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Exam (elaborations)

California QME Exam 2024 - Based on ICAC Course Material.

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California QME Exam 2024 - Based on ICAC Course Material.California QME Exam 2024 - Based on ICAC Course Material.California QME Exam 2024 - Based on ICAC Course Material.California QME Exam 2024 - Based on ICAC Course Material.California QME Exam 2024 - Based on ICAC Course Material.California QME...

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  • September 8, 2024
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  • 2024/2025
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Wisdoms
California QME Exam 2024 - Based on
ICAC Course Material



California ipassed ifirst iworkers icompensation iact iin iwhat iyear? iWhat ievent icaused ithis? i- icorrect
iAnswers i✔✔ i-1. i1911


2. iFire iat iTriangle iShirtwaist iCompany iFactory

Was ithe ifirst iworkers icompensation iact ivoluntary ior imandatory? i- icorrect iAnswers i✔✔ i-Voluntary

What iyear iwas ithe iBoyton iAct ipassed? iWhat idid iit irequire imost iemployers ito ido? iWhat idid ithis iact
iestablish? i- icorrect iAnswers i✔✔ i-1. i1913


2. irequired imost iemployers ito ihave iworkers icompensation icoverage

3. iestablished ithe iState iCompensation iInsurance iFund i(SCIF)

What iact ireplaced ithe iBoyton iAct iin i1917? iWhat iwas ithe inew iadded iprovision? i- icorrect iAnswers
i✔✔ i-1. iWorkers' iCompensation iInsurance iand iSafety iAct


2. i"permanent idisability imust igive iconsideration ito idiminished iability ito icompete iin ithe iopen ilabor
imarket"


In iwhat iyear idid ithe iCalifornia iState iSenate iallow ifor isubjective ifactors isuch ias ipain iand imental
idisturbances? i- icorrect iAnswers i✔✔ i-1951


Federal, iMaritime, iand iRailroad iworkers iare icovered iunder iwhat? i- icorrect iAnswers i✔✔ i-Federal
iWork iComp


What i3 ithings iwas ithe iworkers' icompensation isystem icreated ito ipay ifor? i- icorrect iAnswers i✔✔ i-1.
iMedical itreatment


2. iTemporary ipayment ifor ilost iwages

3. iPermanent idisability ito icompensate ifor idecreased iability ito icompete iin ithe iopen ilabor imarket

What iis ithe iHistoric iCompromise? i- icorrect iAnswers i✔✔ i-1. iEmployee igives iup ithe iright ito ipursue
ilegal iaction iin iexchange ifor ibenefits. i

, 2. iEmployer iprovides ibenefits, iregardless iof ifault, iin iexchange ifor ilegal iprotection.

What iare ithe i3 icomponents iof ithe iHistoric iCompromise? i- icorrect iAnswers i✔✔ i-1. iNo iFault

2. iExclusive iRemedy

3. iAssured iand iFixed iBenefit

The iemployer iis irequired ito ipay ifor ibenefits, iregardless iof ifault, ias ilong ias ithe iinjury iis iAOE/COE i-
icorrect iAnswers i✔✔ i-"No iFault" icomponent iof iHistoric iCompromise


Worker icannot ipursue iother iforms iof irecovery ifrom ithe iemployee, ieven iif ithe iemployer iwas igrossly
inegligent. i(exception: i3rd iparties imay ibe isued). i- icorrect iAnswers i✔✔ i-"Exclusive iRemedy"
icomponent iof iHistoric iCompromise


Workers icompensation isystem iestablished idefined ibenefits iwhich imust ibe ipaid iby ithe iemployer. i-
icorrect iAnswers i✔✔ i-"Assured iand iFixed iBenefit" icomponent iof iHistoric iCompromise


What iare itwo iexceptions ito ithe i"No iFault" irule? i- icorrect iAnswers i✔✔ i-1. iSelf iinflicted iinjuries iare
iexcluded ifrom icoverage i(Labor iCode i3600)


2. iInjury iresulted ifrom ifailure iof ithe iemployer ito icomply iwith ithe ilaw ior isafety iand ihealth
iregulations ior ithe iemployee iwas iunder i16 iyears iold iat itime iof iinjury i(Labor iCode i4551)


When ican ibenefits ibe ireduced iby ihalf? iWhen ican ithey ibe iincreased iby ihalf? i- icorrect iAnswers i✔✔
i-1. ireduced iwhen iinjury iis iresult iof iemployee iserious iand iwillful imisconduct i(unless iresult iis ideath
ior ipermanent idisability iof i70% ior imore)


2. iincreased iwhen iinjury iis iresult iof iemployer iserious iand iwillful imisconduct

In i1989 iand i1993, imeasures iwere ienacted ito iaddress ithe iQME iprocess iincluding.... i- icorrect
iAnswers i✔✔ i-1. iMed iLegal ifee ischedule


2. iPhysician ireferral

3. iQME iadvertising

4. iCompensability iof ipsychiatric iand ipost itermination

5. iFraud ideterrence

6. iBenefit ipayments ifor iinjured iworkers

In i2003 iand i2004, imeasures iwere ienacted ithat iallowed iemployers ito... i- icorrect iAnswers i✔✔ i-1.
iestablish imedical iprovider inetworks i(MPN)


2. iConduct iutilization ireview ito iensure ithat imedical icare iis iconsistent iwith ievidence ibased
iguidelines i

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