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I'm currently on temporary disability and considering filing workers comp for wear and tear injuries. However I'm afraid the workers comp doctor would force me to go back to work with "restrictions". I have a co-worker who hurt his knee badly and the workers comp doctor forced... View More
answered on May 22, 2024
The solution is to elect a worker-friendly physician from the insurer's Medical Provider Network BEFORE the insurer sends you to their doctor. You do not have to see the doctor the employer chooses or the adjuster chooses; you can go to the MPN List for the Comp Insurer and select a real... View More
Hello, I'm a little confused as to the 1 year reporting deadline for filing workers compensation for cumulative injuries. There seem to be multiple definitions online that somewhat contradict each other. A while back I began physical therapy for pain in my joints which was exacerbated from... View More
answered on Mar 22, 2024
You had pain in joints you KNEW to be "exacerbated by work". THAT could be found by the WCAB Judge to be knowledge of an industrial injury. Then there were MRI studies showing damage; that could be knowledge of an industrial injury (unless you know that damage occurred some other way).... View More
answered on Nov 14, 2023
YOU ARE CORRECT. California Law gets you 1 PAID 10-min (uninterrupted!) break after 3.5 hours, then a second after 6.1 hours. You must be allowed your unpaid meal break (30 min minimum) within 5 hours of starting the shift. You cannot be required to work during any required rest breaks. [Cal.... View More
What form does my doctor fill out to request my wife being home from work to care for me.
answered on Nov 14, 2023
My clients who have had some success with this are without assets and entitled to In-Home Support Services, IHSS. So the Treating PHysician writes you require HOME HEALTH CARE with a Care Provider, You apply to In-Home Support Services IHSS for a caregiver and your wife applies to be your... View More
I am having back and shoulder pain. I have to stand for 10+ hours for my shift sometimes.
answered on Oct 13, 2023
Your employer does not have to provide you with anything. A "Doctor's Note" never requires the Employer to do anything. Your Primary Treating PHysician on the Workers Comp MPN SHOULD WRITE that until and unless you are provided with seating you are temporarily totally disabled due... View More
Hello, I had a couple questions about a potential workers comp case. First of all, what is the likelihood of winning a wear and tear injury case that wasn't the result of an isolated incident/accident? I work somewhere where I stand on my feet all day and do a lot of heavy lifting and I have a... View More
answered on Sep 22, 2023
Likelihood of 'winning'=50/50. depends on what medical records reveal. If you've been Russian Dancing and Trick Riding on your free time, the insurer can deny it and then you have to convince an independent doctor that the tear came from work and not jumping off and on horses.... View More
Was out of work for 16 months
answered on Sep 19, 2023
Rules require we adjust that 6% Whole Person Impairment by age and occupation. AGE: If you're 38 or less, it goes down a little. If youre 39 or older, it goes up. OCCUPATION: if you're a lawyer -- not physical at all -- it goes down. If you're a heavy equipment operator or a... View More
Closed settled workers comp claim lifetime medical was linked to open w/c claim .I’ve been enforced leave of absence .Receiving pay . Open w/c claim allowed me back to work . Is this an offset where Sdi will consider a settlement coming in future and getting paid is it law must return it... View More
answered on Sep 4, 2023
If you collected State Disability payments for certain weeks then the Insurer PAID YOU disability for those same weeks, YOU have to pay the SDI money back to the state. If the insurer never paid you for the exact loss dates you collected SDI, then you don't have to pay back the state; it... View More
2nd workers comp case was settled in 2014 lifetime medical .other workers comp case lawyer has settlement in future to be done 2nd case not being handled by lawyer because already settled back in 2014. lifetime medical doctor had me to work but job said I have to apply for their insurance to secure... View More
answered on Sep 4, 2023
I'm certain I've answered this but I'll try once more. You settled the 2014 claim by Stipulations With Request for Award which included 'need for treatment' on the accepted injured body part (which isn't quite 'lifetime medical' it is only the right to go... View More
My Workers Comp insurance does not have any providers in their network to give me a second opinion on my shoulder injury. I received an email from their provider network unit that they could not find a provider and that the adjuster assigned to my case had permission to authorize for me to go to... View More
answered on Sep 1, 2023
There is no penalty for an adjuster not answering you. But it guarantees you are going to hire a lawyer. An experienced attorney can elect a physician outside the network when she shows there are no available specialists inside the network. Sounds like you really need a Pain Management... View More
I have not been provided access to utilities (water, electricity, sewer). The landlord has tried to make sure I am 'not considered a tenant' by allowing me to put utilities in my name, use as a mailing address, et cetera. He asks/requires me to be security / caretaker and I have to do... View More
answered on Jul 18, 2023
I'm wondering if there is a typo here. You write the landlord does not want any tenancy relationship BUT then it says 'allowing me to put utilities in my name". If utilities are in your name, and you get your mail there, there is a tenancy.
