Why the reason for dispute might not always be what you think and how to get help with your workers compensation claim.
Employers and insurance companies have significant responsibilities under Michigan?s workers compensation law. This includes filing a Notice of Dispute if benefits are to be denied.
This form indicates to the State of Michigan that a dispute exists regarding a claim. It lists six broad?categories that can be selected as the reason for a dispute.
Workers compensation benefits can be?automatically stopped once a Notice of Dispute is filed. The burden is on the employee to file a formal application for mediation or hearing to challenge the decision. Here are the possible reasons why your claim might be disputed.
Injury not work related: Many employers will say your injury did not occur at work. This usually happens when an employer believes that a person was hurt at home or while engaged in a recreational activity. Watch out for co-employees who will lie about your claim to score points with the boss.
Medical treatment not related to injury: Employers can have you examined by a doctor of their own choosing. This often results in a medical opinion saying a condition is not work-related or preexisting. The problem is that employers and insurance companies use the same doctors over and over again. Some of these doctors make hundreds of thousands of dollars per year testifying against injured workers.
Further investigation required (please specify below): This is typical in a case where an insurance company is dragging its feet. The insurance company will never be satisfied because they simply want to deny your claim.
Additional information required from employee (please specify below): Missing documents or medical records may have been submitted three or four times but it does not matter. The insurance company is looking for an excuse to deny your claim.
Vocational rehabilitation dispute only (please specify below): Insurance companies never tell you about all your legal rights. Vocational rehabilitation may be available to help you get retrained or find another job. The problem is that you might want to return to college while the insurance company just wants you to accept any available job.
Other (please specify below): This is the most common reason for a dispute. It is used as a catch-all to deny benefits. It may say you are non-compliant with medical treatment or that you have refused reasonable employment. You may also find your benefits disputed because you have a wage earning capacity.
To speak with one of our workers compensation lawyers in Michigan, call (855) 221-COMP for a free consultation. There is never a charge unless you are successful with your case.
- Alex Berman is the founder of Michigan Workers Comp Lawyers. He?s been representing injured and disabled workers exclusively for more than 35 years.? Alex has helped countless people obtain workers compensation benefits and never charges a fee to evaluate a case.
Related information:
Our list of Michigan?s Worst Workers Compensation Insurance Companies ? 2012 Edition
Source: http://workerscomplawyerhelp.com/workers-comp-lawyer-blog/2013/01/notice-of-dispute-wc-107/
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