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In Pennsylvania, employees are eligible to collect Workers’ Compensation benefits for injuries sustained at work and for occupational illnesses. Occupational illnesses are diseases or disorders that typically develop over time after repeated exposure to toxins in the workplace.
Common occupations that can result in illness include construction, health care, firefighting, and factory work. Sometimes, a person who does not work in a hazardous job can be unknowingly exposed to toxins. An example is an office setting where toxic mold could be present in the heating and cooling system.[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row”][vc_column][vc_column_text]
Specific diseases related to certain occupations are formally recognized as occupational diseases, including:
The Pennsylvania Occupational Disease Act (PODA) lists the following specific illnesses that are covered under Workers’ Compensation.
The CDC reports that more than 13 million workers in the United States are exposed to toxic chemicals absorbed through their skin.
Workers in landscaping, construction, carpet cleaning, floor covering installation, and other occupations are at risk for chemical exposure. These toxic chemicals include arsenic, lead, mercury, manganese, beryllium, and phosphorous and can cause:
Although asbestos is now strictly regulated, workers can still be exposed. Asbestos is a toxic mineral that can cause asbestosis and mesothelioma:
Workers who handle silicon dioxide, anthracite dust, or bituminous coal are at risk of developing serious lung diseases. These include:
Health care and laboratory workers are at risk of contracting hepatitis and other infectious diseases from needlestick injuries and other workplace accidents. The Occupational Safety and Health Administration (OSHA) reports approximately 800,000 needlestick injuries each year.
Workers in jails, prisons, and social services are also at risk for infectious diseases since they regularly work with high-risk populations.[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row” css=”.vc_custom_1649949154711{background-color: #ebeef3 !important;}”][vc_column][vc_column_text]
Some workers are more susceptible to occupational illnesses:
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If you suspect your job and workplace caused your illness, report your illness to your employer within 120 days of being diagnosed, preferably in writing. The time begins on the date of your injury or the date you knew or should have known of an occupational illness.
If you do not provide notice within 21 days, you will not be entitled to recover Workers’ Compensation benefits until you give notice if notice is given within 120 days. Failure to give notice within 120 days will bar you from collecting benefits.
A Workers’ Compensation claim must be filed within three years of the injury. Note that for occupational illness claims, an additional requirement is that the worker’s disability occurred within 300 weeks of their last exposure to the hazardous workplace substance. Therefore, if an occupational illness does not cause disability or death until after the 300-week timeframe, the worker will likely not be approved for Workers’ Compensation benefits.[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row”][vc_column][vc_column_text]
The Pennsylvania Workers’ Compensation Act is a no-fault insurance system of benefits designed to compensate injured workers for lost wages and medical expenses. It provides compensation for injuries and occupational diseases that occur during the course and scope of one’s employment.
The system does not replace all the wages lost by the injured worker, only a percentage. It also does not compensate for noneconomic damages, such as pain and suffering.
Pennsylvania Workers’ Compensation provides the following benefits.
Approximately two-thirds of the workers’ salary for total disability up to a maximum dollar amount provided by law is paid for the time lost from work if the disability lasts longer than seven calendar days.
If you are unable to work due to your injuries, you will be eligible for temporary total disability benefits. There is no time limitation for receiving temporary total disability benefits. However, after receiving temporary total disability benefits for 104 weeks, the insurer may require you to undergo an Impairment Rating Evaluation (IRE). After that exam, the insurance company will consider you partially disabled if you have less than 35 percent whole-body impairment. This does not change the amount of benefits that you receive, but will limit the duration of your benefits to 500 weeks.
Partial disability benefits begin if you return to work earning less per week than your time-of-injury job. If your new position pays less than the job you were doing when you were injured, you will receive two-thirds of the pay difference based on the average weekly wage up to the maximum pay rate the year you were injured.
Your employer or the workers’ compensation insurance carrier may attempt to reduce your benefits to partial disability based on a Labor Market Survey. A Labor Market Survey is a method to determine your “earning capacity” based on your ability to perform work based on your age, work restrictions, education, and prior work experience.
Partial disability payments are payable for 500 weeks.
If your injury resulted in the loss of a body part, loss of hearing or vision, or you suffered severe or permanent disfigurement to your neck, head, or face, you will be eligible for specific loss benefits. This benefit equals your total disability benefit and runs for a specific time.
Any medical expenses incurred as the result of your injury are covered, including:
The coverage also includes modifications needed to your vehicle to accommodate the injury. There are no time or other restrictions on payment for medical care for your injury.
If your treatment appointments take you out of the area where you work or live, you may qualify for travel expense reimbursement as part of your compensation. The insurer must also provide transportation to and from the location of your IME if you cannot get there on your own.
If you die after a work injury, your heirs will be eligible for death benefits from your Workers’ Compensation coverage. Benefits are paid to your spouse until they remarry and your children under 18 years old unless they are enrolled full-time in an accredited school, in which case they will receive payment until they are 23 years old. Benefits include reimbursement of $7,000 in funeral expenses for deaths occurring after October 24, 2018 (If the death occurred prior to October 24, 2018, reimbursement will be $3,000).[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row” css=”.vc_custom_1649949178903{background-color: #ebeef3 !important;}”][vc_column][vc_column_text]
It is beneficial to consult with a lawyer if you are diagnosed with an illness recognized as or suspected of being caused by your job or workplace. An employer or their Workers’ Compensation insurer could make it difficult for an ill employee to prove the cause of the disease and the extent or duration of their disability.
A lawyer can help manage any complexity that arises with your claim, including:
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Our Philadelphia Workers’ Compensation lawyers at Galfand Berger LLP have successfully represented many workers with occupational illnesses. Call us at 800-222-USWA (8792) or complete our online form to schedule a free consultation. We serve clients throughout New Jersey and Pennsylvania, including Allentown and Harrisburg, from our offices in Philadelphia, Bethlehem, Lancaster, and Reading, Pennsylvania.[/vc_column_text][/vc_column][/vc_row]
At Galfand Berger, our personal injury attorneys have been pursuing justice for injured victims throughout Pennsylvania and New Jersey for nearly 80 years.