11-26-13; When Will IL Have Its First WC Pregnancy?; Four Kinds of Drug/Alcohol Tests Compared; New Driving Laws for IL WC Participants and much more

Synopsis: When Will IL Have Our First WC Pregnancy? Can IL Possibly Extend Our Generous WC and OD Benefits to Folks Who Aren’t Working?

 

Editor’s comment: We were discussing the “Traveling Employee” Trilogy of controversial IL WC rulings in Venture-Newberg, Mlynarczyk and Kertis that IL Business observers feel is going to expand global, all-day, don’t-have-to-be-on-the-clock WC coverage to the unprecedented judicially created definition of “traveling employees” at a webinar last week. One of our participants asked “what do we mean by global coverage?” What we realized is this outlandish new legal concept is going to expand both WC or accident coverage to “traveling employees” along with OD or occupational disease coverage.

 

If you are aren’t sure, Illinois has two parallel acts to protect workers, the Illinois Workers’ Compensation Act and the Illinois Occupational Disease Act. The two legislative works are closely parallel and have minimal differences. If one is covered under the IL WC Act, you are similarly covered under the IL OD Act. Assuming the IL Supreme Court doesn’t get to consider and then flip these rulings, and Mlynarczyk wasn’t sent to the them and has already gone final and benefits have been paid, we are going to see the following scenario:

 

·         Traveling employee = now means anyone with a job who

 

o   Doesn’t work on the “premises of their employer” or

o   Anyone who works at the premises of their employer but occasionally travels to two or more “premises” a la Kertis or

o   Workers where “traveling” is an essential part of the job.

 

·         This new judicially created definition encompasses millions of IL workers who are now covered under WC/OD when off work. Please understand the three appellate rulings confirm “traveling” has nothing to do with the definition of “traveling employee” status. One becomes a “traveling employee” if you match one or more of the three definitions above per these three rulings. If you don’t understand this concept, please send a reply. If you are reading other IL WC publications that say a “traveling employee” injury was work-related due to travel status, we feel they aren’t being forthcoming and are propagating confusion.

 

·         WC/OD global all-day/all-night coverage of any risk, injury or illness may now exist in this state for any worker who attains “traveling employee” status = this means any “reasonable and foreseeable” activity or risk from the moment they leave their home until the moment they return home. For “at home” workers, we think they are arguably covered 24/7/365. This is going to provide IL business strong incentive to have their “at home” workers move out of our state or hire “at home” workers outside our state. If you aren’t sure why, send a reply.

 

·         Please note there was no question and it was wholly agreed by both sides Claimant Ronald Daugherty in Venture-Newberg and Claimant Stanislawa Mlynarczyk from the Mlynarczyk ruling were not on the clock, not being paid and not performing any work for their employers at the time of injury. They were on personal time and should have been at their own risk. The Court ruled WC/OD coverage for Claimant Ronald Daughtery was 24/7/365 for his entire trip to Cordova, IL and its surroundings; he would have been covered all day + all night whether working or not.

 

·         We assert the judicially created and blurring definition of “reasonable and foreseeable” activity/risk to cover about 99.9% of everything a human does—in short, “traveling employees” are globally covered for accidents/illnesses all day for all activities inside and outside their home.

 

·         Isn’t it a “reasonable and foreseeable” activity or risk to get a disease, any disease from the time you leave your home until you return?

 

·         Wouldn’t pregnancy, cancer, adult-onset diabetes, flu, common cold, menstrual cramps, HIV, heart disease, obesity (which is now a disease), liver failure, gall stones and you-name-it-disease-or-other-medical-condition all come from formerly personal but now all work-related risks associated with “reasonable and foreseeable” activity away from home for “traveling employees?” While we are cautious when characterizing pregnancy as an occupational illness—you have to admit pregnancy can cause a level of temporary disability from heavy jobs and it is a medical condition that would typically occur during personal time that our courts have now mystically made a part of “work.” Isn’t it going to become a little pricey to have to pay 100% of all medical care and lost time for hundreds of personal medical conditions? Who needs Obamacare in Illinois if you have a “traveling employee” job?

 

·         If every “traveling employee” is covered under the IL WC and OD Acts as a matter of law from the moment they leave their home to the moment they return at the end of the day, how hard will it be for a worker to claim “I must have caught the [insert disease] away from home because no one in my home has this condition.” How will anyone ever defend that claim?

 

·         Again, Claimant Mlynarczyk or anyone like her could have gone home for lunch and while on her own time had a romantic encounter and become pregnant. As there is no question our lower court has ruled she was a “traveling employee,” isn’t such conduct both “reasonable and foreseeable?” If she did so, would medical bills and time lost from work have been the responsibility of her employer? From the perspective of her employer and its insurer, how is that liability any different than her falling in her own driving and breaking her wrist on her own property and on her own time?

 

Is The “Traveling Employee” Concept Good For IL Employers?

 

In our view, it is an unmitigated disaster. For our readers who noted the IL WC advisory rates were again confusingly recommended to drop, we point to actual premiums and the State of Oregon every-other-year listing of U.S. WC premiums. From years 2004 to 2010, IL WC/OD premiums ascended from ranking number 24 in the U.S. in 2004 to number 3 by 2010. At the time, we didn’t include WC/OD coverage for millions of workers on personal time and risk. We do now.

