(820 ILCS 305/8) (from Ch. 48, par. 138.8)
Sec. 8. The amount of compensation which shall be paid to the
employee for an accidental injury not resulting in death is:
(a) The employer shall provide and pay the negotiated rate, if applicable, or the lesser of the health care provider's actual charges or according to a fee schedule, subject to Section 8.2, in effect at the time the service was rendered for all the necessary first
aid, medical and surgical services, and all necessary medical, surgical
and hospital services thereafter incurred, limited, however, to that
which is reasonably required to cure or relieve from the effects of the
accidental injury, even if a health care provider sells, transfers, or otherwise assigns an account receivable for procedures, treatments, or services covered under this Act. If the employer does not dispute payment of first aid, medical, surgical,
and hospital services, the employer shall make such payment to the provider on behalf of the employee. The employer shall also pay for treatment,
instruction and training necessary for the physical, mental and
vocational rehabilitation of the employee, including all maintenance
costs and expenses incidental thereto. If as a result of the injury the
employee is unable to be self-sufficient the employer shall further pay
for such maintenance or institutional care as shall be required.
The employee may at any time elect to secure his own physician,
surgeon and hospital services at the employer's expense, or, Upon agreement between the employer and the employees, or the employees'
exclusive representative, and subject to the approval of the Illinois Workers' Compensation
Commission, the employer shall maintain a list of physicians, to be
known as a Panel of Physicians, who are accessible to the employees.
The employer shall post this list in a place or places easily accessible
to his employees. The employee shall have the right to make an
alternative choice of physician from such Panel if he is not satisfied
with the physician first selected. If, due to the nature of the injury
or its occurrence away from the employer's place of business, the
employee is unable to make a selection from the Panel, the selection
process from the Panel shall not apply. The physician selected from the
Panel may arrange for any consultation, referral or other specialized
medical services outside the Panel at the employer's expense. Provided
that, in the event the Commission shall find that a doctor selected by
the employee is rendering improper or inadequate care, the Commission
may order the employee to select another doctor certified or qualified
in the medical field for which treatment is required. If the employee
refuses to make such change the Commission may relieve the employer of
his obligation to pay the doctor's charges from the date of refusal to
the date of compliance.
Any vocational rehabilitation counselors who provide service under this Act shall have
appropriate certifications which designate the counselor as qualified to render
opinions relating to vocational rehabilitation. Vocational rehabilitation
may include, but is not limited to, counseling for job searches, supervising
a job search program, and vocational retraining including education at an
accredited learning institution. The employee or employer may petition to the Commission to decide disputes relating to vocational rehabilitation and the Commission shall resolve any such dispute, including payment of the vocational rehabilitation program by the employer. The maintenance benefit shall not be less than the temporary total disability
rate determined for the employee. In addition, maintenance shall include costs
and expenses incidental to the vocational rehabilitation program. When the employee is working light duty on a part-time basis or full-time
basis
and earns less than he or she would be earning if employed in the full capacity
of the job or jobs, then the employee shall be entitled to temporary partial disability benefits. Temporary partial disability benefits shall be
equal to two-thirds of
the difference between the average amount that the employee would be able to
earn in the full performance of his or her duties in the occupation in which he
or she was engaged at the time of accident and the gross amount which he or she
is
earning in the modified job provided to the employee by the employer or in any other job that the employee is working. Every hospital, physician, surgeon or other person rendering
treatment or services in accordance with the provisions of this Section
shall upon written request furnish full and complete reports thereof to,
and permit their records to be copied by, the employer, the employee or
his dependents, as the case may be, or any other party to any proceeding
for compensation before the Commission, or their attorneys.
Notwithstanding the foregoing, the employer's liability to pay for such
medical services selected by the employee shall be limited to:
(1) all first aid and emergency treatment; plus
(2) all medical, surgical and hospital services provided by the physician, surgeon or |
| hospital initially chosen by the employee or by any other physician, consultant, expert, institution or other provider of services recommended by said initial service provider or any subsequent provider of medical services in the chain of referrals from said initial service provider; plus
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(3) all medical, surgical and hospital services provided by any second physician,
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| surgeon or hospital subsequently chosen by the employee or by any other physician, consultant, expert, institution or other provider of services recommended by said second service provider or any subsequent provider of medical services in the chain of referrals from said second service provider. Thereafter the employer shall select and pay for all necessary medical, surgical and hospital treatment and the employee may not select a provider of medical services at the employer's expense unless the employer agrees to such selection. At any time the employee may obtain any medical treatment he desires at his own expense. This paragraph shall not affect the duty to pay for rehabilitation referred to above.
