I injured my back at work nearly a year ago. At the time, I thought it was minor, so I didn't report it or seek medical attention. However, months later, it is still causing pain and limiting my activities at and outside of work. I realize in hindsight that it was more severe than I had originally... Read more »
You have one year from the date of the injury to file a claim at the Industrial Commission of Arizona (ICA). You can still do that if you are actually less than 365 days out. The more serious problem from your message is that you did not report the incident or what you thought might be an injury,...Read more »
Broke foot, pelvis, arm, L4&5, and dislocated shoulder. Company didn’t offer safety harness. Which they have implemented now after my accident. Also concerned about my future that I might not be able to return to the position and future pain and surgery and loss of mobility.
Thank you for sending your question here. The short answer to your first question is that Arizona workers' compensation is a no-fault system and you cannot file a claim directly against your employer if it had insurance for work injuries. It seems you have had a very serious accident and it will be...Read more »
something happens later in relation to that initial injury? Technically the nurse/patient relationship starts as soon as a nurse answers the phone but a patient has the right to refuse treatment in any other setting.
Thank you for the question, but I don't think it has anything to do with a workers' compensation claim. The issue is more related to liability of a healthcare provider when the "patient" does not accept treatment in the first place. The general rule is that the provider is responsible if they are...Read more »
No, your employer is not permitted to attend your actual medical appointments. The insurance company can hire a nurse case manager to help coordinate medical care but even that person does not have to be allowed in the room with you and your doctor(s). Feel free to call, no charge, to review more...Read more »
We have disputed an underpayment by an insurance carrier for a workmans compensation claim three times. The carrier refuses to pay the claim according to the Industrial Commission of Arizona's fee schedule and guidelines.
I broke my tibia at work in November - had to have surgery and have been off work for almost 8 weeks. My doctor has released me for seated work only, but I am unable to drive for another few weeks. My employer has requested that I return to work on January 2nd but has advised that I will have to... Read more »
We typically have transportation provided for clients at the insurance company's expense - there are car services known to most if not all carriers. I do not have clients pay and wait for reimbursement, and it is the insurance company's responsibility, not your employer. There is no guarantee your...Read more »
You are eligible for workers' compensation benefits regardless of your full or part time status. The difference will be reflected in what is called your average monthly wage and the amount of your benefits payments when you are off work or miss enough time to qualify for wage loss payments. Please...Read more »
The short answer is - it depends. There are some situations when you are covered for WC benefits in a company parking lot. I would need to know if you were getting to or leaving work and exactly where in the parking lot the accident occurred. There also are likely to be questions about how fast the...Read more »
The short answer is yes. There is a maximum combined payment based on his earnings record, usually from the 5 years before the injury or before he qualifies as disabled. There are other ways to calculate the maximum combined benefit amount, and Social Security is supposed to use the one that...Read more »
I'm not sure what you mean by "off the clock," and there are limited situations in which you may be covered for workers' compensation anyway. You can call me tomorrow at 602-687-9211 or 602-492-5311 after 1:00 p.m. because the validity of your claim will depend on the facts. Thank you
Thank you for contacting me with your work injury question. There is nothing you can do now about a 2015 injury, and in the future if you are hurt at work you are required to notify a supervisor or manager as soon as possible, and you are required to file your own claim with the Industrial...Read more »
You can ask, but the carrier has the right to choose it's own doctor. You probably don't want someone new anyway. You may feel free to call me at 602-687-9211 (office) or 602-492-5331 (cell). I have 2 appointments this afternoon and I'm not available after 5:15, so it may be tomorrow before I can...Read more »
If you are commuting to or from work, the general answer is no. The circumstances may make a difference, like if you were going somewhere on the way that was related to work. You can feel free to call me at 602-687-9211 (office) or 602-492-5331 (cell) to discuss the specifics of your situation....Read more »
I worked for 28 years as a police officer in the City of Carlsbad, CA. I hurt my back, rated out at 32%, 0% apportionment. I hate the workers comp system. I advised I wanted a C&R. The final doctors report states I require surgery to my C column (fusion probably), life long pain management and... Read more »
You are responsible for paying medical bills not covered by your Worker's Comp. claim, regardless of the reason. If you disagree with the denial, you have (or had) 90 days from the date of the notice, not 90 days from the date you received it, to file a request for hearing with the Industrial...Read more »
I have been out of work for almost 2 months, my medical status has recently changed from restricted work status to light duty and am in the process of physical therapy. I do not wish to return to work as it is a high stress environment as well as physically demanding. Can I quit and still recieve... Read more »
The short answer is yes, you will continue to receive medical benefits. You will probably forfeit wage loss - disability payments if you voluntarily quit and give up income. You also should understand that restricted work and light duty are generally the same, so you are only paid disability...Read more »
You don't have to provide the information but if you are making less money and you want to be paid for lost time-dollars, you will have to document your new work and income. Your WC carrier should not contact your new employer. You have to be very careful not to exceed the work restrictions from...Read more »
I would need to see the actual settlement agreement, but the language you cite from the ALJ approval is standard "boilerplate." The ICA always retains jurisdiction over a case, for future medical benefits and even in some limited circumstances for future disability payments. I expect your insurance...Read more »
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