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Public Act 098-0040 | ||||
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AN ACT concerning civil law.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Workers' Compensation Act is amended by | ||||
changing Sections 9, 14, 15a, 19, 19a, and 20 as follows:
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(820 ILCS 305/9) (from Ch. 48, par. 138.9)
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Sec. 9.
Any employer or employee or beneficiary who shall | ||||
desire to have
such compensation, or any unpaid part thereof, | ||||
paid in a lump sum, may
petition the Commission, asking that | ||||
such compensation be so paid. If, upon
proper notice to the | ||||
interested parties and a proper showing made before
such | ||||
Commission or any member thereof, it appears to the best | ||||
interest of
the parties that such compensation be so paid, the | ||||
Commission may order the
commutation of the compensation to an | ||||
equivalent lump sum, which
commutation shall be an amount which | ||||
will equal the total sum of the
probable future payments | ||||
capitalized at their present value upon the basis
of interest | ||||
calculated at the maximum rate of interest payable by member
| ||||
banks of the Federal Reserve System on passbook savings | ||||
deposits as published
in Regulation Q or its successor or, if | ||||
Regulation Q or its successor is
repealed, then the rate in | ||||
effect on the date of repeal. Prior to approval of any pro se | ||||
Settlement Contract Lump Sum Petition, the Commission or an |
Arbitrator thereof shall determine if the unrepresented | ||
employee, if present, is able to read and communicate in | ||
English. If not, it shall be the responsibility of the | ||
Commission to provide a qualified, independent interpreter at | ||
the time such Petition is heard, unless the employee has | ||
provided his or her own interpreter.
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In cases indicating complete disability no petition for a | ||
commutation to
a lump sum basis shall be entertained by the | ||
Commission until after the
expiration of 6 months from the date | ||
of the injury.
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Where necessary, upon proper application being made, a | ||
guardian
or administrator, as the case may be, may be appointed | ||
for any
person under disability who may be entitled to any such | ||
compensation and an
employer bound by the terms of this Act and | ||
liable to pay such
compensation, may petition for the | ||
appointment of the public administrator,
or guardian, where no | ||
legal representative has been
appointed or is acting for such | ||
party or parties so under disability.
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The payment of compensation in a lump sum to the employee | ||
in his or her
lifetime upon order of the Commission, shall | ||
extinguish and bar all claims
for compensation for death if the | ||
compensation paid in a lump sum
represents a compromise of a | ||
dispute on any question other than the extent
of disability.
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Subject to the provisions herein above in this paragraph | ||
contained,
where no dispute exists as to the fact that the | ||
accident arose out of and
in the course of the employment and |
where such accident results in death or
in the amputation of | ||
any member or in the enucleation of an eye, then and
in such | ||
case the arbitrator or Commission may, upon the petition of | ||
either
the employer or the employee, enter an award providing | ||
for the payment of
compensation for such death or injury in | ||
accordance with the provisions of
Section 7 or paragraph (e) of | ||
Section 8 of this Act.
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(Source: P.A. 83-1362.)
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(820 ILCS 305/14) (from Ch. 48, par. 138.14)
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Sec. 14. The Commission shall appoint a secretary, an | ||
assistant
secretary, and arbitrators and shall employ such
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assistants and clerical help as may be necessary. Arbitrators | ||
shall be appointed pursuant to this Section, notwithstanding | ||
any provision of the Personnel Code.
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Each arbitrator appointed after June 28, 2011 after | ||
November 22, 1977 shall be required
to demonstrate in writing | ||
and in accordance with
the rules and regulations of the | ||
Illinois Department of Central Management
Services his or
her | ||
knowledge of and expertise in the law of and judicial processes | ||
of
the Workers' Compensation Act and the Occupational Diseases | ||
Act.
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A formal training program for newly-hired arbitrators | ||
shall be
implemented. The training program shall include the | ||
following:
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(a) substantive and procedural aspects of the |
arbitrator position;
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(b) current issues in workers' compensation law and | ||
practice;
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(c) medical lectures by specialists in areas such as | ||
orthopedics,
ophthalmology, psychiatry, rehabilitation | ||
counseling;
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(d) orientation to each operational unit of the | ||
Illinois Workers' Compensation Commission;
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(e) observation of experienced arbitrators conducting | ||
hearings of cases,
combined with the opportunity to discuss | ||
evidence presented and rulings made;
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(f) the use of hypothetical cases requiring the trainee | ||
to issue
judgments as a means to evaluating knowledge and | ||
writing ability;
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(g) writing skills;
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(h) professional and ethical standards pursuant to | ||
Section 1.1 of this Act; | ||
(i) detection of workers' compensation fraud and | ||
reporting obligations of Commission employees and | ||
appointees; | ||
(j) standards of evidence-based medical treatment and | ||
best practices for measuring and improving quality and | ||
health care outcomes in the workers' compensation system, | ||
including but not limited to the use of the American | ||
Medical Association's "Guides to the Evaluation of | ||
Permanent Impairment" and the practice of utilization |
review; and | ||
(k) substantive and procedural aspects of coal | ||
workers' pneumoconiosis (black lung) cases. | ||
A formal and ongoing professional development program | ||
including, but not
limited to, the above-noted areas shall be | ||
implemented to keep arbitrators
informed of recent | ||
developments and issues and to assist them in
maintaining and | ||
enhancing their professional competence. Each arbitrator shall | ||
complete 20 hours of training in the above-noted areas during | ||
every 2 years such arbitrator shall remain in office.
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Each
arbitrator shall devote full time to his or her duties | ||
and shall serve when
assigned as
an acting Commissioner when a | ||
Commissioner is unavailable in accordance
with the provisions | ||
of Section 13 of this Act. Any
arbitrator who is an | ||
attorney-at-law shall not engage in the practice of
law, nor | ||
shall any arbitrator hold any other office or position of
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profit under the United States or this State or any municipal
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corporation or political subdivision of this State.
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Notwithstanding any other provision of this Act to the | ||
contrary, an arbitrator
who serves as an acting Commissioner in | ||
accordance with the provisions of
Section 13 of this Act shall | ||
continue to serve in the capacity of Commissioner
until a | ||
decision is reached in every case heard by that arbitrator | ||
while
serving as an acting Commissioner.
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Notwithstanding any other provision of this Section, the | ||
term of all arbitrators serving on the effective date of this |
amendatory Act of the 97th General Assembly, including any | ||
arbitrators on administrative leave, shall terminate at the | ||
close of business on July 1, 2011, but the incumbents shall | ||
continue to exercise all of their duties until they are | ||
reappointed or their successors are appointed. | ||
On and after the effective date of this amendatory Act of | ||
the 97th General Assembly, arbitrators shall be appointed to | ||
3-year terms as follows: | ||
(1) All appointments shall be made by the Governor with | ||
the advice and consent of the Senate. | ||
(2) For their initial appointments, 12 arbitrators | ||
shall be appointed to terms expiring July 1, 2012; 12 | ||
arbitrators shall be appointed to terms expiring July 1, | ||
2013; and all additional arbitrators shall be appointed to | ||
terms expiring July 1, 2014. Thereafter, all arbitrators | ||
shall be appointed to 3-year terms. | ||
Upon the expiration of a term, the Chairman shall evaluate | ||
the performance of the arbitrator and may recommend to the | ||
Governor that he or she be reappointed to a second or | ||
subsequent term by the Governor with the advice and consent of | ||
the Senate. | ||
Each arbitrator appointed on or after the effective date of | ||
this amendatory Act of the 97th General Assembly and who has | ||
not previously served as an arbitrator for the Commission shall | ||
be required to be authorized to practice law in this State by | ||
the Supreme Court, and to maintain this authorization |
throughout his or her term of employment.
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The All arbitrators shall be subject to the provisions of | ||
the Personnel Code,
and the performance of all arbitrators | ||
shall be reviewed by the Chairman on
an annual basis. The | ||
changes made to this Section by this amendatory Act of the 97th | ||
General Assembly shall prevail over any conflict with the | ||
Personnel Code. The Chairman shall allow input from the | ||
Commissioners in
all such reviews.
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The Commission shall assign no fewer than 3 arbitrators to | ||
each hearing site. The Commission shall establish a procedure | ||
to ensure that the arbitrators assigned to each hearing site | ||
are assigned cases on a random basis. No arbitrator shall hear | ||
cases in any county, other than Cook County, for more than 2 | ||
years in each 3-year term. | ||
The Secretary and each arbitrator shall receive a per annum | ||
salary of
$4,000 less than the per annum salary of members of | ||
The
Illinois Workers' Compensation Commission as
provided in | ||
Section 13 of this Act, payable in equal monthly installments.
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The members of the Commission, Arbitrators and other | ||
employees whose
duties require them to travel, shall have | ||
reimbursed to them their
actual traveling expenses and | ||
disbursements made or incurred by them in
the discharge of | ||
their official duties while away from their place of
residence | ||
in the performance of their duties.
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The Commission shall provide itself with a seal for the
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authentication of its orders, awards and proceedings upon which |
shall be
inscribed the name of the Commission and the words | ||
"Illinois--Seal".
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The Secretary or Assistant Secretary, under the direction | ||
of the
Commission, shall have charge and custody of the seal of | ||
the Commission
and also have charge and custody of all records, | ||
files, orders,
proceedings, decisions, awards and other | ||
documents on file with the
Commission. He shall furnish | ||
certified copies, under the seal of the
Commission, of any such | ||
records, files, orders, proceedings, decisions,
awards and | ||
other documents on file with the Commission as may be
required. | ||
Certified copies so furnished by the Secretary or Assistant
| ||
Secretary shall be received in evidence before the Commission | ||
or any
Arbitrator thereof, and in all courts, provided that the | ||
original of
such certified copy is otherwise competent and | ||
admissible in evidence.
The Secretary or Assistant Secretary | ||
shall perform such other duties as
may be prescribed from time | ||
to time by the Commission.
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(Source: P.A. 97-18, eff. 6-28-11; 97-719, eff. 6-29-12.)
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(820 ILCS 305/15a) (from Ch. 48, par. 138.15a)
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Sec. 15a.
The Beginning January 1, 1981, the Commission | ||
shall prepare and
publish a handbook in readily understandable | ||
language in question and answer
form containing all information | ||
as to the rights and obligations of employers
and employees | ||
under the provisions
of this Act.
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Upon receipt of first report of injury, as provided for in |
subsection (b)
of Section 6 of this Act, the Commission shall | ||
determine that a copy
of the handbook has been forwarded to the | ||
injured employee or his beneficiary.
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The handbook shall be made available free of charge to the | ||
general public and be maintained on the Commission's Internet | ||
website .
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The Commission shall provide informational assistance to | ||
employers and
employees regarding their rights and obligations | ||
under this Act and the
process and procedure before the | ||
Commission.
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(Source: P.A. 86-998.)
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(820 ILCS 305/19) (from Ch. 48, par. 138.19)
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Sec. 19. Any disputed questions of law or fact shall be | ||
determined
as herein provided.
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(a) It shall be the duty of the Commission upon | ||
notification that
the parties have failed to reach an | ||
agreement, to designate an Arbitrator.
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1. Whenever any claimant misconceives his remedy and | ||
files an
application for adjustment of claim under this Act | ||
and it is
subsequently discovered, at any time before final | ||
disposition of such
cause, that the claim for disability or | ||
death which was the basis for
such application should | ||
properly have been made under the Workers'
Occupational | ||
Diseases Act, then the provisions of Section 19, paragraph
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(a-1) of the Workers' Occupational Diseases Act having |
reference to such
application shall apply.
