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West Virginia Application to Reopen Partial Disability Claim

State:
West Virginia
Control #:
WV-SKU-0501
Format:
PDF
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Description

Application to Reopen Partial Disability Claim

The West Virginia Application to Reopen Partial Disability Claim is a form used by individuals who have been partially disabled and need to reopen their claim. This form is used by claimants to request an administrative review of their partial disability claim by the West Virginia Bureau of Employment Programs (BEP). This form is used to supplement other required forms and documents in order to help the BEP make its determination. There are two types of West Virginia Application to Reopen Partial Disability Claims: one for individuals who have received a medical decision of partial disability, and one for individuals who have received a common law decision of partial disability. Both forms require the claimant to provide information about their current medical condition, the severity of their disability, and any changes since the original decision was made.

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FAQ

Workers' compensation provides benefits for workers when their injury or illness arises out of or is caused by their work. Workers' compensation may also pay medical bills and benefits for temporary or permanent disabilities.

Permanent partial and non-awarded partial benefits: $641.96 (paid at two thirds of the claimant's average weekly wage not to exceed 70% of the State average weekly wage). Current mileage reimbursement rate: 0.56 cents as of 1/1/21.

In these states, employers must buy workers comp insurance from an insurance fund operated by the state. Nevada and West Virginia were monopolistic states in the past but now have a competitive market system.

Claims Must Be Filed Within Six Months West Virginia requires injured workers to file an application for benefits within six months of the date of injury. Do not allow yourself or your loved one to miss out on valuable financial help to replace lost wages, cover medical expenses, and more.

What's covered? Workers' compensation insurance in WV helps pay medical costs for employees that become hurt or sick as a result of their job. It can also help replace some of your employee's missed wages or provide disability payments if they're unable to return to work.

Permanent Partial Disability (PPD) Benefits: An injured worker's wage paid is 66 2/3%. The weekly payment minimum is $175.33, 33 1/3% of the West Virginia state average weekly wage and may not exceed the Federal minimum hourly wage. The weekly maximum is $350.67, 70% of the West Virginia state average weekly wage.

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West Virginia Application to Reopen Partial Disability Claim