Bill Text: IL HB3390 | 2013-2014 | 98th General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Condominium Property Act. Provides that the board of managers has the authority to install solar energy devices and wind energy devices on the common elements; provided that solar or wind energy devices may not be installed upon any limited common element without the consent of the owner or owners of the unit or units for which use of the limited common element is reserved. Provides that the installation of solar energy devices and wind energy devices on the common elements by the board shall not be deemed to alter, impair, or diminish the common interest, common elements, or easements appurtenant to each unit or to be a structural alteration or addition to the property, provided that the installation does not directly affect any nonconsenting unit owner. Defines "directly affect", "solar energy device", and "wind energy device". Effective immediately.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Passed) 2013-06-28 - Public Act . . . . . . . . . 98-0040 [HB3390 Detail]
Download: Illinois-2013-HB3390-Amended.html
Bill Title: Amends the Condominium Property Act. Provides that the board of managers has the authority to install solar energy devices and wind energy devices on the common elements; provided that solar or wind energy devices may not be installed upon any limited common element without the consent of the owner or owners of the unit or units for which use of the limited common element is reserved. Provides that the installation of solar energy devices and wind energy devices on the common elements by the board shall not be deemed to alter, impair, or diminish the common interest, common elements, or easements appurtenant to each unit or to be a structural alteration or addition to the property, provided that the installation does not directly affect any nonconsenting unit owner. Defines "directly affect", "solar energy device", and "wind energy device". Effective immediately.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Passed) 2013-06-28 - Public Act . . . . . . . . . 98-0040 [HB3390 Detail]
Download: Illinois-2013-HB3390-Amended.html
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1 | AMENDMENT TO HOUSE BILL 3390
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2 | AMENDMENT NO. ______. Amend House Bill 3390 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Workers' Compensation Act is amended by | ||||||
5 | changing Sections 5, 8, 8.1b, 9, 14, 15a, 16a, 19, 19a, and 20 | ||||||
6 | as follows:
| ||||||
7 | (820 ILCS 305/5) (from Ch. 48, par. 138.5)
| ||||||
8 | (Text of Section WITHOUT the changes made by P.A. 89-7, | ||||||
9 | which has been held
unconstitutional)
| ||||||
10 | Sec. 5.
(a) No common law or statutory right to recover | ||||||
11 | damages from the
employer, his insurer, his broker, any service | ||||||
12 | organization that is wholly owned retained by the
employer, his | ||||||
13 | insurer or his broker and that provides to provide safety | ||||||
14 | service, advice or
recommendations for the employer or the | ||||||
15 | agents or employees of any of them
for injury or death | ||||||
16 | sustained by any employee while engaged in the line of
his duty |
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1 | as such employee, other than the compensation herein provided, | ||||||
2 | is
available to any employee who is covered by the provisions | ||||||
3 | of this Act, to
any one wholly or partially dependent upon him, | ||||||
4 | the legal representatives
of his estate, or any one otherwise | ||||||
5 | entitled to recover damages for such
injury.
| ||||||
6 | However, in any action now pending or hereafter begun to | ||||||
7 | enforce a
common law or statutory right to recover damages for | ||||||
8 | negligently causing
the injury or death of any employee it is | ||||||
9 | not necessary to allege in the
complaint that either the | ||||||
10 | employee or the employer or both were not
governed by the | ||||||
11 | provisions of this Act or of any similar Act in force in
this | ||||||
12 | or any other State.
| ||||||
13 | Any illegally employed minor or his legal representatives | ||||||
14 | shall, except
as hereinafter provided, have the right within 6 | ||||||
15 | months after the time of
injury or death, or within 6 months | ||||||
16 | after the appointment of a legal representative,
whichever | ||||||
17 | shall be later, to file with the Commission a rejection of his
| ||||||
18 | right to the benefits under this Act, in which case such | ||||||
19 | illegally employed
minor or his legal representatives shall | ||||||
20 | have the right to pursue his or
their common law or statutory | ||||||
21 | remedies to recover damages for such injury or death.
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22 | No payment of compensation under this Act shall be made to | ||||||
23 | an illegally
employed minor, or his legal representatives, | ||||||
24 | unless such payment and the
waiver of his right to reject the
| ||||||
25 | benefits of this Act has first
been approved by the Commission | ||||||
26 | or any member thereof, and if such payment
and the waiver of |
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1 | his right of rejection
has been so approved such payment is a | ||||||
2 | bar to a subsequent rejection of the
provisions of this Act.
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3 | (b) Where the injury or death for which compensation is | ||||||
4 | payable under
this Act was caused under circumstances creating | ||||||
5 | a legal liability for
damages on the part of some person other | ||||||
6 | than his employer to pay damages,
then legal proceedings may be | ||||||
7 | taken against such other person to recover
damages | ||||||
8 | notwithstanding such employer's payment of or liability to pay
| ||||||
9 | compensation under this Act. In such case, however, if the | ||||||
10 | action against
such other person is brought by the injured | ||||||
11 | employee or his personal
representative and judgment is | ||||||
12 | obtained and paid, or settlement is made
with such other | ||||||
13 | person, either with or without suit, then from the amount
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14 | received by such employee or personal representative there | ||||||
15 | shall be paid to
the employer the amount of compensation paid | ||||||
16 | or to be paid by him to such
employee or personal | ||||||
17 | representative including amounts paid or to be paid
pursuant to | ||||||
18 | paragraph (a) of Section 8 of this Act.
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19 | Out of any reimbursement received by the employer pursuant | ||||||
20 | to this
Section the employer shall pay his pro rata share of | ||||||
21 | all costs and
reasonably necessary expenses in connection with | ||||||
22 | such third-party claim,
action or suit and where the services | ||||||
23 | of an attorney at law of the employee
or dependents have | ||||||
24 | resulted in or substantially contributed to the
procurement by | ||||||
25 | suit, settlement or otherwise of the proceeds out of which
the | ||||||
26 | employer is reimbursed, then, in the absence of other |
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| |||||||
1 | agreement, the
employer shall pay such attorney 25% of the | ||||||
2 | gross amount of such
reimbursement.
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3 | If the injured employee or his personal representative | ||||||
4 | agrees to receive
compensation from the employer or accept from | ||||||
5 | the employer any payment on
account of such compensation, or to | ||||||
6 | institute proceedings to recover the
same, the employer may | ||||||
7 | have or claim a lien upon any award, judgment or
fund out of | ||||||
8 | which such employee might be compensated from such third party.
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9 | In such actions brought by the employee or his personal | ||||||
10 | representative,
he shall forthwith notify his employer by | ||||||
11 | personal service or registered
mail, of such fact and of the | ||||||
12 | name of the court in which the suit is
brought, filing proof | ||||||
13 | thereof in the action. The employer may, at any time
thereafter | ||||||
14 | join in the action upon his motion so that all orders of court
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15 | after hearing and judgment shall be made for his protection. No | ||||||
16 | release or
settlement of claim for damages by reason of such | ||||||
17 | injury or death, and no
satisfaction of judgment in such | ||||||
18 | proceedings shall be valid without the
written consent of both | ||||||
19 | employer and employee or his personal
representative, except in | ||||||
20 | the case of the employers, such consent is not
required where | ||||||
21 | the employer has been fully indemnified or protected by
Court | ||||||
22 | order.
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23 | In the event the employee or his personal representative | ||||||
24 | fails to
institute a proceeding against such third person at | ||||||
25 | any time prior to 3
months before such action would be barred, | ||||||
26 | the employer may in his own name
or in the name of the |
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1 | employee, or his personal representative, commence a
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2 | proceeding against such other person for the recovery of | ||||||
3 | damages on account
of such injury or death to the employee, and | ||||||
4 | out of any amount recovered
the employer shall pay over to the | ||||||
5 | injured employee or his personal
representatives all sums | ||||||
6 | collected from such other person by judgment or
otherwise in | ||||||
7 | excess of the amount of such compensation paid or to be paid
| ||||||
8 | under this Act, including amounts paid or to be paid pursuant | ||||||
9 | to paragraph
(a) of Section 8 of this Act, and costs, | ||||||
10 | attorney's fees and reasonable
expenses as may be incurred by | ||||||
11 | such employer in making such collection or
in enforcing such | ||||||
12 | liability.
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13 | (Source: P.A. 79-79.)
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14 | (820 ILCS 305/8) (from Ch. 48, par. 138.8)
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15 | Sec. 8. The amount of compensation which shall be paid to | ||||||
16 | the
employee for an accidental injury not resulting in death | ||||||
17 | is:
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18 | (a) The employer shall provide and pay the negotiated rate, | ||||||
19 | if applicable, or the lesser of the health care provider's | ||||||
20 | actual charges or according to a fee schedule, subject to | ||||||
21 | Section 8.2, in effect at the time the service was rendered for | ||||||
22 | all the necessary first
aid, medical and surgical services, and | ||||||
23 | all necessary medical, surgical
and hospital services | ||||||
24 | thereafter incurred, limited, however, to that
which is | ||||||
25 | reasonably required to cure or relieve from the effects of the
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1 | accidental injury, even if a health care provider sells, | ||||||
2 | transfers, or otherwise assigns an account receivable for | ||||||
3 | procedures, treatments, or services covered under this Act. If | ||||||
4 | the employer does not dispute payment of first aid, medical, | ||||||
5 | surgical,
and hospital services, the employer shall make such | ||||||
6 | payment to the provider on behalf of the employee. The employer | ||||||
7 | shall also pay for treatment,
instruction and training | ||||||
8 | necessary for the physical, mental and
vocational | ||||||
9 | rehabilitation of the employee, including all maintenance
| ||||||
10 | costs and expenses incidental thereto. If as a result of the | ||||||
11 | injury the
employee is unable to be self-sufficient the | ||||||
12 | employer shall further pay
for such maintenance or | ||||||
13 | institutional care as shall be required.
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14 | The employee may at any time elect to secure his own | ||||||
15 | physician,
surgeon and hospital services at the employer's | ||||||
16 | expense, or, | ||||||
17 | Upon agreement between the employer and the employees, or | ||||||
18 | the employees'
exclusive representative, and subject to the | ||||||
19 | approval of the Illinois Workers' Compensation
Commission, the | ||||||
20 | employer shall maintain a list of physicians, to be
known as a | ||||||
21 | Panel of Physicians, who are accessible to the employees.
The | ||||||
22 | employer shall post this list in a place or places easily | ||||||
23 | accessible
to his employees. The employee shall have the right | ||||||
24 | to make an
alternative choice of physician from such Panel if | ||||||
25 | he is not satisfied
with the physician first selected. If, due | ||||||
26 | to the nature of the injury
or its occurrence away from the |
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1 | employer's place of business, the
employee is unable to make a | ||||||
2 | selection from the Panel, the selection
process from the Panel | ||||||
3 | shall not apply. The physician selected from the
Panel may | ||||||
4 | arrange for any consultation, referral or other specialized
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5 | medical services outside the Panel at the employer's expense. | ||||||
6 | Provided
that, in the event the Commission shall find that a | ||||||
7 | doctor selected by
the employee is rendering improper or | ||||||
8 | inadequate care, the Commission
may order the employee to | ||||||
9 | select another doctor certified or qualified
in the medical | ||||||
10 | field for which treatment is required. If the employee
refuses | ||||||
11 | to make such change the Commission may relieve the employer of
| ||||||
12 | his obligation to pay the doctor's charges from the date of | ||||||
13 | refusal to
the date of compliance.
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14 | Any vocational rehabilitation counselors who provide | ||||||
15 | service under this Act shall have
appropriate certifications | ||||||
16 | which designate the counselor as qualified to render
opinions | ||||||
17 | relating to vocational rehabilitation. Vocational | ||||||
18 | rehabilitation
may include, but is not limited to, counseling | ||||||
19 | for job searches, supervising
a job search program, and | ||||||
20 | vocational retraining including education at an
accredited | ||||||
21 | learning institution. The employee or employer may petition to | ||||||
22 | the Commission to decide disputes relating to vocational | ||||||
23 | rehabilitation and the Commission shall resolve any such | ||||||
24 | dispute, including payment of the vocational rehabilitation | ||||||
25 | program by the employer. | ||||||
26 | The maintenance benefit shall not be less than the |
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1 | temporary total disability
rate determined for the employee. In | ||||||
2 | addition, maintenance shall include costs
and expenses | ||||||
3 | incidental to the vocational rehabilitation program. | ||||||
4 | When the employee is working light duty on a part-time | ||||||
5 | basis or full-time
basis
and earns less than he or she would be | ||||||
6 | earning if employed in the full capacity
of the job or jobs, | ||||||
7 | then the employee shall be entitled to temporary partial | ||||||
8 | disability benefits. Temporary partial disability benefits | ||||||
9 | shall be
equal to two-thirds of
the difference between the | ||||||
10 | average amount that the employee would be able to
earn in the | ||||||
11 | full performance of his or her duties in the occupation in | ||||||
12 | which he
or she was engaged at the time of accident and the | ||||||
13 | gross amount which he or she
is
earning in the modified job | ||||||
14 | provided to the employee by the employer or in any other job | ||||||
15 | that the employee is working. | ||||||
16 | Every hospital, physician, surgeon or other person | ||||||
17 | rendering
treatment or services in accordance with the | ||||||
18 | provisions of this Section
shall upon written request furnish | ||||||
19 | full and complete reports thereof to,
and permit their records | ||||||
20 | to be copied by, the employer, the employee or
his dependents, | ||||||
21 | as the case may be, or any other party to any proceeding
for | ||||||
22 | compensation before the Commission, or their attorneys.
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23 | Notwithstanding the foregoing, the employer's liability to | ||||||
24 | pay for such
medical services selected by the employee shall be | ||||||
25 | limited to:
| ||||||
26 | (1) all first aid and emergency treatment; plus
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1 | (2) all medical, surgical and hospital services | ||||||
2 | provided by the
physician, surgeon or hospital initially | ||||||
3 | chosen by the employee or by any
other physician, | ||||||
4 | consultant, expert, institution or other provider of
| ||||||
5 | services recommended by said initial service provider or | ||||||
6 | any subsequent
provider of medical services in the chain of | ||||||
7 | referrals from said
initial service provider; plus
| ||||||
8 |
(3) all medical, surgical and hospital services | ||||||
9 | provided by any second
physician, surgeon or hospital | ||||||
10 | subsequently chosen by the employee or by
any other | ||||||
11 | physician, consultant, expert, institution or other | ||||||
12 | provider of
services recommended by said second service | ||||||
13 | provider or any subsequent provider
of medical services in | ||||||
14 | the chain of referrals
from said second service provider. | ||||||
15 | Thereafter the employer shall select
and pay for all | ||||||
16 | necessary medical, surgical and hospital treatment and the
| ||||||
17 | employee may not select a provider of medical services at | ||||||
18 | the employer's
expense unless the employer agrees to such | ||||||
19 | selection. At any time the employee
may obtain any medical | ||||||
20 | treatment he desires at his own expense. This paragraph
| ||||||
21 | shall not affect the duty to pay for rehabilitation | ||||||
22 | referred to above.
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23 | (4) The following shall apply for injuries occurring on | ||||||
24 | or after June 28, 2011 (the effective date of Public Act | ||||||
25 | 97-18) and only when an employer has an approved preferred | ||||||
26 | provider program pursuant to Section 8.1a on the date the |
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1 | employee sustained his or her accidental injuries: | ||||||
2 | (A) The employer shall, in writing, on a form | ||||||
3 | promulgated by the Commission, inform the employee of | ||||||
4 | the preferred provider program; | ||||||
5 | (B) Subsequent to the report of an injury by an | ||||||
6 | employee, the employee may choose in writing at any | ||||||
7 | time to decline the preferred provider program, in | ||||||
8 | which case that would constitute one of the two choices | ||||||
9 | of medical providers to which the employee is entitled | ||||||
10 | under subsection (a)(2) or (a)(3); and | ||||||
11 | (C) Prior to the report of an injury by an | ||||||
12 | employee, when an employee chooses non-emergency | ||||||
13 | treatment from a provider not within the preferred | ||||||
14 | provider program, that would constitute the employee's | ||||||
15 | one choice of medical providers to which the employee | ||||||
16 | is entitled under subsection (a)(2) or (a)(3). | ||||||
17 | When an employer and employee so agree in writing, nothing | ||||||
18 | in this
Act prevents an employee whose injury or disability has | ||||||
19 | been established
under this Act, from relying in good faith, on | ||||||
20 | treatment by prayer or
spiritual means alone, in accordance | ||||||
21 | with the tenets and practice of a
recognized church or | ||||||
22 | religious denomination, by a duly accredited
practitioner | ||||||
23 | thereof, and having nursing services appropriate therewith,
| ||||||
24 | without suffering loss or diminution of the compensation | ||||||
25 | benefits under
this Act. However, the employee shall submit to | ||||||
26 | all physical
examinations required by this Act. The cost of |
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| |||||||
1 | such treatment and
nursing care shall be paid by the employee | ||||||
2 | unless the employer agrees to
make such payment.
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3 | Where the accidental injury results in the amputation of an | ||||||
4 | arm,
hand, leg or foot, or the enucleation of an eye, or the | ||||||
5 | loss of any of
the natural teeth, the employer shall furnish an | ||||||
6 | artificial of any such
members lost or damaged in accidental | ||||||
7 | injury arising out of and in the
course of employment, and | ||||||
8 | shall also furnish the necessary braces in all
proper and | ||||||
9 | necessary cases. In cases of the loss of a member or members
by | ||||||
10 | amputation, the employer shall, whenever necessary, maintain | ||||||
11 | in good
repair, refit or replace the artificial limbs during | ||||||
12 | the lifetime of the
employee. Where the accidental injury | ||||||
13 | accompanied by physical injury
results in damage to a denture, | ||||||
14 | eye glasses or contact eye lenses, or
where the accidental | ||||||
15 | injury results in damage to an artificial member,
the employer | ||||||
16 | shall replace or repair such denture, glasses, lenses, or
| ||||||
17 | artificial member.
