Vol. 6, Issue 11

Find Solutions & Strategies                     March 16, 2015

 Tackling the Elephant in the Room:
  
 E X C L U S I V E   R E M E D Y
In This Issue
A Note From the Editor
tackling the elephant in the room: exclusive remedy

By Deborah G. Kohl, Esq. 

  

As all workers' compensation practitioners know exclusive remedy is the linchpin of the "great social bargain" underlying the workers' compensation system within which we toil on a daily basis. The workers' compensation statutes are premised on the employer making payment to an injured worker in a no-fault system with the employee agreeing to forgo possible tort remedies in return. The employee receives money to live on and has necessary, related medical expenses paid and in return the workers' compensation payment becomes the "exclusive remedy" for the injury. Easy. Both sides get something and in return give something: The employee gets paid and the employer is off the hook for any potential lawsuit...read more.

LARSON'S SPOTLIGHT ON RECENT CASES

Thomas A. Robinson, J.D., our Feature National Columnist, is a leading commentator and expert on the law of workers' compensation. 

  

New York: Postdoctoral Fellow Is Employee of Med School In Spite of Fact That Salary Was Funded by National Institute of Health Grant. A postdoctoral fellow who worked in a research laboratory at NYU School of Medicine and whose salary was funded by a federal grant that was administered through the National Institutes of Health was nevertheless an employee...read more.

 

Connecticut: Employer Need Not Pay for Palliative Medical Care. Various medications prescribed by the plaintiff's treating physician for a head injury that occurred some 18 years earlier were palliative rather than curative, and thus were not reasonable and necessary medical treatment...read more.

 

Vermont: Physician's Use of AMA Guides' DRE Method-Rather Than ROM Method-for Determining Impairment Did Not Support Reformation of Settlement Agreement. Where settlement in 2002 of the PPD segment of a workers' compensation claim was based upon a physician's...read more.

 

Florida: Arbitration Clause in Employment Contract Binding in Former Employee's Retaliatory Discharge Claim. An employment agreement that required arbitration of all employment disputes between a staffing company...read more.

 

Vermont: Agreement to Arrange for Impairment Rating Medical Visit Does Not Toll Statute of Limitations. The State of Vermont, as employer, did not waive the affirmative defense of statute of limitations when it agreed to...read more.

lexisnexis legal newsroom blogs
CassandraLet it Bleed: A Delaware Case on Venous System Impairment, by Cassandra Roberts, Esq. Read it.
  
  
  
  
  
Martin KlugMissouri: Court Reverses Denial of SIF Benefits for Unexplained Fall, by Martin Klug, Esq. Read it.
  
    
  
  
  
CWCICalifornia: CWCI/WCIRB Study Confirms Post Reform Reductions in ASC Facility Fees, by CWCI. Read it.
  
  
  
  
  
Reinhalter MarkLHWCA: Recent Developments in the Scope and Application of the Zone of Special Danger Doctrine, by Mark A. Reinhalter, Counsel for Longshore, Office of the Solicitor, U.S. Dept. of Labor. Read it.
national & state news

WCRI Exec. Director: ProPublica/NPR Articles Don't Prove Failure of WC System.

OWCP Proposes Rule Changes for Longshore Act Electronic Submission of Documents.

CA: Adoption of Drug Formulary in Calif. Would Set Trend for Other States.

CA: WCIRB and CWCI Ambulatory Surgical Center Study Released.

CA: Ins. Commissioner, SCIF President Paint a Rosy Picture for Senate Committee.

CA: Federal Judges Rule Juries to Decide if Uber, Lyft Drivers Are Employees.

CA: AB 1170 Would Provide 24-Hour Medical Coverage to Farm Workers.

CA: SB 563 Would Require Transparency of Payment Methodology for UR.

CA: LAO Supports Funding of Additional Positions at Cal/OSHA.

CA: Labor Sec'y Disputes ProPublica's Claim That Calif. Reforms Hurt Injured Workers.

CO: Pinnacol Assurance Celebrates Centennial.

CO: DWC Revises Rules for Employer Control of Authorized Treating Physicians.

IL: Trial Attorney Calls for Work Comp Insurance Premium Transparency, Oversight Reform.

KS: Legislation to Change Back to Older Edition of AMA Guides Stalls.

MN: Nurses Seek Legislation to Protect Them Against Patient Attacks.

MN: High Court Reverses WCCA on Work Injury From Fall Down Stairs.

MN: L&I Proposes Criteria for Long-Term Treatment With Opioids.

MO: Dept. of Insurance Reaches $1.25M Settlement With AIG Ins. Companies.

MT: Montana Workers' Compensation Celebrates Centennial.

MT: AFL-CIO Boycotts Montana's Workers' Comp Centennial Celebration.

NV: SB 224 Would Create Standard Definition of Independent Contractor.

NV: NCCI Explains .5% Decrease in Loss Cost Filing.

NH: HB 450 Establishes Criteria for Definition of Independent Contractor.

NY: WCB Posts Revised Newly Authorized Health Care Providers List.

NY: WCB Posts Changes to List of Authorized Health Care Providers.

OR: DCBS Releases Report on 2014 Workplace Deaths.

OR: WCD Revises Form for Insurer's Request for Additional IME.

OR: WCD Revised Request for Reconsideration Forms.

OR: WCD Posts Revised, Permanent Medical Fee and Payment Rules.

SC: WCC Posts Latest Insurance Compliance, Medical Bills, Claims Statistics.

SD: Tell-Tale Web Page on Employee's Blackberry Dooms Comp Claim.

TX: DWC Seeks Input for Development of FCE Plan-Based Audit.

TX: DWC Posts Reminder of TX Workers' Comp Transition to ICD-10 Code Sets.

TX: DWC Posts Safety & Health Update March 2015 Issue.

WA: SB 5513 Passed by Senate, Lowers Age for Work Comp Structured Settlement.

WY: Governor Signs HB 107 First in the Nation Interstate Medical Licensure Compact.

ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2015 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

Mar. 9, 2015: Strong Correlation Between Nonopiod Substance Abuse and Opioid Addiction.

Mar. 2, 2015: Surviving the Great Recession: Getting By With a Little Help From Our Meds.

Feb. 23, 2015: Insurer-Supported Engineering Controls and Reduction of Claims and Costs

Feb. 17, 2015: Workers' Compensation and Its Secondary Payers: Medicare and Medicaid

Feb. 9, 2015: Geographic Variation in Use of Treatment Guidelines for Occupational Injuries

Feb. 2, 2015: Occupational Injury Patterns of U.S. Workers With Physical or Mental Disabilities

ACCESS 2010-2015 ARCHIVES AND ARTICLES LIST HERE.