What Every California Employee Needs to Know About Workers’ Comp
While the workplace has become safer over the past few decades, and worker injury rates have decreased, obviously injuries still occur on a daily basis.
The workers’ compensation system is complex, and a work injury lawyer in Orange County can be of assistance in navigating the California workers’ compensation system. Almost like your “tour guide” through the system.
Here are some general answers to common questions:
1. What is workers’ compensation?
Workers’ compensation is a form of protection for employees that employers must have to pay for workers that are injured on the job. Wage replacement benefits are provided as well as medical treatment at not cost to the injured employee.
2. What should I do if I’m injured at work?
A Worker who gets injured at work or sustains a work-related illness should tell their supervisor as soon as possible and fill out a claim form. Prompt reporting will help the worker gets the medical care and benefits they deserve. The employer should investigate the accident and immediately file your claim with their insurance company. Once the employer receives the completed claim form from the employee, they are required to fill out their portion of the form. Workers who need medical treatment should get it immediately.
3. Do I need to fill out the DWC 1 claim form?
Workers generally must complete the DWC 1 claim form to start the process of obtaining benefits. Otherwise, the employer may later say they didn’t know about the injury or illness you reported.
4. What kinds of benefits am I eligible for?
After reporting a work injury, a worker may be eligible for the following immediate benefits:
· Up to $10,000 in treatment while the claims administrator investigates the claim.
· Wage replacement benefits if a physician determines that injury prevents working, or the employer refuses to honor your work restrictions.
If the claim is accepted, injured workers may qualify for the following benefits:
· Continuing medical treatment
· Temporary disability benefits
· Permanent disability benefits
· Future medical care
· Supplemental job displacement benefits
· Other benefits required by law
5. Do I need a workers’ comp lawyer?
Injured workers should consider obtaining a free consultation with an Orange County workers’ compensation lawyer if:
· The physician assigned to the case is not providing appropriate treatment
· Treatment is being denied by the insurance company
· The employer or insurance carrier denies the accident or injury is work-related
· The employer doesn’t file the necessary paperwork on time
· It appears there will be permanent disability
· The settlement doesn’t cover all lost wages and medical bills
· They have a preexisting condition the insurance company is using as an excuse not to pay benefits
· They plan to file for Social Security disability benefits
· The employer retaliates against the injured worker even though the injury or illness is work-related
· Another person or company may be responsible for the injury
Your rights can be lost if a claim is not pursued promptly. Delays in making a claim may result in the statute of limitations barring the claim forever. Act promptly.
Recent Strike By Republic Services Sanitation Workers In Orange County
In November of 2021, over 400 sanitation workers employed by Republic Services at facilities in Anaheim and Huntington Beach voted to authorize a strike against the company. The workers’ contract expired in late September and was followed by multiple contract bargaining sessions.
Workers were concerned about excessive working hours and alleged persistent harassment in the workplace. Members of Teamsters Local 396 called attention to the large pay gap between the CEO and the company’s worker. In 2020, the CEO’s total compensation was over $12 million and 154 times the pay of an average worker. That same year, Republic Services grossed over $10 billion with $1.2 billion in net profit. In addition, the company spent more than $736 million buying back its stock.
Republic Services is the second-largest trash collection, disposal, and landfill company in America, with facilities in over 40 states. More than 7,000 Republic workers nationwide are represented by the International Brotherhood of Teamsters.
Ron Herrera, Secretary-Treasurer of Teamsters Local 396, said, “Teamsters working at Republic Services across Orange County are sending a strong message that they are ready to do whatever it takes to secure a fair contract. Republic Services needs to take negotiations seriously to ensure that these essential heroes who work hard to keep our cities clean and protect our environment get a fair contract.”
The Orange County strike had five members traveling to Republic’s hauling yard in New Orleans and putting up a picket there, while other workers extended the picket line to Republic’s recycling facility in Anaheim.
