HLS 10RS-1545 REENGROSSED Page 1 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 1088 BY REPRESENTATIVE PONTI WORKERS COMPENSATION: Provides relative to mediations in workers' compensation claims AN ACT1 To amend and reenact R.S. 23:1310.3, relative to workers' compensation claims; to provide2 for the initiation of a claim for benefits; to provide for service of process; to provide3 for the filing of an answer; to provide for mediation; to provide for the running of4 prescription; to require mediation to encourage settlement of the case; to provide for5 a dispute open in excess of three hundreds days; to provide for fines and other6 penalties when a party fails to appear; and to provide for related matters.7 Be it enacted by the Legislature of Louisiana:8 Section 1. R.S. 23:1310.3 is hereby amended and reenacted to read as follows: 9 ยง1310.3. Initiation of claims; voluntary mediation; procedure10 A. A claim for benefits, the controversion of entitlement to benefits, or other11 relief under the Workers' Compensation Act shall be initiated by the filing of the12 appropriate form with the office of workers' compensation administration. Mailing,13 facsimile transmission, or electronic transmission of the form and payment of the14 filing fee within five days of any such mailing or transmission constitutes the15 initiation of a claim under R.S. 23:1209.16 B.(1) Upon receipt of the form, the director shall assign the matter to a17 district. Upon the request of the injured employee, the matter shall be set for an18 initial mediation conference within fifteen days of receipt of the form specifying the19 proper parties unless all parties agree to waive the mediation conference. A pretrial20 HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 2 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. mediation shall be set not less than thirty days prior to trial. The pretrial mediation1 shall not be waived and shall be attended in person. All mediation conferences shall2 be before a workers' compensation mediator who shall mediate and encourage3 settlement of the case or determine issues in dispute. Within five days following the4 conference the workers' compensation mediator shall issue a report stating the results5 of the conference which shall be transmitted to the parties by United States mail,6 electronic transmission, or facsimile transmission. Upon receipt of the form, a7 district office shall effect service of process on any named defendant in any manner8 provided by law or by certified mail. All subsequent pleadings requiring service9 shall also be served in any manner provided by law or by certified mail. A defendant10 shall file an answer within fifteen days of service of the form or within a delay for11 answering granted by the workers' compensation judge not to exceed an additional12 ten days.13 (2) If any party fails to appear at a mediation conference after proper notice,14 the workers' compensation judge, upon report from the workers' compensation15 mediator, may fine the delinquent party an amount not to exceed five hundred16 dollars, which shall be payable to the Office of Workers' Compensation17 Administrative Fund. In addition, the workers' compensation judge may assess18 against the party failing to attend costs and reasonable attorney fees incurred by any19 other party in connection with the conference. If the plaintiff fails to appear after20 proper notice, the workers' compensation judge may dismiss the plaintiff's case21 without prejudice. The penalties provided for in this Subsection shall be assessed by22 the workers' compensation judge only after a contradictory hearing which shall be23 held prior to the hearing on the merits of the dispute.24 C. Upon notice from the workers' compensation mediator that the parties25 were unable to resolve the dispute at the initial mediation or if the initial mediation26 was not requested by the injured worker, service of process shall be effected on any27 named defendant in any manner provided by law or by certified mail. All28 subsequent pleadings requiring service shall also be served in any manner provided29 by law or by certified mail. A defendant shall file an answer within fifteen days of30 HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 3 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. service of the form or within a delay for answering granted by the workers'1 compensation judge not to exceed an additional ten days.2 D. The filing of the answer shall be deemed timely when the answer is3 mailed, transmitted by facsimile, or electronic transmission on or before the day on4 which said delays run. If the answer is received by mail, facsimile, or electronic5 transmission on or before the first legal day following the expiration of the due date,6 there shall be a rebuttable presumption that the answer was timely filed. In all cases7 where the presumption does not apply, the timeliness of the mailing or transmittal8 shall be shown by an official United States postmark, official receipt of certificate9 from the United States Postal Service, facsimile transmission confirmation, or10 electronic receipt confirmation made at the time of transmission which indicates the11 date thereof.12 D.