yes, those are some of the girls while washing their clothes on rocks in the river. they spent all day making quilts and were sweaty as all hell.
Inside Pool Mag: Fraud
- Thread starter Black-Balled
- Start date
yes, those are some of the girls while washing their clothes on rocks in the river. they spent all day making quilts and were sweaty as all hell.
Thanks im glad too, i feel like people are jumping to conclusions or making assumptions about me when they dont even know me.
To celtic, yes there are lines at least in my old neighboorhood like any crimes pertaining to women and childern like sexual acts or domestic violence those are reported to the police or dealt with by a group of good ole boys. but other than that we dont snitch because we dont wont our friends or familys retaliated against not because we are cool with what they are doing....some of you wouldnt understand cause you were born with a silver spoon up your ass no offence to anyone.
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playing while disabled
I am disabled from severe Migraines and Bi-Polar. Even though I am disabled doesn't mean that I should lay down and die. There's no way in advance that I could possibly know when my next Migraine might show up, could be 1 day 6 days, etc. I have to enter tournaments and take a chance of not getting a Migraine on that day, and having to play through the pain, but there is no way somebody is gonna tell me when and where I can play just because I am disabled. I'm sure if this person was working and paying his taxes at payday..... and he has a right to play if he sees fit. I don't know of this situation, but if most people would tend to their affairs, and stay away from certain others, this world would be a better place. I had someone turn me to the IRS back in the early 90's, and that I wouldn't do that to my worst enemy. Some of these accusations turn from being jealous of another. Maybe this person has a job related to a serious position, such as working high up in the air and his job was very stressful and there for he could not return until mindset was better. Like I said earlier, being Disabled doesn't mean that a person has to quit all things and sit in the house, but they should have a right to still enjoy life like the rest of us...
I am disabled from severe Migraines and Bi-Polar. Even though I am disabled doesn't mean that I should lay down and die. There's no way in advance that I could possibly know when my next Migraine might show up, could be 1 day 6 days, etc. I have to enter tournaments and take a chance of not getting a Migraine on that day, and having to play through the pain, but there is no way somebody is gonna tell me when and where I can play just because I am disabled. I'm sure if this person was working and paying his taxes at payday..... and he has a right to play if he sees fit. I don't know of this situation, but if most people would tend to their affairs, and stay away from certain others, this world would be a better place. I had someone turn me to the IRS back in the early 90's, and that I wouldn't do that to my worst enemy. Some of these accusations turn from being jealous of another. Maybe this person has a job related to a serious position, such as working high up in the air and his job was very stressful and there for he could not return until mindset was better. Like I said earlier, being Disabled doesn't mean that a person has to quit all things and sit in the house, but they should have a right to still enjoy life like the rest of us...
Hmmmmm
OK. Couple of things. You can collect WC benefits and still have a life. That is allowed. It all depends on the injury and if you are doing things outside of your doctors or self described restrictions.
So, it matters greatly what his specific injury is and what his medical restrictions are. If no heavy lifting is warranted, well, shooting some pool is perfectly fine. Heck, just because you are on WC don't mean you have to sit home and watch Oprah. (now that would be painful) Remember, just because he can sit and type doesn't mean anything if you are a plumber by trade. They are trying to get the person back to perform his prior job, and if the injury is serious enough, then they tackle the whole "new" career thing with new training and such.
But when you start getting into physically demanding sports, softball, soccer, skiing or activities like dancing, etc. Then you could get in trouble if you are exceeding your restrictions. Or if you are working a second job for cash trying to collect WC and payment from second job, then it is criminal and folks have been sent to jail for WC fraud.
WC insurance is not cheap. Most employers are required to have it. The problem is the honest business buys it to do the right thing for his employees in case they get hurt, but the guy down the street doesn't buy it, can charge less for his painting job, because of his now reduced overhead, and when his guys get hurt, he tosses them aside like yesterdays newspaper.
