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James L. Creegan

jcreegan@stark-stark.com
609.896.9060

James L. Creegan is a Shareholder and member of Stark & Stark’s Workers’ Compensation Group. Mr. Creegan represents injured workers in claims for workers’ compensation benefits, totally disabled individuals in Social Security Disability appeals, as well as handling disability pension appeals for public employees before the Office of Administrative Law. He has obtained total disability benefits for injured workers, treatment and benefits for workers’ whose employers deny that carpal tunnel syndrome is caused by work and obtained an award of complete dependency benefits for the widow of a deceased truck driver. He has also successfully litigated the denial of accidental disability benefits to a corrections officer injured while restraining an inmate in the appellate division.

Entries authored by James L. Creegan

Long Term Care Benefits Available to Injured Workers

If you suffer a catastrophic injury while working, your whole life will change. Under the workers’ compensation laws in New Jersey, the insurance carrier can be required to provide long term care benefits. The only requirement is that the benefits are necessary and the cost is reasonable. Our firm represents the needs of clients who have suffered life altering injuries such as  paralysis, the loss of a limb, or a significant traumatic brain injury.

In New Jersey, workers’ compensation carriers are required to provide a wide range of long term benefits to injured workers. Insurance carriers are required to provide treatment that is “necessary to cure and relieve,” the only requirement is that the costs be reasonable. If you are unable to walk, you will need significant modifications to your home, such as a handicapped accessible bathroom, kitchen with modified countertops and appliances and doorways that can accommodate a wheelchair. In addition, you may require a ramp or elevator just to access your house. These types of improvements are costly, and insurance carriers don’t always voluntarily want to foot the bill.      

Carriers will resist expensive improvements to a home, such as an addition; however, the laws regarding these types of benefits favor the injured worker. In one case, I represented a man who was paralyzed from the waist down after a fall from a roof. The attorney for the insurance carrier declared to me, “We are not buying your client a house,” as he did not have a home of his own – now, after the insurance carrier had to pay the client’s rent every month four years, the carrier is much more willing to buy a house rather than make rent payments for life.   

Any recommendations needs to come from your treating physician initially and a long term care evaluation will also help to determine your current and future needs. This will often involve an evaluation of your home by a specialist to determine what changes are necessary in the short and long term.     

Our office has obtained these types of benefits for current and past clients and has the experience needed to represent workers’ who have suffered catastrophic injuries. In addition to out of work benefits, medical treatment and a permanent disability award, those who suffer significant injuries will need long term care and accommodations. The workers’ compensation attorneys at Stark & Stark have obtained benefits such as monthly rent and utility payments for a client who lost the use of his legs, home modifications for wheelchair bound clients and handicapped accessible vehicles. If you require permanent long term assistance as the result of a catastrophic injury at work, our attorneys have the experience necessary to obtain these benefits.

James Creegan is a Shareholder in Stark & Stark's Lawrenceville, New Jersey office concentrating his practice in Workers' Compensation law. For questions, or to schedule a free consultaiton with Mr. Creegan, please contact him at: jcreegan@stark-stark.com.

Volunteer First Responders Entitled to Maximum Weekly Workers' Compensation Benefits

Missing time from work can be costly. If you miss time due to an injury that occurs while performing your role as a volunteer firefighter or rescue squad worker, you will receive the maximum weekly benefit rate available to injured workers in New Jersey. The workers’ compensation statute provides these benefits to all volunteer fire, first aid or rescue squad workers. Public employers aren’t always so willing to provide these benefits to their volunteers.    

Normally, out of work benefits are based on your average weekly wage. So if you are injured at work and earn $700, your temporary disability rate would normally be $490 per week. In 2012, if you are injured while in the performance of your volunteer duties, you will receive $810.00 per week.

