2022 Questions and Answers Complete
All employers who apply for approval to self insure shall pay an application fee
based on what?
The number of employees
What is the application fee for a company with 1000 or more employees?
$500.00
If an employer is approved to self insure from the director, what happens to the
application fee?
The application fee is applied as a credit to reduce the amount of the assessment
apportioned to that employer pursuant to subdivision (b)3 of this section
Non Work related injuries that are not compensable
Injuries caused by
-willful intent
-intoxication
-injuries occurring during employer-sponsored non work related events
True or False: The Fraud Prevention Unit's documents, reports or evidence
relative to a workers compensation investigation are not privileged and are open
to public inspection.
False- they are privileged and not open to public inspection and are not subject to
subpoena unless the unit consents or by court order
True or False: in the absence of fraud, malice or bad faith, an insurer (or agents
and employees of the insurer) are subject to civil liability for damages as a result
of any statement, report or investigation made pursuant to chapter 16.1
False: no insurer or agent of the insurer is subject to civil liability for damages as a
result of any statement, report or investigation made pursuant to chapter 16.1
Before any case proceeds to a trial, the judge shall conduct what?
A mandatory pretrial conference
When is a mandatory pretrial conference held?
within 21 days of the date of filing
The Judge shall render what at the close of the pretrial conference?
a pretrial order
How much time does an insurer have to issue payments ordered by a pretrial
order?
payments must be issued within 14 days from the entry of the order
For the privilege of writing or renewing workers compensation insurance in
Rhode Island, every insurer or certified employer shall annually make payments
to what?
Workers Compensation Administrative fund
For Insurers, the amount owed to the administrative fund is measured by what?
4 and one quarter percent (or any other percentage of return certified by the director) of
gross premiums received for WC or EL written or renewed during the preceding
calendar year but not less than $50
, How much does every certified employer and insurer pay to the administrative
fund for every injury causing death in which there is no person entitled to
compensation?
$7500.00
"Department"
Department of Labor and Training
"Director"
The director of labor and training or his/her designee
the weekly straight time earnings which an employee could have received if the
employee accepted an actual offer of suitable alternative employment
Earnings Capacity
Earnings Capacity can also be established by what?
Court based evidence of ability to earn including determination of functional
impairment/disability
"Employee"
any person who has entered into the employment of or works under contract of service
or apprenticeship with any employer
Employer
Any person, copartnership, corporation or voluntary association and the legal
representative of a deceased employer
General Employer
temporary help companies and employee leasing companies
Special Employer
a person who contracts for services with a general employer for the use of an
employee, a vehicle or both
"Independent Contractor"
means a person who has filed a notice of designation as
independent contractor with the director pursuant to § 28-29-17.1
Maximum Medical Improvement (MMI)
a point in time when any medically determinable physical or mental impairment as a
result of an injury has become stable and when no further treatment is reasonably
expected to improve the condition
Physician
medical doctor, surgeon, dentist, licensed psychologist, chiro, osteopath, podiatrist or
optometrist
Suitable Alternative Employement
means employment or an actual offer of
employment which the employee is physically able to perform and will not exacerbate
the employee's health condition and which bears a reasonable relationship to the
employee's qualifications, background, education, and training
Atty fees must not exceed
15% of lump sum
Can insurer choose med provider?
no IW can choose own providers
Can report of earnings be used to delay payment
No, they are sent periodically to IW. Helps prevent fraud