And the folks cheating the system is cheating everyone, the business owner has higher costs, the employees get less compensation if owner has to pay more in WC, and then guess who gets to do the extra work when somebody is faking it? Yep, everyone one at the company. And now the owner is down one guy and most likely bringing in less dough for the company. So anyone cheating should be reported. Call it snitching if you like, I just like to call them "anonymous informant". And ex-wives and girlfriends are the bread and butter of the informant business, and that you can take to the bank.
But, this does not mean this guy in the magazine is faking it and it should not be implied that he is. But with that being said, if you know someone that is faking a WC claim or any other insurance type claim, you can report it to;
National Insurance Crime Bureau (NICB)
PH: 1-800-TEL-NICB
TEXT: TIP411
They have special agents through out the country investigating criminal insurance fraud and targeting organized fraud rings. And there is a reward for tips that pan out. Tell them RJ sent you !!!
OK. Couple of things. You can collect WC benefits and still have a life. That is allowed. It all depends on the injury and if you are doing things outside of your doctors or self described restrictions.
So, it matters greatly what his specific injury is and what his medical restrictions are. If no heavy lifting is warranted, well, shooting some pool is perfectly fine. Heck, just because you are on WC don't mean you have to sit home and watch Oprah. (now that would be painful) Remember, just because he can sit and type doesn't mean anything if you are a plumber by trade. They are trying to get the person back to perform his prior job, and if the injury is serious enough, then they tackle the whole "new" career thing with new training and such.
But when you start getting into physically demanding sports, softball, soccer, skiing or activities like dancing, etc. Then you could get in trouble if you are exceeding your restrictions. Or if you are working a second job for cash trying to collect WC and payment from second job, then it is criminal and folks have been sent to jail for WC fraud.
WC insurance is not cheap. Most employers are required to have it. The problem is the honest business buys it to do the right thing for his employees in case they get hurt, but the guy down the street doesn't buy it, can charge less for his painting job, because of his now reduced overhead, and when his guys get hurt, he tosses them aside like yesterdays newspaper.
And the folks cheating the system is cheating everyone, the business owner has higher costs, the employees get less compensation if owner has to pay more in WC, and then guess who gets to do the extra work when somebody is faking it? Yep, everyone one at the company. And now the owner is down one guy and most likely bringing in less dough for the company. So anyone cheating should be reported. Call it snitching if you like, I just like to call them "anonymous informant". And ex-wives and girlfriends are the bread and butter of the informant business, and that you can take to the bank.
But, this does not mean this guy in the magazine is faking it and it should not be implied that he is. But with that being said, if you know someone that is faking a WC claim or any other insurance type claim, you can report it to;
National Insurance Crime Bureau (NICB)
PH: 1-800-TEL-NICB
TEXT: TIP411
They have special agents through out the country investigating criminal insurance fraud and targeting organized fraud rings. And there is a reward for tips that pan out. Tell them RJ sent you !!!
Amen to that. If snitching means reporting wrongdoing to proper authorities, then we all have a moral and in some instances legal, obligation to do so. Am I gonna tell some dudes wife he is cheating on her...hell no.....am I gonna tell the cops who robbed the little old lady....your damn skippy I will. To those who accuse this man of being a snitch, what if he saw the guy that stole your cue but didn't tell you...would you see him as a stand up guy cause he didn't snitch???
going to apologize in advance for a long winded rant.
has any one got the facts that this player is commiting fraud or not? it never ceases to amaze me how a lot of people are ready to hang some one before they know all the facts. i didnt read the article and i dont know this person, but i was almost in his shoes. i have been on workers comp for the last 18 months and just missed going to vegas for apa national singles. thats a long story in itself, lets just say there was a rule in my favor but i didnt take advantage of it because i didnt learn about it until after the regionals was over.
what if i went to vegas and won it with me being on workers comp? if that story came out you would be on here bashing me without knowing the facts. you would be judging me just like you are this player,reminds me of the old salem witch hunts.
