Staffing Company Risk Manager Alert! by Joe D'Amato, JD; IL WC Rules on Staffing Companies/Employees; Colo. Marijuana Ruling and What It Means to You and more

Synopsis: Staffing Company Risk Manager ALERT!—National Staffing Company Agrees to Implement Major Company-Wide Changes Following OSHA Beef, analysis by Joe D’Amato, J.D.

 

Editor’s Comment: The defense team at KCB&A has a number of WC/EPLI/GL Staffing Company legal specialists, including our law partner and defense team leader, Joe D’Amato. Joe confirms legal issues for staffing organizations have unique challenges for risk and safety managers. This new action and eventual agreement by OSHA is a must-read for anyone who uses staffers or handles risk in that growing industry.

 

In 2013, OSHA announced an initiative to improve workplace safety and health for temporary or staffing workers, who are at increased risk of work-related injury and illness. The initiative included outreach, training and enforcement to ensure temporary workers are protected in the U.S. workplace. OSHA and the National Institute for Occupational Safety and Health or NIOSH have issued a "Recommended Practices*" publication that focuses on insuring temporary workers receive the same training and protection permanent employees receive.

 

Marathon Staffing Services, a staffing service placing 15,000 workers annually throughout several states, was cited by the U.S. Department of Labor (DOL) for not providing hearing testing for employees exposed to high noise levels while working on assignment at a Massachusetts concrete manufacturing facility. As part of the company’s settlement with the U.S. DOL/OSHA, it agreed to implement “enhanced” workplace safety and heath protections for all client businesses where it places temporary workers; not just the concrete manufacturing facility were the violations took place.

 

The enhanced workplace safety measures are wide ranging and include:

 

  • Initial and periodic safety and health inspections or audits at client work sites to ensure working conditions meet OSHA standards;
  • Comprehensive safety training for Marathon’s account executives and sales representatives;
  • Development of written contracts with its clients specifying respective responsibilities to develop safety and health programs applicable to each workplace where Marathon will supply temporary employees and
  • Hiring or assigning a qualified safety and health professional to review and update a checklist to address foreseeable safety and health concerns at client workplaces.

 

The U.S. DOL regional solicitor for labor noted the settlement agreement with Marathon rippled beyond the case and “(o)ther suppliers and employers of temporary workers can and should take heed to ensure that all employees...work in an environment that enables them to come home each day safe and healthy.”

 

We are certain the cost of providing hearing tests for employees assigned to one location is incredibly minor compared to the costs of implementing major company-wide changes. An easy way to avoid costly legal entanglements with the DOL is to simply follow OSHA guidelines without deviation. If you are with or use a staffing company and need assistance in handling OSHA investigations or for OSHA compliance concerns involving the staffing industry, please contact Joe D’Amato as indicated below. Please note our thoughts on this issue are strictly legal in nature; KCBA does not provide safety advice or consulting services. If such services are needed, a licensed safety expert should be contacted.

 

This article was researched and written by Joseph D’Amato, J.D. He can be reached on a 24/7 basis for questions, legal concerns and comment at jdamato@keefe-law.com.

 

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Synopsis: The Illinois Workers’ Compensation Rules on Staffing Employees—Check Your Agreement!

 

Editor’s comment: Your organization may have temporary staffing workers on a temporary basis—to fill a need for a short period of time. Your company might also have staffing employees on a regular and continuing basis where the workers are vetted, hired by, paid and fully report to a staffing company and its managers but the line workers and managers work solely at your business locations. What is the rule if such a staffing worker or manager is injured in your workplace—who has to investigate, accept and pay IL WC benefits?

 

In such claims, the IL WC Act indicates both employers are simultaneously and continuously liable for all WC benefits. What the IL WC Act also outlines is one of the employers will have “primary liability” for a loss. In these situations, the employer directly benefiting from the services of the employee at the time of the accident will be found to be the primarily responsible party. Secondary liability will be on the company providing the worker—unless there is an agreement to the contrary.

 

However, if the borrowing employer does not pay or fails to timely pay benefits, the loaning or original employer must pay. The IL WC Act is clear--liability is joint and several in such situations. As a simple example, your company needs an admin staffer due to the pregnancy of a “regular” worker. You call ABC Staffing and they send a qualified admin over to take the position. ABC Staffing selected the worker, hired them and they will pay the worker from monies being sent to them from you. If/when that admin worker is injured due to a work-related occurrence, who owes the benefits? Well, if there is nothing in your agreement with ABC Staffing about primary liability, you do.

 

Our strong message to IL risk managers—check the agreement with your staffing agency/provider to see who has the risk. If you aren’t sure or the agreement is silent, the defense team at KCB&A is happy to assist at no charge—send us your agreement. What you don’t want is to find out after the accident who owes thousands of dollars in benefits.

 

Please also remember the concept of joint and several liability should protect you from third party liability if a staffing worker is injured—they should not be able to maintain a lawsuit against you in Circuit Court for what might arguably be negligence in your workplace. For example, if one of your workers inappropriately leaves an area with a slippery substance on your floor and a staffing worker falls, you and/or the staffing agency should only owe workers’ comp benefits. Depending on the agreement, you or the staffing company should be able to pay those benefits and both companies should be insulated from third party exposure. Consistent with Section 5 of the IL WC Act, you and the staffing company should be able to obtain dismissal if the staffing worker sues you for the negligence of your worker.

 

Again, remember the unstated rule is to insure the injured employee has WC insurance coverage from the staffing company or you as their client resulting in certain and rapid payment of WC benefits for the loss. If the staffing agency is primarily liable or not, you want a COI or certificate of insurance from them to insure there is some level of joint protection of your company and workers. There are many legal dangers for not having WC coverage for all losses. Please also note it is a crime and WC fraud to present a fake COI in this state. It is incumbent on risk managers and defense attorneys to make sure which entity has primary liability in defending or  managing such claims.

 

Who is responsible for compliance with OSHA when staffing employees are involved?

 

Is it the agency supplying the employees or the client employer for whom they are working? OSHA asserts it is a shared responsibility. Because of its ongoing relationship with the worker, the staffing service has some record-keeping and training obligations. However, as you can see from Joe D’Amato’s article above, primary responsibility resides with the client employer, which typically owns, creates and controls conditions at the workplace. For example, it’s the employer that insures their machinery is properly guarded and necessary personal protective equipment is present and utilized. However, the staffing agency would maintain medical monitoring and exposure records created by a client employer on staffing employees.

 

The issue of “client employer” versus “temporary service agency” responsibility is focused mostly on the area of employee training. There’s no implied waiver of safety training requirements simply because a staffing employee’s work or duties are of short duration. For instance, training or safety instruction must be given to construction or manufacturing employees, even for very short-term jobs. OSHA often finds permanent employees are properly trained as required by a particular standard but staffing counterparts aren’t causing dramatically increased risk and injuries. That potential results in OSHA citations and the possibility of significant penalties.

 

If you have questions or concerns about liability in relation to staffing companies or employees, contact Joe D’Amato at the email above or sent a reply. We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

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Synopsis: Colorado Supreme Court Upholds Termination of Medical Marijuana-Smoking Employee—When Are You Going to Move to Zero-Tolerance?

 

Editor’s comment: In Coats v. Dish Network, the Supreme Court of Colorado unanimously held an employer may justifiably terminate an employee for their off-duty conduct in using marijuana, despite the employee’s adherence to state law governing medical marijuana.

 

The core issue before the Court was whether the use of medical marijuana, in compliance with the State’s Medical Marijuana Amendment, but in violation of federal law, is to be considered a “lawful activity” under Colorado’s Lawful Activities Statute. Affirming the lower court’s decision by a vote of 6-0, the Supreme Court ruled against Plaintiff Coats, a paraplegic employee. The Supreme Court arrived at its conclusion by reasoning the plain language of the term “lawful” within Colorado’s Lawful Activities Statute refers only to those activities that are clearly “lawful” under both state and federal law.

