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Injured workers underpaid?

A state-sponsored study says insurance payments fell shy by $40 million per year.

January 19, 2004

By Andy Furillo -- Bee Staff Writer

California workers injured on the job have been underpaid by hundreds of millions of dollars over the past decade by insurance adjusters who miscalculate their disability benefits, researchers have found.


A state-commissioned study on California's workers' compensation market has conservatively estimated the underpayments at $40 million a year. Citing testimony at a 1998 state Senate hearing, a Los Angeles-area attorney who is seeking restitution for the injured workers has pegged the losses at more than twice the $40 million figure -- amounting to more than $1 billion over the past 13 years.


"The insurance companies are retaining these monies and are not tendering them to the injured workers, nor are they passing those savings back to their policyholders, small-business owners who over the last few years have really felt the pinch of increasing premiums," said Nick Kazandjieff, the Sherman Oaks workers' comp applicants lawyer who has filed a class-action case to recoup the underpaid funds.


According to Department of Industrial Relations audits for 2002, the underpayments affect about 15 percent of the examined cases and total a little less than $1,500 per injured worker. The underpayments mostly occur as a result of erroneous computations and other miscalculations by insurance adjusters in an increasingly complex system, according to researchers, and they represent a microscopic percentage of payments in a system that is projected by the Workers' Compensation Insurance Rating Bureau to pay out $21 billion in indemnity and medical benefits this year.

Copyright © The Sacramento Bee

Read more at:http://www.sacbee.com/content/business/story/
8127841p-9059866c.html


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Did You Know?    
 
 
Laws prohibit the termination of an employee in retaliation for filing a workers compensation claim
The Workers’ Compensation statute in one state, NJSA 34:15-39.1 only prohibits the termination of an employee in retaliation for filing a workers compensation claim or for testifying at a workers’ compensation hearing. If you feel you were terminated for these reasons, one alternative is the filing of a discrimination complaint against your employer with the Division of Workers’ Compensation. Then contact our lawyers.

 


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Employment Lawyers.com Terms

 


Today's Terms

Individual with a Disability

Definition:
A person who has a physical or mental impairment that substantially limits one or more of that person’s major life activities, has a record of such impairment, or who is regarded as having such an impairment.

Readily Achievable

Definition:
Easily accomplishable and able to be carried out without much difficulty or expense. In determining whether an action is readily achievable, factors to be considered include nature and cost of the action, overall financial resources and the effect on expenses and resources, legitimate safety requirements, impact on the operation of a site and, if applicable, overall financial resources, size and type of operation of any parent corporation or entity.

Master agreements

Definition:
A contract between the employer and the exclusive bargaining representative. For collective bargaining, the employer is represented by the governor or the governor's designee. The LRO will negotiate contracts with each union that represents more than 500 employees.

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