Category Archives: Workplace Injury

Fighting For Your Benefits – Protecting Our Safety Net

As an attorney who has been practicing in the field of Workers’ Compensation for close to 30 years, it has been a privilege and an honor to represent the working men and women of New York. As the daughter of both a retired firefighter and retired teacher, I see the sacrifices that most working men and women make in order to provide for their families and create a better life for their children. We all have similar long-term goals of being able to earn enough of a nest egg to retire and enjoy our “golden years”.  No one goes to work expecting that they will sustain an injury that will not only change the course of their employment, but may change the course of their lives. Even less expected is the bureaucratic maze most will have to navigate for benefits to which they are entitled.

Injured workers in this country have seen their weekly benefits capped, their medical benefits slashed, and their medications limited based upon the opinions of those who may not even examine them but only review records. Injured workers have been the pawn in political battles throughout the country.  Benefits are seen as too expensive or excessive, and are described as the reason businesses cannot thrive or survive as premiums have become so expensive because of the high costs of claims. Injured workers are sometimes seen as “gaming the system” by fraudulently obtaining and keeping Workers’ Compensation benefits beyond their need. There could be nothing farther from the truth.

One of the things I am proud of in my legal career is that I am past president of the Workers’ Injury Law and Advocacy Group (WILG), an organization of attorneys who have dedicated their practices to representing the needs of injured workers’ and their families. Our mission statement notes that “our members are committed to improving the quality of legal representation to those injured on the job or victims of occupational illness by superior legal education and my keeping informed of legislative and judicial proceedings”. We do this by keeping up with trends throughout the country that impact injured workers and might end up coming to the states in which we practice.

While injured workers rarely have the finances to take on some of the very wealthy and deep-pocketed business and insurance industry groups, our organization has found that in many instances we can fight back by having knowledge and knowing the facts. My colleague and another past president of WILG, Leonard Jernigan, has for the last decade or so put the perception of “gaming the system” to the test. In his most recent report, he notes that the top 10 cases of fraud resulted in almost $100 million in lost revenue and that not one of those cases involved the actual worker. This is not out of the ordinary. While there are those workers who clearly fabricate an injury or exaggerate its seriousness, they are in the minority. Most men and women do not want to be injured, nor do they want to stay out of work when they are. As the recent government shut down showed, there are many people in this country who live paycheck to paycheck. Any loss of income creates major financial hardship for injured workers and their families, not to mention the psychological impact created by the mere thought of losing their places of residence or their dreams for their future. We must remember that while injured workers in this country are a minority of the population, in the blink of an eye, we too can become a part of this very unfortunate club.

 

Catherine M. Stanton is a senior partner in the law firm of Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP. She focuses on the area of Workers’ Compensation, having helped thousands of injured workers navigate a highly complex system and obtain all the benefits to which they were entitled. Ms. Stanton has been honored as a New York Super Lawyer, is the past president of the New York Workers’ Compensation Bar Association, the immediate past president of the Workers’ Injury Law and Advocacy  Group, and is an officer in several organizations dedicated to injured workers and their families. She can be reached at 800.692.3717.

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Frostbite and Hypothermia: Dangers Of Working In Extreme Cold

Now that winter is officially upon us, let’s think about those workers who must brave the cold, wind, snow, and freezing rain as part of their daily work routine. They include postal workers, delivery personnel, construction workers, utility company employees, as well as firefighters, police officers, and sanitation workers.  I shiver when the news shows video of firefighters putting out a fire in the frigid temperatures as the wind blows back the water on them that immediately freezes. I cringe during record cold spells when I see police officers out in the elements protecting the public. 

These are just a few examples of what many men and women deal with as part of their workday. While most of us living in the northeast have experienced freezing temperatures while commuting or engaging in recreational outdoor activities or doing outdoor chores in our daily lives, it is generally for a finite period of time and while it certainly is uncomfortable, it is not usually life threatening.

Working in the cold can not only cause a reduction in job performance but can aggravate the risk of common hazards and increase the risk of injury. It is not just the outside temperature that must be taken into consideration, but the wind chill, which is what the temperature actually feels like when the wind is factored in. According to the Occupational Health and Safety (OSHA) Administration, while there are no specific guidelines for working in cold environments, employers have a duty to protect workers from any hazards that could cause injury or death in the workplace. While it is left to the particular industry/employer to establish protocol, OSHA does recommend that employers train their employees to recognize the symptoms of cold stress, including hypothermia and frostbite.

