If your employer’s insurer terminated your benefits, you may file a petition with the Office of Adjudication for a reinstatement hearing within three years after the date of your last workers’ compensation check. The judge overseeing your case will generally require mediation with all interested parties unless there is reason to believe that mediation efforts…
No. Your employer and your employer’s insurer are responsible for paying the full amount of benefits for reasonable medical treatments that are owed to you. However, the insurer may decline to make payments if you failed to seek treatment from the employer’s list of providers for at least 90 days after the injury or your…
No, the injuries of your family members are not covered through workers’ compensation, even if you miss work to obtain treatment and provide care. An employer’s responsibility to provide workers’ compensation insurance only extends to employees who have become injured during the normal scope of their employment or have acquired a workplace illness due to…
Yes, the workers’ compensation law requires that employers provide this coverage for all employees, regardless of how old they are or how many hours they work.
No, sole proprietors are not required to carry workers’ compensation insurance. However, if you pay anyone as an independent contractor who performs work-related services for your business, you should check to ensure that the worker is properly classified.
There are several reasons why the insurer might choose to deny your claim, including: The belief that your injury was self-inflicted or was caused by illegal behavior, such as being under the influence of alcohol or drugs. The belief that your injury was pre-existing or that it didn’t happen at work, or that the illness…
It depends on the situation. If your employer wants you to visit a specific doctor or healthcare provider for your injury or illness, they must provide you with six or more options. You then must visit this provider for your initial treatment and continued treatment for the first 90 days. If a provider from the…
Once you have missed one shift or day of work as a result of a workplace injury or illness, the law requires your employer to file a first report of injury with the Pennsylvania Bureau of Workers’ Compensation. Your employer can choose to accept or deny your claim. Upon acceptance, you cannot receive disability payments…
The benefits you receive for lost wages will generally be approximately two-thirds of your average weekly wage, up to the maximum amount allowed under Pennsylvania law. Your claim’s administrator can use a variety of methods to calculate your average weekly wage under the Pennsylvania Workers’ Compensation Act. However, the minimum compensation rate is the lesser…
Whether or not your insurer approves your claim, you may be granted temporary compensation benefits for up to 90 days. These benefits may stop at any time during the 90 days if your employer’s insurer chooses to deny your claim. Once you have been approved to receive compensation, your wage-loss benefits may continue until your…