Articles Posted in Workers’ Compensation

Work place injuries often cause not only physical harm but also psychological trauma as well. In many instances, people who suffer enduring loss of function due to physical impairments may be able to recover permanent loss benefits. As explained in a recent Massachusetts case, the Department of Industrial Accidents has the authority to assess whether such benefits are warranted. If you suffered mental or physical harm while working, you may be owed benefits, and you should contact a Massachusetts workers’ compensation attorney.

Background of the Case

It is alleged that the claimant, a former heavy equipment mechanic for the employer, suffered an industrial injury to the elbow and shoulder, leading to the subsequent development of anxiety and depression. These conditions hindered the claimant from working and significantly affected his daily life, and he was awarded various benefits pursuant to the Massachusetts Workers’ Compensation Act. He later filed a workers’ compensation claim for permanent loss of psychiatric function under the Act, which was ultimately denied. He appealed.

Grounds for Awarding Permanent Loss Benefits

The sole issue on appeal was whether benefits for permanent loss of psychiatric function should be available to the claimant. To resolve this issue, the court looked at the Department of Industrial Accidents’ authority in determining the applicable edition of the American Medical Association Guides to the Evaluation of Permanent Impairment (AMA Guides) for assessing psychiatric impairment. Continue reading →

Pursuant to the Massachusetts Workers’ Compensation Act, employers must provide certain benefits to employees hurt at work, including cost of living benefits. In some instances, employers can seek reimbursement for such benefits from the Workers’ Compensation Fund. While the laws providing the right to seek such benefits do not indicate a time frame for pursuing such benefits, they nonetheless must be sought in a timely manner, as demonstrated in a recent Massachusetts ruling. If you have questions about your rights with regard to workers’ compensation benefits, it is in your best interest to meet with a Massachusetts workers’ compensation lawyer at your earliest convenience.

History of the Case

Allegedly, the University sought reimbursement from the Workers’ Compensation Trust Fund (Fund) for cost-of-living adjustments benefits paid to five employees from July 1, 2005, through June 30, 2010. The Fund denied reimbursement for payments made more than two years before the University filed its claims, citing the department regulation. The University appealed, and the administrative judge sided with the Fund, while the board reversed, contending the two-year limitation served no rational purpose. Both the University and the Fund filed cross-appeals for judicial review.

Cost of Living Benefit Reimbursements in Workers’ Compensation Cases

Under General Laws c. 152, § 34B, insurers are entitled to quarterly reimbursements for cost of living adjustment benefits, with no specified time limit for filing reimbursement claims. On appeal, the court employed a two-part test, considered the language of the statute, and considered whether the regulation could be reconciled with the governing legislation. Continue reading →

The Massachusetts Workers’ Compensation Act sets forth numerous rules regarding workers’ compensation claims and benefits for employees, employers, and insurance companies. If a party fails to comply with such rules and subsequently seeks intervention from the courts, their claim may be denied, as demonstrated in a recent Massachusetts case. If you need assistance pursuing workers’ compensation benefits following an injury, it is smart to talk to a Massachusetts workers’ compensation lawyer as soon as possible.

Procedural and Factual Background

It is reported that the plaintiff was injured while working for the employer’s landscaping company. The employee filed for workers’ compensation benefits from the insurer, which contested his claim. An administrative judge ordered temporary benefits and medical coverage pending a formal hearing, a decision both parties appealed. While the case awaited the hearing, the insurer initiated a Superior Court action to declare two insurance policies void, alleging misrepresentations. the employer did not oppose, resulting in a default judgment against him.

Allegedly, the employee responded but did not contest the insurer’s motion, leading to a judgment declaring the policies void. Using this judgment, the insurer requested dismissal from the DIA case but was denied. A second Superior Court action sought to enjoin DIA proceedings. In response, the employee requested relief from the declaratory judgment, claiming the court had no jurisdiction.

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While people who recover benefits pursuant to the Massachusetts Workers’ Compensation Act cannot pursue claims against their insurers, they can often recover damages from other sources, including, in some instances, their personal insurance policies. Whether such damages will be offset by their worker’s compensation benefits depends on numerous factors, including, in part, the terms of their insurance policies, as demonstrated in a recent Massachusetts ruling. If you were injured on the job, you should meet with a Massachusetts workers’ compensation lawyer about your options.

The Setting of the Case

It is reported that the plaintiff was a passenger in an MTA-owned van, which was involved in an accident with a vehicle driven by another motorist. The plaintiff sustained serious injuries, and he settled his personal injury claim against the motorist for $10,000, which was the maximum coverage under her liability insurance. The plaintiff had also received substantial workers’ compensation benefits related to his injuries. He subsequently filed a claim against his auto insurer for underinsurance benefits, seeking to enforce the policy provision.

