Is depression covered in workers’ compensation cases?

Warehouse workerDepression, anxiety and feeling stressed can be caused by one’s job and work environment. Work-related depression is a disorder that is often overlooked in the workplace and may be mistaken for ordinary stress. It may become serious enough to impact your ability to work and you may qualify for workers’ compensation as a result.
A person with symptoms of work-related depression can possess any of the following:

  • Depression — You may feel worthless and have uncontrollable crying spells. You may start having suicidal thoughts, and suicide may seem a way out of your situation. You may lose interest in personal hygiene and physical appearance.
  • The inability to focus on tasks — You may be unable to concentrate on your job because that is what’s causing your problems and your mood disorder. Unless you can find a solution, your mind will remain in this slump, impacting your performance, which could make the situation worse.
  • Time missed from work — If you can’t sleep and want to avoid issues at work, you may call in sick more often.
  • Feeling overwhelmed — You may feel as if the weight of the world is upon your shoulders. Not only has your job performance dropped, but you may have also lost control of your finances and personal life.

Workers’ compensation for depression

New Jersey workers’ compensation law was originally created to compensate workers for physical injuries. Over time, psychiatric disabilities were recognized as potential work-related injuries or occupational illnesses as well.

To have a successful claim for depression, the injured worker needs to show:

  • The work exposure or incident at issue was objectively stressful,
  • The incident and/or exposure was peculiar to the workplace (i.e., not common to everyone or caused outside work), and
  • There must be medical evidence showing the work exposure or incident was a material cause of the psychiatric disability.

It may be difficulty to show your mental condition is the clear result of your work environment and not your private life. What might clearly show a connection to work would be if an employee was involved in or a witness to a very traumatic or stressful event or series of events.

Easier cases to prove involve both physical injuries and a psychological condition. This might happen if an employee contracts a severe occupational illness or a serious injury that causes a permanent partial or total disability.

If you or a loved one is dealing with a serious case of work-related depression, get professional help and contact our office to discuss whether workers’ compensation may be an option for you.

How can an attorney help me with workers’ compensation?

Workers’ compensation laws protect workers who are hurt on the job. An injury occurring on the job “out of and in the course of employment” is covered by workers’ compensation laws. Many work-related injuries are minor and most employees recover quickly and are able to return to work. When things go smoothly, there is not much need to hire an attorney.

However, when a workers’ compensation claim is rejected, we can help. We can also help if your claim is accepted but the amount offered doesn’t cover your medical needs, or if appropriate medical care is denied. We can also help if your employer retaliates against you because of your compensation claim.

We do the work so you won’t have to.

  • We have the knowledge and experience to guide you through the workers’ compensation process.
  • We can help you get the medical treatment you need and the maximum financial recovery permitted by law.
  • We will file the necessary Claim Petition and guide you through the system, protecting your rights every step of the way.

Under the state’s workers’ compensation law, workers with work-related injuries or occupational diseases are entitled to a variety of benefits from their employers, including:

  • Medical treatment
  • Temporary disability benefits payments while you receive treatment and are unable to work
  • A monetary award for permanent injuries
  • Dependents, typically spouses and minor children of workers who die from work-related injuries or diseases, are also entitled to benefits

Your employer has insurance to cover work-related injuries and occupational diseases.

  • That insurance company has an entire staff and has retained lawyers to make sure workers get as few benefits as possible.
  • Employers or their insurance companies may refuse to provide injured workers with the medical treatment and temporary disability benefits mandated by law.
  • If compensation to injured workers for their permanent injuries and disability are not voluntarily paid, the only way to protect the rights of an injured worker is to file a workers’ compensation case.

