State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 27

§  27.  Depositing future payments in the aggregate trust fund. 1. All  payments made into the fund pursuant to the provisions of  this  section  shall  constitute  an  indivisible  and  aggregate  trust fund except as  hereinafter provided.    2. If an award under this chapter requires payment of  death  benefits  or  other compensation by an insurance carrier or employer in periodical  payments, the board may, in its discretion, at any time,  any  provision  of  this  chapter to the contrary notwithstanding, compute and permit or  require to be paid into the aggregate trust fund an amount equal to  the  present  value  of  all  unpaid  death benefits or other compensation in  cases in which awards are made for total permanent or permanent  partial  disability for a period of one hundred and four weeks or more, for which  liability  exists,  together  with  such additional sum as the board may  deem necessary for a proportionate payment of expenses of  administering  the  fund so created, including the cost of the actuarial computation by  or on behalf of the board of the present value of the award, and for the  purposes of this section such cases shall be known as discretionary type  cases. If any such award made on or after July first,  nineteen  hundred  thirty-five,  requires  payment for total permanent disability resulting  from the loss of both hands, or both arms, or both feet, or  both  legs,  or both eyes, or of any two thereof, or for permanent partial disability  resulting  from  loss  of  an  arm,  leg, hand, foot or eye, or of death  benefits by an insurance carrier which is a stock corporation or  mutual  association,  or  if  any  such  award  made on or after July first, two  thousand seven requires payment for permanent partial  disability  under  paragraph  w  of subdivision three of section fifteen of this article by  an insurance carrier which is a stock corporation or mutual association,  which for the purposes of this section shall be known as mandatory  type  cases, the board shall immediately compute the present value thereof and  require  payment  of such amount into the aggregate trust fund, together  with such  additional  sum  as  the  board  may  deem  necessary  for  a  proportionate  payment  of  expenses  of  administering  such trust fund  including the cost of the actuarial computation by or on behalf  of  the  board of the present value of the award provided, however, that where an  employer   or   his  insurance  carrier  is  found  to  be  entitled  to  reimbursement from the special disability fund of subdivision  eight  of  section  fifteen,  the computation of the present value of the award and  the requirement for payment of such amount  into  the  said  trust  fund  shall   not   be  mandatory  and  such  cases  shall  be  deemed  to  be  discretionary type  cases;  further  provided  that  where  an  employee  entitled  to compensation under this chapter be injured or killed by the  negligence or wrong of another not in the same employ,  the  computation  of the present value and the requirement for payment of such amount into  the  said trust fund shall be held in abeyance until (1) six months have  elapsed from the award of compensation, or in any event  not  more  than  one  year after the date of the accident, if the injured employee, or in  case of death, his personal representatives, spouse, parents, dependents  or next of kin, or anyone  otherwise  entitled  to  recover  damages  at  common law or otherwise, on account of such injury or death, have failed  to  commence such action, (2) the termination of any such action brought  by  the  injured  employee,  or  in  case   of   death,   his   personal  representatives,  spouse,  parents, dependents or next of kin, or anyone  otherwise entitled to recover damages, at common law  or  otherwise,  on  account  of  such  injury  or  death,  under  the  provisions of section  twenty-nine of this article.    3. Upon payment by an employer or insurance carrier into the aggregate  trust fund of an amount equal to the present value of all  unpaid  death  benefits  or  other compensation under any such award together with suchadditional sum as the board  may  deem  necessary  for  a  proportionate  payment  of expenses of administering such trust fund including the cost  of the actuarial computation by or on behalf of the board of the present  value  of  the  award,  such  employer  or  insurance  carrier  shall be  discharged from any further liability for payment of such death benefits  or other compensation, and payment of  the  same  as  provided  by  this  chapter shall be assumed by the fund so created.    4.  In  the event of a review or appeal of any such award the value of  which has not been paid into the aggregate trust fund, if the amount  of  award  is  modified  or changed, the employer or insurance carrier shall  pay directly to the claimant compensation due to the date  as  of  which  the  present  value of future benefits is payable into such fund, and to  the said fund the present value of future benefits, but if the  original  award  is  affirmed, the employer or insurance carrier shall pay to such  fund the present value of the award computed as of the effective date of  the original award and simple interest on such amount  at  the  industry  standard  rate,  as  determined  by  the  superintendent of insurance by  regulation, computed from the date of the original  award  to  the  date  that  payment  is  made into such fund, plus simple interest at the rate  provided in section five thousand four of the  civil  practice  law  and  rules,  on  past  due  payments  of  compensation  to  the  date  of the  affirmance of such award, which past due payment and interest  shall  be  made  directly  to  the claimant. The