Connecticut General Statutes
Chapter 568 - Workers' Compensation Act
Section 31-345. - Insurance Commissioner to approve form of policy. Assessments against employers for administrative costs. Surpluses.

(a) No insurer or employer to whom a certificate of solvency pursuant to subsection (b) of section 31-284 has been issued, shall issue any policy of insurance purporting to cover the liability of an employer under the provisions of this chapter until a copy of the form of such policy has been filed with and approved by the Insurance Commissioner. No insurer or employer who is self-insured in whole or in part shall engage in writing insurance under this chapter or providing the compensation and benefits directly to employees unless he files with the Insurance Commissioner a receipt from the State Treasurer or the Comptroller on or before the first day of October, that the employer has paid his pro rata cost of administration required by this section or if the self-insured employer has not, prior to July first of any year, provided compensation and benefits under this chapter, the self-insured employer shall file such receipt on or before October first, annually that he has paid an amount equal to one-quarter of one per cent of the self-insured employer's payroll for the twelve months immediately preceding such July first.

(b) (1) When, after the close of a fiscal year ending prior to July 1, 1990, the chairperson of the Workers' Compensation Commission and the Comptroller have determined the total amount of expenses of the Workers' Compensation Commission in accordance with the provisions of subsection (d) of section 31-280, the Treasurer shall thereupon assess upon and collect from each employer, other than the state and any municipality participating for purposes of its liability under this chapter as a member in an interlocal risk management agency pursuant to chapter 113a, the proportion of such expenses that the total compensation and payment for hospital, medical and nursing care made by such self-insured employer or private insurance carrier acting on behalf of any such employer bore to the total compensation and payments for hospital, medical and nursing care made by all such insurance carriers and self-insurers. The amount so secured shall be used to reimburse the Treasurer for appropriations theretofore made by the state for the payment in the first instance of the expenses of administering this chapter. On and after July 1, 1986, the Treasurer shall, as soon as possible after the close of a fiscal year ending prior to July 1, 1990, estimate the pro rata cost to each employer based upon the costs assessed to such employer in the immediately preceding fiscal year and shall assess upon and collect from each such employer such estimated costs annually which shall be payable as provided in subsection (a) of this section except each annual assessment shall include an amount which represents the difference between the payments collected and the actual costs assessed to such employer for the immediately preceding fiscal year. The Treasurer is authorized to make credits or rebates for overpayments made under this subsection by any employer for any fiscal year.
(2) The chairperson of the Workers' Compensation Commission shall annually, on or after July first of each fiscal year, determine an amount sufficient in the chairperson's judgment to meet the expenses incurred by the Workers' Compensation Commission and the Department of Aging and Disability Services in providing rehabilitation services for employees suffering compensable injuries in accordance with section 31-283a. Such expenses shall include (A) the costs of the Division of Workers' Rehabilitation and the programs established by its director, for fiscal years prior to the fiscal year beginning July 1, 2011, (B) the costs of the Division of Worker Education and the programs established by its director, and (C) funding for the occupational health clinic program created pursuant to sections 31-396 to 31-402, inclusive. The Treasurer shall thereupon assess upon and collect from each employer, other than the state and any municipality participating for