. Halpin SYNOPSIS AS INTRODUCED:
4141 820 ILCS 305/8 from Ch. 48, par. 138.8820 ILCS 305/16 from Ch. 48, par. 138.16820 ILCS 305/16a from Ch. 48, par. 138.16a820 ILCS 305/19 from Ch. 48, par. 138.19 820 ILCS 305/8 from Ch. 48, par. 138.8 820 ILCS 305/16 from Ch. 48, par. 138.16 820 ILCS 305/16a from Ch. 48, par. 138.16a 820 ILCS 305/19 from Ch. 48, par. 138.19
4242 820 ILCS 305/8 from Ch. 48, par. 138.8
4343 820 ILCS 305/16 from Ch. 48, par. 138.16
4444 820 ILCS 305/16a from Ch. 48, par. 138.16a
4545 820 ILCS 305/19 from Ch. 48, par. 138.19
4646 Amends the Workers' Compensation Act. Provides that, if a petitioner's claim is contested and enters arbitration proceedings, the Arbitrator shall include in its award pre-award interest at the rate of 6% per annum to a prevailing petitioner from the date of the contested injury, provided that no interest shall accrue if, within 12 months after the date of the injury, the respondent concedes that the claim is compensable. Provides that the non-prevailing party is responsible for any costs incurred in deposing a medical practitioner. Provides that all attorney's fees for representation of an employee or the employee's dependents shall be the responsibility of the non-prevailing employer (rather than only recoverable from compensation actually paid to such employee or dependents). Provides that, within 60 days after receipt of service of notice of preliminary proceedings before an Arbitrator, an employer shall disclose documents sufficient to calculate a petitioner's average weekly wage
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5656 820 ILCS 305/16 from Ch. 48, par. 138.16
5757 820 ILCS 305/16a from Ch. 48, par. 138.16a
5858 820 ILCS 305/19 from Ch. 48, par. 138.19
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7777 1 employer shall also pay for treatment, instruction and
7878 2 training necessary for the physical, mental and vocational
7979 3 rehabilitation of the employee, including all maintenance
8080 4 costs and expenses incidental thereto. If as a result of the
8181 5 injury the employee is unable to be self-sufficient the
8282 6 employer shall further pay for such maintenance or
8383 7 institutional care as shall be required. If a petitioner's
8484 8 claim is contested and enters arbitration proceedings pursuant
8585 9 to Section 19, the Arbitrator shall include in its award,
8686 10 pre-award interest at the rate of 6% per annum to a prevailing
8787 11 petitioner, from the date of the contested injury, provided
8888 12 that no interest shall accrue if, within 12 months after the
8989 13 date of the injury, the respondent concedes that the claim is
9090 14 compensable.
9191 15 The employee may at any time elect to secure his own
9292 16 physician, surgeon and hospital services at the employer's
9393 17 expense, or,
9494 18 Upon agreement between the employer and the employees, or
9595 19 the employees' exclusive representative, and subject to the
9696 20 approval of the Illinois Workers' Compensation Commission, the
9797 21 employer shall maintain a list of physicians, to be known as a
9898 22 Panel of Physicians, who are accessible to the employees. The
9999 23 employer shall post this list in a place or places easily
100100 24 accessible to his employees. The employee shall have the right
101101 25 to make an alternative choice of physician from such Panel if
102102 26 he is not satisfied with the physician first selected. If, due
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113113 1 to the nature of the injury or its occurrence away from the
114114 2 employer's place of business, the employee is unable to make a
115115 3 selection from the Panel, the selection process from the Panel
116116 4 shall not apply. The physician selected from the Panel may
117117 5 arrange for any consultation, referral or other specialized
118118 6 medical services outside the Panel at the employer's expense.
119119 7 Provided that, in the event the Commission shall find that a
120120 8 doctor selected by the employee is rendering improper or
121121 9 inadequate care, the Commission may order the employee to
122122 10 select another doctor certified or qualified in the medical
123123 11 field for which treatment is required. If the employee refuses
124124 12 to make such change the Commission may relieve the employer of
125125 13 his obligation to pay the doctor's charges from the date of
126126 14 refusal to the date of compliance.
127127 15 Any vocational rehabilitation counselors who provide
128128 16 service under this Act shall have appropriate certifications
129129 17 which designate the counselor as qualified to render opinions
130130 18 relating to vocational rehabilitation. Vocational
131131 19 rehabilitation may include, but is not limited to, counseling
132132 20 for job searches, supervising a job search program, and
133133 21 vocational retraining including education at an accredited
134134 22 learning institution. The employee or employer may petition to
135135 23 the Commission to decide disputes relating to vocational
136136 24 rehabilitation and the Commission shall resolve any such
137137 25 dispute, including payment of the vocational rehabilitation
138138 26 program by the employer.
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149149 1 The maintenance benefit shall not be less than the
150150 2 temporary total disability rate determined for the employee.
151151 3 In addition, maintenance shall include costs and expenses
152152 4 incidental to the vocational rehabilitation program.
153153 5 When the employee is working light duty on a part-time
154154 6 basis or full-time basis and earns less than he or she would be
155155 7 earning if employed in the full capacity of the job or jobs,
156156 8 then the employee shall be entitled to temporary partial
157157 9 disability benefits. Temporary partial disability benefits
158158 10 shall be equal to two-thirds of the difference between the
159159 11 average amount that the employee would be able to earn in the
160160 12 full performance of his or her duties in the occupation in
161161 13 which he or she was engaged at the time of accident and the
162162 14 gross amount which he or she is earning in the modified job
163163 15 provided to the employee by the employer or in any other job
164164 16 that the employee is working.
165165 17 Every hospital, physician, surgeon or other person
166166 18 rendering treatment or services in accordance with the
167167 19 provisions of this Section shall upon written request furnish
168168 20 full and complete reports thereof to, and permit their records
169169 21 to be copied by, the employer, the employee or his dependents,
170170 22 as the case may be, or any other party to any proceeding for
171171 23 compensation before the Commission, or their attorneys.
172172 24 Notwithstanding the foregoing, the employer's liability to
173173 25 pay for such medical services selected by the employee shall
174174 26 be limited to:
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185185 1 (1) all first aid and emergency treatment; plus
186186 2 (2) all medical, surgical and hospital services
187187 3 provided by the physician, surgeon or hospital initially
188188 4 chosen by the employee or by any other physician,
189189 5 consultant, expert, institution or other provider of
190190 6 services recommended by said initial service provider or
191191 7 any subsequent provider of medical services in the chain
192192 8 of referrals from said initial service provider; plus
193193 9 (3) all medical, surgical and hospital services
194194 10 provided by any second physician, surgeon or hospital
195195 11 subsequently chosen by the employee or by any other
196196 12 physician, consultant, expert, institution or other
197197 13 provider of services recommended by said second service
198198 14 provider or any subsequent provider of medical services in
199199 15 the chain of referrals from said second service provider.
200200 16 Thereafter the employer shall select and pay for all
201201 17 necessary medical, surgical and hospital treatment and the
202202 18 employee may not select a provider of medical services at
203203 19 the employer's expense unless the employer agrees to such
204204 20 selection. At any time the employee may obtain any medical
205205 21 treatment he desires at his own expense. This paragraph
206206 22 shall not affect the duty to pay for rehabilitation
207207 23 referred to above.
208208 24 (4) The following shall apply for injuries occurring
209209 25 on or after June 28, 2011 (the effective date of Public Act
210210 26 97-18) and only when an employer has an approved preferred
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221221 1 provider program pursuant to Section 8.1a on the date the
222222 2 employee sustained his or her accidental injuries:
223223 3 (A) The employer shall, in writing, on a form
224224 4 promulgated by the Commission, inform the employee of
225225 5 the preferred provider program;
226226 6 (B) Subsequent to the report of an injury by an
227227 7 employee, the employee may choose in writing at any
228228 8 time to decline the preferred provider program, in
229229 9 which case that would constitute one of the two
230230 10 choices of medical providers to which the employee is
231231 11 entitled under subsection (a)(2) or (a)(3); and
232232 12 (C) Prior to the report of an injury by an
233233 13 employee, when an employee chooses non-emergency
234234 14 treatment from a provider not within the preferred
235235 15 provider program, that would constitute the employee's
236236 16 one choice of medical providers to which the employee
237237 17 is entitled under subsection (a)(2) or (a)(3).
238238 18 When an employer and employee so agree in writing, nothing
239239 19 in this Act prevents an employee whose injury or disability
240240 20 has been established under this Act, from relying in good
241241 21 faith, on treatment by prayer or spiritual means alone, in
242242 22 accordance with the tenets and practice of a recognized church
243243 23 or religious denomination, by a duly accredited practitioner
244244 24 thereof, and having nursing services appropriate therewith,
245245 25 without suffering loss or diminution of the compensation
246246 26 benefits under this Act. However, the employee shall submit to
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257257 1 all physical examinations required by this Act. The cost of
258258 2 such treatment and nursing care shall be paid by the employee
259259 3 unless the employer agrees to make such payment.
260260 4 Where the accidental injury results in the amputation of
261261 5 an arm, hand, leg or foot, or the enucleation of an eye, or the
262262 6 loss of any of the natural teeth, the employer shall furnish an
263263 7 artificial of any such members lost or damaged in accidental
264264 8 injury arising out of and in the course of employment, and
265265 9 shall also furnish the necessary braces in all proper and
266266 10 necessary cases. In cases of the loss of a member or members by
267267 11 amputation, the employer shall, whenever necessary, maintain
268268 12 in good repair, refit or replace the artificial limbs during
269269 13 the lifetime of the employee. Where the accidental injury
270270 14 accompanied by physical injury results in damage to a denture,
271271 15 eye glasses or contact eye lenses, or where the accidental
272272 16 injury results in damage to an artificial member, the employer
273273 17 shall replace or repair such denture, glasses, lenses, or
274274 18 artificial member.
275275 19 The furnishing by the employer of any such services or
276276 20 appliances is not an admission of liability on the part of the
277277 21 employer to pay compensation.
278278 22 The furnishing of any such services or appliances or the
279279 23 servicing thereof by the employer is not the payment of
280280 24 compensation.
281281 25 (b) If the period of temporary total incapacity for work
282282 26 lasts more than 3 working days, weekly compensation as
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293293 1 hereinafter provided shall be paid beginning on the 4th day of
294294 2 such temporary total incapacity and continuing as long as the
295295 3 total temporary incapacity lasts. In cases where the temporary
296296 4 total incapacity for work continues for a period of 14 days or
297297 5 more from the day of the accident compensation shall commence
298298 6 on the day after the accident.
299299 7 1. The compensation rate for temporary total
300300 8 incapacity under this paragraph (b) of this Section shall
301301 9 be equal to 66 2/3% of the employee's average weekly wage
302302 10 computed in accordance with Section 10, provided that it
303303 11 shall be not less than 66 2/3% of the sum of the Federal
304304 12 minimum wage under the Fair Labor Standards Act, or the
305305 13 Illinois minimum wage under the Minimum Wage Law,
306306 14 whichever is more, multiplied by 40 hours. This percentage
307307 15 rate shall be increased by 10% for each spouse and child,
308308 16 not to exceed 100% of the total minimum wage calculation,
309309 17 nor exceed the employee's average weekly wage computed in
310310 18 accordance with the provisions of Section 10, whichever is
311311 19 less.
312312 20 2. The compensation rate in all cases other than for
313313 21 temporary total disability under this paragraph (b), and
314314 22 other than for serious and permanent disfigurement under
315315 23 paragraph (c) and other than for permanent partial
316316 24 disability under subparagraph (2) of paragraph (d) or
317317 25 under paragraph (e), of this Section shall be equal to 66
318318 26 2/3% of the employee's average weekly wage computed in
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329329 1 accordance with the provisions of Section 10, provided
330330 2 that it shall be not less than 66 2/3% of the sum of the
331331 3 Federal minimum wage under the Fair Labor Standards Act,
332332 4 or the Illinois minimum wage under the Minimum Wage Law,
333333 5 whichever is more, multiplied by 40 hours. This percentage
334334 6 rate shall be increased by 10% for each spouse and child,
335335 7 not to exceed 100% of the total minimum wage calculation,
336336 8 nor exceed the employee's average weekly wage computed in
337337 9 accordance with the provisions of Section 10, whichever is
338338 10 less.
339339 11 2.1. The compensation rate in all cases of serious and
340340 12 permanent disfigurement under paragraph (c) and of
341341 13 permanent partial disability under subparagraph (2) of
342342 14 paragraph (d) or under paragraph (e) of this Section shall
343343 15 be equal to 60% of the employee's average weekly wage
344344 16 computed in accordance with the provisions of Section 10,
345345 17 provided that it shall be not less than 66 2/3% of the sum
346346 18 of the Federal minimum wage under the Fair Labor Standards
347347 19 Act, or the Illinois minimum wage under the Minimum Wage
348348 20 Law, whichever is more, multiplied by 40 hours. This
349349 21 percentage rate shall be increased by 10% for each spouse
350350 22 and child, not to exceed 100% of the total minimum wage
351351 23 calculation, nor exceed the employee's average weekly wage
352352 24 computed in accordance with the provisions of Section 10,
353353 25 whichever is less.
354354 26 3. As used in this Section the term "child" means a
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365365 1 child of the employee including any child legally adopted
366366 2 before the accident or whom at the time of the accident the
367367 3 employee was under legal obligation to support or to whom
368368 4 the employee stood in loco parentis, and who at the time of
369369 5 the accident was under 18 years of age and not
370370 6 emancipated. The term "children" means the plural of
371371 7 "child".
372372 8 4. All weekly compensation rates provided under
373373 9 subparagraphs 1, 2 and 2.1 of this paragraph (b) of this
374374 10 Section shall be subject to the following limitations:
375375 11 The maximum weekly compensation rate from July 1,
376376 12 1975, except as hereinafter provided, shall be 100% of the
377377 13 State's average weekly wage in covered industries under
378378 14 the Unemployment Insurance Act, that being the wage that
379379 15 most closely approximates the State's average weekly wage.
