AN ACT to amend the Indiana Code concerning worker's compensation.
SOURCE: IC 22-3-2-9; (97)CC045207.1. -->
SECTION 1.
IC 22-3-2-9
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 9. (a)
IC 22-3-2
through
IC 22-3-6
shall not apply to casual laborers (as defined in
IC 22-3-6-1
) nor to farm or agricultural employees, nor to domestic
servants, household employees, nor to the employers of such
persons.
(b) An employer who is exempt under this section from the
operation of the compensation provisions of this chapter may at any
time waive such exemption and thereby accept the provisions of this
chapter by giving notice as provided in subsection (c).
(c) The notice of acceptance referred to in subsection (b) shall
be given thirty (30) days prior to any accident resulting in injury or
death, provided that if any such injury occurred less than thirty (30)
days after the date of employment, notice of acceptance given at the
time of employment shall be sufficient notice thereof. The notice
shall be in writing or print in a substantial form prescribed by the
worker's compensation board and shall be given by the employer by
posting the same in a conspicuous place in the plant, shop, office,
room, or place where the employee is employed, or by serving it
personally upon him; and shall be given by the employee by sending
the same in registered letter addressed to the employer at his last
known residence or place of business, or by giving it personally to
the employer, or any of his agents upon whom a summons in civil
actions may be served under the laws of the state.
(d) A copy of the notice in prescribed form shall also be filed
with the worker's compensation board, within five (5) days after its
service in such manner upon the employee or employer.
SOURCE: IC 22-3-2-14; (97)CC045207.2. -->
SECTION 2.
IC 22-3-2-14
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 14. (a) The state,
any political division thereof, any municipal corporation, any
corporation, limited liability company, partnership, or person,
contracting for the performance of any work exceeding five hundred
one thousand dollars ($500) ($1,000) in value by a contractor
subject to the compensation provisions of
IC 22-3-2
through
IC 22-3-6
, without exacting from such contractor a certificate from
the worker's compensation board showing that such contractor has
complied with section 5 of this chapter,
IC 22-3-5-1
, and
IC 22-3-5-2
, shall be liable to the same extent as the contractor for
compensation, physician's fees, hospital fees, nurse's charges, and
burial expenses on account of the injury or death of any employee of
such contractor, due to an accident arising out of and in the course
of the performance of the work covered by such contract.
(b) Any principal contractor intermediate contractor, or
subcontractor, who shall sublet any contract for the performance of
any work, to a subcontractor subject to the compensation provisions
of
IC 22-3-2
through
IC 22-3-6
, without requiring from such
subcontractor obtaining a certificate from the worker's compensation
board showing that such subcontractor has complied with section 5
of this chapter,
IC 22-3-5-1
, and
IC 22-3-5-2
, shall be liable to the
same extent as such subcontractor for the payment of compensation,
physician's fees, hospital fees, nurse's charges, and burial expenses
on account of the injury or death of any employee of such
subcontractor due to an accident arising out of and in the course of
the performance of the work covered by such subcontract.
(c) The state, any political division thereof, any municipal
corporation, any corporation, limited liability company, partnership,
person, principal or contractor intermediate contractor, or
subcontractor, paying compensation, physician's fees, hospital fees,
nurse's charges, or burial expenses under this section may recover
the amount paid or to be paid from any person who, independently
of such provisions, would have been liable for the payment thereof
and may, in addition, recover the litigation expenses and
attorney's fees incurred in the action before the worker's
compensation board as well as the litigation expenses and
attorney's fees incurred in an action to collect the compensation,
medical expenses, and burial expenses.
(d) Every claim filed with the worker's compensation board
under this section shall be instituted against all parties liable for
payment. and said The worker's compensation board, in its an
award under subsection (a), shall fix the order in which said parties
shall be exhausted, beginning with the immediate employer, and, in
an award under subsection (b), shall determine whether the
subcontractor has the financial ability to pay the compensation
and medical expenses when due and, if not, shall order the
contractor to pay the compensation and medical expenses.
SOURCE: IC 22-3-3-4; (97)CC045207.3. -->
SECTION 3.
IC 22-3-3-4
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 4. (a) After an
injury and prior to an adjudication of permanent impairment, the
employer shall furnish or cause to be furnished, free of charge to the
employee, an attending physician for the treatment of his injuries,
and in addition thereto such surgical, hospital and nursing services
and supplies as the attending physician or the worker's compensation
board may deem necessary. If the employee is requested or required
by the employer to submit to treatment outside the county of
employment, the employer shall also pay the reasonable expense of
travel, food, and lodging necessary during the travel, but not to
exceed the amount paid at the time of the travel by the state to its
employees under the state travel policies and procedures established
by the department of administration and approved by the state budget
agency.
(b) During the period of temporary total disability resulting from
the injury, the employer shall furnish the physician services, and
supplies, and the worker's compensation board may, on proper
application of either party, require that treatment by the physician
and services and supplies be furnished by or on behalf of the
employer as the worker's compensation board may deem reasonably
necessary.
(c) After an employee's injury has been adjudicated by
agreement or award on the basis of permanent partial impairment
and within the statutory period for review in such case as provided
in section 27 of this chapter, the employer may continue to furnish
a physician or surgeon and other medical services and supplies, and
the worker's compensation board may within the statutory period for
review as provided in section 27 of this chapter, on a proper
application of either party, require that treatment by that physician
and other medical services and supplies be furnished by and on
behalf of the employer as the worker's compensation board may
deem necessary to limit or reduce the amount and extent of the
employee's impairment. The refusal of the employee to accept such
services and supplies, when provided by or on behalf of the
employer, shall bar the employee from all compensation otherwise
payable during the period of the refusal, and his right to prosecute
any proceeding under
IC 22-3-2
through
IC 22-3-6
shall be
suspended and abated until the employee's refusal ceases. The
employee must be served with a notice setting forth the consequences
of the refusal under this section. The notice must be in a form
prescribed by the worker's compensation board. No compensation
for permanent total impairment, permanent partial impairment,
permanent disfigurement, or death shall be paid or payable for that
part or portion of the impairment, disfigurement, or death which is
the result of the failure of the employee to accept the treatment,
services, and supplies required under this section. However, an
employer may at any time permit an employee to have treatment for
his injuries by spiritual means or prayer in lieu of the physician or
surgeon and other medical services and supplies required under this
section.
(d) If, because of an emergency, or because of the employer's
failure to provide an attending physician or surgical, hospital, or
nursing services and supplies, or treatment by spiritual means or
prayer, as required by this section, or because of any other good
reason, a physician other than that provided by the employer treats
the injured employee during the period of the employee's temporary
total disability, or necessary and proper surgical, hospital, or nursing
services and supplies are procured within the period, the reasonable
cost of those services and supplies shall, subject to the approval of
the worker's compensation board, be paid by the employer.
(e) Regardless of when it occurs, where a compensable injury
results in the amputation of an arm, hand, leg, or foot, a body part,
the enucleation of an eye, or the loss of natural teeth, or
prosthodontics, the employer shall furnish an appropriate artificial
member, proper braces, where required, and prosthodontics. The
employer shall, when medically required, provide The cost of
repairs to or replacements for the artificial members, furnished
under this subsection. As used in this subsection, "medically
required" does not include braces, or prosthodontics that result
from a compensable injury pursuant to a prior award and are
required due to either medical necessity or normal wear and tear,
determined according to the employee's individual use, but not
abuse, of the artificial member, braces, or prosthodontics, shall
be paid from the second injury fund upon order or award of the
worker's compensation board. The employee is not required to
meet any other requirement for admission to the second injury
fund.
(f) If an accident arising out of and in the course of
employment after June 30, 1997, results in the loss of or damage
to an artificial member, a brace, an implant, eyeglasses,
prosthodontics, or other medically prescribed device, the
employer shall repair the artificial member, brace, implant,
eyeglasses, prosthodontics, or other medically prescribed device
or furnish an identical or a reasonably equivalent replacement.
(f) (g) This section may not be construed to prohibit an
agreement between an employer and the employer's employees that
has the approval of the board and that binds the parties to:
(1) medical care furnished by health care providers selected by
agreement before or after injury; or
(2) the findings of a health care provider who was chosen by
agreement.
SOURCE: IC 22-3-3-5; (97)CC045207.4. -->
SECTION 4.
IC 22-3-3-5
, AS AMENDED BY P.L.216-1995,
SECTION 1, IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 1997]: Sec. 5. The pecuniary liability of the
employer for medical, surgical, hospital and nurse service herein
required shall be limited to such charges as prevail as provided under
IC 22-3-6-1
(j), in the same community for (as defined in
IC 22-3-6-1
(h)) for a like service or product to injured persons. The
employee and the employee's estate do not have liability to a health
care provider for payment for services obtained under
IC 22-3-3-4.
The right to order payment for all services provided under
IC 22-3-2
through
IC 22-3-6
is solely with the board. All claims by a health
care provider for payment for services are against the employer and
the employer's insurance carrier, if any, and must be made with the
board under
IC 22-3-2
through
IC 22-3-6.
The worker's
compensation board may withhold the approval of the fees of the
attending physician in a case until the attending physician files a
report with the worker's compensation board on the form
prescribed by the board.
SOURCE: IC 22-3-3-7; (97)CC045207.5. -->
SECTION 5.
IC 22-3-3-7
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 7. (a) Compensation
shall be allowed on account of injuries producing only temporary
total disability to work or temporary partial disability to work
beginning with the eighth (8th) day of such disability except for
medical benefits provided in section 4 of the chapter. Compensation
shall be allowed for the first seven (7) calendar days only if the
disability continues for longer than twenty-one (21) days.
