Worker's Compensation Advisory Council

Worker's Compensation Division Proposals for the Agreed Bill Process for 2005-2006 Session

Revised 4/26/05

# Section Topic Proposal Rationale Status
1. 102.01 (f) Temporary Help Agency Amend §102.01(f) as follows:

"Temporary help agency" means an employer who, on a temporary basis, places its employee with or leases its employees to another employer who controls the employee's work activities and compensates the first employer for the employee's services, regardless of the duration of the services.

The definition of “temporary help agency” is amended to delete the reference to employee leasing. Another definition for employee leasing organization and professional employer organization is created by the proposal to create s. 102.01 (fg). 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
2. 102.01(fg) Employee Leasing Organization & Professional Employer Organization (a) “Professional employer organization” and “employee leasing organization” for the purpose of the administration of Chapter 102 means any organization or person who contracts to provide the nontemporary, ongoing employee workforce of a client under a written leasing contract, and who under contract and in fact regardless of whether the organization or person uses the term professional employee organization, PEO, staff leasing company, registered staff, leasing company employee or any other name:

1. Has the right to hire and terminate the employees who perform services for the client and to reassign the employees to other clients;

2. Sets the rate of pay of the employees, which responsibility may be shared with the client, whether or not through negotiations;

3. Has the obligation to and pays the employees from its own accounts;

4. Has a general right of direction and control over the employees, including corporate officers, which right may be shared with the client to the degree necessary to allow the client to conduct its business, meet any fiduciary responsibility, or comply with any applicable regulatory or statutory requirements;

5. Assumes responsibility for the worker’s compensation insurance coverage of the employees, files all required reports, and otherwise complies with all of the provisions of this chapter that are applicable to employers;

6. Has the obligation to establish, fund, and administer employee benefit plans for the employees; and

7. Provides notice of the professional employer or employee leasing arrangement to the employees.

(b) To be recognized as a professional employer organization or employee leasing organization for the purposes of this chapter, the organization or person must provide employer services for multiple clients the majority of which are not under common ownership, management or control of the professional employer organization or employee leasing organization itself, other than through the contractual terms of the professional employer or employee leasing agreements.
“Employee leasing organization” and “professional employer organization” are defined the same for worker’s compensation purposes by this amendment. These organizations are much more similar than temporary help agencies. Creating separate definitions for temporary help agency and professional employer organization/employee leasing organization will more accurately reflect the nature of the businesses in which these organizations are engaged. The proposed definition is almost verbatim to the UI definition. 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
3. 102.04(2m) Temporary Help Agency as the employer liable for all payment under Ch. 102 Amend §102.04(2m) as follows:

A temporary help agency for the purpose of administration of Chapter 102 is the employer of an employee whom the temporary help agency has placed with or leased to another employer that compensates the temporary help agency for the employee's services.  A temporary help agency is liable under s. 102.03 for all compensation payable under this chapter to that employee, including any payments required under ss. 102.16 (3), 102.18 (1) (b) or (bp), 102.22 (1), 102.35 (3), 102.57 or 102.60.  Except as permitted under s. 102.29, a temporary help agency may not seek or receive reimbursement from another employer for any payments made as a result of that liability'

This subsection is amended to delete the reference to employee leasing. Employees of professional employer organizations and employee leasing organizations are covered under the proposed s. 102.04 (2n) in the next section. 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
4. 102.04(2n) Professional Employee Organization & Employee Leasing Organization as the employer liable for all payments under Ch. 102. Create §102.04(2n) as follows:

A professional employer organization or an employee leasing organization for the purpose of administration of Chapter 102 is the employer of an employee whom the a professional employer organization or employee leasing organization engages to perform services for its client under an employee leasing agreement, including a corporate officer if the officer’s position is included in the employee leasing agreement with the client.has placed with a client to provide the nontemporary, ongoing employee workforce of the client under a written contract.  A professional employer organization or an employee leasing organization is liable under s. 102.03 for all compensation payable under this chapter to that an employee employed pursuant to its employee leasing arrangement, including any payments required under s. 102.16 (3), 102.18 (1) (b) or (bp), 102.22 (1), 102.35 (3), 102.57 or 102.60.  Except as permitted under s. 102.29, a professional employer organization and an employee leasing organization may not seek or receive reimbursement from another employer for any payments made as a result of that liability.

