Copyright

(c) 2010-2024 Jon L Gelman, All Rights Reserved.
Showing posts with label Legal Information. Show all posts
Showing posts with label Legal Information. Show all posts

Saturday, October 26, 2013

Florida Upholds Low Counsel Fees

$164.54 for 107.2 hours of legal work

"Constrained by the statutory formula set forth in section 440.34(1), Florida
Statutes (2009), the judge of compensation claims awarded claimant’s counsel an
attorney’s fee of only $164.54 for 107.2 hours of legal work reasonably necessary
to secure the claimant’s workers’ compensation benefits. We do not disagree with
the learned judge of compensation claims that the statute required this result, and
are ourselves bound by precedent to uphold the award, however inadequate it may
be as a practical matter. "
*****
"In the circumstances, we certify to the Florida Supreme Court the following as a question of great public importance:
WHETHER THE AWARD OF ATTORNEY’S FEES IN
THIS CASE IS ADEQUATE, AND CONSISTENT
WITH THE ACCESS TO COURTS, DUE PROCESS,
EQUAL PROTECTION, AND OTHER
REQUIREMENTS OF THE FLORIDA AND
FEDERAL CONSTITUTIONS.

The fee award is affirmed, and the question of its constitutional adequacy is
certified to the supreme court. "


MARVIN CASTELLANOS, 
Appellant, 
v. 
NEXT DOOR COMPANY/ 
AMERISURE INSURANCE 
CO., 
Appellees. (Filed Oct. 23, 2013)

Wednesday, October 9, 2013

Case Remanded to Compensation Court to Determine Employment Status

A NJ Appellate Court has remanded a negligence case from Superior Court to the Division of Workers' Compensation to determine when an employee held joint employment and subject to the Exclusivity Bar.

" It is well settled in this jurisdiction that for workers ' compensation  purposes
an employee may be simultaneously employed by more than one employer, either because
of the employee's separate contracting with multiple employers or because
his general employer has “lent” him to a special employer. The question to be
determined in the dual employment situation is whether, at the time of the injury,
the petitioner was, as a factual matter, the employee of one or the other
or both of the employers.
In determining which among multiple employers are liable for workers ' compensation ,
this court has noted the indicia of employment that ordinarily require
evaluation, including the existence of a separate agreement between the employee
and each employer, the determination of whose work is being done at the time of
the compensable injury, which has the right to control the details of the work,
which pays, and which has the power to hire, discharge or recall the employee.
The relative weight to be accorded these factors and the manner in which they
are to be balanced are not, however, ... subject to mechanical or automatic application.
Rather, the criteria determinative of the employment relationship
must be “rationalized and applied so that each case may be considered and determined
upon its own particular facts.” And, ...in the dual employment situation,
the most significant inquiry is the determination of “whose interest the
employee was furthering at the time of the accident. ”

CHALMERS and FRED CHALMERS, Plaintiffs–Appellants,
v.
STEPHEN J. SWARTZ
--- A.3d ----, 2013 WL 5525694 (N.J.Super.A.D.) October 9, 2013

Related articles

Tuesday, October 1, 2013

IMR: What Was The California Legislature Thinking?

Today's post is authored by David DePaolo, a national leading commentator on workers' compensation with special expertise in the California system, and shared from http://daviddepaolo.blogspot.com. The Independent Medical Review system was theoretically contrived to contain cost and make the California system friendlier and more expeditious. Quickly enacted, without full debate and comments from stakeholders, the system has become stymied and yet another hurtle in the system. Read David' thoughtful analysis.......

The debate about the big volume of Independent Medical Review requests in California's new system that were recently reported is all over the map.

Some say that the provider, Maximus, is at fault and many support the Division of Workers' Compensation's proposal for new time lines and penalties for various actions and/or inactions.
There's also plenty of blame slinging going on with employer representatives accusing the applicant attorneys, applicant attorneys implicating carriers/administrators, and everyone else pointing fingers at each other.

But Steven Cardinale, co-founder and Managing Director of CID Management, a Utilization Review company, put it best to me in an email when he said, "SB 863 was conceived in such a way as to assure the overuse of IMR."

