Understanding Workers' Compensation

Understanding Michigan's Workers' Compensation law

Detroit Workers' Compensation Attorneys

YOU AND THE LAW
Miller Cohen, P.L.C.
By: Norton J. Cohen

Improving Your Chances to Secure Workers' Compensation Benefits

At Miller Cohen, P.L.C., we are often asked how workers' compensation litigation can be avoided and how to present the strongest possible case to increase the likelihood of benefits being paid. It is important that injured workers act in a manner that is most likely to result in either the employer agreeing to pay compensation; or, that insures a greater chance of success should litigation be necessary.

Reporting the Injury

The notice requirements of the Workers' Compensation Act state that the employee shall provide notice of injury to the employer within 90 days after the happening of the injury, or within 90 days after the employee knew or should have known of the injury. This legal notice need not be in writing. It is this provision that controls the notice requirements and not the notification rule established by any particular employer.

Many employers attempt to enforce a notice period of 24 hours or less. Failure to comply with the employer's rule will in many cases "buy litigation". This is particularly true in the Friday/Monday situations. When a worker sustains an injury on a Friday, but doesn't report it to the employer until the following Monday; the employer will inevitably dispute the case by arguing that the injury occurred at home during the weekend. The employer's defense may be quickly thrown out by a workers' compensation magistrate, but the failure to report the injury on Friday will often result in the necessity to litigate; the end result of which is less money in the pocket of the injured worker because of attorney fees and litigation expenses.

If an employer refuses to pay workers' compensation arguing that the notification was not timely, the injured worker should NEVER accept the employer's explanation and walk away from a legitimate case. ALWAYS consult your union or an experienced workers' compensation attorney for guidance and evaluation.

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Medical History

Workers' compensation cases are often lost, or disputed, because of inaccurate and incomplete histories given by the injured worker. If the worker believes that the injury or disability is related to the employment, it is essential that the employer be so advised, and that every physician or health care provider seen by the worker, whether it is the company clinic or the personal physician, be specifically advised by the worker of the relationship between the employment and the disability.

The injured worker should also make certain that the examining doctor writes down the history given. It is not enough simply to tell what happened if the doctor does not write the explanation on the medical chart. If the case goes to litigation, the doctor will not testify for many months after the injury and by that time unless the history is accurately recorded in the records, the physician will generally be unable to recall the history given.

Filling Out Sickness and Accident Forms

In many instances, when a worker is injured on the job, the employer will ask the worker to fill out sickness and accident forms while it is determining whether workers' compensation benefits will be paid. Generally, at least one of the questions on the form will concern itself with the relationship between the disability and the employment.

The question will generally read: Do you believe that your disability was caused by an injury? Or, Do you believe that the injury or disability arose out of your employment? If there is little question in the worker's mind that there is in fact a relationship between the disability and the employment that should be clearly stated on the sickness and accident forms.

If, on the other hand, at the time the forms are completed, the worker is uncertain as to whether or not there is a work relationship, the worker should answer the question as follows: "I am uncertain at this time. I am waiting for medical advice." If at the time the disabled worker completes the form, the thought of a relationship between the employment and the disability has not occurred, and the worker answers the question "no", that should not discourage the individual from applying for workers' compensation at the point the relationship between the employment and the disability becomes apparent.

While a negative answer to the work relationship question on the sickness and accident form may make the case more difficult, it is certainly not impossible to prove work relationship in spite of that statement.

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The Employer's Answer

If the employer refuses to consider an injury or disability compensable, the injured worker should never accept the employer's statement as the determining factor in whether to proceed with a claim. In many situations, the employer's analysis of the situation is incorrect. The ultimate decision as to compensability will be made by a magistrate after a workers' compensation hearing, or through negotiations between the attorney for the employer/insurance carrier and the injured worker and his/her attorney. Thus, when an employer indicates that workers' compensation will not be paid, the worker should immediately  contact experienced workers' compensation counsel for an evaluation of the claim.

If the courses of action outlined above are followed, the injured worker is more apt to secure workers' compensation benefits without litigation; and if litigation is necessary, the worker's case will be strengthened.

Contact a Michigan Workers Compensation Lawyer

Miller Cohen, P.L.C. provides experienced  workers compensation guidance to employees, labor unions, and other professionals in Michigan.  Contact the work injury lawyers at Miller Cohen, P.L.C. today to learn more or to schedule a free consultation.

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Detroit, Michigan, injury attorneys providing legal services to clients throughout the Detroit metro area, as well as in Dearborn, Livonia, Westland, Grosse Pointe, Mt Clemens, Warren, Pontiac, Royal Oak, Southfield, Ann Arbor, Allen Park, Lansing, Flint, Saginaw, and Macomb.