(1) As used in this section:

medical exam

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Terms Used In Utah Code 34A-2-201.5

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Commission: means the Labor Commission created in Section 34A-1-103. See Utah Code 34A-1-102
  • Compensation: means the payments and benefits provided for in this chapter or Chapter 3, Utah Occupational Disease Act. See Utah Code 34A-2-102
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Decision: includes :
                   (1)(d)(ii)(A) an award or denial of a medical, disability, death, or other related benefit under this chapter or Chapter 3, Utah Occupational Disease Act; or
                   (1)(d)(ii)(B) another adjudicative ruling in accordance with this chapter or Chapter 3, Utah Occupational Disease Act. See Utah Code 34A-2-102
  • Division: means the Division of Industrial Accidents. See Utah Code 34A-2-102
  • Federal Deposit Insurance Corporation: A government corporation that insures the deposits of all national and state banks that are members of the Federal Reserve System. Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Order: means an action of the commission that determines the legal rights, duties, privileges, immunities, or other interests of one or more specific persons, but not a class of persons. See Utah Code 34A-2-102
  • Person: means :
         (24)(a) an individual;
         (24)(b) an association;
         (24)(c) an institution;
         (24)(d) a corporation;
         (24)(e) a company;
         (24)(f) a trust;
         (24)(g) a limited liability company;
         (24)(h) a partnership;
         (24)(i) a political subdivision;
         (24)(j) a government office, department, division, bureau, or other body of government; and
         (24)(k) any other organization or entity. See Utah Code 68-3-12.5
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
  • United States: includes each state, district, and territory of the United States of America. See Utah Code 68-3-12.5
     (1)(a) “Acceptable security” means one or more of the following:

          (1)(a)(i) cash;
          (1)(a)(ii) a surety bond issued:

               (1)(a)(ii)(A) by a person acceptable to the division; and
               (1)(a)(ii)(B) in a form approved by the division;
          (1)(a)(iii) an irrevocable letter of credit issued:

               (1)(a)(iii)(A) by a depository institution acceptable to the division; and
               (1)(a)(iii)(B) in a form approved by the division;
          (1)(a)(iv) a United States Treasury Bill;
          (1)(a)(v) a deposit in a depository institution that:

               (1)(a)(v)(A) has an office located in Utah; and
               (1)(a)(v)(B) is insured by the Federal Deposit Insurance Corporation; or
          (1)(a)(vi) a certificate of deposit in a depository institution that:

               (1)(a)(vi)(A) has an office located in Utah; and
               (1)(a)(vi)(B) is insured by the Federal Deposit Insurance Corporation.
     (1)(b) “Compensation” is as defined in Section 34A-2-102.
     (1)(c) “Depository institution” is as defined in Section 7-1-103.
     (1)(d) “Member of a public agency insurance mutual” means a political subdivision or public agency that is included within a public agency insurance mutual.
     (1)(e) “Public agency insurance mutual” is as defined in Section 31A-1-103.
     (1)(f) “Self-insured employer” means one of the following that is authorized by the division to pay direct workers’ compensation benefits under Subsection (2):

          (1)(f)(i) an employer; or
          (1)(f)(ii) a public agency insurance mutual.
(2)

     (2)(a) If approved by the division as a self-insured employer in accordance with this section:

          (2)(a)(i) an employer may directly pay compensation in the amount, in the manner, and when due as provided for in this chapter and Chapter 3, Utah Occupational Disease Act; and
          (2)(a)(ii) a public agency insurance mutual may directly pay compensation:

               (2)(a)(ii)(A) on behalf of the members of the public agency insurance mutual; and
               (2)(a)(ii)(B) in the amount, in the manner, and when due as provided in this chapter and Chapter 3, Utah Occupational Disease Act.
     (2)(b) If an employer’s or a public agency insurance mutual’s application to directly pay compensation as a self-insured employer is approved by the division, the application is considered acceptance:

          (2)(b)(i) of the conditions, liabilities, and responsibilities imposed by this chapter and Chapter 3, Utah Occupational Disease Act, including the liability imposed pursuant to Subsection 34A-2-704(14);
          (2)(b)(ii) by:

               (2)(b)(ii)(A) the employer; or
               (2)(b)(ii)(B)

                    (2)(b)(ii)(B)(I) the public agency insurance mutual; and
                    (2)(b)(ii)(B)(II) the members of the public agency insurance mutual.
     (2)(c) The division’s denial under this Subsection (2) of an application to directly pay compensation as a self-insured employer becomes a final order of the commission 30 calendar days from the date of the denial unless within that 30 days the employer or the public agency insurance mutual that filed the application files an application for a hearing in accordance with Part 8, Adjudication.
(3) To qualify as a self-insured employer, an employer or a public agency insurance mutual shall:

     (3)(a) submit a written application requesting to directly pay compensation as a self-insured employer;
     (3)(b) annually provide the division proof of the employer’s or the public agency insurance mutual’s ability to directly pay compensation in the amount, manner, and time provided by this chapter and Chapter 3, Utah Occupational Disease Act; and
     (3)(c) if requested by the division, deposit acceptable security in the amounts determined by the division to be sufficient to secure the employer’s or the public agency insurance mutual’s liabilities under this chapter and Chapter 3, Utah Occupational Disease Act.
(4)

     (4)(a) Acceptable security deposited by a self-insured employer in accordance with Subsection (3)(c) shall be:

          (4)(a)(i) deposited on behalf of the division by the self-insured employer with the state treasurer; and
          (4)(a)(ii) withdrawn only upon written order of the division.
     (4)(b) The self-insured employer has no right, title, interest in, or control over acceptable security that is deposited in accordance with this section.
     (4)(c) If the division determines that the amount of acceptable security deposited in accordance with this section is in excess of that needed to secure payment of the self-insured employer’s liability under this chapter and Chapter 3, Utah Occupational Disease Act, the division shall return the amount that is determined to be excess to the self-insured employer.
(5)

     (5)(a) The division may at any time require a self-insured employer to:

          (5)(a)(i) increase or decrease the amount of acceptable security required to be deposited under Subsection (3)(c); or
          (5)(a)(ii) modify the type of acceptable security to be deposited under Subsection (3)(c).
     (5)(b)

          (5)(b)(i) If the division requires a self-insured employer to take an action described in Subsection (5)(a), a perfected security interest is created in favor of the division in the assets of the self-insured employer to the extent necessary to pay any amount owed by the self-insured employer under this chapter and Chapter 3, Utah Occupational Disease Act, that cannot be paid by acceptable security deposited in accordance with this section.
          (5)(b)(ii) The perfected security interest created in Subsection (5)(b)(i) ends when the self-insured employer complies with the division’s request under Subsection (5)(a) to the satisfaction of the division.
(6)

     (6)(a) If an employer or a public agency insurance mutual is approved under Subsection (2) to directly pay compensation as a self-insured employer, the division may revoke the employer’s or the public agency insurance mutual’s approval.
     (6)(b) The division’s revocation of the employer’s or the public agency insurance mutual’s approval under Subsection (6)(a) becomes a final order of the commission 30 calendar days from the date of the revocation unless within that 30 days the employer or the public agency insurance mutual files an application for a hearing in accordance with Part 8, Adjudication.
(7) If the division finds that a self-insured employer has failed to pay compensation that the self-insured employer was liable to pay under this chapter or Chapter 3, Utah Occupational Disease Act, the division may use the acceptable security deposited and any interest earned on the acceptable security to pay:

     (7)(a) the self-insured employer’s liability under this chapter and Chapter 3, Utah Occupational Disease Act; and
     (7)(b) any costs, including legal fees, associated with the administration of the compensation incurred by:

          (7)(b)(i) the division;
          (7)(b)(ii) a surety;
          (7)(b)(iii) an adjusting agency; or
          (7)(b)(iv) the Uninsured Employers’ Fund.
(8)

     (8)(a) If the division determines that the acceptable security deposited under Subsection (3)(c) should be available for payment of the self-insured employer’s liabilities under Subsection (7), the division shall:

          (8)(a)(i) determine the method of claims administration, which may include administration by:

               (8)(a)(i)(A) a surety;
               (8)(a)(i)(B) an adjusting agency;
               (8)(a)(i)(C) the Uninsured Employers’ Fund; or
               (8)(a)(i)(D) any combination of Subsections (8)(a)(i)(A) through (C); and
          (8)(a)(ii) audit the self-insured employer’s liabilities under this chapter and Chapter 3, Utah Occupational Disease Act.
     (8)(b) The following shall cooperate in the division’s audit under Subsection (8)(a)(ii) and provide any relevant information in its possession:

          (8)(b)(i) the self-insured employer;
          (8)(b)(ii) if the self-insured employer is a public agency insurance mutual, a member of the public agency insurance mutual;
          (8)(b)(iii) any excess insurer;
          (8)(b)(iv) any adjusting agency;
          (8)(b)(v) a surety;
          (8)(b)(vi) an employee of a self-insured employer if the employee makes a claim for compensation under this chapter or Chapter 3, Utah Occupational Disease Act; and
          (8)(b)(vii) an employee of a member of a public agency insurance mutual that is approved as a self-insured employer under this section, if the employee makes a claim for compensation under this chapter or Chapter 3, Utah Occupational Disease Act.
(9)

     (9)(a) Payment by a surety is a full release of the surety’s liability under the bond to the extent of that payment, and entitles the surety to full reimbursement by the principal or the principal’s estate including reimbursement of:

          (9)(a)(i) necessary attorney’s fees; and
          (9)(a)(ii) other costs and expenses.
     (9)(b) A payment, settlement, or administration of benefits made in good faith pursuant to this section by a surety, an adjusting agency, the Uninsured Employers’ Fund, or this division is valid and binding as between:

          (9)(b)(i)

               (9)(b)(i)(A) the surety;
               (9)(b)(i)(B) adjusting agency;
               (9)(b)(i)(C) the Uninsured Employers’ Fund; or
               (9)(b)(i)(D) the division;
          (9)(b)(ii) the self-insured employer; and
          (9)(b)(iii) if the self-insured employer is a public agency insurance mutual, the members of the public agency insurance mutual.
(10)

     (10)(a) The division shall resolve any dispute concerning:

          (10)(a)(i) the depositing, renewal, termination, exoneration, or return of all or any portion of acceptable security deposited under this section;
          (10)(a)(ii) any liability arising out of the depositing or failure to deposit acceptable security;
          (10)(a)(iii) the adequacy of the acceptable security; or
          (10)(a)(iv) the reasonableness of administrative costs under Subsection (7)(b), including legal fees.
     (10)(b) The division’s decision under Subsection (10)(a) becomes a final order of the commission 30 calendar days from the date of the decision, unless within that 30 days the employer or public agency insurance mutual files an application for hearing in accordance with Part 8, Adjudication.
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