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2. Whenever any claimant misconceives his remedy and | ||
files an
application for adjustment of claim under the | ||
Workers' Occupational
Diseases Act and it is subsequently | ||
discovered, at any time before final
disposition of such | ||
cause that the claim for injury or death which was
the | ||
basis for such application should properly have been made | ||
under this
Act, then the application so filed under the | ||
Workers' Occupational
Diseases Act may be amended in form, | ||
substance or both to assert claim
for such disability or | ||
death under this Act and it shall be deemed to
have been so | ||
filed as amended on the date of the original filing
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thereof, and such compensation may be awarded as is | ||
warranted by the
whole evidence pursuant to this Act. When | ||
such amendment is submitted,
further or additional | ||
evidence may be heard by the Arbitrator or
Commission when | ||
deemed necessary. Nothing in this Section contained
shall | ||
be construed to be or permit a waiver of any provisions of | ||
this
Act with reference to notice but notice if given shall | ||
be deemed to be a
notice under the provisions of this Act | ||
if given within the time
required herein.
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(b) The Arbitrator shall make such inquiries and | ||
investigations as he or
they shall deem necessary and may | ||
examine and inspect all books, papers,
records, places, or | ||
premises relating to the questions in dispute and hear
such | ||
proper evidence as the parties may submit.
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The hearings before the Arbitrator shall be held in the | ||
vicinity where
the injury occurred after 10 days' notice of the | ||
time and place of such
hearing shall have been given to each of | ||
the parties or their attorneys
of record.
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The Arbitrator may find that the disabling condition is | ||
temporary and has
not yet reached a permanent condition and may | ||
order the payment of
compensation up to the date of the | ||
hearing, which award shall be reviewable
and enforceable in the | ||
same manner as other awards, and in no instance be a
bar to a | ||
further hearing and determination of a further amount of | ||
temporary
total compensation or of compensation for permanent | ||
disability, but shall
be conclusive as to all other questions | ||
except the nature and extent of said
disability.
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The decision of the Arbitrator shall be filed with the | ||
Commission which
Commission shall immediately send to each | ||
party or his attorney a copy of
such decision, together with a | ||
notification of the time when it was filed.
As of the effective | ||
date of this amendatory Act of the 94th General Assembly, all | ||
decisions of the Arbitrator shall set forth
in writing findings | ||
of fact and conclusions of law, separately stated, if requested | ||
by either party.
Unless a petition for review is filed by | ||
either party within 30 days after
the receipt by such party of | ||
the copy of the decision and notification of
time when filed, | ||
and unless such party petitioning for a review shall
within 35 | ||
days after the receipt by him of the copy of the decision, file
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with the Commission either an agreed statement of the facts |
appearing upon
the hearing before the Arbitrator, or if such
| ||
party shall so elect a correct transcript of evidence of the | ||
proceedings
at such hearings, then the decision shall become | ||
the decision of the
Commission and in the absence of fraud | ||
shall be conclusive.
The Petition for Review shall contain a | ||
statement of the petitioning party's
specific exceptions to the | ||
decision of the arbitrator. The jurisdiction
of the Commission | ||
to review the decision of the arbitrator shall not be
limited | ||
to the exceptions stated in the Petition for Review.
The | ||
Commission, or any member thereof, may grant further time not | ||
exceeding
30 days, in which to file such agreed statement or | ||
transcript of
evidence. Such agreed statement of facts or | ||
correct transcript of
evidence, as the case may be, shall be | ||
authenticated by the signatures
of the parties or their | ||
attorneys, and in the event they do not agree as
to the | ||
correctness of the transcript of evidence it shall be | ||
authenticated
by the signature of the Arbitrator designated by | ||
the Commission.
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Whether the employee is working or not, if the employee is | ||
not receiving or has not received medical, surgical, or | ||
hospital services or other services or compensation as provided | ||
in paragraph (a) of Section 8, or compensation as provided in | ||
paragraph (b) of Section 8, the employee may at any time | ||
petition for an expedited hearing by an Arbitrator on the issue | ||
of whether or not he or she is entitled to receive payment of | ||
the services or compensation. Provided the employer continues |
to pay compensation pursuant to paragraph (b) of Section 8, the | ||
employer may at any time petition for an expedited hearing on | ||
the issue of whether or not the employee is entitled to receive | ||
medical, surgical, or hospital services or other services or | ||
compensation as provided in paragraph (a) of Section 8, or | ||
compensation as provided in paragraph (b) of Section 8. When an | ||
employer has petitioned for an expedited hearing, the employer | ||
shall continue to pay compensation as provided in paragraph (b) | ||
of Section 8 unless the arbitrator renders a decision that the | ||
employee is not entitled to the benefits that are the subject | ||
of the expedited hearing or unless the employee's treating | ||
physician has released the employee to return to work at his or | ||
her regular job with the employer or the employee actually | ||
returns to work at any other job. If the arbitrator renders a | ||
decision that the employee is not entitled to the benefits that | ||
are the subject of the expedited hearing, a petition for review | ||
filed by the employee shall receive the same priority as if the | ||
employee had filed a petition for an expedited hearing by an | ||
Arbitrator. Neither party shall be entitled to an expedited | ||
hearing when the employee has returned to work and the sole | ||
issue in dispute amounts to less than 12 weeks of unpaid | ||
compensation pursuant to paragraph (b) of Section 8. | ||
Expedited hearings shall have priority over all other | ||
petitions and shall be heard by the Arbitrator and Commission | ||
with all convenient speed. Any party requesting an expedited | ||
hearing shall give notice of a request for an expedited hearing |
under this paragraph. A copy of the Application for Adjustment | ||
of Claim shall be attached to the notice. The Commission shall | ||
adopt rules and procedures under which the final decision of | ||
the Commission under this paragraph is filed not later than 180 | ||
days from the date that the Petition for Review is filed with | ||
the Commission. | ||
Where 2 or more insurance carriers, private self-insureds, | ||
or a group workers' compensation pool under Article V 3/4 of | ||
the Illinois Insurance Code dispute coverage for the same | ||
injury, any such insurance carrier, private self-insured, or | ||
group workers' compensation pool may request an expedited | ||
hearing pursuant to this paragraph to determine the issue of | ||
coverage, provided coverage is the only issue in dispute and | ||
all other issues are stipulated and agreed to and further | ||
provided that all compensation benefits including medical | ||
benefits pursuant to Section 8(a) continue to be paid to or on | ||
behalf of petitioner. Any insurance carrier, private | ||
self-insured, or group workers' compensation pool that is | ||
determined to be liable for coverage for the injury in issue | ||
shall reimburse any insurance carrier, private self-insured, | ||
or group workers' compensation pool that has paid benefits to | ||
or on behalf of petitioner for the injury.
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(b-1) If the employee is not receiving medical, surgical or | ||
hospital
services as provided in paragraph (a) of Section 8 or | ||
compensation as
provided in paragraph (b) of Section 8, the | ||
employee, in accordance with
Commission Rules, may file a |
petition for an emergency hearing by an
Arbitrator on the issue | ||
of whether or not he is entitled to receive payment
of such | ||
compensation or services as provided therein. Such petition | ||
shall
have priority over all other petitions and shall be heard | ||
by the Arbitrator
and Commission with all convenient speed.
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Such petition shall contain the following information and | ||
shall be served
on the employer at least 15 days before it is | ||
filed:
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(i) the date and approximate time of accident;
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(ii) the approximate location of the accident;
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(iii) a description of the accident;
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(iv) the nature of the injury incurred by the employee;
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(v) the identity of the person, if known, to whom the | ||
accident was
reported and the date on which it was | ||
reported;
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(vi) the name and title of the person, if known, | ||
representing the
employer with whom the employee conferred | ||
in any effort to obtain
compensation pursuant to paragraph | ||
(b) of Section 8 of this Act or medical,
surgical or | ||
hospital services pursuant to paragraph (a) of Section 8 of
| ||
this Act and the date of such conference;
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(vii) a statement that the employer has refused to pay | ||
compensation
pursuant to paragraph (b) of Section 8 of this | ||
Act or for medical, surgical
or hospital services pursuant | ||
to paragraph (a) of Section 8 of this Act;
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(viii) the name and address, if known, of each witness |
to the accident
and of each other person upon whom the | ||
employee will rely to support his
allegations;
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(ix) the dates of treatment related to the accident by | ||
medical
practitioners, and the names and addresses of such | ||
practitioners, including
the dates of treatment related to | ||
the accident at any hospitals and the
names and addresses | ||
of such hospitals, and a signed authorization
permitting | ||
the employer to examine all medical records of all | ||
practitioners
and hospitals named pursuant to this | ||
paragraph;
| ||
(x) a copy of a signed report by a medical | ||
practitioner, relating to the
employee's current inability | ||
to return to work because of the injuries
incurred as a | ||
result of the accident or such other documents or | ||
affidavits
which show that the employee is entitled to | ||
receive compensation pursuant
to paragraph (b) of Section 8 | ||
of this Act or medical, surgical or hospital
services | ||
pursuant to paragraph (a) of Section 8 of this Act. Such | ||
reports,
documents or affidavits shall state, if possible, | ||
the history of the
accident given by the employee, and | ||
describe the injury and medical
diagnosis, the medical | ||
services for such injury which the employee has
received | ||
and is receiving, the physical activities which the | ||
employee
cannot currently perform as a result of any | ||
impairment or disability due to
such injury, and the | ||
prognosis for recovery;
|
(xi) complete copies of any reports, records, | ||
documents and affidavits
in the possession of the employee | ||
on which the employee will rely to
support his allegations, | ||
provided that the employer shall pay the
reasonable cost of | ||
reproduction thereof;
| ||
(xii) a list of any reports, records, documents and | ||
affidavits which
the employee has demanded by subpoena and | ||
on which he intends to
rely to support his allegations;
| ||
(xiii) a certification signed by the employee or his | ||
representative that
the employer has received the petition | ||
with the required information 15
days before filing.
| ||
Fifteen days after receipt by the employer of the petition | ||
with the
required information the employee may file said | ||
petition and required
information and shall serve notice of the | ||
filing upon the employer. The
employer may file a motion | ||
addressed to the sufficiency of the petition.
If an objection | ||
has been filed to the sufficiency of the petition, the
| ||
arbitrator shall rule on the objection within 2 working days. | ||
If such an
objection is filed, the time for filing the final | ||
decision of the
Commission as provided in this paragraph shall | ||
be tolled until the
arbitrator has determined that the petition | ||
is sufficient.
| ||
The employer shall, within 15 days after receipt of the | ||
notice that such
petition is filed, file with the Commission | ||
and serve on the employee or
his representative a written | ||
response to each claim set forth in the
petition, including the |
legal and factual basis for each disputed
allegation and the | ||
following information: (i) complete copies of any
reports, | ||
records, documents and affidavits in the possession of the
| ||
employer on which the employer intends to rely in support of | ||
his response,
(ii) a list of any reports, records, documents | ||
and affidavits which the
employer has demanded by subpoena and | ||
on which the employer intends to rely
in support of his | ||
response, (iii) the name and address of each witness on
whom | ||
the employer will rely to support his response, and (iv) the | ||
names and
addresses of any medical practitioners selected by | ||
the employer pursuant to
Section 12 of this Act and the time | ||
and place of any examination scheduled
to be made pursuant to | ||
such Section.
| ||
Any employer who does not timely file and serve a written | ||
response
without good cause may not introduce any evidence to | ||
dispute any claim of
the employee but may cross examine the | ||
employee or any witness brought by
the employee and otherwise | ||
be heard.
| ||
No document or other evidence not previously identified by | ||
either party
with the petition or written response, or by any | ||
other means before the
hearing, may be introduced into evidence | ||
without good cause.
