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Rabu, 10 Agustus 2011

Employee Penalized For Not Following Safety Rules

An employee's workers' compensation award maybe be reduced for failing to follow an employer's safety rules. A Missouri Court ruled that reducing an injured employee's award by 25% to 50% for failing to follow an employer's safety rules was not unconstitutional.

This ruling may have widespread application in many situations including distracted driving claims, where an employee sustains an accident while using a cell phone in violation of an employer's cell phone policy. The employer woud still remain responsible for the reduced award and, of course, subject to a 3rd part law suit by a potential 3rd party.

The reduction rule actually places fault back into the workers' compensation system which both violates the intent of the Act . Such a policy does not compensate for the reduced values (awards) anticipated and prescribed under the workers' compensation act. While the the logic seems to rational, the application further emasculates the intent of workers' compensation. It would be far more logical to put the cart before the horse, and work to prevent the unsafe work condition in the first place. Shifting responsibility to the injured worker is not consistent with the act's intent.

Thompson v. ICI American Holding, 2011 WL 3444008 (Mo.App. W.D.) Decided, August 9, 2011
For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.


Medical Providers Barred From Lawsuits Against Employers for Benefits

A NJ Appellate Court, in an unreported decision, ruled that medical providers are barred from filing a civil action against an employer for medical services provided to an injured worker. The medical provider must bring the claim before the Division of Workers' Compensation which has exclusive jurisdiction over benefits.

This decision, while permitting contractual issues to be decided in a civil action, is consistent with a prior NJ Supreme Court ruling barring a collection action outside of workers' compensation directly against an injured worker for medical treatment.

The Valley Hospital v L.Q. Management, 2011 WL 3425591 (N.J.Super.A.D.) Decided August 8, 2011. (Not Approved for Publication)

For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

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Jumat, 05 Agustus 2011

Bad Faith Claims Maybe Going to the Jury

The NJ Supreme is going to review the procedure to bring bad faith claims against employers and insurance companies in workers' compensation actions. The Court accepted for review a case holding that workers' compensation bad faith claims are within the exclusive jurisdiction of the workers' compensation hearing official.

The case involves an injured worker who filed a civil action against his employer's workers' compensation insurance company for failing to comply with the Division of Workers' Compensation Order that medical treatment should proceed. The employee alleged that the delay and denial of medical care caused harm. The lower court had rejected the case and dismissed it holding that the jurisdiction for bad faith is exclusively within the purview of the Division of Workers' Compensation. Stancil v. ACE USA, 418 N.J. Super. 79, 12 A. 3rd 223 (App. Div. 2011), ___A.3d___, 2011 WL 3342730 (NJ). Decided June 7, 2011.

In another decision, the NJ Supreme Court held that bad faith, in a negligence action,  was a contractual issue giving rise to a factual question that could only be decided by a jury.

"We conclude that a Rova Farms claim that an insurer in bad faith failed to settle a claim within the policy limits, thereby in fact exposing its insured to liability for any excess, represents a traditional contract claim that the insurer breached the implied covenant of good faith and fair dealing and to which the right to trial by jury attaches." Wood v. New Jersey Manufacturers Insurance Company, 21 A.3d 1131, 2011 WL 2314954 (NJ), Decided June 14, 2011.

The Stancil
case highlights one of the most serious and costly issues in Workers' Compensation, both in NJ and the nation, the adequate and efficient delivery of medical care. While the courts are struggling with this issue that is compounded by arguments over reimbursement  and treatment paths, the compensation system continues to be bogged down and unresponsive to the urgency of the need to delivery medical care to injured workers.

For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Senin, 01 Agustus 2011

Employers Risks Increase From Cell Phone Use

The results of a recent survey of US construction industry managers reflects that employers are now facing an increased risk of lawsuits for damages caused by accidents that their  employees have had while using a cell phones while driving at work. The survey demonstrates that the passive action by employers, by merely having a written cell phone policy, is ineffective to stop distracted driving accidents caused by cell phone use.

The study, published by Zoom Safer Inc. , reveals that 72.1% of construction companies already have a written policy restricting employee cellphone use while driving. The findings of the survey disclose that 25.2% of the companies have knowledge or evidence that employee vehicle crashes occurred as a result of distractions arising from the use of cell phones while driving. The economic consequences for those companies could  be severe since 10.8% of the companies responding to the survey reported that the accidents have resulted in lawsuits against the employer for employee's use of the a cell phone while driving.

While workers' compensation is a no fault system of insurance, the surge of claims caused by distracted driving by employees, will ultimately result in severe economic consequences to the employer. It is more than obvious that the economic liability to employers will be a driving force for employers to take a more active roll in curbing cell phone use, and for insurance carriers to reconsider the the need to transferability to employers to reduce distracted driving claims.

For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Kamis, 16 Juni 2011

US Supreme Court Advances the Rights of Injured

Workers who become ill from defective medications prescribed to treat occupational conditions will now be afforded the opportunity to seek compensation by way of State class action law suits against pharmaceutical companies who manufacturer drugs that make them sicker. The Court expanded the rights of the injured today when it held that State class action law suits were not prohibited even though a Federal Court denied class certification in a pending similar case.