(b) The first weekly installment of compensation for temporary
disability is due fourteen (14) days after the disability begins. Not
later than fifteen (15) days from the date that the first installment of
compensation is due, the employer or the employer's insurance
carrier shall tender to the employee or to the employee's dependents,
with all compensation due, a properly prepared compensation
agreement in a form prescribed by the board. If the employer denies
liability, the employer must inform the board and the employee or
the dependents of the employee of the denial. Notice of denial must
be made in writing, in a form prescribed by the board, and mailed
not later than twenty-nine (29) Whenever an employer or the
employer's insurance carrier denies or is not able to determine
liability to pay compensation or benefits, the employer or the
employer's insurance carrier shall notify the worker's
compensation board and the employee in writing on a form
prescribed by the worker's compensation board not later than
thirty (30) days after the employer's knowledge of the claimed
injury. If a determination of liability cannot be made within
thirty (30) days, the worker's compensation board may approve
an additional thirty (30) days upon a written request of the
employer or the employer's insurance carrier that sets forth the
reasons that the determination could not be made within thirty
(30) days and states the facts or circumstances that are necessary
to determine liability within the additional thirty (30) days. More
than thirty (30) days of additional time may be approved by the
worker's compensation board upon the filing of a petition by the
employer or the employer's insurance carrier that sets forth:
(1) the extraordinary circumstances that have precluded a
determination of liability within the initial sixty (60) days;
(2) the status of the investigation on the date the petition is
filed;
(3) the facts or circumstances that are necessary to make a
determination; and
(4) a timetable for the completion of the remaining
investigation.
An employer who fails to comply with this section is subject to a
civil penalty of fifty dollars ($50), to be assessed and collected by
the board upon notice and hearing. Civil penalties collected under
this section shall be deposited in the state general fund. The civil
penalty may be waived by the board if the employer establishes that
a delay of not more than thirty (30) days was caused by an inability
to obtain medical information necessary to determine the employer's
liability.
(c) Once begun, temporary total disability benefits may not be
terminated by the employer unless:
(1) the employee has returned to any employment;
(2) the employee has died;
(3) the employee has refused to undergo a medical examination
under section 6 of this chapter or has refused to accept
suitable employment under section 11 of this chapter;
(4) the employee has received five hundred (500) weeks of
temporary total disability benefits or has been paid the
maximum compensation allowed under section 22 of this
chapter; or
(5) the employee is unable or unavailable to work for reasons
unrelated to the compensable injury.
In all other cases the employer must notify the employee in writing
of the employer's intent to terminate the payment of temporary total
disability benefits and of the availability of employment, if any, on
a form approved by the board. If the employee disagrees with the
proposed termination, the employee must give written notice of
disagreement to the board and the employer within seven (7) days
after receipt of the notice of intent to terminate benefits. If the board
and employer do not receive a notice of disagreement under this
section, the employee's temporary total disability benefits shall be
terminated. Upon receipt of the notice of disagreement, the board
shall immediately contact the parties, which may be by telephone or
other means, and attempt to resolve the disagreement. If the board
is unable to resolve the disagreement within ten (10) days of receipt
of the notice of disagreement, the board shall immediately arrange
for an evaluation of the employee by an independent medical
examiner. The independent medical examiner shall be selected by
mutual agreement of the parties or, if the parties are unable to agree,
appointed by the board under
IC 22-3-4-11.
If the independent
medical examiner determines that the employee is no longer
temporarily disabled or is still temporarily disabled but can return to
employment that the employer has made available to the employee,
or if the employee fails or refuses to appear for examination by the
independent medical examiner, temporary total disability benefits
may be terminated. If either party disagrees with the opinion of the
independent medical examiner, the party shall apply to the board for
a hearing under
IC 22-3-4-5.
(d) An employer is not required to continue the payment of
temporary total disability benefits for more than fourteen (14) days
after the employer's proposed termination date unless the
independent medical examiner determines that the employee is
temporarily disabled and unable to return to any employment that the
employer has made available to the employee.
(e) If it is determined that as a result of this section temporary
total disability benefits were overpaid, the overpayment shall be
deducted from any benefits due the employee under
IC 22-3-3-10
section 10 of this chapter and, if there are no benefits due the
employee or the benefits due the employee do not equal the amount
of the overpayment, the employee shall be responsible for paying
any overpayment which cannot be deducted from benefits due the
employee.
SOURCE: IC 22-3-3-10; (97)CC045207.6. -->
SECTION 6.
IC 22-3-3-10
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 10. (a) With respect
to injuries in the following schedule occurring prior to April 1,
1951, the employee shall receive in addition to temporary total
disability benefits not exceeding twenty-six (26) weeks on account of
the injuries, a weekly compensation of fifty-five percent (55%) of the
employee's average weekly wages. With respect to injuries in the
following schedule occurring on and after April 1, 1951, and prior
to July 1, 1971, the employee shall receive in addition to temporary
total disability benefits not exceeding twenty-six (26) weeks on
account of the injuries, a weekly compensation of sixty percent
(60%) of the employee's average weekly wages. With respect to
injuries in the following schedule occurring on and after July 1,
1971, and before July 1, 1977, the employee shall receive in addition
to temporary total disability benefits not exceeding twenty-six (26)
weeks on account of the injuries, a weekly compensation of sixty
percent (60%) of the employee's average weekly wages not to
exceed one hundred dollars ($100) average weekly wages, for the
periods stated for the injuries. With respect to injuries in the
following schedule occurring on and after July 1, 1977, and before
July 1, 1979, the employee shall receive, in addition to temporary
total disability benefits not exceeding twenty-six (26) weeks on
account of the injury, a weekly compensation of sixty percent (60%)
of his average weekly wages, not to exceed one hundred twenty-five
dollars ($125) average weekly wages, for the period stated for the
injury. With respect to injuries in the following schedule occurring
on and after July 1, 1979, and before July 1, 1988, the employee
shall receive, in addition to temporary total disability benefits not to
exceed fifty-two (52) weeks on account of the injury, a weekly
compensation of sixty percent (60%) of the employee's average
weekly wages, not to exceed one hundred twenty-five dollars ($125)
average weekly wages, for the period stated for the injury. With
respect to injuries in the following schedule occurring on and after
July 1, 1988, and before July 1, 1989, the employee shall receive,
in addition to temporary total disability benefits not exceeding
seventy-eight (78) weeks on account of the injury, a weekly
compensation of sixty percent (60%) of the employee's average
weekly wages, not to exceed one hundred sixty-six dollars ($166)
average weekly wages, for the period stated for the injury.
With respect to injuries in the following schedule occurring on
and after July 1, 1989, and before July 1, 1990, the employee shall
receive, in addition to temporary total disability benefits not
exceeding seventy-eight (78) weeks on account of the injury, a
weekly compensation of sixty percent (60%) of the employee's
average weekly wages, not to exceed one hundred eighty-three
dollars ($183) average weekly wages, for the period stated for the
injury.
With respect to injuries in the following schedule occurring on
and after July 1, 1990, and before July 1, 1991, the employee shall
receive, in addition to temporary total disability benefits not
exceeding seventy-eight (78) weeks on account of the injury, a
weekly compensation of sixty percent (60%) of the employee's
average weekly wages, not to exceed two hundred dollars ($200)
average weekly wages, for the period stated for the injury.
(1) Amputation: For the loss by separation of the thumb, sixty
(60) weeks, of the index finger forty (40) weeks, of the second
finger thirty-five (35) weeks, of the third or ring finger thirty
(30) weeks, of the fourth or little finger twenty (20) weeks, of
the hand by separation below the elbow joint two hundred
(200) weeks, or the arm above the elbow two hundred fifty
(250) weeks, of the big toe sixty (60) weeks, of the second toe
thirty (30) weeks, of the third toe twenty (20) weeks, of the
fourth toe fifteen (15) weeks, of the fifth or little toe ten (10)
weeks, and for loss occurring before April 1, 1959, by
separation of the foot below the knee joint one hundred fifty
(150) weeks and of the leg above the knee joint two hundred
(200) weeks; for loss occurring on and after April 1, 1959, by
separation of the foot below the knee joint, one hundred
seventy-five (175) weeks and of the leg above the knee joint
two hundred twenty-five (225) weeks. The loss of more than
one (1) phalange of a thumb or toes shall be considered as the
loss of the entire thumb or toe. The loss of more than two (2)
phalanges of a finger shall be considered as the loss of the
entire finger. The loss of not more than one (1) phalange of a
thumb or toe shall be considered as the loss of one-half (1/2)
of the thumb or toe and compensation shall be paid for
one-half (1/2) of the period for the loss of the entire thumb or
toe. The loss of not more than one (1) phalange of a finger
shall be considered as the loss of one-third (1/3) of the finger
and compensation shall be paid for one-third (1/3) the period
for the loss of the entire finger. The loss of more than one (1)
phalange of the finger but not more than two (2) phalanges of
the finger, shall be considered as the loss of one-half (1/2) of
the finger and compensation shall be paid for one-half (1/2) of
the period for the loss of the entire finger.
(2) For the loss by separation of both hands or both feet or the
total sight of both eyes, or any two (2) such losses in the same
accident, five hundred (500) weeks.
(3) For the permanent and complete loss of vision by
enucleation or its reduction to one-tenth (1/10) of normal
vision with glasses, one hundred seventy-five (175) weeks.
