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SECCION 29

Sección 29 y sus efectos en compensabilidad Si usted se lesiona en el trabajo o lesiona en

Section 29 and its affects on compensibility

If you are hurt at work or hurt on the job in New York, it is important to conult a New York Workers Compensation Attorney. Many times, injured workers go directly to a personal injury attorney when in fact they should consult a New York Workers Compensation lawyer. Attorneys that do not specialize in New York Workers Compensation may not be aware that an accident may have actually more than one case attached to it. Depending on where you reside you should consult either a QUEENS WORKERS COMPENSATION ATTORNEY, a BROOKLYN WORKERS COMPENSATION ATTORNEY NEW YORK WORKERS COMPENSATION ATTORNEY, BRONX WORKERS COMPENSATION ATTORNEY, STATEN ISLAND WORKERS COMPENSATION ATTORNEY if you are HURT AT WORK in NYC, or a LONG ISLAND WORKERS COMPENSATION ATTORNEY. Other than the personal injury case, there also may be medical malpractice cases as well as wage theft cases amongst many others. What concerns us most since we specialize in this area is that in settling a personal inquiry case a New York workers comp lawyer can let you know if a compensation case may also exist. Not recognizing and paying attention to the workers compensation cases may open the personal injury attorney up to professional liability and malpractice claims due to the claimant potentially losing some or all of his or her rights.

With reference to workers compensation, liability and malpractice issue most readily appears when the personal injury attorney is ready to settle the case pursuant to section 29 of the ny workers compensation law. If you are a claimant ready to settle your personal injury claim please contact the Harris Law Group to make sure you are not giving up any rights.

Section 29 of the workers compensation presents a scenario that our clients generally face and presents a daunting task to work through on many cases. The client could be led to think that there is only one case, either the personal injury case or the workers compensation case. If the client is told that there are two cases, they often are not told that the two cases are intertwined. Nothing can be further from the truth.

Attorneys are cautioned to make sure

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they explain to their clients that the personal injury and workers compensation systems complement each other in many ways but the reasoning behind both schemes seems to be to pay the claimant for damage suffered to make him or her whole but not to overpay, therefore no double recoveries or unjust enrichment.

To this end there are three main considerations for the attorney with regard to settlements of personal injury claims with regard to workers compensation cases. When the third party case settles, the workers compensation carrier can obtain the recovery of part of the money’s obtained in the third party to reimburse it for at least part of what they paid in the form of lost wage payments and the payment of medical benefits. The reasoning behind this scheme is that the workers compensation carrier should be reimbursed at least some of what the plaintiffs is recovering in his or her personal injury suit to make sure the plaintiff again is paid to be made whole while again not being unjustly enriched.

The second main way the third party affects the workers compensation case is that when the third party settles, with the exception of motor vehicle accidents which have a separate scheme to be dealt with in a later article, the workers compensation carrier also receives a holiday for any further payments of medical benefits or weekly cash payments until the carrier takes full credit for the net value of the settlement. For instance, if a case settles for $200,000, and the client realizes $100,000 after attorneys’ fees and other costs (such as filing fees, and other disbursements for medical and expert testimony fees) the carrier has a holiday, that is, it does not have to pay for weekly cash benefits or for medical bills until $100,000 has accumulated from the weekly benefits and medical paid. Basically, a person getting $400 per week from workers compensation would not

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get that money until the credit to the carrier for $100,000 has run out.

Another concern for the personal Injury attorney is the need to obtain consent from the claimant’s workers compensation carrier. Oftentimes, a personal injury attorney may not even know that a claimant has a workers compensation case, nor a potential case. Such an attorney may proceed with settling the case, and not account for the workers compensation component.

Caution is suggested to such attorneys to make sure that the claimant is not on compensation because the claimant may not entitled to further benefits and they may stop, if the third party does not consent to the settlement. Again, depending on your residence, please consult a QUEENS WORKERS COMPENSATION LAWYER, a BROOKLYN WORKERS COMPENSATION LAWYER, NEW YORK WORKERS COMPENSATION LAWYER, BRONX WORKERS COMPENSATION LAWYER, STATEN ISLAND WORKERS COMPENSATION LAWYER or LONG ISLAND WORKERS COMPENSATION LAWYER.