You might think a municipality, county or state agency would protect its volunteers, unfortunately this is not always the case. The simple reason is Money. Public employers are increasingly attempting to cut costs, and weekly benefits are an easy target. Our firm has successfully represented clients in which the municipality claims the volunteer was not in the line of duty when injured and not entitled to the full rate. Municipal employers have also been known to just base the weekly rate on a volunteer’s earnings from his or her actual job. This often results in a significantly reduced weekly rate.   

If you’ve been injured while serving in a volunteer capacity, you need to know your rights. State statue calls for volunteers “doing public fire duty” and “doing public first aid or rescue duty” to receive the maximum benefits available under the law. Public employers need to cut costs wherever they can, and injured volunteers are often an easy target. The activities covered are not limited to injuries suffered responding to a fire, accident or emergency. Construction work on a firehouse, repair work on vehicles and apparatus, participation in search and rescue task force, exhibitions, fund raising and parades are some of the examples in which Volunteers are entitled to this benefit.   

The statute also covers volunteers performing work related to bioterrorism, volunteers working for the Department of agriculture and emergency management volunteers and many other public volunteers.   

Volunteers perform high risk work, which means the injuries can be severe. The worse the injury, the higher the likelihood you will need to miss time from work. At Stark & Stark, our job is to make sure you receive the maximum benefits you are entitled to.

James Creegan is a Shareholder in Stark & Stark's Lawrenceville, New Jersey office concentrating his practice in Workers' Compensation law. For questions, or to schedule a free consultaiton with Mr. Creegan, please contact him at: jcreegan@stark-stark.com.

I'm out of work: How long can an insurance carrier withhold payment of temporary workers' compensation benefits?

When you’re out of work due to an on the job injury, a small delay in payment can cause big financial headaches. How long is too long? Temporary benefit checks are not paid on any set schedule. The truth is the workers’ compensation carrier has 30 days to pay you your benefits.   

Under New Jersey law, insurance carriers and employers have 30 days to pay temporary benefits before a penalty is assessed. NJSA 34:15-28.1 discusses delay or refusal in payment of temporary benefits, stating, “A delay of 30 days or more shall give rise to a rebuttable presumption of unreasonable and negligent conduct on the part of a self-insured or uninsured employer or an employer’s insurance carrier. If the carrier takes more than 30 days to pay your temporary benefits, the Courts can grant a 25% penalty. This is the motivation for the carrier to pay on time.”   

There are many reasons for delays. For instance, insurance adjusters will often wait until they review a doctor’s report before actually issuing a temporary benefits check. Unfortunately there is not much that can be done to force the carrier’s hand before the 30 day deadline. If a temporary benefits check is a few days late, there is not much that can be done besides a phone call.    

What does work is vigilance. When benefit delays occur, I ask my clients to obtain an out of work note at each doctor’s visit, at this point, our office will send the out of work note to the insurance carrier and contact the adjuster to make sure the benefits will be paid. If the carrier continues to delay, our office can file a motion with the Court.  

If you’re experiencing problems collecting out of work benefits, please contact me for a free consultation regarding what can be done. I am Certified by the Supreme Court of New Jersey as a Workers’ Compensation law attorney and have represented hundreds of clients who have been hurt on the job. I see every day how these claims impact people’s lives and in the event that you have been injured at work, I strongly recommend you consult with us.

James Creegan is a Shareholder in Stark & Stark's Lawrenceville, New Jersey office concentrating his practice in Workers' Compensation law. For questions, or to schedule a free consultaiton with Mr. Creegan, please contact him at: jcreegan@stark-stark.com.

If You're Hurt At Work, Do You Need A Lawyer for Your Workers' Compensation Claim?

If you have been injured at work, your medical treatment is handled by your employer’s workers’ compensation carrier. You may need extensive medical treatment and miss time from work. Ideally you receive all of the treatment you need and are paid for any lost time. Sounds simple, but for most people, there will be many hurdles along the way.
   
It’s not as easy as obtaining a referral and moving right along with your medical treatment. In New Jersey, your employer, through its workers’ compensation carrier, has the right to choose all of the doctors who will treat you for your injuries. This means the insurance carrier controls your treatment from the start.   

