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Workers' Compensation News

 

Employer Can Benefit From Discounted Rate Negotiated by Worker's Private Insurance Carrier 01/11/2018
Source: WorkCompCentral
State: IL | Segment: NORTH | 0 | Popular with Insurance
The Illinois Appellate Court ruled that an employer’s liability for an injured worker’s medical benefits is limited to the amount actually paid to the treatment providers, even if they were paid at a discounted rate negotiated by the worker’s personal health insurance carri...Read More
 
 

EDI Implementation Delayed Eight Months to Allow for IAIABC Release 3.1 01/11/2018
State: OK | Segment: SOUTH | 0 | Popular with Insurance
The Oklahoma Workers’ Compensation Commission has adopted emergency rules to delay by eight months the implementation of an electronic data interchange (EDI) system. ...Read More
 
 

Employer Can Contest Citation Because State Didn't Use Certified Mail 01/09/2018
Source: WorkCompCentral
State: UT | Segment: WEST | 0 | Popular with Legal
The Utah Court of Appeals ruled that an employer could contest a citation for an alleged violation of state safety regulations, even though it did not file an objection within 30 days of receiving the citation, because the state had not sent the citation by certified mail. ...Read More
 
 

Employer Failed to Rebut Presumption of Compensability for Driver's Injury 01/08/2018
Source: WorkCompCentral
State: DC | Segment: SOUTH | 0 | Popular with Insurance
The District of Columbia’s highest court ruled that a bus driver was entitled to benefits for back pain because his employer’s expert had failed to address a medical expert’s theory that the disabling condition had been caused or aggravated by work. ...Read More
 
 

Employer's Indemnitor Could Pursue Subrogation Claim Against Worker's 3rd-Party Recovery 01/08/2018
Source: WorkCompCentral
State: MD | Segment: SOUTH | 0 | Popular with Legal
A company that indemnified an employer for the costs of a worker’s claim could assert the employer’s subrogation right against a recovery the worker later obtained from a third-party tortfeasor, the Maryland Court of Special Appeals ruled. ...Read More
 
 

Employer Fined $41,310 for Fatal Bee Attack 01/05/2018
State: CA | Segment: WEST | 0 | Popular with Legal
The California Division of Occupational Safety and Health fined an employer $41,310 as a result of a fatal bee attack in 2017. Gerardo Balbuena, 49, was...Read More
 
 

Estranged Husband Can't Collect Death Benefits as Surviving Spouse or Dependent 01/05/2018
Source: WorkCompCentral
State: PA | Segment: NORTH | 0 | Popular with Insurance
The Commonwealth Court of Pennsylvania ruled that a worker’s estranged husband was not entitled to benefits for her death as a dependent or as her surviving spouse. ...Read More
 
 

Express Scripts Can Sue Pharmacy Shuttered Amid Fraud Investigation, Judge Decides 01/04/2018
By: Emily Brill (Reporter)
State: MO | Segment: Top | 0 | Popular with Legal
Express Scripts can proceed with a $2.3 million lawsuit accusing the owners of a now-shuttered compounding pharmacy of buying a fleet of luxury cars instead of reimbursing the pharmacy benefit manager for payments made on suspected fraudulent prescriptions, a ...Read More
 
 

Emergency Rate Hike Will Increase System Costs by at Least $163 Million 01/02/2018
By: J. Todd Foster (Reporter)
State: PA | Segment: Top | 0 | Popular with Insurance
The Insurance Department’s approval of a 6.06% rate increase stemming from the state Supreme Court’s Protz decision will raise system costs by at least $163 million, the state rating bureau says. The rate hike nearly negates a 6.2% loss cost decrease that the Insurance Departm...Read More
 
 

Employer May Be Held Liable for Cost of Massage Services 12/29/2017
Source: WorkCompCentral
State: PA | Segment: NORTH | 0 | Popular with Legal
The Commonwealth Court overturned a decision of the Workers’ Compensation Appeal Board, finding that an employer was not liable for the cost of the massage services that an injured worker had received for a back injury. ...Read More
 
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