The reason behind the consent requirement probably flows again from the need that a person should not

receive a double recovery. The insurance carrier as noted above obtains payment for workers compensation and benefits paid from the proceeds of the third party settlement. Inevitably, the third party settlement should provide a reimbursement to the carrier for at least part of what it paid out. If the workers compensation carrier is not made part of the settlement negotiations, there is a strong danger that the workers compensation carrier will not obtain its lien and will therefore the claimant will have been unjustly enriched.

In sum, caution on the part of the personal injury attorney before settling the personal injury case should be taken.

If you are a claimant on ny workers compensation and have questions about the impact of settling the third party case has on your case, please call the Harris Law Group. Many of our peers consider our firm the Best Workers Compensation Attorney. We would be more than happy to address any concerns and answer questions as to the interplay of workers compensation and personal injury cases. For those clients who find it hard to communicate in English, we have a RUSSIAN SPEAKING WORKERS COMPENSATION ATTORNEY, a POLISH SPEAKING WORKERS COMPENSATION ATTORNEY, a SPANISH SPEAKING WORKERS COMPENSATION ATTORNEY, LASTIMADO EN EL TRABAJO LESIONADO EN EL TRABAJO, a CHINESE SPEAKING WORKERS COMPENSATION ATTORNEY and a BENGALI SPEAKING WORKERS COMPENSATION ATTORNEY on staff.

EVALUACIÓN DE LA DISCAPACIDAD

Definición y Evaluación de la Discapacidad. La definición de discapacidad se puede encontrar el Título 20 del

Definition of and Evaluation of Disability

The definition of disability can be found Title 20 of the Code of Federation Regulations, Section 404.1505 and Section 416.905. These regulations can be found on the internet on the official site of the Social Security Administration. The official site is SSA.gov. Then click on “Information for Attorneys and Representatives”; then click on

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“Resources, Fact Sheets and Guides”; then click on “The Regulations”; then click on “Part 404” or “Part 416;” and then click on §404.1505 or § 416.905. The entire process for the evaluation of disability for purposes of being awarded either Social Security Disability Insurance or Supplemental Security Income can be found in Part 404 and Part

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416. The standards for the award of either Disability Insurance or Supplemental Security Income are the same. The primary difference between the two programs is that Disability Insurance is based upon credits earned by individuals who have paid into the Social Security system; and the Supplemental Security Income

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Program is for those who have never worked or those whose Insurance Benefit amount

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is below the amount that someone solely receiving Supplemental Security Income would receive. Then the Insurance Benefit amount is supplemented with Supplemental Security Income. The monthly amount of Disability Insurance is based on the amount of wages that have been earned. Medicare is received by those who have received 24 months of Disability Insurance, and Medicaid is received by those who receive at least $1 of Supplemental Security Income.

A New York Social Security attorney can help. If you live in Queens, contact a Queens Social Security attorney. If you live in Brooklyn, a Brooklyn Social Security attorney. Bronx residents should contact a Bronx Social Security attorney. If you are in Staten Island, contact a Staten Island Social Security attorney. If you reside on Long Island, a Long Island Social Security attorney. You should always contact a Social Security Disability attorney for advice in this matter.

Social Security law defines disability for purposes of Disability Insurance “as the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. To meet this definition, you must have a severe impairment(s) that makes you unable to do your past relevant work (see § 404.1560(b)) or any other substantial gainful work that exist in the national economy. If your severe impairment(s) does not meet or medically equal a listing in appendix 1, we will assess your residual functional capacity as provided in §§ 404.1520(e) and 404.1545. (See §§ 404.1520(g)(2) and 404.1562 for an exception to this rule.) We will use this residual functional capacity assessment to determine if you can do your past relevant work. If we find that you cannot do your past relevant work, we

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will use the same residual functional capacity assessment and your vocational factors of age, education, and work experience to determine if you can do other work.” 20 C.F.R. § 404.1505. A parallel definition for disability for Supplemental Security Income purposes can be found in § 416.905.