In December of 2021, more than 450 sanitation workers at Republic Services’ waste hauling yards in Anaheim and Huntington Beach ratified new collective bargaining agreements after a seven-day strike protesting the company’s unilateral changes without bargaining and threatening to retaliate against employees participating in union activity.
According to a press release, the new contracts include significant wage increases and other improvements.
Soon after the new contracts were ratified, more than 250 workers at Republic Services in San Diego went on strike demanding a fair contract.
Chuck Stiles, Director of the Teamsters Solid Waste & Recycling Division, said, “The strike in Los Angeles may be over, but Teamster members across America are fed up and will continue to take action until the company stops breaking the law and is willing to bargain fair contracts for these essential workers.”
In these increasingly frequent situations, I am reminded of the Warren Gunnels quote:
“You’re not a failure in life if you work for starvation wages with no benefits. You’re a failure in life if you are a business owner who depends on the exploitation of a poverty-wage workforce, no matter how many yachts and mansions you own. It’s time to redefine success in America”.
Preparing To Hire A Work Injury Attorney In Santa Ana, CA
If you’ve recently suffered a work injury or condition, finding a work injury attorney in Santa Ana, CA can be challenging. There are hundreds of attorneys claiming they can help you. The bottom line is an experienced attorney can take the burden of navigating the workers’ compensation system and let you focus on getting better.
To be prepared for your meeting with a workers’ comp lawyer, having the information and paperwork gathered in advance of your meeting will make the process smoother for you – and the attorney.
Information to Bring When Meeting a Work Injury Attorney in Santa Ana, CA
During the consultation, the attorney will need answers to questions like:
- Where the injury took place
- What you were doing when the injury occurred
- Witnesses to the injury
- What your injuries are
- A list of doctors you saw and their phone numbers
- Proof of your wages at the time of the injury
A work injury attorney in Santa Ana, CA will also need to know the details about your job history. This information can help determine the amount of benefits you’re eligible to receive.
Accident Report
If there was an accident report written at the time of the accident, bring a copy of it when you attend the appointment with the lawyer.
If you haven’t received a copy of the report, the attorney can issue a subpoena for it.
Wage Records
Bring pay stubs, your employee ID number, hire date, job title, and a list of daily duties to the consultation. Your workers’ compensation benefits are usually based on to how much you were making at the time of the accident. Your work injury attorney in Santa Ana, CA will need detailed employment records to calculate your average earnings and make sure you obtain the compensation that you deserve.
Paperwork And Documents From Your Employer
After making a workers’ compensation claim, you may receive paperwork in the mail from the workers’ compensation administrator, such as letters about the workers’ compensation system, information about physician networks, and documents describing the workers’ compensation process, the benefits available to you, and your legal rights. Make sure you have these letters handy for your meeting with a workers’ compensation attorney.
Initial and Follow Up Medical Treatment Records
Bring records of any medical treatment you received immediately after the accident, in addition to any medical paperwork suggesting a treatment plan and recommendations for follow-up care. This information will help verify the link between the accident and your injuries and establish the extent of your injuries and your inability to work in the aftermath of the accident.
You should also consider bringing information related to any other expenses associated with your injury, such as purchasing equipment related to treatment and traveling to doctor’s offices for medical appointments. Medical bills, whether you’ve paid them or not, are another important part of your case, so be sure to bring any medical bills with you to the consultation.
Other Records to Bring
Also bring photos (and videos, if you have them) of your injuries to show the extent of your injuries. If you have photos of the accident scene, this could be valuable evidence, especially if the insurance company has denied your claim.
Records of phone and email correspondence with your employer and insurance company is also important to document the interactions.
An experienced work injury attorney in Santa Ana, CA will need the information noted above to assist in promptly securing the benefits you make be entitled to.
Injured On The Job? How To Choose The Right Work Injury Lawyer In Orange County
Billboards, TV and radio commercials, bus benches.
Lawyer ads seem to be everywhere claiming to be the “best” if you get injured. But does a hefty advertising budget mean that a lawyer knows what they are doing in court?
