Chapter 205 |
2024 -- H 8262 Enacted 06/17/2024 |
A N A C T |
RELATING TO LABOR AND LABOR RELATIONS -- WORKERS' COMPENSATION -- BENEFITS |
Introduced By: Representatives Corvese, Azzinaro, Cardillo, and McNamara |
Date Introduced: May 10, 2024 |
It is enacted by the General Assembly as follows: |
SECTION 1. Sections 28-33-17 and 28-33-18.2 of the General Laws in Chapter 28-33 |
entitled "Workers’ Compensation — Benefits" are hereby amended to read as follows: |
28-33-17. Weekly compensation for total incapacity — Permanent total disability — |
Dependents’ allowances. |
(a)(1) For all injuries on or after January 1, 2022, while the incapacity for work resulting |
from the injury is total, the employer shall pay the injured employee a weekly compensation equal |
to sixty-two percent (62%) of his or her average weekly base wages, earnings, or salary, as |
computed pursuant to the provisions of § 28-33-20. For all injuries on or before December 31, |
2021, while the incapacity for work resulting from the injury is total, the employer shall pay the |
injured employee a weekly compensation equal to seventy-five percent (75%) of his or her average |
weekly spendable base wages, earnings, or salary, as computed pursuant to the provisions of § 28- |
33-20. The amount may not exceed more than sixty percent (60%) of the state average weekly wage |
of individuals in covered employment under the provisions of the Rhode Island employment |
security act as computed and established by the Rhode Island department of labor and training, |
annually, on or before May 31 of each year, under the provisions of § 28-44-6(a). Effective |
September 1, 1974, the maximum rate for weekly compensation for total disability shall not exceed |
sixty-six and two-thirds percent (66⅔%) of the state average weekly wage, as computed and |
established under the provisions of § 28-44-6(a). Effective September 1, 1975, the maximum rate |
for weekly compensation for total disability shall not exceed one hundred percent (100%) of the |
state average weekly wage, as computed and established under the provisions of § 28-44-6(a). |
Effective September 1, 2007, the maximum rate for weekly compensation for total disability shall |
not exceed one hundred fifteen percent (115%) of the state average weekly wage, as computed and |
established under the provisions of § 28-44-6(a). Effective October 1, 2016, the maximum rate for |
weekly compensation for total disability shall not exceed one hundred twenty percent (120%) of |
the state average weekly wage as computed and established under the provisions of § 28-44-6(a), |
and effective October 1, 2017, the maximum rate for weekly compensation for total disability shall |
not exceed one hundred twenty-five percent (125%) of the state average weekly wage, as computed |
and established under the provisions of § 28-44-6(a). If the maximum weekly benefit rate is not an |
exact multiple of one dollar ($1.00), then the rate shall be raised to the next higher multiple of one |
dollar ($1.00). |
(2) The average weekly wage computed and established under § 28-44-6(a) is applicable |
to injured employees whose injury occurred on or after September 1, 2000, and shall be applicable |
for the full period during which compensation is payable. |
(3)(i) “Spendable earnings” means the employee’s gross, average weekly wages, earnings, |
or salary, including any gratuities reported as income, reduced by an amount determined to reflect |
amounts that would be withheld from the wages, earnings, or salary under federal and state income |
tax laws, and under the Federal Insurance Contributions Act (FICA), 26 U.S.C. § 3101 et seq., |
relating to Social Security and Medicare taxes. In all cases, it is to be assumed that the amount |
withheld would be determined on the basis of expected liability of the employee for tax for the |
taxable year in which the payments are made without regard to any itemized deductions but taking |
into account the maximum number of personal exemptions allowable. |
(ii) Each year, the director shall publish tables of the average weekly wage and seventy- |
five percent (75%) of spendable earnings that are to be in effect on May 10. These tables shall be |
conclusive for the purposes of converting an average weekly wage into seventy-five percent (75%) |
of spendable earnings. In calculating spendable earnings, the director shall have discretion to |
exempt funds assigned to third parties by order of the family court pursuant to § 8-10-3 and funds |
designated for payment of liens pursuant to § 28-33-27 upon submission of supporting evidence. |
(b)(1) In the following cases, it shall, for the purpose of this section, be that the injury |
resulted in permanent total disability: |
(i) The total and irrecoverable loss of sight in both eyes or the reduction to one-tenth (1/10) |
or less of normal vision with glasses; |
(ii) The loss of both feet at or above the ankle; |
(iii) The loss of both hands at or above the wrist; |
(iv) The loss of one hand and one foot; |
(v) An injury to the spine resulting in permanent and complete paralysis of the legs or arms; |
and |
(vi) An injury to the skull resulting in incurable imbecility or insanity. |
(2) In all other cases, total disability shall be determined only if, as a result of the injury, |
the employee is physically unable to earn any wages in any employment; provided, that in cases |
where manifest injustice would otherwise result, total disability shall be determined when an |
employee proves, taking into account the employee’s age, education, background, abilities, and |
