North Carolina Workers' Compensation Law: A Practical Guide to Success at Every Stage of a Claim, Third Edition

North Carolina Workers' Compensation Law: A Practical Guide to Success at Every Stage of a Claim, Third Edition

by North Carolina Advocates for Justice

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Overview

North Carolina Workers' Compensation Law: A Practical Guide to Success at Every Stage of a Claim is a must have reference guide for all North Carolina workers' compensation practitioners. This publication addresses recent changes to the North Carolina Workers' Compensation Act and guides practitioners through all stages of a workers' compensation claim.

This workers' compensation manual does not merely recite the statute and case law—it provides in-depth analysis of legal issues and offers practical advice from experienced North Carolina workers' compensation practitioners on a wide range of topics including litigating injury by accident and occupational disease cases, fighting obstacles to appropriate medical compensation, handling death claims and third party actions, defining and proving disability, calculating average weekly wage, and much more.

The Executive Secretary, Deputy Commissioners, a Commissioner, and a Court of Appeals Judge also offer their practical tips for successfully litigating a North Carolina workers' compensation claim at every stage, including advice for filing motions with the Office of the Executive Secretary, representing clients in Form 23 and Form 24 proceedings, filing Expedited Medical Motions, litigating a case at the Deputy Commissioner Level, handling an appeal at the Full Commission level, and handling an appeal at the appellate court level.

Lastly, the manual includes access to more than 10 Industrial Commission Forms and 24 sample motions and orders. This publication is edited by Gina E. Cammarano of Farah&Cammarano, P.A. and Valerie A. Johnson of Copeley Johnson&Groninger, PLLC, both of whom are North Carolina State Bar board certified workers' compensation specialists.

Product Details

ISBN-13: 9781522123446
Publisher: LexisNexis
Publication date: 01/27/2017
Sold by: Barnes & Noble
Format: NOOK Book
Sales rank: 1,086,174
File size: 13 MB
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Table of Contents

CHAPTER 1.  Introduction and Historical Overview
I.  THE INDUSTRIAL REVOLUTION
II.  THE DEVELOPMENT OF WORKERS' COMPENSATION
III.  THE WORKERS' COMPENSATION SYSTEM IN THE UNITED STATES
IV.  WORKERS' COMPENSATION ACTS WERE COMPROMISE LEGISLATION

CHAPTER 2.  Industrial Commission Jurisdiction in North Carolina Workers' Compensation Claims
I.  INTRODUCTION
II.  JURISDICTION OF THE PARTIES
III.  JURISDICTION OF THE INJURY
IV.  APPELLATE JURISDICTION
V.  MISCELLANEOUS JURISDICTION
VI.  CONCLUSION

CHAPTER 3.  Injury by Accident
I.  OVERVIEW AND HISTORY
II.  STATUTORY DEFINITION AND INTERPRETATIONS
III.  GENERAL RULE
IV.  SPECIFIC TRAUMATIC INCIDENTS
V.  SUMMARY

CHAPTER 4.  Injuries Arising out of Employment
I.  OVERVIEW AND HISTORY
II.  STATUTORY DEFINITION AND INTERPRETATIONS
III.  TESTS TO DETERMINE CONNECTION TO WORK
IV.  CATEGORIES OF INJURIES
V.  SUMMARY

CHAPTER 5.  In the Course of the Employment
I.  INTRODUCTION
II.  PREMISES EXCEPTION
III.  CONTRACTUAL DUTY EXCEPTION
IV.  WHEN THE WORKER IS REQUIRED TO USE HER OWN VEHICLE AT WORK
V.  SPECIAL ERRAND EXCEPTION
VI.  DUAL PURPOSE EXCEPTION
VII.  TRAVELING SALESPERSON EXCEPTION
VIII.  CONCLUSION

CHAPTER 6.  Proving Causation in Workers' Compensation Cases
I.  THE STARTING POINT: THE GENERAL PRINCIPLE
II.  WHEN THE WORKPLACE ACCIDENT/DISEASE IS NOT THE SOLE CAUSE OF DISABILITY
III.  UNKNOWN CAUSES
IV.  CHAIN OF CAUSATION AND INTERVENING CAUSES
V.  ISSUES REGARDING PROOF OF CAUSATION