The “Listing of Impairments” in Subpart P of Part 404 sets forth criteria to determine if an impairment is so severe that any individual whose impairment “meets or equal” a listing will be found to be disabled. The Listings are divided up into 14 body systems and disorders. For example, Section 1.00 describes impairments of the Musculoskeletal System. Section 14.00 describes Immune System Disorders. Residual functional capacity is your capacity to perform physical and mental activities despite your impairments and pain. These include exertional impairments such as sitting and standing and non-exertional impairment such as mental/emotional or psychological impairments which interfere with mental activities required for work including such abilities as understanding and remembering.

A New York Social Security lawyer can help. If you live in Queens, contact a Queens Social Security lawyer. If you live in Brooklyn, a Brooklyn Social Security lawyer. Bronx residents should contact a Bronx Social Security lawyer. If you are in Staten Island, contact a Staten Island Social Security lawyer. If you reside on Long Island, a Long Island Social Security lawyer. You should always contact a Social Security Disability lawyer for advice in this matter. If you have been hurt at work, a New York workers compensation attorney should be consulted, as well.

BENEFICIOS DE SEGURO SOCIAL

¿Puede seguir trabajando mientras recibe beneficios del Seguro Social ? La buena noticia es que

Can you continue to work while receiving Social Security

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Benefits?

The good news is that there are special rules which allow you to continue working temporarily once you are approved for benefits, without losing your monthly Social Security disability benefits. A New York Social Security attorney can help. If you live in Queens, contact a Queens Social Security attorney. If you live in Brooklyn, a Brooklyn Social Security attorney. Bronx residents should contact a Bronx Social Security attorney. If you are in Staten Island, contact a Staten Island Social Security attorney. If you reside on Long Island, a Long Island Social Security attorney. You should always contact a Social Security Disability attorney for advice in this matter.

The trial work period – After a person becomes eligible for disability benefits, you have the option of attempting to return to work. As an incentive, the Social Security Administration provides a nine month trial work period during which you can test your ability to work and earn any level of income while still keeping your full SSDI benefits. This is a great way for you to get a job without having to worry about losing your SSDI benefits. Furthermore, if you make less than $750 (gross) or if you work less than 80 hours per month in self-employment (irrespective of the amount earned), that month will not count toward your nine months. Your nine trial work months need not be consecutive, so there can be gaps between your trial work months that count toward your nine-month limit. Only at the expiration of that trial work period may your benefits potentially be affected. If you live in the Bronx, contact a Bronx Social Security

Extended period of eligibility – After your trial work period, the amount of your monthly income becomes relevant to whether you can continue receiving your monthly benefits. During this 36 month period, you can still

receive benefits as long as your earnings are below the substantial gainful activity (SGA) level and you continue to have a disabling impairment. In 2013, earnings are “substantial” if they are over $1,040 ($1,740 if you are blind). Your eligibility to receive monthly benefits is determined on a month-to-month basis. If your gross income is at or below the SGA amount for any month, you are eligible to your full SSDI benefit amount for that month. Your benefits will be suspended for any month where your earnings are over the SGA level. The SGA amount is adjusted by the Social Security Administration (SSA) each year. Therefore, you should check the financial limits before engaging in any type of work.

Reinstatement – If your benefits are terminated after the trial work period ends because your earnings are substantial, and then you become unable to work again because of your medical condition, you have up to five years during which you can ask Social Security to start your payments again. You do not have to file a new application. Simply contact the Social Security Administration and request reinstatement if you are disabled because of the impairment(s) that is the same as or related to the impairment(s) that allowed you to get benefits earlier. Reinstatement is an expedited process. While your case is assessed to determine whether you are entitled to benefits again, you have the right to request provisional (temporary) benefits for up to 6 months. The odds are in your favor when you file an application for expedited reinstatement. Social Security must prove that you have medically improved since the last time you were receiving benefits before denying your claim. In contrast, if you file a new application for benefits, you must prove that you are medically disabled for your claim to be granted.

It is important to promptly notify Social Security when you start or stop working because it could affect your benefits.

A New York Social Security lawyer can help. If you live in Queens, contact a Queens Social Security lawyer. If you live in Brooklyn, a Brooklyn Social Security lawyer.

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Bronx residents should contact a Bronx Social Security lawyer. If you are in Staten Island, contact a Staten Island Social Security lawyer. If you reside on Long Island, a Long Island Social Security lawyer. You should always contact a Social Security Disability lawyer for advice in this matter. If you have been hurt at work, a New York workers compensation attorney should be consulted, as well.