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Workers' Compensation News
FOURTEEN CHARGED IN UPSTATE WORKERS' COMPENSATION SWEEP
Attorney General Eliot Spitzer, Inspector General Dineen Riviezzo, Insurance Superintendent Howard Mills, Insurance Fund Executive Director David P. Wehner, and Workers’ Compensation Board Fraud Inspector General John H. Burgher, Jr., today announced the arrests and arraignments of 14 individuals for insurance fraud and related charges following a joint investigation into workers’ compensation fraud. The cases were brought in Albany, Broome, Dutchess, Erie and Herkimer counties.
The defendants were all charged with submitting fraudulent claims to obtain workers’ compensation benefits. Typical misrepresentations involved failing to disclose present or past work status or the cause of injury. One defendant, Harold Higgins, allegedly collected over $100,000 while concealing his employment in the elective post of Assessor for the Town of Copake in Columbia County. The total benefits paid to all 14 defendants by insurance carriers, including the New York State Insurance Fund (NYSIF), exceeded $250,000.
"Every worker deserves the right to be compensated for medical expenses and lost wages that result from injuries sustained while working," Spitzer said. "However, workers who misrepresent their employment status in order to collect workers' compensation benefits, no matter how large or small the amount, ultimately increase the costs of doing business in New York."
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Did You Know?
The Hazard Communication Standard provides workers exposed to hazardous chemicals with the right-to-know
The Hazard Communication Standard provides workers exposed to hazardous chemicals with the right-to-know the identities and hazards of those materials, as well as appropriate protective measures. When workers have such information, they are able to take steps to protect themselves from experiencing adverse effects from exposure. In addition, providing such information to employers helps them to design better protective programs for exposed employees.
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Definition:
Temporary change in job assignment to accommodate work restrictions while you are healing. May or may not pay at the same rate as your normal work assignment. Lost wages may be partially made up by Temporary Partial Disability (TPD) payments.
Panel Qualified Medical Evaluator
Definition:
A list of three independent qualified medical evaluators issued by the state Industrial Medical Council. You select any one of the three doctors for your evaluation. This is for workers not represented by an attorney.
Consultative Rating
Definition:
A rating of permanent disability provided by the DWC Disability Evaluation Unit when a claim is litigated or if the injured worker has an attorney. See Permanent Disability Rating.
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