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Texas Workers' Compensation Questions & Answers
2 Answers | Asked in Personal Injury and Workers' Compensation for Texas on
Q: I injured my lower back at work. To the point I will be needing medical treatment I'm sure. How do I start worker's com?
S. Michael Graham
PREMIUM
S. Michael Graham
answered on Oct 9, 2017

You need to report your specific work injury to your employer. I recommend you do this in writing or text or some why to prove you reported the injury. You need to file a DWC 41 form. You need to find out who the workers' comp carrier is and establish a claim with them. You need to know if it... View More

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1 Answer | Asked in Employment Law and Workers' Compensation for Texas on
Q: if you resign your job after you receive an impairment rating does company still pay you rating settlement

I resigned my job after MD release from injury and after 3rd party impairment rating given. The company is self insured and not part of Texas Workmans Comp

Roy Lee Warren
Roy Lee Warren
answered on Oct 5, 2017

Yes, you say they are "self-insured" that has a legal meaning that they still adhere to the wc rules. However, if they are a "nonsubscriber" that is different, but you can sue them for negligence and the case is treated as a personal injury case rather than wc. . As long as they... View More

1 Answer | Asked in Employment Discrimination, Employment Law and Workers' Compensation for Texas on
Q: A proper dx was given on 5/8/2017 herniated cervical disc, I notified employer of this and was told that I have no wc

claim since I have not been employed long enough and no claim was not submitted. I submitted and claim and claim was denied without reviewing the medical records. I was on the job payrole for 90 days with no pay but benefits paid. What do i do?

Roy Lee Warren
Roy Lee Warren
answered on Oct 5, 2017

Their response saying you were not employed long enough is laughable! If you are employed for a moment that would be long enough. Speak with a wc lawyer and pursue your claim. I hope they insist on that defense when you take it to a hearing. File a claim with DWC as soon as possible. Good luck.

3 Answers | Asked in Car Accidents, Personal Injury and Workers' Compensation for Texas on
Q: I was at work, and a taxi drove on the back of my leg resulting in an on-the-job injury. It is on film what can i do?

he drives a taxi belonging to a big company, but he is a "contractor". The driver drove off, and later returned acting as if nothing happened. My managers took care of me and sent me to the urgent care. the xrays show nothing is fractured, however i have swelling, pain, and sharp pains... View More

Roy Lee Warren
Roy Lee Warren
answered on Oct 5, 2017

You have a personal injury claim in addition to the wc claim. Consult with a PI lawyer, most give a free consult and will take your case on a contingency basis so you do not pay until the case is won. As for your wc case make sure you give written notice of your injury within 30 days. You do not... View More

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1 Answer | Asked in Workers' Compensation for Texas on
Q: Should I take the settle the ic wants to offer with just 2 months left before I reach my mmi date,an still have help.

The courts doctor gave an 18% ime rating an the ic doctor gave a 0% but the court doctor made an error with my date so that throws things in the air an I dont should I just go to trial or take there offer an they want Ptsd of the table?

S. Michael Graham
PREMIUM
S. Michael Graham
answered on Oct 5, 2017

If you went to see a designated doctor appointed by the Department of Insurance, then you need to request a Letter of Clarification to get the "mistake" corrected. I'm not sure which doctor's gave you what rating. The RME doctor is the Insurance Company's selected doctor... View More

1 Answer | Asked in Workers' Compensation and Health Care Law for Texas on
Q: Am I responsiblefor my portion of healthcare payments while on workman's.

Employer pays half and I pay half

S. Michael Graham
PREMIUM
S. Michael Graham
answered on Oct 4, 2017

I'm assuming you are referring to your private healthcare coverage and not your workers' compensation. Your employer is not legally required to provide you with any healthcare coverage. Essentially, this is a fringe benefit. For example, your employer could say we will provide you with a... View More

1 Answer | Asked in Personal Injury and Workers' Compensation for Texas on
Q: I received a lump sum settlement back in 2007 for an injury in 2006. It's 2017 and I have had 2 more surgeries

Been out of work for 2 wks. Will require at least 1 more surgery &10 wks off. How can I get more compensation to survive till that I get to go back to work

S. Michael Graham
PREMIUM
S. Michael Graham
answered on Sep 27, 2017

If you receive a lump sum that constitutes a final settlement of all income benefits. Also, income benefits are only due 401 weeks from the date of injury. Bottom line is you can't get any more money from wc carrier. You do have lifetime medical.