training, that he or she is unable, on account of his or her compensable injury, to perform his or her |
regular job and is unable to perform any alternative employment. The court may deny total |
disability under this subsection without requiring the employer to identify particular alternative |
employment. |
(c)(1) Where the employee has persons conclusively presumed to be dependent upon him |
or her, or in fact so dependent, the sum of fifteen dollars ($15.00) shall be added to the weekly |
compensation payable for total incapacity for each person wholly dependent on the employee, |
except that the sum of forty dollars ($40.00) shall be added for. Effective January 1, 2025, the sum |
to be added to the weekly compensation payable for total incapacity, for each person wholly |
dependent on the employee, shall be raised to twenty-five dollars ($25.00). For those receiving |
benefits under § 28-33-12, the sum shall be forty dollars ($40.00), but in no case shall the aggregate |
of those amounts exceed eighty percent (80%) of the average weekly wage of the employee, except |
that there shall be no limit for those receiving benefits under § 28-33-12. |
(2) The dependency allowance shall be in addition to the compensation benefits for total |
disability otherwise payable under the provisions of this section. The dependency allowance shall |
be increased if the number of persons dependent upon the employee increases during the time that |
weekly compensation benefits are being received. |
(3) For the purposes of this section, the following persons shall be conclusively presumed |
to be wholly dependent for support upon an employee: |
(i) A wife upon a husband with whom she is living at the time of his injury, but only while |
she is not working for wages during her spouse’s total disability; |
(ii) A husband upon a wife with whom he is living at the time of her injury, but only while |
he is not working for wages during his spouse’s total disability; and |
(iii) Children under the age of eighteen (18) years, or over that age but physically or |
mentally incapacitated from earning, if living with the employee, or, if the employee is bound or |
ordered by law, decree, or order of court, or by any other lawful requirement, to support the |
children, although living apart from them. Provided, that the payment of dependency benefits to a |
dependent child over the age of eighteen (18) years shall continue as long as that child is |
satisfactorily enrolled as a full-time student in an educational institution or an educational facility |
duly accredited or approved by the appropriate state educational authorities at the time of |
enrollment. Those payments shall not be continued beyond the age of twenty-three (23) years. |
“Children,” within the meaning of this paragraph, also includes any children of the injured |
employee conceived but not born at the time of the employee’s injury, and the compensation |
provided for in this section shall be payable on account of any such children from the date of their |
birth. |
(d) “Dependents,” as provided in this section, does not include the spouse of the injured |
employee except as provided in subsections (c)(3)(i) and (ii) of this section. In all other cases |
questions of dependency shall be determined in accordance with the facts as the facts may be at the |
time of the injury. |
(e) The court, or any of its judges, may, in its or his or her discretion, order the insurer or |
self-insurer to make payment of the nine dollars ($9.00) or fifteen dollars ($15.00) for those |
receiving benefits under § 28-33-12 directly to the dependent. |
(f)(1) Where any employee’s incapacity is total and has extended beyond fifty-two (52) |
weeks, regardless of the date of injury, payments made to all totally incapacitated employees shall |
be increased as of May 10, 1991, and annually on the tenth of May after that as long as the employee |
remains totally incapacitated. The increase shall be by an amount equal to the total percentage |
increase in the annual Consumer Price Index, United States City Average for Urban Wage Earners |
and Clerical Workers, as formulated and computed by the Bureau of Labor Statistics of the United |
States Department of Labor for the period of March 1 to February 28 each year. |
(2) If the employee is subsequently found to be only partially incapacitated, the weekly |
compensation benefit paid to the employee shall be equal to the payment in effect prior to his or |
her most recent cost of living adjustment. |
(3) “Index” as used in this section refers to the Consumer Price Index, United States City |
Average for Urban Wage Earners and Clerical Workers, as that index is formulated and computed |
by the Bureau of Labor Statistics of the United States Department of Labor. |
(4) The May 10, 1991, increase shall be based upon the total percentage increase, if any, |
in the annual Consumer Price Index for the period of March 1, 1990, to February 28, 1991. |
Thereafter, increases shall be made on May 10 annually, based upon the percentage increase, if |
any, in the index for the period March 1 to February 28. |
(5) The computations in this section shall be made by the director of labor and training and |
promulgated to insurers and employers making payments required by this section. Increases shall |
be paid by insurers and employers without further order of the court. If payment payable under this |
section is not paid within fourteen (14) days after the employer or insurer has been notified or it |
becomes due, whichever is later, there shall be added to the unpaid payment an amount equal to |
