National Edition Banner March 2010
Vol 2, Issue 2

Find Solutions & Strategies                           January 10, 2011

Top 10 BizarreTop 10 Bizarre Workers' Comp Cases for 2010

 

You've got to read it to believe it

 

In This Issue
-TOP 10 BIZARRE CASES
-LARSON'S SPOTLIGHT: Refusal to Take Drug Test, Tort Action Against Co-Worker, Firefighter Presumption, Employer's Voluntary Payment of Benefits, Maximum Medical Improvement
-BLOGOSPHERE MUST-READS
-BLOG ROUND UP AT THE WCLC: Fraud, VT cases, DE case
-PUBLISHED SCHOLARSHIP: recent law review & journal articles
-MSP COMPLIANCE BOOK
-NATIONAL NEWS
-STATE NEWS
-WHAT'S NEW IN LARSON'S: False SSN
-eNEWSLETTER ARCHIVES
A Note From the Editor
Robin Kobayashi 2010
Dear WC Professionals:
 
I want to thank Thomas A. Robinson for his contributions this week to our eNewsletter. His annual Top 10 list of bizarre workers' comp cases is a fascinating read!

Sincerely,
Robin E. Kobayashi, J.D.
LexisNexis Editorial & Content Development

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Workers' Comp Profile

Blog Mouse BlueComp Time by Roberto Ceniceros, published by Business Insurance, offers invaluable news summaries and learned analysis about risk management, business insurance and workers' compensation. A sampling of the issues covered by Ceniceros include the underground economy, workers' compensation fraud, guns in the workplace, and abuse of controlled substances and prescription drugs. Those who are pressed for time should turn first to Comp Time to get a broad overview of current developments in the field. The Blog was selected as a LexisNexis Top 25 Blog for 2010.

top 10 bizarre cases for 2010

Tom Robinson thumbnailBack by popular demand! Find out what made the annual list in this blog post written by Thomas A. Robinson.

 

In 1987, when I first went to work for Arthur Larson, Emeritus Professor of Law at Duke, multi-talented author of countless journal articles and a number of books (e.g., two non-fiction best sellers in the 60s on the American political system), as well as his flagship, Larson's Workers' Compensation Law, I asked him what he liked about "our" subject. Without hesitation, he responded, "the facts." He said, "The law is interesting, but comp cases have some of the most unusual, quirky facts you'll ever run across." He added, "some cases are just plain bizarre. One always has to remember to approach the strange case with an appropriate level of respect; you're reading about real people, after all-real problems and real disputes. Nevertheless, some of the cases we stumble across are real 'zingers.'" ...

 

And so, in the spirit of Arthur and my former annual ritual, here follows my list (in no particular order) of 10 bizarre workers' compensation cases during 2010. Recognize, of course, that you may find merely curious the sorts of cases that strike me as manifestly weird, and vice versa. If you keep an annual list of your own, I'd love to hear from you. Send them to compwriter@gmail.com. > Read more.

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

Larson's Spotlight reports noteworthy workers' comp cases each week. This list was c5 spotlightompiled by Thomas A. Robinson, a staff writer for Larson's Workers' Compensation Law, the nation's leading authority on workers' compensation law. 


#1 - OH: Injured Worker's Termination for Refusing to Take Drug Test is Sustained

#2 -
NV: Hotel Attendant's Tort Action Against Former Employer for Post-Termination Injuries May Proceed

#3 -
NV: Notice of Claim for Work-Related Breast Cancer Found Timely in Spite of 8 Year Delay; Firefighter's Presumption Was Not Rebutted by Employer

#4 -
VA: Employer's Voluntary Payment of Benefits Does Not Necessarily Create "De Facto" Award

#5 -
IA: Possibility of Some Modest Improvement Does Not Mean Claimant Still Has Not Reached MMI Status
top 10 must-reads in the blogosphere & Beyond

BlogosphereWe recommend the following workers' comp-related articles recently posted in the Blogosphere and Beyond: 

 

 

1. MSHA, Massey Energy Reach Settlement Agreement in Landmark Case, The DOL Newsletter - January 6, 2011.

 

2. NIOSH Completes Assessment of Occupational Exposure to Carbon Nanotubes and Nanofibers, posted by Occupational Health & Safety.

