The workers' compensation impairment rating guide helps determine the value of a work injury claim. Every year in the United States, over $60 billion is paid out to workers who are injured or fall ill at work. In Iowa, over 1,400 employees were covered by workers’ compensation in 2013, the latest year which has been reported. The system exists to protect those who are hurt on the job, and it helps many people are able to obtain the medical care and wages they need. Employees are able to use the workers’ compensation system if injured, regardless of fault. For employers, the system protects them against costly and time-consuming litigation. It can be a complicated endeavor, however, as the different injuries and impairments each equate to different benefits.
Workers’ Compensation Can Cover a Variety of Injuries and ImpairmentsWorkers’ compensation in Iowa offers six main categories to cover a wide array of injuries and illnesses. Benefits exist for:
- Temporary total disability
- Temporary partial disability
- Healing period
- Permanent partial disability
- Permanent total disability
These categories cover injuries that are fully recoverable and those that leave the employee with any degree of lifelong impairment. In either case, the injured worker must miss some amount of work to heal from the illness or injury. Workers’ compensation benefits can be obtained for varying amounts of time, depending on the exact nature of the injury and how long it will affect the employee.
Permanent Impairments Affect the Injured Worker for a LifetimeUnfortunately, in some cases, the illness or injury suffered on the job results in a permanent impairment. The employee can never recover fully enough to return to his physical state before the accident. Maximum recovery does not mean complete recovery in these cases. These impairments can be either partial or total, and they are defined by the state as:
- Permanent total disability (PTD). The employee cannot return to employment due to the extent of the injury.
- Permanent partial disability (PPD). The employee can return to employment. However, he suffers from some level of permanent disability and may not be able to return to the same job as before the accident or injury.
PPD benefits are further divided into two categories: schedule member disabilities and industrial disability. Schedule member disability refers to specific body parts, and the state has set a specific number of weeks for benefits to be paid depending on which body part is affected. An industrial disability is known as a “body as a whole” disability. Common industrial disabilities include injuries to the neck and back.
Calculating Compensation for a Permanent Impairment in Iowa
Every case is unique, and the payments for each injured employee can be very different. It is necessary when pursuing a workers’ compensation claim to have each injury evaluated to determine the amount of compensation that is appropriate. The first step is a medical evaluation by a doctor. The doctor will determine an injured worker’s percentage of disability, or what is known as an impairment rating. This rating is determined once the employee has recovered from the injury as much as is possible, and it reflects how much the injury decreases one’s ability to perform common daily activities. The injured worker can request a second opinion if he disagrees or is unhappy with the determination of the initial physician. The employer or its insurance company would incur the cost of the second opinion, as well.
Using the Workers' Compensation Impairment Rating Guide
Many states support the use of the American Medical Association’s Guides to the Evaluation of Permanent Impairment to assess the impairment rating. While some states have included the use of these guides into law, Iowa has not. In rule 876—2.4(85,86), the state indicates use of the fifth edition of this guide as a tool, though specifically states that it is not binding on the Workers’ Compensation Commission. The commission will have the final say on the extent of the impairment, which could result in more or less compensation than suggested by the AMA.