From April
2000 Update
Chapter 1 Overview of Workers’ Compensation
I. Introduction
A. The Workers’ Compensation System
1. Nature
§ 1:10 Overview
§ 1:10.10 Vocational Rehabilitation Services
§ 1:20 No Fault vs. Exclusive Remedy Tradeoff
§ 1:30 Liberal Construction
§ 1:40 Evidentiary Standard
2. Institutions
§ 1:50 Organization
§ 1:60 Administrative Levels
3. Parties
§ 1:70 Introduction
§ 1:80 Employee
§ 1:80.10 Independent Contractor
§ 1:80.20 Excluded Workers
§ 1:90 Employer
§ 1:100 Claims Administrator
§ 1:110 Claims Adjuster
§ 1:120 “Claims Administrator” versus “Employer”
§ 1:120.10 Effect of Confusion
§ 1:120.20 Obligations under ADA
§ 1:120.30 Preparing Job Description
§ 1:130 [Reserved]
B. Legal Sources
§ 1:140 Introduction
§ 1:150 Labor Code
§ 1:160 Code of Regulations
§ 1:165 Administrative Guidelines
§ 1:170 Standards Governing Timeliness and Quality
§ 1:175 Judicial Interpretation
§ 1:180 Administrative and Judicial Decisions
II. Workers’ Compensation Benefits
A. Introduction
§ 1:190 Entitlement
§ 1:200 Injury
§ 1:210 Employment
§ 1:220 Special Situations
§ 1:220.10 Psychiatric Injuries
§ 1:220.20 Post-Termination Application for Benefits
B. Requesting Benefits
1. Providing Claim Form
§ 1:230 Introduction
§ 1:240 Notice of Injury
§ 1:240.10 Claim Form
§ 1:250 Actual Knowledge of Injury
2. Time for Filing
§ 1:260 Introduction
§ 1:270 Statute of Limitations
§ 1:270.10 Tolling
§ 1:270.20 Affirmative Defense
§ 1:280 Non-Activity Dismissal
§ 1:290 Five-Year Limit
§ 1:300 [Reserved]
§ 1:310 Failure to Deny Claim
C. Paying Benefits
§ 1:320 Overview
Chapter 2 Enforcing Vocational Rehabilitation Rights
I. Introduction
A. Overview
§ 2:10 Administrative System
§ 2:20 Alternatives to Legal System
§ 2:20.10 Collective Bargaining Agreements
§ 2:20.20 Arbitration
§ 2:20.20.10 Representation by Counsel
§ 2.20.20.20 Conference Delays
§ 2.20.20.30 Injuries After 1993
§ 2.20.20.40 Injuries Before 1994
B. Representation
1. Introduction
§ 2:30 Types of Representatives
§ 2:40 Exclusion from Appearances
§ 2:50 Disclosure Forms
§ 2:50.10 Fee Disclosure
§ 2:50.20 4906(g) Form
§ 2:60 Notice to Rehabilitation Unit
2. Applicant’s Attorneys’ Fee
§ 2:65 Attorneys Fees
II. Vocational Rehabilitation Unit
A. Introduction
1. Dispute Resolution Function
§ 2:70 Introduction
§ 2:80 Venue
§ 2:90 Ex parte Communications
§ 2:100 Types of Disputes
2. Determinations
§ 2:110 Introduction
§ 2:110.10 Types
§ 2:110.20 Format
§ 2:120 Service
§ 2:130 Time Limits
§ 2:140 Enforcement
§ 2:150 Issue Preclusion
§ 2:150.10 Identical Issue
§ 2:150.20 Decisions Not Appealed
§ 2:150.30 Rescinding and Reissuing
§ 2:150.40 Loss of Jurisdiction on Appeal
B. Informal Conference
§ 2:160 Requirement
§ 2:170 Procedure
§ 2:180 Conference
§ 2:190 “Informal Conference Format Summary”
C. Formal Conference
1. Requesting
§ 2:200 Introduction
§ 2:210 Expedited Proceedings
§ 2:210.10 Objection to Intention to Withhold VRMA
§ 2:210.20 Dispute Concerning Plan Development
2. Hearing
§ 2:220 Scheduling
§ 2:230 Due Process
§ 2:240 Attendance
§ 2:250 Format
D. Forms
1. Use
§ 2:260 Introduction
§ 2:270 Unrepresented Workers
§ 2:280 Incomplete Forms
2. Requirements
§ 2:290 Case Initiation Document/ Rehabilitation Unit Case Number
§ 2:300 Color
§ 2:310 Signatures
§ 2:320 Language
§ 2:330 Hole Punch
3. Completion
§ 2:340 Introduction
§ 2:350 Attachments
§ 2:360 Filing and Service
4. Types
§ 2:370 Initiating Rehabilitation Unit Action
§ 2:380 Resolving Disputes
III. Worker’s Compensation Judge
A. Introduction
§ 2:390 Types of Disputes
§ 2:400 Continuing Jurisdiction
§ 2:410 Ex parte Communication
B. Original Jurisdiction
§ 2:420 In General
C. Appellate Jurisdiction
1. Introduction
§ 2:430 In General
§ 2:440 Issues Arising Initially at Trial or Hearing
§ 2:450 Reopening
§ 2:460 Referral to Arbitration
2. Scope of Review
§ 2:470 Introduction
§ 2:480 Trial de Novo
§ 2:490 Effect of Rehabilitation Unit Determinations
D. Appellate Procedures
1. Timeliness
§ 2:500 Introduction
§ 2:510 Late Petitions
§ 2:520 Early Petitions
2. Preparing Petition
§ 2:530 Introduction
§ 2:540 Formalities
§ 2:550 Amendment of Pleadings
§ 2:560 Code of Civil Procedure
3. Filing and Answering Petition
§ 2:570 Injuries Before 1990 or After 1993
§ 2:580 Injuries Between 1990-1993
§ 2:590 Answer
4. Serving Documents
§ 2:600 Introduction
§ 2:610 Service on Rehabilitation Unit and WCAB
5. Hearing
§ 2:620 Declaration of Readiness
§ 2:630 WCAB Judge
§ 2:640 Burden of Proof
6. Evidence
§ 2:650 Rehabilitation Counselor Testimony
§ 2:650.10 Witness Fees
§ 2:650.20 Reports
§ 2:660 Rehabilitation Unit Consultant Testimony
§ 2:660.10 Availability
§ 2:660.20 Depositions
§ 2:660.30 Rehabilitation Unit Reports
§ 2:670 Stipulations
IV. Workers’ Compensation Appeals Board
§ 2:680 Introduction
§ 2:690 Petition
§ 2:690.10 Grounds
§ 2:690.20 Timeliness
§ 2:690.30 Answer
§ 2:700 Hearing
§ 2:700.10 Scope of Review
§ 2:700.20 Decisions
§ 2:710 Appeals
§2:710.10 Issue Preclusion
V. Court of Appeal
§ 2:720 Introduction
§ 2:730 Timeliness
§ 2:740 Service
§ 2:750 Scope of Review
§ 2:760 Weight of WCAB Decision
VI. California Supreme Court
§ 2:770 Overview
Chapter 3 Vocational Rehabilitation and Other Benefits
I. Introduction
§ 3:10 Available Benefits
§ 3:20 Death Benefits
II. Medical Treatment
A. Types of Physicians
§ 3:30 Primary Treating Physician
§ 3:40 Medical-Legal Evaluators
B. Employer Control
§ 3:50 Initial Thirty Days
§ 3:60 Changing Physicians
§ 3:60.10 Petition
§ 3:60.20 Good Cause
§ 3:60.30 Response
§ 3:60.40 Ruling
§ 3:70 Managed Care Provider Pilot Program
C. Worker Control
1. Grounds
§ 3:80 Prior Request for Personal Physician
§ 3:90 Thirty Days After Injury
§ 3:100 Employer Failure to Provide
§ 3:110 One-Time Change of Physician
2. Procedure
§ 3:120 Initial Selection
§ 3:130 Changing Physicians
§ 3:130.10 Worker Notice
§ 3:130.20 Physician Notice
§ 3:130.30 Following Discharge from Treatment
§ 3:140 Medical-Legal Expenses
III. Temporary Disability Indemnity
A. Introduction
§ 3:150 “Totally Temporarily Disabled”
B. Payments
§ 3:160 Timing and Frequency
§ 3:170 Duration
§ 3:180 Amount
§ 3:190 Late Penalty
IV. Permanent Disability Indemnity
A. Introduction
§ 3:200 Nature of Permanent Disability
§ 3:210 “Permanently Disabled”
B. Rating Permanent Disability
1. Factors
§ 3:220 Introduction
2. Challenging Rating
§ 3:230 Outcome of Vocational Rehabilitation
§ 3:240 Admissible Evidence
§ 3:250 Reduction of Permanent Disability Award
§ 3:260 Weight of Vocational Rehabilitation Evidence
§ 3:270 Decisions Before LeBoeuf
§ 3:275 Decisions after LeBoeuf
§ 3:280 Non-Industrial Factors
§ 3:290 Procedure
§ 3:300 Grounds
§ 3:300.10 Vocational Rehabilitation
§ 3:300.20 Change in Condition
§ 3:300.30 Testimony of Rehabilitation Counselor
§ 3:310 [Reserved]
3. Rating During Vocational Rehabilitation
§ 3:320 Introduction
§ 3:330 Law
§ 3:340 Practice
C. Paying Benefits
1. Introduction
§ 3:350 Timing
§ 3:360 Taxability
§ 3:370 Commuting Benefits
2. During Rehabilitation
§ 3:380 Introduction
§ 3:390 Pre-1990
§ 3:400 Post-1989
V. Vocational Rehabilitation Temporary Disability
A. Introduction
§ 3:410 Nature
§ 3:420 Relationship with Other Financial Benefits
§ 3:420.10 Introduction
§ 3:420.20 Retirement
§ 3:420.30 Benefits From California Employment Development Department
§ 3:420.40 Permanent Disability
§ 3:420.50 Longshore Benefits
§ 3:420.60 Social Security Benefits
B. Notifying Injured Worker
§ 3:430 Introduction
§ 3:430.10 Pre-1988
§ 3:430.20 Post-1988
§ 3:430.30 Satisfying Requirement
§ 3:440 Employer’s Duty to Investigate
§ 3:450 Worker’s Actual Knowledge
C. Requesting Benefits
§ 3:460 Introduction
§ 3:460.10 Form of Request
§ 3:460.20 Notifying Agent for Employer
§ 3:460.30 Evidence of Entitlement
§ 3:470 Failure to Request Benefits
D. Paying Benefits
1. Commencement
§ 3:480 Introduction
§ 3:490 Request for Benefits
§ 3:500 Notice of Payment
§ 3:510 Summary Chart
2. Rates
§ 3:520 Introduction
§ 3:530 Effect of VRMA Rates
3. Delay in Payment
§ 3:540 Overview
4. Retroactive Payments
§ 3:550 Introduction
§ 3:560 During Evaluation Period
§ 3:560.10 Ultimately Determined QIW
§ 3:560.20 Ultimately Determined Not QIW
§ 3:570 During Appeals
E. Terminating Benefits
1. Grounds
§ 3:580 Introduction
§ 3:585 Passage of Time
§ 3:590 Employment
§ 3:600 Conclusion of Services
2. Pretermination Hearing
§ 3:610 Introduction
§ 3:620 Due Process
§ 3:630 Penalty
§ 3:640 Termination without Hearing
§ 3:640.10 Evaluation Stage: Medical Eligibility
§ 3:640.20 Evaluation Stage: Vocational Feasibility
§ 3:640.30 Current Procedure
3. Notice of Termination
§ 3:650 Introduction
VI. Vocational Rehabilitation Maintenance Allowance
A. Introduction
§ 3:660 Overview
§ 3:670 Relationship of VRTD and VRMA
B. Payment Rates
§ 3:680 Rate of VRMA
§ 3:680.10 Payment Dates
§ 3:680.20 Duration of VRMA
§ 3:680.30 Permanent Disability Advances
§ 3:680.40 Rate If Delay
§ 3:680.50 Medical Eligibility Dispute
§ 3:680.60 Policy Considerations
§ 3:690 Reserved
C. Initiating Benefits
§ 3:700 General Rule
§ 3:700.10 Breaks in Benefits
§ 3:700.20 Medically Eligible for Services
§ 3:700.30 Request for Services
§ 3:700.40 Permanent and Stationery
§ 3:710 Retroactive Payments
§ 3:710.10 Failure to Provide Notice
§ 3:710.20 Final Determination of Medical Eligibility
D. Notices
§ 3:720 First Payment
§ 3:730 Resumed VRMA Payments
§ 3:740 Changes in Payment Rate
E. Terminating The benefits
§ 3:750 Grounds
§ 3:750.10 Employment
§ 3:750.20 Interruption
§ 3:750.30 Failure to Request
§ 3:750.40 Vocational Feasibility
§ 3:750.50 Declination
§ 3:750.60 Plan Completion
§ 3:750.70 Unreasonable Failure to Complete Plan
§ 3:750.80 Maximum Expenditures
§ 3:750.90 Employee Leaves California
VII. Protection Against Discrimination
A. Introduction
§ 3:940 Overview
§ 3:950 Remedies
§ 3:960 Filing Claim
§ 3:970 Jurisdiction
§ 3:975 Recent Trends
§ 3:980 Scope of Protection
B. Exclusive Remedy
§ 3:990 Overview
§ 3:1000 California Fair Employment and Housing Act
§ 3:1010 Americans with Disabilities Act
§ 3:1020 Other Causes of Action
C. Vocational Rehabilitation
§ 3:1030 Rehabilitation and “Business Reality” Doctrine
§ 3:1040 “Voluntary” Termination
§ 3:1050 Termination Without Offer of Rehabilitation
§ 3:1060 Other Factors
VIII. Penalties
A. Introduction
§ 3:1070 Overview
§ 3:1080 1994 Definitional Changes
B. Actions Causing Penalties
§ 3:1090 Overview
§ 3:1095 Labor Code § 129.5
§ 3:1100 Schedule
§ 3:1110 Explanation
§ 3:1120 Modification
C. Statutory Penalties
§ 3:1130 Labor Code § 4642
§ 3:1130.10 Post 1993
§ 3:1130.20 Pre-1994
§ 3:1130.30 Reasonableness
§ 3:1130.40 Types of Delays
§ 3:1130.50 Costs Attributable to the Delay
§ 3:1140 Labor Code § 139.5: Post 1993
§ 3:1150 Unreasonable Delays
§ 3:1150.10 Jurisdiction
§ 3:1150.20 Purpose
§ 3:1150.30 Computation
§ 3:1150.40 Discretion
§ 3:1150.50 Defenses
§ 3:1160 Labor Code § 4650: Post-1990
§ 3:1170 [Reserved]
IX. Overpayment and Credit
§ 3:1180 Introduction
§ 3:1190 Recovery From Tortfeasor
§ 3:1190.10 Grounds
§ 3:1190.20 Notice
§ 3:1200 Credit for Overpayment
§ 3:1210 Credit for Future Rehabilitation
§ 3:1220 Integrated Benefits
§ 3:1230 Injured Worker’s Earnings
Chapter 4 Medical Eligibility
I. “Qualified Injured
Worker” Status
A. Introduction
§ 4:10 “Qualified Injured Worker”
§ 4:10.10 Injuries After 1993
§ 4:10.20 Effect of Finding of Medical Eligibility
§ 4:10.30 Factors Establishing Medical Eligibility
§ 4:10.40 Employer Reliance on Medical Opinion
§ 4:10.50 Other Employment
§ 4:20 Reserved
§ 4:30 Rebuttable Presumption
§ 4:30.10 Injuries After 1989
§ 4:30.20 Injuries Before 1990
§ 4:40 Issue Preclusion
§ 4:50 Procedures for Determining Medical Eligibility
§ 4:50.10 Evidence
§ 4:60 Medical Eligibility Requirements
B. Permanent Disability
1. Requirement
§ 4:70 Introduction
§ 4:80 Effect of Rating
§ 4:80.10 Finding of No Permanent Disability
2. Special Situations
§ 4:90 Prior Injuries
§ 4:90.10 Introduction
§ 4:90.20 Consequences of Current Injury
§ 4:90.30 Psychiatric Job Restrictions
§ 4:90.40 Refusal of Treatment
§ 4:100 Interpersonal Conflicts
C. Job Duties
1. Preclusion from Performing
§ 4:110 Introduction
§ 4:115 Infrequent Duties
§ 4:120 Multiple Jobs
§ 4:130 Changes in Job Duties
§ 4:135 Inability to Perform After Successful Return to Work
2. Position vs. Occupation
§ 4:140 Introduction
§ 4:150 Particular Position vs. “Usual and Customary”
Occupation
§ 4:160 Injury on Temporary Reassignment
D. Determination of Medical Eligibility
§ 4:170 Overview
§ 4:170.10 Pre-1990
§ 4:170.30 1990-1993
§ 4:170.20 Post-1994 Injuries
§ 4:180 Preliminary Notice Requirements
§ 4:190 Obtaining a Job Description
§ 4:190.10 Non-Cooperation
§ 4:190.20 Dispute about Job Duties
§ 4:200 Medical Review
§ 4:200.10 RU-90
§ 4:200.20 Final Report
§ 4:200.30 Timeliness of Medical Opinion
§ 4:200.40 Treating Physician
§ 4:200.50 Agreed Medical Examiner
§ 4:200.60 Adequacy of Medical Opinion
§ 4:210 Presumptive Medical Eligibility
§ 4:220 Notice of Potential Eligibility
§ 4:220.10 Timeliness
§ 4:220.10.10 Labor Code § 4636(d): Final Report
§ 4:220.10.20 Labor Code § 4637: Any Medical Opinion
§ 4:220.10.30 Presumptive QIW
§ 4:220.20 Form of Notice
§ 4:220.20.10 Calif. Code of Regulations § 9813(d)(2)
§ 4:220.20.20 Denial
§ 4:220.20.30 Delay
§ 4:220.20.40 Offer of Services
§ 4:220.30 Modified/Alternate Work Offer
§ 4:220.40 Form of Notices
§ 4:220.50 Additional Notices
§ 4:220.50.10 Reminder of Potential Eligibility
§ 4:220.50.20 Refund Notice to Employer
§ 4:230 Failure to Send Notice
§ 4:230.10 VRMA at the TD Rate
§ 4:230.20 No Maximum Expenditure
§ 4:230.30 Labor Code Basis
§ 4:230.40 Regulations
§ 4:230.50 Case Law
§ 4:240 Request for Services
§ 4: 240.10 Notice Requirement
§ 4:240.20 Form of Request
§ 4:240.20.10 Types of Requests
§ 4:240.20.20 Service of Request
§ 4:240.20.30 Supporting Documentation
§ 4:240.20.40 Good Faith Request
§ 4:240.30 Timeliness of Request
III. Obtaining Job Description
§ 4:250 Requirement
§ 4:250.10 Injuries Before 1990
§ 4:250.20 Injuries Between 1990-1993
§ 4:250.30 Injuries After 1993
§ 4:260 Form
§ 4:270 Preparing
§ 4:280 Disputing
IV. Obtaining Job Analysis
§ 4:290 Introduction
§ 4:300 Structure
§ 4:310 Description of Job Duties
§ 4:310.10 Body Postures
§ 4:310.20 Manipulating Objects
§ 4:310.30 Reaching
§ 4:310.40 Neck Positions
§ 4:310.50 Hand Use
§ 4:310.60 Environmental Conditions
V. Obtaining Medical Review
A. Submitting Job Information to Physician
§ 4:320 Treating Physician
§ 4:330 Responsibility for Submitting
§ 4:330.10 Injuries Before 1990
§ 4:330.20 Injuries Between 1990-1993
§ 4:330.30 Injuries After 1993
§ 4:340 Time for Submitting
§ 4:340.10 Injuries Between 1990-1993
§ 4:340.20 Injuries After 1993
§ 4:350 Confidentiality of Medical Information Act
§ 4:350.10 Claims Administrator’s Disclosure of Medical
Information
§ 4:350.20 Medical Information Defined
§ 4:350.30 Release of Information by Medical Providers
§ 4:350.40 Employer’s Use of Information
§ 4:350.50 Authorization for Release
§ 4:350.60 Remedies
§ 4:350.70 Case Law
VI. Notice of Potential Eligibility
A. Requirement
§ 4:390 Introduction
§ 4:400 Based on Treating Physician Report
§ 4:410 Based on Other Medical Reports
§ 4:410.10 Injuries After 1989
§ 4:410.20 Notice Before 1990
§ 4:420 Reminder of Potential Eligibility
§ 4:430 Refund Notice to Employer
B. Content
§ 4:440 Introduction
§ 4:440.10 Injuries After 1993
§ 4:440.20 Injuries Between 1990-1993
§ 4:440.30 Injuries Before 1990
§ 4:450 Notice of Modified or Alternate Work
§ 4:450.10 Overlap with ADA and FEHA
§ 4:450.20 Employer’s Duty to Investigate
§ 4:450.30 Insurers Duty to Investigate
§ 4:450.40 Affirmative Request by Injured Worker
§ 4:460 Offer of Benefits
§ 4:470 Notice of Delay
§ 4:480 Notice of Denial of Benefits
§ 4:480.10 Change in Condition
§ 4:480.20 Employee Failure to Respond
Chapter 5 Returning Employees to Work
I. Offering Modified/Alternative Work
A. Requirement
§ 5:10 Option to Vocational Rehabilitation
§ 5:10.05 Notice Time Limits for Modified/Alternate Work
§ 5:10.10 Undocumented Workers
§ 5:20 Strategic Considerations
§ 5:30 Types of Work
§ 5:30.10 Modified Work
§ 5:30.20 Alternate Work
§ 5:30.30 Other Positions
§ 5:40 Premium Refund
§ 5:40.10 Notice to Employer
B. Procedures
§ 5:50 Introduction
§ 5:50.10 Duty to Investigate
§ 5:50.20 Insurer’s Duty to Investigate
§ 5:50.30 Affirmative Request by Injured Worker
§ 5:60 Notice to Employee
§ 5:70 Offer of Work
§ 5:70.10 Late Offer of Modified or Alternate Work
§ 5:75 Acceptance or Rejection of Offer
§ 5:75.10 Acceptance of the Offer
§ 5:75.20 Rejection of the Offer
§ 5:75.30 Deferral or Interruption
§ 5:75.40 Objection
II. Discrimination
A. Facts: Barnes v. WCAB
§ 5:80 Introduction
§ 5:90 WCAB Decision
B. Issues on Appeal: Barnes v. WCAB
§ 5:100 Introduction
§ 5:110 Prima Facie Evidence
§ 5:120 Business Realities Defense
§ 5:130 Business Necessity Defense
§ 5:140 Consistency
§ 5:150 Danger of Reinjury
§ 5:160 Consequences of Accepting Rehabilitation Benefits
§ 5:170 Fringe Benefits
§ 5:180 Failure to Rehire
III. Americans with Disabilities Act
A. Introduction
§ 5:190 Political Background
§ 5:200 Coverage of ADA
§ 5:210 Notice of ADA, FEHA Rights
§ 5:220 Federal Preemption
B. Effect on Worker’s Compensation
§ 5:230 Scope
§ 5:240 “Qualified Individuals with Disabilities”
§ 5:240.10 Disability
§ 5:240.20 Impairment
§ 5:240.30 Major Life Activities
§ 5:240.40 Burden of Proof
§ 5:250 Covered Entities
§ 5:250.10 Employer
§ 5:250.20 Insurance Carriers
C. Legal Issues
1. Permanent and Substantial Disability
§ 5:260 Practical Context
§ 5:270 Permanent Limitation
§ 5:280 Substantial Limitation
§ 5:280.10 Effect on Ability to Work
2. Essential Job Functions
§ 5:290 Practical Context
§ 5:300 Requirement
§ 5:310 Relationship to Qualification Standards
§ 5:310.10 Actual Performance
§ 5:310.20 Purpose of Function
§ 5:310.30 Limited Employee Pool
§ 5:310.40 Specialized Skills
§ 5:310.50 Amount of Time Performing Activity
§ 5:310.60 Consequences of Not Performing
§ 5:310.70 Redistributing Essential Functions
§ 5:320 Procedure
§ 5:320.10 Consistent Application
§ 5:320.10 Relevant Evidence
§ 5:320.20 Employer’s Judgment
§ 5:320.30 Written Job Descriptions
§ 5:320.40 Employee Qualification Standards
§ 5:320.50 Collective Bargaining Agreement
§ 5:320.60 Other Evidence
3. Inability to Perform Essential Functions
§ 5:330 Practical Context
§ 5:340 Requirement
§ 5:340.10 Direct Threat
§ 5:340.20 Threat to Individual
§ 5:340.30 Individualized Assessment
§ 5:340.40 Substantial Harm
§ 5:340.50 Imminence of Harm
§ 5:350 Procedure
§ 5:350.10 Basis
§ 5:350.20 Inability to Perform
§ 5:350.30 Responsibility for Decision
§ 5:350.40 Burden of Proof
4. Reasonable Accommodation
§ 5:360 Practical Context
§ 5:370 Requirement
§ 5:370.10 Categories of Accommodations
§ 5:370.20 Modified Work
§ 5:370.30 Alternate Work
§ 5:370.40 Protection against Termination
§ 5:370.50 Right to Equal Advancement
§ 5:380 Procedure
§ 5:380.10 Identifying Reasonable Accommodations
§ 5:380.20 Selecting Reasonable Accommodation
§ 5:380.30 Rejection by Injured Worker
§ 5:380.40 Burden of Proof
E. Undue Hardship as Defense
§ 5:390 Factors
§ 5:400 Application
§ 5:410 Burden of Proof
Chapter 6 Counseling Procedures: Vocational Evaluation
I. Introduction
A. Evaluation Generally
§ 6:10 Goals
§ 6:20 Right to Evaluation
§ 6:30 Notification of Right to Evaluation
§ 6:40 Components
§ 6:50 Medical Information
§ 6:50.10 Authorization for Release
§ 6:50.20 Remedies
§ 6:50.30 Recommendations
B. Definitions
§ 6:60 Qualified Injured Worker [QIW]
§ 6:70 [Reserved]
§ 6:80 Suitable Gainful Employment
§ 6:90 Vocational Rehabilitation Services
§ 6:100 Independent Vocational Evaluator
II. Determining Vocational Feasibility
A. Introduction
§ 6:110 Essential Data
§ 6:120 Indicia of Feasibility
§ 6:130 California Standards
§ 6:140 Who Makes Determination
§ 6:150 When Determination Made
§ 6:160 Employer’s Burden of Proof
§ 6:170 When Worker Considered Feasible
§ 6:180 Permanence of Determination
§ 6:190 Undocumented Workers
§ 6:190.10 Current Law
§ 6:190.20 Changes in Related Laws
§ 6:190.30 Out of State Services
§ 6:190.40 Reserved
§ 6:190.50 Vocational Feasibility
§ 6:190.60 Employee’s Own Act Created the Barrier
B. Physical Tolerances
§ 6:200 Dynamic Nature of Physical Conditions
§ 6:210 Request for Work Evaluation
§ 6:220 Work Restrictions, Medication or Permanent Disability Rating
§ 6:230 Nonindustrial Problems
C. Participation and Availability
1. Standards
§ 6:240 Minimum Standards
§ 6:250 Definition of Availability
2. Failure to Participate
§ 6:260 Vocational Nonfeasibility
§ 6:270 Withholding VRMA, VRTD
§ 6:270.10 Injuries After 1993
§ 6:270.20 Injuries Between 1990-1993
§ 6:270.30 Injuries Before 1990
§ 6:270.40 Case Law
§ 6:280 Burden of Proof
§ 6:290 Role of Rehabilitation Unit
§ 6:300 Employer’s Failure to Timely Pay Benefits
§ 6:310 Employer’s Procedure
3. Self-Procured Employment
§ 6:320 Employers’ Argument
§ 6:330 Injuries After 1989
§ 6:340 Injuries Before 1990
§ 6:350 Inappropriate Employment
§ 6:360 Worker Leaving Subsequent Employment
§ 6:370 Worker Still Employed
4. Worker’s Flexibility
§ 6:380 Need to Work Within System
§ 6:390 Worker’s Willingness
§ 6:400 Worker’s Extreme Positions
§ 6:400.10 Limitation to One Goal
§ 6:410 Plans of Long Duration
§ 6:410.10 Out of State Employees
D. Labor Market
§ 6:420 Plan Appropriate for Labor Market
§ 6:430 Labor Market Evaluation
§ 6:440 [Reserved]
§ 6:450 Ability to Learn New Skills
§ 6:460 Availability of Appropriate Jobs
§ 6:470 Labor Market Research
III. Counseling Generally
A. Counselors
1. Qualification to Provide Services
§ 6:480 Qualified Rehabilitation Representatives
§ 6:490 Required Qualifications and Capabilities
§ 6:500 Licensing or Credentials
§ 6:510 Code of Ethics
2. Appointment and Selection
§ 6:520 Immediate Assignment
§ 6:530 Agreement of Parties
§ 6:540 Employer/Union Agreements on Providers
§ 6:550 In-House Counselors
§ 6:550.10 Statutory Authority
§ 6:550.20 Importance of Cap on Benefits
§ 6:550.30 Disclosure to Worker
§ 6:550.40 Billing and Disclosure to Employer
§ 6:560 Right to Change
§ 6:570 Waiver
3. Exclusion Based on Medical Condition Precluding Participation
§ 6:580 Worker’s Medical Condition
§ 6:590 Who Determines Medical Ineligibility
§ 6:600 Risks of Not Assigning Counselor
§ 6:610 Risk of Vocational Exploration Before Worker Ready to
Participate
4. Failure to Assign or Timely Commence Services
§ 6:620 VRMA/VRTD
§ 6:630 Injuries Before 1994
§ 6:640 Injuries After 1993
§ 6:650 Independent Vocational Evaluator
§ 6:660 Choice of Counselors
B. Independent Vocational Evaluators
§ 6:670 Assignment by Rehabilitation Unit
§ 6:680 Request by Party
§ 6:690 Appointment
§ 6:700 Effect of Appointment on Parties
C. Rehabilitation Coordinators
§ 6:710 Definition
§ 6:720 Charges
D. Referrals
§ 6:730 Method; Who Makes
§ 6:740 Necessary Information
§ 6:750 Contacting Referral Source and Worker
IV. Initial Interview
A. Procedure
§ 6:760 Importance
§ 6:770 Worker Who Will Decline Benefit