foregoing provision shall apply in  the event of such review or appeal regardless of whether  the  widow  or  widower  or  other parties in interest have died or the widow or widower  remarried subsequent to the date as of which the present  value  of  the  original  award  was  computed. If any award, the present value of which  has been paid into the aggregate trust fund, is subsequently modified or  changed by the board for any reason other  than  because  of  subsequent  death or remarriage, the amount equal to the present value of the unpaid  death  benefits  or  other  compensation  at  the effective date of such  modification or change shall be  computed  on  the  basis  both  of  the  original  award  and of the modified or changed award. If such amount is  greater on the basis of the original award, the difference shall be paid  by said trust fund to the employer or insurance carrier minus the  cost,  if  any, of the actuarial computation made by or on behalf of the board.  If such amount is greater on the basis of the modified or changed award,  the difference shall be paid to said trust  fund  by  such  employer  or  insurance  carrier  in  addition  to  the cost, if any, of the actuarial  computation made by or on behalf  of  the  board.  In  the  case  of  an  accident,  occurring  on  or  subsequent to July first, nineteen hundred  thirty-nine, where the present value of an award for permanent total  or  permanent  partial  disability other than award for a definite number of  weeks has been paid into the aggregate trust fund, if an award  is  made  for  death  resulting  from  the injury causing the said disability, the  employer or insurance carrier which  paid  the  present  value  of  said  disability  award  into  such  fund  shall be entitled to the difference  between the amount paid into such fund and the sum disbursed  from  such  fund  to  the  injured  employee  prior to his or her death, plus simple  interest on such difference at the industry standard rate. In  the  case  of  an  accident  occurring  on  or  subsequent  to July first, nineteen  hundred thirty-nine, where the present value of an award  for  permanent  partial disability for a definite number of weeks has been paid into the  aggregate  trust  fund, if the injured employee dies prior to the end of  such definite number of weeks, the employer or insurance  carrier  which  made  the  said  payment into such fund shall be entitled to the present  value of the unexpended disability benefits not payable to beneficiaries  computed on the basis of annuities certain with interest at the industrystandard rate,  minus  however  the  cost,  if  any,  of  the  actuarial  computation  made  by  or on behalf of the board. In the case of a claim  for the death of an employee resulting from an accident occurring on  or  subsequent  to  January first, two thousand one, the present value of an  award paid into the aggregate trust fund shall be  calculated  based  on  the  assumption that any child while under the age of twenty-three years  will be enrolled and attending as a full time student in  an  accredited  educational  institution  and  would thereby be entitled to benefits for  all periods while under the age of twenty-three years.  After  all  such  children  reach  the age of twenty-three, the aggregate trust fund shall  refund to the carrier which paid such present value into such  fund  the  portion  of  such  present  value  representing  benefits for which such  children were not actually entitled because they were not  enrolled  and  attending   as   a  full  time  student  in  an  accredited  educational  institution plus simple interest on  such  difference  at  the  industry  standard rate.    5.  All  computations made by the board shall be upon the basis of the  survivorship annuitants table of mortality, the remarriage tables of the  Dutch Royal Insurance Institution and interest at three and one-half per  centum per annum on claims  based  on  accidents  occurring  up  to  and  including  June  thirtieth,  nineteen  hundred thirty-nine, at three per  centum per annum on claims based on accidents occurring from July first,  nineteen hundred thirty-nine up to and  including  August  thirty-first,  nineteen  hundred  eighty-three,  at  six per centum per annum on claims  based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three up to and including December thirty-first, two thousand and  at  the  industry  standard  rate on claims based on accidents occurring  thereafter, except (a) that computations  of  present  values  of  death  benefits  required  to  be  paid  into  the  aggregate  trust fund by an  insurance carrier which is a stock corporation or a  mutual  association  shall be based, in the case of a dependent parent, grandparent, blind or  physically  disabled  child  or  spouse,  upon  said  table of mortality  disregarding possible change  in  or  termination  of  dependency,  with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based  on  accidents  occurring  thereafter and (b) that computations of  present values of permanent partial disability benefits  awarded  for  a  definite number of weeks shall be on the basis of annuities certain with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based on accidents occurring thereafter.    