Showing posts with label Compensation Rate. Show all posts
Showing posts with label Compensation Rate. Show all posts

Monday, June 23, 2014

Department of Labor Releases Forms for COLA Adjustments

On June 20, 2014 the Vermont Department of Labor published a memorandum with the new forms for COLA increases.  These rates go into effect July 1.

The new Form 28(FY15) and the Form 28A(FY15), may be downloaded at: http://labor.vermont.gov/wordpress/wp-content/uploads//Form28FY15FillIn.pdf

The new maximum for those injuries arising after June 30, 1986 is $1,197.00.  The new maximum for injuries prior to that date is $798.00.  The minimum in all cases is $399.00.

Historical wage rates are available at:

Friday, June 13, 2014

Vermont Department of Labor Announces Cost of Living Adjustment

The Vermont Department of Labor has announced the annual increases for cost of living adjustment as well as the new maximum and minimum rates.  These rates go into effect July 1, 2014.  They are as follows:

The annual cost of living adjustment multiplier is 1.027%.
The maximum rate for injuries occurring before July 1, 1986 is $798.00.
The maximum rate for injuries occurring after June 30, 1986 is $1,197.00.
The minimum rate is $399.00.

The link to historical rates is located at:

Tuesday, March 4, 2014

DOL Rules Temporary Partial Benefits are Not Capped By Maximum Weekly Compensation

The Department of Labor has found that temporary partial disability benefits are not subject to the maximum weekly cap set forth in 21 V.S.A. §642.  Pawley v. Booska Movers, Op. No. 2-14WC (February 19, 2014). 

In the decision the Department noted the language differences in the statute.  While the temporary total disability section of the statute includes specific language limiting temporary total benefits to "not more than the maximum nor less than the minimum weekly compensation," the temporary partial disability section of the statute has no such corresponding language.  See,  21 V.S.A. §642; 21 V.S.A. §646.  The decision notes, "Where the Legislature includes particular language in one section of a statute, but omits it in another section of the same act, it is generally presumed that the Legislature did so advisedly."  Pawley, supra., citing In re Munson Earth Moving Corp., 169 VT 455, 465 (1999); see also, Archer v. Department of Employment Security, 133 VT 279, 281 (1975).

The plain language requires a finding that temporary total benefits are capped while temporary partial benefits are not. Pawley v. Booska Movers, Op. No. 2-14WC (February 19, 2014). 

Friday, January 3, 2014

Proposed Workers' Compensation Legislation 2014

When the Vermont Legislature heads back into session the week of January 6 there will be at least three new bills that could affect workers' compensation practice, procedure and premiums paid by employers.  They are:

Senate Bill 0220
Provided that independent contractors are not subject to workers’ compensation if it can be proved that they meet a number of criteria similar to those set forth in House Bill 0170.  The proposal also created a classification of sole contractor.  The text of the bill is located here: http://www.leg.state.vt.us/docs/2014/bills/Intro/S-220.pdf

Senate Bill 0233
Places a restriction on the ability of an employer to obtain an independent medical examination to within a 50 mile radius of the employee’s residence.  The text of the bill is located here:  http://www.leg.state.vt.us/docs/2014/bills/Intro/S-233.pdf

Senate Bill 0266
Adds the value of employer paid health insurance premiums to the computation of “wages” received by a worker.  The text of the bill is located here:  http://www.leg.state.vt.us/docs/2014/bills/Intro/S-266.pdf

Wednesday, October 2, 2013

Department Rules No Wage Replacement When No Wages are Earned Prior to TTD Period


If an injured worker has not earned any wages at all during the weeks preceding a period of total disability, then unless the failure to earn wages was the result of an injury-related consequence rather than a personal choice, in most cases no benefits will be due. Duffy v. Sisler Builders, Op. No. 20-13WC (August 28, 2013), (citing See, e.g., Bacon v. Gerald E. Morrissey, Inc., Opinion No. 32-11WC (October 12, 2011); Giacobbe v. Verizon, Opinion No. 72-05WC (December 30, 2005); Knoff v. Joe Knoff Illuminating, Opinion No. 39-05WC (July 12, 2005); see also, Plante v. State of Vermont Agency of Transportation, Opinion No. 19-13WC (August 22, 2013) (applying same analysis to compensation rate computation for successive period of disability); Griggs v. New Generation Communications, Opinion No. 30-10WC (October 1, 2010) (same)). There are exceptions as noted in Machia v. Comet Confectionary, Op. No, 32-07WC (December 4, 2007).
 