 

Plaintiff Coats worked as a telephone customer service representative for Defendant Dish from 2007-2010, when a routine company drug test revealed the presence of tetrahydrocannabinol or THC in his blood—THC is the major psychoactive ingredient in marijuana. As the employer had a “zero-tolerance” drug policy, it subsequently terminated Coats. Coats filed suit for wrongful termination, arguing he should have been protected by Colorado’s Lawful Activities Statute, which makes discharging an employee based on “lawful” off-duty conduct an unfair and discriminatory labor practice. The THC detected in the routine drug test was the result of consumption of medical marijuana. Coats had a valid state license to use marijuana or THC in order to reduce the pain of frequent muscle spasms—a symptom not uncommon among paraplegics. Therefore, Coats argued he was terminated because of “lawful” use of medical marijuana under Colorado law.          

 

Who Defines “Lawful?”

 

The Colorado Lower Court of Appeals reasoned the employer’s actions did not violate the Lawful Activities Statute because medical marijuana remains prohibited under federal law. The Court analyzed the meaning of the word “lawful”—“that which is permitted by law”—to reason for purposes of the statute, “lawful” is used in regard to activities governed by both state and federal law.

 

The Colorado Supreme Court adopted the Court of Appeals’ majority opinion, finding the term “lawful” to mean “not contrary to, or forbidden by law,” without restrictions. The federal Controlled Substances Act (the “CSA”) prohibits the use, possession, and manufacture of marijuana, makes the use of medical marijuana unlawful under federal law. Thus, Coats’ behavior was not a “lawful activity” under Colorado’s Lawful Activities Statute, and the highest court held Coats’ termination to be valid.

 

How Does This Ruling Affect Employers Across the U.S.?

 

The Colorado Supreme Court’s ruling indicates other states with statutes protecting “lawful” off-duty conduct should still be bound by federal law in its characterization of what constitutes “lawful” conduct. While the Coats v. Dish Network ruling is legally binding in Colorado alone, the decision may serve as persuasive authority in similar cases in other jurisdictions. Colorado is way ahead of the country on legalizing marijuana. They are one of a few states that already have statutes defining lawful off-duty conduct.

 

Please also remember it is not inconceivable to imagine the United States may some day decriminalize marijuana. If/when that happens, it may confuse this ruling and some states’ workplace restrictions on marijuana use. We feel Colorado and other states should avoid the term “lawful” and simply allow employers to block marijuana use at work, as IL law does.

 

As we indicate above, Illinois law allows an employer to bar marijuana use from your workplace. If you don’t take advantage of this provision of the law, your company may have increased risk if a marijuana user causes an accident or injury. For those reasons, we strongly recommend you get an Alcohol and Drug-Free Workplace policy in place right now—there is a new bill on Governor Rauner’s desk for his signature--it decriminalizes possession of small amounts of marijuana. Medical marijuana will also roll out across our state at some future point. This has to be a concern for all Illinois employers and you need to understand the importance of blocking the use of marijuana in your workplace. The defense team at KCB&A has a free policy for you to consider and implement—if you want to review it, simply send a reply.

 

We thank the reader who gave us the heads up on this important ruling. We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

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In Your Workplace!

 

We are pleased to announce an upcoming half-day breakfast seminar on 7/17/2015 for our valued clients!

 

The topics include:

 

·        Supervisor Substance Abuse Training (meets DOT requirements)

 

·        The Legal aspects of Opioids and Medical Marijuana in workers’ compensation

 

This helpful seminar is designed to assist supervisors in addressing these critical issues in your workplace. Although the program complies with the Department of Transportation requirements, the material applies to all industries in addressing workplace substance abuse. Please let us know if you are interested in attending our upcoming seminar. Full details will be forthcoming. We will hold this seminar at one of our valued clients, Burke Beverage, Inc.:

 

Address: Burke Beverage, Inc., 4900 Vernon Ave, McCook, IL 60525

Registration: Please contact Sandra Castaneda, Phone: (708) 496 - 1515 ext.131

Email: scastane@MACNEAL.COM

6-15-15; Warning--Radioactive WC Legislation Pending Before IL Senate; Liberty Mutual May Prove WC Profitability is Over-Stated; One More WC Bill You Need to Know Of and more

Synopsis: Warning--Radioactive WC Legislation Pending Before IL Senate!

