Every employer is responsible for providing a safe working environment for their employees. They are also obligated to enroll in a workers’ compensation insurance program. This is not insurance that you pay for, but that you’re entitled to benefit from.
You’ve worked hard for your employer, and when you need help the most, it’s frustrating to feel like you have to fight for the benefits you deserve. That’s where Thomas Law Offices can assist with your claim.
Our Louisville workers’ compensation lawyers can provide support and guidance to help secure costs for medical care, wage benefits, and support you need to recover from a workplace injury. You’re entitled to these benefits as a worker in Kentucky. You shouldn’t have to struggle to recover them.
Kentucky’s Workers’ Compensation System
Kentucky law requires most employers to carry workers’ compensation insurance to cover employees who are injured while performing job-related duties.
This system is meant to protect both employees and employers, providing injured workers with medical coverage and wage replacement without the need for a lawsuit. However, the reality is that many injured workers face delays, denials, and frustration when trying to access these benefits.
If you’re struggling to get the compensation you’re entitled to, you do not have to accept an unfair denial. A skilled workers’ compensation lawyer in Louisville can step in and fight for your rights.
Who Qualifies for Workers’ Compensation in Louisville?
The state’s workers’ compensation laws cover most workers in Kentucky. They include:
- Full-time and part-time employees
- Seasonal workers
- Temporary employees
However, some workers are excluded from coverage, such as:
- Independent contractors
- Agricultural workers (depending on their contract)
- Domestic workers, such as nannies or housekeepers
- Certain federal employees, railroad workers, and maritime workers. These workers may be covered under different federal laws.
If you’re unsure whether you qualify, an experienced workers’ comp attorney in Louisville can evaluate your case. Our assistance can help you take the best path forward to get the benefits you deserve.
What Types of Injuries Are Covered?
The workers’ compensation system covers a wide range of injuries and illnesses caused by work-related activities, including:
Traumatic Injuries
These injuries happen suddenly due to accidents on the job. Some examples include:
- Slips and falls in workplaces like restaurants, construction sites, and warehouses
- Falls from heights that injure roofers, construction workers, and warehouse employees
- Work-related car accidents involving employees who drive as a part of their job
- Injuries from machinery or tools are common in manufacturing, construction, and industrial jobs
- Burns, cuts, and fractures can be prevalent in kitchens, factories, and construction sites
Repetitive Stress Injuries (RSIs)
These injuries develop over time due to repeated motions. These may include:
- Carpal tunnel syndrome is a common issue for office workers and factory employees
- Tendonitis and bursitis are caused by repetitive lifting, bending, or reaching
- Chronic back pain can develop due to years of heavy lifting or improper ergonomics
Work-Related Illnesses
Certain jobs expose workers to hazardous materials, leading to long-term health issues, such as:
- Respiratory diseases from inhaling chemicals, dust, or fumes
- Hearing loss from prolonged exposure to loud noises in factories or construction sites
- Cancer or other illnesses due to chemical exposure, such as asbestos-related conditions
If you’re unsure whether your condition qualifies for workers’ compensation, contact Thomas Law Offices. We will review your case and help you determine your options.
What Benefits Can You Receive?
If your workers’ comp claim is approved, you may be entitled to several types of benefits, including:
Medical Benefits
Workers’ compensation should cover all necessary medical treatment related to your injury, including:
- Emergency care
- Doctor’s visits
- Prescription medications
- Physical therapy
- Surgeries
- Medical equipment
Unlike some states, Kentucky allows you to choose your own doctor. That means you are not forced to see a provider picked by your employer or their insurance company.
Wage Replacement Benefits
If you cannot work due to your injury, workers’ compensation provides temporary total disability (TTD) benefits. This will pay two-thirds of your average weekly wage up to a state-set limit.
These payments continue until:
- Your doctor clears you to return to work
- You reach maximum medical improvement (MMI)
If you return to work in a limited capacity and earn less than before, you may qualify for temporary partial disability (TPD) benefits to help cover the gap.