purposes of its liability under this chapter as a member in an interlocal risk management agency pursuant to chapter 113a, the proportion of such expenses, based on the immediately preceding fiscal year, that the total compensation and payment for hospital, medical and nursing care made by such self-insured employer or private insurance carrier acting on behalf of any such employer bore to the total compensation and payments for the immediately preceding fiscal year for hospital, medical and nursing care made by such insurance carriers and self-insurers. For the fiscal years ending June 30, 2000, and June 30, 2001, such assessments shall not exceed five per cent of such total compensation and payments made by such insurance carriers and self-insurers. For the fiscal years ending June 30, 2002, and June 30, 2003, such assessments shall not exceed four and one-half per cent of such total compensation and payments made by such insurance carriers and self-insurers. For any fiscal year ending on or after June 30, 2004, such assessment shall not exceed four per cent of such total compensation and payments made by such insurance carriers and self-insurers. Such assessments and expenses shall not exceed the budget estimates submitted in accordance with subsection (c) of section 31-280. For each fiscal year, such assessment shall be reduced pro rata by the amount of any surplus from the assessments of prior fiscal years. Said surplus shall be determined in accordance with subdivision (3) of this subsection. Such assessments shall be made in one annual assessment upon receipt of the chairperson's expense determination by the Treasurer. All assessments shall be paid not later than sixty days following the date of the assessment by the Treasurer. Any employer who fails to pay such assessment to the Treasurer within the time prescribed by this subdivision shall pay interest to the Treasurer on the assessment at the rate of eight per cent per annum from the date the assessment is due until the date of payment. All assessments received by the Treasurer pursuant to this subdivision to meet the expenses of the Workers' Compensation Commission shall be deposited in the Workers' Compensation Administration Fund established under section 31-344a. All assessments received by the Treasurer pursuant to this subdivision to meet the expenses incurred by the Department of Aging and Disability Services in providing rehabilitation services for employees suffering compensable injuries in accordance with section 31-283a shall be deposited in the Workers' Compensation Administration Fund. The Treasurer is hereby authorized to make credits or rebates for overpayments made under this subsection by any employer for any fiscal year.
(3) As soon as practicable after the close of the state fiscal year, the Comptroller shall examine the Workers' Compensation Administration Fund and shall direct the State Treasurer to set aside within said fund amounts in excess of fifty per cent of the expenditures of the Workers' Compensation Commission for the most recently completed fiscal year, which shall be considered a surplus for purposes of subdivision (2) of subsection (b) of this section.
(1949 Rev., S. 7485; 1958 Rev., S. 31-212; 1961, P.A. 491, S. 71; 1969, P.A. 696, S. 13; 1971, P.A. 334; P.A. 73-32; P.A. 76-246, S. 1, 3; P.A. 77-614, S. 163, 610; P.A. 78-241, S. 1, 2; P.A. 81-469, S. 5, 8; P.A. 85-189, S. 4; P.A. 90-311, S. 1, 3; P.A. 91-191, S. 1, 3; 91-339, S. 34, 55; June Sp. Sess. P.A. 91-14, S. 18, 30; P.A. 92-31, S. 5, 7; P.A. 96-267, S. 25; P.A. 99-214, S. 1, 2; June Sp. Sess. P.A. 01-9, S. 29, 131; P.A. 11-61, S. 83; June 12 Sp. Sess. P.A. 12-1, S. 87; P.A. 19-157, S. 86; P.A. 22-89, S. 27.)
