|
| | 101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020 HB2301 Introduced , by Rep. Debbie Meyers-Martin SYNOPSIS AS INTRODUCED: |
| 20 ILCS 5/5-125 | was 20 ILCS 5/5.13i | 20 ILCS 5/5-155 | was 20 ILCS 5/5.04 | 20 ILCS 5/5-540 | was 20 ILCS 5/6.28 and 5/7.01 | 820 ILCS 305/4 | from Ch. 48, par. 138.4 | 820 ILCS 305/8.3 | | 820 ILCS 305/13.1 | from Ch. 48, par. 138.13-1 | 820 ILCS 305/19 | from Ch. 48, par. 138.19 | 820 ILCS 310/19 | from Ch. 48, par. 172.54 |
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Amends the Civil Administrative Code of Illinois, the Workers' Compensation Act, and the Workers' Occupational Diseases Act. Replaces "employee class" and related terms with "representative of a labor organization recognized under the National Labor Relations Act".
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| | A BILL FOR |
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1 | | AN ACT concerning employment.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Civil Administrative Code of Illinois is |
5 | | amended by changing Sections 5-125, 5-155, and 5-540 as |
6 | | follows:
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7 | | (20 ILCS 5/5-125) (was 20 ILCS 5/5.13i)
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8 | | Sec. 5-125. In the Department of Employment Security. The |
9 | | board of review, which shall consist of 5 members, 2 of
whom |
10 | | shall be representatives of a labor organization recognized |
11 | | under the National Labor Relations Act representative citizens |
12 | | chosen from the
employee class ,
2 of whom shall be |
13 | | representative citizens chosen from the
employing
class, and |
14 | | one of whom shall be a representative citizen not identified
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15 | | with either the employing class or a labor organization |
16 | | employee classes .
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17 | | (Source: P.A. 91-239, eff. 1-1-00.)
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18 | | (20 ILCS 5/5-155) (was 20 ILCS 5/5.04)
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19 | | Sec. 5-155.
In the Office of Mines and
Minerals of the |
20 | | Department of Natural Resources.
In the Office of Mines and |
21 | | Minerals of the Department of Natural
Resources, there shall be |
22 | | a State Mining Board, which shall consist
of 6 officers |
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1 | | designated as mine officers and the Director of the
Office
of |
2 | | Mines and Minerals. Three officers shall be representatives of |
3 | | the
employing class and 3 officers shall be chosen from a labor |
4 | | organization recognized under the National Labor Relations Act |
5 | | of the employee class . The 6 mine officers shall be
qualified |
6 | | as follows:
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7 | | (1) Two mine officers from the employing class shall |
8 | | have at
least 4 years
experience in a supervisory capacity |
9 | | in an underground coal mine and each
shall hold a |
10 | | certificate of competency as a mine examiner or mine |
11 | | manager.
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12 | | (2) The third mine officer from the employing class |
13 | | shall have
at least
4 years experience in a supervisory |
14 | | capacity in a surface coal mine.
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15 | | (3) Two mine officers chosen from a labor organization |
16 | | from the employee class shall have 4
years experience
in an |
17 | | underground coal mine and shall hold a first class |
18 | | certificate of
competency.
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19 | | (4) The third mine officer chosen from a labor |
20 | | organization from the employee class shall have
at least
4 |
21 | | years experience in a surface coal mine.
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22 | | (Source: P.A. 91-239, eff. 1-1-00.)
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23 | | (20 ILCS 5/5-540) (was 20 ILCS 5/6.28 and 5/7.01)
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24 | | Sec. 5-540. In the Department of Employment Security. An
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25 | | Employment
Security Advisory Board,
composed of 12 persons. Of |
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1 | | the
12 members of
the Employment Security Advisory Board, 4 |
2 | | members shall be chosen from a labor organization recognized |
3 | | under the National Labor Relations Act
representative
citizens |
4 | | chosen from the employee class , 4 members shall be
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5 | | representative citizens chosen from the employing class, and 4
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6 | | members
shall be representative citizens not identified with |
7 | | either the employing
class
or a labor organization the employee |
8 | | class .
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9 | | (Source: P.A. 93-634, eff. 1-1-04.)
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10 | | Section 10. The Workers' Compensation Act is amended by |
11 | | changing Sections 4, 8.3, 13.1, and 19 as follows:
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12 | | (820 ILCS 305/4) (from Ch. 48, par. 138.4)
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13 | | Sec. 4. (a) Any employer, including but not limited to |
14 | | general contractors
and their subcontractors, who shall come |
15 | | within the provisions of
Section 3 of this Act, and any other |
16 | | employer who shall elect to provide
and pay the compensation |
17 | | provided for in this Act shall:
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18 | | (1) File with the Commission annually an application |
19 | | for approval as a
self-insurer which shall include a |
20 | | current financial statement, and
annually, thereafter, an |
21 | | application for renewal of self-insurance, which
shall |
22 | | include a current financial statement. Said
application |
23 | | and financial statement shall be signed and sworn to by the
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24 | | president or vice president and secretary or assistant |
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1 | | secretary of the
employer if it be a corporation, or by all |
2 | | of the partners, if it be a
copartnership, or by the owner |
3 | | if it be neither a copartnership nor a
corporation. All |
4 | | initial applications and all applications for renewal of
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5 | | self-insurance must be submitted at least 60 days prior to |
6 | | the requested
effective date of self-insurance. An |
7 | | employer may elect to provide and pay
compensation as |
8 | | provided
for in this Act as a member of a group workers' |
9 | | compensation pool under Article
V 3/4 of the Illinois |
10 | | Insurance Code. If an employer becomes a member of a
group |
11 | | workers' compensation pool, the employer shall not be |
12 | | relieved of any
obligations imposed by this Act.
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13 | | If the sworn application and financial statement of any |
14 | | such employer
does not satisfy the Commission of the |
15 | | financial ability of the employer
who has filed it, the |
16 | | Commission shall require such employer to,
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17 | | (2) Furnish security, indemnity or a bond guaranteeing |
18 | | the payment
by the employer of the compensation provided |
19 | | for in this Act, provided
that any such employer whose |
20 | | application and financial statement shall
not have |
21 | | satisfied the commission of his or her financial ability |
22 | | and
who shall have secured his liability in part by excess |
23 | | liability insurance
shall be required to furnish to the |
24 | | Commission security, indemnity or bond
guaranteeing his or |
25 | | her payment up to the effective limits of the excess
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26 | | coverage, or
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1 | | (3) Insure his entire liability to pay such |
2 | | compensation in some
insurance carrier authorized, |
3 | | licensed, or permitted to do such
insurance business in |
4 | | this State. Every policy of an insurance carrier,
insuring |
5 | | the payment of compensation under this Act shall cover all |
6 | | the
employees and the entire compensation liability of the |
7 | | insured:
Provided, however, that any employer may insure |
8 | | his or her compensation
liability with 2 or more insurance |
9 | | carriers or may insure a part and
qualify under subsection |
10 | | 1, 2, or 4 for the remainder of his or her
liability to pay |
11 | | such compensation, subject to the following two |
12 | | provisions:
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13 | | Firstly, the entire compensation liability of the |
14 | | employer to
employees working at or from one location |
15 | | shall be insured in one such
insurance carrier or shall |
16 | | be self-insured, and
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17 | | Secondly, the employer shall submit evidence |
18 | | satisfactorily to the
Commission that his or her entire |
19 | | liability for the compensation provided
for in this Act |
20 | | will be secured. Any provisions in any policy, or in |
21 | | any
endorsement attached thereto, attempting to limit |
22 | | or modify in any way,
the liability of the insurance |
23 | | carriers issuing the same except as
otherwise provided |
24 | | herein shall be wholly void.
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25 | | Nothing herein contained shall apply to policies of |
26 | | excess liability
carriage secured by employers who have |
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1 | | been approved by the Commission
as self-insurers, or
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2 | | (4) Make some other provision, satisfactory to the |
3 | | Commission, for
the securing of the payment of compensation |
4 | | provided for in this Act,
and
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5 | | (5) Upon becoming subject to this Act and thereafter as |
6 | | often as the
Commission may in writing demand, file with |
7 | | the Commission in form prescribed
by it evidence of his or |
8 | | her compliance with the provision of this Section.
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9 | | (a-1) Regardless of its state of domicile or its principal |
10 | | place of
business, an employer shall make payments to its |
11 | | insurance carrier or group
self-insurance fund, where |
12 | | applicable, based upon the premium rates of the
situs where the |
13 | | work or project is located in Illinois if:
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14 | | (A) the employer is engaged primarily in the building |
15 | | and
construction industry; and
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16 | | (B) subdivision (a)(3) of this Section applies to the |
17 | | employer or
the employer is a member of a group |
18 | | self-insurance plan as defined in
subsection (1) of Section |
19 | | 4a.
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20 | | The Illinois Workers' Compensation Commission shall impose |
21 | | a penalty upon an employer
for violation of this subsection |
22 | | (a-1) if:
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23 | | (i) the employer is given an opportunity at a hearing |
24 | | to present
evidence of its compliance with this subsection |
25 | | (a-1); and
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26 | | (ii) after the hearing, the Commission finds that the |
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1 | | employer
failed to make payments upon the premium rates of |
2 | | the situs where the work or
project is located in Illinois.
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3 | | The penalty shall not exceed $1,000 for each day of work |
4 | | for which
the employer failed to make payments upon the premium |
5 | | rates of the situs where
the
work or project is located in |
6 | | Illinois, but the total penalty shall not exceed
$50,000 for |
7 | | each project or each contract under which the work was
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8 | | performed.
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9 | | Any penalty under this subsection (a-1) must be imposed not |
10 | | later
than one year after the expiration of the applicable |
11 | | limitation period
specified in subsection (d) of Section 6 of |
12 | | this Act. Penalties imposed under
this subsection (a-1) shall |
13 | | be deposited into the Illinois Workers' Compensation |
14 | | Commission
Operations Fund, a special fund that is created in |
15 | | the State treasury. Subject
to appropriation, moneys in the |
16 | | Fund shall be used solely for the operations
of the Illinois |
17 | | Workers' Compensation Commission and by the Department of |
18 | | Insurance for the purposes authorized in subsection (c) of |
19 | | Section 25.5 of this Act.
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20 | | (a-2) Every Employee Leasing Company (ELC), as defined in |
21 | | Section 15 of the Employee Leasing Company Act, shall at a |
22 | | minimum provide the following information to the Commission or |
23 | | any entity designated by the Commission regarding each workers' |
24 | | compensation insurance policy issued to the ELC: |
25 | | (1) Any client company of the ELC listed as an |
26 | | additional named insured. |
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1 | | (2) Any informational schedule attached to the master |
2 | | policy that identifies any individual client company's |
3 | | name, FEIN, and job location. |
4 | | (3) Any certificate of insurance coverage document |
5 | | issued to a client company specifying its rights and |
6 | | obligations under the master policy that establishes both |
7 | | the identity and status of the client, as well as the dates |
8 | | of inception and termination of coverage, if applicable. |
9 | | (b) The sworn application and financial statement, or |
10 | | security,
indemnity or bond, or amount of insurance, or other |
11 | | provisions, filed,
furnished, carried, or made by the employer, |
12 | | as the case may be, shall
be subject to the approval of the |
13 | | Commission.
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14 | | Deposits under escrow agreements shall be cash, negotiable |
15 | | United
States government bonds or negotiable general |
16 | | obligation bonds of the
State of Illinois. Such cash or bonds |
17 | | shall be deposited in
escrow with any State or National Bank or |
18 | | Trust Company having trust
authority in the State of Illinois.
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19 | | Upon the approval of the sworn application and financial |
20 | | statement,
security, indemnity or bond or amount of insurance, |
21 | | filed, furnished or
carried, as the case may be, the Commission |
22 | | shall send to the employer
written notice of its approval |
23 | | thereof. The certificate of compliance
by the employer with the |
24 | | provisions of subparagraphs (2) and (3) of
paragraph (a) of |
25 | | this Section shall be delivered by the insurance
carrier to the |
26 | | Illinois Workers' Compensation Commission within five days |
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1 | | after the
effective date of the policy so certified. The |
2 | | insurance so certified
shall cover all compensation liability |
3 | | occurring during the time that
the insurance is in effect and |
4 | | no further certificate need be filed in case
such insurance is |
5 | | renewed, extended or otherwise continued by such
carrier. The |
6 | | insurance so certified shall not be cancelled or in the
event |
7 | | that such insurance is not renewed, extended or otherwise
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8 | | continued, such insurance shall not be terminated until at |
9 | | least 10
days after receipt by the Illinois Workers' |
10 | | Compensation Commission of notice of the
cancellation or |
11 | | termination of said insurance; provided, however, that
if the |
12 | | employer has secured insurance from another insurance carrier, |
13 | | or
has otherwise secured the payment of compensation in |
14 | | accordance with
this Section, and such insurance or other |
15 | | security becomes effective
prior to the expiration of the 10 |
16 | | days, cancellation or termination may, at
the option of the |
17 | | insurance carrier indicated in such notice, be effective
as of |
18 | | the effective date of such other insurance or security.
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19 | | (c) Whenever the Commission shall find that any |
20 | | corporation,
company, association, aggregation of individuals, |
21 | | reciprocal or
interinsurers exchange, or other insurer |
22 | | effecting workers' compensation
insurance in this State shall |
23 | | be insolvent, financially unsound, or
unable to fully meet all |
24 | | payments and liabilities assumed or to be
assumed for |
25 | | compensation insurance in this State, or shall practice a
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26 | | policy of delay or unfairness toward employees in the |
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1 | | adjustment,
settlement, or payment of benefits due such |
2 | | employees, the Commission
may after reasonable notice and |
3 | | hearing order and direct that such
corporation, company, |
4 | | association, aggregation of individuals,
reciprocal or |
5 | | interinsurers exchange, or insurer, shall from and after a
date |
6 | | fixed in such order discontinue the writing of any such |
7 | | workers'
compensation insurance in this State. Subject to such |
8 | | modification of
the order as the Commission may later make on |
9 | | review of the order,
as herein provided, it shall thereupon be |
10 | | unlawful for any such
corporation, company, association, |
11 | | aggregation of individuals,
reciprocal or interinsurers |
12 | | exchange, or insurer to effect any workers'
compensation |
13 | | insurance in this State. A copy of the order shall be served
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14 | | upon the Director of Insurance by registered mail. Whenever the |
15 | | Commission
finds that any service or adjustment company used or |
16 | | employed
by a self-insured employer or by an insurance carrier |
17 | | to process,
adjust, investigate, compromise or otherwise |
18 | | handle claims under this
Act, has practiced or is practicing a |
19 | | policy of delay or unfairness
toward employees in the |
20 | | adjustment, settlement or payment of benefits
due such |
21 | | employees, the Commission may after reasonable notice and
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22 | | hearing order and direct that such service or adjustment |
23 | | company shall
from and after a date fixed in such order be |
24 | | prohibited from processing,
adjusting, investigating, |
25 | | compromising or otherwise handling claims
under this Act.
