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Entries for the 'Workers' Compensation' Category

As the new political and legislative year unfolds, stakeholders are keeping their eye on the prize, medical benefits, in the workers' compensation arena. Recent court decisions continue to emphasize the major significance of medical care and continue to question the ability of the presently crafted system to deliver medical benefits in an efficient and effective manner.

WCRI has been “researching” or generating data for the Industry for 24 years. The introductory remarks were offered by Robert Steggert, Marriott International, Inc., Chair WCRI Bd or Directors. The central topic of the entire program has been medical costs and how to contain them and the consequential effect upon medical claims, temporary benefits and permanent benenfits.

Workers' Compensation News - Aug. 10, 2007, Vol. 5 Issue 108


INSURANCE INDUSTRY AGAIN OFFERS MSP LEGISLATION THAT WOULD DISCOURAGE WORKERS' COMPENSATION PERIODIC PAYMENTS
After a failed attempt in the last Congress, the Insurance Industry has again offered similar legislation to encourage "lump sum" settlements in Workers' Compensation hearings, H.R.2549, and circumvent reimbursement of the ailing Medicare program. This legislation failed to gain acceptance in the last Congress as it did not receive the support of interest groups involved in preserving the Medicare system and Labor who continues to support a periodic benefit system in Workers' Compensation.

 	 Workers' Compensation News - July 10, 2007, Vol. 5 Issue 107

FLORIDA EXPANDS INTENTIONAL TORT EXCEPTION

 

Employee's injury was substantial certainty from employer's failure to respond to requests for new ladder did not require proof that employer concealed danger.

 

"Even though case law on the intentional tort exception to workers' compensation immunity is devoid of any defined test that will establish substantial certainty as a matter of law, it is evident that concealment of the dangerous condition is only one of several factors in a nonexclusive list. "

 

Bakerman v The Bombay Company, ___So. 2d____, 2007 WL 1774420 (Fla.), decided June 21, 1007

Jon Gelman Installed as Fellow of The College of Workers' Compensation Lawyers

American Bar Association Establishes The College of Workers' Compensation Lawyers. Jon Gelman, Author and Litigator, Installed as Fellow. NAPLES, FL.,March 2, 2007 – The College of Workers’ Compensation Attorneys announced today that Jon L. Gelman has been inducted as a fellow of the national organization at its first annual induction dinner.

Workers' Compensation News - June 25, 2007, Vol. 5 Issue 106

NYC CONNECTS AN EXPOSURE TO 911
For the First Time, the City Connects a Death to 9/11 Dust 
New York City’s chief medical examiner, Dr. Charles S. Hirsch, has for the first time directly linked a death to exposure to dust from the destruction of the World Trade Center. 

Clearing the Workers’ Compensation Benefit Highway of Medical Expense Land Mines

Medical expenses in contested workers’ compensation cases are now a significant and troublesome issue resulting in uncertainty, delay and potential future liability. The recent NJ Supreme Court decision, University of Mass. Memorial Hospital v. Christodoulou, 180 N.J. 334 (2004) has left the question of how to adjudicate medical benefits that were conditionally paid or paid in error. Presently there is no exclusively defined procedure to determine the allocation, apportionment of primary responsibility for unauthorized medical expenses and reimbursement.

Workers' Compensation News - May 10, 2007, Vol. 5 Issue 105

CLEARING THE WORKERS' COMPENSATION BENEFIT HIGHWAY OF MEDICAL EXPENSE LAND MINES 
Medical expenses in contested workers’ compensation cases are now a significant and troublesome issue resulting in uncertainty, delay and potential future liability. The recent NJ Supreme Court decision, University of Mass. Memorial Hospital v. Christodoulou, 180 N.J. 334 (2004) has left the question of how to adjudicate medical benefits that were conditionally paid or paid in error. Presently there is no exclusively defined procedure to determine the allocation, apportionment of primary responsibility for unauthorized medical expenses and reimbursement. By John H. Geaney and Jon L. Gelman

Workers' Compensation News - April 19, 2007, Vol. 5 Issue 104

FEDERAL LAWSUIT ALLEGES ABUSE OF MEDICARE SYSTEM BY THE STATE OF CALIFORNIA & SEEKS TO RECOVER $20 MILLION IN DAMAGES
Plaintiff claims cost-shifting of workers compensation obligations to Medicare created "work comp reform bubble" that is about to burst  

