Bill Text: IL HB4098 | 2015-2016 | 99th General Assembly | Introduced
Bill Title: Amends the Workers' Compensation Act. In provisions concerning judicial review of decisions made by the Illinois Workers' Compensation Commission, provides that a proceeding for review shall be commenced within 35 (rather than 20) days of the receipt of notice of the decision of the Commission.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2015-03-27 - Rule 19(a) / Re-referred to Rules Committee [HB4098 Detail]
Download: Illinois-2015-HB4098-Introduced.html
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1 | AN ACT concerning employment.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Workers' Compensation Act is amended by | ||||||||||||||||||||||||
5 | changing Section 19 as follows:
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6 | (820 ILCS 305/19) (from Ch. 48, par. 138.19)
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7 | Sec. 19. Any disputed questions of law or fact shall be | ||||||||||||||||||||||||
8 | determined
as herein provided.
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9 | (a) It shall be the duty of the Commission upon | ||||||||||||||||||||||||
10 | notification that
the parties have failed to reach an | ||||||||||||||||||||||||
11 | agreement, to designate an Arbitrator.
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12 | 1. Whenever any claimant misconceives his remedy and | ||||||||||||||||||||||||
13 | files an
application for adjustment of claim under this Act | ||||||||||||||||||||||||
14 | and it is
subsequently discovered, at any time before final | ||||||||||||||||||||||||
15 | disposition of such
cause, that the claim for disability or | ||||||||||||||||||||||||
16 | death which was the basis for
such application should | ||||||||||||||||||||||||
17 | properly have been made under the Workers'
Occupational | ||||||||||||||||||||||||
18 | Diseases Act, then the provisions of Section 19, paragraph
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19 | (a-1) of the Workers' Occupational Diseases Act having | ||||||||||||||||||||||||
20 | reference to such
application shall apply.
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21 | 2. Whenever any claimant misconceives his remedy and | ||||||||||||||||||||||||
22 | files an
application for adjustment of claim under the | ||||||||||||||||||||||||
23 | Workers' Occupational
Diseases Act and it is subsequently |
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1 | discovered, at any time before final
disposition of such | ||||||
2 | cause that the claim for injury or death which was
the | ||||||
3 | basis for such application should properly have been made | ||||||
4 | under this
Act, then the application so filed under the | ||||||
5 | Workers' Occupational
Diseases Act may be amended in form, | ||||||
6 | substance or both to assert claim
for such disability or | ||||||
7 | death under this Act and it shall be deemed to
have been so | ||||||
8 | filed as amended on the date of the original filing
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9 | thereof, and such compensation may be awarded as is | ||||||
10 | warranted by the
whole evidence pursuant to this Act. When | ||||||
11 | such amendment is submitted,
further or additional | ||||||
12 | evidence may be heard by the Arbitrator or
Commission when | ||||||
13 | deemed necessary. Nothing in this Section contained
shall | ||||||
14 | be construed to be or permit a waiver of any provisions of | ||||||
15 | this
Act with reference to notice but notice if given shall | ||||||
16 | be deemed to be a
notice under the provisions of this Act | ||||||
17 | if given within the time
required herein.
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18 | (b) The Arbitrator shall make such inquiries and | ||||||
19 | investigations as he or
they shall deem necessary and may | ||||||
20 | examine and inspect all books, papers,
records, places, or | ||||||
21 | premises relating to the questions in dispute and hear
such | ||||||
22 | proper evidence as the parties may submit.
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23 | The hearings before the Arbitrator shall be held in the | ||||||
24 | vicinity where
the injury occurred after 10 days' notice of the | ||||||
25 | time and place of such
hearing shall have been given to each of | ||||||
26 | the parties or their attorneys
of record.
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1 | The Arbitrator may find that the disabling condition is | ||||||
2 | temporary and has
not yet reached a permanent condition and may | ||||||
3 | order the payment of
compensation up to the date of the | ||||||
4 | hearing, which award shall be reviewable
and enforceable in the | ||||||
5 | same manner as other awards, and in no instance be a
bar to a | ||||||
6 | further hearing and determination of a further amount of | ||||||
7 | temporary
total compensation or of compensation for permanent | ||||||
8 | disability, but shall
be conclusive as to all other questions | ||||||
9 | except the nature and extent of said
disability.
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10 | The decision of the Arbitrator shall be filed with the | ||||||
11 | Commission which
Commission shall immediately send to each | ||||||
12 | party or his attorney a copy of
such decision, together with a | ||||||
13 | notification of the time when it was filed.
As of the effective | ||||||
14 | date of this amendatory Act of the 94th General Assembly, all | ||||||
15 | decisions of the Arbitrator shall set forth
in writing findings | ||||||
16 | of fact and conclusions of law, separately stated, if requested | ||||||
17 | by either party.
Unless a petition for review is filed by | ||||||
18 | either party within 30 days after
the receipt by such party of | ||||||
19 | the copy of the decision and notification of
time when filed, | ||||||
20 | and unless such party petitioning for a review shall
within 35 | ||||||
21 | days after the receipt by him of the copy of the decision, file
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22 | with the Commission either an agreed statement of the facts | ||||||
23 | appearing upon
the hearing before the Arbitrator, or if such
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24 | party shall so elect a correct transcript of evidence of the | ||||||
25 | proceedings
at such hearings, then the decision shall become | ||||||
26 | the decision of the
Commission and in the absence of fraud |
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1 | shall be conclusive.
The Petition for Review shall contain a | ||||||
2 | statement of the petitioning party's
specific exceptions to the | ||||||
3 | decision of the arbitrator. The jurisdiction
of the Commission | ||||||
4 | to review the decision of the arbitrator shall not be
limited | ||||||
5 | to the exceptions stated in the Petition for Review.
The | ||||||
6 | Commission, or any member thereof, may grant further time not | ||||||
7 | exceeding
30 days, in which to file such agreed statement or | ||||||
8 | transcript of
evidence. Such agreed statement of facts or | ||||||
9 | correct transcript of
evidence, as the case may be, shall be | ||||||
10 | authenticated by the signatures
of the parties or their | ||||||
11 | attorneys, and in the event they do not agree as
to the | ||||||
12 | correctness of the transcript of evidence it shall be | ||||||
13 | authenticated
by the signature of the Arbitrator designated by | ||||||
14 | the Commission.