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(4) The following shall apply for injuries occurring on or after June 28, 2011 (the
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| effective date of Public Act 97-18) and only when an employer has an approved preferred provider program pursuant to Section 8.1a on the date the employee sustained his or her accidental injuries:
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(A) The employer shall, in writing, on a form promulgated by the Commission, inform
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| the employee of the preferred provider program;
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(B) Subsequent to the report of an injury by an employee, the employee may choose in
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| writing at any time to decline the preferred provider program, in which case that would constitute one of the two choices of medical providers to which the employee is entitled under subsection (a)(2) or (a)(3); and
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(C) Prior to the report of an injury by an employee, when an employee chooses
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| non-emergency treatment from a provider not within the preferred provider program, that would constitute the employee's one choice of medical providers to which the employee is entitled under subsection (a)(2) or (a)(3).
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When an employer and employee so agree in writing, nothing in this
Act prevents an employee whose injury or disability has been established
under this Act, from 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, and having nursing services appropriate therewith,
without suffering loss or diminution of the compensation benefits under
this Act. However, the employee shall submit to all physical
examinations required by this Act. The cost of such treatment and
nursing care shall be paid by the employee unless the employer agrees to
make such payment.
Where the accidental injury results in the amputation of an arm,
hand, leg or foot, or the enucleation of an eye, or the loss of any of
the natural teeth, the employer shall furnish an artificial of any such
members lost or damaged in accidental injury arising out of and in the
course of employment, and shall also furnish the necessary braces in all
proper and necessary cases. In cases of the loss of a member or members
by amputation, the employer shall, whenever necessary, maintain in good
repair, refit or replace the artificial limbs during the lifetime of the
employee. Where the accidental injury accompanied by physical injury
results in damage to a denture, eye glasses or contact eye lenses, or
where the accidental injury results in damage to an artificial member,
the employer shall replace or repair such denture, glasses, lenses, or
artificial member.
The furnishing by the employer of any such services or appliances is
not an admission of liability on the part of the employer to pay
compensation.
The furnishing of any such services or appliances or the servicing
thereof by the employer is not the payment of compensation.
(b) If the period of temporary total incapacity for work lasts more
than 3 working days, weekly compensation as hereinafter provided shall
be paid beginning on the 4th day of such temporary total incapacity and
continuing as long as the total temporary incapacity lasts. In cases
where the temporary total incapacity for work continues for a period of
14 days or more from the day of the accident compensation shall commence
on the day after the accident.
1. The compensation rate for temporary total incapacity under this paragraph (b) of this
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| Section shall be equal to 66 2/3% of the employee's average weekly wage computed in accordance with Section 10, provided that it shall be not less than 66 2/3% of the sum of the Federal minimum wage under the Fair Labor Standards Act, or the Illinois minimum wage under the Minimum Wage Law, whichever is more, multiplied by 40 hours. This percentage rate shall be increased by 10% for each spouse and child, not to exceed 100% of the total minimum wage calculation, nor exceed the employee's average weekly wage computed in accordance with the provisions of Section 10, whichever is less.
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2. The compensation rate in all cases other than for temporary total disability under
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| this paragraph (b), and other than for serious and permanent disfigurement under paragraph (c) and other than for permanent partial disability under subparagraph (2) of paragraph (d) or under paragraph (e), of this Section shall be equal to 66 2/3% of the employee's average weekly wage computed in accordance with the provisions of Section 10, provided that it shall be not less than 66 2/3% of the sum of the Federal minimum wage under the Fair Labor Standards Act, or the Illinois minimum wage under the Minimum Wage Law, whichever is more, multiplied by 40 hours. This percentage rate shall be increased by 10% for each spouse and child, not to exceed 100% of the total minimum wage calculation, nor exceed the employee's average weekly wage computed in accordance with the provisions of Section 10, whichever is less.
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2.1. The compensation rate in all cases of serious and permanent disfigurement under
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| paragraph (c) and of permanent partial disability under subparagraph (2) of paragraph (d) or under paragraph (e) of this Section shall be equal to 60% of the employee's average weekly wage computed in accordance with the provisions of Section 10, provided that it shall be not less than 66 2/3% of the sum of the Federal minimum wage under the Fair Labor Standards Act, or the Illinois minimum wage under the Minimum Wage Law, whichever is more, multiplied by 40 hours. This percentage rate shall be increased by 10% for each spouse and child, not to exceed 100% of the total minimum wage calculation, nor exceed the employee's average weekly wage computed in accordance with the provisions of Section 10, whichever is less.
