Pennsylvania Workers' Compensation Act

Topical Index

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Subject
Section(s)
J
Joinder Reg. 131.36
Judges: (topics to follow)
  administrative support, staff 1405
  appointment by secretary 1401(b)
  attorney fees, authority to approve 442
  authority to: (topics to follow)
    appoint impartial physician 420
    determine qualifications of vocational experts Reg. 123.203
    grant compromise and release: (topics to follow) 449
      conduct resolution hearing 401.1
      timing of decision, after resolution hearing 401.1
    grant/deny continuance or postponement of hearing Reg. 131.13
    hear evidence 413(a) / 418-419
    order expert interview 314(a)
    order investigation of facts 420 / 437
    order physical examination of employe 314
    order production of books 418 / 436
    set aside final receipt 434
    use expert 420
  awards by 413(a) / 418
  civil service status 1401(d)
  code of ethics 1404
  common law, not binding upon 422
  compromise and release, authority to grant 449
  conclusions of law, duty to make 418
  definition 109 / 401
  determination of compensation payable by judge where facts
  are agreed upon
411
  disallowance, authority to order 413(a)
  evidence, see Evidence
  fact, findings of 413(a) / 418
  hearings: (topics to follow)
    by judge 401.1 / 413
    duty to make record of 418
    notice of, duty to serve on all parties 417
    request for continuance or postponement of Reg. 131.13
    scheduling time and place of by judge 417
  mandatory trial schedule, duty to establish 401.1
  mediation, duty to schedule 401.1
  record of hearing 418
  recusal Reg. 131.24
  requirements for appointment 1403
  secretary, role of 1401
  subpoenas 413(a) / 418 / 436 / Reg. 131.81
  training 1401 / 1403
  witness 413(a)
Judgment: (topics to follow)
  compensation due, judgment for 428
  reduction of, partial and total 429
  satisfaction of 429
Judgment lien, not divested by appeal 430
Jurisdiction 101 / 305.2
L
Landscape architect 105.3
Land surveyor 105.3
Legal services, claims or agreements for 501
Liens and incumbrances: (topics to follow)
  against compensation, filing of 501
  for attorney fees, legal services 501
  judgment not divested by appeal 430
  on property of employer or insurer in default 428
List of health care providers 306(f.1)
Local authorities, powers and duties 106
Loco parentis, qualifying children for death benefits 307(7)
Loss of members, see Compensation
Loss of use, see Compensation
Loss of wages affecting suspension of compensation 413
Loss of time, recovery as costs 440
M
"Mailbox rule" 406 / Reg. 121.3(c)
Mailing of petitions, notices of compensation payable, and agreements for compensation: (topics to follow)
  presumption regarding mailing 406 / Reg. 131.11
  to the department 403
  to all parties 406
Mandatory acceptance of Act 301(a) / 303(a)
Maximum weekly compensation payable: (topics to follow)
  definition 105.2
Mediation: (topics to follow)
  definition 401
  judge's duty to schedule 401.1
  timing of 401.1
Medical bills: (topics to follow)
  duty of employer/insurer to provide payment for: (topic to follow) 306(f.1)
    within 30 days of receipt of bill 306(f.1)(5)
  calculation by insurer of amount of payment Reg. 127.205
  form of request for payment Regs. 127.201-202
  interest on untimely payments Reg. 127.210
  submission of medical reports: (topics to follow) Reg. 127.203
    if not provided, insurer is not obligated to pay Reg. 127.203(d)
    request for additional documentation Reg. 127.206
  time for payment: (topic to follow) Reg. 127.208
    following UR determination against insurer Reg. 127.479
Medical charges, prohibition against fragmenting or unbundling 306(f.1)(3)(viii) / Reg. 127.109 / Reg. 127.204
Medical cost containment regulations Reg. 127.1 et seq.
