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Public Act 101-0384 |
HB2301 Enrolled | LRB101 08580 TAE 53659 b |
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AN ACT concerning employment.
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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 Civil Administrative Code of Illinois is |
amended by changing Sections 5-125, 5-155, and 5-540 as |
follows:
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(20 ILCS 5/5-125) (was 20 ILCS 5/5.13i)
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Sec. 5-125. In the Department of Employment Security. The |
board of review, which shall consist of 5 members, 2 of
whom |
shall be representatives of a labor organization recognized |
under the National Labor Relations Act representative citizens |
chosen from the
employee class ,
2 of whom shall be |
representative citizens chosen from the
employing
class, and |
one of whom shall be a representative citizen not identified
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with either the employing class or a labor organization |
employee classes .
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(Source: P.A. 91-239, eff. 1-1-00.)
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(20 ILCS 5/5-155) (was 20 ILCS 5/5.04)
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Sec. 5-155.
In the Office of Mines and
Minerals of the |
Department of Natural Resources.
In the Office of Mines and |
Minerals of the Department of Natural
Resources, there shall be |
a State Mining Board, which shall consist
of 6 officers |
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designated as mine officers and the Director of the
Office
of |
Mines and Minerals. Three officers shall be representatives of |
the
employing class and 3 officers shall be chosen from a labor |
organization recognized under the National Labor Relations Act |
representing coal miners of the employee class . The 6 mine |
officers shall be
qualified as follows:
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(1) Two mine officers from the employing class shall |
have at
least 4 years' years
experience in a supervisory |
capacity in an underground coal mine and each
shall hold a |
certificate of competency as an Illinois a mine examiner or |
Illinois mine manager.
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(2) The third mine officer from the employing class |
shall have
at least
4 years' years experience in a |
supervisory capacity in a surface coal mine.
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(3) Two mine officers chosen from a labor organization |
representing coal miners from the employee class shall have |
4
years experience
in an underground coal mine and shall |
hold certificates a first class certificate of
competency |
as an Illinois mine examiner .
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(4) The third mine officer chosen from a labor |
organization representing coal miners from the employee |
class shall have
at least
4 years experience in a surface |
coal mine.
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(Source: P.A. 91-239, eff. 1-1-00.)
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(20 ILCS 5/5-540) (was 20 ILCS 5/6.28 and 5/7.01)
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Sec. 5-540. In the Department of Employment Security. An
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Employment
Security Advisory Board,
composed of 12 persons. Of |
the
12 members of
the Employment Security Advisory Board, 4 |
members shall be chosen from a labor organization recognized |
under the National Labor Relations Act
representative
citizens |
chosen from the employee class , 4 members shall be
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representative citizens chosen from the employing class, and 4
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members
shall be representative citizens not identified with |
either the employing
class
or a labor organization the employee |
class .
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(Source: P.A. 93-634, eff. 1-1-04.)
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Section 7. The Coal Mining Act is amended by changing |
Sections 8.02 and 8.03 as follows:
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(225 ILCS 705/8.02) (from Ch. 96 1/2, par. 802)
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Sec. 8.02.
There is created in the Department of Natural |
Resources, Office
of Mines and Minerals, a Miners' Examining |
Board which shall consist of 4
four miners' examining officers |
to be appointed by the Governor, 2 of whom must be from a labor |
organization recognized under the National Labor Relations Act |
representing coal miners, for a term of
2 years and until their |
successors are appointed and qualified. Terms of
office shall |
commence on the third Monday in January in each odd-numbered |
year.
Three of such officers shall constitute a quorum.
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This amendatory Act of 1995 does not affect the terms of |
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members of the
Miners' Examining Board holding office on the |
effective date of this amendatory
Act of 1995.
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A complete record of the proceedings and acts of the |
Miners'
Examining Board shall be kept and preserved. Said |
officers shall hold no
other lucrative office or employment |
under the government of the United
States, State of Illinois, |
or any political division thereof or any
municipal corporation |
therein and each such officer before entering upon
the duties |
of his office shall subscribe and take the oath prescribed by
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the Constitution of this State, and shall before entering upon |
the duties
of his office give a bond with sufficient surety to |
be approved by the
Governor, payable to the People of the State |
of Illinois in the penal sum
of $5,000, conditioned for the |
faithful discharge of the duties of office
and the delivery of |
all records, books, moneys, and other property
pertaining to |
his successor in office, which said bond shall be deposited
in |
the office of the Secretary of State. Vacancies shall be filled |
by
appointment as provided herein for the balance of the |
unexpired term.
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(Source: P.A. 89-445, eff. 2-7-96.)
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(225 ILCS 705/8.03) (from Ch. 96 1/2, par. 803)
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Sec. 8.03.
No person shall be appointed to the Miners' |
Examining Board who
has not had at least 5 years' practical and |
continuous experience as an underground a coal
miner . The |
members of the Miners' Examining Board shall hold certificates |
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of competency as an Illinois mine examiner. Two of the members |
of the Miners' Examining Board shall be representatives of a |
labor organization recognized under the National Labor |
Relations Act representing coal miners. Two of the members of |
the Miners' Examining Board shall be from the employing class. , |
and who has not been actually engaged in coal mining as a miner |
in
the State of Illinois continuously for 12 months next |
preceding his
appointment; except that a miners' examining |
officer may be appointed to
succeed himself.
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(Source: Laws 1953, p. 701.)