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3. As used in this Section the term "child" means a child of the employee including any
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| child legally adopted before the accident or whom at the time of the accident the employee was under legal obligation to support or to whom the employee stood in loco parentis, and who at the time of the accident was under 18 years of age and not emancipated. The term "children" means the plural of "child".
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4. All weekly compensation rates provided under subparagraphs 1, 2 and 2.1 of this
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| paragraph (b) of this Section shall be subject to the following limitations:
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The maximum weekly compensation rate from July 1, 1975, except as hereinafter provided,
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| shall be 100% of the State's average weekly wage in covered industries under the Unemployment Insurance Act, that being the wage that most closely approximates the State's average weekly wage.
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The maximum weekly compensation rate, for the period July 1, 1984, through June 30,
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| 1987, except as hereinafter provided, shall be $293.61. Effective July 1, 1987 and on July 1 of each year thereafter the maximum weekly compensation rate, except as hereinafter provided, shall be determined as follows: if during the preceding 12 month period there shall have been an increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act, the weekly compensation rate shall be proportionately increased by the same percentage as the percentage of increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act during such period.
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The maximum weekly compensation rate, for the period January 1, 1981 through December
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| 31, 1983, except as hereinafter provided, shall be 100% of the State's average weekly wage in covered industries under the Unemployment Insurance Act in effect on January 1, 1981. Effective January 1, 1984 and on January 1, of each year thereafter the maximum weekly compensation rate, except as hereinafter provided, shall be determined as follows: if during the preceding 12 month period there shall have been an increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act, the weekly compensation rate shall be proportionately increased by the same percentage as the percentage of increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act during such period.
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From July 1, 1977 and thereafter such maximum weekly compensation rate in death cases
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| under Section 7, and permanent total disability cases under paragraph (f) or subparagraph 18 of paragraph (3) of this Section and for temporary total disability under paragraph (b) of this Section and for amputation of a member or enucleation of an eye under paragraph (e) of this Section shall be increased to 133-1/3% of the State's average weekly wage in covered industries under the Unemployment Insurance Act.
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For injuries occurring on or after February 1, 2006, the maximum weekly benefit under
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| paragraph (d)1 of this Section shall be 100% of the State's average weekly wage in covered industries under the Unemployment Insurance Act.
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4.1. Any provision herein to the contrary notwithstanding, the weekly compensation rate
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| for compensation payments under subparagraph 18 of paragraph (e) of this Section and under paragraph (f) of this Section and under paragraph (a) of Section 7 and for amputation of a member or enucleation of an eye under paragraph (e) of this Section, shall in no event be less than 50% of the State's average weekly wage in covered industries under the Unemployment Insurance Act.
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4.2. Any provision to the contrary notwithstanding, the total compensation payable under
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| Section 7 shall not exceed the greater of $500,000 or 25 years.
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5. For the purpose of this Section this State's average weekly wage in covered
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| industries under the Unemployment Insurance Act on July 1, 1975 is hereby fixed at $228.16 per week and the computation of compensation rates shall be based on the aforesaid average weekly wage until modified as hereinafter provided.
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6. The Department of Employment Security of the State shall on or before the first day
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| of December, 1977, and on or before the first day of June, 1978, and on the first day of each December and June of each year thereafter, publish the State's average weekly wage in covered industries under the Unemployment Insurance Act and the Illinois Workers' Compensation Commission shall on the 15th day of January, 1978 and on the 15th day of July, 1978 and on the 15th day of each January and July of each year thereafter, post and publish the State's average weekly wage in covered industries under the Unemployment Insurance Act as last determined and published by the Department of Employment Security. The amount when so posted and published shall be conclusive and shall be applicable as the basis of computation of compensation rates until the next posting and publication as aforesaid.
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7. The payment of compensation by an employer or his insurance carrier to an injured
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| employee shall not constitute an admission of the employer's liability to pay compensation.
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(c) For any serious and permanent disfigurement to the hand, head,
face, neck, arm, leg below the knee or the chest above the axillary
line, the employee is entitled to compensation for such disfigurement,
the amount determined by agreement at any time or by arbitration under
this Act, at a hearing not less than 6 months after the date of the
accidental injury, which amount shall not exceed 150 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly
but before February
1, 2006) or 162
weeks (if the accidental injury occurs on or after February
1, 2006) at the
applicable rate provided in subparagraph 2.1 of paragraph (b) of this Section.
No compensation is payable under this paragraph where compensation is
payable under paragraphs (d), (e) or (f) of this Section.
A duly appointed member of a fire department in a city, the population of
which exceeds 500,000 according to the last federal or State census, is
eligible for compensation under this paragraph only where such serious and
permanent disfigurement results from burns.
(d) 1. If, after the accidental injury has been sustained, the
employee as a result thereof becomes partially incapacitated from
pursuing his usual and customary line of employment, he shall, except in
cases compensated under the specific schedule set forth in paragraph (e)
of this Section, receive compensation for the duration of his
disability, subject to the limitations as to maximum amounts fixed in
paragraph (b) of this Section, equal to 66-2/3% of the difference
between the average amount which he would be able to earn in the full
performance of his duties in the occupation in which he was engaged at
the time of the accident and the average amount which he is earning or
is able to earn in some suitable employment or business after the accident. For accidental injuries that occur on or after September 1, 2011, an award for wage differential under this subsection shall be effective only until the employee reaches the age of 67 or 5 years from the date the award becomes final, whichever is later.
2. If, as a result of the accident, the employee sustains serious
and permanent injuries not covered by paragraphs (c) and (e) of this
Section or having sustained injuries covered by the aforesaid
paragraphs (c) and (e), he shall have sustained in addition thereto
other injuries which injuries do not incapacitate him from pursuing the
duties of his employment but which would disable him from pursuing other
suitable occupations, or which have otherwise resulted in physical
impairment; or if such injuries partially incapacitate him from pursuing
the duties of his usual and customary line of employment but do not
result in an impairment of earning capacity, or having resulted in an
impairment of earning capacity, the employee elects to waive his right
to recover under the foregoing subparagraph 1 of paragraph (d) of this
Section then in any of the foregoing events, he shall receive in
addition to compensation for temporary total disability under paragraph
(b) of this Section, compensation at the rate provided in subparagraph 2.1
of paragraph (b) of this Section for that percentage of 500 weeks that
the partial disability resulting from the injuries covered by this
paragraph bears to total disability. If the employee shall have
sustained a fracture of one or more vertebra or fracture of the skull,
the amount of compensation allowed under this Section shall be not less
than 6 weeks for a fractured skull and 6 weeks for each fractured
vertebra, and in the event the employee shall have sustained a fracture
of any of the following facial bones: nasal, lachrymal, vomer, zygoma,
maxilla, palatine or mandible, the amount of compensation allowed under
this Section shall be not less than 2 weeks for each such fractured
bone, and for a fracture of each transverse process not less than 3
weeks. In the event such injuries shall result in the loss of a kidney,
spleen or lung, the amount of compensation allowed under this Section
shall be not less than 10 weeks for each such organ. Compensation
awarded under this subparagraph 2 shall not take into consideration
injuries covered under paragraphs (c) and (e) of this Section and the
compensation provided in this paragraph shall not affect the employee's
right to compensation payable under paragraphs (b), (c) and (e) of this
Section for the disabilities therein covered.
(e) For accidental injuries in the following schedule, the employee
shall receive compensation for the period of temporary total incapacity
for work resulting from such accidental injury, under subparagraph 1 of
paragraph (b) of this Section, and shall receive in addition thereto
compensation for a further period for the specific loss herein
mentioned, but shall not receive any compensation under any other
provisions of this Act. The following listed amounts apply to either
the loss of or the permanent and complete loss of use of the member
specified, such compensation for the length of time as follows:
1. Thumb-
70 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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76
weeks if the accidental injury occurs on or after February
1, 2006.
2. First, or index finger-
40 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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43
weeks if the accidental injury occurs on or after February
1, 2006.
3. Second, or middle finger-
35 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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38
weeks if the accidental injury occurs on or after February
1, 2006.
4. Third, or ring finger-
25 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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27
weeks if the accidental injury occurs on or after February
1, 2006.
5. Fourth, or little finger-
20 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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22
weeks if the accidental injury occurs on or after February
1, 2006.
6. Great toe-
35 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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38
weeks if the accidental injury occurs on or after February
1, 2006.
7. Each toe other than great toe-
12 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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13
weeks if the accidental injury occurs on or after February
1, 2006.
8. The loss of the first or distal phalanx of the thumb or of any finger or toe shall be
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| considered to be equal to the loss of one-half of such thumb, finger or toe and the compensation payable shall be one-half of the amount above specified. The loss of more than one phalanx shall be considered as the loss of the entire thumb, finger or toe. In no case shall the amount received for more than one finger exceed the amount provided in this schedule for the loss of a hand.
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9. Hand-
190 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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205
weeks if the accidental injury occurs on or after February
1, 2006.
190 weeks if the accidental injury occurs on or after June 28, 2011 (the effective
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| date of Public Act 97-18) and if the accidental injury involves carpal tunnel syndrome due to repetitive or cumulative trauma, in which case the permanent partial disability shall not exceed 15% loss of use of the hand, except for cause shown by clear and convincing evidence and in which case the award shall not exceed 30% loss of use of the hand.
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The loss of 2 or more digits, or one or more phalanges of 2 or more digits, of a hand
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| may be compensated on the basis of partial loss of use of a hand, provided, further, that the loss of 4 digits, or the loss of use of 4 digits, in the same hand shall constitute the complete loss of a hand.
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10. Arm-
235 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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253
weeks if the accidental injury occurs on or after February
1, 2006.
Where an accidental injury results in the amputation of an arm below the elbow, such
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| injury shall be compensated as a loss of an arm. Where an accidental injury results in the amputation of an arm above the elbow, compensation for an additional 15 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 17 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid, except where the accidental injury results in the amputation of an arm at the shoulder joint, or so close to shoulder joint that an artificial arm cannot be used, or results in the disarticulation of an arm at the shoulder joint, in which case compensation for an additional 65 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 70 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid.
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11. Foot-
155 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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167
weeks if the accidental injury occurs on or after February
1, 2006.
12. Leg-
200 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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215
weeks if the accidental injury occurs on or after February
1, 2006.
Where an accidental injury results in the amputation of a leg below the knee, such
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| injury shall be compensated as loss of a leg. Where an accidental injury results in the amputation of a leg above the knee, compensation for an additional 25 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 27 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid, except where the accidental injury results in the amputation of a leg at the hip joint, or so close to the hip joint that an artificial leg cannot be used, or results in the disarticulation of a leg at the hip joint, in which case compensation for an additional 75 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 81 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid.
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13. Eye-
150 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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162
weeks if the accidental injury occurs on or after February
1, 2006.
Where an accidental injury results in the enucleation of an eye, compensation for an
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| additional 10 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 11 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid.
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14. Loss of hearing of one ear-
50 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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54
weeks if the accidental injury occurs on or after February
1, 2006.
Total and permanent loss of
hearing of both ears-
200 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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215
weeks if the accidental injury occurs on or after February
1, 2006.
15. Testicle-
50 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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54
weeks if the accidental injury occurs on or after February
1, 2006.
Both testicles-
150 weeks if the accidental injury occurs on or after the effective date of this
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| amendatory Act of the 94th General Assembly but before February 1, 2006.
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162
weeks if the accidental injury occurs on or after February
1, 2006.
16. For the permanent partial loss of use of a member or sight of an eye, or hearing of
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| an ear, compensation during that proportion of the number of weeks in the foregoing schedule provided for the loss of such member or sight of an eye, or hearing of an ear, which the partial loss of use thereof bears to the total loss of use of such member, or sight of eye, or hearing of an ear.
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(a) Loss of hearing for compensation purposes shall be confined to the frequencies
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| of 1,000, 2,000 and 3,000 cycles per second. Loss of hearing ability for frequency tones above 3,000 cycles per second are not to be considered as constituting disability for hearing.
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(b) The percent of hearing loss, for purposes of the determination of compensation
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| claims for occupational deafness, shall be calculated as the average in decibels for the thresholds of hearing for the frequencies of 1,000, 2,000 and 3,000 cycles per second. Pure tone air conduction audiometric instruments, approved by nationally recognized authorities in this field, shall be used for measuring hearing loss. If the losses of hearing average 30 decibels or less in the 3 frequencies, such losses of hearing shall not then constitute any compensable hearing disability. If the losses of hearing average 85 decibels or more in the 3 frequencies, then the same shall constitute and be total or 100% compensable hearing loss.
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(c) In measuring hearing impairment, the lowest measured losses in each of the 3
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| frequencies shall be added together and divided by 3 to determine the average decibel loss. For every decibel of loss exceeding 30 decibels an allowance of 1.82% shall be made up to the maximum of 100% which is reached at 85 decibels.
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(d) If a hearing loss is established to have existed on July 1, 1975 by audiometric
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| testing the employer shall not be liable for the previous loss so established nor shall he be liable for any loss for which compensation has been paid or awarded.
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(e) No consideration shall be given to the question of whether or not the ability of
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| an employee to understand speech is improved by the use of a hearing aid.