twenty percent (20%) of that amount, which shall be paid at the same time as, but in addition to, |
the payment. |
(6) This section applies only to payment of weekly indemnity benefits to employees as |
described in subsection (f)(1) of this section, and does not apply to specific compensation payments |
for loss of use or disfigurement or payment of dependency benefits or any other benefits payable |
under the workers’ compensation act. |
(7) Notwithstanding any other provision of the general laws or public laws to the contrary, |
any employee of the state of Rhode Island who is receiving workers’ compensation benefits for |
total incapacity, as a result of brain injury due to a violent assault, on or before July 19, 2005, shall |
be entitled to receive the health insurance benefit he or she was entitled to at the time of the injury |
for the duration of the total incapacity or until said employee and his or her spouse are both eligible |
for Medicare. |
28-33-18.2. Suitable alternative employment. |
(a) When an employee has sustained an injury that entitles the employee to receive benefits |
pursuant to § 28-33-18 or § 28-34-3, the employee may become capable of suitable alternative |
employment as determined by the workers’ compensation court, or may be offered suitable |
alternative employment as agreed to by the employee and employer with written notice to the |
director. The employer or insurer shall pay an injured employee who accepts suitable alternative |
employment a weekly compensation equal to sixty-six and two-thirds percent (66 2/3%) of the |
difference between the employee’s average weekly wage, earnings, or salary before the injury and |
his or her weekly wages, earnings, or salary from the suitable alternative employment. Effective |
January 1, 2025, the employer or insurer shall pay an injured employee who accepts suitable |
alternative employment a weekly compensation equal to sixty-two percent (62%) of the difference |
between the employee's average weekly wage, earnings, or salary before the injury and his or her |
weekly wages, earnings, or salary from the suitable alternative employment. |
(b) The acceptance of suitable alternative employment shall not be mandatory if it results |
in the inequitable forfeiture or loss of seniority with the employer or a monetary benefit or other |
substantial benefit including, but not limited to, vested pension and/or profit sharing contributions, |
arising from the employment relationship. |
(c) If suitable alternative employment as determined by the workers’ compensation court |
has been offered to the employee and the employee has refused to accept the employment, then the |
workers’ compensation court shall, in fixing the amount of compensation payable subsequent to |
the refusal, treat earnings capacity as post-injury earnings, requiring the employer or insurer to pay |
the injured employee a weekly compensation equal to sixty-six and two-thirds percent (66 2/3%) of |
the difference between the employee’s average weekly wage, earnings, or salary before the injury |
and the weekly earning capacity. In no case shall increases in payments made to an injured |
employee pursuant to § 28-33-18.3(b)(1) or § 28-33-17(f) be considered in the calculation of the |
weekly compensation due pursuant to this section. The fact that the employee is undergoing |
rehabilitation does not by itself exempt the employee from the provisions of this subsection. |
(d) If the suitable alternative employment is terminated by the employer for reasons other |
than misconduct by the employee, the injured employee shall be entitled to be compensated from |
the employer in whose employ he or she was injured at the rate to which the employee was entitled |
prior to acceptance of the employment after notice by the employee to the employer in whose |
employ he or she was injured. The payments shall be made no later than fourteen (14) days after |
the notice. If suitable alternative employment is terminated by the employer for misconduct of the |
employee, or by the employee, the compensation payable to the employee shall not exceed that |
payable during continuance of suitable alternative employment. Upon request to the workers’ |
compensation court, the employee shall have the right to a determination as to whether or not the |
termination was justified. Any employee who accepts suitable alternative employment with his or |
her employer of record shall continue to maintain the seniority status and all rights incidental to it |
that the employee enjoyed prior to his or her injury, except that these rights shall not exceed the |
current rights of a similar employee with equal seniority. |
SECTION 2. Section 28-35-58 of the General Laws in Chapter 28-35 entitled "Workers’ |
Compensation — Procedure" is hereby amended to read as follows: |
28-35-58. Liability of third person for damages. |
(a) Where the injury for which compensation is payable under chapters 29 — 38 of this |
title was caused under circumstances creating a legal liability in some person other than the |
employer to pay damages in respect of the injury, the employee may take proceedings, both against |
that person to recover damages and against any person liable to pay compensation under those |
chapters for that compensation, and the employee shall be entitled to receive both damages and |
compensation. The employee, in recovering damages either by judgment or settlement from the |
person so liable to pay damages, shall reimburse the person by whom the compensation was paid |
