March 2026; Happy St. Patrick's Day to All; Some IL WC Claims Are Now Being Treated as Common Law or even Criminal Law Claims; Tim O'Gorman on a Interesting Fall-Down Claim and more

Synopsis: Shocking IL WC Claims Where Our IL Courts Don’t Treat Them as WC Claims!!

Editor’s Comment: As we reported last October 2025, in Rivas V. Benny’s Prime Chophouse LLC, Claimant was at work, ate food from his employer and sadly passed away at work. Turns out he was very allergic to sea food. You may note his widow probably didn’t get a dime in IL WC death benefits because to accept such benefits would change the course of the litigation that almost certainly was driven by the widow’s counsel into the common law courts.

Please also note Decedent passed in 2010. While the widow may now get some recovery, assuming she is still alive and with us, it is hard for me to imagine she was better served to go into the snail-like common law courts.

I cautioned we have to remember this claim may be appealed to and accepted for appeal by the IL Supreme Court. Their ruling may again greatly change this outcome. But for now, it is an Appellate ruling of note.

Please note if they had proceeded to seek WC death benefits, the IL WC death claim would have been paying her regular WC checks for the last fifteen+ years plus additional increases from the IL WC Rate Adjustment Fund.

In 2012 the widow Rivas filed a common law negligence lawsuit, alleging the restaurant was “aware” of her husband’s shellfish allergy—whatever that might mean. I find it impossible to believe restaurant management was aware of the acute and deadly nature of the seafood allergy and encouraged Claimant to play “Russian Roulette” with its free grub. The widow also claimed the employer somehow “failed” to inform Decedent the meal contained shellfish.

The point I am trying to make for my readers is simple—if it was competently presented at a WC hearing, there is no way in my mind, none, that our liberal IL WC Commission could not have found this claim and her recovery to be from the workers’ comp system.

 

If, instead of suffering a fatal exposure, Decedent had broken a leg or popped a disc in his spine, in my view, he would have a 99% chance of IL WC recovery. He was at work. He was probably wearing clothes and equipment from his work. He was given food from his employer’s oven. He was eating in the company of co-workers only. Who in their right mind would think the event was non-work-related in this liberal State?

 

In short, I believe this was a WC claim that was turned into a common law claim to seek millions of dollars. After more than a decade and a half of litigating, you tell me, is the widow better or worse?

Shocking Second Death Claim – Are Incompetent Village Workers Going to Face Criminal Charges?? If Not, Why Not?

An Illinois appellate court revived a wrongful death lawsuit filed by the estate of a municipal water worker who drowned after being sent alone into an underground vault, ruling the claims are not barred by workers compensation exclusivity.

In Heiden v. Village of Westmont, the Illinois Appellate Court for the Third District reversed a lower court’s dismissal of the case and remanded it for further proceedings.

The case stems from the February 2023 death of Matthew Heiden, a 20-year-old employee of the Village of Westmont’s water department. According to the complaint, the village sent Mr. Heiden alone into a permit-required confined space to repair a leaking valve without required safety precautions or protective equipment. While Mr. Heiden was in the underground vault, a valve dislodged, trapping his arm as the vault filled with water. Emergency responders eventually freed him, but he was pronounced dead at a hospital.

From those facts, there is no question this is an IL WC Death claim. The maximum IL WC Death benefit would pay the widow around $100k per year with annual increases from the IL WC Rate Adjustment Fund. She would get over $2.5M.

An investigation by the Illinois Department of Labor identified multiple safety failures, including the absence of a confined-space entry permit, lack of training and personal protective equipment, failure to de-energize the water main and the absence of a retrieval system such as a harness and line. The worker’s estate sued the village and others, alleging the municipality intentionally violated safety rules and knowingly sent the worker into a dangerous confined space.

A Du Page County circuit court dismissed the claims against the village, ruling they were barred by the exclusivity provisions of the Illinois Workers’ Compensation Act.

The IL Appellate Court disagreed, finding the estate plausibly alleged intentional conduct sufficient to invoke an exception to workers compensation exclusivity, which generally bars civil suits against employers for workplace injuries.

