4-13-15; Gov. Rauner Takes Aim at the Supreme Court--Our Thoughts; MSDS Sheets Become SDS Sheets on June 1, 2015, Be Prepared; John Karis, JD Reports on WCLA AMA Rating Presentation and much more

Synopsis: Illinois’ Judiciary Isn’t Corrupt But There May Be Work To Do In Response To Gov. Rauner’s Challenging Comments—Here Are Our Thoughts.

 

Editor’s comment: We read comments from newly elected Governor Bruce Rauner complaining Illinois’ judiciary is

 

  • Corrupt because the lawyers who appear before them donate, sometimes heavily to their election campaigns and
  • A group of activists who want to be legislators.

 

We consider this debate vitally important for our readers and all Illinois taxpayers. Here are three main concerns in response to the Governor’s thoughts.

 

Do Grossly Unfunded Judicial Pensions have the Appearance of Being Corrupt? We Ask Our Highest Court to Hold Hearings on Judicial Compensation/Pensions to Open This Up to the Public and Fairly Address This State-Busting Issue

 

It is our view Illinois judges/justices are the highest paid government officials in our state and perhaps the nation—if they work only nine years to become vested, they can effectively “earn” about $600,000 of your money every year they wear the robes, if they play the “pension” system correctly. We assure you a nine-year IL judge can eventually make $1M per year if they live long enough. If you think we are kidding, please keep reading.

 

How does that math work? Well, the actual annual salary for a full Illinois Circuit Court judge is now $203,000 each year which is higher than the Governor and any other Illinois politician. Yes, a traffic court judge who handles speeding tickets makes more than our Governor. How does their effective income reach $600K a year? Well, our judges only have to work nine short years to become fully vested in their “pensions” which then immediately pay a retired judge 85% of their highest pay with guaranteed 3% compounded annual increases for life. Their pension contributions for nine years don’t match one year of salary but when they retire, they are guaranteed to shortly be paid more than their highest salary with annual compounded raises for 10-50 more years. Trust us, being a lawyer in Illinois is a difficult and demanding job if you want to earn $200K to match what a Circuit Court judge makes. In contrast, being a Circuit Court judge for nine years is easier and lots less stressful. Many lawyers are taking notice of this and are spending lots more money on judicial campaigns and political consultants to try to ride this gravy train.

 

State Auditor General William Holland confirmed this “pension” program isn’t funded for even one-third of its annual cost to Illinois taxpayers. What that means is the minimum annual pension contributions by the sitting judges along with interest income and state government contributions don’t come close to the actual cost to you and me. That means when a judge retires, they stay on our payrolls and keep getting paid for not working. If you do the math on a nine-year-judge who retires starting at $175K a year with 3% compounded increases, the needed seed money would be about $400,000 for each of the nine years, creating a “pot” of about $3,600,000 from which to start paying the “pension” starting at $175K a year. Since we aren’t putting up the $400K a year in front of each judge’s retirement, we are “backloading” that much money to them so they are paid primarily from current tax dollars starting on the date of retirement to their eventual passing. Either way, we assure you they are making the lifetime equivalent of about $600K each year for nine years of work, if they choose.

 

As you read this, judicial “pensions” are guaranteed in the Illinois Constitution. No matter how shocking and expensive they are, judicial pensions are completely and fully legal but seem to many to appear to be “corrupt.” The current annual cost of the unfunded judicial pensions to Illinois taxpayers is about a quarter of a billion dollars and rising. The “pension reform” efforts and controversial Supreme Court appeal being considered right now do not include these pensions at all. The only possible way to change them and try to make them more financially sound is to amend the Illinois Constitution. It is hard for legislators and others to criticize or change judicial pensions and we ask the judiciary to “heal itself” in the best interests of our state. We ask the august members of our Supreme Court to hold hearings, open this up to public debate and find the right path to make their compensation fair, fully funded and comparable to other sister states.

 

Circuit Court Judges are Becoming the Highest Paid Workers in Many Counties Across Illinois

 

We also have no true idea why Circuit Court judges who are ostensibly county employees have salaries set on a state-wide basis. While $203K per year is good money in any county across the state, it is an amazing salary in smaller cities like Rockford or Collinsville. We would bet there are many less-well-to-do counties in Illinois where the Circuit Court judges are the best paid workers in the entire county—we don’t mean judges are just the best paid government workers; we mean they have the highest salary and benefits in the entire county. Has anyone ever thought about making IL Circuit Court judges back into county officials with the local County board to set/control their salaries, pensions and benefits? Should we consider creating a new strata of hearing officers for routine or simpler legal issues to get lesser pay but still provide important but cost-effective service to taxpayers—perhaps by creating a magistrate or justice of the peace position?

 

Don’t Hefty Judicial Campaign Contributions Give Our Judiciary the Appearance of Justice for Sale? Could an IL Judge Legally Start an In-Court Auction for Their Future Rulings?

