West Virginia Code § 23-2C-8

Workers' Compensation Uninsured Employer Fund
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(a) The Workers' Compensation Uninsured Employer Fund shall be governed by the
following:
(1) All money and securities in the fund must be held by the State Treasurer as custodian
thereof to be used solely as provided in this article.
(2) The State Treasurer may disburse money from the fund only upon written requisition of
the Insurance Commissioner.
(3) Assessments. — The Insurance Commissioner shall assess each private carrier and may
assess self-insured employers an amount to be deposited in the fund. The assessment may be
collected by each private carrier from its policyholders in the form of a policy surcharge. To
establish the amount of the assessment, the Insurancea Commissioner shall determine the
amount of money necessary to maintain an appropriate balance in the fund for each fiscal
year and shall allocate a portion of that amount to lbe payable by each of the groups subject
to the assessment. After allocating the amounsts payable by each group, the Insurance
Commissioner shall apply an assessment rate to:
(A) Private carriers that reflects the relative hazard of the employments covered by the
private carriers, results in an equitable distribution of costs among the private carriers and
is based upon expected annual premiums to be received;
(B) Self-insured employers, if assessed, that results in an equitable distribution of costs
among the self-insured employers and is based upon expected annual expenditures for
claims; and
(C) Any otherV groups assessed that results in an equitable distribution of costs among them
and is based upon expected annual expenditures for claims or premium to be received.
(4) The Industrial Council may adopt rules for the establishment and administration of the
assessment methodologies, rates, payments, and any penalties that it determines are
necessary to carry out the provisions of this section.
(b) Payments from the fund. —
(1) Except as otherwise provided in this subsection, an injured employee of any employer
required to be covered under this chapter who has failed to obtain coverage may receive
compensation from the Uninsured Employer Fund if such employee meets all jurisdictional
and entitlement provisions of this chapter, files a claim with the Insurance Commissioner
and makes an irrevocable assignment to the Insurance Commissioner of a right to be
subrogated to the rights of the injured employee.
(2) Employees who are injured while employed by a self-insured employer are ineligible for
benefits from the Workers' Compensation Uninsured Employer Fund.
(c) Initial determination upon receipt of a claim. —
If a claim is filed against the Uninsured Employer Fund, the Insurance Commissioner or his
or her third-party administrator shall: (1) Accept the claim into the fund if it is determined
that the employer was required to maintain workers' compensation coverage with respect to
the injured worker but failed to do so; (2) reject the claim if it is determined that the
employer maintained such coverage or was not required to do so; or (3) in ae claim involving
the availability of benefits pursuant to §23-2-1d of this code, either reject or conditionally
accept the claim. An aggrieved party may file a protest with the Office rof Judges, or Board of
Review upon the termination of the Office of Judges, to any decision by the Insurance
Commissioner or the third-party administrator to accept or reject a claim into the fund, as
well as to any claims decisions made with respect to any claim accepted into the fund and
such protests shall be determined in the same manner as distputed claims are determined
pursuant to the provisions of §23-5-1 et seq. of this code: Provided, That in any proceeding
involving the decision to accept or refuse to accept a claim into the fund, the employer has
the burden of proving that it either provided mandatory workers' compensation insurance
coverage or that it was not required to do so.
(d) Employer liability. —
(1) Any employer who has failed to pgrovide mandatory coverage required by the provisions
of this chapter is liable for all payments made and to be made on its behalf, including any
benefits, administrative costs aend attorney's fees paid from the fund or incurred by the
Insurance Commissioner, plus interest calculated in accordance with the provisions of
§23-2-13 of this code. L
(2) The Insurance Commissioner:
(A) May bring a civil action in a court of competent jurisdiction to recover from the employer
the amounts set forth in §23-2C-8(d)(1) of this code. In any such action, the Insurance
ComWmissioner may also recover the present value of the estimated future payments to be
made on the employer's behalf and administrative costs and attorney's fees attributable to
such claim: Provided, That the failure of the Insurance Commissioner to include a claim for
future payments shall not preclude one or more subsequent actions for such amounts;
(B) May enter into a contract with any person, including the third-party administrator of the
Uninsured Employer Fund, to assist in the collection of any liability of an uninsured
employer; and
(C) In lieu of a civil action, may enter into an agreement or settlement regarding the
collection of any liability of an uninsured employer.
(3) In addition to any other liabilities provided in this section, the Insurance Commissioner
may impose an administrative penalty of not more than $10,000 against an employer if the
employer fails to provide mandatory coverage required by this chapter. All penalties and
other moneys collected pursuant to this section shall be deposited into the Uninsured
Employer Fund.

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