Download Zipped Introduced WordPerfect SB0108.ZIP
[Status][Bill Documents][Fiscal Note][Bills Directory]
S.B. 108
1
OFFSET OF WORKERS' COMPENSATION AND
2
SOCIAL SECURITY
3
2008 GENERAL SESSION
4
STATE OF UTAH
5
Chief Sponsor: John W. Hickman
6
House Sponsor:
Wayne A. Harper
7
8
LONG TITLE
9
General Description:
10
This bill modifies provisions related to receipt of workers' compensation benefits.
11
Highlighted Provisions:
12
This bill:
13
. removes the offset against permanent total disability compensation for
14
cost-of-living increases in Social Security retirement benefits received by an
15
employee with a permanent total disability;
16
. removes the offset against death benefits for cost-of-living increases in Social
17
Security death benefits;
18
. clarifies its application to persons whose compensation was reduced on or before
19
May 4, 2008; and
20
. makes technical changes.
21
Monies Appropriated in this Bill:
22
None
23
Other Special Clauses:
24
None
25
Utah Code Sections Affected:
26
AMENDS:
27
34A-2-403, as renumbered and amended by Laws of Utah 1997, Chapter 375
28
34A-2-413, as last amended by Laws of Utah 2006, Chapter 295
29
34A-2-702, as renumbered and amended by Laws of Utah 1997, Chapter 375
30
31
Be it enacted by the Legislature of the state of Utah:
32
Section 1.
Section
34A-2-403
is amended to read:
33
34A-2-403. Dependents -- Presumption.
34
(1) The following persons shall be presumed to be wholly dependent for support upon
35
a deceased employee:
36
(a) a child under 18 years of age, or over if the child is physically or mentally
37
incapacitated and dependent upon the parent, with whom the child is living at the time of the
38
death of the parent, or who is legally bound for the child's support; and
39
(b) for purposes of payments to be made under Subsection
34A-2-702
(5)[(a)](b)(i), a
40
surviving spouse with whom the deceased employee lived at the time of the employee's death.
41
(2) (a) In a case not provided for in Subsection (1), the question of dependency, in
42
whole or in part, shall be determined in accordance with the facts in each particular case
43
existing at the time of the injury or death of an employee, except for purposes of dependency
44
reviews under Subsection
34A-2-702
(5)[(a)](b)(iv).
45
(b) A person may not be considered as a dependent unless that person is:
46
(i) a member of the family of the deceased employee;
47
(ii) the spouse of the deceased employee;
48
(iii) a lineal descendant or ancestor of the deceased employee; or
49
(iv) brother or sister of the deceased employee.
50
(3) As used in this chapter and Chapter 3, Utah Occupational Disease Act:
51
(a) "brother or sister" includes a half brother or sister; and
52
(b) "child" includes:
53
(i) a posthumous child; or
54
(ii) a child legally adopted prior to the injury.
55
Section 2.
Section
34A-2-413
is amended to read:
56
34A-2-413. Permanent total disability -- Amount of payments -- Rehabilitation.
57
(1) (a) In [cases] the case of a permanent total disability resulting from an industrial
58
accident or occupational disease, the employee shall receive compensation as outlined in this
59
section.
60
(b) To establish entitlement to permanent total disability compensation, the employee
61
must prove by a preponderance of evidence that:
62
(i) the employee sustained a significant impairment or combination of impairments as a
63
result of the industrial accident or occupational disease that gives rise to the permanent total
64
disability entitlement;
65
(ii) the employee is permanently totally disabled; and
66
(iii) the industrial accident or occupational disease [was] is the direct cause of the
67
employee's permanent total disability.
68
(c) To establish that an employee is permanently totally disabled the employee must
69
prove by a preponderance of the evidence that:
70
(i) the employee is not gainfully employed;
71
(ii) the employee has an impairment or combination of impairments that limit the
72
employee's ability to do basic work activities;
73
(iii) the industrial or occupationally caused impairment or combination of impairments
74
prevent the employee from performing the essential functions of the work activities for which
75
the employee has been qualified until the time of the industrial accident or occupational disease
76
that is the basis for the employee's permanent total disability claim; and
77
(iv) the employee cannot perform other work reasonably available, taking into
78
consideration the employee's:
79
(A) age;
80
(B) education;
81
(C) past work experience;
82
(D) medical capacity; and
83
(E) residual functional capacity.
