Injured by a Machine and Receiving Workers’ Compensation

Work accidents can take place in an office job from overexertion and strains, striking or being struck by objects, falls and being caught in or between objects and machines. Work hazards exist in almost every kind of work; this is true no matter what kind of work you do. If you have suffered a work injury, do you know that you may be entitled to workers’ compensation?

Common work injuries from a Machine

Common types of work injuries that may take place in nearly all work environments is being caught in a machine. Most machines, including office machines, have moving parts that you can get a hand, finger, arm, foot, leg or articles of clothing caught in that results in a variety of work injuries. Some of the possible work injuries from being caught in a machine include:

Cuts, scrapes and abrasions
Head injuries when hair gets caught in a machine
Crush injuries
Internal injuries
Broken bones and fractures
Amputations.

You may have been injured by being caught in a machine while doing your work. Now you wonder what to do.

Questions after a Machine Injury

How serious are your injuries? Do they require medical attention? Were you taken to the hospital? Are you going to have to miss work? Does your employer have workers’ compensation insurance? Is his insurance company going to pay for your medical bills and the work time that your injuries cause you to miss.

These are all important questions. The answer to these questions is extremely important.

If your employer has workers’ compensation insurance as nearly all states require, your employer’s insurance company should take care of your medical expenses and compensate you for lost work time. However, you will have to file a workers’ compensation claim. Your employer should provide you with an employee claim form.

If your employer will not give you an employee claim form or the insurance company or your employer challenges your claim, you need to talk to one of the attorneys right here. The attorneys here will make sure that your rights are protected.

You may not know this, but your employer cannot keep you from filing a workers’ compensation claim. The law provides you workers’ compensation as a “right.” Because you have this right, you are not allowed to sue your employer.

It is also important that you understand when you file a workers’ compensation claim, the money is not coming out of your employer’s pocket. It is his insurance company that pays for your medical bills and lost work time.

Once again, the attorneys here stand ready to answer any questions that you might have regarding your right to receive workers’ compensation benefits for injuries that you sustained on the job. Do not waste time. Call, today.



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Can I be fired by my employer for filing for workers’ compensation benefits?

Technically, no, you cannot be fired for filing a workers’ compensation claim, and there are laws in place that make it illegal. In addition, the laws generally make it illegal for the employer to take any negative actions against you related to your workers’ compensation benefits. However, what the law specifies may not always match actual practice.

The goal of workers’ compensation benefits is to provide an injured worker with income in lieu of their normal pay, as well as additional money to pay for medical expenses because of a work-related injury. As a workers’ compensation injury must be directly related to or caused by one of the responsibilities of your job, then in theory you would not have been injured if it were not for your job. Therefore, you are within your rights to file a workers’ compensation claim to obtain the benefits offered.

But being injured and filing a workers’ compensation claim can hurt your employer in two ways. First, the employer will be without your skills for whatever length of time you are recovering and unable to work. Second, the workers’ compensation claim can have a negative impact on the amount the employer pays for workers’ compensating insurance. Therefore, it is reasonable for people to wonder if they can be fired for filing for workers’ compensation benefits. And in fact, if someone files a workers’ compensation claim, it can be the final straw that leads an employer to fire that person.

Even though it is illegal for an employer to fire someone for filing for workers’ compensation benefits, it can still happen. If an employer wants to fire you because you filed a workers’ compensation claim, the employer can begin to document various issues in order to build a case for firing you. These issues might be ones that would otherwise be non-issues with your employer, such as conducting a small amount of personal business at work, or for issues that are difficult to truly measure, such as being accused of performing your job responsibilities too slowly.

Once enough other issues are documented and the employer believes they have a plausible alternate reason, you can then be fired for what may have truly been the workers’ compensation claim. If this happens to you, it can be difficult to prove that the firing occurred as a direct result of you filing the workers’ compensation claim, as opposed to the other reasons the employer may have documented.

If I believe I may have been fired as a result of filing a workers’ compensation claim, how can I get help from an attorney?

If you complete the short for below, a work comp attorney will review your information and provide an initial consultation on your work comp case free of charge. This review is completely confidential from your employer and does not obligate you to anything further.

A workers comp lawyer will know the specific workers’ compensation laws in your state, as well as the protection the law provides you against being fired or other retaliation from your employer. The work lawyer attorney will be able to help you determine if you have been wrongfully terminated, if you have a case against your former employer, and how to go about filing a complaint with the Department of Labor of your state, as well as taking other steps to address your loss. Therefore, please complete the form to get help with your workers’ compensation issue today.



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Understanding the Alabama Workers Compensation System

Alabama workers’ compensation benefits provide payment for benefits including medical and lost benefits for workers who suffer occupational health problems or who are injured on the job. Compensation and the necessary medical care are generally limited to personal injuries which occur during the course of employment. If the worker is killed from a work injury, compensation may also be extended to the dependents of the worker.