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15 | Whether the employee is working or not, if the employee is | ||||||
16 | not receiving or has not received medical, surgical, or | ||||||
17 | hospital services or other services or compensation as provided | ||||||
18 | in paragraph (a) of Section 8, or compensation as provided in | ||||||
19 | paragraph (b) of Section 8, the employee may at any time | ||||||
20 | petition for an expedited hearing by an Arbitrator on the issue | ||||||
21 | of whether or not he or she is entitled to receive payment of | ||||||
22 | the services or compensation. Provided the employer continues | ||||||
23 | to pay compensation pursuant to paragraph (b) of Section 8, the | ||||||
24 | employer may at any time petition for an expedited hearing on | ||||||
25 | the issue of whether or not the employee is entitled to receive | ||||||
26 | medical, surgical, or hospital services or other services or |
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1 | compensation as provided in paragraph (a) of Section 8, or | ||||||
2 | compensation as provided in paragraph (b) of Section 8. When an | ||||||
3 | employer has petitioned for an expedited hearing, the employer | ||||||
4 | shall continue to pay compensation as provided in paragraph (b) | ||||||
5 | of Section 8 unless the arbitrator renders a decision that the | ||||||
6 | employee is not entitled to the benefits that are the subject | ||||||
7 | of the expedited hearing or unless the employee's treating | ||||||
8 | physician has released the employee to return to work at his or | ||||||
9 | her regular job with the employer or the employee actually | ||||||
10 | returns to work at any other job. If the arbitrator renders a | ||||||
11 | decision that the employee is not entitled to the benefits that | ||||||
12 | are the subject of the expedited hearing, a petition for review | ||||||
13 | filed by the employee shall receive the same priority as if the | ||||||
14 | employee had filed a petition for an expedited hearing by an | ||||||
15 | Arbitrator. Neither party shall be entitled to an expedited | ||||||
16 | hearing when the employee has returned to work and the sole | ||||||
17 | issue in dispute amounts to less than 12 weeks of unpaid | ||||||
18 | compensation pursuant to paragraph (b) of Section 8. | ||||||
19 | Expedited hearings shall have priority over all other | ||||||
20 | petitions and shall be heard by the Arbitrator and Commission | ||||||
21 | with all convenient speed. Any party requesting an expedited | ||||||
22 | hearing shall give notice of a request for an expedited hearing | ||||||
23 | under this paragraph. A copy of the Application for Adjustment | ||||||
24 | of Claim shall be attached to the notice. The Commission shall | ||||||
25 | adopt rules and procedures under which the final decision of | ||||||
26 | the Commission under this paragraph is filed not later than 180 |
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1 | days from the date that the Petition for Review is filed with | ||||||
2 | the Commission. | ||||||
3 | Where 2 or more insurance carriers, private self-insureds, | ||||||
4 | or a group workers' compensation pool under Article V 3/4 of | ||||||
5 | the Illinois Insurance Code dispute coverage for the same | ||||||
6 | injury, any such insurance carrier, private self-insured, or | ||||||
7 | group workers' compensation pool may request an expedited | ||||||
8 | hearing pursuant to this paragraph to determine the issue of | ||||||
9 | coverage, provided coverage is the only issue in dispute and | ||||||
10 | all other issues are stipulated and agreed to and further | ||||||
11 | provided that all compensation benefits including medical | ||||||
12 | benefits pursuant to Section 8(a) continue to be paid to or on | ||||||
13 | behalf of petitioner. Any insurance carrier, private | ||||||
14 | self-insured, or group workers' compensation pool that is | ||||||
15 | determined to be liable for coverage for the injury in issue | ||||||
16 | shall reimburse any insurance carrier, private self-insured, | ||||||
17 | or group workers' compensation pool that has paid benefits to | ||||||
18 | or on behalf of petitioner for the injury.
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19 | (b-1) If the employee is not receiving medical, surgical or | ||||||
20 | hospital
services as provided in paragraph (a) of Section 8 or | ||||||
21 | compensation as
provided in paragraph (b) of Section 8, the | ||||||
22 | employee, in accordance with
Commission Rules, may file a | ||||||
23 | petition for an emergency hearing by an
Arbitrator on the issue | ||||||
24 | of whether or not he is entitled to receive payment
of such | ||||||
25 | compensation or services as provided therein. Such petition | ||||||
26 | shall
have priority over all other petitions and shall be heard |
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1 | by the Arbitrator
and Commission with all convenient speed.
