HOUSE OF REPRESENTATIVES |
H.B. NO. |
2715 |
TWENTY-EIGHTH LEGISLATURE, 2016 |
H.D. 1 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO WORKERS' COMPENSATION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the safety and well-being of employees on the job are important to their employers. However, accidents and illnesses can arise from work and when they do, employees are covered under the State's workers' compensation law. The Hawaii workers' compensation law was initially enacted in 1915 to provide wage loss compensation and medical care to employees who suffer a work-related injury. The workers' compensation law in essence requires the employer to provide certain benefits without regard to the fault of the employer and prohibits an employee from filing civil action against the employer for work-related injuries or illnesses.
The workers' compensation law includes certain statutory presumptions that place on the employer the burden of producing substantial evidence to the contrary to rebut a claim for a covered work injury. Despite this presumption, recommended medical treatment or vocational rehabilitation plans are delayed or arbitrarily and capriciously denied; approved services provided by medical or other health care professionals go unpaid; and there is a reluctance to accept workers' compensation cases for fear of being denied reimbursements, all of which contribute to a dysfunctional health care system that cannot rehabilitate the injured worker.
The purpose of this Act is to increase employee health and safety in the workplace and to provide timely and appropriate health care and vocational rehabilitation services for employees injured on the job in a supportive and non-confrontational environment by:
(1) Repealing the Hawaii employers' mutual insurance company;
(2) Establishing the state workers' compensation insurance company, as a public body corporate attached to the department of labor and industrial relations, to provide workers' compensation insurance; and
(3) Requiring employers to either obtain workers' compensation coverage only from the state workers' compensation insurance company or be self-insured.
SECTION 2. The Hawaii Revised Statutes is amended by adding a new chapter to be appropriately designated and to read as follows:
"Chapter
STATE WORKERS' COMPENSATION INSURANCE COMPANY
§ -1 Purpose. The state workers' compensation insurance company is established to provide workers' compensation coverage to employers of the State at the highest level of service with the lowest possible cost, consistent with reasonable and applicable actuarial standards and the sound financial integrity of the company. The purposes of the company are to provide the highest standard of workplace safety and loss prevention, to encourage employer involvement, and to be responsive to each policyholder's experience, practice, and operating effectiveness. Nothing in this chapter shall create any implied third-party duty or impose additional legal liability for the company toward its members or beneficiaries beyond that explicitly created by this chapter, chapter 386, or common law, and generally applicable to all issuers of workers' compensation insurance in this State.
§ -2 Definitions. As used in this chapter:
"Administrator" means the chief executive officer of the company.
"Board" means the board of directors of the company.
"Company" means the state workers' compensation insurance company established by this chapter.
"Council" means the company oversight council.
"Investment manager" means any fiduciary, who has been designated by the board to manage, acquire, or dispose of the company's assets, a bank as defined by law, or an insurance company qualified to perform services under the laws of more than one state.
"Qualified actuary" means a member of the American Academy of Actuaries who is either a fellow of the Casualty Actuarial Society or an Associate of the Casualty Actuarial Society who has five or more years of experience.
§ -3 State workers' compensation insurance company; established. (a) The state workers' compensation insurance company is established as a public body corporate to provide workers' compensation insurance and related services to Hawaii employers. The company shall be placed within the department of labor and industrial relations for administrative purposes.
(b) The company shall comply with, unless specifically excluded, all requirements of the insurance code regarding a domestic mutual insurance company. The company shall write workers' compensation insurance policies covering Hawaii employers as required or authorized by law and employers' liability. The company shall not write other lines of insurance, reinsurance, or excess insurance.
(c) The company shall insure Hawaii employers against their liability for compensation or damages for injury or death under the United States Longshore and Harbor Workers' Compensation Act or federal or maritime laws like any other private insurer.
(d) The company's assets shall consist of real and personal property and shall include all premiums and other moneys paid to the company, all property, and other income acquired, earned, or otherwise gained by the use of premiums and other moneys paid to the company by deposits, investments, exchanges, and other transactions. The company's assets shall be the sole property of the company and shall be used exclusively by the company for the operation and obligations of the company.
