National Banner 2012 Chess Board
Vol. 3, Issue 44

Find Solutions & Strategies                         October 29, 2012

Construction Dollar SignEthnic Bias in Workers'  Comp Awards

 

New study of construction workers shows non-Hispanic whites receive higher benefits than other groups

In This Issue
-ETHNIC BIAS
-CONDITIONAL PAYMENTS
-LARSON'S SPOTLIGHT: Intoxication Presumption, Heart Attack, Arising Out of Employment, Death Benefits
-FRAUD, CUMULATIVE DETRMENTAL EFFECT, ILLEGAL ALIENS, EQUAL EXPOSURE
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
New! 2012 Enhanced Edition
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18 States on Workers' Compensation Medicare Set Asides

 

New Chapters on Specialty Claims, Enterprise Risk Management Issues

 Happy Halloween!
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Dear Workers' Comp Community:

 

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Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
ethnic bias

Stahl, John

Evidence of Bias in Workers' Compensation Awards: Study Shows Whites Receive Higher Benefits Than Other Groups for Comparable Harm, by John Stahl, Esq. Despite the basic workers' compensation principle that every claimant should receive equal medical and wage-loss benefits for the same type of compensable injury and that those benefits should reflect the extent of that harm, relevant statistics have indicated that someone's ethnic background may impact the awarded compensation. An article entitled "Analysis of Ethnic Disparities in Workers' Compensation Claims Using Data Linkage" that Lee S. Friedman, Ph.D. and his co-authors wrote for the October 2012 edition of the Journal of Occupational and Environmental Medicine addressed the issue of race-based differences regarding workers' compensation benefits in the context of compensable injuries that construction workers in Illinois sustained. Read more.

msp: conditional payments

Jen Jordan March 2010 thumbnailMedicare Secondary Payer: Conditional Payment Reimbursement Policies for Certain Liability Settlements, by Jennifer C. Jordan, Esq. In an effort to resolve Congressional concerns about the cost of MSP recovery efforts compared to the recoveries themselves, CMS started creating policies in the fall of 2011 to reduce the agency's involvement in low dollar liability settlements. $300 Threshold for Recovery Exemption: Starting September 6, 2011, if a Medicare beneficiary receives a lump sum liability insurance (including self-insurance) settlement of $300 or less, Medicare will not recover from that settlement so long as the injury was physical trauma based and not due to ingestion, implantation or exposure, the beneficiary does not expect to receive any other related settlements, judgments, awards or other payments and no demand letter has been issued by Medicare. Read more.

Larson's on intoxication presumption

Tom Robinson thumbnailInjured Worker Successfully Rebuts Intoxication Presumption, by Thomas A. Robinson. A Louisiana appellate court recently held that a worker, who tested positive for Dihydrocodeine, Hydrocodone, and Oxycodone when he was taken to a hospital following a work-related accident, had nevertheless successfully rebutted the presumption of intoxication contained La. Rev. Stat. Ann. § 23:1081(5) where the employer offered no other evidence to indicate intoxication caused the worker to fall from a wet and slippery scaffold and where the worker testified that he had not taken any medication in the days before the accident and his supervisor indicated that just prior to the accident, the worker was alert and obeyed instructions. Read more about this case and other cases on heart attack, arising out of employment, and death benefits.

lexisnexis workers' comp law community

Fraud SignWorkers' Comp Fraud Blotter: Former Insurance Agent Sentenced To Jail For One Year In Premium Theft Case. Read it and other news stories.  

 

 

 

 

CassandraCody Varnes, the Sequel...and a Whole Lotta Nothin' at the Delaware IAB, by Cassandra Robert, Esq. Read it.

 

 

 

 

CassandraThe Dearly Deported, Take Two...The DE Superior Court Affirms IAB Decision in Favor of Illegal Aliens, by Cassandra Robert, Esq. Read it.

 

  

 

 

Martin KlugMissouri: Court Finds No "Equal Exposure" From Carrying Helmet During Fall at Work, by  Martin Klug, Esq. Read it.

national news
state news

CA: Destie Overpeck Designated Acting AD for DWC; Richard Newman Appointed Chief Judge.

CA: DWC Issues Notice Re Outpatient, Ambulatory Surgical Centers Fee Schedule Changes.

CA: DWC to Host Electronic Filing Expo in Anaheim on Nov. 8.

CA: CWCDAA Amends Program Agenda to Discuss SB 863 at Winter Conference.

CA: DA Dismisses Rape Charges Against Workers Comp Doctor.

DE: Superior Court Judge Court Affirms Benefits for Deported Immigrant.

FL: Insurance Commissioner Approves 6.1 Percent Workers Comp Rate Increase.

IL: Caterpillar CEO Blasts Business Climate, Workers Comp Costs.

IL: County Board Candidate's Workers Comp Claims Stir Up Controversy.

KY: DWC Says Online Open Records System Available Nov. 1.

MD: WCC Amends Rules Re Procedure, Time Line for Determining AWW.

MN: DLI Redesigns Four Workplace Posters for Employers to Use.

MS: NCCI Recommends 4.1% Increase for Loss Cost Filing.

NE: Workers Comp Maximum Income Benefit Increased to $728 Per Week.

NE: Judge Fridrich Sworn in to Serve on Workers Comp Court.

NH: LGC Asks High Court to Rule on Eight Issues Related to $52M Rebate Order.

NJ: WCRI Study Finds 10% Increase in Medical Costs.

NM: WCA Proposes Rule Changes Re Medical Fee Schedules, WCA Rules.

NY: Court Affirms Benefits for Man Who Died of Heart Attack on Super Bowl Sunday.

NY: Business Group Calls for WCB to Carry Out 2007 Reforms.

NY: WCB Announces Suspension of Dr. James Avellini's Authorization to Treat IWs.

NY: Public Policy Institute to Release Study of 2007 Reforms, Rates Oct. 30.

NC: Controversy Over Need for Public Data on Businesses' Workers' Comp Coverage.

OH: BWC Directors Approve Five Percent Workers Comp Rate Reduction.

OR: WCD Posts Workers Comp Claims Characteristics Spanish Version.

PA: Governor Announces Confirmation of Zurick to Workers Comp Appeals Board.

PA: Municipalities Brace for WC Premium Increase Due to Firefighter Cancer Law.

TX: DWC Says Work-Related Fatalities Decreased in 2011 for Second Year in a Row.

TX: Commissioner Approves Revised Insurance Carrier/UR Agent Plan-Based Audit.

TX: DWC Proposes Revisions to DWC Form-057 Re Extension of MMI Date for Spinal Surgery.

TX: DWC Posts Adjusted Gross Annual Payroll Requirements Re Seasonal Workers.

TX: Texas Mutual Announces $281K Dividend to Social Service Agencies.

WA: L&I Sending 45,000 Letters to IWs to Advise if Doctor Joined a WC Medical Network.

WA: US DOL Reconsidering 800 Claims of Hanford Workers Under EEOICP.

 

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ENEWSLETTER ARCHIVES

ArchivesTake 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.

 

October 22, 2012: Top 25 Blogs for Workers'  Comp; Longshore Act Hieroglyphics

October 15, 2012: 50 State & DC Premium Rate Rankings

October 8, 2012: High Costs of Long-Term Opioid Use.

October 1, 2012: How to Achieve a Desirable Experience Modification Factor

ACCESS 2010-2012 ARCHIVES AND ARTICLES LIST HERE.

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