Top Story: Thursday, August 7, 2025

Ntl. - Board Can Reject Medical Opinion for Confusing Legal, Clinical Pneumoconiosis

A federal appellate court ruled that the Benefits Review Board can reject a medical opinion based on its blurring of distinctions between clinical and legal pneumoconiosis. James Lyle worked as a coal miner for 28 years. His last employer was Energy West Mining Co. There is a statutory presumption that coal miners with total disabilities from respiratory or pulmonary impairments who have worked in an underground coal mine for at least 15… Read more »

Pa. - Court Upholds Termination of Police Officer's Heart-Lung Act Benefits

The Commonwealth Court of Pennsylvania upheld the termination of an injured police officer’s Heart and Lung Act benefits. Case: Acosta v. City of Philadelphia, No. 286 C.D. 2023, 08/01/2025, published. Facts: Antoine Acosta worked as a police officer for the City of Philadelphia. He is also a member of the Fraternal Order of Police,… Read more »

Fla. - Worker's Former Attorney Can't Challenge Order Designating Payee for Indemnity Checks

A Florida appellate court ruled that a worker’s former attorney could not challenge a non-final order designating the worker’s guardian as the proper payee for indemnity benefits. Case: Rebalko v. Gillis, No. 1D2024-1055, 08/06/2025, published. Facts: John Gillis worked for Head Industries. He suffered injuries at work in July 1985 when an… Read more »

News: Top

NA Board Can Reject Medical Opinion for Confusing Legal, Clinical Pneumoconiosis

News: NORTH

News: SOUTH

W.Va. - Supreme Court Upholds Denial of PTD Benefits for Worker With 95% PPD

The West Virginia Supreme Court upheld the denial of a worker’s claim for permanent total disability benefits even though he had received permanent partial disability awards from multiple claims that totaled 95%. Case: Johnson v. Pinnacle Mining Co., No. 25-98, 07/28/2025, published. Facts: Ricky Johnson worked for Pinnacle Mining… Read more »

N.Y. - Man Pleads Guilty to Stealing $42,000 in Dead Mother's Benefits

The New York State Inspector General's Office announced that a Port Jervis man pleaded guilty to stealing more than $42,000 in workers' compensation benefits that were issued to his mother, who had died in April 2022. Randi L. Magpie, who was arrested in February, pleaded guilty July 31 to one count of grand larceny in the third degree, a felony, and one count of petit larceny, a… Read more »

Ntl. - Study: Comp 'Routine Tasks' Have Led to More AI in Industry

Forty-six percent of workers' compensation claims professionals spend as much as 40% or more of their time on routine tasks, with 23% saying they allocate just as much time to regulatory compliance, according to research published Wednesday by Rising Medical Solutions. These numbers have led more claims organizations to seek technological approaches to managing… Read more »

N.H. - Department Reduces Loss Costs 6.1%

The New Hampshire Insurance Department on Wednesday announced a 6.1% reduction in voluntary loss costs and a 5.4% reduction in rates for the assigned risk pool. The department said this is the 14th consecutive reduction in loss costs. Loss costs have fallen a cumulative 66% over this period. One notable change in this year's filing is the use of a third decimal place in loss… Read more »

Top Story: Thursday, August 7, 2025

Ntl. - Board Can Reject Medical Opinion for Confusing Legal, Clinical Pneumoconiosis

Pa. - Court Upholds Termination of Police Officer's Heart-Lung Act Benefits

Fla. - Worker's Former Attorney Can't Challenge Order Designating Payee for Indemnity Checks

News: Top

News: NORTH

News: SOUTH

W.Va. - Supreme Court Upholds Denial of PTD Benefits for Worker With 95% PPD

N.Y. - Man Pleads Guilty to Stealing $42,000 in Dead Mother's Benefits

Ntl. - Study: Comp 'Routine Tasks' Have Led to More AI in Industry

N.H. - Department Reduces Loss Costs 6.1%

Advertisements

Now Trending

Jobs

Upcoming Events

Claims Association of Greater

San Diego Elevate Workers' Com

WIMAH 2025 Workers� Compensati

Social Media Links