Workers' Comp Clarion: Volume 2

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An Important Update From Oklahoma Workers' Compensation Commission

Workers' Comp Clarion

Volume 2 - April 4, 2016

Gilliland

From the Chairman

Two recent opinions have caught the attention of both the general public and the legal community. The first is an order in the case of Jonnie Yvonne Vasquez v. Dillard’s Inc. On February 26, 2016, the Commission by unanimous vote found that Section 203 of the Oklahoma Injury Benefit Act is unconstitutional. That section provided in part that the employer under the Opt-Out Act defines what a covered injury is for its injured workers. On the other hand, under the Administrative Workers’ Compensation Act, the Oklahoma Legislature defines injury for injured workers seeking benefits under the Administrative system. The Commission concluded that Section 203(1) unconstitutionally deprives injured workers of equal protection; (2) is a special law; and (3) in combination with Section 209 deprives injured workers of access to the courts. After this order was entered the Commission stayed all pending Opt-Out cases before it pending an appellate decision on this issue. Click here to read the order Vasquez v. Dillard’s.

The second decision relating to constitutionality is the case of Torres v. Seaboard Foods LLC et al, Case No. 2016 OK 20. In this case, the Oklahoma Supreme Court held that a provision of the Oklahoma Administrative Workers’ Compensation Act was unconstitutional. 85A O.S. § 2(14) provides that an injured worker cannot file a cumulative trauma claim unless the employee has worked a continuous 180-day period for the employer. The Court held that the statute violated the Due Process Section of the Oklahoma Constitution, Art. 2 § 7 when applied to an employee because the statute’s over-inclusive and under-inclusive classification are not rationally related to legitimate State interests of preventing workers’ compensation fraud and decreasing employers’ costs. Click here to read Torres v. Seaboard Foods, LLC.

There have been numerous constitutional challenges to the workers’ compensation reform legislation passed in 2013. Some commentators have gone so far as to state that seventeen sections of the legislation have been found to be unconstitutional or unenforceable by either the Oklahoma Supreme Court or the Workers' Compensation Commission. These comments are not correct. Only five provisions of the AWCA have been held unenforceable or unconstitutional. Those five provisions involved only three statutes. It should be noted that seven decisions of the Administrative Law Judges have been sustained on appeal while only one has been reversed and remanded.

Bob Gilliland, Chairman


Certificates of Non-Coverage

Senate Bill 455 Section 29, passed during the 2015 legislative session, repealed the Affidavit of Exempt Status under the Insurance Code, effective November 1, 2015.  The WCC understands the industry's need for the Affidavit of Exempt Status and has proposed legislation this session to have the Affidavit of Exempt Status language enacted under the Administrative Workers' Compensation Act.  Until such time, the WCC has the statutory authority to issue Certificates of Noncoverage in limited circumstances.  The statute provides that a Certificate of Noncoverage may be issued to a sole proprietor or the partners of a partnership who do not elect to be covered by the Workers' Compensation Act and be deemed employees thereunder.

A copy of the proposed Application for Certificate of Noncoverage is posted on our website. To view, click here.  If you have any comments you would like to submit to the Commission regarding the proposed form, you may email them to Rules@wcc.ok.gov through Thursday, April 7, 2016. The application will be effective twenty (20) days after it is adopted by the Commission.

Kim Bailey, Executive Director

Oklahoma Workers' Compensation Commission

OKC Location 
(405) 522-3222
1915 N Stiles Ave, 231
Oklahoma City, Oklahoma
73105 

Tulsa Location
(918) 295-3732
212 Kerr State Office Bldg.
440 South Houston
Tulsa, Oklahoma 74127


Office Changes on the
2nd Floor

The Insurance Services Division has moved to the 2nd Floor North Hall where the Compliance Division was previously located. The Compliance Division is now located at the end of the South Hall, past the Records counter.


Employees and Employers

Informational materials for employees and employers are available on our website: www.ok.gov/wcc.


For Commission
Public Meetings

Click Here blue

Electronic Form Filing

Save time and postage by filing your CC-Form-4 Report of Compensation Paid/Suspension of Payment online on our website www.ok.gov/wcc under electronic forms. If you choose, you may receive an email confirmation with a unique submission number and a time date stamp. Submitting online simplifies the process but if you have any issues, please call the Counselors' Division 522-5308 or toll-free
1(855) 291-3612.


Own Risk Program

If you are a company participating in the Own Risk program, whether employer, TPA, or Group, please update the "payee information" in your system to the Workers' Compensation Commission. This will ensure quicker payments for renewals. If you have any questions or need assistance, please call the Insurance Services Division
405-522-3222.


Handbooks

Commission handbooks can still be purchased. The handbook contains a copy of Title 85A of the Oklahoma Statutes, along with the Commission's permanent rules,  hearing conduct rules, disability benefit charts, maximum compensation rates, a summary of
the Commission's forms, and crosswalks/disposition tables from the prior law to the new.They are available for $45.00 each and can be purchased with cash, check or credit card at our OKC location or with cash or check at our Tulsa location. They can also be mailed; you will be responsible for shipping charges. Contact Purchasing@wcc.ok.gov for more information.


