Arthur H. Kravitz.jpg

Arthur H. Kravitz

akravitz@stark-stark.com
609.895.7244

Arthur H. Kravitz is a Shareholder and Chair of Stark & Stark's Workers' Compensation Group. He has over twenty years of experience as a workers' compensation attorney practicing in both the Workers' Compensation Courts and the Appellate Courts of New Jersey. Several cases litigated by Mr. Kravitz have resulted in reported and published decisions, in some instances changing the state of the law in New Jersey, particularly in recognition of the psychiatric disability due to workplace stress.

Entries authored by Arthur H. Kravitz

First Responders Occupational Exposure Bill Passes Both Houses of the New Jersey Legislature

On May 20, 2013, the New Jersey State Assembly by a vote of 53-19-4 passed the Thomas P. Canzanella Twenty First Century First Responders Protection Act previously passed by the State Senate.  Named for the Deputy Chief of the Hackensack Fire Department and President of the Professional Firefighters Association of New Jersey, the Bill would extend protections to First Responders by creating rebuttable presumptions that exposures to known carcinogens, pathogens, biological toxins as well as serious communicable diseases are considered work related thereby shifting the burden of proof of the employer to show that these conditions were not a part of the employment.  Such a Bill would make it easier for First Responders to receive workers’ compensation benefits.

The Bill is wide ranging in scope covering both paid and volunteer police and firemen, state police, first aid and rescue, nurses, medical technician, correctional facility employees and other medical personnel.  It would require clear and convincing proof that conditions such as exposure to hazardous chemicals or known carcinogens or pathogens are not related to the employment in order to relieve the employer of responsibility for these conditions.

Specifically for firefighters there would be a presumption to that a firefighter who was on the job five or more years who develops cancer, would be eligible for workers’ compensation benefits.  Given the growing evidence that firefighters risk exposure to known carcinogens, this Bill represents a welcome recognition of those risks.  It would also ensure that public safety workers and medical personnel who receive small pox or other vaccinations voluntarily in response to an actual or threatened bioterrorism or epidemic would be covered for any illness caused by those vaccinations.  Passage of this legislation places New Jersey among 24 other states that grants firefighters a presumption in the event that they contract cancer.

The Bill next goes to the Governor to sign or veto.

Governor Christie Signs Bill Prohibiting Charging Workers' Compensation Claimants For Medical Expenses

Out of the many problems that injured workers face when receiving workers’ compensation benefits is that medical providers often bill the worker either for an entire bill which should go to the insurance company or more frequently a claim balance after receiving payment from the workers’ compensation carrier.  Many injured workers have encountered problems with their credit scores when doctors, hospitals and other medical providers have placed their bills into collection when the dispute should have been with the workers’ compensation insurance company.  No injured worker deserves to have that happen to them.

On November 19, 2012, Governor Christie signed into law a bill prohibiting charging workers’ compensation claimants for medical expenses.  This can either involve payments for treatment which has been authorized by an employer or its insurance company or third party administrator or it can also include claims that had been paid by the workers’ compensation insurance company, or for bills which have been determined by the Division of Workers’ Compensation to be the responsibility of an employer or its insurance company.

Furthermore, in addition to prohibiting medical providers from charging injured workers’ for medical expenses, the bill gives the New Jersey Division of Workers’ Compensation sole jurisdiction over disputing work related medical claims.  Our firm is involved now in a case in Superior Court in which we will be asking the Judge to transfer to the Division of Workers’ Compensation to determine responsibility for an ambulance bill.  Since the ambulance company had refused to submit the bill to the workers’ compensation carrier, this will provide an opportunity for the matter to be resolved in the appropriate form and the claim against the injured worker dismissed.

