(Formerly NCDA / NFGE)





Dealers:

If you would like to copy this article and distribute it to your
coworkers, please do so.  We hope this will shed some light
on a problem that has been afflicting dealers for a long time.


COMMON SENSE #1

Carpal Tunnel Syndrome
and the
Worker's Compensation System

    As most dealers know, a condition known as carpal tunnel syndrome often develops in dealers because of the repeated movement of the wrist required by the act of dealing cards. The syndrome results from damage to the nerve that passes through the wrist into the hand, with its attendant loss of sensation in the fingers and pain in the wrist. This is the common result of the frequent and repetitive nature of the hand motions required while dealing 21.

    Gaming companies hate to admit to the connection between this injury and the task of dealing, for it then requires them to compensate their employees under the requirements of Nevada's worker's compensation laws. In many cases the casino operators simply deny the claim with the hope that the injured dealer will not pursue their claim.

    The worker's compensation system, which is run by each state and is virtually the same throughout the nation, is based on one underlying principle, i.e. worker's compensation laws and their resulting determinations create and embody a public policy which favors the injured worker, who gives up his or her right to sue an employer in exchange for the protections of the worker's compensation system. Simply put, injuries, illnesses or conditions either sustained or aggravated in the course of employment constitute a claim that is compensable in terms of lost income and medical treatment for the employee.

    The employer may provide worker's compensation either by subscribing to the state provided insurance, the Employers Insurance Company of Nevada (previously known as SIIS), or by being self-insured. In either case the administration and claims process is essentially the same and the employee enjoys the same protection. Self-insured employers are not exempted from the law in the state of Nevada. When a self-insured employer elects to accept the benefits of administering its own worker's compensation program, in exchange for relief from tort liability (the worker's right to sue), it must assume the burdens. One of the burdens of the system is the prompt payment of benefits. If, later, it is found that payment was unwarranted, the employer will then seek reimbursement of the benefits it paid.

    The point being that the self-insured employer cannot deny or delay payment, and thereby "starve out" its injured employee. This would violate Nevada's public policy established by the worker's compensation scheme. The employer must pay the claim and seek recovery later if payment was in error. This assures the worker some measure of economic security in that he or she will not be forced to survive with no income while the employer pursues a lengthy appeal process.

    While we're on the subject I would like to refer you to the case of two dealers, Catherine Fought and Linda Buzick. They filed a worker's compensation claim, which stated that as a result of the repeated wrist movements they utilized as card dealers for Circus Circus, they suffered from "carpal tunnel syndrome." Circus Circus denied both claims and the dealers appealed to a state hearing officer. It was finally determined that the claims were compensable and Circus Circus was ordered to pay. They refused. The case finally found itself in front of the Nevada Supreme Court, 705 P.2d 645, Department of Industrial Relations v. Circus Circus Enterprises, Inc., (Nev. 1985).

    Their opinion:
    "These consolidated appeals arise out of a refusal by a self-insured employer, Circus Circus Enterprises, Inc. (Circus Circus), a hotel/casino, to comply with a hearing officer's order requiring Circus Circus to pay worker's compensation benefits to its employees Fought and Buzick. Because we agree with appellants that, absent a stay, a self-insured employer must comply with a hearing officer's order to pay benefits, we reverse."
* * *

    Our message to all dealers suffering from carpal tunnel---if your condition warrants it, make your claim. Do not be afraid. Do not be intimidated.

Jack Lipsman
NFGE


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