CHAPTER 7.  Proving Disability
I.  INTRODUCTION
II.  STATUTORY PROVISIONS
III.  MEANING, PRESUMPTIONS, AND THE BURDEN OF PROOF
IV.  STANDARDS FOR PROVING DISABILITY
V.  TOTAL DISABILITY
VI.  PARTIAL DISABILITY
VII.  2011 AMENDMENTS

CHAPTER 8.  Occupational Diseases
I.  INTRODUCTION
II.  STATUTORY PROVISIONS
III.  LISTED OCCUPATIONAL DISEASES
IV.  UNLISTED OCCUPATIONAL DISEASES
V.  LAST INJURIOUS EXPOSURE
VI.  STATUTE OF LIMITATIONS
VII.  PRACTICAL CONSIDERATIONS

CHAPTER 9.  Medical Compensation
I.  MEDICAL COMPENSATION-AN OVERVIEW
II.  MEDICAL COMPENSATION AS DELINEATED BY STATUTE
III.  MEDICAL COMPENSATION AS DESCRIBED BY INDUSTRIAL COMMISSION RULES
IV.  MEDICAL COMPENSATION AS DISCERNED BY CASE LAW
V.  MEDICAL COMPENSATION AS DEVELOPED BY COUNSEL
VI.  MEDICAL COMPENSATION - CONCLUSION
VII.  APPENDIX

CHAPTER 10.  Vocational Rehabilitation
I.  HISTORICAL OVERVIEW
II.  HOW VOCATIONAL REHABILITATION WORKS IN NORTH CAROLINA WORKERS' COMPENSATION CASES
III.  PRACTICE TIPS
IV.  APPENDIX

CHAPTER 11.  Access to Medical Information: N.C. Gen. Stat. § 97-25.6
I.  INTRODUCTION
II.  ACCESS TO MEDICAL RECORDS
III.  WRITTEN COMMUNICATION WITH HEALTH CARE PROVIDERS
IV.  ORAL COMMUNICATIONS
V.  COMMUNICATIONS BY/WITH REHABILITATION PROFESSIONALS
VI.  APPENDIX

CHAPTER 12.  Average Weekly Wage
I. INTRODUCTION
II. CALCULATION OF THE AVERAGE WEEKLY WAGE
III. DETERMINATION OF THE AVERAGE WEEKLY WAGE IN SPECIAL CIRCUMSTANCES

CHAPTER 13.  Credits Under the North Carolina Workers' Compensation Act
I. CREDITS FOR ALTERNATIVE PLAN PAYMENTS (N.C. Gen. Stat. § 97-42)
II. CREDITS FOR UNEMPLOYMENT COMPENSATION (N.C. Gen. Stat. § 97-42.1)
III. APPENDIX

CHAPTER 14.  Settlement, Clinchers, Ratings and Change of Condition
I. INTRODUCTION
II. RATINGS
III. SETTLEMENTS
IV. SPECIFIC SITUATIONS AND ISSUES
V. PARTING WORDS
VI. APPENDIX

CHAPTER 15.  Death Claims
I. INTRODUCTION
II. TIME LIMIT ON THE OCCURANCE OF THE DEATH
III. NOTICE AND FILING REQUIREMENTS
IV. INDEPENDENT CLAIM THAT ARISES AT DEATH
V. CAUSATION
VI. DISTRIBUTION OF BENEFITS
VII. BENEFICIARIES: WHOLE DEPENDENTS, PARTIAL DEPENDENTS AND NEXT OF KIN
VIII. ASBESTOSIS OR SILICOSIS CLAIMS
IX. WHERE AN EMPLOYEE DIES OF UNRELATED CAUSE BEFORE COMPENSATION DUE IS PAID
X. INDUSTRIAL COMMISSION HEARINGS
XI. ISSUES APPLICABLE TO ATTORNEYS IN DEATH CLAIMS
XII. APPENDIX

