Phia Group Russo & Minchoff

Connecticut Supreme Court Ruling on Workers’ Compensation Claims

Adam V. Russo | October 16, 2008

A self-insured employer may seek reimbursement from a guaranty association for an insolvent insurer’s apportioned share of a worker’s compensation claim, according to a recent decision of the Connecticut Supreme Court. A worker sought comp benefits from his employer which was either self-insured for workers’ comp or was covered under policies issued by various carriers. Since one of these carriers had declared bankruptcy, any workers’ compensation claims made against it were being administered by the Connecticut Insurance Guaranty Association (CIGA). The employer asserted an apportionment claim against CIGA which contended that a self-insured employer may not obtain reimbursement for an insolvent carrier’s share of workers’ compensation benefits. The high court rejected this argument and held that a self-insured employer is entitled to seek reimbursement in accordance with Supreme Court precedent establishing that self-insured entities may assert claims against CIGA. (more…)

Health Care Proposals for the States

Adam V. Russo | June 13, 2008

California

The California Assembly Health Committee recently passed a series of bills that will mandate expansion of specific benefits and health services for insurers. Benefits and services include mental health coverage (AB1877), screening and diagnostic test for gynecological cancer (AB1774), HIV testing (AB1894), maternity health care (AB1962), and breast cancer screening (AB 2234).  Insurance plans opposing bills argue that e increasing costs of the proposed mandates would total an estimated $2.7 billion annually and that 85,000 Californians would lose health insurance coverage because of the consequential higher premium costs. (more…)