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Workers' Compensation News

 

Fire Department Fails to Rebut Presumption of Compensability for Death 05/22/2025
State: LA | Segment: SOUTH | 0 | Popular with Insurance
A Louisiana appellate court upheld a determination that a firefighter’s death was presumptively linked to his employment, but the fire department reasonably contested the compensability of his demise. ...Read More
 
 

No Benefits for Man Who Had Heart Attack in Workplace Parking Lot 05/22/2025
State: NY | Segment: NORTH | 0 | Popular with Insurance
A New York appellate court upheld the denial of a worker’s claim for benefits for a heart attack. Case: Matter of Stabile...Read More
 
 

Court Upholds $2.8 Million Verdict in Gross Negligence Claim 05/22/2025
State: IA | Segment: NORTH | 0 | Popular with Insurance
The Iowa Court of Appeals upheld a jury’s award of $2.8 million in a co-worker gross negligence action arising from the death of a surface mine employee. ...Read More
 
 

Court Upholds Denial of Authorization for Knee Surgery, Approves Other Treatments 05/22/2025
State: WV | Segment: SOUTH | 0 | Popular with Insurance
West Virginia’s Intermediate Court of Appeals upheld a denial of authorization for a worker’s knee surgery, but it said his shoulder surgery, diagnostic testing and pain management referral should have been approved. ...Read More
 
 

WCAB Says Judge Exceeded Authority in Ordering Replacement QME 05/21/2025
State: CA | Segment: Top | 0 | Popular with Legal
The California Workers’ Compensation Appeals Board said a trial judge incorrectly ordered a replacement qualified medical evaluator for a represented worker because the first provider selected was not available within 120 days. ...Read More
 
 

Prosecutors Lay 15 Felonies on Ex-Cop Suspected of Fraud 05/21/2025
State: CA | Segment: WEST | 0 | Popular with Legal
A former officer of the Westminster Police Department was seen drinking and dancing, went on a skiing and snowboarding trip and competed in 5k races despite claiming she was completely disabled from a work-related injury, according to the Orange County District Attorney's ...Read More
 
 

Security Company Owner Sentenced in $3.4M Comp Fraud Case 05/21/2025
State: CA | Segment: WEST | 0 | Popular with Legal
Six years of underreporting payroll and dodging insurance premiums resulted in criminal penalties for a San Jose security company owner. The...Read More
 
 

Worker's Doctor Visits, Imaging Constitute Reasonable Treatment 05/21/2025
State: WV | Segment: SOUTH | 0 | Popular with Legal
West Virginia’s Intermediate Court of Appeals upheld a determination that a worker’s doctor visits and X-rays were reasonable and necessary treatment for his compensable injuries. ...Read More
 
 

Claims Administrator Can't Rely on Online Product Prices to Contest Bills 05/21/2025
State: PA | Segment: NORTH | 0 | Popular with Legal
The Commonwealth Court of Pennsylvania ruled that a claims administrator could not carry its burden of proof to challenge the amounts charged by a medical supply company with evidence that comparable products could be purchased online for less. ...Read More
 
 

Court: Late Expert Report, Testimony Shouldn't Have Been Kept From Evidence 05/21/2025
State: NY | Segment: NORTH | 0 | Popular with Legal
A New York appellate court ruled that the report and testimony of a worker’s expert should not have been kept from evidence even though the expert did not appear for a deposition before the deadline set by the Workers’ Compensation Board. ...Read More
 
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