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Questions Answered by Timothy Belt
1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I am the business owner and receive a paycheck for being the GM. Am I eligible to collect workers comp?
Timothy Belt
Timothy Belt
answered on Jul 2, 2015

That depends on your WC policy. You should have had an option to not insure yourself in exchange for a lower rate. If you took this option, you are not eligible to collect workers' compensation. If you did insure yourself for workers' compensation benefits, then you should be eligible.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Do j have to sit in a room in order to be paid? And sibce i had my surgery they dont want to pay my is that aloud
Timothy Belt
Timothy Belt
answered on Jul 1, 2015

If you are being provided with work within your restrictions, including sitting in a room, you either perform the job or risk having your benefits suspended for failure to perform suitable work. Clearly the employer is playing games and trying to get you to quit. If you have not already done so,... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I was injured on the job in Oct 2014. Surgery in January 2015 for repair shoulder. WC wage loss benefits since surgery.

As of June 24, 2015 I have been released by dr to return to work with no restrictions but my employer says he does not have a job for me. What are my rights?

Timothy Belt
Timothy Belt
answered on Jul 1, 2015

Unfortunately, workers' compensation does not provide any form of job security or requirement that your employer take you back when you are better. For the time being, your wage loss benefits will continue, but expect the insurance carrier to seek to terminate your benefits in the near... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Do i have tell them where im going to work when i sign off WC
Timothy Belt
Timothy Belt
answered on Jun 29, 2015

If you are no longer receiving benefits due to a termination of your benefits or a Compromise and Release Agreement, you have no obligation to inform the workers' compensation carrier regarding where you plan to return to work.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If I see non panel Dr & get surgery, can I receive w.c. benefits after 90 day?

I've seen panel doctors for 65 days and may need surgery. If I go to my doctor (non panel) and get the surgery, can I receive w.c. benefits while I'm off work recovering?

Timothy Belt
Timothy Belt
answered on Jun 27, 2015

The 90 days regarding treatment with panel physicians only applies to payment of medical bills, so the fact that you get the surgery performed by a physician not on the panel would not directly impact your entitlement to wage loss benefits. However, you could be personally responsible for the cost... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Was injured at work. Had surgery. Was on comp 3 mo. Back to work for 11 mo. Have an attny.

Dr said only option for better function in hand is second surgery, which has a 70% chance of not working. Not really wanting to get cut open and go through pain and pt again. Is it time to settle, or will they offer me nothing since i am working? This whole process seems really unfair, since i do... View More

Timothy Belt
Timothy Belt
answered on Jun 25, 2015

You can settle at any time, but settlements are voluntary, so both sides need to agree on a number. Furthermore, in most cases as part of the settlement you will be asked to resign your current job, and finding another one with ongoing limitations could be difficult. You are correct that your... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: should I be receiving Workman comp I fracture my talus of ankle while working. been out of work for six months

I went to court in march my jobs lawyer said that they wanted to settle out of court. My lawyer said it would take 60days still no settlement or workers comp and they have not paid my medical bills.

Timothy Belt
Timothy Belt
answered on Jun 25, 2015

Obviously this is a disputed claim or you wouldn't have gone to court. When a claim has to be litigated it can take a year or more from the time that the petition is filed until a decision is received. During that time period, if benefits are disputed you would not be receiving workers'... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I'm getting scammed

The insurance dr wrote a report in my favor and request more info for addendum. The addendum report was unchanged. I'm still denied because the insurance company withheld the information in which they denied me in the first place. It has been 6 months with no pay and I'm loosing... View More

Timothy Belt
Timothy Belt
answered on Jun 21, 2015

If you do not have an attorney, you need to get one. If you do have an attorney, ask them what action they are taking to pursue your claim. It is possible for there to be a factual issue beyond the medical opinions which could result in a denial of your claim and the need to fully litigate your... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Do I have to see the company doctor after I already saw my primary doctor for an injury at work
Timothy Belt
Timothy Belt
answered on Jun 21, 2015

No, but if your employer has complied with providing you with notice of the medical panel and other panel requirements they will not have to pay for your treatment during the first 90 days after your injury. If you were given notice of the list of panel providers at the time of hire and at the... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I was on wc and had it taken off me because of their ime doctor. I am fighting this with a lawyer . Just wanted a

Second opinion. I am still doctoring for the pain which is excruciating at times. Neck and shoulder injury. My spinal cord was pinched halfway in two spots on my neck.I'm still on meds for muscle relaxers and pain and causes me to be extremely drowsy . And if I don't take them the pain is... View More

Timothy Belt
Timothy Belt
answered on Jun 21, 2015

It is possible that the judge may find the IME doctor more believable than your doctor and stop your benefits. Your attorney would be in a much better position to tell you what you can expect from your particular judge with the doctors involved in your claim.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If Im off on WC for 15 months, who pays for...

my company COBRA is over 50% of my WC income and between it & my mortgage Ive got NOTHING left... Ive sold cars & belongings to be able to feed my children & spouse... I refuse to lose my house... my credit is quickly slipping... my credit cards are max'd... my arm is still not... View More

Timothy Belt
Timothy Belt
answered on Jun 21, 2015

In most cases, workers' compensation only covers wage loss and medical bills causally related to your work injury. Workers' compensation would not cover COBRA and if you quit your job while the employer has work available within your restrictions, including in the plant, you will not be... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Have arthritis in knees,now have torn miniscus.Ins co. Has denied my workmans comp claim said it is not work related.

I drive a delivery truck.Alot of drivers have knee problems from in and out of truck it is definitely work related? If I was a banker or a salesman I would understand

Timothy Belt
Timothy Belt
answered on Jun 21, 2015

If your doctor says it is as a result of your work duties or that your work duties have made the condition substantially worse, you have a potential claim and should contact a lawyer about filing a claim.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Is my employer negligent for my injury?

Several years ago I fell on ice in my employers parking lot. My employer removes the snow from all their parking areas and piles it in the rear parking area where their tractor trailers are parked, during the melting & refreeze there is an icy path across the parking lot where I as a driver... View More

Timothy Belt
Timothy Belt
answered on Jun 21, 2015

Your employer may be negligent, but that does not mean you can pursue them through a personal injury case. Your claim against your employer and coworkers would in almost all cases be confined to the workers' compensation claim. However, if there was a third party involved such as an owner of... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Does the workers comp insurance have to provide child care to watch my kids while I'm at pt?
Timothy Belt
Timothy Belt
answered on Jun 10, 2015

That would be very unusual. Arguably if that is the only possible way that you can receive PT, a judge might say that it is covered, but the carrier is unlikely to simply agree to this, and you will in all likelihood be required to fully litigate your position which could take a year or more to... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: How long until a settlement agreement should be requested?

On workers compensation for over 1.5yrs, 4 surgeries into a wrist injury and so broke Ive started selling my vehicles because the "Maximum payments" allowed by PA law are not but about half of my normal NET income with wife & children to support. Im a truck driver by trade but the job... View More

Timothy Belt
Timothy Belt
answered on Jun 10, 2015

Your question is very fact specific and you should discuss this with your attorney. As a general rule in my practice when an injured worker has reached the point where they are unlikely to require additional expensive medical care such as surgeries and their ongoing need for medical treatment is... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Why does Pennsylvania have a "maximum" pay allowed for workers compensation?

The Worker's Compensation Act was written so long ago with the maximum payments written in a different economy and time... why if my normal earnings & 66% of my normal earnings far exceed the weekly maximum why is that all my employer has to pay? Is there any way I'll ever be... View More

Timothy Belt
Timothy Belt
answered on Jun 10, 2015

The maximum wage loss benefit is recalculated every year, but since an individual workers' average weekly wage is fixed by their date of injury, you will never receive more than the maximum for that date of injury. The logic is that fixing a maximum helps to control the cost of workers'... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If Defense council doesn't file their closing arguments in timely fashion regarding a claim how long till judge render
Timothy Belt
Timothy Belt
answered on Jun 9, 2015

There is no specific time frame in which the judge is required to issue his decision. The amount of time it takes for a decision depends on the judge and that judge's current work load. Some judge's will have a decision circulated within 30-60 days of the due date for the briefs while... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Can I file a suit myself because the workman's comp insurance co. isn't paying all of my medical bills?

The insurance company gave written approval for acupuncture treatments and now are not paying the provider. I've contacted them 6 times to follow up on payment

Timothy Belt
Timothy Belt
answered on Jun 9, 2015

Yes you can file a petition yourself. However, you may have some difficulty litigating the petition yourself. Most petitions will require testimony from the injured worker and the injured worker's doctor. Furthermore, the employer is free to present testimony from any fact witness that may... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Am I entitled to be paid for the time I have to go to physical therapy and doctor appts. for a work-related knee injury?

I have a knee injury from driving duties at work, and am restricted from driving for 3 months. I can still work full time hours on other activities. My doctor has provided the appropriate documentation to my manager. I have to go to physical therapy 2x/week for 1 hour. Can I schedule those... View More

Timothy Belt
Timothy Belt
answered on Jun 8, 2015

If you are able to schedule medical treatment outside of working hours and fail to do so, you are not entitled to wage loss for missed time to receive the medical treatment; however, if the treatment is not available outside of working hours AND you schedule the treatment to miss as little work as... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I am on workers Comp and my husband got a job offer out of state.

I am on workers Comp and my husband got a job offer out of state. I asked my case worker if this would effect my wc and she said no. Do I have a case if they said well you quit so you get nothing? I do have the email she sent stating that it will not.

Timothy Belt
Timothy Belt
answered on Jun 4, 2015

First off, don't quit and that is not an issue. As to moving out of the area with a legitimate reason, I would agree that it will have no immediate impact on your wage loss benefits. If may make obtaining medical benefits more difficult since out of state doctors may not accept PA... View More

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