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MS users, click on the question for
the answer
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What is Workers’ Compensation?
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Every year
millions of workers are injured on the job. Workers’
Compensation is a set of laws that mandate how much benefit a
worker will receive to compensate for a workplace injury. The
laws vary from state to state. Most states require businesses
with employees to have Workers’ Comp insurance in the event of
injury. Thus, filing for Workers’ Compensation is similar to
filing an insurance claim. An injured worker is not suing his or
her employer when filing a claim. The worker is claiming
benefits. Death benefits may also be available to the spouse,
dependants, and, in some cases, the estate of an employee who dies on the job.
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What steps should I take if I’m injured while working?
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The
first thing you should do is immediately report the injury to
your employer.
Your employer should give you some forms to begin the process of
filing for Workers’ Compensation. If not, feel free to contact
Stocker Pitts Co., LPA or the
Bureau of Workers’ Compensation (BWC)
to obtain an application. You will be asked to thoroughly
explain the circumstances surrounding your injury.
Seek medical attention immediately. If your employer does not
direct you to a medical provider you should proceed on your own
as soon as possible. Remember, an Ohio worker can always choose
his or her own doctor.
If you would prefer to have legal assistance throughout the
course of your Workers’ Compensation claim, or if your claim is
taking too long to process or has been denied,
you may consider hiring an attorney experienced in the
specialized law of Workers’ Compensation to help you understand
and protect your rights.
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How do I know if I qualify for
Workers’ Compensation?
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If you are
injured while working you most likely qualify for Workers’
Compensation benefits. However, there is no guarantee that you
will receive Workers’ Compensation. For instance, some states
disqualify certain types of workers (like agricultural workers).
Also, if you are hurt while intoxicated, or if you intentionally
injure yourself, your claim may be denied. You should contact an
experienced Workers’ Compensation attorney to discuss your claim
in order to understand your rights.
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What kinds of injuries are covered by Workers’
Compensation?
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Almost any
kind of injury caused while working can be claimed. An injury or
condition that existed prior to your employment cannot be
claimed unless it has been substantially aggravated or worsened
while performing work-related activities.
Common injuries include back injury, burns, cuts, head trauma,
asbestos exposure, eye injury, knee injury, exposure to harmful
substances, work-induced heart attack, carpal tunnel syndrome or
other injuries related to repetitive trauma, disfigurement, and
other problems.
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Do I have to be injured at my place of employment to qualify for
Workers’ Compensation?
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No. As long
is your injury is in some way related to your job it should be
covered by Workers’ Compensation. For instance, you should be
covered if you were injured while traveling for business,
running an errand for your place of employment, or even if you
were injured at a job-related social event.
If you are uncertain
as to whether or not your case is covered by Workers'
Compensation, you should seek the opinion of a trained
professional. Most firms, including
Stocker Pitts Co., LPA, will
evaluate your particular situation at no cost.
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What kind of benefits will I receive?
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Workers’
Compensation provides for replacement of income, payment of
medical costs, and sometimes will provide assistance for job
placement if vocational rehabilitation is required after
recovery from an injury. Workers’
Compensation benefits are helpful, but benefits received through
this program tend to be relatively modest. Compensation is
intended only to tide the worker over until he or she medically
recovers from the injury and returns to the work force.
If you are
temporarily unable to work, you will most likely receive about
two-thirds of your regular wages through Workers’ Compensation.
In Ohio, you are eligible for wage-loss replacement (called
Temporary Total Disability, or TT) as soon as you’ve lost seven
consecutive calendar days days of work. Your absence must be
certified by a physician who has personally examined you.
If you become
permanently debilitated because of your injury and are unable to
do any work at all, you may be entitled to receive long-term
payments called Permanent Total Disability Compensation, or PTD.
The process for receiving these benefits is lengthy and complex.
Benefit amounts are dependant on a number of factors including
wages in the year before the disabling injury and whether or
not the injured worker receives Social Security Disability
benefits.
