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PA Bulletin, Doc. No. 01-1296b

[31 Pa.B. 3841]

[Continued from previous Web Page]

§ 129.453.  Group self-insurance fund accident and illness prevention services providers requirements.

   (a)  Accident and illness prevention services providers employed by a group self-insurance fund or serving through a contract to perform accident and illness prevention services shall meet the requirements specified in Subchapter E (relating to accident and illness prevention services providers requirements).

   (b)  The Bureau may require the group self-insurance fund to provide documentation or evidence to support that the requirements for accident and illness prevention services providers have been met by each individual providing accident and illness prevention services, whether employed or under contract, based on the criteria in Subchapter E.

§ 129.454.  Reporting requirements for applicants for group self-insurance fund status.

   (a)  As part of its application for group self-insurance fund status submitted to the Bureau, an applicant for self-insurance fund status shall provide the Bureau with detailed information on its accident and illness prevention program that will be offered or provided to group self-insurance fund members as required under § 129.452 (relating to program requirements) using form LIBC-231G, Initial Report of Accident and Illness Prevention Program Status.

   (b)  As part of the process of granting group self-insurance fund status, the Bureau will use this information to determine whether to grant group self-insurance fund status.

§ 129.455.  Reporting requirements for group self-insurance funds.

   (a)  A group self-insurance fund shall provide the Bureau with detailed information on its accident and illness prevention program using the AIPPS report along with the annual report to the Bureau required under section 815 of the act (77 P. S. § 1036.15).

   (b)  A group self-insurance fund shall also provide information describing the established methods used to identify individual group self-insurance fund members requiring accident and illness prevention services. A group self-insurance fund shall also provide data describing accident and illness prevention services efforts for the identified members and the effectiveness of these efforts in improving injury and illness rates.

   (c)  In addition, documentation required by other governmental regulatory agencies can be used as supporting evidence of accident and illness prevention programs.

   (d)  Report information shall be subject to Bureau verification.

§ 129.456.  Report findings.

   (a)  Upon receipt of a report required under § 129.454 (relating to reporting requirements applicants for group self-insurance fund status), the Bureau will review the report data and make a final determination of the adequacy or inadequacy of programs and provide notification to the group self-insurance fund applicant.

   (b)  Upon receipt of a report required under § 129.455 (relating to reporting requirements for group self-insurance funds), the Bureau will review the report data and make a final determination of adequacy or an initial determination of inadequacy of programs. An inadequate determination may result in an audit of programs before a final determination is made. The Bureau will provide notification to the group self-insurance fund of its final determination.

§ 129.457.  Service requirements.

   A group self-insurance fund shall maintain or provide through its own or contracted accident and illness prevention services providers the following accident and illness prevention services to members:

   (1)  Onsite surveys to identify existing or potential accident and illness hazards or safety program deficiencies. If through a survey and analysis of survey results it is determined that the hazards or deficiencies are present, corrective actions shall be proposed to the group self-insurance fund member concerning the abatement of hazards or program deficiencies identified in the surveys. If one or more imminent danger situations or program deficiencies are identified, the group self-insurance fund shall inquire as to the corrective actions the group self-insurance fund member has taken and propose further corrective actions if necessary.

   (2)  Analyses of the causes of accidents and illnesses at the members' worksites.

   (3)  Providing or proposing corrective actions in the area of industrial hygiene services as requested by the group self-insurance fund member or as determined by the group self-insurance fund to meet the group self-insurance fund members' operational requirements, for example, air quality testing.

   (4)  Providing or proposing corrective actions in the area of industrial health services as requested by the group self-insurance fund member or as determined by the group self-insurance fund to meet the group self-insurance fund members' operational requirements, for example, health screenings or substance abuse awareness and prevention training policies and programs.

   (5)  Accident and illness prevention training programs which may include training for safety committee members as outlined under Subchapter F (relating to workplace safety committees).

   (6)  Consultations regarding specific safety and health problems and hazard abatement programs and techniques.

   (7)  Review of planned or newly introduced industrial materials, processes, equipment, layouts and techniques to identify potential hazards and to recommend methods to mitigate any hazards identified.

§ 129.458.  Recordkeeping requirements.

   (a)  Group self-insurance funds shall maintain records of accident and illness prevention programs or services for each member for the most complete current fiscal year and 2 preceding consecutive fiscal years which include:

   (1)  The dates of requests for services.

   (2)  The services requested or problems presented.

