Lynch Ryan's weblog about workers' compensation, risk management, business insurance, workplace health & safety, occupational medicine, injured workers, insurance webtools & technology and related topics

June 25, 2008

9/11 Rescuers: Fools Rush In...?

Anthony DePalma has an interesting analysis of the 10,000 claims against New York City in the aftermath of 9/11. The city has reviewed the claims submitted by people involved in the immediate aftermath and clean up. As many as 30 percent of the claimants are suffering from nothing more than a runny nose or cough. In over 300 of the...
Posted by Jon Coppelman at 11:31 AM Link to, Comment (1), or E-mail this post
June 24, 2008

Injured and Illegal...in South Korea

We sometimes forget that the USA is not the only country with an undocumented worker problem. Anywhere you find developed countries with lots of (relatively high paying) jobs, you will find people willing to do anything to get them. Which leads us to an article in Korea Times by Park Si-soo. Zhang Shuai, 22, entered South Korea on a student...
Posted by Jon Coppelman at 10:41 AM Link to, Comment (2), or E-mail this post
June 6, 2008

A Tree Falls in Rhode Island

We have been following the case of Edgar Valasquez, the undocumented worker who was seriously injured by a chain saw in 2006. (Our two prior blogs are here and here.) His employer, Billy G's Tree Service, failed to carry workers comp insurance. When Edgar showed up at the courthouse for his comp hearing, federal agents (apparently tipped off by Billy...
Posted by Jon Coppelman at 11:06 AM Link to, Comment (3), or E-mail this post
June 3, 2008

Firefighters revisited: Presumption's Slippery Slope

In yesterday's blog, my colleague Julie Ferguson discussed the issue of compensible illness for firefighters. Forty states already have statutes giving the benefit of the doubt to firefighters: if they become ill from many forms of cancer or heart disease, the illness is presumed to be work related. The burden of proof (and "burden" is surely the operative term) falls...
Posted by Jon Coppelman at 11:55 AM Link to, Comment (2), or E-mail this post
June 2, 2008

Firefighters and presumptive disability statutes

Sally Roberts has written a good article on firefighters and state workers comp laws in the recent edition of Business Insurance. Regardless of profession, illnesses have traditionally posed more of a compensability challenge than an out-and-out injury. When someone suffers an injury, it is generally a discrete event so matters are usually black and white as to compensability. Because illnesses...
Posted by Julie Ferguson at 11:28 AM Link to, Comment (1), or E-mail this post
May 5, 2008

Abusive Behavior as a Disability?

Rosemary Verga worked for United Airlines as a staff representative in human resources. This seems an odd choice for a woman described by co-workers as "a difficult person to get along with" - "impolite, unpleasant" and quick to explode. In addition to being rude, inflexible, easily upset and demeaning toward others. All in all, a rather marginal member of the...
Posted by Jon Coppelman at 3:05 PM Link to, Comment (0), or E-mail this post
April 22, 2008

Workers Comp: An Obligation to Get Better?

In conventional medicine, people are generally free to choose their care, up to the limits of their coverage. They can opt for certain procedures or decide to forego them. For the most part, adults are independent players in the medical system, acting in accord with their own wishes. In the final analysis, our health is an individual concern, factoring in,...
Posted by Jon Coppelman at 9:39 AM Link to, Comment (2), or E-mail this post
April 21, 2008

Contractors vs employees: KBR and Blackwater shell games

A reader sent us a story from the Boston Globe that we previously missed about contractors who are suing KBR for toxic exposures to sodium dichromate in Iraq. Nine Americans are suing the erstwhile Halliburton subsidiary for " ...knowingly exposing them to the deadly substance and failing to provide them with the protective equipment needed to keep them safe." Sodium...
Posted by Julie Ferguson at 2:40 PM Link to, Comment (4), or E-mail this post
March 5, 2008

Bullshit as Science: A Test for Malingerers

Paul Lees-Haley, PhD, is a psychologist who has come up with a 43 question test to separate the truly disabled from malingerers. Lees-Haley is either a genius or a pompous fraud right out of Mark Twain. Read on and decide for yourself. (This posting is based upon an article by David Armstrong in the Wall Street Journal, which limits access...
Posted by Jon Coppelman at 12:13 PM Link to, Comment (10), or E-mail this post
February 26, 2008

When play becomes work, or the case of the traveling employee

There are various circumstances in which an injury that occurs during a recreational activity might be compensable. One exception might be if the injury occurs on company premises or at a company-sponsored event, a likelihood that approaches near certainty if participation in the event was mandatory. Another common exception is in the case of traveling employees. When employees are engaged...
Posted by Julie Ferguson at 8:14 AM Link to, Comment (1), or E-mail this post
February 14, 2008

Pro Football and Workers Comp: A Violent Collision?

