PRINTER'S NO. 2736
No. 2181 Session of 1991
INTRODUCED BY COHEN, VEON, KASUNIC, GEORGE, McNALLY, F. TAYLOR, FEE, BILLOW, PESCI, CAPPABIANCA, STUBAN, HALUSKA, GIGLIOTTI, GERLACH, KOSINSKI, MELIO, CAWLEY, FREEMAN, BELFANTI, STABACK, JOSEPHS, SALOOM, TRELLO, LUCYK, TANGRETTI, JAMES, WOZNIAK AND BELARDI, NOVEMBER 18, 1991
REFERRED TO COMMITTEE ON LABOR RELATIONS, NOVEMBER 18, 1991
AN ACT
1 Amending the act of June 2, 1915 (P.L.736, No.338), entitled, as
2 reenacted and amended, "An act defining the liability of an
3 employer to pay damages for injuries received by an employe
4 in the course of employment; establishing an elective
5 schedule of compensation; providing procedure for the
6 determination of liability and compensation thereunder; and
7 prescribing penalties," further providing for contractors;
8 further defining "occupational disease" and providing
9 therefor; further providing for partial disability and
10 specific loss; further providing for the running of periods
11 of limitation for other procedural matters, for the rights of
12 employees, and for certain attorney fees; imposing a tax upon
13 the gross receipts of workers' compensation insurance
14 carriers; establishing the Workers' Compensation Adjustment
15 Fund; and making editorial changes.
16 The General Assembly of the Commonwealth of Pennsylvania
17 hereby enacts as follows:
18 Section 1. Section 105 of the act of June 2, 1915 (P.L.736,
19 No.338), known as The Pennsylvania Workmen's Compensation Act,
20 reenacted and amended June 21, 1939 (P.L.520, No.281) and
21 amended March 29, 1972 (P.L.159, No.61), is amended to read:
22 Section 105. (a) The term "contractor," as used in article
23 two, section two hundred and three, and article three, section
1 three hundred and two (b), shall not include a contractor 2 engaged in an independent business, other than that of supplying 3 laborers or assistants, in which he serves persons other than 4 the employer in whose service the injury occurs, but shall 5 include a sub-contractor to whom a principal contractor has 6 sublet any part of the work which such principal contractor has 7 undertaken. 8 (b) For purposes of section two hundred and five and section 9 three hundred and three, a contractor shall be deemed the 10 employer of the sub-contractor's employes only if the sub- 11 contractor fails to secure the payment of compensation as 12 required by this act. 13 Section 2. Section 105.2 of the act, amended December 5, 14 1974 (P.L.782, No.263), is amended to read: 15 Section 105.2. (a) The terms "the maximum weekly 16 compensation payable" and "the maximum compensation payable per 17 week," as used in this act, mean sixty-six and two-thirds per 18 centum of "the Statewide average weekly wage" as defined in 19 section 105.1. Effective July 1, 1975, the terms "the maximum 20 weekly compensation payable" and "the maximum compensation 21 payable per week" as used in this act for injuries or death 22 after the effective date of this amendatory act shall mean the 23 Statewide average weekly wage as defined in section [105] 105.1. 24 (b) Effective January 1, 1986, the terms "the maximum weekly 25 compensation payable" and "the maximum compensation payable per 26 week," as used in this act for injuries or death after the 27 effective date of this subsection, shall mean one hundred fifty 28 per centum of the Statewide average weekly wage as defined in 29 section 105.1. 30 Section 3. Section 108(l) and (n) of the act, added October 19910H2181B2736 - 2 -
1 17, 1972 (P.L.930, No.223), are amended to read: 2 Section 108. The term "occupational disease," as used in 3 this act, shall mean only the following diseases. 4 * * * 5 (l) [Asbestosis and] Asbestos-related disease, including, 6 but not limited to, asbestosis, cancer [resulting from] of lung, 7 pleural mesothelioma, peritoneal mesothelioma, cancer of larynx, 8 cancer of the kidney, cancer of the digestive system (esophagus, 9 stomach, colon and rectum), cancer of tongue and sinuses 10 (buccopharyngeal cancer) and such other cancers as associated 11 with direct contact with, handling of, or exposure to, including 12 ingestion or inhalation of, the dust or fibers of asbestos or 13 asbestos compounds in any occupation involving such contact, 14 handling or exposure and heart disease caused by pulmonary 15 damage resulting from direct contact with, handling of, or 16 exposure to, including ingestion or inhalation of, the dust or 17 fibers of asbestos or asbestos compounds in any occupation 18 involving such contact, handling or exposure. 19 * * * 20 (n) All other diseases (1) to which the claimant is exposed 21 by reason of his employment, and (2) which are causally related 22 to the industry or occupation[, and (3) the incidence of which 23 is substantially greater in that industry or occupation than in 24 the general population]. For the purposes of this clause, 25 partial loss of hearing in one or both ears due to noise; and 26 the diseases silicosis, anthraco-silicosis and coal workers' 27 pneumoconiosis resulting from employment in and around a coal 28 mine, shall not be considered occupational diseases. 29 * * * 30 Section 4. Section 301(c)(2) and (d) of the act, amended 19910H2181B2736 - 3 -