History: 1961 act entirely replaced previous provisions; 1969 act made previous provisions applicable to employers who have been issued a certificate of solvency, added provisions requiring payment of pro rata share of administration costs and other specified payments before insurer or self-insured employer writes insurance and added Subsec. (b) re assessment of administration expenses; 1971 act deleted requirement that insurer pay $1,000 if it has not, prior to July first in any year, paid out any compensation or benefits before it writes insurance, in Subsec. (a); P.A. 73-32 required that filing of receipt proving payment of pro rata share of administration costs be made on or before October first rather than September first in Subsec. (a); P.A. 76-246 added provisions re quarterly installments of estimated pro rata costs and credits and rebates of overpayments; P.A. 77-614 placed insurance commissioner within the department of business regulation and made insurance department a division within that department, effective January 1, 1979 (provisions later repealed by P.A. 80-482); P.A. 78-241 made payments of estimated costs payable on annual rather than quarterly basis; P.A. 81-469 amended Subsec. (b) to provide that the amount of compensation and payments made by a carrier due to the state's liabilities as an employer shall be exempted when calculating the amount due under the subsection; P.A. 85-189 provided that each employer, other than the state and certain municipalities, is liable for the assessments used to cover administrative costs; P.A. 90-311 added Subsec. (b)(2) re assessment of expenses on or after July 1, 1990; P.A. 91-191 amended Subsec. (b)(2) to replace quarterly assessment with a single annual assessment; P.A. 91-339 amended Subsec. (b) to include the costs of the rehabilitation division and the division of worker education in the expenses of the workers' compensation commission and to limit assessments to 4% of the total compensation and payments; June Sp. Sess. P.A. 91-14 amended Subsec. (b)(2) to provide that on and after July 1, 1991, all assessments received by treasurer pursuant to said subdivision shall be deposited in workers' compensation administration fund; P.A. 92-31 amended Subsec. (b)(2) to require employers who fail to pay assessments within the prescribed time to pay interest at the rate of 8% and to delete provision authorizing pro rata reduction of assessments in accordance with prior years' surplus; P.A. 96-267 amended Subdiv. (b)(2) to require a pro rata assessment reduction equal to any prior fiscal year surplus, and added Subdiv. (3) to calculate such surplus and to direct the State Treasurer to set aside the surplus; P.A. 99-214 amended Subsec. (b)(2) by increasing, for fiscal years 2000 and 2001, the employer assessment cap from 4% to 5% of employers' workers' compensation expenses for the prior year, reducing the cap to 4% for fiscal years commencing on or after 2002, and requiring the chairman to include the cost of funding occupational health clinic programs in determining the amount necessary to meet the Workers' Compensation Commission's annual expenses, effective July 1, 1999; June Sp. Sess. P.A. 01-9 amended Subsec. (b)(2) to add provision re 4.5% maximum annual employer assessment for the fiscal years ending June 30, 2002, and June 30, 2003, and to provide for a 4% maximum annual employer assessment for fiscal years ending on or after June 30, 2004, effective July 1, 2001; P.A. 11-61 amended Subsec. (b)(2) by adding provision re expenses incurred by Bureau of Rehabilitative Services, designating existing provision re costs of Division of Workers' Rehabilitation and program as Subpara. (A) and amending same to make inclusion of costs of division and program applicable for fiscal years prior to fiscal year beginning July 1, 2011, designating existing provision re costs of Division of Worker Education and programs as Subpara. (B), designating existing provision re funding for occupational health clinic program as Subpara. (C), and adding provisions re assessments to be deposited into the Workers' Compensation Administration Fund, effective July 1, 2011; June 12 Sp. Sess. P.A. 12-1 amended Subsec. (b)(2) by replacing “Bureau of Rehabilitative Services” with “Department of Rehabilitation Services”, effective July 1, 2012; P.A. 19-157 amended Subsec. (b)(2) by replacing “Department of Rehabilitation Services” with “Department of Aging and Disability Services”; P.A. 22-89 made technical changes in Subsec. (b), effective May 24, 2022.
Cited. 37 CA 835.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 31 - Labor