Injured employees do not have to prove the employer is at fault for their Alabama work injury to receive compensation, but workers compensation does limit the employee’s ability to sue the employer (unless the employer denies workers’ compensation benefits). Alabama workman’s compensation is viewed as a compromise, limiting the worker’s ability to sue while providing compensation for work injuries.

Employees may forfeit their right to Alabama workman’s compensation by willfully injuring himself or others, or using illegal drugs or alcohol. More information can be found in the Code of Alabama, with supplements, beginning with Volume 15, Section 25-5-1.

The Workers’ Compensation Division in Alabama is responsible for managing workers compensation in the state of Alabama. Their duties include: compliance inspections, compiling injury and cost statistics, safety promotion, auditing and enforcing claims payments and settlements, dispute resolution, and regulating costs.

Alabama Workers’ Compensation Insurance Options

Most private employers in the state of Alabama who employ more than four full or part-time workers must provide workers’ compensation coverage (exceptions exist in Code of Alabama 1975, § 25-5-50(a)).

Employers have several options for purchasing Alabama workman’s comp insurance including:

  • Workers’ compensation purchased from a commercial workers’ compensation carrier.
  • Workers’ compensation purchased through an Assigned Risk Pool.
  • Workers’ compensation purchased through a group self-insurance fund.
  • Workers’ compensation purchased through a self-insured plan. Under this plan the workers’ compensation coverage is assumed by the company. The company must meet the qualifications outlined in under Alabama’s Workers Compensation laws.

Work injuries and conditions covered under Alabama Workers’ Comp Law

Alabama workers’ compensation laws specifically cover work injuries which “arise out of and in the course of employment”. This can include not only work related injuries but also occupational diseases that were “caused by a hazard recognized as peculiar to a particular trade, process, occupation, or employment as a direct result of exposure over a period of time to the normal working conditions of such trade, process, occupation or employment”.

Although employers are required to provide adequate training to reduce or eliminate work injuries, regardless of training or the safety precautions, work injuries do occur. Common work injuries can include: back and neck injuries, burns, abrasions, heart attacks, carpal tunnel syndrome, amputations, and diseases caused by exposure to harsh chemicals or toxins.

If a worker’s injury or illness meets the criteria specified under Alabama work comp law, the employer is required to provide medical benefits, lost wage compensation and death benefits (if the worker dies from their work injuries or illness).

  • Lost wage benefits

o    Temporary Partial Disability Benefits – Temporary partial disability benefits may be paid if the worker is able to work but has lost some amount of wages due to their work injuries. Compensation is based on two-thirds of the difference in the employee’s earnings before and after the Kansas work injury. Temporary partial disability benefits are limited to a maximum of 300 weeks.

o    Temporary Total Disability Benefits - Temporary total disability benefits may be paid if the worker is unable to work in any capacity due to their work injury or illness. Compensation will be equal to two-thirds of their average weekly earnings for the fifty-two week period before the work injury.

o    Permanent Partial Disability Benefits - Workers who are partially and permanently disabled from their work injury or illness may be compensated. The amount of compensation is determined by the extent of the work injury. Alabama state laws provide a list of possible work injuries and the amount the state will compensate per work injury.  The maximum amount of permanent partial disability payment the state will provide is $220 per week.

o    Permanent Total Disability Benefits – Permanent total disability benefits may extend for the duration of the work injury or disability and are equal to two-thirds of the total weekly earnings at the time of the work injury. Some workers may also choose to take a lump sum payment for work injury (if the court and both parties agree). Compensation does not accrue until the 4th day of disability but if the work injury continues for 21 days the first three days may be compensated.

  • Medical Benefits

o    Alabama workers’ compensation laws require employees to provide reasonable and necessary medical care to injured employees. Necessary medical care can include: medicine, medical treatment, surgery, medical supplies, and other apparatuses needed by the employee.

o    Employees who are not satisfied with their initial treating doctor who was selected by their employer may request a new physician. Employees who do not comply or do not accept the medical treatment provided by their employer may forfeit their right to compensation for the refusal time period.

  • Death Benefits

o    If a worker dies from a work injury within 3 years from the date of the injury the dependents may be eligible to death benefits. If the worker has one dependent the dependent is eligible to receive 50% of the employee’s average weekly earnings. If the deceased worker has 2 or more dependents they will split 2/3 of the worker’s average weekly earnings. Dependents can include a wife, child, husband, mother, father, grandmother, grandfather, sister, brother, mother-in-law or father-in-law if they are supported in full at the time of the worker’s death.

Death benefits may also include up to $3,000 in burial expenses. Death benefits may be paid for 500 weeks but may stop if the dependents die or if the spouse remarries.

