|
|
 |
 |
 |
 |
 |
 |
 |
| |
| |
The civil laws governing the
rights of victims injured, whether negligently
or intentionally, at the hands of another
are complex. Actions for compensation usually
have restrictive time frames for asserting
a claim and may be limited in the types of
damages that may be sought. The law firm of
Katz, Friedman, Eagle, Eisenstein & Johnson
provides this quick reference guide to give
our clients and friends a brief overview of
what to expect in pursuing a claim for injuries
in Illinois. This is not a comprehensive review
of all the rights or limitations available.
It should not substitute for the direct advice
and consultation of an attorney. The best
way to ensure that your rights are protected
is through a prompt legal consultation with
an attorney who concentrates their practice
in this area of the law. Our initial consultations
are free of charge and are always confidential.
contact us.
|
Overview
of a Personal Injury Case
|
|
Personal injury cases for money damages
are called civil cases. In Illinois, there
are special rules, codes and statutes that
govern civil cases. The person bringing
a claim is called a plaintiff. The person
or entity accused of wrongful conduct is
called a defendant.
There are a variety of personal injury cases,
much too exhaustive to list here. However,
the following is a list of the more common
types of personal injury cases, which will
be discussed briefly in this guide:
- Work Injuries - Workers' Compensation
Act
- Motor Vehicle/Transportation Accidents
- Construction Accidents/Negligence
- Medical Malpractice
- Dog Bite
- Dram Shop/Intoxication
- General Negligence
- Premises Liability
- Products Liability
- Railroad/FELA Farm and Agricultural
Accidents
- Boating Accidents
In some cases, more than one of these categories
may be claimed against a defendant or defendants
for the same injuries. The claims depend on
the facts involved in your case.
For example, if you are injured at work, you
are usually entitled to benefits under the
Illinois Workers' Compensation Act from your
employer. However, you may also have claims
against other people or entities that contributed
in some fashion to causing your injuries.
|
| Back
to top |
| Who
May be Entitled to Compensation? |
|
Every injured person does not have a right
to compensation from someone else. A plaintiff
(injured person) has the responsibility
(burden) of proving the defendant(s) did
something wrong and that the injuries suffered
were caused, in part, as a result of what
the defendant(s) did or did not do. If the
plaintiff is able to prove these elements,
he or she will usually be entitled to compensation.
In addition to the physically injured victim,
others may have a derivative or a direct
right to compensation as well. For example,
in cases of a lawfully wedded couple, the
law would allow, under most circumstances,
for the spouse of the injured victim to
receive certain compensation. As another
example, in Illinois, the Wrongful Death
Act provides compensation for the spouse
and next-of-kin of the decedent for their
losses such as loss of support, love, affection,
and guidance; the Illinois Survival Act
provides the Estate to sue for the pre-death
injuries suffered by the decedent.
|
| Back
to top |
What
Are the Types of Damages That May be Claimed? |
|
The types of damages available are provided
in specific categories depending on the
type of case and a careful analysis of the
facts. How much a case is worth is ultimately
set by the jury verdict. Whether the offer
made before trial is appropriate is usually
determined by what the parties believe a
jury is likely to do based on the facts
and the law of a given case. Depending on
the victim's injuries, the legal principles
that govern the case, and the jurisdiction
where the case is likely to go to trial
determine how much an at-fault party should
pay to an injured party.
For example, in a typical motor vehicle
case, damages may fall into some or all
of the following general categories:
• Medical Expenses - past and those provable
in the future
• Lost earnings - past and those provable
in the future
• Pain, suffering, mental anguish - past
and those provable in the future
• Disability or loss of a normal life
• Disfigurement
• Property Damage
These damages are very different from workers'
compensation damages, which are explained
later, are limited to:
- Medical expenses;
- Temporary total disability; and
- Permanency.
The laws governing liability and compensation
in civil cases are constantly evolving.
Our state and federal government are relentlessly
bombarded by attempts from insurance companies,
big business, and self-interest groups to
restrict and limit a victim's rights and
entitlement to compensation. These efforts
have been successful in some areas. They
have led to very restrictive caps on the
amount of damages that a victim may be entitled
to collect under some actions, even though
the injuries are catastrophic and permanent.
In addition to caps on damages, there are
some types of cases with statutes that significantly
restrict the manner and the procedures for
making a claim. For example, in order to
file a medical malpractice claim, the claimant
must attach to the lawsuit, a report by
a medical professional certifying that the
claim is reasonable and meritorious. As
you may imagine, even in the most egregious
cases, there is a reluctance among doctors
to complete these reports against other
doctors within their medical community.
As a result, it is very difficult to obtain
these reports in order to file a malpractice
suit.
|
| Back
to top |
| Why
Do Some Cases Settle and Others Do Not? |
|
Statistically, approximately 95% of all
cases are settled before a verdict. In every
case, the ultimate amount of money that
an insurance company or defendant is willing
to pay is usually based on how much a jury
would be likely to award. Whether you are
handling a matter on your own or hiring
an attorney to do so, it is critical to
evaluate the factors that affect compensation
and to appreciate what the jury would be
likely to award. These factors include the
jurisdiction in which the case will be brought,
the strength of the liability side of the
case, whether favorable evidence will be
admitted, whether unfavorable facts will
be excluded, and what the elements of damage
are available to be claimed. In some cases,
there may be little choice in making a jurisdictional
decision. However, in other cases, there
are choices and the amount of compensation
might vary considerably depending on the
choice made.
A jury only hears what the Court determines
is admissible. Jurors are twelve people
(six in Federal Court) drawn from the community
in which they reside. They are supposed
to judge the case on the facts that are
admitted in Court, however, their judgment
is going to be influenced by their personal
background and feelings, as well as the
reliability of the plaintiff and his witnesses
in testifying.
In Illinois, compensation may be affected
by the victim's actions and whether they
contributed to the injury. An injured party
has the responsibility to have taken precautions
to protect their own safety. That means
that any verdict may be reduced by the percentage
of fault that the jury finds the injured
party to have contributed to the accident.
However, if the injured party's fault is
more than 50%, the cause of his or her injury,
then the injured party gets nothing.
|
| Back
to top |
| What
is a Statute of Limitations? |
|
The statute of limitations is an amount
of time that a victim has to make a proper
claim for damages suffered. The statue of
limitations may be straightforward or complicated.
It depends upon the facts in a case. What
may be an appropriate statue of limitations
in one situation may be very different in
another, even though the facts appear to
be the same.
For example, in Illinois, motor vehicle
collisions are generally governed under
a negligence statue of limitations which
is typically two years from the date of
the crash. However, if the victim is a minor,
or a disabled person, the statute of limitations
might be significantly longer. A minor has
two years from the date of his/her 18th
birthday to file an action in the court,
whereas the adult victim would have
only two years from the date of the crash.
The statute of limitations for the occupants
of the same car may vary from two years,
potentially up to 19 to 20 years, depending
on their ages at the time of the crash.
Even within this example, the period may
be altered. For example, if the crash involved
a municipal defendant or a CTA defendant,
the statute of limitations again may in
fact be shortened considerably and
may have other requirements. A failure to
file a claim within the appropriate time
period may bar you from asserting any claim
at all.
|
| Back
to top |
| Insurance
- Who Pays the Bills? |
|
Medical Bills: Insurance coverage may not
always be as straightforward as we often
believe it should be. Insurance policies
are really contracts between you and the
insurance company. Coverage is defined by
the terms of your insurance policy, including
the fine print!
Sometimes there may be multiple insurance
policies that cover personal injuries. Far
too often, however, there is no insurance,
not even for medical bills.
In a motor vehicle collision, if the parties
are insured, usually there is a level of
medical payment coverage (for the automobile)
which will pay for the driver's and the
passenger(s) in which they are riding up
to the limits of that coverage only. This
coverage generally applies first for all
medical bills up to the limit of the medical
payment coverage. After that, your group
health plan, Medicare, or Medicaid, may
apply.
No matter how guilty a party may be in
causing injuries to another, there is no
requirement that they pay anything, including
medical bills, until they are found guilty
and the amount is set by a jury.
Even though you have paid for insurance
that has covered some or all of your medical
bills, most people are unaware of a provision
in almost every policy that requires repayment
of the medical bills paid if you collect
from a defendant for your injuries. If you
do not repay the company, they can sue you
for the money and they often do. However,
this repayment is almost always negotiable.
