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I got drug tested after I got hurt and tested positive. What do I do now?

If you test positive for drugs or alcohol after getting hurt at work, the insurance company does not have to pay you any worker's compensation benefits. You have to prove that you were sober at the time of your injury.

How does workers comp affect my health insurance?

When you're injured on the job and your employer provides health insurance, oftentimes people are worried what happens if I lose my job, how's that going to affect my health insurance?

I was in a car wreck while on the job. Is it better to have a workers comp lawyer handle everything?

When someone is in a car wreck, that happens while they're also working on the job, one of the things they're concerned about is, do I need to get two lawyers?

What happens if I find a new job while on workers comp?

In the state of Texas, they put a very, very high premium on people getting back to work as soon as possible. We have seen that when people return back to work as soon as possible, they actually have increased outcomes on workers comp and in our office, we certainly want you to have the best outcome possible and we want you to return to work as soon as possible.

Do I have to go to court to get workers comp?

Most people are afraid to follower workers comp claim because I think that if they do they're going to have to go to court and fight in court to get workers comp. Very few cases actually end up in court on a worker's comp case.

Why is it so hard to get my surgery approved?

One of the biggest problems people have with workers compensation is getting their surgeries approved. It's a continual problem because, in Texas, the insurance company uses a one size fits all approach to medical care.

Can I get reimbursed for my travel expenses to see the doctor?

In addition to your health care that the insurance company has to pay for, they also have to pay for your travel expenses for that health care.

What is considered a work-related injury?

A work-related injury is any injury that occurs in the course and scope of employment. The easy way to describe it is if you are doing something in the furtherance of the affairs of your employer's business, then you're engaged in the course and scope of employment.

How long does workers comp last in Texas?

Workers' comp in Texas lasts the entire lifetime for the claimant when it pertains to the medical care that the claimant receives. In other words, for your entire life the workers' compensation insurance company is supposed to pay for all your medical pay that you need for your injury.

Can a car accident be a workers’ compensation case?

Sometimes in certain situations, when you're driving to and from work, if you're involved in a car wreck, that is a workers' compensation claim. For instance, people who have places of business that are frequently changing, the common example is a plumber or an air conditioner repair man, those types of things.

What happens to my workers compensation if I test positive for drugs or alcohol?

Often times, someone gets injured on the job and they're forced to do a urinalysis or a blood test and it tests positive for some type of an illegal substance. When that happens, their claim is denied. So the question arises, what do I do now?

What is the difference between a workers’ comp claim and a non-comp claim?

Texas is one of the few states where you don't have to carry workers' compensation insurance. There are employers in Texas that don't have workers' compensation insurance. it gets confusing because the employer may carry insurance and they may tell their employees that it's workers' compensation insurance but it's what we call an occupational benefit fund.

Can I sue my company for causing my injury?

Unfortunately in Texas, if your employer carries workers compensation insurance, your only rights of recovery are through workers comp. That means that you can’t sue your employer for causing your workers' compensation injury. There are certain times when maybe you can’t sue your employer for causing your workers' compensation injury, but if someone else somehow did something wrong that caused your injury, you may have a claim against that third party.

Can the company I work for fire me for filing a workers’ compensation claim?

If you feel threatened by your company because you want to follow workers' compensation claim, don’t feel threatened. In Texas, it is illegal for a company to retaliate both against an individual who gets hurt on the job, as well as to retaliate against any other person who assists someone who’s been hurt on the job.

Can I just get a settlement and be done with it?

I get asked all the time, "Can I just take a settlement and just be done with this workers' comp insurance company?" In Texas, you can't do that. In Texas, when your employer carries workers compensation insurance, that protects them such that your only rights are through the workers' compensation system.

How long will my claim take to resolve?

Most workers' comp cases are resolved relatively quickly, in the sense that when you get injured on the job, the claim immediately starts getting processed. So for instance, if you've ever been injured in a car wreck and had a car wreck claim, what happens is you don't even start dealing with insurance, you don't even start dealing with processing that claim until the very end, until you've finished your doctor's treatment and your claim is over.