Hypothermia is dangerously low body temperature. Initial symptoms include shivering, followed by dizziness and disorientation. There may be loss of coordination that can be dangerous as it can lead to accidents and injuries. Eventually circulation starts to slow down and the heart stops, leading to death.    

Frostbite is caused by the freezing of the skin and tissue that can damage blood vessels, resulting in a lack of oxygen. Severe frostbite can result in gangrene that requires amputation, and can even lead to death. In both cases, it is recommended to get the person to a warm place and provide immediate medical attention.

Preventing hypothermia and frostbite before they happen should be a priority. According to the National Safety Council, it is important to dress in layers and wear proper footwear to keep body heat trapped inside your clothes. Your outerwear should be wind- and water-proof to keep you dry. As the head and neck lose heat faster than any other part of the body, and your cheeks, ears, and nose are the most prone to frostbite, you should wear a hat, scarf, and turtleneck to protect these areas. Drink plenty of fluids to fuel your body and keep you warm, and eat foods with carbohydrates to give you quick energy. 

While there is very little we can do about the weather, there is plenty we can do to protect ourselves from the negative effects on our bodies. Knowing the warning signs and what to if you or a coworker starts showing symptoms can help save a life.

 

Catherine M. Stanton is a senior partner in the law firm of Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP. She focuses on the area of Workers’ Compensation, having helped thousands of injured workers navigate a highly complex system and obtain all the benefits to which they were entitled. Ms. Stanton has been honored as a New York Super Lawyer, is the past president of the New York Workers’ Compensation Bar Association, the immediate past president of the Workers’ Injury Law and Advocacy  Group, and is an officer in several organizations dedicated to injured workers and their families. She can be reached at 800.692.3717.

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What To Do When You Get Hurt At Work

As an attorney who has practiced in the field of Workers’ Compensation for more than 28 years, I have seen many changes in how the system treats injured workers.  During this age of progressiveness in New York, when the minimum wage has increased and the requirement for paid sick leave has been implemented, it only stands to reason that injured workers would be treated with dignity during their quest to obtain monetary benefits for their lost time and obtain the medical treatment necessary during their recovery. 

Unfortunately, however, there has been a nationwide focus on Workers’ Compensation reform with the emphasis on cost savings, often at the expense of the injured worker.  New York State has followed along in this national trend; therefore, it is even more imperative to know what to do in the event of a work-related injury or illness.  Injured workers must notify their employer immediately – preferably in writing if possible – within 30 days and file their claim with the New York State Workers’ Compensation Board within two years of the date of an accident or onset of an illness.     

Additionally, finding the right doctor is one of the most important decisions you can make during this particularly rough time. After you are injured, you obviously must seek immediate medical attention before you do anything else. Don’t wait or assume your injury is going to heal, because if you are unable to work, benefits will not be payable until the date of the first medical treatment. You might need to go to the hospital if your injury is an emergency or life threatening, but in most cases you should be able to visit your physician. Either way, be sure you notify the medical professional that you are being treated for a work-related injury as any treatment should be billed through Workers’ Compensation.  It is important that your treating physician be coded to practice before the New York State Workers’ Compensation Board because of the medical evidence necessary to proceed with a claim, the myriad of forms they are required to file, and the possibility of their testimony in the future.  

The New York State Workers’ Compensation Board has implemented medical treatment guidelines for injuries to the back, neck, shoulder, knees, and bilateral carpal tunnel syndrome. Medical providers must comply with these guidelines in their treatment of injured workers, which have a number of treatments or tests that are preauthorized based upon certain findings. If the modality of treatment is not included in the guidelines, a variance may be requested. There are different forms for different requests and different timelines in which to file. A doctor not coded in Workers’ Compensation or inexperienced in this procedure could prevent you from receiving proper or timely treatment. 

Payments made for lost time are based upon the earnings of the injured worker, as well as the overall degree of disability. The degree of disability is based upon the medical evidence submitted by the injured worker’s treating doctor, as well as the opinion of the insurance company’s consultant. Many times these opinions are at odds and medical testimony is necessary so the law judge can make an informed decision. Doctors who are coded understand the procedure and the necessity of being available to testify on your behalf at these medical depositions. The insurance carrier will question the doctor on whether he or she is coded, which may impact the judge’s perception as to a doctor’s credibility regarding treatment guidelines, degree of disability, or earning capacity. Ultimately, the length of time and the amount of weekly benefits an injured worker is entitled to receive benefits once permanency is determined by a law judge is based on a finding of loss of earning capacity. In many cases, there can be a difference in years. 

