STORE CLERK KILLED OVER UNACCEPTABLE CASH PAYMENT: INJURED WORKERS IN THE NEWS, #106

As reported on kansascity.com, a 21-year-old Store Clerk was fatally shot by a Customer.  The murder of the clerk was the result of a currency dispute;  the Customer tried to make a cigar purchase with money that was in bad shape.  The Clerk refused the payment.  According to the account, “the Customer pulled out a gun and demanded the cigar…[and]… The Clerk gave the Customer the cigar and asked him to leave.” The Customer proceeded to fire two shots at the Clerk.

This case will be analyzed under California Law.  The reporting on this matter did not speak of any spouse, children or dependents.  Thus, this article will discuss what occurs when there is a work-related death without any dependents.

What Happens When There is An Industrial Death When There Are No Beneficiaries?

California Workers’ Compensation Law has a provision that allows for the State of California to receive benefits when an Injured Worker dies without a beneficiary.  Labor Code Section 4706.5 provides “(a) [w]henever any fatal injury is suffered by an employee under circumstances that would entitle the employee to compensation benefits, but for his or her death, and the employee does not leave surviving any person entitled to a dependency death benefit, the

employer shall pay a sum to the Department of Industrial Relations equal to the total dependency death benefit that would be payable to a surviving spouse with no dependent minor children.”

In these circumstances, Insurance Carriers will generally conduct an investigation to locate any possible dependents.  If there is none, they will be obligated to make payment to the state.

Tragic Fate: Italian Cheesemaker Perishes in Cheese Wheel Avalanche: Injured Workers in the News, #96

A workplace tragedy raises an interesting workers’ compensation hypothetical question.  It was reported that a Farmer was crushed to death by an avalanche of Parmesan Style Cheese Wheels. From the news account, it appeared that the Farmer owned the business.  This fact pattern raises the question as to whether a business owner can also be covered under workers’ compensation benefits.  In addition to that issue, this article will analyze the industrial causation aspect to the accident.

Would This Accident Qualify As A Workers’ Compensation Injury?

As workers’ compensation is a “no fault” system, the accident described, either accidental or unexplainable, would be considered as work-related.   Workers’ Compensation Law does not require that the exact cause of injury be determined.  Rather, the accident is viewed under a prism of reasonable probability.   As it was most likely accidental in nature, the incident would be considered work-related.  As the death was caused by the avalanche of cheese, the death would be considered as industrial.

Can An Employer Or Owner Of A Company Be Considered As An Employee Eligible For Workers’ Compensation Benefits?

In California,  it is possible for employers to participate in their workers’ compensation claims’ policy.   In order to do so, the employer should contact the carrier and make arrangements.  For example, a corporation owner may take salary at the company.  As such, the owner is technically an employee.   If the owner chooses to do so, they would be required to pay for the insurance premium based upon their salary.  Likewise, if no arrangement is made, the employer is likely to be viewed as a non-employee and not eligible for benefits.

What Death Benefits Would Be Available?

If the death was covered under workers’ compensation, the Farmer’s dependents would be entitled to death benefits.  Further, burial expenses are available up to $10,000.00.

What If I Need Legal Advice?

If you would like a free consultation regarding workers’ compensation, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. We have been helping people in Central and Southern California deal with their workers’ compensation cases for 30 years. Contact us today for more information.

83-Year-Old Home Depot Employee Death: Injured Workers in the News #72

An 83-year-old Home Depot Worker died six weeks after sustaining a work injury.  He had been shoved to the ground by a serial shoplifter while apparently trying to stop a theft.  The Home Depot Worker sustained injuries as a result of the shove and he lived for 5 weeks before passing. The medical examiner has ruled the death to be a homicide. Dailymail.com

This article will discuss how the Injured Worker’s death was work-related for the purposes of obtaining death benefits.

Does A Time Delay Between The Work Injury and The Death Matter for the Purposes of Pursuing a Death Claim?

Yes and No.  California Workers’ Compensation Law provides for 240 weeks from the date of the injury to the date of death for the period of the delay.  Deaths happening beyond this period are likely barred by the statute of limitations.   Thus, a five week delay in the passing would be within the statute of limitation.  The claim would be timely and dependency death benefits are warranted.

Does the Medical Examiner’s Opinion of Homicide Determine  Industrial Causation?

No.  The Medical Examiner’s opinion that the death was a homicide is a medical determination within the area of criminal law. In California, workers’ compensation and criminal law have different burdens of proof.   California Workers’ Compensation Law has a reasonable medical probability standard.   Likewise, the work injury’s relation to the death has a specific standard as well.  The South Coast Framing case standard that applies:  It is well established that for the purpose of meeting the causation requirement in a workers’ compensation injury claim, it is sufficient if the work is a contributing cause of the injury. (South Coast Framing, Inc. v. Workers’ Comp. Appeals Bd. (2015) 61 Cal. 4th 291, [188 Cal. Rptr. 3d 46, 349 P.3d 141, 80 Cal. Comp. Cases 489].) “

Thus,Workers’ Compensation medical examiners will have to express an opinion whether, within reasonable medical probability, that the work injury was a contributing factor in the Injured Worker’s death.   Arguably, the Medical Examiner’s opinion, which most likely is criminal law based, expresses that it a higher standard than workers’ compensation law requires.