If you have been injured in a work-related accident in Alabama it is important to notify your employer by written notification within five days from the date of your work injury. The courts have suggested oral notification may be honored, but written notification is preferable. Failure to notify your employee within 90 days from the date of the work injury could result in forfeiture of workers’ compensation benefits.

Alabama workers comp laws can be complicated, and the rules and regulations are subject to change. It is important to consult with an Alabama workers’ compensation lawyer as soon as possible if you have been injured in a work-related accident.



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Sometimes? The lines get blurred: recent cases from Illinois, North Carolina, Arkansas & New Mexico

Newspaper reportage has led to the announcement of an Illinois state probe into possible workers’ comp fraud at the Menard Correctional Center, where nearly 400 guards and workers–including the warden–have filed claims totaling nearly $10 million in three years. As discussed in a previous post, Illinois is in the middle of a workers’ comp debate, with one side denouncing proposed losses for injured workers while the other side claims the high cost of workers’ comp premiums deters new business from locating in the state.

According to a Dec. 30 story at the Belleville News-Democrat’s Web site, the chairman of the Illinois Workers’ Compensation Commission told the paper that he was “surprised that with all the different agencies that are involved, that it’s taken you guys [i.e., the newspaper] to bring this to my attention. My eyes are wide open. … It’s hard for me to imagine it’s all kosher.”

According to the article, “More than 500 claims, including a $75,678 payment to the prison’s warden in June, have been filed since Jan. 1, 2008. Approximately 290 cases are pending. More than 230 prison workers contend they were injured not because of an accident but through repetitive trauma caused over years mainly by operating manual cell locking mechanisms. Carpal tunnel syndrome can result from repetitive trauma.

“After learning the results of a News-Democrat investigation that revealed these figures, Mitch Weisz, chairman of the Illinois Workers’ Compensation Commission, said Wednesday he has called for an official investigation of the Menard claims by the state’s Department of Insurance and has contacted the agency’s Director Michael McRaith.”

We’ve discussed before the degree of differences among state rules and regulations governing workers’ comp coverage, noting that in some states workers are covered while traveling to and from work although other states are more restrictive. This is but one reason to consider hiring a trained, experienced attorney for complex, adversarial injury cases.

Today we have plenty of examples that illustrate such differences.

In North Carolina, an ex-Marine who became a public school principal known for visible, anti-gang efforts was injured by a shotgun blast to the face on the way to work at Robeson County’s Fairmount Middle School. According to this Dec. 30 story, former principal James Hunt was subsequently awarded workers’ comp payments for the shooting injuries by the state Industrial Commission.

So…does the school district hold a rally to commission a statue of Hunt?

Nope.

Here’s the lede: “Robeson County Schools has appealed a state commission’s ruling that a principal who was shot last year on his way to school deserves workers’ compensation for his injuries.”

Here’s the finale: “School district lawyers maintain that taxpayers shouldn’t have to pay compensation because the shooting happened while Hunt was away from school property.”

Makes you wonder what the district will do if a coach or athlete gets hurt in an away game.

Now, in Arkansas, the state Supreme Court had to get involved in the case of a worker who got tired waiting in line with everybody else who simply wanted their paychecks. She decided to smoke outside while the line thinned out and apparently got hurt in a fall on her way back to the paycheck line.

The original workers’ comp panel ruled the injury compensable–after all, she was on break–but the medical provider appealed.

From the Dec. 13 piece at Insurance Journal: “The Arkansas Workers’ Compensation Commission originally found for Woods, deciding that her injury was compensable. But Jonesboro Care & Rehab Center appealed, maintaining that she was not performing employment services when she sustained the injury. Instead the Center asserted ‘that at the time of her injury, appellee was taking a personal break that did not directly or indirectly advance her employer’s interest,’ the Court explained. The appeals court sided with the Center.

“The [Supreme] Court ruled Woods was doing work at the time of her injury — by remaining on site until she could pick up her paycheck, as required by her employer. It vacated the decision of the appeals court and affirmed the ruling of the Workers’ Compensation Commission.”

Our last case of the day involves alcohol consumption, and, curiously, the ruling hinges on performance criteria rather than the rules ‘n regs of what legally constitutes “being drunk.”

Merely judging from the Dec. 29 Insurance Journal story, it seems as though the Las Cruces, NM, trash-truck worker may have been drinking either before-shift or during. At some point, in what sounds like a fairly intricate maneuver to extract “a trash bin that was stuck in the truck hopper,” Edward Villa:

. . . reached for the chain, he lost his balance, fell and seriously injured himself.

The city argued that on the day of the accident, Villa’s blood-alcohol level was 0.12, over the New Mexico legal driving limit. However, in assessing Villa’s intoxication for the purpose of recovery benefits, the workers’ compensation judge noted that although Villa was intoxicated, his co-worker and supervisor did not notice a problem with Villa’s behavior.