380380 16 The maximum weekly compensation rate, for the period
381381 17 July 1, 1984, through June 30, 1987, except as hereinafter
382382 18 provided, shall be $293.61. Effective July 1, 1987 and on
383383 19 July 1 of each year thereafter the maximum weekly
384384 20 compensation rate, except as hereinafter provided, shall
385385 21 be determined as follows: if during the preceding 12 month
386386 22 period there shall have been an increase in the State's
387387 23 average weekly wage in covered industries under the
388388 24 Unemployment Insurance Act, the weekly compensation rate
389389 25 shall be proportionately increased by the same percentage
390390 26 as the percentage of increase in the State's average
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401401 1 weekly wage in covered industries under the Unemployment
402402 2 Insurance Act during such period.
403403 3 The maximum weekly compensation rate, for the period
404404 4 January 1, 1981 through December 31, 1983, except as
405405 5 hereinafter provided, shall be 100% of the State's average
406406 6 weekly wage in covered industries under the Unemployment
407407 7 Insurance Act in effect on January 1, 1981. Effective
408408 8 January 1, 1984 and on January 1, of each year thereafter
409409 9 the maximum weekly compensation rate, except as
410410 10 hereinafter provided, shall be determined as follows: if
411411 11 during the preceding 12 month period there shall have been
412412 12 an increase in the State's average weekly wage in covered
413413 13 industries under the Unemployment Insurance Act, the
414414 14 weekly compensation rate shall be proportionately
415415 15 increased by the same percentage as the percentage of
416416 16 increase in the State's average weekly wage in covered
417417 17 industries under the Unemployment Insurance Act during
418418 18 such period.
419419 19 From July 1, 1977 and thereafter such maximum weekly
420420 20 compensation rate in death cases under Section 7, and
421421 21 permanent total disability cases under paragraph (f) or
422422 22 subparagraph 18 of paragraph (3) of this Section and for
423423 23 temporary total disability under paragraph (b) of this
424424 24 Section and for amputation of a member or enucleation of
425425 25 an eye under paragraph (e) of this Section shall be
426426 26 increased to 133-1/3% of the State's average weekly wage
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437437 1 in covered industries under the Unemployment Insurance
438438 2 Act.
439439 3 For injuries occurring on or after February 1, 2006,
440440 4 the maximum weekly benefit under paragraph (d)1 of this
441441 5 Section shall be 100% of the State's average weekly wage
442442 6 in covered industries under the Unemployment Insurance
443443 7 Act.
444444 8 4.1. Any provision herein to the contrary
445445 9 notwithstanding, the weekly compensation rate for
446446 10 compensation payments under subparagraph 18 of paragraph
447447 11 (e) of this Section and under paragraph (f) of this
448448 12 Section and under paragraph (a) of Section 7 and for
449449 13 amputation of a member or enucleation of an eye under
450450 14 paragraph (e) of this Section, shall in no event be less
451451 15 than 50% of the State's average weekly wage in covered
452452 16 industries under the Unemployment Insurance Act.
453453 17 4.2. Any provision to the contrary notwithstanding,
454454 18 the total compensation payable under Section 7 shall not
455455 19 exceed the greater of $500,000 or 25 years.
456456 20 5. For the purpose of this Section this State's
457457 21 average weekly wage in covered industries under the
458458 22 Unemployment Insurance Act on July 1, 1975 is hereby fixed
459459 23 at $228.16 per week and the computation of compensation
460460 24 rates shall be based on the aforesaid average weekly wage
461461 25 until modified as hereinafter provided.
462462 26 6. The Department of Employment Security of the State
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473473 1 shall on or before the first day of December, 1977, and on
474474 2 or before the first day of June, 1978, and on the first day
475475 3 of each December and June of each year thereafter, publish
476476 4 the State's average weekly wage in covered industries
477477 5 under the Unemployment Insurance Act and the Illinois
478478 6 Workers' Compensation Commission shall on the 15th day of
479479 7 January, 1978 and on the 15th day of July, 1978 and on the
480480 8 15th day of each January and July of each year thereafter,
481481 9 post and publish the State's average weekly wage in
482482 10 covered industries under the Unemployment Insurance Act as
483483 11 last determined and published by the Department of
484484 12 Employment Security. The amount when so posted and
485485 13 published shall be conclusive and shall be applicable as
486486 14 the basis of computation of compensation rates until the
487487 15 next posting and publication as aforesaid.
488488 16 7. The payment of compensation by an employer or his
489489 17 insurance carrier to an injured employee shall not
490490 18 constitute an admission of the employer's liability to pay
491491 19 compensation.
492492 20 (c) For any serious and permanent disfigurement to the
493493 21 hand, head, face, neck, arm, leg below the knee or the chest
494494 22 above the axillary line, the employee is entitled to
495495 23 compensation for such disfigurement, the amount determined by
496496 24 agreement at any time or by arbitration under this Act, at a
497497 25 hearing not less than 6 months after the date of the accidental
498498 26 injury, which amount shall not exceed 150 weeks (if the
499499
500500
501501
502502
503503
504504 SB1503 - 13 - LRB104 08239 SPS 18289 b
505505
506506
507507 SB1503- 14 -LRB104 08239 SPS 18289 b SB1503 - 14 - LRB104 08239 SPS 18289 b
508508 SB1503 - 14 - LRB104 08239 SPS 18289 b
509509 1 accidental injury occurs on or after the effective date of
510510 2 this amendatory Act of the 94th General Assembly but before
511511 3 February 1, 2006) or 162 weeks (if the accidental injury
512512 4 occurs on or after February 1, 2006) at the applicable rate
513513 5 provided in subparagraph 2.1 of paragraph (b) of this Section.
514514 6 No compensation is payable under this paragraph where
515515 7 compensation is payable under paragraphs (d), (e) or (f) of
516516 8 this Section.
517517 9 A duly appointed member of a fire department in a city, the
518518 10 population of which exceeds 500,000 according to the last
519519 11 federal or State census, is eligible for compensation under
520520 12 this paragraph only where such serious and permanent
521521 13 disfigurement results from burns.
522522 14 (d) 1. If, after the accidental injury has been sustained,
523523 15 the employee as a result thereof becomes partially
524524 16 incapacitated from pursuing his usual and customary line of
525525 17 employment, he shall, except in cases compensated under the
526526 18 specific schedule set forth in paragraph (e) of this Section,
527527 19 receive compensation for the duration of his disability,
528528 20 subject to the limitations as to maximum amounts fixed in
529529 21 paragraph (b) of this Section, equal to 66-2/3% of the
530530 22 difference between the average amount which he would be able
531531 23 to earn in the full performance of his duties in the occupation
532532 24 in which he was engaged at the time of the accident and the
533533 25 average amount which he is earning or is able to earn in some
534534 26 suitable employment or business after the accident. For
535535
536536
537537
538538
539539
540540 SB1503 - 14 - LRB104 08239 SPS 18289 b
541541
542542
543543 SB1503- 15 -LRB104 08239 SPS 18289 b SB1503 - 15 - LRB104 08239 SPS 18289 b
544544 SB1503 - 15 - LRB104 08239 SPS 18289 b
545545 1 accidental injuries that occur on or after September 1, 2011,
546546 2 an award for wage differential under this subsection shall be
547547 3 effective only until the employee reaches the age of 67 or 5
548548 4 years from the date the award becomes final, whichever is
549549 5 later.
550550 6 2. If, as a result of the accident, the employee sustains
551551 7 serious and permanent injuries not covered by paragraphs (c)
552552 8 and (e) of this Section or having sustained injuries covered
553553 9 by the aforesaid paragraphs (c) and (e), he shall have
554554 10 sustained in addition thereto other injuries which injuries do
555555 11 not incapacitate him from pursuing the duties of his
556556 12 employment but which would disable him from pursuing other
557557 13 suitable occupations, or which have otherwise resulted in
558558 14 physical impairment; or if such injuries partially
559559 15 incapacitate him from pursuing the duties of his usual and
560560 16 customary line of employment but do not result in an
561561 17 impairment of earning capacity, or having resulted in an
562562 18 impairment of earning capacity, the employee elects to waive
563563 19 his right to recover under the foregoing subparagraph 1 of
564564 20 paragraph (d) of this Section then in any of the foregoing
565565 21 events, he shall receive in addition to compensation for
566566 22 temporary total disability under paragraph (b) of this
567567 23 Section, compensation at the rate provided in subparagraph 2.1
568568 24 of paragraph (b) of this Section for that percentage of 500
569569 25 weeks that the partial disability resulting from the injuries
570570 26 covered by this paragraph bears to total disability. If the
571571
572572
573573
574574
575575
576576 SB1503 - 15 - LRB104 08239 SPS 18289 b
577577
578578
579579 SB1503- 16 -LRB104 08239 SPS 18289 b SB1503 - 16 - LRB104 08239 SPS 18289 b
580580 SB1503 - 16 - LRB104 08239 SPS 18289 b
581581 1 employee shall have sustained a fracture of one or more
582582 2 vertebra or fracture of the skull, the amount of compensation
583583 3 allowed under this Section shall be not less than 6 weeks for a
584584 4 fractured skull and 6 weeks for each fractured vertebra, and
585585 5 in the event the employee shall have sustained a fracture of
586586 6 any of the following facial bones: nasal, lachrymal, vomer,
587587 7 zygoma, maxilla, palatine or mandible, the amount of
588588 8 compensation allowed under this Section shall be not less than
589589 9 2 weeks for each such fractured bone, and for a fracture of
590590 10 each transverse process not less than 3 weeks. In the event
591591 11 such injuries shall result in the loss of a kidney, spleen or
592592 12 lung, the amount of compensation allowed under this Section
593593 13 shall be not less than 10 weeks for each such organ.
594594 14 Compensation awarded under this subparagraph 2 shall not take
595595 15 into consideration injuries covered under paragraphs (c) and
596596 16 (e) of this Section and the compensation provided in this
597597 17 paragraph shall not affect the employee's right to
598598 18 compensation payable under paragraphs (b), (c) and (e) of this
599599 19 Section for the disabilities therein covered.
600600 20 (e) For accidental injuries in the following schedule, the
601601 21 employee shall receive compensation for the period of
602602 22 temporary total incapacity for work resulting from such
603603 23 accidental injury, under subparagraph 1 of paragraph (b) of
604604 24 this Section, and shall receive in addition thereto
605605 25 compensation for a further period for the specific loss herein
606606 26 mentioned, but shall not receive any compensation under any
607607
608608
609609
610610
611611
612612 SB1503 - 16 - LRB104 08239 SPS 18289 b
613613
614614
615615 SB1503- 17 -LRB104 08239 SPS 18289 b SB1503 - 17 - LRB104 08239 SPS 18289 b
616616 SB1503 - 17 - LRB104 08239 SPS 18289 b
617617 1 other provisions of this Act. The following listed amounts
618618 2 apply to either the loss of or the permanent and complete loss
619619 3 of use of the member specified, such compensation for the
620620 4 length of time as follows:
621621 5 1. Thumb-
622622 6 70 weeks if the accidental injury occurs on or
623623 7 after the effective date of this amendatory Act of the
624624 8 94th General Assembly but before February 1, 2006.
625625 9 76 weeks if the accidental injury occurs on or
626626 10 after February 1, 2006.
627627 11 2. First, or index finger-
628628 12 40 weeks if the accidental injury occurs on or
629629 13 after the effective date of this amendatory Act of the
630630 14 94th General Assembly but before February 1, 2006.
631631 15 43 weeks if the accidental injury occurs on or
632632 16 after February 1, 2006.
633633 17 3. Second, or middle finger-
634634 18 35 weeks if the accidental injury occurs on or
635635 19 after the effective date of this amendatory Act of the
636636 20 94th General Assembly but before February 1, 2006.
637637 21 38 weeks if the accidental injury occurs on or
638638 22 after February 1, 2006.
639639 23 4. Third, or ring finger-
640640 24 25 weeks if the accidental injury occurs on or
641641 25 after the effective date of this amendatory Act of the
642642 26 94th General Assembly but before February 1, 2006.
643643
644644
645645
646646
647647
648648 SB1503 - 17 - LRB104 08239 SPS 18289 b
649649
650650
651651 SB1503- 18 -LRB104 08239 SPS 18289 b SB1503 - 18 - LRB104 08239 SPS 18289 b
652652 SB1503 - 18 - LRB104 08239 SPS 18289 b
653653 1 27 weeks if the accidental injury occurs on or
654654 2 after February 1, 2006.
655655 3 5. Fourth, or little finger-
656656 4 20 weeks if the accidental injury occurs on or
657657 5 after the effective date of this amendatory Act of the
658658 6 94th General Assembly but before February 1, 2006.
659659 7 22 weeks if the accidental injury occurs on or
660660 8 after February 1, 2006.
661661 9 6. Great toe-
662662 10 35 weeks if the accidental injury occurs on or
663663 11 after the effective date of this amendatory Act of the
664664 12 94th General Assembly but before February 1, 2006.
665665 13 38 weeks if the accidental injury occurs on or
666666 14 after February 1, 2006.
667667 15 7. Each toe other than great toe-
668668 16 12 weeks if the accidental injury occurs on or
669669 17 after the effective date of this amendatory Act of the
670670 18 94th General Assembly but before February 1, 2006.
671671 19 13 weeks if the accidental injury occurs on or
672672 20 after February 1, 2006.
673673 21 8. The loss of the first or distal phalanx of the thumb
674674 22 or of any finger or toe shall be considered to be equal to
675675 23 the loss of one-half of such thumb, finger or toe and the
676676 24 compensation payable shall be one-half of the amount above
677677 25 specified. The loss of more than one phalanx shall be
678678 26 considered as the loss of the entire thumb, finger or toe.
679679
680680
681681
682682
683683
684684 SB1503 - 18 - LRB104 08239 SPS 18289 b
685685
686686
687687 SB1503- 19 -LRB104 08239 SPS 18289 b SB1503 - 19 - LRB104 08239 SPS 18289 b
688688 SB1503 - 19 - LRB104 08239 SPS 18289 b
689689 1 In no case shall the amount received for more than one
690690 2 finger exceed the amount provided in this schedule for the
691691 3 loss of a hand.
692692 4 9. Hand-
693693 5 190 weeks if the accidental injury occurs on or
694694 6 after the effective date of this amendatory Act of the
695695 7 94th General Assembly but before February 1, 2006.
696696 8 205 weeks if the accidental injury occurs on or
697697 9 after February 1, 2006.