Medical exam: (topics to follow)
  employer request 314
  recovery for costs 440
Medical fee caps: (topics to follow) 306(f.1)(3)
  Medicare Reg. 127.101
  outpatient providers Reg. 127.103
  trauma centers and burn facilities, exemption from Reg. 127.128
  usual and customary charges, 80% of Reg. 127.102
Medical fee review 306(f.1)(5)
Medical, hospital and surgical services, payments for: (topics to follow) 306(f.1)
  downcoding by insurers: (topic to follow) Reg. 127.207
    disputes regarding Reg. 127.254
  fee caps and schedules: (topics to follow) Reg. 127.101
    ASC's Reg. 127.125
    chiropractors Reg. 127.105
    doctors performing spinal manipulation Reg. 127.106
    durable medical equipment Reg. 127.108
    home health care providers Reg. 127.123
    home infusion therapy Reg. 127.108
    inpatient acute care providers Regs. 127.110-116
    new providers Reg. 127.126
    out-of-state treatment Reg. 127.129
    outpatient acute care providers, specialty hospitals not subject to
    Medicare fee schedules
Regs. 127.117-121
    outpatient providers Reg. 127.103
    physical therapy centers and independent physical therapists Reg. 127.107
    physicians Reg. 127.104
    renal dialysis, outpatient and end-stage Reg. 127.124
    skilled nursing facilities Reg. 127.122
    supplies and services not covered by Reg. 127.109
    trauma center and burn facilities Reg. 127.128
Medical records, duty to furnish: (topics to follow) 422
  assemble prior to filing petition Reg. 131.51
  medical records for utilization review purposes Regs. 127.457-464
Medical services, employe’s refusal to 306(f.1)
Medical treatment: (topics to follow)
  duty to treat with designated health providers 306(f.1)(1)(i)
  payment for 306(f.1)
  right to second opinion for invasive surgery 306(f.1)(1)(i)
  right to treat with provider of choice 306(f.1)(1)(i)
Medicare 306(f.1)
  fee caps and schedules: (topics to follow) Reg. 127.101
    ASC's Reg. 127.125
    chiropractors Reg. 127.105
    doctors performing spinal manipulation Reg. 127.106
    durable medical equipment Reg. 127.108
    home health care providers Reg. 127.123
    home infusion therapy Reg. 127.108
    inpatient acute care providers Regs. 127.111-116
    new providers Reg. 127.126
    out-of-state treatment Reg. 127.129
    outpatient acute care providers, specialty hospitals not subject to
    Medicare fee schedules
Regs. 127.117-121
    outpatient providers Reg. 127.103
    physical therapy centers and independent physical therapists Reg. 127.107
    physicians Reg. 127.104
    renal dialysis, outpatient and end-stage Reg. 127.124
    skilled nursing facilities Reg. 127.122
    supplies and services not covered by Reg. 127.109
    trauma center and burn facilities Reg. 127.128
    usual and customary charges, 80% of Reg. 127.102
  medical fee updates Regs. 127.151-162
Minors: (topics to follow)
  certificates of employment 320(e)-(f)
  guardian of, payment to 307
  illegal employment of 301(b) / 320
  misrepresentation of age by minor to obtain employment 301(b)
  right to receive compensation 301(b)
Modification: (topics to follow)
  employer's obligation to offer job before filing for Reg. 123.301
  filing of petition as supersedeas request 413(a.1)-(a.2) / Reg. 131.49
  insurer’s ability to modify due to earnings on return to work 413(d) / Reg. 121.17(c) / Reg. 131.50-50a
  notice of compensation agreement and supplemental agreement,
  authority of judge
413
  service of copy by department 405-406
  supplemental agreement for 407-408
Motion by department to institute proceeding before judge 402 / 435(b)
Multiple employers, occupational disease as injury 301(c)(2)
Multiple exposure, occupational disease 301(c)(2)
Multiple injuries 306(d) / 322
Municipalities: (topics to follow)
  allocation of premiums when volunteer emergency services used/provided 602
  as employers 103
  collective bargaining and fire and police employes, effect on arbitration 450(b)
  proof of insurance for issuing building permits: (topics to follow)
    liability 302(h)
    required 302(e)
N
