Section 48. (1) Under the conditions and limitations specified in this chapter, the insurer and employee may, with the written consent of the employer if such employer is an experience modified insured, by an agreement pursuant to section nineteen, redeem any liability for compensation, in whole or in part, by the payment by the insurer of a lump sum amount. Where the employee is not represented by counsel, where the parties seek determination by an administrative judge or administrative law judge of the fair and reasonable amount to be paid out of the lump sum to discharge a lien cognizable under section forty-six A, or where any party requests that such agreement be approved by an administrative judge or administrative law judge prior to the filing of such agreement with the department, a lump sum agreement shall not have been perfected until and unless approved by an administrative judge or administrative law judge as being in the claimant's best interest. In all other cases the agreement shall not have been perfected until reviewed and approved as complete by a conciliator, administrative judge or administrative law judge as appropriate. A conciliator shall be made available in each regional office to review settlements without appointment.
(2) When the insurer and the employee reach such agreement subsequent to insurer acceptance of liability or subsequent to a decision of an administrative judge, the reviewing board, or an appeals court of the commonwealth finding insurer liability which decision is in effect at the time such agreement is entered into, said agreement shall not redeem liability for the payment of medical benefits or vocational rehabilitation benefits with respect to such injury.
No lump sum agreement made prior to the establishment of liability for compensation shall prohibit an employee from subsequently filing a claim for medical benefits only, in any instance in which such employee has suffered a substantial deterioration of his medical condition which (i) could not reasonably have been foreseen at the time said agreement was entered into, and (ii) is the result of an injury for which the insurer would have been liable under this chapter, absent the lump sum settlement. Claims under this paragraph shall be considered only if brought within one year of the date the employee first became aware of the causal relationship between the substantial deterioration and the employment. Claims shall be consistent with the procedures set forth in sections ten, ten A, and eleven. No liability for such claims shall be redeemed by any additional lump sum settlement; provided, however, that no employee shall be entitled to vocational rehabilitation benefits for any injury, unless such employee shall have requested such benefits within two years of the perfection of any settlement under this section of benefits due for said injury.
(3) No lump sum agreement shall contain as part of a settlement a general or specific release that would serve as a bar to (i) employment with any employer, (ii) the receipt by the employee of any pay or benefits due him by an employer, (iii) the bringing of any future workers' compensation claim or (iv) the bringing of any claims of wrongful discharge or breach of contract. All such general or specific releases shall be null and void. Any employer, insurer, employer or attorney attempting to obtain such release from an employee shall be punished by a fine of ten thousand dollars. Where the employee has been found suitable for vocational rehabilitation services pursuant to section thirty G, lump sum agreements shall be valid only where the employee returned to continuous employment for a period of six or more months; or completed an approved rehabilitation plan; or received express written consent from the office of education and vocational rehabilitation; or an order or decision from an administrative judge or administrative law judge authorizing such agreement. Any employee who receives an amount in violation of this paragraph shall have the right to re-open his or her claim for compensation. Any employee who accepts a lump sum settlement for benefits claimed under section 34A shall be precluded from any further lump sum settlements for said benefits.
(4) Whenever a lump sum agreement has been perfected in accordance with the terms of this section, such agreement shall affect only the insurer and the employee who are parties to such lump sum agreement and shall not affect any other action or proceeding arising out of a separate and distinct injury under this chapter, whether the injury precedes or arises subsequent to the date of settlement, and whether or not the same insurer is claimed to be liable for such separate and distinct injury.
Notwithstanding any provision of this section or of sections seventy-five A or seventy-five B, the acceptance of any amount in return for the right to claim future weekly benefits shall create a presumption that the employee is physically incapable of returning to work with the employer where the alleged injury occurred. Such presumption shall continue for a period of one month for each fifteen hundred dollar amount included in the settlement for future weekly benefits. No re-employment rights shall inure to such employee under this chapter during any period of presumption of incapacity as herein provided.
(5) Whenever a lump sum agreement or payment has been approved by the reviewing board in accordance with the terms of this section, such agreement shall affect only the insurer and employee who are parties to such lump sum agreement and shall not affect any other action or proceeding arising out of a separate and distinct injury resulting in an incapacity whether the injury precedes or arises subsequent to the date of settlement.