The Duffy decision can be found at the Department of Labor Website:
 
 
 

Friday, June 28, 2013

Employer’s Contribution to Health Insurance Premium Is Not Included In Calculation of Average Weekly Wage

Today the Vermont Supreme Court ruled in a 3-2 decision that employer-paid health insurance premiums are not wages as defined by the Vermont Workers’ Compensation Act.  Lydy v. Trustaff, Inc./Wausau Insurance Company, 2013 VT 44 (3–2)
The injured worker argued the Department of Labor's long held interpretation that the employer’s contributions to health insurance premiums are not to be included in the calculation of average weekly wage was incorrect as a matter of law.  Today's decision upheld the Commissioner's interpretation of the statute as expressed in this case and cited favorably the earlier DOL decision,  Pelissier v. Hannaford Bros., No. 26-11WC (Sept. 9, 2011).  Justice Skoglund, writing for the majority noted that, “The costs [of health insurance premiums] are not tied to the employee’s labors and instead are based on factors unconnected to the employee.  The existence of the insurance and the calculation of the employer’s contribution to it does not equate to a measurement of the benefit to the employee.”  Lydy v. Trustaff, Inc./Wausau Insurance Company, 2013 VT 44 ¶ 14.  In Vermont the employers’ contributions to health insurance “do not reflect the employee’s labors or compensation as defined through wages.” The amounts paid by the employer for health insurance premiums are not included in the calculation of average weekly wage.

Thursday, June 27, 2013

It’s Almost July 1st, Remind Me Again: What Do I Have to Do?

As July 1st approaches, licensed Vermont workers' compensation adjusters need to:

Adjust the COLA

Any worker who has been receiving temporary total or temporary partial disability compensation for 26 or more weeks is entitled to a COLA. The new maximum for those injuries arising after June 30, 1986 is $1,166.00.  The new maximum for injuries prior to that date is $777.00.  The minimum in all cases is $389.00. The new Form 28(FY14) and the Form 28A(FY14) are now available and may be downloaded from the Vermont Department of Labor website located at: http://labor.vermont.gov/Default.aspx?tabid=170

Determine If Medicaid Has Paid Bills

Insurers must take reasonable steps to discover whether the Department of Vermont Health Access has paid medical bills associated with workers’ compensation claims. 33 V.S.A. §1910 (b)(2). The State of Vermont Human Service Agency has a lien against the insurer for monies paid for medical expenses on behalf of a person who has an injury, illness or disease and the person initiates a claim against an insurer for that injury, illness or disease. The Department has noted that “the claim file should contain documentation (electronic, recorded language, typed or handwritten) to support the insurer's actions.”  The procedure sets forth that reasonable steps to determine the existence of such a lien include: (1) Asking the claimant or claimant’s representative at the beginning of the process by telephone, letter or electronic mail if he or she was a Medicaid recipient at the time of the injury.  If the answer is yes then the insurer should contact the Department of Vermont Health Access and refrain from payment until the lien is determined.  If the answer is no then the insurer must continue to review bills to determine if there is evidence that the Department of Vermont Health Access has paid bills on the claimant’s behalf and if so the insurer should determine the amount of the lien.  If not the insurer may proceed to resolve the claim; (2) An insurer may contact the Department of Vermont Health Access at any time to determine if a lien exists by contacting  the Department at: DVHATPLTeam@state.vt.us; by telephone at 802-879-5646; or by fax at 802-879-5959. The outreach document prepared by the Department of Vermont Health Access is located here: http://dvha.vermont.gov/budget-legislative/insurer-procedure-medicaid-liens.pdf

Thursday, June 13, 2013

Vermont Department of Labor Publishes COLA, Maximum and Minimum Compensation Rates Effective July 1st


 
Today the Department of Labor issued the annual COLA applied to temporary total and temporary partial benefits for the next year.  The statute requires that “Compensation... shall be adjusted annually on July 1, so that such compensation continues to bear the same percentage relationship to the average weekly wage... as computed under this chapter as it did at the time of injury. Temporary total or temporary partial compensation shall first be adjusted on the first July 1 following the receipt of 26 weeks of benefits.” 21 V.S.A. §650(d).

The new maximum for those injuries arising after June 30, 1986 is $1,166.00.  The new maximum for injuries prior to that date is $777.00.  The minimum in all cases is $389.00.

The new Form 28(FY14) and the Form 28A(FY14) are now available and may be downloaded from the Vermont Department of Labor website located at:

Temporary total and temporary partial rates are to be updated as of July 1, 2013.