Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 14. Independent Agencies |
Subtitle 09. WORKERS' COMPENSATION COMMISSION |
Chapter 14.09.01. General Administrative |
Sec. 14.09.01.01. Definitions
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A. In this subtitle, the following terms have the meanings indicated.
B. Terms Defined.
(1) Affidavit means a written statement the contents of which are affirmed under the penalties of perjury to be true.
(2) Certified mail means mail deposited with the United States Postal Service, postage prepaid and return receipt requested.
(3) Claimant means a person filing a workers' compensation claim and includes:
(a) A covered employee;
(b) A dependent of a deceased covered employee; or
(c) An individual authorized to act on behalf of a dependent of a deceased covered employee.
(4) Commission means either the Workers' Compensation Commission or its designee.
(5) CompHub means the Commissions online system designed to facilitate the filing and adjudication of workers compensation claims, and to provide other services related to workers compensation benefits.
(6) Disputed workers' compensation claim means a:
(a) Newly filed claim from the date it is filed until the employer or insurer commences paying the claim or until the consideration date has expired;
(b) New claim in which issues have been filed;
(c) Pending claim in which one or more issues have been filed; or
(d) Claim that is pending on appeal.
(7) Final award means the award of compensation determined by the Commission after exhaustion of all applicable appeals, regardless of whether the award is increased or decreased as a result of any appeal.
(8) Formal set-aside allocation means a document reflecting a comprehensive analysis and projection of future injury-related medical needs and associated costs.
(9) Healthcare provider delegate means administrative or support staff designated by a health care provider to have access to basic claim information for the purpose of obtaining settlement, claim and hearing status information.
(10) Individual means a human being.
(11) Insurer means:
(a) A stock corporation or mutual association that is authorized under the Insurance Article, Annotated Code of Maryland, to provide workers' compensation insurance in the State;
(b) The Chesapeake Employers' Insurance Company authorized under Insurance Article, Title 24, Subtitle 3, Annotated Code of Maryland;
(c) A governmental self-insurance group that meets the requirements of Labor and Employment Article, §9-404, Annotated Code of Maryland;
(d) A self-insurance group of private employers that meets the requirements of Insurance Article, §§25-301-25-308, Annotated Code of Maryland; or
(e) An individual employer that self-insures in accordance with Labor and Employment Article, §9-405, Annotated Code of Maryland.
(12) Insurer delegate means administrative or support staff, designated by an insurer, to have access to all claim documents in all claims in which the insurer is a party for the purpose of filing documents and managing claims.
(13) Non-compromise case means a case in which the employer/insurer has not contested liability or in which the Commission has found liability and in which the settlement compensates the claimant for anticipated future medical expenses.
(14) Paper means a document filed with the Commission, whether in physical paper form or electronic form or format.
(15) Person means:
(a) An individual;
(b) A general or limited partnership;
(c) A joint stock company;
(d) An unincorporated association or society;
(e) A municipal or other corporation;
(f) An incorporated association;
(g) A limited liability partnership;
(h) A limited liability company;
(i) The State, its agencies or political subdivisions; or
(j) A governmental entity.
(16) Proxy means administrative or support staff, designated by an attorney, to have access to all claim documents in all claims in which the attorney has entered the attorney's appearance for the purpose of filing documents and managing claims.
(17) Role means the functionality and type of account for which a user is authorized in CompHub and includes the following and their delegates and proxies:
(a) Attorney;
(b) Claimant;
(c) Employer;
(d) Insurer;
(e) Healthcare provider or practitioner; and
(f) Vocational rehabilitation provider or practitioner.
(18) Signature includes electronic signature pursuant to Commercial Law Article, §21-101(i), Annotated Code of Maryland.
(19) State average weekly wage means the State average weekly wage in effect on the date of the accident or date of disablement.
(20) Subpoena means a written order directed to a person and requiring attendance at a particular time and place to take the action specified.
(21) Subscriber means an authorized user in CompHub having the access applicable to the role for which the user is authorized.
(22) Subsequent Injury Fund or SIF means the statutorily created entity, funded by assessments on workers' compensation awards and settlements, that may be a party to a claim and which pays benefits attributable to a compensable injury to previously injured body parts.
(23) Undisputed workers' compensation claim means a claim in which all issues have been:
(a) Withdrawn;
(b) Resolved by a decision of the commission that is not appealed; or
(c) Resolved on appeal.
(24) Uninsured Employers' Fund or UEF means the statutorily created entity, funded by assessments on workers' compensation awards and settlements, that may be a party to a claim and which pays workers compensation awards made against an uninsured employer.
(25) Web-Enabled File Management System or WFMS means the Commission's legacy subscriber-based web-enabled electronic file management system designed to facilitate the filing and adjudication of workers' compensation claims. Until the transition from WFMS to CompHub is complete, references to CompHub include WFMS.