Publications
Superior Court confirms IAB’s termination of total disability benefits and rejects argument that IAB “precedent” requires a DME doctor to examine a claimant following a subsequent, intervening event in order to offer an opinion on work capabilities.
Mr. Hooten injured his neck in a compensable work accident in December 2020. In late 2021, the employer filed a petition to terminate ongoing total disability benefits based on the opinions of Dr. Gelman.
What’s Hot in Workers’ Comp, Vol. 27, No.
The Appellate Court finds that the employer/carrier forfeits the right of seeking a one time physician change due to an untimely response.
The claimant sent a written request to the employer/carrier on June 20, 2019, exercising his right to a one time change in physician. The employer/carrier failed to respond.
What’s Hot in Workers’ Comp, Vol. 27, No.
The New Jersey Appellate Court affirms finding of compensability under Special Mission exception of Coming and Going Rule even though the petitioner sustained severe injuries as a result of his own actions in violation of company policy.
The petitioner sustained severe injuries, including loss of the use of an eye, brain trauma and burns, as a result of a B-Tank/gas tank explosion.
What’s Hot in Workers’ Comp, Vol. 27, No.
A Hearing Officer in a Fee Review case does not have statutory authority to remedy an overpayment of medical bills made to the provider by the insurer.
In this case, the Medical Fee Review Section determined that Philadelphia Surgery Center (the provider) was due $14,393.83 for medical services rendered to the claimant.
What’s Hot in Workers’ Comp, Vol. 27, No.
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What’s Hot in Workers’ Comp, Vol. 27, No.
On remand, the Industrial Accident Board concluded that a COVID-19 workplace exposure at a poultry processing plant did not qualify as a compensable occupational disease.
Mr. Fowler alleged that he suffered a compensable COVID-19 exposure at work.
What’s Hot in Workers’ Comp, Vol. 27, No.
Florida District Court of Appeal upholds denial of benefits to a first responder for his claims of mental injuries from work-related trauma.
The First District Court of Appeal affirmed the final compensation order below, opining that the expert medical testimony supported the judge’s denial of the claimant’s Fla. Stat. Sec. 112.1815(2)(a)(3) claim.
What’s Hot in Workers’ Comp, Vol. 27, No.
Florida Approves 8.4% Rate Decrease
The Florida Office of Insurance Regulation approved the National Council on Compensation Insurance’s (NCCI) proposed rate decrease of 8.4%.
What’s Hot in Workers’ Comp, Vol. 27, No.
New Jersey Supreme Court finds insurance broker has duty to provide notice to LLC members of workers’ compensation coverage options.
The New Jersey Supreme Court held that an insurance broker has a non-waivable duty to an LLC to provide notice that workers’ compensation coverage is available to members of the LLC who can actively perform services on behalf of the LLC but only i
What’s Hot in Workers’ Comp, Vol. 27, No.
An Application for Fee Review is not premature on the basis that the treatment for an accepted work injury is not causally related where a Utilization Review Request has not been filed.
The claimant sustained a low back work injury in October of 2019, which was accepted by a medical-only Notice of Compensation Payable (NCP). Thereafter, the claimant was prescribed compound cream.
What’s Hot in Workers’ Comp, Vol. 27, No.