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26 | | Whenever the Commission finds that any self-insured |
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1 | | employer has
practiced or is practicing delay or unfairness |
2 | | toward employees in the
adjustment, settlement or payment of |
3 | | benefits due such employees, the
Commission may, after |
4 | | reasonable notice and hearing, order and direct
that after a |
5 | | date fixed in the order such self-insured employer shall be
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6 | | disqualified to operate as a self-insurer and shall be required |
7 | | to
insure his entire liability to pay compensation in some |
8 | | insurance
carrier authorized, licensed and permitted to do such |
9 | | insurance business
in this State, as provided in subparagraph 3 |
10 | | of paragraph (a) of this
Section.
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11 | | All orders made by the Commission under this Section shall |
12 | | be subject
to review by the courts, said review to be taken in |
13 | | the same manner and
within the same time as provided by Section |
14 | | 19 of this Act for review of
awards and decisions of the |
15 | | Commission, upon the party seeking the
review filing with the |
16 | | clerk of the court to which said review is taken
a bond in an |
17 | | amount to be fixed and approved by the court to which the
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18 | | review is taken, conditioned upon the payment of all |
19 | | compensation awarded
against the person taking said review |
20 | | pending a decision thereof and
further conditioned upon such |
21 | | other obligations as the court may impose.
Upon the review the |
22 | | Circuit Court shall have power to review all questions
of fact |
23 | | as well as of law. The penalty hereinafter provided for in this
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24 | | paragraph shall not attach and shall not begin to run until the |
25 | | final
determination of the order of the Commission.
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26 | | (d) Whenever a panel of 3 Commissioners comprised of one |
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1 | | member of the employing class, one representative of a labor |
2 | | organization recognized under the National Labor Relations Act |
3 | | member of the employee class , and one member not identified |
4 | | with either the employing class or a labor organization or |
5 | | employee class , with due process and after a hearing, |
6 | | determines an employer has knowingly failed to provide coverage |
7 | | as required by paragraph (a) of this Section, the failure shall |
8 | | be deemed an immediate serious danger to public health, safety, |
9 | | and welfare sufficient to justify service by the Commission of |
10 | | a work-stop order on such employer, requiring the cessation of |
11 | | all business operations of such employer at the place of |
12 | | employment or job site. Any law enforcement agency in the State |
13 | | shall, at the request of the Commission, render any assistance |
14 | | necessary to carry out the provisions of this Section, |
15 | | including, but not limited to, preventing any employee of such |
16 | | employer from remaining at a place of employment or job site |
17 | | after a work-stop order has taken effect. Any work-stop order |
18 | | shall be lifted upon proof of insurance as required by this |
19 | | Act. Any orders under this Section are appealable under Section |
20 | | 19(f) to the Circuit Court.
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21 | | Any individual employer, corporate officer or director of a |
22 | | corporate employer, partner of an employer partnership, or |
23 | | member of an employer limited liability company who knowingly |
24 | | fails to provide coverage as required by paragraph (a) of this |
25 | | Section is guilty of a Class 4 felony. This provision shall not |
26 | | apply to any corporate officer or director of any |
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1 | | publicly-owned corporation. Each day's violation constitutes a |
2 | | separate offense. The State's Attorney of the county in which |
3 | | the violation occurred, or the Attorney General, shall bring |
4 | | such actions in the name of the People of the State of |
5 | | Illinois, or may, in addition to other remedies provided in |
6 | | this Section, bring an action for an injunction to restrain the |
7 | | violation or to enjoin the operation of any such employer.
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8 | | Any individual employer, corporate officer or director of a |
9 | | corporate employer, partner of an employer partnership, or |
10 | | member of an employer limited liability company who negligently |
11 | | fails to provide coverage as required by paragraph (a) of this |
12 | | Section is guilty of a Class A misdemeanor. This provision |
13 | | shall not apply to any corporate officer or director of any |
14 | | publicly-owned corporation. Each day's violation constitutes a |
15 | | separate offense. The State's Attorney of the county in which |
16 | | the violation occurred, or the Attorney General, shall bring |
17 | | such actions in the name of the People of the State of |
18 | | Illinois.
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19 | | The criminal penalties in this subsection (d) shall not |
20 | | apply where
there exists a good faith dispute as to the |
21 | | existence of an
employment relationship. Evidence of good faith |
22 | | shall
include, but not be limited to, compliance with the |
23 | | definition
of employee as used by the Internal Revenue Service.
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24 | | Employers who are subject to and who knowingly fail to |
25 | | comply with this Section shall not be entitled to the benefits |
26 | | of this Act during the period of noncompliance, but shall be |
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1 | | liable in an action under any other applicable law of this |
2 | | State. In the action, such employer shall not avail himself or |
3 | | herself of the defenses of assumption of risk or negligence or |
4 | | that the injury was due to a co-employee. In the action, proof |
5 | | of the injury shall constitute prima facie evidence of |
6 | | negligence on the part of such employer and the burden shall be |
7 | | on such employer to show freedom of negligence resulting in the |
8 | | injury. The employer shall not join any other defendant in any |
9 | | such civil action. Nothing in this amendatory Act of the 94th |
10 | | General Assembly shall affect the employee's rights under |
11 | | subdivision (a)3 of Section 1 of this Act. Any employer or |
12 | | carrier who makes payments under subdivision (a)3 of Section 1 |
13 | | of this Act shall have a right of reimbursement from the |
14 | | proceeds of any recovery under this Section.
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15 | | An employee of an uninsured employer, or the employee's |
16 | | dependents in case death ensued, may, instead of proceeding |
17 | | against the employer in a civil action in court, file an |
18 | | application for adjustment of claim with the Commission in |
19 | | accordance with the provisions of this Act and the Commission |
20 | | shall hear and determine the application for adjustment of |
21 | | claim in the manner in which other claims are heard and |
22 | | determined before the Commission.
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23 | | All proceedings under this subsection (d) shall be reported |
24 | | on an annual basis to the Workers' Compensation Advisory Board.
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25 | | An investigator with the Illinois Workers' Compensation |
26 | | Commission Insurance Compliance Division may issue a citation |
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1 | | to any employer that is not in compliance with its obligation |
2 | | to have workers' compensation insurance under this Act. The |
3 | | amount of the fine shall be based on the period of time the |
4 | | employer was in non-compliance, but shall be no less than $500, |
5 | | and shall not exceed $2,500. An employer that has been issued a |
6 | | citation shall pay the fine to the Commission and provide to |
7 | | the Commission proof that it obtained the required workers' |
8 | | compensation insurance within 10 days after the citation was |
9 | | issued. This Section does not affect any other obligations this |
10 | | Act imposes on employers. |
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, the failure or
refusal of an employer, service |
15 | | or adjustment company, or an insurance
carrier to comply with |
16 | | any order of the Illinois Workers' Compensation Commission |
17 | | pursuant to
paragraph (c) of this Section disqualifying him or |
18 | | her to operate as a self
insurer and requiring him or her to |
19 | | insure his or her liability, or the knowing and willful failure |
20 | | of an employer to comply with a citation issued by an |
21 | | investigator with the Illinois Workers' Compensation |
22 | | Commission Insurance Compliance Division, the
Commission may |
23 | | assess a civil penalty of up to $500 per day for each day of
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24 | | such failure or refusal after the effective date of this |
25 | | amendatory Act of
1989. The minimum penalty under this Section |
26 | | shall be the sum of $10,000.
Each day of such failure or |
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1 | | refusal shall constitute a separate offense.
The Commission may |
2 | | assess the civil penalty personally and individually
against |
3 | | the corporate officers and directors of a corporate employer, |
4 | | the
partners of an employer partnership, and the members of an |
5 | | employer limited
liability company, after a finding of a |
6 | | knowing and willful refusal or failure
of each such named |
7 | | corporate officer, director, partner, or member to comply
with |
8 | | this Section. The liability for the assessed penalty shall be
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9 | | against the named employer first, and
if the named employer |
10 | | fails or refuses to pay the penalty to the
Commission within 30 |
11 | | days after the final order of the Commission, then the
named
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12 | | corporate officers, directors, partners, or members who have |
13 | | been found to have
knowingly and willfully refused or failed to |
14 | | comply with this Section shall be
liable for the unpaid penalty |
15 | | or any unpaid portion of the penalty. Upon investigation by the |
16 | | insurance non-compliance unit of the Commission, the Attorney |
17 | | General shall have the authority to prosecute all proceedings |
18 | | to enforce the civil and administrative provisions of this |
19 | | Section before the Commission. The Commission shall promulgate |
20 | | procedural rules for enforcing this Section.
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21 | | Upon the failure or refusal of any employer, service or |
22 | | adjustment
company or insurance carrier to comply with the |
23 | | provisions of this Section
and with the orders of the |
24 | | Commission under this Section, or the order of
the court on |
25 | | review after final adjudication, the Commission may bring a
|
26 | | civil action to recover the amount of the penalty in Cook |
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1 | | County or in
Sangamon County in which litigation the Commission |
2 | | shall be represented by
the Attorney General. The Commission |
3 | | shall send notice of its finding of
non-compliance and |
4 | | assessment of the civil penalty to the Attorney General.
It |
5 | | shall be the duty of the Attorney General within 30 days after |
6 | | receipt
of the notice, to institute prosecutions and promptly |
7 | | prosecute all
reported violations of this Section.
|
8 | | Any individual employer, corporate officer or director of a |
9 | | corporate employer, partner of an employer partnership, or |
10 | | member of an employer limited liability company who, with the |
11 | | intent to avoid payment of compensation under this Act to an |
12 | | injured employee or the employee's dependents, knowingly |
13 | | transfers, sells, encumbers, assigns, or in any manner disposes |
14 | | of, conceals, secretes, or destroys any property belonging to |
15 | | the employer, officer, director, partner, or member is guilty |
16 | | of a Class 4 felony.
|
17 | | Penalties and fines collected pursuant to this paragraph |
18 | | (d) shall be deposited upon receipt into a special fund which |
19 | | shall be designated the Injured Workers' Benefit Fund, of which |
20 | | the State Treasurer is ex-officio custodian, such special fund |
21 | | to be held and disbursed in accordance with this paragraph (d) |
22 | | for the purposes hereinafter stated in this paragraph (d), upon |
23 | | the final order of the Commission. The Injured Workers' Benefit |
24 | | Fund shall be deposited the same as are State funds and any |
25 | | interest accruing thereon shall be added thereto every 6 |
26 | | months. The Injured Workers' Benefit Fund is subject to audit |
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1 | | the same as State funds and accounts and is protected by the |
2 | | general bond given by the State Treasurer. The Injured Workers' |
3 | | Benefit Fund is considered always appropriated for the purposes |
4 | | of disbursements as provided in this paragraph, and shall be |
5 | | paid out and disbursed as herein provided and shall not at any |
6 | | time be appropriated or diverted to any other use or purpose. |
7 | | Moneys in the Injured Workers' Benefit Fund shall be used only |
8 | | for payment of workers' compensation benefits for injured |
9 | | employees when the employer has failed to provide coverage as |
10 | | determined under this paragraph (d) and has failed to pay the |
11 | | benefits due to the injured employee. The Commission shall have |
12 | | the right to obtain reimbursement from the employer for |
13 | | compensation obligations paid by the Injured Workers' Benefit |
14 | | Fund. Any such amounts obtained shall be deposited by the |
15 | | Commission into the Injured Workers' Benefit Fund. If an |
16 | | injured employee or his or her personal representative receives |
17 | | payment from the Injured Workers' Benefit Fund, the State of |
18 | | Illinois has the same rights under paragraph (b) of Section 5 |
19 | | that the employer who failed to pay the benefits due to the |
20 | | injured employee would have had if the employer had paid those |
21 | | benefits, and any moneys recovered by the State as a result of |
22 | | the State's exercise of its rights under paragraph (b) of |
23 | | Section 5 shall be deposited into the Injured Workers' Benefit |
24 | | Fund. The custodian of the Injured Workers' Benefit Fund shall |
25 | | be joined with the employer as a party respondent in the |
26 | | application for adjustment of claim. After July 1, 2006, the |
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1 | | Commission shall make disbursements from the Fund once each |
2 | | year to each eligible claimant. An eligible claimant is an |
3 | | injured worker who has within the previous fiscal year obtained |
4 | | a final award for benefits from the Commission against the |
5 | | employer and the Injured Workers' Benefit Fund and has notified |
6 | | the Commission within 90 days of receipt of such award. Within |
7 | | a reasonable time after the end of each fiscal year, the |
8 | | Commission shall make a disbursement to each eligible claimant. |
9 | | At the time of disbursement, if there are insufficient moneys |
10 | | in the Fund to pay all claims, each eligible claimant shall |
11 | | receive a pro-rata share, as determined by the Commission, of |
12 | | the available moneys in the Fund for that year. Payment from |
13 | | the Injured Workers' Benefit Fund to an eligible claimant |
14 | | pursuant to this provision shall discharge the obligations of |
15 | | the Injured Workers' Benefit Fund regarding the award entered |
16 | | by the Commission.
|
17 | | (e) This Act shall not affect or disturb the continuance of |
18 | | any
existing insurance, mutual aid, benefit, or relief |
19 | | association or
department, whether maintained in whole or in |
20 | | part by the employer or
whether maintained by the employees, |
21 | | the payment of benefits of such
association or department being |
22 | | guaranteed by the employer or by some
person, firm or |
23 | | corporation for him or her: Provided, the employer contributes
|
24 | | to such association or department an amount not less than the |
25 | | full
compensation herein provided, exclusive of the cost of the |
26 | | maintenance
of such association or department and without any |
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1 | | expense to the
employee. This Act shall not prevent the |
2 | | organization and maintaining
under the insurance laws of this |
3 | | State of any benefit or insurance
company for the purpose of |
4 | | insuring against the compensation provided
for in this Act, the |
5 | | expense of which is maintained by the employer.
