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        PRIOR PRINTER'S NOS. 4162, 4191               PRINTER'S NO. 4364

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, BEYER, GRELL AND CLYMER, JUNE 7, 2006

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           JUNE 26, 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
    20060H2738B4364                  - 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.
    20060H2738B4364                  - 3 -     

     1     THE TERM "RESOLUTION HEARING," WHEN USED IN THIS ARTICLE,      <--
     2  SHALL MEAN A PROCEDURE ESTABLISHED BY THE OFFICE OF ADJUDICATION
     3  WITH THE SOLE PURPOSE OF PROVIDING A VENUE TO PRESENT A
     4  COMPROMISE AND RELEASE TO A JUDGE IN AN EXPEDITED FASHION.
     5     The term "mediation," when used in this article, shall mean a
     6  conference conducted by a workers' compensation judge, but not
     7  necessarily the judge assigned to the actual case involving the
     8  parties, and shall require the attendance in person of all
     9  parties including the claimant and employer, and their
    10  respective counsel. The representative from the employer must
    11  have requisite authority to bring about settlement of the case
    12  or must have the ability to obtain said authority during the
    13  course of the mediation.
    14     Section 3.  Section 401.1 of the act, added February 8, 1972
    15  (P.L.25, No.12), is amended to read:
    16     Section 401.1.  The department shall, in fulfillment of its
    17  responsibilities under this act, enforce the time standards and
    18  other performance standards herein provided for the prompt
    19  processing of injury cases and payment of compensation when due
    20  by employers and insurers both upon petition by a party or on
    21  its own motion. In any case in which compensation has not been
    22  timely paid, or in which notice of denial of compensation has
    23  been given, the department shall hear and determine all claim
    24  petitions for compensation filed by employes or their
    25  dependents. The department shall also hear and determine all
    26  petitions by employers or insurers to suspend, terminate, reduce
    27  or otherwise modify compensation payments, awards, or agreements
    28  and petitions by employes or their dependents to increase,
    29  modify or reinstate compensation payments, awards, or
    30  agreements. Hearings shall be scheduled forthwith upon receipt
    20060H2738B4364                  - 4 -     

     1  of the claim petition or other petition, as the case may be, and
     2  determinations thereon shall be made promptly and in conformity
     3  with time standards herein or hereunder established. Such
     4  hearings shall be conducted by a [referee] workers' compensation
     5  judge or other hearing officer designated by the secretary.
     6     Each workers' compensation judge assigned to conduct hearings
     7  shall set forth a mandatory trial schedule at the first hearing.
     8  This trial schedule shall include specific deadlines for the
     9  presentation of evidence by the parties and dates for future
    10  hearings. Judges shall strictly enforce their schedules, and no
    11  party will be excused from honoring the schedule absent good
    12  cause shown. Every trial schedule shall include a specific date
    13  and time for a mediation conference. Mediations shall take place
    14  no later than thirty (30) days prior to the date set for filing
    15  proposed findings of fact and conclusions on OF law or legal      <--
    16  briefs or memoranda, unless, upon good cause shown, the workers'
    17  compensation judge determines mediation would be futile. In the   <--
    18  event that the parties reach a settlement on a case that is
    19  presently in litigation, the workers' compensation judge, upon
    20  being provided notice of a settlement, shall hold compromise and
    21  release hearing within fourteen (14) business days of receipt of
    22  notice of the settlement.
    23     Each district within the Commonwealth shall create a
    24  resolution court that will have the ability to hear compromise
    25  and release agreements in an expedited manner. The workers'
    26  compensation judge who is sitting in resolution court will not
    27  be required to have received formal assignment by the bureau of
    28  the compromise and release petition prior to conducting the
    29  settlement hearing. A workers' compensation judge shall render a
    30  decision within five (5) business days of the hearing. WITHIN     <--
    20060H2738B4364                  - 5 -     