This subsection is created to specify that professional employer organizations and employee leasing organizations are the liable employer for worker’s compensation liability for all payments required by Chapter 102, Wis. Stats. Corporate officers are included as employees if the officer’s position is included in the employee leasing agreement with the client. 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
5. 102.31(2m) Professional Employer Organizations, Employee Leasing Organizations and Leasing Agreements. Create §102.31(2m) as follows:

(a) Each A separate worker’s compensation insurance policy as described in s. 102.28(2) shall be obtained for each client of a professional employer organization and each or employee leasing organization that enters into an employee leasing agreement with a client shall have its worker’s compensation insurance policy endorsed to cover the client’s workforce by an alternate employer endorsement declaring the effective date of coverage, disclosing the business identity, ownership identity and location(s) of that client and such other information as the department prescribes.  An insurer who provides a worker’s compensation insurance contract described in s. 102.28 (2)(a) and s. 102.31(1)(a) shall file the alternate employer endorsement as provided in s. 626.35.as defined in s. 102.01(1).  The policy shall be in the name of the client.  An insurer who provides a worker’s compensation insurance contract described in s. 102.28(2)(a) and s. 102.31(1)(a) shall file the contract as provided in s. 626.35.  Cancellation, termination or nonrenewal of a worker’s compensation insurance contract described in s. 102.28(2)(a) and s. 102.31(1)(a) shall be executed as described in s. 102.31(2)(a). (b) A sole proprietor, a partner or a member of a limited liability company are not eligible for worker’s compensation benefits under a policy issued under sub. (a) unless the policy is endorsed naming the sole proprietor, partner, or member that has elected coverage under s. 102.075. If a professional employer organization or an employee leasing organization terminates an employee leasing agreement, the professional employer organization or employee leasing organization shall notify its insurer and the client.  No alternative employer endorsement termination is effective until 30 days after the insurance company has given written notice to the Wisconsin compensation rating bureau declaring the termination date of the endorsement.  The insurer shall file notice in writing declaring the termination date of the alternate employer endorsement with the Wisconsin compensation rating bureau.  Termination of the client’s coverage under the professional employer organization’s policy or the employee leasing organization’s policy is effective 30 days after the notice is received by the Wisconsin compensation rating bureau. (c) A corporate officer is a covered employee for worker’s compensation benefits under a policy issued under sub. (a) unless an officer of a qualified corporation elects by an endorsement on the policy not to be covered under the policy at any time during the period of the policy described in s. 102.076. Notice of termination of an alternative employer endorsement under sub. (b) shall be given to the Wisconsin compensation rating bureau, as defined in s. 626.02 (2).  The notice may be given by certified mail; personal service; facsimile machine transmission; electronic mail; or any electronic, magnetic, or other medium approved by the department.   Whenever the Wisconsin compensation rating bureau receives notice of termination pursuant to this section, it shall immediately notify the department of the termination. (d) Regardless of whether the notices required under par. (b) have been given, a termination of an alternate employer endorsement is effective upon the effective date of replacement insurance coverage under s. 102.28(2) obtained by the terminated client/employer or of an order exempting the terminated client/employer from carrying insurance under s. 102.28(2).

This proposal is intended to reduce the confusion about worker’s compensation insurance coverage for professional employer organizations and employee leasing organizations. Currently, the Department is not notified when a leasing contract is cancelled and the leased employees are returned by the leasing company to the client.

When an insurance policy is cancelled, the insurance carrier must file a cancellation with the Wisconsin Compensation Rating Bureau (WCRB) and the cancellation is not effective until 30 days after it is received by the WCRB. This allows the Department to follow-up on the cancellation with an employer to ensure they have the required worker’s compensation insurance.

However, under current law, when a leasing company voids or cancels a contract, the law does not require the leasing company to notify the Department or to file any information regarding a contract cancellation with the WCRB. The Department is not informed and therefore has no way of tracking whether or not an employer who has “employees” returned to them by the leasing company, has the required worker’s compensation insurance policy in force. This has resulted in uninsured employer penalties and Uninsured Employers Fund claims.

The proposal requires alternative employer endorsements on policies and a separate policy for each client, in the name of each client.  nNotice of terminations of coverage is to be filed with the WCRB in the same manner as policies and terminations are currently filed.  This will allow the Department to follow-up on cancellations to ensure the client/employer has the required worker’s compensation insurance in place.