This Act shall |
6 | | not prevent the organization or maintaining under the
insurance |
7 | | laws of this State of any voluntary mutual aid, benefit or
|
8 | | relief association among employees for the payment of |
9 | | additional
accident or sick benefits.
|
10 | | (f) No existing insurance, mutual aid, benefit or relief |
11 | | association
or department shall, by reason of anything herein |
12 | | contained, be
authorized to discontinue its operation without |
13 | | first discharging its
obligations to any and all persons |
14 | | carrying insurance in the same or
entitled to relief or |
15 | | benefits therein.
|
16 | | (g) Any contract, oral, written or implied, of employment |
17 | | providing
for relief benefit, or insurance or any other device |
18 | | whereby the
employee is required to pay any premium or premiums |
19 | | for insurance
against the compensation provided for in this Act |
20 | | shall be null and
void. Any employer withholding from the wages |
21 | | of any employee any
amount for the purpose of paying any such |
22 | | premium shall be guilty of a
Class B misdemeanor.
|
23 | | In the event the employer does not pay the compensation for |
24 | | which he or
she is liable, then an insurance company, |
25 | | association or insurer which may
have insured such employer |
26 | | against such liability shall become primarily
liable to pay to |
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1 | | the employee, his or her personal representative or
beneficiary |
2 | | the compensation required by the provisions of this Act to
be |
3 | | paid by such employer. The insurance carrier may be made a |
4 | | party to
the proceedings in which the employer is a party and |
5 | | an award may be
entered jointly against the employer and the |
6 | | insurance carrier.
|
7 | | (h) It shall be unlawful for any employer, insurance |
8 | | company or
service or adjustment company to interfere with, |
9 | | restrain or coerce an
employee in any manner whatsoever in the |
10 | | exercise of the rights or
remedies granted to him or her by |
11 | | this Act or to discriminate, attempt to
discriminate, or |
12 | | threaten to discriminate against an employee in any way
because |
13 | | of his or her exercise of the rights or remedies granted to
him |
14 | | or her by this Act.
|
15 | | It shall be unlawful for any employer, individually or |
16 | | through any
insurance company or service or adjustment company, |
17 | | to discharge or to
threaten to discharge, or to refuse to |
18 | | rehire or recall to active
service in a suitable capacity an |
19 | | employee because of the exercise of
his or her rights or |
20 | | remedies granted to him or her by this Act.
|
21 | | (i) If an employer elects to obtain a life insurance policy |
22 | | on his
employees, he may also elect to apply such benefits in |
23 | | satisfaction of all
or a portion of the death benefits payable |
24 | | under this Act, in which case,
the employer's compensation |
25 | | premium shall be reduced accordingly.
|
26 | | (j) Within 45 days of receipt of an initial application or |
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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 |
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1 | | (f) of Section 19 of this Act for
review of awards and |
2 | | decisions of the Commission, upon the party seeking
the review |
3 | | filing with the clerk of the court to which such review is |
4 | | taken
a bond in an amount to be fixed and approved by the court |
5 | | to which the
review is taken, conditioned upon the payment of |
6 | | all compensation awarded
against the person taking such review |
7 | | pending a decision thereof and
further conditioned upon such |
8 | | other obligations as the court may impose.
Upon the review the |
9 | | Circuit Court shall have power to review all questions
of fact |
10 | | as well as of law.
|
11 | | (Source: P.A. 97-18, eff. 6-28-11.)
|
12 | | (820 ILCS 305/8.3)
|
13 | | Sec. 8.3. Workers' Compensation Medical Fee Advisory |
14 | | Board. There is created a Workers' Compensation Medical Fee |
15 | | Advisory Board consisting of 9 members appointed by the |
16 | | Governor with the advice and consent of the Senate. Three |
17 | | members of the Advisory Board shall be representatives of a |
18 | | labor organization recognized under the National Labor |
19 | | Relations Act representative citizens chosen from the employee |
20 | | class , 3 members shall be representative citizens chosen from |
21 | | the employing class, and 3 members shall be representative |
22 | | citizens chosen from the medical provider class. Each member |
23 | | shall serve a 4-year term and shall continue to serve until a |
24 | | successor is appointed. A vacancy on the Advisory Board shall |
25 | | be filled by the Governor for the unexpired term. |
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1 | | Members of the Advisory Board shall receive no compensation |
2 | | for their services but shall be reimbursed for expenses |
3 | | incurred in the performance of their duties by the Commission |
4 | | from appropriations made to the Commission for that purpose. |
5 | | The Advisory Board shall advise the Commission on |
6 | | establishment of fees for medical services and accessibility of |
7 | | medical treatment.
|
8 | | (Source: P.A. 94-277, eff. 7-20-05.)
|
9 | | (820 ILCS 305/13.1) (from Ch. 48, par. 138.13-1)
|
10 | | Sec. 13.1. (a) There is created a Workers' Compensation |
11 | | Advisory Board
hereinafter referred to as the Advisory Board. |
12 | | After the effective date of this amendatory Act of the 94th |
13 | | General Assembly, the Advisory Board shall consist of 12 |
14 | | members
appointed by the Governor with the advice and consent |
15 | | of the Senate. Six
members of the Advisory Board shall be
|
16 | | representative citizens chosen from a labor organization |
17 | | recognized under the National Labor Relations Act the employee |
18 | | class , and 6 members shall be
representative citizens chosen |
19 | | from the employing class. The Chairman of the Commission shall |
20 | | serve as the ex officio Chairman of the Advisory Board. After |
21 | | the effective date of this amendatory Act of the 94th General |
22 | | Assembly, each member of the Advisory Board shall serve a
term |
23 | | ending on the third Monday in January 2007 and shall continue |
24 | | to serve until his or her successor is appointed and qualified. |
25 | | Members of the Advisory Board shall thereafter be appointed for |
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1 | | 4 year terms from the third Monday in January of the year of |
2 | | their appointment, and until their successors are appointed and |
3 | | qualified.
Seven members
of the Advisory Board shall constitute |
4 | | a quorum to do business, but in no
case shall there be less |
5 | | than one representative from each class. A vacancy on the |
6 | | Advisory Board shall be
filled by the Governor for the |
7 | | unexpired term.
|
8 | | (b) Members of the Advisory Board shall receive no |
9 | | compensation for
their services but shall be reimbursed for |
10 | | expenses incurred in the
performance of their duties by the |
11 | | Commission from appropriations made to
the Commission for such |
12 | | purpose.
|
13 | | (c) The Advisory Board shall aid the Commission in |
14 | | formulating policies,
discussing problems, setting priorities |
15 | | of expenditures, reviewing advisory rates filed by an advisory |
16 | | organization as defined in Section 463 of the Illinois |
17 | | Insurance Code, and establishing
short and long range |
18 | | administrative goals. Prior to making the (1) initial set of |
19 | | arbitrator appointments pursuant to this amendatory Act of the |
20 | | 97th General Assembly and (2) appointment of Commissioners, the |
21 | | Governor shall request that the Advisory Board make |
22 | | recommendations as to candidates to consider for appointment |
23 | | and the Advisory Board may then make such recommendations.
|
24 | | (d) The terms of all Advisory Board members serving on the |
25 | | effective date of this amendatory Act of the 97th General |
26 | | Assembly are terminated. The Governor shall appoint new members |
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1 | | to the Advisory Board within 30 days after the effective date |
2 | | of the amendatory Act of the 97th General Assembly, subject to |
3 | | the advice and consent of the Senate. |
4 | | (Source: P.A. 97-18, eff. 6-28-11.)
|
5 | | (820 ILCS 305/19) (from Ch. 48, par. 138.19)
|
6 | | Sec. 19. Any disputed questions of law or fact shall be |
7 | | determined
as herein provided.
|
8 | | (a) It shall be the duty of the Commission upon |
9 | | notification that
the parties have failed to reach an |
10 | | agreement, to designate an Arbitrator.
|
11 | | 1. Whenever any claimant misconceives his remedy and |
12 | | files an
application for adjustment of claim under this Act |
13 | | and it is
subsequently discovered, at any time before final |
14 | | disposition of such
cause, that the claim for disability or |
15 | | death which was the basis for
such application should |
16 | | properly have been made under the Workers'
Occupational |
17 | | Diseases Act, then the provisions of Section 19, paragraph
|
18 | | (a-1) of the Workers' Occupational Diseases Act having |
19 | | reference to such
application shall apply.
|
20 | | 2. Whenever any claimant misconceives his remedy and |
21 | | files an
application for adjustment of claim under the |
22 | | Workers' Occupational
Diseases Act and it is subsequently |
23 | | discovered, at any time before final
disposition of such |
24 | | cause that the claim for injury or death which was
the |
25 | | basis for such application should properly have been made |
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1 | | under this
Act, then the application so filed under the |
2 | | Workers' Occupational
Diseases Act may be amended in form, |
3 | | substance or both to assert claim
for such disability or |
4 | | death under this Act and it shall be deemed to
have been so |
5 | | filed as amended on the date of the original filing
|
6 | | thereof, and such compensation may be awarded as is |
7 | | warranted by the
whole evidence pursuant to this Act. When |
8 | | such amendment is submitted,
further or additional |
9 | | evidence may be heard by the Arbitrator or
Commission when |
10 | | deemed necessary. Nothing in this Section contained
shall |
11 | | be construed to be or permit a waiver of any provisions of |
12 | | this
Act with reference to notice but notice if given shall |
13 | | be deemed to be a
notice under the provisions of this Act |
14 | | if given within the time
required herein.
|
15 | | (b) The Arbitrator shall make such inquiries and |
16 | | investigations as he or
they shall deem necessary and may |
17 | | examine and inspect all books, papers,
records, places, or |
18 | | premises relating to the questions in dispute and hear
such |
19 | | proper evidence as the parties may submit.
|
20 | | The hearings before the Arbitrator shall be held in the |
21 | | vicinity where
the injury occurred after 10 days' notice of the |
22 | | time and place of such
hearing shall have been given to each of |
23 | | the parties or their attorneys
of record.
|
24 | | The Arbitrator may find that the disabling condition is |
25 | | temporary and has
not yet reached a permanent condition and may |
26 | | order the payment of
compensation up to the date of the |
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1 | | hearing, which award shall be reviewable
and enforceable in the |
2 | | same manner as other awards, and in no instance be a
bar to a |
3 | | further hearing and determination of a further amount of |
4 | | temporary
total compensation or of compensation for permanent |
5 | | disability, but shall
be conclusive as to all other questions |
6 | | except the nature and extent of said
disability.
|
7 | | The decision of the Arbitrator shall be filed with the |
8 | | Commission which
Commission shall immediately send to each |
9 | | party or his attorney a copy of
such decision, together with a |
10 | | notification of the time when it was filed.
As of the effective |
11 | | date of this amendatory Act of the 94th General Assembly, all |
12 | | decisions of the Arbitrator shall set forth
in writing findings |
13 | | of fact and conclusions of law, separately stated, if requested |
14 | | by either party.
Unless a petition for review is filed by |
15 | | either party within 30 days after
the receipt by such party of |
16 | | the copy of the decision and notification of
time when filed, |
17 | | and unless such party petitioning for a review shall
within 35 |
18 | | days after the receipt by him of the copy of the decision, file
|
19 | | with the Commission either an agreed statement of the facts |
20 | | appearing upon
the hearing before the Arbitrator, or if such
|
21 | | party shall so elect a correct transcript of evidence of the |
22 | | proceedings
at such hearings, then the decision shall become |
23 | | the decision of the
Commission and in the absence of fraud |
24 | | shall be conclusive.
The Petition for Review shall contain a |
25 | | statement of the petitioning party's
specific exceptions to the |
26 | | decision of the arbitrator. The jurisdiction
of the Commission |
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1 | | to review the decision of the arbitrator shall not be
limited |
2 | | to the exceptions stated in the Petition for Review.
The |
3 | | Commission, or any member thereof, may grant further time not |
4 | | exceeding
30 days, in which to file such agreed statement or |
5 | | transcript of
evidence. Such agreed statement of facts or |
6 | | correct transcript of
evidence, as the case may be, shall be |
7 | | authenticated by the signatures
of the parties or their |
8 | | attorneys, and in the event they do not agree as
to the |
9 | | correctness of the transcript of evidence it shall be |
10 | | authenticated
by the signature of the Arbitrator designated by |
11 | | the Commission.
|
12 | | Whether the employee is working or not, if the employee is |
13 | | not receiving or has not received medical, surgical, or |
14 | | hospital services or other services or compensation as provided |
15 | | in paragraph (a) of Section 8, or compensation as provided in |
16 | | paragraph (b) of Section 8, the employee may at any time |
17 | | petition for an expedited hearing by an Arbitrator on the issue |
18 | | of whether or not he or she is entitled to receive payment of |
19 | | the services or compensation. Provided the employer continues |
20 | | to pay compensation pursuant to paragraph (b) of Section 8, the |
21 | | employer may at any time petition for an expedited hearing on |
22 | | the issue of whether or not the employee is entitled to receive |
23 | | medical, surgical, or hospital services or other services or |
24 | | compensation as provided in paragraph (a) of Section 8, or |
25 | | compensation as provided in paragraph (b) of Section 8. When an |
26 | | employer has petitioned for an expedited hearing, the employer |
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1 | | shall continue to pay compensation as provided in paragraph (b) |
2 | | of Section 8 unless the arbitrator renders a decision that the |
3 | | employee is not entitled to the benefits that are the subject |
4 | | of the expedited hearing or unless the employee's treating |
5 | | physician has released the employee to return to work at his or |
6 | | her regular job with the employer or the employee actually |
7 | | returns to work at any other job. If the arbitrator renders a |
8 | | decision that the employee is not entitled to the benefits that |
9 | | are the subject of the expedited hearing, a petition for review |
10 | | filed by the employee shall receive the same priority as if the |
11 | | employee had filed a petition for an expedited hearing by an |
12 | | Arbitrator. Neither party shall be entitled to an expedited |
13 | | hearing when the employee has returned to work and the sole |
14 | | issue in dispute amounts to less than 12 weeks of unpaid |
15 | | compensation pursuant to paragraph (b) of Section 8. |
16 | | Expedited hearings shall have priority over all other |
17 | | petitions and shall be heard by the Arbitrator and Commission |
18 | | with all convenient speed. Any party requesting an expedited |
19 | | hearing shall give notice of a request for an expedited hearing |
20 | | under this paragraph. A copy of the Application for Adjustment |
21 | | of Claim shall be attached to the notice. The Commission shall |
22 | | adopt rules and procedures under which the final decision of |
23 | | the Commission under this paragraph is filed not later than 180 |
24 | | days from the date that the Petition for Review is filed with |
25 | | the Commission. |
26 | | Where 2 or more insurance carriers, private self-insureds, |
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1 | | or a group workers' compensation pool under Article V 3/4 of |
2 | | the Illinois Insurance Code dispute coverage for the same |
3 | | injury, any such insurance carrier, private self-insured, or |
4 | | group workers' compensation pool may request an expedited |
5 | | hearing pursuant to this paragraph to determine the issue of |
6 | | coverage, provided coverage is the only issue in dispute and |
7 | | all other issues are stipulated and agreed to and further |
8 | | provided that all compensation benefits including medical |
9 | | benefits pursuant to Section 8(a) continue to be paid to or on |
10 | | behalf of petitioner. Any insurance carrier, private |
11 | | self-insured, or group workers' compensation pool that is |
12 | | determined to be liable for coverage for the injury in issue |
13 | | shall reimburse any insurance carrier, private self-insured, |
14 | | or group workers' compensation pool that has paid benefits to |
15 | | or on behalf of petitioner for the injury.
