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Public Act 098-0040 |
HB3390 Enrolled | LRB098 07552 HEP 37623 b |
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AN ACT concerning civil law.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Workers' Compensation Act is amended by |
changing Sections 9, 14, 15a, 19, 19a, and 20 as follows:
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(820 ILCS 305/9) (from Ch. 48, par. 138.9)
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Sec. 9.
Any employer or employee or beneficiary who shall |
desire to have
such compensation, or any unpaid part thereof, |
paid in a lump sum, may
petition the Commission, asking that |
such compensation be so paid. If, upon
proper notice to the |
interested parties and a proper showing made before
such |
Commission or any member thereof, it appears to the best |
interest of
the parties that such compensation be so paid, the |
Commission may order the
commutation of the compensation to an |
equivalent lump sum, which
commutation shall be an amount which |
will equal the total sum of the
probable future payments |
capitalized at their present value upon the basis
of interest |
calculated at the maximum rate of interest payable by member
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banks of the Federal Reserve System on passbook savings |
deposits as published
in Regulation Q or its successor or, if |
Regulation Q or its successor is
repealed, then the rate in |
effect on the date of repeal. Prior to approval of any pro se |
Settlement Contract Lump Sum Petition, the Commission or an |
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Arbitrator thereof shall determine if the unrepresented |
employee, if present, is able to read and communicate in |
English. If not, it shall be the responsibility of the |
Commission to provide a qualified, independent interpreter at |
the time such Petition is heard, unless the employee has |
provided his or her own interpreter.
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In cases indicating complete disability no petition for a |
commutation to
a lump sum basis shall be entertained by the |
Commission until after the
expiration of 6 months from the date |
of the injury.
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Where necessary, upon proper application being made, a |
guardian
or administrator, as the case may be, may be appointed |
for any
person under disability who may be entitled to any such |
compensation and an
employer bound by the terms of this Act and |
liable to pay such
compensation, may petition for the |
appointment of the public administrator,
or guardian, where no |
legal representative has been
appointed or is acting for such |
party or parties so under disability.
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The payment of compensation in a lump sum to the employee |
in his or her
lifetime upon order of the Commission, shall |
extinguish and bar all claims
for compensation for death if the |
compensation paid in a lump sum
represents a compromise of a |
dispute on any question other than the extent
of disability.
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Subject to the provisions herein above in this paragraph |
contained,
where no dispute exists as to the fact that the |
accident arose out of and
in the course of the employment and |
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where such accident results in death or
in the amputation of |
any member or in the enucleation of an eye, then and
in such |
case the arbitrator or Commission may, upon the petition of |
either
the employer or the employee, enter an award providing |
for the payment of
compensation for such death or injury in |
accordance with the provisions of
Section 7 or paragraph (e) of |
Section 8 of this Act.
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(Source: P.A. 83-1362.)
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(820 ILCS 305/14) (from Ch. 48, par. 138.14)
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Sec. 14. The Commission shall appoint a secretary, an |
assistant
secretary, and arbitrators and shall employ such
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assistants and clerical help as may be necessary. Arbitrators |
shall be appointed pursuant to this Section, notwithstanding |
any provision of the Personnel Code.
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Each arbitrator appointed after June 28, 2011 after |
November 22, 1977 shall be required
to demonstrate in writing |
and in accordance with
the rules and regulations of the |
Illinois Department of Central Management
Services his or
her |
knowledge of and expertise in the law of and judicial processes |
of
the Workers' Compensation Act and the Occupational Diseases |
Act.
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A formal training program for newly-hired arbitrators |
shall be
implemented. The training program shall include the |
following:
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(a) substantive and procedural aspects of the |
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arbitrator position;
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(b) current issues in workers' compensation law and |
practice;
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(c) medical lectures by specialists in areas such as |
orthopedics,
ophthalmology, psychiatry, rehabilitation |
counseling;
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(d) orientation to each operational unit of the |
Illinois Workers' Compensation Commission;
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(e) observation of experienced arbitrators conducting |
hearings of cases,
combined with the opportunity to discuss |
evidence presented and rulings made;
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(f) the use of hypothetical cases requiring the trainee |
to issue
judgments as a means to evaluating knowledge and |
writing ability;
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(g) writing skills;
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(h) professional and ethical standards pursuant to |
Section 1.1 of this Act; |
(i) detection of workers' compensation fraud and |
reporting obligations of Commission employees and |
appointees; |
(j) standards of evidence-based medical treatment and |
best practices for measuring and improving quality and |
health care outcomes in the workers' compensation system, |
including but not limited to the use of the American |
Medical Association's "Guides to the Evaluation of |
Permanent Impairment" and the practice of utilization |
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review; and |
(k) substantive and procedural aspects of coal |
workers' pneumoconiosis (black lung) cases. |
A formal and ongoing professional development program |
including, but not
limited to, the above-noted areas shall be |
implemented to keep arbitrators
informed of recent |
developments and issues and to assist them in
maintaining and |
enhancing their professional competence. Each arbitrator shall |
complete 20 hours of training in the above-noted areas during |
every 2 years such arbitrator shall remain in office.
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Each
arbitrator shall devote full time to his or her duties |
and shall serve when
assigned as
an acting Commissioner when a |
Commissioner is unavailable in accordance
with the provisions |
of Section 13 of this Act. Any
arbitrator who is an |
attorney-at-law shall not engage in the practice of
law, nor |
shall any arbitrator hold any other office or position of
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profit under the United States or this State or any municipal
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corporation or political subdivision of this State.
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Notwithstanding any other provision of this Act to the |
contrary, an arbitrator
who serves as an acting Commissioner in |
accordance with the provisions of
Section 13 of this Act shall |
continue to serve in the capacity of Commissioner
until a |
decision is reached in every case heard by that arbitrator |
while
serving as an acting Commissioner.
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Notwithstanding any other provision of this Section, the |
term of all arbitrators serving on the effective date of this |
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amendatory Act of the 97th General Assembly, including any |
arbitrators on administrative leave, shall terminate at the |
close of business on July 1, 2011, but the incumbents shall |
continue to exercise all of their duties until they are |
reappointed or their successors are appointed. |
On and after the effective date of this amendatory Act of |
the 97th General Assembly, arbitrators shall be appointed to |
3-year terms as follows: |
(1) All appointments shall be made by the Governor with |
the advice and consent of the Senate. |
(2) For their initial appointments, 12 arbitrators |
shall be appointed to terms expiring July 1, 2012; 12 |
arbitrators shall be appointed to terms expiring July 1, |
2013; and all additional arbitrators shall be appointed to |
terms expiring July 1, 2014. Thereafter, all arbitrators |
shall be appointed to 3-year terms. |
Upon the expiration of a term, the Chairman shall evaluate |
the performance of the arbitrator and may recommend to the |
Governor that he or she be reappointed to a second or |
subsequent term by the Governor with the advice and consent of |
the Senate. |
Each arbitrator appointed on or after the effective date of |
this amendatory Act of the 97th General Assembly and who has |
not previously served as an arbitrator for the Commission shall |
be required to be authorized to practice law in this State by |
the Supreme Court, and to maintain this authorization |
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throughout his or her term of employment.
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The All arbitrators shall be subject to the provisions of |
the Personnel Code,
and the performance of all arbitrators |
shall be reviewed by the Chairman on
an annual basis. The |
changes made to this Section by this amendatory Act of the 97th |
General Assembly shall prevail over any conflict with the |
Personnel Code. The Chairman shall allow input from the |
Commissioners in
all such reviews.
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The Commission shall assign no fewer than 3 arbitrators to |
each hearing site. The Commission shall establish a procedure |
to ensure that the arbitrators assigned to each hearing site |
are assigned cases on a random basis. No arbitrator shall hear |
cases in any county, other than Cook County, for more than 2 |
years in each 3-year term. |
The Secretary and each arbitrator shall receive a per annum |
salary of
$4,000 less than the per annum salary of members of |
The
Illinois Workers' Compensation Commission as
provided in |
Section 13 of this Act, payable in equal monthly installments.
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The members of the Commission, Arbitrators and other |
employees whose
duties require them to travel, shall have |
reimbursed to them their
actual traveling expenses and |
disbursements made or incurred by them in
the discharge of |
their official duties while away from their place of
residence |
in the performance of their duties.
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The Commission shall provide itself with a seal for the
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authentication of its orders, awards and proceedings upon which |
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shall be
inscribed the name of the Commission and the words |
"Illinois--Seal".
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The Secretary or Assistant Secretary, under the direction |
of the
Commission, shall have charge and custody of the seal of |
the Commission
and also have charge and custody of all records, |
files, orders,
proceedings, decisions, awards and other |
documents on file with the
Commission. He shall furnish |
certified copies, under the seal of the
Commission, of any such |
records, files, orders, proceedings, decisions,
awards and |
other documents on file with the Commission as may be
required. |
Certified copies so furnished by the Secretary or Assistant
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Secretary shall be received in evidence before the Commission |
or any
Arbitrator thereof, and in all courts, provided that the |
original of
such certified copy is otherwise competent and |
admissible in evidence.
The Secretary or Assistant Secretary |
shall perform such other duties as
may be prescribed from time |
to time by the Commission.
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(Source: P.A. 97-18, eff. 6-28-11; 97-719, eff. 6-29-12.)
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(820 ILCS 305/15a) (from Ch. 48, par. 138.15a)
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Sec. 15a.
The Beginning January 1, 1981, the Commission |
shall prepare and
publish a handbook in readily understandable |
language in question and answer
form containing all information |
as to the rights and obligations of employers
and employees |
under the provisions
of this Act.
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Upon receipt of first report of injury, as provided for in |
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subsection (b)
of Section 6 of this Act, the Commission shall |
determine that a copy
of the handbook has been forwarded to the |
injured employee or his beneficiary.
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The handbook shall be made available free of charge to the |
general public and be maintained on the Commission's Internet |
website .
