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Workers’ Compensation

Workers’ Compensation Newsletters

Distribution of Proceeds From Third Party Action

Once a third party action has concluded and a recovery achieved for an employee’s injury, the matter of distribution arises. As a first priority, the general rule is that the party who paid the employee compensation (most likely the employer or its carrier) will be reimbursed in an amount equivalent to its compensation outlay. The employee will then be entitled to any excess funds that remain. Some states vary this by mandating that only a portion of the excess be turned over to the employee.

Fault of Employee

A core principle within the area of workers’ compensation is that the question of “fault” is largely irrelevant. It is only when the employee’s “fault” in connection with the injury is occasioned by him leaving the course of employment or is a statutory defense in a jurisdiction will the inquiry come into play. The test for workers’ compensation is generally not personal such that an employee’s misconduct, whether negligent or intentional, will affect the receipt of benefits. Rather, the test is merely whether the injury arose out of and in the course of employment.

Injury by Exposure and “Arising Out of the Employment”

Workers’ compensation for injuries resulting from exposure to the elements is not forestalled merely because a natural event was at the root of the injuries. Exposure injuries, such as heatstroke, freezing, frostbite, and pneumonia, may be compensable if the nature of the employee’s work increased the level of exposure over that of other members of the public. Some jurisdictions allow compensation if the risk of exposure to the employee was caused by his employment. In other words, regardless of whether the general public would or would not suffer the same exposure, it was the employee’s work that precipitated or caused the exposure.

“Residual Functional Capacity” in Social Security Disability Evaluation

As a correlative step in its disability evaluation, the Social Security Administration examines an individual’s residual functional capacity (RFC). The nature of the individual’s impairment(s) will determine to what degree his ability to work is impacted. The bedrock of the RFC assessment is what is the most that an individual can do; not the least. An individual’s RFC is that remaining functionality that the individual has despite the limitations caused by his impairment. An RFC assessment is made based on all the evidence, which may include the individual’s own account of his limitations, observations by physicians, psychologists, friends, neighbors, and the like, work attempt records, and the individual’s medical records.

Workers’ Compensation

Workers’ compensation is an employer-provided benefit that exists to aid an employee or his dependents in the event that the employee is injured or killed on the job. Workers’ compensation is governed by each state’s laws, but the general consensus is that eligibility for such benefits turns on whether the employee suffered an accidental injury that arose out of and in the course of his employment or an occupational disease.

Settlements & Awards
  • Mattoon. 13 IWCC 0307.

    52-year-old worker. 9th grade education. Left hand tendon laceration. Permanent restrictions. Failed job search. Permanent and total disability. Awarded $436.64 per week for life.

  • Champaign. 08 WC 024676.

    54-year-old CNA. Bilateral shoulder surgeries. Permanent restrictions. Two vocational experts failed to locate suitable light duty work. Permanent and total disability. Awarded $441.93 per week for life.

  • Springfield. 07 WC 022228.

    66-year-old maintenance worker. Failed two level lumbar fusion. Permanent restrictions. Failed job search. Permanent and total disability. Awarded $538.36 per week for life.

  • Quincy. 12 IWCC 0936.

    56-year-old municipal worker. Lumbar and S1 radiculopathy. Permanent work restrictions. No surgery. Failed job search. Awarded $466.13 per week for life. Total expected lifetime payout $581,730.00

  • Quincy. 12 IWCC0715.

    52-year-old CNA. Lumbar fusion. Permanent restrictions. Failed job search. Permanent and total disability. Awarded $420.33 per week for life. Total expected lifetime payout $671,571.96.

  • Springfield, IL. 07WC33626.

    63-year-old truck driver. Four shoulder surgeries. Permanent work restrictions. Failed job search. Permanent and total disability. Awarded $802.61 per week for life. Total expected lifetime payout $780,467.00

  • Quincy, IL. 09WC47036.

    56-year-old street worker. Disc injury. No surgery. Permanent work restrictions. Failed job search. Permanent and total disability. Awarded $466.13 per week for life. Total expected lifetime payout of award is $586,577.99

  • Quincy, IL. 06WC39148.

    52-year-old LPN. Lumbar fusion. Permanent work restrictions. Failed job search. Permanent and total disability. Awarded $420.33 per week for life. Total expected lifetime payout of award is $677,571.00

  • Springfield, IL. 10IWCC0667.

    56-year-old union pipe-fitter. Injured forearm/surgery. Permanent restrictions. Job change. Wage loss. Awarded wage differential of $550 a week for life. Total lifetime expected payout is $833,804

  • Springfield, IL. 10IWCC0875.

    54-year-old union laborer. Spinal injuries and head trauma. Unable to return to work. Permanent and total disability. Awarded $642.50 per week for life. Total lifetime expected lifetime payout of $998,400

  • Video Vault


    What happens if my workers compensation claim is denied?

    Lawyers at Boshardy law office, located in Springfield, IL answer your questions about what happens if your workers compensation claim is denied. If you need legal help with a work injury or workers comp case, contact the law firm at 800-595-5345. We offer a free consultation.
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