Senate Bill No. 42–Committee on Commerce and Labor
Prefiled January 27, 1999
(On Behalf of Legislative Committee on Workers’ Compensation)
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions governing payment of workers’ compensation for subsequent injuries from subsequent injury funds. (BDR 53-389)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State or on Industrial Insurance: No.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1
Section 1. NRS 616B.540 is hereby amended to read as follows: 616B.540 1. If an employee of an employer who is insured by the1-3
system has a permanent physical impairment from any cause or origin and ,1-4
before July 1, 1999, incurs a subsequent disability by injury arising out of1-5
and in the course of his employment which entitles him to compensation for1-6
a disability that is substantially greater by reason of the combined effects of1-7
the preexisting impairment and the subsequent injury than that which would1-8
have resulted from the subsequent injury alone, the compensation due must1-9
not be charged to the employer’s account if:1-10
(a) The employee knowingly made a false representation as to his1-11
physical condition at the time he was hired by the employer;1-12
(b) The employer relied upon the false representation and this reliance1-13
formed a substantial basis of the employment; and2-1
(c) A causal connection existed between the false representation and the2-2
subsequent disability.2-3
2. If the subsequent injury of the employee that occurred before July 1,2-4
1999, results in his death and it is determined that the death would not have2-5
occurred except for the preexisting permanent physical impairment, the2-6
compensation due must not be charged to the employer’s account.2-7
3. To qualify for the removal of a charge from his account pursuant to2-8
this section, the employer must establish by written records that he had2-9
knowledge of the permanent physical impairment at the time the employee2-10
was hired or that the employee was retained in employment after the2-11
employer acquired that knowledge.2-12
4. The employer shall notify the manager of any possible claim2-13
pursuant to this section as soon as practicable, but not later than2-14
weeks after the subsequent injury or death. A claim pursuant to this section2-15
must be submitted to the chief before July 1, 2000.2-16
5. The manager shall take such actions as are necessary to carry out the2-17
requirements of this section.2-18
6. An appeal of any decision made concerning a charge or removal of a2-19
charge pursuant to this section must be submitted directly to an appeals2-20
officer. The appeals officer shall hear the appeal within 45 days after the2-21
appeal is submitted to him.2-22
7. As used in this section2-23
(a) "Chief" means the chief administrative officer of the industrial2-24
insurance regulation section of the division.2-25
(b) "Permanent physical impairment" means any permanent condition,2-26
whether congenital or caused by injury or disease, of such seriousness as to2-27
constitute a hindrance or obstacle to obtaining employment or to obtaining2-28
reemployment if the employee is unemployed. For the purposes of this2-29
section, a condition is not a "permanent physical impairment" unless it2-30
would support a rating of permanent impairment of 6 percent or more of the2-31
whole man if evaluated according to the American Medical Association’s2-32
Guides to the Evaluation of Permanent Impairment as adopted and2-33
supplemented pursuant to NRS 616C.110.2-34
Sec. 2. NRS 616B.557 is hereby amended to read as follows: 616B.557 Except as otherwise provided in NRS 616B.560:2-36
1. If an employee of a self-insured employer has a permanent physical2-37
impairment from any cause or origin and before July 1, 1999, incurs a2-38
subsequent disability by injury arising out of and in the course of his2-39
employment which entitles him to compensation for disability that is2-40
substantially greater by reason of the combined effects of the preexisting2-41
impairment and the subsequent injury than that which would have resulted2-42
from the subsequent injury alone, the compensation due must be charged to3-1
the subsequent injury fund for self-insured employers in accordance with3-2
regulations adopted by the board.3-3
2. If the subsequent injury of3-4
before July 1, 1999, results in his death and it is determined that the death3-5
would not have occurred except for the preexisting permanent physical3-6
impairment, the compensation due must be charged to the subsequent injury3-7
fund for self-insured employers in accordance with regulations adopted by3-8
the board.3-9
3. As used in this section, "permanent physical impairment" means any3-10
permanent condition, whether congenital or caused by injury or disease, of3-11
such seriousness as to constitute a hindrance or obstacle to obtaining3-12
employment or to obtaining reemployment if the employee is unemployed.3-13
For the purposes of this section, a condition is not a "permanent physical3-14
impairment" unless it would support a rating of permanent impairment of 63-15
percent or more of the whole man if evaluated according to the American3-16
Medical Association’s Guides to the Evaluation of Permanent Impairment3-17
