Lost Wages and the Maryland Collateral Source Rule
If you have been injured in a truck
or auto accident Maryland, you can collect from the at-fault insurance
company even if PIP pays your lost wages. In fact, you can also
collect lost wages even if your company pays you for the missed
time. This is possible under Maryland law because PIP payments
and/or your company paying you in spite of your lost time is considered
a collateral source. Under the collateral source rule, payments
received by the plaintiff in a Maryland accident case are not
considered in determining the at-fault party's obligation. Accordingly,
the individual or company is liable to the injury victim in Maryland
for the total amount of the lost wages lost in the accident. The
Collateral Source Rule is also a evidentiary rule that bars Maryland
attorneys representing defendants from introducing evidence to
show that a personal injury plaintiff has received collateral
source benefits such as lost wages that were paid by a third party.
The same logic holds true in Maryland
for medical payments that were made by PIP or by your health insurance
company. For example, an injured individual's health care coverage
usually pays the victim's medical bills. Under the collateral
source rule in Maryland, if the accident victim brings a lawsuit
against the defendant in a personal injury case seeking compensation,
including payment of medical bills. The defendant's personal injury
lawyer in Maryland cannot tell the jury that the bills have already
been paid by another source. However, once the jury makes an award
to the victim, including the accident victim's medical bills,
the health insurer can exercise its subrogation rights and recover
from the defendant (or the accident victim, if an award has been
made) for monies paid for the victim's medical bills. When health
insurance companies do assert their subrogation rights, our Maryland
accident lawyers will fight the health insurance companies to
reduce your medical liens which will increase your compensation.
The system we have in Maryland makes
sense because the collateral source offsets shift billions of
dollars per year in Maryland accident costs caused by the negligent
car and truck drivers, taking a burden off the health insurance
system. If this rule were altered, instead of at-fault drivers
bearing the full burden of these accidents, taxpayer funded programs,
such as social security and policy holder funded health insurance
plans, will be forced to pay this cost (increasing everyone's
already growing health insurance costs). In spite of this, it
seems that almost every year someone introduced a bill in the
Maryland assembly to reduce or eliminate the collateral source
rule. They expect Maryland personal injury lawyers not too put
up too much of a fight because the money comes out of their client's
pockets while not changing the Maryland lawyer's contingency fee.
Yet every time this type of bill is raised, Maryland personal
injury attorneys, lead by the Maryland Trial Lawyers Association,
help fight off these efforts on behalf of injury victims.
Self Employed Client: How to Get Their Lost Wages
Generally, lost profit damages must be proven with “reasonable certainty.” This can be a tough issue to negotiate. Insurance adjusters in auto accident cases tend not to accept the client’s word about the losses due to a self-employed business owner’s inability to work. Proving these damages can be a little tricky, depending on the nature of the client’s business. For example, if the client takes a salary, that can be easily proven using the same evidence that you would use for any wage claim. Income tax returns also make a strong lost wage case and it is pretty simple: take what the client makes in a year and figure out his lost wages. (If the client loses business opportunity from the accident, that is a far more complicated issue that would require a separate section.)
At the other end of the spectrum are clients who operate smaller businesses, operate on a cash basis, or depend on seasonal revenue. Generally, adjusters would like to see the last few years’ tax returns. Take the yearly gross earnings, and determine the corresponding amount for the period the client was unable to work after the accident. For a seasonal business, pay attention to use the earnings amounts reported for prior periods that correspond to the same time of year that is being claimed. The lost income from a Christmas tree farm will be different in July than in December.
There are some situations that don’t fit into these categories. For example, a self-employed client who is temporarily completely unable to operate the business because of injury. The correct measure of damages is the lost profit during the period of disability. The lost gross earnings are inaccurate because they do not account for the expenses not incurred while the client was not operating the business. To prove this kind of a claim you will need expense and earning reports for a comparable prior period, so you can demonstrate the lost profit due to the injury. Also be sure to document the cost of any replacement help retained. The key is that having some reasonable documentation of the loss will help in securing an offer on the lost income claim even if it is less that the loss claimed. A wage claim lacking a paper trail will almost always be denied in settlement negotiations.
Also problematic is the issue of a new business. Where there are no records from prior years to use as a point of comparison, counsel will have a difficult time proving what was lost. Because there is no way to tell if a new business will succeed or what the profits would be, if any, such a claim may be deemed speculative. But good accident lawyers make the best claim that they can and see where the chips fall. Typically, hard to prove lost wages claims are won at trial or by settlement after a lawsuit has been filed.
See also Maryland Injury Lawyer Blog (discussing of personal injury cases)
See also Maryland Auto Accident Lawyer Blog (discussion of Maryland auto accident case issues)
See also Collateral Source Rule (more on the rule)
See also Sample Lost Wage Form

