CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Hand v. Stevens Transport, Inc. Employee Benefit Plan

Jean and Howard Hand appealed the trial court's grant of summary judgment which dismissed their claims for health care benefits against the Stevens Transport, Inc. Employee Benefit Plan as time-barred. The Hands argued that the Plan's failure to comply with ERISA's notification requirements should invalidate or toll the contractual limitations period. The appellate court found that while the Plan's notice was non-compliant, it still provided reasonable notice of partial denial, and the Hands failed to exercise due diligence. The court concluded that the twenty-seven month contractual limitations period was reasonable and was not tolled by the Plan's ERISA non-compliance or the pursuit of administrative remedies. Therefore, the Hands' claims were barred, and the trial court's judgment was affirmed.

ERISAHealth Insurance BenefitsContractual Limitations PeriodStatute of LimitationsSummary JudgmentDenial of BenefitsEquitable TollingAdministrative RemediesNotice RequirementsEmployee Benefit Plan
References
19
Case No. 2014-07-0029
Regular Panel Decision
Aug 24, 2015

Smith, Michael v. Sun Products Corporation

Mr. Smith, a process operator for Sun Products Corporation, filed a request for an expedited hearing seeking medical and temporary disability benefits for carpal tunnel syndrome. He alleged a work-related injury from repetitive motion and reported the diagnosis in July 2014 to his employer. Sun Products Corporation contended that Mr. Smith failed to provide timely notice and lacked sufficient proof of causation for his condition. The Court found that Mr. Smith provided proper and timely notice and had sufficient evidence to likely prevail on the merits regarding the provision of a panel of physicians for his carpal tunnel. Consequently, the Court ordered Sun Products Corporation to provide medical treatment but denied temporary disability benefits due to a lack of expert medical proof establishing a causal connection between the injury and his inability to work.

Carpal Tunnel SyndromeMedical BenefitsTemporary Disability BenefitsNotice of InjuryCausationExpedited HearingTennessee LawEmployment InjuryDiagnostic TestingEmployer Responsibility
References
11
Case No. 2015187845
Regular Panel Decision
Feb 18, 2016

Mull, Benjamin v. Henkels & McCoy

Benjamin Heath Mull, an employee of Henkels & McCoy, filed a request for an Expedited Hearing seeking medical and temporary disability benefits for a back injury sustained on January 24, 2015, while lifting a heavy cable coil. The central legal issues were whether Mr. Mull provided sufficient notice to his employer and if medical evidence supported a work-related injury. The Court found that Mr. Mull gave actual notice to his foremen at the time of the incident and that Henkels & McCoy, as a co-employer with TVA, had proper notice. Furthermore, Dr. Eck's medical opinion confirmed that the lifting incident primarily caused the L5-S1 disc herniation and necessitated treatment. Consequently, the Court granted Mr. Mull's request for medical benefits incurred after September 3, 2015, and temporary total disability benefits from September 18, 2015, through October 13, 2015, followed by temporary partial disability benefits until November 16, 2015.

Workers' Compensation ClaimsTemporary Disability BenefitsMedical BenefitsExpedited HearingBack InjuryHerniated DiscEmployer NoticeCausation of InjuryCo-EmploymentTennessee Law
References
8
Case No. 2020-01-0637
Regular Panel Decision
Mar 25, 2021

Rice, Edward v. Hospice Source, LLC

Edward Rice injured his back at work on February 6, 2020, while lifting a bed for his employer, Hospice Source, LLC. He claimed to have given timely verbal notice to his supervisor, which the employer disputed. The Court of Workers’ Compensation Claims held an Expedited Hearing to determine if Mr. Rice provided timely notice of his injury and if he was entitled to medical and temporary disability benefits. The court found Mr. Rice's testimony credible, supported by a co-worker and medical records, and determined he would likely prevail in proving timely notice. Consequently, the Court awarded Mr. Rice medical and temporary total disability benefits, ordering Hospice Source to cover all reasonable and necessary treatment, including recommended surgery, and to pay weekly temporary total disability benefits of $630.78.

Workers' Compensation ClaimBack InjuryTimely NoticeExpedited HearingTemporary Disability BenefitsMedical BenefitsCausationSpinal StenosisSurgical RecommendationEmployer Liability
References
2
Case No. 2015-06-0415
Regular Panel Decision
Apr 04, 2016

Swain, Kenneth v. Standard Candy Company

Employee Kenneth M. Swain sought medical and temporary disability benefits after a work fall at Standard Candy Company, alleging knee and elbow injuries. The employer, Standard Candy Company, disputed the claims, arguing Mr. Swain initially denied injury and failed to provide timely notice or medical causation evidence. The Court found Mr. Swain's testimony credible regarding immediate notice of injury to his supervisor, satisfying the notice requirement. However, Mr. Swain did not present expert medical testimony to prove causation for his past medical expenses or temporary disability benefits. Consequently, the Court granted the employee a panel of physicians for evaluation and treatment of his alleged knee and elbow injuries but denied all other requested past benefits.