 

3. Six States to Watch on Health Reform, posted by Politico.

 

4. Mobile Phone Use May Influence Tinnitus, posted by Ramazzini; Blog on work and health.

 

5. Recapping 2010 and Looking Ahead to 2011, posted by Workers' Comp Insider Blog.

  

6. What's up for 2011 - predictions for work comp in the Next Year, posted by Joe Paduda on Managed Care Matters blog (January 2, 2011).

 

7. Legally Intoxicated Sanitation Worker Awarded Work Comp Benefits, posted by San Diego Workers' Compensation Blog, published by Law Office of Thomas M. DeBenedetto.

 

8. 2010 wrap-up and predictions for 2011, posted by The Official Medicare Set-Aside Blog, published by MEDVAL, LLC.

 

9. Cancer Survivors' and Employers' Perceptions of Working Following Cancer Treatment, by E.A. Grunfeld, et al., Occupational Medicine.

 

10. A Prospective Study of Work Stressors and the Common Cold, by S.G. Park, et al., Occupational Medicine.

blog round up at the lexisnexis workers' compensation law community
Fraud Sign Workers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, Investigations - 1/6/2011.  Read it. 

 

 

 

Keith KasperVermont Workers' Compensation Update: October to December 2010, by Keith Kaspar. Read it.
 


  

Cassandra RobertsPermanency in Delaware: Rodgers is from Venus, Gelman from Mars, by Cassandra Roberts. Read it.



recent published scholarship

NEW FEATURE: This week we're surveying recent law review and journal articles. Lexis.com subscribers can link to the articles below within their subscriptions:  

  • Revolution in Pragmatist Clothing: Nationalizing Workplace Law, by Jeffrey M. Hirsch, 61 Ala. L. Rev. 1025.
  • Third Party Settlements and Medicare, by Christine L. Hummel, 47 AZ Attorney 30.
  • Square Peg in a Round Hole: Government Contractor Battlefield Tort Liability and the Political Question Doctrine, by Chris Jenks, 28 Berkeley J. Int'l L. 178.
  • Medicare Myths: What Every Trial Lawyer Should Know About the MSP & Liability Medicare Set Asides, by Jason D. Lazarus, 84 Fla. Bar J. 46.
  • Asserting the Workers' Compensation Exclusive Remedy  Bar After McCracken, by  Joseph H. Guffy & Nathan D. Sturycz, 66 J. Mo. B. 206.
  • Fool Me Once, Shame on Me; Fool Me again and You're Gonna Pay for It: An Analysis of Medicare's New Reporting Requirements for Primary Payers and the Stiff Penalties Associated With Noncompliance, by Brent M. Timberlake & Monica A. Stahly, 45 U. Rich. L. Rev. 119.
  • Tennessee's Workers' Compensation Law: When Does an Employee Return to Work for the Pre-Injury Employer? by Robert D. Meyers & Eileen Kuo, 46 Tenn. B.J. 22.
  • "Show Me the Pain": Limitations and Pitfalls of Medical Imaging of the Low Back, by Jack E. Hubbard, Ph.D., M.D. & Samuel D. Hodge, Jr., J.D., 14 Mich. St. J. Med. & Law 129.
  • The Importance of Accurate Injury Descriptions in Notices of Compensation Payable, by Thomas R. Bond & Hannah L. Hubler, 81 PA Bar Assn. Quarterly 34.
  • Independent Contractor or Employee?: Getting It Wrong Can Be Costly, by Debbie Whittle Durban, 21 S. Carolina Lawyer 31.
  • The Insurance Policy as Social Instrument and Social Institution, by Jeffrey W. Stempel, 51 Wm and Mary L. Rev. 1489.

Find out more about how to become a Lexis.com subscriber by contacting: Robin.E.Kobayashi@lexisnexis.com.

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Thumbs Up  "Finally, someone delivers a clear, concise reading in this area, with some definitive answers for both lawyers and claims specialists and accurate reporting dealing with MSP compliance and MSA allocations with all of the necessary resources found in one place."

 

- Brad Bleakney, Esq., Bleakney & Troiani. Read his complete review at Illinois Workers Compensation blog.

 

Thumbs Up  "An excellent new book ... a one-of-a-kind resource ... [Jennifer C. Jordan's] straight-talk is much appreciated when it comes to this illusive area of the law."

