LEGAL RIGHTS OF THE MARITIME WORKER
Prepared by
The Law Firm of Delise & Hall Attorneys at Law and
Admiralty
Why publish a book exploring the legal rights of a maritime or
offshore worker? There are many reasons. First of all, much is
at stake when tragedies occur offshore. The maritime industry is
very big business. Not only is it “big business” for the
maritime concerns who invest much in the way of capital, but it
is also "big business" for the maritime worker who has invested
much in the way of blood, sweat and tears in his or her pursuit
of their chosen career offshore.
Thus, when one’s career is put in jeopardy as the result of a
tragedy, much in time, personal fortunes and careers can be
lost. Navigating the admiralty courts for the maritime worker
can be as precarious as piloting a vessel through a fog shrouded
channel at dawn. Ignorance of the law, in short, can be fatal to
one’s future. This booklet attempts to provide the maritime
worker with a general appreciation of one's legal rights under
maritime law.
Secondly, while maritime employers and their insurers are
staffed with attorneys who are “on call” to provide advice and
counsel at a moment’s notice, the maritime worker, roustabout or
rigger cannot afford such a luxury. In dealing with their
employer, a claims representative or insurance company the
maritime worker is always at a distinct disadvantage. On the
disadvantaged side in negotiations with such professionals the
worker may relinguish important legal rights or forego
significant compensation. This outline of the maritime law
attempts to "level the playing field," so to speak, in the blue
collar worker's day-to-day relationship with his employer and
his employer's insurance company.
Within the maritime industry, there are many myths concerning
the legal rights of a worker. For example, many believe an
injured mariner has only one year from the date of an accident
to file a lawsuit. The statute of limitation is three years.
Some may believe, or are told, that a maritime worker must use
the company’s doctor following an on-the-job injury. In truth,
an injured mariner has significant control over the selection of
his or her treating physician. The injured worker also has
significant input over the location of treatment,
hospitalization or rehabilitation.
Insurance adjusters or in house safety officers often tell an
injured worker that there is a set amount of compensation
benefits payable to an injured worker. Such is not the law! As
will be discussed in this booklet, “maintenance” payments
(maritime workers’ comp) are determined by the mariner’s monthly
living expenses, not a “prevailing or customary” rate offered by
the claims department or insurance company representative.
Finally, this publication is a primary tool to introduce the
maritime community to the law Firm of Delise & Hall. Our firm
has represented the interests of maritime workers throughout the
world for over 25 years. We take a unique approach in our
representation of maritime workers. We do not advocate
litigation. Litigation should be the last resort in resolving a
claim between a worker and his or her employer. We hope that the
information found within this publication will aid the maritime
worker in attempting to resolve their legal differences with
their employer.
However, when lines in the sand are drawn and there is a need
to hire legal counsel, we would like to be considered the
maritime worker's first choice in their selection of legal
representation.
Sincerely,
BOBBY J. DELISE
About Delise & Hall
Delise & Hall is a New Orleans based admiralty law firm whose
primary area of practice is the representation of maritime and
oilfield workers in all aspects of maritime or admiralty law.
Over the last 25 years the firm has represented blue water
merchant seamen, commercial divers, oilfield craftsmen and
inland mariners plying their trades in the maritime, from the
Gulf of Mexico to the North Sea, from the Pacific Rim to the
inland waterways and lakes of the United States.
Delise & Hall handles claims for personal injury and death
under the Jones Act, Longshore and Harbor Workers’ Compensation
Act, the Death on the High Seas, state law and the traditional
General Maritime Law.
The attorneys of Delise & Hall also represent the licensed
maritime worker or applicant in licensing certification and
administrative matters before the United States Coast Guard and
other government administrative agencies. And finally, Delise &
Hall represents the American mariner in personal legal matters
such as estate planning, will drafting, criminal representation
and domestic disputes.
The attorneys of Delise & Hall will travel anywhere worldwide to
serve the interests of their clientele.
For more information, a free consultation or for additional
copies of this publication contact:
Delise & Hall
One Galleria Blvd, Suite 735
Metairie, Louisiana 70001
Phone:(504) 836-8000 (800) DIVER-55 (348-3755) Telefax: (504)
836-8020 E-mail:
bdelise@divelawyer.com
To receive more information about the firm, visit our website at
www.divelawyer.com
CHAPTER I
Personal Injury and Wrongful Death Claims
A. Sources of Maritime Law
The first question to be answered in surveying one’s legal rights – under what
law am I covered? – points the maritime worker to the specific set of laws which
define a maritime worker’s rights and remedies under admiralty law.
Certain legal rights are granted under laws written by
Congress. Other remedies for the maritime worker may be
found in the accumulated admiralty court decisions of the
United States sitting as admiralty courts or from decisions
of the admiralty courts of traditional maritime nations
(primarily the United Kingdom). More commonly known as the
General Maritime Law, these decisions provide significant
and longstanding rights and remedies for the modern mariner.
In the admiralty law the most significant written laws for
personal injury law include the Jones Act, the Longshore and
Harbor Workers’ Compensation Act and the Outer Continental
Shelf Lands Act. Each act provides specific rights and
remedies for maritime workers; specific coverage is based on
the nature and location of the maritime worker’s labor.
Remedies for maintenance and cure, as well as claims against
vessel owners for damages sustained as the result of an
unseaworthy vessel, were established as the result of years
of support for mariners from the Admiralty courts worldwide.
These protections for the maritime workers are longstanding
and are universally recognized in most modern maritime
nations.
B. The Jones Act
Perhaps the most widely recognized legislation in the area of
maritime personal injury is the Merchant Marine Act of 1920,
more commonly known as The Jones Act. The Jones Act provides
that the employer of the mariner is legally responsible for any
damages sustained by an injured worker as a result of the
negligence of the employer, a co-employee, or an agent of the
employer. In brief, if a Jones Act employer, co-employee, or
agent acts unreasonably (negligently) in its maritime activity
and such action brings about harm to its employee, the maritime
employer must compensate the worker for all damages he
sustained.
History and Purpose of the Jones Act
The Jones Act, enacted by the United States Congress and found
at 46 United States Code § 688, reads as follows:
Any seaman who shall suffer personal injury in the course of
his employment may, at his election, maintain an action for
damages at law, with the right of trial by jury... and in the
case of death of any seaman as a result of any such personal
injury, the personal representative of such seaman may maintain
an action for damages at law with the right of trial by jury...
The Jones Act provides that a negligent maritime employer is
responsible to compensate an injured worker for all damages
sustained – dollar for dollar. The purpose of the act was to
promote the maritime industries by encouraging young workers to
leave the comforts of land-based employment to work offshore
where they certainly face day-to-day challenges of lonely
isolated work places in a hostile environment where high risk
labor oftentimes results in loss of life and personal tragedy.
The liberal and generous benefits of the Jones Act provides
encouragement and comfort to those workers plying their trades
offshore, The comfort comes from knowing that they will be cared
for should they sustain harm offshore.