Permanent Disability Benefits
If your injury leaves you with a lasting impairment, you may qualify for:
- Permanent partial disability (PPD) if you can still work but have permanent limitations
- Permanent total disability (PTD) if you cannot return to any type of employment
The amount of compensation is based on your disability rating. That will need to be assigned by a doctor.
Vocational Rehabilitation
If your injury prevents you from returning to your previous job, workers’ compensation may cover training for a new career.
Death Benefits
If a worker dies due to a job-related injury or illness, surviving family members, such as a spouse or children, may receive death benefits, including compensation for funeral expenses and ongoing financial support.
Why You Need a Workers’ Compensation Lawyer in Louisville
While workers’ compensation should be simple, insurance companies often try to minimize or deny claims. You may be dealing with:
Arguing That Your Injury Was Not Work-Related
One of the most common ways insurance companies try to reduce or deny benefits is by claiming that your injury did not happen at work. They might argue that you were injured off the clock or outside work premises.
If you have a pre-existing condition, they might claim that your current injury is related to that rather than a workplace accident. They could insist that the injury happened during a personal activity rather than a job-related duty.
Claiming You Were at Fault for Your Injury
Kentucky is a no-fault workers’ compensation state, meaning you should be eligible for benefits even if the injury was partly your fault.
However, employers and insurance companies may still try to claim that you were being reckless or negligent when the injury occurred. They may also state that you were violating company policies at the time of the accident.
Pushing You to Return to Work Too Soon
Another common tactic to reduce your benefits is by forcing you back to work before you have fully recovered.
Sometimes, they may pressure you into “light duty” work, even if it still causes pain or worsens your condition. If you refuse to return to work, they may try to terminate your benefits, claiming you’re unwilling to work.
Denying or Limiting Medical Treatment
Even if your claim is approved, insurance companies may try to control or limit your medical care. Sometimes, that can mean a delay in getting the necessary treatments, such as:
- Surgeries
- Physical therapy
- Diagnostic tests
Insurers may push you toward less expensive treatments that may not be effective. In worst cases, they could deny coverage for certain medications or procedures.
You deserve full and fair compensation if you’ve been injured on the job. Unfortunately, many injured workers are pressured into accepting less than they deserve or returning to work before they are ready.
A Louisville workers’ compensation lawyer can help you:
- Make sure your injury is properly documented
- Challenge unfair denials or delays
- Fight for the maximum wage replacement benefits
- Make sure you receive the best medical care available
- Protect you from insurance company tactics that reduce your compensation
At Thomas Law Offices, we’re here to advocate for your rights and get your entitled workers’ compensation benefits.
What If My Claim Is Denied?
A workers’ compensation claim denial isn’t the end of the road. You have the right to appeal. First, you will want to review the denial letter to understand why your claim was rejected.
Common reasons include:
- Missed deadlines
- Lack of medical evidence
- Disputes over whether the injury is work-related
Next, you need to consult a workers’ compensation lawyer to strengthen your case. An attorney can help gather additional evidence, such as medical records, witness statements, or expert opinions, and make sure all paperwork is correctly filed.
To formally appeal, file a Form 101 with the Kentucky Department of Workers’ Claims (DWC).
The process may involve mediation. However, if no settlement is reached, your case will go before an Administrative Law Judge (ALJ). The judge will review the evidence and issue a ruling. If denied again, appeals can be made to the Workers’ Compensation Board or state court.
While appealing, you must continue following your doctor’s treatment plan and documenting symptoms.
Most importantly, don’t give up. Many workers successfully challenge denials and secure the benefits they deserve.
If your claim has been denied, contact a lawyer today for a free consultation to protect your rights and fight for fair compensation.
Call a Louisville Workers’ Compensation Lawyer Today
You work hard for a living. When you’re hurt on the job, you shouldn’t have to struggle just to get the benefits you deserve. Whether you’re filing a new claim, facing a denial, or just need guidance, our dedicated Louisville workers’ compensation lawyers are ready to help.
Don’t wait to take action. There are time limits for filing your claim. Contact a Louisville workers’ comp lawyer today to schedule a free consultation and start getting the help you need.