§ 663b. Fraud
(a) Any claims of fraud submitted to the Department shall require action by the Commissioner to determine if further investigation is warranted. The Commissioner shall order the insurer to investigate specific allegations of claimant fraud and submit a written report to the Department. Once the insurer’s report is received, the Commissioner shall afford the claimant an opportunity to respond in person or in writing within 30 days. The Commissioner may order additional information to be provided to the Department from the insurer or the claimant. The Department shall issue a determination on the fraud allegation, including penalties and any reimbursement as provided under section 708 of this title. The party may appeal the decision of the Commissioner as provided under 3 V.S.A. chapter 25.
(b) An employee found to have committed fraud in order to receive compensation under this chapter shall be ordered to repay all compensation fraudulently received in addition to other administrative penalties ordered by the Department. These payments shall not be charged to the employer for purposes of calculating its experience rating. (Added 2013, No. 199 (Adj. Sess.), § 63, eff. June 24, 2014.)
Structure Vermont Statutes
Chapter 9 - Employer's Liability and Workers' Compensation
§ 603. Witnesses, oaths, books, papers, records
§ 604. Manner of trying causes; evidence
§ 605. Testimony of person without the State, how taken
§ 606. Determination of questions
§ 607. Decisions; enforcement; appeals
§ 608. Application of chapter when State not an employer
§ 610. Election by State as employer
§ 618. Compensation for personal injury
§ 620. Worker hired outside State
§ 622. Right to compensation exclusive
§ 623. Contracts to work outside State
§ 624. Dual liability; claims, settlement procedure
§ 625. Contracting out forbidden
§ 632. Compensation to dependents; burial and funeral expenses
§ 633. Apportionment of compensation
§ 634. Dependents; construction
§ 635. Periods of compensation
§ 636. Compensation for unexpired period; determined
§ 637. Death benefits; rival claimants
§ 639. Death, payment to dependents
§ 640. Medical benefits; assistive devices; home and automobile modifications
§ 640a. Medical bills; payment; dispute
§ 640b. Request for preauthorization to determine if proposed treatment is necessary
§ 640c. Opioid usage deterrence
§ 641. Vocational rehabilitation
§ 642. Temporary total disability benefits
§ 642a. Temporary total; insurer review
§ 643a. Discontinuance of benefits
§ 643a. Discontinuance of benefits
§ 643b. Reinstatement; seniority and benefits protected
§ 643c. Commissioner to provide notice; monitoring
§ 644. Permanent total disability
§ 646. Temporary partial disability benefits
§ 648. Permanent partial disability benefits
§ 649. Injuries not covered; burden of proof
§ 650. Payment; average wage; computation
§ 652. Periodical payments; lump sum payments
§ 654. Trustee in case of lump payments; appointment; expense
§ 655. Procedure in obtaining compensation; medical examination; video and audio recording
§ 656. Notice of injury and claim for compensation
§ 657. After court judgment against employee
§ 658. Form of notice and claim
§ 659. Giving of notice and making of claim
§ 660. Sufficiency of notice of injury
§ 660a. Electronic filing of reports of injury
§ 662. Agreements; required payments in absence of
§ 663. Hearings, where held; decision
§ 663a. Workers’ compensation dispute mediation
§ 666. Manner of giving notice of hearing
§ 667. Examination by independent medical examiners
§ 670. Appeals to Superior Court
§ 671. Jurisdiction; findings for new award
§ 672. Appeals to the Supreme Court
§ 673. Appeal in case of fraud, accident, or mistake
§ 677. New hearings; when granted; procedure
§ 679. Fees of sheriffs and witnesses
§ 682. Liens against compensation
§ 687. Security for compensation
§ 687a. Self-insurance by associations
§ 688. Administrative penalties; insurance company’s license suspended
§ 689. Employer compelled to insure
§ 690. Certificate, form; copy of policy
§ 691. Posting of notice of compliance
§ 691a. Posting of safety records
§ 692. Penalties; failure to insure; stop work orders
§ 694. Knowledge of employer to affect insurance carrier
§ 695. Insolvency of employer not to release insurance carrier
§ 696. Cancellation of insurance contracts
§ 697. Notice of intent not to renew policy
§ 698. Insurance by State and municipalities
§ 699. Employees not to pay for insurance
§ 701. Reports of accidents by employers
§ 703. Reports of payments made by employers
§ 708. Penalty for false representation
§ 710. Unlawful discrimination