to the extent of the compensation paid as of the date of the judgment or settlement and the receipt |
of those damages by the employee shall not bar future compensation. An insurer shall be entitled |
to suspend the payment of compensation benefits payable to the employee when the damages |
recovered by judgment or settlement from the person so liable to pay damages exceeds the |
compensation paid as of the date of the judgment or settlement. The suspension paidperiod shall |
be the number of weeks that are equal to the excess damages paid divided by the employee’s weekly |
compensation rate; however, during the period of suspension the employee shall be entitled to |
receive the benefit of all medical and hospital payments on his or her behalf. If the employee has |
been paid compensation under those chapters, the person by whom the compensation was paid shall |
be entitled to indemnity from the person liable to pay damages, and to the extent of that indemnity |
shall be subrogated to the rights of the employee to recover those damages. When money has been |
recovered either by judgment or by settlement by an employee from the person liable to pay |
damages, by suit or settlement, and the employee is required to reimburse the person by whom the |
compensation was paid, the employee or his or her attorney shall be entitled to withhold from the |
amount to be reimbursed that proportion of the costs, witness expenses, and other out-of-pocket |
expenses and attorney fees which the amount which the employee is required to reimburse the |
person by whom compensation was paid bears to the amount recovered from the third party. |
(b) In any case in which the employee or, in case of death, the administrator of the |
employee’s estate neglects to exercise the employee’s right of action by failing to file a lawsuit |
against such third person within two (2) years and eight (8) months after the injury, the self-insured |
employer or the employer’s insurance carrier may so proceed and shall be subrogated to the rights |
of the injured employee or, in case of death, to the rights of the administrator to recover against |
such person; provided, that no subrogation action shall commence unless at least twenty-six (26) |
weeks prior to the expiration of the two (2) years and eight (8) months the self-insured employer |
or the employer’s insurance carrier has notified the employee, or in the case of death, the |
administrator of the employee’s estate, in writing by personal service or certified mail, that failure |
to commence such action within two (2) years and eight (8) months after the injury will operate as |
an assignment of the right of action to the self-insured employer or the employer’s insurance carrier. |
Upon filing the lawsuit, the attorney for the self-insured employer or the employer’s insurance |
carrier shall notify the employee in writing by personal service or certified mail of the action and |
the name of the court where it was filed and the employee may join as a plaintiff in the action within |
thirty (30) days after the notification, and, if the employee fails to join, the right of joinder shall |
abate. The right of the employee, or in case of death, the administrator of the employee’s estate, to |
be fully compensated for the damages sustained shall be fully preserved as outlined in subsection |
(a). |
(c) If the self-insured employer or the employer’s insurance carrier recovers from these |
other personal damages or benefits, after expenses and costs of action have been paid, in excess of |
the amount of the lien as defined in this section, then that excess shall be paid to the injured |
employee or, in the case of death, to the administrator of the employee’s estate for distribution. |
(d) In the event there is a dispute over the reimbursement owed or the period of suspension |
going forward, the court, by agreement of the parties and upon petition by either the employee or |
the employer and/or its insurance carrier, shall assign the dispute to the workers' compensation |
court's mediation program, in accordance with the rules and procedures established by the court. |
Nothing herein shall preclude any party or attorney from pursuing any action otherwise available. |
SECTION 3. Section 28-37-10 of the General Laws in Chapter 28-37 entitled "Workers’ |
Compensation Administrative Fund" is hereby amended to read as follows: |
28-37-10. Dependents’ allowances to totally incapacitated persons. |
Whenever an injured employee suffering total incapacity ceases to receive payment under |
the Rhode Island temporary disability insurance act, chapters 39 — 41 of title 28, he or she shall |
receive compensation in addition to compensation for total incapacity, not exceeding five dollars |
($5.00) twenty-five dollars ($25.00) per week for each child wholly or partially dependent upon |
the wages, earnings, or salary of the employee, including an adopted or stepchild, under the age of |
eighteen (18) years, or over that age but physically or mentally incapacitated from earning, but not |
exceeding a total of fifteen dollars ($15.00) seventy-five dollars ($75.00) per week, which |
additional compensation shall be paid out of the fund established under § 28-37-1; provided, that |
any injured employee suffering total incapacity as the consequence of an injury sustained on or |
after September 1, 1969, shall not be eligible for this additional compensation. |
SECTION 4. This act shall take effect upon passage. |
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LC006070 |
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