“[T]he fact that workers was inebriated … does not resolve the legal effect of it on his claim for benefits,” the WCJ concluded. Thus, the judge issued a 10 percent penalty for being intoxicated, and said the state had to award the remaining 90 percent of workers’ comp benefits.

Bottom line, I guess, Villa was not driving. So how or why would driving rules apply?

Then there’s the problem with co-workers’ testimony about Villa’s behavior.

From getting shot in the face, to falling off a garbage truck…strange world.

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Frequently enough, a worker’s compensation case may be so complex as to demand legal representation. However, sometimes what seems like a cut-and-dried situation to an injured worker may result in a smaller award than envisioned–or even a denial. Have you, a friend or a loved one been injured on the job? Whether you’re merely seeking answers about your rights or believe a lawsuit may be necessary, be sure to seek counsel with attorneys trained and experienced in workers’ compensation. Here’s some resources:

Workers compensation basics

Injury on the job

Filing a claim



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What Is Workers’ Compensation In Oklahoma

Oklahoma workers compensation can provide employees who suffer an injury at work with fixed monetary benefits and medical care without having to file a personal injury claim against their employer. Employers provide benefits without the employee proving the employer’s negligence contributed to the work injury, and employees accept less than they may have won with a personal injury claim.

Workers comp insurance does not pay for work injuries which are the result of intoxication, reckless actions or intentional actions which are meant to injure themselves or other employees. Most Oklahoma employers are required to pay for all other work injuries or occupational illnesses which occur while an employee is engaged in their normal job duties. Common injuries which may be covered include:

  • Back and neck injuries
  • Abrasions and burns
  • Amputations of arms or legs
  • Concussions
  • Heart attack or strokes on the job
  • Carpel Tunnel
  • Diseases caused by inhalation of chemicals or other toxins

Oklahoma Workers Compensation Benefits

Work comp insurance was created to help the employee have easy access to medical benefits, temporary disability benefits, permanent disability benefits, vocational rehabilitation and death benefits. The following benefits are described below:

  • Medical Benefits – Work comp insurance provides necessary and reasonable medical care for Oklahoma workers who are injured on the job. All medical costs are paid including: laboratory services, surgery, medications, hospital visits and physical therapy.  There is no cost or time limits for medical care.
  • Temporary Total Disability – Oklahoma workers who are temporarily totally disabled and are unable to work, but will at some point return to work at full capacity, are eligible to receive 70% of their weekly wage (with a limit of $473 per week) for a maximum of 156 weeks. Benefits may be extended for additional weeks with authorization from the Oklahoma’s Workers’ Compensation Court. The first three days of incapacity are not paid.
  • Permanent Partial Disability – Oklahoma workers who suffer a permanent partial injury must be evaluated to determine the extent of the injury and the amount of compensation they can receive. Work injury compensation is 70% of the employee’s average weekly wage, but the duration of the payment is determined by a set schedule. For example: A loss of a thumb entitles a worker to 66 weeks of disability payments.
  • Permanent Total Disability – Oklahoma workers who suffer an injury at work and are unable to return to any type of employment may qualify for permanent total disability payments. Work injury compensation for a total disability is 70% of the AWW for the duration of the disability.
  • Vocational Rehabilitation – Oklahoma employees who sustain an injury at work and need help to return to their job or to find new employment may be eligible for vocational rehabilitation.
  • Death Benefits – Oklahoma spouses of a deceased worker may be eligible for lost wage compensation of 70% of the deceased worker’s average weekly wage and an additional 15% for each child up to 30% which is the maximum established by workers compensation law. Benefits may change if the spouse remarries. Funeral expenses are paid up to $10,000. Variations and requirements for death benefits can be complicated and should be evaluated by a work injury lawyer.

Do I Need an Oklahoma Worker’s Compensation Attorney?

Thousands of Oklahoma workers file workers compensation claims each year and depending on the work injury, the statutes and laws can be complicated. Work injury lawyers may be a good resource to help the employee file their work compensation claim and get the benefits they deserve. Oklahoma worker’s compensation lawyers can also help the injured worker if they have become the victim of workplace discrimination or harassment.



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Understanding Worker’s Compensation In Charlotte, N.C.

Charlotte at dusk
Image via Wikipedia

Charlotte workers who have been injured at work may be eligible to receive medical benefits and lost wage compensation under North Carolinas workers’ compensation. Workers compensation eliminates the need for workers who suffer an injury at work to file a personal injury lawsuit to receive compensation for their work injury. North Carolina employers, without accepting liability or claiming negligence, avoid an expensive protracted lawsuit by paying the injured employee limited monetary benefits.

Not all work injuries are covered by workman’s compensation. Work injuries which are covered must have occurred while the employee was engaged in their regular job duties and while performing them in the required manner. Work injuries which are the result of drug or alcohol intoxication or horseplay are not covered. Work injuries which occur while travelling to and from work or during voluntary, recreational work activities also may not be covered.