Lesser
amounts of compensation can be paid to workers with partial
disabilities. In Ohio these awards are paid as lump sums, except
in cases of very serious injuries involving loss of a body part
or function, such as amputations or blindings. Compensation for
these injuries is determined by a schedule of benefits and paid
over many weeks at a fixed rate which varies from year to year.
Finally,
Death benefits may be available to the spouse, dependants, or, in
some cases, the estate of
an employee who dies on the job.
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Can I
settle my Workers' Compensation claim?
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In many cases
it can be advantageous to negotiate a complete and final
settlement of a claim, in which case a lump sum of money is paid
in exchange for the injured worker giving up his or her right to
ask for future medical costs and compensation payments. However,
no party has the right to settle a claim. The worker, the
employer, and the Bureau of Workers' Compensation must all reach
agreement before a claim can be settled.
It is almost
always advantageous for an injured worker who is thinking about
settling a claim to secure expert advice from a legal
professional knowledgeable in matters of Workers' Compensation.
Employers and the Bureau of Workers' Compensation are in a much
better position than the injured worker to evaluate the economic
value of a claim and will always negotiate to their own
advantage. Law firms like Stocker
Pitts Co., LPA are experienced advocates of the
interests of injured workers.
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What if my employer tells me not to file a Workers’ Compensation
claim or threatens to fire me if I do?
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This is
against the law. A company cannot retaliate against an employee
for filing for Workers’ Compensation. You should contact your
local Workers’ Compensation office. If you and your employer
continue to disagree about your claim you have the right to a
hearing to resolve the dispute. It’s a good idea to be
represented by an attorney at this hearing.
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Can I sue my employer instead of
filing for Workers’ Compensation?
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No. In almost
all cases you can’t sue for work-related injury. Workers’
Compensation law protects your employer from being sued if they
pay for Workers’ Comp insurance, which is required
by law in most states. Generally, Workers’ Compensation will be
your only option for obtaining benefits when you are hurt at
work unless someone other than your employer is liable.
If you were
injured on the job but someone else is liable you may be able to
collect Workers’ Comp benefits and sue the party responsible for
your injury. An attorney who specializes in the field of
Workers’ Compensation should be consulted to better understand
your rights.
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Should I be represented by an attorney?
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Since every case is unique, it can
be beneficial to discuss the particulars of your case with an
attorney who understands the complex Workers’ Compensation
process. This way you will fully understand your rights. Some
law firms, such as Stocker Pitts Co., LPA, offer free initial
consultations with no obligation.
Some claimants hire attorneys as
soon as the injury occurs, feeling more secure proceeding with
Workers’ Compensation claims when a knowledgeable lawyer is
leading them through the process, maximizing the potential
benefits.
Other injured workers contact an
attorney if conflict arises with the employer, the Bureau of
Workers’ Compensation, or if there are other parties involved
with the injury. Some seek advice when they wish to collect both
Workers’ Compensation and Social Security
benefits.
Every
situation is different. If you have any questions or concerns
about your case, it’s advisable to meet with an attorney. If you
do hire the attorney, most will work with you on a contingency
basis. This means that the attorney will not get paid unless you
receive your benefits. Further considerations have been
established by the Ohio Supreme Court. Click
here
to view this information.
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If I’m receiving Workers’ Compensation benefits, and I return to
work, can I still receive Workers’ Compensation benefits?
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Maybe. If an
employee returns to work and receives wages equal to or greater
than what he or she was making before the injury, then Workers’
Compensation may be stopped. However, if an employee receives
decreased wages upon return to work as a result of the injury,
then the worker may receive continued Workers’ Compensation
benefits to some degree, though possibly at a lesser amount.
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Are Workers’ Compensation benefits taxed?
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Most states,
including Ohio, do not tax these benefits. The federal
government does not tax Workers’ Compensation benefits. |
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