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| 1 | AN ACT concerning employment. | |||||||||||||||||||||||||
| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||||||||
| 3 | represented in the General Assembly: | |||||||||||||||||||||||||
| 4 | Section 5. The Workers' Compensation Act is amended by | |||||||||||||||||||||||||
| 5 | changing Sections 8, 16, 16a, and 19 as follows: | |||||||||||||||||||||||||
| 6 | (820 ILCS 305/8) (from Ch. 48, par. 138.8) | |||||||||||||||||||||||||
| 7 | Sec. 8. The amount of compensation which shall be paid to | |||||||||||||||||||||||||
| 8 | the employee for an accidental injury not resulting in death | |||||||||||||||||||||||||
| 9 | is: | |||||||||||||||||||||||||
| 10 | (a) The employer shall provide and pay the negotiated | |||||||||||||||||||||||||
| 11 | rate, if applicable, or the lesser of the health care | |||||||||||||||||||||||||
| 12 | provider's actual charges or according to a fee schedule, | |||||||||||||||||||||||||
| 13 | subject to Section 8.2, in effect at the time the service was | |||||||||||||||||||||||||
| 14 | rendered for all the necessary first aid, medical and surgical | |||||||||||||||||||||||||
| 15 | services, and all necessary medical, surgical and hospital | |||||||||||||||||||||||||
| 16 | services thereafter incurred, limited, however, to that which | |||||||||||||||||||||||||
| 17 | is reasonably required to cure or relieve from the effects of | |||||||||||||||||||||||||
| 18 | the accidental injury, even if a health care provider sells, | |||||||||||||||||||||||||
| 19 | transfers, or otherwise assigns an account receivable for | |||||||||||||||||||||||||
| 20 | procedures, treatments, or services covered under this Act. If | |||||||||||||||||||||||||
| 21 | the employer does not dispute payment of first aid, medical, | |||||||||||||||||||||||||
| 22 | surgical, and hospital services, the employer shall make such | |||||||||||||||||||||||||
| 23 | payment to the provider on behalf of the employee. The | |||||||||||||||||||||||||
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| 1 | employer shall also pay for treatment, instruction and | ||||||
| 2 | training necessary for the physical, mental and vocational | ||||||
| 3 | rehabilitation of the employee, including all maintenance | ||||||
| 4 | costs and expenses incidental thereto. If as a result of the | ||||||
| 5 | injury the employee is unable to be self-sufficient the | ||||||
| 6 | employer shall further pay for such maintenance or | ||||||
| 7 | institutional care as shall be required. If a petitioner's | ||||||
| 8 | claim is contested and enters arbitration proceedings pursuant | ||||||
| 9 | to Section 19, the Arbitrator shall include in its award, | ||||||
| 10 | pre-award interest at the rate of 6% per annum to a prevailing | ||||||
| 11 | petitioner, from the date of the contested injury, provided | ||||||
| 12 | that no interest shall accrue if, within 12 months after the | ||||||
| 13 | date of the injury, the respondent concedes that the claim is | ||||||
| 14 | compensable. | ||||||
| 15 | The employee may at any time elect to secure his own | ||||||
| 16 | physician, surgeon and hospital services at the employer's | ||||||
| 17 | expense, or, | ||||||
| 18 | Upon agreement between the employer and the employees, or | ||||||
| 19 | the employees' exclusive representative, and subject to the | ||||||
| 20 | approval of the Illinois Workers' Compensation Commission, the | ||||||
| 21 | employer shall maintain a list of physicians, to be known as a | ||||||
| 22 | Panel of Physicians, who are accessible to the employees. The | ||||||
| 23 | employer shall post this list in a place or places easily | ||||||
| 24 | accessible to his employees. The employee shall have the right | ||||||
| 25 | to make an alternative choice of physician from such Panel if | ||||||
| 26 | he is not satisfied with the physician first selected. If, due | ||||||
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| 1 | to the nature of the injury or its occurrence away from the | ||||||
| 2 | employer's place of business, the employee is unable to make a | ||||||
| 3 | selection from the Panel, the selection process from the Panel | ||||||
| 4 | shall not apply. The physician selected from the Panel may | ||||||
| 5 | arrange for any consultation, referral or other specialized | ||||||
| 6 | medical services outside the Panel at the employer's expense. | ||||||
| 7 | Provided that, in the event the Commission shall find that a | ||||||
| 8 | doctor selected by the employee is rendering improper or | ||||||
| 9 | inadequate care, the Commission may order the employee to | ||||||
| 10 | select another doctor certified or qualified in the medical | ||||||
| 11 | field for which treatment is required. If the employee refuses | ||||||
| 12 | to make such change the Commission may relieve the employer of | ||||||
| 13 | his obligation to pay the doctor's charges from the date of | ||||||
| 14 | refusal to the date of compliance. | ||||||
| 15 | Any vocational rehabilitation counselors who provide | ||||||
| 16 | service under this Act shall have appropriate certifications | ||||||
| 17 | which designate the counselor as qualified to render opinions | ||||||
| 18 | relating to vocational rehabilitation. Vocational | ||||||
| 19 | rehabilitation may include, but is not limited to, counseling | ||||||
| 20 | for job searches, supervising a job search program, and | ||||||
| 21 | vocational retraining including education at an accredited | ||||||
| 22 | learning institution. The employee or employer may petition to | ||||||
| 23 | the Commission to decide disputes relating to vocational | ||||||
| 24 | rehabilitation and the Commission shall resolve any such | ||||||
| 25 | dispute, including payment of the vocational rehabilitation | ||||||
| 26 | program by the employer. | ||||||
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| 1 | The maintenance benefit shall not be less than the | ||||||
| 2 | temporary total disability rate determined for the employee. | ||||||
| 3 | In addition, maintenance shall include costs and expenses | ||||||
| 4 | incidental to the vocational rehabilitation program. | ||||||
| 5 | When the employee is working light duty on a part-time | ||||||
| 6 | basis or full-time basis and earns less than he or she would be | ||||||
| 7 | earning if employed in the full capacity of the job or jobs, | ||||||
| 8 | then the employee shall be entitled to temporary partial | ||||||
| 9 | disability benefits. Temporary partial disability benefits | ||||||
| 10 | shall be equal to two-thirds of the difference between the | ||||||
| 11 | average amount that the employee would be able to earn in the | ||||||
| 12 | full performance of his or her duties in the occupation in | ||||||
| 13 | which he or she was engaged at the time of accident and the | ||||||
| 14 | gross amount which he or she is earning in the modified job | ||||||
| 15 | provided to the employee by the employer or in any other job | ||||||
| 16 | that the employee is working. | ||||||
| 17 | Every hospital, physician, surgeon or other person | ||||||
| 18 | rendering treatment or services in accordance with the | ||||||
| 19 | provisions of this Section shall upon written request furnish | ||||||
| 20 | full and complete reports thereof to, and permit their records | ||||||
| 21 | to be copied by, the employer, the employee or his dependents, | ||||||
| 22 | as the case may be, or any other party to any proceeding for | ||||||
| 23 | compensation before the Commission, or their attorneys. | ||||||
| 24 | Notwithstanding the foregoing, the employer's liability to | ||||||
| 25 | pay for such medical services selected by the employee shall | ||||||
| 26 | be limited to: | ||||||
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| 1 | (1) all first aid and emergency treatment; plus | ||||||
| 2 | (2) all medical, surgical and hospital services | ||||||
| 3 | provided by the physician, surgeon or hospital initially | ||||||
| 4 | chosen by the employee or by any other physician, | ||||||
| 5 | consultant, expert, institution or other provider of | ||||||
| 6 | services recommended by said initial service provider or | ||||||
| 7 | any subsequent provider of medical services in the chain | ||||||
| 8 | of referrals from said initial service provider; plus | ||||||
| 9 | (3) all medical, surgical and hospital services | ||||||
| 10 | provided by any second physician, surgeon or hospital | ||||||
| 11 | subsequently chosen by the employee or by any other | ||||||
| 12 | physician, consultant, expert, institution or other | ||||||
| 13 | provider of services recommended by said second service | ||||||
| 14 | provider or any subsequent provider of medical services in | ||||||
| 15 | the chain of referrals from said second service provider. | ||||||
| 16 | Thereafter the employer shall select and pay for all | ||||||
| 17 | necessary medical, surgical and hospital treatment and the | ||||||
| 18 | employee may not select a provider of medical services at | ||||||
| 19 | the employer's expense unless the employer agrees to such | ||||||
| 20 | selection. At any time the employee may obtain any medical | ||||||
| 21 | treatment he desires at his own expense. This paragraph | ||||||
| 22 | shall not affect the duty to pay for rehabilitation | ||||||
| 23 | referred to above. | ||||||
| 24 | (4) The following shall apply for injuries occurring | ||||||
| 25 | on or after June 28, 2011 (the effective date of Public Act | ||||||
| 26 | 97-18) and only when an employer has an approved preferred | ||||||
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| |||||||
| 1 | provider program pursuant to Section 8.1a on the date the | ||||||
| 2 | employee sustained his or her accidental injuries: | ||||||
| 3 | (A) The employer shall, in writing, on a form | ||||||
| 4 | promulgated by the Commission, inform the employee of | ||||||
| 5 | the preferred provider program; | ||||||
| 6 | (B) Subsequent to the report of an injury by an | ||||||
| 7 | employee, the employee may choose in writing at any | ||||||
| 8 | time to decline the preferred provider program, in | ||||||
| 9 | which case that would constitute one of the two | ||||||
| 10 | choices of medical providers to which the employee is | ||||||
| 11 | entitled under subsection (a)(2) or (a)(3); and | ||||||
| 12 | (C) Prior to the report of an injury by an | ||||||
| 13 | employee, when an employee chooses non-emergency | ||||||
| 14 | treatment from a provider not within the preferred | ||||||
| 15 | provider program, that would constitute the employee's | ||||||
| 16 | one choice of medical providers to which the employee | ||||||
| 17 | is entitled under subsection (a)(2) or (a)(3). | ||||||
| 18 | When an employer and employee so agree in writing, nothing | ||||||
| 19 | in this Act prevents an employee whose injury or disability | ||||||
| 20 | has been established under this Act, from relying in good | ||||||
| 21 | faith, on treatment by prayer or spiritual means alone, in | ||||||
| 22 | accordance with the tenets and practice of a recognized church | ||||||
| 23 | or religious denomination, by a duly accredited practitioner | ||||||
| 24 | thereof, and having nursing services appropriate therewith, | ||||||
| 25 | without suffering loss or diminution of the compensation | ||||||
| 26 | benefits under this Act. However, the employee shall submit to | ||||||
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| 1 | all physical examinations required by this Act. The cost of | ||||||
| 2 | such treatment and nursing care shall be paid by the employee | ||||||
| 3 | unless the employer agrees to make such payment. | ||||||
| 4 | Where the accidental injury results in the amputation of | ||||||
| 5 | an arm, hand, leg or foot, or the enucleation of an eye, or the | ||||||
| 6 | loss of any of the natural teeth, the employer shall furnish an | ||||||
| 7 | artificial of any such members lost or damaged in accidental | ||||||
| 8 | injury arising out of and in the course of employment, and | ||||||
| 9 | shall also furnish the necessary braces in all proper and | ||||||
| 10 | necessary cases. In cases of the loss of a member or members by | ||||||
| 11 | amputation, the employer shall, whenever necessary, maintain | ||||||
| 12 | in good repair, refit or replace the artificial limbs during | ||||||
| 13 | the lifetime of the employee. Where the accidental injury | ||||||
| 14 | accompanied by physical injury results in damage to a denture, | ||||||
| 15 | eye glasses or contact eye lenses, or where the accidental | ||||||
| 16 | injury results in damage to an artificial member, the employer | ||||||
| 17 | shall replace or repair such denture, glasses, lenses, or | ||||||
| 18 | artificial member. | ||||||
| 19 | The furnishing by the employer of any such services or | ||||||
| 20 | appliances is not an admission of liability on the part of the | ||||||
| 21 | employer to pay compensation. | ||||||
| 22 | The furnishing of any such services or appliances or the | ||||||
| 23 | servicing thereof by the employer is not the payment of | ||||||
| 24 | compensation. | ||||||
| 25 | (b) If the period of temporary total incapacity for work | ||||||
| 26 | lasts more than 3 working days, weekly compensation as | ||||||
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| 1 | hereinafter provided shall be paid beginning on the 4th day of | ||||||
| 2 | such temporary total incapacity and continuing as long as the | ||||||
| 3 | total temporary incapacity lasts. In cases where the temporary | ||||||
| 4 | total incapacity for work continues for a period of 14 days or | ||||||
| 5 | more from the day of the accident compensation shall commence | ||||||
| 6 | on the day after the accident. | ||||||
| 7 | 1. The compensation rate for temporary total | ||||||
| 8 | incapacity under this paragraph (b) of this Section shall | ||||||
| 9 | be equal to 66 2/3% of the employee's average weekly wage | ||||||
| 10 | computed in accordance with Section 10, provided that it | ||||||
| 11 | shall be not less than 66 2/3% of the sum of the Federal | ||||||
| 12 | minimum wage under the Fair Labor Standards Act, or the | ||||||
| 13 | Illinois minimum wage under the Minimum Wage Law, | ||||||
| 14 | whichever is more, multiplied by 40 hours. This percentage | ||||||
| 15 | rate shall be increased by 10% for each spouse and child, | ||||||
| 16 | not to exceed 100% of the total minimum wage calculation, | ||||||
| 17 | nor exceed the employee's average weekly wage computed in | ||||||
| 18 | accordance with the provisions of Section 10, whichever is | ||||||
| 19 | less. | ||||||
| 20 | 2. The compensation rate in all cases other than for | ||||||
| 21 | temporary total disability under this paragraph (b), and | ||||||
| 22 | other than for serious and permanent disfigurement under | ||||||
| 23 | paragraph (c) and other than for permanent partial | ||||||
| 24 | disability under subparagraph (2) of paragraph (d) or | ||||||
| 25 | under paragraph (e), of this Section shall be equal to 66 | ||||||
| 26 | 2/3% of the employee's average weekly wage computed in | ||||||
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| 1 | accordance with the provisions of Section 10, provided | ||||||
| 2 | that it shall be not less than 66 2/3% of the sum of the | ||||||
| 3 | Federal minimum wage under the Fair Labor Standards Act, | ||||||
| 4 | or the Illinois minimum wage under the Minimum Wage Law, | ||||||
| 5 | whichever is more, multiplied by 40 hours. This percentage | ||||||
| 6 | rate shall be increased by 10% for each spouse and child, | ||||||
| 7 | not to exceed 100% of the total minimum wage calculation, | ||||||
| 8 | nor exceed the employee's average weekly wage computed in | ||||||
| 9 | accordance with the provisions of Section 10, whichever is | ||||||
| 10 | less. | ||||||
| 11 | 2.1. The compensation rate in all cases of serious and | ||||||
| 12 | permanent disfigurement under paragraph (c) and of | ||||||
| 13 | permanent partial disability under subparagraph (2) of | ||||||
| 14 | paragraph (d) or under paragraph (e) of this Section shall | ||||||
| 15 | be equal to 60% of the employee's average weekly wage | ||||||
| 16 | computed in accordance with the provisions of Section 10, | ||||||
| 17 | provided that it shall be not less than 66 2/3% of the sum | ||||||
| 18 | of the Federal minimum wage under the Fair Labor Standards | ||||||
| 19 | Act, or the Illinois minimum wage under the Minimum Wage | ||||||
| 20 | Law, whichever is more, multiplied by 40 hours. This | ||||||
| 21 | percentage rate shall be increased by 10% for each spouse | ||||||
| 22 | and child, not to exceed 100% of the total minimum wage | ||||||
| 23 | calculation, nor exceed the employee's average weekly wage | ||||||
| 24 | computed in accordance with the provisions of Section 10, | ||||||
| 25 | whichever is less. | ||||||
| 26 | 3. As used in this Section the term "child" means a | ||||||