2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
6. 102.04 (2s) Professional Employment Organization & Employee Leasing Organization. Continued WC insurance coverage. Create §102.31 (2s) as follows:

If an employer that is a client of a professional employer organization or a client of an employee leasing organization as described in s. 102.01(fg) enters into an employee leasing agreement with the organization that results in the discontinuance of all employees of the employer who are engaged in employment, the employer remains subject to this chapter.  If the employee leasing agreement is terminated, the client shall so notify the department and resume all responsibilities as the employer of its employees under this chapter as of the date of termination and shall have a worker’s compensation policy described in s. 102.28 (2)(a) in force on the date of termination.  Uninsured employers shall be assessed as described in s. 102.82(2)(a) and s. 102.85.

This proposal requires employers to remain subject to Chapter 102, Wis. Stats., and maintain worker’s  compensation liability insurance after they enter into agreements with professional employer organizations or employee leasing organizations that result in the discontinuance of employees for those employers. The purpose of this proposal is to avoid lapses in worker’s compensation insurance coverage. 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
7. 102.29 (7m) Limits on Third Party Actions. Create §102.29(7m) as follows: No employee who is leased by his or her employer to another employer and who makes a claim for compensation under this chapter may make a claim or maintain an action in tort against the employer who accepted the leased employee’s services. Employees of professional employer organizations and employee leasing companies may not make claims in tort against the employer with whom they are placed. 2/21/05 introduced at WCAC mtg, 4/13/05 tabled.
8. 102.13(2)(c)
or
80.02(2)(e) 4
Final Treating Practitioners Report. Create §102.13(2)(c) as follows: Practitioners may not require pre-payment for the preparation and completion of a final treating practitioner’s report as the department may require by rule. Any dispute over the amount charged by the practitioner for the report may be submitted for resolution under s. 102.16 (2). This proposal is to address the situation of treating practitioners charging unreasonable amounts for providing a final treating practitioner’s report required by §DWD 80.02(2)(e)4 of the Wisconsin Administrative Code. The proposal does not prohibit a practitioner from charging for the final report but only prohibits pre-payment. If there is a dispute about the amount charged for a report, the practitioner may submit a reasonableness of fee dispute under s. 102.16(2), Wis. Stats. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
9. 102.17(9) Disclosure of Evidence 15 Days Before Hearings Create §102.17(9) as follows:

Unless otherwise agreed to by all parties, a party must file and serve with the department and all other interested parties, all medical reports, documents, names of witnesses in addition to any other materials, including videotapes, that the party intends to offer into evidence at a hearing, at least 15 days before the hearing, unless the department is satisfied there is good cause for the failure to file and serve.

This proposal will require the parties to file with the department and all other parties medical reports, documents and other material the party intends to offer as evidence at a hearing at least 15 days before the hearing date. The purpose of this proposal is to encourage the parties to litigated cases to be prepared to proceed to hearing and to avoid surprise evidence disclosed for the first time at the hearing. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC disagreed.
10. 102.32(6)(b) Payment for Permanent Partial Disability (PPD) Amend §102.32(6)(b) as follows:

(b) Subject to par. (d), if the employer or the employer’s insurer concedes liability for an injury that results in permanent disability and if the extent of permanent disability can be determined based on a minimum permanent disability rating promulgated by the department by rule, compensation for permanent disability shall begin within 30 days after the earlier of the end of the employee’s healing period or suspension of temporary disability due to the employee’s return to work.

This proposal is to correct a situation where the employee is still in the healing period, and has returned to work earning wages, but is not eligible to begin receiving payments for PPD. Under this proposal an employee who is still in the healing period and has returned to work is eligible to receive payments for PPD. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
11. 102.32(6m) Advance Payments of Permanent Partial Disability (PPD) and Death Benefits. Amend §102.32(6m) as follows:

(6m) The department may direct an advance on a payment of unaccrued compensation for permanent disability or death benefits if the department determines that advance payment is in the best interest of the injured employee or the employee’s dependents. In directing the advance, the department shall give the employer or the employer’s insurer an interest credit against its liability. The credit shall be computed at 7%. An employee is limited to no more than three advance payments per calendar year.

