The details of workers’ compensation cases are critical, and our lawyers are always available for no cost and no obligation discussions. However, in this post I am going to try to answer the most common questions that we receive.
WORK COMP BENEFITS
What are the work comp benefits I am entitled to receive? There are three main areas of benefits:
Here is my advice on what to do if you get hurt on the job.
The Iowa Workers’ Compensation Commissioner filed an interesting appeal decision on November 1, 2019 in the case of Peckham v. Roberts Construction and Auto Owners Insurance Group. The claimant was helping to build a home addition when he fell from an elevated position on July 6, 2013 and suffered severe injuries to his ankles and knees that required surgery.
The case went to trial in front of a Deputy Workers’ Compensation Commissioner. The Deputy found that the claimant’s knee and ankle injuries constituted bilateral leg injuries. The bilateral injuries needed to be assessed pursuant to Iowa Code Section 85.34(2)(s) and were worth a maximum of 500 weeks of permanent partial disability benefits. The Deputy found that the worker had suffered a 20% whole person impairment from his ankle and knee injuries and therefore was awarded 100 weeks of permanent partial disability benefits. (500 weeks x 20% = 100 weeks).
The Deputy found that the claimant did not prove that he had suffered injuries to his back or hips.
The Iowa legislature enacted a number of new work comp laws that took effect on July 1, 2017. See here for a summary of the new laws. These new laws apply to injuries that occur on and after July 1, 2017.
A number of cases in which the new laws apply have been tried at the Deputy Commissioner level. The case of Reiter v. Incorporated City of Remsen and EMC Insurance involves a stipulated shoulder injury. The Reiter case interprets and applies two of the legal changes.
The first change is Iowa Code Section 85.34(2)(x) which provides:
On September 25, 2019 the Iowa Court of Appeals ruled in favor of one of my clients where we were requesting a second IME at the expense of the Defendants in the case of Ostwinkle v. Mathy Construction Company.
The background of the case is as follows. The worker suffered an accepted low back injury on July 23, 2013.
On August 12, 2016 Chad Abernathey, M.D. provided an impairment rating for the Employer and Insurance Carrier.
The Iowa Workers’ Compensation Commissioner issued an Appeal Decision on July 3, 2019 in the case of Rhonda Tucker v. Menards, Inc. and Praetorian Insurance Co. dealing with a review-reopening.
In a review-reopening action an injured worker can recover additional benefits if their condition has worsened since the original settlement or trial award. The injured worker has the burden of proof to show that their condition has changed since the original award or settlement was made and that the change in condition relates back to the original injury. The change of condition can either be based on physical changes or economic changes.
The claimant in the Tucker case was 58 years old. She did not graduate from high school but did obtain a GED. The claimant worked at Menards for 22 years. She previously worked 15 years for a competing hardware chain, and a few years as a receptionist.
The Supreme Court filed a very interesting decision on May 31, 2019 in the case of Robert W. Milas, M.D. v. Society Insurance and Angela Bonlander.
Dr. Milas brought a lawsuit against a workers’ compensation insurance company and one of its adjusters alleging that they went back on a promise to pay Dr. Milas $14,325.87 for a complex neck surgery, and that those actions constituted both breach of contract and fraudulent misrepresentation.
Dr. Milas is a board-certified neurosurgeon in the Quad Cities. The disputes began when Society Insurance hired Dr. Milas to perform a neck surgery for an injured worker.
Under Iowa law if the payment of weekly benefits to an injured employee is denied, delayed or terminated, and the employer cannot show a reasonable cause or excuse, then the injured worker is entitled to be awarded penalty benefits. Penalty benefits are in addition to the benefits that were not properly paid. The penalty benefits can be up to 50% of the amount of the weekly benefits that were not properly paid. The exact amount of the penalty benefits is up to the discretion of the work comp judges.
Unfortunately, some employers and insurance companies do a very poor job of paying weekly benefits in the correct amount and in a timely manner.
Set out below is a modified version of a Post Trial Brief I filed in a case involving very serious injuries and terrible compliance by the insurance company in paying the benefits that were owed. I have changed the names and dates for privacy purposes.
In one of my cases the Defendants obtained an impairment rating of my client’s injuries, and I was able to obtain an independent medical exam with a doctor of my choice to obtain a competing impairment rating at the expense of the Defendants. That part of the case is very standard.
The unusual part was that the Defendants then obtained a second impairment rating. I filed a Petition to obtain a second independent medical exam with a doctor of my choice at the expense of the Defendants.
I went ahead and got the independent medical exam, and have since been fighting with the Defendants about getting reimbursed for the second independent medical exam. I won the dispute in front of the Workers’ Compensation Commissioner. That led to an Appeal by the Defendants to the District Court where I also won.
Today I just have a short post about a new Iowa law designed to overrule an Iowa Supreme Court case that was decided on November 21, 2018. The case in question is Bluml v. Dee Jay’s, Inc. d/b/a Long John Silvers and Commerce & Industry Insurance Company. I wrote about the Bluml case back on November 21, 2018. You can see my entire article about the Bluml case here.
Part of my take-away from the Bluml case was that the Iowa Supreme Court helped sort out how different types of falls would be handled in Iowa workers’ compensation cases:
Continue Reading ›
Iowa Workers' Compensation Lawyer Blog