California Workers Compensation Claims Practice Test 2025 – Self Insurance Exam Prep

When an injured worker unreasonably refuses medical treatment, continuing payments while petitioning for suspension is a preferred approach. This allows the claims administrator to ensure that the worker is aware of their responsibilities and the necessity of cooperating with the treatment plan outlined by the medical provider.

The rationale behind this choice is that California law permits the suspension of benefits when an injured worker refuses medical treatment that is deemed necessary for their recovery and return to work. The petition serves as a formal request to adjust the benefits in light of the worker's non-compliance while ensuring that they still receive benefits during the process. This approach remains compliant with the legal framework and protects the rights of the injured worker, while also addressing the issue of their refusal.

By following this route, the claims administrator can uphold the integrity of the workers’ compensation system, while taking appropriate measures to address any uncooperative behavior related to medical treatment. It also helps in maintaining communication with the injured worker, allowing them an opportunity to reconsider their refusal to seek necessary medical care.