There are a variety of work injuries or occupational diseases which are covered by workers comp insurance. Some of the most common are:

  • Back and neck injuries
  • Abrasions and burns
  • Amputations of arms or legs
  • Concussions
  • Heart attack or strokes on the job
  • Carpel Tunnel
  • Diseases caused by inhalation of chemicals or other toxins

Charlotte Workers Compensation Benefits

  • Medical Benefits – Charlotte workers who sustain an injury at work are entitled to medical benefits. The Charlotte employer is responsible for paying all medical costs which can include: doctor’s bills, surgical costs, medications and rehabilitation services.
  • Vocational Rehabilitation Services- If a Charlotte worker sustains an injury at work and is unable to return to their job, they may receive certain types of vocational rehabilitation services which can help them find another job which they can do given their current work capabilities.
  • Temporary Total or Temporary Partial Disability Benefits – Temporary total disability payments can be awarded if the injured employee is unable to work at all for a specific period of time. Work injury compensation for total disability payments is 66 2/3% of the workers average weekly earnings. There is a minimum and maximum allowed under North Carolina’s workers compensation law. If an employee is allowed to return to their job, but because of their disability, they are on restricted duty, workers compensation may award temporary partial benefits.
  • Permanent or partial disability – If a work injury causes a permanent disability or if the worker loses the function of a specific body part, work injury compensation is paid according to a schedule as outlined by North Carolina’s workers compensation law. If the work injury causes severe disfigurement to the face, head or damage to vital organs the worker may receive additional work injury compensation.
  • Death Benefits – Dependents of a Charlotte worker who dies from a work injury or occupational disease may be eligible to receive workman’s compensation for death benefits which equals 66 2/3% of the workers average weekly wage. Benefits are generally paid for 400 weeks, but for spouses (meeting certain requirements) they may be paid until death or remarriage and for minor children they may be paid until the child reaches age 18. Funeral benefits are also allowed up to $2,000.

Do I Need a Charlotte Worker’s Compensation Attorney?

Charlotte workers who suffer an injury at work have the choice of filing their workers compensation claim themselves or hiring a worker comp attorney to help. Unfortunately, Charlotte employers, who may be more focused on company costs and less on the worker’s welfare, will have their own work injury lawyers helping them.

Charlotte workers who have suffered discrimination or harassment due to the work injury or who have been injured by a third party may want to contact a worker’s compensation lawyer.



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In battle of suits and countersuits over workers’ comp premiums, AIG gets to subpoena more than 400 competitors

AIG, the giant insurer and a major player at the core of the Great Recession, has been allowed by a federal judge to begin issuing subpoenas to 400 of its competitors in the workers compensation insurance business, according to a March 16 piece at businessinsurance.com.

The ruling, which allows AIG to pursue “nonparty discovery,” is part of a larger dispute between AIG and several competitors–but extends to “discovery of practices by insurers not named in the lawsuit, AIG said Monday in a statement.”

Industry leaders involved

The fracas involves some heavyweights in the industry, including some who joined forces in the original RICO suit against AIG: “The ongoing litigation grew out of a May 2007 lawsuit against AIG originally filed by the National Workers Compensation Reinsurance Pool made up of AIG competitors and operated by Boca Raton, Fla.-based NCCI Holdings Inc. That suit alleged violations of the Racketeer Influenced and Corrupt Organizations Act by AIG, among other assertions.”

It also involves some colorful language, for what might seem an otherwise dry topic.

Let’s pick up the story in 2005 when, according to an August 26, 2009 post at an insurance law blog, “a New York state investigation revealed that AIG had, over several decades, provided false reports of its workers’ compensation premiums to NCCI and state tax authorities to evade its residual-market obligations.” Id. Thereafter, in 2006, AIG entered into settlement agreements, including a $1.6 billion settlement with New York and federal authorities. The Participating Companies contested that the settlement agreements offered full and fair restitution. Id. at 5.

“On May 24, 2007, NCCI filed suit against AIG, alleging underreporting of premium data. AIG interposed numerous defenses and asserted counterclaims for an equitable accounting and an action on an open, current, and mutual account, both of which survived NCCI’s motion to dismiss. AIG also filed a 12-count third-party complaint against 24 named companies and numerous unnamed companies. Id. at 3.”

Court dismisses NCCI suit

But in August 2009, a federal district court dismissed the suit against AIG, “holding that the NCCI failed to establish standing to assert claims on behalf of the Pool.”

That’s when AIG came out swinging, inserting itself as plaintiff, and as described at workerscompsc.com, in September 2009 amended that complaint “in its Chicago racketeering conspiracy fight alleging fellow members of the National Workers’ Compensation Reinsurance Pool conspired to suppress a state and federal probe of the systematic underreporting of workers’ compensation premiums.”

