How Much Do You Get for a Workers Compensation Benefits Settlement?
If you've been injured as a result of your work, you should be able to collect workers compensation benefits. Here's how the settlements are determined.
The first thing to know about workers’ compensation settlements is that they are purely voluntary. Your employer or its workers' comp insurance company does not have to agree to settle your claim, and you do not have to agree with a settlement offer proposed by your employer or its insurance company. If you are discussing settlement regarding one or more aspects of your workers’ compensation claim, or are considering pursuing settlement, you may be wondering how much you will receive in the settlement. There are a few preliminary considerations.
Know What You Are Entitled To
When considering settlement, it is important to know what workers’ compensation benefits you are entitled to, and what rights you are relinquishing, as part of a proposed settlement agreement. Consider the following types of benefits and how they are often handled in workers’ compensation settlements.
Permanent Partial Disability
If your work-related injuries resulted in some type of permanent impairment, but did not render you totally disabled, you are likely to be entitled to a monetary award to compensate for your permanent impairment. If your new work restrictions as a result of your injury that limit the work you can do, or you had surgery under your workers’ compensation claim, or your body will never return to pre-injury state, you likely will be entitled to a permanent partial disability award. Many employers will propose a settlement of the permanent partial disability issues by offering a dollar amount equivalent to, or slightly less than, the amount of your likely permanent partial disability award under your workers’ compensation claim. An important thing to remember is that you will be required to give up something for this money. You may be giving up the right to argue that you are permanently and totally disabled, or the right to argue that a specific medical condition was related to your workers' comp claim, or the right to any future medical care. If a lot of money is at stake, you'll want to talk to a workers' comp attorney about the implications of this type of settlement agreement.
Temporary Total Disability (Time Loss Compensation)
If your workplace injuries caused you not to be able to work for a period of time, you likely received partial or total temporary disability benefits, or time loss compensation benefits, during that time. Sometimes, for a variety of reasons, your employer or its insurance company may not have paid you these benefits when you should have received them, or paid you too little. Your employer may offer you a lump-sum amount for what you are owed, and your agreement to not pursue this compensation. For more on temporary benefits, see our article on weekly benefits for workers' compensation.
Unpaid Medical Bills
Your workers' comp claim entitles you to continued medical care for your injury or illness. And if your injuries were relatively minor, you may be seeking only to have your medical bills paid for by your employer under your worker’s compensation claim. Your employer may offer you a lump-sum settlement in exchange for your agreement to not pursue any further reimbursement for medical costs or other workers’ compensation benefits.
Types of Settlement Arrangements
There are two primary types of settlement arrangements: lump-sum and structured settlements. In a lump-sum settlement, you will sign a settlement agreement giving up certain rights in exchange for a one-time, lump-sum payment from your employer or its insurance company. In a structured settlement, you will instead receive smaller payments over a period of time, such as one year, ten years, or more.
Considerations in Deciding Whether to Accept a Settlement
First, consider that a settlement is a guaranteed benefit. If you don't take the settlement and your claim proceeds to a hearing at the workers' comp appeals board or litigation at the state court level, the judge may rule in your employer’s favor, leaving you with little or no benefits. On the other hand, you may prevail and actually win more than the settlement offer. A settlement is a guarantee to provide you with certain benefits and takes out the risk associated with litigation. A second consideration is that you will probably have to give up your right to future medical treatment for your injury. If you foresee yourself needing surgery, expensive medication, or lots of doctor visits, it's probably not in your best interests to settle. A third consideration is that settlement is not permitted in every state at every point in a workers’ compensation claim. This point is discussed further below, but you should speak to an attorney about your settlement options, particularly if your employer has proposed a specific settlement offer to you and a lot of money is at stake.
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