Worker’s Compensation Health Insurance

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Los Angeles County Sues Hospital Owner for False Surgical Implant Claims to County Workers’ Compensation Program

On July 18, 2014, the County of Los Angeles (“the County”) filed a lawsuit in Los Angeles Superior Court again Michael D. Drobot, Sr., his son Michael R. Drobot, Jr. and their controlled entities, Pacific Hospital of Long...more

Recent Cases of Note

District of New Jersey Denies Class Certification in Title Insurance Case on Grounds of Ascertainability - In the latest in a series of decisions from courts in the Third Circuit regarding ascertainability of a...more

Market Conduct Examination Penalties On The Rise In Missouri

Our firm's Summer 2012 Insurance Business & Regulatory newsletter discussed a recent increase in market conduct examination activity by the Missouri Department of Insurance, Financial Institutions and Professional...more

California Insurance Laws Enacted in 2013

October 13, 2013 was the deadline for Governor Jerry Brown to act on bills passed by the California Legislature this year. Here are summaries of noteworthy insurance-related bills which Governor Brown signed into law. Unless...more

California Legislative Committees Considering Insurance Bills

Numerous insurance-related bills have been introduced in the California Legislature this year. Legislative committees are now conducting hearings on the various measures. This year’s regular legislative session will end on...more

Another Health Insurance/Disability Insurance Coverage Issue

I recently blogged about an employer who continued health insurance coverage for an employee on short term disability in contravention of the health plan document. The employer lost its stop-loss coverage for health claims...more

Designated to Decide: How to Help a Loved One Finish Well

Columbia, MO – April 20, 2012 -- A loving daughter agrees to be her mother’s healthcare agent. A thoughtful mother completes a DNR (Do Not Resuscitate) and DNI (Do Not Intubate) forms. The mother even goes so far as to wear a...more

Designated to Decide: How to Help a Loved One Finish Well

Columbia, MO – April 20, 2012 -- Alisa M. Dotson, Esq. watched a video of a loving daughter who agrees to be her mother’s healthcare agent. A thoughtful mother completes a DNR (Do Not Resuscitate) and DNI (Do Not Intubate)...more

China's Social Security Implementing Rules Are In Force - What's Next

Regulations requiring foreign workers in China to enroll in its social security system are now in effect but the situation is complicated by differing levels of compliance and enforcement by local authorities. In cities that...more

When to Use a Liability Medicare Set-aside Arrangement

The Centers for Medicare & Medicaid Services (CMS) has put the insurance industry on high alert. Threat of penalties for failure to report liability claims involving a Medicare beneficiary has raised concerns over properly...more

Ajlouny Injury Law Lauds Zadroga Act as a Victory for NYC 9/11 First Responders

Victims and their families can breathe easier, literally and figuratively, knowing they are eligible for compensation and health benefits under the Zadroga Act. If you are an EMT worker, NYC firefightre, NYC police office...more

The First Steps You Need to Take When you Suffer an Injury At Work

If you are injured on the job, you may be entitled to benefits, including medical care, under the Illinois Workers’ Compensation Act. However, in order to establish that you have a valid workers’ compensation claim there...more

Convenant Instituut Asbestslachtoffers: tien jaar later

Naar aanleiding van het tienjarig bestaan van het Convenant Instituut Asbestslachtoffers hebben mr Thomas van Dijk en Nienke van Osch een artikel geschreven dat is gepubliceerd in Verkeersrecht. Doelstelling van het convenant...more

Advanced Settlement Loan Companies

Occasionally, one of my clients asks me to sign a lien agreement with a company offering to advance money to the client based on the client's potential permanent partial disability award at the end of his claim. I have never...more

Is Carpal Tunnel Syndrome Covered?

While there are no recent statistics, I know from my experience that the majority of claims filed by injured workers in Nevada for carpal tunnel syndrome are initially denied. Carpal tunnel syndrome presents as numbness,...more

Medicare Set-Asides-Best Practice Article

All organizations are faced with a significant number of employment and liability risk issues during these difficult economic times. Successful firms are employing a cohesive team and infrastructure to address the...more

Health Insurance v. Workers' Comp Claim

An injured worker asks, "Is it wrong for my employer to urge me to use my health insurance to get medical treatment for my back that was hurt at work instead of me filing a workers' comp claim?" Yes, it is absolutely wrong...more

From Out of the Blue Comes a Proposed Exemption for Air Ambulance Companies to Avoid California Workers' Compensation Official...

This week, the Administrative Director of the Division of Workers? Compensation of the California Department of Industrial Relations (“DWC”) proposed a regulation, California Code of Regulations, title 8, Section 9789.70(c),...more

Have You Registered Under MMSEA? New Reporting Obligations And Penalties For Medicare Secondary Payers

Beginning on January 1, 2010, extensive new Medicare reporting obligations will apply to insurance companies and other businesses that make payments to Medicare beneficiaries as a result of litigation claims. The obligations...more

Medicare Secondary Payer Statutes, Part II: Liability Settlement Issues

As discussed in a previous alert, self-insured health care providers face the same compliance requirements and challenges as do those primary payers that qualify as Required Reporting Entities (“RRE”) under Section 111 of the...more

New CMS Model Language Leaves Critical Questions Unanswered

Medicare Secondary Payer Mandatory Reporting Requirements Applicable to All Liability, No-Fault and Workers’ Compensation Insurers On August 31, 2009, the Centers for Medicare & Medicaid Services (“CMS”) posted an “ALERT”...more

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