We not only file the case, but zealously protect your rights to get you the best treatment and most compensation possible.
Retaliation

New Jersey law prohibits employers from retaliating or threatening to retaliate against employees who file a workers’ compensation case. If that law is broken, we can help you protect your rights.
Retaliation in response to a workers’ compensation claim can take many forms, including:

  • Termination
  • Demotion
  • Reduction in pay or in work hours
  • Loss of benefits
  • Denial of any other employment opportunity

If you have any questions about workers’ compensation or concerns about a work-related injury, contact our office for a free consultation.

Do I have a right to workers’ compensation if I injured myself on the job?

Getting worker’s compensation benefits generally does not require a showing of fault by one party or another. If the injury took place in the course of your employment, you should be covered. But all cases are unique and very fact-specific.

Unlike with personal injury law, workers’ compensation does not normally involve fault issues. If the employer caused the accident, you won’t collect more money and if you caused the accident, you normally won’t be denied benefits.

Self-injury and intent

A self-inflicted injury may be intentional or unintentional. If a self-inflicted injury is intentional, it means the worker deliberately did harm to him or herself. If it is unintentional, it was the result of a mistake and there was no intent to self-harm. That unintentional type of injury would be covered by workers’ compensation.

If the injury was intentional, however, and the worker did something in order to harm him or herself, the injury would not be covered. But the burden would be on the employer to show that the self-injury was intentional. Another possible route for the employee in this case could be to show a mental illness was caused or worsened by work to the point where the worker was a danger to him or herself (which may be a difficult case to prove).

In very unusual cases, it could be found that the sole cause of the injury was the employee’s fault because the worker ignored a well-known safety rule or policy. In that case, a workers’ compensation claim could be denied. Normally, though, when an employee makes a mistake or doesn’t pay attention in the course of doing a job, there’s a work component, like a tool or piece of equipment that hits you.

Workers’ compensation benefits

As a practical matter, if you find yourself injured at work, don’t spend time wondering about legal issues. Report your injury to your employer. Your medical treatment will be chosen and paid for by the workers’ compensation insurance company. You may qualify for temporary disability benefits (70 percent of your gross weekly salary) if you are unable to work for at least seven days. You would return to work, and your benefits would end, when you are medically cleared to come back to work. If you suffer a permanent disability, you are entitled to a monetary award.

If you have any questions about workers’ compensation laws and how they may apply to your situation, contact our office for a free consultation.

How do injuries get valued in workers’ compensation payouts?

We work with our workers’ compensation clients to get them the maximum recovery for their work-related injuries. Some of the values of those injuries are clearer cut than others.

If we and the compensation carrier can’t work out a settlement agreement, the value of your case will be decided by the New Jersey Department of Labor and Workforce Development Division of Workers’ Compensation, an administrative court that determines the value of an injured New Jersey worker’s claim.

Partial permanent disability

When a job-related injury or illness results in a partial permanent disability, benefits are based upon a percentage of certain “scheduled” or “nonscheduled” losses.

  • A “scheduled” loss is one involving arms, hands, fingers, legs, feet, toes, eyes, ears or teeth. The schedule lists the body parts, the percentage of loss and value of each.
  • A “nonscheduled” loss is one involving any area or system of the body not specifically identified in the schedule, such as the back, heart or lungs.

These benefits are paid weekly and are due after the date temporary disability ends.

Temporary total disability

If an injured worker is disabled for more than seven days, he or she will be eligible to receive temporary total benefits at a rate of 70 percent of their average weekly wage, with a maximum and minimum rate set by the State based on the year of the accident. For example, for an accident occurring in the year 2013 the maximum rate is $843.00 and the minimum is $225.00. These benefits are provided during the period when a worker is unable to work and is under active medical care.

Benefits usually end when the worker is released to return to work in some capacity or if the worker has reached maximum medical improvement, when additional treatment will no longer improve their medical condition.

Permanent total disability

If a work-related injury or illness prevents a worker from returning to any type of gainful employment, that person may receive permanent total disability benefits. Permanent total disability is presumed when the worker has lost two major body parts or a combination of parts of the body, such as eyes, arms, hands, legs or feet. However, permanent total disability can also result from a combination of other injuries that render the worker unemployable.

These weekly benefits are provided initially for 450 weeks. These benefits may continue if the injured worker can show that he or she remains unable to earn wages.

Contact us

If you or a loved one has been injured on the job and want to get answers to questions about workers’ compensation, contact our office.

What Are My Options If My Workers’ Compensation Claim Is Denied?

Mount Laurel Workers’ Comp Claim Denial Attorneys

A workers’ compensation claim is usually denied when the doctor who works for an employer’s insurer decides a worker’s injuries aren’t serious enough or are due to a preexisting condition. Unfortunately, once a workers’ compensation claim is denied, employers typically expect an employee to return to work sooner than he or she is physically ready. As a result, injured employees in this situation are forced to use vacation days or apply for leave under the Family Medical Leave Act (FMLA). Depending on your situation, you may be able to apply for disability benefits, but your employer and doctor will need to fill out part of the application certifying that you are disabled. You’ll also need to fill out the Certification of Contested Workers’ Compensation Claim Form.

A workers’ compensation claim can be denied for different reasons — the claim is filed too late, your employer disputes the claim or your employer’s insurance company doctor rejects your claim for medical reasons.

Filing an Appeal after a Workers’ Compensation Claim Has Been Denied

After a workers’ compensation claim has been denied, you can request a hearing with a Judge of Compensation or with the Division of Workers’ Compensation. In cases in which you have medical bills that need to be paid, you can file a Motion for Medical Temporary Benefits. A hearing with a Judge of Compensation will then be scheduled within 30 days of your motion’s being filed. However, in order to receive temporary benefits, you must be out of work for at least seven days and have a letter from a doctor.

If an insurance company denies your claim or you were provided with reduced benefits, you have only 30 days after that decision to file an appeal. For these reasons, it is essential that you talk to an experienced workers’ compensation attorney as soon as possible. While each case is different, once you appeal a claim denial you may be expected to appear before a board hearing or seek a legal resolution through the court system.

Getting a Second Opinion

If your workers’ compensation claim has been denied, you have a right to get a second opinion from your own doctor. While your company’s insurer is not obligated to accept your doctor’s diagnosis, it makes it more difficult for an employer’s insurer to downplay or ignore the extent and nature of your injuries. Here, you will need to work with an experienced workers’ compensation attorney who can inform your employer’s insurer that you intend to file a lawsuit regarding the denial of your original workers’ compensation claim.

Contact Taylor & Boguski If Your Workers’ Compensation Claim Has Been Denied

Appealing or litigating a denied workers’ compensation claim involves processes, deadlines and careful attention to documents and medical records. At Taylor & Boguski, our workers’ compensation attorneys have the resources and knowledge needed to protect your rights and financial interests when an injury leaves you facing mounting medical bills and an uncertain future. We protect your rights and are prepared to take employers to court when they try to ignore the law or terminate injured employees without cause.

To learn how we can help you, contact Mount Laurel workers’ compensation attorneys at Taylor & Boguski today.

Can I Go to My Own Doctor for a Workers’ Compensation Claim?

Mount Laurel Workers’ Compensation Attorneys

If you file a workers’ compensation claim with your employer after an accident or job-related injury, your employer’s insurance company doctor will likely examine you to determine the extent and nature of your injuries. Under New Jersey’s workers’ compensation laws, employers can choose the doctor you must see.

In certain situations, however, your employer (or your employer’s insurance company) may agree to let you choose your own doctor. On the other hand, if your doctor is not authorized by your employer (or employer’s insurance provider), or you have been specifically instructed to see the insurance provider’s doctor, you can’t see a doctor of your choosing for your workers’ compensation claim.