698698 10 190 weeks if the accidental injury occurs on or
699699 11 after June 28, 2011 (the effective date of Public Act
700700 12 97-18) and if the accidental injury involves carpal
701701 13 tunnel syndrome due to repetitive or cumulative
702702 14 trauma, in which case the permanent partial disability
703703 15 shall not exceed 15% loss of use of the hand, except
704704 16 for cause shown by clear and convincing evidence and
705705 17 in which case the award shall not exceed 30% loss of
706706 18 use of the hand.
707707 19 The loss of 2 or more digits, or one or more phalanges
708708 20 of 2 or more digits, of a hand may be compensated on the
709709 21 basis of partial loss of use of a hand, provided, further,
710710 22 that the loss of 4 digits, or the loss of use of 4 digits,
711711 23 in the same hand shall constitute the complete loss of a
712712 24 hand.
713713 25 10. Arm-
714714 26 235 weeks if the accidental injury occurs on or
715715
716716
717717
718718
719719
720720 SB1503 - 19 - LRB104 08239 SPS 18289 b
721721
722722
723723 SB1503- 20 -LRB104 08239 SPS 18289 b SB1503 - 20 - LRB104 08239 SPS 18289 b
724724 SB1503 - 20 - LRB104 08239 SPS 18289 b
725725 1 after the effective date of this amendatory Act of the
726726 2 94th General Assembly but before February 1, 2006.
727727 3 253 weeks if the accidental injury occurs on or
728728 4 after February 1, 2006.
729729 5 Where an accidental injury results in the amputation
730730 6 of an arm below the elbow, such injury shall be
731731 7 compensated as a loss of an arm. Where an accidental
732732 8 injury results in the amputation of an arm above the
733733 9 elbow, compensation for an additional 15 weeks (if the
734734 10 accidental injury occurs on or after the effective date of
735735 11 this amendatory Act of the 94th General Assembly but
736736 12 before February 1, 2006) or an additional 17 weeks (if the
737737 13 accidental injury occurs on or after February 1, 2006)
738738 14 shall be paid, except where the accidental injury results
739739 15 in the amputation of an arm at the shoulder joint, or so
740740 16 close to shoulder joint that an artificial arm cannot be
741741 17 used, or results in the disarticulation of an arm at the
742742 18 shoulder joint, in which case compensation for an
743743 19 additional 65 weeks (if the accidental injury occurs on or
744744 20 after the effective date of this amendatory Act of the
745745 21 94th General Assembly but before February 1, 2006) or an
746746 22 additional 70 weeks (if the accidental injury occurs on or
747747 23 after February 1, 2006) shall be paid.
748748 24 11. Foot-
749749 25 155 weeks if the accidental injury occurs on or
750750 26 after the effective date of this amendatory Act of the
751751
752752
753753
754754
755755
756756 SB1503 - 20 - LRB104 08239 SPS 18289 b
757757
758758
759759 SB1503- 21 -LRB104 08239 SPS 18289 b SB1503 - 21 - LRB104 08239 SPS 18289 b
760760 SB1503 - 21 - LRB104 08239 SPS 18289 b
761761 1 94th General Assembly but before February 1, 2006.
762762 2 167 weeks if the accidental injury occurs on or
763763 3 after February 1, 2006.
764764 4 12. Leg-
765765 5 200 weeks if the accidental injury occurs on or
766766 6 after the effective date of this amendatory Act of the
767767 7 94th General Assembly but before February 1, 2006.
768768 8 215 weeks if the accidental injury occurs on or
769769 9 after February 1, 2006.
770770 10 Where an accidental injury results in the amputation
771771 11 of a leg below the knee, such injury shall be compensated
772772 12 as loss of a leg. Where an accidental injury results in the
773773 13 amputation of a leg above the knee, compensation for an
774774 14 additional 25 weeks (if the accidental injury occurs on or
775775 15 after the effective date of this amendatory Act of the
776776 16 94th General Assembly but before February 1, 2006) or an
777777 17 additional 27 weeks (if the accidental injury occurs on or
778778 18 after February 1, 2006) shall be paid, except where the
779779 19 accidental injury results in the amputation of a leg at
780780 20 the hip joint, or so close to the hip joint that an
781781 21 artificial leg cannot be used, or results in the
782782 22 disarticulation of a leg at the hip joint, in which case
783783 23 compensation for an additional 75 weeks (if the accidental
784784 24 injury occurs on or after the effective date of this
785785 25 amendatory Act of the 94th General Assembly but before
786786 26 February 1, 2006) or an additional 81 weeks (if the
787787
788788
789789
790790
791791
792792 SB1503 - 21 - LRB104 08239 SPS 18289 b
793793
794794
795795 SB1503- 22 -LRB104 08239 SPS 18289 b SB1503 - 22 - LRB104 08239 SPS 18289 b
796796 SB1503 - 22 - LRB104 08239 SPS 18289 b
797797 1 accidental injury occurs on or after February 1, 2006)
798798 2 shall be paid.
799799 3 13. Eye-
800800 4 150 weeks if the accidental injury occurs on or
801801 5 after the effective date of this amendatory Act of the
802802 6 94th General Assembly but before February 1, 2006.
803803 7 162 weeks if the accidental injury occurs on or
804804 8 after February 1, 2006.
805805 9 Where an accidental injury results in the enucleation
806806 10 of an eye, compensation for an additional 10 weeks (if the
807807 11 accidental injury occurs on or after the effective date of
808808 12 this amendatory Act of the 94th General Assembly but
809809 13 before February 1, 2006) or an additional 11 weeks (if the
810810 14 accidental injury occurs on or after February 1, 2006)
811811 15 shall be paid.
812812 16 14. Loss of hearing of one ear-
813813 17 50 weeks if the accidental injury occurs on or
814814 18 after the effective date of this amendatory Act of the
815815 19 94th General Assembly but before February 1, 2006.
816816 20 54 weeks if the accidental injury occurs on or
817817 21 after February 1, 2006.
818818 22 Total and permanent loss of hearing of both ears-
819819 23 200 weeks if the accidental injury occurs on or
820820 24 after the effective date of this amendatory Act of the
821821 25 94th General Assembly but before February 1, 2006.
822822 26 215 weeks if the accidental injury occurs on or
823823
824824
825825
826826
827827
828828 SB1503 - 22 - LRB104 08239 SPS 18289 b
829829
830830
831831 SB1503- 23 -LRB104 08239 SPS 18289 b SB1503 - 23 - LRB104 08239 SPS 18289 b
832832 SB1503 - 23 - LRB104 08239 SPS 18289 b
833833 1 after February 1, 2006.
834834 2 15. Testicle-
835835 3 50 weeks if the accidental injury occurs on or
836836 4 after the effective date of this amendatory Act of the
837837 5 94th General Assembly but before February 1, 2006.
838838 6 54 weeks if the accidental injury occurs on or
839839 7 after February 1, 2006.
840840 8 Both testicles-
841841 9 150 weeks if the accidental injury occurs on or
842842 10 after the effective date of this amendatory Act of the
843843 11 94th General Assembly but before February 1, 2006.
844844 12 162 weeks if the accidental injury occurs on or
845845 13 after February 1, 2006.
846846 14 16. For the permanent partial loss of use of a member
847847 15 or sight of an eye, or hearing of an ear, compensation
848848 16 during that proportion of the number of weeks in the
849849 17 foregoing schedule provided for the loss of such member or
850850 18 sight of an eye, or hearing of an ear, which the partial
851851 19 loss of use thereof bears to the total loss of use of such
852852 20 member, or sight of eye, or hearing of an ear.
853853 21 (a) Loss of hearing for compensation purposes
854854 22 shall be confined to the frequencies of 1,000, 2,000
855855 23 and 3,000 cycles per second. Loss of hearing ability
856856 24 for frequency tones above 3,000 cycles per second are
857857 25 not to be considered as constituting disability for
858858 26 hearing.
859859
860860
861861
862862
863863
864864 SB1503 - 23 - LRB104 08239 SPS 18289 b
865865
866866
867867 SB1503- 24 -LRB104 08239 SPS 18289 b SB1503 - 24 - LRB104 08239 SPS 18289 b
868868 SB1503 - 24 - LRB104 08239 SPS 18289 b
869869 1 (b) The percent of hearing loss, for purposes of
870870 2 the determination of compensation claims for
871871 3 occupational deafness, shall be calculated as the
872872 4 average in decibels for the thresholds of hearing for
873873 5 the frequencies of 1,000, 2,000 and 3,000 cycles per
874874 6 second. Pure tone air conduction audiometric
875875 7 instruments, approved by nationally recognized
876876 8 authorities in this field, shall be used for measuring
877877 9 hearing loss. If the losses of hearing average 30
878878 10 decibels or less in the 3 frequencies, such losses of
879879 11 hearing shall not then constitute any compensable
880880 12 hearing disability. If the losses of hearing average
881881 13 85 decibels or more in the 3 frequencies, then the same
882882 14 shall constitute and be total or 100% compensable
883883 15 hearing loss.
884884 16 (c) In measuring hearing impairment, the lowest
885885 17 measured losses in each of the 3 frequencies shall be
886886 18 added together and divided by 3 to determine the
887887 19 average decibel loss. For every decibel of loss
888888 20 exceeding 30 decibels an allowance of 1.82% shall be
889889 21 made up to the maximum of 100% which is reached at 85
890890 22 decibels.
891891 23 (d) If a hearing loss is established to have
892892 24 existed on July 1, 1975 by audiometric testing the
893893 25 employer shall not be liable for the previous loss so
894894 26 established nor shall he be liable for any loss for
895895
896896
897897
898898
899899
900900 SB1503 - 24 - LRB104 08239 SPS 18289 b
901901
902902
903903 SB1503- 25 -LRB104 08239 SPS 18289 b SB1503 - 25 - LRB104 08239 SPS 18289 b
904904 SB1503 - 25 - LRB104 08239 SPS 18289 b
905905 1 which compensation has been paid or awarded.
906906 2 (e) No consideration shall be given to the
907907 3 question of whether or not the ability of an employee
908908 4 to understand speech is improved by the use of a
909909 5 hearing aid.
910910 6 (f) No claim for loss of hearing due to industrial
911911 7 noise shall be brought against an employer or allowed
912912 8 unless the employee has been exposed for a period of
913913 9 time sufficient to cause permanent impairment to noise
914914 10 levels in excess of the following:
915915 11Sound Level DBA12Slow ResponseHours Per Day13908149261595416973171002181021-1/2191051201101/2211151/4 11 Sound Level DBA 12 Slow Response Hours Per Day 13 90 8 14 92 6 15 95 4 16 97 3 17 100 2 18 102 1-1/2 19 105 1 20 110 1/2 21 115 1/4
916916 11 Sound Level DBA
917917 12 Slow Response Hours Per Day
918918 13 90 8
919919 14 92 6
920920 15 95 4
921921 16 97 3
922922 17 100 2
923923 18 102 1-1/2
924924 19 105 1
925925 20 110 1/2
926926 21 115 1/4
927927 22 This subparagraph (f) shall not be applied in cases of
928928 23 hearing loss resulting from trauma or explosion.
929929 24 17. In computing the compensation to be paid to any
930930 25 employee who, before the accident for which he claims
931931 26 compensation, had before that time sustained an injury
932932
933933
934934
935935
936936
937937 SB1503 - 25 - LRB104 08239 SPS 18289 b
938938
939939
940940 11 Sound Level DBA
941941 12 Slow Response Hours Per Day
942942 13 90 8
943943 14 92 6
944944 15 95 4
945945 16 97 3
946946 17 100 2
947947 18 102 1-1/2
948948 19 105 1
949949 20 110 1/2
950950 21 115 1/4
951951
952952
953953 SB1503- 26 -LRB104 08239 SPS 18289 b SB1503 - 26 - LRB104 08239 SPS 18289 b
954954 SB1503 - 26 - LRB104 08239 SPS 18289 b
955955 1 resulting in the loss by amputation or partial loss by
956956 2 amputation of any member, including hand, arm, thumb or
957957 3 fingers, leg, foot or any toes, such loss or partial loss
958958 4 of any such member shall be deducted from any award made
959959 5 for the subsequent injury. For the permanent loss of use
960960 6 or the permanent partial loss of use of any such member or
961961 7 the partial loss of sight of an eye, for which
962962 8 compensation has been paid, then such loss shall be taken
963963 9 into consideration and deducted from any award for the
964964 10 subsequent injury.
965965 11 18. The specific case of loss of both hands, both
966966 12 arms, or both feet, or both legs, or both eyes, or of any
967967 13 two thereof, or the permanent and complete loss of the use
968968 14 thereof, constitutes total and permanent disability, to be
969969 15 compensated according to the compensation fixed by
970970 16 paragraph (f) of this Section. These specific cases of
971971 17 total and permanent disability do not exclude other cases.
972972 18 Any employee who has previously suffered the loss or
973973 19 permanent and complete loss of the use of any of such
974974 20 members, and in a subsequent independent accident loses
975975 21 another or suffers the permanent and complete loss of the
976976 22 use of any one of such members the employer for whom the
977977 23 injured employee is working at the time of the last
978978 24 independent accident is liable to pay compensation only
979979 25 for the loss or permanent and complete loss of the use of
980980 26 the member occasioned by the last independent accident.
981981
982982
983983
984984
985985
986986 SB1503 - 26 - LRB104 08239 SPS 18289 b
987987
988988
989989 SB1503- 27 -LRB104 08239 SPS 18289 b SB1503 - 27 - LRB104 08239 SPS 18289 b
990990 SB1503 - 27 - LRB104 08239 SPS 18289 b
991991 1 19. In a case of specific loss and the subsequent
992992 2 death of such injured employee from other causes than such
993993 3 injury leaving a widow, widower, or dependents surviving
994994 4 before payment or payment in full for such injury, then
995995 5 the amount due for such injury is payable to the widow or
996996 6 widower and, if there be no widow or widower, then to such
997997 7 dependents, in the proportion which such dependency bears
998998 8 to total dependency.
999999 9 Beginning July 1, 1980, and every 6 months thereafter, the
10001000 10 Commission shall examine the Second Injury Fund and when,
10011001 11 after deducting all advances or loans made to such Fund, the
10021002 12 amount therein is $500,000 then the amount required to be paid
10031003 13 by employers pursuant to paragraph (f) of Section 7 shall be
10041004 14 reduced by one-half. When the Second Injury Fund reaches the
10051005 15 sum of $600,000 then the payments shall cease entirely.
