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Showing posts sorted by relevance for query temporary disability. Sort by date Show all posts
Showing posts sorted by relevance for query temporary disability. Sort by date Show all posts

Friday, July 27, 2012

Duration of Temporary Disability Payments Increasing

NCCI Holdings Inc. reports the duration of the average payment of workers' compensation temporary disability benefits is increasing.


When a worker is temporarily disabled as a result of a work-related injury so that he or she is unable to perform his job, the worker is entitled to temporary compensation benefits. If an employee is not absent from work, temporary compensation benefits are not payable.  An employee may be entitled to multiple periods of temporary disability benefits as a result of a particular injury. When there is a dispute with regard to the payment of temporary disability benefits and the respondent-employer has contested their payment either from the date of the accident or following the termination of medical care, the employee may look to the State or to a private temporary disability carrier for payment.

New Jersey standards for temporary disability benefits:
Temporary Disability
  • When out of work and under authorized medical care for more than 7 days (retroactive), you are entitled to receive temporary disability benefits not to exceed 70% of the State Average Weekly Wage (SAWW).
  • Authorization to return to “light duty” is interpreted by the Courts as a return to full time employment and temporary disability benefits will stop. If you remain under medical care and if your employer does not have “light duty” work available you may be entitled to continued temporary disability benefits.

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For over 3 decades the Law Offices of Jon L. Gelman1.973.696.7900 jon@gelmans.com have been representing injured workers and their families who have suffered work related accident and injuries.



Related Articles on Temporary Disability Benefits

Jan 29, 2012
Universally workers' compensation temporary disability benefits are set calculating wages at the time of the accident. If an employer miscalculates an employee's wages then the payment of temporary disability benefits paid...
Jul 19, 2012
This amount, not the $400 basic wage, should be used to compute for his benefits, thus yielding an additional $50 per week in Temporary Total Disability benefits. Additional items of value are also included as part of the...
Feb 06, 2012
A NJ Appellate Court upheld that a trial judge's ruling that a decision of the Social Security Administration awarding total disability beenfits did not terminate a workers' compensation order for temporary disability payments.
Apr 10, 2012
Temporary disability plans and major medical plans act as coverage for loss time and treatment. Employee are willing to fore go permanent disability inorder to get certain and immediate medical care and lost time benefits.

Thursday, September 13, 2012

NJ Maximum Disability to Increase 2% to $826.00 Per Week

NJ's workers' compensation disability rates are scheduled to increase in 2013 to a maximum rate of $826.00 per week. The NJ workers' compensation rate is mandated by statute and the the increase from $810. per week paid in 2012 is adjusted based upon the States' Average Weekly Wage (SAWW). The 1979 amendments to the act adjusted the then $40.00 maximum rate based upon the SAWW formulate to keep payments inline with actual salaries.

Click here to read the NJ Register Notice

....
For over 3 decades the Law Offices of Jon L. Gelman 1.973.696.7900 jon@gelmans.com have been representing injured workers and their families who have suffered work related accident and injuries.


More about temporary disability
Aug 13, 2012
An employer cannot stop paying workers' compensation benefits merely because the injured worker was awarded Social Security Disability benefits. In fact, the premature termination of temporary disability benefits was ...
Jul 27, 2012
If an employee is not absent from work, temporary compensation benefits are not payable. An employee may be entitled to multiple periods of temporary disability benefits as a result of a particular injury. When there is a ...
Jan 29, 2012
Universally workers' compensation temporary disability benefits are set calculating wages at the time of the accident. If an employer miscalculates an employee's wages then the payment of temporary disability benefits paid...
Jul 06, 2010
"The compensation judge correctly ordered continued temporary disability benefits from November 9, 2006 through February 17, 2007, "the period of time when [Schock] was unable to proceed with an authorized anterior ...


Monday, March 19, 2018

Judicial Limitations in Workers’ Compensation Cases

Frequently a workers’ compensation hearing officer divides a litigated matter into two phases, compensability and damages so litigation can be conducted in a more efficient manner. The procedure is designated as bifurcation and the limitations imposed by the procedure must have carefully adhered to while the adjudicating the claim.