1 December 6, 1972 (P.L.1627, No.337) and December 5, 1974 2 (P.L.782, No.263), are amended and the section is amended by 3 adding subsections to read: 4 Section 301. * * * 5 (c) * * * 6 (2) The terms "injury," "personal injury," and "injury 7 arising in the course of his employment," as used in this act, 8 shall include, unless the context clearly requires otherwise, 9 occupational disease as defined in section 108 of this act[: 10 Provided, That whenever occupational disease is the basis for 11 compensation, for disability or death under this act, it shall 12 apply only to disability or death resulting from such disease 13 and occurring within three hundred weeks after the last date of 14 employment in an occupation or industry to which he was exposed 15 to hazards of such disease: And provided further, That if the 16 employe's compensable disability has occurred within such 17 period, his subsequent death as a result of the disease shall 18 likewise be compensable]. The provisions of this paragraph (2) 19 shall apply only with respect to the disability or death of an 20 employe which results in whole or in part from the employe's 21 exposure to the hazard of occupational disease after June 30, 22 1973 in employment covered by The Pennsylvania Workmen's 23 Compensation Act. The employer liable for compensation provided 24 by section 305.1 or section 108, subsections (k), (l), (m), (o), 25 (p) or (q), shall be the employer in whose employment the 26 employe was last exposed for a period of not less than one year 27 to the hazard of the occupational disease claimed. In the event 28 the employe did not work in an exposure at least one year for 29 any employer during the three hundred week period prior to 30 disability or death, the employer liable for the compensation 19910H2181B2736 - 4 -
1 shall be that employer giving the longest period of employment 2 in which the employe was exposed to the hazards of the disease 3 claimed. 4 [(d) Compensation for silicosis, anthraco-silicosis, coal 5 worker's pneumoconiosis or asbestosis, shall be paid only when 6 it is shown that the employe has had an aggregate employment of 7 at least two years in the Commonwealth of Pennsylvania, during a 8 period of ten years next preceding the date of disability, in an 9 occupation having a silica, coal or asbestos hazard.] 10 * * * 11 (f) Notwithstanding any other provision of this act, every 12 employe disabled by asbestos-related disease on the effective 13 date of this subsection as a result of exposure to the hazard of 14 asbestos in employment within this Commonwealth covered by this 15 act, but barred from receiving compensation therefor because of 16 any of the time limitations prescribed by this act, shall 17 immediately be eligible to receive compensation in the amount of 18 seventy-five per centum of the maximum weekly compensation 19 payable on the effective date of this subsection. The 20 compensation of those entitled to benefits granted under this 21 subsection shall be paid by the Commonwealth. All persons 22 submitting claims hereunder must do so within one year after the 23 effective date of this subsection. 24 (g) Notwithstanding any other provisions of this act, any 25 person receiving compensation on the effective date of this 26 subsection for asbestosis or any other asbestos-related disease, 27 due to exposure to the hazard of asbestos on or before June 30, 28 1973, in employment covered by this act, shall have the 29 compensation rate adjusted to seventy-five per centum of the 30 maximum weekly compensation payable on the effective date of 19910H2181B2736 - 5 -
