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The Kansas Response to the Crisis in Workers Compensation: An Overview of the 1993 Amendments to the Kansas Workers Compensation Act
By DAVID J. REBEIN
About the Author
DAVID J. REBEIN graduated from Washburn University and received his law
degree from Kansas
University. He is a member of the Mangan, Dalton, Trenkle, Rebein &
Doll Chartered law firm of Dodge City.
For nine years, Rebein was a member of the adjunct facility at
St. Mary of the Plains College, Dodge City,
where be lectured in Business and Constitutional Law.
He has authored many employment law
articles and manuals and offers seminars and supervisory
training sessions on employment law issues.
Rebein is a co—author of the Kansas Bar Association Handbook on
Workers Compensation and is a frequent speaker on employment law topics.
In 1992, Rebein was elected president of the
Kansas Bar Association Litigation Section and is a member of the Board
of Directors of the Kansas Association of Defense Council.
Nationwide, workers compensation costs are skyrocketing. Costs associated with workers compensation are up 150 percent since 1980. The average
worker compensation claim now costs over $19,000. In
1987, the Kansas Legislature addressed these runaway
costs with major amendments to the Kansas Workers
Compensation Act. The definition of work disability was
changed and vocational rehabilitation was implemented.
Costs continued to rise.
All are well aware of the rapid rise in medical care
costs. Perhaps less known is the fact that workers compensation medical costs have risen 50 percent faster than
ordinary health care cases. It is not surprising, therefore,
that medical costs now account for 40 percent of all
workers compensation outlays, up from 33 percent just
10 years ago.
In February of 1993, the Legislative Post-Audit Committee presented to the Legislature its performance audit
report entitled "Reviewing Selected Issues Related to Workers
Compensation."
In that legislative audit report, several findings were
summarized, many of which were disturbing:
1. Medical costs now amount to 47.4 percent of all dollars spent in Kansas workers
compensation. In 1985,
those costs amounted to 38.8 percent.
2. Although Kansas workers compensation premiums
have curved sharply upward, those premiums are still
less in Kansas than in most other states. Likewise, the
benefits paid to workers are middle of the road.
3. Kansas pays $3.21 per $100 in payroll for workers
compensation premiums. The national median is
$3.68.
4. From January 1986 to January 1992, Kansas workers
compensation premiums increased 65.2 percent. The
national average was 65.3 percent. There was, however, wild variation. Hawaii, for instance, had a 35.2
percent decrease in that same period of time while
Louisiana experienced a 290.1 percent increase.
The Legislative Post—Audit Committee recommended: reform of the litigation and
multi—level appeal process, implementation of a medical fee schedule, reform of vocational rehabilitation, enactment of legislation to address
fraud and abuse in the system, and safety programs be mandated and aggressively pursued by companies.
As the 1993 Kansas Legislature gathered to begin its session in January, Kansas businesses had undergone
increases of over 40 percent in workers compensation premiums in just two years. Further, the National Council
on
Compensation Insurance (NCCI) had requested a 21.3 percent workers compensation premium increase. Forces
converged upon Topeka crying out for reform. Workers
compensation became the issue of the 1993 legislative session.
The Legislature succeeded in passing a bill which Governor Finney vetoed. During the veto session, the
deadlock was broken. On April 30, 1993, at 4:30 ant, a
compromise was reached. The next day, Saturday afternoon,
May 1, 1993, Senate Bill 307 was passed unanimously by
both the House and Senate. On the 4th day of May, 1993,
Governor Finney signed this bill into law.
I have prepared the following summary of some of the
1993 changes to the Workers Compensation Act. Please bear in mind several things: the new law is 138 pages
long, its provisions are difficult and complicated, massive
regulations will be implemented by the director’s office
that will impact the statutes, courts undoubtedly will construe its
provisions in ways that would surprise us, and no
doubt I have missed some intricacies of the changes. For whatever it's worth, however, here goes.
Effective Date. The 1993 amendments will take effect July 1, 1993.
