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Workers’ Compensation Appeal Board did not err in granting employer’s petition for a de novo hearing to present after-discovered evidence of a medical provider’s prohibited self-referral to a pharmacy that a workers’ compensation judge would not allow.
The claimant settled a 2010 work injury by Compromise and Release Agreement (C&R) in 2017. The C&R stated the employer reserved the right to either continue paying medical benefits or to fund a Medicare Set-Aside (MSA).
What’s Hot in Workers’ Comp, Vol. 28, No.
Although claimant cannot be working with a concurrent employer on date of work injury with another employer, the relationship with the concurrent employer was sufficiently intact that concurrent wages must be included in calculating average weekly wage.
The claimant sustained an injury on December 29, 2018, while working as a home health aide. The claim was accepted by the employer, and the claimant began receiving benefits at the rate of $468 per week, based on an average weekly wage of $520.
What’s Hot in Workers’ Comp, Vol. 28, No.
Bureau directed to identify and publish in Pennsylvania Bulletin a different, nationally recognized schedule for valuing pharmaceuticals.
A Fee Review Hearing Officer ordered the carrier/petitioner to pay Summit Pharmacy approximately $72,500 as reimbursement for generic drugs provided to the claimant for her work injuries.
What’s Hot in Workers’ Comp, Vol. 28, No.
What’s Hot In Workers’ Comp - News and Results*
NEWS
We are pleased to announce that Erykah L. Jackson has joined our Florida workers’ compensation team! Learn more about Erykah here.
RESULTS*
What’s Hot in Workers’ Comp, Vol. 28, No.
Pennsylvania Supreme Court Confirms the Validity of ‘Regular Use Exclusions’
Following the Pennsylvania Superior Court determination that “regular use exclusions” in UM/UIM policies violated the Motor Vehicle Financial Responsibility Law (MVFRL) in 2021, and in light of the post-Gallagher decisions, most were expe
Legal Update for Insurance Services
What’s Hot in Workers' Comp – Special NJ Alert
On January 16, 2024, the Governor of New Jersey signed A-5909/S-4267 into law. The amendment revises workers’ compensation coverage for certain injuries to volunteer and professional public safety and emergency personal. The bill amends N.J.S.A.
What’s Hot in Workers’ Comp – Special NJ Alert – January 26, 2024,
What’s Hot in Workers’ Comp – Special PA Alert
In Schmidt v. Schmidt, Kirifides & Rassias (WCAB), 1039 C.D.
What’s Hot in Workers’ Comp – Special PA Alert – January 10, 2024,
Sixth District Court of Appeals Says Fourth District Got It Wrong: Florida’s Pre-Suit Notice Requirement Does Not Apply Retroactively
In November 2023, the Sixth District Court of Appeal of Florida, in direct conflict with the Fourth District Court of Appeal of Florida, found that the pre-suit notice as mandated by Florida Statute 627.70152 does not apply retroa
Legal Update for Insurance Services, January 8, 2024, has been prepared for our readers by Marshall Dennehey.
Third Circuit Clarifies Availability of Qualified Immunity for Police Officers Accused of Deliberate Indifference to Arrestees’ Need for Medical Care Following Ingestion of Narcotics
In Thomas v. City of Harrisburg, et al., 2023 WL 8461096 (3d Cir. Dec.
Legal Update for Public Entity & Civil Rights Litigation, January 3, 2024, has been prepared for our readers by Marshall Dennehey.