Lewis & Lewis, P.C.

Introduction

Part 1: The Workers' Compensation Process

• How do I know if I Have a Workers' Compensation Claim?
• How Do I File a Workers' Compensation Claim?
• Is There a Time Limit for Filing My Claim?
• What Benefits Am I Entitled To?
• Independent Medical Examinations
• The Hearing Process
• After the Hearing – Decisions, Payments and Appeals
• Finalization of a Workers' Compensation Claim
• Attorneys' Fees

Part 2: Special Issues In Workers' Compensation

• The Special Funds Conservation Committee
• Workers' Compensation Fraud
• Voluntary Withdrawal From the Labor Market
• Actual Reduced Earnings
• Sources of Additional Benefits
• Lawsuits
• Workers' Compensation Death Claims
• Conclusion
• Frequently Asked Questions

WORKERS' COMPENSATION FRAUD

A person commits Workers' Compensation fraud when he or she "knowingly makes a false statement or representation as to a material fact" for the "purpose of obtaining compensation". If you commit fraud you risk losing all of your compensation benefits. You can also be brought up on criminal charges.

In order to avoid a fraud accusation, we recommend the following:

• If you are under medical restrictions, do not perform any activities; even in your own home, that go beyond your restrictions.
• Be aware that the insurance company may have private investigators asking questions about you, following you and videotaping your actions.
• If you engage in any type of work while claiming or collecting Workers' Compensation benefits, advise this office immediately. This includes unpaid work and selfemployment.
• If you receive a questionnaire from the insurance company, go ahead and answer the questions, but return it to this office for an attorney to review.
• If you are contacted on the telephone by an insurance adjustor or investigator do not answer any questions. Let them know this office represents you and end the conversation.