CA SIP EXAM QUESTIONS AND VERIFIED
ANSWERS COMPLETE RATED A.
A chef with average weekly earnings of $1300 per week is injured on May
16, 2010. After this period of TTD, he returns to work part time earnings
$450 per week. What is the correct wage loss TD rate: A) $566.67 B)
$850.00 C) $866.67 D) $986.69
Verified Answer -Answer: A) 566.67....$1300 - $450= $850 x 1.5 (2/3) =
$566.67
the injured worker is a maximum earner for an injury July 21, 2006. you are
making a payment of TD in august 2008. what is the correct TD rate?: A)
Maximum TD rate for an injury in 2006 B) $840.00 C) Maximum TD for an
injury in 2008 D) TD computed in accordance with the TD rate in effect on
the date of the payment.
Verified Answer -Answer: D)
A safeway employee breaks his leg while working in 2010 and has 10
weeks of TTD. He is a max earner, recovers fully and has no permanent
impairment. How do you reserve this claim for indemnity. A) $6000 B)
$7500 C) $9900 D) $16000
Verified Answer -Answer: c) $9900... 10 weeks x $986.69 (max in 2010) =
$9866.90
you receive an Employer's First Report of Injury (5020) but accurate weekly
wages cannot be determined. How do you determine the TD accordingly.
A) pay min TD B) pay Max TD C) Delay payment of TD and request a wage
statement D) average actual weekly earnings and pay TD accordingly.
Verified Answer -Answer: D)
,the examiner received a phone call from the treating doctor's office
advising the employee is released to return to work June 3. the exmaimner
failed to document the file but cut off TD. The EE does not return to work
until june 14. the exmainer subsequently recieves a call from the
employees supervisor wanting to konw why the EE has not ben paid
through june 14. you should... A) call the doctors office and verify the RTW
date B) pay benefits C) call the ER and verify RTW date D) request
authorization for to pay benefits.
Verified Answer -Answer: A)
TD for an injury ins 2012 was paid at he incorrect rate (too low). You
should: A) pay the amount due B) pay the amount due with with a self-
imposed penatly of 10% C) begin paying at the correct rate D) beging
paying athe correct rate plus 10% for the unreasonable delay.
Verified Answer -Answer: B)
A seasonal employee works (6) months a year and is a max earner. While
not working he is a min earner. What is his TD rate out of season. A) Min
B)Max C) two-thirds of the qaverage weekly earnings D) two thirds of
average annual earnings from all employment.
Verified Answer -Answer: D)
the ER provides wage statement for the EE showing irregular earnings .
What is the correct TD rate? A) two-thirds of earnings the week of injury B)
MIN TD C) Max TD D) two-thirds of actual weekly earnings averaged for
this period of time.
Verified Answer -Answer: D)
,The employee earns $2000 per week working six months per year and
collects EDD unemployment benefits the rest of the year. He returns to
work and is injured in his first day back. The correct total TD rate is? A)
$840.00 B) 881.66 C) Max TD D) max TD during the season and $666.67 out
of season.
Verified Answer -Answer: D)
"An employee is considered a covered employee in the Medical Provider
Network when the employer?
A. Provides a notice explaining access to the MPN on a website.
B. Provides a MPN with 5 physicians within 15 miles.
C. Provides a MPN with 3 physcians within 25 miles.
d. Provides the EE with an implementation notice containing information
about the MPN and how to access care."
Verified Answer -d. Provides the EE with an implementation notice
containing information about the MPN and how to access care.
"An EE has an admitted injury resulting in PD of 72%. The EE is also guilty
of serious & willful misconduct. What should the Board award?
A. 36%
b. 72%
c. nothing
D. the dollar value of 1/2 of 72 percent"
Verified Answer -b 72%
"The EE is guilty of serious & willful misconduct. His PD is 50%. You should:
, a. Immediately reduce benefits by 50%
b. Obtain an Order from the WCAB before reducing.
C. Reduce reserves due to the potential serious & willful misconduct
d. document the file and go on to other work"
Verified Answer -b. Obtain an Order from the WCAB before reducing.
"The treating physician providing continuing treatment is required to
provide you with a medical report within how many days?
A. 30 days
b. 45 days
c. 60 days
d. 90 days"
Verified Answer -b. 45 days
"The penalty for failing to obtain workers compensation coverage is what
percetage of the compensation paid?
A 10%
b 15%
c 20%
d 50%"
Verified Answer -A 10%
"An EE is seriously injured as a result of his own serious and willful
misconduct. The EE's compensation is reduced by 50% unless:
a. he is a minor
ANSWERS COMPLETE RATED A.