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| 1 | child of the employee including any child legally adopted | ||||||
| 2 | before the accident or whom at the time of the accident the | ||||||
| 3 | employee was under legal obligation to support or to whom | ||||||
| 4 | the employee stood in loco parentis, and who at the time of | ||||||
| 5 | the accident was under 18 years of age and not | ||||||
| 6 | emancipated. The term "children" means the plural of | ||||||
| 7 | "child". | ||||||
| 8 | 4. All weekly compensation rates provided under | ||||||
| 9 | subparagraphs 1, 2 and 2.1 of this paragraph (b) of this | ||||||
| 10 | Section shall be subject to the following limitations: | ||||||
| 11 | The maximum weekly compensation rate from July 1, | ||||||
| 12 | 1975, except as hereinafter provided, shall be 100% of the | ||||||
| 13 | State's average weekly wage in covered industries under | ||||||
| 14 | the Unemployment Insurance Act, that being the wage that | ||||||
| 15 | most closely approximates the State's average weekly wage. | ||||||
| 16 | The maximum weekly compensation rate, for the period | ||||||
| 17 | July 1, 1984, through June 30, 1987, except as hereinafter | ||||||
| 18 | provided, shall be $293.61. Effective July 1, 1987 and on | ||||||
| 19 | July 1 of each year thereafter the maximum weekly | ||||||
| 20 | compensation rate, except as hereinafter provided, shall | ||||||
| 21 | be determined as follows: if during the preceding 12 month | ||||||
| 22 | period there shall have been an increase in the State's | ||||||
| 23 | average weekly wage in covered industries under the | ||||||
| 24 | Unemployment Insurance Act, the weekly compensation rate | ||||||
| 25 | shall be proportionately increased by the same percentage | ||||||
| 26 | as the percentage of increase in the State's average | ||||||
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| |||||||
| 1 | weekly wage in covered industries under the Unemployment | ||||||
| 2 | Insurance Act during such period. | ||||||
| 3 | The maximum weekly compensation rate, for the period | ||||||
| 4 | January 1, 1981 through December 31, 1983, except as | ||||||
| 5 | hereinafter provided, shall be 100% of the State's average | ||||||
| 6 | weekly wage in covered industries under the Unemployment | ||||||
| 7 | Insurance Act in effect on January 1, 1981. Effective | ||||||
| 8 | January 1, 1984 and on January 1, of each year thereafter | ||||||
| 9 | the maximum weekly compensation rate, except as | ||||||
| 10 | hereinafter provided, shall be determined as follows: if | ||||||
| 11 | during the preceding 12 month period there shall have been | ||||||
| 12 | an increase in the State's average weekly wage in covered | ||||||
| 13 | industries under the Unemployment Insurance Act, the | ||||||
| 14 | weekly compensation rate shall be proportionately | ||||||
| 15 | increased by the same percentage as the percentage of | ||||||
| 16 | increase in the State's average weekly wage in covered | ||||||
| 17 | industries under the Unemployment Insurance Act during | ||||||
| 18 | such period. | ||||||
| 19 | From July 1, 1977 and thereafter such maximum weekly | ||||||
| 20 | compensation rate in death cases under Section 7, and | ||||||
| 21 | permanent total disability cases under paragraph (f) or | ||||||
| 22 | subparagraph 18 of paragraph (3) of this Section and for | ||||||
| 23 | temporary total disability under paragraph (b) of this | ||||||
| 24 | Section and for amputation of a member or enucleation of | ||||||
| 25 | an eye under paragraph (e) of this Section shall be | ||||||
| 26 | increased to 133-1/3% of the State's average weekly wage | ||||||
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| 1 | in covered industries under the Unemployment Insurance | ||||||
| 2 | Act. | ||||||
| 3 | For injuries occurring on or after February 1, 2006, | ||||||
| 4 | the maximum weekly benefit under paragraph (d)1 of this | ||||||
| 5 | Section shall be 100% of the State's average weekly wage | ||||||
| 6 | in covered industries under the Unemployment Insurance | ||||||
| 7 | Act. | ||||||
| 8 | 4.1. Any provision herein to the contrary | ||||||
| 9 | notwithstanding, the weekly compensation rate for | ||||||
| 10 | compensation payments under subparagraph 18 of paragraph | ||||||
| 11 | (e) of this Section and under paragraph (f) of this | ||||||
| 12 | Section and under paragraph (a) of Section 7 and for | ||||||
| 13 | amputation of a member or enucleation of an eye under | ||||||
| 14 | paragraph (e) of this Section, shall in no event be less | ||||||
| 15 | than 50% of the State's average weekly wage in covered | ||||||
| 16 | industries under the Unemployment Insurance Act. | ||||||
| 17 | 4.2. Any provision to the contrary notwithstanding, | ||||||
| 18 | the total compensation payable under Section 7 shall not | ||||||
| 19 | exceed the greater of $500,000 or 25 years. | ||||||
| 20 | 5. For the purpose of this Section this State's | ||||||
| 21 | average weekly wage in covered industries under the | ||||||
| 22 | Unemployment Insurance Act on July 1, 1975 is hereby fixed | ||||||
| 23 | at $228.16 per week and the computation of compensation | ||||||
| 24 | rates shall be based on the aforesaid average weekly wage | ||||||
| 25 | until modified as hereinafter provided. | ||||||
| 26 | 6. The Department of Employment Security of the State | ||||||
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| 1 | shall on or before the first day of December, 1977, and on | ||||||
| 2 | or before the first day of June, 1978, and on the first day | ||||||
| 3 | of each December and June of each year thereafter, publish | ||||||
| 4 | the State's average weekly wage in covered industries | ||||||
| 5 | under the Unemployment Insurance Act and the Illinois | ||||||
| 6 | Workers' Compensation Commission shall on the 15th day of | ||||||
| 7 | January, 1978 and on the 15th day of July, 1978 and on the | ||||||
| 8 | 15th day of each January and July of each year thereafter, | ||||||
| 9 | post and publish the State's average weekly wage in | ||||||
| 10 | covered industries under the Unemployment Insurance Act as | ||||||
| 11 | last determined and published by the Department of | ||||||
| 12 | Employment Security. The amount when so posted and | ||||||
| 13 | published shall be conclusive and shall be applicable as | ||||||
| 14 | the basis of computation of compensation rates until the | ||||||
| 15 | next posting and publication as aforesaid. | ||||||
| 16 | 7. The payment of compensation by an employer or his | ||||||
| 17 | insurance carrier to an injured employee shall not | ||||||
| 18 | constitute an admission of the employer's liability to pay | ||||||
| 19 | compensation. | ||||||
| 20 | (c) For any serious and permanent disfigurement to the | ||||||
| 21 | hand, head, face, neck, arm, leg below the knee or the chest | ||||||
| 22 | above the axillary line, the employee is entitled to | ||||||
| 23 | compensation for such disfigurement, the amount determined by | ||||||
| 24 | agreement at any time or by arbitration under this Act, at a | ||||||
| 25 | hearing not less than 6 months after the date of the accidental | ||||||
| 26 | injury, which amount shall not exceed 150 weeks (if the | ||||||
| |||||||
| |||||||
| 1 | accidental injury occurs on or after the effective date of | ||||||
| 2 | this amendatory Act of the 94th General Assembly but before | ||||||
| 3 | February 1, 2006) or 162 weeks (if the accidental injury | ||||||
| 4 | occurs on or after February 1, 2006) at the applicable rate | ||||||
| 5 | provided in subparagraph 2.1 of paragraph (b) of this Section. | ||||||
| 6 | No compensation is payable under this paragraph where | ||||||
| 7 | compensation is payable under paragraphs (d), (e) or (f) of | ||||||
| 8 | this Section. | ||||||
| 9 | A duly appointed member of a fire department in a city, the | ||||||
| 10 | population of which exceeds 500,000 according to the last | ||||||
| 11 | federal or State census, is eligible for compensation under | ||||||
| 12 | this paragraph only where such serious and permanent | ||||||
| 13 | disfigurement results from burns. | ||||||
| 14 | (d) 1. If, after the accidental injury has been sustained, | ||||||
| 15 | the employee as a result thereof becomes partially | ||||||
| 16 | incapacitated from pursuing his usual and customary line of | ||||||
| 17 | employment, he shall, except in cases compensated under the | ||||||
| 18 | specific schedule set forth in paragraph (e) of this Section, | ||||||
| 19 | receive compensation for the duration of his disability, | ||||||
| 20 | subject to the limitations as to maximum amounts fixed in | ||||||
| 21 | paragraph (b) of this Section, equal to 66-2/3% of the | ||||||
| 22 | difference between the average amount which he would be able | ||||||
| 23 | to earn in the full performance of his duties in the occupation | ||||||
| 24 | in which he was engaged at the time of the accident and the | ||||||
| 25 | average amount which he is earning or is able to earn in some | ||||||
| 26 | suitable employment or business after the accident. For | ||||||
| |||||||
| |||||||
| 1 | accidental injuries that occur on or after September 1, 2011, | ||||||
| 2 | an award for wage differential under this subsection shall be | ||||||
| 3 | effective only until the employee reaches the age of 67 or 5 | ||||||
| 4 | years from the date the award becomes final, whichever is | ||||||
| 5 | later. | ||||||
| 6 | 2. If, as a result of the accident, the employee sustains | ||||||
| 7 | serious and permanent injuries not covered by paragraphs (c) | ||||||
| 8 | and (e) of this Section or having sustained injuries covered | ||||||
| 9 | by the aforesaid paragraphs (c) and (e), he shall have | ||||||
| 10 | sustained in addition thereto other injuries which injuries do | ||||||
| 11 | not incapacitate him from pursuing the duties of his | ||||||
| 12 | employment but which would disable him from pursuing other | ||||||
| 13 | suitable occupations, or which have otherwise resulted in | ||||||
| 14 | physical impairment; or if such injuries partially | ||||||
| 15 | incapacitate him from pursuing the duties of his usual and | ||||||
| 16 | customary line of employment but do not result in an | ||||||
| 17 | impairment of earning capacity, or having resulted in an | ||||||
| 18 | impairment of earning capacity, the employee elects to waive | ||||||
| 19 | his right to recover under the foregoing subparagraph 1 of | ||||||
| 20 | paragraph (d) of this Section then in any of the foregoing | ||||||
| 21 | events, he shall receive in addition to compensation for | ||||||
| 22 | temporary total disability under paragraph (b) of this | ||||||
| 23 | Section, compensation at the rate provided in subparagraph 2.1 | ||||||
| 24 | of paragraph (b) of this Section for that percentage of 500 | ||||||
| 25 | weeks that the partial disability resulting from the injuries | ||||||
| 26 | covered by this paragraph bears to total disability. If the | ||||||
| |||||||
| |||||||
| 1 | employee shall have sustained a fracture of one or more | ||||||
| 2 | vertebra or fracture of the skull, the amount of compensation | ||||||
| 3 | allowed under this Section shall be not less than 6 weeks for a | ||||||
| 4 | fractured skull and 6 weeks for each fractured vertebra, and | ||||||
| 5 | in the event the employee shall have sustained a fracture of | ||||||
| 6 | any of the following facial bones: nasal, lachrymal, vomer, | ||||||
| 7 | zygoma, maxilla, palatine or mandible, the amount of | ||||||
| 8 | compensation allowed under this Section shall be not less than | ||||||
| 9 | 2 weeks for each such fractured bone, and for a fracture of | ||||||
| 10 | each transverse process not less than 3 weeks. In the event | ||||||
| 11 | such injuries shall result in the loss of a kidney, spleen or | ||||||
| 12 | lung, the amount of compensation allowed under this Section | ||||||
| 13 | shall be not less than 10 weeks for each such organ. | ||||||
| 14 | Compensation awarded under this subparagraph 2 shall not take | ||||||
| 15 | into consideration injuries covered under paragraphs (c) and | ||||||
| 16 | (e) of this Section and the compensation provided in this | ||||||
| 17 | paragraph shall not affect the employee's right to | ||||||
| 18 | compensation payable under paragraphs (b), (c) and (e) of this | ||||||
| 19 | Section for the disabilities therein covered. | ||||||
| 20 | (e) For accidental injuries in the following schedule, the | ||||||
| 21 | employee shall receive compensation for the period of | ||||||
| 22 | temporary total incapacity for work resulting from such | ||||||
| 23 | accidental injury, under subparagraph 1 of paragraph (b) of | ||||||
| 24 | this Section, and shall receive in addition thereto | ||||||
| 25 | compensation for a further period for the specific loss herein | ||||||
| 26 | mentioned, but shall not receive any compensation under any | ||||||
| |||||||
| |||||||
| 1 | other provisions of this Act. The following listed amounts | ||||||
| 2 | apply to either the loss of or the permanent and complete loss | ||||||
| 3 | of use of the member specified, such compensation for the | ||||||
| 4 | length of time as follows: | ||||||
| 5 | 1. Thumb- | ||||||
| 6 | 70 weeks if the accidental injury occurs on or | ||||||
| 7 | after the effective date of this amendatory Act of the | ||||||
| 8 | 94th General Assembly but before February 1, 2006. | ||||||
| 9 | 76 weeks if the accidental injury occurs on or | ||||||
| 10 | after February 1, 2006. | ||||||
| 11 | 2. First, or index finger- | ||||||
| 12 | 40 weeks if the accidental injury occurs on or | ||||||
| 13 | after the effective date of this amendatory Act of the | ||||||
| 14 | 94th General Assembly but before February 1, 2006. | ||||||
| 15 | 43 weeks if the accidental injury occurs on or | ||||||
| 16 | after February 1, 2006. | ||||||
| 17 | 3. Second, or middle finger- | ||||||
| 18 | 35 weeks if the accidental injury occurs on or | ||||||
| 19 | after the effective date of this amendatory Act of the | ||||||
| 20 | 94th General Assembly but before February 1, 2006. | ||||||
| 21 | 38 weeks if the accidental injury occurs on or | ||||||
| 22 | after February 1, 2006. | ||||||
| 23 | 4. Third, or ring finger- | ||||||
| 24 | 25 weeks if the accidental injury occurs on or | ||||||
| 25 | after the effective date of this amendatory Act of the | ||||||
| 26 | 94th General Assembly but before February 1, 2006. | ||||||
| |||||||
| |||||||
| 1 | 27 weeks if the accidental injury occurs on or | ||||||
| 2 | after February 1, 2006. | ||||||
| 3 | 5. Fourth, or little finger- | ||||||
| 4 | 20 weeks if the accidental injury occurs on or | ||||||
| 5 | after the effective date of this amendatory Act of the | ||||||
| 6 | 94th General Assembly but before February 1, 2006. | ||||||
| 7 | 22 weeks if the accidental injury occurs on or | ||||||
| 8 | after February 1, 2006. | ||||||
| 9 | 6. Great toe- | ||||||
| 10 | 35 weeks if the accidental injury occurs on or | ||||||
| 11 | after the effective date of this amendatory Act of the | ||||||
| 12 | 94th General Assembly but before February 1, 2006. | ||||||
| 13 | 38 weeks if the accidental injury occurs on or | ||||||
| 14 | after February 1, 2006. | ||||||
| 15 | 7. Each toe other than great toe- | ||||||
| 16 | 12 weeks if the accidental injury occurs on or | ||||||
| 17 | after the effective date of this amendatory Act of the | ||||||
| 18 | 94th General Assembly but before February 1, 2006. | ||||||
| 19 | 13 weeks if the accidental injury occurs on or | ||||||
| 20 | after February 1, 2006. | ||||||
| 21 | 8. The loss of the first or distal phalanx of the thumb | ||||||
| 22 | or of any finger or toe shall be considered to be equal to | ||||||
| 23 | the loss of one-half of such thumb, finger or toe and the | ||||||
| 24 | compensation payable shall be one-half of the amount above | ||||||
| 25 | specified. The loss of more than one phalanx shall be | ||||||
| 26 | considered as the loss of the entire thumb, finger or toe. | ||||||
| |||||||
| |||||||
| 1 | In no case shall the amount received for more than one | ||||||
| 2 | finger exceed the amount provided in this schedule for the | ||||||
| 3 | loss of a hand. | ||||||
| 4 | 9. Hand- | ||||||
| 5 | 190 weeks if the accidental injury occurs on or | ||||||
| 6 | after the effective date of this amendatory Act of the | ||||||
| 7 | 94th General Assembly but before February 1, 2006. | ||||||
| 8 | 205 weeks if the accidental injury occurs on or | ||||||
| 9 | after February 1, 2006. | ||||||
| 10 | 190 weeks if the accidental injury occurs on or | ||||||
| 11 | after June 28, 2011 (the effective date of Public Act | ||||||
| 12 | 97-18) and if the accidental injury involves carpal | ||||||
| 13 | tunnel syndrome due to repetitive or cumulative | ||||||
| 14 | trauma, in which case the permanent partial disability | ||||||
| 15 | shall not exceed 15% loss of use of the hand, except | ||||||
| 16 | for cause shown by clear and convincing evidence and | ||||||
