National Edition Banner March 2010
Vol 1, Issue 3

Find Solutions & Strategies                                 April 12, 2010

The Donut Hole
 MSAs should be fixed now to account for closure of Medicare Part D prescription coverage gap
In This Issue
-FEATURED ARTICLE: donut hole
-LARSON'S SPOTLIGHT: 5 new cases
-BLOG ROUNDUP: fraud, rates, ABA TechShow, migraines
-NATIONAL NEWS
-STATE NEWS
-WHAT'S NEW IN LARSON'S: rights between insurers
-LARSON 50% OFF SALE
A Note From the Editor
Robin Kobayashi
Dear WC Professionals:
 
This free eNewsletter is designed to keep you informed of recent trends & developments nationwide. Help keep this eNewsletter free by telling your colleagues about it and asking them to contact me to be added to the distribution list. 
 

Sincerely,
Robin E. Kobayashi, J.D.

LexisNexis Editorial & Content Development
Emerging Issues Analysis: Article for Purchase
Vernon Sumwalt

  Vernon Sumwalt on

"A Tale of Two Cases" (Stare Decisis Only Matters Sometimes in North Carolina)

Quick Links

Top 25 Blogs for 2009

Top Cases: Missouri, Vermont 

Martin Klug

Missouri Top Cases, powered by Huck, Howe & Tobin. Martin Klug reports recent cases on idiopathic defense, chemical sensitivity and arthritis. Read it.
 
Keith Kasper 
Vermont Top Cases Jan.-Mar. 2010. Keith Kasper of McCormick, Fitzpatrick, Kasper & Buchard, PC, surveys recent cases on non-Hodgkins lymphoma, intoxication, video surveillance,  spinal cord stimulator, Chronic beryllium disease, vehicle modifications, and more. Read it.
Workers' Comp Profile

Brad Bleakney

Brad E. Bleakney is a partner with Bleakney & Troiani in Chicago. Mr. Bleakney practices in the area of work related injury claims, Illinois Workers' Compensation and related third party litigation for accidental work injuries. He is a member of the CBA Chicago Bar Association, ISBA Illinois State Bar Association, WCLA Workers' Compensation Lawyers Association, CBA Committee on Workers' Compensation, and ISBA Workers Compensation Section Council (2006-2007-2008). He also serves on the Executive Committee for the Larson's National Workers'  Compensation Advisory Board and regularly contributes to the LexisNexis Workers' Comp Law Community. Visit his Illinois Workers Compensation Blog
Web Poll in Progress
The exclusive remedy rule (employer immunity) in your state is:   
  • increasingly being eroded by court decisions - 11%
  • properly applied by courts in most cases - 33%
  • somewhat eroded by a few recent court decisions - 44%
  • undecided - 11%
featured article: donut hole

Teddy SnyderWhat You Need to Do Now About the Medicare Set-Asides in Your Files. Teddy Snyder at Ringler Associates discusses the effect of the Affordable Health Care For America Act on Part D MSA Allocations. Read it.

Larson's spotlight: 5 recent cases you should know about

Tom Robinson thumbnailLarson's Spotlight reports noteworthy workers' comp cases each week. This list was compiled by Thomas A. Robinson, a staff writer for Larson's Workers' Compensation Law, the nation's leading authority on workers' compensation law. 

 
#1  OH: Alleged Horseplay During Team-Building Exer-cise Removed Incident From Course and Scope of Employment.
 
#2   CO: Employee of Food Vendor Was Statutory Employee of Grocery Store - Tort Action Against Store Barred by Exclusive Remedy Rule.
 
#3   NC: Employee's Fall Resulting From Idiopathic Condition Does Not Support Award of Benefits.
 
#4 MA: Court Affirms Double Damages Award Against Attorney in Fee Dispute.
 
#5  OH: Injuries Sustained During 78-Mile Commute Not Barred by Going and Coming Rule.
BLOG ROUNDUP

Fraud SignWorkers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, Investigations 4/8/2010. Insurance broker, physician, mine owner, double dipper and more in the news. Read it   

NYSIFStraight Talk About New York Workers' Comp. Insurance Rates. New York State Insurance Fund explains loss cost multiplier and experience modification. Read it
 
Robin Kobayashi
What They Saw at the ABA TechShow 2010 - 40 of the Best Commentaries and Resources. Robin E. Kobayashi of LexisNexis has rounded up 40 of the best blogs, podcasts, documents, and videocasts that summarize the lessons, experiences, and takeaways from this year's TechShow. Read it
 