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18 | The furnishing by the employer of any such services or | ||||||
19 | appliances is
not an admission of liability on the part of the | ||||||
20 | employer to pay
compensation.
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21 | The furnishing of any such services or appliances or the | ||||||
22 | servicing
thereof by the employer is not the payment of | ||||||
23 | compensation.
| ||||||
24 | (b) If the period of temporary total incapacity for work | ||||||
25 | lasts more
than 3 working days, weekly compensation as | ||||||
26 | hereinafter provided shall
be paid beginning on the 4th day of |
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| |||||||
1 | such temporary total incapacity and
continuing as long as the | ||||||
2 | total temporary incapacity lasts. In cases
where the temporary | ||||||
3 | total incapacity for work continues for a period of
14 days or | ||||||
4 | more from the day of the accident compensation shall commence
| ||||||
5 | on the day after the accident.
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6 | 1. The compensation rate for temporary total | ||||||
7 | incapacity under this
paragraph (b) of this Section shall | ||||||
8 | be equal to 66 2/3% of the
employee's average weekly wage | ||||||
9 | computed in accordance with Section 10,
provided that it | ||||||
10 | shall be not less than 66 2/3% of the sum of the Federal | ||||||
11 | minimum wage under the Fair Labor
Standards Act, or the | ||||||
12 | Illinois minimum wage under the Minimum Wage Law,
whichever | ||||||
13 | is more, multiplied by 40 hours. This percentage rate shall | ||||||
14 | be
increased by 10% for each spouse and child, not to | ||||||
15 | exceed 100% of the total
minimum wage calculation,
| ||||||
16 | nor exceed the employee's average weekly wage computed in | ||||||
17 | accordance
with the provisions of Section 10, whichever is | ||||||
18 | less.
| ||||||
19 | 2. The compensation rate in all cases other than for | ||||||
20 | temporary total
disability under this paragraph (b), and | ||||||
21 | other than for serious and
permanent disfigurement under | ||||||
22 | paragraph (c) and other than for permanent
partial | ||||||
23 | disability under subparagraph (2) of paragraph (d) or under
| ||||||
24 | paragraph (e), of this Section shall be equal to 66
2/3% of | ||||||
25 | the employee's average weekly wage computed in accordance | ||||||
26 | with
the provisions of Section 10, provided that it shall |
| |||||||
| |||||||
1 | be not less than
66 2/3% of the sum of the Federal minimum | ||||||
2 | wage under the Fair Labor Standards Act, or the Illinois | ||||||
3 | minimum wage under the Minimum Wage Law, whichever is more, | ||||||
4 | multiplied by 40 hours. This percentage rate shall be | ||||||
5 | increased by 10% for each spouse and child, not to exceed | ||||||
6 | 100% of the total minimum wage calculation,
| ||||||
7 | nor exceed the employee's average weekly wage computed in | ||||||
8 | accordance
with the provisions of Section 10, whichever is | ||||||
9 | less.
| ||||||
10 | 2.1. The compensation rate in all cases of serious and | ||||||
11 | permanent
disfigurement under paragraph (c) and of | ||||||
12 | permanent partial disability
under subparagraph (2) of | ||||||
13 | paragraph (d) or under paragraph (e) of this
Section shall | ||||||
14 | be equal to
60% of the employee's average
weekly wage | ||||||
15 | computed in accordance with
the provisions of Section 10, | ||||||
16 | provided that it shall be not less than
66 2/3% of the sum | ||||||
17 | of the Federal minimum wage under the Fair Labor Standards | ||||||
18 | Act, or the Illinois minimum wage under the Minimum Wage | ||||||
19 | Law, whichever is more, multiplied by 40 hours. This | ||||||
20 | percentage rate shall be increased by 10% for each spouse | ||||||
21 | and child, not to exceed 100% of the total minimum wage | ||||||
22 | calculation,
| ||||||
23 | nor exceed the employee's average weekly wage computed in | ||||||
24 | accordance
with the provisions of Section 10, whichever is | ||||||
25 | less.
| ||||||
26 | 3. As used in this Section the term "child" means a |
| |||||||
| |||||||
1 | child of the
employee including any child legally adopted | ||||||
2 | before the accident or whom
at the time of the accident the | ||||||
3 | employee was under legal obligation to
support or to whom | ||||||
4 | the employee stood in loco parentis, and who at the
time of | ||||||
5 | the accident was under 18 years of age and not emancipated. | ||||||
6 | The
term "children" means the plural of "child".
| ||||||
7 | 4. All weekly compensation rates provided under | ||||||
8 | subparagraphs 1,
2 and 2.1 of this paragraph (b) of this | ||||||
9 | Section shall be subject to the
following limitations:
| ||||||
10 | The maximum weekly compensation rate from July 1, 1975, | ||||||
11 | except as
hereinafter provided, shall be 100% of the | ||||||
12 | State's average weekly wage in
covered industries under the | ||||||
13 | Unemployment Insurance Act, that being the
wage that most | ||||||
14 | closely approximates the State's average weekly wage.
| ||||||
15 | The maximum weekly compensation rate, for the period | ||||||
16 | July 1, 1984,
through June 30, 1987, except as hereinafter | ||||||
17 | provided, shall be $293.61.
Effective July 1, 1987 and on | ||||||
18 | July 1 of each year thereafter the maximum
weekly | ||||||
19 | compensation rate, except as hereinafter provided, shall | ||||||
20 | be
determined as follows: if during the preceding 12 month | ||||||
21 | period there shall
have been an increase in the State's | ||||||
22 | average weekly wage in covered
industries under the | ||||||
23 | Unemployment Insurance Act, the weekly compensation
rate | ||||||
24 | shall be proportionately increased by the same percentage | ||||||
25 | as the
percentage of increase in the State's average weekly | ||||||
26 | wage in covered
industries under the Unemployment |
| |||||||
| |||||||
1 | Insurance Act during such period.
| ||||||
2 | The maximum weekly compensation rate, for the period | ||||||
3 | January 1, 1981
through December 31, 1983, except as | ||||||
4 | hereinafter provided, shall be 100% of
the State's average | ||||||
5 | weekly wage in covered industries under the
Unemployment | ||||||
6 | Insurance Act in effect on January 1, 1981. Effective | ||||||
7 | January
1, 1984 and on January 1, of each year thereafter | ||||||
8 | the maximum weekly
compensation rate, except as | ||||||
9 | hereinafter provided, shall be determined as
follows: if | ||||||
10 | during the preceding 12 month period there shall have been | ||||||
11 | an
increase in the State's average weekly wage in covered | ||||||
12 | industries under the
Unemployment Insurance Act, the | ||||||
13 | weekly compensation rate shall be
proportionately | ||||||
14 | increased by the same percentage as the percentage of
| ||||||
15 | increase in the State's average weekly wage in covered | ||||||
16 | industries under the
Unemployment Insurance Act during | ||||||
17 | such period.
| ||||||
18 | From July 1, 1977 and thereafter such maximum weekly | ||||||
19 | compensation
rate in death cases under Section 7, and | ||||||
20 | permanent total disability
cases under paragraph (f) or | ||||||
21 | subparagraph 18 of paragraph (3) of this
Section and for | ||||||
22 | temporary total disability under paragraph (b) of this
| ||||||
23 | Section and for amputation of a member or enucleation of an | ||||||
24 | eye under
paragraph (e) of this Section shall be increased | ||||||
25 | to 133-1/3% of the
State's average weekly wage in covered | ||||||
26 | industries under the
Unemployment Insurance Act.
|
| |||||||
| |||||||
1 | For injuries occurring on or after February 1, 2006, | ||||||
2 | the maximum weekly benefit under paragraph (d)1 of this | ||||||
3 | Section shall be 100% of the State's average weekly wage in | ||||||
4 | covered industries under the Unemployment Insurance Act.
| ||||||
5 | 4.1. Any provision herein to the contrary | ||||||
6 | notwithstanding, the
weekly compensation rate for | ||||||
7 | compensation payments under subparagraph 18
of paragraph | ||||||
8 | (e) of this Section and under paragraph (f) of this
Section | ||||||
9 | and under paragraph (a) of Section 7 and for amputation of | ||||||
10 | a member or enucleation of an eye under paragraph (e) of | ||||||
11 | this Section, shall in no event be less
than 50% of the | ||||||
12 | State's average weekly wage in covered industries under
the | ||||||
13 | Unemployment Insurance Act.
| ||||||
14 | 4.2. Any provision to the contrary notwithstanding, | ||||||
15 | the total
compensation payable under Section 7 shall not | ||||||
16 | exceed the greater of $500,000
or 25
years.
| ||||||
17 | 5. For the purpose of this Section this State's average | ||||||
18 | weekly wage
in covered industries under the Unemployment | ||||||
19 | Insurance Act on
July 1, 1975 is hereby fixed at $228.16 | ||||||
20 | per
week and the computation of compensation rates shall be | ||||||
21 | based on the
aforesaid average weekly wage until modified | ||||||
22 | as hereinafter provided.
| ||||||
23 | 6. The Department of Employment Security of the State | ||||||
24 | shall
on or before the first day of December, 1977, and on | ||||||
25 | or before the first
day of June, 1978, and on the first day | ||||||
26 | of each December and June of each
year thereafter, publish |
| |||||||
| |||||||
1 | the State's average weekly wage in covered
industries under | ||||||
2 | the Unemployment Insurance Act and the Illinois Workers' | ||||||
3 | Compensation
Commission shall on the 15th day of January, | ||||||
4 | 1978 and on the 15th day of
July, 1978 and on the 15th day | ||||||
5 | of each January and July of each year
thereafter, post and | ||||||
6 | publish the State's average weekly wage in covered
| ||||||
7 | industries under the Unemployment Insurance Act as last | ||||||
8 | determined and
published by the Department of Employment | ||||||
9 | Security. The amount when so
posted and published shall be | ||||||
10 | conclusive and shall be applicable as the
basis of | ||||||
11 | computation of compensation rates until the next posting | ||||||
12 | and
publication as aforesaid.
| ||||||
13 | 7. The payment of compensation by an employer or his | ||||||
14 | insurance
carrier to an injured employee shall not | ||||||
15 | constitute an admission of the
employer's liability to pay | ||||||
16 | compensation.
| ||||||
17 | (c) For any serious and permanent disfigurement to the | ||||||
18 | hand, head,
face, neck, arm, leg below the knee or the chest | ||||||
19 | above the axillary
line, the employee is entitled to | ||||||
20 | compensation for such disfigurement,
the amount determined by | ||||||
21 | agreement at any time or by arbitration under
this Act, at a | ||||||
22 | hearing not less than 6 months after the date of the
accidental | ||||||
23 | injury, which amount shall not exceed 150 weeks (if the | ||||||
24 | accidental injury occurs on or after the effective date of this | ||||||
25 | amendatory Act of the 94th General Assembly
but before February
| ||||||
26 | 1, 2006) or 162
weeks (if the accidental injury occurs on or |
| |||||||
| |||||||
1 | after February
1, 2006) at the
applicable rate provided in | ||||||
2 | subparagraph 2.1 of paragraph (b) of this Section.
| ||||||
3 | No compensation is payable under this paragraph where | ||||||
4 | compensation is
payable under paragraphs (d), (e) or (f) of | ||||||
5 | this Section.
| ||||||
6 | A duly appointed member of a fire department in a city, the | ||||||
7 | population of
which exceeds 500,000 according to the last | ||||||
8 | federal or State census, is
eligible for compensation under | ||||||
9 | this paragraph only where such serious and
permanent | ||||||
10 | disfigurement results from burns.
| ||||||
11 | (d) 1. If, after the accidental injury has been sustained, | ||||||
12 | the
employee as a result thereof becomes partially | ||||||
13 | incapacitated from
pursuing his usual and customary line of | ||||||
14 | employment, he shall, except in
cases compensated under the | ||||||
15 | specific schedule set forth in paragraph (e)
of this Section, | ||||||
16 | receive compensation for the duration of his
disability, | ||||||
17 | subject to the limitations as to maximum amounts fixed in
| ||||||
18 | paragraph (b) of this Section, equal to 66-2/3% of the | ||||||
19 | difference
between the average amount which he would be able to | ||||||
20 | earn in the full
performance of his duties in the occupation in | ||||||
21 | which he was engaged at
the time of the accident and the | ||||||
22 | average amount which he is earning or
is able to earn in some | ||||||
23 | suitable employment or business after the accident. For | ||||||
24 | accidental injuries that occur on or after September 1, 2011, | ||||||
25 | an award for wage differential under this subsection shall be | ||||||
26 | effective only until the employee reaches the age of 67 or 5 |
| |||||||
| |||||||
1 | years from the date the award becomes final, whichever is | ||||||
2 | later.
| ||||||
3 | 2. If, as a result of the accident, the employee sustains | ||||||
4 | serious
and permanent injuries not covered by paragraphs (c) | ||||||
5 | and (e) of this
Section or having sustained injuries covered by | ||||||
6 | the aforesaid
paragraphs (c) and (e), he shall have sustained | ||||||
7 | in addition thereto
other injuries which injuries do not | ||||||
8 | incapacitate him from pursuing the
duties of his employment but | ||||||
9 | which would disable him from pursuing other
suitable | ||||||
10 | occupations, or which have otherwise resulted in physical
| ||||||
11 | impairment; or if such injuries partially incapacitate him from | ||||||
12 | pursuing
the duties of his usual and customary line of | ||||||
13 | employment but do not
result in an impairment of earning | ||||||
14 | capacity, or having resulted in an
impairment of earning | ||||||
15 | capacity, the employee elects to waive his right
to recover | ||||||
16 | under the foregoing subparagraph 1 of paragraph (d) of this
| ||||||
17 | Section then in any of the foregoing events, he shall receive | ||||||
18 | in
addition to compensation for temporary total disability | ||||||
19 | under paragraph
(b) of this Section, compensation at the rate | ||||||
20 | provided in subparagraph 2.1
of paragraph (b) of this Section | ||||||
21 | for that percentage of 500 weeks that
the partial disability | ||||||
22 | resulting from the injuries covered by this
paragraph bears to | ||||||
23 | total disability. If the employee shall have
sustained a | ||||||
24 | fracture of one or more vertebra or fracture of the skull,
the | ||||||
25 | amount of compensation allowed under this Section shall be not | ||||||
26 | less
than 6 weeks for a fractured skull and 6 weeks for each |
| |||||||
| |||||||
1 | fractured
vertebra, and in the event the employee shall have | ||||||
2 | sustained a fracture
of any of the following facial bones: | ||||||
3 | nasal, lachrymal, vomer, zygoma,
maxilla, palatine or | ||||||
4 | mandible, the amount of compensation allowed under
this Section | ||||||
5 | shall be not less than 2 weeks for each such fractured
bone, | ||||||
6 | and for a fracture of each transverse process not less than 3
| ||||||
7 | weeks. In the event such injuries shall result in the loss of a | ||||||
8 | kidney,
spleen or lung, the amount of compensation allowed | ||||||
9 | under this Section
shall be not less than 10 weeks for each | ||||||
10 | such organ. Compensation
awarded under this subparagraph 2 | ||||||
11 | shall not take into consideration
injuries covered under | ||||||
12 | paragraphs (c) and (e) of this Section and the
compensation | ||||||
13 | provided in this paragraph shall not affect the employee's
| ||||||
14 | right to compensation payable under paragraphs (b), (c) and (e) | ||||||
15 | of this
Section for the disabilities therein covered.
| ||||||
16 | (e) For accidental injuries in the following schedule, the | ||||||
17 | employee
shall receive compensation for the period of temporary | ||||||
18 | total incapacity
for work resulting from such accidental | ||||||
19 | injury, under subparagraph 1 of
paragraph (b) of this Section, | ||||||
20 | and shall receive in addition thereto
compensation for a | ||||||
21 | further period for the specific loss herein
mentioned, but | ||||||
22 | shall not receive any compensation under any other
provisions | ||||||
23 | of this Act. The following listed amounts apply to either
the | ||||||
24 | loss of or the permanent and complete loss of use of the member
| ||||||
25 | specified, such compensation for the length of time as follows:
| ||||||
26 | 1. Thumb- |
| |||||||
| |||||||
1 | 70 weeks if the accidental injury occurs on or | ||||||
2 | after the effective date of this amendatory Act of the | ||||||
3 | 94th General Assembly
but before February
1, 2006.
| ||||||
4 | 76
weeks if the accidental injury occurs on or | ||||||
5 | after February
1, 2006.
| ||||||
6 | 2. First, or index finger- | ||||||
7 | 40 weeks if the accidental injury occurs on or | ||||||
8 | after the effective date of this amendatory Act of the | ||||||
9 | 94th General Assembly
but before February
1, 2006.
| ||||||
10 | 43
weeks if the accidental injury occurs on or | ||||||
11 | after February
1, 2006.
| ||||||
12 | 3. Second, or middle finger- | ||||||
13 | 35 weeks if the accidental injury occurs on or | ||||||
14 | after the effective date of this amendatory Act of the | ||||||
15 | 94th General Assembly
but before February
1, 2006.
| ||||||
16 | 38
weeks if the accidental injury occurs on or | ||||||
17 | after February
1, 2006.
| ||||||
18 | 4. Third, or ring finger- | ||||||
19 | 25 weeks if the accidental injury occurs on or | ||||||
20 | after the effective date of this amendatory Act of the | ||||||
21 | 94th General Assembly
but before February
1, 2006.
| ||||||
22 | 27
weeks if the accidental injury occurs on or | ||||||
23 | after February
1, 2006.
| ||||||
24 | 5. Fourth, or little finger- | ||||||
25 | 20 weeks if the accidental injury occurs on or | ||||||
26 | after the effective date of this amendatory Act of the |
| |||||||
| |||||||
1 | 94th General Assembly
but before February
1, 2006.