Benefits under the Jones Act - Monetary damages
Under the Jones Act the injured seaman is entitled to be
compensated for the following "damages" if his employer is at
fault:
- Physical pain and suffering,
both past and future;
- Mental pain and anguish,
includes humiliation, shame and embarrassment, worry and
concern, and feelings of economic insecurity caused by
disability;
- Physical disability,
impairment of bodily functions, inconvenience, and the effect of
seaman’s injuries upon the normal pursuits and pleasures of
life;
- Income lost in the
past;
- Impairment of earning
capacity or ability in the future, including impairment
of normal progress in the seaman’s earnings;
- Medical expenses,
including any reasonable and necessary expenses to the seaman
for attention and care by physicians, surgeons, nurses or
attendants, surgical, hospital and other services and care and
supplies to have been incurred in the past or are reasonably
certain to be required in future treatment of seaman’s alleged
injuries, their complications and residuals, if any;
- Found, i.e., the
reasonable value of food and lodging which the seaman would have
been afforded while working had he not become disabled;
- The reasonable value of any additional "fringe
benefits."
Only Seamen are Covered Under the Jones Act
Most maritime workers who ply their specialized maritime skills
trades aboard marine vessels in navigation are termed seamen. A
formal definition of “seaman”, though, is important. The Courts
have defined a “seaman” as follows:
“a worker who is permanently assigned to a
vessel in navigation and contributes to the function or mission
of that vessel with their unique maritime skills.”
Maritime workers who consistently face the “perils of the sea”
on a day-to-day basis as they ply their specialized maritime
trades aboard vessels which navigate the rivers, lakes and
oceans are afforded the protection of The Jones Act. Workers
with historically maritime trades, as well as those who engage
in what could be considered non-maritime skills, are protected
under the Jones Act as long as the labor was performed aboard
vessel.
Trades Recognized as Maritime under the Jones Act
The admiralty courts also define seamen as “all those onboard
whose labor contributes to the accomplishment of the main
objective in which the vessel is engaged.” Various trades and
disciplines are required to keep afloat the modern maritime
industry. Thus, there are many different types of workers who
are “seaman” under the law.
Obviously, able-bodied seaman (ABS) working on a crew boat or a
second mate on a merchant vessel is viewed as a seaman.
Commercial fishermen and food processors on commercial fishing
vessels or floating processing plants are seamen.
Additionally, it is important to note that other
“nontraditional” workers also qualify. For instance,
hairdressers or bartenders on cruise ships or chefs on floating
casinos are viewed as seaman. Welders or wire line operators on
jack-up vessels are covered. Found aboard charter sport dive
vessels, dive instructors, dive masters and dive guides are
protected by the Jones Act.
Termed “brown water seaman,” oil field workers such as
roustabouts on oil rigs or welders on pipe laying vessels also
qualify as seaman. Crewmembers on ocean racing yachts and,
historically, commercial divers (even those diving from oil
platforms) aboard “non traditional vessels” have been afforded a
special classification of seamen.
In todays ever changing
age of technology, computer software technicians and internet
specialists would be viewed as seamen under the law.
In light of the varied trades and disciplines aboard countless
types of today’s platforms in the maritime industry, it is
impossible to provide an all-inclusive list as to who are
today’s seamen. The admiralty law has consistently adjusted to
the changing trades of maritime workers and will do so in the
future. In short, if the maritime worker labors on behalf of a
vessel, said mariner would fulfill the first requirement of
seaman status. Which work platforms qualify as “vessels” is a
question reserved for the Admiralty Courts.
Work Platforms as Maritime Vessels under the Jones Act
In today’s admiralty there exists a wide variety of work
platforms. Most work platforms plying the maritime are viewed by
the admiralty courts as “vessels.” Special purpose vessels, such
as lay barges or drilling structures which are capable of
movement are all “vessels” under admiralty law as long as the
watercraft is used, or capable of being used, as a means of
transportation on water, though it is important to note that the
watercraft “need not be in motion to qualify as a vessel”. It is
important to understand how the courts analyze this legal
inquiry.
Historically, the maritime courts have developed a list of
objective features which suggests that a structure’s is capable
of transportation across the navigable waterway; these vessel
characteristics includes such features as:
- Navigational aids;
- Raked bow;
- Lifeboats or other life saving equipment;
- Bilge pumps;
- Crew’s quarters; and
- Registration of the work platform as a vessel with the
United States Coast Guard.
If a watercraft is capable of or has a means of transportation over the water
said structure is a “vessel” for Jones Act purposes.
Attachment with a Vessel in Navigation
The second requirement for a worker to be termed a “seaman” – attachment to a
vessel in navigation - requires that the worker establish a significant
relationship to a vessel. The required relationship or attachment must be
substantial, both in nature and duration.
In imposing this requirement, the law seeks to differentiate
between “land based” workers, who only periodically work
offshore, and those maritime workers who make their living
offshore as a matter of course aboard vessels. Only workers who
consistently face the perils of the sea on a day-to-day basis
are afforded the protection of the Jones Act. The requirement to
be “more or less permanently connected to a vessel” is a very
controversial issue for which the admiralty courts have long
struggled.
If a maritime worker is consistently employed by an employer
aboard vessels under the employer’s ownership or control on a
day-to-day basis, the connection requirement would be easily
fulfilled. If, however, a maritime worker works aboard different
vessels for different companies periodically and on an
inconsistent basis the courts may not afford that worker seaman
status. Or, if the maritime worker performs what is customarily
viewed as land based employment, such as work as a welder, crane
operator or office clerk, such a maritime worker would not be
viewed as a seaman if he or she did not consistently work aboard
an identifiable group of vessels under the common ownership or
control of their employer.
Admiralty courts have sought to limit seaman status of maritime workers if the
employment aboard vessels is sporadic or transitory and the relationship to a
vessel is not substantial. Generally speaking, the courts have seemed to
identify as an appropriate rule of thumb that a worker who spends less than 30%
of his or her time in the service of a vessel in navigation should not qualify
as a seaman under the Jones Act. And while this 30% figure is only a guideline,
it is viewed by the court as being instructive.
Determining whether a maritime worker does in fact fulfill the
requirements of being permanently attached to vessel can be
difficult and confusing. Each case will be determined on a
case-by-case basis. Certainly, if a maritime worker consistently
works and lives aboard vessels and performs most of his or her
services aboard a vessel the likelihood of that maritime worker
being termed a seaman is greater than a worker who only briefly
or sporadically finds themselves aboard vessels they do not in
fact “live a life offshore.”
Seaman Injured Onshore or in Transit to or from a Vessel
A common question posed by a maritime worker is “Am I covered
under the Jones Act if my injury occurred while onshore?”
Another important question is “Am I covered under the Jones Act
if my injury occurred while in transit to or from my job
offshore? “ The answer to both questions is a resounding “ yes”!
Offshore work typically occurs considerable distance from
shore requiring that personnel be transported to and from the
work site by crew boat or helicopter. With this transportation
requirement, often over rough seas and through adverse weather,
comes numerous accidents each year causing injury and death.
Typically a maritime worker is injured as a result of the
"pounding" he suffers on a crew boat in rough seas. Workers are
also often injured when boarding or disembarking from vessels or
while moving about on the vessel. Less frequent, but much more
deadly, are the rare occurrences when a helicopter is lost or
crashes, killing or injuring all on board. Finally, maritime
workers are occasionally injured in automobile accidents
occurring while in route to port.