Lastly, the new law provides that treatment of an injured worker or payment of workers’ compensation benefits to an injured worker for their dependents may not be delayed because of a claim by a medical provider.  This is intended to keep the injured worker from being placed in the middle of a dispute between the workers’ compensation insurance company and the medical provider.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, concentrating in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

First Responders Occupational Exposure Bill Clears Assembly Committee

On December 10, 2012, the Assembly heard testimony and voted in favor of S569, Thomas P. Canzanella Twenty First Century First Responders Protection Act. Named for the Deputy Chief of the Hackensack Fire Department and President of the Professional Firefighters Association of New Jersey, the Bill would extend protections to First Responders by creating rebuttable presumptions that exposures to known carcinogens, pathogens, biological toxins as well as serious communicable diseases are considered work related thereby shifting the burden of proof of the employer to show that these conditions were not a part of the employment. Such a Bill would make it easier for first Responders to receive workers’ compensation benefits.

The Bill is wide ranging in scope covering both paid and volunteer police and firemen, state police, first aide and rescue, nurses, medical technician, correctional facility employees and other medical personnel. It would require clear and convincing proof that conditions such as exposure to hazardous chemicals or known carcinogens or pathogens are not related to the employment in order to relieve the employer of responsibility for these conditions.

Specifically for firefighters there would be a presumption to that a firefighter who was on the job five or more years who develops cancer, would be eligible for workers’ compensation benefits. Given the growing evidence that firefighters risk exposure to known carcinogens, this Bill represents a welcome recognition of those risks. It would also ensure that public safety workers and medical personnel who receive small pox or other vaccinations voluntarily in response to an actual or threatened bioterrorism or epidemic would be covered for any illness caused by those vaccinations. Passage of this legislation places New Jersey among 24 other states that grants firefighters a presumption in the event that they contract cancer.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, concentrating in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

 

Safer Work Environment Through Paid Sick Live

As the pronouncements encouraging all of us to get flu shots remind us of the coming cold and flu season, thoughts turn to ways of promoting a safer, healthier work environment.  A new study by the National Institute of Occupational Safety and Health published in the American Journal of Public Health has reported that workers with access to paid sick leave were 28% less likely overall to suffer occupational injuries then workers without access to paid sick leave.  Such a reduction would reduce workers’ compensation costs to employers.

The study concluded that access to paid sick leave could reduce “presenteeism,” the problem of sick workers continuing to work who are not fully productive.  Paid sick leave reduces the pressure to work while sick out of fear of losing income. Therefore, fewer people will work while sick and this will result in safer operations and fewer injuries.

In an overall workplace, this should make perfect sense.  A sick employee is less productive and less aware of his or her surroundings.  A sick employee is more likely to make mistakes and in such high risk occupations and industry sectors, such as construction, manufacturing, agriculture, health care and social assistance, such inability to perform increases the risk of injuries to everyone in the workplace.

 

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, concentrating in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

OSHA Issues Advisory on the Use of Cleaning Products

The United States Occupational Safety and Health Administration (OSHA) together with the National Institute of Occupational Safety and Health has issued advisories designed to protect workers from exposure to cleaning products which may be hazardous to their health. OSHA has also raised the concern that so called “green” products may not be “green” enough to ensure a worker’s safety.

Workers exposed to cleaning chemicals can suffer from a wide range of medical conditions including coughing and wheezing, red or itchy eyes, skin rashes or burns, shortness of breath, sore throat, headaches or dizziness, nose bleeds or asthma. If you have health problems that you think are caused by using cleaning chemicals, you should tell your supervisor and ask to see a doctor immediately.

Your employer is required to provide a safe workplace which includes adequate ventilation when using chemicals as well as protective clothing, gloves and safety goggles. Cleaning chemicals need to be clearly marked. Employers are required to train employees to know the hazards of the cleaning chemicals before using them how to store them, when and how to dilute them and what to do if there is a spill. It is particularly important to know that mixing cleaning products that contain bleach and ammonia can cause severe lung damage or death.

