kentuckyworkerscompattorney

Episode 25:  In today’s episode, Calloway County Attorney Jeff Roberts discusses 5 considerations when hiring an attorney.  These are issues and factors you should think about if you have to hire an attorney to handle your injury case.  These 5 criteria can be used in selecting an attorney for many other types of legal matters, as well.

For more information, visit www.JeffRobertsLaw.com. This podcast is meant to provide information and is not legal advice.  Jeff’s principal office is located at 509 Main Street, Murray, Kentucky.  Co-host Jim Ray is a non-attorney spokesperson.  This is an advertisement.

Episode 23:  Kentucky workers’ compensation attorney Jeff Roberts offers advice on how to avoid these mistakes with your workers’ comp claim.  Often people try to help their cases, but actually end up hurting it or creating unnecessary challenges for your attorney.

Failing to Report Your Injury

This is a threshold defense for the company to deny your Kentucky workers’ compensation claim.  It must be overcome before the injured worker can receive any benefits.  If the defense can successfully prove you failed to report your injury to a supervisor or someone higher in the company, the claim can be rejected and basically everything is done, regardless of the injuries.

Under Kentucky law, individuals are required to report the injury, as soon as practical, after the injury.  Don’t be tempted to assume it’s not a “big deal.”  If you experience pain or are having problems doing your work activities, this includes even a minor cut, you need to tell a supervisor.  In the case of a minor cut, it might get infected and lead to other medical issues.  However, if you failed to report it, the company may be off the hook and you could be left with all of the medical bills.

Some companies try to enforce a 24-48 notification policy.  They claim that if you fail to report the workplace injury within this period of time, you don’t qualify for workers’ comp.  In Kentucky, the company policy has no bearing on your workers’ compensation claim.  The law says you have to do it as soon as practical, after the injury.  You have some leeway, but don’t wait too long to notify the company.

It’s important to remember, you need to notify a supervisor or someone “above” you.  Telling a co-worker doesn’t meet your requirement.  Asking the co-worker to tell someone is also risky because they may get distracted and forget to do it.  Nonetheless, if your co-worker tells the supervisor, it may meet the standard for notification.  It’s better to make sure you (or your spouse) do it yourself. 

If you seek medical treatment, it’s a good idea to have your medical provider document you’re there due to a workplace injury.  Your medical records will be an important collection of evidence supporting your Kentucky workers’ compensation claim.

Don’t Skip Appointments

It can be harmful to your claim if for some reason, you decide to skip a doctor’s appointment or a physical therapy session.  The defense can claim you failed to follow medical advice.  This can severely limit the value of your claim and the benefits you ultimately receive.  The doctor can claim your missed therapy sessions have cause your healing to take longer.  This can also enable the company to stop your temporary total disability (TTD) payments. 

You Don’t Have to See the Company Doctor

Under Kentucky law, you have the right to see a medical provider of your choice for your workers’ compensation injury.  Some companies try to convince the injured worker that he/she has to see the company doctor.  This is false.  In reality, the doctor may downgrade the extent of your injuries or your impairment rating to benefit the company that is sending them a steady stream of patients.  For this reason, you may want to begin with your family doctor (i.e. primary care doctor) who can refer you to a specialist, without regard to the company’s interests.

If the employer has a managed care plan, they can require you to see a doctor who participates in the plan, but normally you get to choose which of the doctors you’ll visit.

Avoid Skipping or Not Finishing Your Medication

If you’ve been injured at work, you may have prescriptions for medications to help treat the symptoms of your injuries.  Some people get worried about the co-pays or other issues and think they’ll save money if they don’t fill a prescription or don’t finish the medicine as directed.  If reality, this can also harm your workers’ compensation claim.

In Kentucky, as long as your treatment and medication is for the work-related injuries, and they are reasonable, there are no co-pays or deductibles.  The injured worker will not be out of pocket for the treatment. 

It’s possible that you get a prescription filled, before the claim has been fully set up in the system, so the pharmacy may ask for a co-payment.  Keep your receipt and you can get a refund for that expense.

If You Have Questions or Concerns, Contact Your Attorney

It’s always best to speak with your attorney before you take drastic actions or decide to change doctors.  Kentucky law has a gatekeeper policy.  This is the person who can help get you referrals or other treatments.  You are only allowed to change this gatekeeper 1 time, without the insurance company’s approval.  Again, don’t make a drastic change without informing your workers’ compensation attorney, beforehand. 

The gatekeeper can be your family doctor or another treating physician.  You need to understand that the company may try to designate the company doctor as your gatekeeper.  It can be confusing.  This can also make it difficult to get to a specialist or a different specialist.

Important Information about Safety Violations

In Kentucky, if your workplace injury is due to the company or a co-worker violating a safety statute or safety policy of the employer, your benefits can be increased by 30%, for that safety violation. 

When you give notice to your supervisor about the initial injury, be sure to specify that it involved a safety violation.  You should document this because it’s extremely important to the value of your claim.

It’s important to understand that if you violated a safety standard and it resulted in your injury, your benefits can be reduced by 15%.  Following safety guidelines and standards is always the best course of action.

