12-12-2016; New U.S. Dept Labor Secretary-to-be Will Change for the Better; IL Rules on Large Deductible WC Insurance To Start Soon; Non-Competes For Line Workers A Bad Idea and more

Synopsis: The U.S. Work Comp/Safety and Risk Industries Can Expect Changes to OSHA and “Overtime” Rules and Lots of Other Important Things--Trump Nominates Fast Food Exec for Labor Secretary

 

Editors’ comment: President-Elect Donald Trump has nominated Andrew Puzder, the chief executive officer of CKE Restaurants, as head of the U.S. Department of Labor. CKE Restaurants, Inc. owns, operates and franchises some of the most popular brands in the quick-service restaurant industry, including the Carl’s Jr.®, Hardee’s®, Green Burrito® and Red Burrito® restaurant brands. The CKE system includes more than 3,300 restaurant locations in 42 states and in 28 countries. CKE is headquartered in Carpinteria, California.

 

As a Washington newbie, Puzder lacks a track record to indicate what changes he will implement when he takes the helm at the Department of Labor. As a successful businessman and manager, Mr. Puzder has been a critic of minimum wage hikes and new overtime rules. He is expected to take a pro-business approach to his new position. Puzder worked on the Trump campaign as an adviser and fundraiser.

 

President-elect Trump’s nomination of Mr. Puzder is subject to confirmation from the U.S. Senate, where Mr. Puzder will face tough questions from grumpy Democrat Senators on his positions on minimum wage, sick leave, work safety and the Affordable Care Act.

 

The U.S. Work Comp Community Can and Should Forget About the Feds Imposing Their Will on the WC System in Your State

 

Last week, national work comp observer Joe Paduda noted growing concerns in the U.S. Work Comp community about the growing concept of federalization of state work comp systems. The whiny folks at ProPublica put out a report last year about the Demolition of Workers’ Comp to try to press for such intervention, claiming some state work comp systems don’t truly cover everything an injured worker needs. Following that model, it appeared more likely could have been some sort of federal standard for minimum work comp benefit for all states.

 

“For those in the workers’ comp world concerned about a new [federal] commission on work comp, your concerns are gone,” Paduda said. We strongly agree with this national WC pundit.

 

OSHA Is Also Certain to Change in the Interests of U.S. Business

 

Please also note OSHA or the Occupational Safety and Health Administration is a division of the U.S. Department of Labor and will report to Mr. Puzder.  We are certain there will be a completely new administration with a business focus. In our view, the outbound group was very strong about using their position and using it to “punish” businesses that were forced to report many unfortunate and unplanned occurrences at their work sites. Our favorite example was a young man sadly killed in southern Illinois during logging operations. The OSHA investigators determined the company was not at fault for the unfortunate death. However, while they were there, the OSHA folks used the opportunity to investigate with their fine-toothed combs and then nit-pick and issue citations with hefty fines. The only effective answer to those federal meddlers was to file suit in federal court to try to block the fines—that cost can be well over $50,000 in fees and costs.

 

Following Trump’s victory in last month’s election, we predict the new Occupational Safety and Health Administration is certain to take a gentler approach to enforcement under the new administration, placing a greater emphasis on voluntary compliance and less on punishment.

 

Let’s Hope Secretary-to-be Puzder Can Protect Jobs and Carefully Slow Automation and Drones

 

On a related note, the U.S. workers’ comp community is watching with some trepidation to monitor the populist movement to ratchet up the minimum wage. A study out of Oxford University shows that we could lose 47% of all our jobs within 25 years through a combination of globalization, automation and the fact so many people don’t have the skills that may be required for many available jobs. The higher the minimum wage rises, the more financial incentive there is for companies to spend the time and money to automate and end many minimum wage positions. Once a job is automated, we don’t feel that position will ever return to be handled by humans.

 

As we tell many of our human resources managers—you don’t need HR managers without “humans” to manage! In short, we feel Mr. Puzder should bring a strong management role to our government and may be able to work more closely with private industry to keep people work and build jobs. If we are to move to automation, we feel folks like Andrew Puzder “get it” and will understand the bigger picture.

 

Post-Accident Drug and Alcohol Testing Is Almost Certain to Rapidly Change

 

As we outlined last week, the outbound folks at OSHA just enacted their nutty rule about “blanket” post-accident drug and alcohol testing. In short, they want you to make a reasoned decision when an accident occurs to decide whether impairment might or could have been a factor before you to decide to drug/alcohol test your injured worker. There are also at least two major exceptions to the requirement outlined in the last sentence.

 

We are telling all our clients and readers to hang on for the time being and not worry too much about this new OSHA rule. If you have a specific fact situation arise where you need rapid help on whether you can test after an accident, send me an email at ekeefe@keefe-law.com or call our office and ask for me. I assure you I can and will provide strong guidance on the best approach.

 

I will continue to report when/if the current post-accident drug and alcohol test rule is modified or more likely dropped under the inbound administration.

 

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

 

 

Synopsis: Illinois Rules on “Large Deductible” Work Comp Insurance Coming to Policies Near You Shortly.

 

Editor’s comment: The large-deductible rule is on the agenda for a meeting of the Joint Committee on Administrative Rules tomorrow Dec. 13 in Chicago. If the committee places the rule on a “no objection” list, it will become effective by the end of December or in early 2017, according to a spokesman with the Illinois Department of Insurance.

 

The proposed rule would implement Senate Bill 1805, which Gov. Bruce Rauner signed into law in August 2015. The proposed Part 2909 of Section 155.44 of the Illinois Insurance Code would apply to insurers that

 

·         Have less than $200 million in surplus,

·         Are rated less than A- by A.M. Best Co. or

·         Have no A.M. Best rating.

 

Workers’ comp insurers not exempt from the rule would be required to obtain an audited financial statement from large-deductible policyholders during the underwriting process. The per-occurrence deductible amount under the large deductible agreement would be limited to 20% of the policyholder's net worth as determined by the audited financial statement. The insurers would have to require full collateralization of policyholders’ obligations under a large-deductible agreement, including policyholder obligations for employees located in other states. The collateral could take the form of a surety bond or letter of credit. The initial collateral would be determined by computing the standard premium and determining the amount by which the standard premium is reduced as a result of a large-deductible credit.

 

Nonexempt insurers that have issued a large deductible policy would be required to file an annual disclosure statement with the IL Department of Insurance.

 

Illinois is one of eight states with statutes in place regarding large-deductible workers’ comp policies. The others are California, Indiana, Michigan, New Jersey, Pennsylvania, Texas and Utah.

 

It is possible more states will follow suit, as the National Association of Insurance Commissioners or NAIC moves to finalize their large-deductible study written by its workers’ compensation task force in collaboration with the International Association of Industrial Accident Boards and Commissions, or IAIABC.

 

Although the NAIC report said large-deductible programs are “an integral component of the modern workers’ compensation insurance marketplace,” allowing employers in some cases to save on their insurance costs, the large-deductible policies come with risk. “If the employer has misjudged its ability to fulfill that obligation, or is simply unlucky, the financial consequences to the employer could be catastrophic, and the employer’s inability to pay could have a cascading impact on the financial health of the insurer,” the report noted.

 

Large-deductible policies may contribute to insurance carrier insolvencies, according to the NAIC study, and in those cases a state guaranty fund becomes responsible for covering unpaid workers’ compensation claims. The NAIC large-deductible study contains recommendations similar to some of the provisions of the pending regulations in Illinois.

 

The large-deductible report recommends states establish financial requirements for insurers writing large-deductible policies, and limit the risks employers could retain relative to their financial capacity. The NAIC study also calls for collateral requirements, including prohibitions against commingling collateral with other assets of the insurer or pledging the money for competing purposes. The NAIC study also recommends that an insurer’s staff evaluate the creditworthiness of large-deductible policyholders, with the underwriting department working together with the finance department, if necessary.

 

The NAIC Workers’ Compensation Task Force unanimously approved the large-deductible study during a meeting in San Diego on Aug. 28. The study is now on the agenda for the upcoming NAIC annual conference in Miami later this month. The NAIC Executive Committee and Plenary will consider adoption of the study on Dec. 13.

 

The Workers’ Compensation Task Force, meeting on Dec. 12, will receive a progress report on the large-deductible study. The task force is planning to work with the Financial Condition Committee in the coming year on implementation of the study’s recommendations.

 

 

Synopsis: Jimmy John’s Agrees to Pay $100K in Non-Compete Lawsuit and Stop Using Them for Line Employees.

 

Editor’s comment: Please note I hate non-compete agreements. Very few folks understand them and most of such agreements aren’t truly “enforceable” but such unilateral agreements still act as anti-competitive threats because the big company can always sue you and your new employer if there is an alleged breach of the agreement.

 

Jimmy John’s agreed to settle a lawsuit with the office of Illinois Attorney General Lisa Madigan over use of non-compete agreements, Madigan’s office announced. The Champaign, IL-based sandwich chain will pay the State $100,000 and must notify all current and former employees such agreements as they relate to counter staff or delivery folks are void and unenforceable.

 

In a lawsuit filed in June, Madigan alleged Jimmy John’s workers were required to sign a “highly restrictive” non-compete agreement as a condition of employment. The agreement prohibited sandwich shop workers and delivery drivers from working at similar shops while employed at Jimmy John’s and for two years after leaving the company. Employees were specifically barred from working at businesses earning more than 10 percent of their revenue from the sale of “submarine, hero-type, deli-style, pita, and/or wrapped or rolled sandwiches.”

 

According to the Attorney General’s office, the agreement applied to sandwich businesses located within 3 miles of any Jimmy John’s shop nationwide. This was later reduced to 2 miles in a “nearly identical version” of the agreement, the attorney general’s office states.

 

“This settlement helps ensure Illinois’ workers have freedom to change jobs in order to seek better wages, further their careers and improve their lives,” Madigan said in a statement. “Workers in Jimmy John’s sandwich shops should know they are not subject to these unfair and unenforceable agreements.”

 

The $100,000 provided to the attorney general’s office will fund education and outreach to raise awareness about the legality of non-compete agreements. As part of the settlement, Jimmy John’s must also remove such agreements from future hiring practices and agree to use non-competes in accordance with Illinois law moving forward.

 

Beginning in January, the State of Illinois will prohibit the use of non-compete agreements for employees earning less than $13 an hour as part of the Illinois Freedom to Work Act.

 

Shawn R. Biery, J.D., MSCC is KCB&A’s resident guru on non-competes. If you want a real one you can enforce and defend, Shawn can give you the requirements.

 

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12-5-2016; Our Spin on OSHA Post-Accident Drug Testing; IL Rep Jim Durkin Fighting for IL WC Reform Against Odds; IL Employers Can't Ask To Be 'Liked' and Two-Stone Premises Liability Ruling and More

Synopsis: U.S. Employers and WC Managers Should Carefully Continue Blanket Post-Accident Drug Tests Under OSHA’s “Reasonable Reporting Procedure” rule—The Times They Are A-Changing.

 

Editor’s comment: In our respectful view, all of the aggressive and business-unfriendly stuff under the current OSHA administration may be “Trump-ed.” The Wall Street Journal reported we may see a Reagan-esque effort to use a regulatory “SWAT” team to block the Obama-led proliferation of regulations and get rid of the current “lame-duck” group of administrators. Take a look at http://www.wsj.com/articles/a-trump-swat-team-for-regulation-1480888354

.