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2 | Such petition shall contain the following information and | ||||||
3 | shall be served
on the employer at least 15 days before it is | ||||||
4 | filed:
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5 | (i) the date and approximate time of accident;
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6 | (ii) the approximate location of the accident;
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7 | (iii) a description of the accident;
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8 | (iv) the nature of the injury incurred by the employee;
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9 | (v) the identity of the person, if known, to whom the | ||||||
10 | accident was
reported and the date on which it was | ||||||
11 | reported;
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12 | (vi) the name and title of the person, if known, | ||||||
13 | representing the
employer with whom the employee conferred | ||||||
14 | in any effort to obtain
compensation pursuant to paragraph | ||||||
15 | (b) of Section 8 of this Act or medical,
surgical or | ||||||
16 | hospital services pursuant to paragraph (a) of Section 8 of
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17 | this Act and the date of such conference;
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18 | (vii) a statement that the employer has refused to pay | ||||||
19 | compensation
pursuant to paragraph (b) of Section 8 of this | ||||||
20 | Act or for medical, surgical
or hospital services pursuant | ||||||
21 | to paragraph (a) of Section 8 of this Act;
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22 | (viii) the name and address, if known, of each witness | ||||||
23 | to the accident
and of each other person upon whom the | ||||||
24 | employee will rely to support his
allegations;
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25 | (ix) the dates of treatment related to the accident by | ||||||
26 | medical
practitioners, and the names and addresses of such |
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1 | practitioners, including
the dates of treatment related to | ||||||
2 | the accident at any hospitals and the
names and addresses | ||||||
3 | of such hospitals, and a signed authorization
permitting | ||||||
4 | the employer to examine all medical records of all | ||||||
5 | practitioners
and hospitals named pursuant to this | ||||||
6 | paragraph;
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7 | (x) a copy of a signed report by a medical | ||||||
8 | practitioner, relating to the
employee's current inability | ||||||
9 | to return to work because of the injuries
incurred as a | ||||||
10 | result of the accident or such other documents or | ||||||
11 | affidavits
which show that the employee is entitled to | ||||||
12 | receive compensation pursuant
to paragraph (b) of Section 8 | ||||||
13 | of this Act or medical, surgical or hospital
services | ||||||
14 | pursuant to paragraph (a) of Section 8 of this Act. Such | ||||||
15 | reports,
documents or affidavits shall state, if possible, | ||||||
16 | the history of the
accident given by the employee, and | ||||||
17 | describe the injury and medical
diagnosis, the medical | ||||||
18 | services for such injury which the employee has
received | ||||||
19 | and is receiving, the physical activities which the | ||||||
20 | employee
cannot currently perform as a result of any | ||||||
21 | impairment or disability due to
such injury, and the | ||||||
22 | prognosis for recovery;
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23 | (xi) complete copies of any reports, records, | ||||||
24 | documents and affidavits
in the possession of the employee | ||||||
25 | on which the employee will rely to
support his allegations, | ||||||
26 | provided that the employer shall pay the
reasonable cost of |
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1 | reproduction thereof;
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2 | (xii) a list of any reports, records, documents and | ||||||
3 | affidavits which
the employee has demanded by subpoena and | ||||||
4 | on which he intends to
rely to support his allegations;
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5 | (xiii) a certification signed by the employee or his | ||||||
6 | representative that
the employer has received the petition | ||||||
7 | with the required information 15
days before filing.
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8 | Fifteen days after receipt by the employer of the petition | ||||||
9 | with the
required information the employee may file said | ||||||
10 | petition and required
information and shall serve notice of the | ||||||
11 | filing upon the employer. The
employer may file a motion | ||||||
12 | addressed to the sufficiency of the petition.
If an objection | ||||||
13 | has been filed to the sufficiency of the petition, the
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14 | arbitrator shall rule on the objection within 2 working days. | ||||||
15 | If such an
objection is filed, the time for filing the final | ||||||
16 | decision of the
Commission as provided in this paragraph shall | ||||||
17 | be tolled until the
arbitrator has determined that the petition | ||||||
18 | is sufficient.
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19 | The employer shall, within 15 days after receipt of the | ||||||
20 | notice that such
petition is filed, file with the Commission | ||||||
21 | and serve on the employee or
his representative a written | ||||||
22 | response to each claim set forth in the
petition, including the | ||||||
23 | legal and factual basis for each disputed
allegation and the | ||||||
24 | following information: (i) complete copies of any
reports, | ||||||
25 | records, documents and affidavits in the possession of the
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26 | employer on which the employer intends to rely in support of |
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1 | his response,
(ii) a list of any reports, records, documents | ||||||
2 | and affidavits which the
employer has demanded by subpoena and | ||||||
3 | on which the employer intends to rely
in support of his | ||||||
4 | response, (iii) the name and address of each witness on
whom | ||||||
5 | the employer will rely to support his response, and (iv) the | ||||||
6 | names and
addresses of any medical practitioners selected by | ||||||
7 | the employer pursuant to
Section 12 of this Act and the time | ||||||
8 | and place of any examination scheduled
to be made pursuant to | ||||||
9 | such Section.
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10 | Any employer who does not timely file and serve a written | ||||||
11 | response
without good cause may not introduce any evidence to | ||||||
12 | dispute any claim of
the employee but may cross examine the | ||||||
13 | employee or any witness brought by
the employee and otherwise | ||||||
14 | be heard.
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15 | No document or other evidence not previously identified by | ||||||
16 | either party
with the petition or written response, or by any | ||||||
17 | other means before the
hearing, may be introduced into evidence | ||||||
18 | without good cause.
If, at the hearing, material information is | ||||||
19 | discovered which was
not previously disclosed, the Arbitrator | ||||||
20 | may extend the time for closing
proof on the motion of a party | ||||||
21 | for a reasonable period of time which may
be more than 30 days. | ||||||
22 | No evidence may be introduced pursuant
to this paragraph as to | ||||||
23 | permanent disability. No award may be entered for
permanent | ||||||
24 | disability pursuant to this paragraph. Either party may | ||||||
25 | introduce
into evidence the testimony taken by deposition of | ||||||
26 | any medical practitioner.
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1 | The Commission shall adopt rules, regulations and | ||||||
2 | procedures whereby the
final decision of the Commission is | ||||||
3 | filed not later than 90 days from the
date the petition for | ||||||
4 | review is filed but in no event later than 180 days from
the | ||||||
5 | date the petition for an emergency hearing is filed with the | ||||||
6 | Illinois Workers' Compensation
Commission.
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7 | All service required pursuant to this paragraph (b-1) must | ||||||
8 | be by personal
service or by certified mail and with evidence | ||||||
9 | of receipt. In addition for
the purposes of this paragraph, all | ||||||
10 | service on the employer must be at the
premises where the | ||||||
11 | accident occurred if the premises are owned or operated
by the | ||||||
12 | employer. Otherwise service must be at the employee's principal
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13 | place of employment by the employer. If service on the employer | ||||||
14 | is not
possible at either of the above, then service shall be | ||||||
15 | at the employer's
principal place of business. After initial | ||||||
16 | service in each case, service
shall be made on the employer's | ||||||
17 | attorney or designated representative.
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18 | (c)(1) At a reasonable time in advance of and in connection | ||||||
19 | with the
hearing under Section 19(e) or 19(h), the Commission | ||||||
20 | may on its own motion
order an impartial physical or mental | ||||||
21 | examination of a petitioner whose
mental or physical condition | ||||||
22 | is in issue, when in the Commission's
discretion it appears | ||||||
23 | that such an examination will materially aid in the
just | ||||||
24 | determination of the case. The examination shall be made by a | ||||||
25 | member
or members of a panel of physicians chosen for their | ||||||
26 | special qualifications
by the Illinois State Medical Society. |
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1 | The Commission shall establish
procedures by which a physician | ||||||
2 | shall be selected from such list.
