June 12, 2009

Illinois Workers' Compensation Commission issues first work stop order against Evanston employer

On Wednesday, the Illinois Workers' Compensation Commission announced its first work stop order in the closing of a business in Illinois for failure to comply with Illinois' mandatory Workers' Compensation Insurance requirements.

All Good Dogs Pet Care was forced to stop all work by the IWCC and the City of Evenston. They operate a store front in Evanston at 941 Chicago Ave. They employ dog walkers in six suburbs.

The authority of the IWCC to issue a work-stop order was strengthened by the state legislature in 2005. The IWCC has the authority to issue a work stop order against a state employer if the employer knowingly fails to carry workers' compensation insurance.

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June 11, 2009

Recession expected to have mixed impact on Workers' Compensation insurance market

Harry Shuford, the chief economist at the National Council on Compensation insurance moderated a panel of insurance industry leaders. The panel addressed the issue of the effect the recession would have on Workers' Compensation. The panel concluded that a recession tends to place downward pressure on exposure. Their findings were told to attendees during the Casualty Actuarial Soeciety's ratemaking and product management seminar.

According to Shuford, recessions cause a decrease in employed workers. Wages continue to grow but at a much slower pace.

"In the first two of the three most recent recessions, claim frequency dipped dramatically," he said. "In the most recent recession of 2001, the downturn was already under way, and there was an increase in the rate of decline."

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June 4, 2009

Illinois Workers' Compensation Act covers boilermaker's fatal accident

The Illinois Workers' Compensation Commission held that a worker, who was killed in a car accident while returning home from an out-of-state project, was a traveling employee. Therefore, the decedent's accident was compensable under the WCA.

O'Neal v. RMF Delta, 17 ILWCLB 61 (Ill.W.C.Comm. 2009).

O'Neal, a boilermaker, was driving from a job in Minnesota to his home in Louisiana with a coworker when he was killed in a car accident in Illinois. O'Neal worked all his jobs through the union. After a project was over, he would return home until he received a new job. In awarding benefits, the arbitrator found the decedent was a traveling employee and that his conduct in driving home at the completion of a work project was anticipated and foreseen by the employer. Upon review, the Commission affirmed and adopted the decision of the arbitrator.

In determinnig whether a worker is a traveling employee, the courts will look at the employer's compensation to the worker for travel. The traveling employee exception is applicable where the employer agrees to compensate the employee for time spent traveling to or from work. But the exception is not applicable where the employee is only reimbursed for the expense of travel.

In this case, O'Neal was paid $42 per night for lodging and a total of $314.65 one way for mileage from his home to the job. The employer classified the payments to both workers as "mileage." However, only O'Neal was driving. Because both employees could not have incurred the same amount of travel expenses, it was clear that the payments to the employees were for time spent traveling and not for reimbursement of travel expenses.

June 3, 2009

Illinois assembly worker proves repetitive duties contributed to shoulder condition

The fact that a worker falls into two risk categories for the development of a medical condition does not necessarily block a benefit award, especially where the worker's medical expert recognizes these risk factors and still opines that the worker's work activities were a contributing factor n the development of her condition.

Malick v. Innertech-Nashville, 17 ILWCLB 63 (Ill.W.C.Comm. 2009).

Malick worked for her employer since May 1997 as an assembler, Her duties required her to snap two parts of a door together and put the parts into a machine. She explained that her machine had been malfunctioning and it required a substantial amount of pressure to reach up underneath the doors and snap the doors together while the machine was in progress. Her rate was approximately 400 doors per day. She started feeling problems with her shoulder in January 2007. As her discomfort increased, she sought treatment in September 2007. She was diagnosed with adhesive capsulitis. In awarding benefits, the arbitrator recognized that Malik fell into two main risk categories for the development of adhesive capsultitis 1) middle-aged women: and 2) insulin-dependent diabetics. However, the arbitrator relied on the testimony of Malik's doctor who opined that the repetitive duties performed by Malik for the employer were also a contributing factor in the development of her symptoms. In so holding, the arbitrator found the opinions of Malik's doctor more thorough and well-reasoned than the opinions of the employer's expert. Also, the employer's expert failed to explain the effect of repetitive stress on the development of adhesive capsulitis. Upon review, the Illinois Workers' Compensation Commission affirmed and adopted the decision of the arbitrator.

June 2, 2009

Illinois workers conduct warrants denial of vocational rehabilitation

The Illinois Workers' Compensation Commission awarded medical, temporary total and permanent partial disability benefits, but denied vocational rehabilitation to a worker who injured his back and neck at work.

Hays v. Cal's Collision Center, 17ILWCLB 66 (Ill.W.C.Comm.2009).