Under the Obama-ites, starting last week on December 1, 2016, what I feel is the outbound Occupational Safety and Health Administration started enforcing another new regulation requiring employers

 

(1)  To have a “reasonable procedure” for employees to report work-related injuries and illnesses, and

(2)  Not to magically “discriminate” or retaliate against employees who report such injuries or illnesses.

 

In our view, their main issue is “blanket” post-accident drug testing isn’t somehow “fair” and they want someone at your company to make a magical and almost impossible call/decision on whether post-accident drug-testing is somehow fair. The problem with someone making a continuing call on whether a test is “fair” is you are almost certainly going to eventually get sued or an EEOC charge when your team rapidly decides on ever-changing evidence what might be arguably fair, as the facts roll in. There is a misperception you and all U.S. risk managers are told the whole truth and nothing but the truth when an accident happens. Anyone who has been in the business for a week or three knows all sorts of conflicting and contradictory stories come in from your work sites and making a call on whether you can safely drug test is always a challenge. In my view, the Feds in this administration could care less.

 

For an example, assume one of your workers claims to be stung by a wasp at work. An anonymous source is telling your managers the “sting” was actually use of a needle for prohibited drugs. Regardless of the controversy, you tell the worker they have to be drug-tested because the event is potentially a work accident. You confirm if they won’t agree to drug testing, they are going to be sanctioned or terminated consistent with your company policy. Faced with such facts, the outbound OSHA folks may side with your worker’s claim of insect sting and feel requiring post-accident drug testing in that setting will stymie or block folks from reporting accidents/exposure at work.

 

The thinking underlying these requirements is employees should not be somehow discouraged or punished in any way for ever exercising their right/duty under the Occupational Safety and Health Act to report a work-related injury or illness. Any adverse action taken because an employee exercises this “right to report” is viewed by the current troops at OSHA as a violation of §11(c) of the OSH Act, and as of August 10, of §1904.35(b)(1)(iv) as well. Please note the OSHA director behind this rule is leaving shortly and with him may go such views.

 

Although complaints brought under §11(c) of the Act must be raised by the aggrieved employee within 30 days of the adverse action, under §1904.35(b)(1)(iv), OSHA could issue citations within six months of the adverse action, and the employer would not only be issued a citation with proposed penalties, but also could be ordered to make the employee “whole,” including reinstatement with full back pay for an employee terminated as a result of a positive drug test.

 

Under the new regulation, a drug-testing procedure is not reasonable “if it would deter or discourage a reasonable employee from accurately reporting a workplace injury or illness.” A reporting procedure is likely to be determined by the outbound OSHA administration to be unreasonable if an injured or ill employee were required to report the injury or condition within only an hour of its occurrence or were required to report the injury or condition to so many different managers or others it would be a deterrent to reporting.

 

Another section separately provides an employer may not discriminate against an employee who reports an injury or illness. Although the Section cited does not expressly mention post-accident drug testing, the outbound OSHA leadership made clear in the Preamble to the new rule it believes “blanket post-injury drug testing policies deter proper reporting” and would thus be subject to OSHA citation with proposed penalties. In announcing this interpretation of the new regulation, OSHA explained they were not attempting to ban all post-accident drug testing, but would instead allow such testing if an employer conducts the testing to comply with the requirements of a state or federal law or regulation. The departing administration also stated post-accident drug testing would be permitted if there was a “reasonable possibility” drug use was a “contributing factor” in the work injury or exposure.

 

OSHA’s interpretation of its new reporting regulation caused widespread confusion among employers concerned they will be prohibited from conducting any post-accident drug tests or face citations and penalties. OSHA’s brain trust has not yet provided any useful formal guidance on how it will evaluate employers’ post-accident drug testing policies.

 

Again, Looking at the Outbound OSHA Leaders—They Hate "Blanket" Post-accident Drug Testing and Are Not Concerned If You Get Sued

 

The starting point in addressing the “no discrimination or retaliation” provision is OSHA focusing on a U.S. employer’s supposed motivation in implementing its post-accident drug testing policy. The new regulation has no effect on truly random drug testing. But if OSHA determined the intent of an employer’s post-accident policy was to deter or discourage the reporting of work-related injuries or illnesses, then OSHA was likely to issue a citation seeking to eliminate an employer’s continued use of such a policy. As OSHA leadership explained, a “blanket” or “automatic” post-accident or post-injury drug testing policy will, in effect, be presumed to be retaliatory and intended to deter or discourage reporting. OSHA would view as somehow questionable the required post-accident drug testing of an employee who is reporting a repetitive motion or cumulative trauma musculoskeletal condition, such as an arm or back strain, or, as we outline above the report of being randomly stung by an insect at work. Or, equally suspect in OSHA’s view would be the drug testing of an employee who is injured through no fault of his own when he is struck by another employee operating a forklift. In these types of cases, absent unusual circumstances, there is no “reasonable possibility” to believe the employee’s injury or condition arose because the employee was in any way drug-impaired.

 

Although “reasonable possibility” would seem to be so vague a term its meaning would be whatever OSHA interprets it to be in a given event, the outbound OSHA leaders established some parameters by reference in the Preamble discussions to insect stings and musculoskeletal disorders. In OSHA’s view, when an insect randomly stings an employee or an employee develops a musculoskeletal disorder, the employee is in no way contributing to the injury or condition. If an employee has not contributed in any way to an injury or illness, then there can be no “reasonable possibility” drugs were involved in the occurrence. In the absence of such a “reasonable possibility” of drug-related impairment or of a causal link between the employee’s action and the resulting injury or exposure, OSHA would view the required testing as primarily intended to discourage the reporting of the injury or condition or as a form of deleterious job action for being involved in the “blameless” accident or in developing a medical condition with no fault of the worker.

