Section 406.1. (a) The employer and insurer shall promptly
investigate each injury reported or known to the employer and shall proceed
promptly to commence the payment of compensation due either pursuant to an
agreement upon the compensation payable or a notice of compensation payable as
provided in section 407 or pursuant to a notice of temporary compensation
payable as set forth in subsection (d), on forms prescribed by the department
and furnished by the insurer. The first installment of compensation shall be
paid not later than the twenty-first day after the employer has notice or
knowledge of the employee’s disability. Interest shall accrue on all due and
unpaid compensation at the rate of ten per centum per annum. Any payment of
compensation prior or subsequent to an agreement or notice of compensation
payable or a notice of temporary compensation payable or greater in amount than
provided therein shall, to the extent of the amount of such payment or payments,
discharge the liability of the employer with respect to such case.
(b) Payments of compensation pursuant to an agreement or notice of
compensation payable may be suspended, terminated, reduced or otherwise modified
by petition and subject to right of hearing as provided in section 413.
(c) If the insurer controverts the right to compensation it shall
promptly notify the employee or his dependent, on a form prescribed by the
department, stating the grounds upon which the right to compensation is
controverted and shall forthwith furnish a copy or copies to the department.
(d) (1) In any instance where an employer is uncertain whether a
claim is compensable under this act or is uncertain of the extent of its
liability under this act, the employer may initiate compensation payments
without prejudice and without admitting liability pursuant to a notice of
temporary compensation payable as prescribed by the department.
(2) The notice of temporary compensation payable shall be sent to the
claimant and a copy filed with the department and shall notify the claimant that
the payment of temporary compensation is not an admission of liability of the
employer with respect to the injury, which is the subject of the notice of
temporary compensation payable. The department shall, upon receipt of a notice
of temporary compensation payable, send a notice to the claimant informing the
claimant that:
(i) the payment of temporary compensation and the claimant's acceptance of
that compensation does not mean the claimant's employer is accepting
responsibility for the injury or that a compensation claim has been filed or
commenced; (ii) the payment of temporary compensation entitles the
claimant to a maximum of ninety (9O) days of compensation; and (iii)
the claimant may need to file a claim petition in a timely fashion under section
315, enter into an agreement with his employer or receive a notice of
compensation payable from his employer to ensure continuation of compensation
payments.
(3) Payments of temporary compensation shall commence and the notice of
temporary compensation payable shall be sent within the time set forth in clause
(a).
(4) Payments of temporary compensation may continue until such time as the
employer decides to controvert the claim.
(5) (i) If the employer ceases making payments pursuant to a notice of
temporary compensation payable, a notice in the form prescribed by the
department shall be sent to the claimant and a copy filed with the department,
but in no event shall this notice be sent or filed later than five (5) days
after the last payment. (ii) This notice shall advise the claimant,
that if the employer is ceasing payment of temporary compensation, that the
payment of temporary compensation was not an admission of liability of the
employer with respect to the injury subject to the notice of temporary
compensation payable, and the employee must file a claim to establish the
liability of the employer. (iii) If the employer ceases making payments
pursuant to a notice of temporary compensation payable, after complying with
this clause, the employer and employee retain all the rights, defenses and
obligations with regard to the claim subject to the notice of temporary
compensation payable, and the payment of temporary compensation may not be used
to support a claim for compensation. (iv) Payment of temporary
compensation shall be considered compensation for purposes of tolling the
statute of limitations under section 315.
(6) If the employer does not file a notice under paragraph (5)
within the ninety-day period during which temporary compensation is paid or
payable, the employer shall be deemed to have admitted liability and the notice
of temporary compensation payable shall be converted to a notice of compensation
payable.
((d) amended June 24, 1996, P.L.350, No.57)
(406.1 amended July 2, 1993, P.L.190, No.44)