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Second Substitute S.B. 59


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House Floor Amendments 3-12-2013 le/cjd
This document includes House Floor Amendments incorporated into the bill on Tue, Mar 12, 2013 at 10:50 AM by lerror. -->
Representative Don L. Ipson proposes the following substitute bill:


             1     
WORKERS' COMPENSATION COORDINATION OF

             2     
BENEFITS AMENDMENTS

             3     
2013 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Karen Mayne

             6     
House Sponsor: Don L. Ipson

             7     

             8      LONG TITLE
             9      General Description:
             10          This bill amends the Insurance Code and the Utah Labor Code regarding payment of
             11      medical claims when an employee is injured.
             12      Highlighted Provisions:
             13          This bill:
             14          .    defines terms;
             15          .    beginning July 1, 2014, requires a health benefit plan to pay for medical benefits
             16      otherwise covered by the health benefit plan if an application for hearing is filed
             17      with the Labor Commission and while a workers' compensation claim is being
             18      adjudicated;
             18a           H. .    exempts an insurer with less than 2% market share in the state from the
             18b      requirements of the bill; .H
             19          .    includes the Public Employees' Benefit and Insurance Program as a health insurer
             20      subject to paying medical claims for an injured worker while a workers'
             21      compensation claim is being adjudicated;
             22          .    requires the Labor Commission to notify:
             23              .    an injured employee of the employee's right to health insurance coverage while
             24      a workers' compensation claim is pending; and
             25              .    a health insurer of an employee's application for hearing;



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             26
         .    provides that a health benefit plan may, at its option, provide notice to the Labor
             27      Commission of the health benefit plan's payment of a medical claim that is being
             28      adjudicated under workers' compensation;
             29          .    if the Labor Commission issues a final order or approves a settlement agreement
             30      that finds the medical claim is compensable as a workers' compensation claim,
             31      requires the workers' compensation carrier to reimburse:
             32              .    the health benefit plan for the compensable medical claims plus 8% per annum
             33      interest unless in settlement negotiations the health insurer agrees to waive any
             34      part of the compensation; and
             35              .    the employee for out-of-pocket expenses associated with the compensable
             36      medical claim plus 8% per annum interest;
             37          .    prohibits a health care provider who received payment from a health benefit plan
             38      from seeking additional reimbursement for the same medical claim from the
             39      workers' compensation carrier if a final order or settlement agreement of the Labor
             40      Commission determines that the claim is compensable as a workers' compensation
             41      claim;
             42          .    prohibits a health benefit plan from using automatic recovery or seeking
             43      reimbursement from a health care provider for a medical claim paid by the health
             44      benefit plan if the health benefit plan is reimbursed by a workers' compensation
             45      carrier;
             46          .    if a workers' compensation carrier is required to reimburse a health benefit plan for
             47      a medical claim paid by the health benefit plan, the workers' compensation carrier
             48      may not seek reimbursement from a health care provider for the payment to the
             49      health benefit plan;
             50          .    assesses a penalty on a workers' compensation carrier if the workers' compensation
             51      carrier does not reimburse a health benefit plan or employee within a certain period
             52      of time after an order issued by the Labor Commission is final;
             53          .    requires the Labor Commission to report to the Utah Insurance Department if a
             54      workers' compensation carrier fails to reimburse a health benefit plan or employee
             55      within a certain period of time;
             56          .    deposits the penalties collected by the Labor Commission into the Uninsured



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House Floor Amendments 3-12-2013 le/cjd
             57      Employers' Fund;
             58          .    makes technical changes; and
             59          .    sunsets the coordination of benefits.
             60      Money Appropriated in this Bill:
             61          None
             62      Other Special Clauses:
             63          This bill takes effect on July 1, 2014.
             64      Utah Code Sections Affected:
             65      AMENDS:
             66          34A-2-704, as last amended by Laws of Utah 2012, Chapter 369
             67          63I-1-231, as last amended by Laws of Utah 2011, Chapters 199, 240, and 400
             68          63I-1-234, as last amended by Laws of Utah 2011, Chapter 15
             69      ENACTS:
             70          31A-22-619.6, Utah Code Annotated 1953
             71          34A-2-213, Utah Code Annotated 1953
             72     