For example, under Illinois law, a reduction
of the repayment amount may be made when
an attorney is hired by the injured party
and it is through the attorney's efforts
that the injured party receives an award.
The reasoning is that the insurance company
is getting money based upon your attorney's
work for which a fee was paid - the insurance
company should share in paying that fee
for their portion of the recovery.
Often, injured victims believe that when
liability against another party is clear,
in other words, the crash was the other
person's fault, that the other party must
pay for their medical expenses. There is
no requirement that a defendant voluntarily
pay medical bills, lost earnings, or even
property damage until ultimately ordered
through a court judgment. Even if a defendant
states that they will pay for medical bills
or even if they begin paying the bills,
they are not required to continue doing
so and their payments may not be admitted
in Court. The amount insurance pays and
whether any insurance is entitled to a reimbursement
or a lien, must be determined before a case
is resolved; otherwise, you may not be receiving
what you believe you should be receiving.
|
| Back
to top |
|
Wage
Loss:
|
|
Wage loss is compensable
damage if you missed time from work because
of an injury or for a treatment of an injury,
even if your employer paid you for that
time. But like medical expenses, only a
verdict compels the defendant or his insurance
company to pay wage loss. Careful records
should be kept regarding missing time because
of an injury or for treatment of an injury.
Also, like medical expenses, wage loss benefits
paid by disability insurance, or some similar
type of insurance, must be repaid if the
victim collects compensation from the guilty
party.
|
| Back
to top |
|
Property
Damage:
|
You are entitled to be compensated for
property damage resulting from the wrongful
conduct of a guilty party. However, as
in the two categories above, payment only
becomes compulsory upon a jury verdict,
not before. For example, you are stopped
at a red light when another drive, talking
on a cell phone or changing stations on
the radio, crashes into the rear of your
vehicle. Your car is "totaled." Clearly,
the defendant, or his insurance carrier,
should pay to replace your vehicle. Often
that happens, but far too often, it does
not. There are many horror stories of
people not having a car for months or
years. Hopefully, you have "comprehensive
insurance" for your vehicle. Report the
crash to your insurance company and insist
that it begin the process of replacing
or repairing your car. Do not be led into
the trap that the defendant's insurance
company should pay only to discover at
a later date and after rental car bills
and storage "charges" for your car have
piled up, that nothing has been done and
the defendant's insurance company is refusing
to pay or will only pay for the car and
not the other "charges" which are significant.
Your own insurance company will only pay
these "charges" for a short period of
time.
Insist that both companies immediately
address the replacement, repair, car rental
charges, and/or storage charges. If the
defendant's insurance company refuses,
then you will have to pay your deductible,
but that stops the other "charges." That
puts the burden on your insurance company
to collect from the defendant's insurance
company payment of the property damage.
You may receive the deductible when the
claim is resolved between the insurance
companies.
|
| Back
to top |
|
|
|
A Workers' Compensation
Act: In almost all employment circumstances,
Illinois employees are covered by the Illinois
Workers' Compensation and Occupational Diseases
Act for claims against their employer which
result from injuries while on the job. The
Illinois Workers' Compensation Act is a
no-fault act. It provides compensation for
injuries that "arise out of and in the course
of the employment" or for an individual
exposed to hazards from occupational diseases
without deciding fault. However, the Act
prevents workers from any other type of
claim against his or her employer. There
are certain limited situations where the
Workers' Compensation Act does not apply
to work-related injuries by statute, or
where the conduct of the employer is so
egregious and intentional that the Act does
not prevent an injured worker from an action
directly against the employer. The Workers'
Compensation Act has limitations. The Act
only provides for medical expenses, "temporary
total disability" (partial wages), and "permanent
partial disability" (the statutory disability
for a particular injury), it does not allow
for pain and suffering or full disability.
The statute of limitations on the workers'
compensation action is generally three years
from the date that the injury occurred.
Under some types of cases, that time frame
may be lengthened. There are certain other
requirements in order to file a workers'
compensation claim such as notification
of the injury to the employer, among other
things. B Workplace Injuries in Addition
to the Workers' Compensation Act: In addition
to a workers' compensation claim against
the employer, some work-related injuries
permit actions against other persons or
entities called third-parties. A third-party
action is a civil action for damages against
those parties whose conduct may have, in
some way, contributed to the worker's injuries.