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3 | (2) Should the Commission at any time during the hearing | ||||||
4 | find that
compelling considerations make it advisable to have | ||||||
5 | an examination and
report at that time, the commission may in | ||||||
6 | its discretion so order.
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7 | (3) A copy of the report of examination shall be given to | ||||||
8 | the Commission
and to the attorneys for the parties.
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9 | (4) Either party or the Commission may call the examining | ||||||
10 | physician or
physicians to testify. Any physician so called | ||||||
11 | shall be subject to
cross-examination.
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12 | (5) The examination shall be made, and the physician or | ||||||
13 | physicians, if
called, shall testify, without cost to the | ||||||
14 | parties. The Commission shall
determine the compensation and | ||||||
15 | the pay of the physician or physicians. The
compensation for | ||||||
16 | this service shall not exceed the usual and customary amount
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17 | for such service.
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18 | (6) The fees and payment thereof of all attorneys and | ||||||
19 | physicians for
services authorized by the Commission under this | ||||||
20 | Act shall, upon request
of either the employer or the employee | ||||||
21 | or the beneficiary affected, be
subject to the review and | ||||||
22 | decision of the Commission.
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23 | (d) If any employee shall persist in insanitary or | ||||||
24 | injurious
practices which tend to either imperil or retard his | ||||||
25 | recovery or shall
refuse to submit to such medical, surgical, | ||||||
26 | or hospital treatment as is
reasonably essential to promote his |
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1 | recovery, the Commission may, in its
discretion, reduce or | ||||||
2 | suspend the compensation of any such injured
employee. However, | ||||||
3 | when an employer and employee so agree in writing,
the | ||||||
4 | foregoing provision shall not be construed to authorize the
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5 | reduction or suspension of compensation of an employee who is | ||||||
6 | relying in
good faith, on treatment by prayer or spiritual | ||||||
7 | means alone, in
accordance with the tenets and practice of a | ||||||
8 | recognized church or
religious denomination, by a duly | ||||||
9 | accredited practitioner thereof.
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10 | (e) This paragraph shall apply to all hearings before the | ||||||
11 | Commission.
Such hearings may be held in its office or | ||||||
12 | elsewhere as the Commission
may deem advisable. The taking of | ||||||
13 | testimony on such hearings may be had
before any member of the | ||||||
14 | Commission. If a petition for review and agreed
statement of | ||||||
15 | facts or transcript of evidence is filed, as provided herein,
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16 | the Commission shall promptly review the decision of the | ||||||
17 | Arbitrator and all
questions of law or fact which appear from | ||||||
18 | the statement of facts or
transcript of evidence.
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19 | In all cases in which the hearing before the arbitrator is | ||||||
20 | held after
December 18, 1989, no additional evidence shall be | ||||||
21 | introduced by the
parties before the Commission on review of | ||||||
22 | the decision of the Arbitrator.
In reviewing decisions of an | ||||||
23 | arbitrator the Commission shall award such
temporary | ||||||
24 | compensation, permanent compensation and other payments as are
| ||||||
25 | due under this Act. The Commission shall file in its office its | ||||||
26 | decision
thereon, and shall immediately send to each party or |
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1 | his attorney a copy of
such decision and a notification of the | ||||||
2 | time when it was filed. Decisions
shall be filed within 60 days | ||||||
3 | after the Statement of Exceptions and
Supporting Brief and | ||||||
4 | Response thereto are required to be filed or oral
argument | ||||||
5 | whichever is later.
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6 | In the event either party requests oral argument, such | ||||||
7 | argument shall be
had before a panel of 3 members of the | ||||||
8 | Commission (or before all available
members pursuant to the | ||||||
9 | determination of 7 members of the Commission that
such argument | ||||||
10 | be held before all available members of the Commission)
| ||||||
11 | pursuant to the rules and regulations of the Commission. A | ||||||
12 | panel of 3
members, which shall be comprised of not more than | ||||||
13 | one representative
citizen of the employing class and not more | ||||||
14 | than one representative citizen
of the employee class, shall | ||||||
15 | hear the argument; provided that if all the
issues in dispute | ||||||
16 | are solely the nature and extent of the permanent partial
| ||||||
17 | disability, if any, a majority of the panel may deny the | ||||||
18 | request for such
argument and such argument shall not be held; | ||||||
19 | and provided further that 7
members of the Commission may | ||||||
20 | determine that the argument be held before
all available | ||||||
21 | members of the Commission. A decision of the Commission
shall | ||||||
22 | be approved by a majority of Commissioners present at such | ||||||
23 | hearing if
any; provided, if no such hearing is held, a | ||||||
24 | decision of the Commission
shall be approved by a majority of a | ||||||
25 | panel of 3 members of the Commission
as described in this | ||||||
26 | Section. The Commission shall give 10 days' notice to
the |
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| |||||||
1 | parties or their attorneys of the time and place of such taking | ||||||
2 | of
testimony and of such argument.
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3 | In any case the Commission in its decision may find | ||||||
4 | specially
upon any question or questions of law or fact which | ||||||
5 | shall be submitted
in writing by either party whether ultimate | ||||||
6 | or otherwise;
provided that on issues other than nature and | ||||||
7 | extent of the disability,
if any, the Commission in its | ||||||
8 | decision shall find specially upon any
question or questions of | ||||||
9 | law or fact, whether ultimate or otherwise,
which are submitted | ||||||
10 | in writing by either party; provided further that
not more than | ||||||
11 | 5 such questions may be submitted by either party. Any
party | ||||||
12 | may, within 20 days after receipt of notice of the Commission's
| ||||||
13 | decision, or within such further time, not exceeding 30 days, | ||||||
14 | as the
Commission may grant, file with the Commission either an | ||||||
15 | agreed
statement of the facts appearing upon the hearing, or, | ||||||
16 | if such party
shall so elect, a correct transcript of evidence | ||||||
17 | of the additional
proceedings presented before the Commission, | ||||||
18 | in which report the party
may embody a correct statement of | ||||||
19 | such other proceedings in the case as
such party may desire to | ||||||
20 | have reviewed, such statement of facts or
transcript of | ||||||
21 | evidence to be authenticated by the signature of the
parties or | ||||||
22 | their attorneys, and in the event that they do not agree,
then | ||||||
23 | the authentication of such transcript of evidence shall be by | ||||||
24 | the
signature of any member of the Commission.
