Workers’ Compensation Insurance Explained
Workers’ compensation insurance is among the most popular type of insurance for employees. This insurance pays medical and income benefits to workers who sustained injuries at work or have developed work-related diseases. This insurance protects employees by recompensing their injuries and income replacement. It benefits employers as it protects them from legal action such as injury lawsuits.
The benefits afforded workers are based on the kind of injury and its severity. Workers’ compensation benefits have four types. The first type is income benefits that pay a portion of lost income. Medical benefits cover medical treatment and care for the injured employee. Burial benefits cover funeral costs should the employee die. Death benefits pay a portion of lost income to the family of a worker who dies on the job.
What It Does Not Cover
Workers’ compensation will not pay for self-inflicted or intentional injuries as well as injuries resulting from horseplay and drug or alcohol intoxication. It will not cover injuries incurred through a worker’s voluntary participation in sports events or recreational activities. It will not pay for injuries resulting from “acts of God” and those that are inflicted by a co-worker that has nothing to do with work.
Workers’ compensation would cover the costs incurred from injuries sustained by the employee while performing his job. These are usually caused by workplace accidents, natural disasters, and violence. The benefits come in medical coverage and income replacement, and the policy also covers certain illnesses as well as occupational diseases that the employee contracted at the workplace.
Workers’ compensation pays for medical bills that can include physical therapy and prescriptions needed to treat the work-related injury. Employees also get partially compensated for wages lost due to their inability to come to work. All companies with employees purchase workers’ compensation. This is their protection from physical injury lawsuits that employees may file against them after sustaining an injury at work.
Why buy workers' compensation insurance?
In most U.S. states, workers’ compensation insurance is mandated by law. Benefit levels differ from one state to the next. A greater chunk of the country’s workforce is covered by workers’ compensation. Insurance coverage is provided regardless of who caused the accident. If the accident results to the worker’s death, workers’ compensation will pay for the cost of the wake and internment as well as death benefits for the worker’s family.
What You Need to Know If You’re Injured
If you sustain an injury under all the scenarios described above then you can file for a workers’ compensation claim. Make sure you understand the claim process well and know all the information there is to know, particularly about paperwork, rules rights and responsibilities.
You need to get treatment, file and accident report, fill out the pertinent paper works, and you should know your rights as an injured worker. The benefits that await injured workers include medical benefits, disability and time-loss compensation. Once you have submitted your claim make sure you make a follow up either through phone or online. You should also know how to contest a denied claim as that happens a lot.
Getting Back to Work
Once you have recovered from your injury, you may not be able to get back to your job in full swing. Your employer should put you on light duties only and provide vocational assistance such as retraining. There might be follow-up appointments with the doctor that will require you to be away from the office at certain times.
Medical Treatment for Workplace Accidents
Companies are engaged in providing employee safety in the workplace but accidents do happen and when they do there are certain options for workers, including first aid. Most cuts, falls and sprains develop into more serious injuries if they do not get treated right away. All companies have their own clinic and first aid kit in the workplace ready to address accidents occurring in there. But if it looks as though the injury will need professional treatment, you need to proceed to the emergency room or your health-care provider in order to receive the medical care you need. Your health-care provider will help you accomplish a claim form to process your workers’ compensation benefits. Most injuries are itemized in a schedule of fees, for instance a broken leg has a corresponding coverage amount.