Posts Categorized: Workers’ Compensation

Medicare Set-Asides: Are You Paying Too Much?

By:  Stephen Hessert Background Medicare came into being in 1935 as part of the original Social Security Act enacted by Congress.  It was described as “a federally funded health insurance program for the elderly and the disabled.”  Over the years, its cost became problematic and in the late 1970s, a General Accounting Office study suggested… Read more »

WC Appellate Division Decision issued on June 14, 2018 – Average Weekly Wage

Average Weekly Wage The employee was employed by the same employer for 52 weeks prior to a December 17, 2014 injury, but for approximately 13 of those weeks she was out of work for non-occupational reasons and received STD benefits which were substantially lower than her customary weekly earnings.  The ALJ determined the average weekly… Read more »

WC Law Court Recognizes Credit for Social Security Retirement Benefits Paid in the Past

It has been recognized in several Law Court decisions that, generally speaking, there is no right to recover an overpayment of workers’ compensation benefits by taking an offset or by claiming reimbursement.  However, in a significant new decision, the Court has held that an employer is entitled to a credit for the value of Social… Read more »

WC Appellate Division Decision issued on January 17, 2018 – Multiple Gradual Injuries to Same Area

It had been determined by the Board that the employee sustained a gradual occupational injury to his right elbow on October 29, 2000.  Several years later the employee filed a Petition for Award alleging a second gradual injury to the same portion of the body occurring on May 8, 2009.  There was conflicting medical evidence… Read more »

WC Appellate Division Decision issued on January 16, 2018 – Record of Mediation

When parties reach agreement at mediation and the issues agreed to are reflected in the record, the record is fully binding upon the parties and has the effect of a final Board determination.  However, when no agreements are reached and the mediation is considered unresolved, the record itself has no res judicata effect. In Karimova… Read more »

Law Court Decision issued on December 12, 2017 – Employment Status

In its second workers’ compensation opinion of the year, the Law Court has addressed determination of employment status in a unique factual context.  In Huff v. Regional Transportation Program, 2017 ME 229 (December 12, 2017), the petitioner volunteered as a driver for a non-profit agency which provided transportation services to disabled and low-income clients.  At… Read more »