Workers’ Compensation claims are limited to work related instances resulting in injury, illness, or death. The benefits available to the injured employee are determined by the state of California and work through a process known as “No Fault System / Exclusive Remedy”. This means that an employee relinquishes the right to sue the employer in exchange for a specified set of benefits.
Medical Treatment
- Prompt and quality medical treatment subject to approval (Utilization Review process)
- Governed by the Medical Treatment Utilization Schedule (MTUS)
- Employer covers 100% of costs (limits to physical therapy and chiropractic treatment – 24 visits)
- Costs subject to state mandated fee schedule based on Medicare fee schedule (bill review process)
- Provided until medically discharged from care or possibly for life if medically indicated and awarded
- If claim is delayed medical treatment provided up to $10,000.00 – until the claim is denied or if accepted treatment continues
Temporary Disability
Temporary disability (TD) benefits are payments you get if you lose wages because your injury prevents you from doing your usual job while recovering. The State of California has two classifications for TD benefits. If you cannot work at all while recovering, you receive temporary total disability (TTD) benefits. If you can’t work your full schedule while recovering, you receive temporary partial disability benefit (TPD) payments. Please click below to learn more:
If My Claim Is Accepted, What Can I Expect?
Permanent Disability
Permanent Disability (PD) is any lasting disability from a work-related injury or illness that prevents the worker’s ability to earn a living. Please click below to learn more:
Types Of Settlements For Permanent Disability Claims
Job Displacement Voucher
Supplemental Job Displacement is a voucher program intended to help pay for training workers who have had injuries on-the-job? Please click below to learn more:
What Is Supplemental Job Displacement?
Life Pension and Death Benefits
These are benefits paid to injured employees with a qualified Permanent Disability (PD) rating. Please click below to learn more: