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Frequently Asked Questions
Workers' Compensation Frequently Asked Questions
Navigating the workers' compensation process can be challenging, especially if you’re unfamiliar with your rights and responsibilities. At the Law Offices of Armen Yedalyan, APLC, we aim to provide clarity and empower injured workers to make informed decisions. Below are answers to some of the most common questions about workers' compensation in California.

Yes, under California law, employers are required to maintain a written Injury and Illness Prevention Program (IIPP). This program aims to ensure a safe and healthy workplace by identifying and addressing potential hazards. Employers must provide training, conduct regular workplace evaluations, and implement safety measures to minimize risks. If you believe your employer failed to uphold these obligations and it contributed to your injury, you may have additional legal options to explore.

After a workplace injury, your first priority should be to seek medical attention. Inform your employer about the injury as soon as possible, ideally in writing, and request a DWC-1 claim form to start the workers' compensation process. Prompt action can protect your rights and help establish the connection between your injury and your work duties. Retaining copies of medical records and documentation of the incident is also crucial for your claim.

Not all work-related injuries are immediately noticeable, such as repetitive strain injuries or occupational illnesses. California workers' compensation law allows you to file a claim for cumulative trauma or delayed injuries, but time is of the essence once you become aware of the problem. A delay in reporting can complicate the claim process, making it essential to act quickly once you recognize the injury.

California law requires you to report a workplace injury to your employer within 30 days of the incident. Failing to report within this timeframe can jeopardize your claim, as your employer and their insurance company may argue that the injury is unrelated to work. For cumulative trauma or occupational illnesses, the 30-day period begins once you become aware of the injury and its connection to your job.

If your workers' compensation claim is approved, you may be entitled to the following benefits:

  • Medical Treatment: Coverage for necessary and reasonable medical care related to your injury.
  • Temporary Disability Payments: Wage replacement benefits while you’re unable to work.
  • Permanent Disability Payments: Compensation for lasting impairments caused by the injury.
  • Job Retraining Benefits: Access to a voucher for education or training if you cannot return to your previous position.
  • Death Benefits: Financial assistance for dependents if a work-related injury leads to death.

If your employer does not provide you with a DWC-1 claim form, you can download it directly from the Division of Workers’ Compensation (DWC) website. It’s important to complete and submit this form promptly to initiate your claim. If your employer obstructs this process, consult an experienced workers' compensation attorney to protect your rights.

California law allows the insurance company up to 90 days to investigate your workers' compensation claim. During this time, they will review medical records, interview witnesses, and gather evidence to determine whether your injury is work-related. If the insurance company does not issue a decision within 90 days, your claim may be presumed approved.

If the insurance company fails to approve or deny your claim within the 90-day investigation period, California law presumes your claim is accepted. However, navigating this scenario can be complex, and employers may still attempt to dispute your benefits. Consulting with a certified workers’ compensation attorney can ensure your rights are upheld and your claim proceeds smoothly.

In most cases, your employer’s insurance carrier will direct you to a medical provider network (MPN) for treatment. However, you can predesignate a personal physician before an injury occurs if certain conditions are met. If you’re unsatisfied with the care you’re receiving, you may also be able to switch doctors within the MPN. An attorney can guide you through these options to ensure you receive appropriate care.

If your employer does not carry workers' compensation insurance, you may file a claim with the Uninsured Employers Benefits Trust Fund (UEBTF), which provides benefits to injured workers in these situations. Additionally, you may have the right to pursue a civil lawsuit against your employer for damages. A skilled workers’ compensation attorney can help you explore these options and recover the compensation you deserve.

California law prohibits employers from retaliating against workers for filing a workers' compensation claim. However, employers can terminate workers for legitimate business reasons unrelated to the claim. If you suspect your termination is discriminatory or retaliatory, you may have grounds for a wrongful termination claim.

If your doctor has recommended light or modified duties, your employer is not legally obligated to accommodate these restrictions. In such cases, you may continue to receive temporary disability benefits until you’re cleared to return to work or placed on permanent disability.

Yes, initial consultations with workers’ compensation attorneys are typically free. During this meeting, an attorney will review your case, explain your rights, and outline your options for moving forward. At the Law Offices of Armen Yedalyan, APLC, we offer complimentary consultations to help you understand how we can assist you in navigating the workers' compensation process.

  • Delaying Reporting: Report your injury as soon as possible to avoid unnecessary complications.
  • Failing to Seek Medical Attention: Obtain prompt medical care to document your injuries.
  • Omitting Details: Provide a full and accurate account of the injury to prevent disputes.

Not Consulting an Attorney: Legal representation ensures your rights are protected at every step.

Workers' compensation benefits are paid by your employer’s insurance company, not the employer directly. If the employer is uninsured, benefits may be paid through the UEBTF, or you may seek compensation through a lawsuit.

If you return to work under light-duty restrictions or in an alternative position, your temporary disability benefits may be adjusted to account for the wages you’re earning. However, if you earn less than your pre-injury income, you may still be eligible for partial wage replacement benefits.

Work-related injuries and illnesses include:

  • Accidents occurring during work hours (e.g., slips, trips, and falls).
  • Repetitive stress injuries (e.g., carpal tunnel syndrome).
  • Illnesses caused by workplace exposure (e.g., chemical exposure or asbestos-related conditions).
  • Cumulative trauma injuries that develop over time due to repetitive tasks.

If you have more questions, contact the Law Offices of Armen Yedalyan, APLC at (818) 616-4041 for expert legal guidance and support.

Yes, workers in California can file a claim for work-related mental health conditions, such as anxiety, depression, or post-traumatic stress disorder (PTSD). However, these claims often require extensive documentation to prove that the condition arose primarily due to job-related factors. Working with an experienced attorney can help you gather the necessary evidence, including medical evaluations and workplace records, to support your case.

If your workers' compensation claim is denied, you have the right to appeal the decision. The first step is to file an Application for Adjudication of Claim with the Workers' Compensation Appeals Board (WCAB). This process can involve mediation, hearings, and potentially a trial. Consulting with an attorney is crucial to building a strong case and increasing your chances of a successful appeal.

No, workers’ compensation benefits are generally not taxable at the state or federal level. This includes wage replacement benefits like temporary disability payments. However, if you receive other forms of income, such as Social Security Disability Insurance (SSDI), your overall tax situation may become more complex. Consulting with a tax professional can help clarify your specific circumstances.

Yes, part-time and temporary workers are entitled to workers' compensation benefits in California as long as they are classified as employees. Independent contractors are generally excluded, but some workers misclassified as contractors may still qualify. If your employment status is in question, an attorney can review your situation and determine if you’re eligible for benefits.

If your employer refuses to file your claim, you can file it directly with the Division of Workers' Compensation (DWC). Employers are legally required to report workplace injuries, and failure to do so can result in penalties. An attorney can help you take the necessary steps to file your claim and ensure your employer is held accountable.

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