Chad Hennings spent nine years as a lineman for the Dallas Cowboys. He accounted for 28 sacks, 6 fumble recoveries, 4 return yards and 1 touchdown in 107 games before retiring after the 2000 season. He also suffered permanent damage to his back. The question is whether or not his work-related back injury is compensable under the Texas workers comp...
Posted by Jon Coppelman at 11:13 AM Link to, Comment (1), or E-mail this post
February 8, 2008

Asymmetry in Workers Comp

In conventional medicine, breast implants come in pairs: in most circumstances, you install (or replace) both at the same time. There is a compelling aesthetic symmetry in the process. In the idiosyncratic world of comp, however, symmetry is trumped by the "work-related" standard. Penny Rumple Richardson was injured in an on-the-job car accident. Her breast implants were damaged. The North...
Posted by Jon Coppelman at 10:14 AM Link to, Comment (6), or E-mail this post
December 5, 2007

Age and Disability in California

We have frequently blogged the implications of an aging workforce. We are very interested in seeing how the workers comp system will handle older workers - people beyond the normal retirement age - when they are injured. Well, here is an interesting case from California. Lois Vaira was a receptionist for the California Travel and Tourism Commission. In January of...
Posted by Jon Coppelman at 11:58 AM Link to, Comment (1), or E-mail this post
December 4, 2007

Awake in the Dark: The link Between Shift Work and Cancer

In yesterday's post, Julie Ferguson mentioned a recent study that directly links night shift work with certain forms of cancer. The International Agency for Research on Cancer (IARC) is about to list shift work as a "probable" carcinogen. This will put shift work into the same category as anabolic steroids, ultraviolet radiation and diesel engine exhaust. The potential number of...
Posted by Jon Coppelman at 9:38 AM Link to, Comment (0), or E-mail this post
November 27, 2007

Assaulted in a Home/Office: Compensable?

Kristina Wait worked for the American Cancer Society in Nashville TN. Due to a lack of office space, she worked from home, in a converted bedroom/office set up by her employer. In September 2003, she was making lunch when the doorbell rang. She invited her neighbor, Nathaniel Sawyers, into her home. With no provocation, he brutally assaulted her, causing head...
Posted by Jon Coppelman at 11:40 AM Link to, Comment (1), or E-mail this post
November 14, 2007

Mental Health Parity: Not in Workers Comp

There is a bill pending in the US Congress to require parity between mental and physical health benefits. The bill is a follow up to similar legislation passed in 1996, which was severely limited in scope: Employers did not have to provide any mental-health benefits. Copays and deductibles could be higher for mental-health expenses. Visits could be limited. And small...
Posted by Jon Coppelman at 1:36 PM Link to, Comment (0), or E-mail this post
November 6, 2007

Cold comfort: Crandall Canyon survivors and workers comp

Lee Davidson of Salt Lake City's Deseret Morning News looks at the workers' compensation benefits that will be paid to survivors of the Crandall Canyon Mine disaster, asking, "How much is a miner's life worth?" The article illustrates several realities about the workers comp system: it was neither designed as a mechanism to make an injured worker (or his or...
Posted by Julie Ferguson at 7:07 AM Link to, Comment (2), or E-mail this post
October 9, 2007

Breach of Trust: the impact of the WTC disaster on workers compensation

Our colleague Peter Rousmaniere is writing an important 4-part series on the World Trade Center and workers compensation that is being featured in Risk and Insurance. These articles are part of the publication's in-depth focus on how Sept. 11 forever altered the workers' comp landscape and eroded the trust implicit between employer and employee. The first two issues have been...
Posted by Julie Ferguson at 9:10 AM Link to, Comment (0), or E-mail this post
October 2, 2007

Bobbing for Drumsticks? Ohio Supremes Reverse Themselves

Back in January we blogged an unusual case from Ohio. David Gross was a 16 year old working at a Kentucky Fried Chicken. Despite safety training and warnings to the contrary, he insisted on cleaning the fryer his own way, filling it with water boiled under pressure. When he opened the fryer, he burned himself and two co-workers who came...
Posted by Jon Coppelman at 2:52 PM Link to, Comment (5), or E-mail this post
September 26, 2007

