Section 213. Non-compliance or default  


Latest version.
  • 1. Whenever a covered employer does
      not comply with this article by providing for the payment of  disability
      benefits to his employees in one or more of the ways provided in section
      two  hundred  eleven  or  whenever  a  carrier fails to pay the benefits
      required by this article to employees of a covered employer,  then  such
      employer shall be fully and directly liable to each of his employees for
      the  payment  of  benefits  provided  by this article. The amount of the
      benefits to which employees of such employers are  entitled  under  this
      article  and  attendance fees of their attending physicians or attending
      podiatrists fixed pursuant to subdivision two  of  section  two  hundred
      thirty-two  shall,  on  order  of  the chairman, be paid out of the fund
      established  under  section   two   hundred   fourteen.   In   case   of
      non-compliance of the employer, such employer shall forthwith pay to the
      chairman, for credit to the fund, the sum so expended or one per cent of
      his  payroll  for  his  employees  in  employment  during  the period of
      non-compliance, whichever is greater;  provided,  however,  that  if  it
      shall  appear  to  the  satisfaction of the chairman that the default in
      payment of benefits or the non-compliance of the employer otherwise with
      his obligation under this article was inadvertent, the chairman may  fix
      the sum payable in such case for non-compliance or default at the amount
      paid  out  of the fund and a sum less than one per cent of such payroll,
      and in addition the penalties  for  non-compliance  imposed  under  this
      article. In case of failure of the carrier to pay benefits, the employer
      shall  forthwith pay to the chairman, for credit to the fund, the sum so
      expended.
        2. Where a carrier authorized by the superintendent of insurance to do
      business in this state has failed  to  pay  benefits  on  behalf  of  an
      employer   pursuant   to   this  article  solely  because  an  order  of
      rehabilitation, conservation or liquidation has been issued by  a  court
      of  competent  jurisdiction  of this or any other state or jurisdiction,
      the provisions of subdivision one of this section  shall  not  apply  as
      they relate to: (a) the payment of benefits to an employee if the policy
      of  the  employer's carrier is subject to the protection afforded by any
      guaranty fund pursuant to the insurance law; or (b) the reimbursement to
      the fund, created under section two hundred fourteen of this article, by
      an employer whose carrier has failed to pay benefits.