|
|
News And Updates
AMA
Guides Task Force
The next meeting of the task force will be
July 30 and 31, 2008.
MILEAGE RATE
CHANGE
Pursuant to Rule 8.1(2), effective July
1, 2008, the compensation rate for mileage reimbursement in Iowa has been
amended to the rate of 58.5 cents per mile. (7/1/08)
2008 Weekly Minimum and
Maximum Rates
Beginning July 1, 2008,
Maximum weekly rate for TTD, HP, PTD and death
benefits is $1366.00.
Maximum weekly rate for PPD benefits is $1257.00.
The minimum weekly benefit amount for TTD or HP is
equal to either the weekly benefit amount of a person whose gross weekly
earnings are thirty-five percent (35%) of the statewide average weekly
wage OR the spendable weekly earnings of the employee, WHICHEVER IS
LESS. The minimum weekly benefit amount for PPD, PTD or death benefits
is equal to the weekly benefit amount of a person whose gross weekly
earnings are thirty-five percent (35%) of the statewide average weekly
wage.
Statewide average weekly wage is $682.95.
35% of statewide average weekly wage is $239.00.
(7/08)
MAJOR ANNOUNCEMENT
Beginning
June 10, 2008, the Division will once again be doing walk-in
settlements. They will be done on Tuesdays and Thursdays between the
hours of 9 and 11 a.m. They will be done according to the alpha
breakdown in place for telephone calls and settlement appointments.
Appointments may still be made at any time. Please see other
requirements for settlements. Please also make sure that a first report
of injury (FROI) is on file before walking over your settlement.
(6-08)
AMA GUIDES – Rule 876—2.4 has been
amended as follows:
876—2.4(85,86)
Guides to evaluation of permanent impairment.
The Guides to the Evaluation of Permanent Impairment,
Fifth Edition, published by the American
Medical Association are adopted as a guide for determining permanent partial
disabilities under Iowa Code section
85.34(2)“a”
to “s.”
The extent of loss or
percentage of permanent impairment may be determined by use of
this guide
the Fifth Edition of the guides and payment of weekly compensation for permanent partial scheduled injuries
made accordingly. Payment so made shall be recognized by the workers’
compensation commissioner as a prima facie showing of compliance by the
employer or insurance carrier with the foregoing sections of the
Iowa workers’ compensation Act. Nothing in
this rule shall be construed to prevent the presentations of other medical
opinions
or guides
or other material evidence for the purpose of establishing that the degree
of permanent disability to which the claimant would be entitled would be
more or less than the entitlement indicated in the
Fifth Edition of the AMA
guide
guides.
This rule is intended to
implement Iowa Code
section
sections
85.34(2) and 86.8.
The amendment to Rule 2.4 is in response to the publication of the AMA
Guides to the Evaluation of Permanent Impairment, Sixth Edition, and a
call for clarity on the use of the new Guides by several constituencies.
While the amendment has been filed on an emergency basis for immediate
publication, the rule has also been filed for the allowance of public
comment in the normal rule making process. Public comments are
encouraged.
Benefit
payments for permanent partial disabilities in Iowa for scheduled injuries are frequently
based upon the use of the AMA guides. The new sixth edition touts a
new paradigm to rating impairment, when compared to ratings under previous
editions of the AMA guides and other medical impairment guidelines or
treatises. The impact on the level of impairment ratings (and perhaps
corresponding level of permanent disability) cannot yet be determined or
appreciated as there are no comparative studies on where various injuries or
impairment are rated under both the fifth and sixth edition.
Until
such studies can be completed by medical and legal experts who commonly are
involved in the Iowa Workers’ Compensation system, the use of sixth edition
ratings are expressly discouraged.