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(f) No claim for loss of hearing due to industrial noise shall be brought against an
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| employer or allowed unless the employee has been exposed for a period of time sufficient to cause permanent impairment to noise levels in excess of the following:
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Sound Level DBA |
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Slow Response |
Hours Per Day |
90 |
8 |
92 |
6 |
95 |
4 |
97 |
3 |
100 |
2 |
102 |
1-1/2 |
105 |
1 |
110 |
1/2 |
115 |
1/4 |
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This subparagraph (f) shall not be applied in cases of hearing loss resulting from
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17. In computing the compensation to be paid to any employee who, before the accident
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| for which he claims compensation, had before that time sustained an injury resulting in the loss by amputation or partial loss by amputation of any member, including hand, arm, thumb or fingers, leg, foot or any toes, such loss or partial loss of any such member shall be deducted from any award made for the subsequent injury. For the permanent loss of use or the permanent partial loss of use of any such member or the partial loss of sight of an eye, for which compensation has been paid, then such loss shall be taken into consideration and deducted from any award for the subsequent injury.
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18. The specific case of loss of both hands, both arms, or both feet, or both legs, or
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| both eyes, or of any two thereof, or the permanent and complete loss of the use thereof, constitutes total and permanent disability, to be compensated according to the compensation fixed by paragraph (f) of this Section. These specific cases of total and permanent disability do not exclude other cases.
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Any employee who has previously suffered the loss or permanent and complete loss of the
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| use of any of such members, and in a subsequent independent accident loses another or suffers the permanent and complete loss of the use of any one of such members the employer for whom the injured employee is working at the time of the last independent accident is liable to pay compensation only for the loss or permanent and complete loss of the use of the member occasioned by the last independent accident.
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19. In a case of specific loss and the subsequent death of such injured employee from
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| other causes than such injury leaving a widow, widower, or dependents surviving before payment or payment in full for such injury, then the amount due for such injury is payable to the widow or widower and, if there be no widow or widower, then to such dependents, in the proportion which such dependency bears to total dependency.
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Beginning July 1, 1980, and every 6 months thereafter, the Commission
shall examine the Second Injury Fund and when, after deducting all
advances or loans made to such Fund, the amount therein is $500,000
then the amount required to be paid by employers pursuant to paragraph
(f) of Section 7 shall be reduced by one-half. When the Second Injury Fund
reaches the sum of $600,000 then the payments shall cease entirely.
However, when the Second Injury Fund has been reduced to $400,000, payment
of one-half of the amounts required by paragraph (f) of Section 7
shall be resumed, in the manner herein provided, and when the Second Injury
Fund has been reduced to $300,000, payment of the full amounts required by
paragraph (f) of Section 7 shall be resumed, in the manner herein provided.
The Commission shall make the changes in payment effective by
general order, and the changes in payment become immediately effective
for all cases coming before the Commission thereafter either by
settlement agreement or final order, irrespective of the date of the
accidental injury.
On August 1, 1996 and on February 1 and August 1 of each subsequent year, the Commission
shall examine the special fund designated as the "Rate
Adjustment Fund" and when, after deducting all advances or loans made to
said fund, the amount therein is $4,000,000, the amount required to be
paid by employers pursuant to paragraph (f) of Section 7 shall be
reduced by one-half. When the Rate Adjustment Fund reaches the sum of
$5,000,000 the payment therein shall cease entirely. However, when said
Rate Adjustment Fund has been reduced to $3,000,000 the amounts required by
paragraph (f) of Section 7 shall be resumed in the manner herein provided.
(f) In case of complete disability, which renders the employee
wholly and permanently incapable of work, or in the specific case of
total and permanent disability as provided in subparagraph 18 of
paragraph (e) of this Section, compensation shall be payable at the rate
provided in subparagraph 2 of paragraph (b) of this Section for life.
An employee entitled to benefits under paragraph (f) of this Section
shall also be entitled to receive from the Rate Adjustment
Fund provided in paragraph (f) of Section 7 of the supplementary benefits
provided in paragraph (g) of this Section 8.
If any employee who receives an award under this paragraph afterwards
returns to work or is able to do so, and earns or is able to earn as
much as before the accident, payments under such award shall cease. If
such employee returns to work, or is able to do so, and earns or is able
to earn part but not as much as before the accident, such award shall be
modified so as to conform to an award under paragraph (d) of this
Section. If such award is terminated or reduced under the provisions of
this paragraph, such employees have the right at any time within 30
months after the date of such termination or reduction to file petition
with the Commission for the purpose of determining whether any
disability exists as a result of the original accidental injury and the
extent thereof.
Disability as enumerated in subdivision 18, paragraph (e) of this
Section is considered complete disability.