(4) For the permanent and complete loss of hearing in one (1)
ear, seventy-five (75) weeks, and in both ears, two hundred
(200) weeks.
(5) For the loss of one (1) testicle, fifty (50) weeks; for the
loss of both testicles, one hundred fifty (150) weeks.
(b) With respect to injuries in the following schedule occurring
prior to April 1, 1951, the employee shall receive in lieu of all other
compensation on account of the injuries, a weekly compensation of
fifty-five percent (55%) of the employee's average weekly wages.
With respect to injuries in the following schedule occurring on and
after April 1, 1951, and prior to April 1, 1955, the employee shall
receive in lieu of all other compensation on account of the injuries
a weekly compensation of sixty percent (60%) of the employee's
average weekly wages. With respect to injuries in the following
schedule occurring on and after April 1, 1955, and prior to July 1,
1971, the employee shall receive in addition to temporary total
disability benefits not exceeding twenty-six (26) weeks on account of
the injuries, a weekly compensation of sixty percent (60%) of the
employee's average weekly wages. With respect to injuries in the
following schedule occurring on and after July 1, 1971, and before
July 1, 1977, the employee shall receive in addition to temporary
total disability benefits not exceeding twenty-six (26) weeks on
account of the injuries, a weekly compensation of sixty percent
(60%) of the employee's average weekly wages, not to exceed one
hundred dollars ($100) average weekly wages, for the period stated
for such injuries respectively. With respect to injuries in the
following schedule occurring on and after July 1, 1977, and before
July 1, 1979, the employee shall receive, in addition to temporary
total disability benefits not exceeding twenty-six (26) weeks on
account of the injury, a weekly compensation of sixty percent (60%)
of the employee's average weekly wages not to exceed one hundred
twenty-five dollars ($125) average weekly wages, for the period
stated for the injury. With respect to injuries in the following
schedule occurring on and after July 1, 1979, and before July 1,
1988, the employee shall receive, in addition to temporary total
disability benefits not exceeding fifty-two (52) weeks on account of
the injury, a weekly compensation of sixty percent (60%) of the
employee's average weekly wages not to exceed one hundred
twenty-five dollars ($125) average weekly wages for the period
stated for the injury. With respect to injuries in the following
schedule occurring on and after July 1, 1988, and before July 1,
1989, the employee shall receive, in addition to temporary total
disability benefits not exceeding seventy-eight (78) weeks on account
of the injury, a weekly compensation of sixty percent (60%) of the
employee's average weekly wages, not to exceed one hundred
sixty-six dollars ($166) average weekly wages, for the period stated
for the injury.
With respect to injuries in the following schedule occurring on
and after July 1, 1989, and before July 1, 1990, the employee shall
receive, in addition to temporary total disability benefits not
exceeding seventy-eight (78) weeks on account of the injury, a
weekly compensation of sixty percent (60%) of the employee's
average weekly wages, not to exceed one hundred eighty-three
dollars ($183) average weekly wages, for the period stated for the
injury.
With respect to injuries in the following schedule occurring on
and after July 1, 1990, and before July 1, 1991, the employee shall
receive, in addition to temporary total disability benefits not
exceeding seventy-eight (78) weeks on account of the injury, a
weekly compensation of sixty percent (60%) of the employee's
average weekly wages, not to exceed two hundred dollars ($200)
average weekly wages, for the period stated for the injury.
(1) Loss of use: The total permanent loss of the use of an arm,
hand, thumb, finger, leg, foot, toe, or phalange shall be
considered as the equivalent of the loss by separation of the
arm, hand, thumb, finger, leg, foot, toe, or phalange, and
compensation shall be paid for the same period as for the loss
thereof by separation.
(2) Partial loss of use: For the permanent partial loss of the
use of an arm, hand, thumb, finger, leg, foot, toe, or
phalange, compensation shall be paid for the proportionate loss
of the use of such arm, hand, thumb, finger, leg, foot, toe, or
phalange.
(3) For injuries resulting in total permanent disability, five
hundred (500) weeks.
(4) For any permanent reduction of the sight of an eye less
than a total loss as specified in subsection (a)(3), compensation
shall be paid for a period proportionate to the degree of such
permanent reduction without correction or glasses. However,
when such permanent reduction without correction or glasses
would result in one hundred percent (100%) loss of vision, but
correction or glasses would result in restoration of vision, then
in such event compensation shall be paid for fifty percent
(50%) of such total loss of vision without glasses, plus an
additional amount equal to the proportionate amount of such
reduction with glasses, not to exceed an additional fifty
percent (50%).
(5) For any permanent reduction of the hearing of one (1) or
both ears, less than the total loss as specified in subsection
(a)(4), compensation shall be paid for a period proportional to
the degree of such permanent reduction.
(6) In all other cases of permanent partial impairment,
compensation proportionate to the degree of such permanent
partial impairment, in the discretion of the worker's
compensation board, not exceeding five hundred (500) weeks.
(7) In all cases of permanent disfigurement which may impair
the future usefulness or opportunities of the employee,
compensation, in the discretion of the worker's compensation
board, not exceeding two hundred (200) weeks, except that no
compensation shall be payable under this subdivision where
compensation is payable elsewhere in this section.
(c) With respect to injuries in the following schedule occurring
on and after July 1, 1991, the employee shall receive in addition to
temporary total disability benefits, not exceeding one hundred
twenty-five (125) weeks on account of the injury, compensation in
an amount determined under the following schedule to be paid
weekly at a rate of sixty-six and two-thirds percent (66 2/3%) of the
employee's average weekly wages during the fifty-two (52) weeks
immediately preceding the week in which the injury occurred.
(1) Amputation: For the loss by separation of the thumb,
twelve (12) degrees of permanent impairment; of the index
finger, eight (8) degrees of permanent impairment; of the
second finger, seven (7) degrees of permanent impairment; of
the third or ring finger, six (6) degrees of permanent
impairment; of the fourth or little finger, four (4) degrees of
permanent impairment; of the hand by separation below the
elbow joint, forty (40) degrees of permanent impairment; of
the arm above the elbow, fifty (50) degrees of permanent
impairment; of the big toe, twelve (12) degrees of permanent
impairment; of the second toe, six (6) degrees of permanent
impairment; of the third toe, four (4) degrees of permanent
impairment; of the fourth toe, three (3) degrees of permanent
impairment; of the fifth or little toe, two (2) degrees of
permanent impairment; by separation of the foot below the
knee joint, thirty-five (35) degrees of permanent impairment;
and of the leg above the knee joint, forty-five (45) degrees of
permanent impairment.
(2) Amputations occurring on or after July 1, 1997: For the
loss by separation of any of the body parts described in
subdivision (1) on or after July 1, 1997, the dollar values
per degree applying on the date of the injury as described
in subsection (d) shall be multiplied by two (2). However,
the doubling provision of this subdivision does not apply to
a loss of use that is not a loss by separation.
(3) The loss of more than one (1) phalange of a thumb or toe
shall be considered as the loss of the entire thumb or toe. The
loss of more than two (2) phalanges of a finger shall be
considered as the loss of the entire finger. The loss of not
more than one (1) phalange of a thumb or toe shall be
considered as the loss of one-half (1/2) of the degrees of
permanent impairment for the loss of the entire thumb or toe.
The loss of not more than one (1) phalange of a finger shall be
considered as the loss of one-third (1/3) of the finger and
compensation shall be paid for one-third (1/3) of the degrees
payable for the loss of the entire finger. The loss of more than
one (1) phalange of the finger but not more than two (2)
phalanges of the finger shall be considered as the loss of
one-half (1/2) of the finger and compensation shall be paid for
one-half (1/2) of the degrees payable for the loss of the entire
finger.
(2) (4) For the loss by separation of both hands or both feet or
the total sight of both eyes or any two (2) such losses in the
same accident, one hundred (100) degrees of permanent
impairment.
(3) (5) For the permanent and complete loss of vision by
enucleation or its reduction to one-tenth (1/10) of normal
vision with glasses, thirty-five (35) degrees of permanent
impairment.
(4) (6) For the permanent and complete loss of hearing in one
(1) ear, fifteen (15) degrees of permanent impairment, and in
both ears, forty (40) degrees of permanent impairment.
(5) (7) For the loss of one (1) testicle, ten (10) degrees of
permanent impairment; for the loss of both testicles, thirty
(30) degrees of permanent impairment.
(6) (8) Loss of use: The total permanent loss of the use of an
arm, a hand, a thumb, a finger, a leg, a foot, a toe, or a
phalange shall be considered as the equivalent of the loss by
separation of the arm, hand, thumb, finger, leg, foot, toe, or
phalange, and compensation shall be paid in the same amount
as for the loss by separation. However, the doubling
provision of subdivision (2) does not apply to a loss of use
that is not a loss by separation.
(7) (9) Partial loss of use: For the permanent partial loss of the
use of an arm, a hand, a thumb, a finger, a leg, a foot, a toe,
or a phalange, compensation shall be paid for the
proportionate loss of the use of the arm, hand, thumb, finger,
leg, foot, toe, or phalange.
(8) (10) For injuries resulting in total permanent disability, the
amount payable for impairment or five hundred (500) weeks
of compensation, whichever is greater.
(9) (11) For any permanent reduction of the sight of an eye
less than a total loss as specified in subsection (a)(3), the
compensation shall be paid in an amount proportionate to the
degree of a permanent reduction without correction or glasses.