     1  ONE HUNDRED TWENTY (120) DAYS OF THE EFFECTIVE DATE OF THIS
     2  PARAGRAPH, THE OFFICE OF ADJUDICATION SHALL CREATE A RESOLUTION
     3  HEARING PROCEDURE TO HEAR COMPROMISE AND RELEASE AGREEMENTS IN
     4  AN EXPEDITED MANNER. THE HEARING SHALL BE HELD WITHIN FOURTEEN
     5  (14) BUSINESS DAYS OF NOTICE OF A COMMUTATION OR COMPROMISE AND
     6  RELEASE.
     7     THE WORKERS' COMPENSATION JUDGE CONDUCTING A RESOLUTION
     8  HEARING WILL NOT BE REQUIRED TO HAVE RECEIVED FORMAL ASSIGNMENT
     9  BY THE WORKERS' COMPENSATION BUREAU OF THE COMPROMISE AND
    10  RELEASE PETITION PRIOR TO CONDUCTING THE RESOLUTION HEARING. AT
    11  THE TIME OF HEARING, THE PARTIES SHALL SUBMIT PROOF OF FILING A
    12  PETITION TO THE WORKERS' COMPENSATION JUDGE HEARING THE
    13  COMPROMISE AND RELEASE MATTER. A WORKERS' COMPENSATION JUDGE
    14  SHALL RENDER A DECISION WITHIN FIVE (5) BUSINESS DAYS OF THE
    15  HEARING.
    16     Delays in hearings will be granted according to rules
    17  established by the department, and any party who unreasonably
    18  delays a hearing will be subject to a penalty as provided in
    19  section 435. Subject to the provisions of the act of July 31,
    20  1968 (P.L.769, No.240), known as the "Commonwealth Documents
    21  Law," the department shall adopt such rules and regulations as
    22  it finds necessary or desirable for the enforcement of this act.
    23     Section 4.  The act is amended by adding a section to read:
    24     Section 401.2.  (a)  The Workers' Compensation Appeal Board
    25  shall consist of at least three, and not more than fifteen,
    26  appointed members, of whom the Governor shall designate one as
    27  chairman; the Governor may, on the recommendation of the
    28  Secretary of Labor and Industry, increase the number of
    29  appointed members on the board. An en banc board shall consist
    30  of all the appointed members on the board, a majority of which
    20060H2738B4364                  - 6 -     

     1  shall constitute a quorum, and no action of the board shall be
     2  valid unless it shall have the concurrence of such number of
     3  members and that number constitutes a majority of the votes
     4  cast. Where there are more than three appointed members, the
     5  board may sit in panels of three, all three members shall
     6  constitute a quorum and no action taken by a panel shall be
     7  valid unless it shall have the concurrence of a majority of the
     8  panel members. When a majority of any such panel has reached a
     9  decision, the chair of the panel shall assign the writing of an
    10  opinion and order to a panel member. The panel member shall
    11  prepare a draft opinion and award and transmit it to the
    12  secretary of the board for circulation and review to all members
    13  of the Workers' Compensation Appeal Board. Each member of the
    14  Workers' Compensation Appeal Board shall be entitled to a period
    15  of thirty (30) days from the date a draft opinion on behalf of a
    16  majority of a panel is placed in circulation by the secretary of
    17  the board in which to concur in, comment on, object to or
    18  dissent from the proposed draft opinion and award. Concurrences,
    19  comments, objections and dissents shall be transmitted to the
    20  chairman of the board, the secretary of the board and the board
    21  member responsible for writing the draft opinion. A board member
    22  who does not submit a written response to a proposed draft
    23  opinion and order circulated shall be deemed to concur in the
    24  opinion and order as drafted and initially placed in circulation
    25  in conformity with the procedure set forth in subsection (a). If
    26  at the conclusion of the thirty-day (30-day) period a majority
    27  of the members of the board have failed to concur in the draft
    28  opinion and order as circulated, the Chairman of the Workers'
    29  Compensation Appeal Board, in consultation with the chair of the
    30  panel that heard the case in question shall reassign the opinion
    20060H2738B4364                  - 7 -     

     1  to a board member for the purpose of redrafting and circulating
     2  a draft opinion and order in conformity with the procedures
     3  articulated in this subsection (a). A vacancy on the board shall
     4  not impair the right of a quorum to exercise all the rights and
     5  perform all the duties of the board. The Secretary of Labor and
     6  Industry, with the approval of the Governor, shall appoint a
     7  secretary to the Workers' Compensation Appeal Board, who shall
     8  receive such salary as the Secretary of Labor and Industry, with
     9  the approval of the Governor, shall determine.
    10     (b)  Members of the board shall be required to annually
    11  attend and participate in a minimum of eight (8) hours of
    12  workers' compensation related education approved by the
    13  Pennsylvania Supreme Court Continuing Legal Education Board or a
    14  similar reputable agency approved by the department.
    15     (c)  A member of the Workers' Compensation Appeal Board shall
    16  conform to the following code of ethics:
    17     (1)  Avoid impropriety and the appearance of impropriety in
    18  all activities.
    19     (2)  Perform duties impartially and diligently.
    20     (3)  Avoid ex parte communications in any contested, on-the-
    21  record matter pending before the department.
    22     (4)  Abstain from expressing publicly, except in
    23  administrative disposition or adjudication, personal views on
    24  the merits of an adjudication pending before the department and
    25  require similar abstention on the part of department personnel
    26  subject to the member's direction and control.
    27     (5)  Require staff and personnel subject to the member's
    28  direction and control to observe the standards of fidelity and
    29  diligence that apply to a member.
    30     (6)  Initiate appropriate REFER TO THE SECRETARY OF LABOR AND  <--
    20060H2738B4364                  - 8 -     