as adopted and supplemented by the division pursuant to NRS 616C.110.3-18
4. To qualify under this section for reimbursement from the subsequent3-19
injury fund for self-insured employers, the self-insured employer must3-20
establish by written records that the self-insured employer had knowledge of3-21
the "permanent physical impairment" at the time the employee was hired or3-22
that the employee was retained in employment after the self-insured3-23
employer acquired such knowledge.3-24
5. A self-insured employer shall notify the board of any possible claim3-25
against the subsequent injury fund for self-insured employers as soon as3-26
practicable, but not later than3-27
claim against the subsequent injury fund for self-insured employers3-28
pursuant to this section must be submitted to the administrator before3-29
July 1, 2000.3-30
6. The board shall adopt regulations establishing procedures for3-31
submitting claims against the subsequent injury fund for self-insured3-32
employers. The board shall notify the self-insured employer of3-33
decision on3-34
7. An appeal of any decision made concerning a claim against the3-35
subsequent injury fund for self-insured employers must be submitted3-36
directly to the district court.3-37
Sec. 3. NRS 616B.560 is hereby amended to read as follows: 616B.560 1. A self-insured employer who pays compensation due to3-39
an employee who has a permanent physical impairment from any cause or3-40
origin and who, before July 1, 1999, incurs a subsequent disability by3-41
injury arising out of and in the course of his employment which entitles him3-42
to compensation for disability that is substantially greater by reason of the3-43
combined effects of the preexisting impairment and the subsequent injury4-1
than that which would have resulted from the subsequent injury alone is4-2
entitled to be reimbursed from the subsequent injury fund for self-insured4-3
employers if:4-4
(a) The employee knowingly made a false representation as to his4-5
physical condition at the time he was hired by the self-insured employer;4-6
(b) The self-insured employer relied upon the false representation and4-7
this reliance formed a substantial basis of the employment; and4-8
(c) A causal connection existed between the false representation and the4-9
subsequent disability.4-10
If the subsequent injury of the employee that occurred before July 1, 1999,4-11
results in his death and it is determined that the death would not have4-12
occurred except for the preexisting permanent physical impairment, any4-13
compensation paid is entitled to be reimbursed from the subsequent injury4-14
fund for self-insured employers.4-15
2. A self-insured employer shall notify the board of any possible claim4-16
against the subsequent injury fund for self-insured employers pursuant to4-17
this section4-18
injury or the date the self-insured employer learns of the employee’s false4-19
representation, whichever is later.4-20
3. A claim against the subsequent injury fund for self-insured4-21
employers pursuant to this section must be submitted to the administrator4-22
before July 1, 2000.4-23
Sec. 4. NRS 616B.578 is hereby amended to read as follows: 616B.578 Except as otherwise provided in NRS 616B.581:4-25
1. If an employee of a member of an association of self-insured public4-26
or private employers has a permanent physical impairment from any cause4-27
or origin and before July 1, 1999, incurs a subsequent disability by injury4-28
arising out of and in the course of his employment which entitles him to4-29
compensation for disability that is substantially greater by reason of the4-30
combined effects of the preexisting impairment and the subsequent injury4-31
than that which would have resulted from the subsequent injury alone, the4-32
compensation due must be charged to the subsequent injury fund for4-33
associations of self-insured public or private employers in accordance with4-34
regulations adopted by the board.4-35
2. If the subsequent injury of4-36
before July 1, 1999, results in his death and it is determined that the death4-37
would not have occurred except for the preexisting permanent physical4-38
impairment, the compensation due must be charged to the subsequent injury4-39
fund for associations of self-insured public or private employers in4-40
accordance with regulations adopted by the board.4-41
3. As used in this section, "permanent physical impairment" means any4-42
permanent condition, whether congenital or caused by injury or disease, of4-43
such seriousness as to constitute a hindrance or obstacle to obtaining5-1
employment or to obtaining reemployment if the employee is unemployed.5-2
For the purposes of this section, a condition is not a "permanent physical5-3
impairment" unless it would support a rating of permanent impairment of 65-4
percent or more of the whole man if evaluated according to the American5-5
Medical Association’s Guides to the Evaluation of Permanent Impairment5-6
as adopted and supplemented by the division pursuant to NRS 616C.110.5-7
4. To qualify under this section for reimbursement from the subsequent5-8
injury fund for associations of self-insured public or private employers, the5-9
association of self-insured public or private employers must establish by5-10
written records that the employer had knowledge of the "permanent physical5-11
impairment" at the time the employee was hired or that the employee was5-12
retained in employment after the employer acquired such knowledge.5-13
5. An association of self-insured public or private employers shall5-14
notify the board of any possible claim against the subsequent injury fund for5-15
associations of self-insured public or private employers as soon as5-16
practicable, but not later than5-17
claim against the subsequent injury fund for associations of self-insured5-18
public or private employers pursuant to this section must be submitted to5-19
the board before July 1, 2000.5-20
6. The board shall adopt regulations establishing procedures for5-21
submitting claims against the subsequent injury fund for associations of self-5-22
insured public or private employers. The board shall notify the association5-23
of self-insured public or private employers of its decision on5-24
claim within 90 days after the claim is received.5-25
7. An appeal of any decision made concerning a claim against the5-26
subsequent injury fund for associations of self-insured public or private5-27
employers must be submitted directly to the district court.5-28
Sec. 5. NRS 616B.581 is hereby amended to read as follows: 616B.581 1. An association of self-insured public or private5-30
employers that pays compensation due to an employee who has a permanent5-31
physical impairment from any cause or origin and who, before July 1, 1999,5-32
incurs a subsequent disability by injury arising out of and in the course of5-33
his employment which entitles him to compensation for disability that is5-34
substantially greater by reason of the combined effects of the preexisting5-35
impairment and the subsequent injury than that which would have resulted5-36
from the subsequent injury alone is entitled to be reimbursed from the5-37
subsequent injury fund for associations of self-insured public or private5-38
employers if:5-39
(a) The employee knowingly made a false representation as to his5-40
physical condition at the time he was hired by the member of the association5-41
of self-insured public or private employers;5-42
(b) The employer relied upon the false representation and this reliance5-43
formed a substantial basis of the employment; and6-1
(c) A causal connection existed between the false representation and the6-2
subsequent disability.6-3
If the subsequent injury of the employee that occurred before July 1, 1999,6-4
results in his death and it is determined that the death would not have6-5
occurred except for the preexisting permanent physical impairment, any6-6
compensation paid is entitled to be reimbursed from the subsequent injury6-7
fund for associations of self-insured public or private employers.6-8
2. An association of self-insured public or private employers shall6-9
notify the board of any possible claim against the subsequent injury fund for6-10
associations of self-insured public or private employers pursuant to this6-11
section6-12
the date the employer learns of the employee’s false representation,6-13
whichever is later.6-14
3. A claim against the subsequent injury fund for associations of self-6-15
insured public or private employers pursuant to this section must be6-16
submitted to the board before July 1, 2000.6-17
Sec. 6. NRS 616B.584, 616B.587 and 616B.590 are hereby repealed.6-18
Sec. 7. 1. This section and sections 1 to 5, inclusive, of this act6-19
become effective on July 1, 1999.6-20
2. Section 6 of this act becomes effective upon passage and approval.
6-21
TEXT OF REPEALED SECTIONS616B.584 Subsequent injury fund for private carriers established;
6-23
purpose; disbursements; investments; assessment rates, payments and6-24
penalties. [Effective July 1, 1999.]6-25
1. There is hereby established as a special revenue fund in the state6-26
treasury the subsequent injury fund for private carriers, which may be used6-27
only to make payments in accordance with the provisions of NRS 616B.5876-28
and 616B.590. The administrator shall administer the fund.6-29
2. All assessments, penalties, bonds, securities and all other properties6-30
received, collected or acquired by the administrator for the subsequent6-31
injury fund for private carriers must be delivered to the custody of the state6-32
treasurer.6-33
3. All money and securities in the fund must be held by the state6-34
treasurer as custodian thereof to be used solely for workers’ compensation6-35
for employees whose employers are insured by private carriers.6-36
4. The state treasurer may disburse money from the fund only upon6-37
written order of the state controller.6-38
5. The state treasurer shall invest money of the fund in the same manner6-39
and in the same securities in which he is authorized to invest state general7-1
funds which are in his custody. Income realized from the investment of the7-2
assets of the fund must be credited to the fund.7-3
6. The administrator shall adopt regulations for the establishment and7-4
administration of assessment rates, payments and penalties. Assessment7-5
rates must reflect the relative hazard of the employments covered by private7-6
carriers and must be based upon expected annual expenditures for claims for7-7
payments from the subsequent injury fund for private carriers. The system7-8
must not be required to pay any assessments, payments or penalties into the7-9
subsequent injury fund for private carriers, or any costs associated with the7-10
fund.7-11
7. The commissioner shall assign an actuary to review the establishment7-12
of assessment rates. The rates must be filed with the commissioner 30 days7-13
before their effective date. Any private carrier who wishes to appeal the rate7-14
so filed must do so pursuant to NRS 679B.310. 616B.587 Payment of cost of additional compensation resulting7-16
from subsequent injury of employee of employer insured by private7-17
carrier. [Effective July 1, 1999.] Except as otherwise provided in NRS7-18
616B.590:7-19
1. If an employee of an employer who is insured by a private carrier has7-20
a permanent physical impairment from any cause or origin and incurs a7-21
subsequent disability by injury arising out of and in the course of his7-22
employment which entitles him to compensation for disability that is7-23
substantially greater by reason of the combined effects of the preexisting7-24
impairment and the subsequent injury than that which would have resulted7-25
from the subsequent injury alone, the compensation due must be charged to7-26
the subsequent injury fund for private carriers in accordance with7-27
regulations adopted by the administrator.7-28
2. If the subsequent injury of such an employee results in his death and7-29
it is determined that the death would not have occurred except for the7-30
preexisting permanent physical impairment, the compensation due must be7-31
charged to the subsequent injury fund for private carriers in accordance with7-32
regulations adopted by the administrator.7-33
3. As used in this section, "permanent physical impairment" means any7-34
permanent condition, whether congenital or caused by injury or disease, of7-35
such seriousness as to constitute a hindrance or obstacle to obtaining7-36
employment or to obtaining reemployment if the employee is unemployed.7-37
For the purposes of this section, a condition is not a "permanent physical7-38
impairment" unless it would support a rating of permanent impairment of 67-39
percent or more of the whole man if evaluated according to the American7-40
Medical Association’s Guides to the Evaluation of Permanent Impairment7-41
as adopted and supplemented by the division pursuant to NRS 616C.110.7-42
4. To qualify under this section for reimbursement from the subsequent7-43
injury fund for private carriers, the private carrier must establish by written8-1
records that the employer had knowledge of the "permanent physical8-2
impairment" at the time the employee was hired or that the employee was8-3
retained in employment after the employer acquired such knowledge.8-4
5. A private carrier shall notify the administrator of any possible claim8-5
against the subsequent injury fund for private carriers as soon as practicable,8-6
but not later than 100 weeks after the injury or death.8-7
6. The administrator shall adopt regulations establishing procedures for8-8
submitting claims against the subsequent injury fund for private carriers.8-9
The administrator shall notify the private carrier of his decision on such a8-10
claim within 90 days after the claim is received.8-11
7. An appeal of any decision made concerning a claim against the8-12
subsequent injury fund for private carriers must be submitted directly to the8-13
appeals officer. The appeals officer shall hear such an appeal within 45 days8-14
after the appeal is submitted to him. 616B.590 Reimbursement of private carrier for cost of additional8-16
compensation resulting from subsequent injury. [Effective July 1,8-17
1999.]8-18
1. A private carrier who pays compensation due to an employee who8-19
has a permanent physical impairment from any cause or origin and incurs a8-20
subsequent disability by injury arising out of and in the course of his8-21
employment which entitles him to compensation for disability that is8-22
substantially greater by reason of the combined effects of the preexisting8-23
impairment and the subsequent injury than that which would have resulted8-24
from the subsequent injury alone is entitled to be reimbursed from the8-25
subsequent injury fund for private carriers if:8-26
(a) The employee knowingly made a false representation as to his8-27
physical condition at the time he was hired by the employer insured by a8-28
private carrier;8-29
(b) The employer relied upon the false representation and this reliance8-30
formed a substantial basis of the employment; and8-31
(c) A causal connection existed between the false representation and the8-32
subsequent disability.8-33
If the subsequent injury of the employee results in his death and it is8-34
determined that the death would not have occurred except for the8-35
preexisting permanent physical impairment, any compensation paid is8-36
entitled to be reimbursed from the subsequent injury fund for private8-37
carriers.8-38
2. A private carrier shall notify the administrator of any possible claim8-39
against the subsequent injury fund for private carriers pursuant to this8-40
section no later than 60 days after the date of the subsequent injury or the8-41
date the employer learns of the employee’s false representation, whichever8-42
is later.