Workers Compensation Claim State Environmental Guide - Tennessee

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Workers Compensation Claim State Environmental Guide - Tennessee"

Transcription

1 Workers Compensation Claim State Environmental Guide - Tennessee TENNESSEE Indemnity issues Temporary Total Benefits Temporary Partial Benefits Permanent Partial Benefits Average Weekly Wage calculated by averaging the 52 weeks of wages prior to date of injury. Compensation rate equals 2/3 of Average Weekly Wage Minimum: $ Maximum: $ Waiting period: 7 days Retro period: 14 days Temporary Total cap 400 weeks times state AWW (currently $918.50) Filing of wage statement must be done within 30 days of notice of injury or risk of being ordered to pay at max comp rate. If employee returns to work with medical restrictions and earns less than wages earned pre-injury, the employee is entitled to 2/3 of the difference between preinjury and post-injury wages. No minimum. Maximum: $ Shall not exceed 400 weeks. PPD rate is same as compensation rate except the maximum PPD rate is $ Medical impairment ratings are given by authorized physician and settlements are based on both the medical impairment and the vocational disability of the injured worker due to the injury. There are no caps on scheduled members worth less than 200 weeks and therefore they can be settled up to 100% to that body part. Arms, legs, and body as a whole injury settlements are capped at 1½ times the medical impairment if the injured worker returns to work for the same employer making the same or greater wages. If they do not return to the same employer making the same or greater wages, they may receive up to 6 times the medical impairment rating, not to exceed 400 weeks. travelers.com The Travelers Indemnity Company and its property casualty affiliates. One Tower Square, Hartford, CT This material is for informational purposes only. All statements herein are subject to the provisions, exclusions and conditions of the applicable policy. For an actual description of all coverages, terms and conditions, refer to the insurance policy. Coverages are subject to individual insureds meeting our underwriting qualifications and to state availability The Travelers Indemnity Company. All rights reserved. Travelers and the Travelers Umbrella logo are registered trademarks of The Travelers Indemnity Company in the U.S. and other countries. CE TN-EXT, Rev

2 Indemnity issues Tennessee Workers Compensation Claim State Environmental Guide If an injured worker with a body as a whole injury settles his claim for the 1 ½ cap or less and they are laid off for any reason other than for cause within 400 weeks of settlement, they may petition the court to re-open their claim for additional indemnity benefits. If an injured worker with upper or lower extremity injury settles claim for the 1 ½ cap or less and they are laid off for any reason other than cause, they may petition the court to re-open their claim for additional indemnity benefits. A cap of 1 ½ times the medical impairment rating will be applied to settlements to the body as whole or scheduled members worth 200 weeks or more if the employee is not eligible or authorized to work in the United States. This is effective for injuries sustained on or after July 1, For injuries occurring after July 1, 2009, the definition of maximum total benefit is equal to 400 times 100% of the state s average weekly wage (currently $835.00) as set annually by the Division. TTD is not included in the calculation of maximum total benefits. Permanent Partial based on AMA Guidelines - Yes The 6 th Edition of the AMA Guide is used for injuries that occur on or after January 1, 2008, to calculate impairment ratings. For injuries that occurred prior to January 1, 2008, physicians use the 5 th Edition of AMA Guide to calculate impairment ratings. Permanent Total Benefits Weekly benefits at PPD rate subject to max rate, which is currently $ until they reach the age of social security eligibility. This can be awarded in lump sum. A worker over the age of 60 at the time of the injury who sustains an injury to the body as a whole can receive no more than 260 weeks in benefits or 65% BAW. Fatality Benefits If the injured worker leaves a surviving spouse and no dependent children, the surviving spouse shall receive 50% of the average weekly wage of the deceased employee. If the injured worker leaves a surviving spouse and child or children, the spouse and children shall receive 66 2/3% of the average weekly wage of the deceased employee. Upon re-marriage of surviving spouse, if there is no child of the deceased employee, the compensation shall terminate. But if there is a child or children under 18 or over 18 and physically or mentally incapacitated from earning, the child or children shall receive 66 2/3% of the average weekly wage. If the deceased employee leaves no dependents, then a lump sum of $20,000 shall be paid to the estate of the deceased employee. Compensation to any dependent shall cease upon the death or marriage of the dependent. Minimum weekly benefit: $ Maximum weekly benefit: $ Burial expenses are covered up to maximum of $7500. Vocational Rehabilitation Not required. Settlement Allowed Yes, but must be approved by Department of Labor or by court. Cap on benefits, exceptions For injuries that occur on or after July 1, 2009, the maximum total benefit is equal to 400 times 100% of the state s average weekly wage as set annually by the Division. Temporary total benefits are not included in this calculation. For injuries prior to July 1, 2009, indemnity benefits are capped at 400 weeks unless the injured worker is found to be permanently and totally disabled. WC Reference 2 Rev. 4/14

3 Tennessee Workers Compensation Claim State Environmental Guide Medical issues Initial Choice of Provider Change of Provider Medical Fee Schedule Managed Care Utilization Review Treatment Guidelines Generic Drug Substitution Employer must give injured worker panel of 3 physicians not associated in the same practice. If the injury is to the neck or back they must also add a chiropractor to the list, but they are limited to 12 visits. A choice of physicians form must be presented in writing to injured worker and must be signed by injured worker. An appropriate panel must be provided for each attending physician and each operating surgeon. There is no statutory right for injured worker to change physicians. However, we do often allow a 2 nd opinion with another physician from the original panel and the Employer has the right to have an IME by a physician of its choice at any reasonable time. Yes The percentage over Medicare varies by procedure. Optional For more information, please refer to the WC Managed Care Quick Reference Chart by State Guide. UR is required when: Cumulative medical costs exceed $5,000 There is any type of inpatient stay There is a non-emergency transfer between facilities PT or OT exceeds 6 visits (12 visits if post-operative) o This applies to CM and CB level claims but not ICU Chiropractic treatment exceeds 12 sessions Psychological treatment exceeds 15 visits. UR is allowed when: Schedule II, III, IV drugs are prescribed greater than 90 days. Employer requests utilization review of above medications. New UR regulations effective 11/12/09 include: UR must be completed by an RN. UR cannot be performed by the same nurse that is assigned for medical case management. A Physician Advisor, also known as the Advisory Medical Practitioner, must have an active TN license, must be board certified, and must be the same or similar general specialty as the recommending authorized treating physician. UR decision is required to be in writing. The state appeal form must accompany all denials. UR forms are required to be completed and penalties are assessed for non-compliance o C-35, UR Notification o C36-37, UR Closure Annual UR Report Does the state mandate the use of evidence based guidelines? No. The state mandates generic substitution. The treating provider can provide a statement of medical necessity to dispense brand as written. WC Reference 3 Rev. 4/14

