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As part of
our firm’s longstanding commitment to the working people of
San Diego County, we have three attorneys who specialize in the
practice of Workers’ Compensation law, and a dedicated staff
who assist them in their efforts on behalf of injured workers.
Se Habla Español.
California’s Workers’ Compensation system is designed
to assure every California worker certain basic rights when injured
in the course of employment regardless of fault. There are generally
two categories of workplace injuries: those resulting from a specific
incident, such as a fall from a ladder; and those resulting from
a continuous or cumulative trauma, such as repetitive typing on
a keyboard.
In some situations, an injured worker has a right to receive compensation
under both the Workers’ Compensation law and under the civil
law. Here are some examples:
• When an injury occurs as a result of
the worker’s use of a tool, piece of equipment or machinery
if it was defectively designed or manufactured or inadequate warnings
were given to the worker as the end user of the product. In such
cases, the manufacturer or another party – in addition to
your employer – may be responsible under the civil law for
the harm caused.
• When an injury occurs as a result of
the negligence or fault of another person outside your place
of employment -- such as another driver when you are on the road
in connection with your employment, or as a result of the negligence
or fault of a person working for another employer -- such as a worker
on a construction site working for one subcontractor when you work
for another. In such cases, the other party or other party’s
employer – in addition to your employer – may be responsible
under the civil law for the harm caused.
• When an injury or its long-term consequences
are made significantly worse by the negligence of a doctor or other
medical provider who treats the injured worker. In such cases,
the medical provider – in addition to your employer –
may be responsible under the civil law for the harm caused.
To protect your rights under the civil law – in addition to
your rights under the Workers’ Compensation Statute –
it is often critical that evidence be preserved, inspected and photographed
on a timely basis. On these occasions, getting competent legal representation
can make the difference between a complete and only a partial recovery
for all the harm done. See Injury Law.
Whether or not another party will or may become accountable for
the harm you have suffered, your employer remains responsible for
your injury under California’s Workers’ Compensation
law regardless of fault. You have five basic rights under the Workers’
Compensation system.
Your Five (5) Basic Rights
• The right to receive a weekly compensation
benefit while you are temporarily, totally disabled.
• The right to have 100% coverage
for the medical care you need to treat your injury.
• The right to compensation for
any permanent disability.
• The right to future, lifetime medical
care to treat the effects of your injury.
• The right to receive certain retraining benefits, depending upon the date of your injury.
Enforcement of these five basic rights can involve complications
– for example, when an employer denies that the injury occurred
in the course of the worker’s employment or when an injured
worker has a preexisting medical condition; and there are often
disagreements about the extent of a worker’s permanent disability
and whether or not he or she can return to the same work.
Quality Medical Care
Making a full recovery from a workplace injury is the most important
objective and getting quality medical care can make a difference
in achieving this objective.
The employer / insurance carrier is obligated to provide you with a doctor within 72 hours of your report of injury and request to see a physician. The employer may require you to treat within their Medical Provider Network, which is a group of doctors what are in the employ of the employer / carrier/ It is important to know who those physicians are and whether or not they can provide the care you require.
And if a full recovery cannot be achieved, the physician who treats
your injury will have considerable power to affect each of your
five basic rights – favorably or unfavorably. Not all medical
providers are created “equal” -- not with regard to
their skills and abilities as treating doctors or surgeons and not
with regard to their thoroughness and accuracy in assessing the
long-term consequences of an injury and the level of likely disability.
Having a skilled medical provider – who is fair and objective
– may make the difference in how well you “recover,”
not only from the injury itself but under the Workers’ Compensation
system as well.
Filing A Timely Claim
On-the-job injury claims must be timely reported and filed with
the Workers' Compensation Appeals Board (WCAB) in the appropriate
County in California. Generally, a claim must be filed within one
year from the date of the injury or within one year from the date
of the last payment of Workers' Compensation benefits for the injury,
whichever of these two events occurred last – but, in any
case, must be filed no more than five years from the date of the
injury. If an employer accepted an injury as work-related and settled
it using the legal device known as a “Stipulation and Award,”
then the injured worker has five (5) years from the date of the
injury to file a Petition to Reopen with the WCAB in his or her
County in order to obtain further benefits for the injury.