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The Commission shall provide informational assistance to |
employers and
employees regarding their rights and obligations |
under this Act and the
process and procedure before the |
Commission.
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(Source: P.A. 86-998.)
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(820 ILCS 305/19) (from Ch. 48, par. 138.19)
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Sec. 19. Any disputed questions of law or fact shall be |
determined
as herein provided.
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(a) It shall be the duty of the Commission upon |
notification that
the parties have failed to reach an |
agreement, to designate an Arbitrator.
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1. Whenever any claimant misconceives his remedy and |
files an
application for adjustment of claim under this Act |
and it is
subsequently discovered, at any time before final |
disposition of such
cause, that the claim for disability or |
death which was the basis for
such application should |
properly have been made under the Workers'
Occupational |
Diseases Act, then the provisions of Section 19, paragraph
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(a-1) of the Workers' Occupational Diseases Act having |
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reference to such
application shall apply.
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2. Whenever any claimant misconceives his remedy and |
files an
application for adjustment of claim under the |
Workers' Occupational
Diseases Act and it is subsequently |
discovered, at any time before final
disposition of such |
cause that the claim for injury or death which was
the |
basis for such application should properly have been made |
under this
Act, then the application so filed under the |
Workers' Occupational
Diseases Act may be amended in form, |
substance or both to assert claim
for such disability or |
death under this Act and it shall be deemed to
have been so |
filed as amended on the date of the original filing
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thereof, and such compensation may be awarded as is |
warranted by the
whole evidence pursuant to this Act. When |
such amendment is submitted,
further or additional |
evidence may be heard by the Arbitrator or
Commission when |
deemed necessary. Nothing in this Section contained
shall |
be construed to be or permit a waiver of any provisions of |
this
Act with reference to notice but notice if given shall |
be deemed to be a
notice under the provisions of this Act |
if given within the time
required herein.
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(b) The Arbitrator shall make such inquiries and |
investigations as he or
they shall deem necessary and may |
examine and inspect all books, papers,
records, places, or |
premises relating to the questions in dispute and hear
such |
proper evidence as the parties may submit.
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The hearings before the Arbitrator shall be held in the |
vicinity where
the injury occurred after 10 days' notice of the |
time and place of such
hearing shall have been given to each of |
the parties or their attorneys
of record.
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The Arbitrator may find that the disabling condition is |
temporary and has
not yet reached a permanent condition and may |
order the payment of
compensation up to the date of the |
hearing, which award shall be reviewable
and enforceable in the |
same manner as other awards, and in no instance be a
bar to a |
further hearing and determination of a further amount of |
temporary
total compensation or of compensation for permanent |
disability, but shall
be conclusive as to all other questions |
except the nature and extent of said
disability.
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The decision of the Arbitrator shall be filed with the |
Commission which
Commission shall immediately send to each |
party or his attorney a copy of
such decision, together with a |
notification of the time when it was filed.
As of the effective |
date of this amendatory Act of the 94th General Assembly, all |
decisions of the Arbitrator shall set forth
in writing findings |
of fact and conclusions of law, separately stated, if requested |
by either party.
Unless a petition for review is filed by |
either party within 30 days after
the receipt by such party of |
the copy of the decision and notification of
time when filed, |
and unless such party petitioning for a review shall
within 35 |
days after the receipt by him of the copy of the decision, file
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with the Commission either an agreed statement of the facts |
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appearing upon
the hearing before the Arbitrator, or if such
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party shall so elect a correct transcript of evidence of the |
proceedings
at such hearings, then the decision shall become |
the decision of the
Commission and in the absence of fraud |
shall be conclusive.
The Petition for Review shall contain a |
statement of the petitioning party's
specific exceptions to the |
decision of the arbitrator. The jurisdiction
of the Commission |
to review the decision of the arbitrator shall not be
limited |
to the exceptions stated in the Petition for Review.
The |
Commission, or any member thereof, may grant further time not |
exceeding
30 days, in which to file such agreed statement or |
transcript of
evidence. Such agreed statement of facts or |
correct transcript of
evidence, as the case may be, shall be |
authenticated by the signatures
of the parties or their |
attorneys, and in the event they do not agree as
to the |
correctness of the transcript of evidence it shall be |
authenticated
by the signature of the Arbitrator designated by |
the Commission.
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Whether the employee is working or not, if the employee is |
not receiving or has not received medical, surgical, or |
hospital services or other services or compensation as provided |
in paragraph (a) of Section 8, or compensation as provided in |
paragraph (b) of Section 8, the employee may at any time |
petition for an expedited hearing by an Arbitrator on the issue |
of whether or not he or she is entitled to receive payment of |
the services or compensation. Provided the employer continues |
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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 |
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under this paragraph. A copy of the Application for Adjustment |
of Claim shall be attached to the notice. The Commission shall |
adopt rules and procedures under which the final decision of |
the Commission under this paragraph is filed not later than 180 |
days from the date that the Petition for Review is filed with |
the Commission. |
Where 2 or more insurance carriers, private self-insureds, |
or a group workers' compensation pool under Article V 3/4 of |
the Illinois Insurance Code dispute coverage for the same |
injury, any such insurance carrier, private self-insured, or |
group workers' compensation pool may request an expedited |
hearing pursuant to this paragraph to determine the issue of |
coverage, provided coverage is the only issue in dispute and |
all other issues are stipulated and agreed to and further |
provided that all compensation benefits including medical |
benefits pursuant to Section 8(a) continue to be paid to or on |
behalf of petitioner. Any insurance carrier, private |
self-insured, or group workers' compensation pool that is |
determined to be liable for coverage for the injury in issue |
shall reimburse any insurance carrier, private self-insured, |
or group workers' compensation pool that has paid benefits to |
or on behalf of petitioner for the injury.
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(b-1) If the employee is not receiving medical, surgical or |
hospital
services as provided in paragraph (a) of Section 8 or |
compensation as
provided in paragraph (b) of Section 8, the |
employee, in accordance with
Commission Rules, may file a |
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petition for an emergency hearing by an
Arbitrator on the issue |
of whether or not he is entitled to receive payment
of such |
compensation or services as provided therein. Such petition |
shall
have priority over all other petitions and shall be heard |
by the Arbitrator
and Commission with all convenient speed.
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Such petition shall contain the following information and |
shall be served
on the employer at least 15 days before it is |
filed:
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(i) the date and approximate time of accident;
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(ii) the approximate location of the accident;
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(iii) a description of the accident;
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(iv) the nature of the injury incurred by the employee;
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(v) the identity of the person, if known, to whom the |
accident was
reported and the date on which it was |
reported;
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(vi) the name and title of the person, if known, |
representing the
employer with whom the employee conferred |
in any effort to obtain
compensation pursuant to paragraph |
(b) of Section 8 of this Act or medical,
surgical or |
hospital services pursuant to paragraph (a) of Section 8 of
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this Act and the date of such conference;
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(vii) a statement that the employer has refused to pay |
compensation
pursuant to paragraph (b) of Section 8 of this |
Act or for medical, surgical
or hospital services pursuant |
to paragraph (a) of Section 8 of this Act;
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(viii) the name and address, if known, of each witness |
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to the accident
and of each other person upon whom the |
employee will rely to support his
allegations;
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(ix) the dates of treatment related to the accident by |
medical
practitioners, and the names and addresses of such |
practitioners, including
the dates of treatment related to |
the accident at any hospitals and the
names and addresses |
of such hospitals, and a signed authorization
permitting |
the employer to examine all medical records of all |
practitioners
and hospitals named pursuant to this |
paragraph;
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(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;
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(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;
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(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;
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(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.
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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
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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.
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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 |
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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
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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.
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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.
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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 |
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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.
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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.
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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
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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.
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(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 |
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appears that such an examination will materially aid in the
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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.
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(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.
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(3) A copy of the report of examination shall be given to |
the Commission
and to the attorneys for the parties.
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(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.
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(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
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for such service.
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(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.
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(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
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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.
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(e) This paragraph shall apply to all hearings before the |
Commission.
Such hearings may be held in its office or |
elsewhere as the Commission
may deem advisable. The taking of |
testimony on such hearings may be had
before any member of the |
Commission. If a petition for review and agreed
statement of |
facts or transcript of evidence is filed, as provided herein,
|
the Commission shall promptly review the decision of the |
Arbitrator and all
questions of law or fact which appear from |
the statement of facts or
transcript of evidence.
|
In all cases in which the hearing before the arbitrator is |
held after
December 18, 1989, no additional evidence shall be |
introduced by the
parties before the Commission on review of |
the decision of the Arbitrator.
