On September 14, 2020 New Jersey’s Governor signed a bill created a presumption of compensability for COVID-19 claims in New Jersey for “essential workers.” This law is retroactive to March 9, 2020.
This is video from our live Q & A on the impact of the new COVID-19 presumption in New Jersey workers’ compensation cases.
What Does the New Law Say?
The Law amends the New Jersey Workers’ Compensation Act (N.J.S.A. 34:15-1 et. seq.) to create a rebuttable presumption that the contraction of COVID-19 by an essential employee is work-related. See generally S2380, § 1.
What is a “Rebuttable Presumption”?
Both in common law and in civil law, a rebuttable presumption (in Latin, praesumptio iuris tantum) is an assumption made by a court that is taken to be true unless someone comes forward to contest it and prove otherwise. For example, a defendant in a criminal case is presumed innocent until proved guilty. A rebuttable presumption is often associated with prima facie evidence.
What Must an Employer Show to Rebut the Presumption?
The assumption afforded essential employees can be rebutted by an employer showing “a preponderance of the evidence showing that the worker was not exposed to the disease.” S2380, § 2.
Who Is An Essential Employee?
The new law states that the presumption applies to “essential employees” and includes:
- health care workers;
- public safety workers;
- any essential employee as defined by NJ Executive Order 103 of 2020 “as extended by subsequent Executive Orders.” S2380, § 1.
Included in the essential employee definition and then extended by way of subsequent Executive Order are:
- State employees necessary to carry out functions of Executive branch agencies (Order 103, page 4);
- County and municipal employees necessary to carry out services (Order 103, page 4);
- grocery/food store employees (Order 104, page 6),
- pharmacy employees (Order 104, page 6),
- medical supply store employees (Order 104, page 6 & Order 107, page 6),
- gas station employees ((Order 104, page 6),
- employees of healthcare facilities and ancillary stores within healthcare
facilities (Order 104, page 6 & Order 107, page 6).
- Grocery stores, farmer’s markets and farms that sell directly to customers, and other food stores, including retailers that offer a varied assortment of foods comparable to what exists at a grocery store (Order 107, page 6);
- Employees of Pharmacies and alternative treatment centers that dispense medicinal marijuana (Order 107, page 6);
- Retail functions of gas stations (Order 107, page 6);
- Convenience store employees (Order 107, page 6);
- Hardware and home improvement stores (Order 107, page 6);
- Employees in Retail functions of banks and other financial
institutions (Order 107, page 6);
- Employees of Retail functions of laundromats and dry-cleaning
services (Order 107, page 6);
- Employees of Stores that principally sell supplies for children
under five years old (Order 107, page 6);
- Pet store Employees (Order 107, page 6);
- Liquor store employees (Order 107, page 6);
- Car dealership employees, but only to provide auto maintenance and repair services, and auto mechanics (Order 107, page 6);
- Employees of Retail functions of printing and office supply
shops (Order 107, page 6);
- Retail functions of mail and delivery stores (Order 107, page 6).
- Law enforcement officers, fire fighters, and other first responders (Order 107, page 10);
- Cashiers or store clerks (Order 107, page 10);
- Construction workers (Order 107, page 10);
- Utility workers (Order 107, page 10);
- Repair workers (Order 107, page 10);
- Warehouse workers (Order 107, page 10);
- Lab researchers (Order 107, page 10);
- Information technology maintenance workers (Order 107, page 10);
- Janitorial and custodial staff (Order 107, page 10);
- “Certain administrative staff necessary to ensure essential operations” (Order 107, page 10);
- Any employee necessary to operations of newspapers, television, radio, and other media services (Order 107, page 12);
- Employees providing childcare services to “essential employees” (Order 110, page 3);
As of this writing, more than 70 subsequent Executive Orders, most which dealing with COVID-19 matters, slowly reopening New Jersey (with some retrenchment) but increasing declaring business allowed to reopen in some capacity. It is unclear if the term “subsequent Executive Order” refer to all of these industries and employments, which at this time include nearly all employments.
When Would This Law Take Effect?
This law is retroactive to March 9, 2020.
What Claims Could Be Impacted?
Any claim for COVID-19 related infection arising after March 9, 2020 and alleged by an “essential employee” would be impacted by this retroactive law. Claimants who have already brought workers’ compensation claim would be entitled to the benefit of the presumption. Any pending civil claims for workplace harm would be impacted as the workers’ compensation bar would apply (if the claim is compensable).
How Will This Impact Employers?
- This law will encourage the filing of workers’ compensation claims for COVID-19 infections.
- This law makes defending an occupational infection case much harder for employers.
- This law provides that losses associated with workers’ compensation claims are not be included in calculating an employer’s Experience Modifier Rate or otherwise affect an employer’s insurance premium rate for the employer’s workers’ compensation policy.
- This law may insulate employers from civil liability for claims brought by employees as employers will be able to invoke the worker’s compensation bar to those actions (N.J.S.A. 34:15-8).
How Will This Impact Insurance Carriers?
The bill provides that workers’ compensation claims paid as a result of the rebuttable presumption provided by the bill are not to be considered in calculating an employer’s Experience Modifier Rate or otherwise affect an employer’s insurance premium rate for the employer’s
workers’ compensation policy.
This means that carriers will be exposed for the costs of medical care, lost time, and permanency benefits associated with claims without recourse to the policy holders. Presumably this is based on the expected “one time” nature of the losses.
What is “Defending Employers: Audio From Lois Law Firm, Workers’ Compensation Defense Attorneys”?
This is the audio feed from Lois Law Firm’s popular webinar training series. Every month the Firm’s attorneys present different topics in workers’ compensation. Meant as a “101-” level training course, the attorneys present a fresh take on common issues in workers’ compensation defense.
Special Reports. When emerging legal issues arise that impact employers, Lois Law Firm publishes special presentations. These special events, hosted by attorneys and presented in plain English, make the emergent changes understandable for business owners, insurance carriers, and other attorneys.