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Complete medical buyout and he wants money for it so he stopped the insurance company from talking to me but he won't talk to me and sends emogyi's instead laughing I sent him a letter if dismissal but he won't stop and the defense don't want sanctions so they keep stating attorney on record
answered on Jan 2, 2019
There is a standard NOTICE OF DISMISSAL form. Just sending it to your lawyer isn't sufficient. You have to send a Copy of the Notice of Dismissal to the Insurer, the Defense Attorney and the Attorney with a Proof of Service by Mail. THEN you have to prepare the Document Cover and Divider... View More
I was injured on the job 22 months ago and was fired while I was still on medical leave. I was able to get my personnel file and peice together some evidence that shows the employer wrongfully terminated me.
It’s been more than a year so I can file labor code 132a. My claim has been... View More
answered on Jan 2, 2019
There is no tolling of the 132a statute of limitations. You have one year from the event to file a claim. However, I believe the SOL for a civil claim is 2 years, so you can still file a civil suit if your case meets the standard for a civil claim. Expect that the employer will raise the exclusive... View More
Having comp w/injury. Does 2nd job bring any conflict to initial settlement
answered on Dec 26, 2018
This question cannot be answered with the information provided. Generally, no, a second job should not have any influence on your WC case unless the employer is seeking apportionment to secondary employment, If I were a defense attorney, I would try to get contribution from the second employer for... View More
It has been two years since my injury. I’ve had two doctors in the mpn saying 100% industrial related. There’s also two pqme that says 100% work related.
My injury is a single accident. It was denied immediately without any investigation. I had an expedited hearing for ttd but the judge... View More
answered on Dec 21, 2018
I think i just answered this question but i'll give it another go. When the Defense attorney comes into evidence tending to show that either the incident claimed never occurred as described or if it occurred there was no labor-disabling condition resulting (no need for treatment and no need... View More
I have been to two hearings for ttd and the judge is now scheduling a third hearing. During the last hearing, the defense attorney already disputed that termination of cause is the reason why I’m not entitled to ttd. I explained to the judge that I never returned to work after my injury and the... View More
answered on Dec 21, 2018
No, because if the claim is accepted there is no reason to have a hearing on AOE/COE. (Arising of employment, Caused by employment). This type of hearing is used for cases that a denied as not being industrial. You need to review your QME report very carefully and see if there is a statement on... View More
My second lawyer has had to fix what the first lawyer screwed up. But I’m not getting no medical treatment for my right shoulder or left hand. Medical treatment is in settlements. They do nothing but deny my claim . Ointments , message and specialists for my left hand. In November 2017 they... View More
answered on Dec 18, 2018
No, the case law is clear you cannot file a claim for stress related to litigating a workers compensation case.
There may be a remedy however if your employer is discriminating against you in any way for filing a WC case.
I had an expedited hearing for ttd but the judge didn’t bother to look at my reports. He rescheduled to an MSC because I had a qme evaluation the following week.
I have the qme report that says ttd should the employer not provide modified work. I also have the ptp’s PR-2 report that... View More
answered on Dec 17, 2018
1) No one can predict what a carrier will do. While you should have already started receiving TTD benefits based upon your question, the penalties for late payment are almost never enforced. The courts don't care as long as defendants can put forth some explanation for the delay, for example... View More
I work for a firm that sells directv out of costco and I only get like 12 hours a week if that. I get payed hourly... unless I make more then 3 installs in one week then I get 160 per install. If i make 4 or more installs in 1 week I get 190 per install. Is this legal? I thought the law was... View More
answered on Dec 13, 2018
Sorry, this is not a workers comp question. You are in the wrong forum.
answered on Dec 11, 2018
Simply put... if you get injured at work... you don't have to prove you were not negligent nor do you have to prove your employer was negligent. You got hurt at work... you are covered...(unless you were fooling around and caused your own injury)
My work comp case is closed they were denying all medical request thru my work comp doctor so my doctor and attorney at the time stated that I needed to seek immediate medical treatment for my injury and that by law I am able to use my own insurance. My insurance paid all my medical bills but now... View More
answered on Dec 3, 2018
I think the best thing you can do is rely on your attorney to fight the worker's comp carrier. I have more experience on third-party cases than worker's comp cases. However, depending on the circumstances you may have both a worker's comp case and a third party liability case... View More
The adjuster sent me a package and gave me ten days to dispute any non-medical record. I had disputed to some of the non-medical record. I received another package a few days later that is basically the same except it had a five page cover letter giving their opinion. How can I confirm that the... View More
answered on Dec 3, 2018
"Basically the same" is too vague for comment. Either the materials you objected to were removed, or they were not. At this point your options are keeping the QME appointment, or writing the adjuster a letter saying you will not attend the QME until such time as your objections have been... View More
I recently went to see the qme and he says that he wants to try physical therapy to see if it will help with my injury. The adjuster told me that I can only see my ptp for 24 months and it’s pretty close to it. Do I need a new ptp or do I just go see the qme for treatments.
