In workers’ compensation, Primary Insurance Amount (PIA) is the maximum amount of money that an injured worker can receive in benefits each week. The PIA is based on the worker’s average weekly wage and their age at the time of the injury.
What is PIA Calculator?
The PIA is calculated using a formula that is set by each state. The formula typically takes into account the worker’s average weekly wage, their age at the time of the injury, and the state’s maximum weekly benefit amount.
For example, in California, the PIA formula is as follows:
PIA = (AWW x 0.9) x (58 + (A - 58) x 0.05)
Where:
- AWW = Average weekly wage
- A = Worker’s age at the time of the injury
The maximum weekly benefit amount in California is $1,170.
So, for example, a worker who is 40 years old and has an average weekly wage of $500 would have a PIA of $625.
PIA Applications
The PIA is used to calculate the amount of temporary disability benefits, permanent disability benefits, and death benefits that an injured worker can receive.
PIA Temporary Benefits
Temporary disability benefits are paid to workers who are unable to work due to a work-related injury. The amount of temporary disability benefits that a worker receives is based on their PIA.
PIA Permanent Benefits
Permanent disability benefits are paid to workers who have suffered a permanent injury that reduces their earning capacity. The amount of permanent disability benefits that a worker receives is based on their PIA and the severity of their injury.
PIA Death Benefits
Death benefits are paid to the dependents of a worker who has died as a result of a work-related injury. The amount of death benefits that a worker’s dependents receive is based on the worker’s PIA.
PIA Application Process
The process of applying for PIA benefits varies from state to state, but it typically includes the following steps:
- Report the injury to your employer as soon as possible.
- Obtain medical treatment for the injury.
- File a workers’ compensation claim with your employer’s insurance company.
- Attend a medical evaluation to determine the extent of your injury.
- Submit a request for PIA benefits to the workers’ compensation insurance company.
The workers’ compensation insurance company will review your request and make a decision on whether or not to approve your benefits. If your benefits are approved, you will begin receiving payments on a monthly basis.
If you are denied benefits, you may be able to appeal the decision. You should contact an attorney who specializes in workers’ compensation law if you need help appealing a denial of benefits.
Here are some additional tips for applying for PIA benefits:
- Keep good records of your injury, including medical records, accident reports, and any other documentation related to your injury.
- Be sure to follow all of the instructions from your employer and the workers’ compensation insurance company.
- Be patient. The process of applying for PIA benefits can take several months.
If you have been injured on the job, you should contact your employer’s workers’ compensation insurance company to file a claim. You may be eligible for PIA benefits.