8-7-2020; Ottawa IL Appellate Court Dramatically Changes Liability/WC Law for IL Staffing Industry; Gov. Pritzker Appoints Two New Pro-Labor Arbitrators and more

Synopsis: Must Read for All IL Staffing Companies!! Ottawa Appellate Court Dramatically Changes Liability/WC Law for IL Staffing Industry. Research and Analysis by Lindsay Vanderford, J.D.

Editor’s Comment: In a split 2-1 Decision, the 3d District Appellate Court decided an appeal from the Circuit Court’s grant of dismissal of a common law or general liability lawsuit in favor of a worker attempting to sidestep the plain meaning of the IL WC Act in Jaime Quintana v. Ferrara Candy Company, Appeal No. 3-19-0414, Circuit No. 17-L-890.

In a split decision, the Third District Illinois appeals panel comprised of Justices McDade, Wright, and Holdridge held a temporary worker, injured while working at a Ferrara Candy plant, may be able to avoid the exclusivity provision of the IL WC Act and bring a WC claim and also sue his temporary employer in Circuit Court if a finder of fact decides he is not a “borrowed employee.” Ferrara filed a Motion to Dismiss, arguing that legal relationship was clear, and the negligence suit filed by Quintana directly violated the exclusivity provision of Section 5 of the IL WC Act. Justice McDade penned the majority decision which asserts, “the existence of that relationship is not so clear to an average worker … that the question should be taken from the finder of fact and resolved by the court as a matter of law.”

Pertinent facts of the underlying suit are that Quintana was employed by Elite Staffing, the agency which assigned him to work at the Ferrara plant. On November 11, 2015, Quintana was injured when wooden pallets from a forklift operated by a Ferrara employee fell on him. On October 12, 2017, Quintana filed a complaint against Ferrara, alleging negligent training or supervision of the forklift operator.

Ferrara moved to dismiss, contending that under the Illinois Workers’ Compensation Act, Quintana was a “borrowed employee” and was barred from suing his “borrowing employer.” As we are all aware, the Act limits borrowed employees, precluding them as a matter of law from maintaining civil actions against their borrowing employers. The “exclusive” vehicle for remedy against a borrowing employer is to seek workers’ compensation for any employment-related injuries.

Quintana argued the borrowed employee relationship did not exist because he signed a waiver, prepared by Ferrara and given to all assigned employees, disclaiming any direct employee-employer relationship with Ferrara Candy. The waiver stated, “I agree that I am solely an employee of staffing firm and that I am eligible only for such benefits as Staffing Firm may offer to me as its employee. I further understand and agree that I am not eligible for or entitled to participate in or make any claim upon any benefit plan, policy or practice offered by Ferrara.”

Please note we do not feel that waiver language is well-drafted and consider it confusing. If you are using such a waiver, we strongly suggest you reply or contact Lindsday Vanderford or the defense team at KCB&A if you want better or more appropriate language for such a waiver.

At the lower level, Circuit Judge Raymond Rossi agreed with Ferrara that Quintana’s status as a borrowed employee was clear, dismissing the case. We thoroughly support Judge Rossi’s seasoned opinion noting his lengthy tenure in Will County’s Twelfth Judicial Circuit Court.

Quintana appealed, and Justice McDade reconsidered the borrowing employer issue noting a two-prong inquiry was required to determine whether a borrowed-employee relationship was created. The first prong,

(1)  whether the alleged borrowing employer had the right to direct and control the manner in which the employee performed the work, she found to have been established.

(2)  The second prong, whether there was an express or implied contract of hire between the employee and the alleged borrowing employer, she found muddled by the wording of the benefits waiver and Quintana’s understanding of same.

McDade noted the waiver referred to “any benefit plan, policy or practice offered by Ferrara,” with “policy or practice” potentially understood by Quintana to mean Ferrara was not offering him employment and thus not “offering” workers’ compensation. Notably, and as pointed out by the dissent, eligibility for benefits under the IL WC Act is determined by law and isn’t an option. Any right to those benefits cannot be validly waived by an employee pre-accident.

Despite that clarity of the law, Justice McDade questioned whether Claimant Quintana knew or should have known that, despite the seemingly definitive contrary language of the waiver he signed, he had nonetheless entered an employer-employee relationship with Ferrara. Though McDade admits Quintana had entered the relationship, the decision concludes, “The majority finding is that the existence of that relationship is not so clear to an average worker reading that specific waiver language that the question should be taken from the finder of fact and resolved by the court as a matter of law.” Justice Wright signed on.

