LexisNexis® Legal Newsroom
CA: No Presumption of Compensability Despite Lack of Actual Notification of Denial of Claim

Tracy Wheeler v. OneLegacy Presumption of Compensability--Time to Deny Claim--WCAB, rescinding WCJ's finding that applicant/hospital services coordinator's claim for exacerbation of multiple sclerosis during period 8/2000 through 8/12/2008 was presumed compensable pursuant to Labor Code §...

Missouri: Hospital Sanctioned for Boiler-Plate Denial of Treatment

An employer owes attorney’s fees as a sanction for an unreasonable defense when it sent claimant a letter denying medical treatment without any explanation and never bothered to contact claimant before denying the claim, according to a recent Commission decision, Nouraie v Mo Baptist Hospital ...

Federal: Sixth Circuit RICO Suit Related to Workplace Injury Claims Dismissed

Reversing a decision entered last year by a three-judge panel of the 6th U.S. Circuit Court of Appeals, a divided en banc panel (11 to 5) of the Court has dismissed a suit alleging that a third-party claims administrator’s collusion with Coca-Cola Enterprises to deny injured employee’s workers’...