Summary
The amendment eliminates the lengthy and redundant definition of "first aid", which has instead been placed with other definitions in Section R612-100-2. Likewise, the amendment eliminates the detailed list of information to be reported regarding workplace injuries and, instead, incorporates electronic data interchange (EDI) standards which fully address such information requirements. The remaining provisions of the rule are then reorganized and consolidated into a sequential order that more clearly identifies the parties responsible for reporting and investigating workplace injuries, and the consequences for failure to do so. The amendment adds provisions to authorize a full range of electronic methods for paying benefits, provided that such methods impose no costs or delays on injured workers. The amendment establishes uniform principles for determining when benefits are "due and payable", from which interest may begin to accrue. Provisions in the former rule that addressed attorney fees have been removed, since that subject is under the control of the Adjudication Division and is addressed comprehensively in that Division's Section R602-2-4. The remaining provisions of the rule are then reorganized and consolidated into logical order. The amendment eliminates existing provisions that allow, but do not require payors and claimants to execute "compensation agreements". These voluntarily compensation agreements were not uniformly used by stakeholders; the agreements also contained language that might mislead the parties as to the binding effect of such agreements. The amendment substitutes a requirement that payors complete a new form, entitled "Statement of Compensation", which will disclose to claimants the basis by which a payor has computed their benefits. The amendment substitutes "claimant" for "worker", "payor" for "self insured employer and/or insurer", and substitutes Subsection R612-200-1(B) for Section R612-1-7. The amendment increases the awarded burial expenses from $8,000 to $9,000 and modifies the time period this amount is to be reviewed from "every two years" to "each even-numbered year". The rule sections are renumbered to make them consistent with the consolidation of Sections R612-200-2, R612-200-3, and R612-200-4.