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California Workers' Compensation Questions & Answers
2 Answers | Asked in Workers' Compensation and Employment Law for California on
Q: I am off and getting 4850. I want to travel on vac with family. Can employer stop 4850 and make me use vac time?

CA Police Officer. Can employer require that I notify them if I am travelling and make me use vacation time instead of paying me 4850 even though I have medical certification that I am unable to work?

Domingo R. Castillo
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answered on Oct 14, 2016

As a general rule, no. Whether you are at home, hospital, staying with friends or on a short vacation, not employed elsewhere, and not doing any activities that are precluded by your work Comp doctors (PTP) or Primary Treating Physician, you should be okay. However you will need to attend all your... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: I had two Carpal Tunnel releases in less than a year. The first doctor that Worker's comp set me to, did not do the

release properly. My new Doctor had to do a second release 10 months later. Still recovering. Is it reasonable to have my lawyer ask to settle at sixty thousand, and negotiate down to forty thousand? Before second surgery, insurance company was having my lawyer call me to give them a number to... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Oct 11, 2016

I can't tell from these facts. Getting two surgeries gets you $0.00 if you fully recover, so getting repeat surgeries 10 months apart just means your attorney let an incompentent doctor slice on your twice.

There is zero 'pain & suffering' in Workers Comp, so there are...
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2 Answers | Asked in Employment Law and Workers' Compensation for California on
Q: Can a job provide accommodations for months and then say they won't anymore?

I have a back injury I got at work and am on workmans comp and for six months I've been accommodated and now work is saying they won't do it anymore and want to move me to another lower paying position. They can still accommodate me if they choose to. Is this legal?

Ali Shahrestani,
Ali Shahrestani,
answered on Feb 8, 2017

See: https://www.eeoc.gov/policy/docs/accommodation.html

More details are necessary to provide a professional analysis of your issue. The best first step is an Initial Consultation with an Attorney. You can read more about me, my credentials, awards, honors, testimonials, and media...
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1 Answer | Asked in Personal Injury, Workers' Compensation and Health Care Law for California on
Q: so a license physical therapy assistant (PTA) can work under supervision of a Physical Medicine & Rehabilitation doctor.

we understand that the cap for PT is 24x unless there's surgery involved for WC. We are a multispecialty clinic, are we complaint with the Stark Laws for physical therapy since it would be a supervised in-office therapy services?

Peter N. Munsing
Peter N. Munsing
answered on Oct 6, 2016

You would want to check with the PT association for California--they could best tell you what is and isn't compliant, paperwork you may need etc.

1 Answer | Asked in Workers' Compensation, Employment Law and Health Care Law for California on
Q: can a physical therapist assistant (PTA) work under a PM&R physician instead of a physical therapist?

this is in regards to physical therapy treatment.

Nancy J. Wallace
Nancy J. Wallace
answered on Oct 5, 2016

For purposes of treatment under 4600 of the Labor Code, anybody can deliver physical therapy. A 'massage' therapist, a chiropractor, a medical 'assistant' at a clinic ,,, IF the patient accepts services from sub-standard untrained staffer and the clinic bills that out as... View More

1 Answer | Asked in Workers' Compensation for California on
Q: never received ttd on my case but doc recently put restrictions on work. can i get ttd now even if i am not working.
Nancy J. Wallace
Nancy J. Wallace
answered on Sep 30, 2016

You're in Florida asking about a California Workers comp case... so, IF YOU are labeled Temporarily Totally Disabled from your CALIFORNIA job by a physician within the Medical Provider Network for that employer's comp insurer (no, you can't use your florida chiropractor), only THEN... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I'm Trying to sue State Compensation Insurance Fund, they asked me to pay $5500!

They are charging me because I have to pay commission to hotels to get limousine jobs, I have a transportation company and this is customary for us to pay commission to the bellman or front desk agents for referrals, they looked at the checks I paid to these agents in my bank account and counted... View More

Ali Shahrestani,
Ali Shahrestani,
answered on Feb 12, 2017

Have a lawyer review the details of the case. Did you make an appearance in the suit against you? More details are necessary to provide a professional analysis of your issue. The best first step is an Initial Consultation with an Attorney. You can read more about me, my credentials, awards, honors,... View More

1 Answer | Asked in Workers' Compensation and Employment Law for California on
Q: Am I required to use my PTO or CA SL hrs to cover missed time going to Dr appts and PT for a WC injury?
Nancy J. Wallace
Nancy J. Wallace
answered on Oct 11, 2016

The employer does NOT have to pay wages for time in treatment... that is a urban legend that just isn't true. THE SOLUTION: insist on treatment before or after work. YOU ARE NOT required to stay with a physician who only makes appointments that force you to miss work. SWITCH to another... View More

1 Answer | Asked in Workers' Compensation for California on
Q: My case is almost resolved, my Dr. sent the final supplemental report, & waiting for authorization from opposite side

What is the authorization for, and how long is this suppose to take before everything is settled after the authorization has been received by my Doctor and lawyer?

Nancy J. Wallace
Nancy J. Wallace
answered on Aug 31, 2016

Authorization is ALWAYS about money! How long is it 'supposed to' take? Sad to say, there is no set time. If the Insurance Adjuster thinks the Treating doctor's opinion is too generous and you really don't have as much disability as the Treating Doctor writes, then she can... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I am going to court for workers comp case and the Dr just released me back to work will i still receive money

Will I receive checks until court is done

Also I have no job to return to because I was laid off while having surgery and recovering

Nancy J. Wallace
Nancy J. Wallace
answered on Aug 31, 2016

Do you receive money when the treating physician writes you can return to all pre-injury work? Maybe.