   (3)  The dates of the group self-insurance fund's responses.

   (4)  The dates on which services were provided and member responses to proposed corrective actions.

   (5)  The number of hours expended providing services including both onsite and preparatory time.

   (6)  The final disposition of requests.

   (7)  The number of service visits.

   (8)  Other service reports including proposed corrective actions.

   (9)  The results of industrial hygiene and industrial health surveys and consultations.

   (10)  Accident and illness prevention training conducted.

   (11)  Safety-related materials provided.

   (12)  Member responses to group self-insurance fund proposed corrective actions.

   (b)  Group self-insurance funds shall annually solicit comments from their members regarding the effectiveness of the accident and illness prevention program provided by the group self-insurance fund. This information shall be made available to the Bureau upon request for the next current fiscal year and 2 preceding consecutive fiscal years.

§ 129.459.  Periodic audits of group self-insurance fund's accident and illness prevention program.

   (a)  The Bureau may audit a group self-insurance fund's accident and illness prevention program at least once every 2 years.

   (b)  The Bureau may audit a group self-insurance fund's accident and illness prevention program if the group self-insurance fund fails to file an AIPPS report by specified time frames or meet the requirements of this subchapter.

   (c)  A combined audit may be conducted for affiliated companies of a group self-insurance fund if the same facilities, accident and illness prevention program, and accident and illness prevention services are used by each of the companies.

   (d)  The notice of the audit will include the reasons for audit.

   (e)  At least 60-calendar days prior to an audit, the Bureau will notify the group self-insurance fund administrator in writing of the date on which the audit will occur.

§ 129.460.  Preaudit exchange of information.

   (a)  At least 45-calendar days prior to the audit, the group self-insurance fund administrator shall provide the Bureau with:

   (1)  If not already submitted, a completed annual AIPPS report as prescribed by the Bureau for the most recently completed fiscal year and, if requested, the AIPPS reports for 2 preceding consecutive fiscal years including those of its affiliated companies, if applicable.

   (2)  A list of the group self-insurance fund members, including the company name, address, telephone number and contact person.

   (3)  The types of accident and illness prevention program services provided to selected group self-insurance fund members during the last completed group self-insurance fund fiscal year.

   (4)  The name, address, business telephone number, credentials, experience and status (whether employed or contracted) of each person acting as an accident and illness prevention services provider for the group self-insurance fund.

   (b)  The Bureau will keep the list of group self-insurance fund members confidential.

   (c)  At least 15-calendar days prior to the date of the audit, the group self-insurance fund administrator shall provide the Bureau with information on forms prescribed by the Bureau that describe the selected group self-insurance fund member's accident and illness prevention program.

   (d)  If the information necessary for the audit is not furnished, the Bureau may cancel the audit, and a final determination of inadequate will be forwarded to the Director. The Director will notify the group self-insurance fund administrator of its final determination and initiate appropriate action regarding continuance of group self-insurance fund status. A final determination of inadequate may be challenged by the group self-insurance fund administrator in accordance with Subchapter G (relating to hearings).

§ 129.461.  Site of audit.

   (a)  The audit of the group self-insurance fund's accident and illness prevention program will take place at the group self-insurance fund administrator's main office in this Commonwealth unless otherwise agreed by the Bureau and the group self-insurance fund administrator. If the group self-insurance fund has no office in this Commonwealth, the audit will take place at the Bureau's headquarters.

   (b)  At the site where the audit will occur, the group self-insurance fund shall provide the documentation required by § 129.458 (relating to recordkeeping requirements) and any other documentation chosen by the group self-insurance fund supporting the existence and adequacy of required program elements.

§ 129.462.  Written report of audit.

   (a)  After the conclusion of the audit, the Bureau will issue a written report containing its findings. The report will indicate whether the Bureau has issued a final determination of adequate or an initial determination of inadequate with regard to a group self-insurance fund's accident and illness prevention program.

   (b)  The Bureau will notify the group self-insurance fund administrator of a final determination of adequate.

   (c)  The Bureau will provide written notification to the group self-insurance fund administrator of specific deficiencies and recommendations for corrective action if it assigns an initial determination of inadequate. Within 60-calendar days from the date of the audit report, the group self-insurance fund shall provide written documentation that it has complied with the Bureau's recommendations. If the group self-insurance fund believes that it will take more than 60 days to implement the recommendations, it shall file a plan of correction in accordance with § 129.463 (relating to plan of correction/reports of progress on correcting deficiencies). At the end of the 60-calendar-day correction period, a final determination of adequate or inadequate will be assigned. The group self-insurance fund administrator will receive notification of this final determination.