10061006 16 However, when the Second Injury Fund has been reduced to
10071007 17 $400,000, payment of one-half of the amounts required by
10081008 18 paragraph (f) of Section 7 shall be resumed, in the manner
10091009 19 herein provided, and when the Second Injury Fund has been
10101010 20 reduced to $300,000, payment of the full amounts required by
10111011 21 paragraph (f) of Section 7 shall be resumed, in the manner
10121012 22 herein provided. The Commission shall make the changes in
10131013 23 payment effective by general order, and the changes in payment
10141014 24 become immediately effective for all cases coming before the
10151015 25 Commission thereafter either by settlement agreement or final
10161016 26 order, irrespective of the date of the accidental injury.
10171017
10181018
10191019
10201020
10211021
10221022 SB1503 - 27 - LRB104 08239 SPS 18289 b
10231023
10241024
10251025 SB1503- 28 -LRB104 08239 SPS 18289 b SB1503 - 28 - LRB104 08239 SPS 18289 b
10261026 SB1503 - 28 - LRB104 08239 SPS 18289 b
10271027 1 On August 1, 1996 and on February 1 and August 1 of each
10281028 2 subsequent year, the Commission shall examine the special fund
10291029 3 designated as the "Rate Adjustment Fund" and when, after
10301030 4 deducting all advances or loans made to said fund, the amount
10311031 5 therein is $4,000,000, the amount required to be paid by
10321032 6 employers pursuant to paragraph (f) of Section 7 shall be
10331033 7 reduced by one-half. When the Rate Adjustment Fund reaches the
10341034 8 sum of $5,000,000 the payment therein shall cease entirely.
10351035 9 However, when said Rate Adjustment Fund has been reduced to
10361036 10 $3,000,000 the amounts required by paragraph (f) of Section 7
10371037 11 shall be resumed in the manner herein provided.
10381038 12 (f) In case of complete disability, which renders the
10391039 13 employee wholly and permanently incapable of work, or in the
10401040 14 specific case of total and permanent disability as provided in
10411041 15 subparagraph 18 of paragraph (e) of this Section, compensation
10421042 16 shall be payable at the rate provided in subparagraph 2 of
10431043 17 paragraph (b) of this Section for life.
10441044 18 An employee entitled to benefits under paragraph (f) of
10451045 19 this Section shall also be entitled to receive from the Rate
10461046 20 Adjustment Fund provided in paragraph (f) of Section 7 of the
10471047 21 supplementary benefits provided in paragraph (g) of this
10481048 22 Section 8.
10491049 23 If any employee who receives an award under this paragraph
10501050 24 afterwards returns to work or is able to do so, and earns or is
10511051 25 able to earn as much as before the accident, payments under
10521052 26 such award shall cease. If such employee returns to work, or is
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10631063 1 able to do so, and earns or is able to earn part but not as
10641064 2 much as before the accident, such award shall be modified so as
10651065 3 to conform to an award under paragraph (d) of this Section. If
10661066 4 such award is terminated or reduced under the provisions of
10671067 5 this paragraph, such employees have the right at any time
10681068 6 within 30 months after the date of such termination or
10691069 7 reduction to file petition with the Commission for the purpose
10701070 8 of determining whether any disability exists as a result of
10711071 9 the original accidental injury and the extent thereof.
10721072 10 Disability as enumerated in subdivision 18, paragraph (e)
10731073 11 of this Section is considered complete disability.
10741074 12 If an employee who had previously incurred loss or the
10751075 13 permanent and complete loss of use of one member, through the
10761076 14 loss or the permanent and complete loss of the use of one hand,
10771077 15 one arm, one foot, one leg, or one eye, incurs permanent and
10781078 16 complete disability through the loss or the permanent and
10791079 17 complete loss of the use of another member, he shall receive,
10801080 18 in addition to the compensation payable by the employer and
10811081 19 after such payments have ceased, an amount from the Second
10821082 20 Injury Fund provided for in paragraph (f) of Section 7, which,
10831083 21 together with the compensation payable from the employer in
10841084 22 whose employ he was when the last accidental injury was
10851085 23 incurred, will equal the amount payable for permanent and
10861086 24 complete disability as provided in this paragraph of this
10871087 25 Section.
10881088 26 The custodian of the Second Injury Fund provided for in
10891089
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10991099 1 paragraph (f) of Section 7 shall be joined with the employer as
11001100 2 a party respondent in the application for adjustment of claim.
11011101 3 The application for adjustment of claim shall state briefly
11021102 4 and in general terms the approximate time and place and manner
11031103 5 of the loss of the first member.
11041104 6 In its award the Commission or the Arbitrator shall
11051105 7 specifically find the amount the injured employee shall be
11061106 8 weekly paid, the number of weeks compensation which shall be
11071107 9 paid by the employer, the date upon which payments begin out of
11081108 10 the Second Injury Fund provided for in paragraph (f) of
11091109 11 Section 7 of this Act, the length of time the weekly payments
11101110 12 continue, the date upon which the pension payments commence
11111111 13 and the monthly amount of the payments. The Commission shall
11121112 14 30 days after the date upon which payments out of the Second
11131113 15 Injury Fund have begun as provided in the award, and every
11141114 16 month thereafter, prepare and submit to the State Comptroller
11151115 17 a voucher for payment for all compensation accrued to that
11161116 18 date at the rate fixed by the Commission. The State
11171117 19 Comptroller shall draw a warrant to the injured employee along
11181118 20 with a receipt to be executed by the injured employee and
11191119 21 returned to the Commission. The endorsed warrant and receipt
11201120 22 is a full and complete acquittance to the Commission for the
11211121 23 payment out of the Second Injury Fund. No other appropriation
11221122 24 or warrant is necessary for payment out of the Second Injury
11231123 25 Fund. The Second Injury Fund is appropriated for the purpose
11241124 26 of making payments according to the terms of the awards.
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11351135 1 As of July 1, 1980 to July 1, 1982, all claims against and
11361136 2 obligations of the Second Injury Fund shall become claims
11371137 3 against and obligations of the Rate Adjustment Fund to the
11381138 4 extent there is insufficient money in the Second Injury Fund
11391139 5 to pay such claims and obligations. In that case, all
11401140 6 references to "Second Injury Fund" in this Section shall also
11411141 7 include the Rate Adjustment Fund.
11421142 8 (g) Every award for permanent total disability entered by
11431143 9 the Commission on and after July 1, 1965 under which
11441144 10 compensation payments shall become due and payable after the
11451145 11 effective date of this amendatory Act, and every award for
11461146 12 death benefits or permanent total disability entered by the
11471147 13 Commission on and after the effective date of this amendatory
11481148 14 Act shall be subject to annual adjustments as to the amount of
11491149 15 the compensation rate therein provided. Such adjustments shall
11501150 16 first be made on July 15, 1977, and all awards made and entered
11511151 17 prior to July 1, 1975 and on July 15 of each year thereafter.
11521152 18 In all other cases such adjustment shall be made on July 15 of
11531153 19 the second year next following the date of the entry of the
11541154 20 award and shall further be made on July 15 annually
11551155 21 thereafter. If during the intervening period from the date of
11561156 22 the entry of the award, or the last periodic adjustment, there
11571157 23 shall have been an increase in the State's average weekly wage
11581158 24 in covered industries under the Unemployment Insurance Act,
11591159 25 the weekly compensation rate shall be proportionately
11601160 26 increased by the same percentage as the percentage of increase
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11621162
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11711171 1 in the State's average weekly wage in covered industries under
11721172 2 the Unemployment Insurance Act. The increase in the
11731173 3 compensation rate under this paragraph shall in no event bring
11741174 4 the total compensation rate to an amount greater than the
11751175 5 prevailing maximum rate at the time that the annual adjustment
11761176 6 is made. Such increase shall be paid in the same manner as
11771177 7 herein provided for payments under the Second Injury Fund to
11781178 8 the injured employee, or his dependents, as the case may be,
11791179 9 out of the Rate Adjustment Fund provided in paragraph (f) of
11801180 10 Section 7 of this Act. Payments shall be made at the same
11811181 11 intervals as provided in the award or, at the option of the
11821182 12 Commission, may be made in quarterly payment on the 15th day of
11831183 13 January, April, July and October of each year. In the event of
11841184 14 a decrease in such average weekly wage there shall be no change
11851185 15 in the then existing compensation rate. The within paragraph
11861186 16 shall not apply to cases where there is disputed liability and
11871187 17 in which a compromise lump sum settlement between the employer
11881188 18 and the injured employee, or his dependents, as the case may
11891189 19 be, has been duly approved by the Illinois Workers'
11901190 20 Compensation Commission.
11911191 21 Provided, that in cases of awards entered by the
11921192 22 Commission for injuries occurring before July 1, 1975, the
11931193 23 increases in the compensation rate adjusted under the
11941194 24 foregoing provision of this paragraph (g) shall be limited to
11951195 25 increases in the State's average weekly wage in covered
11961196 26 industries under the Unemployment Insurance Act occurring
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12071207 1 after July 1, 1975.
12081208 2 For every accident occurring on or after July 20, 2005 but
12091209 3 before the effective date of this amendatory Act of the 94th
12101210 4 General Assembly (Senate Bill 1283 of the 94th General
12111211 5 Assembly), the annual adjustments to the compensation rate in
12121212 6 awards for death benefits or permanent total disability, as
12131213 7 provided in this Act, shall be paid by the employer. The
12141214 8 adjustment shall be made by the employer on July 15 of the
12151215 9 second year next following the date of the entry of the award
12161216 10 and shall further be made on July 15 annually thereafter. If
12171217 11 during the intervening period from the date of the entry of the
12181218 12 award, or the last periodic adjustment, there shall have been
12191219 13 an increase in the State's average weekly wage in covered
12201220 14 industries under the Unemployment Insurance Act, the employer
12211221 15 shall increase the weekly compensation rate proportionately by
12221222 16 the same percentage as the percentage of increase in the
12231223 17 State's average weekly wage in covered industries under the
12241224 18 Unemployment Insurance Act. The increase in the compensation
12251225 19 rate under this paragraph shall in no event bring the total
12261226 20 compensation rate to an amount greater than the prevailing
12271227 21 maximum rate at the time that the annual adjustment is made. In
12281228 22 the event of a decrease in such average weekly wage there shall
12291229 23 be no change in the then existing compensation rate. Such
12301230 24 increase shall be paid by the employer in the same manner and
12311231 25 at the same intervals as the payment of compensation in the
12321232 26 award. This paragraph shall not apply to cases where there is
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12431243 1 disputed liability and in which a compromise lump sum
12441244 2 settlement between the employer and the injured employee, or
12451245 3 his or her dependents, as the case may be, has been duly
12461246 4 approved by the Illinois Workers' Compensation Commission.
12471247 5 The annual adjustments for every award of death benefits
12481248 6 or permanent total disability involving accidents occurring
12491249 7 before July 20, 2005 and accidents occurring on or after the
12501250 8 effective date of this amendatory Act of the 94th General
12511251 9 Assembly (Senate Bill 1283 of the 94th General Assembly) shall
12521252 10 continue to be paid from the Rate Adjustment Fund pursuant to
12531253 11 this paragraph and Section 7(f) of this Act.
12541254 12 (h) In case death occurs from any cause before the total
12551255 13 compensation to which the employee would have been entitled
12561256 14 has been paid, then in case the employee leaves any widow,
12571257 15 widower, child, parent (or any grandchild, grandparent or
12581258 16 other lineal heir or any collateral heir dependent at the time
12591259 17 of the accident upon the earnings of the employee to the extent
12601260 18 of 50% or more of total dependency) such compensation shall be
12611261 19 paid to the beneficiaries of the deceased employee and
12621262 20 distributed as provided in paragraph (g) of Section 7.
12631263 21 (h-1) In case an injured employee is under legal
12641264 22 disability at the time when any right or privilege accrues to
12651265 23 him or her under this Act, a guardian may be appointed pursuant
12661266 24 to law, and may, on behalf of such person under legal
12671267 25 disability, claim and exercise any such right or privilege
12681268 26 with the same effect as if the employee himself or herself had
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12791279 1 claimed or exercised the right or privilege. No limitations of
12801280 2 time provided by this Act run so long as the employee who is
12811281 3 under legal disability is without a conservator or guardian.
12821282 4 (i) In case the injured employee is under 16 years of age
12831283 5 at the time of the accident and is illegally employed, the
12841284 6 amount of compensation payable under paragraphs (b), (c), (d),
12851285 7 (e) and (f) of this Section is increased 50%.
12861286 8 However, where an employer has on file an employment
12871287 9 certificate issued pursuant to the Child Labor Law of 2024 or
12881288 10 work permit issued pursuant to the Federal Fair Labor
12891289 11 Standards Act, as amended, or a birth certificate properly and
12901290 12 duly issued, such certificate, permit or birth certificate is
12911291 13 conclusive evidence as to the age of the injured minor
12921292 14 employee for the purposes of this Section.
12931293 15 Nothing herein contained repeals or amends the provisions
12941294 16 of the Child Labor Law of 2024 relating to the employment of
12951295 17 minors under the age of 16 years.
12961296 18 (j) 1. In the event the injured employee receives
12971297 19 benefits, including medical, surgical or hospital benefits
12981298 20 under any group plan covering non-occupational disabilities
12991299 21 contributed to wholly or partially by the employer, which
13001300 22 benefits should not have been payable if any rights of
13011301 23 recovery existed under this Act, then such amounts so paid to
13021302 24 the employee from any such group plan as shall be consistent
13031303 25 with, and limited to, the provisions of paragraph 2 hereof,
13041304 26 shall be credited to or against any compensation payment for
13051305
13061306
13071307
13081308
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13151315 1 temporary total incapacity for work or any medical, surgical
13161316 2 or hospital benefits made or to be made under this Act. In such
13171317 3 event, the period of time for giving notice of accidental
13181318 4 injury and filing application for adjustment of claim does not
13191319 5 commence to run until the termination of such payments. This
13201320 6 paragraph does not apply to payments made under any group plan
13211321 7 which would have been payable irrespective of an accidental
13221322 8 injury under this Act. Any employer receiving such credit
13231323 9 shall keep such employee safe and harmless from any and all
13241324 10 claims or liabilities that may be made against him by reason of
13251325 11 having received such payments only to the extent of such
13261326 12 credit.
