This is one of the official workers' compensation forms for the state of Pennsylvania.
Pennsylvania Supplemental Agreement for Compensation for Disability or Permanent Injury for Workers' Compensation
Category:
State:
Pennsylvania
Control #:
PA-LIBC337-WC
Format:
PDF
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The minimum policy limits in California are $100,000 per occurrence, $100,000 per employee, and $500,000 for the policy limit. Click here to learn more about California state requirements.
An employee with a permanent disability rating of 20% would therefore receive a benefit payment for 100 weeks. If the employee's average weekly earnings are $435, the employee will receive two-thirds of that amount, or $290, each week for 100 weeks, for a total benefit of $29,000.
The maximum weekly compensation rate for calendar year 2019 in Pennsylvania is $1,049.00. The weekly compensation rate is to be 66 2/3 percent of the employee's average weekly wage falls between $1,573.50 and $786.76.
For employees who suffer permanent and lasting effects from their work injuries, workers' compensation pays permanent disability benefits.Workers' comp will cover their medical bills and perhaps pay for a few days or weeks off work. However, some employees suffer permanent and lasting effects from their work injuries.
In the typical workers' compensation claim filed in California, benefits can be provided for 104 weeks or 2 years' worth.
To date, the largest settlement payment in a workers' comp case came in March of 2017, with a $10 million settlement agreement.
If you suffered a work-related injury/illness on or after Jan. 1, 1995 that permanently impacted you or your ability to work, you may be eligible for permanent disability compensation, including any wage loss from your permanent work restrictions.
In the typical workers' compensation claim filed in California, benefits can be provided for 104 weeks or 2 years' worth. The 104 weeks of benefits can be parceled out across 5 years, though, if you do not need to use all 104 weeks consecutively.
Get your weekly disability check started, if you're not receiving it already. Maximize your weekly benefit check. Report all super-added injuries. Seek psychological care, when appropriate. Seek pain management care, when appropriate. Don't refuse medical procedures. Be very careful what you tell the doctor.