There will be argument as to how much
of the Act is procedural in nature and applies to accidents which occurred prior to July 1,
1993, and how much is
substantive in nature and applies only to accidents occurring after July
1, 1993.
Coverage. The wage threshold for application of the
Act is increased from the current $10,000 to $20,000. K.S.A. 44-505(a)(3).
Accidental injury. In order to be compensable under the Workers Compensation Act, an accident must
arise out of and in the course of employment. The new
Act tightens the concept of accident and injury in several
respects:
1. The Act disallows compensation for disability as a
result of the natural aging process or by the normal
activities of day-to-day living. K.S.A. 44—508(e).
2. Injuries to employees while engaged in recreational
or social activities where the employee was under no
duty to attend and where the injury did not result
from the performance of job tasks are not allowed. K.S.A. 44-508(f).
3. Preexisting conditions are not compensable except to
the extent that they are aggravated due to work. "Any award of compensation shall be reduced by the
amount of functional impairment determined to be
preexisting.” K.S.A. 44-501(c).
Defenses. Several defenses were either created or
strengthened.
1. Drugs and alcohol. Under the old law, in order to
deny a claim, one had to show that the injury, disability or death was
substantially caused by the employee's use or
consumption of
drugs, chemicals or
other compounds.
Under the amendment, the standard has been
changed to whether or
not the drugs or alcohol
contributed to the injury. K.S.A. 44—501(d)(2).
There is a conclusive presumption of impairment if
alcohol concentration is .04 or more. This defense
can apply to prescription drugs which are abused.
2. Fraud. Both criminal and civil penalties are imposed
for fraudulent acts. Nearly everyone involved in the
workers compensation system from claimants to employers to attorneys to health care providers and
insurance companies are covered by the fraud and abusive practices enumerated in the Act. Included are
such things as lending a claimant money, misrepresentation, intentional misclassification of
employees,
and misrepresentation as to employee rights under
the Act. An assistant attorney general's position is
created whose primary function will be to investigate
and prosecute acts which constitute a crime. Under
the bill, fraud amounting to less than $500 is a Class
C misdemeanor and fraud amounting to more than $500 is a Level 9 nonperson felony.
The director of workers compensation is given the
responsibility for monitoring and investigating complaints of fraud concerning players in the workers
compensation system who are not regulated by the commissioner of insurance. The commissioner of
insurance shall monitor and investigate complaints of
fraud pertaining to individuals or entities regulated by
the office of the commissioner of insurance.
3. Notice. The notice defense has been stiffened. The
rule has always been that notice of an accident must
he given to the employer within 10 clays. However
failure to give notice did not bar a claim unless an
employer could show prejudice. Under K.S .A. 44-520
as amended, the claimant must give notice of the accident, stating the time and place with particulars
thereof, to the employer within 10 days after the date of the accident except that actual knowledge of the
accident by the employer or employer’s duly-authorized agent renders the giving of notice unnecessary.
The failure to give a 10—day notice is not a bar from
compensation if the claimant shows that a late notice
was clue to just cause. A proceeding for compensation cant be maintained unless the notice was given
to the employer within 75 days after the accident except where the employer had actual notice of the
accident, the employer was unavailable to receive the
notice, or the employee was physically unable to give
the notice.
Medical compensation.
The employer still has
the right to direct medical.
1. Medical fee schedule. The amendment to K.S.A.
44-5 10 implements some measures that are designed
to control medical costs. First, the director shall appoint a medical administrator. The medical administrator, with the assistance of an advisory panel, will
develop a medical fee schedule, develop procedures
for appeals and reviews of disputed charges and
monitor the medical costs of workers compensation.
The medical fee schedule is to be in place by July
1, 1993. This fee schedule is to be reviewed annually
by the director to assure that the schedule is current,
reasonable, and fair.
2. Utilization review. No later than December 31, 1993, the director shall develop and implement or
contract with a qualified entity to implement utilization review and peer review procedures to review
services rendered by providers and facilities under
the Act.