Whether he is transported by land, air or sea, the maritime employee injured
while in transit to or from a work site has a remedy in Admiralty law.
The admiralty courts have consistently found that if a seaman
is injured during transit to or from a vessel provisions of the
Jones Act apply. Of similar significance admiralty courts
recognize Jones Act protections for seamen whose injury occurs
onshore as long as the services rendered were in service of the
vessel. Maritime workers have also been afforded coverage under
the Jones Act while laboring in the office or in the “yard” in
preparation for a vessel’s voyage as long as the worker was
historically attached to the vessel previously and was providing
services to that vessel when injured.
Maritime Negligence Under the Jones Act
The Jones Act requires that the employer act reasonably in its
maritime activity and its relationship with its employees. The
employer is required to provide its employees a reasonably safe
place to work and security in hostile environments and locales.
During a voyage the employer is also mandated to afford
appropriate medical care and comfort to its crew.
A maritime worker is not, however, entitled to compensation for
damages as a matter of right when an injury or death befalls the
seaman in service to a vessel. In order to recover damages the
seaman must prove that the employer, co-employee or agent of the
employer was legally at fault. Under the provisions of the Jones
Act an employer is “at fault” if it acted in a
negligent manner.
A maritime contractor is
negligent when it acts in a manner a reasonably prudent
maritime contractor would not
act. A maritime contractor is negligent when it failed to act in
a manner a reasonably prudent contractor
would
act. The actions and inactions of a maritime contractor will be
judged and viewed by the standard, rules, traditions and customs
which govern the modern maritime industry.
Obvious standards such as those established by OSHA, the United
States Coast Guard and other recognized safety authorities are
methods to gauge or review the appropriateness of a company’s
actions and procedures.
- Warnings of a known or non-obvious hazard;
- Proper medical care and treatment;
- A competently trained and professional
master and crew;
- Maintained and serviced equipment, gear,
appurtenances aboard a vessel;
- Measures to void and/or lessen dangers
associated with foul weather or heavy seas;
- Prompt and appropriate assistance to a
seaman in peril;
- Security for seaman abroad or in transit
to and from a vessel in hostile or dangerous ports;
- Warnings and procedures in the handling of
toxic or hazardous materials.
The above are only examples of negligence. Any improper or
Unreasonable conduct may be defined as negligence.
Causation Under the Jones Act
Not all negligent conduct creates legal responsibility under the Jones Act. In
order to recover for damages after establishing negligence, a maritime worker
must next prove that the negligence was
the direct (proximate) cause
of the injury. It matters not that the company was simply running a shoddy ship
or engaging in unsafe practices; in proving the employer was legally “at fault”
it must be shown that the improper conduct was the
cause of the accident. An example may be of assistance in describing this
doctrine.
Assume that a company ignores the maintenance of a crane found on one of its
vessels and the crane suffers significant hydraulic fluid loss. The failure of
the company to repair and maintain the crane is “negligence.” If a worker
injures himself working with the crane because he doesn’t pay attention to a
moving load and the leaking of hydraulic fluid has absolutely nothing to do with
the incident, the company will not be at fault. The improper conduct
(negligence) must have caused the accident.
The Legal Defense of Comparative Negligence
As mentioned above, maritime employers have a legal obligation to act in a
reasonable manner in their operations offshore. A mariner has a similar
obligation to act reasonably. If the mariner fails in his duty he may be denied
recovery or his recovery may be reduced to the extent of his action.
The legal defense to a claim of negligence under the Jones Act
arises when the company demonstrates that the incident and
subsequent injuries were totally or in part caused by the
negligence of the maritime worker. If the worker acts
unreasonably and such conduct contributes to his or her own
injury such conduct is defined as
comparative negligence.
In such a case, an award for damages will be reduced by the percentage of the
worker’s negligent conduct. For example, if the maritime worker is 25%
responsible for the accident and injuries, and the company is found responsible
for 75%, the award for damages will be reduced by 25%.
By way of example, assume that a seaman is damaged to the
extent of $100,000. If the seaman is found 25% at fault and his
employer is 75% at fault the extent of the seaman’s recovery is
$75,000.
Jones Act – Statute of Limitations – When must a lawsuit be
filed?
A suit for recovery of damages for personal injury or death under the Jones Act
must commence within three (3) years from the date of the incident in question.
If a lawsuit is filed later than three (3) years, the lawsuit would be
dismissed.
Where should the lawsuit be filed?
A claim under the Jones Act may be filed in state or federal
court. The lawsuit may be filed where the incident occurred, the
principal place of business of the employer or any location the
employer does business.
The choice of where the claim is filed is a very significant
decision and based on a number of unique questions such as “How
long would one wait for a trial date?”, “What will the jury pool
be like?”, “Can we expect to get a liberal or conservative
judge?” These questions are best answered by an expert in such
matters.
C. Claims Against Vessel Owners under the General Maritime Law
In addition to the Jones Act, seamen are protected by the
General Maritime Law. The General Maritime Law is the
historical accumulation of court decisions rendered by the
admiralty courts throughout the years. It is Court made law as
opposed to law made by Congress.
Under the General Maritime Law, every ship owner or operator owes to every
member of the crew employed aboard a vessel the duty of providing a vessel in a
seaworthy condition. To be a member of the crew it must only be shown
that the maritime worker “assists in the function or mission of the vessel.”
If the vessel is found
unseaworthy, any injury or accident which was sustained
as a result of that unseaworthy condition imposes liability on
the vessel owner or operator. That is, the vessel owner is
responsible to pay the crewmember’s damages. The responsibility
exists at any time, even though the owner or operator may have
exercised due care under the circumstances, or may have had no
knowledge or notice of the unseaworthy condition.
The obligation of the vessel owner to provide a seaworthy
vessel is absolute and non-delegable; that is, the vessel owner
cannot point the finger at a third party if an unseaworthy
condition was present on the vessel.
As with a Jones Act lawsuit, a suit for recovery damages for personal injury or
death under the General Maritime Law must commence within three (3) years that
the cause occurred
Unseaworthiness defined
In order to prove an
unseaworthy condition, the injured maritime worker simply
has to establish that the vessel was
not reasonablyfit for
its intended purpose.
Liability for an unseaworthy condition does not depend upon
negligence, fault or blame. This is different than a negligent
act in that, as mentioned earlier, the ship owner need not have
knowledge or notice of the unseaworthy condition. Any condition
which renders a vessel “unfit for its intended purpose” results
in an “unseaworthy vessel.” Below is a list of typical
conditions which have rendered vessels unseaworthy:
- Coast Guard violations appropriate to safety, manning and
operations;
- Operational negligence, that is negligence which renders a
vessel unseaworthy because of unsafe practices;
- Improper method of operation of vessel, her crew, equipment
and appurtenances;
- Insufficient crew to fulfill mission;
- Carrying cargo which is inappropriate to the vessel
capacity;
- A designate work schedule which is inappropriate or which
overtakes the crew’s capability or efficiency;
- Defective hull, equipment or appliances;
- Proper use of vessel;
- Slippery decks, unsafe stairs, obstructions on deck and/or
defective tools;
- Insufficient provisions or supplies for mission;
- Negligent orders; and
- Operating the vessel beyond specifications.