On Jan 30, 2003, Hays, an auto body repair technician, injured hisn eck and back in a slip and fall accident at work. An MRI revealed diffuse cervical spondylosis with ostephytes and bulging disc, spinal stenosis and disc protrusion. He underwent surgery and physical therapy. In December 2005, Hays requested vocational rehabilitation, which the defendant denied. Hays then contacted the defendant seeking to return to work within his restrictions. Hays testified that he applied for a job as a car porter at several different car dealerships but did not receive a job offer. The Illinois Workers' Compensation Commission found that Hays was entitled to $75,965.25 in medical expenses and 65 weeks of temporary total disability, but denied Hays' request for vocational rehabilitation.

The Illinois Workers' Compensation Commission noted that Hays waited two years after reaching MMI to proceed to trial. In the interim, Hays had been off work and was receiving Social Security Disability income. Hays testified at the hearing that he believed he was incapable of sustaining gainful employment. Accordingly, the Commission was persuaded by Hays' conduct that vocational rehabiliation would be to no avail, notwithstanding that no physician opined that Hays was totally incapacitated from employment.

The Illinois Workers' Compensation Commission further found that the Hays' injuries caused him to be permanently disabiled to the extent of 45 percent loss of use of the person as a whole. Hays testified that he continues to have pain when he stands, walks or sits. He has trouble lcompleting household chores and must rest after minutes of activity.

May 28, 2009

Violent attack on Illinois employee warrants PPD

The Illinois Workers' Compensation Commission awarded benefits for a worker's permanent disabiliy sustained as a result of being attacked in a robbery while working as an armored car messenger. His condition warranted a finding of 35 percent loss of use of the person as a whole under Secton 8(d)2 and 20 percent loss of use of the left arm under Sectoin 8(e)10.

Wright v. United Armored Services Corp., 16 ILWCLB 241 (Ill.Ind.Comm.2008).

Wright was working as an armored car mesenger when he was attacked and shot several times by a robber. He was wounded in the neck, jaw and left scapula. He was diagnosed with avascular injury of the right carotid jugular vein, a left scapula fracture, and fracture of the nasal bone. He suffered hemorrhages to his neck and a collapsed right lung and underwent a carotid artery resection. After spending three days in intensive care and an additonal two days in the hospital, he missed six weeks of work. He returned to light-duty office work for four months before returning full duty to a truck. Upon returning to the truck, he reported being nervous and cautious about his duties. The arbtirator awarded permanent disability under Section 8(d)2 for 35 percent loss of use of a person as a whole and under Section 8(e)10 for 20 percent loss of use of the left arm.

In determining the nature and extent of the injury, the arbitrator noted that Wright testified to pain, restricted mobility, numbness and spasms in his neck. He was also suffering from hypertension and left shoulder problems. In additon, Wright reproted difficulty lifting weights in excess of 30 to 40 pounds and less stamina. By the end of his workday, Wright was extremely tired. Relying on the evidence, the arbitrator issued its permanent disaibility awards.

Upon review, the Commission affirmed and adopted the decision of the arbitrator.

May 22, 2009

Illinois Workers' Comepnsation claim topped for failure to show increased risk

The Illinois Workers' Compensation Commisison held that an employee who alleged she slipped and fell at work failed to prove she sustained an accident arising out of and in the course of her employment

Martniez v. Universal Laminating, 16 ILWCLB 237 (Ill.Ind.Comm. 2008)

Martinez testified that she slipped and fell on scrap material that was coming out of a machine and onto the floor at work. She stated there there was a large pile of debris. However, evidence indicated that the machine was equipped with a bin to collect scrap material. Two witnesses to the accident testified that there was no such material present that Martinez just seemed to trip over her own feet. The arbitrator found Martinez failed to prove an accident occurrred that arose out of and in the course of her employemnt. Upon review the Commission affirmed and adopted the decision of the arbitrator.

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May 4, 2009

Illinois arbitrator lacks authority to recall decision, issue new decision.

The Illinois Appellate court, 2nd District affirmed the Illinois Worker’s Compensation Commission holding that the arbitrator erred in ordering the recall of his first decision and issuing a second decision. Therefore, the arbitrator’s second decision was null and void, and the first decision was the final decision of the Commission.

Smalley Steel Ring Co., v. (Diaz), Illinois Workers’ Compensation Commission, 16 ILWCLB 232 (Ill.App.Ct., 2nd 2008).

In his first decision filed on April 7, 2005, the arbitrator found the claimant’s case compensable. On May 10, 2005, the employer filed an emergency motion to recall the arbitrator’s decision and reopen proofs. The employer alleged it discovered new evidence from a coworker regarding the claimant’s true identity and his prior injuries. The arbitrator granted the motion. On Nov. 15, 2005, the arbitrator issued a second decision finding the claimant acted fraudulently and lacked credibility. The arbitrator denied benefits. On appeal, the claimant argued that the arbitrator lacked jurisdiction to recall his first decision, reopen proofs, and reissue a decision. The Commission agreed, holding that the first decision issued by the arbitrator was the final decisions of the Commission, that the arbitrator erred in reopening proofs and issuing a second decision, and that the second decision issued was null and void. The Circuit Court confirmed the Commission’s decision. The Illinois Appellate Court held that the Commission properly found that the arbitrator did not have the statutory authority to recall his first decision, reopen proofs and issue a second decision.