1 this subsection. Additional compensation provided by this 2 subsection shall be paid by the Commonwealth. 3 Section 5. Section 306(b) of the act, amended December 5, 4 1974 (P.L.782, No.263), is amended, subsection (c) is amended by 5 adding a clause, and the section is amended by adding 6 subsections to read: 7 Section 306. The following schedule of compensation is 8 hereby established: 9 * * * 10 (b) For disability partial in character (except the 11 particular cases mentioned in clause (c)) sixty-six and two- 12 thirds per centum of the difference between the wages of the 13 injured employe, as defined in section [three hundred and nine] 14 309(g), and the earning power of the employe thereafter; but 15 such compensation shall not be more than the maximum 16 compensation payable. This compensation shall be paid during the 17 period of such partial disability except as provided in clause 18 (e) of this section[, but for not more than five hundred weeks. 19 Should total disability be followed by partial disability, the 20 period of five hundred weeks shall not be reduced by the number 21 of weeks during which compensation was paid for total 22 disability]. The term "earning power," as used in this section, 23 shall in no case be less than the weekly amount which the 24 employe receives after the injury, and in those cases in which 25 the employe works fewer than five days per week for reasons not 26 connected with or arising out of the disability resulting from 27 the injury shall not be less than five times his actual daily 28 wage as fixed by the day, hour, or by the output of the employe; 29 and in no instance shall an employe receiving compensation under 30 this section receive more in compensation and wages combined 19910H2181B2736 - 6 -
1 than a fellow employe in employment similar to that in which the 2 injured employe was engaged at the time of the injury. 3 (c) For all disability resulting from permanent injuries of 4 the following classes, the compensation shall be exclusively as 5 follows: 6 * * * 7 (21.1) Compensation for permanent partial loss or loss of 8 use of the members or organs set forth in clauses (1) through 9 (21) shall be compensated in an amount determined by multiplying 10 the compensation for total loss or loss of use by the percentage 11 of loss or loss of use of the applicable members or organs. 12 * * * 13 (i) When a proximate cause of an injury is a violation of 14 any occupational safety and health standard as defined by the 15 Occupational Safety and Health Act of 1970 (Public Law 91-596, 16 29 U.S.C. § 651 et seq.), or any rule, regulation or order 17 issued pursuant thereto, then the compensation payable under 18 subsection (a), (b) and/or (c) of this section or under section 19 307 shall be increased by fifty per centum. 20 (j) For so long as an employe is receiving compensation 21 under this section, his employer shall additionally provide him 22 with the same fringe benefits he had at the time of the injury. 23 For purposes of this subsection, fringe benefits means health, 24 accident, eye, dental and/or prescription insurance or similar 25 benefit programs. 26 Section 6. Section 311 of the act, amended October 17, 1972 27 (P.L.930, No.223), is amended to read: 28 Section 311. (a) Unless the employer shall have knowledge 29 of the occurrence of the injury, or unless the employe or 30 someone in his behalf, or some of the dependents or someone in 19910H2181B2736 - 7 -
1 their behalf, shall give notice thereof to the employer within 2 twenty-one days after the injury, no compensation shall be due 3 until such notice be given, and, unless such notice be given 4 within one hundred and twenty days after the occurrence of the 5 injury, no compensation shall be allowed. However, in cases of 6 injury resulting from ionizing radiation, asbestos-related 7 disease or any other cause in which the nature of the injury or 8 its relationship to the employment is not known to the employe, 9 the time for giving notice shall not begin to run until the 10 employe knows, or by the exercise of reasonable diligence should 11 know, of the existence of the injury and its possible 12 relationship to his employment. Additionally, the time for 13 giving notice of a claim for loss of hearing shall not begin to 14 run until the employe has received an audiogram administered by 15 a licensed or certified audiologist or board-certified 16 otolaryngologist with an accompanying report thereon, indicating 17 the employe has suffered a compensable loss of hearing. 18 (b) The term "injury" in this section means, in cases of 19 occupational disease, disability resulting from occupational 20 disease. 21 Section 7. Section 314 of the act, amended February 28, 1956 22 (1955 P.L.1120, No.356), is amended to read: 23 Section 314. (a) At any time after an injury the employe, 24 if so requested by his employer, must submit himself for 25 examination, at some reasonable time and place, to a physician 26 or physicians legally authorized to practice under the laws of 27 such place, who shall be selected and paid by the employer. 28 Notwithstanding the foregoing, if a claim petition or other 29 petition by the employe is pending, the employer may not request 30 the employe to undergo an examination by a physician more than 19910H2181B2736 - 8 -