| ||||||
2 | 22
weeks if the accidental injury occurs on or | ||||||
3 | after February
1, 2006.
| ||||||
4 | 6. Great toe- | ||||||
5 | 35 weeks if the accidental injury occurs on or | ||||||
6 | after the effective date of this amendatory Act of the | ||||||
7 | 94th General Assembly
but before February
1, 2006.
| ||||||
8 | 38
weeks if the accidental injury occurs on or | ||||||
9 | after February
1, 2006.
| ||||||
10 | 7. Each toe other than great toe- | ||||||
11 | 12 weeks if the accidental injury occurs on or | ||||||
12 | after the effective date of this amendatory Act of the | ||||||
13 | 94th General Assembly
but before February
1, 2006.
| ||||||
14 | 13
weeks if the accidental injury occurs on or | ||||||
15 | after February
1, 2006.
| ||||||
16 | 8. The loss of the first or distal phalanx of the thumb | ||||||
17 | or of any
finger or toe shall be considered to be equal to | ||||||
18 | the loss of one-half of
such thumb, finger or toe and the | ||||||
19 | compensation payable shall be one-half
of the amount above | ||||||
20 | specified. The loss of more than one phalanx shall
be | ||||||
21 | considered as the loss of the entire thumb, finger or toe. | ||||||
22 | In no
case shall the amount received for more than one | ||||||
23 | finger exceed the
amount provided in this schedule for the | ||||||
24 | loss of a hand.
| ||||||
25 | 9. Hand- | ||||||
26 | 190 weeks if the accidental injury occurs on or |
| |||||||
| |||||||
1 | after the effective date of this amendatory Act of the | ||||||
2 | 94th General Assembly
but before February
1, 2006.
| ||||||
3 | 205
weeks if the accidental injury occurs on or | ||||||
4 | after February
1, 2006. | ||||||
5 | 190 weeks if the accidental injury occurs on or | ||||||
6 | after June 28, 2011 (the effective date of Public Act | ||||||
7 | 97-18) and if the accidental injury involves carpal | ||||||
8 | tunnel syndrome due to repetitive or cumulative | ||||||
9 | trauma, in which case the permanent partial disability | ||||||
10 | shall not exceed 15% loss of use of the hand, except | ||||||
11 | for cause shown by clear and convincing evidence and in | ||||||
12 | which case the award shall not exceed 30% loss of use | ||||||
13 | of the hand. | ||||||
14 | The loss of 2 or more digits, or one or more
phalanges | ||||||
15 | of 2 or more digits, of a hand may be compensated on the | ||||||
16 | basis
of partial loss of use of a hand, provided, further, | ||||||
17 | that the loss of 4
digits, or the loss of use of 4 digits, | ||||||
18 | in the same hand shall
constitute the complete loss of a | ||||||
19 | hand.
| ||||||
20 | 10. Arm- | ||||||
21 | 235 weeks if the accidental injury occurs on or | ||||||
22 | after the effective date of this amendatory Act of the | ||||||
23 | 94th General Assembly
but before February
1, 2006.
| ||||||
24 | 253
weeks if the accidental injury occurs on or | ||||||
25 | after February
1, 2006. | ||||||
26 | Where an accidental injury results in the
amputation of |
| |||||||
| |||||||
1 | an arm below the elbow, such injury shall be compensated
as | ||||||
2 | a loss of an arm. Where an accidental injury results in the
| ||||||
3 | amputation of an arm above the elbow, compensation for an | ||||||
4 | additional 15 weeks (if the accidental injury occurs on or | ||||||
5 | after the effective date of this amendatory Act of the 94th | ||||||
6 | General Assembly
but before February
1, 2006) or an | ||||||
7 | additional 17
weeks (if the accidental injury occurs on or | ||||||
8 | after February
1, 2006) shall be paid, except where the | ||||||
9 | accidental injury results in the
amputation of an arm at | ||||||
10 | the shoulder joint, or so close to shoulder
joint that an | ||||||
11 | artificial arm cannot be used, or results in the
| ||||||
12 | disarticulation of an arm at the shoulder joint, in which | ||||||
13 | case
compensation for an additional 65 weeks (if the | ||||||
14 | accidental injury occurs on or after the effective date of | ||||||
15 | this amendatory Act of the 94th General Assembly
but before | ||||||
16 | February
1, 2006) or an additional 70
weeks (if the | ||||||
17 | accidental injury occurs on or after February
1, 2006)
| ||||||
18 | shall be paid. For purposes of awards under this | ||||||
19 | subdivision (e), injuries to the shoulder shall be | ||||||
20 | considered to be injuries to part of the arm. This | ||||||
21 | amendatory Act of the 98th General Assembly is declarative | ||||||
22 | of existing law and is not a new enactment.
| ||||||
23 | 11. Foot- | ||||||
24 | 155 weeks if the accidental injury occurs on or | ||||||
25 | after the effective date of this amendatory Act of the | ||||||
26 | 94th General Assembly
but before February
1, 2006.
|
| |||||||
| |||||||
1 | 167
weeks if the accidental injury occurs on or | ||||||
2 | after February
1, 2006.
| ||||||
3 | 12. Leg- | ||||||
4 | 200 weeks if the accidental injury occurs on or | ||||||
5 | after the effective date of this amendatory Act of the | ||||||
6 | 94th General Assembly
but before February
1, 2006.
| ||||||
7 | 215
weeks if the accidental injury occurs on or | ||||||
8 | after February
1, 2006. | ||||||
9 | Where an accidental injury results in the
amputation of | ||||||
10 | a leg below the knee, such injury shall be compensated as
| ||||||
11 | loss of a leg. Where an accidental injury results in the | ||||||
12 | amputation of a
leg above the knee, compensation for an | ||||||
13 | additional 25 weeks (if the accidental injury occurs on or | ||||||
14 | after the effective date of this amendatory Act of the 94th | ||||||
15 | General Assembly
but before February
1, 2006) or an | ||||||
16 | additional 27
weeks (if the accidental injury occurs on or | ||||||
17 | after February
1, 2006) shall be
paid, except where the | ||||||
18 | accidental injury results in the amputation of a
leg at the | ||||||
19 | hip joint, or so close to the hip joint that an artificial
| ||||||
20 | leg cannot be used, or results in the disarticulation of a | ||||||
21 | leg at the
hip joint, in which case compensation for an | ||||||
22 | additional 75 weeks (if the accidental injury occurs on or | ||||||
23 | after the effective date of this amendatory Act of the 94th | ||||||
24 | General Assembly
but before February
1, 2006) or an | ||||||
25 | additional 81
weeks (if the accidental injury occurs on or | ||||||
26 | after February
1, 2006) shall
be paid.
|
| |||||||
| |||||||
1 | 13. Eye- | ||||||
2 | 150 weeks if the accidental injury occurs on or | ||||||
3 | after the effective date of this amendatory Act of the | ||||||
4 | 94th General Assembly
but before February
1, 2006.
| ||||||
5 | 162
weeks if the accidental injury occurs on or | ||||||
6 | after February
1, 2006. | ||||||
7 | Where an accidental injury results in the
enucleation | ||||||
8 | of an eye, compensation for an additional 10 weeks (if the | ||||||
9 | accidental injury occurs on or after the effective date of | ||||||
10 | this amendatory Act of the 94th General Assembly
but before | ||||||
11 | February
1, 2006) or an additional 11
weeks (if the | ||||||
12 | accidental injury occurs on or after February
1, 2006)
| ||||||
13 | shall be
paid.
| ||||||
14 | 14. Loss of hearing of one ear- | ||||||
15 | 50 weeks if the accidental injury occurs on or | ||||||
16 | after the effective date of this amendatory Act of the | ||||||
17 | 94th General Assembly
but before February
1, 2006.
| ||||||
18 | 54
weeks if the accidental injury occurs on or | ||||||
19 | after February
1, 2006.
| ||||||
20 | Total and permanent loss of
hearing of both ears- | ||||||
21 | 200 weeks if the accidental injury occurs on or | ||||||
22 | after the effective date of this amendatory Act of the | ||||||
23 | 94th General Assembly
but before February
1, 2006. | ||||||
24 | 215
weeks if the accidental injury occurs on or | ||||||
25 | after February
1, 2006.
| ||||||
26 | 15. Testicle- |
| |||||||
| |||||||
1 | 50 weeks if the accidental injury occurs on or | ||||||
2 | after the effective date of this amendatory Act of the | ||||||
3 | 94th General Assembly
but before February
1, 2006.
| ||||||
4 | 54
weeks if the accidental injury occurs on or | ||||||
5 | after February
1, 2006.
| ||||||
6 | Both testicles- | ||||||
7 | 150 weeks if the accidental injury occurs on or | ||||||
8 | after the effective date of this amendatory Act of the | ||||||
9 | 94th General Assembly
but before February
1, 2006.
| ||||||
10 | 162
weeks if the accidental injury occurs on or | ||||||
11 | after February
1, 2006.
| ||||||
12 | 16. For the permanent partial loss of use of a member | ||||||
13 | or sight of an
eye, or hearing of an ear, compensation | ||||||
14 | during that proportion of the
number of weeks in the | ||||||
15 | foregoing schedule provided for the loss of such
member or | ||||||
16 | sight of an eye, or hearing of an ear, which the partial | ||||||
17 | loss
of use thereof bears to the total loss of use of such | ||||||
18 | member, or sight
of eye, or hearing of an ear.
| ||||||
19 | (a) Loss of hearing for compensation purposes | ||||||
20 | shall be
confined to the frequencies of 1,000, 2,000 | ||||||
21 | and 3,000 cycles per second.
Loss of hearing ability | ||||||
22 | for frequency tones above 3,000 cycles per second
are | ||||||
23 | not to be considered as constituting disability for | ||||||
24 | hearing.
| ||||||
25 | (b) The percent of hearing loss, for purposes of | ||||||
26 | the
determination of compensation claims for |
| |||||||
| |||||||
1 | occupational deafness,
shall be calculated as the | ||||||
2 | average in decibels for the thresholds
of hearing for | ||||||
3 | the frequencies of 1,000, 2,000 and 3,000 cycles per | ||||||
4 | second.
Pure tone air conduction audiometric | ||||||
5 | instruments, approved by
nationally recognized | ||||||
6 | authorities in this field, shall be used for measuring
| ||||||
7 | hearing loss. If the losses of hearing average 30 | ||||||
8 | decibels or less in the
3 frequencies, such losses of | ||||||
9 | hearing shall not then constitute any
compensable | ||||||
10 | hearing disability. If the losses of hearing average 85
| ||||||
11 | decibels or more in the 3 frequencies, then the same | ||||||
12 | shall constitute and
be total or 100% compensable | ||||||
13 | hearing loss.
| ||||||
14 | (c) In measuring hearing impairment, the lowest | ||||||
15 | measured
losses in each of the 3 frequencies shall be | ||||||
16 | added together and
divided by 3 to determine the | ||||||
17 | average decibel loss. For every decibel
of loss | ||||||
18 | exceeding 30 decibels an allowance of 1.82% shall be | ||||||
19 | made up to
the maximum of 100% which is reached at 85 | ||||||
20 | decibels.
| ||||||
21 | (d) If a hearing loss is established to have | ||||||
22 | existed on July 1, 1975 by
audiometric testing the | ||||||
23 | employer shall not be liable for the previous loss
so | ||||||
24 | established nor shall he be liable for any loss for | ||||||
25 | which compensation
has been paid or awarded.
| ||||||
26 | (e) No consideration shall be given to the question |
| ||||||||||||||||||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||
1 | of
whether or not the ability of an employee to | |||||||||||||||||||||||||||||||||||||||||||||
2 | understand speech
is improved by the use of a hearing | |||||||||||||||||||||||||||||||||||||||||||||
3 | aid.
| |||||||||||||||||||||||||||||||||||||||||||||
4 | (f) No claim for loss of hearing due to industrial | |||||||||||||||||||||||||||||||||||||||||||||
5 | noise
shall be brought against an employer or allowed | |||||||||||||||||||||||||||||||||||||||||||||
6 | unless the employee has
been exposed for a period of | |||||||||||||||||||||||||||||||||||||||||||||
7 | time sufficient to cause permanent impairment
to noise | |||||||||||||||||||||||||||||||||||||||||||||
8 | levels in excess of the following:
| |||||||||||||||||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||
20 | This subparagraph (f) shall not be applied in cases of | |||||||||||||||||||||||||||||||||||||||||||||
21 | hearing loss
resulting from trauma or explosion.
| |||||||||||||||||||||||||||||||||||||||||||||
22 | 17. In computing the compensation to be paid to any | |||||||||||||||||||||||||||||||||||||||||||||
23 | employee who,
before the accident for which he claims | |||||||||||||||||||||||||||||||||||||||||||||
24 | compensation, had before that
time sustained an injury | |||||||||||||||||||||||||||||||||||||||||||||
25 | resulting in the loss by amputation or partial
loss by | |||||||||||||||||||||||||||||||||||||||||||||
26 | amputation of any member, including hand, arm, thumb or |
| |||||||
| |||||||
1 | fingers,
leg, foot or any toes, such loss or partial loss | ||||||
2 | of any such member
shall be deducted from any award made | ||||||
3 | for the subsequent injury. For
the permanent loss of use or | ||||||
4 | the permanent partial loss of use of any
such member or the | ||||||
5 | partial loss of sight of an eye, for which
compensation has | ||||||
6 | been paid, then such loss shall be taken into
consideration | ||||||
7 | and deducted from any award for the subsequent injury.
| ||||||
8 | 18. The specific case of loss of both hands, both arms, | ||||||
9 | or both
feet, or both legs, or both eyes, or of any two | ||||||
10 | thereof, or the
permanent and complete loss of the use | ||||||
11 | thereof, constitutes total and
permanent disability, to be | ||||||
12 | compensated according to the compensation
fixed by | ||||||
13 | paragraph (f) of this Section. These specific cases of | ||||||
14 | total
and permanent disability do not exclude other cases.
| ||||||
15 | Any employee who has previously suffered the loss or | ||||||
16 | permanent and
complete loss of the use of any of such | ||||||
17 | members, and in a subsequent
independent accident loses | ||||||
18 | another or suffers the permanent and complete
loss of the | ||||||
19 | use of any one of such members the employer for whom the
| ||||||
20 | injured employee is working at the time of the last | ||||||
21 | independent accident
is liable to pay compensation only for | ||||||
22 | the loss or permanent and
complete loss of the use of the | ||||||
23 | member occasioned by the last
independent accident.
| ||||||
24 | 19. In a case of specific loss and the subsequent death | ||||||
25 | of such
injured employee from other causes than such injury | ||||||
26 | leaving a widow,
widower, or dependents surviving before |
| |||||||
| |||||||
1 | payment or payment in full for
such injury, then the amount | ||||||
2 | due for such injury is payable to the widow
or widower and, | ||||||
3 | if there be no widow or widower, then to such
dependents, | ||||||
4 | in the proportion which such dependency bears to total
| ||||||
5 | dependency.
| ||||||
6 | Beginning July 1, 1980, and every 6 months thereafter, the | ||||||
7 | Commission
shall examine the Second Injury Fund and when, after | ||||||
8 | deducting all
advances or loans made to such Fund, the amount | ||||||
9 | therein is $500,000
then the amount required to be paid by | ||||||
10 | employers pursuant to paragraph
(f) of Section 7 shall be | ||||||
11 | reduced by one-half. When the Second Injury Fund
reaches the | ||||||
12 | sum of $600,000 then the payments shall cease entirely.
| ||||||
13 | However, when the Second Injury Fund has been reduced to | ||||||
14 | $400,000, payment
of one-half of the amounts required by | ||||||
15 | paragraph (f) of Section 7
shall be resumed, in the manner | ||||||
16 | herein provided, and when the Second Injury
Fund has been | ||||||
17 | reduced to $300,000, payment of the full amounts required by
| ||||||
18 | paragraph (f) of Section 7 shall be resumed, in the manner | ||||||
19 | herein provided.