AIG’s amendment, according to Michael Whiteley, “names as defendants the pool, NCCI and 19 insurance companies. It focuses on the actions of Liberty Mutual Group, Travelers, The Hartford, Ace INA Holdings and Sentry Insurance Co. as carriers AIG says have dominated the governing board of NWCRP.

“The amended complaint, which was filed under the Racketeer Influenced and Corrupt Organizations Act (RICO), alleges that NCCI flagged significant problems with the misreporting of premiums as early as 1986 and then conspired with pool members to conceal the problem while then-New York State Attorney General Eliot Spitzer was investigating the practice at AIG.”

AIG says it was targeted as scapegoat

Furthermore, AIG alleges the whole thing was a longstanding sham-up, designed to hurt AIG.

Again from the Whiteley piece: “And AIG repeated assertions that its competitors – led by Liberty Mutual, which last year overtook AIG as the leading comp insurer in America – conspired to make AIG the scapegoat in the Spitzer probe to prevent investigators from broadening their target.

“AIG said a Liberty Mutual representative on the pool’s governing board said at a board meeting in 2005 that the Spitzer probe gave the board ‘an opportunity to get the bastards at AIG.’ “

The residual market

What’s at stake is who-owes-what to cover costs in the so-called “residual market,” the pool for employers who can’t workers’ comp coverage in the primary market. As the insurance law blog explains:

“The action concerned the workers’ compensation insurance market. Employers obtain workers’ compensation insurance coverage from insurers in what is known as the “voluntary market.” Insurers that provide coverage to the voluntary market are required by state law to provide coverage to the “residual market,” which is the market for employers who cannot obtain coverage on the voluntary market. Those employers obtain workers’ compensation insurance coverage through an individual state’s assigned risk plan. Under that plan, the amount of insurance an insurer is required to provide for the residual market is directly proportional to the amount of premiums it collects for the policy it writes for the voluntary market. Mem Op. 3″

“Therefore, ‘any company that underreports its premiums to NCCI decreases its reinsurance participation rate and the overall total used to calculate all the rates.’ Id.”

‘Common practice in the insudtry’

Looking through the various accounts of the lawsuits and countersuits, it’s hard to find any instances in which AIG denies under-reporting these premiums. After all, it did settle for at least $1.6 billion in 2006. So far, it seems like AIG is merely saying, well, everybody did it.

From the businessinsurance.com conclusion, re AIG’s most recent action: “Now AIG is seeking proof through its subpoenas that premium underreporting practices it is alleged to have engaged in were common practice in the industry.”

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Regardless of whether you’ve been hurt on the job, it’s wise to know the basics of workers compensation in case you, a friend or family member need to file a claim in the future. If you do get hurt, you should be aware of the first things to do or what to tell a co-worker who has been injured.

Sometimes an injured employee takes all the correct steps but still has trouble getting the claim taken care of; in that case here’s some information for problems with denial of benefits. If legal help is needed to help with the case, be sure to speak to a trained, experienced attorney.



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Diversity of workers comp cases show necessity of experienced counsel

One thing about workers comp cases–the issues can be so broad that you never know what oddity may pop up.

For example, regular readers are aware that most states include undocumented workers in workers comp protection. We discussed a couple of such cases here, one from Michigan and one from Nebraska.

Undocumented workers protest in Michigan

Now Michigan is back in the news. Posted March 11 at WILX.com, this brief describes a protest at the state Capitol, including “[s]ome [who] were illegal immigrants, rallying for the state to grant them rights to workers’ compensation.”

State Rep. Rashida Tlaib (D-Detroit) has introduced a bill that would grant such coverage and was quoted as saying, “We’re only one of two states in the nation that does not allow workers that are undocumented to compensate when they are injured on the job.”

As might be expected, not all her colleagues agree with the idea, indicating its passage has a snowball’s chance…

Rep. Rick Jones (R-Grand Ledge) said, ““The only thing we should be giving illegal immigrants is a bus ride home.”

Jones, taking a “Michigan-workers-first” stance, brought up bogus Social Security IDs and the expense to companies to pay into the workers comp system.

But Tlaib “and others” countered with a point to ponder: pointing out “that requiring companies to pay workers’ comp might discourage them from hiring illegal immigrants in the first place.”

Ex-Deputy Warden cites nepotism as stressful

Now here’s a doozy, from a March 10 post with a Wilkes-Barre (PA) dateline: everybody knows somebody who’s felt disadvantaged by on-the-job nepotism. But in this case, former Deputy Warden Sam Hyder,  Luzerne County Correctional Facility, says nepotism was a major reason for the workplace problems that should leave him eligible for $800 a week in workers comp benefits.