84
(d) Evidence of an employee's entitlement to disability benefits other than those
85
provided under this chapter and Chapter 3, Utah Occupational Disease Act, if relevant:
86
(i) may be presented to the commission;
87
(ii) is not binding; and
88
(iii) creates no presumption of an entitlement under this chapter and Chapter 3, Utah
89
Occupational Disease Act.
90
(2) For permanent total disability compensation during the initial 312-week
91
entitlement, compensation [shall be] is 66-2/3% of the employee's average weekly wage at the
92
time of the injury, limited as follows:
93
(a) compensation per week may not be more than 85% of the state average weekly
94
wage at the time of the injury;
95
(b) (i) subject to Subsection (2)(b)(ii), compensation per week may not be less than the
96
sum of $45 per week[, plus] and:
97
(A) $5 for a dependent spouse[, plus]; and
98
(B) $5 for each dependent child under the age of 18 years, up to a maximum of four
99
dependent minor children[, but not exceeding]; and
100
(ii) the amount calculated under Subsection (2)(b)(i) may not exceed:
101
(A) the maximum established in Subsection (2)(a) [nor exceeding]; or
102
(B) the average weekly wage of the employee at the time of the injury; and
103
(c) after the initial 312 weeks, the minimum weekly compensation rate under
104
Subsection (2)(b) [shall be] is 36% of the current state average weekly wage, rounded to the
105
nearest dollar.
106
(3) This Subsection (3) applies to claims resulting from an accident or disease arising
107
out of and in the course of the employee's employment on or before June 30, 1994.
108
(a) The employer or its insurance carrier is liable for the initial 312 weeks of permanent
109
total disability compensation except as outlined in Section
34A-2-703
as in effect on the date
110
of injury.
111
(b) The employer or its insurance carrier may not be required to pay compensation for
112
any combination of disabilities of any kind, as provided in this section and Sections
34A-2-410
113
through
34A-2-412
and Part 5, Industrial Noise, in excess of the amount of compensation
114
payable over the initial 312 weeks at the applicable permanent total disability compensation
115
rate under Subsection (2).
116
(c) [Any] The Employers' Reinsurance Fund shall for an overpayment of [this]
117
compensation [shall be reimbursed] described in Subsection (3)(b), reimburse the
118
overpayment:
119
(i) to the employer or its insurance carrier [by the Employers' Reinsurance Fund]; and
120
[shall be paid]
121
(ii) out of the Employers' Reinsurance Fund's liability to the employee.
122
(d) After an employee [has received] receives compensation from the employee's
123
employer, its insurance carrier, or the Employers' Reinsurance Fund for any combination of
124
disabilities amounting to 312 weeks of compensation at the applicable permanent total
125
disability compensation rate, the Employers' Reinsurance Fund shall pay all remaining
126
permanent total disability compensation.
127
(e) Employers' Reinsurance Fund payments shall commence immediately after the
128
employer or its insurance carrier [has satisfied] satisfies its liability under this Subsection (3) or
129
Section
34A-2-703
.
130
(4) This Subsection (4) applies to claims resulting from an accident or disease arising
131
out of and in the course of the employee's employment on or after July 1, 1994.
132
(a) The employer or its insurance carrier is liable for permanent total disability
133
compensation.
134
(b) The employer or its insurance carrier may not be required to pay compensation for
135
any combination of disabilities of any kind, as provided in this section and Sections
34A-2-410
136
through
34A-2-412
and Part 5, Industrial Noise, in excess of the amount of compensation
137
payable over the initial 312 weeks at the applicable permanent total disability compensation
138
rate under Subsection (2).
139
(c) [Any overpayment of this compensation shall be recouped by the] The employer or
140
its insurance carrier may recoup the overpayment of compensation described in Subsection (4)
141
by reasonably offsetting the overpayment against future liability paid before or after the initial
142
312 weeks.
