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In a recent decision, the Alabama Court of Civil Appeals reaffirmed an
important limitation on workers’ compensation benefits for scheduled-member
injuries: an employee cannot avoid the statutory schedule simply by proving
that the injury has resulted in substantial vocational disability.
In Harris v. Lineage Logistics, 2026 WL 2207386 (Ala. Civ. App.
July 31, 2026), Roderick Harris sustained severe cold exposure at work that
resulted in the partial amputation of his right index and middle fingers and
his left index finger. The trial court found that Harris was permanently and
totally disabled but nevertheless limited his compensation to the benefits
provided under Alabama’s schedule for injuries to the fingers.
Harris appealed, arguing that because he was permanently and totally
disabled, he should receive benefits based on his vocational disability rather
than being restricted to the scheduled-member benefits under Ala. Code §
25-5-57(a)(3).
In rejecting Harris’ position, the Court of Civil Appeals emphasized that
it was bound by Alabama Supreme Court precedent. Under Leach Manufacturing
Co. v. Puckett and Ex parte Drummond Co., when an injury is confined
to a scheduled member and does not extend to or interfere with other parts of
the body, the statutory schedule controls compensation.
Importantly, the schedule applies without consideration of vocational
disability when the injury does not extend beyond the scheduled member. As Puckett
explained, the scheduled amount is intended to fully compensate the employee
for the injury, including any resulting loss of earning capacity or inability
to obtain employment.
The court also relied on Advantage Sales of Alabama, Inc. v. Clemons,
which had previously rejected essentially the same argument Harris presented.
One particularly interesting aspect of Harris is how narrowly the
issue was presented to the appellate court.
Although Harris's history included allegations of a cervical-spine
injury, the Court noted that he ultimately pursued only the argument that his
permanent total disability should permit him to recover outside the schedule.
The appellate court therefore did not have before it an argument that the
finger injuries extended to and interfered with other parts of the body, nor
did Harris rely on the recognized pain exception.
About the Author:
This article was
prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law
firm dedicated to representing self-insured employers, insurance carriers and
funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling him directly at 205-332-1448.
The Exclusivity Doctrine is alive and well in Alabama that to the Alabama
Supreme Court’s opinion in Duke v. Walmart, Inc., 2026 WL 785243 (Ala.
Mar. 20, 2026), wherein it affirmed summary judgment in favor of Walmart and
its employee, Qeon Gray, after an employee attempted to pursue tort claims
arising from an accident for which he had already received workers’
compensation benefits.
Phillip Duke was employed by Walmart and was struck by a Walmart
tractor-trailer driven by co-employee Qeon Gray in the parking lot of Walmart's
distribution center. Duke claimed that
he was “off duty” and jogging in the parking lot when the accident occurred.
Duke received workers’ compensation benefits, including medical and
temporary-total-disability benefits. He nevertheless
filed a civil lawsuit against Walmart and Gray asserting negligence,
wantonness, negligent hiring and supervision, and other tort theories.
Walmart moved for summary judgment based on the exclusive-remedy
provisions of Alabama's Workers’ Compensation Act, Ala. Code §§ 25-5-52 and
25-5-53. The trial court granted summary
judgment, and Duke appealed.
On appeal, Duke argued that workers’ compensation exclusivity did not
apply because he was off duty and was not performing work for Walmart when he
was injured. The Supreme Court rejected
that argument because, regardless of whether Duke was technically “off duty,”
he had accepted workers’ compensation benefits for the injury.
The Court explained that Alabama law has consistently held that
acceptance of workers’ compensation payments constitutes an election that
prevents an employee from pursuing another remedy for the same injury. In short, an employee cannot accept workers’
compensation benefits and then attempt to characterize the same injury as
outside the Workers’ Compensation Act in order to pursue tort damages against
the employer.
The Court also noted that Walmart established through its records that
Duke had received medical, temporary-total-disability, and other workers’
compensation benefits. That shifted the
burden to Duke, who failed to present substantial evidence demonstrating that
the Act did not apply.
The Court separately addressed Duke's claims against Gray.
Under Ala. Code § 25-5-11, an employee may pursue a claim against a
co-employee in certain circumstances involving willful conduct. The statute imposes a significantly higher
standard than ordinary negligence.
The Court found no evidence that Gray intended to injure Duke or that a
reasonable person in Gray's position would have known that injury was
substantially certain to result from his conduct. Although Duke alleged that Gray may have been
under the influence of illegal drugs, he failed to present substantial evidence
supporting his claim of willful conduct at the summary-judgment stage. As a result, the Supreme Court affirmed.
