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TaraWhite

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Posted on Thursday, May 17, 2001 - 1:53 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I have a court order in place already for child support,however father has been receiving workmans comp disability for about a year and a half now. Suppodesley doctors wont release him to go back to work yet. He pays his child support when it suites him, which is never. My question being, they would certainly take it directley from his paycheck, if he were working, and since his disabiity is work related can it not be deducted from that?
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Paul McChesney (Admin)

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Posted on Monday, May 21, 2001 - 5:22 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I do not know. That is a state law question, which depends on the state that you are in. You would have to ask a local attorney. Sorry I can't be more help.
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Jenny Heller

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Posted on Thursday, June 14, 2001 - 9:40 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Hi,
Does anyone have any info on losing disabilty benefits or repaying them if you win a law suit settlement.?
THANK YOU.
Jenny
e-mail jthell@cavtel.net
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Paul McChesney (Admin)

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Posted on Friday, June 29, 2001 - 6:23 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If you get Worker's Compensation, your Social Security disability benefits can be reduced because of that income. A sharp attorney can sometimes avoid this setoff for you.

Most other kinds of income that would come from a lawsuit do not cause a reduction in benefits, but there are some rare exceptions.
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skellar

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Posted on Friday, February 16, 2001 - 4:38 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I have a client who is on SS disability and Worker's Comp. She may soon be in receipt of both a death benefit from a life insurance policy on her uncle and a payout from a fixed annuity contract. She is terrified that this "income" will jeopardize her benefits. What can I tell her?
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Paul McChesney

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Posted on Saturday, February 17, 2001 - 2:31 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I am not certain about Worker's Compensation; that law varies from state to state. But in most states receipt of income from any other source would not affect someone's right to Worker's Compensation. One exception is Social Security Disability itself. Receipt of that can reduce Worker's Compensation benefits in some states.

As to Social Security Disability, there are only two things that I know of that can reduce benefits. One is Worker's Compensation. In the states that do not reduce Worker's Compensation by a portion of the Social Security received, the opposite is true - Social Security is reduced by a portion of the amount of Worker's Compensation received. Another thing that will reduce Social Security are a very few of the many pensions that exist. Primarily it is those that would cause what the Administration considers "double dipping."

To start to answer a question you didn't ask, there are many clever ways to avoid the Social Security offset to Worker's Compensation, or the Worker's Compensation offset to Social Security. I will be glad to provide details if you want to ask specific questions about that.

To start the answer of another question you did not ask, if a person is drawing SSI, as opposed to Social Security Disability, income to anyone in the household can affect his or her check in complicated ways.
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panicing

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Posted on Sunday, April 29, 2001 - 12:13 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

my husband was injured at work in sc but we live in ga. we settled with wc, and he receives ssi disability. we have 2 kids under 18. he has an inc. spial cord injury due to falling 30 feet from a scissorlift that fell over. we sent the settlement papers to ssi last august and were tod our kids benefit would increase. we have contacted c norwood and the ss office multiple times, but we have not gotten an answer. the problem increases in sept. when my job and insurance ends due to downsizing. they say we make too much for medicaid, but his meds are too much for me w/o insurance. his dr looked into programs for his meds, chronic pain, methadone,paxil,robaxin and a few more. paxil has one, but i have to make under 25000 per year. we have busted but to get a small house and raise 2 kids, but it looks like i will have to give up everything to keep him at a reasonable pain level. i can only have so much money and so many things. i'm sure there is a way around this, but short of a bogus divorce, WHAT?
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Paul McChesney (Admin)

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Posted on Monday, April 30, 2001 - 6:03 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

This question is way too complex to answer by email. I will not answer your entire question; I will only deal with small parts of it. I want to help, but I don't want to mislead, either.

1. I assume your husband is getting Social Security Disability rather than SSI, even though you called it SSI; SSI carries no children's benefits. If so, and if his income from that is high enough, the fact you are married and have income will not prevent him from getting Medicaid; he is prevented by his income, alone. On the other hand, if his check is for a lesser amount, other family income might prevent him from qualifying. You should find out.