 

Is that going to cause WC/OD premiums to spike? Well, try to remember the employer in Venture-Newberg wouldn’t owe Claimant Daugherty a penny in any other state in the United States—he never made it to work that day and was 20 miles away when injured! Right now, over $1M in medical bills are due and have been awarded by the lower court. No state that we are aware of provides global all day/all night WC/OD coverage for injuries and illnesses. If this claimant passes away from his injuries now or in the future, the value of the IL/WC death benefit is over $1.7M! All IL employers are now on the risk for any “traveling employee” for cigarette smokers who get lung and brain cancer—they are all going to claim they smoked at work and that it is a “reasonable and foreseeable” activity invoking this new OD coverage. It won’t be much of a jump for heart problems, lung dysfunction, liver, pancreatic concerns and lots of other diseases to all be covered under the wildly expanded IL WC/OD coverage. For anyone that passes from them, the death benefit runs from $600K-$1.7M. If you aren’t sure IL WC/OD rates are going to rise, we are certain, absolutely certain they are going to skyrocket. Please don’t shoot the messenger but we are certain of it. We are going to be the worst or highest state in the U.S. within three-four years. Illinois unemployment is over 9% and this isn’t a good sign for employers to start hiring in our state.

 

Is the “Traveling Employee” Concept Good for Lawyers on Both Sides and the IWCC?

 

As we have advised in the past, we also consider it an unmitigated disaster. Litigation isn’t going to be required for globally covered “traveling employees”—coverage for these risks, injuries and illnesses are automatic; the “Traveling Employee” Trilogy confirms WC/OD coverage is “as a matter of law.” Therefore all the worker has to do is demonstrate “traveling employee” status which shouldn’t be challenging. We are confident underwriters at all the major carriers will create a handy list of  workers with those positions and once they look at the list, WC/OD insurance adjusters are simply going to pay and pay and pay. The adjusters will tell the worker they don’t need and will only waste money to get a lawyer.

 

If WC/OD coverage is a lock and benefits are due and there is nothing to litigate, we won’t need the IWCC.

 

What Should We Do About It?

 

This is a great question we are asking you, our readers. Here are unedited thoughts as written in response to the question by one of our top clients:

 

All companies in the transportation business are now going to have accept responsibility for the employee from the point they leave their home to the point they return, regardless if they stop at a local bar on their way home, have a few, get into an accident, fall down and hit their head, get run over by another bar customer, all going to become our responsibility under w/c. Really? How do we control how an employee drives from home to work? What an employee eats, how they sleep, their employee’s extracurricular activities. They buy a cup of coffee on the way to work and spill it on themselves and are burned-workers’ comp? They get hit with a fly ball at their kid’s baseball game and didn’t go home first-workers’ comp? Do we need to now start controlling our employees’ lives outside of their working hours? Next they are going to make us pay them from the time they leave their house and back. Who makes this stuff up and who is thinking it through? Do they realize the implications? This state is driving employers out and this is going to make employers put the pedal down. 

 

Please remember in 2011, the IL legislature restated the requirement that injuries and illnesses “arise out of” and occur “in the course of” the employment. In our view, the IL reviewing courts are ignoring that simple requirement of WC/OD law. If you disagree, please understand there is no chance, literally none the unfortunate injuries suffered by Claimant Daugherty in Venture-Newberg were “in the course of”—all sides agree he was twenty miles away from work and wasn’t on the clock when the car crash occurred.

 

Our vote is to get a petition together or start writing letters to Governor Quinn, Speaker Madigan, Senate President Cullerton, Attorney General Lisa Madigan and IL Supreme Court Chief Justice Thomas Kilbride. We hope business leaders like Doug Oberhelman at Caterpillar and Doug Whitley at the IL State Chamber and David Vite of the IL Retail Merchants get engaged. We would love to hear Chairman Michael Latz and the IWCC itself make a stronger statement about their approach to this crisis that clearly will affect their jobs and their lives. If you don’t use KCB&A as your defense attorneys, please ask your IL WC defense lawyer for their thoughts, recommendations and actions to block this new legal concept.

 

The defense team at Keefe, Campbell, Biery & Associates seeks your thoughts, assistance and concerns in this legal crisis that threatens our system and our state. Please reply as you feel best. Please feel free to post comments on our award-winning blog. We thank our brilliant client/reader quoted above for her thoughts.

 

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Synopsis: Getting and Keeping Drugs and Alcohol Out of Your Workplace.

 

Editor’s comment: After our recent article about medical marijuana becoming somewhat legal, we have had a lot of readers inquire about drug and alcohol testing and wanted to provide additional thoughts for your consideration.

 

Employers can test in

 

A.   Pre-employment,

B.   Random,

C.   Reasonable suspicion and

D.   Post-accident settings.

 

A.   Pre-employment testing is a great way to start your overall program and confirm for any job candidate that you are serious about safety and keeping your workplace drug and alcohol free.

 

In short order, pre-employment testing means all job applicants in a class of workers may be required to be screened for drug and alcohol use prior to being hired. Prospective employees may be tested for drugs or alcohol in the workplace.

 

The types of drug tests which show the presence of drugs or alcohol include urine drug tests, blood drug tests, hair drug tests, breath alcohol tests, saliva drug screen, and sweat drug screen. Hiring should be contingent upon passing pre-employment drug and alcohol tests and screenings. Drug testing laws vary by state. In some cases, the law requires drug testing. For example, industries regulated by U.S. Government may be covered by federal or state drug testing requirements.