(e) Notwithstanding any other law to the contrary, the company shall be excluded from the surplus requirements of domestic mutual insurers. The company is also excluded from any assessments by the Hawaii hurricane relief fund otherwise required by section 431P-5(b)(8).
(f) The company is exempt from participation, and shall not join, contribute financially to, nor be entitled to the protection of, any plan, association, guaranty, insolvency fund, or education and training fund authorized or required by this chapter. Notwithstanding the foregoing exemptions, the company shall participate in the property and liability insurance guaranty association, pursuant to sections 431:16-101 to 431:16-117; provided that the company shall meet the surplus requirements applicable to all other domestic insurers under chapter 431.
(g) The company shall provide workers' compensation coverage to Hawaii employers otherwise entitled to coverage but not able to or not electing to self-insure. An authorized self-insured is eligible for coverage upon termination of self-insurance.
§ -4 Company divisions. (a) For purposes of providing representation on the board, the company shall consist of industry divisions and a high risk division. Assignments to each division shall be made by the administrator with the approval of the board. The initial company divisions shall include:
(1) Manufacturing and producers;
(2) Services, entertainment, and amusement;
(3) Professions;
(4) Construction;
(5) Wholesale and retail sales;
(6) Transportation and public utilities;
(7) Finance, insurance, and real estate; and
(8) High risk.
(b) An employer with two or more lost-time claims greater than $10,000, and a loss ratio greater than 1.0, over the immediately preceding three years shall be placed in the high risk division.
(c) The administrator, with the approval of the board, shall modify the requirements for placing employers in the high risk division if the qualifications result in the high risk division being limited to only those employers with measurable adverse loss ratios, demonstrated accident frequency records, or a demonstrated attitude of noncompliance with workplace safety and health programs or claims management requirements.
(d) The company shall give notice to each employer in the high risk division not less than thirty days prior to the policy renewal date requesting a report on the employer's lost-time claims for the policy year. The report shall be used to determine the employer's qualification for placement in the high risk division.
(e) The company may apply a rating differential and charge a surcharge to any employer placed in the high risk division. The company may make multiple rate filings, consistent with sound actuarial judgment for each classification. These rate filings may be applied to risks in any division.
(f) The contingent liabilities of members provided in section 431:4-317 may be separated so that members assigned to the high risk division have a further contingent liability for deficits in the high risk division; provided that no contingent liability shall be in the aggregate for more than five times the annual premium rate of the member's policy nor for a term of more than one year.
§ -5 Board of directors, established. (a) The board of directors of the company shall be responsible for the organization, management, policies, and activities of the company. The board shall consist of nine members to be appointed by the governor in accordance with section 26-34; provided that the nine members shall be owners, officers, or employees of policyholders of the company and shall represent each of the company divisions. The administrator shall be an ex officio, nonvoting member of the board.
(b) Each director shall receive necessary traveling and board expenses incurred in the performance of duty as director and a fee commensurate with the duties expected of actual attendance at board meetings.
§ -6 Powers; generally. Except as otherwise limited by this chapter, the company may:
(1) Sue, be sued, complain, and defend, in its corporate name;
(2) Have a corporate seal, which may be altered at pleasure, and use the seal by causing it, or a facsimile thereof, to be impressed, affixed, or in any other manner reproduced;
(3) Purchase, take, receive, lease, take by gift, devise, or bequest, or otherwise acquire, own, hold, improve, use, and otherwise deal in and with real or personal property, or any interest therein, wherever situated;
(4) Sell, convey, mortgage, pledge, lease, exchange, transfer, and otherwise dispose of all and any part of its property and assets;
(5) Make contracts and incur liabilities, borrow money at such rates of interest as the board may determine, issue guaranty capital shares and surplus notes, require capital contributions, issue its notes, debenture bonds, and other obligations, secure any of its obligations by mortgage or pledge of all or any portion of its property or income, and secure financing by any board approved mechanism;
(6) Allocate fiduciary responsibilities among the directors and designate other persons to carry out fiduciary responsibilities;
(7) Collect, receive, hold, and disburse all money payable to or by the company;
(8) Deposit the company's money in banks or depositories selected by the board and withdraw the company's money from the banks or depositories; provided that the withdrawal shall be made or authorized only upon the signatures of at least two persons approved by the board;
(9) Pay money from the company to effectuate the company's purpose and administration, including amounts for costs incurred to establish the company; and
(10) Exercise all powers necessary or convenient to effect the purposes of the company.