Please note the logical conclusion of what the IL Appellate Court ruled is the presence of intentional conduct leading to the passing of this unfortunate soul. When the Courts find intentional conduct led to the death of someone, that means someone should be on the hook for murder, right?

 

In summary, it is difficult to watch from the sidelines and try to figure out where our Illinois courts and the forces of ITLA will go.

 

We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

Synopsis: KCB&A Gets A Great New LegalScore Performance Rating from Gallagher Bassett.

 

Editor’s comment: We salute the Gallagher Bassett Organization and look forward to bringing great service and advice to them and all our amazing defense clients.

 

If you are seeking great defense counsel, email jcampbell@keefe-law.com or sbiery@keefe-law.com.

 

 

 

  

 

 

 

 

 

 

 

 

 

Synopsis: So, is Everything that Happens at Work a Compensable Claim in Illinois Now?... NOT AT ALL!! Research and drafting by Timothy O’Gorman, J.D.

 

Editor’s comment: While the trend for expanding compensability in Illinois WC is troubling, there are still viable defenses to some incidents and injuries at the workplace.

 

In Juarez v. IWCC, a Petitioner who suffered an unexplained syncopal (or fainting) episode due to diabetes was denied benefits for injuries caused by a fall.

 

Petitioner was a machine operator who fell while working and suffered injuries to her head and ribs. Petitioner testified she suffered from diabetes and took medications to control her condition. Petitioner testified on the date of accident, she was working on a platform and was required to move from one side of the platform to the other repeatedly.

 

Petitioner asserted on the day of the accident, she slipped and fell on the platform. She did not ascribe a cause to the slip/fall.

 

Paramedics were called and believed Petitioner was suffering from diabetic symptoms and administered blood sugar controlling medications. Petitioner was taken to the emergency room where she explained she had not taken her medication that day, had not eaten breakfast and instead drank a sugary drink.  

 

Petitioner’s primary care physician testified that in the days preceding the accident, Petitioner’s metabolic testing demonstrated uncontrolled blood sugar levels and that subsequent to the accident, Petitioner told her PCP she lost consciousness after hitting her head.

 

Petitioner also treated with three different orthopedic physicians whom she told she slipped and fell at work. Petitioner also testified during trial she slipped and fell while working. She never outlined any “cause” of the slip/fall.

 

We have to consider--Is an idiopathic fall subject to McCallister analysis which requires some aspect of employment to have contributed to the alleged injury? The IL WC Appellate Court affirmed denial and specifically stated that when the cause of a fall (or any injury) is due solely to a cause related to Petitioner’s actions, behaviors or other health issues and there is no factor of their employment that caused their injury, the McCallister standard is not met and therefore, not compensable.

Establishing the idiopathic nature of a fall is difficult and is often a question of fact for the IL Commission. Defining the injury in this case as “idiopathic” is misleading. More accurately stated, Respondents in such cases have the burden to identify a cause of an injury separate from and unrelated to employment tasks being performed at the time of injury. In this case, Petitioner’s diabetic condition caused her injury and Respondent was able to point to that specific condition as the cause of her injury.

 

Additionally, there may be exceptions to this rule in “traveling employee” cases or cases where a claimant’s underlying health condition may have been made worse by employment conditions. Understanding the full context of not only a Petitioner’s pre-existing health conditions but also how they may have been affected by working conditions can help prepare defenses and predict outcomes.

 

As I indicate above, this article was researched and drafted by Timothy O’Gorman, J.D. You can relay questions, concerns and Green Beer to Tim at togorman@keefe-law.com--kidding about the Green Beer reference!!!

February 2026; The Epitome of Stupidity--Illinois WC "Odd Lot" Total and Permanent Claims; Shawn Biery with New Updated IL WC Rate Chart and more

Synopsis: The Epitome of Stupidity--Illinois WC "Odd Lot" Total and Permanent Claims Get Worse and May Even Have Caused the Demise of this Long-time IL Employer.

 

Editor’s comment: I write with all candor and respect for our various hearing offices but it is hard to make sense of “nonsense.”

 

Please note this is another sad example of a completely made-up work comp term. I say that because the words “odd lot” don’t appear in the IL WC Act or Rules. There are various other States that appear to have it or at least discuss it—Wyoming, Nevada and New Jersey. I giggle at the Wyoming “odd lot” ruling that claims the “odd lot” doctrine is a “common law vehicle” allowing injured workers to obtain permanent total disability benefits even when they aren’t permanently totally disabled!! 