 

Please remember this means someone at your workplace in risk/safety or other management has to make the call there is something wrong or the worker is at fault—in my view, this means you are going to face lawsuits over the decision-making process.

 

If an employer’s motivation for having a rule requiring post-accident drug testing was for some valid reason other than discouraging employees from reporting injuries and illnesses, I believe the policy would not run afoul of the new Section. There are generally three categories that constitute valid reasons for post-accident or -injury drug testing: 

 

(1)  Drug-Free workplace policies;

(2)  State workers’ compensation laws

(3)  Reasonable suspicion of drug impairment.

 

Drug-Free Workplace Policies and State Workers’ Comp Laws/Rules Are Designed to Discourage Illicit Drug Use At Work—The Old OSHA Folks Were Okay With It

 

Many states have Drug-Free Workplace statutes offering employers a reduction in their insurance premiums if they adopt such testing policies. Please note the State statutes run directly afoul of the outbound OSHA administrations goals in enforcing the new Section. Although U.S. employers are not required to implement such policies, if they choose to do so to reduce their insurance premiums, they must comply with the regulations of the state statutes. Not every state’s DFWP statute has identical provisions. However, under the terms of a typical DFWP statute, to establish a legal presumption of causation by alcohol or drugs, an employee must be drug tested within hours of the event if the employee has “caused or contributed to an on-the-job injury which resulted in loss of work time.” Loss of work time is typically defined differently under a DFWP statute than under OSHA recordkeeping regulations.

 

In the DFWP context, an employee incurs a “loss of work time” when, as a result of the injury, an employee’s normal work is interrupted, as opposed to under OSHA recordkeeping regulations where an employee must miss an entire day from work on any day after the injury. Thus, in states with such DFWP statutory language, most work-related injuries will result in the requirement of a post-accident drug test.

 

If a U.S. employer conducts “blanket” post-accident drug tests consistent with the requirements of their state’s DFWP statute, the departing OSHA administration would not find a violation of the new SectionIt would be more challenging to guess what happens if an employer decides to go beyond what is required by the express language of a state DFWP statute. Although OSHA might approach these situations on a case-by-case basis, employers would seem to have a good defense because typically workers’ compensation benefits can be denied or are presumed not to be due if an employee tests positive for drugs. Thus, an employer’s motivation in requiring drug testing beyond what is literally required by the state DFWP statute could legitimately be to avoid having to pay workers’ compensation benefits as a result of positive drug test results, not to retaliate against the employee for reporting the injury.

In sum, adopting a DFWP policy in order to reduce insurance premiums is arguably not retaliatory and therefore seems permissible under the new federal Section even though employers are not literally required by state or federal law or regulation to implement drug-free workplaces. As the motivation to take advantage of state DFWP statutes is to reduce insurance premiums or workers’ compensation losses, such policies were likely to be viewed by the old OSHA administration as compliant.

 

In those states that do not have a DFWP statute, I believe an employer may still be free to adopt blanket post-accident drug testing if your insurance carrier or state law offers a premium reduction or other benefit for implementing the policy. Again, even though not required by state or federal statute or regulation, your motivation for adopting such a policy is to reduce insurance premiums or workers’ compensation claims, neither of which is premised on an unlawful motivation. For those employers who are simply accepting an insurance carrier’s offer in the absence of a state DFWP statute, I recommend the arrangement be in writing.

 

Post-accident or Injury “Reasonable Suspicion” Drug Testing

 

First remember “reasonable suspicion” drug testing opens your company and you to lawsuits about your decision. The prior OSHA administration could care less about you getting sued.

 

Even in the absence of a Drug Free Workplace post-accident or -injury policy or workers’ compensation benefit for the employer, I believe it would still be permissible to conduct “blanket” post-accident drug testing if, as OSHA states, employee drug use is “likely to have contributed to the incident.” This is an acknowledgment by OSHA that even if post-accident or -injury drug testing could conceptually have some effect on an employee’s reporting of an injury, it will be permitted under the new Section if you have a reasonable suspicion drug use contributed to the incident. The former OSHA group does not have expertise in making reasonable suspicion determinations, or more accurately, second-guessing reasonable suspicion determinations. In typical prior OSHA inspections, your compliance with OSHA requirements was based on whether your equipment or practices were compliant with OSHA Standards, and employee impairment was not typically at issue. As a consequence, absent any significant institutional knowledge or expertise on the issue, OSHA was likely to defer to the longstanding criteria and procedures developed over the years under other statutes as interpreted and enforced by other agencies, such as the Department of Transportation or the Federal Railway Administration.

 

“Reasonable possibility” Drug Testing

 

Apart from testing under a state Drug-Free Workplace statute or arrangement with an insurance carrier to implement a Drug-Free Workplace policy, or when there was reasonable suspicion to believe the reporting employee was under the influence of drugs, there are other situations in which OSHA would allow post-accident drug testing. As outlined above, when an employee was simply stung by an insect through no fault of their own or developed tendinitis/carpal tunnel performing repetitive work tasks, OSHA’s position was post-accident drug testing would probably violate the new Section. But OSHA offered a few examples in which OSHA claimed post-accident drug testing would be allowed even in the absence of reasonable suspicion.

 

For example, if an employee was injured as a result of failing to lock out equipment that was being serviced or an employee drove a forklift into a wall, post-accident drug testing for such cases might be allowed.  Unlike an insect sting or cumulative trauma disorder where there is seemingly no connection between the injury or illness and drug impairment, impairment could be a reason the employee failed to lock out or drove the forklift into the wall. In the absence of any bright line test, it appears any employee action that leads or contributes to an injury – such as tripping and falling, hitting your thumb with a hammer– would all be considered as having a “reasonable possibility” of occurring as a result of drug impairment and thus blanket drug testing would be OSHA-approved. Again, OSHA’s focus was on prohibiting post-accident drug tests only when, like the insect sting, there was no possibility, an employee’s actions led or contributed to the resulting injury/exposure. Similarly, if an employer conducts drug tests after all failures to lock out or all forklift collisions, regardless of whether an injury results, then the employer was not retaliating against the employee for reporting an injury.