Chapter 568 - Workers' Compensation Act

Section 31-275. - Definitions.

Section 31-275a and 31-275b. - District defined; continuation of commissioners in office. Workers' compensation districts.

Section 31-275c. - Officers of fraternal organizations.

Section 31-275d. - Term “administrative law judge” substituted for “workers' compensation commissioner”, “compensation commissioner” and “commissioner”.

Section 31-276. - Workers' Compensation Commission. Administrative law judges. Nomination by Governor. Appointment by General Assembly. Terms of office. Removal. Selection of chairman.

Section 31-276a. - Commissioners and commission to be within Labor Department for administrative purposes only.

Section 31-277. - Salary of administrative law judges. Longevity payments.

Section 31-278. - Powers and duties of administrative law judges.

Section 31-279. - Notice of availability of compensation. Uniform system for determination of degree of physical impairment. Employer-sponsored plan for medical care and treatment. Indemnification of medical advisory panel members.

Section 31-279a. - Booklet to be distributed explaining act.

Section 31-279b. - Notice of availability of coverage under act. Content. Posting.

Section 31-280. - Chairperson of the Workers' Compensation Commission. Powers and duties. Budget. Report of expenses.

Section 31-280a. - Advisory Board of the Workers' Compensation Commission.

Section 31-280b. - Compensation Review Board.

Section 31-281. - Designation of commissioner to act in another district.

Section 31-282. - Successor may complete acts when administrative law judge dies.

Section 31-283. - Annual pension upon retirement of administrative law judge.

Section 31-283a. - Rehabilitation programs for employees suffering compensable injuries.

Section 31-283b and 31-283c. - Financing of division and programs. Agreements with other state or federal agencies.

Section 31-283d. - Adjustment of salary of certain retired administrative law judges.

Section 31-283e. - Election of retirement benefits.

Section 31-283f. - Statistical Division.

Section 31-283g. - Education services for employees concerning the prevention of occupational diseases and injuries.

Section 31-283h. - Financing of Division of Worker Education.

Section 31-284. - Basic rights and liabilities. Civil action to enjoin noncomplying employer from entering into employment contracts. Notice of availability of compensation.

Section 31-284a. - State contracting with private insurance carrier. Duties and powers of Commissioner of Administrative Services.

Section 31-284b. - Employer to continue insurance coverage or welfare plan payments for employees eligible to receive workers' compensation. Use of Second Injury Fund.

Section 31-284c. - Complaints of violations. Hearing. Findings and award. Appeal.

Section 31-285. - Substitute systems of compensation.

Section 31-286. - Certificate of employer's compliance.

Section 31-286a. - Insurance requirements for contractors on public works projects and renewals of state business licenses.

Section 31-286b. - Proof of workers' compensation coverage prior to issuance of building permit, condition.

Section 31-287. - Provisions required in liability insurance policies.

Section 31-288. - Additional liability. Penalty for undue delay, noncompliance with insurance requirements and for defrauding workers' compensation insurance carrier. Notice of penalty to Attorney General and State Treasurer. Payment. Civil action fo...

Section 31-289. - Disposition of fines and penalties.

Section 31-289a. - Civil action to recover civil penalties. Privileged assignment for trial.

Section 31-289b. - Civil action to enjoin noncomplying employer from conducting business in the state.

Section 31-290. - Obligations not to be evaded.

Section 31-290a. - Discharge, discipline or discrimination prohibited. Misinformation or dissuasion prohibited. Right of action.

Section 31-290b. - Penalty for false statement.

Section 31-290c. - Fraudulent claim or receipt of benefits. Penalties.

Section 31-290d. - Workers' compensation fraud unit.

Section 31-291. - Principal employer, contractor and subcontractor.

Section 31-291a. - Method of computing workers' compensation premiums for construction contractors.

Section 31-291b. - Method of computing workers' compensation premiums for volunteer staff of municipality or volunteer ambulance service.

Section 31-292. - Liability of employer for worker lent to or employed by another.

Section 31-293. - Liability of third persons to employer and employee. Limitations on liability of architects and engineers. Limitations on liability of insurers, self-insurance service organizations and unions relating to safety matters.

Section 31-293a. - No right against fellow employee; exception.

Section 31-294. - Notice of injury and of claim for compensation.

Section 31-294a. - Eligibility for podiatric care.

Section 31-294b. - Report of injury to employer. Notice of claim form provided by commission.

Section 31-294c. - Notice of claim for compensation. Notice contesting liability. Exception for dependents of certain deceased employees.

Section 31-294d. - Medical and surgical aid. Hospital, ambulatory surgical center and nursing service.

Section 31-294e. - Employee's option to obtain medical care at employee's expense. Refusal of employee to accept or obtain reasonable medical care.

Section 31-294f. - Medical examination of injured employee. Medical reports.

Section 31-294g. - State employee notice of claim for compensation.