 

Going back to Governor Rauner’s challenging remarks above, is it “corrupt” for Illinois judges and justices to accept hefty campaign cash from the lawyers who appear before them? A lot of Plaintiff/Petitioner lawyers contribute and assert they have every right to do so. On the other side corporations and businesses also legally contribute to judges/justices. We also want our readers to know multimillion-dollar Plaintiff law firms from outside Illinois regularly and legally donate to Illinois justices/judges’ election campaigns. As out-of-state lawyers and law firms on both sides have limited interest in our state other than to get beneficial court rulings, such donations may appear to be a purchase of judicial favoritism. What other conceivable reason would there be for such a donation? When current Supreme Court Justice Karmeier ran for his current post, the opposing candidate accepted millions in donations from wealthy Plaintiff lawyers all across the United States—those lawyers may have felt the campaign donations were an risky but needed investment in future court rulings. On his side, Justice Karmeier’s campaign accepted campaign donations from large businesses based outside our state.

 

We don’t know the answer to this challenging issue but we do know there are many judges who have made a personal decision not to accept campaign donations from any lawyer or company who might appear before them. We do feel any attorney who has donated a nickel to a judge’s campaign should have to routinely disclose that donation to any opposing attorney when they appear before the same judge—we cannot imagine how a judge can be fair if he has accepted $10,000 or $100,000 from one lawyer or law firm before him and didn’t get cash from the other lawyer at all—to us, that has at least the appearance of secrecy and possible bias. Try to imagine the farcical situation where a lawyer was doing poorly on a major court claim and took out a checkbook in open court and offered the judge a campaign contribution on the spot. Could the other side immediately match or exceed the donation? Some lawyers assert the potential for such an auction is perfectly “Illinois-legal” and therefore within their rights. We agree it might be under current law but we ask the rhetorical question: should it be legal? We look to our readers for your thoughts on this challenging subject.

 

In Our View, There is More Judicial Legislation in Illinois Workers’ Comp than Any Other Area of Law 

 

As to Governor Rauner’s comment about “activist” Illinois judges who want to be legislators—we have to agree with this is one of the defining features of Illinois workers’ compensation for anyone who reads our textbooks or attends a KCB&A presentation on the subject. You have to ask yourself, is judicial legislation in workers’ comp a good thing or a bad thing? Well, we feel it is one of the factors that makes Illinois workers’ comp so unpredictable and seemingly chaotic to risk managers outside our state and across the country. For a simple example, take Durand v. IWCC. In this claim, there was no question Petitioner was seeking benefits outside our 3-year statute of limitations. She basically admitted to doing so at all five levels of hearing and appeals. The Illinois Supreme Court effectively ended the concept of our Illinois’ workers’ comp statute of limitations by asserting they declined to “punish” her for filing the late claim as she supposedly had worked in pain until the statute would have ended her claim. As we said then and say now, what does “punish” have to do with workers’ comp benefits—aren’t the courts always “punishing” one side or the other to order benefits when they are due or denying benefits when the statute doesn’t provide them?

Would you like other examples?

§  Interstate Scaffolding v. IWCC where the Supreme Court accepted a petition for certiorari from a prominent ITLA member in a dispute over a mere $5K in TTD and then ruled in a fashion that some feel might reward inappropriate behavior for someone on light work who was fired for what would be criminal behavior;

§  E. R. Moore v. IWCC where our highest Court created the concept of “odd lot” total and permanent disability despite the fact the words “odd lot” aren’t in the statute anywhere and remain arguably indefinable;

§  Will County Forest Preserve District v. IWCC where the shoulder somehow stopped being part of the arm and became part of the body and

§  All the various rulings about including or not including overtime or part of overtime in the AWW when Section 10 of the IL WC Act still says overtime isn’t to be included in the AWW. The concepts of “regular and consistent” overtime and “mandatory” overtime aren’t contained in Section 10 of the IL WC Act.

 

You may note many of these issues are now the subject of legislative reforms to try to implicitly reverse the judicial legislation. We are sure the debate between Governor Rauner and our Supreme Court may rage on for years. We will keep our readers posted on the developments. We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

            -------------------------------------------------

 

Synopsis: Out Go Your Old Material Safety Data Sheets, In Come the New SDS or Safety Data Sheets—It Will Start to Happen at All Your Facilities Effective June 1, 2015.

 

Editor’s comment: Those fun folks at OSHA adopted new HCS 2012 SDS standards on December 1, 2013. The new standards are supposed to synchronize material safety (or chemical) information with the new Globally Harmonized System (GHS), created by the United Nations to ensure uniformity in communicating information about hazardous materials around the world. Some U.S. employers know June 1, 2015 is a deadline of the new standard. Manufacturers have to discontinue sending the old material safety data sheets (MSDS) and start to issue their new SDS forms instead.

 

Chemical end users have until June 1, 2016 to respond to new SDS standards passed down from suppliers and manufacturers in the workplace. This one-year time period presents a challenging and short time frame in which an employer can respond to the new and updated information contained on potentially hundreds of SDSs and be fully compliant on or before June 1, 2016.

 

What is an MSDS, Soon to be SDS?

 

MSDSs are, actually were documents that travel with or ahead of chemical shipments, warning users of specific dangers of such products and guidance on their safe handling, storage and disposal. Evaluating chemical hazards and producing MSDSs and labels for downstream users are two of the key responsibilities chemical manufacturers and distributors have. Maintaining an MSDS and soon an SDS for every hazardous chemical and making them continuously available to employees are part of U.S. Right-to-Know provisions which says employees have the right to know about the chemicals to which they are exposed. This is one of five key responsibilities employers have. The other four key responsibilities employers have are:

 

  1. Maintaining  a hazard communication program detailing the plans in place for the safe handling of chemicals
  2. Maintaining a written chemical inventory of every hazard chemical in the facility to which employees are exposed
  3. Maintaining proper labels and warning signs associated with said chemicals
  4. Training employees on chemical hazards and necessary precautions

 

The New SDS Effect on Employer Safety Programs

 

Please remember you don’t want to use the new SDS and quickly toss or delete your existing MSDS files. Everything should be retained:

 

  • To demonstrate you were compliant with prior HazCom standards;
  • Prior MSDS sheets may be saved to defend workers comp and/or occupational disease claims by any of your workers alleging occupational diseases;.
  • Toxic tort claims that later arise may be defended using old MSDS records where your organization may have used products manufactured and sold by you or when you resell or distribute products to other companies.

 

There is no time like the present--the new SDS implementation allows U.S. employers the opportunity and window to update your safety training, hazard communication and safety procedures for all chemicals in your workplace. The new Safety Data Sheet incorporates sixteen separate sections, some of which are parallel or identical to existing MSDS sections. There are some important differences and compliance challenges—if you have questions or concerns, send a reply.

 

When enforcement for product or chemical manufacturers begins on June 1, 2015, OSHA will be carefully checking to see each manufacturer properly completed the new SDS forms and they will be checking to insure each manufacturer went through a procedure to identify new or recently discovered concerns. A year later, when enforcement against U.S. employers starts on June 1, 2016 in relation to new SDSs, OSHA will look to whether the employee has reviewed the SDSs to identify any new risks as well as whether it has evaluated its existing compliance programs in light of the sixteen requirements we mention above.

 

What Does This Mean to You?

 

The Hazard Communication Standards affect nearly every United States employer, from chemical manufacturers to retailers to the travel industry where your employees work with chemical cleaning agents. Employers need to be aware of their obligations to communicate hazards of any chemical substance and you need to develop a process for updating existing labels, hazard assessments and training programs to comply with HCS 2012.

 

For all these reasons, we suggest:

 

ü  You need to review the new SDSs as soon as you get them;

ü  If you do not receive a new SDS form from a product manufacturer, you have to communicate with each manufacturer to obtain an updated SDS for your complete file;

ü  You need to look at your workplace and compare the new SDS forms to identify hazardous chemicals and how your employees will use them and be exposed to them;

ü  If your employees regularly or even sporadically work with or around hazardous chemicals, you have to insure they review the updated SDS forms to assess what might be impacted by the new SDS form;

ü  You should insure your workers who work with or around hazardous chemicals are trained to recognize the pictograms and hazard warnings required under the new Hazard Communication Standard. 

ü  You want to be sure to document this safety training and develop mechanisms to confirm your employees understand the hazards of working with or around all chemicals in your workplace.

 

Brad Smith, J.D. is our OSHA defense team leader and can answer questions or concerns about any of this—simply send a reply. We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

            -----------------------------------------------

Synopsis: The IL Workers’ Comp Lawyers’ Ass’n CLE Presentation on AMA ratings and their Impact on IWCC Decisions. Thoughts and Analysis by John A. Karis, JD.

Editor’s comment: On April 9, 2015 three cases, each concerned with AMA ratings, were summarized and presented by WCLA members in a continuing legal education format. When you read the summaries below, you may note the rulings analyzed don’t show much value in using AMA ratings. With respect to the WCLA presenters, we do feel AMA ratings have great value and we feel PPD awards and settlements continue to drop. Please also note there is a new Chairperson and new Commissioners who may more closely adhere to AMA ratings under our current Governor. Either way, some of the key issues are discussed below.

The Weight of AMA Impairment Ratings – 6% AMA Rating Still Resulted in Award of 25% LOU.

One of the cases discussed was Frederick Williams v. Flexible Staffing. This case involved a 45-year-old welder who sustained a right distal biceps tendon rupture. Dr. Aribindi performed surgery. Petitioner returned to work full duty. Dr. Mark Levin assigned an AMA impairment rating of 6% UEI and 4% WPI. The Arbitrator’s decision was 30% LOU arm but was reduced by the IWCC to 25% arm. Respondent filed a Circuit Court review and the matter was remanded. On remand the Commission made the following clarification to support its conclusion, in response to Respondent's argument Dr. Levin's AMA impairment rating of 6% of the upper extremity was not given enough “weight” by the Arbitrator. The Commission stated “we do not agree with the great weight that Respondent wants placed on this rating because to do so would be to disregard the other factors and give them no weight at all. Section 8.1b of the Act requires the consideration of five factors in determining permanent partial disability.”

Section 8.1b also states, "No single factor shall be the sole determinant of disability. In determining the level of disability, the relevance and weight of any factors used in addition to the level of impairment as reported by the physician must be explained in a written order." We initially note the term "impairment" in relation to the AMA rating is not synonymous with the term "disability" as it relates to the ultimate permanent partial disability award. Based on the above, the Commission found the 6% impairment rating by Dr. Levin did not adequately represent Petitioner's actual disability in this case. When considering the other four factors, they found Petitioner's permanent partial disability was 25% loss of use of the right arm. The Commission stayed with their prior ruling to modify the Arbitrator's Decision and decrease Petitioner's permanent partial disability award from 30% to 25% loss of use of the right arm pursuant to Section 8(e) of the Act.

This decision may be making its way up to the Appellate Court, WC Division and we will keep an eye on it. This case is important because it is taking a look at the weight some IL WC Arbitrators are putting on impairment ratings. Respondent in this case did not believe the Arbitrator or IWCC put enough weight on the 6% AMA rating. What is the appropriate weight to put on impairment ratings? It appears to vary from cases to case. Some Arbitrators do not strongly align their decisions with the AMA impairment rating. On the other hand, some Arbitrators adopt the impairment rating without change for their trial award. An Appellate Court decision may shed some light on this important issue. We will update you with their decision when filed.

No Weight Given to AMA Rating At All – 17.5% BAW Affirmed by IWCC for Shoulder Surgery

The second case discussed was Steve Maynard v. Danville Housing Authority. This case shows an Arbitrator may place very little weight on AMA rating. After considering the issues of the nature and extent of petitioner's disability, and whether the award should be based on §8(e) or 8(d)2 of the Act and being advised of the facts and law, the Commission affirmed and adopted the Decision of the Arbitrator of 17.5% BAW for a shoulder with subacromial decompression & rotator cuff repair. Petitioner was judged by Respondent's medical evaluator to have a six percent (6%) AMA impairment rating of the upper extremity.

The Arbitrator had some issues with the impairment rating by Dr. Katz. The rating was premised on the Petitioner having a normal range of motion in the right shoulder and Dr. Katz reported such a finding. However, Dr. Katz only tested the Petitioner's right shoulder. The AMA Guides require the examiner to test both shoulders so as to accurately determine what is normal for each individual. See AMA Guide, Sixth Edition, Section 15.7 (a), p. 461. More important, Dr. Katz' numbers were inconsistent with those found on several occasions by Dr. Rotman, who did examine both shoulders. On January 28, 2013, Dr. Rotman found 140 degrees of flexion and abduction of me right shoulder and 150 on the left. He found 45 degrees of external rotation on the right shoulder and 60 degrees on the left. The Arbitrator could not see how Dr. Katz was able to produce 180 degrees of flexion and 90 degrees of external rotation during his exam. Those numbers greatly exceed those found by Dr. Rotman on the Petitioner's good arm. Therefore, Dr. Katz' range of motion findings were considered suspicious for the above reasons. The impairment rating used presumes a normal range of motion. For those reasons, the Arbitrator placed little weight on the rating.

This case demonstrates how an Arbitrator may not put any weight on the rating if they do not believe it was done correctly This rating was based on Petitioner having a normal range motion but the Arbitrator found this to be incorrect after looking at prior treatment records. Just because an impairment rating was done doesn’t mean an Arbitrator needs to place great weight on it in their decision. Claims handlers and defense attorneys need to make sure impairment ratings are done correctly in order for the Arbitrator to find it credible and use it in their decisions.

Section 8.1 and the 5 Factors – 17.5% BAW Award for shoulder surgery ignores 5% AMA Rating

The third case discussed was Terina Green v. PPG. This case gave a solid breakdown for each factor in its decision. Petitioner underwent surgery to her left shoulder which included a subacromial decompression, rotator cuff repair a proximal biceps tenodesis, and intra-articular evaluation, debridement, and removal of loose bodies.

1. The level of impairment: Dr. Atluri furnished multiple impairment evaluation reports. Most important is his last one which was based upon Petitioner having finally reached maximum medical improvement. Dr. Atluri found Petitioner's complaints to be credible at the time and he concluded her impairment was nine percent of the upper extremity or five percent of a whole person. Petitioner's Quick Dash score was 56.8 which he testified was at the higher end of moderate in terms of severity.

2. Petitioner's Occupation: Petitioner's occupation at the time of the accident was a factory worker. She had performed those duties for approximately six years prior to her accident. At the time of arbitration Petitioner was unemployed as her last employer, G & D Integrated, had shut down. Petitioner voluntarily left her employment with Respondent to work for G & D. The job for G & D was supervisory in nature and, by Petitioner's description, less physical than her job for Respondent. Petitioner is left hand dominant. No direct evidence was presented to show Petitioner's current unemployment status is attributable to her work injury. However, based upon Petitioner's credible explanation of her former job duties for Respondent, the Arbitrator reasonably inferred it would be challenging for Petitioner to engage in the type of factory work in light of her injury.

3. Petitioner's Age: Petitioner was thirty-nine years old at the time of her accident. No direct evidence was presented by either party as to how Petitioner's age impacts any disability. However, the Arbitrator noted Petitioner may reasonably be expected to live and work with the effects of her injury for a longer time than an older individual and, therefore, her permanent partial disability may be greater than an older individual.

4. Future Earning Capacity: While Petitioner testified to a reduction in pay after her accident, she did not prove by a preponderance of the evidence the reduction was related to her injury.

5. Evidence of Disability corroborated in the treating records: Petitioner's records from her treating physicians have demonstrated evidence of disability. Petitioner underwent surgery to her left shoulder which included a subacromial decompression, rotator cuff repair (for an 80% tear), a proximal biceps tenodesis, and intra-articular evaluation, debridement, and removal of loose bodies. While surgery improved Petitioner's condition and she was released with no restrictions, she has continued to notice limitations in her left arm and shoulder.

Petitioner's testimony concerning her injury and her ongoing symptoms and complaints was found credible. In light of Section 8(b)1 of the Act and after considering the foregoing factors, the Arbitrator concluded Petitioner has suffered a loss of 17.5% of a person as a whole as a result of her work accident. This case illustrates the thinking process of an Arbitrator as they go through each factor of a case.

This article was researched and written by John A. Karis, JD. The opinions John is voicing are his/ours and not those of any member of WCLA or its board. John can be reached 24/7/365 for questions about WC at jkaris@keefe-law.com.

 

4-6-15; Turning Around the Local Government Entitlement Approach to WC; "Demolition of WC" Being Demolished; OSHA and Your Foreign Speaking Workers and more

Synopsis: Turning Around the Local Government Entitlement Approach to Work Comp.

 

Editor’s comment: We saw two important articles in our research last week. First, the City of Los Angeles is calling for a review of LAPD and LAFD workers’ comp protocol and exercise programs after a pair of audits of the city's police and fire departments' workers' comp claims found the costs have jumped 35 percent in five years.

 

Among the audits' findings:

 

·         The LAPD spent more than $140 million in workers' comp claims over the three-year period studied, with 60 percent of officers filing at least one claim during that period and 42 percent filing two or more;

·         The LAFD spent over $120 million in workers' comp claims over a 3-year period studied, with 66 percent of firefighters filing at least one claim and 44 percent filing two or more;

·         Police and fire claims made up 60 percent of all workers' comp filings the city paid in the past four years.

 

Second, a solid article from The Chicago Tribune quoted Waukegan IL Mayor Wayne Motley who described an "almost unmanageable" situation with IL WC claims and settlements. Mayor Motley asserted his city’s workers’ comp claims are an “epidemic,” as WC settlements in Waukegan totaled $905,000 in February alone. Waukegan  officials have an additional 108 open workers' compensation cases. Yikes!

 

The Tribune reported on at least one “repetitive working” hearing loss claim. A firefighter asserted he had 18 percent hearing loss in one ear and 6 percent in the other. The settlement approved by the council included $9,455 to cover the 6 percent loss in both ears plus $6,000 for hearing aids. Please note such settlements now set up the payment of the full cost of hearing aids for any firefighter who wants them. We don’t agree with this settlement and we assure Mayor Motley the City should have fought and not settled such a claim. We are happy to outline how and why they could have fought and won this claim—you can’t “win” when you settle claims.

 

The remaining WC settlements included

 

A.   $94,500 for a public-works employee who claims he tore a quadriceps muscle while crawling under a vent system;

B.   $102,048 for a police officer who allegedly injured a bicep muscle shoveling gravel into a shooting-range trap;

C.   $112,834 for a public-works employee who injured both knees falling on collapsed pavement; and

D.   $128,225 for a firefighter who suffered a back injury lifting a back-boarded patient onto a cot.

 

4th Ward Ald. Harold Beadling was quoted to say: "Our State Legislature needs to do something about workman's compensation. Can you imagine if you owned a business? You'd be out of business." With respect to Alderman Beadling, we think Waukegan officials need to look in the mirror and change what you are doing with your claims to make better sense of workers’ comp costs.

 

Here are our thoughts on such shenanigans:

 

Start fighting such claims in all directions. First, start with a safety/training program. you may note of the four claims outlined above, all of them may involve unquestioned safety violations and process mistakes. There is no reason a public-works employee was crawling under a vent system without appropriate and inexpensive knee pads. We are not sure why a sworn police officer would be shoveling gravel but we vote buy a smaller shovel for this task to avoid injuries moving forward. The firefighter who was severely injured lifting a patient onto a cot may not have used appropriate lifting techniques. Stop complaining about the legislature and start with global safety training!

 

Second, ramp up accident investigation to insure you are only paying for work-related accidents. If you need our KCB&A accident investigation form, send a reply. You can’t “defend” your organization without aggressive accident investigation. Once you have a solid accident investigation completed, target return to work and MMI and make these goals a strong priority for your worker and your managers.

 

Third, join an IL WC PPP to insure you are getting quality care for your workers while paying medical reimbursements at rates lower than our IL WC Medical Fee Schedule. Just by offering an IL WC PPP, you cut choice of medical provider for your injured workers. We aren’t aware of a single municipality or county government that has joined an IL WC PPP. You can’t blame the legislature if you aren’t going to follow their rules to save money. If you want contact information to join an IL WC PPP, send a reply.

 

Fourth, consider merging your police and fire forces into one “public safety” body so you aren’t paying for idle workers who are looking for ways to make WC claims and get more dough from taxpayers. We assure our readers fire safety codes have worked and there are way less building fires in your local suburb than 30 years ago. The model for “public safety” with police officers that are also firefighters and EMT’s comes from Glencoe, IL where they have been doing this for over thirty years with great success. Please note most local fire departments send out lots of unneeded equipment on any routine call—the reason to waste taxpayer money in this fashion is to make the idle workers appear busier than they are.