What is a board-certified attorney?

In Texas, attorneys can take a specialized exam called a board certification exam. And a board-certified attorney is an attorney who's achieved a special level of competency by handling a certain number of cases. You've got to show a board down in Austin that you completed or successfully handled a certain number of cases.

How do I pay an attorney?

When you get injured on the job and your employer carries workers' comp, your workers' compensation attorney is paid based upon the amount of time that a case takes. So if it's a complicated case, if it's a case that's going to take a lot of time in order to process and get taken care of, then that attorney is keeping track of their time, and they submit their time to workers' comp.

How long do I have to make a claim?

When you get injured on the job, you've only got 30 days to let your employer know that you got injured on the job. So it's very, very important when you get injured you let somebody know immediately. Most kinds of personal injury cases in Texas, you've got two years in order to do something about your personal injury. On workers' comp, you only get 30 days. After you let your employer know within the 30 days, you're limited to only one year to let the insurance company know.

What benefits am I entitled to?

When you're injured on the job, there are a number of different benefits that you're entitled to. One benefit is what we call TIBs, T-I-B-S. That stands for temporary income benefits. And what the insurance company does is they take the 13 weeks prior to your date of injury, add up how much you made in those 13 weeks, and then average that amount, and that's called your average weekly wage. And then you're paid 70 percent of your average weekly wage as long as you're off work due to your injury.

What is a contested case hearing?

A workers' compensation trial or contested case hearing is usually a much more informal type proceeding. You go into the judge's office. It's a small office. You will go in and there will be a chair sitting right next to the judge's desk. And you just go and you sit in the chair, you swear to tell the truth, and you just tell the judge what happened. But it is what decides your case.

Do I have to let my employer go with me to the doctor's appointments?

If your employer wants to go with you to the doctor, keep in mind that Texas is an employed-at-will state. What that means is, is you can be hired and fired at anytime by the company. And so, if you tell someone with your company that they can't go with you to your doctor visits, they do have the right to fire you.

How do I find a doctor to treat my workers comp injury?

When you get injured on the job, you need a doctor. And the problem is, is how do you find a doctor when so few doctors take workers' compensation for payment. All insurance companies are supposed to have a network of doctors that they maintain that you can go see.

I have been injured on the job, what do I do?

When you're injured on the job, the most important thing for you to do is to report the claim. Now, most companies have a lot of peer pressure on their workers. They'll have some type of a policy that says if there's no lost time, people get bonuses and that sort of thing.

Do I need a lawyer?

In almost every case, yes, you should hire a lawyer because the lawyer is going to have the specialized skills and the specialized training and expertise to address your case, that someone with an ombudsman doesn't have.

Abuse of Drug Testing by Carrier Doctors

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Lost Wages: Temporary Income Benefits

When you're injured on the job and you file a workers compensation claim, the first set of income benefits that you should receive is called Temporary Income Benefits ("TIBs'). ​Once you miss more than 7 days of work due to your injury, then your entitlement to TIBs will begin. They can last up to 104 weeks. [...]

Qualifying for Supplemental Income Benefits or SIBS

Few things are worse than when you’re injured on the job and unable to continue to support your family because you’re unable to return to work. There could be many reasons for not being able to return to work, such as your employer is unwilling to accommodate your work-duty restrictions imposed by your doctor or your employer has simply terminated your employment. [...]

Texas Workers' Compensation Insurance Carrier--Bias Re: Injured Employees

Is there any neutrality with your Texas Workers’ Compensation Insurance Carrier when resolving a disputed claim between you and your employer? If your employer’s insurance carrier is allowed to choose an attorney, then why wouldn’t an injured worker also want to choose an attorney?[...]

Injured While Driving to Work: Implications of Texas Workers Compensation Insurance

Each day, Texas residents drive to and from work, expecting to arrive safely. On many occasions, employers may provide either (1) company-owned transportation or (2) financial reimbursement for travel expenses using a private vehicle. Both situations would be in furtherance of the responsibilities of the job and are directly connected with the performance of the employment. [...]

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