A New Jersey appellate court recently ruled, in an unpublished opinion[1], that a judge of compensation committed reversible error by exceeding the constraints of the bifurcation process. The hearing officer decided the compensability of a denied accident and then went further by awarding damages by way of granting an award for the temporary disability.

An injured worker claimed that he suffered an accident during his employment because of carrying a heavy package at the employer’s place of business. The accident was reported by “text message” and voice message” after he had left the place of employment and returned home. The court assessed the witnesses’ credibility while testifying and determined the injured worker to be credible.

At the time of the trial, the employer relied on a written note from the injured worker’s doctor that stated, the worker “was shoveling snow and developed severe low back pain with right leg radiation.” The attorney for the employer failed to call the doctor as a witness during the trial. The appellate court held that the judge of compensation could give the written note whatever weight it wished to do so, and upheld the finding of the workers’ compensation hearing officials ruling that the matter was compensable and then, despite the bifurcation of the trial, entered an award for temporary disability benefits.

In a collateral issue raised on appeal, prior to making the determination, the judge of compensation, on her own volition sought and relied on additional factual information from the State of New Jersey. She “contacted the State and was advised” that the injured worker had been paid temporary disability benefits” for a certain period. The reviewing appellate tribunal rule that “Judges should not conduct their own factual investigation, let alone do so without notice and an opportunity for the parties to be heard. See Lazovitz v. Bd. of Adjustment, Berkeley Heights, 213 N.J. Super. 376, 381-82 (App. Div. 1986); Amadeo v. Amadeo, 64 N.J. Super. 417, 424 (App. Div. 1960).” and deemed such action as inappropriate, but vacated the Order for other reasons.

Interestingly, whether a Judge could take “judicial notice” of temporary disability payments was not discussed. “Judicial notice” is a rule of law in evidence that allows a fact to be introduced into evidence if the truth is so authoritatively attested that it cannot be reasonably contested. The NJ Division of Workers’ Compensation normally cross-matches payment information of State temporary disability benefits to efficiently satisfy statutorily imposed liens and eliminate duplicate recoveries. "Administrative procedures are in place for avoiding duplication of benefits in cases where claimants have pursued temporary disability benefits under both the Temporary Disability Benefits Law (TDBL) and the New Jersey Workers' Compensation Act (WCA)." Gelman, Jon L, Workers Compensation Law, 38 NJPRAC 17.10.50. Temporary disability liens–non–duplication of benefits (Thomson-Reuters 2018). 

The award of temporary disability benefits was reversed by the appellate division and the matter was remanded to the Division of Workers’ Compensation for further hearing on that issue. The court held, “Despite bifurcation, the judge found that Moran was entitled to temporary disability benefits and appears to have made other findings of the nature of the injury. These other issues were decided without warning and deprived Cosmetic of an opportunity to present evidence or to confront the evidence upon which the judge relied. Because the judge mistakenly exceeded the limits of the bifurcation agreement, we vacate those parts of the order under review that granted temporary disability benefits and other relief to Moran, and we remand those proceedings that would naturally have followed the determination that Moran sustained a work-related injury.”

While bifurcation allows for judicial efficiency, the constraints imposed by procedure need to be strictly followed. 

Moran v. Cosmetic Essence, LLC, Docket No. A-2588-1671 (N.J. App. Div. 2018) Decided March 14, 2018. 2018 WL 1308857 Only the Westlaw citation is currently available.
Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thomson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thomson-Reuters).

[1] NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

Thursday, January 6, 2022

Municipal police officers’ health contribution not based on temporary disability

Municipal police officers' contributions to their health benefits plans could not be based on the rate of their temporary disability benefits. The purpose of workers’ compensation temporary disability benefits is to provide an injured worker with a partial wage to replace wages because of a work-related accident.

Wednesday, October 24, 2012

Minimal Light Duty Doesn't Limit Temporary Disability Benefits

A NJ Compensation Court ruled that an employer was unable to limit the payment of temporary disability benefits based an mere limited light duty.

