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Can I sue My Employer for Negligence?

By: Roger D. Horgan

This might be considered a trick question, but it is not. Most Pennsylvania workers know that they are protected by the Worker’s Compensation Act and expect to receive workers’ compensation benefits if injured on the job. However, a claim for workers’ compensation does not involve negligence.

This is part of the grand bargain underlying the Worker’s Compensation Act—the employee is entitled to receive benefits without proving fault, in exchange for limiting the employer’s liability to lost wages and medical care. The employer is not exposed to liability for pain, suffering, and inconvenience. This limited exposure also applies to injuries caused by coworkers. A worker cannot sue a coworker even if negligence was involved.

It is possible to bring lawsuits against parties other than the employer whose negligence caused an accident. For example, if the work injury was the result of a car accident with another person. This is a claim against someone other than the employer, and the employer’s workers’ compensation immunity is still honored.

Despite the broad limitations imposed by employer’s workers’ compensation immunity, there is one category of cases in which an employee may bring a lawsuit in negligence against the employer. This exception is known as the “dual capacity” doctrine. An employer normally shielded from liability by the exclusive remedy may become liable to his own employee if he occupies, in addition to his capacity as employer, a second capacity that confers on him obligations independent of those imposed upon him as an employer. Callendar v. Goodyear Tire and Rubber Company, 564 A.2d 180 (Pa. Super. 1989).

The dual capacity doctrine was successfully employed in the case of Tatrai v. Presbyterian University Hospital, 439 A.2d 1162 (Pa. 1982). A hospital employee became ill while at work. She was taken to the emergency room of the same hospital. While in the emergency room, she was injured as the result of the negligence of the hospital. The Pennsylvania Supreme Court reasoned that the employee was in the same position as any other member of the public receiving medical treatment because the emergency room was open to the general public. The Court held that the hospital owed the employee the same duty it owed the general members of the public who came to the hospital room for emergency care. The hospital was not immune under the Worker’s Compensation Act from suit for the injuries the employee sustained in its own emergency room.

Although the dual capacity doctrine was used successfully in the Tatrai case, this is the exception. In Neidert v. Charlie, 143 A.3d 384 (Pa. Super. 2016), the injured employee attempted to use the fact that the employer was also the landlord for the building in which he was injured to convince the Court that the employer had a dual capacity. The court declined to accept this argument. The employee was actually injured during the course and scope of his employment. Because it was impossible to distinguish where one role started and the other ended, the employee could not “sue” the employer.

There are certain circumstances in which a negligence case can be brought against an employer, but they are very limited. It is important to speak to an experienced attorney who can navigate these complex rules of liability.

Do the Right Thing–Report All Injuries

By: James R. Burn, Jr.

Under the Pennsylvania Worker’s Compensation Act, an employer has 10 days to notify their insurance carrier of a work-related injury from the date the injury was reported by the injured worker.

If you are injured at work no matter how minor, it is very important that you immediately notify your supervisor and insist that an accident report be completed. Whether you notice a small pain in your back, incur a scrape, or feel some pain in your arm or shoulder after lifting, this first step is critical. You may think that it’s nothing serious and hesitate to “aggravate” your employer; however, the most important thing is your health, not an employer whose obligation is to comply with the law and report work injuries.

That scrape, bump, or bruise could be the first sign of something far worse. Infections from scrapes can occur weeks after the event. Bumps or bruises can be first sign of a more serious injury that develops over time. A low back ache can become a herniated disc with conditions manifesting much later or becoming much worse as you continue to work.

Not reporting an accident in a timely fashion and not insisting that an accident report be filed can sometimes make it difficult and unfortunately, in some cases, impossible to recover in a workers’ compensation benefits. Employers will argue that they had no knowledge of the event and defense attorneys will point out the fact that the injury was not reported until weeks or months later calling into question the credibility and the honesty of the individual who was simply trying to be nice or “do the right thing.”

You can do the right thing by filing the accident report immediately and insist on a copy. Your health may depend on it.

Calculating Lost Wages Benefits

By: Douglas A. Williams

If you are receiving workers’ compensation benefits, you’re likely bringing home less money than you were when you were working. Unfortunately, workers’ compensation is not designed to pay the exact same amount you were earning before your work-related injury. After an injury, the employer or the workers’ compensation insurance carrier calculates the “average weekly wage” or (AWW). This is the average amount that the injured worker was earning at the time of the injury. The injured workers’ compensation rate could be anywhere from 66% – 90% of that AWW depending on how much the worker was earning.

Many injured workers simply assume that the employer or the workers’ compensation insurance carrier has accurately calculated their AWW and compensation rate, but they often make mistakes.

The Workers’ Compensation Act provides for different methods of calculating the AWW based on the manner in which the injured worker’s pay was determined—hourly, salary, or other methods—and how long the injured worker was employed. If the employer or the carrier use the wrong method of calculation, the AWW and corresponding compensation rate may be too low.

Additionally, the employers and/or workers’ compensation insurance carriers are required to include other payments such as the following:

Money received in a profit sharing plan;

Accrued vacation and/or sick pay;

Per diem payments (i.e., payments made to workers who travel to provide money for food and/or lodging);

Bonuses;

Supplemental Unemployment Benefits (benefits that are payable under some Collective Bargaining Agreements when a worker receives unemployment), and;

Concurrent employment (money earned from a second job at which the injured worker was employed at the time of the injury).

Employers or insurance carriers often neglect to include benefits such as these in the calculation of the AWW. When this happens, the injured worker receives less than they should in weekly compensation benefits. If you believe that you’re receiving less than you should, call us and we will be happy to review your case. If appropriate, we will file the necessary petition to compel the employer or carrier to pay you the full amount of benefits you earned.

The Personal Comfort Doctrine

By: Sandra Weigel Kokal

The Workers’ Compensation Act states that an injury must occur in the course of employment and be causally related to the job for the injured worker to receive benefits. An injured worker must show they were engaged in the furtherance of the employer’s business when injured. In other words, the worker must be on the job when the injury occurred.

However, an injury can be considered on the job, where the injury occurred during an innocent departure from work within regular working hours. This is what is known as the personal comfort doctrine. The Court has defined this doctrine as follows:

Course of employment embraces intervals of leisure within regular working hours and momentary departures from work do not remove an employee from the course of employment. Breaks which allow an employee to administer to his/her personal comfort better enable the employee to perform the job and are considered to be in the furtherance of employer’s business.

If an employee does not stray from the course of employment for a momentary departure to attend to some “personal comfort” such as using the restroom, etc., the injury is covered.

A recent Pennsylvania case upheld this doctrine where an employee was injured while meeting her mother in another area at work to obtain feminine hygiene products she had forgotten at home. The Court held this was a temporary departure from work to attend to her personal needs so she could continue her shift at work. Workers’ compensation benefits were granted in this case. This is just one example of the personal comfort doctrine; there are many others. If you were injured while attending to a personal comfort you may be entitled to benefits, it is always important to speak with an attorney to discuss the specific facts of your case.

VA Emergency Mental Health Treatment

By: Edward Jaffee Abes

As a general rule, Veterans with discharges other than Honorable Discharges face many limitations to their Veterans’ Benefits. One of those limitations is being lifted.

Beginning July 5, 2017, all veterans will have access to VA Hospital emergency rooms for mental health treatment. Veterans with mental health issues, such as PTSD, suicidal thoughts, diagnosed mental diseases, can receive up to 90 days of treatment for mental health emergencies. Treatment may include residential, inpatient, or outpatient services.

Estimates put the number of veteran suicides at 20 per day. This new program is aimed at lowering that number.

The Veterans Crisis Line is also open to all veterans in need of immediate mental health assistance. To access the program, call 800-273-8255 and press 1, text 838255, or visit https://www.veteranscrisisline.net.

Treatment is important, but so is making sure once treatment concludes Veterans have a stable, secure home, food, and medical care so that they can focus on getting better. The attorneys at Abes Baumann work every day to ensure disabled Veterans get all the benefits they earned.

Pennsylvania Supreme Court Rules in Favor of Abes Baumann Client in Landmark Workers’ Compensation Case

Ruling Expected to Help Thousands of Injured Workers Secure Greater Disability Benefits

The Pennsylvania Supreme Court last week declared a key provision in Pennsylvania’s Workers’ Compensation Act “unconstitutional in its entirety” in its ruling on the case Protz v. Workers’ Compensation Appeal Board.

“This is the most significant workers’ compensation ruling in Pennsylvania in the past 30 years,” said Thomas C. Baumann of Pittsburgh firm Abes Baumann, P.C., attorney for the disabled worker who was the claimant in the case. “It could open the door for thousands of severely injured workers to receive benefits more accurately aligned with the extent of their injuries.”

“We are thrilled that Mary Ann Protz, whom experts have determined is unable to work due to her injuries, will now receive the full benefits she deserves for as long as she needs them,” Baumann added.

Protz had sustained a serious knee injury on the job that led to knee replacement surgery and subsequent reflex sympathetic dystrophy. Although an expert hired by the defendant’s insurance company found Protz “unable to perform any job that exists in the local or national economy,” Section 306(a2) of the Workers’ Compensation Act requires the Bureau of Workers’ Compensation to utilize American Medical Association (AMA) guidelines in its Impairment Ratings Evaluations (IRE) to determine level of need. These guidelines set Protz’s level of disability at only 40%, capping her benefits.

“Commonwealth Court ruled and the Supreme Court has now affirmed that Section 306(a2), which delegates decision-making authority to the American Medical Association rather than the legislature, violates the non-delegation doctrine and is unconstitutional,” explained Baumann, who has been seeking justice for Protz since 2011.

The use of AMA guidelines in IREs has created hardships similar to Protz’s for injured workers not only in Pennsylvania, but across this United States. “This ruling likely will usher in a new approach to ensuring benefit levels are accurately aligned with individual workers’ injuries,” Baumann noted. “In addition to future cases, injured workers already on partial disability can consider filing petitions for total disability status,” Baumann said.

Abes Baumann was founded in 1979 as a workers’ compensation firm. Today, Abes Baumann has a reputation for making every client the priority across disciplines including workers’ compensation, veterans’ benefits, personal injury, and pro athletes.

For more information contact:

Thomas C. Baumann, Esq., 412-389-7403

tcb@abesbaumann.com

Or visit: abesbaumann.com

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