 

Breath alcohol testing devices or breathalyzers measure how much alcohol is currently in the blood. Blood alcohol tests show current levels of impairment or intoxication; they do not show past use. A blood drug test may be used when job applicants or employees are screened for illegal drugs. A blood test measures alcohol or drugs in the blood at the time the blood is drawn. Drugs screened for in a typical blood test for employment purposes include amphetamines, cocaine, marijuana, methamphetamines, opiates, nicotine, and alcohol. A hair drug test provides a 90-day window of drug use. It doesn’t indicate current impairment due to drugs, only past use. A hair drug test does not detect alcohol use. Hair can be tested for cocaine, marijuana, opiates, methamphetamine, and phencyclidine. A mouth swab drug test, also known as a saliva test or oral fluids test, collects saliva from inside the job applicant or employee's mouth. The saliva is tested for use of drugs during the previous few hours up to one to two days. Saliva is easy to collect and test, so this is the simplest and least invasive type of drug testing. A urine drug test is the most commonly used test when job applicants or employees are screened for illegal drugs or alcohol use. Urinalysis shows the presence of drug residues that remain in the body after the effects of the drug have worn off.

 

B.   Random testing is exactly that – systematic and random testing of existing workers.

 

One approach is all employee names from a class of workers are entered into a computer system and the computer selects those to be tested. The computer needs a unique identifier, such as an SSN or employee ID #, the frequency of testing (monthly, quarterly, etc), and the percentage of the employee population to test through the yearly program (25%, 50% etc). For DOT testing, the percentages are required and set by the operating administration regulating the employer, such as the FMCSA or FAA. For non-DOT testing, the employer has to make decisions regarding which employee categories to include in the random pool, the frequency of testing, and the percentage of the employees to be selected for testing. Computer generation of the folks to be selected is important so there is a system to produce unbiased random selections of personnel subject to drug and alcohol testing.

 

Simple random sampling without replacement is not usually used in random testing programs designed to deter or identify drug use. When an employee is subject to testing only once during the year, there may be no deterrent or no chance of identifying a drug user for the rest of the year. Most random drug testing programs use SRS or sampling with replacement; all employees in the pool are eligible for selection each time a selection is made. Employees may be chosen more than once in a year and sometimes in consecutive selection periods. This can be aggravating to employees who have already been selected previously and passed the drug test; however, it is necessary for true random testing designed to both deter illegal drug use and identify substance abusers. In our view, systematic and random testing can work if you want it to; it has proven to be an effective tool in reducing or eliminating substance abuse in the workplace. Once notified of being selected for a random test, an employee should immediately report for that test. Any delay takes the random part out of the equation and permits adulteration or substitution. What makes the test successful as a deterrent is the fact the employee does not know they have been selected until they are required to submit a specimen.

 

C.   Reasonable suspicion testing is conducted when a supervisor has reasonable cause to believe an employee may be impaired as a result of drug or alcohol use.

 

The supervisor's assessment and decision to test is based on personal observation of the employee's behavior. Supervisors should document in writing the behaviors that give rise to the suspicion the employee is impaired and/or under the influence of drugs and/or alcohol. For overall workplace safety, reasonable suspicion drug testing is a valuable aid if it is properly used and carefully documented. Training for determining reasonable suspicion of impairment and the process to refer an employee for a drug or alcohol test is readily available. Large employers have EAP programs that include access to this type of training; in addition, trainers can be brought in to provide this training. Smaller employers can take advantage of on-line or video training options. This issue revolves around the safety of the employee, their coworkers, customers, and the general public – it is not so much about the test itself. Without question, reasonable suspicion testing has probably the highest level of legal liability due to the initial decision by a supervisor on when to test or not test.

 

D.   Post-accident testing is also fairly simple to grasp.

 

Anyone who is involved in an accident is tested, either by the care providers at your request or by your team. It is important to remember if you test one employee in a post-accident setting, test all. If you don’t follow that rule, you are almost certain to get sued. The easiest way for test results to be obtained is to advise your PPP network providers to always test in post-accident settings and properly preserve the samples.

 

It is legally important to properly categorize a drug or alcohol test. If you need a sample drug and alcohol testing program, send a reply and we will forward it for free. If you need legal assistance in setting up a program, let us know. Please give us your thoughts and comments or post them on our award-winning blog.

 

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Synopsis: Driving in IL Has Changed—A Lot!!

 

Editor’s comment: While not truly a WC issue, we want our readers to know of the many changes, in case you are in or visit our state.

 

ü  No more phones to your ear!! Starting January 1, 2014, if you are driving and put a cell phone to your ear and get caught, it will result in fines of $75 to $150.

 

ü  Don’t use your cell phone and crash into anything! Another law increases penalties for drivers who cause an accident while using an electronic device to talk/text or email, including possible prison time. Current law only allows these drivers to be charged with traffic violations.

 

ü  Cellphones off around accidents! Can’t take pix, text or talk on a mobile phone while driving within 500 feet of an emergency scene, such as a traffic accident or responding firefighters or police. We have no idea what rocket scientist thought this one up or why it was passed but it is a law you should know about.

 

ü  No more hot rodding, sort of—A conviction of going 30mph over the limit on a highway and 25mph over the limit not on a highway will result in a sentence that cannot include court supervision. We assume this will mean more jail time or license suspensions.

 

ü  New access to past driving records--Sentencing for traffic offenses will now include real-time access to online databases for all states to allow judges to throw the book at us.

 

ü  Rural speed limits to go up to 70mph—Since everyone is already driving 80mph, it is nice to see the law catch up to the rest of us. Cook County and the collar counties can nix the increase if they want but all other counties are now at 70mph.


