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Breaking News: Washington State Supreme Court Upholds Injured Workers’ Right to Appeal Medical Coverage Decisions
This morning the Washington State Supreme Court issued a historic decision in Murray v. Dep’t of Labor and Industries (No. 95251-5) unanimously holding that HTCC coverage determinations are not binding on the Department of Labor and Industries unde…
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Workers' Compensation Claims are Like a Game of Chess
Under the Washington State workers’ compensation system, injured workers are entitled to certain statutorily benefits. These benefits depend on the facts and circumstances. Benefits typically include treatment, time-loss compensation or loss of ear…
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Insurance Company Acquires Medical Providers - The Impact on Injured Workers
It looks like our area is about to see some more big changes as UnitedHealth Group will be acquiring the Polyclinic. UnitedHealth Group is a for-profit managed health care company based in Minnesota. In short, it is an insurance company that is becom…
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L&I Progressive Goal Attainment Program (PGAP)
L&I has a program called Progressive Goal Attainment Program (PGAP). PGAP is described as “best practices” evidence-based treatment program for reducing disability associated with pain, depression and other chronic conditions. The PGAP was de…
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L&I Claims - Process and Procedure
In workmen’s compensation claims, there is a process for everything. In theory, if all the processes were followed properly, injured workers wouldn’t need representation and claims would progress from inception to completion efficiently. In r…
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Holidays Can Be Tough for Work Injury Claimants
Today is Thanksgiving, and I can’t ignore the fact that I have a lot to be thankful for. I am thankful for my family, the people who stand by me, encourage me, and inspire me. I am thankful for my children, they have made my heart so much bigger th…
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L&I Guide for Washington Injured Workers Moving Out of State
Getting injured in Washington State (especially in areas where the cost of living is higher) can be a financial disaster. L&I or private insurance time-loss compensation (the monetary benefit paid when you are incapable of working because of your…
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L&I Loss of Earning Power Benefits
It is important to know the benefits available under the Industrial Insurance Act. Often, many injured workers are surprised to learn about Loss of Earning Power Benefits (LEP) from L&I. The LEP is a wage replacement benefit. LEP is available for…
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L&I Time-Loss Compensation
Look up “wage replacement” on the Department of Labor and Industries (L&I) website. You will learn that you can be paid a portion of your lost wages as “time-loss compensation” benefits after an initial 3 day waiting period following an i…
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Attending Physicians are Very Important for Workers' Compensation Claims
In workers’ compensation we rely heavily on the opinions of the attending physician and treating providers. However, in order for an opinion to be truly valuable it must have a strong basis. In the legal setting, an opinion that is merely conclusor…
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