SC Workers’ Compensation – New Maximum Compensation Rate for 2012

Commission Approves 3% Increase on Maximum Compensation Rate

Each year, the maximum “compensation rate” is adjusted to reflect inflation and cost of living increases.  An injured worker’s particular compensation rate is determined by the year of injury.  Once set, it does not change.  Unfortunately, you do NOT get a “raise” when the rates change even though it costs more to pay your bills.  Oftentimes, the insurance carrier makes an initial estimate of the compensation rate.  And even more often, that initial estimate is deliberately low.  Once the employer completes a Form 20, an exact compensation rate is calculated and payments should be adjusted.

During their December 19, 2011 full Commission Business Meeting, the SC Workers’ Compensation Commission approved a 3% increase to the maximum compensation rate for 2012. The rate for 2011 is $704.92 and the new rate beginning January 1 will be $725.47 which is a $20.55 increase over the previous year. Accidents that occur on or after January 1, 2012 will use the new maximum weekly compensation rate.

 Hiring an experienced workers’ compensation attorney will speed up the process of getting paid the correct compensation rate. Also, in those cases where the initial rate was too low, the lawyer will seek a lump sum payment to bring the total compensation due current.

At Reeves, Aiken & Hightower LLP, our lawyers are experienced workers’ compensation attorneys.  Robert J. Reeves is a former Registered Nurse (RN) who has actually treated patients with the same type of serious injuries he now represents in workers’ compensation cases.  Both Robert J. Reeves and Arthur K. Aiken are former insurance defense attorneys who know how to anticipate and prepare for defenses and insurance company tactics.  During our twenty-two (22) years each of practicing law, we have successfully handled virtually every type of workers’ compensation injuries, including neck, back, shoulder, knee accidents, closed head / brain injury, herniated disks, bulging disks, diskectomy surgery, fusion procedures, arthroscopy, chemical and fire burns, automobile accidents on the job, psychological / post traumatic stress, permanent and total disability claims, and wrongful death. We welcome the opportunity to sit down and personally discuss your case. Compare our attorneys’ credentials to any other firm. Then call us for a private consultation. www.rjrlaw.com

 

When Do My SC Workers’ Comp Benefits Start?

I am injured on the job.  I need my benefits started? What can I do if the carrier is taking too long?

Here is what the actual law says.  At the end, I will explain what it means. Keep reading.

Section 42-17-20 (SC Code of Laws):

Hearing before Commission on compensation payable.

If the employer and the injured employee or his dependents fail to reach an agreement in regard to compensation under this Title within fourteen days after the employer has knowledge of the injury or after a death or if they have reached such an agreement which has been signed and filed with the Commission and compensation has been paid or is due in accordance therewith and the parties thereto then disagree as to the continuance of any weekly payment under such agreement, either party may make application to the Commission for a hearing in regard to the matters at issue and for a ruling thereon. Immediately after such application has been received the Commission shall set a date for a hearing, which shall be held as soon as practicable, and shall notify the parties at issue of the time and place of such hearing. The hearing shall be held in the city or county in which the injury occurred, unless otherwise agreed to by the parties and authorized by the Commission.

What this section means is that once a worker is injured on the job and reports the accident to his employer, there is a fourteen (14) day window for the insurance carrier to make a decision about accepting the claim and beginning benefits.  The carrier will investigate all new claims.  They will talk with witnesses and will probably want to take a “recorded statement” of the injured worker.  It is never a good idea to give a recorded statement without an experienced workers’ compensation lawyer present. Adjusters are there to do a job, and that job is to limit benefits if there is any doubt about a claim.  If accepted, initial benefits include medical treatment and weekly benefits, if written out of work or the employer is unable to provide work within restrictions. The treating medical provider would provide the work restrictions or limitations (no lifting over 20 pounds).  The employer and carrier are required to recognize only those out of work or work restrictions from the authorized provider.  An injured worker is not allowed to use a doctor or provider on their own.

This is the best time to consider hiring an experienced workers’ compensation attorney.  The earlier we get involved, the better we can help manage your case and medical treatment.  We want the best possible outcome for you and your family, both medically as well as financially.  If you are seriously injured, a work-related accident can affect you for years and may even change your life forever.