2. Your children's checks on his record, and possibly his own check, are probably being reduced because the Administration thinks he is still getting worker's compensation benefits. It can take a long time to get them to realize that these benefits have stopped. Write your congressman, yell, scream, and then hire an attorney to file a petition for mandamus. If you want to do this, document every single contact with the Administration so you can prove you tried all other means. An attorney might take the case for a percentage of the increase in the children's checks.

3. The medication problem is a serious one, and one that might not have an easy solution. The wonderful www.needymeds.com site will help a little, but might not. Try it anyway.

4. There are often ways to get medication locally that I do not know about. But it is difficult to get narcotics under most programs. The ideal way out is for you to get a job with insurance. Anything else will be a struggle. Talk carefully with several doctors about narcotic use and management. There are tricks to getting by on less, but I am certainly not an expert in that area.

5. I know I have not solved your problems. I hope I have given you some help. Good luck.
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Anna

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Posted on Thursday, November 01, 2001 - 12:43 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If you are on the maximum workman compensation benefit and there is an state increase of the max amount do you get the new amount if it is still less than the % of your income at the time of the accident required?
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A NON

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Posted on Friday, October 19, 2001 - 4:47 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Wednesday, October 17, 2001 - 02:37 pm
--------------------------------------------------------------------------------
I have a WC claim in SC. I have one Dr. who took me out of work for 6 months b/c the injury/pain. Was treated for 6 months with physical therepy and meds. WC sent me to an Ortho Specialist who says diagnosis is different than original, and I need surgery. I requested a 2nd opinion. 2nd opinion from different Ortho says neither diagnosis correct, cannot find any problems, returned me to work and changed my meds. WC will not, even with such differing opinions, will NOT send me for any more tests or to another Ortho.
Please advise of any recourse I may have? I am having difficulty keeping up at work, pain keeps me up at night, and is very bothersome most of the time. I am worried that my employer will begin looking for excuses to fire me. I don't know which diagnosis is correct, but I know that my situation has had little if any improvement.

Reply by Paul I would get to an attorney, and quickly. You can ask for a hearing on the sole question of whether you are entitled to more treatment. You have little to lose if you are not going to be able to keep up at work. Watch your deadlines, which are, in South Carolina, MORE OR LESS 90 days to give notice of injury, and 2 years to file a claim. But there are a lot of exceptions, and oral notice is tricky. Give me a call if you want to. Take care.
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Edith

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Posted on Wednesday, July 18, 2001 - 6:33 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My husband is receiving W. C., we must travel 74 miles round trip each time to his Drs., is there mileage compensation with W. C. We live in Henderson Cp. N.C. and his work is in Upstate S.C.

Reply by Paul Yes you are, for sure if the claim is under SC worker's compensation. If it's under NC worker's compensaition, I am pretty sure the answer is still yes.
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Edith

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Posted on Sunday, July 22, 2001 - 7:31 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Paul thank you for your prompt response. It is SC W.C. and we have just learned that my husband is going to need major reconstructive spinal surgery utilizing both fusion and spinal instrumentation. This will involve at least three vertebrae. He has already been out of work for four months and we are looking for him to be out of work for quite a while. My husband is a welder by trade and has been doing this since 18 years of age, he is now 42. His surgeon says he will never be able to return to this type of work again. What would your advice be, is it now time to consult an attorney?, continue with W. C.?, apply for LTD?, hopefully both.
We do live in NC but Worker's Comp is in SC.

Reply by Paul I would sit down and talk to an attorney about the whole picture. Probably a South Carolina attorney.
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Rena F. Mitchell

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Posted on Thursday, September 06, 2001 - 4:22 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Dear Mr. McChesney,
My husband has been on WC for the past 4 years for a knee injury that occurred at work, in North Carolina, We live in Georgia. Within 3 weeks of his injury, he was fired from his job, but workers comp has been tending to his knee operations, and weekly comp checks. My question is, what other medical needs is compensated. My husband had insurance when he worked, but now he has none and can not afford medical coverage due to the small amount of his weekly check. What about illness that need medical attention? What can be done for people like these? Thank you, I sure hope you can help because something very serious has recently developed, (A mass in his Lung). Thanks again.
Rena.