well let me give you some facts about me. im 57 years old. worked my ass off for my employers my entire life. can count on one hand the number of sick days i have ever taken off. worked for 10years for my next to last employer and only took 1 week vacation; he always said he couldnt do without me, i was a manager. one day i come in and he told me i was no longer needed , they were taking the company in another direction.
i started my own bussiness. lived better than i ever thought i would. 10 years later it goes belly up. lost everything including my wife and son. i was one of the thoudsands you heard about a few years ago that got forclosed on. and no i wasnt living above my means at the time. couldnt get a job anywhere. finally i get a job as a laborer for a plumber i met that played in my league. making less than i payed my employees 10 years ago. 6 months go by and i get hurt on the job leaving me with permanent loss of feeling in half of my right hand and very limited mobility of my fingers. was on workers comp for 18 months. just got released from dr. 2 weeks ago. 12 months ago my dr releases me for light duty but my employer wouldnt put me back to work so i was still getting paid as long as i was under drs care. my employer put me back to work the day after i was released from the dr.
i went back to playing pool last summer, even playing on the same team as my employer. he didnt have a problem with it. why do you ? he knows im 39 % disabled in my right arm and hand but he knows i can shoot pool and that i wasnt defrauding him or the insurance company.
after the nationals in vegas you could have been on here bashing me. theres an old saying ; never judge some one till you have walked a mile in their shoes.
Fraud in any form, by any entity, is wrong.
Fraud perpetrated by employees constitutes roughly 5% of fraud within the Workers Compensation system. The insurance companies and self-insured employers are responsible for the remaining 95%.
The insurance companies will deny a claim for any reason they can find in an effort to starve out the injured worker. If they can tie today's adult injury to a trivial injury from your childhood, they will. Deny, deny, deny is the motto of the insurance companies. The more money they save, the better. If someone's life depends on the insurance company making the payments they have been contracted to do, it won't matter to them. They wil tell you to read the fine print, and your injury was not the result of your job.
The self-insured companies are even worse. It takes a lot to be self-insured (there are requirements to be met, they're typically nationwide/worldwide companies), and when an injury at the job does occur, they have a great deal of control as to how things proceed. They wil use a Third Party Administrator to handle all the legal junk, and so it's perceived that they (the Third Party) ARE the insurance company. The truth is, with self-insured's, it's someone at the company calling the shots.
So the next time you hurt yourself on the job, think twice when your boss tells you to "use your own insurance, and I'll pick up the co-pays". It because they don't want it reported. Then thier rates go up. But that's what Workers Comp insurance is for.
And what if your injury ends up being more serious ? Can't be work related, you didn't fill out any paperwork. Tough luck.
Unfortunately, the only cases of Workers Compensation fraud that anyone ever sees or hears about are the ones on the 6:00 news. The guy that "can't lift his arms", but is painting houses for cash under the table. The woman who "can't even lift a bag of groceries" is seen running a home daycare and carrying kids up and down the stairs. Then every single person that is injured on the job is labeled a fraud.
Truth be told, there are people that abuse the Workers Compensation system. But that number is small. The greater majority of fraud is commited by the companies responsible for administering those benefits.
The worker is always labeled as the "cheater" or "liar". More often than not, that's not the case.
Like I said before, I'm a newbie here. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me.
Fraud perpetrated by employees constitutes roughly 5% of fraud within the Workers Compensation system. The insurance companies and self-insured employers are responsible for the remaining 95%.
The insurance companies will deny a claim for any reason they can find in an effort to starve out the injured worker. If they can tie today's adult injury to a trivial injury from your childhood, they will. Deny, deny, deny is the motto of the insurance companies. The more money they save, the better. If someone's life depends on the insurance company making the payments they have been contracted to do, it won't matter to them. They wil tell you to read the fine print, and your injury was not the result of your job.