The Commission shall make the changes in | ||||||
20 | payment effective by
general order, and the changes in payment | ||||||
21 | become immediately effective
for all cases coming before the | ||||||
22 | Commission thereafter either by
settlement agreement or final | ||||||
23 | order, irrespective of the date of the
accidental injury.
| ||||||
24 | On August 1, 1996 and on February 1 and August 1 of each | ||||||
25 | subsequent year, the Commission
shall examine the special fund | ||||||
26 | designated as the "Rate
Adjustment Fund" and when, after |
| |||||||
| |||||||
1 | deducting all advances or loans made to
said fund, the amount | ||||||
2 | therein is $4,000,000, the amount required to be
paid by | ||||||
3 | employers pursuant to paragraph (f) of Section 7 shall be
| ||||||
4 | reduced by one-half. When the Rate Adjustment Fund reaches the | ||||||
5 | sum of
$5,000,000 the payment therein shall cease entirely. | ||||||
6 | However, when said
Rate Adjustment Fund has been reduced to | ||||||
7 | $3,000,000 the amounts required by
paragraph (f) of Section 7 | ||||||
8 | shall be resumed in the manner herein provided.
| ||||||
9 | (f) In case of complete disability, which renders the | ||||||
10 | employee
wholly and permanently incapable of work, or in the | ||||||
11 | specific case of
total and permanent disability as provided in | ||||||
12 | subparagraph 18 of
paragraph (e) of this Section, compensation | ||||||
13 | shall be payable at the rate
provided in subparagraph 2 of | ||||||
14 | paragraph (b) of this Section for life.
| ||||||
15 | An employee entitled to benefits under paragraph (f) of | ||||||
16 | this Section
shall also be entitled to receive from the Rate | ||||||
17 | Adjustment
Fund provided in paragraph (f) of Section 7 of the | ||||||
18 | supplementary benefits
provided in paragraph (g) of this | ||||||
19 | Section 8.
| ||||||
20 | If any employee who receives an award under this paragraph | ||||||
21 | afterwards
returns to work or is able to do so, and earns or is | ||||||
22 | able to earn as
much as before the accident, payments under | ||||||
23 | such award shall cease. If
such employee returns to work, or is | ||||||
24 | able to do so, and earns or is able
to earn part but not as much | ||||||
25 | as before the accident, such award shall be
modified so as to | ||||||
26 | conform to an award under paragraph (d) of this
Section. If |
| |||||||
| |||||||
1 | such award is terminated or reduced under the provisions of
| ||||||
2 | this paragraph, such employees have the right at any time | ||||||
3 | within 30
months after the date of such termination or | ||||||
4 | reduction to file petition
with the Commission for the purpose | ||||||
5 | of determining whether any
disability exists as a result of the | ||||||
6 | original accidental injury and the
extent thereof.
| ||||||
7 | Disability as enumerated in subdivision 18, paragraph (e) | ||||||
8 | of this
Section is considered complete disability.
| ||||||
9 | If an employee who had previously incurred loss or the | ||||||
10 | permanent and
complete loss of use of one member, through the | ||||||
11 | loss or the permanent
and complete loss of the use of one hand, | ||||||
12 | one arm, one foot, one leg, or
one eye, incurs permanent and | ||||||
13 | complete disability through the loss or
the permanent and | ||||||
14 | complete loss of the use of another member, he shall
receive, | ||||||
15 | in addition to the compensation payable by the employer and
| ||||||
16 | after such payments have ceased, an amount from the Second | ||||||
17 | Injury Fund
provided for in paragraph (f) of Section 7, which, | ||||||
18 | together with the
compensation payable from the employer in | ||||||
19 | whose employ he was when the
last accidental injury was | ||||||
20 | incurred, will equal the amount payable for
permanent and | ||||||
21 | complete disability as provided in this paragraph of this
| ||||||
22 | Section.
| ||||||
23 | The custodian of the Second Injury Fund provided for in | ||||||
24 | paragraph (f)
of Section 7 shall be joined with the employer as | ||||||
25 | a party respondent in
the application for adjustment of claim. | ||||||
26 | The application for adjustment
of claim shall state briefly and |
| |||||||
| |||||||
1 | in general terms the approximate time
and place and manner of | ||||||
2 | the loss of the first member.
| ||||||
3 | In its award the Commission or the Arbitrator shall | ||||||
4 | specifically find
the amount the injured employee shall be | ||||||
5 | weekly paid, the number of
weeks compensation which shall be | ||||||
6 | paid by the employer, the date upon
which payments begin out of | ||||||
7 | the Second Injury Fund provided for in
paragraph (f) of Section | ||||||
8 | 7 of this Act, the length of time the weekly
payments continue, | ||||||
9 | the date upon which the pension payments commence and
the | ||||||
10 | monthly amount of the payments. The Commission shall 30 days | ||||||
11 | after
the date upon which payments out of the Second Injury | ||||||
12 | Fund have begun as
provided in the award, and every month | ||||||
13 | thereafter, prepare and submit to
the State Comptroller a | ||||||
14 | voucher for payment for all compensation accrued
to that date | ||||||
15 | at the rate fixed by the Commission. The State Comptroller
| ||||||
16 | shall draw a warrant to the injured employee along with a | ||||||
17 | receipt to be
executed by the injured employee and returned to | ||||||
18 | the Commission. The
endorsed warrant and receipt is a full and | ||||||
19 | complete acquittance to the
Commission for the payment out of | ||||||
20 | the Second Injury Fund. No other
appropriation or warrant is | ||||||
21 | necessary for payment out of the Second
Injury Fund. The Second | ||||||
22 | Injury Fund is appropriated for the purpose of
making payments | ||||||
23 | according to the terms of the awards.
| ||||||
24 | As of July 1, 1980 to July 1, 1982, all claims against and | ||||||
25 | obligations
of the Second Injury Fund shall become claims | ||||||
26 | against and obligations of
the Rate Adjustment Fund to the |
| |||||||
| |||||||
1 | extent there is insufficient money in the
Second Injury Fund to | ||||||
2 | pay such claims and obligations. In that case, all
references | ||||||
3 | to "Second Injury Fund" in this Section shall also include the
| ||||||
4 | Rate Adjustment Fund.
| ||||||
5 | (g) Every award for permanent total disability entered by | ||||||
6 | the
Commission on and after July 1, 1965 under which | ||||||
7 | compensation payments
shall become due and payable after the | ||||||
8 | effective date of this amendatory
Act, and every award for | ||||||
9 | death benefits or permanent total disability
entered by the | ||||||
10 | Commission on and after the effective date of this
amendatory | ||||||
11 | Act shall be subject to annual adjustments as to the amount
of | ||||||
12 | the compensation rate therein provided. Such adjustments shall | ||||||
13 | first
be made on July 15, 1977, and all awards made and entered | ||||||
14 | prior to July
1, 1975 and on July 15 of each year
thereafter. | ||||||
15 | In all other cases such adjustment shall be made on July 15
of | ||||||
16 | the second year next following the date of the entry of the | ||||||
17 | award and
shall further be made on July 15 annually thereafter. | ||||||
18 | If during the
intervening period from the date of the entry of | ||||||
19 | the award, or the last
periodic adjustment, there shall have | ||||||
20 | been an increase in the State's
average weekly wage in covered | ||||||
21 | industries under the Unemployment
Insurance Act, the weekly | ||||||
22 | compensation rate shall be proportionately
increased by the | ||||||
23 | same percentage as the percentage of increase in the
State's | ||||||
24 | average weekly wage in covered industries under the
| ||||||
25 | Unemployment Insurance Act. The increase in the compensation | ||||||
26 | rate
under this paragraph shall in no event bring the total |
| |||||||
| |||||||
1 | compensation rate
to an amount greater than the prevailing | ||||||
2 | maximum rate at the time that the annual adjustment is made. | ||||||
3 | Such increase
shall be paid in the same manner as herein | ||||||
4 | provided for payments under
the Second Injury Fund to the | ||||||
5 | injured employee, or his dependents, as
the case may be, out of | ||||||
6 | the Rate Adjustment Fund provided
in paragraph (f) of Section 7 | ||||||
7 | of this Act. Payments shall be made at
the same intervals as | ||||||
8 | provided in the award or, at the option of the
Commission, may | ||||||
9 | be made in quarterly payment on the 15th day of January,
April, | ||||||
10 | July and October of each year. In the event of a decrease in
| ||||||
11 | such average weekly wage there shall be no change in the then | ||||||
12 | existing
compensation rate. The within paragraph shall not | ||||||
13 | apply to cases where
there is disputed liability and in which a | ||||||
14 | compromise lump sum settlement
between the employer and the | ||||||
15 | injured employee, or his dependents, as the
case may be, has | ||||||
16 | been duly approved by the Illinois Workers' Compensation
| ||||||
17 | Commission.
| ||||||
18 | Provided, that in cases of awards entered by the Commission | ||||||
19 | for
injuries occurring before July 1, 1975, the increases in | ||||||
20 | the
compensation rate adjusted under the foregoing provision of | ||||||
21 | this
paragraph (g) shall be limited to increases in the State's | ||||||
22 | average
weekly wage in covered industries under the | ||||||
23 | Unemployment Insurance Act
occurring after July 1, 1975.
| ||||||
24 | For every accident occurring on or after July 20, 2005 but | ||||||
25 | before the effective date of this amendatory Act of the 94th | ||||||
26 | General Assembly (Senate Bill 1283 of the 94th General |
| |||||||
| |||||||
1 | Assembly), the annual adjustments to the compensation rate in | ||||||
2 | awards for death benefits or permanent total disability, as | ||||||
3 | provided in this Act, shall be paid by the employer. The | ||||||
4 | adjustment shall be made by the employer on July 15 of the | ||||||
5 | second year next following the date of the entry of the award | ||||||
6 | and shall further be made on July 15 annually thereafter. If | ||||||
7 | during the intervening period from the date of the entry of the | ||||||
8 | award, or the last periodic adjustment, there shall have been | ||||||
9 | an increase in the State's average weekly wage in covered | ||||||
10 | industries under the Unemployment Insurance Act, the employer | ||||||
11 | shall increase the weekly compensation rate proportionately by | ||||||
12 | the same percentage as the percentage of increase in the | ||||||
13 | State's average weekly wage in covered industries under the | ||||||
14 | Unemployment Insurance Act. The increase in the compensation | ||||||
15 | rate under this paragraph shall in no event bring the total | ||||||
16 | compensation rate to an amount greater than the prevailing | ||||||
17 | maximum rate at the time that the annual adjustment is made. In | ||||||
18 | the event of a decrease in such average weekly wage there shall | ||||||
19 | be no change in the then existing compensation rate. Such | ||||||
20 | increase shall be paid by the employer in the same manner and | ||||||
21 | at the same intervals as the payment of compensation in the | ||||||
22 | award. This paragraph shall not apply to cases where there is | ||||||
23 | disputed liability and in which a compromise lump sum | ||||||
24 | settlement between the employer and the injured employee, or | ||||||
25 | his or her dependents, as the case may be, has been duly | ||||||
26 | approved by the Illinois Workers' Compensation Commission. |
| |||||||
| |||||||
1 | The annual adjustments for every award of death benefits or | ||||||
2 | permanent total disability involving accidents occurring | ||||||
3 | before July 20, 2005 and accidents occurring on or after the | ||||||
4 | effective date of this amendatory Act of the 94th General | ||||||
5 | Assembly (Senate Bill 1283 of the 94th General Assembly) shall | ||||||
6 | continue to be paid from the Rate Adjustment Fund pursuant to | ||||||
7 | this paragraph and Section 7(f) of this Act.
| ||||||
8 | (h) In case death occurs from any cause before the total
| ||||||
9 | compensation to which the employee would have been entitled has | ||||||
10 | been
paid, then in case the employee leaves any widow, widower, | ||||||
11 | child, parent
(or any grandchild, grandparent or other lineal | ||||||
12 | heir or any collateral
heir dependent at the time of the | ||||||
13 | accident upon the earnings of the
employee to the extent of 50% | ||||||
14 | or more of total dependency) such
compensation shall be paid to | ||||||
15 | the beneficiaries of the deceased employee
and distributed as | ||||||
16 | provided in paragraph (g) of Section 7.
| ||||||
17 | (h-1) In case an injured employee is under legal disability
| ||||||
18 | at the time when any right or privilege accrues to him or her | ||||||
19 | under this
Act, a guardian may be appointed pursuant to law, | ||||||
20 | and may, on behalf
of such person under legal disability, claim | ||||||
21 | and exercise any
such right or privilege with the same effect | ||||||
22 | as if the employee himself
or herself had claimed or exercised | ||||||
23 | the right or privilege. No limitations
of time provided by this | ||||||
24 | Act run so long as the employee who is under legal
disability | ||||||
25 | is without a conservator or guardian.
| ||||||
26 | (i) In case the injured employee is under 16 years of age |
| |||||||
| |||||||
1 | at the
time of the accident and is illegally employed, the | ||||||
2 | amount of
compensation payable under paragraphs (b), (c), (d), | ||||||
3 | (e) and (f) of this
Section is increased 50%.
| ||||||
4 | However, where an employer has on file an employment | ||||||
5 | certificate
issued pursuant to the Child Labor Law or work | ||||||
6 | permit issued pursuant
to the Federal Fair Labor Standards Act, | ||||||
7 | as amended, or a birth
certificate properly and duly issued, | ||||||
8 | such certificate, permit or birth
certificate is conclusive | ||||||
9 | evidence as to the age of the injured minor
employee for the | ||||||
10 | purposes of this Section.
| ||||||
11 | Nothing herein contained repeals or amends the provisions | ||||||
12 | of the
Child Labor Law relating to the employment of minors | ||||||
13 | under the age of 16 years.
| ||||||
14 | (j) 1. In the event the injured employee receives benefits,
| ||||||
15 | including medical, surgical or hospital benefits under any | ||||||
16 | group plan
covering non-occupational disabilities contributed | ||||||
17 | to wholly or
partially by the employer, which benefits should | ||||||
18 | not have been payable
if any rights of recovery existed under | ||||||
19 | this Act, then such amounts so
paid to the employee from any | ||||||
20 | such group plan as shall be consistent
with, and limited to, | ||||||
21 | the provisions of paragraph 2 hereof, shall be
credited to or | ||||||
22 | against any compensation payment for temporary total
| ||||||
23 | incapacity for work or any medical, surgical or hospital | ||||||
24 | benefits made
or to be made under this Act. In such event, the | ||||||
25 | period of time for
giving notice of accidental injury and | ||||||
26 | filing application for adjustment
of claim does not commence to |
| |||||||
| |||||||
1 | run until the termination of such
payments. This paragraph does | ||||||
2 | not apply to payments made under any
group plan which would | ||||||
3 | have been payable irrespective of an accidental
injury under | ||||||
4 | this Act. Any employer receiving such credit shall keep
such | ||||||
5 | employee safe and harmless from any and all claims or | ||||||
6 | liabilities
that may be made against him by reason of having | ||||||
7 | received such payments
only to the extent of such credit.
| ||||||
8 | Any excess benefits paid to or on behalf of a State | ||||||
9 | employee by the
State Employees' Retirement System under | ||||||
10 | Article 14 of the Illinois Pension
Code on a death claim or | ||||||
11 | disputed disability claim shall be credited
against any | ||||||
12 | payments made or to be made by the State of Illinois to or on
| ||||||
13 | behalf of such employee under this Act, except for payments for | ||||||
14 | medical
expenses which have already been incurred at the time | ||||||
15 | of the award. The
State of Illinois shall directly reimburse | ||||||
16 | the State Employees' Retirement
System to the extent of such | ||||||
17 | credit.
| ||||||
18 | 2. Nothing contained in this Act shall be construed to give | ||||||
19 | the
employer or the insurance carrier the right to credit for | ||||||
20 | any benefits
or payments received by the employee other than | ||||||
21 | compensation payments
provided by this Act, and where the | ||||||
22 | employee receives payments other
than compensation payments, | ||||||
23 | whether as full or partial salary, group
insurance benefits, | ||||||
24 | bonuses, annuities or any other payments, the
employer or | ||||||
25 | insurance carrier shall receive credit for each such payment
| ||||||
26 | only to the extent of the compensation that would have been |
| |||||||
| |||||||
1 | payable
during the period covered by such payment.
| ||||||
2 | 3. The extension of time for the filing of an Application | ||||||
3 | for
Adjustment of Claim as provided in paragraph 1 above shall | ||||||
4 | not apply to
those cases where the time for such filing had | ||||||
5 | expired prior to the date
on which payments or benefits | ||||||
6 | enumerated herein have been initiated or
resumed. Provided | ||||||
7 | however that this paragraph 3 shall apply only to
cases wherein | ||||||
8 | the payments or benefits hereinabove enumerated shall be
| ||||||
9 | received after July 1, 1969.
| ||||||
10 | (Source: P.A. 97-18, eff. 6-28-11; 97-268, eff. 8-8-11; 97-813, | ||||||
11 | eff. 7-13-12.)
| ||||||
12 | (820 ILCS 305/8.1b) | ||||||
13 | Sec. 8.1b. Determination of permanent partial disability. | ||||||
14 | For accidental injuries that occur on or after September 1, | ||||||
15 | 2011, permanent partial disability shall be established using | ||||||
16 | the following criteria: | ||||||
17 | (a) A physician licensed to practice medicine in all of its | ||||||
18 | branches preparing a permanent partial disability impairment | ||||||
19 | report shall report the level of impairment in writing. The | ||||||
20 | report shall include an evaluation of medically defined and | ||||||
21 | professionally appropriate measurements of impairment that | ||||||
22 | include, but are not limited to: loss of range of motion; loss | ||||||
23 | of strength; measured atrophy of tissue mass consistent with | ||||||
24 | the injury; and any other measurements that establish the | ||||||
25 | nature and extent of the impairment. The most current edition |
| |||||||
| |||||||
1 | of the American Medical Association's "Guides to the Evaluation | ||||||
2 | of Permanent Impairment" shall be used by the physician in | ||||||
3 | determining the level of impairment. | ||||||
4 | (b) In determining the level of permanent partial | ||||||
5 | disability, the Commission shall base its determination on the | ||||||
6 | following factors: (i) the reported level of impairment | ||||||
7 | pursuant to subsection (a) if such report exists ; (ii) the | ||||||
8 | occupation of the injured employee; (iii) the age of the | ||||||
9 | employee at the time of the injury; (iv) the employee's future | ||||||
10 | earning capacity; and (v) evidence of disability corroborated | ||||||
11 | by the treating medical records. No single enumerated factor | ||||||
12 | shall be the sole determinant of disability. In determining the | ||||||
13 | level of disability, the relevance and weight of any factors | ||||||
14 | used , including in addition to the level of impairment as | ||||||
15 | reported by the physician , must be explained in a written | ||||||
16 | order.
| ||||||
17 | (Source: P.A. 97-18, eff. 6-28-11.)
| ||||||
18 | (820 ILCS 305/9) (from Ch. 48, par. 138.9)
| ||||||
19 | Sec. 9.