     1  INDUSTRY disciplinary measures against department personnel
     2  subject to the member's direction and control for unethical
     3  conduct.
     4     (7)  Disqualify himself from proceedings in which
     5  impartiality may be reasonably questioned.
     6     (8)  Keep informed about the personal and fiduciary interests
     7  of himself and his immediate family.
     8     (9)  Regulate outside activities to minimize the risk of
     9  conflict with official duties. A member may speak, write or
    10  lecture, and reimbursed expenses, honoraria, royalties or other
    11  money received in connection therewith shall be disclosed
    12  annually. A disclosure statement shall be filed with the
    13  secretary SECRETARY OF LABOR AND INDUSTRY and the State Ethics    <--
    14  Commission and shall be open to inspection by the public during
    15  the normal business hours of the department and the commission
    16  during the tenure of the member.
    17     (10)  Refrain from direct or indirect solicitation of funds
    18  for political, educational, religious, charitable, fraternal or
    19  civic purposes: Provided, however, That a member may be an
    20  officer, a director or a trustee of such organizations.
    21     (11)  Refrain from financial or business dealings which would
    22  tend to reflect adversely on impartiality. A member may hold and
    23  manage investments which are not incompatible with the duties of
    24  office.
    25     (12)  Uphold the integrity and independence of the workers'
    26  compensation system.
    27     (d)  Individuals who are currently serving as members of the
    28  Workers' Compensation Appeal Board shall continue to serve,
    29  subject to the provisions of subsection (c).
    30     (e)  The secretary shall ensure that there are at least two
    20060H2738B4364                  - 9 -     

     1  opinion writers assigned to each member of the board. Opinion
     2  writers employed by or on behalf of the board whose duties
     3  involve, in whole or in part, the writing or drafting of
     4  proposed opinions, decisions or orders for the board or any
     5  member of the board shall be required to annually attend and
     6  participate in a minimum of eight (8) hours of continuing legal
     7  education in the field of workers' compensation practice and
     8  procedure in courses approved by the Pennsylvania Supreme Court
     9  Continuing Legal Education Board.
    10     Section 5.  Section 414 of the act, amended February 8, 1972
    11  (P.L.25, No.12), is amended to read:
    12     Section 414.  Whenever a claim petition or other petition is
    13  presented to the department, the department shall, by general
    14  rules or special order, assign it to a [referee] workers'
    15  compensation judge for hearing. When assigning petitions,
    16  including those of the resolution court, FOR RESOLUTION           <--
    17  HEARINGS, the department shall not assign to a particular
    18  workers' compensation judge more than seventy-five per centum of
    19  the petitions from a particular county.
    20     The department shall serve upon each adverse party a copy of
    21  the petition, together with a notice that such petition will be
    22  heard by the referee to whom it has been assigned (giving his
    23  name and address) as the case may be, and, shall mail the
    24  original petition to such referee, together with copies of the
    25  notices served upon the adverse parties.
    26     Section 6.  Section 426 of the act, amended February 8, 1972
    27  (P.L.25, No.12) and repealed in part April 28, 1978 (P.L.202,
    28  No.53), is amended to read:
    29     Section 426.  The board, upon petition of any party and upon
    30  cause shown, may grant a rehearing of any petition upon which
    20060H2738B4364                 - 10 -     