             73      Be it enacted by the Legislature of the state of Utah:
             74          Section 1. Section 31A-22-619.6 is enacted to read:
             75          31A-22-619.6. Coordination of benefits with workers' compensation claim --
             76      Health insurer's duty to pay.
             77          (1) As used in this section:
             78          (a) "Employee" means an employee, worker, or operative as defined in Section
             79      34A-2-104 .
             80          (b) "Employer" is as enumerated and defined in Section 34A-2-103 .
             81          (c) "Health benefit plan":
             82          (i) is as defined in Section 31A-1-301 ; H. [ and ] .H
             83          (ii) includes:
             84          (A) a health maintenance organization;
             85          (B) a third party administrator that offers, sells, manages, or administers a health
             86      benefit plan; and
             87          (C) the Public Employees' Benefit and Insurance Program created in Section



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House Floor Amendments 3-12-2013 le/cjd
             88      49-20-103 H. ; and
             88a          (iii) excludes a health benefit plan offered by an insurer that has a market share in the
             88b      state's fully insured market that is less than 2%, as determined in the department's annual
             88c      Market Share Report published by the department .H     .
             89          (d) "Workers' compensation carrier" means any of the entities an employer may use to
             90      provide workers' compensation benefits for its employees under Section 34A-2-201 .
             91          (e) "Workers' compensation claim" means a claim for compensation for medical
             92      benefits under Title 34A, Chapter 2, Workers' Compensation Act, or Title 34A, Chapter 3,
             93      Utah Occupational Disease Act.
             94          (2) (a) For medical claims incurred on or after July 1, 2014, an employee's health
             95      benefit plan may not delay or deny payment of benefits due to the employee under the terms of
             96      a health benefit plan by claiming that treatment for the employee's injury or disease is the
             97      responsibility of the employer's workers' compensation carrier if:
             98          (i) the employee or a health care provider on behalf of an employee files an application
             99      for hearing regarding the workers' compensation claim with the Division of Adjudication under
             100      Section 34A-2-801 ; and
             101          (ii) the health benefit plan received a notice from the Labor Commission that an
             102      application for hearing was filed in accordance with Subsection (2)(a)(i).
             103          (b) The Labor Commission shall provide the notice required by Subsection (2)(a)(ii) in
             104      accordance with Subsection 34A-2-213 (2).
             105          (3) A health benefit plan that receives a medical claim from the employee or a health
             106      care provider and a notice from the Labor Commission in accordance with Subsection (2):
             107          (a) shall pay the medical claim directly to the health care provider in the dollar amount
             108      paid under the limits, terms, and conditions of the employee's health benefit plan; and
             109          (b) may send a notice to the Labor Commission or the attorney for the injured worker
             110      informing the parties that the health benefit plan paid a claim under the provisions of this
             111      section.
             112          (4) If the claims for medical services paid pursuant to Subsection (3) are determined to
             113      be compensable by the workers' compensation carrier in a final order or under the terms of a
             114      settlement agreement under Section 34A-2-801 , the workers' compensation carrier shall pay the
             115      health benefit plan and employee in accordance with Subsection 34A-2-213 (3)(b).
             116          (5) (a) A health care provider who receives payment for a medical claim from a health
             117      benefit plan under the provisions of Subsection (3) may not request additional payment for the
             118      medical claim from the workers' compensation carrier if the final order or terms of the