3. Unauthorized medical. If the services of a physician or other health care provider are unsatisfactory
to the employee, then the employee may seek a second opinion, without the permission of the employer,
and the second opinion will be paid for by the employer up to $500. However. unauthorized medical
is
not to be used to obtain a functional impairment rating and, in fact any functional impairment rating
obtained with unauthorized medical proceeds is inadmissible in any proceeding under the Workers
Compensation Act. K.S.A. 44-510(c)(2).
4. Change of physician. If the employee desires to
change physicians, the administrative law judge may
authorize the appointment of another health care provider and, in this case, the employer shall submit
the names of three health care providers and the employee will select one from that list as the authorized
treating health care provider. If the employee is still
dissatisfied, then a benefit review conference can be
held. If that is not satisfactory, then the administrative
law judge may select a treating health care provider.
K.S.A. 44-510(c)( 1).
Vocational rehabilitation. In the past, an employee could apply for vocational rehabilitation
if not returned to work at a substantially comparable wage. K.S.A.
44-510g(b) now provides:
“If the employer or employers insurance carrier does not agree to provide vocational rehabilitation services, the employee may request the vocational rehabilitation administrator to refer the employee to an appropriate provider for vocational
rehabilitation services to be provided at the employee’s expense.”
In other words, if the employer doesn’t agree to vocational rehabilitation, then the employee may still obtain
vocational rehabilitation but at the employees own expense.
Compensation. Monetary compensation is divided
into temporary total disability, temporary partial disability
and permanent partial disability.
1. Average weekly
wage. The starting point in figuring
any disability is to
determine the average weekly wage.
Under the old law,
a full-time employee was presumed
to have worked a
40-hour week.
K.S.A. 44-511(b)(4)
has been amended to provide: "40 hours shall constitute the minimum hours for computing the wage as a
full-time hourly employee, unless the employers regular and customary work week is less than 40 hours,
in which case, the number of hours in such employer’s regular and customary work week shall govern.
2. $50,000 cap for functional impairment. The maximum benefits payable pursuant to K.S.A.
44-510(f) are
now: $125,000 for permanent total disability; $100.000 for temporary total
disability, permanent partial disability or temporary partial
disability; and a
new $50,000 cap on permanent partial disability
where functional impairment only is awarded. This cap is designed to limit white collar
"Fletcher Bell
type” awards that were publicized during the legislative session.
3. Shoulder as a scheduled member. Permanent partial disability is still divided mainly between two
types: scheduled injuries and general body disabilities.
Injuries to the shoulder, shoulder joint, shoulder girdle, shoulder musculature, and any other shoulder
structure are now scheduled injuries. K.S.A. 44-510d(21). Any ratings to a scheduled member shall
be based upon the American Medical Association
Guidelines for the Evaluation of Permanent Impairment, 3rd Edition Revised. K.S.A. 44-510d(23).
4. Healing period allowed for amputations only.
The amendments to K.S.A. 44-510d(b) clarify that the
healing period is only allowed in amputation cases
and shall not exceed more than 10 percent of the total
period allowed for the scheduled injury and in any
event, no longer than 15 weeks.
5. General body disability. Under the new law, as
with the old general body disability is an injury resulting in disability that is not scheduled. Shoulder
injuries are now scheduled, but bilateral shoulder, arm
or hand injuries will still be a general body disability.
K.S.A. 44-510e. General body disability was changed
in other ways as well.
a. Functional impairment:
“Means, that extent, expressed as a percentage,
of the loss of a portion of the total physiological
capabilities of the human body as established
by competent medical evidence and based on
the Third Edition Revised of the American Medical Association Guidelines
for the Evaluation of
Permanent Impairment, if the impairment is
contained therein.” K.S.A. 44-510e.
The employee is always entitled to the functional
impairment caused by an accident. If there is disagreement as to the employees functional
impairment, the administrative law judge will refer the
claimant to an approved list of doctors for a rating upon which to base the employees functional
impairment.
b. Work disability. The employee may be entitled to work disability if the injury exceeds functional impairment and if the
employee is not engaging in any work for wages equal to 90 percent
or more of the average gross weekly wage earned
by the employee at the time of the injury.