4 Medical issues Tennessee Workers Compensation Claim State Environmental Guide Medical Mileage Reimbursement Rate If requested by injured worker and if the trip is greater than 15 miles from home or work to medical provider. Paid at state employee rate per mile, currently 47 per mile. Network Information First Health (primary) and CorVel (secondary). Ability to Terminate Medical Treatment We can dispute treatment that is not reasonable and necessary. Settlement Allowed We can settle the medical benefits on all claims with a date of injury after 6/6/11 unless the injured worker has been adjudged permanently and totally disabled. For dates of injury prior to 6/6/11, and if the body part is worth less than 200 weeks, you may settle future medicals. For dates of injury prior to 6/6/11 and for those injuries to body parts that are worth greater than 200 weeks (arms, legs and body as a whole), you cannot settle future medicals until 3 years after the date of the indemnity settlement. Medical can be settled Full and Final Yes depending on body part and date of injury. Please see above Cap on benefits, exceptions Per fee schedule Other Issues WC Hearing Docket Speed Court system. Docket speed varies by county. Staff Counsel David J. Sneed and Associates ( ) 6640 Carothers Parkway, Suite 200 Franklin TN Scott Campbell and Associates ( ) 6750 Poplar Avenue, Suite 412 Germantown TN Hearings require attorney or Require attorney representation claim handler participation Occupational Diseases Six criteria: Must have followed as a natural incident of the work exposure. Is not from a hazard to which employees are equally exposed outside of employment. Can be fairly traced to the employment as a proximate cause. Is incidental to character of employment and not independent of relation of employer and employee. Originated from a risk connected to employment and flowed as a natural consequent there from. There is a direct causal connection between the conditions under which the work is performed and the disease. Diseases of the heart, lung and hypertension arising out of and in the course of employment are considered occupational diseases. Second Injury Fund availability Available only if the employer had knowledge of the prior work-related injury or injuries prior to the subsequent injury and only if he injured worker is permanently and totally disabled through the subsequent injury. WC Reference 4 Rev. 4/14

5 Tennessee Workers Compensation Claim State Environmental Guide Other Issues Other Offset Opportunities EDI In-State Adjusting Required License or Certification Required If a worker injured at age 60 with an injury to the body as a whole is receiving social security old-age benefits at the time of the settlement or trial, ER/carrier is entitled to an offset against that benefit. The offset is calculated by subtracting 50% of the weekly old-age benefit from the weekly permanent partial disability rate, and the resulting figure is then used as the permanent partial disability rate in settlement calculation. FROI as well as several supplemental reports required including initial payment, suspension of benefits, change of benefits, denial of claim, etc. No No WC Reference 5 Rev. 4/14

Workers Compensation Claim State Environmental Guide - Illinois

Workers Compensation Claim State Environmental Guide - Illinois Workers Compensation Claim State Environmental Guide - Illinois ILLINOIS http://iwcc.il.gov/ Temporary Total Benefits Temporary Partial Benefits TTD rate is based on 2/3 of the AWW. AWW is based on gross

More information

Customer Workers Compensation Benefit Overview

Customer Workers Compensation Benefit Overview Customer Workers Compensation Benefit Overview OREGON INDEMNITY ISSUES Temporary Total Benefits Temporary Partial Benefits Permanent Partial Benefits Permanent Total Benefits Workers injured on or after

More information

Also known as Wage Loss. Calculated as AWW (subject to statutory min/max) minus current earnings, multiplied by 2/3.

Also known as Wage Loss. Calculated as AWW (subject to statutory min/max) minus current earnings, multiplied by 2/3. Workers Compensation Claim Workers Compensation Benefit Overview California Major Developments: Last major legislation in 2004 (SB899), affected indemnity rates, disability rating, medical treatment, medical-legal

More information

Indemnity Issues. Workers Compensation Benefits Overview - California. Temporary Total Benefits

Indemnity Issues. Workers Compensation Benefits Overview - California. Temporary Total Benefits Major Developments: Last major legislation in 2004 (SB899), affected indemnity rates, disability rating, medical treatment, medical-legal disputes, penalties, and apportionment. 2007 legislation affects

More information

Guide for Injured Workers

Guide for Injured Workers Guide for Injured Workers This is a guide to Oklahoma workers' compensation law and rules. It is based on laws and rules in effect in 2015. Laws and rules can change by acts of the Legislature, rulemaking

More information

Provided By AdvisorNet Benefits Workers Compensation Employee Benefits

Provided By AdvisorNet Benefits Workers Compensation Employee Benefits Provided By AdvisorNet Workers Compensation Employee Minnesota s workers compensation laws determine the benefits available to employees who are injured in the course and scope of employment. An injury

More information

Everything Old is New Again: 2014 Tennessee Workers Compensation Laws

Everything Old is New Again: 2014 Tennessee Workers Compensation Laws Everything Old is New Again: 2014 Tennessee Workers Compensation Laws Presented by: Fred Baker fbaker@wimberlylawson.com Statutory Construction Remedial vs. Strict Construction Under old law, all doubts

More information

MARCH 9, 2015. Referred to Committee on Commerce, Labor and Energy. SUMMARY Makes various changes relating to workers compensation.