Denial of a Workers’ Compensation Claim — Getting a Second Opinion

If your employer insists on choosing your doctor, you may want to get a second opinion. Keep in mind, however, that the doctor you choose is subject to your employer’s approval. Here, workers’ compensation claims can be a bit tricky — since the doctor works for your employer’s insurer, he or she may have an unspoken incentive to minimize costs to your employer. As a result, insurance company doctors downplaying injuries or claiming workers are ready to return to work before they really are is not unheard of.

In these kinds of cases, it’s best to talk to an experienced workers’ compensation attorney who can help you navigate the workers’ compensation appeals process while protecting your rights and financial interests.

A Difference of Opinion: the Insurer’s Doctor and Yours

Suppose you suffer from what you believe is carpal tunnel syndrome and are experiencing tingling and weakness in your arm. You’ve developed these symptoms due to the repetitive motion required by your work. After you file a workers’ compensation claim, your employer instructs you to see a doctor it has chosen for you. The doctor examines you and decides you need physical therapy and are able to return to work.

You then decide to see your own doctor, who takes some x-rays of your spine and neck. He discovers that you have retrolisthesis and endplate spurring. He suggests surgery may be necessary, but can be avoided if you take a month off from work and use physical therapy. In this situation, your employer is not obligated to accept your doctor’s finding. If this happens, your only alternative is to hire a workers’ compensation attorney and take your employer to court.

Problems with Your Employer’s Doctor? Contact Taylor & Boguski

If you’re being told you’re ready to return to work even though you know you aren’t, contact Mount Laurel workers’ compensation attorneys at Taylor & Boguski today. We can evaluate your case, discuss the best options available to you and ensure that your rights and interests are protected.

Learn more about Worker’s Compensation

The New Jersey Department of Labor is comprehensive database which addresses all questions related to worker’s compensation issues such as benefits, timelines, employer reporting requirements, total disability, temporary disability and insurance coverage requirements. Helpful information exists such as knowing that workers’ compensation benefits are not taxable under the NJ Gross Income Tax law N.J.S.A. 54A:6-6. See more on the IRS website here. Additionally, to receive worker’s compensation benefits, by law, an employee you must be unable to work for seven days (including weekends and holidays) before being eligible for temporary disability benefits. Benefits are retroactive to the first day, and the seven days do not have to be consecutive. Other information such as pointers on the litigation process is discussed. For example, after the judge’s order warding you of benefits, the Workers’ Compensation Insurance carrier has 60 days to process payment. If you have not received payment, you may be entitled to receive simple interest on any delay in payments. Under statute N.J.S.A. 34:15-15 an employer has the choice to select which health service professionals to provide care to an injured employee. Failure of an employer to provide the required worker’s compensation insurance may subject the employer to a penalty up to $1,000 for the first twenty days and up to $1,000 for each ten-day period after that.

To learn more about New Jersey workers’ compensation laws and your rights, contact Mount Laurel workers’ compensation attorneys at Taylor & Boguski. Employers don’t always tell their employees about their rights. Additionally, they don’t always treat them fairly in terms of job protection. If you’ve been injured on the job, it’s important to talk to an experienced workers’ compensation attorney at Taylor & Boguski in Mount Laurel, New Jersey. Call 800-404-5299 or 856-234-2233 for a free consultation or contact us online.

Construction Site Accidents in New Jersey

The Workers Compensation Act passed in New Jersey is a no fault law with respect to who is to blame after a construction site accident. A site manager has a legal duty to inspect and keep a construction site in safe condition from dangers that would cause injury to workers including but not limited to: danger to life, limb and property of persons, as well as dangers or hazards on the property. Notably, jury trials are not allowed in workers compensation cases. Financial recovery is determined by state law in these kinds of cases.

In order to prove who is at fault in lawsuits, negligence must be proved. Contractors have a duty of care for people who come onto a construction site, and this duty is governed by general negligence elements. This requires that a contractor must exercise reasonable care to maintain the site in a safe condition for a person who the contractor may reasonably expect to come onto the site. This is different from common law doctrine. Premises liability under Common Law is determined by what kind of group or classification the injured person is considered to be, such as a business invitee, licensee, or trespasser. See more here.

