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California Workers' Compensation Questions & Answers
1 Answer | Asked in Workers' Compensation for California on
Q: After filing for & receiving a QME, how do I cancel it if I don't want to do it?

I filed a PMQE form out of fear of being put on permanent disability before seeing my treating physician. However, I haven't been & I no longer want to go ahead with the QME. They have sent me the paper with the 3 doctors they have picked but I'm not sure how to cancel my request.

Nancy J. Wallace
Nancy J. Wallace
answered on Apr 9, 2018

IF YOU and not the adjuster filed for the QME Panel, just write to the adjuster that you will not be selecting nor scheduling any QME appointment because you now agree with the findings of the Primary Treating PHysician.

If the ADJUSTER requested the QME Panel, then you must pick and you...
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3 Answers | Asked in Personal Injury and Workers' Compensation for California on
Q: Can I open an old claim (2009)for an injury they denied? and for denying surgery on the one they accepted?

i have a permanently dislocated clavicle they would not fix because its "cosmetic". I also believe I got ulnar nerve damage but didnt know it until a day or two later when I noticed problems. tests were done which said it was badly damaged. But since I didnt know on the day of the injury... View More

Dale S. Gribow
Dale S. Gribow
answered on Apr 6, 2018

there is a statute of limitation on an accident of 2 years from the date of the accident, and if you do not file within that time you lose your right to sue.

if there was a med mal claim then a suit has to be filed within 3 years or 1 yr from the time you learned or SHOULD HAVE LEARNED of...
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1 Answer | Asked in Workers' Compensation for California on
Q: I'm in cal.and have an open case with workers comp for my knee ,now new claim with my back same employer

I have an open claim for my knee at the time of knee injury i was earning$14.00 hr.i have now opened another claim for a back injury and I now earn $15.50 per HR. I'm scheduled for surgery on my knee while also being treated for back injury both require tpd ? Please I'm confused will my... View More

Steven James Foster
Steven James Foster
answered on Apr 5, 2018

If I understand your question correctly, you are off work for both injuries. Unless your employer can show you are off work for just the 1st injury, I would argue you are entitled to the higher rate. Usually, your employer will pay on ONE claim based on the medical reports they receive from your... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I have written regarding workmenscomp to several layers listed here, without any replies.Please help.

I was employed by Simi Valley Unified School District, Simi Valley, Ventura Cunty, CA, as a Special Educational Personal Aide from year 2003.

In 2006 and 2012 I was injured at work. No settlement was ever finalised. I am in sweden living with family at this time as I am unable to work and... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Apr 4, 2018

IF your treating physician wrote a Maximum Medical Improvement report and the district's adjuster agrees with this medical report , there is a slight possibility the insurer would like to close out this old case with a small lump-sum settlement called a Compromise & Release Agreement. It... View More

1 Answer | Asked in Workers' Compensation for California on
Q: Settlement Question

I received a demand amount figure from my attorney for my case that we will be asking for. Which is 250K. But, we tried settling a couple years ago. In which we demanded for 275K. Im just curious to know why, we'd be asking for less now. I was hoping we'd be asking for more. For more... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Mar 28, 2018

you will pay your lawyer over $30,000 so you REALLY NEED to insist this person explain very clearly why she is no longer insisting on the $275,000. If you do not get an explanation you can understand clearly, do not be embarrassed, tell the lawyer you do not understand her words and that she must... View More

1 Answer | Asked in Workers' Compensation for California on
Q: Is the insurance company still required to pay me PPD if my case is in the process of being settled?

My lawyer and I have signed the settlement paperwork and sent them off to the insurance company, but they have yet to send the paperwork back and I haven't received my check that is due.

Nancy J. Wallace
Nancy J. Wallace
answered on Mar 28, 2018

Technically, yes; the insurer SHOULD be advancing permanent partial disability until it receives the Order Approving Compromise & Release Agreement. That said, you very likely agreed to waive any penalties due so long as the C&R totals were paid out within 30 days of the date the judge... View More

4 Answers | Asked in Employment Law, Personal Injury and Workers' Compensation for California on
Q: My work injury in October 2013, what is the statute limitations and who would I file a lawsuit against, W.C or employer?