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             119
     settlement agreement under Section 34A-2-801 determine that the medical claim was
             120      compensable by the workers' compensation carrier.
             121          (b) A health benefit plan that is reimbursed under the provisions of Subsection
             122      34A-2-213 (3) for a medical claim may not seek reimbursement or autorecovery from the health
             123      care provider for any difference between the amount of the claim paid by the health benefit
             124      plan and the reimbursement to the health benefit plan by the workers' compensation carrier
             125      under Subsection 34A-2-213 (3).
             126          (c) If a final order of the Labor Commission or the terms of a settlement agreement
             127      under Section 34A-2-801 determines that a medical claim is compensable by the workers'
             128      compensation carrier, the workers' compensation carrier may not seek reimbursement or
             129      autorecovery from a health care provider for any part of the medical claim that is the
             130      responsibility of the workers' compensation carrier under the order or settlement agreement.
             131          (6) This section sunsets in accordance with Section 63I-1-231 .
             132          Section 2. Section 34A-2-213 is enacted to read:
             133          34A-2-213. Coordination of benefits with health benefit plan -- Timely payment of
             134      claims.
             135          (1) (a) This section applies if:
             136          (i) a health benefit plan paid medical claims under Section 31A-22-619.6 ; and
             137          (ii) the Labor Commission issued an order or approved the terms of a settlement
             138      agreement under Section 34A-2-801 , which:
             139          (A) found that the medical claims are compensable under Title 34A, Chapter 2,
             140      Workers' Compensation Act, or Title 34A, Chapter 3, Utah Occupational Disease Act; and
             141          (B) is final under Section 34A-2-801 .
             142          (b) For purposes of this section, "workers' compensation carrier" means any of the
             143      entities an employer may use to provide workers' compensation benefits for its employees
             144      under Section 34A-2-201.
             145          (2) (a) The Labor Commission shall provide a health benefit plan with notice that an
             146      application for hearing has been filed in accordance with Subsection 31A-22-619.6 (2)(a)(i) if
             147      either the employee or a health care provider requests that the commission send the notice.
             148          (b) The Labor Commission shall prepare and provide notice to an injured employee of
             149      the employee's right to payment by the employee's health benefit plan under Section



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             150
     31A-22-619.6 . The notice provided under this Subsection (2) shall include the process the
             151      employee shall follow to obtain payment from a health benefit plan for a medical claim that is
             152      the subject of an application for hearing under Section 34A-2-801 .
             153          (3) (a) The Labor Commission shall, within three business days after the date on which
             154      the order or approval of the terms of a settlement agreement is signed by the administrative law
             155      judge under Section 34A-2-801 , send a copy of the order or terms of the settlement agreement
             156      to:
             157          (i) a health benefit plan that made payments under Section 31A-22-619.6 ;
             158          (ii) the workers' compensation carrier; and
             159          (iii) the injured worker.
             160          (b) The workers' compensation carrier shall, within 15 business days after the day on
             161      which the Labor Commission's order or settlement agreement is final under the provisions of
             162      Section 34A-2-801 , pay:
             163          (i) the health benefit plan, in the amount the plan paid to the health care provider for
             164      medical claims that are compensable under the order or the terms of the settlement agreement,
             165      plus interest accrued at the rate of 8% per annum from the date the health benefit plan paid the
             166      medical claims until the date the workers' compensation carrier reimburses the health benefit
             167      plan, unless, in settlement negotiations, the health benefit plan agreed to waive, in whole or in
             168      part, reimbursement for medical claims paid, interest accrued, or both; and
             169          (ii) the employee, in the amount of:
             170          (A) any co-payments, coinsurance, deductibles, or other out-of-pocket expenses paid or
             171      incurred by the employee; and
             172          (B) interest accrued at the rate of 8% per annum from the date the employee paid the
             173      expenses described in Subsection (3)(b)(ii)(A) until the date the workers' compensation carrier
             174      reimburses the employee.
             175          (4) If the Labor Commission determines that a workers' compensation carrier did not
             176      make the payment required by Subsection (3) within the time period required in Subsection (3),
             177      the commissioner shall:
             178          (a) assess and collect a penalty from the workers' compensation carrier in:
             179          (i) the amount of $500 for failure to pay the amount required by Subsections (3)(b)(i)
             180      and (ii) within the period of time required by Subsections (3)(b)(i) and (ii); and



