**Update – Appeal accepted by the Supreme Court of Pennsylvania on April 27, 2011 – Stay tuned for more details** Years ago, before the 1996 amendments to the Pennsylvania Workers’ Compensation Act (Known as Act 57), a workers’ comp insurance company in PA had to prove that work was actually…
Articles Posted in Case Law Update
Notice of Denial Accepts Case in PA Workers’ Comp
In a previous blog posting, we discussed the case of Armstrong v. Workers’ Compensation Appeal Board, decided by the Commonwealth Court of Pennsylvania in 2007. This case first allowed a PA workers’ compensation insurance carrier to use a Notice of Denial (NCD) to “accept” a workers’ comp case. As attorneys…
Employee Injured in Employer’s Parking Lot Entitled to PA Workers’ Comp
As we have discussed in several previous blog entries, an injury at work in PA must happen in the scope and course of employment to be compensable under the Pennsylvania Workers’ Compensation Act. Often, this is the issue in dispute when an employee is injured in a parking lot, either…
Worker Injured in Pre-Employment Screening Not an “Employee” at Time of Injury; PA Workers’ Compensation Benefits Denied
While there is no minimum time a worker must be employed before the worker qualifies for workers’ compensation coverage in Pennsylvania, the worker must actually be “employed” at the time of the injury. This means there must be both an offer and an acceptance of employment, before the work injury…
Notice of Ability to Work in PA Workers’ Comp is “Prompt” Two Months Late
As we have discussed in a previous blog entry, the PA Workers’ Compensation Act requires that a Notice of Ability to Return to Work be served on an injured worker (and his or her attorney), before the workers’ comp insurance carrier can move to modify or suspend benefits. Specifically, the…
Claim Petition in PA Workers’ Comp Denied When Doctor Says Injured Worker’s Intoxication Was Major Factor in Work Injury
Generally speaking, when an employee in Pennsylvania is injured while performing the duties of his or her job, the employee is entitled to PA workers’ compensation benefits. One of the exceptions to this rule, however, is when “the injury or death would not have occurred but for the employe’s intoxication.”…
Notice of Ability to Return to Work Required to Suspend or Modify Workers’ Comp Benefits in PA
There is a process in PA when a workers’ comp insurance carrier wants to modify or suspend the workers’ compensation benefits of an injured worker. First, there must be evidence of a change in condition. Then, the insurance carrier must serve a form called Notice of Ability to Return to…
Termination of PA Workers’ Comp Benefits Granted, Even When No Examination of All Accepted Injuries
Generally speaking, a Workers’ Compensation Judge (WCJ) is the sole determiner of credibility in PA workers’ comp matters. Testimony of any witness can be accepted, in whole or in part. Determinations of credibility by a WCJ cannot generally be overturned on appeal. This issue was addressed by the Commonwealth Court…
PA Workers’ Comp Check is Only A “Conditional Payment,” So A “Stop Payment” Means Workers’ Compensation Was Not “Paid.”
Under Section 406.1 of the Pennsylvania Workers’ Compensation Act, an employer/insurance carrier has 21 days to investigate a workers’ compensation claim and issue appropriate documentation, either accepting (by Notice of Compensation Payable (NCP) or Agreement for Compensation) or denying (Notice of Denial (NCD)) the claim. If the employer/insurance carrier is…
Termination in PA Workers’ Comp Must Account For All Recognized Work Injuries, Whether or Not Listed on Notice of Compensation Payable
When a PA workers’ compensation insurance carrier wants to “terminate” the workers’ comp benefits of an injured worker, the insurance company must prove that the injured worker has fully recovered from his or her work injury. What constitutes the “work injury” is usually what is described on the Notice of…