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Workers’ Compensation could see change if Congress doesn’t act

Connecticut workers may have heard about the failure of the previous Congress to renew The Terrorism Risk Insurance Act, causing surprise and disappointment for insurance executives. An expectation for the new Congress to act on the measure immediately has stalled alterations in insurer behavior that may impact workers’ compensation coverage.

Previously, TRIA has helped support insurers in the event of excessive claims due to terrorism. While some market watchers are worried about a possible raise in premiums or increased coverage restrictions, most employers will not have to fear going without workers’ compensation benefits in the meantime. Carriers foresaw the possible delay in TRIA coverage and began preparing by writing in policy adjustments over the past year to compensate. Additionally, the excess number of carriers across the nation has allowed strong competition to force insurers to remain reasonable or suffer the loss of an insured. Currently, most insurers are employing wait-and-see approaches, but careful review of potential terrorism exposures will need to take place if Congress does not renew TRIA quickly. If the expected renewal does not occur, consequences will most likely be felt differently across the country based on geographic location and size of the insurer. Those in larger cities have a greater possibility of experiencing a worst-case scenario of a terrorist event-and thus would see an increase in policy amounts if Congress did not pass TRIA to cover the expenses.

Any reduction in workers’ compensation benefits would greatly impact hardworking citizens. Currently, benefits are available to assist employees that have suffered a workplace injury or illness. Coverage extends to preexisting conditions that a workplace accident or injury accelerates or aggravates, as well as injuries resulting from mental and physical strain occurring from work-related stress. Illnesses such as cancer or mesothelioma, if contracted from toxin exposure during normal working conditions, are generally covered. Even injuries during breaks or lunch hours can fall under workers’ compensation benefits.

Workers’ compensation is an invaluable resource for employees suffering from work-related injuries. Any adjustment to the coverage could greatly impact the amount of financial support workers can receive after on-the-job incidents.

Source: Insurance Journal, “Workers’ Comp Insurers Unfazed by TRIA Failure For Now But Expect Quick Fix“, Young Ha and Denise Johnson, Jan. 4, 2015

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Verdicts & Settlements

36-year-old laborer for landscaping company fractured wrist when fellow employee hit him with truck. Claimant received in excess of $30,000 in workers’ compensation benefits for total disability and medical expenses and settled with automobile insurance company for fellow employee for $95,000.

1989 workers’ compensation claim settled for $125,000. Claimant originally sustained a low back injury when she slipped and fell at local grocery store resulting in low back surgery in 1989. Several years later, claimant exacerbated her low back injury. Claim was reopened and settled with carrier for $125,000 in 2006.

47-year-old deli clerk sustained low back injuries at work for local supermarket. Carrier originally denied claim on the grounds that the injury was pre-existing. After formal workers’ compensation hearing carrier accepted claim and paid all total disability benefits and medical expenses in excess of $100,000. Case then settled for an additional $100,000 after injured person received a permanent disability rating.

34-year-old male roofer sustained multiple injuries to his shoulder, neck, back and hip when he fell from roof during work. Claimant was provided workers’ compensation benefits in excess of $100,000 and settled remaining claims for an additional $55,000.

40-year-old male working for cleaning company sustained neck and low back injuries when he fell on defective staircase while cleaning local museum. Claimant recovered over $95,000 in workers’ compensation benefits and resolved claim against museum for $85,000.

26-year-old laborer sustained fractured foot when a cast iron pipe was dropped on his foot. Employer and workers’ compensation carrier denied claim on basis that injured worker was an independent contractor. After a series of informal and formal workers’ compensation hearings, carrier conceded that claimant was an employee and settled case for $85,000.

24-year-old waitress sustained back injury while working at Outback Steak House. Workers’ compensation insurance company initially denied the claim. After a series of informal hearings, carrier accepted claim paying medical expenses and total disability benefits. In addition to those benefits paid, claim settled for an additional $75,000.

Delivery truck driver sustained right wrist fracture in rear-end motor vehicle accident while in the course of his employment. Claimant recovered in excess of $40,000 in workers’ compensation benefits for medical expenses and total disability benefits. Claimant settled case against at-fault driver for $105,000.

22-year-old male working as stocking clerk at “big box” retailer sustained herniated disc in low back. Workers’ compensation carrier refused to accept the claim. After formal workers’ compensation, hearing commissioner ordered carrier to pay over $35,000 in past total disability benefits and pay for surgery and all related medical expenses. Case settled for an additional $35,000 for a total recovery in excess of $100,000.

Rear-end collision on entrance ramp to Merritt Parkway resulting in 49-year-old woman sustaining mid-back injury. Case settled at mediation after filing suit for $300,000.

28-year-old passenger sustained multiple herniated discs in automobile accident in New York state. New York no-fault carrier paid for extended period of disability from work and medical expenses, including expenses for surgery. Case settled against driver of vehicle for $300,000 policy limits shortly after filing suit.

54-year-old man sustains shoulder injury when hit from behind by uninsured motorist on New Jersey Turnpike. Case settled for $135,000 prior to trial.

CT Transit bus driver sustained torn meniscus in collision with another vehicle. Claims made against at-fault driver, workers’ compensation carrier and client’s underinsured motorist policy. All claims settle for a recovery in excess of $100,000.

68-year-old woman sustained neck and back injuries in rear-end collision and required extended course physical therapy, but was not a surgical candidate. Case settled for $100,000 prior to filing suit.

34-year-old woman sustained concussion and neck and back injuries in hit-and-run accident on a New York highway. Claimant settled uninsured motorist claim for her $100,000 policy limits.

80-year-old woman sustained right foot fracture when her foot was run over in a parking lot. Case settled for at-fault driver’s policy limit of $100,000 prior to filing suit.

38-year-old nanny sustained right femur fracture when she fell down defective stairs in home of her employer’s neighbor. All medical expenses and lost wages reimbursed and case settled for an additional $150,000.

Claim against landlord for defective staircase in multi-family rental house. Claimant sustained a right femur fracture. Case settled for $125,000 prior to filing suit.

$95,000 judgment obtained against bar and nightclub for assault by one of its patrons against another patron.

47-year-old woman sustained a broken left wrist when she fell from porch stairs at house she was renting. Case settled for $95,000 shortly before trial.

26-year-old male bitten on leg by German shepherd. Claim against dog owner settled for $65,000 plus payment of all medical expenses.