In reviewing decisions of an |
|
arbitrator the Commission shall award such
temporary |
compensation, permanent compensation and other payments as are
|
due under this Act. The Commission shall file in its office its |
decision
thereon, and shall immediately send to each party or |
his attorney a copy of
such decision and a notification of the |
time when it was filed. Decisions
shall be filed within 60 days |
after the Statement of Exceptions and
Supporting Brief and |
Response thereto are required to be filed or oral
argument |
whichever is later.
|
In the event either party requests oral argument, such |
argument shall be
had before a panel of 3 members of the |
Commission (or before all available
members pursuant to the |
determination of 7 members of the Commission that
such argument |
be held before all available members of the Commission)
|
pursuant to the rules and regulations of the Commission. A |
panel of 3
members, which shall be comprised of not more than |
one representative
citizen of the employing class and not more |
than one representative citizen
of the employee class, shall |
hear the argument; provided that if all the
issues in dispute |
are solely the nature and extent of the permanent partial
|
disability, if any, a majority of the panel may deny the |
request for such
argument and such argument shall not be held; |
and provided further that 7
members of the Commission may |
determine that the argument be held before
all available |
members of the Commission. A decision of the Commission
shall |
be approved by a majority of Commissioners present at such |
|
hearing if
any; provided, if no such hearing is held, a |
decision of the Commission
shall be approved by a majority of a |
panel of 3 members of the Commission
as described in this |
Section. The Commission shall give 10 days' notice to
the |
parties or their attorneys of the time and place of such taking |
of
testimony and of such argument.
|
In any case the Commission in its decision may find |
specially
upon any question or questions of law or fact which |
shall be submitted
in writing by either party whether ultimate |
or otherwise;
provided that on issues other than nature and |
extent of the disability,
if any, the Commission in its |
decision shall find specially upon any
question or questions of |
law or fact, whether ultimate or otherwise,
which are submitted |
in writing by either party; provided further that
not more than |
5 such questions may be submitted by either party. Any
party |
may, within 20 days after receipt of notice of the Commission's
|
decision, or within such further time, not exceeding 30 days, |
as the
Commission may grant, file with the Commission either an |
agreed
statement of the facts appearing upon the hearing, or, |
if such party
shall so elect, a correct transcript of evidence |
of the additional
proceedings presented before the Commission, |
in which report the party
may embody a correct statement of |
such other proceedings in the case as
such party may desire to |
have reviewed, such statement of facts or
transcript of |
evidence to be authenticated by the signature of the
parties or |
their attorneys, and in the event that they do not agree,
then |
|
the authentication of such transcript of evidence shall be by |
the
signature of any member of the Commission.
|
If a reporter does not for any reason furnish a transcript |
of the
proceedings before the Arbitrator in any case for use on |
a hearing for
review before the Commission, within the |
limitations of time as fixed in
this Section, the Commission |
may, in its discretion, order a trial de
novo before the |
Commission in such case upon application of either
party. The |
applications for adjustment of claim and other documents in
the |
nature of pleadings filed by either party, together with the
|
decisions of the Arbitrator and of the Commission and the |
statement of
facts or transcript of evidence hereinbefore |
provided for in paragraphs
(b) and (c) shall be the record of |
the proceedings of the Commission,
and shall be subject to |
review as hereinafter provided.
|
At the request of either party or on its own motion, the |
Commission shall
set forth in writing the reasons for the |
decision, including findings of
fact and conclusions of law |
separately stated. The Commission shall by rule
adopt a format |
for written decisions for the Commission and arbitrators.
The |
written decisions shall be concise and shall succinctly state |
the facts
and reasons for the decision. The Commission may |
adopt in whole or in part,
the decision of the arbitrator as |
the decision of the Commission. When the
Commission does so |
adopt the decision of the arbitrator, it shall do so by
order. |
Whenever the Commission adopts part of the arbitrator's |
|
decision,
but not all, it shall include in the order the |
reasons for not adopting all
of the arbitrator's decision. When |
a majority of a panel, after
deliberation, has arrived at its |
decision, the decision shall be filed as
provided in this |
Section without unnecessary delay, and without regard to
the |
fact that a member of the panel has expressed an intention to |
dissent.
Any member of the panel may file a dissent. Any |
dissent shall be filed no
later than 10 days after the decision |
of the majority has been filed.
|
Decisions rendered by the Commission and dissents, if any, |
shall be
published together by the Commission. The conclusions |
of law set out in
such decisions shall be regarded as |
precedents by arbitrators for the purpose
of achieving a more |
uniform administration of this Act.
|
(f) The decision of the Commission acting within its |
powers,
according to the provisions of paragraph (e) of this |
Section shall, in
the absence of fraud, be conclusive unless |
reviewed as in this paragraph
hereinafter provided. However, |
the Arbitrator or the Commission may on
his or its own motion, |
or on the motion of either party, correct any
clerical error or |
errors in computation within 15 days after the date of
receipt |
of any award by such Arbitrator or any decision on review of |
the
Commission and shall have the power to recall the original |
award on
arbitration or decision on review, and issue in lieu |
thereof such
corrected award or decision. Where such correction |
is made the time for
review herein specified shall begin to run |
|
from the date of
the receipt of the corrected award or |
decision.
|
(1) Except in cases of claims against the State of |
Illinois other than those claims under Section 18.1, in
|
which case the decision of the Commission shall not be |
subject to
judicial review, the Circuit Court of the county |
where any of the
parties defendant may be found, or if none |
of the parties defendant can
be found in this State then |
the Circuit Court of the county where the
accident |
occurred, shall by summons to the Commission have
power to |
review all questions of law and fact presented by such |
record.
|
A proceeding for review shall be commenced within 20 |
days of
the receipt of notice of the decision of the |
Commission. The summons shall
be issued by the clerk of |
such court upon written request returnable on a
designated |
return day, not less than 10 or more than 60 days from the |
date
of issuance thereof, and the written request shall |
contain the last known
address of other parties in interest |
and their attorneys of record who are
to be served by |
summons. Service upon any member of the Commission or the
|
Secretary or the Assistant Secretary thereof shall be |
service upon the
Commission, and service upon other parties |
in interest and their attorneys
of record shall be by |
summons, and such service shall be made upon the
Commission |
and other parties in interest by mailing notices of the
|
|
commencement of the proceedings and the return day of the |
summons to the
office of the Commission and to the last |
known place of residence of other
parties in interest or |
their attorney or attorneys of record. The clerk of
the |
court issuing the summons shall on the day of issue mail |
notice of the
commencement of the proceedings which shall |
be done by mailing a copy of
the summons to the office of |
the Commission, and a copy of the summons to
the other |
parties in interest or their attorney or attorneys of |
record and
the clerk of the court shall make certificate |
that he has so sent said
notices in pursuance of this |
Section, which shall be evidence of service on
the |
Commission and other parties in interest.
|
The Commission shall not be required to certify the |
record of their
proceedings to the Circuit Court, unless |
the party commencing the
proceedings for review in the |
Circuit Court as above provided, shall file with pay
to the |
Commission notice of intent to file for review in Circuit |
Court. the sum of 80¢ per page of testimony taken before |
the
Commission, and 35¢ per page of all other matters |
contained in such
record, except as otherwise provided by |
Section 20 of this Act. Payment
for photostatic copies of |
exhibit shall be extra. It shall be the duty
of the |
Commission upon such filing of notice of intent to file for |
review in the Circuit Court payment, or failure to pay as |
permitted
under Section 20 of this Act, to prepare a true |
|
and correct typewritten
copy of such testimony and a true |
and correct copy of all other matters
contained in such |
record and certified to by the Secretary or Assistant
|
Secretary thereof. The changes made to this subdivision |
(f)(1) by this amendatory Act of the 98th General Assembly |
apply to any Commission decision entered after the |
effective date of this amendatory Act of the 98th General |
Assembly.
|
No In its decision on review the Commission shall |
determine in each
particular case the amount of the |
probable cost of the record to be
filed as a part of the |
summons in that case and no request for a summons
may be |
filed and no summons shall issue unless the party seeking |
to review
the decision of the Commission shall exhibit to |
the clerk of the Circuit
Court proof of payment by filing |
with the Commission of the notice of the intent to file for |
review in the Circuit Court a receipt showing payment or an |
affidavit
of the attorney setting forth that notice of |
intent to file for review in the Circuit Court payment has |
been given in writing made of the sums so
determined to the |
Secretary or Assistant Secretary of the Commission ,
except |
as otherwise provided by Section 20 of this Act .
|
(2) No such summons shall issue unless the one against |
whom the
Commission shall have rendered an award for the |
payment of money shall upon
the filing of his written |
request for such summons file with the clerk of
the court a |
|
bond conditioned that if he shall not successfully
|
prosecute the review, he will pay the award and the costs |
of the
proceedings in the courts. The amount of the bond |
shall be fixed by any
member of the Commission and the |
surety or sureties of the bond shall be
approved by the |
clerk of the court. The acceptance of the bond by the
clerk |
of the court shall constitute evidence of his approval of |
the bond.
|
Every county, city, town, township, incorporated |
village, school
district, body politic or municipal |
corporation against whom the
Commission shall have |
rendered an award for the payment of money shall
not be |
required to file a bond to secure the payment of the award |
and
the costs of the proceedings in the court to authorize |
the court to
issue such summons.
|
The court may confirm or set aside the decision of the |
Commission. If
the decision is set aside and the facts |
found in the proceedings before
the Commission are |
sufficient, the court may enter such decision as is
|
justified by law, or may remand the cause to the Commission |
for further
proceedings and may state the questions |
requiring further hearing, and
give such other |
instructions as may be proper. Appeals shall be taken
to |
the Appellate Court in accordance
with Supreme Court Rules |
22(g) and 303. Appeals
shall be taken from the Appellate
|
Court to the Supreme Court in accordance with Supreme Court |
|
Rule 315.
|
It shall be the duty of the clerk of any court |
rendering a decision
affecting or affirming an award of the |
Commission to promptly furnish
the Commission with a copy |
of such decision, without charge.
|
The decision of a majority of the members of the panel |
of the Commission,
shall be considered the decision of the |
Commission.
|
(g) Except in the case of a claim against the State of |
Illinois,
either party may present a certified copy of the |
award of the
Arbitrator, or a certified copy of the decision of |
the Commission when
the same has become final, when no |
proceedings for review are pending,
providing for the payment |
of compensation according to this Act, to the
Circuit Court of |
the county in which such accident occurred or either of
the |
parties are residents, whereupon the court shall enter a |
judgment
in accordance therewith. In a case where the employer |
refuses to pay
compensation according to such final award or |
such final decision upon
which such judgment is entered the |
court shall in entering judgment
thereon, tax as costs against |
him the reasonable costs and attorney fees
in the arbitration |
proceedings and in the court entering the judgment
for the |
person in whose favor the judgment is entered, which judgment
|
and costs taxed as therein provided shall, until and unless set |
aside,
have the same effect as though duly entered in an action |
duly tried and
determined by the court, and shall with like |
|
effect, be entered and
docketed. The Circuit Court shall have |
power at any time upon
application to make any such judgment |
conform to any modification
required by any subsequent decision |
of the Supreme Court upon appeal, or
as the result of any |
subsequent proceedings for review, as provided in
this Act.
