How Much Do I Receive?

Workers' compensation wage loss benefits are calculated
based upon what is called the injured worker's "average
weekly wage." The average weekly wage is generally
2/3rds of the amount a worker had earned before getting
hurt on the job. There are exceptions to this rule. For
example, there is maximum benefit rate, so highly-paid
workers often receive less than 2/3rds of their average
weekly wage. In addition, some workers will receive either
a fixed rate or 90 percent of their prior average earnings,
depending upon various factors. Also, it is crucial for you
to report any income from jobs that you performed other
than the job where you were injured (this is called
"concurrent employment"). You may be entitled to a higher
workers' compensation rate based on the income from this
concurrent employment.


Do I Have to Go to the Company Doctor?

An injured worker only has to treat with a "company
doctor" for 90 days from the first visit only if the employer
creates a list of at least six designated health care
providers, provides written notification of the employee's
rights and duties to the employee, and obtains the
employee's written acknowledgment that he or she has
been informed of these rights and duties. If an employer
fails to do this, an injured worker can receive treatment
from any doctor or provider.


Do I Have to Report Other Income That I
Earn?

Yes, the law requires injured workers to report any
income earned while out of work on workers' comp.
Before doing so, you should consult a lawyer to make sure
you are reporting the information correctly. If you had
more than one job before and/or after you got hurt, this
may affect the benefits you can receive. You may even be
entitled to more wage losses than you thought. Be safe,
and consult an attorney.
What is a Work Injury?

A "work injury" is any injury, medical condition or
disease that is caused by a person's job, according to
Section 301(c)(1) of the Pennsylvania Workers'
Compensation Act, 77 P.S. §411(1). The Act does not
list specific types of injuries, other than the requirement
that the condition must be related to the worker's
employment. In addition, a work injury also includes
occupational diseases and pre-existing conditions that
are aggravated by a person's job. This means that
everything from broken bones to strains and sprains to
latex allergies to hepatitis may be considered a work
injury.


When Does My Employer Have to Start
Paying My Workers' Comp Benefits?

Under the Workers' Compensation Act, an employer
and its insurance company have 21 days after they
receive notice of the injury to either agree that an injury
is work-related (and issue a Notice of Compensation
Payable or Notice of Temporary Compensation
Payable) or to deny the claim (and issue a Notice of
Compensation Denial). Before you can receive wage
losses, there must be medical proof from a doctor
confirming your injuries and whether you can return to
work or there are any restrictions on the type of work
you can do. Most insurance companies mail checks
every other week to injured workers, although a few
pay wage loss benefits weekly.


Can I Sue My Employer?

The answer to this question is almost always, "No." In
exchange for receiving workers' compensation benefits,
an injured worker gives up the right to sue his or her
employer for pain and suffering. There are very few
exceptions to this rule. This does not mean that you
cannot sure other parties that may have been
responsible for your injuries. In fact, you can often sue
other parties. For example, if you are involved in a
work-related motor vehicle accident and sustained
injuries as a result of the negligence of a third party, you
may be able to file a personal injury action against the
third party seeking pain and suffering for your injuries.
ARTHUR G. GIRTON
WORKERS COMPENSATION ATTORNEY
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