If a worker gets injured on the job and requires medical treatment, you’ll be happy to have a Workers' Compensation Insurance plan. This plan will also cover lost wages and services that help an employee recover and get back to work.
It’s your job to keep employees safe at work. However, work-related injuries happen. Sometimes employees get injured on the job, and that’s why we have Workers Compensation Insurance.
This insurance covers medical costs and lost wages, as well as rehabilitation or physical therapy. It’s mandatory in many states and highly recommended for all employers.
Often called “Workman’s Comp,” this insurance covers the occurence of employee injuries. It provides wage replacement and medical benefits to employees who are injured at work.
In exchange, employees relinquish their right to sue their employer for negligence. Therefore, Workers Compensation Insurance protects employers from costly lawsuits while also assuring employees that they are guaranteed some coverage in case of illness or injury on the job.
When a business owner has Workers Comp Insurance, their employees who become injured or disabled at work will not need to pay their medical bills, as these will be covered under the policy.
The injured employee will also receive monetary compensation to cover lost wages, either during the recovery stage, or longer, depending on the extent of the physical harm or disability suffered.
Accident or Injury
If an employee gets into a road accident while using their vehicle for work purposes, workers compensation insurance will cover the injured employee’s medical expenses and a portion of their lost wages. However, accidents that occur while an employee is commuting to or from work are not covered.
Occupational Illness
Workplace injuries include occupational hazards, such as falls from heights or inhalation of harmful chemicals. Workers Compensation Insurance can cover medical expenses and a portion of lost wages, as long as there is a clear connection between the job and the illness suffered.
Repetitive Stress Injury
Claims are common for injuries due to repetitive physical motions. Insurance will cover any rehabilitation or therapy that an employee may need. An example of repetitive stress injury is carpal tunnel syndrome that affects millions of office workers.
Disability
If an employee suffers an ongoing disability at or due to work, workers compensation insurance will cover their medical bills, as well as a portion of their wages. For example, if an employee is injured in a car accident while on the job that results in a leg amputation, Workers Compensation Insurance aims to compensate lost wages due to their inability to go back to work.
First and foremost, Workers Compensation protects your employees by giving them back a portion of their lost wages if they are hurt on the job, as well as paying for related medical expenses.
The business is also covered if any employees bring suit against it claiming that your negligence was the reason for their injury or illness. The lawsuit costs and those related to the damages to the employee are covered here.
Most U.S. states require Workers Compensation Insurance as mandatory.
Many states, however, offer an exemption for businesses with a very small number of employees. For example, if you work in Alabama and you have three or less employees working for you, your business is not required to carry Workers Compensation Insurance.
However, many states do not offer such exemptions based on your workforce's size. For example, if you are based in Colorado or Illinois, all public and private employers must provide coverage for their employees, regardless of size.
The severity of sanctions imposed for not holding workers comp will differ from state to state. For example, in New York, failure to show a workmans comp policy can lead to heavy fines!
There is no federal limit to the amount that can be paid to an injured employee. Instead, the amount is determined by the Workers Compensation Board in each state.
However, employer liability coverage in Workers Compensation cases does have a limit. Basic policy limits required by law range from $100,000 per employee for bodily injury to $500,000.
In some states, laws also limit the amount an injured employee can recover from an employer, and eliminate the liability of co-workers in most accidents, protecting both employers and fellow workers.
An injured employee can make a claim under your company’s Workers Compensation Insurance policy if their injury were sustained either:
A deceased’s employee’s dependents can make a claim if the deceased, your former employee, was killed in a work-related accident or illness.
This insurance only covers injuries that happen on the job, so anything that happens to employees when they are off the clock or not performing official duties likely won’t fall under this policy. For example, if a employee is injured during their personal time, such as during a gym session or over the weekend when they’re not required to be working, they won’t be covered.
While some employees have argued to expand coverage because they are always working or thinking about work, courts have enforced common sense limits. For example, if your employee falls out of bed because they are having a work-related nightmare, their injuries will not be covered.
General damages for pain and suffering, and punitive damages for employer negligence, are generally not available under this type of insurance claim. Negligence is generally not an issue in these cases.
Workers Compensation laws are designed to give employers immunity from liability above the amount provided by their policies. However, in some states, an employer can still be held liable for greater amounts if the claimant can prove they recklessly or intentionally caused them injury, harm or illness. In other states, while employers might be immune, third parties like subcontractors or machinery manufacturers may face liability. This also applies when injuries happen while an employee is committing a crime.
Workers Compensation Insurance covers injuries or illnesses until they become permanent and stationary. Then, employees may be entitled to permanent disability benefits and lifetime medical care.
A small business owner with a few employees can expect to pay around $2,000 to $3,000 in Workers Compensation Insurance premiums annually. As an employers payroll increases, premiums will also increase.
It will naturally be more expensive to insure employees working on a particularly dangerous job where claims are frequent, such as construction. However, discounts are available for businesses that:
An employee will not be covered under the policy if:
Contractors and volunteers may be eligible for workers' compensation benefits if they are hurt or fall ill on the job, depending on the state. If you employee contractors, consult with a CoverWallet advisor.
The 3 main factors that influence your premiums include:
Class codes are determined based on the employee's job duties, such as a concrete worker or clerical office employee. This will determine the rate per $100 of payroll that you will have to pay for the Workers Compensation coverage.
Loss cost is the name given to the method used by an insurance company to determine the rates for each class code. Loss cost is the number of medical losses for each claim.
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