This is one of the official Workers' Compensation forms for the state of Maine.
Maine Workers Comp Settlements Without Injury
State:
Maine
Control #:
ME-WCB-10-WC
Format:
PDF
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Description
How to fill out Maine Lump Sum Settlement For Workers' Compensation?
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FAQ
You must tell your employer (which can mean a supervisor or someone from management) that you were injured within 60 days of the injury. If your employer has selected a health care provider, you must go to your employer's health care provider for the first ten days of treatment.
The good news is no, you do not lose your benefits if you are fired. Your workers' compensation benefits do not end whether your employer has fired you or laid you off. The law requires that you continue to receive wage loss payments and medical benefits through your former employers' insurance company.
Your employer will pay you 2/3 of your average weekly wage. This is called your compensation rate. There is a limit on how much you can receive, and the limit is different for different dates of injury.
The maximum compensation rate for injuries on or after January 1, 2020 is 125% of the State Average Weekly Wage. Update for 2022: the state average weekly wage (SAWW) to $1,036.13. Provides that the maximum for injuries occurring July 1, 2022, through June 30, 2023, is $1295.16. States that the multiplier is 1.05298.
Regardless of your date of injury, if your incapacity is total, you may receive benefits for as long as you are unable to work.