|
Judgment shall not be entered until 15 days' notice of the |
time and
place of the application for the entry of judgment |
shall be served upon
the employer by filing such notice with |
the Commission, which Commission
shall, in case it has on file |
the address of the employer or the name
and address of its |
agent upon whom notices may be served, immediately
send a copy |
of the notice to the employer or such designated agent.
|
(h) An agreement or award under this Act providing for |
compensation
in installments, may at any time within 18 months |
after such agreement
or award be reviewed by the Commission at |
the request of either the
employer or the employee, on the |
ground that the disability of the
employee has subsequently |
recurred, increased, diminished or ended.
|
However, as to accidents occurring subsequent to July 1, |
1955, which
are covered by any agreement or award under this |
Act providing for
compensation in installments made as a result |
of such accident, such
agreement or award may at any time |
within 30 months, or 60 months in the case of an award under |
Section 8(d)1, after such agreement
or award be reviewed by the |
Commission at the request of either the
employer or the |
employee on the ground that the disability of the
employee has |
|
subsequently recurred, increased, diminished or ended.
|
On such review, compensation payments may be |
re-established,
increased, diminished or ended. The Commission |
shall give 15 days'
notice to the parties of the hearing for |
review. Any employee, upon any
petition for such review being |
filed by the employer, shall be entitled
to one day's notice |
for each 100 miles necessary to be traveled by him in
attending |
the hearing of the Commission upon the petition, and 3 days in
|
addition thereto. Such employee shall, at the discretion of the
|
Commission, also be entitled to 5 cents per mile necessarily |
traveled by
him within the State of Illinois in attending such |
hearing, not to
exceed a distance of 300 miles, to be taxed by |
the Commission as costs
and deposited with the petition of the |
employer.
|
When compensation which is payable in accordance with an |
award or
settlement contract approved by the Commission, is |
ordered paid in a
lump sum by the Commission, no review shall |
be had as in this paragraph
mentioned.
|
(i) Each party, upon taking any proceedings or steps |
whatsoever
before any Arbitrator, Commission or court, shall |
file with the Commission
his address, or the name and address |
of any agent upon whom all notices to
be given to such party |
shall be served, either personally or by registered
mail, |
addressed to such party or agent at the last address so filed |
with
the Commission. In the event such party has not filed his |
address, or the
name and address of an agent as above provided, |
|
service of any notice may
be had by filing such notice with the |
Commission.
|
(j) Whenever in any proceeding testimony has been taken or |
a final
decision has been rendered and after the taking of such |
testimony or
after such decision has become final, the injured |
employee dies, then in
any subsequent proceedings brought by |
the personal representative or
beneficiaries of the deceased |
employee, such testimony in the former
proceeding may be |
introduced with the same force and effect as though
the witness |
having so testified were present in person in such
subsequent |
proceedings and such final decision, if any, shall be taken
as |
final adjudication of any of the issues which are the same in |
both
proceedings.
|
(k) In case where there has been any unreasonable or |
vexatious delay
of payment or intentional underpayment of |
compensation, or proceedings
have been instituted or carried on |
by the one liable to pay the
compensation, which do not present |
a real controversy, but are merely
frivolous or for delay, then |
the Commission may award compensation
additional to that |
otherwise payable under this Act equal to 50% of the
amount |
payable at the time of such award. Failure to pay compensation
|
in accordance with the provisions of Section 8, paragraph (b) |
of this
Act, shall be considered unreasonable delay.
|
When determining whether this subsection (k) shall apply, |
the
Commission shall consider whether an Arbitrator has |
determined
that the claim is not compensable or whether the |
|
employer has
made payments under Section 8(j). |
(l) If the employee has made written demand for payment of
|
benefits under Section 8(a) or Section 8(b), the employer shall
|
have 14 days after receipt of the demand to set forth in
|
writing the reason for the delay. In the case of demand for
|
payment of medical benefits under Section 8(a), the time for
|
the employer to respond shall not commence until the expiration
|
of the allotted 30 days specified under Section 8.2(d). In case
|
the employer or his or her insurance carrier shall without good |
and
just cause fail, neglect, refuse, or unreasonably delay the
|
payment of benefits under Section 8(a) or Section 8(b), the
|
Arbitrator or the Commission shall allow to the employee
|
additional compensation in the sum of $30 per day for each day
|
that the benefits under Section 8(a) or Section 8(b) have been
|
so withheld or refused, not to exceed $10,000.
A delay in |
payment of 14 days or more
shall create a rebuttable |
presumption of unreasonable delay.
|
(m) If the commission finds that an accidental injury was |
directly
and proximately caused by the employer's wilful |
violation of a health
and safety standard under the Health and |
Safety Act in force at the time of the
accident, the arbitrator |
or the Commission shall allow to the injured
employee or his |
dependents, as the case may be, additional compensation
equal |
to 25% of the amount which otherwise would be payable under the
|
provisions of this Act exclusive of this paragraph. The |
additional
compensation herein provided shall be allowed by an |
|
appropriate increase
in the applicable weekly compensation |
rate.
|
(n) After June 30, 1984, decisions of the Illinois Workers' |
Compensation Commission
reviewing an award of an arbitrator of |
the Commission shall draw interest
at a rate equal to the yield |
on indebtedness issued by the United States
Government with a |
26-week maturity next previously auctioned on the day on
which |
the decision is filed. Said rate of interest shall be set forth |
in
the Arbitrator's Decision. Interest shall be drawn from the |
date of the
arbitrator's award on all accrued compensation due |
the employee through the
day prior to the date of payments. |
However, when an employee appeals an
award of an Arbitrator or |
the Commission, and the appeal results in no
change or a |
decrease in the award, interest shall not further accrue from
|
the date of such appeal.
|
The employer or his insurance carrier may tender the |
payments due under
the award to stop the further accrual of |
interest on such award
notwithstanding the prosecution by |
either party of review, certiorari,
appeal to the Supreme Court |
or other steps to reverse, vacate or modify
the award.
|
(o) By the 15th day of each month each insurer providing |
coverage for
losses under this Act shall notify each insured |
employer of any compensable
claim incurred during the preceding |
month and the amounts paid or reserved
on the claim including a |
summary of the claim and a brief statement of the
reasons for |
compensability. A cumulative report of all claims incurred
|
|
during a calendar year or continued from the previous year |
shall be
furnished to the insured employer by the insurer |
within 30 days after the
end of that calendar year.
|
The insured employer may challenge, in proceeding before |
the Commission,
payments made by the insurer without |
arbitration and payments
made after a case is determined to be |
noncompensable. If the Commission
finds that the case was not |
compensable, the insurer shall purge its records
as to that |
employer of any loss or expense associated with the claim, |
reimburse
the employer for attorneys' fees arising from the |
challenge and for any
payment required of the employer to the |
Rate Adjustment Fund or the
Second Injury Fund, and may not |
reflect the loss or expense for rate making
purposes. The |
employee shall not be required to refund the challenged
|
payment. The decision of the Commission may be reviewed in the |
same manner
as in arbitrated cases. No challenge may be |
initiated under this paragraph
more than 3 years after the |
payment is made. An employer may waive the
right of challenge |
under this paragraph on a case by case basis.
|
(p) After filing an application for adjustment of claim but |
prior to
the hearing on arbitration the parties may voluntarily |
agree to submit such
application for adjustment of claim for |
decision by an arbitrator under
this subsection (p) where such |
application for adjustment of claim raises
only a dispute over |
temporary total disability, permanent partial
disability or |
medical expenses. Such agreement shall be in writing in such
|
|
form as provided by the Commission. Applications for adjustment |
of claim
submitted for decision by an arbitrator under this |
subsection (p) shall
proceed according to rule as established |
by the Commission. The Commission
shall promulgate rules |
including, but not limited to, rules to ensure that
the parties |
are adequately informed of their rights under this subsection
|
(p) and of the voluntary nature of proceedings under this |
subsection (p).
The findings of fact made by an arbitrator |
acting within his or her powers
under this subsection (p) in |
the absence of fraud shall be conclusive.
However, the |
arbitrator may on his own motion, or the motion of either
|
party, correct any clerical errors or errors in computation |
within 15 days
after the date of receipt of such award of the |
arbitrator
and shall have the power to recall the original |
award on arbitration, and
issue in lieu thereof such corrected |
award.
The decision of the arbitrator under this subsection (p) |
shall be
considered the decision of the Commission and |
proceedings for review of
questions of law arising from the |
decision may be commenced by either party
pursuant to |
subsection (f) of Section 19. The Advisory Board established
|
under Section 13.1 shall compile a list of certified Commission
|
arbitrators, each of whom shall be approved by at least 7 |
members of the
Advisory Board. The chairman shall select 5 |
persons from such list to
serve as arbitrators under this |
subsection (p). By agreement, the parties
shall select one |
arbitrator from among the 5 persons selected by the
chairman |
|
except that if the parties do not agree on an arbitrator from
|
among the 5 persons, the parties may, by agreement, select an |
arbitrator of
the American Arbitration Association, whose fee |
shall be paid by the State
in accordance with rules promulgated |
by the Commission. Arbitration under
this subsection (p) shall |
be voluntary.
|
(Source: P.A. 97-18, eff. 6-28-11.)
|
(820 ILCS 305/19a) (from Ch. 48, par. 138.19b)
|
Sec. 19a.
Money received by the Commission pursuant to |
subsection (f) of
Section 19 of this Act shall be paid into a |
trust fund outside the State
Treasury and shall be held in such |
fund until completion of the record for
which the payment was |
made. The Secretary of the Commission shall be
ex-officio |
custodian of such trust fund which shall be used only for the
|
purpose specified in this section. Upon completion of the |
record the
Secretary shall pay the amount so held to the person |
entitled thereto for
preparation of the record. Within 60 days |
after the effective date of this amendatory Act of the 98th |
General Assembly, the Secretary of the Commission shall |
transfer all remaining funds to the Injured Workers' Benefit |
Fund for the purpose of paying claims from injured employees |
who have received a final award for benefits from the |
Commission against the employer in Fiscal Year 2013.
|
(Source: Laws 1967, p. 324.)
|
|
(820 ILCS 305/20) (from Ch. 48, par. 138.20)
|
Sec. 20.