6. Such aggregate trust fund shall be kept separate and apart from all  other  moneys  of  the state insurance fund, and shall not be liable for  any losses or expenses of administration of  the  state  insurance  fund  other  than  the  expenses  involved in the administration of such trust  fund including the cost, if any, of the actuarial computations  made  onbehalf  of the board, nor shall the state insurance fund be charged with  the losses or expenses of the aggregate trust fund beyond the amount  of  such  trust fund. Any portion of such aggregate trust fund may, by order  of  the  commissioners  of  the  state  insurance  fund, approved by the  superintendent of insurance, be invested in or loaned on the  pledge  of  the  same securities as provided in section eighty-seven of this chapter  for the investment of the state insurance fund,  and  the  commissioners  may,  upon  like  approval of the superintendent of insurance, also sell  any such securities. Any securities belonging  to  the  aggregate  trust  fund  may  be  loaned  by the commissioners of the state insurance fund,  with the approval of the superintendent of insurance, under  a  security  loan  agreement  as provided by section eighty-seven of this chapter for  securities belonging to the state insurance fund.    7. For the purpose of securing the solvency  of  the  aggregate  trust  fund,  there shall be required, in addition to the payments hereinbefore  provided for, a payment on each award, as follows:    (a) In the mandatory type cases based on an accident occurring  on  or  subsequent to July first, nineteen hundred forty-one up to and including  June  thirtieth, nineteen hundred forty-three an amount equal to six per  centum of the present value of each such case paid into such fund;    (b) In the mandatory type cases based on an accident occurring  on  or  subsequent  to  July first, nineteen hundred forty-three an amount equal  to ten per centum of the present value of each such case paid into  such  fund;    (c)  In the discretionary type cases based on an accident occurring up  to and including June thirtieth, nineteen hundred thirty-nine an  amount  equal  to sixteen per centum of the present value of each such case paid  into such fund;    (d) In the discretionary type cases based on an accident occurring  on  or  subsequent  to  July  first,  nineteen hundred thirty-nine an amount  equal to ten per centum of the present value of each such case paid into  such fund.    Such additional payments shall be required until the  surplus  of  the  fund  equals  or  exceeds  one  per centum of the total outstanding loss  reserves as shown by three successive annual reports of the fund to  the  superintendent  of  insurance  and  such  additional  payment  shall  be  required as a payment upon each award based  on  an  accident  occurring  prior  to  July  first next succeeding the third such annual report, but  not as a payment upon any award based on an  accident  occurring  on  or  after  said  July first; provided, however, that if and when the surplus  of the fund as shown by any annual report thereafter shall be less  than  one  per  centum  of  the  total  outstanding  loss  reserves,  then the  additional payments as provided in paragraphs (a), (b), (c) and  (d)  of  this  subdivision  shall  be resumed and shall be payable upon any award  based on an accident occurring on or after July  first  next  succeeding  the  close of the year for which such annual report is made. Thereafter,  the suspension or resumption of additional payments as required by  this  subdivision  shall  be  governed  by the foregoing provisions. Such loss  reserves  shall  be  computed  based  upon  the  tables   specified   in  subdivision  five  of  this  section  and  interest  at a standard to be  determined by the superintendent of insurance by regulation.    8. In the case of a claim concerning which the  aggregate  trust  fund  enters  a  waiver  agreement  pursuant  to  section  thirty-two  of this  article, the insurance carrier, as  defined  in  subdivision  twelve  of  section  two  of this chapter, which paid the present value of the award  for such claim, shall not be entitled to a refund of any portion of  the  present value of such award.

State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 27

§  27.  Depositing future payments in the aggregate trust fund. 1. All  payments made into the fund pursuant to the provisions of  this  section  shall  constitute  an  indivisible  and  aggregate  trust fund except as  hereinafter provided.    2. If an award under this chapter requires payment of  death  benefits  or  other compensation by an insurance carrier or employer in periodical  payments, the board may, in its discretion, at any time,  any  provision  of  this  chapter to the contrary notwithstanding, compute and permit or  require to be paid into the aggregate trust fund an amount equal to  the  present  value  of  all  unpaid  death benefits or other compensation in  cases in which awards are made for total permanent or permanent  partial  disability for a period of one hundred and four weeks or more, for which  liability  exists,  together  with  such additional sum as the board may  deem necessary for a proportionate payment of expenses of  administering  the  fund so created, including the cost of the actuarial computation by  or on behalf of the board of the present value of the award, and for the  purposes of this section such cases shall be known as discretionary type  cases. If any such award made on or after July first,  nineteen  hundred  thirty-five,  requires  payment for total permanent disability resulting  from the loss of both hands, or both arms, or both feet, or  both  legs,  or both eyes, or of any two thereof, or for permanent partial disability  resulting  from  loss  of  an  arm,  leg, hand, foot or eye, or of death  benefits by an insurance carrier which is a stock corporation or  mutual  association,  or  if  any  such  award  made on or after July first, two  thousand seven requires payment for permanent partial  disability  under  paragraph  w  of subdivision three of section fifteen of this article by  an insurance carrier which is a stock corporation or mutual association,  which for the purposes of this section shall be known as mandatory  type  cases, the board shall immediately compute the present value