This Is How A Worker’s Compensation Program Works

Written By: Ron Howard on February 8, 2010 No Comment

Worker’s Compensation programs were enacted to benefit both employees and employers. Employers are shielded from lawsuits that can allow them to thus control their costs through insurance designed to cover payments for claims. Employees receive compensation in the form of monetary payments as well as coverage for at least part of their medical expenses. Worker’s Compensation laws vary from state to state, but most facets are the same.

In the majority of the states, companies purchase coverage from insurance companies. Only a handful of states utilize a public plan, which is funded by mandatory payments from employers. Other states have a hybrid program. Under these arrangements, employers are to contract with insurance companies for coverage. Those that cannot obtain coverage in this manner, such as those rejected by private carriers as high risk, will pay into a public plan.

If unable to work due to an accident or job related illness, workers receive a set percentage of their normal salary while they are disabled. Sometimes, payments can continue indefinitely as long as the employee is unable to work. In other states, there is a time limit, and once this point is reached, a lump sum payment is issued and monthly disbursements are discontinued.

Medical expenses related to the covered injury or illness are covered in full or in part, depending on the state. Prescriptions, medical equipment, doctors, hospitals, physical therapy, and rehabilitation services are included.

If an employee will be able to work, but not in the position he or she held prior to the injury, most states will provide training to place the employee in a different job. For example, a factory worker who can no longer stand for long periods of time might receive computer training. In most cases, an employee who has been deemed capable of working in this new job must work or forfeit benefits.

A worker who is injured on the job should immediately report the incident to a supervisor or manager. Management will collect the statements of any witnesses and prepare a report. Normal procedure is to arrange a drug test for the injured employee, since the presence of illegal drugs or alcohol usually invalidates the claim. Most employers also have designated hospitals or doctors for the initial treatment of work related injuries as well as follow up treatment.

Anyone receiving payments or benefits are obligated to work with the Worker’s Compensation program toward complete recovery. Failure to obey medical orders, attend any therapy ordered, or to take part in re-training may lead to termination from the program. Benefits can also be stopped if the employee refuses to accept an altered position after being deemed capable of resuming a limited work schedule

If hurt relating to the job, or made sick by toxins or working conditions, it is critical that workers report the injury and file worker’s compensation claims immediately. managers and supervisors should offer workers claims forms to fill out. It can also be beneficial to consult an attorney who specializes in worker’s compensation law, if the worker suspects the employer or the insurance company could challenge his / her claim.

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