Illinois General Assembly - Full Text of HB6428
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Full Text of HB6428  99th General Assembly

HB6428 99TH GENERAL ASSEMBLY

  
  

 


 
99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
HB6428

 

Introduced , by Rep. Dwight Kay

 

SYNOPSIS AS INTRODUCED:
 
820 ILCS 305/1  from Ch. 48, par. 138.1
820 ILCS 305/8  from Ch. 48, par. 138.8
820 ILCS 305/8.1c new

    Provides that the Act may be referred to as the Public Employer and Non-Profit Employer Workers' Compensation Benefit Act. Sets forth findings and purposes. Amends the Workers' Compensation Act in relation to employees of public employers and non-profit employers. Provides that, to obtain compensation under the Act, an employee of a public employer or non-profit employer bears the burden of showing, by a preponderance of the credible evidence, that he or she has sustained accidental injuries arising out of and in the course of the employment and the accidental injuries arising out of and in the course of the employment are the major contributing cause of the medical condition or injury for which compensation is being sought. Provides that accidental injuries are not considered to be arising out of and in the course of employment under specified circumstances; adds provisions regarding certain injuries; provides that an injury, its occupational cause, and any resulting manifestations or disability must be established to a reasonable degree of medical certainty, based on objective relevant medical findings; and adds provisions regarding employees who are traveling or on a break. Provides for a reduction of an award by amounts an injured worker has previously received for prior injuries that resulted in permanency awards.


LRB099 21153 JLS 46464 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB6428LRB099 21153 JLS 46464 b

1    AN ACT concerning employment.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. This Act may be referred to as the Public
5Employer and Non-Profit Employer Workers' Compensation Benefit
6Act.
 
7    Section 5. Findings. The General Assembly finds and
8declares the following:
9        (1) workers' compensation and occupational diseases
10    benefits impacting State and local government and
11    non-profit entities must have balance between the
12    interests of the employee, employer, and taxpayer;
13        (2) Illinois' lack of economic recovery and slow growth
14    by the private sector has adversely impacted the ability of
15    State and local government and non-profit entities to
16    possess the revenues to meet the needs of taxpayers and
17    clients;
18        (3) high workers' compensation costs for State and
19    local government and non-profit entities are significantly
20    reducing resources that could be used to provide services
21    to taxpayers and clients; and
22        (4) the General Assembly and Governor must address the
23    high cost of workers' compensation to ensure that the

 

 

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1    State, local governments, and non-profits are better able
2    to provide the services taxpayers and the public expect.
 
3    Section 10. Purposes. The purposes of this Act are to:
4        (1) ensure that the cost of the workers' compensation
5    system are balanced between public employees, public
6    employers and taxpayers;
7        (2) ensure that the cost of the workers' compensation
8    system are balanced between non-profit employees,
9    non-profit employers, and client of non-profit entities;
10        (3) address excesses of the Illinois workers'
11    compensation benefit system for workers with injuries that
12    were sustained primarily outside of employment; and
13        (4) ensure that adequate and timely benefits are
14    provided to workers injured while in the course of
15    employment and while rising out of employment as provided
16    in the Workers' Compensation Act.
 
17    Section 15. The Workers' Compensation Act is amended by
18changing Sections 1 and 8 and by adding Section 8.1c as
19follows:
 
20    (820 ILCS 305/1)  (from Ch. 48, par. 138.1)
21    Sec. 1. This Act may be cited as the Workers' Compensation
22Act.
23    (a) The term "employer" as used in this Act means:

 

 

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1    1. The State and each county, city, town, township,
2incorporated village, school district, body politic, or
3municipal corporation therein.
4    2. Every person, firm, public or private corporation,
5including hospitals, public service, eleemosynary, religious
6or charitable corporations or associations who has any person
7in service or under any contract for hire, express or implied,
8oral or written, and who is engaged in any of the enterprises
9or businesses enumerated in Section 3 of this Act, or who at or
10prior to the time of the accident to the employee for which
11compensation under this Act may be claimed, has in the manner
12provided in this Act elected to become subject to the
13provisions of this Act, and who has not, prior to such
14accident, effected a withdrawal of such election in the manner
15provided in this Act.
16    3. Any one engaging in any business or enterprise referred
17to in subsections 1 and 2 of Section 3 of this Act who
18undertakes to do any work enumerated therein, is liable to pay
19compensation to his own immediate employees in accordance with
20the provisions of this Act, and in addition thereto if he
21directly or indirectly engages any contractor whether
22principal or sub-contractor to do any such work, he is liable
23to pay compensation to the employees of any such contractor or
24sub-contractor unless such contractor or sub-contractor has
25insured, in any company or association authorized under the
26laws of this State to insure the liability to pay compensation

 

 

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1under this Act, or guaranteed his liability to pay such
2compensation. With respect to any time limitation on the filing
3of claims provided by this Act, the timely filing of a claim
4against a contractor or subcontractor, as the case may be,
5shall be deemed to be a timely filing with respect to all
6persons upon whom liability is imposed by this paragraph.
7    In the event any such person pays compensation under this
8subsection he may recover the amount thereof from the
9contractor or sub-contractor, if any, and in the event the
10contractor pays compensation under this subsection he may
11recover the amount thereof from the sub-contractor, if any.
12    This subsection does not apply in any case where the
13accident occurs elsewhere than on, in or about the immediate
14premises on which the principal has contracted that the work be
15done.
16    4. Where an employer operating under and subject to the
17provisions of this Act loans an employee to another such
18employer and such loaned employee sustains a compensable
19accidental injury in the employment of such borrowing employer
20and where such borrowing employer does not provide or pay the
21benefits or payments due such injured employee, such loaning
22employer is liable to provide or pay all benefits or payments
23due such employee under this Act and as to such employee the
24liability of such loaning and borrowing employers is joint and
25several, provided that such loaning employer is in the absence
26of agreement to the contrary entitled to receive from such

 

 

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1borrowing employer full reimbursement for all sums paid or
2incurred pursuant to this paragraph together with reasonable
3attorneys' fees and expenses in any hearings before the
4Illinois Workers' Compensation Commission or in any action to
5secure such reimbursement. Where any benefit is provided or
6paid by such loaning employer the employee has the duty of
7rendering reasonable cooperation in any hearings, trials or
8proceedings in the case, including such proceedings for
9reimbursement.
10    Where an employee files an Application for Adjustment of
11Claim with the Illinois Workers' Compensation Commission
12alleging that his claim is covered by the provisions of the
13preceding paragraph, and joining both the alleged loaning and
14borrowing employers, they and each of them, upon written demand
15by the employee and within 7 days after receipt of such demand,
16shall have the duty of filing with the Illinois Workers'
17Compensation Commission a written admission or denial of the
18allegation that the claim is covered by the provisions of the
19preceding paragraph and in default of such filing or if any
20such denial be ultimately determined not to have been bona fide
21then the provisions of Paragraph K of Section 19 of this Act
22shall apply.
23    An employer whose business or enterprise or a substantial
24part thereof consists of hiring, procuring or furnishing
25employees to or for other employers operating under and subject
26to the provisions of this Act for the performance of the work

 

 

