If your employer does not have workers comp insurance and you are injured on the job, your first option is to file a personal injury lawsuit. In that case, you could sue for pain and suffering and punitive damages. But if the employer is irresponsible enough not to carry workers compensation insurance, it’s probably because he doesn’t have a lot ...
Owners get the protection of not getting sued because they accept responsibility for all accidents. Workers give up the right to sue so they don’t have to accept responsibility for accidents in the workplace. “If you’re the employee, you’ll never be responsible ...
There is no maximum amount a judge or jury can award, though the amount typically does not exceed four times the amount of general damages. As with pain and suffering, that can add up to a nice piece of change. But as with pain and suffering, punitive damages are excluded from workers compensation claims.
Attorneys often calculate it by multiplying their client’s general damages by a number between one and five, depending on the severity of the injury.
Even if the employee caused the accident, they will be paid for medical bills and lost wages. The hitch is that if the employer caused the accident, the employer will not have to pay for pain and suffering or punitive damages.
The common term is “No fault,” which means what it says – Whose fault it was doesn’t matter.
Say you work at a construction site and the rules require you to wear a hardhat. You forget to put it on one morning and a five-pound wrench falls on your head. It cracks your skull and you are out of work for six months.
Usually, the attorney will file a WC-108b lien with attached documentation outlining the number of hours spent on your claim and the administrative expenses incurred. The fee contract should lay out an hourly fee in case of termination, and this fee will be reflected in the total requested on the WC-108b lien (after multiplied by hours spent).
In simple terms, a lien is a legal right a person or entity has against the property of another. There are a few reasons why you might receive a lien on your workers’ comp settlement.
The mediator will hear your arguments, and will discuss the claim with you and the insurance company both together and separately. If you can't reach an agreement, your case will be set for a formal hearing.
If your employer's insurance company disagrees with a decision by your treating doctor about your medical treatment, the insurer usually has the right to demand that you be evaluated by a doctor of its choice.
Updated: Dec 21st, 2020. If you're injured on the job, or you develop an occupational illness or repetitive stress injury, you might be entitled to workers' comp benefits. These benefits include compensation for medical care and lost wages. To ensure that you receive your benefits, you'll need to follow your state's rules for reporting your injury, ...
How Long Does the Workers' Comp Process Take? Length of a Workers' Comp Case. For half of workers, it took 13 to 24 months to resolve their workers' comp cases. If your claim is straightforward and uncontested, you can receive benefits in as little as a week or two after reporting your injury. But most cases take longer.
Most workers' comp hearings last a few hours, although they can continue for several days if your case is complex. About 30 to 60 days after the hearing, the judge will make a decision in writing. You have the right to appeal that decision if the judge rules against you.
After the IME, the doctor will prepare a report containing his or her conclusions. This report can have a significant impact on the outcome of your case, as workers' comp judges often view IME doctors as experts and put a lot of stock in their opinions. However, you can dispute the report if it contains factual inaccuracies.
Most states require the insurance company to tell you what it decided within two to four weeks. If your claim is approved, you'll start receiving benefits.
Plaintiff’s attorneys — that is, lawyers who represent clients asserting monetary claims against others — know the local rules pertaining to the statute of limitations. Potential clients should consult with a workers comp attorney, who, usually at no charge, will advise on time constraints, weigh the merits of a case and offer advice regarding the likelihood of success.
A well-designed and time-honored personal injury lawsuit process is triggered once you and your legal team have decided that legal action is the best course of action . The first of these is the filing of certain documents with the clerk of court whose jurisdiction includes the place where the injury (or illness) occurred. A copy of those papers will be served — that is, legally presented and noticed — on the defendant (s).
Workers compensation is an insurance policy designed to keep injured employees and their employers out of court. Usually, the program works as intended. In some cases, however, suing the company (or one of its adjuncts) through a personal injury claim is the only way a sidelined worker can achieve justice.
