Code of Maine Rules
90 - INDEPENDENT AGENCIES
351 - WORKERS' COMPENSATION BOARD
Chapter 9 - PROCEDURES FOR COORDINATION OF BENEFITS
Section 351-9-2 - Coordination of Benefits Pursuant to section 221(3)
Universal Citation: 90 ME Code Rules ยง 351-9-2
Current through 2024-38, September 18, 2024
1. Calculation of reduction to employee's weekly benefits
A. Except
as provided in paragraph (B) of this section, when an employee receives
payments pursuant to a plan or policy subject to §221(1)(B) or (C), the
amount of the reduction to the employee's weekly benefits is calculated by
converting the weekly payment into an after-tax amount using the tables of
average weekly wage and 80% of the after tax average weekly wage published by
the Board pursuant to
39-A M.R.S.
§102(1) and then
multiplying the applicable 80% of the after-tax amount by 1.25.
B. When an employee receives a benefit that
is intended to be paid over the employee's lifetime in a lump sum or a periodic
payment for a permanent or lifetime condition paid over a period less than the
employee's life expectancy pursuant to a plan or policy subject to
§221(1)(B) or (C), the amount of the reduction to the employee's weekly
benefits is calculated by:
(1) Determining
the employee's life expectancy based on standard actuarial tables in
weeks;
(2) Determining a weekly
benefit amount by dividing the lump sum amount by the number of weeks of life
expectancy determined pursuant to sub-section B paragraph (1) of this
section;
(3) Converting the weekly
benefit amount determined pursuant to sub-section B paragraph (2) of this
section into an after-tax amount using the tables of average weekly wage and
80% of the after tax average weekly wage published by the Board pursuant to
39-A M.R.S.
§102(1); and,
(4) Multiplying the applicable 80% of the
after-tax amount by 1.25.
C. This regulation applies retroactively to
all pending cases including those on appeal.
2. Coordination of benefits paid pursuant to "paid time off" or equivalent plans
A. Paid time off or equivalent plan means an
employer-paid benefit that covers both sick leave and vacation leave.
B. If a paid time off or equivalent plan
designates a specific portion of the benefit as sick leave, an employer/insurer
may reduce benefits, as set forth in
39-A M.R.S.A.
§221(3)(A)(2).
C. If a paid time off or equivalent plan does
not designate a specific portion of the benefit as sick leave, an
employer/insurer may reduce benefits, as set forth in
39-A M.R.S.A.
§221(3)(A)(2), when the
benefit taken is used for the equivalent of sick leave rather than vacation
leave.
Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.