CONTESTED CLAIMS
- 616C.295 - Duties of Chief of Hearings Division: Adoption of regulations establishing codes of conduct for hearing officers and appeals officers, standards for initial training and continuing educatio
- 616C.300 - Hearing officers: Appointment; salary; disqualification from particular case.
- 616C.305 - Procedure for appeal of final determination of organization for managed care which has contracted with insurer.
- 616C.310 - Contested cases: Procedures; format; redaction of personal identifying information; representation of insurer or employer by legal counsel or other agent.
- 616C.315 - Request for hearing; forms for request to be provided by insurer; prerequisites to scheduling of hearing; expeditious and informal hearing required; direct submission to appeals officer.
- 616C.320 - Resolution of disputed decision of self-insured employer or employer who is member of association of self-insured public or private employers or insured by private carrier.
- 616C.325 - Representation of employee and employer before hearings officer or appeals officer or in negotiations with insurer; licensure of employer’s representative; employer liable for representativ
- 616C.330 - Date, time and place for hearing; evaluation of injured employee; powers and duties of hearing officer; issuance of decision; procedure for obtaining stay of decision.
- 616C.335 - Award of interest.
- 616C.340 - Appointment, term, qualifications and salary of appeals officers and special appeals officers; conflicts of interest; finality of decision by appeals officer.
- 616C.345 - Notice of appeal; notice of contested claim; prerequisites to scheduling of hearing on appeal; effect of appeal on enforcement of decision of hearing officer; setting of date, time and plac
- 616C.350 - Testimony of physician or chiropractor before appeals officer; privileged communications.
- 616C.355 - Use of affidavits or declarations as evidence at hearing; notice to opposing party; waiver of right to cross-examine affiant or declarant; effect of waiver.
- 616C.360 - Record of hearing before appeals officer; rules of evidence; evaluation of injured employee; submission to external review organization; powers and duties of appeals officer; transcripts; i
- 616C.363 - External review: Duties of external review organization; contents and submission of decision by organization; costs; regulations.
- 616C.365 - Reimbursement of employee’s expenses incurred and wages lost as result of hearing requested by employer or insurer; regulations.
- 616C.370 - Judicial review.
- 616C.375 - Stay of decision of appeals officer.
- 616C.380 - Payment pending appeal when decision not stayed; effect of final resolution of claim.
- 616C.385 - Costs and attorney’s fees for frivolous petitions for judicial review.
- 616C.390 - Reopening claim: General requirements and procedure; limitations; applicability.
- 616C.392 - Reopening claim: Circumstances under which insurer is required to reopen claim for permanent partial disability.