| 17 | in which case the award shall not exceed 30% loss of | ||||||
| 18 | use of the hand. | ||||||
| 19 | The loss of 2 or more digits, or one or more phalanges | ||||||
| 20 | of 2 or more digits, of a hand may be compensated on the | ||||||
| 21 | basis of partial loss of use of a hand, provided, further, | ||||||
| 22 | that the loss of 4 digits, or the loss of use of 4 digits, | ||||||
| 23 | in the same hand shall constitute the complete loss of a | ||||||
| 24 | hand. | ||||||
| 25 | 10. Arm- | ||||||
| 26 | 235 weeks if the accidental injury occurs on or | ||||||
| |||||||
| |||||||
| 1 | after the effective date of this amendatory Act of the | ||||||
| 2 | 94th General Assembly but before February 1, 2006. | ||||||
| 3 | 253 weeks if the accidental injury occurs on or | ||||||
| 4 | after February 1, 2006. | ||||||
| 5 | Where an accidental injury results in the amputation | ||||||
| 6 | of an arm below the elbow, such injury shall be | ||||||
| 7 | compensated as a loss of an arm. Where an accidental | ||||||
| 8 | injury results in the amputation of an arm above the | ||||||
| 9 | elbow, compensation for an additional 15 weeks (if the | ||||||
| 10 | accidental injury occurs on or after the effective date of | ||||||
| 11 | this amendatory Act of the 94th General Assembly but | ||||||
| 12 | before February 1, 2006) or an additional 17 weeks (if the | ||||||
| 13 | accidental injury occurs on or after February 1, 2006) | ||||||
| 14 | shall be paid, except where the accidental injury results | ||||||
| 15 | in the amputation of an arm at the shoulder joint, or so | ||||||
| 16 | close to shoulder joint that an artificial arm cannot be | ||||||
| 17 | used, or results in the disarticulation of an arm at the | ||||||
| 18 | shoulder joint, in which case compensation for an | ||||||
| 19 | additional 65 weeks (if the accidental injury occurs on or | ||||||
| 20 | after the effective date of this amendatory Act of the | ||||||
| 21 | 94th General Assembly but before February 1, 2006) or an | ||||||
| 22 | additional 70 weeks (if the accidental injury occurs on or | ||||||
| 23 | after February 1, 2006) shall be paid. | ||||||
| 24 | 11. Foot- | ||||||
| 25 | 155 weeks if the accidental injury occurs on or | ||||||
| 26 | after the effective date of this amendatory Act of the | ||||||
| |||||||
| |||||||
| 1 | 94th General Assembly but before February 1, 2006. | ||||||
| 2 | 167 weeks if the accidental injury occurs on or | ||||||
| 3 | after February 1, 2006. | ||||||
| 4 | 12. Leg- | ||||||
| 5 | 200 weeks if the accidental injury occurs on or | ||||||
| 6 | after the effective date of this amendatory Act of the | ||||||
| 7 | 94th General Assembly but before February 1, 2006. | ||||||
| 8 | 215 weeks if the accidental injury occurs on or | ||||||
| 9 | after February 1, 2006. | ||||||
| 10 | Where an accidental injury results in the amputation | ||||||
| 11 | of a leg below the knee, such injury shall be compensated | ||||||
| 12 | as loss of a leg. Where an accidental injury results in the | ||||||
| 13 | amputation of a leg above the knee, compensation for an | ||||||
| 14 | additional 25 weeks (if the accidental injury occurs on or | ||||||
| 15 | after the effective date of this amendatory Act of the | ||||||
| 16 | 94th General Assembly but before February 1, 2006) or an | ||||||
| 17 | additional 27 weeks (if the accidental injury occurs on or | ||||||
| 18 | after February 1, 2006) shall be paid, except where the | ||||||
| 19 | accidental injury results in the amputation of a leg at | ||||||
| 20 | the hip joint, or so close to the hip joint that an | ||||||
| 21 | artificial leg cannot be used, or results in the | ||||||
| 22 | disarticulation of a leg at the hip joint, in which case | ||||||
| 23 | compensation for an additional 75 weeks (if the accidental | ||||||
| 24 | injury occurs on or after the effective date of this | ||||||
| 25 | amendatory Act of the 94th General Assembly but before | ||||||
| 26 | February 1, 2006) or an additional 81 weeks (if the | ||||||
| |||||||
| |||||||
| 1 | accidental injury occurs on or after February 1, 2006) | ||||||
| 2 | shall be paid. | ||||||
| 3 | 13. Eye- | ||||||
| 4 | 150 weeks if the accidental injury occurs on or | ||||||
| 5 | after the effective date of this amendatory Act of the | ||||||
| 6 | 94th General Assembly but before February 1, 2006. | ||||||
| 7 | 162 weeks if the accidental injury occurs on or | ||||||
| 8 | after February 1, 2006. | ||||||
| 9 | Where an accidental injury results in the enucleation | ||||||
| 10 | of an eye, compensation for an additional 10 weeks (if the | ||||||
| 11 | accidental injury occurs on or after the effective date of | ||||||
| 12 | this amendatory Act of the 94th General Assembly but | ||||||
| 13 | before February 1, 2006) or an additional 11 weeks (if the | ||||||
| 14 | accidental injury occurs on or after February 1, 2006) | ||||||
| 15 | shall be paid. | ||||||
| 16 | 14. Loss of hearing of one ear- | ||||||
| 17 | 50 weeks if the accidental injury occurs on or | ||||||
| 18 | after the effective date of this amendatory Act of the | ||||||
| 19 | 94th General Assembly but before February 1, 2006. | ||||||
| 20 | 54 weeks if the accidental injury occurs on or | ||||||
| 21 | after February 1, 2006. | ||||||
| 22 | Total and permanent loss of hearing of both ears- | ||||||
| 23 | 200 weeks if the accidental injury occurs on or | ||||||
| 24 | after the effective date of this amendatory Act of the | ||||||
| 25 | 94th General Assembly but before February 1, 2006. | ||||||
| 26 | 215 weeks if the accidental injury occurs on or | ||||||
| |||||||
| |||||||
| 1 | after February 1, 2006. | ||||||
| 2 | 15. Testicle- | ||||||
| 3 | 50 weeks if the accidental injury occurs on or | ||||||
| 4 | after the effective date of this amendatory Act of the | ||||||
| 5 | 94th General Assembly but before February 1, 2006. | ||||||
| 6 | 54 weeks if the accidental injury occurs on or | ||||||
| 7 | after February 1, 2006. | ||||||
| 8 | Both testicles- | ||||||
| 9 | 150 weeks if the accidental injury occurs on or | ||||||
| 10 | after the effective date of this amendatory Act of the | ||||||
| 11 | 94th General Assembly but before February 1, 2006. | ||||||
| 12 | 162 weeks if the accidental injury occurs on or | ||||||
| 13 | after February 1, 2006. | ||||||
| 14 | 16. For the permanent partial loss of use of a member | ||||||
| 15 | or sight of an eye, or hearing of an ear, compensation | ||||||
| 16 | during that proportion of the number of weeks in the | ||||||
| 17 | foregoing schedule provided for the loss of such member or | ||||||
| 18 | sight of an eye, or hearing of an ear, which the partial | ||||||
| 19 | loss of use thereof bears to the total loss of use of such | ||||||
| 20 | member, or sight of eye, or hearing of an ear. | ||||||
| 21 | (a) Loss of hearing for compensation purposes | ||||||
| 22 | shall be confined to the frequencies of 1,000, 2,000 | ||||||
| 23 | and 3,000 cycles per second. Loss of hearing ability | ||||||
| 24 | for frequency tones above 3,000 cycles per second are | ||||||
| 25 | not to be considered as constituting disability for | ||||||
| 26 | hearing. | ||||||
| |||||||
| |||||||
| 1 | (b) The percent of hearing loss, for purposes of | ||||||
| 2 | the determination of compensation claims for | ||||||
| 3 | occupational deafness, shall be calculated as the | ||||||
| 4 | average in decibels for the thresholds of hearing for | ||||||
| 5 | the frequencies of 1,000, 2,000 and 3,000 cycles per | ||||||
| 6 | second. Pure tone air conduction audiometric | ||||||
| 7 | instruments, approved by nationally recognized | ||||||
| 8 | authorities in this field, shall be used for measuring | ||||||
| 9 | hearing loss. If the losses of hearing average 30 | ||||||
| 10 | decibels or less in the 3 frequencies, such losses of | ||||||
| 11 | hearing shall not then constitute any compensable | ||||||
| 12 | hearing disability. If the losses of hearing average | ||||||
| 13 | 85 decibels or more in the 3 frequencies, then the same | ||||||
| 14 | shall constitute and be total or 100% compensable | ||||||
| 15 | hearing loss. | ||||||
| 16 | (c) In measuring hearing impairment, the lowest | ||||||
| 17 | measured losses in each of the 3 frequencies shall be | ||||||
| 18 | added together and divided by 3 to determine the | ||||||
| 19 | average decibel loss. For every decibel of loss | ||||||
| 20 | exceeding 30 decibels an allowance of 1.82% shall be | ||||||
| 21 | made up to the maximum of 100% which is reached at 85 | ||||||
| 22 | decibels. | ||||||
| 23 | (d) If a hearing loss is established to have | ||||||
| 24 | existed on July 1, 1975 by audiometric testing the | ||||||
| 25 | employer shall not be liable for the previous loss so | ||||||
| 26 | established nor shall he be liable for any loss for | ||||||
| ||||||||||||||||||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||
| 1 | which compensation has been paid or awarded. | |||||||||||||||||||||||||||||||||||||||||||||
| 2 | (e) No consideration shall be given to the | |||||||||||||||||||||||||||||||||||||||||||||
| 3 | question of whether or not the ability of an employee | |||||||||||||||||||||||||||||||||||||||||||||
| 4 | to understand speech is improved by the use of a | |||||||||||||||||||||||||||||||||||||||||||||
| 5 | hearing aid. | |||||||||||||||||||||||||||||||||||||||||||||
| 6 | (f) No claim for loss of hearing due to industrial | |||||||||||||||||||||||||||||||||||||||||||||
| 7 | noise shall be brought against an employer or allowed | |||||||||||||||||||||||||||||||||||||||||||||
| 8 | unless the employee has been exposed for a period of | |||||||||||||||||||||||||||||||||||||||||||||
| 9 | time sufficient to cause permanent impairment to noise | |||||||||||||||||||||||||||||||||||||||||||||
| 10 | levels in excess of the following: | |||||||||||||||||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||
| 22 | This subparagraph (f) shall not be applied in cases of | |||||||||||||||||||||||||||||||||||||||||||||
| 23 | hearing loss resulting from trauma or explosion. | |||||||||||||||||||||||||||||||||||||||||||||
| 24 | 17. In computing the compensation to be paid to any | |||||||||||||||||||||||||||||||||||||||||||||
| 25 | employee who, before the accident for which he claims | |||||||||||||||||||||||||||||||||||||||||||||
| 26 | compensation, had before that time sustained an injury | |||||||||||||||||||||||||||||||||||||||||||||
| |||||||
| |||||||
| 1 | resulting in the loss by amputation or partial loss by | ||||||
| 2 | amputation of any member, including hand, arm, thumb or | ||||||
| 3 | fingers, leg, foot or any toes, such loss or partial loss | ||||||
| 4 | of any such member shall be deducted from any award made | ||||||
| 5 | for the subsequent injury. For the permanent loss of use | ||||||
| 6 | or the permanent partial loss of use of any such member or | ||||||
| 7 | the partial loss of sight of an eye, for which | ||||||
| 8 | compensation has been paid, then such loss shall be taken | ||||||
| 9 | into consideration and deducted from any award for the | ||||||
| 10 | subsequent injury. | ||||||
| 11 | 18. The specific case of loss of both hands, both | ||||||
| 12 | arms, or both feet, or both legs, or both eyes, or of any | ||||||
| 13 | two thereof, or the permanent and complete loss of the use | ||||||
| 14 | thereof, constitutes total and permanent disability, to be | ||||||
| 15 | compensated according to the compensation fixed by | ||||||
| 16 | paragraph (f) of this Section. These specific cases of | ||||||
| 17 | total and permanent disability do not exclude other cases. | ||||||
| 18 | Any employee who has previously suffered the loss or | ||||||
| 19 | permanent and complete loss of the use of any of such | ||||||
| 20 | members, and in a subsequent independent accident loses | ||||||
| 21 | another or suffers the permanent and complete loss of the | ||||||
| 22 | use of any one of such members the employer for whom the | ||||||
| 23 | injured employee is working at the time of the last | ||||||
| 24 | independent accident is liable to pay compensation only | ||||||
| 25 | for the loss or permanent and complete loss of the use of | ||||||
| 26 | the member occasioned by the last independent accident. | ||||||
| |||||||
| |||||||
| 1 | 19. In a case of specific loss and the subsequent | ||||||
| 2 | death of such injured employee from other causes than such | ||||||
| 3 | injury leaving a widow, widower, or dependents surviving | ||||||
| 4 | before payment or payment in full for such injury, then | ||||||
| 5 | the amount due for such injury is payable to the widow or | ||||||
| 6 | widower and, if there be no widow or widower, then to such | ||||||
| 7 | dependents, in the proportion which such dependency bears | ||||||
| 8 | to total dependency. | ||||||
| 9 | Beginning July 1, 1980, and every 6 months thereafter, the | ||||||
| 10 | Commission shall examine the Second Injury Fund and when, | ||||||
| 11 | after deducting all advances or loans made to such Fund, the | ||||||
| 12 | amount therein is $500,000 then the amount required to be paid | ||||||
| 13 | by employers pursuant to paragraph (f) of Section 7 shall be | ||||||
| 14 | reduced by one-half. When the Second Injury Fund reaches the | ||||||
| 15 | sum of $600,000 then the payments shall cease entirely. | ||||||
| 16 | However, when the Second Injury Fund has been reduced to | ||||||
| 17 | $400,000, payment of one-half of the amounts required by | ||||||
| 18 | paragraph (f) of Section 7 shall be resumed, in the manner | ||||||
| 19 | herein provided, and when the Second Injury Fund has been | ||||||
| 20 | reduced to $300,000, payment of the full amounts required by | ||||||
| 21 | paragraph (f) of Section 7 shall be resumed, in the manner | ||||||
| 22 | herein provided. The Commission shall make the changes in | ||||||
| 23 | payment effective by general order, and the changes in payment | ||||||
| 24 | become immediately effective for all cases coming before the | ||||||
| 25 | Commission thereafter either by settlement agreement or final | ||||||
| 26 | order, irrespective of the date of the accidental injury. | ||||||
| |||||||
| |||||||
| 1 | On August 1, 1996 and on February 1 and August 1 of each | ||||||
| 2 | subsequent year, the Commission shall examine the special fund | ||||||
| 3 | designated as the "Rate Adjustment Fund" and when, after | ||||||
| 4 | deducting all advances or loans made to said fund, the amount | ||||||
| 5 | therein is $4,000,000, the amount required to be paid by | ||||||
| 6 | employers pursuant to paragraph (f) of Section 7 shall be | ||||||
| 7 | reduced by one-half. When the Rate Adjustment Fund reaches the | ||||||
| 8 | sum of $5,000,000 the payment therein shall cease entirely. | ||||||
| 9 | However, when said Rate Adjustment Fund has been reduced to | ||||||
| 10 | $3,000,000 the amounts required by paragraph (f) of Section 7 | ||||||
| 11 | shall be resumed in the manner herein provided. | ||||||
| 12 | (f) In case of complete disability, which renders the | ||||||
| 13 | employee wholly and permanently incapable of work, or in the | ||||||
| 14 | specific case of total and permanent disability as provided in | ||||||
| 15 | subparagraph 18 of paragraph (e) of this Section, compensation | ||||||
| 16 | shall be payable at the rate provided in subparagraph 2 of | ||||||
| 17 | paragraph (b) of this Section for life. | ||||||
| 18 | An employee entitled to benefits under paragraph (f) of | ||||||
| 19 | this Section shall also be entitled to receive from the Rate | ||||||
| 20 | Adjustment Fund provided in paragraph (f) of Section 7 of the | ||||||
| 21 | supplementary benefits provided in paragraph (g) of this | ||||||
| 22 | Section 8. | ||||||
| 23 | If any employee who receives an award under this paragraph | ||||||
| 24 | afterwards returns to work or is able to do so, and earns or is | ||||||
| 25 | able to earn as much as before the accident, payments under | ||||||
| 26 | such award shall cease. If such employee returns to work, or is | ||||||
| |||||||
| |||||||
| 1 | able to do so, and earns or is able to earn part but not as | ||||||
| 2 | much as before the accident, such award shall be modified so as | ||||||
| 3 | to conform to an award under paragraph (d) of this Section. If | ||||||
| 4 | such award is terminated or reduced under the provisions of | ||||||
| 5 | this paragraph, such employees have the right at any time | ||||||
| 6 | within 30 months after the date of such termination or | ||||||
| 7 | reduction to file petition with the Commission for the purpose | ||||||
| 8 | of determining whether any disability exists as a result of | ||||||
| 9 | the original accidental injury and the extent thereof. | ||||||
| 10 | Disability as enumerated in subdivision 18, paragraph (e) | ||||||
| 11 | of this Section is considered complete disability. | ||||||
| 12 | If an employee who had previously incurred loss or the | ||||||