However, when a permanent reduction without correction or
glasses would result in one hundred percent (100%) loss of
vision, then compensation shall be paid for fifty percent (50%)
of the total loss of vision without glasses, plus an additional
amount equal to the proportionate amount of the reduction
with glasses, not to exceed an additional fifty percent (50%).
(10) (12) For any permanent reduction of the hearing of one
(1) or both ears, less than the total loss as specified in
subsection (a)(4), compensation shall be paid in an amount
proportionate to the degree of a permanent reduction.
(11) (13) In all other cases of permanent partial impairment,
compensation proportionate to the degree of a permanent
partial impairment, in the discretion of the worker's
compensation board, not exceeding one hundred (100) degrees
of permanent impairment.
(12) (14) In all cases of permanent disfigurement which may
impair the future usefulness or opportunities of the employee,
compensation, in the discretion of the worker's compensation
board, not exceeding forty (40) degrees of permanent
impairment except that no compensation shall be payable
under this subdivision where compensation is payable
elsewhere in this section.
(d) Compensation for permanent partial impairment shall be paid
according to the degree of permanent impairment for the injury
determined under subsection (c) and the following:
(1) With respect to injuries occurring on and after July 1,
1991, and before July 1, 1992, for each degree of permanent
impairment from one (1) to thirty-five (35), five hundred
dollars ($500) per degree; for each degree of permanent
impairment from thirty-six (36) to fifty (50), nine hundred
dollars ($900) per degree; for each degree of permanent
impairment above fifty (50), one thousand five hundred dollars
($1,500) per degree.
(2) With respect to injuries occurring on and after July 1,
1992, and before July 1, 1993, for each degree of permanent
impairment from one (1) to twenty (20), five hundred dollars
($500) per degree; for each degree of permanent impairment
from twenty-one (21) to thirty-five (35), eight hundred dollars
($800) per degree; for each degree of permanent impairment
from thirty-six (36) to fifty (50), one thousand three hundred
dollars ($1,300) per degree; for each degree of permanent
impairment above fifty (50), one thousand seven hundred
dollars ($1,700) per degree.
(3) With respect to injuries occurring on and after July 1,
1993, and before July 1, 1997, for each degree of permanent
impairment from one (1) to ten (10), five hundred dollars
($500) per degree; for each degree of permanent impairment
from eleven (11) to twenty (20), seven hundred dollars ($700)
per degree; for each degree of permanent impairment from
twenty-one (21) to thirty-five (35), one thousand dollars
($1,000) per degree; for each degree of permanent impairment
from thirty-six (36) to fifty (50), one thousand four hundred
dollars ($1,400) per degree; for each degree of permanent
impairment above fifty (50), one thousand seven hundred
dollars ($1,700) per degree.
(4) With respect to injuries occurring on and after July 1,
1997, and before July 1, 1998, for each degree of
permanent impairment from one (1) to ten (10), seven
hundred fifty dollars ($750) per degree; for each degree of
permanent impairment from eleven (11) to thirty-five (35),
one thousand dollars ($1,000) per degree; for each degree
of permanent impairment from thirty-six (36) to fifty (50),
one thousand four hundred dollars ($1,400) per degree; for
each degree of permanent impairment above fifty (50), one
thousand seven hundred dollars ($1,700) per degree.
(5) With respect to injuries occurring on and after July 1,
1998, and before July 1, 1999, for each degree of
permanent impairment from one (1) to ten (10), seven
hundred fifty dollars ($750) per degree; for each degree of
permanent impairment from eleven (11) to thirty-five (35),
one thousand dollars ($1,000) per degree; for each degree
of permanent impairment from thirty-six (36) to fifty (50),
one thousand four hundred dollars ($1,400) per degree; for
each degree of permanent impairment above fifty (50), one
thousand seven hundred dollars ($1,700) per degree.
(6) With respect to injuries occurring on and after July 1,
1999, for each degree of permanent impairment from one
(1) to ten (10), nine hundred dollars ($900) per degree; for
each degree of permanent impairment from eleven (11) to
thirty-five (35), one thousand one hundred dollars ($1,100)
per degree; for each degree of permanent impairment from
thirty-six (36) to fifty (50), one thousand six hundred
dollars ($1,600) per degree; for each degree of permanent
impairment above fifty (50), two thousand dollars ($2,000)
per degree.
(e) The average weekly wages used in the determination of
compensation for permanent partial impairment under subsections (c)
and (d) shall not exceed the following:
(1) With respect to injuries occurring on or after July 1, 1991,
and before July 1, 1992, four hundred ninety-two dollars
($492).
(2) With respect to injuries occurring on or after July 1, 1992,
and before July 1, 1993, five hundred forty dollars ($540).
(3) With respect to injuries occurring on or after July 1, 1993,
and before July 1, 1994, five hundred ninety-one dollars
($591).
(4) With respect to injuries occurring on or after July 1, 1994,
and before July 1, 1997, six hundred forty-two dollars
($642).
(5) With respect to injuries occurring on or after July 1,
1997, and before July 1, 1998, six hundred seventy-two
dollars ($672).
(6) With respect to injuries occurring on or after July 1,
1998, and before July 1, 1999, seven hundred two dollars
($702).
(7) With respect to injuries occurring on or after July 1,
1999, and before July 1, 2000, seven hundred thirty-two
dollars ($732).
(8) With respect to injuries occurring on or after July 1,
2000, seven hundred sixty-two dollars ($762).
SOURCE: IC 22-3-3-22; (97)CC045207.7. -->
SECTION 7.
IC 22-3-3-22
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 22. (a) In computing
the compensation under this law with respect to injuries occurring on
and after April 1, 1963, and prior to April 1, 1965, the average
weekly wages shall be considered to be not more than seventy
dollars ($70) nor less than thirty dollars ($30). In computing the
compensation under this law with respect to injuries occurring on
and after April 1, 1965, and prior to April 1, 1967, the average
weekly wages shall be considered to be not more than seventy-five
dollars ($75) and not less than thirty dollars ($30). In computing the
compensation under this law with respect to injuries occurring on
and after April 1, 1967, and prior to April 1, 1969, the average
weekly wages shall be considered to be not more than eighty-five
dollars ($85) and not less than thirty-five dollars ($35). In computing
the compensation under this law with respect to injuries occurring on
and after April 1, 1969, and prior to July 1, 1971, the average
weekly wages shall be considered to be not more than ninety-five
dollars ($95) and not less than thirty-five dollars ($35). In computing
the compensation under this law with respect to injuries occurring on
and after July 1, 1971, and prior to July 1, 1974, the average weekly
wages shall be considered to be: (A) Not more than: (1) one hundred
dollars ($100) if no dependents; (2) one hundred five dollars ($105)
if one (1) dependent; (3) one hundred ten dollars ($110) if two (2)
dependents; (4) one hundred fifteen dollars ($115) if three (3)
dependents; (5) one hundred twenty dollars ($120) if four (4)
dependents; and (6) one hundred twenty-five dollars ($125) if five
(5) or more dependents; and (B) Not less than thirty-five dollars
($35). In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability under this
law with respect to injuries occurring on and after July 1, 1974, and
before July 1, 1976, the average weekly wages shall be considered
to be (A) not more than one hundred thirty-five dollars ($135), and
(B) not less than seventy-five dollars ($75). However, the weekly
compensation payable shall in no case exceed the average weekly
wages of the employee at the time of the injury. In computing
compensation for temporary total disability, temporary partial
disability and total permanent disability under this law with respect
to injuries occurring on and after July 1, 1976, and before July 1,
1977, the average weekly wages shall be considered to be (1) not
more than one hundred fifty-six dollars ($156) and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury. In computing compensation for temporary
total disability, temporary partial disability, and total permanent
disability, with respect to injuries occurring on and after July 1,
1977, and before July 1, 1979, the average weekly wages are
considered to be (1) not more than one hundred eighty dollars
($180); and (2) not less than seventy-five dollars ($75). However,
the weekly compensation payable may not exceed the average weekly
wages of the employee at the time of the injury. In computing
compensation for temporary total disability, temporary partial
disability, and total permanent disability, with respect to injuries
occurring on and after July 1, 1979, and before July 1, 1980, the
average weekly wages are considered to be (1) not more than one
hundred ninety-five dollars ($195), and (2) not less than seventy-five
dollars ($75). However, the weekly compensation payable shall not
exceed the average weekly wages of the employee at the time of the
injury. In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1980, and before
July 1, 1983, the average weekly wages are considered to be (1) not
more than two hundred ten dollars ($210), and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury. In computing compensation for temporary
total disability, temporary partial disability, and total permanent
disability, with respect to injuries occurring on and after July 1,
1983, and before July 1, 1984, the average weekly wages are
considered to be (1) not more than two hundred thirty-four dollars
($234) and (2) not less than seventy-five dollars ($75). However, the
weekly compensation payable shall not exceed the average weekly
wages of the employee at the time of the injury. In computing
compensation for temporary total disability, temporary partial
disability, and total permanent disability, with respect to injuries
occurring on and after July 1, 1984, and before July 1, 1985, the
average weekly wages are considered to be (1) not more than two
hundred forty-nine dollars ($249) and (2) not less than seventy-five
dollars ($75). However, the weekly compensation payable shall not
exceed the average weekly wages of the employee at the time of the
injury. In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1985, and before
July 1, 1986, the average weekly wages are considered to be (1) not
more than two hundred sixty-seven dollars ($267) and (2) not less
than seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury. In computing compensation for temporary
total disability, temporary partial disability, and total permanent
disability, with respect to injuries occurring on and after July 1,
1986, and before July 1, 1988, the average weekly wages are
considered to be (1) not more than two hundred eighty-five dollars
($285) and (2) not less than seventy-five dollars ($75). However, the
weekly compensation payable shall not exceed the average weekly
wages of the employee at the time of the injury. In computing
compensation for temporary total disability, temporary partial
disability, and total permanent disability, with respect to injuries
occurring on and after July 1, 1988, and before July 1, 1989, the
average weekly wages are considered to be (1) not more than three
hundred eighty-four dollars ($384) and (2) not less than seventy-five
dollars ($75). However, the weekly compensation payable shall not
exceed the average weekly wages of the employee at the time of the
injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1989, and before
July 1, 1990, the average weekly wages are considered to be (1) not
more than four hundred eleven dollars ($411) and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1990, and before
July 1, 1991, the average weekly wages are considered to be (1) not
more than four hundred forty-one dollars ($441) and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1991, and before
July 1, 1992, the average weekly wages are considered to be (1) not
more than four hundred ninety-two dollars ($492) and (2) not less
than seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1992, and before
July 1, 1993, the average weekly wages are considered to be (1) not
more than five hundred forty dollars ($540) and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1993, and before
July 1, 1994, the average weekly wages are considered to be (1) not
more than five hundred ninety-one dollars ($591) and (2) not less
than seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, with
respect to injuries occurring on and after July 1, 1994, and before
July 1, 1997, the average weekly wages are considered to be (1) not
more than six hundred forty-two dollars ($642) and (2) not less than
seventy-five dollars ($75). However, the weekly compensation
payable shall not exceed the average weekly wages of the employee
at the time of the injury.
