W. Va. Code R. § 102-1-9 - Expedited Hearings
9.1. Expedited
issues. In compliance with the provisions of W. Va. Code §
23-4-1c(a)(3),
when a private carrier or self-insured employer, whichever is applicable, fails
to timely issue a ruling upon any application or motion as provided by law, or
if the claimant files a timely protest to the ruling of a self-insured employer
or private carrier or other issuing entity denying the compensability of the
claim, denying temporary total disability benefits, or denying medical
authorization, the Board of Review shall provide to the claimant an expedited
hearing as defined in this Rule.
9.2. Election of expedited hearing process.
The claimant must notify, in writing, the Board of Review and all parties of
intent to proceed with the expedited hearing process. Notice of the election to
proceed with the expedited hearing process must be received no later than
fifteen (15) days after the date the protest was acknowledged by the Board of
Review. The claimant's notice must specify whether the claimant requests that a
hearing be scheduled, requests an opportunity to offer written evidence or
argument, or both. If the claimant requests that a hearing be scheduled, the
claimant must show good cause to support the request, including but not limited
to, identifying with specificity the testimony or evidence that the claimant
intends to present at the hearing. If the claimant elects to proceed with the
expedited hearing process but does not request that a hearing be scheduled, the
other party may submit a request for a hearing within ten (10) days of receipt
of the claimant's election. If the other party requests a hearing, that party
must show good cause to support the request, including but not limited to,
identifying with specificity the testimony and evidence it intends to present
at the hearing.
9.3. Time limit for
filing evidence in expedited process when neither party requests that a hearing
be scheduled. If neither party requests that a hearing be scheduled, the Board
of Review will modify the Time Frame Order to require that all evidence be
submitted within 45 days from receipt of the claimant's election of the
expedited hearing process.
9.4.
Expedited process when a party requests that a hearing be scheduled
9.4.1. If a party requests that a hearing be
scheduled and good cause has been established for the request, the Board of
Review will issue a notice of hearing and amended Time Frame Order. The date of
the hearing will be at least fourteen (14) days after the date of the Board of
Review's notice of hearing. The Time Frame Order will expire on the date of the
hearing. However, other than testimony that may be presented during the
expedited hearing, all evidence must be exchanged by the parties and received
by the Board of Review no later than one business day prior to the expedited
hearing. The Board of Review has discretion to waive this
requirement.
9.4.2. Hearings in the
expedited process will be scheduled to last no longer than sixty (60) minutes,
divided at thirty (30) minutes per side including rebuttal. If the docket
schedule permits, the hearing length may be extended at the discretion of the
Board of Review. If the parties anticipate requiring more lengthy testimony,
then the parties should obtain that testimony at a deposition prior to the
expedited hearing.
9.4.3. The
parties are not required to appear at the expedited hearing, unless subpoenaed,
and may submit any arguments or evidence in writing prior to the hearing
date.
9.5.
Extensions/continuances. Time Frame Orders and scheduled hearings may be
extended/continued by agreement of the parties with the consent of the Board of
Review, or upon a showing of good cause, or within the discretion of the Board
of Review.
9.6. Expedited
decisions. The Board of Review will issue a decision within thirty (30) days of
the date of the expiration of the Time Frame Order or, if a hearing was
scheduled, within thirty (30) days of the date of the hearing, unless the Board
of Review notifies the parties that additional time is needed to issue the
decision.
9.7. Exceptions. The
expedited hearing process shall not be available for occupational
pneumoconiosis claims or hearing loss claims or complex issues, unless the
Board of Review determines that expedited adjudication is necessary for the
issue involved.
9.8. Failure to
prosecute in expedited hearing process. In protests in which no evidence has
been introduced or no argument in lieu of evidence has been filed by the
claimant, by the hearing date or at the expiration of the time frame, the
provisions of the section on "Failure to Prosecute Protest" shall
apply.
Notes
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