(4-08)
This bill has passed both
the State House of Representative and the Senate and has been sent to
Governor Chet Culver for his signature. (3-20-08)
SENATE FILE 2221
AN ACT RELATING TO WORKERS' COMPENSATION BENEFIT PAYMENTS
FOR BURIAL EXPENSES.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF
IOWA:
Section 1. Section 85.28, Code 2007, is amended to
read as follows:
85.28 BURIAL EXPENSE.
When death ensues from the injury, the employer shall pay
the reasonable expenses of burial of such employee not to exceed twelve times the statewide average
weekly wage paid employees as determined by the department of workforce
development under section 96.19, subsection 36, and in effect at the time of
death, which shall be in addition to other compensation or any other benefit
provided for in this chapter. (3/19/08)
AMA Guides
Please be advised that the AMA Guide
to the Evaluation of Permanent Impairment, Sixth Edition has been published.
876 IAC Rule 2.4 makes the Guide published by the American Medical
Association “a guide for determining permanent partial disabilities under
Iowa Code section 85.34(s)’a’ to ‘s’”. Due to the substantial changes
included in the 6th Edition of the Guides and the resulting need
for additional study and training within both the medical and legal
communities, the Iowa Division of Workers’ Compensation will continue to
accept ratings under the 5th Edition of the Guides.
(1-31-08)
Additional requirement for video
alternate
care hearings.
The division will require certified shorthand reporters for video
alternate care proceedings. A new hearing assignment order will be
going out for assigned hearings which will contain the following
language: "Reporting of Proceedings." This
procedure will be effective when the hearing assignment orders directs
the court reporter to attend.
Defendant(s) shall arrange for a certified shorthand reporter for this
hearing. The reporter shall participate as follows: Either
(1) with the presiding deputy at 1000 E. Grand Ave., Des Moines, IA; (2)
with one of the attorneys of record, or (3) using their own computer and
internet connection." Advance testing is required as with other
participants, if using their own computer.
(3-6-08)
The November issue of
Iowa Compass Disability Information &
Referral Connecting People to Programs is posted. This
discusses what technologies are available for injured workers.
Please follow the link for helpful information for the disabled and
workers' compensation. (12-07)
INSTRUCTIONS FOR PARTICIPANTS IN WORK COMP DIVISION
VIDEO HEARINGS
The Division purchased an internet based service called
Megameeting.com for the purpose of providing web video hearings to the
public. The cost of using this service is assumed entirely by the
Division and is free to participants. Megameeting.com was chosen by the
Workers’ Compensation Commissioner for its low cost, simplicity, and
ability to work with all operating systems, including Apple’s Safari. To
participate in a web video hearing, you must have a computer with high
speed internet access. However, before you can participate, your
computer hardware and software must be set up first. This, again, is
relatively simple for anyone familiar with computers.
First, a web camera and headset or speaker phone
designed for web conferencing must be installed on your computer. Any
commercially available camera and headset (with earphones and
microphone) will work. Obtain a headset that plugs into audio phone
jacks on the front or back of the computer. A headset or web
conferencing speaker phone is necessary to shut down the speakers on the
computer which causes feedback problems. After you plug in a headset, at
least on Windows Operating Systems, you must go to your computer’s
control panel and adjust the settings for use of a headset in the sound
settings. The set up procedures usually provide a means to test the
headset to make sure it is working. The Division will not provide
technical support for setting up your camera and headset. This is your
responsibility.
Your client or a witness can use the same computer for
the hearing. Web cameras usually have a wide enough viewing angle to
capture the image of more than one participant using one computer.
However, you will need two headsets, if you are not going to use a web
conferencing speaker phone. You can plug two headsets into the phone
jacks of one computer using splitters available commercially such as at
Radio Shack. Use two stereo headphone splitters or adapters (one for the
ear phone plugs and the other for the microphone plugs). These splitters
must have one male 1/8" phone plug on one end and two 1/8" phone jacks
on the other end. Simply plug the male ends of the splitter into the
computer and the two sets of headset leads into the splitters. Make sure
that the earphone leads on the headsets are plugged into the correct
earphone splitter and the microphone leads into the microphone splitter.
The only problem you may have is if your phone jacks on the front of
your computer are recessed. If they are you should avoid splitters with
a large square or round housing as they cannot be fully plugged into the
computer. If this is the case, use splitters that have a wire lead for
the male end that allows it to be fully plugged in.