thereof and  require  payment  of such amount into the aggregate trust fund, together  with such  additional  sum  as  the  board  may  deem  necessary  for  a  proportionate  payment  of  expenses  of  administering  such trust fund  including the cost of the actuarial computation by or on behalf  of  the  board of the present value of the award provided, however, that where an  employer   or   his  insurance  carrier  is  found  to  be  entitled  to  reimbursement from the special disability fund of subdivision  eight  of  section  fifteen,  the computation of the present value of the award and  the requirement for payment of such amount  into  the  said  trust  fund  shall   not   be  mandatory  and  such  cases  shall  be  deemed  to  be  discretionary type  cases;  further  provided  that  where  an  employee  entitled  to compensation under this chapter be injured or killed by the  negligence or wrong of another not in the same employ,  the  computation  of the present value and the requirement for payment of such amount into  the  said trust fund shall be held in abeyance until (1) six months have  elapsed from the award of compensation, or in any event  not  more  than  one  year after the date of the accident, if the injured employee, or in  case of death, his personal representatives, spouse, parents, dependents  or next of kin, or anyone  otherwise  entitled  to  recover  damages  at  common law or otherwise, on account of such injury or death, have failed  to  commence such action, (2) the termination of any such action brought  by  the  injured  employee,  or  in  case   of   death,   his   personal  representatives,  spouse,  parents, dependents or next of kin, or anyone  otherwise entitled to recover damages, at common law  or  otherwise,  on  account  of  such  injury  or  death,  under  the  provisions of section  twenty-nine of this article.    3. Upon payment by an employer or insurance carrier into the aggregate  trust fund of an amount equal to the present value of all  unpaid  death  benefits  or  other compensation under any such award together with suchadditional sum as the board  may  deem  necessary  for  a  proportionate  payment  of expenses of administering such trust fund including the cost  of the actuarial computation by or on behalf of the board of the present  value  of  the  award,  such  employer  or  insurance  carrier  shall be  discharged from any further liability for payment of such death benefits  or other compensation, and payment of  the  same  as  provided  by  this  chapter shall be assumed by the fund so created.    4.  In  the event of a review or appeal of any such award the value of  which has not been paid into the aggregate trust fund, if the amount  of  award  is  modified  or changed, the employer or insurance carrier shall  pay directly to the claimant compensation due to the date  as  of  which  the  present  value of future benefits is payable into such fund, and to  the said fund the present value of future benefits, but if the  original  award  is  affirmed, the employer or insurance carrier shall pay to such  fund the present value of the award computed as of the effective date of  the original award and simple interest on such amount  at  the  industry  standard  rate,  as  determined  by  the  superintendent of insurance by  regulation, computed from the date of the original  award  to  the  date  that  payment  is  made into such fund, plus simple interest at the rate  provided in section five thousand four of the  civil  practice  law  and  rules,  on  past  due  payments  of  compensation  to  the  date  of the  affirmance of such award, which past due payment and interest  shall  be  made  directly  to  the claimant. The foregoing provision shall apply in  the event of such review or appeal regardless of whether  the  widow  or  widower  or  other parties in interest have died or the widow or widower  remarried subsequent to the date as of which the present  value  of  the  original  award  was  computed. If any award, the present value of which  has been paid into the aggregate trust fund, is subsequently modified or  changed by the board for any reason other  than  because  of  subsequent  death or remarriage, the amount equal to the present value of the unpaid  death  benefits  or  other  compensation  at  the effective date of such  modification or change shall be  computed  on  the  basis  both  of  the  original  award  and of the modified or changed award. If such amount is  greater on the basis of the original award, the difference shall be paid  by said trust fund to the employer or insurance carrier minus the  cost,  if  any, of the actuarial computation made by or on behalf of the board.  If such amount is greater on the basis of the modified or changed award,  the difference shall be paid to said trust  fund  by  such  employer  or  insurance  carrier  in  addition  to  the cost, if any, of the actuarial  computation made by or on behalf  of  the  board.  In  the  case  of  an  accident,  occurring  on  or  subsequent to July first, nineteen hundred  thirty-nine, where the present value of an award for permanent total  or  permanent  partial  disability other than award for a definite number of  weeks has been paid into the aggregate trust fund, if an award  is  made  for  death  resulting  from  the injury causing the said disability, the  employer or insurance carrier which  paid  the  present  value  of  said  disability  award  into  such  fund  shall be entitled to the difference  between the amount paid into such fund and the sum disbursed  from  such  fund  to  the  injured  employee  prior to his or her death, plus simple  interest on such difference at the industry standard rate. In  the  case  of  an  accident  occurring  on  or  subsequent  to July first, nineteen  hundred thirty-nine, where the present value of an award  for  permanent  partial disability for a definite number of weeks has been paid into the  aggregate  trust  fund, if the injured employee dies prior to the end of  such definite number of weeks, the employer or insurance  carrier  which  made  the  said  payment into such fund shall be entitled to the present  value of the unexpended disability benefits not payable to beneficiaries  computed on the basis of annuities certain with interest at the industrystandard rate,  minus  however  the  cost,  if  any,  of  the  actuarial  computation  made  by  or on behalf of the board. In the case of a claim  for the death of an employee resulting from an accident occurring on  or  subsequent  to  January first, two thousand one, the present value of an  award paid into the aggregate trust fund shall be  calculated  based  on  the  assumption that any child while under the age of twenty-three years  will be enrolled and attending as a full time student in  an  accredited  educational  institution  and  would thereby be entitled to benefits for  all periods while under the age of twenty-three years.  After  all  such  children  reach  the age of twenty-three, the aggregate trust fund shall  refund to the carrier which paid such present value into such  fund  the  portion  of  such  present  value  representing  benefits for which such  children were not actually entitled because they were not  enrolled  and  attending   as   a  full  time  student  in  an  accredited  educational  institution plus simple interest on  such  difference  at  the  industry  standard rate.    5.  All  computations made by the board shall be upon the basis of the  survivorship annuitants table of mortality, the remarriage tables of the  Dutch Royal Insurance Institution and interest at three and one-half per  centum per annum on claims  based  on  accidents  occurring  up  to  and  including  June  thirtieth,  nineteen  hundred thirty-nine, at three per  centum per annum on claims based on accidents occurring from July first,  nineteen hundred thirty-nine up to and  including  August  thirty-first,  nineteen  hundred  eighty-three,  at  six per centum per annum on claims  based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three up to and including December thirty-first, two thousand and  at  the  industry  standard  rate on claims based on accidents occurring  thereafter, except (a) that computations  of  present  values  of  death  benefits  required  to  be  paid  into  the  aggregate  trust fund by an  insurance carrier which is a stock corporation or a  mutual  association  shall be based, in the case of a dependent parent, grandparent, blind or  physically  disabled  child  or  spouse,  upon  said  table of mortality  disregarding possible change  in  or  termination  of  dependency,  with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based  on  accidents  occurring  thereafter and (b) that computations of  present values of permanent partial disability benefits  awarded  for  a  definite number of weeks shall be on the basis of annuities certain with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based on accidents occurring thereafter.    6. Such aggregate trust fund shall be kept separate and apart from all  other  moneys  of  the state insurance fund, and shall not be liable for  any losses or expenses of administration of  the  state  insurance  fund  other  than  the  expenses  involved in the administration of such trust  fund including the cost, if any, of the actuarial computations  made  onbehalf  of the board, nor shall the state insurance fund be charged with  the losses or expenses of the aggregate trust fund beyond the amount  of  such  trust fund. Any portion of such aggregate trust fund may, by order  of  the  commissioners  of  the  state  insurance  fund, approved by the  superintendent of insurance, be invested in or loaned on the  pledge  of  the  same securities as provided in section eighty-seven of this chapter  for the investment of the state insurance fund,  and  the  commissioners  may,  upon  like  approval of the superintendent of insurance, also sell  any such securities. Any securities belonging  to  the  aggregate  trust  fund  may  be  loaned  by the commissioners of the state insurance fund,  with the approval of the superintendent of insurance, under  a  security  loan  agreement  as provided by section eighty-seven of this chapter for  securities belonging to the state insurance fund.    7. For the purpose of securing the solvency  of  the  aggregate  trust  fund,  there shall be required, in addition to the payments hereinbefore  provided for, a payment on each award, as follows:    (a) In the mandatory type cases based on an accident occurring  on  or  subsequent to July first, nineteen hundred forty-one up to and including  June  thirtieth, nineteen hundred forty-three an amount equal to six per  centum of the present value of each such case paid into such fund;    (b) In the mandatory type cases based on an accident occurring  on  or  subsequent  to  July first, nineteen hundred forty-three an amount equal  to ten per centum of the present value of each such case paid into  such  fund;    (c)  In the discretionary type cases based on an accident occurring up  to and including June thirtieth, nineteen hundred thirty-nine an  amount  equal  to sixteen per centum of the present value of each such case paid  into such fund;    (d) In the discretionary type cases based on an accident occurring  on  or  subsequent  to  July  first,  nineteen hundred thirty-nine an amount  equal to ten per centum of the present value of each such case paid into  such fund.    