“Hyder claims he suffers from work-related stress due to pressures brought on by” County Commissioner Chairwoman Maryanne Petrilla’s “hiring requests and threats, the suicide of a co-worker, his attendance at an inmate’s autopsy and the publicity he received for outing a drug-dealing prison guard.”

Petrilla has denied not only pushing Hyder to hire unqualified cronies but also says she did not single out Hyder for political reprisal.

According to the article, “Hyder was on medical leave from Aug. 28, 2009 until he was laid off from his $74,263 job in late January 2010. He testified Feb. 2 about how he ‘blacked out’ one day at work from the stress and suffers from anxiety, panic attacks and nightmares. On Tuesday, the county countered with five defense witnesses.”

At least one other employee, a secretary promoted to assistant business manager, seems to back up Hyder’s version, indicating that a “hiring list of the politically connected trumped applications from other qualified candidates.”

Said Jaqueline Grimes: “Everybody, commissioners, judges, magistrates, police officers, would be saying, ‘Give this person a shot. (Prison management) wanted to know, whose person it was. ‘John Doe is my guy, this one is (former Manager/Chief Clerk) Sam Guesto’s.’”

Fired workers say boss pushed her religion on them

And from Ohio, a March 3 AP account reminds us that freedom of religion just might encompass freedom from religion:

“After a sweeping scandal nearly five years ago that cost the state’s insurance fund for injured workers $300 million because of investments in Beanie Babies, rare coins and other risky assets, Ohio beefed up oversight and created a panel to help lawmakers look out for the health of the fund.

“Now, three years after lawmakers created the Ohio Workers’ Compensation Council to advise them on bills involving workers comp issues, the council finds itself entangled in chaos with a director accused of firing the entire staff amid allegations that she pushed her religion on employees.

“The three fired workers each sent letters to council members Tuesday accusing Director Virginia McInerney of wrongful discharge, religious discrimination and harassment, age discrimination and retaliation.”

Described as an occasional guest on “The 700 Club” who also was active in a large evangelical church,  McInerney was said to have led prayers at work and to have passed out religious CDs and at least one religiously themed book.

The piece quotes a former staff attorney as writing in a letter that “It became increasingly clear that the Director was judging employees not on professional performance but on the quality of their faith, according to her beliefs.”

McInerney denies the allegations and says she can’t comment on an ongoing case, but “that she saw no alternative under the law but to fire them.”

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Whether you’re an injured employee or an aggrieved employer, if you’re facing legal problems regarding workplace injuries, be sure to seek counsel with attorneys trained and experienced in workers’ compensation. Here’s some resources:

Workers compensation basics

Denial of benefits

Choosing an attorney



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Worker’s Compensation In Minnesota

Minnesota workers compensation is a no-fault system of laws which was created to provide work injury compensation to employees who sustain an injury at work while performing their normal job duties. Worker’s compensation is provided to the Minnesota employee without their proving their employer’s negligence contributed to their work injury.

Not all work injuries are covered by insurance workers comp, only those which are aggravated or accelerated by the employer’s job responsibilities or accidentally occurred while performing a job duty. Work injuries are not covered if they are caused by an intentional employee action, rough housing, recklessness or intoxication.

Minnesota workers compensation provides benefits for a variety of occupational diseases and work injuries including:

  • Abrasions and burns
  • Amputations of arms or legs
  • Concussions
  • Heart attack or strokes on the job
  • Carpel Tunnel
  • Diseases caused by inhalation of chemicals or other toxins
  • Back and neck injuries

Minnesota Workers Compensation Benefits:

Minnesota’s workers comp insurance provides wage loss compensation and medical benefits to employees who are injured.

  • Medical Benefits – Medical compensation is provided to Minnesota workers who suffer an injury at work without a time or monetary limit and includes all medical care which is reasonable and necessary to treat a work injury. Care can include: doctor’s visits, laboratory services, prescriptions and hospital visits. Employees, under most circumstances, can choose their own physician and change doctors as desired.
  • Wage loss compensation –
    • Permanent partial disability – Minnesota employees who have lost permanent use of certain body parts from their occupational illness or work injury will receive permanent partial disability benefits based on a rating assigned to them from worker’s compensation. To determine worker’s compensation benefits the rating assigned is multiplied by the dollar amount for the injury for a specific number of weeks to determine the amount paid.
    • Permanent total disability – Minnesota workers who have sustained an injury at work and are unable to continue working may receive permanent total disability payments. These benefits are calculated using a similar formula as temporary total disability benefits.
    • Temporary partial disability – Minnesota workers who sustain an injury at work and are able to return to work but their wage is lower due to their work injury, may be able to receive work injury benefits to compensate them for lost wages.
    • Temporary total disability (TTD)- Minnesota workers who temporarily can not work at all due to their work injury can receive weekly temporary total disability payments (with a waiting period). Benefits are 2/3 of the worker’s gross average weekly wage at the time of the work injury. TTD benefits may end when 1)the maximum number of weeks for benefits has been reached 2)the employee is not taking part in the vocational rehabilitation program 3)the worker has found new employment or has returned to their current job.
    • Vocational Rehabilitation Services – Minnesota worker’s compensation may provide vocational rehabilitation services to help an employee return to their current job or to find new employment if they can not perform their current job due to their physical or mental limitations.

