presumption News

Conn. Supreme Ct. Rejects Work Comp Claim by Part-Time Firefighter

A firefighter must be shown to have worked 20 or more hours a week to be eligible for workers’ compensation benefits under state law, the Connecticut Supreme Court has ruled in reversing an appeals court and state workers’ compensation officials. …

Connecticut High Court Nixes Workers’ Comp for Firefighter with Heart Condition

A firefighter must be shown to have worked 20 or more hours a week to be eligible for workers’ compensation benefits under state law, the Connecticut Supreme Court has ruled in reversing an appeals court and state workers’ compensation officials. …

Failure to Improve Health Not Enough to Overcome Presumption

A retired police officer who continued to gain weight after his doctors told him to exercise more often and reduce his fat intake is still entitled to a statutory presumption that his heart disease arose out of and in the …

TPA’s Rapid-Fire Work Comp Claim Denials Cost Vermont Insurer $100K

A workers’ compensation insurer must pay $100,000 under an agreement with Vermont state regulators because its claims administrator gave short shrift to claims for post-traumatic stress disorder and other occupational diseases. Acadia Insurance Co. on April 18 reached an agreement …

WCRI Studies Show COVID-19 Orders Apply to Small Segment of Workforce

While at least 17 states have passed laws or issued orders that expanded access to workers’ compensation benefits for employees who contract COVID-19, many of those directives are creating new exposure for only a sliver of the workforce, new research …

California COVID Presumption Law Creates New Data Tracking Burdens

A California law enacted last month that eases the path to workers’ compensation benefits for employees who contract COVID-19 will require an unprecedented level of documentation and communication between claims managers and employers. “I have joked that this should be …

Pace of COVID-19 Claims in Calif. Slower than Projected So Far

California workers had filed 5,093 COVID-19 workers’ compensation claims as of Tuesday, according to the state Department of Industrial Relations, a pace that might lead to a lower impact on costs than projected by actuaries. The potential cost of the …

More States Push COVID-19 Claims to Work Comp; Potential Cost Anyone’s Guess

Regulators and lawmakers in more states are demanding that workers who claim they were sickened by COVID-19 get a fair hearing, if not an outright presumption in their favor. The Wyoming House of Representatives and Senate both passed a bill …

Work Comp May Need Backstop as Presumptions Push Claim Costs into Billions

An executive order by California Gov. Gavin Newsom last week is the most aggressive yet among the directives issued by 13 states that require workers’ compensation insurers to pay at least some COVID-19 claims. Pressure is growing on workers’ compensation …

California Governor Expands Workers’ Comp Coverage in Virus Cases

SACRAMENTO, Calif. — Gov. Gavin Newsom on Wednesday signed an executive order allowing employees across California’s economy to apply for worker’s compensation if they contract the coronavirus, with a presumption that it was work-related unless employers can prove otherwise. The …