0800-02-21-.02
Definitions
Cite as Tenn. Comp. R. & Regs. 0800-02-21-.02
(1)
Administrator. The chief administrative officer of the Bureau of Workers’ Compensation.
(2)
Appeals Judge. A judge of the workers’ compensation appeals board.
(3)
Appeals Board. The workers’ compensation appeals board.
(4)
Bureau. The Bureau of Workers’ Compensation.
(5)
Catastrophic Injury. For the purposes of this chapter only, any of the following injuries is
catastrophic:
(a)
Spinal cord injury involving severe paralysis of an arm, leg, trunk, or any combination of
these;
(b)
Amputation of an arm, hand, foot, leg, or any combination of these involving the
effective loss of use of that appendage;
(c)
Severe brain or closed-head injury evidenced by:
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1.
Severe sensory or motor disturbances;
2.
Severe communication disturbances;
3.
Severe complex integrated disturbances of cerebral function;
4.
Severe disturbances of consciousness; or
5.
Severe episodic neurological disorders;
(d)
Second- or third-degree burns to twenty-five percent (25%) or more of the whole
person or third-degree burns to five percent (5%) or more of the face or hands;
(e)
Total or industrial blindness; or
(f)
Total loss of hearing.
(6)
Chief Judge. Supervises the judges and coordinates all activities in the court of workers’
compensation claims.
(7)
Claim. An employee’s request for benefits available under the Workers’ Compensation Law.
(8)
Clerk. Unless otherwise provided, the clerk of the court of workers’ compensation claims and
any deputy clerk.
(9)
Compensation Hearing. A trial conducted to fully resolve all pending issues on the merits
including but not limited to disability and/or medical benefits.
(10) Compensation Order. An order by a judge that fully resolves all pending issues of the claim
including but not limited to additional permanent disability benefits and/or additional medical
benefits. A judge may issue a compensation order based on a decision on the record.
(11) Court. The court of workers’ compensation claims.
(12) Decision on the Record. A decision by a judge based on a review of the written materials
without an evidentiary hearing.
(13) Dispute Certification Notice. The notice the mediator files with the clerk after alternative
dispute resolution that identifies the issues for a judge’s determination. The judge may grant
the parties permission to present issues that have not been certified by the mediator.
(14) Electronic Signature. A document submitted by electronic transmission signed or verified
electronically in the manner approved by the bureau.
(15) Expedited Hearing. A hearing conducted before a trial on the merits to determine temporary
disability and/or medical benefits. A judge may issue an expedited hearing order based on a
decision on the record. An expedited hearing is not the appropriate procedure for the Court to
determine post-settlement or post-judgment medical issues.
(16) Filed.
(a)
After a Dispute Certification Notice has been filed, attorneys must use the Court’s
electronic filing system for all filings. A document is considered filed on the date and
time filed in the Court’s electronic filing system.
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(b)
For purposes of this chapter, a document is considered filed by a self-represented
party:
1.
On the date and time received by the clerk if hand-delivered to any bureau office
during normal business hours;
2.
On the date postmarked to the clerk if sent by U.S. certified or registered mail,
return receipt requested, or its equivalent;
3.
On the date the document reaches the clerk if transmitted by first-class mail,
facsimile, or by electronic transmission approved by the bureau; or
4.
On the date and time filed in the Court’s electronic filing system.
(c)
For purposes of this chapter, a petition for benefit determination is considered filed
when received as listed in subparagraph (a) and contains the required information set
forth in Rule 0800-02-21-.02(23).
(17) Hearing Request. A form filed by either party requesting a status, scheduling, compensation,
or expedited hearing. Either party may file a hearing request after the mediator issues a
dispute certification notice.
(18) Interlocutory Order. Any order by a judge that does not dispose of the case in its entirety.
(19) Judge or Workers’ Compensation Judge. A judge of the court of workers’ compensation
claims.
(20) Mediating in Good Faith. Appearing at a mediation and demonstrating honest and sincere
attempts to find a resolution to the dispute.
(21) Ombudsman. A bureau employee who assists any unrepresented party.
(22) Ombudsman Attorney. A bureau attorney who provides limited legal advice to any
unrepresented party.
(23) Petition for Benefit Determination.
(a)
A petition for benefit determination (PBD) is a written request for the bureau to assist in
resolution of disputed issues and is the document that initiates the litigation process as
described in Tennessee Code Annotated section 50-6-203. Any party may file a
petition as provided under Tennessee Code Annotated section 50-6-203 on a form
approved by the Administrator at any time after a dispute arises.
(b)
A petition for benefit determination is considered filed for the purposes of Tennessee
Code Annotated section 50-6-203 only if it contains all the following information:
1.
Identifying information of the employee and employee’s attorney, if applicable;
2.
The name of the employer;
3.
The date of the alleged injury or accident;
4.
A short plain statement describing the alleged injury or accident;
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5.
The signature of the employee, employee’s attorney, employer, or employer’s
attorney.
(24) Scheduling Hearing. A hearing where the judge considers efficient processing of the case
and issues a scheduling order containing a discovery plan, including but not limited to dates
for post-discovery alternative dispute resolution and the compensation hearing.
(25) Status Hearing. A hearing where the judge considers the efficient processing of the case.
(26) Unserved petition for benefit determination. A complete petition for benefit determination that
the filing party has not served on the other party(s) in the case.