Understanding the Supplemental Job Displacement Benefit
This is a benefit that many of us do not have a firm
grasp on because of the fact that it is not
considered until the conclusion of a case, and even
then it is not dealt with appropriately.
Title 8 of the California Code of Regulations,
Section 10133.56, points out the factors that are
required before an employee shall be eligible
for a supplemental job displacement benefit. They
are as follows:
- First, the Supplemental Job
Displacement Voucher (SJDV) applies
only to injuries occurring on or
after January 1, 2004.
- Secondly, the injury must cause
permanent partial disability.
- Third, within thirty days of the
termination of temporary disability
indemnity benefits, the Claims
Administrator does not offer
modified or alternative work in
accordance with Labor Code Section
4658.6; and
- Lastly, the injured employee does
not return to work for the
employer within sixty days of the
termination of temporary disability
benefits.
In every case, the above criteria must be met
before an injured worker is entitled to an SJDV. The
facts of the case must be reviewed carefully to make
certain each prong is satisfied. While in Court
recently at the Oakland WCAB, I overheard a
discussion among attorneys where they were arguing
over whether an applicant was entitled to an SJDV
where the parties were stipulating to a 15% PD
level. Applicant’s attorney was arguing vigorously
that the applicant was entitled to the SJDV solely
because he was left with a permanent disability.
Defense counsel was arguing the opposite in light of
the fact that the applicant had returned to work.
Although it is true that the existence of PD is one
prong that leads to a voucher, it is not the end of
the story. All of the above noted factors must be
met and, if not, it can be argued that the applicant
is not entitled to an SJDV.
In my opinion, the SJDV is not an issue that
should be left unresolved. If a case settles by way
of Compromise and Release and there is no language
in the Compromise and Release addressing the SJDV,
then it is likely that a claims administrator will
not provide a non-transferrable voucher to the
employee within twenty-five calendar days from
approval of the settlement documents. Tile 8 of the
California Code of Regulations, Section 10133.56(c)
states clearly that the claims administrator has
twenty-five calendar days from the issuance of the
permanent partial disability award to provide the
voucher to the employee. I have seen applicant’s
attorneys argue that a penalty situation arises if
the claims administrator delays in providing the
SJDV to the applicant within twenty-five days of an
award if, in fact, all the factors exist that
support applicant’s entitlement to a voucher. (This
article will not address the issue of whether a
Compromise and Release constitutes an "award" of
permanent disability.)
It is prudent to err on the side of caution and
to specifically deal with the SJDV at the time of
settlement. Listing the appropriate permanent
disability percentage in a Compromise and Release is
important for purposes of determining the value of
the voucher. Even it if it is ultimately determined
that failure to send out the voucher within
twenty-five calendar days is not grounds for a
penalty, there are certainly audit issues that would
impact the claims administrator.
|