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Qme Workers' Comp Labor Codes Questions And Answers With Verified Solutions 100% Correct!!!
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Qme Workers' Comp Labor Codes Questions And Answers With Verified Solutions 100% Correct!!!
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Qme Workers' Comp Labor CodesQuestions And Answers With Verified
Solutions 100% Correct!!!
Labors Code Section 4061 - ANSWER✔✔ The right of either party to request a
QME in the event of a disputed permanent disability rating.
Labor Code Section 4062 - ANSWER✔✔ The right to object by either party to the
findings of a treating physician.
Labor Code Section 4060 - ANSWER✔✔ The right to entitlement to a medical
evaluation when compensability of an injury is in dispute.
Labor Code Section 4062.1 - ANSWER✔✔ The procedure to be used when either
party seeks appointment of a QME when the applicant is NOT represented by an
attorney.
Labor Code Section 4062.2 - ANSWER✔✔ The procedure to be used when
comprehensive medical evaluation is required to resolve any dispute arising out
of an injury or claimed injury occurring on or after 1/1/05.
Labor Code Section 4062.3 - ANSWER✔✔ The rules regarding information to be
provided to a PQME or AME.
Labor Code Section 4062.5 - ANSWER✔✔ The consequences for the parties of a
QME's failure to complete a timely medical evaluation.
,Labor Code Section 5402 - ANSWER✔✔ The right for the employee to be provided
medical treatment within one working day of the filing of the claim form.
Labor Code Section 3600 (a)(4) - ANSWER✔✔ Injury Caused by Intoxication
Labor Code Section 5405 - ANSWER✔✔ Barred by Statue of Limitation
Labor Code Section 3600 (a)(5) - ANSWER✔✔ Self-inflicted injury
Labor Code Section 3600 (a)(6) - ANSWER✔✔ Death of employee by willful death
(suicide)
Labor Code Section 3600 (a)(7) - ANSWER✔✔ Employee starts altercation in
which he gets injured.
Labor Code Section 3600 (a)(10) - ANSWER✔✔ Post Termination Affirmative
Defense
Labor Code Section 3208.3 - ANSWER✔✔ Good Faith Personnel Action.
Accepted claim - ANSWER✔✔ A claim in which the insurance company agrees
your injury or illness is covered by workers' compensation. Even if your claim is
accepted there may be delays or other problems. Also called admitted claim.
Agreed medical evaluator (AME): - ANSWER✔✔ If you have an attorney, an AME
is the doctor your attorney and the insurance company agree on to conduct the
, medical examination that will help resolve your dispute. If you don't have an
attorney, you will use a qualified medical evaluator (QME). See QME.
Alternative work: - ANSWER✔✔ A new job with your former employer. If your
doctor says you will not be able to return to your job at the time of injury, your
employer is encouraged to offer you alternative work instead of supplemental job
displacement benefits or vocational rehabilitation benefits. The alternative work
must meet your work restrictions, last at least 12 months, pay at least 85 percent
of the wages and benefits you were paid at the time you were injured, and be
within a reasonable commuting distance of where you lived at the time of injury.
American Medical Association (AMA): - ANSWER✔✔ A national physician's group.
The AMA publishes a set of guidelines called "Guides to the Evaluation of
Permanent Impairment." If your permanent disability is rated under the 2005
rating schedule, the doctor is required to determine your level of impairment
using the AMA's guides.
Americans with Disabilities Act (ADA): - ANSWER✔✔ A federal law that prohibits
discrimination against people with disabilities. If you believe you've been
discriminated against at work because you're disabled and want information on
your rights under the ADA, contact a U.S. Equal Employment Opportunity
Commission office. For the EEOC office in your area, call 1-800-669-4000 or 1-800-
669-6820 (TTY).
AOE/COE (Arising out of and occurring in the course of employment): -
ANSWER✔✔ Your injury must be caused by and happen on the job.
Applicant: - ANSWER✔✔ The party -- usually you -- that opens a case at the local
Workers' Compensation Appeals Board (WCAB) office by filing an application for
adjudication of claim.
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