Reply by Paul In the long run, if he is totally disabled, he might get Social Security and along with it Medicare, or SSI and along with it Medicaid. But in the short run he must turn to state and communtiy resources. A good Social Security attorney in his area should know all of these. Also try www.needymeds.com for help with prescription drugs.
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Chris Benwa

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Posted on Wednesday, October 03, 2001 - 11:38 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Hello, Im sure, like most of you, I could write a book on what I have been threw in the last 4
years, but I will try to keep it as short as possable.
On that day in Aug of 97 I was working in a Prison as an officer and I was called to help
contol an inmate, I ruptured 2 disks in the process L3-L4 L4-L5, I was diagnosed with DDD
had 2 fusion surgeries to help releave the pain in my back and my legs, the pain only got worse
with time and surgeries and phyicial theropy (everything seem to agrvate it and make it worse) the
Workmans cop doctor then released me MMI with the dignosis of faild fusion syndrome, and
workmans comp cut me off.
So I applied for Social Secrity Disablity Benifets, and just when I was down and out and
about to lose the house and get the car repoed, I was notifid that I was excepted for Social
Security Disabily THANK YOU JUST IN TIME but SSA asked me if I had a lawyer and if I
was going for a settelment because if I was then my Benifits would be redused untill the amount
of the settelment was gone and then my benifits would go back to normal, is this right? I thought
that when you got a settelment you didnt have to tell nobody about it or the amout that it wasnt
there busness, I am thankfull for the social security but I have scars all over my body I am in
constant pain workmans comp has tryed ever trick in the book to keep from paying me and
dog-gone-it I want to sue them and for them to pay but why should it all go back to Social
Security??? Please give me your thoughts is there any truth to this, did I get bad info???? Please
coment
dose a person usaualy get 1/2 of
settment 1/4 , Just a ballpark some Idea.

Reply by Paul Let me restate what I think your question is, and I will answer my restated question. If I have missed the question, ask it again.

Restated question: If I am drawing Worker's Compensation and Social Security disability, will they reduce one of those checks?

Answer: Sometimes. In some states, they reduce the Social Security check so that the total of the two do not exceed 80% of your pre-injury earnings, which are usually taken to be the highest amount you earned in one of the last 5 years before you became disabled. For some high wage earners this is no reduction at all; for some, usually low wage earners, it is a drastic reduction.

In other states, the Worker's Compensation check is reduced instead.

Question: Is there anything I can do to avoid this offset?

Answer: Sometimes. The Administration starts by assuming you are getting 100% of your check. If you paid an attorney, and prove that to the Administration, they are supposed to ignore that much of the money you got from your Worker's Compensation insurance company.

If you get a very smart attorney, you can often settle your worker's compensation case in such a way as to reduce the offset for future months. This can make a difference in the outcome of your worker's compensation claim amounting to tens of thousands of dollars.
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Penny Lewis

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Posted on Monday, March 12, 2001 - 7:40 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My name is Penny Lewis and I work for Wild Dunes resort on Isle of Palms,S.C.,I am a supervisor for the Boardwalk Inn. I am 27 weeks pregnant and I have had some problems at work that lead me to the hospital on 3/8/01 having contractions every three minutes apart. I was already on doctor's request to not work more than 8 hours a day, no working by myself and not working around chemicals. On the eight I had been cleaning rooms with no manager on staff or an assintant.In my head the job needed to be done. Now my doctor had pt me on bed rest though out the weekend and now the only way I can return is by having a desk job with no stress at all or they have to put me on disability. I guess my question to you is do I have a case or not against Wild Dunes? Please help me with this problem. Thank you for your time.Penny Lewis
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Paul McChesney

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Posted on Wednesday, March 14, 2001 - 2:29 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

You MIGHT have a claim against Wild Dunes if work caused or aggravated your pre-existing condition, that being pregnancy. If pregnancy was the sole cause of your problem, more difficult. In South Carolina, you must let your employer know within 90 days of any injury AND THAT IT IS CONNECTED TO WORK. And, you must file a claim within two years. Within 90 days an two years of what? That is a complicated question.

