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California Workers' Compensation Questions & Answers
1 Answer | Asked in Workers' Compensation for California on
Q: I got into car accident en route to a worker's compensation hearing. I'm having pain. Can I file a work injury claim?
Ronald Mahurin
Ronald Mahurin
answered on Nov 15, 2018

No. This is not considered part of your WC case. Only travel to medical appointments is covered.

4 Answers | Asked in Employment Law and Workers' Compensation for California on
Q: Worked as a "per diem" physician at Kaiser. Injured in parking lot after shift. Worker's Comp vs peronal injury?

As a per diem at Kaiser, we are not regular employees. We are paid with w-2, and covered under worker's comp ( med tx and biweekly payments), but not afforded other regular benefits including modified duty (policy for employees is 90 days at close to, or normal pay), and job security. After... View More

William John Light
William John Light
answered on Nov 14, 2018

Workers comp is a virtually guaranteed recovery. Even though you were off work, being injured in the parking lot will be considered.

Alternatively, PI claim will also be possible. Recovery is less certain, but larger. I don't believe that both claims will be allowed so you will...
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1 Answer | Asked in Workers' Compensation for California on
Q: Are there any exceptions to the rule for labor code 132a past the one year statue?

I was injured on the job and the doctor reported it as compensable and modified my job duties. I was terminated on the day that the doctor release me to work if there was modify work.

The employer told me I was terminated for not following procedure for an incident that happened a month... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 14, 2018

I do not know of any exceptions for the Statute of Limitations for a 132a claim. The statute simply says one year from the incident. So it is probably too late for a 132a.

However, if the dismissal was as egregious as you say, there may be other remedies, though I think it is also too...
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1 Answer | Asked in Workers' Compensation for California on
Q: My car was a hit and run in the parking lot, at my worker's comp hearing. Can I be reimbursed for the damage?
Ronald Mahurin
Ronald Mahurin
answered on Nov 14, 2018

Not through workers compensation. Court Hearings are exempt. You cannot get reimbursements for attending a hearing. Your only option is to proceed in the civil courts if your car insurance company for some reason refuses to provide coverage.

1 Answer | Asked in Workers' Compensation for California on
Q: Is “date of last incident” the last day I worked or is it the last date of misconduct?

I was terminated for misconduct after I returned with doctors note for modified duty. The reason they gave me was that i did not follow procedure from a month prior to my injury.

I received my report today and I found the seperation papers. On the file it says I was terminated misconduct.... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 14, 2018

If you have a valid workers compensation claim, and you were on modified duty when you were terminated, AND the employer was unable to provide modified work that fit your limitations, then yes you have a 132a discrimination claim before the Workers Comp Appeals Board. Within the 132a you can argue... View More

1 Answer | Asked in Workers' Compensation for California on
Q: What is the strategy of the defense for scheduling an msc less than thirty days after qme appointment.

I have an msc next month but the qme report will not be available before the msc hearing. I have a qme and ptp report from last year but I’m not sure if the defense wants to use those at msc. The qme report just gives mmi date and not much more. The ptp report has two separate rating. If the... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 12, 2018

It's impossible to know what defendants are thinking without more information. However, if your medical providers have found you MMI and the defendants have requested an MSC, my guess is the defendants want to close out the case before you can get additional discovery or amend your case.

2 Answers | Asked in Workers' Compensation for California on
Q: Can the insurance carrier deny your benefits for something that they’ve known for almost two years

I have been appealing my claim for over a year and a half and I just received a denial letter saying they accepted the doctors report of ttd and dates but are denying benefits because I was terminated for cause. Why did they wait this long to send me this letter? They have known of this and has... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 12, 2018

Yes, the insurance carrier can deny your case at any time. However, there may be consequences if the denial is improper. Technically, if your claim is not denied within 90 days of notice, then it is presumed to be a work injury by statute. This appears to be the case with you.

At this...
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2 Answers | Asked in Workers' Compensation for California on
Q: Will I need an attorney if I don’t want to settle?

I have rejected every offer From the defense attorney. They could not explain how they decided on that offer. They wanted to close out future medical at $4,000. The last one I refused was with open medical. These were all offered with a two week span and they never explain why or how they decided... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 10, 2018

When you get to the MSC the WCJ will look over the medical file, then determine if the evidence is substantial. If the medical reports support your disability, the case is essentially done unless someone disagrees with the rating. Defendants will tell the court the basis of their close out offer... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: Why would the Insurance carrrier change attorneys?

My workers comp has finally been accepted and the insurance carrier decides to change their attorney. I thought it was just a delay tactic but it doesn’t seem cost friendly to hire counsel when I’m not represented. I’m a bit worried that this will delay things further. Why would they changed... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 9, 2018

It is very common for new attorneys to take over cases. If the same defense law firm is handling your case, not much should change because you will still have the same insurance adjuster on your case. I have cases where I am on my fifth or sixth defense attorney. Turnover is a challenge to most WC... View More

3 Answers | Asked in Workers' Compensation for California on
Q: Can I sue over wrongful termination

Hi I got injured at work and they had to rush me to the E.R I received workers comp for two weeks and they terminated me after the pee tested positive for marijuana I had a medical card at that time but they didn’t drug test me before hiring me and that is there policy

Ronald Mahurin
Ronald Mahurin
answered on Nov 9, 2018

You can always sue, but that does not mean you will win. In California you cannot bring a wrongful termination suit before the workers compensation appeals board WCAB, so you want to find a civil attorney practicing employment law, not a workers compensation attorney.

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2 Answers | Asked in Workers' Compensation for California on
Q: In a CA workers comp case can the Ins Co deduct child support from award that I already paid from my TD checks?

