Industry Insights
| April Case Law Update | 04/15/2014 | ||
| State: CA | Segment: | 0 | |||
| JURISDICTION AND SUBROGATIONIn Gonzalez v. Seal Methods, Inc. (2013) 79 CCC 134, the 2nd District Court of Appeal affirmed summary judgment in favor of a defendant that an employee's injury while using a power press did not fall under the exception defined in LC 4558.In A...Read More | |||
| Are we Approaching Fraud and Abuse the Right Way? | 02/10/2014 | ||
| By: Peter Rousmaniere (Featured Columnist) | |||
| State: NA | Segment: | 0 | |||
| The National Insurance Crime Bureau reported in late 2013 that questionable workers compensation claims reported to it rose by 28% over the prior 12 month period, suggesting a surge in bad behavior. The increase was equivalent to one thirtieth of one percent of annual claims filed. ...Read More | |||
| Appellate Court Now Handling WC Issues, Sort Of | 10/01/2013 | ||
| By: Shawn R. Biery | |||
| State: IL | Segment: | 0 | |||
| In this ruling, the Illinois Appellate Court weighed in on workers' compensation fee schedule payments in a ruling that should discourage balance billing and may encourage more detail in settlement documents. Attorneys on the other side of the bar should know and understand this important ruling...Read More | |||
| August 2013 Case Law Update | 08/13/2013 | ||
| State: CA | Segment: | 0 | |||
| The following is a summary of important updates to California workers' compensation law.JURISDICTION AND SUBROGATIONIn Williams v. New York Knickerbockers, 2013 Cal. Wrk. Comp. P.D. LEXIS 234, the WCAB held that it had jurisdiction over an applicant's cumulative traum...Read More | |||
| AASCIF: Report from the Annual Conference | 07/23/2013 | ||
| By: Joe Paduda | |||
| State: NA | Segment: | 0 | |||
| If you’re going to have a conference in Austin, Texas, in July, you’d best make sure there are lots of things to do, excellent speakers and a great staff.Texas Mutual, host of this year’s American Association of State Compensation Insurance Funds annual conference, got ...Read More | |||
| AB 76, a Trailer Bill that Makes a Difference | 06/25/2013 | ||
| By: Dr. Robert L. Weinmann | |||
| State: CA | Segment: | 0 | Popular with Legal | |||
| Assembly Bill 76 is a 120-page trailer bill that made it through the Legislature to the governor's desk without a public hearing. Trailer bills are expected to be limited to technical changes and are not expected to contain substantive language that should be presented in public hearings....Read More | |||
| America's Deadliest Jobs | 06/10/2013 | ||
| By: Red Hollingsworth | |||
| State: NA | Segment: | 0 | Popular with Legal | |||
| You know that old saying, “What doesn’t kill you makes you stronger.” This statement may not offer a lot of comfort as an employer. Work comp claims are a challenge for you and most definitely for your worker. These 10 jobs that are listed below involve some of the most brave and n...Read More | |||
| Annals of Claims Management: Full Catastrophe Denial | 05/17/2013 | ||
| State: CA | Segment: | 0 | Popular with Legal | |||
| In the Insider's decade of exploring workers' comp, we have encountered many unusual instances of compensability, legitimate claim denials and outright fraud. But rarely have we found cases where a claims administrator, in this case, a third-party administrator simply refuses to pay for medi...Read More | |||
| Abuse-Deterrent Opioids: Great Solution, Wrong Problem | 05/15/2013 | ||
| State: NA | Segment: | 0 | |||
| I was asked recently what Prium's plan will be when the "opioid crisis" passes. My first thought was that I'll probably be dead and gone by then (I'm not that old, mind you). The answer I gave (and which I wholeheartedly believe) is that workers' compensation is the ultimate tail cla...Read More | |||
| Annals of Compensability: A Tick in Time | 04/15/2013 | ||
| State: NY | Segment: | 0 | |||
| Ben Ciccone Inc. is a construction company that confronts formidable risks every working day. They are involved in excavation, site development, bridge construction and, if that isn't risky enough for you, blasting and demolition. Most underwriters would give them a quick pass. So it is ironic t...Read More | |||
