1.6 Million Dollar Work Comp Claim For Truck Crash In Fort Myers Is No Case Of Fraud
By Lonce LaMon and NBC news article - November 22, 2016
Roy Denson of Fort Meyers, Florida, was a city employee when he crashed his truck while on the job in 2008. Since that time—over eight years—the city of Fort Meyers, on the west coast of Florida, has paid over $1,600,000 on Denson’s claim.
This is not a case of fraud. Such a to-do gets made about fraud in workers’ compensation because it’s such a huge reality. But the city attorney of Fort Myers believes the expenses of this claim are all legitimate. Such costs for serious physical injury and hospitalization get to these big numbers.
Most of the expense was for medical, for the enormous hospital bills.
Fort Meyers city attorney, Grant Alley, said to NBC reporter, Levi Ismail, “It’s turned into this huge, costly expense.”
The City of Fort Meyers paid $400,000 on this claim before their worker’s compensation insurance kicked in from their insurer. The city’s deductible was $400,000.
Now, according to city attorney Grant Alley, Fort Myers pays their insurance carrier a higher premium to keep from having to pay $750,000 out of pocket compared to the $400,000 maximum they paid during the claim period of Roy Denson.
This higher premium will be paid for by the residents. And now Fort Myers has a new deductible, out of pocket portion of $500,000.
It keeps going up. This is what one catastrophic claim can do to a smaller city.
Currently, Fort Myers has a professional staffer to inspect all work sites for any potential hazards.
lonce@adjustercom.com; journalist Lonce LaMon and NBC article dated November 21, 2016.
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