| ||||||
25 | If a reporter does not for any reason furnish a transcript | ||||||
26 | of the
proceedings before the Arbitrator in any case for use on |
| |||||||
| |||||||
1 | a hearing for
review before the Commission, within the | ||||||
2 | limitations of time as fixed in
this Section, the Commission | ||||||
3 | may, in its discretion, order a trial de
novo before the | ||||||
4 | Commission in such case upon application of either
party. The | ||||||
5 | applications for adjustment of claim and other documents in
the | ||||||
6 | nature of pleadings filed by either party, together with the
| ||||||
7 | decisions of the Arbitrator and of the Commission and the | ||||||
8 | statement of
facts or transcript of evidence hereinbefore | ||||||
9 | provided for in paragraphs
(b) and (c) shall be the record of | ||||||
10 | the proceedings of the Commission,
and shall be subject to | ||||||
11 | review as hereinafter provided.
| ||||||
12 | At the request of either party or on its own motion, the | ||||||
13 | Commission shall
set forth in writing the reasons for the | ||||||
14 | decision, including findings of
fact and conclusions of law | ||||||
15 | separately stated. The Commission shall by rule
adopt a format | ||||||
16 | for written decisions for the Commission and arbitrators.
The | ||||||
17 | written decisions shall be concise and shall succinctly state | ||||||
18 | the facts
and reasons for the decision. The Commission may | ||||||
19 | adopt in whole or in part,
the decision of the arbitrator as | ||||||
20 | the decision of the Commission. When the
Commission does so | ||||||
21 | adopt the decision of the arbitrator, it shall do so by
order. | ||||||
22 | Whenever the Commission adopts part of the arbitrator's | ||||||
23 | decision,
but not all, it shall include in the order the | ||||||
24 | reasons for not adopting all
of the arbitrator's decision. When | ||||||
25 | a majority of a panel, after
deliberation, has arrived at its | ||||||
26 | decision, the decision shall be filed as
provided in this |
| |||||||
| |||||||
1 | Section without unnecessary delay, and without regard to
the | ||||||
2 | fact that a member of the panel has expressed an intention to | ||||||
3 | dissent.
Any member of the panel may file a dissent. Any | ||||||
4 | dissent shall be filed no
later than 10 days after the decision | ||||||
5 | of the majority has been filed.
| ||||||
6 | Decisions rendered by the Commission and dissents, if any, | ||||||
7 | shall be
published together by the Commission. The conclusions | ||||||
8 | of law set out in
such decisions shall be regarded as | ||||||
9 | precedents by arbitrators for the purpose
of achieving a more | ||||||
10 | uniform administration of this Act.
| ||||||
11 | (f) The decision of the Commission acting within its | ||||||
12 | powers,
according to the provisions of paragraph (e) of this | ||||||
13 | Section shall, in
the absence of fraud, be conclusive unless | ||||||
14 | reviewed as in this paragraph
hereinafter provided. However, | ||||||
15 | the Arbitrator or the Commission may on
his or its own motion, | ||||||
16 | or on the motion of either party, correct any
clerical error or | ||||||
17 | errors in computation within 15 days after the date of
receipt | ||||||
18 | of any award by such Arbitrator or any decision on review of | ||||||
19 | the
Commission and shall have the power to recall the original | ||||||
20 | award on
arbitration or decision on review, and issue in lieu | ||||||
21 | thereof such
corrected award or decision. Where such correction | ||||||
22 | is made the time for
review herein specified shall begin to run | ||||||
23 | from the date of
the receipt of the corrected award or | ||||||
24 | decision.
| ||||||
25 | (1) Except in cases of claims against the State of | ||||||
26 | Illinois other than those claims under Section 18.1, in
|
| |||||||
| |||||||
1 | which case the decision of the Commission shall not be | ||||||
2 | subject to
judicial review, the Circuit Court of the county | ||||||
3 | where any of the
parties defendant may be found, or if none | ||||||
4 | of the parties defendant can
be found in this State then | ||||||
5 | the Circuit Court of the county where the
accident | ||||||
6 | occurred, shall by summons to the Commission have
power to | ||||||
7 | review all questions of law and fact presented by such | ||||||
8 | record.
| ||||||
9 | A proceeding for review shall be commenced within 35 20 | ||||||
10 | days of
the receipt of notice of the decision of the | ||||||
11 | Commission. The summons shall
be issued by the clerk of | ||||||
12 | such court upon written request returnable on a
designated | ||||||
13 | return day, not less than 10 or more than 60 days from the | ||||||
14 | date
of issuance thereof, and the written request shall | ||||||
15 | contain the last known
address of other parties in interest | ||||||
16 | and their attorneys of record who are
to be served by | ||||||
17 | summons. Service upon any member of the Commission or the
| ||||||
18 | Secretary or the Assistant Secretary thereof shall be | ||||||
19 | service upon the
Commission, and service upon other parties | ||||||
20 | in interest and their attorneys
of record shall be by | ||||||
21 | summons, and such service shall be made upon the
Commission | ||||||
22 | and other parties in interest by mailing notices of the
| ||||||
23 | commencement of the proceedings and the return day of the | ||||||
24 | summons to the
office of the Commission and to the last | ||||||
25 | known place of residence of other
parties in interest or | ||||||
26 | their attorney or attorneys of record. The clerk of
the |
| |||||||
| |||||||
1 | court issuing the summons shall on the day of issue mail | ||||||
2 | notice of the
commencement of the proceedings which shall | ||||||
3 | be done by mailing a copy of
the summons to the office of | ||||||
4 | the Commission, and a copy of the summons to
the other | ||||||
5 | parties in interest or their attorney or attorneys of | ||||||
6 | record and
the clerk of the court shall make certificate | ||||||
7 | that he has so sent said
notices in pursuance of this | ||||||
8 | Section, which shall be evidence of service on
the | ||||||
9 | Commission and other parties in interest.