§ -7 Duties and responsibilities. (a) All corporate powers shall be exercised by or under the authority of the board, unless otherwise provided in this chapter or in the articles of incorporation.
(b) The board shall discharge its duties:
(1) In accordance with the company's purpose;
(2) With the care, skill, prudence, and diligence under the circumstances that a prudent director, acting in a like capacity and familiar with such matters would use in conducting a similar enterprise and purpose;
(3) By diversifying the company's investments to minimize the risk of losses, unless it is prudent not to do so;
(4) In accordance with governing legal documents;
(5) By having an annual audit of the company by an independent certified public accountant;
(6) By securing a fidelity bond for the administrator and in its discretion for other agents dealing with the company's assets at the company's expense;
(7) By purchasing liability insurance for errors and omissions for the board, each director, and any other fiduciary employed or contracted by the company to cover liability or losses caused by the act or omission of a fiduciary;
(8) By maintaining proper books of accounts and records of the company's administration;
(9) By carrying out the reporting and disclosure requirements required by law;
(10) By appointing a qualified actuary to develop and recommend a responsible schedule of premium rates with consideration of the company's investment income or refunds, or both, and to provide actuarial certification of the company's loss reserves; and
(11) By cooperating with and assisting the council in its duties and responsibilities.
(c) Except as otherwise provided by law, the board shall:
(1) Transact workers' compensation insurance policies required or authorized by state law;
(2) Provide the terms and conditions of an insurance policy;
(3) Provide that any written instrument be executed for the company by the administrator or the administrator's agent;
(4) Enter into agreements to reinsure all or part of the company's exposure to loss and to limit the risk to the company; and
(5) Employ, without regard to chapter 76 or 89, persons to administer the company, including legal counsel, accountants, insurance consultants, administrators, qualified actuaries, investment managers, adjusters, other experts, and clerical employees and pay compensation and expenses in connection therewith.
§ -8 Administrator; appointment; duties. (a) The board shall hire an administrator who shall serve at the pleasure of the board and be exempt from chapter 76 and 89. The administrator shall be the chief executive officer and shall be responsible for the day-to-day operations and management of the company.
(b) The administrator shall have proven, successful experience as an executive at the general management level in the insurance business. The administrator shall manage and conduct the business of the company according to the board's direction and policies. The administrator shall receive compensation authorized by the board.
(c) Before entering the duties of office, the administrator shall give a fidelity bond in an amount and with sureties approved by the board. The premium for the bond shall be paid by the company.
§ -9 Financial management. (a) The board shall select a custodial trustee to collect, receive, hold, or disburse moneys payable to or by the company.
(b) The board shall invest the company's principal and income without distinction between principal and income and keep the company's assets invested in real or personal property or other securities. The board may retain cash temporarily awaiting investment or to meet contemplated payments without liability for interest thereon.
(c) The board shall manage the company's assets, except to the extent that the authority to manage the company's assets is delegated to other qualified investment managers. The board may appoint investment managers to manage, acquire, or dispose of any of the company's assets. An investment manager may be designated as an "investment agent". The investment manager shall acknowledge in writing that the investment manager is a fiduciary under the company.