§ 6:780 Worker Considering Interruption of Services
§ 6:790 Explanation of Benefits and Review of Initial Report
§ 6:800 Timing
§ 6:810 Worker Preparation
§ 6:820 Where
§ 6:830 Avoid Discussing Specific Plans
§ 6:840 Duration
§ 6:850 End of Interview
B. Rights and Responsibilities
§ 6:860 Explain to Injured Worker
§ 6:870 Allow Worker to Discuss Concerns and Ask Questions
§ 6:880 Standards
§ 6:880.10 Injured Worker’s Responsibilities
§ 6:880.20 Counselor Responsibilities
§ 6:880.30 Claims Administrator Responsibilities
§ 6:880.40 Rehabilitation Unit Consultant’s Responsibilities
C. Information to Obtain
1. Introduction
§ 6:890 Overview
§ 6:900 Standards
2. Personal Information
§ 6:910 Do Not Emphasize
§ 6:920 Confirm Referral Information; Assess Living Situation
3. Medical Condition
§ 6:930 Confidentiality of Medical Information Act
§ 6:940 Get Worker’s Perspective on Injury
§ 6:950 Review Reports with Worker
§ 6:960 Medications
§ 6:970 Nonindustrial Conditions
4. Educational Background
§ 6:980 Academic Orientation
§ 6:990 Licenses; Special Skills
5. Work History
§ 6:1000 Importance
§ 6:1010 Review in Detail With Injured Worker
6. Driving Record and Transportation
§ 6:1020 Importance
§ 6:1030 Information Needed
7. Legal Right to Work
§ 6:1040 Documentation
8. Criminal Record
§ 6:1050 Ask About Entire Record
9. Financial Status
§ 6:1060 Effect on Ability to Participate
V. Vocational Testing & Evaluation
A. Introduction
§ 6:1070 Importance
§ 6:1075 Worker’s Agreement
§ 6:1080 Prohibited Referrals
§ 6:1090 Testing Sites
B. Testing
1. In-House Testing
§ 6:1100 Introduction
§ 6:1110 Be Sensitive; Use Appropriate Tests
§ 6:1120 How to Conduct Testing
§ 6:1130 Explaining Results
2. Situational Assessment
§ 6:1140 Definition
§ 6:1150 When Used
§ 6:1160 Success Factors
3. Work Samples
§ 6:1170 Definition; Use
§ 6:1180 Focus
C. Standards of Measurement
1. Introduction
§ 6:1190 Measuring Behavior Generally
§ 6:1200 Use of Standards
2. Normative Measures
§ 6:1210 How Normative Measures Work
§ 6:1220 Example
§ 6:1230 Norm Groups Available
§ 6:1240 Specific Vocational Preparation
§ 6:1250 Academic Skills
§ 6:1260 Reasoning Tests
3. Criterion-Referenced Norms
§ 6:1270 How They Work
§ 6:1280 Example
D. Levels of Testing Instruments
§ 6:1290 Categories
§ 6:1300 Training Required to Use
E. Work Evaluation Centers
1. Introduction
§ 6:1310 Definition
§ 6:1320 Attendance
§ 6:1330 When to Use
§ 6:1330.10 Post-1994 Cases
§ 6:1330.20 Subsequent Evaluations
§ 6:1340 Delay in Starting
§ 6:1350 Indicators of Need
§ 6:1360 Duration
§ 6:1370 Monitoring Evaluation
§ 6:1380 Work Hardening; Work Adjustment
§ 6:1385 Responsibility
2. Selecting a Center
§ 6:1390 Administrative Guidelines
§ 6:1400 Staff Qualifications
§ 6:1410 Staffing Patterns
§ 6:1420 Attitudes and Philosophies
§ 6:1430 Equipment Available
§ 6:1440 Location
3. Interviews and Conferences
a. Intake Interview
§ 6:1450 Definition
§ 6:1460 Properly Prepare
§ 6:1470 Discuss Worker’s Concerns
§ 6:1480 Address Concerns About Participation
§ 6:1490 Address Physical Tolerances
§ 6:1500 Facility Tour
b. Exit Conference
§ 6:1510 Definition
§ 6:1520 Discuss Issues
4. Billing
§ 6:1530 Fee Schedule
F. Transferable Skills
1. Introduction
§ 6:1540 Definition; Link to Employability
§ 6:1550 Standards
§ 6:1560 Weakness of Analysis Based Solely on Previous Employment
§ 6:1570 When Counselor Reviews
§ 6:1580 Information to Obtain
2. Resources for Employability Analyses
a. Introduction
§ 6:1590 Utilization Generally
§ 6:1600 Employment Development Department
§ 6:1610 Labor Market Research
§ 6:1610.10 Telephone
§ 6:1610.20 Teach Worker to Contact Employer
§ 6:1610.30 Local Newspapers
§ 6:1610.40 Friends and Family
§ 6:1610.50 Give Worker Copy
§ 6:1610.60 Keep File of Old Surveys
§ 6:1620 Theoretical Backgrounds of Computerized Information Delivery
Systems
§ 6:1630 Classification of Jobs
b. Dictionary of Occupational Titles
§ 6:1640 Importance
§ 6:1650 Weaknesses
§ 6:1660 Validate Job Definition
§ 6:1670 Occupational Definitions
§ 6:1670.10 Occupational Code
§ 6:1670.20 Work Fields
§ 6:1670.30 Materials, Products, Subject Matter and Services [MPSMS]
§ 6:1680 Handbook for Analyzing Jobs
§ 6:1690 Computerized Programs
c. Occupational Outlook Handbook
§ 6:1700 Value
§ 6:1710 Contents
d. Standard Industrial Classification
§ 6:1720 Importance; Use
§ 6:1730 “Establishment”
§ 6:1740 Classification
§ 6:1750 Occupational Employment Statistics Survey
§ 6:1750.10 Directory of Occupational Information
d. Standard Occupational Classification
§ 6:1760 Use
§ 6:1770 Classification
e. California Occupational Information System
§ 6:1780 Definition
§ 6:1790 Use Required
3. Worker Traits
a. Introduction
§ 6:1800 Definition
§ 6:1810 Work History
§ 6:1820 Dictionary of Occupational Titles
b. Aptitudes
§ 6:1830 “Aptitudes” vs. “Skills”
§ 6:1840 Testing
§ 6:1850 Aptitude Levels
c. Specific Vocational Preparation
§ 6:1860 “Specific Vocational Preparation” Defined
§ 6:1870 Training Time
§ 6:1880 On-the-Job Training
§ 6:1890 Amount Required
§ 6:1900 General Educational Development Levels
§ 6:1910 The Dictionary of Occupational Titles and Office of Employment
Statistics
d. Temperament
§ 6:1920 Importance
§ 6:1930 Testing
e. Physical Demands
§ 6:1940 Definition; Assessment
§ 6:1950 Using The Dictionary of Occupational Titles Data
§ 6:1960 Capacity Guidelines
f. Interests
§ 6:1970 Definition
§ 6:1980 Testing
§ 6:1980.10 Types of Tests
§ 6:1990 Guide for Occupational Exploration
§ 6:1990.10 Introduction
§ 6:1990.20 Information Provided
§ 6:1990.30 Classification of Interest Areas
§ 6:2000 Holland’s Personality Type Theory
§ 6:2000.10 Dictionary of Holland Occupational Codes
§ 6:2010 COPSystem Interest Inventory
§ 6:2010.10 Career Orientation Placement and Evaluation Survey
§ 6:2020 Minnesota Importance Questionnaire
4. Data/People/Things Orientation
§ 6:2030 Importance
§ 6:2040 Correlation with Skills and Interests
§ 6:2050 People
§ 6:2050.10 Levels of Orientation
§ 6:2060 Things
§ 6:2060.10 Level of Orientation
5. Environmental Conditions
§ 6:2070 Definition
§ 6:2080 Where Jobs Take Place
§ 6:2090 Exposure to Fumes and Hazards
VI. Determination of Nonfeasibility
§ 6:2100 When
§ 6:2110 Notice of Vocational Nonfeasibility
§ 6:2120 Notice of Termination of Benefits
§ 6:2130 Employer Request
VII. Limitations on Cost of Services
A. Cap on Benefits
§ 6:2140 1993 Reform
§ 6:2150 When Cap Begins
§ 6:2160 Exclusions
§ 6:2170 Use of Additional Resources
§6:2170.05 Cost of Interpreters
B. Counseling Fees
1. Introduction
§ 6:2180 $4500 Cap
§ 6:2190 Fee Schedule; Phases of Counseling
§ 6:2200 Rate Agreements
§ 6:2210 Injuries Before 1994
§ 6:2220 In-House Counselors
§ 6:2230 Rehabilitation Coordinators
§ 6:2240 Penalties for Erroneous Shaving of Bills
2. Medical Eligibility Evaluation
§ 6:2250 Role of Counselor and Claims Administrator
§ 6:2260 Fees
3. Phase A: Evaluation of Vocational Feasibility
§ 6:2270 Components
§ 6:2280 [Reserved]
§ 6:2290 Initial Interview
§ 6:2300 Work Evaluations
§ 6:2310 Reserved
§ 6:2320 Reserved
4. Phase B: Plan Development and Job Placement
§ 6:2330 Components
§ 6:2340 Fees
§ 6:2350 Time Limitation
§ 6:2360 Monitoring
5. Interphase Services
§ 6:2370 Repeated Activities
C. Vocational Rehabilitation Maintenance Allowance
§ 6:2380 Effect of Benefits Cap on VRMA
§ 6:2390 52-Week Limitation
§ 6:2400 Exceeding 52-Week Limitation
VIII. Billing and Payment for Services
A. Introduction
§ 6:2410 Timeliness
§ 6:2420 Distribution of Bills
§ 6:2430 Dispute Resolution
§ 6:2440 Independent Contractors
§ 6:2450 Billing Units
§ 6:2460 Nonbillable Costs
B. Hourly Rates
§ 6:2470 Professional Rate
§ 6:2480 Travel
Chapter 7 Plan Development
I. Introduction