Brave new world: genetic testing and workers compensation

The good news is there are new technologies that hold the promise of ending fraudulent or inappropriate disability and workers’ compensation claims. The bad news is that you'll need to get in the business of harvesting and tracking your employee's DNA to get there, venturing into relatively uncharted legal waters. Workforce Management and BBC both discuss the new technologies in...
Posted by Julie Ferguson at 11:46 AM Link to, Comment (1), or E-mail this post
September 24, 2007

Compensable Suicide in MA

Gilbert Dube was a mechanic with a chronic back problem. He was working for National Fiber Technology LLC in Lawrence, MA, when he re-injured his back on November 7, 2001. He tried to return to work on a light-duty basis a couple of weeks later, but his employer informed him that there was no light duty available. (Red flag number...
Posted by Jon Coppelman at 2:51 PM Link to, Comment (2), or E-mail this post
September 14, 2007

Justice for an Undocumented Worker?

Here's an update on a case we recently blogged. Edgar Velasquez worked for Billy G's Tree Service in Rhode Island. He sliced open his face with a chain saw (ouch!). When he tried to file for workers comp benefits, his employer fired him. Edgar was an undocumented worker. The employer did not carry workers comp insurance. On August 2, 2006,...
Posted by Jon Coppelman at 1:26 PM Link to, Comment (4), or E-mail this post
September 7, 2007

Oh, Brother: A Compensable Fratricide

This is a tale out of the North Carolina woods, concerning the Forbes brothers, Ernie and Wilbert. Here's a legal account of what took place on September 26, 2000: Wilbert Radel Forbes, his brother Ernest Forbes, James Duncan, Ronnie Duncan, and William Dobson traveled together in a van to a logging site in Halifax County. The men were members of...
Posted by Jon Coppelman at 11:55 AM Link to, Comment (2), or E-mail this post
July 5, 2007

Feeling Down Down Under?

We read in the Sydney (Australia) Morning Herald that workers comp benefits have been reduced for government workers. COMMONWEALTH public servants are no longer entitled to claim damages for accidents on the way to work or during lunch breaks. In addition, participation in the public service lunchtime football league is no longer covered. Claims for stress have also been severely...
Posted by Jon Coppelman at 12:11 PM Link to, Comment (0), or E-mail this post
June 18, 2007

Unexplained Injuries at Work

Donald Delaware worked for Sunland Beef Co. in Arizona. He was in charge of processing hides. In October of 2004 the 71 year old took a bathroom break. The last thing he remembers is standing in front of a urinal. Co-workers found him bleeding on the floor. He suffered a concussion and some loss of memory. He apparently passed out...
Posted by Jon Coppelman at 10:51 AM Link to, Comment (2), or E-mail this post
June 13, 2007

Of Wooden Legs and Wooden Lawyers

Chuck Bodine was an appliance repairman for Colorado based American Appliances, Inc. In June of 2005 he stepped out of a company truck and collapsed in a heap. (That's how drivers often are injured - getting in and out of their trucks). Bodine's artificial hip had shifted and sent him sprawling. He got a new hip, but his claim for...
Posted by Jon Coppelman at 1:16 PM Link to, Comment (1), or E-mail this post
June 4, 2007

De-legaled Emigrants: Contractors in Iraq

In March of 2004 four contract employees of Blackwater Security Consulting were sent out into the streets of Iraq to provide an escort to a food convoy. They lacked heavy armour, they were never briefed on the nature and parameters of the job, and there was no pre-mission reconaissance. Oh, they also lacked a street map. You will remember these...
Posted by Jon Coppelman at 9:39 AM Link to, Comment (1), or E-mail this post
March 21, 2007

Employees as Racketeers

When a plant closes, the bond between employer and employee is broken. We often find that long-term employees, stung by the loss of jobs, file workers comp claims. Given the cumulative trauma of industrial work, the claims are often supported by objective medical evidence. With no opportunity to accommodate injuries through modified duty, the employer is stuck with the bills,...
Posted by Jon Coppelman at 12:37 PM Link to, Comment (1), or E-mail this post
February 26, 2007

FedEx Wins One in CT

With 15,000 "independent contractor" drivers across America, FedEx is in the midst of a huge experiment in human resources. The fundamental question, of course, is whether their decision to contract out a significant portion of their basic operations is legal. A number of states (Including California, New Jersey, Montana and Massachusetts) have ruled that the drivers are actually employees, entitled...
Posted by Jon Coppelman at 11:29 AM Link to, Comment (0), or E-mail this post
February 15, 2007