Any employer or employee or beneficiary who shall | ||||||
20 | desire to have
such compensation, or any unpaid part thereof, | ||||||
21 | paid in a lump sum, may
petition the Commission, asking that | ||||||
22 | such compensation be so paid. If, upon
proper notice to the | ||||||
23 | interested parties and a proper showing made before
such | ||||||
24 | Commission or any member thereof, it appears to the best | ||||||
25 | interest of
the parties that such compensation be so paid, the |
| |||||||
| |||||||
1 | Commission may order the
commutation of the compensation to an | ||||||
2 | equivalent lump sum, which
commutation shall be an amount which | ||||||
3 | will equal the total sum of the
probable future payments | ||||||
4 | capitalized at their present value upon the basis
of interest | ||||||
5 | calculated at the maximum rate of interest payable by member
| ||||||
6 | banks of the Federal Reserve System on passbook savings | ||||||
7 | deposits as published
in Regulation Q or its successor or, if | ||||||
8 | Regulation Q or its successor is
repealed, then the rate in | ||||||
9 | effect on the date of repeal. Prior to approval of any pro se | ||||||
10 | Settlement Contract Lump Sum Petition, the Commission or an | ||||||
11 | Arbitrator thereof shall determine if the unrepresented | ||||||
12 | employee, if present, is able to read and communicate in | ||||||
13 | English. If not, it shall be the responsibility of the employer | ||||||
14 | to provide a qualified, independent interpreter at the time | ||||||
15 | such Petition is heard, unless the employee has provided his or | ||||||
16 | her own interpreter.
| ||||||
17 | In cases indicating complete disability no petition for a | ||||||
18 | commutation to
a lump sum basis shall be entertained by the | ||||||
19 | Commission until after the
expiration of 6 months from the date | ||||||
20 | of the injury.
| ||||||
21 | Where necessary, upon proper application being made, a | ||||||
22 | guardian
or administrator, as the case may be, may be appointed | ||||||
23 | for any
person under disability who may be entitled to any such | ||||||
24 | compensation and an
employer bound by the terms of this Act and | ||||||
25 | liable to pay such
compensation, may petition for the | ||||||
26 | appointment of the public administrator,
or guardian, where no |
| |||||||
| |||||||
1 | legal representative has been
appointed or is acting for such | ||||||
2 | party or parties so under disability.
| ||||||
3 | The payment of compensation in a lump sum to the employee | ||||||
4 | in his or her
lifetime upon order of the Commission, shall | ||||||
5 | extinguish and bar all claims
for compensation for death if the | ||||||
6 | compensation paid in a lump sum
represents a compromise of a | ||||||
7 | dispute on any question other than the extent
of disability.
| ||||||
8 | Subject to the provisions herein above in this paragraph | ||||||
9 | contained,
where no dispute exists as to the fact that the | ||||||
10 | accident arose out of and
in the course of the employment and | ||||||
11 | where such accident results in death or
in the amputation of | ||||||
12 | any member or in the enucleation of an eye, then and
in such | ||||||
13 | case the arbitrator or Commission may, upon the petition of | ||||||
14 | either
the employer or the employee, enter an award providing | ||||||
15 | for the payment of
compensation for such death or injury in | ||||||
16 | accordance with the provisions of
Section 7 or paragraph (e) of | ||||||
17 | Section 8 of this Act.
| ||||||
18 | (Source: P.A. 83-1362.)
| ||||||
19 | (820 ILCS 305/14) (from Ch. 48, par. 138.14)
| ||||||
20 | Sec. 14. The Commission shall appoint a secretary, an | ||||||
21 | assistant
secretary, and arbitrators and shall employ such
| ||||||
22 | assistants and clerical help as may be necessary. Arbitrators | ||||||
23 | shall be appointed pursuant to this Section, notwithstanding | ||||||
24 | any provision of the Personnel Code.
| ||||||
25 | Each arbitrator appointed after June 28, 2011 after |
| |||||||
| |||||||
1 | November 22, 1977 shall be required
to demonstrate in writing | ||||||
2 | and in accordance with
the rules and regulations of the | ||||||
3 | Illinois Department of Central Management
Services his or
her | ||||||
4 | knowledge of and expertise in the law of and judicial processes | ||||||
5 | of
the Workers' Compensation Act and the Occupational Diseases | ||||||
6 | Act.
| ||||||
7 | A formal training program for newly-hired arbitrators | ||||||
8 | shall be
implemented. The training program shall include the | ||||||
9 | following:
| ||||||
10 | (a) substantive and procedural aspects of the | ||||||
11 | arbitrator position;
| ||||||
12 | (b) current issues in workers' compensation law and | ||||||
13 | practice;
| ||||||
14 | (c) medical lectures by specialists in areas such as | ||||||
15 | orthopedics,
ophthalmology, psychiatry, rehabilitation | ||||||
16 | counseling;
| ||||||
17 | (d) orientation to each operational unit of the | ||||||
18 | Illinois Workers' Compensation Commission;
| ||||||
19 | (e) observation of experienced arbitrators conducting | ||||||
20 | hearings of cases,
combined with the opportunity to discuss | ||||||
21 | evidence presented and rulings made;
| ||||||
22 | (f) the use of hypothetical cases requiring the trainee | ||||||
23 | to issue
judgments as a means to evaluating knowledge and | ||||||
24 | writing ability;
| ||||||
25 | (g) writing skills;
| ||||||
26 | (h) professional and ethical standards pursuant to |
| |||||||
| |||||||
1 | Section 1.1 of this Act; | ||||||
2 | (i) detection of workers' compensation fraud and | ||||||
3 | reporting obligations of Commission employees and | ||||||
4 | appointees; | ||||||
5 | (j) standards of evidence-based medical treatment and | ||||||
6 | best practices for measuring and improving quality and | ||||||
7 | health care outcomes in the workers' compensation system, | ||||||
8 | including but not limited to the use of the American | ||||||
9 | Medical Association's "Guides to the Evaluation of | ||||||
10 | Permanent Impairment" and the practice of utilization | ||||||
11 | review; and | ||||||
12 | (k) substantive and procedural aspects of coal | ||||||
13 | workers' pneumoconiosis (black lung) cases. | ||||||
14 | A formal and ongoing professional development program | ||||||
15 | including, but not
limited to, the above-noted areas shall be | ||||||
16 | implemented to keep arbitrators
informed of recent | ||||||
17 | developments and issues and to assist them in
maintaining and | ||||||
18 | enhancing their professional competence. Each arbitrator shall | ||||||
19 | complete 20 hours of training in the above-noted areas during | ||||||
20 | every 2 years such arbitrator shall remain in office.
| ||||||
21 | Each
arbitrator shall devote full time to his or her duties | ||||||
22 | and shall serve when
assigned as
an acting Commissioner when a | ||||||
23 | Commissioner is unavailable in accordance
with the provisions | ||||||
24 | of Section 13 of this Act. Any
arbitrator who is an | ||||||
25 | attorney-at-law shall not engage in the practice of
law, nor | ||||||
26 | shall any arbitrator hold any other office or position of
|
| |||||||
| |||||||
1 | profit under the United States or this State or any municipal
| ||||||
2 | corporation or political subdivision of this State.
| ||||||
3 | Notwithstanding any other provision of this Act to the | ||||||
4 | contrary, an arbitrator
who serves as an acting Commissioner in | ||||||
5 | accordance with the provisions of
Section 13 of this Act shall | ||||||
6 | continue to serve in the capacity of Commissioner
until a | ||||||
7 | decision is reached in every case heard by that arbitrator | ||||||
8 | while
serving as an acting Commissioner.
| ||||||
9 | Notwithstanding any other provision of this Section, the | ||||||
10 | term of all arbitrators serving on the effective date of this | ||||||
11 | amendatory Act of the 97th General Assembly, including any | ||||||
12 | arbitrators on administrative leave, shall terminate at the | ||||||
13 | close of business on July 1, 2011, but the incumbents shall | ||||||
14 | continue to exercise all of their duties until they are | ||||||
15 | reappointed or their successors are appointed. | ||||||
16 | On and after the effective date of this amendatory Act of | ||||||
17 | the 97th General Assembly, arbitrators shall be appointed to | ||||||
18 | 3-year terms as follows: | ||||||
19 | (1) All appointments shall be made by the Governor with | ||||||
20 | the advice and consent of the Senate. | ||||||
21 | (2) For their initial appointments, 12 arbitrators | ||||||
22 | shall be appointed to terms expiring July 1, 2012; 12 | ||||||
23 | arbitrators shall be appointed to terms expiring July 1, | ||||||
24 | 2013; and all additional arbitrators shall be appointed to | ||||||
25 | terms expiring July 1, 2014. Thereafter, all arbitrators | ||||||
26 | shall be appointed to 3-year terms. |
| |||||||
| |||||||
1 | Upon the expiration of a term, the Chairman shall evaluate | ||||||
2 | the performance of the arbitrator and may recommend to the | ||||||
3 | Governor that he or she be reappointed to a second or | ||||||
4 | subsequent term by the Governor with the advice and consent of | ||||||
5 | the Senate. | ||||||
6 | Each arbitrator appointed on or after the effective date of | ||||||
7 | this amendatory Act of the 97th General Assembly and who has | ||||||
8 | not previously served as an arbitrator for the Commission shall | ||||||
9 | be required to be authorized to practice law in this State by | ||||||
10 | the Supreme Court, and to maintain this authorization | ||||||
11 | throughout his or her term of employment.
| ||||||
12 | The All arbitrators shall be subject to the provisions of | ||||||
13 | the Personnel Code,
and the performance of all arbitrators | ||||||
14 | shall be reviewed by the Chairman on
an annual basis. The | ||||||
15 | changes made to this Section by this amendatory Act of the 97th | ||||||
16 | General Assembly shall prevail over any conflict with the | ||||||
17 | Personnel Code. The Chairman shall allow input from the | ||||||
18 | Commissioners in
all such reviews.
| ||||||
19 | The Commission shall assign no fewer than 3 arbitrators to | ||||||
20 | each hearing site. The Commission shall establish a procedure | ||||||
21 | to ensure that the arbitrators assigned to each hearing site | ||||||
22 | are assigned cases on a random basis. No arbitrator shall hear | ||||||
23 | cases in any county, other than Cook County, for more than 2 | ||||||
24 | years in each 3-year term. | ||||||
25 | The Secretary and each arbitrator shall receive a per annum | ||||||
26 | salary of
$4,000 less than the per annum salary of members of |
| |||||||
| |||||||
1 | The
Illinois Workers' Compensation Commission as
provided in | ||||||
2 | Section 13 of this Act, payable in equal monthly installments.
| ||||||
3 | The members of the Commission, Arbitrators and other | ||||||
4 | employees whose
duties require them to travel, shall have | ||||||
5 | reimbursed to them their
actual traveling expenses and | ||||||
6 | disbursements made or incurred by them in
the discharge of | ||||||
7 | their official duties while away from their place of
residence | ||||||
8 | in the performance of their duties.
| ||||||
9 | The Commission shall provide itself with a seal for the
| ||||||
10 | authentication of its orders, awards and proceedings upon which | ||||||
11 | shall be
inscribed the name of the Commission and the words | ||||||
12 | "Illinois--Seal".
| ||||||
13 | The Secretary or Assistant Secretary, under the direction | ||||||
14 | of the
Commission, shall have charge and custody of the seal of | ||||||
15 | the Commission
and also have charge and custody of all records, | ||||||
16 | files, orders,
proceedings, decisions, awards and other | ||||||
17 | documents on file with the
Commission. He shall furnish | ||||||
18 | certified copies, under the seal of the
Commission, of any such | ||||||
19 | records, files, orders, proceedings, decisions,
awards and | ||||||
20 | other documents on file with the Commission as may be
required. | ||||||
21 | Certified copies so furnished by the Secretary or Assistant
| ||||||
22 | Secretary shall be received in evidence before the Commission | ||||||
23 | or any
Arbitrator thereof, and in all courts, provided that the | ||||||
24 | original of
such certified copy is otherwise competent and | ||||||
25 | admissible in evidence.
The Secretary or Assistant Secretary | ||||||
26 | shall perform such other duties as
may be prescribed from time |
| |||||||
| |||||||
1 | to time by the Commission.
| ||||||
2 | (Source: P.A. 97-18, eff. 6-28-11; 97-719, eff. 6-29-12.)
| ||||||
3 | (820 ILCS 305/15a) (from Ch. 48, par. 138.15a)
| ||||||
4 | Sec. 15a.
The Beginning January 1, 1981, the Commission | ||||||
5 | shall prepare and
publish a handbook in readily understandable | ||||||
6 | language in question and answer
form containing all information | ||||||
7 | as to the rights and obligations of employers
and employees | ||||||
8 | under the provisions
of this Act.
| ||||||
9 | Upon receipt of first report of injury, as provided for in | ||||||
10 | subsection (b)
of Section 6 of this Act, the Commission shall | ||||||
11 | determine that a copy
of the handbook has been forwarded to the | ||||||
12 | injured employee or his beneficiary.
| ||||||
13 | The handbook shall be made available free of charge to the | ||||||
14 | general public and be maintained on the Commission's Internet | ||||||
15 | website .
| ||||||
16 | The Commission shall provide informational assistance to | ||||||
17 | employers and
employees regarding their rights and obligations | ||||||
18 | under this Act and the
process and procedure before the | ||||||
19 | Commission.
| ||||||
20 | (Source: P.A. 86-998.)
| ||||||
21 | (820 ILCS 305/16a) (from Ch. 48, par. 138.16a)
| ||||||
22 | Sec. 16a. (A) In the establishment or approval of | ||||||
23 | attorney's fees in relation
to claims brought under this Act, | ||||||
24 | the Commission shall be guided by the
provisions of this |
| |||||||
| |||||||
1 | Section and by the legislative intent, hereby declared, to
| ||||||
2 | encourage settlement and prompt administrative handling of | ||||||
3 | such claims
and thereby reduce expenses to claimants for | ||||||
4 | compensation under this Act.
| ||||||
5 | (B) With respect to any and all proceedings in connection | ||||||
6 | with any initial
or original claim under this Act, no claim of | ||||||
7 | any attorney for services
rendered in connection with the | ||||||
8 | securing of compensation for an employee
or his dependents, | ||||||
9 | whether secured by agreement, order, award or a judgment
in any | ||||||
10 | court shall exceed 20% of the amount of compensation recovered | ||||||
11 | and
paid, unless further fees shall be allowed to the attorney | ||||||
12 | upon a hearing
by the Commission fixing fees, and subject to | ||||||
13 | the other
provisions of this Section. However, except as | ||||||
14 | hereinafter provided
in this Section, in death cases, total | ||||||
15 | disability cases and partial disability
cases, the amount of an | ||||||
16 | attorney's fees shall not exceed 20% of the sum
which would be | ||||||
17 | due under this Act for 364 weeks of permanent total disability
| ||||||
18 | based upon the employee's average gross weekly wage prior to | ||||||
19 | the date of
the accident and subject to the maximum weekly | ||||||
20 | benefits provided in this
Act unless the employee or his or her | ||||||
21 | dependents, as applicable, waive in writing the 364-week limit | ||||||
22 | on attorney's fees or unless further fees shall be allowed to | ||||||
23 | the attorney upon a hearing
by the Commission fixing fees. An | ||||||
24 | employee or his or her dependents, as applicable, may waive in | ||||||
25 | writing the 364-week limit on attorney's fees in death cases, | ||||||
26 | total disability cases, and partial disability cases.
|
| |||||||
| |||||||
1 | (C) All attorneys' fees in connection with the initial or | ||||||
2 | original claim
for compensation shall be fixed pursuant to a | ||||||
3 | written contract on forms
prescribed by the Commission between | ||||||
4 | the attorney and the employee or his
dependents, and every | ||||||
5 | attorney, whether the disposition of the original
claim is by | ||||||
6 | agreement, settlement, award,
judgment or otherwise, shall | ||||||
7 | file his contract with the Chairman of the Commission who
shall | ||||||
8 | approve the contract only if it is in accordance with all | ||||||
9 | provisions
of this Section.
| ||||||
10 | (D) No attorneys' fees shall be charged with respect to | ||||||
11 | compensation for
undisputed medical expenses.
| ||||||
12 | (E) No attorneys' fees shall be charged in connection with | ||||||
13 | any temporary
total disability compensation unless the payment | ||||||
14 | of such compensation in
a timely manner or in the
proper amount | ||||||
15 | is refused, or unless such compensation
is terminated
by the | ||||||
16 | employer and the payment of such compensation is obtained or | ||||||
17 | reinstated
by the efforts of the attorney, whether by | ||||||
18 | agreement, settlement, award or judgment.
| ||||||
19 | (F) In the following cases in which there is no dispute | ||||||
20 | between the parties
as to the liability of the respondent to | ||||||
21 | pay compensation in a timely manner
or in the proper amount and | ||||||
22 | there is no dispute that the accident has resulted in:
| ||||||
23 | (1) the death of the employee; or
| ||||||
24 | (2) a statutory permanent disability; or
| ||||||
25 | (3) the amputation of a finger, toe, or member; or
| ||||||
26 | (4) the removal of a testicle; or
|
| |||||||
| |||||||
1 | (5) the enucleation of or 100% loss of vision of an | ||||||
2 | eye;
| ||||||
3 | the legal fees, if any, for services rendered are to be fixed | ||||||
4 | by the Illinois Workers' Compensation
Commission at a nominal | ||||||
5 | amount, not exceeding $100.
| ||||||
6 | (G) In the following cases in which there is no dispute | ||||||
7 | between the
parties as to the liability of the respondent to | ||||||
8 | pay compensation and there
is no dispute that the accident has | ||||||
9 | resulted in:
| ||||||
10 | (1) a fracture of one or more vertebrae; or
| ||||||
11 | (2) a skull fracture; or
| ||||||
12 | (3) a fracture of one or more spinous or transverse | ||||||
13 | processes; or
| ||||||
14 | (4) a fracture of one or more facial bones; or
| ||||||
15 | (5) the removal of a kidney, spleen or lung;
| ||||||
16 | the legal fees, if any, for services rendered are to be fixed | ||||||
17 | by the Illinois Workers' Compensation
Commission at a nominal | ||||||
18 | amount, not exceeding $100, provided that the employee
is | ||||||
19 | awarded the minimum amount for the above injuries as specified | ||||||
20 | in Section 8(d)2.