143
(5) [Notwithstanding] (a) Subject to Subsection (5)(b) and notwithstanding the
144
minimum rate established in Subsection (2), [the compensation payable by the] an employer,
145
its insurance carrier, or the Employers' Reinsurance Fund, after an employee [has received]
146
receives compensation from the employer or the employer's insurance carrier for any
147
combination of disabilities amounting to 312 weeks of compensation at the applicable total
148
disability compensation rate, shall [be reduced,] reduce the compensation payable:
149
(i) to the extent allowable by law[,];
150
(ii) by the dollar amount of 50% of the Social Security retirement benefits [received
151
by] the employee is eligible to receive for a four week period as of the first day the employee is
152
eligible to receive a Social Security retirement benefit; and
153
(iii) that the employee receives during the same period as the Social Security retirement
154
benefits.
155
(b) (i) An employer, its insurance carrier, or the Employers' Reinsurance Fund may not
156
reduce compensation payable under this section on or after May 5, 2008, to an employee by an
157
amount related to a cost-of-living increase to the Social Security retirement benefit that the
158
employee is first eligible to receive for a four week period, notwithstanding whether the
159
employee is injured on or before May 4, 2008.
160
(ii) For purposes of an employee whose compensation payable is reduced under this
161
Subsection (5) on or before May 4, 2008, the reduction is limited to the amount of the
162
reduction as of May 4, 2008.
163
(6) (a) A finding by the commission of permanent total disability is not final, unless
164
otherwise agreed to by the parties, until:
165
(i) an administrative law judge reviews a summary of reemployment activities
166
undertaken pursuant to Chapter 8, Utah Injured Worker Reemployment Act;
167
(ii) the employer or its insurance carrier submits to the administrative law judge:
168
(A) a reemployment plan as prepared by a qualified rehabilitation provider reasonably
169
designed to return the employee to gainful employment; or
170
(B) notice that the employer or its insurance carrier will not submit a plan; and
171
(iii) the administrative law judge, after notice to the parties, holds a hearing, unless
172
otherwise stipulated, to:
173
(A) consider evidence regarding rehabilitation; and
174
(B) review any reemployment plan submitted by the employer or its insurance carrier
175
under Subsection (6)(a)(ii).
176
(b) Before commencing the procedure required by Subsection (6)(a), the administrative
177
law judge shall order:
178
(i) the initiation of permanent total disability compensation payments to provide for the
179
employee's subsistence; and
180
(ii) the payment of any undisputed disability or medical benefits due the employee.
181
(c) Notwithstanding Subsection (6)(a), an order for payment of benefits described in
182
Subsection (6)(b) is considered a final order for purposes of Section
34A-2-212
.
183
(d) The employer or its insurance carrier shall be given credit for any disability
184
payments made under Subsection (6)(b) against its ultimate disability compensation liability
185
under this chapter or Chapter 3, Utah Occupational Disease Act.
186
(e) An employer or its insurance carrier may not be ordered to submit a reemployment
187
plan. If the employer or its insurance carrier voluntarily submits a plan, the plan is subject to
188
Subsections (6)(e)(i) through (iii).
189
(i) The plan may include, but not require an employee to pay for:
190
(A) retraining[,];
191
(B) education[,];
192
(C) medical and disability compensation benefits[,];
193
(D) job placement services[,]; or
194
(E) incentives calculated to facilitate reemployment [funded by the employer or its
195
insurance carrier].
196
(ii) The plan shall include payment of reasonable disability compensation to provide
197
for the employee's subsistence during the rehabilitation process.
198
(iii) The employer or its insurance carrier shall diligently pursue the reemployment
199
plan. The employer's or insurance carrier's failure to diligently pursue the reemployment plan
200
[shall be] is cause for the administrative law judge on the administrative law judge's own
201
motion to make a final decision of permanent total disability.
202
(f) If a preponderance of the evidence shows that successful rehabilitation is not
203
possible, the administrative law judge shall order that the employee be paid weekly permanent
204
total disability compensation benefits.
205
(7) (a) The period of benefits commences on the date the employee became
206
permanently totally disabled, as determined by a final order of the commission based on the
207
facts and evidence, and ends:
208
(i) with the death of the employee; or
209
(ii) when the employee is capable of returning to regular, steady work.
210
(b) An employer or its insurance carrier may provide or locate for a permanently totally
211
disabled employee reasonable, medically appropriate, part-time work in a job earning at least
212
minimum wage [provided that employment], except that the employee may not be required to
213
accept the work to the extent that it would disqualify the employee from Social Security
214
disability benefits.
215
(c) An employee shall:
216
(i) fully cooperate in the placement and employment process; and
217
(ii) accept the reasonable, medically appropriate, part-time work.
218
(d) In a consecutive four-week period when an employee's gross income from the work
219
provided under Subsection (7)(b) exceeds $500, the employer or insurance carrier may reduce
220
the employee's permanent total disability compensation by 50% of the employee's income in
221
excess of $500.
222
(e) If a work opportunity is not provided by the employer or its insurance carrier, a
223
permanently totally disabled employee may obtain medically appropriate, part-time work
224
subject to the offset provisions [contained in] of Subsection (7)(d).
225
(f) (i) The commission shall establish rules regarding the part-time work and offset.
226
(ii) The adjudication of disputes arising under this Subsection (7) is governed by Part
227
8, Adjudication.
228
(g) The employer or its insurance carrier [shall have] has the burden of proof to show
229
that medically appropriate part-time work is available.
230
(h) The administrative law judge may:
231
(i) excuse an employee from participation in any [job] work:
232
(A) that would require the employee to undertake work exceeding the employee's:
233
(I) medical capacity [and]; or
234
(II) residual functional capacity; or
235
(B) for good cause; or
236
(ii) allow the employer or its insurance carrier to reduce permanent total disability
237
benefits as provided in Subsection (7)(d) when reasonable, medically appropriate, part-time
238
[employment has been] work is offered, but the employee [has failed] fails to fully cooperate.
239
(8) When an employee [has been] is rehabilitated or the employee's rehabilitation is
240
possible but the employee has some loss of bodily function, the award shall be for permanent
241
partial disability.
242
(9) As determined by an administrative law judge, an employee is not entitled to
243
disability compensation, unless the employee fully cooperates with any evaluation or
244
reemployment plan under this chapter or Chapter 3, Utah Occupational Disease Act. The
245
administrative law judge shall dismiss without prejudice the claim for benefits of an employee
246
if the administrative law judge finds that the employee fails to fully cooperate, unless the
247
administrative law judge states specific findings on the record justifying dismissal with
248
prejudice.
249
(10) (a) The loss or permanent and complete loss of the use of the following constitutes
250
total and permanent disability that is compensated according to this section:
251
(i) both hands[,];
252
(ii) both arms[,];
253
(iii) both feet[,];
254
(iv) both legs[,];
255
(v) both eyes[,]; or
256
(vi) any combination of two [such] body members [constitutes total and permanent
257
disability, to be compensated according to this section] described in this Subsection (10)(a).
258
(b) A finding of permanent total disability pursuant to Subsection (10)(a) is final.
259
(11) (a) An insurer or self-insured employer may periodically reexamine a permanent
260
total disability claim, except those based on Subsection (10), for which the insurer or
261
self-insured employer had or has payment responsibility to determine whether the [worker]
262
employee remains permanently totally disabled.
263
(b) Reexamination may be conducted no more than once every three years after an
264
award is final, unless good cause is shown by the employer or its insurance carrier to allow
265
more frequent reexaminations.
266
(c) The reexamination may include:
267
(i) the review of medical records;
268
(ii) employee submission to one or more reasonable medical evaluations;
269
(iii) employee submission to one or more reasonable rehabilitation evaluations and
270
retraining efforts;
271
(iv) employee disclosure of Federal Income Tax Returns;
272
(v) employee certification of compliance with Section
34A-2-110
; and
273
(vi) employee completion of one or more sworn affidavits or questionnaires approved
274
by the division.