Benefits under the General Maritime Law - Monetary damages
Under the General Maritime law the injured crew member is
entitled to be compensated for the following "damages" if his
vessel owner provides an unseaworthy vessel and the unseaworthy
condition causes the seamen “damages”:
- Physical pain and
suffering, both past and future;
- Mental pain and anguish,
includes humiliation, shame and embarrassment, worry and
concern, and feelings of economic insecurity caused by
disability;
- Physical disability,
impairment of bodily functions, inconvenience, and the effect of
crewmember’s injuries upon the normal pursuits and pleasures of
life;
- Income lost in the
past;
- Impairment of earning
capacity or ability in the future, including impairment
of normal progress in the crew member’s earnings;
- Medical expenses,
including any reasonable and necessary expenses to the crew
member for attention and care by physicians, surgeons, nurses or
attendants, surgical, hospital and other services and care and
supplies to have been incurred in the past or are reasonably
certain to be required in future treatment of crew member’s
injuries, their complications and residuals, if any;
- Found,
i.e., the reasonable value of food and lodging which the crew
member would have been afforded while working had he not become
disabled;
- The reasonable value of any additional "fringe benefits."
Defenses to Claim of Unseaworthiness:
A vessel owner may defend the claims against it by asserting that the damages
were the result of the seaman’s fault, or that the damages complained of were
the result of something other than an unseaworthy condition. A vessel owner may
also argue that the vessel was not seaworthy or that the seaman failed to report
the unsafe condition when he or she knew, or should have known, the condition
posed a hazard.
The admiralty courts are reluctant to excuse a vessel owner when a seaman is
faced with an unsafe condition and accepts to continue employment knowing of
that condition. Historically, the courts sitting in admiralty recognize that
working men and women are often times at the mercy of their employers in the
harsh environment of the maritime. The Courts recognize that some maritime
contractors refuse to yield to safety and require their workers to labor in
unsafe dangerous conditions and with that recognition the Courts are hesitant to
excuse much improper and unjustifiable conduct.
D. The Right to Maintenance and Cure:
In addition to a claim for damages, a maritime worker is entitled to the right
to the maritime equivalent of worker’s compensation more commonly known as the
right to "maintenance and cure" is perhaps the most sacred legal right under
Admiralty Law. A vessel owner must pay the seaman living and medical expenses
to”weather the storm” of an on-the-job injury.
Maintenance
is defined as “financial resources by which the injured seaman
can weather the financial storm surrounding an occupational
injury offshore.” It also includes the expenses necessary to
repatriate the seaman to his or her home. Maintenance includes
the amount of money per day sufficient to defray the cost of
food, lodging and utility expenses during his period of
convalescence.
Additionally, the maritime worker is entitled to the payment of “cure”. The
right to cure entitles the seaman to be provided proper medical care and
treatment. If the medical health care provider retained by the company is not
acceptable to the worker, the seaman may select an appropriate doctor of his or
her choosing. The employer must further provide for the seaman’s transportation
to and from the seaman’s home to the doctor or treatment facility while
recuperating. This is gauged on a dollar per mile basis.
Duration of Maintenance and Cure Benefits
The right to maintenance and cure exists as long as the maritime worker
medically requires medical care and treatment, and as long as he or she has not
reached a point which is known as maximum
medical improvement.
Maximum medical improvement
is defined as the end of the convalescence of the injured
seaman. At that point in time wherein the worker expects no
further improvement medically, the worker has reached maximum
cure and no other benefits are due. Until the worker reaches
that point, he or she is entitled to an allowance for
subsistence and medical payments.
Consequences of the Company’s Failure to Pay Maintenance and
Cure
If the employer fails to provide maintenance and cure, and such failure or
withholding is done arbitrarily, capriciously or in a callous disregard of the
claim, the injured seaman is entitled to the payment of attorney’s fees incurred
for the prosecution of legal proceedings to have a court of law order the
company to make such payments. Additionally, the employer is responsible for any
damages associated with such action.
How much should a seaman receive in benefits for Maintenance?
The question often asked is “How much is the maritime worker entitled to for
maintenance?” Under the law the maritime employer must pay for the worker’s
reasonable living expenses during the seaman’s period of convalescen, living
expenses to include rent, home mortgage and utilities.
The amount of maintenance the maritime worker is due, should
there be a dispute with the company, shall be determined by the
Court based on the evidence presented. If, however, there is an
agreement by a collective bargaining agreement with one’s union,
the prevailing amount according to that contract will be
ordered.
What is of paramount importance for the maritime is that there
is not one set amount which the employer is obliged to pay. And,
while Courts have ruled that the amount may range from anywhere
between $8 and $35 per day, the amount due the maritime worker
is solely determined by that individual worker’s average monthly
expenses incurred. The amount due an employee is not based upon
some arbitrary dollar figure chosen by the company, its insurer
or claims representative.
The worker is, however, only entitled to ‘hard costs” for
living expenses. For example, the maritime worker is not
entitled reimbursement of expenses for room or board if the
maritime worker is residing at the home of their parent or
relative, rent free. If the worker pays rent to a relative for
living expenses reimbursement is allowed.
Medical Expenses, Choice of Physician and Location of
Treatment
No greater legal right exists for the maritime worker than the right to of
reasonable medical treatment when an injury occurs in the service of a vessel.
The right to be afforded medical treatment is a sacred right and the Courts look
very unkindly toward a maritime employer who fails to provide said medical
treatment or who fails to immediately evacuate an injured maritime worker for
medical treatment from a vessel to shore where said treatment is required.
The maritime worker has significant input in the choice of
his/her medical provider. The worker also has the right to a
second opinion. Additionally, the seaman has the right to be
treated at a facility close to his/her residence.
For example, a worker residing in Houma , Hattiesburg ,
Lafayette , or Baton Rouge is not required to accept medical
treatment in New Orleans . Additionally, out-of-state employees
are not required to commute to their employer’s state if
treatment is available in their home town.
Lastly, if the worker must travel significant distance to a medical provider or
medical facility, or must stay at a hotel while receives treatment, The worker
is entitled to be reimbursed all reasonable travel and lodging expenses.
What should be remembered is that these rights are the most
important rights afforded the maritime worker and the Courts
will strongly enforce those rights if prosecuted.
Claims for Unearned Wages:
Any maritime worker who for whatever reason falls ill or becomes injured while
in the service of the vessel is also entitled to any unearned wages for which he
or she would have been entitled through the end of the vessel’s voyage. It is
the general rule under maritime law that unearned wages are due to the end of
the mutually agreed end of employment or until the seaman becomes fit for duty.
Defenses to claim for Maintenance and Cure
If a worker becomes injured in the service of the vessel the vessel owner owes
maintenance and cure unless the worker was injured due to his willful
misconduct.
Willful misconduct
includes willful disobeying a lawful order, inebriation
(drunkedness), drug abuse and aggressive behavior or fighting.
Maintenance and cure has also been denied for contraction of
venereal disease and AIDS/HIV infection.