|
16 | | (b-1) If the employee is not receiving medical, surgical or |
17 | | hospital
services as provided in paragraph (a) of Section 8 or |
18 | | compensation as
provided in paragraph (b) of Section 8, the |
19 | | employee, in accordance with
Commission Rules, may file a |
20 | | petition for an emergency hearing by an
Arbitrator on the issue |
21 | | of whether or not he is entitled to receive payment
of such |
22 | | compensation or services as provided therein. Such petition |
23 | | shall
have priority over all other petitions and shall be heard |
24 | | by the Arbitrator
and Commission with all convenient speed.
|
25 | | Such petition shall contain the following information and |
26 | | shall be served
on the employer at least 15 days before it is |
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1 | | filed:
|
2 | | (i) the date and approximate time of accident;
|
3 | | (ii) the approximate location of the accident;
|
4 | | (iii) a description of the accident;
|
5 | | (iv) the nature of the injury incurred by the employee;
|
6 | | (v) the identity of the person, if known, to whom the |
7 | | accident was
reported and the date on which it was |
8 | | reported;
|
9 | | (vi) the name and title of the person, if known, |
10 | | representing the
employer with whom the employee conferred |
11 | | in any effort to obtain
compensation pursuant to paragraph |
12 | | (b) of Section 8 of this Act or medical,
surgical or |
13 | | hospital services pursuant to paragraph (a) of Section 8 of
|
14 | | this Act and the date of such conference;
|
15 | | (vii) a statement that the employer has refused to pay |
16 | | compensation
pursuant to paragraph (b) of Section 8 of this |
17 | | Act or for medical, surgical
or hospital services pursuant |
18 | | to paragraph (a) of Section 8 of this Act;
|
19 | | (viii) the name and address, if known, of each witness |
20 | | to the accident
and of each other person upon whom the |
21 | | employee will rely to support his
allegations;
|
22 | | (ix) the dates of treatment related to the accident by |
23 | | medical
practitioners, and the names and addresses of such |
24 | | practitioners, including
the dates of treatment related to |
25 | | the accident at any hospitals and the
names and addresses |
26 | | of such hospitals, and a signed authorization
permitting |
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1 | | the employer to examine all medical records of all |
2 | | practitioners
and hospitals named pursuant to this |
3 | | paragraph;
|
4 | | (x) a copy of a signed report by a medical |
5 | | practitioner, relating to the
employee's current inability |
6 | | to return to work because of the injuries
incurred as a |
7 | | result of the accident or such other documents or |
8 | | affidavits
which show that the employee is entitled to |
9 | | receive compensation pursuant
to paragraph (b) of Section 8 |
10 | | of this Act or medical, surgical or hospital
services |
11 | | pursuant to paragraph (a) of Section 8 of this Act. Such |
12 | | reports,
documents or affidavits shall state, if possible, |
13 | | the history of the
accident given by the employee, and |
14 | | describe the injury and medical
diagnosis, the medical |
15 | | services for such injury which the employee has
received |
16 | | and is receiving, the physical activities which the |
17 | | employee
cannot currently perform as a result of any |
18 | | impairment or disability due to
such injury, and the |
19 | | prognosis for recovery;
|
20 | | (xi) complete copies of any reports, records, |
21 | | documents and affidavits
in the possession of the employee |
22 | | on which the employee will rely to
support his allegations, |
23 | | provided that the employer shall pay the
reasonable cost of |
24 | | reproduction thereof;
|
25 | | (xii) a list of any reports, records, documents and |
26 | | affidavits which
the employee has demanded by subpoena and |
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1 | | on which he intends to
rely to support his allegations;
|
2 | | (xiii) a certification signed by the employee or his |
3 | | representative that
the employer has received the petition |
4 | | with the required information 15
days before filing.
|
5 | | Fifteen days after receipt by the employer of the petition |
6 | | with the
required information the employee may file said |
7 | | petition and required
information and shall serve notice of the |
8 | | filing upon the employer. The
employer may file a motion |
9 | | addressed to the sufficiency of the petition.
If an objection |
10 | | has been filed to the sufficiency of the petition, the
|
11 | | arbitrator shall rule on the objection within 2 working days. |
12 | | If such an
objection is filed, the time for filing the final |
13 | | decision of the
Commission as provided in this paragraph shall |
14 | | be tolled until the
arbitrator has determined that the petition |
15 | | is sufficient.
|
16 | | The employer shall, within 15 days after receipt of the |
17 | | notice that such
petition is filed, file with the Commission |
18 | | and serve on the employee or
his representative a written |
19 | | response to each claim set forth in the
petition, including the |
20 | | legal and factual basis for each disputed
allegation and the |
21 | | following information: (i) complete copies of any
reports, |
22 | | records, documents and affidavits in the possession of the
|
23 | | employer on which the employer intends to rely in support of |
24 | | his response,
(ii) a list of any reports, records, documents |
25 | | and affidavits which the
employer has demanded by subpoena and |
26 | | on which the employer intends to rely
in support of his |
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1 | | response, (iii) the name and address of each witness on
whom |
2 | | the employer will rely to support his response, and (iv) the |
3 | | names and
addresses of any medical practitioners selected by |
4 | | the employer pursuant to
Section 12 of this Act and the time |
5 | | and place of any examination scheduled
to be made pursuant to |
6 | | such Section.
|
7 | | Any employer who does not timely file and serve a written |
8 | | response
without good cause may not introduce any evidence to |
9 | | dispute any claim of
the employee but may cross examine the |
10 | | employee or any witness brought by
the employee and otherwise |
11 | | be heard.
|
12 | | No document or other evidence not previously identified by |
13 | | either party
with the petition or written response, or by any |
14 | | other means before the
hearing, may be introduced into evidence |
15 | | without good cause.
If, at the hearing, material information is |
16 | | discovered which was
not previously disclosed, the Arbitrator |
17 | | may extend the time for closing
proof on the motion of a party |
18 | | for a reasonable period of time which may
be more than 30 days. |
19 | | No evidence may be introduced pursuant
to this paragraph as to |
20 | | permanent disability. No award may be entered for
permanent |
21 | | disability pursuant to this paragraph. Either party may |
22 | | introduce
into evidence the testimony taken by deposition of |
23 | | any medical practitioner.
|
24 | | The Commission shall adopt rules, regulations and |
25 | | procedures whereby the
final decision of the Commission is |
26 | | filed not later than 90 days from the
date the petition for |
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1 | | review is filed but in no event later than 180 days from
the |
2 | | date the petition for an emergency hearing is filed with the |
3 | | Illinois Workers' Compensation
Commission.
|
4 | | All service required pursuant to this paragraph (b-1) must |
5 | | be by personal
service or by certified mail and with evidence |
6 | | of receipt. In addition for
the purposes of this paragraph, all |
7 | | service on the employer must be at the
premises where the |
8 | | accident occurred if the premises are owned or operated
by the |
9 | | employer. Otherwise service must be at the employee's principal
|
10 | | place of employment by the employer. If service on the employer |
11 | | is not
possible at either of the above, then service shall be |
12 | | at the employer's
principal place of business. After initial |
13 | | service in each case, service
shall be made on the employer's |
14 | | attorney or designated representative.
|
15 | | (c)(1) At a reasonable time in advance of and in connection |
16 | | with the
hearing under Section 19(e) or 19(h), the Commission |
17 | | may on its own motion
order an impartial physical or mental |
18 | | examination of a petitioner whose
mental or physical condition |
19 | | is in issue, when in the Commission's
discretion it appears |
20 | | that such an examination will materially aid in the
just |
21 | | determination of the case. The examination shall be made by a |
22 | | member
or members of a panel of physicians chosen for their |
23 | | special qualifications
by the Illinois State Medical Society. |
24 | | The Commission shall establish
procedures by which a physician |
25 | | shall be selected from such list.
|
26 | | (2) Should the Commission at any time during the hearing |
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1 | | find that
compelling considerations make it advisable to have |
2 | | an examination and
report at that time, the commission may in |
3 | | its discretion so order.
|
4 | | (3) A copy of the report of examination shall be given to |
5 | | the Commission
and to the attorneys for the parties.
|
6 | | (4) Either party or the Commission may call the examining |
7 | | physician or
physicians to testify. Any physician so called |
8 | | shall be subject to
cross-examination.
|
9 | | (5) The examination shall be made, and the physician or |
10 | | physicians, if
called, shall testify, without cost to the |
11 | | parties. The Commission shall
determine the compensation and |
12 | | the pay of the physician or physicians. The
compensation for |
13 | | this service shall not exceed the usual and customary amount
|
14 | | for such service.
|
15 | | (6) The fees and payment thereof of all attorneys and |
16 | | physicians for
services authorized by the Commission under this |
17 | | Act shall, upon request
of either the employer or the employee |
18 | | or the beneficiary affected, be
subject to the review and |
19 | | decision of the Commission.
|
20 | | (d) If any employee shall persist in insanitary or |
21 | | injurious
practices which tend to either imperil or retard his |
22 | | recovery or shall
refuse to submit to such medical, surgical, |
23 | | or hospital treatment as is
reasonably essential to promote his |
24 | | recovery, the Commission may, in its
discretion, reduce or |
25 | | suspend the compensation of any such injured
employee. However, |
26 | | when an employer and employee so agree in writing,
the |
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1 | | foregoing provision shall not be construed to authorize the
|
2 | | reduction or suspension of compensation of an employee who is |
3 | | relying in
good faith, on treatment by prayer or spiritual |
4 | | means alone, in
accordance with the tenets and practice of a |
5 | | recognized church or
religious denomination, by a duly |
6 | | accredited practitioner thereof.
|
7 | | (e) This paragraph shall apply to all hearings before the |
8 | | Commission.
Such hearings may be held in its office or |
9 | | elsewhere as the Commission
may deem advisable. The taking of |
10 | | testimony on such hearings may be had
before any member of the |
11 | | Commission. If a petition for review and agreed
statement of |
12 | | facts or transcript of evidence is filed, as provided herein,
|
13 | | the Commission shall promptly review the decision of the |
14 | | Arbitrator and all
questions of law or fact which appear from |
15 | | the statement of facts or
transcript of evidence.
|
16 | | In all cases in which the hearing before the arbitrator is |
17 | | held after
December 18, 1989, no additional evidence shall be |
18 | | introduced by the
parties before the Commission on review of |
19 | | the decision of the Arbitrator.
In reviewing decisions of an |
20 | | arbitrator the Commission shall award such
temporary |
21 | | compensation, permanent compensation and other payments as are
|
22 | | due under this Act. The Commission shall file in its office its |
23 | | decision
thereon, and shall immediately send to each party or |
24 | | his attorney a copy of
such decision and a notification of the |
25 | | time when it was filed. Decisions
shall be filed within 60 days |
26 | | after the Statement of Exceptions and
Supporting Brief and |
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1 | | Response thereto are required to be filed or oral
argument |
2 | | whichever is later.
|
3 | | In the event either party requests oral argument, such |
4 | | argument shall be
had before a panel of 3 members of the |
5 | | Commission (or before all available
members pursuant to the |
6 | | determination of 7 members of the Commission that
such argument |
7 | | be held before all available members of the Commission)
|
8 | | pursuant to the rules and regulations of the Commission. A |
9 | | panel of 3
members, which shall be comprised of not more than |
10 | | one representative
citizen of the employing class and not more |
11 | | than one representative from a labor organization recognized |
12 | | under the National Labor Relations Act citizen
of the employee |
13 | | class , shall hear the argument; provided that if all the
issues |
14 | | in dispute are solely the nature and extent of the permanent |
15 | | partial
disability, if any, a majority of the panel may deny |
16 | | the request for such
argument and such argument shall not be |
17 | | held; and provided further that 7
members of the Commission may |
18 | | determine that the argument be held before
all available |
19 | | members of the Commission. A decision of the Commission
shall |
20 | | be approved by a majority of Commissioners present at such |
21 | | hearing if
any; provided, if no such hearing is held, a |
22 | | decision of the Commission
shall be approved by a majority of a |
23 | | panel of 3 members of the Commission
as described in this |
24 | | Section. The Commission shall give 10 days' notice to
the |
25 | | parties or their attorneys of the time and place of such taking |
26 | | of
testimony and of such argument.
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1 | | In any case the Commission in its decision may find |
2 | | specially
upon any question or questions of law or fact which |
3 | | shall be submitted
in writing by either party whether ultimate |
4 | | or otherwise;
provided that on issues other than nature and |
5 | | extent of the disability,
if any, the Commission in its |
6 | | decision shall find specially upon any
question or questions of |
7 | | law or fact, whether ultimate or otherwise,
which are submitted |
8 | | in writing by either party; provided further that
not more than |
9 | | 5 such questions may be submitted by either party. Any
party |
10 | | may, within 20 days after receipt of notice of the Commission's
|
11 | | decision, or within such further time, not exceeding 30 days, |
12 | | as the
Commission may grant, file with the Commission either an |
13 | | agreed
statement of the facts appearing upon the hearing, or, |
14 | | if such party
shall so elect, a correct transcript of evidence |
15 | | of the additional
proceedings presented before the Commission, |
16 | | in which report the party
may embody a correct statement of |
17 | | such other proceedings in the case as
such party may desire to |
18 | | have reviewed, such statement of facts or
transcript of |
19 | | evidence to be authenticated by the signature of the
parties or |
20 | | their attorneys, and in the event that they do not agree,
then |
21 | | the authentication of such transcript of evidence shall be by |
22 | | the
signature of any member of the Commission.
|
23 | | If a reporter does not for any reason furnish a transcript |
24 | | of the
proceedings before the Arbitrator in any case for use on |
25 | | a hearing for
review before the Commission, within the |
26 | | limitations of time as fixed in
this Section, the Commission |
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1 | | may, in its discretion, order a trial de
novo before the |
2 | | Commission in such case upon application of either
party. The |
3 | | applications for adjustment of claim and other documents in
the |
4 | | nature of pleadings filed by either party, together with the
|
5 | | decisions of the Arbitrator and of the Commission and the |
6 | | statement of
facts or transcript of evidence hereinbefore |
7 | | provided for in paragraphs
(b) and (c) shall be the record of |
8 | | the proceedings of the Commission,
and shall be subject to |
9 | | review as hereinafter provided.
|
10 | | At the request of either party or on its own motion, the |
11 | | Commission shall
set forth in writing the reasons for the |
12 | | decision, including findings of
fact and conclusions of law |
13 | | separately stated. The Commission shall by rule
adopt a format |
14 | | for written decisions for the Commission and arbitrators.
