Why Do People on Workers Comp Get Depressed?

Workers comp is not the gravy train that the insurance companies make it out to be. Think about it for a minute. In Pennsylvania, when you go out on worker’s comp, your salary is frozen in time. You get only about two-thirds of the money that you were making before the injury. If you hire a lawyer, 20 percent of your already reduced worker’s comp is paid to your lawyer every week. That means your “paycheck” gets reduced by about 66 percent, and then 20 percent of that is sent to your lawyer.

There is no overtime on worker’s compendsation. When you are getting comp as a result of a work injury, you are not working any overtime. Those extra bonus checks that you would sometimes get are gone. You can’t work extra hours, and you can’t take a side job. You are frozen at what you were earning at the time of your injury.

No contributions to social security. When you are working for someone else, your employer actually pays half of your federal FICA taxes. The FICA tax pays for Medicare and social securirty. When you stop working because of a work injury, the employer stops paying its part of the FICA tax. True, you are not paying it either when out on comp, but it is a slight benefit to the employer because it no longer is paying the tax.

Social security contributions. When you get hurt on the job, and you stop working and collect workers compensation, you stop contributing to your social security fund. If you work as an employee in the United States, you must pay social security and Medicare taxes in most cases. Your payments of these taxes contribute to your coverage under the U.S. social security system. Your employer deducts these taxes from each wage payment. Your employer must deduct these taxes even if you do not expect to qualify for social security or Medicare benefits. When you stop working, your contribution also stops.

Plus, you have to have so many years of work under your belt so to speak to collect social security disability. That is why it is so important that you consider applying for social security disability early if you are not able to go back to work.

Plus, when you are out on comp, the employer will sometimes hire private investigators to check up on you. Lots of people on comp are afraid to go outside and do anything.

And you are dealing with lawyers (who can sometimes be testy) and doctors, who sometimes might not believe you or listen to you, and Judges. You have hearings, IMEs, IREs, paperwork that is hard to understand, and a general feeling that you are not in control of your life.

Add to that the fact that you are not able to do your job. Lots of people look at their job as part of who they are. When you can’t do your job, part of you dies.

So, if you are getting depressed on worker’s compensation, you have good reason. It is not the gravy train that the insurance industry makes it out to be.

Nurse Sues Employer for Ignoring Injury

A nurse sued her employer because she apparently had a collapsed lung on the job, but her boss told her to keep working. A word to the wise, if an employee says she has an injury then tell her to get medical treatment.

http://www.ultimateclearlake.com/stories/324866-courts-nurse-supervisor-from-clear-lake-sued-over-alleged-workplace-injury

Communication Between Lawyer and expert Medical Witness are NOT Discoverable

The Pa. Supreme Court has ruled that communications from the defendant’s lawyer to an expert medical witness are not discoverable.

http://scholar.google.com/scholar_case?q=barrick+holy+spirit&hl=en&as_sdt=2,39&case=10141454655492957526&scilh=0

 

According to the Court:

We further conclude that, even if Sodexho had attempted to show cause pursuant to Pa.R.C.P. 4003.5(a)(2), it would not have been entitled to discover the correspondence in this case. Insofar as the information sought is protected by the work-product doctrine, showing cause under Pa.R.C.P. 4003.5(a)(2) requires demonstrating why the privilege must yield to the need for discovery. See Cooper, supra at 494-495 (reasoning that the proponents of discovery bear the burden of demonstrating why they are entitled to additional discovery under Pa.R.C.P. 4003.5(a)(2) in regard to expert testimony). Although the work-product doctrine is not absolute, we noted above that the privilege only surrenders to the need for discovery when the attorney’s work product itself becomes relevant to the action. Pa.R.C.P. 4003.3, Explanatory Comment at ¶ 4-5. Here, unlike the examples in the explanatory comment accompanying Pa.R.C.P. 4003.3, the correspondence is only relevant because of the subject matter discussed between Appellants’ counsel and Dr. Green. The correspondence itself is not relevant to this action. In stark contrast to the examples in the explanatory comment, Appellants’ action relies upon the opinions and analyses of the expert witness, not those of their attorneys. Id. (providing examples illustrating that attorney work product “is not protected against discovery” where a party’s claim or defense relies upon the opinion of its attorney). Therefore, even if Sodexho had complied with Pa.R.C.P. 4003.5(a)(2), the correspondence between Appellants’ counsel and Dr. Green was not discoverable. Accordingly, we conclude that Pa.R.C.P. 4003.3 serves as a separate and independent basis for our decision.

In closing, based upon our interpretation of the Pennsylvania Rules of Civil Procedure, drawing upon the plain language of the rules and the case law of this jurisdiction, we conclude that the trial court committed an error of law in granting Sodexho’s motion to enforce. As our Supreme Court has previously determined, other than the interrogatories described in Pa.R.C.P. 4003.5(a)(1), the Rules of Civil Procedure require that a party show cause to obtain further discovery from an expert witness. Cooper, supra at 492. Sodexho in this case failed to make any such showing. Thus, we hold that Sodexho’s subpoena seeking documents from Appellants’ expert witness was beyond the scope of Pa.R.C.P. 4003.5, without first showing cause as to why such a discovery request was needed. Furthermore, the written communication between counsel and an expert witness retained by counsel is not discoverable under the Pennsylvania Rules of Civil Procedure to the extent that such communication is protected by the work-product doctrine, unless the proponent of the discovery request shows pursuant to Pa.R.C.P. 4003.5(a)(2) specifically why the communication itself is relevant. As such, we also hold that Pa.R.C.P. 4003.3 immunizes from discovery any work product contained within the correspondence between Appellants’ counsel and Dr. Green.

Therefore, for all the reasons discussed in our above analysis, we hold that the correspondence at issue in this case is not discoverable under the Pennsylvania Rules of Civil Procedure pursuant to both Pa.R.C.P. 4003.3 and Pa.R.C.P. 4003.5.

SWIF Throws 2.5 Million Down the Drain

I have handled comp cases now for about 22 years and I have seen, first hand, the rotten administration of claims by some insurers and third party administrators. It really is amazing that they are able to be in business. Now comes Jack Wagner to say that the State Workers Insurance Fund (which handles most of the comp claims in the state and is the largest insurer of comp claims) and accuses it of blowing 2.5 million on a contractor to perform”certain services” that SWIF people already perform.

You can read all about it here:

www.auditorgen.state.pa.us.

SWIF also spent a whopping 73.7 million dollars on a computer system that is allegedely plagued with problems.

http://www.fox43.com/news/wpmt-insurance-state-workers-audit-pa,0,6693198.story

Commonwealth Court Protects Property Rights Against Condemnation

In addition to practicing law in Scranton, I also sit on the Planning Commission. Yesterday, the Commonwealth Court of Pennsylvania issued a very interesting decision on landowner’s rights against condemation when a city attempts to “redevelop” a blighted area of the City. In this case, it was on Lackawanna Avenue in Scranton.

You can find a copy of the decision here:

http://www.pacourts.us/OpPosting/Cwealth/out/277CD11_2-7-12.pdf

Makes for a very good read on the procedures that start with the planning commission in Scranton. I was not on the Planning Commission at the time, but it helps to see the process that must be followed under state law.

Interesting webpage….allows people to report accidents online.

I found a very interesting web page that allows people to report car accidents online.

Its called accidentin.com.

Hmmmm….

Check out my billboard (trust me I don’t look this good in real life….)

Avvo, lawyers and the web.

Everyone is talking about how the web is changing the practice of law. I sometimes answers questions that are posted on a web site called Avvo. People can post a general question and lawyers give their “opinions” on the questions. What is amazing to me are the people who are willing to post a questions on a web site like Avvo, never meeting the lawyer that answers the question, and expect to get specific answers to very specific questions. Go check it out. The questions asked are really personal, interesting, sometimes funny, sometimes sad. Today, someone commented on a general question that I had answered about the Family and Medical Leave Act. That’s a first for me. They were a little angry it appears that I did not answer a very specific querstion. Well, a few things to keep in mind. Sometimes, we need to actually interview you and look at important documents before we can answer any “legal” questions. We might know the law, and maybe we do know the answer to the specific querstion that you ask, but we need to interview you, the potential client, before we give any “opinion.” Of course, some questions are easy, like “How do I apply for Worker’s Compensation?” Or, how does the settlement process work in Pennsylvania. But specific questions require specific research and maybe legal research. And, ask yourself, do you really want to rely on some answer posted on a message board by a lawyer that you have never met?

After the settlement…still not able to work…..

I have so many people who call me and say that they settled their case but they still can’t work and they are having problems. And, oh yea, their old lawyer won’t call them back. Unfortunately, there is nothing you can do to reverse the settlement. Hopefully, you did not settle the medical part of your case also. But you ask what can you do. Here are some things that you might try to do.

1. Apply for Social Security benefits. You might be eligible for social security disability or even SSI benefits. Go to www.ssi.gov for information. You must prove that you are unable to work at any job that you did in the past, or any job that you might be able to perform based on your experience. The downside: it takes many months, and sometimes years to get benefits. And depending on what language your lawyer put (or failed to put) in the comp settlement agreement, you might have to wait even longer to get social security, or it might be reduced.

2. Apply for unemployment benefits. Hopefully, your lawyer did not make you sign away your right to collect unemployment when you settled the workers compensation case. You can try to get UE benefits, but you have to agree that you are able to work in some capacity, such as light duty or sedentary duty. If your doctor is saying you are completely unable to work, UE is not an option, better to look at social security.

3. Apply for short term disability benefits (STDB) with your prior employer. Who knows. Maybe you can still collect STDB. You employer should be able to tell you so ask to complete an application. Make sure you complete the application and don’t take the employer’s opinion because usually there is an insurance company that makes the decision. While you are at it, ask your employer about long term disability benefits also.

4. Ask your employer about any pension benefits that you might have. Sometimes, people have a disability pension plan with their old employer and they don’t even know it. So…ask them. There should be someone in the human resources department that handles this area. Sometimes they are called Employee Benefit Specialists, so ask to talk to them.

5. If you are in Pennsylvania, you might be able to get health insurance coverage with DPW. This is called Medical Assistance. There is also a separate plan for your children called CHIP. You can find information at this link currently: http://www.dpw.state.pa.us/foradults/healthcare….
The links change frequently so click on it now and print it. It might be gone tomorrow.

6. Call and write to your old lawyer.

7. Get a new lawyer and get more advice on what to do. Maybe there are more programs. I hate to tell you this but if you are not already on welfare benefits that might be an option. Good luck to you. I hope that you are able to make it.

What Happens After You Settle Your Case?

Will your lawyer still be there for you after you settle your worker’s comp case? In Pennsylvania, you are allowed to settle the wage loss part of your case, and keep medical benefits available to you in the future, if the employer and insurance company agree. The you have a hearing in front of a Judge so that the Judge can make sure that you (and your lawyer) understand the settlement. There is a Judge in Pennsylvania that will ask the lawyer if the lawyer will continue to represent you and help you after the settlement. That is an excellent question because lots of lawyers simply want to drop out of the picture after you settle the wage loss part of the case, but you still might have questions or problems getting the medical bills paid. So, if you are settling the wage loss part of your case, ask you lawyer, will you still represent me if problems come up with getting medical bills paid?

John Francis Kennedy
John Francis Kennedy
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