 

Please note workers comp systems, across the globe—in the U.S. and elsewhere are statutory systems—workers get what the statute provides and no less and certainly no more. That is the Great Trade-off that led to the establishment of work comp in many states. WC in our State followed the Cherry, Illinois mine catastrophe back in 1909. In short, a worker in our State isn’t supposed to be getting “common law” WC benefits whatever that might mean.

 

We Tell Everyone in IL WC Who Will Listen—NEVER Pay for or Authorize an FCE (Functional Capacity Evaluation).

Claimant in this matter suffered injury to his shoulder. He underwent surgical revision to one shoulder—that is not an uncommon thing for someone of this truck driver’s age and social circumstance. Rather than consider other surgeries, a treater recommended an FCE and the employer/carrier sadly approved it. The FCE effectively “cut the baby in half” to find Claimant was at medium level from the waist down and sedentary level from the waist up!!! 

At this point, I want to emphasize Claimant had one surgery to one shoulder. I consider the FCE to be completely worthless and scientifically hilarious as a permanent statement of this person’s life—it is a two-hour snapshot of this Claimant.  I restate my view; this Petitioner clearly can and should be working doing something of value. He is not a cripple or handicapped person.

It also appears the CRC or Certified Rehabilitation Counselor in this claim was challenged—he provided counseling that didn’t result in a job for over a year. In your claims, please note the work of a CRC has to have a beginning, middle and an end. In my view, if you keep a CRC engaged endlessly, you are starting to prove the other side’s case.

Please also note there was one CRC in this claim—the sad and weird aspect of Illinois law and jurisprudence is the Commission and reviewing courts don’t appear unbiased when they take on the role of advocates for the worker because someone has to overcome the sole and uncontroverted CRC’s testimony.

I would guess-timate there are literally thousands of sedentary jobs across our State right now. Our IL minimum wage is also one of the highest in the U.S. If you go to www.indeed.com orwww.glassdoor.com such positions are plentiful. Claimant was a 30+ year truck driver and has to have transferable skills. I cannot imagine why he couldn't drive an Uber? or Lyft?, as he clearly was able to drive his personal vehicle.

Why Is This So Alarming?

The bottom line on this claim is simple—the value of an operated shoulder in IL Work Com is $20,000-50,000. The value of a total and permanent disability is life-time and can go well into the millions. In short, this Claimant may receive Illinois high T&P benefit for decades to come. The Illinois WC Commission used to take a stronger look at awarding T&P benefits but maybe that is ending—we will have to wait and see.

The claimant in this case, as in other alleged “odd-lot” disability claims, is not unemployable at all. In my view, he is very employable based upon unanimous medical and vocational expert testimony. Under such circumstances, we believe no claimant should ever be deemed permanently disabled at a huge cost to Illinois business and municipal bodies. We know of no other state workers’ compensation system which affords lifetime disability benefits to a claimant who is medically cleared to work by his entire team of doctors. Only in Illinois!

What does this all mean for your biggest wage differential claims? Claim handlers and risk managers must beware of the otherwise employable claimant with permanent restrictions who trudges along with an “unsuccessful” job search for too long. After six or seven months, if no work is secured, aggressive Petitioner’s attorneys will turn your own vocational efforts against you with a claim of “odd lot” disability, simply because the claimant has had no luck finding work. You need to ramp up decision-making and documentation with your voc specialists.

Bad News On Top of More Bad News

You may note the Illinois trucking company, Standard Forwarding, for whom this driver worked was in business in Illinois for 91 years. At the end of 2025, they threw in the towel and closed up shop. I can’t say workers’ comp was the sole cause of the demise of the business but when a Claimant with one surgery to one shoulder gets millions in WC benefits, many businesses both close and leave the State for warmer business climates.

 

If you want solid defense advice and talent to help you with your “odd lot” T&P claims, send a reply.

 

We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

 

Synopsis: Welcome to 2026—IL WC BENEFIT RATES CONTINUE HIGHER — SHAWN BIERY’S UPDATED IL WC RATE SHEETS AVAILABLE FOR ACCURATE WC RATES AND RESERVING!!! 

