Calculating The Four Types Of Benefits

Pennsylvania Workers' Compensation Benefits Attorneys

The workers' compensation benefits system can be confusing and frustrating. The legislation governing this issue is not easy to understand. At Solomon, Berschler, Fabick, Campbell & Thomas, P.C. , in Montgomery County, Pennsylvania, we pride ourselves on our knowledge and experience when it comes to determining the amount of workers' comp benefits and helping clients maximize the amount of compensation they are entitled to for these types of claims.

Our priority is to explain to you how the law is used when determining the amount of workers' compensation benefits available and then use these guidelines to make sure you collect the correct amount of benefits. To learn more about our workers' compensation practice and how we can help you, please contact us today to schedule an initial consultation at our Norristown office.

The Four Types of Workers' Compensation Benefits Available

At Solomon, Berschler, Fabick, Campbell & Thomas, P.C. , we believe correctly determining the amount of workers' compensation benefits you are entitled to can help strengthen your claim and make sure that you are paid a fair amount. We are here to help you calculate and apply for the following types of benefits:

  • Wage loss benefits: The formula used to calculate this standard income benefit is to take the average of the highest three of the four quarters of pay before the injury occurred. This figure is called your average weekly wage (AWW). Two-thirds of the average is the benefit rate that you are eligible to receive. There are minimums and maximums defined by law for this calculation, and the insurance company may try to use an alternative method to arrive at this amount or may miscalculate the average weekly wage, which is why it is beneficial to have an attorney who can help you calculate the amount correctly.
  • Medical expenses: You must be able to prove that the medical expenses you ask to be reimbursed are reasonable, necessary and causally related to the accident you sustained at work. In addition, if your employer's workers' comp insurer denies a medical bill benefit that would ordinarily be covered under your health insurance, your health insurance must pay that claim. Our lawyers can make sure you submit these claims properly to ensure payment.
  • Specific loss: This includes the loss of use or amputation of an appendage, such as fingers, hands, arms, toes, legs appendages. You are entitled to a specific number of weeks for each type of appendage by law, but once the statutory benefit runs out, you cannot apply for continued compensation. Specific loss also applies to loss of hearing or vision as well as disfigurement of the head, face, or neck.
  • Death benefits: Your family can receive modest funeral expenses. In addition, a widow can receive 50 percent of their spouse's wages. Furthermore, the dependent children of the deceased are entitled to benefits as well.

Contact Us

We are here to help you through the entire process when it comes to determining the amount of workers' comp benefits you may be entitled to under the law. Whether you are appealing a denied decision or need help proving the benefits you are entitled to after an insurer has already reduced the amount, we can evaluate your claim and help you. To schedule an appointment with an experienced workers' compensation lawyer, please contact us.