Work disability. If a worker returns to work for
wages equal to 90 percent or more of the average
gross weekly wage that the employee was earning
prior to the injury, then no work disability is available. If,
however, 90 percent of comparable wage cannot
be attained, then the employee is entitled to work disability figured as follows:
"Partial general disability shall be the extent,
expressed as a percentage, to which the employee, in the opinion of the physician, has lost
the ability to perform the work tasks that the
employee performed in any substantial gainful
employment during the 15-year period preceding the accident, averaged together with the
difference between the average weekly wage
the worker was earning at the time of the injury and the average weekly wage the worker
is earning after the injury." K.S.A. 44-510e.
Employers who are able to accommodate an employee at comparable wane wont pay work disability. However, if the employer refuses or is unable to
return the employee to work following an injury, the
employer could be liable for more than before the
amendments.
6. New computation for general body disability.
The amendments to K.S.A. 44-510e(a) changed the
way that general body disability is computed. The
new formula is:
Step 1. Find the gross average weekly wage.
Step 2. Multiply the average weekly wage by two-thirds to find the weekly payment rate except that the
weekly payment rate cannot exceed the maximum for
temporary total disability.
Step 3. Subtract the number of temporary total disability weeks (except the first 15 weeks cannot
be subtracted) from 415 weeks and multiply that by the
percentage of impairment. For instance, if an employee earned $600 a week
and had a five percent
permanent partial impairment to the body as a whole as a result of a back injury
and missed 20 weeks from
work, the following compensation would be paid.
a) AWW $600.
b) $600 x .6667 = $400. However, this is above the
maximum for temporary total disability which is
$299. Weekly payment rate: $299.
c) 415 weeks — 20 weeks of temporary total (except the first 15 weeks cannot be
deducted)
leaves - 410 weeks available for impairment.
d) 410 weeks x 5 percent = 20.5 weeks x $299
weekly payment rate = $6,129.50.
Although the employee receives less money under
the new computation than under the old, the employee’s impairment is paid off much faster since the employee
will receive permanent partial disability payments at the
temporary total rate.
Many cases will involve simply deciding upon a
functional impairment rating since scheduled injuries
are all determined by functional impairment ratings.
General body disability cases where the employee
has returned to 90 percent of comparable wage will
also be determined by functional impairment ratings.
In the past, this has been the classic battle of the doctors. The new amendments provide:
"If the employer and the employee are
unable
to agree upon the employees functional impairment, such matter shall be referred by the
administrative law judge to an independent
health care provider who shall be selected by
the administrative law judge from the list of
health care providers maintained by the director. The health care provider selected by the
director pursuant to this section shall issue an
opinion regarding the employee’s functional
impairment which shall be considered by the
administrative law judge in making a final determination." K.S.A. 44—510e(a).
The bill also prohibits a claimant from accumulating over 100 percent permanent partial disability in a
lifetime. Once the limit is reached, however, a
claimant may continue receiving necessary medical
expenses.
7. Offset for retirement benefits. If the employer
against whom the employee has made a workers
compensation claim is paying retirement benefits to
the employee, then post-retirement benefits are offset against the workers compensation benefits. The
same offset would apply to Social Security retirement
benefits. As to other retirement benefits from other
employers or benefits for which the employee paid
or contributed, the offset would not apply. The offset
cannot reduce the employee’s workers compensation
benefits below the functional impairment level.
K.S.A. 44-501(h).
Death benefits. The amendments to K.S.A.
44-510b raised funeral expenses recoverable under the Act
from $3,200 to $3,300. Under the old Act, in death cases
where the employee did not leave dependents who were
citizens of or residing at the time of the accident in the
United States, the amount of compensation paid was
$750. This noncitizen distinction has been removed. All
dependents are treated the same whether or not they are
citizens of or reside in the United Stjtes
Workers Compensation Fund. The Kansas
Workers Compensation Fund serves several purposes.
First, it provides payments where employers are insolvent
or haven’t otherwise provided for insurance to cover the
claims. The most expensive part of the Fund, however,
has been its payments to reimburse employers who hired
handicapped workers who were then injured as a result of or partially because of their handicap. In the
past, the
state general fund contributed to the Fund. In recent years, however, the Fund assessments were
paid by employers and then funneled back to employers in the form
of reimbursement payments.
