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Workers Compensation, Personal Injury & Social Security

​Types of benefits

Weekly Compensation Benefits


You are entitled to receive weekly workers’ compensation benefits so long as you are disabled. The amount of your benefits is calculated based upon your average weekly wage, including overtime, for the 13 weeks prior to the date of your injury or incapacity. Generally, it will be approximately 58% to 62% of your gross wage. Once your claim is accepted you will continue to receive a weekly check until:


  1. you are released to return to work by your physician, whether you return to your job or not;
  2. a Judge determines that are no longer entitled to receive a weekly check;
  3. you return to work earning wages;
  4. settle or
  5. die. 

Medical Benefits


You are permitted to treat with any physician of your choice. If you wish to change, you need approval from either the insurance company handling your claim or permission from the Workers’ Compensation Court. All reasonable medical expenses that are necessary to cure relieve and rehabilitate will be paid by the insurance carrier. Travel expenses to and from insurance examinations and approved vocational rehabilitation program are reimbursable. Travel to and from your medical providers are not. We are trying to change this with the General Legislature. Medication/prescriptions that are prescribed by your treating physician for your work-related injury are reimbursable. Just forward copies of the prescriptions receipts to our office and we will forward them to the carrier for re-payment to you.

We’re On Your Side

Please contact Toro Law Offices for a free initial consultation. Experienced representation is just a phone call or email away: RI: (401) 734-9595 MA: (508) 730-2800 / johnt@torolaw.com

1. WHAT IS WORKERS’ COMPENSATION


Workers’ compensation is designed to compensate for lost earnings capacity, i.e., the ability to earn wages, and for medical costs, loss of use and scarring. The theory supporting the concept of workers’ compensation is to provide a quick wage replacement for the worker not found under common law remedies. Workers’ Compensation does not compensate for pain and suffering as do negligence cases.

Workers’ Compensation is the system established by the State of Rhode Island to protect injured workers from on-the-job accidents, whether those injuries result from a physical disability or a mental disability. The Rhode Island Workers’ Compensation Court located in Providence has jurisdiction over all matters relating to Workers’ Compensation.

If you are injured on the job as a result of the acts of a person who is not your employer or co-employee, you may make entitled to file a negligence claim against that party in addition to your workers’ compensation claim. These claims, also known as “third-party claims” usually result from auto accidents, slip and falls, and products liability claims. 


2.THE WORKERS’ COMPENSATIONS PROCESS


If you sustain a work-related injury you should report the injury immediately in writing to you boss or supervisor, even if you think that it is not worth reporting, REPORT IT. After reporting an injury, your employer’s workers’ compensation insurance carrier will contact you in a couple of days. If you have not been contacted, you or your attorney should request the name, address and contact person of the insurance carrier and report the injury yourself. Your employer’s insurance carrier has 21 days to investigate your claim and decide if they will voluntary pay your indemnity and medical benefits. If they decide to pay benefits they must send you either a non-prejudicial agreement or a memorandum of agreement. The former does not accept liability for your claim, while the latter does.

If after 21 days you do not hear from your employers’ insurance carrier, you have the right to file a claim at the workers’ compensation court. You can file this claim yourself, but I recommend you contact my office to file the claim on your behalf. My office never charges a fee to represent you at the pre-trial, initial hearing or trial stage. So how do we get paid. If we are successful on your behalf, the Workers’ Compensation Court will order your employer’s insurance carrier to pay all legal fees as determined by the court. When we negotiate a settlement on your behalf that statute permits either a 15% or 20% fee to be deducted from the gross settlement.

At the pre-trial stage that Court will determine whether you are entitled to receive workers’ compensation benefits. If the court determines that you are, you will receive benefits within 14 days after the pre-trial. If the court determines that you are not entitled to receive benefits for whatever reason, we will appeal the judge’s decision and represent you though out the entire appeal process until the end.

WORKERS’ COMPENSATION for Rhode Island

Miscellaneous Benefits:


Weekly checks are every week, however sometimes they are late because of holidays, postal service, etc. Your check is not legally late until 14 days after its due date. If it is not receive by the 15 day, you will be entitled to a penalty. If you have children under to age of 18, you may be entitled to a dependency benefit. If you undergo surgery as a result of your work-related injury which leaves a visible scar and/or permanent loss of use, you are entitled an additional benefits call Specific Compensation. The amount of that benefit varies depending on your average weekly wage and the nature and location of the scar. Some clients may be entitled to vocational training, but it is usually in limited circumstances.

Please understand that we can not possibly cover every area of workers compensation on this Web Page. The above information covers the most common questions that our clients ask. If you have a question that is not covered on this Web Page, PLEASE CALL AND ASK US. That’s what we’re here for. Remember, every person and claim is unique. That’s why you decided to seek legal representation. It is our job to ensure you receive all the benefits you are entitled to.

Contact us for a free consultation.