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ILLINOIS INDUSTRIAL COMMISSION
George H. Ryan, Governor
John W. Hallock, Jr., Chairman
ILLINOIS WORKERS' OCCUPATIONAL DISEASES ACT
Title: An Act to promote the general welfare of the
people of this State by providing remedies for injuries suffered or
death resulting from occupational diseases incurred in the course of
employment; providing for enforcement and administration thereof, and to
repeal an Act therein named.
Cite: 820 ILCS 310/1 et seq. From: Ch. 48, par.
172.36 et seq.
Source: L. 1951, p. 1095. Date: Approved July 9,
1951.
Short title: Workers' Occupational Diseases
Act.(820 ILCS 310/1) (from Ch. 48, par. 172.36)
Sec. 1. This Act shall be known and may be cited as
the "Workers' Occupational Diseases Act".
(a) The term "employer" as used in this Act shall
be construed to be:
1. The State and each county, city, town, township,
incorporated village, school district, body politic, or municipal
corporation therein.
2. Every person, firm, public or private
corporation, including hospitals, public service, eleemosynary,
religious or charitable corporations or associations, who has any person
in service or under any contract for hire, express or implied, oral or
written.
3. Where an employer operating under and subject to
the provisions of this Act loans an employee to another such employer
and such loaned employee sustains a compensable occupational disease in
the employment of such borrowing employer and where such borrowing
employer does not provide or pay the benefits or payments due such
employee, such loaning employer shall be liable to provide or pay all
benefits or payments due such employee under this Act and as to such
employee the liability of such loaning and borrowing employers shall be
joint and several, provided that such loaning employer shall in the
absence of agreement to the contrary be entitled to receive from such
borrowing employer full reimbursement for all sums paid or incurred
pursuant to this paragraph together with reasonable attorneys' fees and
expenses in any hearings before the Industrial Commission or in any
action to secure such reimbursement. Where any benefit is provided or
paid by such loaning employer, the employee shall have the duty of
rendering reasonable co-operation in any hearings, trials or proceedings
in the case, including such proceedings for reimbursement.
Where an employee files an Application for
Adjustment of Claim with the Industrial Commission alleging that his or
her claim is covered by the provisions of the preceding paragraph, and
joining both the alleged loaning and borrowing employers, they and each
of them, upon written demand by the employee and within 7 days after
receipt of such demand, shall have the duty of filing with the
Industrial Commission a written admission or denial of the allegation
that the claim is covered by the provisions of the preceding paragraph
and in default of such filing or if any such denial be ultimately
determined not to have been bona fide then the provisions of Paragraph K
of Section 19 of this Act shall apply.
An employer whose business or enterprise or a
substantial part thereof consists of hiring, procuring or furnishing
employees to or for other employers operating under and subject to the
provisions of this Act for the performance of the work of such other
employers and who pays such employees their salary or wage
notwithstanding that they are doing the work of such other employers
shall be deemed a loaning employer within the meaning and provisions of
this Section.
(b) The term "employee" as used in this Act, shall
be construed to mean:
1. Every person in the service of the State,
county, city, town, township, incorporated village or school district,
body politic or municipal corporation therein, whether by election,
appointment or contract of hire, express or implied, oral or written,
including any official of the State, or of any county, city, town,
township, incorporated village, school district, body politic or
municipal corporation therein and except any duly appointed member of
the fire department in any city whose population exceeds 500,000
according to the last Federal or State census, and except any member of
a fire insurance patrol maintained by a board of underwriters in this
State. One employed by a contractor who has contracted with the State,
or a county, city, town, township, incorporated village, school
district, body politic or municipal corporation therein, through its
representatives, shall not be considered as an employee of the State,
county, city, town, township, incorporated village, school district,
body politic or municipal corporation which made the contract.
2. Every person in the service of another under any
contract of hire, express or implied, oral or written, who contracts an
occupational disease while working in the State of Illinois, or who
contracts an occupational disease while working outside of the State of
Illinois but where the contract of hire is made within the State of
Illinois, and any person whose employment is principally localized
within the State of Illinois, regardless of the place where the disease
was contracted or place where the contract of hire was made, including
aliens, and minors who, for the purpose of this Act, except Section 3
hereof, shall be considered the same and have the same power to
contract, receive payments and give quittances therefor, as adult
employees. An employee or his or her dependents under this Act who shall
have a cause of action by reason of an occupational disease, disablement
or death arising out of and in the course of his or her employment may
elect or pursue his or her remedy in the State where the disease was
contracted, or in the State where the contract of hire is made, or in
the State where the employment is principally localized.
(c) "Commission" means the Industrial Commission
created by the Workers' Compensation Act, approved July 9, 1951, as
amended.
(d) In this Act the term "Occupational Disease"
means a disease arising out of and in the course of the employment or
which has become aggravated and rendered disabling as a result of the
exposure of the employment. Such aggravation shall arise out of a risk
peculiar to or increased by the employment and not common to the general
public.
A disease shall be deemed to arise out of the
employment if there is apparent to the rational mind, upon consideration
of all the circumstances, a causal connection between the conditions
under which the work is performed and the occupational disease. The
disease need not to have been foreseen or expected but after its
contraction it must appear to have had its origin or aggravation in a
risk connected with the employment and to have flowed from that source
as a rational consequence.
An employee shall be conclusively deemed to have
been exposed to the hazards of an occupational disease when, for any
length of time however short, he or she is employed in an occupation or
process in which the hazard of the disease exists; provided however,
that in a claim of exposure to atomic radiation, the fact of such
exposure must be verified by the records of the central registry of
radiation exposure maintained by the Department of Public Health or by
some other recognized governmental agency maintaining records of such
exposures whenever and to the extent that the records are on file with
the Department of Public Health or the agency.
The employer liable for the compensation in this
Act provided shall be the employer in whose employment the employee was
last exposed to the hazard of the occupational disease claimed upon
regardless of the length of time of such last exposure, except, in cases
of silicosis or asbestosis, the only employer liable shall be the last
employer in whose employment the employee was last exposed during a
period of 60 days or more after the effective date of this Act, to the
hazard of such occupational disease, and, in such cases, an exposure
during a period of less than 60 days, after the effective date of this
Act, shall not be deemed a last exposure. If a miner who is suffering or
suffered from pneumoconiosis was employed for 10 years or more in one or
more coal mines there shall, effective July 1, 1973 be a rebuttable
presumption that his or her pneumoconiosis arose out of such employment.
If a deceased miner was employed for 10 years or
more in one or more coal mines and died from a respirable disease there
shall, effective July 1, 1973, be a rebuttable presumption that his or
her death was due to pneumoconiosis.
The insurance carrier liable shall be the carrier
whose policy was in effect covering the employer liable on the last day
of the exposure rendering such employer liable in accordance with the
provisions of this Act.
(e) "Disablement" means an impairment or partial
impairment, temporary or permanent, in the function of the body or any
of the members of the body, or the event of becoming disabled from
earning full wages at the work in which the employee was engaged when
last exposed to the hazards of the occupational disease by the employer
from whom he or she claims compensation, or equal wages in other
suitable employment; and "disability" means the state of being so
incapacitated.
(f) No compensation shall be payable for or on
account of any occupational disease unless disablement, as herein
defined, occurs within two years after the last day of the last exposure
to the hazards of the disease, except in cases of occupational disease
caused by berylliosis or by the inhalation of silica dust or asbestos
dust and, in such cases, within 3 years after the last day of the last
exposure to the hazards of such disease and except in the case of
occupational disease caused by exposure to radiological materials or
equipment, and in such case, within 25 years after the last day of last
exposure to the hazards of such disease.
(Source: P.A. 81-992.)
(820 ILCS 310/2) (from Ch. 48, par. 172.37)
Sec. 2. (a) Where any employer in this State is
automatically and without election subject to and bound by the
provisions of the Workers' Compensation Act by reason of the provisions
of Section 3 thereof, as heretofore or hereafter amended, then such
employer and all of his employees working within this State shall be
automatically and without election subject to and bound by the
compensation provisions of this Act with respect to all cases in which
the last day of the last exposure to the hazards of the disease claimed
upon shall have been on or after July 1, 1957. However, nothing
contained in this Act shall be construed to apply to any business,
enterprise, household or residence which is exempt from the compensation
provisions of the Workers' Compensation Act under paragraphs 17, 18 and
19 of Section 3 of that Act.
(b) Any employer in this State who does not come
within the classes enumerated by Section 2 (a) of this Act may elect to
provide and pay compensation according to the provisions of this Act,
for disability or death resulting from occupational diseases, and such
election, when effective, shall apply to all cases in which the last day
of the last exposure as defined in this Act to the hazards of the
occupational disease claimed upon shall have occurred on or after the
effective date of such election, and shall relieve such employer of all
liability under Section 3 of this Act and all other liability with
respect to injury to health or death therefrom by reason of any disease
contracted or sustained in the course of the employment. The State of
Illinois hereby elects to provide and pay compensation according to the
provisions of this Act.
(c) Election by any employer, pursuant to paragraph
(b) of this Section shall be made by filing notice of such election with
the Industrial Commission or by insuring his liability to pay
compensation under this Act in some insurance carrier authorized,
licensed or permitted to do such insurance business in this State. Such
employer shall either furnish to his employees personally or post in a
conspicuous place in the place of employment notice of his election.