We appreciate your thoughts and comments. Please post them on our award-winning blog.

11-26-13; IL Troubled Judicial Selection Process-What It Means to WC; WC Advisory Rate Drop Means Nothing; Fla WC Conference is Rocking and much more

Synopsis: Justice for Sale in Illinois and It is All Completely Legal—It Just Looks Bad.

 

Editor’s comment: We join with Ed Murnane of the IL Civil Justice League to again call for judicial selection reform in our state. Last week, 40+ judicial candidates were selected to the ballot by the Cook County Democratic Party. Cook County, largest by far of the 102 counties in Illinois, has 268 circuit court judges and most are selected in the manner outlined below. There is no true “democracy “ involved because there is no opposing party to provide any competition—if you get on the ballot and pay the $30K that comes with that spot, you are in.

 

This twisted judicial selection process is one of the reasons Cook County currently has an “insane” person as a judge—she pled not guilty to criminal charges and was acquitted based on a finding of insanity by a  court of law. Judge Cynthia Brim, 54, was named in a complaint filed last Monday by the Judicial Inquiry Board alleging conduct "prejudicial to the administration of justice and that brought the judicial office into disrepute." Brim has been suspended with pay from her $182,000-a-year job since March 2012 after she launched into a lengthy tirade during her traffic court call in the Markham courthouse and then shoved a Cook County deputy outside the Daley Center a day later. She has been hospitalized for bipolar mood disorder at least six times since 1993, including for three weeks after shoving the deputy, according to the complaint. Brim was retained by voters for an additional six-year term in 2012 even after being suspended and charged with battery.

 

Please note Cook County taxpayers have paid her about $300,000 not to work as a judge for the last 17 months. As she has been a judge for about 20 years, IL taxpayers will have to keep paying her a judicial “pension” for the rest of her life, whether she keeps her robe or is forced to give it up.

 

Illinois and more important, Cook County judges are not picked based on merit or legal experience or brilliance or  LSAT scores or the name of the law school on their diploma. Cook County judicial hopefuls are asked questions by the Judicial Selection Committee of the Cook County Democratic Party. One’s status as a great lawyer does not appear to be the primary concern.

 

Here are three questions most of the Cook County judicial candidates are asked:

 

      If you are chosen for endorsement by the Party will you support the entire ticket?  

      If you are not chosen for endorsement will you run against the ticket?

      The Party incurs certain costs on behalf of the ticket, for mailing and other expenses. Will you or your campaign be willing and able to raise the $30,000 necessary to defray those expenses?

 

Please note there are over 40 candidates that have been selected by the party for the can’t-miss election openings. If they each donate $30,000 (and the party leaders don’t waive that donation), the Cook County Democratic Party picks up a cool $1,200,000 for its coffers making it even more powerful than it already is. Once you are in as a judge, you rapidly make more money than Governor Quinn and get guaranteed wage increases at 3% per year—we know of no other government job with guaranteed annual increases. The same judges are vested in their pensions in 8 years, less time than is needed to contribute one full year of salary to their guaranteed judicial pensions that also have guaranteed 3% increases for their lifetimes. Taxpayers are paying the lion’s share of this post-employment cost out of current tax dollars—it isn’t actually a “pension.”

 

How does this impact the IL Workers’ Compensation system? Well, all of the five justices on the Illinois Appellate Court, Workers’ Compensation Division generally act as a unit. We haven’t seen a staunch representative of IL business on that panel since Justice Allan Stouder retired in the early 1990’s. We almost never see a dissent that even mentions the interests of IL business. The Illinois Appellate Court WC panel is strongly influenced by the judicial selection process in Cook County and the Cook County Appellate Court justice is typically the leader of the WC panel. Those justices lawfully run for election and legitimately collect donations for their campaigns from the Plaintiff-Petitioner lawyers who appear before them. As you read this, the amount of such donations don’t have to be disclosed to the other side in the litigation.

 

With respect to the members of the panel, we feel they are effectively tossing the entire WC system on its collective ear with their new version of the “traveling employee” concept that is now embodied in three separate rulings. Please note you don’t have to be “traveling” to be a “traveling employee” or injured during actual travel. A “traveling employee” is covered under WC for lots of personal risks that have literally nothing to do with work and don’t have to be either on the clock or in the workplace—such workers are covered on a 24/7/365 basis when they are working at home. If they don’t work in their homes, they are covered while driving to and from work or on breaks for any reasonable and foreseeable activity, including falling in their own driveways. We again point out the members of the Appellate Court panel can’t be interpreting the Act or the Rules because the term “traveling employee” isn’t in either.

 

For other recent and major changes to traditional WC concepts, in the Metropolitan Water Reclamation District v. IWCC ruling, they coined the new workers’ comp term “street risk” that also doesn’t appear in the Act or the Rules but it does insure benefits will be awarded. It is mildly odd to note the “traveling employee” tag wasn’t provided to that worker. In the Forest Preserve District of Will County ruling, the panel reversed 100 years of Illinois WC law to “remove” the shoulder from the arm in a fashion designed to strip away the statutory credit to which employers have been entitled for prior injuries.

 

At some point, we hope someone in this state starts to see the judicial selection process needs to be given a long hard look. Men as astute as Ed Murnane and his overall approach to selecting a great state judiciary need to be considered when they are pointing out how dysfunctional our current system is. It is our strong hope this twisted process doesn’t select lots more judicial candidates who are legally insane for future spots behind the bench.