I have to agree with Mr. Cardinale - none of the participants in the California system is really to blame for the huge volume going to IMR because the law essentially guaranteed that this would...
[Click here to see the rest of this post]

Thursday, September 26, 2013

N.J. boosts public workers' insurance coverage for alcoholism, drug addiction

Obesity is a front page story in NJ every day as Governor Christie struggles to loose weight. While the Governor spoke in April 2013 about revising the state's workers' compensation system, he has been silent on the subject after his initial announcement. With an election quickly approaching in November he has turned to the endorsement of legislation to treat drug addiction  mental illness and obesity.  All of these efforts are strong indicators that a healthier workforce is being encouraged and will ultimately benefit the workers' compensation system by reducing pre-existing and co-existing conditions. Today's post was shared by WCBlog and comes from www.nj.com


Gov. Chris Christie, shown here in Asbury Park at an unrelated event today, announced that the state's health benefits plan for public workers will cover alcoholism and drug addiction the same as other mental illnesses starting next year.Tony Kurdzuk/The Star-Ledger

More than 200,000 public workers in New Jersey will get enhanced insurance coverage for mental illnesses such as alcoholism and drug addiction beginning next year, Gov. Chris Christie announced today.

A committee of state and union officials approved "mental health parity" on Friday for the state's second-largest health benefits plan. It means the same level of coverage now provided for a biologically-based mental illness — such as schizophrenia or bipolar disorder — will apply to other types of illnesses such as alcoholism, drug addiction and eating disorders.

The expansion is expected to cost "less than $5.1 million a year" and will affect more than 217,000 current and retired workers enrolled in the State Health Benefits Program, Christie's office said in a news release today. The insurance plan covers state, county and local government workers as well as employees of New Jersey's public colleges and universities, and their dependent family members.

Along with that change, the committee approved "four new lower-cost health plan options" and a new "wellness program" that seeks to encourage healthier lifestyles by offering workers gift cards worth $100 to $250 per person every...
[Click here to see the rest of this post]

Monday, September 16, 2013

State files charges against city business

Employer fraud results in criminal charges.Today's post was shared by WCBlog and comes from citizensvoice.com


The state Department of Labor & Industry on Friday filed criminal charges against a Wilkes-Barre business, alleging it failed to maintain worker's compensation insurance.
Kus Tire Inc. at 10 Carey Ave. is charged with 100 felony counts of failing to procure worker's compensation insurance, court records say.

A message left seeking comment at Kus Tire was not immediately returned.

According to a criminal complaint, the business, headed by Bernard Kusakavitch, failed to have the insurance for 100 days - from Sept. 10, 2008, through Sept. 17, 2008, and again from Oct. 1, 2011, through Dec. 31, 2011.

As a self-insured employer, the business was not exempt from possessing the coverage, the charges say.

The complaint said an employee, Walter Booth Jr., was injured Sept. 12, 2008, and subsequently petitioned for benefits from the Uninsured Employers Guaranty Fund, which provides benefits to injured employees of uninsured employers.

According to the complaint, Workers' Compensation Judge Joseph B. Sebastianelli awarded Booth benefits on May 31, 2011.

Investigators filed a summons against the business Friday. The matter is scheduled for a preliminary hearing before Magisterial District Judge Rick Cronauer at 9 a.m. Oct. 31.
jhalpin@citizensvoice.com

comments powered by Disqus
[Click here to see the original post]

Friday, September 6, 2013

Business Groups Call For More Changes To Workers' Compensation Laws

Today's post was shared by WCBlog and comes from northernpublicradio.org


Despite a drop in the rate of workers' compensation insurance, Illinois businesses say the system is still too burdensome.

In 2011, Illinois changed its workers' compensation laws.  The state Department of Insurance, the governor and others say  the changes worked: the workers' comp insurance rate is down 4.5 percent.
Kim Maisch is a lobbyist representing the state association for small, independent businesses.

"We need to go a lot faster towards greater reform, and we certainly need to make sure the politicians know the job is not done," Maisch said.

Maisch says there should be more protections for businesses -- like making workers prove an injury really happened on the job rather than during off hours.

Rep. Dwight Kay (R-Glen Carbon) says Illinois' rates are still too high.

"We still are not competitive with the states around us with regard to reforming our workers' compensation system," Kay said.
Kay says most of the savings comes from paying doctors less for treating injured workers, and he doesn't consider that "reform."

He says Illinois needs to make employees prove an injury happened on the job before forcing a company to pay a settlement.

But his proposed changes didn't gain any traction in the General Assembly.
Unions have fought that change, saying a higher burden of proof is unfair to workers.
Illinois Public Radio's Amanda Vinicky contributed to this report.
[Click here to see the original post]

Wednesday, April 25, 2012

A Milestone for Workers' Compensation

Today, marks a significant milestone for this blog. It has had over 250,000 page views. When I launched it about 4 years ago, I wasn't really sure how much interest readers would have in the developments and trends of a system that was almost a century old. 