| ||||||
21 | (H) With regard to any claim where the amount to be paid | ||||||
22 | for compensation
does not exceed the written offer made to the | ||||||
23 | claimant or claimants by the
employer or his agent prior to | ||||||
24 | representation by an attorney, no fees shall
be paid to any | ||||||
25 | such attorney.
| ||||||
26 | (I) All attorneys' fees for representation of an employee |
| |||||||
| |||||||
1 | or his dependents
shall be only recoverable from compensation | ||||||
2 | actually paid to such employee
or dependents.
| ||||||
3 | (J) Any and all disputes regarding attorneys' fees, whether | ||||||
4 | such disputes
relate to which one or more attorneys represents | ||||||
5 | the claimant or claimants
or is entitled to the attorneys' | ||||||
6 | fees, or a division of attorneys' fees
where the claimant or | ||||||
7 | claimants are or have been represented by more than
one | ||||||
8 | attorney, or any other disputes concerning attorneys' fees or | ||||||
9 | contracts
for attorneys' fees, shall be heard and determined by | ||||||
10 | the Commission after
reasonable notice to all interested | ||||||
11 | parties and attorneys.
| ||||||
12 | (K) After reasonable notice and hearing before the | ||||||
13 | Commission, any attorney
found to be in violation of any | ||||||
14 | provision of this Section shall be required
to make restitution | ||||||
15 | of any excess fees charged plus interest at a reasonable
rate | ||||||
16 | as determined by the Commission.
| ||||||
17 | (Source: P.A. 93-721, eff. 1-1-05.)
| ||||||
18 | (820 ILCS 305/19) (from Ch. 48, par. 138.19)
| ||||||
19 | Sec. 19. Any disputed questions of law or fact shall be | ||||||
20 | determined
as herein provided.
| ||||||
21 | (a) It shall be the duty of the Commission upon | ||||||
22 | notification that
the parties have failed to reach an | ||||||
23 | agreement, to designate an Arbitrator.
| ||||||
24 | 1. Whenever any claimant misconceives his remedy and | ||||||
25 | files an
application for adjustment of claim under this Act |
| |||||||
| |||||||
1 | and it is
subsequently discovered, at any time before final | ||||||
2 | disposition of such
cause, that the claim for disability or | ||||||
3 | death which was the basis for
such application should | ||||||
4 | properly have been made under the Workers'
Occupational | ||||||
5 | Diseases Act, then the provisions of Section 19, paragraph
| ||||||
6 | (a-1) of the Workers' Occupational Diseases Act having | ||||||
7 | reference to such
application shall apply.
| ||||||
8 | 2. Whenever any claimant misconceives his remedy and | ||||||
9 | files an
application for adjustment of claim under the | ||||||
10 | Workers' Occupational
Diseases Act and it is subsequently | ||||||
11 | discovered, at any time before final
disposition of such | ||||||
12 | cause that the claim for injury or death which was
the | ||||||
13 | basis for such application should properly have been made | ||||||
14 | under this
Act, then the application so filed under the | ||||||
15 | Workers' Occupational
Diseases Act may be amended in form, | ||||||
16 | substance or both to assert claim
for such disability or | ||||||
17 | death under this Act and it shall be deemed to
have been so | ||||||
18 | filed as amended on the date of the original filing
| ||||||
19 | thereof, and such compensation may be awarded as is | ||||||
20 | warranted by the
whole evidence pursuant to this Act. When | ||||||
21 | such amendment is submitted,
further or additional | ||||||
22 | evidence may be heard by the Arbitrator or
Commission when | ||||||
23 | deemed necessary. Nothing in this Section contained
shall | ||||||
24 | be construed to be or permit a waiver of any provisions of | ||||||
25 | this
Act with reference to notice but notice if given shall | ||||||
26 | be deemed to be a
notice under the provisions of this Act |
| |||||||
| |||||||
1 | if given within the time
required herein.
| ||||||
2 | (b) The Arbitrator shall make such inquiries and | ||||||
3 | investigations as he or
they shall deem necessary and may | ||||||
4 | examine and inspect all books, papers,
records, places, or | ||||||
5 | premises relating to the questions in dispute and hear
such | ||||||
6 | proper evidence as the parties may submit.
| ||||||
7 | The hearings before the Arbitrator shall be held in the | ||||||
8 | vicinity where
the injury occurred after 10 days' notice of the | ||||||
9 | time and place of such
hearing shall have been given to each of | ||||||
10 | the parties or their attorneys
of record.
| ||||||
11 | The Arbitrator may find that the disabling condition is | ||||||
12 | temporary and has
not yet reached a permanent condition and may | ||||||
13 | order the payment of
compensation up to the date of the | ||||||
14 | hearing, which award shall be reviewable
and enforceable in the | ||||||
15 | same manner as other awards, and in no instance be a
bar to a | ||||||
16 | further hearing and determination of a further amount of | ||||||
17 | temporary
total compensation or of compensation for permanent | ||||||
18 | disability, but shall
be conclusive as to all other questions | ||||||
19 | except the nature and extent of said
disability.
| ||||||
20 | The decision of the Arbitrator shall be filed with the | ||||||
21 | Commission which
Commission shall immediately send to each | ||||||
22 | party or his attorney a copy of
such decision, together with a | ||||||
23 | notification of the time when it was filed.
As of the effective | ||||||
24 | date of this amendatory Act of the 94th General Assembly, all | ||||||
25 | decisions of the Arbitrator shall set forth
in writing findings | ||||||
26 | of fact and conclusions of law, separately stated, if requested |
| |||||||
| |||||||
1 | by either party.
Unless a petition for review is filed by | ||||||
2 | either party within 30 days after
the receipt by such party of | ||||||
3 | the copy of the decision and notification of
time when filed, | ||||||
4 | and unless such party petitioning for a review shall
within 35 | ||||||
5 | days after the receipt by him of the copy of the decision, file
| ||||||
6 | with the Commission either an agreed statement of the facts | ||||||
7 | appearing upon
the hearing before the Arbitrator, or if such
| ||||||
8 | party shall so elect a correct transcript of evidence of the | ||||||
9 | proceedings
at such hearings, then the decision shall become | ||||||
10 | the decision of the
Commission and in the absence of fraud | ||||||
11 | shall be conclusive.
The Petition for Review shall contain a | ||||||
12 | statement of the petitioning party's
specific exceptions to the | ||||||
13 | decision of the arbitrator. The jurisdiction
of the Commission | ||||||
14 | to review the decision of the arbitrator shall not be
limited | ||||||
15 | to the exceptions stated in the Petition for Review.
The | ||||||
16 | Commission, or any member thereof, may grant further time not | ||||||
17 | exceeding
30 days, in which to file such agreed statement or | ||||||
18 | transcript of
evidence. Such agreed statement of facts or | ||||||
19 | correct transcript of
evidence, as the case may be, shall be | ||||||
20 | authenticated by the signatures
of the parties or their | ||||||
21 | attorneys, and in the event they do not agree as
to the | ||||||
22 | correctness of the transcript of evidence it shall be | ||||||
23 | authenticated
by the signature of the Arbitrator designated by | ||||||
24 | the Commission.
| ||||||
25 | Whether the employee is working or not, if the employee is | ||||||
26 | not receiving or has not received medical, surgical, or |
| |||||||
| |||||||
1 | hospital services or other services or compensation as provided | ||||||
2 | in paragraph (a) of Section 8, or compensation as provided in | ||||||
3 | paragraph (b) of Section 8, the employee may at any time | ||||||
4 | petition for an expedited hearing by an Arbitrator on the issue | ||||||
5 | of whether or not he or she is entitled to receive payment of | ||||||
6 | the services or compensation. Provided the employer continues | ||||||
7 | to pay compensation pursuant to paragraph (b) of Section 8, the | ||||||
8 | employer may at any time petition for an expedited hearing on | ||||||
9 | the issue of whether or not the employee is entitled to receive | ||||||
10 | medical, surgical, or hospital services or other services or | ||||||
11 | compensation as provided in paragraph (a) of Section 8, or | ||||||
12 | compensation as provided in paragraph (b) of Section 8. When an | ||||||
13 | employer has petitioned for an expedited hearing, the employer | ||||||
14 | shall continue to pay compensation as provided in paragraph (b) | ||||||
15 | of Section 8 unless the arbitrator renders a decision that the | ||||||
16 | employee is not entitled to the benefits that are the subject | ||||||
17 | of the expedited hearing or unless the employee's treating | ||||||
18 | physician has released the employee to return to work at his or | ||||||
19 | her regular job with the employer or the employee actually | ||||||
20 | returns to work at any other job. If the arbitrator renders a | ||||||
21 | decision that the employee is not entitled to the benefits that | ||||||
22 | are the subject of the expedited hearing, a petition for review | ||||||
23 | filed by the employee shall receive the same priority as if the | ||||||
24 | employee had filed a petition for an expedited hearing by an | ||||||
25 | Arbitrator. Neither party shall be entitled to an expedited | ||||||
26 | hearing when the employee has returned to work and the sole |
| |||||||
| |||||||
1 | issue in dispute amounts to less than 12 weeks of unpaid | ||||||
2 | compensation pursuant to paragraph (b) of Section 8. | ||||||
3 | Expedited hearings shall have priority over all other | ||||||
4 | petitions and shall be heard by the Arbitrator and Commission | ||||||
5 | with all convenient speed. Any party requesting an expedited | ||||||
6 | hearing shall give notice of a request for an expedited hearing | ||||||
7 | under this paragraph. A copy of the Application for Adjustment | ||||||
8 | of Claim shall be attached to the notice. The Commission shall | ||||||
9 | adopt rules and procedures under which the final decision of | ||||||
10 | the Commission under this paragraph is filed not later than 180 | ||||||
11 | days from the date that the Petition for Review is filed with | ||||||
12 | the Commission. | ||||||
13 | Where 2 or more insurance carriers, private self-insureds, | ||||||
14 | or a group workers' compensation pool under Article V 3/4 of | ||||||
15 | the Illinois Insurance Code dispute coverage for the same | ||||||
16 | injury, any such insurance carrier, private self-insured, or | ||||||
17 | group workers' compensation pool may request an expedited | ||||||
18 | hearing pursuant to this paragraph to determine the issue of | ||||||
19 | coverage, provided coverage is the only issue in dispute and | ||||||
20 | all other issues are stipulated and agreed to and further | ||||||
21 | provided that all compensation benefits including medical | ||||||
22 | benefits pursuant to Section 8(a) continue to be paid to or on | ||||||
23 | behalf of petitioner. Any insurance carrier, private | ||||||
24 | self-insured, or group workers' compensation pool that is | ||||||
25 | determined to be liable for coverage for the injury in issue | ||||||
26 | shall reimburse any insurance carrier, private self-insured, |
| |||||||
| |||||||
1 | or group workers' compensation pool that has paid benefits to | ||||||
2 | or on behalf of petitioner for the injury.
| ||||||
3 | (b-1) If the employee is not receiving medical, surgical or | ||||||
4 | hospital
services as provided in paragraph (a) of Section 8 or | ||||||
5 | compensation as
provided in paragraph (b) of Section 8, the | ||||||
6 | employee, in accordance with
Commission Rules, may file a | ||||||
7 | petition for an emergency hearing by an
Arbitrator on the issue | ||||||
8 | of whether or not he is entitled to receive payment
of such | ||||||
9 | compensation or services as provided therein. Such petition | ||||||
10 | shall
have priority over all other petitions and shall be heard | ||||||
11 | by the Arbitrator
and Commission with all convenient speed.
| ||||||
12 | Such petition shall contain the following information and | ||||||
13 | shall be served
on the employer at least 15 days before it is | ||||||
14 | filed:
| ||||||
15 | (i) the date and approximate time of accident;
| ||||||
16 | (ii) the approximate location of the accident;
| ||||||
17 | (iii) a description of the accident;
| ||||||
18 | (iv) the nature of the injury incurred by the employee;
| ||||||
19 | (v) the identity of the person, if known, to whom the | ||||||
20 | accident was
reported and the date on which it was | ||||||
21 | reported;
| ||||||
22 | (vi) the name and title of the person, if known, | ||||||
23 | representing the
employer with whom the employee conferred | ||||||
24 | in any effort to obtain
compensation pursuant to paragraph | ||||||
25 | (b) of Section 8 of this Act or medical,
surgical or | ||||||
26 | hospital services pursuant to paragraph (a) of Section 8 of
|
| |||||||
| |||||||
1 | this Act and the date of such conference;
| ||||||
2 | (vii) a statement that the employer has refused to pay | ||||||
3 | compensation
pursuant to paragraph (b) of Section 8 of this | ||||||
4 | Act or for medical, surgical
or hospital services pursuant | ||||||
5 | to paragraph (a) of Section 8 of this Act;
| ||||||
6 | (viii) the name and address, if known, of each witness | ||||||
7 | to the accident
and of each other person upon whom the | ||||||
8 | employee will rely to support his
allegations;
| ||||||
9 | (ix) the dates of treatment related to the accident by | ||||||
10 | medical
practitioners, and the names and addresses of such | ||||||
11 | practitioners, including
the dates of treatment related to | ||||||
12 | the accident at any hospitals and the
names and addresses | ||||||
13 | of such hospitals, and a signed authorization
permitting | ||||||
14 | the employer to examine all medical records of all | ||||||
15 | practitioners
and hospitals named pursuant to this | ||||||
16 | paragraph;
| ||||||
17 | (x) a copy of a signed report by a medical | ||||||
18 | practitioner, relating to the
employee's current inability | ||||||
19 | to return to work because of the injuries
incurred as a | ||||||
20 | result of the accident or such other documents or | ||||||
21 | affidavits
which show that the employee is entitled to | ||||||
22 | receive compensation pursuant
to paragraph (b) of Section 8 | ||||||
23 | of this Act or medical, surgical or hospital
services | ||||||
24 | pursuant to paragraph (a) of Section 8 of this Act. Such | ||||||
25 | reports,
documents or affidavits shall state, if possible, | ||||||
26 | the history of the
accident given by the employee, and |
| |||||||
| |||||||
1 | describe the injury and medical
diagnosis, the medical | ||||||
2 | services for such injury which the employee has
received | ||||||
3 | and is receiving, the physical activities which the | ||||||
4 | employee
cannot currently perform as a result of any | ||||||
5 | impairment or disability due to
such injury, and the | ||||||
6 | prognosis for recovery;
| ||||||
7 | (xi) complete copies of any reports, records, | ||||||
8 | documents and affidavits
in the possession of the employee | ||||||
9 | on which the employee will rely to
support his allegations, | ||||||
10 | provided that the employer shall pay the
reasonable cost of | ||||||
11 | reproduction thereof;
| ||||||
12 | (xii) a list of any reports, records, documents and | ||||||
13 | affidavits which
the employee has demanded by subpoena and | ||||||
14 | on which he intends to
rely to support his allegations;
| ||||||
15 | (xiii) a certification signed by the employee or his | ||||||
16 | representative that
the employer has received the petition | ||||||
17 | with the required information 15
days before filing.
| ||||||
18 | Fifteen days after receipt by the employer of the petition | ||||||
19 | with the
required information the employee may file said | ||||||
20 | petition and required
information and shall serve notice of the | ||||||
21 | filing upon the employer. The
employer may file a motion | ||||||
22 | addressed to the sufficiency of the petition.
If an objection | ||||||
23 | has been filed to the sufficiency of the petition, the
| ||||||
24 | arbitrator shall rule on the objection within 2 working days. | ||||||
25 | If such an
objection is filed, the time for filing the final | ||||||
26 | decision of the
Commission as provided in this paragraph shall |
| |||||||
| |||||||
1 | be tolled until the
arbitrator has determined that the petition | ||||||
2 | is sufficient.
| ||||||
3 | The employer shall, within 15 days after receipt of the | ||||||
4 | notice that such
petition is filed, file with the Commission | ||||||
5 | and serve on the employee or
his representative a written | ||||||
6 | response to each claim set forth in the
petition, including the | ||||||
7 | legal and factual basis for each disputed
allegation and the | ||||||
8 | following information: (i) complete copies of any
reports, | ||||||
9 | records, documents and affidavits in the possession of the
| ||||||
10 | employer on which the employer intends to rely in support of | ||||||
11 | his response,
(ii) a list of any reports, records, documents | ||||||
12 | and affidavits which the
employer has demanded by subpoena and | ||||||
13 | on which the employer intends to rely
in support of his | ||||||
14 | response, (iii) the name and address of each witness on
whom | ||||||
15 | the employer will rely to support his response, and (iv) the | ||||||
16 | names and
addresses of any medical practitioners selected by | ||||||
17 | the employer pursuant to
Section 12 of this Act and the time | ||||||
18 | and place of any examination scheduled
to be made pursuant to | ||||||
19 | such Section.
| ||||||
20 | Any employer who does not timely file and serve a written | ||||||
21 | response
without good cause may not introduce any evidence to | ||||||
22 | dispute any claim of
the employee but may cross examine the | ||||||
23 | employee or any witness brought by
the employee and otherwise | ||||||
24 | be heard.
| ||||||
25 | No document or other evidence not previously identified by | ||||||
26 | either party
with the petition or written response, or by any |
| |||||||
| |||||||
1 | other means before the
hearing, may be introduced into evidence | ||||||
2 | without good cause.
