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Industry Insights

 
Illinois Employers Continue to Challenge Overtime Inclusion 04/16/2008
State: IL | Segment: | 0
By Michael Rusin For years we have been fighting the inclusion of overtime hours in the average weekly wage calculation. The Workers’ Compensation Act specifically provides that the average weekly wage calculation “excludes overtime and bonus.” However, in...Read More
 
 
I Like What Aetna's Been Doing 03/24/2008
By: Joe Paduda
State: NA | Segment: | 0
By Joe PadudaWellpoint has been slammed (justifiably) for its rescission practices (retroactively canceling insureds' policies when they have the temerity to actually get care) and sued for allegedly inflating earnings expectations (although some of the slamming is, in my view, unjus...Read More
 
 
Injured Workers Turning to Medicare and Medicaid 03/07/2008
State: CA | Segment: | 0
By Sam GoldPeople are injured on the job every day. No matter how hard we try, workers will always get injured. It's simply the nature of the beast. We live in a mechanized society. There's nothing that unravels a family more quickly than a work incurred injury. Wages are lost, b...Read More
 
 
It's election time and change is in the air! 02/25/2008
State: CA | Segment: | 0
By Mullen & FillippiIn the presidential race there is still no clear front-runner, at least on one side! In workers’ compensation the same can’t be said. In fact, things are changing in favor of employers. You could almost call it a “campaign of reform,” as th...Read More
 
 
Insurance fraud: The orphan child of the U.S. justice system 11/08/2007
By: Barry Zalma
State: NA | Segment: | 0
By Barry ZalmaI am tired of those who give lip-service to the need for insurers to defeat insurance fraud. I am frustrated by those judges who give probation to admitted insurance criminals.Every month Zalma's Insurance Fraud Letter (ZIFL) publishes lists of prosecutions ...Read More
 
 
Injured workers must seek work to qualify for maintenance benefits. 11/01/2007
State: IL | Segment: | 0
--By Michael E. RusinFollowing a work injury, if a claimant is disabled from returning to work, he is entitled to temporary total disability (TTD) for the period of time he is totally disabled from working. The right to TTD lasts for as long as the claimant is totally dis...Read More
 
 
Insurance Fraud: An Equal Opportunity Crime 09/22/2007
By: Barry Zalma
State: CA | Segment: | 0
By Barry Zalma Insurance Fraud -- The Orphan Child of the U.S. Justice System I am tired of those who give lip-service to the need for insurers to defeat insurance fraud. I am frustrated by those judges who give probation to admitted insurance criminals. Ev...Read More
 
 
Iatrogenic Disability -- A Critical Issue 09/08/2007
By: Dr. Christopher R. Brigham
State: CA | Segment: | 0
By Dr. Christopher Brigham Iatrogenic disability refers to disability resulting from the actions of health care providers. It is imperative in assessing impairment and disability to understand the origin of reported difficulties. Impairment is based primarily on objective factors, wherea...Read More
 
 
Inexperienced Claims Staff Should Post Sign: 'Fraud Welcome Here' 08/25/2007
State: CA | Segment: | 0
"All men by nature desire knowledge." -- Aristotle By Barry Zalma The Need for a Professional Claims Staff The failure of the insurance industry to make a dent in insurance fraud is a failure of the industry to insist on keeping a staff of profession...Read More
 
 
Inside the Eye of the 2007 Texas Legislative Session 08/25/2007
State: CA | Segment: | 0
By Jay A. Thompson When the 80th Legislature adjourned "sine die" on May 28, 2007, there had been 4140 House bills and 2058 Senate bills filed during the 140-day session. There were 953 House bills passed into law and 525 Senate bills were passed. Thompson Coe monitored 271 bi...Read More
 
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