Workers’ Compensation Cases Grind You Down

Does the workers compensation system grind people down? If you ask most of my clients, the answer is yes. I have to agree. The system has always been far from perfect. I have long thought a few changes in the workers compensation statute would go a long way towards making it more fair for claimants. But it does seem like the system has gotten meaner in the last few years.

I tend to see the workers compensation system from the claimant’s perspective. We are one of the premier law firms in Southern Maryland for workers’ compensation claims. Not many attorneys do workers comp cases. One reason is that the law is completely different from most other areas of law. The other reason is the fact that dealing with the constant barriers put up by workers comp insurers is a big hassle. You need to know how to deal with them, or you will pull your hair out.

The insurance companies have just about perfected the tactic of deny & delay. They are quick to cut the claimant off from the weekly check. Often the workers’ compensation claimant’s check is stopped on the thinnest evidence. When that happens, we have to file for a hearing. It takes 30-60 days to get one (usually more like 60). Who can afford to live without income for that long? It wears the claimant down, and it isn’t fair.

Sometimes the workers comp insurer will deny reasonable requests made by the claimants doctor. Fighting over medical care is something that takes a lot of my time. Often, a request for care will be denied or delayed, and the poor claimant cannot get that medical care for months while we wait for a hearing date.

Admittedly, there are some bad doctors out there and it is sometimes reasonable to deny the care requested by some of these guys. But when a well respected doctor requests reasonable medical care, it should be approved Sometimes the denial of that care is downright unconscionable. Sometimes, I strongly suspect it is done just to wear the claimant down.

All of these deny & delay tactics have the effect of wearing people down. They get sick of dealing with the matter. Sometimes they give up (always against my advice). Sometimes they just settle. Sometimes they pay for medical care out of their pocket. Sometimes they run it through their own health insurance, if they have it.

It isn’t a fair system. Until it is reformed, we just have to continue fighting when we have to. There is a good reason that very few workers’ compensation claimants try to handle their claim without an attorney. You will get eaten alive.

Hopefully, the workers’ compensation system will be reformed one day. But don’t hold your breath!

Can You Get Workers’ Comp for Having Sex?

Recently, an eye opening workers’ compensation case came out of Australia. Although it is from a foreign country, the same scenario could happen right here. A woman was on an overnight business trip and got injured during a sexual encounter in her hotel room. It happened at night after her work day ended. A lamp fell on her head. She made a workers’ compensation claim for her injuries. This became an international news story because it is an amusing set of facts, and seems like an outrageous thing to file workers’ comp for.

How can anyone claim workers’ compensation when you are not actually doing your job when injured? She actually lost her claim, but it is not as simple as you might think. Under Maryland law, if you travel out of state on a business trip, and you are injured doing something you would normally do while on that trip, then you are covered by workers’ comp.

The Maryland Workers’ Comp case that set this standard involved a lady who slipped in the shower in her hotel room. She was clearly not working at the time, but the whole trip was work, and showering is a normal and routine thing to do while on such a trip. I represented a man who slipped in the hallway of his hotel while on an out of state business trip. He was walking to dinner. He won his workers compensation claim.

This woman did not win her claim in Australia, and I believe she would not win it here in Maryland. While showering, eating, walking, etc. are normal activities you would be expected to engage in while at work, having sex is not. And having a lamp fall on you during sex is definitely not a work accident than any employer can reasonably foresee. It is, however, pretty amusing and therefore good fodder for a blog!

Need more information about Workers’ Comp? Please contact Andrews, Bongar, Gormley & Clagett for a free consultation. We will be happy to answer your questions even if you do not hire us. Read more about Maryland’s Workers’ Compensation laws in our Free Legal Information Library