Insler Maritime Law
An employer may also deny maintenance and cure to seamen who lied on a annual
pre employment physical or an application for employment about a health
condition or previous injury or accident.
E. Wrongful Death of a Maritime Worker
In the event of the death of a maritime worker, the worker's family may be
afforded protection under one of a number of acts or statutes, depending upon
his "status" as well as the location of the death-causing incident.
The Jones Act provides a remedy for seamen who are fatally
injured during the course of their employment. This remedy is
available only to the personal representative of a seaman and
the action can be brought only against the seaman’s employer.
Because the Jones Act is the exclusive remedy available to the
family of a seaman killed by his employer’s negligence, state
statutes regarding wrongful death cannot be utilized. If,
however, the seaman’s death is caused by the negligence of
someone, in whole or in part, other than the employer, the
maritime worker’s representative can bring an action under the
General Maritime Law which, in most cases, is similar to state
wrongful death statutes.
Additionally, seamen killed as a result of the unseaworthiness of a vessel owned
by his employer or a third party, have an action under the General Maritime Law.
Finally, a seaman (or anyone else) killed outside the territorial waters (beyond
three nautical miles) has an action under the Death on the High Seas Act, which
can be found at 46 United States Code, Section 72.
The family of a seaman killed as a result of negligence or the
unseaworthiness of a vessel is entitled to recover funeral
expenses, loss of financial support, value of lost services,
loss of probable inheritance for children and loss of nurture,
care, guidance, support and training. Additionally, the seaman’s
estate can recover for pre-death conscious pain and suffering.
If the incident occurred aboard a fixed platform, either in
state territorial waters or on the Federal Outer Continental
Shelf waters, the law of the adjacent state would apply.
Therefore, if a maritime worker were killed off the coast of
Louisiana while aboard a fixed platform, the wrongful death laws
of Louisiana would apply. On the other hand, should the incident
occur on Federal waters, beyond three miles of the shoreline,
the Death on the High Seas Act (DOSHA) would apply.
If the accident occurs within state territorial waters, either
state law or a remedy created by the General Maritime Law would
apply.
Suffice it to say, wrongful death in a maritime setting is perhaps the most
complex, contradictory, and overlapping area of admiralty litigation. Depending
on the act sued under, certain remedies will or will not be available. For
example, under the Jones Act, a wife’s claim for “loss of society” is not
available. Conversely, if the death occurs as a result of an incident occurring
on a fixed platform in Louisiana waters or in federal waters off the Coast of
Louisiana , the State of Louisiana ’s wrongful death statute would provide the
“loss of society” remedy. Because of the complexities associated with wrongful
death litigation in a maritime setting, it is strongly advised that the family
of a deceased maritime worker contact legal counsel experienced in admiralty
litigation.
F. Remedies for Maritime Workers who are not Seamen
Maritime workers who are not so closely attached to vessels are still treated
favorably by the law when they sustain damages as a result of occupational
incidents. Unlike seamen, however, their claims against their employers are
primarily restricted to compensation in the form of weekly allowances to defer
living expenses while they recuperate. Scheduled benefits are available should
the injuries result in permanent disability or death.
While the worker does not receive damages for loss of earnings
or pain and suffering the trade-off is that the worker need not
prove that his or her employer was at fault in causing the
injury. Much like maintenance and cure benefits, the right to
compensation is strongly protected by the courts.
It is also significant to note that an injured maritime worker
may have a claim for damages against a third-party – a
non-employer – upon a showing that the injuries sustained are as
a result of an entity other than one’s direct employer. These
actions, known as “third party claims, will result in a claim
for damages against the responsible party.
Longshore and Harbor Worker's Compensation Act
In 1927 the United State Congress passed the Longshore and Harbor Worker's
Compensation Act. Found at 33 United States Codes 901-950, the Longshore Act
provides that maritime workers who are primarily “engaged in the longshoring
operations, and any harbor worker including ship repairman, ship builder and
ship builer” are provided legal protections for on-the-job injuries resulting in
permanent or temporary disability, or death. Generally speaking, a worker whose
job is to load, unload, service, repair or build a vessel found on or near the
navigable waters of the United States , or open seas is provided compensation
benefits under this Act for disability or death while completing such duties.
Originally enacted to protect only harbor workers or longshoremen, the
protections of the Act have been extended to protect maritime workers who work
on or near vessels in the maritime setting, or near the navigable waters of the
United States, yet who do not fulfill the requirement necessary to be defined as
“a master or member of a crew of any vessel.” Thus, under the admiralty law a
maritime worker employed within this environment will be defined a
“longshoreman”.
Benefits under the Longshore Act – Disability and Medical
Expenses
The benefits under this act are limited to compensation established by the
lawand set as a percentage of the worker’s average weekly wage. Compensation due
the worker is set at 66 2/3% of the worker’s previous average weekly wage, to a
maximum of $1,047 and a minimum of $261.79 per week.
The compensation due the longshoreman is for the total period
of disability. The disability is permanent compensation is paid
for a set number of weeks, the exact time period based on the
nature of the illness and whether the permanent disability is
total or partial. The United States Department of Labor,
Employment Standards Administration, Division of Longshore and
Harbor Workers’ Compensation, publishes the schedule of benefits
and may be found on the Department of Labor website
(www.dol.gov).
In addition to the compensation benefits the Longshore Act also provides that
the worker is entitled to all costs for medical care and treatment as well as
travel expenses to and from such treatment. Additionally, the worker is entitled
to select the doctor of his or her choosing as long as the appropriate
procedures are followed.
Benefits under the Longshore Act – Death Benefits
The Longshore and Harbor Workers’ Compensation Act, Section 909, sets forth the
beneficiaries and schedule of benefits recoverable under the Longshore Act when
a maritime worker’s injuries result in death. The Longshore Act awards
compensation to the spouse and children of the decedent, or, if no spouse or
children, brothers and/or sisters if they are “dependents.” Generally, Longshore
Act death benefits provide for payments to the spouse of 50% of the average wage
of the decedent, so long as the spouse does not remarry. Compensation due
amounts to children 66 and 2/3 percent of the decedent’s average, weekly salary.
Unless the child is disabled, or qualifies as a student, he or she will lose
benefits at age 18.
Filing a Claim under the Longshore Act
In order to file a claim against ones employer the longshoreman must file the
claim within one year of the incident through the United States Department of
Labor. Notice of the claim should be made to the employer within 30 days of the
incident.
Should the employer dispute the claim an administrator with
the Department of Labor will hear the case. Provisions for
attorney’s fees are part of the Act; an assessment of attorneys
fees will be determined by the administrator
Longshoreman’s Claims against a Vessel Owner – Claim under
905(b)
In addition to weekly compensation a longshoreman may recover
damages
-dollar for dollar loss, not simply weekly benefits-against a vessel owner under
the Longshore Act. This claim, known as a claim under 905(b), provides that a
vessel owner is responsible for a longshoreman’s damages if the vessel owner’s
negligence caused the worker’s damages.
A claim under 905(b) must be filed as an original lawsuit in
federal court and will be heard by a judge sitting in judgment.
All damages such as pain and suffering, loss of past earning and
future loss of earning capacity, as well of past and future
medical care, treatment and rehabilitation are due the
longshoreman upon proof of the loss and proof of negligence.
