Industry Insights
| Comparing Claims Information to Treatment and RTW Guidelines | 06/30/2007 | ||
| State: CA | Segment: | 0 | |||
| By Julie Shank How will the Division of Workers' Compensation's (DWC) adopted treatment guidelines and return-to work guidelines impact claims management and the medical care of Texas injured employees? Are the medical treatments, which are usually provided to injured employe...Read More | |||
| Costs Too High for Employers, Injured Workers' Payouts Pinched | 06/30/2007 | ||
| State: CA | Segment: | 0 | |||
| By North County Times Opinion Staff Even the best of reforms sometimes needs a little course correction once its unintended consequences become apparent. So it seems with the workers' compensation reforms Gov. Arnold Schwarzenegger achieved in 2004. While they did accomplish some neces...Read More | |||
| Catastrophe Model Flaws Leave Workers' Comp Carriers At Risk | 06/02/2007 | ||
| State: CA | Segment: | 0 | |||
| By Scott Self A major threat of lowered financial ratings and soaring reinsurance rates is lurking for workers' compensation insurers as a result of flawed catastrophe modeling data and process difficulties. Above all, there is the possibility of ticking time bombs within otherwise prof...Read More | |||
| Coverage of Undocumented Workers | 05/19/2007 | ||
| State: CA | Segment: | 0 | |||
| By Charles H. Tenser, Esq. Since Congress's enactment of the Immigration Reform and Control Act (IRCA) in 1986, employers have been subject to civil and criminal penalties for knowingly hiring an unauthorized alien. While IRCA criminalizes an alien's use of fraudulent documents purporting...Read More | |||
| Case Law Summary for Nonsubscribers | 05/05/2007 | ||
| State: CA | Segment: | 0 | |||
| These are also active days in the judicial development of Texas nonsubscriber law. Although dozens of cases have been decided since our last newsletter that relate to nonsubscription, here's a quick summary of the most significant decisions. Mandatory Arbitration of Injury Benefit Dis...Read More | |||
| Clearing The Benefit Highway of Medical Expense Land Mines | 05/05/2007 | ||
| By: John H. Geaney | |||
| State: CA | Segment: | 0 | |||
| By John H. Geaney and Jon L. Gelman Medical expenses in contested workers' compensation cases are now a significant and troublesome issue resulting in uncertainty, delay and potential future liability. The recent N.J. Supreme Court decision, University of Mass. Memorial Hos...Read More | |||
| California Appellate Case Status Summary | 04/21/2007 | ||
| State: CA | Segment: | 0 | |||
| By Jake Jacobsmeyer Ordinarily I wait until the Appellate Courts or the Workers' Compensation Appeals Board issue their opinions to provide reports to you. However there are so many significant cases currently pending and the impact on the everyday handling of claims is so sig...Read More | |||
| Court Affirms Award to Firefighter for Occupational Colon Cancer Condition | 03/24/2007 | ||
| By: John H. Geaney | |||
| State: CA | Segment: | 0 | |||
| By John H. Geaney Kenneth Larsen worked for the City of East Orange for 31 years ending on August 1, 2000. He alleged exposure to smoke and asbestos, among other pulmonary irritants. He had previously received an award of 7.5% for chronic bronchitis, and he reopened that award in 2001, as...Read More | |||
| Court Rejects Insurer's Argument | 02/24/2007 | ||
| State: CA | Segment: | 0 | |||
| By Lawrence Rogak Appalachian Ins. Co. v. General Elec. Co., 2007 NY Slip Op 01334, (Decided on February 15, 2007) (Court of Appeals). In this battle between a primary insurer and excess insurers, the Court of Appeals held that thousands of claims by workers alleging th...Read More | |||
| Clearing the Confusion About Sandhagen and UR | 02/13/2007 | ||
| State: CA | Segment: | 0 | |||
| By Marguerite Sweeney I read a WorkCompCentral article that said "...State Fund will have an opportunity to argue before the California Supreme Court why missed deadlines shouldn't lock out an employer or carrier from the utilization-review process. "State Fund failed to comp...Read More | |||
