National Edition Banner March 2010
Vol 1, Issue 5

Find Solutions & Strategies                                 April 26, 2010

"Out of the Money" in Kentucky

 The plight of jockeys and backside workers injured on the job
In This Issue
-FEATURED ARTICLE: horse racing & workers' comp
-LARSON'S SPOTLIGHT: marijuana, retaliation, idiopathic, intoxication, accidental injury
-BLOG ROUNDUP: fraud, penalty, fee schedules, performance based oversight, utilization review, head injury
-NATIONAL NEWS
-STATE NEWS
-LARSON'S ON ILLEGAL EMPLOYMENT
-LARSON 50% OFF SALE
A Note From the Editor
Robin Kobayashi
Dear WC Professionals:
 
According to NIOSH, an average of 16 workers in the United States die each day from injuries sustained at work, and 134 are estimated to die from work-related diseases. Let's honor those who have died in the workplace. Workers Memorial Day is April 28.
 

Sincerely,
Robin E. Kobayashi, J.D.

LexisNexis Editorial & Content Development
Workers Memorial Day April 28
Worker Memorial Day 2010
 
"Going to work shouldn't be a grave mistake." 
 
Quick Links

Top 25 Blogs for 2009

Top Blog Profile
Delaware Detour and FrolicDelaware Detour & Frolic was selected as a LexisNexis Top 25 Blogs for Workers' Compensation and Workplace Issues - 2009, in the Best Blogs to Watch category. "Truly one of the best kept secrets this past year has been Delaware Detour & Frolic by Cassandra Roberts, a senior partner at Young Conaway Stargatt & Taylor, LLP. This well-written law blog from 'The First State' is a rarity in that its author represents both employers and injured workers. If ever there was a blog with a balanced point of view, this is it." Visit Delaware Detour & Frolic
Web Poll In Progress
The federal takeover of workers' compensation is:    
  • highly unlikely - 58%
  • limited to certain occupational diseases - 17%
  • increasingly becoming a concern - 8%
  • inevitable - 17%
 
Popular Posts
 
 
 
 
Impairment Guides Resource Center (click on image)
Impairment Guides Resource Center
 
This site, formerly called the AMA Guides Resource Center, is designed to help you locate Impairment Guides-related materials on the LexisNexis Workers' Compensation Law Community, the Internet, and lexis.com. Click on the image above to access the site.
featured article:  out of the money

MarcusRoland

Kentucky's Thoroughbred Industry and Workers' Compensation: "Out of the Money". Marcus A. Roland of Roland Legal explores the plight of jockeys and backside workers injured on the job, this on the eve of the 136th running of the Kentucky Derby on May 1st. 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  NY: Worker Awarded Benefits In Spite of High Levels of Marijuana Metabolites in System
 
#2   IA: Supervisor Who Actively Supports Others' Compensation Claims May Be Fired With Impunity
 
#3   MO: Coughing Incident Was Not Idiopathic Condition; Injuries Were Compensable
 
#4  PA: "Magic Words" Not Required to Establish Intoxication Defense
 
#5  NC: Traffic Officer's Achilles Tendon Injury Was Not Accidental
BLOG ROUNDUP

Fraud SignWorkers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, Investigations 4/22/2010. Read it 

 
EdDetlieIowa Employer Subject to Penalty for Not Paying Injured Worker With Zero Impairment, by H. Edwin Detlie. Read it 
 
Greg KrohmAre Fee Schedules Effective in Workers' Compensation? by Greg Krohm, IAIABC. Read it 
 
Stuart ColburnTexas Performance Based Oversight 2010 Assessment, by Stuart Colburn. Read it
 
 
Cassandra RobertsCavalcade of Reversals by Delaware IAB in UR Appeals on Issue of Surgery, by Cassandra Roberts. Read it
 
P884 thumbnailSurvey of Recent Head Injury Cases, by LexisNexis Occupational Injuries and Illnesses Staff. Read it  
national news
> Health Care Reform Bill Includes Consumer-Financed National Insurance Pool for Long-Term Care
> MSHA Defends Its Inspection Record, Says Upper Big Branch Mine Tragedy Was Preventable
> ISO, NAIC and NICB Make Reporting Suspicious Insurance Claims Easier
> Conning Research Forecasts Property-Casualty Industry Turnaround for 2011
> Legislation to Correct Problems With Workers' Comp for Nuclear Workers Stuck in Committee
> SUNZ Insurance Company Adds Five States to WC Coverage Area
> Best's Review to Host Webcast Examining State-Run Worker's Compensation Funds
> Zenith Announces First Quarter Results
> Workers' Comp Insurers Embracing Technology to React to Market and Regulatory Challenges According to Novarica Report
> Judge Rejects Bid by Zenith Shareholders to Block Sale
> CMS Posts New Information for MMSEA Section 111 Reporting
> CDC Report Finds Younger Workers Face Higher Risk of Injury on the Job
> OSHA Takes Action With Severe Violator Program and Increased Penalties
> Broadspire Partners With Medcor to Provide Injury Triage Services
> NCCI Posts Report on Effects of Health Care Reform on Workers' Comp Ssytems and Costs
> OxyContin Abuse Prevention Bill Faces Challenges in Congress
> Property Casualty Insurers Highlight Workers Comp Issues at PCI's Arizona Legislative Action Day
state news
> AZ: Industrial Commission Posts Notice of 2010 Fee Schedule Hearing
> CA: Former OC Sheriff Pursues Workers' Comp Claim
> CA: DWC Issues Second Notice of Revisions to MPN and Employee Information Rules
> CA: AIA Says Workers' Comp Measures Will Increase Medical Costs and Interfere With Right to Contract
> CA: DWC Posts List of Facilities Using High Cost Outlier Payment Methodology
> CA: Chiropractors Performing Manipulation Under Anesthesia Stated Claims Against Insurance Company and Its Employee for Malicious Prosecution
> CA: Gregory G. Aghazarian, Former WCAB Commissioner, Appointed Deputy Secretary With Dept. of Food and Agriculture
> CO: Industry Group Seeks to Kill Workers' Comp Bills
> CO: Aspen Chamber and Pinnacol to Host Seminar on Medical Marijuana in the Workplace
> GA: Senate Passes Bill to Help Employers Buy Into Insurance Insolvency Pool
> IL: Lawsuit Filed Against Workers' Comp Carrier for Alleged Overcharging of Premiums
> LA: Cost Per Claim of Drugs Prescribed to Injured Workers in Louisiana Was 75 Percent Higher Than Study Median
> MA: Payment Per Claim for Drugs Prescribed to Injured Workers in Massachusetts Was Lower Than Study Median
> MD: New Vocational Rehabilitation Rules and Forms in Effect
> MD: Cost Per Claim for Drugs Prescribed to Injured Workers in Maryland Was Slightly Higher Than Study Median
> MI: Applications Being Accepted for Workers' Comp Appellate Commission
> MI: Richard Zapala Reappointed to Funds Board of Trustees
> MO: House Rejects Bill to Remedy Second Injury Fund
> NY: Flooring Company Owner Charged With Workers' Comp Fraud
> NY: Senate Committee Rejects Bill to Give Farm Workers More Rights and Benefits
> NY: WCB Provides Guidance on Domestic Workers Coverage Requirements
> NY: Worker Awarded Benefits In Spite of High Levels of Marijuana Metabolites in System
> OK: Luttrell Proposes Work Comp Overhaul
> OK: House Passes Comprehensive WC Reform
> OK: House OKs Bill to Stop Fraudulent Misclassification of Employees
> TN: Stone Point Capital, Hellman & Friedman to Acquire Sedgwick Claims Management Services for $1.1B
> TX: TDI, Dallas District Attorney Cooperation Nets 29 Insurance Fraud Indictments
> UT: Ron Dressler Appointed Director of Industrial Accidents Division
> WA: Worker Memorial Day Ceremony Set for April 28 at L&I Headquarters
> WI: New Rules Now Regulate Traveling Sales Crews
 
1439 2009 cover
New! Illinois Workers' Comp Guidebook (Call 1-800-223-1940, Ask for Publication #1439)
P1130 R12 cover
Order Today (2009 Edition)
1230 2009 cover
Order Today (2009 Edition)
80283 cover
Order today (2010 Edition)
larson's on illegal employment and false job applications
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.

 

Illegal Employment and False Job Applications. Persons employed under illegal contracts of hire are usually denied compensation if the illegality results from the obligation to perform illegal acts, but not if the illegality arises merely from a prohibition against making the contract, as in the case of legislation prohibiting the employment of minors in some jobs.  While virtually all states now cover illegally employed minors, there continues to be great controversy when it comes to the status of illegal aliens.  Chapter 66, which covers issues related to illegal employment, is being revised and updated for the June 2010 release of Larson's Workers' Compensation Law.

Courts have been paying particular attention to the issue of false statements in employment applications.  Most courts continue to hold that such statements do not make the employment contract invalid. Benefits are barred only if (1) the employee knowingly and willfully made a false representation as to his or her physical condition; (2) the employer relied on the representation and the reliance was a substantial factor in the hiring; and (3) there was a causal relation between the false representation and the injury.
  
In one 2008 Florida case, Fast Tract Framing, Inc. v. Caraballo, 994 So. 2d 355 (Fla. Dist. Ct. App. 1st Dist. 2008), determined that under Florida's special definition of "wages" (see Fla. Stat. § 440.02(28)), only the income that was actually reported to the federal government could be considered in the computation of an injured worker's average weekly wage.  Since many undocumented workers fail to file returns, they would have no average weekly wage that could be used to compute disability benefits.  The full effect of Fast Tract Framing has been diminished, however, by two subsequent decisions - J.B.D. Bros' and Masonry, Inc. v. Miranda, 2010 Fla. App. LEXIS 544 (Fla. Dist. Ct. App. 1st Dist., Jan. 25, 2010) and Rene Stone Work Corp. v. Gonzalez, 2010 Fla. App. LEXIS 543 (Fla. Dist. Ct. App. 1st Dist., Jan. 25, 2010) [see Chapter 66, § 66.03[4][c] n38].
save 50% now on larson's
Larson 50 Percent Discount 
Larson's Workers' Compensation Law  (12 vols.)
Regular Price: $3,981
Discount Price: $1,990.50
 
Larson's Workers' Compensation, Desk Edition (3 vols.) 
Regular Price: $1,063
Discount Price: $531.50 
Offer good through April 2010 
LexisNexis and the Knowledge Burst logo are registered trademarks of Reed Elsevier Properties Inc., used under license. Other products or services may be trademarks or registered trademarks of their respective companies.

Privacy & Security Copyright © 2010 LexisNexis, a division of Reed Elsevier Inc. All rights reserved.