Petitioner filed a motion in which he requested supplemental temporary disability benefits. Respondent objected and argued that, because the petitioner was returned to only minimal light duty work, his temporary disability benefits should be limited by the amount earned in such light duty capacity (rather than an amount based upon regular wages. The judge disagreed as he found that allowing a respondent to provide only minimal light duty work and thereby reduce a petitioner's temporary disability benefits would defeat the purpose of the temporary disability provisions of the workers' compensation statutes. Petitioner's motion was granted. 

"As stated earlier, temporary disability is intended to provide Petitioner with an amount which the legislature has determined to be sufficient for his living expenses while temporarily disabled.  Light duty, on the other hand, provides the injured worker an opportunity to transition back to his or her regular job by performing less strenuous duties for his/her employer until such time as he or she is able to perform his or her regular tasks.  The emphasis here is the benefit of the program to the employee.  We cannot lose sight of the fact that this is workers’ compensation.  Respondent’s position here would turn this aspect of the program into virtually an employer’s compensation, since an employer in Respondent’s situation will benefit financially the longer Petitioner remains on light duty status."

Soto v. Herr's Foods, Inc.
11-18325, decided September 7, 2012 by the Honorable Emille Cox, J.W.C.

Saturday, October 21, 2017

The Inherent Judicial Power of Judges of Compensation

A Judge of Compensation has the discretion to call and question witnesses in pending cases. A NJ Appellate Court affirmed the trial court award of additional weeks of temporary disability,  the imposition of a 25% penalty for unreasonable and negligent delay in defending the case and 20% counsel fees.

Sunday, July 28, 2013

The Oklahoma Opt-Out System is Bad Medicine for an Ill System

The newly enacted Oklahoma "Opt-Out" workers' compensation system has been urged by reformers as an effort to provide a more efficient and effective than its century old program enacted in the early 1900s. A comparison of the Oklahoma Opt-Out system to the New Jersey system reflects a limitation on litigation and a return to a more administrative program. Additionally, the opt-out system would provide for injured workers' choice of physician that ultimately could be blended into an employer based health program.

The changes are dramatic, and a major shift from the traditional based system such as New Jersey has followed since 1911.

Obviously the future statics will be reviewed by all stakeholders to determine if the Opt-Out System can really satisfy the concerns of all stakeholders or just a few.

Radical statutory changes to workers' compensation that have been limited to the interests of specific interest groups in the past have been met with disasters. The Opt-Out System of Oklahoma appears to be one of those programs, and has been bitterly contested by the advocates of injured workers.

In order for the creation of an optimal system of compensation to meet the socio-political-economic changes that are occurring in the world, all parties must sit at the table and work out a plan together. The Oklahoma Opt-Out system just appears to be bad medicine for a very ill system.

New Jersey Traditional v Oklahoma Opt-Out
Hearing Officials
The Jersey System:
Case are heard by Compensation Judges nominated by the Governor and the system is administered under the Executive Branch of government. There are 50 Compensation Judges.

The Oklahoma Opt-Out System:
Starting on February 1, an administrative process with three appointed commissioners will replace the current court procedure with 10 judges for litigating workers’ compensation claims.

Temporary Disability Benefits
The Jersey System:
If an injured worker is disabled for a period of more than seven days, he or she will be eligible to receive temporary total benefits at a rate of 70% their average weekly wage, not to exceed 75% of the Statewide Average Weekly Wage (SAWW) or fall below the minimum rate of 20% of the SAWW. These benefits are provided during the period when a worker is unable to work and is under active medical care.The limit is 450 weeks. The maximum temporary disability rate for 2013 is $826.00.

The Oklahoma Opt-Out System:
Temporary disability payments will be reduced to 104 weeks instead of 156 weeks, with a cap at 70 percent of the state’s average weekly wage, about $540 per week.

