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Published byKendall Hider Modified over 9 years ago
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An Overhaul of Oklahoma’s Workers Compensation System
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Administrative Workers Compensation Act Workers Compensation Arbitration Act Oklahoma Employee Injury Benefit Act
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Replaces Court System w/3 person Commission; Appointed by Governor 3 years WC experience Create Rules Drive the Program Appoint ALJs Commission can: Review cases when requested; Hold hearings & Investigate Cases; Hear & Approve Compromise Settlements; Hear Medical Cases; Appoint Mediators
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Employee files 1 st Notice of Claim w/Commission; Commission notifies employer within 10 days of claim; Employer files Notice of Contested Issues; Commission assigns case to ALJ; 60 Days for Discovery & Med. Eval.; Parties given 10 days notice of hearing; 10 days right of appeal to Commission; 20 days right of appeal to SC
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9-Member Advisory Committee; 3 Appointments each by Governor, Speaker of the House, and Senate President
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Compensable Injury; Course and Scope of Employment; Cumulative Trauma; Major Cause
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Temporary Total Disability; Temporary Partial Disability; ‘Permanent Partial Disability; Employer Right to Choose Treating Physician; Limitations on Recovery
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Allows Employers to Implement Alternative Dispute Resolution Program; Must be Filed with and Approved by the Commission; Allows Employer to Tailor a System to Meet its Needs; Party Initiations Proceeding w/written Notice to Commission; Parties Agree to Arbitrator/Comm. Appt.
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Parties May Be Represented by Attorney; Employer Pays Cost of Arbitration; Arbitrator Makes a Reward, but May Be Vacated by Commission if Fraud by Any Party Involved, Misconduct by Arbitrator, or Other Specified Reasons; Commission Can Modify Arbitrator’s Decision
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Oklahoma Option – Unlike Texas – Employers Cannot Go Bare – Must Carry WC, Use Arbitration, or OEIB; Employers Must Cover Occupational Injuries to Payment of the Same Form of Benefits included in Administrative Act; Federal ERISA Laws Generally Govern Benefit Plan Established;
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Exclusive Remedy Provisions Apply; Injured Employee May Challenge Plan’s Final Decision by Appeal to Commission or in Federal Court; Dissatisfied Party May Bring Suit to Recover Benefits Only AFTER Plan’s Administrative Procedures Have Been Exhausted;
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Little, if Any Discovery – And No Trial; Greater Control, Flexibility, and Accuracy of Claims Process by Employer
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Go to www.ok.gov/wcc/ for more information about the new system.www.ok.gov/wcc/
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