Archive for the ‘Uncategorized’ Category

Missouri Work Comp Lawyer says that You Cannot Be Legally Fired For Filing Your Claim

Monday, November 30th, 2009

Discrimination because of exercising compensation rights prohibited –civil action for damages.

287.780. No employer or agent shall discharge or in any way discriminate against any employee for exercising any of his rights under this chapter. Any employee who has been discharged or discriminated against shall have a civil action for damages against his employer.

(RSMo 1939 § 3725, A.L. 1973 H.B. 79)

Prior revision: 1929 § 3335

(1979) Plaintiff who alleges discharge due to filing of a worker’s compensation claim has burden of proving the cause of action. Henderson v. St. Louis Housing Authority (Mo.), 605 S.W.2d 800.

(1993) The rights and remedies provided by this section are independent of, in addition to, any rights provided by a collective bargaining agreement. Claim for retaliatory discharge under statute is not preempted by federal labor law. Cook v. Hussmann Corp., 852 S.W.2d 342 (Mo. en banc).

(1998) Law does not abolish the “at-will” doctrine but provides a limited exception. Crabtree v. Bugby, 967 S.W.2d 66 (Mo.banc).
The Language in the law is quite clear that an employee cannot be fired for filing a legitimate work injury claim. An employer can fire an employee for just cause or for business reasons.If the real reason for firing an employee is for filing a work injury claim and other reasons are given to mask the true motive,then the firing would be illegal.There can be difficulties with proof ,but this a question which can be decided by a jury in a civil case.Make no mistake about it , however, that firing an injured employee for asserting a work injury claim is definitely contrary to the law and damages can be awarded against an employer for such conduct. SUBMITTED BY JEFF SWANEY 314-481-7778 

 

 

 

 

.

 

 

 

 

 

St. Louis Social Security Disability Lawyer Cites Efforts To Speed UP Hearings

Tuesday, October 20th, 2009
News Page — SSA to Hire Additional Staff & Open New Hearing Offices
In testimony on April 28, 2009, before the House Ways and Means Social Security Subcommittee, SSA updated Congress regarding its plans to use the funds appropriated for fiscal year 2009 and under the stimulus legislation to open new hearing offices and hire additional, desperately needed staff. The stimulus funds ($500 million) will allow SSA to hire more than 2000 additional staff: 39 new ALJs; more than 500 ODAR support staff; 1500 staff for field offices; and 300 DDS disability examiners. When combined with the fiscal year 2009 appropriation, SSA expects to hire more than 7000 new employees, which includes additional staff and replacing vacancies, by September 2009.You can follow SSA’s hiring on its website that reports on its use of the stimulus funds, www.ssa.gov/recovery. The website includes weekly reports that detail SSA activities, including hires for its different components, broken down by SSA region.

At the April 28 hearing, SSA stated its plans to open 13 new ODAR hearing offices in the following locations:

 

  • Phoenix, AZ
  • St. Petersburg, FL
  • Tallahassee, FL
  • Atlanta South, GA
  • Danville or Portage, IN
  • Topeka, KS
  • Livonia, MI
  • Mt. Pleasant, MI
  • Fayetteville, NC
  • Akron, OH
  • Toledo, OH
  • Auburn, WA
  • Madison, WI

In March 2009, the Commissioner announced plans for 10 new hearing offices but decided to expand the number to 13. In addition, three new National Hearing Center locations are planned:

 

  • Albuquerque, NM (opened March 2009)
  • Chicago, IL (late fiscal year 2009)
  • Baltimore, MD (early fiscal year 2010)

FREE CONSULTATION JEFF SWANEY 314-481-7777

St. Louis Attorney Posts Info regarding General Motors Bankruptcy and Workers Comp Benefits

Tuesday, June 9th, 2009

Article cited to keep up with GM bankruptcy and its affect on workers compensation claims. JEFF SWANEY FREE CONSULTATION 314-481-7778
(June 1, 2009 – Madison, WI) Self insurance directors had a jolting start to their work week as headlines of General Motors bankruptcy petition filled the news yesterday. The so called “first day motion” to the court included a petition to continue wages and benefits to GM’s workforce. As part of this motion, General Motors’ management took the position that payment for all workers’ compensation benefits, whether for future or past claims, was in the best interest of preserving the commitment of its labor force. Thus, the petition calls for the payment of all workers’ compensation benefits for any of its past or present employees, administrative expenses, and any workers compensation insurance premiums due, with exceptions for certain states, as noted below.

