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What Happens at a Workers Comp Permanency Hearing

August 7, 2025 by
Lewis Calvert

When you’ve been injured on the job and have reached maximum medical improvement (MMI), your workers’ compensation case may proceed to a permanency hearing. This critical step in the workers’ compensation process determines the extent of your permanent disability and the corresponding benefits you’re entitled to receive. Understanding what happens during this hearing can help you navigate this important legal proceeding with confidence.

The Purpose of a Workers Comp Permanency Hearing

A permanency hearing serves as the final determination in your workers’ compensation case. By this point, you’ve likely received medical treatment and temporary disability benefits while recovering. Now that your condition has stabilized, this hearing establishes whether you have any permanent disability resulting from your work injury and what compensation you deserve.

Key Objectives of the Hearing

  • Determine the existence and extent of permanent disability
  • Calculate appropriate compensation for permanent impairment
  • Resolve any disputed issues between parties
  • Establish future medical treatment needs
  • Finalize the workers’ compensation claim

When Does a Permanency Hearing Occur?

A permanency hearing typically takes place after you’ve reached maximum medical improvement (MMI). This medical designation means that your condition has stabilized, and further significant improvement is unlikely, even with continued treatment.

Timeline Considerations

The timing varies by state and individual case complexity, but permanency hearings generally occur:

  • After all medical treatments are complete
  • When doctors have determined you’ve reached MMI
  • After all relevant medical reports have been submitted
  • When temporary benefits have concluded

It’s important to note that reaching MMI doesn’t mean you’re fully recovered—it simply indicates your condition is stable.

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Who Attends a Workers Comp Permanency Hearing?

Several key participants are present at a permanency hearing:

  1. You (the injured worker) - Your attendance is crucial
  2. Your attorney - Legal representation is highly recommended
  3. The insurance company’s attorney
  4. A workers’ compensation judge
  5. Court reporter - Documents the proceedings
  6. Expert witnesses - May include doctors or vocational experts

The Hearing Process: Step by Step

Understanding the typical process can help reduce anxiety about your permanency hearing.

1. Opening Statements

The hearing begins with brief opening statements from both attorneys, outlining their positions on the case.

2. Evidence Presentation

Both sides present evidence supporting their claims about the extent of your permanent disability.

Common evidence includes:

  • Medical records and doctor’s reports
  • Independent medical examination results
  • Testimony from medical experts
  • Vocational assessments
  • Your own testimony about limitations

3. Your Testimony

You’ll likely be asked to testify about:

  • How the injury occurred
  • Your current symptoms and limitations
  • How the injury affects your daily activities
  • Your ability to work and perform job duties
  • Treatments you’ve received

Be prepared to answer questions from both attorneys during cross-examination.

Types of Permanent Disability Determinations

The judge will consider whether your disability falls into one of these categories:

Permanent Partial Disability (PPD)

This determination means you have some permanent impairment but can still work in some capacity. PPD benefits are typically calculated using:

  • Scheduled injuries: Benefits based on a predetermined schedule for specific body parts
  • Non-scheduled injuries: Benefits calculated based on your wage-earning capacity

Permanent Total Disability (PTD)

If you’re unable to return to any gainful employment, you may qualify for permanent total disability benefits, which provide more substantial and longer-lasting compensation.

How Compensation is Calculated

The calculation methods vary by state, but generally consider:

Factor Influence on Compensation
Impairment rating Higher ratings increase compensation
Pre-injury wages Higher wages typically mean higher benefits
Age May impact benefit duration
Education level Affects earning capacity assessment
Work restrictions More severe restrictions increase benefits

Possible Outcomes of a Permanency Hearing

The judge will issue a formal decision after considering all evidence. Potential outcomes include:

  1. Award of permanent disability benefits - Specifying amount and duration
  2. Lump-sum settlement - One-time payment resolving all future benefits
  3. Structured settlement - Payments over time
  4. Denial of permanent disability - If evidence doesn’t support permanent impairment

The timing of the judge’s decision varies, from immediate rulings to several weeks for complex cases.

Preparing for Your Permanency Hearing

To improve your chances of a favorable outcome:

  • Gather all medical documentation - Ensure all relevant records are available
  • Meet with your attorney beforehand - Review likely questions and testimony
  • Dress appropriately - Business casual attire shows respect for the proceedings
  • Be honest and consistent - Credibility matters tremendously
  • Document limitations - Keep a journal of how your injury affects daily activities

After the Hearing: What Happens Next

Once the hearing concludes:

  1. The judge will issue a written decision
  2. Either party may have the right to appeal within a specified timeframe
  3. If approved, permanent disability payments will begin according to the schedule
  4. Future medical treatment provisions will be established if awarded

Conclusion

A workers’ compensation permanency hearing represents a crucial juncture in your case. While the process may seem intimidating, understanding what to expect helps you navigate it successfully. Working closely with an experienced workers’ compensation attorney gives you the best opportunity to receive fair compensation for your permanent workplace injury.

Remember that permanency hearings determine long-term benefits that may affect your financial stability for years to come. Thorough preparation and appropriate legal representation are investments in securing the benefits you deserve after suffering a workplace injury.