(d) Every employer who has elected pursuant to
paragraphs (b) and (c) of this section to provide and pay compensation
shall, from and after the effective date of such election be and operate
under all provisions of this Act except Section 3 hereof, with respect
to all his employees except those who have rejected in due time as
provided in paragraph (e). Any employer having elected, prior to October
1, 1941, not to provide and pay compensation may at any time thereafter
again elect pursuant to paragraphs (b) and (c) to provide and pay
compensation, but having thus elected for the second time to provide and
pay compensation such employer shall, from and after the effective date
of such last said election, be and operate under all provisions of this
Act, except Section 3 hereof, with respect to all employees except those
who have rejected in due time as provided in paragraph (e) of this
section.
(e) If any employer elects, pursuant to paragraph
(b) and (c) of this section, then every employee of such employer, who
may be employed at the time of such election by such employer, shall be
deemed to have accepted all the compensation provisions of this Act and
shall be bound thereby unless within 30 days after such election he
shall file a notice to the contrary with the Commission whose duty it
shall be immediately to notify the employer, and until such notice is
given to the employer, the measure of liability of such employer shall
be determined according to the compensation provisions of this Act; and
every employee of such employer, hired after such employer's election,
as a part of his contract of hiring shall be deemed to have accepted all
of the compensation provisions of this Act, and shall have no right of
rejection.
(f) Every employer within the provisions of this
Act who has elected to provide any pay compensation according to the
provisions of this Act by filing notice of such election with the
Commission, shall be bound thereby as to all his employees until January
1st of the next succeeding year and for terms of each year thereafter.
Any such employer who may have once elected, may
elect not to provide and pay the compensation herein provided for
accidents resulting in either injury or death and occurring after the
expiration of any such calendar year by filing notice of such election
with the Commission at least 60 days prior to the expiration of any such
calendar year, and by posting such notice at a conspicuous place in the
plant, shop, office, room or place where such employee is employed, or
by personal service, in written or printed form, upon such employees, at
least 60 days prior to the expiration of any such calendar year.
Every employer within the provisions of this Act
who has elected to provide and pay compensation according to the
provisions of this Act by insuring his liability to pay compensation
under this Act, as above provided, shall be bound thereby as to all his
employees until the date of expiration or cancellation of such policy of
insurance, or any renewal thereof.
(Source: P.A. 81-992.)
(820 ILCS 310/3) (from Ch. 48, par. 172.38)
Sec. 3. Where an employee in this State sustains
injury to health or death by reason of a disease contracted or sustained
in the course of the employment and proximately caused by the negligence
of the employer, unless such employer shall be subject to this Act under
the provisions of paragraph (a) of Section 2 of this Act or shall have
elected to provide and pay compensation as provided in Section 2 of this
Act, a right of action shall accrue to the employee whose health has
been so injured for any damages sustained thereby; and in case of death,
a right of action shall accrue to the widow or widower of such deceased
person, his or her lineal heirs or adopted children, or to any person or
persons who were, before such loss of life, dependent for support upon
such deceased person, for a like recovery of damages for the injury
sustained by reason of such death not to exceed the sum of $10,000.
Violation by any employer of any effective rule or rules made by the
Industrial Commission pursuant to the "Health and Safety Act", approved
March 16, 1936, as amended, or violation by the employer of any statute
of this State, intended for the protection of the health of employees
shall be and constitute negligence of the employer within the meaning of
this Section. Every such action for damage for injury to the health
shall be commenced within 3 years after the last day of the last
exposure to the hazards of the disease and every such action for damages
in case of death shall be commenced within one year after the death of
such employee and within 5 years after the last day of the last exposure
to the hazards of the disease except where the disease is caused by
atomic radiation, in which case, every action for damages for injury to
health shall be commenced within 15 years after the last day of last
exposure to the hazard of such disease and every action for damages in
case of death shall be commenced within one year after the death of such
employee and within 15 years after last exposure to the hazards of the
disease. In any action to recover damages under this Section, it shall
not be a defense that the employee either expressly or impliedly assumed
the risk of the employment, or that the contraction or sustaining of the
disease or death was caused in whole or in part by the negligence of a
fellow servant or fellow servants, or that the contraction or sustaining
of the disease or death resulting was caused in whole or in part by the
contributory negligence of the employee, where such contributory
negligence was not wilful.
(Source: P.A. 80-328.)
(820 ILCS 310/4) (from Ch. 48, par. 172.39)
Sec. 4. (a) Any employer required by the terms of
this Act or by election to pay the compensation provided for in this Act
shall:
(1) File with the Commission an application for
approval as a self-insurer which shall include a current financial
statement. The application and financial statement shall be signed and
sworn to by the president or vice-president and secretary or assistant
secretary of the employer if it be a corporation, or by all of the
partners if it be a copartnership, or by the owner if it be neither a
copartnership nor a corporation.
If the sworn application and financial statement of
any such employer does not satisfy the Commission of the financial
ability of the employer who has filed it, the Commission shall require
such employer to:
(2) Furnish security, indemnity or a bond
guaranteeing the payment by the employer of the compensation provided
for in this Act, provided that any such employer who shall have secured
his or her liability in part by excess liability coverage shall be
required to furnish to the Commission security, indemnity or bond
guaranteeing his or her payment up to the amount of the effective limits
of the excess coverage in accordance with the provisions of this
paragraph, or
(3) Insure his or her entire liability to pay such
compensation in some insurance carrier authorized, licensed or permitted
to do such insurance business in this State. All policies of such
insurance carriers insuring the payment of compensation under this Act
shall cover all the employees and all such employer's compensation
liability in all cases in which the last day of the last exposure to the
occupational disease involved is within the effective period of the
policy, anything to the contrary in the policy notwithstanding.
Provided, however, that any employer may insure his or her compensation
liability under this Act with 2 or more insurance carriers or may insure
a part and qualify under Subsection 1, 2, or 4 for the remainder of his
liability to pay such compensation, subject to the following two
provisions:
Firstly, the entire liability of the employer to
employees working at or from one location shall be insured in one such
insurance carrier or shall be self-insured.
Secondly, the employer shall submit evidence
satisfactory to the Commission that his or her entire liability for the
compensation provided for in this Act will be secured. Any provision in
a policy or in any endorsement attached thereto attempting to limit or
modify in any way the liability of the insurance carrier issuing the
same, except as otherwise provided herein, shall be wholly void.
The insurance or security in force to cover
compensation liability under this Act shall be separate and distinct
from the insurance or security under the "Workers' Compensation Act" and
any insurance contract covering liability under either Act need not
cover any liability under the other. Nothing herein contained shall
apply to policies of excess liability carriage secured by employers who
have been approved by the Commission as self-insurers, or
(4) Make some other provision, satisfactory to the
Commission, for the securing of the payment of compensation provided for
in this Act, and
(5) Upon becoming subject to this Act and
thereafter as often as the Commission may in writing demand, file with
the Commission in form prescribed by it evidence of his or her
compliance with the provision of this section.
(b) The sworn application and financial statement,
or security, indemnity or bond, or amount of insurance, or other
provisions, filed, furnished, carried, or made by the employer, as the
case may be, shall be subject to the approval of the Commission.
Deposits under escrow agreements shall be cash,
negotiable United States government bonds or negotiable general
obligation bonds of the State of Illinois. Such cash or bonds shall be
deposited in escrow with any State or National Bank or Trust Company
having trust authority in the State of Illinois.
Upon the approval of the sworn application and
financial statement, security, indemnity or bond or amount of insurance,
filed, furnished, or carried, as the case may be, the Commission shall
send to the employer written notice of its approval thereof. Said
certificate of compliance by the employer with the provisions of
subparagraphs (2) and (3) of paragraph (a) of this section shall be
delivered by the insurance carrier to the Industrial Commission within 5
days after the effective date of the policy so certified. The insurance
so certified shall cover all compensation liability occurring during the
time that the insurance is in effect and no further certificate need be
filed in case such insurance is renewed, extended or otherwise continued
by such carrier. The insurance so certified shall not be cancelled or in
the event that such insurance is not renewed, extended or otherwise
continued, such insurance shall not be terminated until at least 10 days
after receipt by the Industrial Commission of notice of the cancellation
or termination of said insurance; provided, however, that if the
employer has secured insurance from another insurance carrier, or has
otherwise secured the payment of compensation in accordance with this
Section, and such insurance or other security becomes effective prior to
the expiration of said 10 days, cancellation or termination may, at the
option of the insurance carrier indicated in such notice, be effective
as of the effective date of such other insurance or security.
(c) Whenever the Commission shall find that any
corporation, company, association, aggregation of individuals,
reciprocal or interinsurers exchange, or other insurer effecting
workers' occupational disease compensation insurance in this State shall
be insolvent, financially unsound, or unable to fully meet all payments
and liabilities assumed or to be assumed for compensation insurance in
this State, or shall practice a policy of delay or unfairness toward
employees in the adjustment, settlement, or payment of benefits due such
employees, the Commission may after reasonable notice and hearing order
and direct that such corporation, company, association, aggregation of
individuals, reciprocal or interinsurers exchange, or insurer, shall
from and after a date fixed in such order discontinue the writing of any
such workers' occupational disease compensation insurance in this State.
