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New Independent Contractor Act in
Illinois
December 10, 2007--the
New Year is almost upon us, and while much attention in Springfield
is upon the continuing Civil War between the governor and
legislature, some important new legislation is already set to take
effect on January 1, 2008. For example, the Illinois Employee
Classification Act becomes effective then, and it will have
significant impact on how many construction (and
construction-related companies) do business.
The Act tightens up considerably on the use
of "independent contractors" in Illinois, at least for anyone in
construction related work (including trucking.) Essentially,
unless the "independent contractor" is really and truly an
independent business, the law will consider such workers as
employees. The "default setting" of the Act is that a worker
is considered an employee unless the employer can satisfactorily
demonstrate that the worker meets the stringent tests set out
in the Act.
You can take a look at the full text of the
ACT here.
This new law looks likely to create some
serious headaches for companies in Illinois that use "independent
contractors" that aren't really and truly operating their own
independent businesses.
War of the Words
July 5, 2007--Illinois
politics may rarely be noble, but it is often a case study in the
political process at its most elemental (think Lord of the Flies).
At the moment, House Speaker Madigan has written an open
letter to Governor Blagojevich, announcing that the Illinois House
is meeting as a Committee as a Whole to try to resolve the current
budget crisis, and asking (taunting?) the governor to stay in town
until things are worked out.
The governor has rejected the invitation,
not surprisingly.
And so it goes in Springfield, with
political egos strutting and maneuvering while the vital issues of
the day get auctioned off like old laptops on Ebay.
At least the governor's ill-conceived Gross
Receipts Tax looks to be thoroughly and irretrievably D.O.A.
But there is still a budget to balance, and scores to settle, and
campaign contributions to be redeemed, so God only knows what will
ultimately be decided by our august legislators and the governor
(once they get done trying to knife each other, metaphorically.)
At the moment, Illinois government looks
pretty dysfunctional. These people need to learn to work
together and get the people's business done, without all the
bickering and posturing.
How to Lose Friends and Alienate
People...
June 7, 2007---That
might be the title for a book about Governor Blagojevich's efforts
to pass his Gross Receipts Tax in the Illinois General Assembly.
Even his own running mate, Lt. Governor Patrick Quinn, opposes the
tax. In the latest development, the Illinois House has voted
107-0 against the proposal, in a non-binding resolution.
In his efforts to try to strong-arm
legislators, the Governor has only managed to bring his opponents
together, and to bring many members of his own party into a state of
revolt against his tactics.
Although some kind of loophole
closing reforms may well come out of the legislature (perhaps an
Alternative Minimum Tax on Illinois corporations) it now seems clear
that the Gross Receipts Tax will not. But Governor Blagojevich
has revealed much about his personal and political character in this
effort, and the revelations have not been flattering.
The Governor Looks Increasingly
Isolated
May 9,
2007--...in his attempt to get the
Gross Receipts Tax passed, at least in any version that's even close
to what he wanted. His key ally in the Illinois Senate,
President Emil Jones, is straining to keep the measure from being
watered down in the Senate, while House Speaker Mike Madigan is
clearly not inclined to help the governor at all.
The governor has managed
to unite Illinois business groups in opposition to the proposal,
though, revitalizing these groups a bit in the process. Heck,
even the Lt. Governor opposes this new tax (something that surely
has endeared him to Governor Blagojevich.)
At the moment, it doesn't
look too likely that the governor will get his new tax, in spite of
his impassioned campaigning for it (and his vilifying of his
opposition.) This governor doesn't appear to be so good at
compromising, but he may well soon get a crash course on the
subject, thanks to his over-reaching on the GRT.
There may be a compelling
case to be made that some Illinois businesses aren't paying their
fair share. But a more reasonable solution would appear to be
to close the loopholes that allow that to happen--one interesting
proposal is to create a corporate Alternative Minimum Tax--rather
than resorting to the GRT.
Up Next--The Battle of Springfield
March 3, 2007--It's
about to begin. Governor Blagojevich is about to announce his
plan to provide health insurance for all citizens of Illinois.
He reportedly won't immediately announce how he plans to pay for it,
but that shoe is widely expected to drop shortly afterward.
And that 'shoe' is expected to be a tax on gross receipts for
businesses in Illinois, a tax that would raise some $6 billion for
the state's coffers.