| 13 | permanent and complete loss of use of one member, through the | ||||||
| 14 | loss or the permanent and complete loss of the use of one hand, | ||||||
| 15 | one arm, one foot, one leg, or one eye, incurs permanent and | ||||||
| 16 | complete disability through the loss or the permanent and | ||||||
| 17 | complete loss of the use of another member, he shall receive, | ||||||
| 18 | in addition to the compensation payable by the employer and | ||||||
| 19 | after such payments have ceased, an amount from the Second | ||||||
| 20 | Injury Fund provided for in paragraph (f) of Section 7, which, | ||||||
| 21 | together with the compensation payable from the employer in | ||||||
| 22 | whose employ he was when the last accidental injury was | ||||||
| 23 | incurred, will equal the amount payable for permanent and | ||||||
| 24 | complete disability as provided in this paragraph of this | ||||||
| 25 | Section. | ||||||
| 26 | The custodian of the Second Injury Fund provided for in | ||||||
| |||||||
| |||||||
| 1 | paragraph (f) of Section 7 shall be joined with the employer as | ||||||
| 2 | a party respondent in the application for adjustment of claim. | ||||||
| 3 | The application for adjustment of claim shall state briefly | ||||||
| 4 | and in general terms the approximate time and place and manner | ||||||
| 5 | of the loss of the first member. | ||||||
| 6 | In its award the Commission or the Arbitrator shall | ||||||
| 7 | specifically find the amount the injured employee shall be | ||||||
| 8 | weekly paid, the number of weeks compensation which shall be | ||||||
| 9 | paid by the employer, the date upon which payments begin out of | ||||||
| 10 | the Second Injury Fund provided for in paragraph (f) of | ||||||
| 11 | Section 7 of this Act, the length of time the weekly payments | ||||||
| 12 | continue, the date upon which the pension payments commence | ||||||
| 13 | and the monthly amount of the payments. The Commission shall | ||||||
| 14 | 30 days after the date upon which payments out of the Second | ||||||
| 15 | Injury Fund have begun as provided in the award, and every | ||||||
| 16 | month thereafter, prepare and submit to the State Comptroller | ||||||
| 17 | a voucher for payment for all compensation accrued to that | ||||||
| 18 | date at the rate fixed by the Commission. The State | ||||||
| 19 | Comptroller shall draw a warrant to the injured employee along | ||||||
| 20 | with a receipt to be executed by the injured employee and | ||||||
| 21 | returned to the Commission. The endorsed warrant and receipt | ||||||
| 22 | is a full and complete acquittance to the Commission for the | ||||||
| 23 | payment out of the Second Injury Fund. No other appropriation | ||||||
| 24 | or warrant is necessary for payment out of the Second Injury | ||||||
| 25 | Fund. The Second Injury Fund is appropriated for the purpose | ||||||
| 26 | of making payments according to the terms of the awards. | ||||||
| |||||||
| |||||||
| 1 | As of July 1, 1980 to July 1, 1982, all claims against and | ||||||
| 2 | obligations of the Second Injury Fund shall become claims | ||||||
| 3 | against and obligations of the Rate Adjustment Fund to the | ||||||
| 4 | extent there is insufficient money in the Second Injury Fund | ||||||
| 5 | to pay such claims and obligations. In that case, all | ||||||
| 6 | references to "Second Injury Fund" in this Section shall also | ||||||
| 7 | include the Rate Adjustment Fund. | ||||||
| 8 | (g) Every award for permanent total disability entered by | ||||||
| 9 | the Commission on and after July 1, 1965 under which | ||||||
| 10 | compensation payments shall become due and payable after the | ||||||
| 11 | effective date of this amendatory Act, and every award for | ||||||
| 12 | death benefits or permanent total disability entered by the | ||||||
| 13 | Commission on and after the effective date of this amendatory | ||||||
| 14 | Act shall be subject to annual adjustments as to the amount of | ||||||
| 15 | the compensation rate therein provided. Such adjustments shall | ||||||
| 16 | first be made on July 15, 1977, and all awards made and entered | ||||||
| 17 | prior to July 1, 1975 and on July 15 of each year thereafter. | ||||||
| 18 | In all other cases such adjustment shall be made on July 15 of | ||||||
| 19 | the second year next following the date of the entry of the | ||||||
| 20 | award and shall further be made on July 15 annually | ||||||
| 21 | thereafter. If during the intervening period from the date of | ||||||
| 22 | the entry of the award, or the last periodic adjustment, there | ||||||
| 23 | shall have been an increase in the State's average weekly wage | ||||||
| 24 | in covered industries under the Unemployment Insurance Act, | ||||||
| 25 | the weekly compensation rate shall be proportionately | ||||||
| 26 | increased by the same percentage as the percentage of increase | ||||||
| |||||||
| |||||||
| 1 | in the State's average weekly wage in covered industries under | ||||||
| 2 | the Unemployment Insurance Act. The increase in the | ||||||
| 3 | compensation rate under this paragraph shall in no event bring | ||||||
| 4 | the total compensation rate to an amount greater than the | ||||||
| 5 | prevailing maximum rate at the time that the annual adjustment | ||||||
| 6 | is made. Such increase shall be paid in the same manner as | ||||||
| 7 | herein provided for payments under the Second Injury Fund to | ||||||
| 8 | the injured employee, or his dependents, as the case may be, | ||||||
| 9 | out of the Rate Adjustment Fund provided in paragraph (f) of | ||||||
| 10 | Section 7 of this Act. Payments shall be made at the same | ||||||
| 11 | intervals as provided in the award or, at the option of the | ||||||
| 12 | Commission, may be made in quarterly payment on the 15th day of | ||||||
| 13 | January, April, July and October of each year. In the event of | ||||||
| 14 | a decrease in such average weekly wage there shall be no change | ||||||
| 15 | in the then existing compensation rate. The within paragraph | ||||||
| 16 | shall not apply to cases where there is disputed liability and | ||||||
| 17 | in which a compromise lump sum settlement between the employer | ||||||
| 18 | and the injured employee, or his dependents, as the case may | ||||||
| 19 | be, has been duly approved by the Illinois Workers' | ||||||
| 20 | Compensation Commission. | ||||||
| 21 | Provided, that in cases of awards entered by the | ||||||
| 22 | Commission for injuries occurring before July 1, 1975, the | ||||||
| 23 | increases in the compensation rate adjusted under the | ||||||
| 24 | foregoing provision of this paragraph (g) shall be limited to | ||||||
| 25 | increases in the State's average weekly wage in covered | ||||||
| 26 | industries under the Unemployment Insurance Act occurring | ||||||
| |||||||
| |||||||
| 1 | after July 1, 1975. | ||||||
| 2 | For every accident occurring on or after July 20, 2005 but | ||||||
| 3 | before the effective date of this amendatory Act of the 94th | ||||||
| 4 | General Assembly (Senate Bill 1283 of the 94th General | ||||||
| 5 | Assembly), the annual adjustments to the compensation rate in | ||||||
| 6 | awards for death benefits or permanent total disability, as | ||||||
| 7 | provided in this Act, shall be paid by the employer. The | ||||||
| 8 | adjustment shall be made by the employer on July 15 of the | ||||||
| 9 | second year next following the date of the entry of the award | ||||||
| 10 | and shall further be made on July 15 annually thereafter. If | ||||||
| 11 | during the intervening period from the date of the entry of the | ||||||
| 12 | award, or the last periodic adjustment, there shall have been | ||||||
| 13 | an increase in the State's average weekly wage in covered | ||||||
| 14 | industries under the Unemployment Insurance Act, the employer | ||||||
| 15 | shall increase the weekly compensation rate proportionately by | ||||||
| 16 | the same percentage as the percentage of increase in the | ||||||
| 17 | State's average weekly wage in covered industries under the | ||||||
| 18 | Unemployment Insurance Act. The increase in the compensation | ||||||
| 19 | rate under this paragraph shall in no event bring the total | ||||||
| 20 | compensation rate to an amount greater than the prevailing | ||||||
| 21 | maximum rate at the time that the annual adjustment is made. In | ||||||
| 22 | the event of a decrease in such average weekly wage there shall | ||||||
| 23 | be no change in the then existing compensation rate. Such | ||||||
| 24 | increase shall be paid by the employer in the same manner and | ||||||
| 25 | at the same intervals as the payment of compensation in the | ||||||
| 26 | award. This paragraph shall not apply to cases where there is | ||||||
| |||||||
| |||||||
| 1 | disputed liability and in which a compromise lump sum | ||||||
| 2 | settlement between the employer and the injured employee, or | ||||||
| 3 | his or her dependents, as the case may be, has been duly | ||||||
| 4 | approved by the Illinois Workers' Compensation Commission. | ||||||
| 5 | The annual adjustments for every award of death benefits | ||||||
| 6 | or permanent total disability involving accidents occurring | ||||||
| 7 | before July 20, 2005 and accidents occurring on or after the | ||||||
| 8 | effective date of this amendatory Act of the 94th General | ||||||
| 9 | Assembly (Senate Bill 1283 of the 94th General Assembly) shall | ||||||
| 10 | continue to be paid from the Rate Adjustment Fund pursuant to | ||||||
| 11 | this paragraph and Section 7(f) of this Act. | ||||||
| 12 | (h) In case death occurs from any cause before the total | ||||||
| 13 | compensation to which the employee would have been entitled | ||||||
| 14 | has been paid, then in case the employee leaves any widow, | ||||||
| 15 | widower, child, parent (or any grandchild, grandparent or | ||||||
| 16 | other lineal heir or any collateral heir dependent at the time | ||||||
| 17 | of the accident upon the earnings of the employee to the extent | ||||||
| 18 | of 50% or more of total dependency) such compensation shall be | ||||||
| 19 | paid to the beneficiaries of the deceased employee and | ||||||
| 20 | distributed as provided in paragraph (g) of Section 7. | ||||||
| 21 | (h-1) In case an injured employee is under legal | ||||||
| 22 | disability at the time when any right or privilege accrues to | ||||||
| 23 | him or her under this Act, a guardian may be appointed pursuant | ||||||
| 24 | to law, and may, on behalf of such person under legal | ||||||
| 25 | disability, claim and exercise any such right or privilege | ||||||
| 26 | with the same effect as if the employee himself or herself had | ||||||
| |||||||
| |||||||
| 1 | claimed or exercised the right or privilege. No limitations of | ||||||
| 2 | time provided by this Act run so long as the employee who is | ||||||
| 3 | under legal disability is without a conservator or guardian. | ||||||
| 4 | (i) In case the injured employee is under 16 years of age | ||||||
| 5 | at the time of the accident and is illegally employed, the | ||||||
| 6 | amount of compensation payable under paragraphs (b), (c), (d), | ||||||
| 7 | (e) and (f) of this Section is increased 50%. | ||||||
| 8 | However, where an employer has on file an employment | ||||||
| 9 | certificate issued pursuant to the Child Labor Law of 2024 or | ||||||
| 10 | work permit issued pursuant to the Federal Fair Labor | ||||||
| 11 | Standards Act, as amended, or a birth certificate properly and | ||||||
| 12 | duly issued, such certificate, permit or birth certificate is | ||||||
| 13 | conclusive evidence as to the age of the injured minor | ||||||
| 14 | employee for the purposes of this Section. | ||||||
| 15 | Nothing herein contained repeals or amends the provisions | ||||||
| 16 | of the Child Labor Law of 2024 relating to the employment of | ||||||
| 17 | minors under the age of 16 years. | ||||||
| 18 | (j) 1. In the event the injured employee receives | ||||||
| 19 | benefits, including medical, surgical or hospital benefits | ||||||
| 20 | under any group plan covering non-occupational disabilities | ||||||
| 21 | contributed to wholly or partially by the employer, which | ||||||
| 22 | benefits should not have been payable if any rights of | ||||||
| 23 | recovery existed under this Act, then such amounts so paid to | ||||||
| 24 | the employee from any such group plan as shall be consistent | ||||||
| 25 | with, and limited to, the provisions of paragraph 2 hereof, | ||||||
| 26 | shall be credited to or against any compensation payment for | ||||||
| |||||||
| |||||||
| 1 | temporary total incapacity for work or any medical, surgical | ||||||
| 2 | or hospital benefits made or to be made under this Act. In such | ||||||
| 3 | event, the period of time for giving notice of accidental | ||||||
| 4 | injury and filing application for adjustment of claim does not | ||||||
| 5 | commence to run until the termination of such payments. This | ||||||
| 6 | paragraph does not apply to payments made under any group plan | ||||||
| 7 | which would have been payable irrespective of an accidental | ||||||
| 8 | injury under this Act. Any employer receiving such credit | ||||||
| 9 | shall keep such employee safe and harmless from any and all | ||||||
| 10 | claims or liabilities that may be made against him by reason of | ||||||
| 11 | having received such payments only to the extent of such | ||||||
| 12 | credit. | ||||||
| 13 | Any excess benefits paid to or on behalf of a State | ||||||
| 14 | employee by the State Employees' Retirement System under | ||||||
| 15 | Article 14 of the Illinois Pension Code on a death claim or | ||||||
| 16 | disputed disability claim shall be credited against any | ||||||
| 17 | payments made or to be made by the State of Illinois to or on | ||||||
| 18 | behalf of such employee under this Act, except for payments | ||||||
| 19 | for medical expenses which have already been incurred at the | ||||||
| 20 | time of the award. The State of Illinois shall directly | ||||||
| 21 | reimburse the State Employees' Retirement System to the extent | ||||||
| 22 | of such credit. | ||||||
| 23 | 2. Nothing contained in this Act shall be construed to | ||||||
| 24 | give the employer or the insurance carrier the right to credit | ||||||
| 25 | for any benefits or payments received by the employee other | ||||||
| 26 | than compensation payments provided by this Act, and where the | ||||||
| |||||||
| |||||||
| 1 | employee receives payments other than compensation payments, | ||||||
| 2 | whether as full or partial salary, group insurance benefits, | ||||||
| 3 | bonuses, annuities or any other payments, the employer or | ||||||
| 4 | insurance carrier shall receive credit for each such payment | ||||||
| 5 | only to the extent of the compensation that would have been | ||||||
| 6 | payable during the period covered by such payment. | ||||||
| 7 | 3. The extension of time for the filing of an Application | ||||||
| 8 | for Adjustment of Claim as provided in paragraph 1 above shall | ||||||
| 9 | not apply to those cases where the time for such filing had | ||||||
| 10 | expired prior to the date on which payments or benefits | ||||||
| 11 | enumerated herein have been initiated or resumed. Provided | ||||||
| 12 | however that this paragraph 3 shall apply only to cases | ||||||
| 13 | wherein the payments or benefits hereinabove enumerated shall | ||||||
| 14 | be received after July 1, 1969. | ||||||
| 15 | (Source: P.A. 103-721, eff. 1-1-25.) | ||||||
| 16 | (820 ILCS 305/16) (from Ch. 48, par. 138.16) | ||||||
| 17 | Sec. 16. The Commission shall make and publish procedural | ||||||
| 18 | rules and orders for carrying out the duties imposed upon it by | ||||||
| 19 | law and for determining the extent of disability sustained, | ||||||
| 20 | which rules and orders shall be deemed prima facie reasonable | ||||||
| 21 | and valid. | ||||||
| 22 | The process and procedure before the Commission shall be | ||||||
| 23 | as simple and summary as reasonably may be. | ||||||
| 24 | The Commission upon application of either party may issue | ||||||
| 25 | dedimus potestatem directed to a commissioner, notary public, | ||||||
| |||||||
| |||||||
| 1 | justice of the peace or any other officer authorized by law to | ||||||
| 2 | administer oaths, to take the depositions of such witness or | ||||||
| 3 | witnesses as may be necessary in the judgment of such | ||||||
| 4 | applicant. The non-prevailing party is responsible for any | ||||||
| 5 | costs incurred in deposing a medical practitioner. Such | ||||||
| 6 | dedimus potestatem may issue to any of the officers aforesaid | ||||||
| 7 | in any state or territory of the United States. When the | ||||||
| 8 | deposition of any witness resident of a foreign country is | ||||||
| 9 | desired to be taken, the dedimus shall be directed to and the | ||||||
| 10 | deposition taken before a consul, vice consul or other | ||||||
| 11 | authorized representative of the government of the United | ||||||