Under this proposal employees will be limited to three (3) advancements per year. This proposal is being made because there are a significant number of employees who submit advancement on a monthly basis. Handling advancements is time consuming for department staff. With staff reductions mandated by budgetary concerns, it is necessary to limit the number of advancement from employees. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
12. 102.33(2)(b)7 Disclosure of Confidential Information. Create §102.33(2)(b)7 as follows:

7. The department in its discretion may release confidential information to government agencies, educational institutions and non-profit research organizations for purposes of  research. where the department is satisfied that the agency, institution or organization will not re-release any confidential information as defined under sub. 2.  No government agency, educational institution or non-profit research organization may permit inspection or disclosure of any record provided to it by the department unless the department authorizes the inspection or disclosure.  The government agency, educational institution or non-profit research organization shall provide the results of any research to the department free of charge.

Under this proposal, the department is authorized to release confidential information to government agencies, educational institutions and non-profit research organizations.    The department must be satisfied that the agency, institution or non-profit organization will not re-release any confidential information.  The government agency, educational institution or non-profit research organization may not re-release the information unless authorized by the department.  The department has modified the language of this proposal to coincide with the Unemployment Insurance statute, §108.14(7)(b). 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed but requested amendment.
13. 102. 31(3) Penalties Amend §102.31(3) as follows:

(3) The department may examine from time to time the books and records of any insurer insuring liability or compensation for an employer in this state. The department may require an insurer to designate one mailing address for use by the department and to respond to correspondence from the department within 30 days. Any insurer that refuses or fails to answer correspondence from the department or allow the department to examine its books and records is subject to enforcement proceedings under s. 601.64 and penalties under s. 102.35 (1)

Under current law the only enforcement tool available to the department for failure to answer correspondence is under s. 601.64, Wis. Stats., through the Office of the Commissioner of Insurance (OCI). This proposed amendment will add the monetary penalties under s. 102.35 (1), Wis. Stats., as an incentive and sanction for failure to respond to correspondence from the department. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC disagreed.
14. 102.35(1) Penalties Amend §102.35(1) as follows:

1)  Every employer and every insurance company that fails to keep the records or to make the reports required by this chapter or that knowingly falsifies such records or makes false reports or fails to respond to correspondence from the department as required under s. 102.31 (3) shall forfeit to the state not less than $10100 nor more than $100300 for  each offense. The department may waive or reduce a forfeiture imposed under this section if the employer or insurance company that violated this subsection a waiver or reduction of the forfeiture within 45 days after notice of the forfeiture is mailed to the employer or insurance company and shows that the violation was due to mistake or an absence of information.

Under the current law the only enforcement tool available to the department for failure to answer correspondence is through the Office of the Commissioner of Insurance (OCI) under s. 601.64. The proposed amendment will add monetary penalties under s. 102.35 (1) as another enforcement tool to referrals to OCI for missing reports and for failure to respond to department correspondence. The proposed amendment also increases the minimum and maximum forfeiture penalty amounts provided for in s. 102.35 (1). The forfeiture amounts have not been changed since 1931. The OCI as well as insurance carriers have recommended that the department not use the enforcement proceedings under s. 601.64 for failure to submit required reports and correspondence. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC disagreed.
15. 102.35(1)(b) Interest on Penalties Renumber §102.35(1) to 102.35(1)(a) and Create §102.35(1)(b) as follows:

(b) Interest shall accrue on amounts for forfeitures under sub. (a) not paid within 90 days after billing at a rate of 1% per month.  

As an incentive to pay on time, the proposed amendment will add interest at a rate of 1% per month on any unpaid forfeitures issued under s. 102.35(1) that are not paid within 90 days. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed but amendment requested.
16. 102.33(2)(b) Department forms and records; public access Amend §102.33(2)(b) as follows:

(b) Notwithstanding par. (a), a record maintained by the department or the commission that reveals the identity of an employee who claims worker’s compensation benefits, the nature of the employee’s claimed injury, the employee’s past or present medical condition, the extent of the employee’s disability, the amount, type or duration of benefits paid to the employee or any financial information provided to the department by a self-insured employer or by an applicant for exemption under s. 102.28(2)(b) is confidential and not open to public inspection or copying under s. 19.35(1).  The department or the commission may deny a request made under s. 19.35(1) or, subject to s. 102.17 (2m) and (2s), refuse to honor a subpoena issued by an attorney of record in a civil or criminal action or special proceeding to inspect and copy a record that is confidential under this paragraph, unless one of the following applies: 1.  The requester is the employee who is the subject of the record or an attorney or authorized agent of an employee who is the subject of a record shall provide a written authorization for inspection and copying from the employee if requested by the department or the commission.       2.  The record that is requested contains confidential information concerning a worker’s compensation claim and the requester is an insurance carrier or employer that is a party to any worker’s compensation claim involving the same employee or an attorney or authorized agent of that insurance carrier or employer, except that the department or the commission is not required to do a random search of its records and may require the requester to provide the approximate date of the injury and any other relevant information that would assist the department in finding the record requested.  An attorney or authorized agent of an insurance carrier or employer that is a party to an employee’s worker’s compensation claim shall provide a written authorization for inspection and copying from the insurance carrier or employer if requested by the department or the commission. 4.  A court of competent jurisdiction in this state orders the department or the commission to release the record. (c) Notwithstanding par. (a), a record maintained by the department or the commission that contains employer or insurer information obtained from the Wisconsin compensation rating bureau under s. 102.31 (8) or 626.32 (1)(a) is confidential and not open to public inspection or copying under s. 19.35(1) unless the Wisconsin compensation rating bureau authorizes public inspection of copying of that information.

This amendment is proposed by the Labor and Industry Review Commission.  The reasons for maintaining the confidentiality of worker’s compensation files are just as valid at the Commission level as at the Department.  A somewhat parallel confidentiality provision for unemployment insurance records appears at Wis. Stat. §108.14(7)(a), and it covers both the department and the Commission. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
17. 102.75(5) Interest on Administrative Expenses Create §102.75(5) as follows:

(5) Interest shall accrue on amounts for assessments under par. (2) not paid within 90 days after billing  at a rate of 1% per month.  The interest shall be paid to the fund established by s. 102.65.

As an incentive to pay on time, this proposed amendment will add interest at a rate of 1% per month on any unpaid assessments that are not paid within 90 days. 2/21/05 introduced at WCAC mtg,4/13/05 WCAC agreed but amendment requested.
18. 80.03(1)(d) Compromise Agreements Amend §DWD 80.03(1)(d) as follows:

(d) No compromise agreement may provide for a lump sum payment of more than the incurred medical expenses plus sums accrued as compensation or death benefits to the date of the agreement and $5,00010,000 in unaccrued benefits where the compromise settlement in a claim other than for death benefits involves a dispute as to the extent of permanent disability.  Lump sum payments will be considered after approval of the compromise in accordance with s. DWD 80.39.

The proposed amendment increased the amount of additional payment in addition to the accrued benefits to be paid to an employee pursuant to a compromise agreement, from $5,000 to $10,000. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed
19. 80.03(1)(g) Compromise Agreements Amend §DWD 80.03(1)(g) as follows:

(g) All written compromise agreements submitted to the department shall contain the following: The employee has the right to petition the department of industry, labor and human relations workforce development to set aside or modify this compromise agreement within one year of its approval by the department. The department may set aside or modify the compromise agreement.  The right to request the department to set aside or modify the compromise agreement does not guarantee that the compromise will in fact be reopened.  

The proposed amendment does not involve any substantive change to this subsection. The purpose of the amendment is only to specify the current name of the department. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
20. 80.15 Payments after an order Repeal §DWD 80.15. This administrative code provision mirrors the language in Wis. Stat. §102.18(1) (e), prior to the amendment of the statute effective March 30, 2004. Therefore the administrative code provision is outdated and no longer needed. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
21. 80.39(1) Advance payment of unaccrued compensation Amend §DWD 80.39(1) as follows:

(1)  The department may order partial or full payment of unaccrued compensation to an employee or his or her dependents pursuant to s. 102.32(6m), Stats., upon consideration of the following factors: 

This proposed amendment updates the rule to coincide with the current statutory reference. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
22. 80.49(2), (7) (b) & (8) Vocational Rehabilitation Training Amend the rule as follows:

(2)  ELIGIBILITY.  The determination of eligibility for vocational rehabilitation training and whether a person is a suitable subject for training is the responsibility of the department of health and family services division of vocational rehabilitation.  If the department of health and family services division of vocational rehabilitation determines that an employee is eligible to receive services under 29 USC 701 to 797b, but that the department of health and family services division of vocational rehabilitation cannot provide those services for the employee, the employee may select a private rehabilitation specialist certified by the department to determine whether the employee can return to suitable employment without rehabilitative training and whether rehabilitative training is necessary to develop a retraining program to restore as nearly as possible the employee to his or her preinjury earning capacity and potential. (7)(b) The department shall arrange with the department of health and family services division of vocational rehabilitation to receive timely notice whenever the department of health and family services division of vocational rehabilitation determines under s. 102.61 (1m), Stats., that it cannot serve an eligible employee.  When the department of health and family services division of vocational rehabilitation notifies the department that it cannot serve an eligible employee, the department shall mail to the employee and the self-insured employer or insurance carrier a list of certified specialists serving the area where the employee resides. (8) EMPLOYER’S DUTIES UPON RECEIPT OF PERMANENT RESTRICTIONS.  Upon receiving notice that the department of health and family services division of vocational rehabilitation cannot serve the employee under s. 102.61(1m), Stats. the employee or a person authorized to act on the employee’s behalf shall provide the employer with a written report from a physician, podiatrist, psychologist or chiropractor stating the employee’s permanent work restrictions.  Within 60 days of receiving the practitioner’s work restrictions, the employer shall provide to the employee or the employee’s authorized representative, in writing:

These sections refer to the Department of Health and Family Services. The proposed amendments delete the reference to this department and substitute the Division of Vocational Rehabilitation. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
23. 80.51(4) Computation of Weekly Wage Amend §DWD 80.51(4) as follows:

(4)  The 3024  hour minimum workweek under s. 102.11 (1) (f), Stats., does not apply to a part-time employee unless the employee is a member of a regularly scheduled part of class of part-time employee In all other cases part-time employment is on the basis of normal full-time employment in such job. However, this subsection does not apply to part-time employees defined in s. 102.11 (1) (f), Stats., who restrict availability on the labor market. As to the employees so defined, those wages will be expanded to the normal part-time or full-time wages unless the employer or insurance company complies with s. DWD 80.02 (2)(a)(d).

The former law provided for a 30 hour workweek for part-time employees who were part of a class. The proposed amendment is to reflect the current law setting a 24-hour minimum workweek for part-time employees. 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
24. 80.72(2)(i) Health Service Fee Dispute Resolution Process Amend §DWD80.72(2)(i) as follows:

(i) “Formula amount” means the mean fee for a procedure plus 1.54 standard deviations from that mean as shown by data from a certified data base.

2003 Wis. Act 144, effective March 30, 2004, reduced the standard deviations for the formula amount from 1.5 to 1.4. The proposed amendment will make the standard deviations defined in the formula amount the same as currently required by s. 102.16(2) (d). 2/21/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
25. 80.50 (1)(a), (2) & (3) Computation of Permanent Disabilities Amend §DWD80.50 (1)(a), (2) and (3) as follows:

 (1)(a) Such a deduction shall not include the multiple injury factors under s. 102.53, Stats. and the dominant hand increase under s. 102.54, Stats.; and   (2) The number of weeks attributable to scheduled disabilities shall be deducted from 1,000 weeks before computing the number of weeks due for a non-scheduled disability resulting from the same injury.  This deduction shall not include multiple injury factors under s. 102.53, Stats. and the dominant hand increase under s. 102.54, Stats. (3) Multiple injury factors under s. 102.53, Stats. and the dominant hand increase under s. 102.54, Stats., do not apply to compensation for disfigurement under s. 102.56, Stats.

This proposed amendment updates the rule to include reference to increased PPD benefits for injuries to the dominant hand. 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
26. 80.68(1) & (3) Payment of Benefits from Second Injury Fund Amend §DWD80.68 (1) and (3) as follows:

(1) Payment of benefits under s. 102.59, Stats., shall initially be made to the individual entitled to the benefits at such time as payments of primary compensation by the employer cease to be made or would have been made had there been no payment under s. 102.32 (6m), Stat., unless the preexisting disability and the disability for which primary compensation is being paid combine to result in permanent total disability. (3) Payments under s. 102.59, Stats., shall be on a periodic basis but subject to ss. 102.32 (6m) and (7), Stats.

This proposed amendment updates the rule to coincide with the current statutory reference. 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
27. 80.72 (2) (L) Health Cost Fee Dispute Resolution Process Amend §DWD80.72(2)(L) as follows:

(L) “Provider” or “health service provider” includes a physician, podiatrist, psychologist, optometrist, chiropractor, dentist, physician’s assistant, advanced practice nurse prescriber, therapist, medical technician, or hospital.

