The Plain Truth About the Practice of Personal Injury Law

Friday, April 15, 2011

What do you mean there is a Lien against my Personal Injury Settlement?

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When I settle a personal injury case for one of my clients what follows is a “tug of war” with a medical provider, health insurance company and/or Medicare.  These entities seek to recover monies paid for the medical services rendered to the client in connection with the injuries suffered in the personal injury accident.  They possess a “lien” against the settlement proceeds recovered on behalf of the injured.

When informed of the lien the client usually asks me: “Why do I have to pay them anything”? The answer is found in the insurance policies,  Illinois statutes (rules), case decisions or federal statutes. In effect the laws protect doctors, hospitals, health insurance companies and/or Medicare from either unpaid medical bills or reimbursement for bills already paid. The concept is to prevent the client from obtaining a double recovery for medical bills paid by others. The entities take the position that since they paid your bills, any monies that you recover from the responsible party should be repaid to them first before you receive any balance. 
Liens are usually served upon the attorney for the injured and the insurance company representing the responsible party.  Should an attorney fail to honor the lien, he or she could be held personally responsible for the payment.  If any of the medical bills were paid by Medicare it has what is known as a “super lien”. This means that the burden is upon the parties to the personal injury claim to request a lien from Medicare before distributing the settlement funds or face personal liability to the federal government.
As a Chicago injury attorney, the existence of a lien often makes it difficult to settle a claim. In the case of a large financial recovery there is enough money available to make everyone happy. However in many claims the client may have been partially at fault for causing an accident, therefore the settlement offered by a liability insurance company may be justifiable low. If the lien amount exceeds the settlement offered what is a lawyer to do?  The answer lies in the experience and skill of the injury attorney to negotiate a reduction in the amount of the reimbursement.  You may then ask yourself why should a lienholder reduce its’ lien?  The reason is quite simple since reimbursement is only due if the client wins there case and recovers money.  Without a favorable recover no monies are due the lienholder and it walks away with nothing.  My tried and true technique is to convince the lienholder that the my client’s case is so weak that if it were tried before a jury we would lose leaving them no recovery. I also advise them that my client has no incentive to settle their case if they know that they will receive little or no money.  The usual result is a compromise three way settlement where everyone walks away with money in their pockets.
The law also provides the client with some level of protection by limiting the percentage of money that may be taken from a settlement to reimburse lienholders. Thanks to this rule of law there will usually be some level of compensation available to the client regardless of the attitude of the lienholders.

The good news is that your case has been settled but the bad news is the existence of a "lien".

Friday, April 8, 2011

Why is my Workers Compensation Settlement so Low?

Visit our website at: for more information on your potential injury case.

For a worker who is injured in an accident “on the job” the first line of monetary and health care protection is “Workers Compensation”.  It is a “no-fault” system of benefits paid by employers to Illinois workers who experience job-related injuries or diseases. Using the term no-fault means that  compensation must be paid regardless of who or what caused the injuries, as long as they are job related.  An absent minded “negligent” worker may be at fault for causing  his or her own injuries yet they are entitled to full benefits.  Perhaps they removed a safety device from a machine, failed to wear hearing or eye protection?  Did they run a red light while making a delivery in the company truck? Could they have fallen from a building under construction because they were not paying attention? Compensation is due these individuals since neither negligence or fault are issues to be decided.

Because the concept of “Workers Compensation” is not based upon fault and benefits are paid directly by the employer (most often through its insurance carrier) there exists a public policy which greatly limits compensation.  Absent such a policy, an employer’s cost of doing business in the State of Illinois would be prohibitive,  as it has limited means to prevent such accidents.  In effect, safety and education in the work place are certainly important but cannot prevent all “no-fault” accidents and injuries.

As a Chicago Personal Injury Attorney our office routinely represents clients’ who have been injured in a job related accident and are seeking compensation.  The first question many ask is how much will I receive for my pain and suffering?  My answer is always the same, $0. The reason is that workers compensation will only pay your necessary medical bills,  and a percentage of your lost wages. No compensation is paid for pain and suffering Ultimately, your fate is determined by a rate chart which assigns a fixed number of weeks of compensation for the injury to a particular part of the body.  Should a worker be killed as a result of a compensable  accident, his family is generally limited to total compensation of  500 weeks of the deceased’s wages.  This is an incredibly small sum of money as compared to the compensation his family would have received if it were a personal injury case.

So now you know why the “Workers Compensation” settlement was so low!

Rick Grossman