Allegedly, the insurer argued that it was entitled to a contractual reduction in the plaintiff’s underinsured motorist coverage based on the plaintiff’s workers’ compensation benefits. The court found in favor of the plaintiff, and the insurer appealed. Continue reading →

Generally, employers in Massachusetts carry workers’ compensation coverage to provide benefits for any employees who sustain injuries on the job. If employers fail to comply with the terms of their workers’ compensation policies, though, they may be canceled. A policy cannot be canceled without adequate notice, however, as discussed in a recent Massachusetts case. If you were hurt at work, it is in your best interest to speak to a Massachusetts workers’ compensation lawyer to assess what benefits you may be able to recover.

Case History

It is alleged that the insurer attempted to cancel a voluntary policy of workers’ compensation insurance issued to the employer due to nonpayment of the premium. The employer never receive notice of the cancellation, however. Subsequently, the employee suffered an injury after the attempted cancellation. Under the assumption that the policy was not in force, he then sought and obtained benefits from the Workers’ Compensation Trust Fund. The Trust Fund later sought to add the employer to the proceedings, which resulted in an evidentiary hearing to determine the cancellation’s validity.

It is reported that an administrative judge conducted a hearing and concluded that the attempted cancellation was ineffective, holding the insurer liable for any benefits paid to the employee. The decision was subsequently affirmed by the board in a split decision. The insurer appealed. Continue reading →

It is not uncommon for people who are hurt on the job to ultimately resolve their workers’ compensation claims via settlement agreements. Generally, such agreements will not be set aside, with few exceptions, as discussed in a recent Massachusetts ruling. If you were injured at work, you may be owed benefits, and it is smart to meet with a Massachusetts workers’ compensation attorney about your options.

Facts of the Case

Reportedly, the plaintiff, a correction officer, was injured while performing duties at work, which led to them receiving workers’ compensation benefits from their self-insured employer, due to a permanent disability. Additionally, the plaintiff was awarded accidental disability retirement benefits by the State Board of Retirement, although these ADR benefits were offset by the workers’ compensation benefits received by the plaintiff. Before reaching a lump sum settlement, the plaintiff received combined workers’ compensation and ADR benefits amounting to about $4,300 per month.

Allegedly, the plaintiff entered into a lump sum settlement to end their workers’ compensation claim for a $10,000 payment. Following the settlement, they were only eligible to receive ADR benefits, which totaled about $2,500 per month. The discrepancy in these benefit amounts resulted from the distinct calculation methods used by the workers’ compensation and ADR systems. Thus, the plaintiff sought rescission of the lump sum settlement agreement on the basis of mutual mistake of fact. Continue reading →

The Massachusetts Workers’ Compensation Act grants injured employees the opportunity to seek compensation for workplace injuries, with the trade-off being the forfeiture of their ability to pursue tort claims against their employer due to the Act’s exclusivity provision. As explained in a recent Massachusetts ruling, this exclusivity provision not only applies to employees who received workers’ compensation claims under the Massachusetts Workers’ Compensation Act (the Act), but also to those who received such benefits under similar Acts in other states. If you were hurt in a workplace accident, it is advisable to consult with a Massachusetts workers’ compensation attorney who can guide you through the available avenues for seeking benefits.

History of the Case

It is alleged that the plaintiff sustained severe leg injuries when a deteriorated garage wall collapsed on him while he was on the residential property of the defendant. The defendant had hired the plaintiff’s employer, a landscaping company, to demolish and remove her garage. Following his injuries, the plaintiff filed for workers’ compensation benefits in Rhode Island, where he resided.

Reportedly, after initially being denied benefits by the landscaping company’s insurer, the plaintiff and landscaping company reached a settlement in Rhode Island for a lump-sum payment of $19,000. As part of this settlement, the plaintiff released the landscaping company and its insurer from further liability. The settlement did not expressly cover one of landscaping company’s principals. Subsequently, the plaintiff filed a negligence lawsuit in Massachusetts against the defendant and the landscaping company’s principal. The defendants moved for summary judgment, and the court granted their motion. Continue reading →

People who are hurt while they are working generally can recover workers’ compensation benefits pursuant to the Massachusetts Workers’ Compensation Act (the Act). In some instances, they may be able to recover accidental disability retirement (ADR) benefits as well. The receipt of ADR benefits may impact their right to workers’ compensation benefits, however, and it is important for them to understand the implications of accepting such additional benefits. As discussed in a recent Massachusetts case, rescinding agreements for ADR benefits can be challenging. If you sustained injuries at work, you could be owed benefits, and you should talk to a Massachusetts workers’ compensation lawyer as soon as possible.