Nothing is better than finding a doctor who is competent, empathetic, and an expert in his area of specialty, but finding one with all of these qualities who is also knowledgeable in Workers’ Compensation is invaluable. 

 

Catherine M. Stanton is a senior partner in the law firm of Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP. She focuses on the area of Workers’ Compensation, having helped thousands of injured workers navigate a highly complex system and obtain all the benefits to which they were entitled. Ms. Stanton has been honored as a New York Super Lawyer, is the past president of the New York Workers’ Compensation Bar Association, the immediate past president of the Workers’ Injury Law and Advocacy Group, and is an officer in several organizations dedicated to injured workers and their families. She can be reached at 800.692.3717.

 

  

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MTA Workers Face Dangerous Conditions

For many of us who live in and work around New York City, taking public transportation is part the routine of our daily lives. According to the MTA’s official website, they are the largest public transportation network in the country, serving more than 15 million riders on the subways, buses, and Long Island Railroad, and they employ more than 73,000* people.   

Most of the time, our commutes are uneventful. However, we all have our own transportation horror stories to tell — trains arriving hours late or breaking down, rail lines closed for repairs or emergencies, air conditioning not working, or being in the company of an unruly, drunk, or perhaps mentally unstable individual. As commuters we expect to arrive at our destinations on time and safely. As employees, you expect to perform your duties safely and without threat of harm.

Unfortunately for many MTA employees, this is not the case. My office has handled hundreds of cases regarding injuries that occurred within the transportation system. Subway conductors and bus operators, mechanics, token booth clerks, cleaners, and track equipment maintainers are all MTA jobs that are necessary to move millions of riders each year. These MTA workers are typically represented by the Transit Workers Union Local 100, which regularly gets reports of their injured employees. Yet, while the union knows that workplace injuries are the unfortunate part of the job, the general public often does not realize the extent of just how dangerous an MTA job can actually be.

There are so many instances of workers being injured or even killed that have made the news. In March, a track worker who was making repairs died when he fell 9 feet onto the tracks. Some accidents are caused by slipping and falling on the tracks, others by lifting heavy equipment or as a result of sitting long hours in a fixed position. Some work-related injuries occur because of unsafe work conditions. Some occur in the absence of fault. Unfortunately, there seems to be a rising trend of injuries occurring when workers find themselves in the line of fire from riders.

Recently there were a string of pepper spray attacks on bus drivers. Two occurred in Brooklyn on the same day, with more following just a few days later. Thankfully the drivers suffered only minor injuries. In June, a conductor in Brooklyn was attacked, and a month later another was attacked in Queens. In August, video was released of a subway conductor being punched by an angry couple upset that their train schedule was changed.

And if all of these incidents were not bad enough, sadly, three Transit workers died this year from illnesses contracted working at Ground Zero after the terrorist attacks in 2001.  

The increase in attacks on transit workers is outrageous and in a rare display of solidarity, both the Transit Workers Union and the MTA have united in their efforts to put an end to the attacks on workers.   While riding public transportation is getting more and more frustrating, the answer is not to attack the working men and women who work for the transit system. The majority of time something has gone wrong, it’s not their fault. Everyone, no matter what industry they work in, expects and deserves to have a safe work space free from assaults and injuries.

*2017 statistics from the official MTA website.

 

Catherine M. Stanton is a senior partner in the law firm of Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP. She focuses on the area of Workers’ Compensation, having helped thousands of injured workers navigate a highly complex system and obtain all the benefits to which they were entitled. Ms. Stanton has been honored as a New York Super Lawyer, is the past president of the New York Workers’ Compensation Bar Association, the immediate past president of the Workers’ Injury Law and Advocacy Group, and is an officer in several organizations dedicated to injured workers and their families. She can be reached at 800.692.3717.

 

 

 

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Benefits Alert – Workers’ Compensation Rates Increased on July 1, 2018

Senior Partner Jordan A. Ziegler

Last year’s solar eclipse brought about fun and excitement for Americans of all ages, but did you know it also brought about several Workers’ Compensation claims?