If an employee who had previously incurred loss or the permanent and
complete loss of use of one member, through the loss or the permanent
and complete loss of the use of one hand, one arm, one foot, one leg, or
one eye, incurs permanent and complete disability through the loss or
the permanent and complete loss of the use of another member, he shall
receive, in addition to the compensation payable by the employer and
after such payments have ceased, an amount from the Second Injury Fund
provided for in paragraph (f) of Section 7, which, together with the
compensation payable from the employer in whose employ he was when the
last accidental injury was incurred, will equal the amount payable for
permanent and complete disability as provided in this paragraph of this
Section.
The custodian of the Second Injury Fund provided for in paragraph (f)
of Section 7 shall be joined with the employer as a party respondent in
the application for adjustment of claim. The application for adjustment
of claim shall state briefly and in general terms the approximate time
and place and manner of the loss of the first member.
In its award the Commission or the Arbitrator shall specifically find
the amount the injured employee shall be weekly paid, the number of
weeks compensation which shall be paid by the employer, the date upon
which payments begin out of the Second Injury Fund provided for in
paragraph (f) of Section 7 of this Act, the length of time the weekly
payments continue, the date upon which the pension payments commence and
the monthly amount of the payments. The Commission shall 30 days after
the date upon which payments out of the Second Injury Fund have begun as
provided in the award, and every month thereafter, prepare and submit to
the State Comptroller a voucher for payment for all compensation accrued
to that date at the rate fixed by the Commission. The State Comptroller
shall draw a warrant to the injured employee along with a receipt to be
executed by the injured employee and returned to the Commission. The
endorsed warrant and receipt is a full and complete acquittance to the
Commission for the payment out of the Second Injury Fund. No other
appropriation or warrant is necessary for payment out of the Second
Injury Fund. The Second Injury Fund is appropriated for the purpose of
making payments according to the terms of the awards.
As of July 1, 1980 to July 1, 1982, all claims against and obligations
of the Second Injury Fund shall become claims against and obligations of
the Rate Adjustment Fund to the extent there is insufficient money in the
Second Injury Fund to pay such claims and obligations. In that case, all
references to "Second Injury Fund" in this Section shall also include the
Rate Adjustment Fund.
(g) Every award for permanent total disability entered by the
Commission on and after July 1, 1965 under which compensation payments
shall become due and payable after the effective date of this amendatory
Act, and every award for death benefits or permanent total disability
entered by the Commission on and after the effective date of this
amendatory Act shall be subject to annual adjustments as to the amount
of the compensation rate therein provided. Such adjustments shall first
be made on July 15, 1977, and all awards made and entered prior to July
1, 1975 and on July 15 of each year
thereafter. In all other cases such adjustment shall be made on July 15
of the second year next following the date of the entry of the award and
shall further be made on July 15 annually thereafter. If during the
intervening period from the date of the entry of the award, or the last
periodic adjustment, there shall have been an increase in the State's
average weekly wage in covered industries under the Unemployment
Insurance Act, the weekly compensation rate shall be proportionately
increased by the same percentage as the percentage of increase in the
State's average weekly wage in covered industries under the
Unemployment Insurance Act. The increase in the compensation rate
under this paragraph shall in no event bring the total compensation rate
to an amount greater than the prevailing maximum rate at the time that the annual adjustment is made. Such increase
shall be paid in the same manner as herein provided for payments under
the Second Injury Fund to the injured employee, or his dependents, as
the case may be, out of the Rate Adjustment Fund provided
in paragraph (f) of Section 7 of this Act. Payments shall be made at
the same intervals as provided in the award or, at the option of the
Commission, may be made in quarterly payment on the 15th day of January,
April, July and October of each year. In the event of a decrease in
such average weekly wage there shall be no change in the then existing
compensation rate. The within paragraph shall not apply to cases where
there is disputed liability and in which a compromise lump sum settlement
between the employer and the injured employee, or his dependents, as the
case may be, has been duly approved by the Illinois Workers' Compensation
Commission.
Provided, that in cases of awards entered by the Commission for
injuries occurring before July 1, 1975, the increases in the
compensation rate adjusted under the foregoing provision of this
paragraph (g) shall be limited to increases in the State's average
weekly wage in covered industries under the Unemployment Insurance Act
occurring after July 1, 1975.
For every accident occurring on or after July 20, 2005 but before the effective date of this amendatory Act of the 94th General Assembly (Senate Bill 1283 of the 94th General Assembly), the annual adjustments to the compensation rate in awards for death benefits or permanent total disability, as provided in this Act, shall be paid by the employer. The adjustment shall be made by the employer on July 15 of the second year next following the date of the entry of the award and shall further be made on July 15 annually thereafter. If during the intervening period from the date of the entry of the award, or the last periodic adjustment, there shall have been an increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act, the employer shall increase the weekly compensation rate proportionately by the same percentage as the percentage of increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act. The increase in the compensation rate under this paragraph shall in no event bring the total compensation rate to an amount greater than the prevailing maximum rate at the time that the annual adjustment is made. In the event of a decrease in such average weekly wage there shall be no change in the then existing compensation rate. Such increase shall be paid by the employer in the same manner and at the same intervals as the payment of compensation in the award. This paragraph shall not apply to cases where there is disputed liability and in which a compromise lump sum settlement between the employer and the injured employee, or his or her dependents, as the case may be, has been duly approved by the Illinois Workers' Compensation Commission.
