Workers Compensation Crisis of Hyper-Corruption! Just like NFL Playbook? Concussion!

My Fellow Americans, you are being called upon to intervene in the national disaster masked as “Workers Compensation” in which the working class is being tortured, maimed and murdered for the profits of the few.

Some industry ‘leaders’ think renaming it will do some good.  Injured Workers suggest renaming it to call it what it is:  WORKERS’ EXTERMINATION – USA

Everyone knows that bad sh*t happens in work comp and that there are profiteers off of the injured. That’s no secret.  David DePaolo CEO WorkCompCentral

WorkComp Congressional Letter and YOU

–  Can We Talk?

Injured Workers to Update Congress on Workers’ Compensation Crisis of Hyper Corruption.  What do you think Congress needs to do first?  Join in creating a LinkedIn group to discuss and craft a letter back to the ten, plus the few more concerned about Nuclear Workers poisoned by radiation over the years.

The award winning expose by ProPublica and NPR, shared by ‘swaths’ of bloggers, brought you an excellent and in depth investigative report on the ongoing horrors and atrocities.  Insult to Injury  THE DEMOLITION OF WORKERS COMPENSATION.  It is just the tip of the iceberg, and we hope that the investigative teams, and others, will dig deeper and expose more. ENCORE!

YOU IGNORED IT? DOES THAT MAKE YOU COMPLICIT IN THE CRIMES AGAINST THE WORKING CLASS FOR THE PROFITS OF THE FEW?  READ WHAT YOUR CONGRESSIONAL REPRESENTATIVES HAD TO SAY IN OCTOBER.

WHAT YOUR CONGRESSIONAL REPRESENTATIVES HAD HAD TO SAY LAST YEAR: https://www.propublica.org/series/workers-compensationhttps://assets.documentcloud.org/documents/2465674/letter-from-federal-lawmakers-to-labor-on.pdf

The response from the Secretary of Labor essentially said the department’s hands are tied, too bad, how sad, deal with it.  That response needs a re-do and needs to include a request to send in protection for Injured Workers and Other Taxpayers across America. There is essentially no law enforcement and there appears to be substantial collusion and many unclean hands in high places.

I, personally, have been personally disparaged in diatribes – publicly and nationally – by  senior members of the Workers Compensation communities in what can only appear to be an attempt to SILENCE me and others by ANY MEANS NECESSARY.  These attacks have been by professionals, carefully crafted with clear intent to harm and silence – by ‘leading experts’ in the field.

HOW RUDE IS THAT!  As a member of a further protected class, thanks to “WorkComp,” I do what I can to help Injured Workers ESCAPE the system with their lives and what is left of their destroyed health.   Einstein reminds that ‘Those who have the privilege to know have the DUTY to act.”  I KNOW. I ACT.

As many of you may know, even a ‘hurt shoulder’ can result in an excruciating long drawn out death for an Injured Worker in America and beyond. 

I am an older American woman with Disabilities, a TBI and I AM a WorkComp Survivor.  I BLOG, THEREFORE I AM A WORKCOMP SURVIVOR.  I ENCOURAGE OTHERS TO BLOG, TOO!  BLOG TO REGAIN CIVIL RIGHTS AND HUMAN RIGHTS and to protect the Constitution of these United States of America. 

Workers Compensation torture and travesties are happening in your state, too.

They are happening in Canada, the UK and Australia.

It is time to THINK LOCALLY – ACT GLOBALLY – OCCUPY VIRTUALLY AND DEMAND INVESTIGATIONS AND TRIALS FOR THESE CRIMES, CORRUPTION AND COLLUSION that serve only the WorkCompsters, and harm all others, including other great American systems.

Below is the 2016 ‘top’ bloggers, picked by their own industry…. See what they are writing about the state of workers compensation.  If they are truth telling or sugar coating to preserve profits, let the facts be widely known.

Which are purveyors of propaganda and deceptions and omissions, with intent to deceive the unsuspecting public, while maiming, impoverishing and killing Injured and Disabled people, along with bulling, threats, intimidation and worse, ABA Codes of Ethics may also have been violated.

http://workerscompensation.com/workers_comp_best_blogs.php

START YOUR OWN BLOGS AND KEEP ON MOVING, WE ARE THE MEDIA NOW, AND FOR THAT, WE ARE RESPONSIBLE.  #OpBlog!

“Without a blog and a database, Injured workers are UNARMED AND UNPROTECTED in the Global #WarOnWorkers. #WoW!”

Here are some of  mine:

Ask About Workers Comp Gravy Trains   MyWorkCompCoachWhat’s Your WorkComp Story  All Nuclear Reactors Leak All of the Time  Ask About Fukushima Now [ask about Plutonium sent FROM the USA prior to the explosions, too – Fukushima-Gate Investigation time, too?]  Lucy Occupy Says …

Below also is a list of WorkComp’s own “top 50 influencers” who, as apparent leaders in the industry, must have clear and full knowledge of the crimes being committed.

50 MOST INFLUENTIAL PEOPLE IN WORKERS COMPENSATION.   http://workerscompensationconference.com/50-influentional-people-workers-compensation/.   ARE THEY COMPLICIT IN THESE NATIONAL ATROCITIES?  ARE YOU?  IS YOUR COMPANY?

There is no remorse when WorkCompsters indicate that the wrong doings are “not a secret.”  At least ‘Super Lawyers’ say the same thing with a tone of saddness.  What does tell you?

Are these torturers, maimers, and killers really above the law in America? In Canada? In Great Britain? In Australia? Around the World?  HOW LONG HAS THIS BEEN GOING ON?   I am so sorry; I just found out in 2012.

Did you already know?

Read this again:  A broken system and a challenge for legal scholars  US trial lawyer Reuben Guttman casts a critical eye on the American legal system.   – By a real human lawyer

Put all of this to good use further reflection and discussion in your groups.

(The WorkCompsters are having a ‘Workers Compensation National Discussion’ and seemed to need a gentle reminder that a ‘circle jerk’ is NOT A NATIONAL SUMMIT.   Attacking injured workers for invoking First Amendment rights in efforts to silence may send WorkCompsters straight to the 5th Amendment, wouldn’t you imagine?  It will certainly not serve identifying real problems and coming up with real solutions, will it. In fact, the attacks appear to be based in mysognism and psychopathy.  (Read the attacks and draw your own conclusions.)

The perpetrators’ credibility has been totally destroyed by their own failures. Those poorly executed attacks include appearances of failures to fact check, omissions with intent to deceive to protect illicit profits, ‘masked bandits’ media images, clandestine meetings ‘in Dick Cheney’s garage’ and  ‘smoke and mirrors’ attacks on the population impoverished and harmed by the WorkComp industries, giving the few ‘the good life’ — WHILE DESTROYING THE WORKING CLASS.

One Percenter Suggests Occupy Everything?! #OccupyVirtually and #DodgeTheRads – READ ON – then #OccupyWorkComp!

“”What sets me apart, I think, is a tolerance for risk and an intuition about what will happen in the future. Seeing where things are headed is the essence of entrepreneurship. And what do I see in our future now?…”

Ultra-rich man’s letter: “To My Fellow Filthy Rich Americans: The Pitchforks Are Coming”

The perpetrators of crimes against Injured Workers and Taxpayers truly epitomize the 21st Century Sonderkommando, wouldn’t you agree?

See the movie, Concussion, for the playbook strategy of holding a fake conference to make a false point, as NFL did. See how it took a CORONER to bring a little justice, and that fight is still raging in the WorkComp dark and smoky back rooms, isn’t  it?)

Why America is NOT the greatest country in the world – YouTube    Got 3.5 minutes to Think?

If you are part of a Civil Rights and Human Rights organization, let’s connect.

To borrow a quote from Josepth Ranseth of Canada, ‘don’t create a new business plan, START A MOVEMENT’ or words to that effect!  Check it out here and read Joseph’s blogs, too.  Download his ‘PURPOSE DRIVEN MARKETING MANIFESTO” and do some good where are you, and do it today.

I am receiving more stories from Injured Workers around the world, and ProPublica clearly has a back-log of stories.  LET’S DO SOMETHING GOOD ON THE PLANET, WHILE WE STILL CAN.  TIME FOR TRIALS AND TIME FOR CHANGE.

Our global legal systems may be in a state of collapse, but We, The People, are the media now.  WHAT SAY YOU?

#DodgeTheRads -#Occupy Virtually!  It’s dangerous out there!  

Bob Nichols Said WHAT About Your Radiation This Week and What Else about WAR CRIMES USA?

Linda Ayres  Workers’ Compensation – Spokeswoman for Injured Workers and other SURVIVORS of Human Rights and Civil Rights atrocities.

EINSTEIN IF I WERE TO REMAIN SILENTWE ARE THE MEDIA NOW THANK YOU

“SMFH – WorkCompsters Exposed” — KISS KISS — #JustWhistle

Final Appeal to CAAA For Assistance Fighting WorkCompsters - Concussion, TBI, PTSD, WCAB and WTF

Linda Ayres

Wyndham Worldwide – Disabled by WorkCompsters

Final Appeal to CAAA For Assistance Fighting WorkCompsters – Concussion, TBI, PTSD, WCAB and WTF

.

Ladies and Gentlemen and Others of the WorkCompster Industries:

“Perseveration” is apparently a consequence of Concussion/Traumatic Brain Injury.  This post got longer than anticipated, but if you’re in the industry, or know someone who is, or if you are an InjuredWorker, take 5 minutes and peruse it, then share it with someone, even with a subject line of “SMFH – WorkCompsters Exposed”

It may come in handy down the road.  Thanks.

BACK STORY:

#InjuredWorkersUniting  #SilentNoMore  #OccupyVirtually #WATMN

Years ago, I volunteered in a goodwill effort with and for Convicts in America’s Maximum Security Penitentiaries. It was called “PRISONERS UNANIMOUS — EMBRACING ALL PLANETARY PRISONERS”  Maybe you heard of it?

Check FOIA, they probably have several CDs including my visits to penitentiaries across America, and my communications with a handful of government officials, goodwill organizers, friends and families of prisoners, and approximately 1,000 Convicts across America.

I think I was the second woman “in history” to “walk the ranges” at USP Marion Federal Penitentiary, back in the days when it was deemed ‘the worst of the worst” prisons, surpassed today by, so I hear, the likes of Pelican Bay.  It was after allegations of a “full scale Nazi-type of retaliation attack” on the entire Convict population.  I was corresponding with several of the Convicts listed in that dreadful “Public Report.”  I sent copies everywhere, including Amnesty International in Vienna, where they allegedly WATCH for human violations in the Americas.  Hmph.

The Guys and I established an “8 o’clock, local time” prayer network when they educated me about how deplorable America’s “Corrections” system is.  Now, privatized prisons are a bigger part of the “PROFITS BEFORE LIVES” industries.  Some of us still link up, no doubt.

The guys told me how bad things were, and said I was very brave.  They said the prison systems in America are very dangerous, and that I had better think long and hard about touching it.

They told me, “Lady, you better know what you’re willing to die for, because you might well be asked to do so if you get involved in attempting to facilitate change.”

They further advised, “Lady, we Convicts are not the problems in your country. We are the end result of the problems in your country.  If you want change, you have to go Washington.  That’s where the problems are.”   (There is something far more polite and respectful from a Convict calling a correspondent “Lady” than the pretentious “Ms. Ayres” used by defense and psychopaths, wouldn’t you agree?)

Those words reverberate in my head as if they were yesterday. I have never forgotten those haunting words.  As a Survivor of WorkersCompensation today, I know ever more how true they are.

IT’S A GRAVY TRAIN!

ONWARD:

#WorkCompsters have made that choice easier today.  They have already taken my life. 

Too often, Injured Workers make poor choices in efforts to retain competent legal counsel, much to the detriment of the Injured Worker.

This is often not discovered by injured workers until the 2nd, 3rd or 4th attempt to retain competent counsel.

Including THIS warning in every employee new hire packet, and every Human Resources orientation in California could save lives.

Till then, tell your friends and neighbors, and tell them to tell theirs. WorkComp Kills, without consequences to anybody but the Injured Workers and their loved ones.

Many Injured Workers have even sought the help of ACLU and NLG, to no avail.

We are, however, grateful for the organization, NAIDW.org, National Association of Injured and Disabled Workers, for the encouragement, resources and support they provide, and having been providing for many years. “No Injured Worker Left Behind” Semper Fi, Y’all!

We like a few of the industry bloggers who do their best to do their best for the highest good of all concerned.   Cognitive Dissonance seems to be kicking some butt in that arena, wouldn’t you agree?

Bravo to ProPublica for being a catalyst for discussion and possible change. Bravo to WorkCompCentral for relentless efforts at education and inciting legitimate discussions about the need for national discussion and change.

Let’s get beyond “PROFITS BEFORE LIVES”…. let’s incarcerate a few psychopaths for maiming and  killing injured workers, too, shall we?

It matters not if the killers are making $250K a year, or $10.7 million or more a year.  With proper trials first, of course.  FBI and DA and DOJ  need to better orchestrate their efforts, ya think?