275
(d) The insurer or self-insured employer shall pay for the cost of a reexamination with
276
appropriate employee reimbursement pursuant to rule for reasonable travel allowance and per
277
diem as well as reasonable expert witness fees incurred by the employee in supporting the
278
employee's claim for permanent total disability benefits at the time of reexamination.
279
(e) If an employee fails to fully cooperate in the reasonable reexamination of a
280
permanent total disability finding, an administrative law judge may order the suspension of the
281
employee's permanent total disability benefits until the employee cooperates with the
282
reexamination.
283
(f) (i) [Should] If the reexamination of a permanent total disability finding [reveal]
284
reveals evidence that reasonably raises the issue of an employee's continued entitlement to
285
permanent total disability compensation benefits, an insurer or self-insured employer may
286
petition the Division of Adjudication for a rehearing on that issue. The [petition] insurer or
287
self-insured employer shall [be accompanied by] include with the petition, documentation
288
supporting the insurer's or self-insured employer's belief that the employee is no longer
289
permanently totally disabled.
290
(ii) If the petition under Subsection (11)(f)(i) demonstrates good cause, as determined
291
by the Division of Adjudication, an administrative law judge shall adjudicate the issue at a
292
hearing.
293
(iii) Evidence of an employee's participation in medically appropriate, part-time work
294
may not be the sole basis for termination of an employee's permanent total disability
295
entitlement, but the evidence of the employee's participation in medically appropriate, part-time
296
work under Subsection (7) may be considered in the reexamination or hearing with other
297
evidence relating to the employee's status and condition.
298
(g) In accordance with Section
34A-1-309
, the administrative law judge may award
299
reasonable [attorneys] attorney fees to an attorney retained by an employee to represent the
300
employee's interests with respect to reexamination of the permanent total disability finding,
301
except if the employee does not prevail, the [attorneys] attorney fees shall be set at $1,000.
302
The [attorneys] attorney fees awarded shall be paid by the employer or its insurance carrier in
303
addition to the permanent total disability compensation benefits due.
304
(h) During the period of reexamination or adjudication, if the employee fully
305
cooperates, each insurer, self-insured employer, or the Employers' Reinsurance Fund shall
306
continue to pay the permanent total disability compensation benefits due the employee.
307
(12) If any provision of this section, or the application of any provision to any person
308
or circumstance, is held invalid, the remainder of this section [shall be] is given effect without
309
the invalid provision or application.
310
Section 3.
Section
34A-2-702
is amended to read:
311
34A-2-702. Employers' Reinsurance Fund -- Injury causing death -- Burial
312
expenses -- Payments to dependents.
313
(1) (a) There is created an Employers' Reinsurance Fund for the purpose of making
314
[payments for] a payment for an industrial [accidents] accident or occupational [diseases]
315
disease occurring on or before June 30, 1994. [The payments] A payment made under this
316
section shall be made in accordance with this chapter or Chapter 3, Utah Occupational Disease
317
Act. The Employers' Reinsurance Fund [shall have] has no liability for an industrial
318
[accidents] accident or occupational [diseases] disease occurring on or after July 1, 1994.
319
(b) The Employers' Reinsurance Fund [shall succeed] succeeds to all monies
320
previously held in the "Special Fund," the "Combined Injury Fund," or the "Second Injury
321
Fund."
322
(c) The commissioner shall appoint an administrator of the Employers' Reinsurance
323
Fund.
324
(d) The state treasurer shall be the custodian of the Employers' Reinsurance Fund[, and
325
the].
326
(e) The administrator shall make provisions for and direct [its] a distribution from the
327
Employers' Reinsurance Fund.
328
[(e)] (f) Reasonable costs of administering the Employers' Reinsurance Fund or other
329
fees may be paid from the [fund] Employers' Reinsurance Fund.
330
(2) The state treasurer shall:
331
(a) receive workers' compensation premium assessments from the State Tax
332
Commission; and
333
(b) invest the Employers' Reinsurance Fund to ensure maximum investment return for
334
both long and short term investments in accordance with Section
51-7-12.5
.