     1  the board has made an award or disallowance of compensation or
     2  other order or ruling, or upon which the board has sustained or
     3  reversed any action of a referee; but such rehearing shall not
     4  be granted more than eighteen months after the board has made
     5  such award, disallowance, or other order or ruling, or has
     6  sustained or reversed any action of the referee: Provided,
     7  however, That nothing contained in this section shall limit or
     8  restrict the right of the board, or a referee to review, modify,
     9  set aside, reinstate, suspend, or terminate, an original or
    10  supplemental agreement, or an award in accordance with the
    11  provisions of section four hundred thirteen of this article. A
    12  rehearing shall be conducted by the board en banc.
    13     Section 7.  Section 442 of the act, amended June 24, 1996
    14  (P.L.350, No.57), is amended to read:
    15     Section 442.  All counsel fees, agreed upon by claimant and
    16  his attorneys, for services performed in matters before any
    17  workers' compensation judge or the board, whether or not allowed
    18  as part of a judgment, shall be approved by the workers'
    19  compensation judge or board as the case may be, providing the
    20  counsel fees do not exceed twenty per centum of the amount
    21  awarded. [The official conducting any hearing, upon cause shown,
    22  may allow a reasonable attorney fee exceeding twenty per centum
    23  of the amount awarded at the discretion of the hearing
    24  official.]
    25     In cases where the efforts of claimant's counsel produce a
    26  result favorable to the claimant but where no immediate award of
    27  compensation is made such as in cases of termination or
    28  suspension the hearing official shall allow or award reasonable
    29  counsel fees, as agreed upon by claimant and his attorneys,
    30  without regard to any per centum. In the case of compromise and
    20060H2738B4364                 - 11 -     

     1  release settlement agreements, where there is no underlying
     2  litigation, no counsel fees shall exceed twenty per centum of
     3  the workers' compensation settlement amount.
     4     Section 8.  Section 1401 of the act, added June 24, 1996
     5  (P.L.350, No.57), is amended to read:
     6     Section 1401.  (a)  There is created within the department an
     7  office to be known as the Office of Adjudication.
     8     (b)  The secretary shall appoint as many qualified and
     9  competent workers' compensation judges as necessary to conduct
    10  matters under this act.
    11     (c)  The secretary shall set normal working hours for
    12  workers' compensation judges. During those hours, workers'
    13  compensation judges shall devote full time to their official
    14  duties and shall perform no work inconsistent with their duties
    15  as workers' compensation judges. Workers' compensation judges
    16  shall not engage in any unapproved activities during normal
    17  working hours.
    18     (d)  Workers' compensation judges shall be afforded
    19  employment security as provided by the act of August 5, 1941
    20  (P.L.752, No.286), known as the "Civil Service Act."
    21     (e)  Compensation for workers' compensation judges shall be
    22  established by the Executive Board. Compensation for workers'
    23  compensation judges shall be established by the executive board
    24  at a pay range not less than the pay range for administrative
    25  law judges appointed under section 212 of the act of April 12,
    26  1951 (P.L.90, No.21), known as the "Liquor Code," and 66 Pa.C.S.
    27  § 304 (relating to administrative law judges). A workers'         <--
    28  compensation judge's step classification shall not be decreased
    29  upon reassignment of workers' compensation judges to a higher
    30  pay range.
    20060H2738B4364                 - 12 -     

     1     (f)  The secretary shall develop and require all workers'
     2  compensation judges to complete a course of training and
     3  instruction in the duties of their respective offices and pass
     4  an examination prior to assuming office. The course of training
     5  and instruction shall not exceed four weeks in duration and
     6  shall consist of a minimum of forty hours of class instruction
     7  in medicine and law.
     8     (g)  The secretary shall develop a continuing professional
     9  development plan for workers' compensation judges which shall
    10  require the annual completion of twenty hours of approved
    11  continuing professional development courses.
    12     (h)  The secretary may adopt additional rules to establish
    13  standards and procedures for the evaluation, training, promotion
    14  and discipline of workers' compensation judges.
    15     Section 9.  The act is amended by adding an article to read:
    16                            ARTICLE XVI
    17                 UNINSURED EMPLOYERS GUARANTY FUND
    18  Section 1601.  Definitions.
    19     The following words and phrases when used in this article
    20  shall have the meanings given to them in this section unless the
    21  context clearly indicates otherwise:
    22     "Compensation."  Benefits paid pursuant to sections 306 and
    23  307.
    24     "Employer."  Any employer as defined in section 103. The term
    25  does not include a person that qualifies as a self-insured
    26  employer under section 305.
    27     "Fund."  The Uninsured Employers Guaranty Fund established in
    28  section 1602. The fund shall not be considered an insurer and
    29  shall not be subject to penalties, unreasonable contest fees or
    30  any reporting and liability requirements under section 440.
    20060H2738B4364                 - 13 -     