Rating Your Permanent Disability
If you do not retain an attorney soon after your injury occurs,
at least take advantage of the opportunity to have a free consultation
with one of our firm’s Workers’ Compensation experts
before your treating doctor releases you from care. Once you are released and you have reached, "Maximum Medical Improvement," your injury will be rated and this rating determines the amount of permanent disability compensation you are entitled to. This is determined by the use of the AMA Guides, which does not take into account your work or ability to work in determining your impairment; rather it is supposedly based on objective factors, such as measurements as well as how your injury affects your, "activities of daily living." Establishing the permanent disability rating for
your injury is a critical event in your case and you deserve sound
legal advice before this happens.
Special Penalties Against Employers
Special penalties apply when an injury results from an employer’s
serious and wilful misconduct.
An employer also may not discharge or discriminate
against an employee who is injured on the job because he or she filed a Workers’ Compensation claim,
received a rating, award or settlement of a claim, or testified
in another employee’s case. An employer who does so commits
a misdemeanor entitling the employee to reinstatement, back pay,
and half of the Workers’ Compensation benefits to which he/she
is entitled up to $10,000.
When an employer discharges or discriminates against an employee
based on his/her work-related injury (regardless of his/her participation
in claim proceedings), a civil damage remedy under California’s
Fair Employment and Housing Act may also be available. See Disability/Pregnancy
Discrimination.
Attorney’s Fees
Our firm handles Workers’ Compensation cases on a contingency
fee basis -- meaning that an injured worker does not pay any attorney’s
fees unless there is a recovery of money. A judge must approve any
attorney’s fees to be paid to the attorney for the injured
worker and these attorney’s fee awards are a percentage of
the permanent disability recovery or of weekly benefits paid during
the injured worker’s participation in vocational rehabilitation
services, usually ranging from 12% to 15%.
Consultations, however, are free until a representation agreement
is made and a fee Disclosure Statement is reviewed, explained and
signed by the injured worker. Take advantage of the opportunity
for a free consultation to make sure you know your rights and get
the benefits you deserve and have earned as a California worker.
You are not alone. See how we will help.
Se Habla Español.
Injury Law
Legal Team
Michael
K. Wax
Position: Partner
Admitted to Bar: 1987, California.
Education: College of Idaho (B.A., 1984); Willamette
University (J.D., 1987).
Member: California Applicants’ Attorneys Association
(CAAA), San Diego County Bar Association, and State Bar of California.
James
“Marty” Stern
Position: Associate
Admitted to Bar: 1977, California; U.S. District
Court, Northern, Central and Southern Districts.
Education: San Diego State University (B.A., 1973);
University of San Francisco School of Law (JD 1977); Certified Legal
Specialist in Workers' Compensation by the State Bar of California
Board of Legal Specialization.
Of Note: Instructor, University of Phoenix, 1994
to present; President, San Diego Chapter of the California Applicants’
Attorneys Association (CAAA), 2001-2003;
Co-Chair, San Diego County Bar Association Workers' Compensation Law
Section, 1999-2001; Chairman, Tort and Insurance Law Section, San
Diego County Bar, 1991.
Member: California Applicants’ Attorneys Association
(CAAA), San Diego County Bar Association, and State Bar of California.
Disclosure Required by California’s
Labor Code § 5432
Making a false or fraudulent workers’ compensation claim is
a felony subject to up to 5 years in prison or a fine of up to $50,000
or double the value of the fraud, whichever is greater, or by both
imprisonment and a fine. Making a false statement for the purpose
of obtaining or denying Workers’ Compensation benefits is also
a felony. [This applies to employers as well as to claimants.] |