Justice Holdridge who is a veteran and knowledgeable WC appellate court member, dissented arguing a plain reading of the waiver reveals it to limit Quintana’s eligibility solely for internal employee benefit plans. He disagreed with the majority’s suggestion the waiver is open to a second interpretation, that Ferrara was somehow attempting to decline Quintana workers’ compensation coverage, calling that interpretation “contrary to law” and a stretch.

In pertinent part, Holdridge noted, “Workers’ compensation is not some type of elective program that an employer may voluntarily offer at its discretion — it is statutorily required by state law. Therefore, I fail to see how workers’ compensation is encompassed within this language and was waived by Quintana.” He further commented, “the majority’s second interpretation strains to find an ambiguity where none exists, is unreasonable, and leads to an absurd result.”

Notably, this decision was filed under Supreme Court Rule 23 and may not be currently cited as precedent by any party except in very limited circumstances. We find this lack of precedent favorable and agree with Justice Holdridge’s sentiments regarding its absurdity. In the absence of any further appeal, we trust the finder of fact will consider the evidence and determine Petitioner was clearly a borrowed employee and subject to the limitations of the IL WC Act as is any other worker.

This article was researched and written by Lindsay R. Vanderford, JD. Lindsay can be reached with any questions related to workers’ compensation defense and employment law defense at lvanderford@keefe-law.com.

Synopsis: Gov. Pritzker Announces Two Plaintiff Attorneys Appointed to Arbitrator Positions at the IWCC.

Editor’s comment: Illinois has the odd spectacle of having a billionaire Governor who is wholly pro-labor. We assume his slant will continue and hope our State and its economy will survive him. That said, we are certain both of these appointments are solid attorneys, highly professional and know the IL WC Act inside and out.

Governor JB Pritzker announced the following appointments in his administration:

Jeanne AuBuchon will serve as Arbitrator on the Workers’ Compensation Commission.* AuBuchon is a Plaintiff personal injury and criminal defense attorney at AuBuchon Law, LLC. AuBuchon is a member of the American Bar Association, Illinois State Bar Association, St. Clair County Bar Association, East St. Louis Bar Association, National Association of Counsel for Children, and Land of Lincoln Legal Assistance Foundation Pro Bono Bar. She sits on the Board of Directors for the Lansdowne Community Initiative and is a Precinct Committeewoman for Sugar Loaf Township in St. Clair County. She earned her Bachelor’s in Journalism from University of Missouri-Columbia and Juris Doctorate from St. Louis University School of Law.
 
Gerald Napleton will serve as Arbitrator on the Workers’ Compensation Commission.* Napleton is Associate Attorney at Ridge & Downes, PC where he handles prosecution of worker’s compensation and personal injury matters for injured clients. Napleton is a member of the Illinois State Bar Association, where he serves as Chair of the Workers Compensation Section and served as Chairperson of the Young Lawyers Division in 2016. He is also a member of the Illinois Bar Foundation, where he served as Board Member in 2017 and Fellow from 2015 to present. Napleton is also the President of the Marist High School Law Association and Bagpiper with the Shannon Rovers Irish Pipe Band. Napleton earned a Bachelor of Business Administration (Management), Bachelor of Arts (Philosophy) from Saint Xavier University and Juris Doctorate from DePaul University College of Law. 
 
* Appointments pending confirmation by the Illinois Senate.

Synopsis: The “Nuts and Bolts” of Investigating OccDisease Claims with a Specific Focus on this Pandemic—Consider Asking Shawn R. Biery, J.D. for His OccDisease Investigation Protocol.

Editor’s Comment: Shawn R. Biery of Keefe, Campbell, Biery & Assoc understands the challenges this crisis has brought to you and your claims management protocols. Suddenly, we are all being asked to figure out when/where and how someone contracted a life-threatening disease which comes with possible 7-figure OD claims exposure. To understand the risks and costs, please remember Shawn regularly updates his Illinois WC Rate Sheet—if you want a copy, send an email to Shawn or his great assistant Marissa Patel at mpatel@keefe-law.com

What Shawn has begun to detail are crucial investigation materials which you might want to consider--his new OccDisease Investigation protocol to allow you to:

  1. Investigate and verify OccDisease claims for emergency workers covered under the new Rules promulgated by the IWCC;

  2. Investigate and verify claims for other workers possibly not covered by the Rules and

  3. Insure you have a strong basis to accept or deny OccDisease benefits in settings that may come at you and your company very rapidly.

