Senate Bill No. 211
(By Senators Sprouse, Minear, Guills, Weeks, Harrison, Smith and
Facemyer)
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[Introduced January 19, 2004; referred to the Committee on the
Judiciary; and then to the Committee on Finance.]
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A BILL to amend and reenact §23-2-1 of the code of West Virginia,
1931, as amended; and to amend and reenact §33-1-10 of said
code, all relating to workers' compensation.
Be it enacted by the Legislature of West Virginia:
That §23-2-1
of the code of West Virginia, 1931
, as amended,
be amended and reenacted; and that §33-1-10 of said code be amended
and reenacted, all
to read as follows:
CHAPTER 23. WORKERS' COMPENSATION.
ARTICLE 2. EMPLOYERS AND EMPLOYEES SUBJECT TO CHAPTER;
EXTRATERRITORIAL COVERAGE.
§23-2-1. Employers subject to chapter; elections not to provide
certain coverages; notices; filing of business registration
certificates.
(a) The state of West Virginia and all governmental agencies or departments created by it, including county boards of education,
political subdivisions of the state, any volunteer fire department
or company and other emergency service organizations as defined by
article five, chapter fifteen of this code, and all persons, firms,
associations and corporations regularly employing another person or
persons for the purpose of carrying on any form of industry,
service or business in this state, are employers within the meaning
of this chapter and are required to subscribe to and pay premium
taxes into the workers' compensation fund for the protection of
their employees and are subject to all requirements of this chapter
and all rules prescribed by the workers' compensation commission
with reference to rate, classification and premium payment:
Provided, That rates will be adjusted by the commission to reflect
the demand on the compensation fund by the covered employer.
(b) The following employers are not required to subscribe to
the fund, but may elect to do so:
(1) Employers of employees in domestic services;
(2) Employers of five or fewer full-time employees in
agricultural service;
(3) Employers of employees while the employees are employed
without the state except in cases of temporary employment without
the state;
(4) Casual employers. An employer is a casual employer when
the number of his or her employees does not exceed three and the period of employment is temporary, intermittent and sporadic in
nature and does not exceed ten calendar days in any calendar
quarter;
(5) Churches;
(6) Employers engaged in organized professional sports
activities, including employers of trainers and jockeys engaged in
thoroughbred horse racing; or
(7) Any volunteer rescue squad or volunteer police auxiliary
unit organized under the auspices of a county commission,
municipality or other government entity or political subdivision;
volunteer organizations created or sponsored by government
entities, political subdivisions; or area or regional emergency
medical services boards of directors in furtherance of the purposes
of the emergency medical services act of article four-c, chapter
sixteen of this code: Provided, That if any of the employers
described in this subdivision have paid employees, to the extent of
those paid employees, the employer shall subscribe to and pay
premium taxes into the workers' compensation fund based upon the
gross wages of the paid employees but with regard to the
volunteers, the coverage remains optional.
(8) Employers that have subscribed to a workers' compensation
insurance plan provided by private insurers: Provided, That the
private workers' compensation insurance plan provides the same
benefits and protections for employees as those provided by the Commission: Provided, however, That all workers' compensation
insurance plans offered by private insurers must be approved by the
West Virginia Insurance Commissioner and are subject to all rules
which regulate the insurance industry in West Virginia.
(c) Notwithstanding any other provision of this chapter to the
contrary, whenever there are churches in a circuit which employ one
individual clergyman and the payments to the clergyman from the
churches constitute his or her full salary, such circuit or group
of churches may elect to be considered a single employer for the
purpose of premium payment into the workers' compensation fund.
(d) Employers who are not required to subscribe to the
workers' compensation fund may voluntarily choose to subscribe to
and pay premiums into the fund for the protection of their
employees and in that case are subject to all requirements of this
chapter and all rules and regulations prescribed by the commission
with reference to rates, classifications and premium payments and
shall afford to them the protection of this chapter, including
section six of this article, but the failure of the employers to
choose to subscribe to and to pay premiums into the fund shall not
impose any liability upon them other than any liability that would
exist notwithstanding the provisions of this chapter.
(e) Any foreign corporation employer whose employment in this
state is to be for a definite or limited period which could not be
considered "regularly employing" within the meaning of this section may choose to pay into the workers' compensation fund the premiums
provided for in this section, and at the time of making application
to the workers' compensation commission, the employer shall furnish
a statement under oath showing the probable length of time the
employment will continue in this state, the character of the work,
an estimate of the monthly payroll and any other information which
may be required by the commission. At the time of making
application the employer shall deposit with the commission to the
credit of the workers' compensation fund the amount required by
section five of this article. That amount shall be returned to the
employer if the employer's application is rejected by the
commission. Upon notice to the employer of the acceptance of his or
her application by the commission, he or she is an employer within
the meaning of this chapter and subject to all of its provisions.
