Legal Representation at the National Insurance Medical Committee in Ramat Gan

What is a Medical Committee in National Insurance?

A medical committee in national insurance is the body responsible for assessing the degree of disability of victims of traffic accidents, work accidents, and individuals seeking allowances and benefits from national insurance. The committee examines medical evidence, tests, physician reports, and clinical findings to determine the percentage of disability of the injured party and its impact on their work capacity.

The decisions of the medical committee directly affect the amount of compensation, monthly disability allowance, and additional payments to which the injured party is entitled. This is why professional legal representation at this stage is essential — experienced lawyers in national insurance claims know how to present your case in the best possible manner and protect your rights.

Role of the Medical Committee

• Assessment of Disability Degree: Review of all medical evidence submitted — laboratory tests, X-rays, physician reports, clinical findings — to determine the precise percentage of disability.
• Determination of Allowance Entitlement: The committee determines whether the injured party is entitled to a monthly disability allowance and in what amount, based on the disability percentage and their previous salary.
• Assessment of Loss of Work Capacity: Examination of the actual impact of the injury on the injured party's ability to work and earn a living.
• Determination of Lump-Sum Payments: In accordance with national insurance laws, the committee also influences the determination of one-time compensation for disability or injury.

Why Legal Representation Before the Medical Committee?

Disability assessment is not a simple process. Often, the national insurance medical committee assesses disability at a lower rate than the injured party is actually entitled to. There are many reasons: medical evidence is not presented properly, physician reports lack sufficient detail, or the committee does not understand the true impact of the injury on the injured party's life. An experienced lawyer in national insurance claims knows how to present your case persuasively, bring additional medical evidence if needed, and advocate for you before the committee.

National Insurance Medical Committee Process

The National Insurance medical committee process consists of several stages, and each stage is an opportunity to present your case in the best possible way. Understanding the process is essential for planning your legal strategy.

Stage 1: Filing a Claim with National Insurance

Following an accident or illness that may lead to disability, a claim must be filed with National Insurance. The claim should include basic information about the injured party, a description of the accident or illness, and initial medical reports. Our office assists in preparing the claim so that it includes all required details and presents your case clearly from the outset.

Stage 2: National Insurance Medical Examination

After filing the claim, National Insurance summons the injured party for a medical examination with a physician appointed by National Insurance. This examination is very important, as the report generated from it directly impacts the disability assessment. An experienced attorney will help you prepare for the examination, know what questions to expect, and how to present your symptoms and difficulties accurately and clearly.

Stage 3: Presenting Evidence Before the Medical Committee

Based on the National Insurance medical report and additional reports submitted by the injured party (from private physicians, additional tests, etc.), the medical committee examines the extent of disability. At this stage, strong legal representation is critical. An attorney can submit additional evidence, request further tests if necessary, and present persuasive arguments on behalf of the injured party.

Stage 4: Medical Committee Decision

The committee determines the percentage of disability and the injured party's entitlement to benefits. This decision is provided in writing, and the injured party has the right to object to the decision if they believe it is incorrect or unfair.

Stage 5: Appealing the Committee Decision

If the injured party disagrees with the medical committee's decision, they may file an appeal. In an appeal, additional evidence can be presented, new tests requested, and arguments made again before another medical committee or before a court. An attorney experienced in National Insurance claims knows how to manage an appeal effectively and increase the chances of obtaining a better decision.

Disability Percentages and Compensation Rights in National Insurance

The disability percentages determined by the medical committee form the core of a national insurance claim. They determine the amount of monthly allowance the injured party will receive, one-time compensation payments, and the long-term financial consequences of the disability.

How are Disability Percentages Determined?

The medical committee examines several factors to determine the disability percentage: (1) the type of injury and its severity; (2) clinical findings and medical evidence; (3) the impact of the injury on the injured party's work capacity; (4) the injured party's age and ability to adapt to a new environment; (5) the injured party's profession and professional requirements. For example, a victim of a traffic accident who suffers from a back injury may have a different disability percentage depending on whether they work in an office (sedentary work) or in heavy physical labor.

Typical Disability Ranges

Disability percentages in Israel range from 0% (no disability) to 100% (complete disability). Generally, traffic accidents and some work accidents result in disabilities ranging from 10% to 80%, depending on the severity of the injury. Mild disabilities (10%–20%) may result from minor injuries or good recovery; moderate disabilities (30%–60%) relate to moderate injuries that affect work capacity; severe disabilities (70% and above) relate to serious injuries that prevent work or require assistance from others. Each case is unique, and the assessment depends on the specific circumstances of the injured party.