Crime is Crime, and CRIME SHOULD NOT PAY IN AMERICA.

For personal assistance in my own, but common,  horrific case on non-stop abuse of a permanently disabled-by-untreated-brain-injury-and-various-acts-of-legal-chicanery-and-file-churning, older female worker, a local crisis center sent a Marine to help me last year.  The Marine Social Worker, kind, fierce and very helpful.

MMI neuro-psychologist report recently received (and posted!)  says my future medical needs include similar support, with probability of needs for assisted living and ‘memory care’ for my shortened life span, shortened due to WorkCompsters and corruption, involving many unclean hands. Hmph, Some “Grand Bargain, California!”

Legitimate doctors in 2012 made legitimate and conservative recommendations for medical care, denied. Had treatment not been denied by the defense counsel (not doctors, just defense lawyer and adjuster for 2012, till 2013 came along for the extreme profits of CorVel to obfuscate facts with intent to deny medical care.)  return to work might have happened in 2012.

After threats from defense counsel, then PTP released me to work with accommodations, which were denied in October 2012.  Things got worse from there, without medical care.  I have been fighting to return to work for years, to no avail.

I have endured being penny-less, relying on The Salvation Army for utilities,  filing for social welfare due to carrier arrogant practice of denials of payment of TTD, “because they could” (and they were rewarded handsomely by EDD for refusing to pay in 2012/2013 and for refusing to provided medical care.  Now, SSA is involved in the charades and chicanery, and trying to sort it all out.

Is it a felony for carriers to provide SSA and EDD with false evidence of benefits paid with intent to deny SSA benefits?  Seems to be part of a set of RICO violations, wouldn’t you think?

Yet evaluations upon evaluations upon evaluations have been performed by approximately 38 doctors (ca-ching, no care, just primarily report regurgitations written  by non-medical staff, signed by doctors, paid the big bucks).

TeamCorvel includes approximately 20 more, and ol’ Maximus comes in with just one.   (There’s a full blog, with names; see the index athttps://askaboutworkerscompgravytrains.com/list-of-posts)

While we are at it, omission of medical records and obfuscation of facts seems facilitated by the silly “chronological” ordering of medical evidence, rather than by specialty, then by chronological order.   Carrier in my case gets charged by most doctors 4-8 hours for “organizing the records”…. and maybe it’s not all the signing leased doctor’s fault their non-medical staff do things like change the date of injury to a year forward, then use first year medical evidence to falsely opine “pre-existing” symptoms.  D’oh.  Number of hours spent during an evaluation are often “inflated” and far worse, totally fabricated!

The majority of Lawyers don’t seem to care.  They  shrug say ‘their hands are tied” (and “their lips are sealed?!!!”)  Others have told me “Too much fraud in your case, it’s over my head” and “Too many people didn’t do their jobs, there’s no money in it for me”….

One interviewed actually had the audacity to ask, after pages of questions had been answered, “One more question, tell me, why did you wait over 2.5 years for medical care for a brain injury?”  D’OH!   That didn’t even merit a final response, and that attorney came HIGHLY RECOMMENDED.

Here’s my story, again.  Date of witnessed slip and fall backwards on ice, resulting in Concussion/Traumatic Brain injury 1/9/12 while working for Wyndham Worldwide.

The blogs. ASK ABOUT WORKERS COMP GRAVY TRAINS, began in the Summer of 2013, and continue as the only means available to fight for my life against the widely known corruption of the national WORKERS COMPENSATION SYSTEMS.

This quote is meaningless in California’s WorkComp corruption rackets, is it not?

“Every worker in California is protected by state laws governing the right to be paid correctly, be safe at work and receive benefits if they are injured on the job,” – Christine Baker
https://www.dir.ca.gov/DIRNews/2014/2014-75.pdf

And there is no means of enforcement for the Fraud Warnings, now is there? http://www.dir.ca.gov/dwc/FraudWarningNotices/FraudWarningNotices2013.pdf

What kind of system do YOU profit by that requires someone with a brain injury to represent herself because your colleagues (4 of them) could be found guilty of ABA Ethics Violations and Incompetent Representation?

Due to your accepted CA  legislated fraud regulations, and your “2 attorney” superstitions, Injured Workers bear the brunt of the lack of expertise of your crowd/CAAA memberhips.  This also allows Defense Firms to claim the title ENEMIES OF INJURED AMERICAN WORKERS.

How many injured workers retain and dismiss multiple attorneys, as the corruption is tolerated by those retained to protect injured workers? How many injured workers in California, and in America, must represent themselves due to the failure of the ABA crowds?  Some have said that more than 15% of Injured Workers are InProPer…. probably as a last resort, not a first.

Why do your various profit centers/industries refuse to work with InProPer Injured Workers, and why do your industry leased/owned doctors seem so puzzled, baffled and perplexed by the legality of an Injured Worker self-representing? Why do the medical office staffs believe they can ONLY TAKE ORDERS from the Adjuster or Defense Firm?

IS THIS SIMPLY ANOTHER CASE OF “FOLLOW THE MONEY?”

When incompetent and worse attorneys can be allowed to be rewarded for causing harm to an injured worker, how can that be good for anybody?

If WorkComp Mill attorneys  have a “case load of 300 clients”…with wishing and hoping that somebody drops dead for some ultimate pay-off for the attorney, how does that help an injured worker get medical care, benefits, return to work and settlement?

Why do employers condone such malicious unconscionable behavior of denials of medical care, benefits, and bullying and all sort of acts of terrorism, experiments, surgeries, poisoning and worse by insurance companies? What good can a WorkComp attorney do?

I even asked a WCAB Judge for permission, as stated is possible on the WCAB recommended reading, to retain an attorney to consult with, on an hourly basis.

Alas, not only did the Judge tell me he would not hear the F-words in his court room, (Felony Fraud with intent to deny medically necessary treatment), he sentenced me to fighting for my life with every ounce of courage and strength and stamina I can muster, fighting organized crimes that EVERY ONE OF YOU ARE FULLY AND COMPLICITY AWARE OF.

But wait, the Team of Four don’t have all the blame.  Defense counsel says it’s all my fault.  Hmph.  He even suggested I consider a Court Appointed Conservator since I am having such difficulty maneuvering the WorkComp system, with denials of medical care, fraudulent reports, unresponsive law enforcement and more.  The Carrier’s Fraud Department called, as most of you know, last Fall and made it very clear he did not care one iota that I had not received medically necessary and recommended care, and the conversation concluded when he said, “So, tell me Linda, when ARE you going to die?”

Some things I read on LinkedIn indicated the Employers are responsible for the bullying and terrorism of their vendors. Wyndham Worldwide was immediately apprised of the horrific bad faith and breach of fiduciary responsibility, and outright disgustingly mean thing to say. ( Intent of the caller? A “medicated worker” might have been compelled to irreversible action by such ‘poor customer service’, wouldn’t you agree? )

How many members of your CAAA organizations have been approached, recommended, took time to evaluate the merit and financial possibilities of helping THIS injured worker?  You know my name now.  I have spoken with many of you.  Your declines to help have most always been cordial, except when they weren’t.  Just so y’all know, A BRAIN INJURY IS NOT THE SAME AS A BROKEN FINGER, NOR IS THE TREATMENT THE SAME.

Watch the upcoming movie “Concussion” and then ask yourself and your partners how legitimate could it be for an insurance carrier to refuse to pay TTD, provide medical care, and embark on a mission of terrorism and destruction to an injured worker, coincidentally, UPON DIAGNOSIS OF BRAIN INJURY.

The Defense Firm treats me like they pretend to have  I & A Officers and  Judges in their pockets, as my ADA rights are consistently violated at WCAB-Riverside, and my Civil Rights.

Think about how many of YOUR clients have been sent to merely Orthopedic Surgeons or Chiropractors for TRAUMATIC BRAIN INJURY?  See the current list of names all the 40 doctors I had been sent to, and all the CorVel and Maximus “physician advisors” and team members.  In the olden days, they might have all been called, “Sonderkommando”….   Don’t get me wrong, there are a few good doctors in that list of 40, and they will be nominated in the upcoming CompLaude Awards.  The others will be nominated to the naughty list for possible inclusion in the ProPublica national efforts.

MY EMPLOYER DOES NOT CARE.  DOES YOURS? DO YOU?

I have many of your polite Non-Engagement Letters and I am weary of bothering with your ilk.  You are as much a part of the WorkComp problems as are the criminal doctors and lawyers.  Perhaps Sophie Scholl is kinder in her description of your ilk:

So, if you are willing to discuss courageous representation of THIS INJURED WORKER, Case ADJ818190, Linda Ayres Vs. Wyndham Worldwide et al, please let me know at your earliest convenience.

I can be reached at WorkCompLinda@gmail.com or phone 760 368 7236.  If I don’t answer, please leave a message. “I AM INJURED, NOT STUPID!”  I do have auditory and visual processing impairments (untreated, of course).  I prefer electronic mail as an ADA accommodation (that defense continuously disregards, while apparently perjuring with proofs of service to cause significant delays and further harm).

The forensic psych AME suggested that if I have Human Rights Violations Complaints that I “take it to The Hague”…..  Well, maybe that was only reasonable thing he had to say.

That’s a “Fukushima Rose”…. (3.11.11)

Read “The First Leaflet” then commence Blogging!  America needs a fresh #CommitteeOfBloggers, wouldn’t you agree?

“Do Not Walk Quietly In This OPEN AIR AUSCHWITZ!”

“….Highest Recorded #Radioactive City in #America this week”

“A new and unfamiliar Leader this week in the race for the Most Radioactive Weather in America is Ft Wayne, Indiana with 1,326 CPM. Congratulations to Ft Wayne, IN as the Most Radioactive City in America this week.Other competing cities for the title were not even close…..”    Your Radiation This Week No 20

Have a wonderful radioactive weekend and remember to Dodge the Rads, it’s dangerous out there!

#WATMN  #WorkCompsters #InjuredWorkersUniting #SilentNoMore #JustWhistle

WE ARE THE MEDIA NOW  

WorkCompsters Rising? Send in the National Guard to Protect America’s Working Class!

  1. Will The FBI and the District Attorney’s Offices become involved in the Workers Compensation probes and conduct more Corruption Task Force Raids in California? Will it include WorkCompsters Soon?   Palm Springs Corruption Task Force in-progress stories below, too.  Is your city next?   [The Federal Agents at the Palm Springs FBI office are very nice; DA Riverside peeps? Not so much, from an Injured Worker’s perspective

    To Whom It May Concern: Just so you know, my outrage is not because I have a brain injury, my outrage is because so many people of the WorkCompsters ilk have profitted by FRAUD causing egregious harm to me, & other injured workers like me, from doctors, lawyers, judges, politicians and agencies of the US government–by their total disregard for Civil Rights and all things American. The “Naughty & Nice Lists” are being collected by WorkCompCentral ProPublica  NPR and me and my fellow Injured Workers. Expect Us. Join Us.https://lnkd.in/bMvk4n8 #WATMN

    1. Linda Ayres

      ASK AND TELL ABOUT WORK COMP FRAUD, CORRUPTION AND GRAVY TRAINS…..Let’s count all those who have profited by denials of medical care and disability benefits to me ….for nearly 4 years…..let’s see whose job it was to have helped, who got paid for lying and obfuscating, and which agencies failed to investigate and prosecute ‘armed and dangerous enemies of the working class’…..

    2. Linda Ayres

      now

      #MicCheck: Do YOU want outcomes like this for your #WorkPlace Injuries??!! Read and share, thanks. https://lnkd.in/b9Ubefq Also, are YOU blogging yet? Send the link to WorkCompLinda@gmail.com.

      New website building, since, after all, WE ARE THE MEDIA NOW. BE GEEKY!

      https://lnkd.in/bAD7Qce #WATMN

      Look around, you probably know them….you might even be doing business with them….. we’ll start with the naughty list, and see what investigations can be incited. DIR is watching my profile now, so, hooray, let’s expose this s**t once and for all. GOD BLESS AMERICA, AND INVESTIGATE AND INDICT THE ENEMIES, FOREIGN AND DOMESTIC….. there seem to be swaths of them in that industry known as WORKERS COMPENSATION…..that has metastasized to harm every American citizen, in some small or large way. TIME FOR CHANGE. LET’S ROLL because after all is said and done, WE ARE THE MEDIA NOW

    3. Linda Ayres

      See and Share https://askaboutworkerscompgravytrains.com/list-of-posts since summer 2013 after experiencing the sham, scams and drudgery of the WyndhamWorldwide failed “workers compensation program” and total disregard for an injured worker and the laws that exist to protect injured workers from these very things. Many Americans know about the horrors or Workers Compensation, but like the sonderkommando of yesteryear, as long as they feel safe, they look the other way. Some even profit by the horrors, just like yesterday. O SAY CAN YOU SEE #WATMN

      WHITE ROSES AND LINKED IN 5 16 2015

    
    
  2. Teddy Snyder

    How Politics Drives Up the Cost of Your MSA

    How Politics Drives Up the Cost of Your MSA

    Teddy Snyder on LinkedInFor President George W. Bush and Congress to get Medicare Part D drug coverage passed in 2003, they had to make significant concessions to big business…

WC SHELL GAME TIMES HOW MANY INJURED WORKERSLinda’s Comment:

Indeed, “…now would seem to be the time for their lobbyists to twist some arms to modify the noninterference provision for the benefit of all Americans.” on more levels than one! Thanks Teddy! “The increased use and rising cost of pharmaceuticals has torpedoed many a proposed workers compensation buy-out.”….