So, should you hire an attorney? The short answer is yes.

Here is why. You will need an advocate in the process. In most situations, your employer, the adjuster or the nurse case manager assigned to your file are not advocating for you no matter what they tell you. It is in the insurance carrier’s interest to spend as little money as possible, which conflicts directly with your need for medical treatment and out of work benefits. While it is the adjuster’s job to control costs, this means there is a person with little or no medical training attempting to make medical decisions about your case.

Additionally, if there is a Nurse Case Manager assigned to your file, all too often, the Nurse is serving the interests of the insurance carrier. While I have encountered some excellent Nurse Case Managers who advocate for my clients and make sure they receive the treatment they need, this is the exception and not the rule.  

Here is an example of a situation that comes up frequently. You go to see your doctor, he or she recommends a treatment plan consisting of an MRI and surgical consultation and takes you out of work, you leave the office with a copy of the doctor’s notes and everything seems okay. Immediately after you leave, the nurse case manager tracks down the doctor to ask if you really need the MRI study at this point, as it seems a little early, and wouldn’t it be better to try some more physical therapy. Then the adjuster calls the doctor to ask whether you could perform certain tasks even with your injury. Now, even though it seemed like you had a treatment plan and an out of work note from the authorized doctor, your treatment plan changed and you were returned to work all while you were not even in the examining room.  This doesn’t happen once in a while, it happens all too often.     

I tell my clients to advocate strongly for themselves while in the doctor’s exam room, as this is their chance to explain to explain physical complaints and problems to the doctor. Outside the doctor’s office, let us handle the rest. Hiring an attorney in a workers’ compensation claim is not simply about obtaining a settlement at the end of your case. Your lawyer should counsel and assist you at all stages of the claim whether it’s making sure you are paid while out of work, obtaining medical treatment and diagnostic testing, or dealing with issues with your employer or co-workers when you return to work. When you have a workers’ compensation claim, chances are this is your first time dealing with anything like this. I am involved in all phases of a workers’ compensation claim and see the issues my clients face on a daily basis.   

So, yes you need an attorney, but how do you choose one? At Stark & Stark, we have six attorneys in our workers’ compensation department and four of us are Certified by the Supreme Court of New Jersey as Workers’ Compensation law attorneys. A recommendation from a friend or a colleague is always a good start, but you want to make sure you choose an attorney with the experience and knowledge base to assist you at all stages of your claim. I am Certified by the Supreme Court of New Jersey as a Workers’ Compensation law attorney and have represented hundreds of clients who have been hurt on the job. I see every day how these claims impact people’s lives and in the event that you have been injured at work, I strongly recommend you consult with us.

James Creegan is a Shareholder in Stark & Stark's Lawrenceville, New Jersey office concentrating his practice in Workers' Compensation law. For questions, or to schedule a free consultaiton with Mr. Creegan, please contact him at: jcreegan@stark-stark.com.

The Importance of Reporting a Work-Related Injury Right Away

I hurt myself on the job, but I’m not sure if the injury is serious or not.  Should I hold off on telling someone until I know how serious the injury is?

The answer is definitely “NO” – report it, report it, report it!

If you’re hurt while working, you have to notify your employer. Even if it feels like you can shake the injury off after a couple days, it’s extremely important to report the initial injury. If you don’t report it and the physical problems don’t go away overnight or over the weekend, it’s a recipe for a big headache.

Each employer can have its own deadline for reporting an on the job injury. The law sets forth specific deadlines, and an employer cannot deny treatment in the long run as long as you have reported an on the job injury.  However, failing to report an accident right away could cause problems. For instance, many employers will require a first report of an accident to occur within 24 hours of the accident.  

Failure to report an accident on time can result in a reprimand or suspension without pay while your employer or its insurance carrier investigates your claim. Depending on your history, this could also result in a termination for failure to follow your employer’s policy.  