 

We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

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Synopsis: Illinois WC Insurance “Advisory Rate” Drop is Not News, Happens Every Year and Doesn’t Mean Anything.

 

Editor’s comment: One funny thing we have seen once a year for decades and decades is an annual announcement in August about the stat-rats at NCCI recommending advisory rates for WC insurance should drop, by either a little or a lot. We consider this to be similar to selling stock in the Golden Gate Bridge—it sounds good but it isn’t worth anything to anyone. The PR mill at the IL WC Commission just dropped the most recent advisory rate hot flash for everyone to read. It says:

 

NCCI files for 4.5% decrease in 2014 WC advisory insurance rates

 

The National Council on Compensation Insurance (NCCI) filed for an 4.5% decrease in voluntary advisory insurance rates, effective January 1, 2014, following the 3.8% decrease in 2013. These significant savings follow the enactment of House Bill 1698 on June 28, 2011.

 

Before we start popping champagne corks and tossing confetti, we recommend everyone calm down. We have no true idea what advisory rates might be and why anyone thinks they are news. If rates dropped as much as NCCI says they should, WC insurance should be free in this state! Every year, year in and year out, NCCI recommends decreases in IL WC advisory rates. In the 2009 IWCC annual report, the IWCC heralded the fact advisory rates dropped 33% from 1990 to 2008. The IWCC indicated the massive reduction in advisory rates was calculated using advisory rates filed annually by the National Council on Compensation Insurance (“NCCI”), a rating organization authorized to file rates on behalf of companies pursuant to Section 459 of the Illinois Insurance Code (215 ILCS 5/459).

 

Blah, blah, blah. In 2012, IL WC advisory rates dropped 3.8%.

 

http://insurance.illinois.gov/newsrls/2012/08/DOIReviewsReductionOfWorkersCompRate.pdf

 

In 2011, IL WC advisory rates dropped 8.8%.

 

http://www.insurancejournal.com/magazines/features/2011/09/19/216159.htm

 

Please don’t tell us any more about IL WC advisory rates and how they are dropping. Advisory rates are clearly trumped by actual WC insurance premiums. This is the best source for the actual WC premium ranking that will change again on January 1, 2014:

 

http://www.cbs.state.or.us/external/dir/wc_cost/files/report_summary.pdf

 

There is nothing advisory about it—the State of Oregon looks at what IL business is actually paying and we are number 4 in the country. By number 4, they mean fourth highest or, to be more blunt, fourth worst. As the defense team at KCB&A is currently predicting, if the “traveling employee” concept sticks and IL business is going to have to pay for personal risks that have nothing to do with work, we are certain to soon be the worst state in the U.S. for workers’ compensation premiums. Yes, folks; we care about actual premiums; not advisory and ethereal rates.

 

We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

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Synopsis: Hello from Orlando and the Florida WC Educational Conference(s)!!

 

Editor’s comment: The 68th Annual Workers’ Compensation Educational Conference and the 25th Annual Safety and Health Conference is rocking along as you read this. The Conference focuses on national workers’ compensation and safety industries. Particularly as it relates to workers’ compensation, it has always been felt each state, having different laws, had to deal with its own issues separate from other states. No longer is this the case. This emerging national WC conference has evolved into a gathering of all stakeholders, regardless of jurisdiction or state, to study and be educated on issues of common concern - issues that have no geographical boundaries. Regardless of your interests, your positions in these two important industries, and your role, this conference is designed to provide something of significance for everyone. The unprecedented number of breakouts and the quality of presenters representing states throughout the country truly make this a national event not to be missed.

 

Conference of Partnerships:

 

This nationally acclaimed annual conference remains the premier forum for the study of workers’ compensation, workplace safety and health, and related issues primarily because of the continued partnerships of state and national associations, all being recognized as leaders within their particular interest areas. Partners within this group include The Safety & Health Institute, The National Institute for Occupational Safety and Health (NIOSH), The Centers for Disease Control and Prevention (CDC), The University of South Florida, The Workers’ Compensation Institute, the Florida and National Associations of PEOs, The American Staffing Association, The Southern Association of Workers’ Compensation Administrators (SAWCA), The Workers' Compensation Defense Institute, The Florida Orthopedic Society, The Florida Chiropractic Association, The Florida Association of Occupational and Environmental Medicine, The Florida Academy of Pain Medicine, The Florida Society of Interventional Pain Physicians, The Educational Research Centers at The University of South Florida, The University of North Carolina at Chapel Hill, and The Deep South ERC at The University of Alabama at Birmingham and Auburn University, The Professional Mediation Institute (PMI), The National Association of Workers’ Compensation Judiciary, Inc. (NAWCJ), Medical Group Management Association, and Eastern Pain Association. Leading providers have become prime sponsors and exhibitors of the conference and join the partnerships to create the most comprehensive workers’ compensation and workplace safety conference in the nation. First time partners for this year’s conference are the American Health Lawyers Association, Washington, DC, and the Elder Law Section of the Florida Bar.

 

Program:

 

This year’s program offers creative and innovative speakers from throughout the United States. The hottest issues in workers’ compensation and safety are being discussed. All aspects of workers’ compensation and workplace safety will be the topics of discussion with breakouts for risk managers, regulators, safety professionals, health care providers, adjusters, insurance professionals, attorneys, medical case managers, professional employer organizations (employee leasing), temporary staffing, mediators, and medical office administrators. Ancillary sessions will be held on the Social Security Act, the Longshore and Harbor Workers Compensation Act, the Jones Act, the Defense Base Act, the OSHA 10-Hour General Industry Course, the Affordable Care Act and Medicare, and the new, recently passed, SMART Act, with specific emphasis on their effect on workers’ compensation.