* * * ” “Damn the torpedoes, full speed ahead!”

The dots all connect, don’t they?

Do all the “Medicare Part D” providers ask the same question before quoting a policy price? When I called AARP a few months ago, apparently for United Health Care, the first question asked me to confirm that I don’t have “renal failure” –I have a brain injury.

I said something like, ‘Ok,, so no, no renal failure, I’m pissed off about Workcompsters and how they are profiting by making so many people permanently disabled and prematurely dead, but thank you, my kidneys are working just fine today, How much is the Part D deal?’…. (It was a “today” purchase, with penalties if I didn’t decide on drugs right away.)

HOWEVER, that caused me to wonder what are the popular drugs peddled by the Big Pharma groups that CAUSE renal failure; I have lost a few friends who were on the ‘drug and kill ’em’ plans…

Check this out…TOP TEN DRUGS THAT CAUSE KIDNEY DAMAGE

xmas naughty or nice

TAX DOLLARS AT WORK?  IS YOUR TOWN NEXT?  NO DETAILS ON THIS YET… SOUNDS LIKE IT COULD BE BIG.  WYNDHAM HAS PLENTY OF PROPERTY IN PALM SPRINGS AND INDIO AND MOST OF SOUTHERN CALIFORNIA, HUH?  PROBABLY UNRELATED…..

# # #

What do you think radiation poisoning does to kidneys and other internal organs?

Whats next Mom

 

“Have a wonderful radioactive weekend and remember to Dodge the Rads, it’s dangerous out there!” – Bob Nichols, VT

WE ARE THE MEDIA NOW… by any and means necessary…

social networking

“Damn the torpedoes, full speed ahead!”

we the people dec

3 OF 3 WORKCOMP MAGIC MONEY MATH OR FOLLOW THE MONEY ON THE WORKCOMP GRAVY TRAIN

The point is that any injured worker must keep copies of all events related to their case, including medical records, daily journal, neat copies of receipts for all income and expenses and requests for reimbursements etc.  I quite frankly think it’s monstrous that so many people, as Chris Asvar, Esq.  opined, ‘obviously didn’t do their job’ when he declined to help me in late 2012, and when I asked again in 2013 and 2014…. and that theme continues.

GRAVY TRAIN WRECK

My file of attorney notes and ‘letters of non-engagement’ are pitiful and could be subject to a whole e-book on ATTORNEY JOKES in the World of WorkComp.   This injured worker has spent more than $43,000 on medical miles and medically necessary treatments, unreimbursed.  Also, not uncommon in Workers Comp “Grand Bargain.” That industry “cost and risk shifts by any and every means necessary” is a well tuned machine.

ALL CAPS

OMG, the lawyer crowds are funny peeps… I remember one returned my call about 8 pm one night, clearly in an ‘altered state’ and ranted about how people like me were ‘pariahs’ in the system, and he was swearing up a storm about how he had no life, chad ase load of more than 400, and if he did take my case, that phone call would be the longest conversation we ever had.  Turns out he knows the former defense attorney. I mentioned my allegations of fraud with intent to deny medical care; he went ballistic again and said, ‘She’s not capable of fraud.  Incompetence yes, fraud, no.’

lisa and bart the whole damn system is wrong

Alrighty.  I suggested, “Well, since you know the defense, why don’t you make contact with her and then decide if we will consider going forward.  Another attorney reviewed files and said, “I’m sorry, this is over my head.  There’s too much fraud.”  I cried and said, “What am I supposed to do?  I have a f—-king brain injury, I can’t keep fighting fraud alone.”  He suggested Gloria Allred. Couldn’t get past her gate keepers.

.

Nobody likes WorkComp…. with good cause.  Another attorney told me it didn’t matter if I have video records of ‘them’ committing fraud’… it would never stick.  Another said that Romano Trust vs. Sedgwick gives the green light to the industry to maim and kill injured workers without consequences.  Bummer.

Is that on National Cathedral on purpose?
Is that on National Cathedral on purpose?

That attorney said something about look at how various insurance companies are gobbling up the smaller ones after that case was ‘settled’ with a $100k price on an injured workers head; cheaper than medical care, huh?

IMG_0503

How about the attorney who said, “Nobody will believe YOU have a brain injury.  WorkComp is a very small community, everybody knows everybody.”  I said, “Well, the only reason they wouldn’t believe it is because someone failed at getting the recommended evaluations and medical care from experts.  Intermittent chiropractic is hardly legitimate medical care for a well diagnosed brain injury.”

BRAIN INJURY ADVOCACY GROUP

How about when I appeared for a deposition, which was aborted and they attempted to coerce me to accept a $100,000 settlement, less attorney fees, in November 2012, without benefit of proper evaluations or care.  I told that attorney, “I’M INJURED, NOT STUPID.  I NEED TO KNOW WHAT’S WRONG WITH MY BRAIN, AND WHAT IT WILL TAKE TO GET IT BACK”

APPARENTLY, I DON’T GET IT BACK.   MAY YOU ALL HAVE VERY INTERESTING LIVES, AND REAP 100 FOLD OF WHAT YOU HAVE SOWN.

planting seeds of truth in fertile minds

If you are a numbers Geek, maybe these numbers make sense to you.  They make no sense to me, or to the experts trying to sort out the current shell game. It’s embarrassing to share such a sloppy excel spread sheet…. I used to a database wizard and excel queen.   Anyway, the numbers are from CNA and EDD print outs…. and they don’t match up.

3 OF 3 DISABILITY BENEFITS PER EDD AND WC DAYS ISSUES DATES AMOUNTS TOTALS

3 of 3 workcomp gravy train wreck20150830_20301707_0321 (1)

The WC Offset and Social Security Retroactive Pay back to date of injury, 1/9/12, less 6 month waiting period, seem to rely on accurate numbers in order to calculate:

  1.  (ACE)  Average Current Earnings
  2. (8% of something)
  3. (DIB) Disability insurance benefits
  4. WC (something about wash out agreements over life time)
  5. (3 + 4)  (combined WC and DIB; if 5 is less than 3, no offset)
  6. (5-2) offset
  7. (2-6) reduction in DIB

It is unclear to everybody how Social Security Administration came up with the numbers for their calculations, and what sources were used.  As is apparent here, CNA is all over the place with how much they paid and when.  CNA has not paid any penalties to date for delays in payment, which are apparently substantial consider refusal to pay TTD through most of 2012  (4/16/12 – 2/14/13, with last payment being 5/8/14 in the amount of $1,298.82, issued 5/7/14)

.

It appears that the moneys EDD advanced because of the CNA refusal to pay TTD (with it’s refusal to provide medically necessary treatments repeatedly requested and denied in 2012 by non-medial professionals, and in 2013 forward, CorVel corporations continued the deceptions with intent to deny medical care.

SKILL SET AREA APRIL 2015.More than 40 doctors were seen for evaluations and the medical care provided is addressed in other blogs, out of compliance with ACOEM, MTUS and common sense, having caused permanent and irreparable life time incapacitating damage.  (Thanks Wyndham et al)

How many days/weeks TTD did CNA actually pay?  The numbers are all over the place, depending on what page is being reviewed.

 

SOCIAL SECURITY PAID

On May 15, 2015 — A fully favorable decision made by the Social Security Administration, with a deposit made to a closed bank account (not to the existing account for retirement benefits) in the amount of $25,591.  A kind agent of the Treasury Department resolved that issues to everyone’s satisfaction. (Thank you!)

“ACE” is stated as $3,700/month, and the source of the information is quite unclear.  The income numbers stated by SSA match nothing.

SSA also states ‘Your Workers Compensation payment of $4,177.30 — because you receive this payment’ – HUH?  LAST WORKERS’ COMP PAYMENT WAS FOR 1,298.82 ISSUED ON 5/7/2014.

Then SSA sent a letter stating “we paid you $31,654 for February 2013-July 14″ opining an overpayment of $27,078.00  (remember, they only sent $25,591, now they want back $27,078, the only money received since 5/7/14 was the June commencement of basic early retirement money in the amount of $1334, and periodically LTD payments, unless they were being subrogated or offset for some reason or another.

On 8/12/15, credited $1,500 to the ‘overpayment” and now demands $25,578, ‘or else’.   This credit was since the SSA Court generously gave the law firm an additional $1,500, the law firm returned it to SSA, as the agreement was for $4,500, not $6,000.

delusional and unicorns

EDD PRINT OUT SAYS THEY PAID 938 DAYS AND THAT WC PAID 509 DAYS FOR A TOTAL OF 1,447 DAYS FOR A TOTAL OF 127,214.90 FOR A TOTAL BETWEEN EDD AND WC FOR 1013 DAYS.  MAKES SENSE SO FAR?  YEAH, TO ME EITHER.

CNA adjuster alleges on 10/19/14 they “paid” 1/9/12-4/15-12 @ 652.15 per week and 2/15/13-5/8/14 @ 649.41 per week and reimbursed EDD for 1/28/12 to 3/4/13 for a total of $31,400.

WCGT SHELL GAME

CNA “Total WC Ind to Date””

C N A “Total WC Ind to Date”
 $  31,400.00  10/19/14 CNA adjuster alleges on 10/19/14 they “paid” 1/9/12-4/15-12 @ 652.15 per week and 2/15/13-5/8/14 @ 649.41 per week and reimbursed EDD for 1/28/12 to 3/4/13 for a total of $31,400.
 $  22,118.00 7/3/2013 Total WC ind to date
 $  42,899.12 2/28/2014 Notice of termination of benefits; last check was 2/12/14, when “Total WC ind to date” was $42,899.12 — approximately 40 weeks
4/21/2014 “Notice of TTD Resume for 2/14/14 – 4/24/14 @ 649.41 ” w/check for $6494  issued 4/18/14 and a check for 4/25/14 – 5/8/14  for $1298.82 on 5/7/14
 $  82,092.04 5/8/2014 C N A issues another ‘notice of payment termination, again alledging “104 weeks of payments  paid 1/9/12 – 5/8/14 @ 652.15/week for a new total of $82,092.04
LAST PAYMENT ISSUED  5/7/14 for $1298.82
11/3/2014 PD Disability status – repeated refusals to provide estimate PD benefits or advances
 $  87,422.04 1/50/15 PD advance on estimated PD to help get TBI treatment, $5,000, subrogated to LTD carrier, new total paid stated as $87,422.04
WOW, REALLY?

 

EDD says here EDD paid 77,821.38
EDD SAYS WC PAID IW 47,252.31
WC SAYS HERE PAID IW 49,393.52

EDD PRINT OUT SHOWS:

  • EDD PAID IW
BGN DT END DT NUM DYS REASON  AMT ISS DT souce
1/28/2012 2/14/2012 18  $                             801.90 2/15/2012 EDD INFO
2/15/2012 2/28/2012 14  $                             623.70 2/29/2012 EDD INFO
2/29/2012 3/13/2012 14  $                             623.70 3/14/2012 EDD INFO
3/14/2012 3/27/2012 14  $                             623.70 3/28/2012 EDD INFO
3/28/2012 3/31/2012 4  $                             178.20 4/2/2012 EDD INFO
4/1/2012 4/16/2012 16  $                             712.80 4/17/2012 EDD INFO
4/16/2012 5/14/2012 29  $                         2,701.76 5/16/2012 EDD INFO
4/17/2012 4/30/2012 14  $                             623.70 5/1/2012 EDD INFO
5/1/2012 5/14/2012 14  $                             623.70 5/15/2012 EDD INFO
5/15/2012 5/28/2012 14  $                         1,928.00 5/29/2012 EDD INFO
5/29/2012 6/11/2012 14  $                         1,928.00 6/12/2012 EDD INFO
6/12/2012 6/25/2012 14  $                         1,928.00 6/26/2012 EDD INFO
6/26/2012 7/17/2012 22  $                         3,029.71 7/18/2012 EDD INFO
7/18/2012 7/31/2012 14  $                         1,928.00 8/1/2012 EDD INFO
8/1/2012 8/14/2012 14  $                         1,928.00 8/15/2012 EDD INFO
8/15/2012 8/28/2012 14  $                         1,928.00 8/29/2012 EDD INFO
8/29/2012 9/11/2012 14  $                         1,928.00 9/12/2012 EDD INFO
9/12/2012 9/25/2012 14  $                         1,928.00 9/26/2012 EDD INFO
9/26/2012 10/12/2012 17  $                         2,341.14 10/15/2012 EDD INFO
10/13/2012 11/5/2012 24  $                         3,305.15 11/9/2012 EDD INFO
11/6/2012 11/8/2012 3  $                             413.14 11/9/2012 EDD INFO
11/9/2012 11/22/2012 14  $                         1,928.00 11/26/2012 EDD INFO
11/23/2012 12/6/2012 14  $                         1,928.00 12/7/2012 EDD INFO
12/7/2012 12/20/2012 14  $                         1,928.00 12/21/2012 EDD INFO
12/21/2012 1/3/2013 14  $                         1,928.00 1/4/2013 EDD INFO
1/4/2013 1/17/2013 14  $                         1,928.00 1/18/2013 EDD INFO
1/18/2013 1/31/2013 14  $                         1,928.00 2/4/2013 EDD INFO
2/1/2013 2/21/2013 22  $                         3,029.71 2/25/2013 EDD INFO
2/23/2013 3/4/2013 10  $                         1,297.99 3/11/2013 EDD INFO
3/5/2013 5/17/2013 74  $                         3,325.67 5/28/2014 EDD INFO
5/18/2013 7/30/2013 74  $                         3,325.67 5/28/2014 EDD INFO
7/31/2013 10/12/2013 74  $                         3,325.67 5/28/2014 EDD INFO
10/13/2013 12/25/2013 74  $                         3,325.67 5/28/2014 EDD INFO
12/26/2013 3/4/2014 69  $                         3,100.94 5/18/2014 EDD INFO
3/5/2014 5/11/2014 68  $                         3,334.34 5/28/2014 EDD INFO
5/12/2014 5/27/2014 16  $                         2,203.42 5/28/2014 EDD INFO
5/28/2014 6/10/2014 14  $                         1,928.00 6/11/2014 EDD INFO
6/11/2014 6/24/2014 14  $                         1,928.00 6/25/2014 EDD INFO
6/25/2014 7/8/2014 14  $                         1,928.00 7/9/2014 EDD INFO
7/9/2014 7/22/2014 14  $                         1,928.00 7/23/2014 EDD INFO
7/23/2014 7/24/2014 2  $                             246.00 7/25/2014  $                    77,821.38 EDD INFO
  • WC PAID IW PER EDD
BGN DT END DT NUM DYS REASON  AMT ISS DT
1/28/2012 2/14/2012 18 WC  $                         1,676.96
2/15/2012 2/28/2012 14 WC  $                         1,304.30
2/29/2012 3/13/2012 14 WC  $                         1,304.30
3/14/2012 3/27/2012 14 WC  $                         1,304.30
3/28/2012 3/31/2012 4 WC  $                             372.66
4/1/2012 4/15/2012 15 WC  $                         1,397.47
3/5/2013 5/17/2013 74 WC  $                         6,865.19
5/18/2013 6/19/2013 33 WC  $                         3,061.50
6/2/2013 7/10/2013 41 WC  $                         3,803.68
7/31/2013 10/4/2013 66 WC  $                         6,123.01
10/5/2013 10/12/2013 8 WC  $                             742.18
10/13/2013 12/25/2013 74 WC  $                         6,865.19
12/26/2013 1/19/2014 25 WC  $                         2,319.32
1/20/2014 3/4/2014 44 WC  $                         4,082.01
3/5/2014 5/8/2014 65 WC  $                         6,030.24  $                    47,252.31

we the people dec

CNA RECENT PRINT OUT SHOWS:

c n a  Amout Period Issue Date
1/9/2012 1/21/2012      1,304.30 2 1/20/2012
1/23/2012 2/5/2012      1,304.30 2 2/3/2012
2/6/2012 2/19/2012      1,304.30 2 2/16/2012
2/20/2012 3/4/2012      1,304.30 2 3/2/2012
3/5/2012 3/18/2012      1,304.30 2 3/15/2012
3/19/2012 4/1/2012      1,304.30 2 3/29/2012
4/2/2012 4/15/2012      1,304.30 2 4/12/2012
!!!!!!!!!! !!!!!!!!  !!!!!!!!!! !!!!!! ____ Weeks Late; 25% penalties +++
2/15/2013 2/28/2013      1,298.82 2 2/27/2013
3/1/2013 3/14/2013      1,298.82 2 3/13/2013
3/15/2013 3/28/2013      1,298.82 2 3/27/2013
3/29/2013 4/11/2013      1,298.82 2 4/10/2013
4/12/2013 4/23/2013      1,298.82 2 4/24/2013
4/26/2013 5/9/2013      1,298.82 2 5/8/2013
5/1/2013 5/23/2013      1,298.82 2 5/22/2013
5/24/2013 6/6/2013      1,298.82 2 6/5/2013
6/7/2013 6/20/2013      1,298.82 2 6/19/2013
6/21/2013 7/4/2013      1,298.82 2 7/3/2013
7/5/2013 7/18/2013      1,298.82 2 7/17/2013
7/19/2013 8/1/2013      1,298.82 2 7/31/2013
8/2/2013 8/15/2013      1,298.82 2 8/14/2013
8/16/2013 8/29/2013      1,298.82 2 8/28/2013
8/30/2013 9/12/2013      1,298.82 2 9/11/2013
9/13/2013 9/26/2013      1,298.82 2 9/25/2013
9/27/2013 10/10/2013      1,298.82 2 10/9/2013
10/11/2013 10/24/2013      1,298.82 2 10/23/2013
10/25/2013 11/7/2013      1,298.82 2 11/6/2013
11/8/2013 11/21/2013      1,298.82 2 11/12/2013
11/22/2013 12/5/2013      1,298.82 2 12/4/2013
12/6/2013 12/19/2013      1,298.82 2 12/18/2013
12/20/2013 1/2/2014      1,298.82 2 12/30/2013
1/17/2014 1/30/2014      1,298.82 2 1/29/2014
1/31/2014 2/13/2014      1,298.82 2 2/12/2014
!!!!!!!! !!!!!!!  !!!!!! !!!!!!! ___ Weeks late; 25% penalties +++
2/14/2014 4/24/2014      6,494.10 9 4/18/2014
4/25/2014 5/8/2014      1,298.82 2 5/7/2014
   49,393.52 75
 C NA PAID TO IW WEEKS PAID
104 weeks per Labor Code, weekly rate questioned, but at $1,298.82 x 52 checks = $67,538.64
C N A  Reimbursed $31,400 to EDD on 4/29/14  for paying IW $49,49,422 from 2012-2013 because C N A refused to despite Court demand:
 $       31,400.00 = 24.17579 weeks 99/weeks  effective payment?
Lump Sum Permanent Disability Advance
$5,000 1/30/2015 (subrogated by private LTD carrier?!!)

 

WC SHELL GAME TIMES HOW MANY INJURED WORKERS

REMEMBER REMEMBER……WE ARE THE MEDIA NOW…..

AUGUST 31, 2015 IS THE LAST DAY TO NOMINATE FOR

THE WORKCOMP CENTRAL COMP LAUDE AWARDS.

GALA

DID YOU GET YOUR NOMINATIONS IN YET?  MAYBE WE CAN ASK DAVID DEPAOLO TO PRETTY PLEASE EXTEND THE DATE BY TWO MORE WEEKS…..

WATCH FOR MY LIST OF NOMINATIONS, AND THE DNN-LIST…DO NOT NOMINATE/NEEDS IMPROVEMENTS

oh shit button

Have a wonderful radioactive weekend and remember to Dodge the Rads, it’s dangerous out there!”

WE ARE THE MEDIA NOW THANK YOU

2 of 3 WorkComp MAGIC Money Math or FOLLOW THE MONEY on the WorkComp Gravy Train

xmas naughty or nice

WorkCompCentral 4th Annual CompLaude Awards Gala is coming up…. Mark your calendar for Saturday, December 5, 2015.

BTW, August 31, 2015 is the deadline for submissions of YOUR nominees for the WorkCompCentraCompLaude Awards. After the recent news about Director Christine Baker, it seems that the need for your to dig deeply into your database to find good people doing good stuff in America’s work comp system has never been greater.  Here’s the link again.

On the who’s been naughty and who’s been nice, WorkCompCentral has the ‘nice” list being covered, and looks like ProPublica and #InjuredWorkersUniting will simply have to continue cover the ‘naughty’ lists and enlist support, #TEO!

CompLaude 2015 Nominees

For Injured Workers, the need has never been greater for us to tell our stories. We need a #CommitteeOfBloggers.  Tell your story to the good peeps at ProPublica…..they may not be able to get the whole truth out there, but they’re doing a damn good job creating some cognitive dissonance.   Look ’em up under The Demolition of Workers Compensation and find the link to SHARE YOUR STORY aobut “What Happens When Americans are Hurt on the Job? Help ProPublica Investigate” because, afterall, WE ARE THE MEDIA NOW.   #InjuredWorkersUniting  #SilentNoMore.

xmas naughty or nice

HAVE YOU BEEN ALSO BEEN CHEATED OUT OF DISABILITY BENEFITS AS WELL AS DENIED MEDICAL CARE FOR YEARS, CAUSING PERMANENT DISABILITIES TO YOU, TOO?   WE’RE NOT ALONE.

NAIDW 54 million plus

BUT WAIT! THERE’S MORE!   AM I MISSING SOME CALCULATIONS HERE??!!!  NOBODY AT EDD/SSA/CNA/MATRIX/ADVOCATOR/WYNDHAM SEEMS TO BE ABLE TO HELP OUT EITHER.  IT’S IN THE ‘TOO HARD’ PILE EVERYWHERE….

The skewed and repeatedly mis-stated numbers have Social Security Administration in a super quandry over retroactive Social Security Disability benefits.  First, they sent $_____________ to a dead bank account, and the Treasury Department kindly intervened.  Then they sent a letter saying, whoooops, miscalculated, send us back $______ (more than the original amount) within 30 days, or else we’ll terminate all your benefits, but you can appeal it.

.

Then it was discovered they generously overpaid the law firm by $1,500 which was reimbursed immediately in June back to SSA, but SSA had apparently just processed that repayment, so they sent a follow up letter acknowledging the reimbursement and reduction in the demand for funds from Injured Worker by same amount.

.

Weeks have passed and SSA has been unable to return calls to the Advocator handling the case.  The time to appeal is fast approaching, hence, this outreach via the internet.  ARE THERE ANY FORENSIC ACCOUNTANTS OUT THERE?  OR CAN THE STATE CONTROLLER’S OFFICE HELP?    (3 OF 3 WILL FILL IN THE BLANKS ON AMOUNTS FOR SSA/EDD/CNA FIASCO…IT’S A TOUGH SHELL GAME TO FIGURE OUT—–> PARTICULARLY WITH A BRAIN INJURY.

.

I JUST KNOW IT AIN’T RIGHT….  and it’s in the “too hard” pile on too many desks, another example of ‘obfuscation of facts’ with intent to deny benefits and further harm injured worker?  Sure looks like it, huh?  Not even experts can sort it out.

SOCIAL SECURITY FOLLOW THE MONEY TRAIL

CNA aka American Casualty refused to pay TTD from 4/15/12 – 2/14/13 — and there are extenuating circumstances involving not only WCAB Courts, but Information and Assistance Officers and EDD parties.  Adult Protective Services, State Senator and Assemblyman’s office helped to break the stranglehold that resulted in Injured Worker having to apply for Social Welfare, Public and Private Assistance, including help from the Salvation Army for utilities in early 2014 because of this practice which is apparently “done all the time” according to CNA Adjuster, Daniel Elliott.

.

Reimbursement discount was ‘negotiated’ by defense firm with EDD, apparently without any State oversight, and a Judge on appeal said it was ok.  Apparently, some Judges think it’s ok for the State to give away taxpayer dollars to big insurance companies.

[Yikes, CNA has racked up some penalties, haven’t they?  Is there anybody enforcing these rules?]

