12-14-2020; Trying to Make Sense of COVID -19 Vaccinations--Ending the Great Pandemic of 2020; IL WC Subro Reversal in "Litigation Hellhole" to Protect and Preserve Subro Concept and more

Synopsis: Trying to Make Sense of Covid-19 Vaccinations—Ending the Great Pandemic of 2020.

 

Editor’s comment: A Dozen Simple Common Sense Thoughts for U.S. Risk/HR managers, claims handlers and all our readers of the KCB&A Update.

 

  1. If you get the vaccine, you are going to be immune at a 19 out of 20 rate at least. Thousands of test cases were analyzed and considered.

  2. Please expect lots of government officials and other folks in the public eye to get the vaccination. Lots of folks may wait a month to be “safe” and insure they aren’t the first—that is fine but plan for the first shot in a month and get it!!

  3. “Immune” means you can’t get Covid-19 from others and they can’t get it from you! You need to continue precautions for a week or two after getting the first shot.

  4. You should strongly encourage EVERYONE in your workforce to get the shots, so all of your co-workers can’t get the virus and they can’t give it to others.

  5. The United States has already had 16M+ cases of COVID-19 with approximately 300K deaths—we can end this in about 60-90 days if we can, as a country, get folks to use these very-effective vaccines.

  6. You aren’t getting COVID-19 bugs injected into you if you get the vaccine—you are getting a very complex drug to kill and make you immune from the COVID-19 bug.

  7. COVID-19 vaccines will not cause you to test positive on COVID-19 viral tests, which are used to see if you have a current infection.

  8. If your body develops an immune response, which is the goal of vaccination, there is a possibility you may test positive on some antibody tests—you want to test positive for antibodies! Antibody tests indicate you had a previous infection and that you may have some level of protection against the virus.

  9. Due to the severe health risks associated with COVID-19 and the fact that re-infection with COVID-19 is possible, people may be advised to get the COVID-19 vaccine even if they have been sick and treated for COVID-19 before. At this time, experts do not know how long someone is protected from getting sick again after recovering from a bout with COVID-19. The immunity someone gains from having an infection, called natural immunity, varies from person to person. Some early evidence suggests natural immunity may not last very long. The CDC won’t know how long immunity produced by vaccination lasts until there is more data on how well it works. Until then, they are recommending EVERYONE 16 and over get the shot. (Pregnant ladies are supposed to talk to your doctor first).

  10. Receiving this mRNA vaccine will not alter your DNA—if you are being told that, the person saying it has no idea what they are talking about. Same for claiming there are “microchips” in the vaccine—what a hoot!!!

  11. Why two shots? Well, after the first shot, the scientists feel you are safe from Covid-19 in a week or so but the second shot greatly improves your lasting immunity. Yes, lots of folks skip the second shot which leaves them less safe. Don’t take a chance and be in the headlines. Get both shots and be super-safe!

  12. About 15% of folks experience soreness, fatigue, mild issues the day after the shots. Consider planning for a day off—or get the injection on a Friday!

 

My vote is every U.S. employer should engage in a program to encourage and cajole and inspire your workers to get the shots. Pay for the cost of the medicines if you have to. Bring vaccines and administering nurses or other medical personnel to your work places to make it easy on your workers. Have the company president and top managers get the shot to encourage others. Go back in a couple of weeks to encourage those who aren’t sure or want to wait.

 

Can We Force or Fire a Worker to Insure They Get the Shots?

 

As a veteran lawyer, I vote no. If you force or fire workers who won’t get the shots, they can

 

  • File an EEOC or IDHR beef against your company.

  • Directly sue in Circuit Court In Illinois or

  • Go through the EEOC or IDHR process that may result in a “right to sue” letter from the Feds or State.

 

If your company ends up in court in a fight over this issue, one of the unusual aspects of such litigation is, if Claimant is awarded a couple of bucks, you can owe all of their attorney’s fees and costs. Plaintiff attorney’s fees in such claims can be well into the hundreds of thousands of dollars. For that reason and various other reasons, I don’t feel comfortable telling clients and potential clients it is a good idea to fight with your workers to force them to be vaccinated.

