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Sleepy Drivers and Truck Accidents

By: Roger D. Horgan

The job driving a large truck over long distances is exhausting. A good driver must be on high alert at all times because of the complexity of the task and the great harm tractor trailer accidents can cause. The Federal Motor Carrier Safety Regulations exist to protect the public from harm that these enormous, heavily loaded vehicles cause.

Among the most important regulations are those that prohibit drivers of commercial trucks from driving for too long. It is entirely predictable that a driver who is on the road—beyond the normal and safe limits of human endurance—will lose his edge. The driver then becomes a far greater risk of harm than one who is well rested.

It is the predictability of accidents caused by tired drives that exposes drivers and their employers to punitive damages claims—intended to punish wrongdoers—on top of normal compensatory damages. Pennsylvania Courts have ruled that failure to adhere to driving time limits can be considered recklessness and supports a claim for punitive damages, for example Gaffin v. George Walker, Jr. and Pocono Produce Co., Inc. There is no specific limit on the amount of punitive damages. This is why punitive damages remain an incentive for drivers and their employers to comply with the regulations…and save lives!

Major changes are coming to PA’s workers’ comp system – unless you act now!

SB 936, sponsored by Chairman of the Senate Insurance Committee Senator Don White (R-Indiana) and championed in the House by Representative Ryan Mackenzie (R-Lehigh), calls for a dramatic change to the state’s workers’ compensation law and is now pending before the House Labor & Industry Committee,

This bill will establish a pre-approved list of prescription drugs –  a “drug formulary” – for every injured worker. This would allow the insurance companies to overrule doctors’ medical judgment and deny workers the medicine prescribed to them.

It’s worth noting that this bill was written, introduced, and passed the PA Senate in four days without any meaningful public input.

But that doesn’t mean that you need to stay silent. The bill still has not passed the PA House of Representatives.



Please call these instrumental State Representatives – it will only take a few minutes of your time. Follow the provided script and be polite and courteous.

REP. ROSEMARY BROWN – MONROE & PIKE COUNTIES (570) 420-8301

REP. JONATHAN FRITZ – SUSQUEHANNA & WAYNE COUNTIES (570) 253-5533

REP. JIM MARSHALL – BEAVER & BUTLER COUNTIES (724) 847-1352

REP. DAVE MILLARD – COLUMBIA COUNTY (570) 759-8734

REP. TEDD NESBIT – BUTLER & MERCER COUNTIES (724) 458-4911

REP. CHRIS QUINN – DELAWARE COUNTY (610) 325-1541

REP. TODD STEPHENS – MONTGOMERY COUNTY (215) 368-5165

REP. JEFF WHEELAND – LYCOMING COUNTY (570) 321-1270

 

• Hello. My name is _______, and I’m calling to let the Representative know that I’m opposed to Senate Bill 936.

• I’m concerned about how the bill would impact me – and people like me – if I get injured at work.

• By creating a drug formulary, insurance companies can overrule my doctor and deny me the medicine that my doctor prescribed.

• This bill is about putting more money in insurance companies’ pockets, not about what’s best for me if I get hurt at work.

• SB 936 requires utilization review organizations to be certified by some national accreditation agency – likely governed by insurers. This could allow insurers to “stack the deck” and guarantee the outcome of appeals in the workers’ compensation system.

• Under current law, injured workers have given up their right to sue in exchange for a system that provides timely and proper medical care. This is a HUGE hit to the workers’ comp system and the “grand bargain” as a whole.

• SB 936 would hurt me and others who get hurt at work. This bill is detrimental to hard-working constituents.

• Thank you for your time.

 

Thank you for your help!

Do you have any further questions from us? You can always email us at info@abesbaumann.com or call us at 412-228-4786. As always, we’re happy to help.

Is VA RAMP Right for Me?

By: Susan Paczak

In August 2017, the President signed into law a bill that changes the VA appeal process. The new process does not take effect until February 2019, at the earliest. However, the VA is now conducting a project to see how this new process may work. The VA has selected cases of certain veterans and is inviting those veterans to use the new appeals process. The VA calls this RAMP-Rapid Appeals Modernization Project.

The VA is picking cases that are already in the appeals process. If your case is picked, you will receive a letter from the VA inviting you to join RAMP. This sounds like a good process. The Veteran gets to have their appeal speeded up. However, that is not how it works. If you join RAMP, you have to withdraw your claim and file a new claim. If you win, the new claim will go back to the date of the claim you withdrew. If you don’t win and have to appeal this new claim, then you have to file a new appeal. This new appeal then goes to the end of the appeals line, because it is a new appeal. The VA will not take into account that your appeal was already in the system for years before RAMP started. This new appeal may then be in the system for many more years.

Here is an example:  Vet files his claim in 2014, is denied in 2015 and appeals. In 2018, he is invited to join RAMP. Vet then withdraws his 2014 claim, and files a new claim. The new claim is denied in 2018. Vet appeals in 2018. The appeal is now a 2018 appeal-not a 2015 appeal. So, the appeal will now be decided after all the earlier appeals are decided. Vet now may have to wait another 3-4 years for the appeal to be decided. If Vet had stayed with the old appeal, it would most likely have been decided in 2018.

IF YOU RECEIVE A LETTER INVITING YOU TO JOIN RAMP IMMEDIATELY CALL ABESBAUMANN, P.C. TO DISCUSS YOUR OPTIONS.