1 Answer | Asked in Workers' Compensation, Employment Law and Employment Discrimination for Texas on
Q: I was injured from a man lift onto my spine. Filed a Workers Comp claim. 2 months later was fired.

Have a Workers Comp lawyer fighting for me. Have a EEOC Charge of Disability Discrimination in the Investigation stage and have a chance to get Right to Sue letter. Im also a protected class under ADA guidelines for Disability. Im on SSDI for scoliosis and bipolar. Employer knew this when I was... View More

Juan B Hernandez
Juan B Hernandez
answered on Sep 26, 2017

You might have a workers' compensation retaliation claim under Chapter 451. I am assuming your workers' compensation attorney is helping you with that. If not, you may need to contact an attorney to pursue that avenue. As for your potential disability discrimination claim, more... View More

1 Answer | Asked in Car Accidents, Employment Law and Workers' Compensation for Texas on
Q: Had accident in my car while driving for work. Settled claim w personal coverage. Just found out cmpny is responsible

The accident occurred 2.5 years ago. Minor rear-end. It was my fault. No injured parties. My insurance company paid for a total loss because the cost to replace the air bag and steering wheel/shaft was greater than 75% value of the car. Didn't know that I could've filed the claim under... View More

Peter N. Munsing
Peter N. Munsing
answered on Sep 19, 2017

Assuming your company knew about this, they wouldn't have paid if someone else was primary--and if they did they would have made a claim against them.

By the way, if they didn't know you used your car for work you may want to let it be--otherwise they can cancel you as most...
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1 Answer | Asked in Workers' Compensation for Texas on
Q: Fell at work,tore rotator cuff,can't move arm,surgery denied by wc, waiting on 2nd request. normal? Use of one arm
S. Michael Graham
PREMIUM
S. Michael Graham
answered on Sep 18, 2017

There are many different reasons that a shoulder surgery may denied. Your best bet is to contact a workers compensation attorney to discuss the matter. We will need specific facts. I will be in jury trial all this week. My secretary will be here. She is pretty familiar with the rules. It looks like... View More

1 Answer | Asked in Workers' Compensation and Employment Law for Texas on
Q: I cannot provide an incident date for a work related injury. Can I file a claim still?

I'm a stocker at a local grocery store and I'm on short term disability due to herniated disk in my lower back. I'm also in need of back surgery. I cannot provide an exact date of the incident because it was a gradual increase of back pain over the course of a week or so. I did... View More

Roy Lee Warren
Roy Lee Warren
answered on Sep 13, 2017

Hi, you laid out your question in a clear concise manner so I hope I can provide the same type of answer for you. The type of injury you apparently have is called a repetitive trauma or occupational disease type injury. These type of injuries are notorious for having a date of injury that can be... View More

1 Answer | Asked in Workers' Compensation for Texas on
Q: if I am on 100% WC and my husband takes a job in 4 hrs away I would have to quit my job.If that happens,how will WC wor

I am still on as salary with full benefits. My hand injury will likely cause long term damage including carpel tunnel and limited hand movement. Hand was rolled over by 2,300 pounds and oddly enough my boss is the one who told me to put my hand there.

S. Michael Graham
PREMIUM
S. Michael Graham
answered on Sep 11, 2017

I you are not working and your employer has not offered you any restrictive duty, then you might not want to quit your job. On the other hand, if you are working on restrictions and you move away, then you likely would not be entitled to receive workers' comp income benefits (TIBs). The reason... View More

1 Answer | Asked in Personal Injury and Workers' Compensation for Texas on
Q: IVE BEEN HAVEING MINOR LEG PROBLEMS BEFORE I STARTED MY NEW JOB. MY BOSS WAS AWARE OF MY MINOR PAIN FOR THE LAST 2 MONTH

HE SENT ME TO A JOB BY MYSELF MY LEG IS WORSE AND I SAW A DOCTOR MONDAY. I HAVE LUMBAR DISC HERNIATION. METION ABOUT WORKMEN COMP TO MY BOSS AND HE SAID SINCE IT WAS A PERVIOUS INJURY WORKMANS COMP WILL NOT FOLLOW UP. DOCTOR SAID THIS INJURY IS WORK RELATED. SINCE MY BOSS WAS AWARE ABOUT MY LEG... View More

Roy Lee Warren
Roy Lee Warren
answered on Sep 8, 2017

A couple of things, first you employer does not get to pick and choose which injuries to turn into its insurance carrier (IC). Once it knows you have alleged a WC claim, it MUST file its claim with the IC or it could waive valuable rights to dispute your claim. Also the employer does not have the... View More

