QME Exam Questions and Correct Answers | Latest Update
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Course
QME
Institution
QME
when was the 1st work comp act passed?
~:- 1911, SEVENTEEN DAYS AFTER THE DEVISTATING FIRE AT THE TRIANGLE
SHIRTWAIST COMPANY FACTORY IN NEW YORK TOOK 146 LIVES
WHAT ARE THE 3 COMPONENTS OF THE WORK COMP SYSTEM
~:- 1. NO FAULT
2. EXCLUSIVE REMEDY
3. ASSURED FIXED BENEFIT
NO FAULT
~:- e ...
Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025
QME Exam Questions and Correct
Answers | Latest Update
when was the 1st work comp act passed?
✓ ~:- 1911, SEVENTEEN DAYS AFTER THE DEVISTATING FIRE AT THE TRIANGLE
SHIRTWAIST COMPANY FACTORY IN NEW YORK TOOK 146 LIVES
WHAT ARE THE 3 COMPONENTS OF THE WORK COMP SYSTEM
✓ ~:- 1. NO FAULT
2. EXCLUSIVE REMEDY
3. ASSURED FIXED BENEFIT
NO FAULT
✓ ~:- e employer is required to pay benefits no matter who caused the
injury, as long as the injury arose out of or occurred in the course of
employment.
EXCLUSIVE REMEDY
✓ ~:- less the employer is uninsured, the worker cannot pursue other
forms of recovery from the employer, even if the employer was grossly
negligent.
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025
ASSURED AND FIXED BENEFIT
✓ ~:- The workers' compensation system establishes defined benefits,
which must be paid for by the employer. Workers' compensation
awards are typically far less than comparable negligence awards in a
civil suit. For example, although the maximum workers' compensation
death benefit may be far less than the possible award in a civil
wrongful death suit, a civil action may take years to resolve while a
death claim can be re-solved in as little as a few months. Additional
recoveries are available to employees for an employer's serious and
willful misconduct and unlawful discrimination (Labor Code § 132a and
§ 4553). Although group health coverage may include arbitrary limits
on the extent of treatment covered, workers' compensation is a
statutory benefit with no arbitrary limits on the frequency, duration, or
extent of services.
WHAT TYPE OF INJYURIES ARE EXCLUDED
✓ ~:- deliberately self-inflicted injuries are excluded from coverage
WHAT HAPPENS IF THE INJURY IS DUE TO SERIOUS MISCONDUCT OF THE
EMPLOYER?
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025
✓ ~:- For injuries that result from the serious and willful misconduct of the
employer, the employee's compensation is increased by half
WHAT HAPPENS IF THE INJURY IS DUE TO SERIOUS MISCONDUCT OF THE
EMPLOYEE?
✓ ~:- For injuries that result from the serious and willful misconduct of the
injured employee, benefits are reduced by half, unless the injury
resulted in death or a per-manent disability of 70% or more; the injury
resulted from failure of the employer to comply with the law or safety
and health regulations; or the employee was under 16 years old at the
time of in-jury
WHAT MEASURES WERE ENACTED IN 2003 AND 2004
✓ ~:- measures were enacted that allowed employers (1) to establish
medical pro-vider networks—from which injured workers are required to
select treating doctors, (2) to conduct utilization review to ensure that
medical care was consistent with evidence-based guidelines, and (3)
to limit the amount of physical therapy and chiropractic treatment.
These measures also affect-ed permanent disability ratings and benefit
payments to injured workers. An evidence-based medi-cal treatment
utilization schedule (MTUS), or set of guidelines, was also adopted.
WHAT MEASURES WERE ENACTED IN 2013
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