PERMANENT DISABILITY RATING, 2005 SCHEDULE (SB 899)

This is WorkCompCentral's Permanent Disability Rating Calculator based on the Permanent Disability Rating Schedule effective 1/01/2005. It assumes the physician has provided a Whole Body Impairment Rating pursuant to the AMA Guides 5^th Ed. Multiple disabilities can be added after calculating the first disability.

§4658(d)(2)&(3)

This calculator accommodates the return to work incentive of +/− 15%. Depending on the data entered the results displayed will be either an increase or decrease in the weekly PD indemnity payment, and totals.

Senate Bill No. 863

This calculator also accommodates the changes required by SB 863 for injuries occuring on or after January 1, 2013. You may also use the PDRS SB 863 calculator for injuries occuring on or after that date.

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Date of birth:
Date of injury:
Choose a Chapter and Table here to limit the following menus to only those injuries and impairment numbers associated with that chapter and table. This menu is optional and not required for calculation. It is here to help you find the appropriate impairment number.
AMA Chapter & Table (optional):
Table Name:
Choose an impairment by it's number or body system name.

Choosing an item from one menu will cause the corresponding value to appear in the other menu.
Select impairment number:
Choose an impairment by it's number or body system name.

Choosing an item from one menu will cause the corresponding value to appear in the other menu.
Or, select injury name:
Body Side: n.a. Left Right
Whole Person (WPI) (or Standard): % ← Enter GAF: (converted as you type)
Click on this menu to find an occupation by it’s group number. Only the group number is required by the calculation.
Occupation by group number:
Click on this menu to find an occupation by it’s name. When chosen the group number will be displayed for you. The list is very long.
Or occupation by name:
Occupation description:
Percent industrial (apportionment): %
Average weekly earnings: $
§4658 Return To Work (RTW) Adjustments
Was job offered within 60 days of the P&S date, and the employer has 50 or more employees? Yes No
PD paid prior to RTW cutoff date: $

List of saved ratings:

Add rating to list for Multiple/Combined Disability:

Results:
Age for calculation (DOI):
Final formula:
Weeks of Indemnity:
Gross Indemnity:
$
Weekly Comp Rate:
$
Life Pension Weekly Rate:
$

Return To Work Adjustments with 15% increase on remaining indemnity
Weeks Remaining:
Gross Indemnity:
$
Indemnity Remaining:
$
Weekly Comp Rate:
$

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c/o Business Insurance Holdings, Inc.

PO Box 1010
Greenwich, CT 06836

(805) 484-0333

PERMANENT DISABILITY RATING, 2005 SCHEDULE (SB 899)

§4658(d)(2)&(3)

Senate Bill No. 863

Results:

Return To Work Adjustments with 15% increase on remaining indemnity

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