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Texas Workers' Compensation Questions & Answers
1 Answer | Asked in Employment Law, Personal Injury, Workers' Compensation and Construction Law for Texas on
Q: Do I have a "pain and suffering" case?

I deliver lumber for a company. On Oct 20, 2023, I was delivering a load to a job site where the lift fell into a septic tank, which resulted in tearing my rotator cuff. I found out that the builder knew the septic tank was there, but only placed small flags to mark the area. Considering that... View More

S. Michael Graham
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S. Michael Graham
answered on Jan 30, 2024

You may have established the basic facts for a claim for negligence (failure to properly warn) against the land owner and/or builder of the premises. Lawyers refer to this as a third party claim since you also have a claim for workers' compensation.

1 Answer | Asked in Workers' Compensation for Texas on
Q: If I was let go from my job because of my injury, can I steal get my impairment, income benefits in a lump sum?

Everywhere I read, it says I have to return to work for three months in order to receive my impairment, income benefits in a lump sum, is this true if I was let go of from my employer, because of the injury

S. Michael Graham
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S. Michael Graham
answered on Dec 27, 2023

Yes. That's true. Contact OIEC 1-866-393-6432 or an attorney of your choice to verify. You must have worked for 3 months earning 80% of pay.

1 Answer | Asked in Workers' Compensation for Texas on
Q: If I’m ready to be released back to work and I feel my doctor is just dragging it out, can I demand to be released back?

I am ready to go back to work but i feel my doctor is dragging it out. Can I request to be released to go back to work or can the doctor refuse to release me?

T. Augustus Claus
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T. Augustus Claus pro label Lawyers, want to be a Justia Connect Pro too? Learn more ›
answered on Sep 29, 2023

Generally, a doctor has a professional responsibility to only release you to go back to work when it's medically appropriate. If you disagree with your doctor's assessment, you may seek a second opinion.

Q: ERISA502(A) My employer's Workmen's compensation plan is based on this part of the law, but they are not compliant.

They are not providing proper medical care

S. Michael Graham
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S. Michael Graham
answered on Aug 19, 2023

My law office doesn't handle ERISA claims. If your claim does not involve negligence on behalf of the employer or other third party, it is almost impossible to obtain legal representation. For this reason, the Carrier's offer little to no support. I like to refer to it as fake... View More

1 Answer | Asked in Workers' Compensation for Texas on
Q: Won CCH hearing. And was awarded benefits up until date of hearing. The insurance company appealing the decision.

Do I have to wait until the appeal panel decides or do I receive my benefits now

John Michael Frick
John Michael Frick
answered on Jun 14, 2023

If the benefits are TIBs, you should receive them promptly but they will be subject to clawback if the carrier wins your appeal from any future IIBs.

1 Answer | Asked in Workers' Compensation for Texas on
Q: The report from the IR reviewDr was delivered the same day as my hearing. Didn’t get to read it. How is this legal?

A designated Dr agreed I had compensable injury. Carrier has an IR Dr. Examine me. His report was fairly neutral & recommended more testing. The IR report shows up minutes prior to final hearing! I didn’t have a chance to read it. Was this dirty pool or typical for workers comp cases in TX?

S. Michael Graham
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S. Michael Graham
answered on May 17, 2023

If the report was not timely exchanged before the hearing, you could have objected to the admission of this exhibit. It's not dirty pool in my opinion. The lawyer probably just got the report. His duty to his client is to try to get it into the trial. It's your job to object to the... View More

1 Answer | Asked in Employment Law, Workers' Compensation and Civil Litigation for Texas on
Q: Can I sue for being terminated for accidently falling asleep at my home desk.

I work from home and accidentally fell asleep at my desk, I work two jobs and goto school which I had clarified to my boss before the incident and she was actively working with me to find solutions (ie scheduling myself PTO/UTO.) I had came back from my scheduled time off and was terminated... View More

John Michael Frick
John Michael Frick
answered on May 9, 2023

Probably not.

It isn’t unlawful employment discrimination. Unless you have a contract that limits the reasons your employer may terminate you which doesn’t encompass falling asleep during your workday, you don’t have any legal recourse under the facts presented.

