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Articles Posted in Case Law Update

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“Specific Loss” Benefits in PA Workers’ Compensation Has Higher Benefit Rate Than Total Disability

Workers’ compensation benefits in Pennsylvania consist of three types (aside from fatal claim benefits, which are not really relevant for this discussion).  These are described in detail on our website.  There are wage loss benefits (also known as “indemnity”), medical benefits and “specific loss” benefits.  Specific loss benefits are paid…

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PA Injured Worker Unable to Add Medical Condition Related to Accepted Work Injury

As we have discussed in this blog previously, changes to an accepted work injury in PA come in two types – “corrective” and “consequential.”  The difference between these two situations can make or break a case, as recently illustrated by the Commonwealth Court of Pennsylvania in their decision in the…

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DHS Lien Not Automatically Reimbursable Under PA Workers’ Comp

While perhaps not of interest to every injured worker, the subject of PA Department of Human Services’ (DHS) liens is one that appears from time to time in Pennsylvania workers’ compensation cases.  And, while the injured workers may not have a huge interest, the PA workers’ compensation insurance companies surely…

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PA Workers Compensation Judge Must Consider All Conditions “Due To” A Work Injury In IRE

One of the bigger “victories” by the PA workers’ compensation insurance industry against the injured workers in Pennsylvania is the Impairment Rating Evaluation (IRE) process. Under this process, after an injured worker has received 104 weeks of temporary total disability benefits, the insurance company can initiate an IRE, which can…

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No Credit For Pension Benefits Against PA Workers’ Compensation Benefits Post-Retirement

The Pennsylvania Workers’ Compensation Act (“Act”) has several “offsets,” which provide a workers’ comp insurer with a credit for other types of benefits received by an injured worker, such as unemployment compensation, Social Security Retirement (“SSR”), severance and pension benefits. These offsets were created to avoid a perceived “double dipping”…

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Notice of a Work Injury in PA Workers’ Compensation

No matter what kind of company one works for, as long as one is an “employee,” as defined in the Pennsylvania Workers’ Compensation Act (and not otherwise excluded by other laws, such as federal employees, military personnel, maritime workers and railroad workers), one is entitled to workers’ compensation benefits if…

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Attorneys for Injured Workers Can Get 20% of Medical Bills

The standard fee agreement in Pennsylvania workers’ compensation is 20% of the benefits obtained or awarded to an injured worker.  PA Courts have found this amount to be reasonable, and it remains the standard charged.  Historically, this pertained just to wage loss, or what we call “indemnity” benefits. This was…

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PA Workers’ Compensation Judge has Ultimate Ability to Render Credibility Determinations

The Pennsylvania appellate courts have consistently determined that a Workers’ Compensation Judge (WCJ) is the final arbiter of credibility in a PA workers’ compensation case.  Short of finding that a credibility determination by the WCJ is “arbitrary and capricious,” these determinations are to be accepted by the courts.  This makes…

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Injured Worker in PA Has Concurrent Employment When Employment Relationships are “Sufficiently Intact”

One of the most important determinations in any PA workers’ compensation case is the Average Weekly Wages (AWW).  As we have explained in prior blog posts, if an injured worker has been employed for over a year, and is not paid a fixed amount each pay period, the AWW is…

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