MARCH 9, 2015. Referred to Committee on Commerce, Labor and Energy. SUMMARY Makes various changes relating to workers compensation. S.B. SENATE BILL NO. COMMITTEE ON COMMERCE, LABOR AND ENERGY MARCH, 0 Referred to Committee on Commerce, Labor and Energy SUMMARY Makes various changes relating to workers compensation. (BDR -) FISCAL

More information

Current Workers Compensation Law Compared to the 2013 Workers Compensation Reform Act

Current Workers Compensation Law Compared to the 2013 Workers Compensation Reform Act Current Workers Compensation Law Compared to the 2013 Workers Compensation Reform Act Area Addressed Current Law Reform Act Workers Compensation Division The Division of Workers Compensation operates under

More information

Workers' Compensation in Oklahoma Employee s Rights & Responsibilities

Workers' Compensation in Oklahoma Employee s Rights & Responsibilities Workers' Compensation in Oklahoma Employee s Rights & Responsibilities Workers Compensation Court Counselor Program 1915 N. Stiles Avenue, Oklahoma City, OK 73105 210 Kerr State Office Bldg., 440 S. Houston,

More information

Workers' Compensation in Oklahoma Employee s Rights & Responsibilities

Workers' Compensation in Oklahoma Employee s Rights & Responsibilities Workers' Compensation in Oklahoma Employee s Rights & Responsibilities The information provided in this pamphlet is general in nature and for informational purposes only. It is not intended to be a legal

More information

Key Provisions of Tennessee Senate Bill 200 Effective July 1, 2014, through July 1, 2016

Key Provisions of Tennessee Senate Bill 200 Effective July 1, 2014, through July 1, 2016 2014 Construction of Statute Definition of Injury (Causation) Revises Section 50-6-116, Construction of Chapter, to indicate that for dates of injury on or after July 1, 2014, the chapter should no longer

More information

Provided By Heath Benefit Partners Workers Compensation Employee Benefits

Provided By Heath Benefit Partners Workers Compensation Employee Benefits Provided By Heath Benefit Partners Workers Compensation Employee Workers compensation laws in California regulate the determination and payment of benefits for employees injured in the course of employment.

More information

Injured on-the-job? Know Your Workers' Compensation Rights in New Jersey

Injured on-the-job? Know Your Workers' Compensation Rights in New Jersey Page1 Injured on-the-job? Know Your Workers' Compensation Rights in New Jersey HPAE members who are injured or made ill on-the-job may be entitled to cash benefits, medical care, and other benefits under

More information

Overview of the Income Benefit Structure in the Texas Workers Compensation System. Texas Department of Insurance, Division of Workers Compensation

Overview of the Income Benefit Structure in the Texas Workers Compensation System. Texas Department of Insurance, Division of Workers Compensation Overview of the Income Benefit Structure in the Texas Workers Compensation System Texas Department of Insurance, Division of Workers Compensation 1 Workers' compensation will provide benefits if: The injury

More information

Report ALL on-the-job injuries to

Report ALL on-the-job injuries to 1817 N. Stewart Street, Suite 20 Carson City, NV 89706 Phone: 775-283-0040 Toll Free: 888-873-4234 Fax: 775-283-0035 Report ALL on-the-job injuries to Tri-Odyssey Risk Management Department Phone: 775-283-0040

More information

Workers' Compensation in Oklahoma Employer s Rights & Responsibilities

Workers' Compensation in Oklahoma Employer s Rights & Responsibilities Workers' Compensation in Oklahoma Employer s Rights & Responsibilities Workers Compensation Court Counselor Program 1915 N. Stiles Avenue, Oklahoma City, OK 73105 210 Kerr State Office Bldg, 440 S. Houston,

More information

Workers' Compensation in Oklahoma Employer s Rights & Responsibilities

Workers' Compensation in Oklahoma Employer s Rights & Responsibilities Workers' Compensation in Oklahoma Employer s Rights & Responsibilities The information provided in this pamphlet is general in nature and for informational purposes only. It is not intended to be a legal

More information

INTRODUCTION GENERAL INFORMATION

INTRODUCTION GENERAL INFORMATION Workers Compensation Benefits Summary For dates of injury occurring on or after July 1, 2013 through June 30, 2014 Employment Relations Division Department of Labor and Industry PO Box 8011 Helena, MT

More information

Workers Compensation Insurance Procedures

Workers Compensation Insurance Procedures A. General Policy Workers Compensation Insurance Procedures Title 42, of the South Carolina Code of Laws contains the South Carolina Workers Compensation Act. The Rules and Regulations of the South Carolina

More information

2013 Changes to the Tennessee Workers Compensation Act

2013 Changes to the Tennessee Workers Compensation Act Overview 2013 Changes to the Tennessee Workers Compensation Act On April 29, 2013 Tennessee Governor Bill Haslam signed into law the Tennessee Workers Compensation Reform Act of 2013 (SB200/HB194). This

More information

INJURED ON THE JOB? A SUMMARY OF THE RIGHTS AND BENEFITS AVAILABLE TO INJURED WORKERS UNDER ILLINOIS LAW

INJURED ON THE JOB? A SUMMARY OF THE RIGHTS AND BENEFITS AVAILABLE TO INJURED WORKERS UNDER ILLINOIS LAW INJURED ON THE JOB? A SUMMARY OF THE RIGHTS AND BENEFITS AVAILABLE TO INJURED WORKERS UNDER ILLINOIS LAW Law Offices ANESI, OZMON, RODIN, NOVAK & KOHEN, LTD 161 NORTH CLARK STREET AT RANDOLPH 21ST FLOOR