Outer Continental Shelf Lands Act (OCSLA)
Yet another area of protection under Federal Law involves the provisions found
in the Outer Continental Shelf Lands Act. This Act provides protection for
maritime workers, other than Jones Act seamen or longshoremen, injured while
working aboard a permanent platform or structure on the Outer Continental Shelf.
The importance of this law to the maritime worker comes into play when the
worker is injured while working directly on a platform.
Benefits under OCSLA
The Act provides that the injured worker shall receive benefits identical to
those found under the LHWCA, i.e., two-thirds of his average weekly wage for the
period of his disability, up to a statutory maximum of approximately $1047 and a
minimum of $261. 79 additionally, the worker is entitled to the payment of all
medical expenses associated with the injury.
Third party actions for Workers Covered under OCSLA
If the worker sustains an injury, disability or death as a result of a defective
condition of the platform or from negligent conduct of the platform owner, and
the maritime worker was working for someone other than the owner of the
platform, a claim for damages is available. For instance, if the worker is
employed for a service company, the worker may have a right to sue and recover
from the owner of that platform. This is known as a “third party action” under
the Outer Continental Shelf Lands Act.
In that case, the damages due would include all of the damages
loss, such as pain and suffering, loss of past earning and
future loss of earning capacity, as well of past and future
medical care, treatment and rehabilitation are due the platform
worker upon proof of the loss.
CHAPTER II
Wrongful Termination Under Admiralty Law
A. On the Job Safety and Wrongful Termination
It has often been said that life is nothing but a series of choices. “Should I
marry this person?”, “Will my future be brighter by staying in school?” “Have I
saved enough money to afford to buy this house?”
Maritime workers are similarly faced with choices when dealing with on-the-job
safety. “Should I allow this vessel to leave port without the required number of
licensed workers under U.S. Coast Guard requirements for this vessel? Should I
continue supervising a job when I know it has been planned recklessly by the
office in a manner which exposes my workers under me to unsafe working
conditions?”
Along with making these choices comes fear and apprehension for standing up for
on the job safety ¼ “If I report illegal conduct to the United States Coast
Guard, will my company be within its legal rights to fire or discipline me?”
“Can I legally refuse to perform an action which I know to be against the law
and good sense yet still keep my job?”
The General Rule
Generally speaking, a maritime employer (absent a contractual relationship to
the contrary or any action violative of civil rights laws) may discharge a
maritime worker “at will.” That is, a maritime worker may be discharged under
the law for “good cause” or “no cause,” or even for a cause which may be viewed
as “morally reprehensible.” In plain terms, for the most part, a maritime worker
may also walk off the job without notice or reason, leaving the employer short
handed and without legal recourse.
There are, however, very important exceptions to the general
proposition that an employer is free to fire or discipline an
employee at its pleasure.
The Whistle Blower Statute
Under Federal Law, a maritime worker is protected from retaliatory actions
–either discharge or demotion – by an employer in a response to the worker’s
reporting, or imminent reporting, to the United States Coast Guard what the
worker believes is a violation of a U.S. Coast Guard regulation or any other
statutory or regulatory violation (local, state or federal) regulating the
maritime industry. The purpose of the law, commonly known as “Whistle Blower
Law” is “to promote compliance with maritime statutes and regulations by
encouraging seaman ¼ to make reports to the Coast Guard without fear of
termination or other reprisals.”
Found at 46 U.S.C. §2114, the statute reads:
Protection of a seaman against discrimination:
a) an owner, charterer, managing
operator, agent,
master or individual in charge of a vessel, may
not discharge or in any manner discriminate
against the seaman because the seaman, in good
faith, has reported or is about to report to the
Coast Guard that the seaman believes that a
violation of this Subtitle, or a regulation issued
under this Subtitle has occurred.
Companies which ignore the protection of this statute and fire or demote a
worker for such action may be held liable for severe and costly penalties. The
statute further provides:
b) the Federal District court may
order an
appropriate relief including–
1) the restraining orders of this
section; and
2) reinstatement to the seaman’s
former
position with back pay.
Within the maritime industry, this federal statute provides American maritime
workers with significant protection and legal rights for the reporting of
violations to the United States Coast .
“Blacklisting” of Maritime Workers
A common, but troubling, practice of “blacklisting” of workers exists within the
maritime industry. Under this practice company managers or personnel department
heads share information with other contractors within the industry “warning” of
workers who have previously filed personal injury claims or have shown a
tendency to be “troublemakers” when it comes to safety.
Companies may also, by custom, fire or discipline workers for
filing personal injury claims.
The “blacklisting” of employees may expose the maritime
contractors to damages for tortuous interference of contractual
rights of a maritime worker. Under this legal doctrine a maritime
worker may have the right to file suit against an employer who is
engaged in retaliatory conduct to penalize an employer for
protecting his rights under law.
CHAPTER III.
Special Legal Issues
A. Doctors and proper medical care
The most important right of the maritime worker is the right to obtain proper
medical care and treatment. By law, no matter whose fault the accident occurred,
a maritime worker is entitled to have the proper medical care by physicians of
his choice, should the doctors provided by the company not be of his liking. By
law, the expenses of such treatment are the responsibility of the maritime
worker's employer. As mentioned earlier, in addition to the expenses of the
physician's services or medical facility expenses, the company must reimburse
the injured maritime worker for the cost of transportation and lodging to and
from the physician or medical facility.
It is the duty of the company to investigate a claim for
maintenance and cure in good faith and with reasonable diligence,
and then to pay for said maintenance and cure to the seaman if the
results of the investigation justify such payments. If, however, the
company withholds payment arbitrarily or capriciously, or in callous
disregard of the claim, then it shall be responsible for paying
damages and attorney's fees for the pursuing of such claim in court.
As a practical matter, in order to maximize the dollar figure on
any settlement of your claim, documentation of the injuries is of
extreme importance. Without proper documentation, proof of such
claims at a later time will be difficult, if not impossible. Only
the proper proof or evidence of such disabilities will be recognized
in mediation, settlement conferences, or in court. Proper
documentation can only be achieved with proper preparation.
From the outset of the injury, it is strongly advised that the
injured maritime worker maintain a daily log or diary, including in
such log one daily symptoms, improvements, disabilities, and mental
impressions. These entries are important in preparing oneself for
future doctor appointments and for summarizing the substance of the
claim for the insurance adjuster or company attorney.
Additionally, and perhaps more importantly, these entries are important in
communicating to your treating physician all the symptoms which you may suffer.
Seemingly unimportant symptoms may strike a chord in the doctor's mind to a very
important underlying serious problem. Include in the medical log all findings of
tests performed as well as dates and reviews of doctor's appointments with all
treating and consulting physicians.
You have a legal right to obtain test results and medical
reports from any treating or consulting physician. It is very
important to secure the possession of these documents.
Physician office visits and testing
Prior to your visiting a doctor, it is highly recommended that you review your
medical log to refresh your memory as to the symptoms suffered and improvement
experienced prior to the visit. On the evening prior to your doctor visit,
discuss with your wife, girlfriend, family members or associates their
observations of problems, both physical and mental, which have surfaced since
the accident.