"Exclusive Remedy" in the Tank: A Sad Missouri Saga

Eric Burns drove a cement truck for Kennon Ready Mix. Because the job requires hosing down the chutes after delivery, cement trucks carry a pressurized water tank. When Burns noticed the tank on his truck leaking, he brought it to the attention of his supervisor, Lynn Smith. "No problem," said Smith. "I'll fix it." Smith spot welded the crack in...
Posted by Jon Coppelman at 12:04 PM Link to, Comment (0), or E-mail this post
February 5, 2007

The Saga of Ted Johnson: Sports Medicine with a Bitter Taste

Ted Johnson was a linebacker for the New England Patriots. His specialty was stopping the run. As any viewer of the recent NFL playoffs knows, run stoppers use their heads: first, to think strategically -- where to go in the course of a given play - but then literally: torpedoing head first into the body of an opposing player. That's...
Posted by Jon Coppelman at 12:17 PM Link to, Comment (0), or E-mail this post
January 29, 2007

Working at Home: Employees or Contractors?

Over 12 million American workers perform their jobs away from the office: many work out of their homes, perhaps commuting occasionally to the office for mandatory meetings. The benefits of working at home are pretty obvious: you can set your own hours (at least to some degree); you don't have to worry about traffic and bad weather; and no one...
Posted by Jon Coppelman at 11:56 AM Link to, Comment (3), or E-mail this post
January 24, 2007

State Farm is (finally) There

We read in the New York Times that State Farm has suddenly agreed to accept liability for many of the claims it had previously denied in Katrina-ravaged Mississippi. The giant insurer has set aside a minimum of $80 million to settle 640 lawsuits. They have also agreed to re-open 35,000 denied claims. In most cases, home owners will collect half...
Posted by Jon Coppelman at 10:46 AM Link to, Comment (1), or E-mail this post
January 19, 2007

NFL Preview: Bigs Hits, Big Trouble

As we head toward the climax of the football season, with just four teams left on the path to the Superbowl, we read in the New York Times (registration required) that the big hits we cheer for may be causing permanent damage. In November, Andre Waters, a 44 year old former safety for the Philadelphia Eagles, killed himself. He may...
Posted by Jon Coppelman at 2:20 PM Link to, Comment (1), or E-mail this post
January 16, 2007

Having It Both Ways: Coming and Going in Utah

Police Officer Michelle Ross was injured in a car crash outside Salt Lake County while driving with her infant son. She was off-duty, operating a marked police vehicle. (I've never seen a police cruiser with an infant carseat.) She crossed the center line of State Road 36 and struck a tractor-trailor, injuring two people. Is she covered by workers comp?...
Posted by Jon Coppelman at 2:13 PM Link to, Comment (1), or E-mail this post
January 9, 2007

Wilful Intent: The End of "no fault" in workers compensation?

David Gross, 16, had a job at Kentucky Fried Chicken. One of his responsibilities was cleaning a 690 Henny-Penny gas pressure cooker. His preferred approach to the task was to put water in the cooker, seal it and boil away the grease. This was against the manufacturer's recommendations (written right on the equipment) and against store policy. The boiling water,...
Posted by Jon Coppelman at 11:38 AM Link to, Comment (3), or E-mail this post
January 3, 2007

Labor Optimization at Walmart: The Big Squeeze, Revisited

Back in July 2005 we blogged the way Walmart squeezes its vendors to achieve the lowest possible prices. Today we read in the Wall Street Journal (paid subscription required) that the behemoth retailer is instituting a computerized scheduling system that enables it to use the same squeeze tactics on its own employees. Now that's a shocker! The plan involves moving...
Posted by Jon Coppelman at 10:21 AM Link to, Comment (3), or E-mail this post
October 26, 2006

Special Assignment: the "going and coming rule" at play in Maine

Yesterday, the Maine Supreme Court made a ruling in an interesting case related to the "going and coming" rule. It involved Justin Laliberte, an employee of VIP, Inc., who was returning from a weekend work project when his car veered off the highway and collided with another car, killing Nancy Spencer and injuring her husband and daughter. The Spencers are...
Posted by Julie Ferguson at 10:47 AM Link to, Comment (0), or E-mail this post
October 19, 2006

