| Chapter 247 |
| 2022 -- H 8259 Enacted 06/28/2022 |
| A N A C T |
| RELATING TO LABOR AND LABOR RELATIONS -- WORKERS' COMPENSATION |
Introduced By: Representative Anastasia P. Williams |
| Date Introduced: May 18, 2022 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. Section 16-16-20 of the General Laws in Chapter 16-16 entitled "Teachers' |
| Retirement [See Title 16 Chapter 97 - The Rhode Island Board of Education Act]" is hereby |
| amended to read as follows: |
| 16-16-20. Deduction of amounts received from workers' compensation or as damages. |
| Any amount paid or payable under the provisions of any workers' compensation law, |
| exclusive of Medicare set aside allocations, specific compensation benefits or any benefits due |
| pursuant to the terms of a collective bargaining agreement or as the result of any action for damages |
| for personal injuries against the state, on account of the death or disability of a teacher, shall be |
| offset against and payable in lieu of any benefits payable out of funds provided by the state under |
| the provisions of this chapter on account of the death or disability of the teacher. If the value of the |
| total commuted benefits under any workers' compensation law or action is less than the present |
| value on an actuarial basis of the benefits otherwise payable under this chapter, the value of the |
| commuted payments shall be deducted from the present value of the benefits, and the balance |
| thereof shall be payable under the provisions of this chapter. |
| SECTION 2. Sections 28-35-12 and 28-35-28 of the General Laws in Chapter 28-35 |
| entitled "Workers' Compensation - Procedure" are hereby amended to read as follows: |
| 28-35-12. Petition for determination of controversy -- Contents and filing. |
| (a) In all disputes between an employer and employee in regard to compensation or any |
| other obligation established under chapters 29 -- 38 of this title, and when death has resulted from |
| the injury and the dependents of the deceased employee entitled to compensation are, or its |
| apportionment among them is, in dispute, any person in interest, or his or her duly authorized |
| representative, may file with the workers' compensation court a petition, prescribed by the court, |
| setting forth the names and residences of the parties; the facts relating to employment at the time |
| of injury; the cause, extent, and character of the injury; the amount of wages, earnings, or salary |
| received at the time of the injury; and the knowledge of the employer of notice of the occurrence |
| of the injury; and any other facts that may be necessary and proper for the information of the court; |
| and shall state the matter in dispute and the claims of the petitioner with reference to it; provided, |
| that no petition shall be filed within twenty-one (21) days of the date of the injury and no petition |
| regarding any other obligation established under chapters 29 -- 38 of this title shall be filed until |
| twenty-one (21) days after written demand for payment upon the employer or insurer or written |
| notice to the employer or insurer of failure to fulfill the obligation, except that any petition alleging |
| the non-payment nonpayment or late payment of weekly compensation benefits, attorney's fees, |
| and costs, may be filed after fourteen (14) days from the date the payment is due as set forth in §§ |
| 28-35-42, 28-35-43, and 28-35-20(c). All demands seeking payment of bills for medical services |
| rendered shall include reference to a claim number or a legible copy of the agreement, order, and/or |
| decree, if appropriate, establishing liability. Medical bills for services ordered paid by decree or |
| pretrial order shall be paid within fourteen (14) days of the entry of the decree or order. In the event |
| that the bills are not paid within the fourteen-day (14) period, a petition may be filed to enforce said |
| order or decree without any additional written notice to the employer or insurer. |
| (b)(1) If one or more claims are filed for an injury and there are two (2) or more insurers, |
| any one of which may be held to be liable to pay compensation, and the judge determines that the |
| injured employee would be entitled to receive compensation but for the existence of a controversy |
| as to which one of the insurers is liable to pay compensation, one of the insurers shall be selected |
| by a judge of the workers' compensation court, to pay to the injured employee the compensation, |
| pending a final decision of the workers' compensation court as to the matter in controversy, and |
| that decision shall require that the amount of compensation paid shall be deducted from the award |
| if made against another insurer and shall be paid by that other insurer to the insurer selected by the |
| judge. |
| (2) The workers' compensation court shall award compensation, costs, and attorney's fees |
| in its discretion if one of the insurers is held to be liable following the hearing. |
| (3) In the event multiple attorneys have provided representation to an employee, in |
| connection with an injury claim and an attorney's lien has been filed with the court or the insurance |
| carrier, and there is a dispute between the attorneys over the equitable division of any legal fee, |
| awarded by the court for legal services rendered on behalf of the employee; the court, upon petition |
| by any of the aggrieved attorneys, shall assign the legal fee dispute to the workers' compensation |
| court's mediation program, in accordance with the rules and procedures established by the court. |
| The employer or its insurer or its claim administrator shall not be joined as a party to the petition. |
| In the event the dispute is not resolved in mediation, the mediator shall report to the chief judge of |
| the court, that the dispute has not resolved and the petition shall be dismissed, with no further action |
| by the court. Nothing herein shall preclude any party or attorney from pursuing any action |
| otherwise available. |
| (c) If any determination of the workers' compensation court entitles an employee to |
| retroactive payment of weekly benefits, the court shall award to the employee interest at the rate |
| per annum provided in § 9-21-10 on that retroactive weekly payment from six (6) months |
| subsequent to the date that the employee first filed a petition for benefits to the time when that |
| retroactive payment is actually made. If the proceedings are unduly delayed by or at the request of |
| the employee or his or her attorney, the judge may reduce or eliminate interest on retroactive |
| payment; provided, that the provisions of this section as they relate to interest shall apply only to |
| petitions filed on or after July 1, 1984. |
| (d) Any fine, penalty, or interest expense incurred by an insurer under this section may not |
| be used as an expense for the purpose of seeking a rate increase before the department of business |
| regulation. |
| 28-35-28. Appeal to appellate division. |
| (a)(1) Any person aggrieved by the entry of a decree by a trial judge may appeal to the |
| appellate division established pursuant to this section by filing with the court within five (5) days |
| of the date of the entry of a decree, exclusive of Saturdays, Sundays, and holidays, a claim of appeal |
| and, subject to the rules of practice of the court, by filing a request for a transcript of the testimony |
| and ruling or any part thereof desired. |
| (2) Upon a showing of excusable neglect, the trial judge who entered the decree, may |
| extend the time for filing the claim of appeal by any party, for a period not to exceed thirty (30) |
| days from the expiration of the original time prescribed by this section. The request for extension |
| shall be made by motion directed to the trial judge with such notice as the court shall deem |
| appropriate. Such an extension may be granted, before or after the time otherwise prescribed by |
| this section. |
| (3) Within any time that a judge shall fix, either by an original fixing or otherwise, the |
| appellant shall file with the court reasons of appeal stating specifically all matters determined |
| adversely to him or her the appellant which that he or she the appellant desires to appeal, together |
| with so much of the transcript of testimony and rulings as he or she the appellant deems pertinent, |
| and within ten (10) days after that the parties may file with the court those briefs and memoranda |
| that they may desire concerning the appeal. |
| (4)(A) The chief judge shall appoint appellate panels of three (3) members of the court |
| to hear any claim of appeal and the decision of the appellate panel shall be binding on the court. |
| (B) The three (3) members of the appellate panel shall immediately review the decree |
| upon the record of the case and shall file a decision pursuant to the law and the fair preponderance |
| of the evidence within ten (10) days of the expiration of the time within which the parties may file |
| briefs and memoranda. Upon consideration of the appeal, the appellate panel shall affirm, reverse, |
| or modify the decree appealed from, and may itself take any further proceedings that are just, or |
| may remand the matter to the trial judge for further consideration of any factual issue that the |
| appellate division may raise, including the taking of additional evidence or testimony by the trial |
| judge. It shall be within the prerogative of the appellate panel to remand a matter to the trial judge. |