Given the broad scope of the Americans With Disabilities Act, many felt that the Workers Compensation Fund
was no longer necessary. Further, the Fund
has become a major expense. As stated above,
the employer is no longer liable for preexisting conditions except
to the extent they are
aggravated. For these
reasons and others, the
Workers Compensation
Fund will no longer contribute money for disabilities as a
result of preexisting conditions after July 1, 1994. K.S.A.
44-567(a)(1).
A workers compensation fund oversight committee,
composed of all members, was created to study the termination of the Workers Compensation Fund. This group
could make recommendations for legislation to modify the
Fund’s termination.
Procedural changes. The Legislature focused on
ways to discourage litigation. As a result, many procedural changes were implemented.
1. Pleadings, motions, etc. Every pleading, motion or
other document filed in the workers compensation
case by a party who is represented by an attorney
must be signed in the attorneys individual name.
Sanctions may be imposed if the pleading is without
basis or is filed to harass or delay.
2. Employer’s duty to explain employee rights. Immediately upon receiving notice of an
injury, the employer must mail to the employee an explanation of
the benefits available under the Workers Compensation Act, must summarize the process
to be followed
in making a claim, and must identify the person responsible for processing workers
compensation
claims. This material will be prepared by the director
of workers compensation and disseminated to employers.
3. Benefit review conferences. When an application for a preliminary hearing is filed, the director may
require parties to meet in a benefit review conference to
reach agreement on disputed issues. These are designed to be informal dispute resolution
conferences
where testimony is not taken. Benefit review officers
will be appointed by the director as employees within
the division of workers compensation to conduct the
benefit review conferences. The parties may be represented by an attorney or the employee may request
the services of an ombudsman.
Following the benefit review conference, any settled
issues are reduced to writing. If a complete settlement of the claim is reached at the benefit review
conference, any party to a settlement may withdraw
from the settlement within 14 days after the benefit
review conference. If all the disputes are not resolved
in the benefit review conference, then the review officer will prepare a written report detailing disputes still
at issue. If necessary, a preliminary hearing will be
held within 60 clays after the benefit review conference.
4. Ombudsman program. Workers compensation
claimants may be represented at the benefit review
conference by an ombudsman from the director’s office. The job of the ombudsman is to assist the
claimant at benefit review conferences and otherwise
assist unrepresented claimants, employers and other
parties to protect the rights of such parties under the
Workers Compensation Act.
5. Preliminary hearings. K.S.A. 44-534a sets forth the
new rules for preliminary hearings:
Each person desiring a preliminary hearing will give
written notice to the adverse party of intent to file a
preliminary hearing application. This notice shall
contain a specific statement of the benefit change being sought. If the parties don’t agree to the change of
benefits within the seven-day period, then the application for preliminary hearing is filed together with
the certification that the request for benefit change
was either denied or ignored. Copies of medical reports and other evidence which the party intends to
produce as exhibits will be included with the application. A benefit review conference will be held within
15 days after receipt of the application for preliminary
hearing to attempt to resolve the issues raised. If the
issues cannot be resolved by benefit review conference, then the director shall assign the application to
an administrative law judge for a hearing. All parties
shall he given at least seven days notice of the date
set for the hearing.
Preliminary hearings will continue to be summary in
nature, however, a finding with regard to a disputed
issue as to whether the employee suffered an accidental injury, whether the injury arose out of and in the
course of employment, whether notice was made in
timely fashion, or whether certain other defenses apply will be subject to review by the workers compensation board. Such an appeal, however, shall not stay
the payment of medical compensation or temporary
total disability benefits.
At the preliminary hearing, if temporary total disability benefits are to be ordered, an opinion must be
presented by the authorized treating health care
provider shown to be based upon an assessment of
the employee’s actual job duties with the employer,
with or without accommodation. K.S.A. 44-510c(b)(2).
