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Congratulations Tom

Abes Baumann congratulates Tom Baumann on his election as a Fellow of the College of Workers Compensation Lawyers. The College is described as being established to honor those attorneys who have distinguished themselves in their practice in the field of workers’ compensation. Members have been nominated for the outstanding traits they have developed in their practice of twenty years, or longer, representing plaintiffs, defendants, serving as judges, or acting for the benefit of all in education, overseeing agencies and developing legislation.  These individuals have convinced their peers, the bar, bench and public that they possess the highest professional qualifications and ethical standards, character, integrity, professional expertise and leadership.  They have a commitment to fostering and furthering the objectives of the College and have shown significant evidence of scholarship, teaching, lecturing, and/or distinguished published writings on Workers’ Compensation or related fields of law.

Congratulations Tom on this prestigious honor.

Military Burn Pit Exposure

Many Iraq/Afghanistan veterans were exposed to toxic chemicals from burn pits. Burn pits were used to dispose of many items that gave off harmful chemicals when burned. These chemicals include some of the same chemicals found in Agent Orange. Veterans returning from Iraq/Afghanistan may find that they have lung problems or other health problems that they did not have prior to deployment. The VA has not linked any illnesses to burn pit exposure. However, if you were exposed to smoke from a burn pit and now have lung problems, skin problems, or other health issues you did not have prior to deployment, you may qualify for VA compensation.

The government has also recently admitted that a number of Iraq veterans were exposed to chemicals from chemical weapons, left over from the Saddam’s army, that either were leaking or were disposed of improperly. This includes such chemicals such as mustard gas and other very toxic substances. If you think you were exposed to these chemical weapons and now have lung, skin or other health problems, you may be entitled to compensation.

As the VA does not presume that exposure to chemicals causes any illnesses, you need medical proof to connect your illness to exposure to burn pits or chemical weapons. The VA will most likely deny the claim at the first stage. However, you can appeal, and this is where a lawyer can help you with the case by putting together evidence to convince the VA that you were exposed to chemicals and that they caused your illness. 

Jim Burn Debates Political Issues with Melissa Hart

Attorney Jim Burn from our office, who also Chairs the Pennsylvania Democratic Party, will be on PCNC, Thursday, December 18, 2014 to discuss local, state and national  political issues along with former congresswoman Melissa Hart. The show, known as “Hart-Burn” airs at 8pm.

Please tune in!

Workers’ Compensation and Pension Benefits

If you receive both workers’ compensation benefits and pension benefits, it’s likely that your employer began reducing your compensation benefits when you started receiving pension benefits.  If so, it’s entirely possible that your employer has been taking MORE of a credit than it is entitled to take under the law. 

The Workers’ Compensation Act allows an employer to reduce an injured workers’ compensation benefits against pension benefits, to the extent that the workers’ pension benefits were funded by the employer.  Most injured workers learn that their employer plans to offset workers’ compensation benefits when they receive a “Notice of Workers’ Compensation Benefit Offset” form in the mail.  In many cases, the employer fails to fully explain how it calculated the offset; or, the calculations, if provided, may seem remarkably complex.  As a result, many injured workers simply accept their employers’ representations regarding the amount of the offset. 

For many years, the attorneys at Abes Baumann have aggressively fought efforts by employers to reduce our clients benefits based on pension payments.  When an injured worker chooses to challenge a “Notice of Workers’ Compensation Benefit Offset” form, the employer bears the burden of proving the extent to which the employer funded the pension.  If the employer is unable to convince the Workers’ Compensation Judge (WCJ) that it funded a specific portion of the pension, the WCJ can disallow ANY reduction.  Even if the Judge allows some reduction, the WCJ has the ability to determine whether or not the amount of the reduction claimed by the employer is accurate. 

We are currently litigating several cases involving former employees of the State of Pennsylvania who are currently receiving pension benefits through the State Employee’s Retirement System (SERS).  We believe that SERS has miscalculated the reduction and, as a result, the State of Pennsylvania has taken a larger reduction than that to which it is entitled.  We also believe that SERS has applied the same, flawed, method of calculation in many other cases. 

If you are an injured worker whose workers’ compensation has been reduced because of pension benefits, please contact our firm.  We can determine whether or not your employer is entitled to an reduction and, if so, whether or not the amount is correct. 

THE REGULARLY USED BUT NON-OWNED VEHICLE EXCLUSION!!!

The title to this article is not an attention grabber. Indeed, it could cause one’s eyes to glaze over, and quickly move on without reading the article. However, the Regularly Used, Non- Owned (RUNO) Vehicle Exclusion, which is found in virtually all automobile insurance policies in Pennsylvania, is critically and practically important in this era of employer-provided vehicles, multiple vehicles per household, divorce, and non-traditional family situations. The multiple exclamation points following the title serve to point out that this arcane and superficially boring topic may become central to your life and happiness under certain circumstances.

The RUNO exclusion means generally that an auto insurance company will not provide benefits that would otherwise be required if the incident giving rise to a claim involves an individual covered under the policy who regularly uses a vehicle not covered by that insurer’s policy. Fundamentally, this exclusion is designed to prevent an insurer from being called to answer for a vehicle it does not insure, and for conduct it did not intend to insure. 

A sad example of how this exclusion works has to do with police officers. Assume that an officer has purchased his or her own auto policy that provides good coverage for the officer and the officer’s family. One of the keystones of a good auto policy is the provision of uninsured (UM) and underinsured (UIM) motorist coverage. These benefits apply where the responsible driver has either no insurance (UM) or inadequate insurance (UIM) to meet the needs of the case. Also assume that the officer is severely injured in an auto accident during the course of his or her duties, and that the responsible driver has little or no insurance coverage. One would think that this is exactly why the officer has purchased UM and UIM coverage, and that he should have access to it under his own policy. Not so. The RUNO exclusion prevents the officer from recovering UM or UIM benefits under his own policy because he was driving a vehicle that he did not own, but drove regularly. That officer may well feel that he paid for nothing when he purchased that coverage. Moreover, the victim’s life may have been changed forever due to someone else’s negligence, and there is no hope of being fully compensated.

To be fair, it must be acknowledged that an insurer does not intend to insure against all the risks involved in operating a police vehicle when it sells a personal policy. Further, individuals who drive an employer’s vehicle as part of their work are generally covered under the employer’s workers compensation and auto insurance policies. However, UM and UIM coverages are not mandatory, and one who is injured while driving for an employer may find that the employer declined to afford such coverage. Such an employee may be left far from whole after sustaining serious injuries while driving the employer’s vehicle. 

More to the point for the average family, however, is the reality that the same scenario may play out in more surprising but no less harmful ways. In the case of Rother v. Erie Insurance Exchange, a 2012 case from the Pennsylvania Superior Court, the youthful accident victim was denied UIM benefits because he was driving his father’s vehicle, and not that of his mother. The boy lived with his mother who had UIM coverage in her policy. However, he was driving his father’s separately insured vehicle at the time of the accident. For a mere two weeks prior to the accident the son had used his father’s vehicle to commute to and from work , and for emergencies. Nevertheless, the court ruled that this use was regular, and not isolated, casual or incidental. The RUNO exclusion applied, and UIM benefits were denied.

Many other such fact patterns can be readily imagined: the college kid borrows his aunt’s vehicle for a semester; one has a prolonged stay with a friend or relative, and drives their vehicles during that period; a teen buys a car and cut-rate auto insurance separate from the rest of the family vehicles, etc. All of these people are at risk for what is known as the “coverage tragedy.” 

The lessons to be learned from these examples are (1) that it is best, even if more expensive, to have all household autos insured under one good policy, and (2) that it is imperative to determined what kind of auto coverage applies to a vehicle the one does not own, but will use on a regular basis. Having use of a poorly insured vehicle is no bargain, and can lead to tragic results.

Limits of the Independent Medical Examination

Employers are entitled to have an employee examined by their own doctor after an alleged work injury. Many times a client will hear what the “independent” doctor said after the examination and be understandably angry. “How can he say I’m not hurt? I hurt every day. Let him live in my body, then he will see.”

Claimant’s attorneys know that it is the rare defense doctor who will find a claimant suffered a work injury. Claimant is treating with five doctors who all say that claimant has two herniated discs. The lone IME doctor says there is nothing wrong with the claimant. It infuriates attorneys as well but sometimes there is a silver lining. Sometimes the doctor’s arrogance loses the case for the employer.

Claimant is hurt at work. The employer accepts the injury and pays medical and lost wages benefits. Some years later, the employer does not want to continue paying benefits. They send the claimant to be examined. Their doctor testifies that, not only is Claimant perfectly fine, but there was never a work injury in the first place. This is not allowed and can lead to the Judge throwing out all of the doctor’s testimony.

Once a judge decides that there is a work injury the employer cannot go back later and try to argue that no such injury occurred. Likewise, once the employer accepts responsibility for an injury, they cannot reargue it later.

If you were hurt at work, protect yourself. Call an attorney immediately.

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