13271327 13 Any excess benefits paid to or on behalf of a State
13281328 14 employee by the State Employees' Retirement System under
13291329 15 Article 14 of the Illinois Pension Code on a death claim or
13301330 16 disputed disability claim shall be credited against any
13311331 17 payments made or to be made by the State of Illinois to or on
13321332 18 behalf of such employee under this Act, except for payments
13331333 19 for medical expenses which have already been incurred at the
13341334 20 time of the award. The State of Illinois shall directly
13351335 21 reimburse the State Employees' Retirement System to the extent
13361336 22 of such credit.
13371337 23 2. Nothing contained in this Act shall be construed to
13381338 24 give the employer or the insurance carrier the right to credit
13391339 25 for any benefits or payments received by the employee other
13401340 26 than compensation payments provided by this Act, and where the
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13511351 1 employee receives payments other than compensation payments,
13521352 2 whether as full or partial salary, group insurance benefits,
13531353 3 bonuses, annuities or any other payments, the employer or
13541354 4 insurance carrier shall receive credit for each such payment
13551355 5 only to the extent of the compensation that would have been
13561356 6 payable during the period covered by such payment.
13571357 7 3. The extension of time for the filing of an Application
13581358 8 for Adjustment of Claim as provided in paragraph 1 above shall
13591359 9 not apply to those cases where the time for such filing had
13601360 10 expired prior to the date on which payments or benefits
13611361 11 enumerated herein have been initiated or resumed. Provided
13621362 12 however that this paragraph 3 shall apply only to cases
13631363 13 wherein the payments or benefits hereinabove enumerated shall
13641364 14 be received after July 1, 1969.
13651365 15 (Source: P.A. 103-721, eff. 1-1-25.)
13661366 16 (820 ILCS 305/16) (from Ch. 48, par. 138.16)
13671367 17 Sec. 16. The Commission shall make and publish procedural
13681368 18 rules and orders for carrying out the duties imposed upon it by
13691369 19 law and for determining the extent of disability sustained,
13701370 20 which rules and orders shall be deemed prima facie reasonable
13711371 21 and valid.
13721372 22 The process and procedure before the Commission shall be
13731373 23 as simple and summary as reasonably may be.
13741374 24 The Commission upon application of either party may issue
13751375 25 dedimus potestatem directed to a commissioner, notary public,
13761376
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13861386 1 justice of the peace or any other officer authorized by law to
13871387 2 administer oaths, to take the depositions of such witness or
13881388 3 witnesses as may be necessary in the judgment of such
13891389 4 applicant. The non-prevailing party is responsible for any
13901390 5 costs incurred in deposing a medical practitioner. Such
13911391 6 dedimus potestatem may issue to any of the officers aforesaid
13921392 7 in any state or territory of the United States. When the
13931393 8 deposition of any witness resident of a foreign country is
13941394 9 desired to be taken, the dedimus shall be directed to and the
13951395 10 deposition taken before a consul, vice consul or other
13961396 11 authorized representative of the government of the United
13971397 12 States of America, whose station is in the country where the
13981398 13 witness whose deposition is to be taken resides. In countries
13991399 14 where the government of the United States has no consul or
14001400 15 other diplomatic representative, then depositions in such case
14011401 16 shall be taken through the appropriate judicial authority of
14021402 17 that country; or where treaties provide for other methods of
14031403 18 taking depositions, then the same may be taken as in such
14041404 19 treaties provided. The Commission shall have the power to
14051405 20 adopt necessary rules to govern the issue of such dedimus
14061406 21 potestatem.
14071407 22 The Commission, or any member thereof, or any Arbitrator
14081408 23 designated by the Commission shall have the power to
14091409 24 administer oaths, subpoena and examine witnesses; to issue
14101410 25 subpoenas duces tecum, requiring the production of such books,
14111411 26 papers, records and documents as may be evidence of any matter
14121412
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14221422 1 under inquiry and to examine and inspect the same and such
14231423 2 places or premises as may relate to the question in dispute.
14241424 3 The Commission, or any member thereof, or any Arbitrator
14251425 4 designated by the Commission, shall on written request of
14261426 5 either party to the dispute, issue subpoenas for the
14271427 6 attendance of such witnesses and production of such books,
14281428 7 papers, records and documents as shall be designated in the
14291429 8 applications, and the parties applying for such subpoena shall
14301430 9 advance the officer and witness fees provided for in civil
14311431 10 actions pending in circuit courts of this State, except as
14321432 11 otherwise provided by Section 20 of this Act. Service of such
14331433 12 subpoena shall be made by any sheriff or other person. In case
14341434 13 any person refuses to comply with an order of the Commission or
14351435 14 subpoenas issued by it or by any member thereof, or any
14361436 15 Arbitrator designated by the Commission or to permit an
14371437 16 inspection of places or premises, or to produce any books,
14381438 17 papers, records or documents, or any witness refuses to
14391439 18 testify to any matters regarding which he or she may be
14401440 19 lawfully interrogated, the Circuit Court of the county in
14411441 20 which the hearing or matter is pending, on application of any
14421442 21 member of the Commission or any Arbitrator designated by the
14431443 22 Commission, shall compel obedience by attachment proceedings,
14441444 23 as for contempt, as in a case of disobedience of the
14451445 24 requirements of a subpoena from such court on a refusal to
14461446 25 testify therein.
14471447 26 The records, reports, and bills kept by a treating
14481448
14491449
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14581458 1 hospital, treating physician, or other treating healthcare
14591459 2 provider that renders treatment to the employee as a result of
14601460 3 accidental injuries in question, certified to as true and
14611461 4 correct by the hospital, physician, or other healthcare
14621462 5 provider or by designated agents of the hospital, physician,
14631463 6 or other healthcare provider, showing the medical and surgical
14641464 7 treatment given an injured employee by such hospital,
14651465 8 physician, or other healthcare provider, shall be admissible
14661466 9 without any further proof as evidence of the medical and
14671467 10 surgical matters stated therein, but shall not be conclusive
14681468 11 proof of such matters. There shall be a rebuttable presumption
14691469 12 that any such records, reports, and bills received in response
14701470 13 to Commission subpoena are certified to be true and correct.
14711471 14 This paragraph does not restrict, limit, or prevent the
14721472 15 admissibility of records, reports, or bills that are otherwise
14731473 16 admissible. This provision does not apply to reports prepared
14741474 17 by treating providers for use in litigation.
14751475 18 The Commission at its expense shall provide an official
14761476 19 court reporter to take the testimony and record of proceedings
14771477 20 at the hearings before an Arbitrator or the Commission, who
14781478 21 shall furnish a transcript of such testimony or proceedings to
14791479 22 either party requesting it, upon payment therefor at the rate
14801480 23 of $1.00 per page for the original and 35 cents per page for
14811481 24 each copy of such transcript. Payment for photostatic copies
14821482 25 of exhibits shall be extra. If the Commission has determined,
14831483 26 as provided in Section 20 of this Act, that the employee is a
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14941494 1 poor person, a transcript of such testimony and proceedings,
14951495 2 including photostatic copies of exhibits, shall be furnished
14961496 3 to such employee at the Commission's expense.
14971497 4 The Commission shall have the power to determine the
14981498 5 reasonableness and fix the amount of any fee of compensation
14991499 6 charged by any person, including attorneys, physicians,
15001500 7 surgeons and hospitals, for any service performed in
15011501 8 connection with this Act, or for which payment is to be made
15021502 9 under this Act or rendered in securing any right under this
15031503 10 Act.
15041504 11 Whenever the Commission shall find that the employer, his
15051505 12 or her agent, service company or insurance carrier has been
15061506 13 guilty of delay or unfairness towards an employee in the
15071507 14 adjustment, settlement or payment of benefits due such
15081508 15 employee within the purview of the provisions of paragraph (c)
15091509 16 of Section 4 of this Act; or has been guilty of unreasonable or
15101510 17 vexatious delay, intentional under-payment of compensation
15111511 18 benefits, or has engaged in frivolous defenses which do not
15121512 19 present a real controversy, within the purview of the
15131513 20 provisions of paragraph (k) of Section 19 of this Act, the
15141514 21 Commission shall may assess all or any part of the attorney's
15151515 22 fees and costs against such employer and his or her insurance
15161516 23 carrier.
15171517 24 (Source: P.A. 94-277, eff. 7-20-05.)
15181518 25 (820 ILCS 305/16a) (from Ch. 48, par. 138.16a)
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15291529 1 Sec. 16a. (A) In the establishment or approval of
15301530 2 attorney's fees in relation to claims brought under this Act,
15311531 3 the Commission shall be guided by the provisions of this
15321532 4 Section and by the legislative intent, hereby declared, to
15331533 5 encourage settlement and prompt administrative handling of
15341534 6 such claims and thereby reduce expenses to claimants for
15351535 7 compensation under this Act.
15361536 8 (B) With respect to any and all proceedings in connection
15371537 9 with any initial or original claim under this Act, no claim of
15381538 10 any attorney for services rendered in connection with the
15391539 11 securing of compensation for an employee or his dependents,
15401540 12 whether secured by agreement, order, award or a judgment in
15411541 13 any court shall exceed 20% of the amount of compensation
15421542 14 recovered and paid, unless further fees shall be allowed to
15431543 15 the attorney upon a hearing by the Commission fixing fees, and
15441544 16 subject to the other provisions of this Section. However,
15451545 17 except as hereinafter provided in this Section, in death
15461546 18 cases, total disability cases and partial disability cases,
15471547 19 the amount of an attorney's fees shall not exceed 20% of the
15481548 20 sum which would be due under this Act for 364 weeks of
15491549 21 permanent total disability based upon the employee's average
15501550 22 gross weekly wage prior to the date of the accident and subject
15511551 23 to the maximum weekly benefits provided in this Act unless
15521552 24 further fees shall be allowed to the attorney upon a hearing by
15531553 25 the Commission fixing fees.
15541554 26 (C) All attorneys' fees in connection with the initial or
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15651565 1 original claim for compensation shall be fixed pursuant to a
15661566 2 written contract on forms prescribed by the Commission between
15671567 3 the attorney and the employee or his dependents, and every
15681568 4 attorney, whether the disposition of the original claim is by
15691569 5 agreement, settlement, award, judgment or otherwise, shall
15701570 6 file his contract with the Chairman of the Commission who
15711571 7 shall approve the contract only if it is in accordance with all
15721572 8 provisions of this Section.
15731573 9 (D) No attorneys' fees shall be charged with respect to
15741574 10 compensation for undisputed medical expenses.
15751575 11 (E) No attorneys' fees shall be charged in connection with
15761576 12 any temporary total disability compensation unless the payment
15771577 13 of such compensation in a timely manner or in the proper amount
15781578 14 is refused, or unless such compensation is terminated by the
15791579 15 employer and the payment of such compensation is obtained or
15801580 16 reinstated by the efforts of the attorney, whether by
15811581 17 agreement, settlement, award or judgment.
15821582 18 (F) In the following cases in which there is no dispute
15831583 19 between the parties as to the liability of the respondent to
15841584 20 pay compensation in a timely manner or in the proper amount and
15851585 21 there is no dispute that the accident has resulted in:
15861586 22 (1) the death of the employee; or
15871587 23 (2) a statutory permanent disability; or
15881588 24 (3) the amputation of a finger, toe, or member; or
15891589 25 (4) the removal of a testicle; or
15901590 26 (5) the enucleation of or 100% loss of vision of an
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16011601 1 eye;
16021602 2 the legal fees, if any, for services rendered are to be fixed
16031603 3 by the Illinois Workers' Compensation Commission at a nominal
16041604 4 amount, not exceeding $100.
16051605 5 (G) In the following cases in which there is no dispute
16061606 6 between the parties as to the liability of the respondent to
16071607 7 pay compensation and there is no dispute that the accident has
16081608 8 resulted in:
16091609 9 (1) a fracture of one or more vertebrae; or
16101610 10 (2) a skull fracture; or
16111611 11 (3) a fracture of one or more spinous or transverse
16121612 12 processes; or
16131613 13 (4) a fracture of one or more facial bones; or
16141614 14 (5) the removal of a kidney, spleen or lung;
16151615 15 the legal fees, if any, for services rendered are to be fixed
16161616 16 by the Illinois Workers' Compensation Commission at a nominal
16171617 17 amount, not exceeding $100, provided that the employee is
16181618 18 awarded the minimum amount for the above injuries as specified
16191619 19 in Section 8(d)2.
16201620 20 (H) With regard to any claim where the amount to be paid
16211621 21 for compensation does not exceed the written offer made to the
16221622 22 claimant or claimants by the employer or his agent prior to
16231623 23 representation by an attorney, no fees shall be paid to any
16241624 24 such attorney.
16251625 25 (I) All attorneys' fees for representation of an employee
16261626 26 or his dependents shall be the responsibility of the
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16371637 1 non-prevailing employer only recoverable from compensation
16381638 2 actually paid to such employee or dependents.
16391639 3 (J) Any and all disputes regarding attorneys' fees,
16401640 4 whether such disputes relate to which one or more attorneys
16411641 5 represents the claimant or claimants or is entitled to the
16421642 6 attorneys' fees, or a division of attorneys' fees where the
16431643 7 claimant or claimants are or have been represented by more
16441644 8 than one attorney, or any other disputes concerning attorneys'
16451645 9 fees or contracts for attorneys' fees, shall be heard and
16461646 10 determined by the Commission after reasonable notice to all
16471647 11 interested parties and attorneys.
16481648 12 (K) After reasonable notice and hearing before the
16491649 13 Commission, any attorney found to be in violation of any
16501650 14 provision of this Section shall be required to make
16511651 15 restitution of any excess fees charged plus interest at a
16521652 16 reasonable rate as determined by the Commission.
16531653 17 (Source: P.A. 93-721, eff. 1-1-05.)
16541654 18 (820 ILCS 305/19) (from Ch. 48, par. 138.19)
16551655 19 Sec. 19. Any disputed questions of law or fact shall be
16561656 20 determined as herein provided.
16571657 21 (a) It shall be the duty of the Commission upon
16581658 22 notification that the parties have failed to reach an
16591659 23 agreement, to designate an Arbitrator.
16601660 24 1. Whenever any claimant misconceives his remedy and
16611661 25 files an application for adjustment of claim under this
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16721672 1 Act and it is subsequently discovered, at any time before
16731673 2 final disposition of such cause, that the claim for
16741674 3 disability or death which was the basis for such
16751675 4 application should properly have been made under the
16761676 5 Workers' Occupational Diseases Act, then the provisions of
16771677 6 Section 19, paragraph (a-1) of the Workers' Occupational
16781678 7 Diseases Act having reference to such application shall
16791679 8 apply.