The rare total solar eclipse was the first time it occurred in the United States since 1979. The August 21 eclipse was the most watched and photographed eclipse in history. With all the excitement surrounding the day, many employers planned solar eclipse office viewing parties. What they might not have known, however, was that in the case of a mandatory employer-sponsored event, safety precautions must be taken. In this case, employers were responsible for providing safety glasses. Employees who were injured while eclipse-viewing on the job were able to file Workers’ Compensation claims if their boss did not provide adequate eye protection.

In fact, an article about workplace safety concerns related to the eclipse was the third most read Workers’ Compensation story on Business Insurance’s website in 2017. This substantiates the proof that Workers’ Comp is a complicated matter and one that workers should not play guessing games with.

Jordan Ziegler, Esq. Senior Partner in the law firm Pasternack Tilker Ziegler Walsh Stanton & Romano LLP, said the New York State Workers’ Compensation system is a no-fault system that was created to aid injured workers with wage replacement and medical benefits. However, navigating through the Workers’ Comp maze requires much more than chasing a dangling carrot. You need to know and understand the rules in order to follow the rules. And that’s no easy task.

The effects of even a small injury can last a lifetime, so make the most of each step toward healing and the compensation to which you are entitled. Effective July 1, 2018, the new maximum weekly benefit for Workers’ Compensation claims increased to $904.74 from the previous year’s $870.61.

If you are injured on the job, or think you might have a work-related injury, here are some important steps to follow:

  • Let your employer know the circumstances that resulted in your injury. You only have 30 days to report the incident. Next, inform the Workers’ Compensation Board (WCB) so everyone is on the same page. It may be difficult to contact them but don’t worry, you’ve got two years to let them know.
  • Even if you don’t lose time from work, you should still file a claim. Someone has to pay the medical bills and it’s typically the WCB’s insurance company’s responsibility.
  • Remember to document any phone records and emails that follow. Written communication is the best way to later prove your side of the story. In fact, the law requires you to give written notice of your injury to your employer. Make sure you note the supervisors and staff you communicate with and the date your notification took place. Make copies of everything! And save all emails.
  • When seeking medical attention, either in the nearest emergency room or a doctor’s office, ask for detailed records of your injury and prescribed treatment.

Ziegler said the path to benefits is highly detailed. You may not even realize that beside medical benefits, you might also qualify for indemnity benefits — money you receive each week that you’re unable to work. With a permanent injury, you might be eligible for such benefits even if you return to your job.

Just as employers have attorneys to represent the interests of their companies, YOU must gather the right team to navigate the detailed — and often confusing — laws of Workers’ Compensation.

“Workers’ Comp goes a long way toward helping ease the financial burden that comes with not being able to fully return to work,” Ziegler said. “There are so many complicated ins and outs of filing, however, that all too often injured workers will give up rather than fight for what they are entitled do. That’s where we are able to step in and help but we can’t do that if we don’t know about the injury.”

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Don’t Go It Alone

An injured worker walked through my door the other day frustrated beyond belief. He had been representing himself on his compensation claim for his back injury. He thought he did not need a lawyer and could handle it himself.

The insurance company accepted the claim and paid this worker only a fraction of what he was actually entitled to, though that was not the issue the client wanted to discuss. He did not even realize that he had been short changed.

What he wanted to discuss was getting back surgery. His doctor requested a laminectomy, but the insurance company told the doctor and the injured worker that they were not going to authorize it or pay for it. This man had been suffering terrible back pain for nearly six months and his surgery was never scheduled.

The injured worker was shocked when I told him that the insurance company did not have to give authorization — this surgery was already authorized under the Board’s Medical Treatment Guidelines. The insurance company knew this of course, but seemingly played ignorant to avoid paying for the needed surgery.

When I then told him that he could not only have his surgery, but also had been paid less than half of the indemnity payments to which he was entitled, the gentleman shook his head in frustration and said, “I shouldn’t have done this alone.”

How right he was. The New York Workers Compensation system is extremely complicated. Insurance companies know the system well and often do not tell unrepresented injured workers details that matter, often while telling the injured worker that they are acting in their best interest.

Do not go it alone.  At Pasternack, Tilker, Ziegler, Walsh, Stanton, and Romano, with more than eight decades of experience in defending the rights of New Yorkers, we help clients get the justice they deserve.

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Injured Volunteer Firefighters And Ambulance Workers May Be Eligible For Benefits

New York workers are generally covered by the Workers’ Compensation Law, but there are special laws which cover volunteer first responders – firefighters and ambulance workers.