About the Author:
This article was
prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law
firm dedicated to representing self-insured employers, insurance carriers and
funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling him directly at 205-332-1448.
On July 1, 2026, the maximum weekly
workers' compensation benefit became $1,219.00 per week, and the minimum
weekly compensation rose to $335.00 per week.
It is important to remember that these
updated rates apply only to Alabama claims where injuries occurred on or after
July 1, 2026. Claims arising from injuries before this date remain governed by
the Average Weekly Wage (AWW) in effect at the time of injury.
About the Author:
This article was
prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law
firm dedicated to representing self-insured employers, insurance carriers and
funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling him directly at 205-332-1448.
Here is one for the
workers’ compensation time capsule.
Maine resident Donald
Nadeau suffered a job-related injury on April 28, 1985. He lived another 35
years, dying in September 2020 from complications tied to that injury. By then, however, much had changed. Nadeau and Carol Brewster divorced in 1997,
and she remarried in 2011. She received no
alimony and was not financially dependent on him when he died, yet she sought
workers’ compensation death benefits.
That led to a Maine
Supreme Judicial Court decision on August 6, 2026 - more than 41 years after
the accident.
Brewster’s position was
simple: look at the statute.
The Maine law governing
the 1985 accident measured dependency “at the time of his injury.”
According to Verrill Dana, LLP attorney, Elizabeth Connellan Smith,
“when this provision
was originally included, it was designed to address young widows of woods
workers, who in rural Maine, often would be left with no resources if the
worker was killed in a logging accident, or widows of workers who were exposed
to asbestos and developed asbestosis years later. That rarely happens anymore.”
In 1985, Brewster was
unquestionably Nadeau’s dependent wife: they lived together, she worked part time,
and they shared finances.
The employer argued she
had to be dependent both when Nadeau was injured and when he died. By 2020, she
was not: they had been divorced 23 years, she had remarried nine years earlier,
and she conceded no economic loss from his death.
Brewster responded that
the Legislature chose the date of injury as the dependency date, and courts could
not add a second requirement simply because the result seemed counterintuitive.
On August 6, 2026, the
Maine Supreme Judicial Court affirmed the award.
The Court held the
statute unambiguous: dependency is determined at injury, not again at death. Because
the Legislature expressly used the date of death elsewhere, adding that requirement
to § 58 would insert language the Legislature omitted.
WWAD
What would Alabama do?
I am pleased to report that, in Alabama, the interesting dependency issue
that occupied the Maine courts would have ended much sooner.
Alabama Code § 25-5-62
focuses on dependency status at the time of death. So, the fact that they were blissfully
married at the time of the accident would not be relevant when considering eligibility
for death benefits. In fact, they could
still be married at the time of death and, unless the widow can prove that she
was financially dependent on the decedent at the time of death and a reasonable
amount of time prior to same, she would not be eligible to receive benefits.
About the Author:
This article was
prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law
firm dedicated to representing self-insured employers, insurance carriers and
funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling him directly at 205-332-1448.
On February 13, 2026, The Alabama Court of Civil Appeals released its
opinion in the matter styled Professional Education Services Group, LLC
(“PESG”) v. Richard A. Ford., wherein it affirmed a PTD verdict, in part. The case revolved around Ford’s claim that he
sustained a left shoulder injury during his employment with PESG, which
rendered him unable to return to his previous work or find other gainful
employment.
Ford, a former HVAC mechanic, suffered a shoulder injury in June 2019
after tripping and falling at work. Following surgery and treatment, he was
assigned sedentary work restrictions, which were incompatible with his previous
career in heavy-duty HVAC work. A vocational expert concluded that Ford had a
100% vocational disability and was incapable of obtaining or maintaining
competitive employment. The trial court determined that Ford was permanently
and totally disabled due to his shoulder injury, not his unrelated heart
condition. The court awarded Ford compensation for the remainder of his
natural life.
PESG appealed the judgment, arguing that the evidence was insufficient to
support the finding of permanent total disability. PESG claimed that no
medical or expert testimony explicitly stated Ford was incapable of gainful
employment and that his heart condition, not his shoulder injury, was the cause
of his disability.
The Court of Appeals affirmed the trial court’s finding that Ford was
permanently and totally disabled due to his shoulder injury. The court noted
that Ford’s testimony about his pain and inability to work, combined with the
vocational and medical evidence, constituted substantial evidence to support
the trial court’s decision. However, the portion of the judgment that awarded
Ford PTD for the remainder of his natural life was reversed. As the Court pointed out, compensation for PTD
is limited to the duration of the disability, not the employee’s lifetime.
