This Is How A Worker's Compensation Program Works

By Bill Lloyds

Worker's Compensation programs were enacted to benefit both employees and organisations. Employers are shielded from lawsuits allowing 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 most states, employers contract with private insurance companies for coverage. A few states maintain a public fund, to which employers must contribute, to pay claims to injured workers. Some states use a combination of the two methods. Most employers carry private insurance and the state steps in to cover employers that insurers reject.

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.

When an employee is deemed able to resume work, but cannot perform the job held before the claim, many states offer training for the worker to secure a different position. An example of this would be where a worker who normally stood all day could no longer be on his feet for extended periods and received training in computers. Normally, if he is judged able to work at this new career, he must accept or lose benefits.

Anyone injured in the workplace should report such injury immediately to a member of management. The manager or supervisor will obtain statements from all who witnessed the incident. The injured worker will usually be tested for drugs, since alcohol or illegal drugs are normally grounds for denying a claim. Normally, there are doctors and hospitals designated by the employer or his insurance company for treatment throughout the claim period.

To keep their Worker's Compensation benefits, employees must cooperate in their plan for treatment. They will be expected to obey all medical orders, including rehabilitation or therapy programs. Training courses, if ordered, will be required to be completed. Employees can also lose their benefits if they are offered restricted duty but refuse to report for work.

If hurt around the job, or made ill by toxins or working conditions, it's important that workers report the injury and file worker's compensation claims immediately. managers and supervisors should offer workers claims forms to fill out. It may also be a good idea to consult an attorney who specializes in worker's compensation law, if the worker suspects the employer or the insurance company could challenge his or her claim.

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