It shall thereupon be unlawful for any such corporation, company,
association, aggregation of individuals, reciprocal or interinsurers
exchange, or insurer to effect any workers' occupational disease
compensation insurance in this State. A copy of the order shall be
served upon the Director of Insurance by registered mail. Whenever the
Commission finds that any service or adjustment company used or employed
by a self-insured employer or by an insurance carrier to process,
adjust, investigate, compromise or otherwise handle claims under this
Act, has practiced or is practicing a policy of delay or unfairness
toward employees in the adjustment, settlement or payment of benefits
due such employees, the Commission may after reasonable notice and
hearing order and direct that such service or adjustment company shall
from and after a date fixed in such order be prohibited from processing,
adjusting, investigating, compromising or otherwise handling claims
under this Act.
Whenever the Commission finds that any self-insured
employer has practiced or is practicing delay or unfairness toward
employees in the adjustment, settlement or payment of benefits due such
employees, the Commission may after reasonable notice and hearing order
and direct that after a date fixed in the order such self-insured
employer shall be disqualified to operate as a self-insurer and shall be
required to insure his entire liability to pay compensation in some
insurance carrier authorized, licensed and permitted to do such
insurance business in this State as provided in subparagraph (3) of
paragraph (a) of this Section.
All orders made by the Commission under this
Section shall be subject to review by the courts, the review to be taken
in the same manner and within the same time as provided by Section 19 of
this Act for review of awards and decisions of the Commission, upon the
party seeking the review filing with the clerk of the court to which
said review is taken a bond in an amount to be fixed and approved by the
court to which said review is taken, conditioned upon the payment of all
compensation awarded against the person taking the review pending a
decision thereof and further conditioned upon such other obligations as
the court may impose. Upon the review the Circuit Court shall have power
to review all questions of fact as well as of law. The penalty
hereinafter provided for in this paragraph shall not attach and shall
not begin to run until the final determination of the order of the
Commission.
(d) Upon a finding by the Commission, after
reasonable notice and hearing, of the knowing and wilful failure of an
employer to comply with any of the provisions of paragraph (a) of this
Section or the failure or refusal of an employer, service or adjustment
company, or insurance carrier to comply with any order of the Industrial
Commission pursuant to paragraph (c) of this Section the Commission may
assess a civil penalty of up to $500 per day for each day of such
failure or refusal after the effective date of this amendatory Act of
1989. Each day of such failure or refusal shall constitute a separate
offense.
Upon the failure or refusal of any employer,
service or adjustment company or insurance carrier to comply with the
provisions of this Section and orders of the Commission under this
Section, or the order of the court on review after final adjudication,
the Commission may bring a civil action to recover the amount of the
penalty in Cook County or in Sangamon County in which litigation the
Commission shall be represented by the Attorney General. The Commission
shall send notice of its finding of non-compliance and assessment of the
civil penalty to the Attorney General. It shall be the duty of the
Attorney General within 30 days after receipt of the notice, to
institute prosecutions and promptly prosecute all reported violations of
this Section.
(e) This Act shall not affect or disturb the
continuance of any existing insurance, mutual aid, benefit, or relief
association or department, whether maintained in whole or in part by the
employer or whether maintained by the employees, the payment of benefits
of such association or department being guaranteed by the employer or by
some person, firm or corporation for him or her: Provided, the employer
contributes to such association or department an amount not less than
the full compensation herein provided, exclusive of the cost of the
maintenance of such association or department and without any expense to
the employee. This Act shall not prevent the organization and
maintaining under the insurance laws of this State of any benefit or
insurance company for the purpose of insuring against the compensation
provided for in this Act, the expense of which is maintained by the
employer. This Act shall not prevent the organization or maintaining
under the insurance laws of this State of any voluntary mutual aid,
benefit or relief association among employees for the payment of
additional accident or sick benefits.
(f) No existing insurance, mutual aid, benefit or
relief association or department shall, by reason of anything herein
contained, be authorized to discontinue its operation without first
discharging its obligations to any and all persons carrying insurance in
the same or entitled to relief or benefits therein.
(g) Any contract, oral, written or implied, of
employment providing for relief benefit, or insurance or any other
device whereby the employee is required to pay any premium or premiums
for insurance against the compensation provided for in this Act shall be
null and void. Any employer withholding from the wages of any employee
any amount for the purpose of paying any such premium shall be guilty of
a Class B misdemeanor.
In the event the employer does not pay the
compensation for which he or she is liable, then an insurance company,
association or insurer which may have insured such employer against such
liability shall become primarily liable to pay to the employee, his
personal representative or beneficiary the compensation required by the
provisions of this Act to be paid by such employer. The insurance
carrier may be made a party to the proceedings in which the employer is
a party and an award may be entered jointly against the employer and the
insurance carrier.
(h) It shall be unlawful for any employer,
insurance company or service or adjustment company to interfere with,
restrain or coerce an employee in any manner whatsoever in the exercise
of the rights or remedies granted to him or her by this Act or to
discriminate, attempt to discriminate, or threaten to discriminate
against an employee in any way because of his exercise of the rights or
remedies granted to him by this Act.
It shall be unlawful for any employer, individually
or through any insurance company or service or adjustment company, to
discharge or to threaten to discharge, or to refuse to rehire or recall
to active service in a suitable capacity an employee because of the
exercise of his or her rights or remedies granted to him or her by this
Act.
(i) If an employer elects to obtain a life
insurance policy on his employees, he may also elect to apply such
benefits in satisfaction of all or a portion of the death benefits
payable under this Act, in which case, the employer's premium for
coverage for benefits under this Act shall be reduced accordingly.
(Source: P.A. 86-998; 86-1405.)
(820 ILCS 310/4a) (from Ch. 48, par. 172.39a)
Sec. 4a. Group self-insurers; pooling; insolvency
fund.
(1) The Department of Insurance shall adopt rules
permitting 2 or more employers with similar risk characteristics or that
are members of a bona fide professional, commercial, industrial or trade
association to enter into agreements to pool their liabilities under
this Act and to pool employers' liability exposures for the purpose of
qualifying as group self-insurers. Such agreements may provide that the
pool shall be liable for 80 percent, and the employer member shall be
liable for 20 percent, of the medical benefits due any employee under
this Act up to the amount of $5,000. One hundred percent of the medical
benefits above $5,000 due to an employee for the same claim shall be
paid by the pool. The claim shall be paid by the pool, regardless of the
size of the claim, and the pool shall be reimbursed by the employer for
any amounts required to be paid by the employer under the agreement.
(2) The rules shall (a) establish standards and
guidelines to assure the adequacy of the financing and administration of
group self-insurance plans, including bonding or security provisions
consistent with Section 4, except that the bonding or security
provisions shall be subject to the approval of the Director of
Insurance; (b) establish standards, including but not limited to minimum
terms of membership in self-insurance plans, as necessary to provide
stability for those plans; (c) establish standards or guidelines
governing the formation, operation, administration and dissolution of
self-insurance plans; and (d) establish other reasonable requirements to
further the purposes of this Section.
(3) Administrative or service agencies which engage
in the administration of group self-insurance plans must be licensed
under Section 464a of the Illinois Insurance Code.
(4) Every group self-insurer shall, at all times,
maintain reserves which are actuarially sufficient, as determined by the
Director of Insurance, to provide for the payment of all losses and
claims incurred, whether reported or unreported, which are unpaid and
for which such group self-insurer may be liable, and to provide for the
expense of adjustment or settlement of such losses and claims.
Furthermore, the Director of Insurance shall audit, as he deems
necessary, the reserves of group self-insurers to ensure their
sufficiency.
(5) Except as hereinafter provided, on January 1,
1984, and July 1, 1984, and on January 1, and July 1 of each year
thereafter, all group self-insurers shall pay a sum equal to .5% of all
compensation payments made under either the Workers' Compensation Act or
the Workers' Occupational Diseases Act during the 6 months immediately
preceding the date of payment, into a Fund to be known as the "Group
Self-Insurers' Insolvency Fund".
The State of Illinois, a unit of local government
or school district, or association or instrumentality thereof, or an
intergovernmental risk management association, self-insurance pool or
self-administered health and accident cooperative or pool shall not be
deemed an "employer" for the purpose of this subsection.
The State Treasurer is ex-officio custodian of the
Group Self-Insurers' Insolvency Fund. Monies in the Fund shall be
deposited the same as are State funds and any interest accruing thereon
shall be added thereto every 6 months. It shall be subject to audit the
same as State funds and accounts and shall be protected by the general
bond given by the State Treasurer. It is considered always appropriated
for the purposes of compensating employees who are eligible to receive
benefits from their employers pursuant to the provisions of the Workers'
Compensation Act or Workers' Occupational Diseases Act, when their
employer is a member of a group self-insurer and the group self-insurer
has become unable to pay compensation due to financial insolvency either
prior to or following the date of award. Monies in the Fund may be used
to compensate any type of injury or occupational disease which is
compensable under either Act.
The State Treasurer shall be joined with the group
self-insurer as party respondent in any claim, or application for
adjustment of claim filed against a group self-insurer whenever the
compensation and medical services provided by this Act may be unpaid by
reason of default of an insolvent group self-insurer.
Payment shall be made out of the Group
Self-Insurers' Insolvency Fund only upon order of the Commission, and
only after the penal sum of the surety bond and/or securities, and after
the assessment against the individual members of the group self-insurers
in default have been exhausted.
It shall be the obligation of a group self-insurer
or its successor to make arrangements to repay the Group Self-Insurers'
Insolvency Fund for all monies paid out in its behalf. The Director of
Insurance is authorized to make arrangements with the group self-insurer
as to terms of repayment.