1 forty-five days after the petition was filed. 2 (b) If the employe shall refuse upon the request of the 3 employer, to submit to the examination by the physician or 4 physicians selected by the employer, the board may, upon 5 petition of the employer, order the employe to submit to an 6 examination at a time and place set by it, and by the physician 7 or physicians selected and paid by the employer, or by a 8 physician or physicians designated by it and paid by the 9 employer. The board may at any time after such first 10 examination, upon petition of the employer, order the employe to 11 submit himself to such further examinations as it shall deem 12 reasonable and necessary, at such times and places and by such 13 physicians as it may designate; and in such case, the employer 14 shall pay the fees and expenses of the examining physician or 15 physicians, and the reasonable traveling expenses and loss of 16 wages incurred by the employe in order to submit himself to such 17 examination. The refusal or neglect, without reasonable cause or 18 excuse, of the employe to submit to such examination ordered by 19 the board, either before or after an agreement or award, shall 20 deprive him of the right to compensation, under this article, 21 during the continuance of such refusal or neglect, and the 22 period of such neglect or refusal shall be deducted from the 23 period during which compensation would otherwise be payable. 24 (c) The employe shall be entitled to have a physician or 25 physicians of his own selection, to be paid by him, participate 26 in any examination requested by his employer or ordered by the 27 board. 28 Section 8. Section 315 of the act, amended April 4, 1974 29 (P.L.239, No.56) and December 5, 1974 (P.L.782, No.263), is 30 amended to read: 19910H2181B2736 - 9 -
1 Section 315. (a) In cases of personal injury all claims for 2 compensation shall be forever barred, unless, within three years 3 after the injury, the parties shall have agreed upon the 4 compensation payable under this article; or unless within three 5 years after the injury, one of the parties shall have filed a 6 petition as provided in article four hereof. In cases of death 7 all claims for compensation shall be forever barred, unless 8 within three years after the death, the parties shall have 9 agreed upon the compensation under this article; or unless, 10 within three years after the death, one of the parties shall 11 have filed a petition as provided in article four hereof. Where, 12 however, in the case of any person receiving benefits pursuant 13 to the act of June 28, 1935 (P.L.477, No.193), referred to as 14 the Heart and Lung Act, the [two-year] three-year period in 15 which parties must agree upon the compensation or file a 16 petition for compensation in cases of personal injury or in 17 death, shall not begin to run until the expiration of the 18 receipt of benefits pursuant to the Heart and Lung Act. Where, 19 however, payments of compensation have been made in any case, 20 said limitations shall not take effect until the expiration of 21 three years from the time of the making of the most recent 22 payment prior to date of filing such petition: Provided, That 23 any payment made under an established plan or policy of 24 insurance for the payment of benefits on account of non- 25 occupational illness or injury and which payment is identified 26 as not being workmen's compensation shall not be considered to 27 be payment in lieu of workmen's compensation, and such payment 28 shall not toll the running of the Statute of Limitations. 29 However, in cases of injury resulting from ionizing radiation or 30 asbestos-related disease in which the nature of the injury or 19910H2181B2736 - 10 -
1 its relationship to the employment is not known to the employe, 2 the time for filing a claim shall not begin to run until the 3 employe knows, or by the exercise of reasonable diligence should 4 know, of the existence of the injury and its possible 5 relationship to his employment. Additionally, the time for 6 filing a claim for loss of hearing shall not begin to run until 7 the employe has received an audiogram, administered by a 8 licensed or certified audiologist or board-certified 9 otolaryngologist, with an accompanying report thereon, 10 indicating the employe has suffered a compensable loss of 11 hearing. 12 (b) The term "injury" in this section means, in cases of 13 occupational disease, disability resulting from occupational 14 disease. 