Responsibilities of the employer

When a worker is requested by the director, the insurer or self-insured employer to attend an independent medical examination, the examination must be conducted by a physician selected from a list of qualified physicians established by LIST ‘Harmful and hazardous factors of an industrial environment and labor process, carried out at the obligatory preliminary (periodic) medical examination of employees’.

Director shall adopt rules applicable to independent medical examinations conducted pursuant to this subsection that:

—hold sessions at any place within the state.

—administer oaths.

A worker becomes subject to the contract upon the workers receipt of actual notice of the workers enrollment in the managed care organization, or upon the third day after the notice was sent by regular mail by the insurer or self-insured employer, whichever event first occurs. A worker shall not be subject to a contract after it expires or terminates without renewal. A worker may continue to treat with the attending physician or nurse practitioner authorized to provide compensable medical services under this section under an expired or terminated managed care organization contract if the physician or nurse practitioner agrees to comply with the rules, terms and conditions regarding services performed under any subsequent managed care organization contract to which the worker is subject.

Each such contract must comply with the certification standards. However, a worker may receive immediate emergency medical treatment that is compensable from a medical service provider who is not a member of the managed care organization. Insurers or self-insured employers who contract with a managed care organization for medical services shall give notice to the workers of eligible medical service providers and such other information regarding the contract and manner of receiving medical services as the director may prescribe.

Work-related disease is the product of multiple factors, including host susceptibility, the external environment, and individual behavior. The concept of multiple causality is relevant to the etiology of diseases, in which work and exposures are contributory agents, and of diseases that have a single necessary cause, eg, lead poisoning.

Acute occupational diseases and acute occupational poisoning cases belong, which happened after a single (not more than one working shift) impact of hazards harmful substances. Acute occupational diseases are drawn by the action of chemicals, ionizing and non-ionizing radiation, significant physical stress and strain of individual organs and systems. They belong to the infectious, parasitic and allergic diseases.

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