Bill Text: WV HB2396 | 2011 | Regular Session | Introduced
Bill Title: Requiring review and approval of final settlements of Workers' Compensation awards
Spectrum: Partisan Bill (Democrat 6-0)
Status: (Introduced - Dead) 2011-01-12 - To House Judiciary [HB2396 Detail]
Download: West_Virginia-2011-HB2396-Introduced.html
(By Delegates Fleischauer, Miley, Brown,
Caputo, Longstreth and D. Poling)
[Introduced January 12, 2011; referred to the
Committee on the Judiciary then Finance.]
A BILL to amend and reenact §23-5-7 of the Code of West Virginia, 1931, as amended, relating to requiring review and approval of final settlements of Workers' Compensation awards.
Be it enacted by the Legislature of West Virginia:
That §23-5-7 of the Code of West Virginia, 1931, as amended, be amended and reenacted to read as follows:
ARTICLE 5. Review.
§23-5-7. Compromise and settlement.
(a) With the exception of medical benefits for nonorthopedic occupational disease claims,
(b) The Insurance Commissioner shall establish within the office of judges a compromise settlement division to review each settlement subject to approval and to issue a recommendation to the chief administrative law judge.
(c) Every settlement proposal, including settlements involving the Insurance Commissioner acting as administrator of claims involving funds created in article two-c of this chapter, must be on forms prescribed by the Insurance Commissioner.
(d) (1) Upon receipt of a completed application for approval of a settlement proposal, the compromise settlement division shall, after consideration of those factors contained herein and as prescribed by rule, issue its recommendation to the chief administrative law judge within thirty days.
(2) Upon review of such a recommendation, the chief administrative law judge shall enter an order either:
(A) Adopting the recommendation as filed if he or she finds that the settlement is in the best interests of the claimant and his or her dependents, the employer and the state; or
(B) Rejecting the recommendation and, if the chief judge deems it advisable, remanding the matter to the settlement review division with directions to resubmit the recommendation after reconsideration of any issues designated in the remand order.
(3) Settlements of claims or orders approving settlements issued pursuant to this section are not subject to further review, including a hearing or review under sections thirteen and fourteen, article two, chapter thirty-three of this code, respectively, and, except in cases of fraud, no issue that is the subject of such a
(f) The Insurance Commissioner shall promulgate rules in accordance with subsection (b), section ten, article two, chapter thirty-three of this code, to establish standards and procedures for the review and approval of all settlement proposals.
Standards for review include at a minimum, the following:
(1) The extent to which the proposal avoids undue expense, litigation or extreme hardship;
(2) The possible shifting of costs for future medical and other expenses of the claimant to the state or other persons;
(3) Verification that the claimant fully understands the impact of the settlement on future insurance claims relating to the injury; and
(4) Administrative penalties for noncompliance with this section.
NOTE: The purpose of this bill is to require review and approval of final settlements of Workers' Compensation awards.
Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.