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Section 10. The Workers' Compensation Act is amended by |
changing Sections 4, 8.3, 13, 13.1, and 19 as follows:
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(820 ILCS 305/4) (from Ch. 48, par. 138.4)
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Sec. 4. (a) Any employer, including but not limited to |
general contractors
and their subcontractors, who shall come |
within the provisions of
Section 3 of this Act, and any other |
employer who shall elect to provide
and pay the compensation |
provided for in this Act shall:
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(1) File with the Commission annually an application |
for approval as a
self-insurer which shall include a |
current financial statement, and
annually, thereafter, an |
application for renewal of self-insurance, which
shall |
include a current financial statement. Said
application |
and financial statement shall be signed and sworn to by the
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president or vice president and secretary or assistant |
secretary of the
employer if it be a corporation, or by all |
of the partners, if it be a
copartnership, or by the owner |
if it be neither a copartnership nor a
corporation. All |
initial applications and all applications for renewal of
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self-insurance must be submitted at least 60 days prior to |
the requested
effective date of self-insurance. An |
employer may elect to provide and pay
compensation as |
provided
for in this Act as a member of a group workers' |
compensation pool under Article
V 3/4 of the Illinois |
Insurance Code. If an employer becomes a member of a
group |
workers' compensation pool, the employer shall not be |
relieved of any
obligations imposed by this Act.
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If the sworn application and financial statement of any |
such employer
does not satisfy the Commission of the |
financial ability of the employer
who has filed it, the |
Commission shall require such employer to,
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(2) Furnish security, indemnity or a bond guaranteeing |
the payment
by the employer of the compensation provided |
for in this Act, provided
that any such employer whose |
application and financial statement shall
not have |
satisfied the commission of his or her financial ability |
and
who shall have secured his liability in part by excess |
liability insurance
shall be required to furnish to the |
Commission security, indemnity or bond
guaranteeing his or |
her payment up to the effective limits of the excess
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coverage, or
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(3) Insure his entire liability to pay such |
compensation in some
insurance carrier authorized, |
licensed, or permitted to do such
insurance business in |
this State. Every policy of an insurance carrier,
insuring |
the payment of compensation under this Act shall cover all |
the
employees and the entire compensation liability of the |
insured:
Provided, however, that any employer may insure |
his or her compensation
liability with 2 or more insurance |
carriers or may insure a part and
qualify under subsection |
1, 2, or 4 for the remainder of his or her
liability to pay |
such compensation, subject to the following two |
provisions:
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Firstly, the entire compensation liability of the |
employer to
employees working at or from one location |
shall be insured in one such
insurance carrier or shall |
be self-insured, and
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Secondly, the employer shall submit evidence |
satisfactorily to the
Commission that his or her entire |
liability for the compensation provided
for in this Act |
will be secured. Any provisions in any policy, or in |
any
endorsement attached thereto, attempting to limit |
or modify in any way,
the liability of the insurance |
carriers issuing the same except as
otherwise provided |
herein shall be wholly void.
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Nothing herein contained shall apply to policies of |
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excess liability
carriage secured by employers who have |
been approved by the Commission
as self-insurers, or
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(4) Make some other provision, satisfactory to the |
Commission, for
the securing of the payment of compensation |
provided for in this Act,
and
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(5) Upon becoming subject to this Act and thereafter as |
often as the
Commission may in writing demand, file with |
the Commission in form prescribed
by it evidence of his or |
her compliance with the provision of this Section.
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(a-1) Regardless of its state of domicile or its principal |
place of
business, an employer shall make payments to its |
insurance carrier or group
self-insurance fund, where |
applicable, based upon the premium rates of the
situs where the |
work or project is located in Illinois if:
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(A) the employer is engaged primarily in the building |
and
construction industry; and
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(B) subdivision (a)(3) of this Section applies to the |
employer or
the employer is a member of a group |
self-insurance plan as defined in
subsection (1) of Section |
4a.
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The Illinois Workers' Compensation Commission shall impose |
a penalty upon an employer
for violation of this subsection |
(a-1) if:
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(i) the employer is given an opportunity at a hearing |
to present
evidence of its compliance with this subsection |
(a-1); and
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(ii) after the hearing, the Commission finds that the |
employer
failed to make payments upon the premium rates of |
the situs where the work or
project is located in Illinois.
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The penalty shall not exceed $1,000 for each day of work |
for which
the employer failed to make payments upon the premium |
rates of the situs where
the
work or project is located in |
Illinois, but the total penalty shall not exceed
$50,000 for |
each project or each contract under which the work was
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performed.
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Any penalty under this subsection (a-1) must be imposed not |
later
than one year after the expiration of the applicable |
limitation period
specified in subsection (d) of Section 6 of |
this Act. Penalties imposed under
this subsection (a-1) shall |
be deposited into the Illinois Workers' Compensation |
Commission
Operations Fund, a special fund that is created in |
the State treasury. Subject
to appropriation, moneys in the |
Fund shall be used solely for the operations
of the Illinois |
Workers' Compensation Commission and by the Department of |
Insurance for the purposes authorized in subsection (c) of |
Section 25.5 of this Act.
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(a-2) Every Employee Leasing Company (ELC), as defined in |
Section 15 of the Employee Leasing Company Act, shall at a |
minimum provide the following information to the Commission or |
any entity designated by the Commission regarding each workers' |
compensation insurance policy issued to the ELC: |
(1) Any client company of the ELC listed as an |
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additional named insured. |
(2) Any informational schedule attached to the master |
policy that identifies any individual client company's |
name, FEIN, and job location. |
(3) Any certificate of insurance coverage document |
issued to a client company specifying its rights and |
obligations under the master policy that establishes both |
the identity and status of the client, as well as the dates |
of inception and termination of coverage, if applicable. |
(b) The sworn application and financial statement, or |
security,
indemnity or bond, or amount of insurance, or other |
provisions, filed,
furnished, carried, or made by the employer, |
as the case may be, shall
be subject to the approval of the |
Commission.
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Deposits under escrow agreements shall be cash, negotiable |
United
States government bonds or negotiable general |
obligation bonds of the
State of Illinois. Such cash or bonds |
shall be deposited in
escrow with any State or National Bank or |
Trust Company having trust
authority in the State of Illinois.