Permanent Disability Benefits:
The Jersey System:
Partial Disability: When a job related injury or illness results in a partial permanent disability, benefits are based upon a percentage of certain "scheduled" or "non-scheduled" losses. A "scheduled" loss is one involving arms, hands, fingers, legs, feet, toes, eyes, ears or teeth. A "non-scheduled" loss is one involving any area or system of the body not specifically identified in the schedule, such as the back, the heart, the lungs. These benefits are paid weekly and are due after the date temporary disability ends.

Total Permanent Disability:
These weekly benefits are provided initially for a period of 450 weeks. These benefits continue beyond the initial 450 weeks provided that the injured worker is able to show that he or she remains unable to earn wages.

Wages earned after 450 weeks offset the weekly computation in proportion to the income at the time of the injury. Permanent Total benefits are paid weekly and are based upon 70% of the average weekly wage, not to exceed 75% of the Statewide Average Weekly Wage (SAWW) or fall below the minimum rate of 20% of the SAWW.

Permanent Total Disability is also presumed when the worker has lost two major members or a combination of members of the body such as eyes, arms, hands, legs or feet. However, permanent total disability can also result from a combination of injuries that render the worker unemployable.

The Oklahoma Opt-Out System:
Permanent disability payments will be reduced from 520 weeks to 350 weeks.

Choice of Treating Physician
The Jersey System:
None. Employer selected physician must be utilized.

The Oklahoma Opt-Out System:
Employees will be allowed to change treating physicians once so long as the selection is from a list of three doctors provided by the employer.

Arbitration or Alternate Dispute Resolution
The Jersey System: 
None. All cases, including settlements, must be heard or reviewed by a Compensation Judge.

The Oklahoma Opt-Out System:
Employers can require arbitration as the exclusive way to settle claims and disputes with employees.

Monday, August 13, 2012

Employer Not Permitted to Stop Temporary Disability Benefits When Social Security Disability Awarded

An employer cannot stop paying workers' compensation benefits merely because the injured worker was awarded Social Security Disability benefits. In fact, the premature termination of temporary disability benefits was adequate grounds for a NJ compensation court to levy fines and penalties upon the employer.

The NJ Court of Appeals affirmed the trial court ruling of Judge of Compensation George F. Geist who assessed a penalty upon the employer for defying an Order of the Court to pay workers' compensation temporary disability benefits.

The employer' attorney argued that the employer was permitted to unilaterally terminate temporary disability benefits since the Social Security Administration had awarded the the injured worker disability benefits. The employer asserted that by accepting the award from Social Security the claimant had removed himself from the workforce. No supporting law was offered to support that proposition and the compensation court awarded a 25% penalty and simple interest against the employer.

Ferguson v Trenton Board of Education (NJ App. Div. 20112)

Monday, December 27, 2021

NJ Workers’ Compensation Benefit Rates Increase in 2022

The New Jersey Department of Labor and Workforce Development (NJDOL) announced increases in the maximum benefit rates for Unemployment Insurance, Temporary Disability Insurance, Family Leave Insurance, and Workers’ Compensation for the calendar year 2022. The increased rates will be effective for new claims dated January 2, 2022, and later.

Tuesday, January 21, 2020

NJ Announces Increases in Maximum Benefit Rates & Taxable Wage Base

The New Jersey Department of Labor and Workforce Development (NJDOL) announced increases in the maximum benefit rates and taxable wage base as of January 1 for its Unemployment Insurance, Temporary Disability Insurance, Family Leave Insurance, and Workers’ Compensation programs.

On January 1, the maximum weekly benefit amount for Unemployment Insurance beneficiaries increased to $713, from $696. The maximum weekly benefit for state plan Temporary Disability and Family Leave Insurance claims increased to $667, from $650, while the maximum weekly benefit for Workers’ Compensation rose to $945, from $921.

The maximum benefit rates and the taxable wage base are recalculated each year based on the statewide average weekly wage, in accordance with the laws governing these programs. The benefit rates and taxable wage base for 2020 reflect the $1,259.82 average weekly wage for 2018, which rose by 2.6 percent from $1,228.25 in 2017.

The level of wages subject to wage taxes in 2020 increased to $35,300 for employers covered under the Temporary Disability Insurance program and for workers and employers covered under the Unemployment Insurance program, the Workforce Development Partnership Program, and Supplemental Workforce Fund for Basic Skills.

Additionally, a law enacted last year (P.L. 2019, chapter 37) increased the level of wages subject to wage taxes effective January 1 for workers covered under the Temporary Disability and Family Leave Insurance programs to cover significant increases in these benefits that go into effect later this year, including a higher maximum benefit rate and an extension in the maximum amount of leave available. The taxable wage base is $134,900 for 2020 for workers contributing to these programs, up from $34,400, or 107 times the statewide average weekly wage, up from 28 times the average weekly wage.

The increase in the maximum weekly benefit rate for Temporary Disability and Family Leave Insurance claims starts July 1, with an increase to $881 from $667. This represents 70 percent of the statewide average weekly wage, up from 53 percent of the average weekly wage. Additionally, the maximum amount of continuous leave will increase to 12 weeks, up from six weeks, and the maximum amount of intermittent leave will increase to 56 days, up from 42 days.

To qualify for Unemployment, Temporary Disability, or Family Leave benefits this year, an applicant must have earned at least $200 per week for 20 base weeks, or alternatively, have earned at least $10,000 during the base weeks. Benefit eligibility criteria are based on the state minimum wage in effect on October 1, 2019, when the minimum wage in New Jersey was $10/hour for most employees.

The contribution rate for state and local government entities that choose to make contributions rather than reimburse the trust fund for Unemployment Insurance benefits paid to their former employees, decreased to 0.6 percent of taxable wages during calendar year 2020, down from 0.7 percent in 2019.

Below is a chart showing the 2019 rates and the changes taking place January 1 and July 1:



To read more about "rates" and workers' compensation, click here.
….

Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thomson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thomson-Reuters). For over 4 decades the Law Offices of Jon L Gelman 1.973.696.7900 jon@gelmans.com has been representing injured workers and their families who have suffered occupational accidents and illnesses.



Thursday, October 23, 2025

Amazon's Misclassification Strips Workers' Safety Net

When a back injury should mean temporary disability benefits, but instead means choosing between rent and recovery—that's the hidden cost of worker misclassification. New Jersey's recent lawsuit against Amazon exposes how labeling employees as independent contractors strips away critical workers' compensation protections, leaving injured workers financially vulnerable during their most precarious moments.

Sunday, March 23, 2008

Collecting Both Social Security Disability Insurance And Workers’ Compensation Benefits Generates Inequality of Benefits

A recent study by the federal government reports that some disabled workers who receive workers' compensation or public disability benefits may receive less money than their counterparts. The reason why this phenomenon occurs is that the Social Security benefit computation is designed to replace more of the lower earner’s pre-retirement or pre-disability earnings than a higher earner’s.

Saturday, August 15, 2026

Credibility Beats Credentials

A Costco worker quit, wrote “personal reasons” on the form, and still collected temporary disability benefits. The Appellate Division affirmed on August 12, 2026.



The New Jersey Appellate Division has affirmed an award of open temporary total disability benefits and court-ordered medical treatment to a part-time Costco employee who resigned his job almost a year after his authorized surgeon discharged him at maximum medical improvement. The decision, Munoz v. Costco, Docket No. A-3829-24, decided August 12, 2026, is unpublished and is not precedential under Rule 1:36-3. Its practical reach, however, is considerable, because it turns entirely on two things that decide most contested New Jersey compensation cases: which doctor the judge believes, and whether the employer papered the file.

The Facts

Ricardo Munoz injured his right knee in January 2022 while helping a customer lift a generator into a pickup truck. He reported the injury immediately. He was diagnosed with a right knee medial meniscal tear and extensive chondromalacia of the patellofemoral trochlear groove. Dr. Daniel Richmond, the authorized surgeon, performed an arthroscopic medial meniscectomy on May 19, 2022, cleared Munoz for light duty on June 2, and returned him to full duty effective July 12, 2022.