A chef with average weekly earnings of $1300 per week is injured on May
16, 2010. After this period of TTD, he returns to work part time earnings
$450 per week. What is the correct wage loss TD rate: A) $566.67 B)
$850.00 C) $866.67 D) $986.69
Verified Answer -Answer: A) 566.67....$1300 - $450= $850 x 1.5 (2/3) =
$566.67
the injured worker is a maximum earner for an injury July 21, 2006. you are
making a payment of TD in august 2008. what is the correct TD rate?: A)
Maximum TD rate for an injury in 2006 B) $840.00 C) Maximum TD for an
injury in 2008 D) TD computed in accordance with the TD rate in effect on
the date of the payment.
Verified Answer -Answer: D)
A safeway employee breaks his leg while working in 2010 and has 10
weeks of TTD. He is a max earner, recovers fully and has no permanent
impairment. How do you reserve this claim for indemnity. A) $6000 B)
$7500 C) $9900 D) $16000
Verified Answer -Answer: c) $9900... 10 weeks x $986.69 (max in 2010) =
$9866.90
you receive an Employer's First Report of Injury (5020) but accurate weekly
wages cannot be determined. How do you determine the TD accordingly.
A) pay min TD B) pay Max TD C) Delay payment of TD and request a wage
statement D) average actual weekly earnings and pay TD accordingly.
Verified Answer -Answer: D)
,the examiner received a phone call from the treating doctor's office
advising the employee is released to return to work June 3. the exmaimner
failed to document the file but cut off TD. The EE does not return to work
until june 14. the exmainer subsequently recieves a call from the
employees supervisor wanting to konw why the EE has not ben paid
through june 14. you should... A) call the doctors office and verify the RTW
date B) pay benefits C) call the ER and verify RTW date D) request
authorization for to pay benefits.
Verified Answer -Answer: A)
TD for an injury ins 2012 was paid at he incorrect rate (too low). You
should: A) pay the amount due B) pay the amount due with with a self-
imposed penatly of 10% C) begin paying at the correct rate D) beging
paying athe correct rate plus 10% for the unreasonable delay.
Verified Answer -Answer: B)
A seasonal employee works (6) months a year and is a max earner. While
not working he is a min earner. What is his TD rate out of season. A) Min
B)Max C) two-thirds of the qaverage weekly earnings D) two thirds of
average annual earnings from all employment.
Verified Answer -Answer: D)
the ER provides wage statement for the EE showing irregular earnings .
What is the correct TD rate? A) two-thirds of earnings the week of injury B)
MIN TD C) Max TD D) two-thirds of actual weekly earnings averaged for
this period of time.
Verified Answer -Answer: D)
,The employee earns $2000 per week working six months per year and
collects EDD unemployment benefits the rest of the year. He returns to
work and is injured in his first day back. The correct total TD rate is? A)
$840.00 B) 881.66 C) Max TD D) max TD during the season and $666.67 out
of season.
Verified Answer -Answer: D)
"An employee is considered a covered employee in the Medical Provider
Network when the employer?
A. Provides a notice explaining access to the MPN on a website.
B. Provides a MPN with 5 physicians within 15 miles.
C. Provides a MPN with 3 physcians within 25 miles.
d. Provides the EE with an implementation notice containing information
about the MPN and how to access care."
Verified Answer -d. Provides the EE with an implementation notice
containing information about the MPN and how to access care.
"An EE has an admitted injury resulting in PD of 72%. The EE is also guilty
of serious & willful misconduct. What should the Board award?
A. 36%
b. 72%
c. nothing
D. the dollar value of 1/2 of 72 percent"
Verified Answer -b 72%
"The EE is guilty of serious & willful misconduct. His PD is 50%. You should:
, a. Immediately reduce benefits by 50%
b. Obtain an Order from the WCAB before reducing.
C. Reduce reserves due to the potential serious & willful misconduct
d. document the file and go on to other work"
Verified Answer -b. Obtain an Order from the WCAB before reducing.
"The treating physician providing continuing treatment is required to
provide you with a medical report within how many days?
A. 30 days
b. 45 days
c. 60 days
d. 90 days"
Verified Answer -b. 45 days
"The penalty for failing to obtain workers compensation coverage is what
percetage of the compensation paid?
A 10%
b 15%
c 20%
d 50%"
Verified Answer -A 10%
"An EE is seriously injured as a result of his own serious and willful
misconduct. The EE's compensation is reduced by 50% unless:
a. he is a minor
