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	<title>Fast Business Insurance &#187; claim denial</title>
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		<title>McDonalds Workers&#8217; Compensation Claim Denial Justified</title>
		<link>http://www.fastbusinessinsurance.com/blog/2009/04/mcdonalds-workers-compensation-claim-denial-justified/</link>
		<comments>http://www.fastbusinessinsurance.com/blog/2009/04/mcdonalds-workers-compensation-claim-denial-justified/#comments</comments>
		<pubDate>Wed, 08 Apr 2009 12:18:32 +0000</pubDate>
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				<category><![CDATA[Workers' Compensation]]></category>
		<category><![CDATA[claim denial]]></category>
		<category><![CDATA[compensable]]></category>
		<category><![CDATA[scope of employment]]></category>

		<guid isPermaLink="false">http://www.fastbusinessinsurance.com/blog/?p=124</guid>
		<description><![CDATA[According to a Workers&#8217; Compensation expert, the recent denial of a claim by McDonald&#8217;s insurance carrier is justified upon analysis of the law despite public outcry.   A McDonald&#8217;s employee was shot in Little Rock, AR in 2008 after expelling &#8230; <a href="http://www.fastbusinessinsurance.com/blog/2009/04/mcdonalds-workers-compensation-claim-denial-justified/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">According to a Workers&#8217; Compensation expert, the recent denial of a claim by McDonald&#8217;s insurance carrier is justified upon analysis of the law despite public outcry.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">A McDonald&#8217;s employee was shot in Little Rock, AR in 2008 after expelling a man from the store who was battering a customer. The man who was expelled returned with a gun and shot the employee who attempted to prevent his re entry into the store.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">The &#8220;Course And Scope&#8221; rule requires the following three elements before a claim can be compensable:</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">1) The injury must &#8220;arise out of&#8221; employment.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">2) The injury must be in &#8220;the course of employment&#8221;.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">3) The injury must arise out of the &#8220;scope of employment&#8221;.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">In the case at hand, 3) was not met according to the insurance carrier and the claim was denied. This case will likely go to trial.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">Upon first glance, the outcome does not seem fair. However, an insurance policy such as Worker&#8217; Compensation is a contract and the contract dictates the terms of coverage based on the language and case law.</span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;"> </span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Arial; mso-bidi-font-size: 10.0pt;"><span style="font-size: small;">See Full Story: Chris Boggs, Market Scout, </span><a href="http://www.mynewmarkets.com/article_view.php?id=99219" title="http://www.mynewmarkets.com/article_view.php?id=99219" onclick="javascript:pageTracker._trackPageview ('/outbound/www.mynewmarkets.com');"><span style="font-size: small;">http://www.mynewmarkets.com/article_view.php?id=99219</span></a></span></p>
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