Such additional payments shall be required until the  surplus  of  the  fund  equals  or  exceeds  one  per centum of the total outstanding loss  reserves as shown by three successive annual reports of the fund to  the  superintendent  of  insurance  and  such  additional  payment  shall  be  required as a payment upon each award based  on  an  accident  occurring  prior  to  July  first next succeeding the third such annual report, but  not as a payment upon any award based on an  accident  occurring  on  or  after  said  July first; provided, however, that if and when the surplus  of the fund as shown by any annual report thereafter shall be less  than  one  per  centum  of  the  total  outstanding  loss  reserves,  then the  additional payments as provided in paragraphs (a), (b), (c) and  (d)  of  this  subdivision  shall  be resumed and shall be payable upon any award  based on an accident occurring on or after July  first  next  succeeding  the  close of the year for which such annual report is made. Thereafter,  the suspension or resumption of additional payments as required by  this  subdivision  shall  be  governed  by the foregoing provisions. Such loss  reserves  shall  be  computed  based  upon  the  tables   specified   in  subdivision  five  of  this  section  and  interest  at a standard to be  determined by the superintendent of insurance by regulation.    8. In the case of a claim concerning which the  aggregate  trust  fund  enters  a  waiver  agreement  pursuant  to  section  thirty-two  of this  article, the insurance carrier, as  defined  in  subdivision  twelve  of  section  two  of this chapter, which paid the present value of the award  for such claim, shall not be entitled to a refund of any portion of  the  present value of such award.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 27

§  27.  Depositing future payments in the aggregate trust fund. 1. All  payments made into the fund pursuant to the provisions of  this  section  shall  constitute  an  indivisible  and  aggregate  trust fund except as  hereinafter provided.    2. If an award under this chapter requires payment of  death  benefits  or  other compensation by an insurance carrier or employer in periodical  payments, the board may, in its discretion, at any time,  any  provision  of  this  chapter to the contrary notwithstanding, compute and permit or  require to be paid into the aggregate trust fund an amount equal to  the  present  value  of  all  unpaid  death benefits or other compensation in  cases in which awards are made for total permanent or permanent  partial  disability for a period of one hundred and four weeks or more, for which  liability  exists,  together  with  such additional sum as the board may  deem necessary for a proportionate payment of expenses of  administering  the  fund so created, including the cost of the actuarial computation by  or on behalf of the board of the present value of the award, and for the  purposes of this section such cases shall be known as discretionary type  cases. If any such award made on or after July first,  nineteen  hundred  thirty-five,  requires  payment for total permanent disability resulting  from the loss of both hands, or both arms, or both feet, or  both  legs,  or both eyes, or of any two thereof, or for permanent partial disability  resulting  from  loss  of  an  arm,  leg, hand, foot or eye, or of death  benefits by an insurance carrier which is a stock corporation or  mutual  association,  or  if  any  such  award  made on or after July first, two  thousand seven requires payment for permanent partial  disability  under  paragraph  w  of subdivision three of section fifteen of this article by  an insurance carrier which is a stock corporation or mutual association,  which for the purposes of this section shall be known as mandatory  type  cases, the board shall immediately compute the present value thereof and  require  payment  of such amount into the aggregate trust fund, together  with such  additional  sum  as  the  board  may  deem  necessary  for  a  proportionate  payment  of  expenses  of  administering  such trust fund  including the cost of the actuarial computation by or on behalf  of  the  board of the present value of the award provided, however, that where an  employer   or   his  insurance  carrier  is  found  to  be  entitled  to  reimbursement from the special disability fund of subdivision  eight  of  section  fifteen,  the computation of the present value of the award and  the requirement for payment of such amount  into  the  said  trust  fund  shall   not   be  mandatory  and  such  cases  shall  be  deemed  to  be  discretionary type  cases;  further  provided  that  where  an  employee  entitled  to compensation under this chapter be injured or killed by the  negligence or wrong of another not in the same employ,  the  computation  of the present value and the requirement for payment of such amount into  the  said trust fund shall be held in abeyance until (1) six months have  elapsed from the award of compensation, or in any event  not  more  than  one  year after the date of the accident, if the injured employee, or in  case of death, his personal representatives, spouse, parents, dependents  or next of kin, or anyone  otherwise  entitled  to  recover  damages  at  common law or otherwise, on account of such injury or death, have failed  to  commence such action, (2) the termination of any such action brought  by  the  injured  employee,  or  in  case   of   death,   his   personal  representatives,  spouse,  parents, dependents or next of kin, or anyone  otherwise entitled to recover damages, at common law  or  otherwise,  on  account  of  such  injury  or  death,  under  the  provisions of section  twenty-nine of this article.    