Workers' Compensation Practice in Massachusetts
Issues that arise across the lifespan of employment relationships

- Product Number: 2223944WFM
- Publication Date: 4/28/2022
- Edition: 4th Edition 2022
- Copyright: © 2022 MCLE, Inc.
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Workers' Compensation Practice in Massachusetts
Issues that arise across the lifespan of employment relationships
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- Product Description
- Table of Contents
- Editors & Authors
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Product Description
Product Description
A comprehensive handbook designed to help you sort through statutes, regulations and case decisions on employment practices, employment transactions, and causes of action. Filled with state and federal perspectives and practical tips, this book offers you resources needed to recognize the issues and plan an effective course of action for your clients. Featured topics include risk avoidance, drafting employment agreements, protecting workplace privacy, handling discrimination claims, providing and enforcing leave policies, accommodating employees' needs with regard to disability and religious observance, pursuing issues before the Maine Human Rights Commission, and following wage and hour requirements.
Recent updates:
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Update: July 2022
Dear Subscriber:
Thank you for choosing to keep your copy of A Practical Guide to Employment Law in Maine up to date with this 2022 supplement to the 2019 first edition. The following are highlights of just some of the updates you’ll find in this supplement:
- new guidance on the ten salient steps an employer can take toward risk avoidance in employment law claims (see chapter 1);
- an explanation of last chance agreements, which most commonly arise in the context of employment under a collective bargaining agreement (see chapter 2);
- a discussion of the U.S. Supreme Court's 2020 decision in Bostock v. Clayton County, Georgia, which held that an employer who fires an individual because of their sexual orientation violates Title VII of the Civil Rights Act of 1964 (see, for example, chapter 4);
- an analysis of the impact of the addition of grandchild to the definition of a covered person with a serious health condition under the Maine Family Medical Leave Act (see chapter 6);
- a new section on the treatment of tips for service employees pursuant to Maine law (see chapter 9); and
- a brand-new chapter on ERISA Employment Benefits: Long-term Disability Insurance (see chapter 10).
We at MCLE │ New England hope that you find this updated publication useful in your practice and in keeping your resource library current.
Very truly yours,
Alexis J. LeBlanc, Esq., MCLE Publications Attorney
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Update: July 2022
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Table of Contents
Table of Contents
expand allChapter 1 expandExhibit 1A
- Attorney General Advisory Buy FormChapter 2 expandDefining Personal Injury Under Chapter 152
Buy ChapterJames M. Brady, Esq., Attorney Jim Brady and Associates, PC
Beth R. Levenson, Esq., Lipsey & Clifford, PCChapter 3 expandChapter 4 expandScarring and Disfigurement: Calculating Section 36 Benefits
Buy ChapterChapter 5 expandPsychiatric Claims
Buy ChapterChapter 6 expandRepresenting the Claimant from Initial Intake to Filing of Claim
Buy ChapterChecklist 6.1
- Checklist for Initial Interview Regarding Workers’ Compensation Claim Buy FormChecklist 6.2
- Checklist for Filing a Workers’ Compensation Claim Buy FormExhibit 6A
- DIA Form 115 (Third Party Claim/Notice of Lien) Buy FormExhibit 6B
- DIA Form 114 (Notice of Change/ Appearance of Counsel) Buy FormExhibit 6C
- DIA Form 110 (Employee’s Claim) Buy FormChapter 7 expandRepresenting the Employer/Insurer in the Initial Stages of Claim Filing or Litigation