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             181
         (ii) an additional amount of $500 for each calendar month:
             182          (A) that accrues after the penalty is assessed under Subsection (4)(a)(i); and
             183          (B) for which the amount required by Subsections (3)(b)(i) and (ii) are not paid;
             184          (b) deposit any penalties collected under this Subsection (4) into the Uninsured
             185      Employers' Fund created in Section 34A-2-704 ; and
             186          (c) notify the Utah Insurance Department of the workers' compensation carrier's failure
             187      to pay the health benefit plan or the employee in accordance with this section.
             188          (5) The penalty imposed by Subsection (4) is in addition to any action taken or penalty
             189      imposed by the Utah Insurance Department under Title 31A, Insurance Code.
             190          (6) The commission may adopt administrative rules in accordance with Title 63G,
             191      Chapter 3, Utah Administrative Rulemaking Act, to:
             192          (a) establish procedures for:
             193          (i) assessing and collecting penalties under Subsection (4); and
             194          (ii) providing notice as required by this section; and
             195          (b) enforce the provisions of this section.
             196          (7) This section sunsets in accordance with Section 63I-1-234 .
             197          Section 3. Section 34A-2-704 is amended to read:
             198           34A-2-704. Uninsured Employers' Fund.
             199          (1) (a) There is created an Uninsured Employers' Fund. The Uninsured Employers'
             200      Fund has the purpose of assisting in the payment of workers' compensation benefits to a person
             201      entitled to the benefits, if:
             202          (i) that person's employer:
             203          (A) is individually, jointly, or severally liable to pay the benefits; and
             204          (B) (I) becomes or is insolvent;
             205          (II) appoints or has appointed a receiver; or
             206          (III) otherwise does not have sufficient funds, insurance, sureties, or other security to
             207      cover workers' compensation liabilities; and
             208          (ii) the employment relationship between that person and the person's employer is
             209      localized within the state as provided in Subsection (20).
             210          (b) The Uninsured Employers' Fund succeeds to money previously held in the Default
             211      Indemnity Fund.



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             212
         (c) If it becomes necessary to pay benefits, the Uninsured Employers' Fund is liable for
             213      the obligations of the employer set forth in this chapter and Chapter 3, Utah Occupational
             214      Disease Act, with the exception of a penalty on those obligations.
             215          (2) (a) Money for the Uninsured Employers' Fund shall be deposited into the Uninsured
             216      Employers' Fund in accordance with this chapter [and], Subsection 59-9-101 (2), and
             217      Subsection 34A-2-213 (3).
             218          (b) The commissioner shall appoint an administrator of the Uninsured Employers'
             219      Fund.
             220          (c) (i) The state treasurer is the custodian of the Uninsured Employers' Fund.
             221          (ii) The administrator shall make provisions for and direct distribution from the
             222      Uninsured Employers' Fund.
             223          (3) Reasonable costs of administering the Uninsured Employers' Fund or other fees
             224      required to be paid by the Uninsured Employers' Fund may be paid from the Uninsured
             225      Employers' Fund.
             226          (4) The state treasurer shall:
             227          (a) receive workers' compensation premium assessments from the State Tax
             228      Commission; and
             229          (b) invest the Uninsured Employers' Fund to ensure maximum investment return for
             230      both long and short term investments in accordance with Section 51-7-12.5 .
             231          (5) (a) The administrator may employ, retain, or appoint counsel to represent the
             232      Uninsured Employers' Fund in a proceeding brought to enforce a claim against or on behalf of
             233      the Uninsured Employers' Fund.
             234          (b) If requested by the commission, the following shall aid in the representation of the
             235      Uninsured Employers' Fund:
             236          (i) the attorney general; or
             237          (ii) the city attorney, or county attorney of the locality in which:
             238          (A) an investigation, hearing, or trial under this chapter or Chapter 3, Utah
             239      Occupational Disease Act, is pending;
             240          (B) the employee resides; or
             241          (C) an employer:
             242          (I) resides; or



