The Various Worker’s Compensation Benefits
Worker’s Compensation was established to protect both employers and employees. Employers can budget costs by using insurance plans to cover payments to injured workers rather than risking litigation. Employees have access to an income when unable to work due to a job related illness or injury. While Worker’s Compensation statutes are different in every state, the basic plans are very similar.
Funding for compensation programs is normally provided in one of three ways. In the majority of states, employers are required to obtain policies from insurance providers to cover their claims. In a very few states, employers pay into a state operated fund that processes claims and distributes payments. And finally, there is a combination method employed by some states in which the state fund covers only employers reject by private insurers.
As a rule, employees who are unable to work due to a job related injury or illness can receive weekly or monthly payments. In most instances, these do not constitute amounts equal to salary but instead are a set percentage. Under some plans, these payments can continue for as long as the employee is ill or hurt, with no time limit. However, in some states there is a point at which monthly payments are discontinued and one lump sum payment is issued.
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.
Should a worker be deemed fit for work in a different position other than the one held prior to the accident, most states furnish training for the new job. For example, someone whose previous position required standing all day, but who can no longer do so, might be trained as a computer operator. If an employee refuses to accept the training or the position may have to forfeit future 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.
To keep their Worker’s Compensation benefits, employees must cooperate in their treatment plan. They will be expected to obey all medical orders, including rehabilitation or therapy programs. Training courses, if ordered, needs to be completed. Employees can also lose their benefits if they are offered restricted duty but refuse to report for work.
If injured around the job, or made sick by toxins or working conditions, it is necessary 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 particularly smart 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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