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Vol. 3, Issue 2

Find Solutions & Strategies                          January 9, 2012

Top 10 BizarreTop 10 Bizarre Cases for 2011

 

Read our picks for the most unusual cases of 2011

In This Issue
-TOP 10 BIZARRE CASES
-LHWCA & MSP
-COST CONTAINMENT
-LARSON'S SPOTLIGHT: Exclusive Remedy, Jurisdiction, Dependency Benefits, Aggravation of Original Injury
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud new, NV wc fraud you don't hear about
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals: 

 

My thanks to all of our contributors for this issue of eNewsletter: Thomas A. Robinson, Jennifer C. Jordan, Karen C. Yotis, and Virginia Hunt 

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
Workers Comp Management
WCMP Shafer 2012 Edition Light Blue

New 2012 Edition

by Amaxx Risk Solutions, Inc.

Order Today!

 

"A roadmap [to] help organizations cut their workers compensation costs by as much as one-half."

 

-Karen Yotis, Esq. 

Vice President, Great Lakes Chapter, Association of Insurance Compliance Professionals 

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top 10 bizarre cases

Tom Robinson thumbnailTop 10 Bizarre Workers' Comp Cases for 2011, by Thomas A. Robinson. Last January, I shared with readers the fact that prior to his death, Arthur Larson and I had an annual ritual in which we'd meet in Arthur's home on Learned Place, near Duke University's campus, and review our respective lists of bizarre workers' compensation cases reported during the previous year. As I mentioned in last year's "bizarre" post, one must always be respectful of the fact that while a case might be bizarre in an academic sense, it was intensely real, affecting real lives and real families. And so, to continue in the spirit of that January ritual, here follows my list (in no particular order) of 10 bizarre workers' compensation cases during 2011. > Read the list

longshore act & the msp

Jen Jordan March 2010 thumbnailCourt Grants Hearing in LHWCA Settlement When CMS Declined to Review Case Within Its Thresholds, by Jennifer C. Jordan, Esq. Medicare set-asides have become an albatross for all insurers. And despite all their efforts to do exactly what CMS wants in the interest of protecting the Medicare Trust funds, CMS is constantly changing the rules or arbitrarily making random determinations that impact other legal obligations of the parties attempting to protect Medicare. An opinion recently published by the United States District Court for the Western District of Louisiana is a prime example of how CMS' efforts are going too far at the expense of parties and in this instance, the federal court system as well. > Read more

cost containment: soup to nuts

Karen YotisCost Containment From Soup to Nuts: Rebecca Shafer's Workers Compensation Management Program: Reduce Costs 20% to 50%, 2012 Edition, by Karen C. Yotis, Esq. When a workers' compensation maven of Rebecca Shafer's caliber shares her expertise about implementing cost containment best practices, industry professionals can't afford to do anything but listen. Likewise, now that Shafer has released the 2012 edition of her guidebook Workers Compensation Management Program: Reduce Costs 20% to 50%, risk managers, adjusters, vendors, attorneys, agents and brokers, carriers, and employers can't afford to do anything but click here to purchase the book, and start reading. > Read more

Larson's spotlight on recent cases

Tom Robinson thumbnailExclusive Remedy Rule Bars Student Worker's Tort Action, by Thomas A. Robinson. A tort action filed against a college by a college student who worked part-time at the college book store, and who was on a lunch break at the time of the accidental injury, was barred by the exclusive remedy provisions of the Florida Workers' Compensation Act, held a state appellate court recently....

 

Other Case Highlights:   

  • CT: Home Office With State Is Alone Insufficient to Confer Jurisdiction for Out-of-State Injury Where Office Was For Employee's Own Convenience and Not Mandated by Employer 
  • OH: Commission's Decision Denying Dependency Benefits to Parents, Both Mexican Residents, Was Erroneous Where Reasons for Decision Were Not Adequately Explained
  • OR: For Purposes of Three-Year Statute of Limitations Regarding Reinstatement, Issue Is Not Whether Aggravation of Original Injury Starts New Limitations Period, But Whether Aggravation Injury Was Itself a Compensable Injury 

> Read the summaries and court decisions.

blogS at the lexisnexis workers' comp law community
Fraud SignWorkers' Comp Fraud Blotter - State Senator's Trucking Company Not Trucking So Much After Court Shuts It Down, by LexisNexis Workers' Compensation Law Community Staff. Read it.   

  

 

VirginiaHuntNevada Workers' Comp Fraud You Don't Hear About, by Virginia Hunt, Esq. Read it.

 

national news
state news

AZ: IC Posts Notice on Payers' Obligation to Provide Prescription Medications.

AZ: Senate Bill Proposes Electronic Payment of Benefits.

CA: Insurance Commissioner Names Dave Jones New Deputy Commissioner.

CA: SCIF Plans Up to 60 Layoffs for Sonoma County Operations.

CA: CHSWC to Discuss PD, AMA Guides, OSHA Inspectors at Jan 19 Meeting.

CA: WCIRB to Begin Reporting USL&H Coverage Data on Behalf of Members.

CA: DIR Posts New Laws in Effect for 2012.

CO: Division of Insurance Proposes Rule Changes for Inquiries, Document Requests.

FL: Insurance Regulators Release Annual Workers Comp Report.

FL: Insurance Regulators Say State Workers Comp Appears Competitive, Financially Healthy.

FL: Opinion Piece Surveys Legislature's Attempts to Close Loop Hole for Drug Repackaging.

IL: State Approves Three Workers Comp Preferred Provider Program Administrators.

KY: Office of Controller Posts New Lower Mileage Rate for 1Q 2012.

ME: WCC's Former Deputy Director's Connection to Continuum Healthcare Scrutinized.

ME: Labor Organizations Gear Up to Fight Workers Comp Legislation.

ME: MEMIC Promotes Jeff Funk to Assistant Vice President.

MD: WCRI Says Recession Had Minor Impact on Workers Comp Costs Per Claim.

MI: WCRI Says Workers Comp Costs Per Claim Rose Slowly.

MS: Joint Legislative Committee Calls for Changes to Workers Comp Commission.

MO: Business Groups Call for Fix of Second Injury Fund.

MO: Governor Appoints James Avery to Labor and Industrial Relations Commission.

MT: Insurance Commissioner Appoints Adam Schafer Deputy Commissioner.

NE: High Court Denies Benefits to Injured Nurse, Exclusive Remedy Rule Applied.

NH: LGC Investigation Continues, LGC Subpoenas Emails.

NY: Medical Director Addresses Treatment of Exacerbation for Injuries Covered by MTG.

OR: WCD Announces Dates for 2012 Educational Conference.

SC: WCC Posts 2012 Maximum Weekly Compensation Rate.

SC: Dept of Insurance Announces Appointment of Acting Insurance Director.

TN: Governor Haslam Wants to Study Workers Comp System, Target 2012 Legislation.

TX: DWC Seeks Comments on Revisions to Employee Forms.

WA: Opposition Over Proposed Fees in State's Prescription Drug Monitoring Program.

WA: Some Industries Will See Workers Comp Rate Hikes in 2012.

WV: BrickStreet Plans to Expand Into Two or Three States in 2012.

WY: Governor Announces Plans to Improve Workplace Safety.

WY: Business Poll Shows Majority Against Privatization of Workers Comp Insurance.

WY: Labor Advocates Push for Workplace Safety Improvements.

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Top 25 Blogs 2011

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ENEWSLETTER ARCHIVES

Take a deep dive into our past eNewsletters for 2012 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

 

January 2, 2012: 10 Myths and Facts About Workers' Compensation.

December 19, 2011: Medical Marijuana and Workers' Compensation.

December 12, 2011: Top 10 Workers Comp Cases for 2011; Top 10 Fraud Stories.

December 5, 2011: MMSEA Sect. 111 - Identifying Reporting Triggers.

November 28, 2011: Prescription Drug Abuse in America (Part Three): Strategies.

November 21, 2011: Prescription Drug Abuse in America (Part Two): The "P" Stakeholders.

November 14, 2011: Prescription Drug Abuse in America (Part One): The Problem.

ACCESS 2010-2011 ARCHIVES AND ARTICLES LIST HERE.

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