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Workers Compensation Targeted By Business, Insurance Groups Across Country

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First Posted: 04/22/11 10:08 AM ET Updated: 06/21/11 06:12 AM ET

Former cop Bill Fournier told the Maine state legislature last week about the time he responded to a crime scene and found a 4-year-old girl burned alive in an oven. The grisly 1984 murder sent his life off the rails, Fournier said, to the point where he once put a revolver in his mouth and cocked the hammer.

It isn’t something Fournier would like to revisit, but a subject dear to him was on the table: Reform of workers compensation laws.

Joined by other police officers, firefighters and paramedics, Fournier testified against a Maine bill that would diminish the role of psychiatric and emotional damage in determining a worker’s right to compensation after an injury. The hotly debated measure, sponsored by state Rep. Kerri Prescott (R), has drawn support from the Maine Chamber of Commerce and insurance interests and opposition from labor groups. Many workers, particularly first responders, have argued that mental and emotional injuries should carry no less weight than physical ones when it comes to compensation.

Kevin Gillis, the head of the Maine Workers’ Compensation Coordinating Council, an organization that represents businesses and insurers and backs the measure, says Fournier’s emotional testimony epitomizes a lot of the heated discussion surrounding workers comp in Maine and elsewhere right now.

“People can understand just enough to comment on it, but they still don’t fully understand it,” Gillis told HuffPost. “A lot of people don’t understand the significance or lack of significance of these [reforms]. You have to have a good grip on the whole statute.” Gillis insists the reforms are aimed at lawyers who manipulate the system, and he believes the proposed changes wouldn’t have affected Fournier’s case.

There’s a flurry of legislative activity around the country -- notably in Maine, North Carolina, Illinois, and Montana -- geared towards reining in the costs to employers of workers compensation claims. Maine Governor Paul LePage (R), who’s already sparked a high-profile battle with the state’s labor groups, went so far as to mention workers comp reform in his inaugural address. Illinois Governor Pat Quinn (D) recently told his state's enthusiastic Chamber of Commerce that workers comp reform will happen “this year.”

While some bipartisan efforts exist, Republicans generally push the reforms, which business groups and insurance trade associations support. And though many of these discussions have been brewing for years, the ongoing efforts seem to dovetail nicely with the anti-labor zeitgeist fostered in Wisconsin and Ohio, as stories of able-bodied workers gaming the system now abound in legislative halls.

A representative of the Workers Injury Law & Advocacy Group (WILG), which represents claimants’ attorneys, told HuffPost that “workers’ rights and benefits, nationwide, appear to be under greater attack this session.”

North Carolina serves as one of the prime battlegrounds, where a Republican-sponsored bill would cap the amount of time an injured worker can collect compensation at 500 weeks. Right now there is no time limit. The state's GOP has tried unsuccessfully to implement caps before, but now that the party controls both the House and the Senate for the first time in a century, the measure may have its best shot.

A study released by the Workers’ Compensation Research Institute last year deemed North Carolina’s workers comp costs among the highest of 15 states studied. Proponents of the reform argue higher taxes and insurance premiums for employers discourage businesses from settling or staying in the state, and the system is ripe for abuse without caps. Earlier this month, a scrum of injured workers and labor groups showed up at the state's assembly steps to protest the proposal.

“We believe there’s a number of provisions being proposed that would hurt workers,” said James Andrews, president of the AFL-CIO for North Carolina. He warns that the bill could make it harder for injured workers to change doctors and that it would redefine what “suitable” employment means. “It would require workers to take Walmart-type jobs in an effort to quickly return to work,” James said.

Sorting out the real costs and savings of reform hasn’t been easy. Ray Evans, the director of the North Carolina Rate Bureau, the state-chartered non-profit that determines insurance rates, said the impact of a cap isn’t clear and the discussion tends to veer off into emotionally charged territory.

“In this legislative environment, it’s difficult to separate the anecdotal evidence from what we consider more factual evidence,” said Evans, whose bureau doesn’t take a position on the possible reforms in North Carolina. “We hear all the time about people on disability out playing golf or basketball. We don’t know if that’s urban legend.”

