Key takeaways
When benefits stop, first identify exactly which benefit stopped and what written event preceded the change.
Records to put together
- Last benefit payment and period covered
- Most recent medical work-status note
- Benefit-change or termination notice
- Employer return-to-work or wage records
Questions to verify
- Did wage payments stop, medical authorization stop, or both?
- What reason is stated in writing?
- Did the work status or earnings change?
- What agency process reviews the change?
Important caution
Do not assume a missed check and a formal benefit termination are the same problem.
When a lawyer consultation may help
- A deadline, hearing, denial, or benefit change is close or disputed.
- The medical evidence and the insurer/employer position conflict.
- Permanent restrictions, settlement, third-party liability, employment status, or retaliation may affect the file.