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1of such other employers and who pays such employees their
2salary or wages notwithstanding that they are doing the work of
3such other employers shall be deemed a loaning employer within
4the meaning and provisions of this Section.
5    (a-1) "Public employer" means: the State of Illinois; any
6political subdivision of the State, unit of local government,
7or school district; or an authority including a department,
8division, bureau, board, commission, or other agency of the
9foregoing entities.
10    (a-2) "Non-profit employer" means any entity organized
11under the General Not For Profit Corporation Act of 1986.
12    (b) The term "employee" as used in this Act means:
13    1. Every person in the service of the State, including
14members of the General Assembly, members of the Commerce
15Commission, members of the Illinois Workers' Compensation
16Commission, and all persons in the service of the University of
17Illinois, county, including deputy sheriffs and assistant
18state's attorneys, city, town, township, incorporated village
19or school district, body politic, or municipal corporation
20therein, whether by election, under appointment or contract of
21hire, express or implied, oral or written, including all
22members of the Illinois National Guard while on active duty in
23the service of the State, and all probation personnel of the
24Juvenile Court appointed pursuant to Article VI of the Juvenile
25Court Act of 1987, and including any official of the State, any
26county, city, town, township, incorporated village, school

 

 

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1district, body politic or municipal corporation therein except
2any duly appointed member of a police department in any city
3whose population exceeds 500,000 according to the last Federal
4or State census, and except any member of a fire insurance
5patrol maintained by a board of underwriters in this State. A
6duly appointed member of a fire department in any city, the
7population of which exceeds 500,000 according to the last
8federal or State census, is an employee under this Act only
9with respect to claims brought under paragraph (c) of Section
108.
11    One employed by a contractor who has contracted with the
12State, or a county, city, town, township, incorporated village,
13school district, body politic or municipal corporation
14therein, through its representatives, is not considered as an
15employee of the State, county, city, town, township,
16incorporated village, school district, body politic or
17municipal corporation which made the contract.
18    2. Every person in the service of another under any
19contract of hire, express or implied, oral or written,
20including persons whose employment is outside of the State of
21Illinois where the contract of hire is made within the State of
22Illinois, persons whose employment results in fatal or
23non-fatal injuries within the State of Illinois where the
24contract of hire is made outside of the State of Illinois, and
25persons whose employment is principally localized within the
26State of Illinois, regardless of the place of the accident or

 

 

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1the place where the contract of hire was made, and including
2aliens, and minors who, for the purpose of this Act are
3considered the same and have the same power to contract,
4receive payments and give quittances therefor, as adult
5employees.
6    3. Every sole proprietor and every partner of a business
7may elect to be covered by this Act.
8    An employee or his dependents under this Act who shall have
9a cause of action by reason of any injury, disablement or death
10arising out of and in the course of his employment may elect to
11pursue his remedy in the State where injured or disabled, or in
12the State where the contract of hire is made, or in the State
13where the employment is principally localized.
14    However, any employer may elect to provide and pay
15compensation to any employee other than those engaged in the
16usual course of the trade, business, profession or occupation
17of the employer by complying with Sections 2 and 4 of this Act.
18Employees are not included within the provisions of this Act
19when excluded by the laws of the United States relating to
20liability of employers to their employees for personal injuries
21where such laws are held to be exclusive.
22    The term "employee" does not include persons performing
23services as real estate broker, broker-salesman, or salesman
24when such persons are paid by commission only.
25    (c) "Commission" means the Industrial Commission created
26by Section 5 of "The Civil Administrative Code of Illinois",

 

 

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1approved March 7, 1917, as amended, or the Illinois Workers'
2Compensation Commission created by Section 13 of this Act.
3    (d) To obtain compensation under this Act, an employee
4bears the burden of showing, by a preponderance of the
5evidence, that he or she has sustained accidental injuries
6arising out of and in the course of the employment.
7(Source: P.A. 97-18, eff. 6-28-11; 97-268, eff. 8-8-11; 97-813,
8eff. 7-13-12.)
 
9    (820 ILCS 305/8)  (from Ch. 48, par. 138.8)
10    Sec. 8. The amount of compensation which shall be paid to
11the employee for an accidental injury not resulting in death
12is:
13    (a) The employer shall provide and pay the negotiated rate,
14if applicable, or the lesser of the health care provider's
15actual charges or according to a fee schedule, subject to
16Section 8.2, in effect at the time the service was rendered for
17all the necessary first aid, medical and surgical services, and
18all necessary medical, surgical and hospital services
19thereafter incurred, limited, however, to that which is
20reasonably required to cure or relieve from the effects of the
21accidental injury, even if a health care provider sells,
22transfers, or otherwise assigns an account receivable for
23procedures, treatments, or services covered under this Act. If
24the employer does not dispute payment of first aid, medical,
25surgical, and hospital services, the employer shall make such

 

 

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1payment to the provider on behalf of the employee. The employer
2shall also pay for treatment, instruction and training
3necessary for the physical, mental and vocational
4rehabilitation of the employee, including all maintenance
5costs and expenses incidental thereto. If as a result of the
6injury the employee is unable to be self-sufficient the
7employer shall further pay for such maintenance or
8institutional care as shall be required.
9    The employee may at any time elect to secure his own
10physician, surgeon and hospital services at the employer's
11expense, or,
12    Upon agreement between the employer and the employees, or
13the employees' exclusive representative, and subject to the
14approval of the Illinois Workers' Compensation Commission, the
15employer shall maintain a list of physicians, to be known as a
16Panel of Physicians, who are accessible to the employees. The
17employer shall post this list in a place or places easily
18accessible to his employees. The employee shall have the right
19to make an alternative choice of physician from such Panel if
20he is not satisfied with the physician first selected. If, due
21to the nature of the injury or its occurrence away from the
22employer's place of business, the employee is unable to make a
23selection from the Panel, the selection process from the Panel
24shall not apply. The physician selected from the Panel may
25arrange for any consultation, referral or other specialized
26medical services outside the Panel at the employer's expense.

 

 

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1Provided that, in the event the Commission shall find that a
2doctor selected by the employee is rendering improper or
3inadequate care, the Commission may order the employee to
4select another doctor certified or qualified in the medical
5field for which treatment is required. If the employee refuses
6to make such change the Commission may relieve the employer of
7his obligation to pay the doctor's charges from the date of
8refusal to the date of compliance.
9    Any vocational rehabilitation counselors who provide
10service under this Act shall have appropriate certifications
11which designate the counselor as qualified to render opinions
12relating to vocational rehabilitation. Vocational
13rehabilitation may include, but is not limited to, counseling
14for job searches, supervising a job search program, and
15vocational retraining including education at an accredited
16learning institution. The employee or employer may petition to
17the Commission to decide disputes relating to vocational
18rehabilitation and the Commission shall resolve any such
19dispute, including payment of the vocational rehabilitation
20program by the employer.
21    The maintenance benefit shall not be less than the
22temporary total disability rate determined for the employee. In
23addition, maintenance shall include costs and expenses
24incidental to the vocational rehabilitation program.
25    When the employee is working light duty on a part-time
26basis or full-time basis and earns less than he or she would be

 

 

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1earning if employed in the full capacity of the job or jobs,
2then the employee shall be entitled to temporary partial
3disability benefits. Temporary partial disability benefits
4shall be equal to two-thirds of the difference between the
5average amount that the employee would be able to earn in the
6full performance of his or her duties in the occupation in
7which he or she was engaged at the time of accident and the
8gross amount which he or she is earning in the modified job
9provided to the employee by the employer or in any other job
10that the employee is working.
11    Every hospital, physician, surgeon or other person
12rendering treatment or services in accordance with the
13provisions of this Section shall upon written request furnish
14full and complete reports thereof to, and permit their records
15to be copied by, the employer, the employee or his dependents,
16as the case may be, or any other party to any proceeding for
17compensation before the Commission, or their attorneys.
18    Notwithstanding the foregoing, the employer's liability to
19pay for such medical services selected by the employee shall be
20limited to:
21        (1) all first aid and emergency treatment; plus
22        (2) all medical, surgical and hospital services
23    provided by the physician, surgeon or hospital initially
24    chosen by the employee or by any other physician,
25    consultant, expert, institution or other provider of
26    services recommended by said initial service provider or