If you don’t report an accident on time, it gives the insurance carrier an opportunity to deny your claim.   Then, your private health insurance carrier can deny medical treatment because the injuries are work related. This leaves you stuck in the middle with no coverage for the injury.  

Reporting the accident is the best way to prevent problems in the future.   If you don’t need medical care, then all you did is report what happened and show that you worked through it.   If you need to see a doctor, you’ve prevented one of the most common problems in a workers’ compensation claim right from the start.  

What should you do?  If you’re hurt while working, report the incident to your supervisor and request a copy of the incident report. If you require immediate medical care, you should tell this to your employer.  

You should also familiarize yourself with your employer’s individual reporting requirements. As long as you comply with the worker’s compensation statute and report an accident within 90 days, you are protected. This does not protect you from an initial denial of your claim or disciplinary action by your employer.  

If you didn’t think you needed to see a doctor and the pain becomes unbearable while at home, you can go to the Emergency Room, but make sure to give a thorough description of how you were injured.  Initial emergency room records can be very important when attempting to prove an accident occurred.

Don’t think you’re doing anyone a favor by not mentioning an accident until it’s really a problem, because you’ll only regret it later. Reporting an accident is really a matter of protecting yourself.  

Social Security Disability Recipients Receive Much Needed 3.6% Cost-of-Living Increase

It’s been awhile since Social Security recipients received an increase to their monthly benefits. The Social Security Administration announced that monthly benefits will increase by 3.6%. Prior to this increase, there hadn’t been a cost-of-living adjustment (COLAE) in two years. People who are dependent on every single dollar that comes in need yearly increases in their Social Security benefits.

While this represents a small increase in monthly benefits, it is especially important if you are collecting Social Security Disability (SSD) benefits. The disabled have often lost important years of earning ability due to injuries or a chronic condition. The fact that you could not work as long as someone who retires at 65, means that you were unable to reach your highest earning potential, and therefore receive lower monthly benefits because of that earnings loss.    

While a 3.6% increase may not seem like much in the short term, here’s why yearly increases are so important:  If your monthly benefit is $1,000 in 2009 and you received a COLA of 3.6% in 2010 and 2011, your monthly rate would now be $,1,111 per month starting in January 2012; instead that same benefit is now only $1,036 per month beginning in January 2012. Over time, these small increases will pay off.   

If there had been an increase in the past two years, not only would your current benefits be higher, but you would have received more money during those two years as well. It is important to ensure these much needed Cost of Living adjustments continue.   

How can you ensure that you receive an increase each year? I strongly recommend that you write your congressman to say thank you and at the same time provide a reminder about just how important these cost of living increases are. It may seem like a fruitless endeavor, but reminding your congressman how important each and every one of these increases is can help ensure the COLA increases continue each year. We’ve all heard stories of one or two letters to a congressman are sometimes the only reason that a congressperson takes up a particular cause.   How does your congressman know how important this is unless he or she hears from constituents that rely on these checks every month?   

I represent many clients who have become totally disabled, either as a result of a work related injury or a chronic illness. I see on a regular basis just how important each dollar is. Please contact me if you have questions about whether Social Security Disability is right for you. 

Hurt at Work? Obtaining Treatment Can be a Full Time Job

One of the most frequent issues I encounter when I speak to clients and groups of workers around the stat, is obtaining appropriate medical treatment in a workers’ compensation claim.

When you’re hurt on the job, you encounter a whole new world of insurance related hurdles in obtaining medical treatment. It’s not as easy as heading to your family doctor for a referral. The insurance company controls the medical treatment at all stages. If you’re hurt at work in New Jersey, your employer, or its insurance carrier has the absolute right to choose your doctor.

The reality is that the insurance company, through its adjusters and nurse case managers, can and will contact your doctor and his or her staff – and they’ll do it often. They do this for various reasons, such as to see if you really need to be out of work for the next four weeks, or whether  you meed that MRI now as opposed to three months from now.

