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        PRIOR PRINTER'S NO. 4162                      PRINTER'S NO. 4191

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2738 Session of 2006


        INTRODUCED BY ALLEN, COHEN, PERZEL, EACHUS, PHILLIPS,
           S. H. SMITH, BAKER, BALDWIN, BASTIAN, BENNINGHOFF, BIRMELIN,
           BOYD, BUNT, BUXTON, CAPPELLI, CAUSER, CRAHALLA, DENLINGER,
           FLEAGLE, GEORGE, GILLESPIE, GOOD, GOODMAN, HARRIS, HENNESSEY,
           HERSHEY, HESS, HICKERNELL, HUTCHINSON, KAUFFMAN, KOTIK,
           LEACH, MACKERETH, MARKOSEK, McCALL, McILHATTAN, METCALFE,
           R. MILLER, MUSTIO, NICKOL, PICKETT, PYLE, REED, REICHLEY,
           SABATINA, SATHER, SCAVELLO, SCHRODER, STEIL, STERN,
           R. STEVENSON, TANGRETTI, E. Z. TAYLOR, TIGUE, TRUE, WALKO,
           WANSACZ, WILT, ADOLPH, GERBER, DALLY, JOSEPHS, KENNEY,
           SIPTROTH, GEIST AND BEYER, JUNE 7, 2006

        AS REPORTED FROM COMMITTEE ON LABOR RELATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 12, 2006

                                     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 schedule of
     8     compensation, for definitions relating to procedure and for
     9     enforcement of standards and processing of claims; providing
    10     for the Workers' Compensation Appeal Board; further providing
    11     for assignment of claims to referees, for rehearings, for
    12     counsel fees and for the Office of Adjudication; providing
    13     for an Uninsured Employers Guaranty Fund; and making a
    14     related repeal.

    15     The General Assembly of the Commonwealth of Pennsylvania
    16  hereby enacts as follows:
    17     Section 1.  Section 306(h) of the act of June 2, 1915
    18  (P.L.736, No.338), known as the Workers' Compensation Act,
    19  reenacted and amended June 21, 1939 (P.L.520, No.281) and added

     1  December 5, 1974 (P.L.782, No.263), is amended to read:
     2     Section 306.  The following schedule of compensation is
     3  hereby established:
     4     * * *
     5     (h)  Any person receiving compensation under sections 306(a),
     6  [306(b), 306(c)(23), or section] 306(c)(23) or 307, as a result
     7  of an [accident] injury which occurred prior to [the effective
     8  date of the amendatory act of January 17, 1968 (P.L.6, No.4)
     9  shall have the compensation rate adjusted to the level they
    10  would have received had the injury occurred on the effective
    11  date of the amendatory act of January 17, 1968 (P.L.6, No.4) and
    12  had the injured employe been earning wages equal to ninety
    13  dollars ($90) per week.] August 31, 1993, shall, beginning July
    14  1, 2006, receive a minimum amount of one hundred dollars ($100)
    15  per week. The additional compensation shall be paid by the self-
    16  insured employer or insurance carrier making payment and shall
    17  be reimbursed in advance by the Commonwealth on a quarterly
    18  basis as provided in rules and regulations of the department.
    19  The payment of additional compensation shall be made by the
    20  carrier or self-insured employer only during those fiscal years
    21  for which appropriations are made to cover reimbursement.
    22     Section 2.  Section 401 of the act, amended February 8, 1972
    23  (P.L.25, No.12), July 2, 1993 (P.L.190, No.44) and June 24, 1996
    24  (P.L.350, No.57), is amended to read:
    25     Section 401.  The term "referee," when used in this act,
    26  shall mean a Workers' Compensation Judge of the Department of
    27  Labor and Industry, appointed by and subject to the general
    28  supervision of the Secretary of Labor and Industry for the
    29  purpose of conducting departmental hearings under this act. The
    30  secretary may establish different classes of these judges. Any
    20060H2738B4191                  - 2 -     

     1  reference in any statute to a workmen's compensation referee
     2  shall be deemed to be a reference to a workers' compensation
     3  judge.
     4     The term "board," when used in this article, shall mean the
     5  Workers' Compensation Appeal Board, a departmental
     6  administrative board as provided in sections 202, 207, 503 and
     7  2208 of the act of April 9, 1929 (P.L.177), known as "The
     8  Administrative Code of 1929," exercising its powers and
     9  performing its duties as an appellate board independently of the
    10  Secretary of Labor and Industry and any other official of the
    11  department.
    12     The term "fund," when used in this article, shall mean the
    13  State Workmen's Insurance Fund of this Commonwealth, the State-
    14  operated insurance carrier from which workmen's compensation
    15  insurance policies may be purchased by employers to cover all
    16  risks of liability under this act including those declined by
    17  private carriers.
    18     The terms "insurer" and "carrier," when used in this article,
    19  shall mean the State Workmen's Insurance Fund or other insurance
    20  carrier which has insured the employer's liability under this
    21  act, or the employer in cases of self-insurance.
    22     The term "employer," when used in this article, shall mean
    23  the employer as defined in article one of this act, or his duly
    24  authorized agent, or his insurer if such insurer has assumed the
    25  employer's liability or the fund if the employer be insured
    26  therein.
    27     The term "resolution court," when used in this article, shall
    28  mean a court established in each district with the sole purpose
    29  of providing a vehicle to present a compromise and release to a
    30  judge in an expedited fashion.
    20060H2738B4191                  - 3 -     

     1     The term "mediation," when used in this article, shall mean a
     2  conference conducted by a workers' compensation judge, but not
     3  necessarily the judge assigned to the actual case involving the
     4  parties, and shall require the attendance in person of all
     5  parties including the claimant and employer, and their
     6  respective counsel. The representative from the employer must
     7  have requisite authority to bring about settlement of the case
     8  or must have the ability to obtain said authority during the
     9  course of the mediation.
    10     Section 3.  Section 401.1 of the act, added February 8, 1972
    11  (P.L.25, No.12), is amended to read:
    12     Section 401.1.  The department shall, in fulfillment of its
    13  responsibilities under this act, enforce the time standards and
    14  other performance standards herein provided for the prompt
    15  processing of injury cases and payment of compensation when due
    16  by employers and insurers both upon petition by a party or on
    17  its own motion. In any case in which compensation has not been
    18  timely paid, or in which notice of denial of compensation has
    19  been given, the department shall hear and determine all claim
    20  petitions for compensation filed by employes or their
    21  dependents. The department shall also hear and determine all
    22  petitions by employers or insurers to suspend, terminate, reduce
    23  or otherwise modify compensation payments, awards, or agreements
    24  and petitions by employes or their dependents to increase,
    25  modify or reinstate compensation payments, awards, or
    26  agreements. Hearings shall be scheduled forthwith upon receipt
    27  of the claim petition or other petition, as the case may be, and
    28  determinations thereon shall be made promptly and in conformity
    29  with time standards herein or hereunder established. Such
    30  hearings shall be conducted by a [referee] workers' compensation
    20060H2738B4191                  - 4 -     

     1  judge or other hearing officer designated by the secretary.
     2     Each workers' compensation judge assigned to conduct hearings
     3  shall set forth a mandatory trial schedule at the first hearing.
     4  This trial schedule shall include specific deadlines for the
     5  presentation of evidence by the parties and dates for future
     6  hearings. Judges shall strictly enforce their schedules, and no
     7  party will be excused from honoring the schedule absent good
     8  cause shown. Every trial schedule shall include a specific date
     9  and time for a mediation conference. Mediations shall take place
    10  no later than thirty (30) days prior to the date set for filing
    11  proposed findings of fact and conclusions on law or legal briefs
    12  or memoranda, unless, upon good cause shown, the workers'
    13  compensation judge determines mediation would be futile. In the
    14  event that the parties reach a settlement on a case that is
    15  presently in litigation, the workers' compensation judge, upon
    16  being provided notice of a settlement, shall hold compromise and
    17  release hearing within fourteen (14) BUSINESS days of receipt of  <--
    18  notice of the settlement.
    19     Each district within the Commonwealth shall create a
    20  resolution court that will have the ability to hear compromise
    21  and release agreements in an expedited manner. The workers'
    22  compensation judge who is sitting in resolution court will not
    23  be required to have received formal assignment by the bureau of
    24  the compromise and release petition prior to conducting the
    25  settlement hearing. A workers' compensation judge shall render a
    26  decision within five (5) business days of the hearing.
    27     Delays in hearings will be granted according to rules
    28  established by the department, and any party who unreasonably
    29  delays a hearing will be subject to a penalty as provided in
    30  section 435. Subject to the provisions of the act of July 31,
    20060H2738B4191                  - 5 -     

     1  1968 (P.L.769, No.240), known as the "Commonwealth Documents
     2  Law," the department shall adopt such rules and regulations as
     3  it finds necessary or desirable for the enforcement of this act.
     4     Section 4.  The act is amended by adding a section to read:
     5     Section 401.2.  (a)  The Workers' Compensation Appeal Board
     6  shall consist of at least three, and not more than fifteen,
     7  appointed members, of whom the Governor shall designate one as
     8  chairman; the Governor may, on the recommendation of the
     9  Secretary of Labor and Industry, increase the number of
    10  appointed members on the board. An en banc board shall consist
    11  of all the appointed members on the board, a majority of which
    12  shall constitute a quorum, and no action of the board shall be
    13  valid unless it shall have the concurrence of such number of
    14  members and that number constitutes a majority of the votes
    15  cast. Where there are more than three appointed members, the
    16  board may sit in panels of three, a majority of the panel ALL     <--
    17  THREE MEMBERS shall constitute a quorum and no action taken by a
    18  panel shall be valid unless it shall have the concurrence of a
    19  majority of the votes cast. PANEL MEMBERS. WHEN A MAJORITY OF     <--
    20  ANY SUCH PANEL HAS REACHED A DECISION, THE CHAIR OF THE PANEL
    21  SHALL ASSIGN THE WRITING OF AN OPINION AND ORDER TO A PANEL
    22  MEMBER. THE PANEL MEMBER SHALL PREPARE A DRAFT OPINION AND AWARD
    23  AND TRANSMIT IT TO THE SECRETARY OF THE BOARD FOR CIRCULATION
    24  AND REVIEW TO ALL MEMBERS OF THE WORKERS' COMPENSATION APPEAL
    25  BOARD. EACH MEMBER OF THE WORKERS' COMPENSATION APPEAL BOARD
    26  SHALL BE ENTITLED TO A PERIOD OF THIRTY (30) DAYS FROM THE DATE
    27  A DRAFT OPINION ON BEHALF OF A MAJORITY OF A PANEL IS PLACED IN
    28  CIRCULATION BY THE SECRETARY OF THE BOARD IN WHICH TO CONCUR IN,
    29  COMMENT ON, OBJECT TO OR DISSENT FROM THE PROPOSED DRAFT OPINION
    30  AND AWARD. CONCURRENCES, COMMENTS, OBJECTIONS AND DISSENTS SHALL
    20060H2738B4191                  - 6 -     

     1  BE TRANSMITTED TO THE CHAIRMAN OF THE BOARD, THE SECRETARY OF
     2  THE BOARD AND THE BOARD MEMBER RESPONSIBLE FOR WRITING THE DRAFT
     3  OPINION. A BOARD MEMBER WHO DOES NOT SUBMIT A WRITTEN RESPONSE
     4  TO A PROPOSED DRAFT OPINION AND ORDER CIRCULATED SHALL BE DEEMED
     5  TO CONCUR IN THE OPINION AND ORDER AS DRAFTED AND INITIALLY
     6  PLACED IN CIRCULATION IN CONFORMITY WITH THE PROCEDURE SET FORTH
     7  IN SUBSECTION (A). IF AT THE CONCLUSION OF THE THIRTY-DAY (30-
     8  DAY) PERIOD A MAJORITY OF THE MEMBERS OF THE BOARD HAVE FAILED
     9  TO CONCUR IN THE DRAFT OPINION AND ORDER AS CIRCULATED, THE
    10  CHAIRMAN OF THE WORKERS' COMPENSATION APPEAL BOARD, IN
    11  CONSULTATION WITH THE CHAIR OF THE PANEL THAT HEARD THE CASE IN
    12  QUESTION SHALL REASSIGN THE OPINION TO A BOARD MEMBER FOR THE
    13  PURPOSE OF REDRAFTING AND CIRCULATING A DRAFT OPINION AND ORDER
    14  IN CONFORMITY WITH THE PROCEDURES ARTICULATED IN THIS SUBSECTION
    15  (A). A vacancy on the board shall not impair the right of a
    16  quorum to exercise all the rights and perform all the duties of
    17  the board. The Secretary of Labor and Industry, with the
    18  approval of the Governor, shall appoint a secretary to the
    19  Workers' Compensation Appeal Board, who shall receive such
    20  salary as the Secretary of Labor and Industry, with the approval
    21  of the Governor, shall determine.
    22     (b)  Members of the Workers' Compensation Appeal Board shall   <--
    23  meet the following minimum requirements:
    24     (1)  Be an attorney in good standing before the Supreme
    25  Court.
    26     (2)  Have five (5) years of workers' compensation practice
    27  before administrative agencies or equivalent experience.
    28     (B)  MEMBERS OF THE BOARD SHALL BE REQUIRED TO ANNUALLY        <--
    29  ATTEND AND PARTICIPATE IN A MINIMUM OF EIGHT (8) HOURS OF
    30  WORKERS' COMPENSATION RELATED EDUCATION APPROVED BY THE
    20060H2738B4191                  - 7 -     

     1  PENNSYLVANIA SUPREME COURT CONTINUING LEGAL EDUCATION BOARD OR A
     2  SIMILAR REPUTABLE AGENCY APPROVED BY THE DEPARTMENT.
     3     (c)  A member of the Workers' Compensation Appeal Board shall
     4  conform to the following code of ethics:
     5     (1)  Avoid impropriety and the appearance of impropriety in
     6  all activities.
     7     (2)  Perform duties impartially and diligently.
     8     (3)  Avoid ex parte communications in any contested, on-the-
     9  record matter pending before the department.
    10     (4)  Abstain from expressing publicly, except in
    11  administrative disposition or adjudication, personal views on
    12  the merits of an adjudication pending before the department and
    13  require similar abstention on the part of department personnel
    14  subject to the member's direction and control.
    15     (5)  Require staff and personnel subject to the member's
    16  direction and control to observe the standards of fidelity and
    17  diligence that apply to a member.
    18     (6)  Initiate appropriate disciplinary measures against
    19  department personnel subject to the member's direction and
    20  control for unethical conduct.
    21     (7)  Disqualify himself from proceedings in which
    22  impartiality may be reasonably questioned.
    23     (8)  Keep informed about the personal and fiduciary interests
    24  of himself and his immediate family.
    25     (9)  Regulate outside activities to minimize the risk of
    26  conflict with official duties. A member may speak, write or
    27  lecture, and reimbursed expenses, honoraria, royalties or other
    28  money received in connection therewith shall be disclosed
    29  annually. A disclosure statement shall be filed with the
    30  secretary and the State Ethics Commission and shall be open to
    20060H2738B4191                  - 8 -     

     1  inspection by the public during the normal business hours of the
     2  department and the commission during the tenure of the member.
     3     (10)  Refrain from direct or indirect solicitation of funds
     4  for political, educational, religious, charitable, fraternal or
     5  civic purposes: Provided, however, That a member may be an
     6  officer, a director or a trustee of such organizations.
     7     (11)  Refrain from financial or business dealings which would
     8  tend to reflect adversely on impartiality. A member may hold and
     9  manage investments which are not incompatible with the duties of
    10  office.
    11     (12)  Uphold the integrity and independence of the workers'
    12  compensation system.
    13     (d)  Individuals who are currently serving as members of the
    14  Workers' Compensation Appeal Board shall continue to serve,
    15  subject to the provisions of subsection (c).
    16     (e)  The secretary shall ensure that there are at least two
    17  opinion writers assigned to each member of the board. OPINION     <--
    18  WRITERS EMPLOYED BY OR ON BEHALF OF THE BOARD WHOSE DUTIES
    19  INVOLVE, IN WHOLE OR IN PART, THE WRITING OR DRAFTING OF
    20  PROPOSED OPINIONS, DECISIONS OR ORDERS FOR THE BOARD OR ANY
    21  MEMBER OF THE BOARD SHALL BE REQUIRED TO ANNUALLY ATTEND AND
    22  PARTICIPATE IN A MINIMUM OF EIGHT (8) HOURS OF CONTINUING LEGAL
    23  EDUCATION IN THE FIELD OF WORKERS' COMPENSATION PRACTICE AND
    24  PROCEDURE IN COURSES APPROVED BY THE PENNSYLVANIA SUPREME COURT
    25  CONTINUING LEGAL EDUCATION BOARD.
    26     Section 5.  Section 414 of the act, amended February 8, 1972
    27  (P.L.25, No.12), is amended to read:
    28     Section 414.  Whenever a claim petition or other petition is
    29  presented to the department, the department shall, by general
    30  rules or special order, assign it to a [referee] WORKERS'         <--
    20060H2738B4191                  - 9 -     

