UNINSURED EMPLOYER CLAIMS IN CALIFORNIA: KNOW THE RISK OF HIRING AN UNLICENSED CONTRACTOR

Under California state law, employers are required to obtain workers’ compensation insurance for their employees. The failure to do so could result in an employer facing stiff legal penalties. Among other things, a business or organization may be hit with civil damages, regulatory fines, additional penalty compensation, and potentially even criminal charges. Most business owners […]

HOW TO AVOID BEING STUCK IN A CONSTANT LOOP OF REPLACEMENT PANEL QME REQUESTS

Have you ever been stuck in a constant loop of replacement panel requests, one after another, ultimately causing significant delay in the discovery process? Nowadays, the panel QME process is almost inevitable in the handling of every workers’ compensation claims to resolve any and all disputed medical issues, particularly in cases where the applicant is […]

WHAT IS SUBROGATION AND HOW DOES IT APPLY TO WORKERS’ COMPENSATION CLAIMS IN CALIFORNIA?

Workers’ compensation benefits must be provided no matter who was at fault for the job-related accident. An injured employee can bring a claim for more medical coverage and disability benefits, even if the employer did nothing wrong. That being said, it is important for insurers, claims administrators, and employers to determine exactly how an accident […]

CALIFORNIA LABOR CODE SECTION 4553: AN OVERVIEW OF SERIOUS AND WILLFUL MISCONDUCT CLAIMS

You may have heard that a workers’ compensation claim is the exclusive remedy that injured employees have against their employer in California. While that is mostly true, there is a narrow, but important exception: A serious and willful misconduct claim. In a serious and willful misconduct claim,an employer may face additional legal liability after a […]

CALIFORNIA WORKERS’ COMPENSATION QUALIFIED MEDICAL EVALUATORS: FREQUENTLY ASKED QUESTIONS (FAQS)

As explained by the California Department of Industrial Relations (DIR), QMEs are licensed doctors who have been trained and certified by the state’s DWC. When there are questions regarding the nature and severity of an employee’s injury, a Qualified Medical Evaluator (QME) may be brought in to bring additional clarity and help resolve the issue. […]

A TIP TO AVOID FURTHER DELAYS DURING PANEL SPECIALTY DISPUTES

With today’s online Panel Qualified Medical Evaluator request system, it is often a race to be the party to designate the panel specialty.  All too often the fate of a case hinges on the click of a submittal button. Despite defendants’ best efforts, there are times where applicant’s counsel is able to secure the specialty […]

LABOR CODE SECTION 132(a): WHAT YOU NEED TO KNOW

Workers’ compensation insurance provides financial protection to employees who were injured while on the job. Following an incident in the workplace, employees have a right to file a claim—even if employers are confident that the claim is meritless. Under California law (Labor Code section 132(a)), employers are legally prohibited from taking adverse action against a […]

CALIFORNIA WORKERS’ COMPENSATION: WHAT IS A COMPENSABLE CONSEQUENCE?

In some cases, an injury can make a person vulnerable to other medical complications. Under California’s workers’ compensation laws, this type of new health problem may be considered a compensable consequence. In California, a compensable consequence is an injury or health condition that arises directly out of an industrial injury. This raises an important question: […]

COVID-19 AND WORKERS’ COMPENSATION: AN OVERVIEW OF CALIFORNIA’S PROPOSED EMERGENCY TELEMEDICINE REGULATIONS

The COVID-19 (coronavirus) pandemic is affecting communities across the country. In order to slow the transmission of the respiratory disease, the California Department of Public Health recommends social distancing. Public officials instructed everyone in the state to stay home except for essential needs. In an effort to facilitate social distancing, the Division of Workers’ Compensation […]