 

Will All of This Anti-Business Action be “Trumped?”

 

In my view, yes. The message from our new leader and his team is to stop regulating or “over-regulating” U.S. businesses in this fashion. We can only hope that happens but we have to take a wait and see approach. For now and the next couple of months, we are going to have to deal with the new standard that starts on December 1, 2017.

 

The defense team at KCB&A can assist you with a strong drug-testing policy and we defend OSHA beefs regularly at hourly rates lower than our competition.

 

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

Synopsis: IL WC Reform Legislation Being Pushed to Slash Another 30% from IL WC Medical Costs and Create a “Major Contributing Cause” Standard Got a Committee “Hearing” on Its Way To Nowhere Last Monday.

 

IL State Rep. Jim Durkin

Editor’s Comment: The sponsor of House Bill 4248, Republican Rep. Jim Durkin, wasn’t even formally notified and could not attend the General Assembly’s legislative committee hearing due to meetings about the State budget battle. It appears clear IL House Speaker Michael Madigan was not interested in any compromises or reform for our clunky workers’ compensation system. The battle over WC reforms will continue while all sides of our General Assembly and the Governor continue brinkmanship on not having an IL State Budget.

Illinois has not had a balanced state budget in 15 years, even though there is a constitutional requirement. State government is struggling with a “stopgap” budget that expires in about three weeks Dec. 31. The State of Illinois has not had an annual spending plan since July 1, 2015.

“It was a highly unusual practice for Madigan to send the bill to committee without notifying its sponsor and was taken as a sign of bad faith by those involved,” said Michael Lucci, vice president of policy for the Illinois Policy Institute, a pro-business nonprofit. “Workers’ comp reform is still on the horizon. I would expect there might be movement and pressure out of the state Senate, where there’s more appetite for making a deal than there is in the House.”

Legislative leaders feel our WC system in Illinois needs to join the 30 other states with Medicare-based WC medical fee schedules that would pay WC hospitals and caregivers at a rate of 175% to 180% of Medicare.

A Medicare-based fee schedule appears essential to contain Illinois’ high work comp medical costs. Such a schedule may lead to more stability and predictability for actuaries, and allow WC insurers to more accurately price their WC insurance premiums.

Illinois’ WC medical costs are the highest in the region. Medical payments per 2012 claim, evaluated as of 2015, were 18% higher than the median for 18 study states, which included California, Texas, parts of the Midwest and the Southeast, the Workers Compensation Research Institute concluded in an October report.

The 2016 Oregon Workers’ Compensation Premium Rate Ranking Summary has Illinois tied for seventh with Oklahoma for the highest rates, at $2.23 per $100 of payroll.

HB 4248 also calls for the creation of a Workers’ Compensation Edit, Alignment and Reform Commission to recommend system reforms by July 1, 2017. Under Durkin’s bill, the commission would include four legislators, four claimants’ attorneys and four defense attorneys. As we have said repeatedly, this is feel-good legislation because our IWCC already has blue-ribbon panels galore that can and should be doing what this newly proposed commission might do.

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

               

 

Synopsis: Be Forewarned--Illinois Employers May Soon Be Fined for Asking Employee to “Like” or “Retweet” Employer on Facebook or other Social Media Posts. Analysis by Tracy Swenson, J.D.

 

Editor’s comment: According to the newly amended IL Right to Privacy in the Workplace Act, asking an employee to “like” an employer’s Facebook page or retweet company posts on Twitter is illegal. After the first of the coming year Illinois employers could be find and be found guilty of a petty offense for asking, requiring or coercing employees to use their personal online account to join their employer’s online groups. Editor’s note: Was this truly an issue for our legislative leaders in Springfield? Were they literally hundreds of folks complaining of this practice?

 

The IL Right to Privacy in the Workplace Act was amended in an attempt to better protect employees’ privacy. This includes preventing employers from requesting information form workers about their employees’ previously filed claims for Workers’ Compensation Act or Workers’ Occupational Diseases Act claims.

 

In 2013, the Right to Privacy in the Workplace Act was amended to prevent employers from requiring employees or applicants to provide social media or networking passwords and other information. As of this past summer Illinois Gov. Bruce Rauner agreed on an amendment to the Act to not only include passwords on networking sites but also usernames and personal online accounts and bars retaliation against employees by employers.

 

It is noted that about 20 states have enacted such laws that limit employer’s access to employees’ personal online accounts and most of these laws have been added in the last two years.

 

The National Labor Relations Board has had recent decisions which focus on employer’s social media policies and not that these polices should not be so sweeping they prohibit the kinds of activity protected by federal labor laws such as the discussion of wages or working conditions among employees.

 

Employers cannot restrain the type of information an employee can post in their own personal online accounts according to the National Labor Relations Board and now as of January 1, 2017, employers cannot request access to an employee’s personal online account or require an employee to authenticate their personal online account pursuant to the Act.

 

For more information or counseling on what you can and cannot do in this setting, please contact Tracy at tswenson@keefe-law.com.

 

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

 

 

Synopsis: Premises Liability For “Two Stone” Fall Down Claim. Analysis by Lilia Picazo, J.D.

 

Editor’s Comment: In Piotrowski v. Menard, Inc. (decided November 29, 2016), Claimant Piotrowski sustained injuries when she tripped and fell on two stones in Menard’s store parking lot. Piotrowski’s husband brought his own claim including loss of consortium. Plaintiffs filed suit in the Circuit Court of Cook County alleging loss of consortium and negligence. Defendant removed the case to federal court based on diversity jurisdiction. Subsequently, the District Court granted Defendant’s motion for summary judgment. This ended the case at the trial court level and Plaintiffs appealed. On appeal, the Seventh Circuit affirmed the District Court’s entry of summary judgment for Defendant.

 

In arguing for a reversal of summary judgment entered in favor of Defendant, Plaintiffs argued they had demonstrated genuine issues of material facts they asserted required the claim to proceed to a trial. However, the Seventh Circuit disagreed with Plaintiffs.

 

Under Illinois law, a Plaintiff alleging negligence must show a duty owed by defendant, a breach of that duty, and that the injury was the proximate cause of the breach.

 

A business can be liable for the injuries of an invitee who slips/trips on a substance on its premises if the invitee shows:

 

1)    The substance was placed there by the negligence of the business;

2)    The business had actual notice of the substance; or

3)    The business had constructive notice of the substance.

 

It appears no one knew where the two stones being complained about came from. The parties agreed Defendant owed a duty to Plaintiff, but argued whether Defendant breached its duty by allowing the two stones to remain on its premises and whether the breach was the proximate cause of Plaintiff’s injuries.

 

The Seventh Court found there was no direct or circumstantial evidence to show the two stones were more likely placed by an employee of Defendant rather than a third party or force of nature. The Court indicated mere speculation an employee of Defendant Menards could have placed the stones where Plaintiff fell was not enough to survive summary judgment.

 

Plaintiffs also asserted Defendant was liable for Piotrowski’s injuries because it was aware of the allegedly dangerous conditions that caused her fall by refilling the area with additional stones. The Seventh Circuit found no pattern of recurring dangerous conditions reasoning Defendant’s supervisor and other employees monitored the area regularly. Therefore, no evidence was presented by Plaintiff to show the area where she fell was not attended to within a reasonable period of time.

 

The Court also indicated there was no evidence Plaintiff was distracted when she fell or evidence Defendant was aware of the two stones in the parking lot.

 

The Seventh Circuit concluded Plaintiff’s trip and fall was not enough to support in inference of negligence. In other words, Plaintiff did not support her case with enough evidence (outside of pure speculation) to get the case to a jury. Had she done so, then a trial deciding the issues would have been appropriate. However, since there was no genuine issue of material fact, the Seventh Circuit concluded the District Court did not err in granting Defendant’s motion for summary judgment.

 

Generally, a savvy Plaintiff will demonstrate a theory and support it factually during the discovery phase of the case to get through the potential summary judgment and to a trial. Whether it be by indicating the condition on the premises was so blatantly obvious the store/property owner cannot claim ignorance, or by adequately obtaining the necessary information to prove the property owner placed the defect or caused it to be placed there, a Plaintiff may overcome a motion for summary judgment. However, sometimes if the evidence is not there or a Plaintiff simply fails to bring forth enough evidence these types of excellent and pro-business results can occur.

 

This article was researched and written by Lilia Picazo, J.D. You can reach Lilia at any time for questions about commercial general liability and workers’ compensation at lpicazo@keefe-law.com.

11-28-16; Hold Your Payroll by Brad Smith; Kooky New OSHA Fall-Protection Rule Coming at You if Not "Trumped"; Lily Picazo on Impairment Rating Ruling and more

Synopsis: Hold Your Payroll for December 1st! Eastern District of Texas Federal Court Issues Nationwide Injunction Against U.S. DOL Increases For “White Collar” Salary Exemptions, Analysis by Bradley J. Smith, J.D.

Editor's Comment: Late this week, United States District Judge Amos L. Mazzant (an Obama appointment) thwarted Obama’s Department of Labor’s Final Rule described at 81 Fed. Reg. 32,391 by enjoining it from taking effect on December 1, 2016. The injunction was a blow to the law that was already causing U.S. employer’s headaches about how to afford and implement the salary changes to stay in line with the law, which requires lots more overtime pay than in the past. Specifically, Judge Mazzant enjoined the DOL from implementing and enforcing the following regulations as amended by 81 Fed. Reg. 32,391: 29 C.F.R. §§ 541.100; 541.200; 541.204; 541.300; 541.400; 541.600; 541.602; 541.604; 541.605; and 541.607. If you are an employer in the USA, then his ruling likely affects you!

The ruling affects the “white collar” exemption. You may be asking yourselves, what happened and how did we get here? President Obama wanted to give the “middle class” a raise. On March 23, 2014, President Obama told the Secretary of Labor to increase the existing “white collar” exemptions in FLSA. The DOL did so. Next week, December 1, 2016, the DOL’s Final Rule would have increased the minimum salary level to entitle “white collar” employees to overtime from $455 per week ($23,660 annually) to $921 per week ($47,892 annually).

The rule would require U.S. employers to

 

§  Pay these newly eligible managers time and a half for overtime;

§  Raise their salaries to render them ineligible for OT;

§  Lock in the manager’s hours at 40 hours a week;

§  Some combination of the above.

 

The DOL’s Final rule also allows for automatic increases in those levels every three years, starting on January 1, 2020. Fortunately, for U.S. employers wondering where the additional money (or necessity of monitoring hourly employees' overtime work) would come from, this ruling puts the DOL Final Rule on hold. This will save employers a ton of additional money and resources! We have heard from multiple emloyers struggling with how they were going to comply with the new rule. Well, for now, you don’t have to. And there is the possibility this is all going to end.

 

In short, the new overtime rule is most likely dead after Judge Mazzant issued a preliminary injunction Tuesday delaying its implementation during pending litigation, which was to start Dec. 1. Judge Mazzant of the Eastern District of Texas hinted strongly in his decision the delay is a prelude to striking down the rule. “The State Plaintiffs have shown a likelihood of success on the merits,” he wrote, “because the Final Rule exceeds the Department’s authority.” In issuing the rule, he wrote, the Labor Department "ignores Congress’s intent by raising the minimum salary threshold such that it supplants the duties test … if Congress intended the salary requirement to supplant the duties test, then Congress, and not the Department, should make that change.”

 

For the time being, you should know that the overtime rule will not take effect on December 1, 2016. Although the DOL has legal options, they will likely take some time. And there will almost certainly be new administrators from the incoming administration at the U.S. DOL.

 

The options are likely as follows;

 

·         The DOL appeals the injunction to the Fifth Circuit, which probably would not issue an opinion until 2017.        

·         A lame-duck Congress quickly compromises with a bill for President Obama’s signature.

·         The DOL does nothing and awaits Judge Mazzant likely implementing the injunction permanently after a trial on the merits.

·         President-Elect Trump addresses it after being sworn in on January 20.

 

While the DOL is likely to appeal to the Fifth Circuit Federal Appellate Court, the timing of this decision leaves the fate of this rule in the hands of the 115th Congress and the Trump Administration. However, there is always a chance that this injunction could be flipped on appeal, so this is something we will be monitoring in the coming weeks. 

 

What do U.S. employers do now? How will you balance the cost savings of a “do-over” for the employees whose salaries you raised against the morale hit lowering their salaries—especially at this time of the year—will cause? Do you reconvert the employees? Will you re-hire some of the folks you laid off when anticipating the increased costs? These are difficult questions; however, if your business costs were going to increase to a level that was unmanageable due to the increase in EAP salary, then you probably have an obvious answer to your questions. For everyone else, individual assessments will likely be required.

 

The research and writing of this article was performed by Bradley J. Smith, J.D. with the help of the Editor-in-Chief, Eugene F. Keefe, J.D. Bradley or Gene can be reached with any questions regarding the FLSA, employment law, and general liability defense at bsmith@keefe-law.com or ekeefe@keefe-law.com.

 

 

Synopsis: Outbound OSHA Administration Issues Massive New Fall Protection Rule—Can It Withstand Legal Challenges and the New Trump Administration?

 

Editor’s comment: Despite a Congressional “request” federal agencies like OSHA not promulgate new regulations during the transition to the Trump administration, the zealots at the Occupational Safety and Health Administration recently issued a gigantic 513 page final rule effectively re-writing its general industry standards on walking-working surfaces, including ramps, ladders, gangways, roofs, and other surfaces. While this rulemaking has been in the works for about three decades, the original 293 page proposed rule was published at 75 Fed. Reg. 28861 on May 24, 2010. About six years later, without any advance warning, OSHA promulgated the final rule and provided only sixty days for your compliance.

 

For a variety of reasons, this rule may be subject to the same legal attack as the FLSA mess reported by Brad Smith in the article above. It may also be “Trumped” or blocked by the inbound administration—they assert they don’t want more government regulation and here is one such complex morass of new rules for U.S. business to deal with.

 

The final rule includes new and unprecedented provisions addressing fixed ladders, rope descent systems, fall protection systems and criteria, and training. Further, their final rule adds requirements on the design, performance, and use of personal fall protection systems. Please note some of these rules were already in place for the construction industry—the new fall protection rule expands the scope to general industry.

 

Outbound OSHA Administrator Dr. David Michaels said the “rule will increase workplace protection from those hazards, especially fall hazards, which are a leading cause of worker deaths and injuries.” “OSHA believes advances in technology and greater flexibility will reduce worker deaths and injuries from falls.” Dr. Michaels claims the rule should also increase the “consistency between general and construction industries, which will help employers and workers that work in both industries.”

 

According to OSHA, the “rule’s most significant update is allowing employers to select the fall protection system that works best for them, choosing from a range of accepted options including personal fall protection systems. OSHA has permitted the use of personal fall protection systems in the construction industry since 1994 and the final rule adopts similar requirements for general industry. Other changes include allowing employers to use rope descent systems up to 300 feet above a lower level, prohibiting the use of body belts as part of a personal fall arrest system, and requiring worker training on personal fall protection systems and fall equipment.”

 

The new standard should affect 6.9 million establishments employing a whopping 112 million employees. OSHA also found the ladder training rules will apply to 5.2 million employees engaged in the construction, installation, maintenance, repair, and moving operations in general industry. For almost all our readers who are U.S. risk and safety managers, if this new rule isn’t blocked by legal action or the new administration, you will need to obtain and set fall protection training at your facilities asap.

 

Excluded from the new rules are employees outside of OSHA’s jurisdiction due to location or operational status, such as Department of Transportation (railroad and trucking) responsibilities, or those subject to industry-specific fall protection standards, such as telecommunication and electric power generation, transmission, and distribution.

 

OSHA estimates full compliance with this rule would prevent over 5,800 injuries and 29 fatalities per year. In my view, that is based on hopes and prayers.

 

Timeline—You May Not Be Surprised to See it Starting Three Days Prior to the Trump Inauguration!

 

The rule will be effective beginning Tuesday, January 17, 2017; Trump is inaugurated that Friday, January 20, 2017.