While one could argue that the Medical Examiner’s opinion should be binding, there argument is arguing apples and oranges.  Even with such an opinion, it is likely that a carrier would also seek an opinion within the workers’ compensation system.  This could be a QME, a Treating Doctor or an Agreed Medical Examiner on the issue.

What if I Need Advice?

If you would like a free consultation regarding workers’ compensation, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. We have been helping people in Central and Southern California deal with their workers’ compensation cases for 27 years. Contact us today for more information.

work injury claim form with a judge's gavel

City Worker Dies After Being Electrocuted in a Cherry Picker: Injured Workers in the News #69

A sad story comes out of Houston, Texas.  During election season, a Parks and Recreation Department Worker suffered a work-related injury- electrocution-  and died.  Foxnews.com

News reports offer sparse information.   Thus, we will create a hypothetical and assume that the electronic voting system was the source of the electrocution.  The death, in an of itself, would likely trigger an OSHA investigation to determine the cause of the death.

Assuming the hypothetical fact pattern that the Parks Worker was working on election issues and that the voting machine caused their death, we will discuss the issues that would arise.

What Type of Claims Can Be Brought in This Circumstance?

Under California Law,  since the employee passed away, his or her dependents would be eligible to claim dependency death benefits.  Likewise,  they would be eligible to received up to $10,000.00 relating to burial expenses.  The dependency analysis involves marital status, the age and health of children, and the amount of support that the deceased provided to any claimed dependent.   Also, for spouses earning less than a certain amount and for minor children, there are presumptions that may be employed to claim dependency may be employed.

For the Purposes of Workers’ Compensation, Who Was The Deceased Worker’s Employer?

Elections can involve multiple government agencies.  Employees from one government agency could be placed on loan to others. Thus, a question can be raised as to “who was this person’s employer at the time of death? ”

Why Is The Employer Determination Important?

In this matter, the determination of the employer is important.  First, this knowledge will inform the dependents to place in a claim,  Likewise, the determination may establish the possibility of a third party case.   Hypothetically, if the electrocution occurred as a result of defective election equipment, it is possible that the owners of the equipment and the manufacturers of the equipment may have some liability.  Also, if the employee was considered to work for the City of Houston, they could potentially sue the County which was responsible for the running the election and for the election machines.

What if I Need Advice?

If you would like a free consultation regarding workers’ compensation, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. We have been helping people in Central and Southern California deal with their workers’ compensation cases for 27 years. Contact us today for more information.

work injury claim form with a judge's gavel

Amazon Driver Killed by Dogs: Injured Workers in the News #67

An Amazon Delivery Driver was tragically found dead.  Two dogs are suspected to have attacked the Driver. A news reports has a quote from  an authority that “[d]ue to the fact of the nature of some of the injuries to the male driver, we can’t confirm or deny if (the dogs) were the cause of the death of the driver, however we wanted to be safe,” … said. It was noted that “[a] preliminary investigation indicates that animal bites played a role in the Amazon worker’s death, but a medical examiner will make the final determination.”  nypost.com

This article will discuss how the workers death will be analyzed as far as an industrial injury.

How Will The Death Causation Be Analyzed for Workers’ Compensation Purposes?

In California, the death need not be solely related to a work incident.  The California Supreme Court in South Coast Framing, Inc. v. Workers’ Comp. Appeals Bd., 61 Cal. 4th 291, noted that “ contributing proximate cause within the meaning of Kimbol has been applied more broadly in the workers’ compensation context than in tort law. HN7 Death attributable to both industrial and nonindustrial causes may support a death claim, and industrial causation has been shown in an array of scenarios where a work injury contributes to a subsequent nonindustrial injury. An employee is entitled to compensation if a new or aggravated [15]  injury results from medical or surgical treatment for an industrial injury.”

Who Will Determine Whether The Death Was Industrial? 

In California, an Injured Worker is entitled to have a medical evaluation to prove up their claim of industrial medical causation.  In a death case, it can be an examiner who will review the medical records and coroner reports to address.  Usually, there is no need for them to examine the body.  This can be in the form of a Panel Doctor from the State of California who is a Qualified Medical Evaluator.  Otherwise, it can be a neutral doctor agreed upon; an Agreed Medical Examiner.

In accordance with South Coast Framing, the doctor will address the cause of death and whether the dog bites contributed to the death.  If the bites excited the worker and he had a heart attack and died, the bites would be found as a contributory cause of injury.

What if I Need Advice?

If you would like a free consultation regarding workers’ compensation, please contact the Law Offices of Edward J. Singer, a Professional Law Corporation. We have been helping people in Central and Southern California deal with their workers’ compensation cases for 27 years. Contact us today for more information.

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