The Worst Time to Hire a Workers' Compensation Attorney

Three people who met with me for a free consultation last week all told me that they thought the best time to hire a workers compensation lawyer to help them with their claim was right before they were scheduled for a permanent partial disability evaluation.   Two told me that they had had  free consultations with other attorneys in the past, and those attorneys were not interested in representing them while they were still actively  treating for their injuries.  Those other lawyers told them to come back when they  were finished getting treatment and were ready for  a settlement. The third person had relied on advice from a co-worker who thought that a lawyer was only necessary to obtain the best settlement.  Unfortunately, those three people were given  bad information  on when to hire a lawyer.  The best time to hire a lawyer, after meeting with one you like, is at the beginning of your claim.  Here's why:

1. Get More Legal Service for the Fee You Pay

Most attorneys charge a contingency fee from the permanent partial disability award at the end of the claim.  That fee  is  usually the same regardless of whether you hire the lawyer at the beginning of your claim, or right before you have the evaluation to determine your settlement.  If you hire a lawyer who actually provides a valuable service in assisting you on your claim each step of the way, you get more legal service for the attorney fee by hiring the attorney at the beginning of your claim.   If an attorney is only interested in representing you at the end of your claim, that is a red flag, and should alert you that the attorney is only wanting a quick fee for providing very little help. 

2. A Work Comp Attorney Should Guide You Each Step on Your Claim

If you hire a lawyer who is committed to helping you on your claim, and is not solely interested in getting his fee from the settlement, you have someone who is experienced in selecting the best doctors for your care.  You also have someone to make sure that your benefit checks are the correct and highest amount, and that they are paid on time.  An experienced work comp lawyer will also guide you through any employment issues while you are treating, and will get a jump start on the retraining process if it appears that the client will not be able to return to her old job. 

3. The Most Important Decisions Are Made at the Beginning of the Claim

The most important service I provide as a workers compensation lawyer is making sure that my clients get the best possible medical care as quickly as possible.  My clients are normal, honest, hard-working people who like their jobs.  They just want to get their injuries fixed and to get back to work and their regular lives. It  is at the beginning of the claim that injured workers decide whether they need a specialist, whether they want to change doctors, whether to have surgery, whether to have a second opinion, and what other treatment options are available.   The beginning of the claim is when insurers deny additional body parts on the claim and deny treatment or surgeries that your doctor requests.  Insurers will  try to usurp control over what happens to the injured worker's body at the beginning of the claim.

4. The Best Lawyers Practice Preventative Law

It is always easier to prevent a problem from happening on a claim than it is to try to fix a problem that has happened.  By the time most injured workers consult with a lawyer on their claim, they have spent many frustrating  months  trying to handle problems by themselves. Injured workers are at a terrible disadvantage when dealing with adjusters, because injured workers do not know what their rights are and whether the adjuster is acting properly on their claim.    A lot can go wrong very quickly, and the time to file an appeal on any determination made by the insurer is only 70 days.

5. What to Do If You Have Waited Until the End of Your Claim

If you have tried to go it alone on your claim, are fed up, and want to hire a lawyer now because you are concerned about the settlement process, get a free consultation with an attorney. You might be able to negotiate a lower attorney fee if you are just about to get a rating evaluation , and  you don't have ongoing problems or potential future problems with your claim. . Be sure to ask whether the attorney will be attending the rating with you.  Also ask whether the attorney will be helping you with any vocational rehabilitation issues, and whether the attorney will be available in the future to help you reopen your claim for more medical care.  Find out whether an actual attorney is handling your claim, particularly if you hire a celebrity attorney law firm.  You might also ask whether the attorney is able to predict  what your percentage of impairment should be.  Those attorneys who are honest and who care about their reputations among injured workers will give you a straight answer.  Finally, there is a ton of information about the rating process in my blogs and on my website.  

Get Well Again Soon!

 

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Good News for Injured Workers Getting PPD Awards for Back Injuries

Last week the Nevada Supreme Court unanimously decided that rating doctors evaluating injured workers with spinal injuries can add one to three additional percentage points to the permanent partial disability award if the rating doctor finds that the spinal injury has substantially impaired activities of daily living (ADL's). The Nevada Self-Insurers Association had filed a lawsuit naming the Nevada Attorney for Injured Workers and the Nevada Division of Industrial Relations, arguing that  a section of the American Medical Association Guides to the Evaluation of Permanent Impairment allowing for impairment of ADL's  violated Nevada law.  A district court judge agreed with the Self Insurers, and entered an order back in June 2008 that allowed insurers to withhold payment of that portion of an injured worker's award for ADL's until the Nevada Supreme Court decided the appeal.  Injured workers were then put in the unfair position of having to wait until the Nevada Supreme Court decided the case if they wanted to accept their award in a lump sum payment.  Most injured workers could not wait and ended up losing their percentage points for ADL's so that they could accept their permanent partial disability awards immediately.  

Click on this link to read the complete decision by the Nevada Supreme Court.  If you are an injured worker who chose to wait for the Nevada Supreme Court to decide this case and did not accept your PPD award in a lump sum, you should contact your adjuster if you do not receive a new PPD offer that includes the ADL's award within the next 30 days.  The Division of Industrial Relations has notified all third-party administrators that they are to comply with the Nevada Supreme Court's decision.   Click these links for more information on how permanent partial disability awards are calculated, or information on how to contest an award and get a second rating.

Traducción en Español de Artículos y Anuncios de Blog

 

Si usted es un trabajador lastimado y preferiría leer en español un anuncio de blog particular, o un artículo en mi centro de información de mi website, por favor dejarme saber.   Mientras tanto, yo no puedo traducir cada articulo o blog que yo escribo en ingles, pero si puedo acomedir un pedido particular.   Usted también puede pedir una copia gratis de mi Guía de Compensación de Nevada para Trabajadores Lastimados, en la cual ya la he traducido en español.  Hable a mi oficina al (702) 699-5336.

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Health Care Jobs a Good Retraining Choice for Injured Workers in Nevada

The Health Care Quarterly report in the recent issue of "Las Vegas In Business" has some good news for injured workers deciding which retraining program is most likely to lead to actual employment in the future. Health care employment was up 2,300 jobs from last year according to a research analyst.  The health care industry is recession-resistant because these are crucial jobs and because the health care industry is funded by either insurance or government programs.  The industry  expects more jobs with the opening of the Cleveland Clinic Lou Ruvo Center for Brain Health. 

Health care employees generally earn above-average wages depending on their level of training.  While state budget cuts in Nevada are affecting health care jobs also, and no one knows how the health care industry will be affected with federal health care reform, these jobs are still a solid career choice.

There are several vocational schools in Las Vegas that offer health care job training.  Talk to your vocational rehab counselor, and your attorney, about which schools are reputable and which assist their students in job placement.  Make sure you visit several schools and sit in on a few classes before deciding which school and which retraining program is best for you.

 After you are enrolled in a retraining program,  immediately  start thinking ahead to when the retraining program will end.  Only 28 days of benefits are paid when the formal retraining program concludes, and if you are not successful in finding a job right away , you are left without any income.   That means that you need to begin job search efforts before the school portion of the program ends.  Click on this link where  I found some good suggestions for networking and using existing contacts for referrals to potential employers who may be hiring.

What To Do If a Body Part Is Not Accepted on Your Nevada Claim

Many times  an injured worker does not realize that other parts of the body have been  injured when he or she is first getting medical care for the most obvious injury and when completing the C-4 claim form.  Directly above the signature line on the C-4 Claim for Compensation form is a boxed area for the injured worker to write what parts of the body were injured.  When the claims adjuster receives the C-4 form, the adjuster notes what the employee says was injured with  what the doctor writes as the diagnosed and treated  injury on the lower portion of the C-4 form. 

