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Articles Posted in Case Law Update

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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…

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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.”…

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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…

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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…

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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…

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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…

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