It is assumed that GM will continue premium payments, as most companies in bankruptcy place high priority in maintaining health and disability insurance. In fact, it is commonly assumed that a company’s assets can be best preserved by continuation of normal operations until the court deliberates on reorganization and releases the organization from bankruptcy as a viable entity.

The petition before the court includes workers’ compensation liabilities for active plants and operations, as well as incurred claims for ongoing workers’ compensation benefits in many jurisdictions where operations have ceased. According to the petition, the magnitude of past claims is enormous:

As of the Commencement Date approximately 12,500 workers’ compensation claims were pending against the Debtors. The Debtors estimate that the aggregate amount payable on account of incurred but not yet paid claims and IBNR claims arising prior to the Commencement Date is approximately $1.47 billion. Of course, not all of this amount is immediately due, but rather would be payable throughout the succeeding months and even years. The Debtors estimate that cash payments for the next 12 months related to prepetition workers’ compensation claims will be approximately $240 million.

The formal request to honor these past payments is stated as follows:

The Debtors intend to continue to review the proposed treatment of the Debtors’ obligations under Workers Compensation programs in the various states in which they operate or have in the past operated. Although this review is ongoing, the Debtors seek authority to pay all amounts related to workers’ compensation claims and IBNR claims that arose prior to the Commencement Date as they become due in the ordinary course of business (including reimbursements of administrators for claims paid by them), including all insurance premiums and administrative costs, and to continue their Workers’ Compensation Programs in the ordinary course, as deemed necessary to continue to operate and preserve value in the exercise of their business judgment in all states other than Alabama, Georgia, New Jersey and Oklahoma. In these four states, the Debtors do not currently intend to pay amounts related to workers’ compensation claims and IBNR claims that arose prior to the Commencement Date.

A GM official commented that Alabama, Georgia, New Jersey, and Oklahoma were omitted because they have no current GM operations. However, Greg Krohm, Executive Director of the IAIABC notes, “Even if collateral or surety coverage is sufficient to pay all future claims, there is likely going to be at least a few weeks delay in initiating payments in these four states. Moreover, the adequacy of security at ultimate payout is not guaranteed.”

How quickly the court will respond to the petition is unclear. If the Bankruptcy Court of the Southern District of New York rules that evidentiary filings and hearings are called for, turning claims over to sureties or third party administrators will inevitably result in some interruptions in benefit payments. The company rationale to the court for priority preference for these claims is:

If the Debtors are not authorized to pay their prepetition workers’ compensation obligations, the Debtors expect that the letters of credit, security deposits, and/or surety bonds will be drawn, resulting in millions of dollars of claims against the Debtors’ estates. Moreover, if they are not permitted to honor their workers’ compensation obligations, (a) alternative arrangements for workers’ compensation coverage likely would be more costly, (b) the failure to provide coverage may, in some states, subject the Debtors or their officers to significant penalties and possibly a shut down of operations, and (c) the Debtors may have their qualified self-insured employer status revoked in the respective states, resulting in substantially higher costs.

“If unopposed, this first day petition is likely to be granted. However, if creditors object the matter may be reopened,” according to Robert Aurbach, Principle, Uncommon Approach.

Missouri Workers Compensation Attorney Watches Ohio Deal With Chryslers Work Comp Problems

Tuesday, June 9th, 2009

Chrysler sale   An interesting article regarding Chrysler’s workers compensation concrens. JEFF SWANEY FREE CONSULTATION 314-481-7778

The state’s top lawyer is objecting to Chrysler LLC’s pending sale in federal bankruptcy court over worries that the Ohio workers’ compensation system could be saddled with the burden of the automaker’s self-insured claims under a new owner.

The limited objection that Attorney General Richard Cordray filed in U.S. Bankruptcy Court in New York asked that the court delay a sale of the automaker until the company’s workers’ compensation obligations are “properly addressed.” Cordray’s office said that Auburn Hills, Mich.-based Chrysler, in bankruptcy filings, has committed to fulfilling workers’ compensation obligations, but the documents don’t shift the obligation to a new owner.

That could put the Ohio Bureau of Workers’ Compensation on the hook for payment and administration of the company’s self-insured claims and take a bite out of Ohio’s self-insured guaranty fund. Such a burden would cause problems for all of the state’s self-insured workers, Cordray said.

Chrysler employs about 5,000 of workers at factories scattered across the northern reaches of the state, mainly in the Toledo area, where it operates a major Jeep assembly operation and stamping plants.