After the Dust Settles: Liability versus Immunity in the 9/11 Clean Up

Five years after the fall of the World Trade Center towers, there are lingering issues concerning the health of the rescuers. Over 40,000 workers rushed to the site in the immediate aftermath, and then sifted debris in the following weeks. It now appears that many of these workers have suffered lung damage, much of it permanent, some of it fatal....
Posted by Jon Coppelman at 11:50 AM Link to, Comment (0), or E-mail this post
October 17, 2006

Actuarial Aging

The Insider is partial to actuary jokes. Perhaps it's because so much depends upon the actuarial viewpoint. These are the people who drive the insurance bus. Those of us seated in the bus often feel a bit queasy, as the driver has the vehicle pointed backwards and attempts to drive while looking through the rear view mirror. They drive in...
Posted by Jon Coppelman at 3:52 PM Link to, Comment (1), or E-mail this post
September 25, 2006

Think twice about mandating extracurricular activities

Is an injury that occurs as the result of a dive at a swimming hole a compensable injury? It is if swimming is one of the activities at a mandatory company-sponsored event. Roberto Ceniceros of Business Insurance alerted us to a recent ruling by the Arkansas Court of Appeals in the case of Tina Engle vs. Thompson Murray Inc. and...
Posted by Julie Ferguson at 9:27 AM Link to, Comment (3), or E-mail this post
August 23, 2006

Illegal Immigrants in Arizona: Comp Coverage Hinges on a Comma

Back in 1925, legislators in Arizona wrote the first workers compensation statute for that state. It's safe to say they had no idea that the absence of a single comma would send lawyers scrambling for clarification some 80 years later. The story involves workers comp coverage for illegal immigrants. "Mario Lopez" hurt his back moving furniture in 2001. He filed...
Posted by Jon Coppelman at 3:34 PM Link to, Comment (3), or E-mail this post
July 28, 2006

The Definitive Word on Goofing Off: Horseplay and Humor on the job

Julio Medina was a baker for the Panera Company. He routinely moved large racks of baked goods over a greasy, slippery floor. The employer provided "slip-resistant" shoes (which didn't work very well - they usually don't). After complaining to his supervisor about the slippery conditions, Medina, with a smirk on his face, lifted his right leg as if to kick...
Posted by Jon Coppelman at 10:27 AM Link to, Comment (0), or E-mail this post
June 9, 2006

Injured Cop Walks

Last July we blogged the story of Michael Forman, a suffolk County policeman who had been indicted for workers comp fraud. He was charged with illegally collecting $250,000 in worker's compensation while climbing the ranks of the Bethpage Volunteer Fire Department. Disabled by "excruciating pain" in his wrist, he nonetheless was able to respond to hundreds of fire calls. In...
Posted by Jon Coppelman at 12:40 PM Link to, Comment (0), or E-mail this post
May 18, 2006

Company Outing? Beware the Flying Umbrella!

Company outings should be a time to kick back, relax and enjoy some sun. Well, maybe. Employers need to stay alert to the potential liabilities that linger whenever they host employees at a company-sponsored event. We have blogged the dangers of serving alcohol at company events and the open-ended risks involved in hosting company outings. Now we read of a...
Posted by Jon Coppelman at 11:05 AM Link to, Comment (2), or E-mail this post
April 11, 2006

The long tail of WTC toxic exposures

Health experts predict that the health implications for the workers involved in the World Trade Center cleanup will take more than 20 years to be fully evident. A recent article in the PhillyBurbs discusses the frustrations that sick workers and health authorities alike are having in trying to come to grips with the health ramifications of post 9-11 cleanups. The...
Posted by Julie Ferguson at 11:01 AM Link to, Comment (0), or E-mail this post
February 15, 2006

Death of an "Independent Contractor"

Here is a brief article from the Metro West Daily News, a small newspaper in Massachusetts: MARLBOROUGH -- A Leominster man was killed yesterday after he fell nearly 40 feet from a condominium building while roofing with three other workers, authorities said. James Stacy, 40, of 180 Johnson St., was killed instantly, police said, after falling more than three stories...
Posted by Jon Coppelman at 3:20 PM Link to, Comment (2), or E-mail this post
January 19, 2006

Carpal Tunnel Syndrome: Who Should Pay?