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Upon the approval of the sworn application and financial |
statement,
security, indemnity or bond or amount of insurance, |
filed, furnished or
carried, as the case may be, the Commission |
shall send to the employer
written notice of its approval |
thereof. The certificate of compliance
by the employer with the |
provisions of subparagraphs (2) and (3) of
paragraph (a) of |
this Section shall be delivered by the insurance
carrier to the |
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Illinois Workers' Compensation Commission within five days |
after the
effective date of the policy so certified. The |
insurance so certified
shall cover all compensation liability |
occurring during the time that
the insurance is in effect and |
no further certificate need be filed in case
such insurance is |
renewed, extended or otherwise continued by such
carrier. The |
insurance so certified shall not be cancelled or in the
event |
that such insurance is not renewed, extended or otherwise
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continued, such insurance shall not be terminated until at |
least 10
days after receipt by the Illinois Workers' |
Compensation Commission of notice of the
cancellation or |
termination of said insurance; provided, however, that
if the |
employer has secured insurance from another insurance carrier, |
or
has otherwise secured the payment of compensation in |
accordance with
this Section, and such insurance or other |
security becomes effective
prior to the expiration of the 10 |
days, cancellation or termination may, at
the option of the |
insurance carrier indicated in such notice, be effective
as of |
the effective date of such other insurance or security.
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(c) Whenever the Commission shall find that any |
corporation,
company, association, aggregation of individuals, |
reciprocal or
interinsurers exchange, or other insurer |
effecting workers' compensation
insurance in this State shall |
be insolvent, financially unsound, or
unable to fully meet all |
payments and liabilities assumed or to be
assumed for |
compensation insurance in this State, or shall practice a
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policy of delay or unfairness toward employees in the |
adjustment,
settlement, or payment of benefits due such |
employees, the Commission
may after reasonable notice and |
hearing order and direct that such
corporation, company, |
association, aggregation of individuals,
reciprocal or |
interinsurers exchange, or insurer, shall from and after a
date |
fixed in such order discontinue the writing of any such |
workers'
compensation insurance in this State. Subject to such |
modification of
the order as the Commission may later make on |
review of the order,
as herein provided, it shall thereupon be |
unlawful for any such
corporation, company, association, |
aggregation of individuals,
reciprocal or interinsurers |
exchange, or insurer to effect any workers'
compensation |
insurance in this State. A copy of the order shall be served
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upon the Director of Insurance by registered mail. Whenever the |
Commission
finds that any service or adjustment company used or |
employed
by a self-insured employer or by an insurance carrier |
to process,
adjust, investigate, compromise or otherwise |
handle claims under this
Act, has practiced or is practicing a |
policy of delay or unfairness
toward employees in the |
adjustment, settlement or payment of benefits
due such |
employees, the Commission may after reasonable notice and
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hearing order and direct that such service or adjustment |
company shall
from and after a date fixed in such order be |
prohibited from processing,
adjusting, investigating, |
compromising or otherwise handling claims
under this Act.
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Whenever the Commission finds that any self-insured |
employer has
practiced or is practicing delay or unfairness |
toward employees in the
adjustment, settlement or payment of |
benefits due such employees, the
Commission may, after |
reasonable notice and hearing, order and direct
that after a |
date fixed in the order such self-insured employer shall be
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disqualified to operate as a self-insurer and shall be required |
to
insure his entire liability to pay compensation in some |
insurance
carrier authorized, licensed and permitted to do such |
insurance business
in this State, as provided in subparagraph 3 |
of paragraph (a) of this
Section.
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All orders made by the Commission under this Section shall |
be subject
to review by the courts, said review to be taken in |
the same manner and
within the same time as provided by Section |
19 of this Act for review of
awards and decisions of the |
Commission, upon the party seeking the
review filing with the |
clerk of the court to which said review is taken
a bond in an |
amount to be fixed and approved by the court to which the
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review is taken, conditioned upon the payment of all |
compensation awarded
against the person taking said review |
pending a decision thereof and
further conditioned upon such |
other obligations as the court may impose.
Upon the review the |
Circuit Court shall have power to review all questions
of fact |
as well as of law. The penalty hereinafter provided for in this
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paragraph shall not attach and shall not begin to run until the |
final
determination of the order of the Commission.
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(d) Whenever a panel of 3 Commissioners comprised of one |
member of the employing class, one representative of a labor |
organization recognized under the National Labor Relations Act |
or an attorney who has represented labor organizations or has |
represented employees in workers' compensation cases member of |
the employee class , and one member not identified with either |
the employing class or a labor organization or employee class , |
with due process and after a hearing, determines an employer |
has knowingly failed to provide coverage as required by |
paragraph (a) of this Section, the failure shall be deemed an |
immediate serious danger to public health, safety, and welfare |
sufficient to justify service by the Commission of a work-stop |
order on such employer, requiring the cessation of all business |
operations of such employer at the place of employment or job |
site. Any law enforcement agency in the State shall, at the |
request of the Commission, render any assistance necessary to |
carry out the provisions of this Section, including, but not |
limited to, preventing any employee of such employer from |
remaining at a place of employment or job site after a |
work-stop order has taken effect. Any work-stop order shall be |
lifted upon proof of insurance as required by this Act. Any |
orders under this Section are appealable under Section 19(f) to |
the Circuit Court.
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Any individual employer, corporate officer or director of a |
corporate employer, partner of an employer partnership, or |
member of an employer limited liability company who knowingly |
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fails to provide coverage as required by paragraph (a) of this |
Section is guilty of a Class 4 felony. This provision shall not |
apply to any corporate officer or director of any |
publicly-owned corporation. Each day's violation constitutes a |
separate offense. The State's Attorney of the county in which |
the violation occurred, or the Attorney General, shall bring |
such actions in the name of the People of the State of |
Illinois, or may, in addition to other remedies provided in |
this Section, bring an action for an injunction to restrain the |
violation or to enjoin the operation of any such employer.