1 Answer | Asked in Workers' Compensation for Texas on
Q: Does my Texas company have to approve the MRI that the Medcor doctor has ordered?

I was injured at work and my company through Medcor sent me to a doctor. The Medcor doctor ordered MRI'S on my back for this coming Wednesday and a pain doctor on this coming Friday. Now my boss says that the company has to ok the tests. Is that true? First my boss would not make accomodations... View More

John Michael Frick
John Michael Frick
answered on Jan 15, 2023

Your employer has no say over what care your doctor provides or prescribes for you.

Your employer’s workers compensation carrier will disregard its wishes in this regard

1 Answer | Asked in Employment Law, Workers' Compensation and Employment Discrimination for Texas on
Q: Hi Carla the EEOC office give this number my situation is hard because they don't payme my bonus and also take my insu

They take my insurance in February and they fired me March and also I thing they.broke the rules and they have alot favoritism I work for 20 uears6

Jaime Victor Papa
Jaime Victor Papa
answered on Jan 10, 2023

It is difficult to understand your question, but if you have been discriminated against in some way you may have a claim. I would need to learn more.

1 Answer | Asked in Workers' Compensation, Health Care Law and Insurance Defense for Texas on
Q: If I return to full duty at work, is the responsibility of the insurance carrier over?

I injured my right knee during a slip and fall at work. The injuries are a complete tear of the ACL, partial tear of the MCL and buckling of the PCL. I have arthritis in me knee and the only surgery that me doctor will do is a complete knee replacement. The Worker’s Comp insurance carrier said... View More

S. Michael Graham
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S. Michael Graham
answered on Sep 15, 2022

It is very difficult to prove a total keen replacement is due to your work related injury. You will need an expert medical opinion to state all the conditions for which you need the total knee replacement are a result of the work injury within a reasonable medical probability. If you prove this,... View More

1 Answer | Asked in Personal Injury and Workers' Compensation for Texas on
Q: I was assault bye a shoplifter injuring hip and lower back

I was hurt on the job

Tim Akpinar
Tim Akpinar
answered on Aug 27, 2022

A Texas attorney could advise best, but your question remains open for two weeks. At this point, you could reach out to workers' comp attorneys to discuss your matter, since your injury took place in the course of employment. An experienced attorney should be able to outline any other causes... View More

1 Answer | Asked in Workers' Compensation for Texas on
Q: My workman’s comp Dr released me to go back to work but the regular Dr didn’t. What will happen if I returned to work?

Regular dr paperwork had a return to work date. I asked if I had any appointments the office said no. I went to see the workman’s comp Dr and he released me back to work per the notes from the regular Dr. I was back to work for 3 days. Started physical therapy and needed a refill on medication.... View More

Tim Rose
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Tim Rose pro label Lawyers, want to be a Justia Connect Pro too? Learn more ›
answered on Aug 19, 2022

It is ultimately your decision whether to return to work and what is best for your health. Workers comp may decide not to pay you for the days you missed since their doctor has released you to work. You could also contact the work comp doctor and ask them to reconsider your work status based on the... View More

1 Answer | Asked in Employment Law and Workers' Compensation for Texas on
Q: I am currently going through wokers comp because of an injury at work. When my employer gave them my wage statement

For the last 13 weeks they put down 20 hours, 33 hours, 30 hours, 40 hours etc. I was actually working a ton of overtime. 60 hours, 60 hours, 58 hours, 48 hours, etc. there was only 1 week that I worked 38 hours and that was because I hurt myself on a Thursday and left early. The head... View More

S. Michael Graham
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S. Michael Graham
answered on Jul 6, 2022

If you have a claim filed through the Texas Department of Insurance, Division of Workers' Compensation, you have the right to challenge the wages your employer has listed at an administrative hearing. The easiest way is for you to get copies of your paycheck stubs to document your actual wages... View More

1 Answer | Asked in Workers' Compensation for Texas on
Q: I have to file a lawsuit in District court against Workers compensation company. the appeal panel didn't make a statemen