 

Some provisions have delayed effective dates, including:

 

ü  May 17, 2017 – Train employees on fall and equipment hazards;

ü  July 17, 2017 – Insure exposed workers are trained on fall hazards;

ü  July 17, 2017 – Insure workers who use equipment covered by the final rule are trained;

ü  November 20, 2017 – Inspect and certify permanent anchorages for rope descent systems;

ü  November 19, 2018 – Install personal fall arrest or ladder safety systems on new fixed ladders over 24 feet and on replacement ladders/ladder sections, including fixed ladders on outdoor advertising;

ü  November 19, 2018 – Insure existing fixed ladders over 24 feet, including those on outdoor advertising structures, are equipped with a cage, well, personal fall arrest system, or ladder safety system;

ü  November 18, 2036 (yes, twenty years from now) – Replace cages and wells (used as fall protection) with ladder safety or personal fall arrest systems on all fixed ladders over 24 feet.

 

We caution compliance with this giant new rule will represent a major challenge for U.S. employers, due to the effective date of the regulations. It will require all U.S. employers to meet these same rules and requirements for your outside contractors, temporary and staffing/leased employees who may be at the worksite under OSHA’s “multi-employer” worksite doctrine.

 

Will It Last?

 

This new OSHA Rule will come under review by the Trump administration or be subject to the Congressional Review Act where lawmakers have 60 legislative days to overturn a regulation from the current or, in this case, previous administration. If lawmakers are not in session for a full 60 days after enactment of the new rule before adjourning their final session, the clock resets, and the new Congress is given another 60 days to act on the new rule.

 

Does KCB&A Do OSHA Defense?

 

Yes, we most certainly do and at hourly rates half of some competitors. You don’t need to spend $500, 600 or more per hour to resolve OSHA disputes and pay your defense lawyer so much to defend you that you have to be in a lose-lose situation. If you have an issue with OSHA or need advice at any future time, please call or email and we can help.

 

The research and writing of this article was performed by Bradley J. Smith, J.D. with the help of Editor-in-Chief, Eugene F. Keefe, J.D. Bradley or Gene can be reached with any questions regarding the FLSA, employment law, and general liability defense at bsmith@keefe-law.com or ekeefe@keefe-law.com.

 

Synopsis: IL WC Impairment Rating Ignored… Again. Analysis by Lilia Picazo, J.D.

Editor’s Comment: In 2011, impairment ratings were brought to the IL WC matrix to try to bring the value of permanency or what can now be called ‘impairment’ down to make it more palatable for IL employers. The goal of the reforms was to bring IL WC awards more in line with our sister states. There has been substantial push-back on this concept by our hearing officers, all of who report directly to the Governor. We will see when and if the secret-powers-that-be who run IL WC might encourage them to drop PPD awards consistent with impairment ratings—for now, the jury remains out on lower PPD values based on impairment ratings in claims like this. In our view as defense lawyers, there is still value in getting a rating.

In Flexible Staffing Services v. Illinois Workers' Compensation Comm’n, the Illinois Appellate Court, WC Division ruled the IWCC properly applied Section 8.1b of the IL WC Act when it awarded PPD benefits at a more traditional and high level to Petitioner. Basically, the impairment rating was wholly ignored to the chagrin of employers, claims handlers, risk managers and insurance carriers across our state.

Petitioner, a welder-fabricator, was welding a 400-lb. section of a rail when he sustained a right distal biceps tendon rupture from attempting to grab it as it fell from a saw-horse. Petitioner underwent right elbow repair and physical therapy. Petitioner testified he complained of continued pain and lack of full range of motion when his treating provider released him to full duty. Respondent’s examiner calculated Petitioner’s level of impairment at 6% of the upper extremity.

The Arbitrator awarded 30% loss of use of the right arm or five times the level of impairment. The IL WC Commission modified the award and determined Petitioner suffered 25% loss of use of the right arm, but did not provide any analysis or reasoning. The trial court remanded the case back to the IL WC Commission and instructed the Commission to provide facts and reasoning relied upon to modify the Arbitration decision, consistent with the statute.

On remand, the Commission applied the factors set forth in Section 8.1b of the Act and noted the 6% impairment rating did not adequately represent Petitioner’s disability. The Commission reasoned a finding in favor of the rating would disregard the other factors set forth under Section 8.1b. In our view, they completely disregarded the rating, to focus on other factors. With respect to the Commission panel, we don’t feel that appropriately meets the statutory requirement.

On appeal to the IL Appellate Court, WC Division Respondent made two arguments:

First, Respondent argued the Commission misapplied section 8.1b as a matter of law because it “considered factors for which no evidence was present in the record.” The Appellate Court found Respondent did not identify an error of law. It read the Commission decision as having sufficient evidence for all factors it considered under Section 8.1b prior to modifying the award.  

Second, Respondent argued the Commission misapplied section 8.1b as a matter of fact. Respondent argued there was no evidence to support consideration of Petitioner’s occupation, the relationship between Petitioner’s age and his level of disability, Petitioner’s future earning capacity, or evidence of disability corroborated by the medical records. Respondent further argued there was no evidence to support an assertion Petitioner was more prone to future injury.

Although the Appellate Court noted it was unclear whether the IL WC Commission meant a future physical injury or economic injury, it reasoned it was not within its scope to rebalance the factors set forth in Section 8.1b(b) or to substitute its reasoning for that of the Commission.

The Appellate Court noted the Commission’s application of Section 8.1b was not against the manifest weight of evidence and affirmed the decision of the IL WC Commission.

Editor’s note: As I have told our readers on multiple occasions, I don’t see any value in having the defense side of an IL WC claim bring disputes of this nature to this very liberal appellate panel. In the view of your editor, it is a complete waste of time and money because they almost never rule for the defense side of an IL WC claim. While we can’t be sure, it would almost appear an adjuster from this major national insurance carrier wanted a published decision to demonstrate impairment ratings don’t have value in IL WC. We disagree with that view and consider ratings to have value in settlement discussions, pretrials and hearings.

This article was researched and written by Lilia Picazo, J.D. You can reach Lilia at any time for questions about workers’ compensation at lpicazo@keefe-law.com.