 

Editor’s comment: We aren’t reporting actual radioactivity, folks. Our concerns for our readers and IL Business are with IL House Floor Amendments 5, 6, and 7 to HB 1287 that are being presented to the IL Senate as “WC reforms” when they are certain to increase the cost of WC in this state. We note Senate President John Cullerton is sponsoring this legislative morass and we hope this solid leader drops his sponsorship and sends this whole concept to the nearest shredder.

 

IL House Floor Amendment 5 Is Certain to Cause IL WC Benefits to Skyrocket

 

House Floor Amendment 5 provides where an employee is required to travel away from his or her employer's premises in order to perform his or her job, the traveling employee's accidental injuries arise out of and in the course of his or her employment when the conduct in which he or she was engaged at the time of his or her injury is reasonable and when that conduct might have been anticipated or foreseen by the employer. In reasoned legal view, this is an enormous departure from the traditional concept of what a “traveling employee” might be and greatly expands workers comp coverage to just about anything a worker does when they are “in movement” or traveling. This language basically reverses the concepts turned aside/discarded by our IL Supreme Court in the ruling drafted by Chief Justice Rita Garman in Venture-Newberg-Perini Stone & Webster v. IWCC issued on December 19, 2013. We told our readers then and we restate right now, workers’ comp costs in this state will skyrocket to expand the “traveling employee” concept in this fashion. We again point out the term “traveling employee” isn’t in the IL WC Act and doesn’t have to be—this new and unprecedented legislative definition doesn’t help at all. If we simply follow the existing law about “arising out of” and “in the course of” employ, we have the needed limitations with arbitrators, commissioners and jurists who use the “English language” interpretations of those two phrases.

 

Please remember the traditional definition of a “traveling employee” was someone who is supposedly engaged in foreign travel. Such a worker faces unusual dangers and risks—there are language differences, varying kinds of currency, food that may cause lots of diseases or problems you wouldn’t face in your home state and other increased risks. In our view, the idea of expanding WC coverage for someone in a totally foreign and dangerous environment makes some sense. That said, “traveling employees” aren’t folks who are walking around their home town, like the city inspector in the IL WC Appellate Court ruling in Nee v. IWCC. The bordering-on-malpractice decision made by the defense attorney in that claim is they stipulated the worker was a “traveler” when he was in a totally familiar and risk-neutral environment. They made the mistake the IL House and maybe Senate could make if we enact this disastrous new legislation.

 

What is wrong with Amendment 5? Well, it defines a “traveler” as someone “required to travel away from his or her employer’s premises.” What in tarnation does that mean? What is a “premises?” Doesn’t that mean all truckers, bus drivers, construction workers, staffing employees, government workers of all sorts and anyone going to get coffee at Starbucks for their boss would be “travelers?” And what is covered for such workers—any “reasonable” activity leading to injury or illness that might be foreseen by the employer? Isn’t that just about anything short of playing with gasoline and matches?

 

IL House Floor Amendment 6 is almost as bad as 5—We Predict Passage Will Cause IL WC Claims and Resulting Contribution Litigation to Erupt

 

It greatly expands coverage to allow lots of employers to be brought into litigation and have to defend themselves with medical-legal opinions and more depositions. It sets forth provisions providing if an award is made for benefits in connection with repetitive or cumulative injury resulting from employment with more than one employer, the employer liable for award or its insurer is entitled to contribution or reimbursement from each of the employee's prior employers or their insurers for the prior employer's pro rata share of responsibility. This amendment provides after the Illinois Workers' Compensation Commission makes an award for benefits in connection with repetitive or cumulative injury, the employer liable under the award or its insurer may institute proceedings before the Commission for the purpose of determining the right of contribution or reimbursement. This collateral and post-award proceeding shall not delay, diminish, restrict, or alter in any way the benefits to which the employee or his or her dependents are entitled, but shall be limited to a determination of the respective contribution or reimbursement rights and the responsibilities of all the employers joined in the proceeding.

 

Some employers might innocently like the idea of contribution in repetitive trauma claims—we caution our readers and all observers it isn’t a solid idea. Why? Well, right now, one employer owes all of an IL work comp claim or none of it. If you allow for cross-claims for contribution, claimants are going to sue everyone they have worked for over the years. No single employer will have to lead the fight, insuring confusion. The statutory language and administrative outcome is going to insure WC benefits will be paid and rapidly due to the worker—thereafter all the carriers for all the employers are going to get to fight out who owes what and why. Trust us, you don’t want lots more “repetitive working” claims where it is almost impossible to avoid some tiny wedge of liability to then have to fight it out or settle with everyone who had the misfortune to hire the man or woman in the past. If you don’t see this as a legislative and administrative disaster—please let us know your thoughts as to why.

 

IL House Floor Amendment 7 Creates Another “Do-Nothing” Panel or “Task Force” That May Never Meet!

 

This Floor Amendment indicates the IL Department of Insurance shall report annually on the state of self-insurance for workers' compensation in Illinois and outlines the contents of their expected report. This Floor Amendment also creates the Workers' Compensation Premium Rates Task Force. The legislation provides for the membership and duties of the Task Force and requires the Task Force to issue its recommendations by December 31, 2015.

 

Yucch. We hate legislation that creates dopey “task forces.” To best demonstrate why we hate them, we remind everyone of the 2011 Amendments to the IL WC Act where they created advisory body or “task force” known as the IL State Workers’ Compensation Program Advisory Board designed to review, assess and make recommendations to improve the State workers’ compensation program. The Governor was to appoint one member of the Board with the Speaker Of The House and Minority Leader to appoint other members. The members of this board were to serve three year terms.

 

What happened after this was completed was about one year of fighting over who would make the Board and then…. Nothing. Absolutely nothing. We don’t think the IL SWCPAB ever met, even once. If they did, they didn’t do anything anyone is aware of. IL State WC claims remain high and costs are even higher. They still need someone to force IL State government to implement obvious and simple cost-saving concepts like bringing injured workers back to light work. When we consider what a failure the SWCPAB was, we predict the same sort of ennui and lack of action is going to happen with the IL WCPRTF. Such silliness sounds good and gives legislators grist for the campaign trail but in real-time, it is meaningless. We hope and pray this House Floor Amendment doesn’t pass either.

 

In summary, call your senator or state rep and ask them to put the kibosh on all this silliness. We assume the party-in-power might have floated these amendments out there to cause confusion and a crazy-counter-point to Governor Rauner’s proposals. We truly don’t want WC “de-form” legislation that would cause immediate consternation and confusion in the business community and lead to even more drainage across state lines.

 

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

 

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Synopsis: If Work Comp Insurance is Wildly Profitable, Why is Liberty Mutual Making More Dough with Less Work Comp Insurance?

 

Editor’s comment: A familiar whine of the IL Trial Lawyers Ass’n and their supporters is the proposition that workers’ comp insurance is a definite money-maker. Both National Public Radio and ProPublica also take up the same mantra, asserting every WC insurer is rolling in mountains of cash. We are sure there are over 300 insurance carriers writing WC insurance in this state—that may be the reason for the minimal margins.

 

Joe Paduda who is a long-time industry observer and blogger rebuts that suggestion. In his blog, Managed Care Matters, he strongly asserts, over the past decade or so, work comp insurance is barely a breakeven proposition.

 

Liberty Mutual Holding Co. followed through on its announced plan to reduce its workers compensation exposures and reported lower comp premiums for 2014, which one expert said raises the question of whether the insurer plans to completely leave the work comp market altogether. Liberty Mutual reported its voluntary workers comp net written premiums declined 14% last year to $2.15 billion.

 

The Boston Globe reports Liberty Mutual, who used to be the U.S. WC industry leader has greatly cut back its work comp participation and exposure over the last few years. In doing so, they are now ramping up personal lines and other insurance business lines while reducing their WC premiums by over a third. Liberty has dropped to now be the 4th largest underwriter of WC and they are paying Berkshire Hathaway $3 billion to take over a big chunk of its exposure for legacy WC and some environmental claims.

