Category Archives: Work Comp Benefits

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SB 697 and the Hurdles to a “Value of Care” Model in California Workers’ Compensation

SB 697 and the Hurdles to a “Value of Care” Model in California Workers’ Compensation

Last month, the California Senate passed SB 697. This bill, if signed into law, would require the Administrative Director of the Division of Workers’ Compensation to perform a study on whether it would be viable to link payment for workers’ compensation medical treatment to “value…

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Who Qualifies Benefits in a California Subsequent Injury Fund Case?

Who Qualifies Benefits in a California Subsequent Injury Fund Case?

What happens when you are severely injured at work but are not deemed 100% disabled from that injury alone – yet can’t find a job because of the injury and other disabilities? For injured workers with prior injuries and a qualifying Subsequent Industrial Injury (“SII”),…

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Amended Labor Code Sections Protecting Legal Presumptions Takes Effect January 1, 2023

Amended Labor Code Sections Protecting Legal Presumptions Takes Effect January 1, 2023

Beginning January 1, 2023, peace officers, fire fighters, and other qualified public servants in the State of California (and the attorneys who represent them) will have new tools to ensure that workers’ compensation claims administrators fairly and timely handle claims involving legal presumptions for these…

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California Workers’ Compensation Retraining Vouchers

California Workers’ Compensation Retraining Vouchers

What is the Supplemental Job Displacement Benefit (SJDB) retraining Voucher A retraining voucher (formally a Supplemental Job Displacement Benefit or SJDB Voucher) is designed to help injured workers retrain for different careers or positions. It is not required in every case. It’s designed to cover…

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Special Wage Loss Payments for Peace Officers, State Employees, and Teachers

Special Wage Loss Payments for Peace Officers, State Employees, and Teachers

As my partner Marc S. Wiesner outlined in a prior post, time missed at work due to a workplace injury is compensated by a benefit called Temporary Disability. Per California Labor Code §4653, this in generally calculated at 2/3rds of the injured workers Average Weekly…

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Alphabet Soup of Workers’ Compensation, Part III—Special issues

Alphabet Soup of Workers’ Compensation, Part III—Special issues

In my first post, we covered issues that arise earlier in a case (AWW, TD, PTPs, WPI, RFAs, UR and IMR). Part II covered some of the common issues (and shorthand) that would come up later in a case (P&S, stips, C&R, MSA, F&A). Though…

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Why Can’t I Take my WC Prescription to the Pharmacy the Same Day?

Why Can’t I Take my WC Prescription to the Pharmacy the Same Day?

I know, it’s mind-blowing, isn’t it? Your work comp doctor, who the insurance may have sent you to, requests treatment but the doctor tells you you have to wait. Why isn’t the treatment immediately available? Why can it be denied and you don’t hear about…

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Alphabet Soup of Workers’ Compensation, Part II—Later in Case Concerns

Alphabet Soup of Workers’ Compensation, Part II—Later in Case Concerns

My earlier post covered issues that arise earlier in a case (AWW, TD, PTPs, WPI, RFAs, UR and IMR). Later in a case, you might encounter one or some of the following situations (with their associated acronyms): P&S—Permanent and Stationary A Permanent and Stationary (P&S)…

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Why Wage Loss (TD) Stops in a California Work Comp Case?

Why Wage Loss (TD) Stops in a California Work Comp Case?

Imagine being injured so badly at work that your doctor tells you to stay home. Or, your doctor gives you work restrictions and your employer cannot meet them. You should get paid until you can return to your job or another job. Right? While that…

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I Was Injured At Work in California, Can I Choose My Doctor?

I Was Injured At Work in California, Can I Choose My Doctor?

As with many things in law, the answer is, it depends. The more cynical answer is, yes, but the insurance controls the doctors on the list. So, how good is that list going to be? We call these lists Medical Provider Networks or MPNs. Each…

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