The adjuster then  uses the information on the C-4 form, as well as any  available medical records, when sending the  Notice of Claim Acceptance letter.  Most adjusters will state exactly what body parts are accepted on that Notice of Claim Acceptance.  At the bottom of that letter, the adjuster will also tell the injured worker that he or she has 70 days to request a hearing if there is something he or she disagrees with in the letter.  The majority of injured workers who receive a Notice of Claim Acceptance do not carefully read that letter, and do not take any action to make sure that the adjuster sends another letter including any body parts that are not mentioned in the Notice of Claim Acceptance.

Problems arise when the injured worker tries to get medical treatment for a body part that is not specifically mentioned in the Notice of Claim Acceptance.   Adjusters often deny requests for necessary treatment to an additional or different body part weeks or months after the claim is accepted when diagnostic testing reveals an injury to an additional body part.  

Fortunately, the last legislature recognized that injured workers are being denied necessary medical treatment by adjusters taking advantage of injured workers who do not file appeals from a Notice of Claim Acceptance letter that lists accepted body parts.  A recent amendment to NRS 616C.065, effective October 1, 2009,  states that the failure of the insurer to indicate the acceptance or denial of a claim for a part of the body or condition does not constitute a denial or acceptance thereof.   That means that if an injured worker specifically requests that an additional or different body part be included on the claim, the insurer  must make a new determination and give appeal rights again.  The insurer cannot simply state that  a Notice of Claim Acceptance letter was sent and the appeal time to contest the listed body parts has run.

 Even with the recent amendment to NRS 616C.065, an injured worker should immediately request that a Notice of Claim Acceptance letter be corrected if all affected body parts are not listed.  If the injured worker does not realize that additional body parts were injured until much later, then the injured worker should request in writing that the adjuster include the body part.  If the adjuster fails to take action, the injured worker may file an appeal after 30 days from sending his written request to the adjuster.  If the adjuster denies the request to include another body part, the injured worker should promptly file an appeal on the form provided with the denial letter.

 

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Happy 15th Anniversary, Vanessa!

On February 6, 2010, my officer manager and legal assistant extraordinaire, Vanessa Cohen, will be with me 15 years.   Vanessa is the most organized person I have ever met, and she is responsible for making our office run like a well-oiled machine, even on days when every client seems to call at the same time and needs immediate action.  If you are one of our clients with a claim in litigation, you know her as our litigation support specialist who tracks appeal deadlines, court dates, and assists in preparing evidence for hearings.  She also tracks when settlement checks are due, and is the patient, competent voice ready to address clients' problems early in the morning before Bianca takes over solving problems for clients who phone us.  

Vanessa and I exchanged small gifts today to honor our 15-year anniversary of working together, and she wrote in her card to me, "I still love my job!".  Vanessa has a very difficult job helping me represent people at a very low point in their lives after serious, unexpected, and often life-changing accidents.  Her compassion for our clients has never wavered, and her love for her job still shows in her devotion to excellence in her work.  Thank you so much, Vanessa.  Much love, Virginia.

Unemployment Insurance and COBRA Externsion Due to Expire

Unless lawmakers in Washington act by February 28, 2010, the jobs bill passed in December that extended long-term unemployment insurance benefits and that gave a COBRA extension will expire.  With the unemployment in Nevada at an all-time high, this is terrible news  for workers who have been unemployed for a long time.  Read more about the AFL-CIO's jobs plan to address this problem and for information on how to contact legislators to urge them to act on legislation now.

Bankruptcy and Nevada Workers' Comp Benefits

I asked local bankruptcy attorney Sam Benevento to provide an answer to the question:

Will filing a bankruptcy affect your workers’ compensation claim? Here's Sam's answer:

To understand the answer to this question, it helps to understand the difference between a Chapter 7 and a Chapter 13 bankruptcy. Chapter 7 is a “straight” bankruptcy. Under Chapter 7 you attempt to discharge your debts without payment. You can protect (exempt) your principal assets in chapter 7 (like a residence, household goods, car, retirement account, and other things) but non-exempt assets can be seized by the Chapter 7 Bankruptcy Trustee to pay your debts. Chapter 13, on the other hand, is a reorganization under which you voluntarily make payments to your creditors through the Chapter 13 Bankruptcy Trustee and thereby repay a portion (or sometimes all) of your debts.

