New Rules Affecting Illinois Workers' Compensation Lawyers

 In Illinois workers' compensation law, the value of human body parts is determined by an actuarial analysis of probabilities and future values of injuries. The values are continually adjusted to keep up with inflation and changes in the economy. The Illinois Workers' Compensation Commission uses the fixed values of body parts to strike a fair balance between compensating workers without driving insurance companies into financial ruin.

Workers' Compensation Overview


Workers' compensation is one of the first examples of tort reform enacted in the United States. Before the workers' compensation law, people hurt at work were faced with two unpleasant alternatives: (1) they could either file lawsuits against their employers or (2) they could suck it up and pay for their injuries.
Now, employers in every state but Texas are required to hold workers' compensation insurance. When people are injured at work, it is almost as easy to file claims within their states' workers' compensation systems, as it is to file insurance claims after car accidents.


To ensure that injured workers, employers, and insurance companies are all treated fairly, the Illinois Workers' Compensation Commission continually makes changes to the Illinois Workers' Compensation Act.
Below is an overview of the most recent set of changes to the Illinois Workers' Compensation Act, which took place in July of 2005.


Fraud Statute Established
Any party involved in committing fraud relating to a workers' compensation dispute is guilty of a Class 4 felony and must pay complete restitution in addition to a fine. In addition, those who knowingly receive benefits by making false workers' compensation claims can be liable for either three times the value of benefits wrongfully obtained or twice the value of coverage attempted, plus attorney fees required to bring the claim.
Penalties Increased for Uninsured Employers


Employers who fail to purchase workers' compensation insurance are guilty of creating an immediate and serious danger to public health. As a consequence, a work stop order can be imposed, requiring the cessation of all business operations until the employer obtains proof of workers' compensation insurance.


Furthermore, a knowing failure of an employer to provide workers' compensation insurance coverage is considered a Class 4 felony, and each day's violation constitutes a separate offense.


Medical Fee Schedule Established
The Commission has established a medical fee schedule, setting maximum medical fees that employers are liable for. The maximum fees are 90% of the 80th percentile of charges in a certain geographic area. If a worker's medical bills are less than what is established by the fee schedule, then the employee will receive full workers' compensation coverage for those bills.


Benefits Increased and Changed

When an injured worker is not receiving any compensation for an injury from his or her employer, that worker can request an expedited hearing. An employer can also request an expedited hearing if a worker continues receiving compensation until a judgment is rendered and the employee has been released back to work.
Utilization Review Established


If an employer has reason to believe that an inured workers' medical treatment was unnecessary or unreasonable, the employer can have the case evaluated at a utilization review. To qualify for a utilization review, employers must register with the Department of Financial and Professional Regulation once every two years.
Happy Employees, Employers, and Insurance Companies


The Illinois Workers' Compensation Commission strives to reach fair results for all parties involved in work injuries. Illinois worker's compensation laws benefit employees by providing fast compensation for injuries without the stress of filing lawsuits. Employers benefit from workers' compensation insurance coverage because it eliminates the risk of lawsuits brought by injured employees. Even insurance companies benefit from the workers' compensation law because it sets maximum rates, which reduces the chances of unreasonable payouts. Furthermore, when insurance premiums paid by employers are invested at favorable rates, insurance companies can stand to gain the most from the Illinois Workers' Compensation system.

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