If, at the hearing, material information is | ||||||
3 | discovered which was
not previously disclosed, the Arbitrator | ||||||
4 | may extend the time for closing
proof on the motion of a party | ||||||
5 | for a reasonable period of time which may
be more than 30 days. | ||||||
6 | No evidence may be introduced pursuant
to this paragraph as to | ||||||
7 | permanent disability. No award may be entered for
permanent | ||||||
8 | disability pursuant to this paragraph. Either party may | ||||||
9 | introduce
into evidence the testimony taken by deposition of | ||||||
10 | any medical practitioner.
| ||||||
11 | The Commission shall adopt rules, regulations and | ||||||
12 | procedures whereby the
final decision of the Commission is | ||||||
13 | filed not later than 90 days from the
date the petition for | ||||||
14 | review is filed but in no event later than 180 days from
the | ||||||
15 | date the petition for an emergency hearing is filed with the | ||||||
16 | Illinois Workers' Compensation
Commission.
| ||||||
17 | All service required pursuant to this paragraph (b-1) must | ||||||
18 | be by personal
service or by certified mail and with evidence | ||||||
19 | of receipt. In addition for
the purposes of this paragraph, all | ||||||
20 | service on the employer must be at the
premises where the | ||||||
21 | accident occurred if the premises are owned or operated
by the | ||||||
22 | employer. Otherwise service must be at the employee's principal
| ||||||
23 | place of employment by the employer. If service on the employer | ||||||
24 | is not
possible at either of the above, then service shall be | ||||||
25 | at the employer's
principal place of business. After initial | ||||||
26 | service in each case, service
shall be made on the employer's |
| |||||||
| |||||||
1 | attorney or designated representative.
| ||||||
2 | (c) (1) At a reasonable time in advance of and in | ||||||
3 | connection with the
hearing under Section 19(e) or 19(h), the | ||||||
4 | Commission may on its own motion
order an impartial physical or | ||||||
5 | mental examination of a petitioner whose
mental or physical | ||||||
6 | condition is in issue, when in the Commission's
discretion it | ||||||
7 | appears that such an examination will materially aid in the
| ||||||
8 | just determination of the case. The examination shall be made | ||||||
9 | by a member
or members of a panel of physicians chosen for | ||||||
10 | their special qualifications
by the Illinois State Medical | ||||||
11 | Society. The Commission shall establish
procedures by which a | ||||||
12 | physician shall be selected from such list.
| ||||||
13 | (2) Should the Commission at any time during the hearing | ||||||
14 | find that
compelling considerations make it advisable to have | ||||||
15 | an examination and
report at that time, the commission may in | ||||||
16 | its discretion so order.
| ||||||
17 | (3) A copy of the report of examination shall be given to | ||||||
18 | the Commission
and to the attorneys for the parties.
| ||||||
19 | (4) Either party or the Commission may call the examining | ||||||
20 | physician or
physicians to testify. Any physician so called | ||||||
21 | shall be subject to
cross-examination.
| ||||||
22 | (5) The examination shall be made, and the physician or | ||||||
23 | physicians, if
called, shall testify, without cost to the | ||||||
24 | parties. The Commission shall
determine the compensation and | ||||||
25 | the pay of the physician or physicians. The
compensation for | ||||||
26 | this service shall not exceed the usual and customary amount
|
| |||||||
| |||||||
1 | for such service.
| ||||||
2 | (6) The fees and payment thereof of all attorneys and | ||||||
3 | physicians for
services authorized by the Commission under this | ||||||
4 | Act shall, upon request
of either the employer or the employee | ||||||
5 | or the beneficiary affected, be
subject to the review and | ||||||
6 | decision of the Commission.
| ||||||
7 | (d) If any employee shall persist in insanitary or | ||||||
8 | injurious
practices which tend to either imperil or retard his | ||||||
9 | recovery or shall
refuse to submit to such medical, surgical, | ||||||
10 | or hospital treatment as is
reasonably essential to promote his | ||||||
11 | recovery, the Commission may, in its
discretion, reduce or | ||||||
12 | suspend the compensation of any such injured
employee. However, | ||||||
13 | when an employer and employee so agree in writing,
the | ||||||
14 | foregoing provision shall not be construed to authorize the
| ||||||
15 | reduction or suspension of compensation of an employee who is | ||||||
16 | relying in
good faith, on treatment by prayer or spiritual | ||||||
17 | means alone, in
accordance with the tenets and practice of a | ||||||
18 | recognized church or
religious denomination, by a duly | ||||||
19 | accredited practitioner thereof.
| ||||||
20 | (e) This paragraph shall apply to all hearings before the | ||||||
21 | Commission.
Such hearings may be held in its office or | ||||||
22 | elsewhere as the Commission
may deem advisable. The taking of | ||||||
23 | testimony on such hearings may be had
before any member of the | ||||||
24 | Commission. If a petition for review and agreed
statement of | ||||||
25 | facts or transcript of evidence is filed, as provided herein,
| ||||||
26 | the Commission shall promptly review the decision of the |
| |||||||
| |||||||
1 | Arbitrator and all
questions of law or fact which appear from | ||||||
2 | the statement of facts or
transcript of evidence.
| ||||||
3 | In all cases in which the hearing before the arbitrator is | ||||||
4 | held after
December 18, 1989, no additional evidence shall be | ||||||
5 | introduced by the
parties before the Commission on review of | ||||||
6 | the decision of the Arbitrator.
In reviewing decisions of an | ||||||
7 | arbitrator the Commission shall award such
temporary | ||||||
8 | compensation, permanent compensation and other payments as are
| ||||||
9 | due under this Act. The Commission shall file in its office its | ||||||
10 | decision
thereon, and shall immediately send to each party or | ||||||
11 | his attorney a copy of
such decision and a notification of the | ||||||
12 | time when it was filed. Decisions
shall be filed within 60 days | ||||||
13 | after the Statement of Exceptions and
Supporting Brief and | ||||||
14 | Response thereto are required to be filed or oral
argument | ||||||
15 | whichever is later.
| ||||||
16 | In the event either party requests oral argument, such | ||||||
17 | argument shall be
had before a panel of 3 members of the | ||||||
18 | Commission (or before all available
members pursuant to the | ||||||
19 | determination of 7 members of the Commission that
such argument | ||||||
20 | be held before all available members of the Commission)
| ||||||
21 | pursuant to the rules and regulations of the Commission. A | ||||||
22 | panel of 3
members, which shall be comprised of not more than | ||||||
23 | one representative
citizen of the employing class and not more | ||||||
24 | than one representative citizen
of the employee class, shall | ||||||
25 | hear the argument; provided that if all the
issues in dispute | ||||||
26 | are solely the nature and extent of the permanent partial
|
| |||||||
| |||||||
1 | disability, if any, a majority of the panel may deny the | ||||||
2 | request for such
argument and such argument shall not be held; | ||||||
3 | and provided further that 7
members of the Commission may | ||||||
4 | determine that the argument be held before
all available | ||||||
5 | members of the Commission. A decision of the Commission
shall | ||||||
6 | be approved by a majority of Commissioners present at such | ||||||
7 | hearing if
any; provided, if no such hearing is held, a | ||||||
8 | decision of the Commission
shall be approved by a majority of a | ||||||
9 | panel of 3 members of the Commission
as described in this | ||||||
10 | Section. The Commission shall give 10 days' notice to
the | ||||||
11 | parties or their attorneys of the time and place of such taking | ||||||
12 | of
testimony and of such argument.
| ||||||
13 | In any case the Commission in its decision may find | ||||||
14 | specially
upon any question or questions of law or fact which | ||||||
15 | shall be submitted
in writing by either party whether ultimate | ||||||
16 | or otherwise;
provided that on issues other than nature and | ||||||
17 | extent of the disability,
if any, the Commission in its | ||||||
18 | decision shall find specially upon any
question or questions of | ||||||
19 | law or fact, whether ultimate or otherwise,
which are submitted | ||||||
20 | in writing by either party; provided further that
not more than | ||||||
21 | 5 such questions may be submitted by either party. Any
party | ||||||
22 | may, within 20 days after receipt of notice of the Commission's
| ||||||
23 | decision, or within such further time, not exceeding 30 days, | ||||||
24 | as the
Commission may grant, file with the Commission either an | ||||||
25 | agreed
statement of the facts appearing upon the hearing, or, | ||||||
26 | if such party
shall so elect, a correct transcript of evidence |
| |||||||
| |||||||
1 | of the additional
proceedings presented before the Commission, | ||||||
2 | in which report the party
may embody a correct statement of | ||||||
3 | such other proceedings in the case as
such party may desire to | ||||||
4 | have reviewed, such statement of facts or
transcript of | ||||||
5 | evidence to be authenticated by the signature of the
parties or | ||||||
6 | their attorneys, and in the event that they do not agree,
then | ||||||
7 | the authentication of such transcript of evidence shall be by | ||||||
8 | the
signature of any member of the Commission.
| ||||||
9 | If a reporter does not for any reason furnish a transcript | ||||||
10 | of the
proceedings before the Arbitrator in any case for use on | ||||||
11 | a hearing for
review before the Commission, within the | ||||||
12 | limitations of time as fixed in
this Section, the Commission | ||||||
13 | may, in its discretion, order a trial de
novo before the | ||||||
14 | Commission in such case upon application of either
party. The | ||||||
15 | applications for adjustment of claim and other documents in
the | ||||||
16 | nature of pleadings filed by either party, together with the
| ||||||
17 | decisions of the Arbitrator and of the Commission and the | ||||||
18 | statement of
facts or transcript of evidence hereinbefore | ||||||
19 | provided for in paragraphs
(b) and (c) shall be the record of | ||||||
20 | the proceedings of the Commission,
and shall be subject to | ||||||
21 | review as hereinafter provided.
| ||||||
22 | At the request of either party or on its own motion, the | ||||||
23 | Commission shall
set forth in writing the reasons for the | ||||||
24 | decision, including findings of
fact and conclusions of law | ||||||
25 | separately stated. The Commission shall by rule
adopt a format | ||||||
26 | for written decisions for the Commission and arbitrators.
The |
| |||||||
| |||||||
1 | written decisions shall be concise and shall succinctly state | ||||||
2 | the facts
and reasons for the decision. The Commission may | ||||||
3 | adopt in whole or in part,
the decision of the arbitrator as | ||||||
4 | the decision of the Commission. When the
Commission does so | ||||||
5 | adopt the decision of the arbitrator, it shall do so by
order. | ||||||
6 | Whenever the Commission adopts part of the arbitrator's | ||||||
7 | decision,
but not all, it shall include in the order the | ||||||
8 | reasons for not adopting all
of the arbitrator's decision. When | ||||||
9 | a majority of a panel, after
deliberation, has arrived at its | ||||||
10 | decision, the decision shall be filed as
provided in this | ||||||
11 | Section without unnecessary delay, and without regard to
the | ||||||
12 | fact that a member of the panel has expressed an intention to | ||||||
13 | dissent.
Any member of the panel may file a dissent. Any | ||||||
14 | dissent shall be filed no
later than 10 days after the decision | ||||||
15 | of the majority has been filed.
| ||||||
16 | Decisions rendered by the Commission and dissents, if any, | ||||||
17 | shall be
published together by the Commission. The conclusions | ||||||
18 | of law set out in
such decisions shall be regarded as | ||||||
19 | precedents by arbitrators for the purpose
of achieving a more | ||||||
20 | uniform administration of this Act.
| ||||||
21 | (f) The decision of the Commission acting within its | ||||||
22 | powers,
according to the provisions of paragraph (e) of this | ||||||
23 | Section shall, in
the absence of fraud, be conclusive unless | ||||||
24 | reviewed as in this paragraph
hereinafter provided. However, | ||||||
25 | the Arbitrator or the Commission may on
his or its own motion, | ||||||
26 | or on the motion of either party, correct any
clerical error or |
| |||||||
| |||||||
1 | errors in computation within 15 days after the date of
receipt | ||||||
2 | of any award by such Arbitrator or any decision on review of | ||||||
3 | the
Commission and shall have the power to recall the original | ||||||
4 | award on
arbitration or decision on review, and issue in lieu | ||||||
5 | thereof such
corrected award or decision. Where such correction | ||||||
6 | is made the time for
review herein specified shall begin to run | ||||||
7 | from the date of
the receipt of the corrected award or | ||||||
8 | decision.
| ||||||
9 | (1) Except in cases of claims against the State of | ||||||
10 | Illinois other than those claims under Section 18.1, in
| ||||||
11 | which case the decision of the Commission shall not be | ||||||
12 | subject to
judicial review, the Circuit Court of the county | ||||||
13 | where any of the
parties defendant may be found, or if none | ||||||
14 | of the parties defendant can
be found in this State then | ||||||
15 | the Circuit Court of the county where the
accident | ||||||
16 | occurred, shall by summons to the Commission have
power to | ||||||
17 | review all questions of law and fact presented by such | ||||||
18 | record.
| ||||||
19 | A proceeding for review shall be commenced within 20 | ||||||
20 | days of
the receipt of notice of the decision of the | ||||||
21 | Commission. The summons shall
be issued by the clerk of | ||||||
22 | such court upon written request returnable on a
designated | ||||||
23 | return day, not less than 10 or more than 60 days from the | ||||||
24 | date
of issuance thereof, and the written request shall | ||||||
25 | contain the last known
address of other parties in interest | ||||||
26 | and their attorneys of record who are
to be served by |
| |||||||
| |||||||
1 | summons. Service upon any member of the Commission or the
| ||||||
2 | Secretary or the Assistant Secretary thereof shall be | ||||||
3 | service upon the
Commission, and service upon other parties | ||||||
4 | in interest and their attorneys
of record shall be by | ||||||
5 | summons, and such service shall be made upon the
Commission | ||||||
6 | and other parties in interest by mailing notices of the
| ||||||
7 | commencement of the proceedings and the return day of the | ||||||
8 | summons to the
office of the Commission and to the last | ||||||
9 | known place of residence of other
parties in interest or | ||||||
10 | their attorney or attorneys of record. The clerk of
the | ||||||
11 | court issuing the summons shall on the day of issue mail | ||||||
12 | notice of the
commencement of the proceedings which shall | ||||||
13 | be done by mailing a copy of
the summons to the office of | ||||||
14 | the Commission, and a copy of the summons to
the other | ||||||
15 | parties in interest or their attorney or attorneys of | ||||||
16 | record and
the clerk of the court shall make certificate | ||||||
17 | that he has so sent said
notices in pursuance of this | ||||||
18 | Section, which shall be evidence of service on
the | ||||||
19 | Commission and other parties in interest.
| ||||||
20 | The Commission shall not be required to certify the | ||||||
21 | record of their
proceedings to the Circuit Court, unless | ||||||
22 | the party commencing the
proceedings for review in the | ||||||
23 | Circuit Court as above provided, shall pay
to the | ||||||
24 | Commission the sum of 80¢ per page of testimony taken | ||||||
25 | before the
Commission, and 35¢ per page of all other | ||||||
26 | matters contained in such
record, except as otherwise |
| |||||||
| |||||||
1 | provided by Section 20 of this Act. Payment
for photostatic | ||||||
2 | copies of exhibit shall be extra. It shall be the duty
of | ||||||
3 | the Commission upon receipt of the summons from the Circuit | ||||||
4 | Court such payment, or failure to pay as permitted
under | ||||||
5 | Section 20 of this Act, to prepare a true and correct | ||||||
6 | typewritten
copy of such testimony and a true and correct | ||||||
7 | copy of all other matters
contained in such record and | ||||||
8 | certified to by the Secretary or Assistant
Secretary | ||||||
9 | thereof. The changes made to this subdivision (f)(1) apply | ||||||
10 | to any Commission decision received after the effective | ||||||
11 | date of this amendatory Act of the 98th General Assembly.
| ||||||
12 | In its decision on review the Commission shall | ||||||
13 | determine in each
particular case the amount of the | ||||||
14 | probable cost of the record to be
filed as a part of the | ||||||
15 | summons in that case and no request for a summons
may be | ||||||
16 | filed and no summons shall issue unless the party seeking | ||||||
17 | to review
the decision of the Commission shall exhibit to | ||||||
18 | the clerk of the Circuit
Court proof of payment by filing a | ||||||
19 | receipt showing payment or an affidavit
of the attorney | ||||||
20 | setting forth that payment has been made of the sums so
| ||||||
21 | determined to the Secretary or Assistant Secretary of the | ||||||
22 | Commission,
except as otherwise provided by Section 20 of | ||||||
23 | this Act.
| ||||||
24 | (2) No such summons shall issue unless the one against | ||||||
25 | whom the
Commission shall have rendered an award for the | ||||||
26 | payment of money shall upon
the filing of his written |
| |||||||
| |||||||
1 | request for such summons file with the clerk of
the court a | ||||||
2 | bond conditioned that if he shall not successfully
| ||||||
3 | prosecute the review, he will pay the award and the costs | ||||||
4 | of the
proceedings in the courts. The amount of the bond | ||||||
5 | shall be fixed by any
member of the Commission and the | ||||||
6 | surety or sureties of the bond shall be
approved by the | ||||||
7 | clerk of the court. The acceptance of the bond by the
clerk | ||||||
8 | of the court shall constitute evidence of his approval of | ||||||
9 | the bond.
| ||||||
10 | Every county, city, town, township, incorporated | ||||||
11 | village, school
district, body politic or municipal | ||||||
12 | corporation against whom the
Commission shall have | ||||||
13 | rendered an award for the payment of money shall
not be | ||||||
14 | required to file a bond to secure the payment of the award | ||||||
15 | and
the costs of the proceedings in the court to authorize | ||||||
16 | the court to
issue such summons.
| ||||||
17 | The court may confirm or set aside the decision of the | ||||||
18 | Commission. If
the decision is set aside and the facts | ||||||
19 | found in the proceedings before
the Commission are | ||||||
20 | sufficient, the court may enter such decision as is
| ||||||
21 | justified by law, or may remand the cause to the Commission | ||||||
22 | for further
proceedings and may state the questions | ||||||
23 | requiring further hearing, and
give such other | ||||||
24 | instructions as may be proper. Appeals shall be taken
to | ||||||
25 | the Appellate Court in accordance
with Supreme Court Rules | ||||||
26 | 22(g) and 303. Appeals
shall be taken from the Appellate
|
| |||||||
| |||||||
1 | Court to the Supreme Court in accordance with Supreme Court | ||||||
2 | Rule 315.
