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Tuesday, August 13, 2013
Garlock trial winds down; judge closes courtroom again
Workers compensation hike on California employers proposed
The Workers Compensation Insurance Rating Bureau, however, believes that premiums for insurance that most employers carry to cover claims for treatment and cash benefits still should rise next year.
The independent bureau announced that taking into account the legislation's changes, premiums should rise by 3.4 percent next year to an average of $2.62 per $100 of payroll.
The recommendation is not binding, and insurers in the highly competitive workers comp market can charge whatever they wish. State Insurance Commissioner Dave Jones also will weigh in with his recommendation.
The bureau also put another caveat on its recommendation - that it could be changed, depending on whether the state Division of Workers Compensation adopts a proposed new schedule of payments for physicians who treat job-related disabilities.
Last year's overhaul of the system, contained in Senate Bill 863, was a deal among most of the major stakeholders in the system, employers and labor unions most prominently. It followed a pattern of making major changes in the system roughly once a decade, usually after years of maneuvering by the major stakeholders.
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Speedway owner accused of workers comp fraud
Jason M. Bonsignore, of Edgemere Drive, was also charged with four counts each of failure to secure compensation for employees and fraudulent practice, also felonies under the New York State Workers Compensation Law.
The charges are the result of an investigation of Bonsignores business, Champion Speedway on Old Narrows Road in the Town of Owego.
Bonsignore was arraigned in the Town of Owego Court in front of Justice John Schumacher and released on his own recognizance.
Anyone who has any information on potential workers compensation fraud violations can visit www.wcb.ny.gov or call toll free at (888) 363-6001.
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Lead paint manufacturers facing California challenge
Today's post was shared by WCBlog and comes from www.dailynews.com
In April, the U.S. Centers for Disease Control and Prevention raised to 535,000 its estimate of the number of American children with potentially dangerous levels of lead in their blood.
But for U.S. communities combating the lead hazards, there might never be any money from the group some say is most responsible for creating the problem: The companies that made lead pigment used in the old, flaking paint still coating millions of dwellings.
The industry could be on the verge of defeating the last major legal assault by municipalities and states seeking damages to fund lead removal. Apart from one settlement, the industry has successfully defended roughly 50 lawsuits by states, cities, counties and school districts over the last 24 years.
Now, in a bench trial underway in San Jose, the industry is seeking a final victory in a case brought by 10 public agencies, including Los Angeles and Santa Clara counties and the cities of San Francisco, Oakland and San Diego. The suit seeks to force the defendants to inspect more than 3 million California homes, and to remove any lead paint hazards that are discovered, at an estimated cost of more than $1 billion.
Lead lawsuits once were expected by some experts to follow the path of tobacco litigation. States that sued to recover smoking-related health care costs wrested a $248 billion settlement in 1998 from cigarette makers.
As in the tobacco cases, public agencies in California and elsewhere hired
private law firms, including veterans of...[Click here to see the rest of this article]
Legal Fees and Reform
Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com
Take a look at
WorkCompCentral job ads.
What do you see?
Lots of employment opportunities for lawyers, primarily those on the insurance/employer defense end.
Some firms are even taking out full display ads for recruitment days and other practices that are typically the province of Corporate America.
Indeed, this does appear to be anecdotal evidence of a larger trend in California workers' compensation - as recent Workers' Compensation Insurance Rating Bureau data shows, spending on lawyers this past year totaled $1.2 billion and has been increasing at a dramatic rate, particularly for defense legal fees.
That's a lot of legal fees, which represents a lot of benefit contestation.
Break it down even further, though, and the anecdote of job ads for lawyers becomes even more salient - defense fees are double what applicant attorney fees are.
Here's the graphical depiction based on the WCIRB numbers:

The chart is interesting in a couple of aspects.
Note that following the 2004 reform, SB 899, defense fees skyrocket from $368 million in 2003 to nearly double at $642 million in 2006, while applicant attorneys, whose fees are largely pegged to permanent disability indemnity, lost some ground, but essentially remained flat.
Things stabilize a bit after 2006 until 2011 when the lawyers on both sides, start taking home a bit more pay, such that 2012 legal fees are double what they were in 2002 for both defense and applicant.
Compare to the Consumer Price Index rate of inflation - $100 in 2002...
[Click here to see the rest of this article]
The Trend to Supersize Hospitals
Hospital have been not only purchasing other hospitals reducing the number of independent hospitals in the US from 5,000 to 1,000, but it has also accelerated the trend for hospitals to purchase lucrative medical practices to earn income from diagnostic tests and to control the flow of hospital admissions.
An unintended consequence of this path may actually increase hospital costs because fewer hospital facilities exist, or the lack of competition may just lead to a universal medical care system. Workers' compensation insurance programs may therefore be required higher fees to hospitals.
"Hospitals across the nation are being swept up in the biggest wave of mergers since the 1990s, a development that is creating giant hospital systems that could one day dominate American health care and drive up costs."
Read the complete article, "New Laws and Rising Costs Create a Surge of Supersizing Hospitals" (NY Times)
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Monday, August 12, 2013
Pending NJ Supreme Court Workers' Compensation Cases
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