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Any individual employer, corporate officer or director of a |
corporate employer, partner of an employer partnership, or |
member of an employer limited liability company who negligently |
fails to provide coverage as required by paragraph (a) of this |
Section is guilty of a Class A misdemeanor. This provision |
shall not apply to any corporate officer or director of any |
publicly-owned corporation. Each day's violation constitutes a |
separate offense. The State's Attorney of the county in which |
the violation occurred, or the Attorney General, shall bring |
such actions in the name of the People of the State of |
Illinois.
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The criminal penalties in this subsection (d) shall not |
apply where
there exists a good faith dispute as to the |
existence of an
employment relationship. Evidence of good faith |
shall
include, but not be limited to, compliance with the |
definition
of employee as used by the Internal Revenue Service.
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Employers who are subject to and who knowingly fail to |
comply with this Section shall not be entitled to the benefits |
of this Act during the period of noncompliance, but shall be |
liable in an action under any other applicable law of this |
State. In the action, such employer shall not avail himself or |
herself of the defenses of assumption of risk or negligence or |
that the injury was due to a co-employee. In the action, proof |
of the injury shall constitute prima facie evidence of |
negligence on the part of such employer and the burden shall be |
on such employer to show freedom of negligence resulting in the |
injury. The employer shall not join any other defendant in any |
such civil action. Nothing in this amendatory Act of the 94th |
General Assembly shall affect the employee's rights under |
subdivision (a)3 of Section 1 of this Act. Any employer or |
carrier who makes payments under subdivision (a)3 of Section 1 |
of this Act shall have a right of reimbursement from the |
proceeds of any recovery under this Section.
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An employee of an uninsured employer, or the employee's |
dependents in case death ensued, may, instead of proceeding |
against the employer in a civil action in court, file an |
application for adjustment of claim with the Commission in |
accordance with the provisions of this Act and the Commission |
shall hear and determine the application for adjustment of |
claim in the manner in which other claims are heard and |
determined before the Commission.
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All proceedings under this subsection (d) shall be reported |
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on an annual basis to the Workers' Compensation Advisory Board.
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An investigator with the Illinois Workers' Compensation |
Commission Insurance Compliance Division may issue a citation |
to any employer that is not in compliance with its obligation |
to have workers' compensation insurance under this Act. The |
amount of the fine shall be based on the period of time the |
employer was in non-compliance, but shall be no less than $500, |
and shall not exceed $2,500. An employer that has been issued a |
citation shall pay the fine to the Commission and provide to |
the Commission proof that it obtained the required workers' |
compensation insurance within 10 days after the citation was |
issued. This Section does not affect any other obligations this |
Act imposes on employers. |
Upon a finding by the Commission, after reasonable notice |
and
hearing, of the knowing and wilful failure or refusal of an |
employer to
comply with
any of the provisions of paragraph (a) |
of this Section, the failure or
refusal of an employer, service |
or adjustment company, or an insurance
carrier to comply with |
any order of the Illinois Workers' Compensation Commission |
pursuant to
paragraph (c) of this Section disqualifying him or |
her to operate as a self
insurer and requiring him or her to |
insure his or her liability, or the knowing and willful failure |
of an employer to comply with a citation issued by an |
investigator with the Illinois Workers' Compensation |
Commission Insurance Compliance Division, the
Commission may |
assess a civil penalty of up to $500 per day for each day of
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such failure or refusal after the effective date of this |
amendatory Act of
1989. The minimum penalty under this Section |
shall be the sum of $10,000.
Each day of such failure or |
refusal shall constitute a separate offense.
The Commission may |
assess the civil penalty personally and individually
against |
the corporate officers and directors of a corporate employer, |
the
partners of an employer partnership, and the members of an |
employer limited
liability company, after a finding of a |
knowing and willful refusal or failure
of each such named |
corporate officer, director, partner, or member to comply
with |
this Section. The liability for the assessed penalty shall be
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against the named employer first, and
if the named employer |
fails or refuses to pay the penalty to the
Commission within 30 |
days after the final order of the Commission, then the
named
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corporate officers, directors, partners, or members who have |
been found to have
knowingly and willfully refused or failed to |
comply with this Section shall be
liable for the unpaid penalty |
or any unpaid portion of the penalty. Upon investigation by the |
insurance non-compliance unit of the Commission, the Attorney |
General shall have the authority to prosecute all proceedings |
to enforce the civil and administrative provisions of this |
Section before the Commission. The Commission shall promulgate |
procedural rules for enforcing this Section.
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Upon the failure or refusal of any employer, service or |
adjustment
company or insurance carrier to comply with the |
provisions of this Section
and with the orders of the |
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Commission under this Section, or the order of
the court on |
review after final adjudication, the Commission may bring a
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civil action to recover the amount of the penalty in Cook |
County or in
Sangamon County in which litigation the Commission |
shall be represented by
the Attorney General. The Commission |
shall send notice of its finding of
non-compliance and |
assessment of the civil penalty to the Attorney General.
It |
shall be the duty of the Attorney General within 30 days after |
receipt
of the notice, to institute prosecutions and promptly |
prosecute all
reported violations of this Section.
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Any individual employer, corporate officer or director of a |
corporate employer, partner of an employer partnership, or |
member of an employer limited liability company who, with the |
intent to avoid payment of compensation under this Act to an |
injured employee or the employee's dependents, knowingly |
transfers, sells, encumbers, assigns, or in any manner disposes |
of, conceals, secretes, or destroys any property belonging to |
the employer, officer, director, partner, or member is guilty |
of a Class 4 felony.