For employees less likely to become infected or to infect others, employers should consider using the “carrot” approach rather than the “stick” approach. Such workers can and should be incentivized to be vaccinated as soon as possible. Suggested incentives can take the form of a reduction in health insurance premiums, cash bonus, time off work or something else of value to them. It may also be a good idea for your managers to let these employees know that, eventually, all of its workers may be required to be vaccinated to insure a safe and Covid-free workplace. For those employees who initially refuse the vaccine, employers should know passage of just a few weeks or a month will likely help so they can watch how public figures and friends react following inoculation. Once these recalcitrant employees see that their vaccinated co-workers, friends, and the vast majority of Americans (including former Presidents and their sports and entertainment idols) have suffered no significant ill-effects from the vaccine, then many of them will agree to be vaccinated. Of course, there may always be some employees who still refuse. It is a tough call to fire such workers for the reasons above—I vote no.

 

Please Learn About and Use V-SAFE

 

V-SAFE is a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination. Through V-SAFE, you can quickly tell CDC if you have any side effects after getting the COVID-19 vaccine. Depending on your answers, someone from CDC may call to check on you and get more information. Please register—for more info, go to this safe link: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html

 

Does the Employer Have WC Liability for Sickness/Injury Claims As a Result of the Shots?

 

As I have advised in the past, Illinois has an odd provision in our OccDisease Act that may mandate WC/OD coverage for sicknesses coming from the injections. Other states don’t appear to have such legislation.

 

In my view, I recommend you and your company try to be nice and pay for what you can to avoid creating an unnecessary WC/OD fight over what should be no more than a day or two of lost time. It might be a bigger issue if the worker has an unexpected allergic reaction to the injections—that is going to be hard to predict. But if we all take a responsible approach to the end of the pandemic, we are going to be asked to pay claims that technically might be defended. I feel many hearing officers across the U.S. are going to want employers to take care of their workers and I join with them to ask you to do so.

 

As you read this, there have been no reported deaths as a result of testing of any of the vaccines by Pfizer/BioNTech, Moderna or AstraZeneca. Most of the side effects of the three vaccines during testing have been mild and transitory. Why fight minor claims at the very end of this crisis? Let’s get healthy, dump the masks soon and go back to being a prosperous society!

 

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

 

Synopsis: Southern IL “Hellhole” Circuit Court Treats WC Intervenor as Party to Third-Party Claim and Gets Appellate “Smack Down.”

Editor’s comment: Please note the 5th District Courts in Illinois are wildly pro-Plaintiff Attorney and also hilariously anti-business. The American Tort Reform Association outlines their research on their website. If you want to read more about it, go to this safe link: http://www.judicialhellholes.org/hellhole/2020-2021/cook-madison-st-clair-counties-illinois/

What I find surprising is the Appellate Court in that area also seems to be very pro-Plaintiff Attorney but every now and then, they pull one back.

This decision reversed what I assure our readers was an “anti-business” action by the Circuit Court. The employer was seeking recovery of a WC lien in the amount of about $130,000.00. The estimated cost of discovery was about $200,000—this projected discovery cost was not contested by Plaintiff. Plaintiff’s counsel wanted to allow all plaintiffs in that area to make demands for expensive and extensive discovery on intervenors to fend them off and allow “double-recovery” where a WC claimant could get their medical, lost time and permanency benefits and not have to pay anything back if there was a substantial recovery in third party litigation. One purpose of subro is to prevent double-recovery. We salute the Appellate Court for maintaining the intent and purpose of subrogation recovery in IL WC and third-party actions.

In a recent decision in Burdess v. Cottrell, Inc., 2020 IL App (5th) 190279, issued Dec. 1, 2020, the Fifth District Appellate Court ruled an Illinois Circuit Court committed error when it found an intervening workers’ compensation insurer in contempt for failing to comply with various discovery orders in an underlying tort suit filed by an injured employee against a third party. The Appellate Court accurately ruled under section 5(b) of the Workers’ Compensation Act [820 ILCS 305/5(b)], intervenors were allowed a very limited role in such litigation. For that reason the appellate court concluded the insurer did not become an active “party” to the underlying litigation by simply intervening to protect its lien. As a result, most of the trial court’s discovery orders pertaining to the insurer were improper and the trial court’s sanctions for the insurer’s failure to comply with the discovery orders was also improper.

