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Sen. Terry Link
Filed: 5/31/2004
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| AMENDMENT TO HOUSE BILL 805
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| AMENDMENT NO. ______. Amend House Bill 805 by replacing |
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| everything after the enacting clause with the following:
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| "Section 5. The Workers' Compensation Act is amended by | 5 |
| changing
Sections 2, 4, 8, 10, and 19 and by adding Sections | 6 |
| 8.1, 8.2, and 8.3 as follows:
| 7 |
| (820 ILCS 305/2)
(from Ch. 48, par. 138.2)
| 8 |
| Sec. 2. An employer in this State, who does not come within | 9 |
| the classes
enumerated by Section 3 of this Act, may elect to | 10 |
| provide and pay
compensation for accidental injuries sustained | 11 |
| by himself or any employee,
arising out
of and in the course of | 12 |
| the employment according to the provisions of this
Act, and | 13 |
| thereby relieve himself from any liability for the recovery of
| 14 |
| damages, except as herein provided. The State of Illinois | 15 |
| hereby elects to
provide and pay compensation according to the | 16 |
| provisions of this Act.
For purposes of this Act, an injury | 17 |
| arises out of the
employment if the injury occurred as a result | 18 |
| of a terrorist act. For
purposes of this Section, "terrorist | 19 |
| act" means a violent act committed by one or more
individuals | 20 |
| as part of an effort to coerce the civilian population of the
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| United States or to influence the policy or affect the conduct | 22 |
| of the United States
Government.
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| (a) Election by any employer to provide and pay | 24 |
| compensation according
to the provisions of this Act shall be |
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| made by the employer filing notice
of such election with the | 2 |
| Commission, or by insuring his liability to pay
compensation | 3 |
| under this Act in some insurance carrier authorized, licensed
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| or permitted to do such insurance business in this State.
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| (b) Every employer within the provisions of this Act who | 6 |
| has elected to
provide and pay compensation according to the | 7 |
| provisions of this Act by
filing notice of such election with | 8 |
| the Commission, shall be bound thereby
as to all his employees | 9 |
| until January 1st of the next succeeding year and
for terms of | 10 |
| each year thereafter.
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| Any such employer who may have once elected, may elect not | 12 |
| to provide
and pay the compensation herein provided for | 13 |
| accidents resulting in either
injury or death and occurring | 14 |
| after the expiration of any such calendar
year by filing notice | 15 |
| of such election with the Commission at least 60 days
prior to | 16 |
| the expiration of any such calendar year, and by posting such
| 17 |
| notice at a conspicuous place in the plant, shop, office, room | 18 |
| or place
where such employee is employed, or by personal | 19 |
| service, in written or
printed form, upon such employees, at | 20 |
| least 60 days prior to the expiration
of any such calendar | 21 |
| year.
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| Every employer within the provisions of this Act who has | 23 |
| elected to
provide and pay compensation according to the | 24 |
| provisions of this Act by
insuring his liability to pay | 25 |
| compensation under this Act, as above
provided, shall be bound | 26 |
| thereby as to all his employees until the date of
expiration or | 27 |
| cancellation of such policy of insurance, or any renewal
| 28 |
| thereof.
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| (c) In the event any employer mentioned in this section, | 30 |
| elects to
provide and pay the compensation provided in this | 31 |
| Act, then every employee
of such employer, as a part of his | 32 |
| contract of hiring or who may be
employed at the time of the | 33 |
| taking effect of this Act and the acceptance of
its provisions | 34 |
| by such employer, shall be deemed to have accepted all the
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| provisions of this Act and shall be bound thereby unless within | 2 |
| 30 days
after such hiring or after the taking effect of this | 3 |
| Act, and its
acceptance by such employee, he shall file a | 4 |
| notice to the contrary with
the Commission, whose duty it shall | 5 |
| be to immediately notify the employer,
and until such notice to | 6 |
| the contrary is given to the employer, the measure
of liability | 7 |
| of such employer shall be determined according to the
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| compensation provisions of this Act.
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| However, any employee may withdraw from the operation of | 10 |
| this Act,
except those under Section 3, upon filing a written | 11 |
| notice of withdrawal at
least 10 days prior to January 1st of | 12 |
| any year with the Commission, whose
duty it shall be to | 13 |
| immediately notify such employer by registered mail,
and, until | 14 |
| such notice to the contrary is given to such employer, the
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| measure of liability of such employer shall be determined | 16 |
| according to the
compensation provisions of this Act.
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| (d) Any such employer or employee may, without prejudice to | 18 |
| any existing
right or claim withdraw his election to reject | 19 |
| this Act by giving 30 days'
written notice in such manner and | 20 |
| form as may be provided by the
Commission.
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| (Source: P.A. 83-190.)
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| (820 ILCS 305/4) (from Ch. 48, par. 138.4)
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| Sec. 4. (a) Any employer, including but not limited to | 24 |
| general contractors
and their subcontractors, who shall come | 25 |
| within the provisions of
Section 3 of this Act, and any other | 26 |
| employer who shall elect to provide
and pay the compensation | 27 |
| provided for in this Act shall:
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| (1) File with the Commission annually an application | 29 |
| for approval as a
self-insurer which shall include a | 30 |
| current financial statement, and
annually, thereafter, an | 31 |
| application for renewal of self-insurance, which
shall | 32 |
| include a current financial statement. Said
application | 33 |
| and financial statement shall be signed and sworn to by the
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| president or vice president and secretary or assistant | 2 |
| secretary of the
employer if it be a corporation, or by all | 3 |
| of the partners, if it be a
copartnership, or by the owner | 4 |
| if it be neither a copartnership nor a
corporation. All | 5 |
| initial applications and all applications for renewal of
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| self-insurance must be submitted at least 60 days prior to | 7 |
| the requested
effective date of self-insurance. An | 8 |
| employer may elect to provide and pay
compensation as | 9 |
| provided
for in this Act as a member of a group workers' | 10 |
| compensation pool under Article
V 3/4 of the Illinois | 11 |
| Insurance Code. If an employer becomes a member of a
group | 12 |
| workers' compensation pool, the employer shall not be | 13 |
| relieved of any
obligations imposed by this Act.
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If the sworn application and financial statement of | 15 |
| any such employer
does not satisfy the Commission of the | 16 |
| financial ability of the employer
who has filed it, the | 17 |
| Commission shall require such employer to,
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| (2) Furnish security, indemnity or a bond guaranteeing | 19 |
| the payment
by the employer of the compensation provided | 20 |
| for in this Act, provided
that any such employer whose | 21 |
| application and financial statement shall
not have | 22 |
| satisfied the commission of his or her financial ability | 23 |
| and
who shall have secured his liability in part by excess | 24 |
| liability insurance
shall be required to furnish to the | 25 |
| Commission security, indemnity or bond
guaranteeing his or | 26 |
| her payment up to the effective limits of the excess
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| coverage, or
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| (3) Insure his entire liability to pay such | 29 |
| compensation in some
insurance carrier authorized, | 30 |
| licensed, or permitted to do such
insurance business in | 31 |
| this State. Every policy of an insurance carrier,
insuring | 32 |
| the payment of compensation under this Act shall cover all | 33 |
| the
employees and the entire compensation liability of the | 34 |
| insured:
Provided, however, that any employer may insure |
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| his or her compensation
liability with 2 or more insurance | 2 |
| carriers or may insure a part and
qualify under subsection | 3 |
| 1, 2, or 4 for the remainder of his or her
liability to pay | 4 |
| such compensation, subject to the following two | 5 |
| provisions:
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| Firstly, the entire compensation liability of the | 7 |
| employer to
employees working at or from one location | 8 |
| shall be insured in one such
insurance carrier or shall | 9 |
| be self-insured, and
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| Secondly, the employer shall submit evidence | 11 |
| satisfactorily to the
Commission that his or her entire | 12 |
| liability for the compensation provided
for in this Act | 13 |
| will be secured. Any provisions in any policy, or in | 14 |
| any
endorsement attached thereto, attempting to limit | 15 |
| or modify in any way,
the liability of the insurance | 16 |
| carriers issuing the same except as
otherwise provided | 17 |
| herein shall be wholly void.
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| Nothing herein contained shall apply to policies of | 19 |
| excess liability
carriage secured by employers who | 20 |
| have been approved by the Commission
as self-insurers, | 21 |
| or
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| (4) Make some other provision, satisfactory to the | 23 |
| Commission, for
the securing of the payment of compensation | 24 |
| provided for in this Act,
and
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| (5) Upon becoming subject to this Act and thereafter as | 26 |
| often as the
Commission may in writing demand, file with | 27 |
| the Commission in form prescribed
by it evidence of his or | 28 |
| her compliance with the provision of this Section.
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| (a-1) Regardless of its state of domicile or its principal | 30 |
| place of
business, an employer shall make payments to its | 31 |
| insurance carrier or group
self-insurance fund, where | 32 |
| applicable, based upon the premium rates of the
situs where the | 33 |
| work or project is located in Illinois if:
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| (A) the employer is engaged primarily in the building |
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| and
construction industry; and
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| (B) subdivision (a)(3) of this Section applies to the | 3 |
| employer or
the employer is a member of a group | 4 |
| self-insurance plan as defined in
subsection (1) of Section | 5 |
| 4a.
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| The Industrial Commission shall impose a penalty upon an | 7 |
| employer
for violation of this subsection (a-1) if:
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| (i) the employer is given an opportunity at a hearing | 9 |
| to present
evidence of its compliance with this subsection | 10 |
| (a-1); and
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| (ii) after the hearing, the Commission finds that the | 12 |
| employer
failed to make payments upon the premium rates of | 13 |
| the situs where the work or
project is located in Illinois.
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| The penalty shall not exceed $1,000 for each day of work | 15 |
| for which
the employer failed to make payments upon the premium | 16 |
| rates of the situs where
the
work or project is located in | 17 |
| Illinois, but the total penalty shall not exceed
$50,000 for | 18 |
| each project or each contract under which the work was
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| performed.
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| Any penalty under this subsection (a-1) must be imposed not | 21 |
| later
than one year after the expiration of the applicable | 22 |
| limitation period
specified in subsection (d) of Section 6 of | 23 |
| this Act. Penalties imposed under
this subsection (a-1) shall | 24 |
| be deposited into the Industrial Commission
Operations Fund, a | 25 |
| special fund that is created in the State treasury. Subject
to | 26 |
| appropriation, moneys in the Fund shall be used solely for the | 27 |
| operations
of the Industrial Commission.
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| (b) The sworn application and financial statement, or | 29 |
| security,
indemnity or bond, or amount of insurance, or other | 30 |
| provisions, filed,
furnished, carried, or made by the employer, | 31 |
| as the case may be, shall
be subject to the approval of the | 32 |
| Commission.
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| Deposits under escrow agreements shall be cash, negotiable | 34 |
| United
States government bonds or negotiable general |
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| obligation bonds of the
State of Illinois. Such cash or bonds | 2 |
| shall be deposited in
escrow with any State or National Bank or | 3 |
| Trust Company having trust
authority in the State of Illinois.
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| Upon the approval of the sworn application and financial | 5 |
| statement,
security, indemnity or bond or amount of insurance, | 6 |
| filed, furnished or
carried, as the case may be, the Commission | 7 |
| shall send to the employer
written notice of its approval | 8 |
| thereof. The certificate of compliance
by the employer with the | 9 |
| provisions of subparagraphs (2) and (3) of
paragraph (a) of | 10 |
| this Section shall be delivered by the insurance
carrier to the | 11 |
| Industrial Commission within five days after the
effective date | 12 |
| of the policy so certified. The insurance so certified
shall | 13 |
| cover all compensation liability occurring during the time that
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| the insurance is in effect and no further certificate need be | 15 |
| filed in case
such insurance is renewed, extended or otherwise | 16 |
| continued by such
carrier. The insurance so certified shall not | 17 |
| be cancelled or in the
event that such insurance is not | 18 |
| renewed, extended or otherwise
continued, such insurance shall | 19 |
| not be terminated until at least 10
days after receipt by the | 20 |
| Industrial Commission of notice of the
cancellation or | 21 |
| termination of said insurance; provided, however, that
if the | 22 |
| employer has secured insurance from another insurance carrier, | 23 |
| or
has otherwise secured the payment of compensation in | 24 |
| accordance with
this Section, and such insurance or other | 25 |
| security becomes effective
prior to the expiration of the 10 | 26 |
| days, cancellation or termination may, at
the option of the | 27 |
| insurance carrier indicated in such notice, be effective
as of | 28 |
| the effective date of such other insurance or security.
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| (c) Whenever the Commission shall find that any | 30 |
| corporation,
company, association, aggregation of individuals, | 31 |
| reciprocal or
interinsurers exchange, or other insurer | 32 |
| effecting workers' compensation
insurance in this State shall | 33 |
| be insolvent, financially unsound, or
unable to fully meet all | 34 |
| payments and liabilities assumed or to be
assumed for |
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| compensation insurance in this State, or shall practice a
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| policy of delay or unfairness toward employees in the | 3 |
| adjustment,
settlement, or payment of benefits due such | 4 |
| employees, the Commission
may after reasonable notice and | 5 |
| hearing order and direct that such
corporation, company, | 6 |
| association, aggregation of individuals,
reciprocal or | 7 |
| interinsurers exchange, or insurer, shall from and after a
date | 8 |
| fixed in such order discontinue the writing of any such | 9 |
| workers'
compensation insurance in this State. Subject to such | 10 |
| modification of
the order as the Commission may later make on | 11 |
| review of the order,
as herein provided, it shall thereupon be | 12 |
| unlawful for any such
corporation, company, association, | 13 |
| aggregation of individuals,
reciprocal or interinsurers | 14 |
| exchange, or insurer to effect any workers'
compensation | 15 |
| insurance in this State. A copy of the order shall be served
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| upon the Director of Insurance by registered mail. Whenever the | 17 |
| Commission
finds that any service or adjustment company used or | 18 |
| employed
by a self-insured employer or by an insurance carrier | 19 |
| to process,
adjust, investigate, compromise or otherwise | 20 |
| handle claims under this
Act, has practiced or is practicing a | 21 |
| policy of delay or unfairness
toward employees in the | 22 |
| adjustment, settlement or payment of benefits
due such | 23 |
| employees, the Commission may after reasonable notice and
| 24 |
| hearing order and direct that such service or adjustment | 25 |
| company shall
from and after a date fixed in such order be | 26 |
| prohibited from processing,
adjusting, investigating, | 27 |
| compromising or otherwise handling claims
under this Act.
| 28 |
| Whenever the Commission finds that any self-insured | 29 |
| employer has
practiced or is practicing delay or unfairness | 30 |
| toward employees in the
adjustment, settlement or payment of | 31 |
| benefits due such employees, the
Commission may, after | 32 |
| reasonable notice and hearing, order and direct
that after a | 33 |
| date fixed in the order such self-insured employer shall be
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| disqualified to operate as a self-insurer and shall be required |
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| to
insure his entire liability to pay compensation in some | 2 |
| insurance
carrier authorized, licensed and permitted to do such | 3 |
| insurance business
in this State, as provided in subparagraph 3 | 4 |
| of paragraph (a) of this
Section.
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| All orders made by the Commission under this Section shall | 6 |
| be subject
to review by the courts, said review to be taken in | 7 |
| the same manner and
within the same time as provided by Section | 8 |
| 19 of this Act for review of
awards and decisions of the | 9 |
| Commission, upon the party seeking the
review filing with the | 10 |
| clerk of the court to which said review is taken
a bond in an | 11 |
| amount to be fixed and approved by the court to which the
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| review is taken, conditioned upon the payment of all | 13 |
| compensation awarded
against the person taking said review | 14 |
| pending a decision thereof and
further conditioned upon such | 15 |
| other obligations as the court may impose.
Upon the review the | 16 |
| Circuit Court shall have power to review all questions
of fact | 17 |
| as well as of law. The penalty hereinafter provided for in this
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| paragraph shall not attach and shall not begin to run until the | 19 |
| final
determination of the order of the Commission.
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| (d) Whenever the Commission determines an employer has | 21 |
| failed to provide coverage as required by paragraph (a) of this | 22 |
| Section, the failure shall be deemed an immediate serious | 23 |
| danger to public health, safety, and welfare sufficient to | 24 |
| justify service by the Commission of a work-stop order on such | 25 |
| employer, requiring the cessation of all business operations of | 26 |
| such employer at the place of employment or job site. Any law | 27 |
| enforcement agency in the State shall, at the request of the | 28 |
| Commission, render any assistance necessary to carry out the | 29 |
| provisions of this Section, including, but not limited to, | 30 |
| preventing any employee of such employer from remaining at a | 31 |
| place of employment or job site after a work-stop order has | 32 |
| taken effect. | 33 |
| Any individual employer, corporate officer or director of a | 34 |
| corporate employer, partner of an employer partnership, or |
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| member of an employer limited liability company who knowingly | 2 |
| fails to provide coverage as required by paragraph (a) of this | 3 |
| Section is guilty of a Class 4 felony. Each day's violation | 4 |
| constitutes a separate offense. The State's Attorney of the | 5 |
| county in which the violation occurred, or the Attorney | 6 |
| General, shall bring such actions in the name of the People of | 7 |
| the State of Illinois, or may, in addition to other remedies | 8 |
| provided in this Section, bring an action for an injunction to | 9 |
| restrain the violation or to enjoin the operation of any such | 10 |
| employer. | 11 |
| Any individual employer, corporate officer or director of a | 12 |
| corporate employer, partner of an employer partnership, or | 13 |
| member of an employer limited liability company who negligently | 14 |
| fails to provide coverage as required by paragraph (a) of this | 15 |
| Section is guilty of a Class A misdemeanor. Each day's | 16 |
| violation constitutes a separate offense. The State's Attorney | 17 |
| of the county in which the violation occurred, or the Attorney | 18 |
| General, shall bring such actions in the name of the people of | 19 |
| the State of Illinois, or may, in addition to other remedies | 20 |
| provided in this Section, bring an action for an injunction to | 21 |
| restrain such violation or to enjoin the operation of any such | 22 |
| employer. | 23 |
| Employers who are subject to and who fail to comply with | 24 |
| this Section shall not be entitled to the benefits of this Act | 25 |
| during the period of noncompliance, but shall be liable in an | 26 |
| action under any other applicable law of this State. In the | 27 |
| action, such employer shall not avail himself or herself of the | 28 |
| defenses of assumption of risk or negligence or that the injury | 29 |
| was due to a co-employee. In the action, proof of the injury | 30 |
| shall constitute prima facie evidence of negligence on the part | 31 |
| of such employer and the burden shall be on such employer to | 32 |
| show freedom of negligence resulting in the injury. The | 33 |
| employer shall not join any other defendant in any such civil | 34 |
| action. Nothing in this amendatory Act of the 93rd General |
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| Assembly
shall affect the employee's rights under subdivision | 2 |
| (a)3 of Section 1 of this Act. | 3 |
| An employee of an uninsured employer, or the employee's | 4 |
| dependents in case death ensued, may, instead of proceeding | 5 |
| against the employer in a civil action in court, file an | 6 |
| application for adjustment of claim with the Commission in | 7 |
| accordance with the provisions of this Act and the Commission | 8 |
| shall hear and determine the application for adjustment of | 9 |
| claim in the manner in which other claims are heard and | 10 |
| determined before the Commission. | 11 |
| Upon a finding by the Commission, after reasonable notice | 12 |
| and
hearing, of the knowing and wilful failure or refusal of an | 13 |
| employer to
comply with
any of the provisions of paragraph (a) | 14 |
| of this Section or the failure or
refusal of an employer, | 15 |
| service or adjustment company, or an insurance
carrier to | 16 |
| comply with any order of the Industrial Commission pursuant to
| 17 |
| paragraph (c) of this Section disqualifying him or her to | 18 |
| operate as a self
insurer and requiring him or her to insure | 19 |
| his or her liability, the
Commission may assess a civil penalty | 20 |
| of up to $500 per day for each day of
such failure or refusal | 21 |
| after the effective date of this amendatory Act of
1989. The | 22 |
| minimum penalty under this Section shall be the sum of $10,000.
| 23 |
| Each day of such failure or refusal shall constitute a separate | 24 |
| offense.
The Commission may assess the civil penalty personally | 25 |
| and individually
against the corporate officers and directors | 26 |
| of a corporate employer, the
partners of an employer | 27 |
| partnership, and the members of an employer limited
liability | 28 |
| company, after a finding of a knowing and willful refusal or | 29 |
| failure
of each such named corporate officer, director, | 30 |
| partner, or member to comply
with this Section. The liability | 31 |
| for the assessed penalty shall be
against the named employer | 32 |
| first, and
if the named employer fails or refuses to pay the | 33 |
| penalty to the
Commission within 30 days after the final order | 34 |
| of the Commission, then the
named
corporate officers, |
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| directors, partners, or members who have been found to have
| 2 |
| knowingly and willfully refused or failed to comply with this | 3 |
| Section shall be
liable for the unpaid penalty or any unpaid | 4 |
| portion of the penalty. All
penalties collected under
this | 5 |
| Section shall be deposited in the Industrial Commission | 6 |
| Operations Fund.
| 7 |
| Upon the failure or refusal of any employer, service or | 8 |
| adjustment
company or insurance carrier to comply with the | 9 |
| provisions of this Section
and with the orders of the | 10 |
| Commission under this Section, or the order of
the court on | 11 |
| review after final adjudication, the Commission may bring a
| 12 |
| civil action to recover the amount of the penalty in Cook | 13 |
| County or in
Sangamon County in which litigation the Commission | 14 |
| shall be represented by
the Attorney General. The Commission | 15 |
| shall send notice of its finding of
non-compliance and | 16 |
| assessment of the civil penalty to the Attorney General.