 

Editor’s comment: The IWCC has posted a new max TTD rate of over $2,000 per week going into 2026 and max PPD RATE is growing higher, at $1,084.66 and that rate is retroactive to July 1, 2025—UPDATE YOUR RESERVES!

 

Illinois WC rates have updated again, and as they do in January of each year, the PPD Max retroactively updates, so please be aware of the New IL WC Rates or your claims handling will suffer & penalties may ensue. Please also note that the IL State Min Wage is $15 per hour and $9 per hour for tipped workers. This is the minimum wage for workers 18 years and older, or workers under 18 who work more than 650 hours in a calendar year—this is important in IL WC wage differential claims. Different rates apply in Chicago and Cook County, with Chicago's $16.60/hour (for larger employers) and Cook County's $15.00/hour continuing.https://labor.illinois.gov/laws-rules/fls/minimum-wage-law.html

 

We have gone green, but you can still get a Complimentary Email Copy ofShawn R. Biery’s Updated IL WC Rate-Sheet! You can also send any questions to Shawn at sbiery@keefe-law.com

 

As we have mentioned in the past, since the 1980’s, the IL WC Act provides a formula which effectively ensures no matter how poor the IL economy is doing, WC rates continue to climb.

 

As we indicate above, rising minimum wages will strip value from Illinois’ expensive wage loss differential claims. We feel reserves and settlements need to reflect the legislative boost to anyone who has any job. If you aren’t sure how this works, send a reply to Shawn atsbiery@keefe-law.com

 

We caution our readers to pay attention to the fact the IL WC statutory maximum PPD rate is$1,084.66. However, this rate is retroactive to July 1, 2025 even though published in January 2026. Since this rate did change retroactively from July 1, 2025, you need to check your reserves for cases with accident dates post July 1, 2025!!!!.  If you don’t make the change, your reserves will be incorrect--if this isn’t clear, send a reply.

 

The current TTD weekly maximum has risen to $2,008.60. An IL worker who earns over $3,012.90 per week or $156,670.80 per year will hit the new IL WC maximum TTD rate.

 

For WC Death Benefits: The new IL WC minimum is closing in on a million dollar floor at $979,225 over 25 years for surviving widows/widowers. That amount is 25 years of compensation or $753.25 per week x 52 weeks in a year x 25 years. The new maximum IL WC death benefit is over $2.5 million at the max ($2,611,180) over 25 years of benefits, plus burial benefits of $8K. IL WC death benefits are paid for 1,300 weeks—in contrast, IN WC death benefits are paid for 500 weeks.

 

IL WC death benefits also come with annual COLA increases which we feel can potentially make Illinois the highest in the U.S. for WC death claims—again if you aren’t sure about this issue, send a reply to Shawn. It is also possible to settle IL WC death benefits for a discounted lump sum—again, if you have interest, send a reply to Shawn.

 

The best way to make sense of all of this is to get Shawn Biery’s colorful, updated and easy-to-understand IL WC Rate Sheet.  AND you can also send any questions to Shawn at sbiery@keefe-law.com    

 

We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

 

 

Synopsis: Illinois WC Mileage to and from IME’s are now 72.5 cents a mile for year 2026.

 

Editor’s comment: A long ago posted IL WC Appellate ruling uses this level for IME mileage and we have advised clients on many occasions; it is not worth the money to fight over it.

 

If Claimant is out of state, you should only owe mileage during the miles they are in the State.

 

On a different front, I recommend all clients avoid paying mileage to normal medical office visits or physical/occ therapy because there is no provision in the IL WC Act and Rules that requires it.

If you start to pay mileage to treaters, what starts as a bad habit may turn into something bigger.

 

If you aren’t sure what I mean, send a reply or call me.

January 2026; Are they going to kill the IL WC Golden Goose?; New IME mileage rates for IL WC IME's and more

Synopsis: New Illinois legislation will expand WC coverage “presumptions” to hospital security staff to shockingly include Conditions of Daily Life, like hearing aids.

 

Editor’s comment: Are they really going to kill the IL WC Golden Goose?