If you think that you might be able to prove such a case, you should talk to a lawyer or two in person (not necessarily hire one right now, but maybe); I would do so before you talk to your employer, maybe.

E-mail me by clicking my name if you want me to suggest a couple of lawyers down there, and you can look around yourself, too. You don't have to hire the first one; look around.

But hurry about the notice. I AM NOT REPRESENTING YOU, and you are responsible for the notice.

If you have a good experience with an attorney down there, let me know.

Good luck.
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Dana

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Posted on Friday, November 09, 2001 - 8:33 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If you are collecting the max benefit through workman's compensation for the past 9 months and there is an increase in 2002 does my check automatically increase. The max benefit I am receiving now is not what I would receive if it was a true % allowed. Does this make sense?
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Paul McChesney (Admin)

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Posted on Saturday, November 10, 2001 - 7:50 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I think I understand what you are asking; I will restate the question to be sure:

You are drawing both Social Security Disability and Worker's Compensation. Your Social Security check is being reduced because of your Worker's Comp check.

All other claimants get an increase every year. Will you, or does the amount stay the same?

If that is the question, I believe the answer is that you do get the increase. I should be positive, but I am not; someone who is drawing both please post your experience, or I will look it up when I get time.

Note that in some states it is the Worker's Compensation that is reduced.

Note that a smart lawyer can sometimes settle your Worker's Compensation case so that that the offset is ended.

Note that a poorly crafted Worker's Compensation settlement can cause you to have neither weekly Worker's Compensation benefits nor much by way of Social Security benefits.
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A Non

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Posted on Wednesday, October 17, 2001 - 1:37 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I have a WC claim in SC. I have one Dr. who took me out of work for 6 months b/c the injury/pain. Was treated for 6 months with physical therepy and meds. WC sent me to an Ortho Specialist who says diagnosis is different than original, and I need surgery. I requested a 2nd opinion. 2nd opinion from different Ortho says neither diagnosis correct, cannot find any problems, returned me to work and changed my meds. WC will not, even with such differing opinions, will NOT send me for any more tests or to another Ortho.
Please advise of any recourse I may have? I am having difficulty keeping up at work, pain keeps me up at night, and is very bothersome most of the time. I am worried that my employer will begin looking for excuses to fire me. I don't know which diagnosis is correct, but I know that my situation has had little if any improvement.

Reply by Paul First, it is a free country, and you can go to any doctor you want to go to. But you might have to pay, and of course you might not be able to afford treatment if you pay yourself.

This next comment only applies in SC: If you want further treatment paid for by Worker's Compensation, get to a worker's compensation atttorney and he or she might be able to get a statement from one of those doctors, and you have a fair chance of having the treatment ordered.

As to discrimination at work, you are smart to worry. If you can do the job with reasonable accomidations, you are not supposed to be fired for exercising your compensation rights. However, many employers are masters at documenting other reasons for firing someone. And an unhealthy employee is a finacial risk for a company.

Come in early, stay late, put out 150% of what the employer has a right to expect from you, don't complain or whine, say yessir and, since it's SC, yesmaam.

Look for a job that doesn't call for the sort of exertion that is causing problems for you.

Educate yourself in a skill that calls for little exertion.

There are deadlines for filing any worker's compensation claim, that vary by state. In general in SC you have to give notice of injury within 90 days, which you have done, and you have to file a claim within 2 years, and if you accept compensation you can file a change of condition within one year of your last payment of compensation; but how these deadlines apply to you is a complex question; don't try to apply them yourself.

