Problems Involving Non-Subscriber Work Injury Claims

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Problems Involving Non-Subscriber Work Injury Claims

“At J.A. Davis & Associates in McAllen, we specialize in personal injury cases, offering compassionate legal counsel and aggressive representation to get you the justice you deserve.”

Problems Involving Non-Subscriber Work Injury Claims

A non-subscribing company has but one legal defense tool it can use to try and defeat a personal injury claim, and it is called “sole proximate cause.” As we explained previously, a non-subscriber’s legal defense options are limited in this manner as a way of being punished for not purchasing workers’ compensation insurance. It can be exceedingly difficult for a non-subscriber to win a personal injury case as a result, and thus this can be a huge advantage to the plaintiff. But again, that is in no way meant to infer that winning such a case will be easy. As you will see, the sole proximate cause defense can lead to a highly emotional case that can leave lasting effects on both sides. More Information Here

Sole Proximate Cause

The “sole proximate cause” defense means that the employer will maintain that you, the plaintiff, were solely responsible for the accident that caused your injury. If you were injured as a result of the accident, you were 100 percent to blame for your injury. And if this case goes to trial, the employer will always try and use the sole proximate cause defense. As a result, prepare for personal attacks on your reputation, because your employer will basically do whatever it can to paint you as an irresponsible, incompetent employee. More Information here
Non-subscribers aren’t stupid enough to not have insurance; in fact, those policies can be quite expensive. Therefore, you can guarantee the insurance provider will aggressively work to protect that policy. Specialized operatives will be dispatched to try and defeat your claim. These highly paid professionals aren’t like a typical insurance agent you may encounter after a little fender-bender. These are normally not very pleasant people to deal with; their only purpose is to ensure you leave the courtroom with nothing so that their insurance company’s bottom line is protected.

Those agents are but one component of the insurance company’s defense team. The other component will be a team of well-trained and highly skilled defense lawyers who will work to prove you were the sole cause of the accident that injured you. The insurance company could not care less about what you’re going through, the bills that are piling up, and the pain you’re experiencing on a daily basis. All it cares about is making money, and you are in the way of that. In order for them to continue making a profit, insurance companies work to defeat claims like yours every week; the more claims they can defeat, the higher their profit margin. By employing the services of the experienced workers’ comp lawyers at our Law Office, you will have someone on your side working in your best interests to see that you get all of the compensation you deserve.

The Employer/Employee Relationship

There may be one other method a non-subscribing company will use in order to defeat a claim. Even though it could be as flimsy as the sole proximate cause defense, it still must be taken seriously. And, it can be difficult to combat. What a non-subscriber might do to avoid having to pay your claim is to try and prove that you, in fact, were never really an employee of the company, but a contractor. If they can prove that an employer/employee relationship never existed, they can successfully avoid paying your claim. In Texas, contractors are responsible for their own safety in the workplace. Thus, if the company can prove you were a contractor, they cannot be held responsible for the accident that resulted in your injury. Our law firm has dealt with this kind of tactic many times; even if the company that hired you always saw you as a contractor, that doesn’t mean that you’ll be regarded that way in the eyes of the law. There are many ways to prove that the employer/employee relationship was in full effect at the time of your accident.

Again, though, the burden of proof lies with you, the plaintiff, in establishing that the employer/employee relationship did, in fact, exist. There are quite a few methods we use to establish that relationship. If any of the following took place, it is likely you will be considered an employee of the company in the eyes of the court.

The employer withheld Social Security or taxes from your paycheck.
You were paid either hourly or through some sort of salary: weekly, bi-weekly, monthly, etc.
You signed a document that in any way limited your rights, such as a form stating you read and understood the company’s employee handbook, or a form stating that you agreed to submit to a company-mandated drug test.
Your employer inspected, managed, or otherwise oversaw your work on a regular basis.
Your employer established a definitive work schedule for you. For example, you had to be at work at a certain time, were only allowed breaks at certain times, and could not leave until a certain time signified the end of the workday.
Your employer, and not yourself, was responsible for providing the tools and equipment necessary for you to perform your job.
The workers’ comp lawyers at our Law Office know how to use documented evidence, such as pay stubs, other paperwork, or the testimony of co-workers, to successfully prove the existence of an employer/employee relationship. Doing so will vastly improve your chances of winning just restitution in a personal injury lawsuit involving a non-subscribing company.

By | 2025-03-12T20:10:44+00:00 March 12th, 2025|Blog, Personal Injury, workers comp law|0 Comments

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