The self-insured companies are even worse. It takes a lot to be self-insured (there are requirements to be met, they're typically nationwide/worldwide companies), and when an injury at the job does occur, they have a great deal of control as to how things proceed. They wil use a Third Party Administrator to handle all the legal junk, and so it's perceived that they (the Third Party) ARE the insurance company. The truth is, with self-insured's, it's someone at the company calling the shots.
So the next time you hurt yourself on the job, think twice when your boss tells you to "use your own insurance, and I'll pick up the co-pays". It because they don't want it reported. Then thier rates go up. But that's what Workers Comp insurance is for.
And what if your injury ends up being more serious ? Can't be work related, you didn't fill out any paperwork. Tough luck.
Unfortunately, the only cases of Workers Compensation fraud that anyone ever sees or hears about are the ones on the 6:00 news. The guy that "can't lift his arms", but is painting houses for cash under the table. The woman who "can't even lift a bag of groceries" is seen running a home daycare and carrying kids up and down the stairs. Then every single person that is injured on the job is labeled a fraud.
Truth be told, there are people that abuse the Workers Compensation system. But that number is small. The greater majority of fraud is commited by the companies responsible for administering those benefits.
The worker is always labeled as the "cheater" or "liar". More often than not, that's not the case.
Like I said before, I'm a newbie here. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me.
And if they get mad at you for doing that, you're a mile away and you have their shoes.
just got my lol for the day. thanks
Hmmmm
Sorry, but WC is very controlled by the State Work Comp boards and they tend to side with the worker in most cases, they always get the benefit of the doubt except when fraud can be proved.
The insurance carrier is limited to what they can do on WC cases. The fraud number is not small either. Insurance fraud is the second leading fraud committed in the US. The largest is tax fraud. So, it's big dollars. No, the insurance companies are not going out of business, but when the amount of claims rises, so do the rates. They just had a report in Illinois where 1 in 3 prison guards have filed over 3 claims. Some have filed dozens. And many are "permanently disabled" because of closing too many jail doors. These WC injuries are NOT from the inmates attacking the guards.....they are abusing the system and many are now getting caught and fired because of it. Most folks that committ WC fraud and the ones who really don't like to work or really hate their job, like the prison guards.
Sorry, but WC is very controlled by the State Work Comp boards and they tend to side with the worker in most cases, they always get the benefit of the doubt except when fraud can be proved.
The insurance carrier is limited to what they can do on WC cases. The fraud number is not small either. Insurance fraud is the second leading fraud committed in the US. The largest is tax fraud. So, it's big dollars. No, the insurance companies are not going out of business, but when the amount of claims rises, so do the rates. They just had a report in Illinois where 1 in 3 prison guards have filed over 3 claims. Some have filed dozens. And many are "permanently disabled" because of closing too many jail doors. These WC injuries are NOT from the inmates attacking the guards.....they are abusing the system and many are now getting caught and fired because of it. Most folks that committ WC fraud and the ones who really don't like to work or really hate their job, like the prison guards.
Insurance fraud IS the second leading fraud commited in the US. And 95% of that fraud is commited by insurance companies and big business.
Yes, the State does tend to side with the injured worker. But the insurance companies and employers are hardly complacent. While they are limited to what they can do, that doesn't necessarily mean that they are obligated to do it.
Insurance companies WILL deny claims if they think they can get away with it. Any payment made to a claim is called a 'medical loss'. They are always looking for a way out.
"The Rainmaker", even though it was a Hollywood film, happens every day with big business and insurance companies. "Sicko", more of a documentary, is definetly worth watching as well.
Imagine you're a self-insured company. One of your employees injures themselves. You can either report it (and your rates go up), or take care of it yourself (and keep premiums down). If you do have to involve the insurance company, they will do everything in thier power to close the claim while paying out as little as possible (like settling for a lump sum).
Just like auto insurance. You back into a concrete base for a light pole. You can either report it (and your rates go up), or take care of it yourself (and keep premiums down). If you do have to involve the insurance company, they will do everything in thier power to close the claim while paying out as little as possible (like buying out the car).
Doesn't matter what the insurance is covering. Insurance is insurance is insurance.
Poke around this website a little. http://www.workerscompensationinsurance.com/forum/forum.php
These are real people, with real injuries, not guards on the news. For every one "faker", there are at least 20 that are legitimate.
I'm a newbie here. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me because everyone attributes 'workers comp fraud' exclusively to the injured worker. The insurance companies and big businesses that are truly responsible are never given a second thought.
Yes, the State does tend to side with the injured worker. But the insurance companies and employers are hardly complacent. While they are limited to what they can do, that doesn't necessarily mean that they are obligated to do it.
Insurance companies WILL deny claims if they think they can get away with it. Any payment made to a claim is called a 'medical loss'. They are always looking for a way out.
"The Rainmaker", even though it was a Hollywood film, happens every day with big business and insurance companies. "Sicko", more of a documentary, is definetly worth watching as well.
Imagine you're a self-insured company. One of your employees injures themselves. You can either report it (and your rates go up), or take care of it yourself (and keep premiums down). If you do have to involve the insurance company, they will do everything in thier power to close the claim while paying out as little as possible (like settling for a lump sum).
Just like auto insurance. You back into a concrete base for a light pole. You can either report it (and your rates go up), or take care of it yourself (and keep premiums down). If you do have to involve the insurance company, they will do everything in thier power to close the claim while paying out as little as possible (like buying out the car).
Doesn't matter what the insurance is covering. Insurance is insurance is insurance.
Poke around this website a little. http://www.workerscompensationinsurance.com/forum/forum.php
These are real people, with real injuries, not guards on the news. For every one "faker", there are at least 20 that are legitimate.
I'm a newbie here. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me because everyone attributes 'workers comp fraud' exclusively to the injured worker. The insurance companies and big businesses that are truly responsible are never given a second thought.
i made a long winded rant a couple posts ago because this subject struck a nerve with me. i am GUILTY of playing pool while on workers comp. i also stated in my previous post that i was a bussiness owner before, and yes i paid for for workers comp insurance. any employer would be a fool not to carry it.
chicago, you are right about the amount of fraud in taxes and insurance., but fraud is evident in every type of bussiness.
government; need i say more
wall street; pyramid scams
banking; sub prime loans
medical ins; drs and patients are guilty
auto ins; cant count the number of articles i have read about people reporting cars stolen or engineering false wrecks
home improve companies ; preying on the uneducated or elderly.
you hear of so many cases of fraud that when something looks improper people automaticaly assume the worst. ie ; the player this thread is about.
Hmmmm
Yes, I recall your post, and my first post stated exactly that the guy in the magazine should be given the benefit of the doubt, and that many folks collecting WC can and do go on with their lives. They are allowed to do daily things that are within their restrictions, including playing pool.
And again, you are right about other types of fraud. I was not intentionally leaving them out,but just mentioning the largest two frauds committed, tax cheats and insurance fraud.
So, yes, we should not jump to conclusions about this. I know a guy who is on WC now. He goes fishing everyday. Again, no reason to sit home and watch TV when he can just as easily sit down and wait for a nibble.
Yes, I recall your post, and my first post stated exactly that the guy in the magazine should be given the benefit of the doubt, and that many folks collecting WC can and do go on with their lives. They are allowed to do daily things that are within their restrictions, including playing pool.
And again, you are right about other types of fraud. I was not intentionally leaving them out,but just mentioning the largest two frauds committed, tax cheats and insurance fraud.
So, yes, we should not jump to conclusions about this. I know a guy who is on WC now. He goes fishing everyday. Again, no reason to sit home and watch TV when he can just as easily sit down and wait for a nibble.
Hmmmm
Sorry, but if you are going to use Michael Moore as some type of credible evidence to support your argument, then I'm sorry but you've already lost.
Sorry, but if you are going to use Michael Moore as some type of credible evidence to support your argument, then I'm sorry but you've already lost.
Twenty some years ago I worked for a private investigation agency and one of the clients was an insurance company that covered WC. I was not privy to the number of total WC cases the insurance co had pending or the outcome of other cases being handled by other investigators but I personally worked about 50 cases where the insurance co. had reason to doubt the validity of the claim.
It was my job, in part, observe the claimants with photos and video if possible. I would report my observations and the insurance co. would decide if further investigation was warranted.
In almost all cases after the initial investigation the investigation would be stopped due to the claimant not showing any signs of fraudulent behavior. As I recall there were only 4 cases where I was required to testify in court that I took the photos/video that were submitted as evidence, as well as my personal observations of the claimant.
One case where the claimant was (obvious to me) not injured to the extent of the claim was asking for a settlement of $250,000. I testified, with supporting photos and video, that the claimant, after an overnight snowfall of nearly 10 inches, shoveled the the snow from the driveway, sidewalk, driveway and sidewalk of mothers home across the street. And then shoveled a path across the street to connect the two homes. Outcome was a settlement of $12,000 to be paid to the claimant.
I guess the point of this is to say that the insurance co. must protect themselves from the frauds and that in most of the cases that I was involved with the claimants were allowed to continue with their claims, as far as I know.
In regards to OP of this thread, without knowing the exact nature of the injuries it is impossible to know if playing pool would be within the limitations of the injured.
Steve
It was my job, in part, observe the claimants with photos and video if possible. I would report my observations and the insurance co. would decide if further investigation was warranted.
In almost all cases after the initial investigation the investigation would be stopped due to the claimant not showing any signs of fraudulent behavior. As I recall there were only 4 cases where I was required to testify in court that I took the photos/video that were submitted as evidence, as well as my personal observations of the claimant.
One case where the claimant was (obvious to me) not injured to the extent of the claim was asking for a settlement of $250,000. I testified, with supporting photos and video, that the claimant, after an overnight snowfall of nearly 10 inches, shoveled the the snow from the driveway, sidewalk, driveway and sidewalk of mothers home across the street. And then shoveled a path across the street to connect the two homes. Outcome was a settlement of $12,000 to be paid to the claimant.
I guess the point of this is to say that the insurance co. must protect themselves from the frauds and that in most of the cases that I was involved with the claimants were allowed to continue with their claims, as far as I know.
In regards to OP of this thread, without knowing the exact nature of the injuries it is impossible to know if playing pool would be within the limitations of the injured.
Steve
mlalum
Banned
Sorry, but if you are going to use Michael Moore as some type of credible evidence to support your argument, then I'm sorry but you've already lost.
For the record many of us were not commenting on any potential worker comp fraud but instead reacting to the poster who was saying eveeryone should stand by while someone defrauds others (in other words not their business). In this case no one has enough information about where this particular pool player stands on the scale of justice.
Fraud in any form, by any entity, is wrong.
To the poster that commented about Michael Moore not being credible evidence, I hope you can further explain why that's your opinion. I'd be interested to know why that one particular sentence was singled out of my entire post.
To the poster that was an investigator, you mention that 4 out of about 50 cases were in fact deemed fraudulent. Any idea why surveillance was performed on the other 46 if, by your observation, they were not engaging in fraud ? And can you be certain that the remaining 46 of the 50 claims were accepted by the insurance company ?
Yes, you're right. "In regards to OP of this thread, without knowing the exact nature of the injuries it is impossible to know if playing pool would be within the limitations of the injured." Just because a person is injured on the job doesn't mean thier life is over.
Someone mentions fishing in one of thier posts. As long as the "dynamics" of fishing fall within the restrictions set by the treating physician, then there's not an issue. If the fisherman has a severe hand injury, and is seen reeling in an 800 pound marlin, then there's a problem. It's when 'fake' injured workers go outside thier 'restrictions' that creates the illusion that anyone that gets hurt at work is faking. And those are the ones on the news. The few people that abuse the system cause the truly legitimate injuries to be questioned.
Workers get denied comp insurance for a myriad of reasons. If there is a way for the insurance company to get out of paying a claim, or pay as little as possible, they will do it. Don't let yourself be fooled.
You pay auto insurance. You pay a premium for liability, and an additional premium for collision. Collision is to repair your vehicle to return it to the state it was in prior to an acccident. So when an accident ends up costing more than (I believe) 75% of the car's value, they 'total it out', and send you a check. Well, that's great. But that's not what you've been paying the collision premium for. You've been paying that charge to return the vehicle to its original condition prior to the accident. But now the insurance company has closed the book on your auto claim. They totaled the car out, and got out the cheapest way possible. If you still owe money on the vehicle, you'd be lucky if that lump sum 'total out' check covers the remaining balance.
Insurance is insurance is insurance. Auto, home personal injury, Workers Comp. Doesn't matter which. Insurance companies are about closing the claim for as little money as possible. Period.
I've said it before, and I'll say it again. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me because everyone attributes 'workers comp fraud' exclusively to the injured worker. The insurance companies and big businesses that are truly responsible are never given a second thought.
To the poster that commented about Michael Moore not being credible evidence, I hope you can further explain why that's your opinion. I'd be interested to know why that one particular sentence was singled out of my entire post.
To the poster that was an investigator, you mention that 4 out of about 50 cases were in fact deemed fraudulent. Any idea why surveillance was performed on the other 46 if, by your observation, they were not engaging in fraud ? And can you be certain that the remaining 46 of the 50 claims were accepted by the insurance company ?
Yes, you're right. "In regards to OP of this thread, without knowing the exact nature of the injuries it is impossible to know if playing pool would be within the limitations of the injured." Just because a person is injured on the job doesn't mean thier life is over.
Someone mentions fishing in one of thier posts. As long as the "dynamics" of fishing fall within the restrictions set by the treating physician, then there's not an issue. If the fisherman has a severe hand injury, and is seen reeling in an 800 pound marlin, then there's a problem. It's when 'fake' injured workers go outside thier 'restrictions' that creates the illusion that anyone that gets hurt at work is faking. And those are the ones on the news. The few people that abuse the system cause the truly legitimate injuries to be questioned.
Workers get denied comp insurance for a myriad of reasons. If there is a way for the insurance company to get out of paying a claim, or pay as little as possible, they will do it. Don't let yourself be fooled.
You pay auto insurance. You pay a premium for liability, and an additional premium for collision. Collision is to repair your vehicle to return it to the state it was in prior to an acccident. So when an accident ends up costing more than (I believe) 75% of the car's value, they 'total it out', and send you a check. Well, that's great. But that's not what you've been paying the collision premium for. You've been paying that charge to return the vehicle to its original condition prior to the accident. But now the insurance company has closed the book on your auto claim. They totaled the car out, and got out the cheapest way possible. If you still owe money on the vehicle, you'd be lucky if that lump sum 'total out' check covers the remaining balance.
Insurance is insurance is insurance. Auto, home personal injury, Workers Comp. Doesn't matter which. Insurance companies are about closing the claim for as little money as possible. Period.
I've said it before, and I'll say it again. I'm not trying to start a fight or pi$$ anyone off. But this particular subject just hits a nerve with me because everyone attributes 'workers comp fraud' exclusively to the injured worker. The insurance companies and big businesses that are truly responsible are never given a second thought.
Since my grandson has Cerebral Palsy and is in a wheelchair and has been in one all his life, he will be 22 in May, I am well aware that they are good folks too. If somehow you perceived my comment as a put-down to people in a wheelchair then you are way off base.
The world would be a far better place if people worried about themselves instead of sticking their noses in other's business. JMHO.