     1  COMPENSATION JUDGE for hearing. When assigning petitions,
     2  INCLUDING THOSE OF THE RESOLUTION COURT, the department shall     <--
     3  not assign to a particular referee WORKERS' COMPENSATION JUDGE    <--
     4  more than seventy-five per centum of the petitions from a
     5  particular county.
     6     The department shall serve upon each adverse party a copy of
     7  the petition, together with a notice that such petition will be
     8  heard by the referee to whom it has been assigned (giving his
     9  name and address) as the case may be, and, shall mail the
    10  original petition to such referee, together with copies of the
    11  notices served upon the adverse parties.
    12     Section 6.  Section 426 of the act, amended February 8, 1972
    13  (P.L.25, No.12) and repealed in part April 28, 1978 (P.L.202,
    14  No.53), is amended to read:
    15     Section 426.  The board, upon petition of any party and upon
    16  cause shown, may grant a rehearing of any petition upon which
    17  the board has made an award or disallowance of compensation or
    18  other order or ruling, or upon which the board has sustained or
    19  reversed any action of a referee; but such rehearing shall not
    20  be granted more than eighteen months after the board has made
    21  such award, disallowance, or other order or ruling, or has
    22  sustained or reversed any action of the referee: Provided,
    23  however, That nothing contained in this section shall limit or
    24  restrict the right of the board, or a referee to review, modify,
    25  set aside, reinstate, suspend, or terminate, an original or
    26  supplemental agreement, or an award in accordance with the
    27  provisions of section four hundred thirteen of this article. A
    28  rehearing shall be conducted by the board en banc.
    29     Section 7.  Section 442 of the act, amended June 24, 1996
    30  (P.L.350, No.57), is amended to read:
    20060H2738B4191                 - 10 -     

     1     Section 442.  All counsel fees, agreed upon by claimant and
     2  his attorneys, for services performed in matters before any
     3  workers' compensation judge or the board, whether or not allowed
     4  as part of a judgment, shall be approved by the workers'
     5  compensation judge or board as the case may be, providing the
     6  counsel fees do not exceed twenty per centum of the amount
     7  awarded. [The official conducting any hearing, upon cause shown,
     8  may allow a reasonable attorney fee exceeding twenty per centum
     9  of the amount awarded at the discretion of the hearing
    10  official.]
    11     In cases where the efforts of claimant's counsel produce a
    12  result favorable to the claimant but where no immediate award of
    13  compensation is made such as in cases of termination or
    14  suspension the hearing official shall allow or award reasonable
    15  counsel fees, as agreed upon by claimant and his attorneys,
    16  without regard to any per centum. In the case of compromise and
    17  release settlement agreements, where there is no underlying
    18  litigation, no counsel fees shall exceed twenty per centum of
    19  the workers' compensation settlement amount.
    20     Section 8.  Section 1401 of the act, added June 24, 1996
    21  (P.L.350, No.57), is amended to read:
    22     Section 1401.  (a)  There is created within the department an
    23  office to be known as the Office of Adjudication.
    24     (b)  The secretary shall appoint as many qualified and
    25  competent workers' compensation judges as necessary to conduct
    26  matters under this act.
    27     (c)  The secretary shall set normal working hours for
    28  workers' compensation judges. During those hours, workers'
    29  compensation judges shall devote full time to their official
    30  duties and shall perform no work inconsistent with their duties
    20060H2738B4191                 - 11 -     

