Connecticut Administrative Code

Regulations of Connecticut State AgenciesSec. 31-272-16. Final decision(a) When the hearing is conducted by a hearing officer, the final decision shall be rendered by a majority of the Board. The final decision may be based on the proposed final decision and any exceptions and br…

Regulations of Connecticut State AgenciesSec. 31-272-17. Reconsideration(a) The Board, on its own motion, or an authorized agent may, within thirty days after the issuance of the final decision, file a petition for reconsideration of the decision on the ground that: (1) an error …

Regulations of Connecticut State AgenciesSec. 31-272-18. Record of complaintsThe Board of Review shall maintain a record of all complaints filed and the disposition of each complaint. These records may be utilized in determining an appropriate penalty in any future complaints. (E…

Regulations of Connecticut State AgenciesSec. 31-272-2. Registration(a) An authorized agent who represents a party for a fee may not appear before a Referee or the Board after July 1, 1992, unless the agent is registered with the Board. (b) Each authorized agent shall register at…

Regulations of Connecticut State AgenciesSec. 31-272-3. Communication with the client(a) An authorized agent shall keep a client reasonably informed about the status of any matter before the Appeals Division. An authorized agent shall verify with the client the accuracy of any in…

Regulations of Connecticut State AgenciesSec. 31-272-4. Postponement requests(a) Requests to postpone a hearing for good cause must be made as soon as possible after the issuance of the notice of hearing before the Referee or Board. Last minute requests will not be granted except…

Regulations of Connecticut State AgenciesSec. 31-272-5. Preparation of the case(a) An authorized agent shall provide competent representation to a client. The authorized agent shall explain the proceedings and prepare the case with the client and any witnesses before the hearing …

Regulations of Connecticut State AgenciesSec. 31-272-6. Conduct of the hearing(a) An authorized agent shall be prepared to go forward with its case and to produce all necessary evidence and witnesses at the time the Referee's hearing is scheduled to commence. (b) An authorized ag…

Regulations of Connecticut State AgenciesSec. 31-272-7. Prohibited conduct in the course of representing a party at a hearing(a) An authorized agent shall not counsel a client to engage, or assist a client in engaging, in conduct the agent knows or should know to be criminal, or …

Regulations of Connecticut State AgenciesSec. 31-272-8. MisconductIt is misconduct for an authorized agent to:(a) violate or attempt to violate the rules of conduct set forth in these regulations or knowingly assist or induce another to do so, or disobey an obligation under the r…

Regulations of Connecticut State AgenciesSec. 31-272-9. Penalties(a) A failure to comply with an obligation or prohibition imposed by these rules of conduct or an order by the Board is a basis for invoking the disciplinary process set forth in these regulations. (b) If, in its fi…

Regulations of Connecticut State AgenciesSec. 31-273-1. DefinitionsFor purposes of sections 31-273-1 through 31-273-9 inclusive of these regulations, the following definitions apply: (a) \"Administrator\" means the Labor Commissioner of the State of Connecticut, whose mailing add…

Regulations of Connecticut State AgenciesSec. 31-273-2. Non-fraud overpayments: Notice, fact-finding and determination(a) Where the Administrator determines that an individual has through error received any sum as benefits while any condition for the receipt of benefits imposed b…

Regulations of Connecticut State AgenciesSec. 31-273-3. Recovery of non-fraud overpayments(a) Except as provided in subsections (b) and (c) of this section, where the Administrator determines that any sum of benefits which was overpaid to an individual for reasons other than frau…

Regulations of Connecticut State AgenciesSec. 31-273-4. Waiver(a) The Administrator shall determine that repayment or recoupment of any benefits found to be overpaid pursuant to Section 31-273-2 of the Regulations of Connecticut State Agencies would defeat the purpose of the bene…

Regulations of Connecticut State AgenciesSec. 31-273-5. Fraud overpayments: Notice, fact-finding and determination(a) Where the Administrator determines that any individual has, by reason of fraud, wilful misrepresentation or wilful nondisclosure of a material fact by the individ…

Regulations of Connecticut State AgenciesSec. 31-273-6. Administrative penalty for overpayments established prior to October 1, 2013(a) Whenever the Administrator determines, prior to October 1, 2013, pursuant to Section 31-273-5(e) of the Regulations of Connecticut State Agencie…

