(1) The investigating employee may assess a civil penalty for each action of not less than fifty dollars ($50) but no more than five thousand dollars ($5,000) against the person or entity that is the subject of the referral for the following acts:
- (a) Failed to attend a scheduled alternative dispute resolution proceeding;
- (b) Arrived more than thirty minutes late to any scheduled alternative dispute resolution proceeding without previously notifying the mediator of their tardiness;
- (c) Denied or stopped providing benefits for a claim of temporary disability or medical benefits without first performing a reasonable investigation of the claim;
- (d) Provided medical providers on a Form C-42 that the party knew, should have known, or had good reason to believe, would not provide treatment for the injured employee;
- (e) Provided medical providers on a Form C-42 in an untimely manner;
- (f) Failed to comply with a request by an ombudsman or mediator for information or documentation as required by the Tennessee Workers’ Compensation Law or the Bureau’s rules;
- (g) Failed to timely provide documents as required by the Tennessee Workers’ Compensation Law or the Bureau’s rules; or
- (h) Failed to provide a representative with authority to settle a case at alternative dispute resolution proceeding. WORKERS’ COMPENSATION CLAIMS
- (2) In addition to the assessment authority provided in paragraph (1), the investigating employee shall assess a civil penalty of not less than fifty dollars ($50) but no more than five thousand dollars ($5,000) against the person or entity that has failed to comply with any order of a workers’ compensation judge in a timely manner or has performed any of the actions enumerated in § 29-9-102 in relation to any proceedings in the court of workers' compensation claims. In assessing a penalty under this subsection, the investigating employee shall not be required to determine that the person or entity acted in bad faith.
- (3) The investigating employee shall send written notice of the assessment to the assessed party in the manner provided by rule 0800-02-21-.08.
- (4) The person or entity against whom the penalty has been assessed shall have fifteen (15) calendar days from the date the penalty is assessed to challenge the assessment by requesting a contested case hearing. If a contested case hearing is not timely requested, the penalty shall become due and payable and shall not be subject to further review.
- (5) Failure to pay the penalty within five (5) business days after it has become due and payable may result in the assessment of additional civil penalties.
- (6) In addition to these penalties, the investigating employee may assess a civil penalty of up to five thousand dollars ($5,000) for a violation of rule 0800-02-01-.06.
Authority: T.C.A. §§ 50-6-118 and 50-6-233. Administrative History: Original rule filed December 22, 2014; effective March 22, 2015. Amendments filed December 19, 2022; effective March 19, 2023.