SOURCE: Page 13, line 39; (02)MO131303.13. -->
Page 13, between lines 39 and 40, begin a new paragraph and
insert:
SOURCE: IC 22-3-3-13; (02)MO131303.4. -->
"SECTION 4. IC 22-3-3-13, AS AMENDED BY P.L.202-2001,
SECTION 5, IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2002]: Sec. 13. (a) As used in this section,
"board" refers to the worker's compensation board created under
IC 22-3-1-1.
(b) If an employee who from any cause, had lost, or lost the use of,
one (1) hand, one (1) arm, one (1) foot, one (1) leg, or one (1) eye, and
in a subsequent industrial accident becomes permanently and totally
disabled by reason of the loss, or loss of use of, another such member
or eye, the employer shall be liable only for the compensation payable
for such second injury. However, in addition to such compensation
and after the completion of the payment therefor, the employee shall
be paid the remainder of the compensation that would be due for such
total permanent disability out of a special fund known as the second
injury fund, and created in the manner described in subsection (c).
(c) Whenever the board determines under the procedures set forth
in subsection (d) that an assessment is necessary to ensure that fund
beneficiaries, including applicants under section 4(e) of this chapter,
continue to receive compensation in a timely manner for a reasonable
prospective period, the board shall send notice not later than October
1 in any year to:
(1) all insurance carriers and other entities insuring or providing
coverage to employers who are or may be liable under this article
to pay compensation for personal injuries to or the death of their
employees under this article; and
(2) each employer carrying the employer's own risk;
stating that an assessment is necessary. After June 30, 1999, the board
may conduct an assessment under this subsection not more than one
(1) time annually. Every insurance carrier and other entity insuring or
providing coverage to employers who are or may be liable under this
article to pay compensation for personal injuries to or death of their
employees under this article and every employer carrying the
employer's own risk, shall, within thirty (30) days of the board sending
notice under this subsection, pay to the worker's compensation board
for the benefit of the fund an assessed amount that may not exceed
two
three and one-half percent
(2.5%) (3.5%) of the total amount of all
worker's compensation paid to injured employees or their beneficiaries
under IC 22-3-2 through IC 22-3-6 for the calendar year next
preceding the due date of such payment. For the purposes of
calculating the assessment under this subsection, the board may
consider payments for temporary total disability, temporary partial
disability, permanent total impairment, permanent partial impairment,
or death of an employee. The board may not consider payments for
medical benefits in calculating an assessment under this subsection. If
the amount to the credit of the second injury fund on or before October
1 of any year exceeds
one two million
five hundred thousand dollars
($1,000,000), ($2,500,000), the assessment allowed under this
subsection shall not be assessed or collected during the ensuing year.
But when on or before October 1 of any year the amount to the credit
of the fund is less than
one two million
five hundred thousand
dollars
($1,000,000), ($2,500,000), the payments of not more than
two
three and one-half percent
(2.5%) (3.5%) of the total amount of all
worker's compensation paid to injured employees or their beneficiaries
under IC 22-3-2 through IC 22-3-6 for the calendar year next
preceding that date shall be resumed and paid into the fund. The board
may not use an assessment rate greater than twenty-five hundredths of
one percent (0.25%) above the amount recommended by the study
performed before the assessment.
(d) The board shall enter into a contract with an actuary or another
qualified firm that has experience in calculating worker's
compensation liabilities. Not later than September 1 of each year, the
actuary or other qualified firm shall calculate the recommended
funding level of the fund based on the previous year's claims and
inform the board of the results of the calculation. If the amount to the
credit of the fund is less than the amount required under subsection
(c), the board may conduct an assessment under subsection (c). The
board shall pay the costs of the contract under this subsection with
money in the fund.
(e) An assessment collected under subsection (c) on an employer
who is not self-insured must be assessed through a surcharge based on
the employer's premium. An assessment collected under subsection (c)
does not constitute an element of loss, but for the purpose of collection
shall be treated as a separate cost imposed upon insured employers. A
premium surcharge under this subsection must be collected at the same
time and in the same manner in which the premium for coverage is
collected, and must be shown as a separate amount on a premium
statement. A premium surcharge under this subsection must be
excluded from the definition of premium for all purposes, including the
computation of agent commissions or premium taxes. However, an
insurer may cancel a worker's compensation policy for nonpayment of
the premium surcharge. A cancellation under this subsection must be
carried out under the statutes applicable to the nonpayment of
premiums.
(f) The sums shall be paid by the board to the treasurer of state, to
be deposited in a special account known as the second injury fund. The
funds are not a part of the general fund of the state. Any balance
remaining in the account at the end of any fiscal year shall not revert
to the general fund. The funds shall be used only for the payment of
awards of compensation and expense of medical examinations or
treatment made and ordered by the board and chargeable against the
fund pursuant to this section, and shall be paid for that purpose by the
treasurer of state upon award or order of the board.
(g) If an employee who is entitled to compensation under IC 22-3-2
through IC 22-3-6 either:
(1) exhausts the maximum benefits under section 22 of this
chapter without having received the full amount of award granted
to the employee under section 10 of this chapter; or
(2) exhausts the employee's benefits under section 10 of this
chapter;
then such employee may apply to the board, who may award the
employee compensation from the second injury fund established by this
section, as follows under subsection (h).
(h) An employee who has exhausted the employee's maximum
benefits under section 10 of this chapter may be awarded additional
compensation equal to sixty-six and two-thirds percent (66 2/3%) of the
employee's average weekly wage at the time of the employee's injury,
not to exceed the maximum then applicable under section 22 of this
chapter, for a period of not to exceed one hundred fifty (150) weeks
upon competent evidence sufficient to establish:
(1) that the employee is totally and permanently disabled from
causes and conditions of which there are or have been objective
conditions and symptoms proven that are not within the physical
or mental control of the employee; and
(2) that the employee is unable to support the employee in any
gainful employment, not associated with rehabilitative or
vocational therapy.
(i) The additional award may be renewed during the employee's total
and permanent disability after appropriate hearings by the board for
successive periods not to exceed one hundred fifty (150) weeks each.
The provisions of this section apply only to injuries occurring
subsequent to April 1, 1950, for which awards have been or are in the
future made by the board under section 10 of this chapter. Section 16
of this chapter does not apply to compensation awarded from the
second injury fund under this section.
(j) All insurance carriers subject to an assessment under this section
are required to provide to the board:
(1) not later than January 31 each calendar year; and
(2) not later than thirty (30) days after a change occurs;
the name, address, and electronic mail address of a representative
authorized to receive the notice of an assessment.".
(Reference is to HB 1313 as printed January 30, 2002.)
________________________________________
MO131303/DI 96 2002