It is important to review and practice your discussion with the doctor before
walking in the examining room. Your recollection of the visit and of the exam
may be completely different than that which was dictated into the physician's
report to the company and its insurance company. In his defense, the physician
would have seen hundreds of patients when his recollection of the visit comes
into play. Someone reviewing your claim, in all probability, will never
personally contact the physician relative to the problem. Strict reliance is on
the physician's medical report and his observations included therein. It is up
to you to properly communicate your problems so leave no stone unturned!
Should you not be happy with the medical care and treatment
afforded you by the company physician, you are entitled under the
law to have a second opinion. Included in that right is the right to
be transported to any facility within the reasonable proximity of
your home for further care and treatment. Obtaining treatment at
medical facilities of your choice is within your rights under the
law.
C. Witnesses and statements
Documentation of your medical condition is of extreme significance, so is
documentation and proof of how the accident occurred. It is through the eyes and
ears of your fellow workers that the proof of your case is found. As will be
discussed later, the insurance company investigators and adjusters have enormous
resources to investigate the claim.
It is of extreme importance that as soon as humanly possible, a list of names,
addresses and phone numbers be secured of all personnel aboard the vessel for
future reference.
Statements of the witnesses shortly after the accident serve
two extremely important functions. First of all, it captures the
moment of what, why and how an accident occurred. The memory of
what happened is of greater detail and clarity one day after the
accident than it is when you, or your attorney, seek to secure a
statement several weeks, months or years later. By that time, it
may be too late. Secondly, a written or recorded statement is
impossible to change at a later date. A fellow worker may
remember in vivid detail the error or mistake made by the
culpable individual or company. Six months later, however, on
the verge of a promotion or dream assignment, subtle pressures
may be placed on him to alter his memory. If a statement had
been secured at an earlier time, the subtle pressures would be
of no consequence. For the company, it would be too late.
D. Giving a statement
Many a claim or lawsuit is compromised by the maritime worker’s rendering a
statement to a "concerned" adjuster or insurance company investigator. The
adjuster or insurance company representative may explain to him that the
statement of how the accident occurred, written or recorded, is necessary for
the "processing of your claim" and that without such the settlement or
maintenance checks would not be forthcoming.
The issues of who caused the accident or why the accident
occurred are not required for obtaining maintenance and cure
benefits. The statement is taken for one purpose and one purpose
alone - to acquire any information which may later be used against
you. The only requirement of you to necessary obtain medical payment
is to assist in filling out an accident report for the company and
to provide support that the injury occurred during the service on
the vessel.
It is highly advised to never allow anyone, with the exception
of your treating physician, secure your written or recorded
statement. When discussing your claim with any investigator or
adjuster over the phone, preface your discussion with a warning not
to be recorded.
E. Photographs
Another method of documentation is probably the most important and least known.
That involves photographs. Carrying a small camera with you in your gear is a
minor inconvenience, which at a later date, may prove your smartest idea. In the
legal forum a picture is surely worth a thousand words. Nothing better conveys
the message or the proof of a wrongful act than the photograph.
Such photography is to be regulated and not done so as to
infringe on company secrets. Use discretion. There is no law
whatsoever prohibiting your documenting with photography an unsafe
condition or practice. Your film and camera are your personal
property. As with your personal and medical logs, secure the film or
photographs in a safe place.
F. The insurance company and insurance adjusters
From the outset of a maritime accident, the administration of the claim and any
payments of medical bills may be taken out of the hands of the company and
placed in the hands of the insurance company. At the forefront of this system is
the insurance company adjuster. His job is to "adjust" the claim. The insurance
company, usually located in another state or abroad, must have someone employed
locally who can learn about the incident and then inform them whether the claim
has merit and if so, how much the insurance company should pay to resolve the
claim. To do so the adjuster must secure witnesses' statements, medical reports
and medical expenses.
A second role of an adjuster may be to negotiate with the
injured worker a monetary settlement. At that point the adjuster is
working on behalf of the insurance company; it is his goal to secure
a settlement at the lowest possible dollar figure. As such, he is
not advocating on behalf of the injured worker; any representation
to the contrary is untrue. If the adjuster is attempting to
negotiate a settlement, his requesting a long, detailed statement is
very risky business for the maritime worker.
The relationship of the maritime worker with his or her company
may be of no consequence once the insurance company begins to
“process the claim”. This occurs shortly after the accident. It is
the insurance company which must ultimately shoulder the financial
burden, and it is the insurance company which calls all of the
shots.
Promises to "make good on the accident" or "to take care of our
valued employee" may lack legal support unless they are preserved
through a valid written contract. If a maritime worker is promised
anything, that is a job, pension benefits, etc., such an agreement
should be preserved in writing. As will be discussed later,
settlements have great weight when in writing. Very few oral
agreements have a binding effect. After a settlement, the insurance
company will require you to preserve your promise not to sue in
writing; why shouldn't you be afforded the same privilege?
Adjusters are well-trained professionals who handle claims on a day-to-day
basis. They are seasoned veterans who know their job very well. We have never
met an adjuster who was not a "nice guy." To reduce the value of a maritime
worker's claim they will call you, talk with you and your family members, employ
private investigators, or do whatever possible to gather information which may
be damaging to your claim. They may coerce you by delaying maintenance payments
sorely needed by you to provide for you and your family needs. If you feel
uneasy discussing your claim with an adjuster, it is probably for a good reason.
In dealing with insurance companies, you are not dealing on equal ground.
The writer of this booklet has been criticized on more than one
opportunity about the foregoing remarks about adjusters; most of the
criticism has been levied by maritime employers or by the adjusters
themselves. It must be noted that the adjusters are just doing their
jobs. If, however, they are being used to negotiate a settlement, be
fully aware that their job is to have the insurance company write
the smallest check acceptable to you for you to settle your claim.
Their job is to limit the awards or settlements of the maritime
worker. They are working for the insurance company who must
ultimately foot the bill. They are working for your employer and its
insurance company; they certainly are not working for you!
G. Investigators
During the stressful, unnerving period following an accident,
the concerns of the injured maritime worker involve the question of
survival - “how am I going to make it for me and my family?” During
this same time period, the insurance company has already opened a
file, assigned adjusters and set the stage for an anticipated
settlement or drawn out litigation.
While the maritime worker is concerning himself with survival, the insurance
company is only concerned with "adjusting" the case. It is during this initial
unnerving period, immediately after the accident, that the role of the
investigator comes into play. The insurance company will hire an investigator to
follow, to film, or to otherwise document that the work has reached a point of
full recovery or that the injury is not truly serious or appropriate for a high
settlement.
Our firm has represented maritime workers whose privacy was disturbed for weeks
by investigators in search of that damaging evidence. Our firm has represented
maritime workers who have had private investigators perched in their trees on
their private property in the hope of catching the worker in an awkward
position. Horror stories abound.
Once a claim is made, the injured maritime worker lives a life
in a fishbowl. There is nothing illegal about having an investigator
hired, and it must be remembered that as the police clearly warn,
anything that you say or do will be used against you at a later
date.
H. Frivolous claims or lawsuits
The hiring of investigators and adjusters is a product of a litigious society.
