Petitioner not entitled to acceptance of claim for insurer’s failure to obtain consent to make payments for more than 90 days under reservation of rights, but entitled to penalty if claim found compensable… insurer must pay medicals incurred during time it placed claim under 39-71-608… Shea. [Read more…]
Aggravation claims against subsequent insurer
Claim against subsequent insurer of knee/back aggravations not proven… not subsequent insurer’s responsibility to accept [Read more…]
Idiopathic fall injury
Injury from idiopathic fall onto level floor does not arise out of employment, not compensable… first impression… Shea. [Read more…]
TPA liability
Although potential liability is with insurer, Court may exercise jurisdiction over TPA, but no reason to do so here… Shea. [Read more…]
Work comp, fees, death benefits settlement
WORK COMP: Mother’s former attorney not entitled to fee on children’s death benefits after seeking benefits for mother as sole beneficiary and mother stipulated benefits to children… Shea affirmed (IOR I-3(d)(v)). [Read more…]