In Illinois, members of both parties have vowed to tackle the workers comp issue. Quinn recently told the business community that reform could save local companies half a billion dollars. Calling for an overhaul of the state’s compensation commission, Quinn said, "Nobody's going to get scalped in the reform -- someone might get a hair cut -- but nobody's going to get scalped."

Although a few reforms would be possible in Illinois, one may fundamentally change the definition of a compensable injury, by requiring the worker to show that the accident was the "primary" factor in the resulting disability. The state head of the AFL-CIO has called this provision “deal-breaker” for labor. WILG argues that one Illinois bill would “effectively abolish" the Illinois Workers’ Compensation Act and put cases with the state’s circuit courts rather than with its compensation commission.

Last week, Montana Governor Brian Schweitzer (D) signed a bill pushed by the Republican-led legislature that will change the state's workers compensation system significantly, including limiting benefits to a five-year period (two-year extensions are possible) and making those injured during a break ineligible. Proponents said the measure will cut expenses by 25 percent in a state known to have both some of the highest workers comp costs in the country and some of the highest workplace injury rates.

The Montana reforms came after five years of negotiations, and it’s unlikely the bills in Maine and North Carolina will move swiftly given the resistance from labor groups. In the meantime, those following the developments expect more heated debate and hyperbolic talk in the statehouses.

Many people probably won’t understand their state's compensation systems -- or the implications of ongoing reforms -- until the time comes to file a claim. “For the most part, folks don’t have a good idea on the differences in workers compensation programs,” said Evans of the N.C. Rate Bureau. “You can ask a hundred different people on the street how it all works, and I’m not sure you’d get an informed answer.”

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Former cop Bill Fournier told the Maine state legislature last week about the time he responded to a crime scene and found a 4-year-old girl burned alive in an oven. The grisly 1984 murder sent his li...
Former cop Bill Fournier told the Maine state legislature last week about the time he responded to a crime scene and found a 4-year-old girl burned alive in an oven. The grisly 1984 murder sent his li...
 
 
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02:52 PM on 05/12/2011
Workers' Compensation is now being targeted in Washington State. Check out this little post about a major battle that is mostly going unnoticed in national media: http://emeryreddy.com/blog/2011/05/workers-compensation-crisis-stalls-washington-state-budget/
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Ann Cornell
07:59 PM on 05/02/2011
Bill I fully understand your pain it's not a matter that can be explained or described but Workers Comp, Dept of Labor, feels no empathy for humans. They refuse to give a claimants their benefits unless we're Dead. This is a sad issue that Deptt of Labor and their Claim examiners are set out to destroy the injured by denying medical bills, mental evaluation bills, etc. Workers Comp. has given everybody a chance to explain why we as injured claimants shouldn't get our benfits. When the injured doctors verbally state claimants require counseling to cope with the many life changing defects tossed upon the injured. Immediatedly we're DENIED and Forgotten along with our employer's insurance companies why? I know many injured claimants that have taken their lives because Workers Comp has refused to release Benefits therefore many have LOST all they own. Why? I hope and wish the best for you due to the fact that the ordeal you visited at that time will forever be STAMPED in your mind. I don't understand how every claimant can be Denied benefits that includes medical and life support that let's a person breathe the joy of life somehow. Dept of Labor should be EMBARRASSED but I Doubt that seriously.
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dan-o
11:28 AM on 04/30/2011
I was injured at work and the WC system is a nightmare. Businesses pushed for WC back in the early part of the 20th century because when someone was hurt they had to sue the employer or anyone else involved. Imagine all the businesses that would go under after being sued by their injured employees. The system was set up to protect both sides when an injury happened. Business owners should not wish for too many reforms because the system may fall apart and we may have to go back to the bad old days.
09:15 AM on 04/26/2011
If insurance companies don't cover these workers, tax payers will.

