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S T A T E   O F   M A I N E

WORKERS' COMPENSATION BOARD

27 State House Station

Augusta, Maine  04333-0027

FAX (207) 287‑7198

TEL (207) 287‑7086

 

MEMORANDUM

Date Sent:  May 4 2009

 

           TO:     Parties Interested in Board Rulemaking

 

   SUBJECT:     Proposed Rules

Rule Chapter 9(2) Coordination of Benefits Pursuant to Section 221(1)&(3)

 

 

The Maine Workers' Compensation Board is proposing the attached rules.

 

PUBLIC HEARING  (IF ANY, GIVE DATE, TIME, LOCATION):

                                                  Monday, June 1, 2009, 9:00 a.m.,

                                                  Workers' Compensation Board, Central Office,

                                                  AMHI Complex, Deering Building, 90 Blossom Ln

                                                  1st Floor, Room 170, Augusta, Maine

 

DEADLINE FOR COMMENTS:     Thursday, June 11, 2009, 5:00 p.m.

 

AGENCY CONTACT PERSON:    John C. Rohde, General Counsel

                    AGENCY NAME:     Workers' Compensation Board

                             ADDRESS:     27 State House Station

                                                   Augusta, Maine  04333-0027

                         TELEPHONE:     207-287-7086

 

 

PLEASE NOTE:     Most offices will only receive one copy of this notification.  Please ensure that copies are distributed to your staff.  Thank you.

If you no longer wish to receive these mailings, please contact:

Lynne McKenney, Secretary Associate Legal

Workers' Compensation Board

27 State House Station

Augusta, Maine  04333-0027

Tel:  207-287-7086 / Fax:  207-287-7198

Email:  Lynne.McKenney@Maine.gov

It would be helpful if you would include the three digit code located on the top right-hand corner of the mailing label when writing or calling.

 

 

 

 

 

 

 

 

 

 


                                                                                                                                                  MAPA-3

                     Notice of Agency Rule-making Proposal

 

AGENCY:  WORKERS’ COMPENSATION BOARD

 

RULE TITLE OR SUBJECT:  Chapter 9(2) - Coordination of Benefits Pursuant to Section 221(1) & (3)

 

PROPOSED RULE NUMBER  (LEAVE BLANK - ASSIGNED BY SECRETARY OF STATE):

 

CONCISE SUMMARY  (UNDERSTANDABLE BY AVERAGE CITIZEN):

This rule establishes a method for calculating a reduction of weekly benefits when an employee receives a lump sum or periodic payment over a period less than the employee’s life expectancy pursuant to a self-insurance wage continuation, disability insurance policy, pension, or retirement policy established or maintained by the employer.

 

THIS RULE WILL_ WILL NOT X HAVE A FISCAL IMPACT ON MUNICIPALITIES

 

STATUTORY AUTHORITY:  39-A M.R.S.A. §§ 152(2) and 221(1) & (3)

 

PUBLIC HEARING  (IF ANY, GIVE DATE, TIME, LOCATION):

Monday, June 1, 2009, 9:00 a.m., Workers' Compensation Board, Central Office, AMHI Complex, Deering Building, First Floor, Room 170, Hospital Street, Augusta, Maine

 

DEADLINE FOR COMMENTS: Thursday, June 11, 2009, 5:00 p.m.

 

AGENCY CONTACT PERSON:   John C. Rohde, General Counsel

                          AGENCY NAME:   Workers’ Compensation Board

                                    ADDRESS:   27 State House Station

                                                            Augusta ME  04333-0027

                               TELEPHONE:   207-287-7086

 

 

                                      Please approve bottom portion of this form and

                                              assign appropriate MFASIS number.

 

APPROVED FOR PAYMENT                                                       DATE:                     

Authorized signature

 

FUND             AGENCY           ORG            APP           JOB             OBJT             AMOUNT

 

014                 90C                    2001            01


90-351                         WORKERS, COMPENSATION BOARD

 

Chapter 9:        PROCEDURE FOR COORDINATION OF BENEFITS

 

 

This rule describes the procedures to be followed in calculating and performing the coordination of benefits required under 39-A M.R.S.A. § 221.

 

 

 

§l.        Any reduction in weekly workers, compensation benefits which results from the coordination of benefits described in Title 39-A shall be indicated on the Discontinuance or Modification of Compensation (WCB-4) filed pursuant to Rule 8.1. The employer or insurer shall indicate which type of benefit is the subject of coordination and the mathematical calculations used in determining the new level of weekly compensation benefits.

 

§2.       Coordination of benefits pursuant to § 221 (3).

 

(A)       When an employee receives weekly payments pursuant to a plan or policy subject to § 221 (1) (B) or (C), the amount by which weekly benefits may be reduced is calculated by converting the weekly payment into an after-tax amount using the tables of average weekly wage and 80% of the after tax average weekly wage published by the Board pursuant to 39-A M.R.S. § 102 (1).

 

(B)       When an employee receives a lump sum or periodic payment paid over a period less than the employee’s life expectancy pursuant to a plan or policy subject to § 221 (1) (B) or (C), the amount by which weekly benefits may be reduced is calculated by:

 

(1)        determining the employee’s life expectancy in weeks,

 

(2)        determining a weekly benefit amount by dividing the lump sum amount by the number of weeks of life expectancy determined pursuant to sub-section B paragraph (1) of this section;

 

(3)        converting the weekly benefit amount determined pursuant to sub-section B paragraph (2) of this section into an after-tax amount using the tables of average weekly wage and 80% of the after tax average weekly wage published by the Board pursuant to 39-A M.R.S. § 102 (1).

 

 


                                           Rule-Making Fact Sheet

                                                            (5 MRSA  § 8057-A)

 

AGENCY:  WORKERS’ COMPENSATION BOARD

 

NAME, ADDRESS, PHONE NUMBER OF AGENCY CONTACT PERSON:

 

John C. Rohde, General Counsel, Workers’ Compensation Board, 27 State House Station, Augusta ME  04333-0027  TEL:  208-287-7086

 

CHAPTER NUMBER AND RULE TITLE:  Rule Chapter 9(2) - Coordination of Benefits Pursuant to Section 221(1) & (3)

 

 

STATUTORY AUTHORITY:  39-A M.R.S.A. §§ 152(2) and 221(1) & (3)

 

DATE AND PLACE OF PUBLIC HEARING:  Monday, June 1, 2009, 9:00 a.m.,

Workers' Compensation Board, Central Office, AMHI Complex, Deering Building, First Floor, Room 170, Hospital Street, Augusta, Maine

 

COMMENT DEADLINE:  Thursday, June 11, 2009, 5:00 p.m.

 

PRINCIPAL REASON OR PURPOSE FOR PROPOSING THIS RULE:

A method for calculating offsets has not previously been established.  This rule will establish a uniform method of calculating offsets pursuant to §§ 221(1) & (3).

 

 

 

ANALYSIS AND EXPECTED OPERATION OF THE RULE:

This rule will prevent disputes over appropriate offsets by establishing a uniform method of calculating offsets.

 

 

 

FISCAL IMPACT OF THE RULE:   

 

 

  FOR RULES WITH FISCAL IMPACT OF $1 MILLION OR MORE, ALSO INCLUDE:

 

ECONOMIC IMPACT, WHETHER OR NOT QUANTIFIABLE IN MONETARY TERMS:

 

INDIVIDUALS OR GROUPS AFFECTED AND HOW THEY WILL BE AFFECTED:

 

BENEFITS OF THE RULE:

 

 

                                            Note:  If necessary, additional pages may be used.