16801680 9 2. Whenever any claimant misconceives his remedy and
16811681 10 files an application for adjustment of claim under the
16821682 11 Workers' Occupational Diseases Act and it is subsequently
16831683 12 discovered, at any time before final disposition of such
16841684 13 cause that the claim for injury or death which was the
16851685 14 basis for such application should properly have been made
16861686 15 under this Act, then the application so filed under the
16871687 16 Workers' Occupational Diseases Act may be amended in form,
16881688 17 substance or both to assert claim for such disability or
16891689 18 death under this Act and it shall be deemed to have been so
16901690 19 filed as amended on the date of the original filing
16911691 20 thereof, and such compensation may be awarded as is
16921692 21 warranted by the whole evidence pursuant to this Act. When
16931693 22 such amendment is submitted, further or additional
16941694 23 evidence may be heard by the Arbitrator or Commission when
16951695 24 deemed necessary. Nothing in this Section contained shall
16961696 25 be construed to be or permit a waiver of any provisions of
16971697 26 this Act with reference to notice but notice if given
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17081708 1 shall be deemed to be a notice under the provisions of this
17091709 2 Act if given within the time required herein.
17101710 3 (b) The Arbitrator shall make such inquiries and
17111711 4 investigations as he or they shall deem necessary and may
17121712 5 examine and inspect all books, papers, records, places, or
17131713 6 premises relating to the questions in dispute and hear such
17141714 7 proper evidence as the parties may submit.
17151715 8 The hearings before the Arbitrator shall be held in the
17161716 9 vicinity where the injury occurred after 10 days' notice of
17171717 10 the time and place of such hearing shall have been given to
17181718 11 each of the parties or their attorneys of record.
17191719 12 The Arbitrator may find that the disabling condition is
17201720 13 temporary and has not yet reached a permanent condition and
17211721 14 may order the payment of compensation up to the date of the
17221722 15 hearing, which award shall be reviewable and enforceable in
17231723 16 the same manner as other awards, and in no instance be a bar to
17241724 17 a further hearing and determination of a further amount of
17251725 18 temporary total compensation or of compensation for permanent
17261726 19 disability, but shall be conclusive as to all other questions
17271727 20 except the nature and extent of said disability.
17281728 21 The decision of the Arbitrator shall be filed with the
17291729 22 Commission which Commission shall immediately send to each
17301730 23 party or his attorney a copy of such decision, together with a
17311731 24 notification of the time when it was filed. As of the effective
17321732 25 date of this amendatory Act of the 94th General Assembly, all
17331733 26 decisions of the Arbitrator shall set forth in writing
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17441744 1 findings of fact and conclusions of law, separately stated, if
17451745 2 requested by either party. Unless a petition for review is
17461746 3 filed by either party within 30 days after the receipt by such
17471747 4 party of the copy of the decision and notification of time when
17481748 5 filed, and unless such party petitioning for a review shall
17491749 6 within 35 days after the receipt by him of the copy of the
17501750 7 decision, file with the Commission either an agreed statement
17511751 8 of the facts appearing upon the hearing before the Arbitrator,
17521752 9 or if such party shall so elect a correct transcript of
17531753 10 evidence of the proceedings at such hearings, then the
17541754 11 decision shall become the decision of the Commission and in
17551755 12 the absence of fraud shall be conclusive. The Petition for
17561756 13 Review shall contain a statement of the petitioning party's
17571757 14 specific exceptions to the decision of the arbitrator. The
17581758 15 jurisdiction of the Commission to review the decision of the
17591759 16 arbitrator shall not be limited to the exceptions stated in
17601760 17 the Petition for Review. The Commission, or any member
17611761 18 thereof, may grant further time not exceeding 30 days, in
17621762 19 which to file such agreed statement or transcript of evidence.
17631763 20 Such agreed statement of facts or correct transcript of
17641764 21 evidence, as the case may be, shall be authenticated by the
17651765 22 signatures of the parties or their attorneys, and in the event
17661766 23 they do not agree as to the correctness of the transcript of
17671767 24 evidence it shall be authenticated by the signature of the
17681768 25 Arbitrator designated by the Commission.
17691769 26 Whether the employee is working or not, if the employee is
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17801780 1 not receiving or has not received medical, surgical, or
17811781 2 hospital services or other services or compensation as
17821782 3 provided in paragraph (a) of Section 8, or compensation as
17831783 4 provided in paragraph (b) of Section 8, the employee may at any
17841784 5 time petition for an expedited hearing by an Arbitrator on the
17851785 6 issue of whether or not he or she is entitled to receive
17861786 7 payment of the services or compensation. Provided the employer
17871787 8 continues to pay compensation pursuant to paragraph (b) of
17881788 9 Section 8, the employer may at any time petition for an
17891789 10 expedited hearing on the issue of whether or not the employee
17901790 11 is entitled to receive medical, surgical, or hospital services
17911791 12 or other services or compensation as provided in paragraph (a)
17921792 13 of Section 8, or compensation as provided in paragraph (b) of
17931793 14 Section 8. When an employer has petitioned for an expedited
17941794 15 hearing, the employer shall continue to pay compensation as
17951795 16 provided in paragraph (b) of Section 8 unless the arbitrator
17961796 17 renders a decision that the employee is not entitled to the
17971797 18 benefits that are the subject of the expedited hearing or
17981798 19 unless the employee's treating physician has released the
17991799 20 employee to return to work at his or her regular job with the
18001800 21 employer or the employee actually returns to work at any other
18011801 22 job. If the arbitrator renders a decision that the employee is
18021802 23 not entitled to the benefits that are the subject of the
18031803 24 expedited hearing, a petition for review filed by the employee
18041804 25 shall receive the same priority as if the employee had filed a
18051805 26 petition for an expedited hearing by an Arbitrator. Neither
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18161816 1 party shall be entitled to an expedited hearing when the
18171817 2 employee has returned to work and the sole issue in dispute
18181818 3 amounts to less than 12 weeks of unpaid compensation pursuant
18191819 4 to paragraph (b) of Section 8.
18201820 5 Expedited hearings shall have priority over all other
18211821 6 petitions and shall be heard by the Arbitrator and Commission
18221822 7 with all convenient speed. Any party requesting an expedited
18231823 8 hearing shall give notice of a request for an expedited
18241824 9 hearing under this paragraph. A copy of the Application for
18251825 10 Adjustment of Claim shall be attached to the notice. The
18261826 11 Commission shall adopt rules and procedures under which the
18271827 12 final decision of the Commission under this paragraph is filed
18281828 13 not later than 180 days from the date that the Petition for
18291829 14 Review is filed with the Commission.
18301830 15 Where 2 or more insurance carriers, private self-insureds,
18311831 16 or a group workers' compensation pool under Article V 3/4 of
18321832 17 the Illinois Insurance Code dispute coverage for the same
18331833 18 injury, any such insurance carrier, private self-insured, or
18341834 19 group workers' compensation pool may request an expedited
18351835 20 hearing pursuant to this paragraph to determine the issue of
18361836 21 coverage, provided coverage is the only issue in dispute and
18371837 22 all other issues are stipulated and agreed to and further
18381838 23 provided that all compensation benefits including medical
18391839 24 benefits pursuant to Section 8(a) continue to be paid to or on
18401840 25 behalf of petitioner. Any insurance carrier, private
18411841 26 self-insured, or group workers' compensation pool that is
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18521852 1 determined to be liable for coverage for the injury in issue
18531853 2 shall reimburse any insurance carrier, private self-insured,
18541854 3 or group workers' compensation pool that has paid benefits to
18551855 4 or on behalf of petitioner for the injury.
18561856 5 (b-1) If the employee is not receiving medical, surgical
18571857 6 or hospital services as provided in paragraph (a) of Section 8
18581858 7 or compensation as provided in paragraph (b) of Section 8, the
18591859 8 employee, in accordance with Commission Rules, may file a
18601860 9 petition for an emergency hearing by an Arbitrator on the
18611861 10 issue of whether or not he is entitled to receive payment of
18621862 11 such compensation or services as provided therein. Such
18631863 12 petition shall have priority over all other petitions and
18641864 13 shall be heard by the Arbitrator and Commission with all
18651865 14 convenient speed.
18661866 15 Such petition shall contain the following information and
18671867 16 shall be served on the employer at least 15 days before it is
18681868 17 filed:
18691869 18 (i) the date and approximate time of accident;
18701870 19 (ii) the approximate location of the accident;
18711871 20 (iii) a description of the accident;
18721872 21 (iv) the nature of the injury incurred by the
18731873 22 employee;
18741874 23 (v) the identity of the person, if known, to whom the
18751875 24 accident was reported and the date on which it was
18761876 25 reported;
18771877 26 (vi) the name and title of the person, if known,
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18881888 1 representing the employer with whom the employee conferred
18891889 2 in any effort to obtain compensation pursuant to paragraph
18901890 3 (b) of Section 8 of this Act or medical, surgical or
18911891 4 hospital services pursuant to paragraph (a) of Section 8
18921892 5 of this Act and the date of such conference;
18931893 6 (vii) a statement that the employer has refused to pay
18941894 7 compensation pursuant to paragraph (b) of Section 8 of
18951895 8 this Act or for medical, surgical or hospital services
18961896 9 pursuant to paragraph (a) of Section 8 of this Act;
18971897 10 (viii) the name and address, if known, of each witness
18981898 11 to the accident and of each other person upon whom the
18991899 12 employee will rely to support his allegations;
19001900 13 (ix) the dates of treatment related to the accident by
19011901 14 medical practitioners, and the names and addresses of such
19021902 15 practitioners, including the dates of treatment related to
19031903 16 the accident at any hospitals and the names and addresses
19041904 17 of such hospitals, and a signed authorization permitting
19051905 18 the employer to examine all medical records of all
19061906 19 practitioners and hospitals named pursuant to this
19071907 20 paragraph;
19081908 21 (x) a copy of a signed report by a medical
19091909 22 practitioner, relating to the employee's current inability
19101910 23 to return to work because of the injuries incurred as a
19111911 24 result of the accident or such other documents or
19121912 25 affidavits which show that the employee is entitled to
19131913 26 receive compensation pursuant to paragraph (b) of Section
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19241924 1 8 of this Act or medical, surgical or hospital services
19251925 2 pursuant to paragraph (a) of Section 8 of this Act. Such
19261926 3 reports, documents or affidavits shall state, if possible,
19271927 4 the history of the accident given by the employee, and
19281928 5 describe the injury and medical diagnosis, the medical
19291929 6 services for such injury which the employee has received
19301930 7 and is receiving, the physical activities which the
19311931 8 employee cannot currently perform as a result of any
19321932 9 impairment or disability due to such injury, and the
19331933 10 prognosis for recovery;
19341934 11 (xi) complete copies of any reports, records,
19351935 12 documents and affidavits in the possession of the employee
19361936 13 on which the employee will rely to support his
19371937 14 allegations, provided that the employer shall pay the
19381938 15 reasonable cost of reproduction thereof;
19391939 16 (xii) a list of any reports, records, documents and
19401940 17 affidavits which the employee has demanded by subpoena and
19411941 18 on which he intends to rely to support his allegations;
19421942 19 (xiii) a certification signed by the employee or his
19431943 20 representative that the employer has received the petition
19441944 21 with the required information 15 days before filing.
19451945 22 Fifteen days after receipt by the employer of the petition
19461946 23 with the required information the employee may file said
19471947 24 petition and required information and shall serve notice of
19481948 25 the filing upon the employer. The employer may file a motion
19491949 26 addressed to the sufficiency of the petition. If an objection
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19601960 1 has been filed to the sufficiency of the petition, the
19611961 2 arbitrator shall rule on the objection within 2 working days.
19621962 3 If such an objection is filed, the time for filing the final
19631963 4 decision of the Commission as provided in this paragraph shall
19641964 5 be tolled until the arbitrator has determined that the
19651965 6 petition is sufficient.
19661966 7 The employer shall, within 15 days after receipt of the
19671967 8 notice that such petition is filed, file with the Commission
19681968 9 and serve on the employee or his representative a written
19691969 10 response to each claim set forth in the petition, including
19701970 11 the legal and factual basis for each disputed allegation and
19711971 12 the following information: (i) complete copies of any reports,
19721972 13 records, documents and affidavits in the possession of the
19731973 14 employer on which the employer intends to rely in support of
19741974 15 his response, (ii) a list of any reports, records, documents
19751975 16 and affidavits which the employer has demanded by subpoena and
19761976 17 on which the employer intends to rely in support of his
19771977 18 response, (iii) the name and address of each witness on whom
19781978 19 the employer will rely to support his response, and (iv) the
19791979 20 names and addresses of any medical practitioners selected by
19801980 21 the employer pursuant to Section 12 of this Act and the time
19811981 22 and place of any examination scheduled to be made pursuant to
19821982 23 such Section.
19831983 24 Any employer who does not timely file and serve a written
19841984 25 response without good cause may not introduce any evidence to
19851985 26 dispute any claim of the employee but may cross examine the
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19961996 1 employee or any witness brought by the employee and otherwise
19971997 2 be heard.
19981998 3 No document or other evidence not previously identified by
19991999 4 either party with the petition or written response, or by any
20002000 5 other means before the hearing, may be introduced into
20012001 6 evidence without good cause. If, at the hearing, material
20022002 7 information is discovered which was not previously disclosed,
20032003 8 the Arbitrator may extend the time for closing proof on the
20042004 9 motion of a party for a reasonable period of time which may be
20052005 10 more than 30 days. No evidence may be introduced pursuant to
20062006 11 this paragraph as to permanent disability. No award may be
20072007 12 entered for permanent disability pursuant to this paragraph.
20082008 13 Either party may introduce into evidence the testimony taken
20092009 14 by deposition of any medical practitioner.
20102010 15 The Commission shall adopt rules, regulations and
20112011 16 procedures whereby the final decision of the Commission is
20122012 17 filed not later than 90 days from the date the petition for
20132013 18 review is filed but in no event later than 180 days from the
20142014 19 date the petition for an emergency hearing is filed with the
20152015 20 Illinois Workers' Compensation Commission.