| 12 | States of America, whose station is in the country where the | ||||||
| 13 | witness whose deposition is to be taken resides. In countries | ||||||
| 14 | where the government of the United States has no consul or | ||||||
| 15 | other diplomatic representative, then depositions in such case | ||||||
| 16 | shall be taken through the appropriate judicial authority of | ||||||
| 17 | that country; or where treaties provide for other methods of | ||||||
| 18 | taking depositions, then the same may be taken as in such | ||||||
| 19 | treaties provided. The Commission shall have the power to | ||||||
| 20 | adopt necessary rules to govern the issue of such dedimus | ||||||
| 21 | potestatem. | ||||||
| 22 | The Commission, or any member thereof, or any Arbitrator | ||||||
| 23 | designated by the Commission shall have the power to | ||||||
| 24 | administer oaths, subpoena and examine witnesses; to issue | ||||||
| 25 | subpoenas duces tecum, requiring the production of such books, | ||||||
| 26 | papers, records and documents as may be evidence of any matter | ||||||
| |||||||
| |||||||
| 1 | under inquiry and to examine and inspect the same and such | ||||||
| 2 | places or premises as may relate to the question in dispute. | ||||||
| 3 | The Commission, or any member thereof, or any Arbitrator | ||||||
| 4 | designated by the Commission, shall on written request of | ||||||
| 5 | either party to the dispute, issue subpoenas for the | ||||||
| 6 | attendance of such witnesses and production of such books, | ||||||
| 7 | papers, records and documents as shall be designated in the | ||||||
| 8 | applications, and the parties applying for such subpoena shall | ||||||
| 9 | advance the officer and witness fees provided for in civil | ||||||
| 10 | actions pending in circuit courts of this State, except as | ||||||
| 11 | otherwise provided by Section 20 of this Act. Service of such | ||||||
| 12 | subpoena shall be made by any sheriff or other person. In case | ||||||
| 13 | any person refuses to comply with an order of the Commission or | ||||||
| 14 | subpoenas issued by it or by any member thereof, or any | ||||||
| 15 | Arbitrator designated by the Commission or to permit an | ||||||
| 16 | inspection of places or premises, or to produce any books, | ||||||
| 17 | papers, records or documents, or any witness refuses to | ||||||
| 18 | testify to any matters regarding which he or she may be | ||||||
| 19 | lawfully interrogated, the Circuit Court of the county in | ||||||
| 20 | which the hearing or matter is pending, on application of any | ||||||
| 21 | member of the Commission or any Arbitrator designated by the | ||||||
| 22 | Commission, shall compel obedience by attachment proceedings, | ||||||
| 23 | as for contempt, as in a case of disobedience of the | ||||||
| 24 | requirements of a subpoena from such court on a refusal to | ||||||
| 25 | testify therein. | ||||||
| 26 | The records, reports, and bills kept by a treating | ||||||
| |||||||
| |||||||
| 1 | hospital, treating physician, or other treating healthcare | ||||||
| 2 | provider that renders treatment to the employee as a result of | ||||||
| 3 | accidental injuries in question, certified to as true and | ||||||
| 4 | correct by the hospital, physician, or other healthcare | ||||||
| 5 | provider or by designated agents of the hospital, physician, | ||||||
| 6 | or other healthcare provider, showing the medical and surgical | ||||||
| 7 | treatment given an injured employee by such hospital, | ||||||
| 8 | physician, or other healthcare provider, shall be admissible | ||||||
| 9 | without any further proof as evidence of the medical and | ||||||
| 10 | surgical matters stated therein, but shall not be conclusive | ||||||
| 11 | proof of such matters. There shall be a rebuttable presumption | ||||||
| 12 | that any such records, reports, and bills received in response | ||||||
| 13 | to Commission subpoena are certified to be true and correct. | ||||||
| 14 | This paragraph does not restrict, limit, or prevent the | ||||||
| 15 | admissibility of records, reports, or bills that are otherwise | ||||||
| 16 | admissible. This provision does not apply to reports prepared | ||||||
| 17 | by treating providers for use in litigation. | ||||||
| 18 | The Commission at its expense shall provide an official | ||||||
| 19 | court reporter to take the testimony and record of proceedings | ||||||
| 20 | at the hearings before an Arbitrator or the Commission, who | ||||||
| 21 | shall furnish a transcript of such testimony or proceedings to | ||||||
| 22 | either party requesting it, upon payment therefor at the rate | ||||||
| 23 | of $1.00 per page for the original and 35 cents per page for | ||||||
| 24 | each copy of such transcript. Payment for photostatic copies | ||||||
| 25 | of exhibits shall be extra. If the Commission has determined, | ||||||
| 26 | as provided in Section 20 of this Act, that the employee is a | ||||||
| |||||||
| |||||||
| 1 | poor person, a transcript of such testimony and proceedings, | ||||||
| 2 | including photostatic copies of exhibits, shall be furnished | ||||||
| 3 | to such employee at the Commission's expense. | ||||||
| 4 | The Commission shall have the power to determine the | ||||||
| 5 | reasonableness and fix the amount of any fee of compensation | ||||||
| 6 | charged by any person, including attorneys, physicians, | ||||||
| 7 | surgeons and hospitals, for any service performed in | ||||||
| 8 | connection with this Act, or for which payment is to be made | ||||||
| 9 | under this Act or rendered in securing any right under this | ||||||
| 10 | Act. | ||||||
| 11 | Whenever the Commission shall find that the employer, his | ||||||
| 12 | or her agent, service company or insurance carrier has been | ||||||
| 13 | guilty of delay or unfairness towards an employee in the | ||||||
| 14 | adjustment, settlement or payment of benefits due such | ||||||
| 15 | employee within the purview of the provisions of paragraph (c) | ||||||
| 16 | of Section 4 of this Act; or has been guilty of unreasonable or | ||||||
| 17 | vexatious delay, intentional under-payment of compensation | ||||||
| 18 | benefits, or has engaged in frivolous defenses which do not | ||||||
| 19 | present a real controversy, within the purview of the | ||||||
| 20 | provisions of paragraph (k) of Section 19 of this Act, the | ||||||
| 21 | Commission shall may assess all or any part of the attorney's | ||||||
| 22 | fees and costs against such employer and his or her insurance | ||||||
| 23 | carrier. | ||||||
| 24 | (Source: P.A. 94-277, eff. 7-20-05.) | ||||||
| 25 | (820 ILCS 305/16a) (from Ch. 48, par. 138.16a) | ||||||
| |||||||
| |||||||
| 1 | Sec. 16a. (A) In the establishment or approval of | ||||||
| 2 | attorney's fees in relation to claims brought under this Act, | ||||||
| 3 | the Commission shall be guided by the provisions of this | ||||||
| 4 | Section and by the legislative intent, hereby declared, to | ||||||
| 5 | encourage settlement and prompt administrative handling of | ||||||
| 6 | such claims and thereby reduce expenses to claimants for | ||||||
| 7 | compensation under this Act. | ||||||
| 8 | (B) With respect to any and all proceedings in connection | ||||||
| 9 | with any initial or original claim under this Act, no claim of | ||||||
| 10 | any attorney for services rendered in connection with the | ||||||
| 11 | securing of compensation for an employee or his dependents, | ||||||
| 12 | whether secured by agreement, order, award or a judgment in | ||||||
| 13 | any court shall exceed 20% of the amount of compensation | ||||||
| 14 | recovered and paid, unless further fees shall be allowed to | ||||||
| 15 | the attorney upon a hearing by the Commission fixing fees, and | ||||||
| 16 | subject to the other provisions of this Section. However, | ||||||
| 17 | except as hereinafter provided in this Section, in death | ||||||
| 18 | cases, total disability cases and partial disability cases, | ||||||
| 19 | the amount of an attorney's fees shall not exceed 20% of the | ||||||
| 20 | sum which would be due under this Act for 364 weeks of | ||||||
| 21 | permanent total disability based upon the employee's average | ||||||
| 22 | gross weekly wage prior to the date of the accident and subject | ||||||
| 23 | to the maximum weekly benefits provided in this Act unless | ||||||
| 24 | further fees shall be allowed to the attorney upon a hearing by | ||||||
| 25 | the Commission fixing fees. | ||||||
| 26 | (C) All attorneys' fees in connection with the initial or | ||||||
| |||||||
| |||||||
| 1 | original claim for compensation shall be fixed pursuant to a | ||||||
| 2 | written contract on forms prescribed by the Commission between | ||||||
| 3 | the attorney and the employee or his dependents, and every | ||||||
| 4 | attorney, whether the disposition of the original claim is by | ||||||
| 5 | agreement, settlement, award, judgment or otherwise, shall | ||||||
| 6 | file his contract with the Chairman of the Commission who | ||||||
| 7 | shall approve the contract only if it is in accordance with all | ||||||
| 8 | provisions of this Section. | ||||||
| 9 | (D) No attorneys' fees shall be charged with respect to | ||||||
| 10 | compensation for undisputed medical expenses. | ||||||
| 11 | (E) No attorneys' fees shall be charged in connection with | ||||||
| 12 | any temporary total disability compensation unless the payment | ||||||
| 13 | of such compensation in a timely manner or in the proper amount | ||||||
| 14 | is refused, or unless such compensation is terminated by the | ||||||
| 15 | employer and the payment of such compensation is obtained or | ||||||
| 16 | reinstated by the efforts of the attorney, whether by | ||||||
| 17 | agreement, settlement, award or judgment. | ||||||
| 18 | (F) In the following cases in which there is no dispute | ||||||
| 19 | between the parties as to the liability of the respondent to | ||||||
| 20 | pay compensation in a timely manner or in the proper amount and | ||||||
| 21 | there is no dispute that the accident has resulted in: | ||||||
| 22 | (1) the death of the employee; or | ||||||
| 23 | (2) a statutory permanent disability; or | ||||||
| 24 | (3) the amputation of a finger, toe, or member; or | ||||||
| 25 | (4) the removal of a testicle; or | ||||||
| 26 | (5) the enucleation of or 100% loss of vision of an | ||||||
| |||||||
| |||||||
| 1 | eye; | ||||||
| 2 | the legal fees, if any, for services rendered are to be fixed | ||||||
| 3 | by the Illinois Workers' Compensation Commission at a nominal | ||||||
| 4 | amount, not exceeding $100. | ||||||
| 5 | (G) In the following cases in which there is no dispute | ||||||
| 6 | between the parties as to the liability of the respondent to | ||||||
| 7 | pay compensation and there is no dispute that the accident has | ||||||
| 8 | resulted in: | ||||||
| 9 | (1) a fracture of one or more vertebrae; or | ||||||
| 10 | (2) a skull fracture; or | ||||||
| 11 | (3) a fracture of one or more spinous or transverse | ||||||
| 12 | processes; or | ||||||
| 13 | (4) a fracture of one or more facial bones; or | ||||||
| 14 | (5) the removal of a kidney, spleen or lung; | ||||||
| 15 | the legal fees, if any, for services rendered are to be fixed | ||||||
| 16 | by the Illinois Workers' Compensation Commission at a nominal | ||||||
| 17 | amount, not exceeding $100, provided that the employee is | ||||||
| 18 | awarded the minimum amount for the above injuries as specified | ||||||
| 19 | in Section 8(d)2. | ||||||
| 20 | (H) With regard to any claim where the amount to be paid | ||||||
| 21 | for compensation does not exceed the written offer made to the | ||||||
| 22 | claimant or claimants by the employer or his agent prior to | ||||||
| 23 | representation by an attorney, no fees shall be paid to any | ||||||
| 24 | such attorney. | ||||||
| 25 | (I) All attorneys' fees for representation of an employee | ||||||
| 26 | or his dependents shall be the responsibility of the | ||||||
| |||||||
| |||||||
| 1 | non-prevailing employer only recoverable from compensation | ||||||
| 2 | actually paid to such employee or dependents. | ||||||
| 3 | (J) Any and all disputes regarding attorneys' fees, | ||||||
| 4 | whether such disputes relate to which one or more attorneys | ||||||
| 5 | represents the claimant or claimants or is entitled to the | ||||||
| 6 | attorneys' fees, or a division of attorneys' fees where the | ||||||
| 7 | claimant or claimants are or have been represented by more | ||||||
| 8 | than one attorney, or any other disputes concerning attorneys' | ||||||
| 9 | fees or contracts for attorneys' fees, shall be heard and | ||||||
| 10 | determined by the Commission after reasonable notice to all | ||||||
| 11 | interested parties and attorneys. | ||||||
| 12 | (K) After reasonable notice and hearing before the | ||||||
| 13 | Commission, any attorney found to be in violation of any | ||||||
| 14 | provision of this Section shall be required to make | ||||||
| 15 | restitution of any excess fees charged plus interest at a | ||||||
| 16 | reasonable rate as determined by the Commission. | ||||||
| 17 | (Source: P.A. 93-721, eff. 1-1-05.) | ||||||
| 18 | (820 ILCS 305/19) (from Ch. 48, par. 138.19) | ||||||
| 19 | Sec. 19. Any disputed questions of law or fact shall be | ||||||
| 20 | determined as herein provided. | ||||||
| 21 | (a) It shall be the duty of the Commission upon | ||||||
| 22 | notification that the parties have failed to reach an | ||||||
| 23 | agreement, to designate an Arbitrator. | ||||||
| 24 | 1. Whenever any claimant misconceives his remedy and | ||||||
| 25 | files an application for adjustment of claim under this | ||||||
| |||||||
| |||||||
| 1 | Act and it is subsequently discovered, at any time before | ||||||
| 2 | final disposition of such cause, that the claim for | ||||||
| 3 | disability or death which was the basis for such | ||||||
| 4 | application should properly have been made under the | ||||||
| 5 | Workers' Occupational Diseases Act, then the provisions of | ||||||
| 6 | Section 19, paragraph (a-1) of the Workers' Occupational | ||||||
| 7 | Diseases Act having reference to such application shall | ||||||
| 8 | apply. | ||||||
| 9 | 2. Whenever any claimant misconceives his remedy and | ||||||
| 10 | files an application for adjustment of claim under the | ||||||
| 11 | Workers' Occupational Diseases Act and it is subsequently | ||||||
| 12 | discovered, at any time before final disposition of such | ||||||
| 13 | cause that the claim for injury or death which was the | ||||||
| 14 | basis for such application should properly have been made | ||||||
| 15 | under this Act, then the application so filed under the | ||||||
| 16 | Workers' Occupational Diseases Act may be amended in form, | ||||||
| 17 | substance or both to assert claim for such disability or | ||||||
| 18 | death under this Act and it shall be deemed to have been so | ||||||
| 19 | filed as amended on the date of the original filing | ||||||
| 20 | thereof, and such compensation may be awarded as is | ||||||
| 21 | warranted by the whole evidence pursuant to this Act. When | ||||||
| 22 | such amendment is submitted, further or additional | ||||||
| 23 | evidence may be heard by the Arbitrator or Commission when | ||||||
| 24 | deemed necessary. Nothing in this Section contained shall | ||||||
| 25 | be construed to be or permit a waiver of any provisions of | ||||||
| 26 | this Act with reference to notice but notice if given | ||||||
| |||||||
| |||||||
| 1 | shall be deemed to be a notice under the provisions of this | ||||||
| 2 | Act if given within the time required herein. | ||||||
| 3 | (b) The Arbitrator shall make such inquiries and | ||||||
| 4 | investigations as he or they shall deem necessary and may | ||||||
| 5 | examine and inspect all books, papers, records, places, or | ||||||
| 6 | premises relating to the questions in dispute and hear such | ||||||
| 7 | proper evidence as the parties may submit. | ||||||
| 8 | The hearings before the Arbitrator shall be held in the | ||||||
| 9 | vicinity where the injury occurred after 10 days' notice of | ||||||
| 10 | the time and place of such hearing shall have been given to | ||||||
| 11 | each of the parties or their attorneys of record. | ||||||
| 12 | The Arbitrator may find that the disabling condition is | ||||||
| 13 | temporary and has not yet reached a permanent condition and | ||||||
| 14 | may order the payment of compensation up to the date of the | ||||||
| 15 | hearing, which award shall be reviewable and enforceable in | ||||||
| 16 | the same manner as other awards, and in no instance be a bar to | ||||||
| 17 | a further hearing and determination of a further amount of | ||||||
| 18 | temporary total compensation or of compensation for permanent | ||||||
| 19 | disability, but shall be conclusive as to all other questions | ||||||
| 20 | except the nature and extent of said disability. | ||||||
| 21 | The decision of the Arbitrator shall be filed with the | ||||||