Workers' CompensationExpedited HearingMedical BenefitsNotice of InjuryCausationEmployee FallSlipped and FellElbow InjuryKnee InjuryDrug Testing
References
9
Case No. 2017-04-0215
Regular Panel Decision
Feb 26, 2018

Lee, Jimmy v. Servpro Holding Co., Inc.

Mr. Lee, an employee of Servpro Holding Co., Inc., sought temporary disability benefits for an alleged work-related injury from July 13, 2016. The Court held an Expedited Hearing on February 15, 2018, to determine his entitlement to benefits from September 15, 2016, until August 15, 2017. The Court found Mr. Lee failed to provide adequate statutory notice of the injury and also failed to provide sufficient medical proof to establish causation for his claimed disability benefits. Despite the employer's inability to prove prejudice from the lack of notice, Mr. Lee's request for benefits was ultimately denied due to the lack of medical evidence linking his symptoms to a work-related injury. The matter is set for a Scheduling Hearing on April 23, 2018.

Temporary Disability BenefitsWorkers' CompensationNotice RequirementMedical CausationExpedited HearingCredibility AssessmentEmployee InjuryEmployer LiabilityShoulder InjuryBack Pain
References
5
Case No. 2016-08-0007
Regular Panel Decision
Oct 10, 2016

Hill, Rueben v. Kroger

Rueben V. Hill sought an expedited hearing for alleged work-related hand and arm injuries sustained on March 2, 2015, while employed by Kroger. He claimed entitlement to medical and temporary disability benefits, which Kroger disputed citing improper notice and lack of medical proof. The Workers' Compensation Judge noted inconsistencies in Mr. Hill's testimony regarding the injury date and when he provided notice. Kroger's witnesses maintained Mr. Hill never reported a work-related injury and stated his condition pre-existed his employment. The Court denied Mr. Hill's request for benefits, concluding he failed to provide timely and proper notice, thereby prejudicing Kroger, and did not demonstrate a likelihood of prevailing on the merits for notice or medical causation.

Expedited HearingNotice of InjuryMedical CausationCarpal Tunnel SyndromeCubital Tunnel SyndromeTrigger FingerTemporary Disability BenefitsMedical BenefitsEmployer NoticeGradually Occurring Injury
References
5
Case No. 2016-07-0875
Regular Panel Decision
Jun 01, 2017

Carney, Rosa v. Southwest Human Resource Agency

This Expedited Hearing Order addresses Rosa Carney's request for medical benefits for alleged left wrist and shoulder injuries sustained while working for Southwest Human Resource Agency. The Court denied benefits for the left shoulder, finding Ms. Carney failed to provide sufficient notice of a work-related injury. However, the Court granted medical benefits for the left wrist, concluding that Ms. Carney provided adequate and timely notice for her gradually occurring carpal tunnel syndrome. The employer was consequently ordered to provide a panel of orthopedic physicians for the evaluation and treatment of Ms. Carney's left wrist injury, while her request for temporary disability benefits was also denied.

Workers' CompensationMedical BenefitsExpedited HearingCarpal Tunnel SyndromeShoulder ImpingementNotice RequirementGradual InjuryCausationPanel of PhysiciansTennessee Law
References
3
Case No. MISSING
Regular Panel Decision
Feb 13, 1998

Castro v. Wing

The petitioner sought review of a determination by the New York State Office of Temporary and Disability Assistance, which upheld the Suffolk County Department of Social Services' decision to deny her application for public assistance and food stamp benefits. The denial was based on her failure to appear at a scheduled front end detection system (FEDS) interview, a requirement for eligibility. The petitioner argued she was misinformed by a case worker and did not see the notices. The court confirmed the determination, ruling that the FEDS review was an essential eligibility requirement and the petitioner failed to demonstrate good cause for her absence. A dissenting judge contended that the respondents did not provide substantial evidence that the petitioner refused to attend the interview, and that the FEDS process, established for fraud prevention, should not inherently preclude benefit application processing.

Public Assistance DenialFood Stamp BenefitsEligibility RequirementsFEDS InterviewAdministrative Due ProcessAgency Determination ReviewGood CauseFraud PreventionSuffolk County DSSNew York Social Services
References
4
Case No. MISSING
Regular Panel Decision

Matter of Johnson v. T.L. Cannon Management

Claimant, a broiler cook, allegedly sustained a work-related injury in February 2012 but delayed applying for workers' compensation benefits until April 2013. The Workers' Compensation Law Judge initially disallowed the claim, citing claimant's failure to provide timely notice to the employer. The Workers' Compensation Board subsequently affirmed this decision. On appeal, the Court upheld the Board's determination, finding no grounds to overturn it. The Court emphasized the requirement for timely written notice of injury within 30 days, noting that while exceptions exist, excusing such failures remains within the Board's discretion, and the 14-month delay, coupled with the supervisor's lack of recall regarding an injury report, supported the Board's findings.

Workers’ CompensationTimely NoticeEmployer KnowledgeAccident ReportingCredibility DeterminationBoard DiscretionAppellate ReviewInjury ClaimAdministrative AppealWorkers’ Compensation Board
References
7
Showing 1-10 of 14,138 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational