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.