Back in December fellow Insider blogger Julie Ferguson wrote about a Harvard Medical School newsletter that finds no relationship between keyboarding and carpal tunnel syndrome. This information has been out there for a while, based upon a 2003 study of 5,600 Danish workers. But for those of us who track workers compensation, these findings raise significant issues. If carpal tunnel...
Posted by Jon Coppelman at 1:22 PM Link to, Comment (3), or E-mail this post
December 20, 2005

Illegal Immigrants: Working In the Twilight Zone

The Insider has been researching the intersection of illegal immigrants and workers compensation. In most states, attempts to preclude illegal workers from securing comp benefits have failed. But now we read of a case in Nebraska (Isaac Ortiz v. Cement Products) where an illegal immigrant is cut off from vocational rehabilitation, which is normally an essential part of comp benefits...
Posted by Jon Coppelman at 2:52 PM Link to, Comment (5), or E-mail this post
December 1, 2005

Labor groups challenge Missouri's new workers compensation law

This past July, Missouri's Governor Blunt signed legislation overhauling the state's workers compensation statute, swinging the pendulum much more heavily in favor of the employer. (In a prior post, my colleague Jon Coppelman commented on some of these changes while they were still under review.) Yesterday, more than 70 labor groups filed suit to challenge the constitutionality of the new...
Posted by Julie Ferguson at 10:39 AM Link to, Comment (3), or E-mail this post
November 4, 2005

Compensable Fighting in Virginia

When an employee starts a fight, any potential workers comp claims based upon injuries to the instigator are denied. The denial stems from the employee's "wilful intent." If you knowingly and wilfully injure yourself (by starting a fight), the comp system rejects the claim. The person who is attacked, however, may collect comp for injuries, unless the fight has absolutely...
Posted by Jon Coppelman at 3:17 PM Link to, Comment (0), or E-mail this post
October 31, 2005

"Going and Coming" exception: contractual transportation

Under ordinary circumstances, any injuries that employees might suffer while traveling to and from work would not be covered by workers compensation. This is commonly referred to as the "going and coming" rule. There are several common exceptions to this rule, however, and a recent 4-3 decision by the Pennsylvania Supreme Court illustrates one of those exceptions: the company car....
Posted by Julie Ferguson at 8:31 AM Link to, Comment (5), or E-mail this post
October 19, 2005

California court upholds workers comp for undocumented workers

On Monday, California's 2nd District Court of Appeal upheld the rights of undocumented workers who are injured at work to receive workers compensation benefits in its ruling in Farmers Brothers Coffee vs. Workers' Compensation Appeals Board. A three-judge panel ruled unanimously, stating, "California law has expressly declared immigration status irrelevant to the issue of liability to pay compensation to an...
Posted by Julie Ferguson at 5:22 PM Link to, Comment (2), or E-mail this post
September 30, 2005

Wyoming court to examine compensability for illegal immigrants

Wyoming's Supreme Court* will be considering the issue of whether an illegal immigrant who is injured on the job should be entitled to workers comp benefits. In the particular case at hand, one Javier Molina lost a leg after being run over by a piece of construction equipment while at work for Freund Construction. He was denied compensability and turned...
Posted by Julie Ferguson at 7:34 AM Link to, Comment (3), or E-mail this post
September 15, 2005

Workers Comp Conundrum: Permanently Disabled but Still Working

Steven Trucinski, an employee of International Paper Co. in Ohio, was injured in a chemical explosion on October 15, 1998. He sustained severe trauma to his left lower extremity, as well as burns over large portions of his chest, back, and right upper extremity. His leg was amputated above the knee. Under Ohio law, loss of two body parts automatically...
Posted by Jon Coppelman at 3:18 PM Link to, Comment (2), or E-mail this post
September 7, 2005

Gradual Onset Stress: A New Diagnosis Heading South?

There are some interesting developments impacting workers compensation stress claims in our neighbour to the north, Canada. Here in the States, comp stress claims are very difficult to prove. Most states require that the "predominant cause" of stress in the claimant's life must be work related. This tough standard leads directly to a defense strategy of aggressive discovery: every aspect...
Posted by Jon Coppelman at 11:53 AM Link to, Comment (0), or E-mail this post
July 21, 2005

Exclusive remedy upheld in Lockheed Martin shooting case

Over today's wires comes the news that a federal appeals court has just upheld workers compensation as the exclusive remedy for the nine surviving victims and the families of the six workers who were killed in the 2003 Lockheed Martin shooting in Meridien, Mississippi. According to the news report, this would limit damages to about $150,000. The Picayune Times has...
Posted by LynchRyan at 5:41 PM Link to, Comment (0), or E-mail this post
July 18, 2005