 

New This Year:

 

2013 represents a significant change in the Conference, a change that saw the creation of a new interactive website and social media emphasis with a full-time online communications office and an emphasis on workers’ compensation and safety on a National scale - www.wci360.com. This year, significant expansions have been made in the Risk Management program to include prominent speakers from throughout the country, with this breakout being extended for a full 8-hours of presentations.

 

Safety:

 

This is the 25th anniversary of the existence of the Safety & Health Conference. Originally created as a stand-alone “Governor’s Conference on Safety,” the Safety & Health Institute partnered with the Workers’ Compensation Institute to establish a comprehensive national safety and health conference. In conjunction with NIOSH, CDC, and sponsoring Universities, these educational offerings provide reasonably priced, comprehensive educational opportunities for front line safety professionals. In addition to the usual breakouts on safety, a 10-hour General Industry course will be presented. An OSHA completion card will be issued to those who complete the full 10 hours of instruction. Registration for this special course offering is required. Refer to form to register.

 

Medicare Secondary Payer Act and Supplemental Security Income/Medicaid:

 

This year’s conference features an all-day breakout on the Medicare Secondary Payer Act and related subjects. One of the most difficult areas to deal with in handling workers’ compensation and general liability matters in the current environment is understanding and dealing with the serious pitfalls that this expanding law presents.  

 

Entertainment:

 

Entertainment for this year’s conference is “Styx.” They are downstairs rocking as your editor is writing this KCB&A Law Update! Starting in Chicago in the early 70s, the group has become one of the U.S. top rock acts due to such big hit singles as “Lady,” “Come Sail Away,” “Renegade,” “Blue Collar Man,” “Fooling Yourself,” and “Too Much Time on my Hands.” Styx continues to conquer the planet, one venue at a time.

 

It has been hot and muggy and the golf greens are holding the best shots. Mark your calendars for next year’s Florida WC Shindig!

 

11-26-13; IWCC Gets 3 New Arbs + One New Commissioner; Drug Sampling/Testing Redux; Best Practices Invite and much more

Synopsis: Three New IL Arbitrators Secretly Selected, Mike Brennan Gets Nod As New IL WC Commissioner; Governor Claims WC Reforms are Working Despite “Traveling Employee” Nuclear Warhead Waiting to Go Off on IL Business This Fall/Winter.

 

Editor’s comment: Last week, Governor Quinn announced the appointment of three new arbitrators who will join the 27 sitting IL WC Arbitrators, bringing the total to 30.

 

What Rhymes With Bloated Bureaucracy?

 

As observers for IL Business and with respect to these new workers, we don’t feel our state needs that many line administrators and would have preferred the monies had been saved and/or rebated to our clients and readers. As the IWCC is the only state agency funded solely by IL Business one would think the Illinois State Chamber, the Illinois Manufacturers or Illinois Self-Insurers Ass’n would be kicking and screaming about their members’ rising WC assessments. Is KCB&A the only statewide organization that cares about such issues?

 

We note the number of new IL WC claims continue to dramatically drop as IL workplaces get safer. Less than 50,000 new claims should be filed this year and many of them are pro se settlements. Companies large and small continue to react to the looming presence of federal OSHA that is hitting employer after employer with hefty fines for any unsafe situation or severe injury. With 30 Arbitrators and 8 Commissioners and our Chairman, the total IWCC payroll for administrators has to be one of the highest in the U.S. Along with a high current payroll, Illinois has the great habit of making taxpayers pay the lion’s share, currently 60% of post-employment pay for retired government workers that we misleadingly call “pensions” in this state.

 

How Does Hiring More Administrators Equate with Efficiency?

 

As the 2014 Gubernatorial Election is looming, our plucky Governor couldn’t miss the chance to call the 2011 IL WC reforms as “historic” and they assert this legislation “overhaul[ed] the system in Illinois.” The press release further highlights the “Governor's commitment to making Illinois government more efficient, accountable and effective.” We counter to point out adding more IWCC payroll doesn’t equate with efficient, accountable or effective—it is just more government workers.

One galling aspect of Illinois government is the continuing decision by even a “reform” Governor to keep Arbitrator positions purely political and secret. The IWCC didn't openly advertise these new Arbitrator or Commissioner positions. You and I can’t apply for such positions, you have to know someone who knows someone to be considered.

 

We don’t agree adding more Arbitrators, albeit great candidates, is necessarily efficient. We also didn’t see any discussion or meeting minutes from any advisory board about a defined need to fill these positions. There are many other ways to infuse efficiencies into the IL WC system like putting hard deadlines on trial, settlement or dismissal. The IL legislature did not conduct hearings and mandate there is a need for 20, 30 or 40 Arbitrators to facilitate claim closure. As the number of new IL WC claims continues to drop, we hope Chairman Latz, the Commission itself and the IL WC Advisory Board openly weigh and consider precisely how many Arbitrators and Commissioners are truly required to fulfill the mission of our IL Workers' Compensation Commission. When they start to do that, we may start to see if they are being efficient, accountable and effective in doing so.