Workers' Compensation benefits are notoriously inadequate to compensation ill workers adequately from the harms resulting from the adverse effects of  defective medications. Third party actions by the employees against the ultimate wrongdoers, in this case the pharmaceutical manufactures, have become a vehicle to receive supplemental benefits.

The Supreme Court's decision afford the workers an opportunity to proceed with a class action in a State Court even though a similar clase may have not received class action certification in Federal Court.

"Respondent (Bayer) moved in Federal District Court for an injunction ordering a West Virginia state court not to consider a motion for class certification filed by petitioners (Smith), who were plaintiffs in the state-court action. Bayer thought such an injunction warranted because, in a separate case, Bayer had persuaded the same Federal District Court to deny a similar class-certification motion that had been filed against Bayer by a different plaintiff, George McCollins. The District Court had denied McCollins’ certification motion under Fed. Rule Civ. Proc. 23.

"The District Court’s injunction was independently improper because Smith was not a party to the federal suit and was not covered by any exception to the rule against nonparty preclusion. Generally, a party “is ‘[o]ne by or against whom a lawsuit is brought,’ ” United States ex rel. Eisenstein v. City of New York , 556 U. S. ___, ___, or who “become[s] a party by intervention, substitution, or third-party practice,” Karcher v. May , 484 U. S. 72 . The definition of “party” cannot be stretched so far as to cover a person like Smith, whom McCollins was denied leave to represent. The only exception to the rule against nonparty preclusion potentially relevant here is the exception that binds non-named members of “properly conducted class actions” to judgments entered in such proceedings. Taylor v. Sturgell , 553 U. S. 880 . But McCollins’ suit was not a proper class action. Indeed, the very ruling that Bayer argues should have preclusive effect is the District Court’s decision not to certify a class. Absent certification of a class under Federal Rule 23, the precondition for binding Smith was not met. Neither a proposed, nor a rejected, class action may bind nonparties. See id., at 901. Bayer claims that this Court’s approach to class actions would permit class counsel to try repeatedly to certify the same class simply by changing plaintiffs. But principles of stare decisis and comity among courts generally suffice to mitigate the sometimes substantial costs of similar litigation brought by different plaintiffs. The right approach does not lie in binding nonparties to a judgment. And to the extent class actions raise special relitigation problems, the federal Class Action Fairness Act of 2005 provides a remedy that does not involve departing from the usual preclusion rules.

Amith v Bayer, No. 09-1205 (Decided June 16, 2011) 

Selasa, 24 Mei 2011

Court Permits Deduction of Procurement Costs From Medicare Set-Aside in Liability Claim

Following the guidelines of the CMS Management Memo entitled "Medicare Secondary Payer - Workers Compensation (WC) Information" dated May 7, 2004, and the interpretation of 42 CFR 411.37, a NJ Court granted an attorney the deduction of procurement costs from a Medicare Set-Aside Trust.

"This court's decision to apply 42 C.F.R. § 411.37 to funds obtained in a civil action and placed in a Medicare set aside is also in line with general principles of equity. Where a plaintiff is, or will within a short time become, a Medicare recipient, the plaintiff's attorney also works on behalf of Medicare to secure funds to pay future medical expenses Medicare would otherwise pay. To allow Medicare to avoid paying an equitable share of the procurement fees for a judgment or settlement amount, forcing the plaintiff to cover all the fees, would be unfair to plaintiffs. In some situations, a plaintiff may end up getting nothing after creating the set aside and paying attorneys' fees or may even have to pay money out of pocket to his attorney after a lengthy trial. Such a result would not only be inequitable, it would deter persons on Medicare who are injured by the tortious acts of others from bringing claims."

Hinsinger v. Showboat Atlantic City, L-3460-07, 2011 WL 1885980 (NJ Super Law Division 2011), decided May 19, 2011.

Kamis, 10 Maret 2011

Brazilian Blowout Abandons Suits Against Oregon OSHA for Formaldehyde Findings

A company that makes a hair straightening product, Brazilian Blowout, has dropped a lawsuit that it had filed against Oregon OSHA (Occupational Safety and Health Administration) challeging the agency's findings that the product contained formaldehyde, a known carcinogen.

OSHA had tested 105 samples of the air product from 54 hair salons and reported significant formaldehyde findings. The lawsuit, filed by the company, alleged that the testing was incorrect.

The report had concluded, "Oregon OSHA and CROET have concluded that there are meaningful risks to salon workers  when they are confronted with these hair smoothing products. Effective control of those risks depends upon accurate information regarding the potential hazards and the control measures  available, which in turn begins with an accurate understanding of the ingredients and the potential harm they may cause."