Buy ChapterScott E. Richardson, Esq., The Law Offices of Steven B. SteinChapter 8 expandPractice and Procedure Before the Department of Industrial Accidents: The Department’s Perspective
Buy ChapterFred Capone, Esq., Department of Industrial Accidents, Commonwealth of MassachusettsExhibit 8A
- An Overview of the Document Management System (DMS) of the Massachusetts Department of Industrial Accidents Buy FormChapter 9 expandPractice and Procedure Before the Department of Industrial Accidents: The Employee’s Perspective
Buy ChapterExhibit 9A
- Employee Biographical Data Sheet (DIA Form 160) Buy FormExhibit 9B
- Sample Narrative Report of First Medical Visit Buy FormExhibit 9C
- Sample Requests for Doctor’s Narrative Report Buy FormExhibit 9D
- Sample HIPAA Release Form Buy FormExhibit 9E
- Sample Authorization for Representation Buy FormExhibit 9F
- Petition for Approval of Third Party Settlement Buy FormExhibit 9G
- Sample Employee’s Request for Production of Documents Buy FormExhibit 9H
- Insurance Inquiry Form Buy FormExhibit 9I
- DIA Form 110 (Employee’s Claim) Buy FormExhibit 9J
- DIA Form 110 (Employee’s Claim) with Cover Letter Buy FormExhibit 9K
- DIA Form 113 (Agreement to Pay Compensation) Buy FormExhibit 9L
- DIA Form 131 (Request for Speedy Conference Because of Hardship) Buy FormExhibit 9M
- DIA Form 132 (Affidavit in Support of Employee’s Request for Speedy Conference Because of Hardship) Buy FormExhibit 9N
- DIA Form 112A (Affidavit in Support of Request for Waiver of Filing Fee Under Section 11C) Buy FormExhibit 9O
- Conference Memorandum Cover Sheet Buy FormExhibit 9P
- DIA Form 121 (Appeal of Conference Proceeding) Buy FormExhibit 9Q
- DIA Circular Letter No. 356 (October 4, 2021; Effective October 1, 2021) Buy FormExhibit 9R
- Sample Motion for Expanded Attorney Fees Buy FormExhibit 9S
- Last Best Offer Form Buy FormExhibit 9T
- Agreement That No Impartial Physician Report Is Required Buy FormExhibit 9U
- Notice of Taking Deposition Buy FormExhibit 9V
- Explanation of Computation of Interest Buy FormExhibit 9W
- Sample Notification of Medical Evidence to Be Introduced Buy FormExhibit 9X
- Social Security Form CR-28 (COLA Data Form) Buy FormExhibit 9Y
- COLA Offset Worksheet Buy FormExhibit 9Z
- Form SSA-149, Waiver of Benefit Payments Buy FormChapter 10 expandPractice and Procedure Before the Department of Industrial Accidents: The Employer’s/?Insurer’s Perspective
Buy ChapterMonique M. Chiacchia, Esq., TravelersChapter 11 expandImpartial Examiners—A Guide to Section 11A Practice
Buy ChapterChristine Griggs Narcisse, Esq., McGuire & McGuire, PCChapter 12 expandTips for Obtaining Discovery and Preparing for Hearing: The Insurer’s Perspective
Buy ChapterPauline A. Jauquet, Esq., Law Office of M.B.SchneiderChecklist 12.1
- Checklist of Potential Areas for Cross-Examination of a Workers’ Compensation Claimant Buy FormChecklist 12.2
- Checklist of Tips for Working with Vocational Experts Buy FormExhibit 12A
- Sample Insurer’s Request for Production of Documents Buy FormExhibit 12B
- Sample Subpoena Buy FormExhibit 12C
- Sample HIPAA Release Form Buy FormExhibit 12D
- Sample Insurer’s Hearing Memorandum Buy FormExhibit 12E
- Sample Outline for Cross-Examination of a Claimant Buy FormExhibit 12F
- Sample Outline for Direct Examination of a Vocational Expert Buy FormExhibit 12G
- Sample Motion in Limine with Supporting Memorandum Buy FormExhibit 12H
- Sample Motion to Submit Additional Medical Evidence Buy FormChapter 13 expandChapter 14 expandAppeal Practice Before the Department of Industrial Accidents and the Courts
Buy ChapterChapter 15 expandScientific Evidence and the Use of Lanigan and Daubert
Buy ChapterChapter 16 expandUse of the Department’s Vocational Rehabilitation Component
Buy ChapterChapter 17 expandUtilization Review in Massachusetts
Buy ChapterDiane M. Neelon, Esq., Department of Industrial Accidents, Commonwealth of MassachusettsChapter 18 expandAlternative Dispute Resolution in Workers’ Compensation Cases
