MTA Bus driver, injured in a trip and fall accident.
Workers’ Compensation is your right as an injured New York employee. If you are injured or become ill as a direct result of your job, you’re eligible to receive health care and lost wages. By law, your employer must provide these benefits to you, without making a determination of fault. You do not have to prove employer negligence to qualify for Workers’ Compensation. And your employer cannot deny you benefits if your own carelessness contributed to your injury or illness.
What Types of Injuries Qualify for New York Workers’ Compensation?
If you’ve been injured on the job in New York, you may be wondering whether your injury qualifies for Workers’ Compensation benefits. In New York, Workers’ Compensation covers a wide range of injuries and illnesses that arise out of and in the course of employment. At Aronova & Associates, we help injured workers understand their rights and secure the benefits they deserve.
Types of Claims
In New York, Workers’ Compensation is a state-mandated insurance program that provides financial and medical benefits to employees who suffer job-related injuries or illnesses. The system is no-fault, meaning workers are entitled to benefits regardless of who was responsible for the injury. In exchange, employees generally cannot sue their employer for damages outside of the Workers’ Compensation system.
These injuries occur suddenly due to an accident or unexpected event in the workplace, such as:
An occupational disease claim refers to a claim based on a medical condition or illness that develops over time as a direct result of a worker’s job duties or work environment, rather than from a sudden accident or injury. Common examples include:
A consequential injury is not caused directly by the original workplace accident but occurs because of the limitations, conditions, or treatment related to the original injury. The law allows these secondary conditions to be covered under the same Workers’ Compensation claim if a clear connection can be shown.
These injuries occur suddenly due to an accident or unexpected event in the workplace, such as:
Certain work activities require repetitive motions that can lead to long-term injuries, including:
Workers exposed to hazardous conditions may develop illnesses related to their job, such as:
Heavy lifting, falls, or sudden impacts can lead to severe back and spinal injuries, including:
In some cases, workers may qualify for compensation due to work-related psychological conditions, including:
If you are injured on the job in New York State, follow these steps to protect your rights and ensure you receive Workers’ Compensation benefits:
Notify your employer as soon as possible, but no later than 30 days after the accident. Failure to report within this timeframe may jeopardize your claim. It is best to notify your employer in writing as this can be used as evidence to prove notice was given.
Visit a healthcare provider authorized by the New York Workers’ Compensation Board. Inform them that your injury is work-related so they can document it properly. Inform the provider that your injury is work-related so they can submit the necessary medical reports.
Contacting a Workers’ Compensation attorney at the outset simplifies the complicated process of filing and pursuing a Workers’ Compensation claim. If your claim is denied or benefits are delayed, an experienced Workers’ Compensation lawyer can help you navigate the appeals process and ensure you receive the full benefits you deserve. Even if your claim is accepted, an experienced Workers’ Compensation can help ensure you receive the compensation you are entitled to. Workers’ Compensation is an adversarial system, your employer’s Workers’ Compensation insurance carrier will have an attorney there fighting for them, you should have an attorney present fighting for you.
If you retain a Workers’ Compensation attorney, this matter will be handled by the firm you hire. If you chose to move forward without an attorney, you must submit a C-3 form (Employee Claim) to the New York Workers’ Compensation Board within two years of the injury or diagnosis of a work-related illness. Failure to do so may result in the disallowance of an otherwise compensable claim.
Adhere to the prescribed medical treatment and attend all follow-up appointments. Keep copies of all medical reports and receipts.
Maintain documentation of your injury, medical visits, missed workdays, and any correspondence with your employer or insurance carrier.
Your employer’s insurance carrier may require an Independent Medical Examination (IME). Cooperate, but be cautious of insurers attempting to minimize benefits.
If you’ve been injured on the job, filing a Workers’ Compensation claim can provide critical financial and medical support. At Aronova & Associates, we help injured workers navigate the complex New York Workers’ Compensation system to secure the benefits they deserve.
If your injury prevents you from working, you may receive weekly cash benefits.
Typically, wage benefits cover up to two-thirds of your average weekly wage, subject to statutory limits. The statutory limits can be found below.
Medical opinions regarding degree of disability are used to determine wage benefit amount
Schedule Loss of Use (SLU) Award
Classification
Permanent disability benefits are available if you cannot return to work.
To receive survivor benefits, a Death Claim must be filed with the Workers’ Compensation Board.
If an injured worker dies from a compensable injury or illness, the surviving spouse and/or minor children-or other dependents as defined by law-are entitled to weekly cash benefits.
These benefits are calculated based on the deceased worker’s average weekly wage.
If there is no surviving spouse or minor children/other dependents who are entitled to compensation, the surviving parents or the estate of the deceased worker may be eligible for a one-time payment of $50,000.
Dependents, as defined by law, may also file a claim to be reimbursed for funeral expenses if the worker’s death was due to a work-related injury or illness. Funeral expenses may not exceed $12,500 in the following counties: Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, and Westchester. In all other New York counties, funeral expenses may not exceed $10,500.
A claim for death benefits may be filed by:
Filing a Workers’ Compensation claim ensures you receive the medical care and financial support needed to recover and protect your future. Don’t navigate the Workers’ Compensation process alone. Let our experienced attorneys fight for your rights.
What to Do If Your New York Workers’ Compensation Claim Has Been Denied
If you’ve been injured on the job in New York and your Workers’ Compensation claim has been denied, you may feel frustrated and uncertain about your next steps. At Aronova & Associates, we understand how critical these benefits are to your recovery and financial stability. Fortunately, a denied claim does not mean the end of the road—you have options to fight for the benefits you deserve.
Common Reasons for Denial
Understanding why your claim was denied is the first step in the process. Some common reasons include:
Failing to report your injury to your employer within 30 days or missing filing deadlines with the Workers’ Compensation Board.
Your employer or their insurance carrier may argue that your injury did not occur in the course of employment.
If medical records don’t support your claim or the insurance carrier’s doctor disputes your injury, your claim could be denied.
If the insurer claims your injury is due to a pre-existing condition rather than a workplace accident, they may deny benefits.
The denial notice from the insurance carrier as well as your employer’s pre-hearing conference statement, should outline the reason(s) for the denial. Carefully reviewing these documents can help you determine the best course of action.
At the hearing, you will present your case before a judge, who will determine if your case is compensable and if you are entitled to benefits. It is highly recommended to have an experienced Workers’ Compensation attorney represent you at this stage to ensure your rights are protected.
If the judge denies your claim at the hearing, you can escalate your appeal to the Workers’ Compensation Board’s Panel Review by filing an RB-89 form.
Navigating the litigation and appeals process can be complex and overwhelming. At Aronova & Associates, we will
A denied Workers’ Compensation claim doesn’t mean you’re out of options. Our experienced attorneys at Aronova & Associates are ready to fight for your rights. Contact us today for a free consultation and let us help you get the benefits you deserve.
Do You Need a Workers’ Compensation Attorney in New York? Understanding Your Rights
If you have been injured on the job in New York, you may be wondering whether you need to hire a Workers’ Compensation attorney. While some claims may be straightforward, many injured workers face challenges that make legal representation essential. Understanding when to seek legal help and the benefits of hiring an attorney can make a significant difference in the outcome of your case.
When Should You Hire a Workers’ Compensation Attorney?
While some minor workplace injuries may not require legal assistance, there are several situations where retaining an attorney is strongly recommended:
Insurance companies frequently deny claims, arguing that the injury was not work-related among many other reasons.
If you are not receiving timely wage replacement benefits or your medical treatment is being denied, an attorney can fight for what you are owed.
Insurers may try to attribute your injury to a prior condition rather than your workplace accident.
If you experience workplace retaliation, such as demotion, termination, or harassment, after filing a claim, an attorney can help protect your rights.
If your injury results in a permanent partial or total disability, the process for obtaining fair compensation can be complex and may require legal advocacy.
If your claim has been denied, you have the right to appeal, but doing so requires navigating strict legal procedures and deadlines.