The |
15 | | written decisions shall be concise and shall succinctly state |
16 | | the facts
and reasons for the decision. The Commission may |
17 | | adopt in whole or in part,
the decision of the arbitrator as |
18 | | the decision of the Commission. When the
Commission does so |
19 | | adopt the decision of the arbitrator, it shall do so by
order. |
20 | | Whenever the Commission adopts part of the arbitrator's |
21 | | decision,
but not all, it shall include in the order the |
22 | | reasons for not adopting all
of the arbitrator's decision. When |
23 | | a majority of a panel, after
deliberation, has arrived at its |
24 | | decision, the decision shall be filed as
provided in this |
25 | | Section without unnecessary delay, and without regard to
the |
26 | | fact that a member of the panel has expressed an intention to |
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1 | | dissent.
Any member of the panel may file a dissent. Any |
2 | | dissent shall be filed no
later than 10 days after the decision |
3 | | of the majority has been filed.
|
4 | | Decisions rendered by the Commission and dissents, if any, |
5 | | shall be
published together by the Commission. The conclusions |
6 | | of law set out in
such decisions shall be regarded as |
7 | | precedents by arbitrators for the purpose
of achieving a more |
8 | | uniform administration of this Act.
|
9 | | (f) The decision of the Commission acting within its |
10 | | powers,
according to the provisions of paragraph (e) of this |
11 | | Section shall, in
the absence of fraud, be conclusive unless |
12 | | reviewed as in this paragraph
hereinafter provided. However, |
13 | | the Arbitrator or the Commission may on
his or its own motion, |
14 | | or on the motion of either party, correct any
clerical error or |
15 | | errors in computation within 15 days after the date of
receipt |
16 | | of any award by such Arbitrator or any decision on review of |
17 | | the
Commission and shall have the power to recall the original |
18 | | award on
arbitration or decision on review, and issue in lieu |
19 | | thereof such
corrected award or decision. Where such correction |
20 | | is made the time for
review herein specified shall begin to run |
21 | | from the date of
the receipt of the corrected award or |
22 | | decision.
|
23 | | (1) Except in cases of claims against the State of |
24 | | Illinois other than those claims under Section 18.1, in
|
25 | | which case the decision of the Commission shall not be |
26 | | subject to
judicial review, the Circuit Court of the county |
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1 | | where any of the
parties defendant may be found, or if none |
2 | | of the parties defendant can
be found in this State then |
3 | | the Circuit Court of the county where the
accident |
4 | | occurred, shall by summons to the Commission have
power to |
5 | | review all questions of law and fact presented by such |
6 | | record.
|
7 | | A proceeding for review shall be commenced within 20 |
8 | | days of
the receipt of notice of the decision of the |
9 | | Commission. The summons shall
be issued by the clerk of |
10 | | such court upon written request returnable on a
designated |
11 | | return day, not less than 10 or more than 60 days from the |
12 | | date
of issuance thereof, and the written request shall |
13 | | contain the last known
address of other parties in interest |
14 | | and their attorneys of record who are
to be served by |
15 | | summons. Service upon any member of the Commission or the
|
16 | | Secretary or the Assistant Secretary thereof shall be |
17 | | service upon the
Commission, and service upon other parties |
18 | | in interest and their attorneys
of record shall be by |
19 | | summons, and such service shall be made upon the
Commission |
20 | | and other parties in interest by mailing notices of the
|
21 | | commencement of the proceedings and the return day of the |
22 | | summons to the
office of the Commission and to the last |
23 | | known place of residence of other
parties in interest or |
24 | | their attorney or attorneys of record. The clerk of
the |
25 | | court issuing the summons shall on the day of issue mail |
26 | | notice of the
commencement of the proceedings which shall |
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1 | | be done by mailing a copy of
the summons to the office of |
2 | | the Commission, and a copy of the summons to
the other |
3 | | parties in interest or their attorney or attorneys of |
4 | | record and
the clerk of the court shall make certificate |
5 | | that he has so sent said
notices in pursuance of this |
6 | | Section, which shall be evidence of service on
the |
7 | | Commission and other parties in interest.
|
8 | | The Commission shall not be required to certify the |
9 | | record of their
proceedings to the Circuit Court, unless |
10 | | the party commencing the
proceedings for review in the |
11 | | Circuit Court as above provided, shall file with the |
12 | | Commission notice of intent to file for review in Circuit |
13 | | Court. It shall be the duty
of the Commission upon such |
14 | | filing of notice of intent to file for review in the |
15 | | Circuit Court to prepare a true and correct
copy of such |
16 | | testimony and a true and correct copy of all other matters
|
17 | | contained in such record and certified to by the Secretary |
18 | | or Assistant
Secretary thereof. The changes made to this |
19 | | subdivision (f)(1) by this amendatory Act of the 98th |
20 | | General Assembly apply to any Commission decision entered |
21 | | after the effective date of this amendatory Act of the 98th |
22 | | General Assembly.
|
23 | | No request for a summons
may be filed and no summons |
24 | | shall issue unless the party seeking to review
the decision |
25 | | of the Commission shall exhibit to the clerk of the Circuit
|
26 | | Court proof of filing with the Commission of the notice of |
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1 | | the intent to file for review in the Circuit Court or an |
2 | | affidavit
of the attorney setting forth that notice of |
3 | | intent to file for review in the Circuit Court has been |
4 | | given in writing to the Secretary or Assistant Secretary of |
5 | | the Commission.
|
6 | | (2) No such summons shall issue unless the one against |
7 | | whom the
Commission shall have rendered an award for the |
8 | | payment of money shall upon
the filing of his written |
9 | | request for such summons file with the clerk of
the court a |
10 | | bond conditioned that if he shall not successfully
|
11 | | prosecute the review, he will pay the award and the costs |
12 | | of the
proceedings in the courts. The amount of the bond |
13 | | shall be fixed by any
member of the Commission and the |
14 | | surety or sureties of the bond shall be
approved by the |
15 | | clerk of the court. The acceptance of the bond by the
clerk |
16 | | of the court shall constitute evidence of his approval of |
17 | | the bond.
|
18 | | Every county, city, town, township, incorporated |
19 | | village, school
district, body politic or municipal |
20 | | corporation against whom the
Commission shall have |
21 | | rendered an award for the payment of money shall
not be |
22 | | required to file a bond to secure the payment of the award |
23 | | and
the costs of the proceedings in the court to authorize |
24 | | the court to
issue such summons.
|
25 | | The court may confirm or set aside the decision of the |
26 | | Commission. If
the decision is set aside and the facts |
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1 | | found in the proceedings before
the Commission are |
2 | | sufficient, the court may enter such decision as is
|
3 | | justified by law, or may remand the cause to the Commission |
4 | | for further
proceedings and may state the questions |
5 | | requiring further hearing, and
give such other |
6 | | instructions as may be proper. Appeals shall be taken
to |
7 | | the Appellate Court in accordance
with Supreme Court Rules |
8 | | 22(g) and 303. Appeals
shall be taken from the Appellate
|
9 | | Court to the Supreme Court in accordance with Supreme Court |
10 | | Rule 315.
|
11 | | It shall be the duty of the clerk of any court |
12 | | rendering a decision
affecting or affirming an award of the |
13 | | Commission to promptly furnish
the Commission with a copy |
14 | | of such decision, without charge.
|
15 | | The decision of a majority of the members of the panel |
16 | | of the Commission,
shall be considered the decision of the |
17 | | Commission.
|
18 | | (g) Except in the case of a claim against the State of |
19 | | Illinois,
either party may present a certified copy of the |
20 | | award of the
Arbitrator, or a certified copy of the decision of |
21 | | the Commission when
the same has become final, when no |
22 | | proceedings for review are pending,
providing for the payment |
23 | | of compensation according to this Act, to the
Circuit Court of |
24 | | the county in which such accident occurred or either of
the |
25 | | parties are residents, whereupon the court shall enter a |
26 | | judgment
in accordance therewith. In a case where the employer |
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1 | | refuses to pay
compensation according to such final award or |
2 | | such final decision upon
which such judgment is entered the |
3 | | court shall in entering judgment
thereon, tax as costs against |
4 | | him the reasonable costs and attorney fees
in the arbitration |
5 | | proceedings and in the court entering the judgment
for the |
6 | | person in whose favor the judgment is entered, which judgment
|
7 | | and costs taxed as therein provided shall, until and unless set |
8 | | aside,
have the same effect as though duly entered in an action |
9 | | duly tried and
determined by the court, and shall with like |
10 | | effect, be entered and
docketed. The Circuit Court shall have |
11 | | power at any time upon
application to make any such judgment |
12 | | conform to any modification
required by any subsequent decision |
13 | | of the Supreme Court upon appeal, or
as the result of any |
14 | | subsequent proceedings for review, as provided in
this Act.
|
15 | | Judgment shall not be entered until 15 days' notice of the |
16 | | time and
place of the application for the entry of judgment |
17 | | shall be served upon
the employer by filing such notice with |
18 | | the Commission, which Commission
shall, in case it has on file |
19 | | the address of the employer or the name
and address of its |
20 | | agent upon whom notices may be served, immediately
send a copy |
21 | | of the notice to the employer or such designated agent.
|
22 | | (h) An agreement or award under this Act providing for |
23 | | compensation
in installments, may at any time within 18 months |
24 | | after such agreement
or award be reviewed by the Commission at |
25 | | the request of either the
employer or the employee, on the |
26 | | ground that the disability of the
employee has subsequently |
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1 | | recurred, increased, diminished or ended.
|
2 | | However, as to accidents occurring subsequent to July 1, |
3 | | 1955, which
are covered by any agreement or award under this |
4 | | Act providing for
compensation in installments made as a result |
5 | | of such accident, such
agreement or award may at any time |
6 | | within 30 months, or 60 months in the case of an award under |
7 | | Section 8(d)1, after such agreement
or award be reviewed by the |
8 | | Commission at the request of either the
employer or the |
9 | | employee on the ground that the disability of the
employee has |
10 | | subsequently recurred, increased, diminished or ended.
|
11 | | On such review, compensation payments may be |
12 | | re-established,
increased, diminished or ended. The Commission |
13 | | shall give 15 days'
notice to the parties of the hearing for |
14 | | review. Any employee, upon any
petition for such review being |
15 | | filed by the employer, shall be entitled
to one day's notice |
16 | | for each 100 miles necessary to be traveled by him in
attending |
17 | | the hearing of the Commission upon the petition, and 3 days in
|
18 | | addition thereto. Such employee shall, at the discretion of the
|
19 | | Commission, also be entitled to 5 cents per mile necessarily |
20 | | traveled by
him within the State of Illinois in attending such |
21 | | hearing, not to
exceed a distance of 300 miles, to be taxed by |
22 | | the Commission as costs
and deposited with the petition of the |
23 | | employer.
|
24 | | When compensation which is payable in accordance with an |
25 | | award or
settlement contract approved by the Commission, is |
26 | | 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 |
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1 | | a real controversy, but are merely
frivolous or for delay, then |
2 | | the Commission may award compensation
additional to that |
3 | | otherwise payable under this Act equal to 50% of the
amount |
4 | | payable at the time of such award. Failure to pay compensation
|
5 | | in accordance with the provisions of Section 8, paragraph (b) |
6 | | of this
Act, shall be considered unreasonable delay.
|
7 | | When determining whether this subsection (k) shall apply, |
8 | | the
Commission shall consider whether an Arbitrator has |
9 | | determined
that the claim is not compensable or whether the |
10 | | employer has
made payments under Section 8(j). |
11 | | (l) If the employee has made written demand for payment of
|
12 | | benefits under Section 8(a) or Section 8(b), the employer shall
|
13 | | have 14 days after receipt of the demand to set forth in
|
14 | | writing the reason for the delay. In the case of demand for
|
15 | | payment of medical benefits under Section 8(a), the time for
|
16 | | the employer to respond shall not commence until the expiration
|
17 | | of the allotted 30 days specified under Section 8.2(d). In case
|
18 | | the employer or his or her insurance carrier shall without good |
19 | | and
just cause fail, neglect, refuse, or unreasonably delay the
|
20 | | payment of benefits under Section 8(a) or Section 8(b), the
|
21 | | Arbitrator or the Commission shall allow to the employee
|
22 | | additional compensation in the sum of $30 per day for each day
|
23 | | that the benefits under Section 8(a) or Section 8(b) have been
|
24 | | so withheld or refused, not to exceed $10,000.
A delay in |
25 | | payment of 14 days or more
shall create a rebuttable |
26 | | presumption of unreasonable delay.
|
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1 | | (m) If the commission finds that an accidental injury was |
2 | | directly
and proximately caused by the employer's wilful |
3 | | violation of a health
and safety standard under the Health and |
4 | | Safety Act or the Occupational Safety and Health Act in force |
5 | | at the time of the
accident, the arbitrator or the Commission |
6 | | shall allow to the injured
employee or his dependents, as the |
7 | | case may be, additional compensation
equal to 25% of the amount |
8 | | which otherwise would be payable under the
provisions of this |
9 | | Act exclusive of this paragraph. The additional
compensation |
10 | | herein provided shall be allowed by an appropriate increase
in |
11 | | the applicable weekly compensation rate.
|
12 | | (n) After June 30, 1984, decisions of the Illinois Workers' |
13 | | Compensation Commission
reviewing an award of an arbitrator of |
14 | | the Commission shall draw interest
at a rate equal to the yield |
15 | | on indebtedness issued by the United States
Government with a |
16 | | 26-week maturity next previously auctioned on the day on
which |
17 | | the decision is filed. Said rate of interest shall be set forth |
18 | | in
the Arbitrator's Decision. Interest shall be drawn from the |
19 | | date of the
arbitrator's award on all accrued compensation due |
20 | | the employee through the
day prior to the date of payments. |
21 | | However, when an employee appeals an
award of an Arbitrator or |
22 | | the Commission, and the appeal results in no
change or a |
23 | | decrease in the award, interest shall not further accrue from
|
24 | | the date of such appeal.
|
25 | | The employer or his insurance carrier may tender the |
26 | | payments due under
the award to stop the further accrual of |
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1 | | interest on such award
notwithstanding the prosecution by |
2 | | either party of review, certiorari,
appeal to the Supreme Court |
3 | | or other steps to reverse, vacate or modify
the award.
|
4 | | (o) By the 15th day of each month each insurer providing |
5 | | coverage for
losses under this Act shall notify each insured |
6 | | employer of any compensable
claim incurred during the preceding |
7 | | month and the amounts paid or reserved
on the claim including a |
8 | | summary of the claim and a brief statement of the
reasons for |
9 | | compensability. A cumulative report of all claims incurred
|
10 | | during a calendar year or continued from the previous year |
11 | | shall be
furnished to the insured employer by the insurer |
12 | | within 30 days after the
end of that calendar year.
|
13 | | The insured employer may challenge, in proceeding before |
14 | | the Commission,
payments made by the insurer without |
15 | | arbitration and payments
made after a case is determined to be |
16 | | noncompensable. If the Commission
finds that the case was not |
17 | | compensable, the insurer shall purge its records
as to that |
18 | | employer of any loss or expense associated with the claim, |
19 | | reimburse
the employer for attorneys' fees arising from the |
20 | | challenge and for any
payment required of the employer to the |
21 | | Rate Adjustment Fund or the
Second Injury Fund, and may not |
22 | | reflect the loss or expense for rate making
purposes. The |
23 | | employee shall not be required to refund the challenged
|
24 | | payment. The decision of the Commission may be reviewed in the |
25 | | same manner
as in arbitrated cases. No challenge may be |
26 | | initiated under this paragraph
more than 3 years after the |
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1 | | payment is made. An employer may waive the
right of challenge |
2 | | under this paragraph on a case by case basis.
|
3 | | (p) 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 (p) 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 (p) 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 | | (p) and of the voluntary nature of proceedings under this |
17 | | subsection (p).
