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STAY INFORMED
Table of Contents
Primary Item (H2)
Sub Item 1 (H3)
Sub Item 2 (H4)
Sub Item 3 (H5)
Sub Item 4 (H6)
Abbreviation List
Appeals' Panel Manual
Compensability Issues
Existence of Coverage (C01)
Existence of Employment Relationship (C02)
Timely Contest by Carrier (C03)
Contest by Employer (C04)
Date of Injury (C05)
Compensability / Injury (Existence) (C06)
Extent of Injury (C07)
Alcohol Intoxication (C08)
Drug Intoxication (C09)
Not in Course and Scope Because of Other Grounds (C10)
Willful Attempt to Injure (C11)
Act of Third Party / Personal Reasons (C12)
Voluntary Social / Recreational Activity (C13)
Compensability / Occupational Disease (C14)
Compensability / Mental Trauma (C15)
Compensability / Heart Attack (C16)
Reporting Injury to Employer (C17)
Filing Claim with Division (C18)
Extraterritorial Injury (C19)
Election of Remedies (C20)
Liability of Subsequent Injury Fund / Carrier Reimbursement (C21)
Other Compensability Issues (C00)
Death Benefits Issues
Identity of Legal Beneficiaries (D01)
Death Benefit Rate Calculation (D03)
Distribution of Death Benefits (D04)
Payment to Subsequent Injury Fund (D05)
Entitlement To and Amount of Burial Benefits (D06)
Other Death Benefits Issues (D00)
Employer Reimbursement Issues
Amount of Reimbursement (E01)
Entitlement to Reimbursement (E02)
Income Benefits Issues
Income Benefit Rate Calculation (I01)
Existence / Duration Disability Raised by Allegation of BFOE (I02)
Existence / Duration Disability Raised by Other Evidence (I03)
Income Benefits Accrual Date (I04)
Date of Maximum Medical Improvement (I06)
Impairment Rating (I07)
Required Medical Examination Request / Failure to Attend (I08)
Dispute of Designated Doctor MMI Date (I10)
Dispute of Designated Doctor Impairment Rating (I11)
Impairment Rating Finality / 90-Day Dispute (I12)
Reduction / Suspension (IIBs or SIBs) for Contribution from Prior Compensable Injury (I15)
Reduction / Suspension to Recoup Overpayment (I16)
Entitlement to Commutation of Impairment Income Benefits (I17)
Abandonment of Medical (I18)
Entitlement to Lifetime Income Benefits (I22)
Failure to Attend Designated Doctor Appointment (I24)
Entitlement to Multi-Employer Benefits (I25)
Supplemental Income Benefits / Initial (First) Quarter (I31) and Supplemental Income Benefits Subsequent Quarters (I32 - I39)
Supplemental Income Benefits / Loss of Entitlement (I40)
Supplemental Income Benefits / Timely Filing of Supplemental Income Benefits App (I41)
Supplemental Income Benefits / Carrier Timely Dispute (I42)
Improper Denial / Approval of a Designated Doctor Appointment (I53)
Other Income Benefits (I00)
Medical Benefits Issues
Compliance with Choice of Doctor Requirements (M01)
Reimbursement for Medical Travel Expenses (M02)
Timely Dispute of Treating Doctor (M03)
Procedural Issues
Admissibility of Evidence (P01)
Issue Not Previously Raised (P02)
Jurisdiction (P03)
Relief of Agreement (P04)
Other Procedural Issues (P00)
Wage Issues
Amount of Average Weekly Wage (W01)
Amount of Current Weekly Wage for Adjustment of Temporary Income Benefits (W02)
Amount of Offered Weekly Wage for Adjustment of Temporary Income Benefits (W03)
Amount of Current Weekly Wage for Calculation of Supplemental Income Benefits (W04)
Seasonal Average Weekly Wage Dispute (W05)
Multi-Employment Average Weekly Wage dispute. (W06)
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