For more information, visit www.JeffRobertsLaw.com. This podcast is meant to provide information and is not legal advice.  Jeff’s principal office is located at 509 Main Street, Murray, Kentucky.  Co-host Jim Ray is a non-attorney spokesperson.  This is an advertisement.

Episode 14:  Calloway County personal injury attorney Jeff Roberts discusses his win at the Kentucky Supreme Court, in a workers’ compensation case.  In a recent episode, we covered the fact that Jeff currently has several cases in front of the Kentucky Supreme Court.  This is the first of that group to be decided.

The case we’ll talk about today involved Steven Spillman, a former Calloway County sheriff’s deputy who was injured on the job in 2007.  Murray attorney Michael (“Mike”) Pittman originally handled the deputy’s claim.  It was resolved and later reopened in 2013 due to additional complications.  This issue was also successfully resolved.  However, in 2017 the deputy had to have an additional surgery, related to the original 2007 back injury.  There were medical complications and Mr. Spillman passed away from those complications.

Kentucky worker’s compensation law provides for a case to be reopened after the original case is resolved.  This special circumstance exists to ensure injured workers have adequate access to medical treatment for their injuries and future medical needs.  A new law was passed in 2018 that could impact this access.

The complicating factor is that a case can be reopened, as long as it is within 4 years of a judge’s order on the case.  The period between the 2013 surgery and the 2017 surgery is the basis for the legal challenge.  The spouse also had potential claims involved related to survivor benefits.  Attorney Pittman contacted Jeff to assist (“co-counsel”) with the case, at that point.  It turns out that the survivor benefits ended up being a key issue before the Court.

In Kentucky, the workers’ compensation system provides benefits to the surviving spouse, minor children or anyone who is dependent upon the deceased worker.  There is another provision which allows the estate to get a lump-sum death benefit, if the death occurs within 4 years of the work-related injury.  Jeff was able to win the case for survivor benefits, but did not prevail on the issue related to the estate.

Going forward, Jeff’s victory at the Kentucky Supreme Court will have a major impact for working families in Kentucky.  Current and future claims will be able to refer to (“cite”) the decision as a basis for their cases.

Do Attorney’s Fee Increase if an Attorney Uses Co-Counsel?

Jeff explains that it depends.  If the attorneys are working on a contingency-fee basis, the fee will be a percentage of the amount recovered.  In the Spillman case, described above, the percentage did not change.  The fee was divided between the attorneys, but didn’t cost the family an additional percentage or separate attorney’s fee.

In many Kentucky personal injury cases, such as a car wreck case, the percentage for attorney’s fees is 1/3.  If the attorney decides to bring in another attorney, the fee doesn’t suddenly increase to 2/3.  It remains at 1/3 and that percentage will be divided among the attorneys.  Each firm has the right to establish its own contract related to fees, but this is generally the cases.

If the attorneys are working on an hourly-basis, instead of a contingency-fee basis, attorneys will generally charge the client for the billable hours based on their work.  Under this arrangement, it is possible to receive multiple fees from multiple attorneys (based upon their agreed up on hourly rates).  However, this typically isn’t how an injury case works. 

How Does a Workers Compensation Case Make It to the KY Supreme Court?

Kentucky workers’ compensation claims are considered administrative law (e.g. there’s no jury trial).  Initially, the claim is tried before an administrative law judge.  After that decision is rendered, either side can appeal it, assuming there’s a legitimate legal reason to do so.

The decision would then go to the Workers’ Compensation Board, which is made up of a 3-member panel.  This is considered the first appellate level.  It’s still at the administrative level.  They look to see if the judge made an error of the la or an error in assessing or understanding the facts.  If they determine an error was made, the Board sends the case back to the judge to correct his/her error.  Again, either side can now allow the judge to revisit the case or they can appeal the case to the Kentucky Court of Appeals.

The Kentucky Court of Appeals is the second appellate level.  This Court is looking to see if the Workers’ Compensation Board commit an error or law in how it decided the appeal or if the decision resulted in a gross misjustice.  This is an even higher standard.  The case can be remanded back (returned) to the administrative law judge.  They can affirm the original decision by the judge.  They can affirm the Workers’ Comp Board’s decision in returning it to the judge.  They could also overrule the Workers’ Comp Board’s determination of an error and then specific a different error, remanding it back to the original judge.

At this point, either side can then decide to appeal the workers’ comp case to the Kentucky Supreme Court.  This is the third appellate level.  The KY Supreme Court cannot decide not to hear the case.  This is different from cases attempting to be heard before the US Supreme Court. 

The Kentucky Constitution states that a party is entitled to at least one appeal from a lower court.  Remember, the Kentucky workers’ comp system is handled as an administrative process.  The general understanding is that the first actual court hearing the workers’ comp case is the KY Court of Appeals, so per the Kentucky Constitution, the party has a right to appeal to the KY Supreme Court.

There are many factors to consider in deciding to appeal a case.  It can be a very emotional situation.  Because either side can appeal, the decision can be delayed much longer than initially expected.  The consideration of the time-line is a factor Jeff spends a lot of time discussing with his clients. 

For more information, visit www.JeffRobertsLaw.com. This podcast is meant to provide information and is not legal advice.  Jeff’s principal office is located at 509 Main Street, Murray, Kentucky.  Co-host Jim Ray is a non-attorney spokesperson.  This is an advertisement.