The ISIA is pleased to present its 2021 VIRTUAL “NUTS AND BOLTS” program.  This program is designed as a basic, entry-level introduction to Illinois Workers’ Compensation. 

Why would I do a Medicare Set-Aside when an individual has an alternative form of health insurance, whether that be through group health insurance after the age of 65 while working for the respondent-employer or through a spouse?

In the words of Ralph Waldo Emerson, every sunset brings the promise of a new dawn. For first responders and front-line workers affected by COVID-19, the sunset provision of House Bill 4276 extends the promises and benefits of the COVID presumptive laws from December 31, 2020 to June 30, 2021.

The phrase “no risk, no reward” is especially relevant in workers’ compensation, where risk is central to a compensable injury.

The concept of risk is a heavily debated, highly contentious, and extremely nuanced area of Illinois Workers’ Compensation law. 

Although our nation is currently focused on the COVID-19 pandemic, the opioid abuse epidemic continues to claim many lives.

Prescription drugs can make up a large part of a Medicare Set-Aside.  Since Medicare prices future prescription drugs using average wholesale price, the ultimate cost of the drugs through a pharmacy benefits manager (PBM) is often less than the average wholesale price.

Almost every Workers’ Compensation Medicare Set-Aside (WCMSA) includes future diagnostic imaging studies, usually x-rays and MRIs.

Most workers’ compensation claims adjusters would agree that the best claim is a closed one. 

At NBKL, we pride ourselves in our ability to take teamwork to the next level, and in a recent MSA case, we put this teamwork to the test.