The complaint, or petition, is a formal legal document laying out the legal and factual foundation of a personal-injury lawsuit. In other words: Here’s what happened, and here are the laws the defendant broke contributing to the mishap. The complaint also describes why a court has jurisdiction to hear the case.
Injuries involving a toxic substance. Injuries intentionally triggered by an employer or fellow employee. Injuries resulting from an employer’s purposeful or appalling behavior. Occasions when the employer wasn’t required to carry workers compensation insurance, or was required to do so, but failed in that responsibility.
The complaint will conclude with the plaintiff’s signature, or that of the attorney representing the client bringing the suit.
In Florida, for instance, lawsuits seeking up to $15,000 are assigned to county courts; demands for more than $15,000 land in circuit courts.
If your injury takes you out of work, your wage loss benefits should start within 21 days of when the doctor takes you out of work.
A workers compensation case provides you with benefits that cover a lot of your damages when you suffer an injury at work. Workers compensation pays for medical treatment and testing you need because of your injury. It also pays benefits when you are out of work because of your injury. In addition, it pays you benefits if you suffer a permanent impairment as a result of your work injury.
Of course, there are definitely disadvantages with workers compensation. The main disadvantage is that workers compensation is a “limited benefits” system. That means that not all of your damages are covered under workers compensation. The big thing that workers compensation does not cover is pain and suffering.
Workers compensation does have some things about it that are better than a personal injury case . One is that you do not have to prove that your employer did something wrong in order to receive workers compensation benefits.
I strongly recommend that you talk with a workers compensation attorney before requesting a hearing. There are special rules that apply in the workers compensation court system so it is very important to have someone representing you who knows those rules.
Some people want to file a personal injury lawsuit against their employers for their injuries at work. “Exclusive remedy” usually prohibits you from doing this. There are exceptions though, but you will almost certainly need to talk to an attorney to find out if your case meets the exceptions.
Unfortunately, as I mentioned earlier, insurance companies often do not do what the law requires them to do. This can result in your benefits being delayed or even denied. When this happens, you need to know what action you need to take.
When you sue a workers’ compensation insurer for these reasons, you are suing them for their improper decision, such as a decision to deny you needed surgery. You are not suing them for mishandling your claim, or for the way they handled it.
If an insurance company denied you a medical test that was plainly recommended by a workers’ compensation physician, that would be bad faith. Insurance companies that make workers go for duplicate testing, or have workers take multiple diagnostic tests just to discover what was already obvious from the day of the accident, could be liable for bad faith .
A bad faith claim is where the insured (the worker or employee) sues the insurance company for failing to handle or evaluate a claim in a reasonable manner, or for failure to deal with the worker in a way that is reasonable and fair. Bad faith claims are not easy to make.
Suing for Bad Faith. Florida law requires that to sue any insurance company for bad faith, including in workers’ compensation claims, notice on specified Department of Insurance forms must be given to the insurance company, notifying them of the potential claim, and giving them the chance to correct their error.
However, there is one time when you can sue a workers’ compensation insurer for failing to properly handle your claim: When the insurance company acts in what is known as “bad faith.”
Bad faith claims are not easy to make. They cannot be brought just because the worker disagrees with the insurance company. Insurance company decisions that are arbitrary, done to frustrate the worker, or which are against or contrary to medical advice or common medical knowledge can constitute bad faith. One way to look at bad faith is ...
Reporting regulations and deadlines vary from state to state, but it should typically take no longer than 30 days to complete this process.
If the insurance company doesn’t agree with the rating, it can require you to get an independent medical exam (IME) by a doctor of its choosing. Chances are that doctor will give you a lower rating than what you (and your sore neck) feel you deserve. A lawyer can help convince a judge you are entitled to a higher rating.
That injury is aggravated further at work, suddenly becomes serious and the employer/carrier says the original injury didn’t occur at work.