Marsha Ryan, administrator for the state Bureau of Workers’ Compensation, said the agency is “closely monitoring the situation with Chrysler and is prepared to effectively manage any transition of claims management.

St. Louis Social Security Disability Lawyer Notes Decision Requiring That Judge May Not Substitute His Opinion For A Doctor

Tuesday, June 2nd, 2009

This is an interesting case which states that Social Security Judges cannot act as doctors in denying a social security claim.
FREE CONSULTATION 314-481-7778

Social Security: Denial Of Benefits – Mental Disability – Medical Noncompliance

By Stephanie Maniscalco

Pate-Fires v. Astrue (MLW No. 59069/Case No. 07-3561 – 22 pages) (U.S. Court of Appeals, Eighth Circuit, Bye, J.)

Where an administrative law judge denied the application for disability benefits and supplemental security income of a claimant with mental impairments based on his determination that she could perform her past relevant work as a retail store stocker, the medical evidence proved that the claimant suffered from a severe mental impairment and could not engage in gainful employment, and the ALJ’s contrary conclusion was not supported by substantial evidence because the claimant’s treating doctor found her to be disabled and the ALJ improperly disregarded the doctor’s opinion based on his own conclusion that the claimant’s drug use and refusal to take her medicine precluded a finding of disability.
Judgment is reversed and remanded.

‘Playing doctor’

“The ALJ’s conclusion Pate-Fires’s medical noncompliance was not justifiable and precludes a finding of disability is not supported by substantial evidence. Further, the ALJ’s determination Pate-Fires’s medical noncompliance is attributable solely to free will is tantamount to the ALJ ‘playing doctor,’ a practice forbidden by law.”

Improper basis

Dissenting opinion by Shepherd, J.: “I respectfully dissent from the majority’s conclusion that remand for an immediate award of benefits is the appropriate remedy in this case. At step four of the sequential evaluation process, the ALJ decided that Pate-Fires retained the residual functional capacity to perform her past relevant work ‘The majority finds that the ALJ reached this step-four conclusion in error. Specifically, the ALJ relied on an improper basis to reject Dr. Erby’s opinion, and substantial evidence did not support the ALJ’s conclusion that Pate-Fires’s medical noncompliance precluded a finding of disability’ To the extent the majority’s decision to reverse the judgment of the district court is based on these errors in the ALJ’s step-four analysis, I concur.”

Judgment is reversed and remanded.
y claim.

St. louis lawyer Posting Article on facet Syndrome

Friday, May 22nd, 2009

This is an interesting article on facet syndrome  which can be associated with whiplash injuries.

Steven C. Ludwig, M.D., Chief of Spine Surgery, University of Maryland Medical Center
January 4, 2008

Question: What Is Facet Syndrome?

Answer: Facet syndrome is a condition in which the joints in the back of the spine degenerate and subsequently cause pain.

The facet joints are found at every level on both sides of the lumbar spine. They provide about 20 percent of the twisting stability in the low back. Each facet joint is positioned at each level of the spine to provide the needed support especially with rotation.

Facet joints also prevent each vertebra from slipping over the one below. A small capsule surrounds each facet joint providing a nourishing lubricant for the joint.

Also, each joint has a rich supply of tiny nerve fibers that provide a painful stimulus when the joint is injured or irritated. Inflamed facets can cause a powerful muscle spasm.

Firefighters in St. Louis Should Be aware Of Maines Actions Regarding Cancer Claims

Wednesday, May 20th, 2009

System benefits to firefighters who contract cancer.  The bill presumes that a firefighter’s exposure to smoke or fumes from suspected burning carcinogens is a causal factor in the development of a wide variety of cancers. It would be up to a municipality or state Workers Comp board to disprove the claim, and that’s a change that opponents say will increase insurance costs for Maine municipalities.

It’s not that state Rep. Cynthia Dill disapproves of firefighters, or the work they do. “Let the record be clear, I love firefighters,” she says.  But the Cape Elizabeth Democrat is not enthusiastic about a bill that has drawn off-duty Maine firemen to the halls of the State House to personally lobby for its passage.

LD 621 would change Maine’s Workers Compensation laws to presume that a firefighter who develops cancer did so as the result of exposure to smoke or fumes from burning materials suspected of being carcinogens. It would be up to a municipality to disprove the claim along with the burden of paying additional insurance costs.

Dill says that’s an easy buck to pass for the Legislature. “If this bill were a study, we wouldn’t pass it, because we in the Legislature don’t have the money.  Instead, this is the bill that transfers the cost of an expansion of benefits from the health insurance providers to our towns.”