A. Vocational Rehabilitation Plans Generally
§ 7:10 Definition
§ 7:20 Factors
§ 7:30 Requirements
§ 7:40 Time Limits for Preparation
§ 7:40.10 Post-1993 Injuries
§ 7:40.20 Injuries Before 1993
B. Purpose
§ 7:50 Individualized Approach
§ 7:60 Employer’s Obligation
C. Types of Plans
§ 7:70 Introduction
§ 7:80 Modified or Alternative Work
II. Plan Parameters
A. Introduction
§ 7:90 Requirements
B. Return to Suitable Gainful Employment
1. Introduction
§ 7:100 Definition
§ 7:110 Importance
§ 7:110.10 Administrative Policy
§ 7:110.20 Diminished Importance Since 1993 Reform
2. Case Law
a. Court of Appeal Decisions
§ 7:120 Appropriate to Injured Worker
§ 7:130 Opinion of One Physician May Not Be Enough for Closure
§ 7:140 Completion of Plan
§ 7:150 Reinstatement of Services
b. Appeals Board Decisions
§ 7:160 Employer Need Not Analyze Reason for Failure of Services
§ 7:170 Services Can Terminate Even When Plan Inappropriate
§ 7:180 Job Placement
§ 7:190 Outdated Equipment
§ 7:200 Labor Market Survey to Validate Plan
III. Public Policy
§ 7:210 Equal Merit
§ 7:220 Shorter Duration
§ 7:230 [Reserved]
§ 7:240 Injuries Before 1990
§ 7:250 Injuries Before 1994
§ 7:260 Post-1993 Injuries
§ 7:270 Prior Related Experience
§ 7:280 Resolving Disputes
IV. Duration and Cost
A. Introduction
§ 7:290 Relationship of Cost and Duration
B. Injuries Before 1994
§ 7:300 Statutory and Regulation Provisions
§ 7:310 Case Law
§ 7:320 [Reserved]
§ 7:330 Effect of Fee Schedule
§ 7:330.10 Generally
§ 7:330.20 Counseling
§ 7:330.30 In-House Counselors
§ 7:340 Duration of Job Placement
C. Injuries After 1993
1. Cost Caps
§ 7:350 Date of Injury Post-1993
§ 7:350.10 Benefits Generally
§ 7:360 [Reserved]
Phase 1: Vocational Evaluation and Plan Development
Phase 2: Plan Monitoring and Job Placement
2. Duration Limitations
§ 7:370 Vocational Rehabilitation Maintenance Allowance
§ 7:380 Plan
§ 7:390 Job Placement
§ 7:390.10 Time Spent on Placement
§ 7:390.20 Discouraging Direct Placement
V. Labor Market Surveys
A. Use of Information
§ 7:400 Likelihood of Hire
§ 7:410 Determining Employability
§ 7:420 Wages
§ 7:430 Job Interview
§ 7:440 Specific Plan Provisions
§ 7:450 Rebutting Testimony
B. Resources
§ 7:460 Employer Interviews
§ 7:470 Employment Development Department Data
§ 7:480 Occupational Outlook Handbook
§ 7:490 Prior Labor Market Surveys
§ 7:500 Previous Plan Results
C. Employer Information
§ 7:510 Choosing Employers to Survey
§ 7:520 Employer Interview
§ 7:530 Number of Openings
§ 7:540 Count of Total Openings
§ 7:550 List All Employers Contacted
§ 7:560 Include All Information Provided
D. Geographic Range
§ 7:570 Restriction to Reasonable Area
E. Subjects Covered
§ 7:580 Introduction
§ 7:590 Issues in Dispute
§ 7:600 Modified Work
§ 7:610 Job Title Researched
§ 7:620 Training
§ 7:630 Job Availability
§ 7:640 Employability Requirements
§ 7:640.10 Importance
§ 7:640.20 Current Employability Without Training
§ 7:640.30 Education
§ 7:640.40 Experience
§ 7:640.50 Driving
§ 7:650 Physical Requirements
§ 7:650.10 Appropriateness of Job
§ 7:650.20 Role of Survey
§ 7:650.30 Representative Job Analysis
§ 7:650.40 On-Site Job Analysis
§ 7:650.50 Americans With Disabilities Act
§ 7:660 Training for Entry Level Hires
§ 7:670 Skill Level
§ 7:680 Equipment Used
§ 7:690 Tools Required
§ 7:700 Salary and Benefits
F. Individualized Surveys
§ 7:710 Not Generic Review of Market
§ 7:720 Issues Specific to Worker
§ 7:730 Work Restrictions
§ 7:740 Language Requirements
§ 7:750 Relationship to Plan Implementation
VI. Submission
§ 7:760 Review by Rehabilitation Unit
§ 7:770 Requirements
§ 7:780 Unrepresented Workers
§ 7:790 Plans Without Counselors
§ 7:800 Reports
§ 7:810 Timing
§ 7:810.10 Termination of Liability for Services
§ 7:810.20 Failure to Submit in Timely Manner
§ 7:820 Discretionary Disbursement
§ 7:820.10 Settling Benefits
§ 7:830 Plans Not Needing Submission
§ 7:830.10 Modified or Alternative Work
§ 7:830.20 Agreed on Plans
§ 7:840 Rehabilitation Unit Procedure
VII. DWC RU-102 [Vocational Rehabilitation Plan]
A. Introduction
§ 7:850 Overview
§ 7:860 Who Completes
§ 7:870 Length
§ 7:880 Initials and Changes
B. Completion by Counselor
§ 7:890 Time and Cost Limits
§ 7:900 Obtaining Financial Information
C. Specific Provisions
1. Page 1
§ 7:910 Section A
§ 7:920 Section B
2. Page 2: Section C
§ 7:930 Contents Generally
§ 7:940 Parameters of Placement
§ 7:950 Date Feasibility Determined
§ 7:960 Plan Commencement and Completion Dates
3. Page 3
a. Section C
§ 7:970 Introduction
§ 7:980 “Resources to Employee”
§ 7:980.10 VRMA/VRTD
§ 7:980.20 Amount to be Withheld for Attorney’s Fees
§ 7:980.30 Weekly Benefit Payments
§ 7:980.40 Transportation Expenses
§ 7:980.50 Other Living Expenses
§ 7:990 “Plan Expenditures”
§ 7:990.10 Training/Tuition Fees
§ 7:1000 Permanent Disability
§ 7:1010 Other Resources
§ 7:1020 Other Costs
§ 7:1030 Fees for Evaluation, Plan Development & Placement
§ 7:1040 Total Estimate of Plan Expenditures
§ 7:1040.10 Totals Required
§ 7:1040.20 Injured Worker’s Living Expenses
b. Section D
§ 7:1050 Vocational Testing and Labor Market Survey
4. Page 4
a. Section E
§ 7:1060 Importance
§ 7:1070 Claims Administrator
§ 7:1080 Injured Worker
§ 7:1090 Counselor
b. Section G
§ 7:1100 Signatures
VIII. Modification
§ 7:1110 Necessity
§ 7:1120 Plans Not Previously Requiring Rehabilitation Unit Approval
Chapter 8 Vocational Exploration
I. Introduction
A. Importance
§ 8:10 Role of Exploration in Counseling
§ 8:20 Injured Worker’s Concern
B. Counselor’s Role
§ 8:30 Provide Options
§ 8:40 Educate Worker
§ 8:50 Explain Parameters
§ 8:60 Address Problems
§ 8:70 Counsel, Advise, Motivate
§ 8:80 Contact Worker’s Attorney
§ 8:90 Research New Job Titles
C. Disputes
1. Introduction
§ 8:100 Recognizing Problems
§ 8:110 Review Issues With Worker
2. Resolution
§ 8:120 Difficulty
§ 8:130 Effect on Vocational Feasibility
§ 8:140 Procedure
§ 8:150 Informal Conferences
§ 8:150.10 When Held
§ 8:150.20 Possible Outcomes
§ 8:150.30 Informal Conference as Prerequisite to Formal Conference
§ 8:150.40 Cost and Scheduling Considerations
§ 8:160 Formal Conference
D. Specific Issues
1. Change of Employers or Jobs
§ 8:170 Nature of Problem
§ 8:180 Counselor’s Options
§ 8:180.10 Offering Inappropriate Job
§ 8:180.20 Advise Worker of Options
2. Physical Restrictions
§ 8:190 Worker’s Inability to Accept
§ 8:200 Risk of Ignoring Issue
§ 8:210 Effect on Interest
§ 8:220 Counselor’s Role
§ 8:220.10 Review Medical Reports With Worker
§ 8:220.20 Direct Worker to Physician
§ 8:220.30 Perform Work Evaluation
3. Wages
§ 8:230 Acceptance of Low Wages
§ 8:240 Relationship to Experience or Training
§ 8:250 Counselor’s Options
4. Expenses
a. Living Expenses
§ 8:260 Labor Code § 139.5
§ 8:260.10 Injuries After 1993
§ 8:260.20 Injuries Before 1994
§ 8:270 Purpose; Worker’s Burden of Proof
§ 8:280 What Constitutes Living Expenses
b. Childcare
§ 8:290 Authority
§ 8:300 Case Interpretation
§ 8:310 Counselor’s Recommendation
§ 8:320 Employer’s Responsibility
c. Clothing Allowance
§ 8:330 Authority
§ 8:340 Interviewing and Safety
d. Tools and Equipment
§ 8:350 Employer Must Bear Costs
§ 8:360 Plan Documentation Requirements
§ 8:370 Legal Prohibition
§ 8:380 Ownership
§ 8:390 Tools Distinguished From Capital Expenditures
e. English as Second Language Training
§ 8:400 Effect of Language on Right to Rehabilitation
§ 8:410 When Appropriate
§ 8:420 Employer Liability
§ 8:430 When Training Occurs
§ 8:435 Interpreting Services
f. Relocation Expenses
§ 8:440 Authority
§ 8:450 Necessary to Return to Employment
§ 8:460 Worker’s Willingness to Pay
§ 8:470 Provision of Services During Relocation
§ 8:480 Multiple Relocations