 

- Rebecca Shafer, JD, President, Amaxx Risk Solutions, Inc. Read her complete review at Workers Comp Kit Blog.

 

There are many people who don't understand that the Centers for Medicare and Medicaid Services' approval process of a Medicare set-aside arrangement is voluntary and carries P1130 R12 coveran inherent cost. In fact, many of the decisions that need to be made in a settlement negotiation are risk management decisions rather than being truly Medicare Secondary Payer-oriented. Once you understand why CMS wants what it wants, you will realize that its preference may not be the only way to achieve MSP compliance. The Complete Guide to Medicare Secondary Payer Compliance, Jennifer C. Jordan, Editor-in-Chief, will help you take control of your insurance settlements. > Read more about the contents (1,350 pages). List Price: $179



national news
> President Obama Signs 9/11 Health Bill
> Certain Work Characteristics Lead To Burnout, Illness
> US: DoL Agencies To Host Live Web Chats
> ASSE's 100th Anniversary Film Celebrates A Century of Safety
>
A.M. Best Assigns Ratings to FirstComp Insurance Company
> NCCI Study: Sharp Rise in Prescription Drugs Dispensed by Physicians
> Employers Holdings Inc. Upgraded to Neutral Rating
> Study: Return to Work Following Primary Total Knee Arthroplasty
> SUNZ Insurance Steps Up Fraud-Fighting Measures
> Dept. of Defense Adopts Reed Group's MDGuidelines for Return to Work
>
IWCP Identifies Eleven Workers' Comp Issues to Watch in 2011
> Frank Gates/Avizent Acquires Workers' Comp and Managed Care Organization
>
Insurance Journal Lists Top Workers' Comp News for 2010
> Avizent Acquires An OH WC And Managed Care Organization
state news
> MT: "Doggy Potty" Defendant, Business Leaders, Urge Workers' Comp Changes
> NE: WCC Posts Updated Rules
> OK: State Chambers Support Workers' Comp Restructuring
> OK: Insurance Commissioner-elect Names Staff
OR: Former ALJ Challenges Termination by Workers' Compensation Board
> SC: WCC Posts 2011 Maximum Weekly Compensation Rate
> TN: Construction Businesses Can Apply for Workers' Comp Exemption
> TX: TDI-DWC Finalized Medical Quality Review Procedure
> TX: Insurance Commissioner Geeslin to Step Down
TX: Texas Mutual Announces $2.1M Dividend to Texas Restaurant Association
TX: TDI Posts Biennial Report
> TX: Workers' Comp Insurer Sues Florida Insurance Commissioner
> VA: Medical and Indemnity Costs Increase, Claim Frequency Declines
VA: Two Lawmakers Seek to Close Workers' Comp Loop Hole for Brain Injuries.
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what's new in larson's workers' compensation law 
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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: Robin.E.Kobayashi@lexisnexis.com  


Use of False Social Security Number Nixes Compensation Claim. A Florida court ruled that the workers' use of a false social security number at a hospital, at a pharmacy, and to a claims investigator was sufficient to disqualify him from receiving benefits [see Arreola v. Administrative Concepts, 17 So. 3d 792, 2009 Fla. App. LEXIS 11323 (Fla. 1st DCA 2009); Ch. 66, § 66.03[3][c] n24.1]. A judge of compensation claims denied benefits on the ground that the claimant had violated § 440.105, Fla. Stat. (2006) by providing a false Social Security number shortly after the accident when he was taken by ambulance to the hospital, at a pharmacy when obtaining prescription medication, and on the telephone in an interview between the claimant and the employer and carrier's investigator. The appellate court affirmed, stating that the evidence supported these findings. Although the claimant asserted that he presented the number solely as a means of identification and lacked the requisite intent to obtain benefits, this was a question of fact for the JCC to determine, and the JCC simply did not accept his account. The appellate court acknowledged that illegal aliens were covered by the Florida Workers' Compensation Law pursuant to § 440.02(15)(a), Fla. Stat. (2006); however, they had to comply with the statute to obtain its benefits. The statute required everyone to be truthful, responsive, and complete.

ENEWSLETTER ARCHIVES
Take a deep dive into our past eNewsletters for 2011 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

January 3, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104102646819.html 

 

ACCESS 2010 ARCHIVES AND ARTICLES LIST HERE.

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