 

 

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1    any subsequent provider of medical services in the chain of
2    referrals from said initial service provider; plus
3        (3) all medical, surgical and hospital services
4    provided by any second physician, surgeon or hospital
5    subsequently chosen by the employee or by any other
6    physician, consultant, expert, institution or other
7    provider of services recommended by said second service
8    provider or any subsequent provider of medical services in
9    the chain of referrals from said second service provider.
10    Thereafter the employer shall select and pay for all
11    necessary medical, surgical and hospital treatment and the
12    employee may not select a provider of medical services at
13    the employer's expense unless the employer agrees to such
14    selection. At any time the employee may obtain any medical
15    treatment he desires at his own expense. This paragraph
16    shall not affect the duty to pay for rehabilitation
17    referred to above.
18        (4) The following shall apply for injuries occurring on
19    or after June 28, 2011 (the effective date of Public Act
20    97-18) and only when an employer has an approved preferred
21    provider program pursuant to Section 8.1a on the date the
22    employee sustained his or her accidental injuries:
23            (A) The employer shall, in writing, on a form
24        promulgated by the Commission, inform the employee of
25        the preferred provider program;
26            (B) Subsequent to the report of an injury by an

 

 

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1        employee, the employee may choose in writing at any
2        time to decline the preferred provider program, in
3        which case that would constitute one of the two choices
4        of medical providers to which the employee is entitled
5        under subsection (a)(2) or (a)(3); and
6            (C) Prior to the report of an injury by an
7        employee, when an employee chooses non-emergency
8        treatment from a provider not within the preferred
9        provider program, that would constitute the employee's
10        one choice of medical providers to which the employee
11        is entitled under subsection (a)(2) or (a)(3).
12    When an employer and employee so agree in writing, nothing
13in this Act prevents an employee whose injury or disability has
14been established under this Act, from relying in good faith, on
15treatment by prayer or spiritual means alone, in accordance
16with the tenets and practice of a recognized church or
17religious denomination, by a duly accredited practitioner
18thereof, and having nursing services appropriate therewith,
19without suffering loss or diminution of the compensation
20benefits under this Act. However, the employee shall submit to
21all physical examinations required by this Act. The cost of
22such treatment and nursing care shall be paid by the employee
23unless the employer agrees to make such payment.
24    Where the accidental injury results in the amputation of an
25arm, hand, leg or foot, or the enucleation of an eye, or the
26loss of any of the natural teeth, the employer shall furnish an

 

 

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1artificial of any such members lost or damaged in accidental
2injury arising out of and in the course of employment, and
3shall also furnish the necessary braces in all proper and
4necessary cases. In cases of the loss of a member or members by
5amputation, the employer shall, whenever necessary, maintain
6in good repair, refit or replace the artificial limbs during
7the lifetime of the employee. Where the accidental injury
8accompanied by physical injury results in damage to a denture,
9eye glasses or contact eye lenses, or where the accidental
10injury results in damage to an artificial member, the employer
11shall replace or repair such denture, glasses, lenses, or
12artificial member.
13    The furnishing by the employer of any such services or
14appliances is not an admission of liability on the part of the
15employer to pay compensation.
16    The furnishing of any such services or appliances or the
17servicing thereof by the employer is not the payment of
18compensation.
19    (b) If the period of temporary total incapacity for work
20lasts more than 3 working days, weekly compensation as
21hereinafter provided shall be paid beginning on the 4th day of
22such temporary total incapacity and continuing as long as the
23total temporary incapacity lasts. In cases where the temporary
24total incapacity for work continues for a period of 14 days or
25more from the day of the accident compensation shall commence
26on the day after the accident.

 

 

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1        1. The compensation rate for temporary total
2    incapacity under this paragraph (b) of this Section shall
3    be equal to 66 2/3% of the employee's average weekly wage
4    computed in accordance with Section 10, provided that it
5    shall be not less than 66 2/3% of the sum of the Federal
6    minimum wage under the Fair Labor Standards Act, or the
7    Illinois minimum wage under the Minimum Wage Law, whichever
8    is more, multiplied by 40 hours. This percentage rate shall
9    be increased by 10% for each spouse and child, not to
10    exceed 100% of the total minimum wage calculation, nor
11    exceed the employee's average weekly wage computed in
12    accordance with the provisions of Section 10, whichever is
13    less.
14        2. The compensation rate in all cases other than for
15    temporary total disability under this paragraph (b), and
16    other than for serious and permanent disfigurement under
17    paragraph (c) and other than for permanent partial
18    disability under subparagraph (2) of paragraph (d) or under
19    paragraph (e), of this Section shall be equal to 66 2/3% of
20    the employee's average weekly wage computed in accordance
21    with the provisions of Section 10, provided that it shall
22    be not less than 66 2/3% of the sum of the Federal minimum
23    wage under the Fair Labor Standards Act, or the Illinois
24    minimum wage under the Minimum Wage Law, whichever is more,
25    multiplied by 40 hours. This percentage rate shall be
26    increased by 10% for each spouse and child, not to exceed

 

 

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1    100% of the total minimum wage calculation, nor exceed the
2    employee's average weekly wage computed in accordance with
3    the provisions of Section 10, whichever is less.
4        2.1. The compensation rate in all cases of serious and
5    permanent disfigurement under paragraph (c) and of
6    permanent partial disability under subparagraph (2) of
7    paragraph (d) or under paragraph (e) of this Section shall
8    be equal to 60% of the employee's average weekly wage
9    computed in accordance with the provisions of Section 10,
10    provided that it shall be not less than 66 2/3% of the sum
11    of the Federal minimum wage under the Fair Labor Standards
12    Act, or the Illinois minimum wage under the Minimum Wage
13    Law, whichever is more, multiplied by 40 hours. This
14    percentage rate shall be increased by 10% for each spouse
15    and child, not to exceed 100% of the total minimum wage
16    calculation, nor exceed the employee's average weekly wage
17    computed in accordance with the provisions of Section 10,
18    whichever is less.
19        3. As used in this Section the term "child" means a
20    child of the employee including any child legally adopted
21    before the accident or whom at the time of the accident the
22    employee was under legal obligation to support or to whom
23    the employee stood in loco parentis, and who at the time of
24    the accident was under 18 years of age and not emancipated.
25    The term "children" means the plural of "child".
26        4. All weekly compensation rates provided under

 

 

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1    subparagraphs 1, 2 and 2.1 of this paragraph (b) of this
2    Section shall be subject to the following limitations:
3        The maximum weekly compensation rate from July 1, 1975,
4    except as hereinafter provided, shall be 100% of the
5    State's average weekly wage in covered industries under the
6    Unemployment Insurance Act, that being the wage that most
7    closely approximates the State's average weekly wage.
8        The maximum weekly compensation rate, for the period
9    July 1, 1984, through June 30, 1987, except as hereinafter
10    provided, shall be $293.61. Effective July 1, 1987 and on
11    July 1 of each year thereafter the maximum weekly
12    compensation rate, except as hereinafter provided, shall
13    be determined as follows: if during the preceding 12 month
14    period there shall have been an increase in the State's
15    average weekly wage in covered industries under the
16    Unemployment Insurance Act, the weekly compensation rate
17    shall be proportionately increased by the same percentage
18    as the percentage of increase in the State's average weekly
19    wage in covered industries under the Unemployment
20    Insurance Act during such period.
21        The maximum weekly compensation rate, for the period
22    January 1, 1981 through December 31, 1983, except as
23    hereinafter provided, shall be 100% of the State's average
24    weekly wage in covered industries under the Unemployment
25    Insurance Act in effect on January 1, 1981. Effective
26    January 1, 1984 and on January 1, of each year thereafter