More information

WORKERS COMPENSATION FUNDAMENTALS. Know How to Navigate Your Claim

WORKERS COMPENSATION FUNDAMENTALS. Know How to Navigate Your Claim WORKERS COMPENSATION FUNDAMENTALS Know How to Navigate Your Claim Overview Workers Compensation System Rights and Responsibilities Return to Work Benefits Dispute Resolution Complaints vs Disputes 1 Workers

More information

2013 Nuts & Bolts Seminar Coralville

2013 Nuts & Bolts Seminar Coralville 2013 Nuts & Bolts Seminar Coralville LITIGATION TRACK Work Comp 101 2:30 pm.-3:30 p.m. Presented by Tim Semelroth RSH Legal 425 Second Street SE, Suite 1140 Cedar Rapids, Iowa 52401 Phone: 319-365-9200

More information

Workers Compensation Employee Benefits

Workers Compensation Employee Benefits Provided By The Holmes Organisation Workers Compensation Employee The Florida Workers Compensation Law (FWCL) regulates the determination and payment of benefits for injured employees in the state. An

More information

COLORADO DEPARTMENT OF LABOR & EMPLOYMENT. Division of Workers Compensation EMPLOYEE S GUIDE

COLORADO DEPARTMENT OF LABOR & EMPLOYMENT. Division of Workers Compensation EMPLOYEE S GUIDE COLORADO DEPARTMENT OF LABOR & EMPLOYMENT Division of Workers Compensation EMPLOYEE S GUIDE August 2014 THE INFORMATION IN THIS BOOKLET IS INTENDED TO BE GENERAL INFORMATION ON THE COLORADO WORKERS COMPENSATION

More information

Legislative Update. legal challenge to new law. significant changes to oklahoma work comp

Legislative Update. legal challenge to new law. significant changes to oklahoma work comp Quality Insight for Your Industry Legislative Update significant changes to oklahoma work comp Since our last Legislative Update on the new Workers' Compensation system in Oklahoma, the NCCI filed a 12.9%

More information

OKLAHOMA WORKERS COMPENSATION

OKLAHOMA WORKERS COMPENSATION OKLAHOMA WORKERS COMPENSATION I. JURISDICTION - 85 O.S. Supp. 2001, 4 A. Act will apply where: 1. Injuries received and occupational diseases contracted in Oklahoma. 2. Contract of employment made in Oklahoma

More information

Revised May 2015. What Is Workers Compensation?

Revised May 2015. What Is Workers Compensation? This pamphlet provides an overview of the workers compensation system in the State of New Hampshire, including what is covered by workers compensation, what benefits are available, and what you should

More information

YOUR WORKERS COMPENSATION BENEFITS

YOUR WORKERS COMPENSATION BENEFITS YOUR WORKERS COMPENSATION BENEFITS 1 I M INJURED. NOW WHAT? No one ever plans to get hurt on the job. But when an unfortunate incident occurs, Montana State Fund (MSF) and your employer want to make sure

More information

Team Leaders - Claims Services Department. 2014 Adjusters Seminar: I.M. Hurt v. Know Your Knot Tree Service

Team Leaders - Claims Services Department. 2014 Adjusters Seminar: I.M. Hurt v. Know Your Knot Tree Service Team Leaders - Claims Services Department Benefits Under the Act Wage Loss Benefits Temporary Total, Temporary Partial, Permanent Total and Fatal Permanent Partial Disability Benefits Loss of Use, Amputation,

More information

North Carolina State Government

North Carolina State Government North Carolina State Government W O R K E R S C O M P E N S A T I O N E M P L O Y E E H A N D B O O K PURPOSE The contents in this handbook are designed to provide employees of the State of North Carolina

More information

Rules, Regulations and Fee Schedules of the Wyoming Workers Safety and Compensation Division

Rules, Regulations and Fee Schedules of the Wyoming Workers Safety and Compensation Division CHAPTER 7 - BENEFITS Section 1. (a) Awards of Compensation. Computation of Disability Awards. (i) Procedure for Determining Temporary Total Disability(TTD). (A) Temporary wage rate is computed as follows:

More information

Rights & Obligations under the Nebraska Workers Compensation Law

Rights & Obligations under the Nebraska Workers Compensation Law Nebraska Workers Compensation Court Information Sheet: Rights & Obligations under the Nebraska Workers Compensation Law NEBRASKA WORKERS COMPENSATION COURT OFFICIAL SEAL What is workers compensation? Workers

More information

Nossiff & Giampa Attorneys at Law

Nossiff & Giampa Attorneys at Law Nossiff & Giampa Attorneys at Law WHAT IS WORKERS COMPENSATION? The Massachusetts and New Hampshire Workers Compensation Boards are a place to make sure that workers are protected by insurance, if they

More information

Workers Compensation Claim State Environmental Guide - California

Workers Compensation Claim State Environmental Guide - California Workers Compensation Claim State Environmental Guide - California CALIFORNIA http://www.dir.ca.gov/dwc/dwc_home_page.htm Indemnity issues Temporary Total Benefits (TT) Temporary Partial Benefits (TP) Worker

More information

Tennessee Workers Compensation Data Calendar Years 2003-2012. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation

Tennessee Workers Compensation Data Calendar Years 2003-2012. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation Tennessee Workers Compensation Data Calendar Years 2003-2012 A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation August 2013 Tennessee Workers Compensation Data Calendar

More information

Benefits Guide. Information for the Injured Worker

Benefits Guide. Information for the Injured Worker Benefits Guide Information for the Injured Worker The purpose of this benefits guide is to help you learn what to expect if you ever need workers compensation benefits. Recovering from a work injury can