But it sounds as though there is... View More
M3dical treatment?
answered on Jun 26, 2023
It completely depends on what the writers put in the agreement! Most of the time, you agree to release all possible claims against the employer, a 'general release'. The WCAB Judges are NOT supposed to approve that language but many do. So if later you find out you got cancer from... View More
Some of the matters being settled include: wages, employment, serious & willful misconduct, and discrimination (LC 132a), does this mean resignation? How can I tell if resignation is part of the C&R? Thanks.
answered on Jun 21, 2023
If you genuinely cannot tell is this agreement does not require a resignation, YOU SHOULD NOT BE REPRESENTING YOURSELF! You could be giving up more than the job! 95% of Compromise & RElease Agreements are offered because the injured worker is no longer performing the pre-injury work, and is... View More
answered on Jun 20, 2023
With regard to California Workers Compensation, about all that false allegations might do is generate an Injury to Psyche, a psychiatric injury. I generally advise AGAINST filing a claim for a Psychiatric Injury if at all possible. If you later have a child custody dispute, an aggravated... View More
The compromise and release offer was made after returning to work in my official capacity almost 3 years ago. There are no stipulation stating so.
answered on Jun 19, 2023
NO. You don't have to resign. But if the offer is only good IF you resign, and you want that offer, then you have to resign. Many people wait to do the Compromise &Release Agreement until they are about to retire or move, until they are ready to resign. If you like this job and need... View More
answered on Jun 12, 2023
You're trying to collect on a 20-yr-old prescription? no. if you closed the claim with the Compromise & RElease Agreement contract, that shut down all requests for anything from the insurer back in 2005. If you resolved using STIPUATIONS WITH REQUEST FOR AWARD, that one keeps Future... View More
The insurance company sent letter challenging their own doctor's latest diagnosis and asking for QME. They have also stopped the biweekly payments abruptly which they did not even mention in their letter. I complied with the QME procedures which might take months to fully take its course and... View More
answered on Apr 27, 2023
NO! The Labor Code DOES NOT permit the Adjuster to stop TTD payments just because she thinks you aren't totally disabled any longer. SOLUTION: (1) apply for State Disability Insurance -- SDI -- at www.edd.ca.gov immediately, as it takes at least 10 days. EDD will want to see the copy of the... View More
She told me this week that they found the right insurance and just now filed a claim, I have been waiting almost a year, there was even a hearing and I was told the other party never showed up. I don't know who they filed the first claim with but it seems to me that the whole process is... View More
answered on Mar 18, 2023
You are free to get a new attorney at ANY time. It sounds like there is no actual attorney at the group you had, just an 'assistant'. If the claim were mailed to the employer, the employer would have forwarded it to their CORRECT Insurer; so it appears the claim wasn't properly... View More
I have a very Serious and Severe Cervical Disc Problems. My Attorney will not Never Write this Down. Three Neck Disc Herniation. Diagnosed Cervical Myelopathy. Had Failed Neck Surgery. He keep asking Me to Settle with my Company and have Future Medical. This do Not feel Right. What shall I Do?
answered on Dec 18, 2022
If you're in Charlotte North Carolina, that state has entire different regulations for Workers Comp ratings. You've asked your question about CALIFORNIA Labor Code rules and regulations. In california, it makes NO DIFFERENCE if your lawyer writes 'Myelopathy' or Impingement or... View More
5% herniated disc. No bending no stooping but does not specify how long from qme. 5 months later recieve return to work form from primary doctor. Leave of absence team states my qme results say restrictions are permanent. "Permanent" is not in the language. My qme does not specify... View More
answered on Dec 1, 2022
Is 'this' retaliation for workers comp? If you can PROVE -- not just state, but actually PROVE -- that the only reason you are not being offered a lighter job is in retaliation for requesting workers compensation benefits, then yes, this is a misdemeanor crime and a violation of Labor... View More
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