(d) The board may:
(1) Sell the company's securities. No purchaser of the company's securities is bound to see to the application of the purchase money or inquire as to the validity of the sale;
(2) Vote on behalf of any stocks, bonds, or securities of any corporation or issuer held in the company or request any action to the corporation or issuer. The board may give general or special proxies or powers of attorney with or without powers of substitution;
(3) Participate in reorganizations, recapitalization, consolidations, mergers, and similar transactions for stocks, bonds, or other securities of any corporation that are held by the company, and accept and retain any property received thereunder for the company;
(4) Exercise any subscription rights and conversion privileges for the company's stocks or securities;
(5) Compromise, compound, and settle any debt or obligation due to or from the company, and reduce the amount of principal and interest, damages, and costs of collection in settling the debts;
(6) Cause securities held by it to be registered in its own name or in the name of a nominee without indicating that the securities are held in a fiduciary capacity and to hold any securities in bearer form. The company's records, however, shall show that the investments are part of the company;
(7) Delegate its investment powers to investment managers of the company to expedite the purchase and sale of securities. The purchase or sale of securities by these managers shall be in the name selected by the board. The authority of these managers to purchase or sell securities for the company shall be evidenced by written authority executed by the administrator. The board shall require these managers to keep it currently informed as to the nature and amount of the investments made for the company by them. The board may enter into appropriate agreements with these managers setting forth their investment powers and limitations. The board may terminate the services of these managers. These managers shall be subject to the board's instructions;
(8) Pay taxes or assessments that are assessed against the company;
(9) Require any applicant or policyholder to furnish the board with information necessary for the company's administration; and
(10) Delegate its authority to the administrator or any authorized representative to maintain any legal proceedings necessary to protect the company or the directors or to secure payment due to the company. In connection with this delegation, the board or the administrator or their representative may compromise, settle, or release claims on behalf of or against the company or the board.
§ -10 Premium rates, determination. (a) The board shall establish the premium rates to be charged for insurance sold by the company. The company shall comply with the requirements set forth in article 14 of chapter 431. Premium rates shall be set at levels sufficient, when invested, to carry all claims to maturity, to meet the reasonable expenses for administering the company, and to maintain a reasonable surplus.
(b) The board shall hire a qualified actuary to assist with the development of sound premium rates.
§ -11 Reserves, investment. The board may invest or reinvest any surplus or reserves within the limitations established for insurance companies under chapter 431.
§ -12 Financial statements and other reports. (a) The company shall submit to the insurance commissioner an annual statement of financial condition audited by an independent certified accountant. The audit report shall contain an actuarial opinion prepared by a qualified actuary on the company's claims reserves and expenses. The financial statement shall be on a form prescribed by the insurance commissioner and shall include actuarially appropriate reserves for:
(1) Known claims and associated expenses;
(2) Claims incurred but not reported and associated expenses;
(3) Unearned premiums; and
(4) Bad debts, reserves for which shall be shown as liabilities.
(b) The company shall compile and maintain statistical and actuarial data relating to the determination of premium rate levels, the incidence of work-related injuries, the cost of injuries, and other data relating to work injuries. The compiled information shall be submitted annually to the insurance commissioner and to the director of labor and industrial relations.
§ -13 Annual accounting; dividends. (a) The company shall conduct an annual accounting of its incurred loss experience and expenses.
(b) The board may declare and apportion reasonable dividends to policyholders, determined by an actuarial opinion prepared by a qualified actuary after evaluating the impact of the dividends on the solvency of the company. The dividends may be paid or credited to policyholders according to classifications of policies established by the board.
(c) No dividends shall be:
(1) Paid or credited in a manner that unfairly discriminates between policies within the same classification;
(2) Made contingent upon payment of any renewal premium on any policy; or
(3) Paid or credited in the first three years of operation of the company.
§ -14 Audits. The administrator, or designated representative, shall have reasonable access to any policyholder's payroll and employment records during regular working hours to carry out audits of payroll reported, the number of employees on the payroll, and other information necessary for the administration of this chapter.
§ -15 Denial, cancellation, and termination. The company may deny coverage or renewal of an existing policy or may terminate an existing policy of a policyholder or applicant for:
(1) Nonpayment of an undisputed premium;
(2) Refusal to permit on-site workplace safety examinations;
(3) Failure to comply with workplace safety and health programs required by the company; or
(4) Failure to accurately disclose information concerning the applicant's or policyholder's ownership, change of ownership, operations, or payroll, including the allocation of payroll among state and federal compensation programs, and other information necessary for the board to determine premium rates.
§ -16 Wilful misrepresentation and fraud. (a) Any person who wilfully makes a false statement or representation for the purpose of directly obtaining any compensation or payment or for the purpose of avoiding any compensation or payment under this article shall be subject to the penalties in section 386-98.
(b) The company shall develop and implement a program to identify and investigate fraudulent insurance acts.
§ -17 Workplace safety and health programs. (a) The company shall work with policyholders, health care providers, and employees to develop, implement, and monitor workplace safety and health and return to work programs. The programs shall include the development of a workplace accident and injury reduction plan that promotes safe working conditions.
(b) The company shall promote safety programs to policyholders through programs and activities which may include:
(1) Analyzing reports of industrial accidents of members to help determine the cause of those accidents;
(2) Conducting studies for risk and hazard identification and assessments by safety and medical professionals;
(3) Conducting educational programs designed to prevent frequently recurring industrial accidents; and
(4) Inspecting work sites and investigating unsafe working conditions to promote job safety and eliminate hazards.
(c) Company representatives shall have reasonable access to the premises of any policyholder or applicant during regular working hours to carry out workplace evaluations.
(d) Where the company finds, upon the completion of a detailed inspection that an insured has policies and practices in place that demonstrate a high regard for employee work safety, the company may apply a deviation to the insured's rate structure, noting special recognition of those efforts.
(e) The company shall not incur additional legal liability toward its members or beneficiaries as a result of any action taken or not taken pursuant to this chapter beyond that explicitly created by this chapter, chapter 386, or common law, and generally applicable to the acts or omissions of all issuers of workers' compensation insurance in this State."
SECTION 3. Section 386-121, Hawaii Revised Statutes, is amended to read as follows:
"§386-121 Security for payment of compensation; misdemeanor. (a) Employers, except the State, any county or political subdivision of the State, or other public entity within the State, shall secure compensation to their employees in one of the following ways:
(1) By insuring and keeping insured the payment of
compensation with [any stock, mutual, reciprocal, or other insurer
authorized to transact the business of workers' compensation insurance in the
State;] the state workers' compensation insurance company;
[(2) By depositing and maintaining with the
state director of finance security satisfactory to the director of labor and
industrial relations securing the payment by the employer of compensation
according to the terms of this chapter;
(3)] (2) Upon furnishing satisfactory
proof to the director of the employer's solvency and financial ability to pay
the compensation and benefits herein provided, no insurance or security shall
be required, and the employer shall make payments directly to the employer's
employees, as they may become entitled to receive the same under the terms and
conditions of this chapter;
[(4)] (3) An employer desiring to
maintain security for payment of compensation under this section shall file an
application with the director on a form provided for this purpose together with
the employer's most current audited annual financial statement;
[(5)] (4) Where an applicant for
self-insurance is a subsidiary and the subsidiary cannot submit an independent
current audited annual financial statement, an indemnity agreement approved as
to form and content by the director shall be executed by the parent corporation
of the subsidiary and submitted with its application;
[(6)] (5) Each self-insurance
authorization shall be effective from the date of issuance until June 30 of
each calendar year;
[(7)] (6) A notice of intention to
cancel self-insurance shall be submitted in writing to the director within at
least thirty days prior to the effective date of cancellation;
[(8)] (7) A self-insurance authorization
may be revoked by the director for good cause shown upon notification in
writing to the self-insurer;
[(9)] (8) By membership in a workers'
compensation self-insurance group with a valid certificate of approval under
section 386-194; or
[(10)] (9) By membership in a workers'
compensation group insured by a captive insurer under chapter 431, article 19.
Any person who wilfully misrepresents any fact
in order to obtain the benefits of paragraph [(3)] (2) shall be
guilty of a misdemeanor.
(b) Any decision of the director rendered
under [paragraphs (2) and (3) of] subsection [(a) of this section]
(a)(2) with respect to the amount of security required or refusing to
permit no security to be given shall be subject to review on appeal in
conformity with sections 386-87 and 386-88."
SECTION 4. Section 386-124, Hawaii Revised Statutes, is amended to read as follows:
"§386-124 The insurance contract.
Every policy of insurance issued by [an insurer of an employer referred to
in section 386-1 which] the state workers' compensation insurance
company that covers the liability of the employer for compensation shall
cover the entire liability of the employer to the employer's employees covered
by the policy or contract, and provide for the deductible under section
386-100, at the option of the insured. The policy also shall contain a
provision setting forth the right of the employees to enforce in their own
names either by filing a separate claim or by making the [insurance carrier]
state workers' compensation insurance company a party to the original
claim, the liability of the [insurance carrier] state workers'
compensation insurance company in whole or in part for the payment of the
compensation. Payment in whole or in part of compensation by either the
employer or the [insurance carrier] state workers' compensation
insurance company [shall], to the extent thereof, shall be a
bar to the recovery against the other of the amount so paid.
All insurance policies shall be [of] in
a standard form, [the form to] which shall be designated and
approved by the insurance commissioner. No policy of insurance different in
form from the designated and approved form shall be approved by the director."
SECTION 5. Section 386-125, Hawaii Revised Statutes, is amended to read as follows:
"§386-125 Knowledge of employer
imputed to [insurance carrier.] the state workers' compensation
insurance company. Every policy and contract shall contain a provision
that, as between the employee and the [insurance carrier,] state
workers' compensation insurance company, the notice to or knowledge of the
occurrence of the injury on the part of the employer shall be deemed notice or
knowledge, as the case may be, on the part of the [insurance carrier;] state
workers' compensation insurance company; that jurisdiction of the employer
[shall], for the purpose of this chapter, shall be jurisdiction
of the [insurance carrier,] company; and that the [insurance
carrier] state workers' compensation insurance company shall in all
respects be bound by and subject to the orders, findings, and decisions
rendered against the employer for the payment of compensation under this
chapter."
SECTION 6. Section 386-126, Hawaii Revised Statutes, is amended to read as follows:
"§386-126 Insolvency of employer not
to release [insurance carrier.] the state workers' compensation
insurance company. Every policy and contract shall contain a provision
to the effect that the insolvency or bankruptcy of the employer and the
employer's discharge therein shall not relieve the [insurance carrier] state
workers' compensation insurance company from the payment of compensation
for an injury suffered by a covered employee during the life of the policy or
contract."
SECTION 7. Section 386-127, Hawaii Revised Statutes, is amended to read as follows:
"§386-127 Cancellation of insurance
contracts. No policy or contract of insurance issued by [a stock
company or mutual association] the state workers' compensation insurance
company against liability arising under this chapter shall be canceled
within the time limited in the contract for its expiration until at least ten
days after notice of intention to cancel [such] the contract, on
a date specified in the notice, has been filed with and served on the director
of labor and industrial relations and the employer."
SECTION 8. Section 386-128, Hawaii Revised Statutes, is amended to read as follows:
"§386-128 Insurance by the State,
counties, and municipalities. The State, any county or other political
subdivision of the State, and any other public entity within the State [which]
that is liable to its employees for compensation, may insure with [any
authorized insurance carrier.] the state workers' compensation insurance
company."
SECTION 9. Section 386-153, Hawaii Revised Statutes, is amended to read as follows:
"§386-153 Levy on insurers of
employers insured under section 386-121(a)(1). [(a) For the calendar
year 1974 and for] For each calendar year [thereafter, insurers
of employers, as defined in section 386-1], the state workers'
compensation insurance company shall pay a levy determined by the director
[which] that shall be based on a percentage on gross premiums, as
defined in section 431:7-202(a), derived from workers' compensation insurance
issued during the prior year in accordance with chapter 386 and chapter 431, if
the levying and collecting of [such a] the levy is required
pursuant to section 386-152, which levy shall be collected in the same manner
as the tax provided for in section 431:7-202 is collected and shall be
deposited in the special compensation fund established in section 386-151.
This levy shall be in addition to any tax imposed in chapter 431 on gross
premiums derived from workers' compensation insurance.
[(b) Notwithstanding subsection (a), from
its inception through December 31, 2007, the Hawaii Employers' Mutual Insurance
Company, Inc., shall be exempt from this levy; provided that this exemption
shall apply to the first $25,000,000 of written premiums in each calendar year;
and provided further that annual written premiums in excess of $25,000,000
shall be subject to this levy at the same rate as other insurers. Any moneys
heretofore paid by Hawaii Employers' Mutual Insurance Company, Inc., to the
special compensation fund shall be retained by the special compensation fund to
be credited to future levy balances owed by Hawaii Employers' Mutual Insurance
Company, Inc.]"
SECTION 10. Section 386-154, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) As used in this section:
"Anticipated total assessment" means the amount derived by dividing the total amount of the levy to be paid by insurance carriers in a calendar year as required by section 386-153 by the most recent carrier's compensation ratio.
"Average annual compensation" means
the average of annual compensation payments made by an employing unit for a
period consisting of two consecutive calendar years immediately preceding the
year for which the charge is assessed under this section; provided that if, at
the end of a calendar year, an employing unit was subject to this chapter for a
period less than twelve consecutive months, the total amount of
compensation payments made by the employing unit during [such] that
period shall constitute the employing unit's average annual compensation.
"Carrier's compensation ratio" means
the quotient derived by dividing the total average annual compensation paid
during the two most recent calendar years by [all insurance carriers] the
state workers' compensation insurance company on behalf of employers
insured and keeping insured under section 386-121(a)(1) by the total average
annual compensation paid during the same two calendar years by all employers
subject to this chapter.
"Employing unit" means an employer who has not secured compensation to the employer's employees under section 386-121(a)(1); except that, for employers who are members of a workers' compensation group under part VI, the term means the group.
"Employing unit's compensation ratio" means the percentage ratio derived by dividing an employing unit's average annual compensation at the end of a calendar year by the total average annual compensation paid during the same two calendar years by all employers subject to this chapter."
SECTION 11. Section 386-124.5, Hawaii Revised Statutes, is repealed.
["[§386-124.5] Insurer's
requirements; failure to maintain claims service office; penalty;
injunction. (a) By January 1, 1992, each insurer shall establish and
maintain a complete claims service office or engage an independent claims
adjusting service as its claims agent in this State with draft authority for
the processing and payment of compensation.
(b) Failure to comply with subsection (a)
shall subject the insurer to a civil penalty of not less than $2,500, or $100
for every day during which the failure continues, whichever sum is greater, to
be recovered in an action brought by the director in the name of the State in a
court of competent jurisdiction. Any amounts so collected shall be paid into
the special compensation fund provided by section 386-151. The director shall
have discretion, for good cause shown, to remit all or any part of the penalty
in excess of $2,500, if the insurer in default forthwith complies with
subsection (a).
(c) If any insurer violates subsection (a)
for a period of thirty days, the insurer may be enjoined by the circuit court
from carrying on the insurer's business in any place in the State so long as
the violation continues.
(d) The attorney general shall enforce this
section if so requested by the director."]
SECTION 12. Chapter 431, article 14A, Hawaii Revised Statutes, is repealed.
SECTION 13. (a) The department of labor and industrial relations shall establish an employee insurance transition and implementation plan to facilitate the repeal of the Hawaii employers' mutual insurance company and the establishment of the state workers' compensation insurance company. The department of labor and industrial relations may consult with the Hawaii employers' mutual insurance company and the department of commerce and consumer affairs, insurance division, to assist in developing and drafting the transition plan, which shall be implemented by January 1, .
(b) The department of labor and industrial relations shall submit a report on the transition and implementation plan, including proposed legislation, if any, to the legislature no later than twenty days prior to the convening of the regular session of 2017.
SECTION 14. This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.
SECTION 15. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 16. This Act shall take effect on July 1, 2091.
Report Title:
Workers' Compensation; State as Insurer; DLIR
Description:
Repeals HEMIC. Establishes a public corporation attached to DLIR to provide workers' compensation insurance. Requires employers to obtain worker's compensation insurance coverage only from the public corporation or be self-insured. Requires DLIR to create a transition and implementation plan for the established public corporation. (HB2715 HD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.