20162016 21 All service required pursuant to this paragraph (b-1) must
20172017 22 be by personal service or by certified mail and with evidence
20182018 23 of receipt. In addition for the purposes of this paragraph,
20192019 24 all service on the employer must be at the premises where the
20202020 25 accident occurred if the premises are owned or operated by the
20212021 26 employer. Otherwise service must be at the employee's
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20322032 1 principal place of employment by the employer. If service on
20332033 2 the employer is not possible at either of the above, then
20342034 3 service shall be at the employer's principal place of
20352035 4 business. After initial service in each case, service shall be
20362036 5 made on the employer's attorney or designated representative.
20372037 6 (c)(1) At a reasonable time in advance of and in
20382038 7 connection with the hearing under Section 19(e) or 19(h), the
20392039 8 Commission may on its own motion order an impartial physical
20402040 9 or mental examination of a petitioner whose mental or physical
20412041 10 condition is in issue, when in the Commission's discretion it
20422042 11 appears that such an examination will materially aid in the
20432043 12 just determination of the case. The examination shall be made
20442044 13 by a member or members of a panel of physicians chosen for
20452045 14 their special qualifications by the Illinois State Medical
20462046 15 Society. The Commission shall establish procedures by which a
20472047 16 physician shall be selected from such list.
20482048 17 (2) Should the Commission at any time during the hearing
20492049 18 find that compelling considerations make it advisable to have
20502050 19 an examination and report at that time, the commission may in
20512051 20 its discretion so order.
20522052 21 (3) A copy of the report of examination shall be given to
20532053 22 the Commission and to the attorneys for the parties.
20542054 23 (4) Either party or the Commission may call the examining
20552055 24 physician or physicians to testify. Any physician so called
20562056 25 shall be subject to cross-examination.
20572057 26 (5) The examination shall be made, and the physician or
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20682068 1 physicians, if called, shall testify, without cost to the
20692069 2 parties. The Commission shall determine the compensation and
20702070 3 the pay of the physician or physicians. The compensation for
20712071 4 this service shall not exceed the usual and customary amount
20722072 5 for such service.
20732073 6 (6) The fees and payment thereof of all attorneys and
20742074 7 physicians for services authorized by the Commission under
20752075 8 this Act shall, upon request of either the employer or the
20762076 9 employee or the beneficiary affected, be subject to the review
20772077 10 and decision of the Commission.
20782078 11 (d) If any employee shall persist in insanitary or
20792079 12 injurious practices which tend to either imperil or retard his
20802080 13 recovery or shall refuse to submit to such medical, surgical,
20812081 14 or hospital treatment as is reasonably essential to promote
20822082 15 his recovery, the Commission may, in its discretion, reduce or
20832083 16 suspend the compensation of any such injured employee.
20842084 17 However, when an employer and employee so agree in writing,
20852085 18 the foregoing provision shall not be construed to authorize
20862086 19 the reduction or suspension of compensation of an employee who
20872087 20 is relying in good faith, on treatment by prayer or spiritual
20882088 21 means alone, in accordance with the tenets and practice of a
20892089 22 recognized church or religious denomination, by a duly
20902090 23 accredited practitioner thereof.
20912091 24 (e) This paragraph shall apply to all hearings before the
20922092 25 Commission. Such hearings may be held in its office or
20932093 26 elsewhere as the Commission may deem advisable. The taking of
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21042104 1 testimony on such hearings may be had before any member of the
21052105 2 Commission. If a petition for review and agreed statement of
21062106 3 facts or transcript of evidence is filed, as provided herein,
21072107 4 the Commission shall promptly review the decision of the
21082108 5 Arbitrator and all questions of law or fact which appear from
21092109 6 the statement of facts or transcript of evidence.
21102110 7 In all cases in which the hearing before the arbitrator is
21112111 8 held after December 18, 1989, no additional evidence shall be
21122112 9 introduced by the parties before the Commission on review of
21132113 10 the decision of the Arbitrator. In reviewing decisions of an
21142114 11 arbitrator the Commission shall award such temporary
21152115 12 compensation, permanent compensation and other payments as are
21162116 13 due under this Act. The Commission shall file in its office its
21172117 14 decision thereon, and shall immediately send to each party or
21182118 15 his attorney a copy of such decision and a notification of the
21192119 16 time when it was filed. Decisions shall be filed within 60 days
21202120 17 after the Statement of Exceptions and Supporting Brief and
21212121 18 Response thereto are required to be filed or oral argument
21222122 19 whichever is later.
21232123 20 In the event either party requests oral argument, such
21242124 21 argument shall be had before a panel of 3 members of the
21252125 22 Commission (or before all available members pursuant to the
21262126 23 determination of 7 members of the Commission that such
21272127 24 argument be held before all available members of the
21282128 25 Commission) pursuant to the rules and regulations of the
21292129 26 Commission. A panel of 3 members, which shall be comprised of
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21402140 1 not more than one representative citizen of the employing
21412141 2 class and not more than one representative from a labor
21422142 3 organization recognized under the National Labor Relations Act
21432143 4 or an attorney who has represented labor organizations or has
21442144 5 represented employees in workers' compensation cases, shall
21452145 6 hear the argument; provided that if all the issues in dispute
21462146 7 are solely the nature and extent of the permanent partial
21472147 8 disability, if any, a majority of the panel may deny the
21482148 9 request for such argument and such argument shall not be held;
21492149 10 and provided further that 7 members of the Commission may
21502150 11 determine that the argument be held before all available
21512151 12 members of the Commission. A decision of the Commission shall
21522152 13 be approved by a majority of Commissioners present at such
21532153 14 hearing if any; provided, if no such hearing is held, a
21542154 15 decision of the Commission shall be approved by a majority of a
21552155 16 panel of 3 members of the Commission as described in this
21562156 17 Section. The Commission shall give 10 days' notice to the
21572157 18 parties or their attorneys of the time and place of such taking
21582158 19 of testimony and of such argument.
21592159 20 In any case the Commission in its decision may find
21602160 21 specially upon any question or questions of law or fact which
21612161 22 shall be submitted in writing by either party whether ultimate
21622162 23 or otherwise; provided that on issues other than nature and
21632163 24 extent of the disability, if any, the Commission in its
21642164 25 decision shall find specially upon any question or questions
21652165 26 of law or fact, whether ultimate or otherwise, which are
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21762176 1 submitted in writing by either party; provided further that
21772177 2 not more than 5 such questions may be submitted by either
21782178 3 party. Any party may, within 20 days after receipt of notice of
21792179 4 the Commission's decision, or within such further time, not
21802180 5 exceeding 30 days, as the Commission may grant, file with the
21812181 6 Commission either an agreed statement of the facts appearing
21822182 7 upon the hearing, or, if such party shall so elect, a correct
21832183 8 transcript of evidence of the additional proceedings presented
21842184 9 before the Commission, in which report the party may embody a
21852185 10 correct statement of such other proceedings in the case as
21862186 11 such party may desire to have reviewed, such statement of
21872187 12 facts or transcript of evidence to be authenticated by the
21882188 13 signature of the parties or their attorneys, and in the event
21892189 14 that they do not agree, then the authentication of such
21902190 15 transcript of evidence shall be by the signature of any member
21912191 16 of the Commission.
21922192 17 If a reporter does not for any reason furnish a transcript
21932193 18 of the proceedings before the Arbitrator in any case for use on
21942194 19 a hearing for review before the Commission, within the
21952195 20 limitations of time as fixed in this Section, the Commission
21962196 21 may, in its discretion, order a trial de novo before the
21972197 22 Commission in such case upon application of either party. The
21982198 23 applications for adjustment of claim and other documents in
21992199 24 the nature of pleadings filed by either party, together with
22002200 25 the decisions of the Arbitrator and of the Commission and the
22012201 26 statement of facts or transcript of evidence hereinbefore
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22122212 1 provided for in paragraphs (b) and (c) shall be the record of
22132213 2 the proceedings of the Commission, and shall be subject to
22142214 3 review as hereinafter provided.
22152215 4 At the request of either party or on its own motion, the
22162216 5 Commission shall set forth in writing the reasons for the
22172217 6 decision, including findings of fact and conclusions of law
22182218 7 separately stated. The Commission shall by rule adopt a format
22192219 8 for written decisions for the Commission and arbitrators. The
22202220 9 written decisions shall be concise and shall succinctly state
22212221 10 the facts and reasons for the decision. The Commission may
22222222 11 adopt in whole or in part, the decision of the arbitrator as
22232223 12 the decision of the Commission. When the Commission does so
22242224 13 adopt the decision of the arbitrator, it shall do so by order.
22252225 14 Whenever the Commission adopts part of the arbitrator's
22262226 15 decision, but not all, it shall include in the order the
22272227 16 reasons for not adopting all of the arbitrator's decision.
22282228 17 When a majority of a panel, after deliberation, has arrived at
22292229 18 its decision, the decision shall be filed as provided in this
22302230 19 Section without unnecessary delay, and without regard to the
22312231 20 fact that a member of the panel has expressed an intention to
22322232 21 dissent. Any member of the panel may file a dissent. Any
22332233 22 dissent shall be filed no later than 10 days after the decision
22342234 23 of the majority has been filed.
22352235 24 Decisions rendered by the Commission and dissents, if any,
22362236 25 shall be published together by the Commission. The conclusions
22372237 26 of law set out in such decisions shall be regarded as
22382238
22392239
22402240
22412241
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22482248 1 precedents by arbitrators for the purpose of achieving a more
22492249 2 uniform administration of this Act.
22502250 3 (f) The decision of the Commission acting within its
22512251 4 powers, according to the provisions of paragraph (d) of
22522252 5 Section 4 and paragraph (e) of this Section shall, in the
22532253 6 absence of fraud, be conclusive unless reviewed as in this
22542254 7 paragraph hereinafter provided. However, the Arbitrator or the
22552255 8 Commission may on his or its own motion, or on the motion of
22562256 9 either party, correct any clerical error or errors in
22572257 10 computation within 15 days after the date of receipt of any
22582258 11 award by such Arbitrator or any decision on review of the
22592259 12 Commission and shall have the power to recall the original
22602260 13 award on arbitration or decision on review, and issue in lieu
22612261 14 thereof such corrected award or decision. Where such
22622262 15 correction is made the time for review herein specified shall
22632263 16 begin to run from the date of the receipt of the corrected
22642264 17 award or decision.
22652265 18 (1) Except in cases of claims against the State of
22662266 19 Illinois other than those claims under Section 18.1, in
22672267 20 which case the decision of the Commission shall not be
22682268 21 subject to judicial review, the Circuit Court of the
22692269 22 county where any of the parties defendant may be found, or
22702270 23 if none of the parties defendant can be found in this State
22712271 24 then the Circuit Court of the county where the accident
22722272 25 occurred, shall by summons to the Commission have power to
22732273 26 review all questions of law and fact presented by such
22742274
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22842284 1 record.
22852285 2 A proceeding for review shall be commenced within 20
22862286 3 days of the receipt of notice of the decision of the
22872287 4 Commission. The summons shall be issued by the clerk of
22882288 5 such court upon written request returnable on a designated
22892289 6 return day, not less than 10 or more than 60 days from the
22902290 7 date of issuance thereof, and the written request shall
22912291 8 contain the last known address of other parties in
22922292 9 interest and their attorneys of record who are to be
22932293 10 served by summons. Service upon any member of the
22942294 11 Commission or the Secretary or the Assistant Secretary
22952295 12 thereof shall be service upon the Commission, and service
22962296 13 upon other parties in interest and their attorneys of
22972297 14 record shall be by summons, and such service shall be made
22982298 15 upon the Commission and other parties in interest by
22992299 16 mailing notices of the commencement of the proceedings and
23002300 17 the return day of the summons to the office of the
23012301 18 Commission and to the last known place of residence of
23022302 19 other parties in interest or their attorney or attorneys
23032303 20 of record. The clerk of the court issuing the summons
23042304 21 shall on the day of issue mail notice of the commencement
23052305 22 of the proceedings which shall be done by mailing a copy of
23062306 23 the summons to the office of the Commission, and a copy of
23072307 24 the summons to the other parties in interest or their
23082308 25 attorney or attorneys of record and the clerk of the court
23092309 26 shall make certificate that he has so sent said notices in
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23202320 1 pursuance of this Section, which shall be evidence of
23212321 2 service on the Commission and other parties in interest.
23222322 3 The Commission shall not be required to certify the
23232323 4 record of their proceedings to the Circuit Court, unless
23242324 5 the party commencing the proceedings for review in the
23252325 6 Circuit Court as above provided, shall file with the
23262326 7 Commission notice of intent to file for review in Circuit
23272327 8 Court. It shall be the duty of the Commission upon such
23282328 9 filing of notice of intent to file for review in the
23292329 10 Circuit Court to prepare a true and correct copy of such
23302330 11 testimony and a true and correct copy of all other matters
23312331 12 contained in such record and certified to by the Secretary
23322332 13 or Assistant Secretary thereof. The changes made to this
23332333 14 subdivision (f)(1) by this amendatory Act of the 98th
23342334 15 General Assembly apply to any Commission decision entered
23352335 16 after the effective date of this amendatory Act of the
23362336 17 98th General Assembly.
23372337 18 No request for a summons may be filed and no summons
23382338 19 shall issue unless the party seeking to review the
23392339 20 decision of the Commission shall exhibit to the clerk of
23402340 21 the Circuit Court proof of filing with the Commission of
23412341 22 the notice of the intent to file for review in the Circuit
23422342 23 Court or an affidavit of the attorney setting forth that
23432343 24 notice of intent to file for review in the Circuit Court
23442344 25 has been given in writing to the Secretary or Assistant
23452345 26 Secretary of the Commission.
23462346
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23482348
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23562356 1 (2) No such summons shall issue unless the one against
23572357 2 whom the Commission shall have rendered an award for the
23582358 3 payment of money shall upon the filing of his written
23592359 4 request for such summons file with the clerk of the court a
23602360 5 bond conditioned that if he shall not successfully
23612361 6 prosecute the review, he will pay the award and the costs
23622362 7 of the proceedings in the courts. The amount of the bond
23632363 8 shall be fixed by any member of the Commission and the
23642364 9 surety or sureties of the bond shall be approved by the
23652365 10 clerk of the court. The acceptance of the bond by the clerk
23662366 11 of the court shall constitute evidence of his approval of
23672367 12 the bond.