At Reeves, Aiken & Hightower LLP, our lawyers are experienced workers’ compensation attorneys.  Robert J. Reeves is a former Registered Nurse (RN) who has actually treated patients with the same type of serious injuries he now represents in workers’ compensation cases.  Both Robert J. Reeves and Arthur K. Aiken are former insurance defense attorneys who know how to anticipate and prepare for defenses and insurance company tactics.  During our twenty-two (22) years each of practicing law, we have successfully handled virtually every type of workers’ compensation injury, including neck, back, shoulder, knee accidents, closed head / brain injury, herniated disks, bulging disks, diskectomy surgery, fusion procedures, arthroscopy, automobile accidents on the job, psychological / post traumatic stress, permanent and total disability claims, and wrongful death. We welcome the opportunity to sit down and personally discuss your case. Compare our attorneys’ credentials to any other firm. Then call us for a private consultation. www.rjrlaw.com


SC Workers’ Compensation Claims – Medical Treatment

What about medical treatment when you’re hurt on the job?  Who controls?

Here is the actual law as it is written in the South Carolina Code of Laws. We explain what it all means at the end.  Keep reading.

SECTION 42-15-60. Time period medical treatment and supplies furnished; refusal to accept treatment; settled claims; total and permanent disability.

(A) The employer shall provide medical, surgical, hospital, and other treatment, including medical and surgical supplies as reasonably may be required, for a period not exceeding ten weeks from the date of an injury, to effect a cure or give relief and for an additional time as in the judgment of the commission will tend to lessen the period of disability as evidenced by expert medical evidence stated to a reasonable degree of medical certainty. In addition to it, the original artificial members as reasonably may be necessary must be provided by the employer. During any period of disability resulting from the injury, the employer, at his own option, may continue to furnish or cause to be furnished, free of charge to the employee, and the employee shall accept, an attending physician and any medical care or treatment that is considered necessary by the attending physician, unless otherwise ordered by the commission for good cause shown. The refusal of an employee to accept any medical, hospital, surgical, or other treatment or evaluation when provided by the employer or ordered by the commission bars the employee from further compensation until the refusal ceases and compensation is not paid for the period of refusal unless in the opinion of the commission the circumstances justified the refusal, in which case the commission may order a change in the medical or hospital service. If in an emergency, on account of the employer’s failure to provide the medical care as specified in this section, a physician other than provided by the employer is called to treat the employee, the reasonable cost of the service must be paid by the employer, if ordered by the commission.

(B)

(1) When a claim is settled on the commission’s Agreement for Permanent Disability/Disfigurement Compensation form, the employer is not required to provide further medical treatment or medical modalities after one year from the date of full payment of the settlement unless the form specifically provides otherwise.

(2) Each award of permanency as ordered by the single commissioner or by the commission must contain a finding as to whether or not further medical treatment or modalities must be provided to the employee. If the employee is entitled to receive such benefits, the medical treatment or modalities to be provided must be set forth with as much specificity as possible in the single commissioner’s order or the commission’s order.

(3) In no case shall an employer be required to provide medical treatment or modalities in any case where there is a lapse in treatment of the employee by an authorized physician in excess of one year unless:

(a) the settlement agreement or commission order provides otherwise; or

(b) the employee has made reasonable attempts to obtain further treatment or modality from an authorized physician, but through no fault of the employee’s own, is unable to obtain such treatment or modalities.

(C) In cases in which total and permanent disability results, reasonable and necessary nursing services, medicines, prosthetic devices, sick travel, medical, hospital, and other treatment or care shall be paid during the life of the injured employee, without regard to any limitation in this title including the maximum compensation limit. In cases of permanent partial disability, prosthetic devices shall be furnished during the life of the injured employee or for as long as such devices are necessary.

So what does all this mean? Well, it means an injured worker gets medical treatment but with fairly substantial restrictions.  For example, the employer (or their insurance carrier) chooses which doctor you see.  They get to manage and control your treatment, even if you disagree with the physician or do not believe they have your best interests in mind.  Frankly, most doctors are conservative by nature. And, it often seems they are more concerned with their insurance contract than your particular concerns.  Even before making a definitive diagnose, treatment usually starts with “conservative care” (i.e. physical therapy).  When that fails, then an MRI or CT scan is finally ordered. When it is learned that the injured worker has something more serious, surgery is scheduled. The result is delayed recovery, and sometimes, additional permanent disability.

