Workmans Comp
Insurance
An overview
Workmans
comp insurance (or workman’s compensation insurance), is a form of
liability insurance that covers the medical expenses of employees,
rehabilitation from an injury, and work-related death.
Every
state in the U.S. requires its employers to provide workmans
compensation insurance expect
one – Texas.
When
is Workman’s Comp
Applicable?
- Any time an
injury or sickness is a
direct result of performing one’s job or performing duties on the
behalf of one’s employer, this qualifies as a workman’s comp related
injury.
- Workmans comp
insurance covers both single incident
injuries and illness resulting form long-term exposure to some type of
health hazard.
- If employees
are especially careless or
negligent, employers or their insurance agencies can dispute a
workman’s comp claim. Also, if the incident was not due to
job-related activities, the employer may dispute the claim.
How
is it Purchased?
- Most
companies purchase workmans
comp insurance through the state, or through a state-approved
company.
- Larger companies are allowed to
self-insure their
employees in most states, though this still must be supervised by the
state.
- This allows companies with many employees to
reduce
costs. Some states allow smaller companies to group together
and self-insure, something known as group self-insurance.
- If
you are am employer, the first thing you need to figure out is whether
or not you present state allows you to purchase workman’s comp
insurance from a private insurer, or just through the state.
- If
your state allows private workman’s comp insurance, you will most
likely have your choice of many offers.
What Does it
Cover?
Workmans comp insurance covers
four main
things:
- Medical
Expenses
- Death Benefits
- Rehabilitation
- Disability
Disability
payments usually range from 2/3 to 4/5 of lost wages.
Employee
Rights
- Employees have the
right to quick and easy
access to all necessary forms in order to file a claim.
- If a
workplace injury does take place, the employer must address the medical
needs of the individual in question, taking responsibility for these
expenses.
- Employees also have
the right for their claims to
be processed in a timely fashion, and for reasonable and accurate
claims to be undisputed.
In The Event
of
a False Claim
- As an employer,
if you think an
employee is filing a false or inaccurate claim, then you must still
process this claim. However, you should include a written
statement detailing why you think the claim is inaccurate or falsified
with the corresponding paperwork.
- Then,
the insurer will have
the chance to review the circumstances surrounding the claim and
determine what action is appropriate. As an employer,
disputing too many claims can raise your claim costs in the
future.
- Therefore, it is a
good idea to only dispute claims
that you clearly believe hold fast or inaccurate information.
Keeping
Costs Down
- As an employer,
you can do some things to
keep your workman’s comp costs down.
- The
most important thing
is to educate your employees about workplace hazards and how to stay
safe on the job.
- Publish this material and make it
publicly
available throughout the workplace if possible.
For
more information regarding employer liability
insurance, such as the workmans
comp insurance section here, please be sure to check
out
the following
areas:
Similar to employer
insurance, employees also have
responsibilities and rights. To learn more about this, check
out the employee
rights section.
And don't forget to check out the various employment
background screening sections, especially if you are
interested in federal
government jobs.


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