 

It appears clear the decisions above have dramatically increased their corporate profitability. The math indicates Liberty Mutual’s overall profitability increased from $284 million in 2011 to $1.7 billion last year. This clearly means the national work comp insurer that controlled the U.S. WC industry for decades has moved away to seek other opportunities. We agree with Mr. Paduda, the reason is basic, work comp insurance simply isn’t as profitable as many claim.

 

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

 

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Synopsis: One More Important Piece of Potential IL WC Reform Legislation You Need to Know About.

 

Editor’s comment: A bill requiring small to mid-sized IL WC insurers to collect collateral from employers with large-deductible workers' compensation policies was cleared by the IL Senate and has also been passed by the House. It now awaits Governor Rauner’s signature to become law. Our sources indicate this may be model legislation for the 30-something states that allow high-deductible WC policies.

 

Senate Bill 1805 sponsored by Sen. William R. Haine, D-Alton, would require any workers' comp insurer with less than an "A-" rating from A.M. Best Co. and less than $200 million in group surplus to require collateral from policyholders who purchase a policy with a deductible of $100,000 or more. The collateral could be posted in cash or securities, such as a bond or irrevocable letter of credit, held in trust by a third party.

 

The bill would require insurers to limit the size of a WC policyholder's obligations under a large-deductible agreement to 20% of the total net worth of the policyholder at each policy inception. This new bill would also give the state director of insurance authority to prohibit insurers that are determined to be in a financially hazardous condition from issuing or renewing large-deductible policies. The new bill would take effect July 1 if signed into law by Gov. Bruce Rauner.

 

Large-deductible workers’ comp policies have proven to be a headache for U.S. WC insurance regulators. The collapse of Park Avenue Co. and affiliate Providence Property & Casualty Co. -- blamed in part on the failure of policyholders to pay their deductibles -- have left insurance guaranty associations around the U.S. with more than $100 million in liabilities.

 

Problems Associated with Using a High Deductible WC Insurance Plan

 

  • The shock of having to pay the insurance company the deductible – some employers go into deductible plans with the idea they will never incur a claim so they will never have to fund the deductible. This expectation creates lots of controversy. Small employers are enticed by the idea of significant premium savings. However, in reality, an employer with a guaranteed WC insurance premium of $20,000 might sign up for a $5,000 deductible plan, save $1,000 in up-front premium but then be charged with repaying the insurance carrier $5000 when the first WC claim occurs.

 

  • Collection of the Deductible – Most states include a provision which kicks in when an employer does not pay the required deductible then the insurance company can quickly cancel the employers WC insurance policy for non-payment of premium. This now exposes an IL employer to civil and criminal liability.

 

  • Payment of claims – Claims are handled by the insurance company claim department. There is the potential for bona fide WC claims not to be reported or disagreement as to how claims are accepted, processed and paid.

 

Now, if this new law is signed by Governor Rauner, IL employers will have to post collateral to even get a high-deductible policy in place. We appreciate your thoughts and comments. Please post them on our award-winning blog.

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6-8-15; Can We Stop Worrying about Work Comp and Tackle the 800lb Gorilla?; IL Appellate Court Re-Opens and Re-Settles a WC Claim; IWCC Arb. Survey and more

Synopsis: Gov. Rauner “Verging” Illinois--How About Stop Worrying about Work Comp and Going After the 800lb. Gorilla?

 

Editor’s comment: As you read this, the entire Illinois political world is basically moving toward chaos. New Governor Bruce Rauner has announced bedlam, turmoil and pandemonium are going to start on July 1, 2015 which is the beginning of the new fiscal year for Illinois state government. He is using his ability to approve or reject the State’s 2015-2016 budget to get what we feel are minor changes to IL government.

 

What we are calling “verging” is the willingness of the Governor to put everything on the “verge” of non-funding many state government functions. The Rauner camp has promised they won’t agree to or sign off on a new state budget unless he gets what he wants for workers’ comp changes, term limits and a local property tax freeze. Lots of Il WC players, particularly doctors and health care givers feel Gov. Rauner’s reforms haven’t been carefully vetted and are being thrust on them. Looking at a projected lack of funding or at least lots of delays, our contacts/readers across the state indicate there is dramatic unrest in school districts and many local governments that depend on the state for support and income.

 

Either way, the IL House passed and sent an IL work comp “reform” bill to the Democrat-controlled IL Senate in a 63-39 vote. The media didn’t feel it important enough to actually outline what the legislation addresses or how it would change the IL WC Act or Rules. No one has any idea whether the bill will be treated with the same disdain if passed by the Senate but it is certain the Governor won’t sign it and a veto would have to be overridden with strong support from all state Democrats.

 

IL Republicans blasted the work comp reform measure as being one-sided and falling far short of what the Governor was seeking to entice outside businesses to come here and local businesses to expand here. Governor Rauner labeled the bill "phony reform." He also reiterated his insistence lawmakers address Illinois' structural problems through his “turnaround agenda” before debate about taxes and new revenue sources could be negotiated.

 

What About the 800lb. Pink Gorilla No One Can Miss?

 

In our view, this is fiddle-fooling around. The major crisis facing every Illinoisan and Chicagoans isn’t workers comp, term limits or local property taxes. These issues have some relevance but they aren’t close to being game-changers. There aren’t businesses and CEO’s across our country that are petrified of any issue other than our “de-funded’ fake state and local government pensions and the staggering debt they have brought to Illinois and its biggest city. We note Chicago Mayor Rahm Emanuel needs to come up with $634M by the end of June, yes this month, to cover the inconceivably underfunded Chicago Public School fake pensions. We are certain Mayor Emanuel is going to have to borrow billions—there is no way to get a tax in place to get the money in the next 22 days. The Mayor is also going to have to fund his own City of Chicago fake pensions as well as the Chicago Transit Authority pensions. With about $3.5B in annual income, he is well over $33B in debt and that debt is spiraling as they borrow money to pay the “vig” or debt on the debt. At some point,

 

·         Lots of new and anti-business taxes are going to be levied on lots of things;

·         Some IL cities and government taxing bodies may become “bankrupt” whether it is legal to do so or not; and

·         Someone on Wall Street may pull the plug on more borrowing.

 

Governor Rauner hasn’t done literally anything about state/local government fake pensions since our IL Supreme Court recently ruled existing pensions can’t be cut. Gov. Rauner is looking at $110B in state debt and the amount due is going up at over $20M each day of the year. If you do the same math, that means City of Chicago pension debt is also going up about $7M each day. If you want U.S. business to look favorably at our state, you have to start fighting that ugly fight right now.

 

Hard to Blame State/Local Gov’t Workers But Someone Has to “Correct” Fake Pensions

 

We are sure there are thousands of state and local workers that don’t want the free lunch or the retirement-welfare-state caused by “unfunded” or defunded fake pensions. Conservative state/local workers don’t want future taxpayers to be forced to pay them in retirement due to lack of funding on all sides of the pension matrix. They want certain and fair retirement benefits and should be entitled to it whether it be a 401K plan or something that makes monetary sense and isn’t a house-of-cards.

 

We hope Governor Rauner, Senate President Cullerton and House Speaker Madigan get together to either call for Con-Con or an emergency constitutional amendment to realign state and local retirement programs so they are “funded” as well as safe, fair and protect both taxpayers and the folks who receive the benefits.

 

If you aren’t sure why we call them “fake” pensions, please send a reply. Happy to hear your thoughts and comments. Please post them on our award-winning blog.

 

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Synopsis: IL Appellate Court Rules LUMC Has to Spend New Money to Reimburse LTD/STD Reductions After What Was Supposedly a Final Settlement.

 

Editor’s comment: In Loyola University vs. IWCC, 1-13-0984WC (1st Dist. 2015), the Workers’ Compensation Division of the Illinois Appellate Court reversed the Circuit Court and reinstated an IWCC decision finding the Commission retains subject matter jurisdiction to interpret an approved settlement contract and order a payment of new settlement dollars long after the settlement was final. As an aside, we are not certain why the IL Appellate Court ruling lists Loyola University of Chicago as the party appellee when the IWCC website indicates Loyola University Medical Center or LUMC is the named respondent. They are different corporations to our knowledge.