 

If the IL legislature turns everything into a presumption of IL WC coverage to make it impossible to dispute, what will we need hearing officers and Claimant lawyers for?

 

Please also note “Conditions of Life” are things like thinning hair, beer bellies, fallen arches and baldness, etc. Hearing loss is unquestionably and typically a Condition of Life.

 

Thousands of folks in the U.S. need hearing aids—the NIH says 7-8 per cent of U.S. citizens use them.

 

If this new proposed legislation becomes law, WC insurance carriers are certain to change how IL WC claims are managed—they will work to avoid lawyers on both sides and accept everything requested to then raise reserves and pay, pay, pay because it will be crystal clear the defense side can’t win if we have to rebut presumptions.

 

We are concerned we already have liberal hearing officers in this State—do we have to add presumptions to make it impossible to reach a fair outcome?

 

In short, Illinois lawmakers have introduced legislation that would expand workers compensation presumptions to, among other things, cover hospital security guards who develop certain illnesses or medical conditions supposedly linked to their jobs.

 

H.B. 4226, introduced late last year, would amend the Illinois Workers’ Compensation Act to add hospital security guards to the list of safety workers eligible for rebuttable presumptions of compensability.

 

The bill extends existing presumptions that already strongly benefit firefighters and emergency medical personnel.

 

The pressure will focus on hospital managers to possibly probe security guards’ medical histories to see if we can locate/demonstrate a non-work-related cause for many expensive medical conditions.

 

Bill Text: IL HB4226 | 2025-2026 | 104th General Assembly | Introduced | LegiScan

 

Under the measure, any condition or impairment of health suffered by a hospital security guard that results directly or indirectly from specified diseases would be presumed to arise out of and in the course of employment, unless an employer can rebut that presumption.

 

In my view--good luck rebutting the presumption before some of our liberal to hyper-liberal IL WC hearing officers and judges/justices.

Covered conditions include bloodborne pathogens, contagious staph infections such as MRSA, lung or respiratory diseases, heart or vascular conditions, hypertension, tuberculosis and cancer.

 

The presumption would also apply to hernias and hearing loss. Please note we are not aware of a high incidence of hernias and hearing loss in hospital security officers.

 

What may be coming is “automatic” care for everyone in the stated industries to be, for an example, immediately entitled to lifetime hearing aids. Trust me, that is a very high value in this State. Most clients would be better off to simply accept and pay early.

 

We ask our hospital management clients--what would be the added cost of having to buy a lifetime of hearing aids for all your security officers once they have five years of seniority?

 

If this bill passes, we may see ads from Claimant attorneys in social and other media promising qualifying workers “free” hearing aids.

 

To qualify, an employee must have at least five years of service as a hospital security guard at the time an Application for Adjustment of Claim is filed with the Illinois Workers’ Compensation Commission.

 

The presumption would not apply to guards employed for less than five years—they would have to stall until they reached the five year enabling date.

 

Supporters of the bill argue IL hospital security guards face heightened risks due to frequent exposure to violent incidents, bodily fluids and infectious diseases in medical settings.

 

If enacted, the measure could increase claim acceptance rates for affected workers while dramatically raising claim costs for hospitals and their insurers.

 

The bill is pending further legislative action.

 

We appreciate your thoughts and comments. Please post them on our award-winning blog at www.keefe-law.com

 

 

Synopsis: Illinois WC Mileage to and from IME’s are now 72.5 cents a mile for year 2026.

 

Editor’s comment: A long ago posted IL WC Appellate ruling uses this level for IME mileage and we have advised clients on many occasions; it is not worth the money to fight over it.

 

If Claimant is out of state, you should only owe mileage during the miles they are in the State.

 

On a different front, I recommend all clients avoid paying mileage to normal medical office visits or physical/occ therapy because there is no provision in the IL WC Act and Rules that requires it.

If you start to pay mileage to treaters, what starts as a bad habit may turn into something bigger.

 

If you aren’t sure what I mean, send a reply or call me.

 

Synopsis: Hello Ms. Knight.

 

Editor’s comment: The defense team at Keefe, Campbell, Biery & Associates welcomes Ms. Pariss Knight, our newest defense team member. She is doing solid work. Ms. Knight can be reached at 312 756 3712.

 

Email pknight@keefe-law.com