Catastrophic Claim Allowance for Group-Rated Financial Services Company


A young employee fell while at work in an office setting and suffered a broken neck, which required extensive treatment. His ensuing claim for workers' comp, if allowed, would result in our client's disqualification from a group rating program, costing the company thousands of dollars each year in premiums. Our attorneys thoroughly investigated the claim and determined that the employee's fall resulted from dehydration caused by binge drinking. We then developed the evidence to prove that he hit only the floor when he fell, making the claim non-compensable. The Industrial Commission agreed with our findings and the potentially disastrous claim was disallowed in its entirety.