History of the Case

It is alleged that the plaintiff, a correction officer, had sustained a workplace injury in September 1990 and was receiving workers’ compensation benefits from the defendant, his self-insured employer, due to a permanent disability. Subsequently, he was also granted accidental disability retirement (ADR) benefits by the State Board of Retirement. His ADR benefits were offset by the concurrent receipt of workers’ compensation benefits, resulting in a combined monthly sum of $4,340.28. However, in June 2009, a lump sum settlement was reached, terminating his workers’ compensation claim in exchange for a one-time payment of $10,000. Subsequently, the plaintiff became eligible solely for ADR benefits, which amounted to $2,417.79 per month. This substantial reduction was attributed to differences in the calculation methods employed by the workers’ compensation and ADR systems. The plaintiff’s attorney had believed the settlement to be advantageous, assuming higher ADR benefits, without considering the loss of the supplemental workers’ compensation benefit.

It is reported that the settlement necessitated approval from an administrative judge, representing that it was in the plaintiff’s best interest under the Act. Both the plaintiff’s attorney and the defendant’s attorney jointly presented the settlement as such. At the time, neither attorney realized that the plaintiff’s ADR benefits would be significantly lower than his previous workers’ compensation benefits. The plaintiff later sought rescission, alleging a mutual mistake of fact, asserting that his attorney’s misunderstanding of the benefits constituted such a mistake. Conversely, the defendant argued that rescission could only occur based on mutual mistake or fraud. The plaintiff moved for summary judgment, which the trial court granted. The defendant appealed. Continue reading →

The Massachusetts Workers’ Compensation Act (the Act) safeguards employees by prohibiting employers from taking adverse employment actions in retaliation against those seeking workers’ compensation benefits. If employers violate this provision, they may be liable for damages in tort to the affected employees. Recently, a Massachusetts court discussed what evidence a plaintiff must offer to prove their termination constitutes retaliation for filing a workers’ compensation claim. If you’ve suffered an injury while on the job, it’s advisable to consult a Massachusetts workers’ compensation attorney to assess potential benefits you may be able to recover.

The Facts of the Case

Reportedly, the plaintiff had been employed by the defendant as a Supplemental Driver Sales Representative (DSR) before transitioning to a regular DSR, which involved physically demanding tasks such as loading and unloading heavy freight. As part of the plaintiff’s employment agreement, he had signed a document stipulating that they wouldn’t pursue legal action regarding their employment more than six months after an incident or termination.

Allegedly, the plaintiff sustained a job-related shoulder injury sustained in 2005, after which he filed a workers’ compensation claim. Consequently, the defendant initiated a process to reassign the plaintiff to a different role. However, the plaintiff was terminated in 2006 for not securing the necessary medical certification to resume his DSR responsibilities. Ultimately, the plaintiff settled his workers’ compensation claim with the defendant for a sum of $50,000. He then filed a lawsuit against the defendant, setting forth several claims, including workers’ compensation and intentional infliction of emotional distress. The defendant moved for summary judgment. Continue reading →

It is not uncommon for Massachusetts workers to be hurt on the job. Fortunately, the Massachusetts Workers’ Compensation Act (the Act) allows most people injured while working to recover workers’ compensation benefits. In exchange for that right, however, they are barred from seeking damages for work-related injuries from their employer in tort. While typically, it is clear whether an employer-employee relationship exists so as to trigger the act, as shown in a recent Massachusetts case, in some instances it is less certain. If you were hurt at work, it is wise to meet with a Massachusetts workers’ compensation attorney to assess your rights.

Case Background

It is reported that the plaintiff suffered an injury while working on an assignment from a staffing agency to the defendant.  The plaintiff filed a negligence lawsuit against the defendant. While this lawsuit was ongoing, the plaintiff received workers’ compensation benefits through the staffing agency’s policy, which included the defendant as an additional insured. The defendant moved for summary judgment, citing the Act’s exclusivity provisions. The trial court granted the motion and dismissed the plaintiff’s complaint. The plaintiff appealed.

The Employer-Employee Relationship in the Context of Workers’ Compensation Claims

On appeal, the court affirmed the trial ruling. The court noted that the plaintiff’s injury was covered by the Act and that he received benefits from the staffing agency’s workers’ compensation insurer. The court also distinguished between the staffing agency as the “general employer” and the defendant as the “special employer” and pointed out the existence of an “alternate employer endorsement,” specifically naming the defendant in the staffing agency’s workers’ compensation. Continue reading →