If the Commission shall, before or after any |
hearing, proceeding,
or review to any court, be satisfied that |
the employee is a poor person,
and unable to pay the costs and |
expenses provided for by this Act, the
Commission shall permit |
such poor person to have all the rights and
remedies provided |
by this Act, including the issuance and service of
subpoenas; a |
transcript of testimony and the record of proceedings,
|
including photostatic copies of exhibits, at
hearings before an |
Arbitrator or the Commission; the right to have the
record of |
proceedings certified to the circuit court; the right to the
|
filing of a written request for summons; and the right to the
|
issuance of summons, without the filing of a bond for costs
and |
without the payment of any of the costs provided for by this |
Act. If
an award is granted to such employee, or settlement is |
made, the costs and
expenses chargeable to the employee as |
provided for by this Act shall be
paid by the employer out of |
the award herein granted, or settlement, before
any of the |
balance of the award or settlement is paid to the
employee.
|
(Source: P.A. 86-998.)
|
Section 10. The Workers' Occupational Diseases Act is |
amended by changing Sections 19, 19a, and 19.5 as follows:
|
(820 ILCS 310/19) (from Ch. 48, par. 172.54)
|
Sec. 19. Any disputed questions of law or fact shall be |
|
determined as
herein provided.
|
(a) It shall be the duty of the Commission upon |
notification that
the parties have failed to reach an agreement |
to designate an
Arbitrator.
|
(1) The application for adjustment of claim filed with |
the
Commission shall state:
|
A. The approximate date of the last day of the last |
exposure and the
approximate date of the disablement.
|
B. The general nature and character of the illness |
or disease
claimed.
|
C. The name and address of the employer by whom |
employed on the last
day of the last exposure and if |
employed by any other employer after
such last exposure |
and before disablement the name and address of such
|
other employer or employers.
|
D. In case of death, the date and place of death.
|
(2) Amendments to applications for adjustment of claim |
which relate
to the same disablement or disablement |
resulting in death originally
claimed upon may be allowed |
by the Commissioner or an Arbitrator
thereof, in their |
discretion, and in the exercise of such discretion,
they |
may in proper cases order a trial de novo; such amendment |
shall
relate back to the date of the filing of the original |
application so
amended.
|
(3) Whenever any claimant misconceives his remedy and |
files an
application for adjustment of claim under this Act |
|
and it is
subsequently discovered, at any time before final |
disposition of such
cause, that the claim for disability or |
death which was the basis for
such application should |
properly have been made under the Workers'
Compensation |
Act, then the provisions of Section 19 paragraph (a-1) of
|
the Workers' Compensation Act having reference to such |
application shall
apply.
|
Whenever any claimant misconceives his remedy and |
files an
application for adjustment of claim under the |
Workers' Compensation Act
and it is subsequently |
discovered, at any time before final disposition
of such |
cause that the claim for injury or death which was the |
basis for
such application should properly have been made |
under this Act, then the
application so filed under the |
Workers' Compensation Act may be amended
in form, substance |
or both to assert claim for such disability or death
under |
this Act and it shall be deemed to have been so filed as |
amended
on the date of the original filing thereof, and |
such compensation may be
awarded as is warranted by the |
whole evidence pursuant to the provisions
of this Act. When |
such amendment is submitted, further or additional
|
evidence may be heard by the Arbitrator or Commission when |
deemed
necessary; provided, that nothing in this Section |
contained shall be
construed to be or permit a waiver of |
any provisions of this Act with
reference to notice, but |
notice if given shall be deemed to be a notice
under the |
|
provisions of this Act if given within the time required
|
herein.
|
(b) The Arbitrator shall make such inquiries and |
investigations as he
shall deem necessary and may examine and |
inspect all books, papers,
records, places, or premises |
relating to the questions in dispute and hear
such proper |
evidence as the parties may submit.
|
The hearings before the Arbitrator shall be held in the |
vicinity where
the last exposure occurred, after 10 days' |
notice of the time and place of
such hearing shall have been |
given to each of the parties or their attorneys of record.
|
The Arbitrator may find that the disabling condition is |
temporary and has
not yet reached a permanent condition and may |
order the payment of
compensation up to the date of the |
hearing, which award shall be reviewable
and enforceable in the |
same manner as other awards, and in no instance be a
bar to a |
further hearing and determination of a further amount of |
temporary
total compensation or of compensation for permanent |
disability, but shall
be conclusive as to all other questions |
except the nature and extent of such
disability.
|
The decision of the Arbitrator shall be filed with the |
Commission which
Commission shall immediately send to each |
party or his attorney a copy of
such decision, together with a |
notification of the time when it was filed.
As of the effective |
date of this amendatory Act of the 94th General Assembly, all |
decisions of the Arbitrator shall set forth
in writing findings |
|
of fact and conclusions of law, separately stated, if requested |
by either party.
Unless a petition for review is filed by |
either party within 30 days after
the receipt by such party of |
the copy of the decision and notification of
time when filed, |
and unless such party petitioning for a review shall
within 35 |
days after the receipt by him of the copy of the decision, file
|
with the Commission either an agreed statement of the facts |
appearing upon
the hearing before the Arbitrator, or if such |
party shall so elect a
correct transcript of evidence of the |
proceedings at such hearings, then
the decision shall become |
the decision of the Commission and in the absence
of fraud |
shall be conclusive. The Petition for Review shall contain a
|
statement of the petitioning party's specific exceptions to the |
decision of
the arbitrator. The jurisdiction of the Commission |
to review the decision
of the arbitrator shall not be limited |
to the exceptions stated in the
Petition for Review. The |
Commission, or any member thereof, may grant
further time not |
exceeding 30 days, in which to file such agreed statement
or |
transcript of evidence. Such agreed statement of facts or |
correct
transcript of evidence, as the case may be, shall be |
authenticated by the
signatures of the parties or their |
attorneys, and in the event they do not
agree as to the |
correctness of the transcript of evidence it shall be
|
authenticated by the signature of the Arbitrator designated by |
the Commission.
|
Whether the employee is working or not, if the employee is |
|
not receiving or has not received medical, surgical, or |
hospital services or other services or compensation as provided |
in paragraph (a) of Section 8 of the Workers' Compensation
Act, |
or compensation as provided in paragraph (b) of Section 8 of |
the Workers' Compensation
Act, the employee may at any time |
petition for an expedited hearing by an Arbitrator on the issue |
of whether or not he or she is entitled to receive payment of |
the services or compensation. Provided the employer continues |
to pay compensation pursuant to paragraph (b) of Section 8 of |
the Workers' Compensation
Act, the employer may at any time |
petition for an expedited hearing on the issue of whether or |
not the employee is entitled to receive medical, surgical, or |
hospital services or other services or compensation as provided |
in paragraph (a) of Section 8 of the Workers' Compensation
Act, |
or compensation as provided in paragraph (b) of Section 8 of |
the Workers' Compensation
Act. When an employer has petitioned |
for an expedited hearing, the employer shall continue to pay |
compensation as provided in paragraph (b) of Section 8 of the |
Workers' Compensation
Act unless the arbitrator renders a |
decision that the employee is not entitled to the benefits that |
are the subject of the expedited hearing or unless the |
employee's treating physician has released the employee to |
return to work at his or her regular job with the employer or |
the employee actually returns to work at any other job. If the |
arbitrator renders a decision that the employee is not entitled |
to the benefits that are the subject of the expedited hearing, |
|
a petition for review filed by the employee shall receive the |
same priority as if the employee had filed a petition for an |
expedited hearing by an arbitrator. Neither party shall be |
entitled to an expedited hearing when the employee has returned |
to work and the sole issue in dispute amounts to less than 12 |
weeks of unpaid compensation pursuant to paragraph (b) of |
Section 8 of the Workers' Compensation
Act. |
Expedited hearings shall have priority over all other |
petitions and shall be heard by the Arbitrator and Commission |
with all convenient speed. Any party requesting an expedited |
hearing shall give notice of a request for an expedited hearing |
under this paragraph. A copy of the Application for Adjustment |
of Claim shall be attached to the notice. The Commission shall |
adopt rules and procedures under which the final decision of |
the Commission under this paragraph is filed not later than 180 |
days from the date that the Petition for Review is filed with |
the Commission. |
Where 2 or more insurance carriers, private self-insureds, |
or a group workers' compensation pool under Article V 3/4 of |
the Illinois Insurance Code dispute coverage for the same |
disease, any such insurance carrier, private self-insured, or |
group workers' compensation pool may request an expedited |
hearing pursuant to this paragraph to determine the issue of |
coverage, provided coverage is the only issue in dispute and |
all other issues are stipulated and agreed to and further |
provided that all compensation benefits including medical |
|
benefits pursuant to Section 8(a) of the Workers' Compensation
|
Act continue to be paid to or on behalf of petitioner. Any |
insurance carrier, private self-insured, or group workers' |
compensation pool that is determined to be liable for coverage |
for the disease in issue shall reimburse any insurance carrier, |
private self-insured, or group workers' compensation pool that |
has paid benefits to or on behalf of petitioner for the |
disease.
|
(b-1) If the employee is not receiving, pursuant to Section |
7, medical,
surgical or hospital services of the type provided |
for in paragraph (a) of
Section 8 of the Workers' Compensation |
Act or compensation of the type
provided for in paragraph (b) |
of Section 8 of the Workers' Compensation
Act, the employee, in |
accordance with Commission Rules, may file a petition
for an |
emergency hearing by an Arbitrator on the issue of whether or |
not he
is entitled to receive payment of such compensation or |
services as provided
therein. Such petition shall have priority |
over all other petitions and
shall be heard by the Arbitrator |
and Commission with all convenient speed.