So decide if you want more money for insurance companies and higher taxes... or fiscal and personal responsibility.
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rotorhead1871
who are you jivin' with that cosmic debris?...
12:27 AM on 04/25/2011
insurance opportunity...
HUFFPOST SUPER USER
robert horwitz
09:08 AM on 04/24/2011
No that's not Yellow Rain coming down on you. It's Trickle Down Economics.
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dtallwalk
03:08 AM on 04/24/2011
The way I see it when the worker's in the past were put in unsafe conditions and they were
Getting hurt and front line police and fire worker had to endure something’s that were
Described in the stories listed above. Workers fought for safer working conditions
And treatment for things that were seen wail doing their job horrible things
These thing called workers rights were put in place many years ago and those who
Put these polices in place are long since gone. Maybe it’s a case of running full circle
And we are going back to where we started. Back then it was all about the money
And now it is again about the money. Insurance Co don’t want the liability
Corporations feel the need to lower their costs states don’t want to lose the revenue
All Workers want is a job that won’t ruin their state of mind or their body.
And live a life with dignity. Yes there are some that will milk the system
But for corporation’s and states to use the few as the rule to diminish the rest of us
Is not in the best interest of America.
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mountainweb
Conservative Commonsense
07:52 AM on 04/23/2011
Sadly this is really not a democrat vs republican issue even though democrats are way too quick to try to make it that way. A problem in this county is the massive disconnect between upper management of companies and those below them and the "short term" business view vs the long term. Companies no longer plan for 5-10 years out, its in 3 month shots with management bonuses tied to the results, for managers that may only spend 3 years working for a company before moving on. The people a mid-level and below are stuck with the bad decisions made by people who left the company before anyone could hold them accountable for those decisions.
11:12 AM on 04/25/2011
We venerate the ivy league business schools - when in reality, they have produced a generation of greedy, thoughtless business executives.
09:14 AM on 04/26/2011
There's only a couple problems with your comment:

1) its funny how you claim its not a partisan issue and then proceed to accuse an entire party of making it one... which is "pot, meet kettle" at its finest.
2) its absolutely a partisan issue. In NC, these reforms are being pushed solely by Republican members of the state house.
3) you're at least right that it SHOULDN'T be a partisan issue, but a quick look at campaign contributions in NC makes it pretty clear why some folks push insurance company friendly legislation...

EVERYTHING has become a partisan issue in this country... and that's why we're failing.
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nkurland
I'm going to leave this planet alive
02:51 AM on 04/23/2011
So workers will have no collective bargaining rights, increased out of pocket costs for health insurance and pensions, non existent COLA's, 32% off coupons for private health insurance in the form of Medicare vouchers and reduced Social Security benefits. No matter how much the GOP tries to spin it, putting everyone to work at starvation wages doesn't qualify as "prosperity."
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mariusvinchi
Saint Lucia is looking better and better every day
05:15 AM on 04/23/2011
Add to that the concerted effort to castrate OSHA and cap tort limits and you get a very clear picture of the corporate dystopian country the US Chamber etal. envisions.
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NHGranite
Killer Koala escapes diner, eats shoots & leaves
10:17 AM on 04/23/2011
They want women to work because they can pay them less. They don't want any govt interference so they can form monopolies, back to Robber Baron philosophy.

Add in No health care, no food stamps, no unemployment or workers' comp, no Medicare or social security, and no abortion, you get workers who are willing to accept a slavery-wage economy and if not here, then overseas. Or more cannon-fodder military in the ranks while we privatize the rest of war.
12:48 AM on 04/23/2011
All those tax cuts for the rich and well off, bailouts for banks and Wall Street, constant wars.....where did we think the money would come from?

answer: the ordinary workers and taxpayers
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08:58 PM on 04/22/2011
The agenda is to strip workers of all rights and benefits and treat them like the tools they are.
Broken tools are simply replaced without remorse or sympathy. Tools exist to work and produce nothing more and definitely nothing less. REPUBLICANS DO NOT CARE FOR
YOU,THEY ONLY WANT YOUR VOTE SO THEY CAN CARRY OUT THEIR AGENDA!!
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crookedcountyillinois
Professional Illinois Government "Watchdog" and No
08:20 PM on 04/22/2011
Wherever AFL-CIO stands on an issue, I'm inclined to stand in opposition.

There's a difference between fighting for what's right, and fighting for what's right for dues-paying members. And what's best for their members is rarely good for taxpayers.
09:38 AM on 04/23/2011
Union members are tax-payers
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crookedcountyillinois
Professional Illinois Government "Watchdog" and No
06:15 PM on 04/23/2011
Are you saying that every taxpayer should have a taxpayer-funded job?