Natural persons: (topics to follow)
  employe 104
  employer 103
Negligence/contributory negligence of employe or fellow employe: (topics to follow)
  defense abolished 201
  liability for in scope of employment 202
  Liability for assistant or laborer 203
  no effect on employer liability for compensation 301(a)
Noise: (topics to follow)
  hazardous occupational noise 105.4
  long-term exposure 105.6
Notice: (topics to follow)
  denial of claim 401.1 / 406.1
  employe’s duty to report employment 311.1
  employer’s requirement to post 305(e)
  hearing, time and place of 417
  injury to employer by employe 311-313
  of reassignment, to all parties Reg. 131.22
  to employe of his rights and duties to treat with panel physician 306(f.1)(1)(i) / Regs. 127.754-755
  wages, duty to report 311.1
  "workers' compensation information" Reg.121.3b
Notice of compensation payable: (topics to follow) 407 / Reg. 121.7
  department review of Reg. 121.12
  forms for 406.1 / Reg. 121.3
  mailing and delivery of 403
  modification, suspension, reinstatment and termination of 408 / 413(a)-(a.2)
O
Occupational disease provisions: (topics to follow)
  alternative right to claim under act 444
  compensation for silicosis, anthracosilicosis or pneumoconiosis 301(d) / 305.1 / Reg. 121.21
  death, time requirement for compensation 301(c)(2)
  disability, compensation for 301(c)(2) / 301(d)
  diseases covered 108
  employment within the commonwealth 301(d)
  employment requirements 301(c)-(d)
  exposure date 301(c)(2)
  hazardous occupation, presumption 301(e)
  last exposure 301(c)(2) / 315
  presumptions: (topics to follow)
    disease arising from hazardous occupation or industry 301(e)
    hepatitis C presumption 108(m.1)
  services provided by department to persons adversely affected by disease 435(e)
  statute of limitations 301(c)(2) / 301(d)
  weekly wage, computation of Reg. 121.14
Office of adjudication, see Adjudication
Offsets to compensation, see Credits: (topics to follow) 204 / Regs. 123.1 et seq.
  application of offset generally: (topics to follow) Reg. 123.4
    for pension benefits Reg. 123.8
    for severence benefits Reg. 123.11
    for social security (old age) benefits Reg. 123.7
    for unemployment compensation benefits Reg. 123.6
  for benefits already received Reg. 123.5
  report receipt of benefits subject to offset Reg. 123.3
  reporting and verification requirements Regs. 123.501-502
One-day trials Reg. 131.53a
Orders to show cause Reg. 121.27
Out-of-state employment 305.2
P
Partial disability 306(a.2)-(g)
Parties, notice of hearings served upon 414
Partnerships as employers 103
Payments: (topics to follow)
  delivery of compensation checks Reg. 121.25
  for non-occupational injury or disease 315
  future installments into trust 317
  generally 407 / Reg. 121.25
  incarceration, effect on 306(a.1)
  not assignable 318
  of wages, duty to report 311.1
  of medical bills, time for: (topic to follow) Reg. 127.208
    following UR determination Reg. 127.479
  periodic installments 308 / Reg. 121.25
  promptness: (topics to follow) 401.1
    following agreement 409
    following judge's decision 428
    twenty-one day rule 406.1(a)
  pro rata 322
  upon execution of agreement 409
  waiting period 306(a) / 306(d) / 407 / 413(a) / Reg. 121.15
Peer review: (topics to follow)
  definition 109
  determination, time limit for Reg. 127.623
  judge’s authority to order 420(a) / Reg. 127.601
  failure of provider under review to supply records Reg. 127.612
  motion by party for Regs. 127.602-603
  obtaining medical records Regs. 127.609-611
  payment 420(b)
  procedure: (topics to follow)
    assignment: (topics to follow)
      to PRO by bureau Reg. 127.605
      to reviewer by PRO Reg. 127.613
    forwarding request to bureau Reg. 127.604
    reassignment when PRO is unable to perform: (topic to follow) Reg. 127.606
      conflict of interest Reg. 127.607
    withdrawal of request Reg. 127.608
  report: (topics to follow)
    as evidence Reg. 127.626
    duty of the PRO to review Reg. 127.622
    filing and service Reg. 127.624