(1) Upon joint request of the parties, or upon order of the presiding13 workers' compensation judge, all parties shall engage the services of either of the14 following:15 (a) A Louisiana Workforce Commission, office of workers' compensation16 administration mediator, and such mediation shall be held in the district office in17 which the selected mediator is assigned.18 (b) A private mediator, and such mediation shall be held at a location19 mutually agreeable to the parties.20 (2) The selection of the mediator shall be by mutual agreement of the parties.21 (3) Each party shall provide a representative, in person or via telephone, to22 participate in the mediation conference, who has been provided with authority to23 enter into negotiations in a good faith effort to resolve the issue in dispute. The24 attorneys for the parties may participate in the mediation conference via telephone25 by mutual consent of the parties.26 (4) Within five days of the conclusion of the mediation conference, the27 parties shall certify to the court, via United States mail, electronic transmission, or28 facsimile transmission, that a mediation conference has occurred and the results29 thereof.30 HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 4 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (5) Nothing shall prohibit the parties from requesting a mediation conference1 prior to the filing of a disputed claim for compensation; however, neither the request2 nor participation in the mediation conference shall interrupt the running of3 prescription.4 E. If any party fails to appear at a mediation conference, ordered by the5 judge or requested by the parties, after proper notice, the workers' compensation6 judge, upon request of a party, may fine the delinquent party an amount not to7 exceed five hundred dollars, which shall be payable to the Office of Workers'8 Compensation Administrative Fund. In addition, the workers' compensation judge9 may assess against the party failing to attend costs and reasonable attorney fees10 incurred by any other party in connection with the conference. The penalties11 provided for in this Subsection shall be assessed by the workers' compensation judge12 only after a contradictory hearing which shall be held prior to the hearing on the13 merits of the dispute.14 F. Except as otherwise provided by R.S. 23:1101(B), 1361, and 1378(E), the15 workers' compensation judge shall be vested with original, exclusive jurisdiction16 over all claims or disputes arising out of this Chapter, including but not limited to17 workers' compensation insurance coverage disputes, group self-insurance indemnity18 contract disputes, employer demands for recovery for overpayment of benefits, the19 determination and recognition of employer credits as provided for in this Chapter,20 and cross-claims between employers or workers' compensation insurers or self-21 insurance group funds for indemnification or contribution, concursus proceedings22 pursuant to Louisiana Code of Civil Procedure Articles 4651 et seq. concerning23 entitlement to workers' compensation benefits, payment for medical treatment, or24 attorney fees arising out of an injury subject to this Chapter.25 F.(1) G.(1) Any party challenging the constitutionality of any provision of26 this Chapter shall specially plead such an allegation in the original petition, an27 exception, written motion, or answer, which shall state with particularity the grounds28 for such an allegation.29 HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 5 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) Within thirty days of the filing of any pleading raising the issue of1 unconstitutionality, the party making such an allegation must file a petition in a state2 district court of proper jurisdiction for purposes of adjudicating the claim of3 unconstitutionality. Said Such filing shall be given priority in hearing such claim not4 more than ten days from being presented to the district court.5 (3) Failure to follow the procedures set forth in this Section shall bar any6 claim as to the unconstitutionality of any provision of this Chapter on appeal.7 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Ponti HB No. 1088 Abstract: Provides relative to mediation in a claim for workers' compensation benefits. Present law requires that a claim for benefits, the controversion of entitlement to benefits, or other relief under the Workers' Compensation Act shall be initiated by the filing of the appropriate form with the office of workers' compensation administration. Present law provides that mailing, facsimile transmission, or electronic transmission of the form and payment of the filing fee constitutes the initiation of a claim under present law. Proposed law retains present law but adds payment of the filing fee within five days to the list of requirements that constitute the initiation of a claim. Present law provides that, upon receipt of the form, the director shall assign the matter to a district. Proposed law retains present law. Present law provides that, upon the request of the injured employee, the matter shall be set for an initial mediation conference within 15 days of receipt of the form specifying the proper parties unless all parties agree to waive the mediation conference. Present law provides that a pretrial mediation shall be set not less than 30 days prior to trial. Present law provides that the pretrial mediation shall not be waived and shall be attended in person. Proposed law deletes present law. Present law requires all mediation conferences to be before a workers' compensation mediator who shall mediate and encourage settlement of the case