Rebecca ShaferIncluding Migraines in Wellness Programs May Reduce Workplace Injuries. Reprinted from Workers' Comp Kit Blog, this article examines common misconceptions about migraines and how to diagnose them. Read it
national news
> OSHA On The Prowl. Will You Be Next?
> 10 States Top List of Worst for Social Security Disability Insurance Backlogs, According to Analysis
> U.S. Rate for Workers' Comp Dipped 2 Percent in March 2010
> Joe Paduda Discusses Health Reform Impact and Changes on Workers' Compensation
> World Health Day April 7, 2010: 1000 Cities 1000 Lives
> Popular LinkedIn WC Forum Announces Name Change
> Federal Register Notice: Survey of NIOSH Recommended Safety Practices for Coal Mines
> Pros and Cons of Workers' Comp Surveillance Discussed in New Podcast
> OSHA's New Document Addresses Shipbreaking Worker Safety
> Expert Provides Five Tips for Workplace Injury Prevention
state news
> AZ: House Committee Approves Bill to Privatize SCF Arizona
CA: Test Case Filed for Dementia in Retired Football Players
> CA: 700 Football Players Pursuing Workers' Comp Claims in California
> CA: Sacramento Doctor Arrested for Alleged Sexual Assault of Workers' Comp Patients
> CA: Insurance Broker Sentenced to 10 Years in Prison for Grand Theft and Insurance Fraud
> CA: Most Retired Football Players Settle for Lump Sums
> CO: House Rejects Bill to Cap Pinnacol Reserves and Require Payment of Dividends From Excess Revenues. > KY: Legislature Sends Bill to Governor to Retain Use of AMA Guides Fifth Edition
> MD: AIA Praises Maryland Legislature for Not Raiding IWIF Surplus.
> NE: Senate Advances First Responder Bill to Final Reading
> NE: WC Assigned Risk Plan Agreement
> ND: WSI Board of Directors Considering 3.3 Percent Workers' Comp Rate Increase
> OH: Court Affirms Jury Verdict for Coca-Cola Worker Injured During Team-Building Event
> OH: Lawmaker Seeks to Cut Off Funding for Workers' Compensation Council
> OK: Workers' Comp Reform Bill Passes House Committee
> SC: Agents Reminded of Producer Licensing Compliance Deadline
> TN: Senate Speaker Signs Bill Enacting Rental and Assignment of PPO Network Rights
> TX: Rockport Healthcare Group's PPO Network Tops 500,000 Workers' Comp Providers
> VT: Summary of Recent Case Developments January-March 2010
> WV: History of Safety Violations at Mine Where Explosion Killed 25 Workers
> WV: Massey Energy, Formerly Self-Insured, Bought Workers' Comp Insurance A Month Before Mine Explosion
> WI: Workplace Bullying Bill Would Provide Civil Remedy for Employees
what's new in larson's workers' compensation law
P340 Cover
 
 
Lexis.com subscribers to Larson's Workers' Compensation Law can link to the chapter discussion below.
 
Find out more about how to become a Larson's online subscriber by contacting:
Caroline.Conway@lexisnexis.com.

 

Rights Between Insurers. Quite often a work-related disability develops gradually, or comes about as the result of a succession of accidents. Where successive insurance carriers insure the employer's workers' compensation obligation, disputes can arise between the carriers as to which must underwrite the employee's benefits. Chapter 153, which discusses the resolution of this important issue, has been revised by the Larson's editors. Generally, the insurance carrier covering the risk at the time of the most recent injury or exposure bearing a causal relation to the disability is liable for the entire compensation.
 
For example, in Geathers v. 3V, Inc., 371 S.C. 570, 641 S.E.2d 29 (2007), where the evidence tended to show that the claimant's disability was caused by a second accident, which aggravated claimant's pre-existing condition cause by a first injury, and where there had been a change in the employer's workers' compensation carrier, the second carrier was responsible for the entire cost of claimant's benefits [see Ch. 153, § 153.02[1] n.4].
 
The chapter also discusses the important "last injurious exposure rule," a concept that places full liability upon the carrier covering the risk at the time of the most recent injury that bears a causal relation to the disability. Determination of these issues is generally driven by the particular facts of the case. Commissions and courts are often called upon to draw fine lines.

For example, in Lanes v. Mont. State Fund, 2008 MT 306, 346 Mont. 10, 2008 Mont. LEXIS 461 (September 3, 2008), an employee contracted an occupational disease within his left knee while working for his primary employer. He also served as a part-time minister at a nearby church. The Montana court held that there was substantial credible evidence supporting the compensation court's factual findings that the employee's duties as a minister did not significantly aggravate his right knee condition; his last injurious exposure was with the employer, not with the church.
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