Normally the adjuster determines how much you made in each of the 52 weeks preceding the date of injury. This includes bonuses, per diems, etc. If you missed more than a week we exclude that period of time from the calculation. If you didn’t work there a full year we look at only the period you were there. If that period is extremely short, like a few days or a couple of weeks, we look at a comparable employee. That’s always interesting. It’s amazing how often we get a new client who was hired making $15.00 an hour but when the employer sends over the pay data of the “comparable employee” it is someone who was making $13.50 and refused every opportunity for overtime. If you’re a recent hire by all means give us a call and let us talk this through with you.
On a semi-related topic, if you work a lot of overtime there’s a great likelihood that you are going to be underpaid. When the adjuster asks your employer how much you made a lot of times the employer simply gives your 40-hour work rate. It’s not that they are intentionally cheating you (although sometimes they are) but that they aren’t volunteering information. And the adjuster will not often go out of her way to find a reason to pay you more money.
Short answer: because they can.
Long answer: many employers and insurance adjusters are obsessed with the idea that injured workers are slackers who want to sit home and watch daytime television. We’ve met about three such workers and thousands who just wanted to get better and back to work they could safely do without further injuring themselves or their co-workers.
Prior to 2011 an injured worker could only be required to perform a real job – one which could be offered to anyone – while they were recovering from an injury. With a little lobbying from the big business and insurance companies, Gov. Pat McCrory initiated a massive overhaul of the workers compensation system, which, among other things, required that injured workers remain on their company’s premises if so requested.
Honestly we have a hard time seeing the point of this… if you’re employer is paying workers’ compensation insurance premiums in order to compensate you while you cannot do your job why should they want to bring you to the office or plant, plop you in a chair, and pay you full pay for sitting around doing nothing. Nevertheless it’s the new law.
It’s a common mistake and many people think they cannot be fired while they are on workers’ compensation. While it is illegal for your employer to fire you in retaliation for you filing a workers’ compensation claim, few employers are stupid enough to tell you that’s what they are doing. The flip side of the coin is that you don’t have immunity while you’re on workers’ compensation. So if there is a layoff when your company is downsizing you can be laid off despite your status in the workers’ compensation system. Similarly if your employer cannot accommodate your restrictions they aren’t required to hold your position indefinitely. They can replace you. Finally, if you mess up you can get fired for cause.
You should be cautious as more than one shady employer has fired an injured worker and claimed it was for cause when the facts were pretty debatable. For instance, we represented a retail employee who taught Sunday school regularly and was about as devout as they come. Following her injury she was assigned to work as a greeter. She was fired for allegedly using the “F word” to a customer. This was almost impossible to imagine happening. The proof of this? An anonymous letter to the store manager. At the hearing when asked why the store would believe such an outrageous accusation from an anonymous source, the manager defended it and said she believed the “anonymous source” because it was her own daughter. The Manager admitted to asking the daughter to write the letter and instructed her not to sign it. Yet the manager clung to the story that the underlying offense really occurred.
No, that is not what the law says. North Carolina law says that you do not get paid for missing work the first week but you begin getting paid the second week. If you miss the third week – or if you get a rating to an injured body part – they have to go back and pay you for the first week.
If you do use vacation or sick time for that first week the insurance company is still obligated to pay you for the first week if you meet the eligibility for it. While they may claim that this is double dipping or a windfall to you that isn’t how the law sees it. You are using up a limited resource – your vacation time, sick time, or personal time off – and thus you didn’t get it for free. Oddly enough we see this misinformation coming from CorVel and state and local employers quite frequently.
It’s not unusual for some companies to use a temporary employment agency to hire and place workers for a period of 90, or even 180, days before you become a permanent employee. This makes sense to them from a business point of view. Your workers’ compensation claim will be against the temp agency. Everything should proceed just as it would for any other employee. The only difference is that when the doctor puts you on light duty the company to which you were assigned is probably not going to accommodate you. The temp agency will either assign you to a different company or they may even have you do light duty in their office. If the temp agency isn’t placing you be sure that you have a written record (copies of notes or emails) documenting that you are asking them at least weekly if they have anything available within your restrictions. You’re entitled to be compensated for this period out of work. But we’ve seen a lot of temp agencies claim that the injured worker never made themselves available for work. Don’t fall into that trap.