2009 Kentucky Revised Statutes CHAPTER 342 WORKERS' COMPENSATION 342.125 Reopening and review of award or order -- Grounds -- Procedures -- Time limitations -- Credit for previously-awarded retraining incentive benefits or income benefits awarded for coal-related pneumoconiosis.
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342.125 Reopening and review of award or order -- Grounds -- Procedures -- Time
limitations -- Credit for previously-awarded retraining incentive benefits or <br>income benefits awarded for coal-related pneumoconiosis.
(1) Upon motion by any party or upon an administrative law judge's own motion, an
administrative law judge may reopen and review any award or order on any of the <br>following grounds: <br>(a) Fraud; <br>(b) Newly-discovered evidence which could not have been discovered with the
exercise of due diligence;
(c) Mistake; and <br>(d) Change of disability as shown by objective medical evidence of worsening or
improvement of impairment due to a condition caused by the injury since the <br>date of the award or order.
(2) No claim which has been previously dismissed or denied on the merits shall be
reopened except upon the grounds set forth in this section.
(3) Except for reopening solely for determination of the compensability of medical
expenses, fraud, or conforming the award as set forth in KRS 342.730(1)(c)2., or for <br>reducing a permanent total disability award when an employee returns to work, or <br>seeking temporary total disability benefits during the period of an award, no claim <br>shall be reopened more than four (4) years following the date of the original award <br>or order granting or denying benefits, and no party may file a motion to reopen <br>within one (1) year of any previous motion to reopen by the same party.
(4) Reopening and review under this section shall be had upon notice to the parties and
in the same manner as provided for an initial proceeding under this chapter. Upon <br>reopening, the administrative law judge may end, diminish, or increase <br>compensation previously awarded, within the maximum and minimum provided in <br>this chapter, or change or revoke a previous order. The administrative law judge <br>shall immediately send all parties a copy of the subsequent order or award. <br>Reopening shall not affect the previous order or award as to any sums already paid <br>thereunder, and any change in the amount of compensation shall be ordered only <br>from the date of filing the motion to reopen. No employer shall suspend benefits <br>during pendency of any reopening procedures except upon order of the <br>administrative law judge.
(5) (a) Upon the application of the affected employee, and a showing of progression
of his previously-diagnosed occupational pneumoconiosis resulting from <br>exposure to coal dust and development of respiratory impairment due to that <br>pneumoconiosis and two (2) additional years of employment in the <br>Commonwealth wherein the employee was continuously exposed to the <br>hazards of the disease, the administrative law judge may review an award or <br>order for benefits attributable to coal-related pneumoconiosis under KRS <br>342.732. An application for review under this subsection shall be made within <br>one (1) year of the date the employee knew or reasonably should have known <br>that a progression of his disease and development or progression of respiratory
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impairment have occurred. Review under this subsection shall include a <br>review of all evidence admitted in all prior proceedings.
(b) Benefits awarded as a result of a review under this subsection shall be reduced
by the amount of retraining incentive benefits or income benefits previously <br>awarded under KRS 342.732. The amount to be deducted shall be subtracted <br>from the total amount awarded, and the remaining amount shall be divided by <br>the number of weeks, for which the award was made, to arrive at the weekly <br>benefit amount which shall be apportioned in accordance with the provisions <br>of KRS 342.316.
(6) In a reopening or review proceeding where there has been additional permanent
partial disability awarded, the increase shall not extend the original period, unless <br>the combined prior disability and increased disability exceeds fifty percent (50%), <br>but less than one hundred percent (100%), in which event the awarded period shall <br>not exceed five hundred twenty (520) weeks, from commencement date of the <br>original disability previously awarded. The law in effect on the date of the original <br>injury controls the rights of the parties.
(7) Where an agreement has become an award by approval of the administrative law
judge, and a reopening and review of that award is initiated, no statement contained <br>in the agreement, whether as to jurisdiction, liability of the employer, nature and <br>extent of disability, or as to any other matter, shall be considered by the <br>administrative law judge as an admission against the interests of any party. The <br>parties may raise any issue upon reopening and review of this type of award which <br>could have been considered upon an original application for benefits.
(8) The time limitation prescribed in this section shall apply to all claims irrespective of
when they were incurred, or when the award was entered, or the settlement <br>approved. However, claims decided prior to December 12, 1996, may be reopened <br>within four (4) years of the award or order or within four (4) years of December 12, <br>1996, whichever is later, provided that the exceptions to reopening established in <br>subsections (1) and (3) of this section shall apply to these claims as well.
Effective: July 14, 2000 <br>History: Amended 2000 Ky. Acts ch. 514, sec. 7, effective July 14, 2000. -- Amended
1996 (1st Extra. Sess.) Ky. Acts ch. 1, sec. 6, effective December 12, 1996. -- <br>Amended 1994 Ky. Acts ch. 181, Part 6, sec. 27, effective April 4, 1994. -- Amended <br>1987 (1st Extra. Sess.) Ky. Acts ch. 1, sec. 16, effective October 26, 1987. -- <br>Amended 1980 Ky. Acts ch. 104, sec. 4, effective July 15, 1980. -- Amended 1972 <br>Ky. Acts ch. 78, sec. 24. -- Amended 1960 Ky. Acts ch. 147, sec. 12. -- Recodified <br>1942 Ky. Acts ch. 208, sec. 1, effective October 1, 1942, from Ky. Stat. sec. 4902.
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