The best advice I can give is that the doctor can be your biggest ally in a workers’ compensation claim. The insurance company has the absolute right to pick your doctor in New Jersey, however, it cannot disagree with the recommendations of it’s authorized physicians just to cut costs or end treatment. You will not earn respect if you do now show respect. Here is a link to a previous post I wrote with some tips I give to my clients with regard to how to approach medical care in workers’ compensation claims. Additionally, if you have any questions regarding your claim, please feel free to contact me to set up a free initial consultation here in my firm's Lawrenceville, New Jersey office. I would be happy to review your case and discuss your options in more detail with you.

Exposures to Dust and Debris at Ground Zero Lead to Higher Cancer Risk

This may fall under the category of “Tell me something I didn’t already know”, but a British study has shown that firefighters exposed to dust and debris at Ground Zero are at an increased risk of developing cancer. The reason this is big news, is that all of the studies before this did not show an increased risk. The study, “Early assessment of cancer outcomes in New York City firefighters after the 9/11 attacks: an observational cohort study”, was published in the British journal, The Lancet.   

While many studies point out that 10 years is not long enough to see a statistical difference in cancer rates, as many cancers have a longer manifestation period, this is the first step in recognizing the possibility that these heroes put themselves at an increased risk to save others.  This was headline news in the New York Times, in which the September 1, 2011 article, “Study Suggests Higher Cancer Risk for 9/11 Firefighters” stated: “A new study says firefighters who toiled in the wreckage of the World Trade Center in 2001 were 19% more likely to develop cancer than those that were not there, the strongest evidence to date of a possible link between work at ground zero and cancer.”

Exposure to dust, debris and toxins is not limited to the World Trade Center site; firefighters and first responders know firsthand of these risks. The problem is that other incidents and exposures are not as well documented as those of 9/11. This is why it is extremely important to keep a journal of any significant fires, chemical spills, explosions or other incidents in which you may have been exposed to harmful substances.    

If you develop cancer as a result of something you were exposed to at work, you are entitled to workers’ compensation benefits. To prove this, you’ll need to be able to show that you were exposed to harmful substances and that the exposure contributed to your cancer. This is why it’s very important to keep your own exposure journal, as employers will definitely not do this for you. If you, or someone you know, is suffering from cancer as a result of work-related exposures, please contact me to set up a free consultation here in my firm’s Lawrenceville, New Jersey office in order to discuss your case in more detail.

New Jersey's Workers' Compensation Courts Recognizes Post-Traumatic Stress Disorder (PTSD)

Although many states, and their Workers’ Compensation Courts, do not recognize the devastating effects of post-traumatic stress disorder (PTSD), fortunately for the residents of New Jersey, there is hope, and help.

According to a recent New York Times article Post-Traumatic Stress Still Haunts, at least 10,000 firefighters, police officers and civilians were affected by the terrorist attacks on the World Trade Center on September 11, 2001. The shockwaves from this one single event have had a long and widespread emotional impact on so many people who had no physical contact with the day’s events.

In the medical world, Post Traumatic Stress Disorder (PTSD) really only came into recognition over the last 30 years – beginning with soldiers returning from the Vietnam War. For the people who developed PTSD as a result of the events of September 11th, only treatment assistance, not compensation for their injuries, is available. Fortunately, the New Jersey Workers’ Compensation Courts recognize PTSD and its disabling effects.

According to the National Institute of Mental Health (NIMH) “PTSD is an anxiety disorder that some people get after seeing or living through a dangerous event. When in danger, it’s natural to feel afraid. This fear triggers many split-second changes in the body to prepare to defend against the danger or to avoid it. This “fight-or-flight” response is a healthy reaction meant to protect a person from harm. But in PTSD, this reaction is changed or damaged. People who have PTSD may feel stressed or frightened even when they’re no longer in danger.”

