An illustration of the application of this newly established SAWW on weekly benefit rates for claims involving injuries occurring on or after October 1, 2000 is as follows:
The weekly compensation rate for temporary and total disability benefits under § 34 shall equal sixty percent of the employee's average weekly wage before the injury, but no more than a maximum weekly compensation rate equal to $ 830.89 (one hundred percent of the present SAWW), unless the average weekly wage of the employee is less than the minimum weekly compensation rate of $ 166.18 (twenty percent of the present SAWW), in which case said weekly compensation shall equal the employee's average weekly wage. The weekly compensation rate for permanent and total benefits under § 34A shall equal two-thirds of the employee's average weekly wage before the injury, but no more than the maximum weekly compensation rate of $ 830.89, nor less than the minimum weekly compensation rate of $ 166.18.
Recipients of total disability benefits under § 34 and § 34A for claims involving injuries occurring before October 1, 2000 should consult Table I of this Circular Letter. To calculate supplemental benefits due pursuant to § 34 B and § 35 F for prior years, please refer to previous Circular Letters corresponding to the date such benefits became due as set forth by the requirements of M.G.L. c. 152 and 452 CMR 3.03.
Please note that only claimants with dates of injury prior to 12/24/91 may be entitled to supplemental benefits pursuant to § 35 F.
To calculate the adjustment under § 34B* multiply the claimant's unadjusted weekly compensation by the ADJUSTED MULTIPLIER FOR TOTAL COMP (the amount in the fifth column of the attached table for injuries occurring before December 24, 1991 or the amount in the eighth column for injuries occurring on or after December 24, 1991) in the attached table for the claimant's year of injury. For the purpose of calculating adjustments or reimbursements, the year of injury begins on October 1st and ends on September 30th of each year. To be eligible for a COLA under § 31 or § 34A the date of injury must have occurred at least two years prior to this review date (October 1, 2000).
COLAs for persons receiving partial benefits under § 35 are payable only to those employees with an injury date on or after January 1, 1986 but before December 24, 1991 whose injury occurred at least three years prior to this review date. To calculate the adjustment under § 35F* multiply the claimant's unadjusted weekly compensation by the ADJUSTED MULTIPLIER FOR PARTIAL COMPENSATION (the amount in the tenth column in the attached Table I) for the claimant's year of injury.
Insurers are entitled to quarterly reimbursements from the Workers' Compensation Trust Fund (WCTF) for certain supplemental benefits (cost-of-living adjustments). When supplemental benefits are paid to permanently and totally disabled recipients or survivors under § 34A or § 31 as outlined above, complete reimbursement is made where the injury occurred on or before October 1, 1986 using column five. Where the injury occurred after 10/1/86 and before 12/24/91, the amount reimbursable can be calculated by using the REIMBURSEMENT FACTOR (the amount in the eleventh column of the table). For injuries occurring on or after 12/24/91, there is no reimbursement from the WCTF for COLA adjustments made under § 34B. Furthermore, there are no reimbursements from the Workers' Compensation Trust Fund for COLA adjustments under § 35F for any claim involving the payment of temporary, partial disability benefits under § 35. Payments must be made promptly when they are due.
To apply for reimbursements under § 34B(c) for cost-of-living adjustments as calculated above, please complete the attached forms, and forward them to the address given below.
Requests for reimbursements should be submitted at the close of each quarter of the calendar year. Requests submitted during the first calendar quarter of 2001 should be for reimbursements of monies due and paid during the last calendar quarter of 2000. Please note that, pursuant to §34B(c), reimbursements will be denied to any insurer that has paid supplemental benefits prior to 24 months from the recipient's date of injury.
[*If the claimant is receiving social security disability benefits the adjusted compensation should be capped at the point where one more dollar in such compensation would have the effect of reducing any social security disability benefits the claimant is receiving. To determine whether and how such a cap should be applied, please refer to Circular Letter 227 dated October 22, 1986.] All requests for reimbursement must be accompanied by a completed CR-28 Form corresponding to the period for which reimbursement is sought. In addition, all prior years' CR-28 Form for each claimant whose COLA the insurer is seeking reimbursement must be submitted in FY'01 to provide that any capital COLA offsets were taken and that no COLA was improperly paid.
CR-28 forms and the Department of Industrial Accidents (DIA) forms for requesting § 65 COLA and § 34 (b)(c) COLA quarterly reimbursements are available on request.
The schedule of adjusted attorney's fees is contained in <strong>Table II</strong> . Please note that the new rates apply only to cases involving injuries on or after December 24, 1991. For cases involving injuries before December 24, 1991, the fees remain as set out in § 13A.