You know that that's mathematically possible. Right? The lionshare of the money has to come from somewhere.
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04:18 AM on 04/24/2011
Sorry to disagree, but many of the "perks" like minimum wage, 40 hour work weeks, vacation, etc. were brought about to ALL working class persons on the backs of unions. No I am not and never have been union.
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crookedcountyillinois
Professional Illinois Government "Watchdog" and No
11:42 PM on 04/24/2011
Show me your linear regression model.
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HUFFPOST COMMUNITY MODERATOR
ChiGuy
Just an earthbound misfit, I
07:33 PM on 04/22/2011
So far, since Republicans scored major victories last November, our country has witnessed an assault on labor, the relaxation of child labor laws, and now this.

If you truly think that Republicans actually care about the middle and lower classes in this country, you are dum*er than a box of rocks.

They are all about big business profit margins. All the time.
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04:23 AM on 04/24/2011
The problem is the repub. middle class thinks you are wrong, and will take Rush's words over facts. Who are they going to believe, Rush or their own lyin' eyes?
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caneca
06:11 PM on 04/22/2011
An easy way to fix the worker's compensation mess: get rid of wrokers compensation insurance.
If we had universal health insurance, the workers compensation insurance wouldn't be necessary. You get the treatment that you need regardless of what caused your injury.
Billions of dollars and millions of hours would be saved by eliminating the need to establish causality and pre-existing conditions.
06:16 PM on 04/22/2011
I don't think that will work...because not only does workers compensation include medical benefits, it also pays out temporary and permanent disability benefits. You get hurt and you are not medically cleared, you receive 2/3 of you regular pay (tax free). And this is not taken from your vacation or sick time (it shouldn't be). I wish your suggestion would solve the problem.
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Pearlswan
Born in Philly yet my heart's now in Frisco
07:40 PM on 04/23/2011
Yes, you get those payments until you reach 80% of your projected "benefit" amount. Then your payments stop without any notice or warning. That is if the benefits keep coming but they are more often than not interrupted for reasons you are not told about. If your WC case lasts more than 18 months and you make 60K a year or less you won't be getting any temporary or permanent disability payments for the entire duration of your case. In fact, you must wait until final settlement, approx. 5 years post-injury. At that time, you get whatever the lawyers don't get from what hasn't been paid out after the insurance companies work their magic math to lower your payment to the minimum possible. Average payment at settlement seems to be less than 5K. And, the law says that you have to get all your accrued vacation & sick time paid out before you can begin to collect any disability at all. Unfortunately, what should or shouldn't be has nothing to do with what is.
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dan-o
11:34 AM on 04/30/2011
The pay is up to the state maximum so not all people receive the 2/3 of their average weekly wage.
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whoknew42
Credulity is not a virtue
06:07 PM on 04/22/2011
Since when did the working man/woman become the enemy in this country?

Read your history books, people (but not the ones from Texas!) - we have been here before!

Whenever workers try to fight for their rights - the right to work in a safe environment; the right to make a livable wage; the right to take off when they are sick - it was because they had to fight for those rights. The companies didn't just offer them up front.

No one blinks an eye when a report mentions how much money a Banking, Insurance Company or Pharmacuetical company CEO makes - everyone thinks that's A-OK! But, when a working man/woman, whose trying to just make a living and support their family, gets so much as a 10% raise off of 30,000/year, people lose their minds!

Everyone's been duped by the Koch brothers and Fox news into believing that making a decent living and fighting for your rights is a bad thing
goleafsgo
A Lie stands on one leg, Truth on two.
07:24 PM on 04/22/2011
Yes, whonew.   Corporate Teapublicans were voted in and now they are making their moves.  People have to see that this is a nation-wide effort.   A concerted effort, a co-ordinated plan to eliminate the middle class thus destroying the structure of democracy.    If the electorate remains uninformed or, as you say - "duped" - and votes for them again, America is in serious trouble.

Fanned and faved.
12:52 AM on 04/23/2011
SOME of us notice.
All of it.

2012

2012's elections will tell the story.
We will see if some (enough) of the sheeple finally get it.
The Repug politicians do NOT care about the lower classes, just their votes.