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Articles Posted in Workers’ Compensation

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Massachusetts Supreme Judicial Court Holds that Insurance Fund can Recoup Costs for Workers’ Compensation Claims Made on Behalf of High-Net-Worth Insureds

The Massachusetts Supreme Judicial Court issued a decision stating that the state’s insolvent insurers fund was able to recover for workers’ compensation claims paid on behalf of high-net-worth insureds.  In this case, Berkshire Bank argued that the Massachusetts Insurers Insolvency Fund could not recover workers’ compensation payouts made on behalf…

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Reviewing Board Holds Massachusetts Law Requires Funding Mechanisms to Remain in Place to Ensure Payment of Workers’ Compensation Benefits Even for Employees of “Defunct Self-Insurers”

In an appeal involving a defunct workers’ compensation self-insurer, the Massachusetts Department of Industrial Accidents Reviewing Board held that a settlement agreement reached between a re-insurer and a bond holder was contrary to statute and invalid.  Partly, the Board held the agreement was invalid because there was no notice to the…

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Massachusetts Reviewing Board Applies Successive Insurance Rule, Finding Coverage for Employee’s Ongoing Work-Related Injuries

The Massachusetts Department of Industrial Accidents, Reviewing Board, recently analyzed a case involving two insurance companies and an employee’s claim of a repetitive injury to his shoulder. The second insurance company, Federal Insurance Company, argued that the judge had erred when he transformed the employee’s allegation from one alleging a…

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Massachusetts Supreme Judicial Court Holds Injured Parties Can Recover Pain and Suffering Without Concern Damages Will be Repaid to Workers’ Compensation Insurer

The Massachusetts Supreme Judicial Court issued a decision earlier this year that affects settlements for injured workers pursuing compensation for their injuries.  In the case of DiCarlo v. Suffolk Construction Co., Inc., which reviewed lower court rulings in two cases, the Court held that a workers’ compensation insurance company cannot…

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Massachusetts Reviewing Board Awards § 34 Benefits Based on Medical Record Showing that Disability Extended Beyond Exhaustion of § 35 Benefits

The Massachusetts Department of Industrial Accidents, Reviewing Board recently affirmed a decision in favor of an injured employee. In this case, the court examined whether a medical report submitted after the close of evidence in the underlying hearing could form the basis of an ongoing award of section 35 benefits.…

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Reviewing Board Holds Nurse Assistant’s Previous Work-Related Injuries Combined with Industrial Incident in Massachusetts to Support Award of § 34 Benefits

The Massachusetts Department of Industrial Accidents, Reviewing Board, recently issued a decision in an appeal addressing whether an injured certified nurse’s assistant’s work-related injuries were due to an industrial accident or the result of previous injuries.  The employer’s workers’ compensation insurer argued that an incident at work, the incident at…

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Massachusetts Reviewing Board Modifies Partial Disability Award After Judge Based Employee’s Earning Capacity Above Hourly Minimum Wage Without Supporting Evidence

In a recent opinion, the Massachusetts Department of Industrial Accidents, Reviewing Board, reviewed a decision awarding benefits to an employee injured in the course and scope of her employment. One issue in this appeal was whether the judge had properly awarded the employee partial incapacity benefits based on an earning…

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Reviewing Board Holds Judge Gave Inconsistent Findings in Judgment Denying Massachusetts Employee Medical Benefits and Dental Care

In this appeal before the Massachusetts Department of Industrial Accidents, the Reviewing Board recommitted a case in which the judge made inconsistent and contradictory findings. Specifically, the judge ruled on whether the employee stated a valid claim for benefits and medical treatment after suffering a compensable injury.  The issue was…

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Massachusetts Reviewing Board Holds Self-Insurer Must Pay Improperly Withheld Sums to Employee After Reaching Negotiated Amount for Benefits in Agreement

The Massachusetts Reviewing Board of Industrial Accidents recently affirmed a decision in favor of an employee after the employer’s self-insurer attempted to reduce the payment owed after having reached a negotiated agreement. The Board relied on precedent in a similar case, stating that when an agreement is reached, and a…

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Massachusetts Court Holds Workers’ Compensation Insurers Can Seek Equitable Contribution After Obligation to Defend and Indemnify is Triggered by Injured Employee Notifying Employer

The Massachusetts Supreme Judicial Court recently addressed the question of equity when an employer that is insured gives notice of a workplace injury to only one of two insurers, failing to notify the other.  The court in this case held that when two workers’ compensation insurance policies cover the same loss for an employee’s injury, the…

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