We are constantly working to update the potential investigation protocols. Please again note, as we outline above, any Covid-19 exposure may come with 7-figure risk/reserves on a per claim basis—this is possibly a business-busting concept.

Please also make note, if you don’t diligently investigate, even without a presumption, our IL WC Commission may rule any Covid-19 claim is going to be adjudicated to be compensable.

Those supervisors, managers and adjusters who are now becoming OccDisease investigators will need the following skills:

Interviewing – the ability to draw out the relevant information through effective questioning

Communication (verbal and written) – the ability to interact effectively with injured persons, witnesses and suspects, as well as other investigators, and to communicate the findings of the investigation to a wide variety of individuals and organizations

Technical competence – the awareness of safe working procedures that should be adopted, with particular relevance to the event under investigation

Hazard recognition – the ability to ensure workers and investigators are not exposed to unnecessary risk

Interaction – personal attributes that enable effective relations with other people

Deduction – the ability to scrutinize all the evidence obtained, e.g. through observation, from witnesses’ statements and from documentary evidence, and to form a coherent picture that enables the causal factors to be identified

If you want a copy or someone to consult with an OccDisease Investigations and Rules, feel free to contact Shawn at sbiery@keefe-law.com or John Campbell at jcampbell@keefe-law.com

7-27-2020; Shawn Biery's New and Updated IL WC Rate Chart Available on Request; John Campbell Provides Thoughts and Guidance on the New Paperless IL WC Settlement Process and more

Synopsis: AS WE HEAD INTO AUGUST 2020 UNDER THE PANDEMIC IN IL—WC BENEFIT RATES RISE WITH THE HUMIDITY??—SHAWN BIERY’S UPDATED IL WC RATE SHEETS AVAILABLE SOON FOR ILLINOIS WC RATE INCREASE!!! 

 

Editor’s comment: Illinois WC Rates Have Updated Again So Please Be Aware Of The New Rates or Your Claims Handling Will Suffer and Penalties May Ensue. Please also note that the IL State Min Wage is now $10 per hour and with the already mandated increases over the next few years wages are sure to go up to $15/hr in 2025, we will see the IL WC rates increase for sure.

 

Email Marissa at mpatel@keefe-law.com to Get a Free and Complimentary Email or Hard Copy of Shawn R. Biery’s Updated IL WC Rate-Sheet! You can also send any questions to Shawn at sbiery@keefe-law.com

 

We note that the recent legislation to increase the statewide minimum wage eventually to $15/hr will lead to the continued rate increase in every cycle, so continue to watch the growth of IL WC rates. As we have mentioned in the past, since the 1980’s, the IL WC Act provides a formula which effectively insures no matter how poor the IL economy is doing, WC rates continue to climb.

 

Please also note 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 or Gene Keefe.

 

We caution our readers to pay attention to the fact the IL WC statutory maximum PPD rate is $836.69. However, this rate is only going to be valid through June 30, 2020 and the new max PPD will be published in January 2021. When it will be published in January 2021, this rate will change retroactively from July 1, 2020 forward. At that time, 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 $1,572.01. An IL worker has to make over $2,358.02 per week or $122,617.04 per year to hit the new IL WC maximum TTD rate.

 

For WC Death Benefits: The new IL WC minimum has sped past the $750k floor for surviving widows/widowers. That amount is now 25 years of compensation or $589.51 per week x 52 weeks in a year x 25 years or $766,363.00! The new maximum IL WC death benefit is now over $2 million at the max $1,572.01 times 52 weeks times 25 years or a lofty $2,043,613.00 plus burial benefits of $8K. 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 or Gene.

 

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.  If you want just one or a dozen or more, simply send a reply to Marissa at mpatel@keefe-law.com  AND you can also send any questions to Shawn at sbiery@keefe-law.com They will get a copy routed to you once we get laminated copies back from the printer—hopefully before they raise the rates again! Please confirm your MAILING ADDRESS to Marissa if you would like laminated copies sent to your home or office!

 

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

 

 

Synopsis: Illinois Workers’ Compensation Commission continues their advance toward a “paperless environment” during and after the pandemic as the IL Commission rolls out all new e-contract filing. Research and comments by John P. Campbell, J.D.

 

Editor’s Comment: We applaud the Illinois Workers’ Compensation Commission’s ongoing technological advances, having recently introduced electronic drafting and filing of settlement contracts, which is now to be perfected entirely on-line -signatures and all. We understand this to be the first of a series of steps toward what will eventually be fully “paperless” electronic filing  of Motions and Requests for Hearing. Any contract not already submitted in paper form by July 22nd will have to now be converted/transferred to the on-line contract and submitted electronically.