Community involvement has been very instrumental in making the effort successful. I am very grateful to our readers and  the large number of outstanding guest bloggers who have contributed to reaching this milestone. 


Our current analytics reflects that there is a strong interest in the health and safety of workers, and the benefit system know as workers' compensation. It exists every single jurisdiction in the nation, and around the globe. The spectrum of story interest is as widely diverse as the multitude of programs in existence. 


It is very encouraging to know that the expanding readership base has a growing concern about worker's health and safety. Hopefully, as workers' compensation programs continue to mature and develop, there will also remain a strong desire to create a healthier work environment. Hopefully this blog can continue to provide a forum for creative ideas.  

Saturday, April 14, 2012

Maine Passes Laws Restricting Workers Compensation Benefits

The The Bangor Daily reports that the State of Maine is in the process of legislatively restricting workers ' compensation benefits. The law overhaul's the system with the following changes:

The main elements of the program overhaul include:
• Altered eligibility requirements and the creation of a 10-year cap for employees who are permanently impaired with partial incapacity.

• The elimination of a requirement that employers must continue paying benefits during an appeal.

• A new appeals divisions with authority to create rules of procedure.

• A shortened time period in which a notice of injury must be given, from 90 days to 30 days.

• A changed maximum benefit, from 80 percent of an employee’s net weekly wages to 66 percent of gross weekly wages.

Tuesday, February 14, 2012

Subscribe to Workers Compensation on Google Currents

Stay up to date with Workers Compensation on Google Currents an application for your table or smartphone. It is FREE.

Click here: Workers Compensation

or

1. Click here to download.
2. Sign in.
3. Click ADD.
4. Search for "Gelman workers compensation"
5. Click on our RRS feed: "http://workers-compensation.blogspot.com/feeds/posts/default
6. Click "Done."

Monday, January 16, 2012

Workers Injury Rights Blog Launched

The Workers' Injury Rights blog has been launched by the Law Office of Deborah G. Kohl of Fall RIver, Massachusetts. Attorney Deborah G. Kohl has focused her professional energies on workers’ compensation and disability law through her nearly 30 years in practice. 

Attorney Kohl stated, "We started this blog because we are passionate about workers' compensation and workers' rights. It is a way to share some of what we've learned in our decades of legal experience with anyone concerned about workplace safety."

She is an active lecturer and author in the field, and has held several prestigious leadership positions, including serving as president of the Workers Injury and Law Advocacy Group. She is perennial listed in the publication Best Lawyers In America.

The lead article of the blog is entitled, "Workers' Compensation is all about Relationships," by Ryan Benharris. Mr. Benharrus stated, "Prevention of accidents should be the first step in establishing a successful workers’ compensation system."

Click here to visit: Workers' Injury Rights

Thursday, January 12, 2012

The Law School's Roll in Workers' Compensation Law To Be Discussed

At the American Bar Association Midwinter Seminar & Conference, Co-sponsored by Tort, Trial and Insurance Practice Section and the Labor Law Section of the ABA, members of The College of Workers' Compensation Lawyers will present a special panel discussion addressing the issue of teaching workers’ compensation in the nation’s law schools. All of the panelists have experience as adjunct professors teaching workers’ compensation. The program is scheduled March 8-12, 2012 in San Antonio, Texas. They will review how many law schools are featuring a workers’ compensation course, how the panelists teach the subject, and they will also provide advice on how to lobby a law school to initiate such a course. The College members will be accompanied by a special guest from Texas, workers’ compensation hearing officer Hon. Patrice Squirewell-Jean, who has taught as an adjunct at Thurgood Marshall School of Law/Texas Southern University.


The College of Workers' Compensation Lawyers has been established to honor those attorneys who have distinguished themselves in their practice in the field of workers' compensation. Members have been nominated for the outstanding traits they have developed in their practice of twenty years, or longer, representing plaintiffs, defendants, serving as judges, or acting for the benefit of all in education, overseeing agencies and developing legislation.


To read more about the conference click here.

Friday, December 9, 2011

The Times They Are Changing

This year fall athletics have seem to be taking center field reflecting the problems of an inadequate workers' compensation system. The issues of safety, compensatibility, venue, benefit rates and medical care, are symptoms of a greater problem and are becoming a catalyst for change.

