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I have scoliosis with a prior spinal fusion, and a month ago, a coworker collided with me, aggravating my spinal condition. My lumbar curve, which maintained at 17 degrees for 38 years, suddenly worsened, diverging from the typical adult progression rate of 1-3 degrees. My recent MRI has shown... View More
answered on Jul 21, 2025
Dear injured employee,
I’m sorry to hear about your injury at work. I recommend that you immediately report it in writing by text or email to HR or manager that you injured your back. You do not need to get into the details. This will protect your rights and allow you to seek a legal... View More
I have a workers' compensation case that's been active for 20 years, with admitted injuries to my right hand and shoulder. The Medicare Set-Aside (MSA) amount is $10,000. I'm considering a Compromise & Release (C&R) option with indemnifying language stating that the carrier... View More
answered on Jun 23, 2025
Dear injured worker,
No, indemnification in a C&R does not guarantee all expenses after MSA exhaustion without litigation.
Even with “hold harmless” language, the carrier could still dispute future treatment costs (like surgery), and you might have to litigate to enforce the... View More
In a workers' compensation claim related to psychological stress and anxiety caused by workplace discrimination, retaliation, and cyberbullying, am I required to release all comprehensive medical records, including examinations, treatments, prescriptions, and imaging studies?
answered on Jun 18, 2025
Dear injured worker,
In a California workers’ compensation claim for psychological stress (e.g., from discrimination, retaliation, or cyberbullying), you are not automatically required to release all medical records. You only need to disclose records that are relevant to the claimed... View More
I have an ongoing workers' compensation case due to severe injuries, including ruptured ankle ligaments, nerve compression, and various injuries to my knee and foot. Although I provided accurate medical records through a copy service, the workers' comp company has submitted false records,... View More
answered on Jun 12, 2025
Dear injured worker,
Thank you for your inquiry. The information you provided would indicate that your dispute should be handled through the WCAB and by your attorney. The court takes fraud very seriously and can’t issue ruling as to the admissibility of any documentation that was... View More
I had a slip and fall accident at work in 1996, leading to two back surgeries—a triple fusion, which has now failed. I have a broken titanium screw and another that is partially unscrewed, causing significant pain. Although I previously resolved my workers' compensation claim and sold out... View More
answered on May 24, 2025
Dear injured worker,
Thank you for reaching out. Since you previously settled your workers’ compensation claim, that matter is closed and no longer within the scope of workers’ comp benefits. However, if your current issues are due to failed hardware from your 1996 surgery, you may have... View More
I am a Learning Trainer responsible for onboarding new hires and overseeing teachers, among other duties. The overwhelming workload has led to severe emotional and mental exhaustion over approximately 1 year and 2 months, with the most intense impact recently. I reported my concerns up the chain of... View More
answered on May 8, 2025
Dear Injured Worker,
Based on the information provided, it appears that your mental stress may be work-related and, given that you have been employed with your current employer for at least six months, you may be eligible for Workers’ Compensation benefits. It is important that you retain... View More
I have a Workmen’s Comp case that has been open for 14 years after getting injured at work. My previous attorneys are no longer available, and currently, there's no interest from the claims adjuster at The Hartford in settling my medical case, despite my spine and nerve damage. Given that I... View More
answered on May 6, 2025
Dear injured worker,
Your son can be a beneficiary of your workers compensation benefits that have accumulated and have not yet been paid out at your death. Typically this applies to permanent disability that has not yet been paid out. Future medical care is not an accumulated benefit and... View More
I'm currently going through a divorce in California, which follows community property laws. My injury occurred while we were still together, but the workers' compensation settlement for my injuries and future medical needs was finalized after we separated. Can my wife legally claim half... View More
answered on May 6, 2025
Dear injured worker,
I am sorry to hear about your personal situation. The good news is that as a general rule workers compensation benefits are your separate property and not subject to community property distribution in a divorce. I recommend you confirm this with your divorce attorney or... View More
I'm seeking guidance on whether I can still apply for workers' compensation benefits after being released from prison. I missed the one-year deadline to file my application because I was incarcerated and subsequently denied. Is there any way to reopen my case or file for benefits despite... View More
answered on May 3, 2025
Dear injured worker,
I am sorry to hear about your predicament. As a general rule incarceration is not a toll to the one year statue limitations for filing of a Workers' Compensation claim in California. There are rare exceptions such as mental or physical incapacity. If you believe... View More
I am experiencing health issues, such as rapidly elevated thyroid levels, hives, and disorientation, due to mold exposure in my workplace. Two weeks ago, during construction, a strong smell of chemicals or mold caused multiple employees to report symptoms like headaches and dizziness, yet no... View More
answered on Apr 24, 2025
Dear concerned employee,
Your situation is unfortunate but not unusual. Fortunately, not all mold exposures lead to long-term health issues. Yours seems to be significant and should be of concern. You have the right to be compensated for any medical cost and disability for your time off of... View More
I recently dismissed my attorney from my Workmen's Compensation case by sending a Notice of Dismissal with a cover sheet and Proof of Service. I processed all paperwork downtown and mailed out notices to all parties two days ago. However, I haven't received any documentation indicating my... View More
answered on Apr 8, 2025
Dear injured worker,
It appears that you properly processed the paperwork however you want to be sure that it is processed through the WCAB as well. Also available to you at the WCAB is the Information and Assistance officer who is skilled in assisting individuals who are self represented.... View More
Macy’s in California. I had sick time available and PTO and sent a doctor’s note.
answered on Mar 28, 2025
Dear concerned employee,
I understand your frustration with not getting your PTO or sick time when requested. My specialty is in workers compensation and this falls outside of my specialty. Additionally there are other factors that could affect your rights. My recommendation is that you... View More
I'm involved in a workers' compensation case that includes a Compromise and Release (C&R) agreement. On page 7 of the agreement, I'm asked to initial what applies in the settlement. I also have an ongoing civil lawsuit against my employer for wrongful termination, and I'm... View More
answered on Mar 25, 2025
Dear concerned,
You are correct to be concerned that you do not prejudice any other claim you have against your employer. Initializing the boxes on page 7 of the compromise and release does not limit your ability to pursue a civil claim, however it can affect other discriminatory claims... View More
I signed a workers' compensation settlement before reaching Maximum Medical Improvement (MMI) on the advice of my lawyer. Now, I'm concerned about whether I'm entitled to a specific rating percentage or benefits for future medical bills. What are my rights and options in this situation?
answered on Feb 25, 2025
Dear concerned injured worker,
It is difficult to overturn a settlement agreement but you may still have time to withdraw from your settlement. First and foremost is to immediately notify your attorney and secondarily seek advice from the Information and Assistance office at your local... View More
I was injured on the job at Bank of America in October 2019 - severe concussion. They have done a poor job with my treatment. I was being treated by Med 7 (minor emergency) Doctors telling me to touch my nose and walk a straight line and go home and rest. Then basically forgetting about my case.... View More
answered on Jan 16, 2025
Dear concerned injured worker,
Head injuries are some of the most complex injuries to diagnose and treat, especially in the workers compensation medical care system. I would strongly urge you not to accept the payout if that means a resignation of your job or if you have not been properly... View More
It turns out my current lawyer is not acting for my best interest at all and is intentionally misleading and misrepresenting me. Other WC lawyers won’t take my case because they would do more work and get paid less. This is why I thought maybe I should look for pro bono lawyers who are looking... View More
answered on Dec 24, 2024
Dear injured worker,
I am sorry that you have encountered difficulties with the attorney you hired. You have two options available to you if you cannot find another attorney to take the case. The first is to contact your local Bar Association and ask for the Lawyer Referral service. Many... View More
QME doctor stated in his report that in his medical opinion, my injury was mishandled. His report indicated a lot of things that should have been done for me. (You have to read his report, he was very agitated that my hip fracture was not caught). Doctor did not take x rays of my hip, but 5 months... View More
answered on Dec 21, 2024
Dear injured worker,
Your situation is very unfortunate and not uncommon to have misdiagnosis within the Workers’ Compensation system. Beyond the regular Workers’ Compensation benefits of medical care, temporary disability and permanent disability, you may have an action against the... View More
My lawyer is telling me to go on medical and have them pay my hardware removal. Feeling kinda sketchy about that. I broke my ankle in the parking my employee provides for me, I was just taking a walk and the concrete was uneven and that’s when I fell and it was bimalleolar fracture. Screws on... View More
answered on Dec 20, 2024
Dear Injured Worker,
It is difficult to evaluate the value of a claim without the opportunity to review the medical records. However, the fact that you still have screws in your ankle would indicate that your claim has a higher value than $38,500. It is not unusual to seek a second opinion... View More
The day we went to court, which was September 19. The attorney told me that I would be receiving 26,800+ dollars plus the insurance company would compensate me for my time after I had my surgery because I had to have knee replacement I haven't received anything But the little checks that the... View More
answered on Nov 25, 2024
Dear injured worker,
It is not unusual to have the insurance company issue payments towards a settlement without actually having a settlement. This does not mean that there won’t be a settlement at some point. If you had a knee replacement then you have a substantial Worker’s... View More
I'm facing issues with my workers' compensation attorney, who keeps rescheduling my trial. The insurance company mentions that there are three active cases, but my attorney insists there are no open cases. The trial is being postponed due to disagreements on late fees for a lost check.... View More
answered on Jul 26, 2025
Dear frustrated applicant,
Your situation is not unusual if you don’t have an open line of communication with your attorney. Your situation is also not unusual in workers compensation court hearings. That is that hearing’s often get rescheduled, postponed are delayed. Unfortunately... View More
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