Sign up Now for Updates

Please check out our website www.ok.gov/wcc to sign up for the latest news and updates. Simply indicate whether you want the update by text or email, then check your subscription preferences and you are all set to be fully informed on Commission activities.


Capitol Building

Legislative Update

As the Oklahoma Legislature approaches the midpoint of the legislative session, many issues remain unresolved, including modifications of current workers’ compensation statutes. As is common in the second session of a Legislature, members can be reluctant to dive into any possibly controversial issue, and many efforts languish in committee without a hearing. This is not altogether frustrating, but can lead to many surprise outcomes as a budget deal is struck, and the legislative leadership is eager to conclude business.

The “clean-up” language for Title 85A proposed by the Workers’ Compensation Commission did not receive a hearing. Efforts are being made to include that language in an “omnibus” bill that may contain many other ideas surrounding workers’ compensation.  Once bills have cleared committee in both Houses, the next step will be the budget process wherein the Workers’ Compensation Commission and Court of Existing Clams will learn of their respective distributions from the Workers’ Compensation Premium Tax, their primary source of funding.

Also, the Workers’ Compensation Commission is undergoing a minor update to its rules. The Commission has held public hearings on the draft, and voted to approve the new rules. They now go forward for legislative approval.

Mark Liotta, Commissioner


Save the Date logo

Plan to attend the 2016 Oklahoma Workers' Compensation Educational Conference, October 13-14 at the Embassy Suites Norman, Hotel & Conference Center. Early bird registration opens online July 1 - click here for details. If you are interested in being a sponsor or would like to reserve an exhibit booth, please call 405-522-8606 for more information.


Medical Visit

Medical Alert

Medical Director Jay P. Cannon, MD

We are now processing the first IME renewals since the two year grace period has expired for IMEs to document Commission educational requirements. The following are important items that must be documented in your renewal application:

1.       All IMEs must attend Commission provided educational activities at least one time in each two year period. This opportunity is provided at the Commission’s Annual Conference. This must be documented on CC-FORM-463 line 14 (IME application).

2.       All IMEs who rate impairment must document training in the most recent edition of the AMA Guides which is currently the 6th Edition. This one time requirement must be documented on CC-FORM-463 line 14 (IME application).

3.       All treating physicians must document training in the Official Disability Guidelines (ODGs). This one time requirement must be documented on CC-FORM-463 line 14 (IME application).

4.       These are required by the Commission Rules which can be found on the Commission Website at www.ok.gov/wcc.

Phil LeFevre from the Work Loss Data Institute, which produces the ODGs, will make a presentation at the Annual Worker’s Compensation Commission Conference October 13-14, 2016. Attending the Conference in October will satisfy all three of the listed education requirements.


Attorney Leave Requests

Attorney Leave Requests to the Commission and Court of Existing Claims can now be submitted via the Commission's website. To the view the page, click here: Attorney Leave Request.  Please be advised that a request made with less than 7 weeks' notice, to the Commission and Court of Existing Claims, is late and hearing(s) might already be noticed. No hearing(s) that were noticed will be reset without the judge's approval. If you have any questions, please contact Docket Supervisor, Valerie Rossiter at 405-522-3222.


Injured Worker

An Introduction to Behavior-Based Safety

Clif Cypert, Human Resources Director
MHR, SPHR, SHRM-SCP

Part 1 of a 3-part Series

Having worked in the manufacturing sector for more than a decade with responsibilities for Human Resources and Safety, behavior-based safety is a topic that is near and dear to my heart. Many manufacturers in the state use some sort of incentive program to motivate safe work habits. These safety programs often incentivize non-reporting of injuries rather than safe work practices. Take, for example, the ever popular safety bingo. Employees play  bingo and for every day there is no injury, $10 is put into the pot, then a number is drawn and posted on the employee bulletin board. The game continues until someone wins or until an injury occurs and the game starts over. Sound like a good idea? The employer offers a financial reward for working safely and as long as there are no injuries, and the game continues and some lucky soul eventually wins some money.  What actually happens in practice is two-fold. One, people quickly figure out that if someone reports an injury, the game ends. Therefore, everyone stops reporting injuries because they want to retain their chance to win the bingo pot. The second thing that happens is more nefarious. A culture of peer pressure in which employees aggressively try to influence each other to not report injuries develops. Before long, the entire facility is now actively working together to not report injuries. This creates a false sense of a safe workplace where problems get hidden and potentially more problematic or dangerous situations are allowed to go unchecked or worsen.

Fortunately, there is an alternative...

Read More

General Information
About Records

Filings concerning any case before the Workers’ Compensation Commission are made at the counter in Room 232A. The Records Department accepts filings between the hours of 8 a.m. and 5 p.m. Monday through Friday, except on designated state holidays. Forms can be located on the Commission’s website: www.ok.gov/wcc Most forms indicate in the upper left hand corner the number of copies that are required at the time of filing, whether just the original is required, or an original and 4 copies.

