4-17-12; Will County Forest Preserve District Redux. Does the IL WC Act need legislative clarification to confirm a shoulder is still the arm?

You read about the recent Appellate Court, Workers’ Compensation Division ruling which indicated injuries to the “shoulder” cannot be compensated as being part of the “arm” and are now, by law, a part of the “body as a whole.” To recap—in Will County Forest Preserve District v. IWCC, (No. 3-11-0077WC, issued February 17, 2012), the Illinois Appellate Court, Workers’ Compensation Division was faced with a claimant who suffered an injury to his shoulder. He underwent a shoulder injury with uneventful surgery. He returned to work to work full duty. There was no dispute claimant already received 15% LOU of the same arm in a prior settlement.

 

If you know Illinois WC law, awards and settlements under Section 8(e) of our IL WC Act provide for a “credit” to the employer for a second, third or successive injury from any prior settlement or award. So for example, in this claim, Petitioner would have to receive an award or settlement of 50% LOU of the arm to actually receive 35% PPD at present. To get the odd streak moving forward, a now-retired Arbitrator issued a PPD award for the shoulder/arm injury under a different section of our Act. He provided claimant 25% “body as a whole” under Section 8(d-2) of the Act for this shoulder injury. In so doing, the Arbitrator first awarded a ton of money in permanency for someone who was back to full work at the same rate of pay. The Arbitrator also noted there would be no statutory credit given to the employer for the prior settlement of 15% LOU of the same arm—Section 8(d-2) doesn’t have such a provision. The IWCC, Circuit Court and Appellate Court all affirmed.

 

We were advised at least one Arbitrator has announced his/her intention to apply this new “no-credit” concept for arm/shoulder injuries to leg/hip injuries.

 

It appears that ruling has spurred at least one lawmaker to mount an effort to take some action to keep common sense in a sometimes nonsensical system. Representative Dwight Kay (R) 112th District has filed a proposal to clarify. The synopsis as introduced amends the Workers' Compensation Act to provide that, in computing the compensation to be paid to an employee who, before the accident for which the employee claims compensation, had previously sustained an injury resulting in the payment of compensation for a percentage of partial disability, that percentage of partial disability shall be deducted from any award made for a subsequent injury to the same portion of the body as was involved in the prior injury for which compensation was paid; however, nothing in those provisions permits cumulative awards for compensation for partial disability to exceed 500 weeks, which shall constitute complete loss of use of the body as a whole.

 

Essentially, that provision appears to be an attempt to limit cumulative awards to the value of the total loss of the body—while it may not be the implementation of a credit for “man as a whole” awards, it does appear to read as a limitation which after multiple claims could effectively end PPD for a person who has received “man as a whole” awards up to 500 weeks.

 

It also provides that, for purposes of computing compensation in nonfatal cases, injuries to the shoulder shall be considered to be injuries to part of the arm and injuries to the hip shall be considered to be injuries to part of the leg and also provides that those amendatory changes are declarative of existing law and are not new enactments and that the legislation would be effective immediately.

 

We will have to wait and see if the legislation goes through although it could be rendered moot if the Illinois Supreme Court grants certiorari or the Appellate Court grants reported motion for rehearing pending in the Will County Forest Preserve District v. IWCC case and decides to revert back to the 100 years of case law they overturned with that decision. Until then, the confusion continues with any claim ripe for settlement or hearing where “shoulder” is mentioned in the medical notes.

 

We welcome your thoughts and comments. Please feel free to post them on our award-winning blog or you can LiveChat about it—information on LiveChat is on our website; see below. This article was researched and written by Shawn R. Biery, J.D., MSSC. You can email Shawn at sbiery@keefe-law.com.

4-17-12; IL State Government Magic Show Under The Great Quinn-zini--When will it stop??? Can they start to make sense of what they are doing?

Like millions of Illinoisans, we are growing tired of the misdirection and murky thinking by our elected leaders and government officials in state government. As the gurus at the IL State Chamber keep noting, Illinois has a miserable climate for business and we don't think we have hit the bottom just yet. Here are some thoughts.

 

The State of IL Workers' Comp "Program" is a Smoking Mess with Still No End in Sight

 

Please note recent statistics indicate about 12-13% of all Illinois State employees have filed a pending workers' compensation claim. We point out there is no private employer on the planet that would survive with that many pending WC claims on a continuing basis. We also point out our State government should privatize many agencies and services if they can't or won't run things more effectively.