It | 17 |
| shall be the duty of the Attorney General within 30 days after | 18 |
| receipt
of the notice, to institute prosecutions and promptly | 19 |
| prosecute all
reported violations of this Section.
| 20 |
| Any individual employer, corporate officer or director of a | 21 |
| corporate employer, partner of an employer partnership, or | 22 |
| member of an employer limited liability company who, with the | 23 |
| intent to avoid payment of compensation under this Act to an | 24 |
| injured employee or the employee's dependents, knowingly | 25 |
| transfers, sells, encumbers, assigns, or in any manner disposes | 26 |
| of, conceals, secretes, or destroys any property belonging to | 27 |
| the employer, officer, director, partner, or member, is guilty | 28 |
| of a Class 4 felony.
| 29 |
| Penalties collected pursuant to this paragraph (d) shall be | 30 |
| deposited upon receipt by the Commission into a special fund | 31 |
| which shall be designated the Injured Workers Benefit Fund, of | 32 |
| which the State Treasurer is ex-officio custodian, such special | 33 |
| fund to be held and disbursed in accordance with this paragraph | 34 |
| (d) for the purposes hereinafter stated in this paragraph (d), |
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| upon the final order of the Commission. The Injured Workers | 2 |
| Benefit Fund shall be deposited the same as are State funds and | 3 |
| any interest accruing thereon shall be added thereto every 6 | 4 |
| months. The Injured Workers Benefit Fund is subject to audit | 5 |
| the same as State funds and accounts and is protected by the | 6 |
| general bond given by the State Treasurer. The Injured Workers | 7 |
| Benefit Fund is considered always appropriated for the purposes | 8 |
| of disbursements as provided in this paragraph, and shall be | 9 |
| paid out and disbursed as herein provided and shall not at any | 10 |
| time be appropriated or diverted to any other use or purpose. | 11 |
| Moneys in the Injured Workers Benefit Fund shall be used only | 12 |
| for payment of workers' compensation benefits for injured | 13 |
| employees when the employer has failed to provide coverage as | 14 |
| determined under this paragraph (d) and has failed to pay the | 15 |
| benefits due to the injured employee under this paragraph (d). | 16 |
| The Commission shall have the right to obtain reimbursement | 17 |
| from the employer for compensation obligations paid by the | 18 |
| Injured Workers Benefit Fund. Any such amounts obtained shall | 19 |
| be deposited by the Commission into the Injured Workers Benefit | 20 |
| Fund.
If an injured employee or his or her personal | 21 |
| representative receives payment from the Injured Workers | 22 |
| Benefit Fund, the State of Illinois has the same rights under | 23 |
| paragraph (b) of Section 5 that the employer who failed to pay | 24 |
| the benefits due to the injured employee under this paragraph | 25 |
| (d) would have had if the employer had paid those benefits, and | 26 |
| any moneys recovered by the State as a result of the State's | 27 |
| exercise of its rights under paragraph (b) of Section 5 shall | 28 |
| be deposited into the Injured Workers Benefit Fund. The | 29 |
| custodian of the Injured Workers Benefit Fund shall be joined | 30 |
| with the employer as a party respondent in the application for | 31 |
| adjustment of claim. Payment from the Injured Workers Benefit | 32 |
| Fund to an eligible claimant at the end of the fiscal year that | 33 |
| the award became final shall discharge the obligations of the | 34 |
| Injured Workers Benefit Fund regarding the award entered by the |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| Commission.
| 2 |
| The Commission shall hold all final awards determined in a | 3 |
| fiscal year to be made from the Fund in that fiscal year until | 4 |
| the end of the fiscal year, at which time the Commission shall | 5 |
| make disbursements on a pro-rata share basis only to the extent | 6 |
| of the available moneys in the Fund for that fiscal year.
| 7 |
| (e) This Act shall not affect or disturb the continuance of | 8 |
| any
existing insurance, mutual aid, benefit, or relief | 9 |
| association or
department, whether maintained in whole or in | 10 |
| part by the employer or
whether maintained by the employees, | 11 |
| the payment of benefits of such
association or department being | 12 |
| guaranteed by the employer or by some
person, firm or | 13 |
| corporation for him or her: Provided, the employer contributes
| 14 |
| to such association or department an amount not less than the | 15 |
| full
compensation herein provided, exclusive of the cost of the | 16 |
| maintenance
of such association or department and without any | 17 |
| expense to the
employee. This Act shall not prevent the | 18 |
| organization and maintaining
under the insurance laws of this | 19 |
| State of any benefit or insurance
company for the purpose of | 20 |
| insuring against the compensation provided
for in this Act, the | 21 |
| expense of which is maintained by the employer.
This Act shall | 22 |
| not prevent the organization or maintaining under the
insurance | 23 |
| laws of this State of any voluntary mutual aid, benefit or
| 24 |
| relief association among employees for the payment of | 25 |
| additional
accident or sick benefits.
| 26 |
| (f) No existing insurance, mutual aid, benefit or relief | 27 |
| association
or department shall, by reason of anything herein | 28 |
| contained, be
authorized to discontinue its operation without | 29 |
| first discharging its
obligations to any and all persons | 30 |
| carrying insurance in the same or
entitled to relief or | 31 |
| benefits therein.
| 32 |
| (g) Any contract, oral, written or implied, of employment | 33 |
| providing
for relief benefit, or insurance or any other device | 34 |
| whereby the
employee is required to pay any premium or premiums |
|
|
|
09300HB0805sam002 |
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|
| 1 |
| for insurance
against the compensation provided for in this Act | 2 |
| shall be null and
void. Any employer withholding from the wages | 3 |
| of any employee any
amount for the purpose of paying any such | 4 |
| premium shall be guilty of a
Class B misdemeanor.
| 5 |
| In the event the employer does not pay the compensation for | 6 |
| which he or
she is liable, then an insurance company, | 7 |
| association or insurer which may
have insured such employer | 8 |
| against such liability shall become primarily
liable to pay to | 9 |
| the employee, his or her personal representative or
beneficiary | 10 |
| the compensation required by the provisions of this Act to
be | 11 |
| paid by such employer. The insurance carrier may be made a | 12 |
| party to
the proceedings in which the employer is a party and | 13 |
| an award may be
entered jointly against the employer and the | 14 |
| insurance carrier.
| 15 |
| (h) It shall be unlawful for any employer, insurance | 16 |
| company or
service or adjustment company to interfere with, | 17 |
| restrain or coerce an
employee in any manner whatsoever in the | 18 |
| exercise of the rights or
remedies granted to him or her by | 19 |
| this Act or to discriminate, attempt to
discriminate, or | 20 |
| threaten to discriminate against an employee in any way
because | 21 |
| of his or her exercise of the rights or remedies granted to
him | 22 |
| or her by this Act.
| 23 |
| It shall be unlawful for any employer, individually or | 24 |
| through any
insurance company or service or adjustment company, | 25 |
| to discharge or to
threaten to discharge, or to refuse to | 26 |
| rehire or recall to active
service in a suitable capacity an | 27 |
| employee because of the exercise of
his or her rights or | 28 |
| remedies granted to him or her by this Act.
| 29 |
| (i) If an employer elects to obtain a life insurance policy | 30 |
| on his
employees, he may also elect to apply such benefits in | 31 |
| satisfaction of all
or a portion of the death benefits payable | 32 |
| under this Act, in which case,
the employer's compensation | 33 |
| premium shall be reduced accordingly.
| 34 |
| (j) Within 45 days of receipt of an initial application or |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| application
to renew self-insurance privileges the | 2 |
| Self-Insurers Advisory Board shall
review and submit for | 3 |
| approval by the Chairman of the Commission
recommendations of | 4 |
| disposition of all initial applications to self-insure
and all | 5 |
| applications to renew self-insurance privileges filed by | 6 |
| private
self-insurers pursuant to the provisions of this | 7 |
| Section and Section 4a-9
of this Act. Each private self-insurer | 8 |
| shall submit with its initial and
renewal applications the | 9 |
| application fee required by Section 4a-4 of this Act.
| 10 |
| The Chairman of the Commission shall promptly act upon all | 11 |
| initial
applications and applications for renewal in full | 12 |
| accordance with the
recommendations of the Board or, should the | 13 |
| Chairman disagree with any
recommendation of disposition of the | 14 |
| Self-Insurer's Advisory Board, he
shall within 30 days of | 15 |
| receipt of such recommendation provide to the Board
in writing | 16 |
| the reasons supporting his decision. The Chairman shall also
| 17 |
| promptly notify the employer of his decision within 15 days of | 18 |
| receipt of
the recommendation of the Board.
| 19 |
| If an employer is denied a renewal of self-insurance | 20 |
| privileges pursuant
to application it shall retain said | 21 |
| privilege for 120 days after receipt of
a notice of | 22 |
| cancellation of the privilege from the Chairman of the | 23 |
| Commission.
| 24 |
| All orders made by the Chairman under this Section shall be | 25 |
| subject to
review by the courts, such review to be taken in the | 26 |
| same manner and within
the same time as provided by subsection | 27 |
| (f) of Section 19 of this Act for
review of awards and | 28 |
| decisions of the Commission, upon the party seeking
the review | 29 |
| filing with the clerk of the court to which such review is | 30 |
| taken
a bond in an amount to be fixed and approved by the court | 31 |
| to which the
review is taken, conditioned upon the payment of | 32 |
| all compensation awarded
against the person taking such review | 33 |
| pending a decision thereof and
further conditioned upon such | 34 |
| other obligations as the court may impose.
Upon the review the |
|
|
|
09300HB0805sam002 |
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|
| 1 |
| Circuit Court shall have power to review all questions
of fact | 2 |
| as well as of law.
| 3 |
| (Source: P.A. 91-375, eff. 1-1-00; 91-757, eff. 1-1-01; 92-324, | 4 |
| eff.
8-9-01.)
| 5 |
| (820 ILCS 305/8) (from Ch. 48, par. 138.8)
| 6 |
| Sec. 8. The amount of compensation which shall be paid to | 7 |
| the
employee for an accidental injury not resulting in death | 8 |
| is:
| 9 |
| (a) The employer shall provide and pay the lesser of the | 10 |
| health care provider's actual charges or the usual and | 11 |
| customary charges incurred, subject to Section 8.2, for all the | 12 |
| necessary first
aid, medical and surgical services, and all | 13 |
| necessary medical, surgical
and hospital services thereafter | 14 |
| incurred, limited, however, to that
which is reasonably | 15 |
| required to cure or relieve from the effects of the
accidental | 16 |
| injury. The employer shall also pay for treatment,
instruction | 17 |
| and training necessary for the physical, mental and
vocational | 18 |
| rehabilitation of the employee, including all maintenance
| 19 |
| costs and expenses incidental thereto. If as a result of the | 20 |
| injury the
employee is unable to be self-sufficient the | 21 |
| employer shall further pay
for such maintenance or | 22 |
| institutional care as shall be required.
| 23 |
| The employee may at any time elect to secure his own | 24 |
| physician,
surgeon and hospital services at the employer's | 25 |
| expense, or,
| 26 |
| Upon agreement between the employer and the employees, or | 27 |
| the employees'
exclusive representative, and subject to the | 28 |
| approval of the Industrial
Commission, the employer shall | 29 |
| maintain a list of physicians, to be
known as a Panel of | 30 |
| Physicians, who are accessible to the employees.
The employer | 31 |
| shall post this list in a place or places easily accessible
to | 32 |
| his employees. The employee shall have the right to make an
| 33 |
| alternative choice of physician from such Panel if he is not |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| satisfied
with the physician first selected. If, due to the | 2 |
| nature of the injury
or its occurrence away from the employer's | 3 |
| place of business, the
employee is unable to make a selection | 4 |
| from the Panel, the selection
process from the Panel shall not | 5 |
| apply. The physician selected from the
Panel may arrange for | 6 |
| any consultation, referral or other specialized
medical | 7 |
| services outside the Panel at the employer's expense. Provided
| 8 |
| that, in the event the Commission shall find that a doctor | 9 |
| selected by
the employee is rendering improper or inadequate | 10 |
| care, the Commission
may order the employee to select another | 11 |
| doctor certified or qualified
in the medical field for which | 12 |
| treatment is required. If the employee
refuses to make such | 13 |
| change the Commission may relieve the employer of
his | 14 |
| obligation to pay the doctor's charges from the date of refusal | 15 |
| to
the date of compliance.
| 16 |
| Any vocational rehabilitation counselors who provide | 17 |
| service under this Act shall have
appropriate certifications | 18 |
| which designate the counselor as qualified to render
opinions | 19 |
| relating to vocational rehabilitation. Vocational | 20 |
| rehabilitation
may include, but is not limited to, counseling | 21 |
| for job searches, supervising
a job search program, and | 22 |
| vocational retraining including education at an
accredited | 23 |
| learning institution. The employee or employer may petition to | 24 |
| the Commission to decide disputes relating to vocational | 25 |
| rehabilitation and the Commission shall resolve any such | 26 |
| dispute, including payment of the vocational rehabilitation | 27 |
| program by the employer. | 28 |
| The maintenance benefit shall not be less than the | 29 |
| temporary total disability
rate determined for the employee. In | 30 |
| addition, maintenance shall include costs
and expenses | 31 |
| incidental to the vocational rehabilitation program. | 32 |
| When the employee is working light duty on a part-time | 33 |
| basis or full-time
basis
and earns less than he or she would be | 34 |
| earning if employed in the full capacity
of the job or jobs, |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| then the employee shall be entitled to temporary partial | 2 |
| disability benefits. Temporary partial disability benefits | 3 |
| shall be
equal to two-thirds of
the difference between the | 4 |
| average amount that the employee would be able to
earn in the | 5 |
| full performance of his or her duties in the occupation in | 6 |
| which he
or she was engaged at the time of accident and the net | 7 |
| amount which he or she
is
earning in the modified job provided | 8 |
| to the employee by the employer or in any other job that the | 9 |
| employee is working. | 10 |
| Every hospital, physician, surgeon or other person | 11 |
| rendering
treatment or services in accordance with the | 12 |
| provisions of this Section
shall upon written request furnish | 13 |
| full and complete reports thereof to,
and permit their records | 14 |
| to be copied by, the employer, the employee or
his dependents, | 15 |
| as the case may be, or any other party to any proceeding
for | 16 |
| compensation before the Commission, or their attorneys.
| 17 |
| Notwithstanding the foregoing, the employer's liability to | 18 |
| pay for such
medical services selected by the employee shall be | 19 |
| limited to:
| 20 |
| (1) all first aid and emergency treatment; plus
| 21 |
| (2) all medical, surgical and hospital services | 22 |
| provided by the
physician, surgeon or hospital initially | 23 |
| chosen by the employee or by any
other physician, | 24 |
| consultant, expert, institution or other provider of
| 25 |
| services recommended by said initial service provider or | 26 |
| any subsequent
provider of medical services in the chain of | 27 |
| referrals from said
initial service provider; plus
| 28 |
| (3) all medical, surgical and hospital services | 29 |
| provided by any second
physician, surgeon or hospital | 30 |
| subsequently chosen by the employee or by
any other | 31 |
| physician, consultant, expert, institution or other | 32 |
| provider of
services recommended by said second service | 33 |
| provider or any subsequent provider
of medical services in | 34 |
| the chain of referrals
from said second service provider. |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| Thereafter the employer shall select
and pay for all | 2 |
| necessary medical, surgical and hospital treatment and the
| 3 |
| employee may not select a provider of medical services at | 4 |
| the employer's
expense unless the employer agrees to such | 5 |
| selection. At any time the employee
may obtain any medical | 6 |
| treatment he desires at his own expense. This paragraph
| 7 |
| shall not affect the duty to pay for rehabilitation | 8 |
| referred to above.
| 9 |
| When an employer and employee so agree in writing, nothing | 10 |
| in this
Act prevents an employee whose injury or disability has | 11 |
| been established
under this Act, from relying in good faith, on | 12 |
| treatment by prayer or
spiritual means alone, in accordance | 13 |
| with the tenets and practice of a
recognized church or | 14 |
| religious denomination, by a duly accredited
practitioner | 15 |
| thereof, and having nursing services appropriate therewith,
| 16 |
| without suffering loss or diminution of the compensation | 17 |
| benefits under
this Act. However, the employee shall submit to | 18 |
| all physical
examinations required by this Act. The cost of | 19 |
| such treatment and
nursing care shall be paid by the employee | 20 |
| unless the employer agrees to
make such payment.
| 21 |
| Where the accidental injury results in the amputation of an | 22 |
| arm,
hand, leg or foot, or the enucleation of an eye, or the | 23 |
| loss of any of
the natural teeth, the employer shall furnish an | 24 |
| artificial of any such
members lost or damaged in accidental | 25 |
| injury arising out of and in the
course of employment, and | 26 |
| shall also furnish the necessary braces in all
proper and | 27 |
| necessary cases. In cases of the loss of a member or members
by | 28 |
| amputation, the employer shall, whenever necessary, maintain | 29 |
| in good
repair, refit or replace the artificial limbs during | 30 |
| the lifetime of the
employee. Where the accidental injury | 31 |
| accompanied by physical injury
results in damage to a denture, | 32 |
| eye glasses or contact eye lenses, or
where the accidental | 33 |
| injury results in damage to an artificial member,
the employer | 34 |
| shall replace or repair such denture, glasses, lenses, or
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| artificial member.
| 2 |
| The furnishing by the employer of any such services or | 3 |
| appliances is
not an admission of liability on the part of the | 4 |
| employer to pay
compensation.
| 5 |
| The furnishing of any such services or appliances or the | 6 |
| servicing
thereof by the employer is not the payment of | 7 |
| compensation.
| 8 |
| (b) If the period of temporary total incapacity for work | 9 |
| lasts more
than 3 working days, weekly compensation as | 10 |
| hereinafter provided shall
be paid beginning on the 4th day of | 11 |
| such temporary total incapacity and
continuing as long as the | 12 |
| total temporary incapacity lasts. In cases
where the temporary | 13 |
| total incapacity for work continues for a period of
14 days or | 14 |
| more from the day of the accident compensation shall commence
| 15 |
| on the day after the accident.
| 16 |
| 1. The compensation rate for temporary total | 17 |
| incapacity under this
paragraph (b) of this Section shall | 18 |
| be equal to 66 2/3% of the
employee's average weekly wage | 19 |
| computed in accordance with Section 10,
provided that it | 20 |
| shall be not less than 66 2/3% of the sum of the Federal | 21 |
| minimum wage under the Fair Labor
Standards Act, or the | 22 |
| Illinois minimum wage under the Minimum Wage Law,
whichever | 23 |
| is more, multiplied by 40 hours. This percentage rate shall | 24 |
| be
increased by 10% for each spouse and child, not to | 25 |
| exceed 100% of the total
minimum wage calculation,
the | 26 |
| following amounts in the
following cases:
| 27 |
| $100.90 in case of a single person;
| 28 |
| $105.50 in case of a married person with no | 29 |
| children;
| 30 |
| $108.30 in case of one child;
| 31 |
| $113.40 in case of 2 children;
| 32 |
| $117.40 in case of 3 children;
| 33 |
| $124.30 in case of 4 or more children;
| 34 |
| nor exceed the employee's average weekly wage computed in |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| accordance
with the provisions of Section 10, whichever is | 2 |
| less.
| 3 |
| 2. The compensation rate in all cases other than for | 4 |
| temporary total
disability under this paragraph (b), and | 5 |
| other than for serious and
permanent disfigurement under | 6 |
| paragraph (c) and other than for permanent
partial | 7 |
| disability under subparagraph (2) of paragraph (d) or under
| 8 |
| paragraph (e), of this Section shall be equal to 66
2/3% of | 9 |
| the employee's average weekly wage computed in accordance | 10 |
| with
the provisions of Section 10, provided that it shall | 11 |
| be not less than
66 2/3% of the sum of the Federal minimum | 12 |
| wage under the Fair Labor Standards Act, or the Illinois | 13 |
| minimum wage under the Minimum Wage Law, whichever is more, | 14 |
| multiplied by 40 hours. This percentage rate shall be | 15 |
| increased by 10% for each spouse and child, not to exceed | 16 |
| 100% of the total minimum wage calculation,
the following | 17 |
| amounts in the following cases:
| 18 |
| $80.90 in case of a single person;
| 19 |
| $83.20 in case of a married person with no | 20 |
| children;
| 21 |
| $86.10 in case of one child;
| 22 |
| $88.90 in case of 2 children;
| 23 |
| $91.80 in case of 3 children;
| 24 |
| $96.90 in case of 4 or more children;
| 25 |
| nor exceed the employee's average weekly wage computed in | 26 |
| accordance
with the provisions of Section 10, whichever is | 27 |
| less.
| 28 |
| 2.1. The compensation rate in all cases of serious and | 29 |
| permanent
disfigurement under paragraph (c) and of | 30 |
| permanent partial disability
under subparagraph (2) of | 31 |
| paragraph (d) or under paragraph (e) of this
Section shall | 32 |
| be equal to 66 2/3%
60% of the employee's average
weekly | 33 |
| wage computed in accordance with
the provisions of Section | 34 |
| 10, provided that it shall be not less than
66 2/3% of the |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| sum of the Federal minimum wage under the Fair Labor | 2 |
| Standards Act, or the Illinois minimum wage under the | 3 |
| Minimum Wage Law, whichever is more, multiplied by 40 | 4 |
| hours. This percentage rate shall be increased by 10% for | 5 |
| each spouse and child, not to exceed 100% of the total | 6 |
| minimum wage calculation,
the following amounts in the | 7 |
| following cases:
| 8 |
| $80.90 in case of a single person;
| 9 |
| $83.20 in case of a married person with no | 10 |
| children;
| 11 |
| $86.10 in case of one child;
| 12 |
| $88.90 in case of 2 children;
| 13 |
| $91.80 in case of 3 children;
| 14 |
| $96.90 in case of 4 or more children;
| 15 |
| nor exceed the employee's average weekly wage computed in | 16 |
| accordance
with the provisions of Section 10, whichever is | 17 |
| less.
| 18 |
| 3. As used in this Section the term "child" means a | 19 |
| child of the
employee including any child legally adopted | 20 |
| before the accident or whom
at the time of the accident the | 21 |
| employee was under legal obligation to
support or to whom | 22 |
| the employee stood in loco parentis, and who at the
time of | 23 |
| the accident was under 18 years of age and not emancipated. | 24 |
| The
term "children" means the plural of "child".
| 25 |
| 4. All weekly compensation rates provided under | 26 |
| subparagraphs 1,
2 and 2.1 of this paragraph (b) of this | 27 |
| Section shall be subject to the
following limitations:
| 28 |
| The maximum weekly compensation rate from July 1, 1975, | 29 |
| except as
hereinafter provided, shall be 100% of the | 30 |
| State's average weekly wage in
covered industries under the | 31 |
| Unemployment Insurance Act, that being the
wage that most | 32 |
| closely approximates the State's average weekly wage.
| 33 |
| The maximum weekly compensation rate, for the period | 34 |
| July 1, 1984,
through June 30, 1987, except as hereinafter |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| provided, shall be $293.61.