(b) In computing compensation for temporary total disability,
temporary partial disability, and total permanent disability, the
average weekly wages are considered to be:
(1) with respect to injuries occurring on and after July 1,
1997, and before July 1, 1998:
(A) not more than six hundred seventy-two dollars
($672); and
(B) not less than seventy-five dollars ($75);
(2) with respect to injuries occurring on and after July 1,
1998, and before July 1, 1999:
(A) not more than seven hundred two dollars ($702);
and
(B) not less than seventy-five dollars ($75);
(3) with respect to injuries occurring on and after July 1,
1999, and before July 1, 2000:
(A) not more than seven hundred thirty-two dollars
($732); and
(B) not less than seventy-five dollars ($75); and
(4) with respect to injuries occurring on and after July 1,
2000:
(A) not more than seven hundred sixty-two dollars
($762); and
(B) not less than seventy-five dollars ($75).
However, the weekly compensation payable shall not exceed the
average weekly wages of the employee at the time of the injury.
(c) For the purpose of this section only and with respect to
injuries occurring on and after July 1, 1971, and prior to July 1,
1974, only, the term "dependent" as used in this section shall mean
persons defined as presumptive dependents under
IC 22-3-3-19
,
section 19 of this chapter, except that such dependency shall be
determined as of the date of the injury to the employee.
(b) (d) With respect to any injury occurring on and after April
1, 1955, and prior to April 1, 1957, the maximum compensation
exclusive of medical benefits, which shall be paid for an injury under
any provisions of this law or under any combination of its provisions
shall not exceed twelve thousand five hundred dollars ($12,500) in
any case. With respect to any injury occurring on and after April 1,
1957 and prior to April 1, 1963, the maximum compensation
exclusive of medical benefits, which shall be paid for an injury under
any provision of this law or under any combination of its provisions
shall not exceed fifteen thousand dollars ($15,000) in any case. With
respect to any injury occurring on and after April 1, 1963, and prior
to April 1, 1965, the maximum compensation exclusive of medical
benefits, which shall be paid for an injury under any provision of
this law or under any combination of its provisions shall not exceed
sixteen thousand five hundred dollars ($16,500) in any case. With
respect to any injury occurring on and after April 1, 1965, and prior
to April 1, 1967, the maximum compensation exclusive of medical
benefits which shall be paid for any injury under any provision of
this law or any combination of provisions shall not exceed twenty
thousand dollars ($20,000) in any case. With respect to any injury
occurring on and after April 1, 1967, and prior to July 1, 1971, the
maximum compensation exclusive of medical benefits which shall be
paid for an injury under any provision of this law or any
combination of provisions shall not exceed twenty-five thousand
dollars ($25,000) in any case. With respect to any injury occurring
on and after July 1, 1971, and prior to July 1, 1974, the maximum
compensation exclusive of medical benefits which shall be paid for
any injury under any provision of this law or any combination of
provisions shall not exceed thirty thousand dollars ($30,000) in any
case. With respect to any injury occurring on and after July 1, 1974,
and before July 1, 1976, the maximum compensation exclusive of
medical benefits which shall be paid for an injury under any
provision of this law or any combination of provisions shall not
exceed forty-five thousand dollars ($45,000) in any case. With
respect to an injury occurring on and after July 1, 1976, and before
July 1, 1977, the maximum compensation, exclusive of medical
benefits, which shall be paid for any injury under any provision of
this law or any combination of provisions shall not exceed fifty-two
thousand dollars ($52,000) in any case. With respect to any injury
occurring on and after July 1, 1977, and before July 1, 1979, the
maximum compensation, exclusive of medical benefits, which may
be paid for an injury under any provision of this law or any
combination of provisions may not exceed sixty thousand dollars
($60,000) in any case. With respect to any injury occurring on and
after July 1, 1979, and before July 1, 1980, the maximum
compensation, exclusive of medical benefits, which may be paid for
an injury under any provisions of this law or any combination of
provisions may not exceed sixty-five thousand dollars ($65,000) in
any case. With respect to any injury occurring on and after July 1,
1980, and before July 1, 1983, the maximum compensation,
exclusive of medical benefits, which may be paid for an injury under
any provisions of this law or any combination of provisions may not
exceed seventy thousand dollars ($70,000) in any case. With respect
to any injury occurring on and after July 1, 1983, and before July 1,
1984, the maximum compensation, exclusive of medical benefits,
which may be paid for an injury under any provisions of this law or
any combination of provisions may not exceed seventy-eight
thousand dollars ($78,000) in any case. With respect to any injury
occurring on and after July 1, 1984, and before July 1, 1985, the
maximum compensation, exclusive of medical benefits, which may
be paid for an injury under any provisions of this law or any
combination of provisions may not exceed eighty-three thousand
dollars ($83,000) in any case. With respect to any injury occurring
on and after July 1, 1985, and before July 1, 1986, the maximum
compensation, exclusive of medical benefits, which may be paid for
an injury under any provisions of this law or any combination of
provisions may not exceed eighty-nine thousand dollars ($89,000) in
any case. With respect to any injury occurring on and after July 1,
1986, and before July 1, 1988, the maximum compensation,
exclusive of medical benefits, which may be paid for an injury under
any provisions of this law or any combination of provisions may not
exceed ninety-five thousand dollars ($95,000) in any case. With
respect to any injury occurring on and after July 1, 1988, and before
July 1, 1989, the maximum compensation, exclusive of medical
benefits, which may be paid for an injury under any provisions of
this law or any combination of provisions may not exceed one
hundred twenty-eight thousand dollars ($128,000) in any case.
With respect to any injury occurring on and after July 1, 1989,
and before July 1, 1990, the maximum compensation, exclusive of
medical benefits, which may be paid for an injury under any
provisions of this law or any combination of provisions may not
exceed one hundred thirty-seven thousand dollars ($137,000) in any
case.
With respect to any injury occurring on and after July 1, 1990,
and before July 1, 1991, the maximum compensation, exclusive of
medical benefits, which may be paid for an injury under any
provisions of this law or any combination of provisions may not
exceed one hundred forty-seven thousand dollars ($147,000) in any
case.
With respect to any injury occurring on and after July 1, 1991,
and before July 1, 1992, the maximum compensation, exclusive of
medical benefits, that may be paid for an injury under any provisions
of this law or any combination of provisions may not exceed one
hundred sixty-four thousand dollars ($164,000) in any case.
With respect to any injury occurring on and after July 1, 1992,
and before July 1, 1993, the maximum compensation, exclusive of
medical benefits, that may be paid for an injury under any provisions
of this law or any combination of provisions may not exceed one
hundred eighty thousand dollars ($180,000) in any case.
With respect to any injury occurring on and after July 1, 1993,
and before July 1, 1994, the maximum compensation, exclusive of
medical benefits, that may be paid for an injury under any provisions
of this law or any combination of provisions may not exceed one
hundred ninety-seven thousand dollars ($197,000) in any case.
With respect to any injury occurring on and after July 1, 1994,
and before July 1, 1997, the maximum compensation, exclusive of
medical benefits, which may be paid for an injury under any
provisions of this law or any combination of provisions may not
exceed two hundred fourteen thousand dollars ($214,000) in any
case.
(e) The maximum compensation, exclusive of medical
benefits, that may be paid for an injury under any provision of
this law or any combination of provisions may not exceed the
following amounts in any case:
(1) With respect to an injury occurring on and after July
1, 1997, and before July 1, 1998, two hundred twenty-four
thousand dollars ($224,000).
(2) With respect to an injury occurring on and after July
1, 1998, and before July 1, 1999, two hundred thirty-four
thousand dollars ($234,000).
(3) With respect to an injury occurring on and after July
1, 1999, and before July 1, 2000, two hundred forty-four
thousand dollars ($244,000).