 

 

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1    the maximum weekly compensation rate, except as
2    hereinafter provided, shall be determined as follows: if
3    during the preceding 12 month period there shall have been
4    an increase in the State's average weekly wage in covered
5    industries under the Unemployment Insurance Act, the
6    weekly compensation rate shall be proportionately
7    increased by the same percentage as the percentage of
8    increase in the State's average weekly wage in covered
9    industries under the Unemployment Insurance Act during
10    such period.
11        From July 1, 1977 and thereafter such maximum weekly
12    compensation rate in death cases under Section 7, and
13    permanent total disability cases under paragraph (f) or
14    subparagraph 18 of paragraph (3) of this Section and for
15    temporary total disability under paragraph (b) of this
16    Section and for amputation of a member or enucleation of an
17    eye under paragraph (e) of this Section shall be increased
18    to 133-1/3% of the State's average weekly wage in covered
19    industries under the Unemployment Insurance Act.
20        For injuries occurring on or after February 1, 2006,
21    the maximum weekly benefit under paragraph (d)1 of this
22    Section shall be 100% of the State's average weekly wage in
23    covered industries under the Unemployment Insurance Act.
24        4.1. Any provision herein to the contrary
25    notwithstanding, the weekly compensation rate for
26    compensation payments under subparagraph 18 of paragraph

 

 

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1    (e) of this Section and under paragraph (f) of this Section
2    and under paragraph (a) of Section 7 and for amputation of
3    a member or enucleation of an eye under paragraph (e) of
4    this Section, shall in no event be less than 50% of the
5    State's average weekly wage in covered industries under the
6    Unemployment Insurance Act.
7        4.2. Any provision to the contrary notwithstanding,
8    the total compensation payable under Section 7 shall not
9    exceed the greater of $500,000 or 25 years.
10        5. For the purpose of this Section this State's average
11    weekly wage in covered industries under the Unemployment
12    Insurance Act on July 1, 1975 is hereby fixed at $228.16
13    per week and the computation of compensation rates shall be
14    based on the aforesaid average weekly wage until modified
15    as hereinafter provided.
16        6. The Department of Employment Security of the State
17    shall on or before the first day of December, 1977, and on
18    or before the first day of June, 1978, and on the first day
19    of each December and June of each year thereafter, publish
20    the State's average weekly wage in covered industries under
21    the Unemployment Insurance Act and the Illinois Workers'
22    Compensation Commission shall on the 15th day of January,
23    1978 and on the 15th day of July, 1978 and on the 15th day
24    of each January and July of each year thereafter, post and
25    publish the State's average weekly wage in covered
26    industries under the Unemployment Insurance Act as last

 

 

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1    determined and published by the Department of Employment
2    Security. The amount when so posted and published shall be
3    conclusive and shall be applicable as the basis of
4    computation of compensation rates until the next posting
5    and publication as aforesaid.
6        7. The payment of compensation by an employer or his
7    insurance carrier to an injured employee shall not
8    constitute an admission of the employer's liability to pay
9    compensation.
10    (c) For any serious and permanent disfigurement to the
11hand, head, face, neck, arm, leg below the knee or the chest
12above the axillary line, the employee is entitled to
13compensation for such disfigurement, the amount determined by
14agreement at any time or by arbitration under this Act, at a
15hearing not less than 6 months after the date of the accidental
16injury, which amount shall not exceed 150 weeks (if the
17accidental injury occurs on or after the effective date of this
18amendatory Act of the 94th General Assembly but before February
191, 2006) or 162 weeks (if the accidental injury occurs on or
20after February 1, 2006) at the applicable rate provided in
21subparagraph 2.1 of paragraph (b) of this Section.
22    No compensation is payable under this paragraph where
23compensation is payable under paragraphs (d), (e) or (f) of
24this Section.
25    A duly appointed member of a fire department in a city, the
26population of which exceeds 500,000 according to the last

 

 

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1federal or State census, is eligible for compensation under
2this paragraph only where such serious and permanent
3disfigurement results from burns.
4    (d) 1. If, after the accidental injury has been sustained,
5the employee as a result thereof becomes partially
6incapacitated from pursuing his usual and customary line of
7employment, he shall, except in cases compensated under the
8specific schedule set forth in paragraph (e) of this Section,
9receive compensation for the duration of his disability,
10subject to the limitations as to maximum amounts fixed in
11paragraph (b) of this Section, equal to 66-2/3% of the
12difference between the average amount which he would be able to
13earn in the full performance of his duties in the occupation in
14which he was engaged at the time of the accident and the
15average amount which he is earning or is able to earn in some
16suitable employment or business after the accident. For
17accidental injuries that occur on or after September 1, 2011,
18an award for wage differential under this subsection shall be
19effective only until the employee reaches the age of 67 or 5
20years from the date the award becomes final, whichever is
21later.
22    2. If, as a result of the accident, the employee sustains
23serious and permanent injuries not covered by paragraphs (c)
24and (e) of this Section or having sustained injuries covered by
25the aforesaid paragraphs (c) and (e), he shall have sustained
26in addition thereto other injuries which injuries do not

 

 

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1incapacitate him from pursuing the duties of his employment but
2which would disable him from pursuing other suitable
3occupations, or which have otherwise resulted in physical
4impairment; or if such injuries partially incapacitate him from
5pursuing the duties of his usual and customary line of
6employment but do not result in an impairment of earning
7capacity, or having resulted in an impairment of earning
8capacity, the employee elects to waive his right to recover
9under the foregoing subparagraph 1 of paragraph (d) of this
10Section then in any of the foregoing events, he shall receive
11in addition to compensation for temporary total disability
12under paragraph (b) of this Section, compensation at the rate
13provided in subparagraph 2.1 of paragraph (b) of this Section
14for that percentage of 500 weeks that the partial disability
15resulting from the injuries covered by this paragraph bears to
16total disability. If the employee shall have sustained a
17fracture of one or more vertebra or fracture of the skull, the
18amount of compensation allowed under this Section shall be not
19less than 6 weeks for a fractured skull and 6 weeks for each
20fractured vertebra, and in the event the employee shall have
21sustained a fracture of any of the following facial bones:
22nasal, lachrymal, vomer, zygoma, maxilla, palatine or
23mandible, the amount of compensation allowed under this Section
24shall be not less than 2 weeks for each such fractured bone,
25and for a fracture of each transverse process not less than 3
26weeks. In the event such injuries shall result in the loss of a

 

 

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1kidney, spleen or lung, the amount of compensation allowed
2under this Section shall be not less than 10 weeks for each
3such organ. Compensation awarded under this subparagraph 2
4shall not take into consideration injuries covered under
5paragraphs (c) and (e) of this Section and the compensation
6provided in this paragraph shall not affect the employee's
7right to compensation payable under paragraphs (b), (c) and (e)
8of this Section for the disabilities therein covered.
9    In computing the compensation to be paid to any employee of
10a public employer or non-profit employer who, before the
11accident for which he or she claims compensation, had sustained
12an injury resulting in an award or settlement for permanency
13given under paragraph 2 of paragraph (d) of this Section, such
14award shall be deducted from any award made for the subsequent
15injury resulting in an award or settlement for permanency given
16under paragraph 2 of paragraph (d) of this Section.
17    (d-1)(1) To obtain compensation under this Act, an employee
18of a public employer or non-profit employer bears the burden of
19showing, by a preponderance of the credible evidence, that (i)
20he or she has sustained accidental injuries arising out of and
21in the course of the employment and (ii) the accidental
22injuries arising out of and in the course of the employment are
23the major contributing cause of the medical condition or injury
24for which compensation is being sought. The major contributing
25cause of a medical condition or injury is the cause that is
26greater than 50% of all combined causes of the medical

 

 

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1condition or injury.
2    Accidental injuries shall not be considered to be arising
3out of and in the course of employment if, without limitation:
4(A) the accident resulted from a hazard or risk that was not
5incidental to the employment or the accident resulted from a
6hazard or risk to which the general public is also exposed; (B)
7the accident did not occur at a time and place and under
8circumstances reasonably required by the employment; or (C) the
9medical condition or injury for which compensation is being
10sought resulted from a personal or neutral risk.
11    (2) For the purposes of clause (ii) of paragraph (1) only,
12if an employee has suffered cumulative or repetitive accidental
13injuries while employed in the same occupation or industry by
14multiple employers over time, the accidental injuries arising
15out of and in the course of the employment shall be considered
16to be the major contributing cause of the medical condition or
17injury for which compensation is being sought if those
18cumulative or repetitive accidental injuries suffered during
19employment in that occupation or industry are greater than 50%
20of all combined causes of the medical condition or injury. In
21that circumstance, the employer liable for compensation under
22this Act shall be the most recent current or former employer
23who has employed the employee for at least 3 months.
24    (3) An injury, its occupational cause, and any resulting
25manifestations or disability must be established to a
26reasonable degree of medical certainty, based on objective,

 

 

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1relevant medical findings.
2    An employee of a public employer or non-profit employer who
3is required to travel in connection with his or her employment
4and who suffers an injury while in travel status is eligible
5for benefits only if the injury arises out of and in the course
6of employment and the travel is necessary for the performance
7of job duties. Travel is necessary for the performance of job
8duties if: (i) the employer furnishes the transportation or the
9employee receives reimbursement from the employer for costs of
10travel, gas, or lodging as part of the employee's benefits or
11employment agreement; and (ii) travel is required by the
12employer as part of the employee's job duties.
13    An injury suffered by a traveling employee is deemed to
14arise out of his or her employment if caused by a risk
15incidental to or connected with the employment. Risk is not to
16be determined by a reasonable and foreseeable standard.
17    "Arising in and out of the course of employment" does not
18include travel to and from work or when an employee is on a
19paid or unpaid break and is not performing any specific tasks
20for the employer during the break. Common risks associated with
21travel, even where the traveling employee is exposed to a
22greater degree than the general public, do not arise out of the
23employment.
24    (e) For accidental injuries in the following schedule, the
25employee shall receive compensation for the period of temporary
26total incapacity for work resulting from such accidental

 

 

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1injury, under subparagraph 1 of paragraph (b) of this Section,
2and shall receive in addition thereto compensation for a
3further period for the specific loss herein mentioned, but
4shall not receive any compensation under any other provisions
5of this Act. The following listed amounts apply to either the
6loss of or the permanent and complete loss of use of the member
7specified, such compensation for the length of time as follows:
8        1. Thumb-
9            70 weeks if the accidental injury occurs on or
10        after the effective date of this amendatory Act of the
11        94th General Assembly but before February 1, 2006.
12            76 weeks if the accidental injury occurs on or
13        after February 1, 2006.
14        2. First, or index finger-
15            40 weeks if the accidental injury occurs on or
16        after the effective date of this amendatory Act of the
17        94th General Assembly but before February 1, 2006.
18            43 weeks if the accidental injury occurs on or
19        after February 1, 2006.
20        3. Second, or middle finger-
21            35 weeks if the accidental injury occurs on or
22        after the effective date of this amendatory Act of the
23        94th General Assembly but before February 1, 2006.
24            38 weeks if the accidental injury occurs on or
25        after February 1, 2006.
26        4. Third, or ring finger-

 

 

HB6428- 28 -LRB099 21153 JLS 46464 b

1            25 weeks if the accidental injury occurs on or
2        after the effective date of this amendatory Act of the
3        94th General Assembly but before February 1, 2006.
4            27 weeks if the accidental injury occurs on or
5        after February 1, 2006.
6        5. Fourth, or little finger-
7            20 weeks if the accidental injury occurs on or
8        after the effective date of this amendatory Act of the
9        94th General Assembly but before February 1, 2006.
10            22 weeks if the accidental injury occurs on or
11        after February 1, 2006.
12        6. Great toe-
13            35 weeks if the accidental injury occurs on or
14        after the effective date of this amendatory Act of the
15        94th General Assembly but before February 1, 2006.
16            38 weeks if the accidental injury occurs on or
17        after February 1, 2006.
18        7. Each toe other than great toe-
19            12 weeks if the accidental injury occurs on or
20        after the effective date of this amendatory Act of the
21        94th General Assembly but before February 1, 2006.
22            13 weeks if the accidental injury occurs on or
23        after February 1, 2006.
24        8. The loss of the first or distal phalanx of the thumb
25    or of any finger or toe shall be considered to be equal to
26    the loss of one-half of such thumb, finger or toe and the

 

 

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1    compensation payable shall be one-half of the amount above
2    specified. The loss of more than one phalanx shall be
3    considered as the loss of the entire thumb, finger or toe.
4    In no case shall the amount received for more than one
5    finger exceed the amount provided in this schedule for the
6    loss of a hand.
7        9. Hand-
8            190 weeks if the accidental injury occurs on or
9        after the effective date of this amendatory Act of the
10        94th General Assembly but before February 1, 2006.
11            205 weeks if the accidental injury occurs on or
12        after February 1, 2006.
13            190 weeks if the accidental injury occurs on or
14        after June 28, 2011 (the effective date of Public Act
15        97-18) and if the accidental injury involves carpal
16        tunnel syndrome due to repetitive or cumulative
17        trauma, in which case the permanent partial disability
18        shall not exceed 15% loss of use of the hand, except
19        for cause shown by clear and convincing evidence and in
20        which case the award shall not exceed 30% loss of use
21        of the hand.
22        The loss of 2 or more digits, or one or more phalanges
23    of 2 or more digits, of a hand may be compensated on the
24    basis of partial loss of use of a hand, provided, further,
25    that the loss of 4 digits, or the loss of use of 4 digits,
26    in the same hand shall constitute the complete loss of a

 

 

HB6428- 30 -LRB099 21153 JLS 46464 b

1    hand.
2        10. Arm-
3            235 weeks if the accidental injury occurs on or
4        after the effective date of this amendatory Act of the
5        94th General Assembly but before February 1, 2006.
6            253 weeks if the accidental injury occurs on or
7        after February 1, 2006.
8        Where an accidental injury results in the amputation of
9    an arm below the elbow, such injury shall be compensated as
10    a loss of an arm. Where an accidental injury results in the
11    amputation of an arm above the elbow, compensation for an
12    additional 15 weeks (if the accidental injury occurs on or
13    after the effective date of this amendatory Act of the 94th
14    General Assembly but before February 1, 2006) or an
15    additional 17 weeks (if the accidental injury occurs on or
16    after February 1, 2006) shall be paid, except where the
17    accidental injury results in the amputation of an arm at
18    the shoulder joint, or so close to shoulder joint that an
19    artificial arm cannot be used, or results in the
20    disarticulation of an arm at the shoulder joint, in which
21    case compensation for an additional 65 weeks (if the
22    accidental injury occurs on or after the effective date of
23    this amendatory Act of the 94th General Assembly but before
24    February 1, 2006) or an additional 70 weeks (if the
25    accidental injury occurs on or after February 1, 2006)
26    shall be paid.