If, at the hearing, material information is | ||
discovered which was
not previously disclosed, the Arbitrator | ||
may extend the time for closing
proof on the motion of a party | ||
for a reasonable period of time which may
be more than 30 days. | ||
No evidence may be introduced pursuant
to this paragraph as to |
permanent disability. No award may be entered for
permanent | ||
disability pursuant to this paragraph. Either party may | ||
introduce
into evidence the testimony taken by deposition of | ||
any medical practitioner.
| ||
The Commission shall adopt rules, regulations and | ||
procedures whereby the
final decision of the Commission is | ||
filed not later than 90 days from the
date the petition for | ||
review is filed but in no event later than 180 days from
the | ||
date the petition for an emergency hearing is filed with the | ||
Illinois Workers' Compensation
Commission.
| ||
All service required pursuant to this paragraph (b-1) must | ||
be by personal
service or by certified mail and with evidence | ||
of receipt. In addition for
the purposes of this paragraph, all | ||
service on the employer must be at the
premises where the | ||
accident occurred if the premises are owned or operated
by the | ||
employer. Otherwise service must be at the employee's principal
| ||
place of employment by the employer. If service on the employer | ||
is not
possible at either of the above, then service shall be | ||
at the employer's
principal place of business. After initial | ||
service in each case, service
shall be made on the employer's | ||
attorney or designated representative.
| ||
(c) (1) At a reasonable time in advance of and in | ||
connection with the
hearing under Section 19(e) or 19(h), the | ||
Commission may on its own motion
order an impartial physical or | ||
mental examination of a petitioner whose
mental or physical | ||
condition is in issue, when in the Commission's
discretion it |
appears that such an examination will materially aid in the
| ||
just determination of the case. The examination shall be made | ||
by a member
or members of a panel of physicians chosen for | ||
their special qualifications
by the Illinois State Medical | ||
Society. The Commission shall establish
procedures by which a | ||
physician shall be selected from such list.
| ||
(2) Should the Commission at any time during the hearing | ||
find that
compelling considerations make it advisable to have | ||
an examination and
report at that time, the commission may in | ||
its discretion so order.
| ||
(3) A copy of the report of examination shall be given to | ||
the Commission
and to the attorneys for the parties.
| ||
(4) Either party or the Commission may call the examining | ||
physician or
physicians to testify. Any physician so called | ||
shall be subject to
cross-examination.
| ||
(5) The examination shall be made, and the physician or | ||
physicians, if
called, shall testify, without cost to the | ||
parties. The Commission shall
determine the compensation and | ||
the pay of the physician or physicians. The
compensation for | ||
this service shall not exceed the usual and customary amount
| ||
for such service.
| ||
(6) The fees and payment thereof of all attorneys and | ||
physicians for
services authorized by the Commission under this | ||
Act shall, upon request
of either the employer or the employee | ||
or the beneficiary affected, be
subject to the review and | ||
decision of the Commission.
|
(d) If any employee shall persist in insanitary or | ||
injurious
practices which tend to either imperil or retard his | ||
recovery or shall
refuse to submit to such medical, surgical, | ||
or hospital treatment as is
reasonably essential to promote his | ||
recovery, the Commission may, in its
discretion, reduce or | ||
suspend the compensation of any such injured
employee. However, | ||
when an employer and employee so agree in writing,
the | ||
foregoing provision shall not be construed to authorize the
| ||
reduction or suspension of compensation of an employee who is | ||
relying in
good faith, on treatment by prayer or spiritual | ||
means alone, in
accordance with the tenets and practice of a | ||
recognized church or
religious denomination, by a duly | ||
accredited practitioner thereof.
| ||
(e) This paragraph shall apply to all hearings before the | ||
Commission.
Such hearings may be held in its office or | ||
elsewhere as the Commission
may deem advisable. The taking of | ||
testimony on such hearings may be had
before any member of the | ||
Commission. If a petition for review and agreed
statement of | ||
facts or transcript of evidence is filed, as provided herein,
| ||
the Commission shall promptly review the decision of the | ||
Arbitrator and all
questions of law or fact which appear from | ||
the statement of facts or
transcript of evidence.
| ||
In all cases in which the hearing before the arbitrator is | ||
held after
December 18, 1989, no additional evidence shall be | ||
introduced by the
parties before the Commission on review of | ||
the decision of the Arbitrator.
In reviewing decisions of an |
arbitrator the Commission shall award such
temporary | ||
compensation, permanent compensation and other payments as are
| ||
due under this Act. The Commission shall file in its office its | ||
decision
thereon, and shall immediately send to each party or | ||
his attorney a copy of
such decision and a notification of the | ||
time when it was filed. Decisions
shall be filed within 60 days | ||
after the Statement of Exceptions and
Supporting Brief and | ||
Response thereto are required to be filed or oral
argument | ||
whichever is later.
| ||
In the event either party requests oral argument, such | ||
argument shall be
had before a panel of 3 members of the | ||
Commission (or before all available
members pursuant to the | ||
determination of 7 members of the Commission that
such argument | ||
be held before all available members of the Commission)
| ||
pursuant to the rules and regulations of the Commission. A | ||
panel of 3
members, which shall be comprised of not more than | ||
one representative
citizen of the employing class and not more | ||
than one representative citizen
of the employee class, shall | ||
hear the argument; provided that if all the
issues in dispute | ||
are solely the nature and extent of the permanent partial
| ||
disability, if any, a majority of the panel may deny the | ||
request for such
argument and such argument shall not be held; | ||
and provided further that 7
members of the Commission may | ||
determine that the argument be held before
all available | ||
members of the Commission. A decision of the Commission
shall | ||
be approved by a majority of Commissioners present at such |
hearing if
any; provided, if no such hearing is held, a | ||
decision of the Commission
shall be approved by a majority of a | ||
panel of 3 members of the Commission
as described in this | ||
Section. The Commission shall give 10 days' notice to
the | ||
parties or their attorneys of the time and place of such taking | ||
of
testimony and of such argument.
| ||
In any case the Commission in its decision may find | ||
specially
upon any question or questions of law or fact which | ||
shall be submitted
in writing by either party whether ultimate | ||
or otherwise;
provided that on issues other than nature and | ||
extent of the disability,
if any, the Commission in its | ||
decision shall find specially upon any
question or questions of | ||
law or fact, whether ultimate or otherwise,
which are submitted | ||
in writing by either party; provided further that
not more than | ||
5 such questions may be submitted by either party. Any
party | ||
may, within 20 days after receipt of notice of the Commission's
| ||
decision, or within such further time, not exceeding 30 days, | ||
as the
Commission may grant, file with the Commission either an | ||
agreed
statement of the facts appearing upon the hearing, or, | ||
if such party
shall so elect, a correct transcript of evidence | ||
of the additional
proceedings presented before the Commission, | ||
in which report the party
may embody a correct statement of | ||
such other proceedings in the case as
such party may desire to | ||
have reviewed, such statement of facts or
transcript of | ||
evidence to be authenticated by the signature of the
parties or | ||
their attorneys, and in the event that they do not agree,
then |
the authentication of such transcript of evidence shall be by | ||
the
signature of any member of the Commission.
| ||
If a reporter does not for any reason furnish a transcript | ||
of the
proceedings before the Arbitrator in any case for use on | ||
a hearing for
review before the Commission, within the | ||
limitations of time as fixed in
this Section, the Commission | ||
may, in its discretion, order a trial de
novo before the | ||
Commission in such case upon application of either
party. The | ||
applications for adjustment of claim and other documents in
the | ||
nature of pleadings filed by either party, together with the
| ||
decisions of the Arbitrator and of the Commission and the | ||
statement of
facts or transcript of evidence hereinbefore | ||
provided for in paragraphs
(b) and (c) shall be the record of | ||
the proceedings of the Commission,
and shall be subject to | ||
review as hereinafter provided.
| ||
At the request of either party or on its own motion, the | ||
Commission shall
set forth in writing the reasons for the | ||
decision, including findings of
fact and conclusions of law | ||
separately stated. The Commission shall by rule
adopt a format | ||
for written decisions for the Commission and arbitrators.
The | ||
written decisions shall be concise and shall succinctly state | ||
the facts
and reasons for the decision. The Commission may | ||
adopt in whole or in part,
the decision of the arbitrator as | ||
the decision of the Commission. When the
Commission does so | ||
adopt the decision of the arbitrator, it shall do so by
order. | ||
Whenever the Commission adopts part of the arbitrator's |
decision,
but not all, it shall include in the order the | ||
reasons for not adopting all
of the arbitrator's decision. When | ||
a majority of a panel, after
deliberation, has arrived at its | ||
decision, the decision shall be filed as
provided in this | ||
Section without unnecessary delay, and without regard to
the | ||
fact that a member of the panel has expressed an intention to | ||
dissent.
Any member of the panel may file a dissent. Any | ||
dissent shall be filed no
later than 10 days after the decision | ||
of the majority has been filed.
| ||
Decisions rendered by the Commission and dissents, if any, | ||
shall be
published together by the Commission. The conclusions | ||
of law set out in
such decisions shall be regarded as | ||
precedents by arbitrators for the purpose
of achieving a more | ||
uniform administration of this Act.
| ||
(f) The decision of the Commission acting within its | ||
powers,
according to the provisions of paragraph (e) of this | ||
Section shall, in
the absence of fraud, be conclusive unless | ||
reviewed as in this paragraph
hereinafter provided. However, | ||
the Arbitrator or the Commission may on
his or its own motion, | ||
or on the motion of either party, correct any
clerical error or | ||
errors in computation within 15 days after the date of
receipt | ||
of any award by such Arbitrator or any decision on review of | ||
the
Commission and shall have the power to recall the original | ||
award on
arbitration or decision on review, and issue in lieu | ||
thereof such
corrected award or decision. Where such correction | ||
is made the time for
review herein specified shall begin to run |
from the date of
the receipt of the corrected award or | ||
decision.
| ||
(1) Except in cases of claims against the State of | ||
Illinois other than those claims under Section 18.1, in
| ||
which case the decision of the Commission shall not be | ||
subject to
judicial review, the Circuit Court of the county | ||
where any of the
parties defendant may be found, or if none | ||
of the parties defendant can
be found in this State then | ||
the Circuit Court of the county where the
accident | ||
occurred, shall by summons to the Commission have
power to | ||
review all questions of law and fact presented by such | ||
record.
| ||
A proceeding for review shall be commenced within 20 | ||
days of
the receipt of notice of the decision of the | ||
Commission. The summons shall
be issued by the clerk of | ||
such court upon written request returnable on a
designated | ||
return day, not less than 10 or more than 60 days from the | ||
date
of issuance thereof, and the written request shall | ||
contain the last known
address of other parties in interest | ||
and their attorneys of record who are
to be served by | ||
summons. Service upon any member of the Commission or the
| ||
Secretary or the Assistant Secretary thereof shall be | ||
service upon the
Commission, and service upon other parties | ||
in interest and their attorneys
of record shall be by | ||
summons, and such service shall be made upon the
Commission | ||
and other parties in interest by mailing notices of the
|
commencement of the proceedings and the return day of the | ||
summons to the
office of the Commission and to the last | ||
known place of residence of other
parties in interest or | ||
their attorney or attorneys of record. The clerk of
the | ||
court issuing the summons shall on the day of issue mail | ||
notice of the
commencement of the proceedings which shall | ||
be done by mailing a copy of
the summons to the office of | ||
the Commission, and a copy of the summons to
the other | ||
parties in interest or their attorney or attorneys of | ||
record and
the clerk of the court shall make certificate | ||
that he has so sent said
notices in pursuance of this | ||
Section, which shall be evidence of service on
the | ||
Commission and other parties in interest.