Workers' Compensation News - March 19, 2007, Vol. 5 Issue 103

RICO CLAIMS RESULTS IN AWARD OF $2.2 MILLION AGAINST INJURED WORKERS
Federal RICO action arising from WC claims results in $2,264,690. Award Against Workers
"The Complaint alleges that the defendants committed violations of the Racketeer Influenced and Corrupt Organization Act, 18 U.S.C. 1962, violations of the New Jersey State Racketeer Influenced and Corrupt Organization Act, N.J.S.A. 2C:41-2, violations of N.J.S.A. 34:15-57.4(b) (workers’ compensation fraud), common law fraud and conspiracy in connection with the filing and prosecution of fraudulent workers’ compensation petitions against Plaintiff...'
Bath Unlimited, Inc. v Ginarte O'Dwyer, et al., Case 2:04-cv-03919-SRC-RJH Filed 3.14.07 Civ Ac No 04-3919 (SRC) (USDCT NJ 2007)

Preparing to Win A Workers' Compensation Case

 The Mercer County Bar Association will be sponsoring a seminar on workers' compensation at two locations this spring.Samuel Gaylord and Michael R. Paglione will join Jon Gelman for a seminar for workers' compensation attorneys.

Workers' Compensation News - Jan 3, 2007, Volume 5 Issue 501

STATE PREMIUM RANKINGS ANNOUNCED 
1. Alaska 
2. California 
6. Florida (down from 3) 
10. New York (up from 18) 
23 New Jersey (up from 29) 
51. North Dakota 
Source: State of Oregon 

Workers' Compensation News - Jan 3, 2007, Volume 5 Issue 105
 STATE PREMIUM RANKINGS ANNOUNCED  1. Alaska  2. California  6. Florida (down from 3)  10. New York (up from 18)  2...
Workers' Compensation News - Oct 3, 2006, Volume 4 Issue 409

NEW MEDICARE RECOVERY PROCEEDURE – Medicare Secondary Payer. The Centers for Medicare & Medicaid Services (CMS) is consolidating all of the functions and workloads related to Medicare Secondary Payer (MSP) post-payment recoveries into one MSP recovery contract. The contract for the new national MSP Recovery Contractor (MSPRC) will be implemented on October 2, 2006. 

Workers' Compensation News - Sep 1, 2006, Volume 4 Issue 408

PUTTING "FAULT" BACK INTO WORKERS' COMPENSATION. A bill has been introduced into the NJ Legislature in an attempt to legislatively reverse the recent NJ Supreme Court ruling in Tlumac v. High Bridge Stone which reaffirmed the long standing rule that intoxication must be the "sole cause" of an accident in order to deprive an employee of workers' compensation benefits. The proposed legislation, S2166, amends the workers' compensation law to provide that it in employee was intoxicated when the injury or death occurred, it is presumed that the injury or death was caused by the intoxication and the employee will be barred from receiving workers' compensation.

 Questions and Answers for Part D and Workers’ Compensation Medicare Set-aside Arrangements. This memorandum supersedes the Part D and Workers’ Compensation Medicare Set-aside Arrangements (WCMSA) memorandum that was published on December 30, 2005. It includes policy regarding the inclusion of future prescription drug treatment costs/expenses in WCMSAs. 

Why HR 5309 Is Bad for Workers’ Compensation

The proposed legislation is both conceptually flawed and substantively contrary to legislative intent of the workers’ compensation system established throughout the United States. The enactment of this legislation will strip injured workers of benefits that they have been entitled to since 1911.

Workers' Compensation News - JuL 10, 2006, Volume 4 Issue 407
 NJ GOVERNOR CLOSES WORKERS' COMPENSATION COURTS UNTIL FURTHER NOTICE DUE TO STATE BUDGETARY CRISIS Governor Jon S. Corzine today signed an Exec...
Workers' Compensation News - June 10, 2006, Volume 4 Issue 406a

NJ WORKERS' COMPENSATION CLAIMS DECLINE
The NJ DWC reported a 5% decline in the filing of claims in 2005 (37,248) from 2004 (39,212). The statistic also represents a 31% decline from 1992 (54,164). This is consistent with the 25% decline in the number of indemnity claims paid in NJ from from 1992 to 2002 as reported by NJ CRIB. NJ Medical costs have soared 108% during the same period of time while indemnity has risen only 48%..

This unique program featured a panel including some of the most respected workers’ compensation attorneys in the state. They will review and explain procedures and techniques for successful motion practice.

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