Industry Insights
Substantial Compliance is Good Enough (Sometimes) | 05/06/2006 | ||
State: CA | Segment: | 0 | |||
By Bill Minick, President, PartnerSource, Inc. In Lacy v. Fulbright & Jaworski, 405 F.3d 254 (5th Cir. 2005), a benefit plan's denial of coverage "substantially complied" with ERISA's claim regulations, so it was sufficient to trigger the time limits for the plan participant to file an ap...Read More | |||
SB 899 Apportionment and Petitions to Reopen | 05/06/2006 | ||
State: CA | Segment: | 0 | |||
by 'Jake' Jacobsmeyer The WCAB has issued a new en banc decision , Vargas vs. Atascadero State Hospital, on apportionment and Petitions to Reopen for New and Further Disability specifically determining that the provisions involving apportionment under SB 899 apply to the Pet...Read More | |||
SJDB Vouchers FAQs Update | 04/22/2006 | ||
State: CA | Segment: | 0 | |||
By Alan Leno What obligation does an employer have to provide modified or alternative work for seasonal employees? Are they entitled to a voucher if the return to work date falls during the off-season? This is a common question from insurers who write farms, orchards, ski ...Read More | |||
Success In Challenging Physician Opinion on Apportionment | 03/11/2006 | ||
State: CA | Segment: | 0 | |||
The following discussion occurred recently in the WorkCompCentral Professional Forums. The editors felt this discussion was of value to the community and thus have republished it here, edited for readability.Q: Have any of you attorneys tried to challenge the doctor's opinion on appor...Read More | |||
Settling Medical Expenses Prior to CMS Approval | 03/11/2006 | ||
State: CA | Segment: | 0 | |||
by Patty Meifert, RN, CRRN, CCM, CLCP, MSCC In the July 11, 2005 CMS policy memorandum, question 5 addressed the settlement of WC medical expenses prior to CMS review of a proposed MSA and stated, The parties may proceed with the settlement, but any statement in the settleme...Read More | |||
SEXual Harassment... The BIG Issue in the Workplace, part 7 | 02/26/2006 | ||
State: CA | Segment: | 0 | |||
By Jamie Charter, M.S., CPDM For readers of this article series, we are continuing in our discussion of this very vital subject in the workplace. Since our last article, part 6, the public hearings in California regarding the proposed regulations concerning AB 1825 conducted...Read More | |||
SEXual Harassment..the BIG Issue in the Workplace, Part 6 | 02/13/2006 | ||
State: CA | Segment: | 0 | |||
SEXual Harassment.........the BIG issue in the workplace, part 6 By Jamie Charter, M.S., CPDM This segment of the sexual harassment information article series will continue our discussion of the topic of sexual harassment. In the last article, part 5, we discussed the different re...Read More | |||
SJDB vouchers - More FAQs | 02/11/2006 | ||
State: CA | Segment: | 0 | |||
By Allan Leno The injured employee is eligible for a $4000 voucher. He enrolls in a BPPVE approved program with a tuition cost of $1500.00. He purchases a $1000 computer and computer software valued at $500 to facilitate his studies. Is the carrier required to reimburse the $1500 ...Read More | |||
SEXual Harassment... The BIG Issue in the Workplace, part 5 | 01/29/2006 | ||
State: CA | Segment: | 0 | |||
By Jamie Charter, M.S., CPDM This article, part 5, will enable WorkCompCentral readers to continue in expanding our awareness and knowledge base regading this highly important and critical issue. While prior articles have been stressing the California law, AB 1825, and specific menti...Read More | |||
SEXual Harassment... The BIG Issue in the Workplace, part 4 | 01/16/2006 | ||
State: CA | Segment: | 0 | |||
By Jamie Charter, M.S., CPDM This is the fourth article in a series on the crucial subject of sexual harassment. Through this article series, we will continue our discussion about sexual harassment, what it is, what it is not, some strategies, and work toward instituting measures to ens...Read More | |||