| ||
The Commission shall not be required to certify the | ||
record of their
proceedings to the Circuit Court, unless | ||
the party commencing the
proceedings for review in the | ||
Circuit Court as above provided, shall file with pay
to the | ||
Commission notice of intent to file for review in Circuit | ||
Court. the sum of 80¢ per page of testimony taken before | ||
the
Commission, and 35¢ per page of all other matters | ||
contained in such
record, except as otherwise provided by | ||
Section 20 of this Act. Payment
for photostatic copies of | ||
exhibit shall be extra. It shall be the duty
of the | ||
Commission upon such filing of notice of intent to file for | ||
review in the Circuit Court payment, or failure to pay as | ||
permitted
under Section 20 of this Act, to prepare a true |
and correct typewritten
copy of such testimony and a true | ||
and correct copy of all other matters
contained in such | ||
record and certified to by the Secretary or Assistant
| ||
Secretary thereof. The changes made to this subdivision | ||
(f)(1) by this amendatory Act of the 98th General Assembly | ||
apply to any Commission decision entered after the | ||
effective date of this amendatory Act of the 98th General | ||
Assembly.
| ||
No In its decision on review the Commission shall | ||
determine in each
particular case the amount of the | ||
probable cost of the record to be
filed as a part of the | ||
summons in that case and no request for a summons
may be | ||
filed and no summons shall issue unless the party seeking | ||
to review
the decision of the Commission shall exhibit to | ||
the clerk of the Circuit
Court proof of payment by filing | ||
with the Commission of the notice of the intent to file for | ||
review in the Circuit Court a receipt showing payment or an | ||
affidavit
of the attorney setting forth that notice of | ||
intent to file for review in the Circuit Court payment has | ||
been given in writing made of the sums so
determined to the | ||
Secretary or Assistant Secretary of the Commission ,
except | ||
as otherwise provided by Section 20 of this Act .
| ||
(2) No such summons shall issue unless the one against | ||
whom the
Commission shall have rendered an award for the | ||
payment of money shall upon
the filing of his written | ||
request for such summons file with the clerk of
the court a |
bond conditioned that if he shall not successfully
| ||
prosecute the review, he will pay the award and the costs | ||
of the
proceedings in the courts. The amount of the bond | ||
shall be fixed by any
member of the Commission and the | ||
surety or sureties of the bond shall be
approved by the | ||
clerk of the court. The acceptance of the bond by the
clerk | ||
of the court shall constitute evidence of his approval of | ||
the bond.
| ||
Every county, city, town, township, incorporated | ||
village, school
district, body politic or municipal | ||
corporation against whom the
Commission shall have | ||
rendered an award for the payment of money shall
not be | ||
required to file a bond to secure the payment of the award | ||
and
the costs of the proceedings in the court to authorize | ||
the court to
issue such summons.
| ||
The court may confirm or set aside the decision of the | ||
Commission. If
the decision is set aside and the facts | ||
found in the proceedings before
the Commission are | ||
sufficient, the court may enter such decision as is
| ||
justified by law, or may remand the cause to the Commission | ||
for further
proceedings and may state the questions | ||
requiring further hearing, and
give such other | ||
instructions as may be proper. Appeals shall be taken
to | ||
the Appellate Court in accordance
with Supreme Court Rules | ||
22(g) and 303. Appeals
shall be taken from the Appellate
| ||
Court to the Supreme Court in accordance with Supreme Court |
Rule 315.
| ||
It shall be the duty of the clerk of any court | ||
rendering a decision
affecting or affirming an award of the | ||
Commission to promptly furnish
the Commission with a copy | ||
of such decision, without charge.
| ||
The decision of a majority of the members of the panel | ||
of the Commission,
shall be considered the decision of the | ||
Commission.
| ||
(g) Except in the case of a claim against the State of | ||
Illinois,
either party may present a certified copy of the | ||
award of the
Arbitrator, or a certified copy of the decision of | ||
the Commission when
the same has become final, when no | ||
proceedings for review are pending,
providing for the payment | ||
of compensation according to this Act, to the
Circuit Court of | ||
the county in which such accident occurred or either of
the | ||
parties are residents, whereupon the court shall enter a | ||
judgment
in accordance therewith. In a case where the employer | ||
refuses to pay
compensation according to such final award or | ||
such final decision upon
which such judgment is entered the | ||
court shall in entering judgment
thereon, tax as costs against | ||
him the reasonable costs and attorney fees
in the arbitration | ||
proceedings and in the court entering the judgment
for the | ||
person in whose favor the judgment is entered, which judgment
| ||
and costs taxed as therein provided shall, until and unless set | ||
aside,
have the same effect as though duly entered in an action | ||
duly tried and
determined by the court, and shall with like |
effect, be entered and
docketed. The Circuit Court shall have | ||
power at any time upon
application to make any such judgment | ||
conform to any modification
required by any subsequent decision | ||
of the Supreme Court upon appeal, or
as the result of any | ||
subsequent proceedings for review, as provided in
this Act.
| ||
Judgment shall not be entered until 15 days' notice of the | ||
time and
place of the application for the entry of judgment | ||
shall be served upon
the employer by filing such notice with | ||
the Commission, which Commission
shall, in case it has on file | ||
the address of the employer or the name
and address of its | ||
agent upon whom notices may be served, immediately
send a copy | ||
of the notice to the employer or such designated agent.
| ||
(h) An agreement or award under this Act providing for | ||
compensation
in installments, may at any time within 18 months | ||
after such agreement
or award be reviewed by the Commission at | ||
the request of either the
employer or the employee, on the | ||
ground that the disability of the
employee has subsequently | ||
recurred, increased, diminished or ended.
| ||
However, as to accidents occurring subsequent to July 1, | ||
1955, which
are covered by any agreement or award under this | ||
Act providing for
compensation in installments made as a result | ||
of such accident, such
agreement or award may at any time | ||
within 30 months, or 60 months in the case of an award under | ||
Section 8(d)1, after such agreement
or award be reviewed by the | ||
Commission at the request of either the
employer or the | ||
employee on the ground that the disability of the
employee has |
subsequently recurred, increased, diminished or ended.
| ||
On such review, compensation payments may be | ||
re-established,
increased, diminished or ended. The Commission | ||
shall give 15 days'
notice to the parties of the hearing for | ||
review. Any employee, upon any
petition for such review being | ||
filed by the employer, shall be entitled
to one day's notice | ||
for each 100 miles necessary to be traveled by him in
attending | ||
the hearing of the Commission upon the petition, and 3 days in
| ||
addition thereto. Such employee shall, at the discretion of the
| ||
Commission, also be entitled to 5 cents per mile necessarily | ||
traveled by
him within the State of Illinois in attending such | ||
hearing, not to
exceed a distance of 300 miles, to be taxed by | ||
the Commission as costs
and deposited with the petition of the | ||
employer.
| ||
When compensation which is payable in accordance with an | ||
award or
settlement contract approved by the Commission, is | ||
ordered paid in a
lump sum by the Commission, no review shall | ||
be had as in this paragraph
mentioned.
| ||
(i) Each party, upon taking any proceedings or steps | ||
whatsoever
before any Arbitrator, Commission or court, shall | ||
file with the Commission
his address, or the name and address | ||
of any agent upon whom all notices to
be given to such party | ||
shall be served, either personally or by registered
mail, | ||
addressed to such party or agent at the last address so filed | ||
with
the Commission. In the event such party has not filed his | ||
address, or the
name and address of an agent as above provided, |
service of any notice may
be had by filing such notice with the | ||
Commission.
| ||
(j) Whenever in any proceeding testimony has been taken or | ||
a final
decision has been rendered and after the taking of such | ||
testimony or
after such decision has become final, the injured | ||
employee dies, then in
any subsequent proceedings brought by | ||
the personal representative or
beneficiaries of the deceased | ||
employee, such testimony in the former
proceeding may be | ||
introduced with the same force and effect as though
the witness | ||
having so testified were present in person in such
subsequent | ||
proceedings and such final decision, if any, shall be taken
as | ||
final adjudication of any of the issues which are the same in | ||
both
proceedings.
| ||
(k) In case where there has been any unreasonable or | ||
vexatious delay
of payment or intentional underpayment of | ||
compensation, or proceedings
have been instituted or carried on | ||
by the one liable to pay the
compensation, which do not present | ||
a real controversy, but are merely
frivolous or for delay, then | ||
the Commission may award compensation
additional to that | ||
otherwise payable under this Act equal to 50% of the
amount | ||
payable at the time of such award. Failure to pay compensation
| ||
in accordance with the provisions of Section 8, paragraph (b) | ||
of this
Act, shall be considered unreasonable delay.
| ||
When determining whether this subsection (k) shall apply, | ||
the
Commission shall consider whether an Arbitrator has | ||
determined
that the claim is not compensable or whether the |
employer has
made payments under Section 8(j). | ||
(l) If the employee has made written demand for payment of
| ||
benefits under Section 8(a) or Section 8(b), the employer shall
| ||
have 14 days after receipt of the demand to set forth in
| ||
writing the reason for the delay. In the case of demand for
| ||
payment of medical benefits under Section 8(a), the time for
| ||
the employer to respond shall not commence until the expiration
| ||
of the allotted 30 days specified under Section 8.2(d). In case
| ||
the employer or his or her insurance carrier shall without good | ||
and
just cause fail, neglect, refuse, or unreasonably delay the
| ||
payment of benefits under Section 8(a) or Section 8(b), the
| ||
Arbitrator or the Commission shall allow to the employee
| ||
additional compensation in the sum of $30 per day for each day
| ||
that the benefits under Section 8(a) or Section 8(b) have been
| ||
so withheld or refused, not to exceed $10,000.
A delay in | ||
payment of 14 days or more
shall create a rebuttable | ||
presumption of unreasonable delay.
| ||
(m) If the commission finds that an accidental injury was | ||
directly
and proximately caused by the employer's wilful | ||
violation of a health
and safety standard under the Health and | ||
Safety Act in force at the time of the
accident, the arbitrator | ||
or the Commission shall allow to the injured
employee or his | ||
dependents, as the case may be, additional compensation
equal | ||
to 25% of the amount which otherwise would be payable under the
| ||
provisions of this Act exclusive of this paragraph. The | ||
additional
compensation herein provided shall be allowed by an |
appropriate increase
in the applicable weekly compensation | ||
rate.
| ||
(n) After June 30, 1984, decisions of the Illinois Workers' | ||
Compensation Commission
reviewing an award of an arbitrator of | ||
the Commission shall draw interest
at a rate equal to the yield | ||
on indebtedness issued by the United States
Government with a | ||
26-week maturity next previously auctioned on the day on
which | ||
the decision is filed. Said rate of interest shall be set forth | ||
in
the Arbitrator's Decision. Interest shall be drawn from the | ||
date of the
arbitrator's award on all accrued compensation due | ||
the employee through the
day prior to the date of payments. | ||
However, when an employee appeals an
award of an Arbitrator or | ||
the Commission, and the appeal results in no
change or a | ||
decrease in the award, interest shall not further accrue from
| ||
the date of such appeal.
| ||
The employer or his insurance carrier may tender the | ||
payments due under
the award to stop the further accrual of | ||
interest on such award
notwithstanding the prosecution by | ||
either party of review, certiorari,
appeal to the Supreme Court | ||
or other steps to reverse, vacate or modify
the award.
| ||
(o) By the 15th day of each month each insurer providing | ||
coverage for
losses under this Act shall notify each insured | ||
employer of any compensable
claim incurred during the preceding | ||
month and the amounts paid or reserved
on the claim including a | ||
summary of the claim and a brief statement of the
reasons for | ||
compensability. A cumulative report of all claims incurred
|
during a calendar year or continued from the previous year | ||
shall be
furnished to the insured employer by the insurer | ||
within 30 days after the
end of that calendar year.
| ||
The insured employer may challenge, in proceeding before | ||
the Commission,
payments made by the insurer without | ||
arbitration and payments
made after a case is determined to be | ||
noncompensable. If the Commission
finds that the case was not | ||
compensable, the insurer shall purge its records
as to that | ||
employer of any loss or expense associated with the claim, | ||
reimburse
the employer for attorneys' fees arising from the | ||
challenge and for any
payment required of the employer to the | ||
Rate Adjustment Fund or the
Second Injury Fund, and may not | ||
reflect the loss or expense for rate making
purposes. The | ||
employee shall not be required to refund the challenged
| ||
payment. The decision of the Commission may be reviewed in the | ||
same manner
as in arbitrated cases. No challenge may be | ||
initiated under this paragraph
more than 3 years after the | ||
payment is made. An employer may waive the
right of challenge | ||
under this paragraph on a case by case basis.
| ||
(p) After filing an application for adjustment of claim but | ||
prior to
the hearing on arbitration the parties may voluntarily | ||
agree to submit such
application for adjustment of claim for | ||
decision by an arbitrator under
this subsection (p) where such | ||
application for adjustment of claim raises
only a dispute over | ||
temporary total disability, permanent partial
disability or | ||
medical expenses. Such agreement shall be in writing in such
|
form as provided by the Commission. Applications for adjustment | ||
of claim
submitted for decision by an arbitrator under this | ||
subsection (p) shall
proceed according to rule as established | ||
by the Commission. The Commission
shall promulgate rules | ||
including, but not limited to, rules to ensure that
the parties | ||
are adequately informed of their rights under this subsection
| ||
(p) and of the voluntary nature of proceedings under this | ||
subsection (p).
