Employer-Employee Relationship Flashcards

1
Q

Who is an “employee” under the IL Workers Compensation Act?

A

An employee is every person in the service of another, under any form of contract for hire (written or oral & express or implied).

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2
Q

What are the two main elements required for an individual to be an “employee” under the IL Workers Compensation Act?

A

1) Service of another; and 2) contract for hire.

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3
Q

What kinds of contracts for hire may an employee be hired under in order to qualify as an “employee” under the IL Workers Compensation Act?

A

1) Express or implied, and 2) oral or written. Absent a contract for hire, an individual cannot be an “employee” under the Act and must pursue general tort or contract remedies against the alleged employer.

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4
Q

What is the “Tooley” expected compensation test?

A

Under the Tooley expected compensation test, a true employer-employee relationship does not exist if there is no payment or expected compensation received by the claimant.

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5
Q

Can a business owner and/or operator be an “employee” under the IL Workers Compensation Act?

A

No; business owners and operators are generally “employers” under the Act and therefore cannot simultaneously be both persons under the Act.

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6
Q

Under the “Tooley expected compensation” test, what forms of compensation are acceptable?

A

Under the Tooley expected compensation test, any form of compensation, actual or expected, satisfies the test. So long as there is actual or expected consideration in exchange for the alleged “employee”’s services, the test is satisfied.

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7
Q

Is there an exception to the general rule that business owners and operators cannot generally be considered as “employees” for IL Workers Compensation Act purposes?

A

Yes; if a business owner or operator “leaves” or vacates their official capacities to serve the business in another way, the dual capacity doctrine may apply, thus allowing the individual to qualify as an “employee.”

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8
Q

When does the dual capacity doctrine play a role in IL Work Comp cases?

A

The dual capacity doctrine may apply if the business owner or operator’s new role generates obligations unrelated to those obligations already faced by such persons within their official capacities as business owners or operators.

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9
Q

Who is an “employer” under the IL Work Comp Act?

A

Most businesses, and state employers, qualify as “employers” under the Act.

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10
Q

What is the Cowgill relation to IL employer test?

A

To be an “employer” under the Act, there must be a relation between the alleged employer and the state of Illinois, which can be satisfied in 1 of 3 ways:

1) the claimant’s employment contract was finalized in IL;
2) the claimant’s alleged accident occurred in IL; OR
3) the claimant’s principal place of employment was located within IL.

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11
Q

Can a private business still be an “employer” under the IL Work Comp Act without statutorily qualifying?

A

Yes; an employer may elect coverage under the Act as an “employer.” Generally done to avoid tort liability in such events.

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12
Q

Is whether an employee-employer relationship exists a question of law or fact?

A

Question of fact.

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13
Q

What is the appellate standard of review from the IL Work Comp Board determination as to whether an employer-employee relationship exists?

A

Manifest weight of the evidence; strong deference.

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14
Q

What are the Sankey Brothers (3d Dist. 1988) 7-factors for whether an employer-employee relationship exists?

A

1) Employer’s right to control the manner in which the claimant’s work is performed;
2) method of payment;
3) right of the employer to discharge the claimant;
4) skill required for work completed;
5) who provides work equipment, if any;
6) Whether the claimant’s occupation is related to the employer; and
7) whether the employer deducts tax withholdings.

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15
Q

Which employer does IL Work Comp benefits liability fall onto when a “borrowed” employee is injured?

A

When a “borrowed” employee is involved in a workplace injury, IL Work Comp benefits payment liability falls upon the borrowing employer; who the employee was performing work for at the time of the accident.

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16
Q

When does a “borrowed” employee become the liability of the “borrowing” employer?

A

A “borrowed” employee becomes the “employee” of the “borrowing” employer for IL Work Comp purposes when the employee is lent for the performance of special work.

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17
Q

What is required of the employee in order for such individual to be considered a “borrowed” employee for IL Work Comp purposes?

A

An employee must consent, either express or implied, to work for the “borrowing” employer to be considered a “borrowed” employee.

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18
Q

How is a “borrowed” employee’s consent proven?

A

Consent may be proven by the employee’s express or implied acquiescence to the “borrowing” employer’s direction to perform work.

