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Industry Insights

 
Self-Insured Trusts: Paying Your Competitors' Costs 04/22/2008
State: NY | Segment: | 0
By Adam FriedlanderIn an ominous sign, all group self-insured trusts and individual self-insureds were assessed $30 million to pay for the claims of 14 terminated trusts. By levying this assessment, the New York Workers’ Compensation Board has made it clear that the healthy se...Read More
 
 
Spring Break (Workers' Comp Style) 04/01/2008
By: Mullen & Filippi
State: CA | Segment: | 0
By Mullen & Filippi The rain is disappearing, everything is in bloom. Spring is here! Time for Spring Break and a great getaway! While you’re relaxing in the sun, you might want to brush up on the latest from the world of California Workers&rsquo...Read More
 
 
State Legislature Needs to Step Up and Fight Insurance Fraud 03/17/2008
By: Barry Zalma
State: CA | Segment: | 0
By Barry ZalmaInsurance fraud is not a local problem. It depletes the wealth of the entire country. Insurance fraud costs $100 billion annually, and it is a crime in which the victims are insurers, who are less than loved by the public. If properly prepared, the insurer victim can ...Read More
 
 
So, you want to invest in workers' comp managed care? 02/27/2008
By: Joe Paduda
State: NA | Segment: | 0
--By Joe PadudaThe private equity and venture capital folks have been prowling around the WC managed care world for a couple of years now, looking for opportunities to invest their hard-solicited cash. Firms have invested in pharmacy benefit managers (MSC and Cypress Care), bill review f...Read More
 
 
SJDB Voucher -- FAQs 02/06/2008
State: CA | Segment: | 0
By Allan J. LenoThe employee has an injury on 4/21/05 resulting in surgery on 7/1/05 and an eventual PD rating of 6%.  He is TTD until 8/21/05 and returns to modified duty on 8/22/05.  The employee is released to full duty on 11/10/05 and is P&S on 1/5/06.  My counterp...Read More
 
 
Scaffold fall no basis for summary judgment unless defect shown. 11/16/2007
By: Larry Rogak
State: NY | Segment: | 0
By Larry RogakFalling from scaffold, without showing of collapse or defect, does not entitle worker to summary judgment.Pisarcik v. Triboro Bridge & Tunnel Auth. 2007 N.Y. Slip Opinion 52154 (Unpublished) Decided on Oct. 30, 2007 by the Supreme Court, Queens County....Read More
 
 
SPJD, PD and RTW FAQs 11/05/2007
State: CA | Segment: | 0
By Allan Leno I know that there are some ways that we can get reimbursements from the State to pay for special equipment we have to provide when we accommodate someone and return them to work.  Can h...Read More
 
 
SCIF, Blue Cross and the 'Silent PPO' 10/27/2007
State: CA | Segment: | 0 | Popular with Legal
--By Reid Steinfeld and Richard BogganVirginia Woodruff worked as a hay bailer and tractor driver for Greenfield Trucking. In May 2002, she suffered life-threatening injuries as a result of an on the job accident. On at least two occasions, she required extensive surgery that was perform...Read More
 
 
Supervisor's Fall During Pre-Repair Inspection Does Not Qualify as Scaffold Law 09/08/2007
By: Larry Rogak
State: CA | Segment: | 0
By Larry Rogak English v. City of New York 2007 NY Slip Op 06535 Decided on Sept. 4, 2007 Appellate Division, Second Department In this wrongful death action, plaintiffs appealed from an order of the Supreme Court, Kings County (Solomon, J.)...Read More
 
 
Stop the Shenanigans! 08/25/2007
State: CA | Segment: | 0
By David DePaolo The AMA Guides clearly state in the introduction that they are an impairment guideline and are to be used for the determination of compensation of the disabled. The editors of the Guides spend a lot of ink advising that their publication is inappropriate for determining h...Read More
 
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