Full duty did not hold. On July 15, Munoz reported that his knee swelled after a couple of hours of work. On August 2, he reported persistent swelling and worsening symptoms after five hours. Both times Dr. Richmond recommended that he continue working full duty, and he was discharged from care.

On September 29, 2022, Munoz resigned. The company resignation form recorded his reason for leaving as “personal reasons.” Costco's human resources representative testified that Munoz never mentioned the knee and instead said a family member was ill and he could not commit to being at work.

Munoz told a different story under oath. He testified that the knee would “blow up” during his shift, that afterward he could not climb the steps to his home or go food shopping, that he asked about a less physical position, and that he called the compensation adjuster repeatedly seeking further treatment and never received a return call. He did not look for other work after leaving. He testified he had intended to stay at Costco for years.

Three Doctors, Three Stories

Dr. Richmond, the authorized treating surgeon, opined that the grade IV chondromalacia was pre-existing and unrelated, that the injury arose from “normal lifting activities,” and that there was no aggravation or acceleration of the underlying patellofemoral degenerative joint disease. On cross-examination, he conceded that Munoz had no prior right knee complaints or treatment, that the chondromalacia was diagnosed only after surgery, and that the degenerative disease became symptomatic only after the return to full duty.

Dr. Gerardo Goldberger, examining for the petitioner, testified that the arthroscopy itself aggravated the degenerative joint disease by changing the mechanics of the knee, and that Munoz was limited to modified sedentary work. He recommended therapy, injections, and eventually total knee replacement.

Dr. Frederick Song, the neutral examiner selected by the court, testified that while he could not say definitively that the medial compartment surgery worsened the pre-existing patellofemoral arthritis, the injury likely exacerbated the pain and activated symptoms in that compartment. He offered the formulation that carried the case: any surgery by definition exacerbates arthritis, because the muscles are weakened by the surgery.

Credibility Was the Whole Case

The judge of compensation found all three experts credible in the general sense, then found Dr. Richmond's causation opinion the least persuasive. That distinction is the heart of the decision, and it is worth understanding precisely why the treating surgeon lost.

The judge identified four specific defects, none of them about credentials:

      Internal inconsistency. Dr. Richmond insisted there were no work restrictions related to the meniscal tear even though Munoz had performed the job without difficulty before the accident.

      Concession on cross. He ultimately agreed with the treatment recommendations regardless of cause, which undercut the sharp causation line he had drawn in his written addendum.

      An unaddressed question. He never addressed continued acceleration of the arthritic and degenerative process attributable to the surgery itself.

      A mischaracterized mechanism. He described the event as a “normal lifting incident” when the testimony described a twisting injury, with the petitioner's foot planted as he lifted a heavy object into a truck.

The judge also declined to be distracted by transcription errors in Dr. Goldberger's report, accepting the explanation that the physician's accent had produced typing errors in dictation. That is the ordinary work of a fact finder, and it is exactly the work an appellate court will not redo.

The Appellate Division reached for the settled rule in Bellino v. Verizon Wireless, 435 N.J. Super. 85, 95 (App. Div. 2014): a judge of compensation is not bound by the conclusional opinions of any one or more, or all, of the medical experts, is considered to have expertise in weighing competing medical testimony, and commits no reversible error by giving more weight to one physician than another.

Layered on top is the deferential standard of review for agency action. An agency determination is sustained unless it is arbitrary, capricious, or unreasonable, or lacks fair support in the record. See Melnyk, 241 N.J. 31, 40 (2020); Saccone, 219 N.J. 369, 380 (2014); Russo, 206 N.J. 14, 27 (2011). The burden of showing otherwise rests on the party challenging the action, Lavezzi v. State, 219 N.J. 163, 171 (2014). Combine Bellino with that standard and a credibility finding in the Division becomes close to unreviewable.

The Temporary Disability Ruling

The harder question was money. Costco argued that Munoz voluntarily resigned, was not under active treatment when he did so, and therefore removed himself from the workforce. The compensation judge rejected that framing on three grounds.