If you are injured on the job beware of lawyers claiming to be the “best in town”. Here are four things worth considering when you are deciding on an Orange County lawyer to represent you for your work injury:
- Look For Actual Experience
It seems obvious, but having a lawyer who discusses your case with you personally, works on your case personally, and makes court appearances on your case personally makes a big difference in the outcome of your workers’ compensation case.
With over 30 years of experience handling workers’ compensation cases in Orange County and decades of awards and recognition by his fellow lawyers as a highly-skilled and ethical lawyer, Tom Martin doesn’t rely on nicknames, songs, or billboards everywhere you look. Instead, he limits his practice to only representing injured workers and getting the results each of his clients deserves and lets his work speak for itself – the vast majority of his clients come from “word of mouth”, the best advertising a lawyer can have.
- Do Past “Wins” Matter?
Yes. Like other lawyers, Mr. Martin has recovered tens of millions of dollars for his clients over the years, and that speaks to his skill going against the biggest employers and insurance companies in California.
But does his past successes on behalf of his clients mean that’s the only reason to retain him? No.
What really matters is what his strategy is to recover what you deserve in your case – because every case is different, and you and your injuries are unlike any other case.
Visit www.ThomasFMartin.com to see why Tom Martin’s personal attention to your case matters.
- Fees Based On Performance
Many lawyers charge by the hour no matter what the outcome of the case is. That’s not how Tom Martin gets paid for his work on your case.
His fee is 15% of the amount of the recovery for his client. This fee structure protects the injured worker because if there is no recovery there is no fee. With this fee structure, Mr. Martin is in the “same boat” as you – the goal is to secure the Award you are entitled to – no less.
- Do you get to talk with a lawyer, or just a ‘legal assistant”?
Mr. Martin personally appears in court for his clients every week. He’s busy representing his clients, securing the financial benefits and the medical treatment they are entitled to. The best work injury lawyers in Orange County aren’t shooting TV and radio ads, or coming up with catchy songs and nicknames – they are in the courtroom fighting for their clients.
Many workers’ compensation attorneys use paralegals to process cases, and non-lawyers to appear in court. Before you retain an attorney, find out who is actually going to work on your case. It matters. After all, if you’re going to hire a law firm, you deserve to have the lawyer handling your case!
Regarded by his peers as one of the best workers ’comp attorneys in Orange County, consider calling Thomas F. Martin, PLC at 714-547-5025.
Types Of Workers Compensation Settlements Negotiated By An Orange County Workers’ Compensation Lawyer
As a top Orange County workers’ compensation lawyer, Thomas F. Martin, PLC explains the main types of settlement formats options in workers’ comp law:
- Stipulated Findings and Award
This type of settlement is an option when an injured worker and the employer (or its insurance company) agree on the permanent disability rating and need for future medical treatment. The stipulation is the parties’ agreement about the findings of the case. These findings include the disability rating percentage, the fact that a work injury caused the disability, and the need for future medical care.
When the settlement paperwork is presented to a workers’ compensation judge, the agreement will have the same force and effect as if the Judge made the findings after a trial. In most cases, after obtaining the medical reporting and other evidence, the parties are often able to agree on what the Award should be.
A Stipulated Findings and Award settlement will require the insurance company to make a payment to the injured worker every two weeks for a specified period of time depending on the percentage of permanent disability. Sometimes, if the insurance company has not paid the permanent disability owed, a lump sum payment be paid to the injured worker to catch up on the payments owed according to the agreement.
This settlement is common in cases when an injured worker continues to work for the same employer.
- Compromise and Release
An Orange County workers’ compensation lawyer may negotiate a Compromise and Release if the injured worker wants to close out all rights in the case, including the right to request future medical treatment. In these cases, the injured worker accepts a lump sum of money to settle the worker’s compensation claim and close the case forever.
The workers’ compensation judge must still review approve the Compromise and Release to ensure it’s fair. Most Compromise and Release settlement agreements are approved if the worker has an experienced Orange County workers’ compensation lawyer representing them.