There are a variety of third-party actions.
Whether a third-party action may exist bears
upon the creativity of the attorney asked
to review the case. A simple example of
a third-party case would be as follows:
A deliveryman for company ABC is making
deliveries in Chicago for his company. As
he is sitting at a red light at an intersection,
his vehicle is rear-ended by a delivery
truck driven by an employee of XYZ company.
The injured driver, from ABC company, clearly
has a worker's compensation claim with his
employer, ABC company. However, the injured
driver should also have a negligence claim
against XYZ company and the driver of the
XYZ truck. In addition to motor vehicle
third-party cases, other common third-party
cases occur in construction related injuries,
road work injuries, or cases involving dangerous
or defective equipment such as punch presses,
trucks, scaffoldings, ladders, or many,
many others. The statue of limitations on
the third-party action takes on the statute
of limitation as if it were a separate compensable
action and those rules and statues that
apply in that circumstance as well. In a
case where there has been workers' compensation
benefits paid to the injured party, you
must keep in mind that the workers' compensation
insurance company has a lien for a percentage
of the benefits paid. Under the statute,
the workers' compensation carrier is entitled
to 75% of the benefits paid, less their
share of the expenses. Depending on the
issue of liability in the third-party action,
the compensation the injured party may collect
will be much greater in the third-party
case than what was provided for by the Workers'
Compensation Act. In certain occupations,
federal or state law preempts a Workers'
Compensation Act claim. In those special
cases, injured workers are not entitled
to pursue workers' compensation claims against
the employers, instead, they must pursue
statutory actions for their injuries which
are more like a third-party action than
a workers' compensation suit. For example,
some types of occupations where an action
may go directly against the employer are
in railroad crew member claims, longshoremen
claims, crew people on vessels and navigation,
as well as certain actions that address
seasonal farm labor and seasonal farm labor
transport. Some of these actions are discussed
under section XI.
|
| Back
to top |
| Motor
Vehicle/Transportation Accidents: |
| Transportation accidents take
into account all forms of public and private
transportation of people and goods. The law
that applies to these various categories may
depend on state law or federal law. Automobile
crashes are perhaps the most common case in
this category. Generally, automobile crashes
are governed by the Illinois Motor Vehicle
Code and the Rules of the Road. People operating
vehicles in Illinois have a duty to exercise
reasonable care in the operation of their
vehicles for the safety of other motorists
and pedestrians on the roadways. When they
fail to follow these rules and that results
in a crash and injuries, then it is negligence.
If you are a passenger in a cab, bus or other
conveyance that transports people for a fare,
the law imposes a higher degree of care for
the safety of the passengers being transported.
As previously discussed, depending on the
circumstances of the case, various types of
insurance apply to motor vehicle crashes.
Even though the State of Illinois requires
every automobile be covered by insurance,
far too often there is no insurance. Drivers
involved in crashes who do not have insurance
may lose their driving privileges until they
pay the other driver's damages. The law does
not excuse the driver who does not know that
a motor vehicle is uninsured. In those instances
where you may be involved in a crash with
an "uninsured" driver, it will be the uninsured
provisions of your motor vehicle policy that
provide compensation. In instances where the
damages claimed are in excess of the guilty
party's insurance, the "underinsured" benefits
of your policy may provide additional compensation
depending upon what those limits are and what
you have already collected from the guilty
party. It is important to remember when an
insurance company gets involved, the insurance
company has experienced adjusters capable
and prepared to do what it takes to limit
your recovery. The insurance company will
also hire attorneys to represent the negligent
party. The statements you make to either the
adjuster or the negligent party's attorney
may be used against you, if and when the matter
is attempted to be settled or if it goes to
court. You should not speak or give a statement
to the other party's insurance adjuster or
attorney. You should limit what you say to
the other side. If a ticket is issued, that
is not indicative of who is at fault for the
crash, even if the person pleaded guilty and
paid the fine. Usually, if the negligent party
has pleaded guilty to the offense in court
or has pleaded guilty on the ticket and sent
in the fine, it is considered an admission
of guilt to negligence. However, that does
not mean the injured party automatically wins.