This proposed amendment updates the rule to include advanced practice nurse prescribers (APNPs). APNPs were added as a choice of treating practitioner under Wis. Stat. §102.42(2) effective March 30, 2004. 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
28. 80.73 (2) (d Health Service Necessity of Treatment Dispute Resolution Process Amend §DWD80.73(2)(d) as follows:

(d)  “Provider” includes a hospital, physician, psychologist, chiropractor, podiatrist, physician’s assistant, advanced practice nurse prescriber, or dentist, or another licensed medical practitioner who provides treatment ordered by a physician, psychologist, chiropractor, podiatrist, physician’s assistant, advanced practice nurse prescriber, whose order of treatment is subject to review.

This proposed amendment updates the rule to include physician’s assistants (PAs) and advanced practice nurse prescribers (APNPs). PAs and APNPs were added as a choice of treating practitioner under Wis. Stat. §102.42(2) effective March 30, 2004. 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed.
29. 102.17(1)(d) Certified Medical and Vocational Reports Create §102.17(1)(d)4. as follows:

4.  Reports and records admitted or received into evidence under this section constitute substantial evidence as to the matter contained in those reports and records within the meaning of 102.23(6)

This proposed subsection clarifies that medical and vocational evidence in the form of certified reports is admissible at hearing and may be relied on by the department in determining liability for benefits without the necessity of the expert appearing at hearing. This proposal is in response to the recent Wisconsin Supreme Court decision in Gehin v. Wisconsin Group Ins. Board, No. 03-0226 (Wis. Feb. 23, 2005). 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed but amendment requested.
30. 102.17(1)(h) Certified Reports by Industrial Safety Specialists Amend §102.17(1)(h) as follows:

(h) The contents of certified reports of investigation, made by industrial safety specialists who are employed, contracted, or otherwise secured by the department and available for cross-examination, served upon the parties 15 days prior to the hearing, shall constitute prima facie evidence as to the matter contained in those reports.  Reports and records admitted or received into evidence under this section constitute substantial evidence as to the matter contained in those reports and records within the meaning of 102.23(6).

This proposed amendment clarifies that certified reports by industrial safety specialists are admissible at hearing and may be relied on by the department in determining liability for benefits without the necessity of the expert appearing at hearing. This proposal is in response to the recent Wisconsin Supreme Court decision in Gehin v. Wisconsin Group Ins. Board, No. 03-0226 (Wis. Feb. 23, 2005). 3/22/05 introduced at WCAC mtg, 4/13/05 WCAC agreed but amendment requested.
31. 102.42(2)(b) Incidental compensation - mileage reimbursement Amend §102.42(2)(b) as follows:  

(b)  The employer is not liable for the expense of unreasonable travel to obtain treatment.  The employer shall pay reasonable travel to obtain medical treatment at the rate set by the department of administration for mileage reimbursement for state employees.

This amendment was requested by the WCAC. It codifies the department’s policy (based on custom and tradition) that injured workers receive mileage reimbursement at the same rate as state employees.  
32. 102.61(1) Indemnity under rehabilitation - travel expenses Amend §102.61(1) as follows:

(1) Subject to subs. (1g) and (1m), an employee who is entitled to receive and has received compensation under this chapter, and who is entitled to and is receiving instructions under 29 USC 701 to 797b, as administered by the state in which the employee resides or in which the employee resided at the time of becoming physically disabled, shall, in addition to other indemnity, be paid the actual and necessary expenses of travel at the rate set by the department of administration for mileage reimbursement for state employees, and, if the employee receives instructions elsewhere than at the place of residence, the actual and necessary costs of maintenance, during rehabilitation, subject to the conditions and limitations specified in sub. (1r).

This amendment was requested by the WCAC. It codifies the department’s policy (based on custom and tradition) that injured workers receive mileage reimbursement at the same rate as state employees.  
33. 102.32(6)(c) Payment for Permanent Partial Disability Amend §102.32(6)(c) as follows:

(c) Subject to par. (d), if the employer or the employer’s insurer concedes liability for an injury that results in permanent disability, but the extent of the permanent disability cannot be determined without a permanent disability rating, compensation for permanent disability shall begin within 30 days after the earlier of the date the employer or the employer’s insurer has receivesd a medical report that provides a basis for a permanent disability rating or suspension of temporary disability benefits

This proposal clarifies that permanent partial disability benefits are to begin within 30 days after receipt of a medical report rating permanency or suspension of temporary disability benefits due to return to work.  

 


 Updated June 21, 2010
 Division of Worker's Compensation
 Content Contact: WCLEGAL