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Programs » Workers' Compensation » For the Injured Worker Thursday, May 23, 2013
 For Injured Workers

What is workers’ compensation?

If you sustain an injury on the job or a work-related illness, your employer will provide you with appropriate workers’ compensation benefits. These benefits, including medical treatment and compensation for lost time from work, are listed below and discussed in more detail in our “Information for the Injured Worker” brochure. You may be eligible for some or all of the benefits listed, depending on the nature of your claim. In order to access these benefits without delay, be sure to report all work-related injuries and illnesses promptly.

  What are the benefits? What does MPA do?
How to resolve disputes
Employee responsibilities /Claim reporting
 

What are the benefits?  

 

Workers’ compensation benefits can include:

Medical Care : Reasonable and necessary treatment related to your work injury or illness, including physician fees, hospital services, physical therapy, x-rays and medications. Your employer selects the treating physician for the first 30 days, unless you have predesignated your primary care physician. After 30 days, you may choose a different doctor. MPA pays treatment costs directly, so you should never receive a bill or pay a co-payment. Note that for injuries on/after 1/1/04, there are some limitations on medical services.

If a decision regarding liability for your claim is delayed, medical treatment will be provided until the date that liability is accepted or rejected, up to $10,000.

Temporary Disability : If your doctor says you can’t do your usual job while recovering from an injury or illness, your employer may have temporary transitional work (see Return to Work below). If not, you are entitled to compensation for lost wages as follows:

  • Police officers and firefighters: up to one year of salary continuation, per state law
  • Employees covered by salary continuation programs: check with your employer for information on your benefits
  • Employees not covered by salary continuation programs: temporary disability benefits

Temporary disability pays two-thirds of your average weekly earnings, subject to minimum and maximum amounts set by state law. The first three days of lost time are not paid, unless you are hospitalized overnight or off work for more than 14 days. For injuries on/after 4/19/04, there are limitations on the time to collect temporary disability.

Permanent Disability : If your doctor says that your injury or illness results in permanent disability or “impairment”, you may receive additional payments. The amount will depend on the type of injury, your age, occupation and date of injury, and related preexisting or subsequent medical conditions or injuries.

Death Benefits : If an injury or illness results in the death of the employee, payments may be made to qualified dependents. The amount is determined by state law.

Job Displacement Benefits : If your injury results in permanent disability and you do not return to work with your employer because of your injury or illness, you may be entitled to benefits to assist you with retraining.

Return to Work : MPA and your employer have established the Temporary Transitional Work (TTW) program. It is designed to assist employees in returning to productive and medically appropriate tasks while they are recovering from injuries. TTW tasks will be made available for a limited period of time, usually 90 days. If you are unable to return to full duty within that time, you may be placed on temporary disability.

 

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What does MPA do?
 

Our responsibility is to administer workers’ compensation benefits to injured employees. First, we must determine whether or not the injury or illness is work-related. By law, this decision must be made within 90 days of the filing of a claim form.

Workers’ compensation can be complicated. We understand this, and encourage you to contact us with any questions or concerns.

How to resolve disputes

You have the right to disagree with decisions affecting your claim. We encourage you to contact your employer or MPA to resolve the problem. If this doesn’t work, you may also try the following:

  • Contact the Information and Assistance officer in your area. For a directory of offices, go to the DWC web site at www.dir.ca.gov. You may also hear recorded information at 800-736-7401.
  • You may consult with an attorney. If you decide to hire an attorney to represent you, the attorney’s fees will be taken out of your settlement.
  • You may ask to have your case heard by the Workers’ Compensation Appeals Board.

What are my responsibilities?

  • Report injuries promptly to your supervisor
  • Call Company Nurse to report your injury and receive treatment advice (877-854-6877)
  • Go to the city’s designated occupational facility or your predesignated personal physician
  • Fill out a claim form (DWC-1)
  • Participate in accident safety review
  • Follow through with medical care
  • Participate in early return to work

For more details on the above information, click here for a copy of our “Information for the Injured Worker” brochure.

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