COURT FEES:
$140 - FILING FEE
$130 - RE-OPEN FEE
$175 - APPEAL TO THE COMMISSION
$100 - PREPARATION OF SUPREME COURT RECORD

Pursuant to Commission Rule 810:10-5-31(f), depositions, interrogatories, interrogatory answers, requests for production of documents and other things, requests for admissions, or responses thereto will not be accepted by the Commission, except by order of the assigned Administrative Law Judge.

Please note that the Commission will not accept medical records or documentation attached to the CC-Form 9, CC-Form 10M, or CC-Form 19, in accordance with the form instructions. 

When filing a Request for Review or Written Argument to the Commission pursuant to Rule 810:10:5-66, a copy of the Administrative Law Judge’s Order, Designation of Record (if not yet filed) and Certificate of Service, along with an original and two (2) copies of the Request for Review, should be filed. Written Arguments are to be no more than five (5) pages with no appendix or other attachments. Written Arguments require an original and four (4) copies.

Norma McRae, Commission Clerk & Records Supervisor


Paper work

 The High Cost of Mis-Classifieds

According to the U.S. Department of Labor, the misclassification of employees as independent contractors presents one of the most serious problems facing affected workers, employers and the entire economy. Misclassified employees often are denied access to critical benefits and can generate substantial losses to the federal government and state governments in the form of lower tax revenues, as well as to state unemployment insurance and workers’ compensation funds. If you have questions or concerns on how we are addressing this issue in Oklahoma, please contact the Compliance Division of the Oklahoma Workers' Compensation Commission at 405-522-3222 or call toll free: 1-855-291-3612.

Ray Andrews, Compliance Director


Gavel and Time Piece

From the Bench

"Resets" and "Reset when Ready"

In the first Commission Newsletter, I stated the Administrative Law Judges would do our best to make the hearing processes as effective and efficient as possible.  One area in which we would like to improve is regarding the pre-hearing conference dockets. Often heard is the phrase: "just need a reset on that one Judge."  To be sure, resets are useful and often necessary, but they are seemingly overused. The downside to "just resetting" is that it creates additional work for agency staff, additional appearances for attorneys, added costs for the parties and generally delays in the resolution of issues. My encouragement to all is that we do our best to resolve as many issues as possible at the scheduled pre-hearing conferences, and if an issue is not quite ripe, the better announcement would be to "reset when ready." All the ALJs should be approachable and helpful to get cases back onto a docket in an expedited fashion when warranted. We appreciate everyone's efforts to help us minimize the necessity of multiple resets on the pre-hearing dockets.

The announcement of  "reset when ready" typically means the case will not be placed back on the docket until the parties agreed the issue is ready to be discussed or resolved. When the case becomes ready, the moving party has the option of filing a motion to place the case back on the docket or may approach the assigned judge, with the Commission file in hand, and request being placed back on the docket. Time sensitive issues will always be considered and given priority or a date certain when warranted.

As to those cases wherein the only remaining issue is permanent partial disability, and a "reset when ready" announcement has been made because we are awaiting the Supreme Court's ruling on issues pertaining to awards of permanent partial disability, the ALJs and Commission will develop an efficient procedure for the parties to get these cases, which are being held in queue, to hearing as soon as possible. We will communicate the upcoming procedure on these types of cases in the near future. As always, if someone has a suggestion or question, please feel free to contact me.

T. Shane Curtin
Chief Administrative Law Judge


Common Questions

Eric Russell, Director of Counseling Services

Below are some common questions received by the Counselors' division . We receive a large variety of different inquiries, and some of these questions are already covered by the materials offered online, but we feel as if they deserve special emphasis.

Q: Are my workers' compensation benefits taxable?

A: Generally, no, there are no tax implications to the collection of workers' compensation benefits unless you are collecting social security disability benefits. 

Q: I am unable to work my full hours due to a work-related injury and am making less pay.  Am I entitled to any compensation?

A: You may be able to receive some compensation for reduced pay if your pay in the alternative work is less than your temporary total disability rate.  The amount of the benefit is 70% of the difference between the light duty pay and your average weekly wage, not to exceed the temporary total disability rate. 

Q: Am I allowed to choose my own doctor?

A:  In Oklahoma, the employer and/or their workers' compensation insurance carrier chooses the treating physician.  If the employer does not provide reasonable and necessary care within five (5) days of notice or knowledge that a work-related injury has occurred, then the employee may choose a doctor.

A change of treating physician may be requested by filing a CC-Form-A with the Commission, if a CC-Form-3 is already on file.

Q: Where can I access the workers' compensation laws and rules?

A:  The Administrative Workers' Compensation Act can be accessed at the Oklahoma State Courts Network online:  www.oscn.net. Click on "legal research," then "Oklahoma Statutes Citationized."  The Workers' Compensation laws are codified in Title 85A.

The rules of the Workers' Compensation Commission can be found at www.ok.gov/wcc.  Click on banner #6 "Legal" then "Commission Governing Documents."  The current rules are under "Commission Rules (effective 8-27-15)."