Today’s blog focuses on a topic seldom discussed in workers’ compensation. It concerns benefit printouts. Rule 10635 places a duty on the claims administrator to serve a benefit printout within 20 days upon request and no later than the date of a Mandatory Settlement Conference. Service of a printout has become so routine that it …
Benefit Printouts: A Sixty-Second Seminar in Workers’ Compensation Claims HandlingRead More
As strange as it may seem, employers in workers’ compensation can learn a valuable lesson from the airline industry. At 11:56 p.m. on the evening of July 7, 2017, the largest aviation disaster in the history of the world was narrowly averted by less than 1 second. It occurred at San Francisco International Airport when …
A Near Miss: A Sixty-Second Seminar in Workers’ Compensation Claims HandlingRead More
It’s no secret that injured workers and applicant attorneys dislike Medical Provider Networks (MPN). They exploit every loophole to escape an MPN to select a doctor of their choice to be the worker’s primary treating physician (PTP). For years, a popular method to escape an MPN was for the worker to request a physician in …
Defending Your MPN! A Sixty-Second Seminar in Workers’ Compensation Claims HandlingRead More
Today’s blog discusses an error occurring with frequent regularity regarding administration of self-imposed penalties (SIP). Let’s begin by reviewing the SIP statute. Subsections (c) and (d) of LC §4650 state as follows: (c): “Payment of temporary or permanent disability indemnity subsequent to the first payment shall be made as due every two weeks on the …
During the warm summer months many businesses elect to close for an afternoon to hold a good old-fashioned company picnic. Everyone goes off to a local park for a delicious barbeque lunch where employee camaraderie abounds, fostered by games, contests, and other physical activities, competitive and goofy. Typically, everyone has a great time, but very …
The Company Picnic: A Sixty-Second Seminar in Workers’ Compensation Claims HandlingRead More
It is an alarming reality that penalty petitions now seem to arise from most disagreements between an adjuster and applicant attorney as to a claims issue, even when the adjuster’s position is supported by the facts and a good-faith interpretation of the law. In our experience it appears that the applicant’s bar has seized on …
“Take Nothing!” This is often a magical phrase to an employer, administrator, and defense attorney. The phrase means that an applicant has lost at trial at the appeals board and was awarded no workers’ compensation benefits. In practice, “Take Nothing” orders are very rare, to the tune that only 1 in 750 cases that go …
On February 22, 2006, mandatory continuing education for workers’ compensation claims adjusters became required in California when Title 10, § 2592.10 of the California Code of Regulations became operational. Coupled with the 2005 enactment of Insurance Code 11761, adjusters became obligated to accumulate no less than 32 hours of continuing education every two years to …