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Penalties and fines collected pursuant to this paragraph |
(d) shall be deposited upon receipt into a special fund which |
shall be designated the Injured Workers' Benefit Fund, of which |
the State Treasurer is ex-officio custodian, such special fund |
to be held and disbursed in accordance with this paragraph (d) |
for the purposes hereinafter stated in this paragraph (d), upon |
the final order of the Commission. The Injured Workers' Benefit |
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Fund shall be deposited the same as are State funds and any |
interest accruing thereon shall be added thereto every 6 |
months. The Injured Workers' Benefit Fund is subject to audit |
the same as State funds and accounts and is protected by the |
general bond given by the State Treasurer. The Injured Workers' |
Benefit Fund is considered always appropriated for the purposes |
of disbursements as provided in this paragraph, and shall be |
paid out and disbursed as herein provided and shall not at any |
time be appropriated or diverted to any other use or purpose. |
Moneys in the Injured Workers' Benefit Fund shall be used only |
for payment of workers' compensation benefits for injured |
employees when the employer has failed to provide coverage as |
determined under this paragraph (d) and has failed to pay the |
benefits due to the injured employee. The Commission shall have |
the right to obtain reimbursement from the employer for |
compensation obligations paid by the Injured Workers' Benefit |
Fund. Any such amounts obtained shall be deposited by the |
Commission into the Injured Workers' Benefit Fund. If an |
injured employee or his or her personal representative receives |
payment from the Injured Workers' Benefit Fund, the State of |
Illinois has the same rights under paragraph (b) of Section 5 |
that the employer who failed to pay the benefits due to the |
injured employee would have had if the employer had paid those |
benefits, and any moneys recovered by the State as a result of |
the State's exercise of its rights under paragraph (b) of |
Section 5 shall be deposited into the Injured Workers' Benefit |
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Fund. The custodian of the Injured Workers' Benefit Fund shall |
be joined with the employer as a party respondent in the |
application for adjustment of claim. After July 1, 2006, the |
Commission shall make disbursements from the Fund once each |
year to each eligible claimant. An eligible claimant is an |
injured worker who has within the previous fiscal year obtained |
a final award for benefits from the Commission against the |
employer and the Injured Workers' Benefit Fund and has notified |
the Commission within 90 days of receipt of such award. Within |
a reasonable time after the end of each fiscal year, the |
Commission shall make a disbursement to each eligible claimant. |
At the time of disbursement, if there are insufficient moneys |
in the Fund to pay all claims, each eligible claimant shall |
receive a pro-rata share, as determined by the Commission, of |
the available moneys in the Fund for that year. Payment from |
the Injured Workers' Benefit Fund to an eligible claimant |
pursuant to this provision shall discharge the obligations of |
the Injured Workers' Benefit Fund regarding the award entered |
by the Commission.
|
(e) This Act shall not affect or disturb the continuance of |
any
existing insurance, mutual aid, benefit, or relief |
association or
department, whether maintained in whole or in |
part by the employer or
whether maintained by the employees, |
the payment of benefits of such
association or department being |
guaranteed by the employer or by some
person, firm or |
corporation for him or her: Provided, the employer contributes
|
|
to such association or department an amount not less than the |
full
compensation herein provided, exclusive of the cost of the |
maintenance
of such association or department and without any |
expense to the
employee. This Act shall not prevent the |
organization and maintaining
under the insurance laws of this |
State of any benefit or insurance
company for the purpose of |
insuring against the compensation provided
for in this Act, the |
expense of which is maintained by the employer.
This Act shall |
not prevent the organization or maintaining under the
insurance |
laws of this State of any voluntary mutual aid, benefit or
|
relief association among employees for the payment of |
additional
accident or sick benefits.
|
(f) No existing insurance, mutual aid, benefit or relief |
association
or department shall, by reason of anything herein |
contained, be
authorized to discontinue its operation without |
first discharging its
obligations to any and all persons |
carrying insurance in the same or
entitled to relief or |
benefits therein.
|
(g) Any contract, oral, written or implied, of employment |
providing
for relief benefit, or insurance or any other device |
whereby the
employee is required to pay any premium or premiums |
for insurance
against the compensation provided for in this Act |
shall be null and
void. Any employer withholding from the wages |
of any employee any
amount for the purpose of paying any such |
premium shall be guilty of a
Class B misdemeanor.
|
In the event the employer does not pay the compensation for |
|
which he or
she is liable, then an insurance company, |
association or insurer which may
have insured such employer |
against such liability shall become primarily
liable to pay to |
the employee, his or her personal representative or
beneficiary |
the compensation required by the provisions of this Act to
be |
paid by such employer. The insurance carrier may be made a |
party to
the proceedings in which the employer is a party and |
an award may be
entered jointly against the employer and the |
insurance carrier.
|
(h) It shall be unlawful for any employer, insurance |
company or
service or adjustment company to interfere with, |
restrain or coerce an
employee in any manner whatsoever in the |
exercise of the rights or
remedies granted to him or her by |
this Act or to discriminate, attempt to
discriminate, or |
threaten to discriminate against an employee in any way
because |
of his or her exercise of the rights or remedies granted to
him |
or her by this Act.
|
It shall be unlawful for any employer, individually or |
through any
insurance company or service or adjustment company, |
to discharge or to
threaten to discharge, or to refuse to |
rehire or recall to active
service in a suitable capacity an |
employee because of the exercise of
his or her rights or |
remedies granted to him or her by this Act.
|
(i) If an employer elects to obtain a life insurance policy |
on his
employees, he may also elect to apply such benefits in |
satisfaction of all
or a portion of the death benefits payable |
|
under this Act, in which case,
the employer's compensation |
premium shall be reduced accordingly.
|
(j) Within 45 days of receipt of an initial application or |
application
to renew self-insurance privileges the |
Self-Insurers Advisory Board shall
review and submit for |
approval by the Chairman of the Commission
recommendations of |
disposition of all initial applications to self-insure
and all |
applications to renew self-insurance privileges filed by |
private
self-insurers pursuant to the provisions of this |
Section and Section 4a-9
of this Act. Each private self-insurer |
shall submit with its initial and
renewal applications the |
application fee required by Section 4a-4 of this Act.
|
The Chairman of the Commission shall promptly act upon all |
initial
applications and applications for renewal in full |
accordance with the
recommendations of the Board or, should the |
Chairman disagree with any
recommendation of disposition of the |
Self-Insurer's Advisory Board, he
shall within 30 days of |
receipt of such recommendation provide to the Board
in writing |
the reasons supporting his decision. The Chairman shall also
|
promptly notify the employer of his decision within 15 days of |
receipt of
the recommendation of the Board.
