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California Workers' Compensation - How a case can settle / settlements explained. - YouTube
Channel: MichaelBurgis
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hi my name is michael burgess and i'm an
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attorney i wanted to take this time to
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briefly go over how a work comp case
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settles now this is just a brief
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overview I hope it's helpful there's
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generally two ways cases can settle in
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workers comp one is a stipulation one is
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a compromise and release now what a
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stipulation is remember that in work
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comp the way an attorney or waive your
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an applicant is entitled to benefits is
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based on our doctor indicating they
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sustained permanent disability
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attributed due to a work-related injury
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now the greater the permanent disability
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is the greater the amount of
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compensation of an applicant is
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important shal entitled to now under a
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stipulation what you're doing is is the
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parties are stipulating to the
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percentage of disability that an
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applicant sustained now a stipulation
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the greater the percentage of disability
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the stipulated to the greater the amount
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of compensation the applicant is
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entitled to now that's not paid in a
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lump sum it's paid overtime and these
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figures are administrative Lee set
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they're set by the state legislation for
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instance if there's a generally a
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maximum wage earner under current law
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and you've sustained 1% disability it's
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approximately $700 and it's paid not in
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a lump sum but it's paid overtime for
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instance a 10% disability is
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approximately $7,000 so you still get
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weekly payments generally it's around
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$230 the greater the disability is the
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greater the duration of those payments
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are now in a stipulation all you're
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doing is you're locking in that the
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applicant and sustain that percentage of
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disability locking in the stream of
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payments that are entitled to when
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you're also locking into is you're
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locking in the future medical care what
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that means is in a stipulation you're
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going to stipulate to what the
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percentage of disability is and what the
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body parts or pain or symptoms that the
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applicant sustained injury to you're
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also locking in future medical care for
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all of those body parts that are injured
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based on the medical
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evidence so for instance if somebody's
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injured their back and they have ten
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percent disability what a party may do
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is stipulate that they sustained 10
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percent disability to their lumbar spine
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or their low back and that they're
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entitled to the Future Medical / the
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medical reports of whatever the doctor's
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name is and if in that medical report it
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indicates they may need physical therapy
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pain medication some injections and
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maybe potentially surgery in the future
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all those provisions are locked in in a
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stipulation and the insurance company
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has to not only pay out those those
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payment the permit disability payments
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but they also have to take care of the
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future medical treatment it's referred
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to as the future medical being will left
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open
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now that is what's referred to as a
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stipulation now if you go to trial a
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stipulation is done by the parties
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whereas the applicant and the insurance
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company stipulates and agrees that the
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body parts they sustained injury to or
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XYZ and they've entitled to X amount of
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permanent disability if the parties
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cannot stipulate to it and they end up
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going to court and putting on a trial
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from a judge a judge would ultimately
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determine what if any permanent
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disability they're entitled to the same
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thing as a stipulation but it's referred
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to as a findings and award because now
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the parties haven't stipulated to it a
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judge has has determined what the
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findings are and issued the award same
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thing as a stipulation but referred to
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as a findings and award permanent
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disability is not paid in a lump sum
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it's paid overtime and future medicals
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left open with the insurance company to
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take care of that for the rest of your
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life now that's a stipulation or
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findings that award if you go to trial
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now there's also a way case can be
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settled by something called a compromise
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and release now what this is is this is
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an actual lump sum to basically
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generally speaking it's to buy out
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everything it's to buy out all of the
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permanent disability all the future
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medical treatment any owed benefits it's
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generally the insurance company offering
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a one-time lump sum to just wipe their
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hands clean of the case and they want
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nothing to do with it now generally
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speaking you can never force an
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insurance company to offer a lump sum
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settlement or a compromising release you
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generally can't do that now what happens
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is often through an attorney or whether
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you're not represented and it shows
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could be might make an offer or an
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attorney can show that it's really in
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the insurance company's best interest to
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do a lump sum settlement now for
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instance in my cases I workup both
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options for my clients I'll say here's
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option a where we lock in as greatest
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the greatest amount of permit disability
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we can and future medicals left open or
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here's option B here's the lump sum
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they're offering and that's to buyout
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everything now if they put what I feel
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is adequate on for future medical then I
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would generally recommend the
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compromiser release and if they're not
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putting what I feel is adequate for your
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future medical treatment then I would
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recommend the stipulation and leave
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future medical left open now generally
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speaking I workup both options and it's
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up to my client to make the
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determination nobody can force you to
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take a compromise and release in a lump
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sum settlement just as we can never
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force the insurance company to offer
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lump sum settlement but just to
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reiterate there's technically three ways
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that kids can settle stipulation
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findings an award and a compromise and
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release stipulation and findings in
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award
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you're just being compensated for your
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permanent disability locking in the
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industrial injured body parts and the
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future medical for those industrially
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injured body parts compromise and
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release generally lump sum to buy out
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everything now there are very variations
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of each of these they're hybrids you can
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settle partial
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issues on your case via compromise and
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release or you know there's a whole
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bunch of waste cases can settle but once
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again as a just general overview
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stipulation findings and award and
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compromise and release I hope this has
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been helpful if you have any additional
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questions feel free to check some of my
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other videos out or feel free to give my
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office a call the banners below I'd be
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more
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willing to go over any of and answer any
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questions for you thank you
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