(f) Any foreign corporation employer choosing to comply with
the provisions of this chapter and to receive the benefits under
this chapter shall, at the time of making application to the
commission in addition to other requirements of this chapter,
furnish the commission with a certificate from the secretary of
state, where the certificate is necessary, showing that it has
complied with all the requirements necessary to enable it legally
to do business in this state and no application of a foreign
corporation employer shall be accepted by the commission until the
certificate is filed.
(g) The following employers may elect not to provide coverage
to certain of their employees under the provisions of this chapter:
(1) Any political subdivision of the state including county
commissions and municipalities, boards of education, or emergency
services organizations organized under the auspices of a county
commission may elect not to provide coverage to any elected
official. The election not to provide coverage does not apply to
individuals in appointed positions or to any other employees of the
political subdivision;
(2) If an employer is a partnership, sole proprietorship,
association or corporation, the employer may elect not to include
as an "employee" within this chapter, any member of the
partnership, the owner of the sole proprietorship or any corporate
officer or member of the board of directors of the association or
corporation. The officers of a corporation or an association shall
consist of a president, a vice president, a secretary and a
treasurer, each of whom is elected by the board of directors at the
time and in the manner prescribed by the bylaws. Other officers and
assistant officers that are considered necessary may be elected or
appointed by the board of directors or chosen in any other manner
prescribed by the bylaws and, if elected, appointed or chosen, the
employer may elect not to include the officer or assistant officer
as an "employee" within the meaning of this chapter: Provided, That
except for those persons who are members of the board of directors or who are the corporation's or association's president, vice
president, secretary and treasurer and who may be excluded by
reason of their positions from the benefits of this chapter even
though their duties, responsibilities, activities or actions may
have a dual capacity of work which is ordinarily performed by an
officer and also of work which is ordinarily performed by a worker,
an administrator or an employee who is not an officer, no other
officer or assistant officer who is elected or appointed shall be
excluded by election from coverage or be denied the benefits of
this chapter merely because he or she is an officer or assistant
officer if, as a matter of fact:
(A) He or she is engaged in a dual capacity of having the
duties and responsibilities for work ordinarily performed by an
officer and also having duties and work ordinarily performed by a
worker, administrator or employee who is not an officer;
(B) He or she is engaged ordinarily in performing the duties
of a worker, an administrator or an employee who is not an officer
and receives pay for performing the duties in the capacity of an
employee; or
(C) He or she is engaged in an employment palpably separate
and distinct from his or her official duties as an officer of the
association or corporation;
(3) If an employer is a limited liability company, the
employer may elect not to include as an "employee" within this chapter a total of no more than four persons, each of whom are
acting in the capacity of manager, officer or member of the
company.
(h) In the event of election under subsection (g) of this
section, the employer shall serve upon the commission written
notice naming the positions not to be covered and shall not include
the "employee's" remuneration for premium purposes in all future
payroll reports, and the partner, proprietor or corporate or
executive officer is not considered an employee within the meaning
of this chapter after the notice has been served. Notwithstanding
the provisions of subsection (g), section five of this article, if
an employer is delinquent or in default or has not subscribed to
the fund even though it is obligated to do so under the provisions
of this article, any partner, proprietor or corporate or executive
officer shall not be covered and shall not receive the benefits of
this chapter.
(i) "Regularly employing" or "regular employment" means
employment by an employer which is not a casual employer under this
section.
CHAPTER 33. INSURANCE.
ARTICLE 1. DEFINITIONS.
§33-1-10. Kinds of insurance defined.
The following definitions of kinds of insurance are not
mutually exclusive and, if reasonably adaptable thereto, a particular coverage may be included under one or more of such
definitions:
(a) Life insurance -- Life insurance is insurance on human
lives including endowment benefits, additional benefits in the
event of death or dismemberment by accident or accidental means,
additional benefits for disability and annuities.
(b) Accident and sickness -- Accident and sickness insurance
is insurance against bodily injury, disability or death by accident
or accidental means, or the expense thereof, or against disability
or expense resulting from sickness, and insurance relating thereto.
