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subject: California Workers Comp Insurance Facts [print this page]


California Workers Comp Insurance Facts

The workers' compensation is obligatory and waivers are not permitted. According to the present state of the law, there are certain facts about workers' compensation that employees should know. There can be important sums of money to retrieve, not only for the hospitalization but also for the skipped work days.

The Claims

An employee suffering from a work-related injury has to know that the amount to be claimed can vary, and it is best when the situation is discussed between an attorney and the insurance company, in order to avoid mistakes. Claims must be made within 7 days or will be considered late. All claims are subject to thorough investigations, and one can wait up to 90 days to obtain a definite answer. Often, resolutions are postponed hoping that the situation will settle down, meaning the needs of medical treatment will diminish and thus the costs become lower. However, specialists have observed that there are no such cases with improvements over time. Therefore, do everything possible to file your claim and get it answered quickly.

Choosing a Physician

At first, the employer has to choose a physician. After the interval of time specified by the state law, the employee is free to choose for himself. The employee can be treated by a personal doctor, given that this was communicated to the employer before the injure occurred. If there is a medical provider network was already established, then the initial selection is controlled by the employer, and all care will be assured within the network. One such network refers to a number of pre-authorized doctors to treat work-related injury. It is possible for claims to be delayed up to 90 days, in which case the insurance carrier is obliged to provide the necessary medical care

In Case of Disability

Few people are aware that the employing company should help them if the accident got them disabled. The company they worked for is in the position to find an alternative job for them, and even another, if the first one proves to be damaging to the employee's condition. Prior to this, the physician is supposed to tell if the employee is still fit for work.

Can You Count on Your Employer?

Most employers barely know any details about making compensation claims and don't understand these obligations, or even are afraid of doing so because they fear that the employee would somehow attempt to defraud them. When you have informed the employer, they have to hand you a claim form, so they can make a formal report of the injury to the worker's insurance company. A copy of this form should be given to the employee. You have to obtain this form from your employer right away and also seek medical care. However, you can also obtain one such form by yourself, online, and also get the necessary documentation and assistance. Get help from California workers comp online specialized sites and attorneys, as these laws can be very complex and may be subject to amendments at any time.

by: Kurt Ross




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