The findings of fact made by an arbitrator | ||
acting within his or her powers
under this subsection (p) in | ||
the absence of fraud shall be conclusive.
However, the | ||
arbitrator may on his own motion, or the motion of either
| ||
party, correct any clerical errors or errors in computation | ||
within 15 days
after the date of receipt of such award of the | ||
arbitrator
and shall have the power to recall the original | ||
award on arbitration, and
issue in lieu thereof such corrected | ||
award.
The decision of the arbitrator under this subsection (p) | ||
shall be
considered the decision of the Commission and | ||
proceedings for review of
questions of law arising from the | ||
decision may be commenced by either party
pursuant to | ||
subsection (f) of Section 19. The Advisory Board established
| ||
under Section 13.1 shall compile a list of certified Commission
| ||
arbitrators, each of whom shall be approved by at least 7 | ||
members of the
Advisory Board. The chairman shall select 5 | ||
persons from such list to
serve as arbitrators under this | ||
subsection (p). By agreement, the parties
shall select one | ||
arbitrator from among the 5 persons selected by the
chairman |
except that if the parties do not agree on an arbitrator from
| ||
among the 5 persons, the parties may, by agreement, select an | ||
arbitrator of
the American Arbitration Association, whose fee | ||
shall be paid by the State
in accordance with rules promulgated | ||
by the Commission. Arbitration under
this subsection (p) shall | ||
be voluntary.
| ||
(Source: P.A. 97-18, eff. 6-28-11.)
| ||
(820 ILCS 305/19a) (from Ch. 48, par. 138.19b)
| ||
Sec. 19a.
Money received by the Commission pursuant to | ||
subsection (f) of
Section 19 of this Act shall be paid into a | ||
trust fund outside the State
Treasury and shall be held in such | ||
fund until completion of the record for
which the payment was | ||
made. The Secretary of the Commission shall be
ex-officio | ||
custodian of such trust fund which shall be used only for the
| ||
purpose specified in this section. Upon completion of the | ||
record the
Secretary shall pay the amount so held to the person | ||
entitled thereto for
preparation of the record. Within 60 days | ||
after the effective date of this amendatory Act of the 98th | ||
General Assembly, the Secretary of the Commission shall | ||
transfer all remaining funds to the Injured Workers' Benefit | ||
Fund for the purpose of paying claims from injured employees | ||
who have received a final award for benefits from the | ||
Commission against the employer in Fiscal Year 2013.
| ||
(Source: Laws 1967, p. 324.)
|
(820 ILCS 305/20) (from Ch. 48, par. 138.20)
| ||
Sec. 20.
If the Commission shall, before or after any | ||
hearing, proceeding,
or review to any court, be satisfied that | ||
the employee is a poor person,
and unable to pay the costs and | ||
expenses provided for by this Act, the
Commission shall permit | ||
such poor person to have all the rights and
remedies provided | ||
by this Act, including the issuance and service of
subpoenas; a | ||
transcript of testimony and the record of proceedings,
| ||
including photostatic copies of exhibits, at
hearings before an | ||
Arbitrator or the Commission; the right to have the
record of | ||
proceedings certified to the circuit court; the right to the
| ||
filing of a written request for summons; and the right to the
| ||
issuance of summons, without the filing of a bond for costs
and | ||
without the payment of any of the costs provided for by this | ||
Act. If
an award is granted to such employee, or settlement is | ||
made, the costs and
expenses chargeable to the employee as | ||
provided for by this Act shall be
paid by the employer out of | ||
the award herein granted, or settlement, before
any of the | ||
balance of the award or settlement is paid to the
employee.
| ||
(Source: P.A. 86-998.)
| ||
Section 10. The Workers' Occupational Diseases Act is | ||
amended by changing Sections 19, 19a, and 19.5 as follows:
| ||
(820 ILCS 310/19) (from Ch. 48, par. 172.54)
| ||
Sec. 19. Any disputed questions of law or fact shall be |
determined as
herein provided.
| ||
(a) It shall be the duty of the Commission upon | ||
notification that
the parties have failed to reach an agreement | ||
to designate an
Arbitrator.
| ||
(1) The application for adjustment of claim filed with | ||
the
Commission shall state:
| ||
A. The approximate date of the last day of the last | ||
exposure and the
approximate date of the disablement.
| ||
B. The general nature and character of the illness | ||
or disease
claimed.
| ||
C. The name and address of the employer by whom | ||
employed on the last
day of the last exposure and if | ||
employed by any other employer after
such last exposure | ||
and before disablement the name and address of such
| ||
other employer or employers.
| ||
D. In case of death, the date and place of death.
| ||
(2) Amendments to applications for adjustment of claim | ||
which relate
to the same disablement or disablement | ||
resulting in death originally
claimed upon may be allowed | ||
by the Commissioner or an Arbitrator
thereof, in their | ||
discretion, and in the exercise of such discretion,
they | ||
may in proper cases order a trial de novo; such amendment | ||
shall
relate back to the date of the filing of the original | ||
application so
amended.
| ||
(3) Whenever any claimant misconceives his remedy and | ||
files an
application for adjustment of claim under this Act |
and it is
subsequently discovered, at any time before final | ||
disposition of such
cause, that the claim for disability or | ||
death which was the basis for
such application should | ||
properly have been made under the Workers'
Compensation | ||
Act, then the provisions of Section 19 paragraph (a-1) of
| ||
the Workers' Compensation Act having reference to such | ||
application shall
apply.
| ||
Whenever any claimant misconceives his remedy and | ||
files an
application for adjustment of claim under the | ||
Workers' Compensation Act
and it is subsequently | ||
discovered, at any time before final disposition
of such | ||
cause that the claim for injury or death which was the | ||
basis for
such application should properly have been made | ||
under this Act, then the
application so filed under the | ||
Workers' Compensation Act may be amended
in form, substance | ||
or both to assert claim for such disability or death
under | ||
this Act and it shall be deemed to have been so filed as | ||
amended
on the date of the original filing thereof, and | ||
such compensation may be
awarded as is warranted by the | ||
whole evidence pursuant to the provisions
of this Act. When | ||
such amendment is submitted, further or additional
| ||
evidence may be heard by the Arbitrator or Commission when | ||
deemed
necessary; provided, that nothing in this Section | ||
contained shall be
construed to be or permit a waiver of | ||
any provisions of this Act with
reference to notice, but | ||
notice if given shall be deemed to be a notice
under the |
provisions of this Act if given within the time required
| ||
herein.
| ||
(b) The Arbitrator shall make such inquiries and | ||
investigations as he
shall deem necessary and may examine and | ||
inspect all books, papers,
records, places, or premises | ||
relating to the questions in dispute and hear
such proper | ||
evidence as the parties may submit.
| ||
The hearings before the Arbitrator shall be held in the | ||
vicinity where
the last exposure occurred, after 10 days' | ||
notice of the time and place of
such hearing shall have been | ||
given to each of the parties or their attorneys of record.
| ||
The Arbitrator may find that the disabling condition is | ||
temporary and has
not yet reached a permanent condition and may | ||
order the payment of
compensation up to the date of the | ||
hearing, which award shall be reviewable
and enforceable in the | ||
same manner as other awards, and in no instance be a
bar to a | ||
further hearing and determination of a further amount of | ||
temporary
total compensation or of compensation for permanent | ||
disability, but shall
be conclusive as to all other questions | ||
except the nature and extent of such
disability.
| ||
The decision of the Arbitrator shall be filed with the | ||
Commission which
Commission shall immediately send to each | ||
party or his attorney a copy of
such decision, together with a | ||
notification of the time when it was filed.
As of the effective | ||
date of this amendatory Act of the 94th General Assembly, all | ||
decisions of the Arbitrator shall set forth
in writing findings |
of fact and conclusions of law, separately stated, if requested | ||
by either party.
Unless a petition for review is filed by | ||
either party within 30 days after
the receipt by such party of | ||
the copy of the decision and notification of
time when filed, | ||
and unless such party petitioning for a review shall
within 35 | ||
days after the receipt by him of the copy of the decision, file
| ||
with the Commission either an agreed statement of the facts | ||
appearing upon
the hearing before the Arbitrator, or if such | ||
party shall so elect a
correct transcript of evidence of the | ||
proceedings at such hearings, then
the decision shall become | ||
the decision of the Commission and in the absence
of fraud | ||
shall be conclusive. The Petition for Review shall contain a
| ||
statement of the petitioning party's specific exceptions to the | ||
decision of
the arbitrator. The jurisdiction of the Commission | ||
to review the decision
of the arbitrator shall not be limited | ||
to the exceptions stated in the
Petition for Review. The | ||
Commission, or any member thereof, may grant
further time not | ||
exceeding 30 days, in which to file such agreed statement
or | ||
transcript of evidence. Such agreed statement of facts or | ||
correct
transcript of evidence, as the case may be, shall be | ||
authenticated by the
signatures of the parties or their | ||
attorneys, and in the event they do not
agree as to the | ||
correctness of the transcript of evidence it shall be
| ||
authenticated by the signature of the Arbitrator designated by | ||
the Commission.