The obligations of group self-insurers to make
contributions to the Group Self-Insurers' Insolvency Fund shall be
waived on any January 1, or July 1, if the fund has a positive balance
of at least $2,000,000 on a date one month prior to the date of payment.
(6) Whenever the Director of Insurance shall
determine that the compensation and medical services provided by this
Act may be unpaid by reason of the default of an insolvent group
self-insurer and the penal sum of the surety bond and/or the securities
provided by the group self-insurer are about to become exhausted, the
Director of the Department of Insurance shall then declare the group
self-insurer to be in default and then first levy upon and collect from
the individual employer members of the group self-insurer in default an
assessment to assure prompt payment of such compensation and medical
services. No assessment of any individual employer member of the group
self-insurer made pursuant to this subsection shall exceed 25% of the
average annual contribution paid by that employer over the previous
3-year period; provided, however, that if the Group Self-Insurers'
Insolvency Fund is then for any reason financially unable to assure
prompt payment of such compensation and medical services, the employer
member shall be assessed without limitation.
In the event and only in the event that the Group
Self-Insurers' Insolvency Fund has a positive balance of less than
$1,000,000 and the Director of Insurance has declared a group
self-insurer to be in default and the Group Self-Insurers' Insolvency
Fund is financially unable to pay all employees whose compensation and
medical services have been approved as provided by this Act the Director
of Insurance shall then levy upon and collect from all group
self-insurers an assessment to provide the balance necessary to assure
prompt payment of such approved compensation and medical services. If an
excess insurance carrier becomes liable for workers' compensation and
occupational diseases payments under the terms of the policy covering
the group self-insurer or pool, then such carrier shall make appropriate
payments and payments from the fund shall cease to resume only when the
excess insurance carrier's liability is exhausted.
(7) The Director of Insurance shall have with
respect to group self-insurance pools established under this Act the
powers of examination conferred upon him relative to insurance companies
by Sections 132 through 132.7 of the Illinois Insurance Code. The cost
of an examination shall be paid by the group self-insurance pool
examined.
(8) The Director of Insurance shall charge,
collect, and give proper acquittances for the payment of fees and
charges as set forth in Section 408 of the Illinois Insurance Code.
(Source: P.A. 89-97, eff. 7-7-95.)
(820 ILCS 310/4b) (from Ch. 48, par. 172.39b)
Sec. 4b. The provisions of this Act relating to
self-insurance and the rules and regulations promulgated hereunder shall
not be construed to be a limitation upon the powers of self-insurance
granted to the State and units of local government and school districts
by Article VII, Section 1 of the Illinois Constitution or by statute,
nor to any governmental entity so designated by the legislature.
(Source: P.A. 81-1482.)
(820 ILCS 310/5) (from Ch. 48, par. 172.40)
Sec. 5. (a) There is no common law or statutory
right to recover compensation or damages from the employer, his insurer,
his broker, any service organization retained by the employer, his
insurer or his broker to provide safety service, advice or
recommendations for the employer or the agents or employees of any of
them for or on account of any injury to health, disease, or death
therefrom, other than for the compensation herein provided or for
damages as provided in Section 3 of this Act. This Section shall not
affect any right to compensation under the "Workers' Compensation Act".
No compensation is payable under this Act for any
condition of physical or mental ill-being, disability, disablement, or
death for which compensation is recoverable on account of accidental
injury under the "Workers' Compensation Act".
(b) Where the disablement or death for which
compensation is payable under this Act was caused under circumstances
creating a legal liability for damages on the part of some person other
than his employer to pay damages, then legal proceedings may be taken
against such other person to recover damages notwithstanding such
employer's payment of or liability to pay compensation under this Act.
In such case, however, if the action against such other person is
brought by the disabled employee or his personal representative and
judgment is obtained and paid or settlement is made with such other
person, either with or without suit, then from the amount received by
such employee or personal representative there shall be paid to the
employer the amount of compensation paid or to be paid by him to such
employee or personal representative, including amounts paid or to be
paid pursuant to paragraph (a) of Section 8 of the Workers' Compensation
Act as required under Section 7 of this Act. If the employee or personal
representative brings an action against another person and the other
person then brings an action for contribution against the employer, the
amount, if any, that shall be paid to the employer by the employee or
personal representative pursuant to this Section shall be reduced by an
amount equal to the amount found by the trier of fact to be the
employer's pro rata share of the common liability in the action.
Out of any reimbursement received by the employer,
pursuant to this Section the employer shall pay his pro rata share of
all costs and reasonably necessary expenses in connection with such
third party claim, action or suit, and where the services of an attorney
at law of the employee or dependents have resulted in or substantially
contributed to the procurement by suit, settlement or otherwise of the
proceeds out of which the employer is reimbursed, then, in the absence
of other agreement, the employer shall pay such attorney 25% of the
gross amount of such reimbursement.
If the disabled employee or his personal
representative agrees to receive compensation from the employer or
accept from the employer any payment on account of such compensation, or
to institute proceedings to recover the same, the employer may have or
claim a lien upon any award, judgment or fund out of which such employee
might be compensated from such third party.
In such actions brought by the employee or his
personal representative, he shall forthwith notify his employer by
personal service or registered mail, of such fact and of the name of the
court in which the suit is brought, filing proof thereof in the action.
The employer may, at any time thereafter join in the action upon his
motion so that all orders of court after hearing and judgment shall be
made for his protection. No release or settlement of claim for damages
by reason of such disability or death, and no satisfaction of judgment
in such proceedings, are valid without the written consent of both
employer and employee or his personal representative, except in the case
of the employers, such consent is not required where the employer has
been fully indemnified or protected by court order.
In the event the employee or his personal
representative fails to institute a proceeding against such third person
at any time prior to 3 months before such action would be barred at law
the employer may in his own name, or in the name of the employee or his
personal representative, commence a proceeding against such other person
for the recovery of damages on account of such disability or death to
the employee, and out of any amount recovered the employer shall pay
over to the injured employee or his personal representative all sums
collected from such other person by judgment or otherwise in excess of
the amount of such compensation paid or to be paid under this Act,
including amounts paid or to be paid pursuant to paragraph (a) of
Section 8 of the Workers' Compensation Act as required by Section 7 of
this Act, and costs, attorney's fees and reasonable expenses as may be
incurred by such employer in making such collection or in enforcing such
liability.
This amendatory Act of 1995 applies to causes of
action accruing on or after its effective date.
(Source: P.A. 89-7, eff. 3-9-95.)
(820 ILCS 310/6) (from Ch. 48, par. 172.41)
Sec. 6. (a) Every employer operating under the
compensation provisions of this Act, shall post printed notices in their
respective places of employment in conspicuous places and in such number
and at such places as may be determined by the Commission, containing
such information relative to this Act as in the judgment of the
Commission may be necessary to aid employees to safeguard their rights
under this Act.
In addition thereto, the employer shall post in a
conspicuous place on the premises of the employment a printed or
typewritten notice stating whether he is insured or whether he has
qualified and is operating as a self-insured employer. In the event the
employer is insured, the notice shall state the name and address of his
or her insurance carrier, the number of the insurance policy, its
effective date and the date of termination. In the event of the
termination of the policy for any reason prior to the termination date
stated, the posted notice shall promptly be corrected accordingly. In
the event the employer is operating as a self-insured employer the
notice shall state the name and address of the company, if any,
servicing the compensation payments of the employer, and the name and
address of the person in charge of making compensation payments.
(b) Every employer subject to this Act shall
maintain accurate records of work-related deaths, injuries and illnesses
other than minor injuries requiring only first aid treatment and which
do not involve medical treatment, loss of consciousness, restriction of
work or motion or transfer to another job and file with the Industrial
Commission, in writing, a report of all occupational diseases arising
out of and in the course of the employment and resulting in death, or
disablement or illness resulting in the loss of more than 3 scheduled
work days. In the case of death such report shall be made no later than
2 working days following the occupational death. In all other cases such
report shall be made between the 15th and 25th of each month unless
required to be made sooner by rule of the Industrial Commission. In case
the occupational disease results in permanent disability, a further
report shall be made as soon as it is determined that such permanent
disability has resulted or will result therefrom. All reports shall
state the date of the disablement, the nature of the employer's
business, the name, address, the age, sex, conjugal condition of the
disabled person, the specific occupation of the person, the nature and
character of the occupational disease, the length of disability, and, in
case of death, the length of disability before death, the wages of the
employee, whether compensation has been paid to the employee, or to his
legal representative or his heirs or next of kin, the amount of
compensation paid, the amount paid for physicians', surgeons' and
hospital bills, and by whom paid, and the amount paid for funeral or
burial expenses, if known. The reports shall be made on forms and in the
manner as prescribed by the Industrial Commission and shall contain such
further information as the Commission shall deem necessary and require.
The making of such reports releases the employer from making such
reports to any other officer of the State and shall satisfy the
reporting provisions as contained in the "Health And Safety Act" and "An
Act in relation to safety inspections and education in industrial and
commercial establishments and to repeal an Act therein named", approved
July 18, 1955, as amended. The report filed with the Industrial
Commission pursuant to the provisions of this Section shall be made
available by the Industrial Commission to the Director of Labor or his
representatives, to the Department of Public Health pursuant to the
Illinois Health and Hazardous Substances Registry Act, and to all other
departments of the State of Illinois which shall require such
information for the proper discharge of their official duties.Failure to
file with the Commission any of the reports required in this Section is
a petty offense.
Except as provided in this paragraph, all reports
filed hereunder shall be confidential and any person having access to
such records filed with the Industrial Commission as herein required,
who shall release the names or otherwise identify any persons sustaining
injuries or disabilities, or gives access to such information to any
unauthorized person, shall be subject to discipline or discharge, and in
addition shall be guilty of a Class B misdemeanor. The Commission shall
compile and distribute to interested persons aggregate statistics, taken
from the reports filed hereunder. The aggregate statistics shall not
give the names or otherwise identify persons sustaining injuries or
disabilities or the employer of any injured or disabled person.
(c) There shall be given notice to the employer of
disablement arising from an occupational disease as soon as practicable
after the date of the disablement. If the Commission shall find that the
failure to give such notice substantially prejudices the rights of the
employer the Commission in its discretion may order that the right of
the employee to proceed under this Act shall be barred.
In case of legal disability of the employee or any
dependent of a deceased employee who may be entitled to compensation,
under the provisions of this Act, the limitations of time in this
Section of this Act provided shall not begin to run against such person
who is under legal disability until a conservator or guardian has been
appointed. No defect or inaccuracy of such notice shall be a bar to the
maintenance of proceedings on arbitration or otherwise by the employee
unless the employer proves that he or she is unduly prejudiced in such
proceedings by such defect or inaccuracy. Notice of the disabling
disease may be given orally or in writing. In any case, other than
injury or death caused by exposure to radiological materials or
equipment or asbestos, unless application for compensation is filed with
the Commission within 3 years after the date of the disablement, where
no compensation has been paid, or within 2 years after the date of the
last payment of compensation, where any has been paid, whichever shall
be later, the right to file such application shall be barred. If the
occupational disease results in death, application for compensation for
death may be filed with the Commission within 3 years after the date of
death where no compensation has been paid, or within 3 years after the
last payment of compensation, where any has been paid, whichever is
later, but not thereafter.
Effective July 1, 1973 in cases of disability
caused by coal miners pneumoconiosis unless application for compensation
is filed with the Commission within 5 years after the employee was last
exposed where no compensation has been paid, or within 5 years after the
last payment of compensation where any has been paid, the right to file
such application shall be barred.
In cases of disability caused by exposure to
radiological materials or equipment or asbestos, unless application for
compensation is filed with the Commission within 25 years after the
employee was so exposed, the right to file such application shall be
barred.
In cases of death occurring within 25 years from
the last exposure to radiological material or equipment or asbestos,
application for compensation must be filed within 3 years of death where
no compensation has been paid, or within 3 years, after the date of the
last payment where any has been paid, but not thereafter.
(d) Any contract or agreement made by any employer
or his agent or attorney with any employee or any other beneficiary of
any claim under the provisions of this Act within 7 days after the
disablement shall be presumed to be fraudulent.
(Source: P.A. 84-981.)
(820 ILCS 310/7) (from Ch. 48, par. 172.42)
Sec. 7. If any employee sustains any disablement,
impairment, or disfigurement, or dies and his or her disability,
impairment, disfigurement or death is caused by a disease aggravated by
an exposure of the employment or by an occupational disease arising out
of and in the course of his or her employment, such employee or such
employee's dependents, as the case may be, shall be entitled to
compensation, medical, surgical, hospital and rehabilitation care,
prosthesis, burial costs, and all other benefits, rights and remedies,
in the same manner, to the same extent and subject to the same terms,
conditions and limitations, except as herein otherwise provided, as are
now or may hereafter be provided by the "Workers' Compensation Act" for
accidental injuries sustained by employees arising out of and in the
course of their employment (except that the amount of compensation which
shall be paid for loss of hearing of one ear is 100 weeks) and for this
purpose the disablement, disfigurement or death of an employee by reason
of an occupational disease, arising out of and in the course of his or
her employment, shall be treated as the happening of an accidental
injury.
(a) Loss of hearing for compensation purposes shall
be confined to the frequencies of 1,000, 2,000 and 3,000 cycles per
second. Loss of hearing ability for frequency tones above 3,000 cycles
per second are not to be considered as constituting disability for
hearing.
(b) The percent of hearing loss, for purposes of
the determination of compensation claims for occupational deafness,
shall be calculated as the average in decibels for the thresholds of
hearing for the frequencies of 1,000, 2,000 and 3,000 cycles per second.
Pure tone air conduction audiometric instruments, approved by nationally
recognized authorities in this field, shall be used for measuring
hearing loss. If the losses of hearing average 30 decibels or less in
the 3 frequencies, such losses of hearing shall not then constitute any
compensable hearing disability. If the losses of hearing average 85
decibels or more in the 3 frequencies, then the same shall constitute
and be total or 100 percent compensable hearing loss.
(c) In measuring hearing impairment, the lowest
measured losses in each of the 3 frequencies shall be added together and
divided by 3 to determine the average decibel loss. For every decibel of
loss exceeding 30 decibels an allowance of 1.82% shall be made up to the
maximum of 100 percent which is reached at 85 decibels.
(d) If a hearing loss is established to have
existed on July 1, 1975, by audiometric testing the employer shall not
be liable for the previous loss so established nor shall he be liable
for any loss for which compensation has been paid or awarded.
(e) No consideration shall be given to the question
of whether or not the ability of an employee to understand speech is
improved by the use of a hearing aid.
(f) No claim for loss of hearing due to industrial
noise shall be brought against an employer or allowed unless the
employee has been exposed for a period of time sufficient to cause
permanent impairment to noise levels in excess of the following:
Sound Level DBA
Slow Response Hours Per Day
90 8
92 6
95 4
97 3
100 2
102 1-1/2
105 1
110 1/2
115 1/4
This subparagraph (f) shall not be applied in cases
of hearing loss resulting from trauma or explosion. In addition to
discharging the foregoing obligations, the employer shall pay into the
Special Fund created under paragraph (f) of Section 7 of the "Workers'
Compensation Act", the same amounts and in the same manner as is
provided in the same Act in cases of accidental injuries arising out of
and in the course of the employment.
(Source: P.A. 81-1482.)
(820 ILCS 310/8) (from Ch. 48, par. 172.43)
Sec. 8. Whenever by virtue of the provisions of
Section 7 of this Act an employee seeks to exercise any right or remedy
provided in the Workers' Compensation Act, the period of limitation,
except as in this Act otherwise provided, shall be the same as under the
Workers' Compensation Act, and where applicable shall begin to run from
the date of disablement instead of the date of accident.
(Source: P.A. 81-992.)
(820 ILCS 310/9) (from Ch. 48, par. 172.44)
Sec. 9. Any employer or employee or beneficiary who
shall desire to have such compensation, or any unpaid part thereof, paid
in a lump sum, may petition the Commission, asking that such
compensation be so paid. If, upon proper notice to the interested
parties and a proper showing made before such Commission or any member
thereof, it appears to the best interest of the parties that such
compensation be so paid, the Commission may order the commutation of the
compensation to an equivalent lump sum, which commutation shall be an
amount which will equal the total sum of the probable future payments
capitalized at their present value upon the basis of interest calculated
at 3% per annum with annual rests. In cases indicating complete
disability no petition for a commutation to a lump sum basis shall be
entertained by the Commission until after the expiration of 6 months
from the date of the disablement. Where necessary, upon proper
application being made, a guardian or administrator, as the case may be,
may be appointed for any person under disability who may be entitled to
any such compensation, and an employer bound by the terms of this Act
and liable to pay such compensation, may petition for the appointment of
the public administrator or guardian, where no legal representative has
been appointed or is acting for such party or parties so under
disability. The payment of compensation in a lump sum to the employee in
his lifetime upon order of the Commission, shall extinguish and bar all
claims for compensation for death if the compensation paid in a lump sum
represents a compromise of a dispute on any question other than the
extent of disability. Subject to the provisions herein above in this
paragraph contained, where no dispute exists as to the fact that the
occupational disease arose out of and in the course of the employment
and where such disease results in death or in the amputation of any
member or in the enucleation of an eye, then and in such case the
arbitrator or Commission may, upon the petition of either the employer
or the employee, enter an award providing for the payment of
compensation for such death or disability in accordance with the
provisions of Section 7 or paragraph (e) of Section 8 of this Act.
(Source: P.A. 83-706.)
(820 ILCS 310/10) (from Ch. 48, par. 172.45)
Sec. 10. The basis for computing the compensation
provided for in Sections 7 and 8 of the Act shall be as follows:
(a) The compensation shall be computed on the basis
of the annual earnings which the disabled person received as salary,
wages or earnings if in the employment of the same employer continuously
during the year next preceding the day of last exposure.
(b) Employment by the same employer shall be taken
to mean employment by the same employer in the grade in which the
employee was employed at the time of the last day of the last exposure,
uninterrupted by absence from work due to illness or any other
unavoidable cause.
(c) If such person has not been engaged in the
employment of the same employer for the full year immediately preceding
the last day of the last exposure, the compensation shall be computed
according to the annual earnings which persons of the same class in the
same employment and same location, (or if that be impracticable, of
neighboring employments of the same kind) have earned during such
period.
(d) As to employees in employments in which it is
the custom to operate throughout the working days of the year, the
annual earnings, if not otherwise determinable, shall be regarded as 300
times the average daily earnings in such computation.