|
Such petition shall contain the following information and |
shall be served
on the employer at least 15 days before it is |
filed:
|
(i) the date and approximate time of the last exposure;
|
(ii) the approximate location of the last exposure;
|
(iii) a description of the last exposure;
|
(iv) the nature of the disability incurred by the |
|
employee;
|
(v) the identity of the person, if known, to whom the |
disability was
reported and the date on which it was |
reported;
|
(vi) the name and title of the person, if known, |
representing the
employer with whom the employee conferred |
in any effort to obtain pursuant
to Section 7 compensation |
of the type provided for in paragraph (b) of
Section 8 of |
the Workers' Compensation Act or medical, surgical or |
hospital
services of the type provided for in paragraph (a) |
of Section 8 of the
Workers' Compensation Act and the date |
of such conference;
|
(vii) a statement that the employer has refused to pay |
compensation
pursuant to Section 7 of the type provided for |
in paragraph (b) of Section
8 of the Workers' Compensation |
Act or for medical, surgical
or hospital services pursuant |
to Section 7 of the type provided for in
paragraph (a) of |
Section 8 of the Workers' Compensation Act;
|
(viii) the name and address, if known, of each witness |
to the last
exposure and of each other person upon whom the |
employee will rely to
support his allegations;
|
(ix) the dates of treatment related to the disability |
by medical
practitioners, and the names and addresses of |
such practitioners, including
the dates of treatment |
related to the disability at any hospitals and the
names |
and addresses of such hospitals, and a signed authorization
|
|
permitting the employer to examine all medical records of |
all practitioners
and hospitals named pursuant to this |
paragraph;
|
(x) a copy of a signed report by a medical |
practitioner, relating to the
employee's current inability |
to return to work because of the disability
incurred as a |
result of the exposure or such other documents or |
affidavits
which show that the employee is entitled to |
receive pursuant to Section 7
compensation of the type |
provided for in paragraph (b) of Section 8 of the
Workers' |
Compensation Act or medical, surgical or hospital services |
of the
type provided for in paragraph (a) of Section 8 of |
the Workers'
Compensation Act. Such reports, documents or |
affidavits shall state, if
possible, the history of the |
exposure given by the employee, and describe
the disability |
and medical diagnosis, the medical services for such
|
disability which the employee has received and is |
receiving, the physical
activities which the employee |
cannot currently perform as a result of such
disability, |
and the prognosis for recovery;
|
(xi) complete copies of any reports, records, |
documents and affidavits
in the possession of the employee |
on which the employee will rely to
support his allegations, |
provided that the employer shall pay the
reasonable cost of |
reproduction thereof;
|
(xii) a list of any reports, records, documents and |
|
affidavits which
the employee has demanded by subpoena and |
on which he intends to
rely to support his allegations;
|
(xiii) a certification signed by the employee or his |
representative that
the employer has received the petition |
with the required information 15
days before filing.
|
Fifteen days after receipt by the employer of the petition |
with the
required information the employee may file said |
petition and required
information and shall serve notice of the |
filing upon the employer. The
employer may file a motion |
addressed to the sufficiency of the petition.
If an objection |
has been filed to the sufficiency of the petition, the
|
arbitrator shall rule on the objection within 2 working days. |
If such an
objection is filed, the time for filing the final |
decision of the Commission
as provided in this paragraph shall |
be tolled until the arbitrator has
determined that the petition |
is sufficient.
|
The employer shall, within 15 days after receipt of the |
notice that such
petition is filed, file with the Commission |
and serve on the employee or
his representative a written |
response to each claim set
forth in the petition, including the |
legal and factual basis for each
disputed allegation and the |
following information: (i)
complete copies of any reports, |
records, documents and affidavits
in the possession of the |
employer on which the employer intends to rely in
support of |
his response, (ii) a list of any reports, records, documents |
and
affidavits which the employer has demanded by subpoena and |
|
on which the
employer intends to rely in support of his |
response, (iii) the name and address
of each witness on whom |
the employer will rely to support his response,
and (iv) the |
names and addresses of any medical practitioners
selected by |
the employer pursuant to Section 12 of this Act and the time
|
and place of any examination scheduled to be made pursuant to |
such Section.
|
Any employer who does not timely file and serve a written |
response
without good cause may not introduce any evidence to |
dispute any claim of
the employee but may cross examine the |
employee or any witness brought by
the employee and otherwise |
be heard.
|
No document or other evidence not previously identified by |
either party
with the petition or written response, or by any |
other means before the
hearing, may be introduced into evidence |
without good cause. If, at the
hearing, material information is |
discovered which was not previously
disclosed, the Arbitrator |
may extend the time for closing proof on the
motion of a party |
for a reasonable period of time which may be more than 30
days. |
No evidence may be introduced pursuant to this paragraph as to
|
permanent disability. No award may be entered for permanent |
disability
pursuant to this paragraph. Either party may |
introduce into evidence the
testimony taken by deposition of |
any medical practitioner.
|
The Commission shall adopt rules, regulations and |
procedures whereby
the final decision of the Commission is |
|
filed not later than 90 days from
the date the petition for |
review is filed but in no event later than 180
days from the |
date the petition for an emergency hearing is filed with the
|
Illinois Workers' Compensation Commission.
|
All service required pursuant to this paragraph (b-1) must |
be by personal
service or by certified mail and with evidence |
of receipt. In addition,
for the purposes of this paragraph, |
all service on the employer must be at
the premises where the |
accident occurred if the premises are owned or
operated by the |
employer. Otherwise service must be at the employee's
principal |
place of employment by the employer. If service on the employer
|
is not possible at either of the above, then service shall be |
at the
employer's principal place of business. After initial |
service in each case,
service shall be made on the employer's |
attorney or designated representative.
|
(c) (1) At a reasonable time in advance of and in |
connection with the
hearing under Section 19(e) or 19(h), the |
Commission may on its own motion
order an impartial physical or |
mental examination of a petitioner whose
mental or physical |
condition is in issue, when in the Commission's
discretion it |
appears that such an examination will materially aid in the
|
just determination of the case. The examination shall be made |
by a member
or members of a panel of physicians chosen for |
their special qualifications
by the Illinois State Medical |
Society. The Commission shall establish
procedures by which a |
physician shall be selected from such list.
|
|
(2) Should the Commission at any time during the hearing |
find that
compelling considerations make it advisable to have |
an examination and
report at that time, the Commission may in |
its discretion so order.
|
(3) A copy of the report of examination shall be given to |
the Commission
and to the attorneys for the parties.
|
(4) Either party or the Commission may call the examining |
physician
or physicians to testify. Any physician so called |
shall be subject to
cross-examination.
|
(5) The examination shall be made, and the physician or |
physicians,
if called, shall testify, without cost to the |
parties. The Commission shall
determine the compensation and |
the pay of the physician or physicians. The
compensation for |
this service shall not exceed the usual and customary amount
|
for such service.
|
The fees and payment thereof of all attorneys and |
physicians for
services authorized by the Commission under this |
Act shall, upon request
of either the employer or the employee |
or the beneficiary affected, be
subject to the review and |
decision of the Commission.
|
(d) If any employee shall persist in insanitary or |
injurious
practices which tend to either imperil or retard his |
recovery or shall
refuse to submit to such medical, surgical, |
or hospital treatment as is
reasonably essential to promote his |
recovery, the Commission may, in its
discretion, reduce or |
suspend the compensation of any such employee;
provided, that |
|
when an employer and employee so agree in writing, the
|
foregoing provision shall not be construed to authorize the |
reduction or
suspension of compensation of an employee who is |
relying in good faith,
on treatment by prayer or spiritual |
means alone, in accordance with the
tenets and practice of a |
recognized church or religious denomination, by
a duly |
accredited practitioner thereof.
|
(e) This paragraph shall apply to all hearings before the |
Commission.
Such hearings may be held in its office or |
elsewhere as the Commission may
deem advisable. The taking of |
testimony on such hearings may be had before
any member of the |
Commission. If a petition for review and agreed statement
of |
facts or transcript of evidence is filed, as provided herein, |
the
Commission shall promptly review the decision of the |
Arbitrator and all
questions of law or fact which appear from |
the statement of facts or
transcripts of evidence. In all cases |
in which the hearing before the
arbitrator is held after the |
effective date of this amendatory Act of 1989,
no additional |
evidence shall be introduced by the parties before the
|
Commission on review of the decision of the Arbitrator. The |
Commission
shall file in its office its decision thereon, and |
shall immediately send
to each party or his attorney a copy of |
such decision and a notification of
the time when it was filed. |
Decisions shall be filed within 60 days after
the Statement of |
Exceptions and Supporting Brief and Response thereto are
|
required to be filed or oral argument whichever is later.
|
|
In the event either party requests oral argument, such |
argument shall be
had before a panel of 3 members of the |
Commission (or before all available
members pursuant to the |
determination of 7 members of the Commission that
such argument |
be held before all available members of the Commission)
|
pursuant to the rules and regulations of the Commission. A |
panel of 3
members, which shall be comprised of not more than |
one representative
citizen of the employing class and not more |
than one representative citizen
of the employee class, shall |
hear the argument; provided that if all the
issues in dispute |
are solely the nature and extent of the permanent partial
|
disability, if any, a majority of the panel may deny the |
request for such
argument and such argument shall not be held; |
and provided further that 7
members of the Commission may |
determine that the argument be held before
all available |
members of the Commission. A decision of the Commission shall
|
be approved by a majority of Commissioners present at such |
hearing if any;
provided, if no such hearing is held, a |
decision of the Commission shall be
approved by a majority of a |
panel of 3 members of the Commission as
described in this |
Section. The Commission shall give 10 days' notice to the
|
parties or their attorneys of the time and place of such taking |
of
testimony and of such argument.