|
If an employer is denied a renewal of self-insurance |
privileges pursuant
to application it shall retain said |
privilege for 120 days after receipt of
a notice of |
cancellation of the privilege from the Chairman of the |
Commission.
|
|
All orders made by the Chairman under this Section shall be |
subject to
review by the courts, such review to be taken in the |
same manner and within
the same time as provided by subsection |
(f) of Section 19 of this Act for
review of awards and |
decisions of the Commission, upon the party seeking
the review |
filing with the clerk of the court to which such review is |
taken
a bond in an amount to be fixed and approved by the court |
to which the
review is taken, conditioned upon the payment of |
all compensation awarded
against the person taking such review |
pending a decision thereof and
further conditioned upon such |
other obligations as the court may impose.
Upon the review the |
Circuit Court shall have power to review all questions
of fact |
as well as of law.
|
(Source: P.A. 97-18, eff. 6-28-11.)
|
(820 ILCS 305/8.3)
|
Sec. 8.3. Workers' Compensation Medical Fee Advisory |
Board. There is created a Workers' Compensation Medical Fee |
Advisory Board consisting of 9 members appointed by the |
Governor with the advice and consent of the Senate. Three |
members of the Advisory Board shall be representatives of a |
labor organization recognized under the National Labor |
Relations Act or an attorney who has represented labor |
organizations or has represented employees in workers' |
compensation cases representative citizens chosen from the |
employee class , 3 members shall be representative citizens |
|
chosen from the employing class, and 3 members shall be |
representative citizens chosen from the medical provider |
class. Each member shall serve a 4-year term and shall continue |
to serve until a successor is appointed. A vacancy on the |
Advisory Board shall be filled by the Governor for the |
unexpired term. |
Members of the Advisory Board shall receive no compensation |
for their services but shall be reimbursed for expenses |
incurred in the performance of their duties by the Commission |
from appropriations made to the Commission for that purpose. |
The Advisory Board shall advise the Commission on |
establishment of fees for medical services and accessibility of |
medical treatment.
|
(Source: P.A. 94-277, eff. 7-20-05.)
|
(820 ILCS 305/13) (from Ch. 48, par. 138.13)
|
Sec. 13. There is created an Illinois Workers' Compensation |
Commission consisting of 10
members to be appointed by the |
Governor, by and with the consent of the
Senate, 3 of whom |
shall be representative citizens of the
employing class |
operating under this Act and 3 of whom shall
be from a labor |
organization recognized under the National Labor Relations Act |
or an attorney who has represented labor organizations or has |
represented employees in workers' compensation cases, |
representative citizens of the class of employees covered under |
this
Act, and 4 of whom shall be representative citizens not |
|
identified
with either the employing or employee classes. Not |
more than 6 members
of the Commission shall be of the same |
political party.
|
One of the
members not identified with either the employing |
or employee classes shall
be designated by the Governor as |
Chairman. The Chairman shall be the chief
administrative and |
executive officer of the Commission; and he or she shall
have |
general supervisory authority over all personnel of the |
Commission,
including arbitrators and Commissioners, and the |
final authority in all
administrative matters relating to the |
Commissioners, including but not
limited to the assignment and |
distribution of cases and assignment of
Commissioners to the |
panels, except in the promulgation of procedural rules
and |
orders under Section 16 and in the determination of cases under |
this Act.
|
Notwithstanding the general supervisory authority of the |
Chairman, each
Commissioner, except those assigned to the |
temporary panel, shall have the
authority to hire and supervise |
2 staff attorneys each. Such staff attorneys
shall report |
directly to the individual Commissioner.
|
A formal training program for newly-appointed |
Commissioners shall be
implemented. The training program shall |
include the following:
|
(a) substantive and procedural aspects of the office of |
Commissioner;
|
(b) current issues in workers' compensation law and |
|
practice;
|
(c) medical lectures by specialists in areas such as |
orthopedics,
ophthalmology, psychiatry, rehabilitation |
counseling;
|
(d) orientation to each operational unit of the |
Illinois Workers' Compensation Commission;
|
(e) observation of experienced arbitrators and |
Commissioners conducting
hearings of cases, combined with |
the opportunity to discuss evidence
presented and rulings |
made;
|
(f) the use of hypothetical cases requiring the |
newly-appointed
Commissioner to issue judgments as a means |
to evaluating knowledge and
writing ability;
|
(g) writing skills;
|
(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
Commissioners informed of recent |
developments and issues and to assist them
in maintaining and |
enhancing their professional competence. Each Commissioner |
shall complete 20 hours of training in the above-noted areas |
during every 2 years such Commissioner shall remain in office.
|
The Commissioner candidates, other than the Chairman, must |
meet one of
the following qualifications: (a) licensed to |
practice law in the State of
Illinois; or (b) served as an |
arbitrator at the Illinois Workers' Compensation
Commission |
for at least 3 years; or (c) has at least 4 years of
|
professional labor relations experience. The Chairman |
candidate must have
public or private sector management and |
budget experience, as determined
by the Governor.
|
Each Commissioner shall devote full time to his duties and |
any
Commissioner who is an attorney-at-law shall not engage in |
the practice
of law, nor shall any Commissioner hold any other |
office or position of
profit under the United States or this |
State or any municipal
corporation or political subdivision of |
this State, nor engage in any other
business, employment, or |
vocation.
|
The term of office of each member of the Commission holding |
office on
the effective date of this amendatory Act of 1989 is |
|
abolished, but
the incumbents shall continue to exercise all of |
the powers and be subject
to all of the duties of Commissioners |
until their respective successors are
appointed and qualified.
|
The Illinois Workers' Compensation Commission shall |
administer this Act.
