In Kigin v. WCB, the Court of Appeals upholds the presumption that treatment outside the MTGs is not medically necessary and the attending physician has the burden of proof of the need for a variance.

By decision drafted by Justice Pigott (Justices Read, Smith and Abdus-Salaam concur) the New York Court of Appeals affirms that the Workers’ Compensation Board did not exceed its statutory authority when it promulgated portions of the Medical Treatment Guidelines. The...

DID YOU KNOW? THE BOARD HAS RETIRED THE CONCEPT OF THE COMPENSABLE RETIREMENT. The Death Knell of the Trifecta: Zamora and the so-called “Compensable Retirement”

A Brief Summary: Zamora reshaped the landscape of New York workers’ compensation law and opened PPD claims to challenges on labor market attachment (provided you can get the case reopened). It also dramatically tightened the legal standards for claimant’s seeking an...

LESS THAN TWELVE WEEKS REMAINING FOR WCL §25-a! Because Subject # 046-630 Contains Stricter Requirements for Reopening a Claim on the Issue of §25-a, Prudent Carriers and Employers May Want to Refer Applications to Defense Counsel

According to Board Subject #046-630, there are five mechanisms by which the issue of WCL §25-a may be raised prior to January 1, 2014: 1.) The claimant’s filing of a written application for compensation; 2.) The filing of a medical report indicating a change of...
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