Effective July 1, 1987 and on | 2 |
| July 1 of each year thereafter the maximum
weekly | 3 |
| compensation rate, except as hereinafter provided, shall | 4 |
| be
determined as follows: if during the preceding 12 month | 5 |
| period there shall
have been an increase in the State's | 6 |
| average weekly wage in covered
industries under the | 7 |
| Unemployment Insurance Act, the weekly compensation
rate | 8 |
| shall be proportionately increased by the same percentage | 9 |
| as the
percentage of increase in the State's average weekly | 10 |
| wage in covered
industries under the Unemployment | 11 |
| Insurance Act during such period.
| 12 |
| The maximum weekly compensation rate, for the period | 13 |
| January 1, 1981
through December 31, 1983, except as | 14 |
| hereinafter provided, shall be 100% of
the State's average | 15 |
| weekly wage in covered industries under the
Unemployment | 16 |
| Insurance Act in effect on January 1, 1981. Effective | 17 |
| January
1, 1984 and on January 1, of each year thereafter | 18 |
| the maximum weekly
compensation rate, except as | 19 |
| hereinafter provided, shall be determined as
follows: if | 20 |
| during the preceding 12 month period there shall have been | 21 |
| an
increase in the State's average weekly wage in covered | 22 |
| industries under the
Unemployment Insurance Act, the | 23 |
| weekly compensation rate shall be
proportionately | 24 |
| increased by the same percentage as the percentage of
| 25 |
| increase in the State's average weekly wage in covered | 26 |
| industries under the
Unemployment Insurance Act during | 27 |
| such period.
| 28 |
| From July 1, 1977 and thereafter such maximum weekly | 29 |
| compensation
rate in death cases under Section 7, and | 30 |
| permanent total disability
cases under paragraph (f) or | 31 |
| subparagraph 18 of paragraph (3) of this
Section and for | 32 |
| temporary total disability under paragraph (b) of this
| 33 |
| Section and for amputation of a member or enucleation of an | 34 |
| eye under
paragraph (e) of this Section shall be increased |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| to 133-1/3% of the
State's average weekly wage in covered | 2 |
| industries under the
Unemployment Insurance Act.
| 3 |
| For injuries occurring on or after January 1, 2005, the | 4 |
| maximum weekly benefit under paragraph (d)1 of this Section | 5 |
| shall be 133-1/3% of the State's average weekly wage in | 6 |
| covered industries under the Unemployment Insurance Act.
| 7 |
| 4.1. Any provision herein to the contrary | 8 |
| notwithstanding, the
weekly compensation rate for | 9 |
| compensation payments under subparagraph 18
of paragraph | 10 |
| (e) of this Section and under paragraph (f) of this
Section | 11 |
| and under paragraph (a) of Section 7 and for amputation of | 12 |
| a member or enucleation of an eye under paragraph (e) of | 13 |
| this Section , shall in no event be less
than 50% of the | 14 |
| State's average weekly wage in covered industries under
the | 15 |
| Unemployment Insurance Act.
| 16 |
| 4.2. Any provision to the contrary notwithstanding, | 17 |
| the total
compensation payable under Section 7 shall not | 18 |
| exceed the greater of
$250,000 or 20 years.
| 19 |
| 5. For the purpose of this Section this State's average | 20 |
| weekly wage
in covered industries under the Unemployment | 21 |
| Insurance Act on
July 1, 1975 is hereby fixed at $228.16 | 22 |
| per
week and the computation of compensation rates shall be | 23 |
| based on the
aforesaid average weekly wage until modified | 24 |
| as hereinafter provided.
| 25 |
| 6. The Department of Employment Security of the State | 26 |
| shall
on or before the first day of December, 1977, and on | 27 |
| or before the first
day of June, 1978, and on the first day | 28 |
| of each December and June of each
year thereafter, publish | 29 |
| the State's average weekly wage in covered
industries under | 30 |
| the Unemployment Insurance Act and the Industrial
| 31 |
| Commission shall on the 15th day of January, 1978 and on | 32 |
| the 15th day of
July, 1978 and on the 15th day of each | 33 |
| January and July of each year
thereafter, post and publish | 34 |
| the State's average weekly wage in covered
industries under |
|
|
|
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LRB093 05617 WGH 52003 a |
|
| 1 |
| the Unemployment Insurance Act as last determined and
| 2 |
| published by the Department of Employment Security. The | 3 |
| amount when so
posted and published shall be conclusive and | 4 |
| shall be applicable as the
basis of computation of | 5 |
| compensation rates until the next posting and
publication | 6 |
| as aforesaid.
| 7 |
| 7. The payment of compensation by an employer or his | 8 |
| insurance
carrier to an injured employee shall not | 9 |
| constitute an admission of the
employer's liability to pay | 10 |
| compensation.
| 11 |
| (c) For any serious and permanent disfigurement to the | 12 |
| hand, head,
face, neck, arm, leg below the knee or the chest | 13 |
| above the axillary
line, the employee is entitled to | 14 |
| compensation for such disfigurement,
the amount determined by | 15 |
| agreement at any time or by arbitration under
this Act, at a | 16 |
| hearing not less than 6 months after the date of the
accidental | 17 |
| injury, which amount shall not exceed 150 weeks at the
| 18 |
| applicable rate provided in subparagraph 2.1 of paragraph (b) | 19 |
| of this Section.
| 20 |
| No compensation is payable under this paragraph where | 21 |
| compensation is
payable under paragraphs (d), (e) or (f) of | 22 |
| this Section.
| 23 |
| A duly appointed member of a fire department in a city, the | 24 |
| population of
which exceeds 200,000 according to the last | 25 |
| federal or State census, is
eligible for compensation under | 26 |
| this paragraph only where such serious and
permanent | 27 |
| disfigurement results from burns.
| 28 |
| (d) 1. If, after the accidental injury has been sustained, | 29 |
| the
employee as a result thereof becomes partially | 30 |
| incapacitated from
pursuing his usual and customary line of | 31 |
| employment, he shall, except in
cases compensated under the | 32 |
| specific schedule set forth in paragraph (e)
of this Section, | 33 |
| receive compensation for the duration of his
disability, | 34 |
| subject to the limitations as to maximum amounts fixed in
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
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| 1 |
| paragraph (b) of this Section, equal to 66-2/3% of the | 2 |
| difference
between the average amount which he would be able to | 3 |
| earn in the full
performance of his duties in the occupation in | 4 |
| which he was engaged at
the time of the accident and the | 5 |
| average amount which he is earning or
is able to earn in some | 6 |
| suitable employment or business after the accident.
| 7 |
| 2. If, as a result of the accident, the employee sustains | 8 |
| serious
and permanent injuries not covered by paragraphs (c) | 9 |
| and (e) of this
Section or having sustained injuries covered by | 10 |
| the aforesaid
paragraphs (c) and (e), he shall have sustained | 11 |
| in addition thereto
other injuries which injuries do not | 12 |
| incapacitate him from pursuing the
duties of his employment but | 13 |
| which would disable him from pursuing other
suitable | 14 |
| occupations, or which have otherwise resulted in physical
| 15 |
| impairment; or if such injuries partially incapacitate him from | 16 |
| pursuing
the duties of his usual and customary line of | 17 |
| employment but do not
result in an impairment of earning | 18 |
| capacity, or having resulted in an
impairment of earning | 19 |
| capacity, the employee elects to waive his right
to recover | 20 |
| under the foregoing subparagraph 1 of paragraph (d) of this
| 21 |
| Section then in any of the foregoing events, he shall receive | 22 |
| in
addition to compensation for temporary total disability | 23 |
| under paragraph
(b) of this Section, compensation at the rate | 24 |
| provided in subparagraph 2.1
of paragraph (b) of this Section | 25 |
| for that percentage of 500 weeks that
the partial disability | 26 |
| resulting from the injuries covered by this
paragraph bears to | 27 |
| total disability. If the employee shall have
sustained a | 28 |
| fracture of one or more vertebra or fracture of the skull,
the | 29 |
| amount of compensation allowed under this Section shall be not | 30 |
| less
than 6 weeks for a fractured skull and 6 weeks for each | 31 |
| fractured
vertebra, and in the event the employee shall have | 32 |
| sustained a fracture
of any of the following facial bones: | 33 |
| nasal, lachrymal, vomer, zygoma,
maxilla, palatine or | 34 |
| mandible, the amount of compensation allowed under
this Section |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| shall be not less than 2 weeks for each such fractured
bone, | 2 |
| and for a fracture of each transverse process not less than 3
| 3 |
| weeks. In the event such injuries shall result in the loss of a | 4 |
| kidney,
spleen or lung, the amount of compensation allowed | 5 |
| under this Section
shall be not less than 10 weeks for each | 6 |
| such organ. Compensation
awarded under this subparagraph 2 | 7 |
| shall not take into consideration
injuries covered under | 8 |
| paragraphs (c) and (e) of this Section and the
compensation | 9 |
| provided in this paragraph shall not affect the employee's
| 10 |
| right to compensation payable under paragraphs (b), (c) and (e) | 11 |
| of this
Section for the disabilities therein covered.
| 12 |
| (e) For accidental injuries in the following schedule, the | 13 |
| employee
shall receive compensation for the period of temporary | 14 |
| total incapacity
for work resulting from such accidental | 15 |
| injury, under subparagraph 1 of
paragraph (b) of this Section, | 16 |
| and shall receive in addition thereto
compensation for a | 17 |
| further period for the specific loss herein
mentioned, but | 18 |
| shall not receive any compensation under any other
provisions | 19 |
| of this Act. The following listed amounts apply to either
the | 20 |
| loss of or the permanent and complete loss of use of the member
| 21 |
| specified, such compensation for the length of time as follows:
| 22 |
| 1. Thumb-70 weeks.
| 23 |
| 2. First, or index finger-40 weeks.
| 24 |
| 3. Second, or middle finger-35 weeks.
| 25 |
| 4. Third, or ring finger-25 weeks.
| 26 |
| 5. Fourth, or little finger-20 weeks.
| 27 |
| 6. Great toe-35 weeks.
| 28 |
| 7. Each toe other than great toe-12 weeks.
| 29 |
| 8. The loss of the first or distal phalanx of the thumb | 30 |
| or of any
finger or toe shall be considered to be equal to | 31 |
| the loss of one-half of
such thumb, finger or toe and the | 32 |
| compensation payable shall be one-half
of the amount above | 33 |
| specified. The loss of more than one phalanx shall
be | 34 |
| considered as the loss of the entire thumb, finger or toe. |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 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-190 weeks. The loss of 2 or more digits, or one | 5 |
| or more
phalanges of 2 or more digits, of a hand may be | 6 |
| compensated on the basis
of partial loss of use of a hand, | 7 |
| provided, further, that the loss of 4
digits, or the loss | 8 |
| of use of 4 digits, in the same hand shall
constitute the | 9 |
| complete loss of a hand.
| 10 |
| 10. Arm-235 weeks. Where an accidental injury results | 11 |
| in the
amputation of an arm below the elbow, such injury | 12 |
| shall be compensated
as a loss of an arm. Where an | 13 |
| accidental injury results in the
amputation of an arm above | 14 |
| the elbow, compensation for an additional 15
weeks shall be | 15 |
| paid, except where the accidental injury results in the
| 16 |
| amputation of an arm at the shoulder joint, or so close to | 17 |
| shoulder
joint that an artificial arm cannot be used, or | 18 |
| results in the
disarticulation of an arm at the shoulder | 19 |
| joint, in which case
compensation for an additional 65 | 20 |
| weeks shall be paid.
| 21 |
| 11. Foot-155 weeks.
| 22 |
| 12. Leg-200 weeks. Where an accidental injury results | 23 |
| in the
amputation of a leg below the knee, such injury | 24 |
| shall be compensated as
loss of a leg. Where an accidental | 25 |
| injury results in the amputation of a
leg above the knee, | 26 |
| compensation for an additional 25 weeks shall be
paid, | 27 |
| except where the accidental injury results in the | 28 |
| amputation of a
leg at the hip joint, or so close to the | 29 |
| hip joint that an artificial
leg cannot be used, or results | 30 |
| in the disarticulation of a leg at the
hip joint, in which | 31 |
| case compensation for an additional 75 weeks shall
be paid.
| 32 |
| 13. Eye-150 weeks. Where an accidental injury results | 33 |
| in the
enucleation of an eye, compensation for an | 34 |
| additional 10 weeks shall be
paid.
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
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| 1 |
| 14. Loss of hearing of one ear-50 weeks; total and | 2 |
| permanent loss of
hearing of both ears-200 weeks.
| 3 |
| 15. Testicle-50 weeks; both testicles-150 weeks.
| 4 |
| 16. For the permanent partial loss of use of a member | 5 |
| or sight of an
eye, or hearing of an ear, compensation | 6 |
| during that proportion of the
number of weeks in the | 7 |
| foregoing schedule provided for the loss of such
member or | 8 |
| sight of an eye, or hearing of an ear, which the partial | 9 |
| loss
of use thereof bears to the total loss of use of such | 10 |
| member, or sight
of eye, or hearing of an ear.
| 11 |
| (a) Loss of hearing for compensation purposes | 12 |
| shall be
confined to the frequencies of 1,000, 2,000 | 13 |
| and 3,000 cycles per second.
Loss of hearing ability | 14 |
| for frequency tones above 3,000 cycles per second
are | 15 |
| not to be considered as constituting disability for | 16 |
| hearing.
| 17 |
| (b) The percent of hearing loss, for purposes of | 18 |
| the
determination of compensation claims for | 19 |
| occupational deafness,
shall be calculated as the | 20 |
| average in decibels for the thresholds
of hearing for | 21 |
| the frequencies of 1,000, 2,000 and 3,000 cycles per | 22 |
| second.
Pure tone air conduction audiometric | 23 |
| instruments, approved by
nationally recognized | 24 |
| authorities in this field, shall be used for measuring
| 25 |
| hearing loss. If the losses of hearing average 30 | 26 |
| decibels or less in the
3 frequencies, such losses of | 27 |
| hearing shall not then constitute any
compensable | 28 |
| hearing disability. If the losses of hearing average 85
| 29 |
| decibels or more in the 3 frequencies, then the same | 30 |
| shall constitute and
be total or 100% compensable | 31 |
| hearing loss.
| 32 |
| (c) In measuring hearing impairment, the lowest | 33 |
| measured
losses in each of the 3 frequencies shall be | 34 |
| added together and
divided by 3 to determine the |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| average decibel loss. For every decibel
of loss | 2 |
| exceeding 30 decibels an allowance of 1.82% shall be | 3 |
| made up to
the maximum of 100% which is reached at 85 | 4 |
| decibels.
| 5 |
| (d) If a hearing loss is established to have | 6 |
| existed on July 1, 1975 by
audiometric testing the | 7 |
| employer shall not be liable for the previous loss
so | 8 |
| established nor shall he be liable for any loss for | 9 |
| which compensation
has been paid or awarded.
| 10 |
| (e) No consideration shall be given to the question | 11 |
| of
whether or not the ability of an employee to | 12 |
| understand speech
is improved by the use of a hearing | 13 |
| aid.
| 14 |
| (f) No claim for loss of hearing due to industrial | 15 |
| noise
shall be brought against an employer or allowed | 16 |
| unless the employee has
been exposed for a period of | 17 |
| time sufficient to cause permanent impairment
to noise | 18 |
| levels in excess of the following:
|
|
19 | | Sound Level DBA |
|
|
20 | | Slow Response |
Hours Per Day |
|
21 | | 90 |
8 |
|
22 | | 92 |
6 |
|
23 | | 95 |
4 |
|
24 | | 97 |
3 |
|
25 | | 100 |
2 |
|
26 | | 102 |
1-1/2 |
|
27 | | 105 |
1 |
|
28 | | 110 |
1/2 |
|
29 | | 115 |
1/4 |
|
30 |
| This subparagraph (f) shall not be applied in cases of | 31 |
| hearing loss
resulting from trauma or explosion.
| 32 |
| 17. In computing the compensation to be paid to any | 33 |
| employee who,
before the accident for which he claims | 34 |
| compensation, had before that
time sustained an injury |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 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 or | 6 |
| the permanent partial loss of use of any
such member or the | 7 |
| partial loss of sight of an eye, for which
compensation has | 8 |
| been paid, then such loss shall be taken into
consideration | 9 |
| and deducted from any award for the subsequent injury.
| 10 |
| 18. The specific case of loss of both hands, both arms, | 11 |
| or both
feet, or both legs, or both eyes, or of any two | 12 |
| thereof, or the
permanent and complete loss of the use | 13 |
| thereof, constitutes total and
permanent disability, to be | 14 |
| compensated according to the compensation
fixed by | 15 |
| paragraph (f) of this Section. These specific cases of | 16 |
| total
and permanent disability do not exclude other cases.
| 17 |
| Any employee who has previously suffered the loss or | 18 |
| permanent and
complete loss of the use of any of such | 19 |
| members, and in a subsequent
independent accident loses | 20 |
| another or suffers the permanent and complete
loss of the | 21 |
| use of any one of such members the employer for whom the
| 22 |
| injured employee is working at the time of the last | 23 |
| independent accident
is liable to pay compensation only for | 24 |
| the loss or permanent and
complete loss of the use of the | 25 |
| member occasioned by the last
independent accident.
| 26 |
| 19. In a case of specific loss and the subsequent death | 27 |
| of such
injured employee from other causes than such injury | 28 |
| leaving a widow,
widower, or dependents surviving before | 29 |
| payment or payment in full for
such injury, then the amount | 30 |
| due for such injury is payable to the widow
or widower and, | 31 |
| if there be no widow or widower, then to such
dependents, | 32 |
| in the proportion which such dependency bears to total
| 33 |
| dependency.
| 34 |
| Beginning July 1, 1980, and every 6 months thereafter, the |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| Commission
shall examine the Second Injury Fund and when, after | 2 |
| deducting all
advances or loans made to such Fund, the amount | 3 |
| therein is $500,000
then the amount required to be paid by | 4 |
| employers pursuant to paragraph
(f) of Section 7 shall be | 5 |
| reduced by one-half. When the Second Injury Fund
reaches the | 6 |
| sum of $600,000 then the payments shall cease entirely.
| 7 |
| However, when the Second Injury Fund has been reduced to | 8 |
| $400,000, payment
of one-half of the amounts required by | 9 |
| paragraph (f) of Section 7
shall be resumed, in the manner | 10 |
| herein provided, and when the Second Injury
Fund has been | 11 |
| reduced to $300,000, payment of the full amounts required by
| 12 |
| paragraph (f) of Section 7 shall be resumed, in the manner | 13 |
| herein provided.
The Commission shall make the changes in | 14 |
| payment effective by
general order, and the changes in payment | 15 |
| become immediately effective
for all cases coming before the | 16 |
| Commission thereafter either by
settlement agreement or final | 17 |
| order, irrespective of the date of the
accidental injury.
| 18 |
| On August 1, 1996 and on February 1 and August 1 of each | 19 |
| subsequent year, the Commission
shall examine the special fund | 20 |
| designated as the "Rate
Adjustment Fund" and when, after | 21 |
| deducting all advances or loans made to
said fund, the amount | 22 |
| therein is $4,000,000, the amount required to be
paid by | 23 |
| employers pursuant to paragraph (f) of Section 7 shall be
| 24 |
| reduced by one-half. When the Rate Adjustment Fund reaches the | 25 |
| sum of
$5,000,000 the payment therein shall cease entirely. | 26 |
| However, when said
Rate Adjustment Fund has been reduced to | 27 |
| $3,000,000 the amounts required by
paragraph (f) of Section 7 | 28 |
| shall be resumed in the manner herein provided.
| 29 |
| (f) In case of complete disability, which renders the | 30 |
| employee
wholly and permanently incapable of work, or in the | 31 |
| specific case of
total and permanent disability as provided in | 32 |
| subparagraph 18 of
paragraph (e) of this Section, compensation | 33 |
| shall be payable at the rate
provided in subparagraph 2 of | 34 |
| paragraph (b) of this Section for life.