 

Fifth, consider buying this book: It's Your Ship: Management Techniques from the Best D**n Ship in the Navy. The story of Captain D. Michael Abrashoff and his command of the U.S.S. Benfold became legendary inside and outside the U.S. Navy. Abrashoff offers this fascinating tale of top-down change for anyone trying to navigate today's uncertain business/government seas. He basically took his ship from being last to best. The same model would work in Waukegan. How did Abrashoff do it?

 

·         See your organization through the eyes of your workers: By soliciting workers’ suggestions, Abrashoff drastically reduced tedious chores that provided little additional value.

·         Communicate, communicate, communicate: The more Abrashoff communicated the plan, the better the crew's performance. His crew would eventually call him “Megaphone Mike," since they heard from him so often.

·         Create discipline by focusing on purpose: Discipline skyrocketed when Abrashoff's crew believed what they were doing was important.

 

Sixth, consider calling on the great defense team at KCB&A to audit your toughest WC claims without charge and insure you are paying what you owe and no more. We create a one-page action plan with a focus on prompt and efficient closure. Our defense team does this on a regular basis and we assure you we save millions for the companies that use this service.

 

In summary, there is no time like the present, folks. You can’t manage our organization to complain/whine about the legislature and IL Workers’ Comp Commission while ignoring the various strategies that are certain to turn things around. We appreciate your thoughts and comments. Please post them on our award-winning blog.

 

            ----------------------------------------------------

 

Synopsis: The “Demolition of Workers’ Comp” Authors Are Being Similarly “Demolished” By the Facts on All Sides.

 

Editor’s comment: You may have hear an organization named ProPublica along with National Public Radio issued what we feel was a very biased report about how workers’ comp benefits have dropped across the U.S. in recent years. Obviously, they don’t mention the problems faced by Los Angeles or Waukegan, IL that we report above.

 

Numerous national pundits have tried get the ProPublica and NPR reporters working the WC beat to see all sides of an intricate group of national and local WC “systems” and to better understand the nuances and subtleties, and correct their errors publicly. These same observers now agree the positions being presented by these folks are advocacy and PR fluff.

 

It appears obvious the reporters don’t want to hear anything that doesn’t agree with their subjective view of work comp systems and they are intent upon misusing industry data to support their position and have an agenda they are determined to promote. The latest reports from ProPublica continues an obvious advocacy effort using anecdotal evidence to promote their ideological positions.

 

Joe Paduda of Health Strategy Associates noted In the original “Demolition” article, reporter Michael Grabell said:

 

“In 37 states, workers can’t pick their own doctor or are restricted to a list provided by their employers.”

 

That statement is categorically false. And the nationally renowned Mr. Paduda sent the reporter a detailed explanation of why and where this is false. He also provided the background documents from WCRI, and followed up. His analysis confirmed Mr. Grabell refused to update his article and/or claims. We consider this critically important because in many of the five states where KCB&A has defense lawyers, there are limitations on choice of doctors/medical care. We don’t feel that is a bad thing for workers in those states—in many situations, they are being provided the best possible care with early intervention.

 

Our point for our readers is to understand there is a strong bias and advocacy surrounding this whole concept of “Demolition of Workers’ Comp.” We hope legislators and other administrators see through the propaganda and fluff.

 

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

 

            -----------------------------------------------------

 

Synopsis: Dealing with OSHA and Your Workers That Don’t Speak English.

 

Editor’s comment: Employers who hire non-English speaking workers have to insure all employees, regardless of the language they speak, receive and “comprehend” safety-related instructions, programs and training. Numerous OSHA standards, from lock-out-tag-out to hazard communication, require employers to train or instruct employees. OSHA treats safety training as “performance-based.” This means OSHA defers to the individual employer to fashion the best manner by which to accomplish the goal of safety standards. For that reason, none of OSHA’s training standards require employers to use particular documents, teaching methods, or language to train employees. Instead, OSHA requires employees to present information in a manner your employees are capable of understanding.

 

For example, if an employee is not literate, you cannot satisfy OSHA training requirements merely by telling the employee to simply read your training materials or participate in safety programs. Basically, if an employee or group of employees does not speak, read or understand English, training must be provided in a language the employee understands.

 

OSHA inspectors have the duty to determine whether the safety program or training provided by you their standard. In effect they want to be sure your employees receiving training or undergoing a safety program actually understood and fully comprehend that training. One method for an OSHA inspector to make this evaluation is to try to  interview your workers away from your managers. During such meetings, OSHA inspectors may attempt to hold employees to high standards of safety knowledge, asking employees questions regarding specifics or particulars of your program.

 

Another issue involving employee interviews is whether the employee speaks or comprehends conversational English. Many OSHA inspectors are bilingual, particularly in Spanish, and those who are not may request another employee act as an interpreter to translate during an OSHA-employee interview. Translation issues can present bias problems during employee interviews, whether the interpreter is another employee, a management representative, or an OSHA official. For this reason, you need to ensure your employees understand their right to have a management representative present during the interview.

 

OSHA believes employers must take into account your employees’ language capabilities and educational levels, and adjust all training programs accordingly. If you have a workforce that speaks predominantly Spanish or Polish, OSHA will require you to provide training in those languages. Further, if you have an uneducated and/or illiterate workforce, OSHA will expect you to provide the training in very simple terms and use pictures or similar materials, as opposed to written materials.