At Reeves, Aiken & Hightower LLP, our lawyers are experienced workers’ compensation attorneys.  Robert J. Reeves is a former Registered Nurse (RN) who has actually treated patients with the same type of serious injuries he now represents in workers’ compensation cases.  Both Robert J. Reeves and Arthur K. Aiken are former insurance defense attorneys who know how to anticipate and prepare for defenses and insurance company tactics.  During our twenty-two (22) years each of practicing law, we have successfully handled virtually every type of workers’ compensation injury, including neck, back, shoulder, knee accidents, closed head / brain injury, herniated disks, bulging disks, diskectomy surgery, fusion procedures, arthroscopy, automobile accidents on the job, psychological / post traumatic stress, permanent and total disability claims, and wrongful death. We welcome the opportunity to sit down and personally discuss your case. Compare our attorneys’ credentials to any other firm. Then call us for a private consultation. www.rjrlaw.com


SC Workers Compensation Retainer Agreement – 25% Reduced Attorney Fee

There are many law firms which offer workers’ compensation services. Most of those firms have very little experience in this complex area of the law but still charge full 1/3 contingency fees. At Reeves, Aiken & Hightower, LLP, our attorneys are seasoned trial lawyers with over 22 years experience each.  Nevertheless, in these very difficult economic times, we offer a reduced attorney fee of 25% if a case is settled prior to requesting a hearing.  Of course, the decision to settle or go to trial is always made by the client.  The document below is our firm’s retainer agreement for your review.  It is one page and, we hope, very straightforward. When considering a law firm, make sure you can understand their agreement and ask if they offer a similar reduced fee without going to court. Also, check out their credentials and how many years they have actually been practcing workers compensation law.  Compare our attorneys to any other firm.  Then, let’s sit down and personally discuss your particular case.  After that, you will be in the best position to choose the most qualified lawyer to protect your interests.

STATE OF SOUTH CAROLINA WORKERS’ COMPENSATION RETAINER AGREEMENT
COUNTY OF ______________________ Robert J. Reeves, P.C.
Reeves, Aiken & Hightower, L.L.P.

This is a contract agreement to engage professional legal services between

Robert J. Reeves, P.C. (Attorneys) and __________________________________________________

(Client) for any and all claims resulting from a work-related accident that occurred

on or about _________________, against __________________________________________(Employer).

Attorneys will develop all material evidence on Client’s behalf and prosecute all legally viable claims against all legally responsible parties. Client will be kept informed of significant developments in their case and will have sole discretion to accept or reject any final settlement offer. Attorneys will exercise their professional judgment as to what actions and/or claims to file and pursue. This Agreement covers legal representation through an initial mediation and/or hearing. Any appeals require a separate Retainer Agreement.

This Agreement is a contingency contract, meaning there are no attorney fees unless, and only if, the client receives money, either through settlement or hearing. If resolved PRIOR to filing a Request for Hearing, the attorney fee is 25% of any disputed amounts recovered, including temporary total and/or permanent disability benefits. If a Request for Hearing becomes necessary, the attorney fee increases to 33.33%. “Costs” are different from “attorney fees” and are deducted separately. Costs include such items as medical records, filing fees, expert witness charges, and deposition charges, if applicable. ALL ATTORNEY FEES ARE SUBJECT TO APPROVAL BY THE SOUTH CAROLINA WORKERS’ COMPENSATION COMMISSION (SCWCC).

No promises or guarantees have been made regarding any financial recovery. We only guarantee our best efforts and hard work on your behalf. If this Agreement ends before the case is concluded, Attorneys are entitled to costs and appropriate attorney fees as approved by the SCWCC for all work done to date.

We are honored that you have chosen our firm to represent you. We value your trust and will do everything we can to earn your loyalty now and in the future.

DATED this _________ day of ___________________________, 201_____.

Client Robert J. Reeves, P.C.

___________________________________________ ________________________________________