One advantage of this type of settlement is the immediacy of payment. Workers don’t need to wait for installments payments but receive the full payment. In many cases, clients receive a more favorable financial payment since insurance companies prefer not to be under any future obligation.
- Hybrid settlement
An experienced Orange County workers’ compensation lawyer may be able to negotiate a Compromise and Release ( closing out all rights for a lump sum) AND have future medical care left open in certain cases.
Clues To A Quality Workers’ Comp Attorney in Orange County
Not all lawyers are made equal. Some actually routinely go to court, and others spend their time promoting their catchy nicknames on billboards, radio and TV. Some even have songs that tell you absolutely nothing about their skill as an attorney.
When people suffer a work injury, it’s serious business. You deserve information about the lawyer that tells you what makes them qualified to help you navigate the California workers’ compensation system.
What qualities does a truly exceptional workers’ comp attorney have in Orange County?
- Communication With A Lawyer – Not A Paralegal
Clients have a right to know where their case stands at every point of the legal process. Having access to the attorney that is representing you shows they are personally involved in your case.
Some law firms have dozens of non-lawyers processing your claim. Why hire a law firm if you hardly ever get to talk to a lawyer? Does the lawyer even now about what is going on in your case? Or is he or she just relying on their staff to deal with the issues of your case?
Cases, like people, are dynamic – things can change rapidly. Is the lawyer available for unexpected developments? Is the lawyer ready to get a court date to deal with the problem, or are you going to just get talk from the non-lawyers at the firm? These are questions to ask BEFORE you hire a workers’ compensation attorney.
- Reliability
A workers’ comp lawyer should do what he or she says they are going to do. Ask the attorneys you are considering to help you what the game plan is on your case, and how they plan to give you feedback on your case.
If, for example, benefit checks suddenly stop coming without explanation, clients should be able to contact their lawyer immediately. There could’ve been a technical mistake or the insurance company could’ve decided benefits are no longer necessary, despite doctor’s orders. Can you rely on your lawyer to have a game plan? Or are you going to get the run around by the firms non-lawyers? Ask how such things will be handled BEFORE you decide on a lawyer to hire.
- Attentiveness
When interviewing lawyers to hire, are you sensing that the lawyer is paying attention to the unique aspects of your case, or are they just running through their “script”? If you aren’t straight answers to your questions, that may be a sign that you will be treated the same way as a client
An attentive lawyer will HEAR what you are saying, and do his or her best to answer your questions. know the details of every settlement offer — even if it’s unacceptably low — and share that information with their client before rejecting the offer.
- Strong Negotiation Skills
Insurance companies know who the prepared attorneys are. Making certain that your case is fully documented is hard work, and it puts your lawyer in a strong position to negotiate the result you deserve. If the insurance company is dealing with an attorney that is routinely unprepared or relying on non-attorneys to handle your case, your case is not going to be taken as seriously. Ask the lawyer you are interviewing how they process cases and what their reputation is for being prepared BEFORE hiring them.
- Preparation
The successful outcome of a case depends on the lawyer’s commitment to preparing the case for trial. Ask the lawyer if he or she is PERSONALLY preparing the case for the Judge, and PERSONALLY appears before the Judge BEFORE you hire them. If all the lawyer is relying on non-lawyers to do the critical work and appearances on the case, you deserve to know that ahead of time
- Knowledge About The Workers Compensation System
Does the lawyer you are interviewing doing a lot of different types of law, or ONLY workers compensation? Are they recognized by a past client and other lawyers as a skilled and ethical lawyer? An experienced workers’ comp attorney in Orange County is known and respected for their knowledge and skills.
Making The Decision
Look for these qualities in a workers’ comp lawyer before retaining a workers’ compensation attorney. It can make a big difference in the outcome of your case and your life.
Best Workers Compensation Lawyer Ranking!
The 2021 U.S. News “Best Law Firms” publication will include our own Tom Martin in its 11th annual Edition. (more…)
Thomas F. Martin Recognized by Orange Coast Magazine as Top Attorney in Orange County
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