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Massachusetts Agreement That No Impartial Physician Report is Required for Workers' Compensation

State:
Massachusetts
Control #:
MA-164-WC
Format:
PDF
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Description

This is one of the official Workers' Compensation forms for the state of Massachusetts.

Massachusetts Agreement That No Impartial Physician Report is Required for Workers' Compensation is an agreement between employer and employee that stipulates that, due to a lack of an impartial physician report, no workers' compensation benefits will be paid out. This type of agreement is typically used when there is a dispute over the extent of the injury or illness, or when the employee has been discharged from employment. There are two types of Massachusetts Agreement That No Impartial Physician Report is Required for Workers' Compensation: voluntary and involuntary. Voluntary agreements are when both the employer and employee voluntarily agree to not file a workers' compensation claim, while involuntary agreements are when the employer has unilaterally decided to not file a claim. In either case, the employee is not eligible for benefits, and the employer is not obligated to pay any expenses associated with the injury or illness.

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FAQ

Section 19 states, in part: ?any payment of compensation shall be by written agreement by the parties and subject to the approval of the department. Any other questions arising under this chapter may be so settled by agreement.

A Panel Qualified Medical Evaluator (PQME) is a doctor who is supposed to be neutral.

An agreed medical evaluation AME is an examination performed by an independent physician instead of by the doctor who is currently treating you. The purpose of an AME is to establish the extent of a worker's injury or disability in a workers' compensation claim.

All employers operating in Massachusetts are required to carry workers' compensation insurance for their employees and themselves if they are an employee of their company. The requirement applies no matter the number of hours worked or the number of employees.

The payment without prejudice period refers to the first 180 days following the injury in which the worker receives benefits without the insurer accepting liability. During this period, workers should remember: Payment does not equal liability. Weekly compensation may change.

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Massachusetts Agreement That No Impartial Physician Report is Required for Workers' Compensation