| ||
Whether the employee is working or not, if the employee is |
not receiving or has not received medical, surgical, or | ||
hospital services or other services or compensation as provided | ||
in paragraph (a) of Section 8 of the Workers' Compensation
Act, | ||
or compensation as provided in paragraph (b) of Section 8 of | ||
the Workers' Compensation
Act, the employee may at any time | ||
petition for an expedited hearing by an Arbitrator on the issue | ||
of whether or not he or she is entitled to receive payment of | ||
the services or compensation. Provided the employer continues | ||
to pay compensation pursuant to paragraph (b) of Section 8 of | ||
the Workers' Compensation
Act, the employer may at any time | ||
petition for an expedited hearing on the issue of whether or | ||
not the employee is entitled to receive medical, surgical, or | ||
hospital services or other services or compensation as provided | ||
in paragraph (a) of Section 8 of the Workers' Compensation
Act, | ||
or compensation as provided in paragraph (b) of Section 8 of | ||
the Workers' Compensation
Act. When an employer has petitioned | ||
for an expedited hearing, the employer shall continue to pay | ||
compensation as provided in paragraph (b) of Section 8 of the | ||
Workers' Compensation
Act unless the arbitrator renders a | ||
decision that the employee is not entitled to the benefits that | ||
are the subject of the expedited hearing or unless the | ||
employee's treating physician has released the employee to | ||
return to work at his or her regular job with the employer or | ||
the employee actually returns to work at any other job. If the | ||
arbitrator renders a decision that the employee is not entitled | ||
to the benefits that are the subject of the expedited hearing, |
a petition for review filed by the employee shall receive the | ||
same priority as if the employee had filed a petition for an | ||
expedited hearing by an arbitrator. Neither party shall be | ||
entitled to an expedited hearing when the employee has returned | ||
to work and the sole issue in dispute amounts to less than 12 | ||
weeks of unpaid compensation pursuant to paragraph (b) of | ||
Section 8 of the Workers' Compensation
Act. | ||
Expedited hearings shall have priority over all other | ||
petitions and shall be heard by the Arbitrator and Commission | ||
with all convenient speed. Any party requesting an expedited | ||
hearing shall give notice of a request for an expedited hearing | ||
under this paragraph. A copy of the Application for Adjustment | ||
of Claim shall be attached to the notice. The Commission shall | ||
adopt rules and procedures under which the final decision of | ||
the Commission under this paragraph is filed not later than 180 | ||
days from the date that the Petition for Review is filed with | ||
the Commission. | ||
Where 2 or more insurance carriers, private self-insureds, | ||
or a group workers' compensation pool under Article V 3/4 of | ||
the Illinois Insurance Code dispute coverage for the same | ||
disease, any such insurance carrier, private self-insured, or | ||
group workers' compensation pool may request an expedited | ||
hearing pursuant to this paragraph to determine the issue of | ||
coverage, provided coverage is the only issue in dispute and | ||
all other issues are stipulated and agreed to and further | ||
provided that all compensation benefits including medical |
benefits pursuant to Section 8(a) of the Workers' Compensation
| ||
Act continue to be paid to or on behalf of petitioner. Any | ||
insurance carrier, private self-insured, or group workers' | ||
compensation pool that is determined to be liable for coverage | ||
for the disease in issue shall reimburse any insurance carrier, | ||
private self-insured, or group workers' compensation pool that | ||
has paid benefits to or on behalf of petitioner for the | ||
disease.
| ||
(b-1) If the employee is not receiving, pursuant to Section | ||
7, medical,
surgical or hospital services of the type provided | ||
for in paragraph (a) of
Section 8 of the Workers' Compensation | ||
Act or compensation of the type
provided for in paragraph (b) | ||
of Section 8 of the Workers' Compensation
Act, the employee, in | ||
accordance with Commission Rules, may file a petition
for an | ||
emergency hearing by an Arbitrator on the issue of whether or | ||
not he
is entitled to receive payment of such compensation or | ||
services as provided
therein. Such petition shall have priority | ||
over all other petitions and
shall be heard by the Arbitrator | ||
and Commission with all convenient speed.
| ||
Such petition shall contain the following information and | ||
shall be served
on the employer at least 15 days before it is | ||
filed:
| ||
(i) the date and approximate time of the last exposure;
| ||
(ii) the approximate location of the last exposure;
| ||
(iii) a description of the last exposure;
| ||
(iv) the nature of the disability incurred by the |
employee;
| ||
(v) the identity of the person, if known, to whom the | ||
disability was
reported and the date on which it was | ||
reported;
| ||
(vi) the name and title of the person, if known, | ||
representing the
employer with whom the employee conferred | ||
in any effort to obtain pursuant
to Section 7 compensation | ||
of the type provided for in paragraph (b) of
Section 8 of | ||
the Workers' Compensation Act or medical, surgical or | ||
hospital
services of the type provided for in paragraph (a) | ||
of Section 8 of the
Workers' Compensation Act and the date | ||
of such conference;
| ||
(vii) a statement that the employer has refused to pay | ||
compensation
pursuant to Section 7 of the type provided for | ||
in paragraph (b) of Section
8 of the Workers' Compensation | ||
Act or for medical, surgical
or hospital services pursuant | ||
to Section 7 of the type provided for in
paragraph (a) of | ||
Section 8 of the Workers' Compensation Act;
| ||
(viii) the name and address, if known, of each witness | ||
to the last
exposure and of each other person upon whom the | ||
employee will rely to
support his allegations;
| ||
(ix) the dates of treatment related to the disability | ||
by medical
practitioners, and the names and addresses of | ||
such practitioners, including
the dates of treatment | ||
related to the disability at any hospitals and the
names | ||
and addresses of such hospitals, and a signed authorization
|
permitting the employer to examine all medical records of | ||
all practitioners
and hospitals named pursuant to this | ||
paragraph;
| ||
(x) a copy of a signed report by a medical | ||
practitioner, relating to the
employee's current inability | ||
to return to work because of the disability
incurred as a | ||
result of the exposure or such other documents or | ||
affidavits
which show that the employee is entitled to | ||
receive pursuant to Section 7
compensation of the type | ||
provided for in paragraph (b) of Section 8 of the
Workers' | ||
Compensation Act or medical, surgical or hospital services | ||
of the
type provided for in paragraph (a) of Section 8 of | ||
the Workers'
Compensation Act. Such reports, documents or | ||
affidavits shall state, if
possible, the history of the | ||
exposure given by the employee, and describe
the disability | ||
and medical diagnosis, the medical services for such
| ||
disability which the employee has received and is | ||
receiving, the physical
activities which the employee | ||
cannot currently perform as a result of such
disability, | ||
and the prognosis for recovery;
| ||
(xi) complete copies of any reports, records, | ||
documents and affidavits
in the possession of the employee | ||
on which the employee will rely to
support his allegations, | ||
provided that the employer shall pay the
reasonable cost of | ||
reproduction thereof;
| ||
(xii) a list of any reports, records, documents and |
affidavits which
the employee has demanded by subpoena and | ||
on which he intends to
rely to support his allegations;
| ||
(xiii) a certification signed by the employee or his | ||
representative that
the employer has received the petition | ||
with the required information 15
days before filing.
| ||
Fifteen days after receipt by the employer of the petition | ||
with the
required information the employee may file said | ||
petition and required
information and shall serve notice of the | ||
filing upon the employer. The
employer may file a motion | ||
addressed to the sufficiency of the petition.
If an objection | ||
has been filed to the sufficiency of the petition, the
| ||
arbitrator shall rule on the objection within 2 working days. | ||
If such an
objection is filed, the time for filing the final | ||
decision of the Commission
as provided in this paragraph shall | ||
be tolled until the arbitrator has
determined that the petition | ||
is sufficient.
| ||
The employer shall, within 15 days after receipt of the | ||
notice that such
petition is filed, file with the Commission | ||
and serve on the employee or
his representative a written | ||
response to each claim set
forth in the petition, including the | ||
legal and factual basis for each
disputed allegation and the | ||
following information: (i)
complete copies of any reports, | ||
records, documents and affidavits
in the possession of the | ||
employer on which the employer intends to rely in
support of | ||
his response, (ii) a list of any reports, records, documents | ||
and
affidavits which the employer has demanded by subpoena and |
on which the
employer intends to rely in support of his | ||
response, (iii) the name and address
of each witness on whom | ||
the employer will rely to support his response,
and (iv) the | ||
names and addresses of any medical practitioners
selected by | ||
the employer pursuant to Section 12 of this Act and the time
| ||
and place of any examination scheduled to be made pursuant to | ||
such Section.
| ||
Any employer who does not timely file and serve a written | ||
response
without good cause may not introduce any evidence to | ||
dispute any claim of
the employee but may cross examine the | ||
employee or any witness brought by
the employee and otherwise | ||
be heard.
| ||
No document or other evidence not previously identified by | ||
either party
with the petition or written response, or by any | ||
other means before the
hearing, may be introduced into evidence | ||
without good cause. If, at the
hearing, material information is | ||
discovered which was not previously
disclosed, the Arbitrator | ||
may extend the time for closing proof on the
motion of a party | ||
for a reasonable period of time which may be more than 30
days. | ||
No evidence may be introduced pursuant to this paragraph as to
| ||
permanent disability. No award may be entered for permanent | ||
disability
pursuant to this paragraph. Either party may | ||
introduce into evidence the
testimony taken by deposition of | ||
any medical practitioner.
| ||
The Commission shall adopt rules, regulations and | ||
procedures whereby
the final decision of the Commission is |
filed not later than 90 days from
the date the petition for | ||
review is filed but in no event later than 180
days from the | ||
date the petition for an emergency hearing is filed with the
| ||
Illinois Workers' Compensation Commission.
| ||
All service required pursuant to this paragraph (b-1) must | ||
be by personal
service or by certified mail and with evidence | ||
of receipt. In addition,
for the purposes of this paragraph, | ||
all service on the employer must be at
the premises where the | ||
accident occurred if the premises are owned or
operated by the | ||
employer. Otherwise service must be at the employee's
principal | ||
place of employment by the employer. If service on the employer
| ||
is not possible at either of the above, then service shall be | ||
at the
employer's principal place of business. After initial | ||
service in each case,
service shall be made on the employer's | ||
attorney or designated representative.
| ||
(c) (1) At a reasonable time in advance of and in | ||
connection with the
hearing under Section 19(e) or 19(h), the | ||
Commission may on its own motion
order an impartial physical or | ||
mental examination of a petitioner whose
mental or physical | ||
condition is in issue, when in the Commission's
discretion it | ||
appears that such an examination will materially aid in the
| ||
just determination of the case. The examination shall be made | ||
by a member
or members of a panel of physicians chosen for | ||
their special qualifications
by the Illinois State Medical | ||
Society. The Commission shall establish
procedures by which a | ||
physician shall be selected from such list.
|
(2) Should the Commission at any time during the hearing | ||
find that
compelling considerations make it advisable to have | ||
an examination and
report at that time, the Commission may in | ||
its discretion so order.
| ||
(3) A copy of the report of examination shall be given to | ||
the Commission
and to the attorneys for the parties.
| ||
(4) Either party or the Commission may call the examining | ||
physician
or physicians to testify. Any physician so called | ||
shall be subject to
cross-examination.
| ||
(5) The examination shall be made, and the physician or | ||
physicians,
if called, shall testify, without cost to the | ||
parties. The Commission shall
determine the compensation and | ||
the pay of the physician or physicians. The
compensation for | ||
this service shall not exceed the usual and customary amount
| ||
for such service.
| ||
The fees and payment thereof of all attorneys and | ||
physicians for
services authorized by the Commission under this | ||
Act shall, upon request
of either the employer or the employee | ||
or the beneficiary affected, be
subject to the review and | ||
decision of the Commission.
| ||
(d) If any employee shall persist in insanitary or | ||
injurious
practices which tend to either imperil or retard his | ||
recovery or shall
refuse to submit to such medical, surgical, | ||
or hospital treatment as is
reasonably essential to promote his | ||
recovery, the Commission may, in its
discretion, reduce or | ||
suspend the compensation of any such employee;
provided, that |
when an employer and employee so agree in writing, the
| ||
foregoing provision shall not be construed to authorize the | ||
reduction or
suspension of compensation of an employee who is | ||
relying in good faith,
on treatment by prayer or spiritual | ||
means alone, in accordance with the
tenets and practice of a | ||
recognized church or religious denomination, by
a duly | ||
accredited practitioner thereof.
| ||
(e) This paragraph shall apply to all hearings before the | ||
Commission.