|
In the promulgation of procedural rules, the determination |
of cases heard en banc, and other matters determined by the |
full Commission, the Chairman's vote shall break a tie in the |
event of a tie vote.
|
The members shall be appointed by the Governor, with the |
advice and
consent of the Senate, as follows:
|
(a) After the effective date of this amendatory Act of |
1989, 3
members, at least one of
each political party, and |
one of whom shall be a representative citizen
of the |
employing class operating under this Act, one of whom shall |
be
a representative citizen of the class of employees |
covered under this
Act, and one of whom shall be a |
representative citizen not identified
with either the |
employing or employee classes, shall be appointed
to hold |
office until the third Monday in January of 1993, and until |
their
successors are appointed and qualified, and 4 |
members, one of whom shall be
a representative citizen of |
the employing class operating under this Act,
one of whom |
shall be a representative citizen of the class of employees
|
covered in this Act, and two of whom shall be |
representative citizens not
identified with either the |
|
employing or employee classes, one of whom shall
be |
designated by the Governor as Chairman (at least one of |
each of the two
major political parties) shall be appointed |
to hold office until the third
Monday of January in 1991, |
and until their successors are appointed and
qualified.
|
(a-5) Notwithstanding any other provision of this |
Section,
the term of each member of the Commission
who was |
appointed by the Governor and is in office on June 30, 2003 |
shall
terminate at the close of business on that date or |
when all of the successor
members to be appointed pursuant |
to this amendatory Act of the 93rd General
Assembly have |
been appointed by the Governor, whichever occurs later. As |
soon
as possible, the Governor shall appoint persons to |
fill the vacancies created
by this amendatory Act. Of the |
initial commissioners appointed pursuant to
this |
amendatory Act of the 93rd General Assembly, 3 shall be |
appointed for
terms ending on the third Monday in January, |
2005, and 4 shall be appointed
for terms ending on the |
third Monday in January, 2007.
|
(a-10) After the effective date of this amendatory Act |
of the 94th General Assembly, the Commission shall be |
increased to 10 members. As soon as possible after the |
effective date of this amendatory Act of the 94th General |
Assembly, the Governor shall appoint, by and with the |
consent of the
Senate, the 3 members added to the |
Commission under this amendatory Act of the 94th General |
|
Assembly, one of whom shall be a representative citizen of |
the employing class operating under this Act, one of whom |
shall be a representative of the class of employees covered |
under this Act, and one of whom shall be a representative |
citizen not identified with either the employing or |
employee classes. Of the members appointed under this |
amendatory Act of the 94th General Assembly, one shall be |
appointed for a term ending on the third Monday in January, |
2007, and 2 shall be appointed for terms ending on the |
third Monday in January, 2009, and until their successors |
are appointed and qualified.
|
(b) Members shall thereafter be appointed to hold |
office for terms of 4
years from the third Monday in |
January of the year of their appointment,
and until their |
successors are appointed and qualified. All such
|
appointments shall be made so that the composition of the |
Commission is in
accordance with the provisions of the |
first paragraph of this Section.
|
The Chairman shall receive an annual salary of $42,500, or
|
a salary set by the Compensation Review Board, whichever is |
greater,
and each other member shall receive an annual salary |
of $38,000, or a
salary set by the Compensation Review Board, |
whichever is greater.
|
In case of a vacancy in the office of a Commissioner during |
the
recess of the Senate, the Governor shall make a temporary |
appointment
until the next meeting of the Senate, when he shall |
|
nominate some person
to fill such office. Any person so |
nominated who is confirmed by the
Senate shall hold office |
during the remainder of the term and until his
successor is |
appointed and qualified.
|
The Illinois Workers' Compensation Commission created by |
this amendatory Act of 1989
shall succeed to all the rights, |
powers, duties, obligations, records
and other property and |
employees of the Industrial Commission which it
replaces as |
modified by this amendatory Act of 1989 and all applications
|
and reports to actions and proceedings of such prior Industrial |
Commission
shall be considered as applications and reports to |
actions and proceedings
of the Illinois Workers' Compensation |
Commission created by this amendatory Act of 1989.
|
Notwithstanding any other provision of this Act, in the |
event the
Chairman shall make a finding that a member is or |
will be unavailable to
fulfill the responsibilities of his or |
her office, the Chairman shall
advise the Governor and the |
member in writing and shall designate a
certified arbitrator to |
serve as acting Commissioner. The certified
arbitrator shall |
act as a Commissioner until the member resumes the duties
of |
his or her office or until a new member is appointed by the |
Governor, by
and with the consent of the Senate, if a vacancy |
occurs in the office of
the Commissioner, but in no event shall |
a certified arbitrator serve in the
capacity of Commissioner |
for more than 6 months from the date of
appointment by the |
Chairman. A finding by the Chairman that a member is or
will be |
|
unavailable to fulfill the responsibilities of his or her |
office
shall be based upon notice to the Chairman by a member |
that he or she will
be unavailable or facts and circumstances |
made known to the Chairman which
lead him to reasonably find |
that a member is unavailable to fulfill the
responsibilities of |
his or her office. The designation of a certified
arbitrator to |
act as a Commissioner shall be considered representative of
|
citizens not identified with either the employing or employee |
classes and
the arbitrator shall serve regardless of his or her |
political affiliation.