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             243
         (II) is doing business.
             244          (c) (i) Notwithstanding Title 63A, Chapter 3, Part 5, Office of State Debt Collection,
             245      the administrator shall provide for the collection of money required to be deposited in the
             246      Uninsured Employers' Fund under this chapter and Chapter 3, Utah Occupational Disease Act.
             247          (ii) To comply with Subsection (5)(c)(i), the administrator may:
             248          (A) take appropriate action, including docketing an award in a manner consistent with
             249      Section 34A-2-212 ; and
             250          (B) employ counsel and other personnel necessary to collect the money described in
             251      Subsection (5)(c)(i).
             252          (6) To the extent of the compensation and other benefits paid or payable to or on behalf
             253      of an employee or the employee's dependents from the Uninsured Employers' Fund, the
             254      Uninsured Employers' Fund, by subrogation, has the rights, powers, and benefits of the
             255      employee or the employee's dependents against the employer failing to make the compensation
             256      payments.
             257          (7) (a) The receiver, trustee, liquidator, or statutory successor of an employer meeting a
             258      condition listed in Subsection (1)(a)(i)(B) is bound by a settlement of a covered claim by the
             259      Uninsured Employers' Fund.
             260          (b) A court with jurisdiction shall grant a payment made under this section a priority
             261      equal to that to which the claimant would have been entitled in the absence of this section
             262      against the assets of the employer meeting a condition listed in Subsection (1)(a)(i)(B).
             263          (c) The expenses of the Uninsured Employers' Fund in handling a claim shall be
             264      accorded the same priority as the liquidator's expenses.
             265          (8) (a) The administrator shall periodically file the information described in Subsection
             266      (8)(b) with the receiver, trustee, or liquidator of:
             267          (i) an employer that meets a condition listed in Subsection (1)(a)(i)(B);
             268          (ii) a public agency insurance mutual, as defined in Section 31A-1-103 , that meets a
             269      condition listed in Subsection (1)(a)(i)(B); or
             270          (iii) an insolvent insurance carrier.
             271          (b) The information required to be filed under Subsection (8)(a) is:
             272          (i) a statement of the covered claims paid by the Uninsured Employers' Fund; and
             273          (ii) an estimate of anticipated claims against the Uninsured Employers' Fund.



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             274
         (c) A filing under this Subsection (8) preserves the rights of the Uninsured Employers'
             275      Fund for claims against the assets of the employer that meets a condition listed in Subsection
             276      (1)(a)(i)(B).
             277          (9) When an injury or death for which compensation is payable from the Uninsured
             278      Employers' Fund has been caused by the wrongful act or neglect of another person not in the
             279      same employment, the Uninsured Employers' Fund has the same rights as allowed under
             280      Section 34A-2-106 .
             281          (10) The Uninsured Employers' Fund, subject to approval of the administrator, shall
             282      discharge its obligations by:
             283          (a) adjusting its own claims; or
             284          (b) contracting with an adjusting company, risk management company, insurance
             285      company, or other company that has expertise and capabilities in adjusting and paying workers'
             286      compensation claims.
             287          (11) (a) For the purpose of maintaining the Uninsured Employers' Fund, an
             288      administrative law judge, upon rendering a decision with respect to a claim for workers'
             289      compensation benefits in which an employer that meets a condition listed in Subsection
             290      (1)(a)(i)(B) is duly joined as a party, shall:
             291          (i) order the employer that meets a condition listed in Subsection (1)(a)(i)(B) to
             292      reimburse the Uninsured Employers' Fund for the benefits paid to or on behalf of an injured
             293      employee by the Uninsured Employers' Fund along with interest, costs, and attorney fees; and
             294          (ii) impose a penalty against the employer that meets a condition listed in Subsection
             295      (1)(a)(i)(B):
             296          (A) of 15% of the value of the total award in connection with the claim; and
             297          (B) that shall be deposited into the Uninsured Employers' Fund.
             298          (b) An award under this Subsection (11) shall be collected by the administrator in
             299      accordance with Subsection (5)(c).
             300          (12) The state, the commission, and the state treasurer, with respect to payment of
             301      compensation benefits, expenses, fees, or disbursement properly chargeable against the
             302      Uninsured Employers' Fund:
             303          (a) are liable only to the assets in the Uninsured Employers' Fund; and
             304          (b) are not otherwise in any way liable for the making of a payment.