Structure Massachusetts General Laws
Part I - Administration of the Government
Title XXI - Labor and Industries
Chapter 152 - Workers' Compensation
Section 2 - Powers and Duties of Department; Investigation of Causes of Injuries
Section 2a - Application of Amendments of Statute
Section 5 - Rules and Regulations
Section 6 - Notice of Injuries; Forms; Additional Reports; Statistical Summaries
Section 6a - Informational Brochures; Monitoring of Benefits; Resolution of Disputes
Section 6b - Disposition of Fines
Section 7 - Commencement of Payments
Section 7a - Presumptions; Employee Unable to Testify
Section 7f - Record of Filing Fees, Penalties and Attorneys' Fees
Section 7g - Documentation Attached to Claims
Section 8 - Termination or Modification of Payments
Section 9a - Physicians Engaged to Testify or Depose for Employee; Fees Paid by Insurer
Section 10a - Assignments of Cases; Conferences; Orders; Appeals
Section 10b - Arbitration; Agreements; Proceedings
Section 10c - Collective Bargaining Agreements; Binding Obligations and Procedures
Section 11 - Hearings; Evidence; Continuances
Section 11a - Impartial Medical Examiners
Section 11b - Procedure for Hearings; Depositions; Record of Proceedings
Section 11c - Appeals to Reviewing Board
Section 11d - Earnings Reports by Employees; Recovery of Overpayments
Section 12a - Award of Costs and Attorney's Fees
Section 13a - Attorney's Fees for Employees
Section 14a - Employee Leasing Companies
Section 15 - Liability of Person Other Than Insured
Section 15a - Controversy as to Which of Two or More Insurers Is Liable
Section 16 - Subsequent Findings Discontinuing Compensation; Finality
Section 17 - Enforcement of Orders or Decisions
Section 18 - Independent and Sub-Contractors; Liability of Insurer and Others
Section 19 - Agreements by Parties
Section 20 - Hospital Records as Evidence; Medical Records and Reports Open to Inspection
Section 20a - Copies of Reports of Medical Examinations Furnished Employees; Reports as Evidence
Section 20b - Medical Reports of Disabled or Deceased Physicians as Evidence
Section 21 - Notice by Insured to Employees
Section 22 - Notice by Insured to New Employees; Notice of Cessation of Insurance; Filing Copy
Section 23 - Release of Claims or Demands at Common Law
Section 24 - Waiver of Right of Action for Injuries
Section 25 - Insurer's Liability on Judgment for Employee
Section 25a - Purchase of Insurance; Self-Insurance; Reinsurance; Deductibles
Section 25d - Service Companies; Investigation, Adjustment or Settlement of Claims for Self-Insurers
Section 25e - Self-Insurance Groups; Definitions
Section 25f - Certification to Act as Self-Insurance Group
Section 25g - Application for Certificate; Requirements; Issuance
Section 25h - Termination of Certificate
Section 25j - Boards of Trustees
Section 25l - Solicitation of Membership by Licensed Agents
Section 25m - Misrepresentations or Omissions in Solicitations of Membership
Section 25n - Performance Reports; Statements of Financial Condition
Section 25q - Premium Payment Plans; Loss Reserves; Bad Debt Reserves
Section 25r - Deficiencies; Assessments; Liquidation of Groups
Section 25t - Cease and Desist Orders
Section 25u - Revocation of Certificates of Approval
Section 25v - Applicability of Chapter 176v to Groups Governed by Secs. 25e to 25u
Section 26 - Injuries Arising Out of and in Course of Employment
Section 26b - Concurrent Service of Two or More Employers; Joint and Several Liability of Insurers
Section 27 - Willful Misconduct of Employee
Section 27a - False Representation of Physical Condition by Employee; Right to Benefits
Section 29 - Required Period of Incapacitation; Personnel Actions
Section 30 - Adequate and Reasonable Health Care Services; Preferred Health Care Provider
Section 30e - Development of Voluntary Agreements
Section 30f - Identification of Cases in Which Vocational Rehabilitation Services May Be Required
Section 30g - Meetings With Injured Employees Requiring Vocational Rehabilitation Services
