The Georgia Governor and Legislature amended the Workers’ Compensation Act to limit the medical benefits afforded to injured workers. Currently, if you are injured on the job, you are entitled to “lifetime” medical benefits related to that injury so...
A colleague recently asked me what happens to the funds placed in an established Medicare Set-Aside when the injured employee/beneficiary dies before the funds are completely exhausted. Since my legal responsibility usually ends once an MSA is established I did not...
As a general rule federal law requires parties involved in workers’ compensation claim to consider Medicare’s interests in the event of a settlement. 42 CFR 411.46. However there is one major exception to this rule. According to the October 15, 2004,...
As April 15th draws nearer and my mailbox starts to fill with W-2 and yearly interest statements I am reminded of the old adage, only two things in life are certain; Death and Taxes. Oddly enough my recent dealings with Medicare Set-Asides (MSA) also remind me of...
Developing a Medicare Set-Aside makes it easy for insurers to consider Medicare’s interests during workers’ compensation negotiations. Federal law requires that employers, group health plans, and insurance companies, consider the Centers for Medicare and...
Workers’ compensation insurers will have to change the way they do business, starting July 1, 2009. On this date, the SCHIP Extension Act of 2007 will take effect, forcing liability insurers, self-insurers, no-fault insurers, and workers’ compensation...