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Nevada Injured Employees Right To Reopen A Claim Which Has Been Closed

State:
Nevada
Control #:
NV-SKU-2952
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Injured Employees Right To Reopen A Claim Which Has Been Closed

In Nevada, an injured employee has the right to reopen a claim which has been closed if certain conditions are met. This is commonly referred to as the "Nevada Injured Employees Right To Reopen A Claim Which Has Been Closed". There are two types of reopening claims: one for medical benefits and one for lost wages. In order to qualify for a medical benefits reopening claim, the employee must demonstrate that the medical condition related to the prior injury has worsened, or that there is a new injury or condition related to the prior injury that has arisen since the claim was closed. Additionally, the employee must prove that the worsening condition or new injury is related to the prior injury for which the claim was originally opened. To qualify for a lost wages reopening claim, the employee must demonstrate that the disability has become more severe, or that the employee has returned to work and is unable to make more than 80% of his/her wage at the time of the original injury. Additionally, the employee must prove that the worsening condition or return to work is related to the prior injury for which the claim was originally opened. Once the employee has demonstrated that the conditions for reopening the claim have been met, the claim must be filed within one year of the date the conditions were met. If successful, the employee is entitled to receive medical benefits or lost wages for the period of time since the claim was closed.

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FAQ

6 Injured Employee's Request for Compensation (7/99) 7 Explanation of Wage Calculation (7/99) 8 Employer's Wage Verification Form (10/10)

To reopen a workers' compensation claim, you must file a Petition to Reopen. As explained by the California Department of Industrial Relations (DIR), a Petition to Reopen should include a clear and comprehensive explanation from the claimant (the injured worker) as to why the injury claim should be reopened.

When an injured worker in Nevada has completed medical treatment and his or her condition is unlikely to improve, the case will be settled. The workers' compensation insurance company will notify an injured worker: the claim is going to be closed. if there is the possibility of permanent disability.

In California, there is a one-year statute of limitations for workers' compensation claims. Reporting the injury/illness to the employer is not the equivalent of filing for workers' compensation benefits. The injured employee still needs to complete and submit the proper workers' compensation claim forms.

Under California law and regulations, a petition to reopen a workers' comp claim can only be filed within five years after the date of injury. After this specified limitation has elapsed, the case will be time-barred.

Code, § 5410 LC 5410 provides in part: ?Nothing in this chapter shall bar the right of any injured worker to institute proceedings for the collection of compensation within five years after the date of the injury upon the ground that the original injury has caused new and further disability??

What is ?exclusive remedy?? Exclusive remedy means that an injured employee, generally, cannot sue an employer, for work- related injuries if the employer has purchased workers' compensation insurance as required by Nevada law.

For most individuals, workers' compensation benefits in California last up to two years (104 weeks) from the date of their injuries.

More info

In order to successfully reopen an old claim in California, an injured worker must be able to prove that: New medical treatment is needed; or. The injury or disability has grown more severe.Complete the form, following the attached sample. Be sure to sign and date the form. If the claims administrator sends you a letter denying your claim, you have a right to challenge the decision. In California, you may ask to reopen your case within five years after your injury if you have a "new and further disability. Most states allow injured workers to reopen their claims if there's medical evidence that their injuries have gotten significantly worse. Sometimes an injured worker finds that their condition worsens unexpectedly after their workers' compensation claim has been closed. Typically, you may reopen your case for a qualifying reason if a workers' comp judge issued an order or award after a hearing. If you originally had no lost time and no Permanent Partial Disability, you must request reopening within 1 year of the date your claim was closed.

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Nevada Injured Employees Right To Reopen A Claim Which Has Been Closed