23682368 13 The following shall not be required to file a bond to
23692369 14 secure the payment of the award and the costs of the
23702370 15 proceedings in the court to authorize the court to issue
23712371 16 such summons:
23722372 17 (1) the State Treasurer, for a fund administered
23732373 18 by the State Treasurer ex officio against whom the
23742374 19 Commission shall have rendered an award for the
23752375 20 payment of money; and
23762376 21 (2) a county, city, town, township, incorporated
23772377 22 village, school district, body politic, or municipal
23782378 23 corporation against whom the Commission shall have
23792379 24 rendered an award for the payment of money.
23802380 25 The court may confirm or set aside the decision of the
23812381 26 Commission. If the decision is set aside and the facts
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23922392 1 found in the proceedings before the Commission are
23932393 2 sufficient, the court may enter such decision as is
23942394 3 justified by law, or may remand the cause to the
23952395 4 Commission for further proceedings and may state the
23962396 5 questions requiring further hearing, and give such other
23972397 6 instructions as may be proper. If the court affirms the
23982398 7 Commission's decision imposing fines on the employer under
23992399 8 subsection (d) of Section 4, the court shall enter
24002400 9 judgment against the employer in the amount of the fines
24012401 10 assessed by the Commission. Appeals shall be taken to the
24022402 11 Appellate Court in accordance with Supreme Court Rules
24032403 12 22(g) and 303. Appeals shall be taken from the Appellate
24042404 13 Court to the Supreme Court in accordance with Supreme
24052405 14 Court Rule 315.
24062406 15 It shall be the duty of the clerk of any court
24072407 16 rendering a decision affecting or affirming an award of
24082408 17 the Commission to promptly furnish the Commission with a
24092409 18 copy of such decision, without charge.
24102410 19 The decision of a majority of the members of the panel
24112411 20 of the Commission, shall be considered the decision of the
24122412 21 Commission.
24132413 22 (g) Except in the case of a claim against the State of
24142414 23 Illinois, either party may present a certified copy of the
24152415 24 award of the Arbitrator, or a certified copy of the decision of
24162416 25 the Commission when the same has become final, when no
24172417 26 proceedings for review are pending, providing for the payment
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24282428 1 of compensation according to this Act, to the Circuit Court of
24292429 2 the county in which such accident occurred or either of the
24302430 3 parties are residents, whereupon the court shall enter a
24312431 4 judgment in accordance therewith. In a case where the employer
24322432 5 refuses to pay compensation according to such final award or
24332433 6 such final decision upon which such judgment is entered the
24342434 7 court shall in entering judgment thereon, tax as costs against
24352435 8 him the reasonable costs and attorney fees in the arbitration
24362436 9 proceedings and in the court entering the judgment for the
24372437 10 person in whose favor the judgment is entered, which judgment
24382438 11 and costs taxed as therein provided shall, until and unless
24392439 12 set aside, have the same effect as though duly entered in an
24402440 13 action duly tried and determined by the court, and shall with
24412441 14 like effect, be entered and docketed. The Circuit Court shall
24422442 15 have power at any time upon application to make any such
24432443 16 judgment conform to any modification required by any
24442444 17 subsequent decision of the Supreme Court upon appeal, or as
24452445 18 the result of any subsequent proceedings for review, as
24462446 19 provided in this Act.
24472447 20 Judgment shall not be entered until 15 days' notice of the
24482448 21 time and place of the application for the entry of judgment
24492449 22 shall be served upon the employer by filing such notice with
24502450 23 the Commission, which Commission shall, in case it has on file
24512451 24 the address of the employer or the name and address of its
24522452 25 agent upon whom notices may be served, immediately send a copy
24532453 26 of the notice to the employer or such designated agent.
24542454
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24642464 1 (h) An agreement or award under this Act providing for
24652465 2 compensation in installments, may at any time within 18 months
24662466 3 after such agreement or award be reviewed by the Commission at
24672467 4 the request of either the employer or the employee, on the
24682468 5 ground that the disability of the employee has subsequently
24692469 6 recurred, increased, diminished or ended.
24702470 7 However, as to accidents occurring subsequent to July 1,
24712471 8 1955, which are covered by any agreement or award under this
24722472 9 Act providing for compensation in installments made as a
24732473 10 result of such accident, such agreement or award may at any
24742474 11 time within 30 months, or 60 months in the case of an award
24752475 12 under Section 8(d)1, after such agreement or award be reviewed
24762476 13 by the Commission at the request of either the employer or the
24772477 14 employee on the ground that the disability of the employee has
24782478 15 subsequently recurred, increased, diminished or ended.
24792479 16 On such review, compensation payments may be
24802480 17 re-established, increased, diminished or ended. The Commission
24812481 18 shall give 15 days' notice to the parties of the hearing for
24822482 19 review. Any employee, upon any petition for such review being
24832483 20 filed by the employer, shall be entitled to one day's notice
24842484 21 for each 100 miles necessary to be traveled by him in attending
24852485 22 the hearing of the Commission upon the petition, and 3 days in
24862486 23 addition thereto. Such employee shall, at the discretion of
24872487 24 the Commission, also be entitled to 5 cents per mile
24882488 25 necessarily traveled by him within the State of Illinois in
24892489 26 attending such hearing, not to exceed a distance of 300 miles,
24902490
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25002500 1 to be taxed by the Commission as costs and deposited with the
25012501 2 petition of the employer.
25022502 3 When compensation which is payable in accordance with an
25032503 4 award or settlement contract approved by the Commission, is
25042504 5 ordered paid in a lump sum by the Commission, no review shall
25052505 6 be had as in this paragraph mentioned.
25062506 7 (i) Each party, upon taking any proceedings or steps
25072507 8 whatsoever before any Arbitrator, Commission or court, shall
25082508 9 file with the Commission his address, or the name and address
25092509 10 of any agent upon whom all notices to be given to such party
25102510 11 shall be served, either personally or by registered mail,
25112511 12 addressed to such party or agent at the last address so filed
25122512 13 with the Commission. In the event such party has not filed his
25132513 14 address, or the name and address of an agent as above provided,
25142514 15 service of any notice may be had by filing such notice with the
25152515 16 Commission.
25162516 17 (j) Whenever in any proceeding testimony has been taken or
25172517 18 a final decision has been rendered and after the taking of such
25182518 19 testimony or after such decision has become final, the injured
25192519 20 employee dies, then in any subsequent proceedings brought by
25202520 21 the personal representative or beneficiaries of the deceased
25212521 22 employee, such testimony in the former proceeding may be
25222522 23 introduced with the same force and effect as though the
25232523 24 witness having so testified were present in person in such
25242524 25 subsequent proceedings and such final decision, if any, shall
25252525 26 be taken as final adjudication of any of the issues which are
25262526
25272527
25282528
25292529
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25362536 1 the same in both proceedings.
25372537 2 (k) In case where there has been any unreasonable or
25382538 3 vexatious delay of payment or intentional underpayment of
25392539 4 compensation, or proceedings have been instituted or carried
25402540 5 on by the one liable to pay the compensation, which do not
25412541 6 present a real controversy, but are merely frivolous or for
25422542 7 delay, then the Commission may award compensation additional
25432543 8 to that otherwise payable under this Act equal to 50% of the
25442544 9 amount payable at the time of such award. Failure to pay
25452545 10 compensation in accordance with the provisions of Section 8,
25462546 11 paragraph (b) of this Act, shall be considered unreasonable
25472547 12 delay.
25482548 13 When determining whether this subsection (k) shall apply,
25492549 14 the Commission shall consider whether an Arbitrator has
25502550 15 determined that the claim is not compensable or whether the
25512551 16 employer has made payments under Section 8(j).
25522552 17 (l) If the employee has made written demand for payment of
25532553 18 benefits under Section 8(a) or Section 8(b), the employer
25542554 19 shall have 14 days after receipt of the demand to set forth in
25552555 20 writing the reason for the delay. In the case of demand for
25562556 21 payment of medical benefits under Section 8(a), the time for
25572557 22 the employer to respond shall not commence until the
25582558 23 expiration of the allotted 30 days specified under Section
25592559 24 8.2(d). In case the employer or his or her insurance carrier
25602560 25 shall without good and just cause fail, neglect, refuse, or
25612561 26 unreasonably delay the payment of benefits under Section 8(a)
25622562
25632563
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25722572 1 or Section 8(b), the Arbitrator or the Commission shall allow
25732573 2 to the employee additional compensation in the sum of $30 per
25742574 3 day for each day that the benefits under Section 8(a) or
25752575 4 Section 8(b) have been so withheld or refused, not to exceed
25762576 5 $10,000. A delay in payment of 14 days or more shall create a
25772577 6 rebuttable presumption of unreasonable delay.
25782578 7 (m) If the commission finds that an accidental injury was
25792579 8 directly and proximately caused by the employer's wilful
25802580 9 violation of a health and safety standard under the Health and
25812581 10 Safety Act or the Occupational Safety and Health Act in force
25822582 11 at the time of the accident, the arbitrator or the Commission
25832583 12 shall allow to the injured employee or his dependents, as the
25842584 13 case may be, additional compensation equal to 25% of the
25852585 14 amount which otherwise would be payable under the provisions
25862586 15 of this Act exclusive of this paragraph. The additional
25872587 16 compensation herein provided shall be allowed by an
25882588 17 appropriate increase in the applicable weekly compensation
25892589 18 rate.
25902590 19 (n) After June 30, 1984, decisions of the Illinois
25912591 20 Workers' Compensation Commission reviewing an award of an
25922592 21 arbitrator of the Commission shall draw interest at a rate
25932593 22 equal to the yield on indebtedness issued by the United States
25942594 23 Government with a 26-week maturity next previously auctioned
25952595 24 on the day on which the decision is filed. Said rate of
25962596 25 interest shall be set forth in the Arbitrator's Decision.
25972597 26 Interest shall be drawn from the date of the arbitrator's
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26082608 1 award on all accrued compensation due the employee through the
26092609 2 day prior to the date of payments. However, when an employee
26102610 3 appeals an award of an Arbitrator or the Commission, and the
26112611 4 appeal results in no change or a decrease in the award,
26122612 5 interest shall not further accrue from the date of such
26132613 6 appeal.
26142614 7 The employer or his insurance carrier may tender the
26152615 8 payments due under the award to stop the further accrual of
26162616 9 interest on such award notwithstanding the prosecution by
26172617 10 either party of review, certiorari, appeal to the Supreme
26182618 11 Court or other steps to reverse, vacate or modify the award.
26192619 12 (o) By the 15th day of each month each insurer providing
26202620 13 coverage for losses under this Act shall notify each insured
26212621 14 employer of any compensable claim incurred during the
26222622 15 preceding month and the amounts paid or reserved on the claim
26232623 16 including a summary of the claim and a brief statement of the
26242624 17 reasons for compensability. A cumulative report of all claims
26252625 18 incurred during a calendar year or continued from the previous
26262626 19 year shall be furnished to the insured employer by the insurer
26272627 20 within 30 days after the end of that calendar year.
26282628 21 The insured employer may challenge, in proceeding before
26292629 22 the Commission, payments made by the insurer without
26302630 23 arbitration and payments made after a case is determined to be
26312631 24 noncompensable. If the Commission finds that the case was not
26322632 25 compensable, the insurer shall purge its records as to that
26332633 26 employer of any loss or expense associated with the claim,
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26442644 1 reimburse the employer for attorneys' fees arising from the
26452645 2 challenge and for any payment required of the employer to the
26462646 3 Rate Adjustment Fund or the Second Injury Fund, and may not
26472647 4 reflect the loss or expense for rate making purposes. The
26482648 5 employee shall not be required to refund the challenged
26492649 6 payment. The decision of the Commission may be reviewed in the
26502650 7 same manner as in arbitrated cases. No challenge may be
26512651 8 initiated under this paragraph more than 3 years after the
26522652 9 payment is made. An employer may waive the right of challenge
26532653 10 under this paragraph on a case by case basis.
26542654 11 (p) After filing an application for adjustment of claim
26552655 12 but prior to the hearing on arbitration the parties may
26562656 13 voluntarily agree to submit such application for adjustment of
26572657 14 claim for decision by an arbitrator under this subsection (p)
26582658 15 where such application for adjustment of claim raises only a
26592659 16 dispute over temporary total disability, permanent partial
26602660 17 disability or medical expenses. Such agreement shall be in
26612661 18 writing in such form as provided by the Commission.
26622662 19 Applications for adjustment of claim submitted for decision by
26632663 20 an arbitrator under this subsection (p) shall proceed
26642664 21 according to rule as established by the Commission. The
26652665 22 Commission shall promulgate rules including, but not limited
26662666 23 to, rules to ensure that the parties are adequately informed
26672667 24 of their rights under this subsection (p) and of the voluntary
26682668 25 nature of proceedings under this subsection (p). The findings
26692669 26 of fact made by an arbitrator acting within his or her powers
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26802680 1 under this subsection (p) in the absence of fraud shall be
26812681 2 conclusive. However, the arbitrator may on his own motion, or
26822682 3 the motion of either party, correct any clerical errors or
26832683 4 errors in computation within 15 days after the date of receipt
26842684 5 of such award of the arbitrator and shall have the power to
26852685 6 recall the original award on arbitration, and issue in lieu
26862686 7 thereof such corrected award. The decision of the arbitrator
26872687 8 under this subsection (p) shall be considered the decision of
26882688 9 the Commission and proceedings for review of questions of law
26892689 10 arising from the decision may be commenced by either party
26902690 11 pursuant to subsection (f) of Section 19. The Advisory Board
26912691 12 established under Section 13.1 shall compile a list of
26922692 13 certified Commission arbitrators, each of whom shall be
26932693 14 approved by at least 7 members of the Advisory Board. The
26942694 15 chairman shall select 5 persons from such list to serve as
26952695 16 arbitrators under this subsection (p). By agreement, the
26962696 17 parties shall select one arbitrator from among the 5 persons
26972697 18 selected by the chairman except that if the parties do not
26982698 19 agree on an arbitrator from among the 5 persons, the parties
26992699 20 may, by agreement, select an arbitrator of the American
27002700 21 Arbitration Association, whose fee shall be paid by the State
27012701 22 in accordance with rules promulgated by the Commission.
27022702 23 Arbitration under this subsection (p) shall be voluntary.
27032703 24 (q) Within 60 days after receipt of service of notice of
27042704 25 preliminary proceedings before an Arbitrator, an employer
27052705 26 shall disclose documents sufficient to calculate a
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