Nearly 30 states have adopted the law modeled after legislation that was passed in California. Ron Green, a Bangor firefighter, says that the provision hasn’t produced the kinds of new costs that concern Dill and other opponents. “What’s important to point out is that 29 other states have passed this into legislation, some have had it in law as many as 20 years,” Green says.  “None of these states have shown a significant increase to their workers compensation systems.  California, who is the biggest employer of firefighters in the country, it had such minimal impact to their compensation system that they didn’t even do an actuarial study on this.”

“The debate to me was not about cancer, the debate was about who was going to be responsible for paying for this issue,” says State Rep. Andre Cushing, a Hampden Republican.  Cushing has problems with the bill because it fails to draw distinctions between genetically-linked cancers and those that could be contracted through employment. Under the bill, a firefighter with five years of employment would be able to file a claim if he or she contracted cancer within 10 years of their last active employment or prior to 70 years of age.

“What is the threshold for people participating?” Cushing says.  “Did they indeed contract cancer that was related to the job or did they have a genetic predisposition in their family and now we’re covering issues that weren’t directly related to the job?”

As a workers comp lawyer for more than 30 years, state Rep. Thomas Watson has studied his share of labor law. The Bath Democrat, who supports the bill, says firefighters now have a tough time making job-related cancer claims. “If a firefighter comes to me now and says ‘I have prostate cancer, I fought fires for ten years and my doctor says it might be connected,’ I have to say in good faith, unless you’ve got a lot more, I probably won’t be able to take that case.”

Watson points out that the bill requires firefighters to declare any family cancer histories or non-firefighting activities that could have resulted in exposure to carcinogens. The House overwhelmingly agreed and gave initial approval to the bill in a 104-40 vote.

Missouri Work Comp Act Unfair – St. louis Lawyer cites Cape Girardeau Attorneys Argument

Monday, May 18th, 2009

New law breaks promises made when workers’ comp began                     

Wednesday, March 23, 2005                                                 

Michael Maguire                                                            

By the time you read this, the governor will probably have signed the workers’ compensation bill. His signature will mark the betrayal of working people in Missouri who were made a promise nearly 80 years ago that they would be treated fairly if they agreed to accept workers’ compensation.

Keep in mind this is not a needed change. The statistics from our Division of Workers’ Compensation show that insurance companies are making record returns on their premiums, which means they are not having to pay out much.

It is also not an attempt to be friendly to employers, as the Missouri Chamber of Commerce and Industry argues, although any time the chamber speaks up when you are talking about people’s rights––look out. If that were the case, this change could have been handled like it has since I started practicing law in Missouri in 1986: by getting the two sides together and coming up with a solution. For the last three years, those representing employees have tried to get insurance companies and employers to work on their complaints. They refused to do anything meaningful, biding their time until they had control of the legislature and the governor.

A little history is worth remembering. When the workers’ comp system was set up––in exchange for having a required mechanism that would provide medical care if you were hurt doing your job, provide some money if you could not work and provide payments if you had some disability as a result of your injuries––workers gave up certain rights:

1. They lost their right to sue their employers in regular court.

2. They lost the right to pick the doctor who would treat them––as the employer (read that to mean insurance company) gets to pick.

3. Artificial caps were placed on the amounts a worker could receive for weekly benefits and for permanency benefits.

4. Employees could not be awarded any damages for just pain and suffering, although someone who loses a hand or a leg or suffers any kind of work injury will readily tell you it hurts like hell.

Part of the promise made so many years ago was a presumption in favor of the employee, meaning that if all things were equal, meaning it was a tie on the proof, that the decision should go to the worker. Employers knew that and signed off on that when they set up this system. Now because of
this manufactured business-unfriendly crisis, that presumption is gone. The burden of proof for a worker has been changed from the work being a substantial factor of the injury to the prevailing factor.

Administrative law judges have faithfully followed the promise and interpreted the law, and because businesses don’t like what that means, they are putting politics into the process. Those judges will now be reviewed every two years, and if they don’t come up to standards, which will be determined by––guess who––pro-employer types, then they are out of a job.

Never mind that employers have two bites of the apple if they don’t like a decision of the judge. They get to appeal to the Labor and Industrial Relations Commission. And if that does not work, they can appeal to the Court of Appeals. I consider this provision alone character assassination of the fine men and women who routinely handle thousands of cases as judges and legal advisors with great intelligence and diligence.

