Pennsylvania Dismemberment Chart

State:
Pennsylvania
Control #:
PA-SKU-4545
Format:
PDF
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Description

Dismemberment Chart

The Pennsylvania Dismemberment Chart is a tool used by medical professionals in the state of Pennsylvania to determine the amount of financial compensation owed to a person who has suffered a dismemberment. The chart is used to calculate disability benefits for a person who has lost the use of an arm, leg, hand, foot, toe, thumb, index finger, or other body part due to an accident or injury. The chart is based on the degree of disability, which is determined by the amount of use a person has lost in that particular body part. There are two types of Pennsylvania Dismemberment Chart: the Traditional Pennsylvania Dismemberment Chart and the Modified Pennsylvania Dismemberment Chart. The Traditional Pennsylvania Dismemberment Chart provides an exact dollar amount for the total amount of benefits a person is entitled to receive, based on the degree of disability. The Modified Pennsylvania Dismemberment Chart provides a range of benefits, based on the degree of disability, which is determined by a points system.

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FAQ

Section 306(a. 2) of the WC act requires the insurer to request an impairment rating evaluation within 60 days of the employe's receipt of 104 weeks of total disability benefits. The Department has interpreted this section to allow an insurer to request an evaluation 60 days prior to the expiration of the 104 weeks.

Section 305(d) provides: ?when any employer fails to secure the payment of compensation under this act as provided in sections 305 and 305.2, the injured employee or his dependents may proceed either under this act, or in a suit for damages at law as provided by Article II.?

Compensation Rate Tiers Average Weekly WageCompensation RateAbove $1,695Flat Rate of $1,130$1,695 ? $847.51? of Average Weekly Wage$847.50 ? $627.78Flat Rate of $565Below $627.7890% of Average Weekly Wage

SECTION 302(a): A contractor who subcontracts all or any part of a contract and his insurer shall be liable for the payment of compensation to the employees of the subcontractor unless the subcontractor primarily liable for the payment of such compensation has secured its payment as provided for in this act.

Under Section 307 of the Pennsylvania Workers' Compensation Act, in situations where a person is fatally injured in the course and scope of employment, compensation benefits are payable to the survivors of that person, typically, the widow/widower and their children.

Recurring Benefits Under the Workers' Comp Death Benefits If you are a widow or widower with no children, you are entitled to 51% of the weekly wages earned by your deceased loved one. If there is one child in the family, the amount increases to 60% of weekly wages.

Specific loss payments in Pennsylvania are paid out to the injured worker under the condition that you lost a body part or lost the ability to use the body part in question. The amount is based upon the body part that was lost or damaged and how much time you will miss from work due to the injury.

SECTION 306 (f.1)(1)(i) Should invasive surgery for an employee be prescribed by a physician or other health care provider so designated by the employer, the employee shall be permitted to receive an additional opinion from any health care provider of the employee's own choice.

More info

You should always complete this form when the insured or covered dependent suffers an accidental injury that results in a covered loss other than death. The following table shows losses that are covered and the corresponding benefit amount, which is shown as a percentage of the total coverage.For some losses, the full coverage amount is payable; for others, a portion of the coverage amount is payable. Insurance Types. Full-Time. Part-Time. The Authorization to Obtain and Release Information. Disabilitybased benefits begin the day after Unum approves your claim and the elimination period is completed. Insurance Types. Full-Time. Part-Time. IDA180 - Accidental Death and Dismemberment and Total and Permanent Disability Insurance, Purchase of. Are shown in the following chart. They offer complete freedom of choice of provider!

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Pennsylvania Dismemberment Chart