Closely aligned with the Workers’ Compensation Law are the Volunteer Firefighter Benefits Law (VFBL) and the Volunteer Ambulance Workers Benefit Law (VAWBL). As their titles suggest, these two laws protect people who volunteer in the potentially hazardous duties of fighting fires, responding to motor vehicle accidents and tending to those injured in a variety of circumstances. While not all firefighters and ambulance workers are unpaid, many areas outside the five boroughs of New York City and other smaller cities maintain volunteer forces to provide these indispensable services. Given the inherent danger involved, volunteers often suffer injury when “on duty”.

In the event of an injury, both laws provide wage replacement benefits and medical coverage. Also, there is a “built in” presumption of an earning capacity for volunteers; therefore, even if a volunteer is not otherwise employed, she or he may be entitled to benefits. In addition to physical injury, the laws cover such events as exposure to noxious fumes, smoke or chemicals and post-traumatic stress disorder.

The list of what entails an “injury in the line of firematic or ambulance worker duty” is extensive. These events include maintaining vehicles and participation in certain department-sanctioned events. We take pride in representing those who volunteer their efforts in the service of others, especially when those efforts can be fraught with danger.

In order to best insure that your rights are protected, be sure to contact our office for a no-cost consultation. And thank you for volunteering!

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Saving Our Benefits – How Public Outcry Saved Workers’ Compensation in New York

Some of you may recall that injured workers and their families were used as political scapegoats by big business and insurance interests who blamed them for the high cost of doing business in New York.  Workers’ Compensation benefits became an easy target as those who needed these benefits were hardly in a position to fight against the deep pockets and political clout of these lobbying groups.  

As a result of political pressure during New York State budget negotiations, there was a direction to update the existing impairment guidelines under the guise of reducing costs to employers while still protecting injured workers. The final budget contained a provision directing the Workers’ Compensation Board (WCB) to put together a task force with input from labor, the insurance industry, medical providers, and the NYS Business Council to revise impairment guidelines to reflect “advances in modern medicine that enhance hearings and result in better outcomes”.  These impairment guidelines determine the amount of compensation payable to an injured worker for a permanent injury.

Unfortunately for injured workers, the WCB unilaterally revamped and rewrote the guidelines and released them during a holiday weekend with a 45-day public comment period. These proposed guidelines bore very little resemblance to the recommendations made by labor groups and the Orthopedic Society, and were an outrageous abuse of power. As a result of a very public outcry, the New York State Assembly Labor Committee held a public hearing during which it became very clear to labor groups, injured workers’ advocates, and members of the State Legislature that the Board’s egregious actions would result in a slashing of benefits to injured workers at a time when they are most vulnerable.

Public outcry led to action. Workers’ advocates showed up at a number of WCB locations across the state, including Hauppauge, Brooklyn, and Buffalo, for Days of Action. More than 100,000 postcards objecting to the proposed changes were delivered. Members of the Retail Wholesale and Department Store Union (RWDSU), the AFL-CIO, NYCOSH, New York City District Council of Carpenters, DC37, and countless others all publicly railed against these changes. Members of the Legislature called out the WCB for overstepping its authority and for proposing changes that would vastly favor the Business Council over the injured worker. 

The Worker’s Comp Board subsequently issued amended revisions, and while there are still some reductions, it was a significant improvement over the initial version. The final version was released last year on December 29. It is clear that grassroots efforts sometimes do work. Governor Cuomo and the WCB Chair clearly listened, and for that we are grateful. We are also grateful to those State legislators, union groups, and medical providers who submitted their insight on the impact the original proposals would have on injured workers.

Lastly, it is clear that those who may have been past or current recipients of Workers’ Compensation benefits – those who have known injured workers or those who just saw an injustice and wanted to help right a wrong – took the time to make a phone call, send a letter, or sign a petition. The outpouring of support took many by surprise, including those interests that were financed by big business groups.   One of my favorite quotes is from Margaret Mead, an American cultural anthropologist, who said, “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” Truer words were never spoken.

Catherine M. Stanton is a senior partner in the law firm of Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP. She focuses on the area of Workers’ Compensation, having helped thousands of injured workers navigate a highly complex system and obtain all the benefits to which they were entitled. Ms. Stanton has been honored as a New York Super Lawyer, is the past president of the New York Workers’ Compensation Bar Association, the immediate past president of the Workers’ Injury Law and Advocacy Group, and is an officer in several organizations dedicated to injured workers and their families. She can be reached at 800.692.3717.

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