The NIMH lists 3 categories for the symptoms of PTSD:

  1. Re-Experiencing Symptoms – include flashbacks, bad dreams and frightening thoughts and can cause problems in a person’s everyday life;
  2. Avoidance Symptoms – include staying away from places, events, or objects that are reminders of the experience, feeling emotionally numb, feeling strong guilt, depression or anexity, losing interest in activities that were enjoyable in the past and having trouble remembering the triggering event
  3. Hyperarousal Symptoms – include being easily startled, feeling tense or “on edge” and having difficulty sleeping, and/or having angry outbursts. Hyperarousal symptoms are more constant and are not brought on by events or outside stimuli.

To receive workers compensation benefits, the incident needs to occur while you are working. The problem is, PTSD claims are the type that insurance carriers are extremely likely to deny. The symptoms of PTSD can take years to manifest themselves and are difficult to properly diagnose. It’s very easy for an insurance carrier to claim your psychiatric problems have nothing to do with a work incident. Insurance carriers will basically take a ‘prove it’ stance and point to any other factors.

This is why you should consult an attorney if you have developed Post Traumatic Stress Disorder as a result of something that occurred to you while working. At Stark & Stark, we have years of experiencing representing workers with PTSD and can help you obtain treatment and benefits. Feel free to contact me in the firm’s Lawrenceville, New Jersey office for a free consultation to discuss the options available to you.

Death of a Worker From Blood Clot Due to Prolonged Inactivity Qualifies Husband for Workers' Compensation Benefits

Do you spend a lot of the day sitting at your desk?  A recent Appellate Division decision, Renner v. AT&T, held that James Renner can receive weekly dependency benefits as a result of the fact that his wife, Cathleen, died of a pulmonary embolism due to the sedentary nature of her work.   

The Court noted that when Cathleen Renner worked from home, she would sit for long hours at a time to meet various deadlines imposed by her employer, AT&T.  The Court found that the level of inactivity involved with this prolonged sitting caused stasis of the blood resulting in the formation of a blood clot, as opposed to one of Cathleen’s other risk factors. Cathleen weighed over 300 lbs. and AT&T wanted to blame her death on her weight and other risk factors.   The autopsy report indicated the blood clot was fresh, meaning that something caused it within the timeframe Cathleen was working leading up to her death.

The insurance company’s own doctor admitted “it would certainly be less likely” for Cathleen to suffer a pulmonary embolism had she not been working that day.

The question for the appellate division to consider was whether the lack of movement at work was more severe than the level of inactivity in Cathleen’s daily life outside work, and whether the work activity caused the pulmonary embolism in a material way.  

The Court held that the inactivity Cathleen experienced was more severe than the level of inactivity outside of work.  There was substantial credible evidence in the record that Cathleen was fairly active outside of work, both around the house and caring for her children.    

The Court held that the sedentary work condition was the cause of the clot to a material degree.   Just because a person is overweight, doesn’t mean he or she is not entitled to the same rights and protections as anyone else.    It would be like saying that because a firefighter smokes he should be denied benefits for any breathing problems he develops from exposure to smoke and chemicals over a career.   

The reaction section to the article about the case on the Star Ledger’s website, NJ.com, entitled “Court rules husband of Edison AT&T worker who died from blood clot entitled to workers’ compensation,” features many comments expressing outrage that an overweight person is entitled to any benefits.   Significant medical evidence exists showing that sitting for an extended period of time can lead to this type of clot.  It is tempting to blame the cause of Cathleen’s death on her weight, but the scientific evidence says otherwise and supports the Court’s findings.   The Dependency benefits awarded by the Court are designed to compensate a spouse for the loss of a significant level of financial support.   This was a 25 year employee, wife and mother who died from a work related condition.  The insurance company’s own doctor admitted that Cathleen probably would not have died but for the prolonged inactivity directly caused by her work.   An important lesson to take from this is to remain active throughout the day by standing up and moving around your office periodically.

If you have developed an injury or medical condition that you feel is work related, please call us for a free consultation. We have experienced trial attorneys able to handle the complex legal issues that can arise in a workers’ compensation case.

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