The findings of fact made by an arbitrator |
18 | | acting within his or her powers
under this subsection (p) 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 (p) |
26 | | shall be
considered the decision of the Commission and |
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1 | | proceedings for review of
questions of law arising from the |
2 | | decision may be commenced by either party
pursuant to |
3 | | subsection (f) of Section 19. The Advisory Board established
|
4 | | under Section 13.1 shall compile a list of certified Commission
|
5 | | arbitrators, each of whom shall be approved by at least 7 |
6 | | members of the
Advisory Board. The chairman shall select 5 |
7 | | persons from such list to
serve as arbitrators under this |
8 | | subsection (p). By agreement, the parties
shall select one |
9 | | arbitrator from among the 5 persons selected by the
chairman |
10 | | except that if the parties do not agree on an arbitrator from
|
11 | | among the 5 persons, the parties may, by agreement, select an |
12 | | arbitrator of
the American Arbitration Association, whose fee |
13 | | shall be paid by the State
in accordance with rules promulgated |
14 | | by the Commission. Arbitration under
this subsection (p) shall |
15 | | be voluntary.
|
16 | | (Source: P.A. 97-18, eff. 6-28-11; 98-40, eff. 6-28-13; 98-874, |
17 | | eff. 1-1-15 .)
|
18 | | Section 15. The Workers' Occupational Diseases Act is |
19 | | amended by changing Section 19 as follows:
|
20 | | (820 ILCS 310/19) (from Ch. 48, par. 172.54)
|
21 | | Sec. 19. Any disputed questions of law or fact shall be |
22 | | determined as
herein provided.
|
23 | | (a) It shall be the duty of the Commission upon |
24 | | notification that
the parties have failed to reach an agreement |
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1 | | to designate an
Arbitrator.
|
2 | | (1) The application for adjustment of claim filed with |
3 | | the
Commission shall state:
|
4 | | A. The approximate date of the last day of the last |
5 | | exposure and the
approximate date of the disablement.
|
6 | | B. The general nature and character of the illness |
7 | | or disease
claimed.
|
8 | | C. The name and address of the employer by whom |
9 | | employed on the last
day of the last exposure and if |
10 | | employed by any other employer after
such last exposure |
11 | | and before disablement the name and address of such
|
12 | | other employer or employers.
|
13 | | D. In case of death, the date and place of death.
|
14 | | (2) Amendments to applications for adjustment of claim |
15 | | which relate
to the same disablement or disablement |
16 | | resulting in death originally
claimed upon may be allowed |
17 | | by the Commissioner or an Arbitrator
thereof, in their |
18 | | discretion, and in the exercise of such discretion,
they |
19 | | may in proper cases order a trial de novo; such amendment |
20 | | shall
relate back to the date of the filing of the original |
21 | | application so
amended.
|
22 | | (3) Whenever any claimant misconceives his remedy and |
23 | | files an
application for adjustment of claim under this Act |
24 | | and it is
subsequently discovered, at any time before final |
25 | | disposition of such
cause, that the claim for disability or |
26 | | death which was the basis for
such application should |
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1 | | properly have been made under the Workers'
Compensation |
2 | | Act, then the provisions of Section 19 paragraph (a-1) of
|
3 | | the Workers' Compensation Act having reference to such |
4 | | application shall
apply.
|
5 | | Whenever any claimant misconceives his remedy and |
6 | | files an
application for adjustment of claim under the |
7 | | Workers' Compensation Act
and it is subsequently |
8 | | discovered, at any time before final disposition
of such |
9 | | cause that the claim for injury or death which was the |
10 | | basis for
such application should properly have been made |
11 | | under this Act, then the
application so filed under the |
12 | | Workers' Compensation Act may be amended
in form, substance |
13 | | or both to assert claim for such disability or death
under |
14 | | this Act and it shall be deemed to have been so filed as |
15 | | amended
on the date of the original filing thereof, and |
16 | | such compensation may be
awarded as is warranted by the |
17 | | whole evidence pursuant to the provisions
of this Act. When |
18 | | such amendment is submitted, further or additional
|
19 | | evidence may be heard by the Arbitrator or Commission when |
20 | | deemed
necessary; provided, that nothing in this Section |
21 | | contained shall be
construed to be or permit a waiver of |
22 | | any provisions of this Act with
reference to notice, but |
23 | | notice if given shall be deemed to be a notice
under the |
24 | | provisions of this Act if given within the time required
|
25 | | herein.
|
26 | | (b) The Arbitrator shall make such inquiries and |
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1 | | investigations as he
shall deem necessary and may examine and |
2 | | inspect all books, papers,
records, places, or premises |
3 | | relating to the questions in dispute and hear
such proper |
4 | | evidence as the parties may submit.
|
5 | | The hearings before the Arbitrator shall be held in the |
6 | | vicinity where
the last exposure occurred, after 10 days' |
7 | | notice of the time and place of
such hearing shall have been |
8 | | given to each of the parties or their attorneys of record.
|
9 | | The Arbitrator may find that the disabling condition is |
10 | | temporary and has
not yet reached a permanent condition and may |
11 | | order the payment of
compensation up to the date of the |
12 | | hearing, which award shall be reviewable
and enforceable in the |
13 | | same manner as other awards, and in no instance be a
bar to a |
14 | | further hearing and determination of a further amount of |
15 | | temporary
total compensation or of compensation for permanent |
16 | | disability, but shall
be conclusive as to all other questions |
17 | | except the nature and extent of such
disability.
|
18 | | The decision of the Arbitrator shall be filed with the |
19 | | Commission which
Commission shall immediately send to each |
20 | | party or his attorney a copy of
such decision, together with a |
21 | | notification of the time when it was filed.
As of the effective |
22 | | date of this amendatory Act of the 94th General Assembly, all |
23 | | decisions of the Arbitrator shall set forth
in writing findings |
24 | | of fact and conclusions of law, separately stated, if requested |
25 | | by either party.
Unless a petition for review is filed by |
26 | | either party within 30 days after
the receipt by such party of |
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1 | | the copy of the decision and notification of
time when filed, |
2 | | and unless such party petitioning for a review shall
within 35 |
3 | | days after the receipt by him of the copy of the decision, file
|
4 | | with the Commission either an agreed statement of the facts |
5 | | appearing upon
the hearing before the Arbitrator, or if such |
6 | | party shall so elect a
correct transcript of evidence of the |
7 | | proceedings at such hearings, then
the decision shall become |
8 | | the decision of the Commission and in the absence
of fraud |
9 | | shall be conclusive. The Petition for Review shall contain a
|
10 | | statement of the petitioning party's specific exceptions to the |
11 | | decision of
the arbitrator. The jurisdiction of the Commission |
12 | | to review the decision
of the arbitrator shall not be limited |
13 | | to the exceptions stated in the
Petition for Review. The |
14 | | Commission, or any member thereof, may grant
further time not |
15 | | exceeding 30 days, in which to file such agreed statement
or |
16 | | transcript of evidence. Such agreed statement of facts or |
17 | | correct
transcript of evidence, as the case may be, shall be |
18 | | authenticated by the
signatures of the parties or their |
19 | | attorneys, and in the event they do not
agree as to the |
20 | | correctness of the transcript of evidence it shall be
|
21 | | authenticated by the signature of the Arbitrator designated by |
22 | | the Commission.
|
23 | | Whether the employee is working or not, if the employee is |
24 | | not receiving or has not received medical, surgical, or |
25 | | hospital services or other services or compensation as provided |
26 | | in paragraph (a) of Section 8 of the Workers' Compensation
Act, |
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1 | | or compensation as provided in paragraph (b) of Section 8 of |
2 | | the Workers' Compensation
Act, the employee may at any time |
3 | | petition for an expedited hearing by an Arbitrator on the issue |
4 | | of whether or not he or she is entitled to receive payment of |
5 | | the services or compensation. Provided the employer continues |
6 | | to pay compensation pursuant to paragraph (b) of Section 8 of |
7 | | the Workers' Compensation
Act, the employer may at any time |
8 | | petition for an expedited hearing on the issue of whether or |
9 | | not the employee is entitled to receive medical, surgical, or |
10 | | hospital services or other services or compensation as provided |
11 | | in paragraph (a) of Section 8 of the Workers' Compensation
Act, |
12 | | or compensation as provided in paragraph (b) of Section 8 of |
13 | | the Workers' Compensation
Act. When an employer has petitioned |
14 | | for an expedited hearing, the employer shall continue to pay |
15 | | compensation as provided in paragraph (b) of Section 8 of the |
16 | | Workers' Compensation
Act unless the arbitrator renders a |
17 | | decision that the employee is not entitled to the benefits that |
18 | | are the subject of the expedited hearing or unless the |
19 | | employee's treating physician has released the employee to |
20 | | return to work at his or her regular job with the employer or |
21 | | the employee actually returns to work at any other job. If the |
22 | | arbitrator renders a decision that the employee is not entitled |
23 | | to the benefits that are the subject of the expedited hearing, |
24 | | a petition for review filed by the employee shall receive the |
25 | | same priority as if the employee had filed a petition for an |
26 | | expedited hearing by an arbitrator. Neither party shall be |
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1 | | entitled to an expedited hearing when the employee has returned |
2 | | to work and the sole issue in dispute amounts to less than 12 |
3 | | weeks of unpaid compensation pursuant to paragraph (b) of |
4 | | Section 8 of the Workers' Compensation
Act. |
5 | | Expedited hearings shall have priority over all other |
6 | | petitions and shall be heard by the Arbitrator and Commission |
7 | | with all convenient speed. Any party requesting an expedited |
8 | | hearing shall give notice of a request for an expedited hearing |
9 | | under this paragraph. A copy of the Application for Adjustment |
10 | | of Claim shall be attached to the notice. The Commission shall |
11 | | adopt rules and procedures under which the final decision of |
12 | | the Commission under this paragraph is filed not later than 180 |
13 | | days from the date that the Petition for Review is filed with |
14 | | the Commission. |
15 | | Where 2 or more insurance carriers, private self-insureds, |
16 | | or a group workers' compensation pool under Article V 3/4 of |
17 | | the Illinois Insurance Code dispute coverage for the same |
18 | | disease, any such insurance carrier, private self-insured, or |
19 | | group workers' compensation pool may request an expedited |
20 | | hearing pursuant to this paragraph to determine the issue of |
21 | | coverage, provided coverage is the only issue in dispute and |
22 | | all other issues are stipulated and agreed to and further |
23 | | provided that all compensation benefits including medical |
24 | | benefits pursuant to Section 8(a) of the Workers' Compensation
|
25 | | Act continue to be paid to or on behalf of petitioner. Any |
26 | | insurance carrier, private self-insured, or group workers' |
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1 | | compensation pool that is determined to be liable for coverage |
2 | | for the disease in issue shall reimburse any insurance carrier, |
3 | | private self-insured, or group workers' compensation pool that |
4 | | has paid benefits to or on behalf of petitioner for the |
5 | | disease.
|
6 | | (b-1) If the employee is not receiving, pursuant to Section |
7 | | 7, medical,
surgical or hospital services of the type provided |
8 | | for in paragraph (a) of
Section 8 of the Workers' Compensation |
9 | | Act or compensation of the type
provided for in paragraph (b) |
10 | | of Section 8 of the Workers' Compensation
Act, the employee, in |
11 | | accordance with Commission Rules, may file a petition
for an |
12 | | emergency hearing by an Arbitrator on the issue of whether or |
13 | | not he
is entitled to receive payment of such compensation or |
14 | | services as provided
therein. Such petition shall have priority |
15 | | over all other petitions and
shall be heard by the Arbitrator |
16 | | and Commission with all convenient speed.
|
17 | | Such petition shall contain the following information and |
18 | | shall be served
on the employer at least 15 days before it is |
19 | | filed:
|
20 | | (i) the date and approximate time of the last exposure;
|
21 | | (ii) the approximate location of the last exposure;
|
22 | | (iii) a description of the last exposure;
|
23 | | (iv) the nature of the disability incurred by the |
24 | | employee;
|
25 | | (v) the identity of the person, if known, to whom the |
26 | | disability was
reported and the date on which it was |
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1 | | reported;
|
2 | | (vi) the name and title of the person, if known, |
3 | | representing the
employer with whom the employee conferred |
4 | | in any effort to obtain pursuant
to Section 7 compensation |
5 | | of the type provided for in paragraph (b) of
Section 8 of |
6 | | the Workers' Compensation Act or medical, surgical or |
7 | | hospital
services of the type provided for in paragraph (a) |
8 | | of Section 8 of the
Workers' Compensation Act and the date |
9 | | of such conference;
|
10 | | (vii) a statement that the employer has refused to pay |
11 | | compensation
pursuant to Section 7 of the type provided for |
12 | | in paragraph (b) of Section
8 of the Workers' Compensation |
13 | | Act or for medical, surgical
or hospital services pursuant |
14 | | to Section 7 of the type provided for in
paragraph (a) of |
15 | | Section 8 of the Workers' Compensation Act;
|
16 | | (viii) the name and address, if known, of each witness |
17 | | to the last
exposure and of each other person upon whom the |
18 | | employee will rely to
support his allegations;
|
19 | | (ix) the dates of treatment related to the disability |
20 | | by medical
practitioners, and the names and addresses of |
21 | | such practitioners, including
the dates of treatment |
22 | | related to the disability at any hospitals and the
names |
23 | | and addresses of such hospitals, and a signed authorization
|
24 | | permitting the employer to examine all medical records of |
25 | | all practitioners
and hospitals named pursuant to this |
26 | | paragraph;
|
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1 | | (x) a copy of a signed report by a medical |
2 | | practitioner, relating to the
employee's current inability |
3 | | to return to work because of the disability
incurred as a |
4 | | result of the exposure or such other documents or |
5 | | affidavits
which show that the employee is entitled to |
6 | | receive pursuant to Section 7
compensation of the type |
7 | | provided for in paragraph (b) of Section 8 of the
Workers' |
8 | | Compensation Act or medical, surgical or hospital services |
9 | | of the
type provided for in paragraph (a) of Section 8 of |
10 | | the Workers'
Compensation Act. Such reports, documents or |
11 | | affidavits shall state, if
possible, the history of the |
12 | | exposure given by the employee, and describe
the disability |
13 | | and medical diagnosis, the medical services for such
|
14 | | disability which the employee has received and is |
15 | | receiving, the physical
activities which the employee |
16 | | cannot currently perform as a result of such
disability, |
17 | | and the prognosis for recovery;
|
18 | | (xi) complete copies of any reports, records, |
19 | | documents and affidavits
in the possession of the employee |
20 | | on which the employee will rely to
support his allegations, |
21 | | provided that the employer shall pay the
reasonable cost of |
22 | | reproduction thereof;
|
23 | | (xii) a list of any reports, records, documents and |
24 | | affidavits which
the employee has demanded by subpoena and |
25 | | on which he intends to
rely to support his allegations;
|
26 | | (xiii) a certification signed by the employee or his |
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1 | | representative that
the employer has received the petition |
2 | | with the required information 15
days before filing.
|
3 | | Fifteen days after receipt by the employer of the petition |
4 | | with the
required information the employee may file said |
5 | | petition and required
information and shall serve notice of the |
6 | | filing upon the employer. The
employer may file a motion |
7 | | addressed to the sufficiency of the petition.