Compensation Rights According to Disability Percentage

Based on the disability percentage determined by the medical committee, the injured party is entitled to different amounts: (1) monthly disability allowance — a fixed amount paid every month as long as the disability exists; (2) one-time compensation payments — a one-time amount paid according to the disability percentage; (3) medical expenses — coverage of medical treatments related to the injury; (4) rehabilitation and retraining — assistance with further education or career change if the disability prevents work in the previous field. An attorney with experience in national insurance claims knows how to calculate all your rights and ensure that you receive the full amount you are entitled to.

Disability Reassessment

The disability percentage is not necessarily permanent. In certain circumstances, a reassessment of the disability can be requested — for example, if the injured party has recovered from the injury or if their condition has deteriorated. A request for a change in disability assessment requires new or substantial medical evidence, and at this stage as well, legal representation can be very beneficial.

Work-Related Disability and Injured Parties' Rights

When an injured party suffers a disability as a result of a workplace accident or traffic accident (occurring while commuting to or from work), they may be entitled to compensation from National Insurance and in certain cases also to a civil claim against the party responsible for the accident. These rights protect the injured party and their family from financial hardships resulting from the disability.

What Is Work-Related Disability?

Work-related disability refers to an injury or illness caused as a result of work or work-related accidents that results in a loss of the injured party's work capacity. This may include physical injuries (bone fractures, spinal cord injury, head trauma), psychological injuries (PTSD, depression resulting from an accident), or occupational diseases (chronic back pain, hearing damage). National Insurance recognizes these disabilities and is required to pay benefits and entitlements to injured parties.

Rights of an Injured Party in a Workplace Accident

• Disability Allowance: A monthly allowance paid to the injured party as long as the disability exists, according to the percentage of disability and previous income.
• One-Time Compensation: A lump sum payment according to the disability percentage, paid immediately after disability is determined.
• Medical Expense Coverage: National Insurance covers medical treatments related to the disability — surgeries, physical therapy, medications, etc.
• Widow and Children's Allowance: If the injured party dies as a result of the disability, their family is entitled to allowances.
• Rehabilitation and Retraining: Assistance with further education or vocational retraining if the disability prevents return to previous employment.

Rights of an Injured Party in a Traffic Accident

Injured parties in traffic accidents caused while commuting to or from work are also entitled to compensation from National Insurance. In addition, they may be entitled to a civil claim against the driver or party responsible for the accident. A civil claim may include compensation for pain and suffering, loss of enjoyment of life, and the like — amounts that are sometimes substantially higher than National Insurance benefits.

The Difference Between National Insurance and a Civil Claim

It is important to understand that National Insurance and a civil claim are two different ways to receive compensation. National Insurance pays fixed allowances based on disability percentages; a civil claim allows the injured party to demand compensation from the person or entity that caused the accident. Our office represents claimants exclusively in tort law, meaning we assist injured parties in filing civil claims against those responsible for accidents. Combined with National Insurance, a civil claim may result in significantly greater compensation.

Medical Committee Representation in Ramat Gan — Mandelbaum, Gor Weizman-Gor Law Firm

Our firm, Mandelbaum, Gor Weizman-Gor & Co. Attorneys at Law, is located at our Ramat Gan office at Ben Eliezer Aryeh 12, and provides professional legal representation to victims of traffic accidents and proceedings before the National Insurance Institute's Medical Committee. Our firm specializes in tort law and national insurance law since 2008, and has accumulated extensive experience in managing such claims.

Why Choose Us?

• Over 18 Years of Experience: Our firm was founded in 2008 and since then has represented claimants exclusively in tort law and national insurance matters. We know how to navigate the National Insurance Institute's Medical Committee and court proceedings.
• Claimant Representation Only: We represent only victims and claimants, not the National Insurance Institute or insurance companies. This means we are fully committed to the victim's interests, with no conflicts of interest.
• Personal and Dedicated Service: Every client receives personal attention from an experienced attorney. We understand that every case is unique, and we tailor our strategy to your specific circumstances.
• First Consultation at No Cost: We believe every victim is entitled to consult with an experienced attorney before deciding on next steps. At the first meeting, we will listen to your story, explain your rights, and offer an appropriate strategy.

Our Services in Ramat Gan

At our Ramat Gan office, we provide comprehensive services regarding the National Insurance Medical Committee: preparation for medical examination, submission of medical evidence, representation before the Medical Committee, appeals against decisions, and full legal representation throughout the National Insurance process. We also assist with civil claims against those responsible for accidents, so you can receive full compensation from all available sources.

Service Area

We serve residents of Ramat Gan and the central region, including Petah Tikva, Givatayim, Kiryat Ono, Bnei Brak, Ganei Tikva, and other nearby cities. For your convenience, we have two offices: Ben Eliezer Aryeh 12 in Ramat Gan and Yoni Netanyahu 8 in Petah Tikva.