Part of what this cadre has done is to change lawyers’ fees. Yes, I am an lawyer. And, yes, I handle cases of employees. I admit I will be looking at cases more closely, because the new law says if the company makes an offer and it is rejected, then my fee can only be a percentage of the amount I recover above that offer. If I take a case and it takes little or no work, I have no problem with that theory. However, if the usual case occurs and the employer makes the case go on for months, requiring extra work and I have to try the case, then it is not fair to me or to the employee to limit that award.

I believe, and always have, that the law is supposed to be fair––not too much for one side or the other. I know the employers and their cronies in the legislature have not given back to employees their rights they gave up when they created workers’ comp. The promise has been broken, and the
owners get all the benefits. The workers get the shaft.

Don’t be surprised after all these changes go into effect that nothing happens to the premiums paid by employees. I have said all along that the cyclical nature of insurance companies investing premiums in the stock market has more to do with higher premiums than any $6-an-hour line worker filing a claim for carpal tunnel syndrome.

If you think this is wrong and unfair to the working man and woman, let the governor and our local senator and representatives and the lieutenant governor know, because they all supported this promise breaking.

Michael H. Maguire of Cape Girardeau is a lawyer.

CBS NEWS VIDEO ON SOCIAL SECURITY SYSTEM AND ITS PROBLEMS

Monday, May 18th, 2009

<embed src=”http://www.cbs.com/thunder/swf/rcpHolderCbs-prod.swf” width=”370″ height=”361″allowFullScreen=”true” FlashVars=”link=http://www.cbsnews.com/video/watch/?id=3713125n&releaseURL=http://release.theplatform.com/content.select?pid=Od2ZtnYdjrUieWKs_KmMHN_pc55VKavQ&partner=newsembed&autoPlayVid=false&prevImg=http://thumbnails.cbsig.net/CBS_Production_News/595/669/evening_keteyian0114_480×360.jpg” type=”application/x-shockwave-flash” pluginspage=”http://www.macromedia.com/go/getflashplayer” />

St Louis Attorney Cites Study On Social Security Hearing Backlog

Monday, May 18th, 2009
Published: Dec 19, 2007 12:00 AM  SUBMITTED by JEFF SWANEY FREE CONSULTATION 314-481-7778
Modified: Dec 19, 2007 02:40 AM

 

Stringing along those who deserve benefits

We must stop the inexcusable delay in getting Social Security benefits to people with disabilities.Hundreds of thousands of people who have filed legitimate disability claims with the Social Security Administration have been forced to wait, on average, an astonishing 520 days for a hearing on their claims. Many have waited as long as three years, losing their homes in the process.

Social Security Commissioner Michael Astrue has conceded that some people have even died while waiting for their disability payments to come through.

That’s mostly because the Bush administration and Republicans in Congress have provided $4 billion less than the agency has requested for its staffing needs.

The result, according to Sylvester J. Schieber, chairman of the Social Security Advisory Board, is “crushing backlogs, rapidly growing application rates and steadily declining numbers of workers to process the workloads.”

There are fewer people working at the Social Security Administration today than there were during the Ford administration. But the number of applicants claiming a disability has doubled since 2001 and is growing so rapidly that it is estimated that the backlogs of people waiting more than a year will bloat to 1 million by 2010.

Congress and the White House have been well aware of this crisis. The Advisory Board has issued 21 reports and statements since 1998 calling for more resources for Social Security disability programs.

Meanwhile, the situation keeps getting worse. The backlog has grown from 311,000 in 2000 to 755,000 today, according to The New York Times.

Sen. Byron Dorgan, D-N.D., put it well in a letter he sent to President Bush in September. “The bottom line is,” Dorgan wrote, “that elderly Americans and other poor individuals with disabilities that prevent them earning a living and paying their bills deserve better. Social Security disability benefits keep millions of disabled Americans out of poverty. But these people who are unable to work and need immediate assistance to avoid financial collapse do not appear to be a priority for your administration.”

What’s more, most of these people filing for disability claims have already paid into the Social Security system by virtue of the deductions from their paychecks. And fraud is rare, Astrue acknowledges.

Imagine if this were a private insurance company collecting disability insurance premiums and then stringing its customers along for years when they need to collect. This would be seen as a major case of insurance fraud.

But in Washington, it’s business as usual.

That’s got to change.

(Mike Ervin is a disability-rights activist with ADAPT (www.adapt.org). He wrote this article for the Progressive Media Project.)

 

All rights reserved. This copyrighted material may not be published, broadcast or redistributed in any manner.

Read The News & Observer print edition on your computer with the new e-edition!