tennessee’s new court of workers’ compensation: introduction to procedures ken switzer, chief...

42
Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa Knott, WC Judge and Moderator

Upload: buck-christian-reed

Post on 16-Dec-2015

217 views

Category:

Documents


3 download

TRANSCRIPT

Page 1: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Tennessee’s New Court of Workers’ Compensation:Introduction to Procedures

Ken Switzer, Chief Workers’ Compensation JudgePenny Shrum, Court Clerk

Lisa Knott, WC Judge and Moderator

Page 2: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

The Court of Workers’ Compensation ClaimsChief Judge Kenneth M. Switzer

Tennessee Court of Workers’ Compensation Claims

Penny Shrum, Court Clerk

Page 3: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Advice

What to wear

What to say

Page 4: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Judicial Robes?

Page 5: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Painting With A Broad Brush

Page 6: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Administrative StructureDivision of Workers’ Compensation includes:

Ombudsman ProgramCourt of Workers’ Compensation ClaimsBoard of Workers’ Compensation Appeals

Current programs will continue to operate for existing claims.

Page 7: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

The Ombudsman ProgramWill provide education and assistance to any party to a workers’ compensation claim that is not represented by an attorney.

Will be staffed by persons trained in Tennessee Workers’ Compensation law and rules of the various programs.

An ombudsman is not an attorney, cannot provide legal advice, and cannot sign documents on behalf of a party.

Page 8: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Duties of the OmbudsmanThe ombudsman will have the basic responsibilities of:

Advising parties of the basics of workers’ compensation laws and proceduresAnswering the questions of partiesAssisting parties in the completion of formsActing as a liaison among the parties to ensure communication among parties and efficiency in the administration of claims

Page 9: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Court of Workers’ Compensation Claims

Page 10: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Gone with the Wind

Benefit Review Conference (BRC)Request for Assistance (RFA)Commissioner’s DesigneeAdministrative Review

Page 11: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Words that Work

Petition for Benefit Determination (PBD)Dispute Certification Notice (DCN)Expedited HearingInitial HearingAlternative Dispute Resolution (ADR)

MediationInterlocutory OrderCompensation OrderDecision on the Record

Page 12: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Flow Charts That Confuse

Page 13: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Flow Chart That Educates

Page 14: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Petition for Benefit Determination (PBD)

Page 15: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa
Page 16: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa
Page 17: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Petition for Benefit Determination (PBD)

Tells us there is a dispute.

Purpose: Not just to toll the statute.

Must be served on opposing party.

Page 18: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Mediation Requirements

A party with authority to settle must attend the mediation.

Mediation will be scheduled whenever either party files a Petition for Benefit Determination (PBD) with the Division.

Page 19: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Mediation ProceedingsAfter PBD is filed parties must:

Promptly exchange all medical records – update within 14 days after receipt of additional records.Employer must file a wage statement w/in 5 days.

Division contacts parties to schedule mediation – same as always.Mediation can be in person, telephonically or by video conference.

Page 20: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Dispute Certification Notice (DCN)If parties do not settle – mediator prepares and issues Dispute Certification Notice certifying disputed issues for trial – no hearing in Court without DCN.

Parties have five days to object to contents of DCN.

Page 21: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa
Page 22: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa
Page 23: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Initial HearingsInitial hearing within 30 days after request for hearing is filed.If no request for hearing filed w/in 60 days after DCN submitted to clerk – case placed on dismissal docket and set for show cause hearing.Request for Hearing can be in any format; however, a template will be provided. Catastrophic cases get priority on docket.Clerk will send notice setting initial hearing date and time, identifying the Judge, and specifying items to be completed before the hearing.

Page 24: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Catastrophic Injury

ParalysisAmputationsTraumatic Brain InjuryBurns – Second or Third DegreeBlindness (total)Deafness (total)

Page 25: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Initial HearingsDiscovery plan and a scheduling calendar.

Division will provide template for Initial Hearing order.Initial hearings will likely be telephonic or by video conference (only under rare circumstances will this be in person).Important: Post Discovery Mediation AND Compensation Hearing Date will be set by this Order.

Page 26: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Expedited HearingsHearing on temporary disability or medical benefits only.Either party may request expedited hearing after case is docketed.

Party requesting hearing must provide affidavits to support position. (Note: Medical records allowed by a certification of same: See Rule 16 Discovery 6(b).)Opposing party may provide countervailing evidence w/in 5 days and indicate the need for an evidential hearing.

Judge can decide if hearing necessary or enter an Order.Standard: Is the employee likely to prevail on the merit of the claim?Temporary benefit order is interlocutory and may be appealed to WC Appeals Board within seven days.

Page 27: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

DiscoveryIn General will operate in accordance with rules of Civil Procedure, except:

20 interrogatory limit unless judge gives leave for moreFour hour time limit for depositionNo answers required until after initial hearing order has been signedNo hearing for discovery disputes unless ordered by judge (will be reviewed based on written materials).

Page 28: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Time Requirements Table

Page 29: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Time Requirements Table

Page 30: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

CWCC Proceedings

Medical records and a prehearing statement must be filed with court 10 business days before trial.