Group credit accident and health insurance may also include loss of
income insurance which is insurance against the failure of a debtor
to pay his or her monthly obligation due to involuntary loss of
employment. For the purposes of this definition, involuntary loss
of employment means the debtor loses employment income (salary or
wages) as a result of unemployment caused by individual or mass
layoff, general strikes, labor disputes, lockout or termination by
employer for other than willful or criminal misconduct. Any or all
of the above mentioned perils may be included in an insurance
policy, at the discretion of the policyholder.
(c) Fire -- Fire insurance is insurance on real or personal
property of every kind and interest therein, against loss or damage
from any or all hazard or cause, and against loss consequential
upon such loss or damage, other than noncontractual liability for any such loss or damage. Fire insurance shall also include
miscellaneous insurance as defined in paragraph (12), subdivision
(e) of this section.
(d) Marine -- Marine insurance is insurance:
(1) Against any and all kinds of loss or damage to vessels,
craft, aircraft, cars, automobiles and vehicles of every kind, as
well as all goods, freight, cargoes, merchandise, effects,
disbursements, profits, moneys, bullion, precious stones,
securities, choses in action, evidences of debt, valuable papers,
bottomry and respondentia interests and all other kinds of property
and interests therein, in respect to, appertaining to or in
connection with any and all risks or perils of navigation, transit
or transportation, including war risks, on or under any seas or
other waters, on land (above or below ground), or in the air, or
while being assembled, packed, crated, baled, compressed or
similarly prepared for shipment or while awaiting the same or
during any delays, storage, transshipment, or reshipment incident
thereto, including marine builders' risks and all personal property
floater risks;
(2) Against any and all kinds of loss or damage to person or
to property in connection with or appertaining to a marine, inland
marine, transit or transportation insurance, including liability
for loss of or damage to either, arising out of or in connection
with the construction, repair, operation, maintenance or use of the subject matter of such insurance (but not including life insurance
or surety bonds nor insurance against loss by reason of bodily
injury to the person arising out of the ownership, maintenance or
use of automobiles);
(3) Against any and all kinds of loss or damage to precious
stones, jewels, jewelry, gold, silver and other precious metals,
whether used in business or trade or otherwise and whether the same
be in course of transportation or otherwise;
(4) Against any and all kinds of loss or damage to bridges,
tunnels and other instrumentalities of transportation and
communication (excluding buildings, their furniture and
furnishings, fixed contents and supplies held in storage) unless
fire, windstorm, sprinkler leakage, hail, explosion, earthquake,
riot or civil commotion or any or all of them are the only hazards
to be covered;
(5) Against any and all kinds of loss or damage to piers,
wharves, docks and ships, excluding the risks of fire, windstorm,
sprinkler leakage, hail, explosion, earthquake, riot and civil
commotion and each of them;
(6) Against any and all kinds of loss or damage to other aids
to navigation and transportation, including dry docks and marine
railways, dams and appurtenant facilities for control of waterways;
and
(7) Marine protection and indemnity insurance, which is insurance against, or against legal liability of the insured for,
loss, damage or expense arising out of, or incident to, the
ownership, operation, chartering, maintenance, use, repair or
construction of any vessel, craft or instrumentality in use in
ocean or inland waterways, including liability of the insured for
personal injury, illness or death or for loss of or damage to the
property of another person.
(e) Casualty -- Casualty insurance includes:
(1) Vehicle insurance, which is insurance against loss of or
damage to any land vehicle or aircraft or any draft or riding
animal or to property while contained therein or thereon or being
loaded therein or therefrom, from any hazard or cause, and against
any loss, liability or expense resulting from or incident to
ownership, maintenance or use of any such vehicle, aircraft or
animal; together with insurance against accidental death or
accidental injury to individuals, including the named insured,
while in, entering, alighting from, adjusting, repairing or
cranking, or caused by being struck by any vehicle, aircraft or
draft or riding animal, if such insurance is issued as a part of
insurance on the vehicle, aircraft or draft or riding animal;
(2) Liability insurance, which is insurance against legal
liability for the death, injury or disability of any human being,
or for damage to property; and provisions for medical, hospital,
surgical, disability benefits to injured persons and funeral and death benefits to dependents, beneficiaries or personal
representatives of persons killed, irrespective of legal liability
of the insured, when issued as an incidental coverage with or
supplemental to liability insurance;
(3) Burglary and theft insurance, which is insurance against
loss or damage by burglary, theft, larceny, robbery, forgery,
fraud, vandalism, malicious mischief, confiscation, or wrongful
conversion, disposal or concealment, or from any attempt at any of
the foregoing, including supplemental coverages for medical,