If the defendant does not plead guilty, a
finding of guilt by a traffic court will not
be admissible in a civil case. |
| Back
to top |
|
Construction
Accidents/Negligence
|
| Construction sites are notorious
for the dangers associated with the work that
must be done. There are all types of machinery
engaged in work materials being hoisted, workers
exposed to dangerous heights, or in trenches
while a number of other tasks are going on
around them. Construction negligence is a
unique form of negligence in that there are
often multiple parties who may be responsible
for safety on a construction site and, therefore,
responsible for compensation to an injured
party. The statute of limitations is generally
four years, provided the injured individual
is engaged in the actual construction or repair
of a building at the time of the injury. There
may be other factors which shorten or lengthen
this time frame. |
| Back
to top |
| Medical
Malpractice: |
|
One of the most difficult cases to prove
is a medical malpractice case. Not only
are they complicated, involving technical
issues that most of us are unfamiliar with,
but often jurors have an unusually high
degree of respect for doctors or hospitals
providing considerable leeway in determining
whether they are guilty of committing malpractice.
Unfortunately, by its very nature, medical
malpractice cases are cases that often involve
catastrophic damages and/or death for the
victims. As stated previously in this guide,
there are laws that offer medical people
such as doctors, nurses, chiropractors,
and hospitals far greater protection in
cases against them. Unlike almost any other
lawsuit, a medical malpractice claim can
only be filed if another medical practitioner
practicing in the same field of medicine
is willing to support the lawsuit. This
represents a substantial expense before
the case is even filed. Furthermore, it
is difficult to obtain medical personnel
to review cases and be critical of medical
professionals and hospitals in the same
locality where they practice. In a medical
malpractice case, a medical professional
must be willing to state that the doctor,
medical practitioner, or hospital violated
the "standard of care." The "standard of
care" is the care that is reasonably expected
to be rendered to a patient in a particular
locality under normal circumstances. Therefore,
it is usually a very subjective standard.
Medical malpractice cases are almost never
settled. Statistically, only about one in
three cases are successful. For this reason,
medical practitioners, as well as the hospitals
choose to fight these suits. Therefore,
unless the injuries are catastrophic, it
is often much too expensive in terms of
expert costs, attorney fees, and other court
related costs for an injured person who
has been hurt at the hands of poor medical
care, to file an action, even if it would
be successful. The costs and fees associated
with pursuing the action may exceed a successful
verdict.
|
| Back
to top |
| Statutory
Claims: |
|
There are numerous claims that are created
by a statute or federal code. As we stated
earlier, some may involve workplace injuries
that preempt the Workers' Compensation Act.
In most cases, however, they may offer the
injured party far greater rights and compensation.
We will discuss only a representative few:
Animal Control Act - Dog Bite: The Animal
Control Act specifically deals with actions
by injured people who have been injured
by the failure of a domestic animal owner
to control their animal. A lawsuit under
the Animal Control Act is considered a Strict
Liability Statute. In other words, if the
injured person can show they were peaceably
conducting themselves where they were entitled
to be and without provocation were attacked
and injured by an animal owned or controlled
by another, then he or she is entitled to
a recovery. There is no need to prove any
other fault on anyone else's behalf. Dram
Shop: The term "dram shop" refers to a facility
or store that sells or distributes alcoholic
beverages to the public. Typically, a dram
shop is a liquor store or a bar or restaurant
that sells liquor by an individual drink
or by container. If a facility serves a
person who they know to be intoxicated,
they may be liable for injuries caused by
that person to third parties. For example,
if your vehicle is truck by an individual
who is intoxicated, and it can be proven
that the intoxication resulted from being
over served at a particular restaurant,
that restaurant may be responsible to you
for damages caused by the intoxicated customer.
However, like the medical lobby, the bar
and restaurant lobby is very strong as well.