First, the resignation was not voluntary in any meaningful sense. The judge found Munoz extremely credible and found that his “personal reasons” were that he could not tolerate the pain. He had asked about lighter work and was told, in substance, that he was in sales, and that ended the discussion. Under Harbatuk v. S & S Furniture Systems Insulation, 211 N.J. Super. 614, 624 to 625 (App. Div. 1986), an employer must offer light duty work in order to terminate temporary disability benefits. Costco did not.

Second, the gap in treatment was the respondent's doing. Once Dr. Richmond discharged him, there was no reason for Munoz to keep asking, and the employer would not provide care that would let him function. See N.J.S.A. 34:15-15; Benson v. Coca Cola Co., 115 N.J. Super. 585 (Law Div. 1971), remanded, 120 N.J. Super. 60 (App. Div. 1972). The unreturned adjuster calls mattered.

Third, all three experts, including the authorized treating surgeon, agreed the petitioner could not work full duty. Applying Cunningham v. Atlantic States Cast Iron Pipe Co., 386 N.J. Super. 423, 432 (App. Div. 2006), the judge awarded temporary disability retroactive to the September 29, 2022 resignation date and continuing until Munoz is returned to full duty status by Dr. Song, who was designated the court-ordered treating physician, or as otherwise provided by statute.

Read the exposure. The award runs from September 2022, through a knee arthroplasty that has not yet been performed, and through post-operative recovery. That is nearly four years of accrued temporary disability at the date of this decision, on a part-time claim that the carrier believed had closed in August 2022.

How This Changes Claims Handling

Nothing in Munoz is new law. That is the point. The decision is a compact demonstration of how existing New Jersey doctrine converts routine claims-handling shortcuts into open-ended liability.

Resignation paperwork is not a defense

A checkbox reading “personal reasons,” completed by a manager rather than the employee, proved worth nothing against sworn testimony the judge believed. Employers who want an exit document to carry evidentiary weight need the employee's own words, in the employee's handwriting, with a specific question about whether the departure is related to a work injury and a specific answer.

An undocumented light duty offer does not exist

Harbatuk is nearly forty years old and still decides cases. If the employer cannot produce a written offer of modified work, with a job description and a date, temporary disability does not stop. “He never asked” is not the standard. “We offered” is.

Silence from the adjuster becomes evidence

Unreturned calls did not merely look bad. They supplied the legal predicate for the petitioner to obtain treatment elsewhere and for the judge to find that the respondent, not the petitioner, caused the treatment gap. Every unanswered voicemail in a claim file is a future exhibit.

The authorized treating physician gets no thumb on the scale

Carriers routinely treat the authorized surgeon's causation opinion as the file's controlling document. Munoz is a reminder that in the Division it is one opinion among several, evaluated for internal coherence and fidelity to the record. Here the treating surgeon's opinion was undone not by a competing credential but by his own concessions and by an addendum that got the mechanism of injury wrong.

The surgery itself can be the aggravating event

The petitioner's theory was not that the accident wrecked the cartilage. It was that authorized treatment for an admitted injury altered the mechanics of the knee and lit up an asymptomatic degenerative condition. That theory converts a routine arthroscopy on a compensable meniscal tear into responsibility for a total knee replacement. Practitioners on both sides should expect to see it again.

The court-appointed neutral is the decisive witness

Dr. Song was appointed by the court, examined once, and was described as the clearest and most impressive witness. Where a judge appoints a neutral, the parties should treat that examination as the most consequential event in the case and prepare the record accordingly.

Asymptomatic does not mean absent, and it does not mean safe

Dr. Richmond's most candid observation was that this kind of job may not be well tolerated by someone with extensive patellofemoral degenerative disease. That observation, intended to defeat causation, instead framed the aggravation theory. Pre-existing pathology that has never caused a symptom is precisely the pathology an employer takes as it finds it.

Key Takeaways

1.     Credibility, not credentials, decides contested causation. The judge of compensation may credit a one-time court-appointed examiner over the authorized treating surgeon and will be affirmed for it.

2.     Bellino remains the operative rule. The compensation judge is not bound by any expert's conclusions, and preferring one physician over another is not a ground for reversal.