We recommend use of a web conferencing speaker phone
rather than headsets. We have found the audio very good using a Chat 150
(multiple participants) or Chat 50 (1-2 participants) speaker phones
manufactured by ClearOne. They models are available commercially at the
following link:
http://www.conferencingtechnologies.com/posp.html
Make sure that you change the voice and audio
settings in the control panel (Sounds and Audio Devices for XP OS) after
you install the software for this speakerphone.
Second, once you have the headset or speaker phone and
camera working, make sure you have the latest version of Acrobat Flash
Player installed on your computer. Most computers already have some
version of this. This takes only a couple of minutes to accomplish. At
the following internet address is a user guide you can review for more
information. The first page of this guide provides a link for a free
download of Acrobat Flash Player. The player must be downloaded to
participate.
http://www.megameeting.com/help/Guide-Pro.html
Third, schedule a test of your ability to participant at
a web video hearing with the hearing administrator. This is mandatory
unless you previously have successfully tested your set up or
participated in web video hearing.
These steps must be completed for all computers that you
are planning to use to attend a hearing. This includes any computers
used by any of your clients at other locations.
Once you completed the above steps, the procedure to
actually participate in a meeting is extremely simple. At the time our
hearing administrator schedules a web video hearing, she will instruct
Megameeting.com to send the attorneys an email which will read as
follows:
You have been invited to join an Internet Video/Web
meeting. Join the meeting by clicking on the link below:
Meeting:RSample
Meeting Host: Judge Walshire
Meeting Name:
RSample Date/Time:
8/1/07, 8:30 A.M.
Password: Attendees:
lwalshire@yahoo.com
Comments:
Once you receive this email, you should save it and
forward it to any of your clients who will use their own computer to
participate. The meeting name will likely be the name of the claimant.
When the time for hearing arrives, you simply go to this
email and use your mouse to click on the meeting link. Your internet
browser will then take you immediately to the Megameeting.com hearing
site. You will first be asked to agree to the meeting procedures. Then,
you will see a login screen asking for your name and password. The name
you enter will appear at the bottom of the video image at the hearing.
At this time,
we are planning on not using a password so leave it
blank. Then simply click on "join" and you will be taken to the hearing.
Once you come into the virtual hearing room, you will be
asked by Flash Player to allow use of your computer’s camera and
microphone. Once you allow this, your video image should appear with the
other participants. Your microphone will operate by clicking on a "Hold
to Transmit" button on the top left side of the screen using your mouse.
If you want the microphone to operate continuously, simply click on the
"Lock" button in that location. Then, adjust the volume to about 50% to
prevent distortion. The deputy will instruct you further, if necessary.
There is a text screen at the bottom of the screen to communicate with
other participants and the deputy should the microphone connection fail.
After the hearing, you simply quit by clicking on a button at the top of
the screen.
If problems occur in getting into the hearing room, the
deputy can be called at the office to help you.
Finally, all exhibits must be provided to the presiding
deputy in advance of the hearing in the same manner as telephone
alternate care hearings. It also would be good practice to provide
exhibit copies to witnesses who will be using a separate computer to
participant so they can refer to it in answering questions, if that
becomes necessary.
Special Notes:
1) Persons who will be only observing the hearing do not
need a headset or camera. They can simply go into the site using the
same procedure as participants, but their image will appear on-screen as
blank and obviously they will not be able to communicate with the
participants.
2) With permission from the presiding deputy, persons
can participate only by voice if they do not have a camera installed,
but they still must have a working headset.
3) It is not possible to use a telephone to participate.
A computer with internet access is necessary.
4) According to our license with Megameeting.com and
with other Divisions in IWD, we usually cannot have more than 12
participants and observers at any one hearing. It is possible for more,
if we have advance notice and obtain permission from other Divisions.
5) All attorneys should now provide the hearing administrator with
their email addresses.
(10-25-07)
SETTLEMENTS
When submitting settlements for
approval please following these requirements:
1.Compromise Settlements under ICS 85.35(3) - please be specific in your
dispute. Make it clear exactly what the dispute is. Nature
and extent are not sufficient without supporting medical to clearly
describe the dispute.