 

If you have questions or concerns about OSHA requirements or are facing an OSHA complaint, KCB&A has licensed lawyers in five states, IL, IN, WI, MI and IA to handle such concerns at very reasonable rates. Simply send a reply.  

3-30-15; Transitional-Light Work Still is Alive in IL WC; Brad Smith, JD Analyzes an Important Pregnancy Discrim Ruling by SCOTUS; Kleptocracy Abounds in IL and more

Synopsis: Transitional/Light Work Programs are Alive and Well in Illinois Workers’ Comp.

 

Editor’s comment: We received an email from a reader at an IL WC insurance brokerage who had been advised by a solid insurance adjuster that an IL employer can’t take any action if an injured worker refused light work a doctor certified was within his/her medical restrictions. With respect to the adjuster, we wholly disagree with the advice being provided. It is our assumption they are misreading the Interstate Scaffolding or Matuszcsak rulings. We encourage all of our readers and anyone you know to send such inquiries/legal requests via email to the defense team at KCB&A and we are happy to provide free legal advice and research as we are doing in this article.

 

In both of the rulings above, injured workers on light duty committed acts that were considered to be criminal in nature. For example, Petitioner Matuszcsak admittedly stole cigarettes from his employer. Neither claimant was convicted of a crime but there was no dispute they did the inappropriate acts. In the contentious and oft-criticized rulings, the employers fired the workers and our courts required them to be paid TTD until they reached maximum medical improvement. This remains a very controversial concept in IL WC because it is felt to reward criminal behavior.

 

However, neither worker “refused light work” and we maintain the legal position any worker who has light work available has to perform the light work or they are subject to normal discipline leading to termination consistent with your normal personnel policies. The workers in the rulings mentioned above were arguably “blocked” from participating in light work due to termination for their criminal actions wholly unrelated to their injuries. In both rulings, the courts consistently maintained the workers would have had to participate in light work if such work were continuously available.

 

Interstate Scaffolding states, in pertinent part:

 

Benefits may also be suspended or terminated if the employee refuses work falling within the physical restrictions prescribed by his doctor. See 820 ILCS 305/8(d) (West 2004); Hartlein v. Illinois Power Co., 151 Ill. 2d 142, 166 (1992); Hayden v. Industrial Comm’n, 214 Ill. App. 3d 749 (1991) (TTD justifiably terminated by the employer, under the Act, when the injured employee was unwilling to cooperate with vocational placement efforts).

 

If this wasn’t a rule, transitional/light work programs in Illinois workers’ comp would have ended. Basically, no IL employer would be able to have an enforceable RTW program. In contrast, thousands of IL employers have them and they are effective in getting folks back to light and then full work. What remains confusing about the legal rule outlined by our highest court is the concept the worker is entitled to TTD until they reach maximum medical improvement or MMI—what if the worker has returned to work prior to MMI? What if the doctors have recommended transitional/light work programs to insure the worker attains MMI as part of the medical protocols? If that happened, it sets up the confusing situation in which TTD might be due until MMI but the employer would be entitled to credit for salary or wages paid.

 

Either way, in any situation where a worker is refusing light work or is blocked from light work due to termination for any reason, as a backup claims position to insure the employer doesn’t have to pay TTD at some later time, it is not a bad idea to informally confirm by doing a weekly web search to document there is other light work at other companies in the labor market around the lead employer—we are happy to discuss that approach further.

 

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

 

            --------------------------------------

Synopsis:  U.P.S. Worker’s Pregnancy Discrimination Suit Reinstated by SCOTUS. Analysis by Bradley J. Smith, J.D.

Editor's Comment: In Young v. U.P.S., a pregnant U.P.S. worker’s doctor recommended she avoid lifting anything heavy due to her multiple miscarriages in the past. When she requested light duties to accommodate those restrictions, U.P.S. was not amenable to those restrictions and placed her on an unpaid leave. 

Thereafter, Peggy Young, sued under the Pregnancy Discrimination Act (“PDA”), which specifies Title VII’s prohibition against sex discrimination applies to discrimination “because of or on the basis of pregnancy, childbirth, or related medical conditions.” The PDA’s second clause says employers must treat “women affected by pregnancy . . . the same for all employment-related purposes . . . as other persons not so affected but similar in their ability or inability to work.” SCOTUS looked at the latter provision to determine whether it applies in the context of an employer’s policy that accommodates many (including, on-the-job injuries), but not all, workers with non-pregnancy related disabilities. 

UPS was granted summary judgment by the Federal District Court holding, inter alia, Young could not make out a prima facie case of discrimination under the landmark ruling in McDonnell Douglas. Particularly, the District Court found Young’s purported comparators (employees with on-the-job injuries, losing licenses under DOT, or ADA accommodations) were too different to qualify as “similarly situated.” Subsequently, the United States Court of Appeals for the Fourth Circuit affirmed the District Court’s ruling. Judge Allyson Duncan of the Fourth Circuit wrote, “One may characterize the U.P.S. policy as insufficiently charitable, but a lack of charity does not amount to discriminatory animus directed at a protected class of employees.”