Work injury was in October 2013, I received 2 years max of workers' compensation, 1 year max of disability and now I am retired.

Dale S. Gribow
Dale S. Gribow
answered on Mar 25, 2018

i handle accidents that are not work related and you need to contact a workers comp atty.

i do not know the statute of limitations but that is a concern for me.

your employers WC carrier would defend IF THERE IS A LIVE CASE

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1 Answer | Asked in Workers' Compensation for California on
Q: WC adjuster takes forever in medical settlement. Says he's working on rating but its been rated weeks ago.

Injured (severe epicondylitis). Opted to delay surgery. Deemed MMI. WC adjuster says he's working on medical and settlement offer. Says he's waiting on rating. Then says he received rating in which I'm was to get comp for about 20 weeks including medical. Wanted to settle the... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Mar 28, 2018

Adjustors dismiss calls by the 100s all day. Calling over and over makes you look very desparate, like you will take 10-cents on the dollar just for any cash right now. The more you call, the less you adjustor will request to settle future medical rights. ABSOLUTELY EVERY COMMUNICATION WITH AN... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I Was Hurt At Work In July 2016 I Had A Disc Herniation Had A Discectomy In May 2017 Surgery Didn't Work.

Requested Another MRI & EMG MRI Showed Same Disc Was Herniated EMG Showed Nerve Damage Now Dr Says I Need Another Surgery Do I Have To Get Another Surgery & Dr Says I Can No Longer Return To My Old Job Does This Make My Case Worth More Money?

Nancy J. Wallace
Nancy J. Wallace
answered on Mar 28, 2018

NOT FAIR but NO, losing your job gets you almost nothing!! write your state senator and state assemblywoman that this law beats down their voters and must change immediately, or you will actively campaign for their opponent, no matter his positions. the 'loss' that gets you more money... View More

1 Answer | Asked in Workers' Compensation for California on
Q: What happens to your lifetime medical if the company you worked for goes bankrupt but the workers comp company is still
Nancy J. Wallace
Nancy J. Wallace
answered on Mar 17, 2018

The coverage is through the Workers Comp Insurer, not the employer (unless the employer was self-insured, and there wasn't actual insurance). IF THE INSURER goes belly-up in the Uninsured Employers' Fund kicks in.

2 Answers | Asked in Workers' Compensation for California on
Q: If I had shoulder surgery, will I get more for my workman’s comp settlement?
Domingo R. Castillo
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answered on Mar 12, 2018

It all depends in the medical reports, final diagnosis, prognosis, impairment ratings, restrictions, and many other important factors that can be addressed by your workers' compensation attorney. In addition, the insurance adjuster has the right to obtain a state panel qualified medical... View More

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2 Answers | Asked in Workers' Compensation for California on
Q: Can WC ins pay only the difference of what they owe u by subtracting ur wage from a 2nd job to = your total lost wages?

I've 2 jobs: 1 full-time where I was injured & 1: on-call. I've worked at both for 3 yrs. I've been receiving temp. dis. checks for the last 8 months from the full-time job & have been working at my on-call job within my claims dr.'s restrictions. I've informed the... View More

Steven James Foster
Steven James Foster
answered on Mar 9, 2018

Your benefits are calculated based upon your Average Weekly Wage. This can be calculated multiple ways, but is usually your total earning for the year prior to your injury divided by 52. It gets more complicated when you have multiple jobs. Unless they are paying at a rate that accounts for both... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: If my case is now fighting so I dont have to pay back "over payment" that isnt how would I pay the lawyer?

they say i was cleared but wasnt fully cleared meaning I cant get a new job i was given 10lb weight restriction, this making me unable to get a new job, i was told permanent 10lb weight restriction on my left hand until cleared by doctor.

