866 OTP Law1 (Toll Free)
866-687-5291

Practice Areas

Firm News

view all

Library

Workers' Compensation

view all

Testimonials

"Mr. Richardson and Ms. York were always available - and they did a terrific job."

"Chip Permar and his team were outstanding!"

"You showed so much concern for me as a person -- there is such a personal touch to everything you do."

"I don't know what I would have done without you!"

"We were nervous at first, but you put us at ease."

"John and Stephanie were patient with me. Great teamwork!"

"Being injured turned into a life-changing event, but it was comforting to know that you understood me and were only a phone call away."

"You guys are on top of your game."

"I researched law firms on the internet, and I could not have asked for a better attorney."

"Whenever I called I got answers."

more

DISCLAIMER: Please note that every case is different and these verdicts and settlements, while accurate, do not represent what we may obtain for you in your case.

This Illustrates the Options You Have When You Reach Maximum Medical Improvement.

The Case: "Maurice" injured his back when he was pushing loaded carts at his hospital job. His workers' compensation adjuster accepted the claim without delay and always paid Maurice on time. Although Maurice lived near a university hospital, the adjuster had him get treatment from a doctor in the next county over. Maurice started to complain about it, but he was pretty grateful that the adjuster was providing medical treatment and weekly checks. He'd heard horror stories from other injured workers so he decided to be happy with what he had.

Maurice's back didn't get better quickly. He went through physical therapy, had injections and finally had to have back surgery. Only a few weeks after his back surgery, the insurance company's doctor released him to return to work with 25-pound lifting restrictions, 50-pound restrictions on pushing and pulling, and a 10% permanent partial disability rating to his back.

Maurice didn't think he was really in shape to go back to work, but the doctor assured him that he was. Maurice asked his adjuster if he could get a second opinion. To his surprise the adjuster said "sure" and even offered to set it up for him. Maurice went to see the other doctor who had an odd office out by the airport and didn't appear to have a lot of patients waiting to see him. Maurice began telling him about the difficulties he would have returning to work. At this point, the doctor cut him off saying that the second opinion was only for a rating and not for any return to work issues. Flustered, Maurice asked if he could call the adjuster real quickly. The doctor agreed and Maurice managed to get the adjuster on the phone. "Yes," the adjuster stated, "the second opinion is only on the rating. That's all the law of the North Carolina allows. I wish there was more I could do for you, but it's the law." The doctor then gave Maurice a 5% rating to his back.

Fortunately, Maurice's employer said they would accommodate him at a new job which didn't require lifting over 25 pounds. Unfortunately he was going to have to take a $3.00 an hour pay cut to do so. The day before Maurice was scheduled to start work again, his boss called him in. Sitting on the desk was a Form 21 which the insurance adjuster had sent over to the company. It provided that Maurice would be paid for a 7.5% rating to his back, or 22.5 weeks of his compensation rate. The adjuster had sent a note along with this explaining that North Carolina law required her to average the two ratings together and that as soon as Maurice signed the Form 21 she could get him his settlement money. Maurice signed as his boss and the adjuster asked him to.

Within a couple of weeks on the new job Maurice was having real trouble with his back again. The adjuster didn't respond to his telephone calls and so he came to us.

Here's what we did: We explained to Maurice that his adjuster had taken advantage of him by getting him to sign the Form 21. His wage loss would pay a great deal more than the rating would, and quite frankly, we weren't even sure that he could do this job.

We immediately checked with the Industrial Commission. Unfortunately the Form 21 had already been approved. Our next step was to move to reopen the claim. This requires a change of condition which in back claims can be very tricky. As we expected, the adjuster declined to reopen the claim and announced that she thought Maurice might have a new claim for a new onset of back pain that would have to be investigated. What the adjuster didn't say but we knew full well, is that any new claim would be at the reduced wage rate.

We wrote to the doctor asking his opinion regarding Maurice's new symptoms. At the same time we arranged for Maurice to be seen by a different doctor entirely. At this point we got the break we needed. The newest doctor felt that this was all a continuation of the original injury, and Maurice should be out of work. The insurance adjuster balked at this but didn't take advantage of the opportunity to further direct Maurice's medical care. The result was that we were able to build up a substantial amount of evidence supporting Maurice's position that he should be drawing weekly checks again.

We requested a hearing before the Industrial Commission. Following the hearing, we took depositions of each of Maurice's doctors. During these, we were able to persuade the physicians that Maurice's current condition was nothing more than a change of his old condition. The insurance company quickly settled with Maurice.