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Sabtu, 18 September 2010

Plaintiffs' Law Firm Jon L. Gelman Ranked a Best Law Firm by U.S. News & World Report

Jon Gelman, a plaintiffs' litigation firm for over 3 decades, announces today that U.S. News & World Report has named the firm to its 2010 Best Law Firms list, an annual list showcasing law firms in 81 practice areas throughout the United States. The Best Law Firms rankings (http://tinyurl.com/2foh4u2) are based on both objective data and peer evaluations. Jon Gelman was ranked for its work in Workers’ Compensation.


Jon Gelman represents clients in individual and class action cases in complex litigation across an array of practice areas, regularly litigating challenging cases involving multiple parties in state and federal jurisdictions throughout the United States, either as sole counsel for the plaintiffs or in association with local counsel and other firms. It is a specialty law office concentrating its practice in the litigation of catastrophic and serious injuries resulting from work-related exposures and traumatic events. Jon Gelman is currently active in such cases as the nationally publicized Asbestos Litigation  (http://tinyurl.com/26r4t3r) and Burn Pit Litigation (http://tinyurl.com/279ds2n) and multi-district litigation filed by military personnel against defense contractors KBR and Halliburton.


Attorney Jon Gelman (http://tinyurl.com/ylfucty) received a number of awards and accolades for his willingness to take on diverse litigation in the fight to protect those harmed by traumatic events and occupational exposures. He is a member of The College of Workers Compensation Lawyers (http://tinyurl.com/2crqrn9).


The firm provides legal service with a social conscience. His practice is built on a strong foundation of in-depth knowledge of the subject matter which is reflected in the 3-volume treatise entitled Workers' Compensation Law (http://tinyurl.com/26rfqoq), (Thomson-West), that Jon Gelman authored, and in the 3-volume national treatise, Modern Compensation Law, (Thomson-West), that he also co-authored.


Best Lawyers (http://bestlawfirms.usnews.com/) compiles its list by conducting extensive peer-review surveys in which thousands of lawyers confidentially evaluate their professional peers. The list is published in an annual referral guide, The Best Lawyers in America, with the intention of providing lawyers and clients with a reliable source for finding legal experts in unfamiliar jurisdictions and practice areas. To date, Best Lawyers is the oldest peer-review publication available in the legal profession. The 2010 Best Law Firms list will be featured in the October print issue of U.S. News & World Report and will be available on September 27, 2010. The list and selection methodology are also available at www.usnews.com/bestlawfirms.


Jon L Gelman LLC is located in Wayne, New Jersey. For more information about Jon L. Gelman LLC, contact Jon L. Gelman (NJ) at +1 973.696.7900 or visit http://www.gelmans.com.



Kamis, 09 September 2010

Federal Court Allows Burn Pit Claims to Proceed Against Halliburton & KBR

A Federal Court Judge has ordered that claims against military contractors, KBR (Kellogg Brown and Root) and Halliburton, may proceed. Sick soldiers deployed in Iraq and Afghanistan filed claims against the corporations because of "alleged failures of the military contractors to treat water and dispose of waste in a manner required" by their contract with the US Military.

Judge Roger W. Titus, in his 41 page opinion, dismissed the jurisdictions of the defendants and is allowing limited discovery to go forward. He also invited the participation of the US Government as an "amicus curiae, "friend of the Court," in formulating the discovery plan.

lawsuit is currently pending against Kellog Brown & Root (KBR) and Halliburton on behalf of soldiers who were exposed to burn pits in Iraq and Afghanistan.  The corporations were awarded US logistical contracts to support military in the war theaters.

In its ruling the Court stated, "In tension with the exercise of caution supported by these legal defenses is the legitimate concern that the judiciary may prematurely close courtroom doors to soldiers and civilians injured from wartime logistical activities performed by hired hands allegedly acting contrary to military-defined strictures. Courts must be prepared to adjudicate cases that ultimately expose defense contractors to appropriate liability where it is demonstrated that they acted outside the parameters established by the military and, as a result, failed to exercise proper care in minimizing risk to service members and civilians."

Soldiers returning from Iraq and Afghanistan have report illnesses, including: cancers, respiratory disease, skin disorders and cancer following there tours of duty. Six deaths have been reported from early onset of leukemia and many more under treatment for malignancies.





Related Articles
Halliburton, KBR Ordered by Judge to Face Military Suits Over Pit Burning (Bloomberg)

Minggu, 08 Agustus 2010

Insurance Company Liable in Tort for Delay of Medical Treatment

A US District Court Judge held that a valid cause of action existed directly against an insurance company for the delay treatment to an injured worker. The court, in denying a motion for summary judgment, held that when an insurer negligently ignored the advice of its own medical expert concerning medical treatment, a claim against the insurer itself was not barred by the Exclusivity Doctrine.


Davis v One Beacon, et al., 2010 WL 2629053 (D.N.J.) Civil Action No. 09-cv-4179 (NLH)(KMW) Decided June 28, 2010.


Click here for more information on how Jon L Gelman can assist you in a claim for workers' Compensation claim benefits. You may e-mail Jon  Gelman or call 1-973-696-7900.