News stories abound informing us of fortune seekers who feel that the legal
system is no different that the lottery. If you are lucky, you may become a
millionaire. Unscrupulous attorneys help facilitate this atmosphere. The legal
system is designed to provide those with legitimate disputes to come to court to
resolve their claims; the legal system is not designed for "get rich quick"
schemes.
The filing of frivolous lawsuits is not only unethical, but is also illegal.
Federal and state law enforcement branches have been established to investigate,
seek out and prosecute those who file frivolous lawsuits. Additionally, judges
and the local state bar associations are rightfully pursuing attorneys who file
frivolous lawsuits.
I. Settlement
A settlement is just that. It
settles a claim once and for all
. Upon accepting the negotiated settlement funds, you will be told
over and over again that the acceptance of the settlement funds and
the signing of one's name on settlement papers forever releases the
maritime worker's company and the insurance company from any future
responsibility. The consequences of your actions, no matter how
desperate your financial position may be, must be thoroughly
considered by you and your family. You are, in effect, signing away
all of your legal rights under the law in return for the funds
offered.
Thankfully, not all injuries are so severe as to disqualify the maritime worker
from continuing his career in the maritime community. Often times, this lack of
seriousness of an injury suggests that the worker consider a settlement of the
claim without the necessity of hiring an attorney or filing a lawsuit.
Additionally, some claims have no legal basis or foundation, either the company
was not at fault or the maritime worker was not in fact injured at all. Those
claims should not be filed. Frivolous lawsuits only cause damage to those
individuals with valid legal claims.
In any case, however, it is urged that discussing such a
settlement with competent legal counsel is mandatory. That is
not to say to go out to hire an attorney. Our firm has, on many
occasions, given counsel and aid to a worker to settle a claim,
without the necessity of filing suit.
J. Settling one's own claim
If it is your intention to try your own hand in the settlement process, here are
a few suggestions. First of all, obtain all medical reports and results of
testing. Do not trust the insurance company's explanation as to the impressions
or opinions of the treating physicians. Discuss personally with your doctors the
fact that you are attempting to settle your claim, and inquire as to what,
if any, residual damage is expected to occur in the future as a result of
the accident. Without having this knowledge you will most assuredly be
compromising your future.
Secondly, ask the adjuster to provide you with any and all
information he may have on the accident. Ask him to send you all of
the medical reports or medical test results in his possession.
Request that he send you copies of all witnesses' statements,
accident reports, photographs or any other important information or
documentation of how or why the accident occurred that is in his
possession. You can believe that he has this information; securing
it is his job. These requests will be a test of his "good faith,"
the "good faith" that he has so often mentioned over the length of
your relationship.
Thirdly, let the adjuster do most of the negotiating. Do not
allow him to chisel away the figure you may have asked for. Let him
try to justify his figures to you. Do not be swayed by the technique
where by he tells you that he must "pass it on to his superiors." He
knows what the claim is worth. The "passing it on" is for the
purpose of delay. The claim will be settled later in time for less
money, because at that point the maritime worker will need the money
more and will be, of course, more desperate to take whatever the
offer. Time is money and no one is more aware of that than the
insurance company. The insurance company, without being faced with a
pending trial date, holds all the money and, hence, all the cards.
As mentioned before, the maritime worker is not on equal ground
with the insurance company or its adjusters in attempting to settle
his own claim. Lastly, the insurance company may offer what is
commonly called a "structured settlement." A structured settlement
allows the insurance company to pay the claim over time instead of
in one lump sum payment. This may
be a good idea for those who would squander their settlement away.
Before accepting such an arrangement, discuss the proposal with a
certified public accountant (CPA), professional investor ,or legal
counsel. The important thing to note is that you can do the same
thing with a lump sum settlement by purchasing an annuity through an
investment company. All that is important is how much the settlement
in today's dollars is worth and whether you will be retaining the
principal for when the investments mature.
K. Breaking a Seaman’s Settlement or Release
A settlement assures the maritime worker that the sums agreed upon are paid and
assures the insurance company that settling party will not file suit in the
future.
Before receiving the settlement check it will probably be
necessary for the claimant to attend a settlement conference in the
offices of the insurance company attorney. At the settlement
conference the insurance company representative will read over, and
explain, the legal documents and the legal consequence of executing
the agreement. The discussions may take place in the presence of a
court reporter who may transcribe the proceedings at the meeting.
The attorney will tell the claimant that by signing the
documents he will:
FOREVER DISCHARGE AN PAST OR FUTURE RIGHTS TO
SUE THE COMPANY OR ITS INSURANCE COMPANY IN CONNECTION WITH THE
ACCIDENT.
Only after listening to the attorney, and reading and signing the papers will
the insurance company representative give the claimant the settlement check. For
an injured maritime worker, this may be a traumatic event as he will forever
waive his legal rights upon signature and acceptance of the settlement funds. It
will be at that point that a maritime worker fully appreciates the unequalness
of the negotiations.
The law has acknowledged the unfair bargaining position of the
maritime worker. Under certain circumstances a settlement or release
may be broken. Under the law, a settlement and release may be
overturned where:
- The settlement was obtained through coercion or improper
prompting by the company;
- Where the physician was mistaken in his diagnosis (though not
prognosis) of the injuries sustained;
- When a seaman did not fully understand his rights entering
into the agreement; or;
- That the adequacy of the consideration, that is the funding,
was improper in light of the circumstances.
To break a release the maritime worker must institute legal proceedings. During
the lawsuit the company has the responsibility to prove that the settlement was
done in a fair and equitable manner. In short, in order for a settlement to be
binding, it must be shown that there was no advantage taken of the seaman.
In any case, the settlement of a claim is a very serious matter.
It is inadvisable to settle one's claim without proper legal
counsel. Keep in mind that your future and that of your family may
be determined by the outcome of a settlement.
L. Hiring legal counsel
Hiring legal counsel is often as traumatic as talking with an
adjuster or an insurance company representative. It should not be,
so as long as one keeps in mind that hiring an attorney is just that
- one hires an attorney much like
hiring an employee. The attorney works for the client, not
vice versa.
In hiring proper legal counsel be sure that the attorney is well qualified in
the field of maritime law. Do not hire an attorney who gains knowledge and
experience of admiralty law during the pendency of the lawsuit at the worker's
expense. Ask the attorney poignant maritime related questions. In hiring an
attorney one must have the same faith or trust as that of a fellow employee on
the job. Much of one's future will be in the hands of the attorney. In hiring an
attorney investigate his qualifications from those who know best, the attorney's
past clients. Ask for a list of the previous maritime clients he has represented
in the past and contact them. They know him, his expertise and experience best.
In hiring an attorney be sure to discuss the apportionment of
attorney's fees and responsibility for payment of the attorney's
out-of-pocket costs. Go over the contract with him and request a
copy. Once again, ask his past clients whether the attorney was fair
and honest with him regarding fees and costs.
Issues such as termination of an attorney's services or particulars of actions
of an attorney may best be addressed to the Louisiana State Bar Association at
601 St. Charles Avenue , New Orleans , Louisiana (Phone (504) 566-1600) or the
Bar Association in your locale.