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
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| 1 |
| An employee entitled to benefits under paragraph (f) of | 2 |
| this Section
shall also be entitled to receive from the Rate | 3 |
| Adjustment
Fund provided in paragraph (f) of Section 7 of the | 4 |
| supplementary benefits
provided in paragraph (g) of this | 5 |
| Section 8.
| 6 |
| If any employee who receives an award under this paragraph | 7 |
| afterwards
returns to work or is able to do so, and earns or is | 8 |
| able to earn as
much as before the accident, payments under | 9 |
| such award shall cease. If
such employee returns to work, or is | 10 |
| able to do so, and earns or is able
to earn part but not as much | 11 |
| as before the accident, such award shall be
modified so as to | 12 |
| conform to an award under paragraph (d) of this
Section. If | 13 |
| such award is terminated or reduced under the provisions of
| 14 |
| this paragraph, such employees have the right at any time | 15 |
| within 30
months after the date of such termination or | 16 |
| reduction to file petition
with the Commission for the purpose | 17 |
| of determining whether any
disability exists as a result of the | 18 |
| original accidental injury and the
extent thereof.
| 19 |
| Disability as enumerated in subdivision 18, paragraph (e) | 20 |
| of this
Section is considered complete disability.
| 21 |
| If an employee who had previously incurred loss or the | 22 |
| permanent and
complete loss of use of one member, through the | 23 |
| loss or the permanent
and complete loss of the use of one hand, | 24 |
| one arm, one foot, one leg, or
one eye, incurs permanent and | 25 |
| complete disability through the loss or
the permanent and | 26 |
| complete loss of the use of another member, he shall
receive, | 27 |
| in addition to the compensation payable by the employer and
| 28 |
| after such payments have ceased, an amount from the Second | 29 |
| Injury Fund
provided for in paragraph (f) of Section 7, which, | 30 |
| together with the
compensation payable from the employer in | 31 |
| whose employ he was when the
last accidental injury was | 32 |
| incurred, will equal the amount payable for
permanent and | 33 |
| complete disability as provided in this paragraph of this
| 34 |
| Section.
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| The custodian of the Second Injury Fund provided for in | 2 |
| paragraph (f)
of Section 7 shall be joined with the employer as | 3 |
| a party respondent in
the application for adjustment of claim. | 4 |
| The application for adjustment
of claim shall state briefly and | 5 |
| in general terms the approximate time
and place and manner of | 6 |
| the loss of the first member.
| 7 |
| In its award the Commission or the Arbitrator shall | 8 |
| specifically find
the amount the injured employee shall be | 9 |
| weekly paid, the number of
weeks compensation which shall be | 10 |
| paid by the employer, the date upon
which payments begin out of | 11 |
| the Second Injury Fund provided for in
paragraph (f) of Section | 12 |
| 7 of this Act, the length of time the weekly
payments continue, | 13 |
| the date upon which the pension payments commence and
the | 14 |
| monthly amount of the payments. The Commission shall 30 days | 15 |
| after
the date upon which payments out of the Second Injury | 16 |
| Fund have begun as
provided in the award, and every month | 17 |
| thereafter, prepare and submit to
the State Comptroller a | 18 |
| voucher for payment for all compensation accrued
to that date | 19 |
| at the rate fixed by the Commission. The State Comptroller
| 20 |
| shall draw a warrant to the injured employee along with a | 21 |
| receipt to be
executed by the injured employee and returned to | 22 |
| the Commission. The
endorsed warrant and receipt is a full and | 23 |
| complete acquittance to the
Commission for the payment out of | 24 |
| the Second Injury Fund. No other
appropriation or warrant is | 25 |
| necessary for payment out of the Second
Injury Fund. The Second | 26 |
| Injury Fund is appropriated for the purpose of
making payments | 27 |
| according to the terms of the awards.
| 28 |
| As of July 1, 1980 to July 1, 1982, all claims against and | 29 |
| obligations
of the Second Injury Fund shall become claims | 30 |
| against and obligations of
the Rate Adjustment Fund to the | 31 |
| extent there is insufficient money in the
Second Injury Fund to | 32 |
| pay such claims and obligations. In that case, all
references | 33 |
| to "Second Injury Fund" in this Section shall also include the
| 34 |
| Rate Adjustment Fund.
|
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
|
| 1 |
| (g) Every award for permanent total disability entered by | 2 |
| the
Commission on and after July 1, 1965 under which | 3 |
| compensation payments
shall become due and payable after the | 4 |
| effective date of this amendatory
Act, and every award for | 5 |
| death benefits or permanent total disability
entered by the | 6 |
| Commission on and after the effective date of this
amendatory | 7 |
| Act shall be subject to annual adjustments as to the amount
of | 8 |
| the compensation rate therein provided. Such adjustments shall | 9 |
| first
be made on July 15, 1977, and all awards made and entered | 10 |
| prior to July
1, 1975 and on July 15 of each year
thereafter. | 11 |
| In all other cases such adjustment shall be made on July 15
of | 12 |
| the second year next following the date of the entry of the | 13 |
| award and
shall further be made on July 15 annually thereafter. | 14 |
| If during the
intervening period from the date of the entry of | 15 |
| the award, or the last
periodic adjustment, there shall have | 16 |
| been an increase in the State's
average weekly wage in covered | 17 |
| industries under the Unemployment
Insurance Act, the weekly | 18 |
| compensation rate shall be proportionately
increased by the | 19 |
| same percentage as the percentage of increase in the
State's | 20 |
| average weekly wage in covered industries under the
| 21 |
| Unemployment Insurance Act. The increase in the compensation | 22 |
| rate
under this paragraph shall in no event bring the total | 23 |
| compensation rate
to an amount greater than the prevailing | 24 |
| maximum rate. Such increase
shall be paid in the same manner as | 25 |
| herein provided for payments under
the Second Injury Fund to | 26 |
| the injured employee, or his dependents, as
the case may be, | 27 |
| out of the Rate Adjustment Fund provided
in paragraph (f) of | 28 |
| Section 7 of this Act. Payments shall be made at
the same | 29 |
| intervals as provided in the award or, at the option of the
| 30 |
| Commission, may be made in quarterly payment on the 15th day of | 31 |
| January,
April, July and October of each year. In the event of | 32 |
| a decrease in
such average weekly wage there shall be no change | 33 |
| in the then existing
compensation rate. The within paragraph | 34 |
| shall not apply to cases where
there is disputed liability and |
|
|
|
09300HB0805sam002 |
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LRB093 05617 WGH 52003 a |
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| 1 |
| in which a compromise lump sum settlement
between the employer | 2 |
| and the injured employee, or his dependents, as the
case may | 3 |
| be, has been duly approved by the Industrial Commission.
| 4 |
| Provided, that in cases of awards entered by the Commission | 5 |
| for
injuries occurring before July 1, 1975, the increases in | 6 |
| the
compensation rate adjusted under the foregoing provision of | 7 |
| this
paragraph (g) shall be limited to increases in the State's | 8 |
| average
weekly wage in covered industries under the | 9 |
| Unemployment Insurance Act
occurring after July 1, 1975.
| 10 |
| (h) In case death occurs from any cause before the total
| 11 |
| compensation to which the employee would have been entitled has | 12 |
| been
paid, then in case the employee leaves any widow, widower, | 13 |
| child, parent
(or any grandchild, grandparent or other lineal | 14 |
| heir or any collateral
heir dependent at the time of the | 15 |
| accident upon the earnings of the
employee to the extent of 50% | 16 |
| or more of total dependency) such
compensation shall be paid to | 17 |
| the beneficiaries of the deceased employee
and distributed as | 18 |
| provided in paragraph (g) of Section 7.
| 19 |
| (h-1) In case an injured employee is under legal disability
| 20 |
| at the time when any right or privilege accrues to him or her | 21 |
| under this
Act, a guardian may be appointed pursuant to law, | 22 |
| and may, on behalf
of such person under legal disability, claim | 23 |
| and exercise any
such right or privilege with the same effect | 24 |
| as if the employee himself
or herself had claimed or exercised | 25 |
| the right or privilege. No limitations
of time provided by this | 26 |
| Act run so long as the employee who is under legal
disability | 27 |
| is without a conservator or guardian.
| 28 |
| (i) In case the injured employee is under 16 years of age | 29 |
| at the
time of the accident and is illegally employed, the | 30 |
| amount of
compensation payable under paragraphs (b), (c), (d), | 31 |
| (e) and (f) of this
Section is increased 50%.
| 32 |
| However, where an employer has on file an employment | 33 |
| certificate
issued pursuant to the Child Labor Law or work | 34 |
| permit issued pursuant
to the Federal Fair Labor Standards Act, |
|
|
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| as amended, or a birth
certificate properly and duly issued, | 2 |
| such certificate, permit or birth
certificate is conclusive | 3 |
| evidence as to the age of the injured minor
employee for the | 4 |
| purposes of this Section.
| 5 |
| Nothing herein contained repeals or amends the provisions | 6 |
| of the
Child Labor Law relating to the employment of minors | 7 |
| under the age of 16 years.
| 8 |
| (j) 1. In the event the injured employee receives benefits,
| 9 |
| including medical, surgical or hospital benefits under any | 10 |
| group plan
covering non-occupational disabilities contributed | 11 |
| to wholly or
partially by the employer, which benefits should | 12 |
| not have been payable
if any rights of recovery existed under | 13 |
| this Act, then such amounts so
paid to the employee from any | 14 |
| such group plan as shall be consistent
with, and limited to, | 15 |
| the provisions of paragraph 2 hereof, shall be
credited to or | 16 |
| against any compensation payment for temporary total
| 17 |
| incapacity for work or any medical, surgical or hospital | 18 |
| benefits made
or to be made under this Act. In such event, the | 19 |
| period of time for
giving notice of accidental injury and | 20 |
| filing application for adjustment
of claim does not commence to | 21 |
| run until the termination of such
payments. This paragraph does | 22 |
| not apply to payments made under any
group plan which would | 23 |
| have been payable irrespective of an accidental
injury under | 24 |
| this Act. Any employer receiving such credit shall keep
such | 25 |
| employee safe and harmless from any and all claims or | 26 |
| liabilities
that may be made against him by reason of having | 27 |
| received such payments
only to the extent of such credit.
| 28 |
| Any excess benefits paid to or on behalf of a State | 29 |
| employee by the
State Employees' Retirement System under | 30 |
| Article 14 of the Illinois Pension
Code on a death claim or | 31 |
| disputed disability claim shall be credited
against any | 32 |
| payments made or to be made by the State of Illinois to or on
| 33 |
| behalf of such employee under this Act, except for payments for | 34 |
| medical
expenses which have already been incurred at the time |
|
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| of the award. The
State of Illinois shall directly reimburse | 2 |
| the State Employees' Retirement
System to the extent of such | 3 |
| credit.
| 4 |
| 2. Nothing contained in this Act shall be construed to give | 5 |
| the
employer or the insurance carrier the right to credit for | 6 |
| any benefits
or payments received by the employee other than | 7 |
| compensation payments
provided by this Act, and where the | 8 |
| employee receives payments other
than compensation payments, | 9 |
| whether as full or partial salary, group
insurance benefits, | 10 |
| bonuses, annuities or any other payments, the
employer or | 11 |
| insurance carrier shall receive credit for each such payment
| 12 |
| only to the extent of the compensation that would have been | 13 |
| payable
during the period covered by such payment.
| 14 |
| 3. The extension of time for the filing of an Application | 15 |
| for
Adjustment of Claim as provided in paragraph 1 above shall | 16 |
| not apply to
those cases where the time for such filing had | 17 |
| expired prior to the date
on which payments or benefits | 18 |
| enumerated herein have been initiated or
resumed. Provided | 19 |
| however that this paragraph 3 shall apply only to
cases wherein | 20 |
| the payments or benefits hereinabove enumerated shall be
| 21 |
| received after July 1, 1969.
| 22 |
| (Source: P.A. 89-470, eff. 6-13-96 .)
| 23 |
| (820 ILCS 305/8.1 new)
| 24 |
| Sec. 8.1. Ineligibility for benefits. Any person convicted | 25 |
| of insurance fraud related to workers' compensation shall be | 26 |
| subject to the penalties prescribed in Sections 46-1, 46-2, | 27 |
| 46-3, and 46-6 of the Criminal Code of 1961. Any person | 28 |
| convicted of committing insurance fraud related to workers' | 29 |
| compensation pursuant to Section 46-1, 46-2, or 46-3 of the | 30 |
| Criminal Code of 1961 shall be ineligible to receive or retain | 31 |
| any compensation, disability, or medical benefits as defined in | 32 |
| this Act if the compensation, disability, or medical benefits | 33 |
| were owed or received as a result of a violation of Section |
|
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| 46-1, 46-2, or 46-3 of the Criminal Code of 1961 for which the | 2 |
| recipient of the compensation, disability, or medical benefit | 3 |
| was convicted. | 4 |
| (820 ILCS 305/8.2 new)
| 5 |
| Sec. 8.2. Maximum allowable usual and customary charges; | 6 |
| payments.
| 7 |
| (a) On and after January 1, 2005, the maximum allowable | 8 |
| usual and customary charge for procedures, treatments, or | 9 |
| services covered under this Act shall be 90% of the 80th | 10 |
| percentile of charges and fees as determined by the Commission | 11 |
| utilizing information provided by employers' and insurers' | 12 |
| national databases, with a minimum of 12,000,000 Illinois line | 13 |
| item charges and fees comprised of health care provider and | 14 |
| hospital charges and fees as of January 1, 2004. These charges | 15 |
| and fees shall be designated by geozip or any smaller | 16 |
| geographic unit. The data shall in no way identify or tend to | 17 |
| identify any patient, employer, or health care provider. As | 18 |
| used in this Section, "geozip" means a group of one or more | 19 |
| three-digit zip codes based on data similarities, geographical | 20 |
| similarities, and frequencies. A geozip does not cross state | 21 |
| boundaries. As used in this Section, "three-digit zip code" | 22 |
| means a geographic area in which all zip codes have the same | 23 |
| first 3 digits. The Commission has the authority to set the | 24 |
| maximum allowable usual and customary charges for procedures | 25 |
| not contained in the database in a manner consistent with the | 26 |
| provisions of this paragraph. | 27 |
| On January 1 in 2006 and each year thereafter, the maximum | 28 |
| allowable usual and customary charges established and in effect | 29 |
| on January 1, 2005 shall be automatically increased or | 30 |
| decreased annually by a percentage equal to the percentage | 31 |
| change in the Consumer Price Index-U determined during the | 32 |
| first quarter of the previous calendar year. As used in this | 33 |
| Section, "Consumer Price Index-U" means the index published by |
|
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| the Bureau of Labor Statistics of the U.S. Department of Labor, | 2 |
| that measures the average change in prices of all goods and | 3 |
| services purchased by all urban consumers, U.S. city average, | 4 |
| all items, 1982-84=100. | 5 |
| (b) Notwithstanding the provisions of subsection (a), if | 6 |
| the Commission finds that there is a significant limitation on | 7 |
| access to quality health care in either a specific field of | 8 |
| health care services or a specific geographic limitation on | 9 |
| access to health care, it may change the Consumer Price Index-U | 10 |
| increase or decrease for that specific field or specific | 11 |
| geographic limitation on access to health care to address that | 12 |
| limitation. | 13 |
| (c) A health care provider shall not require, request, or | 14 |
| accept payment for the treatment, accommodations, products, or | 15 |
| services in excess of the maximum allowable usual and customary | 16 |
| charges established by the Commission. | 17 |
| (d) The employer or insurer shall make payment and | 18 |
| providers shall submit bills and records in accordance with the | 19 |
| provisions of this Section. All payments to providers for | 20 |
| treatment provided pursuant to this Act shall be made within 60 | 21 |
| days of receipt of the bills. In the case of nonpayment to a | 22 |
| provider within 60 days of receipt of the bill for treatment | 23 |
| provided pursuant to this Act, the bill shall incur interest at | 24 |
| a rate of 1% per month.
| 25 |
| (e) A provider shall not hold an employee liable for costs | 26 |
| related to care for service rendered in connection with a | 27 |
| compensable injury under this Act. A provider shall not bill or | 28 |
| otherwise attempt to recover from the employee the difference | 29 |
| between the provider's charge and the amount paid by the | 30 |
| employer or the insurer. | 31 |
| (f) Nothing in this Act shall prohibit an employer or | 32 |
| insurer from contracting with a health care provider or group | 33 |
| of health care providers for reimbursement levels different | 34 |
| from those provided in this Section. |
|
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| (820 ILCS 305/8.3 new)
| 2 |
| Sec. 8.3. Workers' Compensation Medical Fee Advisory | 3 |
| Board. There is created a Workers' Compensation Medical Fee | 4 |
| Advisory Board consisting of 9 members appointed by the | 5 |
| Governor with the advice and consent of the Senate. Three | 6 |
| members of the Advisory Board shall be representative citizens | 7 |
| chosen from the employee class, 3 members shall be | 8 |
| representative citizens chosen from the employing class, and 3 | 9 |
| members shall be representative citizens chosen from the | 10 |
| medical provider class. Each member shall serve a 4-year term | 11 |
| and shall continue to serve until a successor is appointed. A | 12 |
| vacancy on the Advisory Board shall be filled by the Governor | 13 |
| for the unexpired term. | 14 |
| Members of the Advisory Board shall receive no compensation | 15 |
| for their services but shall be reimbursed for expenses | 16 |
| incurred in the performance of their duties by the Commission | 17 |
| from appropriations made to the Commission for that purpose. | 18 |
| The Advisory Board shall advise the Commission on | 19 |
| establishment of fees for medical services and accessibility of | 20 |
| medical treatment.
| 21 |
| (820 ILCS 305/10) (from Ch. 48, par. 138.10)
| 22 |
| Sec. 10. The basis for computing the compensation provided | 23 |
| for in
Sections 7 and 8 of the Act shall be as follows:
| 24 |
| The compensation shall be computed on the basis of the
| 25 |
| "Average weekly wage" which shall mean the actual earnings of | 26 |
| the employee
in the employment in which he was working at the | 27 |
| time of the injury during
the period of 52 weeks ending with | 28 |
| the last day of the employee's last full
pay period immediately | 29 |
| preceding the date of injury, illness or disablement ,
excluding | 30 |
| overtime, and bonus , divided by 52; but if the injured employee
| 31 |
| lost 5 or more calendar days during such period, whether or not | 32 |
| in the same
week, then the earnings for the remainder of such |
|
|
|
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| 52 weeks shall be divided
by the number of weeks and parts | 2 |
| thereof remaining after the time so lost
has been deducted. | 3 |
| Where the employment prior to the injury extended over
a period | 4 |
| of less than 52 weeks, the method of dividing the earnings | 5 |
| during
that period by the number of weeks and parts thereof | 6 |
| during which the employee
actually earned wages shall be | 7 |
| followed. Where by reason of the shortness
of the time during | 8 |
| which the employee has been in the employment of his
employer | 9 |
| or of the casual nature or terms of the employment, it is | 10 |
| impractical
to compute the average weekly wages as above | 11 |
| defined, regard shall be had
to the average weekly amount which | 12 |
| during the 52 weeks previous to the injury,
illness or | 13 |
| disablement was being or would have been earned by a person in
| 14 |
| the same grade employed at the same work for each of such 52 | 15 |
| weeks for the
same number of hours per week by the same | 16 |
| employer. In the case of volunteer
firemen, police and civil | 17 |
| defense members or trainees, the income benefits
shall be based | 18 |
| on the average weekly wage in their regular employment.
When | 19 |
| the employee is working concurrently with two or more employers | 20 |
| and
the respondent employer has knowledge of such employment | 21 |
| prior to the injury,
his wages from all such employers shall be | 22 |
| considered as if earned from
the employer liable for | 23 |
| compensation.
| 24 |
| (Source: P.A. 81-1482.)
| 25 |
| (820 ILCS 305/19)
(from Ch. 48, par. 138.19)
| 26 |
| Sec. 19. Any disputed questions of law or fact shall be | 27 |
| determined
as herein provided.
| 28 |
| (a) It shall be the duty of the Commission upon | 29 |
| notification that
the parties have failed to reach an | 30 |
| agreement, to designate an Arbitrator.
| 31 |
| 1. Whenever any claimant misconceives his remedy and | 32 |
| files an
application for adjustment of claim under this Act | 33 |
| and it is
subsequently discovered, at any time before final |
|
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| disposition of such
cause, that the claim for disability or | 2 |
| death which was the basis for
such application should | 3 |
| properly have been made under the Workers'
Occupational | 4 |
| Diseases Act, then the provisions of Section 19, paragraph
| 5 |
| (a-1) of the Workers' Occupational Diseases Act having | 6 |
| reference to such
application shall apply.
| 7 |
| 2. Whenever any claimant misconceives his remedy and | 8 |
| files an
application for adjustment of claim under the | 9 |
| Workers' Occupational
Diseases Act and it is subsequently | 10 |
| discovered, at any time before final
disposition of such | 11 |
| cause that the claim for injury or death which was
the | 12 |
| basis for such application should properly have been made | 13 |
| under this
Act, then the application so filed under the | 14 |
| Workers' Occupational
Diseases Act may be amended in form, | 15 |
| substance or both to assert claim
for such disability or | 16 |
| death under this Act and it shall be deemed to
have been so | 17 |
| filed as amended on the date of the original filing
| 18 |
| thereof, and such compensation may be awarded as is | 19 |
| warranted by the
whole evidence pursuant to this Act. When | 20 |
| such amendment is submitted,
further or additional | 21 |
| evidence may be heard by the Arbitrator or
Commission when | 22 |
| deemed necessary. Nothing in this Section contained
shall | 23 |
| be construed to be or permit a waiver of any provisions of | 24 |
| this
Act with reference to notice but notice if given shall | 25 |
| be deemed to be a
notice under the provisions of this Act | 26 |
| if given within the time
required herein.
| 27 |
| (b) The Arbitrator shall make such inquiries and | 28 |
| investigations as he or
they shall deem necessary and may | 29 |
| examine and inspect all books, papers,
records, places, or | 30 |
| premises relating to the questions in dispute and hear
such | 31 |
| proper evidence as the parties may submit.
| 32 |
| The hearings before the Arbitrator shall be held in the | 33 |
| vicinity where
the injury occurred after 10 days' notice of the | 34 |
| time and place of such
hearing shall have been given to each of |
|
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| the parties or their attorneys
of record.
| 2 |
| The Arbitrator may find that the disabling condition is | 3 |
| temporary and has
not yet reached a permanent condition and may | 4 |
| order the payment of
compensation up to the date of the | 5 |
| hearing, which award shall be reviewable
and enforceable in the | 6 |
| same manner as other awards, and in no instance be a
bar to a | 7 |
| further hearing and determination of a further amount of | 8 |
| temporary
total compensation or of compensation for permanent | 9 |
| disability, but shall
be conclusive as to all other questions | 10 |
| except the nature and extent of said
disability.
| 11 |
| The decision of the Arbitrator shall be filed with the | 12 |
| Commission which
Commission shall immediately send to each | 13 |
| party or his attorney a copy of
such decision, together with a | 14 |
| notification of the time when it was filed.
Beginning January | 15 |
| 1, 2005
1981 , all decisions of the Arbitrator shall set forth
| 16 |
| in writing findings of fact and conclusions of law, separately | 17 |
| stated , if requested by either party .
Unless a petition for | 18 |
| review is filed by either party within 30 days after
the | 19 |
| receipt by such party of the copy of the decision and | 20 |
| notification of
time when filed, and unless such party | 21 |
| petitioning for a review shall
within 35 days after the receipt | 22 |
| by him of the copy of the decision, file
with the Commission | 23 |
| either an agreed statement of the facts appearing upon
the | 24 |
| hearing before the Arbitrator, or if such
party shall so elect | 25 |
| a correct transcript of evidence of the proceedings
at such | 26 |
| hearings, then the decision shall become the decision of the
| 27 |
| Commission and in the absence of fraud shall be conclusive.
The | 28 |
| Petition for Review shall contain a statement of the | 29 |
| petitioning party's
specific exceptions to the decision of the | 30 |
| arbitrator. The jurisdiction
of the Commission to review the | 31 |
| decision of the arbitrator shall not be
limited to the | 32 |
| exceptions stated in the Petition for Review.
The Commission, | 33 |
| or any member thereof, may grant further time not exceeding
30 | 34 |
| days, in which to file such agreed statement or transcript of
|
|
|
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| evidence. Such agreed statement of facts or correct transcript | 2 |
| of
evidence, as the case may be, shall be authenticated by the | 3 |
| signatures
of the parties or their attorneys, and in the event | 4 |
| they do not agree as
to the correctness of the transcript of | 5 |
| evidence it shall be authenticated
by the signature of the | 6 |
| Arbitrator designated by the Commission.
| 7 |
| Whether the employee is working or not, if the employee is | 8 |
| not receiving or
has not received medical, surgical, or | 9 |
| hospital services or
other services or compensation as provided | 10 |
| in paragraph (a) of Section 8, or
compensation as provided in | 11 |
| paragraph (b) of Section 8, the employee may at any
time | 12 |
| petition for an expedited hearing by an Arbitrator on the issue | 13 |
| of whether
or not he or she is entitled to receive payment of | 14 |
| the services or
compensation. The hearing shall have priority | 15 |
| over all other petitions and
shall be heard by the Arbitrator | 16 |
| and Commission with all convenient speed. The
employee shall | 17 |
| give notice of a request for an expedited hearing under this
| 18 |
| paragraph. A copy of the application for adjustment of claim | 19 |
| shall be attached
to the notice. The Commission shall adopt | 20 |
| rules and procedures under which the
final decision under this | 21 |
| paragraph is filed not later than 180 days from the
date of the | 22 |
| first hearing.
| 23 |
| (b-1)
If the employee is not receiving medical, surgical or
| 24 |
| hospital
services as provided in paragraph (a) of Section 8 or | 25 |
| compensation as
provided in paragraph (b) of Section 8, the | 26 |
| employee, in accordance with
Commission Rules, may file a | 27 |
| petition for an emergency hearing by an
Arbitrator on the issue | 28 |
| of whether or not he is entitled to receive payment
of such | 29 |
| compensation or services as provided therein. Such petition | 30 |
| shall
have priority over all other petitions and shall be heard | 31 |
| by the Arbitrator
and Commission with all convenient speed.
| 32 |
| Such petition shall contain the following information and | 33 |
| shall be served
on the employer at least 15 days before it is | 34 |
| filed:
|
|
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| (i) the date and approximate time of accident;
| 2 |
| (ii) the approximate location of the accident;
| 3 |
| (iii) a description of the accident;
| 4 |
| (iv) the nature of the injury incurred by the employee;
| 5 |
| (v) the identity of the person, if known, to whom the | 6 |
| accident was
reported and the date on which it was | 7 |
| reported;
| 8 |
| (vi) the name and title of the person, if known, | 9 |
| representing the
employer with whom the employee conferred | 10 |
| in any effort to obtain
compensation pursuant to paragraph | 11 |
| (b) of Section 8 of this Act or medical,
surgical or | 12 |
| hospital services pursuant to paragraph (a) of Section 8 of
| 13 |
| this Act and the date of such conference;
| 14 |
| (vii) a statement that the employer has refused to pay | 15 |
| compensation
pursuant to paragraph (b) of Section 8 of this | 16 |
| Act or for medical, surgical
or hospital services pursuant | 17 |
| to paragraph (a) of Section 8 of this Act;
| 18 |
| (viii) the name and address, if known, of each witness | 19 |
| to the accident
and of each other person upon whom the | 20 |
| employee will rely to support his
allegations;
| 21 |
| (ix) the dates of treatment related to the accident by | 22 |
| medical
practitioners, and the names and addresses of such | 23 |
| practitioners, including
the dates of treatment related to | 24 |
| the accident at any hospitals and the
names and addresses | 25 |
| of such hospitals, and a signed authorization
permitting | 26 |
| the employer to examine all medical records of all | 27 |
| practitioners
and hospitals named pursuant to this | 28 |
| paragraph;
| 29 |
| (x) a copy of a signed report by a medical | 30 |
| practitioner, relating to the
employee's current inability | 31 |
| to return to work because of the injuries
incurred as a | 32 |
| result of the accident or such other documents or | 33 |
| affidavits
which show that the employee is entitled to | 34 |
| receive compensation pursuant
to paragraph (b) of Section 8 |
|
|
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| 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 allegations, | 14 |
| provided that the employer shall pay the
reasonable cost of | 15 |
| 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 the | 25 |
| filing upon the employer. The
employer may file a motion | 26 |
| addressed to the sufficiency of the petition.
If an objection | 27 |
| has been filed to the sufficiency of the petition, the
| 28 |
| arbitrator shall rule on the objection within 2 working days. | 29 |
| If such an
objection is filed, the time for filing the final | 30 |
| decision of the
Commission as provided in this paragraph shall | 31 |
| be tolled until the
arbitrator has determined that the petition | 32 |
| is sufficient.
| 33 |
| The employer shall, within 15 days after receipt of the | 34 |
| notice that such
petition is filed, file with the Commission |
|
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| and serve on the employee or
his representative a written | 2 |
| response to each claim set forth in the
petition, including the | 3 |
| legal and factual basis for each disputed
allegation and the | 4 |
| following information: (i) complete copies of any
reports, | 5 |
| records, documents and affidavits in the possession of the
| 6 |
| employer on which the employer intends to rely in support of | 7 |
| his response,
(ii) a list of any reports, records, documents | 8 |
| and affidavits which the
employer has demanded by subpoena and | 9 |
| on which the employer intends to rely
in support of his | 10 |
| response, (iii) the name and address of each witness on
whom | 11 |
| the employer will rely to support his response, and (iv) the | 12 |
| names and
addresses of any medical practitioners selected by | 13 |
| the employer pursuant to
Section 12 of this Act and the time | 14 |
| and place of any examination scheduled
to be made pursuant to | 15 |
| such Section.
| 16 |
| Any employer who does not timely file and serve a written | 17 |
| response
without good cause may not introduce any evidence to | 18 |
| dispute any claim of
the employee but may cross examine the | 19 |
| employee or any witness brought by
the employee and otherwise | 20 |
| be heard.
| 21 |
| No document or other evidence not previously identified by | 22 |
| either party
with the petition or written response, or by any | 23 |
| other means before the
hearing, may be introduced into evidence | 24 |
| without good cause.
If, at the hearing, material information is | 25 |
| discovered which was
not previously disclosed, the Arbitrator | 26 |
| may extend the time for closing
proof on the motion of a party | 27 |
| for a reasonable period of time which may
be more than 30 days. | 28 |
| No evidence may be introduced pursuant
to this paragraph as to | 29 |
| permanent disability. No award may be entered for
permanent | 30 |
| disability pursuant to this paragraph. Either party may | 31 |
| introduce
into evidence the testimony taken by deposition of | 32 |
| any medical practitioner.
| 33 |
| The Commission shall adopt rules, regulations and | 34 |
| procedures whereby the
final decision of the Commission is |
|
|
|
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| 1 |
| filed not later than 90 days from the
date the petition for | 2 |
| review is filed but in no event later than 180 days from
the | 3 |
| date the petition for an emergency hearing is filed with the | 4 |
| Industrial
Commission.
| 5 |
| All service required pursuant to this paragraph (b-1) must | 6 |
| be by personal
service or by certified mail and with evidence | 7 |
| of receipt. In addition for
the purposes of this paragraph, all | 8 |
| service on the employer must be at the
premises where the | 9 |
| accident occurred if the premises are owned or operated
by the | 10 |
| employer. Otherwise service must be at the employee's principal
| 11 |
| place of employment by the employer. If service on the employer | 12 |
| is not
possible at either of the above, then service shall be | 13 |
| at the employer's
principal place of business. After initial | 14 |
| service in each case, service
shall be made on the employer's | 15 |
| attorney or designated representative.
| 16 |
| (c) (1) At a reasonable time in advance of and in | 17 |
| connection with the
hearing under Section 19(e) or 19(h), the | 18 |
| Commission may on its own motion
order an impartial physical or | 19 |
| mental examination of a petitioner whose
mental or physical | 20 |
| condition is in issue, when in the Commission's
discretion it | 21 |
| appears that such an examination will materially aid in the
| 22 |
| just determination of the case. The examination shall be made | 23 |
| by a member
or members of a panel of physicians chosen for | 24 |
| their special qualifications
by the Illinois State Medical | 25 |
| Society. The Commission shall establish
procedures by which a | 26 |
| physician shall be selected from such list.
| 27 |
| (2) Should the Commission at any time during the hearing | 28 |
| find that
compelling considerations make it advisable to have | 29 |
| an examination and
report at that time, the commission may in | 30 |
| its discretion so order.
| 31 |
| (3) A copy of the report of examination shall be given to | 32 |
| the Commission
and to the attorneys for the parties.
| 33 |
| (4) Either party or the Commission may call the examining | 34 |
| physician or
physicians to testify. Any physician so called |
|
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| shall be subject to
cross-examination.
| 2 |
| (5) The examination shall be made, and the physician or | 3 |
| physicians, if
called, shall testify, without cost to the | 4 |
| parties. The Commission shall
determine the compensation and | 5 |
| the pay of the physician or physicians. The
compensation for | 6 |
| this service shall not exceed the usual and customary amount
| 7 |
| for such service.
| 8 |
| (6) The fees and payment thereof of all attorneys and | 9 |
| physicians for
services authorized by the Commission under this | 10 |
| Act shall, upon request
of either the employer or the employee | 11 |
| or the beneficiary affected, be
subject to the review and | 12 |
| decision of the Commission.
| 13 |
| (d) If any employee shall persist in insanitary or | 14 |
| injurious
practices which tend to either imperil or retard his | 15 |
| recovery or shall
refuse to submit to such medical, surgical, | 16 |
| or hospital treatment as is
reasonably essential to promote his | 17 |
| recovery, the Commission may, in its
discretion, reduce or | 18 |
| suspend the compensation of any such injured
employee. However, | 19 |
| when an employer and employee so agree in writing,
the | 20 |
| foregoing provision shall not be construed to authorize the
| 21 |
| reduction or suspension of compensation of an employee who is | 22 |
| relying in
good faith, on treatment by prayer or spiritual | 23 |
| means alone, in
accordance with the tenets and practice of a | 24 |
| recognized church or
religious denomination, by a duly | 25 |
| accredited practitioner thereof.
| 26 |
| (e) This paragraph shall apply to all hearings before the | 27 |
| Commission.
Such hearings may be held in its office or | 28 |
| elsewhere as the Commission
may deem advisable. The taking of | 29 |
| testimony on such hearings may be had
before any member of the | 30 |
| Commission. If a petition for review and agreed
statement of | 31 |
| facts or transcript of evidence is filed, as provided herein,
| 32 |
| the Commission shall promptly review the decision of the | 33 |
| Arbitrator and all
questions of law or fact which appear from | 34 |
| the statement of facts or
transcript of evidence.
|
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| In all cases in which the hearing before the arbitrator is | 2 |
| held after
December 18, 1989, no additional evidence shall be | 3 |
| introduced by the
parties before the Commission on review of | 4 |
| the decision of the Arbitrator.
In reviewing decisions of an | 5 |
| arbitrator the Commission shall award such
temporary | 6 |
| compensation, permanent compensation and other payments as are
| 7 |
| due under this Act. The Commission shall file in its office its | 8 |
| decision
thereon, and shall immediately send to each party or | 9 |
| his attorney a copy of
such decision and a notification of the | 10 |
| time when it was filed. Decisions
shall be filed within 60 days | 11 |
| after the Statement of Exceptions and
Supporting Brief and | 12 |
| Response thereto are required to be filed or oral
argument | 13 |
| whichever is later.
| 14 |
| In the event either party requests oral argument, such | 15 |
| argument shall be
had before a panel of 3 members of the | 16 |
| Commission (or before all available
members pursuant to the | 17 |
| determination of 5 members of the Commission that
such argument | 18 |
| be held before all available members of the Commission)
| 19 |
| pursuant to the rules and regulations of the Commission. A | 20 |
| panel of 3
members, which shall be comprised of not more than | 21 |
| one representative
citizen of the employing class and not more | 22 |
| than one representative citizen
of the employee class, shall | 23 |
| hear the argument; provided that if all the
issues in dispute | 24 |
| are solely the nature and extent of the permanent partial
| 25 |
| disability, if any, a majority of the panel may deny the | 26 |
| request for such
argument and such argument shall not be held; | 27 |
| and provided further that 5
members of the Commission may | 28 |
| determine that the argument be held before
all available | 29 |
| members of the Commission. A decision of the Commission
shall | 30 |
| be approved by a majority of Commissioners present at such | 31 |
| hearing if
any; provided, if no such hearing is held, a | 32 |
| decision of the Commission
shall be approved by a majority of a | 33 |
| panel of 3 members of the Commission
as described in this | 34 |
| Section. The Commission shall give 10 days' notice to
the |
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| parties or their attorneys of the time and place of such taking | 2 |
| of
testimony and of such argument.
| 3 |
| In any case the Commission in its decision may find | 4 |
| specially
upon any question or questions of law or fact which | 5 |
| shall be submitted
in writing by either party whether ultimate | 6 |
| or otherwise;
provided that on issues other than nature and | 7 |
| extent of the disability,
if any, the Commission in its | 8 |
| decision shall find specially upon any
question or questions of | 9 |
| law or fact, whether ultimate or otherwise,
which are submitted | 10 |
| in writing by either party; provided further that
not more than | 11 |
| 5 such questions may be submitted by either party. Any
party | 12 |
| may, within 20 days after receipt of notice of the Commission's
| 13 |
| decision, or within such further time, not exceeding 30 days, | 14 |
| as the
Commission may grant, file with the Commission either an | 15 |
| agreed
statement of the facts appearing upon the hearing, or, | 16 |
| if such party
shall so elect, a correct transcript of evidence | 17 |
| of the additional
proceedings presented before the Commission, | 18 |
| in which report the party
may embody a correct statement of | 19 |
| such other proceedings in the case as
such party may desire to | 20 |
| have reviewed, such statement of facts or
transcript of | 21 |
| evidence to be authenticated by the signature of the
parties or | 22 |
| their attorneys, and in the event that they do not agree,
then | 23 |
| the authentication of such transcript of evidence shall be by | 24 |
| the
signature of any member of the Commission.
| 25 |
| If a reporter does not for any reason furnish a transcript | 26 |
| of the
proceedings before the Arbitrator in any case for use on | 27 |
| a hearing for
review before the Commission, within the | 28 |
| limitations of time as fixed in
this Section, the Commission | 29 |
| may, in its discretion, order a trial de
novo before the | 30 |
| Commission in such case upon application of either
party. The | 31 |
| applications for adjustment of claim and other documents in
the | 32 |
| nature of pleadings filed by either party, together with the
| 33 |
| decisions of the Arbitrator and of the Commission and the | 34 |
| statement of
facts or transcript of evidence hereinbefore |
|
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| 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. When | 17 |
| a majority of a panel, after
deliberation, has arrived at its | 18 |
| 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 | 27 |
| precedents by arbitrators for the purpose
of achieving a more | 28 |
| uniform administration of this Act.
| 29 |
| (f) The decision of the Commission acting within its | 30 |
| powers,
according to the provisions of paragraph (e) of this | 31 |
| Section shall, in
the absence of fraud, be conclusive unless | 32 |
| reviewed as in this paragraph
hereinafter provided. However, | 33 |
| the Arbitrator or the Commission may on
his or its own motion, | 34 |
| or on the motion of either party, correct any
clerical error or |
|
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| errors in computation within 15 days after the date of
receipt | 2 |
| of any award by such Arbitrator or any decision on review of | 3 |
| the
Commission and shall have the power to recall the original | 4 |
| award on
arbitration or decision on review, and issue in lieu | 5 |
| thereof such
corrected award or decision. Where such correction | 6 |
| is made the time for
review herein specified shall begin to run | 7 |
| from the date of
the receipt of the corrected award or | 8 |
| decision.
| 9 |
| (1) Except in cases of claims against the State of | 10 |
| Illinois, in
which case the decision of the Commission | 11 |
| shall not be subject to
judicial review, the Circuit Court | 12 |
| of the county where any of the
parties defendant may be | 13 |
| found, or if none of the parties defendant can
be found in | 14 |
| this State then the Circuit Court of the county where the
| 15 |
| accident occurred, shall by summons to the Commission have
| 16 |
| power to review all questions of law and fact presented by | 17 |
| such record.
| 18 |
| A proceeding for review shall be commenced within 20 | 19 |
| days of
the receipt of notice of the decision of the | 20 |
| Commission. The summons shall
be issued by the clerk of | 21 |
| such court upon written request returnable on a
designated | 22 |
| return day, not less than 10 or more than 60 days from the | 23 |
| date
of issuance thereof, and the written request shall | 24 |
| contain the last known
address of other parties in interest | 25 |
| and their attorneys of record who are
to be served by | 26 |
| summons. Service upon any member of the Commission or the
| 27 |
| Secretary or the Assistant Secretary thereof shall be | 28 |
| service upon the
Commission, and service upon other parties | 29 |
| in interest and their attorneys
of record shall be by | 30 |
| summons, and such service shall be made upon the
Commission | 31 |
| and other parties in interest by mailing notices of the
| 32 |
| commencement of the proceedings and the return day of the | 33 |
| summons to the
office of the Commission and to the last | 34 |
| known place of residence of other
parties in interest or |
|
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| their attorney or attorneys of record. The clerk of
the | 2 |
| court issuing the summons shall on the day of issue mail | 3 |
| notice of the
commencement of the proceedings which shall | 4 |
| be done by mailing a copy of
the summons to the office of | 5 |
| the Commission, and a copy of the summons to
the other | 6 |
| parties in interest or their attorney or attorneys of | 7 |
| record and
the clerk of the court shall make certificate | 8 |
| that he has so sent said
notices in pursuance of this | 9 |
| Section, which shall be evidence of service on
the | 10 |
| Commission and other parties in interest.
| 11 |
| The Commission shall not be required to certify the | 12 |
| record of their
proceedings to the Circuit Court, unless | 13 |
| the party commencing the
proceedings for review in the | 14 |
| Circuit Court as above provided, shall pay
to the | 15 |
| Commission the sum of 80¢; per page of testimony taken | 16 |
| before the
Commission, and 35¢; per page of all other | 17 |
| matters contained in such
record, except as otherwise | 18 |
| provided by Section 20 of this Act. Payment
for photostatic | 19 |
| copies of exhibit shall be extra. It shall be the duty
of | 20 |
| the Commission upon such payment, or failure to pay as | 21 |
| permitted
under Section 20 of this Act, to prepare a true | 22 |
| and correct typewritten
copy of such testimony and a true | 23 |
| and correct copy of all other matters
contained in such | 24 |
| record and certified to by the Secretary or Assistant
| 25 |
| Secretary thereof.
| 26 |
| In its decision on review the Commission shall | 27 |
| determine in each
particular case the amount of the | 28 |
| probable cost of the record to be
filed as a part of the | 29 |
| summons in that case and no request for a summons
may be | 30 |
| filed and no summons shall issue unless the party seeking | 31 |
| to review
the decision of the Commission shall exhibit to | 32 |
| the clerk of the Circuit
Court proof of payment by filing a | 33 |
| receipt showing payment or an affidavit
of the attorney | 34 |
| setting forth that payment has been made of the sums so
|
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| determined to the Secretary or Assistant Secretary of the | 2 |
| Commission,
except as otherwise provided by Section 20 of | 3 |
| this Act.
| 4 |
| (2) No such summons shall issue unless the one against | 5 |
| whom the
Commission shall have rendered an award for the | 6 |
| payment of money shall upon
the filing of his written | 7 |
| request for such summons file with the clerk of
the court a | 8 |
| bond conditioned that if he shall not successfully
| 9 |
| prosecute the review, he will pay the award and the costs | 10 |
| of the
proceedings in the courts. The amount of the bond | 11 |
| shall be fixed by any
member of the Commission and the | 12 |
| surety or sureties of the bond shall be
approved by the | 13 |
| clerk of the court. The acceptance of the bond by the
clerk | 14 |
| of the court shall constitute evidence of his approval of | 15 |
| the bond.
| 16 |
| Every county, city, town, township, incorporated | 17 |
| village, school
district, body politic or municipal | 18 |
| corporation against whom the
Commission shall have | 19 |
| rendered an award for the payment of money shall
not be | 20 |
| required to file a bond to secure the payment of the award | 21 |
| and
the costs of the proceedings in the court to authorize | 22 |
| the court to
issue such summons.
| 23 |
| The court may confirm or set aside the decision of the | 24 |
| Commission. If
the decision is set aside and the facts | 25 |
| found in the proceedings before
the Commission are | 26 |
| sufficient, the court may enter such decision as is
| 27 |
| justified by law, or may remand the cause to the Commission | 28 |
| for further
proceedings and may state the questions | 29 |
| requiring further hearing, and
give such other | 30 |
| instructions as may be proper. Appeals shall be taken
to | 31 |
| the Industrial Commission Division of the Appellate Court | 32 |
| in accordance
with Supreme Court Rules 22(g) and 303. | 33 |
| Appeals
shall be taken from the Industrial Commission | 34 |
| Division of the Appellate
Court to the Supreme Court in |
|
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| 1 |
| accordance with Supreme Court Rule 315.
| 2 |
| It shall be the duty of the clerk of any court | 3 |
| rendering a decision
affecting or affirming an award of the | 4 |
| Commission to promptly furnish
the Commission with a copy | 5 |
| of such decision, without charge.
| 6 |
| The decision of a majority of the members of the panel | 7 |
| of the Commission,
shall be considered the decision of the | 8 |
| Commission.
| 9 |
| (g) Except in the case of a claim against the State of | 10 |
| Illinois,
either party may present a certified copy of the | 11 |
| award of the
Arbitrator, or a certified copy of the decision of | 12 |
| the Commission when
the same has become final, when no | 13 |
| proceedings for review are pending,
providing for the payment | 14 |
| of compensation according to this Act, to the
Circuit Court of | 15 |
| the county in which such accident occurred or either of
the | 16 |
| parties are residents, whereupon the court shall enter a | 17 |
| judgment
in accordance therewith. In a case where the employer | 18 |
| refuses to pay
compensation according to such final award or | 19 |
| such final decision upon
which such judgment is entered the | 20 |
| court shall in entering judgment
thereon, tax as costs against | 21 |
| him the reasonable costs and attorney fees
in the arbitration | 22 |
| proceedings and in the court entering the judgment
for the | 23 |
| person in whose favor the judgment is entered, which judgment
| 24 |
| and costs taxed as therein provided shall, until and unless set | 25 |
| aside,
have the same effect as though duly entered in an action | 26 |
| duly tried and
determined by the court, and shall with like | 27 |
| effect, be entered and
docketed. The Circuit Court shall have | 28 |
| power at any time upon
application to make any such judgment | 29 |
| conform to any modification
required by any subsequent decision | 30 |
| of the Supreme Court upon appeal, or
as the result of any | 31 |
| subsequent proceedings for review, as provided in
this Act.
| 32 |
| Judgment shall not be entered until 15 days' notice of the | 33 |
| time and
place of the application for the entry of judgment | 34 |
| shall be served upon
the employer by filing such notice with |
|
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| the Commission, which Commission
shall, in case it has on file | 2 |
| the address of the employer or the name
and address of its | 3 |
| agent upon whom notices may be served, immediately
send a copy | 4 |
| of the notice to the employer or such designated agent.
| 5 |
| (h) An agreement or award under this Act providing for | 6 |
| compensation
in installments, may at any time within 18 months | 7 |
| after such agreement
or award be reviewed by the Commission at | 8 |
| the request of either the
employer or the employee, on the | 9 |
| ground that the disability of the
employee has subsequently | 10 |
| recurred, increased, diminished or ended.
| 11 |
| However, as to accidents occurring subsequent to July 1, | 12 |
| 1955, which
are covered by any agreement or award under this | 13 |
| Act providing for
compensation in installments made as a result | 14 |
| of such accident, such
agreement or award may at any time | 15 |
| within 30 months after such agreement
or award be reviewed by | 16 |
| the Commission at the request of either the
employer or the | 17 |
| employee on the ground that the disability of the
employee has | 18 |
| subsequently recurred, increased, diminished or ended.
| 19 |
| On such review, compensation payments may be | 20 |
| re-established,
increased, diminished or ended. The Commission | 21 |
| shall give 15 days'
notice to the parties of the hearing for | 22 |
| review. Any employee, upon any
petition for such review being | 23 |
| filed by the employer, shall be entitled
to one day's notice | 24 |
| for each 100 miles necessary to be traveled by him in
attending | 25 |
| the hearing of the Commission upon the petition, and 3 days in
| 26 |
| addition thereto. Such employee shall, at the discretion of the
| 27 |
| Commission, also be entitled to 5 cents per mile necessarily | 28 |
| traveled by
him within the State of Illinois in attending such | 29 |
| hearing, not to
exceed a distance of 300 miles, to be taxed by | 30 |
| the Commission as costs
and deposited with the petition of the | 31 |
| employer.
| 32 |
| When compensation which is payable in accordance with an | 33 |
| award or
settlement contract approved by the Commission, is | 34 |
| ordered paid in a
lump sum by the Commission, no review shall |
|
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| 1 |
| be had as in this paragraph
mentioned.
| 2 |
| (i) Each party, upon taking any proceedings or steps | 3 |
| whatsoever
before any Arbitrator, Commission or court, shall | 4 |
| file with the Commission
his address, or the name and address | 5 |
| of any agent upon whom all notices to
be given to such party | 6 |
| shall be served, either personally or by registered
mail, | 7 |
| addressed to such party or agent at the last address so filed | 8 |
| with
the Commission. In the event such party has not filed his | 9 |
| address, or the
name and address of an agent as above provided, | 10 |
| service of any notice may
be had by filing such notice with the | 11 |
| Commission.
| 12 |
| (j) Whenever in any proceeding testimony has been taken or | 13 |
| a final
decision has been rendered and after the taking of such | 14 |
| testimony or
after such decision has become final, the injured | 15 |
| employee dies, then in
any subsequent proceedings brought by | 16 |
| the personal representative or
beneficiaries of the deceased | 17 |
| employee, such testimony in the former
proceeding may be | 18 |
| introduced with the same force and effect as though
the witness | 19 |
| having so testified were present in person in such
subsequent | 20 |
| proceedings and such final decision, if any, shall be taken
as | 21 |
| final adjudication of any of the issues which are the same in | 22 |
| both
proceedings.
| 23 |
| (k) In case where there has been any unreasonable or | 24 |
| vexatious delay
of payment or intentional underpayment of | 25 |
| compensation, or proceedings
have been instituted or carried on | 26 |
| by the one liable to pay the
compensation, which do not present | 27 |
| a real controversy, but are merely
frivolous or for delay, then | 28 |
| the Commission may award compensation
additional to that | 29 |
| otherwise payable under this Act equal to 50% of the
amount | 30 |
| payable at the time of such award. Failure to pay compensation
| 31 |
| in accordance with the provisions of Section 8, paragraph (b) | 32 |
| of this
Act, shall be considered unreasonable delay. When | 33 |
| determining whether this subsection (k) shall apply, the | 34 |
| Commission shall consider whether an arbitrator has determined |
|
|
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| 1 |
| that the claim is not compensable or whether the employer has | 2 |
| made payments under Section 8(j).
| 3 |
| (l) If the employee has made demand for payment of benefits | 4 |
| under Section 8(a) or 8(b), the employer shall have 14 days | 5 |
| after receipt of the demand to set forth, in writing, the | 6 |
| reason for the delay. Failure by the employer to respond shall | 7 |
| give rise to a rebuttable presumption of delay. If the employer | 8 |
| or its insurance carrier has failed, neglected,
refused, or
| 9 |
| delayed the payment of benefits under Section 8(a) or Section | 10 |
| 8(b) and the
Arbitrator or Commission awards benefits under | 11 |
| Section 8(a)
or 8(b), the employee shall receive additional | 12 |
| compensation in the sum of $30
per day for each day that the | 13 |
| benefits have been so withheld, refused, or
delayed, up to | 14 |
| $16,425, as well as the costs of litigation, including | 15 |
| attorney's fees.
In case the employer or his insurance carrier | 16 |
| shall without good
and just cause fail, neglect, refuse or | 17 |
| unreasonably delay the payment
of weekly compensation benefits | 18 |
| due to an injured employee during the
period of temporary total | 19 |
| disability the arbitrator or the Commission
shall allow to the | 20 |
| employee additional compensation in the sum of $10
per day for | 21 |
| each day that a weekly compensation payment has been so
| 22 |
| withheld or refused, provided that such additional | 23 |
| compensation shall
not exceed the sum of $2,500. A delay in | 24 |
| payment of 14 days or more
shall create a rebuttable | 25 |
| presumption of unreasonable delay.
| 26 |
| (m) If the commission finds that an accidental injury was | 27 |
| directly
and proximately caused by the employer's wilful | 28 |
| violation of a health
and safety standard under the Health and | 29 |
| Safety Act in force at the time of the
accident, the arbitrator | 30 |
| or the Commission shall allow to the injured
employee or his | 31 |
| dependents, as the case may be, additional compensation
equal | 32 |
| to 25% of the amount which otherwise would be payable under the
| 33 |
| provisions of this Act exclusive of this paragraph. The | 34 |
| additional
compensation herein provided shall be allowed by an |
|
|
|
09300HB0805sam002 |
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|
| 1 |
| appropriate increase
in the applicable weekly compensation | 2 |
| rate.
| 3 |
| (n) After June 30, 1984, decisions of the Industrial | 4 |
| Commission
reviewing an award of an arbitrator of the | 5 |
| Commission shall draw interest
at a rate equal to the yield on | 6 |
| indebtedness issued by the United States
Government with a | 7 |
| 26-week maturity next previously auctioned on the day on
which | 8 |
| the decision is filed. Said rate of interest shall be set forth | 9 |
| in
the Arbitrator's Decision. Interest shall be drawn from the | 10 |
| date of the
arbitrator's award on all accrued compensation due | 11 |
| the employee through the
day prior to the date of payments. | 12 |
| However, when an employee appeals an
award of an Arbitrator or | 13 |
| the Commission, and the appeal results in no
change or a | 14 |
| decrease in the award, interest shall not further accrue from
| 15 |
| the date of such appeal.
| 16 |
| The employer or his insurance carrier may tender the | 17 |
| payments due under
the award to stop the further accrual of | 18 |
| interest on such award
notwithstanding the prosecution by | 19 |
| either party of review, certiorari,
appeal to the Supreme Court | 20 |
| or other steps to reverse, vacate or modify
the award.
| 21 |
| (o) By the 15th day of each month each insurer providing | 22 |
| coverage for
losses under this Act shall notify each insured | 23 |
| employer of any compensable
claim incurred during the preceding | 24 |
| month and the amounts paid or reserved
on the claim including a | 25 |
| summary of the claim and a brief statement of the
reasons for | 26 |
| compensability. A cumulative report of all claims incurred
| 27 |
| during a calendar year or continued from the previous year | 28 |
| shall be
furnished to the insured employer by the insurer | 29 |
| within 30 days after the
end of that calendar year.
| 30 |
| The insured employer may challenge, in proceeding before | 31 |
| the Commission,
payments made by the insurer without | 32 |
| arbitration and payments
made after a case is determined to be | 33 |
| noncompensable. If the Commission
finds that the case was not | 34 |
| compensable, the insurer shall purge its records
as to that |
|
|
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| employer of any loss or expense associated with the claim, | 2 |
| reimburse
the employer for attorneys' fees arising from the | 3 |
| challenge and for any
payment required of the employer to the | 4 |
| Rate Adjustment Fund or the
Second Injury Fund, and may not | 5 |
| reflect the loss or expense for rate making
purposes. The | 6 |
| employee shall not be required to refund the challenged
| 7 |
| payment. The decision of the Commission may be reviewed in the | 8 |
| same manner
as in arbitrated cases. No challenge may be | 9 |
| initiated under this paragraph
more than 3 years after the | 10 |
| payment is made. An employer may waive the
right of challenge | 11 |
| under this paragraph on a case by case basis.
| 12 |
| (p) After filing an application for adjustment of claim but | 13 |
| prior to
the hearing on arbitration the parties may voluntarily | 14 |
| agree to submit such
application for adjustment of claim for | 15 |
| decision by an arbitrator under
this subsection (p) where such | 16 |
| application for adjustment of claim raises
only a dispute over | 17 |
| temporary total disability, permanent partial
disability or | 18 |
| medical expenses. Such agreement shall be in writing in such
| 19 |
| form as provided by the Commission. Applications for adjustment | 20 |
| of claim
submitted for decision by an arbitrator under this | 21 |
| subsection (p) shall
proceed according to rule as established | 22 |
| by the Commission. The Commission
shall promulgate rules | 23 |
| including, but not limited to, rules to ensure that
the parties | 24 |
| are adequately informed of their rights under this subsection
| 25 |
| (p) and of the voluntary nature of proceedings under this | 26 |
| subsection (p).
The findings of fact made by an arbitrator | 27 |
| acting within his or her powers
under this subsection (p) in | 28 |
| the absence of fraud shall be conclusive.
However, the | 29 |
| arbitrator may on his own motion, or the motion of either
| 30 |
| party, correct any clerical errors or errors in computation | 31 |
| within 15 days
after the date of receipt of such award of the | 32 |
| arbitrator
and shall have the power to recall the original | 33 |
| award on arbitration, and
issue in lieu thereof such corrected | 34 |
| award.
The decision of the arbitrator under this subsection (p) |
|
|
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| shall be
considered the decision of the Commission and | 2 |
| proceedings for review of
questions of law arising from the | 3 |
| decision may be commenced by either party
pursuant to | 4 |
| subsection (f) of Section 19. The Advisory Board established
| 5 |
| under Section 13.1 shall compile a list of certified Commission
| 6 |
| arbitrators, each of whom shall be approved by at least 7 | 7 |
| members of the
Advisory Board. The chairman shall select 5 | 8 |
| persons from such list to
serve as arbitrators under this | 9 |
| subsection (p). By agreement, the parties
shall select one | 10 |
| arbitrator from among the 5 persons selected by the
chairman | 11 |
| except that if the parties do not agree on an arbitrator from
| 12 |
| among the 5 persons, the parties may, by agreement, select an | 13 |
| arbitrator of
the American Arbitration Association, whose fee | 14 |
| shall be paid by the State
in accordance with rules promulgated | 15 |
| by the Commission. Arbitration under
this subsection (p) shall | 16 |
| be voluntary.
| 17 |
| (Source: P.A. 86-998; 87-435; 87-799 .)
|
|
18 |
| Section 10. The Workers' Occupational Diseases Act is | 19 |
| amended by changing
Sections 1 and 19 as follows:
| 20 |
| (820 ILCS 310/1)
(from Ch. 48, par. 172.36)
| 21 |
| Sec. 1. This Act shall be known and may be cited as the | 22 |
| "Workers'
Occupational Diseases Act".
| 23 |
| (a) The term "employer" as used in this Act shall be | 24 |
| construed to
be:
| 25 |
| 1. The State and each county, city, town, township, | 26 |
| incorporated
village, school district, body politic, or | 27 |
| municipal corporation
therein.
| 28 |
| 2. Every person, firm, public or private corporation, | 29 |
| including
hospitals, public service, eleemosynary, religious | 30 |
| or charitable
corporations or associations, who has any person | 31 |
| in service or under any
contract for hire, express or implied, | 32 |
| oral or written.
|
|
|
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| 3. Where an employer operating under and subject to the | 2 |
| provisions
of this Act loans an employee to another such | 3 |
| employer and such loaned
employee sustains a compensable | 4 |
| occupational disease in the employment
of such borrowing | 5 |
| employer and where such borrowing employer does not
provide or | 6 |
| pay the benefits or payments due such employee, such loaning
| 7 |
| employer shall be liable to provide or pay all benefits or | 8 |
| payments due
such employee under this Act and as to such | 9 |
| employee the liability of
such loaning and borrowing employers | 10 |
| shall be joint and several,
provided that such loaning employer | 11 |
| shall in the absence of agreement to
the contrary be entitled | 12 |
| to receive from such borrowing employer full
reimbursement for | 13 |
| all sums paid or incurred pursuant to this paragraph
together | 14 |
| with reasonable attorneys' fees and expenses in any hearings
| 15 |
| before the Industrial Commission or in any action to secure | 16 |
| such
reimbursement. Where any benefit is provided or paid by | 17 |
| such loaning
employer, the employee shall have the duty of | 18 |
| rendering reasonable
co-operation in any hearings, trials or | 19 |
| proceedings in the case,
including such proceedings for | 20 |
| reimbursement.
| 21 |
| Where an employee files an Application for Adjustment of | 22 |
| Claim with
the Industrial Commission alleging that his or her | 23 |
| claim is covered by
the provisions of the preceding paragraph, | 24 |
| and joining both the alleged
loaning and borrowing employers, | 25 |
| they and each of them, upon written
demand by the employee and | 26 |
| within 7 days after receipt of such demand,
shall have the duty | 27 |
| of filing with the Industrial Commission a written
admission or | 28 |
| denial of the allegation that the claim is covered by the
| 29 |
| provisions of the preceding paragraph and in default of such | 30 |
| filing or
if any such denial be ultimately determined not to | 31 |
| have been bona fide
then the provisions of Paragraph K of | 32 |
| Section 19 of this Act shall
apply.
| 33 |
| An employer whose business or enterprise or a substantial | 34 |
| part
thereof consists of hiring, procuring or furnishing |
|
|
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| employees to or for
other employers operating under and subject | 2 |
| to the provisions of this
Act for the performance of the work | 3 |
| of such other employers and who pays
such employees their | 4 |
| salary or wage notwithstanding that they are doing
the work of | 5 |
| such other employers shall be deemed a loaning employer
within | 6 |
| the meaning and provisions of this Section.
| 7 |
| (b) The term "employee" as used in this Act, shall be | 8 |
| construed to
mean:
| 9 |
| 1. Every person in the service of the State, county, city, | 10 |
| town,
township, incorporated village or school district, body | 11 |
| politic or
municipal corporation therein, whether by election, | 12 |
| appointment or
contract of hire, express or implied, oral or | 13 |
| written, including any
official of the State, or of any county, | 14 |
| city, town, township,
incorporated village, school district, | 15 |
| body politic or municipal
corporation therein and except any | 16 |
| duly appointed member of the fire
department in any city whose | 17 |
| population exceeds 500,000 according to the
last Federal or | 18 |
| State census, and except any member of a fire insurance
patrol | 19 |
| maintained by a board of underwriters in this State. One | 20 |
| employed
by a contractor who has contracted with the State, or | 21 |
| a county, city,
town, township, incorporated village, school | 22 |
| district, body politic or
municipal corporation therein, | 23 |
| through its representatives, shall not be
considered as an | 24 |
| employee of the State, county, city, town, township,
| 25 |
| incorporated village, school district, body politic or | 26 |
| municipal
corporation which made the contract.
| 27 |
| 2. Every person in the service of another under any | 28 |
| contract of
hire, express or implied, oral or written, who | 29 |
| contracts an occupational
disease while working in the State of | 30 |
| Illinois, or who contracts an
occupational disease while | 31 |
| working outside of the State of Illinois but
where the contract | 32 |
| of hire is made within the State of Illinois, and any
person | 33 |
| whose employment is principally localized within the State of
| 34 |
| Illinois, regardless of the place where the disease was |
|
|
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| contracted or
place where the contract of hire was made, | 2 |
| including aliens, and minors
who, for the purpose of this Act, | 3 |
| except Section 3 hereof, shall be
considered the same and have | 4 |
| the same power to contract, receive
payments and give | 5 |
| quittances therefor, as adult employees. An employee
or his or | 6 |
| her dependents under this Act who shall have a cause of action
| 7 |
| by reason of an occupational disease, disablement or death | 8 |
| arising out
of and in the course of his or her employment may | 9 |
| elect or pursue
his or her remedy in the State where the | 10 |
| disease was contracted, or in the
State where the contract of | 11 |
| hire is made, or in the State where the
employment is | 12 |
| principally localized.
| 13 |
| (c) "Commission" means the Industrial Commission created | 14 |
| by the
Workers' Compensation Act, approved July 9, 1951, as | 15 |
| amended.
| 16 |
| (d) In this Act the term "Occupational Disease" means a | 17 |
| disease
arising out of and in the course of the employment or | 18 |
| which has become
aggravated and rendered disabling as a result | 19 |
| of the exposure of the
employment. Such aggravation shall arise | 20 |
| out of a risk peculiar to or
increased by the employment and | 21 |
| not common to the general public. For purposes of this Act, a | 22 |
| disease arises out of the
employment if the disease occurred as | 23 |
| a result of a terrorist act. For
purposes of this Section, | 24 |
| "terrorist act" means a violent act committed by one or more
| 25 |
| individuals as part of an effort to coerce the civilian | 26 |
| population of the
United States or to influence the policy or | 27 |
| affect the conduct of the United States
Government.
| 28 |
| A disease shall be deemed to arise out of the employment if | 29 |
| there is
apparent to the rational mind, upon consideration of | 30 |
| all the
circumstances, a causal connection between the | 31 |
| conditions under which
the work is performed and the | 32 |
| occupational disease. The disease need not
to have been | 33 |
| foreseen or expected but after its contraction it must
appear | 34 |
| to have had its origin or aggravation in a risk connected with
|
|
|
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| the employment and to have flowed from that source as a | 2 |
| rational
consequence.
| 3 |
| An employee shall be conclusively deemed to have been | 4 |
| exposed to the
hazards of an occupational disease when, for any | 5 |
| length of time however
short, he or she is employed in an | 6 |
| occupation or process in which the
hazard of the disease | 7 |
| exists; provided however, that in a claim of
exposure to atomic | 8 |
| radiation, the fact of such exposure must be verified
by the | 9 |
| records of the central registry of radiation exposure | 10 |
| maintained
by the Department of Public Health or by some other | 11 |
| recognized
governmental agency maintaining records of such | 12 |
| exposures whenever and
to the extent that the records are on | 13 |
| file with the Department of Public
Health or the agency.
| 14 |
| The employer liable for the compensation in this Act | 15 |
| provided shall
be the employer in whose employment the employee | 16 |
| was last exposed to the
hazard of the occupational disease | 17 |
| claimed upon regardless of the length
of time of such last | 18 |
| exposure, except, in cases of silicosis or
asbestosis, the only | 19 |
| employer liable shall be the last employer in whose
employment | 20 |
| the employee was last exposed during a period of 60 days or
| 21 |
| more after the effective date of this Act, to the hazard of | 22 |
| such
occupational disease, and, in such cases, an exposure | 23 |
| during a period of
less than 60 days, after the effective date | 24 |
| of this Act, shall not be
deemed a last exposure. If a miner | 25 |
| who is suffering or suffered from
pneumoconiosis was employed | 26 |
| for 10 years or more in one or more coal
mines there shall, | 27 |
| effective July 1, 1973 be a rebuttable presumption
that his or | 28 |
| her pneumoconiosis arose out of such employment.
| 29 |
| If a deceased miner was employed for 10 years or more in | 30 |
| one or more
coal mines and died from a respirable disease there | 31 |
| shall, effective
July 1, 1973, be a rebuttable presumption that | 32 |
| his or her death was due
to pneumoconiosis.
| 33 |
| The insurance carrier liable shall be the carrier whose | 34 |
| policy was in
effect covering the employer liable on the last |
|
|
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| day of the exposure
rendering such employer liable in | 2 |
| accordance with the provisions of this
Act.
| 3 |
| (e) "Disablement" means an impairment or partial | 4 |
| impairment,
temporary or permanent, in the function of the body | 5 |
| or any of the
members of the body, or the event of becoming | 6 |
| disabled from earning full
wages at the work in which the | 7 |
| employee was engaged when last exposed to
the hazards of the | 8 |
| occupational disease by the employer from whom he or
she claims | 9 |
| compensation, or equal wages in other suitable employment;
and | 10 |
| "disability" means the state of being so incapacitated.
| 11 |
| (f) No compensation shall be payable for or on account of | 12 |
| any
occupational disease unless disablement, as herein | 13 |
| defined, occurs
within two years after the last day of the last | 14 |
| exposure to the hazards
of the disease, except in cases of | 15 |
| occupational disease caused by
berylliosis or by the inhalation | 16 |
| of silica dust or asbestos dust and, in
such cases, within 3 | 17 |
| years after the last day of the last exposure to
the hazards of | 18 |
| such disease and except in the case of occupational
disease | 19 |
| caused by exposure to radiological materials or equipment, and
| 20 |
| in such case, within 25 years after the last day of last | 21 |
| exposure to the
hazards of such disease.
| 22 |
| (Source: P.A. 81-992.)
| 23 |
| (820 ILCS 310/19)
(from Ch. 48, par. 172.54)
| 24 |
| Sec. 19. Any disputed questions of law or fact shall be | 25 |
| determined as
herein provided.
| 26 |
| (a) It shall be the duty of the Commission upon | 27 |
| notification that
the parties have failed to reach an agreement | 28 |
| to designate an
Arbitrator.
| 29 |
| (1) The application for adjustment of claim filed with | 30 |
| the
Commission shall state:
| 31 |
| A. The approximate date of the last day of the last | 32 |
| exposure and the
approximate date of the disablement.
| 33 |
| B. The general nature and character of the illness |
|
|
|
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| or disease
claimed.
| 2 |
| C. The name and address of the employer by whom | 3 |
| employed on the last
day of the last exposure and if | 4 |
| employed by any other employer after
such last exposure | 5 |
| and before disablement the name and address of such
| 6 |
| other employer or employers.
| 7 |
| D. In case of death, the date and place of death.
| 8 |
| (2) Amendments to applications for adjustment of claim | 9 |
| which relate
to the same disablement or disablement | 10 |
| resulting in death originally
claimed upon may be allowed | 11 |
| by the Commissioner or an Arbitrator
thereof, in their | 12 |
| discretion, and in the exercise of such discretion,
they | 13 |
| may in proper cases order a trial de novo; such amendment | 14 |
| shall
relate back to the date of the filing of the original | 15 |
| application so
amended.
| 16 |
| (3) Whenever any claimant misconceives his remedy and | 17 |
| files an
application for adjustment of claim under this Act | 18 |
| and it is
subsequently discovered, at any time before final | 19 |
| disposition of such
cause, that the claim for disability or | 20 |
| death which was the basis for
such application should | 21 |
| properly have been made under the Workers'
Compensation | 22 |
| Act, then the provisions of Section 19 paragraph (a-1) of
| 23 |
| the Workers' Compensation Act having reference to such | 24 |
| application shall
apply.
| 25 |
| Whenever any claimant misconceives his remedy and | 26 |
| files an
application for adjustment of claim under the | 27 |
| Workers' Compensation Act
and it is subsequently | 28 |
| discovered, at any time before final disposition
of such | 29 |
| cause that the claim for injury or death which was the | 30 |
| basis for
such application should properly have been made | 31 |
| under this Act, then the
application so filed under the | 32 |
| Workers' Compensation Act may be amended
in form, substance | 33 |
| or both to assert claim for such disability or death
under | 34 |
| this Act and it shall be deemed to have been so filed as |
|
|
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| amended
on the date of the original filing thereof, and | 2 |
| such compensation may be
awarded as is warranted by the | 3 |
| whole evidence pursuant to the provisions
of this Act. When | 4 |
| such amendment is submitted, further or additional
| 5 |
| evidence may be heard by the Arbitrator or Commission when | 6 |
| deemed
necessary; provided, that nothing in this Section | 7 |
| contained shall be
construed to be or permit a waiver of | 8 |
| any provisions of this Act with
reference to notice, but | 9 |
| notice if given shall be deemed to be a notice
under the | 10 |
| provisions of this Act if given within the time required
| 11 |
| herein.
| 12 |
| (b) The Arbitrator shall make such inquiries and | 13 |
| investigations as he
shall deem necessary and may examine and | 14 |
| inspect all books, papers,
records, places, or premises | 15 |
| relating to the questions in dispute and hear
such proper | 16 |
| evidence as the parties may submit.
| 17 |
| The hearings before the Arbitrator shall be held in the | 18 |
| vicinity where
the last exposure occurred, after 10 days' | 19 |
| notice of the time and place of
such hearing shall have been | 20 |
| given to each of the parties or their attorneys of record.
| 21 |
| The Arbitrator may find that the disabling condition is | 22 |
| temporary and has
not yet reached a permanent condition and may | 23 |
| order the payment of
compensation up to the date of the | 24 |
| hearing, which award shall be reviewable
and enforceable in the | 25 |
| same manner as other awards, and in no instance be a
bar to a | 26 |
| further hearing and determination of a further amount of | 27 |
| temporary
total compensation or of compensation for permanent | 28 |
| disability, but shall
be conclusive as to all other questions | 29 |
| except the nature and extent of such
disability.
| 30 |
| The decision of the Arbitrator shall be filed with the | 31 |
| Commission which
Commission shall immediately send to each | 32 |
| party or his attorney a copy of
such decision, together with a | 33 |
| notification of the time when it was filed.
Beginning January | 34 |
| 1, 2005
1981 , all decisions of the Arbitrator shall set forth
|
|
|
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| in writing findings of fact and conclusions of law, separately | 2 |
| stated , if requested by either party .
Unless a petition for | 3 |
| review is filed by either party within 30 days after
the | 4 |
| receipt by such party of the copy of the decision and | 5 |
| notification of
time when filed, and unless such party | 6 |
| petitioning for a review shall
within 35 days after the receipt | 7 |
| by him of the copy of the decision, file
with the Commission | 8 |
| either an agreed statement of the facts appearing upon
the | 9 |
| hearing before the Arbitrator, or if such party shall so elect | 10 |
| a
correct transcript of evidence of the proceedings at such | 11 |
| hearings, then
the decision shall become the decision of the | 12 |
| Commission and in the absence
of fraud shall be conclusive. The | 13 |
| Petition for Review shall contain a
statement of the | 14 |
| petitioning party's specific exceptions to the decision of
the | 15 |
| arbitrator. The jurisdiction of the Commission to review the | 16 |
| decision
of the arbitrator shall not be limited to the | 17 |
| exceptions stated in the
Petition for Review. The Commission, | 18 |
| or any member thereof, may grant
further time not exceeding 30 | 19 |
| days, in which to file such agreed statement
or transcript of | 20 |
| evidence. Such agreed statement of facts or correct
transcript | 21 |
| of 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 | 27 |
| not receiving or
has not received medical, surgical, or | 28 |
| hospital services or
other services or compensation as provided | 29 |
| in paragraph (a) of Section 8 of the Workers' Compensation
Act, | 30 |
| or
compensation as provided in paragraph (b) of Section 8 of | 31 |
| the Workers' Compensation
Act, the employee may at any
time | 32 |
| petition for an expedited hearing by an Arbitrator on the issue | 33 |
| of whether
or not he or she is entitled to receive payment of | 34 |
| the services or
compensation. The hearing shall have priority |
|
|
|
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| over all other petitions and
shall be heard by the Arbitrator | 2 |
| and Commission with all convenient speed. The
employee shall | 3 |
| give notice of a request for an expedited hearing under this
| 4 |
| paragraph. A copy of the application for adjustment of claim | 5 |
| shall be attached
to the notice. The Commission shall adopt | 6 |
| rules and procedures under which the
final decision under this | 7 |
| paragraph is filed not later than 180 days from the
date of the | 8 |
| first hearing.
| 9 |
| (b-1) If the employee is not receiving, pursuant to Section | 10 |
| 7, medical,
surgical or hospital services of the type provided | 11 |
| for in paragraph (a) of
Section 8 of the Workers' Compensation | 12 |
| Act or compensation of the type
provided for in paragraph (b) | 13 |
| of Section 8 of the Workers' Compensation
Act, the employee, in | 14 |
| accordance with Commission Rules, may file a petition
for an | 15 |
| emergency hearing by an Arbitrator on the issue of whether or | 16 |
| not he
is entitled to receive payment of such compensation or | 17 |
| services as provided
therein. Such petition shall have priority | 18 |
| over all other petitions and
shall be heard by the Arbitrator | 19 |
| and Commission with all convenient speed.
| 20 |
| Such petition shall contain the following information and | 21 |
| shall be served
on the employer at least 15 days before it is | 22 |
| filed:
| 23 |
| (i) the date and approximate time of the last exposure;
| 24 |
| (ii) the approximate location of the last exposure;
| 25 |
| (iii) a description of the last exposure;
| 26 |
| (iv) the nature of the disability incurred by the | 27 |
| employee;
| 28 |
| (v) the identity of the person, if known, to whom the | 29 |
| disability was
reported and the date on which it was | 30 |
| reported;
| 31 |
| (vi) the name and title of the person, if known, | 32 |
| representing the
employer with whom the employee conferred | 33 |
| in any effort to obtain pursuant
to Section 7 compensation | 34 |
| of the type provided for in paragraph (b) of
Section 8 of |
|
|
|
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| the Workers' Compensation Act or medical, surgical or | 2 |
| hospital
services of the type provided for in paragraph (a) | 3 |
| of Section 8 of the
Workers' Compensation Act and the date | 4 |
| of such conference;
| 5 |
| (vii) a statement that the employer has refused to pay | 6 |
| compensation
pursuant to Section 7 of the type provided for | 7 |
| in paragraph (b) of Section
8 of the Workers' Compensation | 8 |
| Act or for medical, surgical
or hospital services pursuant | 9 |
| to Section 7 of the type provided for in
paragraph (a) of | 10 |
| Section 8 of the Workers' Compensation Act;
| 11 |
| (viii) the name and address, if known, of each witness | 12 |
| to the last
exposure and of each other person upon whom the | 13 |
| employee will rely to
support his allegations;
| 14 |
| (ix) the dates of treatment related to the disability | 15 |
| by medical
practitioners, and the names and addresses of | 16 |
| such practitioners, including
the dates of treatment | 17 |
| related to the disability at any hospitals and the
names | 18 |
| and addresses of such hospitals, and a signed authorization
| 19 |
| permitting the employer to examine all medical records of | 20 |
| all practitioners
and hospitals named pursuant to this | 21 |
| paragraph;
| 22 |
| (x) a copy of a signed report by a medical | 23 |
| practitioner, relating to the
employee's current inability | 24 |
| to return to work because of the disability
incurred as a | 25 |
| result of the exposure or such other documents or | 26 |
| affidavits
which show that the employee is entitled to | 27 |
| receive pursuant to Section 7
compensation of the type | 28 |
| provided for in paragraph (b) of Section 8 of the
Workers' | 29 |
| Compensation Act or medical, surgical or hospital services | 30 |
| of the
type provided for in paragraph (a) of Section 8 of | 31 |
| the Workers'
Compensation Act. Such reports, documents or | 32 |
| affidavits shall state, if
possible, the history of the | 33 |
| exposure given by the employee, and describe
the disability | 34 |
| and medical diagnosis, the medical services for such
|
|
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| disability which the employee has received and is | 2 |
| receiving, the physical
activities which the employee | 3 |
| cannot currently perform as a result of such
disability, | 4 |
| and the prognosis for recovery;
| 5 |
| (xi) complete copies of any reports, records, | 6 |
| documents and affidavits
in the possession of the employee | 7 |
| on which the employee will rely to
support his allegations, | 8 |
| provided that the employer shall pay the
reasonable cost of | 9 |
| reproduction thereof;
| 10 |
| (xii) a list of any reports, records, documents and | 11 |
| affidavits which
the employee has demanded by subpoena and | 12 |
| on which he intends to
rely to support his allegations;
| 13 |
| (xiii) a certification signed by the employee or his | 14 |
| representative that
the employer has received the petition | 15 |
| with the required information 15
days before filing.
| 16 |
| Fifteen days after receipt by the employer of the petition | 17 |
| with the
required information the employee may file said | 18 |
| petition and required
information and shall serve notice of the | 19 |
| filing upon the employer. The
employer may file a motion | 20 |
| addressed to the sufficiency of the petition.
If an objection | 21 |
| has been filed to the sufficiency of the petition, the
| 22 |
| arbitrator shall rule on the objection within 2 working days. | 23 |
| If such an
objection is filed, the time for filing the final | 24 |
| decision of the Commission
as provided in this paragraph shall | 25 |
| be tolled until the arbitrator has
determined that the petition | 26 |
| is sufficient.
| 27 |
| The employer shall, within 15 days after receipt of the | 28 |
| notice that such
petition is filed, file with the Commission | 29 |
| and serve on the employee or
his representative a written | 30 |
| response to each claim set
forth in the petition, including the | 31 |
| legal and factual basis for each
disputed allegation and the | 32 |
| following information: (i)
complete copies of any reports, | 33 |
| records, documents and affidavits
in the possession of the | 34 |
| employer on which the employer intends to rely in
support of |
|
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| his response, (ii) a list of any reports, records, documents | 2 |
| and
affidavits which the employer has demanded by subpoena and | 3 |
| on which the
employer intends to rely in support of his | 4 |
| response, (iii) the name and address
of each witness on whom | 5 |
| the employer will rely to support his response,
and (iv) the | 6 |
| names and addresses of any medical practitioners
selected by | 7 |
| the employer pursuant to Section 12 of this Act and the time
| 8 |
| and place of any examination scheduled to be made pursuant to | 9 |
| such Section.
| 10 |
| Any employer who does not timely file and serve a written | 11 |
| response
without good cause may not introduce any evidence to | 12 |
| dispute any claim of
the employee but may cross examine the | 13 |
| employee or any witness brought by
the employee and otherwise | 14 |
| be heard.
| 15 |
| No document or other evidence not previously identified by | 16 |
| either party
with the petition or written response, or by any | 17 |
| other means before the
hearing, may be introduced into evidence | 18 |
| without good cause. If, at the
hearing, material information is | 19 |
| discovered which was not previously
disclosed, the Arbitrator | 20 |
| may extend the time for closing proof on the
motion of a party | 21 |
| for a reasonable period of time which may be more than 30
days. | 22 |
| No evidence may be introduced pursuant to this paragraph as to
| 23 |
| permanent disability. No award may be entered for permanent | 24 |
| disability
pursuant to this paragraph. Either party may | 25 |
| introduce into evidence the
testimony taken by deposition of | 26 |
| any medical practitioner.
| 27 |
| The Commission shall adopt rules, regulations and | 28 |
| procedures whereby
the final decision of the Commission is | 29 |
| filed not later than 90 days from
the date the petition for | 30 |
| review is filed but in no event later than 180
days from the | 31 |
| date the petition for an emergency hearing is filed with the
| 32 |
| Industrial Commission.
| 33 |
| All service required pursuant to this paragraph (b-1) must | 34 |
| be by personal
service or by certified mail and with evidence |
|
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| of receipt. In addition,
for the purposes of this paragraph, | 2 |
| all service on the employer must be at
the premises where the | 3 |
| accident occurred if the premises are owned or
operated by the | 4 |
| employer. Otherwise service must be at the employee's
principal | 5 |
| place of employment by the employer. If service on the employer
| 6 |
| is not possible at either of the above, then service shall be | 7 |
| at the
employer's principal place of business. After initial | 8 |
| service in each case,
service shall be made on the employer's | 9 |
| attorney or designated representative.
| 10 |
| (c) (1) At a reasonable time in advance of and in | 11 |
| connection with the
hearing under Section 19(e) or 19(h), the | 12 |
| Commission may on its own motion
order an impartial physical or | 13 |
| mental examination of a petitioner whose
mental or physical | 14 |
| condition is in issue, when in the Commission's
discretion it | 15 |
| appears that such an examination will materially aid in the
| 16 |
| just determination of the case. The examination shall be made | 17 |
| by a member
or members of a panel of physicians chosen for | 18 |
| their special qualifications
by the Illinois State Medical | 19 |
| Society. The Commission shall establish
procedures by which a | 20 |
| physician shall be selected from such list.
| 21 |
| (2) Should the Commission at any time during the hearing | 22 |
| find that
compelling considerations make it advisable to have | 23 |
| an examination and
report at that time, the Commission may in | 24 |
| its discretion so order.
| 25 |
| (3) A copy of the report of examination shall be given to | 26 |
| the Commission
and to the attorneys for the parties.
| 27 |
| (4) Either party or the Commission may call the examining | 28 |
| physician
or physicians to testify. Any physician so called | 29 |
| shall be subject to
cross-examination.
| 30 |
| (5) The examination shall be made, and the physician or | 31 |
| physicians,
if called, shall testify, without cost to the | 32 |
| parties. The Commission shall
determine the compensation and | 33 |
| the pay of the physician or physicians. The
compensation for | 34 |
| this service shall not exceed the usual and customary amount
|
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| for such service.
| 2 |
| The fees and payment thereof of all attorneys and | 3 |
| physicians for
services authorized by the Commission under this | 4 |
| Act shall, upon request
of either the employer or the employee | 5 |
| or the beneficiary affected, be
subject to the review and | 6 |
| decision of the Commission.
| 7 |
| (d) If any employee shall persist in insanitary or | 8 |
| injurious
practices which tend to either imperil or retard his | 9 |
| recovery or shall
refuse to submit to such medical, surgical, | 10 |
| or hospital treatment as is
reasonably essential to promote his | 11 |
| recovery, the Commission may, in its
discretion, reduce or | 12 |
| suspend the compensation of any such employee;
provided, that | 13 |
| when an employer and employee so agree in writing, the
| 14 |
| foregoing provision shall not be construed to authorize the | 15 |
| reduction or
suspension of compensation of an employee who is | 16 |
| relying in good faith,
on treatment by prayer or spiritual | 17 |
| means alone, in accordance with the
tenets and practice of a | 18 |
| recognized church or religious denomination, by
a duly | 19 |
| accredited practitioner thereof.
| 20 |
| (e) This paragraph shall apply to all hearings before the | 21 |
| Commission.