Section 31-294h. - Benefits for police officer suffering mental or emotional impairment arising from use of deadly force or subjection to deadly force in line of duty.

Section 31-294i. - Municipal firefighters and police officers. Employer presumption of liability for cardiac emergencies.

Section 31-294j. - Eligibility of municipal firefighters, police officers, constables and volunteer ambulance service members re benefits for diseases arising out of and in the course of employment.

Section 31-294k. - Benefits for post-traumatic stress injury. Eligibility.

Section 31-294l. - Firefighters claim due to cancer diagnosis. Record.

Section 31-295. - Waiting period. When compensation begins. Penalty for late payment of permanent partial disability benefits.

Section 31-296. - Voluntary agreements.

Section 31-296a. - Discontinuance or reduction of payments under oral agreements.

Section 31-297. - Hearing of claims.

Section 31-297a. - Informal hearings.

Section 31-298. - Conduct of hearings.

Section 31-298a. - Use of medical panel. Duties of commissioner and panel. Appeal. Regulations.

Section 31-299. - Prior statements of parties as evidence at hearings before administrative law judges.

Section 31-299a. - Payments under group medical policy not defense to claim for benefits. Health insurer's duty to pay. Lien.

Section 31-299b. - Initial liability of last employer. Reimbursement.

Section 31-300. - Award as judgment. Interest. Attorney's fee. Procedure on discontinuance or reduction.

Section 31-301. - Appeals to the Compensation Review Board. Payment of award during pendency of appeal.

Section 31-301a. - Decision of Compensation Review Board.

Section 31-301b. - Appeal of decision of Compensation Review Board.

Section 31-301c. - Costs of appeal. Interest added to award affirmed on appeal.

Section 31-301d. - Power of Compensation Review Board re witnesses and production of evidence. Enforcement of order.

Section 31-302. - Payment of compensation. Commutation into monthly, quarterly or lump sums.

Section 31-303. - Day when compensation payments become due. Penalty for late payments.

Section 31-304. - Destruction of agreement.

Section 31-305. - Medical examinations.

Section 31-306. - Death resulting from accident or occupational disease. Dependents. Compensation.

Section 31-306a. - Payments due children committed to the Commissioner of Social Services or the Commissioner of Children and Families.

Section 31-306b. - Written notice of potential eligibility for death benefits.

Section 31-307. - Compensation for total incapacity.

Section 31-307a. - Cost-of-living adjustment in compensation rates.

Section 31-307b. - Benefits after relapse from recovery. Recurrent injuries.

Section 31-307c. - Compensation under agreements or awards effected prior to October 1, 1953.

Section 31-308. - Compensation for partial incapacity.

Section 31-308a. - Additional benefits for partial permanent disability.

Section 31-308b. - Dependency allowance.

Section 31-309. - Maximum weekly compensation. Determination of average weekly earnings of state workers and production and related workers in manufacturing.

Section 31-310. - Determination of average weekly wage of injured worker. Concurrent employment. Payments from Second Injury Fund. Publication of wage tables.

Section 31-310a. - Average weekly wage of supernumerary policemen and volunteer police officers.

Section 31-310b. - Average weekly wage of General Assembly member.

Section 31-310c. - Average weekly wage of worker with an occupational disease.

Section 31-311. - Replacement of artificial aids.

Section 31-312. - Compensation for time lost during and expense of medical treatment. Reimbursement of wages lost due to appearance at informal hearing. Payments to prevailing claimants in contested cases. Medical attention outside regular work hours...

Section 31-313. - Transfer to suitable work during period of treatment or rehabilitation or because of physical incapacity. Civil penalty for failure of employer to comply.

Section 31-314. - Allowance for advance payments.

Section 31-315. - Modification of award or voluntary agreement.

Section 31-316. - Employer to record and report employees' injuries and report insurance coverage or welfare plan payments provided to employees. Increased award due to employer's failure to file.