If an objection |
8 | | has been filed to the sufficiency of the petition, the
|
9 | | arbitrator shall rule on the objection within 2 working days. |
10 | | If such an
objection is filed, the time for filing the final |
11 | | decision of the Commission
as provided in this paragraph shall |
12 | | be tolled until the arbitrator has
determined that the petition |
13 | | is sufficient.
|
14 | | The employer shall, within 15 days after receipt of the |
15 | | notice that such
petition is filed, file with the Commission |
16 | | and serve on the employee or
his representative a written |
17 | | response to each claim set
forth in the petition, including the |
18 | | legal and factual basis for each
disputed allegation and the |
19 | | following information: (i)
complete copies of any reports, |
20 | | records, documents and affidavits
in the possession of the |
21 | | employer on which the employer intends to rely in
support of |
22 | | his response, (ii) a list of any reports, records, documents |
23 | | and
affidavits which the employer has demanded by subpoena and |
24 | | on which the
employer intends to rely in support of his |
25 | | response, (iii) the name and address
of each witness on whom |
26 | | the employer will rely to support his response,
and (iv) the |
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1 | | names and addresses of any medical practitioners
selected by |
2 | | the employer pursuant to Section 12 of this Act and the time
|
3 | | and place of any examination scheduled to be made pursuant to |
4 | | such Section.
|
5 | | Any employer who does not timely file and serve a written |
6 | | response
without good cause may not introduce any evidence to |
7 | | dispute any claim of
the employee but may cross examine the |
8 | | employee or any witness brought by
the employee and otherwise |
9 | | be heard.
|
10 | | No document or other evidence not previously identified by |
11 | | either party
with the petition or written response, or by any |
12 | | other means before the
hearing, may be introduced into evidence |
13 | | without good cause. If, at the
hearing, material information is |
14 | | discovered which was not previously
disclosed, the Arbitrator |
15 | | may extend the time for closing proof on the
motion of a party |
16 | | for a reasonable period of time which may be more than 30
days. |
17 | | No evidence may be introduced pursuant to this paragraph as to
|
18 | | permanent disability. No award may be entered for permanent |
19 | | disability
pursuant to this paragraph. Either party may |
20 | | introduce into evidence the
testimony taken by deposition of |
21 | | any medical practitioner.
|
22 | | The Commission shall adopt rules, regulations and |
23 | | procedures whereby
the final decision of the Commission is |
24 | | filed not later than 90 days from
the date the petition for |
25 | | review is filed but in no event later than 180
days from the |
26 | | date the petition for an emergency hearing is filed with the
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1 | | Illinois Workers' Compensation Commission.
|
2 | | All service required pursuant to this paragraph (b-1) must |
3 | | be by personal
service or by certified mail and with evidence |
4 | | of receipt. In addition,
for the purposes of this paragraph, |
5 | | all service on the employer must be at
the premises where the |
6 | | accident occurred if the premises are owned or
operated by the |
7 | | employer. Otherwise service must be at the employee's
principal |
8 | | place of employment by the employer. If service on the employer
|
9 | | is not possible at either of the above, then service shall be |
10 | | at the
employer's principal place of business. After initial |
11 | | service in each case,
service shall be made on the employer's |
12 | | attorney or designated representative.
|
13 | | (c)(1) At a reasonable time in advance of and in connection |
14 | | with the
hearing under Section 19(e) or 19(h), the Commission |
15 | | may on its own motion
order an impartial physical or mental |
16 | | examination of a petitioner whose
mental or physical condition |
17 | | is in issue, when in the Commission's
discretion it appears |
18 | | that such an examination will materially aid in the
just |
19 | | determination of the case. The examination shall be made by a |
20 | | member
or members of a panel of physicians chosen for their |
21 | | special qualifications
by the Illinois State Medical Society. |
22 | | The Commission shall establish
procedures by which a physician |
23 | | shall be selected from such list.
|
24 | | (2) Should the Commission at any time during the hearing |
25 | | find that
compelling considerations make it advisable to have |
26 | | an examination and
report at that time, the Commission may in |
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1 | | its discretion so order.
|
2 | | (3) A copy of the report of examination shall be given to |
3 | | the Commission
and to the attorneys for the parties.
|
4 | | (4) Either party or the Commission may call the examining |
5 | | physician
or physicians to testify. Any physician so called |
6 | | shall be subject to
cross-examination.
|
7 | | (5) The examination shall be made, and the physician or |
8 | | physicians,
if called, shall testify, without cost to the |
9 | | parties. The Commission shall
determine the compensation and |
10 | | the pay of the physician or physicians. The
compensation for |
11 | | this service shall not exceed the usual and customary amount
|
12 | | for such service.
|
13 | | The fees and payment thereof of all attorneys and |
14 | | physicians for
services authorized by the Commission under this |
15 | | Act shall, upon request
of either the employer or the employee |
16 | | or the beneficiary affected, be
subject to the review and |
17 | | decision of the Commission.
|
18 | | (d) If any employee shall persist in insanitary or |
19 | | injurious
practices which tend to either imperil or retard his |
20 | | recovery or shall
refuse to submit to such medical, surgical, |
21 | | or hospital treatment as is
reasonably essential to promote his |
22 | | recovery, the Commission may, in its
discretion, reduce or |
23 | | suspend the compensation of any such employee;
provided, that |
24 | | when an employer and employee so agree in writing, the
|
25 | | foregoing provision shall not be construed to authorize the |
26 | | reduction or
suspension of compensation of an employee who is |
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1 | | relying in good faith,
on treatment by prayer or spiritual |
2 | | means alone, in accordance with the
tenets and practice of a |
3 | | recognized church or religious denomination, by
a duly |
4 | | accredited practitioner thereof.
|
5 | | (e) This paragraph shall apply to all hearings before the |
6 | | Commission.
Such hearings may be held in its office or |
7 | | elsewhere as the Commission may
deem advisable. The taking of |
8 | | testimony on such hearings may be had before
any member of the |
9 | | Commission. If a petition for review and agreed statement
of |
10 | | facts or transcript of evidence is filed, as provided herein, |
11 | | the
Commission shall promptly review the decision of the |
12 | | Arbitrator and all
questions of law or fact which appear from |
13 | | the statement of facts or
transcripts of evidence. In all cases |
14 | | in which the hearing before the
arbitrator is held after the |
15 | | effective date of this amendatory Act of 1989,
no additional |
16 | | evidence shall be introduced by the parties before the
|
17 | | Commission on review of the decision of the Arbitrator. The |
18 | | Commission
shall file in its office its decision thereon, and |
19 | | shall immediately send
to each party or his attorney a copy of |
20 | | such decision and a notification of
the time when it was filed. |
21 | | Decisions shall be filed within 60 days after
the Statement of |
22 | | Exceptions and Supporting Brief and Response thereto are
|
23 | | required to be filed or oral argument whichever is later.
|
24 | | In the event either party requests oral argument, such |
25 | | argument shall be
had before a panel of 3 members of the |
26 | | Commission (or before all available
members pursuant to the |
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1 | | determination of 7 members of the Commission that
such argument |
2 | | be held before all available members of the Commission)
|
3 | | pursuant to the rules and regulations of the Commission. A |
4 | | panel of 3
members, which shall be comprised of not more than |
5 | | one representative
citizen of the employing class and not more |
6 | | than one representative from a labor organization recognized |
7 | | under the National Labor Relations Act citizen
of the employee |
8 | | class , shall hear the argument; provided that if all the
issues |
9 | | in dispute are solely the nature and extent of the permanent |
10 | | partial
disability, if any, a majority of the panel may deny |
11 | | the request for such
argument and such argument shall not be |
12 | | held; and provided further that 7
members of the Commission may |
13 | | determine that the argument be held before
all available |
14 | | members of the Commission. A decision of the Commission shall
|
15 | | be approved by a majority of Commissioners present at such |
16 | | hearing if any;
provided, if no such hearing is held, a |
17 | | decision of the Commission shall be
approved by a majority of a |
18 | | panel of 3 members of the Commission as
described in this |
19 | | Section. The Commission shall give 10 days' notice to the
|
20 | | parties or their attorneys of the time and place of such taking |
21 | | of
testimony and of such argument.
|
22 | | In any case the Commission in its decision may in its |
23 | | discretion find
specially upon any question or questions of law |
24 | | or facts which shall be
submitted in writing by either party |
25 | | whether ultimate or otherwise;
provided that on issues other |
26 | | than nature and extent of the disablement,
if any, the |
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1 | | Commission in its decision shall find specially upon any
|
2 | | question or questions of law or fact, whether ultimate or |
3 | | otherwise,
which are submitted in writing by either party; |
4 | | provided further that
not more than 5 such questions may be |
5 | | submitted by either party. Any
party may, within 20 days after |
6 | | receipt of notice of the Commission's
decision, or within such |
7 | | further time, not exceeding 30 days, as the
Commission may |
8 | | grant, file with the Commission either an agreed
statement of |
9 | | the facts appearing upon the hearing, or, if such party
shall |
10 | | so elect, a correct transcript of evidence of the additional
|
11 | | proceedings presented before the Commission in which report the |
12 | | party
may embody a correct statement of such other proceedings |
13 | | in the case as
such party may desire to have reviewed, such |
14 | | statement of facts or
transcript of evidence to be |
15 | | authenticated by the signature of the
parties or their |
16 | | attorneys, and in the event that they do not agree,
then the |
17 | | authentication of such transcript of evidence shall be by the
|
18 | | signature of any member of the Commission.
|
19 | | If a reporter does not for any reason furnish a transcript |
20 | | of the
proceedings before the Arbitrator in any case for use on |
21 | | a hearing for
review before the Commission, within the |
22 | | limitations of time as fixed in
this Section, the Commission |
23 | | may, in its discretion, order a trial de
novo before the |
24 | | Commission in such case upon application of either
party. The |
25 | | applications for adjustment of claim and other documents in
the |
26 | | nature of pleadings filed by either party, together with the
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1 | | decisions of the Arbitrator and of the Commission and the |
2 | | statement of
facts or transcript of evidence hereinbefore |
3 | | provided for in paragraphs
(b) and (c) shall be the record of |
4 | | the proceedings of the Commission,
and shall be subject to |
5 | | review as hereinafter provided.
|
6 | | At the request of either party or on its own motion, the |
7 | | Commission shall
set forth in writing the reasons for the |
8 | | decision, including findings of
fact and conclusions of law, |
9 | | separately stated. The Commission shall by
rule adopt a format |
10 | | for written decisions for the Commission and
arbitrators. The |
11 | | written decisions shall be concise and shall succinctly
state |
12 | | the facts and reasons for the decision. The Commission may |
13 | | adopt in
whole or in part, the decision of the arbitrator as |
14 | | the decision of the
Commission. When the Commission does so |
15 | | adopt the decision of the
arbitrator, it shall do so by order. |
16 | | Whenever the Commission adopts part of
the arbitrator's |
17 | | decision, but not all, it shall include in the order the
|
18 | | reasons for not adopting all of the arbitrator's decision. When |
19 | | a majority
of a panel, after deliberation, has arrived at its |
20 | | decision, the decision
shall be filed as provided in this |
21 | | Section without unnecessary delay, and
without regard to the |
22 | | fact that a member of the panel has expressed an
intention to |
23 | | dissent. Any member of the panel may file a dissent. Any
|
24 | | dissent shall be filed no later than 10 days after the decision |
25 | | of the
majority has been filed.
|
26 | | Decisions rendered by the Commission after the effective |
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1 | | date of this
amendatory Act of 1980 and dissents, if any, shall |
2 | | be published
together by the Commission. The conclusions
of law |
3 | | set out in such decisions shall be regarded as precedents
by |
4 | | arbitrators, for the purpose of achieving
a more uniform |
5 | | administration of this Act.
|
6 | | (f) The decision of the Commission acting within its |
7 | | powers,
according to the provisions of paragraph (e) of this |
8 | | Section shall, in
the absence of fraud, be conclusive unless |
9 | | reviewed as in this paragraph
hereinafter provided. However, |
10 | | the Arbitrator or the Commission may on
his or its own motion, |
11 | | or on the motion of either party, correct any
clerical error or |
12 | | errors in computation within 15 days after the date of
receipt |
13 | | of any award by such Arbitrator or any decision on review of |
14 | | the
Commission, and shall have the power to recall the original |
15 | | award on
arbitration or decision on review, and issue in lieu |
16 | | thereof such
corrected award or decision. Where such correction |
17 | | is made the time for
review herein specified shall begin to run |
18 | | from the date of
the receipt of the corrected award or |
19 | | decision.
|
20 | | (1) Except in cases of claims against the State of |
21 | | Illinois, in
which case the decision of the Commission |
22 | | shall not be subject to
judicial review, the Circuit Court |
23 | | of the county where any of the
parties defendant may be |
24 | | found, or if none of the parties defendant be
found in this |
25 | | State then the Circuit Court of the county where any of
the |
26 | | exposure occurred, shall by summons to the Commission
have |
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1 | | power to review all questions of law and fact presented by |
2 | | such
record.