Legal Background

In April 2016, Plaintiffs, a husband and wife filed a seven-count complaint against Defendants, Cottrell, Inc., General Motors, LLC, and Auto Handling Corporation, seeking damages for work-related injuries Plaintiff sustained on April 28, 2014, when he fell from the deck of a vehicle transportation rig working for Jack Cooper Transport. In July 2018, the WC insurer, Continental Indemnity Co. sought to intervene for the purpose of securing their employer’s/insureds lien as provided in section 5(b) of the IL WC Act. The Circuit Court granted Continental’s motion for leave to file a petition to intervene, without objection. Continental subsequently entered its appearance as intervenor.

Soon thereafter, Plaintiffs’ counsel issued written interrogatories to Continental and a request for production of documents. Continental objected, contending its role as an intervenor was greatly limited. It acknowledged it was subject to the subpoena power of the circuit court and accordingly produced an electronic file containing materials related to the underlying workers’ compensation claim of the husband, along with an itemization of the workers’ compensation benefits—these benefits comprised the WC lien.

Plaintiffs moved to compel discovery and for sanctions for Continental’s failure to comply with the discovery requests. Thereafter, the Circuit Court entered an order granting Plaintiffs’ motion to compel, overruling Continental’s objections, ordering Continental to fully respond to the discovery within 14 days, and denying Plaintiffs’ request for sanctions. Subject to the nonparty objection, Continental answered 15 of the 16 interrogatories. Continental responded to 45 of the 48 requests to produce and asserted additional objections.

Continental asserted production requests required it to comb through thousands of claim files to determine which claims were similar to the injuries suffered by Plaintiff, a task that would require 1.5 hours per file to review and redact the protected information, for a total of 4950 hours at a cost of $50 per hour for a skilled individual, totaling over $200,000.

The Circuit Court denied Continental’s motion to quash to the extent that it sought to relieve Continental of the obligation to produce workers’ compensation claim forms and reports of injuries completed by supervisors and/or drivers and injury reports filled out by drivers and/or supervisors for injuries. Treating the matter as one of “friendly contempt,” the Circuit Court observed Continental’s refusal to comply with the order to produce the information, held Continental in contempt of court, and imposed a penalty of only $25 for its noncompliance. The purpose of “friendly contempt” was to allow the matter to be appealed for a ruling that I am outlining right now.

Fifth District Appellate Court’s Opinion

The Appellate Court held an intervenor such as Continental was not a “party” to the underlying litigation, that section 5(b) allowed for, but did not require intervention, and after intervention was allowed by a trial court, the intervening insurer was not allowed to participate in the trial. The Appellate Court ruling indicated the record reflected Continental’s purpose in filing its motion for friendly contempt was not to cause undue delay or to dishonor the court.

Insurer Had No Direct Stake in the Outcome

The Court stressed that because Continental was not a party to the underlying litigation, it was not subject to the discovery mandates. In short, for Continental or Jack Cooper Trucking to provide discovery was meaningless. As a result, the circuit court’s discovery orders were improper, as were the minimal but actual sanctions imposed in one of the orders. The Court found the sum of $200,000 to produce the workers’ compensation claims as requested by Plaintiffs was “substantial and disproportionate” to Continental’s lien amount of $128,897.79.

Based on the foregoing, the Court reversed the Circuit Court’s discovery orders in relevant part. Moreover, because the discovery orders were improper, the Court also reversed the order holding Continental in contempt of court for violating the discovery orders.

 

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

12-10-2020; WC News You May Have Missed; When Do IL Carriers/Employers Have to Hire VocRehabbers and more

Synopsis: Three Newsworthy Items for Our WC Readers.

