| 2. Threshold adjustment. Effective January 1, 1998 and every |
| other January 1st thereafter, the board, using an independent |
| actuarial review based upon actuarially sound data and |
| methodology, must adjust the 15% impairment threshold established |
| in subsection 1 so that 25% of all cases with permanent |
| impairment will be expected to exceed the threshold and 75% of |
| all cases with permanent impairment will be expected to be less |
| than the threshold. The actuarial review must include all cases |
| receiving permanent impairment ratings on or after January 1, |
| 1993, irrespective of date of injury, but may utilize a cutoff |
| date of 90 days prior to each adjustment date to permit the |
| collection and analysis of data. The data must be adjusted to |
| reflect ultimate loss development. In order to ensure the |
| accuracy of the data, the board shall require that all cases |
| involving permanent injury, including those settled pursuant to |
section 352, include an impairment rating performed in accordance |
with the guidelines adopted by the board and either agreed to by |
the parties or determined by the board reflecting only permanent |
| impairment that results from a work injury, including permanent |
| impairment that exists as a result of the injury's having |
| aggravated or accelerated a preexisting condition or injury.__The |
| impairment ratings may not reflect permanent impairment to the |
| body parts or conditions not medically affected by the work |
| injury even if those impairments or conditions combine with the |
| work injury to give rise to a compensable disability for the |
| purposes of section 201, subsection 4. Each adjusted threshold |
| is applicable to all cases with dates of injury on or after the |
| date of adjustment and prior to the date of the next adjustment. |