15 Section 9. Section 319 of the act, amended March 29, 1972 16 (P.L.159, No.61), is amended to read: 17 Section 319. (a) Where the compensable injury is caused in 18 whole or in part by the act or omission of a third party, the 19 employer shall be subrogated to the right of the employe, his 20 personal representative, his estate or his dependents, against 21 such third party to the extent of the compensation payable under 22 this article by the employer; reasonable attorney's fees and 23 other proper disbursements incurred in obtaining a recovery or 24 in effecting a compromise settlement shall be prorated between 25 the employer and employe, his personal representative, his 26 estate or his dependents. The employer shall pay that proportion 27 of the attorney's fees and other proper disbursements that the 28 amount of compensation paid or payable at the time of recovery 29 or settlement bears to the total recovery or settlement. Any 30 recovery against such third person in excess of the compensation 19910H2181B2736 - 11 -
1 theretofore paid by the employer shall be paid forthwith to the 2 employe, his personal representative, his estate or his 3 dependents, and shall be treated as an advance payment by the 4 employer on account of any future instalments of compensation. 5 (b) Where an employe has received payments for the 6 disability or medical expense resulting from an injury in the 7 course of his employment paid by the employer [or], an insurance 8 company, a labor organization, a health and welfare fund or 9 other similar such beneficial entity, on the basis that the 10 injury and disability were not compensable under this act in the 11 event of an agreement or award for that injury the employer 12 [or], insurance company, labor organization, health and welfare 13 fund or other similar such beneficial entity who made the 14 payments shall be subrogated out of the agreement or award to 15 the amount so paid, if the right to subrogation is agreed to by 16 the parties or is established at the time of hearing before the 17 referee or the board. 18 Section 10. Section 406.1 of the act, added February 8, 1972 19 (P.L.25, No.12), is amended to read: 20 Section 406.1. (a) The employer and insurer shall promptly 21 investigate each injury reported or known to the employer and 22 shall proceed promptly to commence the payment of compensation 23 due either pursuant to an agreement upon the compensation 24 payable or a notice of compensation payable as provided in 25 section 407, on forms prescribed by the department and furnished 26 by the insurer. The first installment of compensation shall be 27 paid not later than the twenty-first day after the employer has 28 notice or knowledge of the employe's disability. Interest shall 29 accrue on all due and unpaid compensation at the [rate] greater 30 of ten per centum per annum[.] or at two per centum per annum 19910H2181B2736 - 12 -
1 plus the interest rate determined annually by the Secretary of 2 Revenue pursuant to section 806 of the act of April 9, 1929 3 (P.L.343, No.176), known as "The Fiscal Code." Any payment of 4 compensation prior or subsequent to an agreement or notice of 5 compensation payable or greater in amount than provided therein 6 shall, to the extent of the amount of such payment or payments, 7 discharge the liability of the employer with respect to such 8 case. 9 (b) Payments of compensation pursuant to an agreement or 10 notice of compensation payable may be suspended, terminated, 11 reduced or otherwise modified by petition and subject to right 12 of hearing as provided in section 413. 13 (c) If the insurer controverts the right to compensation it 14 shall [promptly], within twenty days after the employer has 15 notice or knowledge of the employe's injury, notify the employe 16 or his dependent, on a form prescribed by the department, 17 stating the grounds upon which the right to compensation is 18 controverted and shall forthwith furnish a copy or copies to the 19 department. 20 (d) Repeated or unreasonable failures by an insurer to 21 comply with the time limitations herein shall constitute cause 22 for the Insurance Commissioner to revoke its license to transact 23 workmen's compensation insurance business in this Commonwealth. 24 Section 11. Section 410 of the act, amended March 29, 1972 25 (P.L.159, No.61), is amended to read: 26 Section 410. (a) If, after any injury, the employer or his 27 insurer and the employe or his dependent, concerned in any 28 injury, shall fail to agree upon the facts thereof or the 29 compensation due under this act, the employe or his dependents 30 may present a claim petition for compensation to the department. 19910H2181B2736 - 13 -