Section 19(f), of the WCA is the only provision under which an arbitrator has jurisdiction to recall decisions. Pursuant to Section 19(f), the Commission may reopen or modify a final award for clerical errors or errors in computation. No such errors were present in this case. The court explained that no other provision of the WCA provided for the filing of the employer’s motion or the arbitrator’s actions in granting that motion, reopening proofs, and issuing a second decision. Therefore, the employer’s motion and the arbitrator’s second decision were nullities.

Also, the court explained that fraud is not a basis for extending the statutory authority of the arbitrator or the Commission. Sections 19(b) and 19(f) provide for the finality of the arbitrator’s and the Commission’s decision, respectively, when further review has not been sought by either party within a particular time frame. Each section also provides for conclusive decisions “in the absence of fraud.” In Michelson v. Industrial Commission, the Illinois Supreme Court declined to find that the legislature intended the “in the absence of fraud” language to give the Commission the authority to set aside its orders on the ground of fraud.

As the arbitrator did not have statutory authority to act, he was without jurisdiction to recall his decision, reopen proofs and issue a second decision.

May 1, 2009

Illinois businessman awarded PTD due to inability to concentrate because of pain and narcotic medication

The Illinois Workers' Compensation Commission awarded permanent total disability benefits to a senior sales representative for an insurance company who injured his back. The worker had proven by a preponderance of the evidence that he had a complete disability rendering him wholly and permanently incapable of work.

Rujewski v. Humana Inc., 17 ILWCLB 33 (Ill.W.C.Comm 2008).

Rujewski, a highly educated and experienced businessman, injured his back while working as a senior sales representative for the defendant. His job duties were to sell professional medical services to large groups by soliciting actual client groups and brokers. He would prepare quotes, make presentations and sales calls and conduct open enrollments. Much of the work was done out of the office and involved driving 300 to 350 miles per week. The year before his accident, he earned over $250,000. He was 60 years old at the time of the trial and had not worked since undergoing low back surgery in April 2004. The treating surgeon opined that Rujewski was permanently and totally disabled, while the defendant's examining doctor believed that Rujewski could do some type of work with physical restrictinos and accommodations. The defendant's vocational expert opined that there was no indication that Rujewski could not peform in his usual and customary line of employment based upon his education, work experience and physical capacity.

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April 30, 2009

Illinois Mine disaster still hits home after 100 years

On Nov. 13, 1909, 259 Cherry mine coal workers were killed in what is know as America's second worst mining disaster. Some of them as young as 10 years old.

Most of the coal workers were from Europe and were new to America living in small towns along the Illinois River.

A dripping kerosene torch ignited hay that was left beneath it. The fire that resulted killed the the miners consuming their bodies and the bodies of mules that worked along side them men in the mines.

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April 30, 2009

Illinois Firefighter/Paramedic secures benefits for heart condition

The Illinois Workers' Compensation Commission awarded permanent disability under Section 8(d)2 for 50 percent loss of use of a person as a whole for heart problems suffered as a result of a worker's stressful work as a firefighter/paramedic.

Collignon v. Arlington Heights, Village of, 17 ILWCLB 25 (ILL.W.C.Comm.2008).

In establishing a claim under the Occupational Diseases Act (ODA) for disabling coronary artery disease due to a stressful work environment, a worker's family history, preexisting hypertension and elevated cholesterol levels will not block his benefit claim, so long as the actual hazards that are unique to his work duties were a causative factor in aggravating, accelerating or precipitating his disease.

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April 20, 2009

Illinois doctor sues attorney for defamation

Dr. Michael Vender, a hand surgeon located in Arlington Heights, Illinois has filed a lawsuit against attorney Casey Woodruff and the law firm of Woodruff and Johson, for comments Woodruff made in a letter to Edward Minnich & Associates.

Woodruff wrote the letter criticizing Edward Minnich & Associates saying that "I have never seen anyone in your line of work produce a report so far afield of the scope of their expertise or assignment. How sad that you have chosen to become his bedfellow. Shame on you."

Woodruff described Vender as the "most widely purchased hand surgery opinion in the history of Illinois."

The complaint filed by attorney Theador C. Jennings of Cogan & NcNabola of Chicago, goes on to say that Vender has over 20 years experience in hand surgery and "has participated from time to time as a consultant in medical/legal matters."

The complaint goes on to state that the letter written by Woodruff "severely prejudices Dr.Vender and imputes a lack of integrity in his professional, medical and business activities. Woodruff "knowlingly interfered with Dr. Vender's economic relationships with existing and prospective clients to whom he has provided medical legal services and medical treatment, and reasonably expected to provide medical legal services and treatment in the future."

"The defendants acted with malice in interfering with these customer relationsihps and lack any legally cognizable justification for this interference."