Workers Compensation Terms and Definitions

Claims Administrator This is the term for insurance companies and others who handle your workers' compensation claim. Claim Form A form to report a work injury or illness to your employer. Uninsured Employers Fund (UEF) If your employer is illegally uninsured, this fund may provide benefits to you. Panel Qualified Medical Evaluator A list of three independent qualified medical evaluators issued by the state Industrial Medical Council. You select any one of the three doctors for your evaluation. This is for workers not represented by an attorney. Transportation Expenses A benefit to cover your out-of-pocket expenses for mileage, parking, and toll fees related to a claim, usually a reimbursement. Consultative Rating A rating of permanent disability provided by the DWC Disability Evaluation Unit when a claim is litigated or if the injured worker has an attorney. See Permanent Disability Rating. State Disability Insurance (SDI): A branch of the Employment Development Department that pays temporary disability benefits for non-industrial injuries or illnesses. Agreed Medical Examiner (AME) A physician selected by your attorney and the claims administrator who conducts a medical evaluation and submits a comprehensive report to the parties. Wage Loss Temporary disability benefits that may be paid when an employee returns to work at less than full earnings. Also known as Temporary Partial Disability (TPD). Settlement A workers' compensation cases may be settled in one of two ways, by a Compromise and Release (C&R) or by a Stipulation with Request for Award (Stip). A C&R usually settles all outstanding issues in a claim for a single lump sum payment. A Stipulation may leave certain issues open, such as future medical treatment and/or vocational rehabilition.

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	Did You Know?
	Brake and clutch repair work in the general industry standard is the activity engaged in by the largest group of asbestos exposed workers Brake and clutch repair work in the general industry standard is the activity engaged in by the largest group of asbestos exposed workers, although most of them are exposed sporadically and at low levels. Next largest are custodial workers who do not perform their duties as part of construction activities, but clean surfaces, sweep, buff, vacuum floors, and wash walls and windows in manufacturing plants and a wide variety of public and commercial buildings.