One of the common questions we hear from injured workers is “What happens if I retire?” or, more than you may imagine, “What happens if I move out of this Country?” In either case, the answer is that your wage loss benefits are placed in serious jeopardy. Medical benefits are…
Articles Posted in Case Law Update
Court Refuses to Allow PA Workers’ Comp Insurer to Avoid Benefits for Work-Related Cancer
Several years ago, we related that the Pennsylvania legislature passed Act 46, which created a presumption that cancer suffered by veteran firefighters is related to their work duties. This amendment to the Pennsylvania Workers’ Compensation Act was largely cheered by all (other than workers’ comp insurers, of course!). The Supreme…
Domestic Service Workers Excluded From PA Workers’ Compensation Act
As we discuss in our FAQs on our website, not every person who works in the State of Pennsylvania is covered by the PA Workers’ Compensation Act (Act). Certain categories of employees are excluded from the protections of the Act for various reasons. One of those exclusions applies to those…
What Does a PA Workers’ Comp Insurance Company Get When an Injured Worker is Released to His or Her Full-Duty Job? Not a Thing!
Once an injured worker in PA establishes a right to workers’ compensation benefits, such benefits can only be stopped by the workers’ comp insurance carrier under certain circumstances. Two of the most common involve litigation before a Workers’ Compensation Judge (WCJ) – proving to the WCJ that the injured worker…
PA Workers’ Comp Insurer Assessed Penalty for Non-Payment of Medical Bills
When an injured worker in PA gets medical treatment for his or her work injury, and a bill is submitted to the workers’ compensation insurance carrier, the insurance carrier has three choices. They can pay the bill (within 30 days), initiate the Utilization Review process (to challenge whether the treatment…
When the First Day of Disability is not the First Day of Disability – Welcome to the Wacky World of PA Workers’ Comp
In litigating a workers’ compensation case in Pennsylvania, we fight about many aspects of a case. Certainly, we have had disputes over when an injured worker was actually “disabled” from his or her job. As highlighted in a recent decision by the Commonwealth Court of PA, though, sometimes the exact…
PA Commonwealth Court Sheds Light on Preexisting Conditions and Average Weekly Wage Calculation
When the Commonwealth Court of Pennsylvania decides a case in the PA workers’ compensation arena, we often get some insight into an aspect of the law, or an interpretation of a section of the Pennsylvania Workers’ Compensation Act (Act). Rarely do we see a case address two areas of significance. …
Injured Worker in PA Can Reinstate From IRE; Testimony Required
A couple of months ago, we talked about the Whitfield v. Workers’ Compensation Appeal Board (Tenet Health System Hahnemann LLC) decision by the Commonwealth Court of Pennsylvania. This was the first time the Court addressed the PA Supreme Court decision in Protz v. Workers’ Compensation Appeal Board (Derry Area School…
PA Workers’ Comp Insurance Carriers Get No Credit Against Future Medical Benefits
When an injured worker in PA settles a personal injury case against a third party (typically from a work-related car accident, a products liability case or similar), the workers’ compensation insurance carrier has its hand out to get repaid for the wage loss and medical benefits provided to the injured…
WCAB Must Provide Explanation For Changing Award of Disfigurement Benefits by WCJ
Facial disfigurement is the only aspect of the Pennsylvania Workers’ Compensation Act under which a Workers’ Compensation Judge (WCJ) has the discretion to award anywhere from zero to 275 weeks of workers’ compensation benefits. Since such injuries can range from barely noticeable to tremendously disfiguring, these cases vary widely in…