3. Upon payment by an employer or insurance carrier into the aggregate  trust fund of an amount equal to the present value of all  unpaid  death  benefits  or  other compensation under any such award together with suchadditional sum as the board  may  deem  necessary  for  a  proportionate  payment  of expenses of administering such trust fund including the cost  of the actuarial computation by or on behalf of the board of the present  value  of  the  award,  such  employer  or  insurance  carrier  shall be  discharged from any further liability for payment of such death benefits  or other compensation, and payment of  the  same  as  provided  by  this  chapter shall be assumed by the fund so created.    4.  In  the event of a review or appeal of any such award the value of  which has not been paid into the aggregate trust fund, if the amount  of  award  is  modified  or changed, the employer or insurance carrier shall  pay directly to the claimant compensation due to the date  as  of  which  the  present  value of future benefits is payable into such fund, and to  the said fund the present value of future benefits, but if the  original  award  is  affirmed, the employer or insurance carrier shall pay to such  fund the present value of the award computed as of the effective date of  the original award and simple interest on such amount  at  the  industry  standard  rate,  as  determined  by  the  superintendent of insurance by  regulation, computed from the date of the original  award  to  the  date  that  payment  is  made into such fund, plus simple interest at the rate  provided in section five thousand four of the  civil  practice  law  and  rules,  on  past  due  payments  of  compensation  to  the  date  of the  affirmance of such award, which past due payment and interest  shall  be  made  directly  to  the claimant. The foregoing provision shall apply in  the event of such review or appeal regardless of whether  the  widow  or  widower  or  other parties in interest have died or the widow or widower  remarried subsequent to the date as of which the present  value  of  the  original  award  was  computed. If any award, the present value of which  has been paid into the aggregate trust fund, is subsequently modified or  changed by the board for any reason other  than  because  of  subsequent  death or remarriage, the amount equal to the present value of the unpaid  death  benefits  or  other  compensation  at  the effective date of such  modification or change shall be  computed  on  the  basis  both  of  the  original  award  and of the modified or changed award. If such amount is  greater on the basis of the original award, the difference shall be paid  by said trust fund to the employer or insurance carrier minus the  cost,  if  any, of the actuarial computation made by or on behalf of the board.  If such amount is greater on the basis of the modified or changed award,  the difference shall be paid to said trust  fund  by  such  employer  or  insurance  carrier  in  addition  to  the cost, if any, of the actuarial  computation made by or on behalf  of  the  board.  In  the  case  of  an  accident,  occurring  on  or  subsequent to July first, nineteen hundred  thirty-nine, where the present value of an award for permanent total  or  permanent  partial  disability other than award for a definite number of  weeks has been paid into the aggregate trust fund, if an award  is  made  for  death  resulting  from  the injury causing the said disability, the  employer or insurance carrier which  paid  the  present  value  of  said  disability  award  into  such  fund  shall be entitled to the difference  between the amount paid into such fund and the sum disbursed  from  such  fund  to  the  injured  employee  prior to his or her death, plus simple  interest on such difference at the industry standard rate. In  the  case  of  an  accident  occurring  on  or  subsequent  to July first, nineteen  hundred thirty-nine, where the present value of an award  for  permanent  partial disability for a definite number of weeks has been paid into the  aggregate  trust  fund, if the injured employee dies prior to the end of  such definite number of weeks, the employer or insurance  carrier  which  made  the  said  payment into such fund shall be entitled to the present  value of the unexpended disability benefits not payable to beneficiaries  computed on the basis of annuities certain with interest at the industrystandard rate,  minus  however  the  cost,  if  any,  of  the  actuarial  computation  made  by  or on behalf of the board. In the case of a claim  for the death of an employee resulting from an accident occurring on  or  subsequent  to  January first, two thousand one, the present value of an  award paid into the aggregate trust fund shall be  calculated  based  on  the  assumption that any child while under the age of twenty-three years  will be enrolled and attending as a full time student in  an  accredited  educational  institution  and  would thereby be entitled to benefits for  all periods while under the age of twenty-three years.  After  all  such  children  reach  the age of twenty-three, the aggregate trust fund shall  refund to the carrier which paid such present value into such  fund  the  portion  of  such  present  value  representing  benefits for which such  children were not actually entitled because they were not  enrolled  and  attending   as   a  full  time  student  in  an  accredited  educational  institution plus simple interest on  such  difference  at  the  industry  standard rate.    5.  All  computations made by the board shall be upon the basis of the  survivorship annuitants table of mortality, the remarriage tables of the  Dutch Royal Insurance Institution and interest at three and one-half per  centum per annum on claims  based  on  accidents  occurring  up  to  and  including  June  thirtieth,  nineteen  hundred thirty-nine, at three per  centum per annum on claims based on accidents occurring from July first,  nineteen hundred thirty-nine up to and  including  August  thirty-first,  nineteen  hundred  eighty-three,  at  six per centum per annum on claims  based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three up to and including December thirty-first, two thousand and  at  the  industry  standard  rate on claims based on accidents occurring  thereafter, except (a) that computations  of  present  values  of  death  benefits  required  to  be  paid  into  the  aggregate  trust fund by an  insurance carrier which is a stock corporation or a  mutual  association  shall be based, in the case of a dependent parent, grandparent, blind or  physically  disabled  child  or  spouse,  upon  said  table of mortality  disregarding possible change  in  or  termination  of  dependency,  with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based  on  accidents  occurring  thereafter and (b) that computations of  present values of permanent partial disability benefits  awarded  for  a  definite number of weeks shall be on the basis of annuities certain with  interest  at  three and one-half per centum per annum on claims based on  accidents occurring up to and including June thirtieth, nineteen hundred  thirty-nine, at three per centum per annum on claims based on  accidents  occurring  from  July  first,  nineteen  hundred  thirty-nine  up to and  including August thirty-first, nineteen hundred eighty-three, at six per  centum per annum on claims based on accidents occurring  from  September  first,  nineteen  hundred  eighty-three  up  to  and  including December  thirty-first, two thousand and at the industry standard rate  on  claims  based on accidents occurring thereafter.    6. Such aggregate trust fund shall be kept separate and apart from all  other  moneys  of  the state insurance fund, and shall not be liable for  any losses or expenses of administration of  the  state  insurance  fund  other  than  the  expenses  involved in the administration of such trust  fund including the cost, if any, of the actuarial computations  made  onbehalf  of the board, nor shall the state insurance fund be charged with  the losses or expenses of the aggregate trust fund beyond the amount  of  such  trust fund. Any portion of such aggregate trust fund may, by order  of  the  commissioners  of  the  state  insurance  fund, approved by the  superintendent of insurance, be invested in or loaned on the  pledge  of  the  same securities as provided in section eighty-seven of this chapter  for the investment of the state insurance fund,  and  the  commissioners  may,  upon  like  approval of the superintendent of insurance, also sell  any such securities. Any securities belonging  to  the  aggregate  trust  fund  may  be  loaned  by the commissioners of the state insurance fund,  with the approval of the superintendent of insurance, under  a  security  loan  agreement  as provided by section eighty-seven of this chapter for  securities belonging to the state insurance fund.    7. For the purpose of securing the solvency  of  the  aggregate  trust  fund,  there shall be required, in addition to the payments hereinbefore  provided for, a payment on each award, as follows:    (a) In the mandatory type cases based on an accident occurring  on  or  subsequent to July first, nineteen hundred forty-one up to and including  June  thirtieth, nineteen hundred forty-three an amount equal to six per  centum of the present value of each such case paid into such fund;    (b) In the mandatory type cases based on an accident occurring  on  or  subsequent  to  July first, nineteen hundred forty-three an amount equal  to ten per centum of the present value of each such case paid into  such  fund;    (c)  In the discretionary type cases based on an accident occurring up  to and including June thirtieth, nineteen hundred thirty-nine an  amount  equal  to sixteen per centum of the present value of each such case paid  into such fund;    (d) In the discretionary type cases based on an accident occurring  on  or  subsequent  to  July  first,  nineteen hundred thirty-nine an amount  equal to ten per centum of the present value of each such case paid into  such fund.    Such additional payments shall be required until the  surplus  of  the  fund  equals  or  exceeds  one  per centum of the total outstanding loss  reserves as shown by three successive annual reports of the fund to  the  superintendent  of  insurance  and  such  additional  payment  shall  be  required as a payment upon each award based  on  an  accident  occurring  prior  to  July  first next succeeding the third such annual report, but  not as a payment upon any award based on an  accident  occurring  on  or  after  said  July first; provided, however, that if and when the surplus  of the fund as shown by any annual report thereafter shall be less  than  one  per  centum  of  the  total  outstanding  loss  reserves,  then the  additional payments as provided in paragraphs (a), (b), (c) and  (d)  of  this  subdivision  shall  be resumed and shall be payable upon any award  based on an accident occurring on or after July  first  next  succeeding  the  close of the year for which such annual report is made. Thereafter,  the suspension or resumption of additional payments as required by  this  subdivision  shall  be  governed  by the foregoing provisions. Such loss  reserves  shall  be  computed  based  upon  the  tables   specified   in  subdivision  five  of  this  section  and  interest  at a standard to be  determined by the superintendent of insurance by regulation.    8. In the case of a claim concerning which the  aggregate  trust  fund  enters  a  waiver  agreement  pursuant  to  section  thirty-two  of this  article, the insurance carrier, as  defined  in  subdivision  twelve  of  section  two  of this chapter, which paid the present value of the award  for such claim, shall not be entitled to a refund of any portion of  the  present value of such award.