     1  as workers' compensation judges. Workers' compensation judges
     2  shall not engage in any unapproved activities during normal
     3  working hours.
     4     (d)  Workers' compensation judges shall be afforded
     5  employment security as provided by the act of August 5, 1941
     6  (P.L.752, No.286), known as the "Civil Service Act."
     7     (e)  Compensation for workers' compensation judges shall be
     8  established by the Executive Board. Compensation for workers'
     9  compensation judges shall be established by the executive board
    10  at a pay range not less than the pay range for administrative
    11  law judges appointed under section 212 of the act of April 12,
    12  1951 (P.L.90, No.21), known as the "Liquor Code," and 66 Pa.C.S.
    13  § 304 (relating to administrative law judges). A workers'
    14  compensation judge's step classification shall not be decreased
    15  upon reassignment of workers' compensation judges to a higher
    16  pay range.
    17     (f)  The secretary shall develop and require all workers'
    18  compensation judges to complete a course of training and
    19  instruction in the duties of their respective offices and pass
    20  an examination prior to assuming office. The course of training
    21  and instruction shall not exceed four weeks in duration and
    22  shall consist of a minimum of forty hours of class instruction
    23  in medicine and law.
    24     (g)  The secretary shall develop a continuing professional
    25  development plan for workers' compensation judges which shall
    26  require the annual completion of twenty hours of approved
    27  continuing professional development courses.
    28     (h)  The secretary may adopt additional rules to establish
    29  standards and procedures for the evaluation, training, promotion
    30  and discipline of workers' compensation judges.
    20060H2738B4191                 - 12 -     

     1     Section 9.  The act is amended by adding an article to read:
     2                            ARTICLE XVI
     3                 UNINSURED EMPLOYERS GUARANTY FUND
     4  Section 1601.  Definitions.
     5     The following words and phrases when used in this article
     6  shall have the meanings given to them in this section unless the
     7  context clearly indicates otherwise:
     8     "Compensation."  Benefits paid pursuant to sections 306 and
     9  307.
    10     "Employer."  Any employer as defined in section 103. The term
    11  does not include a person that qualifies as a self-insured
    12  employer under section 305.
    13     "Fund."  The Uninsured Employers Guaranty Fund established in
    14  section 1602. The fund shall not be considered an insurer and
    15  shall not be subject to penalties, unreasonable contest fees or
    16  any reporting and liability requirements under section 440.
    17     "Policyholder."  A holder of a workers' compensation policy
    18  issued by the State Workers' Insurance Fund, or an insurer that
    19  is a domestic, foreign or alien mutual association or stock
    20  company writing workers' compensation insurance on risks which
    21  would be covered by this act.
    22     "Secretary."  The Secretary of Labor and Industry of the
    23  Commonwealth.
    24  Section 1602.  Fund.
    25     (a)  Establishment.--
    26         (1)  There is established a special fund to be known as
    27     the Uninsured Employers Guaranty Fund.
    28         (2)  The fund shall be maintained as a separate fund in
    29     the State Treasury subject to the procedures and provisions
    30     set forth in this article.
    20060H2738B4191                 - 13 -     

     1     (b)  Source.--The sources of the fund are:
     2         (1)  Appropriations made by the General Assembly.
     3         (2)  Reimbursements or restitution.
     4         (3)  Interest on money in the fund.
     5     (c)  Use.--The administrator shall establish and maintain the
     6  fund for the exclusive purpose of paying workers' compensation
     7  benefits to injured workers or their dependents for claims
     8  arising from injuries or deaths sustained while in the course
     9  and scope of employment with employers that failed to carry
    10  workers' compensation insurance coverage at the time the
    11  injuries took place.
    12     (d)  Administration.--The secretary shall be the
    13  administrator of the fund and shall have the power to collect
    14  money for and disburse money from the fund.
    15     (e)  Status.--The fund shall have all of the same rights,
    16  duties, responsibilities and obligations as an insurer.
    17  Section 1603.  Claims.
    18     (a)  Scope.--This section shall apply to claims for an injury
    19  or a death which occurs on or after the effective date of this
    20  article.
    21     (b)  Time.--An injured worker shall notify the fund within 45
    22  days after the worker knew that the employer was uninsured or
    23  received confirmation of noninsurance from the rating bureau or
    24  any other agency charged with providing notice of a claim
    25  against the fund. The department shall have adequate time to
    26  monitor the claim and shall determine the obligations of the
    27  employer. No compensation shall be paid from this fund until
    28  notice is given and the department determines that the employer
    29  failed to voluntarily accept and pay the claim or subsequently
    30  defaulted on payments of compensation. No compensation shall be
    20060H2738B4191                 - 14 -     