|
In any case the Commission in its decision may in its |
discretion find
specially upon any question or questions of law |
or facts which shall be
submitted in writing by either party |
|
whether ultimate or otherwise;
provided that on issues other |
than nature and extent of the disablement,
if any, the |
Commission in its decision shall find specially upon any
|
question or questions of law or fact, whether ultimate or |
otherwise,
which are submitted in writing by either party; |
provided further that
not more than 5 such questions may be |
submitted by either party. Any
party may, within 20 days after |
receipt of notice of the Commission's
decision, or within such |
further time, not exceeding 30 days, as the
Commission may |
grant, file with the Commission either an agreed
statement of |
the facts appearing upon the hearing, or, if such party
shall |
so elect, a correct transcript of evidence of the additional
|
proceedings presented before the Commission in which report the |
party
may embody a correct statement of such other proceedings |
in the case as
such party may desire to have reviewed, such |
statement of facts or
transcript of evidence to be |
authenticated by the signature of the
parties or their |
attorneys, and in the event that they do not agree,
then the |
authentication of such transcript of evidence shall be by the
|
signature of any member of the Commission.
|
If a reporter does not for any reason furnish a transcript |
of the
proceedings before the Arbitrator in any case for use on |
a hearing for
review before the Commission, within the |
limitations of time as fixed in
this Section, the Commission |
may, in its discretion, order a trial de
novo before the |
Commission in such case upon application of either
party. The |
|
applications for adjustment of claim and other documents in
the |
nature of pleadings filed by either party, together with the
|
decisions of the Arbitrator and of the Commission and the |
statement of
facts or transcript of evidence hereinbefore |
provided for in paragraphs
(b) and (c) shall be the record of |
the proceedings of the Commission,
and shall be subject to |
review as hereinafter provided.
|
At the request of either party or on its own motion, the |
Commission shall
set forth in writing the reasons for the |
decision, including findings of
fact and conclusions of law, |
separately stated. The Commission shall by
rule adopt a format |
for written decisions for the Commission and
arbitrators. The |
written decisions shall be concise and shall succinctly
state |
the facts and reasons for the decision. The Commission may |
adopt in
whole or in part, the decision of the arbitrator as |
the decision of the
Commission. When the Commission does so |
adopt the decision of the
arbitrator, it shall do so by order. |
Whenever the Commission adopts part of
the arbitrator's |
decision, but not all, it shall include in the order the
|
reasons for not adopting all of the arbitrator's decision. When |
a majority
of a panel, after deliberation, has arrived at its |
decision, the decision
shall be filed as provided in this |
Section without unnecessary delay, and
without regard to the |
fact that a member of the panel has expressed an
intention to |
dissent. Any member of the panel may file a dissent. Any
|
dissent shall be filed no later than 10 days after the decision |
|
of the
majority has been filed.
|
Decisions rendered by the Commission after the effective |
date of this
amendatory Act of 1980 and dissents, if any, shall |
be published
together by the Commission. The conclusions
of law |
set out in such decisions shall be regarded as precedents
by |
arbitrators, for the purpose of achieving
a more uniform |
administration of this Act.
|
(f) The decision of the Commission acting within its |
powers,
according to the provisions of paragraph (e) of this |
Section shall, in
the absence of fraud, be conclusive unless |
reviewed as in this paragraph
hereinafter provided. However, |
the Arbitrator or the Commission may on
his or its own motion, |
or on the motion of either party, correct any
clerical error or |
errors in computation within 15 days after the date of
receipt |
of any award by such Arbitrator or any decision on review of |
the
Commission, and shall have the power to recall the original |
award on
arbitration or decision on review, and issue in lieu |
thereof such
corrected award or decision. Where such correction |
is made the time for
review herein specified shall begin to run |
from the date of
the receipt of the corrected award or |
decision.
|
(1) Except in cases of claims against the State of |
Illinois, in
which case the decision of the Commission |
shall not be subject to
judicial review, the Circuit Court |
of the county where any of the
parties defendant may be |
found, or if none of the parties defendant be
found in this |
|
State then the Circuit Court of the county where any of
the |
exposure occurred, shall by summons to the Commission
have |
power to review all questions of law and fact presented by |
such
record.
|
A proceeding for review shall be commenced within 20 |
days of the
receipt of notice of the decision of the |
Commission. The summons shall be
issued by the clerk of |
such court upon written request returnable on a
designated |
return day, not less than 10 or more than 60 days from the |
date
of issuance thereof, and the written request shall |
contain the last known
address of other parties in interest |
and their attorneys of record who are
to be served by |
summons. Service upon any member of the Commission or the
|
Secretary or the Assistant Secretary thereof shall be |
service upon the
Commission, and service upon other parties |
in interest and their attorneys
of record shall be by |
summons, and such service shall be made upon the
Commission |
and other parties in interest by mailing notices of the
|
commencement of the proceedings and the return day of the |
summons to the
office of the Commission and to the last |
known place of residence of
other parties in interest or |
their attorney or attorneys of record. The
clerk of the |
court issuing the summons shall on the day of issue mail |
notice
of the commencement of the proceedings which shall |
be done by mailing a
copy of the summons to the office of |
the Commission, and a copy of the
summons to the other |
|
parties in interest or their attorney or
attorneys of |
record and the clerk of the court shall make certificate
|
that he has so sent such notices in pursuance of this |
Section, which
shall be evidence of service on the |
Commission and other parties in
interest.
|
The Commission shall not be required to certify the |
record of their
proceedings in the Circuit Court unless the |
party commencing the
proceedings for review in the Circuit |
Court as above provided, shall file with the Commission |
notice of intent to file for review in Circuit Court. pay
|
to the Commission the sum of 80 cents per page of testimony |
taken before
the Commission, and 35 cents per page of all |
other matters contained in
such record, except as otherwise |
provided by Section 20 of this Act.
Payment for photostatic |
copies of exhibit shall be extra. It shall be
the duty of |
the Commission upon such filing of notice of intent to file |
for review in Circuit Court payment, or failure to pay as
|
permitted under Section 20 of this Act, to prepare a true |
and correct
typewritten copy of such testimony and a true |
and correct copy of all
other matters contained in such |
record and certified to by the Secretary
or Assistant |
Secretary thereof. The changes made to this subdivision |
(f)(1) by this amendatory Act of the 98th General Assembly |
apply to any Commission decision entered after the |
effective date of this amendatory Act of the 98th General |
Assembly.
|
|
No In its decision on review the Commission shall |
determine in each
particular case the amount of the |
probable cost of the record to be
filed as a return to the |
summons in that case and no request
for a summons may be |
filed and no summons shall
issue unless the party seeking |
to review the decision of the Commission
shall exhibit to |
the clerk of the Circuit Court proof of payment by
filing |
with the Commission of the notice of the intent to file for |
review in the Circuit Court a receipt showing payment or an |
affidavit of the attorney setting
forth that notice of |
intent to file for review in Circuit Court payment has been |
given in writing made of the sums so determined to the |
Secretary
or Assistant Secretary of the Commission.
|
(2) No such summons shall issue unless the one against
|
whom the Commission shall have rendered an award for the |
payment of money
shall upon the filing of his written |
request for such summons file with the
clerk of the court a |
bond conditioned that if he shall not successfully
|
prosecute the review, he will pay the award and the costs |
of the
proceedings in the court. The amount of the bond |
shall be fixed by any
member of the Commission and the |
surety or sureties of the bond shall be
approved by the |
clerk of the court. The acceptance of the bond by the
clerk |
of the court shall constitute evidence of his approval of |
the
bond.
|
Every county, city, town, township, incorporated |
|
village, school
district, body politic or municipal |
corporation having a population of
500,000 or more against |
whom the Commission shall have rendered an award
for the |
payment of money shall not be required to file a bond to |
secure
the payment of the award and the costs of the |
proceedings in the court
to authorize the court to issue |
such summons.
|
The court may confirm or set aside the decision of the |
Commission. If
the decision is set aside and the facts |
found in the proceedings before
the Commission are |
sufficient, the court may enter such decision as is
|
justified by law, or may remand the cause to the Commission |
for further
proceedings and may state the questions |
requiring further hearing, and
give such other |
instructions as may be proper. Appeals shall be taken
to |
the Appellate Court in accordance
with Supreme Court Rules |
22(g) and 303. Appeals shall be taken from the
Appellate |
Court to the Supreme Court
in accordance with Supreme Court |
Rule 315.
|
It shall be the duty of the clerk of any court |
rendering a decision
affecting or affirming an award of the |
Commission to promptly furnish
the Commission with a copy |
of such decision, without charge.
|
The decision of a majority of the members of the panel |
of the Commission,
shall be considered the decision of the |
Commission.
|
|
(g) Except in the case of a claim against the State of |
Illinois,
either party may present a certified copy of the |
award of the
Arbitrator, or a certified copy of the decision of |
the Commission when
the same has become final, when no |
proceedings for review are pending,
providing for the payment |
of compensation according to this Act, to the
Circuit Court of |
the county in which such exposure occurred or either of
the |
parties are residents, whereupon the court shall enter a |
judgment
in accordance therewith. In case where the employer |
refuses to pay
compensation according to such final award or |
such final decision upon
which such judgment is entered, the |
court shall in entering judgment
thereon, tax as costs against |
him the reasonable costs and attorney fees
in the arbitration |
proceedings and in the court entering the judgment
for the |
person in whose favor the judgment is entered, which judgment
|
and costs taxed as herein provided shall, until and unless set |
aside,
have the same effect as though duly entered in an action |
duly tried and
determined by the court, and shall with like |
effect, be entered and
docketed. The Circuit Court shall have |
power at any time upon
application to make any such judgment |
conform to any modification
required by any subsequent decision |
of the Supreme Court upon appeal, or
as the result of any |
subsequent proceedings for review, as provided in
this Act.
