The SIBTF examiner prepares a detailed report that supports SIBTF claims, settlements, and adjudication.
Serving California
Subsequent Injuries Benefit Trusts Fund (SIBTF)
The Subsequent Injuries Benefit Trusts Fund (SIBTF) supports injured workers whose combined disabilities result in total impairment. In SIBTF workers compensation cases, a detailed medical evaluation is essential to document prior conditions, apportionment, and overall permanent disability under California law.
Who Is an SIBTF Medical Examiner For?
An SIBTF medical examiner is essential for workers’ compensation cases involving combined or pre-existing disabilities. This evaluation helps determine eligibility, apportionment, and total permanent disability under California law.
Injured Workers (with prior disabilities)
For workers with prior disabilities, an SIBTF medical examiner documents how multiple conditions combine, supporting eligibility for SIBTF workers’ compensation benefits through a detailed medical evaluation.
Claims Administrators & Insurers
An SIBTF medical examiner assists claims professionals by delivering objective medical evaluations that clarify prior disabilities, reduce disputes, and support accurate benefit determinations.
Attorneys (Applicant & Defense)
Attorneys rely on an SIBTF medical examiner to provide clear medical evidence, impairment ratings, and apportionment analysis required to support or evaluate SIBTF claims.
definition
What Is an Agreed Medical Evaluation?
A Subsequent Injuries Benefit Trusts Fund (SIBTF) is a California workers’ compensation program designed to compensate injured workers whose current work injury, combined with prior disabilities, results in total permanent disability. An SIBTF evaluation in California is performed by a qualified SIBTF medical examiner who reviews medical history, assesses combined impairment, and determines eligibility for SIBTF benefits.
Role of the SIBTF Examiner
Evaluation of Prior Disabilities
The SIBTF examiner reviews medical history and prior impairments to determine how pre-existing conditions contribute to overall disability.
Combined Disability Assessment
The examiner evaluates how multiple injuries interact, establishing whether combined impairments meet SIBTF eligibility thresholds.
Apportionment Analysis
A core role of the SIBTF examiner is to distinguish the impact of industrial injuries from prior disabilities for accurate benefit determination.
Permanent Disability Rating
The examiner calculates total permanent disability using California workers’ compensation standards and medical-legal guidelines.
Medical-Legal Reporting
When prior disabilities change the outcome.
Complex Injuries
One Clear SIBTF Path
Our SIBTF medical evaluation services deliver precise, defensible medical-legal opinions for complex workers’ compensation cases. By documenting combined impairments and apportionment, we help support SIBTF eligibility and provide clarity for attorneys, insurers, and injured workers across California.
What are SIBTF medical evaluation services?
SIBTF medical evaluation services focus on assessing whether an injured worker’s current industrial injury, combined with prior disabilities, qualifies for SIBTF benefits. These evaluations document medical history, impairment levels, and eligibility requirements under California workers’ compensation law.
What is included in an SIBTF medical-legal evaluation?
An SIBTF medical-legal evaluation includes a review of prior medical records, analysis of combined disabilities, apportionment, and a permanent disability assessment. The resulting report provides essential medical evidence used in SIBTF claims and legal proceedings.
Who needs an SIBTF medical evaluation?
An SIBTF medical evaluation is needed for injured workers with documented pre-existing disabilities whose combined impairments may result in total permanent disability. Attorneys and claims professionals rely on these evaluations to support or assess SIBTF workers compensation claims.
How does SIBTF workers compensation differ from standard claims?
SIBTF workers compensation applies only when prior disabilities significantly contribute to total impairment. Unlike standard claims, SIBTF cases require detailed medical-legal evidence proving how multiple conditions combine, making specialized medical evaluations essential.