2. Please remember that PPD benefits
begin at the end of the healing or TTD period and not on a stipulated
date or the date in which the doctor issues his rating.
3. Please remember that accrued
benefits cannot be commuted.
4. PARs are not required except
with Agreements for Settlement, and commutations, unless they are
requested by the Workers' Compensation Compliance Administrator (WCCA).
5. Do not include language in
violation of rule 876 IAC 6.1(2) regarding any and all injuries and do
not include language that says in other states or jurisdictions.
Settlements with this language will be lined out and denied by the WCCA
and the settlement will be approved. (10-19-07)
MILEAGE RATE
CHANGE
Pursuant to Rule 8.1(2), effective July
1, 2008, the compensation rate for mileage reimbursement in Iowa has been
amended to the rate of 50.5 cents per mile. (6/10/08)
Waterloo hearing venue
The Waterloo hearing venue
has changed for Iowa workers' compensation cases. Starting with
hearings scheduled for the week of October 22, 2007, the hearing will be
held at the new
Iowa Workforce Development office at 3420 University Ave., in Waterloo.
(9-25-07
CONGRATULATIONS
Deputy Workers' Compensation
Commissioner HelenJean Walleser has been elected President of the
Central States Association of Workers' Compensation Administrators.
Deputy Walleser was elected to this important leadership position at the
Central States Conference in Madison, Wisconsin on June 15, 2007.
(7-12-07)
FULL AND PARTIAL
COMMUTATIONS
Please note that full and partial
commutations will no longer be approved for accrued benefits, those
benefits that were due at the end of the healing period.
Stipulations by the parties as to a date, on which permanent benefits
commenced in lieu of those benefits commencing at the end of the healing
period, will no longer be accepted. A commutation of less than 10 weeks
is not considered in claimant's best interest.
(5-1-07)
Present Value Discount Table
is now available on the 535.3 Interest page.
First Report of Injury Compliance
Hearings:
Procedure
for Judicial Review of the Division’s findings:
The
deputy’s ruling on a penalty in a “FROI” compliance hearing is not
subject to review by the workers’ compensation commissioner. Pursuant
to Iowa Code section 86.26, any petition for judicial review arising
from a deputy’s order assessing a penalty under Iowa Code section 86.12
shall name the Iowa Division of Workers’ Compensation and the injured
worker as respondents. Proper service of the petition for judicial
review shall be made on the Iowa Division of Workers’ Compensation, 1000
E. Grand Ave., Des Moines, Iowa 50319 and upon the Office of the Iowa
Attorney General/Special Litigation Division, 1305 E. Walnut Street, Des
Moines, Iowa 50319.
DEPUTY PREFERENCES
The preferences of certain deputy for hearings are
now listed in the Hearing Schedule page
at the bottom below the hearing weeks. Please review the
preferences of the deputy who will be holding your hearings. If
the deputy is not listed with particular preferences, they have none.
(4-1-06)
Relief
from Insurance
An employer required to provide compensation under Chapters 85, 85A and
85B may apply for relief from insurance and to become self-insured
pursuant to Chapter 87.11. The employer must make application for
self-insurance to the Insurance Commissioner. The application includes
furnishing satisfactory proof of solvency and financial ability to pay the
compensation and benefits as by law required. Requests to become
self-insured shall be directed to the Insurance Commissioner at
1-877-955-1212 or though their website at www.iid.state.ia.us.
October 16, 2003
EDI
Annual Reporting Requirements
Frequently
Asked Questions
| Reporting Requirements
| Hearing Schedule | News
and Updates
Compliance Requirements | Compliance
Duties | Rules | Education
Contact and Staff | Decisions
| EDI Handbook | Electronic
Data Interchange (EDI)
Implementation Guides | Approved
Vendors | March EDI Tables
Forms and Publications | Related
Legal Statutes and References
Related Links | Settlements
| 535.3 Interest | 2001
IWD Annual Report
Workers' Compensation Home Page | Iowa
Workforce Development
|