§ 129.463.  Plan of correction/reports of progress on correcting deficiencies.

   A group self-insurance fund shall file a plan of correction to implement audit report recommendations referenced in § 129.462(c) (relating to written report of audit) for any deficiency requiring more than 60 days to correct. The plan shall include a timetable for correction acceptable to the Bureau. Monthly progress reports shall be filed by the group self-insurance fund detailing corrective actions at the end of each 30-day period of the correction plan period. The Bureau may audit a group self-insurance fund's accident and illness prevention program if the group self-insurance fund fails to file progress reports, implement recommendations, or provide acceptable documentation of corrective actions. The group self-insurance fund will be notified of the determinations made by the Bureau.

§ 129.464.  Contesting final determinations.

   A group self-insurance fund administrator may contest a final determination of inadequate under Subchapter G (relating to hearings).

Subchapter E.  ACCIDENT AND ILLNESS PREVENTION SERVICES PROVIDERS REQUIREMENTS

Sec.

129.701.Purpose and scope.
129.702.Accident and illness prevention services providers requirements.
129.703.Proof of accident and illness prevention services providers credentials and experience.
129.704.Procedures for obtaining credential recognition.
129.705.Contesting denial of credential recognition or recognition as a qualified accident and illness prevention services provider.

§ 129.701.  Purpose and scope.

   This subchapter sets forth the requirements for accident and illness prevention services providers. These requirements apply only to those individuals either directly employed by or retained under contract with either a workers' compensation insurer, individual self-insured employer or group self-insurance fund and who provide accident and illness prevention services for the workers' compensation insurers' policyholders, the individual self-insured employer or group self-insurance fund members. Procedures by which organizations and associations may apply for recognition of credentials are also outlined.

§ 129.702.  Accident and illness prevention services providers requirements.

   (a)  A workers' compensation insurer, individual self-insured employer or group self-insurance fund shall directly employ accident and illness prevention services providers or shall retain contracted accident and illness prevention services providers who meet the requirements as described in this section to provide accident and illness prevention services.

   (b)  An individual providing accident and illness prevention services as an employee or contracted accident and illness prevention services provider shall supply annual proof of current credentials and experience to the insurer, individual self-insured employer or group self-insurance fund.

   (c)  An insurer, individual self-insured employer or group self-insurance fund administrator shall be responsible for reviewing the documentation or evidence to support that the requirements for accident and illness prevention services providers are being met according to the criteria in subsection (d). Verification that requirements have been met by all employed or contracted accident and illness prevention services providers utilized to provide accident and illness prevention services during the reporting period shall be submitted to the Bureau as part of the annual reports.

   (d)  An individual shall be recognized as an accident and illness prevention services provider within the meaning of section 1001(a) and (b) of the act (77 P. S. § 1038.1(a) and (b)) and this subchapter, by providing verification that the individual meets one or more of the following requirements:

   (1)  An educational degree or credential recognized by the Bureau in accident and illness prevention fields from accredited institutions or programs and at least 2 years of acceptable experience as set forth in subsection (e).

   (2)  A credential recognized by the Bureau from a professional organization in the field of accident and illness prevention and at least 2 years of acceptable experience as set forth in subsection (e).

   (3)  A credential from an industry-specific accident and illness prevention program recognized by the Bureau and at least 2 years of acceptable experience as set forth in subsection (e). Holders of recognized credentials will be restricted to the delivery of accident and illness prevention services as defined by the specific program within a given industry.

   (e)  The 2 years of accident and illness prevention experience required in subsection (d) shall include current, full-time professional experience providing accident and illness prevention services which accounts for at least 60% of the individual's activities. Acceptable activities include: identifying hazards; conducting safety and health surveys; proposing corrective actions; analyzing accident causes; and recommending or providing industrial hygiene and industrial health surveys and consultations.

   (f)  The Bureau will maintain a listing of recognized organizational credentials. Inquiries may be made to the Bureau for current information reflecting additions or deletions to that listing.

   (g)  An insurer, individual self-insured employer or group self-insurance fund can request in-service status for a services provider utilized to provide services for a given reporting period, but who does not meet Bureau requirements as outlined in subsection (d) and has not been previously granted in-service status. Providers granted in-service status shall have 5 years from the filing date of the annual report in which the request for in-service status was made to meet Bureau requirements as outlined in subsection (d). The activities of accident and illness prevention services providers claiming in-service status shall be directed by a services provider who meets the requirements of this subchapter during the 5-year period in which a recognized credential is being earned and required experience is being obtained. After that 5-year period, an individual who has not met Bureau requirements and submitted acceptable proof to the Bureau, through the employing or contracting insurer, individual self-insured employer or group self-insurance fund may not be recognized as an accident and illness prevention services provider for purposes of the act.

§ 129.703.  Proof of accident and illness prevention services providers credentials and experience.

   Proof of an individual's credentials and experience as an accident and illness prevention services provider shall be maintained by the insurer, individual self-insured employer or group self-insurance fund. For audit purposes, the proof of credentials and experience for each accident and illness prevention services provider shall be retained for the most complete current year and 2 preceding consecutive years.

§ 129.704.  Procedures for obtaining credential recognition.

   The Bureau will accept applications from educational programs, credentialing organizations or specific industry programs requesting recognition of credentials awarded by the organization. Form and content of applications will be specified by the Bureau.

§ 129.705.  Contesting denial of credential recognition or recognition as a qualified accident and illness prevention services provider.

   (a)  An organization may contest a denial of credential recognition under Subchapter G (relating to hearings).

   (b)  An insurer, individual self-insured employer or group self-insurance fund may contest a denial or recognition as a qualified accident and illness prevention services provider under Subchapter G.

Subchapter F.  WORKPLACE SAFETY COMMITTEES

Sec.

129.1001.Purpose.
129.1002.Application for initial certification.
129.1003.Minimum eligibility requirements.
129.1004.Committee formation and membership.
129.1005.Committee responsibilities.
129.1006.Committee member training.
129.1007.Certification.
129.1008.Certification renewal affidavit.
129.1009.Information verification.
129.1010.Recordkeeping requirements.
129.1011.Contesting final determinations.

§ 129.1001.  Purpose.

   This subchapter sets forth the certification criteria for the operation of workplace safety committees established for the purpose of accident and illness prevention. An applicant-employer shall meet the criteria in this subchapter to obtain certification or certification renewal of its workplace safety committees for its workplaces within this Commonwealth.

§ 129.1002.  Application for initial certification.

   (a)  An applicant-employer desiring to apply for certification of its workplace safety committee shall file form LIBC-372, Application for Certification of Workplace Safety Committee, with the Bureau. An application shall be filed for each legal entity of the applicant-employer and shall include all information and documentation requested in form LIBC-372.

   (b)  An applicant-employer shall file one application which shall incorporate all of the applicable applicant-employer workplaces within this Commonwealth.

   (c)  Applications shall be submitted to the Bureau between 90- and 30-calendar days prior to the annual renewal of a workers' compensation policy, self-insurance renewal year or group self-insurance fund year.

§ 129.1003.  Minimum eligibility requirements.

   (a)  An applicant-employer's committees shall be located within this Commonwealth.

   (b)  The committee shall be in existence and operating according to the requirements of this subchapter for 6 full, consecutive calendar months prior to the signing, dating and submission of the application.

   (c)  The committee membership shall represent all primary operations of the workplace.

   (d)  The committees shall be composed of a minimum of two employer-representatives and a minimum of two employee-representatives.

   (e)  Employer-representatives are individuals who, regardless of job title or labor organization affiliation, and based upon an examination of that individual's authority or responsibility, do one or more of the following:

   (1)  Select or hire an employee.

   (2)  Remove or terminate an employee.

   (3)  Direct the manner of employee performance.

   (4)  Control the employee.

   (f)  Employee-representatives are individuals who perform services for an employer for valuable consideration and do not possess any authority or responsibility described in subsection (e).

   (g)  A person may not function as both an employer-representative and an employee-representative.

§ 129.1004.  Committee formation and membership.

   (a)  An applicant-employer who has only one workplace within this Commonwealth shall form a single workplace safety committee at that workplace within this Commonwealth for certification.

   (b)  An applicant-employer who has more than one workplace within this Commonwealth may form either a single, centralized workplace safety committee representing each of its workplaces within this Commonwealth or separate and individual safety committees at each workplace within this Commonwealth for certification.