| ||||||
10 | The Commission shall not be required to certify the | ||||||
11 | record of their
proceedings to the Circuit Court, unless | ||||||
12 | the party commencing the
proceedings for review in the | ||||||
13 | Circuit Court as above provided, shall file with the | ||||||
14 | Commission notice of intent to file for review in Circuit | ||||||
15 | Court. It shall be the duty
of the Commission upon such | ||||||
16 | filing of notice of intent to file for review in the | ||||||
17 | Circuit Court to prepare a true and correct
copy of such | ||||||
18 | testimony and a true and correct copy of all other matters
| ||||||
19 | contained in such record and certified to by the Secretary | ||||||
20 | or Assistant
Secretary thereof. The changes made to this | ||||||
21 | subdivision (f)(1) by this amendatory Act of the 98th | ||||||
22 | General Assembly apply to any Commission decision entered | ||||||
23 | after the effective date of this amendatory Act of the 98th | ||||||
24 | General Assembly.
| ||||||
25 | No request for a summons
may be filed and no summons | ||||||
26 | shall issue unless the party seeking to review
the decision |
| |||||||
| |||||||
1 | of the Commission shall exhibit to the clerk of the Circuit
| ||||||
2 | Court proof of filing with the Commission of the notice of | ||||||
3 | the intent to file for review in the Circuit Court or an | ||||||
4 | affidavit
of the attorney setting forth that notice of | ||||||
5 | intent to file for review in the Circuit Court has been | ||||||
6 | given in writing to the Secretary or Assistant Secretary of | ||||||
7 | the Commission.
| ||||||
8 | (2) No such summons shall issue unless the one against | ||||||
9 | whom the
Commission shall have rendered an award for the | ||||||
10 | payment of money shall upon
the filing of his written | ||||||
11 | request for such summons file with the clerk of
the court a | ||||||
12 | bond conditioned that if he shall not successfully
| ||||||
13 | prosecute the review, he will pay the award and the costs | ||||||
14 | of the
proceedings in the courts. The amount of the bond | ||||||
15 | shall be fixed by any
member of the Commission and the | ||||||
16 | surety or sureties of the bond shall be
approved by the | ||||||
17 | clerk of the court. The acceptance of the bond by the
clerk | ||||||
18 | of the court shall constitute evidence of his approval of | ||||||
19 | the bond.
| ||||||
20 | Every county, city, town, township, incorporated | ||||||
21 | village, school
district, body politic or municipal | ||||||
22 | corporation against whom the
Commission shall have | ||||||
23 | rendered an award for the payment of money shall
not be | ||||||
24 | required to file a bond to secure the payment of the award | ||||||
25 | and
the costs of the proceedings in the court to authorize | ||||||
26 | the court to
issue such summons.
|
| |||||||
| |||||||
1 | The court may confirm or set aside the decision of the | ||||||
2 | Commission. If
the decision is set aside and the facts | ||||||
3 | found in the proceedings before
the Commission are | ||||||
4 | sufficient, the court may enter such decision as is
| ||||||
5 | justified by law, or may remand the cause to the Commission | ||||||
6 | for further
proceedings and may state the questions | ||||||
7 | requiring further hearing, and
give such other | ||||||
8 | instructions as may be proper. Appeals shall be taken
to | ||||||
9 | the Appellate Court in accordance
with Supreme Court Rules | ||||||
10 | 22(g) and 303. Appeals
shall be taken from the Appellate
| ||||||
11 | Court to the Supreme Court in accordance with Supreme Court | ||||||
12 | Rule 315.
| ||||||
13 | It shall be the duty of the clerk of any court | ||||||
14 | rendering a decision
affecting or affirming an award of the | ||||||
15 | Commission to promptly furnish
the Commission with a copy | ||||||
16 | of such decision, without charge.
| ||||||
17 | The decision of a majority of the members of the panel | ||||||
18 | of the Commission,
shall be considered the decision of the | ||||||
19 | Commission.
| ||||||
20 | (g) Except in the case of a claim against the State of | ||||||
21 | Illinois,
either party may present a certified copy of the | ||||||
22 | award of the
Arbitrator, or a certified copy of the decision of | ||||||
23 | the Commission when
the same has become final, when no | ||||||
24 | proceedings for review are pending,
providing for the payment | ||||||
25 | of compensation according to this Act, to the
Circuit Court of | ||||||
26 | the county in which such accident occurred or either of
the |
| |||||||
| |||||||
1 | parties are residents, whereupon the court shall enter a | ||||||
2 | judgment
in accordance therewith. In a case where the employer | ||||||
3 | refuses to pay
compensation according to such final award or | ||||||
4 | such final decision upon
which such judgment is entered the | ||||||
5 | court shall in entering judgment
thereon, tax as costs against | ||||||
6 | him the reasonable costs and attorney fees
in the arbitration | ||||||
7 | proceedings and in the court entering the judgment
for the | ||||||
8 | person in whose favor the judgment is entered, which judgment
| ||||||
9 | and costs taxed as therein provided shall, until and unless set | ||||||
10 | aside,
have the same effect as though duly entered in an action | ||||||
11 | duly tried and
determined by the court, and shall with like | ||||||
12 | effect, be entered and
docketed. The Circuit Court shall have | ||||||
13 | power at any time upon
application to make any such judgment | ||||||
14 | conform to any modification
required by any subsequent decision | ||||||
15 | of the Supreme Court upon appeal, or
as the result of any | ||||||
16 | subsequent proceedings for review, as provided in
this Act.
| ||||||
17 | Judgment shall not be entered until 15 days' notice of the | ||||||
18 | time and
place of the application for the entry of judgment | ||||||
19 | shall be served upon
the employer by filing such notice with | ||||||
20 | the Commission, which Commission
shall, in case it has on file | ||||||
21 | the address of the employer or the name
and address of its | ||||||
22 | agent upon whom notices may be served, immediately
send a copy | ||||||
23 | of the notice to the employer or such designated agent.
