Kentucky Workers' Compensation Insurance System Overview
Learn the ins and outs of how insurance companies operate in Kentucky. This module covers the technical aspects of insurance in Kentucky including how insurance underwriters determine the premium employers pay and what factors drive up the cost of a workers' compensation insurance policy.
Legal Module 1: Introduction to Kentucky Workers' Compensation Compensability and Liability Issues: Definitions, Forms, Reporting Requirements, Types of Benefits.
This module covers the Kentucky Office of Workers' Claims, the state administrative agency that has jurisdiction over workers' compensation claims in Kentucky and describes its role in the processing of claims. This module also covers notice, jurisdiction, average weekly wage, temporary total disability, and begins to cover forms. Module 1 then gives a background regarding permanent partial disability, waiting periods, and gatekeeper medical providers.
Legal Module 2: Kentucky Workers' Compensation Legal System Overview Part II: Benefits, TTD, Medical Treatment, Medical Disputes, Utilization Review, Unfair Claims Settlement Practices.
Module 2 further covers when benefits need to be paid, unfair claims settlement practices, the employer and insurer's duties regarding reporting the claim to the state and discusses what to do when a new claim is reported. This begins to cover litigating claims and defenses to claims as well. The employers' duties regarding medical expenses are also covered along with filing responsive pleadings.
Legal Module 3: Kentucky Workers' Compensation Legal System Overview Part III: Key Defenses to Claims, Idiopathic Falls, Misconduct, Independent Contractor, Safety Violations, Intoxication.
This continues our discussion of specific common defenses including affirmative defenses, misconduct, idiopathic conditions, and begins discussion of how to handle litigated claims.
Legal Module 4: Kentucky Worker's Compensation Legal System Overview Part IV: Litigation, Hearing Process, Settlement.
This Module discusses the hearing process and litigation in Kentucky, including evidence deadlines, evidentiary standards, settlement considerations, surveillance, use of independent medical evaluations, etc. Additionally, this Module covers lump sum settlements and hearings.
Legal Module 5: Kentucky Worker's Compensation Legal System Overview Part V: Recent Case Law Trends.
This Module discusses the recent case law trends in Kentucky from the Kentucky Supreme Court and the Kentucky Court of Appeals as well as legislative changes and recent legislative proposals. This session also discusses the impact of proposed changes to administrative regulations.