You will NOT receive Temporary Total Disability indemnity, so no more TTD or TPD checks.

The day the Treating Doctor says "this is your final visit; you don't have to...
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1 Answer | Asked in Workers' Compensation for California on
Q: I am able to apply the old schedual 1997 to my WC case. is it much better than the 2005 scheduale? Would it be better

I was found 100% disabled and P&S on

11-12-2003 by my primary treating phyasician. I am trying to settle my case after 17 years. Its been draged on and delay by the Defence Attorneys? .

Nancy J. Wallace
Nancy J. Wallace
answered on Aug 31, 2016

For 100%, the Labor Code says you get the Temporary Disability rate payment every week for life... so it doesn't matter which 'schedule' you use.

NOW: if the defense attorneys are offering some lump sum based on 90%, it's most likely a little higher on the old 1997...
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1 Answer | Asked in Employment Law and Workers' Compensation for California on
Q: Is it legal for work related interview from insurance company to interview coworker about your medical condition
Ali Shahrestani,
Ali Shahrestani,
answered on Feb 18, 2017

See: https://equity.ucla.edu/wp-content/uploads/2016/06/Questions-to-Avoid-dfeh-161.pdf

More details are necessary to provide a professional analysis of your issue. The best first step is an Initial Consultation with an Attorney. You can read more about me, my credentials, awards, honors,...
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1 Answer | Asked in Employment Law and Workers' Compensation for California on
Q: Hi I'm out on a workers comp injury and sustained another injury unrelated. Neither are complicated. Do I need lawyer?

I will likely need a few more weeks off work to heal second injury. There will be overlap.

Ruben Montoya
Ruben Montoya
answered on Feb 10, 2017

You should get an attorney. There are many factors that come into play. For example if you are out on a knee injury and you were walking and due to your WC injury you incurred another injury not at work a good WC lawyer will fight to establish that due to your WC injury you incurred this new... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I have an open workers comp case. Can they place a surveillance camera on private property to watch me and my family?

I found a egg shaped "game camera" just on the other side of my property pointed directly at my property.

Ruben Montoya
Ruben Montoya
answered on Mar 3, 2017

They can do surveillance on you however they cannot place cameras on private property without consent.

1 Answer | Asked in Public Benefits, Social Security and Workers' Compensation for California on
Q: What does ssi offer for someone that receives a lump sum so they don't loose there ssi benefits?
Ruben Montoya
Ruben Montoya
answered on Mar 9, 2017

Cannot really understand your question. If you are asking what does Social Security Indemnity offer for someone that receives a WC lump sum settlement the answer is nothing. If you want to know how to not lose SSI benefits when receiving a lump sum the answer is the hartman formula which based on... View More

2 Answers | Asked in Workers' Compensation for California on
Q: I slipped in chemicals at work an im still getting Dr bills when it was a wc issue wat do i do
Nancy J. Wallace
Nancy J. Wallace
answered on Mar 8, 2017

You have to file a Workers Compensation Claim Form or there is no workers comp claim. If the treating physicians are sending the bills to you and not to the workers comp insurance carrier, you are seeing the wrong treating physicians. The Workers Compensation Claim form should be faxed to the... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: I hurt my knee at work in March of 2013. Filed a workmans comp claim. Had surgery in June of 2013. Was released from

Dr in June of 2014. I have not received anything from the workmans company about what happens next or my rights. What should have happened. Should I have been offered a settlement?

Ruben Montoya
Ruben Montoya
answered on Mar 9, 2017

The doctor should have given you some Impairment rating. You should be getting paid Permanent Disability Advances based on the rating of indemnity. If you did not get indemnity based on report you need to object to it and request a PQME. BUT WHAT YOU REALLY NEED IS AN ATTORNEY. Good Luck!

1 Answer | Asked in Workers' Compensation for California on
Q: Can the claimants attorney contact the MSA company to ask for a report stating it isn't applicable to the WC case?

WC case filed 3 years ago and pending settlement. Defense is now asking for MSA when settlement will be close to 100k. I don't get SS yet and was denied but filed for a hearing. I asked my attorney's office to contact the MSA company to ask for a report saying it isn't applicable... View More

Ruben Montoya
Ruben Montoya
answered on Mar 9, 2017

There are a lot of other factors to consider. Your age (if you are 60 an MSA would be necessary), if you appealed denial you are pending a decision and might be eligible however if this is the case you can submit documentation that you are withdrawing your appeal decision and sign documents that... View More

1 Answer | Asked in Workers' Compensation for California on
Q: highest amt for msa w/o red flags from judge or ss

Calif. case1998 retired for 4 years. Bi-lateral knee replacements with both feet incl.

Peter N. Munsing
Peter N. Munsing
answered on Jul 22, 2016

Not sure what you mean by red flags, but if you mean that you will try to get this without social security knowing, don't. Federal fraud isn't pretty, nor is state fraud. Retired doing time isn't great either. Pelican Bay isn't a seaside resort.

Why not get a free...
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1 Answer | Asked in Workers' Compensation for California on
Q: Fell @ work filed a report. Im working & have WC DR & PT apts. Work wont allow sick or vacation 2 cover loss pay.Legal?

Employer insisted I see WC Dr. who prescribed Physical Therapy. The PT is working but both the Workers Comp Dr & PT is only open during my business hours. It seems there is only 1 WC Dr office in the area and appointments regularly run 1 or 2 hours late (sometimes more.) I am loosing 6 or... View More

Peter N. Munsing
Peter N. Munsing
answered on Jul 22, 2016

Contact a member of www.caoc.org who handles workers compensation cases in your area--they give free consultations.Seems to me under most state laws comp should pay you for the time (but that will be at the comp rate).

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