1 (b) If the employe has insurance coverage for nonwork- 2 related disability or medical expense, the nonwork-related 3 insurance carrier shall promptly make such disability or medical 4 payments to or on account of the employe and, in the event of an 5 agreement or award for the injury, the insurance company which 6 made the payment shall be subrogated out of the agreement or 7 award to the extent of the amount so paid. 8 (c) In case any claimant shall die before the final 9 adjudication of his claim, the amount of compensation due such 10 claimant to the date of death shall be paid to the dependents 11 entitled to compensation, or, if there be no dependents, then to 12 the estate of the decedent. 13 (d) Whenever any claim for compensation is presented and the 14 only issue involved is the liability as between the defendant or 15 the carrier or two or more defendants or carriers, the referee 16 of the department to whom the claim in such case is presented 17 shall forthwith order payments to be immediately made by the 18 defendants or the carriers in said case. After the department's 19 referee or the board on appeal, render a final decision, the 20 payments made by the defendant or carrier not liable in the case 21 shall be awarded or assessed against the defendant or carrier 22 liable in the case, as costs in the proceedings, in favor of the 23 defendant or carrier not liable in the case. 24 Section 12. Section 416 of the act, amended February 8, 1972 25 (P.L.25, No.12), is amended to read: 26 Section 416. (a) Within fifteen days after a copy of any 27 claim petition or other petition has been served upon an adverse 28 party, he may file with the department or its referee an answer 29 in the form prescribed by the department. 30 (b) Every fact alleged in a claim petition not specifically 19910H2181B2736 - 14 -
1 denied by an answer so filed by an adverse party shall be deemed 2 to be admitted by him. But the failure of any party or of all of 3 them to deny a fact alleged in any other petition shall not 4 preclude the referee before whom the petition is heard from 5 requiring, of his own motion, proof of such fact. If a party 6 fails to file an answer and/or fails to appear in person or by 7 counsel at the hearing without adequate excuse, the referee 8 hearing the petition shall decide the matter on the basis of the 9 petition and evidence presented. 10 (c) All claim petitions shall contain a request for 11 preliminary relief, and the referee shall hold a hearing thereon 12 within sixty days. The referee shall grant such preliminary 13 relief if the claimant: (1) makes a prima facie case that he is 14 entitled to compensation, and (2) establishes that without such 15 preliminary relief, he lacks sufficient financial resources to 16 pay for his, and his dependent's, housing, food and clothing 17 until the time a final decision on the claim petition could be 18 expected to be rendered. For purposes of the hearing on 19 preliminary relief, a certificate by any qualified physician as 20 to the history, examination, treatment, diagnosis and cause of 21 condition, and affidavits by other witnesses, shall be 22 sufficient evidence for establishing facts for a prima facie 23 case. The preliminary relief shall be in the amount the claimant 24 would be entitled to by his prima facie case. If payments of 25 compensation are made pursuant to the grant of preliminary 26 relief, and upon the final decision on the claim petition it is 27 determined that such compensation was not, in fact, payable, the 28 employer or insurer which has made suit payments shall be 29 reimbursed therefor from the Workmen's Compensation Supersedeas 30 Fund, in accordance with the procedures in section 443. 19910H2181B2736 - 15 -
1 Section 13. Section 422 of the act, amended February 8, 1972 2 (P.L.25, No.12) and March 29, 1972 (P.L.159, No.61), is amended 3 to read: 4 Section 422. (a) Neither the board nor any of its members 5 nor any referee shall be bound by the common law or statutory 6 rules of evidence in conducting any hearing or investigation, 7 but all findings of fact shall be based upon sufficient 8 competent evidence to justify same. 9 (b) If any party or witness resides outside of the 10 Commonwealth, or through illness or other cause is unable to 11 testify before the board or a referee, his or her testimony or 12 deposition may be taken, within or without this Commonwealth, in 13 such manner and in such form as the department may, by special 14 order or general rule, prescribe. The records kept by a hospital 15 of the medical or surgical treatment given to an employe in such 16 hospital shall be admissible as evidence of the medical and 17 surgical matters stated therein. 18 (c) Where any claim for compensation at issue before a 19 referee involves [twenty-five] seventy-five weeks or less of 20 disability, either the employe or the employer may submit a 21 certificate by any qualified physician as to the history, 22 examination, treatment, diagnosis and cause of the condition, 23 and sworn reports by other witnesses as to any other facts and 24 such statements shall be admissible as evidence of medical and 25 surgical or other matters therein stated and findings of fact 26 may be based upon such certificates or such reports. 27 (d) Where an employer shall have furnished surgical and 28 medical services or hospitalization in accordance with the 29 provisions of subsection (f) of section 306, or where the 30 employe has himself procured them, the employer or employe 19910H2181B2736 - 16 -
1 shall, upon request, in any pending proceeding, be furnished 2 with, or have made available, a true and complete record of the 3 medical and surgical services and hospital treatment, including 4 X rays, laboratory tests, and all other medical and surgical 5 data in the possession or under the control of the party 6 requested to furnish or make available such data. 7 (e) The department may adopt rules and regulations governing 8 the conduct of all hearings held pursuant to any provisions of 9 this act, and hearings shall be conducted in accordance 10 therewith, and in such manner as best to ascertain the 11 substantial rights of the parties. 12 Section 14. Section 440 of the act, added February 8, 1972 13 (P.L.25, No.12), is amended to read: 14 Section 440. (a) In any contested case where the insurer 15 has contested liability in whole or in part, the employe or his 16 dependent, as the case may be, in whose favor the matter at 17 issue has been finally determined shall be awarded, in addition 18 to the award for compensation, a reasonable sum for costs 19 incurred for attorney's fee, witnesses, necessary medical 20 examination, and the value of unreimbursed lost time to attend 21 the proceedings: Provided, [That cost for attorney fees may be 22 excluded when a reasonable basis for the contest has been 23 established: And provided further,] That if the insurer has paid 24 or tendered payment of compensation and the controversy relates 25 to the amount of compensation due, costs for attorney's fee 26 shall be based only on the difference between the final award of 27 compensation and the compensation paid or tendered by the 28 insurer. 29 (b) In contested cases involving petitions to terminate, 30 reinstate, increase, reduce or otherwise modify compensation 19910H2181B2736 - 17 -
1 awards, agreements or other payment arrangements or to set aside 2 final receipts, where the contested issue, in whole or part, is 3 resolved in favor of the claimant, the claimant shall be 4 entitled to an award of reasonable costs as hereinabove set 5 forth. 6 Section 15. The act is amended by adding a section to read: 7 Section 505. Any employer who discharges, demotes, or in any 8 other manner discriminates against any employe, or who threatens 9 to do any of the aforementioned, because such employe has 10 exercised, or made known his intention to exercise, any of his 11 rights under this act, shall be deemed to have violated this act 12 and said employer shall be penalized in an amount which is the 13 greater of two thousand dollars ($2,000) per violation or the 14 amount as determined by section 435(d). In addition, the 15 employer shall be liable to the employe in an action at law for 16 special and general damages caused by such violations. 17 Section 16. The act is amended by adding an article to read: 18 ARTICLE VII 19 WORKERS' COMPENSATION 20 ADJUSTMENT FUND 21 Section 701. As used in this article, the following words 22 and phrases shall have the meanings given to them in this 23 section unless the context clearly indicates otherwise: 24 "Fund." The Workers' Compensation Adjustment Fund. 25 "Workers' Compensation Insurance." Includes insurance 26 written to cover liability under this act and the act of June 27 21, 1939 (P.L.566, No.284), known as "The Pennsylvania 28 Occupational Disease Act." 29 Section 702. (a) There is hereby established in the State 30 Treasury a separate account to be known as the Workers' 19910H2181B2736 - 18 -
1 Compensation Adjustment Fund. This fund shall be administered by 2 the Department of Labor and Industry. 3 (b) The moneys in the fund shall be used for cost-of-living 4 adjustments in workers' compensation payments, as the General 5 Assembly may by law provide. 6 Section 703. (a) There is hereby imposed a tax of one per 7 centum upon all gross receipts, including investment income, 8 relating to workers' compensation received by any insurer 9 licensed in this Commonwealth to engage in the business of 10 workers' compensation insurance. 11 (b) This tax shall be collected by the Department of Revenue 12 on an annual basis and paid into the fund. 13 Section 17. This act shall take effect January 1, 1992. K8L77SFG/19910H2181B2736 - 19 -