 Amout Period Issue Date
1/9/2012 1/21/2012      1,304.30 2 1/20/2012
1/23/2012 2/5/2012      1,304.30 2 2/3/2012
2/6/2012 2/19/2012      1,304.30 2 2/16/2012
2/20/2012 3/4/2012      1,304.30 2 3/2/2012
3/5/2012 3/18/2012      1,304.30 2 3/15/2012
3/19/2012 4/1/2012      1,304.30 2 3/29/2012
4/2/2012 4/15/2012      1,304.30 2 4/12/2012
!!!!!!!!!! !!!!!!!!  !!!!!!!!!! !!!!!! ____ Weeks Late; 25% penalties +++
2/15/2013 2/28/2013      1,298.82 2 2/27/2013
3/1/2013 3/14/2013      1,298.82 2 3/13/2013
3/15/2013 3/28/2013      1,298.82 2 3/27/2013
3/29/2013 4/11/2013      1,298.82 2 4/10/2013
4/12/2013 4/23/2013      1,298.82 2 4/24/2013
4/26/2013 5/9/2013      1,298.82 2 5/8/2013
5/1/2013 5/23/2013      1,298.82 2 5/22/2013
5/24/2013 6/6/2013      1,298.82 2 6/5/2013
6/7/2013 6/20/2013      1,298.82 2 6/19/2013
6/21/2013 7/4/2013      1,298.82 2 7/3/2013
7/5/2013 7/18/2013      1,298.82 2 7/17/2013
7/19/2013 8/1/2013      1,298.82 2 7/31/2013
8/2/2013 8/15/2013      1,298.82 2 8/14/2013
8/16/2013 8/29/2013      1,298.82 2 8/28/2013
8/30/2013 9/12/2013      1,298.82 2 9/11/2013
9/13/2013 9/26/2013      1,298.82 2 9/25/2013
9/27/2013 10/10/2013      1,298.82 2 10/9/2013
10/11/2013 10/24/2013      1,298.82 2 10/23/2013
10/25/2013 11/7/2013      1,298.82 2 11/6/2013
11/8/2013 11/21/2013      1,298.82 2 11/12/2013
11/22/2013 12/5/2013      1,298.82 2 12/4/2013
12/6/2013 12/19/2013      1,298.82 2 12/18/2013
12/20/2013 1/2/2014      1,298.82 2 12/30/2013
1/17/2014 1/30/2014      1,298.82 2 1/29/2014
1/31/2014 2/13/2014      1,298.82 2 2/12/2014
!!!!!!!! !!!!!!!  !!!!!! !!!!!!! ___ Weeks late; 25% penalties +++
2/14/2014 4/24/2014      6,494.10 9 4/18/2014
4/25/2014 5/8/2014      1,298.82 2 5/7/2014
   49,393.52 75
 C NA PAID TO IW WEEKS PAID
104 weeks per Labor Code, weekly rate questioned, but at $1,298.82 x 52 checks = $67,538.64
C N A  Reimbursed $31,400 to EDD on 4/29/14  for paying IW $49,49,422 from 2012-2013 because C N A refused to despite Court demand:
 $       31,400.00 = 24.17579 weeks 99/weeks  effective payment?
Lump Sum Permanent Disability Advance
$5,000 1/30/2015 (subrogated by private LTD carrier?!!)

52 additional weeks of disability benefits to have been provided by the State, when the WorkComp system fails after the first 104 weeks, would have meant an additional benefit of 52 weeks x $961/week or $49,972.

So, if CNA had paid 104 weeks at  $649.41 (eow check $1298.82) that would have been:  $67,538.64

And if EDD has paid 52 weeks at $961/week that would have been:   $49,972

Not counting the extreme hardships caused by months of non-payments by anybody, the total TTD benefits that were due between 1/9/12 and 1/9/15 seem to be around about $117,510.64    Injured Worker was actually paid 49,393.52 from CNA and $49,422, for a total of $98,815.52 for the 3 years (approximately $33K, that came in sporadic payments, causing extreme stress and hardship).  

.

This appears to be a shortage of $18,695.12 (yikes, how close is that to the reward CNA received from EDD for refusing to pay TTD and for refusing to provide medical care?  Is that a mere coincidence?   These numbers alll jumble all over my brain.   Social Security Disability was awarded in May 2015, with retroactive pay back to date of injury, 1/9/12, with the 6 month waiting period to 7/2012.  

.

This is where it gets real real fuzzy…. that will be documented, with PDFs of all of ths in 3 of 3 – WorkComp MAGIC Money Math…  

.

This seems to happen all the time, to many injured workers…..nobody seems to know how the sad tales end.  

.

You’ll know how this one ends, count on it!  Maybe you will even read about it in a ProPublica Report!  ;D

Back pay caper of May 2014 RE WC from SSA print out
2/14/2012 $1,676.96
2/28/2012 $1,304.30
3/13/2012 $1,304.30
3/27/2012 $1,304.30
3/31/2012 $372.66
4/15/2012 $1,397.47
4/16/2012 $712.80
5/17/2013 $6,865.19
7/30/2013 $3,803.68
10/12/2013 $742.18
10/4/2013 $6,123.01
12/25/2013 $6,865.19
3/4/2014 $4,082.01
1/19/2014 $2,319.32
5/8/2014 $6,030.24
C N A paid me $44,903.61
EDD paid approximately $47,922.00 difference EDD gave to C N A, not IW
EDD discounted back to C N A, collecting: $31,654.00 $16,268.00
  of the $31,654 EDD sent me approximately ($21,000.00)
C N A  5/8/2014 Notice states they paid a total of $82,092.04 – they did not.  See above and figure in discounted payback to EDD
See also 9/23/14 statement from C N A Weeks * $
1-9-2012 to 4-15-2012 TTD at $652.15 per week 13 weeks 8477.95
2-5-13 to 5-8-14 TTD at $649.41 per week 38 weeks 24677.58
Reimbursed EDD for period of 1/28/2012 – 3/4/2013 for a total of $31,400. 48 weeks 31171.68
Fred Sachs, C N A 64327.21
99 weeks
C N A alleged total paid $82,092.04 for 1/9/12 – 5/8/14 $82,092.04
C NA  alleges “We have paid the 104 weeks of benefits”
(law says 104 weeks + additional 52 by EDD afterwards as required)
THE MATH DOESN’T ADD UP

The question arises, how many unclean hands did that “negotiated discount” pass through before making it’s way back to EDD?  If this is done all the time, how many times must that discounted $18,000 be multiplied to determine how much money leaves the State in favor of Insurance Profits??

.

If every State provides such “negotiated discounts” (aka “kickbacks”??!!)…. how much money is lost by such cost shifting by the State?

.

Further cost shifting involves shifting to Social Security Administration, also implicated in this convoluted mess, and they are spending weeks and weeks and weeks of labor hours trying to sort out the calculations.  See below for more on that.  Treasury Department has even had to become involved in May, and will likely need to jump in again before all is said and done?

WC SHELL GAME TIMES HOW MANY INJURED WORKERS

According to the State of California Department of Industrial Relations, here’s the ideal regarding Temporary Disability benefits:

http://www.dir.ca.gov/dwc/TemporaryDisability.htm

But wait!  Is CNA aka American Casualty, THE ONLY INSURANCE CARRIER WITH SPECIAL PRIVILEGES AND DISCOUNTS afforded by DIR no matter what harm is caused to California Injured Workers?  Have any politicians approved these little … what do we call it…. incentives???

.

Here’s what they say about attorneys:  http://www.dir.ca.gov/InjuredWorkerGuidebook/FAQsAttorney.pdf   (The warnings are quite inadequate–InjuredWorkers will create some new information for those new to the system. If you make a mistake retaining an attorney who freely violated the ABA Code of Ethics, you’re in for an awful ordeal, and they hang on like leaches to a file, preventing legitimate/competent attorneys from taking over their messes.

.

The In-Pro-Per community is a market overlooked by most WorkCompsters…. #InjuredWorkersUniting — perhaps with teams of Paralegals, the WarOnWorkers can be won, SunTzu style, with a Rag-Tag Army of Injured and Disabled Patriots and Others.  Just sayin…THINK OUTSIDE OF THE WORKCOMP GHETTOS.

.

See the gaps in which CNA failed to pay a Wyndham Worldwide Injured Worker? Does that mean 25% of each late payment, up to $10,000 is now due and payable, with sanctions?  Who absorbs that extra cost?

.

That looks like 45 weeks and 4 days?  So would that would be 25% of…. ($1298.82 divided by…. times 45… no, times 22.5 which equals $29,200) so 25% of $29,200, or $7,300.  Is that correct?  So, if you multiply a practice of cheating injured workers like that times how many million injured workers are there, the plot thickens, huh?

.

There’s a rule about penalties for failures to reimburse medical miles which CNA also scoffs at.  Complaints have been filed repeatedly with the Audit Unit; hopeful that Wyndham/CNA’s turn is coming up soon on auditors.   Out of pocket medical expenses for this injured worker have exceeded $43,000.  It seems to be a standard that injured workers who are able to, will often spend more than $50,000 in personal funds to survive the WorkComp system.  Some grand bargain, huh?  Wish for WorkComp only on your most despised enemies, huh?

.

“TD payments begin when your doctor says you can’t do your usual work for more than three days or you get hospitalized overnight. Payments must be made every two weeks. Generally, TD stops when you return to work, or when the doctor releases you for work, or says your injury has improved as much as it’s going to.”

.

APPARENTLY NOT IN CALIFORNIA!  Does the State Controller know how EDD assumes risks for insurance companies then deeply discounts payback, which also deprives Injured Worker of the additional 52 weeks of State Disability, assuming that the first 104 weeks without medical care failed to result in employee death?

.

If you were receiving temporary disability (TD) benefits, the first PD payment is due within 14 days after the final TD payment”   Ooooops, last TD payment was when?  Shown as 5/8/14?   Does that mean that some sort of estimated PD vs. receiving nothing for months and months and months was due?  

.

Is the claims administrator required to pay a penalty for delays in PD payments? Yes. If the claims administrator sends a payment late, he or she must pay you an additional 10 percent of the payment.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Here’s the revised Chapter 5, How it Works     TEMPORARY DISABILITY BENEFITS

What happens if I don’t get my payments on time?

Is the claims administrator required to pay a penalty for delays in TD payments?

“Is the claims administrator required to pay a penalty for delays in TD payments? It depends. The claims administrator must pay you an additional 10 percent of the payment, if: • The claims administrator sends a payment late; and • You filed a claim form for your injury more than 14 days before the payment was due. This is true even if there was a reasonable excuse for the delay. However, there’s no penalty if the claims administrator can’t determine, in the first 14 days after your employer learned about your injury, whether TD benefits must be paid and sends you a delay letter as explained above. You could be awarded a total of 25 percent of each late payment, up to $10,000, if there was no reasonable excuse for the delay…”

When do TD payments end? TD payments end when:

• Your treating doctor says you can return to your usual job (whether or not you actually return to work); or

• You return to your usual job or to modified or alternate work at your regular wages (or at wages associated with a maximum limit on TTD payments); or • You have reached a point where your condition is not improving and not getting worse. (When this happens, your condition is called “permanent and stationary.”); or

.

• You were injured on or after January 1, 2008, and received up to 104 weeks of TD benefits within five years from the date of injury, or you were injured sometime on or after April 19, 2004, through December 31, 2007, and received up to 104 weeks of TD benefits within two years from the start of payments. (Workers whose injuries involve acute and chronic hepatitis B, acute and chronic hepatitis C, amputations, severe burns, human immunodeficiency virus, high-velocity eye injuries, chemical burns to the eyes, pulmonary fibrosis, or chronic lung disease may receive up to 240 weeks of TD benefits within five years from the date of injury.)

.

When TD payments end, the claims administrator must send you a letter explaining why the payments are ending. The letter must list all TD payments sent to you. This letter must be sent within 14 days after your final TD payment. If your treating doctor says that you will never recover completely, you may be eligible to receive permanent disability benefits or a supplemental job displacement benefit. See Chapter 7. Permanent Disability Benefits, and Chapter 8. Supplemental Job Displacement Benefit  [Ooooops, CNA didn’t do that either…. ]

.

[Yikes, CNA has racked up some penalties, haven’t they?  Is there anybody enforcing these rules?]

.

http://www.dir.ca.gov/InjuredWorkerGuidebook/Chapter7.pdf

.

“What are permanent disability benefits?”

“Most workers recover from their job injuries. But some continue to have problems. If your treating doctor says you will never recover completely or will always be limited in the work you can do, you may have a permanent disability. This means that you may be eligible for permanent disability (PD) benefits. You don’t have to lose your job to be eligible for PD benefits. On the other hand, if you lose income because of a permanent disability, PD benefits may not cover all the income lost.”

.

“Other Benefits Besides PD If you have a permanent disability, you may also be eligible to receive: • Medical care for your injury, described later in this chapter. • A supplemental job displacement benefit. To learn about this benefit, see Chapter 8. • Other financial help, such as Social Security disability benefits and benefits offered by some employers and unions. To find out about these benefits, use the resources in Chapter 9”

.

When do I receive PD payments? If you have a permanent partial disability, you are eligible to receive the total amount of your PD benefits spread over a fixed number of weeks. If you have a permanent total disability, you are eligible to receive PD payments for the rest of your life. PD payments are due as listed below, except as follows: If your employer offers you work that pays at least 85 percent of the wages and benefits that you were paid at the time of injury or you are working in a job that pays at least 100 percent of the wages and benefits that you were paid at the time of injury, you will not receive PD payments until after a workers’ compensation judge approves a settlement of your case or decides on the PD benefits you will receive. If neither of the above is true:

If you were receiving temporary disability (TD) benefits, the first PD payment is due within 14 days after the final TD payment.

• If you weren’t receiving TD benefits, you should receive the first PD payment within 14 days after the claims administrator learns that you have a permanent disability caused by your injury. After the first payment, PD benefits must be paid every 14 days. PD payments end when you reach the maximum amount allowed by law or when you settle your case and receive a lump sum. Note: This lump sum is reduced by the PD benefits that you already received, including any lump sum advances.

Is the claims administrator required to pay a penalty for delays in PD payments? Yes. If the claims administrator sends a payment late, he or she must pay you an additional 10 percent of the payment. This is true even if there was a reasonable excuse for the delay and even if the claims administrator sends a letter explaining the delay. (Note, however, that this penalty is not required if you did not file a claim form for your injury.) You could be awarded a total of 25 percent of each late payment, up to $10,000, if there was no reasonable excuse for the delay.

