INDUSTRIAL COMMISSION.

LEGAL AUTHORITY

Act. No. 45 of April 18, 1935, as amended, known as the Workers Accident Compensation Act created the Industrial Commission.

MISSION

Guarantee rehabilitation, medical/hospital treatment and a fair and reasonable economic compensation to injured workers through the State Insurance Fund Corporation, as well as guaranteeing insured employers in Puerto Rico correct premium rates, insurance and accident coverage, and revisions in accordance to law.

ORGANIZATIONAL STRUCTURE

  • Administration and Finance
  • Communications and Community Relations
  • Human Resources and Labor Relations
  • Internal Audit Office
  • Legal Consuel
  • Management and Budget
  • Medical Assessment Office
  • Office of the Secretary
  • Official Examiners Office
  • President
  • Technology and Information
  • Visitor Rooms


PROGRAM

Evaluation and Adjudication of State Insurance Cases

Program Description

The Commission adjudicates according to work related accident compensation law the appeals conducted by injured workers and the employers that understand that they have been affected by a decision made by the State Insurance Fund Administrator. In addition, the Program must adjudicate those employee/employer controversies under its jurisdiction.



Statistical Data 2011 2012 2013

 

Cases referred to specialists 12,431 8,969 12,787
Medical hearings 29,314 23,395 30,245
New cases 9,569 9,850 10,145
Notified resolutions 52,838 54,425 56,057
Public hearings 25,457 20,102 24,520

The statistical data was provided by the Agency during the for 2012-2013 budget preparation process.

Customers

Injured workers and employers that file appeals with the State Insurance Fund Corporation.



FISCAL YEAR 2012-2013 ADOPTED BUDGET

The adopted consolidated budget for Fiscal Year 2012-2013 is $24,090,000 from Other Income. Other Income is generated from occupational medical insurance premiums as established by Act no. 45 of April 18, 1935, as amended, known as the Workers Accident Compensation Act. This act establishes that up to 4% of these premiums can be used to pay operational expenses. In addition, it establishes that the State Insurance Corporation will be responsible for collecting the premiums and transferring the budget as approved by the Legislative Assembly.

Operational expenses reflect a decrease of $1,908,000 when compared to funds assigned in fiscal year 2011-2012. The Commission estimates a reduction in primiums collection, thus lowering the assigned amount.

The adopted budget will allow the Commission to comply with the duties established by its Organic Law: review the decisions made by the State Insurance Fund Corporation, ensure injured workers are receiving the services to which they are entitled to, as well as, adequate medical treatment and fair and reasonable compensation.



SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2010 2011 2012 2013

 

Program  
Operational Expenses Actual Actual Budget Adopted
Evaluation and Adjudication of State Insurance Cases 22,497 23,150 25,998 24,090
Subtotal, Operational Expenses 22,497 23,150 25,998 24,090
Total, Program 22,497 23,150 25,998 24,090
 
Funding Sources  
Operational Expenses  
Other Income 22,497 23,150 25,998 24,090
Subtotal, Operational Expenses 22,497 23,150 25,998 24,090
Total, Funding Sources 22,497 23,150 25,998 24,090
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 15,672 16,057 18,255 17,735
Rent and Utilities 520 523 566 561
Purchased Services 2,468 2,609 2,614 2,473
Donations, Subsidies, and Distributions 0 0 3 3
Transportation Expenses 1,030 896 926 926
Professional Services 2,687 2,969 3,368 2,303
Other Expenses 79 60 120 66
Equipment Purchases 39 35 47 21
Office Supplies and other Materials 0 0 97 0
Advertising and Media Expenses 2 1 2 2
Subtotal, Operational Expenses 22,497 23,150 25,998 24,090
Total, Expense Category 22,497 23,150 25,998 24,090