3.     Appellate review is narrow. The arbitrary, capricious, or unreasonable standard means the fight over causation is won or lost on the Division record, not on appeal.

4.     A resignation form does not end the claim. Where the judge finds the departure was compelled by pain, the resignation is not a voluntary withdrawal from the workforce and temporary disability runs from the resignation date.

5.     Harbatuk requires an actual offer. Temporary disability does not terminate unless the employer offers light duty work. The offer should be written, specific, and dated.

6.     A discharge at maximum medical improvement is not a permanent closure. When the employer stops providing care that would restore function, the petitioner may treat elsewhere and recover the cost.

7.     An authorized surgery can independently aggravate a pre-existing condition. The mechanical consequences of treatment are a distinct and viable causation theory.

8.     Get the mechanism right. An expert report that recharacterizes a twisting injury as ordinary lifting invites the judge to discount the entire opinion.

9.     Answer the phone. Unreturned adjuster calls supplied both a legal predicate and an unflattering narrative.

10.   The decision is unpublished. Under Rule 1:36-3 it binds only these parties and is not precedent, but it is a reliable map of how these arguments are received.

Cases Cited

1.     Munoz v. Costco, No. A-3829-24 (N.J. Super. Ct. App. Div. Aug. 12, 2026) (unpublished)

2.     Bellino v. Verizon Wireless, 435 N.J. Super. 85 (App. Div. 2014)

3.     Harbatuk v. S & S Furniture Sys. Insulation, 211 N.J. Super. 614 (App. Div. 1986)

4.     Cunningham v. Atlantic States Cast Iron Pipe Co., 386 N.J. Super. 423 (App. Div. 2006)

5.     Benson v. Coca Cola Co., 115 N.J. Super. 585 (Law Div. 1971)

6.     Benson v. Coca Cola Co., 120 N.J. Super. 60 (App. Div. 1972)

7.     Melnyk v. Bd. of Educ. of Delsea Reg'l High Sch. Dist., 241 N.J. 31 (2020)

8.     Saccone v. Bd. of Trs., Police & Firemen's Ret. Sys., 219 N.J. 369 (2014)

9.     Russo v. Bd. of Trs., Police & Firemen's Ret. Sys., 206 N.J. 14 (2011)

10.   Lavezzi v. State, 219 N.J. 163 (2014)

11.   Allstars Auto Grp., Inc. v. N.J. Motor Vehicle Comm'n, 234 N.J. 150 (2018)

12.   In re Stallworth, 208 N.J. 182 (2011)

13.   In re Herrmann, 192 N.J. 19 (2007)

14.   In re Vey, 124 N.J. 534 (1991)

Sources

1.     Munoz v. Costco, No. A-3829-24, 2026 WL 2330191 (N.J. Super. Ct. App. Div. Aug. 12, 2026) (unpublished), slip opinion

2.     New Jersey Courts, Unpublished Appellate Court Opinions (listing Munoz v. Costco, Aug. 13, 2026)

3.     N.J.S.A. 34:15-15, Medical and hospital service

N.J.A.C. 12:235-3.2, motions for temporary and medical benefits, and Rule 1:36-3, unpublished opinions, are cited in the opinion and are referenced above without separate hyperlinks.

Recommended Citation

Jon L. Gelman, Credibility Beats Credentials, WORKERS' COMPENSATION (workers-compensation.blogspot.com), Aug. 14, 2026, https://workers-compensation.blogspot.com/2026/08/credibility-beats-credentials.html.

About the Author

Jon L. Gelman of Wayne, NJ, is the author of NJ Workers' Compensation Law (West-Thomson-Reuters) and co-author of the national treatise Modern Workers' Compensation Law (West-Thomson-Reuters).

Blog: Workers' Compensation

LinkedIn: JonGelman

LinkedIn Group: Injured Workers Law & Advocacy Group

Author: “Workers' Compensation Law” West-Thomson-Reuters

Blue Sky: jongelman@bsky.social

Substack: https://jongelman.substack.com/

© 2026 Jon L Gelman. All rights reserved.

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