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HERE YOU WILL FIND ANSWERS TO MOST COMMON QUESTIONS. IF FOR ANY REASON THE ANSWER TO YOUR QUESTION IS NOT FOUND. PLEASE CONTACT US

WHAT IS WORKERS’ COMPENSATION?

While you are off work and undergoing active medical treatment, you are entitled to temporary total disability benefits, which are paid bi-weekly. These benefits are not taxable against you. In addition, you can receive temporary partial disability benefits if you can perform some work while recovering, but are earning less than before the injury. Temporary partial disability benefits generally pertain to situations where your employer can meet your doctor’s restrictions, but can only place you in a position that results in a demotion of pay.

PERMANENT DISABILITY BENEFITS

When you are released from treatments by your Primary Treating Physician, or an evaluator such as QME or Agreed Medical Evaluator If the releasing doctor’s medical option that reached your “Maximum Medical Improvement(1)†(MMI) or so-called you became a “Permanent and stationary†(P&S), you should receive your final medical report. The physician who prepares this final medical report should provide a percentage of the “Whole Person Impairment†(WPI) you have suffered as a result of the injury, as well as explain what type of medical care you will need in the future.

MEDICAL TREATMENT/MEDICAL CARE

Under the workers’ compensation law, you are entitled to the treatment “reasonably necessary†to cure and relieve your injury. Your employer’s insurance company has 90 days to investigate your claim before deciding whether to admit or deny your claim. However, you have the right to receive medical treatment right away. As such, while investigating your claim, your employer’s insurance carrier must approve medical treatment(1) for your injury within one working day after you submit a claim form (DWC 1). The treatment you get must be within medical treatment guidelines set by the state and the total cost of the treatment you are entitled to during the investigation cannot be more than $10,000.00. You should also be reimbursed for transportation costs including mileage, parking, and tolls for trips to and from the doctor’s office. Your employer’s insurance carrier also pays for your out of pocket prescriptions, physical therapy visits, and other medical costs. A competent California workers’ compensation attorney will be able to help you preserve your right to select a proper doctor to treat your work injury or illness, which can have an everlasting effect on you and your family.

WHO IS ELIGIBLE FOR DEATH BENEFITS?

The death benefit amount depends on the number of people who are totally and or partially depending on the deceased employee. Total dependents are individuals who completely relied on the worker for financial support, while partial dependents are individuals who only partly relied on the worker for financial support.

WHAT ARE TEMPORARY DISABILITY BENEFITS?

While you are off work and undergoing active medical treatment, you are entitled to temporary total disability benefits, which are paid bi-weekly. These benefits are not taxable against you. In addition, you can receive temporary partial disability benefits if you can perform some work while recovering, but are earning less than before the injury. Temporary partial disability benefits generally pertain to situations where your employer can meet your doctor’s restrictions, but can only place you in a position that results in a demotion of pay.

WHAT TO DO IF YOU BECOME INJURED AT WORK?

The clock is ticking!If you got injured at work, you need to file your claim without any delay.Under California Workers’ Compensation Law(1), to start the process of receiving your workers’ compensation benefits, you must report your work injury to your employer as soon as possible after it occurs. To report your work injury and start the process, you need to file a “Claim Form†(DWC 1) with your employer. Your employer must then file the workers’ compensation claim with its workers’ compensation insurance carrier so that your workers’ compensation claim will be paid and your treatment begins.

CAN EMPLOYER BE RESPONSIBLE FOR NEGLIGENT ACT?

Employers CAN BE responsible for neglecting unsafe working conditions and equipment if they were aware of the shortcomings of the same. Remedial action not taken when prior information of dangerous work conditions is discovered can be used to hold the employer responsible for the accident. Unsafe equipment can also drag the manufacturer’s of the defective equipment to court. Injuries may result from the workplace being unsafe. These may include conditions at work or unsafe working equipment. For more detail see Serious and Willful Claim.

WHEN AND HOW WORKERS’ COMPENSATION CLAIM IS SETTLED?

While you are off work and undergoing active medical treatment, you are entitled to temporary total disability benefits, which are paid bi-weekly. These benefits are not taxable against you. In addition, you can receive temporary partial disability benefits if you can perform some work while recovering, but are earning less than before the injury. Temporary partial disability benefits generally pertain to situations where your employer can meet your doctor’s restrictions, but can only place you in a position that results in a demotion of pay.

WHO MAY FILE A WORKERS’ COMPENSATION CLAIM?

Generally, in most instances, only injured workers may file a workers’ compensation claim for their own work-related injury or illness. However, in those instances where the injury or illness results in death, spouses and other dependents of the injured worker also may file a claim for burial expenses or death benefits through the workers’ compensation system.

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