Today, David DePaolo, the President & CEO of WorkCompCentral, has editorialized of the lack of the ability of the workers' compensation system to meet present needs is now a major concern and that generally workers' compensation is just no longer relevant.

Click here to read his recent post: Professional Sports and the Relevancy of Comp
"I see all of this as evidence that things are changing, and that the pace of change is quickening. Obviously such things don't change overnight, but I would wager that the work comp world is going to be a much different landscape in 20 years, or even 10."

Related articles

Saturday, October 15, 2011

Scientific Evidence and The Court

Last week the Third Edition of The Reference Manual on Scientific Evidence (2011) was published by The National Research Council and The Federal Judicial Center.


"The Reference Manual on Scientific Evidence, Third Edition, assists judges in managing cases involving complex scientific and technical evidence by describing the basic tenets of key scientific fields from which legal evidence is typically derived and by providing examples of cases in which that evidence has been used.
"First published in 1994 by the Federal Judicial Center, the Reference Manual on Scientific Evidence has been relied upon in the legal and academic communities and is often cited by various courts and others. Judges faced with disputes over the admissibility of scientific and technical evidence refer to the manual to help them better understand and evaluate the relevance, reliability and usefulness of the evidence being proffered. The manual is not intended to tell judges what is good science and what is not. Instead, it serves to help judges identify issues on which experts are likely to differ and to guide the inquiry of the court in seeking an informed resolution of the conflict.
"The core of the manual consists of a series of chapters (reference guides) on various scientific topics, each authored by an expert in that field. The topics have been chosen by an oversight committee because of their complexity and frequency in litigation. Each chapter is intended to provide a general overview of the topic in lay terms, identifying issues that will be useful to judges and others in the legal profession. They are written for a non-technical audience and are not intended as exhaustive presentations of the topic. Rather, the chapters seek to provide judges with the basic information in an area of science, to allow them to have an informed conversation with the experts and attorneys.

Thursday, October 13, 2011

Dramatic Downturn In Work Comp Underwriting Will Continue Predicts AM Best

Due to the stressed housing market and ongoing economic downturn, 2010 was another difficult year for the title industry, according to an A.M. Best Special Report featured in this week's BestWeek U.S./Canada.

Despite the historically low mortgage interest-rate environment, revenues were pressured from the high unemployment rate and tightened credit standards. As such, operating results deteriorated and total industry written premiums declined slightly, year over year, A.M. Best said. Nevertheless, the title insurance industry managed to report an overall approximate 7% increase in surplus, driven mainly by the equity market recovery in 2010.

Also in BestWeek U.S./Canada, it's unlikely workers' compensation writers will see that line of business turn around anytime soon, despite large-scale workers' compensation reform bills enacted in several states this year, said Edward Keane, a senior financial analyst at A.M. Best.

Keane told BestWeek the deterioration that workers' compensation insurance has seen during the past two years will continue at least until mid-2012, unless the economy makes a dramatic improvement before then.

"I think the way things are going, results are going to get worse before they get better," Keane said, adding that for 2011, A.M. Best is projecting a 121.5 combined ratio. Last year, the combined ratio for the line was 118.1.

And with the election for Louisiana insurance commissioner coming up on Oct. 22, Jim Donelon, the Republican incumbent, and Donald Hodge, a Democrat, spoke to BestWeek about their opposing views.

Donelon has been spending aggressively to increase his name recognition and has continued his effort to court new insurers to the state. His opponent has gone on the attack, targeting Donelon for accepting campaign contributions from insurance companies doing business in the state. In fact, if Hodge had his way, he would be the last elected insurance commissioner in Louisiana.

Monday, July 25, 2011

US Senate to Hold Hearing on Federal Comp System Reform

On Tuesday, U.S. Senator Daniel K. Akaka (D-HI) will hold a hearing titled Examining the Federal Workers' Compensation Program for Injured Employees to examine reform proposals for the Federal Employees Compensation Act (FECA).


The Federal Employees Compensation Act (FECA) provides workers' compensation coverage to federal civilian workers for any injury or illness incurred on the job. FECA has not been significantly updated in close to 40 years. A number of changes have been proposed, which are intended to modernize the program, improve return-to-work incentives, and reduce the overall cost to the Federal government. Discussion will focus largely on proposals to reduce FECA wage loss compensation benefits for disabled FECA recipients who reach retirement age.