The annual adjustments for every award of death benefits or permanent total disability involving accidents occurring before July 20, 2005 and accidents occurring on or after the effective date of this amendatory Act of the 94th General Assembly (Senate Bill 1283 of the 94th General Assembly) shall continue to be paid from the Rate Adjustment Fund pursuant to this paragraph and Section 7(f) of this Act.
(h) In case death occurs from any cause before the total
compensation to which the employee would have been entitled has been
paid, then in case the employee leaves any widow, widower, child, parent
(or any grandchild, grandparent or other lineal heir or any collateral
heir dependent at the time of the accident upon the earnings of the
employee to the extent of 50% or more of total dependency) such
compensation shall be paid to the beneficiaries of the deceased employee
and distributed as provided in paragraph (g) of Section 7.
(h-1) In case an injured employee is under legal disability
at the time when any right or privilege accrues to him or her under this
Act, a guardian may be appointed pursuant to law, and may, on behalf
of such person under legal disability, claim and exercise any
such right or privilege with the same effect as if the employee himself
or herself had claimed or exercised the right or privilege. No limitations
of time provided by this Act run so long as the employee who is under legal
disability is without a conservator or guardian.
(i) In case the injured employee is under 16 years of age at the
time of the accident and is illegally employed, the amount of
compensation payable under paragraphs (b), (c), (d), (e) and (f) of this
Section is increased 50%.
However, where an employer has on file an employment certificate
issued pursuant to the Child Labor Law or work permit issued pursuant
to the Federal Fair Labor Standards Act, as amended, or a birth
certificate properly and duly issued, such certificate, permit or birth
certificate is conclusive evidence as to the age of the injured minor
employee for the purposes of this Section.
Nothing herein contained repeals or amends the provisions of the
Child Labor Law relating to the employment of minors under the age of 16 years.
(j) 1. In the event the injured employee receives benefits,
including medical, surgical or hospital benefits under any group plan
covering non-occupational disabilities contributed to wholly or
partially by the employer, which benefits should not have been payable
if any rights of recovery existed under this Act, then such amounts so
paid to the employee from any such group plan as shall be consistent
with, and limited to, the provisions of paragraph 2 hereof, shall be
credited to or against any compensation payment for temporary total
incapacity for work or any medical, surgical or hospital benefits made
or to be made under this Act. In such event, the period of time for
giving notice of accidental injury and filing application for adjustment
of claim does not commence to run until the termination of such
payments. This paragraph does not apply to payments made under any
group plan which would have been payable irrespective of an accidental
injury under this Act. Any employer receiving such credit shall keep
such employee safe and harmless from any and all claims or liabilities
that may be made against him by reason of having received such payments
only to the extent of such credit.
Any excess benefits paid to or on behalf of a State employee by the
State Employees' Retirement System under Article 14 of the Illinois Pension
Code on a death claim or disputed disability claim shall be credited
against any payments made or to be made by the State of Illinois to or on
behalf of such employee under this Act, except for payments for medical
expenses which have already been incurred at the time of the award. The
State of Illinois shall directly reimburse the State Employees' Retirement
System to the extent of such credit.
2. Nothing contained in this Act shall be construed to give the
employer or the insurance carrier the right to credit for any benefits
or payments received by the employee other than compensation payments
provided by this Act, and where the employee receives payments other
than compensation payments, whether as full or partial salary, group
insurance benefits, bonuses, annuities or any other payments, the
employer or insurance carrier shall receive credit for each such payment
only to the extent of the compensation that would have been payable
during the period covered by such payment.
3. The extension of time for the filing of an Application for
Adjustment of Claim as provided in paragraph 1 above shall not apply to
those cases where the time for such filing had expired prior to the date
on which payments or benefits enumerated herein have been initiated or
resumed. Provided however that this paragraph 3 shall apply only to
cases wherein the payments or benefits hereinabove enumerated shall be
received after July 1, 1969.
(Source: P.A. 97-18, eff. 6-28-11; 97-268, eff. 8-8-11; 97-813, eff. 7-13-12.)
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