Many employers and building managers are purchasing “green” cleaning products with the expectation that the “green” cleaning products are safer for workers in the environment. However, just because a chemical cleaner is labeled to be “green” does not necessarily mean it has been certified by an independent organization as safer to use and less harmful to your health and environment. Only those products which are certified by independent organizations can truly qualify as “green” products.  Many of these have met performance standards for its intended use.  Even better, many “green” cleaners are fragrance free but still clean effectively.  However, workers may still need to use protective clothing, gloves or safety goggles with some certified “green” cleaners.  This is why it is very important for employers and employees alike to use the information contained in the Material Safety Data Sheets to know not only what symptom and health problems may be associated with the chemical, but also what type of protective equipment is recommended and what are the proper procedures for cleaning up spills.

If you think you have been exposed to hazardous chemicals, you should obtain the Material Safety Data Sheet and report the exposure immediately.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

Workers Compensation: The Perils of Treating on Your Own

One of the biggest sources of frustration among our clients, and injured workers’ in general, is that New Jersey Law allows the employer and the insurance company to direct medical treatment by selecting the doctor for the injured party. An injured worker in New Jersey is not permitted to choose his own doctor by law.

The biggest problem with the insurance company directing medical treatment is that claims adjusters making these decisions often behave badly. They think nothing of sending an injured worker 50 miles or more from their home to a doctor without any regard for the workers’ ability to get to the appointment. They also engage in a practice known as doctor shopping ordering second or third opinions until they can find a doctor to say no treatment is needed.

This leaves many injured workers who try to go through their personal medical physician and bill the treatment to their personal health insurance. This is a bad idea. Unfortunately, over the years, the personal health insurance companies have gotten wise to this practice and the language of all of these policies specifically exclude paying for work related injuries. As a result, the personal health insurance carriers have become far more aggressive in recovering the monies they have been paying from the injured worker. In other words, if an injured worker tries to charge treatment for work related injuries to their private health insurance, they may very well be required by law to repay their private health insurance company for any monies paid to the doctors. This could add up to tens or even hundreds of thousands of dollars. Another reason this is a bad idea, is that should a worker who is treating on his own be told by their doctor not to work. There is no compensation available for lost time.  

The Workers’ Compensation Courts do allow some remedies here. If medical treatment is not being given, a request can be filed with a Workers’ Compensation Court for medical treatment.  It does have to be supported by a doctor describing the treatment that is needed. However, in an instance where an insurance authorized treating physician makes a treatment recommendation that the insurance company refuses to follow, the Court may grant an order compelling the insurance company to provide this treatment even without conducting a hearing.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

Recent Decisions Underscore Need for Candor About Past Medical History

Recently, the Appellate Division of the Superior Court of New Jersey issued an opinion that underscores the continuing problem of disclosure of past medical history by injured workers in workers’ compensation claims.  On July 5, 2012, the Appellate Division upheld an Order of a Judge of the New Jersey Division of Workers’ Compensation denying benefits to an injured worker as well as ordering that worker to repay benefits already paid due to failure to disclose a past medical history.

In that case, an injured worker had an automobile accident and suffered an injury to his knee.  Ten months later, while at work, he suffered a re-injury to that same knee.  It is obvious he didn’t forget about the prior injury to the knee.  However, he failed to disclose to the doctors who were treating him that he had, in fact, injured the knee in a previous automobile accident.  This was compounded by the fact that the worker in question brought a lawsuit for injuries to the knee as a result of the automobile accident.  

The Judge of Compensation decided that the worker in question had committed fraud in order to obtain the benefits and ordered the repayment of lost wage benefits as well as the cost of the surgery to the knee.