More information

North Carolina State Government WORKERS COMPENSATION EMPLOYEE HANDBOOK

North Carolina State Government WORKERS COMPENSATION EMPLOYEE HANDBOOK North Carolina State Government WORKERS COMPENSATION EMPLOYEE HANDBOOK November 2015 PURPOSE The contents in this handbook are designed to provide employees of the State of North Carolina with an understanding

More information

WYOMING DEPARTMENT OF EMPLOYMENT

WYOMING DEPARTMENT OF EMPLOYMENT WYOMING DEPARTMENT OF EMPLOYMENT Workers Safety and Compensation Division Employer's Guide to Workers' Safety and Compensation Employer's Guide to Workers' Safety and Compensation When an Injury Occurs

More information

LOUISIANA WORKERS COMPENSATION LAW CHANGES 2012

LOUISIANA WORKERS COMPENSATION LAW CHANGES 2012 LOUISIANA WORKERS COMPENSATION LAW CHANGES 2012 The following is a summary of the 2012 legislative amendments to the Louisiana Workers Compensation Act. The major law changes were at the urging of the

More information

Workers Compensation

Workers Compensation INFORMATION BRIEF Minnesota House of Representatives Research Department 600 State Office Building St. Paul, MN 55155 December 1998 Linda Holmes, Legislative Analyst (651) 296-5059 Workers Compensation

More information

BULLETIN J A N U A R Y 1, 2 0 1 6. Information About The North Carolina Workers Compensation Act. Pat McCrory, Governor. Andrew T.

BULLETIN J A N U A R Y 1, 2 0 1 6. Information About The North Carolina Workers Compensation Act. Pat McCrory, Governor. Andrew T. BULLETIN NORTH CAROLINA INDUSTRIAL COMMISSION ADMINISTERING THE WORKERS COMPENSATION ACT STREET ADDRESS DOBBS BUILDING 430 NORTH SALISBURY STREET RALEIGH, NORTH CAROLINA 27603-5937 MAILING ADDRESS 4340

More information

Tennessee Workers Compensation Data Calendar Years 2001-2010. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation

Tennessee Workers Compensation Data Calendar Years 2001-2010. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation Tennessee Workers Compensation Data Calendar Years 2001-2010 A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation September, 2011 Tennessee Workers Compensation Data Calendar

More information

GEORGIA WORKERS COMPENSATION BASICS Michael Memberg Ken David & Associates, LLC

GEORGIA WORKERS COMPENSATION BASICS Michael Memberg Ken David & Associates, LLC This article presents general guidelines for Georgia nonprofit organizations as of the date written and should not be construed as legal advice. Always consult an attorney to address your particular situation.

More information

Steiner, Segal, Muller & Donan

Steiner, Segal, Muller & Donan The Law Firm of Steiner, Segal, Muller & Donan What You Need To Know About Pennsylvania Worker s Compensation Benefits Representing Injured Workers in Pennsylvania for over 25 years! 2401 Pennsylvania

More information

Workers Compensation. Inside this Brief. Background Brief on. History in Oregon 1990 Reforms. 1995 Reforms. Management-Labor Advisory Committee

Workers Compensation. Inside this Brief. Background Brief on. History in Oregon 1990 Reforms. 1995 Reforms. Management-Labor Advisory Committee Background Brief on September 2012 Inside this Brief History in Oregon 1990 Reforms 1995 Reforms Management-Labor Advisory Committee Claims Process Medical Service Providers Fatality Benefits Staff and

More information

ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK OCCUPATIONAL DISEASES AND FOR INJURIES AND ILLNESSES BEFORE 2/1/06

ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK OCCUPATIONAL DISEASES AND FOR INJURIES AND ILLNESSES BEFORE 2/1/06 ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK ON WORKERS COMPENSATION AND OCCUPATIONAL DISEASES FOR INJURIES AND ILLNESSES BEFORE 2/1/06 ILLINOIS WORKERS COMPENSATION COMMISSION Note: On January 1,

More information

Worker' Compensation and Reemployment Rights

Worker' Compensation and Reemployment Rights Worker' Compensation and Reemployment Rights The Federal Employee's Compensation Act provides workers' compensation for employmentrelated injuries and occupational diseases. Benefits include wage replacement,

More information

GEORGIA WORKERS' COMPENSATION Explanation of Basic Procedures

GEORGIA WORKERS' COMPENSATION Explanation of Basic Procedures GEORGIA WORKERS' COMPENSATION Explanation of Basic Procedures A. Initiating Claim 1. Accident must arise out of, and in the course of, employment (O.C.G.A. 34-9-1). a. "Arising out of" means what the employee

More information

ADVANCED WORKERS COMPENSATION

ADVANCED WORKERS COMPENSATION ADVANCED WORKERS COMPENSATION Presented by Carol Cast Manager, Public Resource Section Workers Compensation Division Discussion Recap of Basics A few points to remember Concerns for Employers Horseplay

More information

Who Administers the Workers Compensation Program and Related Responsibilities?

Who Administers the Workers Compensation Program and Related Responsibilities? What is Workers Compensation? Who Administers the Workers Compensation Program and Related Responsibilities? Who is Eligible for Workers Compensation? What Coverage is Provided? What is a Compensable Injury?

More information

Handbook on Workers Compensation & Occupational Diseases

Handbook on Workers Compensation & Occupational Diseases Handbook on Workers Compensation & Occupational Diseases Presented by: Park District Risk Management Agency P.O. Box 4320 Wheaton, IL 60189-4320 (630) 769-0332 (630) 769-0445 (fax) Illinois Workers Compensation

More information

Overview of Massachusetts Workers Compensation Law

Overview of Massachusetts Workers Compensation Law COUNSELORS AT LAW Edgewater Office Park 301 Edgewater Place - Suite 330 Wakefield, MA 01880 Edward M. Moriarty, Jr. TELEPHONE: (781) 246-8000 James L. O Brien (1949-2003) FACSIMILE: (781) 246-8080 David

More information

The ACCG Claims Office staff is here to help you. Please feel free to call us with your questions and concerns.