There were 4 witnesses to the accident, and 3 separate doctors, including a state designated doctor, stated my injury happened at work. The Designated Doctor used ICD10 codes. The original doctor used ICD9. The ALJ stated in his ruling that he didnt know why the doctor changed diagnosis codes and... View More

S. Michael Graham
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S. Michael Graham
answered on Mar 1, 2022

You may be able to win your case in district court. The problem is that it is very time consuming and expensive to go into district court. For example, to have a doctor testify on your behalf or to even take the doctor's deposition, you are looking at about 5K. The lawyers fees in district... View More

1 Answer | Asked in Workers' Compensation and Employment Law for Texas on
Q: My manager wants me to perform two different job positions with a different level of pay without compensation for it.

During the past year, I have been asked to perform multiple duties that higher-level employees perform. I have asked for a promotion and was denied. According to my new manager, I don't do enough to be a team player that deserves a promotion. I have been performing all the extra duties I have... View More

Rhiannon Herbert
Rhiannon Herbert
answered on Feb 16, 2022

There is no limit to the number of job duties or responsibilities your employer can assign you. If you are paid by the hour, however, you must receive pay for all the hours you work, and you must receive overtime pay (1.5 times your hourly rate) for all hours worked over 40 per week. If you are... View More

2 Answers | Asked in Personal Injury, Workers' Compensation, Criminal Law and Civil Rights for Texas on
Q: Exceptions to Workers’ Compensation Immunity

I got ran over by a garbage truck and the person drug test came back positive for cocaine the same day and he got fired. Would that fall into intentional tort because he knew what he was doing was wrong and he could injury someone while driving high, especially a commercial vehicle?

Kiele Linroth Pace
Kiele Linroth Pace
answered on Feb 8, 2022

Filing a lawsuit to recover damages is not a matter of criminal law.

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1 Answer | Asked in Contracts, Workers' Compensation and Construction Law for Texas on
Q: If I work on the house I'm living in can I charge my landlord for the labour I put in

My landlord basically said If I hire someone to work on my house then he will not pay for the labor but he didn't say if I worked on the house that I couldn't charge him for labor

S. Michael Graham
PREMIUM
S. Michael Graham
answered on Jan 13, 2022

No. You would need a contract. Otherwise it would be deemed a gift. Contracts involving real estate need to be in writing. This would be a contract for services so I not too sure. Always better to have something in writing. Good Luck.

1 Answer | Asked in Workers' Compensation for Texas on
Q: Our office was closed due to mold but we were told it was for maintenance. Should they have told us the truth?

I have asthma and we were never told the truth about the mold. A few years ago we had a sewer problem, and another employee took pictures of the mold. I feel we should have been informed as this can affect people’s health.

Andrew M. Rodabaugh
Andrew M. Rodabaugh
answered on Nov 8, 2021

Your employer should have advised all employees if there was exposure to a toxic amount of mold. Whether or not this amounts to a valid workers compensation claim would depend on particular state law and usually there is a requirement that the exposed individual be injured by the exposure.

1 Answer | Asked in Personal Injury and Workers' Compensation for Texas on
Q: If your lawyer tells you to go back to work after surgery should you even though the Dr hasn't released you for work.

I have had neck and back surgery and he said why don't you go back to work doing what you did previously nad what I did was construction most companies won't hire me for customer service when I worked construction for 90%of my life and I can't receive disability or unemployment or... View More

Tim Akpinar
Tim Akpinar
answered on Nov 5, 2021

A Texas attorney could advise best, but your post remains open for four weeks. And this is not a question suited for a brief textbox response here. Not to evade your question - but this is a very important decision that you should discuss with your attorney. Your attorney has all your file... View More

1 Answer | Asked in Employment Law and Workers' Compensation for Texas on
Q: I was hurt on the job .was seen by a door over the phone witch said I had a sprained hip and sent me back to work with

Sent me back to work no restrictions. I tried but am in a large amount of pain what can I do???

Carrie Dyer
Carrie Dyer
answered on Oct 27, 2021

You should ask for a second opinion by a different medical provider. Then, you should provide that paperwork, including any restrictions you are given, to your employer.

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