(e) As to employees in employments in which it is
the custom to operate for a part of the whole number of working days in
each year, such number, if the annual earnings are not otherwise
determinable, shall be used instead of 300 as a basis for computing the
annual earnings, provided the minimum number of days which shall be so
used for the basis of the year's work shall be not less than 200.
(f) In the case of injured employees who earn
either no wage or less than the earnings of adult day laborers in the
same line of employment in that locality, the yearly wage shall be
reckoned according to the average annual earnings of adults of the same
class in the same (or if that is impracticable, then of neighboring)
employments.
(g) Earnings, for the purpose of this section,
shall be based on the earnings for the number of hours commonly regarded
as a day's work for that employment, and shall include overtime
earnings. The earnings shall not include any sum which the employer has
been accustomed to pay the employee to cover any special expense
entailed on him by the nature of his employment.
(h) In computing the compensation to be paid to any
employee, who, before the disablement for which he claims compensation,
was disabled and drawing compensation under the terms of this Act, the
compensation for each subsequent disablement shall be apportioned
according to the proportion of incapacity and disability caused by the
respective disablements which he may have suffered. (i) To determine the
amount of compensation for each installment period, the amount per annum
shall be ascertained pursuant hereto, and such amount divided by the
number of installment periods per annum.
(Source: P.A. 79-78.)
(820 ILCS 310/11) (from Ch. 48, par. 172.46)
Sec. 11. The compensation herein provided for shall
be the full, complete and only measure of the liability of the employer
bound by election under this Act and such employer's liability for
compensation and medical benefits under this Act shall be exclusive and
in place of any and all other civil liability whatsoever, at common law
or otherwise, to any employee or his legal representative on account of
damage, disability or death caused or contributed to by any disease
contracted or sustained in the course of the employment.
(Source: Laws 1951, p. 1095.)
(820 ILCS 310/12) (from Ch. 48, par. 172.47)
Sec. 12. (a) An employee entitled to receive
disability payments shall be required, if requested by the employer, to
submit himself, at the expense of the employer, for examination to a
duly qualified medical practitioner or surgeon selected by the employer,
at any time and place reasonably convenient for the employee, either
within or without the State of Illinois, for the purpose of determining
the nature, extent and probable duration of the occupational disease and
the disability therefrom suffered by the employee, and for the purpose
of ascertaining the amount of compensation which may be due the employee
from time to time for disability according to the provisions of this
Act. An employee may also be required to submit himself for examination
by medical experts under subsection (c) of Section 19. An employer
requesting such an examination, of an employee residing within the State
of Illinois, shall pay in advance of the time fixed for the examination
sufficient money to defray the necessary expense of travel by the most
convenient means to and from the place of examination, and the cost of
meals necessary during the trip, and if the examination or travel to and
from the place of examination causes any loss of working time on the
part of the employee, the employer shall reimburse him for such loss of
wages upon the basis of his average daily wage. Such examination shall
be made in the presence of a duly qualified medical practitioner or
surgeon provided and paid for by the employee, if such employee so
desires. In all cases where the examination is made by a physician or
surgeon engaged by the employer, and the employee has no physician or
surgeon present at such examination, it shall be the duty of the
physician or surgeon making the examination at the instance of the
employer to deliver to the employee, or his representative, a statement
in writing of the examination and findings to the same extent that said
physician or surgeon reports to the employer and the same shall be an
exact copy of that furnished to the employer, said copy to be furnished
the employee, or his representative as soon as practicable but not later
than the time the case is set for hearing. Such delivery shall be made
in person either to the employee or his representative, or by registered
mail to either, and the receipt of either shall be proof of such
delivery. If such physician or surgeon refuses to furnish the employee
with such statement to the same extent as that furnished the employer
said physician or surgeon shall not be permitted to testify at the
hearing next following said examination. If the employee refuses so to
submit himself to examination or unnecessarily obstructs the same, his
right to compensation payment shall be temporarily suspended until such
examination shall have taken place, and no compensation shall be payable
under this Act for such period. It shall be the duty of physicians or
surgeons treating an employee who is likely to die, and treating him at
the instance of the employer, to have called in another physician or
surgeon to be designated and paid for by either the employee or by the
person or persons who would become his beneficiary or beneficiaries, to
make an examination before the death of such employee. In all cases
where the examination is made by a physician or surgeon engaged by the
employee, and the employer has no physician or surgeon present at such
examination, it shall be the duty of the physician or surgeon making the
examination at the instance of the employee, to deliver to the employer,
or his representative, a statement in writing of the condition and
extent of the examination and findings to the same extent that said
physician or surgeon reports to the employee and the same shall be an
exact copy of that furnished to the employee, said copy to be furnished
the employer, or his representative, as soon as practicable but not
later than the time the case is set for hearing. Such delivery shall be
made in person either to the employer, or his representative, or by
registered mail to either, and the receipt of either shall be proof of
such delivery. If such physician or surgeon refuses to furnish the
employer with such statement to the same extent as that furnished the
employee, said physician or surgeon shall not be permitted to testify at
the hearing next following said examination.
(b) Whenever, after the death of an employee, any
party in interest files an application for adjustment of claim under
this Act, and it appears that an autopsy may disclose material evidence
as to whether or not such death was due to the inhalation of silica or
asbestos dust, the commission, upon petition of either party, may order
an autopsy at the expense of the party requesting same, and if such
autopsy is so ordered, the commission shall designate a competent
pathologist to perform the same, and shall give the parties in interest
such reasonable notice of the time and place thereof as will afford a
reasonable opportunity to witness such autopsy in person or by a
representative. It shall be the duty of such pathologist to perform such
autopsy as, in his best judgment, is required to ascertain the cause of
death. Such pathologist shall make a complete written report of all his
findings to the commission (including laboratory results described as
such, if any). The said report of the pathologist shall contain his
findings on post-mortem examination and said report shall not contain
any conclusion of the said pathologist based upon the findings so
reported. Said report shall be placed on file with the commission, and
shall be a public record. Said report, or a certified copy thereof, may
be introduced by either party on any hearing as evidence of the findings
therein stated, but shall not be conclusive evidence of such findings,
and either party may rebut any part thereof. Where an autopsy has been
performed at any time with the express or implied consent of any
interested party, and without some opposing party, if known or
reasonably ascertainable, having reasonable notice of and reasonable
opportunity of witnessing the same, all evidence obtained by such
autopsy shall be barred upon objection at any hearing. This paragraph
shall not apply to autopsies by a coroner's physician in the discharge
of his official duties.
(Source: P.A. 81-1482.)
(820 ILCS 310/13) (from Ch. 48, par. 172.48)
Sec. 13. The Industrial Commission shall have
jurisdiction over the operation and administration of this Act and it
shall have, exercise, perform and discharge the same rights, powers and
duties with reference to this Act as it shall have, exercise, perform
and discharge with reference to the Workers' Compensation Act or any
amendment thereto or modification thereof.
(Source: P.A. 81-992.)
(820 ILCS 310/14) (from Ch. 48, par. 172.49)
Sec. 14. The members of the Commission, Arbitrators
and other employees whose duties require them to travel, shall have
reimbursed to them their actual traveling expenses and disbursements
made or incurred by them in the discharge of their official duties while
away from their place of residence in the performance of their duties.
The Secretary or Assistant Secretary, under the direction of the
Commission, shall have charge and custody of the seal of the Commission
and also charge and custody of all records, files, orders, proceedings,
decisions, awards and other documents on file with the Commission. He
shall furnish certified copies, under the seal of the Commission, of any
such records, files, orders, proceedings, decisions, awards and other
documents on file with the Commission as may be required. Certified
copies so furnished by the Secretary or Assistant Secretary shall be
received in evidence before the Commission or any Arbitrator thereof,
and in all courts, provided that the original of such certified copy is
otherwise competent and admissible in evidence. The Secretary or
Assistant Secretary shall perform such other duties as may be prescribed
from time to time by the Commission. The Security Supervisor, under the
direction of the Commission, shall perform such duties as may be
prescribed from time to time by the Commission.
(Source: Laws 1951, p. 1095.)
(820 ILCS 310/15) (from Ch. 48, par. 172.50)
Sec. 15. The Commission shall report in writing to
the Governor on the 30th day of June, annually, the details and results
of its administration of this Act, and may prepare and issue such
special bulletins and reports from time to time as may seem advisable.
The annual report shall include, but need not be limited to, the
following:
(a) Information as to the type of insurance
coverage elected by various employers in this State;
(b) A summary of the information received in
reports filed by employers pursuant to Section 6(b) such as the average
weekly wage of injured workers, the number of injuries and diseases;
average benefit levels; average duration of disability, when available;
the average payment for hospital and medical care; average funeral
benefit in death cases; average benefit payment broken down by type of
benefit; and case disposition; and
(c) Such other information about the Commission's
administration of this Act as the Commission shall deem appropriate.
(Source: P.A. 81-1482.)
(820 ILCS 310/16) (from Ch. 48, par. 172.51)
Sec. 16. The Commission shall make and publish
procedural rules and orders for carrying out the duties imposed upon it
by law, which rules and orders shall be deemed prima facie reasonable
and valid.
The process and procedure before the Commission
shall be as simple and summary as reasonably may be.
The Commission upon application of either party may
issue a dedimus potestatem directed to a commissioner, notary public,
magistrate, justice of the peace or any other officer authorized by law
to administer oaths, to take the depositions of such witness or
witnesses as may be necessary in the judgment of such applicant. Such
dedimus potestatem may issue to any of the officers aforesaid in any
state or territory of the United States. When the deposition of any
witness resident of a foreign country is desired to be taken, the
dedimus shall be directed to and the deposition taken before a consul,
vice consul or other authorized representative of the government of the
United States of America, whose station is in the country where the
witness whose deposition is to be taken resides. In countries where the
government of the United States has no consul or other diplomatic
representative, then depositions in such case shall be taken through the
appropriate judicial authority of that country; or where treaties
provide for other methods of taking depositions, then the same may be
taken as in such treaties provided.The Commission shall have the power
to adopt necessary rules to govern the issue of such dedimus potestatem.
The Commission, or any member thereof, or any
Arbitrator designated by said Commission shall have the power to
administer oaths, subpoena and examine witnesses; to issue subpoenas
duces tecum, requiring the production of such books, papers, records and
documents as may be evidence of any matter under inquiry and to examine
and inspect the same and such places or premises as may relate to the
question in dispute. Said Commission or any member thereof, or any
Arbitrator designated by said Commission, shall on written request of
either party to the dispute, issue subpoenas for the attendance of such
witnesses and production of such books, papers, records and documents as
shall be designated in said applications, providing however, that the
parties applying for such subpoena shall advance the officer and witness
fees provided for in suits pending in the Circuit Court. Service of such
subpoena shall be made by any sheriff or other person. In case any
person refuses to comply with an order of the Commission or subpoenas
issued by it or by any member thereof, or any Arbitrator designated by
said Commission or to permit an inspection of places or premises, or to
produce any books, papers, records or documents, or any witness refuses
to testify to any matters regarding which he may be lawfully
interrogated, the Circuit Court for the county in which said hearing or
matter is pending, on application of any member of the Commission or any
Arbitrator designated by the Commission, shall compel obedience by
attachment proceedings, as for contempt, as in a case of disobedience of
the requirements of a subpoena from such court on a refusal to testify
therein.
The records kept by a hospital, certified to as
true and correct by the superintendent or other officer in charge,
showing the medical and surgical treatment given an injured employee in
such hospital, shall be admissible without any further proof as evidence
of the medical and surgical matters stated therein, but shall not be
conclusive proof of such matters.
The Commission at its expense shall provide an
official court reporter to take the testimony and record of proceedings
at the hearings before an Arbitrator or the Commission, who shall
furnish a transcript of such testimony or proceedings to either party
requesting it, upon payment to him therefor at the rate of $1.00 per
page for the original and 35 cents per page for each copy of such
transcript. Payment for photostatic copies of exhibits shall be extra.
If the Commission has determined, as provided in Section 19.5 of this
Act, that the employee is a poor person, a transcript of such testimony
and proceedings, including photostatic copies of exhibits, shall be
furnished to such employee at the Commission's expense.
The Commission shall have the power to determine
the reasonableness and fix the amount of any fee of compensation charged
by any person, including attorneys, physicians, surgeons and hospitals,
for any service performed in connection with this Act, or for which
payment is to be made under this Act or rendered in securing any right
under this Act.
Whenever the Commission shall find that the
employer, his agent, service company or insurance carrier has been
guilty of delay or unfairness towards an employee in the adjustment,
settlement or payment of benefits due such employee or has been guilty
of unreasonable or vexatious delay, intentional under-payment of
compensation benefits, or has engaged in frivolous defenses which do not
present a real controversy, the Commission may assess all or any part of
the attorney's fees and costs against such employer and his insurance
carrier.
(Source: P.A. 86-998; 87-895.)
(820 ILCS 310/16a) (from Ch. 48, par. 172.51a)
Sec. 16a.
(A) In the establishment or approval of attorney's
fees in relation to claims brought under this Act, the Commission shall
be guided by the provisions of this Section and by the legislative
intent, hereby declared, to encourage settlement and prompt
administrative handling of such claims and thereby reduce expenses to
claimants for compensation under this Act.
(B) With respect to any and all proceedings in
connection with any initial or original claim under this Act, no claim
of any attorney for services rendered in connection with the securing of
compensation for an employee or his dependents, whether secured by
agreement, order, award or a judgment in any court shall exceed 20% of
the amount of compensation recovered and paid, unless further fees shall
be allowed to the attorney upon a hearing by the Commission fixing fees
and subject to the other provisions of this Section. However, except as
hereinafter provided in this Section, in death cases, total disability
cases and partial disability cases, the amount of an attorney's fees
shall not exceed 20% of the sum which would be due under the Workers'
Compensation Act for 364 weeks of permanent total disability based upon
the employee's average gross weekly wage prior to the date of the
accident and subject to the maximum weekly benefits provided in this Act
unless further fees shall be allowed to the attorney upon a hearing by
the Commission fixing fees.
(C) All attorneys' fees in connection with the
initial or original claim for compensation shall be fixed pursuant to a
written contract on forms prescribed by the Commission between the
attorney and the employee or his dependents, and every attorney, whether
the disposition of the original claim is by agreement, settlement,
award, judgment or otherwise, shall file his contract with the Chairman
of the Commission who shall approve the contract only if it is in
accordance with all provisions of this Section.
(D) No attorneys' fees shall be charged with
respect to compensation for undisputed medical expenses.
(E) No attorneys' fees shall be charged in
connection with any temporary total disability compensation unless the
payment of such compensation in a timely manner or in the proper amount
is refused, or unless such compensation is terminated by the employer
and the payment of such compensation is obtained or reinstated by the
efforts of the attorney, whether by agreement, settlement, award or
judgment.
(F) In the following cases in which there is no
dispute between the parties as to the liability of the respondent to pay
compensation in a timely manner or in the proper amount and there is no
dispute that the accident has resulted in:
(1) the death of the employee; or
(2) a statutory permanent disability; or
(3) the amputation of a finger, toe, or member; or
(4) the removal of a testicle; or
(5) the enucleation of or 100% loss of vision of an
eye; the legal fees, if any, for services rendered are to be fixed by
the Industrial Commission at a nominal amount, not exceeding $100.
(G) In the following cases in which there is no
dispute between the parties as to the liability of the respondent to pay
compensation and there is no dispute that the accident has resulted in:
(1) a fracture of one or more vertebrae; or
(2) a skull fracture; or
(3) a fracture of one or more spinous or transverse
processes; or
(4) a fracture of one or more facial bones; or
(5) the removal of a kidney, spleen or lung; the
legal fees, if any, for services rendered are to be fixed by the
Industrial Commission at a nominal amount, not exceeding $100, provided
that the employee is awarded the minimum amount for the above injuries
as specified in Section 8(d)2.
(H) With regard to any claim where the amount to be
paid for compensation does not exceed the written offer made to the
claimant or claimants by the employer or his agent prior to
representation by an attorney, no fees shall be paid to any such
attorney.
(I) All attorneys' fees for representation of an
employee or his dependents shall be only recoverable from compensation
actually paid to such employee or dependents.
(J) Any and all disputes regarding attorneys' fees,
whether such disputes relate to which one or more attorneys represents
the claimant or claimants or is entitled to the attorneys' fees, or a
division of attorneys' fees where the claimant or claimants are or have
been represented by more than one attorney, or any other disputes
concerning attorneys' fees or contracts for attorneys' fees, shall be
heard and determined by the Commission after reasonable notice to all
interested parties and attorneys.
(K) After reasonable notice and hearing before the
Commission, any attorney found to be in violation of any provision of
this Section shall be required to make restitution of any excess fees
charged, plus interest at a reasonable rate as determined by the
Commission.
(Source: P.A. 81-1482.)
(820 ILCS 310/17) (from Ch. 48, par. 172.52)
Sec. 17. The Commission shall cause to be printed
and shall furnish free of charge upon request by any employer or
employee such blank forms as it shall deem requisite to facilitate or
promote the efficient administration of this Act, and the performance of
the duties of the Commission. It shall provide a proper record in which
shall be entered and indexed the name of any employer who shall file a
notice of election under this Act, and the date of the filing thereof;
and a proper record in which shall be entered and indexed the name of
any employee who shall file a notice of election, and the date of the
filing thereof; and such other notices as may be required by this Act;
and records in which shall be recorded all proceedings, orders and
awards had or made by the Commission, or by the arbitration committees,
and such other books or records as it shall deem necessary, all such
records to be kept in the office of the Commission.
The Commission may destroy all papers and documents
except notices of election and waivers which have been on file for more
than five years where there is no claim for compensation pending, or
where more than two years have elapsed since the termination of the
compensation period.
The Commission shall compile and distribute to
interested persons aggregate statistics, taken from any records and
reports in the possession of the Commission. The aggregate statistics
shall not give the names or otherwise identify persons sustaining
injuries or disabilities or the employer of any injured or disabled
person.
The Commission is authorized to establish
reasonable fees and methods of payment limited to covering only the
costs to the Commission for processing, maintaining and generating
records or data necessary for the computerized production of documents,
records and other materials except to the extent of any salaries or
compensation of Commission officers or employees.
All fees collected by the Commission under this
Section shall be deposited in the Statistical Services Revolving Fund
and credited to the account of the Industrial Commission.
(Source: P.A. 83-489.)