   (c)  The committee shall be composed of at least an equal number of applicant-employer and employee-representatives unless otherwise agreed upon by both parties. An applicant-employer shall provide a satisfactory, written explanation to the Bureau when a committee is not composed of an equal number of applicant-employer and employee-representatives and a majority of applicant-employer representatives exists. The explanation shall be signed by one employer and one employee committee representative.

   (d)  Workplace safety committees shall establish procedures that retain a core group of experienced members to serve on the committee at all times.

   (e)  Employee-representatives of the committees shall:

   (1)  Be permitted to take reasonable time from work to perform committee duties, without loss of pay or benefits.

   (2)  Join the committee for a continuous term of 1 year from the date of the first meeting attended. Records of member rotation shall be maintained by the applicant-employer for 5 years from the date of the Bureau's receipt of the application.

§ 129.1005.  Committee responsibilities.

   (a)  To qualify for certification, workplace safety committees shall have responsibilities including:

   (1)  Representing the accident and illness prevention concerns of employees at every applicant-employer workplace.

   (2)  Reviewing the applicant-employer's hazard detection and accident and illness prevention programs and formulating written proposals.

   (3)  Establishing procedures for periodic workplace inspections by the safety committees for the purpose of locating and identifying health and safety hazards. The locations and identity of hazards shall be documented in writing, and the committees shall make proposals to the applicant-employer regarding correction of the hazards.

   (4)  Conducting review of incidents resulting in work-related deaths, injuries and illnesses and of complaints regarding health and safety hazards made by committee members or other employees.

   (5)  Conducting follow-up evaluations of newly implemented health and safety equipment or health and safety procedures to assess their effectiveness.

   (6)  Establishing a system to allow the committee members to obtain safety-related proposals, reports of hazards or other information directly from persons involved in the operation of the workplace.

   (b)  A quorum of committee members shall meet at least monthly.

   (c)  The committees shall additionally:

   (1)  Develop operating procedures, such as rules or bylaws, prescribing the committees' duties.

   (2)  Develop and maintain membership lists.

   (3)  Develop a written agenda for each committee meeting.

   (4)  Maintain committee meeting attendance lists.

   (5)  Take and maintain minutes of each committee meeting, which the applicant-employer shall review. Copies of minutes shall be posted or made available for all employees and shall be sent to each committee member.

   (6)  Ensure that the reports, evaluations and proposals of the committees become part of the minutes of the meeting which shall include:

   (i)  Inspection reports.

   (ii)  Reports on specific hazards and corrective measures taken.

   (iii)  Reports on workplace injuries or illnesses.

   (iv)  Management responses to committee reports.

   (7)  Make decisions by majority vote.

§ 129.1006.  Committee member training.

   (a)  The applicant-employer shall, itself or through its insurer, provide adequate, annual training programs for each committee member listed in the application.

   (b)  Annually required committee member training shall at a minimum address:

   (1)  Hazard detection and inspection.

   (2)  Accident and illness prevention and investigation (including substance abuse awareness and prevention training), safety committee structure and operation.

   (3)  Other health and safety concerns specific to the business of the applicant-employer.

   (c)  Prior to submitting an application to the Bureau and annually thereafter, all committee members shall receive training in the topics listed in subsection (b) from individuals who meet Bureau requirements for accident and illness prevention services providers as defined in Subchapter E (relating to accident and illness prevention services providers requirements) or who have been recognized by the Bureau as qualified trainers.

   (d)  Applicant-employers are responsible for providing verification of trainer qualifications to the Bureau and supplying, as necessary, documentation supporting individual trainer qualifications.

   (e)  The applicant-employer shall maintain written records of safety committee training including:

   (1)  The names of committee members trained.

   (2)  The dates of training.

   (3)  The training time period.

   (4)  The training methodology.

   (5)  The names and credentials of personnel conducting the training.

   (6)  The names of training organizations sponsoring training, if applicable.

   (7)  The training location.

   (8)  The training topics.

§ 129.1007.  Certification.

   (a)  If the Bureau determines that the applicant-employer's committees meets the requirements, it will send a letter of certification approval to the applicant-employer. The Bureau will grant certification approval to an applicant-employer who, by signing the acknowledgements and agreements page of the application, agrees to continue to operate the workplace safety committee according to all requirements upon which initial certification is based. The employer may not disband committees except for valid business reasons.

   (b)  The insured applicant-employer shall submit a copy of the letter of certification approval to its insurer to receive an initial 5% reduction of its workers' compensation premium. The reduction will be effective upon the commencement of the policy renewal period next following the date of Bureau certification. An applicant-employer who is a member of a group self-insurance fund established to grant a 5% reduction in annual member contributions, shall submit a copy of the letter of certification to its group self-insurance fund administrator to receive the initial 5% contribution reduction. The reduction will be effective at the commencement of the next group self-insurance fund year following certification.

   (c)  The Bureau will notify the Pennsylvania Compensation Rating Bureau of approved insured applicant-employers.

   (d)  If an application is disapproved, the applicant-employer will receive written notification listing specific reasons for disapproval. The applicant-employer may resubmit a corrected application for reconsideration prior to the renewal of its workers' compensation policy, self-insurance renewal year or group self-insurance fund year. The applicant-employer may challenge the disapproval determination under Subchapter G (relating to hearings).

§ 129.1008.  Certification renewal affidavit.

   (a)  After initial certification, the applicant-employer may, using form LIBC-372R, Certification Renewal Affidavit of Workplace Safety Committee, apply to the Bureau for renewal of its initial safety committee certification. Affidavits will be generated by the Bureau and provided to eligible applicant-employers for submission. Affidavits shall be submitted to the Bureau between 90 and 15 calendar days prior to the annual renewal of a workers' compensation policy, self-insurance renewal year or group self-insurance fund year. Certification may be renewed for a total of 4 remaining years after the initial certification.

   (b)  If an applicant-employer has established additional safety committees which have not previously been certified, an Application for Certification of Workplace Safety Committee shall be completed and approved by the Bureau before certification renewal may be granted. Certification renewal approval is granted to an applicant-employer who, by signing the acknowledgements and agreements page of the affidavit, attests that the certified workplace safety committee has continued to operate according to the requirements upon which initial certification approval was based. Employers will not disband committees except for valid business reasons.

   (c)  If the Bureau determines that the applicant-employer has met certification renewal requirements, it will send a letter of certification renewal approval to the applicant-employer.

   (d)  An insured applicant-employer shall submit a copy of the letter of certification renewal to its insurer to receive a 5% premium reduction of its workers' compensation insurance premium at the next renewal premium period following the date of Bureau certification renewal. An applicant-employer who is a member of a group self-insurance fund established to grant a 5% reduction in annual member contributions, shall submit a copy of the letter of certification renewal approval to its group self-insurance fund administrator to receive the renewal 5% contribution reduction. The reduction will be effective at the commencement of the next group self-insurance fund year following certification renewal.

   (e)  The Bureau will notify the Pennsylvania Compensation Rating Bureau of all approved insured applicant-employers.

   (f)  If a renewal affidavit is disapproved, the Bureau will notify the applicant-employer of the specific reasons for disapproval. The applicant-employer may resubmit a corrected renewal affidavit for reconsideration prior to the renewal of its workers' compensation policy, self-insurance renewal year or group self-insurance fund year. The applicant-employer may challenge the disapproval under Subchapter G (relating to hearings).

§ 129.1009.  Information verification.

   The Bureau may verify the information submitted by application or affidavit including pertinent supporting documentation.

§ 129.1010.  Recordkeeping requirements.

   Copies of the required documents of the functioning committee as defined in §§ 129.1005(c) and 129.1006(e) (relating to committee responsibilities; and committee member training) shall be retained by the applicant-employer for 5 years.

§ 129.1011.  Contesting final determinations.

   An applicant-employer may contest a final application or affidavit determination under Subchapter G (relating to hearings).

Subchapter G.  HEARINGS

Sec.

129.1301.Purpose.
129.1302.Request for hearing.
129.1303.Hearing process.

§ 129.1301.  Purpose.

   This subchapter sets forth the process to be followed for hearings related to appeals of final determinations of inadequate as they pertain to accident and illness prevention services and programs, final determinations of approved or disapproved as they pertain to a workplace safety committee initial application or renewal affidavit, denials of recognition as an accident and illness prevention service provider or denials of credential recognition.

§ 129.1302.  Request for hearing.

   (a)  A party contesting a final determination shall file an original and two copies of a written request for a hearing to the Director within 30 calendar days of the date of the determination. The hearing request shall be made to the Bureau at the address listed on the determination.

   (b)  A proof of service indicating the date and form of service of the written request for a hearing shall be provided to the Bureau at the time the request for hearing is filed.

§ 129.1303.  Hearing process.

   (a)  The Director will assign requests for hearings to an impartial hearing officer who will schedule a de novo hearing. The hearing officer will provide notice to parties of the hearing date, time and place.

   (b)  The hearing will be conducted in a manner to provide the parties with an opportunity to be heard. The hearing officer will not be bound by strict rules of evidence.

   (c)  Testimony will be recorded and a full record kept of the proceeding.

   (d)  Following the close of the record, the hearing officer will issue a written final decision and order.

   (e)  Any party to the hearing aggrieved by a decision rendered under subsection (d) may, within 30 days, appeal the decision to the Commonwealth Court. The hearing officer's determination will include a notification to the parties of their appeal rights.

   (f)  Subsections (a)--(e) supplement 1 Pa. Code Part II (relating to the General Rules of Administrative Practice and Procedure).

   (g)  If, after all appeals have been exhausted, the group self-insurance fund or individual self-insured employer is subject to a final determination that its accident and illness prevention program is inadequate, the group self-insurance fund or individual self-insured employer's certificate to self-insure its obligations under the act shall be void. The group self-insurance fund or individual self-insured employer's failure to properly insure its obligations under the act, through an insurer licensed to provide that coverage in this Commonwealth, within 15 days of the final determination may result in criminal liability under section 305 of the act (77 P. S. § 501).

   (h)  If, after all appeals have been exhausted, the insurer is subject to a final determination that its accident and illness prevention program is inadequate, the Bureau will notify the Commissioner that the insurer has failed to comply with section 1001(a) of the act (77 P. S. § 1038.1(a)). In that notification, the Bureau may recommend that the insurer's license to write that insurance in this Commonwealth be revoked.

Subchapter H.  ORDER TO SHOW CAUSE/PENALTIES

Sec.

129.1601.Purpose.
129.1602.Order to show cause/penalties.

§ 129.1601.  Purpose.

   This subchapter sets forth the process that the Department may institute to determine whether there has been a violation of the act or related regulations.

§ 129.1602.  Order to show cause/penalties.

   Whenever the Department has information, through its own investigation or through complaint by any party, upon which it believes that an insurer, individual self-insured employer or group self-insurance fund has failed to establish, maintain or provide accident and illness prevention programs or services, using qualified personnel, and to provide proof of those programs or services required under the act, or upon which it believes that an applicant-employer has misrepresented that it has established or maintained a certified workplace safety committee according to Department criteria, the Department may serve upon the insurer, individual self-insured employer or group self-insurance fund, or applicant-employer an order to show cause why the respondent should not be found in violation of Chapter 7E of the act (77 P. S. §§ 1038.1 and 1038.2) or related regulations and civil penalties assessed. The order to show cause will set forth the particulars of the alleged violation.

   (1)  An answer to the order to show cause shall be filed no later than 20 days following the date that the order to show cause is served on the respondent.

   (2)  The Director of the Bureau will assign the order to show cause to an impartial hearing officer who will schedule a hearing. The hearing officer will provide notice to the parties of the hearing date, time and place.

   (3)  The hearing will be conducted in a manner as to provide the parties with an opportunity to be heard and, when applicable, will be conducted under 1 Pa. Code Part II (relating to General Rules of Administrative Practice and Procedure). The hearing officer will not be bound by strict rules of evidence.

   (4)  Testimony will be recorded and a full record kept of the proceeding.

   (5)  If the respondent fails to answer or fails to appear in person or by counsel at the scheduled hearing without adequate excuse, the hearing officer will decide the matter on the basis of the order to show cause and evidence presented.

   (6)  In a proceeding under this section, the Department has the initial burden to produce evidence that the respondent has failed to comply with the act or related regulations, the respondent maintains the burden of proving that no violation has occurred.

   (7)  This section supersedes 1 Pa. Code §§ 35.14 and 35.37 (relating to orders to show cause; and answers to orders to show cause).

CHAPTER 143.  (Reserved)

§ 143.1.  (Reserved).

§ 143.2.  (Reserved).

§§ 143.101--143.118.  (Reserved).

§ 143.401.  (Reserved).

§§ 143.411--143.414.  (Reserved).

§§ 143.451--143.458.  (Reserved).

§§ 143.701--143.703.  (Reserved).

§§ 143.1001--143.1009.  (Reserved).

[Pa.B. Doc. No. 01-1296. Filed for public inspection July 13, 2001, 9:00 a.m.]

 



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