Hearings will be conducted under the Rules of Civil Procedure & Evidence (Expedited Included).

Page 31: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

CWCC ProceedingsAny compensation order issued by a WC judge shall become final and appealable to the Supreme Court after thirty calendar days unless an appeal is filed with the Board of Appeals. If no appeal is filed, the parties shall have five business days after the order becomes final to comply.

If an appeal is filed to Board of Appeals, the decision of the WC judge shall not become final until certified by the Board.

Page 32: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

SettlementsNo settlement shall be binding until approved by a WC judge.A fee of $150 shall be due at the time of settlement or final order. Fees may be paid by check or credit card. All settlements shall be approved within three business days of submission and assignment to a judge. T.C.A. § 50-6-240(b)A WC judge may approve a signed settlement agreement upon determining that the employee is receiving substantially the benefits provided by the WC law and/or upon finding that the settlement is in the employee’s best interest.Settlement approvals will be in person but may be conducted telephonically in unusual circumstances.

Page 33: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Practical QuestionsTemplate for Settlement Orders

Mediated Settlement ApprovalsMurfreesboroCookeville

Non-Mediated Settlement Approvals

Page 34: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Example: KnoxvilleTwo days a week

Monday morningThursday afternoon

Call In – Schedule Time

Each office decision

Page 35: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Court Clerk

Page 36: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Filing Process for Expedited Hearing

Petition for Benefit Determination (local office)Dispute Certification Notice (prepared by mediator)Request For Expedited HearingImmediately Assign to a JudgeDocument Filings (medical records and prehearing statements)

Page 37: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Filing Process for Non-Expedited Hearing

Petition for Benefit Determination (local office)Dispute Certification Notice (prepared by mediator)Request For HearingInitial HearingPost Discovery Mediation (local office)

Page 38: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Anderson

Bedford

Benton

Bledsoe

Blount

Bradley

Campbell

Cannon

Carroll

CarterCheatham

Chester

ClaiborneClay

Cocke

Coffee

Crockett

Cumberland

Davidson

Decatur

De Kalb

DicksonDyer

Fayette

Fentress

Franklin

Gibson

Giles

Grainger

Greene

Grundy

Hamblen

Hamilton

Hancock

Hardeman Hardin

Hawkins

HaywoodHenderson

Henry

Hickman

Houston

Humphreys

Jackson

Jefferson

Johnson

Knox

Lake

Lauderdale

Lawrence

Lewis

Lincoln

Loudon

McMinn

McNairy

Madison

Marion

Marshall

MauryMeigs

Monroe

Montgomery

Moore

Morgan

ObionOverton

Perry

Pickett

Polk

Putnam

Rhea

Roane

Robertson

Rutherford

Scott

Sequatchie

Sevier

Shelby

Smith

StewartSullivan

Sumner

Tipton

Trousdale

Unicoi

Union

Van BurenWarren

Washington

Wayne

Weakley

WhiteWilliamson

Wilson

Macon

Nashville--Metro Center220 French Landing Dr.Nashville, TN 37243Telephone: 615-741-1383Fax: 615-253-2480

MemphisOne Commerce Square40 South Main St, Suite 500Telephone: 901-543-6077Fax: 901-543-6039

Cookeville444-A Neal StreetCookeville, TN 3850Telephone: 931-520-4290Fax: 931-520-4316

Knoxville520 Summit Hill, Suite 103Knoxville, TN 37902Telephone: 865-594-5177Fax: 865-594-5172

Jackson225 Dr. MLK Drive, 1st FlJackson, TN 38301-6985Telephone: 731-423-5646Fax: 731-265-7022

Murfreesboro845 Esther LaneMurfreesboro, TN 37219Telephone: 615-848-6743Fax: 615-217-9378

Chattanooga (moving in late Fall)540 McCallie Ave, Ste W600Chattanooga, TN 37402Telephone: 423-634-6422Fax: 423-634-3115

Kingsport1908 Bowater DriveKingsport, TN 37660-4136Telephone: 423-224-2057Fax: 423-224-2056

Assignment to Judges by Clerk

Page 39: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Contact InformationChief Judge Kenneth M. Switzer 615-741-2395 [email protected] Brian Addington 423-224-1838 [email protected] Joshua Baker 615-253-6909 [email protected]

Judge Lisa Knott 865-594-2771 [email protected] Pamela Johnson 865-594-0311 [email protected] Allen Phillips 731-426-0859 [email protected] Jim Umsted 901-543-6046 [email protected] Thomas Wyatt 423-634-6422 [email protected] Shrum, Court Clerk 615-253-4507 [email protected] Program 1-800-332-2667 [email protected]

website: state.tn.us/labor-wfd/wcomp.shtml

Page 40: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Evaluation of Process

Page 41: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa
Page 42: Tennessee’s New Court of Workers’ Compensation: Introduction to Procedures Ken Switzer, Chief Workers’ Compensation Judge Penny Shrum, Court Clerk Lisa

Questions?