| (C) If the decision requires the entry of a new decree, notice shall be given the parties, |
| and the new decree shall be entered in the same manner as the original decree, but if the decision |
| of two (2) appellate panel judges does not require the entry of a new decree, the decree shall be |
| affirmed. |
| (5) Any member of the appellate panel may, for cause, disqualify himself or herself from |
| hearing any appeal that may come before the appellate panel. |
| (b) The findings of the trial judge on factual matters shall be final unless an appellate panel |
| finds them to be clearly erroneous. The court may award costs, including reasonable attorney's fees, |
| to the prevailing party when the appellate panel finds there was complete absence of a justiciable |
| issue of either law or fact. |
| SECTION 3. Section 28-53-7 of the General Laws in Chapter 28-53 entitled "Rhode Island |
| Uninsured Protection Fund" is hereby amended to read as follows: |
| 28-53-7. Payments to employees of uninsured employers. |
| (a) Where it is determined that the employee was injured in the course of employment |
| while working for an employer who fails to maintain a policy of workers' compensation insurance |
| as required by § 28-36-1 et seq., in accordance with the provisions of this chapter, the uninsured |
| protection fund is authorized to pay the benefits to which the injured employee would be entitled |
| pursuant to chapters 29 -- 38 of this title subject to the limitations set forth herein. |
| (b) The workers' compensation court shall hear all petitions for payment from the fund |
| pursuant to § 28-30-1 et seq.; provided, however, that any petition for the commencement of |
| compensation benefits filed against the uninsured protection fund shall be accompanied or preceded |
| by a separate petition for the commencement of compensation benefits timely filed against the |
| uninsured unless the petition to be filed against the uninsured employer is otherwise enjoined or |
| prevented by law. |
| (c) Where an employee is deemed to be entitled to benefits from the uninsured protection |
| fund, the fund shall pay benefits for incapacity as provided pursuant to chapters 29 -- 38 of this title |
| except that the employee shall not be entitled to receive benefits for medical expenses pursuant to |
| the provisions of § 28-33-5 or loss of function and disfigurement pursuant to the provisions of § |
| 28-33-19 from the uninsured protection fund. Nothing herein shall affect an employee's right to |
| otherwise recover such benefits for medical expenses, loss of function, and disfigurement from an |
| uninsured employer. |
| (d) The fund shall pay costs, counsel, and witness fees, as provided in § 28-35-32, to any |
| employee who successfully prosecutes any petitions for payment; petitions to amend a pretrial |
| order; and all other employee petitions; and to employees who successfully defend, in whole or in |
| part, proceedings seeking to reduce or terminate any and all payments; provided, however, that the |
| attorney's fees awarded to counsel who represent the employee in petitions for lump-sum |
| commutation filed pursuant to § 28-33-25, or in the settlement of disputed cases pursuant to § 28- |
| 33-25.1, shall be limited to the maximum amount paid to counsel who serve as court-appointed |
| attorneys in workers' compensation proceedings as established by rule or order of the Rhode Island |
| supreme court. Any payment ordered by the court or due under this section shall not be subject to |
| liens set forth in § 28-33-27(b), nor shall such payments be assignable or subject to assignment in |
| any way. |
| (e) In the event that the uninsured employer makes payment of any monies to the employee |
| to compensate the employee in any way for the alleged work injury, the fund may be entitled to a |
| credit for all such monies received by, or on behalf of, the employee, including, but not limited to, |
| monies paid to the employee by any other party for the employee's lost wages against any future |
| benefits payable directly to the employee. The fund shall be entitled to full reimbursement from the |
| uninsured employer for any and all payments made by the fund to the employee, as well as all costs, |
| counsel, and witness fees paid out by the fund in connection with any claim and/or petition, plus |
| any and all costs and attorney's fees associated with collection and reimbursement of the fund. |
| (f) All the rights and obligations of § 28-35-58 are preserved to the benefit of the employee |
| and the fund. |
| (f)(g) This section shall apply to injuries that occur on or after September 1, 2019. |
| SECTION 4. This act shall take effect upon passage. |
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| LC005967 |
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