Buy ChapterHon. Roger S. Lewenberg, Department of Industrial Accidents, Commonwealth of Massachusetts (Ret.)Chapter 19 expandLump-Sum Settlements: The Law, the Procedure, and Some Practical Tips
Buy ChapterNicole Duca Sullivan, Esq., Law Offices of Nicole D. Sullivan and Associates, PCChecklist 19.1
- Checklist for Lump-Sum Settlements Buy FormExhibit 19A
- DIA Form 116A (Employer’s Consent to Settlement) Buy FormExhibit 19B
- Administrative Bulletin No. 4: Online Filing Buy FormExhibit 19C
- Bulletin from Senior Judge Hernández Buy FormExhibit 19D
- The Request for Section 46A Conference in Conjunction with Lump Sum Under Section 48 Buy FormExhibit 19E
- Lump-Sum Settlement Agreement for Injuries Prior to November 1, 1986 Buy FormExhibit 19F
- Lump-Sum Settlement Agreement for Injuries on and After November 1, 1986 Buy FormExhibit 19G
- Office of Education and Vocational Rehabilitation Memorandum on Lump-Sum Procedure Buy FormExhibit 19H
- DIA Form 116B (Vocational Rehabilitation Status Addendum) Buy FormExhibit 19I
- DIA Form 116C (Employee’s Lien Disclosure) Buy FormExhibit 19J
- Sample Letter of Notice Pursuant to G.L. c. 175, § 24D Buy FormExhibit 19K
- Administrative Bulletin No. 10: Post-COVID Changes for Dispute Resolution Events Buy FormChapter 20 expandRecovering from Third Parties: Settlements, Section 15 Liens, and Hunter Fees
Buy ChapterNicole Duca Sullivan, Esq., Law Offices of Nicole D. Sullivan and Associates, PCChapter 21 expandInteraction Between Workers’ Compensation and Other Disability Benefits
Buy ChapterJane Eden, Esq., Eden Rafferty, PCChapter 22 expandThe Relationship Between the Americans with Disabilities Act, Massachusetts Handicap Discrimination Law, and the Massachusetts Workers’ Compensation Act
Buy ChapterEllen J. Messing, Esq., Messing, Rudavsky & Weliky, PC
James S. Weliky, Esq., Messing, Rudavsky & Weliky, PCChapter 23 expandMedicare Reimbursement Rights and Enforcement Relating to Workers’ Compensation Cases
Buy ChapterPauline A. Jauquet, Esq., Law Office of M.B.SchneiderExhibit 23A
- Article on Updates to the CMS Reference Guide Buy FormChapter 24 expandTips for Working with Self-Insurers and Self Insurance Groups
Buy ChapterChapter 25 expandThe View from the Bench at Conference and Hearing
Buy ChapterHon. Lauren M. Bergheimer, Department of Industrial Accidents, Commonwealth of Massachusetts
Hon. Marguerite O'Neill, Department of Industrial Accidents, Commonwealth of Massachusetts -
Editors & Authors
Editor(s)
Hon. Tamara L. Ricciardone, Department of Industrial Accidents, Commonwealth of Massachusetts, BostonJudicial Commentator(s)
Hon. Dennis M. Maher, Department of Industrial Accidents, Commonwealth of Massachusetts, WorcesterAuthor(s)
Hon. Lauren M. Bergheimer, Department of Industrial Accidents, Commonwealth of Massachusetts, Fall RiverFred Capone, Esq., Department of Industrial Accidents, Commonwealth of Massachusetts, BostonMonique M. Chiacchia, Esq., Travelers, ProvidenceKaylene Crum, Esq., BCL Law LLP, BraintreeJane Eden, Esq., Eden Rafferty, PC, WorcesterPauline A. Jauquet, Esq., Law Office of M.B.Schneider, SalemDeborah G. Kohl, Esq., Law Offices of Deborah G. Kohl, Fall RiverBeth R. Levenson, Esq., Lipsey & Clifford, PC, HanoverHon. Roger S. Lewenberg, Department of Industrial Accidents, Commonwealth of Massachusetts (Ret.), HullChristine Griggs Narcisse, Esq., McGuire & McGuire, PC, WorcesterDiane M. Neelon, Esq., Department of Industrial Accidents, Commonwealth of Massachusetts, BostonHon. Marguerite O'Neill, Department of Industrial Accidents, Commonwealth of Massachusetts, Fall RiverScott E. Richardson, Esq., The Law Offices of Steven B. Stein, BostonNicole Duca Sullivan, Esq., Law Offices of Nicole D. Sullivan and Associates, PC, WestboroughAdam J. Troupe, Esq., The Troupe Law Office, PeabodyWilliam H. Troupe, Esq., The Troupe Law Office, PeabodyJames S. Weliky, Esq., Messing, Rudavsky & Weliky, PC, Newton