(4) With respect to an injury occurring on and after July
1, 2000, two hundred fifty-four thousand dollars
($254,000).
SOURCE: IC 22-3-3-32. -->
SECTION 8.
IC 22-3-3-32
IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 1997]: Sec. 32. The provisions of this
article may not be construed to result in an award of benefits in
which the number of weeks paid and to be paid for temporary
total disability, temporary partial disability, or permanent total
disability combined exceeds five hundred (500) weeks. This
section shall not be construed to prevent a person who is
permanently totally disabled from applying for an award under
IC 22-3-3-13. However, in case of permanent total disability
resulting from an injury occurring on or after January 1, 1998,
the minimum total benefit shall not be less than seventy-five
thousand dollars ($75,000).
SOURCE: IC 22-3-4-7; (97)CC045207.9. -->
SECTION 9.
IC 22-3-4-7
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 7. If an application
for review is made to the board within twenty (20) thirty (30) days
from the date of the award made by less than all the members, the
full board, if the first hearing was not held before the full board,
shall review the evidence, or, if deemed advisable, hear the parties
at issue, their representatives, and witnesses as soon as practicable
and shall make an award and file the same with the finding of the
facts on which it is based and send a copy thereof to each of the
parties in dispute, in like manner as specified in section 6 of this
chapter.
SOURCE: IC 22-3-4-12; (97)CC045207.10. -->
SECTION 10.
IC 22-3-4-12
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 12. Except as
provided in section 12.1 of this chapter, the fees of attorneys and
physicians and charges of nurses and hospitals for services under
IC 22-3-2
through
IC 22-3-6
shall be subject to the approval of the
industrial board. When any claimant for compensation is represented
by an attorney in the prosecution of his claim, the industrial board
shall fix and state in the award, if compensation be awarded, the
amount of the claimant's attorney's fees. The fee so fixed shall be
binding upon both the claimant and his attorney, and the employer
shall pay to the attorney out of the award the fee so fixed, and the
receipt of the attorney therefor shall fully acquit the employer for an
equal portion of the award; provided, that whenever the industrial
board shall determine upon hearing of a claim that the employer has
acted in bad faith in adjusting and settling said award, or whenever
the industrial board shall determine upon hearing of a claim that the
employer has not pursued the settlement of said claim with diligence,
then the board shall, if compensation be awarded, fix the amount of
the claimant's attorney's fees and such attorney fees shall be paid to
the attorney and shall not be charged against the award to the
claimant. It is further provided that such fees as are fixed and
awarded on account of a lack of diligence or because of bad faith on
the part of the employer shall not be less than one hundred fifty
dollars ($150). The industrial board may withhold the approval of
the fees of the attending physician in any case until he shall file a
report with the industrial board on the form prescribed by such
board.
SOURCE: IC 22-3-4-12.1; (97)CC045207.11. -->
SECTION 11.
IC 22-3-4-12.1
IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 1997]: Sec. 12.1. (a) The worker's
compensation board, upon hearing a claim for benefits, has the
exclusive jurisdiction to determine whether the employer, the
employer's worker's compensation administrator, or the worker's
compensation insurance carrier has acted with a lack of
diligence, in bad faith, or has committed an independent tort in
adjusting or settling the claim for compensation.
(b) If lack of diligence, bad faith, or an independent tort is
proven under subsection (a), the award to the claimant shall be
at least five hundred dollars ($500), but not more than twenty
thousand dollars ($20,000), depending upon the degree of
culpability and the actual damages sustained.
(c) An award under this section shall be paid by the
employer, worker's compensation administrator, or worker's
compensation insurance carrier responsible to the claimant for
the lack of diligence, bad faith, or independent tort.
(d) The worker's compensation board shall fix in addition to
any award under this section the amount of attorney's fees
payable with respect to an award made under this section. The
attorney's fees may not exceed thirty-three and one-third percent
(33 1/3%) of the amount of the award.
(e) If the worker's compensation board makes an award
under this section, it shall reduce the award to writing and
forward a copy to the department of insurance for review under
IC 27-4-1-4.5.
SOURCE: IC 22-3-6-1; (97)CC045207.12. -->
SECTION 12.
IC 22-3-6-1
, AS AMENDED BY P.L.2-1996,
SECTION 265, IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 1997]: Sec. 1. In
IC 22-3-2
through
IC 22-3-6
, unless the context otherwise requires:
(a) "Employer" includes the state and any political subdivision,
any municipal corporation within the state, any individual or the
legal representative of a deceased individual, firm, association,
limited liability company, or corporation or the receiver or trustee
of the same, or the legal representatives of a deceased person, using
the services of another for pay.
If the employer is insured, the term
includes the employer's insurer so far as applicable. However, the
inclusion of an employer's insurer within this definition does not
allow an employer's insurer to avoid payment for services rendered
to an employee with the approval of the employer.
(b) "Employee" means every person, including a minor, in the
service of another, under any contract of hire or apprenticeship,
written or implied, except one whose employment is both casual and
not in the usual course of the trade, business, occupation, or
profession of the employer.
(1) An executive officer elected or appointed and empowered
in accordance with the charter and bylaws of a corporation,
other than a municipal corporation or governmental
subdivision or a charitable, religious, educational, or other
nonprofit corporation, is an employee of the corporation under
IC 22-3-2
through
IC 22-3-6.
(2) An executive officer of a municipal corporation or other
governmental subdivision or of a charitable, religious,
educational, or other nonprofit corporation may,
notwithstanding any other provision of
IC 22-3-2
through
IC 22-3-6
, be brought within the coverage of its insurance
contract by the corporation by specifically including the
executive officer in the contract of insurance. The election to
bring the executive officer within the coverage shall continue
for the period the contract of insurance is in effect, and during
this period, the executive officers thus brought within the
coverage of the insurance contract are employees of the
corporation under
IC 22-3-2
through
IC 22-3-6.
(3) Any reference to an employee who has been injured, when
the employee is dead, also includes the employee's legal
representatives, dependents, and other persons to whom
compensation may be payable.
(4) An owner of a sole proprietorship may elect to include the
owner as an employee under
IC 22-3-2
through
IC 22-3-6
if
the owner is actually engaged in the proprietorship business.
If the owner makes this election, the owner must serve upon
the owner's insurance carrier and upon the board written
notice of the election. No owner of a sole proprietorship may
be considered an employee under
IC 22-3-2
through
IC 22-3-6
until the notice has been received. If the owner of a sole
proprietorship is an independent contractor in the construction
trades and does not make the election provided under this
subdivision, the owner must obtain an affidavit of exemption
under
IC 22-3-2-14.5.
(5) A partner in a partnership may elect to include the partner
as an employee under
IC 22-3-2
through
IC 22-3-6
if the
partner is actually engaged in the partnership business. If a
partner makes this election, the partner must serve upon the
partner's insurance carrier and upon the board written notice
of the election. No partner may be considered an employee
under
IC 22-3-2
through
IC 22-3-6
until the notice has been
received. If a partner in a partnership is an independent
contractor in the construction trades and does not make the
election provided under this subdivision, the partner must
obtain an affidavit of exemption under
IC 22-3-2-14.5.
(6) Real estate professionals are not employees under
IC 22-3-2
through
IC 22-3-6
if:
(A) they are licensed real estate agents;
(B) substantially all their remuneration is directly related
to sales volume and not the number of hours worked; and
(C) they have written agreements with real estate brokers
stating that they are not to be treated as employees for tax
purposes.
(7) A person is an independent contractor in the construction
trades and not an employee under
IC 22-3-2
through
IC 22-3-6
if the person is an independent contractor under the guidelines
of the United States Internal Revenue Service.
(8) An owner-operator that provides a motor vehicle and the
services of a driver under a written contract that is subject to
IC 8-2.1-24-23
, 45 IAC 16-1-13, or 49 CFR 1057, to a motor
carrier is not an employee of the motor carrier for purposes of
IC 22-3-2
through
IC 22-3-6.
The owner-operator may elect
to be covered and have the owner-operator's drivers covered
under a worker's compensation insurance policy or authorized
self-insurance that insures the motor carrier if the
owner-operator pays the premiums as requested by the motor
carrier. An election by an owner-operator under this
subdivision does not terminate the independent contractor
status of the owner-operator for any purpose other than the
purpose of this subdivision.
(9) A member or manager in a limited liability company may
elect to include the member or manager as an employee under
IC 22-3-2
through
IC 22-3-6
if the member or manager is
actually engaged in the limited liability company business. If
a member or manager makes this election, the member or
manager must serve upon the member's or manager's
insurance carrier and upon the board written notice of the
election. A member or manager may not be considered an
employee under
IC 22-3-2
through
IC 22-3-6
until the notice
has been received.
(c) "Minor" means an individual who has not reached seventeen
(17) years of age.
(1) Unless otherwise provided in this subsection, a minor
employee shall be considered as being of full age for all
purposes of
IC 22-3-2
through
IC 22-3-6.
(2) If the employee is a minor who, at the time of the
accident, is employed, required, suffered, or permitted to
work in violation of
IC 20-8.1-4-25
, the amount of
compensation and death benefits, as provided in
IC 22-3-2
through
IC 22-3-6
, shall be double the amount which would
otherwise be recoverable. The insurance carrier shall be liable
on its policy for one-half (1/2) of the compensation or benefits
that may be payable on account of the injury or death of the
minor, and the employer shall be liable for the other one-half
(1/2) of the compensation or benefits. If the employee is a
minor who is not less than sixteen (16) years of age and who
has not reached seventeen (17) years of age and who at the
time of the accident is employed, suffered, or permitted to
work at any occupation which is not prohibited by law, this
subdivision does not apply.
(3) A minor employee who, at the time of the accident, is a
student performing services for an employer as part of an
approved program under
IC 20-10.1-6-7
shall be considered a
full-time employee for the purpose of computing compensation
for permanent impairment under
IC 22-3-3-10.
The average
weekly wages for such a student shall be calculated as
provided in subsection (d)(4).
(4) The rights and remedies granted in this subsection to a
minor under
IC 22-3-2
through
IC 22-3-6
on account of
personal injury or death by accident shall exclude all rights
and remedies of the minor, the minor's parents, or the minor's
personal representatives, dependents, or next of kin at
common law, statutory or otherwise, on account of the injury
or death. This subsection does not apply to minors who have
reached seventeen (17) years of age.
(d) "Average weekly wages" means the earnings of the injured
employee in the employment in which the employee was working at
the time of the injury during the period of fifty-two (52) weeks
immediately preceding the date of injury, divided by fifty-two (52),
except as follows:
(1) If the injured employee lost seven (7) or more calendar
days during this period, although not in the same week, then
the earnings for the remainder of the fifty-two (52) weeks shall
be divided by the number of weeks and parts thereof
remaining after the time lost has been deducted.
(2) Where the employment prior to the injury extended over
a period of less than fifty-two (52) weeks, the method of
dividing the earnings during that period by the number of
weeks and parts thereof during which the employee earned
wages shall be followed, if results just and fair to both parties
will be obtained. Where by reason of the shortness of the time
during which the employee has been in the employment of the
employee's employer or of the casual nature or terms of the
employment it is impracticable to compute the average weekly
wages, as defined in this subsection, regard shall be had to the
average weekly amount which during the fifty-two (52) weeks
previous to the injury was being earned by a person in the
same grade employed at the same work by the same employer
or, if there is no person so employed, by a person in the same
grade employed in the same class of employment in the same
district.
(3) Wherever allowances of any character made to an
employee in lieu of wages are a specified part of the wage
contract, they shall be deemed a part of his earnings.
(4) In computing the average weekly wages to be used in
calculating an award for permanent impairment under
IC 22-3-3-10
for a student employee in an approved training
program under
IC 20-10.1-6-7
, the following formula shall be
used. Calculate the product of:
(A) the student employee's hourly wage rate; multiplied
by
(B) forty (40) hours.
The result obtained is the amount of the average weekly wages
for the student employee.
(e) "Injury" and "person "personal injury" mean only injury by
accident arising out of and in the course of the employment and do
not include a disease in any form except as it results from the injury.
(f) "Billing review service" refers to a person or an entity that
reviews a medical service provider's bills or statements for the
purpose of determining pecuniary liability. The term includes an
employer's worker's compensation insurance carrier if the insurance
carrier performs such a review.
(g) "Billing review standard" means the data used by a billing
review service to determine pecuniary liability.
(h) "Community" means a geographic service area based on zip
code districts defined by the United States Postal Service according
to the following groupings:
(1) The geographic service area served by zip codes with the
first three (3) digits 463 and 464.
(2) The geographic service area served by zip codes with the
first three (3) digits 465 and 466.
(3) The geographic service area served by zip codes with the
first three (3) digits 467 and 468.
(4) The geographic service area served by zip codes with the
first three (3) digits 469 and 479.
(5) The geographic service area served by zip codes with the
first three (3) digits 460, 461 (except 46107), and 473.
(6) The geographic service area served by the 46107 zip code
and zip codes with the first three (3) digits 462.
(7) The geographic service area served by zip codes with the
first three (3) digits 470, 471, 472, 474, and 478.
(8) The geographic service area served by zip codes with the
first three (3) digits 475, 476, and 477.
(i) "Medical service provider" refers to a person or an entity
that provides medical services, treatment, or supplies to an employee
under
IC 22-3-2
through
IC 22-3-6.
(j) "Pecuniary liability" means the responsibility of an employer
or the employer's insurance carrier for the payment of the charges
for each specific service or product for human medical treatment
provided under
IC 22-3-2
through
IC 22-3-6
in a defined community,
equal to or less than the charges made by medical service providers
at the eightieth percentile in the same community for like services or
products.
SOURCE: IC 22-3-7-9; (97)CC045207.13. -->
SECTION 13.
IC 22-3-7-9
, AS AMENDED BY P.L.2-1996,
SECTION 266, IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 1997]: Sec. 9. (a) As used in this chapter,
"employer" includes the state and any political subdivision, any
municipal corporation within the state, any individual or the legal
representative of a deceased individual, firm, association, limited
liability company, or corporation or the receiver or trustee of the
same, or the legal representatives of a deceased person, using the
services of another for pay.
If the employer is insured, the term
includes his insurer so far as applicable. However, the inclusion of
an employer's insurer within this definition does not allow an
employer's insurer to avoid payment for services rendered to an
employee with the approval of the employer.
(b) As used in this chapter, "employee" means every person,
including a minor, in the service of another, under any contract of
hire or apprenticeship written or implied, except one whose
employment is both casual and not in the usual course of the trade,
business, occupation, or profession of the employer. For purposes of
this chapter the following apply:
(1) Any reference to an employee who has suffered
disablement, when the employee is dead, also includes his
legal representative, dependents, and other persons to whom
compensation may be payable.
(2) An owner of a sole proprietorship may elect to include
himself as an employee under this chapter if he is actually
engaged in the proprietorship business. If the owner makes
this election, he must serve upon his insurance carrier and
upon the board written notice of the election. No owner of a
sole proprietorship may be considered an employee under this
chapter unless the notice has been received. If the owner of a
sole proprietorship is an independent contractor in the
construction trades and does not make the election provided
under this subdivision, the owner must obtain an affidavit of
exemption under
IC 22-3-7-34.5.
(3) A partner in a partnership may elect to include himself as
an employee under this chapter if he is actually engaged in the
partnership business. If a partner makes this election, he must
serve upon his insurance carrier and upon the board written
notice of the election. No partner may be considered an
employee under this chapter until the notice has been received.
If a partner in a partnership is an independent contractor in the
construction trades and does not make the election provided
under this subdivision, the partner must obtain an affidavit of
exemption under
IC 22-3-7-34.5.
(4) Real estate professionals are not employees under this
chapter if:
(A) they are licensed real estate agents;
(B) substantially all their remuneration is directly related
to sales volume and not the number of hours worked; and
(C) they have written agreements with real estate brokers
stating that they are not to be treated as employees for tax
purposes.
(5) A person is an independent contractor in the construction
trades and not an employee under this chapter if the person is
an independent contractor under the guidelines of the United
States Internal Revenue Service.
(6) An owner-operator that provides a motor vehicle and the
services of a driver under a written contract that is subject to
IC 8-2.1-24-23
, 45 IAC 16-1-13, or 49 CFR 1057, to a motor
carrier is not an employee of the motor carrier for purposes of
this chapter. The owner-operator may elect to be covered and
have the owner-operator's drivers covered under a worker's
compensation insurance policy or authorized self-insurance that
insures the motor carrier if the owner-operator pays the
premiums as requested by the motor carrier. An election by an
owner-operator under this subdivision does not terminate the
independent contractor status of the owner-operator for any
purpose other than the purpose of this subdivision.
(c) As used in this chapter, "minor" means an individual who
has not reached seventeen (17) years of age. A minor employee shall
be considered as being of full age for all purposes of this chapter.
However, if the employee is a minor who, at the time of the last
exposure, is employed, required, suffered, or permitted to work in
violation of the child labor laws of this state, the amount of
compensation and death benefits, as provided in this chapter, shall
be double the amount which would otherwise be recoverable. The
insurance carrier shall be liable on its policy for one-half (1/2) of the
compensation or benefits that may be payable on account of the
disability or death of the minor, and the employer shall be wholly
liable for the other one-half (1/2) of the compensation or benefits. If
the employee is a minor who is not less than sixteen (16) years of
age and who has not reached seventeen (17) years of age, and who
at the time of the last exposure is employed, suffered, or permitted
to work at any occupation which is not prohibited by law, the
provisions of this subsection prescribing double the amount otherwise
recoverable do not apply. The rights and remedies granted to a
minor under this chapter on account of disease shall exclude all
rights and remedies of the minor, his parents, his personal
representatives, dependents, or next of kin at common law, statutory
or otherwise, on account of any disease.
(d) This chapter does not apply to casual laborers as defined in
subsection (b), nor to farm or agricultural employees, nor to
domestic servants, household employees, nor to railroad employees
engaged in train service as engineers, firemen, conductors,
brakemen, flagmen, baggagemen, or foremen in charge of yard
engines and helpers assigned thereto, nor to their employers with
respect to these employees. Also, this chapter does not apply to
employees or their employers with respect to employments in which
the laws of the United States provide for compensation or liability
for injury to the health, disability, or death by reason of diseases
suffered by these employees.
(e) As used in this chapter, "disablement" means 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 claims
compensation or equal wages in other suitable employment, and
"disability" means the state of being so incapacitated.
(f) For the purposes of this chapter, no compensation shall be
payable for or on account of any occupational diseases unless
disablement, as defined in subsection (e), occurs within two (2) years
after the last day of the last exposure to the hazards of the disease
except for the following:
(1) In all cases of occupational diseases caused by the
inhalation of silica dust or coal dust, no compensation shall be
payable unless disablement, as defined in subsection (e),
occurs within three (3) years after the last day of the last
exposure to the hazards of the disease.