A lawyer will file the paperwork on time, build your case, negotiate with the insurance company and draft a settlement, if one is agreed on. If it’s not, you’re headed for a hearing.
Halfway through lifting one, your boss shoots you with a bow and arrow. He doesn’t really, but pain shooting through your shoulder and neck makes you think he did. Whether it turns out to be a pulled muscle or a slipped disc, you’re going to need medical help. That means you’re about to enter the workers compensation maze.
An attorney not only will prepare your argument, he or she will prepare you to say the right things in testimony. They also will cross-examine the insurance company’s witnesses. That job should not be left up to amateurs. Unlike civil cases, workers compensation law has a safety net of sort.
Unless you’re an attorney or enjoy reading workers compensation manuals in your spare time, probably not. Handling a case on your own is usually a bad idea, especially since the insurance company will be represented by someone who’s probably handled hundreds of cases.
However, if you return to work but are unable to earn the same amount of money due to your ongoing injuries and limitations, the insurance company is required to pay you 2/3 of the difference between your pre-injury average weekly wage and the wages you are earning post-injury.
After you were hurt your employer and its insurance company elected to fight your workers’ compensation claim. But after appearing before the workers’ compensation judge and presenting medical evidence in support of your petition, the judge decided the claim in your favor and awarded you past-due compensation benefits as well as ongoing workers’ ...
If you return to work making the same or more money than you made before you were hurt at work, the insurance company can issue a document suspending your benefits, or petition a judge to suspend your benefits because there is no longer any wage loss associated with your injury.
Under the law, the insurance company has to pay 10% interest on all benefits that have accrued as of the date of the decision. In other words, if you are injured on September 10, 2013, but your claim is not granted until September 10, 2015, and you have been awarded wage loss benefits from September 10, 2013, through the date of the decision and ongoing, the insurance company must pay 10% interest on the benefits that accrued between September 10, 2013 and September 10, 2015.
Generally, barring an appeal and grant of supersedeas by the workers’ compensation appeal board, which is beyond the scope of this blog post, you will receive payment under the judge’s decision within 30 days of the date the decision was issued.
The insurance company will have you examined approximately once every six months by a physician that they choose. They call this an “independent medical examination,” though it is hardly independent since the insurance company handpicks the doctor who will examine you.
Once the initial award is paid, the insurance company will then begin paying you workers’ compensation benefits on a weekly or bi-weekly basis, depending on how you were paid before you were hurt at work.
Workers’ comp provides medical and wage replacement benefits, but doesn’t pay for other damages, like pain and suffering. When a person or company not connected with your employer caused your injuries or illness, they are called a third-party. Even if you’re getting worker’s comp benefits, you have the legal right to file a personal injury claim ...
If you are working on property not owned or managed by your employer, you may have grounds for a personal injury case against the property owner if you are hurt because of dangerous conditions on the property.
Most states allow insurance companies, including your medical insurance provider and workers’ comp insurance provider, to get back what they spent on you from your settlement with the negligent third-party . This is known as “subrogation.”
Unlike workers’ comp claims, where you can only recover a portion of your lost wages and direct medical expenses, in a lawsuit against a negligent third party you have the opportunity to recover all of your lost wages and overtime, future lost income, the costs of replacement services, and a significant amount for pain and suffering.
When a Work Injury is Also a Personal Injury. When a worker is injured in the course of their duties by circumstances beyond the control of their employer, a negligent third-party is often to blame. Some of the most common causes of job injuries caused by third-parties are car accidents, slips and falls, and injuries caused by defective machinery ...
To win a third-party lawsuit, you’ll have to prove the third party was negligent, meaning they did something wrong or failed to do something that would have prevented your injuries. Your lawsuit must prove:
You may have the right to file a third-party lawsuit against the manufacturer of a toxic substance that causes an occupational illness or injury. Toxic substances can include poisonous fumes, lead-based paint, asbestos, and other substances which directly or indirectly cause serious injuries.