This decision places emphasis on the need by injured workers to be candid with their doctors.  In this case, had the injured worker disclosed to the treating physician the prior automobile accident, he may very well have gotten the treatment anyway, because New Jersey Workers’ Compensation law allows benefits to be paid in a case where a work related injury aggravates a pre-existing condition.  He would have given the doctor the opportunity to explore whether, in fact, this was an aggravation of a prior condition.  Had the injured worker been honest with his doctors, none of this would happened.  This case should, however, should be considered in context.  Last year, the Appellate Court found that an omission of two minor injuries, ten years before was considered remote in time and discounted as a factor in a case.

Unfortunately, the insurance industry has developed a “gotcha” mentality when it comes to rifling through an injured worker’s past.  New Jersey Workers’ Compensation Law was designed to be a no-fault system to speed benefits to an injured worker and, as such, was intended to limit the amount of investigation an insurance company could make.  Unfortunately, the insurance industry is now intent on rifling through a worker’s past history going back as much as 20 years.  Recently a firefighter in North Jersey saw his case dismissed because he forgot about a 20-year-old injury.

The Executive Committee of the Workers’ Compensation Section of the New Jersey State Bar Association, of which I am past Chair, recently made recommendations to the Director of the Division of Workers’ Compensation, Peter Calderone, to limit the ability of insurance companies to rifle through an injured worker’s personal medical records without having a basis to make that request.  However, as yet, the Director of Workers’ Compensation has refused to post new rules based on these recommendations.

To an injured worker, what this means is that it is important to provide as complete information as possible concerning the medical past when treating for a work related injury.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

World Health Organization Establishes Stronger Link Between Diesel Exhaust Fumes and Cancer

Last month the World Health Organizations’ Cancer Agency issued a ruling changing the classification of the relationship between diesel fumes and cancer, declaring that diesel fumes cause cancer.  This is a change for the World Health Organization as it previously classified diesel fumes as a  “probable cause of cancer”.  Now, this decision, puts diesel fumes in the same risk category as asbestos, arsenic, mustard gas, alcohol and tobacco according to the World Health Organization.

This decision by the World Health Organization was based in part upon a study performed by the United States National Cancer Institute which is part of the National Institutes of Health and the National Institute for Occupational Safety and Health as part of the Centers for Disease Control.  The study, published March 2, 2012, followed 12,318 workers at eight (8) non-metal mining facilities.  In these mining facilities, heavy equipment frequently runs on diesel fuels, and these mines represent a closed environment where the level of diesel exhaust builds.  This study found that non-smoking minors, who are heavily exposed to diesel fumes for years, are at seven (7) times the normal lung cancer risk of non-smokers.  Diesel fumes have also been linked to bladder cancer.

Three separate federal agencies already classified diesel exhaust either as “a likely carcinogen”, “a potential occupational carcinogen” or “reasonably anticipated to be a human carcinogen”.

Since so many people are exposed to diesel exhaust, there could be many cases of lung cancer connected to these fumes.  Those most likely effected include bus drivers, mechanics, and anyone handling or operating heavy machinery.  Naturally cigarette smoking magnifies these risks.

In New Jersey, a worker exposed to diesel fumes who develops lung cancer has the right to file a claim in the New Jersey Division of Workers’ Compensation.  This is a special court set up to hear occupational diseases claims.  Compensation may come in the form of medical treatment, payment for lost wages as well as compensation for permanent disability.  In the event of death, the New Jersey Division of Workers’ Compensation will award benefits to the dependents of a decedent who dies of an occupational disease.

The law firm of Stark & Stark represents numerous workers exposed to diesel fumes who have developed cancer.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

We Need to Save Our Second Injury Funds

As part of New Jersey’s Workers’ Compensation System, there is a Second Injury Fund made up of money collected by the State from insurance premiums.  The purpose of the Fund is to encourage the hiring of employees with disabilities, especially disabled veterans, who might be rejected for hire out of an employer’s fear that their preexisting conditions might result in increased employer cost.

Simply put, the Second Injury Fund contributes money to defrayed employers or their insurance company’s cost of benefits to totally disabled workers.  This happens when the total disability is the result of a combination of the preexisting conditions and the work related injury.