| ||||||
24 | (h) An agreement or award under this Act providing for | ||||||
25 | compensation
in installments, may at any time within 18 months | ||||||
26 | after such agreement
or award be reviewed by the Commission at |
| |||||||
| |||||||
1 | the request of either the
employer or the employee, on the | ||||||
2 | ground that the disability of the
employee has subsequently | ||||||
3 | recurred, increased, diminished or ended.
| ||||||
4 | However, as to accidents occurring subsequent to July 1, | ||||||
5 | 1955, which
are covered by any agreement or award under this | ||||||
6 | Act providing for
compensation in installments made as a result | ||||||
7 | of such accident, such
agreement or award may at any time | ||||||
8 | within 30 months, or 60 months in the case of an award under | ||||||
9 | Section 8(d)1, after such agreement
or award be reviewed by the | ||||||
10 | Commission at the request of either the
employer or the | ||||||
11 | employee on the ground that the disability of the
employee has | ||||||
12 | subsequently recurred, increased, diminished or ended.
| ||||||
13 | On such review, compensation payments may be | ||||||
14 | re-established,
increased, diminished or ended. The Commission | ||||||
15 | shall give 15 days'
notice to the parties of the hearing for | ||||||
16 | review. Any employee, upon any
petition for such review being | ||||||
17 | filed by the employer, shall be entitled
to one day's notice | ||||||
18 | for each 100 miles necessary to be traveled by him in
attending | ||||||
19 | the hearing of the Commission upon the petition, and 3 days in
| ||||||
20 | addition thereto. Such employee shall, at the discretion of the
| ||||||
21 | Commission, also be entitled to 5 cents per mile necessarily | ||||||
22 | traveled by
him within the State of Illinois in attending such | ||||||
23 | hearing, not to
exceed a distance of 300 miles, to be taxed by | ||||||
24 | the Commission as costs
and deposited with the petition of the | ||||||
25 | employer.
| ||||||
26 | When compensation which is payable in accordance with an |
| |||||||
| |||||||
1 | award or
settlement contract approved by the Commission, is | ||||||
2 | ordered paid in a
lump sum by the Commission, no review shall | ||||||
3 | be had as in this paragraph
mentioned.
| ||||||
4 | (i) Each party, upon taking any proceedings or steps | ||||||
5 | whatsoever
before any Arbitrator, Commission or court, shall | ||||||
6 | file with the Commission
his address, or the name and address | ||||||
7 | of any agent upon whom all notices to
be given to such party | ||||||
8 | shall be served, either personally or by registered
mail, | ||||||
9 | addressed to such party or agent at the last address so filed | ||||||
10 | with
the Commission. In the event such party has not filed his | ||||||
11 | address, or the
name and address of an agent as above provided, | ||||||
12 | service of any notice may
be had by filing such notice with the | ||||||
13 | Commission.
| ||||||
14 | (j) Whenever in any proceeding testimony has been taken or | ||||||
15 | a final
decision has been rendered and after the taking of such | ||||||
16 | testimony or
after such decision has become final, the injured | ||||||
17 | employee dies, then in
any subsequent proceedings brought by | ||||||
18 | the personal representative or
beneficiaries of the deceased | ||||||
19 | employee, such testimony in the former
proceeding may be | ||||||
20 | introduced with the same force and effect as though
the witness | ||||||
21 | having so testified were present in person in such
subsequent | ||||||
22 | proceedings and such final decision, if any, shall be taken
as | ||||||
23 | final adjudication of any of the issues which are the same in | ||||||
24 | both
proceedings.
| ||||||
25 | (k) In case where there has been any unreasonable or | ||||||
26 | vexatious delay
of payment or intentional underpayment of |
| |||||||
| |||||||
1 | compensation, or proceedings
have been instituted or carried on | ||||||
2 | by the one liable to pay the
compensation, which do not present | ||||||
3 | a real controversy, but are merely
frivolous or for delay, then | ||||||
4 | the Commission may award compensation
additional to that | ||||||
5 | otherwise payable under this Act equal to 50% of the
amount | ||||||
6 | payable at the time of such award. Failure to pay compensation
| ||||||
7 | in accordance with the provisions of Section 8, paragraph (b) | ||||||
8 | of this
Act, shall be considered unreasonable delay.
| ||||||
9 | When determining whether this subsection (k) shall apply, | ||||||
10 | the
Commission shall consider whether an Arbitrator has | ||||||
11 | determined
that the claim is not compensable or whether the | ||||||
12 | employer has
made payments under Section 8(j). | ||||||
13 | (l) If the employee has made written demand for payment of
| ||||||
14 | benefits under Section 8(a) or Section 8(b), the employer shall
| ||||||
15 | have 14 days after receipt of the demand to set forth in
| ||||||
16 | writing the reason for the delay. In the case of demand for
| ||||||
17 | payment of medical benefits under Section 8(a), the time for
| ||||||
18 | the employer to respond shall not commence until the expiration
| ||||||
19 | of the allotted 30 days specified under Section 8.2(d). In case
| ||||||
20 | the employer or his or her insurance carrier shall without good | ||||||
21 | and
just cause fail, neglect, refuse, or unreasonably delay the
| ||||||
22 | payment of benefits under Section 8(a) or Section 8(b), the
| ||||||
23 | Arbitrator or the Commission shall allow to the employee
| ||||||
24 | additional compensation in the sum of $30 per day for each day
| ||||||
25 | that the benefits under Section 8(a) or Section 8(b) have been
| ||||||
26 | so withheld or refused, not to exceed $10,000.
