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TEMPORARY
OR PERMANENT DISABILITY
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HOW
DOES WORKERS' COMPENSATION WORK IF YOU
HAVE BEEN INJURED ON THE JOB?
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Usually,
an injured employees biggest concern is where his or her
next paycheck is coming from.
If
an employer/insurance carrier admits that you have received an
injury on your job, you will receive temporary disability payments.
These payments will usually consist of two-thirds of your gross
salary to a maximum of $602 per week, tax free (for injuries which
occurred after January 1, 2003). These payments are made once
every two weeks.
When
your doctor indicates that your condition has stabilized, i.e.,
has become permanent and stationary, an evaluation will be made
as to how much permanent disability you have. At that point, the
temporary disability payments will stop, and you may then receive
permanent disability advances, which will be deducted from any
future settlement or award.
You may continue to receive temporary disability payments if your
doctors are in agreement that you are too disabled to return to
your original job or if you are in a rehabilitation program.
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| ....BEWARE
OF INSURANCE COMPANY/EMPLOYER |
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You
must realize the employers insurance carrier is simply a business
whose main goal is to minimize its expenses. For that reason, the
insurance carrier will do everything it can to obtain reports that
minimize the amount of disability you have.
The
insurance carrier will send you to doctors who may say there is
nothing wrong with you or what is wrong with you has nothing to
do with your job. This is to be expected, and workers compensation
judges are aware of this practice. On the other hand, the judges
are also aware that we applicant attorneys use doctors who will
go out of their way to be favorable to you.
Sometimes, insurance carriers hire private investigators who hide
out in trucks and take motion pictures of an injured employee performing
activities which are inconsistent with the injury claimed. Sometimes
an investigator will even interview your neighbors to check on your
physical condition. For this reason, you must be very careful to
limit your activities, so they do not damage your case.
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| ....NEUTRAL
DOCTORS (AGREED MEDICAL EXAMINER) |
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In
many workers' compensation cases, you are sent to a neutral doctor.
These doctors determine the extent of your job-related injury or
disability and thus, the basis for the amount of your settlement
or award. Therefore, the opinion of these neutral doctors is very
important. You must not only tell neutral doctors all your complaints,
relating them to your employment, but you must also be careful not
to lead the doctors to believe you are faking, malingering, or merely
pursuing your case to obtain as much money as possible.
You
must indicate to the doctors that your main concern is that you
recover from your injury and feel better, and your frustration and
dissatisfaction comes from prior doctors not having been able to
help you.
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| ....DEPOSITIONS |
Often,
the employer insurance carrier or their attorneys will decide
to take your deposition. These depositions are very important.
You
must be sure to arrive at your deposition 45 minutes before its
scheduled start, as specified on your appointment letter, so that
you may be prepared. Prior to your deposition, an attorney from
Goodchild & Duffy will prepare you to tell your story in a
manner that is most favorable to your case.
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| ....HOW
DO I KNOW IF I AM ENTITLED TO REHABILITATION? |
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In
order to be eligible for rehabilitation benefits, an individual
must be called a "Qualified Injured Worker". To be a Qualified
Injured Worker, an injured worker must demonstrate if: (1) He is
precluded from his/her prior job or occupation because of his industrial
injury or as a combination of the effects of his industrial injury,
along with any prior disabilities he may have had; (2) He can reasonably
be expected to return to suitable, gainful employment through the
provisions of vocational rehabilitation, and the person is willing
and ready to participate in such a program.
Rehabilitation
benefits may include payment for uniforms, supplies, mileage reimbursement,
and even lodging and meal allowances in situations where you are
required to travel to a rehabilitation program location far away
from home.
By
law, the insurance carrier must withhold a reasonable reserve for
appropriate attorney fees from your vocational rehabilitation maintenance
allowance. This is usually 12% to 15% of the weekly benefit. At
the end of your rehabilitation, Goodchild & Duffy will prepare
a petition for receiving those attorney fees for representing you
in your rehabilitation program. Attorney fees will then be paid
to this law firm from the reserve withheld by the defendant (employer/insurance
carrier) for this purpose. Remember that there is a $16,000.00 cap
on all rehabilitation benefits taken together for those injuries
which occurred after January 1, 1994.
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We
hope this information will be helpful to you.
Please
contact us for a free consultation:
LAW
OFFICES OF GOODCHILD & DUFFY
16133 VENTURA BLVD., #1250
ENCINO, CA 91436
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(818)
380-1600
(323) 873-1161
(800) 468-0864
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