Regulations of Connecticut State AgenciesSec. 31-273-6a. Administrative penalty for overpayments established on or after October 1, 2013(a) For any determination of an overpayment made on or after October 1, 2013, whenever the Administrator determines, pursuant to Section 31-273-…

Regulations of Connecticut State AgenciesSec. 31-273-7. Fraud overpayment recovery(a) Where the Administrator determines that an individual has been overpaid as the result of fraud, wilful misrepresentation or wilful nondisclosure by himself or herself or through the agency of an…

Regulations of Connecticut State AgenciesSec. 31-273-8. Fact-finding process(a) In any fact-finding process conducted pursuant to Section 31-273-2 or Section 31-273-5 of the Regulations of Connecticut State Agencies, each party shall be afforded, subject to the Administrator’s co…

Regulations of Connecticut State AgenciesSec. 31-273-9. Employer fraud: contested case hearing(a) If, after investigation, the Administrator determines that there is probable cause to believe that a person, firm or corporation has wilfully failed to declare payment of wages in a …

Regulations of Connecticut State AgenciesSec. 31-275-1. DefinitionsAs used in subdivision (1) of section 31-275 of the general statutes:(1) \"A Preliminary Act\" and \"Acts In Preparation For Work\" mean acts performed prior to the start of the employee's work day, and include, b…

Regulations of Connecticut State AgenciesSec. 31-275-2. Definitions applicable to Department of Correction employees as required by section 31-275(1)(G) of the Connecticut General StatutesAs used in subparagraph (A)(ii) of subdivision (1) of section 31-275 of the Connecticut Gene…

Regulations of Connecticut State AgenciesSec. 31-279-1. Claims administration(a) As a condition of procuring a certificate of self-insurance or a license to write workers' compensation insurance, each self-insurer or carrier shall maintain a staff of claims adjusters or attorneys…

Regulations of Connecticut State AgenciesSec. 31-279-10. Medical care plans(a) All medical care plans submitted pursuant to Section 31-279 of the Connecticut General Statutes by any employer or, on behalf of one or more employers, by any insurer, mutual employer association, self…

Regulations of Connecticut State AgenciesSec. 31-279-2. Attendance at hearingsPunctual appearance by an authorized representative at every conference or hearing assigned by the commissioner is required, unless such attendance is excused by the commissioner prior to the conference…

Regulations of Connecticut State AgenciesSec. 31-279-3. Request for continuanceExcept in cases of unforeseeable emergency, requests for continuances shall be made in time to provide adequate notice to all parties, and should normally not be made ex parte, but only after communica…

Regulations of Connecticut State AgenciesSec. 31-279-4. Basis for decisionUnless prior approval for cause is secured from the commissioner, a claim assigned for a formal hearing shall be decided on the basis of the evidence adduced by the parties at the time and place designated.…

Regulations of Connecticut State AgenciesSec. 31-279-5. Voluntary agreements and stipulationsRepresentatives of carriers and self-insurers who appear at informal and formal hearings shall be authorized by their principals to enter into voluntary agreements and stipulations, at le…

Regulations of Connecticut State AgenciesSec. 31-279-6. Assignment of hearingsAn assignment should normally be requested of a compensation commissioner only when prior consultations between the parties have failed to achieve an agreement which can be reduced to writing. It shall …

Regulations of Connecticut State AgenciesSec. 31-279-7. (Repealed) Repealed November 23, 1993. AUTHORITY: Conn. Gen. Stat. § 31-279

Regulations of Connecticut State AgenciesSec. 31-279-8. Fees for professional servicesUntil such time as the board of compensation commissioners shall establish fees for professional services as authorized by section 31-279, the pecuniary liability of the employer for medical and…

Regulations of Connecticut State AgenciesSec. 31-279-9. Obligations of attending physicianPersons who supply professional services to injured employees entitled to medical care by virtue of chapter 568 of the general statutes shall be presumed to agree to the following conditions…

Regulations of Connecticut State AgenciesSec. 31-279(b)-1. Statutory notice to employeesThe notice to employees required by Public Act 75-223 shall be substantially in the following form: STATE OF CONNECTICUTNOTICE TO EMPLOYEESWORKMEN’S COMPENSATION ACT > (Effective May 24, 1976)