#################################

GRAVY TRAIN WRECK

EDD PICKED UP THE COSTS FOR TEMPORARY DISABILITY BENEFITS FOR THIS INJURE WORKER BECAUSE CNA REFUSED TO PAY TTD, ALTHOUGH AGREED UPON IN A COURT HEARING.  THE ADJUSTER INDICATED THAT THEY DO IT ALL THE TIME.  REALLLY??  THE INFORMATION AND ASSISTANCE OFFICER COULD ONLY SAY, ‘Look, the order says they would resume paying “if necessary” so apparently your Dr. Ponton didn’t think it was necessary.”  Really, he continued to call me temporarily totally disabled in every reported, omitted and not, to the Carrier and to WCAB and to EDD, so what part of that could be misunderstood as being “not necessary”????!!!

.

For the records, EDD paid over an intermittent period, ending in mid 2014 for final reconciliation, after numerous appeals, a total of approximately $49,400 ….negotiated a discount of Injured Workers Benefits or Your Tax Dollars, providing the WorkComp carrier what appears to be an award for approximately $18,000 for REFUSING TO PAY TEMPORARY TOTAL DISABILITY PAYMENTS IN ACCORDANCE WITH LABOR CODE, AND FOR CAUSING PERMANENT TOTAL DISABILITIES BY FAILING TO PROVIDE MEDICALLY NECESSARY TREATMENTS WHILE RACKING UP WHAT APPEARS TO BE A DRAMATIC MONEY LAUNDERING EFFORT WITH MORE THAN APPROXIMATELY 40 FACE TO FACE MEDICAL EVALUATIONS.

.

NUMEROUS CorVel medical evaluations with supportive chicanery continuing the pattern of egregious harm with callous disregard for life and  WITH TOTAL DISREGARD FOR RECOMMENDATIONS FOR TREATMENT.

 

.

psychopath advisory
DEFENSE AGAINST THE PSYCHOPATH – STUDY AND SHARE – https://www.youtube.com/watch?v=Gd6P1Ue2aGg

This is the American Workers Compensation System?  Everybody knows.  What’s wrong you people putting up with these most vile practices that are mere profiteering by the maiming and experiments and exterminations of your fellow Americans? Is it really worth your soul to sell out humanity?

 

psychopaths in power know  do you

Well, we know that psychopaths have no remorse, compassion or soul—-is that what we have here, WorkComp is operated by a SWATH OF PSYCHOPATHS?   SOS, MY FELLOW AMERICANS!  SOS!

.

“If not you, then who? If not now, then when?”  YOU COULD BE NEXT!

#InjuredWorkersUniting  #SilentNoMore

flag distress signal

WE ARE THE MEDIA NOW –> BE GEEKY!

to be continued

FOLLOW THE MONEY: WorkComp California in Cahoots with CNA, Grancell and Wyndham?!!

go save yourself from the zombies[Last edited on July 31, 2014 at 8:47 am]

FOLLOW THE MONEY! America? Just doesn’t seem right to send a sweet little ol’ Baby Boomer to the Welfare Lines and Homeless Kamps….and early death, does it?  #Zombie Alerts!

America? Do you know, really know, how the #WorkComp Multi-Billion Dollar Insurance Scams work, to maim and kill us, while “they” laugh all the way to the bank? Here, check this out. If you have a similar story, let us know. We’re more than a little annoyed at the moment…. Follow the blogs too… more on that horizon coming right up…

#MicCheck. CAN YOU HELP ME WITH THESE GOALS?? Does it Make Sense to you Financial and Math Wizards?? Any other #InjuredWorkers experience this sort of madness, while waiting, waiting waiting for medically necessary treatments for over 2.5 years?

What’s YOUR story regarding #WorkComp and money and medical benefits? Anybody else experiencing full scale BREACH OF FIDUCIARY DUTIES by the Insurance Carriers? One goal is to shed light on these issues, in each of these UNITED STATES OF AMERICA, and helping the insurance companies mend their ways…their ways that are maiming and killing injured workers everywhere.

Here’s a MATH word question, for anybody with a brain, a job, or a work injury related to #WorkComp.

*******************
In California, Work Comp works like this (allegedly):
TTD – 104 weeks (paid by carrier, while providing medical care)
EDD – 52 weeks (paid from employee’s fund, for long term disabilty)
Social Security – Long term disability – can take more than 2 years for approvals after pattern and practice of delays, denials, hearings, denials, delays…. similar to Work Comp practices of the State, just on a Federal Level.
********************

Optional: LTD – usually an employee purchased option, available after 6 months of injury, as a supplement, not ‘crazy money’….payable until age 65 or recovery, whichever is sooner, and apparently part of a pay-back/offset scheme in the event Social Security benefits are approved. Policies vary.

In my case, the long term disability policy contributed $100.00 a month while TTD benefits were being honored. When benefits by insurance carrier were illegally terminated, the LTD policy provided, briefly, $1,800 a month. When TTD resume, LTD wanted their money back. :/ (Need an accountant just to deal with the cash flow, huh? D’oh!)

Social Security indicated that yes, they know I have a traumatic brain injury, but their finder of facts indicate that it is not bad enough to prevent me from selling timeshares. 😮 Does that mean they think …. nevermind…..it’s on appeal. One of their doctors suggested that I might be ‘crossing guard’ even though neuro-optometrists recommend vision therapy so it is safe for ME to cross the streets! Why on Earth they would want someone with vision impairments to help kids cross streets is BEYOND BELIEF, ISN’T IT?

So, here’s the puzzle. IF THE INSURANCE CARRIER DEFIES THE LAW, AND REFUSES TO PAY TTD TO INJURED WORKER, THE STATE SWITCHES PLACES AND PAYS THE INJURED WORKER, USUALLY AT A HIGHER RATE, FOR THE FIRST 52 WEEKS, AND PLACES A LIEN ON THE CASE FILE.

Then, as in my case, the insurance carrier picks up the TTD at a mis-calculated and substantially lower rate of pay, for another 52 weeks, then says, “OH MY. THERE YOU HAVE IT. 104 WEEKS. YOU’RE DONE!” When objected to by injured worker, the carrier response to the omitted 52 additional weeks was, “Oh, I do this all the time. You’ve been paid 104 weeks, and that’s all your entitled to.”

Then, resources recommend that the injured work file for General Relief as a burden to the State’s coffers. Some of you may have seen my February 2014 rants about the generosity of the Salvation Army to keep my lights and heat on in the cold winter, and they directed me to Food Banks and CRISIS CENTER COUNSELING. That was helpful.

Upon injured worker requests, EDD filed a demand for reimbursement from the Insurance Carrier for the $47,922.00 paid by the State in 2012/2013. On 4/24/14, the insurance carrier reimbursed the State of California $31,400.00 for the free loan provided due to the carrier’s willful and malicious refusal to pay TTD, an action supported by WCAB Information and Assistance Officer, and was not heard by a Judge since requested to be heard repeatedly, since December 2012.

The State, in further investigations, found that the carrier had underpaid the injured worker for approximately 416 days, and The State forwarded approximately $23,000 in May 2014 to cover that mess up, and resumed twice monthly payments of $1928 until last week. Upon further investigation by Injured Worker, even the State indicates that it is a common practice that they have to protect citizens and injured workers when insurance carriers fail to pay, and breach those fiduciary responsiblities.

The severe discount in the payback of the $47,922 loaned to the insurance carrier to only $31,400.00 back to the State…. is a huge profit to the insurance carrier…. and a huge loss of nearly 6 months of benefits the injured worker has paid into and is entitled to.

SO, DOES ANY OF THIS MAKE SENSE TO YOU EITHER?
That Mr. Thomas Motamed of CNA, their CEO, makes $10.7 million a year off the multi-billion dollar insurance rackets in America. Just doesn’t seem right to send a little ol’ Baby Boomer to the Welfare Lines and Homeless Kamps….

Any way you do the math, 104 weeks + 52 weeks = 156 weeks, which is 3 years.
I have been waiting and waiting and waiting for medical treatments for 2 years, 6 months, 22 days….. DO THE MATH, AND WONDER WITH ME, WHERE’S THE MONEY?

I have contacted staff people at #CNA, #GRANCEL, #WYNDHAM and #RELIANCE and I hope for good news and money shortly. KEEP THE FAITH.

WE ARE THE MEDIA NOW. WE DO NOT…FORGET.

IF YOU HAVE EXPERIENCED THE SAME OR SIMILAR PROBLEMS, SEND ME AN EMAIL AT WYNLINDA@GMAIL.COM OR COMMENT ON THE CURRENT BLOGS AT:

ASK ABOUT WORKERS COMP GRAVY TRAINS
https://askaboutworkerscompgravytrains.com/list-of-posts-ask-about-workers-comp-gravy-trains/…..

This one talks about ways to save Corporations Money and the Lives of Injured workers…. after reading this info on the ‘shell games’ played:

CORPORATE AMERICA AND UNIONS INTERESTED IN REDUCING YOUR WORKERS COMP COSTS BY 20-50% AND SAVING LIVES?
https://askaboutworkerscompgravytrains.com/2014/07/23/corporate-america-and-unions-interested-in-reducing-your-workers-comp-costs-by-20-to-50-and-saving-lives/

….there may be other thought provoking ways to reduce #WorkComp costs….like eliminating Defense Attorney’s and having clear investigations by the Departments of Insurance on violations of fiduciary responsibilities that involve State and Federal Funds.

TOGETHER, WE’LL GET TO THE BOTTOM OF THIS. MAYBE THEY ARE SIMPLE MISTAKES, HUH?

EASILY CORRECTED BY OVERNIGHT DELIVERY! WE’LL SEE. I WILL KEEP YOU POSTED. KEEP ME COVERED WITH LIGHT AND GOOD POSITIVE POWERFUL THOUGHTS…..THESE BOYZ DO NOT LIKELY SING IN THE CHOIR.

#INJURED WORKERS UNITED: SILENT NO MORE

WE ARE THE MEDIA NOW. SO BE IT, AS IF LIVES DEPEND ON IT.

 

#############

 

stupid no stupid people beyond this point

Where’s the Money? CNA was awarded nearly $20k FOR REFUSING TO PAY TTD IN 2012 AND 2013 AND NOW….

[Last edited on October 3, 2014 at 10:34 am]

August 24, 2015 – CNA, with the help of Grancell’s law team chicanery, has successfully shifted cost burdens to the State of California, Social Security Administration, and Medicare?  Wyndham paid how much for that useless WorkersCompensation policy?  Appears to be more like a money-laundering racket.

In May 2015, after multiple appeals, Social Security Disability was awarded, and Medicare established.   SSA calculations are apparently like a rat maze based on false and incorrect information repeatedly provided by CNA, along with the Courts “negotiating” rewards to CNA for breaking the law and refusal to pay TTD, even when a Judge told them too.   A more indepth blog will be forthcoming….. this will give you a clue of how they set the ‘SHELL GAME’ for your taxpayer dollars up…

Other paperwork falsely alleges CNA paid me and still pays me approximately $4,000/month.  Holy Moly!  Call the District Attorney.  Sounds like grand theft because such funds don’t make it to my bank account.  I wonder where they go?  Actually, I wonder if the State Controller has a clue on the money that EDD and SSA seem to ‘kick back’ to big companies like CNA aka AMERICAN CASUALTY

 

FOLLOW THE MONEY….  Vote the Poll, “Dodge the Rads — It’s Dangerous Out There”

[Last edited on October 3, 2014 at 10:34 am]

—–Original Message—–
From: Linda Ayres <lindaayres@aol.com>
To: sreubens <sreubens@grancell-law.com>
Cc: wynlinda <wynlinda@gmail.com>; lindaayres <lindaayres@aol.com>; ReoLinda <reolinda@aol.com>
Sent: Fri, Oct 3, 2014 10:25 am
Subject: Fwd: Linda Ayres — CNA 3269102 TTD Termination of Benefits, Authorization for Medically Necessary Treatments, and Reimbursements, QMEs and “Practice Effect” violations

Hi Stewart, Courtesy Copy to you and others.  Have a nice day.

—–Original Message—–
From: Linda Ayres <reolinda@aol.com>
To: fred.sachs <fred.sachs@cna.com>
Cc: SReubens <SReubens@grancell-law.com>; mary.falvey <mary.falvey@wyn.com>; hchalgujia <hchalgujia@aol.com>; tina.jordan <tina.jordan@wyn.com>; melisa.paramo <melisa.paramo@wyn.com>; lindaayres <lindaayres@aol.com>; wynlinda <wynlinda@gmail.com>; reolinda <reolinda@aol.com>; jack.dolan <jack.dolan@latimes.com>; Alyson.Johnson <Alyson.Johnson@wyn.com>; Christine.Dasilva <Christine.Dasilva@wyn.com>; Margo.Happer <Margo.Happer@wyn.com>; merav.benedetti <merav.benedetti@wyn.com>; steven.alessandrini <steven.alessandrini@rci.com>; lori.ford <lori.ford@wyn.com>; info <info@naidw.org>
Sent: Fri, Oct 3, 2014 9:52 am
Subject: Linda Ayres — CNA 3269102 TTD Termination of Benefits, Authorization for Medically Necessary Treatments, and Reimbursements, QMEs and “Practice Effect” violations

Dear Fred:

Thank you for your email of September 23, 2014 with your thoughts on monies paid and terminated TTD.  Matrix advised that they did contact you, but have not yet received a response to their request for a copy of the actual termination notice.  Can you help now?  I have bills due NOW.   TOP PRIORITY…..CASH FLOW issues since you have sent any money since July 2014, and you believe there is none due because of the deep discount provided to CNA by the State of California, relinquishing my rights and benefits.