Section 31-317. - Claims against the state.

Section 31-318. - Action for minor or mentally incompetent person.

Section 31-319. - Fees to be approved.

Section 31-320. - Exemption and preference of compensation.

Section 31-321. - Manner of serving notices.

Section 31-322. - Injuries received in interstate commerce.

Section 31-323. - Attachments to secure payment of compensation.

Section 31-324. - Reservation of cases for the Appellate Court.

Section 31-325. - Acknowledgment by employees having certain physical conditions.

Section 31-326. - Proceedings against delinquent insurance companies or employers.

Section 31-327. - Award of fees and expenses.

Section 31-328. - Mutual associations authorized.

Section 31-329. - Approval by Insurance Commissioner.

Section 31-330. - Membership.

Section 31-331. - Control of associations. Insurance Commissioner authorized to accept statement of financial condition by certain employers' mutual associations organized before June 6, 1996.

Section 31-332. - Policies. Number of members required.

Section 31-333. - Officers and voting.

Section 31-334. - Safety rules.

Section 31-335. - Premium rates. Reserve notes.

Section 31-336. - Assessments.

Section 31-337. - Investments.

Section 31-338. - Bylaws and regulations.

Section 31-339. - Appeals to Superior Court.

Section 31-340. - Insurer directly liable to employee or dependent.

Section 31-341. - Notice to insurer.

Section 31-342. - Award; enforcement.

Section 31-343. - Certain defenses not available against employee or dependent.

Section 31-344. - When representations avoid policy.

Section 31-344a. - Workers' Compensation Administration Fund established.

Section 31-345. - Insurance Commissioner to approve form of policy. Assessments against employers for administrative costs. Surpluses.

Section 31-345a. - Deductibles in workers' compensation coverage. Approval of Insurance Commissioner.

Section 31-346. - Damages for material misstatements.

Section 31-347. - Experience in compensation insurance.

Section 31-348. - Compensation insurance companies to report their risks.

Section 31-348a. - Compensation insurers to reduce premiums.

Section 31-349. - Compensation for second disability.

Section 31-349a. - Powers of investigators in the office of the State Treasurer.

Section 31-349b. - Certificate for permanent vocational disability. Employer reimbursed by Second Injury Fund for insurance premiums for certified employees.

Section 31-349c. - Controverted issues of previous disability. Physician panel established.

Section 31-349d. - Treasurer to solicit proposals for the managing of Second Injury Fund claims.

Section 31-349e. - Advisory board for the Second Injury Fund.

Section 31-349f. - Condition of the Second Injury Fund. Report to the Governor and General Assembly.

Section 31-349g. - Method of assessing all employers for liabilities of Second Injury Fund. Reporting. Audits. Insurance companies deemed collection agents.

Section 31-349h. - Transfer of claims. Claims not transferred.

Section 31-349i. - Cost-saving methodologies.

Section 31-349j. - Appeal of decision by State Treasurer concerning the method of assessing the employer for the liabilities of the Second Injury Fund.

Section 31-350 and 31-351. - Notice to commissioner of second injury. Hearings; awards.

Section 31-352. - Enforcement of liability of third person.

Section 31-353. - Voluntary agreements and stipulated settlements; approval.

Section 31-354. - Second Injury Fund contributions. Duties and powers of State Treasurer.

Section 31-354a. - Assistant administrators of the Second Injury Fund.

Section 31-354b. - Finance account within Second Injury Fund. Subaccounts. Duties of State Treasurer.

Section 31-355. - Hearings; awards. Payments from Second Injury Fund on employer's failure to comply with award. Civil action for reimbursement. Insolvent insurer. Settlements and agreements. Failure of uninsured employer to pay.

Section 31-355a. - Collection of moneys owed to the Second Injury Fund. Tax warrants. Lien. Foreclosure.

Section 31-355b. - Actions against entities failing to comply with Second Injury Fund reporting requirements.