Such hearings may be held in its office or | ||
elsewhere as the Commission may
deem advisable. The taking of | ||
testimony on such hearings may be had before
any member of the | ||
Commission. If a petition for review and agreed statement
of | ||
facts or transcript of evidence is filed, as provided herein, | ||
the
Commission shall promptly review the decision of the | ||
Arbitrator and all
questions of law or fact which appear from | ||
the statement of facts or
transcripts of evidence. In all cases | ||
in which the hearing before the
arbitrator is held after the | ||
effective date of this amendatory Act of 1989,
no additional | ||
evidence shall be introduced by the parties before the
| ||
Commission on review of the decision of the Arbitrator. The | ||
Commission
shall file in its office its decision thereon, and | ||
shall immediately send
to each party or his attorney a copy of | ||
such decision and a notification of
the time when it was filed. | ||
Decisions shall be filed within 60 days after
the Statement of | ||
Exceptions and Supporting Brief and Response thereto are
| ||
required to be filed or oral argument whichever is later.
|
In the event either party requests oral argument, such | ||
argument shall be
had before a panel of 3 members of the | ||
Commission (or before all available
members pursuant to the | ||
determination of 7 members of the Commission that
such argument | ||
be held before all available members of the Commission)
| ||
pursuant to the rules and regulations of the Commission. A | ||
panel of 3
members, which shall be comprised of not more than | ||
one representative
citizen of the employing class and not more | ||
than one representative citizen
of the employee class, shall | ||
hear the argument; provided that if all the
issues in dispute | ||
are solely the nature and extent of the permanent partial
| ||
disability, if any, a majority of the panel may deny the | ||
request for such
argument and such argument shall not be held; | ||
and provided further that 7
members of the Commission may | ||
determine that the argument be held before
all available | ||
members of the Commission. A decision of the Commission shall
| ||
be approved by a majority of Commissioners present at such | ||
hearing if any;
provided, if no such hearing is held, a | ||
decision of the Commission shall be
approved by a majority of a | ||
panel of 3 members of the Commission as
described in this | ||
Section. The Commission shall give 10 days' notice to the
| ||
parties or their attorneys of the time and place of such taking | ||
of
testimony and of such argument.
| ||
In any case the Commission in its decision may in its | ||
discretion find
specially upon any question or questions of law | ||
or facts which shall be
submitted in writing by either party |
whether ultimate or otherwise;
provided that on issues other | ||
than nature and extent of the disablement,
if any, the | ||
Commission in its decision shall find specially upon any
| ||
question or questions of law or fact, whether ultimate or | ||
otherwise,
which are submitted in writing by either party; | ||
provided further that
not more than 5 such questions may be | ||
submitted by either party. Any
party may, within 20 days after | ||
receipt of notice of the Commission's
decision, or within such | ||
further time, not exceeding 30 days, as the
Commission may | ||
grant, file with the Commission either an agreed
statement of | ||
the facts appearing upon the hearing, or, if such party
shall | ||
so elect, a correct transcript of evidence of the additional
| ||
proceedings presented before the Commission in which report the | ||
party
may embody a correct statement of such other proceedings | ||
in the case as
such party may desire to have reviewed, such | ||
statement of facts or
transcript of evidence to be | ||
authenticated by the signature of the
parties or their | ||
attorneys, and in the event that they do not agree,
then the | ||
authentication of such transcript of evidence shall be by the
| ||
signature of any member of the Commission.
| ||
If a reporter does not for any reason furnish a transcript | ||
of the
proceedings before the Arbitrator in any case for use on | ||
a hearing for
review before the Commission, within the | ||
limitations of time as fixed in
this Section, the Commission | ||
may, in its discretion, order a trial de
novo before the | ||
Commission in such case upon application of either
party. The |
applications for adjustment of claim and other documents in
the | ||
nature of pleadings filed by either party, together with the
| ||
decisions of the Arbitrator and of the Commission and the | ||
statement of
facts or transcript of evidence hereinbefore | ||
provided for in paragraphs
(b) and (c) shall be the record of | ||
the proceedings of the Commission,
and shall be subject to | ||
review as hereinafter provided.
| ||
At the request of either party or on its own motion, the | ||
Commission shall
set forth in writing the reasons for the | ||
decision, including findings of
fact and conclusions of law, | ||
separately stated. The Commission shall by
rule adopt a format | ||
for written decisions for the Commission and
arbitrators. The | ||
written decisions shall be concise and shall succinctly
state | ||
the facts and reasons for the decision. The Commission may | ||
adopt in
whole or in part, the decision of the arbitrator as | ||
the decision of the
Commission. When the Commission does so | ||
adopt the decision of the
arbitrator, it shall do so by order. | ||
Whenever the Commission adopts part of
the arbitrator's | ||
decision, but not all, it shall include in the order the
| ||
reasons for not adopting all of the arbitrator's decision. When | ||
a majority
of a panel, after deliberation, has arrived at its | ||
decision, the decision
shall be filed as provided in this | ||
Section without unnecessary delay, and
without regard to the | ||
fact that a member of the panel has expressed an
intention to | ||
dissent. Any member of the panel may file a dissent. Any
| ||
dissent shall be filed no later than 10 days after the decision |
of the
majority has been filed.
| ||
Decisions rendered by the Commission after the effective | ||
date of this
amendatory Act of 1980 and dissents, if any, shall | ||
be published
together by the Commission. The conclusions
of law | ||
set out in such decisions shall be regarded as precedents
by | ||
arbitrators, for the purpose of achieving
a more uniform | ||
administration of this Act.
| ||
(f) The decision of the Commission acting within its | ||
powers,
according to the provisions of paragraph (e) of this | ||
Section shall, in
the absence of fraud, be conclusive unless | ||
reviewed as in this paragraph
hereinafter provided. However, | ||
the Arbitrator or the Commission may on
his or its own motion, | ||
or on the motion of either party, correct any
clerical error or | ||
errors in computation within 15 days after the date of
receipt | ||
of any award by such Arbitrator or any decision on review of | ||
the
Commission, and shall have the power to recall the original | ||
award on
arbitration or decision on review, and issue in lieu | ||
thereof such
corrected award or decision. Where such correction | ||
is made the time for
review herein specified shall begin to run | ||
from the date of
the receipt of the corrected award or | ||
decision.
| ||
(1) Except in cases of claims against the State of | ||
Illinois, in
which case the decision of the Commission | ||
shall not be subject to
judicial review, the Circuit Court | ||
of the county where any of the
parties defendant may be | ||
found, or if none of the parties defendant be
found in this |
State then the Circuit Court of the county where any of
the | ||
exposure occurred, shall by summons to the Commission
have | ||
power to review all questions of law and fact presented by | ||
such
record.
| ||
A proceeding for review shall be commenced within 20 | ||
days of the
receipt of notice of the decision of the | ||
Commission. The summons shall be
issued by the clerk of | ||
such court upon written request returnable on a
designated | ||
return day, not less than 10 or more than 60 days from the | ||
date
of issuance thereof, and the written request shall | ||
contain the last known
address of other parties in interest | ||
and their attorneys of record who are
to be served by | ||
summons. Service upon any member of the Commission or the
| ||
Secretary or the Assistant Secretary thereof shall be | ||
service upon the
Commission, and service upon other parties | ||
in interest and their attorneys
of record shall be by | ||
summons, and such service shall be made upon the
Commission | ||
and other parties in interest by mailing notices of the
| ||
commencement of the proceedings and the return day of the | ||
summons to the
office of the Commission and to the last | ||
known place of residence of
other parties in interest or | ||
their attorney or attorneys of record. The
clerk of the | ||
court issuing the summons shall on the day of issue mail | ||
notice
of the commencement of the proceedings which shall | ||
be done by mailing a
copy of the summons to the office of | ||
the Commission, and a copy of the
summons to the other |
parties in interest or their attorney or
attorneys of | ||
record and the clerk of the court shall make certificate
| ||
that he has so sent such notices in pursuance of this | ||
Section, which
shall be evidence of service on the | ||
Commission and other parties in
interest.
| ||
The Commission shall not be required to certify the | ||
record of their
proceedings in the Circuit Court unless the | ||
party commencing the
proceedings for review in the Circuit | ||
Court as above provided, shall file with the Commission | ||
notice of intent to file for review in Circuit Court. pay
| ||
to the Commission the sum of 80 cents per page of testimony | ||
taken before
the Commission, and 35 cents per page of all | ||
other matters contained in
such record, except as otherwise | ||
provided by Section 20 of this Act.
Payment for photostatic | ||
copies of exhibit shall be extra. It shall be
the duty of | ||
the Commission upon such filing of notice of intent to file | ||
for review in Circuit Court payment, or failure to pay as
| ||
permitted under Section 20 of this Act, to prepare a true | ||
and correct
typewritten copy of such testimony and a true | ||
and correct copy of all
other matters contained in such | ||
record and certified to by the Secretary
or Assistant | ||
Secretary thereof. The changes made to this subdivision | ||
(f)(1) by this amendatory Act of the 98th General Assembly | ||
apply to any Commission decision entered after the | ||
effective date of this amendatory Act of the 98th General | ||
Assembly.
|
No In its decision on review the Commission shall | ||
determine in each
particular case the amount of the | ||
probable cost of the record to be
filed as a return to the | ||
summons in that case and no request
for a summons may be | ||
filed and no summons shall
issue unless the party seeking | ||
to review the decision of the Commission
shall exhibit to | ||
the clerk of the Circuit Court proof of payment by
filing | ||
with the Commission of the notice of the intent to file for | ||
review in the Circuit Court a receipt showing payment or an | ||
affidavit of the attorney setting
forth that notice of | ||
intent to file for review in Circuit Court payment has been | ||
given in writing made of the sums so determined to the | ||
Secretary
or Assistant Secretary of the Commission.
| ||
(2) No such summons shall issue unless the one against
| ||
whom the Commission shall have rendered an award for the | ||
payment of money
shall upon the filing of his written | ||
request for such summons file with the
clerk of the court a | ||
bond conditioned that if he shall not successfully
| ||
prosecute the review, he will pay the award and the costs | ||
of the
proceedings in the court. The amount of the bond | ||
shall be fixed by any
member of the Commission and the | ||
surety or sureties of the bond shall be
approved by the | ||
clerk of the court. The acceptance of the bond by the
clerk | ||
of the court shall constitute evidence of his approval of | ||
the
bond.
| ||
Every county, city, town, township, incorporated |
village, school
district, body politic or municipal | ||
corporation having a population of
500,000 or more against | ||
whom the Commission shall have rendered an award
for the | ||
payment of money shall not be required to file a bond to | ||
secure
the payment of the award and the costs of the | ||
proceedings in the court
to authorize the court to issue | ||
such summons.
| ||
The court may confirm or set aside the decision of the | ||
Commission. If
the decision is set aside and the facts | ||
found in the proceedings before
the Commission are | ||
sufficient, the court may enter such decision as is
| ||
justified by law, or may remand the cause to the Commission | ||
for further
proceedings and may state the questions | ||
requiring further hearing, and
give such other | ||
instructions as may be proper. Appeals shall be taken
to | ||
the Appellate Court in accordance
with Supreme Court Rules | ||
22(g) and 303. Appeals shall be taken from the
Appellate | ||
Court to the Supreme Court
in accordance with Supreme Court | ||
Rule 315.
| ||
It shall be the duty of the clerk of any court | ||
rendering a decision
affecting or affirming an award of the | ||
Commission to promptly furnish
the Commission with a copy | ||
of such decision, without charge.
| ||
The decision of a majority of the members of the panel | ||
of the Commission,
shall be considered the decision of the | ||
Commission.
