0800-02-05-.01
Definitions
Cite as Tenn. Comp. R. & Regs. 0800-02-05-.01
The following definitions are for the purposes of this chapter only:
(1)
“Act” means the Tennessee Workers’ Compensation Act, §§ 50-6-101 et seq., as amended.
(2)
“Administrator” means the Chief administrative officer of the of the Workers’ Compensation
Division of the Tennessee Department of Labor and Workforce Development.
(3)
“Benefit Review Conference” means a non-adversarial, informal dispute resolution
proceeding to resolve workers’ compensation disputes as provided in the Act.
(4)
“Benefit Review Section” means the section of the Tennessee Department of Labor and
Workforce Development, Workers’ Compensation Division, which provides assistance
regarding Workers’ Compensation issues.
(5)
“Commissioner” means the Commissioner of the Tennessee Department of Labor and
Workforce Development or the Commissioner’s designee.
(6)
“Court” means any court which has jurisdiction to hear a workers’ compensation case under
Title 50, Chapter 6 of Tennessee Code Annotated.
(7)
“Designated Discovery Attorney” means a Workers’ Compensation Specialist employed by
the Tennessee Department of Labor and Workforce Development who is an attorney
currently licensed to practice law in Tennessee, is currently in good standing with the highest
court of the state, and who is designated by the Commissioner to act pursuant to Tenn. Code
Ann. § 50-6-236(i).
(8)
“Designee” means any person whom the Commissioner indicates, selects, appoints,
nominates, or sets apart for a purpose or duty.
(9)
“Employee” shall have the same meaning as set forth in Tenn. Code Ann. § 50-6-102.
(10) “Employer” shall have the same meaning as set forth in Tenn. Code Ann. § 50-6-102.
(11) “Exhaustion of the Benefit Review Process” means completion of the statutorily-mandated
Benefit Review Process as provided in Rule 0800-02-05-.09.
BENEFIT REVIEW PROCESS RULES
CHAPTER 0800-02-05
(12) “Party” means any person or entity which either could be liable for payment of workers’
compensation benefits or a person who has a potential right to receive workers’
compensation benefits. “Party” shall include a legal representative of a party.
(13) “Request for Assistance” means a request for a Workers’ Compensation Specialist to gather
information, analyze issues, facilitate resolution of disputed issues, and/or make a
determination regarding temporary disability, medical benefits, causation, compensability
and/or penalties.
(14) “Request for Benefit Review Conference” means a request for mediation of all issues related
to the final resolution of a claim.
(15) “Responding party” means the party responding to a Request for Assistance or a Request for
Benefit Review Conference filed with the Workers’ Compensation Benefit Review Section.
(16) “Wage Statement” means the form prescribed by the Division of Workers’ Compensation
which will include all gross wages paid to an employee for a period up to fifty-two (52) weeks
preceding the date of injury.
(17) “Workers’ Compensation Specialist” or “Specialist” means a department employee who has
the following authority, including but not limited to: a) providing information regarding workers’
compensation for employees, employers and medical providers; b) investigating and
analyzing issues related to workers’ compensation claims; c) issuing Orders Granting or
Denying Benefits; d) conducting Benefit Review Conferences to resolve disputed issues; e)
reviewing settlements for approval; f) and performing other duties to achieve the purposes of
the Act.