335
(3) (a) The administrator may employ, retain, or appoint counsel to represent the
336
Employers' Reinsurance Fund in [proceedings] a proceeding brought to enforce [claims] a
337
claim against or on behalf of the [fund] Employers' Reinsurance Fund.
338
(b) If requested by the commission, the attorney general shall aid in representation of
339
the [fund] Employers' Reinsurance Fund.
340
(4) The liability of the state, its departments, agencies, instrumentalities, elected or
341
appointed officials, or other duly authorized agents, with respect to payment of [any]
342
compensation benefits, expenses, fees, medical expenses, or disbursement properly chargeable
343
against the Employers' Reinsurance Fund, is limited to the cash or assets in the Employers'
344
Reinsurance Fund, and they are not otherwise, in any way, liable for the operation, debts, or
345
obligations of the Employers' Reinsurance Fund.
346
(5) (a) If injury causes death within a period of 312 weeks from the date of the
347
accident, the employer or insurance carrier shall pay:
348
(i) the burial expenses of the deceased as provided in Section
34A-2-418
[,]; and
349
[further]
350
(ii) benefits in the [amounts] amount and to [the persons in accordance with
351
Subsections (5)(a) through (c)] a person provided for in this Subsection (5).
352
[(a)] (b) (i) If there [are] is a wholly dependent [persons] person at the time of the
353
death, the payment by the employer or its insurance carrier shall be:
354
(A) subject to Subsections (5)(b)(i)(B) and (C), 66-2/3% of the decedent's average
355
weekly wage at the time of the injury[, but];
356
(B) not more than a maximum of 85% of the state average weekly wage at the time of
357
the injury per week; and
358
(C) (I) not less than a minimum of $45 per week, plus:
359
(Aa) $5 for a dependent spouse[, plus];
360
(Bb) $5 for each dependent minor child under the age of 18 years, up to a maximum of
361
four such dependent minor children[, but]; and
362
(II) not exceeding:
363
(Aa) the average weekly wage of the employee at the time of the injury[,]; and [not
364
exceeding]
365
(Bb) 85% of the state average weekly wage at the time of the injury per week.
366
(ii) Compensation shall continue during dependency for the remainder of the period
367
between the date of the death and the expiration of 312 weeks after the date of the injury.
368
(iii) (A) The payment by the employer or its insurance carrier to a wholly dependent
369
[persons] person during dependency following the expiration of the first 312-week period
370
described in Subsection (5)[(a)(i)] (b)(ii) shall be an amount equal to the weekly benefits paid
371
to [those] the wholly dependent [persons] person during [that] the initial 312-week period,
372
reduced by 50% of [any weekly] the federal Social Security death benefits [paid to those] the
373
wholly dependent [persons.] person:
374
(I) is eligible to receive for a week as of the first day the employee is eligible to receive
375
a Social Security death benefit; and
376
(II) receives.
377
(B) An employer or its insurance carrier may not reduce compensation payable under
378
this Subsection (5)(b)(iii) on or after May 5, 2008, to a wholly dependent person by an amount
379
related to a cost-of-living increase to the Social Security death benefits that the wholly
380
dependent person is first eligible to receive for a week, notwithstanding whether the employee
381
is injured on or before May 4, 2008.
382
(C) For purposes of a wholly dependent person whose compensation payable is
383
reduced under this Subsection (5)(b)(iii) on or before May 4, 2008, the reduction is limited to
384
the amount of the reduction as of May 4, 2008.
385
(iv) The issue of dependency [shall be] is subject to review by an administrative law
386
judge at the end of the initial 312-week period and annually after the initial 312-week period.
387
If in [any] a review it is determined that, under the facts and circumstances existing at that
388
time, the applicant is no longer a wholly dependent person, the applicant:
389
(A) may be considered a partly dependent or nondependent person; and
390
(B) shall be paid [such] the benefits [as] the administrative law judge [may determine]
391
determines under Subsection (5)[(b)](d)(iii).