 

Of note, pro se settlement contracts will continue to be prepared and submitted in traditional paper format until further notice. We feel it is confusing for pro se Claimants to have to deal with electronic filing so the new concept is reserved for claims that are settling with attorneys on both sides.

 

Practitioners should note that each law firm must have a designated firm administrator who is to register as the point person managing each firm’s access through CompFile. The firm administrator is then able to set up accounts for each attorney (with a username and password) who will then have access to the settlement contract boilerplate to fill in each section. These sections mirror our traditional settlement contracts, familiar to all industry veteran observers. Attorneys will be able to draft, e-sign and submit contracts for arbitrator approval.  

 

The IWCC offers several helpful YouTube videos to help those of us who may be technologically challenged. Additional information can be accessed at the following link  http://www.iwcc.il.gov/compfile

 

Although it appears the days of quick inked-up changes to contracts with initials and resubmission are over,  this new process will no doubt promote greater efficiency since submission of contracts will be immediate upon e-signature of all parties.

 

We have some concerns about how this is being rolled out and we have important recommendations to claims and risk managers if you want them. The defense team at KCB&A is staying on point and expert in all aspects of electronic settlements. If you need help, send a reply.

 

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

 

Synopsis: The “Nuts and Bolts” of Investigating OccDisease Claims with a Specific Focus on this Pandemic—Consider Asking Shawn R. Biery, J.D. for His OccDisease Investigation Protocol.

Editor’s Comment: Shawn R. Biery of Keefe, Campbell, Biery & Assoc understands the challenges this crisis has brought to you and your claims management protocols. Suddenly, we are all being asked to figure out when/where and how someone contracted a life-threatening disease which comes with possible 7-figure OD claims exposure. To understand the risks and costs, please remember Shawn regularly updates his Illinois WC Rate Sheet—if you want a copy, send an email to Shawn or his great assistant Marissa Patel at mpatel@keefe-law.com

What Shawn has begun to detail are crucial investigation materials which you might want to consider--his new OccDisease Investigation protocol to allow you to:

  1. Investigate and verify OccDisease claims for emergency workers covered under the new Rules promulgated by the IWCC;

  2. Investigate and verify claims for other workers possibly not covered by the Rules and

  3. Insure you have a strong basis to accept or deny OccDisease benefits in settings that may come at you and your company very rapidly.

We are constantly working to update the potential investigation protocols. Please again note, as we outline above, any Covid-19 exposure may come with 7-figure risk/reserves on a per claim basis—this is possibly a business-busting concept.

Please also make note, if you don’t diligently investigate, even without a presumption, our IL WC Commission may rule any Covid-19 claim is going to be adjudicated to be compensable.

Those supervisors, managers and adjusters who are now becoming OccDisease investigators will need the following skills:

Interviewing – the ability to draw out the relevant information through effective questioning

Communication (verbal and written) – the ability to interact effectively with injured persons, witnesses and suspects, as well as other investigators, and to communicate the findings of the investigation to a wide variety of individuals and organizations

Technical competence – the awareness of safe working procedures that should be adopted, with particular relevance to the event under investigation

Hazard recognition – the ability to ensure workers and investigators are not exposed to unnecessary risk

Interaction – personal attributes that enable effective relations with other people

Deduction – the ability to scrutinize all the evidence obtained, e.g. through observation, from witnesses’ statements and from documentary evidence, and to form a coherent picture that enables the causal factors to be identified

If you want a copy or someone to consult with an OccDisease Investigations and Rules, feel free to contact Shawn at sbiery@keefe-law.com or John Campbell at jcampbell@keefe-law.com

7-15-2020; Release/Resignation Mandatory in any Claim Where an IL Employer Doesn’t Have WC Insurance; Essential Workers Exposed to Covid-19 Have Expanded Protection and more

Synopsis: Note to the IL WC Bar—Consider a Release/Resignation Mandatory in any Claim Where an IL Employer Doesn’t Have WC Insurance.

Editor’s comment: This is stuff I remembered, after I forgot it. I have handled a number of claims where an employer might not have had WC insurance or it innocently lapsed or whatever. In such a claim, the injured worker may be able to sue their employer in Circuit Court. Please note my reasoned opinion settling such a claim on “pink” IL WC contracts wouldn’t end the Circuit Court exposure—you have to have a separate release to cut off those rights.

