Articles Posted in Work Place injuries

After you have been injured at work and need medical treatment, often times you will be contacted by your employer’s workers compensation insurance company or a nurse who works for the workers’ compensation insurer for the purpose of them trying to steer you to a certain doctor for medical treatment.  If this happens to you, you should be very concerned about the intentions of the workers’ compensation insurance company.  If you are receiving a weekly disability check from workers’ compensation, the workers’ compensation insurer does have a financial incentive to get you treated by a qualified doctor so that you can return to work as soon as possible and they can stop paying you your weekly disability benefits.  However, some workers’ compensation insurance companies try to steer injured workers to certain doctors because they know the reputation of the doctor is such that he is more likely to recommend medical treatment that is less costly to the insurance company, such as ordering conservative medical treatment such as physical therapy or injections instead of surgery.  Workers’ compensation insurance companies also are known to steer injured workers to certain doctors who are known to either not write disability letters for their patients (which are required in order for an injured worker to continue to receive a weekly disability check) or are likely to clear an injured worker to return to work well before that injured worker is actually physically capable of returning to his or her job (thus enabling the workers’ compensation insurer to stop weekly disability payments to the injured worker). Continue reading

PART 1 of 2

Despite Massachusetts’ law mandating nearly all employers to carry workers’ compensation insurance, many Massachusetts’ employers choose to fraudulently conduct business without workers’ compensation insurance coverage in order to increase profits while passing the cost of work-related injuries on to injured workers, their families and taxpayers.  There are several potential avenues of compensation for an employee who is injured during the course of his employment with an uninsured employer.   Injured workers can file a workers’ compensation claim for wage loss and medical benefits with the Commonwealth’s Workers’ Compensation Trust Fund.  A claim for workers’ compensation benefits should be filed against a general contractor who hired the uninsured employer, if one can be identified.  Additionally, an injured worker may also bring civil, or “third party” claims against his or her employer, a general contractor and/or any other third parties that may have caused or contributed to the employee’s injury.

Workers’ Compensation Claim

Workers’ Compensation claims involving uninsured employers are governed by the Code of Massachusetts Regulations, 452 C.M.R. 3.04.  The first step an employee’s attorney must undertake is to file an “Insurer Request Certification” with the Department of Industrial Accidents in order to verify that the employer did not carry workers’ compensation insurance on the date of the work injury.  This form, which can be downloaded at the DIA’s website, certifies to the DIA that the employee and employee’s attorney has attempted to contact the employer to verify whether the employer did in fact have a workers’ compensation policy in effect on the date of the accident.  After this has been filed, the DIA Trust Fund should contact the employee attorney requesting that the employee complete and sign a Form 170 (Affidavit of Employee in Application for Trust Fund Benefits).  Once the Form 170 has been filed, the employee is then allowed to file his or her claim (Form 110) for workers’ compensation benefits.   Continue reading

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