The ACCG Claims Office staff is here to help you. Please feel free to call us with your questions and concerns. 1 WELCOME This handbook contains information prepared by the Association County Commissioners of Georgia - Group Self-Insurance Workers Compensation Fund (ACCG - GSIWCF) to assist employees and management

More information

A BRIEF OVERVIEW OF THE BENEFITS AND PERILS OF THE VIRGINIA WORKERS COMPENSATION ACT

A BRIEF OVERVIEW OF THE BENEFITS AND PERILS OF THE VIRGINIA WORKERS COMPENSATION ACT A BRIEF OVERVIEW OF THE BENEFITS AND PERILS OF THE VIRGINIA WORKERS COMPENSATION ACT If you were injured at work or know a family member or friend who was injured at work, I hope that the following information

More information

Claim Event Guide. January 26, 2015

Claim Event Guide. January 26, 2015 State of Rhode Island Department of Labor and Training Division of Workers Compensation P.O. Box 20190, Cranston, RI 02920-0942 Phone 401-462-8100 Fax 401-462-8105 http://www.dlt.ri.gov/wc Claim Event

More information

Tennessee Workers Compensation Data Calendar Years 2002-2011. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation

Tennessee Workers Compensation Data Calendar Years 2002-2011. A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation Tennessee Workers Compensation Data Calendar Years 2002-2011 A Report of Statewide Data for the Tennessee Advisory Council on Workers Compensation August, 2012 Tennessee Workers Compensation Data Calendar

More information

March, 2014. wyomingworkforce.org/wc

March, 2014. wyomingworkforce.org/wc March, 2014 wyomingworkforce.org/wc WC Handbook.indd 1 5/7/2014 10:39:03 AM Wyoming Department of Workforce Services Division of Workers Compensation 1510 E. Pershing Blvd. Cheyenne, Wyoming 82002 wyomingworkforce.org/wc

More information

Comparative Review of Workers Compensation Systems in Select Jurisdictions

Comparative Review of Workers Compensation Systems in Select Jurisdictions of Workers Compensation Systems in Select Jurisdictions JURISDICTION: TEXAS ENVIRONMENT Population Size 19.3 million in 1997. Labour Force 8 million (1997) Demographic and Economic Indicators has enjoyed

More information

An Employee s Guide to the Missouri Workers Compensation System

An Employee s Guide to the Missouri Workers Compensation System An Employee s Guide to the Missouri Workers Compensation System Missouri Department of Labor and Industrial Relations Division of Workers Compensation Important Information You may want to put names and

More information

The Commonwealth of Massachusetts Department of Industrial Accidents. For injured workers

The Commonwealth of Massachusetts Department of Industrial Accidents. For injured workers The Commonwealth of Massachusetts Department of Industrial Accidents For injured workers WHAT IS WORKERS COMPENSATION? The Massachusetts Workers Compensation system is in place to protect you if you are

More information

MODIFICATION, TERMINATION OR SUSPENSION OF TEMPORARY DISABILITY BENEFITS

MODIFICATION, TERMINATION OR SUSPENSION OF TEMPORARY DISABILITY BENEFITS RULE IX MODIFICATION, TERMINATION OR SUSPENSION OF TEMPORARY DISABILITY BENEFITS A. TERMINATION OF TEMPORARY DISABILITY BENEFITS BY AN ADMISSION OF LIABILITY IN CLAIMS ARISING PRIOR TO JULY 2, 1987, AT

More information

Workers' Compensation

Workers' Compensation Workers' Compensation Workers compensation provides benefits to injured employees for accidents or occupational diseases arising out of, and in the course of, their employment. Compensation coverage is

More information

Welcome to the West Virginia Workers Compensation Webinars!

Welcome to the West Virginia Workers Compensation Webinars! Welcome to the West Virginia Workers Compensation Webinars! Workers Compensation Benefits West Virginia OFFICES OF THE INSURANCE COMMISSIONER June 13, 2008 Compensability In order for an injury to be compensable

More information

Your Rights Under the Missouri Workers Compensation Law

Your Rights Under the Missouri Workers Compensation Law Your Rights Under the Missouri Workers Compensation Law All states have workers compensation laws. The Missouri Workers Compensation Law is contained in Chapter 287 of the Revised Statutes of Missouri.

More information

FILING WORKERS COMPENSATION CLAIMS IN IDAHO

FILING WORKERS COMPENSATION CLAIMS IN IDAHO Claims contact information First Report of Injury forms ReportClaim@IdahoSIF.org General e-mail ClaimsIM@IdahoSIF.org FILING WORKERS COMPENSATION CLAIMS IN IDAHO Provider inquiries 208-332-2169 or 800-334-2370

More information

Office of Workers' Compensation Programs Division of Federal Employees' Compensation

Office of Workers' Compensation Programs Division of Federal Employees' Compensation # )' A-I 1 U.S. DOL @- Employment Standards Administration Office of Workers' Compensation Programs Division of Federal Employees' Compensation Introduction WHZN INJURED AT WORK Information Guide for ~ederal

More information

INTRODUCTION GENERAL INFORMATION

INTRODUCTION GENERAL INFORMATION Workers Compensation Benefits Summary For dates of injury occurring on or after July 1, 2010 through June 30, 2011 Employment Relations Division Department of Labor and Industry PO Box 8011 Helena,MT 59604-8011

More information

MARCH 5, 2015. Referred to Committee on Commerce and Labor. SUMMARY Revises provisions governing workers compensation.

MARCH 5, 2015. Referred to Committee on Commerce and Labor. SUMMARY Revises provisions governing workers compensation. A.B. ASSEMBLY BILL NO. COMMITTEE ON COMMERCE AND LABOR MARCH, 0 Referred to Committee on Commerce and Labor SUMMARY Revises provisions governing workers compensation. (BDR -) FISCAL NOTE: Effect on Local

More information

Comparative Review of Workers' Compensation Systems in Select Jurisdictions

Comparative Review of Workers' Compensation Systems in Select Jurisdictions of Workers' Compensation Systems in Select Jurisdictions JURISDICTION: WASHINGTON ENVIRONMENT Population Size 5.5 million in 1996. Labor Force 2.8 million in 1996. Demographic and Economic Indicators The

More information

Workers Compensation and Seniors

Workers Compensation and Seniors Chapter 10 Workers Compensation and Seniors Gregory B. Cairns, Esq. Cairns & Associates, P.C. SYNOPSIS 10-1. Workers Compensation 10-2. Benefits Available 10-3. Filing a Workers Compensation Claim 10-4.

More information

THE ILLINOIS WORKERS COMPENSATION ACT

THE ILLINOIS WORKERS COMPENSATION ACT THE ILLINOIS WORKERS COMPENSATION ACT Frequently Asked Questions Phone: 312.977.0100 800.922.4500 Fax: 312.977.0795 www.healylawfirm.com www.illinoistruckingaccidents.com 111 WEST WASHINGTON STREET SUITE

More information

GEORGIA STATE BOARD OF WORKERS COMPENSATION EMPLOYEE HANDBOOK

GEORGIA STATE BOARD OF WORKERS COMPENSATION EMPLOYEE HANDBOOK GEORGIA STATE BOARD OF WORKERS COMPENSATION EMPLOYEE HANDBOOK Please be aware that the Workers Compensation Law, Rules and Regulations are subject to change on July 1st of each year. If you have any questions

More information

Important Information

Important Information 16 An Employee s Guide to the South Dakota Workers Compensation System Division of Labor and Management Phone: (605) 773-3681 www.sdjobs.org Department of Labor and Regulation 700 Governors Drive Pierre,

More information

ANATOMY OF AN OKLAHOMA OPT OUT BENEFIT PLAN

ANATOMY OF AN OKLAHOMA OPT OUT BENEFIT PLAN ANATOMY OF AN OKLAHOMA OPT OUT BENEFIT PLAN A comparison of injured workers benefits and rights under traditional Oklahoma workers compensation and Opt Out plans authorized by the Oklahoma Injury Benefit

More information

Diana Ferriter, Administrator Employment Relations Division Montana Department of Labor & Industry. A Little History

Diana Ferriter, Administrator Employment Relations Division Montana Department of Labor & Industry. A Little History Diana Ferriter, Administrator Employment Relations Division Montana Department of Labor & Industry 1 A Little History 2006 University of MT Economic Summit MT not competitive with neighboring states due

More information

Zurich Handbook. Managed Care Arrangement program summary

Zurich Handbook. Managed Care Arrangement program summary Zurich Handbook Managed Care Arrangement program summary A Managed Care Arrangement (MCA) is being used to ensure that employees receive timely and proper medical treatment with respect to work-related

More information

If you have been involved in a work-related accident, there are a lot of things that you absolutely need to know.

If you have been involved in a work-related accident, there are a lot of things that you absolutely need to know. WORK-RELATED INJURIES SPECIAL REPORT Dear Friend: If you have been involved in a work-related accident, there are a lot of things that you absolutely need to know. Workers compensation is a statutory right

More information

THE NEW ERA OF WORKERS COMPENSATION IN OKLAHOMA. OIPA Fall Conference 2013 Big Cedar Lodge, Missouri October 22, 2013

THE NEW ERA OF WORKERS COMPENSATION IN OKLAHOMA. OIPA Fall Conference 2013 Big Cedar Lodge, Missouri October 22, 2013 THE NEW ERA OF WORKERS COMPENSATION IN OKLAHOMA OIPA Fall Conference 2013 Big Cedar Lodge, Missouri October 22, 2013 OPENING REMARKS Gray Holden Executive Vice President and Managing Partner Willis of

More information

BEST PRACTICES STIPULATED SETTLEMENTS. Pursuant to O.C.G.A. 34-9-15, the State Board of Workers Compensation

BEST PRACTICES STIPULATED SETTLEMENTS. Pursuant to O.C.G.A. 34-9-15, the State Board of Workers Compensation BEST PRACTICES STIPULATED SETTLEMENTS Pursuant to O.C.G.A. 34-9-15, the State Board of Workers Compensation is authorized to approve Stipulated Settlements. The parties to a claim may enter into a lump

More information

This Procedure Manual is to be used as a reference tool in conjunction with and as an adjunct to Title 34, Chapter 9 of the Official Code of Georgia

This Procedure Manual is to be used as a reference tool in conjunction with and as an adjunct to Title 34, Chapter 9 of the Official Code of Georgia This Procedure Manual is to be used as a reference tool in conjunction with and as an adjunct to Title 34, Chapter 9 of the Official Code of Georgia Annotated and the Rules and Regulations of the State

More information

Table of Contents. A Message From Attorney Edgar Snyder 1. Eligibility for Workers Compensation 3. Types of Workers Compensation Claims 5

Table of Contents. A Message From Attorney Edgar Snyder 1. Eligibility for Workers Compensation 3. Types of Workers Compensation Claims 5 Table of Contents A Message From Attorney Edgar Snyder 1 Eligibility for Workers Compensation 3 Types of Workers Compensation Claims 5 Workers Compensation Benefits Payments 9 The Hearing Process 13 The

More information

Workers Compensation Supervisor s Manual

Workers Compensation Supervisor s Manual Workers Compensation Supervisor s Manual The following materials were prepared for the use of employers and their claims administrators in the general administration of their workers compensation programs.