Liens and Subrogation in Auto Accident Cases

By: Roger D. Horgan

Medical liens and subrogation. These obscure misunderstood words can have a dramatic impact on the victim of automobile negligence. These concepts come into play when the victim’s auto insurance is insufficient to pay all of the medical expenses arising from an accident. After the auto coverage has been exhausted, the victim’s health plan will step in to pay the remaining bills, under the terms of that plan. The health plan’s claim well then seek reimbursement from the proceeds of the accident litigation, also known as enforcing a lien or seeking subrogation.

The problem with medical liens is that they can overwhelm a case and lead to negative and unjust results. If the defendants liability coverage is inadequate, and the health plan insists on 100% reimbursement of what it paid, the true victim may bear the shortfall and be left with little or nothing. Many accident victims are sorely disappointed to find that they must reimburse their health insurance company even though they have paid for that coverage.

The lienholders have enormous power over the resolution of the case and how much the accident victim ultimately receives. The best way to prevent being held hostage in this manner is to purchase as much uninsured and underinsured motorist protection as you can possibly afford. This enlarges the pot from with you and the lienholder are paid, and it increases the likelihood that you, the accident victim, can be fully and fairly compensated.

ZUber v. Boscovs–A Lesson in Completeness

By: Douglas A. Williams

In Pennsylvania, if an injured worker and his employer wish to settle a workers’ compensation claim, they must do so with a document known as a Compromise & Release Agreement (C&R). The C&R is typically prepared by the attorney that represents the insurance carrier. The injured worker’s attorney then reviews the C&R and makes any changes that are necessary. Ultimately, the C&R is presented to a Workers’ Compensation Judge. The injured worker must appear before that Judge and convince the Judge that he understands the terms of the C&R. If the Judge believes that the injured worker does understand the C&R, the Judge will issue an order approving the C&R and, at that point in time, the employer must issue payment to the injured worker in accordance with the terms as outlined in the C&R.

In a recent Federal Court case, Zuber v. Boscov’s, the United States Court of Appeals for the Third Circuit ruled that the existence of a C&R did not prevent the injured worker from suing his employer under the terms of the Family Medical Leave Act (FMLA). Mr. Zuber sustained a work-related injury in August of 2014 while working for Boscov’s. He returned to work shortly after the injury and Boscov’s ultimately terminated his employment approximately a month after the injury. The following year, Mr. Zuber and Boscov’s entered into a C&R resolving all aspects of his workers’ compensation claim. Subsequently, Mr. Zuber filed suit against Boscov’s in Federal Court. In his suit, Mr. Zuber claimed that Boscov’s had violated the FMLA. Boscov’s moved for dismissal of the suit claiming that Mr. Zuber, by entering into the C&R, had waived his right to file suit under the FMLA. The District Court agreed with Boscov’s and dismissed Mr. Zuber’s claim. However, on appeal, the United States Court of Appeals for the Third Circuit reversed that decision and held that Mr. Zuber, by signing the C&R, had only released his rights to workers’ compensation benefits. The Court held that the C&R did not prevent Mr. Zuber from suing Boscov’s for a FMLA violation or, for that matter, for any other cause of action unrelated to the Workers’ Compensation Act.

It is important to note that Zuber v. Boscov’s does not prevent an employer from insisting that an injured worker sign a General Release separate and apart from the Compromise & Release Agreement that resolves a workers’ compensation case. In fact, this is frequently done in workers’ compensation cases. General Release documents often include language in which the injured worker not only resigns his employment but forfeits his right to bring suit against the employer for any reason. Again, this document is separate and distinct from the C&R and is not reviewed by the Workers’ Compensation Judge. Some employers will refuse to resolve a workers’ compensation case unless an injured worker signs such a General Release. Of course, the injured worker has the right to refuse to sign the General Release. However, this may mean that the workers’ compensation case will not resolve without litigation.

At Abes Baumann, we strongly discourage our clients from signing General Releases, or any other documents, before they have the opportunity to speak with a competent employment lawyer who can advise them as to whether or not signing such agreement is a wise decision. If you are considering settling your workers’ compensation case and are concerned that your employer may try to pressure you into signing a General Release, please contact our firm to discuss the matter further.

A Client’s Perspective

By: Susan Paczak

The thanks and praise of a happy client is the most satisfying reward we at Abes Baumann can receive. One client of Attorney Susan Paczak put his feelings into writing:

I am a service connected disabled Marine Corps veteran and was always told by other so called expert VA lawyers including a law professor that thought he was also a VA expert lawyer that my VA case was unwinnable against the VA. Well Susan Paczak a VA lawyer with years and years of experience fighting and beating the VA’s lawyers all the way to the federal courts thought differently and told me that my VA case was winnable and if I hired her she would win my VA case. Well Susan Paczak not only won my case against the VA and BVA but got me a 100% Permanent Total VA rating, something that the so called VA expert lawyers said couldn’t be achieved, well they were wrong and Susan was right! Susan Paczak isn’t done yet with my VA case and continues to keep in contact with me and always confers with me on VA case matters and continues to develop new strategies against the VA to complete my VA case. Thank you Susan, I and many others owe you a debt of honor, you are truly what every other VA lawyer aspires to be but few make it to your level of experience, caring, wisdom, courage and fighting ability against a foe like the VA, it’s just very sad and too bad that the VA works against us as veterans and not for us like they were commissioned too many years ago….. Kindest regards and GOD’s divine blessings and protection, disabled veteran USMC

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