|
3 | | A proceeding for review shall be commenced within 20 |
4 | | days of the
receipt of notice of the decision of the |
5 | | Commission. The summons shall be
issued by the clerk of |
6 | | such court upon written request returnable on a
designated |
7 | | return day, not less than 10 or more than 60 days from the |
8 | | date
of issuance thereof, and the written request shall |
9 | | contain the last known
address of other parties in interest |
10 | | and their attorneys of record who are
to be served by |
11 | | summons. Service upon any member of the Commission or the
|
12 | | Secretary or the Assistant Secretary thereof shall be |
13 | | service upon the
Commission, and service upon other parties |
14 | | in interest and their attorneys
of record shall be by |
15 | | summons, and such service shall be made upon the
Commission |
16 | | and other parties in interest by mailing notices of the
|
17 | | commencement of the proceedings and the return day of the |
18 | | summons to the
office of the Commission and to the last |
19 | | known place of residence of
other parties in interest or |
20 | | their attorney or attorneys of record. The
clerk of the |
21 | | court issuing the summons shall on the day of issue mail |
22 | | notice
of the commencement of the proceedings which shall |
23 | | be done by mailing a
copy of the summons to the office of |
24 | | the Commission, and a copy of the
summons to the other |
25 | | parties in interest or their attorney or
attorneys of |
26 | | record and the clerk of the court shall make certificate
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1 | | 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 file with the Commission |
8 | | notice of intent to file for review in Circuit Court. It |
9 | | shall be
the duty of the Commission upon such filing of |
10 | | notice of intent to file for review in Circuit Court to |
11 | | prepare a true and correct
copy of such testimony and a |
12 | | true and correct copy of all
other matters contained in |
13 | | such record and certified to by the Secretary
or Assistant |
14 | | Secretary thereof. The changes made to this subdivision |
15 | | (f)(1) by this amendatory Act of the 98th General Assembly |
16 | | apply to any Commission decision entered after the |
17 | | effective date of this amendatory Act of the 98th General |
18 | | Assembly.
|
19 | | No request
for a summons may be filed and no summons |
20 | | shall
issue unless the party seeking to review the decision |
21 | | of the Commission
shall exhibit to the clerk of the Circuit |
22 | | Court proof of
filing with the Commission of the notice of |
23 | | the intent to file for review in the Circuit Court or an |
24 | | affidavit of the attorney setting
forth that notice of |
25 | | intent to file for review in Circuit Court has been given |
26 | | in writing to the Secretary
or Assistant Secretary of the |
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1 | | Commission.
|
2 | | (2) No such summons shall issue unless the one against
|
3 | | whom the Commission shall have rendered an award for the |
4 | | payment of money
shall upon the filing of his written |
5 | | request for such summons file with the
clerk of the court a |
6 | | bond conditioned that if he shall not successfully
|
7 | | prosecute the review, he will pay the award and the costs |
8 | | of the
proceedings in the court. The amount of the bond |
9 | | shall be fixed by any
member of the Commission and the |
10 | | surety or sureties of the bond shall be
approved by the |
11 | | clerk of the court. The acceptance of the bond by the
clerk |
12 | | of the court shall constitute evidence of his approval of |
13 | | the
bond.
|
14 | | Every county, city, town, township, incorporated |
15 | | village, school
district, body politic or municipal |
16 | | corporation having a population of
500,000 or more against |
17 | | whom the Commission shall have rendered an award
for the |
18 | | payment of money shall not be required to file a bond to |
19 | | secure
the payment of the award and the costs of the |
20 | | proceedings in the court
to authorize the court to issue |
21 | | such summons.
|
22 | | The court may confirm or set aside the decision of the |
23 | | Commission. If
the decision is set aside and the facts |
24 | | found in the proceedings before
the Commission are |
25 | | sufficient, the court may enter such decision as is
|
26 | | justified by law, or may remand the cause to the Commission |
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1 | | for further
proceedings and may state the questions |
2 | | requiring further hearing, and
give such other |
3 | | instructions as may be proper. Appeals shall be taken
to |
4 | | the Appellate Court in accordance
with Supreme Court Rules |
5 | | 22(g) and 303. Appeals shall be taken from the
Appellate |
6 | | Court to the Supreme Court
in accordance with Supreme Court |
7 | | Rule 315.
|
8 | | It shall be the duty of the clerk of any court |
9 | | rendering a decision
affecting or affirming an award of the |
10 | | Commission to promptly furnish
the Commission with a copy |
11 | | of such decision, without charge.
|
12 | | The decision of a majority of the members of the panel |
13 | | of the Commission,
shall be considered the decision of the |
14 | | Commission.
|
15 | | (g) Except in the case of a claim against the State of |
16 | | Illinois,
either party may present a certified copy of the |
17 | | award of the
Arbitrator, or a certified copy of the decision of |
18 | | the Commission when
the same has become final, when no |
19 | | proceedings for review are pending,
providing for the payment |
20 | | of compensation according to this Act, to the
Circuit Court of |
21 | | the county in which such exposure occurred or either of
the |
22 | | parties are residents, whereupon the court shall enter a |
23 | | judgment
in accordance therewith. In case where the employer |
24 | | refuses to pay
compensation according to such final award or |
25 | | such final decision upon
which such judgment is entered, the |
26 | | court shall in entering judgment
thereon, tax as costs against |
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1 | | him the reasonable costs and attorney fees
in the arbitration |
2 | | proceedings and in the court entering the judgment
for the |
3 | | person in whose favor the judgment is entered, which judgment
|
4 | | and costs taxed as herein provided shall, until and unless set |
5 | | aside,
have the same effect as though duly entered in an action |
6 | | duly tried and
determined by the court, and shall with like |
7 | | effect, be entered and
docketed. The Circuit Court shall have |
8 | | power at any time upon
application to make any such judgment |
9 | | conform to any modification
required by any subsequent decision |
10 | | of the Supreme Court upon appeal, or
as the result of any |
11 | | subsequent proceedings for review, as provided in
this Act.
|
12 | | Judgment shall not be entered until 15 days' notice of the |
13 | | time and
place of the application for the entry of judgment |
14 | | shall be served upon
the employer by filing such notice with |
15 | | the Commission, which Commission
shall, in case it has on file |
16 | | the address of the employer or the name
and address of its |
17 | | agent upon whom notices may be served, immediately
send a copy |
18 | | of the notice to the employer or such designated agent.
|
19 | | (h) An agreement or award under this Act providing for |
20 | | compensation
in installments, may at any time within 18 months |
21 | | after such agreement
or award be reviewed by the Commission at |
22 | | the request of either the
employer or the employee on the |
23 | | ground that the disability of the
employee has subsequently |
24 | | recurred, increased, diminished or ended.
|
25 | | However, as to disablements occurring subsequently to July |
26 | | 1, 1955,
which are covered by any agreement or award under this |
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1 | | Act providing for
compensation in installments made as a result |
2 | | of such disablement, such
agreement or award may at any time |
3 | | within 30 months after such agreement
or award be reviewed by |
4 | | the Commission at the request of either the
employer or the |
5 | | employee on the ground that the disability of the
employee has |
6 | | subsequently recurred, increased, diminished or ended.
|
7 | | On such review compensation payments may be |
8 | | re-established,
increased, diminished or ended. The Commission |
9 | | shall give 15 days'
notice to the parties of the hearing for |
10 | | review. Any employee, upon any
petition for such review being |
11 | | filed by the employer, shall be entitled
to one day's notice |
12 | | for each 100 miles necessary to be traveled by him in
attending |
13 | | the hearing of the Commission upon the petition, and 3 days in
|
14 | | addition thereto. Such employee shall, at the discretion of the
|
15 | | Commission, also be entitled to 5 cents per mile necessarily |
16 | | traveled by
him within the State of Illinois in attending such |
17 | | hearing, not to
exceed a distance of 300 miles, to be taxed by |
18 | | the Commission as costs
and deposited with the petition of the |
19 | | employer.
|
20 | | When compensation which is payable in accordance with an |
21 | | award or
settlement contract approved by the Commission, is |
22 | | ordered paid in a
lump sum by the Commission, no review shall |
23 | | be had as in this paragraph
mentioned.
|
24 | | (i) Each party, upon taking any proceedings or steps |
25 | | whatsoever
before any Arbitrator, Commission or court,
shall |
26 | | file with the Commission his address, or the name and address |
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1 | | of
any agent upon whom all notices to be given to such party |
2 | | shall be
served, either personally or by registered mail, |
3 | | addressed to such party
or agent at the last address so filed |
4 | | with the Commission. In the event
such party has not filed his |
5 | | address, or the name and address of an
agent as above provided, |
6 | | service of any notice may be had by filing such
notice with the |
7 | | Commission.
|
8 | | (j) Whenever in any proceeding testimony has been taken or |
9 | | a final
decision has been rendered, and after the taking of |
10 | | such testimony or
after such decision has become final, the |
11 | | employee dies, then in any
subsequent proceeding brought by the |
12 | | personal representative or
beneficiaries of the deceased |
13 | | employee, such testimony in the former
proceeding may be |
14 | | introduced with the same force and effect as though
the witness |
15 | | having so testified were present in person in such
subsequent |
16 | | proceedings and such final decision, if any, shall be taken
as |
17 | | final adjudication of any of the issues which are the same in |
18 | | both
proceedings.
|
19 | | (k) In any case where there has been any unreasonable or |
20 | | vexatious
delay of payment or intentional underpayment of |
21 | | compensation, or
proceedings have been instituted or carried on |
22 | | by one liable to pay the
compensation, which do not present a |
23 | | real controversy, but are merely
frivolous or for delay, then |
24 | | the Commission may award compensation
additional to that |
25 | | otherwise payable under this Act equal to 50% of the
amount |
26 | | payable at the time of such award. Failure to pay compensation |
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1 | | in
accordance with the provisions of Section 8, paragraph (b) |
2 | | of this Act,
shall be considered unreasonable delay.
|
3 | | When determining whether this subsection (k) shall apply, |
4 | | the
Commission shall consider whether an arbitrator has |
5 | | determined
that the claim is not compensable or whether the |
6 | | employer has
made payments under Section 8(j) of the Workers' |
7 | | Compensation Act. |
8 | | (k-1) If the employee has made written demand for payment |
9 | | of
benefits under Section 8(a) or Section 8(b) of the Workers' |
10 | | Compensation Act, the employer shall
have 14 days after receipt |
11 | | of the demand to set forth in
writing the reason for the delay. |
12 | | In the case of demand for
payment of medical benefits under |
13 | | Section 8(a) of the Workers' Compensation Act, the time for
the |
14 | | employer to respond shall not commence until the expiration
of |
15 | | the allotted 60 days specified under Section 8.2(d) of the |
16 | | Workers' Compensation Act. In case
the employer or his or her |
17 | | insurance carrier shall without good and
just cause fail, |
18 | | neglect, refuse, or unreasonably delay the
payment of benefits |
19 | | under Section 8(a) or Section 8(b) of the Workers' Compensation |
20 | | Act, the
Arbitrator or the Commission shall allow to the |
21 | | employee
additional compensation in the sum of $30 per day for |
22 | | each day
that the benefits under Section 8(a) or Section 8(b) |
23 | | of the Workers' Compensation Act have been
so withheld or |
24 | | refused, not to exceed $10,000.
A delay in payment of 14 days |
25 | | or more
shall create a rebuttable presumption of unreasonable |
26 | | delay.
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1 | | (l) By the 15th day of each month each insurer providing |
2 | | coverage for
losses under this Act shall notify each insured |
3 | | employer of any compensable
claim incurred during the preceding |
4 | | month and the amounts paid or reserved
on the claim including a |
5 | | summary of the claim and a brief statement of the
reasons for |
6 | | compensability. A cumulative report of all claims incurred
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7 | | during a calendar year or continued
from the previous year |
8 | | shall be furnished to the insured employer by the
insurer |
9 | | within 30 days after the end of that calendar year.
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10 | | The insured employer may challenge, in proceeding before |
11 | | the Commission,
payments made by the insurer without |
12 | | arbitration and payments made after
a case is determined to be |
13 | | noncompensable. If the Commission finds that
the case was not |
14 | | compensable, the insurer shall purge its records as to
that |
15 | | employer of any loss or expense associated with the claim, |
16 | | reimburse
the employer for attorneys fee arising from the |
17 | | challenge and for any payment
required of the employer to the |
18 | | Rate Adjustment Fund or the Second Injury
Fund, and may not |
19 | | effect the loss or expense for rate making purposes. The
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20 | | employee shall not be required to refund the challenged |
21 | | payment. The
decision of the Commission may be reviewed in the |
22 | | same
manner as in arbitrated cases. No challenge may be |
23 | | initiated under this
paragraph more than 3 years after the |
24 | | payment is made. An employer may
waive the right of challenge |
25 | | under this paragraph on a case by case basis.
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26 | | (m) After filing an application for adjustment of claim but |
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1 | | prior to
the hearing on arbitration the parties may voluntarily |
2 | | agree to submit such
application for adjustment of claim for |
3 | | decision by an arbitrator under
this subsection (m) where such |
4 | | application for adjustment
of claim raises only a dispute over |
5 | | temporary total disability, permanent
partial disability or |
6 | | medical expenses. Such agreement shall be in writing
in such |
7 | | form as provided by the Commission. Applications for adjustment |
8 | | of
claim submitted for decision by an arbitrator under
this |
9 | | subsection (m) shall proceed according
to rule as established |
10 | | by the Commission. The Commission shall promulgate
rules |
11 | | including, but not limited to, rules to ensure that the parties |
12 | | are
adequately informed of their rights under this subsection |
13 | | (m) and of the
voluntary nature of proceedings under this |
14 | | subsection
(m). The findings of fact made by an arbitrator |
15 | | acting within his or her
powers under this subsection (m) in |
16 | | the absence of fraud shall be
conclusive. However, the |
17 | | arbitrator may on his own motion, or the motion
of either |
18 | | party, correct any clerical errors or errors in computation
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19 | | within 15 days after the date of receipt of such award of the |
20 | | arbitrator
and shall have the power to recall the original |
21 | | award on arbitration, and
issue in lieu thereof such corrected |
22 | | award.
The decision of the arbitrator under this subsection (m) |
23 | | shall be
considered the decision of the Commission and |
24 | | proceedings for review of
questions of law arising from the |
25 | | decision may be commenced by either party
pursuant to |
26 | | subsection (f) of Section 19. The Advisory Board established
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1 | | under Section 13.1 of the Workers' Compensation Act shall |
2 | | compile a list of
certified Commission arbitrators, each of |
3 | | whom shall be approved by at least
7 members of the Advisory |
4 | | Board. The chairman shall select 5 persons
from such list to |
5 | | serve as arbitrators under this subsection (m). By
agreement, |
6 | | the parties shall select one arbitrator from among the 5 |
7 | | persons
selected by the chairman except, that if the parties do |
8 | | not agree on an
arbitrator from among the 5 persons, the |
9 | | parties may, by agreement,
select an arbitrator of the American |
10 | | Arbitration Association, whose fee
shall be paid by the State |
11 | | in accordance with rules promulgated by the
Commission. |
12 | | Arbitration under this subsection (m) shall be voluntary.
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13 | | (Source: P.A. 98-40, eff. 6-28-13.)
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