Exception to the "going and coming" rule: operating premises

I was catching up on back issues of Business Insurance this past weekend and came across an interesting recent decision by the Supreme Court of Kentucky involving the going and coming rule. By way of introduction, the going and coming rule has to do with employees traveling to and from work. Generally, any injuries that an employee would suffer while...
Posted by Julie Ferguson at 8:31 AM Link to, Comment (0), or E-mail this post
May 25, 2005

S. Carolina to bar workers comp for undocumented immigrants?

Apparently, at least a few legislators in South Carolina think that illegal immigrants should be barred from receiving workers comp benefits, and there is a bill to that effect under consideration in the statehouse: "Thousands of undocumented workers in the Palmetto State could be denied workers' compensation coverage, including lost wages and medical bills stemming from work-related injuries, under a...
Posted by Julie Ferguson at 5:54 PM Link to, Comment (0), or E-mail this post
April 20, 2005

"Exclusive Remedy" - Bends but does not Break

"Exclusive remedy" lies at the heart of workers compensation. In exchange for the protection of workers compensation benefits, employees give up their right to any other remedy for workplace injury. This generally works out pretty well for both parties, but as with so many issues, the action at the margins is intense. There are two areas where challenges to exclusive...
Posted by Jon Coppelman at 12:41 PM Link to, Comment (0), or E-mail this post
February 28, 2005

Independent Contractor or Employee?

One of the most problematic areas of workers compensation coverage involves independent contractors. It is indeed ironic that tradesmen in high risk occupations (construction, landscaping, mechanical trades, trucking) often find themselves without workers compensation coverage because of their independence. In many (but not all) states, independent contractors are precluded from securing workers comp insurance. When these people are serously injured,...
Posted by Jon Coppelman at 1:24 PM Link to, Comment (4), or E-mail this post
November 24, 2004

Here Comes the Judge!

Did you ever consider how easy it might be for a workers compensation judge to file claim after claim and even retire on workers compensation benefits? After all, who knows the ins and outs of compensability better than a judge? And who is in a better position to locate attorneys and doctors to support even the most dubious claim? A...
Posted by Jon Coppelman at 9:49 AM Link to, Comment (0), or E-mail this post
October 14, 2004

Compensability: deviation from employment and "personal comfort" doctrine

Recently, Florida appellate courts issued rulings on two cases on issues related to deviation from employment and personal comfort. Essentially, these are nooks and crannies having to do with the issue of compensability. Injuries are compensable if they arise out of and in the course of employment. Sounds simple? Not so: Thousands of court challenges have occurred interpreting those few...
Posted by Julie Ferguson at 1:27 PM Link to, Comment (0), or E-mail this post
August 19, 2004

R.I. Court Holds Nightclub Owners Personally Liable

In a reversal of a prior Labor Department ruling, the Rhode Island Workers Compensation Court ruled that Michael and Jeff Derderian, owners of The Station nightclub, could be held personally liable for their failure to obtain workers compensation coverage for their employees. According to Insurance Journal: "The ruling means that the brothers' personal assets can be tapped to pay the...
Posted by Julie Ferguson at 10:05 PM Link to, Comment (0), or E-mail this post
August 11, 2004

The history of workers compensation

I stumbled on an interesting essay at the Florida Department of Financial Services' site...it's an overview of the historical evolution of workers compensation from ancient times to the present, one of the best treatments I've seen on the topic. In addition to exploring the European roots, it presents an overview of the system's development throughout the United States, with particular...
Posted by Julie Ferguson at 9:09 AM Link to, Comment (0), or E-mail this post
July 1, 2004

Workers compensation jurisdiction: injury in one state, employment in another

If a worker is employed in one state but suffers an on-the-job injury in another state, under which state would benefits be paid? This is a question that frequently surfaces, particularly with today's often-mobile work force. As with many things in workers comp, it can be confusing for employers and injured workers alike, and the difference in benefits from state...
Posted by Julie Ferguson at 12:42 PM Link to, Comment (0), or E-mail this post
June 25, 2004

Iraq contractors and workers compensation

In the last few months, the deaths of independent and military contractors in Iraq have been much in the news. According to the Brookings Institution, there are more than 15,000 security contractors in Iraq, making independent contractors the second largest force after the U.S. military. Recently, the Department of Labor has issued statistics about workers compensation claims for U.S. contractors,...
Posted by Julie Ferguson at 1:56 AM Link to, Comment (0), or E-mail this post
June 15, 2004

Independent contractors and workers compensation

Melissa Hershberger of Synergy Fest raises the issue of independent contractors and links to an excellent article that appears in the American Institute of Certified Public Accountant's online Journal of Accountancy on correctly classifying independent contractors. The article points out that as many as 38% of the employers audited by the IRS have misclassified workers. The article cites the case...
Posted by Julie Ferguson at 9:28 AM Link to, Comment (0), or E-mail this post
June 1, 2004

Heart attacks on the job: are they covered by workers compensation?