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JOHN,STEVENSON

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Posted on Sunday, December 16, 2001 - 3:52 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

What is the difference between workers compensation disability,and ss disability?

Reply by Paul Worker's compensation benefits are generally paid for injuries or disabilities connected to work. Each state has a different worker's compensation law, and you have to follow that law carefully in order to get benefits. You generally file a claim against your employer.

Social Security disabilty is payable if you have worked enough and are disabled. You do not have to show any connection between the disability and your work.

There is another program administered by the Social Security Administration called SSI, or Supplemental Security Income. For that program you don't even have to show that you have worked at all. But you do have to show that you are very poor.

Take care.
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vernell frazier

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Posted on Tuesday, February 12, 2002 - 8:13 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I got hurt on my job and I setteled out of court. I got $25000.00 cash plus 545.00 per month for twenty years.I get 100.00 per month from social security. I was told that I could not get my full benafits as long as there was an off set my question is.what is an off set and how long doe,s it take?
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Paul McChesney (Admin)

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Posted on Friday, February 22, 2002 - 4:51 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Vernell, a sharp attorney can often, in many states, avoid the offset altogether. This is easier done before the worker's compensation settlement. You should go to an attorney in your state and have him or her look at your situation. If you do that, your Social Secuity benefit might be raised.
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Fred Searles

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Posted on Wednesday, March 27, 2002 - 10:57 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I live in New Hampshire with my wife and two children. I am 24 years old, and was injured at work on Nov.14,2000. I have been out of work since March 7,2001 and have had two surgeries on my injured left shoulder. I am currently going to a specialist in Boston Mass to determine if it is possible to fix my ailing shoulder through more surgeries. I collect $250 a wk in worker's comp, but this is not enough to support a family. Can I qualify for SS disability? and if so, do I get a retroactive amount for the past year? Also, do my wife and kids qualify if i do?
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Paul McChesney (Admin)

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Posted on Sunday, March 31, 2002 - 5:12 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

This is impossible to say based on what you tell me. However, I can say several things that might be useful. Use these comments as the start of your investigation, not the end.

If you have worked steadily for several years, you probably have earned enough to be eligible. Call 1 800 772 1213 and order an earnings record to be sure.

If you are eligible, your wife and children might be entitled to a check, too, but subject to the "family maximum," which is often so low, if you have minimal earnings, that they do not get a check. But if you have had high earnings, their checks could be substantial.

There is a limit for the maximum that both Social Security Disability and Worker's Compensation, total, will pay. In most states, Social Security Disability is reduced so that the total of the two is no more than 80% of your earnings during the highest of the last 5 years. In some states, the Worker's Compensation is reduced. The reduction is actually more complicated than that; and can sometimes be avoided for the period after any worker's compensation settlement.

If you are otherwise healthy and educated, and your shoulder is not causing you much pain, and it only requires a brief hospitalization, perhaps Social Security disability would be difficult for someone who has, in effect, the use of all but one arm, particularly his non dominant one.

But on the other hand, if you have a series of operations that causes you to miss work on a regular basis over a year or more, you will be eligible and should file.

It would be wisest to talk to an attorney in your area to be sure. You should talk to one, or several, that primarily handle Social Security cases, and perhaps hire the one that talks the most sense.

Take care and good luck.
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GaryRobertson

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Posted on Wednesday, December 18, 2002 - 12:09 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I was hurt in North Carolina in Jan. 2002 I am reciving w/c question is how long does w/c last if unable to return to work .?
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Paul McChesney (Admin)

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Posted on Saturday, December 21, 2002 - 6:58 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I am sorry; Social Security law is pretty much the same all over, but Worker's Compensation law varies from state to state. You need to contact a North Carolina worker's compensation lawyer.
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gretta

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Posted on Wednesday, July 24, 2002 - 10:01 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

how long after filing an accident report with your work do u have to see a dr??
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Paul McChesney (Admin)

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Posted on Friday, August 23, 2002 - 5:10 am:   Edit Post Delete Post View Post/Check IP &nb