My Two Cents:
Even with its opinion being release the day before Valentines Day, the
Court refused to give much credence to matters of the heart.
About the Author:
This article was prepared by Mike Fish, an attorney with Fish Nelson
& Holden, LLC, a law firm dedicated to representing self-insured employers,
insurance carriers and funds, and third-party administrators in all matters
related to workers’ compensation. Fish Nelson & Holden is a member of the
National Workers’ Compensation Defense Network. If you have any questions about
this article or Alabama workers’ compensation in general, please contact Fish
by e-mailing him at mfish@fishnelson.com
or by calling him directly at 205-332-1448.
In Ex parte Griffin,
the Alabama Supreme Court denied a petition for mandamus filed by co-employees
seeking immunity from a civil suit arising out of a workplace injury. The denial left in place the trial court’s
refusal to grant summary judgment based on immunity pursuant to the Exclusivity
Doctrine.
Although the Court issued
no majority opinion, Justice Cook’s special concurrence is noteworthy. He emphasized that the denial was driven by
the high mandamus standard and procedural issues and not a determination that
the co-employees are liable.
Justice Cook also raised
significant concerns about existing Alabama precedent interpreting §
25-5-11(c)(2), particularly:
My Two Cents:
The concurrence signals
that these issues remain unsettled and may be ripe for reconsideration in a
future appeal.
About the Author:
This article was prepared by Mike Fish, an attorney with
Fish Nelson & Holden, LLC, a law firm dedicated to representing
self-insured employers, insurance carriers and funds, and third-party
administrators in all matters related to workers’ compensation. Fish Nelson
& Holden is a member of the National Workers’ Compensation Defense Network.
If you have any questions about this article or Alabama workers’ compensation
in general, please contact Fish by e-mailing him at mfish@fishnelson.com or by calling
him directly at 205-332-1448.
The WC world
runs on abbreviations. Seasoned WC
veterans type three letters, hit send, and assume everyone knows exactly what
they meant. Sometimes they do. Sometimes… not so much.
Every claim
begins with a DOI (Date of Injury) or DOA (Date of Accident). Shortly thereafter comes the FROI (First
Report of Injury). At this point, the ER
(Employer) notifies the TPA (Third Party Administrator), who opens a file, and
assigns a claim number.
The injured
employee, now officially the IW or Clmt, wants to know one thing: “How much am
I getting paid?” The answer depends on
the AWW (Average Weekly Wage), a number that will be debated, recalculated, and
argued about far longer than anyone expected.
Then the ER wants to know if this is a MO (Medical Only) or LT (Lost
Time) claim because it’s EMR (Experience Modification Rating) could be
adversely affected.
Now we enter
the medical phase. This is where
abbreviations multiply like gremlins after midnight. The MP (Medical Provider), often an Ortho,
prescribes Tx, Rx, PT, OT, and maybe some DME if things get spicy. The Px provides their Hx where any ROM or LOC
is reported. If the MO orders Sx, you
can bet that said request will be referred to UR (Utilization Review).
If treatment
continues, the claim gets MM (Medical Management), possibly involving an NCM,
FCM, or TCM. Meanwhile, work status
bounces between FD, LD, OW, and RTW, with Mods attached. Everyone is now holding their breath for MMI
(Maximum Medical Improvement) aka the finish line that always seems to
move. Then someone may request an IME or
FCE.
Once MMI
hits, the doctor assigns an IR. This number decides whether we’re talking PI,
PPD, PPI, or the nightmare scenario, PTD which is likely based on a VDR
(vocational disability rating). If PTD,
then SSDI offsets become relevant.
Just when
everyone finally memorized the acronyms, along came EDI (Electronic Data
Interchange) to remind us that things can always get more complicated. In theory, EDI was supposed to streamline
claims reporting. In practice, it
introduced a parallel universe where the claim is “accepted” in real life but
“rejected” by the system because someone used the wrong two-letter jurisdiction
code, forgot a decimal in the AWW, or dared to list a DOI that offended the EDI
gods.
Next comes
the lawyers. This is where the acronyms
start emailing each other. The DA
(Defense Attorney) exchanges pleasantries with OC or PA/CA. Everyone watches the SOL like a hawk. In Alabama, for a WC settlement to achieve
finality, it must be court approved or an Ombudsman must hold a BRC (Benefit
Review Hearing) and sign off on it.
Oversight
comes from the WCB/WCC or IC, depending on the state. In Alabama, it is the
ADOWFWD (Alabama Dept of Workforce Workers’ Comp Div). If Medicare is even remotely involved, MSP
compliance becomes a thing, CMS enters the conversation, and suddenly someone
asks whether an MSA is needed, usually on a Friday afternoon.
So, the next
time you see an email that says: “IW at MMI, IR pending, OW w/ Mods, UR
approved Tx, DA evaluating PPD exposure” - Just smile. You’re fluent now. You’re welcome!
About the
Author:
This article
was prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a
law firm dedicated to representing self-insured employers, insurance carriers
and funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling him directly at 205-332-1448.
Thirteen
years ago, my friend Bob Wilson asked a deceptively simple question: What if we stopped calling this system
“workers’ compensation” and started calling it “Workers’ Recovery”?
At the time,
some dismissed the idea as a cosmetic rebrand without substance. But Bob has
never been interested in empty labels. His argument then, and now, is far more
meaningful: language shapes behavior, and behavior shapes outcomes.
Workers’
compensation is inherently transactional. It focuses on payments, benefits,
settlements, and financial exposure. Workers’ recovery, by contrast, centers on
people, healing, restoration of function, dignity, and a return to productive
life. One focuses on checks. The other focuses on outcomes. The distinction matters and the movement is
real!
As Bob
recently explained in his blog article, “It’s Time to Finish What We Started:
The Case for Workers’ Recovery”
(available
at:
https://www.bobscluttereddesk.com/2026/01/07/its-time-to-finish-what-we-started-the-case-for-workers-recovery/),
what once seemed like fringe thinking has steadily moved into the
mainstream. The biopsychosocial model is
no longer controversial. Claim advocacy is now part of the professional
lexicon. Social Determinants of Health are openly discussed in claims handling
and medical management. Across the country, carriers, employers, and
institutions have demonstrated that recovery-focused systems produce better
outcomes; medically, emotionally, and economically.
Through the
Workers’ Recovery Professional (WRP) certification at the WorkCompCollege, Bob
has helped train hundreds of professionals to treat injured workers as partners
in recovery, not adversaries in a transaction. Washington State’s, “Vocational
Recovery Project” and the University of Texas white paper he cites provide
something our industry demands: proof that the concept works.
As long as
our statutes, agencies, regulations, and forms still say, “workers’
compensation,” this remains a movement, not a transformation. Legislative language sets expectations. It
defines the framework in which every stakeholder operates whether it be
workers, employers, adjusters, lawyers, judges, physicians, and regulators. If
the law frames the system as compensation-driven, participants will behave
accordingly, regardless of good intentions.
Real change
requires official adoption, and that change must start at the state level. Workers’ compensation is state based and so
individual states will have to lead the evolution of this system.
All it takes
is one state. One jurisdiction willing
to step forward as the proverbial first kid on the block. The others will follow. That’s how good ideas
spread. So, the real question isn’t
whether Workers’ Recovery will happen.
The question is: who goes first?
Will it be Alabama? Why Not
Alabama?
Alabama is
already at an inflection point. Recent and ongoing constitutional challenges to
the Alabama Workers’ Compensation Act make one thing clear: change is coming.
It’s not a matter of if. It's a matter
of when and how sweeping that change will be.
That creates an extraordinary opportunity. Rather than simply patching an aging
statutory framework, Alabama could do something bold. Something modern.
Something forward-looking.
Imagine
replacing an outdated act with a new, constitutional Workers’ Recovery
Act. One that reflects current science,
modern understanding of recovery, and a benevolent purpose aligned with today’s
workforce.
A new name
wouldn’t be merely symbolic. It would be declarative. It would tell injured workers, from the
moment they enter the system, that the goal is not to process their claim, but
to restore their function. It would tell employers that outcomes matter more
than transactions. It would tell professionals that their role is to support
recovery, not simply manage exposure.
Yes, it would
still be a legal system. Rights, obligations, defenses, and procedures would
remain. But the lens would change. And
lenses matter
Bob Wilson
has spent more than a decade laying the groundwork by educating professionals,
proving the concept, and persistently advocating for a better system. His call
for change is not radical. It is practical. It is achievable. And it is
overdue.
Alabama has an
opportunity. It can be the state others
point to and say, “That’s where it changed.”
An opportunity to become a true part of workers’ compensation, or
rather, Workers’ Recovery, history.
Some ideas
are worth being persistent about. Like
Bob, I believe this is one of them.
About the
Author:
This article
was prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a
law firm dedicated to representing self-insured employers, insurance carriers
and funds, and third-party administrators in all matters related to workers’
compensation. Fish Nelson & Holden is a member of the National Workers’
Compensation Defense Network. If you have any questions about this article or
Alabama workers’ compensation in general, please contact Fish by e-mailing him
at mfish@fishnelson.com or by calling
him directly at 205-332-1448.
