Worker's Compensation plans were initiated in an effort to protect both employers and employees. They are beneficial to employers because the plans protect them from lawsuit. This enables them to accurately budget expenses for claims. Employees benefit because they can continue to receive cash payments while injured, along with some or all of related medical costs. While Worker's Compensation statutes differ between states, the basic remain 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.
In general, workers who are injured on the job, whether from accident or occupational illness, are entitled to receive a percentage of their salary until they can return to work. There is usually a waiting period of several days before the program begins. In some states, payments continue until the employee can resume normal work duties, even if this takes years. Other states pay for a set time frame, after which a lump sum settlement is made if the employee still cannot work.
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.
Any worker who suffers an injury while at work should immediately notify a manager or supervisor, who will obtain any eyewitness reports and file a report. A drug test will probably be ordered for the injured worker, since alcohol or drug usage normally leads to a denial of benefits. The employee will likely be required to use the hospitals or physicians that the employer designates.
Employees receiving Worker's Compensation payments are expected to make an effort to recover by following medical instructions, including any recommended therapy programs. In most states, they can be dropped from the program for refusing to attend re-training classes. They can also find payments stopped if they are found capable of doing light duty work and they refuse to work.
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Orignal From: How Does Worker's Compensation Work?
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