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Martin Law Firm Martin Law Firm Martin Law Firm Martin Law Firm 1- -800 800- -633 633- -2160 2160 Medical Benefits Temporary Total Disability Permanent Partial Disability Permanent Partial Disability Rehabilitation


  1. Martin Law Firm Martin Law Firm Martin Law Firm Martin Law Firm 1- -800 800- -633 633- -2160 2160

  2. � Medical Benefits � Temporary Total Disability � Permanent Partial Disability � Permanent Partial Disability � Rehabilitation

  3. Medical Benefits Medical Benefits � 100% of all medical bills paid � F � For Life Lif � 1 year rule � 6 month rule � Mileage: $.43 per mile � Mileage: $.43 per mile

  4. Medical Benefits Include: Include:

  5. The Doctors you want ant The Doctors o

  6. “Says here you’re faking”

  7. The Doctor o The Doctor you don’t want don’t ant

  8. Doctor Choice Doctor Choice � Act 1167 of 1999 � Ch � Change of Physician Form f Ph i i F � Pat Hannah, Administrator of Medical Costs Containment � 1-800-622-4472

  9. Temporar Total Disabilit Temporary Total Disability � Sick pay � Sick pay � Received during healing period � 2/3’s of average weekly wage up to � 2/3’s of average weekly wage up to certain maximum � $584 00 per week TTD maximum � $584.00 per week TTD maximum � Payable every 2 weeks � Paid until patient reaches end of healing f period

  10. Temporar Partial Disabilit Temporary Partial Disability � Money owed to worker during healing � Money owed to worker during healing period when returned to light duty or reduced hours resulting in a loss of reduced hours resulting in a loss of income � Entitled to 2/3’s of the difference E titl d t 2/3’ f th diff between before and after wages � TPD ends when healing period ends

  11. Permanent Partial Disabilit Permanent Partial Disability � Money owed to a worker when the healing � Money owed to a worker when the healing period ends and they are left with an anatomical impairment p � Percentage of impairment determined by physician using AMA Guidelines 4 th Edition p y g � Money for anatomical impairment can be received without settling or ending case � $438.00 per week PPD maximum

  12. Anatomical Impairment Benefit Form la Benefit Formula � Anatomical impairment percentage � Anatomical impairment percentage determined by physician using AMA Guidelines 4 th Edition Guidelines 4 th Edition � Multiplied by: � Applicable Scheduled Injury or Whole Body Provision

  13. Calculating TTD Compensation Rate Compensation Rate � $12 00 � $12.00 Hourly rate Hourly rate � X � 40 hours � 40 hours Full Time employment Full Time employment � = � $480.00 $ Average Weekly Wage g y g � */* 3 � X 2 2/3’s Calculation � = � $320.00 TTD Compensation Rate

  14. Calculating TTD Compensation Rate Compensation Rate � $15 00 � $15.00 Hourly rate Hourly rate � X � 40 hours � 40 hours Full Time employment Full Time employment � = � $600.00 $ Average Weekly Wage g y g � */* 3 � X 2 2/3’s Calculation � = � $400.00 TTD Compensation Rate

  15. Calculating TTD Compensation Rate Compensation Rate � $22 50 � $22.50 Hourly rate Hourly rate � X � 40 hours � 40 hours Full Time employment Full Time employment � = � $900.00 $ Average Weekly Wage g y g � */* 3 � X 2 2/3’s Calculation � = � $600.00 � $584.00 TTD Compensation Rate (Maximum)

  16. Calculating Permanent Partial Disabilit Rate Disability Rate � If TTD > $205 35 then PPD = 75% of � If TTD > $205.35 then PPD = 75% of TTD Rate � It TTD < $205.35 then PPD = $154.00 It TTD $205 35 th PPD $154 00 maximum

  17. Calculating Permanent Partial Disability Rate Disabilit Rate � $12 00 � $12.00 Hourly rate Hourly rate � X � 40 hours � 40 hours Full Time employment Full Time employment � = � $320.00 $ TTD Compensation Rate p � X � .75 Because > $205.35 � = � $240.00 PPD Compensation Rate

  18. Calculating Permanent Disability Disability Body as a Whole y � 450 Weeks Body as a whole � X � X � .10% rating Anatomical Impairment given by doctor � = � 45 Weeks � X � $240.00 PPD Compensation Rate � = � $10,800.00 PPD Disability Benefits

  19. Wage Loss Wage Loss � Definition: Benefits available in addition to anatomical impairment benefits, if employment ends because of disability. � Available where injury is to Body as a Whole. � Not available where injury is Scheduled.

  20. Calculating Permanent Partial Di Disability bilit Scheduled Injuries Scheduled Injuries � 183 Weeks Hand Amputated � X � X � .10 % rating Anatomical Impairment given by doctor � = � 18.3 Weeks � X � $240.00 PPD Compensation Rate � = � $4,392.00 PPD Disability Benefits

  21. Arkansas Court of Appeals Left to Right: Left to Right: Waymond Waymond M. Brown, Robin F. Wynne, Robert J. Gladwin, John Pittman, M. Brown, Robin F. Wynne, Robert J. Gladwin, John Pittman, Larry D. Vaught (Chief Judge), John B. Robbins, Josephine L. Hart, Larry D. Vaught (Chief Judge), John B. Robbins, Josephine L. Hart, Cliff Cliff H Cliff Hoofman Cliff Hoofman, Rita W. Gruber, Doug Martin, David M. Glover, H f f , Rita W. Gruber, Doug Martin, David M. Glover, Ri W G Ri W G b b D D M M i D i D id M Gl id M Gl Raymond Abramson Raymond Abramson

  22. Arkansas Supreme Court From left to right: From left to right: Associate Justice Donald L. Corbin Associate Justice Donald L. Corbin; ; Associate Justice Robert L. Brown Associate Justice Robert L. Brown ; ; Associate Justice Associate Justice Karen Baker; Karen Baker; Chief Justice Jim Hannah Chief Justice Jim Hannah; ; Associate Associate Justice Courtney Hudson Goodson Justice Courtney Hudson Goodson; ; Associate Justice Associate Justice Paul E. Danielson Paul E. Danielson; ; Associate Justice Jim Gunter Associate Justice Jim Gunter; ;

  23. Mark L. Martin Mark L. Martin General Counsel General Counsel General Counsel General Counsel Arkansas AFL Arkansas AFL- -CIO CIO Fayetteville, Arkansas F F Fayetteville, Arkansas tt tt ill A k ill A k 1- -800 800- -633 633- -2160 2160

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