On a writ of certiorari, SCOTUS vacated the decision granting new life to Young’s case. The ruling by SCOTUS reasoned a plaintiff may reach a jury on this issue by providing sufficient evidence an employer’s policies impose a significant burden on pregnant workers, and the employer’s “legitimate, nondiscriminatory” reasons are not sufficiently strong to justify the burden, but rather give rise to an inference of intentional discrimination. SCOTUS indicated Plaintiff might use circumstantial proof to rebut an employer’s apparently legitimate, nondiscriminatory reasons for its adverse action. Ultimately, SCOTUS reasoned the record demonstrated Young created a genuine issue of a material fact as to whether UPS provided more favorable treatment to at least some employees whose situation cannot reasonably be distinguished from hers. SCOTUS left the Fourth Circuit to determine on remand whether Young also created a genuine issue of a material fact as to whether UPS’ reasons for having treated Young less favorably than other non-pregnant employees were pretextual.  SCOTUS reinstated the claim with a 6-3 majority and Justice Scalia and Justice Kennedy filed dissenting opinions. Justice Scalia’s dissent cautioned the Court’s opinion blurred the lines between a claim brought as disparate impact versus a disparate treatment. Additionally, he warned the Court’s opinion caused unnecessary confusion with the McDonnell Douglas standard.

Regardless, the Illinois legislature has “spoken” on this topic with its recent amendments to the Illinois Human Right Act. Specifically, Illinois passed the Pregnancy Accommodation Act (a.k.a. the “Pregnancy Fairness Law”). This Act is more inclusive than the federal PDA as it applies to employers employing one or more employees and further applies to full-time, part-time, and probationary employees. Notably, inter alia, the Act provides an employer providing light duty to other types of non-pregnant employees, creates a rebuttable presumption the accommodation does not impose an undue hardship on the employer. In other words, if your employee is injured on the job, and you provide light duty to accommodate that employee, it is presumed that you will do the same for a pregnant employee, and failure to do so will create a presumption of discrimination.  

In order to stay out of the Federal and State Courts under the federal PDA or state PAA, employers need to implement and engage in an ongoing interactive process and also accommodate pregnancy-related conditions if they are accommodating similar restrictions through light duty positions with their on-the-job injured employees. The Young opinion allows an employee arguing she was discriminated under the PDA to look to other employees with on-the-job injuries as comparators to demonstrate a prima facie case under the McDonnell Douglas burden shifting test.

The research and writing of this article was performed by Bradley J. Smith, J.D. Bradley can be reached with any questions regarding the Illinois Pregnancy Accommodation Law, Title VIII, employment law, and general liability defense at bsmith@keefe-law.com.

            ---------------------------------------------

 

Synopsis: Illinois May Be a Land of Kleptocracy Which is Quietly and Surely Bankrupting Our Governments.

 

Editor’s comment: We keep seeing this concept play out over and over. We define ‘kleptocracy’ to occur when government workers legally find methods to use or “game” the system to feather their beds in a fashion that can be shocking to taxpayers. The ‘klepto’ part in the term isn’t truly accurate, as it implies the workers are stealing—we emphasize our position, the workers aren’t stealing, they are just getting very expensive benefits we don’t feel taxpayers should have to pay. We just saw legislation being considered to allow Illinois municipalities to file for bankruptcy—rulings like this are one reason such extreme measures are being considered.

 

In Vaughn v. The City of Carbondale, our IL Appellate Court, Fifth District found a Carbondale police officer bumped his noggin getting into his patrol car to answer the radio. We have no idea how a bump on the head could lead to a lifetime line-of-duty disability pension and the decision doesn’t fully address that issue. However, the patrol officer wanted lifetime family medical coverage asserting his injury occurred responding to an emergency. There is no indication in the record the radio call was due to an actual emergency—the patrol officer was simply answering his radio.

 

The unanimous Appellate Court majority ruled as any typical radio call from police dispatch was one means to notify officers of emergency, it then became the officers' duty to respond to dispatch calls in timely manner in case it is an emergency. Thus, they ruled the officer's injury was incurred as a result of his response to what he reasonably believed was an emergency. With respect to the members of this court, we cannot disagree more. We also point out this ruling provides an enormously expensive lifetime benefit. In our view, this Appellate Court is now ruling basically everything a police officer or firefighter does is in “response to an emergency.” The “emergency” in this one was reaching into his car to answer a dispatch call that clearly wasn’t an emergency. By the theory used in this ruling, a police officer tying their shoes, putting on their hat or buttoning their shirt is acting “in response to an emergency.”

 

Please start with the fact a police officer or firefighter don’t have to be fully disabled to be entitled to lifetime line-of-duty disability benefits. Our IL Supreme Court ruled “catastrophically injured” means the officer simply has to be disabled from working as a police officer or firefighter. They can have post-employment jobs that make more money than they made while working. We consider that whole approach to be kleptocratic. On top of that, we are now seeing the courts further “bend” the rules to provide not only lifetime benefits for officers who can work but also guarantee lifetime family medical coverage to be paid 100% by taxpayers. The annual added cost of rulings like this is about $30K a year for one officer for this year—that cost continues to climb as health care premium costs rise. The cost of rulings like this to Illinois municipalities is well into the tens of millions and could eventually be into the billions if enough Illinois law-enforcement officials and firefighters claim it.

 

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