Indiana Administrative Code Title 631 - WORKER'S COMPENSATION BOARD OF INDIANA
đ Indiana Administrative Code â Title 631
Workerâs Compensation Board of Indiana
This Title governs the administration, claims, procedures, and oversight of workerâs compensation in Indiana. It establishes the authority of the Workerâs Compensation Board, outlines responsibilities of employers, employees, insurers, and sets standards for claims, hearings, and dispute resolution.
đ 1. Purpose and Scope
Title 631 applies to all employers, employees, and insurers participating in Indianaâs workerâs compensation system.
Its primary goals are to:
Ensure injured workers receive prompt and fair compensation.
Regulate claims processing, hearings, and benefits.
Protect both employees and employers through standardized procedures.
It provides the administrative framework for resolving disputes related to workplace injuries.
đ 2. Workerâs Compensation Board
The Board serves as the regulatory and adjudicative authority for workerâs compensation.
Responsibilities include:
Adjudicating claims disputes.
Conducting hearings and investigations.
Establishing rules and procedures for claims processing, appeals, and settlements.
Supervising the proper administration of workerâs compensation benefits.
đ 3. Claims Filing and Procedures
Employees must file claims with the Board for work-related injuries or illnesses.
The Board sets procedures for:
Submitting medical documentation.
Filing initial and supplemental claims.
Determining the eligibility and extent of benefits.
Employers and insurers are required to respond within specific timeframes.
đ 4. Benefits and Compensation
Title 631 defines the types of benefits employees may receive:
Medical treatment for work-related injuries.
Temporary total or partial disability benefits.
Permanent partial or total disability benefits.
Death benefits to dependents in case of fatal workplace injuries.
The Board ensures calculation and payment of benefits according to standardized procedures.
đ 5. Hearings and Adjudication
The Board conducts formal hearings for disputed claims.
Procedures include:
Notice to all parties.
Presentation of evidence by employees, employers, or insurers.
Opportunity for cross-examination and testimony.
Decisions issued by the Board are binding, subject to administrative appeals.
đ 6. Employer and Insurer Responsibilities
Employers must:
Maintain workersâ compensation coverage.
Report workplace injuries promptly.
Cooperate with Board investigations and hearings.
Insurers must:
Process claims fairly and timely.
Provide required documentation to the Board.
Ensure benefits payments comply with Board rules.
đ 7. Recordkeeping and Reporting
All parties must maintain accurate records related to claims, medical treatment, and compensation.
Reports may be required for:
Claims statistics.
Injuries by type or severity.
Compliance with Board rules.
đ 8. Dispute Resolution and Appeals
The Board handles disputes over:
Eligibility for benefits.
Extent of disability or compensation.
Denial of claims.
Administrative procedures include appeals, reconsiderations, and final decisions.
đ 9. Enforcement and Penalties
The Board can impose penalties for:
Noncompliance by employers or insurers.
Failure to provide accurate records.
Obstruction of investigations.
Enforcement ensures employees receive timely and fair compensation.
đ Summary
Indiana Administrative Code Title 631 â Workerâs Compensation Board of Indiana provides the regulatory and procedural framework for workerâs compensation. It:
Creates the Workerâs Compensation Board as the adjudicative authority.
Establishes claims filing, benefit calculation, and payment procedures.
Defines responsibilities for employers, employees, and insurers.
Sets rules for hearings, dispute resolution, and appeals.
Provides mechanisms for enforcement and penalties to ensure compliance.
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