Lately, we've had several visitors to the site searching for information about heart attacks. We take that to mean that people are trying to determine whether a heart attack that occurs in the workplace is a compensable event. Not everything that occurs in the workplace is deemed compensable and that is particularly true of illnesses. Generally, a heart attack in...
Posted by Julie Ferguson at 9:44 AM Link to, Comment (2), or E-mail this post
May 13, 2004

Workers Comp and Terror: The Long Shadow

An article by Anthony DePalma in today's New York Times (registration required) outlines the onging saga of workers' compensation claims stemming from the attacks on 9/11. In the immediate aftermath of the attacks, most of the approximately 3,000 fatalities probably involved workers comp: these people were working. They died at work. (Death benefits in New York are capped at a...
Posted by Jon Coppelman at 2:52 PM Link to, Comment (2), or E-mail this post
April 20, 2004

Compensability: Driving "To and From"

In most states, an individual in the normal commute to and from work is not considered "in course and scope" of employment. If employees have accidents on the way to or from work, they are usually on their own and will not have access to benefits under workers compensation. However, there are a number of circumstances when employees may be...
Posted by Jon Coppelman at 11:57 AM Link to, Comment (0), or E-mail this post
March 21, 2004

Mandatory fun: when recreational activities are compensable

Roberto Ceniceros of Business Insurance reports that the New Jersey Supreme Court recently awarded workers compensation benefits to an employee injured in a go-cart accident that occurred after hours. This finding reversed an earlier decision that dismissed the case as extracurricular horseplay. There are a lot of gray areas when it comes to compensability and recreational activities are among them....
Posted by Julie Ferguson at 8:01 AM Link to, Comment (0), or E-mail this post
February 29, 2004

IBM cancer lawsuit - exclusive remedy, workplace illnesses, and technology industry exposures

Last week a jury found in favor of IBM by denying damages in a suit filed by two retired workers. The workers alleged that exposure to chemicals and toxins at an IBM plant led to cancer. This case points to several issues that should be of interest to employers and to those of us who work in the field of...
Posted by Julie Ferguson at 1:07 PM Link to, Comment (0), or E-mail this post
February 22, 2004

Toxic mold and workers compensation: an issue for your watch list

The Sebastian, FL police station recently dealt with 21 toxic mold claims from employees who allegedly became ill from mold at the station. Fifteen cases were dismissed or settled for small amounts; another six involved lump sum settlements. Toxic mold is an issue to watch. It's a potentially explosive issue, and some in the industry liken it to asbestos or...
Posted by Julie Ferguson at 12:47 PM Link to, Comment (1), or E-mail this post
January 23, 2004

Exclusive remedy, "bad faith" claims, and the $12 million lawsuit

Exclusive remedy generally protects an employer from a lawsuit. If an employee suffers a work related injury, the employer provides a state-regulated schedule of benefits to cover medical care and lost wages during recovery. In exchange for these benefits, the employee forfeits the right to sue. Workers compensation becomes the sole or exclusive legal remedy. Often, this protection is extended...
Posted by Julie Ferguson at 12:12 PM Link to, Comment (0), or E-mail this post
January 6, 2004

You say it's your birthday?

...and those spankings from co-workers left you feeling a little bruised? Well you'll get no relief from the tort system, at least not in Minnesota where the Appeals Court invoked exclusive remedy as the only potential avenue of relief. It will be interesting to see if this passes the compensability test. Usually horseplay isn't compensable, but it can often hinge...
Posted by Julie Ferguson at 12:49 AM Link to, Comment (0), or E-mail this post
November 18, 2003

Job-related hepatitis C infections are hard to prove

The likelihood of contracting hepatitis C from a single, contaminated needle stick is small, perhaps 2 percent or lower. But the number of accidental needle sticks and other skin punctures each year is high - 380,000 to 600,000, according to the Occupational Safety and Health Administration. Still, many workers have little hope of getting their treatments or doctor visits covered...
Posted by Julie Ferguson at 8:45 AM Link to, Comment (0), or E-mail this post