(820 ILCS 310/18) (from Ch. 48, par. 172.53)
Sec. 18. All questions arising under this Act, if
not settled by agreement of the parties interested therein, shall,
except as otherwise provided, be determined by the Commission.
(Source: Laws 1951, p. 1095.)
(820 ILCS 310/19) (from Ch. 48, par. 172.54)
Sec. 19. Any disputed questions of law or fact
shall be determined as herein provided. (a) It shall be the duty of the
Commission upon notification that the parties have failed to reach an
agreement to designate an Arbitrator.
(1) The application for adjustment of claim filed
with the Commission shall state:
A. The approximate date of the last day of the last
exposure and the approximate date of the disablement.
B. The general nature and character of the illness
or disease claimed.
C. The name and address of the employer by whom
employed on the last day of the last exposure and if employed by any
other employer after such last exposure and before disablement the name
and address of such other employer or employers.
D. In case of death, the date and place of death.
(2) Amendments to applications for adjustment of
claim which relate to the same disablement or disablement resulting in
death originally claimed upon may be allowed by the Commissioner or an
Arbitrator thereof, in their discretion, and in the exercise of such
discretion, they may in proper cases order a trial de novo; such
amendment shall relate back to the date of the filing of the original
application so amended.
(3) Whenever any claimant misconceives his remedy
and files an application for adjustment of claim under this Act and it
is subsequently discovered, at any time before final disposition of such
cause, that the claim for disability or death which was the basis for
such application should properly have been made under the Workers'
Compensation Act, then the provisions of Section 19 paragraph (a-1) of
the Workers' Compensation Act having reference to such application shall
apply.
Whenever any claimant misconceives his remedy and
files an application for adjustment of claim under the Workers'
Compensation Act and it is subsequently discovered, at any time before
final disposition of such cause that the claim for injury or death which
was the basis for such application should properly have been made under
this Act, then the application so filed under the Workers' Compensation
Act may be amended in form, substance or both to assert claim for such
disability or death under this Act and it shall be deemed to have been
so filed as amended on the date of the original filing thereof, and such
compensation may be awarded as is warranted by the whole evidence
pursuant to the provisions of this Act. When such amendment is
submitted, further or additional evidence may be heard by the Arbitrator
or Commission when deemed necessary; provided, that nothing in this
Section contained shall be construed to be or permit a waiver of any
provisions of this Act with reference to notice, but notice if given
shall be deemed to be a notice under the provisions of this Act if given
within the time required herein.
(b) The Arbitrator shall make such inquiries and
investigations as he shall deem necessary and may examine and inspect
all books, papers, records, places, or premises relating to the
questions in dispute and hear such proper evidence as the parties may
submit.
The hearings before the Arbitrator shall be held in
the vicinity where the last exposure occurred, after 10 days' notice of
the time and place of such hearing shall have been given to each of the
parties or their attorneys of record.
The Arbitrator may find that the disabling
condition is temporary and has not yet reached a permanent condition and
may order the payment of compensation up to the date of the hearing,
which award shall be reviewable and enforceable in the same manner as
other awards, and in no instance be a bar to a further hearing and
determination of a further amount of temporary total compensation or of
compensation for permanent disability, but shall be conclusive as to all
other questions except the nature and extent of such disability.
The decision of the Arbitrator shall be filed with
the Commission which Commission shall immediately send to each party or
his attorney a copy of such decision, together with a notification of
the time when it was filed. Beginning January 1, 1981, all decisions of
the Arbitrator shall set forth in writing findings of fact and
conclusions of law, separately stated. Unless a petition for review is
filed by either party within 30 days after the receipt by such party of
the copy of the decision and notification of time when filed, and unless
such party petitioning for a review shall within 35 days after the
receipt by him of the copy of the decision, file with the Commission
either an agreed statement of the facts appearing upon the hearing
before the Arbitrator, or if such party shall so elect a correct
transcript of evidence of the proceedings at such hearings, then the
decision shall become the decision of the Commission and in the absence
of fraud shall be conclusive. The Petition for Review shall contain a
statement of the petitioning party's specific exceptions to the decision
of the arbitrator. The jurisdiction of the Commission to review the
decision of the arbitrator shall not be limited to the exceptions stated
in the Petition for Review. The Commission, or any member thereof, may
grant further time not exceeding 30 days, in which to file such agreed
statement or transcript of evidence. Such agreed statement of facts or
correct transcript of evidence, as the case may be, shall be
authenticated by the signatures of the parties or their attorneys, and
in the event they do not agree as to the correctness of the transcript
of evidence it shall be authenticated by the signature of the Arbitrator
designated by the Commission.
(b-1) If the employee is not receiving, pursuant to
Section 7, medical, surgical or hospital services of the type provided
for in paragraph (a) of Section 8 of the Workers' Compensation Act or
compensation of the type provided for in paragraph (b) of Section 8 of
the Workers' Compensation Act, the employee, in accordance with
Commission Rules, may file a petition for an emergency hearing by an
Arbitrator on the issue of whether or not he is entitled to receive
payment of such compensation or services as provided therein. Such
petition shall have priority over all other petitions and shall be heard
by the Arbitrator and Commission with all convenient speed.
Such petition shall contain the following
information and shall be served on the employer at least 15 days before
it is filed:
(i) the date and approximate time of the last
exposure;
(ii) the approximate location of the last exposure;
(iii) a description of the last exposure;
(iv) the nature of the disability incurred by the
employee;
(v) the identity of the person, if known, to whom
the disability was reported and the date on which it was reported;
(vi) the name and title of the person, if known,
representing the employer with whom the employee conferred in any effort
to obtain pursuant to Section 7 compensation of the type provided for in
paragraph (b) of Section 8 of the Workers' Compensation Act or medical,
surgical or hospital services of the type provided for in paragraph (a)
of Section 8 of the Workers' Compensation Act and the date of such
conference;
(vii) a statement that the employer has refused to
pay compensation pursuant to Section 7 of the type provided for in
paragraph (b) of Section 8 of the Workers' Compensation Act or for
medical, surgical or hospital services pursuant to Section 7 of the type
provided for in paragraph (a) of Section 8 of the Workers' Compensation
Act;
(viii) the name and address, if known, of each
witness to the last exposure and of each other person upon whom the
employee will rely to support his allegations;
(ix) the dates of treatment related to the
disability by medical practitioners, and the names and addresses of such
practitioners, including the dates of treatment related to the
disability at any hospitals and the names and addresses of such
hospitals, and a signed authorization permitting the employer to examine
all medical records of all practitioners and hospitals named pursuant to
this paragraph;
(x) a copy of a signed report by a medical
practitioner, relating to the employee's current inability to return to
work because of the disability incurred as a result of the exposure or
such other documents or affidavits which show that the employee is
entitled to receive pursuant to Section 7 compensation of the type
provided for in paragraph (b) of Section 8 of the Workers' Compensation
Act or medical, surgical or hospital services of the type provided for
in paragraph (a) of Section 8 of the Workers' Compensation Act. Such
reports, documents or affidavits shall state, if possible, the history
of the exposure given by the employee, and describe the disability and
medical diagnosis, the medical services for such disability which the
employee has received and is receiving, the physical activities which
the employee cannot currently perform as a result of such disability,
and the prognosis for recovery;
(xi) complete copies of any reports, records,
documents and affidavits in the possession of the employee on which the
employee will rely to support his allegations, provided that the
employer shall pay the reasonable cost of reproduction thereof;
(xii) a list of any reports, records, documents and
affidavits which the employee has demanded by subpoena and on which he
intends to rely to support his allegations;
(xiii) a certification signed by the employee or
his representative that the employer has received the petition with the
required information 15 days before filing.
Fifteen days after receipt by the employer of the
petition with the required information the employee may file said
petition and required information and shall serve notice of the filing
upon the employer. The employer may file a motion addressed to the
sufficiency of the petition. If an objection has been filed to the
sufficiency of the petition, the arbitrator shall rule on the objection
within 2 working days. If such an objection is filed, the time for
filing the final decision of the Commission as provided in this
paragraph shall be tolled until the arbitrator has determined that the
petition is sufficient.
The employer shall, within 15 days after receipt of
the notice that such petition is filed, file with the Commission and
serve on the employee or his representative a written response to each
claim set forth in the petition, including the legal and factual basis
for each disputed allegation and the following information: (i) complete
copies of any reports, records, documents and affidavits in the
possession of the employer on which the employer intends to rely in
support of his response, (ii) a list of any reports, records, documents
and affidavits which the employer has demanded by subpoena and on which
the employer intends to rely in support of his response, (iii) the name
and address of each witness on whom the employer will rely to support
his response, and (iv) the names and addresses of any medical
practitioners selected by the employer pursuant to Section 12 of this
Act and the time and place of any examination scheduled to be made
pursuant to such Section.
Any employer who does not timely file and serve a
written response without good cause may not introduce any evidence to
dispute any claim of the employee but may cross examine the employee or
any witness brought by the employee and otherwise be heard.
No document or other evidence not previously
identified by either party with the petition or written response, or by
any other means before the hearing, may be introduced into evidence
without good cause. If, at the hearing, material information is
discovered which was not previously disclosed, the Arbitrator may extend
the time for closing proof on the motion of a party for a reasonable
period of time which may be more than 30 days. No evidence may be
introduced pursuant to this paragraph as to permanent disability. No
award may be entered for permanent disability pursuant to this
paragraph. Either party |