Free Answers

 

OTP - Greensboro
1155 Revolution Mill Drive,
Studio 4
Greensboro, NC 27405
Phone: 336-274-4494
Fax: 336-274-4525
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Winston-Salem
110 Oakwood Drive, Suite 420
Winston-Salem, NC 27103
Phone: 336-274-4494
Fax: 336-631-5225
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Burlington
409 Alamance Road, Suite C
Burlington, NC 27215
Phone: 336-226-5925
Fax: 336-226-4492
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Asheboro
854 South Cox Street
Asheboro, NC 27203
Phone: 336-633-4496
Fax: 336-633-4494
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Raleigh
3700 Glenwood Avenue, Suite 350
Raleigh, NC 27612
Phone: 919-573-5241
Fax: 919-785-2239
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Fayetteville
4200 Morganton Road, Suite 200-11
Fayetteville, NC 28314
Phone: 910-764-3363
Fax: 910-764-3364
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Charlotte
550 S. Caldwell Street, Suite 1800,
Charlotte, NC 28202
Phone: 704-547-1617
Fax: 704-334-2213
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Hickory
101 Government Avenue SW
Hickory, NC 28601
Phone: 828-322-1271
Fax: 828-322-1643
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Wilmington
1213 Culbreth Drive,
Wilmington, NC 28405
Phone: 910-509-7274
Toll Free: 1-866-OTP-Law1
Get Directions

OTP - Greenville, NC
3800 East 10th Street
Suite 101
Greenville, NC 27858
Phone: 252-294-1109
Toll Free: 1-866-OTP- Law1
Get Directions

OTP - Rock Hill, SC
3014 South Cross Boulevard
Rock Hill, South Carolina 29730
Phone: 803-327-0078
Toll Free: 1-866-OTP-LAW1
Get Directions

Offices

OTP - Greensboro
1155 Revolution Mill Drive,
Studio 4
Greensboro, NC 27405
Phone: 336-274-4494
Fax: 336-274-4525
Toll Free: 1-866-OTP-Law1

OTP - Winston-Salem
110 Oakwood Drive, Suite 420
Winston-Salem, NC 27103
Phone: 336-274-4494
Fax: 336-631-5225
Toll Free: 1-866-OTP-Law1

OTP - Burlington
409 Alamance Road, Suite C
Burlington, NC 27215
Phone: 336-226-5925
Fax: 336-226-4492
Toll Free: 1-866-OTP-Law1

OTP - Asheboro
854 South Cox Street
Asheboro, NC 27203
Phone: 336-633-4496
Fax: 336-633-4494
Toll Free: 1-866-OTP-Law1

OTP - Raleigh
3700 Glenwood Avenue, Suite 350
Raleigh, NC 27612
Phone: 919-573-5241
Fax: 919-785-2239
Toll Free: 1-866-OTP-Law1

OTP - Fayetteville
4200 Morganton Road, Suite 200-11
Fayetteville, NC 28314
Phone: 910-764-3363
Fax: 910-764-3364
Toll Free: 1-866-OTP-Law1

OTP - Charlotte
550 S. Caldwell Street, Suite 1800,
Charlotte, NC 28202
Phone: 704-547-1617
Fax: 704-334-2213
Toll Free: 1-866-OTP-Law1

OTP - Hickory
101 Government Avenue SW
Hickory, NC 28601
Phone: 828-322-1271
Fax: 828-322-1643
Toll Free: 1-866-OTP-Law1

OTP - Wilmington
1213 Culbreth Drive,
Wilmington, NC 28405
Phone: 910-509-7274
Toll Free: 1-866-OTP-Law1

OTP - Greenville, NC
3800 East 10th Street
Suite 101
Greenville, NC 27858
Phone: 252-294-1109
Toll Free: 1-866-OTP- Law1

OTP - Rock Hill, SC
3014 South Cross Boulevard
Rock Hill, South Carolina 29730
Phone: 803-327-0078
Toll Free: 1-866-OTP-LAW1

FAQs

Workers' Compensation

The accident wasn't my fault so can I sue my employer?

If I can't sue my employer, can I sue someone else?

What is "Maximum Medical Improvement" and what happens at that point?

more

Case Studies

Workers' Compensation

What Can Go Wrong with a Return to Light Duty Work.

How a Functional Capacities Evaluation Can Wreck a Claim.

An Example of a Workers' Comp Adjuster Manipulating the Recorded Statement.

more