Regulations of Connecticut State AgenciesSec. 31-279(b)-2. Type size on noticeSuch notice shall be printed in type not less than ten point bold face.(Effective May 24, 1976)

Regulations of Connecticut State AgenciesSec. 31-279(b)-3. Posting requirementEach place of employment of persons subject to the provisions of chapter 568 of the general statutes shall post such a notice in a place readily accessible to all employees. (Effective May 24, 1976)

Regulations of Connecticut State AgenciesSec. 31-279(b)-4. Policy revisionsThe information in such notice shall be kept current by each employer to whom a certificate of solvency has been issued, and shall be revised by each insured employer each time a new policy of workmen's co…

Regulations of Connecticut State AgenciesSec. 31-279(b)-5. Effective dateThese regulations shall take effect upon the joint approval of the Attorney General and the Legislative Regulations Review Committee. (Effective May 24, 1976)

Regulations of Connecticut State AgenciesSec. 31-280-1. List of approved physicians, surgeons, podiatrists, optometrists and dentists; standards for approval and removal from the list(a) The list of approved practicing physicians, surgeons, podiatrists, optometrists and dentists …

Regulations of Connecticut State AgenciesSec. 31-280-2. Practitioner fee schedule(a) Definitions(b) Practitioner Fee Schedule(c) Medical Advisory Board(d) Practitioner Billing and Payment Guidelines(e) Dispute Resolution(Effective January 31, 1994) AUTHORITY: Conn. Gen. Stat. § 3…

Regulations of Connecticut State AgenciesSec. 31-280-3. Practitioner fee schedule(a) DefinitionsFor purposes of section 31-280-3 governing practitioner fee schedule, the following definitions apply: (1) \"Chairman\" means the Chairman of the Workers' Compensation Commission.(2) \…

Regulations of Connecticut State AgenciesSec. 31-283a-1. DefinitionsAs used in sections 31-283a-1 through 31-283a-6, inclusive:(1) \"Chairman\" means the Chairman of the Connecticut Workers' Compensation Commission, selected by the Governor pursuant to Section 31-276, whose power…

Regulations of Connecticut State AgenciesSec. 31-283a-2. Vocational rehabilitation benefit eligibilityAs provided in Section 31-283a of the general statutes, a disabled employee may be eligible for vocational rehabilitation benefits, provided the Chairman or his designee finds th…

Regulations of Connecticut State AgenciesSec. 31-283a-3. Vocational rehabilitation programs and benefits provided to eligible employees(a) Vocational evaluation. Each employee may be evaluated to determine the need and/or type of rehabilitation services which may be provided. Thi…

Regulations of Connecticut State AgenciesSec. 31-283a-4. Rehabilitation allowance payments(a) Eligibility. The Chairman or his designee may provide to each person for whom a vocational rehabilitation plan has been approved, timely allowances for basic living expenses of the emplo…

Regulations of Connecticut State AgenciesSec. 31-283a-5. Discontinuance of benefits(a) Maintenance of benefits. The trainee shall complete each approved vocational rehabilitation plan unless the Chairman or his designee shall find one or more of the following conditions to exist:…

Regulations of Connecticut State AgenciesSec. 31-283a-6. Contested vocational rehabilitation cases. Appeal process(a) Notice of appeal. Any person having made application for vocational rehabilitation benefits and aggrieved by action of the Workers' Compensation Commission in wit…

Regulations of Connecticut State AgenciesSec. 31-284-1. DefinitionsAs used in Sections 31-284-1 through 31-284-20, inclusive:(1) \"Act\" means the State of Connecticut Workers' Compensation Act, Chapter 568, as amended; Sections 37-3a, 38a-470, 51-85, 52-149a, and 52-174; and Adm…

Regulations of Connecticut State AgenciesSec. 31-284-10. Excess insurance(a) Excess insurance shall be maintained by each self-insurer unless waived by the Chairman or his designee. (b) Excess insurance shall be issued by an insurance carrier permitted to write workers' compensat…

Regulations of Connecticut State AgenciesSec. 31-284-11. Reporting requirements(a) Financial Reports. Initial applications shall be accompanied by the three (3) proceeding fiscal years' independently audited financial reports. Renewal applicants shall submit the latest available …