Section 30h - Applications for Vocational Rehabilitation Services
Section 30i - Availability of New Jobs and Job Training Programs
Section 31 - Death; Compensation for Dependents; Hearings
Section 34 - Total Incapacity; Compensation
Section 34a - Permanent and Total Incapacity; Compensation
Section 34b - Review Date; Supplemental Benefits to Secs. 31 or 34a
Section 35 - Partial Incapacity; Compensation
Section 35b - Return to Work; Subsequent Injury; Rate of Compensation
Section 35c - Date of Eligibility; Benefits Applicable; Adjustments
Section 35d - Computation of Weekly Wage
Section 36 - Specific Injuries
Section 36a - Death Before Full Payment of Compensation for Specified Injuries; Brain Damage
Section 36b - Unemployment Compensation Benefits; Eligibility
Section 37 - Compensation for Disability Subsequent to Physical Impairment; Reimbursement
Section 37a - Compensation for Disabled War Veteran; Reimbursement
Section 38 - Consideration of Employee's Savings, Insurance and Other Benefits
Section 40 - Guardian or Next Friend Exercising Employee's Rights
Section 41 - Notice of Proceedings for Compensation; Limitation of Actions
Section 42 - Notice in General
Section 43 - Service of Notice
Section 44 - Inaccuracies In, and Want Of, Notice
Section 46 - Waiver of Rights to Compensation; Arbitration
Section 47 - Assignments; Attachments; Liability for Debts
Section 48 - Lump Sum Agreements
Section 50 - Interest on Unpaid Claims
Section 51 - Natural Increase Considered in Determining Weekly Wages
Section 51a - Decision in Compensation Case; Law in Effect
Section 52b - Priority of Premiums and Interest Charges Over Other Claims
Section 52d - Appeal From Action or Decision of Rating Organization; Rating Information
Section 52g - Partial Invalidity of Statute
Section 53 - Mutual Companies; Distribution of Risks Into Groups
Section 53a - Classification of Risks and Premiums; Distribution of Premiums Among Employers
Section 54a - Necessity of Insurance Contract Insuring Payment of Compensation
Section 55 - Approval of Policy by Commissioner; Review; Issuance of Policy in Violation of Statute
Section 55a - Mid-Term Notice of Cancellation
Section 56 - Joint and Several Policies
Section 57 - Deposits of Value of Outstanding Claims Under Contracts
Section 58 - Computation of Value of Claims
Section 60 - Effect of Appointment of Receiver on Order, Deposit or Payments; Deposit by Receiver
Section 60a - Review, Suspension and Reduction of Order Requiring Deposit
Section 61 - Bond for Foreign Company; Other Security
Section 62 - Deposits by Foreign Companies; Payment of Obligations
Section 65 - Special Fund; Trust Fund; Assessment Base; Assessment Rates; Payments; Reports; Audits
Section 65b - Cancellation or Termination of Policy; Review
Section 65d - Issuance of Policy to Employer Assigned to Another Insurer
Section 65g - ''losses Incurred'' Defined; Determination of Amounts to Be Paid
Section 65h - Adjustment of Payments
Section 65i - Primary Liability to Pay Benefits
Section 65j - Inspection of Risks; Rules
Section 65k - Appeal on Ground Premium Is Unreasonable or Discriminatory; Effect of Determined Rates
Section 65m - Review of Orders or Rulings; Time; Suspension and Stay of Order or Rulings
Section 65o - Employer's Choice of Insurance Agent or Broker; Commission Fees; Service Fees
Section 66 - Actions for Injuries Sustained by Employees; Limitations; Defenses
Section 68 - Applicability of Statutes Relating to Employers' Liabilities
Section 69b - Vouchers; Examinations and Investigations; Reports
Section 70 - Procedure and Jurisdiction; Compensation Paid by Commonwealth and Its Subdivisions
Section 71 - Liability of County, City, Town or District for Employee's Injuries
Section 72 - Employee Claiming or Waiving Rights Against County, City, Town or District
Section 73a - Employment of Partially Disabled Employee; Temporary Employment to Fill Vacancy
Section 75 - Agents Designated to Furnish Benefits and Carry Out Statutes