Workers’ compensation benefits are exempt under Nevada law. NRS 616C.250. This means that if you file a chapter 7 bankruptcy, the Bankruptcy Trustee will not be able to seize either your monthly benefit or your lump sum settlement. However, the benefits are counted as income to determine whether or not you are eligible to file a chapter 7 in the first place. Also, if the benefits are deposited into a bank account with other funds (i.e. commingled), they may be at risk of seizure. So be sure to keep any lump sum settlement completely separated from other funds.  

In Chapter 13, the Trustee does not seize assets under any circumstances, so your workers’ compensation benefits are always protected. However, benefits received both prior to and after filing the Chapter 13 may be used in calculating the amount of your bankruptcy payment.

You should also be aware that worker’s compensation benefits may be garnished directly by a child support creditor.

Sam Benevento has been practicing bankruptcy law in Nevada for over 20 years and exclusively represents Debtors (that is – people and small business that need to file for bankruptcy protection). If you think that you may need to file, call Sam at 702-433-2000 to schedule a free consultation.

 

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Starting a New Business in Nevada

For many injured workers who are unable to return to their old jobs due a permanent injury, a formal program of retraining with a vocational rehabilitation counselor may not be an option, or may not be the best option.  Hispanic employees who have difficulty reading and writing English, for example, will not be able to participate in retraining programs, because almost all programs are taught in English.  Many  injured workers will have to come up with a way to market other skills they have, or will have to start their own businesses.

Nevada law prohibits an industrial insurer from funding self-employment efforts directly.  However, those injured workers who want to, or who must start a small business will at least receive a vocational rehabilitation lump sum buy-out that will help.  The amount of a vocational rehabilitation lump sum buy-out will vary, depending upon the PPD rating of the injured worker, and whether the insurer can be convinced to pay more than the minimum amount the insurer must offer.  See my article onlump sum buy-outs for more information.

Because a vocational rehab counselor is primarily involved in enrolling injured workers in formal retraining programs, the injured worker may not have much help in setting up his or her small business.  I have provided some useful links below for the injured worker who is just starting a small business:

- Checklist for starting a small business by theIRS

- Business name registration for sole proprietor in Clark County

State business license

- Visit the Nevada Department of Taxation for more information on necessary licenses

Conversation with a Vocational Rehabilitation Counselor

I sat down recently with seasoned vocational rehabilitation counselor Jeff Shea to discuss  how the depressed local job market  was affecting Nevada's injured workers who are referred for vocational rehabilitation services.  Jeff is no stranger to overcoming physical adversities himself, and an injured worker cannot complain that Jeff does not personally know how to deal with the extra challenges of a physical disability when reentering the workplace following a devastating injury. Jeff is from Philly, and that explains a lot about his no-nonsense, direct approach to advising injured workers. If you need your voc rehab counselor to sugar-coat the facts regarding today's local job market, Jeff is not the counselor for you.   However, if you do need to quickly know what the best schools are in town, and what the realistic job prospects are in the Las Vegas labor market, Jeff can be a valuable ally.

Vocational rehab counselors like Jeff Shea are independent contractors who are hired by adjusters.  There are voc rehab counselors who take pride in their work, who have integrity, and who are not scared off by insurers threatening  to take their business elsewhere whenever an adjuster disagrees with the voc rehab counselor.   I think Jeff  is one of those counselors, and I am impressed when he goes the extra mile on behalf of an injured worker he believes is really trying to make their retraining  program successful.   However, if an injured worker fails to show up for class repeatedly and has no reasonable excuse for poor class performance, don't expect  much sympathy from Jeff.  While I have questioned Jeff's very tough approach to counseling in the past, I think his approach has merit in today's difficult economy. 

When I expressed my concern for Hispanic clients who are unable to return to their former jobs and who are unable to participate in retraining classes taught only in English,  his response was, " They should have learned English by now. This is the USA."   I have a different view of the problem than that, but I also am at a loss as to how to provide retraining services to injured workers who cannot read and write English sufficiently to attend available retraining programs. 

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