|
Judgment shall not be entered until 15 days' notice of the |
time and
place of the application for the entry of judgment |
shall be served upon
the employer by filing such notice with |
|
the Commission, which Commission
shall, in case it has on file |
the address of the employer or the name
and address of its |
agent upon whom notices may be served, immediately
send a copy |
of the notice to the employer or such designated agent.
|
(h) An agreement or award under this Act providing for |
compensation
in installments, may at any time within 18 months |
after such agreement
or award be reviewed by the Commission at |
the request of either the
employer or the employee on the |
ground that the disability of the
employee has subsequently |
recurred, increased, diminished or ended.
|
However, as to disablements occurring subsequently to July |
1, 1955,
which are covered by any agreement or award under this |
Act providing for
compensation in installments made as a result |
of such disablement, such
agreement or award may at any time |
within 30 months after such agreement
or award be reviewed by |
the Commission at the request of either the
employer or the |
employee on the ground that the disability of the
employee has |
subsequently recurred, increased, diminished or ended.
|
On such review compensation payments may be |
re-established,
increased, diminished or ended. The Commission |
shall give 15 days'
notice to the parties of the hearing for |
review. Any employee, upon any
petition for such review being |
filed by the employer, shall be entitled
to one day's notice |
for each 100 miles necessary to be traveled by him in
attending |
the hearing of the Commission upon the petition, and 3 days in
|
addition thereto. Such employee shall, at the discretion of the
|
|
Commission, also be entitled to 5 cents per mile necessarily |
traveled by
him within the State of Illinois in attending such |
hearing, not to
exceed a distance of 300 miles, to be taxed by |
the Commission as costs
and deposited with the petition of the |
employer.
|
When compensation which is payable in accordance with an |
award or
settlement contract approved by the Commission, is |
ordered paid in a
lump sum by the Commission, no review shall |
be had as in this paragraph
mentioned.
|
(i) Each party, upon taking any proceedings or steps |
whatsoever
before any Arbitrator, Commission or court,
shall |
file with the Commission his address, or the name and address |
of
any agent upon whom all notices to be given to such party |
shall be
served, either personally or by registered mail, |
addressed to such party
or agent at the last address so filed |
with the Commission. In the event
such party has not filed his |
address, or the name and address of an
agent as above provided, |
service of any notice may be had by filing such
notice with the |
Commission.
|
(j) Whenever in any proceeding testimony has been taken or |
a final
decision has been rendered, and after the taking of |
such testimony or
after such decision has become final, the |
employee dies, then in any
subsequent proceeding brought by the |
personal representative or
beneficiaries of the deceased |
employee, such testimony in the former
proceeding may be |
introduced with the same force and effect as though
the witness |
|
having so testified were present in person in such
subsequent |
proceedings and such final decision, if any, shall be taken
as |
final adjudication of any of the issues which are the same in |
both
proceedings.
|
(k) In any case where there has been any unreasonable or |
vexatious
delay of payment or intentional underpayment of |
compensation, or
proceedings have been instituted or carried on |
by one liable to pay the
compensation, which do not present a |
real controversy, but are merely
frivolous or for delay, then |
the Commission may award compensation
additional to that |
otherwise payable under this Act equal to 50% of the
amount |
payable at the time of such award. Failure to pay compensation |
in
accordance with the provisions of Section 8, paragraph (b) |
of this Act,
shall be considered unreasonable delay.
|
When determining whether this subsection (k) shall apply, |
the
Commission shall consider whether an arbitrator has |
determined
that the claim is not compensable or whether the |
employer has
made payments under Section 8(j) of the Workers' |
Compensation Act. |
(k-1) If the employee has made written demand for payment |
of
benefits under Section 8(a) or Section 8(b) of the Workers' |
Compensation Act, the employer shall
have 14 days after receipt |
of the demand to set forth in
writing the reason for the delay. |
In the case of demand for
payment of medical benefits under |
Section 8(a) of the Workers' Compensation Act, the time for
the |
employer to respond shall not commence until the expiration
of |
|
the allotted 60 days specified under Section 8.2(d) of the |
Workers' Compensation Act. In case
the employer or his or her |
insurance carrier shall without good and
just cause fail, |
neglect, refuse, or unreasonably delay the
payment of benefits |
under Section 8(a) or Section 8(b) of the Workers' Compensation |
Act, the
Arbitrator or the Commission shall allow to the |
employee
additional compensation in the sum of $30 per day for |
each day
that the benefits under Section 8(a) or Section 8(b) |
of the Workers' Compensation Act have been
so withheld or |
refused, not to exceed $10,000.
A delay in payment of 14 days |
or more
shall create a rebuttable presumption of unreasonable |
delay.
|
(l) By the 15th day of each month each insurer providing |
coverage for
losses under this Act shall notify each insured |
employer of any compensable
claim incurred during the preceding |
month and the amounts paid or reserved
on the claim including a |
summary of the claim and a brief statement of the
reasons for |
compensability. A cumulative report of all claims incurred
|
during a calendar year or continued
from the previous year |
shall be furnished to the insured employer by the
insurer |
within 30 days after the end of that calendar year.
|
The insured employer may challenge, in proceeding before |
the Commission,
payments made by the insurer without |
arbitration and payments made after
a case is determined to be |
noncompensable. If the Commission finds that
the case was not |
compensable, the insurer shall purge its records as to
that |
|
employer of any loss or expense associated with the claim, |
reimburse
the employer for attorneys fee arising from the |
challenge and for any payment
required of the employer to the |
Rate Adjustment Fund or the Second Injury
Fund, and may not |
effect the loss or expense for rate making purposes. The
|
employee shall not be required to refund the challenged |
payment. The
decision of the Commission may be reviewed in the |
same
manner as in arbitrated cases. No challenge may be |
initiated under this
paragraph more than 3 years after the |
payment is made. An employer may
waive the right of challenge |
under this paragraph on a case by case basis.
|
(m) After filing an application for adjustment of claim but |
prior to
the hearing on arbitration the parties may voluntarily |
agree to submit such
application for adjustment of claim for |
decision by an arbitrator under
this subsection (m) where such |
application for adjustment
of claim raises only a dispute over |
temporary total disability, permanent
partial disability or |
medical expenses. Such agreement shall be in writing
in such |
form as provided by the Commission. Applications for adjustment |
of
claim submitted for decision by an arbitrator under
this |
subsection (m) shall proceed according
to rule as established |
by the Commission. The Commission shall promulgate
rules |
including, but not limited to, rules to ensure that the parties |
are
adequately informed of their rights under this subsection |
(m) and of the
voluntary nature of proceedings under this |
subsection
(m). The findings of fact made by an arbitrator |
|
acting within his or her
powers under this subsection (m) in |
the absence of fraud shall be
conclusive. However, the |
arbitrator may on his own motion, or the motion
of either |
party, correct any clerical errors or errors in computation
|
within 15 days after the date of receipt of such award of the |
arbitrator
and shall have the power to recall the original |
award on arbitration, and
issue in lieu thereof such corrected |
award.
The decision of the arbitrator under this subsection (m) |
shall be
considered the decision of the Commission and |
proceedings for review of
questions of law arising from the |
decision may be commenced by either party
pursuant to |
subsection (f) of Section 19. The Advisory Board established
|
under Section 13.1 of the Workers' Compensation Act shall |
compile a list of
certified Commission arbitrators, each of |
whom shall be approved by at least
7 members of the Advisory |
Board. The chairman shall select 5 persons
from such list to |
serve as arbitrators under this subsection (m). By
agreement, |
the parties shall select one arbitrator from among the 5 |
persons
selected by the chairman except, that if the parties do |
not agree on an
arbitrator from among the 5 persons, the |
parties may, by agreement,
select an arbitrator of the American |
Arbitration Association, whose fee
shall be paid by the State |
in accordance with rules promulgated by the
Commission. |
Arbitration under this subsection (m) shall be voluntary.
|
(Source: P.A. 93-721, eff. 1-1-05; 94-277, eff. 7-20-05.)
|
|
(820 ILCS 310/19a) (from Ch. 48, par. 172.54b)
|
Sec. 19a.
Money received by the Commission pursuant to |
subsection (f) of
Section 19 of this Act shall be paid into a |
trust fund outside the State
Treasury and shall be held in such |
fund until completion of the record for
which the payment was |
made. The Secretary of the Commission shall be
ex-officio |
custodian of such trust fund which shall be used only for the
|
purpose specified in this section. Upon completion of the |
record the
Secretary shall pay the amount so held to the person |
entitled thereto for
preparation of the record. Within 60 days |
after the effective date of this amendatory Act of the 98th |
General Assembly, the Secretary of the Commission shall |
transfer all remaining funds to the Injured Workers' Benefit |
Fund for the purpose of paying claims from injured employees |
who have received a final award for benefits from the |
Commission against the employer in Fiscal Year 2013.
|
(Source: Laws 1967, p. 325.)
|
(820 ILCS 310/19.5) (from Ch. 48, par. 172.54-1)
|
Sec. 19.5.
If the Commission shall, before or after any
|
hearing, proceeding, or review to any court, be satisfied that |
the employee
is a poor person, and unable to pay the costs and |
expenses provided for by
this Act, the Commission shall permit |
such poor person to have all the
rights and remedies provided |
by this Act, including the issuance and
service of subpoenas; a |
transcript of testimony and the record of
proceedings, |
|
including photostatic copies of exhibits, at
hearings before an |
Arbitrator or the Commission; the right to have the
record of |
proceedings certified to the circuit court; the right to the
|
filing of a written request for summons; and the right to the
|
issuance of summons, without the filing of a bond for costs
and |
without the payment of any of the costs provided for by this |
Act. If
an award is granted to such employee, or settlement is |
made, the costs and
expenses chargeable to the employee as |
provided for by this Act shall be
paid by the employer out of |
the award herein granted, or settlement, before
any of the |
balance of the award or settlement is paid to the employee.
|
(Source: P.A. 86-998; 87-895.)
|
Section 99. Effective date. This Act takes effect upon |
becoming law.
|