    payment for Reg. 127.627
  reviewers, duties of Regs. 127.616-621
Peer review organization: (topics to follow)
  assignment of peer review request to reviewer Reg. 127.613
  authorization, procedure and requirements Regs. 127.651-670
  duty to review report Reg. 127.622
  record retention requirement Reg. 127.625
Penalty for: (topics to follow)
  adjusting company’s failure to pay compensation promptly 441(c)
  delay in hearing 401.1
  delay in payment of compensation 435(d)
  failure of employer to comply with insurance provisions 305(b)
  failure to comply with summons or subpoena 436
  failure to pay without grant of supersedeas 430
  illegal employment of minor 320
  insurer’s failure to pay compensation promptly 441(a)
  self-insurer’s failure to pay compensation promptly 441(b)
  violation of the act, rules, or regulations 435(d)
Penalty proceedings Regs. 131.121-122
  Bureau's right to intervene Reg. 121.27a
Pension, receipt of: (topics to follow) 204(a) / 204(c)
  application of offset for Reg.123.9
  multi-employer pension fund offsets Reg. 123.10
  offset for pension benefits generally Reg. 123.8
  report receipt of benefits Reg. 123.3 / Reg. 123.501
Permanent disability resulting in qualification for subsequent injury compensation 306.1
Permanent injuries 306(c)
Petitions: (topics to follow)
  assignment of petition to judge 414
  assignment of petition to substitute judge: (topic to follow) 415
    reassignment, agreed to by parties Reg. 131.22
  determination of 401.1
  expert interview, petition for by employer 314
  filing date 406 / Reg. 121.3(c)
  final receipt, provisions for 434
  forms of: (topics to follow) 402
    completion of Reg. 121.3
  hearing of: (topic to follow) 401.1
    time for scheduling of 417
  mailing and delivery 403 / 406 / Reg. 131.11
  modify compensation, petition to 413
  notice of assignment to judge 414
  physical examination of employe 314
  proceedings before judge instituted by 402 / Reg. 131.31
  rehearing, board’s authority to grant 426
  reinstate, petition to 413(a)
  review, petition to 413
  review by bureau of UR determinations Reg. 127.551
  set aside, petition to 413
  supersedeas, petition for 413 / Reg. 131.41
  suspend, petition to 413
  terminate, petition to 413
Physical examination of employe 314
Physician: (topics to follow)
  affidavit of admissible as evidence 422
  affidavit of as automatic request for supersedeas 413(a.1)
  compensation for performing peer review services 420
  designation by department as IRE physician Reg. 123.104
  employe’s right to select 306(f.1)
  employer’s designation of on list 306(f.1) / Regs. 127.751-755
  impairment rating evaluations, qualifications 306(a.2)(1) / Reg. 123.103
  impartial physicians for peer review 420
  report of as part of record 422
  selection of by employe during employer requested examination 314
Police: (topics to follow)
  auxiliary and school 104
  municipal, arbitration not binding 450(b)
Posthumous children, eligibility for death benefits 307(7)
Prefund account 909
Prefund claimant, defined 901
Premises of employer 301(c)
Prepayment of future installments into trust 317
Prescription drugs 306(f.1) / Regs. 127.131-135
Presumptions: (topics to follow)
  hepatitis C 108(m.1)
  occupational disease 301(e)
  served on date mailed 406
Previous physical conditions 301(c)
Primary liability of contractor 302(a)
Principally localized employment: (topic to follow) 305.2(a) / 305.2(d)(4)
  by written agreement 305.2(d)(5)
Priority of employe’s claim for compensation 318
Proceedings before judge, institution of 402
Professional athletes 308.1
Promulgation of rules and regulations 401.1 / 435
Proof of service Reg. 131.11(d)
Property of employer under control, management and supervision of employe 202
Prosthesis or artificial limb, employer’s liability for 306(f.1)
Prostitution, affecting eligibility 307
Prothonotary: (topics to follow)
  ability to enter judgment against employer in default 428
  costs for 431
Public authorities, exercise of powers and duties 106
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