392
[(v)] (c) (i) For purposes of [any] a dependency determination, a surviving spouse of a
393
deceased employee [shall be] is conclusively presumed to be wholly dependent for a 312-week
394
period from the date of death of the employee. This presumption [shall] does not apply after
395
the initial 312-week period [and, in].
396
(ii) (A) In determining the [then existing] annual income of the surviving spouse after
397
the initial 312-week period, the administrative law judge shall exclude 50% of [any] a federal
398
Social Security death [benefits received by that] benefit that the surviving spouse[.]:
399
(I) is eligible to receive for a week as of the first day the surviving spouse is eligible to
400
receive a Social Security death benefit; and
401
(II) receives.
402
(B) An employer or its insurance carrier may not reduce compensation payable under
403
this Subsection (5)(c)(ii) on or after May 5, 2008, to a surviving spouse by an amount related to
404
a cost-of-living increase to the Social Security death benefits that the surviving spouse is first
405
eligible to receive for a week, notwithstanding whether the employee is injured on or before
406
May 4, 2008.
407
(C) For purposes of a surviving spouse whose compensation payable is reduced under
408
this Subsection (5)(c)(ii) on or before May 4, 2008, the reduction is limited to the amount of
409
the reduction as of May 4, 2008.
410
[(b)] (d) (i) If there [are] is a partly dependent [persons] person at the time of the death,
411
the payment shall be:
412
(A) subject to Subsections (5)(d)(i)(B) and (C), 66-2/3% of the decedent's average
413
weekly wage at the time of the injury[, but];
414
(B) not more than a maximum of 85% of the state average weekly wage at the time of
415
the injury per week; and
416
(C) not less than a minimum of $45 per week.
417
(ii) Compensation shall continue during dependency for the remainder of the period
418
between the date of death and the expiration of 312 weeks after the date of injury as the
419
administrative law judge in each case may determine. Compensation may not amount to more
420
than a maximum of $30,000.
421
(iii) The benefits provided for in this Subsection (5)(d) shall be in keeping with the
422
circumstances and conditions of dependency existing at the date of injury, and [any] an amount
423
awarded by the administrative law judge under this Subsection (5)(d) shall be consistent with
424
the general provisions of this chapter and Chapter 3, Utah Occupational Disease Act.
425
(iv) (A) [Benefits to persons determined to be] An administrative law judge shall
426
determine that a person is partly dependent under Subsection (5)[(a)(v)](c) [shall be determined
427
by the administrative law judge] in a manner keeping with the circumstances and conditions of
428
dependency existing at the time of the dependency review [and].
429
(B) The administrative law judge may order that a partly dependent person be paid in
430
an amount not exceeding the maximum weekly rate that a partly dependent [persons] person
431
would receive if wholly dependent.
432
(v) [Payments] A payment under this section shall be paid to [such persons] a person
433
during [their] a person's dependency by the employer or its insurance carrier.
434
[(c) If] (e) (i) Subject to Subsection (5)(e)(ii), if there [are] is a wholly dependent
435
[persons] person and also a partly dependent [persons] person at the time of death, the
436
administrative law judge may apportion the benefits as the administrative law judge considers
437
just and equitable[; provided, that the].
438
(ii) The total benefits awarded to all parties concerned [do] may not exceed the
439
maximum provided for by law.
440
(6) The Employers' Reinsurance Fund:
441
(a) shall be:
442
(i) used only in accordance with Subsection (1) for:
443
(A) the purpose of making [payments] a payment for an industrial [accidents] accident
444
or occupational [diseases] disease occurring on or before June 30, 1994, in accordance with
445
this section and Section
34A-2-703
; and
446
(B) payment of:
447
(I) reasonable costs of administering the Employers' Reinsurance Fund; or
448
(II) fees required to be paid by the Employers' Reinsurance Fund;
449
(ii) expended according to processes that can be verified by audit; and
450
(b) may not be used for:
451
(i) administrative costs unrelated to the [fund] Employers' Reinsurance Fund; or
452
(ii) [any] an activity of the commission other than an activity described in Subsection
453
(6)(a).
Legislative Review Note
as of 12-20-07 6:49 AM