July 2009 Archives

July 28, 2009

The Basics of Independent Medical Examinations Under Illinois Workers' Compensation Law

In Illinois, the Workers Compensation Act provides that an employer has the right to have any injured worker examined by an "independent" physician of their choosing. There are some things about these examinations that it is helpful for the injured worker to understand, because often these examinations have an effect on workers compensation benefits.

There is a lot to understand about independent medical examinations, but we will start with the basics. The first thing to understand is that the employer has a legal right to have an examination performed. This means that if an injured worker fails to appear for an examination requested by the employer, the employer may legally terminate benefits.

Another important fact to understand is that although the Illinois Workers Compensation Act treats these physicians as "independent", most often they are not. The employer, and more specifically the Workers Compensation Insurance Company, develops relationships over time with particular physicians, ones who understand that they will get repeat business from the insurance company if they help to save them money on a workers compensation claim. That being said, it is important to be as cooperative and forthcoming at your independent medical examination. Occasionally, they will agree with your treating physician. And, regardless of whether they agree with your treating physician, we want to make sure that their opinion is based on all of the facts that you are aware of that are important to your case.

There are many more things to understand about independent medical examinations, but this will hopefully provide a start. We will be posting more about this topic in the future.

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July 14, 2009

How Illinois Employers Use FMLA When Employees Injured at Work

Many employers will have an injured employee file for FMLA leave after a work-related injury. FMLA, or the Family Medical Leave Act, required employers to keep a job open for 12 weeks when an employee is unable to work due to a medical condition, whether from a work-related injury or not.

The injured employee should be aware that most employer's paperwork for filing for FMLA leave include questions of whether the injury is work-related or not. If you have been injured at work, it is very important that you indicate this on the FMLA paperwork. Otherwise, the employer will use this against your claim for workers compensation benefits.

Further, employers may try to use any incorrect information on the FMLA paperwork to claim that an injured employee intentionally falsified information as a reason to terminate an injured employee. In Illinois, under Illinois workers' compensation law, the employer cannot fire an injured employee for filing a workers compensation claim due to a work-related injury. This law does not prevent employers from looking for other ways to terminate an injured employee. If you have been injured at work, you need to be careful not to give the employers an excuse to terminate you. If you are terminated for your own conduct, the employer is not obligated to pay you benefits for being off work, called Temporary Total Disability.

The best thing to do is to be as straightforward on any paperwork your employer asks you to fill out, and to work with the employer to get back to your full duty work if you are able. It should be noted that every case is different, and you may want to contact an experienced workers' compensation attorney to discuss that particular facts of your work injury claim.


Employers Use FMLA to Terminate an Injured Employee, Business Management Daily, July 1, 2009


July 7, 2009

Yet Another Workers Compensation Insurance Agent Leaves Injured Workers Holding the Bag

Most likely due to the current state of the economy in Illinois and throughout the country, workers compensation benefits are coming under attack, and more businesses are operating with workers compensation insurance. A more troubling trend is appearing - insurance agents fraudulently selling workers compensation insurance to employers without any real insurance overage. This situation is just another example of how Illinois workers are left holding the bag for injuries that they sustain at work.

Recently, a Kankakee insurance agent was charged with collecting premiums from 13 downstate Illinois employer, including the Village of Burbounnais, for workers compensation insurance, and then using the premiums for personal expenditures. Luckily, the State of Illinois and the Workers Compensation Commission have stepped up their efforts to enforce the law against fraudulent insurance agents as well as employers that do not have insurance to cover a work injury. This is good news for injured workers in Illinois. Without these efforts, many injured workers would have to wait a long time before their medical bills are paid or before getting paid for time off of work due to an injury.

Kankakee Insurance Agent Charged With Fraud, Illinois Government News Network, June 29, 2009

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