Workers' Compensation News


	Falling Rates Makes State Less of an Outlier		07/20/2018
	By: Greg Jones (Deputy Editor)
	State: CA \| Segment: Top \| 693 \| 0 \| Popular with Legal \| 40 min read
	After three years of rate reductions, California may lose its perch at the top of the of the list of the most expensive states in the country for purchasing workers’ compensation coverage. ...Read More


	Convicted Docs Serving Time at Lompoc		07/20/2018

	State: CA \| Segment: WEST \| 971 \| 0 \| Popular with Legal \| 18 min read
	Dr. Philip Sobol started serving his 21-month sentence for his role in the spinal surgery kickback scheme at Pacific Hospital of Long Beach, court records show. ...Read More


	In-Depth Investigations Recommended for Finding Claimant Fraud		07/20/2018
	By: Elaine Goodman (medical/business reporter)
	State: NA \| Segment: Top \| 182 \| 0 \| Popular with Legal \| 23 min read
	Every workers’ compensation claim should be investigated for potential claimant fraud, and investigations should include recorded statements, background checks and a review of the injured worker’s social media accounts, a claims director said this week. ...Read More


	DWC Agrees to Hold Hearing on Enforcement Penalties		07/20/2018
	By: William Rabb (Reporter)
	State: TX \| Segment: Top \| 173 \| 0 \| Popular with Legal \| 40 min read
	Just days after insurance and self-insured organizations complained that proposed rules don't go far enough to protect against overzealous enforcement actions, the Division of Workers' Compensation has agreed to hold a public hearing on the matter. ...Read More


	Judge's Fee Award Failed to Adequately Compensate Worker's Attorney		07/20/2018
	Source: WorkCompCentral
	State: MN \| Segment: NORTH \| 85 \| 0 \| Popular with Legal \| 35 min read
	The Minnesota Supreme Court this week ruled that a workers’ compensation judge had improperly short-changed an attorney for his work establishing which employer was responsible for the payment of benefits. ...Read More


	Substantial Evidence Supported Commissioner's Denial of Additional Benefits for Worker		07/20/2018
	Source: WorkCompCentral
	State: IA \| Segment: NORTH \| 59 \| 0 \| Popular with Legal \| 5 min read
	The Iowa Court of Appeals ruled that substantial evidence supported a workers’ compensation commissioner’s determination that a funeral home employee was not entitled to additional disability benefits. ...Read More


	Carrier Can't Invoke Finding From Vacated Decision to Support Declaratory Judgment		07/20/2018
	Source: WorkCompCentral
	State: SC \| Segment: SOUTH \| 64 \| 0 \| Popular with Insurance \| 3 min read
	The South Carolina Court of Appeals ruled that a decision of the Workers’ Compensation Commission finding that an insurance carrier was entitled to end payment of benefits to an injured worker could not support a declaratory judgment. ...Read More


	WCD Updates Hospital, Ambulatory Surgery Fee Schedules		07/20/2018

	State: AL \| Segment: SOUTH \| 75 \| 0 \| Popular with Legal \| 3 min read
	The Alabama Workers’ Compensation Division has published Addendum 3 to its 2018 fee schedule, containing updates to the hospital and ambulatory surgery center fee schedules. ...Read More


	Terms of Stipulation on Worker's Lost Wage-Earning Capacity Dictated Benefit Rate		07/20/2018
	Source: WorkCompCentral
	State: NY \| Segment: NORTH \| 59 \| 0 \| Popular with Legal \| 8 min read
	A New York appellate court ruled that the terms of a stipulation between a worker and his employer pertaining to his lost wage-earning capacity was controlling as to the amount of his weekly benefit rate once he stopped working. ...Read More


	Catastrophes Erode Travelers' Profit in Q2		07/20/2018

	State: NA \| Segment: NATIONAL \| 82 \| 0 \| Popular with Legal \| 58 min read
	The Travelers Cos. on Thursday reported net income of $524 million for the second quarter, a 12% drop, from $595 million, in the prior-year quarter....Read More

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Today's Round Up

KS - OSCAR in Focus During WCD's Annual Work Comp Conference

07/23/2018 | 42 | 0

The Kansas Workers Compensation Division will share information about its Online System for Claims Administration and Research/Regulation during the 44th Annual Workers Compensation Seminar, scheduled for Sept. 25-26 at the Overland Park Convention Center. Matthew Bryant Matthew Bryant, president of WorkComp Strategies of Richmond, Virginia, is scheduled to speak on the opening day of the session. His company is one of two vendors that designed the state’s online system, known as OSCAR, which is scheduled to launch in October. CapTech Ventures also worked on the project. ... Read More

FL - Additional Charges Filed in Alleged Check-Cashing Scheme

07/23/2018 | 21 | 0

Federal prosecutors have filed new charges against two Honduran nationals who were previously charged in a scheme that set up shell companies to supply workers to contractors so they could avoid payroll taxes and workers’ compensation premiums. The U.S. Attorneys Office for the Middle District of Florida charged Fanny Melina Zelaya-Mendez, 39 with making false statements to a federal agent, aggravated identity theft and three counts of conspiracy to defraud the Internal Revenue Service. The office also charged Roger Omar Zelaya-Mendez, 34, with one count of conspiracy to defraud the IR... Read More

CT - Governor Names Segarra to WC Commission

07/20/2018 | 84 | 0 | 62 min read

Connecticut Gov. Dannel Malloy on Wednesday nominated former Hartford Mayor Pedro Segarra to serve on the state's Workers' Compensation Commission. Pedro Segarra (Wikipedia photo) Segarra, an attorney, was leader of the Hartford City Council in 2011 and was elevated to mayor after Mayor Eddie Perez was convicted on corruption charges and resigned, according to a news report. Segarra won an election the next year but lost in the Democratic primary in 2015. Since 2016, Segarra has been of counsel at the law firm of Shimkus, Murphy and Rosenberger in Hartford, and also has his o... Read More

OH - BWC Staff Recommending 12% Rate Decrease for Local Governments

07/20/2018 | 60 | 0

The Ohio Bureau of Workers’ Compensation announced Thursday that it is recommending a 12% rate reduction for school districts and local governments, to take effect Jan. 1. The BWC said the reduction would be the second-largest decrease for the state’s public employers since at least 1985. The reduction would save $21 million annually. The BWC has decreased local government rates seven times since 2011 for a cumulative 41.8% reduction with a statewide financial impact of $435 million, the agency said. The bureau is also in the midst of delivering approximately $157 million in reba... Read More

NY - Claimant Faces Larceny Charge of Underreporting Wages

07/20/2018 | 70 | 0 | 2 min read

An Upstate New York claimant was arrested Thursday and charged with defrauding a workers’ compensation carrier out of $4,000 in benefits, the state Inspector General’s Office said. Carolyn Guarnieri, of Depew, was charged with offering a false instrument for filing in the second degree, and petit larceny. Investigators say Guarnieri began receiving workers’ compensation benefits in 1988 after reportedly injuring her back while moving a patient at the Erie County Home and Infirmary. She reported to her insurance carrier in January 2016 that she had returned to the workforce ... Read More

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