If you’re injured while working in the maritime industry, chances are Maintenance and Cure laws apply to you.
Under general Maritime Law, an employer has an obligation to provide its injured employee with “maintenance and cure,” which is a type of compensation to help during your recovery.
Maintenance is money that your employer is obligated to pay you if you sustain an injury while working offshore. The amount that your employer pays you is dependent on how much it costs for you to live on land.
In other words, maintenance typically includes:
Most companies pay a fixed rate of $15.00 to $30.00 per day as maintenance. There is absolutely no basis in the law for the payment of this amount. Most companies arbitrarily select this amount and argue that it’s the amount companies have paid injured seamen for many years. However, you are entitled to receive whatever it costs to maintain yourself while you are injured.
Cure refers to medical expenses that are reasonable and related to your injury. Your employer should be paying for your medical expenses, regardless if you are using a company doctor or your own personal doctor.
You are allowed to select your own treating physician, and your company MUST pay for any medical treatment that is reasonable and related to your injury.
The following are examples of medical costs that cure benefits may be cover:
The following are 3 things you should know about medical treatment benefits:
Although most maintenance and cure claims settle outside of court, your attorney may need to file a lawsuit for you and pursue damages at trial if your employer or other at-fault party refuses to pay for reasonable medical expenses.
While it provides funds to help a worker pay for medical costs and cover room and board and other daily expenses while injured, maintenance and cure benefits do not cover everything. Jones Act coverage is intended for certain types of medical care and the necessities of life.
Jones Act compensation does not pay for:
Some injured seamen are unfamiliar with their rights or may be confused by what is covered. Maritime workers who are injured as a result of employer negligence may be entitled to file an injury claim or lawsuit with the help of an attorney to recover damages.
We recommend that you download the “Maintenance & Cure Worksheet.” In this worksheet, we give a recap on your rights as well as provide an Expense Form. You can fill out this Expense Form and send it to your company. Make sure you copy the letter before sending it. This ensures that both you and your company have a physical copy of how much it costs for you to make your bills and continue surviving during your injury. This will be important if your company refuses to pay the full amount and you are forced to find legal representation.
As mentioned previously, if your employer fails to pay your medical expenses, you can then have a judge or jury decide whether or not your employer should pay.
To do this, you will need the help of a maritime attorney to file a claim that successfully argues that your employer was:
If you intend to file a claim, we recommend that you document all of your living and medical expenses and maintain records of everything.
If your employer is found to be unreasonable in failing to pay your living and medical expenses, you may be awarded attorney fees associated with having to file suit. Additionally, if your employer is found not only to be unreasonable but also arbitrary in failing to pay, you may be awarded damages for any worsening of your condition.
The law states that all ambiguities or doubts in regard to a maintenance and cure claim should be resolved in favor of the seaman. This doctrine gives you an idea of how strong your rights and benefits are under these laws.
Did you know you can actually get these benefits even if you’ve returned to work? The criteria for receiving these benefits are:
Even if you go back to light-duty, temporary-type work to make some money, that does not necessarily mean that your company must stop paying you.
Yes, you should keep records of lodging and meal expenses after a maritime accident results in an injury that prevents a you from staying on your vessel. Maintenance is a daily allowance that covers living expenses after an offshore accident when receiving medical care or treatment off the vessel.
Nevertheless, it can be important to keep receipts and records even if maintenance benefits are set, as some cases may call for a lawsuit against the employer if their negligence caused the injury. This is why it’s important to keep receipts, or at the very least copies of them, that keep track of expenses after an offshore accident.
Keep in mind that maintenance benefits are to cover room and board along with food costs. So, if you’re hospitalized, maintenance benefits wouldn’t be necessary because cure benefits take care of medical expenses.
Below are answers to some common questions we receive from potential clients about maritime injury claims:
Cure benefits cover reasonable medical costs and expenses after an offshore accident. But they are only available until the employee reaches maximum medical improvement. This doesn’t necessarily mean the worker has totally recovered, but it does mean the injury has been treated as well as it can be.
Under the landmark decision of Vaughan v. Atkinson, the United States Supreme Court held that all doubts and ambiguities are to be resolved in favor of the seaman in maintenance and cure claims. This means that there is a very light burden of proof for you to win your claim.
This favorable case law can be very helpful in demanding that your employer pay maintenance and cure as your case progresses. All employers understand that a jury will be told that all doubts and ambiguities are to be resolved in your favor at trial. Although this does still require that you present sufficient proof to win your claim, you have less of a burden to win your case than your employer. The law favors awarding you the benefits rather than denying them to you.
The law states that if any ambiguities or doubts exist concerning an employee’s entitlement to maintenance and cure, they are to be resolved in favor of the injured seaman. For example, in Vaughan v. Atkinson, the plaintiff seaman checked into a hospital for suspected tuberculosis 5 days after returning home from a voyage. After being treated and discharged from the hospital, the plaintiff sought these benefits from his employer and forwarded his medical records to the employer indicating a strong possibility of active tuberculosis. The employer made only minimal inquiries into the validity of the plaintiff’s claim and did not respond to the plaintiff’s request for benefits. In addressing the issue of ambiguity over whether the seaman contracted the disease while in the service of the employer’s vessel, the Supreme Court stated that “… the shipowner’s liability for maintenance and cure [is] among the most pervasive of all and [is] not to be defeated by restrictive distinctions nor narrowly confined. When there are ambiguities or doubts, they are resolved in favor of the seaman.” Although there may have been some uncertainty as to whether the plaintiff contracted tuberculosis before returning to port, the court gave deference to the welfare of the seaman and awarded the benefits accordingly.
What is the jury actually told is the law when they are considering your maintenance and cure rights? What law does the jury apply to your claim? Here are the ACTUAL jury instructions that the United States Fifth Circuit Court of Appeal says judges should read to the jury during these cases. This federal Fifth Circuit court oversees the states of Louisiana, Mississippi, Texas, and others.
IMPORTANT NOTE: In 2009, the law regarding punitive damages for failing to pay a maintenance and cure claim changed. An injured seaman can now seek punitive damages in addition to the other damages listed in the attached jury charges.
A lot of our clients ask, “What other claims do I have besides maintenance and cure?” Well, it’s important to understand that, if you’re a seaman, you’re going to have three separate claims:
If you’re injured while working on a vessel, make sure you pursue all three of your claims. One of these claims is maintenance and cure and you have two other separate claims that you also need to address.
If you sustained an injury or lost a loved one due to a maritime accident someone else caused, you have various options to recover the financial compensation you need.
The New Orleans maritime injury attorneys at The Young Firm have helped injured seamen across Louisiana and throughout the country for more than 25 years. We have the knowledge and experience to handle your claim effectively, and you can trust us to fight hard to protect your rights and maximize your financial recovery.
Contact us today for a free consultation at 504-608-6308.
Additionally, we recommend you download the “Maintenance & Cure Worksheet.“ You may also visit our Maintenance & Cure Blog to further educate yourself.
400 Poydras St Ste 2090
New Orleans, LA 70130
(1) 504-608-1055