 

While we are on the buzzwords of efficient, accountable and effective, we note the IWCC continues to have four satellite offices across the state that are simply there to provide more "lifetime-salaried-political-plum” government jobs. The addresses of these controversial offices are listed on the IWCC’s first web page. You may note the IWCC’s Collinsville office isn’t staffed and the job isn’t posted for reasons known only to the secret-powers-that-be. In our view, the value of satellite offices to IL business and taxpayers is virtually non-existent and the money to operate them is wasted. The folks who are assigned to the satellite offices do very little work of any demonstrable value; the only task it appears they perform is to provide printed WC forms that are continuously available online and therefore don't need five full-time office-minders across our state to occasionally give them out. Again, the folks who run those offices have payroll that has to exceed $200K plus those pensions that you and I will be certain to eventually pay.


The Three New Arbitrators include an Assistant Attorney General, One of IL Top WC Defense Attorneys and a Former Circuit Court Judge!
 
Molly Dearing, J.D. – our research indicates she is a solid WC attorney who was licensed in 2007. She has a WC background working in Attorney General Lisa Madigan’s office.
 

Jeffrey Huebsch, J.D. – Jeff was a very solid and knowledgeable WC defense attorney, licensed in 1984. He was one of the senior attorneys at a great west suburban-based defense firm and probably took a substantial pay cut to take this position. We are certain Jeff will bring strong WC expertise to his new job every day. If the stars were to align, at some future time, Arbitrator Huebsch could become IWCC Chairman Huebsch.
 

Ketki Steffen, J.D. – our research indicates she is a retired judge but also is a current judicial candidate. She was a Cook County prosecutor for 18 years before being appointed to the bench by our Supreme Court in 2010. There is no indication in her many online resumes and law firm website that she has any WC background but she does appear to be a quick learner.

The Governor appointed the following New Commissioner and Left the Other Vacancy Open
 
Michael Brennan, J.D. – Mike is a veteran and longtime IL WC lawyer who was with the storied Kane, Doy & Harrington firm for much of the middle of his career. Mike has written books and lectured about IL WC for years and is one of those brilliant and quiet folks who has forgotten more about workers’ comp than most folks may ever know. We salute this appointment as a great choice for the IWCC panel.
 

The Governor reappointed the Arbitrators listed below.

 

We feel every one of them represent the best of the IL WC legal community in terms of knowledge, honesty, training and professionalism. None of them like or will stand for WC phonies and frauds. We tell our readers they aren’t all conservative but they show up on time, listen carefully and decide claims to the best of their ability. We don’t think you can ask for more than that and salute our Governor for reappointing them.
 
William Gallagher, J.D., Carolyn Doherty, J.D., Joshua Luskin, J.D., Robert Williams J.D., Barbara Flores, J.D., Deborah Simpson, J.D., Brian Cronin, M.B.A., Kurt Carlson, J.D., Gregory Dollison, Edward Lee, J.D., Molly Mason, J.D., Douglas McCarthy, J.D.

The End of IL WC As We Know It May Still **Explode** Later This Year

 

Last but not least, we again saw the ruling in Mlynarczyk v. IWCC is final and the Appellate Court Workers’ Comp Division would not stay execution of the award of send the ruling to the IL Supreme Court for further analysis—this is the second of the three aberrant IL WC “traveling employee” rulings of which we are aware. We consider this concept to be an IL workers’ comp nuclear warhead waiting to go off and destroy all businesses and governments in our state. This ruling extended WC benefits to a cleaning lady who wasn’t at work or working—she  went home for lunch. While off the clock and in her own driveway, she fell down and injured herself. Because she supposedly didn’t work “on the premises of her employer” whatever that may now mean in this nutty state, her employer has to pay for what are unquestionably off-work injuries for a dangerous condition at her home.

 

Please note if she fell and injured herself and died due to the fall in her own driveway, the employer would have to pay all her bills and lost time and at least $650K in death benefits for an injury that was miles from where she was going to work. If she had to drive two hours to get to and from her job, the employer would owe for anything that happened to her the entire trip.

 

One has to wonder if her employer couldn’t sue her under Section 5 of the IL WC Act for negligence in maintaining her own driveway and therefore contributing to her own injuries. While that sounds mildly insane, we feel the whole “traveling employee” doctrine, as created and currently implemented by our courts is wholly inconsistent with the intent and purpose of the IL WC Act that is designed to provide insurance coverage for workers who are injured while working. To the extent our current Governor feels IL WC has been “reformed,” we caution this traveling employee bombshell is going to cause our WC costs to dramatically skyrocket. We continue to closely monitor the Venture-Newberg-Perini Webster & Stone v. IWCC claim to see what the IL Supreme Court does with all of it. We again point out Illinois will not need 30 Arbitrators and lots of Commissioners if every “traveling employee” is entitled to full benefits for any risk they face all day, as a matter of law. We hope our Governor and Attorney General Lisa Madigan and  great business leaders like Doug Whitley of the IL State Chamber of Commerce and Doug Oberhelman of Caterpillar openly go on the record to let the entire WC community know what a disaster this will be for businesses and jobs in our state.

 

If you have thoughts and comments, please reply or post them on our award-winning blog.

 

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Synopsis: Question from a reader in follow-up to our medical marijuana article last week—do drug and alcohol tests have to be performed by a certified professional to be “valid” in IL WC?

 

Editor’s comment: Our vote for lots of clients is to get a personal breathalyzer and walk around your plant with straws, insert a fresh straw for each worker and test everyone all the time. The question you might want to ask yourself is what to do if you, as an amateur alcohol/drug tester get a positive result? To our understanding, the alcohol or drug test doesn’t have to be administered by certified personnel but the samples have to be carefully stored. Illinois has several hundred pages of rules on storage of drug/alcohol test results.