1 Answer | Asked in Workers' Compensation, Employment Discrimination and Small Claims for Texas on
Q: They told me that when the Doctor gave me the mmi rating of 5% × 3=15 × 266.00 = to 3990.00 back pay since they stopped

Paying me on November 25 2016 they told me to sigh to get paid then they closed my case what can I do to reopen my case and sue them I'm disabled I had 19 surgeries on my right ankle

Roy Lee Warren
Roy Lee Warren
answered on Sep 8, 2017

Assuming you signed a DWC 24, (an "agreement", but absolutely not a settlement because "settlements" are not allowed in WC) it probably included an agreement that you "agreed" to the MMI and IR given. If so you have a very hard situation because you will have to... View More

1 Answer | Asked in Workers' Compensation, Employment Discrimination and Small Claims for Texas on
Q: Is there any was I can reopen my case they keep on telling me no but I know there's always something a lawyer can do to

Reopen my case

Roy Lee Warren
Roy Lee Warren
answered on Sep 8, 2017

I believe you are correct, a lawyer probably can figure out a way to reopen, particularly if you have it class correctly. WC cases in Texas are not supposed to be closed because they have life-time medical for the injury.

1 Answer | Asked in Workers' Compensation for Texas on
Q: I got workcomp last year. Do I still need to inform them about my current salary and job status? If so , who I talk to?

I got it last year worker comp. And I lost all paperwork from it ( I know my fault. ) It's been over a year now and I'm still worried about if I still need to keep them updated about my current employer info ans my salary? If so , who do I need to speak to? I lost all phone #s. Please... View More

Roy Lee Warren
Roy Lee Warren
answered on Sep 5, 2017

This is easy answer for you. You can call DWC office nearest you, tell them your name and social security number. They can look you up and tell you all about your claim. I am not sure where the closest office would be but perhaps Laredo? You can find their number on the web, Good luck.

1 Answer | Asked in Employment Law, Personal Injury, Workers' Compensation and Energy, Oil and Gas for Texas on
Q: I am receiving TIB. The TD put me at MMI. But I can no longer work in my industry. What happens now ?

My treating doctor put me at MMI. With an impairment rating of 4. He explained that rating number came from range of motion, not pain and lack of strength. How does this affect my TIB? I have only worked oil field, my whole career. I was told that with my injury, I am unable to continue working in... View More

Roy Lee Warren
Roy Lee Warren
answered on Aug 29, 2017

As you probably already know the 4% allows you to receive 3 weeks of IIBs for each point, or 12 weeks of IIBs. Your income benefits end at that point, sorry. But as DWC and the carriers lover to point out, you get life-time medical for your injury, as long as you can prove the medical treatment is... View More

1 Answer | Asked in Workers' Compensation and Employment Law for Texas on
Q: My husband was emptying the trash at his job and was stuck by a hypodermic needle. We don't know where it came from

He called his boss and his boss just gave him a disgusting sigh. My husband hung up mad. His boss never spoke to him about it again. We do not have insurance and believe that he needs to be seen by a Dr at least monthly since we don't know where the needle came from. I believe his boss should... View More

Roy Lee Warren
Roy Lee Warren
answered on Aug 29, 2017

First you need to discover whether the employer has wc insurance. No doubt if it has been more than 30 days since the incident the employer will not remember being told. It would be a good idea to give written notice. This type of injury has VERY specific parameters that must be followed because it... View More

1 Answer | Asked in Workers' Compensation for Texas on
Q: Can I get a copy of how much has been spend on my care under texas WComp
Roy Lee Warren
Roy Lee Warren
answered on Aug 28, 2017

I believe so, just ask the adjuster handing your case if it will give you a printout of the medical and income benefits paid on your claim.

2 Answers | Asked in Workers' Compensation and Employment Discrimination for Texas on
Q: Employer is writing me up for false reasons after w/c claim. I feel like they are trying to fire me. What can I do?

Been with the company for almost 2 yrs. Work injury happened 5/12/17 and the only thing I had prior to filing was a verbal warning with clocking into work 5 mins late when I first started working.

Roy Lee Warren
Roy Lee Warren
answered on Aug 21, 2017

It certainly could be discrimination but depends on the facts. Are others treated differently, does the employer pay bonuses for "no lost time" to employees, many things factor into the analysis.

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