(2) In all cases of occupational disease caused by the exposure
to radiation, no compensation shall be payable unless
disablement, as defined in subsection (e), occurs within two
(2) years from the date on which the employee had knowledge
of the nature of his occupational disease or, by exercise of
reasonable diligence, should have known of the existence of
such disease and its causal relationship to his employment.
(3) In all cases of occupational diseases caused by the
inhalation of asbestos dust, no compensation shall be payable
unless disablement, as defined in subsection (e), occurs within
three (3) years after the last day of the last exposure to the
hazards of the disease if the last day of the last exposure was
before July 1, 1985.
(4) In all cases of occupational disease caused by the inhalation
of asbestos dust in which the last date of the last exposure
occurs on or after July 1, 1985, and before July 1, 1988, no
compensation shall be payable unless disablement, as defined
in subsection (e), occurs within twenty (20) years after the last
day of the last exposure.
(5) In all cases of occupational disease caused by the inhalation
of asbestos dust in which the last date of the last exposure
occurs on or after July 1, 1988, no compensation shall be
payable unless disablement (as defined in subsection (e))
occurs within thirty-five (35) years after the last day of the last
exposure.
(g) For the purposes of this chapter, no compensation shall be
payable for or on account of death resulting from any occupational
disease unless death occurs within two (2) years after the date of
disablement. However, this subsection does not bar compensation for
death:
(1) where death occurs during the pendency of a claim filed by
an employee within two (2) years after the date of disablement
and which claim has not resulted in a decision or has resulted
in a decision which is in process of review or appeal; or
(2) where, by agreement filed or decision rendered, a
compensable period of disability has been fixed and death
occurs within two (2) years after the end of such fixed period,
but in no event later than three hundred (300) weeks after the
date of disablement.
(h) As used in this chapter, "billing review service" refers to a
person or an entity that reviews a medical service provider's bills or
statements for the purpose of determining pecuniary liability. The
term includes an employer's worker's compensation insurance carrier
if the insurance carrier performs such a review.
(i) As used in this chapter, "billing review standard" means the
data used by a billing review service to determine pecuniary liability.
(j) As used in this chapter, "community" means a geographic
service area based on zip code districts defined by the United States
Postal Service according to the following groupings:
(1) The geographic service area served by zip codes with the
first three (3) digits 463 and 464.
(2) The geographic service area served by zip codes with the
first three (3) digits 465 and 466.
(3) The geographic service area served by zip codes with the
first three (3) digits 467 and 468.
(4) The geographic service area served by zip codes with the
first three (3) digits 469 and 479.
(5) The geographic service area served by zip codes with the
first three (3) digits 460, 461 (except 46107), and 473.
(6) The geographic service area served by the 46107 zip code
and zip codes with the first three (3) digits 462.
(7) The geographic service area served by zip codes with the
first three (3) digits 470, 471, 472, 474, and 478.
(8) The geographic service area served by zip codes with the
first three (3) digits 475, 476, and 477.
(k) As used in this chapter, "medical service provider" refers to
a person or an entity that provides medical services, treatment, or
supplies to an employee under this chapter.
(l) As used in this chapter, "pecuniary liability" means the
responsibility of an employer or the employer's insurance carrier for
the payment of the charges for each specific service or product for
human medical treatment provided under this chapter in a defined
community, equal to or less than the charges made by medical
service providers at the eightieth percentile in the same community
for like services or products.
SOURCE: IC 22-3-7-16; (97)CC045207.14. -->
SECTION 14.
IC 22-3-7-16
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1997]: Sec. 16. (a)
Compensation shall be allowed on account of disablement from
occupational disease resulting in only temporary total disability to
work or temporary partial disability to work beginning with the
eighth day of such disability except for the medical benefits provided
for in section 17 of this chapter. Compensation shall be allowed for
the first seven (7) calendar days only as provided in this section. The
first weekly installment of compensation for temporary disability is
due fourteen (14) days after the disability begins. Not later than
fifteen (15) days from the date that the first installment of
compensation is due, the employer or the employer's insurance
carrier shall tender to the employee or to the employee's dependents,
with all compensation due, a properly prepared compensation
agreement in a form prescribed by the board. If the employer denies
liability, the employer must inform the board and the employee or
the dependents of the employee of the denial. Notice of denial must
be made in writing in a form prescribed by the board and mailed not
later than twenty-nine (29) Whenever an employer or the
employer's insurance carrier denies or is not able to determine
liability to pay compensation or benefits, the employer or the
employer's insurance carrier shall notify the worker's
compensation board and the employee in writing on a form
prescribed by the worker's compensation board not later than
thirty (30) days after the employer's knowledge of the claimed
disablement. If a determination of liability cannot be made within
thirty (30) days, the worker's compensation board may approve
an additional thirty (30) days upon a written request of the
employer or the employer's insurance carrier that sets forth the
reasons that the determination could not be made within thirty
(30) days and states the facts or circumstances that are necessary
to determine liability within the additional thirty (30) days. More
than thirty (30) days of additional time may be approved by the
worker's compensation board upon the filing of a petition by the
employer or the employer's insurance carrier that sets forth:
(1) the extraordinary circumstances that have precluded a
determination of liability within the initial sixty (60) days;
(2) the status of the investigation on the date the petition is
filed;
(3) the facts or circumstances that are necessary to make a
determination; and
(4) a timetable for the completion of the remaining
investigation.
An employer who fails to comply with this section is subject to a
civil penalty of fifty dollars ($50), to be assessed and collected by
the board upon notice and hearing. Civil penalties collected under
this section shall be deposited in the state general fund. The civil
penalty may be waived by the board if the employer establishes that
a delay of not more than thirty (30) days was caused by an inability
to obtain medical information necessary to determine the employer's
liability.
(b) Once begun, temporary total disability benefits may not be
terminated by the employer unless:
(1) the employee has returned to work;
(2) the employee has died;
(3) the employee has refused to undergo a medical examination
under section 20 of this chapter;
(4) the employee has received five hundred (500) weeks of
temporary total disability benefits or has been paid the
maximum compensation allowable under section 19 of this
chapter; or
(5) the employee is unable or unavailable to work for reasons
unrelated to the compensable disease.
In all other cases the employer must notify the employee in writing
of the employer's intent to terminate the payment of temporary total
disability benefits, and of the availability of employment, if any, on
a form approved by the board. If the employee disagrees with the
proposed termination, the employee must give written notice of
disagreement to the board and the employer within seven (7) days
after receipt of the notice of intent to terminate benefits. If the board
and employer do not receive a notice of disagreement under this
section, the employee's temporary total disability benefits shall be
terminated. Upon receipt of the notice of disagreement, the board
shall immediately contact the parties, which may be by telephone or
other means and attempt to resolve the disagreement. If the board is
unable to resolve the disagreement within ten (10) days of receipt of
the notice of disagreement, the board shall immediately arrange for
an evaluation of the employee by an independent medical examiner.
The independent medical examiner shall be selected by mutual
agreement of the parties or, if the parties are unable to agree,
appointed by the board under
IC 22-3-4-11.
If the independent
medical examiner determines that the employee is no longer
temporarily disabled or is still temporarily disabled but can return to
employment that the employer has made available to the employee,
or if the employee fails or refuses to appear for examination by the
independent medical examiner, temporary total disability benefits
may be terminated. If either party disagrees with the opinion of the
independent medical examiner, the party shall apply to the board for
a hearing under section 27 of this chapter.
(c) An employer is not required to continue the payment of
temporary total disability benefits for more than fourteen (14) days
after the employer's proposed termination date unless the
independent medical examiner determines that the employee is
temporarily disabled and unable to return to any employment that the
employer has made available to the employee.
(d) If it is determined that as a result of this section temporary
total disability benefits were overpaid, the overpayment shall be
deducted from any benefits due the employee under this section and,
if there are no benefits due the employee or the benefits due the
employee do not equal the amount of the overpayment, the employee
shall be responsible for paying any overpayment which cannot be
deducted from benefits due the employee.
(e) For disablements occurring on and after April 1, 1951, and
prior to July 1, 1971, from occupational disease resulting in
temporary total disability for any work there shall be paid to the
disabled employee during such temporary total disability a weekly
compensation equal to sixty percent (60%) of the employee's average
weekly wages for a period not to exceed five hundred (500) weeks.
Compensation shall be allowed for the first seven (7) calendar days
only if the disability continues for longer than twenty-eight (28)
days.
For disablements occurring on and after July 1, 1971, and prior
to July 1, 1974, from occupational disease resulting in temporary
total disability for any work there shall be paid to the disabled
employee during such temporary total disability a weekly
compensation equal to sixty percent (60%) of the employee's average
weekly wages, as defined in section 19 of this chapter, for a period
not to exceed five hundred (500) weeks. Compensation shall be
allowed for the first seven (7) calendar days only if the disability
continues for longer than twenty-eight (28) days.
For disablements occurring on and after July 1, 1974, and
before July 1, 1976, from occupational disease resulting in
temporary total disability for any work there shall be paid to the
disabled employee during such temporary total disability a weekly
compensation equal to sixty-six and two-thirds percent (66 2/3%) of
the employee's average weekly wages, up to one hundred thirty-five
dollars ($135) average weekly wages, as defined in section 19 of this
chapter, for a period not to exceed five hundred (500) weeks.
Compensation shall be allowed for the first seven (7) calendar days
only if the disability continues for longer than twenty-one (21) days.