 

In Loyola University, Petitioner Mikesh suffered 2003 and 2005 work injuries resulting in a later settlement contract between the parties. The settlement contract between the parties was approved by the IWCC and was paid, for the most part. The settlement contract contained a provision confirming Respondent LUMC would hold Petitioner harmless from any claim for reimbursement from the settlement by any entity which provided long term or short term disability payments. We would assume this means if the LTD or STD carrier came back at Petitioner to recover LTD or STD paid as part of the settlement, the employer or carrier would cover that cost or defend claimant—that isn’t what happened in this ruling.

 

After the settlement contract was approved, the long term disability carrier learned Petitioner received Social Security payments and due to such payments, the LTD carrier reduced Petitioner’s long term disability benefits. No action was taken by the LTD carrier due to the lump sum settlement contract itself. Petitioner’s counsel contacted Respondent and demanded it reimburse Petitioner for the reduction by the long term disability carrier due to the Social Security related reduction. Respondent refused to reimburse Petitioner—we are sure they asserted the claim brought by Petitioner wasn’t for “hold harmless” protection of the settlement but for fresh money outside the settlement terms.

 
Petitioner’s counsel filed a Petition for Penalties under Sections 19(k) and 19(l) of the Act along with attorney’s fees under Section 16. Petitioner’s counsel alleged Respondent refused to add monies to the settlement for the reduction by the group LTD carrier due to Social Security benefits. The IWCC ordered Respondent to add monies to the settlement. The IWCC declined to award penalties and attorney’s fees. Respondent sought review in the Circuit Court of Cook County. The lower court held the IWCC did not have jurisdiction to interpret the settlement contract so as to add monies to the settlement at a later time. Petitioner appealed to the Appellate Court.

  
The Appellate Court reversed the Circuit Court and held the IWCC had jurisdiction to interpret the settlement contract.  The Appellate Court ruled the IWCC correctly concluded Respondent was liable for the reimbursement of an “overpayment” of the long term disability payments made to Petitioner by the LTD carrier.  The Appellate Court held the IWCC had jurisdiction to award attorney’s fees and costs.  In this case the respondent’s interpretation of the settlement contract was not unreasonable or vexatious so penalties and attorneys’ fees were not awarded.

 

We feel the Appellate Court effectively ruled Respondent somehow became a “guarantor” of the benefits due under the LTD plan due to the settlement contract language. When benefits under the LTD plan were cut pursuant to the terms of the plan, we have no idea why the former employer would owe new money in reimbursement of the amounts cut. We don’t agree that is what the settlement contract language says at all. We don’t have any idea how a future settlement contract should now read, based on the unusual view this Court had in its review of the contract language.

 

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

 

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Synopsis: The IWCC is asking for your thoughts and comments on our IL WC Arbitrators—Step Up!!


Editor’s comment: We commend new IWCC Chair Joann Fratianni on her efforts to ask members of the practicing bar and you, Illinois businesspeople, for your opinions on any Arbitrator you have appeared before. If you can’t rate an IL WC Arbitrator, we are asking you to get engaged and be ready for the same survey next year.

 

Please find below the link to the IL WC Arbitrator Evaluation Survey. The Commission is asking their Arbitrators are to be rated only on the basis of your personal knowledge. It is possible you will not be able to rate all of the Arbitrators or answer all of the questions for each Arbitrator on the evaluation form.

 

If you have specific knowledge as to the qualifications of an Arbitrator to give a fair, informed opinion as to those qualifications, please respond to the questions for that Arbitrator by answering “Y” (Yes) or “N” (No) to the questions asked. If you have no opinion on a particular question, the question should not be answered and will be tabulated as a “No Opinion” response that will not affect the arbitrator’s rating.  Specific instructions on form completion and submittal are available on the link.

 

If you do not have specific knowledge as to the qualifications of an Arbitrator please skip that Arbitrator and move on to the next Arbitrator. Forms must be submitted to the IL WC Commission by June 12, 2015. 

 

http://www.iwcc.il.gov/news.htm#arbeval