6. Regular hearings. If a regular hearing is requested,
then not less than 10 clays prior to the first full hearing, a prehearing settlement conference shall be
conducted by the administrative law judge. K.S.A. 44-523(d).
7. Attorney’s fees. To discourage litigation,
attorney's
fees were further limited. Under the old law, an attorney was entitled to a reasonable fee up to a
maximum of 25 percent of all amounts recovered. Under
the amendments to K.S.A. 44—536(a), the attorney may
not claim more than 25 percent of compensation obtained from zero to $10,001, 20 percent of compensation recovered greater than $10,000 and less than
$20,001, and 15 percent of all compensation recovered and paid which is in excess of $20,000.
Further, no attorney's fees may he charged with respect to vocational rehabilitation benefits.
If a written offer was made by the employer prior
to representation, then:
"Fees for services rendered by an attorney shall
not exceed the lesser of (1) a reasonable amount
for such services; or (2) the amount equal to 25
percent of that portion of compensation recovered and paid which is in excess of the amount
of compensation offered to the employee by the
employer prior to the attorney’s entry of appearance in the claim which is less than $10,001, 20
percent of that portion of the amount of compensation recovered and paid which is in excess of
the amount of compensation offered to the employee prior to the attorney’s entry of appearance
in the claim which is more than $10,000 and less
than $20,001, and 15 percent of that portion of
the amount of compensation recovered and paid
which is in excess of the amount of compensation offered to the employee prior to the attorney’s
entry of appearance in the claim which is in
excess of $20,000 as specified in subsection (a)."
K.S.A. 44-536(A).
8. Appeals. The Legislative Post-Audit Committee,
which reviewed workers compensation costs and cost
drivers at the request of the Legislature, was critical
of the multiple levels of appeal in
workers compensation cases. In an
effort to streamline
the appeal process,
directors reviews
and district court
appeals were replaced by reviews
by the workers compensation
board. It will be the job of the board to review all
decisions of administrative law judges. Each board
member shall be an attorney and shall apply full—time
professional efforts to the job and shall receive a
salary equal to the amount paid to a district judge.
Applicants for these positions are reviewed by the
workers compensation board nominating committee
which is composed of two members, one appointed
by the Kansas AFL—CIO and the other appointed by
the Kansas Chamber of Commerce and Industry. The nominating committee must reach unanimous agreement
on any nomination to the board. Nomination
to the board is for a four—year term. The board consists of five members appointed by the secretary of
human resources after approval by the workers compensation board nominating Committee.
Appeals from the workers cornpe nsation board
shall he to the court of appeals.
The board may divide itself into hearing panels
which shall consist of at least two members but only
one member of the board is necessary to hear appeals in preliminary hearing decisions.
Insurance amendments.
1. Assigned risk. The Legislature was concerned that
the assigned risk plan and the assessment required to
underwrite the plan is growing. K.S.A. 40-2109 was
amended to mandate
a reduction in the
amount of the assessments to fund the assigned risk plan to
less than 10 percent
by January 1, 1997.
Further, companies
within the assigned
risk plan with less
than $2,250 in annual
premiums shall not be assessed higher than companies in the voluntary market except on the basis of
individual risk and claims experience.
2. Group funded self-insured pools. The Legislature
loosened the restrictions on group funded self-insured pools. Under the old law, only same or similar
type businesses could pool for workers compensation
purposes.
Under K.S.A. 44-581 as amended, the definition of
same, similar or closely related type of businesses
was clarified to mean "a business in which the principal payroll is in a manual classification or combination of classifications representing occupations which
contribute to an essential part of the end product or
service which is the primary business interest of the
membership of a bona fide trade, merchant or professional association."
Further, dissimilar types of businesses who
nonetheless are members of the same bona fide
trade, merchant or professional association may pool
their resources, but the requirements for pooling are
somewhat higher. As to dissimilar businesses, the
combined net worth of all members must be $1,250,000 (as compared to $1 million net worth as to
members of similar businesses). Further, the Kansas gross premium of a dissimilar type
pool must be $500,000 (as compared to $250,000 for Kansas pools
with similar businesses). Finally, 55 percent of the
estimated annual premium must be paid into a designated depository by a dissimilar pool (as compared to
only 25
percent of the estimated annual premium
paid by similar business pools). K.S.A. 44-582.