 

As we have advised in the past, if you include state universities, that 12-13% figure means there may be more than 10,000 such State of Illinois workers comp claims out there. We are also aware lots of the WC adjusters at CMS have already cashed nice settlements—this doesn’t create a sense of “defense” when we see the folks who are supposed to be holding down the fort making their own claims. Please note OSHA isn't investigating to stop thousands of "accidents" to vex IL government administrators about safety violations. OSHA knows most "accident" claims by State of Illinois employees don't involve "accidents" and are mostly balderdash. OSHA knows they can't "stop" such accident claims because there is nothing to stop.

 

At present, our state’s in-house WC adjusting agency Central Management Services or CMS doesn't have the money, staff, claims tools or know-how to manage WC claims any better. Adjusters are handling thousands of claims each and their claims database is an outdated farce. The goal is to give us the impression they are managing things but when you get rid of the bunny rabbits and magic wands, there is nothing behind them but mismanagement and WC settlements and payments flying out the door to state workers in amounts well into the hundreds of millions.

 

Speaker Madigan and Senate President Cullerton are looking into ways to bring in a private claims handling company to take things over--the problem with doing so is they don't have any money to pay a private claims handling company! We are fairly confident TPAs/insurance carriers have to be laughing quietly when they see the mess and try to plan the logistics needed to straighten out decades of mismanagement.

 

You Can't Reform Causation in the Legislature, Folks!!?

 

All of it is a magic show--the Illinois State Chamber and other business groups are trying to make the "causation standard" higher to estop such silliness. Our problem is they are attacking causation in the wrong place. Whatever the legislature does and says on causation isn't going to "work" because our administrators can take that language and do whatever they want with it. If the legislation says one’s work has to be the primary cause of a condition, the Arbitrators can find that. If the legislation says the work has to be the “sole and unfettered cause” of the deleterious condition, our hearing offices can rule in that fashion.

 

We feel you an pick whatever statutory language you like. In our view, you are completely wasting your time—causation has to be reformed in a different place. The administrators are going to find the right dictionaries for their purpose to parse the new statutory language and will then limit causation or they won't. As we have advised, The Great Quinn-zini could immediately "reform" causation with one phone call to IWCC Chairman Mitch Weisz and tell him to cut out the clowning around and end this part of the magic show.

 

You Can't Cut/Fight State Government Claims Without "Defending" Them

 

Right now, there are thousands of State Government workers off on TTD and looking for millions from taxpayers. As we have told our readers over the years, at present, several hundred state workers are receiving comical "odd lot" total and permanent disability benefits for the rest of their lives solely because the State of Illinois doesn't follow ADA and doesn't bring such workers back to modified work or alternative positions. The reason such workers don't seek protection under ADA is because they get a much better deal not seeking reemployment--they all get way more money not working than working. State government has 500-700 such “odd-lotters” who could all be returned to work today, if they would just find them jobs in state government!

 

We had a reader contact us to tell us State of Illinois workers don't get more money than working folks when adjudicated T&P because SERS or the State Employment Retirement System only gives such workers about an 8-9 percent bump over the T&P rates. We laughingly told our reader we don't see any reason our taxpayers should have to insure State of IL government workers should get 75% of their salary for life on the taxpayers' dime—if you aren’t sure what we mean, go on to the next section.

 

Watch Me Pull a Rabbit Out of My Hat--Pensions for State of IL Gov't Workers Aren't Actually "Pensions"

 

When we started to consider the issues above, we noted the problem most state administrators are now dealing with is "redefining" state employee pensions. If you aren't closely following the newspapers and other media, you may not know the benefit stream commonly called a "pension" for thousands of former government workers in this state is a magic show—at present, state workers don't actually get "pensions," they get borrowed money our government administrators find at high interest rates and then give to these retired workers in the form of pension-like payments. When you hear the confusing accounting words “unfunded pension liabilities” that actually means “we-don’t-have-any-money-to-make-pension-payments-and-have-to-borrow-it.”

 

Please don't criticize our state's rank and file workers about it, they had no control over the practice of poaching pension contributions out of the system for years. Governors on both sides did it and the confounding practice continues to present. The rubber is starting to hit the road on dealing with it.

 

We want to emphasize the current state of the State Employers Retirement System is a complete magic show--it isn't actually a "pension" system in the sense we typically think of such a retirement plan. For the past several years, there has been virtually no money from state workers used to pay the ongoing benefits--The Great Quinn-zini and the legislature are borrowing about $3 billion each year and doling it out to retirees. The cost of annual interest payments on the so-called "pension" borrowing is now about $1 billion each year. If they don't stop the magic show and raise retirement contributions and actually use the contributions to run the program, the system is certain to go bankrupt at some point.

 

Try to also imagine how “magical” this concept is--we hire Sam Sample, a state employee at $100K per year, for example. Sam gets a solid salary and great benefits--taxpayers hopefully get value for the work Sam does while in their employ. After 20 years and when he reaches the age to retire, Sam then gets a lifetime pension and full health care coverage for life, again paid for solely by Illinois taxpayers. If Sam lives thirty more years, we will pay him lots more money doing nothing in retirement than he did when he was working. Multiply Sam Sample by thousands of state workers getting these borrowed-money-but-not-actually-pensions. Does this help all of us to understand why IL state government is completely flat broke to the tune of billions?

 

Finally, Does Anyone Think Having Top-paid Circuit, Appellate and Supreme Court Judges/Justices is a Good Idea?

 

There are so many goofy government concepts in this state, we just found out about another one that remains galling to the business side of this matrix. Illinois now has the highest paid judiciary in the United States--actually, rank and file Circuit Court judges magically make more money than The Great Quinn-zini! Yes, we aren't kidding--we mean to tell you we now pay over 950 Illinois Circuit Court judges more money than our state's Governor!! Our Appellate and Supreme Court justices already make at least ten per cent more than our highest executive officer. In fact, every single one of our Circuit Court judges make more money than almost all U.S. Governors. The National Center for State Courts has the list on their website and Illinois is numero uno.

 

Governor Patrick Quinn's new salary this year is going to be $179,100. Full Circuit Court judges in this state were slated to make $180,802 as of last July 1, 2011. The judges are going to receive 3% COLA raises every year for at least the next eight years or a 29% bump--we are fairly confident the Governor's job isn't going to be even close to making that much additional money. Please also note the judicial salaries are guaranteed in the Illinois Constitution, making it mildly to wildly difficult to change them. Please also remember they retire at 80% of their wage and we then have to “borrow-pay” their “pensions” like everyone else in State Government.

 

Why/how did this happen? Do we get more efficient and fair hearing officers in our courts for all this do-re-mi? Well, we assure all of our readers it is our opinion the folks at ITLA or the Illinois Trial Lawyers Ass'n had something to do with it. If you want a pro-Trial Lawyer Ass’n judge, get him or her the best salary in the U.S. and great benefits and they are certain to smile in your direction in court. Please also note defense lawyers have little reason to donate money to judicial campaigns--in contrast, Plaintiff lawyers across Illinois donate millions to insure friendly judges and justices.

 

What Does It All Mean? Will We Ever Stop the Magic Show and Get Back to Good Government?

 

Well, our worry is the business of doing business in what one of our readers jokingly calls the Peoples Republic of Illinois. We assure all of you Governor Quinn has told our legislative leaders to come up with pension "reform." We have no idea what that may mean. We know the folks at the IL State Chamber are fighting the good fight and tomorrow, they are bringing in Governor Scott Walker to a confab in Springfield to discuss the problems above and many more--for information, please go to their website at www.ilchamber.org.

 

We appreciate your thoughts and comments. Please do not hesitate to post them on our award-winning blog.

4-9-12; Get well soon, Kim Presbrey!!

The Illinois workers’ compensation and medical malpractice community where saddened to hear news of a leading Illinois lawyer suffering severe injuries in an airplane crash in Florida. Both the pilot and co-pilot crashed into a Publix store in DeLand, Florida last Monday and remain in critical condition at Orlando Regional Medical Center.

Mr. Presbrey is the managing partner of Presbrey & Associates, P.C. He has practiced law in the field of workers' compensation since 1977. He is

·         Past President of the Illinois Trial Lawyers Association,

·         Member of the Board of Governors for the Illinois State Bar Association,

·         Member of the Workers' Compensation Section of the Illinois State Bar Association,

·         Vice President of the Workplace Injury Litigation Group and

·         Past Secretary and current section member of the Association of Trial Lawyers of America Workers' Compensation Section.

Kim Presbrey is also the co-author of Illinois Workers' Compensation Guidebook (LexisNexis) and a member of the Larson's National Workers' Compensation Advisory Board.

Kim is also a founding member of a medical malpractice insurance company that he started in December 2006.

His wife and family are at the hospital monitoring his recovery. The attorneys and staff of Keefe, Campbell & Associates collectively extend our hopes and prayers to him and his family for a speedy recovery.