 

 

HB6428- 31 -LRB099 21153 JLS 46464 b

1        11. Foot-
2            155 weeks if the accidental injury occurs on or
3        after the effective date of this amendatory Act of the
4        94th General Assembly but before February 1, 2006.
5            167 weeks if the accidental injury occurs on or
6        after February 1, 2006.
7        12. Leg-
8            200 weeks if the accidental injury occurs on or
9        after the effective date of this amendatory Act of the
10        94th General Assembly but before February 1, 2006.
11            215 weeks if the accidental injury occurs on or
12        after February 1, 2006.
13        Where an accidental injury results in the amputation of
14    a leg below the knee, such injury shall be compensated as
15    loss of a leg. Where an accidental injury results in the
16    amputation of a leg above the knee, compensation for an
17    additional 25 weeks (if the accidental injury occurs on or
18    after the effective date of this amendatory Act of the 94th
19    General Assembly but before February 1, 2006) or an
20    additional 27 weeks (if the accidental injury occurs on or
21    after February 1, 2006) shall be paid, except where the
22    accidental injury results in the amputation of a leg at the
23    hip joint, or so close to the hip joint that an artificial
24    leg cannot be used, or results in the disarticulation of a
25    leg at the hip joint, in which case compensation for an
26    additional 75 weeks (if the accidental injury occurs on or

 

 

HB6428- 32 -LRB099 21153 JLS 46464 b

1    after the effective date of this amendatory Act of the 94th
2    General Assembly but before February 1, 2006) or an
3    additional 81 weeks (if the accidental injury occurs on or
4    after February 1, 2006) shall be paid.
5        13. Eye-
6            150 weeks if the accidental injury occurs on or
7        after the effective date of this amendatory Act of the
8        94th General Assembly but before February 1, 2006.
9            162 weeks if the accidental injury occurs on or
10        after February 1, 2006.
11        Where an accidental injury results in the enucleation
12    of an eye, compensation for an additional 10 weeks (if the
13    accidental injury occurs on or after the effective date of
14    this amendatory Act of the 94th General Assembly but before
15    February 1, 2006) or an additional 11 weeks (if the
16    accidental injury occurs on or after February 1, 2006)
17    shall be paid.
18        14. Loss of hearing of one ear-
19            50 weeks if the accidental injury occurs on or
20        after the effective date of this amendatory Act of the
21        94th General Assembly but before February 1, 2006.
22            54 weeks if the accidental injury occurs on or
23        after February 1, 2006.
24        Total and permanent loss of hearing of both ears-
25            200 weeks if the accidental injury occurs on or
26        after the effective date of this amendatory Act of the

 

 

HB6428- 33 -LRB099 21153 JLS 46464 b

1        94th General Assembly but before February 1, 2006.
2            215 weeks if the accidental injury occurs on or
3        after February 1, 2006.
4        15. Testicle-
5            50 weeks if the accidental injury occurs on or
6        after the effective date of this amendatory Act of the
7        94th General Assembly but before February 1, 2006.
8            54 weeks if the accidental injury occurs on or
9        after February 1, 2006.
10        Both testicles-
11            150 weeks if the accidental injury occurs on or
12        after the effective date of this amendatory Act of the
13        94th General Assembly but before February 1, 2006.
14            162 weeks if the accidental injury occurs on or
15        after February 1, 2006.
16        16. For the permanent partial loss of use of a member
17    or sight of an eye, or hearing of an ear, compensation
18    during that proportion of the number of weeks in the
19    foregoing schedule provided for the loss of such member or
20    sight of an eye, or hearing of an ear, which the partial
21    loss of use thereof bears to the total loss of use of such
22    member, or sight of eye, or hearing of an ear.
23            (a) Loss of hearing for compensation purposes
24        shall be confined to the frequencies of 1,000, 2,000
25        and 3,000 cycles per second. Loss of hearing ability
26        for frequency tones above 3,000 cycles per second are

 

 

HB6428- 34 -LRB099 21153 JLS 46464 b

1        not to be considered as constituting disability for
2        hearing.
3            (b) The percent of hearing loss, for purposes of
4        the determination of compensation claims for
5        occupational deafness, shall be calculated as the
6        average in decibels for the thresholds of hearing for
7        the frequencies of 1,000, 2,000 and 3,000 cycles per
8        second. Pure tone air conduction audiometric
9        instruments, approved by nationally recognized
10        authorities in this field, shall be used for measuring
11        hearing loss. If the losses of hearing average 30
12        decibels or less in the 3 frequencies, such losses of
13        hearing shall not then constitute any compensable
14        hearing disability. If the losses of hearing average 85
15        decibels or more in the 3 frequencies, then the same
16        shall constitute and be total or 100% compensable
17        hearing loss.
18            (c) In measuring hearing impairment, the lowest
19        measured losses in each of the 3 frequencies shall be
20        added together and divided by 3 to determine the
21        average decibel loss. For every decibel of loss
22        exceeding 30 decibels an allowance of 1.82% shall be
23        made up to the maximum of 100% which is reached at 85
24        decibels.
25            (d) If a hearing loss is established to have
26        existed on July 1, 1975 by audiometric testing the

 

 

HB6428- 35 -LRB099 21153 JLS 46464 b

1        employer shall not be liable for the previous loss so
2        established nor shall he be liable for any loss for
3        which compensation has been paid or awarded.
4            (e) No consideration shall be given to the question
5        of whether or not the ability of an employee to
6        understand speech is improved by the use of a hearing
7        aid.
8            (f) No claim for loss of hearing due to industrial
9        noise shall be brought against an employer or allowed
10        unless the employee has been exposed for a period of
11        time sufficient to cause permanent impairment to noise
12        levels in excess of the following:
13Sound Level DBA
14Slow ResponseHours Per Day
15908
16926
17954
18973
191002
201021-1/2
211051
221101/2
231151/4
24        This subparagraph (f) shall not be applied in cases of
25    hearing loss resulting from trauma or explosion.
26        17. In computing the compensation to be paid to any

 

 

HB6428- 36 -LRB099 21153 JLS 46464 b

1    employee who, before the accident for which he claims
2    compensation, had before that time sustained an injury
3    resulting in the loss by amputation or partial loss by
4    amputation of any member, including hand, arm, thumb or
5    fingers, leg, foot or any toes, such loss or partial loss
6    of any such member shall be deducted from any award made
7    for the subsequent injury. For the permanent loss of use or
8    the permanent partial loss of use of any such member or the
9    partial loss of sight of an eye, for which compensation has
10    been paid, then such loss shall be taken into consideration
11    and deducted from any award for the subsequent injury.
12        17.1. In computing the compensation to be paid to any
13    employee of a public employer or non-profit employer who,
14    before the accident for which he or she claims
15    compensation, had sustained an injury resulting in any
16    permanency award, including, without limitation, the loss
17    by amputation or partial loss by amputation of any member,
18    including hand, arm, thumb or fingers, leg, foot or any
19    toes, the partial loss of sight of an eye, or an award
20    given under paragraph 2 of paragraph (d) of Section 8, such
21    award shall be deducted from any award made for the
22    subsequent injury.
23        18. The specific case of loss of both hands, both arms,
24    or both feet, or both legs, or both eyes, or of any two
25    thereof, or the permanent and complete loss of the use
26    thereof, constitutes total and permanent disability, to be

 

 

HB6428- 37 -LRB099 21153 JLS 46464 b

1    compensated according to the compensation fixed by
2    paragraph (f) of this Section. These specific cases of
3    total and permanent disability do not exclude other cases.
4        Any employee who has previously suffered the loss or
5    permanent and complete loss of the use of any of such
6    members, and in a subsequent independent accident loses
7    another or suffers the permanent and complete loss of the
8    use of any one of such members the employer for whom the
9    injured employee is working at the time of the last
10    independent accident is liable to pay compensation only for
11    the loss or permanent and complete loss of the use of the
12    member occasioned by the last independent accident.
13        19. In a case of specific loss and the subsequent death
14    of such injured employee from other causes than such injury
15    leaving a widow, widower, or dependents surviving before
16    payment or payment in full for such injury, then the amount
17    due for such injury is payable to the widow or widower and,
18    if there be no widow or widower, then to such dependents,
19    in the proportion which such dependency bears to total
20    dependency.
21    Beginning July 1, 1980, and every 6 months thereafter, the
22Commission shall examine the Second Injury Fund and when, after
23deducting all advances or loans made to such Fund, the amount
24therein is $500,000 then the amount required to be paid by
25employers pursuant to paragraph (f) of Section 7 shall be
26reduced by one-half. When the Second Injury Fund reaches the

 

 

HB6428- 38 -LRB099 21153 JLS 46464 b

1sum of $600,000 then the payments shall cease entirely.
2However, when the Second Injury Fund has been reduced to
3$400,000, payment of one-half of the amounts required by
4paragraph (f) of Section 7 shall be resumed, in the manner
5herein provided, and when the Second Injury Fund has been
6reduced to $300,000, payment of the full amounts required by
7paragraph (f) of Section 7 shall be resumed, in the manner
8herein provided. The Commission shall make the changes in
9payment effective by general order, and the changes in payment
10become immediately effective for all cases coming before the
11Commission thereafter either by settlement agreement or final
12order, irrespective of the date of the accidental injury.
13    On August 1, 1996 and on February 1 and August 1 of each
14subsequent year, the Commission shall examine the special fund
15designated as the "Rate Adjustment Fund" and when, after
16deducting all advances or loans made to said fund, the amount
17therein is $4,000,000, the amount required to be paid by
18employers pursuant to paragraph (f) of Section 7 shall be
19reduced by one-half. When the Rate Adjustment Fund reaches the
20sum of $5,000,000 the payment therein shall cease entirely.
21However, when said Rate Adjustment Fund has been reduced to
22$3,000,000 the amounts required by paragraph (f) of Section 7
23shall be resumed in the manner herein provided.
24    (f) In case of complete disability, which renders the
25employee wholly and permanently incapable of work, or in the
26specific case of total and permanent disability as provided in

 

 

HB6428- 39 -LRB099 21153 JLS 46464 b

1subparagraph 18 of paragraph (e) of this Section, compensation
2shall be payable at the rate provided in subparagraph 2 of
3paragraph (b) of this Section for life.
4    An employee entitled to benefits under paragraph (f) of
5this Section shall also be entitled to receive from the Rate
6Adjustment Fund provided in paragraph (f) of Section 7 of the
7supplementary benefits provided in paragraph (g) of this
8Section 8.
9    If any employee who receives an award under this paragraph
10afterwards returns to work or is able to do so, and earns or is
11able to earn as much as before the accident, payments under
12such award shall cease. If such employee returns to work, or is
13able to do so, and earns or is able to earn part but not as much
14as before the accident, such award shall be modified so as to
15conform to an award under paragraph (d) of this Section. If
16such award is terminated or reduced under the provisions of
17this paragraph, such employees have the right at any time
18within 30 months after the date of such termination or
19reduction to file petition with the Commission for the purpose
20of determining whether any disability exists as a result of the
21original accidental injury and the extent thereof.
22    Disability as enumerated in subdivision 18, paragraph (e)
23of this Section is considered complete disability.
24    If an employee who had previously incurred loss or the
25permanent and complete loss of use of one member, through the
26loss or the permanent and complete loss of the use of one hand,

 

 

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1one arm, one foot, one leg, or one eye, incurs permanent and
2complete disability through the loss or the permanent and
3complete loss of the use of another member, he shall receive,
4in addition to the compensation payable by the employer and
5after such payments have ceased, an amount from the Second
6Injury Fund provided for in paragraph (f) of Section 7, which,
7together with the compensation payable from the employer in
8whose employ he was when the last accidental injury was
9incurred, will equal the amount payable for permanent and
10complete disability as provided in this paragraph of this
11Section.
12    The custodian of the Second Injury Fund provided for in
13paragraph (f) of Section 7 shall be joined with the employer as
14a party respondent in the application for adjustment of claim.
15The application for adjustment of claim shall state briefly and
16in general terms the approximate time and place and manner of
17the loss of the first member.
18    In its award the Commission or the Arbitrator shall
19specifically find the amount the injured employee shall be
20weekly paid, the number of weeks compensation which shall be
21paid by the employer, the date upon which payments begin out of
22the Second Injury Fund provided for in paragraph (f) of Section
237 of this Act, the length of time the weekly payments continue,
24the date upon which the pension payments commence and the
25monthly amount of the payments. The Commission shall 30 days
26after the date upon which payments out of the Second Injury

 

 

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1Fund have begun as provided in the award, and every month
2thereafter, prepare and submit to the State Comptroller a
3voucher for payment for all compensation accrued to that date
4at the rate fixed by the Commission. The State Comptroller
5shall draw a warrant to the injured employee along with a
6receipt to be executed by the injured employee and returned to
7the Commission. The endorsed warrant and receipt is a full and
8complete acquittance to the Commission for the payment out of
9the Second Injury Fund. No other appropriation or warrant is
10necessary for payment out of the Second Injury Fund. The Second
11Injury Fund is appropriated for the purpose of making payments
12according to the terms of the awards.
13    As of July 1, 1980 to July 1, 1982, all claims against and
14obligations of the Second Injury Fund shall become claims
15against and obligations of the Rate Adjustment Fund to the
16extent there is insufficient money in the Second Injury Fund to
17pay such claims and obligations. In that case, all references
18to "Second Injury Fund" in this Section shall also include the
19Rate Adjustment Fund.
20    (g) Every award for permanent total disability entered by
21the Commission on and after July 1, 1965 under which
22compensation payments shall become due and payable after the
23effective date of this amendatory Act, and every award for
24death benefits or permanent total disability entered by the
25Commission on and after the effective date of this amendatory
26Act shall be subject to annual adjustments as to the amount of

 

 

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1the compensation rate therein provided. Such adjustments shall
2first be made on July 15, 1977, and all awards made and entered
3prior to July 1, 1975 and on July 15 of each year thereafter.
4In all other cases such adjustment shall be made on July 15 of
5the second year next following the date of the entry of the
6award and shall further be made on July 15 annually thereafter.
7If during the intervening period from the date of the entry of
8the award, or the last periodic adjustment, there shall have
9been an increase in the State's average weekly wage in covered
10industries under the Unemployment Insurance Act, the weekly
11compensation rate shall be proportionately increased by the
12same percentage as the percentage of increase in the State's
13average weekly wage in covered industries under the
14Unemployment Insurance Act. The increase in the compensation
15rate under this paragraph shall in no event bring the total
16compensation rate to an amount greater than the prevailing
17maximum rate at the time that the annual adjustment is made.
18Such increase shall be paid in the same manner as herein
19provided for payments under the Second Injury Fund to the
20injured employee, or his dependents, as the case may be, out of
21the Rate Adjustment Fund provided in paragraph (f) of Section 7
22of this Act. Payments shall be made at the same intervals as
23provided in the award or, at the option of the Commission, may
24be made in quarterly payment on the 15th day of January, April,
25July and October of each year. In the event of a decrease in
26such average weekly wage there shall be no change in the then

 

 