| 22 | Commission which Commission shall immediately send to each | ||||||
| 23 | party or his attorney a copy of such decision, together with a | ||||||
| 24 | notification of the time when it was filed. As of the effective | ||||||
| 25 | date of this amendatory Act of the 94th General Assembly, all | ||||||
| 26 | decisions of the Arbitrator shall set forth in writing | ||||||
| |||||||
| |||||||
| 1 | findings of fact and conclusions of law, separately stated, if | ||||||
| 2 | requested by either party. Unless a petition for review is | ||||||
| 3 | filed by either party within 30 days after the receipt by such | ||||||
| 4 | party of the copy of the decision and notification of time when | ||||||
| 5 | filed, and unless such party petitioning for a review shall | ||||||
| 6 | within 35 days after the receipt by him of the copy of the | ||||||
| 7 | decision, file with the Commission either an agreed statement | ||||||
| 8 | of the facts appearing upon the hearing before the Arbitrator, | ||||||
| 9 | or if such party shall so elect a correct transcript of | ||||||
| 10 | evidence of the proceedings at such hearings, then the | ||||||
| 11 | decision shall become the decision of the Commission and in | ||||||
| 12 | the absence of fraud shall be conclusive. The Petition for | ||||||
| 13 | Review shall contain a statement of the petitioning party's | ||||||
| 14 | specific exceptions to the decision of the arbitrator. The | ||||||
| 15 | jurisdiction of the Commission to review the decision of the | ||||||
| 16 | arbitrator shall not be limited to the exceptions stated in | ||||||
| 17 | the Petition for Review. The Commission, or any member | ||||||
| 18 | thereof, may grant further time not exceeding 30 days, in | ||||||
| 19 | which to file such agreed statement or transcript of evidence. | ||||||
| 20 | Such agreed statement of facts or correct transcript of | ||||||
| 21 | evidence, as the case may be, shall be authenticated by the | ||||||
| 22 | signatures of the parties or their attorneys, and in the event | ||||||
| 23 | they do not agree as to the correctness of the transcript of | ||||||
| 24 | evidence it shall be authenticated by the signature of the | ||||||
| 25 | Arbitrator designated by the Commission. | ||||||
| 26 | Whether the employee is working or not, if the employee is | ||||||
| |||||||
| |||||||
| 1 | not receiving or has not received medical, surgical, or | ||||||
| 2 | hospital services or other services or compensation as | ||||||
| 3 | provided in paragraph (a) of Section 8, or compensation as | ||||||
| 4 | provided in paragraph (b) of Section 8, the employee may at any | ||||||
| 5 | time petition for an expedited hearing by an Arbitrator on the | ||||||
| 6 | issue of whether or not he or she is entitled to receive | ||||||
| 7 | payment of the services or compensation. Provided the employer | ||||||
| 8 | continues to pay compensation pursuant to paragraph (b) of | ||||||
| 9 | Section 8, the employer may at any time petition for an | ||||||
| 10 | expedited hearing on the issue of whether or not the employee | ||||||
| 11 | is entitled to receive medical, surgical, or hospital services | ||||||
| 12 | or other services or compensation as provided in paragraph (a) | ||||||
| 13 | of Section 8, or compensation as provided in paragraph (b) of | ||||||
| 14 | Section 8. When an employer has petitioned for an expedited | ||||||
| 15 | hearing, the employer shall continue to pay compensation as | ||||||
| 16 | provided in paragraph (b) of Section 8 unless the arbitrator | ||||||
| 17 | renders a decision that the employee is not entitled to the | ||||||
| 18 | benefits that are the subject of the expedited hearing or | ||||||
| 19 | unless the employee's treating physician has released the | ||||||
| 20 | employee to return to work at his or her regular job with the | ||||||
| 21 | employer or the employee actually returns to work at any other | ||||||
| 22 | job. If the arbitrator renders a decision that the employee is | ||||||
| 23 | not entitled to the benefits that are the subject of the | ||||||
| 24 | expedited hearing, a petition for review filed by the employee | ||||||
| 25 | shall receive the same priority as if the employee had filed a | ||||||
| 26 | petition for an expedited hearing by an Arbitrator. Neither | ||||||
| |||||||
| |||||||
| 1 | party shall be entitled to an expedited hearing when the | ||||||
| 2 | employee has returned to work and the sole issue in dispute | ||||||
| 3 | amounts to less than 12 weeks of unpaid compensation pursuant | ||||||
| 4 | to paragraph (b) of Section 8. | ||||||
| 5 | Expedited hearings shall have priority over all other | ||||||
| 6 | petitions and shall be heard by the Arbitrator and Commission | ||||||
| 7 | with all convenient speed. Any party requesting an expedited | ||||||
| 8 | hearing shall give notice of a request for an expedited | ||||||
| 9 | hearing under this paragraph. A copy of the Application for | ||||||
| 10 | Adjustment of Claim shall be attached to the notice. The | ||||||
| 11 | Commission shall adopt rules and procedures under which the | ||||||
| 12 | final decision of the Commission under this paragraph is filed | ||||||
| 13 | not later than 180 days from the date that the Petition for | ||||||
| 14 | Review is filed with the Commission. | ||||||
| 15 | Where 2 or more insurance carriers, private self-insureds, | ||||||
| 16 | or a group workers' compensation pool under Article V 3/4 of | ||||||
| 17 | the Illinois Insurance Code dispute coverage for the same | ||||||
| 18 | injury, any such insurance carrier, private self-insured, or | ||||||
| 19 | group workers' compensation pool may request an expedited | ||||||
| 20 | hearing pursuant to this paragraph to determine the issue of | ||||||
| 21 | coverage, provided coverage is the only issue in dispute and | ||||||
| 22 | all other issues are stipulated and agreed to and further | ||||||
| 23 | provided that all compensation benefits including medical | ||||||
| 24 | benefits pursuant to Section 8(a) continue to be paid to or on | ||||||
| 25 | behalf of petitioner. Any insurance carrier, private | ||||||
| 26 | self-insured, or group workers' compensation pool that is | ||||||
| |||||||
| |||||||
| 1 | determined to be liable for coverage for the injury in issue | ||||||
| 2 | shall reimburse any insurance carrier, private self-insured, | ||||||
| 3 | or group workers' compensation pool that has paid benefits to | ||||||
| 4 | or on behalf of petitioner for the injury. | ||||||
| 5 | (b-1) If the employee is not receiving medical, surgical | ||||||
| 6 | or hospital services as provided in paragraph (a) of Section 8 | ||||||
| 7 | or compensation as provided in paragraph (b) of Section 8, the | ||||||
| 8 | employee, in accordance with Commission Rules, may file a | ||||||
| 9 | petition for an emergency hearing by an Arbitrator on the | ||||||
| 10 | issue of whether or not he is entitled to receive payment of | ||||||
| 11 | such compensation or services as provided therein. Such | ||||||
| 12 | petition shall have priority over all other petitions and | ||||||
| 13 | shall be heard by the Arbitrator and Commission with all | ||||||
| 14 | convenient speed. | ||||||
| 15 | Such petition shall contain the following information and | ||||||
| 16 | shall be served on the employer at least 15 days before it is | ||||||
| 17 | filed: | ||||||
| 18 | (i) the date and approximate time of accident; | ||||||
| 19 | (ii) the approximate location of the accident; | ||||||
| 20 | (iii) a description of the accident; | ||||||
| 21 | (iv) the nature of the injury incurred by the | ||||||
| 22 | employee; | ||||||
| 23 | (v) the identity of the person, if known, to whom the | ||||||
| 24 | accident was reported and the date on which it was | ||||||
| 25 | reported; | ||||||
| 26 | (vi) the name and title of the person, if known, | ||||||
| |||||||
| |||||||
| 1 | representing the employer with whom the employee conferred | ||||||
| 2 | in any effort to obtain compensation pursuant to paragraph | ||||||
| 3 | (b) of Section 8 of this Act or medical, surgical or | ||||||
| 4 | hospital services pursuant to paragraph (a) of Section 8 | ||||||
| 5 | of this Act and the date of such conference; | ||||||
| 6 | (vii) a statement that the employer has refused to pay | ||||||
| 7 | compensation pursuant to paragraph (b) of Section 8 of | ||||||
| 8 | this Act or for medical, surgical or hospital services | ||||||
| 9 | pursuant to paragraph (a) of Section 8 of this Act; | ||||||
| 10 | (viii) the name and address, if known, of each witness | ||||||
| 11 | to the accident and of each other person upon whom the | ||||||
| 12 | employee will rely to support his allegations; | ||||||
| 13 | (ix) the dates of treatment related to the accident by | ||||||
| 14 | medical practitioners, and the names and addresses of such | ||||||
| 15 | practitioners, including the dates of treatment related to | ||||||
| 16 | the accident at any hospitals and the names and addresses | ||||||
| 17 | of such hospitals, and a signed authorization permitting | ||||||
| 18 | the employer to examine all medical records of all | ||||||
| 19 | practitioners and hospitals named pursuant to this | ||||||
| 20 | paragraph; | ||||||
| 21 | (x) a copy of a signed report by a medical | ||||||
| 22 | practitioner, relating to the employee's current inability | ||||||
| 23 | to return to work because of the injuries incurred as a | ||||||
| 24 | result of the accident or such other documents or | ||||||
| 25 | affidavits which show that the employee is entitled to | ||||||
| 26 | receive compensation pursuant to paragraph (b) of Section | ||||||
| |||||||
| |||||||
| 1 | 8 of this Act or medical, surgical or hospital services | ||||||
| 2 | pursuant to paragraph (a) of Section 8 of this Act. Such | ||||||
| 3 | reports, documents or affidavits shall state, if possible, | ||||||
| 4 | the history of the accident given by the employee, and | ||||||
| 5 | describe the injury and medical diagnosis, the medical | ||||||
| 6 | services for such injury which the employee has received | ||||||
| 7 | and is receiving, the physical activities which the | ||||||
| 8 | employee cannot currently perform as a result of any | ||||||
| 9 | impairment or disability due to such injury, and the | ||||||
| 10 | prognosis for recovery; | ||||||
| 11 | (xi) complete copies of any reports, records, | ||||||
| 12 | documents and affidavits in the possession of the employee | ||||||
| 13 | on which the employee will rely to support his | ||||||
| 14 | allegations, provided that the employer shall pay the | ||||||
| 15 | reasonable cost of reproduction thereof; | ||||||
| 16 | (xii) a list of any reports, records, documents and | ||||||
| 17 | affidavits which the employee has demanded by subpoena and | ||||||
| 18 | on which he intends to rely to support his allegations; | ||||||
| 19 | (xiii) a certification signed by the employee or his | ||||||
| 20 | representative that the employer has received the petition | ||||||
| 21 | with the required information 15 days before filing. | ||||||
| 22 | Fifteen days after receipt by the employer of the petition | ||||||
| 23 | with the required information the employee may file said | ||||||
| 24 | petition and required information and shall serve notice of | ||||||
| 25 | the filing upon the employer. The employer may file a motion | ||||||
| 26 | addressed to the sufficiency of the petition. If an objection | ||||||
| |||||||
| |||||||
| 1 | has been filed to the sufficiency of the petition, the | ||||||
| 2 | arbitrator shall rule on the objection within 2 working days. | ||||||
| 3 | If such an objection is filed, the time for filing the final | ||||||
| 4 | decision of the Commission as provided in this paragraph shall | ||||||
| 5 | be tolled until the arbitrator has determined that the | ||||||
| 6 | petition is sufficient. | ||||||
| 7 | The employer shall, within 15 days after receipt of the | ||||||
| 8 | notice that such petition is filed, file with the Commission | ||||||
| 9 | and serve on the employee or his representative a written | ||||||
| 10 | response to each claim set forth in the petition, including | ||||||
| 11 | the legal and factual basis for each disputed allegation and | ||||||
| 12 | the following information: (i) complete copies of any reports, | ||||||
| 13 | records, documents and affidavits in the possession of the | ||||||
| 14 | employer on which the employer intends to rely in support of | ||||||
| 15 | his response, (ii) a list of any reports, records, documents | ||||||
| 16 | and affidavits which the employer has demanded by subpoena and | ||||||
| 17 | on which the employer intends to rely in support of his | ||||||
| 18 | response, (iii) the name and address of each witness on whom | ||||||
| 19 | the employer will rely to support his response, and (iv) the | ||||||
| 20 | names and addresses of any medical practitioners selected by | ||||||
| 21 | the employer pursuant to Section 12 of this Act and the time | ||||||
| 22 | and place of any examination scheduled to be made pursuant to | ||||||
| 23 | such Section. | ||||||
| 24 | Any employer who does not timely file and serve a written | ||||||
| 25 | response without good cause may not introduce any evidence to | ||||||
| 26 | dispute any claim of the employee but may cross examine the | ||||||
| |||||||
| |||||||
| 1 | employee or any witness brought by the employee and otherwise | ||||||
| 2 | be heard. | ||||||
| 3 | No document or other evidence not previously identified by | ||||||
| 4 | either party with the petition or written response, or by any | ||||||
| 5 | other means before the hearing, may be introduced into | ||||||
| 6 | evidence without good cause. If, at the hearing, material | ||||||
| 7 | information is discovered which was not previously disclosed, | ||||||
| 8 | the Arbitrator may extend the time for closing proof on the | ||||||
| 9 | motion of a party for a reasonable period of time which may be | ||||||
| 10 | more than 30 days. No evidence may be introduced pursuant to | ||||||
| 11 | this paragraph as to permanent disability. No award may be | ||||||
| 12 | entered for permanent disability pursuant to this paragraph. | ||||||
| 13 | Either party may introduce into evidence the testimony taken | ||||||
| 14 | by deposition of any medical practitioner. | ||||||
| 15 | The Commission shall adopt rules, regulations and | ||||||
| 16 | procedures whereby the final decision of the Commission is | ||||||
| 17 | filed not later than 90 days from the date the petition for | ||||||
| 18 | review is filed but in no event later than 180 days from the | ||||||
| 19 | date the petition for an emergency hearing is filed with the | ||||||
| 20 | Illinois Workers' Compensation Commission. | ||||||
| 21 | All service required pursuant to this paragraph (b-1) must | ||||||
| 22 | be by personal service or by certified mail and with evidence | ||||||
| 23 | of receipt. In addition for the purposes of this paragraph, | ||||||
| 24 | all service on the employer must be at the premises where the | ||||||
| 25 | accident occurred if the premises are owned or operated by the | ||||||
| 26 | employer. Otherwise service must be at the employee's | ||||||
| |||||||
| |||||||
| 1 | principal place of employment by the employer. If service on | ||||||
| 2 | the employer is not possible at either of the above, then | ||||||
| 3 | service shall be at the employer's principal place of | ||||||
| 4 | business. After initial service in each case, service shall be | ||||||
| 5 | made on the employer's attorney or designated representative. | ||||||
| 6 | (c)(1) At a reasonable time in advance of and in | ||||||
| 7 | connection with the hearing under Section 19(e) or 19(h), the | ||||||
| 8 | Commission may on its own motion order an impartial physical | ||||||
| 9 | or mental examination of a petitioner whose mental or physical | ||||||
| 10 | condition is in issue, when in the Commission's discretion it | ||||||
| 11 | appears that such an examination will materially aid in the | ||||||
| 12 | just determination of the case. The examination shall be made | ||||||
| 13 | by a member or members of a panel of physicians chosen for | ||||||
| 14 | their special qualifications by the Illinois State Medical | ||||||
| 15 | Society. The Commission shall establish procedures by which a | ||||||
| 16 | physician shall be selected from such list. | ||||||
| 17 | (2) Should the Commission at any time during the hearing | ||||||
| 18 | find that compelling considerations make it advisable to have | ||||||
| 19 | an examination and report at that time, the commission may in | ||||||
| 20 | its discretion so order. | ||||||
| 21 | (3) A copy of the report of examination shall be given to | ||||||
| 22 | the Commission and to the attorneys for the parties. | ||||||
| 23 | (4) Either party or the Commission may call the examining | ||||||
| 24 | physician or physicians to testify. Any physician so called | ||||||