A certified arbitrator who serves as an |
acting Commissioner shall have all
the rights and powers of a |
Commissioner, including salary.
|
Notwithstanding any other provision of this Act, the |
Governor shall appoint
a special panel of Commissioners |
comprised of 3 members who shall be chosen
by the Governor, by |
and with the consent of the Senate, from among the
current |
ranks of certified arbitrators. Three members shall hold office
|
until the Commission in consultation with the Governor |
determines that the
caseload on review has been reduced |
sufficiently to allow cases to proceed
in a timely manner or |
for a term of 18 months from the effective date of
their |
appointment by the Governor, whichever shall be earlier. The 3
|
members shall be considered representative of citizens not |
identified with
either the employing or employee classes and |
shall serve regardless of
political affiliation. Each of the 3 |
members shall have only such rights
and powers of a |
|
Commissioner necessary to dispose of those cases assigned
to |
the special panel. Each of the 3 members appointed to the |
special panel
shall receive the same salary as other |
Commissioners for the duration of
the panel.
|
The Commission may have an Executive Director; if so, the |
Executive
Director shall be appointed by the Governor with the |
advice and consent of the
Senate. The salary and duties of the |
Executive Director shall be fixed by the
Commission.
|
On the effective date of this amendatory Act of
the 93rd |
General Assembly, the name of the Industrial Commission is |
changed to the Illinois Workers' Compensation Commission. |
References in any law, appropriation, rule, form, or other
|
document: (i) to the Industrial Commission
are deemed, in |
appropriate contexts, to be references to the Illinois Workers' |
Compensation Commission for all purposes; (ii) to the |
Industrial Commission Operations Fund
are deemed, in |
appropriate contexts, to be references to the Illinois Workers' |
Compensation Commission Operations Fund for all purposes; |
(iii) to the Industrial Commission Operations Fund Fee are |
deemed, in appropriate contexts, to be
references to the |
Illinois Workers' Compensation Commission Operations Fund Fee |
for all
purposes; and (iv) to the Industrial Commission |
Operations Fund Surcharge are deemed, in appropriate contexts, |
to be
references to the Illinois Workers' Compensation |
Commission Operations Fund Surcharge for all
purposes. |
(Source: P.A. 97-18, eff. 6-28-11.)
|
|
(820 ILCS 305/13.1) (from Ch. 48, par. 138.13-1)
|
Sec. 13.1. (a) There is created a Workers' Compensation |
Advisory Board
hereinafter referred to as the Advisory Board. |
After the effective date of this amendatory Act of the 94th |
General Assembly, the Advisory Board shall consist of 12 |
members
appointed by the Governor with the advice and consent |
of the Senate. Six
members of the Advisory Board shall be
|
representative citizens chosen from a labor organization |
recognized under the National Labor Relations Act or an |
attorney who has represented labor organizations or has |
represented employees in workers' compensation cases the |
employee class , and 6 members shall be
representative citizens |
chosen from the employing class. The Chairman of the Commission |
shall serve as the ex officio Chairman of the Advisory Board. |
After the effective date of this amendatory Act of the 94th |
General Assembly, each member of the Advisory Board shall serve |
a
term ending on the third Monday in January 2007 and shall |
continue to serve until his or her successor is appointed and |
qualified. Members of the Advisory Board shall thereafter be |
appointed for 4 year terms from the third Monday in January of |
the year of their appointment, and until their successors are |
appointed and qualified.
Seven members
of the Advisory Board |
shall constitute a quorum to do business, but in no
case shall |
there be less than one representative from each class. A |
vacancy on the Advisory Board shall be
filled by the Governor |
|
for the unexpired term.
|
(b) Members of the Advisory Board shall receive no |
compensation for
their services but shall be reimbursed for |
expenses incurred in the
performance of their duties by the |
Commission from appropriations made to
the Commission for such |
purpose.
|
(c) The Advisory Board shall aid the Commission in |
formulating policies,
discussing problems, setting priorities |
of expenditures, reviewing advisory rates filed by an advisory |
organization as defined in Section 463 of the Illinois |
Insurance Code, and establishing
short and long range |
administrative goals. Prior to making the (1) initial set of |
arbitrator appointments pursuant to this amendatory Act of the |
97th General Assembly and (2) appointment of Commissioners, the |
Governor shall request that the Advisory Board make |
recommendations as to candidates to consider for appointment |
and the Advisory Board may then make such recommendations.
|
(d) The terms of all Advisory Board members serving on the |
effective date of this amendatory Act of the 97th General |
Assembly are terminated. The Governor shall appoint new members |
to the Advisory Board within 30 days after the effective date |
of the amendatory Act of the 97th General Assembly, subject to |
the advice and consent of the Senate. |
(Source: P.A. 97-18, eff. 6-28-11.)
|
(820 ILCS 305/19) (from Ch. 48, par. 138.19)
|
|
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. 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
|
(a-1) of the Workers' Occupational Diseases Act having |
reference to such
application shall apply.
|
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
|
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.
|
(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.
|
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.
|
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.
|
|
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, 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.
|
(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.
|
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 accident;
|
(ii) the approximate location of the accident;
|
(iii) a description of the accident;
|
(iv) the nature of the injury incurred by the employee;
|
(v) the identity of the person, if known, to whom the |
|
accident 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
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;
|
(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;
|
(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;
|
(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 from a labor organization recognized |
under the National Labor Relations Act or an attorney who has |
represented labor organizations or has represented employees |
in workers' compensation cases 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 the |
Commission notice of intent to file for review in Circuit |
Court. It shall be the duty
of the Commission upon such |
filing of notice of intent to file for review in the |
Circuit Court to prepare a true and correct
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 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 filing with the Commission of the notice of |
the intent to file for review in the Circuit Court or an |
affidavit
of the attorney setting forth that notice of |
intent to file for review in the Circuit Court has been |
given in writing 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 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 or the Occupational Safety and Health 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; 98-40, eff. 6-28-13; 98-874, |
eff. 1-1-15 .)
|
Section 15. The Workers' Occupational Diseases Act is |
amended by changing Section 19 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 from a labor organization recognized |
under the National Labor Relations Act or an attorney who has |
represented labor organizations or has represented employees |
in workers' compensation cases 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. It |
shall be
the duty of the Commission upon such filing of |
notice of intent to file for review in Circuit Court to |
prepare a true and correct
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 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
filing with the Commission of the notice of |
the intent to file for review in the Circuit Court or an |
affidavit of the attorney setting
forth that notice of |
intent to file for review in Circuit Court has been given |
in writing 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. 98-40, eff. 6-28-13.)
|