|
(g) Except in the case of a claim against the State of | ||
Illinois,
either party may present a certified copy of the | ||
award of the
Arbitrator, or a certified copy of the decision of | ||
the Commission when
the same has become final, when no | ||
proceedings for review are pending,
providing for the payment | ||
of compensation according to this Act, to the
Circuit Court of | ||
the county in which such exposure occurred or either of
the | ||
parties are residents, whereupon the court shall enter a | ||
judgment
in accordance therewith. In case where the employer | ||
refuses to pay
compensation according to such final award or | ||
such final decision upon
which such judgment is entered, the | ||
court shall in entering judgment
thereon, tax as costs against | ||
him the reasonable costs and attorney fees
in the arbitration | ||
proceedings and in the court entering the judgment
for the | ||
person in whose favor the judgment is entered, which judgment
| ||
and costs taxed as herein provided shall, until and unless set | ||
aside,
have the same effect as though duly entered in an action | ||
duly tried and
determined by the court, and shall with like | ||
effect, be entered and
docketed. The Circuit Court shall have | ||
power at any time upon
application to make any such judgment | ||
conform to any modification
required by any subsequent decision | ||
of the Supreme Court upon appeal, or
as the result of any | ||
subsequent proceedings for review, as provided in
this Act.
| ||
Judgment shall not be entered until 15 days' notice of the | ||
time and
place of the application for the entry of judgment | ||
shall be served upon
the employer by filing such notice with |
the Commission, which Commission
shall, in case it has on file | ||
the address of the employer or the name
and address of its | ||
agent upon whom notices may be served, immediately
send a copy | ||
of the notice to the employer or such designated agent.
| ||
(h) An agreement or award under this Act providing for | ||
compensation
in installments, may at any time within 18 months | ||
after such agreement
or award be reviewed by the Commission at | ||
the request of either the
employer or the employee on the | ||
ground that the disability of the
employee has subsequently | ||
recurred, increased, diminished or ended.
| ||
However, as to disablements occurring subsequently to July | ||
1, 1955,
which are covered by any agreement or award under this | ||
Act providing for
compensation in installments made as a result | ||
of such disablement, such
agreement or award may at any time | ||
within 30 months after such agreement
or award be reviewed by | ||
the Commission at the request of either the
employer or the | ||
employee on the ground that the disability of the
employee has | ||
subsequently recurred, increased, diminished or ended.
| ||
On such review compensation payments may be | ||
re-established,
increased, diminished or ended. The Commission | ||
shall give 15 days'
notice to the parties of the hearing for | ||
review. Any employee, upon any
petition for such review being | ||
filed by the employer, shall be entitled
to one day's notice | ||
for each 100 miles necessary to be traveled by him in
attending | ||
the hearing of the Commission upon the petition, and 3 days in
| ||
addition thereto. Such employee shall, at the discretion of the
|
Commission, also be entitled to 5 cents per mile necessarily | ||
traveled by
him within the State of Illinois in attending such | ||
hearing, not to
exceed a distance of 300 miles, to be taxed by | ||
the Commission as costs
and deposited with the petition of the | ||
employer.
| ||
When compensation which is payable in accordance with an | ||
award or
settlement contract approved by the Commission, is | ||
ordered paid in a
lump sum by the Commission, no review shall | ||
be had as in this paragraph
mentioned.
| ||
(i) Each party, upon taking any proceedings or steps | ||
whatsoever
before any Arbitrator, Commission or court,
shall | ||
file with the Commission his address, or the name and address | ||
of
any agent upon whom all notices to be given to such party | ||
shall be
served, either personally or by registered mail, | ||
addressed to such party
or agent at the last address so filed | ||
with the Commission. In the event
such party has not filed his | ||
address, or the name and address of an
agent as above provided, | ||
service of any notice may be had by filing such
notice with the | ||
Commission.
| ||
(j) Whenever in any proceeding testimony has been taken or | ||
a final
decision has been rendered, and after the taking of | ||
such testimony or
after such decision has become final, the | ||
employee dies, then in any
subsequent proceeding brought by the | ||
personal representative or
beneficiaries of the deceased | ||
employee, such testimony in the former
proceeding may be | ||
introduced with the same force and effect as though
the witness |
having so testified were present in person in such
subsequent | ||
proceedings and such final decision, if any, shall be taken
as | ||
final adjudication of any of the issues which are the same in | ||
both
proceedings.
| ||
(k) In any case where there has been any unreasonable or | ||
vexatious
delay of payment or intentional underpayment of | ||
compensation, or
proceedings have been instituted or carried on | ||
by one liable to pay the
compensation, which do not present a | ||
real controversy, but are merely
frivolous or for delay, then | ||
the Commission may award compensation
additional to that | ||
otherwise payable under this Act equal to 50% of the
amount | ||
payable at the time of such award. Failure to pay compensation | ||
in
accordance with the provisions of Section 8, paragraph (b) | ||
of this Act,
shall be considered unreasonable delay.
| ||
When determining whether this subsection (k) shall apply, | ||
the
Commission shall consider whether an arbitrator has | ||
determined
that the claim is not compensable or whether the | ||
employer has
made payments under Section 8(j) of the Workers' | ||
Compensation Act. | ||
(k-1) If the employee has made written demand for payment | ||
of
benefits under Section 8(a) or Section 8(b) of the Workers' | ||
Compensation Act, the employer shall
have 14 days after receipt | ||
of the demand to set forth in
writing the reason for the delay. | ||
In the case of demand for
payment of medical benefits under | ||
Section 8(a) of the Workers' Compensation Act, the time for
the | ||
employer to respond shall not commence until the expiration
of |
the allotted 60 days specified under Section 8.2(d) of the | ||
Workers' Compensation Act. In case
the employer or his or her | ||
insurance carrier shall without good and
just cause fail, | ||
neglect, refuse, or unreasonably delay the
payment of benefits | ||
under Section 8(a) or Section 8(b) of the Workers' Compensation | ||
Act, the
Arbitrator or the Commission shall allow to the | ||
employee
additional compensation in the sum of $30 per day for | ||
each day
that the benefits under Section 8(a) or Section 8(b) | ||
of the Workers' Compensation Act have been
so withheld or | ||
refused, not to exceed $10,000.
A delay in payment of 14 days | ||
or more
shall create a rebuttable presumption of unreasonable | ||
delay.
| ||
(l) By the 15th day of each month each insurer providing | ||
coverage for
losses under this Act shall notify each insured | ||
employer of any compensable
claim incurred during the preceding | ||
month and the amounts paid or reserved
on the claim including a | ||
summary of the claim and a brief statement of the
reasons for | ||
compensability. A cumulative report of all claims incurred
| ||
during a calendar year or continued
from the previous year | ||
shall be furnished to the insured employer by the
insurer | ||
within 30 days after the end of that calendar year.
| ||
The insured employer may challenge, in proceeding before | ||
the Commission,
payments made by the insurer without | ||
arbitration and payments made after
a case is determined to be | ||
noncompensable. If the Commission finds that
the case was not | ||
compensable, the insurer shall purge its records as to
that |
employer of any loss or expense associated with the claim, | ||
reimburse
the employer for attorneys fee arising from the | ||
challenge and for any payment
required of the employer to the | ||
Rate Adjustment Fund or the Second Injury
Fund, and may not | ||
effect the loss or expense for rate making purposes. The
| ||
employee shall not be required to refund the challenged | ||
payment. The
decision of the Commission may be reviewed in the | ||
same
manner as in arbitrated cases. No challenge may be | ||
initiated under this
paragraph more than 3 years after the | ||
payment is made. An employer may
waive the right of challenge | ||
under this paragraph on a case by case basis.
| ||
(m) After filing an application for adjustment of claim but | ||
prior to
the hearing on arbitration the parties may voluntarily | ||
agree to submit such
application for adjustment of claim for | ||
decision by an arbitrator under
this subsection (m) where such | ||
application for adjustment
of claim raises only a dispute over | ||
temporary total disability, permanent
partial disability or | ||
medical expenses. Such agreement shall be in writing
in such | ||
form as provided by the Commission. Applications for adjustment | ||
of
claim submitted for decision by an arbitrator under
this | ||
subsection (m) shall proceed according
to rule as established | ||
by the Commission. The Commission shall promulgate
rules | ||
including, but not limited to, rules to ensure that the parties | ||
are
adequately informed of their rights under this subsection | ||
(m) and of the
voluntary nature of proceedings under this | ||
subsection
(m). The findings of fact made by an arbitrator |
acting within his or her
powers under this subsection (m) in | ||
the absence of fraud shall be
conclusive. However, the | ||
arbitrator may on his own motion, or the motion
of either | ||
party, correct any clerical errors or errors in computation
| ||
within 15 days after the date of receipt of such award of the | ||
arbitrator
and shall have the power to recall the original | ||
award on arbitration, and
issue in lieu thereof such corrected | ||
award.
The decision of the arbitrator under this subsection (m) | ||
shall be
considered the decision of the Commission and | ||
proceedings for review of
questions of law arising from the | ||
decision may be commenced by either party
pursuant to | ||
subsection (f) of Section 19. The Advisory Board established
| ||
under Section 13.1 of the Workers' Compensation Act shall | ||
compile a list of
certified Commission arbitrators, each of | ||
whom shall be approved by at least
7 members of the Advisory | ||
Board. The chairman shall select 5 persons
from such list to | ||
serve as arbitrators under this subsection (m). By
agreement, | ||
the parties shall select one arbitrator from among the 5 | ||
persons
selected by the chairman except, that if the parties do | ||
not agree on an
arbitrator from among the 5 persons, the | ||
parties may, by agreement,
select an arbitrator of the American | ||
Arbitration Association, whose fee
shall be paid by the State | ||
in accordance with rules promulgated by the
Commission. | ||
Arbitration under this subsection (m) shall be voluntary.
| ||
(Source: P.A. 93-721, eff. 1-1-05; 94-277, eff. 7-20-05.)
|
(820 ILCS 310/19a) (from Ch. 48, par. 172.54b)
| ||
Sec. 19a.
Money received by the Commission pursuant to | ||
subsection (f) of
Section 19 of this Act shall be paid into a | ||
trust fund outside the State
Treasury and shall be held in such | ||
fund until completion of the record for
which the payment was | ||
made. The Secretary of the Commission shall be
ex-officio | ||
custodian of such trust fund which shall be used only for the
| ||
purpose specified in this section. Upon completion of the | ||
record the
Secretary shall pay the amount so held to the person | ||
entitled thereto for
preparation of the record. Within 60 days | ||
after the effective date of this amendatory Act of the 98th | ||
General Assembly, the Secretary of the Commission shall | ||
transfer all remaining funds to the Injured Workers' Benefit | ||
Fund for the purpose of paying claims from injured employees | ||
who have received a final award for benefits from the | ||
Commission against the employer in Fiscal Year 2013.
| ||
(Source: Laws 1967, p. 325.)
| ||
(820 ILCS 310/19.5) (from Ch. 48, par. 172.54-1)
| ||
Sec. 19.5.
If the Commission shall, before or after any
| ||
hearing, proceeding, or review to any court, be satisfied that | ||
the employee
is a poor person, and unable to pay the costs and | ||
expenses provided for by
this Act, the Commission shall permit | ||
such poor person to have all the
rights and remedies provided | ||
by this Act, including the issuance and
service of subpoenas; a | ||
transcript of testimony and the record of
proceedings, |
including photostatic copies of exhibits, at
hearings before an | ||
Arbitrator or the Commission; the right to have the
record of | ||
proceedings certified to the circuit court; the right to the
| ||
filing of a written request for summons; and the right to the
| ||
issuance of summons, without the filing of a bond for costs
and | ||
without the payment of any of the costs provided for by this | ||
Act. If
an award is granted to such employee, or settlement is | ||
made, the costs and
expenses chargeable to the employee as | ||
provided for by this Act shall be
paid by the employer out of | ||
the award herein granted, or settlement, before
any of the | ||
balance of the award or settlement is paid to the employee.
| ||
(Source: P.A. 86-998; 87-895.)
| ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law.
|