Eugene Criminal Defense - MJM Law Office, P.C.

Lawyer Interviews

MJM Law Office, P.C. was founded to provide clients with quality representation in criminal defense and family law, including matters such as DUI offenses, drug crimes, divorce, and child custody.

Mr. Mizejewski understands that effectively working through the legal system is a challenging process. MJM Law Office, P.C. works closely with clients to understand and resolve their issues, taking the time to listen to and understand each client's unique situation, and explain the available options.

Located in the heart of downtown Eugene, Oregon, MJM Law Office, P.C. focuses on serving clients in Lane County, Oregon. We are in the Lane County Circuit Court on a near daily basis, and are very familiar with the individual judges, district attorneys and court staff.

http://www.mjmlawoffice.com/criminal-law

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Workers’ Compensation Subrogation of Administrative Fees and Costs

When a worker covered by workers’ compensation makes a claim against a third party, the workers’ compensation insurance retains the right to subrogate against any recovery from that third party for all benefits paid to or on behalf of a claimant injured at work. When subrogating for more than basic medical and indemnity benefits, the Texas workers’ compensation subrogation statute provides that “the net amount recovered by a claimant in a third‑party action shall be used to reimburse the carrier for benefits, including medical benefits that have been paid for the compensable injury.” TX Labor Code § 417.002.

In fact, all 50 states provide for similar subrogation. However, none of them precisely outlines which payments or costs paid by a compensation carrier constitute “compensation” and can be recovered. The result is industry-wide confusion and an ongoing debate and argument with claimants’ attorneys over what can and can’t be included in a carrier’s lien for recovery purposes.

In addition to medical expenses, death benefits, funeral costs and/or indemnity benefits for lost wages and loss of earning capacity resulting from a compensable injury, workers’ compensation insurance carriers also expend considerable dollars for case management costs, medical bill audit fees, rehabilitation benefits, nurse case worker fees, and other similar fees. They also incur other expenses in conjunction with the handling and adjusting of workers’ compensation claims. Workers’ compensation carriers typically assert, of course, that, they are entitled to reimbursement for such expenditures when it recovers its workers’ compensation lien. Injured workers and their attorneys disagree.

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