The damages are capped at a very low amount,
even for the wrongful death of an individual
by an intoxicated person. In addition, the
statue of limitations is restrictive on
a dram shop action. Railroad Workplace Injuries:
There are a number of Federal statutes that
are designed to afford greater protection
and compensation to workers engaged in most
railroad related activities. Which apply
may depend on the job being done by the
victim at the time or it may depend on the
equipment causing the injury. Farm and Agricultural
Workplace Injuries: There are various Federal
statutes that were enacted to afford greater
protection to most seasonal and migrant
agricultural workers, depending on certain
requirements. They address not only the
work being done, but also the transportation
of workers. Longshoreman, Dock Workers and
Shiphands Workplace Injuries: Under the
specific requirements of various Federal
statutes, certain workers associated with
the loading/unloading, maintenance and/or
the operation of ships or vessels on navigational
waterways have significant remedies available
to them. Once again, a victim's rights and
claims are dependant on the work being done
or the equipment being used at the time
of injury.
|
| Back
to top |
| General
Negligence: |
|
Perhaps the biggest category of cases that
may be asserted against a wrongful party
is in general negligence. Negligence is
defined under the law as the failure to
do something which a reasonably careful
or prudent person would do under the circumstance
or, doing something that a reasonably careful
or prudent person would not do under the
same or similar circumstances. This conduct
takes into account a broad range of potential
actions that are too multitudinous to attempt
to list. Injuries that result from practical
jokes, arrogant conduct, or a general disregard
for the rights of another to be free from
injurious conduct may be sufficient to assert
a claim under a general negligence theory.
The statute of limitations varies depending
on the facts of the case, particularly when
a governmental entity may be involved or
causes the wrongful conduct.
|
| Back
to top |
| Premises
Liability: |
|
There are a significant variety of cases
that come under the general category of
"premises liability" actions. There is a
Premises Liability Act in Illinois, which
makes the owner of a property responsible
for certain actions or inactions that are
done on that property which result in injury.
As we have previously said, this is not
an automatic liability because someone has
been hurt on the owner's property. For example,
a premises liability action might entail
a defect in the parking lot of a store or
factory, which causes an injury. However,
not every defect is covered. In order to
show that a party may be responsible for
the defect on the premises, there is a requirement
that there be notice to the landowner. Whether
the owner knew of should have known of the
defect is often a very controversial issue.
For example, a grocery store may be liable
for a banana peel that a customer slips
and falls on, particularly if the banana
peel is black and appears to have been there
for several hours, however, the store owner
will generally not be responsible for a
slip and fall on a spill that has just occurred
immediately before the customer came to
that spot. In that instance, the owner did
not have adequate notice to discover and
correct the defect. The statute of limitations
is generally two years from the date of
the injury, but under certain circumstances
may be very different. If the injured party
is a minor, the statute will be longer.
If the party responsible for the injury
is a municipal or governmental entity, or
the CTA, RTA, the time frame might be much
shorter and require additional matters to
be filed.
|
| Back
to top |
|
|
 |
| Product
Liability: |
|
|
|
We have all heard of people being injured
by various products from automobiles to various
children's products, to certain medical equipment
and pharmaceutical products. The area of the law
that deals with this is called Product Liability.
The manufacturers and in some occasions the downstream
sellers of these products have a duty to make
goods that function the way they are intended
to function and not to cause injury to the users.
These products, in addition to being manufactured
and designed safely, in some instances, must also
carry warnings that clearly set forth dangerous
conditions that are intended by products and their
use but not intended to cause injury. Most often
these types of claims require expert witnesses
who can testify about the defective conditions
of the products or the inadequate warnings based
upon their experience, knowledge, training and
education in that particular area of expertise.
The statute of limitations is very complex in
product liability cases. The choice of where the
matter should be filed is often also very complicated.
Also, deciding who are the appropriate parties
to file an action against is a very complex matter.
In some cases, it's appropriate to bring all the
parties in that have been associated with the
distribution of the product, and in others it's
not appropriate to do that.
|
|
|
|
|
|
|
| Conclusion: |
|
|
|
Volumes have been written regarding the various
actions available to people injured at the hands
of another individual or a corporation. A failure
to properly pursue an action in a timely fashion
might bar a recovery. Asserting your rights in
various jurisdictions might curtail the amount
of compensation to which you may be otherwise
entitled. Hopefully, this guide has provided a
very fundamental overview of some of the rights
which an injured party in Illinois may be entitled
to receive. It should not substitute for the advice
and consult of an attorney who concentrates their
practice in these areas of the law. This guide
should only be used as a very general guide and
should not be used to determine your ultimate
rights in any personal injury action. Rather,
you should consult an attorney.
|
|
|
|
Back to top
|
|
|
|
|
|