 

We have included sections of the IL WC Act below that are pertinent. Please note the “testing” of a sample has to be performed by an accredited or certified testing laboratory. However, testing of a sample doesn’t necessarily equate with administering the initial taking of the sample.

 

We do not have a problem with our reader’s advice of getting a second sample and test by certified personnel when a non-professional gets a positive test outcome. We consider that a prudent decision. If you are going to deny a moderate or larger IL WC claim, you can’t be too safe and it is worth the additional money.

 

In our estimation, most post-accident drug and alcohol sampling and testing is done at the clinic or hospital where the injured worker has been taken for care. Such institutions should have certified personnel to obtain samples and test urine, blood, breath, hair follicles or other appropriate sampling concepts.

 

Please note the IL WC Act below--if the employee refuses post-accident sampling and testing of blood, breath or urine, the presumption is they were intoxicated and the intoxication proximately caused their injury.

 

No compensation shall be payable if (i) the employee's intoxication is the proximate cause of the employee's accidental injury or (ii) at the time the employee incurred the accidental injury, the employee was so intoxicated that the intoxication constituted a departure from the employment. Admissible evidence of the concentration of (1) alcohol, (2) cannabis as defined in the Cannabis Control Act, (3) a controlled substance listed in the Illinois Controlled Substances Act, or (4) an intoxicating compound listed in the Use of Intoxicating Compounds Act in the employee's blood, breath, or urine at the time the employee incurred the accidental injury shall be considered in any hearing under this Act to determine whether the employee was intoxicated at the time the employee incurred the accidental injuries. If at the time of the accidental injuries, there was 0.08% or more by weight of alcohol in the employee's blood, breath, or urine or if there is any evidence of impairment due to the unlawful or unauthorized use of (1) cannabis as defined in the Cannabis Control Act, (2) a controlled substance listed in the Illinois Controlled Substances Act, or (3) an intoxicating compound listed in the Use of Intoxicating Compounds Act or if the employee refuses to submit to testing of blood, breath, or urine, then there shall be a rebuttable presumption that the employee was intoxicated and that the intoxication was the proximate cause of the employee's injury. The employee may overcome the rebuttable presumption by the preponderance of the admissible evidence that the intoxication was not the sole proximate cause or proximate cause of the accidental injuries. Percentage by weight of alcohol in the blood shall be based on grams of alcohol per 100 milliliters of blood. Percentage by weight of alcohol in the breath shall be based upon grams of alcohol per 210 liters of breath. Any testing that has not been performed by an accredited or certified testing laboratory shall not be admissible in any hearing under this Act to determine whether the employee was intoxicated at the time the employee incurred the accidental injury.

 

Please note the following language from the IL WC Act about sample collection and the need for proper scientific testing.

 

All sample collection and testing for alcohol and drugs under this Section shall be performed in accordance with rules to be adopted by the Commission. These rules shall ensure:

(1) compliance with the National Labor Relations Act regarding collective bargaining agreements or regulations promulgated by the United States Department of Transportation;

(2) that samples are collected and tested in conformance with national and State legal and regulatory standards for the privacy of the individual being tested, and in a manner reasonably calculated to prevent substitutions or interference with the collection or testing of reliable sample;

(3) that split testing procedures are utilized;

(4) that sample collection is documented, and the documentation procedures include: 

    (A) the labeling of samples in a manner so as to reasonably preclude the probability of erroneous identification of test result; and

    (B) an opportunity for the employee to provide notification of any information which he or she considers relevant to the test, including identification of currently or recently used prescription or nonprescription drugs and other relevant medical information; 

(5) that sample collection, storage, and transportation to the place of testing is performed in a manner so as to reasonably preclude the probability of sample contamination or adulteration; and

(6) that chemical analyses of blood, urine, breath, or other bodily substance are performed according to nationally scientifically accepted analytical methods and procedures. 

 

Please note the bigger the WC claim, the more important the adherence to the rules. Please reply with your thoughts and comments.

 

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Synopsis: Self-Insured Best Practices for IL WC, HR, Safety and Risk Professionals.

 

Editor’s Comment: You are invited to the following:

What: An informal gathering of occupational health and workers compensation professionals, brought together to communicate and collaborate on leading and best practices in the areas of absence management including worker’s compensation, FMLA, short term disability, and group health.

 

Where: Edward Hospital in Naperville. Edward Hospital is located at 801 S. Washington Street, Naperville IL 60540. When parking on campus please park in the North Parking garage. You will then proceed to the Main Hospital entrance. At the front desk ask to be directed to the Education Center. Take the Education Center elevators to the 2nd floor. Once exiting off the elevator go to the right as we will be located in the Board Room E200.

Click here to see the location on Google Maps.

 

 

 

When: Friday September 20, 2013. Space is limited so please RSVP via email by August 24.

Time: 11:00 am to 1:00 pm.

Cost: No cost but bring your “A Game” to the discussions!

Meal: Hosted/provided by Go Self Insured, catered by Edward Hospital and Health Services.

 

What to bring: Your leading practices and best practices that you want to share; areas of concern, roadblocks, processes in needed of improvement, anything that you wish to share that someone else at the roundtable might have a best practice to share with you that will meet your need.

 

Best Practices: Click here to download the Best Practices Guide..