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Workers' Compensation News

 

Court: Worker Didn't Make Material Misrepresentation in Failing to Mention ER Visit 04/07/2025
State: NY | Segment: NORTH | 0 | Popular with Legal
A New York appellate court ruled that a worker who failed to tell his treating providers about a prior emergency room visit did not make a material misrepresentation to obtain workers' compensation benefits. ...Read More
 
 

City Didn't Accept Compensability of Officer's COVID-19 by Paying Wage Continuation Benefits 04/07/2025
State: PA | Segment: NORTH | 0 | Popular with Legal
The City of Philadelphia didn't inherently accept liability for COVID-19 claims by paying wage continuation benefits to police officers, the Commonwealth Court of Pennsylvania ruled. ...Read More
 
 

Contractor Ordered to Pay More Than $1M in Restitution for Comp Fraud 04/04/2025
State: CA | Segment: WEST | 0 | Popular with Legal
The San Diego County District Attorney's Office announced that a commercial plumbing contractor has been ordered to pay more than $1 million in restitution for insurance premium fraud. ...Read More
 
 

Court: Payment of Wages Isn't Acceptance of COVID-19 Compensability 04/04/2025
State: PA | Segment: NORTH | 0 | Popular with Insurance
The Commonwealth Court of Pennsylvania ruled that a city’s payment of wage continuation benefits to a police officer after he contracted COVID-19 was not an acceptance of liability for his illness as compensable. ...Read More
 
 

Court Upholds Denial of Authorization for Worker's Surgery 04/04/2025
State: WV | Segment: SOUTH | 0 | Popular with Insurance
West Virginia’s Intermediate Court of Appeals upheld a denial of authorization for a worker’s surgery and related treatment for conditions that were never accepted as compensable. ...Read More
 
 

Court Overturns Denial of Compensability for Worker's Cervical Disc Condition 04/03/2025
State: WV | Segment: SOUTH | 0 | Popular with Insurance
West Virginia’s Intermediate Court of Appeals overturned a denial of compensability for a worker’s cervical disc conditions, finding that the Board of Review committed a clear error in failing to consider a treating doctor’s opinion on causation. ...Read More
 
 

Court: Payment of Wages to Cop With COVID Wasn't in Lieu of Benefits 04/02/2025
State: PA | Segment: NORTH | 0 | Popular with Insurance
The Commonwealth Court of Pennsylvania ruled that a city’s payment of wage continuation benefits to a police officer after she contracted COVID-19 was not an acceptance of liability for her illness as compensable. ...Read More
 
 

Construction Company Will Pay $191,750 for Misclassification 04/02/2025
State: DC | Segment: SOUTH | 0 | Popular with Insurance
A Virginia-based masonry construction company will pay $191,750 for misclassifying nearly 60 members of its workforce as independent contractors and denying them benefits required by District of Columbia law. ...Read More
 
 

Commissioner Approves 8.67% Reduction in Loss Costs 04/02/2025
State: PA | Segment: NORTH | 0 | Popular with Insurance
Pennsylvania Insurance Commissioner Michael Humphreys approved an 8.67% average reduction in workers' compensation loss costs for policies incepting on or after April 1. ...Read More
 
 

Court Says Board Erred in Denying Carrier's Application for Review 04/01/2025
State: NY | Segment: NORTH | 0 | Popular with Legal
A New York appellate court overturned a decision of the Workers’ Compensation Board that denied an insurance carrier’s application for review because the carrier failed to file separate copies of the application form for each of the claims involving the same worker. ...Read More
 
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