Nancy J. Wallace
Nancy J. Wallace
answered on Mar 5, 2018

IF THE Maximum Medical Improvement report indicates you have NO PERMANENT RESTRICTIONS then you just return to your pre-injury position. If your treating doc's MMI report contains even one permanent work restriction, the employer must 'accommodate' that permanent restriction, or... View More

1 Answer | Asked in Workers' Compensation for California on
Q: if I'm on restricted duty, but i don't feel like my injury is well enough to return to work can i fight it?

i had tendinitis and carpal tunnel surgery in november and now im suppoesd to be limited to 25lbs pushing, pulling, and holding in my left hand. My employer is trying to send me to a food bank to work for $10 an hour M-F which is not my regular schedule or pay. What can I do?

Steven James Foster
Steven James Foster
answered on Mar 2, 2018

As long as the modified duty is within your doctor's work restrictions your employer can have you work at the food bank. You should keep a copy of your doctor's work restrictions with you at all times so you can show anyone that asked you to do more than your doctor has approved. Also,... View More

1 Answer | Asked in Animal / Dog Law, Employment Law, Personal Injury and Workers' Compensation for California on
Q: I work at a dog hotel. A dog bit my face and I had to get stitches. Can I sue the dogs owner or my employer?
William John Light
William John Light
answered on Mar 1, 2018

Both. You have a workers compensation claim and a personal injury claim. Your workers compensation attorney and your personal injury attorney do not have to be the same person. Commonly, they are not.

2 Answers | Asked in Workers' Compensation for California on
Q: In California 2018, After my WC case has reached a settlement, how long by law can it take before I receive my check?
Nancy J. Wallace
Nancy J. Wallace
answered on Mar 1, 2018

READ YOUR DOCUMENT. It likely states you 'waive penalties and interest' 30 days after the Order Approving Compromise & Release is signed and served -- words to that effect. IF it has this language, that means you need to have a check IN HAND by the 30th day after the Judge gives... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: today i got a QME and doc wants to get me more help.

today i got a QME and the doc stated hes going to request my partial perm off and request i got more help and see more specialist. what does this mean as fart as my compensation goes, i was already evaluated from the surgeon and recieving my 250 a week settlement checks wiyth an 11% joke of a... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Feb 25, 2018

FIRST you must have the QME report IN HAND. Many many times a worker hears something from the QME doctor, then the report comes out and what is in writing is completely different. AFTER the report is generated, THEN the Adjuster (insurance company) has a choice: either follow the QME... View More

2 Answers | Asked in Workers' Compensation for California on
Q: Do I qualify for workmen’s Comp?

I was on a company trip and broke my arm. Had to have surgery and replaced bone with metal. I was paid for my time on the trip.

Domingo R. Castillo
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answered on Feb 21, 2018

Absolutely!! You need to call a workers comp attorney right away!

Thank you,

Castillo & Associates

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0 Answers | Asked in Employment Law, Personal Injury, Workers' Compensation and Communications Law for California on
Q: How can I fight for my rights at a job I recently got terminated from? If I didn't sign I wouldn't receive my last check

I was called into the managers office, I was told I was getting a warning because of attendance, I told them I always gave them Drs notes of why I had to miss work, also they would always ask me for exact details of why I would miss work or leave early, since I started at that job, they supposedly... View More

1 Answer | Asked in Workers' Compensation and Employment Law for California on
Q: I want 6 weeks off for my hernia surgery,, my company has 6 employees , can they deny my time off , do i need to quit?

I am right now on modify duty from a back injury,, will workers compensation pay me for my 6 weeks off for my hernia surgery?? My hernia surgery is not a job injury,, my company has just 6 employees , can they deny me my 6 weeks off for my hernia surgery , even do I am on modify duty from my back... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Feb 20, 2018

I would re-ask this in Employment Law, as it is NOT a Workers Compensation law question. All l am confident is that you can use your Family & Medical Leave Act leave time for you own non-industrial hernia repair recovery with a company of 50 or more employees. So check here:... View More

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