     1     "Policyholder."  A holder of a workers' compensation policy
     2  issued by the State Workers' Insurance Fund, or an insurer that
     3  is a domestic, foreign or alien mutual association or stock
     4  company writing workers' compensation insurance on risks which
     5  would be covered by this act.
     6     "Secretary."  The Secretary of Labor and Industry of the
     7  Commonwealth.
     8  Section 1602.  Fund.
     9     (a)  Establishment.--
    10         (1)  There is established a special fund to be known as
    11     the Uninsured Employers Guaranty Fund.
    12         (2)  The fund shall be maintained as a separate fund in
    13     the State Treasury subject to the procedures and provisions
    14     set forth in this article.
    15     (b)  Source.--The sources of the fund are:
    16         (1)  Appropriations made by the General Assembly.          <--
    17         (1)  ASSESSMENTS PROVIDED FOR UNDER SECTION 1607.          <--
    18         (2)  Reimbursements or restitution.
    19         (3)  Interest on money in the fund.
    20     (c)  Use.--The administrator shall establish and maintain the  <--
    21  fund for the exclusive purpose of paying workers' compensation
    22  benefits to injured workers or their dependents for claims
    23  arising from injuries or deaths sustained while in the course
    24  and scope of employment with employers that failed to carry
    25  workers' compensation insurance coverage at the time the
    26  injuries took place.
    27     (C)  USE.--THE ADMINISTRATOR SHALL ESTABLISH AND MAINTAIN THE  <--
    28  FUND FOR THE EXCLUSIVE PURPOSE OF PAYING TO ANY CLAIMANT OR HIS
    29  DEPENDENTS WORKERS' COMPENSATION BENEFITS DUE AND PAYABLE UNDER
    30  THIS ACT AND THE OCCUPATIONAL DISEASE ACT AND ANY COSTS
    20060H2738B4364                 - 14 -     

     1  SPECIFICALLY ASSOCIATED THEREWITH WHERE THE EMPLOYER LIABLE FOR
     2  THE PAYMENTS FAILED TO CARRY WORKERS' COMPENSATION INSURANCE
     3  COVERAGE AT THE TIME THE INJURIES TOOK PLACE.
     4     (d)  Administration.--The secretary shall be the
     5  administrator of the fund and shall have the power to collect
     6  money for and disburse money from the fund.
     7     (e)  Status.--The fund shall have all of the same rights,
     8  duties, responsibilities and obligations as an insurer.
     9  Section 1603.  Claims.
    10     (a)  Scope.--This section shall apply to claims for an injury
    11  or a death which occurs on or after the effective date of this
    12  article.
    13     (b)  Time.--An injured worker shall notify the fund within 45
    14  days after the worker knew that the employer was uninsured or
    15  received confirmation of noninsurance from the rating bureau or
    16  any other agency charged with providing notice of a claim
    17  against the fund. The department shall have adequate time to
    18  monitor the claim and shall determine the obligations of the
    19  employer. No compensation shall be paid from this fund until
    20  notice is given and the department determines that the employer
    21  failed to voluntarily accept and pay the claim or subsequently
    22  defaulted on payments of compensation. No compensation shall be
    23  due until notice is given.
    24     (c)  Process.--After notice, the fund shall process the claim
    25  in accordance with the provisions of this act.
    26     (d)  Petitions.--No claim petition may be filed against the
    27  fund until at least 21 days after notice of the claim is made to
    28  the fund.
    29  Section 1604.  Claim petition.
    30     If a claim for compensation is filed under this article and
    20060H2738B4364                 - 15 -     

     1  the claim is not voluntarily accepted as compensable, the
     2  employee may file a claim petition naming both the employer and
     3  the fund as defendants. A responsive pleading filed by the fund
     4  to the claim petition shall serve as an answer on behalf of the
     5  uninsured employer. Failure of the uninsured employer to answer
     6  a claim petition shall not serve as an admission or otherwise
     7  bind the fund under section 416.
     8  Section 1605.  Department.
     9     (a)  Insurance inquiry.--Within ten days of notice of a
    10  claim, the fund shall demand from the employer proof of
    11  applicable insurance coverage. Within 14 days from the date of
    12  the fund's request, the employer must provide proof of
    13  insurance. If the employer does not provide proof, there shall
    14  be rebuttable presumption of uninsurance and the fund shall
    15  serve as the uninsured employer's insurer for purposes of the
    16  claim in question.
    17     (b)  Reimbursement.--The department shall, on behalf of the
    18  fund, exhaust all remedies at law against the uninsured employer
    19  in order to collect the amount of a voluntary payment or award,
    20  including voluntary payment or award itself and reimbursement of
    21  costs, interest, penalties, fees under section 440 and costs of
    22  the fund's attorney, which have been paid by the fund. The fund
    23  shall also be reimbursed for costs or attorney fees which are
    24  incurred in seeking reimbursement under this subsection. The
    25  department is authorized to investigate violations of section
    26  305 for prosecution of the uninsured employer pursuant to
    27  section 305(b) and shall pursue such prosecutions through
    28  coordination with the appropriate prosecuting authority. Any
    29  restitution obtained shall be paid to the fund.
    30     (c)  Bankruptcy.--The department has the right to appear and
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     1  represent the fund as a creditor in a bankruptcy proceeding
     2  involving the uninsured employer.
     3     (d)  Liens.--If payments of any nature have been made by the
     4  fund on behalf of an uninsured employer, the fund shall file a
     5  certified proof of payment with the prothonotary of a court of
     6  common pleas and the prothonotary shall enter the entire balance
     7  as a judgment against the employer. The judgment shall be a
     8  statutory lien against property of the employer, and execution
     9  may issue on it. The fund has the right to update the amount of
    10  the lien as payments are made.
    11  Section 1606.  Other remedies.
    12     Nothing contained in this article shall serve to abrogate the
    13  provisions of section 305(d) allowing the claimant or dependents
    14  to bring a direct suit for damages at law as provided by Article
    15  II. The fund shall be entitled to assert rights to subrogation
    16  under section 319 for recovery made from the employer or any
    17  other third party.
    18  Section 1607.  Regulations.                                       <--
    19  SECTION 1607.  ASSESSMENTS.                                       <--
    20     FOR THE PURPOSE OF ESTABLISHING AND MAINTAINING THE FUND, ON
    21  THE EFFECTIVE DATE OF THIS SECTION, AND ON OR BEFORE JANUARY 31
    22  OF EACH YEAR THEREAFTER, THE DEPARTMENT SHALL CALCULATE THE
    23  AMOUNT NECESSARY TO MAINTAIN THE FUND AND SHALL ASSESS INSURERS
    24  AND SELF-INSURED EMPLOYERS AS, IN THE DISCRETION OF THE
    25  DEPARTMENT, IS NECESSARY TO PROVIDE AN AMOUNT SUFFICIENT TO PAY
    26  OUTSTANDING AND ANTICIPATED CLAIMS IN A TIMELY MANNER AND MEET
    27  THE COSTS OF THE DEPARTMENT TO ADMINISTER THE FUND. ASSESSMENTS
    28  TO MAINTAIN THE FUND SHALL BE IMPOSED, COLLECTED AND REMITTED IN
    29  THE SAME MANNER AS ADMINISTRATION FUND ASSESSMENTS UNDER SECTION
    30  446, AND THE REGULATIONS PROMULGATED THEREUNDER.
    20060H2738B4364                 - 17 -     

     1  SECTION 1608.  REGULATIONS.
     2     The department may promulgate regulations for the
     3  administration and enforcement of this article.
     4     Section 10.  The sum of $1,000,000, or as much thereof as may  <--
     5  be necessary, is hereby appropriated to the Uninsured Employers
     6  Guaranty Fund for the fiscal year July 1, 2006, to June 30,
     7  2007, to carry out the provisions of Article XVI of the act.
     8     Section 11 10.  Repeals are as follows:                        <--
     9         (1)  The General Assembly declares that the repeal under
    10     paragraph 2 is necessary to effectuate the addition of
    11     section 401.2 of the act.
    12         (2)  Section 441 of the act of April 9, 1929 (P.L.177,
    13     No.175), known as The Administrative Code of 1929, is
    14     repealed.
    15     Section 12.  This act shall take effect in 60 days.            <--
    16     SECTION 11.  THIS ACT SHALL TAKE EFFECT AS FOLLOWS:            <--
    17         (1)  THE AMENDMENT OF SECTION 401.1 OF THE ACT SHALL TAKE
    18     EFFECT IMMEDIATELY.
    19         (2)  THIS SECTION SHALL TAKE EFFECT IMMEDIATELY.
    20         (3)  THE REMAINDER OF THIS ACT SHALL TAKE EFFECT IN 60
    21     DAYS.






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