Test Study 3

Question 1

How much time does an insurer have to respond to the attending physicians request for palliative care?

Answer 1

30 days from receipt of request

Question 2

Elements of a compensable aggravation claim?

Answer 2

Actual worsening 
after last arrangement of compensation
of accepted condition
established by medical evidence 
supported by objective findings

Question 3

How many years does an injured worker have to file an aggravation on a disabling claim?

Answer 3

5 years from the date of first notice.

Question 4

How many years does an injured worker have to file an aggravation on a nondisabling claim

Answer 4

5 years from the date of injury

Question 5

How many days does an adjuster have to issue a decision in an aggravation claim?

Answer 5

60 days from receipt of request to reopen claim.

Question 6

When a worker is represented by an attorney, when does the insurer need to provide discoverable documents?

Answer 6

14 days from the receipt of the attorneys discovery request.

Question 7

How many days does an insurer have to pay a claims disposition agreement (CDA) once it has been approved?

Answer 7

14 from the receipt of the approved order from WCB

Question 8

What is the only benefit a worker cannot settle when agreeing to a claim disposition agreement (CDA)

Answer 8

Medical benefits

Question 9

In what situation can an insurer request suspension of benefits from WCD?

Answer 9

Worker commits insanitary or injurious acts
fails to attend or cooperate with an IME
fails or refuses to cooperate with investigation
fails or refuses to accept recommended medical treatment

Question 10

Which of the following items of information must be included in the Notice of Acceptance?

Answer 10

• Compensable conditions
• Disabling or nondisabling status
• Employment reinstatement rights

Question 11

How many days prior to an IME appointment must the adjuster notify the injured worker of the scheduled exam?

Answer 11

10 days