Michigan Worker's Compensation - Help For Injured Michigan Workers

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  1. #1
    Join Date
    Sep 2007
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    46

    Default What Happens After You're Declared MMI

    I need to know what the Insurance company from Mi. is going to do if Im declared MMI....Iv got an appointment with a WC Dr. in a few days and waswondering whats next Please let me know if anyone has any idea whats next from the IC..

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Can Anyone

    As a rule, once your doctor says you have reach MMI/max medical improvement, your TTD stops and your condition is rated to impairment/disability... and your claim proceeds toward resolution/settlement.

    So you should be ready to see those bi weekly checks stop. And you aren't going to get a call, or note that advises this beforehand... A letter instead of a check would be more like it... and that could be a week or two later.

  3. #3
    Join Date
    Sep 2007
    Posts
    46

    Default Re: Can Anyone

    I dont understand how thay can Just stop your weekley benafits,,when your on SSD,(because of the work related injury) even if you are at mmi...your still out of work and cant work....

  4. #4
    Join Date
    Oct 1971
    Posts
    3,511

    Default Re: Can Anyone

    In Michigan, as long as you're still disabled and your employer is unable to accomodate your restrictions, your weekley benefits continue until your case is settled, they don't just suddenly cut you off.
    You may choose not to settle and recieve lifetime payments.
    MMI means maximun medical improvement, it doesn't mean you're no longer disabled or are disqualified from comp, has nothing to do with either.

    The maximum period of payments is the duration of disability. (not until you reach MMI )
    http://www.workworld.org/wwwebhelp/w...y_michigan.htm

    Tony
    Last edited by tony; 07-26-2009 at 04:34 AM.
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    http://www.workerscompensationinsura...inks/index.htm

  5. #5
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Can Anyone

    You have a complication due to the overlap in WC and SSDI. The benefits are not dependant upon one another. And both have different criteria of being ''disabled'.

    As a rule, in WC, once your treating doctors determine you have reached a stable condition, MMI, you are able to return to work. Whether or not that is preinjury capacity has to be determined.

    Sections 301(4) and 401(1) of the Workers' Disability Compensation Act state: As used in this chapter, "Disability'' means a limitation of an employee's wage earning capacity in work suitable to his or her qualifications and training resulting for a personal injury or a work related disease. The establishment of disability does not create a presumption of wage loss.''In order to receive benefits, a worker must be ''disabled'' as defined above. However, the fact that a worker is disabled is not enough to obtain benefits. In addition to being disabled, the injury or disability must be work related and there must be wage loss. Benefits can also be denied if the worker has refused a reasonable offer of employment or has established a wage-earning capacity.''
    see pg 10

    If your doctors determine you are 100%/totally disabled, there are other benefits available. see pg 16/18

    Wage loss benefits are discussed on pg 22/23 and SSA/SSDI on pg 24

    http://www.michigan.gov/documents/wc...4_135317_7.pdf

  6. #6
    Join Date
    Oct 1971
    Posts
    3,511

    Default Re: Can Anyone

    BvIA
    As a rule, in WC, once your treating doctors determine you have reached a stable condition, MMI, you are able to return to work.
    What rule is that? I know of alot of cases where people with spine or brain injuries who are disabled for life that have reached MMI.
    MMI has nothing to do with your disability rating, zero.
    It means there's nothing that can no longer be done medically to improve or treat your injury.
    You could be brain dead and reach MMI, are you saying that this person is in a stable condition, MMI, and able to return to work?

    once your treating doctors determine you have reached a stable condition, MMI, you are able to return to work.
    So? That's not the only issue and not a bases to "cut off weekly payments".
    What if your empoloyer is unable to accomodate your permanent restrictions?
    Just because you're MMI, you could still have a lifetime disability, requiring permanent work restrictions.
    Again, MMI doesn't mean that your payments automatically are terminated, there are other factors that have to be considered, the most important being your disability and the ability of the ER to accomodate you.
    Tony
    Last edited by tony; 07-27-2009 at 01:31 AM.
    Moderator
    We reserve the right to forbid any user from participating in this forum, and to close any user account, at any time, for any reason. In the interest of the community, this may be done without prior notice or warning.
    http://www.workerscompensationinsura...inks/index.htm

  7. #7
    Join Date
    Sep 2008
    Posts
    93

    Default Re: What Happens After You're Declared MMI

    Do either of you know if this also applies in oklahoma thank you

  8. #8
    Join Date
    Sep 2007
    Posts
    46

    Default Re: What Happens After You're Declared MMI

    FYI,,,Iv got RSD from a surgery(epicondylectomy)as a work related injury...and RSD isnt easy to live with...

  9. #9
    Join Date
    Oct 1971
    Posts
    3,511

    Default Re: What Happens After You're Declared MMI

    candyO
    Do either of you know if this also applies in oklahoma
    No, Oklahoma has limits on TTD and PPD

    Benefits for Temporary Total Disability (TTD)
    The maximum period of payments is 156 weeks

    Benefits for Permanent Total Disability (PTD
    The maximum period of payments is duration of disability.

    Benefits for Permanent Partial Disability (PPD)
    the maximum period of payments is 500 weeks


    http://www.workworld.org/wwwebhelp/w...y_oklahoma.htm

    mikes1joker
    Iv got RSD from a surgery(epicondylectomy)as a work related injury
    AS long as you are disabled and your employer is unable to accomodate your restrictions, you are eligible for weekly payments until you settle.
    Like the link above says "The maximum period of payments is duration of disability."
    Tony


    Tony
    Last edited by tony; 07-27-2009 at 01:29 AM.
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    We reserve the right to forbid any user from participating in this forum, and to close any user account, at any time, for any reason. In the interest of the community, this may be done without prior notice or warning.
    http://www.workerscompensationinsura...inks/index.htm

  10. #10
    Join Date
    Mar 2009
    Location
    south carolina
    Posts
    4

    Default Re: What Happens After You're Declared MMI

    I am still wondering the same thing.What is next. I reached MMI in July. But my wc doctor stated that I was unable to return to work plus I have numerous restrictions. and my checks are still rolling, thank God.

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