 

Editor’s comment: I feel the nutty national media is missing a couple of things that WC risk managers, claims handlers and other interest parties should be aware of.

 

First—The Great Pandemic of 2020 Is Ending Soon!!!

 

Understanding how much we all like walking into a restaurant or retail outlet to then have to go back and get our masks, I want all my readers to understand, this ongoing financial, social and medical disaster has been solved!!! The doctors, researchers and vaccinologists found the cure. What you and I and everyone on this planet has to do is convince everyone to get the two shots needed to become almost certainly immune. Right now both Pfizer and Moderna have confirmed their vaccines are safe and work 19 out of 20 times. That is awesome when you consider this plague first hit about nine-ten months ago. The vaccine is being sent to a needle near you. I am signing up the minute I can get it.

 

This means we all need to get the shots and encourage friends and family members and co-workers they have to get the shots too. If you get the shot—duh—you are almost certainly immune, which means you can’t get sick and you can’t make anyone else sick. As I wrote a couple of weeks ago, the fussy Feds aren’t going to allow you to “force” folks to get the shots and you are going to be hard-pressed to fire/terminate a worker that doesn’t want the two injections needed but please, EVERYONE, please start trying a positive and forthright approach to let everyone know there is a cure and we all want to go back to restaurants, bars and work sites to have COVID-19 disappear forever. The faster we start getting vaccinated, the faster this bug is going to stop attacking our family, friends and co-workers.

 

Second—Joe Biden is Going To Be Our Next President.

 

Nuff said. Please get over it and start to deal with it. Please fight the urge to write and tell me the second-place finisher got “robbed”—I have heard it and don’t believe it. Almost every State has certified its votes. In fact, the election wasn’t actually close. For Illinoisans, we are now facing a Democrat President, Governor, Senate and House. We will see what that means to IL workers’ comp and other benefit costs.

 

Third—Probably the Biggest Change That is Inexorable in WC is Driverless Cars/Trucks/Buses.

 

About one in five jobs in this country are folks in the transportation industry. There are driverless cars and trucks that have gone literally millions of miles without an accident or fender-bender. Chevrolet has five cars in San Francisco, one of the toughest cities in the U.S. to drive in because of their hills and dales and the driverless cars are much, much safer than humans.

 

What I tell all my trucking clients and friends in that industry, if you don’t have “humans,” you don’t need human resources. We will see how this plays out but trust me, WC in the trucking and transportation industry is certain to change due to automation. Forewarned is forearmed—if you are in the transportation industry, expect lots of change.

 

I appreciate your thoughts and comments. Please, please don’t shoot the messenger. Feel free to post your comments on our award-winning blog.

 

Synopsis: When Do Illinois Insurance Carriers/Employers Have to Hire Voc Rehab for IL WC Claims?

 

Editor’s comment: Following up on the article from last week, remember we are dealing with a sample claim where the employer terminated the injured worker in the normal course of business and the worker has job restrictions from either an FCE or an medical caregiver. The problem is how to get such folks back into a workplace—any Illinois workplace.

 

One of our partners confirmed many Claimant attorneys, when asked about job search logs or documentation of efforts to find work make a common demand—provide voc rehab/counseling. I have both good thoughts and challenging thoughts about such a request.

 

Good Thoughts?

 

A request for voc rehab/counseling does mean you are going to have some level of cooperation and participation from the injured worker. It also means you are going to have a paper trail of job search efforts while you are paying TTD. 

 

There is an often-ignored Rule 7110.10 in the Rules Governing Practice Before the Workers’ Compensation Commission ostensibly requiring voc rehab when the injured worker is continuously off work for 120 days. If you want the body of that Rule, send a reply. The Rule lays out what voc counseling is supposed to be. The concern about the Rule is there is no penalty on either side for ignoring it. Please note very few Claimant attorneys will even consider it.

 

Challenging Thoughts about Voc Rehab

 

My main challenging thought about voc rehab/counseling in general is you are treating an adult worker as if they are a child. It is hard for me to believe an adult needs “help” to find work. Someone who is starving or facing bankruptcy is going to locate work to survive. Survival is one reason we put up with difficult and demanding jobs—that is why they are called “jobs.” As teen-agers, we were all taught by our parents, family members and friends that when you want/need a job, you refer to the Want Ads in the newspaper or on online job websites and start applying for work until you find something suitable. The idea of having to hire someone to tell a worker to look at the Want Ads or get-job websites is silly to me.

 

Along with treating the injured worker like a child, I also feel voc rehab/counseling is expensive, time-consuming and truly unpredictable. The certified vocational counselor or CRC has to schedule the initial meeting, usually at Claimant counsel’s office. A CRC has to find out the skills and training of the injured worker. The CRC has to determine if the worker is going to be motivated to seek jobs in the labor market around the injured worker’s home. 

 

Another challenging concern about initiating voc rehab is there are some CRC’s who won’t stop themselves to tell you the Claimant isn’t doing what is needed to locate work and your money and their services are being wasted. I don’t feel voc rehab should ever be provided for more than 90 days. I have had CRC’s criticize me for saying this but let’s be frank, if the injured worker isn’t listening and doing what is needed to locate work, no CRC on the planet can make that horse drink water and find a job. If the injured worker doesn’t have a job within 30-60 or at very most 90 days, shut down voc and get a report from the CRC as to why Claimant is failing Voc Rehab 101. 

 

Staffing Companies Are “VocRehab” and Need to Be Considered In Getting Injured Workers Back to Work

 

Please note there are lots of staffing companies across the U.S. These companies have lots of jobs and need warm, capable bodies to fill them. My vote for all your claims when Claimants balk at seeking work, tell them to be sure to sign up with/file applications with as many staffing companies as they can locate. The staffing companies are smart and sharp and will bring in motivated folks to fill positions that match what a claimant is able to do.

 

Last But Not Least—Do the VocRehab for Claimant

 

Right now, as you read this, there are lots of “get-jobs” websites. Indeed, Monster and GlassDoor are the top three get-jobs websites but there are lots and lots more. Trust me, they have lots and lots of jobs for Spanish-speaking workers and folks with restrictions of all sorts. Your injured workers can list with them and they will get emails and updates galore.

 

When I am asked to get voc rehab for an injured worker, I quickly search online and find 50 suitable positions and send them to opposing counsel. You can do this on your non-litigated claims too.

 

I appreciate your thoughts and comments. Feel free to post your comments on our award-winning blog.

12-1-2020; In IL WC, When is Claimant Entitled to TTD?; Two New IL Arbitrators Appointed and more

Synopsis: In IL WC, When is Claimant Entitled to TTD (Temporary Total Disability)?

 

Editor’s comment: I have had so many WC attorneys and others question this simple concept, I figured it was time to give my readers my best thoughts.

 

I want to start this article with an example that presumes these claim facts—Claimant suffered an accepted work-related injury. The worker’s claim for WC benefits was accepted by the employer/insurance carrier/TPA. Medical care was provided at the employer’s cost. Lost time benefits, TTD was paid. When can the employer terminate TTD?

 

Please note there are different factors that may lead to termination of TTD in the Illinois WC system. 

 

First, the employee could pass away—if that occurs, there are two potential outcomes but TTD would end on the passing of the worker—you don’t and can’t owe “temporary total disability” to someone who has passed. If the injured worker passed from “injury-related” causes, the claim would morph into a death claim and death benefits might be due if there is a spouse or dependent family members as outlined in Section 7 of the IL WC Act. If you aren’t sure of handling of death benefits, send a reply and I am happy to outline and advise on anything needed.

 

On the other hand, if the employee passed from non-work-related causes, let’s say as an example, a cancer that had nothing to do with the work event, temporary benefits would end with the passing of the worker—permanency/impairment might lie for an existing injury. There are a number of issues that would need to be resolved for the estate to get PPD—again, if you need advice, send a reply and I will get you answers.