answered on Nov 28, 2018
You don't get ANY treatment unless and until (1) a physician from the Insurer's Medical Provider Network sees you and requests that treatment by way of a Request For Authorization form and (2) the adjuster OKs that Request for Authorization form. A QME is just an evaluator, never a... View More
The first qme says injury is industrial related and modified my work duty. He requested for mri because he did not have ptp reports or x-rays from 2 other doctors. I’m not sure how he reported no impairment with out all the medical reports. One of my restrictions was no lifting of more than 10... View More
answered on Nov 27, 2018
First it would be pure guess work for someone to comment on the adequacy of a medical report without reading it, so I cannot address the issues of MMI or TTD. If the PQME is retired you can ask for a replacement panel by downloading the form from the DIR workers compensation website/forms. That is... View More
I was injured at work and my claim was denied. On the day I was terminated, the employer offered to pay two days but I was too shocked to ask them why. I didn’t work that day and I was there to see why HR didn’t return my calls. I went to give my dr note to my boss. The insurance carrier... View More
answered on Nov 26, 2018
No. The insurance carrier will not pay any benefits because your claim was denied. Being terminated has nothing to do with your workers' compensation case except in rare circumstances. You can proceed with your WC case and you will probably need representation.
Yes, you need to... View More
I was advise by I&A that I can bring my medical evidence to the expedited hearing and he will decide if I am entitled to ttd. I brought the ptp’s pr-2 report showing ttd but the carriers attorney told the judge it wasn’t the ptp who did the evaluation. The judge took their words for it and... View More
answered on Nov 26, 2018
Welcome to California workers compensation. This is why you should have an attorney. At this point you must file a petition for removal. Without knowing exactly what the PTP reports say, it is not possible to make an informed decision regarding why the WCJ did not award TTD, but consider that the... View More
My workers comp claim was denied but after seeing two qme’s, the insurance carrier has accepted all medical and all doctors reports with dates of ttd period. They just won’t pay ttd benefits. I’ve alread had an expedited hearing for ttd and they judge didn’t want to make a ruling because... View More
answered on Nov 23, 2018
Yhe only eay to insure the payments are made is to return to court. If the medical reports are favorable and support TTD i suggest you file a penalty petition for unreasonable delay and ask for a 25% increase in TTD for the late payment. As for 14 days, when the claim was accepted the benefits... View More
answered on Nov 23, 2018
Workers comp benefits are not considered community property if the applicant is separated when they are received. Because we do not know the status of the applicant when the mortgage was paid off, the question cannot be answered. You should ask a divorce lawyer
I was terminated so my employer never offered any modified work. It’s been more than a year since the date of my injury. How can I qualify for this benefit?
answered on Nov 21, 2018
From the information you provided the question cannot be answered. However, generally the employer is required to provide the voucher within 25 calendar days from the issuance of the permanent partial disability award by the workers' compensation administrative law judge or the appeals... View More
My claim was denied and filed for sdi. My sdi lien is effective as 3-1-17.
I saw qme in September of 2017 and wanted mri done and will send his supplemental report. He did his report in June of 2018 and list mmi date back to the day of evaluation.
My ptp has ttd from April 2017... View More
answered on Nov 19, 2018
First, if there is retro TTD, it will be used to pay EED, so there will be a lien for payments beginning 3/1/17. In other words, there will be no additional money for you for 52 weeks. However, TTD is paid for 104 weeks, so after EDD is reimbursed, you should get TTD payments from the last payment... View More
I went to my hearing and the judge rule opposite of what I was requested. He didn’t look at my evidence and he agreed with the defense without any evidence to support their claim. I went to I&A to file complaint and possibly a motion to dismiss. They are now telling me that I will be getting... View More
answered on Nov 16, 2018
If the judge approved the motion to dismiss, then you must file a Petition for Reconsideration within the statutory period or the ruling will be deemed permanent.
As for the new judge, it is common for the court to change judges, especially after a complaint.
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