Key takeaways:
- Modified duty does not automatically end workers’ comp benefits.
- Light-duty work should match the responder’s medical restrictions.
- A Notice of Ability to Return to Work is not a specific job offer.
- Returning at full wages may suspend wage-loss benefits.
- Lower post-injury earnings may reduce benefits instead of ending them.
Being medically able to perform some work is not the same as being ready to return to full police, fire, or EMS duty. After a workplace injury, a physician may release a responder with restrictions on lifting, standing, driving, physical confrontation, shift length, or other activities. The employer may then offer modified or light-duty work that is supposed to fit within those limitations.
That transition can create new disputes over whether the job is actually suitable, whether the medical restrictions are being followed, and what happens to work comp benefits once wages resume.
Pennsylvania law allows an employer or insurer to seek changes to benefits based on your ability to return to work. Our assertive workers’ comp lawyers in Philly can help you respond when the offered position or benefit change doesn’t reflect your medical restrictions.
What happens when a Pennsylvania first responder is released to modified duty?
A first responder released to modified duty may be expected to consider work that fits within the medical restrictions, but the release does not automatically mean workers’ compensation benefits end.
The employer may offer a position with different tasks, reduced physical demands, fewer hours, or other adjustments. The important question is whether the responder is medically capable of performing the work actually being offered. Pennsylvania regulations require an employer seeking a modification or suspension based on earning power to offer an available job with the liable employer that the injured worker is capable of performing.
What is a Notice of Ability to Return to Work?
A Notice of Ability to Return to Work tells the injured worker that the insurer has received medical evidence indicating an ability to return to work in some capacity. The notice itself isn’t a specific job offer or an order to return to work.
Pennsylvania uses Form LIBC-757 for this notice. It must describe the worker’s physical condition or change in condition, explain that available employment may affect benefits, and advise the worker of the right to consult an attorney.
Does a first responder have to accept modified duty?

A first responder should not reject a modified-duty offer without first determining whether the job fits the medical restrictions and whether refusing it could affect benefits.
If a specific vacancy exists that the injured worker can perform, Pennsylvania law may require the employer to offer it before seeking a modification or suspension based on earning power. Refusing suitable available work can therefore become an important issue in the workers’ compensation case.
At the same time, “light duty” is only a label. What matters is what the job actually requires. The duties, schedule, location, physical demands, and restrictions should be compared with the medical release rather than assuming every modified position is appropriate.
What if the offered job exceeds medical restrictions?
If the offered work requires activities the treating physician has restricted, the responder should document the conflict rather than simply attempting duties that may be unsafe.
Useful information can include:
- The written job description
- Current medical restrictions
- Required lifting, driving, standing, or physical activity
- Shift length and schedule
- Any duties involving emergency response or public safety
- Communications about requested accommodations or restrictions
How can returning to work affect wage-loss benefits?
Returning to work can reduce or suspend wage-loss benefits depending on how much the responder earns after the injury. Pennsylvania distinguishes between a suspension and a modification. A suspension generally applies when the worker remains medically injured but returns, or is capable of returning to available work, without a loss of earnings. A modification generally applies when the worker returns or can return to available work but earns less than before the injury.
When partial disability applies, Pennsylvania generally pays two-thirds of the difference between the worker’s pre-injury average weekly wage and post-injury earnings, subject to applicable limits.
Which workers’ comp lawyers in Philly can help me with a modified-duty dispute?

A light-duty release can change your claim quickly, especially when the job offered does not match your restrictions, or your wage-loss benefits suddenly change. Liberty Bell helps first responders throughout Philadelphia review modified-duty offers, medical limitations, and insurer actions before those decisions create bigger problems.
Whether you serve in Juniata or elsewhere in Philadelphia, we can help you understand an IRE that changes your disability status, respond when your recommended treatment is denied, and review a settlement before you agree to its terms.
If you are being pushed back to work before fully recovering, contact our team so we can compare the job offer with your limitations and explain what options may still be available. Get in touch with us today!