A delay in |
| |||||||
| |||||||
1 | payment of 14 days or more
shall create a rebuttable | ||||||
2 | presumption of unreasonable delay.
| ||||||
3 | (m) If the commission finds that an accidental injury was | ||||||
4 | directly
and proximately caused by the employer's wilful | ||||||
5 | violation of a health
and safety standard under the Health and | ||||||
6 | Safety Act or the Occupational Safety and Health Act in force | ||||||
7 | at the time of the
accident, the arbitrator or the Commission | ||||||
8 | shall allow to the injured
employee or his dependents, as the | ||||||
9 | case may be, additional compensation
equal to 25% of the amount | ||||||
10 | which otherwise would be payable under the
provisions of this | ||||||
11 | Act exclusive of this paragraph. The additional
compensation | ||||||
12 | herein provided shall be allowed by an appropriate increase
in | ||||||
13 | the applicable weekly compensation rate.
| ||||||
14 | (n) After June 30, 1984, decisions of the Illinois Workers' | ||||||
15 | Compensation Commission
reviewing an award of an arbitrator of | ||||||
16 | the Commission shall draw interest
at a rate equal to the yield | ||||||
17 | on indebtedness issued by the United States
Government with a | ||||||
18 | 26-week maturity next previously auctioned on the day on
which | ||||||
19 | the decision is filed. Said rate of interest shall be set forth | ||||||
20 | in
the Arbitrator's Decision. Interest shall be drawn from the | ||||||
21 | date of the
arbitrator's award on all accrued compensation due | ||||||
22 | the employee through the
day prior to the date of payments. | ||||||
23 | However, when an employee appeals an
award of an Arbitrator or | ||||||
24 | the Commission, and the appeal results in no
change or a | ||||||
25 | decrease in the award, interest shall not further accrue from
| ||||||
26 | the date of such appeal.
|
| |||||||
| |||||||
1 | The employer or his insurance carrier may tender the | ||||||
2 | payments due under
the award to stop the further accrual of | ||||||
3 | interest on such award
notwithstanding the prosecution by | ||||||
4 | either party of review, certiorari,
appeal to the Supreme Court | ||||||
5 | or other steps to reverse, vacate or modify
the award.
| ||||||
6 | (o) By the 15th day of each month each insurer providing | ||||||
7 | coverage for
losses under this Act shall notify each insured | ||||||
8 | employer of any compensable
claim incurred during the preceding | ||||||
9 | month and the amounts paid or reserved
on the claim including a | ||||||
10 | summary of the claim and a brief statement of the
reasons for | ||||||
11 | compensability. A cumulative report of all claims incurred
| ||||||
12 | during a calendar year or continued from the previous year | ||||||
13 | shall be
furnished to the insured employer by the insurer | ||||||
14 | within 30 days after the
end of that calendar year.
| ||||||
15 | The insured employer may challenge, in proceeding before | ||||||
16 | the Commission,
payments made by the insurer without | ||||||
17 | arbitration and payments
made after a case is determined to be | ||||||
18 | noncompensable. If the Commission
finds that the case was not | ||||||
19 | compensable, the insurer shall purge its records
as to that | ||||||
20 | employer of any loss or expense associated with the claim, | ||||||
21 | reimburse
the employer for attorneys' fees arising from the | ||||||
22 | challenge and for any
payment required of the employer to the | ||||||
23 | Rate Adjustment Fund or the
Second Injury Fund, and may not | ||||||
24 | reflect the loss or expense for rate making
purposes. The | ||||||
25 | employee shall not be required to refund the challenged
| ||||||
26 | payment. The decision of the Commission may be reviewed in the |
| |||||||
| |||||||
1 | same manner
as in arbitrated cases. No challenge may be | ||||||
2 | initiated under this paragraph
more than 3 years after the | ||||||
3 | payment is made. An employer may waive the
right of challenge | ||||||
4 | under this paragraph on a case by case basis.
| ||||||
5 | (p) After filing an application for adjustment of claim but | ||||||
6 | prior to
the hearing on arbitration the parties may voluntarily | ||||||
7 | agree to submit such
application for adjustment of claim for | ||||||
8 | decision by an arbitrator under
this subsection (p) where such | ||||||
9 | application for adjustment of claim raises
only a dispute over | ||||||
10 | temporary total disability, permanent partial
disability or | ||||||
11 | medical expenses. Such agreement shall be in writing in such
| ||||||
12 | form as provided by the Commission. Applications for adjustment | ||||||
13 | of claim
submitted for decision by an arbitrator under this | ||||||
14 | subsection (p) shall
proceed according to rule as established | ||||||
15 | by the Commission. The Commission
shall promulgate rules | ||||||
16 | including, but not limited to, rules to ensure that
the parties | ||||||
17 | are adequately informed of their rights under this subsection
| ||||||
18 | (p) and of the voluntary nature of proceedings under this | ||||||
19 | subsection (p).
The findings of fact made by an arbitrator | ||||||
20 | acting within his or her powers
under this subsection (p) in | ||||||
21 | the absence of fraud shall be conclusive.
However, the | ||||||
22 | arbitrator may on his own motion, or the motion of either
| ||||||
23 | party, correct any clerical errors or errors in computation | ||||||
24 | within 15 days
after the date of receipt of such award of the | ||||||
25 | arbitrator
and shall have the power to recall the original | ||||||
26 | award on arbitration, and
issue in lieu thereof such corrected |
| |||||||
| |||||||
1 | award.
The decision of the arbitrator under this subsection (p) | ||||||
2 | shall be
considered the decision of the Commission and | ||||||
3 | proceedings for review of
questions of law arising from the | ||||||
4 | decision may be commenced by either party
pursuant to | ||||||
5 | subsection (f) of Section 19. The Advisory Board established
| ||||||
6 | under Section 13.1 shall compile a list of certified Commission
| ||||||
7 | arbitrators, each of whom shall be approved by at least 7 | ||||||
8 | members of the
Advisory Board. The chairman shall select 5 | ||||||
9 | persons from such list to
serve as arbitrators under this | ||||||
10 | subsection (p). By agreement, the parties
shall select one | ||||||
11 | arbitrator from among the 5 persons selected by the
chairman | ||||||
12 | except that if the parties do not agree on an arbitrator from
| ||||||
13 | among the 5 persons, the parties may, by agreement, select an | ||||||
14 | arbitrator of
the American Arbitration Association, whose fee | ||||||
15 | shall be paid by the State
in accordance with rules promulgated | ||||||
16 | by the Commission. Arbitration under
this subsection (p) shall | ||||||
17 | be voluntary.
| ||||||
18 | (Source: P.A. 97-18, eff. 6-28-11; 98-40, eff. 6-28-13; 98-874, | ||||||
19 | eff. 1-1-15 .)
|