Do I Need a Minnesota Worker’s Compensation Attorney?

Minnesota workers who would like assistance navigating complex workers compensation laws can contact a worker’s compensation lawyer. Minnesota workers do not have to hire a worker comp attorney to file their work compensation claim, but a work injury lawyer may be able to help the employee get the work injury compensation they deserve.



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Fill out the short form below and a local Workers Comp attorney will review your case for FREE!
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Workers’ comp violators face prison or slap on wrist–while Florida worker seems trapped in pain, agonizing delay

Three recent news items reflect the breadth and depth of disparity among the states’ regulations concerning workers’ compensation.

The first and third are from California and Florida, the second from Pennsylvania; taken together they reveal a shocking disconnect between treatment of perps and victims.

Roofer injured in 2003

According to a March 1 article in the Orange County (CA) Register, roofing contractor Michael Amzie Hollings “is expected to be sentenced to three years in state prison” after pleading guilty to various charges that boiled down to trying to hide workers, thereby paying nothing to the state’s workmen’s comp fund. No word from the Register on how long the scheme lasted, but it began unraveling in 2003 when a worker “fell from a roof and filed a workers’ compensation claim,” which resulted “in a denial of benefits,” according to prosecutors. The account also makes no mention of whether the injured worker ultimately received benefits–or even treatment.

On the one hand, the plea agreement shows how long such cases can slog through the system; on the other, even though Hollings faced a maximum sentence of 21 years and eight months, the expected three-year sentence should serve as a red flag for those who attempt to run similar schemes–at least, in California.

Agency owner dodges more than 1,000 counts

In another plea agreement reported today at pittsburghlive.com, 80-year-old William R. McCandless has apparently slipped through the system with a pretty sweet deal. Charged (along with his business) of “1,054 counts of failure to insure” from August 2006 through July 2009, McCandless “entered a general plea of no contest to a single count of failure to insure,” which is expected to net him a mere $3,000 fine plus probation.

One presumes the agency’s workers are now covered–and, of course, there’s no mention of anyone falling from a roof–but, still…more than a thousand counts? That must be one happy old guy.

Holdup victim awaiting surgery for more than a year

The next case is flat out tragic and has the father of an injured man taking on reform of Florida’s statutes, which were altered to prevent abuse by scam-running workers.

Posted March 01 at myfoxtampabay.com, this account tells the tale of Sam McGinnis, a drug store clerk gunned down during a holdup that netted $88 in Nov. 2008.

“We’ve all seen video of people caught on tape playing up their injuries and claiming benefits: people walking with a walker, and later walking just fine, or using or a cane where now you see it, now you don’t,” writes investifative reporter Doug Smith.

“But there’s nothing funny or phony about the video of Sam McGinnis, a clerk behind the counter at a drug store in Tampa, Florida on November 29, 2008. A camera inside the store shows a holdup.”

Cursed at by the robber and shot twice–for not moving fast enough–McGinnis still has a slug lodged in his back and remains “in constant pain,” with “[e]ven the simplest tasks . . . a challenge . . . and he says the workers’ compensation system is compounding his agony.”

Apparently, Florida’s worker-abuse reform went too far: Not only have the new regs have resulted in denial of surgery that would help McGinnis but also he’s been prevented from using his own private insurance–because he was hurt on the job.

“McGinnis hasn’t been able to get surgery that his doctors say could ease his pain because so far workers’ compensation won’t approve it. McGinnis says he had very good private insurance, but because he was hurt at work, he can’t use it.”

The article also says “McGinnis will need a lifetime of care.”

McGinnis’ father has begun a campaign to change the regs, creating a dual-track system, with one track for more routine on-the-job injuries and another for “for people who are catastrophically injured. . .” The father (Facebook profile here) has launched a Web site with a brief background and links to a youtube video and an online petition.

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Regardless of whether you’ve been hurt on the job, it’s wise to know the basics of workers compensation in case you, a friend or family member need to file a claim in the future. If you do get hurt, you should be aware of the first things to do or what to tell a co-worker who has been injured.

Sometimes an injured employee takes all the correct steps but still has trouble getting the claim taken care of; in that case here’s some information for problems with denial of benefits. If legal help is needed to help with the case, be sure to speak to a trained, experienced attorney.



Need Help with your Workers Comp Claim?

Fill out the short form below and a local Workers Comp attorney will review your case for FREE!
Don't wait -- Get help winning your workers comp case today!




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