Rules Regarding Future Payments Under Permanency Awards and Commutations
New Jersey adjusters sometimes ask why future benefits under an order approving settlement with a percentage of disability cannot be paid in a lump sum to the injured worker. In other words, why is there a requirement that future payments be paid out over a period of many weeks or even many years? This question […]
Audience Quiz: Two New Jersey Comp Brain Teasers
Today’s blog contains two interesting workers’ compensation quizzes, which were asked at the April 19, 2018 Millennium Seminar in Mt. Laurel, N.J. We invite readers to email responses. Next week the winning answers will be announced. Question One: Jane Friedman is a CPA for Best Accountants. She left her office to visit a client one […]
Appellate Division Rejects Reopener of High Percentage Award
New Jersey employers like reopener claims about as much as homeowners like back-to-back blizzards. The general view is that employers have virtually no defenses and have to pay more with each reopener. The truth is that employers can win reopener cases where the petitioner’s expert cannot really prove the petitioner’s condition has worsened since the […]
Employer May Have Violated Both The ADA and FMLA Regarding Plaintiff’s Knee Injury Arising Out Of His Employment
Skilled practitioners know they must keep an eye on potential employment litigation stemming from workers’ compensation claims. The case of Dallefeld v. The Clubs at River City, Inc., 2017 AD Cases 244151 (D. Illinois 2017) provides a good illustration. Jason Dallefeld was the Director of Membership Sales, providing tours, selling memberships, and making sure other […]
The Anachronistic “Sole Cause” Defense of Intoxication and Unlawful Use of Controlled Dangerous Substances in New Jersey Workers’ Compensation
At least once a week this practitioner gets a call from an employer or adjuster asking whether New Jersey has a defense to accidents where the employee is found to be heavily intoxicated or under the influence of illegal substances. The response is always the same: yes, there is technically a defense, but unfortunately the […]
When Should a Judge Reconstruct An Employee’s Wages for Permanency Purposes?
The concept of reconstructing wages for permanency awards pertains to part-time workers with serious injuries. For example, consider an employee who works 20 hours per week earning $10 per hour. The employee has a serious injury that prevents the employee from earning the same amount of money or prevents the employee from working full-time in […]
Coverage During Drives to Job Sites Under New Jersey Law
We all know the rules for coverage in New Jersey under the “premises rule,” the rule that replaced the former going-and-coming rule. N.J.S.A. 34:15-36 states that one is covered for workers’ compensation purposes when he or she arrives at a place of employment owned or controlled by the employer. That is easy enough, but what […]
The Importance of Subsequent Treatment Notes and Records in Workers’ Comp
I have written many times about the fact that success for employers in workers’ compensation most often comes down to past medical history and causation analysis. This is particularly true in a state like New Jersey where there is virtually no formal discovery allowed. Employers need to know in a back claim, for example, whether […]
Federal Court Rejects Civil Law Suit By Injured Employee
Brian Sims suffered a terrible injury working for Express Scripts, Inc. (hereinafter ESI) on August 24, 2015 when his hand was caught in an industrial machine, leading to the amputation of his left hand and wrist. He brought a civil law suit against his employer alleging willful and intentional conduct. Express Scripts moved to dismiss […]
All Dependents Including Minors Are Bound by the Two-Year Statute in Workers’ Compensation
Scott Jeannette was an employee of General Mills Progresso. He went into cardiac arrest at work on June 7, 2011 and died nine days later from complications. He left a wife, Nacole, and a four-year-old son, Chase. Nacole filed a dependency claim petition over six months past the two-year statutory filing deadline. General Mills Progresso […]
An Adjuster’s View of Making Good Claim Notes in New Jersey Workers’ Compensation
By: Michael Weiner, Workers’ Compensation Claims Examiner Editor: John H. Geaney, Esq. As adjusters we are constantly being reminded to document our files: specifically, keep good log notes. We have all heard managers and supervisors repeat this mantra: “If it is not in the notes, it did not happen!” Good claim notes should “tell the […]
Compulsion Versus Permission in Workers’ Compensation
“If you require it, you buy it.” So said the Honorable Ray A. Farrington, former Supervising Judge of Compensation in Hackensack in reference to situations where an employer required an employee to perform a task that would otherwise be clearly not work related. The concept of compulsion is an important one to understand in the […]
Appellate Division Rejects Reopener of Psychiatric Award 18 Years Post Injury
It is challenging for a petitioner to relate an increase in disability or need for treatment to a relatively modest award that has remained unchanged for over a decade. That was the situation in Batts v. Flag House, A-5616-15T4 (App. Div. January 16, 2018). The case involved an award of 50% disability of the right […]
Federal Court Upholds Employer’s Six Month Leave Policy for Work-Related Injuries
The case of Billups v. Emerald Coast Utilities Authority, 33 AD Cases 1312 (11th Cir. October 26, 2017) presented a challenge by an injured employee to his company’s six month limitation of leave. Mr. Billups injured his shoulder on December 18, 2013 doing his work as a Utility Service Technician II. He felt a pop […]
Pre-Settlement Companies Should Have No Place at the New Jersey Comp Table
In the past few years there has been a rise in the number of cases where injured workers have been loaned money in advance of their workers’ compensation settlements by private pre-settlement companies. This practice is more common in other states like Pennsylvania, but it is now creeping into New Jersey. Companies which make private […]
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