| 25 | shall be subject to cross-examination. | ||||||
| 26 | (5) The examination shall be made, and the physician or | ||||||
| |||||||
| |||||||
| 1 | physicians, if called, shall testify, without cost to the | ||||||
| 2 | parties. The Commission shall determine the compensation and | ||||||
| 3 | the pay of the physician or physicians. The compensation for | ||||||
| 4 | this service shall not exceed the usual and customary amount | ||||||
| 5 | for such service. | ||||||
| 6 | (6) The fees and payment thereof of all attorneys and | ||||||
| 7 | physicians for services authorized by the Commission under | ||||||
| 8 | this Act shall, upon request of either the employer or the | ||||||
| 9 | employee or the beneficiary affected, be subject to the review | ||||||
| 10 | and decision of the Commission. | ||||||
| 11 | (d) If any employee shall persist in insanitary or | ||||||
| 12 | injurious practices which tend to either imperil or retard his | ||||||
| 13 | recovery or shall refuse to submit to such medical, surgical, | ||||||
| 14 | or hospital treatment as is reasonably essential to promote | ||||||
| 15 | his recovery, the Commission may, in its discretion, reduce or | ||||||
| 16 | suspend the compensation of any such injured employee. | ||||||
| 17 | However, when an employer and employee so agree in writing, | ||||||
| 18 | the foregoing provision shall not be construed to authorize | ||||||
| 19 | the reduction or suspension of compensation of an employee who | ||||||
| 20 | is relying in good faith, on treatment by prayer or spiritual | ||||||
| 21 | means alone, in accordance with the tenets and practice of a | ||||||
| 22 | recognized church or religious denomination, by a duly | ||||||
| 23 | accredited practitioner thereof. | ||||||
| 24 | (e) This paragraph shall apply to all hearings before the | ||||||
| 25 | Commission. Such hearings may be held in its office or | ||||||
| 26 | elsewhere as the Commission may deem advisable. The taking of | ||||||
| |||||||
| |||||||
| 1 | testimony on such hearings may be had before any member of the | ||||||
| 2 | Commission. If a petition for review and agreed statement of | ||||||
| 3 | facts or transcript of evidence is filed, as provided herein, | ||||||
| 4 | the Commission shall promptly review the decision of the | ||||||
| 5 | Arbitrator and all questions of law or fact which appear from | ||||||
| 6 | the statement of facts or transcript of evidence. | ||||||
| 7 | In all cases in which the hearing before the arbitrator is | ||||||
| 8 | held after December 18, 1989, no additional evidence shall be | ||||||
| 9 | introduced by the parties before the Commission on review of | ||||||
| 10 | the decision of the Arbitrator. In reviewing decisions of an | ||||||
| 11 | arbitrator the Commission shall award such temporary | ||||||
| 12 | compensation, permanent compensation and other payments as are | ||||||
| 13 | due under this Act. The Commission shall file in its office its | ||||||
| 14 | decision thereon, and shall immediately send to each party or | ||||||
| 15 | his attorney a copy of such decision and a notification of the | ||||||
| 16 | time when it was filed. Decisions shall be filed within 60 days | ||||||
| 17 | after the Statement of Exceptions and Supporting Brief and | ||||||
| 18 | Response thereto are required to be filed or oral argument | ||||||
| 19 | whichever is later. | ||||||
| 20 | In the event either party requests oral argument, such | ||||||
| 21 | argument shall be had before a panel of 3 members of the | ||||||
| 22 | Commission (or before all available members pursuant to the | ||||||
| 23 | determination of 7 members of the Commission that such | ||||||
| 24 | argument be held before all available members of the | ||||||
| 25 | Commission) pursuant to the rules and regulations of the | ||||||
| 26 | Commission. A panel of 3 members, which shall be comprised of | ||||||
| |||||||
| |||||||
| 1 | not more than one representative citizen of the employing | ||||||
| 2 | class and not more than one representative from a labor | ||||||
| 3 | organization recognized under the National Labor Relations Act | ||||||
| 4 | or an attorney who has represented labor organizations or has | ||||||
| 5 | represented employees in workers' compensation cases, shall | ||||||
| 6 | hear the argument; provided that if all the issues in dispute | ||||||
| 7 | are solely the nature and extent of the permanent partial | ||||||
| 8 | disability, if any, a majority of the panel may deny the | ||||||
| 9 | request for such argument and such argument shall not be held; | ||||||
| 10 | and provided further that 7 members of the Commission may | ||||||
| 11 | determine that the argument be held before all available | ||||||
| 12 | members of the Commission. A decision of the Commission shall | ||||||
| 13 | be approved by a majority of Commissioners present at such | ||||||
| 14 | hearing if any; provided, if no such hearing is held, a | ||||||
| 15 | decision of the Commission shall be approved by a majority of a | ||||||
| 16 | panel of 3 members of the Commission as described in this | ||||||
| 17 | Section. The Commission shall give 10 days' notice to the | ||||||
| 18 | parties or their attorneys of the time and place of such taking | ||||||
| 19 | of testimony and of such argument. | ||||||
| 20 | In any case the Commission in its decision may find | ||||||
| 21 | specially upon any question or questions of law or fact which | ||||||
| 22 | shall be submitted in writing by either party whether ultimate | ||||||
| 23 | or otherwise; provided that on issues other than nature and | ||||||
| 24 | extent of the disability, if any, the Commission in its | ||||||
| 25 | decision shall find specially upon any question or questions | ||||||
| 26 | of law or fact, whether ultimate or otherwise, which are | ||||||
| |||||||
| |||||||
| 1 | submitted in writing by either party; provided further that | ||||||
| 2 | not more than 5 such questions may be submitted by either | ||||||
| 3 | party. Any party may, within 20 days after receipt of notice of | ||||||
| 4 | the Commission's decision, or within such further time, not | ||||||
| 5 | exceeding 30 days, as the Commission may grant, file with the | ||||||
| 6 | Commission either an agreed statement of the facts appearing | ||||||
| 7 | upon the hearing, or, if such party shall so elect, a correct | ||||||
| 8 | transcript of evidence of the additional proceedings presented | ||||||
| 9 | before the Commission, in which report the party may embody a | ||||||
| 10 | correct statement of such other proceedings in the case as | ||||||
| 11 | such party may desire to have reviewed, such statement of | ||||||
| 12 | facts or transcript of evidence to be authenticated by the | ||||||
| 13 | signature of the parties or their attorneys, and in the event | ||||||
| 14 | that they do not agree, then the authentication of such | ||||||
| 15 | transcript of evidence shall be by the signature of any member | ||||||
| 16 | of the Commission. | ||||||
| 17 | If a reporter does not for any reason furnish a transcript | ||||||
| 18 | of the proceedings before the Arbitrator in any case for use on | ||||||
| 19 | a hearing for review before the Commission, within the | ||||||
| 20 | limitations of time as fixed in this Section, the Commission | ||||||
| 21 | may, in its discretion, order a trial de novo before the | ||||||
| 22 | Commission in such case upon application of either party. The | ||||||
| 23 | applications for adjustment of claim and other documents in | ||||||
| 24 | the nature of pleadings filed by either party, together with | ||||||
| 25 | the decisions of the Arbitrator and of the Commission and the | ||||||
| 26 | statement of facts or transcript of evidence hereinbefore | ||||||
| |||||||
| |||||||
| 1 | provided for in paragraphs (b) and (c) shall be the record of | ||||||
| 2 | the proceedings of the Commission, and shall be subject to | ||||||
| 3 | review as hereinafter provided. | ||||||
| 4 | At the request of either party or on its own motion, the | ||||||
| 5 | Commission shall set forth in writing the reasons for the | ||||||
| 6 | decision, including findings of fact and conclusions of law | ||||||
| 7 | separately stated. The Commission shall by rule adopt a format | ||||||
| 8 | for written decisions for the Commission and arbitrators. The | ||||||
| 9 | written decisions shall be concise and shall succinctly state | ||||||
| 10 | the facts and reasons for the decision. The Commission may | ||||||
| 11 | adopt in whole or in part, the decision of the arbitrator as | ||||||
| 12 | the decision of the Commission. When the Commission does so | ||||||
| 13 | adopt the decision of the arbitrator, it shall do so by order. | ||||||
| 14 | Whenever the Commission adopts part of the arbitrator's | ||||||
| 15 | decision, but not all, it shall include in the order the | ||||||
| 16 | reasons for not adopting all of the arbitrator's decision. | ||||||
| 17 | When a majority of a panel, after deliberation, has arrived at | ||||||
| 18 | its decision, the decision shall be filed as provided in this | ||||||
| 19 | Section without unnecessary delay, and without regard to the | ||||||
| 20 | fact that a member of the panel has expressed an intention to | ||||||
| 21 | dissent. Any member of the panel may file a dissent. Any | ||||||
| 22 | dissent shall be filed no later than 10 days after the decision | ||||||
| 23 | of the majority has been filed. | ||||||
| 24 | Decisions rendered by the Commission and dissents, if any, | ||||||
| 25 | shall be published together by the Commission. The conclusions | ||||||
| 26 | of law set out in such decisions shall be regarded as | ||||||
| |||||||
| |||||||
| 1 | precedents by arbitrators for the purpose of achieving a more | ||||||
| 2 | uniform administration of this Act. | ||||||
| 3 | (f) The decision of the Commission acting within its | ||||||
| 4 | powers, according to the provisions of paragraph (d) of | ||||||
| 5 | Section 4 and paragraph (e) of this Section shall, in the | ||||||
| 6 | absence of fraud, be conclusive unless reviewed as in this | ||||||
| 7 | paragraph hereinafter provided. However, the Arbitrator or the | ||||||
| 8 | Commission may on his or its own motion, or on the motion of | ||||||
| 9 | either party, correct any clerical error or errors in | ||||||
| 10 | computation within 15 days after the date of receipt of any | ||||||
| 11 | award by such Arbitrator or any decision on review of the | ||||||
| 12 | Commission and shall have the power to recall the original | ||||||
| 13 | award on arbitration or decision on review, and issue in lieu | ||||||
| 14 | thereof such corrected award or decision. Where such | ||||||
| 15 | correction is made the time for review herein specified shall | ||||||
| 16 | begin to run from the date of the receipt of the corrected | ||||||
| 17 | award or decision. | ||||||
| 18 | (1) Except in cases of claims against the State of | ||||||
| 19 | Illinois other than those claims under Section 18.1, in | ||||||
| 20 | which case the decision of the Commission shall not be | ||||||
| 21 | subject to judicial review, the Circuit Court of the | ||||||
| 22 | county where any of the parties defendant may be found, or | ||||||
| 23 | if none of the parties defendant can be found in this State | ||||||
| 24 | then the Circuit Court of the county where the accident | ||||||
| 25 | occurred, shall by summons to the Commission have power to | ||||||
| 26 | review all questions of law and fact presented by such | ||||||
| |||||||
| |||||||
| 1 | record. | ||||||
| 2 | A proceeding for review shall be commenced within 20 | ||||||
| 3 | days of the receipt of notice of the decision of the | ||||||
| 4 | Commission. The summons shall be issued by the clerk of | ||||||
| 5 | such court upon written request returnable on a designated | ||||||
| 6 | return day, not less than 10 or more than 60 days from the | ||||||
| 7 | date of issuance thereof, and the written request shall | ||||||
| 8 | contain the last known address of other parties in | ||||||
| 9 | interest and their attorneys of record who are to be | ||||||
| 10 | served by summons. Service upon any member of the | ||||||
| 11 | Commission or the Secretary or the Assistant Secretary | ||||||
| 12 | thereof shall be service upon the Commission, and service | ||||||
| 13 | upon other parties in interest and their attorneys of | ||||||
| 14 | record shall be by summons, and such service shall be made | ||||||
| 15 | upon the Commission and other parties in interest by | ||||||
| 16 | mailing notices of the commencement of the proceedings and | ||||||
| 17 | the return day of the summons to the office of the | ||||||
| 18 | Commission and to the last known place of residence of | ||||||
| 19 | other parties in interest or their attorney or attorneys | ||||||
| 20 | of record. The clerk of the court issuing the summons | ||||||
| 21 | shall on the day of issue mail notice of the commencement | ||||||
| 22 | of the proceedings which shall be done by mailing a copy of | ||||||
| 23 | the summons to the office of the Commission, and a copy of | ||||||
| 24 | the summons to the other parties in interest or their | ||||||
| 25 | attorney or attorneys of record and the clerk of the court | ||||||
| 26 | shall make certificate that he has so sent said notices in | ||||||
| |||||||
| |||||||
| 1 | pursuance of this Section, which shall be evidence of | ||||||
| 2 | service on the Commission and other parties in interest. | ||||||
| 3 | The Commission shall not be required to certify the | ||||||
| 4 | record of their proceedings to the Circuit Court, unless | ||||||
| 5 | the party commencing the proceedings for review in the | ||||||
| 6 | Circuit Court as above provided, shall file with the | ||||||
| 7 | Commission notice of intent to file for review in Circuit | ||||||
| 8 | Court. It shall be the duty of the Commission upon such | ||||||
| 9 | filing of notice of intent to file for review in the | ||||||
| 10 | Circuit Court to prepare a true and correct copy of such | ||||||
| 11 | testimony and a true and correct copy of all other matters | ||||||
| 12 | contained in such record and certified to by the Secretary | ||||||
| 13 | or Assistant Secretary thereof. The changes made to this | ||||||
| 14 | subdivision (f)(1) by this amendatory Act of the 98th | ||||||
| 15 | General Assembly apply to any Commission decision entered | ||||||
| 16 | after the effective date of this amendatory Act of the | ||||||
| 17 | 98th General Assembly. | ||||||
| 18 | No request for a summons may be filed and no summons | ||||||
| 19 | shall issue unless the party seeking to review the | ||||||
| 20 | decision of the Commission shall exhibit to the clerk of | ||||||
| 21 | the Circuit Court proof of filing with the Commission of | ||||||
| 22 | the notice of the intent to file for review in the Circuit | ||||||
| 23 | Court or an affidavit of the attorney setting forth that | ||||||
| 24 | notice of intent to file for review in the Circuit Court | ||||||
| 25 | has been given in writing to the Secretary or Assistant | ||||||
| 26 | Secretary of the Commission. | ||||||
| |||||||
| |||||||
| 1 | (2) No such summons shall issue unless the one against | ||||||
| 2 | whom the Commission shall have rendered an award for the | ||||||
| 3 | payment of money shall upon the filing of his written | ||||||
| 4 | request for such summons file with the clerk of the court a | ||||||
| 5 | bond conditioned that if he shall not successfully | ||||||
| 6 | prosecute the review, he will pay the award and the costs | ||||||
| 7 | of the proceedings in the courts. The amount of the bond | ||||||
| 8 | shall be fixed by any member of the Commission and the | ||||||
| 9 | surety or sureties of the bond shall be approved by the | ||||||
| 10 | clerk of the court. The acceptance of the bond by the clerk | ||||||
| 11 | of the court shall constitute evidence of his approval of | ||||||
| 12 | the bond. | ||||||
| 13 | The following shall not be required to file a bond to | ||||||
| 14 | secure the payment of the award and the costs of the | ||||||
| 15 | proceedings in the court to authorize the court to issue | ||||||
| 16 | such summons: | ||||||
| 17 | (1) the State Treasurer, for a fund administered | ||||||
| 18 | by the State Treasurer ex officio against whom the | ||||||
| 19 | Commission shall have rendered an award for the | ||||||
| 20 | payment of money; and | ||||||
| 21 | (2) a county, city, town, township, incorporated | ||||||
| 22 | village, school district, body politic, or municipal | ||||||
| 23 | corporation against whom the Commission shall have | ||||||
| 24 | rendered an award for the payment of money. | ||||||
| 25 | The court may confirm or set aside the decision of the | ||||||
| 26 | Commission. If the decision is set aside and the facts | ||||||
| |||||||
| |||||||
| 1 | found in the proceedings before the Commission are | ||||||
| 2 | sufficient, the court may enter such decision as is | ||||||
