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    This bill requires workers' compensation insurers in Colorado to survey injured workers at the close of each claim about their satisfaction, and report the survey results to the state division of workers' compensation. It also requires Pinnacol Assurance, the largest workers' compensation insurer in the state, to submit an annual report to the governor and general assembly on its business operations, resources, and liabilities. Additionally, the bill mandates that the division clearly post procedures for filing complaints on its website.

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    10-0206_01 Bill 1

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    This bill requires workers' compensation insurers in Colorado to survey injured workers at the close of each claim about their satisfaction, and report the survey results to the state division of workers' compensation. It also requires Pinnacol Assurance, the largest workers' compensation insurer in the state, to submit an annual report to the governor and general assembly on its business operations, resources, and liabilities. Additionally, the bill mandates that the division clearly post procedures for filing complaints on its website.

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    61 views4 pages

    10-0206 - 01 Bill 1

    Uploaded by

    Circuit Media
    This bill requires workers' compensation insurers in Colorado to survey injured workers at the close of each claim about their satisfaction, and report the survey results to the state division of workers' compensation. It also requires Pinnacol Assurance, the largest workers' compensation insurer in the state, to submit an annual report to the governor and general assembly on its business operations, resources, and liabilities. Additionally, the bill mandates that the division clearly post procedures for filing complaints on its website.

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    of 4

    Second Regular Session DRAFT

    Sixty-seventh General Assembly 10.5.09


    STATE OF COLORADO
    BILL 1

    LLS NO. 10-0206.01 Kristen Forrestal INTERIM COMMITTEE BILL


    Interim Committee to Study Issues Related to Pinnacol Assurance

    SHORT TITLE: "Workers' Compensation Accountability"

    A BILL FOR AN ACT


    101 C ONCERNING ACCOUNTABILITY FOR WORKERS' COMPENSATION
    102 INSURERS.

    Bill Summary

    (Note: This summary applies to this bill as introduced and does


    not necessarily reflect any amendments that may be subsequently
    adopted.)

    Interim Committee to Study Issues Related to Pinnacol


    Assurance. Requires workers' compensation insurers to survey injured
    workers at the close of each claim. Requires the insurers to report the
    result of the surveys to the division of workers' compensation (division)
    in the department of labor and employment. Requires the division to post
    the survey results on the division's web site.
    Requires the chief executive officer of Pinnacol Assurance to
    submit an annual report to the governor and committees of the general
    assembly reporting on the business operations, resources, and liabilities

    Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.


    Capital letters indicate new material to be added to existing statute.
    Dashes through the words indicate deletions from existing statute.
    DRAFT
    10.5.09
    of the Pinnacol Assurance fund.
    Requires the division to post on the division's web site the
    procedure for an injured worker to follow to file a complaint with the
    division regarding any issue over which the director or his or her designee
    has authority to pursue, settle, or enforce.

    1 Be it enacted by the General Assembly of the State of Colorado:

    2 SECTION 1. Part 2 of article 43 of title 8, Colorado Revised

    3 Statutes, is amended BY THE ADDITION OF A NEW SECTION to

    4 read:

    5 8-43-220. Injured worker exit survey. (1) U PON CLOSURE OF

    6 A CLAIM , EACH INSURER SHALL SURVEY THE CLAIMANT REGARDING THE

    7 CLAIMANT 'S SATISFACTION WITH THE INSURER. T HE SURVEY SHALL BE

    8 CONDUCTED IN A FORM AND MANNER AS PRESCRIBED BY THE DIRECTOR.

    9 T HE SURVEY SHALL INCLUDE QUESTIONS REGARDING COURTESY,

    10 PROMPTNESS OF MEDICAL CARE, PROMPTNESS OF HANDLING THE CLAIM ,

    11 PROMPTNESS OF RESOLVING THE CLAIM , AND OVERALL SATISFACTION

    12 WITH THE EXPERIENCE WITH THE INSURER.

    13 (2) T HE INSURER SHALL REPORT THE SURVEY RESULTS ANNUALLY

    14 TO THE DIVISION. T HE DIRECTOR SHALL POST THE RESULTS OF THE

    15 SURVEYS ON THE DIVISION'S WEB SITE.

    16 SECTION 2. 8-45-122, Colorado Revised Statutes, is

    17 RECREATED AND REENACTED, WITH AMENDMENTS, to read:

    18 8-45-122. Annual report. (1) T HE CHIEF EXECUTIVE OFFICER OF

    19 P INNACOL A SSURANCE SHALL SUBMIT AN ANNUAL REPORT TO THE

    20 GOVERNOR; THE BUSINESS AFFAIRS AND LABOR COMMITTEE OF THE HOUSE

    21 OF REPRESENTATIVES; THE BUSINESS, LABOR AND TECHNOLOGY

    22 COMMITTEE OF THE SENATE; AND THE HEALTH AND HUMAN SERVICES

    23 COMMITTEES OF THE HOUSE OF REPRESENTATIVES AND THE SENATE, OR

    -2- DRAFT
    DRAFT
    10.5.09
    1 THEIR SUCCESSOR COMMITTEES , REPORTING ON THE BUSINESS

    2 OPERATIONS, RESOURCES, AND LIABILITIES OF THE P INNACOL A SSURANCE

    3 FUND.

    4 (2) T HE REPORT REQUIRED IN SUBSECTION (1) OF THIS SECTION

    5 SHALL INCLUDE THE FOLLOWING INFORMATION FOR THE PREVIOUS

    6 CALENDAR YEAR:

    7 (a) T HE NUMBER OF POLICIES HELD BY P INNACOL A SSURANCE;

    8 (b) T HE TOTAL ASSETS OF P INNACOL A SSURANCE;

    9 (c) T HE AMOUNT OF RESERVES;

    10 (d) T HE AMOUNT OF SURPLUS;

    11 (e) T HE NUMBER OF CLAIMS FILED;

    12 (f) T HE NUMBER OF CLAIMS ADMITTED OR CONTESTED WITHIN THE

    13 TWENTY- DAY PERIOD PURSUANT TO SECTION 8-43-203, SPECIFYING THE

    14 NUMBER OF CONTESTED CLAIMS THAT ARE MEDICAL ONLY AND THOSE

    15 THAT ARE INDEMNITY CLAIMS;

    16 (g) T HE NUMBER OF MEDICAL PROCEDURES DENIED;

    17 (h) T HE AMOUNT OF TOTAL COMPENSATION EACH EXECUTIVE

    18 OFFICER OR STAFF MEMBER RECEIVES, INCLUDING BONUSES OR DEFERRED

    19 COMPENSATION;

    20 (i) T HE AMOUNT SPENT ON COMMISSIONS;

    21 (j) T HE AMOUNT PAID TO TRADE ASSOCIATIONS FOR MARKETING

    22 FEES;

    23 (k) A LL INFORMATION RELATING TO BONUS PROGRAMS; AND

    24 (l) A NY OTHER INFORMATION THE CHIEF EXECUTIVE OFFICER

    25 DEEMS RELEVANT TO THE REPORT.

    26 SECTION 3. Part 1 of article 47 of title 8, Colorado Revised

    27 Statutes, is amended BY THE ADDITION OF A NEW SECTION to

    -3- DRAFT
    DRAFT
    10.5.09
    1 read:

    2 8-47-112. Division web site - procedures to file complaints.

    3 T HE DIRECTOR SHALL CLEARLY POST ON THE DIVISION'S WEB SITE THE

    4 PROCEDURE FOR AN INJURED WORKER TO FOLLOW TO FILE A COMPLAINT

    5 WITH THE DIVISION REGARDING ANY ISSUE OVER WHICH THE DIRECTOR OR

    6 HIS OR HER DESIGNEE HAS AUTHORITY TO PURSUE, SETTLE , OR ENFORCE

    7 PURSUANT TO ARTICLES 40 TO 47 OF THIS TITLE .

    8 SECTION 4. Effective date. This act shall take effect July 1,

    9 2010.

    10 SECTION 5. Safety clause. The general assembly hereby finds,

    11 determines, and declares that this act is necessary for the immediate

    12 preservation of the public peace, health, and safety.

    -4- DRAFT

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