An accident at the workplace is never fun, not for the employer, and certainly not for the employee. In addition to the difficulty of the injury itself, determining who pays for the medical treatment is often in dispute. Whether there is enough evidence to show that the accident actually caused the injury helps a judge decide if the employer is required to pay. This connection may also play into whether the payment will be limited to a $750 cap.
Ms. Mangiaracina, an employee with Avis Budget Group, injured her shoulder, back, and thumb, at her workplace when her office chair fell forward. Ms. Mangiaracina had a pre-existing injury to her left shoulder for which she was receiving medical treatment. This injury did not affect her ability to work, and after the accident, her doctors found that her shoulder worsened. She had surgery a few months later. An adjuster for Avis’ insurer determined that all of Ms. Mangiaracina injuries were considered pre-existing and did not make any payments for the medical expenses. Avis’ insurer responded to requests for payment by stating the need for the surgery was not related to the workers’ compensation claim.
As a result, Ms. Mangiaracina filed a disputed claim for compensation. The Office of Workers’ Compensation ruled for Ms. Mangiaracina and awarded her temporary total disability benefits on a weekly basis against Avis. The workers’ compensation judge decided that Ms. Mangiaracina did, in fact, sustain a work-related injury, that her pre-existing injury was actually aggravated by the accident and that the surgery was reasonable. The judge determined that she was disabled for three months after the surgery, and as a result awarded her all the related medical and transportation expenses against Avis.