Workers’ compensation is a system in the United States and many other countries that provide benefits to injured workers or who become ill due to their job. State governments frequently administer the program as part of social assistance programs. The program’s purpose is twofold- one is to provide benefits to workers who are injured due to their job, and another is to protect employers from lawsuits by employees who are injured or become sick due to their careers.

Workers’ compensation is not insurance. Insurance is a contract between an insurer and a client in which the insurer agrees to reimburse losses that the customer suffers.

Workers’ compensation is a statutory program that is created by state law. In most states, employers must provide workers’ compensation coverage for their employees.

What is MMI?

Maximum medical improvement (MMI) is a term used under workers’ compensation law to describe the point in an injured worker’s healing process when they are no longer expected to improve with generally accepted medical treatment. Although reaching MMI does not guarantee that the condition will not improve over time, it implies that the damaged individual is no longer in pain due to their accident. It simply means that the situation is not expected to improve with further medical treatment.

What if MMI happens in workers comp?

Do you want to know what happens when I reach MMI in workers comp? If I reach MMI in workers comp, it marks the end of available medical treatment and determines available wage loss benefits. Wage loss benefits are based on the injured worker’s average weekly wage before the injury.

Most workers’ compensation programs are no-fault systems. It means that an injured worker does not have to prove that their employer was negligent to receive benefits. The worker must confirm that the injury or illness occurred due to their job.

 

Who Decides When I Reach MMI?

There is no definitive answer to when someone has reached MMI. Patients and their doctors will work together to monitor the patient’s condition and decide when they feel that the patient has reached MMI. Many factors contribute to reaching MMI, so it is ultimately up to the patient when they reach this point. Reaching MMI does not mean that a person is automatically going to die. It means they have reached a state where death is possible if more medical care is not given.

 

Why is this often criticized?

The workers’ compensation system is often criticized because it is not always easy for an injured worker to receive benefits. The system is complex, and there are many rules and regulations that an injured worker must comply with to receive benefits. Additionally, an injured worker’s amount of benefits is often less than the amount of damages they could recover in a lawsuit.

Despite its shortcomings, the workers’ compensation system benefits millions of workers injured each year. Without the system, these workers would be left without any protection against the financial consequences of an on-the-job injury.

 

What are some common cases in workers’ comp?

Maximum Medical Improvement: It is a term used under workers’ compensation law to describe that point in an injured worker’s healing process when they are not expected to further improve with generally accepted medical treatment.

Hearing Loss Impairment: It measures the severity of hearing loss and is expressed in decibels (dB). The higher the dB, the more severe the hearing loss.

Temporary Total Disability: It is a workers’ compensation benefit that pays a percentage of injured employees’ salaries while they cannot work due to their injury.

Permanent Partial Disability: A workers’ compensation benefit pays a percentage of injured workers’ wages for the rest of their lives due to their injury. 

Permanent Total Disability: A workers’ compensation benefit pays a percentage of injured workers’ wages for the rest of their lives if they cannot work due to their injury.

Although workers’ compensation insurance is an integral part of protecting employees, it can be challenging to navigate the system when you are injured. Understanding your rights and duties under workers’ compensation law may make the procedure go more smoothly while also ensuring that you receive the benefits you are entitled to. If you have been hurt on the job, contact a workers’  compensation lawyer immediately to begin the process of filing a claim.

NCS