Since 1992, 19 states have abolished this fund.  New Jersey’s fund has been depleted by 30 million dollars taken from the fund by the State Legislature and used to balance the State budget.  Now the fund has to borrow money to meet its current obligations.  In New Jersey, there is growing sentiment within the Christie Administration to eliminate the Second Injury Fund or to end benefits at age 65.  This saves the administration the trouble with having to go through the accounting process of borrowing the money from the Treasury Department and paying it back out of collections from the insurance companies and employers.  They claim among other things, that since the enactment of the Americans with Disabilities Act, there is no need for such a fund.  When I began practicing in workers’ compensation many years ago, I represented WW II veterans after reaching middle age had suffered work related injuries which rendered them unable to work in conjunction with their war injuries.  They were deprived of the opportunity to save adequately for retirement.  Since then I have been proud to represent not only WW II veterans but Korean War and Vietnam veterans and obtain for them these total disability benefits.

The time is not too distant when veterans of the Iraq and Afghanistan wars will require the benefit of the Second Injury Fund in New Jersey to compensate them for their inability to earn a wage.  Published studies have concluded that the employment situation for disabled workers has grown worse since the enactment of the Americans with Disabilities Act and, therefore, that cannot be counted upon as a means of encouraging employers to hire the disabled.  These workers see their working career shortened thus depriving them of the opportunity to save for a comfortable retirement.  A second injury fund that limits benefits after a disabled worker reaches 65 years of age will leave these workers destitute.

As such, the answer here is not to limit Second Injury Fund benefits but for the New Jersey legislature to have the will to replace the 30 million dollars that appropriated from the Second Injury Fund to fill gaps in the State budget.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

How to Protect Your Privacy During Your Workers' Compensation Case

As the costs of providing treatment and benefits to injured workers goes up, the insurance companies and public employers are becoming increasingly litigious in demanding all kinds of necessary information from injured workers. Routinely injured workers face a borage of requests for the names of all of their personal physicians going back as far as 20 years. These requests are made so that the insurance company can rifle through these medical records in hopes of finding something to use against the injured worker. These demands are now routine and represent a clear invasion of an injured worker’s privacy.

At Stark & Stark, we have a policy of refusing to comply with these demands. Every request for personal medical information for an injured worker made to Stark & Stark is refused. As far as we at Stark & Stark are concerned, the only way that an insurance company can obtain prior medical information is to take the matter before the Judge of Compensation. There, we force the insurance company to justify in real factual terms why such prior medical records are necessary or relevant to the work related injury. Otherwise, we don’t let them get them. Even then, to protect a client’s privacy from unnecessary disclosure of unrelated medical issues, we will often times ask the Judge to review the records and remove anything not directly related to the accident or the injuries claimed.

Most judges are sympathetic to our efforts, however, there are workers’ compensation judges who don’t care how much information an insurance company or employer collects. For this reason, we at Stark & Stark have pressed for a change in rules to require the insurance company or employer to justify their request for prior medical records showing why such a request is relevant to the defense of the injured’s claim. We first inquired of this to the Director of Workers’ Compensation last year and partly through our efforts, the Director and Chief Judge of Workers’ Compensation appointed a committee to study these issues. This Committee made up of both attorneys for injured workers as well as representatives of insurance companies, self-insured’s and judges as completed preliminary work designed to limit access to personal medical information. We hope and expect that soon a proposed rule change will be published reflecting our desire that an injured worker’s privacy not be unnecessarily invaded merely for having filed a workers’ compensation claim.

Stark & Stark remains vigilant in our efforts to advocate on behalf of injured working people.

Arthur Kravitz is a Shareholder in Stark & Stark’s Lawrenceville, New Jersey office, specializing in Workers’ Compensation Law. For more information, please contact Mr. Kravitz.

Contact Us

How can we help? Any information you provide is considered confidential and will not be shared outside of our firm.