On October 24, 2025, the Alabama Court of Civil
Appeals released its opinion in the matter styled MMR Constructors, Inc. v.
Taylor. The employee put forth
evidence at trial suggesting that he sustained severe injuries after losing
consciousness and crashing a buggy at a construction site. The employer argued that employee’s
preexisting medical conditions, such as bronchitis and a heart condition, were
solely responsible for the accident.
However, the trial court determined that workplace conditions, including
operating an unenclosed buggy in a hazardous construction zone, increased the
risk of injury and contributed to the severity of the accident. The court applied the "increased-risk
test," concluding that employee’s employment conditions heightened the
risk of injury compared to the general public.
The Alabama Court of Civil Appeals affirmed the
trial court’s decision, agreeing that workplace conditions need only contribute
to the risk or severity of an injury for it to be compensable under Alabama’s
Workers’ Compensation Act. The majority
opinion emphasized that the "increased-risk test" was appropriately
applied and that employment conditions do not need to be the sole cause of an
injury, as long as they contribute to the risk or severity of the accident.
In his well-reasoned dissenting opinion, Judge
Bowden stated that the trial court applied the wrong legal standard to
determine whether the employee’s injuries were compensable. He emphasized that the "increased-risk
test" is not applicable to all workplace accidents. Instead, the proper standard for accidental
injuries is the "set-in-motion" test, which requires a definite
causal connection between employment and the injury. Bowden contended that the trial court failed
to determine whether the employee’s injuries were caused by an accident or were
nonaccidental in nature, which is crucial for applying the correct legal
standard.
Even if the increased-risk test were applicable,
Bowden noted that the trial court misstated and misapplied it. The court incorrectly used a
"but-for" causation standard, which was previously held to be the
incorrect standard by the Alabama Supreme Court. According to Bowden, the increased-risk test
requires a claimant to prove that their employment exposed them to a danger or
risk materially greater than what the general public faces in everyday life and
not merely that the employment was a contributing factor.
Bowden highlighted that the trial court did not
clearly determine the cause of employee’s coughing spell, which led to his loss
of consciousness and subsequent accident.
Without a clear finding on whether the injuries were accidental or
nonaccidental, the application of the increased-risk test was premature and
potentially incorrect.
My Two Cents:
In his dissenting opinion, Judge Bowden
indicated that Alabama caselaw likely supported the trial court’s conclusion
that the employee's injuries were compensable regardless of which causation
test was applied. While that may be the
case (certainly not conceding that point), caselaw would also support a defense
verdict had the trial court applied the set-in-motion test and determined that
the employee’s idiopathic condition set the chain of events leading to the accident
in motion. While the employee was at
increased risk of injury because he was behind the wheel of a moving vehicle at
the time of the idiopathic event, that, alone, should not be enough to satisfy
the increased risk standard according to the Street Risk Doctrine which also
requires evidence that the employee’s job requires him/her to continually be on
the streets.
PTSD is one of the most frequently asserted mental health conditions we see in the workers’ compensation system. And while there’s no question that true PTSD can sometimes be debilitating, the reality is that the diagnosis is often over-applied in claims, not because of fraud, but because treating providers want to advocate for their patients.
a
The problem is that “advocacy” often replaces science. Providers frequently overlook one of the most basic requirements of the DSM-5-TR: for PTSD to be validly diagnosed, symptoms must last at least one month after the traumatic event. When this threshold is ignored, ordinary stress reactions get mislabeled as psychiatric conditions, and those labels inevitably find their way into the claim file.
a
This isn’t just an academic issue. Over-diagnosis creates inflated claims exposure, unnecessary treatment, and leverage for plaintiffs’ attorneys who argue for higher settlement values. The DSM itself cautions against over-pathologizing, but when practitioners skip the diagnostic framework, employers end up paying for conditions that don’t actually exist under the medical criteria.
a
A few key points for employers and carriers to remember:
a
a
a
a
Bottom line: PTSD is real but in the comp system, it’s often misdiagnosed, and that mistake costs money. Employers and carriers should stay alert to whether diagnostic criteria are being followed and push back whenever providers are stretching science into advocacy.
a
About the Author:
This article was prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law firm dedicated to representing self-insured employers, insurance carriers and funds, and third-party administrators in all matters related to workers’ compensation. Fish Nelson & Holden is a member of the National Workers’ Compensation Defense Network. If you have any questions about this article or Alabama workers’ compensation in general, please contact Fish by e-mailing him at mfish@fishnelson.com or by calling him directly at 205-332-1448.