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19
Q

What are factors to consider in whether an employee consents to work for a borrowing employer?

A

1) Manner of hire;
2) manner of compensation;
3) nature of the work involved;
4) direction and supervision of the employee’s work; and
5) right of the borrowing employee to discharge.

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20
Q

Is a borrowing employer’s control over the employee, alone, sufficient to constitute a “borrowed employee” relationship?

A

No; merely establishing that the alleged borrowing employer had control over the claimant is insufficient to establish a borrowed employee relationship.

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21
Q

When is an employer considered a “loaning employer” for IL Work Comp benefits purposes?

A

An employer is generally considered a “loaning employer” when a substantial part of the entity’s business consists of hiring, procuring, or furnishing employees for other employers and compensating such employees.

(Think temp agencies)

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22
Q

What is the liability of borrowing and loaning employers under the IL Work Comp act regarding benefits payments?

A

Borrowing employers are liable for compensable injuries incurred by borrowed employees that relate to and arise out of the employee’s employment.

If the borrowing employer fails to sufficiently compensate the borrowed employee, the loaning employer becomes liable for the claimant’s compensation.

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23
Q

Is a loaning employer entitled to compensation from borrowing employers for IL Work Comp benefits paid to borrowed employees?

A

Yes; if a loaning employer is forced to compensate a borrowed employee, the loaning employer is entitled to reimbursement from the borrowing employer.

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24
Q

What is included in the reimbursement entitled to a loaning employer from a borrowing employer?

A

In addition to full reimbursement for compensation paid to borrowed claimants, a loaning employer is entitled to full reimbursement for reasonable attorney fees and hearing expenses.

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25
Q

May a loaning and borrowing employer waive the loaning employer’s right to reimbursement?

A

Yes

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26
Q

Generally, when must an employee give notice to the employer of his injury?

A

An employee is required to give notice of injury “as soon as practicable”, but no later than within 45 days of its occurrence.

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27
Q

When is an IL Work Comp claim generally barred by the SOL?

A

Generally, there is a conclusive presumption that failure to give notice of the injury within 45 days prejudices the employer.

+46 days = BARRED

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28
Q

When is a claimant not held to the general 45-day notice rule under the Act’s SOL?

A

If the claimant is legally disabled, the general 45-day period does not begin to run until a legal guardian is appointed.

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29
Q

Does an employer’s failure to provide legally-required information regarding filing a Work Comp claim have any effect on whether a claimant is generally barred by the Act’s SOL?

A

No; an employer’s failure to provide or post information regarding the general 45-day notice period, or other related information, does not exempt a claimant from the general 45-day notice requirement.

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30
Q

Generally, how long does a claimant have to file an IL Work Comp claim if not compensated by their employer?

A

Unless the claimant’s injury was caused by radiological exposure or asbestos, the claimant must file within 3-years of the injury if not having received entitled compensation from the employer.

31
Q

If an employer provides compensation to an injured employee but thereafter ceases payments prior to legal sufficiency, how long does the claimant have to file their IL Work Comp claim?

A

Unless the claimant’s injury is caused by radiological exposure or asbestos, a claimant must file within 2-years of the date of the last compensation payment.

32
Q

When does the general 45-day notice period begin to run?

A

Generally, the 45-day notice of injury period begins to run from the date the employee actually sustains the injury.

33
Q

When does the 45-day notice period begin to run if the employee continues to labor through the injury to the point of physical collapse?

A

If an employee continues to labor through an injury to the point of physical collapse, the date the employee collapses is presumed to be both the date of injury, and notice to the employer.

34
Q

Is a claimant-employee required to provide “perfect” notice to their employer?

A

No; an employee is not required to provide perfect notice to be entitled to compensation.

35
Q

What kind of defects within the employee’s notice of injury must exist to render the notice defective?

A

Any defect or inaccuracy within the claimant-employee’s notice of injury must create prejudice against the employer.

36
Q

When is an employer considered to be “on-notice” to an employee’s work-related injury?

A

An employer is on notice of an employee’s injury when having knowledge of facts pertaining to the employee’s accident.

37
Q

What is the “Quaker Oats” test for determining whether a claimant’s injury is compensable?

A

The claimant’s injury must occur: 1) within the course of employment; 2) unexpectedly; and 3) without an affirmative act or design by the claimant.

38
Q

What is generally considered sufficient proof of a compensable injury?

A

If an injury’s diagnosis is supported by objective symptoms, including medical testimony regarding such symptoms.

39
Q

What is the E Baggot Co. test for whether the claimant’s injury is compensable?

A

The claimant’s accident must: 1) arise out of the claimant’s employment; 2) be traceable to a definite time, place, and cause; and 3) occur within the course of employment.

40
Q

What are the First Cash 3-factors for determining whether a claimant’s injury arises out of employment?

A

Whether the claimant was exposed to risk: 1) distinctly associated with their employment; 2) personal to the employee; or 3) neutral, having no specific employment or personal characteristics.

41
Q

Under the First Cash 3-factor test, if a claimant is injured by a “neutral risk,” or one which the general public is equally exposed to, can such injury “arise out of employment”?

A

No; injuries resulting from risks to which the general public is equally exposed to are not compensable injuries under the Act.

42
Q

What evidence is sufficient to establish that the claimant was not injured by a neutral risk?

A

The claimant must present evidence supporting a reasonable inference that the injury stems from a risk associated with the claimant’s employment.

43
Q

If a claimant is injured by risks apart from employment, or those purely personal to them, are such injuries compensable?

A

No; injuries resulting from hazards apart from the claimant’s employment or purely personal to them are not compensable injuries.

44
Q

What is the Wal-Mart performance test for whether a claimant’s injury arises out of employment?

A

An injury generally arises out of employment if, at the time of the accident, the employee was performing an act: 1) the claimant was instructed by the employer to perform; 2) the employee had a common law or statutory duty to perform; or 3) that the employee is reasonably expected to perform due to their assigned duties.

45
Q

What is the Eisner Foods “exceptional risk” test for whether a claimant’s injury arises out of employment?

A

If a claimant’s employment duties place him at an “exceptional risk” to which the general public is not generally exposed, then any injury incurred is generally compensable.

46
Q

What is the “acts of God” rule regarding injuries arising out of employment?

A

An injury relating to weather or another “act of God” arises out of the claimant’s employment if the employment increases the risk of the kind of harm to the employee that the general public is not generally subjected to.

47
Q

Are injuries incurred by an employee on the way to and from work compensable injuries?

A

Only if an employer agrees to compensate an employee for time spent traveling to and from are injuries incurred on the way to and from work, compensable injuries.

48
Q

If an employer agrees to compensate an employee for time traveling to/from work, and the employee deviates from the route taken, is such deviation sufficient to find any injury to be outside the course of employment?

A

An employee cannot “substantially deviate” from traveling to or from work in order for injuries sustained under such circumstances to be compensable.

49
Q

What deviations from the route to/from work are not “substantial deviations”?

A

So long as the employer could reasonably foresee or anticipate the employee’s deviation, then such deviations are insufficient to render the employee’s trip outside the course of employment.

50
Q

Is the claimant’s accident required to be the “sole” cause of injury to be compensable?

A

A claimant’s accident arising out of and in the course of employment is not required to be the “sole”, or even principal cause of injury to be compensable.

51
Q

What specifically about the claimant’s injury is required for the injury to be compensable?

A

So long as the claimant’s injury is traceable to a definite time, place, and cause; and arises out of and in the course of employment, the injury is compensable.

52
Q

Who carries the burden of persuasion in an IL Work Comp claim?

A

The claimant carries the burden of persuasion?

53
Q

What is the claimant’s burden in proving the injury arose out of and in the course of employment?

A

The claimant must prove by a preponderance of the evidence that their injury arose out of and in the course of employment.

54
Q

Is whether a claimant’s injury arose out of and in the course of employment a question of law or fact?

A

Generally, whether the claimant’s injury arose out of and in the course of employment is a question of fact. However, if facts are undisputed and susceptible to only one reasonable inference, it is a question of law - reviewed de novo.

55
Q

What is the function of the IL Work Comp Board?