In American Kitchen Delights Inc. v. IWCC, No. 18-L-50818, 06/12/2020, the Illinois Appellate Court, WC Division overturned a determination that an employer was subject to civil liability for an employee’s alleged injury because the company was knowingly uninsured.

Claimant Galindo filed an IL workers’ compensation claim asserting he had suffered injuries while working for American Kitchen Delights Inc. in February 2018. Galindo’s attorney learned that AKD did not have workers’ compensation coverage on the date of the alleged accident. The IL Workers’ Compensation Act says an employer that knowingly fails to provide insurance to an employee may be subject to civil liability. However, as a prerequisite to filing a civil action, a claim of failure to provide workers’ compensation insurance must be presented to the Illinois Workers’ Compensation Commission for a hearing.

In April 2018, Galindo filed a motion for a preliminary hearing alleging the lack of WC Insurance. The company responded it did not have workers’ compensation insurance on the date of the alleged accident, but it denied that it had knowingly failed to secure coverage for Galindo. According to AKD, it purchased workers’ compensation insurance from the FCCI Insurance Co. through an insurance broker. The policy expired in December 2017, and FCCI issued a notice of nonrenewal. The notice was dated Oct. 30, 2017, and indicated that the policy would not be renewed because of AKD’s loss history.

The president of AKD confirmed he did not recall receiving the notice, nor did he recall the insurance broker telling him the policy would not be renewed. The president said he assumed AKD had workers’ compensation coverage up until April or May 2018 because several of its other policies had been canceled and reinstated.

In May 2018, AKD received an invoice from FCCI Insurance, and the company paid the invoice. AKD later received notices indicating its commercial automobile and umbrella policies had been rescinded. The company's president contacted the broker and allegedly learned the workers’ compensation policy had not been renewed.

In November 2018, the IL WC Commission found that AKD had knowingly failed to provide workers’ compensation coverage to Galindo on the date of his alleged accident. A circuit court judge affirmed the Commission’s decision.

In their ruling, the Illinois Appellate Court confirmed that under state law, an employer found to have negligently failed to provide adequate workers’ compensation insurance is subject to prosecution for a Class A misdemeanor. A knowing failure is much worse and could result in a stop-work order and prosecution for a Class 4 felony, and civil liability. Please also note the minimum fine for not having WC insurance is $10,000 and they can also levy a further penalty of $500 a day.

The Appellate Court ruled the IL WC Commission’s finding that AKD was knowingly uninsured appeared to be based on the nonrenewal notice from October 2017. That notice is governed by Insurance Code Section 143.17a, which requires that the carrier provide notice of nonrenewal via mail, and the only method for establishing compliance is proof of mailing. In this case, the Court opinion noted, Galindo introduced evidence that the notice was issued, but he did not produce any proof that FCCI had mailed it to AKD.

Absent evidence of mailing, the Appellate Court said, the record did not establish that AKD had notice of the cancellation prior to the date of Galindo’s alleged accident. The Court’s ruling also said it also was not persuaded that AKD’s knowledge of Galindo’s claim had any relevance to the question of whether the company knew it had workers’ compensation insurance.

My focus for the practicing bar is to remember these rights are out there. If your goal is to extinguish or settle such claims, you have to resolve both the WC exposure and GL exposure arising from the possible knowing lack of coverage. A release is strongly part of resolution of such claims, in my view.

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

 

Synopsis: Essential Workers Exposed to COVID-19 Have Expanded Protections in Illinois OD/WC Claims.

 

Editor’s comment: On June 5, 2020, Governor J.B. Pritzker signed HB 2455. This new law provides protection for “essential workers” who are exposed to and diagnosed with COVID-19. Typically, workers’ hold the burden of proving they are entitled to Illinois Workers Compensation benefits. This new law seeks to create a rebuttable presumption that essential workers diagnosed with COVID-19 are entitled to Illinois Workers’ Compensation, actually OccDisease benefits. The rebuttable presumption applies when there is a confirmed diagnosis of COVID-19 made by a licensed medical doctor on or after March 9, 2020. In cases diagnosed on or after June 16, 2020, the worker must provide a positive lab test.

 

As veteran defense lawyers, we aren’t seeing lots of Covid-19 claims. We feel this is due to great masking, PPE and safety protocols by Illinois employers. Our new Covid-19 cases being reported on a daily basis are dropping. We also note Covid-19 is similar to influenza-A, you get it and suffer but then get over it. There aren’t a lot of “permanent” issues for folks that successfully recover. 

