Section 0800-02-30-.04 - AVAILABLE BENEFITS(1) The following benefits may be provided to an eligible employee: temporary disability benefits up to $20,000.00; and medical benefits up to $20,000.00, to include a medical causation evaluation, mileage reimbursement, and attorney's fees, if applicable.(2) The maximum benefit for an eligible employee is $40,000 for all benefits which includes:(a) Temporary disability benefits (includes attorney fees which are only paid on temporary disability benefits) and(b) Medical benefits (includes medical care expenses, causation evaluations and mileage reimbursement). If less than $20,000 is paid for either temporary disability benefits or medical benefits, the remaining amount may be applied to the other category of benefits. This will require a written request from the employee to the Administrator who will make a decision on the request and will provide a written response to the employee.
(3) The cost of a medical causation evaluation may be paid by the Fund at the discretion of the Administrator. If the Court should order any benefits to be paid by the employer, such benefits will not be payable from the Fund, unless the UEF Benefit Fund claim is approved by the Administrator.(4) Reasonable mileage reimbursement may be paid to an eligible employee subject to applicable state employee maximums; however, any amount paid shall be within the aggregate $40,000 statutory limit as provided in T.C.A. § 50-6-802(c).(5) All medical costs must be paid under the Medical Fee Schedule pursuant to Rules 0800-0217, 0800-02-18 and 0800-02-19. The Bureau shall have the authority to waive this requirement when necessary to provide treatment for an injured employee, as provided in T.C.A. § 50-6-204.Tenn. Comp. R. & Regs. 0800-02-30-.04
Original rules filed January 2, 2019; effective April 2, 2019. Amendments filed February 2, 2022; effective 5/3/2022.Authority: T.C.A. §§ 50-6-204, 50-6-205, 50-6-801, 50-6-802, and 50-6-803.