Illinois business groups are convinced this
is Blagojevich's plan, and have been very publicly gearing up for
battle. Such a gross receipts tax would replace the current
Illinois corporate income tax, and levy taxes on a far broader base.
(Including, at least potentially, this writer's business.) At
the moment, since the governor has not actually announced officially
any such taxing initiative, no one really knows what the details of
his plan will be. Some reports say it would exempt the first
million dollars of a company's receipts, effectively sparing small
firms like mine, but casting a very wide net over all businesses
larger than that.
If a gross receipts tax is announced, expect
a true battle royal in Springfield, as a variety of interests form
alliances and have at it. While health care reform is a good
and noble cause, and one arguably overdue, this may not be the way
to solve the problem. Certainly it should not be expected that
businesses will meekly agree to have a large new tax imposed on them
while at the same time we read about drivers--DRIVERS--of various
state bureaucrats being paid $84,000 a year (and having those
bureaucrats lie about the duties of those drivers to sneak through
such ridiculous salaries.)
It does not appear that this administration
has truly brought wasteful government spending under control.
And this gross receipts tax could genuinely put Illinois business at
a disadvantage with those in other nearby states. That, in
turn, could cost jobs for people in Illinois who have to actually
work for a living.
Governor Says Poor People Don't
Have Zip Codes
January
25, 2007--Really. Illinois
Governor Rod Blagojevich has directed the Illinois Department of
Financial and Professional Regulation to issue a "designation" that,
for the purposes of the Pilot Program to fight predatory lending,
there are no zip codes. Since the program required the
department to implement the program by zip codes, the governor has
thus managed to kill this program via a weird and Clintonesque use
of language. Apparently the governor is so eager to mess with
Mike Madigan (sponsor of the program) that he is willing to go to
these lengths to help so-called "predatory lenders."
To take a look at the
"designation" itself, take a look
here.
It's a classic worthy of Franz Kafka. Makes one wonder how
much "predatory lenders" gave the Blagojevich re-election campaign.
It also makes one hope that the Federal prosecutors who are surely
closing in on this governor would hurry up and get this over with.
Lt. Governor Pat Quinn is an honest man, and it would be nice to get
him in the governor's mansion. Quinn would probably even be
willing to live there.
Balance Billing Not Yet Banished from
Illinois WC
January 22, 2007--The last
batch of reforms in the Illinois Workers' Compensation were supposed
to finally eliminate "Balance Billing" by health care providers.
Balance billing is where the health care provider goes after the
injured worker for charges not paid by the Workers' Comp insurance
company (or self-insurer). It's horribly unfair to an injured
worker to have the doctor or hospital dun you and even initiate
legal action, when Workers' Compensation is supposed to take care of
the cost of workplace injuries without cost to the worker, and the
most recent reforms to the Workers' Comp system in Illinois were
supposed to finally drive a stake through the heart of this
practice. But health care providers are still dunning workers,
still referring their accounts to collection agencies and lawyers.
It's connected to the ongoing and
unresolved disputes over the medical fee schedule that was also a
part of the last part of Workers' Comp reform here. Employers
thought they had finally obtained a medical fee schedule that would
limit (to a certain extent) medical costs under Illinois Workers'
Comp, in exchange for increasing certain other benefits under the
system. But the actual implementation of the fee schedule is
being wrangled over by the various entrenched interests, and at the
moment insurance companies are trying to pay health care providers
what the insurers think is due under the fee schedule, but providers
are still balance billing for the difference that they think is owed
them. And in the process, the injured worker gets the short
end of the stick.
In the past, the Illinois Division of
Insurance has offered some help to workers stuck in this Catch-22.
The Division has taken the position that insurance companies must
either pay the bill in full or defend the worker from the legal
collection efforts of the medical provider. They had thought
that there would no longer be a need for this policy, given the new
provisions approved by the legislature, but that is clearly not the
case. So injured workers who are being subjected to collection
efforts by medical providers over Workers' Compensation injuries
should contact the Illinois Division of Insurance to discuss how the
Division might be of assistance.
Will the Last Person At The Illinois
Division of Insurance Please Turn Out The Lights
August 2, 2006--The
ongoing decimation of experienced personnel at the Illinois Division
of Insurance is likely to get worse by years end. Informed
sources at the regulatory agency tell AIM that many of the (few)
remaining experienced people there plan to leave at the end of 2006.
