H-4395              _______________________________________________

 

                                          SUBSTITUTE HOUSE BILL NO. 1592

                        _______________________________________________

 

State of Washington                              50th Legislature                              1988 Regular Session

 

By House Committee on Commerce & Labor (originally sponsored by Representatives Sayan, Cole, O'Brien, Patrick, Walker, Jones, Wineberry, R. King, Winsley, Valle, Jacobsen, Wang, Basich, Fisher, Pruitt, Lux and Unsoeld)

 

 

Read first time 1/25/88 and passed to Committee on Rules.

 

 


AN ACT Relating to industrial insurance benefits for occupational diseases; amending RCW 51.12.100 and 51.32.180; adding a new section to chapter 51.12 RCW; creating a new section; and providing an effective date.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

          NEW SECTION.  Sec. 1.  A new section is added to chapter 51.12 RCW to read as follows:

          (1) The department shall furnish the benefits provided under this title to any worker or beneficiary who may have a right or claim for benefits under the maritime laws of the United States resulting from an asbestos-related disease if (a) there are objective clinical findings to substantiate that the worker has an asbestos-related claim for occupational disease and (b) the worker's employment history has a prima facie indicia of injurious exposure to asbestos fibers while employed in the state of Washington in employment covered under this title.  The department shall render a decision as to the liable insurer and shall continue to pay benefits until the liable insurer initiates payments or benefits are otherwise properly terminated under this title.

          (2) The benefits authorized under subsection (1) of this section shall be paid from the medical aid fund, with the self-insurers and the state fund each paying a pro rata share of the costs necessary to fund the payments.  For the purposes of this subsection only, the employees of self-insured employers shall pay an amount equal to one-half of the share charged to the self-insured employer.

          (3) If the department determines that the benefits paid under subsection (1) of this section are owed to the worker or beneficiary by a self-insurer, the state fund, or a federal nonmaritime program other than the federal social security, old age survivors, and disability insurance act, 42 U.S.C., then the self-insurer, state fund, or federal program shall immediately reimburse the medical aid fund for all benefits paid and costs incurred by the fund.

          (4) If the department determines that the benefits paid under subsection (1) of this section are owed to the worker or beneficiary by an insurer under the maritime laws of the United States:

          (a) The department shall pursue the insurer on behalf of the worker or beneficiary to recover from the insurer the benefits due the worker or beneficiary and on its own behalf to recover the benefits previously paid to the worker or beneficiary and costs incurred;

          (b) For the purpose of pursuing recovery under this subsection, the department shall be subrogated to all of the rights of the worker or beneficiary receiving compensation under subsection (1) of this section; and

          (c)  The department shall not pursue the worker or beneficiary for the recovery of benefits paid under subsection (1) of this section unless the worker or beneficiary receives full entitlement under the maritime laws, in addition to receiving benefits authorized under this section.  The director may exercise his or her discretion to waive, in whole or in part, the recovery of any such benefits where the recovery would be against equity and good conscience.

          (5)  The provisions of subsection (1) of this section shall not apply if the worker or beneficiary refuses, for whatever reason, to assist the department in making a proper determination of coverage.  If a worker or beneficiary refuses to cooperate with the department by failing to provide information that, in the opinion of the department, is relevant in determining the liable insurer, or if a worker refuses to submit to medical examination, or obstructs or fails to cooperate with the examination, the department shall reject the application for benefits.  No information obtained under this section is subject to release by subpoena or other legal process except as specifically provided under RCW 51.28.070.

          (6) The amount of any third party recovery by the worker or beneficiary shall be subject to a lien by the department to the full extent that the medical aid fund has not been otherwise reimbursed by another insurer.   Reimbursement shall be made immediately to the medical aid fund upon recovery from the third party suit.  The department shall not participate in the costs or attorneys' fees incurred in bringing the third party suit.

          (7) This section shall expire July 1, 1993.

 

        Sec. 2.  Section 51.12.100, chapter 23, Laws of 1961 as last amended by section 21, chapter 350, Laws of 1977 ex. sess. and RCW 51.12.100 are each amended to read as follows:

          (1) The provisions of this title shall not apply to a master or member of a crew of any vessel, or to employers and workers for whom  a right or obligation exists under the maritime laws for personal injuries or death of such workers.

          (2) If an accurate segregation of payrolls of workers for whom such a right or obligation exists under the maritime laws cannot be made by the employer, the director is hereby authorized and directed to fix from time to time a basis for the  approximate segregation of the payrolls of employees to cover the  part of their work for which no right or obligation exists under the maritime laws for injuries or death occurring in such work, and the employer, if not a self-insurer, shall pay premiums on that basis for the time such workers are engaged in their work.

          (3) Where two or more employers are simultaneously engaged in a common enterprise at one and the same site or place in maritime occupations under circumstances in which no right or obligation exists under the maritime laws for personal injuries or death of such workers, such site or place shall be deemed for the purposes of this title to be the common plant of such employers.

          (4) In the event payments are made under this title prior to the final determination under the maritime laws, such benefits shall be repaid by the worker or beneficiary if full recovery is subsequently made under the maritime laws.

 

        Sec. 3.  Section 51.32.180, chapter 23, Laws of 1961 as last amended by section 53, chapter 350, Laws of 1977 ex. sess. and RCW 51.32.180 are each amended to read as follows:

          Every worker who suffers disability from an occupational disease in the course of employment under the mandatory or elective adoption provisions of this title, or his or her family and dependents in case of death of the worker from such disease or infection, shall receive the same compensation benefits and medical, surgical and hospital care and treatment as would be paid and provided for a worker injured or killed in employment under this title(:  PROVIDED, HOWEVER, That)) except as follows:  (1) This section and RCW 51.16.040 shall not apply where the last exposure to the hazards of the disease or infection occurred prior to January 1, 1937; and (2) for claims filed on or after July 1, 1988, the rate of compensation for occupational diseases shall be established as of the date the disease requires medical treatment or becomes totally or partially disabling, whichever occurs first, and without regard to the date of the contraction of the disease or the date of filing the claim.

 

          NEW SECTION.  Sec. 4.     The department of labor and industries shall conduct a study of the program established by section 1 of this act.  The department's study shall include the use of benefits under the program and the cost of the program.  The department shall report the results of the study to the economic development and labor committee of the senate and the commerce and labor committee of the house of representatives, or the appropriate successor committees, at the start of the 1993 regular legislative session.

 

          NEW SECTION.  Sec. 5.     This act shall take effect July 1, 1988, and shall apply to all claims filed on or after that date or pending a final determination on that date.