I had owed back child support and in 2017 I fulfilled my obligation to child support. All the payments were paid out of my TTD checks how can they say I need to pay the money back to them when it was taken out of my own checks?In a CA workers comp case I was paid my TD payments and out of those... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 7, 2018

The insurance company will get credit for any payments made for child support. However, since the payments were made from your temporary disability, as you say a percentage was paid, there should be no further deductions from your award. The insurance carrier is only responsible for paying 104... View More

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2 Answers | Asked in Employment Law and Workers' Compensation for California on
Q: Does "sick pay" medical benefit payments qualify as a salary continuation plan as justification to avoid a WC penalty ?

Employer continued to pay wages out of accrued sick pay benefits after the injury was determined to be compensable.

Nancy J. Wallace
Nancy J. Wallace
answered on Nov 1, 2018

IF what you are trying to say is that the INSURER did not pay Temporary Disability indemnity AT ALL, then no, a penalty is due. But if you are trying to say the Insurer paid 2/3 of your average earnings PLUS the employer used accrued benefits to add to that to make a full paycheck with... View More

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1 Answer | Asked in Workers' Compensation for California on
Q: I am on wc through my job still working was just told company wide my job is being eliminated I am on lite duty

There will be two full time positions but my GM told me the only way I can apply is if I get workers comp doctors to release me. I went through physical therapy, and doing acupuncture know and its not working ortho doctor ordered for me to have a MRI waiting for them to call me they told me I will... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 1, 2018

The GM is correct, you cannot return to work without a physician's release, or a report giving you permanent restrictions which the employer can meet. The answer to your question is that you should be receiving workers compensation benefits because you have not been released by your doctor.... View More

1 Answer | Asked in Workers' Compensation for California on
Q: what steps do I need to take to have insurance carrier to pay benefits if my claim is now accepted.

My claim was denied but it is now accepted. It was accepted a year ago but they told me it’s denied. They have come up with numerous reasons as why I’m not being paid benefits for loss wages. They can never provide any reasons. They have all the doctor report but refuse to pay. They always back... View More

Ronald Mahurin
Ronald Mahurin
answered on Nov 1, 2018

The only recourse is to go to court and have the WCJ order them to pay. No matter what the status of the acceptance/denial, if the insurance company is not paying benefits and the medical records supports those benefits, you must seek court help. If you believe the lack of payment is in bad... View More

1 Answer | Asked in Workers' Compensation for California on
Q: Are independent contractor home care workers covered under Workmans comp in California?

M y insurance agent says the worker is covered underworkmans comp in her homeowners policy.

Ronald Mahurin
Ronald Mahurin
answered on Oct 31, 2018

It is a difficult question because there are very specific requirements for someone to be considered an "Independent" contractor. You must be very cautious because the workers compensation laws favor injured workers and if the "Independent" contractor is found to be an... View More

2 Answers | Asked in Workers' Compensation for California on
Q: in California workers comp system can you get cost of living increase?

I have been in the workers comp system for 18 years and my pay is 2/3 of my weekly rate based on my earnings of 18 years ago shouldn't I receive cost of living increase ?

Steven James Foster
Steven James Foster
answered on Oct 29, 2018

The Cost of Living Adjustments (COLA) apply to work injuries occurring on or after January 1, 2003.

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1 Answer | Asked in Workers' Compensation for California on
Q: What can I do to make sure WC is offering me a fair settlement? Are there other options they're not telling me about?

The final report from the Dr. regarding my WC injury is that I am permanent stationary. I have tendonitis up to my elbows in both arms & have had it for over a year now but am recovering. WC is offering me to either settle my case for $5,000 or for me to keep it open in case I need any future... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Oct 24, 2018

If an insurance adjuster offered it voluntarily, KNOW is the the very, very lowest possible amount the adjuster thinks a workers comp judge might approve. $5000 is 'nuisance' value, the amount they offer for a worthless claim with zero disability to just go away and not bother any one... View More

1 Answer | Asked in Tax Law and Workers' Compensation for California on
Q: If you receive settlement money from a Worker's Comp. case, will it be taxed?
Nancy J. Wallace
Nancy J. Wallace
answered on Oct 24, 2018

unless the Award specifies it is repayment of wages earned but never paid (extremely unlikely, the WCAB Judge has no jurisdiction over wage claims), then the Workers Comp award is a non-taxable event. It is payment for surrending rights to further treatment and permanent disability award, it is... View More

1 Answer | Asked in Workers' Compensation for California on
Q: I’ve been on workers comp for 3 yrs my PTP (I’ve had 4) & the QME all agree on my permanent disability.

I am now at MMI & I’ve been rated by the DEU. I can no longer do my job & I was approved for SSDI. My attorney has sent a “demand” to the claims adjuster to settle my case. Will I have to go to a deposition or is that only for cases which are denied? I have a MSC coming up in less... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Oct 24, 2018

Your attorney will take THOU$ANDS so if you cannot talk to her, you need a different attorney!!! Injured workers are deposed more in accepted cases than denied, so it is possible there could be deposition still. If you really meant to ask if there would be a TRIAL, yes, if the defense fails to... View More

1 Answer | Asked in Workers' Compensation for California on
Q: Can you file a workers comp claim for migraines/closed angle glaucoma from migraine medication?

I was having migraines almost everyday due to stress from work. My dr. prescribed me Topimarate for the migraines. I started the medication in June. When the pharmacy changed the manufacturer of the medication I began having vision problems. After the vision problems not getting better I went to an... View More

Nancy J. Wallace
Nancy J. Wallace
answered on Oct 22, 2018

Can you file a claim? Yes. Will it be accepted? Most likely, no. Stress claims are regularly denied. Labor Code 4660.1 says the employer has no responsibility for psychiatric injuries generally, with these exceptions:

(A) Being a victim of a violent act or direct exposure to a...
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