EXAMINING THE FEDERAL WORKERS’ COMPENSATION PROGRAM FOR INJURED EMPLOYEES

Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia

Live video will not be available until approximately 15 minutes prior to the scheduled hearing start time.
Tuesday, July 26, 2011
02:00 PM - 05:00 PM
Dirksen Senate Office Building, room SD-342
The hearing will be webcast live at: hsgac.senate.gov 
Individuals with disabilities who require an auxiliary aid or service should contact Aaron Woolf, Subcommittee Chief Clerk, no later than 3 business days before the hearings. This will allow the office a reasonable amount of time before the event to make any necessary arrangements.

Witnesses

Panel 1

  • The Honorable Christine M. Griffin
    Deputy Director
    U.S. Office of Personnel Management
  • Mr. Gary Steinberg
    Acting Director, Office of Workers’ Compensation Programs
    U.S. Department of Labor
  • Mr. Andrew Sherrill
    Director, Education, Workforce, and Income Security
    U.S. Government Accountability Office

Panel 2


Tuesday, June 21, 2011

Sun Exposure, Prevention and Workers Compensation

The first day of summer brings attention to working outside, sun exposure and the risk of skin cancer. Workers Compensation coverage offers a unique opportunity to provide affirmative action to prevent, detect and treat high risk workers before the disease takes a fatal course.

While working outside has the connotation of working in a clean air and healthy environment, the reality is quite the opposite. With a reduction of the world's ozone layer, workers exposed to the sun are at an increase risk of developing skin cancer at an even shorter exposure time. 

The US Food and Drug Administration (FDA) just published recommendations for sunscreens. This initial first step will most likely expand the government's roll in getting skin cancer under control. In the meantime, exposed and diagnosed workers must rely upon the workers' compensation programs for treatment and benefits as a result of occupational induced skin cancer resulting from the occupational exposure to the the sun.

Workers' Compensation insurance companies and employers would do well to heed the government's recommendations and take affirmative action to protect  employees and provide medical evaluations for medical monitoring and surveillance. That action may include: avoiding exposure to the sun,  seek regulation medical monitoring and mandating the use of sunscreens in the workplace. The risk of sun exposure is well known and employers should be encourage to protect workers from such obvious and deadly common place exposures.

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 occupational accidents and illnesses.

Saturday, May 7, 2011

Worker Alleging Workers Compensation Discrimination Awarded $361,000

A worker in Minnesota was awarded $361,000 against his employer for being discriminated against for filing a workers' compensation claim. The worker alleged that the employer terminated him after he suffered a work related accident and filed a claim for workers' compensation benefits.

The worker was injured on the job when a car lost control and struck the truck that the worker was driving. The employer alleged that the employee did not disclose previous injuries on his job application and terminated him. A jury subsequently awarded the injured employee $111,000 in dames for lost wages and emotional distress and another $250,000 for punitive damages.

In New Jersey a discrimination complaint may be filed with the Division of Workers' Compensation as an administrative remedy, which is separate from any common law action which might be instituted against the employer. The Division of Workers' Compensation shall conduct an investigation and forward the complaint and the results of the investigation to the Commissioner of the Department of Labor within 30 days of filing. The Commissioner will then act in accordance with the statutory provisions to determine whether or not there has been an unlawful discharge of, or discrimination against, the employee as a result of an application for workers' compensation benefits or as a result of the employee's testimony in a workers' compensation claim. An employee who has been discriminated against will be restored to his employment and will be compensated by his employer for any loss of wages arising out of the discrimination, as long as he is still qualified to perform his job duties.

Thursday, May 5, 2011

New Facebook Address for Injured Workers Law and Advocacy Group

Keeping up with the times is important. Facebook has changed its group services and the Injured Workers Law and Advocacy Group is moving forward with them. Please make note of our new address and join us to keep updated on new developments, exchange information and observe and participate in discussions.


Click here to join us to our new address. http://tinyurl.com/4xzdbrh

Friday, April 8, 2011

Illinois Workers Compensation Maybe Heading for Extinction

Illinois lawmakers are now looking at terminating its failed workers' compensation sytem entirely, and allowing civil suits to proceed instead. The State of Illinois is not alone in recognizing that ailing workers' compensation systems throughout the US are having difficulty fulfilling legislative intent, to provide a summary and redial system of benefits under a no-fault system, to injured workers.


Representative John Bradley (D-Marion) said, "Let's give the courts a chance. Let's try something else. Because we know what we've been doing isn't working," 


Read the Article in the Chicago Tribune: http://tinyurl.com/3nk2cx6