In some cases, a third party (such as a contractor or equipment manufacturer) may be responsible for your injury. A Workers’ Compensation attorney can evaluate whether you have a separate personal injury claim.
An experienced Workers’ Compensation attorney provides numerous advantages, including:
In New York, Workers’ Compensation attorneys work on a contingency fee basis, meaning they only get paid if you win your case. There are no retainer fees or out-of-pocket costs.
Attorneys ensure you receive the maximum wage replacement and medical benefits you are entitled to.
The legal process is complex, and missing a deadline can jeopardize your claim. An attorney ensures all filings are accurate and timely.
Insurance companies often try to settle cases for less than what workers deserve. An attorney fights to secure a fair settlement.
If your case goes to a hearing before the Workers’ Compensation Board, having an attorney advocate for you increases your chances of success.
At Aronova & Associates, our experienced Workers’ Compensation attorneys are dedicated to helping injured New York workers get the benefits they deserve. Contact us today for a free consultation and let us fight for your rights.
An Independent Medical Examination (IME) is a medical evaluation conducted by a doctor chosen by the insurance carrier to assess an injured worker’s condition, causal relationship between injuries and claimed accident, degree of disability, need for ongoing medical treatment, and permanent impairment in a New York Workers’ Compensation claim. The IME plays a significant role in determining the continuation of benefits and medical treatment approvals.
Insurance carriers request IMEs to:
Rights:
Responsibilities:
If the IME is biased or inaccurate, the worker can:
Refers to an injured worker’s obligation to demonstrate a good-faith effort to remain in the workforce despite their disability. This means that if a worker is partially disabled, they must actively seek employment within their medical restrictions or participate in vocational rehabilitation programs to remain eligible for wage replacement benefits.
1. Burden of Proof on the Injured Worker
The worker must provide credible evidence that they are actively searching for work within their medical restrictions. This evidence is reviewed during hearings before a Workers’ Compensation Law Judge.
2. Ways to Prove Labor Market Attachment
The New York Workers’ Compensation Board (WCB) recognizes several ways to demonstrate attachment:
3. How the Judge Evaluates Evidence
During the hearing, the Workers’ Compensation Law Judge will assess:
4. Consequences of Failing to Show Attachment
5. Best Practices to Maintain Eligibility
Am I eligible for Workers’ Compensation if I’m injured while commuting to or from work?
In general, injuries that occur while commuting (in your own vehicle, on your own time) are not covered by Workers’ Compensation.
However, there are exceptions, and you might be eligible if:
Could changing attorneys cause a delay in my Workers' Compensation case?
No, changing lawyers doesn’t significantly affect or delay your case.
If I switch my Workers’ Compensation lawyer, will I be responsible for paying two separate legal fees?
Can I get fired for filing a Workers’ Compensation claim?
No, you may not get fired by filing a claim. It is your legal right to file a Workers’ Compensation claim.
Can I receive Workers’ Compensation if I have a pre-existing health issue?
Yes, you may still qualify for Workers’ Compensation benefits even if you have a preexisting issue. If your workplace incident worsens a preexisting condition that you have, you may still be entitled to workers’ compensation benefits.
Is Workers Compensation taxable income?
Workers’ Compensation insurance benefits are exempt from taxes at both the state and federal levels. However, if you also receive Social Security Disability Insurance (SSDI) and your Workers’ Compensation affects those benefits, part of your Workers’ Comp payments might become taxable.
What is Workers’ Compensation?
Who is covered under NYS Workers’ Compensation?
What should I do if I’m injured on the job?
What benefits are available?
Do I need a lawyer to file a Workers’ Compensation claim?
What happens if my claim is denied?
You can request a hearing before a Workers’ Compensation Law Judge to appeal the decision. Having an attorney at this stage is strongly recommended.
How long do I have to file a claim?
Can I choose my own doctor?
Aronova and Associates is a firm for all New Yorkers. We are your trusted legal support when it matters most. Our team provides multilingual, tailored guidance to meet the diverse needs of New Yorkers. The first step in providing you with the help you need is a free consultation to discuss your case. When you’re ready to talk, we’re ready to work for you.