3. Filing Rates. By July 1,1993, the Commissioner of Insurance must require rating organizations to file rates
which are reflective of prospective loss costs only and
which do not take into account the insurers expenses
or profits other than losses in connection with claims.
Workers Compensation Advisory Council.
The 1993 workers compensation amendments created an
entity known as the Workers Compensation Advisory
Council. The Workers Compensation Advisory Council
consists of the director of workers compensation and 10
other members: five of whom shall be broadly representative of employers throughout Kansas, and five of whom
shall be broadly representative of employees throughout
Kansas. There is a complicated method for appointment
to the advisory council. Each member of the Advisory
Council serves at the pleasure of the secretary of human resources. The purpose of the Advisory Council is to
study the Workers Compensation Act and any proposed
amendments to the Act as well as to track costs.
The Advisory Council will be available to the Legislature
to advise on necessary amendments to the Workers Compensation Act and specifically to advise on whether the
state should embark upon a competitive state workers
compensation insurance plan. This report must be presented to the Legislature not later than December 15,
1993.
If the Advisory Council makes a recommendation to the
Legislature for an amendment to the Workers Compensation Act, this recommendation must carry a vote of four
of
the five employer members and four of the five employee members.
The intent of the Advisory Council is to remove partisan
politics from workers compensation and require employers and employees to sit down and, in good faith, negotiate problems.
Miscellaneous amendments.
1. Workplace safety. Each insurance company or
group funded self-insurance plan must maintain accident prevention programs. These accident prevention
programs shall be staffed with field-safety representatives. Each policyholder must
be notified that accident prevention services are available. On an annual
basis, the insurance company or group funded self-insurance plan shall submit to the director of workers
compensation detailed information on the type of accident prevention programs offered
and the amount
of money spent on these programs together with information concerning the number of site
inspections,
the number and qualifications of field-safety representatives actually
employed, and evidence of the effectiveness of and accomplishments in accident prevention.
2. Child support and spousal maintenance assignments. Under the old law, workers compensation
payments were not reachable by garnishment or other execution. Under the 1993 amendments, both child
support assignment orders and spousal maintenance
assignment orders can reach compensation to a maximum of 25 percent of weekly compensation or up to
40 percent of lump sum settlements. K.S.A. 44-514.
3. Seeking indemnity. If a subcontractor fails to provide insurance and a principal contractor is held
responsible, the principal contractor may implead the
subcontractor into the workers compensation case to
seek indemnity.
4. Subrogation. In a third-party action brought by an
employee, the employer is given the right to intervene
for recovery purposes. Employers have the right of
subrogation up to the amount of workers compensation benefits paid but this subrogation
right does not
extend to loss of consortium.
5. Director of Workers Compensation. K.S.A. 75-5708 was amended to provide that the director of
workers compensation shall serve a term of four years
at the pleasure of the secretary of human resources.
Conclusion. The 1993 amendments are not
completely acceptable to anyone. On the one hand, workers’
weekly benefits and medical were not diminished. On
the other hand, the method of figuring general body disability was changed and a cap was placed on functional
impairment awards, both of which will result in less money to injured workers. Shoulder injuries were made part
of the schedule as well.
Employers successfully pushed through major amendments to the Act on issues such as preexisting conditions,
limitation of attorney’s fees, and others. However, employers have
created several levels of bureaucracy in the
benefit review and ombudsman programs. In addition,
employers were unable to prevent representation of
claimants by attorneys at the benefit review conference.
Only time will tell whether the 1993 amendments will
have the intended effect of holding down costs, discouraging litigation, and yet providing fair medical and monetary compensation to injured workers.
The 1993 amendments to the Workers Compensation
Act are the most sweeping changes in 26 years and will
hold off large rate increases for the immediate future.
How well the new Act will work will depend to a large
extent of how well it is administered by the director’s office.

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