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Vol. 4, Issue 20

Find Solutions & Strategies                               May 20, 2013

Longshore RopeUpdate From the Benefits Review Board
  
Special Longshore Act Issue
  
In This Issue
-BENEFITS REVIEW BOARD
-COMPENSATION ORDERS
-LARSON SPOTLIGHT: Future Medical Benefits, Employee Status, Retaliatory Discharge, Disfigurement
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
 A Note From the Editor
Robin Kobayashi 2010
Dear Work Comp Community:
  
To sign up for this free weekly eNewsletter, click here. To read past issues, access the archives.

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
benefits review board update

Update From the Benefits Review Board, by Karen Koenig, Associate General Counsel, Longshore, Benefits Review Board. BRB Statistical Update. The Board began this fiscal year in October 2012 with 114 pending Longshore appeals. During the last fiscal year, which ended September 30, 2012, the Board received 169 appeals in cases under the Longshore and Defense Base Acts, 32 fewer than the year before. A total of 205 Longshore Act decisions were issued, seven more than the year before; 17 orders on reconsideration also were issued....Read more.

lhwca compensation orders

Compensation Orders in Litigated LHWCA Claims: What the ALJs and the Parties Should Know, by Yelena Zaslavskaya, Senior Attorney for Longshore, Office of Administrative Law Judges, U.S. Department of Labor. The Longshore Act provides for administration of claims and informal dispute resolution by the District Directors within the Office of Workers' Compensation Programs ("OWCP"), as well as formal adjudication of claims before the Office of Administrative Law Judges ("OALJ"). See 33 U.S.C.S. §§ 901, 919. In a recent decision, the Supreme Court described as follows the dispute resolution process under the LHWCA...Read more.

larson's on future medical payments

Tom Robinson thumbnailHigh Threshold Exists to Stay Payment of Future Medical Benefits, by Thomas A. Robinson, JD. In two consolidated cases, quoting Larson's Workers' Compensation Law, the Alaska Supreme Court recently held that in order to stay the payment of future medical benefits ordered by the state's Workers' Compensation Board, the employer must show the existence of the probability that the appeal will be decided adversely to the compensation recipient. Construing AS 23.30.125(c), the court acknowledged that the "probability of success on the merits" was a high threshold and that the employer often could not recover overpaid benefits in all cases; nevertheless, there were good reasons to treat medical care, especially medical care sought in the first two years following an injury, as similar to "periodic disability payments on which an employee relies as a salary substitute." The court reasoned that...read more about this case and other cases on Employee Status, Retaliatory Discharge, and Disfigurement.

national news
State news

CA: DWC Posts 9 More IMR Decisions in May 2013.

CA: DWC Posts Proposed MPN Rules for Public Comment.

CA: DWC Posts Modified Proposed Supplemental Job Displacement Benefit Rules.

CA: MAXIMUS Launches Independent Medical, Bill Review Services for Cal. Work Comp.

CA: SB 36 Internet Data re Workers Comp Approved by Senate Appropriations Comm.

CA: CWCI Reports Rise in WC Premiums for Third Straight Year of Growth.

CT: NCCI Warns SB 907 Re Treatment Denial Requirements Would Increase Benefit Costs.

DE: Panel Recommends 2-Year Inflation Freeze on Medical Fee Schedules.

GA: Record $4.5M Workers Comp Settlement Reported for Paralyzed Man.

IN: AIA Praises Governor Signing of HB 1320 Workers Comp Reform.

MI: Ex-CEO, Bookkeeper Charged w/Felony for Alleged $2.6 Embezzlement From Ins. Co.

MN: HF1359/SF1234 Post-Traumatic Stress Disorder Bill Sent to Governor.

NJ: NJ Hospital Reported to Have Highest Billing Rates in the U.S.

NY: Newspaper Questions Political Appointment of Fenster as Executive Director of SWCB.

NY: WCB Announces New Employer's First Report of Injury Form.

NC: General Assembly Confirms Andrew T. Heath to Industrial Commission.

SC: WCC Announces Mediation Regulations Approved by General Assembly.

TX: Fifth Circuit Rules Medicare Doesn't Preempt TX WC Law re Medical Preauthorization.

TX: HB 3152 re Certified Workers Comp Network Rates Passed by Senate.

TX: SB 381 re Misuse of DWC Name, Symbol Passed by House.

TX: SB 801 re Security Deposit for Certain Insurance Companies Sent to Governor.

ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2013 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

May 13, 2013: Killing Our Workers.

May 6, 2013: Oklahoma Opt Outs and ERISA.

Apr. 29, 2013: Arthur Larson and the Rule of Law.

Apr. 22, 2013: Proposed Tax on Workers' Comp Benefits.

Apr. 15, 2013: Legal Impairment: Legalized Marijuana in the Workplace.

Apr. 8, 2013: DBA/WHCA Procedures Clarified by Benefits Review Board.

Apr. 1, 2013: Successes and Failures of Fee Schedules.

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