What Is An Impairment Rating Evaluation?
After an injured worker has received 104 weeks of total disability benefits, an insurance carrier can request an injured worker to submit to an Impairment Rating Evaluation. An impairment rating is a percentage rating that is pursuant to guidelines established by the American Medical Association (AMA). If an injured worker's impairment rating is less than 50 percent, the injured worker is presumed to be partially disabled. An insurance carrier can then unilaterally change the injured worker's disability status from total disability to partial disability. The partial disability benefits are paid at the total disability rate for a period of not more than 500 weeks.
American Medical Association (AMA) Guidelines
Under the AMA guidelines, most injured workers do not meet the 50 percent or greater impairment rating. The AMA guidelines do not consider the injured worker's level of pain or other subjective criteria. The obligation to submit to an Impairment Rating Evaluation does not apply to individuals who were injured before June 24, 1996.
If you are receiving workers' compensation benefits and the insurance company is requesting you submit to an Impairment Rating Evaluation, it is in your best interest to contact a workers' compensation attorney at Caroselli, Beachler & Coleman, L.L.C. Contact one of our offices in Pittsburgh or Philadelphia by calling us at 412-567-1232 in Pittsburgh or Western Pennsylvania, 215-792-6153 in Philadelphia or Eastern Pennsylvania or toll free at 866-466-5789. You may also complete our online contact form for a free case evaluation and free legal advice pertaining to your rights under Pennsylvania Workers' Compensation.
For your convenience, we are available to come to your home, hospital or union hall to talk with you and your family about your rights under Pennsylvania Workers' Compensation laws.