Such hearings may be held in its office or | 22 |
| elsewhere as the Commission may
deem advisable. The taking of | 23 |
| testimony on such hearings may be had before
any member of the | 24 |
| Commission. If a petition for review and agreed statement
of | 25 |
| facts or transcript of evidence is filed, as provided herein, | 26 |
| the
Commission shall promptly review the decision of the | 27 |
| Arbitrator and all
questions of law or fact which appear from | 28 |
| the statement of facts or
transcripts of evidence. In all cases | 29 |
| in which the hearing before the
arbitrator is held after the | 30 |
| effective date of this amendatory Act of 1989,
no additional | 31 |
| evidence shall be introduced by the parties before the
| 32 |
| Commission on review of the decision of the Arbitrator. The | 33 |
| Commission
shall file in its office its decision thereon, and | 34 |
| shall immediately send
to each party or his attorney a copy of |
|
|
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| such decision and a notification of
the time when it was filed. | 2 |
| Decisions shall be filed within 60 days after
the Statement of | 3 |
| Exceptions and Supporting Brief and Response thereto are
| 4 |
| required to be filed or oral argument whichever is later.
| 5 |
| In the event either party requests oral argument, such | 6 |
| argument shall be
had before a panel of 3 members of the | 7 |
| Commission (or before all available
members pursuant to the | 8 |
| determination of 5 members of the Commission that
such argument | 9 |
| be held before all available members of the Commission)
| 10 |
| pursuant to the rules and regulations of the Commission. A | 11 |
| panel of 3
members, which shall be comprised of not more than | 12 |
| one representative
citizen of the employing class and not more | 13 |
| than one representative citizen
of the employee class, shall | 14 |
| hear the argument; provided that if all the
issues in dispute | 15 |
| are solely the nature and extent of the permanent partial
| 16 |
| disability, if any, a majority of the panel may deny the | 17 |
| request for such
argument and such argument shall not be held; | 18 |
| and provided further that 5
members of the Commission may | 19 |
| determine that the argument be held before
all available | 20 |
| members of the Commission. A decision of the Commission shall
| 21 |
| be approved by a majority of Commissioners present at such | 22 |
| hearing if any;
provided, if no such hearing is held, a | 23 |
| decision of the Commission shall be
approved by a majority of a | 24 |
| panel of 3 members of the Commission as
described in this | 25 |
| Section. The Commission shall give 10 days' notice to the
| 26 |
| parties or their attorneys of the time and place of such taking | 27 |
| of
testimony and of such argument.
| 28 |
| In any case the Commission in its decision may in its | 29 |
| discretion find
specially upon any question or questions of law | 30 |
| or facts which shall be
submitted in writing by either party | 31 |
| whether ultimate or otherwise;
provided that on issues other | 32 |
| than nature and extent of the disablement,
if any, the | 33 |
| Commission in its decision shall find specially upon any
| 34 |
| question or questions of law or fact, whether ultimate or |
|
|
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| otherwise,
which are submitted in writing by either party; | 2 |
| provided further that
not more than 5 such questions may be | 3 |
| submitted by either party. Any
party may, within 20 days after | 4 |
| receipt of notice of the Commission's
decision, or within such | 5 |
| further time, not exceeding 30 days, as the
Commission may | 6 |
| grant, file with the Commission either an agreed
statement of | 7 |
| the facts appearing upon the hearing, or, if such party
shall | 8 |
| so elect, a correct transcript of evidence of the additional
| 9 |
| proceedings presented before the Commission in which report the | 10 |
| party
may embody a correct statement of such other proceedings | 11 |
| in the case as
such party may desire to have reviewed, such | 12 |
| statement of facts or
transcript of evidence to be | 13 |
| authenticated by the signature of the
parties or their | 14 |
| attorneys, and in the event that they do not agree,
then the | 15 |
| authentication of such transcript of evidence shall be by the
| 16 |
| signature of any member 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
the | 24 |
| nature of pleadings filed by either party, together with the
| 25 |
| decisions of the Arbitrator and of the Commission and the | 26 |
| statement of
facts or transcript of evidence hereinbefore | 27 |
| provided for in paragraphs
(b) and (c) shall be the record of | 28 |
| the proceedings of the Commission,
and shall be subject to | 29 |
| review as hereinafter provided.
| 30 |
| At the request of either party or on its own motion, the | 31 |
| Commission shall
set forth in writing the reasons for the | 32 |
| decision, including findings of
fact and conclusions of law, | 33 |
| separately stated. The Commission shall by
rule adopt a format | 34 |
| for written decisions for the Commission and
arbitrators. The |
|
|
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| written decisions shall be concise and shall succinctly
state | 2 |
| the facts and reasons for the decision. The Commission may | 3 |
| adopt in
whole or in part, the decision of the arbitrator as | 4 |
| the decision of the
Commission. When the Commission does so | 5 |
| adopt the decision of the
arbitrator, it shall do so by order. | 6 |
| Whenever the Commission adopts part of
the arbitrator's | 7 |
| decision, but not all, it shall include in the order the
| 8 |
| reasons for not adopting all of the arbitrator's decision. When | 9 |
| a majority
of a panel, after deliberation, has arrived at its | 10 |
| decision, the decision
shall be filed as provided in this | 11 |
| Section without unnecessary delay, and
without regard to the | 12 |
| fact that a member of the panel has expressed an
intention to | 13 |
| dissent. Any member of the panel may file a dissent. Any
| 14 |
| dissent shall be filed no later than 10 days after the decision | 15 |
| of the
majority has been filed.
| 16 |
| Decisions rendered by the Commission after the effective | 17 |
| date of this
amendatory Act of 1980 and dissents, if any, shall | 18 |
| be published
together by the Commission. The conclusions
of law | 19 |
| set out in such decisions shall be regarded as precedents
by | 20 |
| arbitrators, for the purpose of achieving
a more uniform | 21 |
| administration of this Act.
| 22 |
| (f) The decision of the Commission acting within its | 23 |
| powers,
according to the provisions of paragraph (e) of this | 24 |
| Section shall, in
the absence of fraud, be conclusive unless | 25 |
| reviewed as in this paragraph
hereinafter provided. However, | 26 |
| the Arbitrator or the Commission may on
his or its own motion, | 27 |
| or on the motion of either party, correct any
clerical error or | 28 |
| errors in computation within 15 days after the date of
receipt | 29 |
| of any award by such Arbitrator or any decision on review of | 30 |
| the
Commission, and shall have the power to recall the original | 31 |
| award on
arbitration or decision on review, and issue in lieu | 32 |
| thereof such
corrected award or decision. Where such correction | 33 |
| is made the time for
review herein specified shall begin to run | 34 |
| from the date of
the receipt of the corrected award or |
|
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| decision.
| 2 |
| (1) Except in cases of claims against the State of | 3 |
| Illinois, in
which case the decision of the Commission | 4 |
| shall not be subject to
judicial review, the Circuit Court | 5 |
| of the county where any of the
parties defendant may be | 6 |
| found, or if none of the parties defendant be
found in this | 7 |
| State then the Circuit Court of the county where any of
the | 8 |
| exposure occurred, shall by summons to the Commission
have | 9 |
| power to review all questions of law and fact presented by | 10 |
| such
record.
| 11 |
| A proceeding for review shall be commenced within 20 | 12 |
| days of the
receipt of notice of the decision of the | 13 |
| Commission. The summons shall be
issued by the clerk of | 14 |
| such court upon written request returnable on a
designated | 15 |
| return day, not less than 10 or more than 60 days from the | 16 |
| date
of issuance thereof, and the written request shall | 17 |
| contain the last known
address of other parties in interest | 18 |
| and their attorneys of record who are
to be served by | 19 |
| summons. Service upon any member of the Commission or the
| 20 |
| Secretary or the Assistant Secretary thereof shall be | 21 |
| service upon the
Commission, and service upon other parties | 22 |
| in interest and their attorneys
of record shall be by | 23 |
| summons, and such service shall be made upon the
Commission | 24 |
| and other parties in interest by mailing notices of the
| 25 |
| commencement of the proceedings and the return day of the | 26 |
| summons to the
office of the Commission and to the last | 27 |
| known place of residence of
other parties in interest or | 28 |
| their attorney or attorneys of record. The
clerk of the | 29 |
| court issuing the summons shall on the day of issue mail | 30 |
| notice
of the commencement of the proceedings which shall | 31 |
| be done by mailing a
copy of the summons to the office of | 32 |
| the Commission, and a copy of the
summons to the other | 33 |
| parties in interest or their attorney or
attorneys of | 34 |
| record and the clerk of the court shall make certificate
|
|
|
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| that he has so sent such notices in pursuance of this | 2 |
| Section, which
shall be evidence of service on the | 3 |
| Commission and other parties in
interest.
| 4 |
| The Commission shall not be required to certify the | 5 |
| record of their
proceedings in the Circuit Court unless the | 6 |
| party commencing the
proceedings for review in the Circuit | 7 |
| Court as above provided, shall pay
to the Commission the | 8 |
| sum of 80 cents per page of testimony taken before
the | 9 |
| Commission, and 35 cents per page of all other matters | 10 |
| contained in
such record, except as otherwise provided by | 11 |
| Section 20 of this Act.
Payment for photostatic copies of | 12 |
| exhibit shall be extra. It shall be
the duty of the | 13 |
| Commission upon such payment, or failure to pay as
| 14 |
| permitted under Section 20 of this Act, to prepare a true | 15 |
| and correct
typewritten copy of such testimony and a true | 16 |
| and correct copy of all
other matters contained in such | 17 |
| record and certified to by the Secretary
or Assistant | 18 |
| Secretary thereof.
| 19 |
| In its decision on review the Commission shall | 20 |
| determine in each
particular case the amount of the | 21 |
| probable cost of the record to be
filed as a return to the | 22 |
| summons in that case and no request
for a summons may be | 23 |
| filed and no summons shall
issue unless the party seeking | 24 |
| to review the decision of the Commission
shall exhibit to | 25 |
| the clerk of the Circuit Court proof of payment by
filing a | 26 |
| receipt showing payment or an affidavit of the attorney | 27 |
| setting
forth that payment has been made of the sums so | 28 |
| determined to the Secretary
or Assistant Secretary of the | 29 |
| Commission.
| 30 |
| (2) No such summons shall issue unless the one against
| 31 |
| whom the Commission shall have rendered an award for the | 32 |
| payment of money
shall upon the filing of his written | 33 |
| request for such summons file with the
clerk of the court a | 34 |
| bond conditioned that if he shall not successfully
|
|
|
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| prosecute the review, he will pay the award and the costs | 2 |
| of the
proceedings in the court. The amount of the bond | 3 |
| shall be fixed by any
member of the Commission and the | 4 |
| surety or sureties of the bond shall be
approved by the | 5 |
| clerk of the court. The acceptance of the bond by the
clerk | 6 |
| of the court shall constitute evidence of his approval of | 7 |
| the
bond.
| 8 |
| Every county, city, town, township, incorporated | 9 |
| village, school
district, body politic or municipal | 10 |
| corporation having a population of
500,000 or more against | 11 |
| whom the Commission shall have rendered an award
for the | 12 |
| payment of money shall not be required to file a bond to | 13 |
| secure
the payment of the award and the costs of the | 14 |
| proceedings in the court
to authorize the court to issue | 15 |
| such summons.
| 16 |
| The court may confirm or set aside the decision of the | 17 |
| Commission. If
the decision is set aside and the facts | 18 |
| found in the proceedings before
the Commission are | 19 |
| sufficient, the court may enter such decision as is
| 20 |
| justified by law, or may remand the cause to the Commission | 21 |
| for further
proceedings and may state the questions | 22 |
| requiring further hearing, and
give such other | 23 |
| instructions as may be proper. Appeals shall be taken
to | 24 |
| the Industrial Commission Division of the Appellate Court | 25 |
| in accordance
with Supreme Court Rules 22(g) and 303. | 26 |
| Appeals shall be taken from the
Industrial Commission | 27 |
| Division of the Appellate Court to the Supreme Court
in | 28 |
| accordance with Supreme Court Rule 315.
| 29 |
| It shall be the duty of the clerk of any court | 30 |
| rendering a decision
affecting or affirming an award of the | 31 |
| Commission to promptly furnish
the Commission with a copy | 32 |
| of such decision, without charge.
| 33 |
| The decision of a majority of the members of the panel | 34 |
| of the Commission,
shall be considered the decision of the |
|
|
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| Commission.
| 2 |
| (g) Except in the case of a claim against the State of | 3 |
| Illinois,
either party may present a certified copy of the | 4 |
| award of the
Arbitrator, or a certified copy of the decision of | 5 |
| the Commission when
the same has become final, when no | 6 |
| proceedings for review are pending,
providing for the payment | 7 |
| of compensation according to this Act, to the
Circuit Court of | 8 |
| the county in which such exposure occurred or either of
the | 9 |
| parties are residents, whereupon the court shall enter a | 10 |
| judgment
in accordance therewith. In case where the employer | 11 |
| refuses to pay
compensation according to such final award or | 12 |
| such final decision upon
which such judgment is entered, the | 13 |
| court shall in entering judgment
thereon, tax as costs against | 14 |
| him the reasonable costs and attorney fees
in the arbitration | 15 |
| proceedings and in the court entering the judgment
for the | 16 |
| person in whose favor the judgment is entered, which judgment
| 17 |
| and costs taxed as herein provided shall, until and unless set | 18 |
| aside,
have the same effect as though duly entered in an action | 19 |
| duly tried and
determined by the court, and shall with like | 20 |
| effect, be entered and
docketed. The Circuit Court shall have | 21 |
| power at any time upon
application to make any such judgment | 22 |
| conform to any modification
required by any subsequent decision | 23 |
| of the Supreme Court upon appeal, or
as the result of any | 24 |
| subsequent proceedings for review, as provided in
this Act.
| 25 |
| Judgment shall not be entered until 15 days' notice of the | 26 |
| time and
place of the application for the entry of judgment | 27 |
| shall be served upon
the employer by filing such notice with | 28 |
| the Commission, which Commission
shall, in case it has on file | 29 |
| the address of the employer or the name
and address of its | 30 |
| agent upon whom notices may be served, immediately
send a copy | 31 |
| of the notice to the employer or such designated agent.
| 32 |
| (h) An agreement or award under this Act providing for | 33 |
| compensation
in installments, may at any time within 18 months | 34 |
| after such agreement
or award be reviewed by the Commission at |
|
|
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| the request of either the
employer or the employee on the | 2 |
| ground that the disability of the
employee has subsequently | 3 |
| recurred, increased, diminished or ended.
| 4 |
| However, as to disablements occurring subsequently to July | 5 |
| 1, 1955,
which are covered by any agreement or award under this | 6 |
| Act providing for
compensation in installments made as a result | 7 |
| of such disablement, such
agreement or award may at any time | 8 |
| within 30 months after such agreement
or award be reviewed by | 9 |
| the Commission at the request of either the
employer or the | 10 |
| employee on the ground that the disability of the
employee has | 11 |
| subsequently recurred, increased, diminished or ended.
| 12 |
| On such review compensation payments may be | 13 |
| re-established,
increased, diminished or ended. The Commission | 14 |
| shall give 15 days'
notice to the parties of the hearing for | 15 |
| review. Any employee, upon any
petition for such review being | 16 |
| filed by the employer, shall be entitled
to one day's notice | 17 |
| for each 100 miles necessary to be traveled by him in
attending | 18 |
| the hearing of the Commission upon the petition, and 3 days in
| 19 |
| addition thereto. Such employee shall, at the discretion of the
| 20 |
| Commission, also be entitled to 5 cents per mile necessarily | 21 |
| traveled by
him within the State of Illinois in attending such | 22 |
| hearing, not to
exceed a distance of 300 miles, to be taxed by | 23 |
| the Commission as costs
and deposited with the petition of the | 24 |
| employer.
| 25 |
| When compensation which is payable in accordance with an | 26 |
| award or
settlement contract approved by the Commission, is | 27 |
| ordered paid in a
lump sum by the Commission, no review shall | 28 |
| be had as in this paragraph
mentioned.
| 29 |
| (i) Each party, upon taking any proceedings or steps | 30 |
| whatsoever
before any Arbitrator, Commission or court,
shall | 31 |
| file with the Commission his address, or the name and address | 32 |
| of
any agent upon whom all notices to be given to such party | 33 |
| shall be
served, either personally or by registered mail, | 34 |
| addressed to such party
or agent at the last address so filed |
|
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| with the Commission. In the event
such party has not filed his | 2 |
| address, or the name and address of an
agent as above provided, | 3 |
| service of any notice may be had by filing such
notice with the | 4 |
| Commission.
| 5 |
| (j) Whenever in any proceeding testimony has been taken or | 6 |
| a final
decision has been rendered, and after the taking of | 7 |
| such testimony or
after such decision has become final, the | 8 |
| employee dies, then in any
subsequent proceeding brought by the | 9 |
| personal representative or
beneficiaries of the deceased | 10 |
| employee, such testimony in the former
proceeding may be | 11 |
| introduced with the same force and effect as though
the witness | 12 |
| having so testified were present in person in such
subsequent | 13 |
| proceedings and such final decision, if any, shall be taken
as | 14 |
| final adjudication of any of the issues which are the same in | 15 |
| both
proceedings.
| 16 |
| (k) In any case where there has been any unreasonable or | 17 |
| vexatious
delay of payment or intentional underpayment of | 18 |
| compensation, or
proceedings have been instituted or carried on | 19 |
| by one liable to pay the
compensation, which do not present a | 20 |
| real controversy, but are merely
frivolous or for delay, then | 21 |
| the Commission may award compensation
additional to that | 22 |
| otherwise payable under this Act equal to 50% of the
amount | 23 |
| payable at the time of such award. Failure to pay compensation | 24 |
| in
accordance with the provisions of Section 8, paragraph (b) | 25 |
| of this Act,
shall be considered unreasonable delay. When | 26 |
| determining whether this subsection (k) shall apply, the | 27 |
| Commission shall consider whether an arbitrator has determined | 28 |
| that the claim is not compensable or whether the employer has | 29 |
| made payments under Section 8(j) of the Workers' Compensation | 30 |
| Act.
| 31 |
| (k-1) If the employee has made demand for payment of | 32 |
| benefits under Section 8(a) or 8(b) of the Workers' | 33 |
| Compensation Act, the employer shall have 14 days after receipt | 34 |
| of the demand to set forth, in writing, the reason for the |
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| delay. Failure by the employer to respond shall give rise to a | 2 |
| rebuttable presumption of delay. If the employer or its | 3 |
| insurance carrier has failed, neglected,
refused, or
delayed | 4 |
| the payment of benefits under Section 8(a) or Section 8(b) of | 5 |
| the Workers' Compensation Act and the
Arbitrator or Commission | 6 |
| awards benefits under Section 8(a)
or 8(b) of the Workers' | 7 |
| Compensation Act, the employee shall receive additional | 8 |
| compensation in the sum of $30
per day for each day that the | 9 |
| benefits have been so withheld, refused, or
delayed, up to | 10 |
| $16,425, as well as the costs of litigation, including | 11 |
| attorney's fees.
| 12 |
| (l) 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 preceding | 15 |
| month and the amounts paid or reserved
on the claim including a | 16 |
| summary of the claim and a brief statement of the
reasons for | 17 |
| compensability. A cumulative report of all claims incurred
| 18 |
| during a calendar year or continued
from the previous year | 19 |
| 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, | 27 |
| reimburse
the employer for attorneys fee arising from the | 28 |
| challenge and for any payment
required of the employer to the | 29 |
| Rate Adjustment Fund or the Second Injury
Fund, and may not | 30 |
| effect the loss or expense for rate making purposes. The
| 31 |
| employee shall not be required to refund the challenged | 32 |
| payment. The
decision of the Commission may be reviewed in the | 33 |
| same
manner as in arbitrated cases. No challenge may be | 34 |
| initiated under this
paragraph more than 3 years after the |
|
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| payment is made. An employer may
waive the right of challenge | 2 |
| under this paragraph on a case by case basis.
| 3 |
| (m) After filing an application for adjustment of claim but | 4 |
| prior to
the hearing on arbitration the parties may voluntarily | 5 |
| agree to submit such
application for adjustment of claim for | 6 |
| decision by an arbitrator under
this subsection (m) where such | 7 |
| application for adjustment
of claim raises only a dispute over | 8 |
| temporary total disability, permanent
partial disability or | 9 |
| medical expenses. Such agreement shall be in writing
in such | 10 |
| form as provided by the Commission. Applications for adjustment | 11 |
| of
claim submitted for decision by an arbitrator under
this | 12 |
| subsection (m) shall proceed according
to rule as established | 13 |
| by the Commission. The Commission shall promulgate
rules | 14 |
| including, but not limited to, rules to ensure that the parties | 15 |
| are
adequately informed of their rights under this subsection | 16 |
| (m) and of the
voluntary nature of proceedings under this | 17 |
| subsection
(m). The findings of fact made by an arbitrator | 18 |
| acting within his or her
powers under this subsection (m) in | 19 |
| the absence of fraud shall be
conclusive. However, the | 20 |
| arbitrator may on his own motion, or the motion
of either | 21 |
| party, correct any clerical errors or errors in computation
| 22 |
| within 15 days after the date of receipt of such award of the | 23 |
| arbitrator
and shall have the power to recall the original | 24 |
| award on arbitration, and
issue in lieu thereof such corrected | 25 |
| award.
The decision of the arbitrator under this subsection (m) | 26 |
| shall be
considered the decision of the Commission and | 27 |
| proceedings for review of
questions of law arising from the | 28 |
| decision may be commenced by either party
pursuant to | 29 |
| subsection (f) of Section 19. The Advisory Board established
| 30 |
| under Section 13.1 of the Workers' Compensation Act shall | 31 |
| compile a list of
certified Commission arbitrators, each of | 32 |
| whom shall be approved by at least
7 members of the Advisory | 33 |
| Board. The chairman shall select 5 persons
from such list to | 34 |
| serve as arbitrators under this subsection (m). By
agreement, |
|
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| the parties shall select one arbitrator from among the 5 | 2 |
| persons
selected by the chairman except, that if the parties do | 3 |
| not agree on an
arbitrator from among the 5 persons, the | 4 |
| parties may, by agreement,
select an arbitrator of the American | 5 |
| Arbitration Association, whose fee
shall be paid by the State | 6 |
| in accordance with rules promulgated by the
Commission. | 7 |
| Arbitration under this subsection (m) shall be voluntary.
| 8 |
| (Source: P.A. 86-998; 87-435.)
|
|
9 |
| Section 95. Applicability. The amendatory changes to | 10 |
| subsections (a) and (b) of Section 8, Section 10, and | 11 |
| subsection (l) of Section 19 of the Workers' Compensation Act | 12 |
| and subsection (k-1) of Section 19 of the Workers' Occupational | 13 |
| Diseases Act apply to accidental injuries or diseases that | 14 |
| occur on or after January 1, 2005. |
|
15 |
| Section 98. Inseverability. The provisions of this Act are | 16 |
| mutually
dependent and inseverable. If any provision or its | 17 |
| application to any person
or circumstance is held invalid, then | 18 |
| this entire Act is invalid.
|
|
19 |
| Section 99. Effective date. This Act takes effect upon |
20 |
| becoming law.".
|