The hiring freeze laid on by Governor Blagojevich (and the freezing
of supervisor pay for the past several years) has hollowed out the
Illinois Division of Insurance in recent years, making it difficult
for the agency to perform its duties as the watchdog over the
insurance industry. These problems don't just affect the
division of insurance, of course--the same problems are being
inflicted on state agencies generally--but the impact on the
division of insurance will create problems for all consumers of
insurance, both personal and commercial.
The dismantling of the Division of
Insurance can't even be justified on the grounds of reducing
government costs, because the budget for the DOI is paid by the
insurance industry, not taxpayers. Back when the DOI was fully
staffed, they had a budget of $13 million. Currently, their
budget is around $2 million. Things are so bad that even the
insurance industry has indicated to the administration that they are
willing to pay more for the DOI, if only to speed up the approval of
policy forms and endorsements. But no change appears imminent.
At the moment, the governor plans to outsource one function of the
DOI--market conduct examinations of insurance companies. Given
that the governor's decisions have reduced the DOI's market conduct
staff down to one person (from a staff of more than a dozen people
in the past) outsourcing may appear necessary, but it makes one
wonder what kind of campaign contributions are being made by those
private companies hoping to obtain the contract for market conduct
exams?
Insurance regulation has not been as
effective as it might be for a long time--but the actions of the
Blagojevich administration have thrown gasoline on a long-simmering
problem. If there is a strategic plan behind the governor's
actions, it's not one that's discernible to this observer. The
reasons for many of this governor's decisions may not become known
to the public for some time after the administration's tenure.
Right now, there are a lot of people at the Division of Insurance
who hope that tenure is shorter rather than longer.
Illinois Files Suite Against Liberty
Mutual
July 7, 2006--Illinois
Attorney General Lisa Madigan has filed a civil suit in Cook County
against Liberty Mutual Insurance, charging that the insurer engaged
in illegal bid-rigging and steering of business. In this
action, Illinois follows the lead of New York Attorney General
Elliot Spitzer. Liberty is currently fighting similar charges
brought by Spitzer in New York (rather than settling the matter by
paying substantial fines, as other insurers did.)
The specifics of the
charges should be familiar to those who have been following this
unfolding scandal in other jurisdictions. AG Madigan charges
that Liberty participated in bid-rigging with broker Marsh,
providing deliberately-high quotes for some accounts (to make it
look like Marsh was obtaining competitive quotes for clients) yet
still steering the clients to the insurer that Marsh wanted to write
the account.
The way these
schemes worked, allegedly, is that on some accounts Liberty would be
the "high" bidder, while on some other accounts Liberty would be the
"low" bidder, and thus everyone involved would get their share of
accounts. The participating insurers would pay so-called
"contingent commissions" to Marsh behind the scenes, commissions
that were not disclosed to the policyholders.
The harm in such a
scheme is that the policyholders are not really getting the benefit
of competitive bidding for their accounts, merely the illusion of
competitive bidding. In reality, the insurers in such a scheme
get to set prices where they want them, and the "competitors" set
their prices artificially high, to make the winning insurer's
proposal appear to be favorably priced. As long as each of the
participating insurers get their turn to be the "low" bidder and
write desirable accounts at prices that are not really driven down
by genuine competition, such a scheme can be very attractive from
the perspective of an insurer. And by paying handsome
contingent commissions to the broker for such business, the only
party that loses is the policyholder, who ends up paying higher
premiums because the insurance program has not truly been
competitively shopped.
If the allegations
are true, this was a shameful scam perpetuated by some of the
biggest and best-known names in the insurance industry. More
than ever, this story appears to confirm some of the worst
suspicions about the insurance industry, and damns not only the
insurers and brokers who participated, but also the insurance
regulators on whose watch these alleged crimes occurred. After
all, it has not been the insurance regulators in the various states
who have uncovered these scams--it has been Attorneys General, who
are not part of their states' insurance regulatory systems, who have
been responsible for uncovering and prosecuting these activities.
Illinois Latest State for Large-Scale Rate Revisions
June 15, 2006-- Illinois
is the latest state to have significant retroactive
reductions made by NCCI in their published advisory rates and loss
costs for Workers' Compensation Insurance. Most insurance
companies use this NCCI rate data for their own Workers'
Compensation insurance rates in Illinois, so these NCCI revisions
(retroactive back to 2003) will affect many employers throughout
Illinois. The Illinois rate revisions affect only certain
classifications (around 50, although the specific classifications
vary from year to year) so not all employers will be affected--this
is not an across-the-board rate revision. Even so, it will be
a major project to make sure all affected employers receive the
premium refunds required by these retroactive rate revisions.
Interestingly, Illinois is not the first state to have such
retroactive rate revisions made by NCCI recently, and it does not
appear that Illinois will be the last state affected, either.
Last year, Maine announced that rates for a number of classes had
also been retroactively recalculated by NCCI, back to 2003.
But the list of affected classifications in Maine is different from
the list of affected classifications in Illinois. It appears
there has been a major glitch in the NCCI ratemaking system, one
that affected different classifications in different states.
And although the rate revisions are not huge when viewed at the
level of an individual employer, collectively they will require very
large premium refunds from Workers' Compensation insurers. The
process of identifying these problems and working out how to make
these refunds has been handled by individual state insurance
regulators working with NCCI.
It is unclear at this point exactly how soon affected employers will
be notified concerning refunds of current and past premiums.
The Double-Edged Sword of WC Fraud Enforcement
May 25, 2006-- Employers
generally support the idea of stepped-up enforcement of
laws against Workers' Compensation fraud with enthusiasm.
That's because employers focus on fraud by workers who claim to be
injured when they're not, or who exaggerate the extent of their
injury. But increasingly, that's not the only kind of fraud
being investigated and prosecuted. More and more, it's
employers who are facing charges of Workers' Compensation fraud, and
it's a trend I expect to see growing.
Here in Illinois, part of the recent
package of reform measures is the creation of a Workers'
Compensation investigative unit within the Illinois Division of
Insurance. And that unit is going to be looking not just at
fraud by workers, but also at fraud on the part of
employers. I'm informed that initially they may take a
hard look at improper actions on the part of employers regarding
experience modification factors.
Illinois is hardly the only state to be
giving employers much closer examination, and sometimes criminal
prosecution, in the area of fraudulent actions to reduce Workers'
Compensation insurance premiums, or to avoid them altogether.
Ever day it seems I see another
news item about some employer somewhere in the U.S. being
charged with fraud in the area of Workers' Compensation insurance.
This is a relatively recent development--in the past, it was
rare for an employer to face
criminal charges over avoidance of Workers' Compensation
insurance premiums. Insurance companies would routinely file
civil lawsuits seeking money from employers, but it was difficult to
get prosecutors to pursue criminal charges, even when insurance
companies were convinced deliberate fraud was involved. That's
changed in recent years.
And certainly there's a powerful benefit to society at large in
prosecuting people who defraud the system. Employers who
deceitfully avoid purchasing Workers' Comp coverage gain an unfair
advantage over their competitors, and endanger their workers.
The only problem I fear may develop is that
prosecutors tend to rely heavily on the insurance industry in
deciding what constitutes fraudulent behavior, and the insurance
industry can sometimes exhibit a very selective perspective about
what constitutes fraud and what might be mere honest error.
After all, the rules regarding computation of Workers' Compensation
insurance are complicated enough that I find insurance companies
themselves regularly breaking those rules and overcharging
employers. Yet some folks in the insurance industry are quick
to condemn mistakes by employers that reduce premiums as necessarily
indicating fraudulent intent, even while the insurance industry's
own errors are charitably characterized as honest mistakes.
Having worked in the field of Workers'
Compensation insurance for several decades now, I know that some
employers can take a pretty rough and tumble attitude towards
Workers' Compensation premiums, something like "all's fair in love
and Work Comp audits."
But employers need to be careful about
being overly aggressive in trying to reduce their Workers' Comp
insurance premiums, to make sure they don't open themselves up to
charges of criminal behavior. And it also means employers need
to be more careful than ever in selecting an outside review firm to
double-check Workers' Compensation premiums for overcharges.
Any improper actions taken by
unethical or inexpert consultants could inadvertently expose an
employer to charges of fraud.
A professional premium
review consultant can save an employer thousands of dollars in
Workers' Comp premiums--and an unprofessional one could cost an
employer much more than money.
Insurance Regulation in Illinois Isn't Working
(and the insurance companies know it)
April 4, 2006-- We have
reported earlier on the dire situation at the Illinois Division of
Insurance (formerly the Department of Insurance) and the
consequences for Illinois policyholders. Since then, we have
received confidential reports from independent insurance agents and
brokers that they, too, are seeing insurance companies deliberately
and knowingly disregarding insurance regulations here in Illinois,
confident that insurance regulators are so understaffed,
budget-starved, and generally overwhelmed that insurance regulation
here is effectively being crippled.
We here at AIM know first-hand that the good
people at the Division of Insurance haven't given up, in spite of
the way the Blagojevich administration has been working to starve
them into submission, but it has also become clear that the Division
is having a hard time handling complaints in a timely basis.
They just don't have the experienced people anymore to keep up with
the workload, which is apparently just what the Governor and the
insurance industry wanted.
And according to these reports we hear from
agents and brokers, the insurance industry is becoming emboldened by
this situation, so that they feel free to blatantly disregard the
rules that govern such things as reporting data for experience
modification factors, changing classification codes, and increasing
premiums. And the Division of Insurance informs us that they
observe insurance companies increasingly inclined to try to ignore
the insurance regulators when abuses are identified and complaints
are filed.
The situation is serious--and ignored for
the moment by the media, who typically have a difficult time
focusing on the somewhat arcane subject of insurance regulation.
But if the insurance companies continue to get their way, every
business in Illinois will suffer, as the rules and regulations that
protect policyholders from overcharges fall into disuse. As
insurance company personnel start to learn that they don't have to
worry about anyone slapping their hands anymore, the instances of
overcharging for Workers' Comp and other kinds of insurance will
snowball until overcharging becomes just "business as usual".
Connecting the Dots
December 16, 2005-- There
have been some apparently unrelated stories in the news lately that
strike me as being unconnected dots--and when you connect them you
start to see how bad things are in our state. The other day,
the Chicago Tribune ran a
story about how crooks falsely assume the identity of legitimate
real estate appraisers, as part of large-scale mortgage fraud that
is becoming endemic. And part of the problem, according to
that story, is that the Department of Professional Regulation
doesn't have the staff or budget to do its job anymore--among other
things, they are supposed to regulate the profession of real estate
appraisers, but their last full time person qualified to do that has
retired.
Even more alarming, this dire picture is
consistent with other reports I've gotten from my contacts at the
Illinois Division of Insurance, which is now part of the Department
of Professional Regulation. My sources tell me that they too
are being hobbled by manpower and budget reductions. My
contacts tell me that the oversight of banks that are
state-chartered (rather than federally chartered) is similarly in a
state of disarray, due to the same kind of manpower and budget
reductions.
And at the same time I've been mulling over
these reports, we've all been treated to the daily reports of the
cynical thievery that was part of daily life under former Governor
George Ryan, thanks to testimony at the trial of that gentleman
that's ongoing in federal court. The defendants, George Ryan
and Larry Warner, have strongly argued that they did nothing
illegal, that the unending payment of "lobbying fees" and "campaign
contributions" that are now coming to light were just business as
usual.
And that's what's wrong with these people.
They think they're entitled to rob us.
Worse, does anyone out there seriously doubt
that our current state government is any less corrupt, any less full
of lying thieves who are feeding off our tax payments as if they are
some kind medieval princelings? In spite of his ceaseless
public pronouncements to the contrary, the smell of rank corruption
seems to be wafting from the administration of current Governor Rod
Blagojevich as strongly as ever it did from that of Mr. Ryan.
And our state legislature, I fear, doesn't even bother to make
hypocritical pronouncements of civic high-mindedness, as so many of
them are so hopelessly compromised as to make any honest citizen
weep.
So we have the insane situation of our state
being unable to perform important regulatory functions because they
don't have the money to staff those agencies properly. And at
the same time, we hear daily tales of how the cost of government was
being padded to take care of "lobbyists" who didn't lobby and
"consultants" who didn't consult, and how our state government was
turned into a criminal enterprise by elected officials and their
cronies.
We have a lot of work ahead of us if we want to
make sure that arrogant slugs like Scott Fawell aren't allowed
anywhere near our tax dollars in the future. We have a lot of
work ahead of us if we want to insist that our state government do
its job without wasting a third of its resources on sweetheart deals
and phony consulting fees.
We have a lot of work ahead of us.
State Supreme Court OK's Deregulation of Business Phone Rates
December 2, 2005-- The
Illinois State Supreme Court has overturned a Madison County court
decision, holding that the 1998 deregulation of business phone rates
was constitutional. Even though the deregulation was
predicated on the idea that there would be competition for business
phone service (and that has never really materialized) the Illinois
Supreme Court has decided that it's not the business of the courts
to second-guess the legislature, even when they make decisions that
are considered unwise. More details
here.
So there won't be any refunds of SBC
(sorry--they're called AT&T again now) phone charges for businesses.
And there certainly doesn't appear to be much likelihood of serious
competition for business phone service
in Illinois. So it should be a good day for stockholders of
the new AT&T--bad news for everybody else doing business (at least
by phone) in Illinois.
Blagojevich Administration Neutering Illinois Insurance Oversight
September 7, 2005--Reliable
sources at the Illinois Division of Insurance (formerly the
Department of Insurance, until the Blagojevich administration made
the department a division of the Department of Professional
Regulation) tell A.I.M. that the governor is hard at work to
effectively eliminate the insurance regulator's consumer protection
efforts by folding them into a consolidated consumer complaint
operation covering all of the Department of Professional Regulation.
This will be disastrous for Illinois insurance consumers, including
employers who purchase Workers' Compensation insurance and other
commercial insurance.
The consumer complaints section of
the Insurance Division has, in the past, been an effective advocate
for policyholders who had been taken advantage of by their insurers.
Combining this function with consumer complaint staff who are not
experienced with insurance matters will make sure that insurance
companies can get away with abusing Illinois policyholders without
any effective regulatory leash.
Already, the consumer complaint
function at the Illinois Division of Insurance has been hobbled by
budget and staff reductions imposed by Blagojevich. "Our teeth
are being pulled," said one senior administrator at the
Division of Insurance, who wished to remain anonymous. A
consultant retained by the Blagojevich administration has already
met with senior staff at the Division of Insurance, to coordinate
this upcoming change.
The division of insurance is
already demoralized by the budget and staff reductions by
Blagojevich. There has been a steady exodus of experienced
regulators over the course of the past year, as Blagojevich diverts
funds from insurance regulation (funds paid not by taxpayers but by
assessments on the insurance industry) to other uses by his
administration. Now the insurance regulators of Illinois are
going to be made utterly helpless to actually impose any restraint
on insurance companies and brokers. This at a time when
scandal after scandal is being reported at major insurance companies
and brokers.
As long time observers of the
insurance industry in Illinois who have worked closely with
insurance regulators in the past, we have to wonder what in the
world this governor could be thinking. If Blagojevich gets his
way, insurance consumers in Illinois will lose their most effective
protector and advocate. If this is a reform administration, it
makes one start to reassess the merits and weaknesses of the prior
Ryan administration. In spite of George Ryan's many, many
failings, he never tried to leave insurance consumers defenseless
with some sneaky behind-the-scenes maneuvering. If, as some
critics have alleged, the Blagojevich administration is essentially
available for the highest bidder, it seems as if the insurance
industry may be getting a bargain. It must make Pat Quinn, our
Lt. Governor and an old consumer-protection advocate, question his
wisdom in joining forces with the Governor.
Significant Changes in Illinois Workers Comp Benefits Signed Into Law
July 21, 2005 -- Governor Blagojevich yesterday signed into law sweeping revisions of the Illinois Workers Compensation system. The law increases many benefits for workers, while imposing a medical fee schedule on benefits paid to medical providers. The law also finally eliminates "balance billing", which allowed medical providers to dun workers for medical charges not paid by insurers for on-the-job injuries. More details can be found here and here.
Legislature Proposes Regulating "Predatory" Mortgage Loans in Cook County
June 20, 2005 -- The Illinois legislature is considering new legislation to review and regulate so-called "predatory" mortgage lending in Cook County, Illinois. Published reports indicate that Governor Blagojevich will sign the bill. More details here.
Governor Announces Workers' Comp Changes
May 26, 2005 -- Governor Rod Blagojevich announced today important changes to the Illinois Workers' Compensation system. These changes include implementing a medical fee schedule for medical treatment provided under Workers' Compensation insurance. The agreement also increases the benefits payable to workers, and establishes a fraud unit to investigate charges of workers' compensation fraud, including uninsured employers.
Although 42 other states use a medical fee schedule to control medical costs within Workers' Compensation, Illinois remains one of only two states that still allow "balance billing" by medical providers. Balance billing means that medical providers can seek payment from an injured worker for any portion of the provider's fee that is not paid by the Worker's Compensation system. It remains unclear at this writing if this new medical fee schedule will leave workers with an even greater potential exposure to balance billing abuses. In the past, the Illinois Division of Insurance was able to pressure insurers to relieve workers of balance billing problems, if those problems were brought to the attention of the insurance regulators. However, with insurers now able to use a medical fee schedule to hold down payments to medical providers, this stop-gap solution to balance billing may no longer be effective.