CHAPTER 16.  Consider Using G.S. § 97-10.2(j) to Bring Your Client Closer to Whole
I.   INTRODUCTION
II.  WHY YOU SHOULD CONSIDER USING THE G.S. § 97-10.2(J) PROCEDURE
III.  EVALUATE YOUR CLIENT'S CASE
IV.  WHEN TO FILE A G.S. § 97-10.2(j) ACTION
V.  WHAT TO FILE
VI.  WHERE TO FILE A G.S. § 97-10.2(j) ACTION
VII.  ELEMENTS OF PROOF NEEDED FOR A G.S. § 97-10.2(j) ORDER
VIII.  NECESSARY EVIDENCE AT A G.S. § 97-10.2(j) HEARING
IX.  THE ISSUES THE PRESIDING JUDGE IS ALLOWED TO DECIDE X. DISTRIBUTION OF THE PROCEEDS
XI.  POSITIVE OUTCOMES OF G.S. § 97-10.2(j) PROCEEDINGS
XII.  DOES THE CLIENT HAVE TO CHOOSE BETWEEN PURSUING HER WORKERS' COMPENSATION CLAIM AND PURSUING A THIRD PARTY ACTION?
XIII.  INTERPLAY BETWEEN UM/UIM AND WORKERS' COMPENSATION LIENS
XIV.  CONCLUSION
XV.  APPENDIX

CHAPTER 17.  Motions Practice Before the Office of the Executive Secretary and Form 23 And Form 24 Informal Hearings - A Practical Guide
I.  INTRODUCTION
II.  MOTIONS PRACTICE
III.  FORM 23 AND FORM 24 APPLICATIONS
IV.  CONCLUSION
V.  APPENDIX

CHAPTER 18.  North Carolina Industrial Commission Expedited and Emergency Medical Motions
I.  OVERVIEW
II.  WHEN A MEDICAL MOTION MAY BE FILED
III.  PROCEDURE FOR EXPEDITED MEDICAL MOTIONS
IV.  PROCEDURE FOR EMERGENCY MEDICAL MOTIONS
V.  APPELLATE REVIEW OF DECISIONS DEMMED INTERLOCUTORY
VI.  GENERAL DISCUSSION

CHAPTER 19.  Practical Tips for Workers' Compensation Hearings
I.  SCOPE NOTE
II.  INTRODUCTORY INFORMATION
III.  THE PRE-HEARING PROCESS
IV.  DOCKETING AND IMMEDIATE PRE-HEARING PROCESS
V.  THE HEARING ITSELF
VI.  POST-HEARING
VII.  CONCLUSION

CHAPTER 20.  Practice Before the Full Industrial Commission
I.  INTRODUCTION
II.  NOTICE OF APPEAL
III.  APPEALS TIMELINES AND CLERK'S OFFICE PROCEDURES FOLLOWING APPEAL TO THE FULL COMMISSION
IV.  FORM 44 APPLICATION FOR REVIEW
V.  SCOPE OF FULL COMMISSION REVIEW
VI.  FULL COMMISSION MEDICAL MOTION PROCEDURE
VII.  EXHIBITS/TRANSCRIPTS
VIII.  MOTIONS OR COMMUNICATIONS AFTER APPEAL IS FILED
IX.  BRIEFING YOUR CASE BEFORE THE FULL COMMISSION
X.  ARGUING YOUR CASE BEFORE THE FULL COMMISSION AND POST-DECISION MOTIONS
XI.  APPEALS TO THE NORTH CAROLINA COURT OF APPEALS
XII.  REMAND FROM THE APPELLATE COURTS
XIII.  APPENDIX

CHAPTER 21.  Effective Appellate Advocacy for Workers' Compensation Practitioners
I.  GENERAL APPELLATE CONSIDERATIONS
II.  PREPARING FOR THE APPEAL AT THE COMMISSION STAGE
III.  RECORD ON APPEAL
IV.  THE BRIEF: THE MOST IMPORTANT DOCUMENT OTHER THAN THE ORDER
V.  CORRECTING RULES VIOLATIONS
VI.  MEDIATION
VII.  ORAL ARGUMENTS
VIII.  MISCELLANEOUS

CHAPTER 22.  Medicare as a Secondary Payor and Workers' Compensation Settlements
I.  INTRODUCTION

INDEX

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