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Workers' Comp and Mental Health Claims: PTSD, Anxiety, Depression; State Coverage Disparity; Legislative Trends

Recording of a 90-minute CLE video webinar with Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Tuesday, December 3, 2024

Recorded event now available

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This CLE webinar will examine workers' comp claims made for mental health issues and the current regulatory landscape that has created a disparity in coverage from state to state. The panel will examine common types of mental health claims, legislative trends, and best practices for employers/insurers and claimants when bringing or defending workers' comp mental health claims.

Description

Although workers' compensation is most often thought of when it comes to physical injuries sustained in the workplace, mental health claims--such as those related to PTSD, anxiety, and depression--are becoming more common. However, there is a disparity among state workers' comp statutes as to whether and to what extent mental health injuries are covered.

A number of states cover mental stress claims unrelated to physical injury while others cover mental illness from cumulative, repeat trauma in work to some degree. However, for those that cover mental illness, many only apply to first responders and/or certain types of first responders. Additionally, other states do not cover mental health injuries on their own for most workers.

Further disparity occurs when it comes to who is covered when suffering from the same traumatic event. For example, while a state statute could allow for coverage of resulting mental health conditions for first responders to a school shooting, it may not cover these conditions for other workers who may have been involved in the same incident, such as teachers.

As a result, state legislation is evolving to address mental health conditions covered by workers' comp. Therefore, counsel, whether representing workers or employers/insurers, should understand the latest regulatory developments related to workers' comp and mental health issues.

Listen as our panel discusses workers' compensation and mental health issues and examines types of workers' comp mental health claims. The panel will also address the current regulatory landscape and legislative trends, and will offer best practices for handling workers' comp mental health injury claims.

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Outline

  1. Introduction
    1. Types of mental health injuries involved in workers' comp claims
    2. Statistics
  2. Disparity of state regulation covering mental health claims
    1. State differences in coverage
    2. Disparity in worker coverage at same incident (e.g., covered first responders at a school shooting but not for teachers)
    3. Evolving state regulation (notable examples)
  3. Types of workers' comp mental health claims
    1. Mental health condition is a direct result of work-related incident
    2. Mental health condition develops because of worker sustaining a covered physical injury
    3. Worker has preexisting mental health condition and sustains a workplace injury that may be impacted by the mental health condition
    4. Occupational stress injuries
  4. Expert testimony and medical evidence: legal best practices
  5. Practitioner takeaways

Benefits

The panel will review these and other important considerations:

  • What is the status of workers' comp coverage for mental health issues? How does coverage vary by state?
  • What notable state legislation is being proposed and/or enacted related to covering workers' comp mental health claims?
  • What are the most common types of workers' comp claims made in relation to mental health issues?
  • What are best practices for bringing workers' comp claims related to mental health issues? Defending such claims?

Faculty

Del Bueno, Michael
Michael P. Del Bueno

Partner
WHITT DEL BUENO CLARK

Mr. Del Bueno has practiced primarily in the area of insurance defense and workers’ compensation law. He writes...  |  Read More

Mills, Lindsey
Lindsey E. Mills

Shareholder
Smith Mills Law

For over 15 years, Ms. Mills has been representing employers in the defense of workers’ compensation cases,...  |  Read More

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