fbpx

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.

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

New Veteran Hotline

By: Eric D. Abes

Last week, the White House announced a new hotline for Veterans to call with complaints and concerns about the Department of Veterans Affairs. Everything from late payments, delayed or poor medical care, to poor hospital conditions can be reported. As the Military Times reported here, the new hotline is to collect, process, and respond to the complaints of individual veterans in a responsive, timely, and accountable manner.

The hotline is currently in the “soft launch” stage. By August 15, it is supposed to have staffing by live operators 24 hours a day, 365 days a year. All calls will be confidential, but veterans will be asked for personal information if it is needed to resolve a specific problem.

The number is 855-948-2311.

At Abes Baumann Attorneys, we applaud anything that can give veterans a voice. But sometimes a voice is not enough. When you need help obtaining the benefits you deserve, let us take point.

The Impairment Rating Evaluation, Revisited

By: Sandra Weigel Kokal

As discussed in prior blogs, the Insurance Company may try to limit your benefits with the Impairment Rating Evaluation (IRE). An IRE is a physical examination where the doctor determines your level of disability. After receiving 104 weeks of benefits, the PA Workers’ Compensation Act requires an injured worker to submit to an IRE. If the doctor finds that your impairment is over 50%, you will continue to receive total disability workers’ compensation benefits. However, if the doctor finds your impairment is less than 50%, your status will change from total to partial disability.

A recent Supreme Court case, Duffey v. WCAB (Trola-Dyne, Inc.) has given doctors more direction on what is required in their IRE examinations. According to the Supreme Court decision, a doctor performing an IRE must consider ALL of the conditions that the doctor believes are related to the work injury, including any psychological injuries (such as depression or post traumatic stress disorder) that might occur as a result of the work injury. Therefore, even though the description of your injury on the Notice of Compensation Payable (NCP) might not include all injuries, the doctor must address all possible work related injuries. The Supreme Court stated that the doctor is required to render a detailed whole person evaluation in order to support any change in workers’ compensation benefits. This means the whole body evaluation cannot be withheld based on the employer’s description of your injury on the NCP. Your IRE could be found invalid if the doctor fails to perform a whole body impairment evaluation.

Since an IRE can limit your workers’ compensation benefits, the best way to protect yourself is to contact one of the attorneys at Abes Baumann to review the IRE and determine its accuracy.

TALK WITH AN ATTORNEY TODAY!

We only get paid when you win, so you don’t have to worry about hourly rates or fees. That means you’ll never see a bill unless you win. Fill out the form below and you’ll hear back from us immediately.