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             305
         (13) The commission may make reasonable rules for the processing and payment of a
             306      claim for compensation from the Uninsured Employers' Fund.
             307          (14) (a) (i) If it becomes necessary for the Uninsured Employers' Fund to pay benefits
             308      under this section to an employee described in Subsection (14)(a)(ii), the Uninsured Employers'
             309      Fund may assess all other self-insured employers amounts necessary to pay:
             310          (A) the obligations of the Uninsured Employers' Fund subsequent to a condition listed
             311      in Subsection (1)(a)(i)(B) occurring;
             312          (B) the expenses of handling covered a claim subsequent to a condition listed in
             313      Subsection (1)(a)(i)(B) occurring;
             314          (C) the cost of an examination under Subsection (15); and
             315          (D) other expenses authorized by this section.
             316          (ii) This Subsection (14) applies to benefits paid to an employee of:
             317          (A) a self-insured employer, as defined in Section 34A-2-201.5 , that meets a condition
             318      listed in Subsection (1)(a)(i)(B); or
             319          (B) if the self-insured employer that meets a condition described in Subsection
             320      (1)(a)(i)(B) is a public agency insurance mutual, a member of the public agency insurance
             321      mutual.
             322          (b) The assessments of a self-insured employer shall be in the proportion that the
             323      manual premium of the self-insured employer for the preceding calendar year bears to the
             324      manual premium of all self-insured employers for the preceding calendar year.
             325          (c) A self-insured employer shall be notified of the self-insured employer's assessment
             326      not later than 30 days before the day on which the assessment is due.
             327          (d) (i) A self-insured employer may not be assessed in any year an amount greater than
             328      2% of that self-insured employer's manual premium for the preceding calendar year.
             329          (ii) If the maximum assessment does not provide in a year an amount sufficient to
             330      make all necessary payments from the Uninsured Employers' Fund for one or more self-insured
             331      employers that meet a condition listed in Subsection (1)(a)(i)(B), the unpaid portion shall be
             332      paid as soon as money becomes available.
             333          (e) A self-insured employer is liable under this section for a period not to exceed three
             334      years after the day on which the Uninsured Employers' Fund first pays benefits to an employee
             335      described in Subsection (14)(a)(ii) for the self-insured employer that meets a condition listed in



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             336
     Subsection (1)(a)(i)(B).
             337          (f) This Subsection (14) does not apply to a claim made against a self-insured employer
             338      that meets a condition listed in Subsection (1)(a)(i)(B) if the condition listed in Subsection
             339      (1)(a)(i)(B) occurred before July 1, 1986.
             340          (15) (a) The following shall notify the division of any information indicating that any
             341      of the following may be insolvent or in a financial condition hazardous to its employees or the
             342      public:
             343          (i) a self-insured employer; or
             344          (ii) if the self-insured employer is a public agency insurance mutual, a member of the
             345      public agency insurance mutual.
             346          (b) Upon receipt of the notification described in Subsection (15)(a) and with good
             347      cause appearing, the division may order an examination of:
             348          (i) that self-insured employer; or
             349          (ii) if the self-insured employer is a public agency insurance mutual, a member of the
             350      public agency mutual.
             351          (c) The cost of the examination ordered under Subsection (15)(b) shall be assessed
             352      against all self-insured employers as provided in Subsection (14).
             353          (d) The results of the examination ordered under Subsection (15)(b) shall be kept
             354      confidential.
             355          (16) (a) In a claim against an employer by the Uninsured Employers' Fund, or by or on
             356      behalf of the employee to whom or to whose dependents compensation and other benefits are
             357      paid or payable from the Uninsured Employers' Fund, the burden of proof is on the employer or
             358      other party in interest objecting to the claim.
             359          (b) A claim described in Subsection (16)(a) is presumed to be valid up to the full
             360      amount of workers' compensation benefits claimed by the employee or the employee's
             361      dependents.
             362          (c) This Subsection (16) applies whether the claim is filed in court or in an adjudicative
             363      proceeding under the authority of the commission.
             364          (17) A partner in a partnership or an owner of a sole proprietorship may not recover
             365      compensation or other benefits from the Uninsured Employers' Fund if:
             366          (a) the person is not included as an employee under Subsection 34A-2-104 (3); or