Over the years, there have been repeated attempts to ban "balance billing" in Workers Comp by the Illinois legislature, but these attempts have always been thwarted by the medical lobby.
Illinois Insurance Regulators Set Up Hotline for Broker Abuses
January 28. 2005--The Illinois Department of Financial and Professional Regulation, Division of Insurance (formerly the Illinois Department of Insurance) has announced that it is seeking help from Illinois consumers who may have questions or concerns about how their insurance brokers have dealt with them. This is in response to the abuses uncovered by New York Attorney General Elliott Spitzer in recent months. According to the Division of Insurance, information from insurance consumers will be used in their own investigation into the business practices of major insurance brokers to determine whether company sales and commission practices are consistent with Illinois law. The statewide hotline number is 1-866-445-5364. Illinois regulators have also set up a special consumer complaint link at www.idfpr.com.
Business practices under investigation include the now-notorious contingent commissions paid to brokers, as well as any bid rigging activities such as those found by Mr. Spitzer.
Judge Strikes Down Illinois WC Surcharge
December 7, 2004 -- A Cook County judge has ruled that the 1.5% Workers' Comp surcharge enacted last year by Governor Blagojevich and a compliant state legislature is improper. This is the surcharge that was supposed to fund the Illinois Industrial Commission. As reported here earlier, the curious thing about this surcharge was that it raised about $30 million, while the annual budget of the Industrial Commission was only about $14 million.
Clearly, the rest of this surcharge was designed to help plug the holes in the state's general revenue fund. And that is apparently the basis for the judge's ruling that the surcharge was improper. The governor's budget office is appealing the ruling, naturally. So stay tuned for further developments.
Illinois Insurance Regulators React to Spitzer Findings
December 6, 2004 -- Deirdre Manna, acting director of the Illinois Division of Insurance (formerly known as the Illinois Dept. of Insurance) has announced that the division is drafting legislation that would bar insurance brokers who are paid on a fee basis (as opposed to commissions) from taking additional payments from insurance companies without the clients' approval. This is in response to the findings of New York Attorney General Elliot Spitzer, who has uncovered what he described as illegal bid-rigging by the world's largest insurance broker, Marsh & McLennan.
A.G. Spitzer found that Marsh steered business to insurers based on who was paying the highest contingent commissions to Marsh, rather than which carrier had the best deal for the client.
In the wake of the scandal, large brokers like Marsh and Aon have foresworn contingent commissions (although they remain a common feature in the insurance industry elsewhere, at least for the moment.)
It's good that Illinois insurance regulators are getting on this particular bandwagon, as the abuses alleged by Spitzer were serious abuses of client trust. But it also makes us wonder, how come Illinois insurance regulators haven't tried to come up with remedies for a more home-grown insurance scandal--the one where long-time insurance wheeler-dealer Michael Segal got convicted in federal court of misappropriating about $20 million dollars of customers' money.
Could it be that Illinois insurance regulators would like to let their own sorry part of the Segal story fade into obscurity? Because when Illinois insurance regulators became aware of Segal's misdeeds, their response was to tell him to put back the money, and then all would be ok. Of course, the federal prosecutor wasn't quite as forgiving (and neither were the members of the jury.)
The question remains, why were Illinois insurance regulators so lenient? And why have they failed to come up with measures to improve their own oversight of brokers like Segal, in light of their obvious failure to protect insurance consumers from a politically-connected shark like Segal?
New Illinois Overtime Rules Go Into Effect
April 2, 2004 -- Effective immediately, and with few exceptions, new rules about overtime pay are in effect for Illinois employees. Under the new law, anyone earning less than $10.63 per hour must be considered a non-exempt hourly employee. Such employees must receive overtime compensation for time over 40 hours in any workweek. All other rules and tests remain the same. This Illinois law supersedes any Federal rule changes that may come down, at least as far as Illinois employees are concerned.
For more information, contact the Illinois Department of Labor, wage/overtime division, at 312-793-2804 (or follow the link above.)
Earlier stories can be found here.
To contribute news, or for further clarification on these stories, contact Advanced Insurance Management, call 1-800-288-9256 or email aim@cutcomp.com.
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