More information

THE INJURED WORKER. The first step is to report the injury or illness to your employer.

THE INJURED WORKER. The first step is to report the injury or illness to your employer. THE INJURED WORKER Who is entitled to workers compensation benefits? If you have an injury or illness caused by your job you may be entitle to workers compensation benefits, which are provided for you

More information

The Employers Guide to. Pennsylvania s Workers Compensation Law

The Employers Guide to. Pennsylvania s Workers Compensation Law The Employers Guide to Pennsylvania s Workers Compensation Law Table of Contents About this Guide. 3 The Pennsylvania Workers Compensation Act: An Overview for the Pennsylvania Employer....4 Your Duties

More information

WORKERS COMPENSATION EMPLOYEE INFORMATION BOOKLET. Human Resources Division of Risk Management

WORKERS COMPENSATION EMPLOYEE INFORMATION BOOKLET. Human Resources Division of Risk Management WORKERS COMPENSATION EMPLOYEE INFORMATION BOOKLET Human Resources Division of Risk Management Introduction Human Resources Division of Risk Management introduces the Henrico County s Worker s Compensation

More information

UNDERSTANDING WORKERS COMPENSATION

UNDERSTANDING WORKERS COMPENSATION This brochure was prepared by the Washington State Association for Justice (WSAJ) as a guide to help the citizens of Washington State understand their rights. Established in 1953, WSAJ represents attorneys

More information

OKLAHOMA WORKERS COMPENSATION UPDATE OKLAHOMA SENATE BILL 1062

OKLAHOMA WORKERS COMPENSATION UPDATE OKLAHOMA SENATE BILL 1062 OKLAHOMA WORKERS COMPENSATION UPDATE OKLAHOMA SENATE BILL 1062 In May 2013 the Oklahoma Legislature passed Senate Bill 1062 and Governor Fallin signed a new Workers' Compensation Bill into Law. The Bill

More information

Social Security Social Website

Social Security Social Website 9126113 SSA- POMS: 0152120.080 Illinois Workers' Compensation (WC)- 09i24/2009 Social Security Social Website E Program Operations Manual System (POMS) Effective Dates: 09/24/2009 - Present BASIC (09-08)

More information

What is & what is not covered under workers compensation? Basically, what are the benefits... in plain language?

What is & what is not covered under workers compensation? Basically, what are the benefits... in plain language? SEQUATCHIE VALLEY PLANNING & DEVELOPMENT AGENCY Employee Workers Compensation Handbook wchandbk.wpd Preface. Workers Compensation is a state-defined optional benefit that may be provided by Tennessee s

More information

ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK ON WORKERS COMPENSATION AND OCCUPATIONAL DISEASES

ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK ON WORKERS COMPENSATION AND OCCUPATIONAL DISEASES This book replaces all previous versions of the handbook. ILLINOIS WORKERS COMPENSATION COMMISSION HANDBOOK ON WORKERS COMPENSATION AND OCCUPATIONAL DISEASES HANDBOOK ON WORKERS COMPENSATION AND OCCUPATIONAL

More information

Georgia Workers Comp Basics: Non-Profits are Employers, Too. Michael E. Memberg, Esq. September 19, 2012

Georgia Workers Comp Basics: Non-Profits are Employers, Too. Michael E. Memberg, Esq. September 19, 2012 Georgia Workers Comp Basics: Non-Profits are Employers, Too Michael E. Memberg, Esq. September 19, 2012 Mission of Pro Bono Partnership of Atlanta: To provide free legal assistance to community-based nonprofits

More information

906 Olive Street, Suite 420 St. Louis, MO 63101 314.241.2481 www.askarcher.com 1

906 Olive Street, Suite 420 St. Louis, MO 63101 314.241.2481 www.askarcher.com 1 Useful Addresses and Phone Numbers Missouri Divisions of Workers Compensation (Eastern Regions): St. Louis Cape Girardeau Jefferson City 111 N. Seventh St., 3102 Blattner Dr., Suite 101 3315 West Truman

More information

WENK. What Employees Need to Know

WENK. What Employees Need to Know WENK What Employees Need to Know Introduction VML Insurance Programs introduces WENK What Employees Need to Know. WENK is a one-page, easy-to-read bulletin on a single workers compensation topic designed

More information

Social assistance: 2% of covered payroll. Government. Social insurance: None; contributes as an employer. Social assistance: Any deficit.

Social assistance: 2% of covered payroll. Government. Social insurance: None; contributes as an employer. Social assistance: Any deficit. Barbados Exchange rate: US$1.00 = 2.02 Barbadian dollars (B$). Old Age, Disability, and Survivors First law: 1937 (social assistance). Current law: 1966 (social insurance). Type of program: Social insurance

More information

What Happens After I Report the Injury?

What Happens After I Report the Injury? Introduction The Iowa Workers Compensation Act provides the only legal remedy against their employer for workers who are injured on the job. Workers Compensation law can be very technical. The law is administered

More information

New Hire Notice -- Injuries Caused By Work

New Hire Notice -- Injuries Caused By Work New Hire Notice -- Injuries Caused By Work What does workers compensation cover? You may be entitled to workers' compensation benefits if you are injured or become ill because of your job. Workers' compensation

More information

Guide to. For Connecticut Private Sector Employees

Guide to. For Connecticut Private Sector Employees Guide to Workers Compensation For Connecticut Private Sector Employees NEW ENGLAND HEALTH CARE EMPLOYEES UNION DISTRICT 1199, SEIU 77 Huyshope Avenue, Hartford, CT 06106 860-549-1199 September 2009 Workers

More information

DEFENSE BASE ACT PROGRAM

DEFENSE BASE ACT PROGRAM DEFENSE BASE ACT PROGRAM Thank you for your recent request for information on the Defense Base Act Insurance. We hope that the following summary will aid you in understanding DBA coverage. Rutherfoord

More information