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             367
         (b) the person is included as an employee under Subsection 34A-2-104 (3), but:
             368          (i) the person's employer fails to insure or otherwise provide adequate payment of
             369      direct compensation; and
             370          (ii) the failure described in Subsection (17)(b)(i) is attributable to an act or omission
             371      over which the person had or shared control or responsibility.
             372          (18) A director or officer of a corporation may not recover compensation or other
             373      benefits from the Uninsured Employers' Fund if the director or officer is excluded from
             374      coverage under Subsection 34A-2-104 (4).
             375          (19) The Uninsured Employers' Fund:
             376          (a) shall be:
             377          (i) used in accordance with this section only for:
             378          (A) the purpose of assisting in the payment of workers' compensation benefits in
             379      accordance with Subsection (1); and
             380          (B) in accordance with Subsection (3), payment of:
             381          (I) reasonable costs of administering the Uninsured Employers' Fund; or
             382          (II) fees required to be paid by the Uninsured Employers' Fund; and
             383          (ii) expended according to processes that can be verified by audit; and
             384          (b) may not be used for:
             385          (i) administrative costs unrelated to the Uninsured Employers' Fund; or
             386          (ii) an activity of the commission other than an activity described in Subsection (19)(a).
             387          (20) (a) For purposes of Subsection (1), an employment relationship is localized in the
             388      state if:
             389          (i) (A) the employer who is liable for the benefits has a business premise in the state;
             390      and
             391          (B) (I) the contract for hire is entered into in the state; or
             392          (II) the employee regularly performs work duties in the state for the employer who is
             393      liable for the benefits; or
             394          (ii) the employee is:
             395          (A) a resident of the state; and
             396          (B) regularly performs work duties in the state for the employer who is liable for the
             397      benefits.



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             398
         (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
             399      commission shall by rule define what constitutes regularly performing work duties in the state.
             400          Section 4. Section 63I-1-231 is amended to read:
             401           63I-1-231. Repeal dates, Title 31A.
             402          (1) Section 31A-2-208.5 , Comparison tables, is repealed July 1, 2015.
             403          (2) Section 31A-2-217 , Coordination with other states, is repealed July 1, 2013.
             404          (3) Section 31A-22-619.6 , Coordination of benefits with workers' compensation
             405      claim--Health insurer's duty to pay, is repealed on July 1, 2018.
             406          Section 5. Section 63I-1-234 is amended to read:
             407           63I-1-234. Repeal dates, Titles 34 and 34A.
             408          (1) Title 34, Chapter 47, Worker Classification Coordinated Enforcement Act, is
             409      repealed July 1, 2013.
             410          (2) Section 34A-2-202.5 is repealed December 31, 2020.
             411          (3) Section 34A-2-705 and Subsection 59-9-101 (2)(c)(iv) are repealed July 1, 2013.
             412          (4) Title 34A, Chapter 8a, Utah Injured Worker Reemployment Act, is repealed July 1,
             413      2014.
             414          (5) Section 34A-2-213 , Coordination of benefits with health benefit plan -- Timely
             415      payment of claims, is repealed July 1, 2018.
             416          Section 6. Effective date.
             417          This bill takes effect on July 1, 2014.


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