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Workers' Comp 101 Topics

  1. What is Worker's Compensation?
  2. Are All Injuries Compensable?
  3. Managing the Process
  4. Who Pays for Insurance?
  5. The Hidden Cost of Workers' Compensation
  6. Lower Your Experience Modification Factor
  7. Who are the Players?
  8. Where Do I Get Help?
  9. Abbreviations
  10. Glossary of Workers' Comp Premium Terms


 

 


Workers' Comp 101

What is Workers' Compensation?

This is a general overview of workers' compensation.

State laws vary greatly and they change frequently, so make sure to check the law in your state for information specific to your state.

Workers' Compensation Basics

Chances are if you're on this website, you're an employer who's looking for a way to lower your workers' compensation costs. Workers' compensation is a system of state and federal laws that provides benefits for workers who are injured on the job.

Workers' Compensation = Workers' Comp = WC*
*Formerly referred to as Workmans' Compensation.

If you have a worker who is injured on the job, worker's compensation kicks in to provide benefits.

Rule #1: The injury must occur in the "course and scope of employment." Not all employees are covered but most are.

Ask your claims adjuster, if you are unsure if an employee is covered or if the injury occurred out of and in the course of employment.

 

 

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What Costs are Covered

If an employee is injured on the job, they are entitled to payment of:

  • Medical bills
  • Hospital bills
  • Lost wages (called "indemnity payments")
  • Rehabilitation
  • Medications
  • Mileage to/from medical providers
  • Permanency, scarring, scarring or residual loss of earning capacity

If an employee is working two jobs, he/she may be entitled to payment of lost wages from BOTH jobs because the AWW (average weekly wage) consists of two sources of income.

REMEMBER: Specific benefits vary by state so check the state you're doing business in for the specifics.

Next Topic: Are All Injuries Compensable?



"Workers Compensation Management Program: Reduce Costs 20% to 50%"

To learn more about how to lower your workers compensation expense, read the guidebook from Advisen and the Workers Comp Resource Center, Workers Compensation Management Program: Reduce Costs 20% to 50%, which covers the following:

•   BONUS CHAPTER! Process Overview for Workers Compensation Managers
Workers Compensation Basics
•   Fundamentals of Cost Containment
Best Practices Roles and Responsibilities
Management Commitment
Employee Communications
Controlling Fraud and Abuse
•   Return to Work and Transitional Duty
Claim Reporting
•   Other Indemnity Cost Containment Services
•   Directing Medical Care
Medical Cost Containment
Physical Therapy & Physical Rehabilitation
Pharmacy Benefits Management
Training Supervisors
Working with the Insurance Company and TPA
•   Claim Resolution and Settlement
•   Safety and Loss Control

Workers Compensation Management Program 2012: Reduce Costs 20-50%
Learn more about the comprehensive guidebook from Advisen and the Workers Comp Resource Center: Workers Compensation Management Program: Reduce Costs 20% to 50%.

Learn more: Workers Compensation Management Program: Reduce Costs 20% to 50%
Learn more about included documents, bulk pricing, and custom imprinted covers for brokers, carriers, and associations.





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