 

Next, we can debate whether a typical WC claim involving medically modified work restrictions will have TTD owing based on the treater’s work recommendations/restrictions or whether the status of “MMI” or maximum medical improvement is to be the guide. I want to carefully restate again—TTD can depend on

 

  • Work restrictions provided by the treater or IME docs or

  • MMI or the end of active and work-related medical care.

 

In my view, work restrictions from a treater or IME doc should “trump” or take precedence over MMI. First and most important, getting a worker back into the workforce by itself is, to some extent, “medical care” and can lead to stronger medical outcomes. Also, it is possible for treaters to be less than cognizant of the importance of MMI to a WC claim. We will see doctors setting appointments weeks and months in the future for a final checkout of the patient’s recovery—if a doctor does that, it shouldn’t link to months or years of eligibility to receive TTD, should it?

 

When the injured employee reaches the status that our Illinois courts have adopted from other states that is called “maximum medical improvement,” the worker has reached a medical plateau and no longer is in the active and ongoing care of a physician or other healthcare giver. In routine medical parlance, you will see doctors or nurses put notes into a medical chart that says “return PRN” which means any return by the patient for further care is “per required need.”  

 

Please always remember what I also call “Gene’s Rule”—if a worker doesn’t get medical attention or stops seeing a medical caregiver, they don’t need it. No doctor in the U.S. can “force” someone to get medical care—the man or woman has to consent to the care and attend the needed medical sessions, be it examinations, diagnostics, physical or occtherapy, Pharma care and other modalities. If they are disinterested or tired of seeing doctors, I feel you can treat them as being at MMI. I feel many of our great and professional IL WC Arbitrators and Commissioners take the same position.

 

It has always been my focus to tell risk managers, claims adjusters, attorneys on both sides and support staff—if you are going to successfully handle a WC claim, you need a “target date” or some reasonable expectation of when an injured worker will reach both RTW—light and full and then MMI from any given injury. It isn’t rocket science. For example, take a 45-year-old factory worker with a broken ankle and a single surgery—how long should that man or woman be off all work and under the active care of a physician? I would suggest lost time should be two weeks if there is light work available and six weeks if not. I would suggest MMI should be reached  in 60-90 days. Each case can be somewhat unique but the median for both RTW and MMI are generally simple to predict and implement.

 

So What About Restrictions? If Claimant has Work Restrictions and Doesn’t Return to Their Former Job, isn’t TTD due?

 

Work restrictions create a two-part challenge for IL employers. First, it is arguably “against the law” or a violation of ADA to fire someone who suffered an injury and has restrictions that might still allow them to do the essential job duties of their former position (assuming you still had an open spot). All U.S. employers are supposed to have an “interactive discussion” with the worker to see if you can place them in an open position and reasonably accommodate their restrictions. If you need help with this concept, send a reply.

 

If the worker has reached MMI and has restrictions and the employer doesn’t have a position available—the worker is not yet entitled to TTD. I assure all of my readers something is missing.

 

Please Note an IL Worker is NOT Entitled to Unemployment Compensation Simply Because They Lose Their Job. An IL Worker with Restrictions isn’t Entitled to TTD Simply Because They Don’t Have Work!

 

This isn’t a trick question—an IL Worker who is entitled to Unemployment Compensation when/if they lose their job has to be looking for work and document that job search for IDES—the IL Dept. of Employment Security. Similarly an IL Worker who is at MMI and might be entitled to TTD when off work has to be looking for work.

 

I recommend claims adjusters and risk managers and defense attorneys make it clear to any Claimant or their attorney when the injured worker approaches MMI—please start looking for work within your abilities and asserted restrictions so you might remain entitled to TTD. Please tell the Claimant or their attorney, if there is one involved, you are going to need documentation of the work search and/or job search logs to support your continued payment of TTD.

 

Right now, as you read this, I/we have claim after claim in our office where Claimant has restrictions and we are asking their attorney, in writing, for job search logs. Some attorneys are confirming their clients are looking for work and provide written documentation. Others are fighting the request and clowning around and asserting their client’s restrictions clearly make the worker a total and permanent disability. Thankfully, the Arbitrators and Commissioners in this State are still calmly asking why Claimant is at MMI and isn’t doing a documented job search. Those hearing officers are quietly telling Claimant’s counsel to complete their trial preparation by documenting in writing efforts to seek work. Please note within less than five years, the IL Minimum Wage is going to be $15 per hour—anyone with any full-time IL job is going to be making around $600.00 a week or more.

 

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

 

 

Synopsis: Two New Illinois WC Arbitrators appointed. Please remember Illinois is a one-party Democratic State and we expect these new appointments to be somewhat liberal and pro-employee. We are also sure they are consummate professionals and will closely follow the IL WC Act and Rules. The appointments are subject to IL Senate approval.

Rachael Sinnen will serve as an Arbitrator for the Workers’ Compensation Commission. Currently, she is an Associate Attorney at Elfenbaum, Evers & Zielinska, P.C. where she represents the majority of the firm’s Spanish-speaking clients in their workers’ compensation claims. This is the second attorney from that Claimant firm to be selected as an Arbitrator. Previously, Ms. Sinnen worked at a variety of law firms as an Associate Attorney and Law Clerk, in addition to serving as an volunteer coach in Trial Advocacy. In addition, Ms. Sinnen is the Vice Chairwoman of the Young Lawyers’ Section of the Workers’ Compensation Lawyers Association. She received her Bachelor of Business Administration in Finance, her Bachelor of Arts in Spanish and her Master of Business Administration in Finance from Loyola University Chicago. She went on to earn her Juris Doctor from Chicago Kent College of Law.
 
Raychel Wesley will serve as an Arbitrator for the Workers’ Compensation Commission. She served as the Domestic Violence Staff Attorney at Prairie State Legal Services where she covers issues such as orders of protection and civil no-contact. Previously, she was an attorney at a variety of law firms in Illinois. Wesley is a founding member of the Black Bar Association of Will County and is active in giving back to her community. She received her Bachelor of Science in Business Education from DePaul University, her Juris Doctor from DePaul University College of Law, and a certification in Paralegal Studies from Roosevelt University.  

 

Synopsis: We have an important new Indiana WC defense verdict you should know about: Gilley’s Antique Mall v. Sarver: Plaintiffs cannot add new defendants after the two year statute of limitations runs. Article and analysis by our IN WC Defense Team Leader, Kevin Boyle, J.D.

Editor’s comment: It doesn’t happen very often, but we have a newly published Indiana Court of Appeals decision on an important statute of limitations worker’s compensation issue. The case is Gilley’s Antique Mall v. Sarver, __ N.E.3d. __, 2020 WL 5808386 (Sept. 30, 2020). Plaintiff fell through a roof while he worked on a job site, sought medical treatment and then continued working on the project until it’s completion. The opinion did not discuss whether the claim was accepted or whether benefits and treatment were paid for. Eventually an Application for Adjustment of Claim was filed before two years from the date of the injury. Two years and four months after the date of injury, Plaintiff filed an Amended Application asserting claims against other defendants when it turned out the original defendant didn’t worker’s compensation insurance coverage. Ten months after that Amended Application, another Amended Application was filed to add another defendant. Defendants filed a motion to dismiss for failure to add them to the case within the two year limitation period set forth in IC 22-3-3-3. The Single Hearing Member granted the motion and dismissed those defendants. The Full Board reversed and allowed the late additions under 631 IAC 1-1-7 and the secondary liability provisions of the Act.

The Indiana Court of Appeals reversed the Full Board, and dismissed the Defendants. In summary, the Court held that allowing plaintiff to add new defendants extended the statute of limitations without authorization, it was erroneous and contrary to the Act. Nowhere in IC 22-3-1-3 is the Board delegated authority to increase the two year statute of limitations for filing claims.

The two year cut off has always been, and with this ruling, still is, very important to consider. Please keep this in mind with any new claims that come up after the two years from the date of injury. The two year deadline may also apply to your claims where plaintiff does not file an Application against any defendant, too. If you have any issues like these, please contact me and let’s discuss the potential defense.

Kevin can be reached at kboyle@keefe-law.com.