| ||||||
3 | It shall be the duty of the clerk of any court | ||||||
4 | rendering a decision
affecting or affirming an award of the | ||||||
5 | Commission to promptly furnish
the Commission with a copy | ||||||
6 | of such decision, without charge.
| ||||||
7 | The decision of a majority of the members of the panel | ||||||
8 | of the Commission,
shall be considered the decision of the | ||||||
9 | Commission.
| ||||||
10 | (g) Except in the case of a claim against the State of | ||||||
11 | Illinois,
either party may present a certified copy of the | ||||||
12 | award of the
Arbitrator, or a certified copy of the decision of | ||||||
13 | the Commission when
the same has become final, when no | ||||||
14 | proceedings for review are pending,
providing for the payment | ||||||
15 | of compensation according to this Act, to the
Circuit Court of | ||||||
16 | the county in which such accident occurred or either of
the | ||||||
17 | parties are residents, whereupon the court shall enter a | ||||||
18 | judgment
in accordance therewith. In a case where the employer | ||||||
19 | refuses to pay
compensation according to such final award or | ||||||
20 | such final decision upon
which such judgment is entered the | ||||||
21 | court shall in entering judgment
thereon, tax as costs against | ||||||
22 | him the reasonable costs and attorney fees
in the arbitration | ||||||
23 | proceedings and in the court entering the judgment
for the | ||||||
24 | person in whose favor the judgment is entered, which judgment
| ||||||
25 | and costs taxed as therein provided shall, until and unless set | ||||||
26 | aside,
have the same effect as though duly entered in an action |
| |||||||
| |||||||
1 | duly tried and
determined by the court, and shall with like | ||||||
2 | effect, be entered and
docketed. The Circuit Court shall have | ||||||
3 | power at any time upon
application to make any such judgment | ||||||
4 | conform to any modification
required by any subsequent decision | ||||||
5 | of the Supreme Court upon appeal, or
as the result of any | ||||||
6 | subsequent proceedings for review, as provided in
this Act.
| ||||||
7 | Judgment shall not be entered until 15 days' notice of the | ||||||
8 | time and
place of the application for the entry of judgment | ||||||
9 | shall be served upon
the employer by filing such notice with | ||||||
10 | the Commission, which Commission
shall, in case it has on file | ||||||
11 | the address of the employer or the name
and address of its | ||||||
12 | agent upon whom notices may be served, immediately
send a copy | ||||||
13 | of the notice to the employer or such designated agent.
| ||||||
14 | (h) An agreement or award under this Act providing for | ||||||
15 | compensation
in installments, may at any time within 18 months | ||||||
16 | after such agreement
or award be reviewed by the Commission at | ||||||
17 | the request of either the
employer or the employee, on the | ||||||
18 | ground that the disability of the
employee has subsequently | ||||||
19 | recurred, increased, diminished or ended.
| ||||||
20 | However, as to accidents occurring subsequent to July 1, | ||||||
21 | 1955, which
are covered by any agreement or award under this | ||||||
22 | Act providing for
compensation in installments made as a result | ||||||
23 | of such accident, such
agreement or award may at any time | ||||||
24 | within 30 months, or 60 months in the case of an award under | ||||||
25 | Section 8(d)1, after such agreement
or award be reviewed by the | ||||||
26 | Commission at the request of either the
employer or the |
| |||||||
| |||||||
1 | employee on the ground that the disability of the
employee has | ||||||
2 | subsequently recurred, increased, diminished or ended.
| ||||||
3 | On such review, compensation payments may be | ||||||
4 | re-established,
increased, diminished or ended. The Commission | ||||||
5 | shall give 15 days'
notice to the parties of the hearing for | ||||||
6 | review. Any employee, upon any
petition for such review being | ||||||
7 | filed by the employer, shall be entitled
to one day's notice | ||||||
8 | for each 100 miles necessary to be traveled by him in
attending | ||||||
9 | the hearing of the Commission upon the petition, and 3 days in
| ||||||
10 | addition thereto. Such employee shall, at the discretion of the
| ||||||
11 | Commission, also be entitled to 5 cents per mile necessarily | ||||||
12 | traveled by
him within the State of Illinois in attending such | ||||||
13 | hearing, not to
exceed a distance of 300 miles, to be taxed by | ||||||
14 | the Commission as costs
and deposited with the petition of the | ||||||
15 | employer.
| ||||||
16 | When compensation which is payable in accordance with an | ||||||
17 | award or
settlement contract approved by the Commission, is | ||||||
18 | ordered paid in a
lump sum by the Commission, no review shall | ||||||
19 | be had as in this paragraph
mentioned.
| ||||||
20 | (i) Each party, upon taking any proceedings or steps | ||||||
21 | whatsoever
before any Arbitrator, Commission or court, shall | ||||||
22 | file with the Commission
his address, or the name and address | ||||||
23 | of any agent upon whom all notices to
be given to such party | ||||||
24 | shall be served, either personally or by registered
mail, | ||||||
25 | addressed to such party or agent at the last address so filed | ||||||
26 | with
the Commission. In the event such party has not filed his |
| |||||||
| |||||||
1 | address, or the
name and address of an agent as above provided, | ||||||
2 | service of any notice may
be had by filing such notice with the | ||||||
3 | Commission.
| ||||||
4 | (j) Whenever in any proceeding testimony has been taken or | ||||||
5 | a final
decision has been rendered and after the taking of such | ||||||
6 | testimony or
after such decision has become final, the injured | ||||||
7 | employee dies, then in
any subsequent proceedings brought by | ||||||
8 | the personal representative or
beneficiaries of the deceased | ||||||
9 | employee, such testimony in the former
proceeding may be | ||||||
10 | introduced with the same force and effect as though
the witness | ||||||
11 | having so testified were present in person in such
subsequent | ||||||
12 | proceedings and such final decision, if any, shall be taken
as | ||||||
13 | final adjudication of any of the issues which are the same in | ||||||
14 | both
proceedings.
| ||||||
15 | (k) In a case where there has been any unreasonable or | ||||||
16 | vexatious delay in the authorization of medical treatment or in | ||||||
17 | the
of payment of compensation or an intentional underpayment | ||||||
18 | of compensation, or proceedings
have been instituted or carried | ||||||
19 | on by the one liable to pay the
compensation, which do not | ||||||
20 | present a real controversy, but are merely
frivolous or for | ||||||
21 | delay, then the Commission may award compensation
additional to | ||||||
22 | that otherwise payable under this Act equal to 50% of the
| ||||||
23 | amount payable at the time of such award. Failure to pay | ||||||
24 | compensation
in accordance with the provisions of Section 8, | ||||||
25 | paragraph (b) of this
Act, shall be considered unreasonable | ||||||
26 | delay.
|
| |||||||
| |||||||
1 | When determining whether this subsection (k) shall apply, | ||||||
2 | the
Commission shall consider whether an Arbitrator has | ||||||
3 | determined
that the claim is not compensable or whether the | ||||||
4 | employer has
made payments under Section 8(j). | ||||||
5 | (l) If the employee has made written demand for payment of
| ||||||
6 | benefits under Section 8(a) or Section 8(b), the employer shall
| ||||||
7 | have 14 days after receipt of the demand to set forth in
| ||||||
8 | writing the reason for the delay. In the case of demand for
| ||||||
9 | payment of medical benefits under Section 8(a), the time for
| ||||||
10 | the employer to respond shall not commence until the expiration
| ||||||
11 | of the allotted 30 days specified under Section 8.2(d). In case
| ||||||
12 | the employer or his or her insurance carrier shall without good | ||||||
13 | and
just cause fail, neglect, refuse, or unreasonably delay the
| ||||||
14 | payment of benefits under Section 8(a) or Section 8(b), the
| ||||||
15 | Arbitrator or the Commission shall allow to the employee
| ||||||
16 | additional compensation in the sum of $30 per day for each day
| ||||||
17 | that the benefits under Section 8(a) or Section 8(b) have been
| ||||||
18 | so withheld or refused, not to exceed $10,000.
A delay in | ||||||
19 | payment of 14 days or more
shall create a rebuttable | ||||||
20 | presumption of unreasonable delay.
| ||||||
21 | (m) If the commission finds that an accidental injury was | ||||||
22 | directly
and proximately caused by the employer's wilful | ||||||
23 | violation of a health
and safety standard under the Health and | ||||||
24 | Safety Act in force at the time of the
accident, the arbitrator | ||||||
25 | or the Commission shall allow to the injured
employee or his | ||||||
26 | dependents, as the case may be, additional compensation
equal |
| |||||||
| |||||||
1 | to 25% of the amount which otherwise would be payable under the
| ||||||
2 | provisions of this Act exclusive of this paragraph. The | ||||||
3 | additional
compensation herein provided shall be allowed by an | ||||||
4 | appropriate increase
in the applicable weekly compensation | ||||||
5 | rate.
| ||||||
6 | (n) After June 30, 1984 and before January 1, 2014 , | ||||||
7 | decisions of the Illinois Workers' Compensation Commission
| ||||||
8 | reviewing an award of an arbitrator of the Commission shall | ||||||
9 | draw interest
at a rate equal to the yield on indebtedness | ||||||
10 | issued by the United States
Government with a 26-week maturity | ||||||
11 | next previously auctioned on the day on
which the decision is | ||||||
12 | filed. Said rate of interest shall be set forth in
the | ||||||
13 | Arbitrator's Decision. Beginning January 1, 2014, decisions of | ||||||
14 | the Illinois Workers' Compensation Commission reviewing an | ||||||
15 | award of an arbitrator of the Commission shall draw interest at | ||||||
16 | a rate equal to 3 percentage points above the average quoted | ||||||
17 | prime rate on short-term commercial loans in effect on the day | ||||||
18 | on which the decision is made, as reported by the Board of | ||||||
19 | Governors of the Federal Reserve System in Statistical Release | ||||||
20 | H. 15 ("Selected Interest Rates"), or any successor Release | ||||||
21 | reporting such rate. Interest shall be drawn from the date of | ||||||
22 | the
arbitrator's award on all accrued compensation due the | ||||||
23 | employee through the
day prior to the date of payments. | ||||||
24 | However, when an employee appeals an
award of an Arbitrator or | ||||||
25 | the Commission, and the appeal results in no
change or a | ||||||
26 | decrease in the award, interest shall not further accrue from
|
| |||||||
| |||||||
1 | the date of such appeal.
| ||||||
2 | The employer or his insurance carrier may tender the | ||||||
3 | payments due under
the award to stop the further accrual of | ||||||
4 | interest on such award
notwithstanding the prosecution by | ||||||
5 | either party of review, certiorari,
appeal to the Supreme Court | ||||||
6 | or other steps to reverse, vacate or modify
the award.
| ||||||
7 | (o) By the 15th day of each month each insurer providing | ||||||
8 | coverage for
losses under this Act shall notify each insured | ||||||
9 | employer of any compensable
claim incurred during the preceding | ||||||
10 | month and the amounts paid or reserved
on the claim including a | ||||||
11 | summary of the claim and a brief statement of the
reasons for | ||||||
12 | compensability. A cumulative report of all claims incurred
| ||||||
13 | during a calendar year or continued from the previous year | ||||||
14 | shall be
furnished to the insured employer by the insurer | ||||||
15 | within 30 days after the
end of that calendar year.
| ||||||
16 | The insured employer may challenge, in proceeding before | ||||||
17 | the Commission,
payments made by the insurer without | ||||||
18 | arbitration and payments
made after a case is determined to be | ||||||
19 | noncompensable. If the Commission
finds that the case was not | ||||||
20 | compensable, the insurer shall purge its records
as to that | ||||||
21 | employer of any loss or expense associated with the claim, | ||||||
22 | reimburse
the employer for attorneys' fees arising from the | ||||||
23 | challenge and for any
payment required of the employer to the | ||||||
24 | Rate Adjustment Fund or the
Second Injury Fund, and may not | ||||||
25 | reflect the loss or expense for rate making
purposes. The | ||||||
26 | employee shall not be required to refund the challenged
|
| |||||||
| |||||||
1 | payment. The decision of the Commission may be reviewed in the | ||||||
2 | same manner
as in arbitrated cases. No challenge may be | ||||||
3 | initiated under this paragraph
more than 3 years after the | ||||||
4 | payment is made. An employer may waive the
right of challenge | ||||||
5 | under this paragraph on a case by case basis.
| ||||||
6 | (p) After filing an application for adjustment of claim but | ||||||
7 | prior to
the hearing on arbitration the parties may voluntarily | ||||||
8 | agree to submit such
application for adjustment of claim for | ||||||
9 | decision by an arbitrator under
this subsection (p) where such | ||||||
10 | application for adjustment of claim raises
only a dispute over | ||||||
11 | temporary total disability, permanent partial
disability or | ||||||
12 | medical expenses. Such agreement shall be in writing in such
| ||||||
13 | form as provided by the Commission. Applications for adjustment | ||||||
14 | of claim
submitted for decision by an arbitrator under this | ||||||
15 | subsection (p) shall
proceed according to rule as established | ||||||
16 | by the Commission. The Commission
shall promulgate rules | ||||||
17 | including, but not limited to, rules to ensure that
the parties | ||||||
18 | are adequately informed of their rights under this subsection
| ||||||
19 | (p) and of the voluntary nature of proceedings under this | ||||||
20 | subsection (p).
The findings of fact made by an arbitrator | ||||||
21 | acting within his or her powers
under this subsection (p) in | ||||||
22 | the absence of fraud shall be conclusive.
However, the | ||||||
23 | arbitrator may on his own motion, or the motion of either
| ||||||
24 | party, correct any clerical errors or errors in computation | ||||||
25 | within 15 days
after the date of receipt of such award of the | ||||||
26 | arbitrator
and shall have the power to recall the original |
| |||||||
| |||||||
1 | award on arbitration, and
issue in lieu thereof such corrected | ||||||
2 | award.
The decision of the arbitrator under this subsection (p) | ||||||
3 | shall be
considered the decision of the Commission and | ||||||
4 | proceedings for review of
questions of law arising from the | ||||||
5 | decision may be commenced by either party
pursuant to | ||||||
6 | subsection (f) of Section 19. The Advisory Board established
| ||||||
7 | under Section 13.1 shall compile a list of certified Commission
| ||||||
8 | arbitrators, each of whom shall be approved by at least 7 | ||||||
9 | members of the
Advisory Board. The chairman shall select 5 | ||||||
10 | persons from such list to
serve as arbitrators under this | ||||||
11 | subsection (p). By agreement, the parties
shall select one | ||||||
12 | arbitrator from among the 5 persons selected by the
chairman | ||||||
13 | except that if the parties do not agree on an arbitrator from
| ||||||
14 | among the 5 persons, the parties may, by agreement, select an | ||||||
15 | arbitrator of
the American Arbitration Association, whose fee | ||||||
16 | shall be paid by the State
in accordance with rules promulgated | ||||||
17 | by the Commission. Arbitration under
this subsection (p) shall | ||||||
18 | be voluntary.
| ||||||
19 | (Source: P.A. 97-18, eff. 6-28-11.)
| ||||||
20 | (820 ILCS 305/19a) (from Ch. 48, par. 138.19b)
| ||||||
21 | Sec. 19a.
Money received by the Commission pursuant to | ||||||
22 | subsection (f) of
Section 19 of this Act shall be paid into a | ||||||
23 | trust fund outside the State
Treasury and shall be held in such | ||||||
24 | fund until completion of the record for
which the payment was | ||||||
25 | made. The Secretary of the Commission shall be
ex-officio |
| |||||||
| |||||||
1 | custodian of such trust fund which shall be used only for the
| ||||||
2 | purpose specified in this section. Upon completion of the | ||||||
3 | record the
Secretary shall pay the amount so held to the person | ||||||
4 | entitled thereto for
preparation of the record. Within 60 days | ||||||
5 | after the effective date of this amendatory Act of the 98th | ||||||
6 | General Assembly, the Secretary of the Commission shall | ||||||
7 | transfer all remaining funds to the Injured Workers' Benefit | ||||||
8 | Fund for the purpose of paying claims from injured employees | ||||||
9 | who have received a final award for benefits from the | ||||||
10 | Commission against the employer in Fiscal Year 2013.
| ||||||
11 | (Source: Laws 1967, p. 324.)
| ||||||
12 | (820 ILCS 305/20) (from Ch. 48, par. 138.20)
| ||||||
13 | Sec. 20.
If the Commission shall, before or after any | ||||||
14 | hearing, proceeding,
or review to any court, be satisfied that | ||||||
15 | the employee is a poor person,
and unable to pay the costs and | ||||||
16 | expenses provided for by this Act, the
Commission shall permit | ||||||
17 | such poor person to have all the rights and
remedies provided | ||||||
18 | by this Act, including the issuance and service of
subpoenas; a | ||||||
19 | transcript of testimony and the record of proceedings,
| ||||||
20 | including photostatic copies of exhibits, at
hearings before an | ||||||
21 | Arbitrator or the Commission; the right to have the
record of | ||||||
22 | proceedings certified to the circuit court; the right to the
| ||||||
23 | filing of a written request for summons; and the right to the
| ||||||
24 | issuance of summons, without the filing of a bond for costs
and | ||||||
25 | without the payment of any of the costs provided for by this |
| |||||||
| |||||||
1 | Act. If
an award is granted to such employee, or settlement is | ||||||
2 | made, the costs and
expenses chargeable to the employee as | ||||||
3 | provided for by this Act shall be
paid by the employer out of | ||||||
4 | the award herein granted, or settlement, before
any of the | ||||||
5 | balance of the award or settlement is paid to the
employee.
| ||||||
6 | (Source: P.A. 86-998.)
| ||||||
7 | Section 99. Effective date. This Act takes effect upon | ||||||
8 | becoming law.".
|