Law Office of Steven A. Sigmond
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How can I get treatment needed? They will not allow me to use my insurance due to workers comp case.  


Needing to see a specialist but the Sedgwick representative for my employers workers comp cases will not authorize. 


Steven’s Answer on March 4, 2016

You need an attorney.

This is not an uncommon situation. Workers comp insurance denies approval for procedures that doctors have ordered, hoping that the injured worker will simply give up and come back to work. Your attorney can press them to take a position, which will put you in line to either get the procedure approved by comp or covered by health insurance.. .

Are lawyer fees (in workers comp) regulated in Illinois?


What can I expect to pay a lawyer for a workers compensation case? If it's done by a percentage of the decided settlement, is that percentage regulated in some way? 40%, 50%, 60%...? How do we know if or when we are paying a reasonable amount?


Steven’s Answer  January 1,2016

In Illinois, attorney fees in Workers Comp is regulated, and limited to 20% of the gross award. The state publishes a fee contract, and every attorney in the state doing workers comp uses the same contract and charges the same fee. When filing a new case, the attorney must also file the fee contract. Therefore, the injured worker does not need to worry about what he's going to pay when choosing a lawyer. The injured worker can simply pick the attorney that he or she feels most comfortable with.


Does workers comp have to pay me a settlement now that I had to have surgery?


Steven’s Answer December 29 at 3:16pm

​YES, assuming that your case is compensable, and it would appear that it is, you are entitled to a settlement or award for the permanent partial disability.

There are three main areas of benefits that you are entitled to: Payment of medical bills, payment of TTD at the rate of 2/3 your average weekly wage, and a permanency settlement. I'm not surprised that nobody has discussed the third element with you. It is not uncommon for insurance carriers to pay the first two routinely and never mention the third.

Now ask yourself this: If they never bothered to mention it, are they going to automatically pay you a fair amount as soon as you ask? I wouldn't go so far as to say they HAVE TO. I'd say that you are entitled to a significant sum, and you need an attorney to make sure that you get what you deserve.








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