hospital, surgical and funeral benefits sustained by the named
insured or other person as a result of bodily injury during the
commission of a burglary, robbery or theft by another; also
insurance against loss of or damage to moneys, coins, bullion,
securities, notes, drafts, acceptances, or any other valuable
papers and documents, resulting from any cause;
(4) Personal property floater insurance, which is insurance
upon personal effects against loss or damage from any cause;
(5) Glass insurance, which is insurance against loss or damage
to glass, including its lettering, ornamentation and fittings;
(6) Boiler and machinery insurance, which is insurance against
any liability and loss or damage to property or interest resulting
from accidents to or explosion of boilers, pipes, pressure
containers, machinery or apparatus, and to make inspection of and
issue certificates of inspection upon boilers, machinery and apparatus of any kind, whether or not insured;
(7) Leakage and fire extinguishing equipment insurance, which
is insurance against loss or damage to any property or interest
caused by the breakage or leakage of sprinklers, hoses, pumps and
other fire extinguishing equipment or apparatus, water mains, pipes
and containers, or by water entering through leaks or openings in
buildings, and insurance against loss or damage to such sprinklers,
hoses, pumps and other fire extinguishing equipment or apparatus;
(8) Credit insurance, which is insurance against loss or
damage resulting from failure of debtors to pay their obligations
to the insured. Credit insurance shall include loss of income
insurance which is insurance against the failure of a debtor to pay
his or her monthly obligation due to involuntary loss of
employment. For the purpose of this definition, involuntary loss of
employment means the debtor loses employment income (salary or
wages) as a result of unemployment caused by individual or mass
layoff, general strikes, labor disputes, lockout or termination by
employer for other than willful or criminal misconduct; any, or all
of the above mentioned perils may be included in an insurance
policy, at the discretion of the policyholder;
(9) Malpractice insurance, which is insurance against legal
liability of the insured, and against loss, damage or expense
incidental to a claim of such liability, and including medical,
hospital, surgical and funeral benefits to injured persons, irrespective of legal liability of the insured arising out of the
death, injury or disablement of any person, or arising out of
damage to the economic interest of any person, as the result of
negligence in rendering expert, fiduciary or professional service;
(10) Entertainment insurance, which is insurance indemnifying
the producer of any motion picture, television, radio, theatrical,
sport, spectacle, entertainment or similar production, event or
exhibition against loss from interruption, postponement or
cancellation thereof due to death, accidental injury or sickness of
performers, participants, directors or other principals;
(11) Mine subsidence insurance as provided for in article
thirty of this chapter; and
(12) Miscellaneous insurance, which is insurance against any
other kind of loss, damage or liability properly a subject of
insurance and not within any other kind of insurance as defined in
this chapter, if such insurance is not disapproved by the
commissioner as being contrary to law or public policy.
(f) Surety -- Surety insurance includes:
(1) Fidelity insurance, which is insurance guaranteeing the
fidelity of persons holding positions of public or private trust;
(2) Insurance guaranteeing the performance of contracts, other
than insurance policies, and guaranteeing and executing bonds,
undertakings, and contracts of suretyship: Provided, That surety
insurance does not include the guaranteeing and executing of bonds by professional bondsmen in criminal cases, or by individuals not
in the business of becoming a surety for compensation upon bonds;
(3) Insurance indemnifying banks, bankers, brokers, financial
or moneyed corporations or associations against loss, resulting
from any cause, of bills of exchange, notes, bonds, securities,
evidences of debt, deeds, mortgages, warehouse receipts or other
valuable papers, documents, money, precious metals and articles
made therefrom, jewelry, watches, necklaces, bracelets, gems,
precious and semiprecious stones, including any loss while they are
being transported in armored motor vehicles or by messenger, but
not including any other risks of transportation or navigation, and
also insurance against loss or damage to such an insured's premises
or to his furnishings, fixtures, equipment, safes and vaults
therein, caused by burglary, robbery, theft, vandalism or malicious
mischief, or any attempt to commit such crimes; and
(4) Title insurance, which is insurance of owners of property
or others having an interest therein, or liens or encumbrances
thereon, against loss by encumbrance, defective title, invalidity
or adverse claim to title.
(g) Workers' Compensation Insurance- Workers' Compensation
insurance is insurance provided by an employer that covers
liability for any inuries that may occur during the course of
and/or rising out of the course of employment.
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(NOTE: The purpose of this bill is to permit those who are
required to provide workers' compensation coverage for their
employees to obtain the coverage from private insurers.
Strike-throughs indicate language that would be stricken from
the present law and underscoring indicates new language that would
be added.)