| 3 | justified by law, or may remand the cause to the | ||||||
| 4 | Commission for further proceedings and may state the | ||||||
| 5 | questions requiring further hearing, and give such other | ||||||
| 6 | instructions as may be proper. If the court affirms the | ||||||
| 7 | Commission's decision imposing fines on the employer under | ||||||
| 8 | subsection (d) of Section 4, the court shall enter | ||||||
| 9 | judgment against the employer in the amount of the fines | ||||||
| 10 | assessed by the Commission. Appeals shall be taken to the | ||||||
| 11 | Appellate Court in accordance with Supreme Court Rules | ||||||
| 12 | 22(g) and 303. Appeals shall be taken from the Appellate | ||||||
| 13 | Court to the Supreme Court in accordance with Supreme | ||||||
| 14 | Court Rule 315. | ||||||
| 15 | It shall be the duty of the clerk of any court | ||||||
| 16 | rendering a decision affecting or affirming an award of | ||||||
| 17 | the Commission to promptly furnish the Commission with a | ||||||
| 18 | copy of such decision, without charge. | ||||||
| 19 | The decision of a majority of the members of the panel | ||||||
| 20 | of the Commission, shall be considered the decision of the | ||||||
| 21 | Commission. | ||||||
| 22 | (g) Except in the case of a claim against the State of | ||||||
| 23 | Illinois, either party may present a certified copy of the | ||||||
| 24 | award of the Arbitrator, or a certified copy of the decision of | ||||||
| 25 | the Commission when the same has become final, when no | ||||||
| 26 | proceedings for review are pending, providing for the payment | ||||||
| |||||||
| |||||||
| 1 | of compensation according to this Act, to the Circuit Court of | ||||||
| 2 | the county in which such accident occurred or either of the | ||||||
| 3 | parties are residents, whereupon the court shall enter a | ||||||
| 4 | judgment in accordance therewith. In a case where the employer | ||||||
| 5 | refuses to pay compensation according to such final award or | ||||||
| 6 | such final decision upon which such judgment is entered the | ||||||
| 7 | court shall in entering judgment thereon, tax as costs against | ||||||
| 8 | him the reasonable costs and attorney fees in the arbitration | ||||||
| 9 | proceedings and in the court entering the judgment for the | ||||||
| 10 | person in whose favor the judgment is entered, which judgment | ||||||
| 11 | and costs taxed as therein provided shall, until and unless | ||||||
| 12 | set aside, have the same effect as though duly entered in an | ||||||
| 13 | action duly tried and determined by the court, and shall with | ||||||
| 14 | like effect, be entered and docketed. The Circuit Court shall | ||||||
| 15 | have power at any time upon application to make any such | ||||||
| 16 | judgment conform to any modification required by any | ||||||
| 17 | subsequent decision of the Supreme Court upon appeal, or as | ||||||
| 18 | the result of any subsequent proceedings for review, as | ||||||
| 19 | provided in this Act. | ||||||
| 20 | Judgment shall not be entered until 15 days' notice of the | ||||||
| 21 | time and place of the application for the entry of judgment | ||||||
| 22 | shall be served upon the employer by filing such notice with | ||||||
| 23 | the Commission, which Commission shall, in case it has on file | ||||||
| 24 | the address of the employer or the name and address of its | ||||||
| 25 | agent upon whom notices may be served, immediately send a copy | ||||||
| 26 | of the notice to the employer or such designated agent. | ||||||
| |||||||
| |||||||
| 1 | (h) An agreement or award under this Act providing for | ||||||
| 2 | compensation in installments, may at any time within 18 months | ||||||
| 3 | after such agreement or award be reviewed by the Commission at | ||||||
| 4 | the request of either the employer or the employee, on the | ||||||
| 5 | ground that the disability of the employee has subsequently | ||||||
| 6 | recurred, increased, diminished or ended. | ||||||
| 7 | However, as to accidents occurring subsequent to July 1, | ||||||
| 8 | 1955, which are covered by any agreement or award under this | ||||||
| 9 | Act providing for compensation in installments made as a | ||||||
| 10 | result of such accident, such agreement or award may at any | ||||||
| 11 | time within 30 months, or 60 months in the case of an award | ||||||
| 12 | under Section 8(d)1, after such agreement or award be reviewed | ||||||
| 13 | by the Commission at the request of either the employer or the | ||||||
| 14 | employee on the ground that the disability of the employee has | ||||||
| 15 | subsequently recurred, increased, diminished or ended. | ||||||
| 16 | On such review, compensation payments may be | ||||||
| 17 | re-established, increased, diminished or ended. The Commission | ||||||
| 18 | shall give 15 days' notice to the parties of the hearing for | ||||||
| 19 | review. Any employee, upon any petition for such review being | ||||||
| 20 | filed by the employer, shall be entitled to one day's notice | ||||||
| 21 | for each 100 miles necessary to be traveled by him in attending | ||||||
| 22 | the hearing of the Commission upon the petition, and 3 days in | ||||||
| 23 | addition thereto. Such employee shall, at the discretion of | ||||||
| 24 | the Commission, also be entitled to 5 cents per mile | ||||||
| 25 | necessarily traveled by him within the State of Illinois in | ||||||
| 26 | attending such hearing, not to exceed a distance of 300 miles, | ||||||
| |||||||
| |||||||
| 1 | to be taxed by the Commission as costs and deposited with the | ||||||
| 2 | petition of the employer. | ||||||
| 3 | When compensation which is payable in accordance with an | ||||||
| 4 | award or settlement contract approved by the Commission, is | ||||||
| 5 | ordered paid in a lump sum by the Commission, no review shall | ||||||
| 6 | be had as in this paragraph mentioned. | ||||||
| 7 | (i) Each party, upon taking any proceedings or steps | ||||||
| 8 | whatsoever before any Arbitrator, Commission or court, shall | ||||||
| 9 | file with the Commission his address, or the name and address | ||||||
| 10 | of any agent upon whom all notices to be given to such party | ||||||
| 11 | shall be served, either personally or by registered mail, | ||||||
| 12 | addressed to such party or agent at the last address so filed | ||||||
| 13 | with the Commission. In the event such party has not filed his | ||||||
| 14 | address, or the name and address of an agent as above provided, | ||||||
| 15 | service of any notice may be had by filing such notice with the | ||||||
| 16 | Commission. | ||||||
| 17 | (j) Whenever in any proceeding testimony has been taken or | ||||||
| 18 | a final decision has been rendered and after the taking of such | ||||||
| 19 | testimony or after such decision has become final, the injured | ||||||
| 20 | employee dies, then in any subsequent proceedings brought by | ||||||
| 21 | the personal representative or beneficiaries of the deceased | ||||||
| 22 | employee, such testimony in the former proceeding may be | ||||||
| 23 | introduced with the same force and effect as though the | ||||||
| 24 | witness having so testified were present in person in such | ||||||
| 25 | subsequent proceedings and such final decision, if any, shall | ||||||
| 26 | be taken as final adjudication of any of the issues which are | ||||||
| |||||||
| |||||||
| 1 | the same in both proceedings. | ||||||
| 2 | (k) In case where there has been any unreasonable or | ||||||
| 3 | vexatious delay of payment or intentional underpayment of | ||||||
| 4 | compensation, or proceedings have been instituted or carried | ||||||
| 5 | on by the one liable to pay the compensation, which do not | ||||||
| 6 | present a real controversy, but are merely frivolous or for | ||||||
| 7 | delay, then the Commission may award compensation additional | ||||||
| 8 | to that otherwise payable under this Act equal to 50% of the | ||||||
| 9 | amount payable at the time of such award. Failure to pay | ||||||
| 10 | compensation in accordance with the provisions of Section 8, | ||||||
| 11 | paragraph (b) of this Act, shall be considered unreasonable | ||||||
| 12 | delay. | ||||||
| 13 | When determining whether this subsection (k) shall apply, | ||||||
| 14 | the Commission shall consider whether an Arbitrator has | ||||||
| 15 | determined that the claim is not compensable or whether the | ||||||
| 16 | employer has made payments under Section 8(j). | ||||||
| 17 | (l) If the employee has made written demand for payment of | ||||||
| 18 | benefits under Section 8(a) or Section 8(b), the employer | ||||||
| 19 | shall have 14 days after receipt of the demand to set forth in | ||||||
| 20 | writing the reason for the delay. In the case of demand for | ||||||
| 21 | payment of medical benefits under Section 8(a), the time for | ||||||
| 22 | the employer to respond shall not commence until the | ||||||
| 23 | expiration of the allotted 30 days specified under Section | ||||||
| 24 | 8.2(d). In case the employer or his or her insurance carrier | ||||||
| 25 | shall without good and just cause fail, neglect, refuse, or | ||||||
| 26 | unreasonably delay the payment of benefits under Section 8(a) | ||||||
| |||||||
| |||||||
| 1 | or Section 8(b), the Arbitrator or the Commission shall allow | ||||||
| 2 | to the employee additional compensation in the sum of $30 per | ||||||
| 3 | day for each day that the benefits under Section 8(a) or | ||||||
| 4 | Section 8(b) have been so withheld or refused, not to exceed | ||||||
| 5 | $10,000. A delay in payment of 14 days or more shall create a | ||||||
| 6 | rebuttable presumption of unreasonable delay. | ||||||
| 7 | (m) If the commission finds that an accidental injury was | ||||||
| 8 | directly and proximately caused by the employer's wilful | ||||||
| 9 | violation of a health and safety standard under the Health and | ||||||
| 10 | Safety Act or the Occupational Safety and Health Act in force | ||||||
| 11 | at the time of the accident, the arbitrator or the Commission | ||||||
| 12 | shall allow to the injured employee or his dependents, as the | ||||||
| 13 | case may be, additional compensation equal to 25% of the | ||||||
| 14 | amount which otherwise would be payable under the provisions | ||||||
| 15 | of this Act exclusive of this paragraph. The additional | ||||||
| 16 | compensation herein provided shall be allowed by an | ||||||
| 17 | appropriate increase in the applicable weekly compensation | ||||||
| 18 | rate. | ||||||
| 19 | (n) After June 30, 1984, decisions of the Illinois | ||||||
| 20 | Workers' Compensation Commission reviewing an award of an | ||||||
| 21 | arbitrator of the Commission shall draw interest at a rate | ||||||
| 22 | equal to the yield on indebtedness issued by the United States | ||||||
| 23 | Government with a 26-week maturity next previously auctioned | ||||||
| 24 | on the day on which the decision is filed. Said rate of | ||||||
| 25 | interest shall be set forth in the Arbitrator's Decision. | ||||||
| 26 | Interest shall be drawn from the date of the arbitrator's | ||||||
| |||||||
| |||||||
| 1 | award on all accrued compensation due the employee through the | ||||||
| 2 | day prior to the date of payments. However, when an employee | ||||||
| 3 | appeals an award of an Arbitrator or the Commission, and the | ||||||
| 4 | appeal results in no change or a decrease in the award, | ||||||
| 5 | interest shall not further accrue from the date of such | ||||||
| 6 | appeal. | ||||||
| 7 | The employer or his insurance carrier may tender the | ||||||
| 8 | payments due under the award to stop the further accrual of | ||||||
| 9 | interest on such award notwithstanding the prosecution by | ||||||
| 10 | either party of review, certiorari, appeal to the Supreme | ||||||
| 11 | Court or other steps to reverse, vacate or modify the award. | ||||||
| 12 | (o) By the 15th day of each month each insurer providing | ||||||
| 13 | coverage for losses under this Act shall notify each insured | ||||||
| 14 | employer of any compensable claim incurred during the | ||||||
| 15 | preceding month and the amounts paid or reserved on the claim | ||||||
| 16 | including a summary of the claim and a brief statement of the | ||||||
| 17 | reasons for compensability. A cumulative report of all claims | ||||||
| 18 | incurred during a calendar year or continued from the previous | ||||||
| 19 | year shall be furnished to the insured employer by the insurer | ||||||
| 20 | within 30 days after the end of that calendar year. | ||||||
| 21 | The insured employer may challenge, in proceeding before | ||||||
| 22 | the Commission, payments made by the insurer without | ||||||
| 23 | arbitration and payments made after a case is determined to be | ||||||
| 24 | noncompensable. If the Commission finds that the case was not | ||||||
| 25 | compensable, the insurer shall purge its records as to that | ||||||
| 26 | employer of any loss or expense associated with the claim, | ||||||
| |||||||
| |||||||
| 1 | reimburse the employer for attorneys' fees arising from the | ||||||
| 2 | challenge and for any payment required of the employer to the | ||||||
| 3 | Rate Adjustment Fund or the Second Injury Fund, and may not | ||||||
| 4 | reflect the loss or expense for rate making purposes. The | ||||||
| 5 | employee shall not be required to refund the challenged | ||||||
| 6 | payment. The decision of the Commission may be reviewed in the | ||||||
| 7 | same manner as in arbitrated cases. No challenge may be | ||||||
| 8 | initiated under this paragraph more than 3 years after the | ||||||
| 9 | payment is made. An employer may waive the right of challenge | ||||||
| 10 | under this paragraph on a case by case basis. | ||||||
| 11 | (p) After filing an application for adjustment of claim | ||||||
| 12 | but prior to the hearing on arbitration the parties may | ||||||
| 13 | voluntarily agree to submit such application for adjustment of | ||||||
| 14 | claim for decision by an arbitrator under this subsection (p) | ||||||
| 15 | where such application for adjustment of claim raises only a | ||||||
| 16 | dispute over temporary total disability, permanent partial | ||||||
| 17 | disability or medical expenses. Such agreement shall be in | ||||||
| 18 | writing in such form as provided by the Commission. | ||||||
| 19 | Applications for adjustment of claim submitted for decision by | ||||||
| 20 | an arbitrator under this subsection (p) shall proceed | ||||||
| 21 | according to rule as established by the Commission. The | ||||||
| 22 | Commission shall promulgate rules including, but not limited | ||||||
| 23 | to, rules to ensure that the parties are adequately informed | ||||||
| 24 | of their rights under this subsection (p) and of the voluntary | ||||||
| 25 | nature of proceedings under this subsection (p). The findings | ||||||
| 26 | of fact made by an arbitrator acting within his or her powers | ||||||
| |||||||
| |||||||
| 1 | under this subsection (p) in the absence of fraud shall be | ||||||
| 2 | conclusive. However, the arbitrator may on his own motion, or | ||||||
| 3 | the motion of either party, correct any clerical errors or | ||||||
| 4 | errors in computation within 15 days after the date of receipt | ||||||
| 5 | of such award of the arbitrator and shall have the power to | ||||||
| 6 | recall the original award on arbitration, and issue in lieu | ||||||
| 7 | thereof such corrected award. The decision of the arbitrator | ||||||
| 8 | under this subsection (p) shall be considered the decision of | ||||||
| 9 | the Commission and proceedings for review of questions of law | ||||||
| 10 | arising from the decision may be commenced by either party | ||||||
| 11 | pursuant to subsection (f) of Section 19. The Advisory Board | ||||||
| 12 | established under Section 13.1 shall compile a list of | ||||||
| 13 | certified Commission arbitrators, each of whom shall be | ||||||
| 14 | approved by at least 7 members of the Advisory Board. The | ||||||
| 15 | chairman shall select 5 persons from such list to serve as | ||||||
| 16 | arbitrators under this subsection (p). By agreement, the | ||||||
| 17 | parties shall select one arbitrator from among the 5 persons | ||||||
| 18 | selected by the chairman except that if the parties do not | ||||||
| 19 | agree on an arbitrator from among the 5 persons, the parties | ||||||
| 20 | may, by agreement, select an arbitrator of the American | ||||||
| 21 | Arbitration Association, whose fee shall be paid by the State | ||||||
| 22 | in accordance with rules promulgated by the Commission. | ||||||
| 23 | Arbitration under this subsection (p) shall be voluntary. | ||||||
| 24 | (q) Within 60 days after receipt of service of notice of | ||||||
| 25 | preliminary proceedings before an Arbitrator, an employer | ||||||
| 26 | shall disclose documents sufficient to calculate a | ||||||
| |||||||
| |||||||
| 1 | petitioner's average weekly wage. | ||||||
| 2 | (Source: P.A. 102-775, eff. 5-13-22; 103-590, eff. 6-5-24.) | ||||||