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1existing compensation rate. The within paragraph shall not
2apply to cases where there is disputed liability and in which a
3compromise lump sum settlement between the employer and the
4injured employee, or his dependents, as the case may be, has
5been duly approved by the Illinois Workers' Compensation
6Commission.
7    Provided, that in cases of awards entered by the Commission
8for injuries occurring before July 1, 1975, the increases in
9the compensation rate adjusted under the foregoing provision of
10this paragraph (g) shall be limited to increases in the State's
11average weekly wage in covered industries under the
12Unemployment Insurance Act occurring after July 1, 1975.
13    For every accident occurring on or after July 20, 2005 but
14before the effective date of this amendatory Act of the 94th
15General Assembly (Senate Bill 1283 of the 94th General
16Assembly), the annual adjustments to the compensation rate in
17awards for death benefits or permanent total disability, as
18provided in this Act, shall be paid by the employer. The
19adjustment shall be made by the employer on July 15 of the
20second year next following the date of the entry of the award
21and shall further be made on July 15 annually thereafter. If
22during the intervening period from the date of the entry of the
23award, or the last periodic adjustment, there shall have been
24an increase in the State's average weekly wage in covered
25industries under the Unemployment Insurance Act, the employer
26shall increase the weekly compensation rate proportionately by

 

 

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1the same percentage as the percentage of increase in the
2State's average weekly wage in covered industries under the
3Unemployment Insurance Act. The increase in the compensation
4rate under this paragraph shall in no event bring the total
5compensation rate to an amount greater than the prevailing
6maximum rate at the time that the annual adjustment is made. In
7the event of a decrease in such average weekly wage there shall
8be no change in the then existing compensation rate. Such
9increase shall be paid by the employer in the same manner and
10at the same intervals as the payment of compensation in the
11award. This paragraph shall not apply to cases where there is
12disputed liability and in which a compromise lump sum
13settlement between the employer and the injured employee, or
14his or her dependents, as the case may be, has been duly
15approved by the Illinois Workers' Compensation Commission.
16    The annual adjustments for every award of death benefits or
17permanent total disability involving accidents occurring
18before July 20, 2005 and accidents occurring on or after the
19effective date of this amendatory Act of the 94th General
20Assembly (Senate Bill 1283 of the 94th General Assembly) shall
21continue to be paid from the Rate Adjustment Fund pursuant to
22this paragraph and Section 7(f) of this Act.
23    (h) In case death occurs from any cause before the total
24compensation to which the employee would have been entitled has
25been paid, then in case the employee leaves any widow, widower,
26child, parent (or any grandchild, grandparent or other lineal

 

 

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1heir or any collateral heir dependent at the time of the
2accident upon the earnings of the employee to the extent of 50%
3or more of total dependency) such compensation shall be paid to
4the beneficiaries of the deceased employee and distributed as
5provided in paragraph (g) of Section 7.
6    (h-1) In case an injured employee is under legal disability
7at the time when any right or privilege accrues to him or her
8under this Act, a guardian may be appointed pursuant to law,
9and may, on behalf of such person under legal disability, claim
10and exercise any such right or privilege with the same effect
11as if the employee himself or herself had claimed or exercised
12the right or privilege. No limitations of time provided by this
13Act run so long as the employee who is under legal disability
14is without a conservator or guardian.
15    (i) In case the injured employee is under 16 years of age
16at the time of the accident and is illegally employed, the
17amount of compensation payable under paragraphs (b), (c), (d),
18(e) and (f) of this Section is increased 50%.
19    However, where an employer has on file an employment
20certificate issued pursuant to the Child Labor Law or work
21permit issued pursuant to the Federal Fair Labor Standards Act,
22as amended, or a birth certificate properly and duly issued,
23such certificate, permit or birth certificate is conclusive
24evidence as to the age of the injured minor employee for the
25purposes of this Section.
26    Nothing herein contained repeals or amends the provisions

 

 

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1of the Child Labor Law relating to the employment of minors
2under the age of 16 years.
3    (j) 1. In the event the injured employee receives benefits,
4including medical, surgical or hospital benefits under any
5group plan covering non-occupational disabilities contributed
6to wholly or partially by the employer, which benefits should
7not have been payable if any rights of recovery existed under
8this Act, then such amounts so paid to the employee from any
9such group plan as shall be consistent with, and limited to,
10the provisions of paragraph 2 hereof, shall be credited to or
11against any compensation payment for temporary total
12incapacity for work or any medical, surgical or hospital
13benefits made or to be made under this Act. In such event, the
14period of time for giving notice of accidental injury and
15filing application for adjustment of claim does not commence to
16run until the termination of such payments. This paragraph does
17not apply to payments made under any group plan which would
18have been payable irrespective of an accidental injury under
19this Act. Any employer receiving such credit shall keep such
20employee safe and harmless from any and all claims or
21liabilities that may be made against him by reason of having
22received such payments only to the extent of such credit.
23    Any excess benefits paid to or on behalf of a State
24employee by the State Employees' Retirement System under
25Article 14 of the Illinois Pension Code on a death claim or
26disputed disability claim shall be credited against any

 

 

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1payments made or to be made by the State of Illinois to or on
2behalf of such employee under this Act, except for payments for
3medical expenses which have already been incurred at the time
4of the award. The State of Illinois shall directly reimburse
5the State Employees' Retirement System to the extent of such
6credit.
7    2. Nothing contained in this Act shall be construed to give
8the employer or the insurance carrier the right to credit for
9any benefits or payments received by the employee other than
10compensation payments provided by this Act, and where the
11employee receives payments other than compensation payments,
12whether as full or partial salary, group insurance benefits,
13bonuses, annuities or any other payments, the employer or
14insurance carrier shall receive credit for each such payment
15only to the extent of the compensation that would have been
16payable during the period covered by such payment.
17    3. The extension of time for the filing of an Application
18for Adjustment of Claim as provided in paragraph 1 above shall
19not apply to those cases where the time for such filing had
20expired prior to the date on which payments or benefits
21enumerated herein have been initiated or resumed. Provided
22however that this paragraph 3 shall apply only to cases wherein
23the payments or benefits hereinabove enumerated shall be
24received after July 1, 1969.
25(Source: P.A. 97-18, eff. 6-28-11; 97-268, eff. 8-8-11; 97-813,
26eff. 7-13-12.)
 

 

 

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1    (820 ILCS 305/8.1c new)
2    Sec. 8.1c. Determination of permanent partial disability
3for an employee of a public employer or non-profit employer.
4    (a) For accidental injuries incurred by an employee of a
5public employer or non-profit employer on or after January 1,
62017, permanent partial disability shall be established using
7the following criteria:
8        (1) A physician licensed to practice medicine in all of
9    its branches preparing a permanent partial disability
10    impairment report shall report the level of impairment in
11    writing. The report shall include an evaluation of
12    medically defined and professionally appropriate
13    measurements of impairment that include, but are not
14    limited to: loss of range of motion; loss of strength;
15    measured atrophy of tissue mass consistent with the injury;
16    and any other measurements that establish the nature and
17    extent of the impairment. The most current edition of the
18    American Medical Association's "Guides to the Evaluation
19    of Permanent Impairment" shall be used by the physician in
20    determining the level of impairment.
21        (2) In determining the level of permanent partial
22    disability, the Commission shall base its determination on
23    the following factors: (i) the reported level of impairment
24    pursuant to subsection (a) if such a report exists; (ii)
25    the occupation of the injured employee; (iii) the age of

 

 

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1    the employee at the time of the injury; (iv) the employee's
2    future earning capacity; and (v) evidence of disability
3    corroborated by objective findings in the treating medical
4    records and independent medical examinations. In
5    determining the level of disability, the relevance and
6    weight of any factors used in addition to the level of
7    impairment as reported by the physician must be explained
8    in a written order.
9    (b) A report of impairment prepared pursuant to subsection
10(a) is not required for the arbitrator or Commission to approve
11a Settlement Contract Lump Sum Petition.