California’s workers’ compensation provides five different benefits to cure or relieve the effects of an injury:
- Medical Benefits
- Temporary Disability Benefits
- Permanent Disability Benefits
- Vocational Rehabilitation Benefits
- Death Benefits
Learn more about each benefit type below.
Upon receipt of a signed Employee claim form by CCCSIG, medical treatment up to $10,000 is authorized, until such time that a decision is made to accept or deny liability of Employee.
Medical benefits include:
- Physician’s services
- Hospital costs
- Lab tests
- Mileage expenses for required medical care
Additional medical benefits (number of visits set by state law):
- Physical therapy
- Occupational therapy
- Chiropractic care
- No deductibles or co-payments
- Medical Provider bills paid directly by CCCSIG
Temporary Disability (TD) Benefits
School District Employees may be entitled to receive Education Code Benefits in addition to and/or in conjunction with benefits afforded by Labor Code:
- 60 days industrial leave, then
- Utilization of sick leave
- Utilization of vacation benefits
- Differential pay, if applicable
If Employee is entitled to Ed Code Benefits, when Physician releases Employee to return to work with restrictions and the District is able to accommodate the restrictions on a temporary basis, Employee will be brought back in a temporary work assignment or modified duty position.
If any Employee chooses to not return in a temporary work assignment or modified capacity, Employee’s sick leave or vacation benefits will be charged for their absence.
Returning to work as soon as medically possible affords Employee the opportunity to maintain current accrued benefits.
Employee is paid temporary disability benefits while they are unable to return to work in a modified or full duty capacity, as determined by the Physician.
Temporary disability may not be paid for the first three days of disability after the injury UNLESS Employee is hospitalized overnight or off work more than 14 days; payments continue until Physician releases Employee to return to work or determines their condition has reached maximum medical improvement and they are permanent and stationary.
For dates of injury April 19, 2004 or after, temporary disability shall not exceed 104 weeks within a two-year period beginning with the date of commencement of temporary disability.
Temporary disability is two-thirds of Employee’s average earnings, up to the state maximum.
Effective 1/1/19 the minimum TTD rate is $187.71 per week and the maximum is $1,251.38 per week.
Permanent Disability (PD) Benefits
Permanent disability benefits are paid when an industrial injury results in a permanent impairment, even though the employee may be able to return to their regular job.
Permanent disability is evaluated when the employee has reached maximum medical improvement and further changes in their condition are not expected.
The Physician provides a medical report outlining any permanent disability factors the Employee may have as a direct result of their industrial injury.
If either the Employee or CCCSIG disagrees with the Physician’s findings, they have the option of choosing another Physician (state provides a panel of three Physicians to choose from) to evaluate the Employee’s medical condition.
Permanent disability is two-thirds of the Employee’s average earnings at the time of their injury, subject to state maximum and minimum rates.
The number of permanent disability payments is based on a schedule established by the state. Factors taken into consideration are age, occupation at time of injury and the extent of the medical findings as a result of the industrial injury.
Supplemental Job Displacement Benefits
If the Employee’s injury or illness keeps them from returning to their regular job duties held at the time of the injury, the school district will determine whether permanent modifications may be made or if another position can be provided to accommodate their permanent work restrictions.
Employee may also qualify for supplemental job displacement benefits. voucher for education related training or payment for occupational licensing.
Workers’ Compensation pays for the cost of training related expenses up to a maximum limit of $6,000 set by the State.
In the event of a work-related death, benefits are provided to eligible dependents, as determined by the State of California.
Benefits are paid at the same rate as temporary disability benefits as set by State Law.
If an injury is very serious and the Employee is expected to be off from work for a year or more, they may be eligible for additional benefits from Social Security (contact the Social Security Administration for additional information).
An injured Employee may not be discharged, threatened with discharge or discriminated against because they file, intend to file, testify on behalf of another Employee or settle a Workers’ Compensation Claim. All injured Employees are protected under the California State Workers’ Compensation Labor Code for such discrimination.