 

Who Qualifies For The “Rebuttable Presumption”?

 

The presumption of workers’ compensation/OccDisease coverage applies to all COVID-19 first responders or front-line workers. This includes:

 

•          healthcare workers,

•          firefighters,

•          paramedics and

•          law enforcement.

 

Additionally, it also applies to employees of essential businesses who encounter members of the public or work in locations with 15 or more people. This includes employees of the following businesses:

 

•          grocery stores and convenience stores

•          pharmacies,

•          food production/manufacturing/processing,

•          distribution and supply chain companies of essential products/supplies,

•          gas stations,

•          food banks,

•          hardware stores,

•          media outlets,

•          transportation providers,

•          banks

 

A full list of “essential businesses” can be found on Executive Order 2020-10, March 20, 2020. If you want a copy, send a reply.

 

Illinois Employer’s WC/OD Defenses

 

Employers can rebut the presumption by providing evidence that:

 

1.         the employer practiced, to the fullest extent possible, updated industry specific CDC or Illinois Dept. of Public Health guidelines to prevent COVID-19 exposure.

2.         The employee was working from home for a period of 14 consecutive days or more prior to the injury or occupational disease.

3.         The employee’s exposure to COVID-19 came from an alternate source

 

We ask all employers and local governments to send a reply or consult a KCB&A attorney to make sure your rights are adequately being protected.

 

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

 

 

Synopsis: Join KCBA’s very own Brad Smith, J.D. for his podcast discussing all trending legal topics.

 

Editor’s comment: In Brad’s Everything Legal Podcast, Brad discusses the legal world in an understandable and practical way. In his initial episode Brad analyzes the legislation that matters to you and other notable circumstances surrounding the COVID-19 Pandemic. Brad’s podcast will continue to explore legal topics of significance on an ongoing basis. We hope you can subscribe and happy listening to you.

 

Please subscribe on Apple Podcasts, Spotify, or Anchor by searching “Brad’s Everything Legal Podcast.”

 

You can also link to the Apple Podcast here: Brad's Everything Legal Podcast.

 

 

Synopsis: The “Nuts and Bolts” of Investigating OccDisease Claims with a Specific Focus on this Pandemic and New Rules Mentioned Above—Consider Asking Shawn R. Biery, J.D. for His OccDisease Investigation Protocol.

Editor’s Comment: Shawn R. Biery of Keefe, Campbell, Biery & Assoc understands the challenges this crisis has brought to you and your claims management protocols. Suddenly, we are all being asked to figure out when/where and how someone contracted a life-threatening disease which comes with possible 7-figure OD claims exposure. To understand the risks and costs, please remember Shawn regularly updates his Illinois WC Rate Sheet—if you want a copy, send an email to Shawn or his great assistant Marissa Patel at mpatel@keefe-law.com

What Shawn has begun to detail are crucial investigation materials which you might want to consider--his new OccDisease Investigation protocol to allow you to:

  1. Investigate and verify OccDisease claims for emergency workers covered under the new Rules promulgated by the IWCC;

  2. Investigate and verify claims for other workers possibly not covered by the Rules and

  3. Insure you have a strong basis to accept or deny OccDisease benefits in settings that may come at you and your company very rapidly.

We are constantly working to update the potential investigation protocols. Please again note, as we outline above, any Covid-19 exposure may come with 7-figure risk/reserves on a per claim basis—this is possibly a business-busting concept.

Please also make note, if you don’t diligently investigate, even without a presumption, our IL WC Commission may rule any Covid-19 claim is going to be adjudicated to be compensable.

Those supervisors, managers and adjusters who are now becoming OccDisease investigators will need the following skills:

Interviewing – the ability to draw out the relevant information through effective questioning

Communication (verbal and written) – the ability to interact effectively with injured persons, witnesses and suspects, as well as other investigators, and to communicate the findings of the investigation to a wide variety of individuals and organizations

Technical competence – the awareness of safe working procedures that should be adopted, with particular relevance to the event under investigation

Hazard recognition – the ability to ensure workers and investigators are not exposed to unnecessary risk

Interaction – personal attributes that enable effective relations with other people

Deduction – the ability to scrutinize all the evidence obtained, e.g. through observation, from witnesses’ statements and from documentary evidence, and to form a coherent picture that enables the causal factors to be identified

If you want a copy or someone to consult with an OccDisease Investigations and Rules, feel free to contact Shawn at sbiery@keefe-law.com or John Campbell at jcampbell@keefe-law.com