A

To weigh the claimant’s credibility and determine the evidentiary value of expert opinions to determine whether the claimant’s injury is causally connected to their employment.

56
Q

Is circumstantial evidence permissible in an IL Work Comp claim?

A

Circumstantial evidence can only support reasonable and probable inferences, not those which are merely possible.

57
Q

Can an employee’s injury incurred by participation in recreation activities generally be compensable under the Act?

A

Accidental injuries arising from the claimant’s participation in voluntary, recreational programs are generally excluded from compensation.

58
Q

Can an employee’s injury derived by participation in employer-sponsored/related recreational activities ever be compensable

A

While generally excluded from compensation, if there is evidence that the claimant’s participation was ordered or assigned by the employer, then such injuries may be compensable.

59
Q

Is the employee’s subjective understanding as to whether he was ordered or assigned to participate in recreational activities relevant to the analysis of whether the injury is compensable?

A

The employee’s subjective understanding as to whether participation in the activity is irrelevant; the employer must explicitly direct the employee to participate.

60
Q

Are accidents that occur while an employee is going to or from employment generally compensable?

A

Unless the employer has agreed to compensate an employee for time spent traveling to/from work, accidents occurring while an employee travels to and from work generally do not arise out of and in the course of employment.

61
Q

What are the two general exceptions to accidents occurring while employees travel to/from work?

A

1) When an employee is compensated for time spent traveling to/from work; and
2) employees whose trips are determined by the demands of their employment.

62
Q

If an employee’s trip is determined by the demands of his employment, how does a court determine whether the claimant’s accident arose out of and in the course of employment?

A

Whether a traveling employee’s injury arises out of and in the course of employment is determined by: 1) the reasonableness of the conduct to which the employee is engaged; and 2) whether such conduct may be anticipated or foreseen by the employer.

63
Q

What is a “physical-mental” injury?

A

When the claimant’s accident results in a physical injury, leading to a mental injury as well.

Ex: C is electrocuted at work (physical injury), leading to PTSD (mental injury).

64
Q

What evidence is required to prove a “physical-mental” injury?

A

1) There must be an actual, realized physical injury; the presence of physical trauma, not the employee’s subjective, physical reaction to some nonphysical injury, determines whether there exists a “physical-mental” claim.
2) Objective medical evidence of a mental injury.

65
Q

What is a “mental-mental” injury?

A

Injuries that are caused by a sudden, severe emotional shock, traceable to a definite time, place, and cause.

66
Q

Is “normal stress” a compensable injury?

A

Normal stress, or that generally associated with employment, coupled with the claimant’s personal stress, is generally not a compensable mental-mental injury.

67
Q

Does stress relating to firing/discharge generally constitute a compensable mental-mental injury?

A

Routine, involuntary termination of employment, alone, does not constitute a sudden, severe, and emotional shock.

68
Q

Are derogatory, racial, sexual, or other slurs compensable mental-mental injuries

A

Such may constitute a “sudden, severe emotional shock,” but the claimant must file within proximity to the dates alleged to have suffered the injury(s), and must meet the other general requirments.

69
Q

Are injuries relating to a claimant’s pre-existing condition compensable?

A

A claimant’s pre-existing condition is only compensable if caused by an accident that arises out of and in the course of the claimant’s employment, without requiring complete dysfunction.

70
Q

Must the claimant suffer the injury while actually performing their employment duties to be compensable?

A

No, the claimant is not required to suffer the injury while at work; the injury is only required to arise out of and in the course of employment.

71
Q

Is a claimant’s pre-existing condition’s foreseeability relevant to whether an injury relating to such a condition is compensable?

A

A claimant’s pre-existing condition’s aggravation is not compensable if the accident or aggravation is so foreseeable to prevent it.

72
Q

What evidence is required to prove a repetitive trauma IL Work Comp claim?

A

1) There must be evidence that the injury is work-related; and
2) the repetitive trauma alleged is not the result of the normal, degenerative human aging process.

73
Q

What is considered to be the “date of injury” in the case of repetitive trauma cases?

A

When the injury manifests itself - the date which the fact of injury and a causal relationship is plainly apparent to a reasonable person.