or determine issues in dispute. Proposed law retains present law but specifies that the mediator shall be a La. Workforce Commission, office of workers' compensation administration mediator. HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 6 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Present law provides that, within five days following the conference, the workers' compensation mediator shall issue a report stating the results of the conference which shall be transmitted to the parties by U. S. mail, electronic transmission, or facsimile transmission. Proposed law retains present law. Present law provides that, upon notice from the workers' compensation mediator that the parties were unable to resolve the dispute at the initial mediation or if the initial mediation was not requested by the injured worker, service of process shall be effected on any named defendant in any manner provided by law or by certified mail. Proposed law provides that, upon receipt of the form, a district office shall effect service of process on any named defendant in any manner provided by law or by certified mail. Present law requires all subsequent pleadings requiring service to also be served in any manner provided by law or by certified mail. Proposed law retains present law. Present law requires a defendant to file an answer within 15 days of service of the form or within a delay for answering granted by the workers' compensation judge not to exceed an additional 10 days. Proposed law retains present law. Present law provides that, if any party fails to appear at a mediation conference after proper notice, the workers' compensation judge, upon report from the workers' compensation mediator, may fine the delinquent party an amount not to exceed $500, which shall be payable to the Office of Workers' Compensation Administrative Fund. Proposed law retains present law but deletes the condition that the party failed to appear after proper notice. Present law provides that, in addition, the workers' compensation judge may assess against the party failing to attend costs and reasonable attorney fees incurred by any other party in connection with the conference. Proposed law retains present law but clarifies that the costs and fees must have been incurred in connection with the mediation conference. Present law provides that, if the plaintiff fails to appear after proper notice, the workers' compensation judge may dismiss the plaintiff's case without prejudice. Proposed law deletes present law. Present law provides that the penalties provided for in present law shall be assessed by the workers' compensation judge only after a contradictory hearing which shall be held prior to the hearing on the merits of the dispute. Proposed law retains present law. Proposed law provides that, upon joint request of the parties, or upon order of the presiding workers' compensation judge, the parties shall engage the services of a La. Workforce Commission, office of workers' compensation administration mediator selected by mutual agreement of the parties or a private mediator and such mediation shall be held at a location mutually agreeable to the parties. Proposed law provides that the parties may engage the services of a private mediator at any time or when ordered by the judge. HLS 10RS-1545 REENGROSSED HB NO. 1088 Page 7 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law requires the parties to certify to the court when a private mediation has occurred and the results thereof. Proposed law provides that nothing shall prohibit the parties from requesting a mediation conference with a La. Workforce Commission, office of workers' compensation administration mediator. Proposed law provides that a representative with authority to enter into negotiation for each party at the mediation must be present either in person or via telephone. Proposed law provides that the mediation shall not interrupt the running of prescription. Proposed law provides that should a party fail to appear for a mediation conference the workers' compensation judge may fine the delinquent party upon request of a party mediator. Proposed law requires any dispute open in excess of 300 days to have a mandatory pretrial mediation with a La. Workforce Commission, office of workers' compensation administration mediator. (Amends R.S. 23:1310.3) Summary of Amendments Adopted by House Committee Amendments Proposed by House Committee on Labor and Industrial Relations to the original bill. 1. Added a provision that a mediator may be either an office of workers' compensation administration mediator with the mediation held in the mediator's district office or a private mediator in which case the mediation will be held in a location mutually agreeable to both parties. 2. Added a provision that each party shall have a representative present via telephone or in person at the mediation conference who has authority to enter into negotiations. 3. Deleted provision that provides a judge may fine a party who fails to appear for a mediation conference upon report from the workers' compensation mediator and added that upon the request of a party a judge may issue a fine to a delinquent party. House Floor Amendments to the engrossed bill. 1. Added a provision that payment of a filing fee must be made within five days of any mailing, facsimile transmission, or electronic transmission of a form to constitute initiation of a workers' compensation claim.