Prioritized points below, 1-7.  Thanks.  Stress messes with my brain and too many things are coming at me right now.  Sorry for the length of this.  I also remembered I migh be able to do the housekeeping thing… I have supervised Estate housekeeping staff.  More on that below.

Stewart is being mean again, says he is not going to email me anymore, just snail mail.  That’s another ADA violation, but he doesn’t care.  I have had to keep switching email accounts because Grancell blocked me on this account, so I’ll send him a copy in a bit….not jumping through any more hoops for him.  He is tooo mean and he scares me.

Let’s not again burden the State because Wyndham doesn’t like to help injured workers return to work, and wants them kicked to the curb and or dumped into the SSDI and welfare roles.  One friend said if Tina wants me to be a Housekeeper as the only way to return to work, then the panel QME with Dr. Holmes will be imperative.  Even he might have to call for “light duty” for Orthopedic reasons.  Social Security also does not think brain rehabilitation or brain injury is an imediment to selling timeshare.  Hard to figure.  Here’s more on what a doctor told me in January 2012 regarding possiblities of return to work, if’s and thens:

Wyndham‬ Worldwide, Is there a WIDGET ASSEMBLY department??!  http://t.co/HWRyyRPis0  https://askaboutworkerscompgravytrains.com/2013/07/03/wyndham-worldwide-is-there-a-widget-assembly-department/

One of the big take-aways from SCRIPPS was further clarification on how messed up my brain is, and how desperately I need more Speech and Occupational and Vision Therapy to be able to rejoin the work foce.  Let’s work together to get me to Coastline….. It seems the cheapest way for you to go…unless you like paying Grancell to torture and terrorism disabled workers, then, I surrender.

Here is a link to some blogs with facts on my case, including denied medical care, failure to reimburse medical miles, and the whole ugly mess.   If Steward refuses to send you the file, this may be a quick update, it’s accessible on mobile phones too.  https://askaboutworkerscompgravytrains.com/list-of-posts-ask-about-workers-comp-gravy-trains/

Hello Linda,

 

I’ve received your request and forwarded to our recalculation department for review.  Please note that we would need an actual award notice / termination notice from your workers’ compensation carrier indicating you are no longer receiving the $649.41 / wk.  As it stands it appears that you continue to receive the $649.41 / wk (2,814.11 per month) and that offset would still apply.  Once the overpayment is recovered, you would only be entitled to the $100 per month minimum benefit unless a termination of benefit notice is received on the workers’ compensation carriers’ letterhead.  – Matrix

  1.   Please send me and Matrix a copy of the TTD Termination of Benefits document today, please and thank you.

As you can see by the email from Steven Acevedo below, I’m not the only one confused by the complications caused by the CNA refusal to pay TTD the first year, and by the severe discount of my benefits negotiated with the State of California, to my loss of $20,000, and putting me in the position again to rely on public charities and State Funds, that were given to CNA rather than to this injured worker.

Before I get busy with emails on this matter today, will you kindly forward a copy to me today of the actual “termination notice” indicating that you are no longer paying me, effective when and why.  As you can see, it appears to even Matrix that yep, you’re still supposed to be and are paying me, so therefore, they are unable to reinstate my LTD benefits.

The people at Matrix and Reliance are always very helpful and responsive.   I appreciate your efforts to communicate with me, and I understand that Stewart Reubens has decided to ignore more ADA requests for electronic communications and will just mail things to me when he feels like it.  Whatever.  It’s noted.

The entire thread is again attached.

  1.   Please request from Stewart Reubens a copy of the summary of unreimbursed medical miles and expenses dating back to January 2012, submitted repeatedly, on paper and electronically.
  1.   Appeal to Scripps obfuscated by again failure to provide evaluating doctor with medical records as submitted on appeal, when it was obvious the first request was submitted with numerous omitted medical records.
  1.   Dr. Hilda Chalgujian agrees with pursuit of continued treatment at SCRIPPS and or at Coastline Cognitive Rehab, which starts October 20, 2014, if I am accepted to the program.   More evaluations required.   Her RFA is anticipated shortly.   COASTLINE MAY BE THE WAY TO GO.  DOESN’T LOOK LIKE WE CAN SETTLE UP AND I WILL NOT BE COMFORTABLE WITH ALLOWING MORE HARM TO COME TO ME BECAUSE STEWART DOES LIKE ME OR BECAUSE HE HAS HIS EGO INVOLVED IN HARMING A DISABLED WOMAN.
  1.   Stewart doesn’t want you to authorize any medical treatment, but he wants further evaluations at:
  1. a) Orthopedic Surgeon – Dr. Holmes  –  PLEASE ENSURE I HAVE A COPY OF MEDICAL INDEX AND HARD COPY OF RECORDS SENT BEYOND WHAT I ALREADY PROVIDED; PLEASE CONFIRM THAT DR. HOLMES HAS RETAINED ALL THE RECORDS PREVIOUSLY PROVIDED.  As it is a pattern of practice for Grancell to send me to appointments without providing the doctors with complete medical evidence, I will be unable to attend the QME unless I have received proper notice of the records submitted, and copies thereof.  Otherwise, I am happy to comply with helping another doctor make holiday money with another evaluation.

 

  1. b) PLEASE ASK STEWART TO ENSURE I RECEIVE A MILES CHECK FOR THE QME, AS THE ONE SENT PREVIOUSLY WAS EXHAUSTED AS I APPEARED FOR THE APPOINTMENT AS ORDERED BY THE COURT, AND IT HAD BEEN CANCELLED AND NOT REINSTATED.  I have full documentation, so Stewart needs to send another check, to my post office, PO BOX 835 YUCCA VALLEY CA 92286
  1.   Stewart does not want you to authorize any brain injury treatment, following the footsteps of Kim Mall of Grancell-Corona, 24 days at SCRIPPS when 3-6 months were requested is hardly compliance with the responsibility of my employer and it’s agents to provide medically necessary treatment. Yet, Stewart wants another neuro-psych evaluation….. to add to the facts provided in 2012 by Dr. Eileen Kang and Dr. Marcel Ponton, and reiterated by Dr. Hilda Chalgujian.   Their requests for medical treatment were all ignored, so, here I am.    Coastline may be the way to go.
  1. a) Please ensure that any such neuro-psych eval complies with the law and any such evaluator currently treats TBI in his/her practice.  Please know that Matrix is sending me yet another neuro-psych for eval for my long term disability later in month, and practice effect in such exams is common knowledge within that realm of experts.  Please ensure CNA is in compliance whatever laws may pertain to repeated testing in hopes of getting better results and being able to further deny medical treatment.  I get the question about “What season is it?” right this time of year, and I am doing better at listing the presidents, and identifying what day, month, year it is, and what City and County I am in.  I still have challenges with counting from 100 backwards by 7s, and spelling world backwards is hit and miss.

Wow, to think some work comp comp doctors are paid several thousand dollars to adminster those tests, or to supervise a non-licensed person to do so…. Wow, that’s America, huh?

  1.  Steward said he was going to contact Dr. Hilda and Dr. Bergey directly regarding ‘MEDICAL LIMITATIONS’… May I also suggest you re-review the records and statement of Dr. Marcel Ponton, psychologist and QME, and Pasadena treating doctors from April 2012 to December-ish 2012…. It’s in the blog, but here’s a quote, and since none of the recommended treatments happened, there’s little reason to believe anything has changed much on the limitations, huh?

RECORDS REVIEW:

Report to Employer:

Disability or Medical Limitations:  (Physician must review employee’s job description and describe disability and/or restrictions from performing this job). 

HAS PROBLEMS WITH ATTENTION AND CONCENTRATION WHICH WILL IMPACT ABILITY TO EFFECTIVELY PROCESS COMPLEX CLIENT INFORMATION AND OTHER DATA.  Additionally, injured worker has a reactive depression to the conditions and neurobehaviorial symptoms.    Medications Taken and Side Effects:  N/A

Mitigating Measures or Assistance Devices Utilized and Degree of Effectiveness in Reducing Functional Limitation and Effect of Medical Condition on Major Life Activities, Description of Impact and Duration:

Injured worker needs ongoing psychotherpay and cognitive remediation.  Ongoing Rx for neurobehaviorial symptoms as per Physiatrist. Patient has problems with money management at this time, however, is independent with all other ADL’s…..  [Physiatrist recommended treatments and further evaluations were never authorized after initial consult.  Initial consult did result in non-revocation of driver’s license after unfounded report by neurologist with a specialty in epilepsy and fibromyalgia (neither of which IW suffers from), not TBI, saga for another blog]

State Whether Employee Can Perform the Tasks in the Job Description in light of Medical Condition and identify any applicable restrictions and duration:

#Responsibility – will have difficulties with training and development and remembering information to convey to others…

Knowledge and Skills – patient will have problems tracking with company policies and procedures.  Patient may also have problems with organization.

Identify Any Accommodations that Would Enable the Employee to Perform the Tasks that the Employee’s Medical Conditions Precludes from Performing 

Modified duty – performing rote and repetitive tasks that do not require major decision making or constant interaction with the public.

See more:

As to the $27,000+, Stewart again reiterated that nothing I say will encourage him to look at the documents I provided in summary to the multiple requests for medical expenses as far back as 2012, medical miles to PTP, co-pay for the EAP directed doctor, treatment requested by physicians and utterly ignored by Grancell attorney Kim Mall which I then self-procured, and she interrupted with threats to the doctors.  Is there no law against bullying injured workers??     When I look for the TTD TERMINATION,  I will look for the summary again, and send it to you.  The Audit Unit has copies, and while Stewart likes to say it’s all about ‘self-procured medical care for disputed body parts’…. the evidence, had he been willing and able to read it, will clearly show that’s not the case.  For a fast fact check, see when the last time you paid me for medical miles to Dr. Darren Bergey and Dr. Hilda Chalgujian.   Start there, and you’ll see a pattern.

You also mentioned that if SCRIPPS was not authorized for further treatment (which is was not, and again, they refused to review all the medical records I provided, and did not even have the SCRIPPS discharge records… omission of medical records with intent to deny medical care, or just another oooops??)  Anyway…you mentioned, local providers you would recommend are at Eisenhower, Loma Linda or Casa Colina, for speech therapy for high level executive functions, vision, occupational and vocational therapies, but you did not provide the names of any such providers.  Further, clearly you are unfamiliar with my file, or you would see that I have treated at Casa Colina, their Medical Director, Dave Patterson, organized by Daniel Elliott and Attorney Michael Durich (#2) sent me there for an evaluation and to debunk the request by Dr. Waldman to revoke my driver’s license in April 2012. I went to that appointment expecting a complete evaluation for their Brain Rehabilitation Program, and I got a 15 minute evaluation and Dr. Patterson filled out the DMV papers and said I was cleared to drive.  He also referred me to Dr. Eric Ikeda, their Neuro-Optomestrist.  I never saw a report on that meeting, I never was sent to Dr. Ikeda by PTP Marcel Ponton, QME, and in fact, only saw Ponton’s side-kick, Dr. Chung, for 4 session of psychotherpay  (those may be some of the unreimbursed medical miles, too from 2012, we’ll have to look, it was a 2+ hour drive.)   When I requested medical records, I saw there is a notice that I saw Dr. Patterson of Casa Colina in October 2012, which is false. It is a fake part of the medical records index of Ms. Mall.   I did, however, self-procured medical evaluation and treatment with Dr. Patterson in April 2013, but alas, he lost my file, never wrote a report, and refused to see me again.  However, he did refer me to Dr. Ikeda, wherein I received a prescription for the first treating theraputic lenses, and some Vision Therapy, that Ms. Mall also interrupted.   Experts that I have spoken to find it very curious that there is a false notice of a patient meeting with Dr. Patterson, his abrupt loss of my files, failure to provide the promised, and oh yeah, he had recommended me for 3 months at their Brain Injury Rehab place in 2013, and they take work comp.   WHAT DO YOU THINK ABOUT THAT??

I will look for and try to finish the schedule of physician request but attorney denied medical treatments since 2012.  While Stewart thinks it’s not his job to help me get medical care, and he insists that he and his firm have nothing to do with whether or not I get medically necessary treatments for accepted body parts, including my brain, that just makes me wonder if he is suffering from a brain injury, too, or if it’s genetic.

Anyway, oh oh….. Do you read WorkComp Centeral blog?   Guess who they wrote about recently?  Yep!  Let me know if you want the link….. it’s the one about Work Comp and Baseball…..  ahhh, 30 seconds and fame on social media…..  I hope that guy, Jack from the LA Times calls you and Stewart for some of his investigative reporting…

He looks like he is unfraid of deep digging….goodness, he even suggested that some LA Police and Firefighters fake work comp injuries.  I had to comment that as a Citizen, I suspect they are made to wait and wait and wait for medical care just like the rest of us, while the profits are squeezed as the life is squeezed out of us.