§ 8:490 What Constitutes Reimbursable Relocation Expenses
§ 8:500 Reserved
5. Transportation
§ 8:510 Effect
§ 8:520 Geographical Range
§ 8:530 Authority for Expenses
§ 8:540 Worker’s Responsibility
§ 8:550 Employer’s Responsibility
§ 8:550.10 Payment in Advance
§ 8:550.20 Documentation
§ 8:560 Means of Travel
6. Interference of Other Factors
§ 8:570 Scheduling Problems
§ 8:580 Examples
§ 8:590 Counselor’s Options
§ 8:600 Irrelevant Factors
§ 8:610 Life Adjustments
§ 8:620 Appearance
7. Combination of Factors Limiting Alternatives
§ 8:630 Effect
§ 8:640 Counselor’s Options
E. Types of Plans
§ 8:650 Three Basic Types
§ 8:660 Immediate Return Preferred
II. Immediate Employability
A. Introduction
§ 8:670 Types of Plans
§ 8:670.10 Injuries After 1993
§ 8:680 Plan Requirements
§ 8:690 Return to Suitable Gainful Employment
§ 8:700 Establishing Employability
B. Direct Placement
1. Introduction
§ 8:710 When Preferred
§ 8:720 Assess Skills and Labor Market
§ 8:730 Plan Documentation
§ 8:740 Develop Plan Before Initiating Services
§ 8:750 Inability to Work with Particular Supervisor
§ 8:760 Evaluate Placement Activities and Worker’s Cooperation
§ 8:765 Undocumented Workers
2. Likelihood of Success
§ 8:770 Introduction
§ 8:780 Credentials or Licenses
§ 8:790 Reduction of Prior Duties
§ 8:800 Recent Work History
§ 8:810 Recent Training or Education
§ 8:820 Worker’s Attitude Toward Prior Job
§ 8:830 Prior Entry Level Employment
§ 8:840 Change of Industries
§ 8:850 Knowledge of Industry
§ 8:860 Skills Developed Through Hobbies
3. Second or Subsequent Plan
§ 8:870 Entitlement
§ 8:880 Injuries After 1993
§ 8:890 Injuries Between 1990-1993
§ 8:900 Injuries Before 1990
§ 8:910 Worker’s Burden
4. Finding Placement
§ 8:920 Present Alternatives to Worker
§ 8:930 Known Employer
C. On-the-Job Training
1. Introduction
§ 8:940 Definition
§ 8:950 When Appropriate
§ 8:960 Value
§ 8:970 Monitoring Training
2. Compensation
§ 8:980 Wages
3. Reimbursement to Training Employer
§ 8:990 From Insurance Company
§ 8:1000 Schedule
§ 8:1010 Billing
§ 8:1020 Employer Satisfaction With Worker
§ 8:1030 Monitoring
4. Agreement
a. Introduction
§ 8:1040 Information Required
§ 8:1050 Signature
§ 8:1060 Include With RU-102
b. Required Elements
§ 8:1070 Summary
§ 8:1080 Training Provided
§ 8:1090 Employer’s Responsibilities
§ 8:1100 Worker’s Responsibilities
§ 8:1110 Counselor’s Responsibilities
§ 8:1120 Work Restrictions
§ 8:1130 Employment Relationship
§ 8:1140 Employment Schedule
§ 8:1150 Overtime
§ 8:1160 Wages
§ 8:1170 Reimbursement of Employer
§ 8:1180 Reimbursement Schedule
§ 8:1190 Termination
5. Injury During OJT
§ 8:1200 Liability of New Employer Versus Original Employer
§ 8:1210 Rate of Temporary Disability
III. Training
A. Introduction
§ 8:1220 Identify Worker’s Options
§ 8:1230 Purpose
§ 8:1240 Standards
§ 8:1240.10 When to Consider
§ 8:1240.20 Probability of Success
§ 8:1240.30 Disputes
§ 8:1250 Financial Resources and Timing
§ 8:1260 Difficulty of Plan Development
B. School Selection
1. Introduction
§ 8:1270 Factors
§ 8:1280 Incentive to Use Public Schools
2. Community College Plans
§ 8:1290 Legislative Intent
§ 8:1300 Problems
3. Private Vocational Schools
§ 8:1310 State Approval
§ 8:1310.10 Structure of Bureau
§ 8:1310.20 Types of Schools
§ 8:1310.30 Application for Approval
§ 8:1310.40 Penalties for Noncompliance
§ 8:1320 Standards for Approval
§ 8:1320.10 General Standards
§ 8:1320.20 Placement Standards
§ 8:1330 Location
§ 8:1340 Curriculum
§ 8:1340.10 ESL Instruction
§ 8:1350 Enrollment Standards
§ 8:1360 Tuition and Costs
§ 8:1370 Diploma or Certificate of Completion
§ 8:1380 Disclosures
§ 8:1390 Placement Statistics
§ 8:1400 Mileage/Distance
§ 8:1410 Prior Problems
IV. Self-Employment
A. Introduction
§ 8:1420 When to Consider
§ 8:1430 Independent Contractor versus Employee
§ 8:1430.10 Indicia of Independent Contractor
§ 8:1430.20 Indicia of Employee
§ 8:1440 Explore Alternatives First
§ 8:1450 Required Independent Report
§ 8:1460 Standards
§ 8:1470 Plan Support Documentation
§ 8:1470.10 Worker’s Business Plan
§ 8:1470.20 Alternatives
§ 8:1470.30 Review of Proposal
§ 8:1470.40 Monitoring Period
§ 8:1470.50 Maintenance Allowance or Temporary Disability Payments
§ 8:1470.60 Monthly Reports by Worker
B. Business Alternatives
§ 8:1480 Types of Businesses
§ 8:1490 Initial Costs
§ 8:1500 Risk
C. Worker Characteristics
§ 8:1510 Difficulty of Evaluation
§ 8:1520 Personality
§ 8:1520.10 Necessary Characteristics
§ 8:1520.20 Assessment
§ 8:1520.30 Tests
§ 8:1530 Cooperation
§ 8:1540 Financial Status
§ 8:1550 Revealing Financial Information
§ 8:1560 Reasoning Ability
§ 8:1570 Language Skills
§ 8:1580 Mathematical Abilities
§ 8:1590 Credential or Licenses; Educational Requirements
§ 8:1600 Background and Experience
§ 8:1610 Organization Membership
§ 8:1620 Physical Abilities and Limitations
D. Business Plan
§ 8:1630 Documentation by Worker
§ 8:1640 Time Requirements
§ 8:1650 Description of Business
§ 8:1650.10 Competition
§ 8:1650.20 Targeted Clientele
§ 8:1650.30 Proposed Product or Service
§ 8:1650.40 Location
§ 8:1650.50 Staffing
§ 8:1650.60 Administrative Needs and Costs
§ 8:1660 Assess Strengths and Weaknesses
E. Financial Plan
§ 8:1670 Evaluation
§ 8:1680 Start-Up Costs
§ 8:1680.10 Insurance Carrier and Worker Liability
§ 8:1680.20 Deferring Capital Expenses
§ 8:1690 Assets and Liabilities
§ 8:1700 Cash Flow Analysis
§ 8:1700.10 Definition of “Cash Flow”
§ 8:1700.20 Significance
§ 8:1700.30 Documentation
§ 8:1700.40 Activity Flow Chart
V. Out-of-State Rehabilitation Plans
A. Introduction
§ 8:1710 No Liability
§ 8:1720 Suitable Gainful Employment
§ 8:1730 Vocational Feasibility in Rural Areas
§ 8:1740 Relocation After Training
§ 8:1750 Management Models
B. Date of Injury Determining Right to Benefits
§ 8:1760 Post-1994 Injuries
§ 8:1760.05 Relocation After Plan Initiation
§ 8:1760.10 Federal Privileges and Immunities Clause Violation
§ 8:1770 Injuries Before 1994
C. Researching Out of State
1. Information Needed Generally
§ 8:1780 Obtaining Needed Information
§ 8:1790 Understand Area
§ 8:1800 Do Research Before Meeting With Worker
§ 8:1810 Self-Employment
2. Sweetwater, Texas
a. Specific Topics
§ 8:1820 Location/Geography
§ 8:1830 Population
§ 8:1840 Age
§ 8:1850 Travel to Work
§ 8:1860 Employment Rates
§ 8:1870 Economic Status
§ 8:1880 Education
§ 8:1890 Income and Wages
b. Employment
§ 8:1900 Types of Employers
§ 8:1910 Types of Local Industry
§ 8:1920 Income From Agriculture
§ 8:1930 Employment Available
§ 8:1940 Training Alternatives
c. Plan Development
§ 8:1950 Program Chosen
§ 8:1960 Nature of Program
§ 8:1970 Staffing, Equipment
§ 8:1980 Exit Points and Opportunities
§ 8:1990 Relocation and Placement
§ 8:2000 Contact With Students
§ 8:2010 Labor Market Research
§ 8:2020 Plan Considerations
§ 8:2030 Plan Provisions
Chapter 9 Plan Implementation and Monitoring
I. Introduction
A. Beginning Implementation and Monitoring
§ 9:10 When
§ 9:20 Resolving Difficulties
B. Monitoring
§ 9:30 Components
§ 9:40 Duration, Location, Cost
§ 9:50 Counselor’s Responsibilities
§ 9:60 Level of Involvement
C. Progress Reports
1. Vocational Rehabilitation Progress Report: DWC RU-121
§ 9:70 Overview
§ 9:80 Authority
§ 9:90 Information Sought
2. Additional Reports
§ 9:100 Authority
D. Limitations on Cost of Benefits
§ 9:110 Injuries After 1993
§ 9:120 Injuries Before 1994
II. Problem Solving
A. Introduction
§ 9:130 Definition of “Problem”
§ 9:140 Whom to Involve
§ 9:150 Stages of Problem Solving
B. Identify Problem
§ 9:160 Types of Problems
§ 9:170 Evaluate Impact
§ 9:180 Advise Worker of Financial Limits
§ 9:190 Identify Cause
C. Identify Alternative Solutions
§ 9:200 Variables
§ 9:210 Propose Solution Based on Controllable Variables
§ 9:220 Hold Informal Conference When Necessary
III. Training Plans
A. Communication with School
§ 9:230 Importance
§ 9:240 Telephone Contact
§ 9:250 Performance Reports
§ 9:250.10 Contents
B. School Visits
§ 9:260 Importance
§ 9:270 Purpose
§ 9:280 Information to Obtain
§ 9:290 Discuss Problems
§ 9:300 Discuss Placement and Employability
§ 9:310 Meet With School Personnel
C. Problems
1. Introduction
§ 9:320 Common Problems
§ 9:330 Cause
§ 9:340 Contact With Injured Worker
2. Attendance
§ 9:350 Impact
§ 9:360 Untimely Payment of Transportation or Other Benefits
§ 9:370 Solutions
§ 9:380 Carrier’s Liability
§ 9:390 Relationship to Poor Performance
3. Performance
a. Introduction
§ 9:400 What Problems Indicate
§ 9:410 Cause
§ 9:420 Impact
b. Effort or Motivation
§ 9:430 Indicia
§ 9:440 Negative Indicia
§ 9:450 Positive Indicia
c. Adequacy of Instruction
§ 9:460 Methods to Evaluate
§ 9:470 Options
d. Inadequate Preparation
§ 9:480 New Plan
§ 9:490 Review Tests
§ 9:500 Solutions
§ 9:510 Recommend Change in Plan
e. Solutions
§ 9:520 Describe Worker’s Responsibility
§ 9:530 Possibilities
§ 9:540 Worker’s Inadequate Efforts to Resolve Problem
4. Physical Problems
a. Deteriorating Condition
§ 9:550 Identification
§ 9:560 Medical Treatment
§ 9:570 Second Plan
§ 9:570.10 Entitlement
§ 9:570.20 Evaluation
§ 9:570.30 Job Analysis
§ 9:580 Modifying Schooling
§ 9:580.10 Physical Accommodations
§ 9:580.20 Part-Time Instruction
b. Continued Physical Problems
§ 9:590 Review Documentation
§ 9:600 On Site Visit
§ 9:610 Modify Plan
§ 9:620 Part-Time Participation
§ 9:630 Vocational Unfeasibility
5. Transportation
§ 9:640 Effect
§ 9:650 Permanent Disability Advances for Vehicle
§ 9:660 Schools in Reasonable Walking Distance
§ 9:670 Have Another Student Transport Worker
§ 9:680 Public Transportation
§ 9:680.10 Problems
§ 9:680.20 Services to Disabled
6. Personal Problems
§ 9:690 Effect
§ 9:700 Effect of RU-102: Termination of Benefits
§ 9:710 Interrupting Services
§ 9:710.10 Disadvantages
§ 9:710.20 Duration
§ 9:710.30 RU-102 Amendment
§ 9:710.40 Carrier Credit
D. Coordination of Placement Efforts
§ 9:720 Responsibility for Placement
§ 9:730 Work With School
§ 9:740 Placement Report
IV. Direct Employment Plans
§ 9:750 Types of Plans
§ 9:760 Contact With Employer and Worker
§ 9:770 Discussions With Worker
§ 9:780 On-the-Job Training
V. Deferral or Interruption of Services
A. Introduction
§ 9:790 Authority
§ 9:800 Definitions
§ 9:810 Worker’s Request
§ 9:820 Notice From Claims Administrator
§ 9:830 Counselor Contact With Worker
§ 9:840 Employer’s Liability
B. Maintenance and Disability Payments
§ 9:850 Interruption of VRMA/VRTD
§ 9:850.10 Notice that Benefits are Ending
§ 9:860 Disability Payments
§ 9:860.10 Notice
C. Attitude of Claims Professionals
§ 9:870 Introduction
§ 9:880 Discourage Interruptions
§ 9:890 Encourage Interruptions
D. After Offer of Modified or Alternate Work
§ 9:900 Injuries After 1993
§ 9:900.10 Deferral
§ 9:900.20 Interruption
§ 9:910 Injuries Between 1990-1993
E. Agreement by Parties
§ 9:920 Introduction
§ 9:930 Injuries After 1993
§ 9:940 Injuries Between 1990-1993
§ 9:950 Reserved
F. Number and Duration
§ 9:960 Injuries After 1993
§ 9:970 Injuries Between 1990-1993
§ 9:980 Reserved
G. Resumption of Benefits
1. Request
a. Introduction
§ 9:990 Time Limitations
§ 9:1000 Worker’s Obligation
§ 9:1010 Reserved
§ 9:1020 Worker’s Refusal to Cooperate
§ 9:1020.10 Vocational Feasibility
§ 9:1020.20 Maintenance Allowance
b. Form
§ 9:1030 Injuries After 1993
§ 9:1040 Reserved
2. Resumption of Benefits
a. Requirement Generally
§ 9:1050 When Benefits Resumed
§ 9:1050.10 Injuries After 1993
§ 9:1050.20 Injuries Between 1990-1993
§ 9:1060 Notice of Resumed Benefit Payment
b. Employer’s Delay
§ 9:1070 Choice of Counselor
§ 9:1080 VRMA
VI. Breach
A. Introduction
§ 9:1090 RU-102 Plan Agreement
§ 9:1100 Claims Administrator’s Obligations
§ 9:1110 Injured Worker’s Responsibilities
B. Breach by Employee
§ 9:1115 Employee Breaches and Employer Options
1. Termination of Benefits for Serious Breaches
a. Failure to Complete Plan
§ 9:1120 Injuries After 1989
§ 9:1130 Injuries Before 1990
b. Injuries Before 1990: “Material Breach”
§ 9:1140 Reserved
§ 9:1150 Reserved
2. Failure to Cooperate
§ 9:1160 Injuries After 1989: Withholding VRMA
§ 9:1170 Reserved
3. Failure to Participate
a. Introduction
§ 9:1180 Importance of Participation
b. Injuries After 1989: Withholding VRMA
§ 9:1190 Authority
§ 9:1210 Procedure
§ 9:1220 Notice
§ 9:1230 Timing of Termination
§ 9:1240 Opportunity to Object
§ 9:1250 Worker’s Statement of Position
§ 9:1260 Rehabilitation Unit Hearing and Determination
c. Injuries Before 1990: Withholding VRTD
§ 9:1270 VRTD Dependent on Participation
4. Relocation After Plan Initiation/Agreement
§ 9:1275 Administrative Guidelines
C. Breach by Employer
1. Delay
§ 9:1280 Introduction
§ 9:1290 Injuries After 1993
§ 9:1290.10 Pamphlet Advising Worker of Rights
§ 9:1290.20 VRMA
2. Failure to Provide Services
§ 9:1300 Injuries After 1993
§ 9:1300.10 Second Plan Within Cap
§ 9:1300.20 Second Plan Exceeding Cap
§ 9:1310 Injuries Between 1990-1993
§ 9:1320 Reserved
Chapter 10 Placement Services
I. Introduction
A. Introduction
§ 10:10 Nature of Placement
§ 10:20 Voluntary Participation
§ 10:30 When Initiated
§ 10:40 Relationship to “Suitable Gainful Employment”
B. Responsibilities
§ 10:50 Common Disagreement Between Counselor and Worker
§ 10:60 Role of Rehabilitation System
§ 10:70 New Role for Worker
C. Reports
§ 10:80 Requirement
§ 10:90 Billing
§ 10:100 Assessing Success and Failure
§ 10:110 More Detailed Reports
D. Injuries After 1993: Limitations on Duration and Cost
§ 10:120 Time Limits
§ 10:130 [Reserved]
II. Preparing for Placement
A. Introduction
§ 10:140 Importance
§ 10:150 Payments Due Worker
B. Defining Goals
§ 10:160 Introduction
§ 10:170 Targeting Goals
§ 10:180 Role of Rehabilitation Plan (RU-102)
§ 10:190 Inventory Skills
C. Problem Areas
§ 10:200 Change in Worker’s Expectations
§ 10:210 Wages
§ 10:220 Benefits
§ 10:230 Entry Level Positions
§ 10:240 Working Hours
§ 10:250 Overtime
§ 10:260 Geographical Range
§ 10:270 Work Restrictions
§ 10:280 Issues Specific to Worker
§ 10:290 Transportation
D. Resources for Job Search
§ 10:300 Classified Ads
§ 10:310 Labor Market Surveys
§ 10:320 Directories
E. Training Interviews
§ 10:330 Videotape and Review
§ 10:340 Evaluation
III. Establishing Legal Permission to Work in United States
§ 10:350 Necessity
§ 10:360 Counselor’s Responsibilities
§ 10:370 Form I-9
§ 10:380 Documentation
§ 10:380.10 Identity
§ 10:380.20 Employment Eligibility
§ 10:380.30 Lack of or Expired Documentation
IV. Counselor’s Responsibilities
A. Introduction
§ 10:390 Working with Injured Worker
§ 10:400 Standards
§ 10:410 Support
§ 10:420 Meetings
§ 10:430 Documentation
§ 10:440 Follow-Up
§ 10:450 Teaching
B. Providing Resources
§ 10:460 Resources to Provide
§ 10:470 Job Leads
C. Job Seeking Skills
§ 10:480 Introduction
§ 10:490 Prerequisites
§ 10:500 What Counselor Provides
§ 10:510 Training
V. Injured Worker’s Responsibilities
A. Introduction
§ 10:520 Primary Responsibility for Placement
§ 10:530 Participation
§ 10:540 Meeting with Counselor
§ 10:550 Documentation
§ 10:550.10 Use
§ 10:560 Active Job Search
B. Contact With Employers
§ 10:570 Worker Should Contact
§ 10:580 24-Hour Follow-Up
§ 10:590 7-Day Follow-Up
VI. Problem Solving
§ 10:600 Types of Problems
§ 10:610 Labor Market
§ 10:610.10 Investigation
§ 10:610.20 Solutions
§ 10:620 Worker Participation
§ 10:620.10 Investigation
§ 10:620.20 Solutions
§ 10:630 Inadequate Skills or Preparation
§ 10:630.10 Investigation
§ 10:630.20 Solutions
VII. Reimbursable Expenses
§ 10:640 Review With Injured Worker
§ 10:650 Expenses Paid During Training
§ 10:660 Expenses Unique to Placement
§ 10:670 Long Distance and Toll Calls
§ 10:670.10 Log
§ 10:680 Resumes and Other Documents
§ 10:680.10 Copying
§ 10:680.20 Mailing
§ 10:680.30 Documentation
§ 10:690 Transportation
VIII. Job Seeking
A. Introduction
§ 10:700 Interviewing Skill Level
§ 10:710 Attire
B. Resume Development
§ 10:720 Purpose
§ 10:730 Role
§ 10:740 Goal
§ 10:750 Review Often
§ 10:760 Format
§ 10:770 Employment Goal
§ 10:780 Keep Employment Goal in Mind
§ 10:790 Emphasize Assets
§ 10:800 Minimize Weaknesses
§ 10:800.10 Dates
§ 10:800.20 Wage Information
§ 10:800.30 Telephone Numbers
C. Initial Contact with Employers
§ 10:810 Cold Calls
§ 10:820 Which Employers to Contact
§ 10:830 No Openings
§ 10:840 Advertised Openings
D. Completing Applications
§ 10:850 Importance
§ 10:860 Purpose
§ 10:870 Ability to Complete
§ 10:880 Information to Provide
§ 10:890 Positive Statements
§ 10:900 Physical Ability
§ 10:900.10 Legal Restrictions
§ 10:910 Evaluating Application
E. Interviews
1. Introduction
§ 10:920 Purpose
§ 10:930 Phases
§ 10:940 Scripting Interviews
2. Documentation to Bring
§ 10:950 Introduction
§ 10:960 Specific Jobs
3. Illegal and Difficult Questions
§ 10:970 Introduction
§ 10:980 Physical Ability to Perform Job
§ 10:990 Why Worker Left Previous Job
4. Attitude
§ 10:1000 Introduction
§ 10:1010 Work Generally
§ 10:1020 Specific Job
§ 10:1030 Competence and Experience
§ 10:1030.10 Addressing Lack of Experience
§ 10:1040 Reliability and Attendance
§ 10:1050 Wages
5. Feedback from Employers
§ 10:1060 When to Seek
§ 10:1070 What to Seek
§ 10:1080 Using Feedback
IX. Evaluating Adequacy of Services
§ 10:1090 Who Evaluates
§ 10:1100 Reports
§ 10:1110 Failure of Placement
§ 10:1110.10 Injuries After 1993
§ 10:1110.20 Injuries Before 1994
Chapter 11 Terminating Liability
I. Introduction
§11:10 Settlement of Exposure
§11:20 Termination of Liability
II. Settlement
§11:30 General Rule
§11:30.01 Issues
§11:40 Compromise and Release Agreements
§11:40.01 Senate Bill 1965
§11:40.02 Estrada v. Wcab (1997)
§11:40.03 Impact of Estrada
§11:40.04 Judicial Modification of C&R Agreements
§11:40.05 Stipulations
§11:40.06 Judicial Estoppel
§11:40.07 Stipulations in Vocational Rehabilitation
§11:40.07.01 Medical Eligibility
§11:40.07.02 Completion of Vocational Rehabilitation
§11:40.07.03 Compensability
§11:50 Thomas Waivers
§11:50.01 Thomas v. Sports Chalet
§11:50.02 Nature and Extent of Injury
§11:50.03 Specific Finding
§11:60 Rodgers Waivers
§11:60.01 Public Policy
§11:60.02 Evaluation of a Waiver
§11:60.03 Did the Injury Arise From Vocational Rehabilitation?
§11:60.03.01 Course of Employment
§11:60.03.02 Different Injuries
§11:60.04 The “Totality of Circumstances” Test.
§11:60.04.01 Language of the Agreement
§11:60.04.02 Representation by Counsel
§11:60.05 Specific Finding of Adequacy
III. Credit
§11:70 Introduction
§11:80 Credit for Overpayment
§11:90 Third Party Credit
§11:90.01 Extent of Credit
§11:90.02 Exceptions
§11:90.03 Protection of Employer
§11:90.04 Notice
§11:90.05 Lien or Intervention
IV. Termination of Liability
§11:100 Termination of Liability
§11:110 Procedures for Termination of Liability
§11:110.01 Filing for Termination
§11:110.01.01 Termination v. Denial v. Interruption
§11:110.01.02 Timeliness
§11:110.01.03 Termination Form
§11:110.01.03.01 Ru-105
§11:110.01.04 Service
§11:110.01.05 Documents Required (All)
§11:110.01.06 Additional Documents
§11:110.02 Objection to Termination
§11:110.02.01 Timeliness
§11:110.02.02 Form
§11:110.02.03 Service
§11:110.02.04 Waiver of Defects
§11:110.03 Rehabilitation Unit Action
§11:110.04 Presumption v. “Shall Terminate”
§11:120 Declination
§11:120.01 Labor Code § 4641
§11:120.02 Prerequisites
§11:120.03 Notice of Potential Eligibility
§11:120.04 Forms
§11:120.04.01 Ru-107a
§11:120.04.02 Ru-107
§11:120.04.03 Rb-107
§11:120.05 Failure to Request Termination
§11:120.06 Reopening
§11:120.06.01 Timeliness
§11:120.06.02 Administrative Guidelines 8-30-01.3
§11:120.06.02.01 Prior To 1/1/90
§11:120.06.02.02 After 1/1/90
§11:120.06.03 Unlawful Settlement
§11:120.06.04 Coercion
§11:120.06.05 Inadequate Understanding
§11:120.06.06 Change of Circumstances
§11:130 Completion of Plan
§11:130.01 Definition of Completion
§11:130.02 Ratification of the Plan
§11:130.03 Termination of Benefits
§11:130.04 Final Report
§11:130.05 Reopening
§11:130.05.01 Timeliness
§11:130.05.02 Presumption
§11:130.05.03 Administrative Guidelines 8-50-01.1
§11:130.05.04 Bases for Reopening
§11:130.05.05 Analysis of Codes
§11:130.05.05.01 Labor Code
§ 5410
§11:130.05.05.02 Labor Code
§ 4644(c)
§11:130.05.05.03 Labor Code
§ 4644(d)
§11:130.05.05.04 Labor Code
§ 4644(e)
§11:130.05.05.05 Labor Code
§ 4644(f )
§11:130.06 Analysis of Cases
§11:130.06.01 Cases: Training Plans
§11:130.06.02 Cases: Direct Placement
§11:140 Unreasonable Failure to Complete Plan
§11:140.01 Plan
§11:140.02 Nonparticipation
§11:140.03 Termination of Benefits
§11:140.03.01 Intent to Withhold
§11:140.03.02 Objection
§11:140.03.03 Hearing and Determination
§11:140.03.04 Termination of Benefits
§11:140.03.05 Ru-105
§11:140.04 Final Report
§11:140.05 Unreasonableness
§11:140.06 Reopening
§11:140.06.01 Timeliness
§11:140.06.02 Presumption
§11:140.06.03 Bases for Reopening
§11:140.06.04 Analysis of Codes
§11:140.06.04.01 Labor Code § 5410
§11:140.06.04.02 Labor Code § 4644(c)
§11:140.06.04.03 Labor Code § 4644(d)
§11:140.06.04.04 Labor Code § 4644(e)
§11:140.06.04.05 Labor Code § 4644(f)
§11:140.06.05 Analysis of Cases
§11:150 Benefits Not Requested
§11:150.01 Elements
§11:150.02 Notice of Potential Eligibility
§11:150.03 Reminder Notice
§11:150.04 Request
§11:150.05 Termination
§11:150.06 Reopening
§11:150.06.01 Timeliness
§11:150.06.02 Labor Code § 4644
§11:150.06.03 Failure to Comprehend
§11:160 Offers of Alternative or Modified Work
§11:160.01 Types of Offers
§11:160.02 Termination Procedures
§11:160.03 Reopening
§11:160.03.01 Timeliness
§11:160.03.02 Henry v. Wcab (1998)
§11:160.03.03 Labor Code § 4644(f)
§11:160.03.04 Labor Code § 132a
§11:160.03.05 Labor Code § 5410
Chapter 12 Reopening Rehabilitation Services
I. Introduction
§ 12:10 Elements
§ 12:10.10 Jurisdiction
§ 12:10.20 Request for Reopening
§ 12:10.30 Basis for Reopening
§ 12:10.40 General Purposes
§ 12:10.40.10 No Liberal Construction
§ 12:10.40.20 Labor Code § 5405.5
§ 12:10.40.30 Interpretation of Statutes
§ 12:20 Issue Preclusion
II. Jurisdiction
§ 12:30 Applicable Labor Codes
§ 12:30.10 Jurisdictional Statutes
§ 12:30.20 Statutes of Limitations
§ 12:40 Initial Request
§ 12:40.10 Cases Not Allowing Reopening
§ 12:40.20 Cases Allowing Reopening
§ 12:50 Preservation of Jurisdiction
§ 12:50.10 Inability to Participate
§ 12:50.20 Administrative Closure
§ 12:50.30 Interruption v. Closure
§ 12:50.40 Failure to Give Notice
§ 12:50.50 Appeal/Pending Action
III. Basis for Reopening
§ 12:60 Introduction
§ 12:60.10 Reopening v. Reinstatement
§ 12:60.20 Good Cause
§ 12:70 Denial of Services
§ 12:70.10 Medical Eligibility
§ 12:70.20 Vocational Feasibility
§ 12:80 Termination of Services
§ 12:80.10 Completion of Plan or Unreasonable Failure to Complete Plan
§ 12:80.20 Alternate/ Modified Work
§ 12:80.30 Declination
§ 12:80.40 Failure to Request
§ 12:90 Interruption of Benefits
§ 12:100 No Activity
Appendix A: Forms
Appendix B: Case Summaries
Appendix C: Addresses
Appendix D: Regulations
Appendix E: Rehabilitation Unit Administrative Guidelines
Appendix F: California Standards Governing Timeliness and Quality of Vocational
Rehabilitation Services
Index |
