Training: Development and Implementation
(1)Collaborative effort. A training plan should be a collaborative effort between the counselor and the worker and should include all the rights and responsibilities of the worker, the insurer, and the counselor.
(2)Review of the plan. Before submitting the plan to the insurer, the counselor must review the plan and plan support with the worker. The worker must have the opportunity to review the plan with the worker’s attorney, if any, before signing it. The counselor must confirm the worker’s understanding of and agreement with the plan by obtaining the worker’s signature.
(3)Copies of plan. The counselor must submit copies of the plan, signed by the counselor and the worker, to all parties.
(4)Plan approval or disapproval. Within 14 days of receipt of the signed training plan, the insurer must approve or disapprove the plan and notify the parties.
(a)If the insurer does not have enough information to approve or disapprove the training plan, the insurer must advise the parties what information is needed and when the insurer expects to make a decision.
(b)If the insurer disapproves the training plan, the insurer must issue a NOTICE OF DISAPPROVAL OF TRAINING PLAN, which must explain why the plan is disapproved.
(5)Conference. If the insurer does not approve a training plan within 90 days of determining the worker is entitled to a training plan, the insurer must contact the division within five days to schedule a conference.
(a)The purpose of the conference will be to identify and remove all obstacles to plan completion and approval.
(b)The insurer, the worker, the counselor, and any other parties involved in the process must attend the conference.
(c)The conference may be postponed for a period of time agreeable to the parties.
(d)The insurer or the worker may request a conference if other delays in the vocational rehabilitation process occur.
(6)Job offer during plan development. If, during development of a training plan, an employer offers the worker a job, the insurer must perform a job analysis, obtain approval from the attending physician, verify the suitability of the wage, and confirm the offer is for a bona fide, suitable job. If the job is suitable, the insurer must help the worker return to work with the employer. The insurer must provide return-to-work follow-up during the first 60 days after the worker returns to work. If return to work with the employer is not feasible or, during the 60-day follow-up the job proves unsuitable, the insurer must immediately resume development of the training plan.
(a)If the vocational goal is later changed, the insurer must amend the training plan. All amendments to the plan must be initialed by the insurer, counselor, and the worker.
(b)If the insurer amends a proposed plan, the insurer must indicate what the changes are and why they are necessary.
(8)Reporting to the director. The training plan and any amendments must be submitted to the division using Form 1081, “Training Plan.”
Rule 436-120-0500 — Training: Development and Implementation,