To discuss your case and learn more about how we can help you, contact Mount Laurel construction accident injury attorneys. If you’ve been injured in a construction site accident, other benefits may be available to you in addition to your entitlement to workers’ compensation benefits. In cases when injuries are caused, either in total or in part, by the actions of a third party, additional compensation may be awarded to offset long-term financial consequences of an employee’s injuries. Call 800-404-5299 or 856-234-2233 for a free of charge consultation with attorneys at Taylor & Boguski in Mount Laurel, New Jersey.

Total Disability v. Temporary Disability

The NJ Workers’ Compensation Law provides for the following benefits: Medical Benefits, Temporary Disability Benefits, Permanent Partial Benefits, Permanent Total Benefits, and Death Benefits to name a few.

Temporary Total Disability Benefits are offered if an injured worker is disabled for more than seven days. The benefits are calculated at a rate of 70% the average weekly wage and cannot exceed 75% of the Statewide Average Weekly Wage (SAWW) or fall below the minimum rate of 20% of the SAWW. Benefits are terminated by when the worker is released to return to work in some capacity, or if the worker has reached maximum medical improvement (MMI). MMI is used when more treatment, if given, will no longer improve the medical condition of the injured worker.

Permanent Total Benefits, on the other hand, occurs when a work injury or illness prevents a worker from returning to any type of gainful employment. These weekly benefits are provided for 450 weeks, and continue past this time as long as the injured worker is able to show that he or she remains unable to earn wages. These benefits are paid weekly and are based on 70% of the average weekly wage, and cannot exceed 75% of the Statewide Average Weekly Wage (SAWW), or fall below the minimum rate of 20% of the SAWW. A combination of injuries that leave a worker unemployable, or when a worker has lost two main members of the body such as eyes, arms, hands, legs or feet, then that person is presumed eligible for Permanent Total Benefits. To find out more about benefits, see the New Jersey Department of Labor site for: Frequently Asked Questions about Benefits.

Learn about your rights with the help of attorneys at Taylor & Boguski in Mount Laurel, New Jersey. The claims process of filing for workers’ compensation can be challenging and the outcome can negatively affect the worker’s quality of life if there is less than favorable determination in the case. Thus, it is best to speak to a workers’ compensation lawyer who will charge no fees until the matter is resolved. At that time, the judge determines the proper legal fees to be paid to the attorney. Call 800-404-5299 or 856-234-2233 for a free consultation or contact us online.

Common Mistakes when Filing a Workers’ Compensation Claim

If you or someone you know has been injured in a workplace accident, you may need financial help cover the cost of medical bills and lost wages. You may be entitled to financial benefits by filing a workers’ compensation claim. However, one can easily be denied these benefits if a mistake is made before or during the application process. Some of the most common mistakes people make with workers’ compensation claims include: Not filling out your application completely and correctly; Thinking your employer will file your workers’ compensation claim; Forgetting to tell your doctor that your injury occurred in an accident in the workplace. It is important to contact an experienced workers’ compensation lawyer to guide you through this process successfully. To learn more about filing a worker’s compensation claim, see the Department of Labor in New Jersey for information here.

Additionally, it is important to keep in mind that there is a two-year statute of limitations which applies to workers’ compensation cases. The statute begins to run from the date of injury or the date of last payment of compensation. The later date is the one which applies.

Need help filing your claim?

Contact a workers’ compensation and personal injury lawyer at Taylor & Boguski in Mount Laurel, New Jersey to help you understand your rights and file your claim. Our attorneys will be aggressive and work hard to pursue their client’s rights to sue for damages or to obtain lost wages. Contact us online or call 800-404-5299 or 856-234-2233 for a free consultation with our office. In your consultation, you will get your questions answered and your case will be evaluated.