     1  due until notice is given.
     2     (c)  Process.--After notice, the fund shall process the claim
     3  in accordance with the provisions of this act.
     4     (d)  Petitions.--No claim petition may be filed against the
     5  fund until at least 21 days after notice of the claim is made to
     6  the fund.
     7  Section 1604.  Claim petition.
     8     If a claim for compensation is filed under this article and
     9  the claim is not voluntarily accepted as compensable, the
    10  employee may file a claim petition naming both the employer and
    11  the fund as defendants. A responsive pleading filed by the fund
    12  to the claim petition shall serve as an answer on behalf of the
    13  uninsured employer. Failure of the uninsured employer to answer
    14  a claim petition shall not serve as an admission or otherwise
    15  bind the fund under section 416.
    16  Section 1605.  Department.
    17     (a)  Insurance inquiry.--Within ten days of notice of a
    18  claim, the fund shall demand from the employer proof of
    19  applicable insurance coverage. Within 14 days from the date of
    20  the fund's request, the employer must provide proof of
    21  insurance. If the employer does not provide proof, there shall
    22  be rebuttable presumption of uninsurance and the fund shall
    23  serve as the uninsured employer's insurer for purposes of the
    24  claim in question.
    25     (b)  Reimbursement.--The department shall, on behalf of the
    26  fund, exhaust all remedies at law against the uninsured employer
    27  in order to collect the amount of a voluntary payment or award,
    28  including voluntary payment or award itself and reimbursement of
    29  costs, interest, penalties, fees under section 440 and costs of
    30  the fund's attorney, which have been paid by the fund. The fund
    20060H2738B4191                 - 15 -     

     1  shall also be reimbursed for costs or attorney fees which are
     2  incurred in seeking reimbursement under this subsection. The
     3  department is authorized to investigate violations of section
     4  305 for prosecution of the uninsured employer pursuant to
     5  section 305(b) and shall pursue such prosecutions through
     6  coordination with the appropriate prosecuting authority. Any
     7  restitution obtained shall be paid to the fund.
     8     (c)  Bankruptcy.--The department has the right to appear and
     9  represent the fund as a creditor in a bankruptcy proceeding
    10  involving the uninsured employer.
    11     (d)  Liens.--If payments of any nature have been made by the
    12  fund on behalf of an uninsured employer, the fund shall file a
    13  certified proof of payment with the prothonotary of a court of
    14  common pleas and the prothonotary shall enter the entire balance
    15  as a judgment against the employer. The judgment shall be a
    16  statutory lien against property of the employer, and execution
    17  may issue on it. The fund has the right to update the amount of
    18  the lien as payments are made.
    19  Section 1606.  Other remedies.
    20     Nothing contained in this article shall serve to abrogate the
    21  provisions of section 305(d) allowing the claimant or dependents
    22  to bring a direct suit for damages at law as provided by Article
    23  II. The fund shall be entitled to assert rights to subrogation
    24  under section 319 for recovery made from the employer or any
    25  other third party.
    26  Section 1607.  Regulations.
    27     The department may promulgate regulations for the
    28  administration and enforcement of this article.
    29     Section 10.  The sum of $1,000,000, or as much thereof as may
    30  be necessary, is hereby appropriated to the Uninsured Employers
    20060H2738B4191                 - 16 -     

     1  Guaranty Fund for the fiscal year July 1, 2006, to June 30,
     2  2007, to carry out the provisions of Article XVI of the act.
     3     Section 11.  Repeals are as follows:
     4         (1)  The General Assembly declares that the repeal under
     5     paragraph 2 is necessary to effectuate the addition of
     6     section 401.2 of the act.
     7         (2)  Section 441 of the act of April 9, 1929 (P.L.177,
     8     No.175), known as The Administrative Code of 1929, is
     9     repealed.
    10     Section 12.  This act shall take effect in 60 days.














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