Ok, that’s it for me for now.  I think the summarized points brings us up to date.  Still on my action list for you is:

  1. Send you the summarized spreadsheets for the way past due $27,000+
  2. Keep working on the PROPOSAL FOR SETTLEMENT (dropped to the bottom of the pile with Stewart’s continued bad faith and breach of fiduciary responsiblites)
  3. Keep trying to make any ally out of you, since your Fraud guys told me that’s the way to go.  But golly, I’m insured by you guys, why do I have to try to make an ally out of you. I’m not the enemy.  Grancell is.

Sincerely,

Linda Ayres, IN PRO PER

760 368 5243

PO Box 835

Yucca Valley CA 92286

wynlinda@gmail.com

reolinda@aol.com

cc:  Mary Falvey, Wyndham Worldwide Human Resources Executive VP

Tina Jordan,  Wyndham Worldwide Human Resources – Regional Director

Melisa.Paramo Wyndham Worldwide – Manager, Indio, Palm Springs and Big Bear

Wyndham Leave Support

PS Note to Wyndham:  PLEASE ADVISE THE DATE OF THE INDIO SALES EXECUTIVE TRAINING IN NOVEMBER.  The accommodation request form was      submitted by me, and delivered to Dr. Chalgujian and Dr. Bergey, anticipating further discussion and commencement of the Interactive Process, thank you.

cc:  Jack Dolan….  PS  You and your article were mentioned in the Ask About Workers Comp Gravy Trains blog: https://askaboutworkerscompgravytrains.com/2014/10/01/hello-america-can-we-talk-tbi-workcomp-wyndham-cna-grancell-edd-ca-dol-usa-etc-and-complete-systems-fail/   😀  You’re welcome.   BTW, Do you know Larry Kosmont?  I used to work for him.  He’ll probably say nice things about me, and how smart I was and how I was a great “right hand” to him and his.   Peter and Stephen Lowy might remember me, but I did, at the end of my assignment as Executive Assistant to the Chairman of the Board, I help his Dad and Mum run their households in Beverly Hills and NYC, and I coordinated logistics when they flew in on their 747 or were off in the Mediterranean on their yacht.  It was at the time they were buying up shopping centers in the USA.

cc:  Wyndham Worldwide Media Contacts     –  http://www.wyndhamworldwide.com/news-media/media-contacts

Alyson.Johnson@wyn.com, Christine.Dasilva@wyn.com, Margo.Happer@wyn.com, merav.benedetti@wyn.com, steven.alessandrini@rci.com, lori.ford@wyn.com,

cc:  John Araby  – National Association of Injured and Disabled Workers

 

 

—–Original Message—–
From: Steven Acevedo <Steven.Acevedo@matrixcos.com>
To: Linda Ayres <reolinda@aol.com>
Cc: RSLI-Stephen Buch <Stephen.Buch@rsli.com>
Sent: Fri, Oct 3, 2014 7:57 am
Subject: RE: Linda Ayres REINSTATEMENT OF LTD Status of Money?? Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

Hello Linda,

 

I’ve received your request and forwarded to our recalculation department for review.  Please note that we would need an actual award notice / termination notice from your workers’ compensation carrier indicating you are no longer receiving the $649.41 / wk.  As it stands it appears that you continue to receive the $649.41 / wk (2,814.11 per month) and that offset would still apply.  Once the overpayment is recovered, you would only be entitled to the $100 per month minimum benefit unless a termination of benefit notice is received on the workers’ compensation carriers’ letterhead.

 

 

Steven Acevedo

Integrated Claims Examiner

 

 

Phone: 877-315-9838 ext. 40235

Fax:      914-784-0025

Email:  Steven.Acevedo@matrixcos.com

Web:    www.matrixcos.com

 

NOTICE:  CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE: This email, including  attachments, is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender which may be legally privileged.  The information is intended only for the use of the individual or entity to which it is addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance of the contents of this information is strictly prohibited.  If you have received this electronic transmission in error, please immediately notify the sender by return e-mail and delete this message from your computer or arrange for the return of any transmitted information.

From: Linda Ayres [mailto:reolinda@aol.com]
Sent: Friday, October 03, 2014 10:06 AM
To: Steven Acevedo
Cc: RSLI-Stephen Buch; REOLINDA@AOL.COM
Subject: Fwd: Linda Ayres REINSTATEMENT OF LTD Status of Money?? Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

 

Hi Steve and Steve….

 

Any chance you can update me on the status of the reinstatement of my LTD $1800/month today. Panic is not a good mode for my brain functions.

 

FROM CNA/FRED SACHS:  9/23/14:    Linda,   Per your request below are the periods we have paid temporary disability.  In response to your question regarding reserves, we do not discuss the reserves placed on a file with the injured worker or their legal representation if represented.   1-9-2012 to 4-15-2012 temporary disability at rate of $652.15 per week 2-15-2013 to 5-8-2014 temporary disability at rate of $649.41 per week   Reimbursed EDD for period of 1-28-2012 to 3-4-2013 for a total of $31,400    Fred Sachs, CRIS MCU WC Claim Specialist 714-674-5886 FAX: 714-256-7630

 

 

Till then, I have bills due now.

 

Thanks much.  I need to know so I can plan.  (I’m looking for Steve A’s phone number and will follow up with phone call when I find it.  Plllllllease advise. Thanks.

 

Sincerely,

Linda Ayres, IN Pro Per

760 368 5243

REOLINDA@AOL.COM

 

 

—–Original Message—–
From: Linda Ayres <reolinda@aol.com>
To: steven.acevedo <steven.acevedo@matrixcos.com>
Cc: Stephen.Buch <Stephen.Buch@rsli.com>; reolinda <reolinda@aol.com>; wynlinda <wynlinda@gmail.com>; lindaayres <lindaayres@aol.com>
Sent: Tue, Sep 30, 2014 7:22 am
Subject: Linda Ayres REINSTATEMENT OF LTD Status of Money?? Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

Hi Steve and Steve…

 

Do we have any word on the status of my $1800 a month, based on the info below?  Bills are do again and I’ve been “holding on” with a hard-core “extend and pretend” strategy since July.  I am reaching the panic point again, or went over the edge upon early termination of SCRIPPS care.

 

 

Could you kindly let me know when my LTD benefits will resume, and if there is any retroactive money coming to me, and when.  If it’s NOT cominig, or there’s an issue, please just let me know.  I will be in touch with Advocator to get additional records to them.  If they do their job and help me get Social Security approval, I can rest a bit and get treatment subsidized by the State or the Military, whoever is behind the program I just found.  Link below.

 

 

 

Bills are due tomorrow.  If I know funds are  coming, I can enroll in the Coastline Brain Injury program that starts October 20, 2014 (for 1-2 years) and could live frugally and get cognitive rehabilitation if I can count on that $1,800, and they I will fight like hell with CNA after sufficient rehabilitation, in a year or two.   They apparently have no intentions of reimbursing my $27K spent for medical care they refused to provide, and they figure the State of California negotiated away my rights and gave them a fat $20K profit, so too bad how sad for me…. Call the Department of Insurance and register another complaint.   D’oh.

 

I need to know what the status of my money is,amounts and when.

 

I see Dr. Hilda this morning, it would be great if I had a clue about the Matrix/Reliance before my 10:30 appointment with her.  She knows I am seeing one of your doctors October 27 for further evaluations. It’s marked on my calendar.

 

 

Also, I need to know because I am trying to get accepted into a one-to-two year brain injury treatment program, with or without CNA.  There’s no reason for me to believe they will do right now, as they have done such wrong all along, and they interrupted the SCRIPPS Brain Rehabilitation Program.  It’s on appeal, and word is expected by the end of the week, on an expedited basis.

 

(I got a call “from Chicago”   :/   that suggested I had mis-directed my recent complaints of FRAUD, and suggesting that I make nice with the adjuster and be a little more patient….   0.0

 

So I tried it again….with a short sweet polite plea for help to get into the Coastline Community College Acquired Brain Injury Program, a 1-2 year plan, that starts October 20, 2014, and would require that I relocate, or at least having lodging for 5 days a week till I get relocated. Fred said he couldn’t authorize it, but he can submit it if one of my doctors requests it…. My goal is to have two of my doctor request it, and at Coastline, they encouraged me to get “as much of SCRIPPS that I can” before coming to them.

 

Here’s the link: http://www.coastline.edu/students/students-with-disabilities/acquired-brain-injury/

 

 

Thanks Steve and Steve…….

Linda Ayres
reolinda@aol.com

 

—–Original Message—–
From: Linda Ayres <reolinda@aol.com>
To: Stephen Buch <Stephen.Buch@rsli.com>
Cc: steven.acevedo <steven.acevedo@matrixcos.com>
Sent: Tue, Sep 23, 2014 1:07 pm
Subject: Re: Fw: Linda Ayres vs. Wyndham Worldwide et al Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

Thanks Steve and Steve!!!!

Please let me know bottom line Asap.

I am working on not only Return to Work (against doctor opinions) but only a Proposal for Settlement.

Failing that, it will be full on fighting…

Wish me luck!!!!!

Worst case scenario seems to be I try to return to work and fail, and keeep moving forward. I assured them I am NOT going to Foodbanks so they can collect big checks over my injured body.

I hope its nearly over.

Many thanks to you both for all kindness nd patience.

Cheers,
Linda Ayres, In Pro Per

All nuclear reactors leak all of the time.
“Start with the Science.”

We are the Media Now.

From: “Stephen Buch” <Stephen.Buch@rsli.com>

Date: Tue, 23 Sep 2014 15:34:47 -0400

To: <reolinda@aol.com>

Cc: <steven.acevedo@matrixcos.com>

Subject: Re: Fw: Linda Ayres vs. Wyndham Worldwide et al Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

 

Hi Linda,

 

Steven Acevedo would be the examiner handling this. I’ll forward this email as well as the other to him.

Kind Regards,

 

Steve Buch

WOP/AO Claims Examiner

2001 Market Street
Suite 1500
Philadelphia, PA 19103-7090

Work: (800) 351-7500 ext. 3908

Fax: (267) 256-3535

>>> “Linda Ayres” <reolinda@aol.com> 9/23/2014 3:18 PM >>>
Hi Steve,

Based on CNA statement of what they paid, can you now reinstate my LTD benefits and if so, how sooon??

Please let me know as soon as you can.

I may get to do a trial Return to Work soon…and I need to do the math.

Thanks a bunch.

Linda Ayres, In Pro Per

PS Just had a pretty good meeting with Wyndham HOUR regional Manager and Director.

——Original Message——
From: Sachs,Fred
To: Linda Ayres
Cc: Stewart Reubens
Cc: Stephen Buch
Cc: Sachs,Fred
Subject: RE: Linda Ayres vs. Wyndham Worldwide et al Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N
Sent: Sep 23, 2014 11:11 AM

Linda,   Per your request below are the periods we have paid temporary disability.  In response to your question regarding reserves, we do not discuss the reserves placed on a file with the injured worker or their legal representation if represented.   1-9-2012 to 4-15-2012 temporary disability at rate of $652.15 per week 2-15-2013 to 5-8-2014 temporary disability at rate of $649.41 per week   Reimbursed EDD for period of 1-28-2012 to 3-4-2013 for a total of $31,400    Fred Sachs, CRIS MCU WC Claim Specialist 714-674-5886 FAX: 714-256-7630
From: Linda Ayres [mailto:reolinda@aol.com] Sent: Thursday, September 18, 2014 2:32 PM

To: Sachs,Fred Cc: Tina R Jordan; Stewart Reubens; Stephen Buch; Linda Ayres; Linda Ayres; MBX – WVO Center Subject: Fw: Linda Ayres vs. Wyndham Worldwide et al Policy LTD 121329 Claim 2012 11 13 0149 LTD 01 N

Hi Fred, Below is an e-thread with LTD provider regarding income. They need to know if you will be resuming TTD retroactive or the actual dates paid and stopped. I will let Steve Buch know thaat Scripps was terminated but not completed, and is on apppeal and that discharge records are anticipated next week. By the way, what is the reserve on my claim? I don’t have the marbles to sort out the TTD money stuff on top of all else. I am in full survival mode and will be working on that “Proposal for ReSolution” for you and Stewart plus accommodations and interactive process. As you check on the TTD money and calculations, this reference to the letter from Daniel Elliott may shed some light. “And I found a letter from CNA dated 4/21/2014 indicating “Payment for temporary disability is resuming and sent separately for the period starting 02/14/2014 through 4/24/2014 and will continue until you are able to return to work or your medical condition becomes permanent and stationary.  Your weekly compensation rate is $649.41 based on your earnings of $1 per week…..”    (His calculations are aopparently purposely off and were off-set by EDD for the period they did pay.  )….” If you could put

All nuclear reactors leak all of the time.
“Start with the Science.”

We are the Media Now.

This message has been scanned for viruses and
dangerous content by MailScanner, and is
believed to be clean.

 

%d bloggers like this: